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Home My WebLink AboutBUSINESS PLAN 12/30/2005 C O += ~ d N ~ . 4„, ~.y d lJJ CC N ~ . ~ i UNIFIED PROGRAM INSPECTION CHECKLISTr r'.....Y ~..'.~+.".'.4' C!~fiY%':~ie4`~'°.35,.:.:1.*5'iti `.i^~. ~kxk T.:.Y1:.t XW :.:xr,..-~'.cPCYk} ....',...°. ..,.GC.... ,:: #.-~a.,a~: i:. .:.i ~}.5:.... £ .Te:\'.. ... SECTION 1: Business Plan and Inventory Program '~' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS HONE NO. O OF EMPLOYEES ~IO - - ,~ Z 4' 4~ 27 FACILITY CONTACT USINESS ID NUMBER 15-021- (9 ~ -7S Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS __ - ^ APPROPRIATE PERMIT ON HAND rI ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE ^ 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 PROCEDURES ~ MqR p 6 2006 ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND .~ ANY HAZARDOUS WASTE ON SITE? ^ YES ~9 NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~~ n fir-, a~ ~ Inspector (Please Print) Fire Prevention / 1°' In / Shift of Site/Station # BAKERSFIELD FIRE DEPT s P D Prevention Services ~~~~ 900 Truxtun Ave., Suite 210 ~axrN r Bakersfield, CA 9330] 1 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) . T, 4 ti a~ _ -~ ;. UNITED REFRIGERATION Manager PATRICIA STAGLER Location: 511 E 19TH ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: BusPhone: Map 103 Grid: 29C SIC Code: DunnBrad: SiteID: 015-021-000755 (661) 324-4727 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title RONALD N STAGLER / OWNER PATRICIA STAGLER / OWNER Business Phone: (661) 324-4727x Business Phone: (661) 324-4727x 24-Hour Phone (661) 393-4668x 24-Hour Phone (661) 393-4668x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact PATRICIA STAGLER ~ Phone: (661) 324-4727x MailAddr: 511 E 19TH ST State: CA City BAKERSFIELD Zip 93305 Owner RONALD N STAGLER Phone: (661) 324-4727x Address 5601 FRUITVALE AVE State: CA City BAKERSFIELD Zip 933083978 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT {~8.,~rf on my Inf~~tir res;~c~nsit?!e f~~ u y of tl~~se indlvi,ua!s ~f i ur' ~ !l o ~ g e ° orrnation, !certify ~ e1 ~ena y af l~af t,ha +. examined a + nc am familiar ~,. submitted - nth the information and believe th i e nformafion is true, ac r, .te, and ~ npfete. Sign; --=~~ 7 Z 3- ~ Date ~~~a~ ~ ~ ~ ~~~~ -1- 07/16/2007 fi t F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP FREON R-22 F P IH G 9840.00 FT3 Low OXYGEN F P IH G 220.00 FT3 Low CARBON DIOXIDE F ~,ro- T ~"_'_^^''' ~ =~ F P IH G 1074.00 FT3 Min -2- 07/16/2007 -3- 07/16/2007 T F UNITED REFRIGERATION ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME FREON R-22 Location within this Facility Unit CTR PARTS RM STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-000755 ~ 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 134.00 FT3 9840.00 FT3 9840.00 FT3 I1HGHiCLVU.7 1.V1~lYV1VJ;1V15 %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 riHGEitCL 1-~~.71;.7.'~1~1iS1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-502 Days On Site 365 Location within this Facility Unit Map: Grid: CTR PARTS RM CAS# 75-71-8 ~GasATE TpureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co104100rFT3 Daily4296100m FT3 I Daily4296r00e FT3 nr~c~rucLV V J ~vl•1rv1valy 1 S oWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 L1tiL~Pi.RL 1'i J.7 L' Ja71.1.G1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/16/2007 r '~ ':%: F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR SHOP RM CAS# 7782-44-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GdS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 83.00 FT3 220.00 FT3 220.00 FT3 nx~xtcL~u~ ~vinrvlv~ly 15 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiHGHKL HJSL' ~~1~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-12 Days On Site 365 Location within this Facility Unit Map: Grid: CTR PARTS RM CAS# 75-71-8 ~GaSATE TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Con95100rFT3 Dai110440100m FT3 