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HomeMy WebLinkAboutBUSINESS PLAN (3) ,` i ,.~ L.- •T. CENTER NEON CO INC SitelD: 015-021-000275 Manager NANCY MCNAMEE-CARTER Location: 430 E 21ST ST City BAKERSFIELD BusPhone: (661) 327-9696 Map 103 CommHaz High Grid: 29A FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:3993 DunnBrad:00-834-7163 Emergency Contact / Title Emergency Contact / Title NANCY CARTER / OWNER DAVID MCNAMEE / OWNER Business Phone: (661) 327-9696x Business Phone: (661) 326-9696x 24-Hour Phone (661) 637-1989x 24-Hour Phone (661) 366-8950x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact NANCY MCNAMEE-CARTER Phone: (661) 327-9696x MailAddr: 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner DAVID & NANCY MCNAMEE Phone: (661) 327-9696x Address 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those indivi~; t~i~ CIVI~~ ®~~ ~ ~~"~ , responsible for obtaining tf^, ~ infarmatian, I c;erti#y under penalty of law th t h a I ave pQrsanally ©xamined and am familiar with fhn Infarmation submitted and believe the information is true , accurate, and complete. ~/ / Si n t a ure g Date -1- 07/10/2007 t; i F CENTER NEON CO INC SiteID: 015-021-000275 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Mobile Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE OXYGEN E F P F P IH IH G G 180.00 465.00 FT3 FT3 Hi Low -2- 07/10/2007 F CENTER NEON CO INC = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000275 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 90.00 FT3 Hi OXYGEN F P IH G 251.00 FT3 Low -3- 07/10/2007 ~ j F CENTER NEON CO INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit MOBILE ON TRUCKS - IN SHOP AT NIGHTS STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-000275 ~ Facility Unit: Mobile Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 180.00 FT3 100.00 FT3 tiF~GF]KLVU~ ~vinr~iVrJiV1.7 °sWt. RS CAS# 100.00 Acetylene Yes 74862 t1AGAKL AaStSJJ1~1t51V"1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit MOBILE ON TRUCKS - IN SHOP AT NIGHT STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Mobile Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 465.00 FT3 465.00 FT3 200.00 FT3 ru-~c~yrcLVU~ ~vl~irvlv~lVl~ oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1HGLitCL H.7 ~7~.7.71~1P~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/10/2007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE MIDDLE WALL N END CAS# 74-86-2 STATE T TYPE T PRESSURE ~~ TEMPERATURE CONTAINER TYPE ~GaS I Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Con90100rFT3 Daily M90100m FT3 I Daily A45r00e FT3 t1HGAtt1JVU5 1:V1~lYV1Vt',1V1 J owt. Rs cAS# 100.00 Acetylene Yes 74862 t1HGt1tCL xaal;~al~il,lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit E SIDE MIDDLE WALL N END STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 100.00 FT3 IlEiGtiiCLVU.7 ~.V1~lYV1VL"1V1.7 oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ri1~GL~KL EiSJL' J.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies F P IH / / / Low -5- 07/10/2007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/05/2000 ~ CALL 911. --_ ___ Employee Notif./Evacuation 10/20/2006 VISUAL AND VERBAL. SHOP TANKS VISIBLE FROM MOST AREAS OF SHOP BLDG. MOBILE EQUIPMENT (MOUNTED ON TRUCKS) NOT IN SHOP BLDG DURING WORKING HOURS. EXITS OPEN DOORS DURING BUSINESS HOURS AT THE NORTH AND SOUTH. Public Notif./Evacuation EVACUATION PLAN POSTED AT VARIOUS LOCATIONS. 10/05/2000 Emergency Medical Plan NEAREST HOSPITAL OR MEDICAL OFFICE TELEPHONE NUMBERS ARE POSTED. 