HomeMy WebLinkAboutBUSINESS PLAN 8/6/2007i
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AIR CONTROL SERVICES
Manager BEN WAGONER BusPhone:
Location: 515 E 19TH ST Map 103
City BAKERSFIELD Grid: 29C
CommCode: BFD STA 02 SIC Code:
EPA Numb: DunnBrad:
SiteID: 015-021-003005
(661) 327-8755
CommHaz Low
FacUnits: 1 AOV:
e ontact ~ ontact ~
t
r
~
ROGER
NOB LE
ESTIMATOR BEN WAGONER OWNER
~~3-~~~~
~C:
Business Phone: (661) 327-8755x Bus iness Phone: (661) - ~'
24-Hour Phone (661) 979-9638x 24- Hour Phone (661) 979-9635x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact ROGER NOBLE Phone: (661) 327-8755x
MailAddr: PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Owner BEN WAGONER Phone: (661) 589-9431x
Address PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D A U ~ Q 8 ~~O?
Based on my inquiry of those individuals
the information, I certify
i
ng
responsible for obtain
that I have personally
under penalty of law
ined and am familiar with the information
true
i
,
exam
s
ubmitted and believe the information
s
acct rate, and :omplete.
g-~ ~
Date
Signatur
-1- 06/29/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
R 22 FREON F P IH G 6150.00 FT3 Low
-2- 06/29/2007
-3- 06/29/2007
`, ~
F AIR CONTROL SERVICES
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
R 22 FREON
Location within this Facility Unit
INSIDE SW CRNR
STATE TYPE PRESSURE _
Gas TPure Above Ambient
SiteID: 015-021-003005 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
75-45-6
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
123.00 FT3 6150.00 FT3 6150.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Chlorodifluoromethane No 75456
tLHGHKL I~~ ~JL' a ~l~lL' 1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-4-
06/29/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/21/2006 ~
IN CASE OF A FIRE, THE ALARM COMPANY WOULD RECEIVE A SIGNAL AT THEIR CENTRAL
OFFICE AND WOULD THEN CALL THE FIRE DEPARTMENT. THE OWNER WOULD THEN BE
NOTIFIED.
Employee Notif./Evacuation 03/21/2006
IN CASE OF A FIRE DURING BUSINESS HOURS, THE EMPLOYEES WOULD EXIT THE
BUILDING USING THE ATTACHED EXIT PLAN.
Public Notif./Evacuation 04/04/2007
EXIT THROUGH MAIN FRONT DOOR OR 3 EXITS IN SHOP AREA.
Emergency Medical Plan
09/20/2006
IN CASE OF AN EMERGENCY, OUR HEALTH CARE PROVIDER IS PROFESSIONS HEALTHCARE
INC, 1800 WESTWIND DR, 327-9617.
-5- 06/29/2007
:. '~
F AIR CONTROL SERVICES SiteID: 015-021-003005
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention
9
9
Release Containment 03/21/2006
CHEMICALS, SUCH AS FREON, ARE PURCHASED AS NEEDED FOR MAINTENANCE CUSTOMERS
AND THE RECLAIMED CHEMICALS ARE DISPOSED OF AFTER A 40-GAL DRUM IS FILLED.
THE RECLAIMED, USED MATERIAL, IS THEN DELIVERED TO A CERTIFIED REFRIGERATION
SUPPLIER.
V1.11C 1. iCC .S'UUI_l:C HUl.1Vdl.l Uil
-6- 06/29/2007
-~
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
A~JCC:1d1 rid'GdLU.S'
Utility Shut-Offs
GAS - SE CRNR OF BLDG
ELECTRICAL - SE CRNR OF BLDG
WATER - SE CRNR OF BLDG
04/04/2007
Fire Protec./Avail. Water 04/04/2007
FIRE HYDRANT - NW CRNR E 19TH & KERN ST
Building Occupancy Level 04/04/2007
34 EMPLOYEES
-7- 06/29/2007
e -. ~4~
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/04/2007 ~
BRIEF SUMMARY OF TRAINING PROGRAM: FIRE SAFETY & EMERGENCY EVACUATION PLAN
ra~c ~
nclu tVt 1'uL LL1C V.7"C
nC1V. 1Vi rl.LI..UIC USE.''
