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Home My WebLink AboutBUSINESS PLAN HM714401,.. ,~ Account ,Num .b~.,,r ACCOUNTS RECEIVABLE ADJUSTME~ January 24~ 1995 Date New Account New Address Esther Dumn Close Account From Service Chan;le Other Adjustments X Fire Department - Hazardous Materials Division Department/Division CAREYS REEFER REPAIR Billing Name 300 BRUNDAGE LN Billing Address Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 158.00 0 < 158.00> 1-11-95 Remarks: WE RECEIVED A LE'I'I'ER FROM LINDA CAREY STATING THAT THE BUSINESS CLOSED IN MAY OF 1994. WE WILL WRITE OFF THIS ACCOUNT. ?~;::~..,,:~,~?~ .- . ...~ .:.. ..... ,.,~,¥.',..,~. CITY OF BAKERSFIELD '. Utilities General Account Maintenance 01/24/95 PUTLSS01 Acct Nbr: 714401 Bill Stat: CO Transfer-from: Page 1 of 6 Cyc Stat: CL Acct Cyc Stat: CL Transfer-to: Due: 158.00 1. Customer Name: CAREY'S TRANSPORT REFRIGERATION 2. Social Sec Nbr: 3. Telephone: 805-326-1851 4. Service Address: 300 BRUNDAGE LN 5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93304 8. Parcel ID: 9. Bill Cycle: 5 20. Water Svc Class: 10. Route Nbr: 1 11. Comments : BUSINESS CLOSED MAY OF 1994 PER LINDA CAREY 12. Prev 'Acct: HM00192 23. Misc Services: 23.1 F99 NOT IN BUSINESS 13. Service Date: 11/19/91 23.2 14. Fund no:' 23.3 15. Billto Ad1:5816 WALTON DR 23.4 16. Billto Ad2: 24. Closing Date: 01/24/95 17. Bill-to City: BAKERSFIELD 18. State: CA 19. Zip: 93304-7175 Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change Page: 2 Account Billing/Collection Activity Inquiry SUTL108 Acct : 714401 Cyc St: CL Bill St: CO Cyc: 5 Rt: 1 Seq: SSN : Parcel: .... Svc Cls :e Name : CAREY'S TRANSPORT REFRIGERATION Svc Add: 300 BRUNDAGE LN Readings Cons Prev Rdg Curr Rdg Cons 01/01/95 Amount Misc Transactions Fwd: $158.00 Type Desc Date Amount Receipt # Water: $0.00 99 PAYMENT 01/19/94 -158.00 82072 Sewer: $0.00 F09 HAZ MAT HANDLING FEE 01/01/95 158.00 Misc: $158.00 Cred: $-158.00 Total: $158.00 ' '/C' for Credit and Enter '/' For More Billing History, D' For Detail Postings, Deposit History or 'XX' To Exit ~,, CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303-2057 " ~ : .ADDRESS CORREC'TION REQUESTED DO NOT FORWARD ,' . ~ .' . .'. '." ,. ~'..? -.:~.:'?~,.: .,... . ' . 2 - . ~ ".~.~ :,~ ~:~:: .:~,::.t,~,t ' . ' CA~EY'S TRANSPORT REFRIGERATIH~714~01. -- :~ . .. :~ =/i;h',;';li,,',lMh,,,I,,h,lh.,,i,iih;,.I,l,,i,,,ll 03/18/92 CAREY'S REEFER REPAIR 215-0'00-000192 Page 1 Overall Site with 1 Fac. Unit General Information Location: 300 BRUNDAGE LN Map: 102 Hazard: Unrated Community: BAKERSFIELD STATION 03 Grid: 35C F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24'Hour Phone- LINDA CAREY WIFE (805) 326-1851 x ~(805) 326-185'1 TOM CAREY FATHER (805) 334-1913 .x (805) 334--1913 Administrative Data Mail Addrs: 300 BRUNDAGE LN D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215r003 BAKERSFIELD STATION 03 SIC Code: Owner: BERNARD "TIM" CAREY Phone: (805) 397-9628 Address:5808 WALTON DR State: CA City: BAKERSFIELD Zip: 93304- Summary NO VALID PLAN.0N FILE AS OF 3/18/92. ONE WAS REQUESTED 12/17/91, SO FAR NO RESPONSE. RECEIVED I, 'T~'~ ~--L'~'e-~ DO hereby cert~ that~ have reviewed ....... ~ i~.,~ at~a~ed h~ardous mate~a~ ~n~e- any ~rrection~ cons~tute a ~mple~e mhd ~rr~ man- ~emenl plan for my fadli~.. ....... 