HomeMy WebLinkAboutES-BUSINESS PLAN 11/26/2003
Per
it
to
Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SID.E
Issued by:
Bakersfield Fire Department
, OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
This permit is issued for the following:
It! Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
Permit 10 #:: 015-000-001198
PERFECTION STAINLESS
LOCATION: 901 SUMNER ST
Issue Date,
)
June 30, 2003
PerDl.Ît
to
Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
zardous Materials Plan
round Storage of Hazardous Materials
agement Program
Waste
901
SUMNER
PERMIT ID# 015-D21.o01198
PERFECTION STAINLESS FA
LOCATION
Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805)326-0576
Approved by:
.
Expiration Date:
, .June 30, 2000
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CITY OF BAKERSFIEI_D FIRE DEPARTMENT
OFFICE OF ENVIRONMENT AL SERVICES
UNIFIED PROGRAM INSPECTION CHECKI..IST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAMEJ12æ.. F~c- T/ON ç IA I ',J Ie s.sfNSPECTION DATE 1/ / 2. & / () 3
ADDRESS 9é~ I StflM~,fl.-.s {' , PHONE NO. 3:1 '7- .<;'I~~
FACILITY CONTACTC-H'/2.)'S CA(?f'It¡l(;;.ÑGI\!' BUSINESSID NO. 15-210- ðO l ( c:¡ X
INSPECTION TIME , Ð yY'\tW NUMBER OF EMPLOYEES .:s-
Section 1:
~utine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
Appropriate pennit on hand V
Business plan contact infonnation accurate ·V D£r. Á
Visible address V ~U1J3
Correct occupancy V'"
Verification of inventory materials v l~..J ~ r; JîA. j
Verification of quantities ¡I ~ k:-' Xt;.~
v v (/
Verification of location HT6
Proper segregation of material V ~4II11ðð..5
A :;-;¡ A A L',//Y1 Of!') -q, Jrlmo/
Verification of MSDS availability V
Verification of Haz Mat training V¡.-- .....-'
,
Verification of abatement supplies and procedures , t.- Vr v:
Emergency procedures adequate V · 'it~} rt ,/}'J eJ(J 9 V
v v
Containers properly labeled )1 TE. . E5 ~ ;( ;;.:5-
'¡" ..--
Housekeeping
Fire Protection j..; -
Site Diagram Adequate & On Hand V"
7
, I
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~o
v
White - Env. Svcs.
Yellow· Station Copy
Pink - Business Copy
~
Business ite onsible Party
Inspector:~~
Questions regarding this inspection? Please call us at (661) 326-3979
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PERFECTION STAINLESS FAB
SiteID: 015-021-001198
Manager :
Locátion: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) 836-9880x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State: CA
City : BAKERSFIELD Zip : 93305
Owner CHRIS CARMIGNAN Phone: (661) 834-6422x
Address' : 4005 ONSLOW CT State: CA
City : BAKERSFIELD Zip : 93313
Period : to TotalASTs: = Gal
Preparer: TotalU8Ts: = Gal
Certif'd: RSs: No
Emergency Directives:
F Hazmat Inventory
f== Alphabetical Order
"
{
'\
~
!
,(
ACETYLENE
ARGON
KEROSENE
OXYGEN
One Unified List 9
All Materials at Site 9
SpecHaz EPA Hazards DailyMax MCP
E F P IH G Hi
F P IH L 922.00 FT3 Min
F IH DH L 55.00 GAL Low
F IH DH G Low
Hazmat Common Name...
H~~~~ú \ \'<:- F\v' \)
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-1-
01/07/2003
:. ~E~~\ECTION STAINLESS FAB.
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~iteID: 015-021-001'~-8
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Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
1..~~~
~
~~~~
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact I Title
CHRIS CARMIGNANI / PRESIDENT
Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x
Pager Phone :( ) - X
Emergency Contact
LEVI CARMIGNANI
Business Phone:
24-Hour Phone :
Pager Phone :
/
/
(661)
(661)
( )
Title
324-5466x
836-9880x
- x
Hazmat Hazards:
Fire Press
ImmHlth DelHlth
Period :
Preparer:
Certif'd:
parcelNo:
to
Phone: (661) 324-5466x
State: CA
Zip : 93305
Phone: (661) 834-6422x
State: CA
Zip : 93313
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact :
MailAddr: 901 SUMNER ST
City : BAKERSFIELD
Owner
Address
City
CHRIS CARMIGNAN
: 4005 ONSLOW CT
: BAKERSFIELD
Emergency Directives:
i, .od.~\t~_.\ Dy'L9__ Do hereby certify that i have
;~ )·dnt n8J¡'ì~)
rC\j¡¡:¡,w:.h', 'np attached hazardous :-nateriais manage-
'-' 'on' ...., '" . - p..b( '1 LQ\\ 0 '"
ment plan forJ1,.L~:d~Qú_~~nd tha.t it along with
(Name of BU5ineS$)
any corrections constitute a complete and correct man-
agement plan for my facility.
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Doto
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09/16/2003
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CITY OF BAKERSFIEI..D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAME Çt~ ~ c.J iorJ S\'t:\ ì~ k.ss INSPECTION DATE 10 !f i 1d'2-
ADDRESS C:¡o I oS i.}'(n,.JQrL Sl . PHONE NO. ~~ I ];;>..'-J - E>'fc /P
FACILITY CONTACTChl2.l ç CAn.MfG-II/PNI BUSINESS ID NO. 15-210- 00 \ 199
INSPECTION TIME { S- "^ ð tJ NUMBER OF EMPLOYEES (p
Section 1:
~utine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate penn it on hand Iv
Business plan contact infonnation accurate I ¡I"
Visible address v
Correct occupancy v'
Veri fication of inventory materials V
V SSG-AI ' ,
Verification of quantities L{PA:=;' '\ <E. MdCod2.. 0 I'l
Verification of location V
Proper segregation of material v
Verification of MSDS availability 1/
Verification of Haz Mat training ¡/
Verification of abatement supplies and procedures ,/
Emergency procedures adequate V -
Containers properly labeled V'
Housekeeping ¡/
Fire Protection .,/
Site Diagram Adequate & On Hand V
C=Compliance
V = Violation,
White - Env, Svcs.
