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HomeMy WebLinkAboutBUSINESS PLAN 8/16/2007V ~ '~ Q •vnI 4 O~ /" ~ 0 'N N .V M N i ICL n- i ~~;r ~, PRECISION ANALYTICAL SiteID: 015-021-002851 Manager :STEVEN HARRIS Location: 321 19TH ST City BAKERSFIELD BusPhone: (661) 323-1682 Map 103 CommHaz Extreme Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVEN HARRIS / OWNER / Business Phone: (661) 323-1682x Business Phone: ( ) - x 24-Hour Phone (661) 330-7537x 24-Hour Phone ( ) - x Pager Phone (661) 587-1586x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact STEVEN HARRIS Phone: (661) 330-7537x MailAddr: 321 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner STEVEN HARRIS Phone: (661) 587-1586x Address 321 19TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A ,- HAZMAT PROG H - HAZ WASTE GEN ~N~~ ~ ~~ 9 r~ ~ / e d ~7 duals ii d~vl os th 'n uir of Based on my ! q Y ta!ning the information, I certify i f a or c responsit~ie f law that I have persana.lly undE°r p~naity o d am familiar vaith the information axamined an submitted and believe the information is true, accurate, and complete. ~~ i(o~o~ Signature Date -1- 07/13/2007 ~: sic: ~-:t F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HYDROGEN E F P IH G 261.00 FT3 Ext HEXANE DH L 55.00 GAL Mod ACETIC ACID F R IH DH L 55.00 GAL Low WASTE OIL F DH L 5.00 GAL Low ARGON F P IH G 2016.00 FT3 Min COMPRESSED AIR G 311.00 FT3 Min HELIUM F P IH G 291.00 FT3 Min -2- 07/13/2007 Y i~ ~.i -3- 07/13/2007 r ~~ F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HYDROGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 1333-74-0 ~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 261.00 FT3 261.00 FT3 261.00 FT3 HAZARDOUS COMPONENTS °sWt . RS CAS# 100.00 Hydrogen Yes 1333740 t1F'~GHKL 1~5~~J~1~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Ext ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME HEXANE Location within this Facility Unit INSIDE SE CRNR OF BLDG. STATE TYPE PRESSURE Liquid Mixture ~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 110-54-3 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL -- l1HG1-~iCLVU.7 l~Vl°lYV1VrJ1V1J %Wt. RS CAS# 45.00 n-Hexane No 110543 54.OO, Cyclohexane No 110827 l1HGtiICL H. 7JP~~J.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -4- 07/13/2007 _ r ;~~ F PRECISION ANALYTICAL ~ Inventory"Item 0007 COMMON NAME / CHEMICAL NAME ACETIC ACID Location within this Facility Unit OUTSIDE BACK YARD AREA STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-002851 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64-19-7 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 55.00 GAL riHG!-1K1JVU~ 1:V1~lYV1VL"~1V'1'~ %Wt. RS CAS# 80.00 Acetic Acid and Water Solution No 64196 t11~GEiKL 1~~br,.7~1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~mbient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 5.00 GAL 5.00 GAL 17tif~L~iLC.11V lJJ l.Vl•!t'V1V L'1V1S %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 IlEiGriRL ti~ 7 AL~~J.71°1P..1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/13/2007 r F PRECISION ANALYTICAL SitelD: 015-021-002851 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 7440-37-1 ~GasATE T TYPE T PRESSURE ~~ TEMPERATURE CONTAINER TYPE I Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2016.00 FT3 2016.00 FT3 2016.00 