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HomeMy WebLinkAboutBUSINESS PLAN 9/22/2006 ^ pa, N ~ W C ''" O N +. `~ d L C1 ~L V- O1 DC ~f .~ ~~, - UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory Program Prevention Services A F R~ F _, n 900 Truxtun-Ave., Suite 210 F/RE Bakersfield, CA 93301 ARTM t Tel.: (661) 326-3979 Fax: (66i) 872-2171. FACILITY NAME ~ j J ~~Clfs ~ - 0 ~ ~ ' KIG ? ~ L - L INSPECTION DATE ~ ~ Z 'd ~ INSPECTION TIME ~/l ~ ci L./ / / /lJ s7'~^ fpc~ Y ~~-C o . . ~vl i ADDRESS I ~ ~ ~.. PHONE NO. ~ NO OF EMPLOYEES FACILITY ~ TACT - ~ _ ~ C BUSINESS ID NUMB15-021 _ t/~ /©~ .L. ~ 1 1/` Glut Section 1: Business Plan and Inventory Program ~~~ B O TINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS I~ ^ APPROPRIATE PERMIT ON HAND ~ V ^ BUS1neSS PLAN CONTACT INFORMATION ACCURATE ~ /~ ~ ~ /' ~PiCi L / J $+~ t2 ~O ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~~ ~, ~ ~ j / ~~( R I~ ^ VERIFICATION OF LOCATION ~~ /! ~ ^ PROPER SEGREGATION OF MATERIAL 1 I ^ VERIFICATION OF MSDS AVAILABILITY D ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~ ~- C~ ^ ~ " EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION 1 ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON.SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PL SE CALL US AT ( 61) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy - Pink -Business Copy ~ FD 2155 (Rev. 09/05 ^ YES (9 N f ~~ REFRIGERATION SUPPLIES DIST Manager MARK MIRANDA Location: 621 E 21ST ST City BAKERSFIELD SiteID: 015-021-001077 BusPhone: (661) 325-7421 Map 103 CommHaz High Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5078 DunnBrad:02-871-1661 Emergency Contact / Title Emergency Contact / Title MARK MIRANDA / MANAGER RICHARD LUGO / SALES Business Phone: (661) 325-7421x Business Phone: (661) 325-7421x 24-Hour Phone ( ) - x 24-Hour Phone (661) 496-4212x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MARK MIRANDA Phone: (661) 325-7421x MailAddr: 621 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner RSD TC Phone: (949) 380-9558x Address 26021 ATLANTIC OCEAN State: CA City LAKE FOREST Zip 92630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~"~ ~ ~ ~ ~~~ Ba,ed on my inquiry of those individuals the inforrnafion, I rertity resGonsirle f:~r ar~taining Analty of lay chat I h2.ve personally i d er p on un d and am familiar with the informat i ne exam the information is true, su~mitteci and t~cli lete, accurate, and comp ` Date signature -1- 07/13/2007 I F REFRIGERATION SUPPLIES DIST ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001077 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REFRIGERANT R-404A L 2400.00 LBS Hi REFRIGERANT R-507 L 300.00 LBS Hi ACETYLENE E F P IH G 234.00 FT3 Hi REFRIGERANT R-22 P R IH L 3600.00 LBS Low REFRIGERANT R-401A E L 600.00 LBS Low NITROGEN F P IH L 550.00 GAL Low OXYGEN F P IH L 300.00 GAL Low REFRIGERANT R-402A E L 300.00 LBS Low REFRIGERATION OIL F DH L 50.00 GAL Low REFRIGERANT R-502 P R IH L 30.00 LBS Low CARBON DIOXIDE F P IH G 500.00 FT3 Min REFRIGERANT R-12 F DH L 30.00 LBS Min REFRIGERANT R-408A IH DH L 540.00 LBS UnR REFRIGERANT R-409A IH DH L 300.00 LBS UnR REFRIGERANT R-134A L 300.00 LBS UnR -2- 07/13/2007 -3- 07/13/2007 I l' F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-404A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid Mixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 100.00 LBS 2400.00 LBS 1000.00 LBS t1AGF1tCLVU~ 1;V1~lYV1VL' 1V 1 %Wt. RS CAS# 52.00 1,1,1-Trifluoroethane No 420462 t1AGAKL 1-~55~551~1L' 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-507 Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# Liquid TMixture ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS riAGIjtCLVU~ 1.V1~lYV1VL"1V1J %Wt. RS CAS# 50.00 l,l,l-Trifluoroethane No 420462 riHGHKL L-~. 