Yellow - Station Copy
Pink· Business Copy
rfk/~ ~
-
Business Site Responsible Party' I
Inspector:} ~~~
Æw0~e . ~¿
Any ha~ar_dous waste on site?: 01 Yes 0 No
Explain: ~AÁ\:'L M.4"TOÞ-. <!) T L
Questions regarding this inspection? Please call us at (661) 326-3979
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+ PERFECTION STAINLESS FAB
----------------------------
----------------------------
SiteID: 015-021-001198 +
Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) 836-9880x
Pager Phone : () x Pager Phone : () X
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------------------------------------------------+
Owner CHRIS CARMIGNAN Phone: (661) 834-6422x
Address : 4005 ONSLOW CT State: CA
City : BAKERSFIELD Zip : 93313
+------------------------------------------------------------------------------+
Period to TotalASTs: Gal
Preparer: TotalUSTs: Gal
Certif'd: RSs: No
+------------------------------------------------------------------------------+
Emergency Directives:
+==============================c===============================================+
+= Hazmat Inventory ========================================= One Unified List +
+=='Alphabetical Order ================================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... I SpecHazIEPA Hazards Frm I DailyMax IUnitMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
ACETYLENE E F P IH G Hi
ARGON F P IH L 922.00 FT3 Min
KEROSENE F IH DH L 55.00 GAL Low
OXYGEN F IH DH G Low
+==============================================================================+
-1-
03/27/2002
.-
-
ê
-(,.___-"i'
+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:
EPA Numb: DùnnBrad:
+=====================================================~========================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) ~ - c¡ð81>x
Pager Phone : () x Pager Phone : () X
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+-i----------------------------------------------------------------------------+
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State: CA
City : BAKERSFIELD Zip : 93305
+------------------------------------------------------------------------------+
Owner CHRIS CARMIGNAN Phone: (661) 834-6422x
Address: 4005 ONSLOW CT State: CA
City : BAKERSFIELD Zip : 93313
+--¡-~-------------------------------------------------------------------------+
Perlod : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif I d: RSs: No
+------------------------------------------------------------------------------+
Emergency Directives:
+==='===========================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== Alphabetical Order ================================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... ISpecHazEPA Hazards Frm I DailyMax IUnitIMCP
+--------------------------------+-------+-----------+-----+----------+----+---+
ACETYLENE E F P IH G Hi
ARGON F P IH L 922.00 FT3 Min
KEROSENE F IH DH L 55.00 GAL Low
OXYGEN F IH DH G Low
I, CtJ ¡/ f'c....., '0r reS Do hereby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for krledlJ.') riù:(Iä;/Ó:.Sand that it along with
, (Name of sinoss)
any corrections constitute a complete and correct man-
agement plan for my facility.
+==============================================================================+
.æddiuq/~
Signa r9
~/{!dY.
02/12/2002
. I
.'
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+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
+= Inventory Item 0004 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
ACETYLENE I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
CAS# I
74-86-2
+============================~================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt . I RS I CAS# I
100.00 Acetylene Yes 74862
+=======+==================================================+===+===============+
+=======+===+=~====+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecretI RS I BioHaz Radioactive/Amo~nt I EPA Hazards NFPA I USDOT# I M~P I
No No No No/ Cur1es F P IH / / / H1
+=======+===+======+====================+=============+=========+========+=====+
+= Inventory Item 0002 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
ARGON I Days On Site I
365
+----------------+
I CAS# I
7440-37-1
Location within this Facility Unit
CENTER S WALL
Map:
Grid:
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+ I
I Largest Container I Daily Maximum I Daily Average I·
461.00 FT3 922.00 FT3 461.00 FT3
:::::::::::::::::::::::=~~~;;~~;=;~;;~~;~;;=::::::::::::::::::::::::::::::::::: I
I %Wt. I I RSI CAS # I
100.00 Argon No 7440371
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecretI RS I BioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# MCP I
No No No No/ Curies F P IH / / / Min
+=======+===+======+====================+=============+=========+========+=====+
-2-
02/12/2002
e
e
+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
+= Inventory Item 0001 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
KEROSENE I Days On Site I
365
Gr~d: .+----------------+
CAS # I
70892103
+======================~======================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=========+==========+===============+===============+=========================+
+==========================+ 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 %Wt . I IRS I CAS# I
100.00 Kerosene No 70892103
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecret RSIBioHaz Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curles F IH DH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
Location within this Facility Unit
OUTSIDE BEHIND SHOP
Map:
+= Inventory Item
+== COMMON NAME /
OXYGEN
0003 =============== Facility Unit: Fixed Containers on Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
+I------~~~#------+I I
7782-44-7
+=============================================================+================+ I
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ !
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I !
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum Daily Average I
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt . I IRS I CAS# I
100.00 Oxygen, Compressed No 7782447
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecretl'RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH DH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
Location within this Facility Unit
Map:
Grid:
-3-
02/12/2002
e
e
+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
+================================================================= Fast Format +
+= Notif./Evacuation/Medical ==================================== Overall Site +
+== Agency Notification =========================================== 08/07/1991 +
CALL HAZARDOUS MATERIALS DIVISION 326-3979.
+==============================================================================+
+--- Employee Notl'f /Evacuatl'on ----------------------------------- 10/12/2001 +
--- . -----------------------------------
VACATE BLDG AND CALL FIRE DEPT.
+==============================================================================+
+==== Public Notif./Evacuation ==================================== 08/07/1991 +
WITH EMPLOYEES.
+==============================================================================+
+----- Emergency Medl'cal Plan ------------------------------------- 12/09/1999 +
----- -------------------------------------
NEAREST HOSPITAL.
+==============================================================================+
-4-
02/12/2002
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+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+== Release Prevention ============================================ 12/09/1999 +
STORED PROPERLY,
WHILE IN USE, IF
KEPT OUTSIDE.
FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, NO SMOKING
UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE
+======================~====~==================================================+
+=== Release Containment ========================================== 08/07/1991 +
ARGON CHAINED TO WELDING CARTS.
+==============================================================================+
+-~-- Clean Up ---------------------------------------------------- 08/07/1991 +
---- ----------------------------------------------------
ABSORBANT MATERIAL.
+==============================================================================+
+===== Other Resource Activation ==============================================+
I I
+==============================================================================+
-5-
02/12/2002
-'
e
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+ PERFECTION STAINLESS FAB ============================ SiteID: 015-021-001198 +
+================================================================= Fast Format +
+= Site Emergency Factors ===================~=================== Overall Site +
+== Special Hazards ===========================================================+
I I
+==============================================================================+
+=== Utility Shut-Offs ============================================ 12/09/1999 +
A) GAS SE CORNER
B) ELECTRICAL SE CORNER
C) WATER '- BEHIND SHOP IN ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
+==============================================================================+
+---- Fl're Protec /Aval'l Water ----------------------------------- 12/09/1999 +
---- .. -----------------------------------
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT
IN ALLEY AT BACK OF BLDG.
+==============================================================================+
+===== Building Occupancy Level ===============================================+
I I
+==============================================================================+
-6-
02/12/2002
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SiteID: 015-021-001198
+================================================================= Fast Format
+= Training ===================================================== Overall Site
+== Employee Training ============================================= 12/09/1999
WE HAVE~EMPLOYEES AT THIS FACILITY.
.y PERFECTION STAINLESS FAB
----------------------------
----------------------------
+
+
+
+
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
GIVE A BRIEF S~Y OF Y~ TRAINING~ ?????????????????????????l .
_ "",- " .. " . . . " . . . . . " . . . . . .; . . : ""1: .' í., f'.
ei'fICtfc~_*I' tfl' fl.{lix.d '. t>~îZ1 frQ':edÛ{le.S $ .¿rr-ef~('L' OA'c!fL../lle..S I;t:Wfè
--------- - - -' ~-------------------------------------------------
+---------- ~~~-~~~----------------------------------------------------+
+=== Page 2 =====================================================~=============+
I I
+==============================================================================+
+==== Held for Future Use =====================================================+
I I
+==============================================================================+
+===== Held for Future Use ====================================================+
I I
+==============================================================================+
-7-
02/12/2002
!-.-,~
~'.~~. .
I PERFECTION STAINLESS FAB
e
SiteID: 015-021-001198
,Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 02
EPA Numb:
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
'....-/.......
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) - x'
Pager Phone : (661) 637-5405x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State: CA
City : BAKERSFIELD Zip : 93305
,
Owner CHRIS CARMIGNAN Phone: (661) 834-6422x
Address : 5401 POST State: CA
City : BAKERSFIELD Zip : 93307
" Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
i
One Unified List ,
All Materials at Site ,
f= Hazmat Inventory
p== Alphabetical Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
ARGON,
KEROSENE
F P
F
IH
IH DH
L
L
922.00 FT3 Min
55.00 GAL Low
C'J 'A 1 ~ Ii c- fž.Ti~
'-1-
07/06/2001
....'
70;'
,/
- -
- - i.~;.,..._~
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-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
cŠ
J
FACILITY NAME\(~(it..~c...\\"orJ s:'TA\N lR,c;s INSPECTION DATE 9 /1 J /Ó/
ADDRESS c::rf)( Sú(\'"\~, ~T .PHONENO. 3.:?'!-..r7"G(,
FACILITY CONTACT c..h t'¡O S. CAR.. rY1lG NAJJ \ BUSINESS ID NO. 15-210- 00 \ \ ~e
INSPECTION TIME I.r- ""'"t l' oJ NUMBER OF EMPLOYEES ¡;-
dSectioi11 :
Business Plan and Inventory Program
0" Routine
D Combined
D Joint Agency
o Multi-Agency
D Complaint
D Re-inspection
OPERA TION C V COMMENTS
Appropriate permit on hand V
Business plan contact information accurate VV
Visible address V
Correct occupancy V
Verification of inventory materials vI;
Verification of quantities ./
Verification of location ./
Proper segregation of material 1/
Verification of MSDS availability I~ I
Verification of Haz Mat training rJ'tA-
Verification of abatement supplies and procedures IV
Emergency procedures adequate .,/ ,
/'
Containers properly labeled v
Housekeeping ./
Fire Protection vi ./
Site Diagram Adequate & On Hand V
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes
~
White - Env. Svcs.
Yellow· Station Copy
Pink - Business Copy
tP~~
Business Site Responsible Party
Inspector: tA. T .
Questions regarding this inspection? Please call us at (661) 326-3979~,
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PERFECTION STAINLESS FAB
SiteID: 015-021-001198
Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
ComrnHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) - x
Pager Phone : (.~ G 1 ) 637 5105x: Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImrnHlth DelHlth
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State,: CA
City : BAKERSFIELD Zip : 93305
Owner CHRIS CARMIGNAN Phone: (661) 834-6422x
Address : 54~ £... ror:) Dn.Su:v...J c.:t State: CA
City : BA SFIELD ~1œ{':;~LO) c..t\ Zip : Q:J 3 G 7- C{ó3ß
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
Hazmat Common Name...
One Unified List ì
All Materials at Site ì
p= Hazmat Inventory
p== Alphabetical Order
EPA Hazards
DailyMax
MCP
ARGON
KEROSENE
F P IH
I, ii!Jì<A lð((.eS Do hereby certifY that I ñHvé)H
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan forj)"..c"d:"~ ~"·rle.I5and that it along with
~
any corrections constitute a complete and correct man-
agement plan for ruy facility.