03/18/92 CAREY'S REEFER REPAIR 215-000-000192 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 FREON 12 - DICHLORODIFLUOROMETHANE Gas 318 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 75-71-8 Trade Secret:. No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 318 I 100.00 . ~900.00 Storag~ ~ Press T TempI Location ~ METAL CONTAINR-NONDRUMIAbove. [AmbientlNORTHEAST CORNER OF BUILDING -- COnc Components MCP List 100.0% IDichlorodifluoromethane Minimal I · 02-,002 FREON 502 Gas 346 Low · Fire, Pressure, Reactive, Immed Hlth FT3 CAS #: 76-15-3 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 Daily Aver'age ~FT3 ---- Annual Amount FT3 346 I 100.00 I 900.00 Storage Press T TempI Location FIXED PRESS. CYLINDER Ambient[AmbientlNORTHEAST CORNER OF BUILDING -- C°nc Components I MCP List 100.0% Ichlorodifluoromethane ILOw 02-003 OXYGEN Gas 330' Low · Fire, Immed Hlth, Delay Hlth FT3 CAS #: 7782-44-7 Trade'Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 330 I 330.00I ' 1,500.00 Storage press T Temp~ Location PORT. PRESS. CYLINDER Above [AmbientlCENTER OF SHOP -- Conc Components MCP ~List 100.0% IOxygen, Compressed ILow 03/18/92 CAREY'S REEFER REPAIR 2152000-000192 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ACETYLENE Gas 330 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 330 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove 1AmDiontlCENTER OF SHOP --Conc Components MCP List 100.0% IAcetylene IHigh 02-005 MOTOR OIL Liquid 55 Minimal · Fire, Delay Hlth GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure ° Days: 365 Use: OI~ TREATMENT Daily Max GAL Daily Average GAL Annual Amount GAL 55 I 55.00 I 300.00 Storage Press T TempI Location PLASTIC CONTAINER Ambient~AmbientlSOUTHWEST STORAGE AREA -- Conc CompOnents MCP List 100.0% IMOtor Oil, Petroleum Based IMinimal I 03/18/92 CAREY'S REEFER REPAIR 215-000-000192 Page 4 00 - Overall Site~ <D> Notif./Evacuation/Medical <1> Agency NOtification 1) Fire Department - Station No. 6~127 BrundaGe Ln. (805)631-1845 2)~ Police Department - 911 <2> Employee Notif./Evacuation Employ_ees would ,be notified· verbally. <3> Public Notif./Evacuation Public, If any are in the buildinG will, also be snotified verbally. <4> Emgrgency Medical Plan In a medical emergency - 911 will be~_~catled and / or paramedics across th~ustreet from station.tNo. '6. 03/18./92 CAREY'S REEFER REPAIR 215-000-000192 Page~ 5 00 - Overall Site ~ <E> Mitigation/Prevent/Abatemt <1> Release Prevention Ail Listed gases are in cylinders. These cylinders are checked monthl~v.