7.7J~,bJ1~1J;1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 07/13/2007 :,~ F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map:' Grid: CTR OF WHSE CAS# 74-86-2 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 FT3 234.00 FT3 234.00 FT3 til'~G1~KLVUJ 1~V1~lYV1V~1V 1.7 %Wt. RS CAS# 100.00 Acetylene Yes 74862 riAGHKL A~J1;a71~11;1V l.J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME REFRIGERANT R-22 Location within this Facility Unit E WALL OF WHSE STATE TYPE PRESSURE _ Liquid TMixtur~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest C3600100rLBS Daily3600100m LBS I Daily3600r00e LBS n~~rucl~vu~ ~.vl~irvlvl;ly l ~ %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 t1EiGHtCL H~75L"i~.7~71~1L"i1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / Low -5- 07/13/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-401A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 600.00 LBS 600.00 LBS 600.00 LBS tit~~[itt11uu5 1:V1~lYV1VL" LV l ~Wt. RS CAS# 53.00 Chlorodifluoromethane No 75456 13.00 Difluoroethane Yes 75376 34.00 Chlorotetrafluoroethane No 63938103 t'LHGF]1.'CL 1-~J~L",7~1~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit CTR OF WHSE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7727379 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co550100rGAL Daily 550100m GAL ~ Daily 550r00e GAL ru~as~cLVUa wiiruNEiv i ~ oWt. RS CAS# 100.00 Nitrogen No 7727379 t1HGHiCL HJ .7~.7~71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -6- 07/13/2007 I~ 5 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit CTR OF WHSE STATE TYPE PRESSURE Liquid TMixtur~mbient SitelD: 015-021-001077 ~ 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 I Daily Average 300.00 GAL 300.00 GAL 300.00 GAL rui~xKl~~ua ~vl~ir~lvr:ly 1 SWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1AL,AKL A55J;~~1~1J"~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0015_ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-402A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# STATE - TYPE PRESSURE TEMPERATURE Liquid Mixtur~Above Ambient Ambient CONTAINER TYPE _ PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container - Daily Maximum I Daily Average 300.00 LBS 300.00 LBS 300.00 LBS nt~c~tucl~~u~ wrirvivlJlvla cwt. Rs cAS# 38.00 Chlorodifluoromethane No 75456 2.00 Propane Yes 74986 ru~~xcc1J t~~al;~~lnl;ivl a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 07/13/2007 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME REFRIGERATION OIL Location within this Facility Unit E WALL OF SHOWROOM & CTR OF WHSE SiteID: 015-021-001077 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid I Mixture I AmbRient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 50.00 GAL 50.00 GAL t1AGHKLVU~ 1;V1~lYV1VL'1V 15 %Wt. RS CAS# 100.00 Light Machine Oil No 8020835 riAGYaKL A~SJ;~~1~1L1V 1_~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME REFRIGERANT R-502 Location within this Facility Unit UNDER SALES COUNTER STATE TYPE PRESSURE _ Liquid TMixtur~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 76-15-3 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 30.00 LBS 30.00 LBS t1HG1-1KLVU~ 1:V1~lYV1VL"1V7J °sWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 riL~GHKL 1j55J;551~1J;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / Low -8- 07/13/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: CTR OF WHSE CAS# 124-38-9 ~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 500.00 FT3 150.00 FT3 t11~G1-1ttUV u~ lrV1~lYV1Vr;1V 1 ~ %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 t1HGL-1tCL AS~L',~~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME REFRIGERANT R-12 Location within this Facility Unit E WALL OF WHSE STATE TYPE PRESSURE _ Liquid TMixtur~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-71-8 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 30.00 LBS 30.00 LBS ntiatucLVU~ ~.Vi~irVivr,lvta SWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 rit]GHL[L H.7~~.7J1~1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 07/13/2007 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME REFRIGERANT R-408A Location within this Facility Unit E WALL OF WHSE SiteID: 015-021-001077 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I - Daily Average 100.00 LBS 540.00 LBS 96.00 LBS ru~~tatu~vu~ ~vl~irvlvlJly l %Wt. RS CAS# 47.00 Chlorodifluoromethane No 75456 46.00 1,1,1-Trifluoroethane No 420462 t11~GAttL 1~5~L~551~11;1V 1 J T5ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME REFRIGERANT R-409A Location within this Facility Unit E WALL OF WHSE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixture ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS riHGri[CLVU.7 1.V1~lYV1VIJIV 1.7 %Wt. RS CAS# 60.00 Chlorodifluoromethane No 75456 15.00 1-Chloro-l,l-difluoroethane No 75683 ritiGKCCL HA .7 G.7.71`7r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH j / / UnR -10- 07/13/2007 ,. F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-134A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# 811-97-2 Liquid TMixtur~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS HAZARDOUS COMPONENTS ~Wt. RSI CAS# ru~~tatcL r~5~~5ai~i~lv~1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -11- 07/13/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation 11/02/2006 FROM OFFICE, HEAD DIRECTLY TO WEST DOOR. FROM WAREHOUSE, HEAD DIRECTLY TO WEST DOOR OR SOUTH TO BAY DOOR. FROM BATHROOM, HEAD DIRECTLY SOUTH. CALL 911. Public Notif./Evacuation CALL THE FIRE DEPT OR 911. 12/01/1999 Emergency Medical Plan 11/02/2006 KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -12- 07/13/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/07/1990 ~ FIRE EXTINGUISHERS IN OFFICE AND IN WAREHOUSE. 1CC1CC1 i7-C l..Vll 1. CL111LL1C11L V1 rr Qll V~J Other Resource Activation -13- 07/13/2007 . ' ~ A. F REFRIGERATION SUPPLIES DIST SitelD: 015-021-001077 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ iJ~JCC:1d1 IldGCLL C.LS Utility Shut-Offs 11/02/2006 A) GAS - SE CRNR OUTSIDE B) ELECTRICAL - SW CRNR INSIDE C) WATER - SE CRNR OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/02/2006 PRIVATE FIRE PROTECTION - 4 ABC FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - KERN ST BET E 19TH ST & E 21ST ST. Building Occupancy Level 02/27/2007 6 EMPLOYEES -14- 07/13/2007 G'~ M' ~ ~ F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE WILL HAVE OUR EMPLOYEES ATTEND MEETINGS AND READ HAZARD COMMUNICATION BOOKS AND MATERIAL SAFETY DATA SHEETS. rcayC ~ nciu iv.~ r u~.utc vac nciu iv.L r u~uic vac -15- 07/13/2007 :~: .e ~.' ~; ,~~.. REFRIGERATION SUPPLIES DIST Manager .:,MARK MIRANDA Location: 621 E 21ST ST City BAKERSFIELD SiteID: 015-021-001077 BusPhone: (661) 325-7421 Map 103 CommHaz High Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5078 DunnBrad:02-871-1661 Emergency Contact / Title Emergency Contact / Title MARK MIRANDA / MANAGER RICHARD LUGO / SALES Business Phone: (661) 325-7421x Business Phone: (661) 325-7421x 24-Hour Phone (bfol) 312-3Zbbx 24-Hour Phone (661) 496-4212x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fir-e Press React ImmHlth DelHlth Contact ~_~~1rj~ ~~~~~na ;~ Phone: (661) 325-7421x MailAddr: 621 E 21ST ST State: CA City BAKERSFIELD Zip 93305 Owner RSD TC Phone: (949) 380-9558x Address 26021 ATLANTIC OCEAN State: CA City LAKE FOREST Zip 92630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based an my inquiry of those individuals CN~~ ~~~ ~ ~ Q responsible for obtaining the infc~rmatic~n, I certify t~U / U/ under penalty ofi law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~(Ih,.