-8- 06/29/2007
,~ ~;. _ ~.
~'
+ AIR CONTROL
!^
SERVICES ________________________________ SiteID: 015-021-003005 +
Manager : ROGER NOBLE BusPhone: {661) 327-8755
Location: 515 E 19TH ST Map 103 CommHaz Low
City BAKERSFIELD Grid: 29C FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:
EPA Numb: DunnBrad:
-------------------
Emergency Contact / Title Emergency Contact J Title
ROGER NOBLE / /
Business Phone: (661) 327-8755x Business Phone: { ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
,Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact ROGER NOBLE Phone: (661) 327-8755x
MailAddr: PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Owner ROGER NOBLE Phone: (661) 327-8755x
Address PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D MA ~ 2,12006
Based on my inquiry of those individuals
responsible for obtaining the information, f certify
under penalty pf law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
ate, and complete.
_ ~ ~-/S-off
Signature ___._~ Date
--------------------------------------------
-1- 03/01/2006
=Fire Extinguisher
~1-
.~ . ~ U~ r~
S E R V 1 C E; S
Heating -Air Conditioning Facility Automation
::Roger Noble
- Lic. # 739835
661-327-8755 P.O. Box 10595
Fax 661-327-8745 - ~-- Bakersfield, CA 93389
~'~ 2'r ~ Bakersffield Fire Dept.
UNIFIE® PR®G6~-M INSPECTI®N CWCKLIST Enironmental services
_.., ~ :, ,- "_ .:- ~ ~ 1715 Chester Ave
SECTI®N 1 Business Plan and Onventory Program Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME /1~ ~/ INSPECTION D TE INSPECTION TIME
_._
ADDRESS ~ PHONE No. No. of Employees
~1 ~ _ ~~ l ~t ~ _ ~ _ 32_x__ ~_?_s~_" __ _ ___
FACILITYCONTACT Business ID Number
15- - -~C-~,.1
Section 9: Business Plan and Inventory Program ~ `~p~9s
Routine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ection
C V \V=Vioatoinncel OPERATION COMMENTS
^ ^ APPROPRIATE JPERMIT ON HAND ~ "~' 2 ` G
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS p ZZ I~L3 ~ ~~
--- -- C~~~ykl'~ i V~" 1- --.
^ ^ VERIFICATION OF QUANTITIES , S~b ~ (pi5~ ~1 V \
^ ^ VERIFICATION OF LOCATION jnrs,p/ y,,J Ct~Nf?
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE
^ ^ VERIFICATION OF HAT MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ~ FIRE PROTECTION ~ ~g~ S,C~2aJtr~ ~,~~ ~~
^ ^ SITE DIAGRAM ADEQUATE & ON HAND ~ ~~~~ ~ ~P
ANY HAZARDOUS WASTE ON SITE: ^IYES r~NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow - Station Copy Pink
~ - ~=----
Site Responsible Party (Please
COPY
rn
N
C
,~~ < t CITY OF 13AKERSFIELD
°- E R s F ' OFFICE OF ENVIRONMENTAL SERV[CES
F/BB
ARTM T 1715 Chester Ave., CA 93301 (661) 326-3979
_ _ ,,..~
~~ ~~~" HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
• (one loan per material per building or area)
NEW ^ ADD ^ DELETE' ^ REVISE 200 Page _ of
1. FACILITY It`IFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA • Doing Busmess As) 3
CHEMICAL LOCATION 20 CONFIDENTIAL (EPCRA) ^ Yes ^ No 202
i ------ I~- w~.,--i r`~j'~-~) --~---~ ... -~---- 1~~ MAPk(optionan_._ _ ~ 203 ~ GRID#(opfioriafj..... ...------~--------~----- 204-.
--I I
FACILITY ID '1 lY+~• ~.~.._.~.___.:._.-..:.
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206
R - ZZ I' Subject to EPCRA, refer to instructions
207
' COMMON NAME EHS' ^ Yes ^ No 208
. -
CAS # 209 •If EHS is'Yes,' all amounts below most be in lbs. '
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief)
2t0
TYPE -^_ ...__.__...- -- - - -._.. ... - - - CURIES 2t3
PURE ^ m MIXTURE ^ w WA£-= .. Z~,!•IOACTIVc ^ Yes ^ No 212
PHYSICAL STATE ^ s SOLiD ^ I UOUtD ~9 GAS 274 ~RGES~~Tyy~+CONTAINER 7 2~ 215
FED HAZARD CATEGORIES ^ t FIRE ^ 2 REACTIVE ~ PRESSURE ftELEi,SE (r~A;U"E HEALTH 1 ^ 5 CHRONIC HEALTH 276
(Check all that apply)
ANNUAL WASTE 27T ;d4XIMUtit 218 A.VLRACE rn 2t9 ~ STATE WASTE CODE 220
' AMOUNT DAILY AMOUNT ~ ~ ~ DAILY AMOUNT ~l J V ,
UNITS• ^ ga GAL ~ CU FT ^ Ib LBS 1~ to TONS 221 i DAYS ON SITE - 222
' If EHS, amount must be in lbs.
STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223
(Check afl that apply)
' ^ b UNDERGROUND TANK ^ f CAN ~ j BAG ^ n PLASTIC BOTTLE ^ r OTHER
^ c TANK INSIDE BUILDING ^ g CARBOY ^/~/k BOX ^ o TOTE BIN
i ^ d STEEL DRUM ^ h SILO ~ E291..CYLINDER ^ p TANK WAGON
STORAGE PRESSURE ^ a AMBIENT aCTaa ABOVE AMBIENT ^ ba BELOW AMBIENT 224
i- ----------.. ... _. " -_.. _. _. .
j STORAGE TEMPERATURE ~aAMB1ENT ^ as ABOVE AMBIENT ^ b3 BELOW AMBIENT ^ c CRYOGENIC 225
~ %VVT HAZARDOUS COMPONENT EHS i CAS #
.. ~. _
1 226 ~ 227 ^ Yes ^ No 228 229
Cf-E Zo2O>7 r~"tvv2~ w-C-f1~*!C........ '... .
2 i 230 231 ! ^ Yes 233
i i , ^ No 232
. .
3 ~ 234 235 ^ Yes 237
^ No 236
:...---I - -------._.. _..--_-F--------..._
~ 4 238 I 239 --- --------------_...--------- 241
Il ^ Yes ^ No 2a0
~ ~ i
~ ----- ~----- --- ------ ---- -___.._.. .. . _ -.._. .. ... _. j .. -.. . - ,---_...~.-- -- ---------------
5 i 242 243 ! ^ Yes ^ No 244 245
III. SIGNATURE
C ~ PRINT NAME 8 TITLE OF AUTHORIZEC COMPANY REPRESENTATIVE ~ ~ ~- ~ ~ ~~ ~~ ~ ~ ~ SIGNATURE ~ DATE _ 246
C.1~'~J - --- _ ----- - - - --
L .....-- - ---... --- ...------ - ---- .-_ . .~ ~ ~ ~ 1- ~ ~ - -
UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd
,~
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;AIR CONTROL,,QQSERVICES SiteID: 015-021-003005
`Manager 4J~M wQ ~~ BusPhone: (661) 327-8755
Location: 515 E 1.9TH ~~ 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
ROGER NOBLE / ESTIMATOR BEN ~RwQ~dY~/ OWNER
Business Phone: (661) 327-8755x Business Pho (661) 589-9431x
24-Hour Phone (661) 979-9638x 24-Hour Phone (661) 979-~-63.5•x 9L3
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact ROGER NOBLE Phone: (661) 327-8755x
MailAddr: PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Owner BEN ~ ~(JQ p-ytS~i1~'
~ Phone : ( 6 61) 5 8 9 - 94 31x
Address PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT 0
~N~`~ ~~~ ~~~7 '~ ~~
Esa:;e on my in irjr of those individuals
the information, I certify
b finin
g
resp nsible for o
under penalty flaw that I have personally
examined an am familiar with the information
submitted d believe the information is true,
accurate nd complete.
~-- ~-3v-~~
`
Si nature Date
-1- 03/20/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
R 22 FREON F P IH G 6150.00 FT3 Low
-2- 03/20/2007
-3- 03/20/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
R 22 FREON Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SW CRNR CAS#
75-45-6
STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE
~GdS I Pure ~Abcwe Amhi ent I Amhi F?nt I MF.TAT, CC~NTATNR-N(~NT1RiTM I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
123.00 FT3 6150.00 FT3 I 6150.00 FT3
r~c~.~.cLVU~ ~.vrirvlv~ly 1 S
oWt. RS CAS#
100.00 Chlorodifluoromethane No 75456
ruyur~c~L t-ia a~a~ri~ivt~ -
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-4- 03/20/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ ~ Agency Notification 03/21/2006 ~
IN CASE~OF A FIRE, THE ALARM COMPANY WOULD RECEIVE A SIGNAL AT THEIR CENTRAL
OFFICE AND WOULD THEN CALL THE FIRE DEPARTMENT. THE OWNER WOULD THEN BE
NOTIFIED.
Employee Notif./Evacuation 03/21/2006
IN CASE OF A FIRE DURING BUSINESS HOURS, THE EMPLOYEES WOULD EXIT THE
BUILDING USING THE ATTACHED EXIT PLAN.
;Public Notif./Evacuation ~ _
x t~ ~l-~rou h m c-tr~ ~-~'~vn ~ ~v r
!~ ~-o~ a'rea-_
or ~ ~l
Emergency Medical Plan
09/20/2006
IN CASE OF AN EMERGENCY, OUR HEALTH CARE PROVIDER IS PROFESSIONS HEALTHCARE
INC, 1800 WESTWIND DR, 327-9617.
-5- 03/20/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention
Release Containment 03/21/2006
CHEMICALS, SUCH AS FREON, ARE PURCHASED AS NEEDED FOR MAINTENANCE CUSTOMERS
AND THE RECLAIMED CHEMICALS ARE DISPOSED OF AFTER A 40-GAL DRUM IS FILLED.
THE RECLAIMED, USED MATERIAL, IS THEN DELIVERED TO A CERTIFIED REFRIGERATION
SUPPLIER.
~.icall v~
V1.11CL iCC.7VUL l.:C til: l.. 1.VCi l.1 V11
-6- 03/20/2007
F AIR CONTROL SERVICES SiteID: 015-021-003005 ~
Fast Format ~
=~ Site Emergency Factors Overall Site ~
~J~JCl:1d1 Ild'GCLL Ub'
Utility Shut-Offs 01/24/2007
WATER, GAS, AND ELECTRICITY SHUT-OFF VALVES SE CRNR OF BLDG.
_Fire Protec./Avail. Water ,`~
~~~j-- C~ ~ e~, I ~n ~-~
~. I ~-I~ ~ ~'.
_Building Occupancy Level
3 '~
-7- 03/20/2007
r
/.
,, j
/~
F AIR CONTROL SERVICES
~~ Training
~` Employee Training,
SiteID: 015-021-003005 ~
Fast Format ~
Overall Site ~
Sew ~a~ ~.
ra.y c ~
Held for Future Use
czclu .~vt r u~uLC ~~c
-8- 03j20/2007
' FIRE SAFETY 8~ EMERGENCY EVACUATION PLAN
Air Control Services
Upon discovery of fire or smoke:
1. Sound the building's fire alarm. This is done by pulling the nearest fire alarm station. If no
fire alarm pull station is close, call the switchboard/operator.
