HomeMy WebLinkAbout126 UNION AVENUE+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
Manager : JOHN HASHIM BusPhone: (661) 324-4773
Location: 126 UNION AVE Map : 103 CommHaz : High
City : BAKERSFIELD Grid: 32C FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:7538
EPA Numb: DunnBrad:
+______________________________________________________________________________+
+---------------------------------------+---_-----------------------------_____+
---------------------------------- ---------------------------------
Emergency Contact / Title Emergency Contact / Title
JOHN HASHIM / MANAGER /
Business Phone: (661) 324-4773x Business Phone: ( ) - x
24-Hour Phone :(661) 324-4773x 24-Hour Phone :( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: Fire Press ImmHlth DelHlth ~
+------------------------------------- -----------------------------------------+
Contact : JOHN HASHIM ~ Phone: (661) 324-4773x
MailAddr: 126 UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
+------------------------------------- -----------------------------------------+
Owner LEONA HASHIM Phone: (661) 324-7696x
Address : 1819 ALTA VISTA DR State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------- -----------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
+______________________________________________________________________________+
-1- 08/25/2008
+ HASHIMS AUTO _______________________________________= SiteID: 015-021-001568 +
+= Hazmat Inventory _________________________________________ By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
I ACETYLENE E F P IH G 110.00 FT3 Hi I
OXYGEN F IH DH G 282.00 FT3 Low
+___________________________________________________________________________
----- -------------+
-2- 08/25/2008
+ HASHIMS AUTO _______________________________________= SiteID: 015-021-001568 +
+= Inventory Item 0005 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
SHOP 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 Con55100rFT3 I Daily M10100m FT3 I Daily A55r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesl ~S# ~4862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPP HalHrds I%F~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
+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers at Site +
+_= COAM~ION NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SHOP I 7782_CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co141100rFT3 I Daily 282100m FT3 I Daily 141r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INosl CAS#7782447I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPA HaIHrDH I~F~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 ----------------------------------------------------------------+
-*______________________________________________________________________________+
-4- 08/25/2008
+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification _______________________________________________________+
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 09/26/2007 +
FRONT REAR AND SIDE DOORS ARE ALWAYS OPEN DURING BUSINESS HOURS 8 A.M. TO 5
P.M.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ________________________________________________+
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 03/27/2007 +
MEMORIAL HOSPITAL, 420 34TH ST, 327-4647
+______________________________________________________________________________+
-5- 08/25/2008
+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ________________________________________________________+
+______________________________________________________________________________+
+__= Release Containment ______________________________________________________+
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 03/27/2007 +
ADVANCED CLEAN-UP TECHNOLOGY, 4548 WESLEY LN, 392-7765
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-6- 08/25/2008
+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 09/26/2007 +
GAS/PROPANE - FRONT OF 126 TEXAS SIDE OF 130 FURNITURE CTR
ELECTRICAL - REAR OF 126 TEXAS SIDE OF 130 FURNITURE CTR
WATER - R FRONT CRNR 126 TEXAS SIDE OF 130 FURNITURE CTR
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 12/28/2006 +
PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS
NEAREST FIRE HYDRANT - BEH SHOP TEXAS & LIGGETT ST.
+______________________________________________________________________________+
+____= Building Occupancy Level _______________________________________________+
+______________________________________________________________________________+
-7- ' 08/25/2008
+ HASHIMS AUTO _______________________________________= SiteID: 015-021-001568
+_________________________________________________________________ Fast Format
+= Training _____________________________________________________ Overall Site
+_= Employee Training _____________________________________________ 09/26/2007
BRIEF SUMMARY OF TRAINING PROGRAM: HASHIMS AUTOMOTIVE HAS BEEN IN BUSINESS
41 YEARS AND I HAVE TRAINED MANY MACHANICS DURING THIS TIME. AT THE
PRESENT, I HAVE A MACHANIC, JOHN, WHO HAVE BEEN WITH ME OVER 17 YEARS. I
HAVE TAUGHT HIM SAFETY FROM DAY ONE AND HAVE HAD A GOOD TRACK RECORD. ONCE
A MONTH WE HAVE A WALKTHROUGH AND CHECK WELDING EQUIPMENT, FLOOR JACKS, CAR
STANDS, ELECTRICAL PLUGS AND CORDS AND SAFETY PREVENTION EQUIPMENT.
