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Home My WebLink AboutBUSINESS PLAN 10/2003~ PSC PHILIP SERVICES 200 OLD YARD ROAD i ~' + PSC PHILIP SERVICES _________________________________ SiteID: 015-021-002294 + Manager : ~- ~ ~=~.~,r~r~j:e,-~ BusPhone : ( 661) 833 - 9993 Location: 200 OLD YARD DR U Map 124 CommHaz High City BAKERSFIELD Grid: 08A FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:l799 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / q. itle , P~~-~~~L-OCATION MGR ~ oii"TT " arT^"'T- b/~ /b107'~~qq 5 MANAGER Business Phone: ( ~"61)"833-9993x Business Phone: (661` 833-9993x 24-Hour Phone (661) 833-9993x 24-Hour Phone (661) 833-9993x Pager Phone ( 6 61 ~ ~ 9 7 $ - B}'~6~- Pager P one -- .~~, _ +-------------------------------------+-------------------~e - ,~t~--- + ~ Hazmat Hazards: mmHlth DelHlth Fire Press Contact CRAIG ERICK S ON Phone : (' ~'`'' ` '' ^ `- °'' ° ~x _ __ MailAddr : ''^~ ~z~-. /gOQQ ~~`J~--~,,;e S State : ~r-- ~p~- City 8~~??~F ~ ~ Zlp $ , ~~ '~"- +- ------ -- --------- ---`- ~~~=-------+ ---------- ----- - Owner PSC INDUSTRIAL OUTSOURCING INC Phone: (713) 623-8777x Address 5151 SAN FELIPE ST 1600 State: TX City HOUSTON Zip 77056 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Baked on responsible t'rY inquiry of those individuals under °r obtaining the information examined na °f law that I ~ I certify s milted d am familiar with he personal) c orate n e-leve the infor nformation d c plate, oration is true, /1 , --z~ Date ~NT~ APR. ~ 2406 -1- ~ 03/07/2006 UNIFIED PROGRAM INSPECT~I®N CHECKLIST _ SECTION 1: Business Plan anti Inventory Program ~. BAKERSFIELD FIRE DEPT Prevention Services 8 !-IRI t D 900 Truxtun Ave., Suite 210 aRr~ r Bakersfield, CA 93301 Tel.: (661) 326-3979. Fax: (661) 872-2171 FACILITY NAME ,p 1 ~ c ~~-~`c1 i s -ems INSPECTION DATE ` p "2 G o v INSPECTION TIME L 0 •' O S' ADDRESS`^ O ~ Pi's ~ r~ ~ HONE NO. ~ 33 999 J O OF EMPLOYEES 3 FACILITY CONTACT ~r ~ P, USINESS ID NUMBER 15-021- G 0 Z Z S'f Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS __ __ ____ ,~pp ~3 ^ APPROPRIATE PERMIT ON HAND . ^ L7USIf18SS PLAN CONTACT INFORMATION ACCURATE /' e0i~l.~9v'~ (~~~ (~ ~ Ir ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDNO~US WASTE ON SITE? ^ YES ~'NO ~O~ EXPLAIN: --.L.~~'y" ~/I't'1~;/`~~`~-~'~" _J_ ~T'C!-._._~_i~~__ 6 F' ~~_<<~ ess , vt/'o a 33~ Q~i cam/ •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~II to -r4 « ~~CS~'~S`rf 1U `~ ~ ~-' / Inspect r (Please Print) Fire revention / 1°~ In !Shift of Site/Station q Business S' a/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) UNIFIED PROGRAM 1. _~PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. - Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME SG H~LT~-- ~£~~ ~C~-_S'_-------------------------.-. P ~~ ~ ._ a~ N ADDRESS HO oY88 o. o FACILITYCONTACT Business ID Number ~3~,.-~~ -~_~~ 1s-o21-c~aaR~-1 Section 1: Business Plan and Inventory Program fO~Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ^ \V=Vioatonn~/ OPERATION APPROPRIATE PERMIT ON HAND COMMENTS ~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~- ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~J ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~. - ^ VERIFICATION OF MSDS AVAILABILITYE '~. ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 1~. ^ EMERGENCY PROCEDURES ADEQUATE - ^ - ^ ^ CONTAINERS PROPERLY LABELED -- --- HOUSEKEEPING FIRE PROTECTION ~ I~ ^ SITE D{AGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ,6x-LCD / ^ YES ~-No ~c,~~,,~ a~~r52_/ QUESTIONS REGARDING THIS 1NSPECTION~ PLEASE CALL US AT ~66'{ ~ 326-3979 Inspector Badge No. ~i ,., .. ` Whde -Environmental Services Yellow -Station Copy ~ - Busines9Sita-Re~S~nsible Party Pink -Business Copy `~' ,~ . °~PSC PHILIP SERVICES Manager FIDEL RECIO Location: 200 OLD YARD DR City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SiteID: 015-021-002294 BusPhone: (661) 833-9993 Map 124 CommHaz High Grid: 08A FacUnits: 1 AOV: SIC Code:l799 DunnBrad: Emergency Conta ct / Title Emeraencv_Contact / __ _Title _. _ _ was ~v~r~~~U2~. / LOCATION MGR j2SuS, IZo~/'~yueZ / S_k~e~%~~+e.nde~' _ ` Business hone: (661) S 33= ~~ ~----- -- Business Phone: (661) $33 - }9 ~~ 24-Hour Phone (661) $33 -~i t9'.l 24-Hour Phone (661) ~j33 `~1R~! Pager Phone ((~~ ~) ~. p ~ _ ~}9 ~ S Pager Phone ~~ ( , Fj (0 „ '3 73 Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CRAIG ERICKSON Phone: (425) 204-7187x MailAddr: 18000 72ND AVE S ~~7~ State: WA City KENT Zip 98032 Owner PSC INDUSTRIAL OUTSOURCING INC Phone: (713) 623-8777x Address 5151 SAN FELIPE ST 1600 State: TX City HOUSTON Zip 77056 Period ~ Z _ ~ _ d (~, to I Z - 3j - v,6 Preparers Certif'd: ParcelNo: TotalASTs: ~ _ TotalUSTs~: ~ _ RSs: o Gall Gal Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible far obtaining the information, I certify under Pena{ ~, of later ±hat 1 have personally examined a, d ~ rz familiar with the information S~bmitted and "~ ~ sieve the information is Prue, EN~p MAR 2 zoos Dates e -+-~--`~-/- -1- 02/06/2007 F~`PSC PHILIP SERVICES SiteID: 015-021-002294 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 668.00 FT3 Hi PETROLEUM SOLVENT L 110.00 GAL Mod PETROLEUM DISTILLATE F DH L 110.00 GAL Mod OXYGEN F IH DH G 249.00 FT3 Low GLYCOL ETHER F IH L 110.00 GAL Low CARBON BLACK ID 90-260 F S 4000.00 LBS Min ARGON/CARBON DIOXIDE F P IH G 762.00 FT3 Min MOTOR OIL F DH L 110.00 GAL Min BIO SOL ~ L 110.00 GAL UnR PHILIP FAF 10 L 110.00 GAL UnR -2- 02/06/2007 -3- 02/06/2007 F~'PSC PHILIP SERVICES SiteID: 015-021-002294 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE MIDDLE OF SHOP CAS# 74-86-2 STATE T TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~GdS I Pure Above Ambient I Ambient I PORT _ PRF.~~ _ C''YT,TNT)F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 334.00 FT3 668.00 FT3 334.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 ntjc~tucL r~~ oa~~t~i~ly t a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PETROLEUM SOLVENT Days On Site EC09 365 Location within this Facility Unit Map: Grid: COVERED STORAGE AREA CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient Steel Drum AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 55.00 GAL rir~c+ra[tt~v V w7 1. Vl~lr V1V P~1V 1 .S %Wt• RS CAS# Petroleum Distillate, Straight Run Middle No 64741-59-9 rlti[~tiRL H J~7P~JJ1°1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -4- 02/06/2007 F~'PSC PHILIP SERVICES ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME PETROLEUM DISTILLATE GEAR OIL Location within this Facility Unit SHOP N WALL STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002294 ~ Facility Unit; Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64742-47-48 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 