~for any damage. Oil is stored,in One gallon p~lastic containers.j ~hese containers have screw~on.plastic lids ~o seal them. <2> Release Containment Ail gas2_cylinders are in holders and chained to 'them. Oil containers are stored on .the floor in a special area-_with a · containing wall around it. <3> Clean Up In the event a gas cylinder should break it would be replaced with a new one. In the event that a oil':cOntainer is broken or. spilled an outside ~clean up company(specializing in such clean up) would be notified. <4> Other Resource Activation 03/18/92 CAREY' S ' REEFER REPAIR 215-000-000192 Page 6 ~00 - Overall Site ~ <F> site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - ????????????? ' Water - The' water shut off valve is B) ELECTRICAL - ????????????? located in the front left side 'C) WATER - ?????????? of the building (south side) D) SPECIAL - ?????????? on the outs~deJ E) LOCK BOX - ??????????? Gas~ The shut2off val~e~_is located in a small shed on the SW side of the,building. .Electric- The electric shut off switch is located inLa small shed on the SW Side of the B~ilding. / <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION'-?????????3??? Carey's Reefer Repair has fiye fire extinguishers. Four in the shop area and one in~2the Office. FIRE HYDRANT - ?????????????? The~fire hydrant located on the east side of the building across the street. , ~ <4> Building Occupancy Level 03/18/92 CAREY'S REEFER REPAIR 215-000-000192 Page 7 · 00 - Overall Site- <G> Training <1> Page 1 WE HAVE ?? 'EMPLOYEES AT THIS FACILITY We have 3 employees. DO.YOU HAVE MATERIAL SAFETY DATA SHEETS ON-FILE? Yes BRIEF SUMMARY OF TRAINING: All equipment and ihazarous materials are explained in full before they are used. Safe~y meetings ar.e2held~:once a month or when new piec~of a equipment is brought in. This 'is also happens with hazarous m~terial. .<2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use '~:" Page__ o f'~ ~ Farm and·Agricultu're ~--] Standard Business '~ . ~ NON - TRADE SECRET ~'~ BUSINESS NAME: "*' OWNER NAME: i: NAME OF THIS'<~FACILITY: LOCATION: ADDRESS: .,. i'. STANDARD IND. CLASS CODE: CITY, ZIP: CITY, < ZIP: ~ DUN AND BRADSTREET NUMBER/FEDERAL ID PHONE %: PHONE ~#~:.i . ~ __- - ..'~*' REFER TO INSTRUCTIONS FOR PROPER CODES' i 2 3 4 5 6 7 . 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure . . # Days Cont Cont Cont Use Location Where % by Names of Mixture/Cc~ponent's Code ' Code Amt Amt Amt' Units on Site Type Press Temp Code Stored in Facility ' wt ' 'See Instructions Physical and Health Hazard C~A.S. 'Number Component # i Name & C.A.S. Number -~ (Check all that apply) / , Component # 2 Name & C.A.S. N~mber of Pr~u~e ,-,.. Health Health ~,,.. .¥ Component # 3 Name & C.A.8. Number Physical and Realth Hazard C.A.S. Number . Component # 1'Name ;& C.A.8. NUmber · , (Cheek all that apply) . i , 'i : ' of Pressure :L Health Health Component # 3 Name '&' C.A:.S. Number Physical:and Health[lazard C.A.S. Number ii"::- Component # 1 Name & C.A.S. Number ., (Ch.ck, ~'ali' that mp~iy). . '::'i Compon.nt # 2 NameZ. C.A.8. Number '~']' Fi~ .azard [~ Sudden P~l.a-. ~ a~activity [] Immediate ~ .Delayed · 'of~ Pressure Health - Health Component # 3 Name & C.A.S. Number Physical] and Health Hazard C.A.S. Number Component # I Name & C.A.S. Number .: (Check all that appl~) ! · Component # 2 Name & C.A.S. Number' ~ Fire ~azard' ~ ~udden Release ~ Reactivity ~ :=ediate ~ Delayed . · . of ~ressu~e Heaith ,-tIeal~h ' Component # 3 Name & C:A..