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Home My WebLink AboutBUSINESS PLAN k UNIFIED PROGRAM INSPECTION CHECKLIST SECTION- 1: Business Plan and Inventory Program` i H E R S F I D F/RE ~RrM r Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME . - ~ INSPECTION DATE INSPECTION TIME ~ ` ' 1~ . ~ I'^ ~~'' ^ Q ~ . ~. 6 ADDRESS SZo ~?~+ . ~ PHONE NO. 3z~ a~ Z'f O OF EMPLOYEES 3 FACILITY CONTACT USINESS ID NUMBER ~1~ g~ s 15-021- qOo$$' v c Section 1: Business Plan and Inventory Program j `"'~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND O ^ BUSI11eSS PLAN CONTACT INFORMATION ACCURATE EIV D ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~I ^ 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 ~,,/ ld ^ EMERGENCY PROCEDURES ADEQUATE / ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~] NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ /~~ 5,.~6W ~ ~'.rT t ~^ ~6 ~~ Inspector (Please Pri t) Fire Prevention / 1~' In /Shift of Site/Station # Business Site I Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 i ~' + KERN REFRIGERATION SUPPLE' ___________________________ SiteID: 015-021-000851 + Manager BusPhone: (661) 327-9774 Location: 820 20TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 30B FaCUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: ~ DunnBrad: Emergency Contact / Title Emergency Contact / Title ADIN R BOSS / PRE'S'IDENT / Business Phone: (661) 32T-9774x Business Phone: ( ) - x 24-Hour Phone (661) 871.-8124x 24-Hour Phone ( ) - x Pager Phone (661) 70'6-4797x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact Phone: (661) 327-9774x MailAddr: 820 20TH ST State: CA City BAKERSFIELD Zip 93301 Owner ADIN R BOSS Phone: (661) 871-8124x Address 1505 CRESTMONT State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ENT MAR ~ ~ 2006 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- _.. 02/27/2006 ; DATE ........................................... PHONE....................................................: CUSTOMER ................................................................................ CUSTOMER P.O .........................~........................................... DELIVERY .................................................. N ............................ ORDEf ~~ ~•• /~-` `'mow ~, -~~ Kern Refrigeration Supply 1 ~ P.O. BOX 3373 E. (8f~ 327.9774 T BAKERSFIELD, CA 93385 BAKERSFIELD, CA 907 .(869}~BQi-F'r1~ K 5 w ate: ~.. ,~~ e~~~~u~ ~ ~: ~~ ~ sue. ~ I~ L `~ ~ . C~-l \ Q ~ 1 .- ~ cry ~~ C~ f---;- l C ~ ~ S ~ ~ S~~`~ ~ f-~-i~-~ Fl - 2 KERN REFRIGERATION SUPPLY Manage"r Location: 820 20TH ST City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: ~~ i D• 015-021-000851 S teI . BusPhone: (661) 327-9774 Map 103 CommHaz High Grid: 30B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ADIN R BOSS / PRESIDENT / Business Phone: (661) 327-9774x Business Phone: ( ) - x 24-Hour Phone (661) 871-8124x 24-Hour Phone ( ) - x Pager Phone (661) 706-4797x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth Contact Phone: (661) 327-9774x MailAddr: 820 20TH ST State: CA City BAKERSFIELD Zip 93301 Owner ADIN R BOSS Phone: (661) 871-8124x Address 1505 CRESTMONT DR State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: ' Emergency Directives: ~ PROG A - HAZMAT ~ ENT'D JUN 0 ~ X007 3ased on my inquiry of those individuals responsible for obtaining the information, f certify under pena{ty of law chat I have personally examined and am familiar with the information submitted and believe the information is true, accurate, «nd complete. Signature ~ Date -1- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 385.00 FT3 Hi ACETYLENE E F P IH G 90.00 FT3 Hi SOLVENT F L 4.00 GAL Hi ACETONE F R IH L 500.00 FT3 Mod R-22 P G 4000.00 FT3 Low OXYGEN F P IH G 450.00 FT3 Low NITROGEN P G 400.00 FT3 Min MINERAL OIL F L 72.00 GAL Min -2- 05/22/2007 -3- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ ~ Inventory Item 0048 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 L ation within this Facility Unit Map: Grid: CRNR UNIT 4 CAS# ~ W 74-86-2 ~GasATE ~PureE -~mbRent~E ~ A~PeRATURE PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Contai er Daily Maximum Daily Average t~ c~ 3 . 00 FT3 385.00 FT3 190.00 FT3 - rlt-~~titcl.~vu5 ~v1~irVlvl,ly l a %Wt. RS CAS# 100.00 Acetylene Yes 74862 r1r~~ritcL x~ ~lJ~~lnl;lvia TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0038 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit -UNIT 2 I~BLDG M K! vV ~GaSATE TYPE PRESSURE TPure Above Ambient 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 Daily Average 90.00 FT3. 90.00 FT3. 45.00 FT3 11a`~GHtCLV U.7 1.V1~lYV1VL" 1V 1.7 %Wt. RS CAS# 100.00 Acetylene Yes 74862 ti1~GHKL Li.7.7.C~J.