10/05/2000 -6- 07/10/2007 F CENTER NEON CO INC SiteID: 015-021-000275 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 10/05/2000 OXYGEN AND ACETYLENE CYLINDERS CHAINED ON STEEL CART, EQUIPPED WITH PROPER AND WELL MAINTAINED GUAGES, HOSES AND TIPS. MOBILE EQUIPMENT CLAMPED OR CHAINED ON TRUCKS ACCESSIBLE ONLY TO TRAINED PERSONNEL. Release Containment 02/28/2007 EVACUATE ALL PERSONNEL FROM AFFECTED AREA. USE APPROPRIATE PROTECTIVE EQUIPMENT. IF LEAK IS IN USERS EQUIPMENT, BE CERTAIN TO PURGE PIPING WITH AN INERT GAS PRIOR TO ATTEMPTING REPAIRS. IF LEAK IS IN CONTAINER OR CONTAINER VALVE, CONTACT THE CLOSEST LIQUID AIR CORP LOCATION. DO NOT ATTEMPT TO DISPOSE OF RESIDUAL OR UNUSED QUANTITIES. RETURN IN THE SHIPPING CONTAINER PROPERLY LABELED, WITH ANY VALVE OUTLET PLUGS OR CAPS SECURED AND VALVE PROTECTION CAP IN PLACE TO LIQUID AIR CORP FOR PROPER DISPOSAL. FOR EMERGENCY DISPOSAL, CONTACT THE CLOSEST LIQUID AIR CORP LOCATION. L.1 CGL11 1J~1 Other Resource Activation -7- 07/10/2007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~lCL 1011 11d L dl U.7- Utility Shut-Offs 02/28/2007 GAS - SHOP CTR OF N EXT OFFICE NW CRNR ELECTRICAL - SHOP CTR OF N INT OFFICE W WALL EXT NE CRNR OF INT WALL WATER - N PROP LINE IN ALLEY VALVES IN CONCRETE BOXES Fire Protec./Avail. Water 01/29/2007 PRIVATE FIRE PROTECTION - 6 FIRE EXTINGUISHERS IN SHOP AREA, 1 FIRE EXTINGUISHER IN OFFICE AREA, AND 1 FIRE EXTINGUISHER IN EACH TRUCK. FIRE HYDRANT - NE CRNR OF PROP AT ALLEY & TULARE ST. Building Occupancy Level 10 EMPLOYEES 02/28/2006 -8- 07/10/2007 ~ ~f F CENTER NEON CO INC SiteID: 015-021-000275 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/20/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFE METHODS OF HANDLING HAZARDOUS MATERIALS, PROPER USE OF SAFETY EQUIPMENT, EMERGENCY EVACUATION PROCEDURES. ONE ARGON CYLINDER AND ONE CARBON DIOXIDE CYLINDER CHAINED ON WELDING CART, KEPT INSIDE AT NIGHT, USUALLY THE NE CRNR OF THE SHOP BLDG OR MIDDLE OF E WALL. DO NOT KNOW IF THESE QUALIFY, THOUGHT YOU SHOULD KNOW ABOUT THEM ANYWAY. rays c. Held for Future Use nolu iui ru~ul.c ~5C -9- 07/10/2007 CENTER NEON CO ~I~N~C~{ SiteID: 015-021-000275 Manage ~~~~~~"v~ `~ ~~'~ ~ ~~ Bus Phone : ( 6 61) 3 2 7 - 9 6 9 6 Location: 430 E 21ST ST Map 103 CommHaz High City BAKERSFIELD Grid: 29A FaCUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:3993 EPA Numb: DunnBrad:00-834-7163 Emergency Contact / Title Emergency Contact / Title NANCY CARTER / OWNER DAVID MCNAMEE / OWNER Business Phone: (661) 327-9696x Business Phone: (661) 326-9696x 24-Hour Phone (661) 637-1989x 24-Hour Phone :- (661) 366-8950x Pager Phone ( ) - x Pager Phone ( ) - x ................ Hazmat Hazards: Fire Press ImmHlth .............. Contact NANCY MCNAMEE-CARTER Phone: (661) 327-9696x MailAddr: 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 ..... Owner DAVID & NANCY MCNAMEE Phone: (661) 327-9696x Address 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 ................ Period to TotalASTs: = Qal Preparers TotalUSTs: = Qal Certif'd: RSs: No ParcelNo: ...... Emergency Directives: PROG A - HAZMAT 1 EN~'D ~ ~ ~ ~ ~ ~QQ7 Based on my inquiry of those individuals rQaponslble for obtaining the information, I certify undor penalty of law that I hav e personally examined and am familiar with the information submitted and b®lieve the information is true , accurate, and complete. ignature at -1- Ol/29/~007 F CENTER NEON CO INC = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000275 ~ By Facility Unit ~ Mobile Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 180.00 FT3 OXYGEN F P IH G 465.00 FT3 how -2- of/29j~oo7 F CENTER NEON CO INC SiteID: 015-021-0002'75 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Sites ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~+f~P ACETYLENE OXYGEN E F P F P IH IH G G 90.00 251.00 FT3 FT3 H3. Lt~w -3- O1/29/Z007 