~ ~ o~-off-o ~ Signature Date -1- 02/06/2007 F REFRIGERATION SUPPLIES DIST ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001077 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REFRIGERANT R-404A L 2400.00 LBS Hi REFRIGERANT R-507 L 300.00 LBS Hi ACETYLENE E F P IH G 234.00 FT3 Hi REFRIGERANT R-22 P R IH L 3600.00 LBS Low REFRIGERANT R-401A E L 600.00 LBS Low NITROGEN F P IH L 550.00 GAL Low OXYGEN F P IH L 300.00 GAL Low REFRIGERANT R-402A E L 300.00 LBS Low REFRIGERATION OIL F DH L 50.00 GAL Low REFRIGERANT R-502 P R IH L 30.00 LBS Low CARBON DIOXIDE F P IH G 500.00 FT3 Min REFRIGERANT R-12 F DH L 30.00 LBS Min REFRIGERANT R-408A IH DH L 540.00 LBS UnR REFRIGERANT R-409A IH DH L 300.00 LBS UnR REFRIGERANT R-134A L 300.00 LBS UnR -2- 42/06/2007 -3- 02/06/2007 ~~ F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-404A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# Liquid TMixtur~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100..00 LBS 2400.00 LBS 1000.00 LBS ns~,ZARDOUS COMPONENTS %Wt• RS CAS# 52.00 l,l,l-Trifluoroethane No 420462 I1HG1~2CL 1~ib .7L" .7.71~1P~1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-507 Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# Liquid TMixture~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co300100rLBS - Daily 300100m LBS I Daily 300r00e LBS l1AUP].C~JJVI.JJ t.V1~1rV1V r,lvlS -- owt. Rs cAS# 50.00 1,1,1-Trifluoroethane No 420462 riti[~tiiCL ti J J1'aJ JI.1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 02/06/2007 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit CTR OF WHSE STATE TYPE PRESSURE _ Gas Pure Above Ambient SiteID: 015-021-001077 ~ Facility Unit: Fixed 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 I Daily Average 20.00 FT3 234.00 FT3 234.00 FT3 t11~GEihCLVUS 1:V1~lYV1VL'1V 15 %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1AGLjtCL E~~~15JJ1~11'~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME REFRIGERANT R-22 Location within this Facility Unit E WALL OF WHSE STATE TYPE PRESSURE _ Liquid TMixtur~Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest C3600100rLBS Daily3600100m LBS I Daily3600r00e LBS ntiGtittLVU.7 ~.V1Ylrviv~ly 1.7 %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 I11~G1itCL EiJ J1;~J1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / Low -5- 02/06/2007 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME REFRIGERANT R-401A Location within this Facility Unit E WALL OF WHSE SiteID: 015-021-001077 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co600100rLBS Daily 600100m LBS I Daily 600r00e LBS r1H~r~tcl~w~ ~~lnrvivl;iv 15 oWt. RS CAS# 53.00 Chlorodifluoromethane No 75456 13.00 Difluoroethane ~ Yes 75376 34.00 Chlorotetrafluoroethane No 63938103 t1HGHttL E~J~J;~~1~1L''1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit CTR OF WHSE STATE TYPE PRESSURE Liquid TMixture ~_ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7727379 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum { Daily Average 550.00 GAL 550.00 GAL Il 550.00 GAL I1HGEitCLVUJ 1.V1~lYV1VL"1V 1.7 °sWt. RS CAS# 100.00 Nitrogen No 7727379 t1E~GE~tCL 1-1b~7L" .751~1J;1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -6- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CTR OF WHSE CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL 300.00 GAL • t1HGHK1IVU~ lrV1YlYV1Vt;iV1~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 rlr~~r~tti.