HomeMy WebLinkAboutBUSINESS PLAN 2/3/2009UNIFIED PROGRAM INSPECTION CHECKLIST~~ ~'evention Services
e A R E R S ~ 1 L+ (> 900 Truxtun Ave., Sulle G1~
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_ -----------_~._ --~ _~.: -
--_ m~__ _ ___ _ ~ _____-~ ~__.__ __
-- --- -----~ ---~ FiRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program~' ~~p~ARTM ~~ Tel;: (661) 326-3979
L( Fax: (661) 872-2171
FACILITY NAME
L'd~., ~ ~f~~ ' SQ ~~, INSPECTI N D TE INSPECTION TIME
~ :~ ~
ADDRE~~ Q ~~
~ PH ~ NO~
~ 3 NO OF F_t~QpLOYEES
GJ
~
L f
FACILITY ONT/~CT
1 ~ ~ ~ SIN SS ID NUMBER ~
15-021- ~D 3Z $
,
Section 1: Business Plan and Inventory Program ~
^ ROUTINE ^ COMBINED ^ JOINTAGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
L7 ^ APPROPRIATE PERMIT ON HAND
~^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
~ ^ VISIBLE ADDRESS
Cld ^ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
hG ^ VERIFICATION OF QUANTITIES
NJ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
L`7 ^ VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
L7 ^ . FIRE PROTECTION
~^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
L~YES ^ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~o~~ ~ ir-~~ne~ ~ G
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy ` FD 2155 (Rev. 09/OS
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
Manager : R.ALPH RAYMOND BusPhone: (661) 324-2031
Location: 490 BELLE TERR Map : 124 CommHaz : Extreme
City : BAKERSFIELD Grid: 06B FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:7538
EPA Numb: DunnBrad:
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
TIM DELCID / OWNER RALPH RAYMOND / SHOP FOREMAN ..
Business Phone: (661) 324-2031x Business Phone: (661) 324-2031x "'~
24-Hour Phone :(661) 589-2276x 24-Hour Phone : (661) 587-9391x
Pager Phone :(661) 809-1435x Pager Phone : (661) 809-1439x
+------------------------------------- --+------------------ --------------------+
~ Hazmat Hazards: Fire Press ImmHlth DelHlth ~
+------------------------------------- --------------------- --------------------+
Contact : TIM DELCID Phone: (661) 324-2031x
MailAddr: PO BOX 2192 State: CA
City : BAKERSFIELD Zip : 93303-2192
+------------------------------------- --------------------- --------------------+
Owner TIM DELCID Phone: (661) 589-2276x
Address : 10718 DEEDEE AVE State: CA
City : BAKERSFIELD Zip : 93312
+------------------------------------- --------------------- --------------------+
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
+ GOLDEN EMPIRE FLEET SERVICES _ _____________ _________ _ SiteID: 015-021-000328 +
+= Hazmat Inventory ____________ _____________ _________ ______ _ By Facility Unit +
+_= MCP+DailyMax Order _________ _____________ ________ Fixed Containers on Site +
+--------------------------------+-------+-----------+ -----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+ -----+----------+----+---+
PROPANE TANK E F P IH G 11700.00 FT3 Hi
ACETYLENE E F P IH G 130.00 FT3 Hi
WASTE OIL F DH L 300.00 GAL Low
OXYGEN F IH DH G 249.00 FT3 Low
MOTOR OIL F DH L 800.00 GAL Min
ARGON F P IH G 124.00 FT3 Min
+______________________________________________________________________________+
--------------------
-2- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIl~ION NAME / CHEMICAL NAME ______________________________+________________+
PROPANE TANK Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N SIDE SHOP I CAS# I
74986
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATUR.E __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient I Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest 11700100rFT3 I Dai1117I00100m FT3 I Daily 909r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IPropane IYesl ~S# ~4986I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cur1'es I FPp HalHrds I jF~A/ I USDOT# I Hip 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
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0007 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~lON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N SIDE BLDG & SERVICE TRUCKS I CAS# I
74-86-2
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co130100rFT3 I Daily 130100m FT3 I Daily 130r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesl ~S# ~4862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPP HalHrds I jF~A/ I USDOT# I HiP 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
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on Site +
+_= CONII~ION NAME / CHEMICAL NAME ______________________________+________________+
WASTE OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N END STORAGE BLDG I CAS# I
221
+-------------------------------------------------------------+----------------+
---------------------------------- - ----------------