L
L
922.00 FT3 Min
55.00 GAL Low
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Ignawre
t!-- ;)cyc.l
Date
-1-
09/17/2001
ì.. _ Ii
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F PERFECTION STAINLESS FAB
p= Inventory Item 0002
i= COMMON NAME / CHEMI CAL NAME
ARGON
SiteID: 015-021-001198 l
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
CENTER S WALL
Map:
Grid:
CAS #
7440-37-1
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
922.00 FT3
Daily Average
461.00 FT3
%Wt. RS CAS #
100.00 Argon No 7440371
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD ASSESSMENTS
p= Inventory Item 0001
i= COMMON NAME / CHEMI CAL NAME
KEROSENE
Facility Unit: Fixed Containers on Site l
Days On Site
365
Location within this Facility Unit
OUTSIDE BEHIND SHOP
Map:
Grid:
CAS#
70892103
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. RS CAS #
100.00 Kerosene No 70892103
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-2-
09/17/2001
1"-.. i'i
e
e
SiteID: 015-021-001198 ì
Fast Format ì
Overall Site ì
08/07/1991
F PERFECTION STAINLESS FAB
I
p= Notif./Evacuation/Medical
Agency Notification
CALL HAZARDOUS MATERIALS DIVISION 326-3979.
Employee Notif./Evacuation
12/09/1999
VACATE BUILDING AND CALL FIRE DEPT.
Public Notif./Evacuation
08/07/1991
WITH EMPLOYEES.
Emergency Medical Plan
12/09/1999
NEAREST HOSPITAL.
-3-
09/17/2001
1'- ., ... .¡,
e
e
SiteID: 015-021-001198 ì
Fast Format ì
Overall Site ì
12/09/1999
F PERFECTION STAINLESS FAB
I
p= Mitigation/Prevent/Abatemt
Release Prevention
STORED PROPERLY, FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, NO SMOKING
WHILE IN USE, IF UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE
KEPT OUTSIDE.
Release Containment
08/07/1991
ARGON CHAINED TO WELDING CARTS.
Clean Up
08/07/1991 ]
I
ABSORBANTMATERIAL.
Other Resource Activation
-4-
09/17/2001
¡" ~ ,r.
--
e
F PERFECTION STAINLESS FAB
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
SiteID: 015-021-001198 ì
Fast Format ì
Overall Site ì
I
12/09/1999
A) GAS - SE CORNER
B) ELECTRICAL - SE CORNER
C) WATER - BEHIND SHOP IN
D) SPECIAL - NONE
E) LOCK BOX - NO
ALLEY
Fire Protec./Avail. Water
12/09/1999
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - IN ALLEY AT BACK OF BLDG.
Building Occupancy Level
I
-5-
09/17/2001
1\ 't .:,.'; t..
e
e
F PERFECTION STAINLESS FAB
I
F Training
Employee Training
SiteID: 015-021-001198 ì
Fast Format ì
Overall Site ì
12/09/1999
WE HAVE 5 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
GIVE A BRIEF SUMMARY OF YOUR TRAINING: ??????????????????????????
Page 2
L
I
I
Held for Future Use
Held for Future Use
-6-
09/17/2001
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-
e
PERFECTION STAINLESS FAB
SiteID: 015-021-001198
Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(661) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Eme~gency cpnt~, / Title
CHRIS CARM I GNAN I / PRESIDENT L~\f\ CARV"\.\~rJ /
I ,-
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x "
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) - x
Pager Phone : (661) 637-5405x Pager Phone : ( ) - x
,
Hazmat Hazards: Fire Press ImmHlth D,elHlth
Contact : Phone: (661) 324-5466x
MailAddr: 901 SUMNER ST State: CA
City : BAKERSFIELD Zip : 93305
'.
Owner- CHRIS CARMIGNAN Phone: (661) 834-6422x ?~
Address : 5401 POST State: CA
City : BAKERSFIELD Zip : 93307
,. Gal
Period : to TotalASTs: =
Preparer: TotalUSTs: = Gal
Certifld: RSs: No
/~mergency Directives:
,
"
-',
One Unified List. 9
All Materials at Site ì
p= Hazmat Inventory
p==AS Designated Order
Hazmat Common Nam~...
SpecHaz EPA Hazards
DailyMax
MCP
KEROSENE
ARGON
F
F P
IH DH
IH
L
L
55.00 GAL
922.00 FT3
Low
Min
.'~ .
-1-
07/19/2000
,-
,
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.~ 6 1999
ð)Ç: ".
--
F PERFECTION STAINLESS FAB
SiteID: 215-000-001198
Manager :
Location: 901 SUMNER ST
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 29D
(805) 324-5466
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CHRIS CARMIGNANI / PRESIDENT /
Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x
24-Hour Phone : (661) 834-6422x 24-Hour Phone : (661) - x
Pager Phone : (661) 637-5405x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Owner
Address
City
''0 lo~~Y' 4\'4.-
,I;}.A.~VIÐ r ERHi!!fKD'f & CHRIS CARMIGNAN
: 5401 POST - 5904 BE Fl~£Ih
: BAKERSFIELD
Phone: ( )
State: CA
Zip : 93305
Phone: (805) 324-5466x
State: CA
Zip : 93307
-
x
Contact :
MailAddr: 901 SUMNER ST
City : BAKERSFIELD
-
-
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Period :
Preparer:
Certif'd:
to
Emergency Directives:
I, A)~ C4 c'\U..Jc Do hersby certify that I have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for~.~.ç. \'I\.Co- . and that it along with
(Namebf Business)
any corrediofis oonstituts a complete and correct man-
agement pl~n foU' my facm~.
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.
11/15/1999
F PERFECTION STAINLESS FAB
f= Hazmat Inventory
~ MCP+DailyMax Order
e
e
SiteID: 215-000-001198 ì
By Facility Unit ì
Fixed Containers on Site ì
Hazmat Common Name...
