HomeMy WebLinkAboutBUSINESS PLAN 1/23/2009UNIFIED PROGRAM INSPECTION CHECKLIST; ~ ~ ~'evention Services
A A R ~ R s F ~ 0 900'IYuxtun Ave., Suite 210
~ -:_~- -=__ _ --~~ -_ - -- -_- __ - _-___-_--_- __- ~~ - =_;; FiRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program !' D ARTM ~ Tel.: (661) 326-3979
I Fax: (661) 872-2171
FACIIITY NAME
rl~~, 4~'~~ns ~;ss;~-, INSPECTION DATE
/-z;s--c~ INSPECTION TIME
~y~7
ADDRESS (^'~~
Ca ~t O~e~~c_ ' 1 c~~~~.~-~- f¢- (~ PHONE NO.
-3 ~~- o z~ 8 O OF EMPLOYEES
I
FACILITY CONTACT
/"- ~~..--; ve.- ~ c~ ~ J USINESS ID NUMBER
~ s-o2~ - c~ a t~ i S
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSI~BSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ L~ VERIFICATION OF HAZ MAT TRAINING
'L'f ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L7 ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZA$B,QUS WASTE ON SITE? )L7YtS ^ NO
EXPLAIN: ~ ~G~S ~' ~S r~J ''~ Fl1ll.1 ~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
/'~~ K ~ ~ ~ r 5 ~ .~ C~l ~~ -
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # u i e/ Responsible rt '
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
Yi1~i~')~~~':.
~qld~!dl~..
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
Manager : MAURICE HOPES
Location: 640 BELLE TERR 1& 6
City : BAKERSFIELD
BusPhone: (661) 396-0248
Map : 124 CommHaz : Low
Grid: 06D FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:7537
EPA Numb: DunnBrad:
+_____________________________________ _________________________________________+
+_____________________________________ __+______________________________________+
Emergency Contact / Title Emergency Contact / Title
MAURICE HOPES / OWNER /
Business Phone: (661) 396-0248x Business Phone: ( ) - x
24-Hour Phone :(661) 835-1101x 24-Hour Phone :( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: Fire DelHlth ~
+------------------------------------- -----------------------------------------+
Contact : MAURICE HOPES Phone: (661) 396-0248x
MailAddr: 640 BELLE TERR 1& 6 State: CA
City : BAKERSFIELD Zip : 93307
+------------------------------------- -----------------------------------------+
Owner MAURICE HOPES Phone: (661) 835-1101x
Address : 3413 DEETTE CT State: CA
City : BAKERSFIELD Zip : 93313
+------------------------------------- -----------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------- -----------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
PROG H- HAZ WASTE GEN
PROG T- ABOVEGROUND STORAGE TANK
+______________________________________________________________________________+
-1- 08/25/2008
+ MOES TRANSMISSION ___________________________________ SiteID: 015-021-001718 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
WASTE TRANSMISSION FLUID
TR.ANSMISSION FLUID
F DH L 220.00 GAL Low
F DH L 55.00 GAL Low
+______________________________________________________________________________+
-2- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= CONII~ION NAME / CHEMICAL NAME ______________________________+________________+
WASTE TR.ANSMISSION FLUID Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
OUTSIDE NW CRNR OF SHOP I CAS# 221I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient ~ ABOVE GROUND TANK I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co250100rGAL I Daily 220100m GAL I Daily 165r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I~Wt. I I RSI CAS# I
100.00 Transmission Fluid (Petroleum-Based) No 0
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN Hazl RN~d~oactive/Cu~l'es I FPA HazarDH I%F~A/ I USDOT# I Low I
+_______+___+______+--------------------+_____________+_______-_+--------+_____+
-------------------- - --------
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I TreatedNon Site I CA Code I US Code I GAL Generated/Mo.l GAL Genera500/00 I
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
*______________________________________________________________________________+
-4- 08/25/2008
+ MOES TR.ANSMISSION __________________________________= SiteID: 015-021-001718 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
TR.ANSMISSION FLUID Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
INSIDE SW CRNR OF SHOP I CAS# I
0
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient I Ambient ~ DRUM/BARREL-METALLIC ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
55.00 GAL 55.00 GAL 30.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I%Wt. I I RSI CAS# I
100.00 Transmission Fluid (Petroleum-Based) No 0
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN~oHazl RN~d~oactive/Cur1'es I FPA HazarDH I jF~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-5- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 07/10/2006 +
TELEPHONE INSIDE OFFICE WILL BE USED TO DIAL 911 IN THE EVENT OF AN
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 10/19/1999 +
VERBAL WARNING SUFFICIENT TO NOTIFY ANYONE TO EVACUATE BLDG AND YARD TO THE
WEST.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ O1/25/1996 +
NEIGHBORING BUSINESSES WILL BE NOTIFIED IN PERSON BY OWNER OR MECHANIC IF
NEED ARISES.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 07/10/2006 +
SAN JOAQUIN HOSPITAL, 2615 EYE ST, 395-3000.
+______________________________________________________________________________+
-6- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ O1/25/1996 +
DRUMS ARE LOCATED OUT OF THE WAY OF VEHICLES AND WORK AREAS.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 01/25/1996 +
TRANSMISSION FLUID IS TRANSFERRED INIMEDIATELY FROM DRAIN PAN INTO STORAGE
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 10/19/1999 +
SHOP RAGS.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-7- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 05/29/2007 +
GAS/PROPANE - S END OF BLDG
ELECTRICAL - S END OF BLDG
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 07/10/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER INSIDE SHOP
NEAREST FIRE HYDR.ANT - BELLE TERR
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
2 EMPLOYEES
+______________________________________________________________________________+
-8- 08/25/2008
+ MOES TRANSMISSION ___________________________________ SiteID: 015-021-001718 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 07/10/2007 +
BRIEF SUN~IAR.Y OF TR.AINING PROGR.AM : MEETING ONCE PER MONTH . ~
+______________________________________________________________________________+
+--- Page 2 ________________________________________________ +
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008
+ MOES TR.ANSMISSION ___________________________________ SiteID: 015-021-001718 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-10- 08/25/2008