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ ~ Inventory Item 0071 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: A, ~ CAS# /~ W _ _ - 2 64742-98-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 4.00 GAL 4.00 GAL t1tiGKttLV V ~J 1.V1~lYV1VJJIV 1 D %Wt. RS CAS# 50.00 Stoddard Solvent No 8030306 10.00 Dichloromethane No 75092 8.00 Perchloroethylene No 127184 _--- Ilt-),GHiCL Li.7 .7P~~7~J1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0069 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETONE Days On Site 365 Location within this Facility Unit Map: Grid: N vU ~y ~~02 CAS # 67641 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure -Above Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 FT3 500.00 FT3 400.00 FT3 HAZARDOUS COMPONENTS ~Wt. 100.00 Acetone HAZ RSI CAS# No 67641 ARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Mod -5- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ ~ Inventory Item 0060 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME R-22 Days On Site 365 Location within this Facility Unit Map: Grid: w -" Vvl /4- t n.- Lj~ (~ -~ N W tv ~ l= CAS # ~~ _ ~ 75-45-6 ~GaSATE TYPE T PRESSURE ~ BeMowAmbient I CONTAINER TYPE TPure I Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 134.00 FT3 4000.00 FT3 1500.00 FT3 t1AGL-1tCLVUJ 1.V1~lYV1VL'1V7J %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 tiHGL~t~CL 1-~,55L' 5~1~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Low ~ Inventory Item 0037 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit ~ ~~, `~ ~GasATE T TYPE PRESSURE ~~ I Pure Above Ambient I 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 185.00 FT3 450.00 FT3 250.00 FT3 iltiGti[CLVUJ 1.V1~lYV1V ~1V 1.7 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ruic,tstcL t-~a a n J arilJly 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -6- 05/22/2007 F KERN REFRIGERATION SUPPLY ~ Inventory Item 0050 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit I~ W _ 2 ~GaSATE TYPE PRESSURE TPure Above Ambient SiteID: 015-021-000851 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 FT3 400.00 FT3 I 200.00 FT3 riHGHKLVU~ w1~1r~1vL1v15 %Wt. RS CAS# 100.00 Nitrogen No 7727379 nti~r-ucL t~aa~aai~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Min ~ Inventory Item 0024 COMMON NAME / CHEMICAL NAME MINERAL OIL Location within this Facility Unit ~Q-,~r-4-2 i~ ~3 ~- STATE TYPE PRESSURE Liquid TMixtur~Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64-74-2 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maxim m Daily Aver ge 1.00 GAL 3(0 .00 GAL f Z .00 GAL iztic~r~LV V ~ ~.vrlrvlv~ly t ~ %Wt. RS CAS# 100.00 Mineral Oil No 8020835 i1tiL~riRL 1-1. 7 w7 P~J.71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min -7- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/21/2000 IN EXTREME EMERGENCIES CONTACT FIRE DEPT, HAZ MAT UNIT. .REFER TO MSDS IF SMALL SPILL OR LEAKAGE. LOCAL BUSINESS OWNER CAN CONTAIN AND DISPOSE OF MATERIAL AS PER LOCAL, STATE, FEDERAL REGULATIONS. Employee Notif./Evacuation 10/29/1991 NOTIFICATION OVER PA SYSTEM OR VERBAL AND CALL 911. Public Notif./Evacuation 09/21/2000 NOTIFY NEIGHBORING COMPANIES AND FAMILY UNITS. EVACUATE TO A SAFE DISTANCE. REFER TO MSDS FOR HAZARD TYPE AND PROCEED WITH CLEAN UP AFTER EVACUATION. Emergency Medical Plan 03/24/2006 NOTIFY OFFICIALS OF ACCIDENT AND TRY TO MINIMIZE FURTHER DESTRUCTION OR HARM. KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 SAN JOAQUIN HOSPITAL - 2615 EYE ST - 395-3000 GOLDEN EMPIRE AMBULANCE - 325-9011 HALL AMBULANCE SERVICE - 821-4357 -8- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/29/1991 ~ MATERIAL PACKAGED IN SMALL PACKAGES FOR RESALE CONTAINERS AND PROPERLY STORED. N U O ~1 ~ ~-~-~- l.C ~ C3~ lnn /~--I-e2~ n~ S Release Containment 10/29/1991 IF SPILLS, USE ABSORBANT MATERIALS AND DAMN FLOW OF MATERIALS. IF SOLID SPILLS, SECURE AREA AND CLEAN UP IN PLASTIC LINED CONTAINER. IF REFRIGERANT, SECURE AREA AND WAIT UNTIL CYLINDER HAS VENTED CONTENTS, BE SURE TO VENTILATE AREA. Clean Up 03/24/2006 USE APPROVED CLEAN-UP CONTAINER TO REMOVE SPILLAGE MATERIAL TO APPROVED SITE. REFER TO MSDS FOR PROPER HANDLING OF WASTE. V1.11CL iLC.7"UUiUC 19U1.1Vdl.lUil -9- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oYc~:lai na~caiu5 Utility Shut-Offs 12/21/2006 A) GAS - REAR OF UNIT I IN ALLEY B) ELECTRICAL - REAR OF UNIT 3 BACK OF N WALL C) WATER - REAR OF UNIT 5 IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/13/2006 FIRE HYDRANT - CRNR 20TH & P Building Occupancy Level 12/21/2006 3 EMPLOYEES -10- 05/22/2007 F KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Fast Format ~ ~ Training _ Overall Site ~ ;'Employee Training 03/24/2006 MATERIAL SAFETY DATA SHEETS ARE ON FILE. S c"~- - ra1yc ~ - -- ~C' 1. ~ ~' ~" ~ ~ ~-2..~~- ~ ~.~-~-~ ' U ~~ 1~~~ cS (~ (r ~ L~ ~~ S '~ C ~-i~-~~.n~ C sa. L S 'l ~ ~U'P~.~ raC1u LVt rUI.ULC 11~C nC1u 1CJL ru~uie use -11- 05/22/2007