FT3 riAGKKLVUJ 1.V1~lYV1VY51V1~ sWt. RS CAS# 100.00 Argon No 7440371 t1E~GKKL 1',.7~J~;~~1~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME COMPRESSED AIR Location within this Facility Unit INSIDE SE CRNR OF BLDG Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE - TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 311.00 FT3 311.00 FT3 311.00 FT3 nt,c,KtcLVUa ~.vlYlrvsvl;lvi~ °sWt . RS CAS# 100.00 Air No 0 I1tiGtiCtL liJ~1;47~J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -6- 07/13/2007 - a ~- , F PRECISION ANALYTICAL ~ SiteID: 015-021-002851 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM _ Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER r AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 291.00 FT3 291.00 FT3 291.00 FT3 --- - t~~tittL~u~ winr~N~iv~l~~ %Wt. RS CAS# 100.00 Helium No 7440597 ti1~GlittL A~~L',~Jar1L1v 1 J TSecret RS BioHaz, Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -7- 07/13/2007 „!~_ ,. d' F PRECISIgN ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/01/2007 ~ HALL AMBULANCE 327-4111, FIRE DEPT 324-6551, AND POLICE DEPT 327-7111. Employee Notif./Evacuation 05/01/2007 STEPHEN HARRIS 330-7537, DIANA HARRIS 587-1586 OR 343-7103, DAVID HARRIS 330-6984. CALL ABOVE NUMBERS TO DETERMINE THAT EVERYONE HAS BEEN SAFELY EVACUATED. Public Notif./Evacuat'ion 05/01/2007 NOTIFY BUSINESSES WHICH ADJOIN EITHER SIDE OF LABORATORY IF EVACUATION IS NECESSARY. Emergency Medical Plan 05/01/2007 ~_ ~. ~~~-~ ~.l ~-{ o~ N ~ , 5~~ oL~ Raves ~~~ , (~~--123 0 J -8- 07/13/2007 ~. ~ 4 F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/01/2007 ~ SOLVENT SPILL CLEAN-UP KITS. ACID SPILL CLEAN-UP KITS. ALL CHEMICALS STORED IN LOCATIONS WHERE CONTAINERS ARE SECURED. Release Containment 05/01/2007 = SOLVENT SPILL CLEAN-UP KITS. ACID SPILL CLEAN-UP KITS. Clean Up 05/01/2007 SOLVENT SPILL CLEAN-UP KITS. ACID SPILL CLEAN-UP KITS. v~.uci ncwut~.c ril:l.lV0.lr1V11 -9- 07/13/2007 .;, ,,. ~,; F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~JCC:1d1 ridLdl U~ Utility Shut-Offs 05/01/2007 GAS: BACK YARD AREA ELECTRICAL: ELECT PANEL IN BACK YARD AREA WATER: BACK EDGE OF BACK YARD AREA IN ALLEY Fire Protec./Avail. Water FIRE EXTINGUISHERS AND WATER HOSE BIB IN BACK YARD AREA. 05/01/2007 Building Occupancy Level ~Q EMPLOYEES 1 05/01/2007 -10- 07/13/2007 1 M '' F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Training Overall Site ~ .Employee Training 05/01/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY TRAINING PROGRAM IMPLEMENTED BY GLOBAL SAFETY INC. rciya G nciu tvL rul.ulC u5C nciu iui rul.u.G~ use -11- 07/13/2007 ;,~ ~ ,~ PRECISION ANALYTICAL 5~~qa Manager Location: 321 19TH ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: BusPhone: Map 103 Grid: 30B SIC Code: DunnBrad: SiteID: 015-021-002851 (661) 323-1682 CommHaz Extreme FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title STEVEN HARRIS / OWNER / Business Phone: (661) 323-1682x Business Phone: ( ) - x 24-Hour Phone (661) 330-7537x 24-Hour Phone ( ) - x Pager Phone (661) 587-1586x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVEN HARRIS Phone: (661) 323-1682x MailAddr: 321 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner Phone: (661) 323-1682x Address 321 19TH ST State: CA City BAKRSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: I~ ~ ~~ PROG