~ r~~~l;~~l~ilJivta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-402A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# STATE - TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS riEiGHKLVU.7 1.V1~lYV1VI;1V 1 b %Wt. RS CAS# 38.00 Chlorodifluoromethane No 75456 2.00 Propane Yes 74986 1'LESGHKL E1.7.7 L" .7.71~1L" 1V 1,7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERATION OIL Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF SHOWROOM & CTR OF WHSE CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 50.00 GAL 50.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Light Machine Oil No 8020835 I11iGEittL H~ JJ~.7A1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-502 Days On Site 365 Location within this Facility Unit Map: Grid: UNDER SALES COUNTER CAS# 76-15-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 30.00 LBS 30.00 LBS rll~t~n[u~V V .7 1. V1•lr V1V L' 1V 1.7 °sWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 1-1liGit].rCL ti~ 7 ~7 Li~7 ~J1•1L'1V 1iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / Low -8- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: CTR OF WHSE CAS# 124-38-9 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 150.00 FT3 500.00 FT3 150.00 FT3 nt~ae-ucL~u~ lrV1~lYV1VL"1V1~ %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 riEiGL-1KL H. 7 ~J L" .7.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME REFRIGERANT R-12 Location within this Facility Unit E WALL OF WHSE STATE TYPE PRESSURE _ Liquid TMixture Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-71-8 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 30.00 LBS 30.00 LBS ruyuruct~vt~.~ ~.vrlrvlv~lvlS ~Wt• RS CAS# 100.00 Dichlorodifluoromethane No 75718 L'ltiutiiCL ti~ 7 w7 L' JJ1.1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 02/06/2007 F REFRIGERATION SUPPLIES DIST ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME REFRIGERANT R-408A Location within this Facility Unit E WALL OF WHSE SiteID: 015-021-001077 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixtur~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 LBS 540.00 LBS 96.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 47.00 Chlorodifluoromethane No 75456 46.00 1,1,1-Trifluoroethane No 420462 tiF~GKKL A~~1;5~1~11~;1V~1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-409A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# Liquid TMixture ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER - --- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS nr~GrucLVUa ~:ul~irulvlJlvla oWt. RS CAS# 60.00 Chlorodifluoromethane No 75456 15.00 1-Chloro-l,l-difluoroethane No 75683 riHGEitCL 1~~ J~JJ1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR -10- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-134A Days On Site 365 Location within this Facility Unit Map: Grid: E WALL OF WHSE CAS# 811-97-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 300.00 LBS 300.00 LBS HAZARDOUS COMPONENTS . %Wt. RSI CAS# HAZARD A SSESS~~~r.