HomeMy WebLinkAboutBUSINESS PLAN 10/3/2007~~
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OMEGA PRODUCTS CORP SiteID: 015-021-001302
Manager JAMES HILL j BusPhone: (661) 835-0155
Location: 5420 ALDRIN CT Map 123 CommHaz Extreme
City BAKERSFIELD Grid: 15D FacUnits: 1 AOV:
CommCode: BFD STA 13 SIC Code:2899
EPA Numb: DunnBrad:
I Y w / / l .A . _ I I ~ / ..l . .o
Emergency Contact / Title Emergency Con act / Title
JAMES HILL / SALES REP / WHSE MANAGER
Business Phone: (661) 835-0155x Business Phone: (661) 835-0155x
24-Hour Phone (661) 340-2476x 24-Hour Phone (661) 340-2277x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact PAT BURNS Phone: (951) 520-2564x
MailAddr: 1681 CALIFORNIA AVE State: CA
City CORONA Zip 92881
Owner OMEGA PRODUCTS CORP Phone: (714) 935-0900x
Address PO BOX 1889 State: CA
City ORANGE Zip 92668-0889
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~NT'~ 0 ~ T 4 2807
Based on my inquiry of these individuals
responsible fc?r obtai
i
n
ng the information, I certify
under penalty of law that I have perso
exa
i
m
nally
ned and arri familiar tuith the information
submitted and belie
ve the information is true,
accurate, and compiete
.
----~-
5ignat
ure ~`~°
Date
-1- 07/13/2007
~~ s
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
~ Hazmat Inventory ; By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH G 9113.00 FT3 Hi
PROPANE E F G 546.00 FT3 Hi
EXTERIOR STUCCO S 532000.00 LBS Min
PORTLAND CEMENT S 94000.00 LBS Min
DIAMOND WALL S 48000.00 LBS Min
-2- 07/13/2007
µ
;~
-3-
07/13/2007
} T'
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
SE CRNR OF YARD CAS#
74-98-6
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
9113.00 FT3 9113.00 FT3 2550.00 FT3
r1t~~Htc.uvu5 wl~irviv~ivl~
oWt. RS CAS#
100.00 Propane Yes 74986
t1AGH1CL E1~~I;J~1~11;1V"lam
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies. F P IH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
AMOUNTS AT THIS LOCATION
Largest Con40100rFT3 Daily 546100m FT3 I Daily 400r00e FT3
I1HGt1[CLVU.7 l.VP7YUlV,G1V 1.7
°sWt. RS CAS#
100.00 Propane Yes 74986
t1E1GHKL L~.7 .7J;J.71~1.C,1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F / j / Hi
-4- 07/13/2007
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas ~ure .Above Ambient Ambient PORT. PRESS. CYLINDER
J'
:~ `
F OMEGA PRODUCTS CORP
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
EXTERIOR STUCCO
Location within this Facility Unit
WHSE
STATE TYPE PRESSURE
Solid TMixture ~ Ambient
SiteID: 015-021-001302 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
14808-60-7
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
90.00 LBS 532000.00 LBS 372000.00 LBS
riHGAttLVU~ w1~1rv1vL'1v1~
%Wt. RS CAS#
18.00 Portland Cement No 65997151
17.00 Slaked Lime No 1305620
65.00 Silica, Crystalline No 7631869
riAGFll<L H~~~551~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PORTLAND CEMENT Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid TMixture Ambient ~ Ambient BAG-
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
90.00 LBS 94000.00 LBS 65000.00 LBS
ru~~tuc~vu~ ~~lnr~iv~lvia
%Wt. RS CAS#
100.00 Portland Cement No 65997151
t11iGEitC1J f~~J.7L' ~.71"1L" 1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
-5- 07/13/2007
.~
:,
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DIAMOND WALL Days On Site
365
Location within this Facility Unit Map: Grid:
WHSE CAS#
65977-15-1
STATE
Solid TYPE PRESSURE.
TMixtur~mbient
~ TEMPERATURE
Ambient
BAG CONTAINER TYPE
AMOUNTS AT THIS LOCATION
Largest Con80100rLB5 Dai148000100m LBS I Dai160000r00e LBS
rit~~xxLUU~ ~urirulv~;ly 1'S
%Wt. RS CAS#
85.00 Portland Cement No 65997151
11.00 Slaked Lime No 1305620
t1AY,L~2CL AJ~t5~51~1L1V'17
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
-6- 07/13/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/10/2000 ~
IN THE EVENT OF A RELEASE OF.PROPANE, FIRE DEPT WOULD BE NOTIFIED IF
NECESSARY. OTHER PRODUCTS WOULD NOT NECESSITATE AGENCY NOTIFICATION.