A - HAZMAT PROG H - HAZ WASTE GEN y~ AAqy~ 3aaed on my inquiry of those individuals responsible for obtaining the information, I c~~rt~ry unde;r penalty of law that I have personally e~camined and am familiar with the information submitted and believe the information is true c , a curate, an comp te. L~''~~ ~ `--- Sig e p -1- 02/06/2007 F PRECISION ANALYTICAL ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002851 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HYDROGEN E F P IH G 261.00 FT3 Ext WASTE OIL F DH L 5.00 GAL Low ARGON F P IH G 2016.00 FT3 Min COMPRESSED AIR G 311.00 FT3 Min HELIUM F P IH G 291.00 FT3 Min Ss, Jo lrrFl~ I~-G~Tt C R'`1 ~ ~ a ~e -2- 02/06/2007 T r p PRECISION ANALYTICAL ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME HYDROGEN Location within this Facility Unit INSIDE SE CRNR OF BLDG STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002851 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 1333-74-0 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co261100rFT3 Daily 261100m FT3 I Daily 261r00e FT3 nr~~tatcL~uS ~~lnr~ivl~Jiv l a %Wt. RS CAS# 100.00 Hydrogen Yes 1333740 t1E~GKKL A55Y5551~1tS1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Ext ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 221 Liquid TWaste ~mbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container •Daily Maximum Daily Average 55.00 GAL 5.00 GAL 5.00 GAL riliLaHKLV U.7 1.V1~lYV1Vr,1V 1.'7 °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riHGHKL 1-~.7.71;J.71~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 02/06/2007 j F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 7440-37-1 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambien~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2016.00 FT3 2016.00 FT3 2016.00 FT3 t1HGEiKLV U.7 1.V1~lYV1V 1;1V 1 J %Wt. RS CAS# 100.00 Argon No 7440371 nr~~r-j.tcl~ s~oalJJJln~lylJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME COMPRESSED AIR Location within this Facility Unit INSIDE SE CRNR OF BLDG Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co311100rFT3 Daily 311100m FT3 I Daily 311r00e FT3 IlEiGtiiCLVUJ 1..V1~lYV1V~1V 1.7 %Wt. RS CAS# 100.00 Air No 0 riHGL•ilCL ti.7 .7J~J.7J1~11"i1V-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 02/06/2007 ,~~> F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SE CRNR OF BLDG CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co291100rFT3 Daily 291100m FT3 I Daily 291r00e FT3 titi~tlttLVUa 1:V1~lYV1VY;1V 15 %Wt. RS CAS# 100.00 Helium No 7440597 riAGF1KL A55lSSS1~1L1V'l~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min T~S-D t Sr: cR-r~ R of ~S~A a , N-EX~t -~ ~ ~5~~ SS ~'`n- ~ ETrr1~ D R~ w, I~-GF ~1 L 1~-L ~ Q ~ a ~ o S -6- 02/06/2007 _ ~ „ F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification ~ ~ (1-~ ~ ~ P r ; (,1. l , ~ L ~ -' ASS/ (~ oI,tGL ~~ P~ : (,o(ol - 321-~ ~7~ - 1'.dLL~.J1V~/CC 1VVl.1.l ~ P~VdC:l.Ldl~1V11 l 5~ P r-~ a ~~ ~-~ s G P I 3 3 0 ~s' 3 }- G y4-.'µ, 14IS a V E N V ~-I, l~ 7~ ~ E~ •~'"'~- 1 N~ ?'?'~"~t- T ~l t~~ N b /f~t-S /3CL' n/ SA-~L Y ~~~ Gv~!-'f~Efl . -7- 02/06/2007 n ,. F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ xelease Prevention ~-~~D SPAN- c~~~r,~ - ~ P ~~T"S ~ w ~-~M. ~ c-q-~. f S '1'v ~ D I n~ C~v C.~t -~n a~-i S w I'h~'=~E Go ~ ~ ~ n/ E~J • LCC1Cd.7-C 1..V111.d111LLlCll 1. 