I Dai110440r00e FT3 nric~r~LV~~ ~.vi~irvtvr~ty t S %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 L1tiGHtCL HA ~J~.7.71"lAlV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/16/2007 ~ :S • `. ~' ~ F UNITED REFRIGERATION ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit SW CRNR PARTS RM STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-000755 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 2240.00 FT3 2240.00 FT3 ntac,t~tcl~vuJ ~.vl~lrvivc~ivl~ %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 riHGEiKL 1-~JaL" A.71~1r;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME FREON R-500 Location within this Facility Unit CTR PARTS RM ~ ' STATE TYPE PRESSURE _ Gas TPure -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 100.00 FT3 1074.00 FT3 1074.00 FT3 1-~ZARDOUS COMPONENTS °sWt• RS CAS# 100.00 Dichlorodifluoromethane No 75718 rJtiL~tiiCL tiJ JLaJ J1"1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 07/16/2007 ~~'~ F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/03/2000 ~ CALL 911. Employee Notif./Evacuation 03/09/2007 CALL 911 TO NOTIFY EMERGENCY RESPONSE PEOPLE. CALL OWNERS OF THE HAZARDOUS MATERIALS KEPT BY US, THE REFRIGERANTS ARE THE ONLY ONES KEPT THAT COULD POSE HAZARD IF EXPOSED TO OPEN FLAME. IN WHICH CASE, IT WOULD BECOME TOXIC, AND COULD POSSIBLY EFFECT THE IMMEDIATE AREA. IT IS NOT EXPLOSIVE, AND AT THIS TIME WE DO NOT KNOW THE EXTENT OF HAZARD TO THE SURROUNDING AREA. Public Notif.jEvacuation 03j09/2007 CALL 911 TO NOTIFY EMERGENCY RESPONSE PEOPLE. Emergency Medical Plan 03/09/2007 NEAREST LOCAL HOSPITAL: MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371 OR MEMORIAL HOSP, 420 34TH ST, 327-1792. -7- 07/16/2007 > .~'\1 i ~ F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/03/2000 ~ REFRIGERANTS ARE KEPT IN CARDBOARD BOX CONTAINERS AND STORED ON SIDE TO PREVENT ROLLING. ALL .OTHER HAZARDOUS MATERIALS, IE SOLVENTS, DETERGENTS ARE KEPT IN SMALL QUANTITIES (LESS THAN 1 GALLON) AND ARE STORED IN ONE AREA OF BLDG. Release Containment 10/03/2000 NONE. Clean Up 10/03/2000 NONE v~.iici icc~vut~c ri~:~.iva~.lt~ii -8- 07/16/2007 .L ~^~ ~ ~~ ..~ ~ \., j F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~.iai na~.aiu~ Utility Shut-Offs 03/09/2007 GAS - REAR CTR OF BLDG ELECTRICAL - REAR CTR OF BLDG WATER - REAR CTR OF BLDG SPECIAL - WATER CO MAIN WATER SHUT-OFF VALVE SW CRNR OF SITE Fire Protec./Avail. Water 01/22/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - ALLEY ON TULARE ST BET E 19TH & E 20TH STS. Building Occupancy Level 03/01/2006 6 EMPLOYEES -9- 07/16/2007 -a -- 4su c 1~'i F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/20/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SLTMMAFtY OF TRAINING PROGRAM: WE TRAIN OUR EMPLOYEES IN THE HANDLING OF THE HAZARDOUS MATERIAL AND ALSO REVIEW MATERIAL SUPPLIED BY MANUFACTURERS. rciyC a aaciu ivt ruVUlC l.lAC l1C1u 1Vi L'lll..UIC USC -10- 07/16/2007 :,; r ~o~+g UNITED REFRIGERATION SiteID: 015-021-000755 Manager ~ S~~J'~ % BusPhone: (661) 324-.4727 Location: 511 E 19TH ST Map 103 CommHaz Low City BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RONALD N STAGLER / OWNER PATRICIA STAGLER / OWNER Business Phone: (661) 324-4727x Business Phone: (661) 324-4727x 24-Hour Phone (661) 393-4668x 24-Hour Phone (661) 393-4668x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth ) Contact (,t~ ~~ /~ ~` ~ Phone: (661) 324-4727x MailAddr: ~ 511 E 19TH T State: CA City BAKERSFIELD Zip 93305 Owner RONALD N STAGLER Phone: (661) 324-4727x Address 5601 FRUITVALE AVE State: CA City BAKERSFIELD Zip 933083978 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT EIVT'D MAR 9 2007 Eased 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, ac u ate, an ., plete. ~ A O ~ D ~ ~ _~~ l1' 6 Signatuke Date ~; -1- 02/20/2007 (Y .. F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpeCHaz EPA Hazards Frm DailyMax Unit MCP FREON R-22 F P IH G 9840.00 FT3 Low FREON R-502 F P