KEROSENE
ARGON
SpecHaz EPA Hazards
F
F P
-2-
IH DH
IH
L
L
DailyMax
MCP
55.00 GAL Low
922.00 FT3 Min
11/15/1999
-
-
F PERFECTION STAINLESS FAB
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
KEROSENE
SiteID: 215-000-001198 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
OUTSIDE BEHIND SHOP
Map:
Grid:
CAS #
70892103
STATE - TYPE
Liquid Pure
PRESSURE
Arribient
TEMPERATURE
Arribient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. RS CAS #
100.00 Kerosene No 70892103
,
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0002
¡:::= COMMON NAME / CHEMI CAL NAME
ARGON
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
CENTER SOUTH WALL
Map:
Grid:
CAS #
7440-37-1
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Above Arribient Arribient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
922.00 FT3
Daily Average
461.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Argon No 7440371
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-3-,
11/15/1999
e
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í PERFECTION STAINLESS FAB ëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001198
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o CALL HAZARDOUS MATERIALS DIVISION 326-3979.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o
o VACATE BUILDING
o
o
o CALL FIRE DEPARTMENT
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o WITH EMPLOYEES.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o
o NEAREST HOSPITAL
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
o
e
e
-4-
11/15/1999
e
e
í PERFECTION STAINLESS FAB ëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001198
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o STORED PROPERLY, FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, NO SMOKING 0
o WHILE IN USE, IF UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE 0
o KEPT OUTSIDE 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o ARGON CHAINED TO WELDING CARTS.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/07/1991 i
o 0
o ABSORBANT MATERIAL.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
o
-5-
11/15/1999
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íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡
íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i
íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/23/1990 i
o 0
o A) GAS - SOUTHEAST CORNER
o B) ELECTRICAL - SOUTHEAST CORNER
o C) WATER - BEHIND SHOP IN ALLEY
o D) SPECIAL - NONE
o E) LOCK BOX - NO
o
o
o
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/23/1990 ¡
o 0
o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
o
o
o
o
o
o
o
o
o
o
o FIRE HYDRANT - IN ALLEY AT BACK OF BUILDING
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
-6-
11/15/1999
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íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/09/1990 ¡
o 0
o WE HAVE 5 EMPLOYEES AT THIS FACILITY
o
o
o
o
o
o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
o
o BRIEF SUMMARY OF TRAINING:
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
0 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
-7-
11/15/1999
'_ CITY of HAKE.HSJ-1ELU I:
\ - I 'ytHAZARDOUS ,MATERIALS INVEN-fORY
farll and Agticulture 0 Standard Business R ET S ',' P
, NON-TR~DE SEC, aqe
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. S ~ 8 g' 10 II 12 ¡ 13 If
Average.' Annual I ys Cont Cont Cont Use loc_tion Where ¡' 'by lIalles of /ixture/CcIIDonents
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IlIIIediate
, Health ~
COllponent 13 Halle' C.A.S. HUllber \
"
physical 'nd Health Ha¡ard :
lCheck a I that apply I . 1
o Fire Hazard 0 Reactivity;
C.A.S. Number
Nalle I C.A.S. Number
o oelared 0 Sudden Release
Hea th . of Pressure
Component 12 Nalle I C.A.S. HUllber
o IlImediate
Health
Component 13 Nalle' C.A.S. HUllber
==r=I I
PhYSic.I'1od Hetlth Uallrd
ICheck a I tha applYI
D
C.A.S. NUllber
CompDnent II Nllle I C.A.S. NUllber
o Fire Hazard
o Reactivitj
n Dehred 0 Sudden Release
Hea th Df Pressure
~
I Component 12 NI~8' C.A.S. NUllber
o IIImed ate
Health
Component 13 Nalle I C.A.S. NUllber
EMERGENCY CONTACTS _1 "2
RIlle HOe znnJione nãlie
certifiçatioll 'fReed and $ign af~f3r c9mp7~ting Çt77 ~~ctionS) :'
1 certify under penaltl 0 la~ th,t I have persona III exa.ln~O elld '11 familiae 'it the Informat1pn ,ubllitted In this end all
attaçhed dQCyment$\ anQ t at based on IIY Inquiry 0 hose Indlvldua s responslb e or obtaIning the Information. I believe that the
submitted Inforll~n IS true. accurate. and col\plete. ' ,.' -'i "
",' l{1rfcll'?íff1'f{,' ,vner/,pl'IW " ovnor¡,p.rlW'llUthorl", ",reunuti" . .: n ur.
nttl
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04/23/91
" -"~\
6Jd?
PEe:C-fION STAINLESS FAB 215_0":"001198
Ov~rall Site with 1 Fac. Unit
.Page
1
General Informati~n
f
I '
t I
ILocatic.r,: '301
IIder't Numbet~:
Corlt act ,Name ~
CHRIS CARMI"GNANI ,
DAVID I=' ERHARDT _
I
. I
II
, I I
Area ofVul: 0.01 I
I I
Hc,ur r';~hc,rle
) ß"'f ...:. (",,7-
>:>~ -0131
SUMNER ST
215-000-001'1.'38
Map:
Grid:
103
2'3D.
Hazat~d :
LClw
l' i tIe'
ViQ ,1>R~I~,M-
Vc-€..S,; <k.."" ~
\ ,
ill Bus.; ""5$ phone ""--T 24
(805) ß3~ f~22 X~' I~'
(805) H7;;;:-1·;:.a,¡::' x (
, 3?Lf - ~t9 CD '
Administrative Data
Mail Addrs: '301 SUMNER S1'
City: BAKERSFIELD
Comm Code: 215-002 BAKERSFIELD STATION 02
D&B Numbet~:
. State: CA lip: '33305-
SIC Code:
I r
II
Phclrle: (8ò':;) 3;2~ -SII~¡,
State: CA
lip: 93307- I I,
___.--J I
, II
II
I I,.
I
'1'-
Owner: DAVID I=' ERHARDT & CHRIS CARMIGNAN
Address: 54011='0S1' - 5904 DE I='ARSIA
City: BAKERSFIELD
I ~ '
Summat~y
.f ~
C'
-'-""
\
/l . 1,' - .
1L.'h"£,'~r '~M'/9,~/'.J.tÐo hereby certify that I have
(Type Oi print n, "e) , .. ~
rev'rewed, th:J\ -=:~~'C~'n",! f':'r~.,.",'..._!, .. ,,,.,, i '~'I '
J ¡t;., I.Ül<..< ., ~ '>"', ";,,,:_';<1 \.J00E. ! i la.en".! s manage-
"
ment plan fOïŒ?/~4.-¿212:~. .Ý.27!ž~ that it along with
. C~:J;,r Uf 't'!'_!\~!~'~-G.2~J '
any correctionsccnst;~utfJ ¿;¡, complete and CQf'i'eG1 man-
agement plan for my facility.
~a··';
, ,
.... " ø
. .. ~~~
Signature "
fi:.¿ -r/
Date
, ~~. . ~
I
04/23/'31
PERRECTION StAINLESS FAS 215-000-001198
Hazmat Inventory List in MCP'Or~er
':'age'
2
02 - Fixed Containers on Site
F(C:ot~m QuaYlt i ty MCP
Liquid I:::C:- LCtW
....'..J
GAL
Liquid 922 Minimal
( FT3
Pin-Ref Nam~/Hazards
02-001' KEROSENE
Fiie, ImmedHlth, Delay Hlth
02-002 ARGON
-~ire, Pressu~e,Immed Hlth
\
e
.
-
-- - --- ~~;,.-.----,-----~..,...---~----:--- ------- -----:--------,c-
,
04J23/91
PEtþ:CTION STAINLESS FAB21S-eO-001198
00 - Ov~rall Site
P,age'
-~
~
<D> Notif./Evacuation/Medical
<I} Agency Notification
~l- ~b..tf'-r~b~ .~r~O\J~- cl.l,,~~ì~
~~{¿, '3~1'l
, !'
'"
<2> Employee Notif./Evacuation
VACATE BUILDING
CALL FIRE DEPARTMENT
<3> Pub~ic Notif./Evacuation
w:~ ~fY\~¥5
<4} Emet~geYlcy Medical Play;
NEAREST HOSPITAL
----
I,
I
04/23/'31
PERFECTION STAINLESS FAB 215~000-0011'38
00 - Overall Site
Page
4
-,
(E> Mitigation/Prevent/Abatemt
\, ,
(1) Release Prevention
I
STORED PROPERLY, FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, ~O SMOKING
WHILE IN USE; IF UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE
KEPT OUTSIDE
(2) Release' Containment
o..r~Dr\ c..~ ~ ~ -m ~\¿,~ "3 C-þ¡-t~~
/ "
.'
<3> Clean Up
0-t6~ fY\0\.~ \' ~o.....O
/
(4) Other Resourc~ Act'ivation
-
.e
-
',-
, i
I
! I
Oi./23/'31
PE_CTION STAINLESS FAB 215.1-0011'38'
00 - Overall Site
Page'
C'
;J
cÞ} Site, Emergency Factors
C1} Special Hazards
,
'-
(2) Utility Shut~Offs
A) GAS - 'SOUTHEAST CORNER
. B) ELECTRICAL - SOUTHEAST CORNER
C)· WATER ~ BEHIND SHOP IN ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
(3) Fire Protec~/Avail. Wate~
I
PRIVATE FIRE PROTECTION ~ FIRE EXTINGUISHERS
.FIRE HYDRANT - iN ALLEY AT BACK OF BUILDING
,
(4) Building Occupancy Level
/
_04/23/91
PERFECTION STAINLESS FAB ,215-000-001198
00 - Overall Site
<G> Tt'a iY'iÌ ng
<1> Page 1
~E HAVE 5 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING:
<2> Page 2 as needed
\
<3> Held for Future Use
, <4> He Id fClt' Fut'-n~e 'use
'\
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Pàge ·6
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BAKERSFIELD CITY FIRE DEPAR~~l
2130 "G" STREET
BAKERSFIELD. CA 93301
(805) 326-3979 .
RECEIVED
DEe 2 9 1987
Ans'd.
...........
Æ'
OFFICIAL CSEONLY
CS EESS ~A.\tE
, ~.
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN Ik'JGLISH.
3. Answer the questions below for the business
4. Be as brief and concise as possible.
/;;2-3/-Y'7
as a whole,
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: h-Æ"&EaT/'O-V ST#/~ LE.5.f /#8
B. LOCATION / STREET ADDRESS: ~C/~ ~~~~~/,?
CITY: ;f:'Æ75EA!!::$;C:/fL¿)
ZIP: 9 J'" J"c::?S
BUS. PHONE: (.Rø) ..$2 ¢'-.:r¥ ¿,¡'
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emer~~ncY involving the release or threatened release of a
hazardous material, call 911'and 1-800-852-7550 or 1-916-427-4341. This will notify
~ your local fir~ departm~~r ~nd the State Office of Emergency Services as required by
law.
E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY:
NAME AND TITLE
A. (J fi /ê.-/S r?n /2//4 ¿ A//? /0.//
B. '":p/? u /':0 'F? .é£,.v #/.2..L> T
DURING BUS. HRS,
PM ~Jo-~ø,.¿,?Z 7-
Ph# t?7z-/z 82....
AFTER BUS. 'HRS.
Ph# ..sdA-,1f
Ph# .s#~1f
- '0
.. ..... '...... ~
'.' ..", ...., . '.... ,.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
é! O/2./i/é-€-
/1
NAT. GAS/PROPANE:
ELECTRICAL:
WATER: ~§#/4--..o
SPECIAL: /Vo
LOCK -8GX: YES,',I GfO) 'I F
SOú'T/7I'ÆN,s r
//
S#oLJ /A/ #¿¿ß,Ý
A.
B.
C.
D.
. E.
YES. LOCATI,ON:
,
~ " ~-
IF YES. DOES IT CONTAIN SITE PLANS? YES / ~O
FLOOR PLANS? YES,I NO
MSDSS? YES I ~O
KEYS? YES / ~O
- 2A -
. -f' ~
. :j~ ".' ~
.
e
~~~'>'~:';-..- ~
::;<. ..,..\ ..~- .
c-;O -r.:'-,
;--'1" ~-~ ..
;...... .
SECTION 4: PRIVATE RESPONSE TEA" FOR BUSINESS AS A \'iROLE,
',-I
;';' gf.'~' ~. n f'l¡
./Yt:JÆÆ. tJ'l}
SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTA~CE FOR YOÚ~ BUSINESS AS A WHOLE
"--,~ ~
~#/Ø-~ :16V;P;7/?.?-
SECTION 6: EMPLOYEE TRAINING
:
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH I~ITIAL A~D
REFRESHER TRAINING IN THE FOLLOWING AREAS.
~ '. ~ ~
,REFRESHER
CIRëLE YES OR ~O I~ITIAL
A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS
-MTERIALS:.. .'....................... .-..........., @NO
B. PROCEDURE~ FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: ........... ............... YES ~
C. PROPER USE OF SAFETY EQUIP~E~T: ..... .. .. ....... .. ~ NO
D. DfERGENCY EVACUATION PROCEDURES:... . . . . . . . . . . . , . . .~, NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:,...,.. ,~
YES NO
YES NO
YES NO
YES NO
YES NO
SECTION 7: HAZARDOUS MATERIAL
C IRCLE ~.-.;. NO _ - NONE, ,-' ';:"
DOES YOUR BUSINESS HANDLE HAZARDOUS M.<\TERIAL IN QGANTITIES LESS THAN 500 POC:':DS OF A
SOLID. 55 GALLONS OF A LIQUIQ. OR 200.CGBIC FEET OF A COMPRESSED GAS:...... YES NO
I.(JA"R/\ ; ":'::'~.u#~ ." : '.. '. certify that the above information is accurate.
I understand that 1S Information will be used to fulfill my fIrm's obligatIons under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
, ~ -.~If ~ ~:~;.
'I
I
SIG"ATL~~ d~ TITLE ;: /?
DATE /2- Z.?-8'7
- 2B~
t-~. -ý
~~, ,.,;""~/
.~/~~' ~.
/_ co -.?~
~,'o '.~'''¡
~ - ~
'f) -
BAKERSFIELD CITY FIRE DEPARDIEXT
2130 lOG" STREET
BAKERSFIELD. CA 93301
OF?TCTAL ~SE OXLY
ID#
BUSINESS i\A~E:
------
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM·3A
!
INSTRUCTIONS ' 7
1. To avoid further action. this form must be returned by:, ~;Z--~)'~~ ~
2. TYPE/PRINT YOGR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UXIT LISTED BElOW
4. Be as BRIEF and CONCISE as »ossible:
;'\¡. "i,.
"
. ,
FACILITY UNIT#
FACILITY UNIT N~~:
SECTION 1: MITIGATION, PREVENTION. ABATEME~-r PROCEDL~ES
I STOÆ..4Ò 7>Æ~$/Z~ Y .
z. .,.co4..,...... -S"l'7F47i- ?,4~Kဠt ';...
J. ~,ð ?'£Cj,.O~.e... h;-;r/:"Ú'.5,
// ... /' . . /4/ ~~
7: /Vc;J :5"V'1o~/.t+-'''5 ¿.v#/¿/.j .
,r /.;... . A,., $£/.../)LJ'?ð·", ~P'ð .R¥b,d..E.t)
::r.- -V h'~;T ~ÒH"A/..o ~Ai',y/~J - c.;...r"~¿ /'"'r
6. /'-:;;Æ.OS-/~. ~~T eJV7S,,0,ð
SECTION 2: NOTIFICATION A0."D EVACGA.TION PROCEDL"RES A.T THIS L"'NIT O\ï.Y
I Y?9' e..»7 p ?? û' ,,:L., ò/~ if
Z. C2ß'¿:¿. hÆ.5 ..DÆ;PT.
C"~-\ -
t'
\,
-
.
SF.CTIO~ 3: H.'\7.ARDOGS !fAT!:RTALS, FOR THIS U~nT m:LY
A. Does this F(\cility ¡Jon r.ont:ô.:'n Haz:-tràous :-rate!,jaI~~? ,-,. ,.YES ':;0
If YES, see B.
If NO, continua with SECTION 4,
B. Are aÌ1y of the hazardous materials a bona fide Trade Secret YES YO
I .
If No, complete' a separat'ehazardous materials inventory
form marked: ~ON-TRADE ~ECRETS OXLY(white form #4A-l)
If Y~s, complete a hazardous materials inventory form mark~d:
TRADE SECRETS O~LY (yellow for~ #4A-2) in· addition to the non~trade
"secr;"t form. List only the trade secrets on· form 4A-2.
SECTION 4:, PRIVATE FIRE· PROTECTION
r//;?ð ÆKT//1....1'µ/$'I'7'.F-£.~'
-,; ¡.-, ',". ~- .
'. .h. -._.~........._.~_...
- .' ~-
",.~ < .". 7...... '1"'.,'
-' ... . .
" <--:~' _:----_.-...._.._.-":~~... .
SECTION 5: LOCATION OF WATER Sù~PLYFOR USE BY~GENCY.RESPO~ERS
/À/ '#L¿,¿=~ ~T ß.A?¿?--r o~ "'~ ~<~..ò/~~ . '.,' .
. SECTION 6: LOCATIO~ OF UTILI'!Y'.Sm.ìï-OFFS ,AT THIS UXITONLY.,
,.~~.' '~A~r ~,~ :D~OP^~~r.: ~.
,"" .~.~.. .''-'.......,! 1,:\ .'-1~' .
8. ELECTRICAL:
C. ~'lATER:
£
D. S?ECAL>
E. LOCK BOX, y~S I XO IF YES, LOC,\TIOX:
It YES, STTt PLA~S~
F~.OOR pr..,\XS ~
'lES / :"(1
;
\·FS YO
:vrSDSs:
....-.....
':' ..: )
\·n
::£,,·S"
YES
\:0
. - ;:33
,;~'1';:'h """
,/:; ,., '".
,-:""'''
. ~1i' .........~.
.. ,!,
. '
1...-.....