5 o L J E^~ 'r S P A [. lr G L E ?~ v~ ~- "1 T S F}-c~~ D ~ ~ ~ V L L (.C~ -9~1 J ~ (~ I -r- S -Clean Up 5~~~ t~T SP~~ c Lt~.,/' O~iTS ~,_ V ~.i1Gl i~c w7VUi ~.c t.~l. 1.1 VCL I.l Vll -8- 02/06/2007 ,. F PRECISION ANALYTICAL SiteID: 015-021-002851 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~Nc~:iai na~aiu~ Utility Shut-Offs w A- ~ ~- S N-~ f - a FF L a « T~ D /#~ t 13rt colt ~" ~ G-E ~ ~ C3R-z-K '~ -A /~-D Fire Protec./Avail. Water `= i~ E~TrN~~~S1~~I Building Occupancy Level -9- 02/06/2007 ~ -:~ ` r .F~PREGISION ANALYTICAL SiteID: 015-021-002851 ~ ~~ Fast Format ~ F= Training _ Overall Site ~ Employee_Training ~:. S ~t-.F ~ r Y T 2-A- r o+ ~ r+ Ir- P ~o G- ~-•9-H•• ~ w ,P ~ ~ ~ ~ ~ c3 ~ Gr[~ ~ ~}- L S~F ~T ~ ~ ~N~ . rayc ~ riciu i.vi r u~uic ~5c riciu ivi ru~uic v5C -10- 02/06/2007 !r ,* / . ~,. _, , ~ / j~41 D Ff+~P `. ++~y ~ CITY OF BAKERSFIEI.I~ FIRE DEPARTMENT • ~~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~' ~'~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~_~w ~'' ~~,f~~ 1715 Chester Ave., 3'd Floor, BakersFeld, CA 93301 r1 ~J FACILITY NAME ~ t ry~ rJ ~ ,~+4 ~-~ ~ INSPECTION DATE fC' ~~ Fr~Os'`- AllDRESS T s ~ PHONE NO. 3~ 3 ~ /b ~ Z. FACILITY CONTACT_ ~La.cl'S Id ~, /i241§USINESS ID N0._ I5-21U- DOi-8 S~ INSPECTION TIME~oZ S ~„ l',.J NUMBER OF EMPLOYEES 3 Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Multl-Agency [] Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy / Verification of inventory materials Verification of quantities v Verification of location '~ Proper segregation of material / Verification of MSDS availability Verification of Haz Mat training ~ N' ~ .~- ' Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~es ^ No • Explain:~(1~ 5~, c3 4 ~-- Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Business Site Responsible Party Inspector: ~=-~:~e~ _ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ' B e R s F. D 9o0TruxtunAve., suite 210 . .s~. ~~~~.~. :;_~~~~.~~ ~.~ _ _ FiAE Bakersfield, CA 93301 - SECTION-1: Business Plan=and Inventory Program aRrM Tel.: (661) 326-3979- . - ~ -Fax: (661) 872-2171 FACILITY NAME- - ~ '~ _ INSPECTI N DgTE - - INSPECTION TfME c ~' iovJ L. c..Q ~ 1019 lQ~ /.~ n-~~~1 ADDRESS - _ ~Z ~ tom. - 5 7`~-'-T` PHONE NO. 3 z 3- ~G (e $ NO OF EMPLOYEES 3 FACILITY CONTACT _ ~~ ~V'~~.) ~~¢221 S - - BUSINESS ID NUMBER 15-021- ©O2FS~/ r - __ - -- Section 1: Business Plan and Inventory Program ~~ ~ ~ V - _ _ _ - - - ROUTINE ^ COMBINED - ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT- ^ RE-INSPECTION C V ~ C=Compliance. .OPERATION- : V=Violation COMMENTS I~^ APPROPRIATE PERMIT ON HAND (1~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE GY ^ VISIBLE.ADDRESS -CY ^ CORRECT OCCUPANCY ~~ ^ VERIFICATION OF INVENTORY MATERIALS I~ ^ VERIFICATION OF QUANTITIES ~ 1~1~ i U O C T 1 J. 2Uo6 ^ ~ VERIFICATION OF LOCATION ,_,, / L~ ^ PROPER SEGREGATION OF MATERIAL l~' ^ VERIFICATION OF MSDS AVAILABILITY O ^ - ^ VERIFICATION OF HAZ MAT TRAINING ~ ~ O IY ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE (~ ^ CONTAINERS PROPERLY LABELED C~-^ HOUSEKEEPING ^ ~ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Luirvv n QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 2u ~ lea ~". ~ C-- _ Irispector (Please Print) Fire Prevention / 1s~ 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