2. Evacuate all employees according to routes posted in the offices,
3. Close all office doors (do not lock doors).
4. Call the fire department by dialing 911. Person or position responsible: Ben Wagoner,
Roger Noble
5. Meet the fire department at 515 E. 19th Street. Person or position responsible: Ben or
Roger
6. Building re-entry can occur when authorized by fire official in charge or it has been
determined that no emergency exists.
Life Safety Strategies:
~-' Total Building Evacuation
^ Total Building Evacuation with "safe rooms" for disabled
^ Zoned Evacuation or "Defend-in-Place"
Evacuation:
1. Upon activation of the fire alarm or discovery of smoke or fire, all persons shall evacuate in
accordance with the fire evacuation plan.
Evacuation of Disabled:
1. Upon activation of the fire alarm system, disabled persons are to be moved outside the
building
2. "Floor Plan of Building:
Fire Extinguisher
UNIFIED PROGRAM INSPECTION CHECKLIST
~,.:"°.+n+.:-'4\??~YS:i:f.^Y,Xe+...F.TY. F ... ~.+-,.:: t .: .,; '. .. .:e....-:•' ..-. '.::.; ~. ....:... ... A., ..
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
s Prevention Services
Aift~ 900 Truxtun Ave., Suite 210
~t>r~ Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPEC ION DATE INSPECTION TIME
ADDRESS ~ I ~ ~ - ^ ~ e~~ '
(VI,~~C.1_ rJ( c HONE NO.
2~ - fl ass O OF EMPLOYEES
FACILITY CO TACT
~
L USINESS ID NUMBER
~s-oz~- ~
~~
d_
e
r t
Section 1: Business Plan and Inventory Program ~~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ R PECTION
C V ~ C=Compliance OPERATION COMMENTS
V=Violation
^ APPROPRIATE PERMIT ON HAND
_ ^ BUSIf1t3SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY - ~A ~ ~ ~\ C1
1
`
~ ~-
^ VERIFICATION OF INVENTORY MATERIALS -
~~~
t7~
^ VERIFICATION OF QUANTITIES YJ ~ N ~ vl
J ~
~
^ VERIFICATION OF LOCATION `~//jj//JJ (n'~
^ PROPER SEGREGATION OF MATERIAL ~
Q~~
^ -- _ _----_ -
VERIFICATION OF MSDS AVAILABILITY --- ----- - - --- ~- -._... ~-
- ----- ------ _. -__._.__ -___....- -------
/LGr-
7~
^ VERIFICATION OF HAZ MAT TRAINING
^ RIFICATION OF ABATEMENT SUPPLIES AND f~~ ~~~ q _
'PROCE
DURES a.~ .L
QI
77 ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
C~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO
EXPLAIN: _ _
~UEST /SlR R I G THIS INSPECTION? pLEABE CALL US AT (881) 328-397
/ ~~
Inspector (Please Print) Fire Prevention / 1" In /Shift of SNelStation Y
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD204e (Rev. 02/05)
+ AIR CONTROL SERVICES ________________________________ SiteID: 015-021-003005 +
Manager ROGER NOBLE
Location: 515 E 19TH ST
City BAKERSFIELD
BusPhone: (661) 327-8755
Map 103 CommHaz Low
Grid: 29C FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:
I
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
ROGER NOBLE / ~~77~~d~ ~c.~v (,.~ra~prv~-~(Z~ / ~/~s~/[x~-a•~7~
Business Phone: (661) 32T-8755x Business Phone: (661) 327-8755x
24-Hour Phone (fa(o/ )~~7-S~ 24-Hour Phone (66/ ).a27 -87~~'
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
- -C-ontac--"t --~20GBR -NOBLE-------~ - - - ~_ - - -. ph one :~(_6.61,)_~3 2 7~ 8.7 5 5 x
MailAddr: PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389 I~~
Owner ROGER NOBLE Phone: (661) 327-8755x
Address PO BOX 10595 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal ~
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo: -~
Emergency Directives: - -_ - ~
~i
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-1- 12/22/2005
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