~. Number" . EMERGENCY CONTACTS #1 #2 Name Title 24 Hr. Phone Name '~ Title . 24 Hr Phone Cer~ification (I~EAD AND SIGN AFTER COMPLETING ALL SECTIONS) .: .. . I certz[flt under peanl~y of law that I hayer personally e~amined and am familiar with the information .submitted in this and all attached documante and that based on my inquiry of those individuals reSponsible for obtain/ng the information. I believe that the submitted information is true, accurate, and complete. NAME.AND (~FICIAL TITLE OF OWNER/OPEI~ATOR OR OWNER/OPERATOR'8 AU'i'au~IZED ~P~ugs~'~lvE SI~NATUBE ., .?.. DATE BIgl~D Bakersfield Fire Dept. . Hazardous Materials Division · 2130 "G" Street HAZARDOUS MATERIALS MANA . INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. ._ _TY?E/PRINT ANSWERS IN-ENGLISH. _ . .- -- , .... 3. ,Answer ~he qu~s:~i'ons beiow for the business as a whole. 4. Be brief and concise as possible. SECTION 1" BUSINESS iDENTIFICATION DATA BUSINESS NAME: C.3rey' s Resffer Repair LOCATION: 3oo Brunda~e Lane Bmlcersfield-, Cc. 93304 MAILING ADDRESS: ~me CITY', ~ke'r-~Fi~.~.d. STATE' c-~. ZIP: °'~a~ PHONE' [8o~) 3~-'~'~' DUN & BRADSTREET NUMBER' SIC CODE: - PRIMARY ACTIVITY: Tr~neport ReFri~sr~tion Repei? ' MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT. TITLE BUS. PHONE 24 HR. PHONE 1. Lind~ Carey spouse 3~6-1851 ss~e -1, FD1590 .. Bakersfield Fire DePt. Hazardous Ma~;erials Division HAZARDO'US MATERIALS MANAGEMENT.PLAN 6~M B°E"I~ '6~'~1~ M P LOYEES: -o- MATERIAL SAFETY DATA SHEETS ON FILE: · BRIEF SUMMARY OF 1:RAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 'OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE. DO HANDLE HAZARDOUS MAT. ERIALS, BUT THE, QUANTITIES AT NO '~I-Q1-EE~CE'ED~TFt~'~I-~'F~UM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ~. Timothy C-~r'ey CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. l UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.9.5 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY; t,/~JIGNATURE . (,/' . TITLE DATE 2. - FD1590 I C]:'I'Y of BAKERSFIELD. ii. Farm andAgticul:ture Fl' Standard Business lSilHAZAR'DOUS HATERTALS TNVEN~ORY - NON--TRADE SECRETS 'i!' ;~ ' ' " ,~ WN NAME: ~ ' . g ff ND CLASS CODEF _ '~ ~ I0 II toc~tjon.Whe[e. Cont I 2 :',~x 4 5 6' I 8 C~nt Us Heasure~ ys Co~e Stored In tacl/Ity~ lrans lYfle Avfrmge~i. Annual . 'o~ ~lte Cunt ,' See Instru:t,on, __ Code (uae ]Amt Amt ~ Est Units ', Type Press 'lemp Physical and mhh Hazard C'.A,S. Number i Component II Name , C.A.5. Number ~ ~ ~~:r~}~ F~eo n ':. (Check all thattapply) :~ component ~2 Name ~ C.A.S. Number ,, U Fire Hazard5 U neactivit' ~ Delayed ~ Sudden Release U im~?