IH G 4296.00 FT3 Low OXYGEN F P IH G 220.00 FT3 Low FREON R-12 F P IH G 10440.00 FT3 Min CARBON DIOXIDE F P IH G 2240.00 FT3 Min FREON R-500 F P IH G 1074.00 FT3 Min -2- 02/20/2007 -3- 02/20/2007 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-22 Days On Site 365 Location within this Facility Unit Map: Grid: CTR PARTS RM CAS# 75-71-8 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 134.00 FT3 9840.00 FT3 9840.00 FT3 nti~tuclwua ~.ul~lrulvr~tvta oWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 L1HGKttL H. 7.7AJJL~IL~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-502 Days On Site 365 Location within this Facilit Unit Ma G id y p: r : CTR PARTS RM CAS# 75-71-8 STATE T TYPE ~GaS I Pure T PRESSURE ~ I Above Ambient I TEMPERATURE ~ Ambient ~ CONTAINER TYPE I PORT _ PRESS _ C'YT~TNT~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 104.00 FT3 4.296.00 FT3 I 4296.00 FT3 aacaurucLVU.~ ~vl•1rv1v1J1v 1 S - owt. Rs cAS# 100.00 Chlorodifluoromethane No 75456 r1tiLJL'i.RL HJ JL' JJl•1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 02/20/2007 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Inventory Item 0006 Facility .Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR SHOP RM CAS# 7782-44-7 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 83.00 FT3 220.00 FT3 220.00 FT3 - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen., Compressed No 7782447 IlEiG1-1[CL 1-1. 7.7~J51~1.CalV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-12 Days On Site 365 Location within this Facility Unit Map: Grid: CTR PARTS RM CAS# 75-71-8 ~GasATE TPureE ~-AboveSAmbient AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 95.00 FT3 10440.00 FT3 I 10440.00 FT3 riraurucLVt~o COMPONENTS -- °sWt • RS CAS# 100.00 Dichlorodifluoromethane No 75718 nric~ru~.L s-~~ o~a~rir~ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 02/20/2007 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR PARTS RM CAS# 124-38-9 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~GdS I Pure Above Ambient I Amhi Pnt I PnRT _ PRFGS _ C"YT,TNT)F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 2240.00 FT3 2240.00 FT3 HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Carbon Dioxide No 124389 L1tiGlilCL HJ JP~JJ1°1r+1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON R-500. Days On Site 365 Location within this Facility Unit Map: Grid: CTR PARTS RM CAS# 75-71-8 STATE T TYPE T PRESSURE -~ TEMPERATURE ~~~ CONTAINER TYPE ~GdS I Pure I AbOVe Amblerit I Amhi Pnt I PC)RT _ PRF.G~ (''YT,TNTIF.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 FT3 1074.00 FT3 1074.00 FT3 airauru~LVlJ.7 Vvl•lrVlVIJ1VIJ oWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 i'1tiL~ti1CL 1i J J.GJ J1.1L~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 02/20/2007 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/03/2000 ~ CALL 911. Employee Notif./Evacuation 10/03/2000 CALL 911 - NOTIFY EMERGENCY RESPONSE PEOPLE. CALL OWNERS OF THE HAZARDOUS MATERIALS KEPT BY US, THE REFRIGERANTS ARE THE ONLY ONES KEPT THAT COULD POSE HAZARD IF EXPOSED TO OPEN FLAME. IN WHICH CASE, IT WOULD BECOME TOXIC, AND COULD POSSIBLY EFFECT THE IMMEDIATE AREA. IT IS NOT EXPLOSIVE, AND AT THIS TIME WE DO NOT KNOW THE EXTENT OF HAZARD TO THE SURROUNDING AREA. Public Notif./Evacuation CALL 911 - NOTIFY EMERGENCY RESPONSE PEOPLE. 05/22/1997 Emergency Medical Plan 10/03/2000 NEAREST LOCAL HOSPITAL: MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 OR MEMORIAL HOSP - 420 34TH ST - 327-1792. -7- 02/20/2007 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/03/2000 ~ REFRIGERANTS ARE KEPT IN CARDBOARD-BOX CONTAINERS AND STORED ON SIDE TO PREVENT ROLLING. ALL OTHER HAZARDOUS MATERIALS, IE SOLVENTS, DETERGENTS ARE KEPT IN SMALL QUANTITIES (LESS THAN 1 GALLON) AND ARE STORED IN ONE AREA OF BLDG. Release Containment 10/03/2000 NONE Clean Up NONE. 10/03/2000 Other Resource Activation -8- 02/20/2007 . .. F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~:l.cxi nc«aiu~ Utility Shut-Offs 01/22/2007 A) GAS - REAR CTR OF BLDG B) ELECTRICAL - REAR CTR OF BLDG C) WATER - REAR CTR OF BLDG D) SPECIAL - WATER CO MAIN WATER SHUT-OFF VALVE SW CRNR OF LOT E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - ALLEY ON TULARE ST BET E 19TH & E 20TH STS. 01/22/2007 Building Occupancy Level 03/01/2006 ~/ EMPLOYEES -9- 02/20/2007 j. ' ~ ~ ~1. 