+
+
+
+
t______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008
+ HASHIMS AUTO ________________________________________ SiteID: 015-021-001568 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics __________________________________________________ +
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST'~ B A F R S ~,_ , ~ 900 n-uxtun Ave.,~Suite 210
~~ __-_~ ._. _ - -__ ~ - _ ::--_ _ . __ -___~_.__.- ~T_;- ~_ -__ ~._:=-i; o aRrM~ Bakersfield, CA 93301
SECTION 1: Qusiness ~lan and Inventory ~r~gram ~ Tel.: (661) 326-3979
~ ~ F~: (661) 872-2171
FACILITY NAME ~ ~~ IN~~ T~~ A~ INSPECTI
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ADDRESS
~D 2 S. G~~-:~~, PHO E NO. /
23•.z,~/ NO OF EMPLOYEES
FACILITY CONTACT
,
' BUSINESS ID NUMBER
15-021-
.~
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Section 1: Business Plan and Inventory Program
O ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ~ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation ~ COMMENTS
,~I ^ APPROPRIATE PERMIT ON HAND
I~Y ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE
lyl ^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
~
l ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
~ O PROPER SEGREGATION OF MATERIAL
I~T
/~ ^ VERIFICATION OF MSDS AVAILABILITY
I~
~~ ^ VERIFICATION OF HAZ MAT TRAINING
~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~1 ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
~ ^ HOUSEKEEPING
~ ^ FIRE PROTECTION '
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS ASTE N ITE? ~YES ^ NO
EXPLAIN: f~~~`'~~ C v I ~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ) 326-3979
~ ,~,, ~ ~'~. ~ C~ ,
Insp or (Please Print) Fire Prevention / 1" In / Shift of Site/Station # ness i e es ' I se rint)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
UNIFIED PROGRAM INSPECTION CHECKLIST~ ~ ~'evention Services
B A F R S ~, D 900 Truxtun Ave., Suite 210
_______._ _ ---____.~ _.___ .. _.~._. _.~_ _ ______ ___~.__~~~__ ~~ F~RE ~ Bakersfield, CA 93301
- --._ ._ _-- .__ _. ~ ~ ~~ i
SECTION 1: Business Plan and inventory Program ;; ~ aRrM ~ Tel.: (661) 326-3979
~1 ~ F~: (661) 872-2171
FACILITY NAME / a
~ INSPECTION DATE INSPECTION TIME
/`
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ADDRESS ~~~ i/ ~
~ P~~~ ~y y~
/ ! NO OF E~~OYEES
FACILITY CONTAC
~ ~ ~, ~
a-S ~ ~.v. BUSINESS ID NUMBER
15-021-
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY O COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
~ O APPROPRIATE PERMIT ON HAND ~
~ ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE
~ ^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
Qf0 O VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
~ 0 PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING
~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I~ ^ EMERGENCY PROCEDURES ADEQUATE
f~ ^ CONTAINERS PROPERLY LABELED
^ ~ HOUSEKEEPING '~~w `~~ yv~YS'f Od~ ~wa Ci~~p,,,t
~ ^ FIRE PROTECTION
I~
/' ^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
. ~',~- ~ ~ 6 . G ,
Inspect r(Please Print) Fire Prevention / 1" In / Shift of Site/Station # usiness Site / Resp ible Party (Please Print)
White - Prevention Services Yellow - Station Copy ~ Pink - Business Copy FD 2155 (Rev. 09/05