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HomeMy WebLinkAboutBUSINESS PLANu H ~ V~ ~ M } ~ .~ ~ ~ ~~ ~- ~7 '~.eS'il~~ill ~tt`'~~ss ~~t,,..~,~. C113 ' \\ ~~ r -- ~~ ,~ n , ~p ~~ mod, ~a ~ ~ <~ ~Q~ ~~ ~~ v~ ~, ~~.>= '' --_~_ ~- ~~3~ UNIFIED PROGRAM INSPECTION CHECKLIST SECT 1 O N 1: Business Plan- and Inventory Program j iu. ^ YES FACILITY NAME _ sToTG~/~ - Co ~ INSPECTION DATE - i -©-~ INSPECTION TIME ~l~ ADDRESS ~ ~ ~ ~ ~ PHONE~~~ /rJJ NO OF EM~YEES FACILITY CONTACT ~~~ D ~~ USINESS ID NUMBER 15-021-QO©~~ Sec#ion 1: Business Plane and, lnvenfory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C . V ~ C=Compliance OPERATION ~ V=Violation ~ COMMENTS ~/ ^ /APPROPRIATE PERMIT ON HAND Lr f , ,, / L `7 ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~ / C7 ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY C Y ^ VERIFICATION OF INVENTORY MATERIALS ~ / L~J ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION C~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING 1~ 1 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE Q~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUE RDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l~~~/le' Inspector (Please Print) Prevention Services B E R S F I 'D --._. 900 Truxtun Ave., Suite 210 P/RE Bakersfield, CA 93301 ARTM r Tel.: - (661) 326-3979 Fax: {661) 872-2171 ncr-Dais Fire Prevention / 1" In /Shift of Site/Station # Basin s Site / Resp Bible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 z, r STOTLER CO INC SiteID: 015-021-000018 Manager DAN STOTLER Location: 917 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: BusPhone: (661) 322-7700 Map 103 CommHaz High Grid: 19A FacUnits: 1 AOV: SIC Code: DunnBrad: Emerge ntact / Title Emergency Contact / Title Business Phone: 322-7700x Business Phone: (~~~') 3~-z-~~~`"°x 24-Hour Phone 661) 8 -7036x 24-Hour Phone (bvj)'~~~ -~Yk~x Pager Phone (661) 331-3241x Pager Phone ((~f>i )77 / -~2~~ x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact DAN STOTLER Phone: (661) 322-7700x MailAddr: 917 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner ~`I.C~ R~ ~~~ .~i-o '~ ~~~ Phone: (661) 322-7700x Address O~ ST ~''~~'~ ~~'~•" ~ ~"' `'~ State • CA City :,~ FIELD 'TJ~-~-~ S R ~~~'° Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ENr~D ~ uG o s ~~~~ PROG A - HAZMAT Based on my inq+_~iry of those individuals respc?nsih!e fclr obtaining the informatian, !certify un~fer ~enaity cf 9avr that ! have ;personalty examir;ec and am familiar with the information submitted and is Y lieve the information is true, accurate, and complete. ~~~?/,~7 Signature Date -1- 07/16/2007 f ~ F STOTLER CO INC SiteID: 015-021-000018 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 143.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low -2- 07/16/2007 r i -3- 07/16/2007 it' ~ F STOTLER CO INC SiteID: 015-021-000018 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W SIDE OF SHOP CAS# STATE TYPE PRESSURE TEMPERATURE Gas TPure -Above Ambient Ambient 74-86-2 CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 143.00 FT3 143.00 FT3 143.00 FT3 riHGl-~KLVUS ~vlnr~lv~lvl~ sWt. RS CAS# 100.00 Acetylene Yes 74862 tu~~rittL tja~~~5lnl;lvla TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W SIDE OF SHOP CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 249.00 FT3 249.00 FT3 249.00 FT3 11ti4tii[LVUJ 1.V1~lYV1VP~1V l~J gWt. RS CAS# 100.00 Oxygen, Compressed- No 7782447 titiGH.KL Hw 7.7.GJ.71°1L' 1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/16/2007 =~ F STOTLER CO INC SiteID: 015-021-000018 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 07/16/2007 . ,. F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment ~, Other Resource Activation -6- 07/16/2007 .. ~ i, F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 ridGdLUwS' V 1.1111.y ~J11UL-Vllw7 111C r1Vl.CG/tiVQ11 WGi l.C1 D U111A111y Vl.: I. U~J Qlll~y LCVC1 -7- 07/16/2007 F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rdy e ~ Held for Future Use Held for Future Use -8- 0~/16/200~ UNIFIED PROGRAM INSPECTION CIiECKLIST SECTION 1 Business ,Plan and Inventory Program • FACILITY NAME O /~ N TIME 5 ,p~ . _ ___ . _. - ~PECTI.1L~---- INS~~'M ~ __ - -- ADDRESS PHON~o. No. of Employees ~~ ~----~~~ - --_ ------------------------- ._ __ _ _---- ._ ___ _ _ _ -- - - ----_7_ ZD_~ .--~--- -----. FACILITYCONTA ~ ~ Business ID Number ~ 15-021-~ Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 Section 1: Business Plan and Inventory Program Routine O Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection V C ncel OPERATION t COMMENTS J IV=Yoa on 1~ , l'D ^ PERMIT ON HAND APPROPRIATE ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I~ ^ ~ VERIFICATION OF INVENTORY MATERIALS _. .. . ... . ^ VERIFICATION OF QUANTITIES I _ _ _ . ...-- ... ..... . _ _ E~T°D flA /t~ ~ ~ '_~~~~---_ V. FYI /i ^ .VERIFICATION OF LOCATION ^ 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 __.. _. _ ~ ~/ ~~ ~{'- ^ SITE DIAGRAM ADEQUATE Ei ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NNO EXPLAIN: QUESTIO REGARDING THIS INSPECTIONS PLEASE CALL US AT ~CF)') ~ 3Z6-3979 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White • Environmental Services Yellow -Station Copy Busi°ne~ esponsible Party (Please Print) Pink • Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST .~ ~~~ •~. SECTION 1 Business Plan and Inventory Program i~ / Bakersfield Fire Dept. Environmental Services c' 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 FACILITY NAME ,, ~~ ADDRESS FACILITYCONTACT -.~-_~_____~__s___ _lD ~s_ _-.-._ NE No No~of Employees r2 7~~ ess ID Number 15-021- Section 1: Business Ptan and Inventory Program ~toutine ^ Combined 0 Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C V ncel OPERATION t COMMENTS J lV=Vioa on ^ PERMIT ON HAND APPROPRIATE ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~C ^ t------ - CORRECT OCCUPANCY -- --- ----..---- --_-_ -_---- ---- ----- _..--.... _ _----- ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES I ~ ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~J ^ VERIFICATION OF FIAT MAT TRAINING ' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -- - -- , ~; ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING _ _ _ __. IRE PROTECTION _..__ . . ~ - ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NO EXPLAIN: • ~ QUESTIONS REGARDING THIS INSPECTIOfJ~ PLEASE CALL US AT ~t)t)'I ~ 3Z6-3979 Ins'ector (Please Print) Fire PreventioT~ tst-In/Shift ~f Sits White -Environmental Services Yellow -Station Copy mess Site Reston Ible ~~rcy (~ ase print) ~ Pink -Business Copy i~ .. it + STOTLER CO INC =________---___________________________ SiteID: 015-021-000018 + Manager BusPhone: (661) 322-7700 Location: 917 34TH ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: ~ DunnBrad: Emergency Contact / Title Emergency Contact / Title DICK STOTLER / OWNER / Business Phone: (661) 322-7700x Business Phone• (~'~) ~7 ~ -'~~`~t x 2 4 -Hour Phone ( 6 61) 8•~.-'9'fj'®'~c "7 ~7 ~ 2 4 -Hour Phone ( t~' -~ x Pager Phone .: ( ) - x Pager Phone ( ~ --r x Hazmat Hazards: Fire Press ImmHlth DelHlth ~~ Contact DAN STOTLER Phone: (661) 322-7700x MailAddr: 917 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner DICK STOTLER Phone: (661) 322-7700x Address 2520 CORTO ST State: CA City BAKERSFIELD. Zip 93306 Period to TotalASTs: _ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ------------------------------------------------------------------- Emergency Directives: /~(~ PROG A - HAZMAT t ~~ "~ a ~ ENT'D J U L 2 4 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~ ~ ~~ fln atl IrA Date ~~~ ~~/_ 322_•~•~~o -1- 04/03/2006 >~`~- S'TOTLER CO INC Manager c-r7~.~d- ~`c~T'~L~ 1' Location: 917 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: ~!-t(J~ SiteID: 015-021-000018 BusPhone: (661) 322-7700 Map 103 CommHaz High Grid: 19A FacUnits: 1 AOV: SIC Code: DunnBrad~: Emergency Contact / Title Emergency Contact / Title DICK STOTLER / OWNER / Business Phone: (661) 322-7700x Business Phone: ( ) - x 24-Hour Phone (661) 871-7036x 24-Hour Phone ( ) - x Pager Phone (661) 331-3241x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact DAN STOTLER Phone: (661) 322-7700x MailAddr: 917 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner DICK STOTLER Phone: (661) 322-7700x Address 2520 CORTO ST State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives : ~ '~.0O~ PROG A HAZMAT C 4~~~~ ~~ O~ B'sed ert iiy inrfairy of those indivi~i~aaip responsible for obtainir~y the ire#errhatign, ! cHrtify under penalty of iaw that I have personally fjy~ examined and am familiar with the information C~i/ ~ ~~~3 submitted and believe the information is true. p A accurate, and complete. ~~~ ~gnature Date -1- 02/16/2007 _ ~. F STOTLER CO INC SiteID: 015-021-000018 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order- Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 143.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low -2- 02/16/2007 '3- 02/16/2007 t , F STOTLER CO INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit INSIDE W SIDE OF SHOP STATE TYPE PRESSURE _ Gas TPure ~lAbove Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 143.00 FT3 143.00 FT3 143.00 FT3 ru~~tittL~ua ~:vt~irvlv~;lvt5 %Wt. RS CAS# 100.00 Acetylene Yes 74862 r~~r~rcL r~55~~ai~i~iv1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit INSIDE W SIDE OF SHOP STATE TYPE PRESSURE _ Gas PureAbove Ambient SiteID: 015-021-000018 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co249100rFT3 Daily 249100m FT3 I Daily 249r00e FT3 ISHGL•i.tCLVU.7 ~.vl~lrvlv~lvl~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ril-~GHitL H.7J~~J1~1C,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/16/2007 F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation r .~ r l.Ll/ 1 1 V 1Y V V 1 1 ~ L' V Q V U 0. V 1 V 11 r,uici.ycll~y i•icul~:cxi rlalt -5- 02/16/2007 F , F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention ~ ~~ Release Containment l,lCdll U~J V 1.11Ci LCC~VIiL LC t'LC: l..1Vdl. lCJil -6- 02/16/2007 F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ 47~JC 1:1 C11 L3CLG CLL US Utility Shut-Offs Fire Protec.%Avail.-Water iJ lLl llA lily VVV U'tJ CLlll.y liC VC1 -7- 02/16/2007 F STOTLER CO INC SiteID: 015-021-000018 ~ Fast Format ~ ~ Training Overall Site ~ 1SLILYIV~/C~ lld1i11i1C_j. _ YdyC L Held for Future Use ric~.u ivi r u~.uic voc -8- 02/16/2007