55.00 GAL 110.00 GAL 55.00 GAL riHGH.ttLVUJ ~V1~1rVlv~lvlb °sWt. RS CAS# Aromatic Hydrocarbon No 8030306 tit~GHxL I~~a~aJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod ~ Inventory Item 0003 ~ COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit INSIDE MIDDLE OF SHOP Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 249.00 FT3 249-.00 FT3 249.00 FT3 riHGl-~KLV V ~ ~.VrirVlvnly l a %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 nt~c,~rcL tia~~a~i~ir~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / j Low -5- 02/06/2007 F~`PSC PHILIP SERVICES ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME GLYCOL ETHER HYDROLIC FLUID Location within this Facility Unit SHOP N WALL STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002294 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 2807-30-9 TEMPERATURE CONTAINER TYPE ~ Ambient DRUM/BARREL-METALLIC I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS oWt RSI CAS# tifjGtitCL A.7 Ji',~S1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME CARBON BLACK ID 90-260 Location within this Facility Unit COVERED STORAGE AREA NW CRNR STATE TYPE PRESSURE Solid TMixture Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 1333-86-4 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Cont1100rLBS Daily4000100m LBS I Daily1500r00e LBS ru~a.s~u~vu~ ~.~l~ir~lv~lvla %Wt. RS CAS# 100.00 Carbon Black No 7440440 ru~,arjtcl~ s~~ ~r~~ari~xvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min -6- 02/06/2007 F~`PSC PHILIP SERVICES SiteID: 015-021-002294 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME /CHEMICAL NAME ARGON/CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 7440-37-1 ~GasATE TMixtur~AboveSAmbEent BelowAmbient PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 381.00 FT3 762.00 FT3 381.00 FT3 ritiGriRLVVJ l..VllY V1V L'1V1J oWt. RS CAS# 25.00 Argon No 7440371 75.00 Carbon Dioxide No 124389 I1t1GriRL HJ ~J P~J J1°1rJ1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: COVERED STORAGE AREA NW CRNR CAS# 8020835 Liquid TMixture ~ Ambient~E ~ A~PeRATURE ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 55.00 GAL rtrautucLV V a l,vl•lrvJ_vAiv t J oWt• RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ritiG+riRL [-1. 7JP~.7w71~1L' 1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA ~ USDOT# MCP No No No No/ Curies F DH / / / Min -7- 02/06/2007 F~~PSC PHILIP SERVICES SiteID: 015-021-002294 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BIO SOL Days On Site 365 Location within this Facility Unit Map: Grid: COVERED STORAGE AREA NW CRNR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture~Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 5.00 Nonionic Surfactant Blend No 30.00 Orgaic Salt No f1HGHiCL H JJP~J JI~IP~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ~ Inventory Item 0009 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHILIP FAF 10 Days On Site 365 Location within this Facility Unit Map: Grid: .COVERED STORAGE AREA NW CRNR CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BNARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00_ GAL I 55.00 GAL iirac~raicLVVa ~.vrlrvlvrly t S %Wt• RS CAS# 20.00 1-Tert-Butoxy-2-Propanal No 057018-52-7 80.00 Unlisted No riti[~tiRL ti J JL~J JI~IP~IVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -8- 02/06/2007 ~'PSC PHILIP SERVICES ID Sit 015-021-002294 F e : ~ t F rmat F as o ~ N di tif /E ti /M l ll Site O ~ o . vacua on e ca vera ~ A tifi ti 04/13/2006 ca gency No on PR_ CONTAC P TER BURGE LOCATION GER, B OR NG, S'ALES MANAGER; 24 HR 707 590-0 41. 