"^I\LII~nlEI.U.l;ll~, ¡'IHh ULI:/\HIILUI
FORM" 4A- I
NON-TRADE SECRETS
IIAZAHDOUS MATERI ALS' I NVENTÖHY
;111 r;\ n F:, S N MIE: I!!if' h/Z./6l:!.7"Oh Sr/?/;'4!!fS'S/## OWNRR NAME: Z;R#/J 7>ERA"A7AZ/yr t'?4",e).f &~~:"'A~t ^c 11.1 TV UN I T
'1IIIPr~;s:_ <?cJ/ S¿YÞ?A./¿¿ ^UURESS: S~)2=>o':>T_,i7'&¡I.2>Á?~ACIIrTV UNIT N^ME:
¡ IY, 7.1":_~· 9. .
IIlIur /I:
PraHl!
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-
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, PIIONE . : ,Æ'f'f/-6// ¿ z. .?'?Z-/? SJ Z- IOFFICIAI. lISE crlns !:()IIF
-- -- ONLY
:1 ., !i 0- 7 0 9 In
^NNU^I. cnNT tlsr. I.UCAT I ON IN TillS ~ nv II ^ 7. ^ 1111 I,ll I
~~!Q~~L UN!l COIJÈ_ COU~ FACILITY UNIT WT. CIIEMI€;I\L OR COM~ION NA~'E COllE Ii IJ \\1 F
7ZëX~ - Jl¿'-; ¿>b /1 c:Þr:5;..o~ $EA"/~ SHcJP k.6>ec?.sA'A.~A' 1/7$ ¡:¿L CiL
-~~ Ide)
, - .!--" --- ----.--
.---- -_._-~--~---~ - ---- 2;f- t/i!-- R'R.J~A/ /!2ø5' ~-
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910N^TURE,' ~ ~
- PJlONE , ' IIOUR S :
.. AFTER nus IIRS:
PIIONE , BUS nOURS:
AFTER BUS- IIRS:
n^TE: il~~"Z~R7
\ n (: , ._Z!ð£L5 n~/7 A..I"~A/gA/;
rIIHr;UICY C{JlJT^CT:
TITLE:
K/.)
TIT I. E ì
_ '\ 1 In; F n I' Y C 11 lIT ^ C T : t IT LEt
PI f( J "^I. "liS I NESS ^CT I V I TV :'---1..f'~.,E¿t::;Y #-tF::rd¿' ..-:::-A-"e??
- "1\-1 -
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.ITE/FÞ..CILI~Y DItGRAM'
. FORM 5
9'tJ I St//111J1/tJ é"K?
.þ/ JI1Ý
/lV£P ,2.
NORTH' SCALE:
BUS INESS 'NA~I ':'
OF '
DATE: I / ' FACILITY :lA21E:
,OJ:"
',-(,-
(CHECK. ONE)
SITE DIAGRA.'!
FACrLITY'DIAGR.~~
h,è£ #y¿).€I?A4' f
~~¿,
. '~'
WI?r-éÆ. :JI
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¡! ~(.,7,e/~ .Q¿ S' /I'~1'7 ðF,ç
(Inspector's Comments):
-OFFICIÀL USE ONLY-
- 5A -
. , ..
SITE DIAGRAM (ReqUi~ IteMs)
"
2. Street(s); Alleys.,'
Driveways. and Parking
Areas adjacent to ,the
'.·property.' "Include the'
street nalles.
-
9. Lock (key) Box,
10. MSDS Storage Box
11. Railroad Tracks
12. Fence or Barrier
a. Wire
b. ;.!asonry
c. Wood
d. Gates
13. Powerlines
14. Guard Station
15. Storage Tanks:
Identify the
capaci ty in pl.
a. Above ¡round
..... - b. t1nder¡round
18. Diking or'Ber.
. ~, ,. "
"
. -", IT. Bvacuation Route
18. Evacuation Area:
Identity the
location where
etI1Iloyeea will
-c.
-- .-
-~/~' ;",;f-;...~
'. ,:;-" ,< ",;-:;,",
~:?oc.
~..~ 4
~_ "'¡. ,.:::;.. r:
1. Address: Identify the
principle buildings .
by the Street numbers.
--:- ~w-_
~-
3. Storll Drains. Cui verts. ,
Yard Drains
4. Drainage Canals. Ditches.
, Creeks.
5. Buildings
a,. Fralle construction
b. Masonry construction
c. Metal construction
d. Access Door
6. Utility Contra is ,
a. Gas
b. Blectricity
, .
c. Ifater
7. PlreSuppresaion Syste.s:
a. Flre,ØYdraats
b. 'Ire Sprinkler
Connections
19. OUtside Hazardous
Wast~ Storace
'20. OUtside Hazardous
,Material Storage
c. 'Ire'Standpipe
C:onnections
d. Water Control Valves
Cor protection syste.s
21. OUtside Hazardous
Ifateria,l
Use/HandlIng
22. Type:oC Hazardous
Material/Waste
Storèd
or Used (See
Below'
e. FIre Pup
8. Plre Depart.ent Access
TYPE OF RAZARDOUS MATERIAL
p - PI...~ble E Explosive L Liquid
C . Corrosive 0 . Oxidizer G . Gaa
1f ' . Water ,!teacti ve T . Toxic \ s" . Solid
R . Radiological
P . Poison
H':- Cryo¡enic
D . WasteB' . Etiological
EXallple: Fla..able'Liquid'~ FL
.r' , "
FACILITY DIAGRAM (Required !teBls in'additIon to the above)
l- Risers for Sprinklers 8, Fire Escapes
2. Parti t ions 9. Air Conditioning Units
3. Stairways: Indicate the 10. Windows
levels served froœ
highest to lowest. 11. Inside Hazardous Waste
Storaee
,4. Escalator: Indicate the
levels served froll 12. Inside Hazardous
highest to, lowest. Materiala Storage
5. Elevator 13. Inside Hazardous
Materials Use/Handling
6. Attic Access
14. Sewer Drain Inlets
1. 'Skyllehts