F CENTER NEON CO INC SiteID: 015-021-0002'75 ~ ~ Inventory Item 0002 Facility Unit: Mobile Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: -- MOBILE ON TRUCKS - IN SHOP AT NIGHTS CAS# 74-86-2 STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ".. .. ~GaS I Pure Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 180.00 FT3 180.00 FT3 100.00 FT3 ............... HAZARDOUS COMPONENTS aWt- RS CAS# 100.00 Acetylene Yes 74F362 ntic~tuct~ x~a~a~inr,tvlJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA. No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Mobile Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: --- MOBILE ON.TRUCKS - IN SHOP AT NIGHT CAS# 7782-44-7 ~GasATE TPureE ~_AboveSAmbEent AmbPeRATURE PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 465.00 FT3 465.00 FT3 200.00 FT3 iirat+ruurvva t.vi-ir V1~1P~1V 1.S ~Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ru-aurucL r~a o~J~i•ir,1v 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MAP No No No No/ Curies F P IH / / / Low -4- O1/29/~007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid:' E SIDE MIDDLE WALL N END CAS# 74-86-2 ~GasATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 90.00 FT3 90.00 FT3 45.00 FT3 t1AGAxuVU~ 1:V1~lYV1Vi;1V1_J sWt. RS CAS# 100.00 Acetylene Yes 74862 tiHGE1KIJ A5~1~;~51~11~;1V'1".'7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE MIDDLE WALL N END CAS# 7782-44-7 ~GaSATE TYPE T PRESSURE TEMPERATURE -~~ CONTAINER TYPE TPure I Above Ambient Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 100.00 FT3 nrjatucLVU~ ~vinrviv~lvta °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tlf~lGHtCL EiJ .7r,~J1~1tS1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1 No No No No/ Curies F P IH / / / LC76V -5- 01/29/007 F CENTER NEON CO INC SitelD: 015-021-000275 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/05/20010 ~ CALL 911. Employee Notif./Evacuation 10/20/20176 VISUAL AND VERBAL. SHOP TANKS VISIBLE FROM MOST AREAS OF SHOP BLDG. MOBILP EQUIPMENT (MOUNTED ON TRUCKS) NOT IN SHOP BLDG DURING WORKING HOURS. EXITS OPEN DOORS DURING BUSINESS HOURS AT THE NORTH AND SOUTH. Public Notif./Evacuation EVACUATION PLAN POSTED AT VARIOUS LOCATIONS. 10/05/20(70 Emergency Medical Plan 10/05/20(10 NEAREST HOSPITAL OR MEDICAL OFFICE TELEPHONE NUMBERS ARE POSTED. -6- O1/29/Z007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/05/200 ~ OXYGEN AND ACETYLENE CYLINDERS CHAINED ON STEEL CART, EQUIPPED WITH PROPER AND WELL MAINTAINED GUAGES, HOSES AND TIPS. MOBILE EQUIPMENT CLAMPED OR CHAINED ON TRUCKS ACCESSIBLE ONLY TO TRAINED PERSONNEL. Release~Containment SPELL OR LEAK PROCEDURES STEPS TO 8E TAKEN IN CASE MATERIAL !S RELEASED OR SPILLED Evacuate all personnel from affected area. Use appropriate protective equipment. If leak is in user's equipment, be certain to.purge pipfing with an inert gas prior to attempting repairs. If leak is in container or container valve, contact the closest. Liquid Air Corporation location. WASTE oLSPOSAL METHOO ~ Do not attempt. to dispose of residual or unused quantities. Return in the shipping container ro erl labeled, with an valve outlet lu s or ca s secured and valve r~otection ca in ace to Liquid Air Corporation or proper disposa For emergency I disposa contact the closest Liquid Air Corporation location. r V1.11CL .RC.7-VI.LlLC tiul.lVdl.lCJll -7- Ol/29/~'007 F CENTER NEON CO INC SiteID: 015-021-000275 ~ Fast Format ~ -`' ~ Site Emergency Factors Overall Sites ~ special Hazaras Utility Shut-Offs 01/29/20177 A) GAS - SHOP CTR OF N EXT OFFICE NW CRNR B) ELECTRICAL - SHOP CTR OF N INT OFFICE W WALL EXT NE CRNR OF INT WALL C) WATER - N PROP LINE IN ALLEY VALVES IN CONCRETE BOXES