~ ~ ,. * ~ Health of Pressure Component 13 Name I C,A,5, Number }~ Component mi Name & C.A.S. Number' i, /' Physic~ .. ~ iChecklaI~dk~~ C,A,S. NuBber ,. ~ Fire Hazard ~ Re4ct Y ~ Delayed' ~Sudden Release ~ Immediate ~ : ~ Health ;of Pressure Health Component 13. N4me I C.'A.S. Number.' ~ .. ,hy~ical 8ndHe ~. C.A.S, Humber . Health '. of Pressure Health Component 13 Name I C.A.S. Number J ' ; Component 12 Name I C.A.S. Numbe} ' ' ~ Number D F~re Hazmr;d B Remctivit~ B 0elayed B 5~udden Release Dlm ~ Health of Pressure Component 13 Name I C.A.5 , ~ and i n al;1 r corn 7 tit, g .11' s c~ions) " ertifj atio { Re ersona ~ examln ~Q ~m familial it ~e tnlo(matton ,u}mittfd in i bellev~ t ~ase~ on.my ~nqu~ry q ._ ~n~°rmau°n' submltteo ~n~or~mmuon IS true, accurmte, eno complete. December 17, 1991 Mr. Tim Carey Carey's Reefer Repair 300 Brundage Lane Bakersfield, Ca. 93304 Dear Tim: Enclosed you will find the forms we spoke of on the phone. Please have them filled out and returned to our office by January.~ 2, 1992. If you have any questions or if we can be of any further assistance, please don't hesitate to call 326-3979 or come into 2130 G Street, Bakersfield, Ca. 93301. Thank You, Valerie Pendergrass Hazardous Materials Division Enclosures ~~~ i/" Hazardous MaterialS DiviSion -"HAZARDOUS MATERIALSMANAGEMENT INSTRUCTIONS: 1. TO avoicl further'action, return this fo~m within 30 cloys of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. -- 3. Answer the questions Delow for the business as a wi~ole. 4. Be Drier ancl concise as pOssible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: C~r~7' -~ ~F~r LOCATION: zoo Srund~:~ L~ne. MAILING ADDRESS: CITY: B~k~r~Fi~ld STATE: c~ ZIP' msan4 PHONE: DUN 8~ BRADSTREET NUMBER: ss~-~s-~OTO SIC CODE: PRIMARY ACTIVIn: Tr~n~por~ ReFriD~r~tian OWNER: ~n~d Tim C¢~Pey - MAILING ADORESS: SaD8 w~on o~.. ~k~Fie~d, C~. SECTION 2: EMERGENCY NOTIFlCA~ON: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1Tim. ar Lind~ Core7 owner 32S-18Z1 -- =~ ~'13 ~4-4913 2. Trim ~r~=v .... / / Bakersfield Fire Dept. Hazardous Materials Division ..HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: o MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM. At this time I havm no. employee_~ but ! hope to hmve one in 199E. .I will stent a safety program which will include a saFtay hazardous plan Fan the yeans to come. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS 'IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE '"CALIFORNIA HEALTH SAFETY CODE" FOR THE FOLLOWING REASONS: .. WE'DO NOT HANDLE HAZARDOUS MATERIALS. ..... xx WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. I Foal that I am exempt but i OTHER (SPECIFY REASON) will OD.reply with the reporting nequinements. SECTION 5: CERTIFICATION: CERTIFY THAT THE ABOVE INFO R- io Bernard ~'imothy C~¥ MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH.AND SAFETY CODE" ON HAZARDOUS MATERIALS .(~IV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT iNAC~TI~~NSTITUTES PERJURY. '" ~ ~ ' / ~-7.-s~, i'~,~ ~ / TITLE' DATE SIG TURE (-"/' ' . Hazardous Materials Division~ · ,' HAZARDOUS MATERIALS MANAGEMENT PLAN' " SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: ", ............... A.; RELEASE PREVENTION STEPS: z use oxyCen and 'ace-~=~i~-~'=:~'~-~~ ....... ':'-==~'=?- Permit #192, also R-12 and R-502 Freon, all. stored ae~¢~fft- ly. I use a vapor recovery system Fom the R-12 smd R-S02. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: I us~ s daily check to make surs everythin~ is in order and ~ood wor!<in~ condition. C. CLEAN-UP PROCEDURES: We use the Saftey Kleen compmny to dispose of any materials which need to be dis~osed oF. SECTION 8: UTILIT~ SHUT-OFFS (LOCATION'OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: s ~ corner o~= buil"d'inq' ELECTRICAL: s W cornsr oF buildin~ WATER' s E corner of buildinB SPECIAL: Loc!< Uox-S W corner oF buildinp, rema!~s unlocked LOCK BOX: 'YES/NO IF YES, LOCATION: ~bove SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILIW: A. PRIVATE FIRE PROTECTION: Fire extin~oushiers throughout building, ~Wa~er hoses mhd Faucets'on mi1 sidem oF buildin~o.. B. WATER AVAILABILITY(FIREHYDRANT):. O~re. ctly across the street From Front door, Fire depamtment #S across, street. 4. FDIS, - '~ '~' Bakersfield Fire' Dept] ~ HazardOus Materials Division - -' "" HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ssFt~y Kl~n Camp~n~ Fir~ D~p~rtmont B. EMPLOYEE NOTIFICATION AND EVACUATION: Usa ~11 ~xit~. ~v~il~bl~r' C. PUBLIC EVACUATION: ' C~ll Fir-~ O~p~r'tm~nt D. EMERGENCY MEDICAL PLAN: Csll Fire O~partmsnt For p~rsm~dic notiFicsti.on $1'TE..DIAGRAM F'"1 FACILITY DIAGRAM· ITE ·DIAGRAM~ '·FACILITY DIAGRAM Ex~mp~e ITE ~DI'AGRAM ~ FACILITY DIAGRAM AL-LSY ..WA'/ 1-: O~ OPE~ .~T~LD I ~ & ~ ,~'~'~.~"~'**'~.'~,~ ' '/~"~,'~ ' HAZARDOUS MATERIALS DIVISION ~'"' - ! ~%~,~ ~/'" .,.. ~ '.~ '....... 'Date'cOmP ~ .... ' BuSineSs:Name: .,'~2 y_.¢':. ,,~"~,,~;~',:.~-- ,~'~, ~,,~ - _,: ' .,.~ : RECEIVED " ":' ' '"'"- ' ' ,'- - . - . · J~,N.. 2' .q 1991.' Location:." ~..~.~.;z~¢".. ~.~..,.¢,~,~(~ ~.'.,U' . '::' ' ' Business Iden. tification No. '215-000 {Top of Business plan). HA~,, ~T. OIV.' """ Station NO.' ~ ' Shi~t ~J' Insp°Ctor' · ~- ~>~d-~ ,. ~~;~~rification of Inventory Mateiials .'. ~ . · 'X" ~ . .' Verification of Location ~' I~] . ' ' '.' ' ',ProPer Segregation of Material ~' '~ ., " : ,Comments:,/~z.,.~-./-./-~. ,,...,~.,.,~y-- --/.:.,,, ,,~,z',,, .,~ ,.,.,~,' ,,~Z~--- ~'- ~. 'verification of MSDS Availablity ' ~. Number et Employees ~,z,,-- ,~ : . verification of Haz Mat Traini_ng~ - :.' Comments: : " ' Verification of Abatement Supplies & Procedures. ' ~ comments! · ':.. Emergency Procedures Posted ~' ]~ ' './ Containers ProPerly Labeled~ I~] Comments: Verification of Facility' Diagram r~ r~ Special Hazards Associated with this Facility: _ '" Violations: ~--/,~..r ..-J"z..,.¢,,,,,'~,¢-'..~.,~z'.~ /_.,~_.? . "~ · · '. , .,: All items Q.K. ~ ~/' · .' Correction:Needed .. Businessl~wner/rvfa,nage~ . .. . :' ...... . . ~" .. .. ~' " FD 1652 (Rev. i,90) ' ~ ~' ' ,: '-' " White-Uaz Mat Div. YellowiStaiion Copy ' Pink-Business Copy //