HomeMy WebLinkAboutBUSINESS PLAN 1/23/2009UNIFIED PROGRAM INSPECTION CHECKLIST(~
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SECTION 1:~ Business Plan and^Inventory Program ;i
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A A R F. R S ~ 1 . D
FIRE ~
D~ARTM ~T
Prevention Services
9001Yuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
F~: (661) 872-2171
FACILITY NAME
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~' ~ ~ INSPECTION DATE
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ADDRESS
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27 _ 27 NO OF EMPLOYEES
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FACILITY CONTACT
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Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
Q~ ^ APPROPRIATE PERMIT ON HAND
~^ BUSIII2SS PLAN CONTACT INFORMATION ACCURATE
L0~^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
Cf ^ VERIFICATION OF INVENTORY MATERIALS
iJ ~ VERIFICATION OF QUANTITIES
!~ ^ VERIFICATION OF LOCATION
I(Y ^ PROPER SEGREGATION OF MATERIAL
L'J ^ VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
F~YES ^ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
I~1 i f~-C, ~~rti, s ~-ti ~~C d
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # E
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/O5
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
Manager : MARIA PARADA
Location: 1231 BRUNDAGE LN
City : BAKERSFIELD
BusPhone: (661) 327-7277
Map : 103 CommHaz : High
Grid: 31C FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:
EPA Numb: DunnBrad:
+_____________________________________ _________________________________________+
+_____________________________________ __+______________________________________+
Emergency Contact / Title Emergency Contact / Title
HECTOR PARADA / OWNER MARIA PARADA / OWNER
Business Phone: (661) 327-7277x Business Phone: (661) 327-7277x
24-Hour Phone :(661) 619-9469x 24-Hour Phone :(661) 619-9468x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: Fire Press ImmHlth DelHlth ~
+------------------------------------- -----------------------------------------+
Contact : MARIA PARADA Phone: (661) 327-7277x
MailAddr: 1231 BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------- -----------------------------------------+
Owner HECTOR PARADA Phone: (661) 873-7156x
Address : 1708 DUKE DR State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------- -----------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------- -----------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
PROG H- HAZ WASTE GEN
.
t______________________________________________________________________________+
-1- 08/25/2008
+ DICKS MUFFLER & AUTO _______ ________________ ________ _ SiteID: 015-021-000090 +
+= Hazmat Inventory __________ ________________ ________ ______ _ By Facility Unit +
+_= MCP+DailyMax Order _______ ________________ _______ Fixed Containers on Site +
+----------------------------- ---+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCPI
+----------------------------- ---+-------+-----------+-----+----------+----+---+
ACETYLENE E F P IH G 1065.00 FT3 Hi
OXYGEN F P IH G 750.00 FT3 Low
WASTE OIL F DH L 100.00 GAL Low
WASTE ANTIFREEZE F DH L 55.00 GAL Low
CARBON DIOXIDE F P IH G 425.00 FT3 Min
OIL F DH L 55.00 GAL Min
+______________________________________________________________________________+
-2- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
NW END OF BLDG I CAS# I
74-86-2
+_____________________________________________________________+----=-----------+
- ----------------
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ( PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
390.00 FT3 1065.00 FT3 668.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesI ~S# 74862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No I No I No/ Curies I F P IH I~~~ I I Hi 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
I 365 I
Location within this Facility Unit Map: Grid: +----------------+
NW END OF BLDG I CAS# I
7782-44-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient I PORT. PRESS. CYLINDER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co350100rFT3 I Daily M50100m FT3 I Daily 498r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
100.00 Ox INosl CAS#7782447I
I g~t I ygen, Compressed
+_______+__________________________________________________+---+---------------+
--------------- --- ---------------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPP HalHrds I jFjA/ 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 ----------------------------------------------------------------+
*______________________________________________________________________________+
-4- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~lON NAME / CHEMICAL NAME ______________________________+________________+
WASTE OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SE CRNR OF BLDG ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient I DRUM/BARREL-NONMETAL ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con55100rG~ I Daily 100100m G~ I Daily A50r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
gWt. RS CAS#
100.00 Waste Oil, Petroleum Based No I OI
+--__---+__________________________________________________+___+_________------+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNoHazl RN~d~oactive/AC~m~ 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-5- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers on Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I TreatedNon Site I CA Code I US Code I GAL Generated/Mo.l GAL Genera660/00 I
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
+______________________________________________________________________________+
-6- os/2s/2oos
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