CALL 911.
Employee Notif./Evacuation
THERE IS NORMALLY ONLY 2 EMPLOYEES PRESENT AT ANY TIME.
07/14/2006
Public Notif./Evacuation 06/13/2006
TYPES AND AMOUNTS OF MATERIALS STORED WOULD NOT CONSTITUTE A NEED FOR
PUBLIC EVACUATION.
Emergency Medical Plan 06/13/2006
WHITE LANE MEDICAL CENTER, 5401 WHITE LN, 832-2000.
-7- 07/13/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 06/13/2006 ~
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED. NORMAL SWEEP-UP
AND AVOID BREATHING DUST. WASTE DISPOSAL METHOD TO A NON-HAZARDOUS WASTE
DUMP.
Release Containment 04/17/1992
NO KNOWN CONTAINMENT FOR PROPANE.
Clean Up 06/13/2006
NORMAL SWEEP-UP AND AVOID BREATHING DUST.
vi..iici ncavutuc til: 1.1 VCi l.1 V11
-8- 07/13/2007
,~ :.
F OMEGA PRODUCTS CORP _ SiteID: 015-021-001302 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~lC I: _Ld1 rld'G dl U.y.'
Utility Shut-Offs 07/14/2006
A) GAS - FRONT E SIDE OF BLDG
B) ELECTRICAL - FRONT E SIDE OF BLDG
C) WATER - W SIDE CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 07/14/2006
PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS: ONE IN OFFICE AND ONE AT
BACK OF WHSE. WATER HOSE AT REAR OF BLDG.
FIRE HYDRANT - FRONT OF 5501 ALDRIN CT.
Building Occupancy Level 12/08/2006
3 EMPLOYEES
-9- 07/13/2007
F OMEGA PRODUCTS CORP _ _ SiteID: 015-021-001302 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/13/2006 ~
MATERIALS SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE GO OVER MSDS WITH OUR EMPLOYEES.
YdC~C G
RG l u i u1 r u m u1 c v a c
nciu iul. ru~.uiC u~~
-10- 07/13/2007
,\
:,
OMEGA PRODUCTS CORP
SiteID: 015-021-001302
Manager 1~ ~ ~~ ~~ ~"'}' ~ ~--~- Bus Phone : ( 6 61) 8 3 5 - 015 5
Location: 5420 ALDRIN CT Map 123 CommHaz Extreme
City BAKERSFIELD Grid: 15D FacUnits: 1 AOV:
CommCode: BFD STA 13
EPA Numb:
SIC Code:2899
DunnBrad:
Emergency Contact / Title Emergency Contact / Title_,_
JAMES HILL / SALES REP TOMAS LOPEZ / :~~'~Od E"~~~
~
Business Phone: (661) 835-0155x Business Phone: (661) 835-01
5x
24-Hour Phone (661) 340-2476x 24-Hour Phone :' (661) 340-2277x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact PAT BURNS Phone: (951) 520-2564x
MailAddr: 1681 CALIFORNIA AVE ~ State: CA
City CORONA Zip 92881
Owner OMEGA PRODUCTS CORP Phone: (714) 935-0900x
Address PO BOX 1889 State: CA
City ORANGE Zip 92668- 0889
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~NN~'p F~~
[3ased on my inquiry of these individuals ~
~
~~07
responsible for ebfaining the information, i certify
d
un
er penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true
,
accur to d complete.
ignature Date -~
-1- 02/05/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PROPANE E F P IH G 9113.00 FT3 Hi
PROPANE E F G 546.00 FT3 Hi
EXTERIOR STUCCO S 532000.00 LBS Min
PORTLAND CEMENT S 94000.00 LBS Min
DIAMOND WALL S 48000.00 LBS Min
-2- 02/05/2007
-3- 02/05/2007
F OMEGA PRODUCTS CORP
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
SE CRNR OF YARD
STATE TYPE PRESSURE
Gas TPure ~-Above Ambient
SitelD: 015-021-001302 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365.