D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/29/20077 PRIVATE FIRE PROTECTION - 6 FIRE EXTINGUISHERS IN SHOP AREA, 1 FIRE EXTINGUISHER IN OFFICE AREA, AND 1 FIRE EXTINGUISHER IN EACH TRUCK. FIRE HYDRANT - NE CRNR OF PROP AT ALLEY & TULARE ST. Building Occupancy Level 02/28/20076 10 EMPLOYEES -8- 01/29/2607 ~ j ~/ • •~/ a / ,i F CENTER NEON CO INC SiteID: 015-021-0002'75 ~ `~ Fast Form~:~ ~ ~'~ Training Overall Sites ~ ~ Employee Training 10/20/20k76 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFE METHODS OF HANDLING HAZARDOUS MATERIALS, PROPER USE OF SAFETY EQUIPMENT, EMERGENCY EVACUATION PROCEDURES: ONE ARGON CYLINDER AND ONE CARBON DIOXIDE CYLINDER CHAINED ON WELDING CART; KEPT INSIDE AT NIGHT, USUALLY THE NE CRNR OF THE SHOP BLDG OR MIDDLE OF E WALL. DO NOT KNOW IF THESE QUALIFY, THOUGHT YOU SHOULD KNOW ABOUT THEM ANYWAY. rage TT_l J t._. T__i_____ rr_- O1/29/Z007 ,, + CENTER NEON CO INC =____----___________________________ SiteID: 015-021-000275 + Manager Location: 430 E 21ST ST City BAKERSFIELD BusPhone: (661) 327-9696 Map 103 CommHaz High Grid: 29A FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:3993 EPA Numb: DunnBrad:00-834-7163 Emergency Contact / Title Emergency Contact / Title NANCY MCNAMEE-CARTE / OWNLR DAVID MCNAMEE / OWNER Business Phone: (661) 32"~'-9696x Business Phone: (661) 326-9696x 24-Hour Phone (661) 63~T-1989x 24-Hour Phone (661) 366-8950x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 327-9696x MailAddr: 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner DAVID & NANCY MiCNAMEE Phone: (661) 327-9696x Address 430 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ccurate, and complete. Cyr--~~,~ - !~-4rz , 20 , 2.v o~ Signature Date ENT's ~~~ ~ ~ ZaD6 t______________________________________________________________________________+ -1- 02/28/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~~ Prevention Services B n F a s F, 0 900'II'uXtun Ave., Suite 210 -FIRE Bakersfield, CA 93301 SECTfON 1:_ Business,-Plan and Inventory Program '°'~"" Tel•: (661) 326-3s~9 - ~ Fax: (661) 872-2171 FACILITY NAME ~ ' INSPECTION DATE " Z ' ~ INSPECTION JjpAE /O~ S ~ZIl1TiL12- NrzO~U CO ~ `tJC ~ I OC ADDRESS ~ '-l 3o i~ . Zr SJ PHONE NO. 32?-9G 9G- O OF EMPLOYEES /p F CILITY~CONTACT BUSINESS ID NUMBER 15-021- OQQ Z ~S' - - _- _ _ _ Section 1: Business Plan and Inventory Program ~j~ Cy' ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY -^ COMPLAINT ^ RE-INSPECTION 1 C V ~ C=Compliance OPERATION V=Violation COMMENTS Ld ^ APPROPRIATE PERMIT ON HAND ~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE , III ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS Q ~ ~ ~ ~~~~ , / ~1 ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION CJ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s~ In /Shift of SitelStation # Business Si / sponsib a Party (Please rint) White = PreventiomServices Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 ^ YES ~O UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program • Bakersfield-Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 _ _ _ _ _ FACILITY NAME ^ ~ f INSPECTION DATER INSPEC~TInON/-TIME ADORES ~~LN ~L~ _. N~~ --------------- __ - -- ---___ __ __. _..-. _ - _..._.... _..- - - - -- - ~---~_ ~ L/S ~ ~(X! (. JOM PHONE No. No. of Employees FACILITVCONTACT Business ID Number /V~vG~' I 15-021- 0002?,~ Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE?: OYES ICJ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 326-3979 ----%4-~~ f~o,~Y _~~-~~~ ----------------- _--- Inspector (Please Print) Fire Prevention 1st-In/Shift of Site Whfte -Environmental Services Yelkwv -Station Copy Business Site Res onsl le Party (Please Pnnt) g Pink - euaines8 Copy