WASTE ANTIFREEZE Days On Site
365 (
Location within this Facility Unit Map: Grid: +----------------+
~ CAS# ~
+-------------------------------------------------------------+----------------+
----------- ------------------------------------ ----------------
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Liquid ~ Waste ~ Ambient I Ambient ~ DRUM/BARREL-NONMETAL ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
55.00 GAL 55.00 GAL 55.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 30t00lEthylene Glycol INosl CAS# 107211I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-7- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+__________________+_________+_____= WASTE DATA =__________+___________________+
I Treated On Site I CA Code I US Code I GAL Generated/Mo.l GAL Generated/Yr.l
No
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: I
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
t______________________________________________________________________________+
-8- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
CARBON DIOXIDE Days On Site
I 365 I
Location within this Facility Unit Map: Grid: +----------------+
NW END OF BLDG I CAS# I
124-38-9
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Cryogenic ~ INSUL.TANK / CRYOGENIC ~
+_________+__________+_______________+_______________+______________-----------+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co425100rFT3 I Daily 425100m FT3 I Daily 425r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00ICarbon Dioxide INosl CAS# 124389I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN Hazl RN~d~oactive/Curles I FPP HalHrds I%F~A/ I USDOT# I Min 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-9- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
OIL Days On Site
I 365 I
Location within this Facility Unit Map: Grid: +----------------+
SE CRNR OF BLDG I CAS# I
8020835
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambient ~ Ambient ~ DRUM/BARREL-NONMETAL ~
+---------+__________+---------------+_______________+_______------------------+
--------- ------------ ------------------
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con55100rG~ I Daily M55100m GAL I Daily A30r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IMotor Oil, Petroleum Based INosl CAS#8020835I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH /// Min
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ 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 ----------------------------------------------------------------+
t=====-------------------------------------------------------------------------+
---------------- ---------------------- -----------------------
-10- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 12/03/1999 +
CALL 911.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 10/27/2006 +
IMMEDIATELY EVACUATE BLDG THROUGH LARGE DOOR ENTR.ANCES, CALL FIRE DEPT, THEN
NOTIFY PAUL B RITTER, OWNER.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 10/27/2006 +
THE ONLY THING THAT WOULD BE NECESSARY FOR EVACUATION WOULD BE WITH THE
OXYGEN AND ACETYLENE TANKS. THE FIRE DEPT WOULD IMMEDIATELY BE NOTIFIED, AS
WELL AS IMMEDIATE EVACUATION OF ALL PEOPLE IN OR AROUND THE BLDG.
+------------------------------------------------------------------------------+
----------------- ------------------------- ------
+____= Emergency Medical Plan _____________________________________ 12/22/2000 +
MERCY HOSPITAL EMERGENCY ROOM, 2215 TRUXTUN AVE, 327-3371.
+______________________________________________________________________________+
-11- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 10/27/2006 +
THERE IS NO SMOKING NEAR OXYGEN AND ACETYLENE TANKS. WE CHECK DAILY TO
MAKE SURE TANKS ARE NOT LEAKING. WE TAKE SPECIAL PRECAUTION IN NOT SPILLING
WASTE OIL. EMPLOYEES ARE CONSTANTLY REMINDED OF SAFETY PROCEDURES.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 10/27/2006 +
WASTE OIL - TO PREVENT OIL FROM SPREADING, GREASE SWEEP WILL BE USED AS A
BARRIER. THE FIRE DEPT WILL BE CALLED INII~IEDIATELY.
ACETYLENE - VALVES WILL BE TURNED OFF, IF POSSIBLE, FIRE DEPT WILL BE CALLED
IMMEDIATELY. BLDG WILL BE EVACUATED.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 10/27/2006 +
WASTE OIL - OIL WILL BE COVERED WITH GREASE SWEEP AND WILL BE CLEANED UP AS
SOON AS POSSIBLE. FIRE DEPT WILL BE CALLED FOR INSPECTION OF CLEAN-UP.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-12- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ___________________________________________= 10/02/2007 +
GAS - NW END OF BLDG
ELECTRICAL - NE CRNR OF BLDG INSIDE
WATER - MIDDLE NW PARKING LOT
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 12/11/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - ACROSS ST CRNR BRUNDAGE LN & L ST.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
2 EMPLOYEES
+______________________________________________________________________________+
-13- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090
+_________________________________________________________________ Fast Format
+= Training _____________________________________________________ Overall Site
+_= Employee Training _____________________________________________ 10/27/2006
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED ON A REGULAR
BASIS AS TO PROPER HANDLING OF HAZARDOUS MATERIALS AND PROPER DISPOSAL.
+
+
+
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+______________________________________________________________________________+
+--- Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-14- 08/25/2008
+ DICKS MUFFLER & AUTO ________________________________ SiteID: 015-021-000090 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
----------------------------
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-15- 08/25/2008