Map: Grid:
CAS#
74-98-6
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest C9113100rFT3 Daily91I13100m FT3 I Daily2550r00e FT3
tiHGHttL V U 5 l.: VL~lY V1V L'' 1V 1 J
%Wt. RS CAS#
100.00 Propane Yes 74986
tiHGHKL 1~~JL" J51~1L' 1V 1 a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
FORKLIFT
STATE TYPE PRESSURE
Gas TPure ~-Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-98-6
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Con40100rFT3 Daily 546100m FT3 I Daily 400r00e FT3
ri[iGt~tCLVUS ~V1~1rVlv~lvl7
%Wt. RS CAS#
100.00 Propane Yes 74986
riEiGHKL 1-1.7J~JJ1~1~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# 'MCP
No No No No/ Curies F / / / Hi
-4- 02/05/2007
F OMEGA PRODUCTS CORP
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
EXTERIOR STUCCO
Location within this Facility Unit
WHSE
SiteID: 015-021-001302 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
14808-60-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid Mixture Ambient Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
90.00 LBS 532000.00 LBS 372000.00 LBS
t~~.ytclivu~ ~vi~irviv~ivi5
°sWt. RS CAS#
18.00 Portland Cement No 65997151
17.00 Slaked Lime No 1305620
65.00 Silica, Crystalline No 7631869
riAGE~KL Ha5i5~,~1~1L'1V-1',J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
PORTLAND CEMENT
Location within this Facility Unit
WHSE
STATE TYPE PRESSURE
Solid TMixture Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
3.65
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
90.00 LBS 94000.00 LBS 65000.00 LBS
HAZARDOUS COMPONENTS
°sWt. RS CAS#
100.00 Portland Cement No 65997151
rifiGHYCL LiJ ~t,~J1~1.C~1V 1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
-5- 02/05/2007
F OMEGA PRODUCTS CORP
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
DIAMOND WALL
Location within this Facility Unit
WHSE
STATE TYPE -~ PRESSURE
Solid Mixture I Ambient
SiteID: 015-021-001302 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
65977-15-1
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Con80100rLBS Dai148000100m LBS I Dai160000r00e LBS_
nr~~.ytcL~u~ winr~lv~iv 1-5
oWt. RS CAS#
85.00 Portland Cement No 65997151
11.00 Slaked Lime No 1305620
ti1~GljttL Aa~75a51~1t51vt5
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
-6- 02/05/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 03/10/2000 ~
IN THE EVENT OF A RELEASE OF PROPANE, FIRE DEPT WOULD BE NOTIFIED IF
NECESSARY. OTHER PRODUCTS WOULD .NOT NECESSITATE AGENCY NOTIFICATION.
CALL 911.
Employee Notif./Evacuation 07/14/2006
THERE IS NORMALLY ONLY 2 EMPLOYEES PRESENT AT ANY TIME.
Public Notif./Evacuation 06/13/2006
TYPES AND AMOUNTS OF MATERIALS STORED WOULD NOT CONSTITUTE A NEED FOR
PUBLIC EVACUATION.
Emergency Medical Plan 06/13/2006
WHITE LANE MEDICAL CENTER, 5401 WHITE LN, 832-2000.
-7- 02/05/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 06/13/2006 ~
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED. NORMAL SWEEP-UP
AND AVOID BREATHING DUST. WASTE DISPOSAL METHOD TO A NON-HAZARDOUS WASTE
DUMP.
Release Containment 04/17/1992
NO KNOWN. CONTAINMENT FOR PROPANE.
Clean Up 06/13/2006
NORMAL SWEEP-UP AND AVOID BREATHING DUST.
V1~11CL iCC5V U1_l.:C 1"11: 1,1Vd1.1 V11
-8- 02/05/2007
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.~~c~iai na~ai.ua
Utility Shut-Offs 07/14/2006
A) GAS - FRONT E SIDE OF BLDG
B) ELECTRICAL - FRONT E SIDE OF BLDG
C) WATER - W SIDE CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 07/14/2006
PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS: ONE IN OFFICE AND ONE AT
BACK OF WHSE. WATER HOSE AT REAR OF BLDG.
FIRE HYDRANT - FRONT OF 5501 ALDRIN CT.