24- R 8-9211. T CONTACT IRO ENTA~ CONT T CRAIG ER C ON RE ~LATOR COMP~MGR, 4-H X707-333- SEE RE P NSE LO~CHART . Employee Notif./Evacuatrion I _l. l ~ _ _ ~ L /r tI.U.J11~. 1YV V11 ~ L' V0.l.k0.L1V11 ~,~1 ~ c l Emergency Medical Plan 04/13/2006 WORKING HOURS VALLEY MEDICAL GROUP, 250 G ST, 327-2225. EMERGENCY/AFTER HOURS BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-4647. -9- 02/06/2007 F~`PSC PHILIP SERVICES SiteID: 015-021-002294 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 04/13/2006 EMPLOYEES ARE TRAINED IN 5TORAGE REQUIREMENTS, RECEIVE ANNUAL TRAINING. PSC IS AN INDUSTRIAL SERVICES COMPANY. ALL EMPLOYEES ARE EXTENSIVELY TRAINED IN SAFETY HEALTH AND ENVIRONMENTAL ISSUES. 9 Release Containment 04/13/2006 EMPLOYEEE AWARENESS TRAINING, OVERSIGHT BY CRAIG ERICKSON REGIONAL REGULATORY COMPLIANCE MANAGER. Clean Up 04/13/2006 PSC MAINTAINS AN ADEQUATE SUPPLY OF SPILL RESPONSE MATERIALS SINCE WE STORE MINOR AMOUNTS OF MATERIALS. A LARGE SPILL IS UNLIKELY. PSC HAS OTHER OFFICES IN NO, SO CA WHICH SPECIALIZE IN SPILL RESPONSE AND COULD PROVIDE ASSISTANCE IF NEEDED. PSC IS A PERMITTED TRANSPORTER AND ITS SISTER COMPANIES HAVE TSDFS, OR EVERGREEN OIL AND CROSBY OVERTON ARE USED FOR WASTE MANAGEMENT. Other Resource Activation -10- 02/06/2007 F~`PSC PHILIP SERVICES SiteID: 015-021-002294 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC:1Gt1 IldGCLL U.7- Utility Shut-Offs ~~. ,_ rl.ic riv~.c~:./t~vctl.t.. ~rvcx~l.Ci J ~~ y ~ Building Occupancy Level 1 EMPLOYEE 12/20/2006 -11- 02/06/2007 a~ F`PSC PHILIP SERVICES SiteID: 015-021-002294 ~ - Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/06/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ANNUAL HAZMAT TRAINING. ANNUAL ER, EVACUATION, MSDS, SPILL RESPONSE, REPORTING REQUIREMENTS. rayc c. riclu 1VL rl1LUIC U~7'C nciu tvi rUI.ULC VSO -12- 02/06/2007 Prevention Services J. UNIFIED PROGRAM. INSPECTION CHECKLIST A .~ R s F _, - . n 900TruxtunAve., Suite 210 - _,~:~_.. _.~~~-~ ~~~ a ~__-~ .o _-~ -:. ~. -~._~ ~~ _ - _ _.. ~. F/RE .: Bakersfield, CA 93301 _ aRr~ Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program ~' .--- Fax: - (661) 872-2171 • FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT `` / ' ~ ~ BUSINESS ID NUMBER 15-021- ~- O ~, QC C6 1 i~ i Section 1: Business Plan and Inventory Program ~~~I _ ,. , ~OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECT(ON C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND Q E ~ ~ ~ '~, ~~ ^ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE ^ ~ VISIBLE ADDRESS ` ~ ^ • (/ p~ G.~I 3/ l ~ ^'f ' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL O i~. ^ VERIFICATION OF MSDS AVAILABILITY 1~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~- ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ~ FIRE PROTECTION ~7C ~~^ M S ~ v l~~i/ ~ I bC G'd i ^ SITE DIAGRAM ADEQUATE & ON HAND p n ~ t~ c,,~ on ~~ ff ~/A ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTION'S R~EG+ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 • ~"~ , S ~ - m ~ -3 Inspector (Please Print) Fi Prevention / 1" In /Shift of Site/Station # ^ YES ~jVO ~-~~ i*~C ~~cr~ Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05