1 F UNITED REFRIGERATION SiteID: 015-021-000755 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/22/2007 ~ MATEIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE TRAIN OUR EMPLOYEES IN THE HANDLING OF THE HAZARDOUS MATERIAL AND ALSO REVIEW MATERIAL SUPPLIED BY MANUFACTURERS. rayc ~ nc.iu ivi ru~utc vac nciu i.vi r u~uic u~c -10- 02/20/2007 UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program BABERSFIELD FIRE DEPT a p Prevention Services ~,1~~ 900 Truxtun Ave., Suite 210 ~ttN ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY ME NSPE TION D TE V / ~i ~~C1 INSPECTION TIME ~SRti~h, ADDRESS~~ ~ ~~ ~~ ~ ~ ^ 1 PeM SS ll~'• Kv' ' ~~~ ~~ ~~E~~ ~~~~ OOFEMPLOYEES ONTACT FACILITY ~ ( ~ USINESS ID NUMBER 15-021- ~~ S®ction 1: Business Plan and Inventory Program ~~ ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-I ECTION r: C V (C=Compliance, OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND _ ^ BUSInQSS PLAN CONTACT INFORMATION ACCURATE T ^ VISIBLE ADDRESS ^ COAAECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ . VERIFICATION OF QUANTITIES C ^ VERIFICATION OF LOCATION , vG T ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~ `v ' - --- ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~I ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITET EXPLAIN: - ^ YES ~ NO THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 /~~/UgZT Z 3 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02105) + UNITED REFRIGERATION ________________________________ SiteID: 015-021-000755 + Manager BusPhone: (661) 324-4727 Location: 511 E 19TH ST Map.: 103 CommHaz Low City BAKERSFIELD Grid: 29C FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code: EPA Numb: DunnBrad: *______________________________________________________________________________t - ------------ ------ Emergency Contact / Title Emergency Contact / Title RONALD N STAGLER / OWNER PATRICIA STAGLER / OWNER Business Phone: (661) 324-472'7x Business Phone: (661) 324-4727x 24-Hour Phone (661) 393-4668x 24-Hour Phone (661) 393-4668x Pager Phone ( -)- - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 324-4727x MailAddr: 511 E 19TH ST State: CA City BAKERSFIELD Zip 93305 .Owner RONALD N STAGLER: Phone: (661) 324-4727x Address 5601 FRUITVALE AVE State: CA City BAKERSFIELD Zip 933083978 a Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT Based on my inquirb of those individuals responsible for obtaining the information, I certify under penalty caf law that i have personally examined and am familiar with the information sub 'fled and eve the Information is true, ac ra e, and om late. ~_ nature Date -1- 03/01/2006 _~ ,~ T~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST w ~ati~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME l~hi~~ ISP~ri ' P,roI~L-~- _ INSPECTION DATE I0~10 f 03 ADDRESS s ~~ ~ l i ~'~. PHONE NO. 3ZY- y- 7 7 FACILITY CONTACT ~tia l~ Iy`v~l'-o-- ~ - BUSINESS ID NO. 15-21 U- ?SS" INSPECTION TIME /y S0 NLIMBER OP EMPLOYEES Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency (,] Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~/eW Zyhr, pl.. #SaMe a1' `vsf; 3 2y- ~/7Z Visible address Correct occupancy Verification of inventory materials Verification of quantities C- i/D FreO., SOD or S02 jar. p - -IZ= Olb..--+cL~c. Verification of location 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 i Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow • Station Copy Pink -Business Copy ice. 7 ~~~/ 1/ ,~~ / usiness Site Responsible Party Inspector: ~8y ` - ~~.: