Loading...
HomeMy WebLinkAboutBUSINESS PLAN 6/19/2007rn~ I,, ~ H VI y } O N L V M ~ H N~ C M ~; t ~ ~ f7 i ~_i ~~~q. UNIFIED PROGRAM INSPECTION CHECKLIST -1 } SECTION 1: Business Plan and Inventory Program t Prevention Services B ._ >? R...S_ F ._ _ 0 900 TrUxturi Ave., Suite 210 F/RE Bakersfield, CA 93301 ARiM T Tel.: (661) 326-3979 Fax:- (661) 872-2171 FACILITY NAME- C INSPECTION DATE ~'"~ l~ ~ ( INSPECTION I ~ ~` ADDRESS ~J ~( ~j C /~ O~ U ~ -L ~- ~ J . C... P~HO`N/`E NO. A p!!l ~ ~~/ NO OF EMP OYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021-Od.~ ~ S.S ~L~ (.~~i~ ,~ LPL Se~tio~~1~ Buslnes~s P~a~ and Inventory Programs ®~OUTINE ^ COMBINED. ^ JOINT AGENCY ^ MULTI-AGENCY - ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS 1S ^ APPROPRIATE PERMIT ON HAND (~^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY - ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^~^ VERIFICATION OF LOCATION - LY ^ PROPER SEGREGATION OF MATERIAL C ~ ^ VERIFICATION OF MSDS AVAILABILITY , _,, / L7 ^ VERIFICATION OF HAZ MAT TRAINING ' B~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C7 ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING - / ^ L~ FIRE PROTECTION ~y~B~,~ 5 !~~ ~~ y„/c~~~ ~ ~O /` ~f j/ G( .J ^ SITE DIAGRAM ADEQUATE & ON HAND ~~~o ,~-ia-- Q~ -~ ANY HAZARDOUS WASTE ON SITE? ^ YES C~IQ~ EXPLAIN: QUESTION EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Business e / Responsible P y ase Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~~c ,,~~5 ~ ~ Esc Manager RUSSELL GERBERICK Location: 1328 34TH ST C City BP;KERSFIELD CommCode: BFD STA 04 EPA Numb: ~,n~~ BusPhone: Map 103 Grid: 19A SIC Code: DunnBrad: SiteID: 015-021-002849 (661) 869-2528 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title RUSSELL GERBERICK / SUPERVISOR SAL SALGADO / JOURNEYMAN Business Phone: (661) 862-5706x Business Phone: (661) 862-5706x 24-Hour Phone (661) 213-6262x 24-Hour Phone (661) 979-3238x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact RUSSELL GERBERICK Phone: (661) 862-5706x MailAddr: 1328 34TH ST C State: CA City BAKERSFIELD Zip 93301 ---- Owner ~~•~St~.-!. co~i7'P2lJC,5 1~ Phone : ~~ _ _ Address w L ~~~ ~1;~~-L State : ~. C.~o- City ~~t ~ _ Zip ~ ~ ~.~`2„ Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives : EN~'~ ~AR C1`~ PROG A - HAZMAT V~ ~~ Based on my inquiry of. those individuals i respons ble for obtaining the information, I certify under penalty of {aw that I have personally examined and am familiar with the information submitted and believe the information is true , accurate, and comp 7 ~ ~ ~ _~~ Signature Date -1- 01/26/2007 F CAL AIR INC SiteID: 015-021-002849 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP R-22 G R-12 G 1500.00 400.00 LBS LBS Low Min -2- 41j26/2007 -3- 01/26/2007 F CAL AIR INC SiteID: 015-021-002849 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME R-22 Days On Site CHLORODIFLUOROMETHANE 365 Location within this Facility Unit Map: Grid: E END OF FAC 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 125.00 LBS 1500.00 LBS I 1000.00 LBS - tiHG1~iCLVU~ 1:V1~lYV1VI;1V1J %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 tiF~GKKL Aa 5 t5 ~ 51~11"~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME R-12 Days On Site DICHLORODIFLUOMETHANE 365 Location within this Facility Unit Map: Grid: E END OF FAC CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co125100rLBS Daily 400100m LBS I Daily 250r00e LBS t1tiGH.tCL V U 5 1:V1~1r Vlv rlv 15 °sWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 t1HG1itCL EiJJ1;.7~1~1J;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -4- 01/26/2007 n F CAL AIR INC SitelD: 015-021-002849 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation 04/12/2006 THE CAL AIR BAKERSFIELD LOCATION INCLUDES A SMALL OFFICE AND SHOP AREA. EMPLOYEE OCCUPANCY IS TYPICALLY LESS THAN 10 EMPLOYEES AS MOST EMPLOYEES WORK IN THE FIELD. VOICE COMMUNICATION IS THE PRIMARY METHOD FOR COMMUNICATING FACILITY EVACUATIONS. r {,.L3J11V 1VV L1L ~ I.:tVGi 1. l.l0. Lll./ll Emergency Medical Plan 04/12/2006 CAL AIR UTILIZES BAKERSFIELD OCCUPATIONAL MEDICAL GROUP LOCATED AT 4570 CALIFORNIA AVE, 327-4527, FOR OCCUPATIONAL INJURIES. FOR LIFE-THREATENING INJURIES CAL AIR EMPLOYEES ARE INSTRUCTED TO CALL 911. -5- 01/26/2007 F CAL~AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ~~Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention ~2~'j # CY [,1..5 t~C-~Z`~ Gc~..L~c 4~.~1t ~C-~ i-~~t2~ ~c, L"12a..~1 ~' ~ ?1c C~A-~ ~.~ ~2+~ TC~ ~-1f ~.! 4i., l... ~ sri.~u.~=2 c~.s.5 C~'`~A~z~ ~~~~paLC.~-7-~~~.~ ~ E'~77~f~"1L SH~2rN~.cvlL+,~FZ vZ 5~~~~ ~C~~~ p.S .o GfLr~c..~~. c~C~6c ~.~iS p~2c~ 5'~2~ v,.~I i~-FC` L~fid[~^ SN-c-2..c= c~`4 SN~-EZ-~! usC~ u~ ~^c ~,y ~-f7~4 g~~ ~ ~..~C-~ T~ 'ti1-E' ~/- t-1-~c-C.F Lac CAS . Release Containment 04/12/2006 TYPICALLY, THE ONLY ,CHEMICALS HANDLED WITHIN THE BAKERSFIELD SHOP ARE FOR THE ACCUMULATION OF RECYCLED OIL OR RECOVERED REFRIGERANT. RECLAIMED OIL AND REFRIGERANT ARE ACCUMULATED FOR NO MORE THAN 90 DAYS AND SECONDARY CONTAINMENT IS FOR RECYCLED OIL. MOST CHEMICALS ARE USED IN THE FIELD AND ARE STORED IN 30-POUND CONTAINERS-FOR REFRIGERANT AND 1- TO 5-GAL CONTAINERS FOR OIL AND OTHER SYSTEM SERVICE-RELATED CHEMICALS. Clean Up 09/12/2005 EMPLOYEES ARE TRAINED ON CHEMICAL SPILL RESPONSE AND SPILL SUPPLIES ARE PROVIDED. V1.11C1 LCC w7VUl VC til. l.lVQl.1 V11 -6- 01/26/2007 ,~ F CAL. AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ,~ Site Emergency Factors Overall Site ~ ~~c~ial na~aiu~ Utility Shut-Offs 01/26/2007 GAS: BEH STE B ELECTRICAL: BEH STE B - MAIN - BATHROOM WALL EXT SUB Fire Protec./Avail. Water .12/13/2005 FIRE EXTINGUISHER MOUNTED WITH SIGNAGE. __ Building Occupancy Level 04/12/2006 1-2 EMPLOYEES -7- 01/26/2007 ~~ ~, F CAL~P,IR INC Training Employee Training I MSDS SHEETS ON FILE. SiteID: 015-021-002849 ~ Fast Format ~ Overall Site ~ 01/26/2007 ~ BRIEF SUMMARY OF TRAINING. PROGRAM: ALL EMPLOYEES WILL ATTEND AN ORIENTATION MEETING, INITIAL HIRE MEETING OR TAILGATE SAFETY MEETING FOR INFORMATION AND TRAINING ON.THE FOLLOWNG ITEMS RELATED TO HAZ SUBSTANCES: AN OVERIVEW OF THE REQUIREMENTS OF THE HAZARD COMMUNICATION STANDARD, INCLUDING THEIR RIGHTS UNDER THIS REGULATION, WHICH INCLUDE: TO PERSONALLY RECEIVE INFORMATION REGARDING HAZ SUBSTANCES TO WHICH THEY MAY BE EXPOSED; FOR THEIR PHYSICIAN TO RECEIVE THIS INFORMATION; AND NO EMPLOYEE WILL BE DISCHARGED OR INCUR OTHER DISCRIMINATION DUE TO EXERCISING THESE RIGHTS. ra.yC ~ _, ~_ nciu i.vi ru~..uic vac nciu ivi rui.u.~c ~~c -8- 01/26/2007 + CAL AIR INC ___________________________ ______________ SiteID: 015-021-002849 + Manager RUSSELL GERBERI~CK BusPhone : ( 661) `. °j - Z ? Location: 1328 34TH ST C Map 103 CommHaz Low City BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title RUSSELL GERBERICK / SUPERVISOR __-_ SAL SALGADO / JOURNEYMAN Business Phone: (661) 862-'~"~jCp ~' Business Phone: (661) 862-5706x 24-Hour Phone (661) 21.3-6262x 24-Hour Phone (661) 979-3238x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact RUSSELL GERBERI~CK Phone: (661) 862-5706x MailAddr: 1328 34TH ST C State: CA City BAKERSFIELD Zip 93301 Owner STAN MIDDLETON Address 12393 SLAUSON AVE D City WHITTIER Phone: (562) 698-g~~j~ x State: CA Zip 90606 Period to Preparers Certif ~ d: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT E(VT'D A R R 12 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 informatio is true, accurate, and co lete, ~, ~~ ~ - igna ure Date -1- 03/03/2006 _ ___ _ _ ~ ~- "CAL~AIR INC SiteID: 015-021-0028.49 ~cn2 ~'~~p a (~ Manager ~ f2~1~ 6 ~Y-3~~~ BusPhone : . (661)x-_-~^~-i-0 ~I(J"1 ~ Location: '~2-A~--S X325 3q~rg-r 5,,tr~C,Map CommHaz City BAKERSFIEL D Grid: FacUnits: 1 AOV: C CommCode : BFD STA EPA Numb ' Qi9'~1 ~, ~ \ SIC Code : DunnBrad ,~ ~(~~ . . _. n, Emergency Contact Title g ~P~ Emergency Contact / __Title _ ayg5 / . `5s.c.C~d~U / ~o~tZ.-1 c~1.r~A_.14~1 ~R-C-US~ Se;u Business Phone : (6 61) ~^'-~ "-~-~ ~~2.~ _ Business Phone : ((Qtel) 8fo2 -S~o(~ x 24 -Hour Phone (fit) Zt 3 - Co?.Co2 x 24 -Hour Phone (cocci ) 9~9 -3 Z3$x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact w.~tS~ ELL. G ~'~'ZtcaL. Phone : (6 61) ~^T ^ ^ ^ ^ r MailAddr: '-,~1--~~nn.K -~~, ~3z~ 34~'~' ~3T" S~c~G~ c- State: CA `+~Z°'S~°C~ City BAKERSFIELD Zip s~33~3 ~j 33U/ Owner STAN MIDDLETON l ~~- a~'2-~ ~"SG• Phone• (562) 698-8881x Address 12393 SLAUSON AVE AVE D State: CA City WHITTTIER Zip 90606 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: AS OF 11/2/05: MOVED TO 1328 34TH STREET, SUITE C 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. .cU1 // ~ C~J`~ Signatur - Date -1- 11/02/2005 F"CAL AIR INC SiteID: 015-021-002849 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ I Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI R-22 R-12 G 1000.00 FT3 ,Cowl 250.00 FT3 Min -2- 11j02/2005 F r CAL .~,IR INC ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME R-22 CHLORODIFLUOROMETHANE Location within this Facility Unit INSIDE EAST END OF FACILITY SiteID: 015-021-002849 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~ ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 125.00 FT3 ~ 1000.00 FT3 1000.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 t1HGKttLVU~J 1:V1~lYV1VL"1VT.5 ~Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 Gv~' -3- 11/02/2005 F CAL AIR INC SiteID: 015-021-002849 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME R-12 Days On Site DICHLORODIFLUOMETHANE 365 Location within this Facility Unit Map: Grid: INSIDE EAST END OF FACILITY CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Tmbient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 125.00 FT3 250.00 FT3 250.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 titi~tucL~u~ wi~irvivr~ivi~ %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 0 -4- 11/02/2005 F3 CAL AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation 09/12/2005 THE CAL-AIR BAKERSFIELD LOCATION INCLUDES A SMALL OFFICE AND SHOP AREA. EMPLOYEE OCCUPANCY IS .TYPICALLY LESS THAN 10 EMPLOYEES AS MOST EMPLOYEES WORK IN THE FIELD. VOICE COMMUNICATION IS THE PRIMARY METHOD FOR COMMUNICATING FACILITY EVACUATIONS. _,_ , _ ~ r ~ ~- -- - rus~iic Lvv~ii . / ~vac:uaLion Emergency Medical Plan 09/12/2005 CAL-AIR UTILIZES BAKERSFIELD OCCUPATIONAL MEDICAL GROUP LOCATED AT 4570 CALIFORNIA AVENUE, PHONE #661-327-4527 FOR OCCUPATIONAL INJURIES. FOR LIFE THREATENING INJURIES CAL-AIR EMPLOYEES ARE INSTRUCTED TO CALL 9-1-1. U~,~ o~~- -5- 11/02/2005 F~~CAL AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/12/2005 ~ ??????? Release Containment 09/12/2005 TYPICALLY THE ONLY CHEMICALS HANDLED WITHIN THE BAKERSFIELD SHOP ARE FOR THE ACCUMULATION OF RECYCLED OIL OR RECOVERED REFRIGERANT. RECLAIMED OIL AND REFRIGERANT ARE ACCUMULATED FOR NO MORE THAN 90 DAYS AND SECONDARY CONTAINMENT IS FOR RECYCLED OIL. MOST CHEMICALS ARE USED IN THE FIELD AND ARE STROED IN 30 POUND CONTAINERS FOR REFRIGERANT AND 1 TO 5 GALLON CONTAINERS FOR OIL AND OTHER SYSTEM SERVICE RELATED CHEMICALS. Clean Up 09/12/2005 EMPLOYEES ARE TRAINED ON CHEMICAL SPILL RESPONSE AND SPILL SUPPLIES ARE PROVIDED. ~Lner xesource r~cLivaLion d~ i -6- 11/02/2005 FvCAL AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ J~J~C:1d1 t1d`Ldi(.1S Utility Shut-Offs 09/12/2005 GAS : LOCATED? ? ? ? aE!-{-t~tD 5u ~ t"'~ ELECTRICAL: LOCATED??? .., ~~{,,.~ gu.t~ g-nn~r~t.~-! CB,gj~.{~t~c~,,~ ~~. ~'T~"i2..lc.~l2." 3Ub~ WATER: LOCATED????? LOCK BOX: YES OR NO Fire Protec./Avail. Water ~ t ~~-~ ~1 ~LC~c~.ttiSNt`~2. +1ti~~c`~ D w.t ~ 5 l ta.riAcC,,~ . ???????? 09/12/2005 Building Occupancy Level ~tL cx-~rz 5u rte' -~ i - Z- -iy~~ ck-t..~y 5v -'~ ~~ ac- ~+~" ~y , u a ,~ - z ~ ~ - i. µa.+¢. -7- 11/02/2005 F'~CAL AIR INC SiteID: 015-021-002849 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 09/12/2005 ~ NUMBER OF EMPLOYEES AT FACILITY: MSDS SHEETS ON FILE: ?? ~[~5 tee ^ ~ 2 An`Je.-cr4t-,~l/ tit'L. ~ - 2.. H-~5 . ALL EMPLOYEES WILL ATTEND AN ORIENTATION MEETING, INITIAL HIRE MEETING OR TAILGATE SAFETY MEETING FOR INFORMATION AND TRAINING ON THE FOLLOWNG ITEMS RELATED TO HAZARDOUS SUSTANCES: 1. AN OVERIVEW OF THE REQUIREMENTS OF THE HAZARD COMMUNICATION STANDARD, INCLUDING THEIR RIGHTS UNDER THIS REGULATION WHICH INCLUDE: A) TO PERSONALLY RECEIVE INFORMATION REGARDING HAZARDOUS SUBSTANCES TO WHICH THEY MAY BE EXPOSED. B) FOR THEIR PHYSICIAN TO~RECEIVE THIS INFORMATION. C) NO EMPLOYEE WILL BE DISCHARGED OR INCUR OTHER DISCRIMINATION DUE TO EXCERCISING THESE RIGHTS. raye ~ I nela =car ruzure use _, t_ neiu. iur r u~ure use -8- 11/02/2005 UNIFIED PROGRAM INSPECTION CHECIiCLIST SECTION 1 Business .Plan and Inventory Program Bakersfield~Fire Dept. Environm~:ntal Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 _ _ FACILITY NAME ADDRESS FACILITYCONTACT ~ i, __-~ a~_ /s I PHONE No. No. of Employees Business ID Number 15-021-~ gY Section 1: Business Plan and Inventory Program ~1j Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection L~ ANY HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 --- ~. _~~-~------ -----. __s~_. _ y~._._ ---- _ _ -- Inspector (Please Print) Fire Prevention 1st-InlShiR of Site White -Environmental Services Yellow -Station Copy Business Site Responsible Party (Please Print) Pink -Business Copy B E R S F I D F/RE AI~TM T Ronald J. Fraze Fire Chief Gary Hutton Kirk Blair Dean Clason Howard H. Wines, III Director Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 PHONE: 661-326-3979 FAX: 661-852-2171 July 25, 2007 ENT'D A U T O S 2007 JOHNSON CONTROLS INC 1328 34T" ST C BAKERSFIELD, CA 93301 E5~'jDg ~~~ 1. Wrong size fire extinguisher in shop, per California Fire Code; needs to be 2A-10-BC. ~N~~ ~~ ,~ ~ ~, ~~~ Based on my inquiry of the deficiencies listed above and the individuals responsible for correcting the deficiencies, I certify under penalty of law that I have personally examined and am familiar with the above list of deficiencies and believe the deficiencies have been corrected and are true, accurate, and complete. ~~ -~~~ aJr2P/i9¢O! l~ 7/Yfrii»u~nu'f2b~62 ./(/lo'J.c /~t2rL ld Ci~e~~ Y O