~vl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -11- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation 11/02/2006 FROM OFFICE, HEAD DIRECTLY TO WEST DOOR. FROM WAREHOUSE, HEAD DIRECTLY TO WEST DOOR OR SOUTH TO BAY DOOR. FROM BATHROOM, HEAD DIRECTLY SOUTH. CALL 911. Public Notif./Evacuation 12/01/1999 CALL THE FIRE DEPT OR 911. Emergency Medical Plan 11/02/2006 KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -12- 02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/07/1990 ~ FIRE EXTINGUISHERS IN OFFICE AND IN WAREHOUSE. Release Containment V1G0.11 V~J V VL1G1 LZGr7VU1VG L'Ll.L1VQV1VLl -13- .02/06/2007 F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aYCC:i.ai nc«aiu~ Utility Shut-Offs A) GAS - SE CRNR OUTSIDE B) ELECTRICAL - SW CRNR INSIDE C) WATER - SE CRNR OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO 11/02/2006 Fire Protec.jAvail. Water PRIVATE FIRE PROTECTION - 4 ABC FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - KERN ST BET E 19TH ST & E 21ST ST. 11/02/2006 Building Occupancy Level 03/06/2006 r EMPLOYEES ~0 -14- 02/06/2007 t. F REFRIGERATION SUPPLIES DIST SiteID: 015-021-001077 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE WILL HAVE OUR EMPLOYEES ATTEND MEETINGS AND READ HAZARD COMMUNICATION BOOKS AND MATERIAL SAFETY DATA SHEETS. rayc ~ nciu ivi r u~.utc ~~c nciu ivl. r u~uic ~5C -15- 02/06/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program Eakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 __ _ FACILITY NAME _ INSPECTION DATE INSPECTION TfME ' ~~y O_ ._._......__ PHONE No. No. of Employees ADDRESS fi S~ ~ 2 - _.-..- - ___._-_ ----_--._ . _ .._ _...- _ Business lD Nlumber FACILITYCONTACT 1 S-O2 1-' D~ 7 ~ar k /~-1'etn(~a Section 1: Business Plan and Inventory Program Routine O Combined ^ Joint Agency ^Mutti-Agency O Complaint ^ Re-inspection C V OPERATION tl n~ o V V COMMENTS a on i l \ = ;~ ^ APPROPRIATE PERMIT ON HAND ^ B «L ~ ~ ~~~ j ~Px .~ USINESS PLAN CONTACT INFORMATION ACCURATE - _-.._ __ _ - . C~c~f~ y ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES : l --- "~ --- ^ .....___._ .---.... -- -- ----------- -- _._.. ...._...._._ _... _..- .VERIFICATION OF LOCATION ...I ..__.... .. _ _ _. _ ___ _-_ _- - ._ ----.. ..-. ^ PROPER SEGREGATION OF MATERIAL --- ^ --- VERIFICATION OF MSDS AVAILABILITYE _ . - ._.. --- ----- ------ - ^ ._ ._ --- __._... - -- --- ----- VERIFICATION OF FIAT MAT TRAINING ._ f -., _ - _.. ._ -.. _ _._...... ..___.....-------- - ._ ----._._..._ -~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ----- ---- ^ __----_._._...__...------- -------------- EMERGENCY PROCEDURES ADEQUATE } I ~ _ ~NT°D MAR 0 ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ..... _.. ^. FIRE PROTECTION ~ ^ SITE DIAGRAM ADEOUATE rsr ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ,~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~F>6'I ~ 326-3979 _ (~z~fr . ~-~ Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow • Station Copy Business Site Responsible Party (Pte se Print) Pink -Business Copy '<_. j. + REFRIGERATION SUPPLIES DIST _________________________ SiteID: 015-021-001077 + Manager BusPhone: (661) 325-7421 Location: 621 E 21 ST Map 103 CommHaz High City BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:5078 EPA Numb: DunnBrad:02-871-1661 Emergency Contact / Title Emergency Contact / Title MARK MIRANDA. / MANAGER RICHARD LUGO / SALES Business Phone: (661) 325-7421x Business Phone: (661) 325-7421x 24-Hour Phone X6.6-1) '°'' °~' ^v~~ ° ~3~`' 24-Hour Phone (661) 496-4212x ~ t Pager Phone (661) 342-3266x Pager Phone Hazmat Hazards: Fire Press Reac t ImmHlth DelHlth Contact Phone: (661) 325-7421x MailAddr: 621 E 21 ST State: CA City BAKERSFIELD Zip 93305 Owner RSD TC Phone: (949) 380-9558x Address 26021 ATLANTIC OCEAN State: CA City LAKE FOREST Zip 92630 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ~~ IYI~~ ~ ~ ~~~~ 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, accurate, and complete. Signature Date -1- 03/01/2006 '• •^. ~ t.rr/p'~ ~ £ G ~ 0 io~q fl'?P!Il Aqq F.' 8 n a 9 _ Z - a ~ s '~ ~' N ~z ~ ~ 0 n ~ ~ ~ 0 ~ ws,'e~. ~~apna ~n~ nu~.a~x5 Q M ~ ~ d po ~muoflu~aa Z Rsn 62l E-2 t s7 t3~A-ICe~F+E~~ ~33oS