Building Occupancy Level
3 EMPLOYEES
12/08/2006
-9- 02/05/2007
.. `, t
F OMEGA PRODUCTS CORP SiteID: 015-021-001302 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/13/2006 ~
MATERIALS SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: WE GO OVER MSDS WITH OUR EMPLOYEES.
rayc c.
nciu ivi L u~.u.i.c vac
Held for Future Use
-10- 02/05/2007
UNIFIED PROGRAM INSPECTION CHECKLIST ~:
SECTION 1: Business Plan and Inventory Program
•
BARERSFIELD FIRE DEPT
a Prevention Services
~1tI 900 Truxtun Ave., Suite 210
~R>rr Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
Q ~e ~~~ c,~s NSPECTION DATE
1 ~? /~/a~ INSPECTION TIME
- 4 ~ 5S
ADDRESS ~~ ^ ~ ~ r~l ~ ~~
H HONE q10.~~ ~'
J1
bQ O~ EMPLOYEES
FACILITY C NTACT
~~.n '~ 1 `~~IO ~ 2~7 S ID NUMBER
USI
N S
15-021- ®b I ~2
Section 1: Business Plan snd Inventory Program
~I ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ ~ BUSltlt?SS PLAN CONTACT INFORMATION ACCURATE ~ ~ Z ~~ ^ZZ`T C ~,~
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS ~ ,p ~ ~ C ~ ~ ~UO~
(J u
^ VERIFICATION OF QUANTITIES
J~ ^
^
^ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
`~-t'
^ VERIFICATION OF HAZ MAT TRAINING
/~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~. ^ FIRE PROTECTION
^ }~ SITE DIAGRAM ADEQUATE & ON HAND ~ .
ANY HAZARDOUS WASTE ON SITE? ^ YES j~QNO
EXPLAIN: -
•QUES NS REGARDING THIS INSPECTION? PEEASE CALL U8 AT (Ba1) 326-3979
~ 1 S ~ ..J
Inspector (Please rint) Fire Prevention / 1'~ In / Shift of Sile/Station # Rosins ' e/ I Ske Responsible Party (Please Print)
White -Prevention Sarvicea Yellow - 31aUon Copy Pink - Buainesa Copy FD2tMe (Rw. t~/05)
+ OMEGA PRODUCTS ______________________________________ SiteID: 015-021-001302 +
Manager : BusPhone: (714} 556-3830
Location: 5420 ALDRIN CT Map 123 CommHaz High
City BAKERSFIELD Grid: 15D FacUnits: 1 AOV:
CommCode: BFD STA 13 SIC Code:2899
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JAMES HILL / SALES REP ALEXIS HARRIS / MANAGER
Business Phone: (661} 835-0155x Business Phone: (661) 835-0155x
24-Hour Phone (661) 340-2476x 24-Hour Phone (~.-~~ )~~-Z~-~~x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat
Hazards Fire
Press ImmHlth
-
---------------------- ----
-- ~,~~/~~~
Contact PAT BURNS Phone: (~-~-~~--5=m ~~ ~X
MailAddr: 1681 CALIFORNIA AVE State: CA
City CORONA Zip 92881
Owner OMEGA PRODUCTS ~CORP Phone: (714) 935-0900x
Address PO BOX 1889 State: CA
City ORANGE Zip 92668-0889
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
~ Emergency Directives: ~ ~
PROG A - HAZMAT ~'
'~~
~ 1~
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,
accur d complete.
' nat re Dat-
~r''b~t
5
EN~l1 ~U
~ 14 240
6
-1-
06/13/2006
IED PROGRAM INSPECTION CHECKLIST U~
UNIF
SECTION 1 Business Plan and Inventory Program
• FACILITY NAME
a f~ r •t.
ADDRESS PHOPIE No. No. of Employees
FACILITYCONTACT Business ID Number
~19-yV/ ~lL SAS'-®/~~` 15-021- OD/~D
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 O Joint Agency OMulti-Agency O Complaint O Re-inspection
~ FIRE PROTECTION
f U SITE DIAGRAM ADEQUATE ~ ON HAND
ANY HAZARDOUS WASTE ON SITE: OYES
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT 661 326-3979
~ ~
Inspector (Please Print) Fire Prevention 1st-IMShiR of Site
White - Envaommental Services Velkriv • Statbn Copy
- -- ~
Burin _ -its R- sible Party (Ple se Prinq~
Pink -Business Copy