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con55100rGAL I Daily 300100m GAL I Daily 100r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
~Wt. RSI CAS# I
100.00IWaste Oil, Petroleum Based INo 0
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN~oHazl RN~d~oactive/Cu~l'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
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0002 _______________ 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 400.00
+------------------+---------++--------+-------------------+-------------------+
~ Treatment UnitID: ~ Unit Type: ~
+-----------------------------+------------------------------------------------+
~ Agency-Defined Text Label ~
+______________________________________________________________________________+
-6- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N SIDE BLDG & SERVICE TRUCKS I CAS# I
7782-44-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+---_------_____+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co249100rFT3 I Daily 249100m FT3 I Daily 249r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INosl CAS#7782447I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPA HaIHrDH 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-7- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIl~ION NAME / CHEMICAL NAME ______________________________+________________+
MOTOR OIL Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N END STORAGE BLDG & MAIN SHOP I CAS# I
8020835
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Liquid ~ Mixture ~ Ambient ~ Ambient I ABOVE GROUND TANK I
+_________+__________+_______________+_____________--+-------------------__----+
- ------------------- ----
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
300.00 GAL 800.00 GAL 300.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IMotor Oil, Petroleum Based INosl CAS#8020835I
+_______+__________________________________________________+---+---------------+
--- ---------------
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Am~ eS I FPA HazarDH I jFjA/ I USDOT# I Min 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-8- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers on Site +
+_= CON~ION NAME / CHEMICAL NAME ______________________________+________________+
ARGON Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
N SIDE BLDG I CAS# I
7440-37-1
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co124100rFT3 I Daily 124100m FT3 I Daily 124r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
( 100t00lArgon INosl CAS#7440371I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNoHazl RNo~oactive/Cu~l'es I FPp HalHrds I%F~A/ USDOT# I Min 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-9- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 12/03/1999 +
CALL 911.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 04/21/2006 +
SHUT OFF GAS AND ELECTRIC. CALL FIRE DEPT OR AMBULANCE, AND CALL 911.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 02/22/2007 +
BY EMERGENCY PERSONNEL.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ O1/18/2001 +
CALL 911 OR MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371.
+______________________________________________________________________________+
-10- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 04/21/2006 +
USE BARREL PUMPS. USE ROCK DUST TO CLEAN UP OIL SPILL. STORE OUT OF THE
WAY TO PREVENT POTENTIAL PROBLEMS.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 12/11/1997 +
USE ROCK DUST.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 04/21/2006 +
USE ROCK DUST TO CLEAN UP AND USE RAGS FOR OIL CLEAN-UP.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-11- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ________________________________ --___+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 10/02/2007 +
GAS - E SIDE WALL SHOP
ELECTRICAL - SW WALL SHOP MAIN BOX SE OFFICE COMPLEX
WATER - MAIN OFFICE
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 04/21/2006 +
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - S SIDE OF PROP ON ST.
+______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/11/2006 +
12 EMPLOYEES
+______________________________________________________________________________+
-12- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training ____________________________________________= 04/21/2006 +
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: GIVE EMPLOYEES COPIES OF MSDS AND GO
OVER SAFETY MANUAL. EVERY 90 DAYS WE HAVE A SAFETY MEETING.
*______________________________________________________________________________+
+__= Page 2 _________________ ~ ------ +
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-13- 08/25/2008
+ GOLDEN EMPIRE FLEET SERVICES ________________________ SiteID: 015-021-000328 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-14- 08/25/2008