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HomeMy WebLinkAboutBUSINESS PLAN 10/5/2007- ~ U _- ~' O .~ 1 I i ~.. lf } c~ ~ V J O L 'p d Q ~ C 1 I ~ ~~ ~I Q ~.~ O ~ ~~ IQ :~~V ~ ~ ,`~ '~ -- CALIFORNIA WHOLESALE MATERIAL SUP. SiteID: 015-021-000442 Manager TERRY PATTERSON Location: 5601 ALDRIN CT City BAKERSFIELD BusPhone: (661) 398-0571 Map 123 CommHaz Extreme Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:5211 DunnBrad: Emergency Contact / Title Emergency Contact / Title TERRY PATTERSON / MANAGER FRED GARTEN / OPS MANAGER Business Phone: (661) 398-0571x Business Phone: (661) 398-0571x 24-Hour Phone (661) 979-7365x 24-Hour Phone (661) 978-2543x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact JEFF PICKERING Phone: (661) 398-0571x MailAddr: 5601 ALDRIN CT State: CA City BAKERSFIELD Zip 93313 Owner CALIFORNIA WHOLESALE MATERIAL SUP Phone: (661) 398-0571x Address 7330 S CRIDER AVE State: CA City PICO RIVERA Zip 90660 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~"~ l ~ ~ ~i2aRc+ on rn~.~ inquiry o' those ;~;~;~,~;,w~~:~a~ resc~onsiria tar ofr~iaining the informt,t:on. S c,~; a:, under f;er,alty of lave that l have per~onal,y erarnined and am familiar with the information submitted any h~lieve the information is true, e, anc comple~~ ~accurat 4 ~ ~l7ate Signature sc. -1- 10/01/2007 fb ~~ ~5~. /~ \ _ _ _. __ a f F CALIFORNIA WHOLESALE MATERIAL SUP Manager TERRY PATTERSON Location: 5601 ALDRIN CT City BAKERSFIELD CommCode: BFD STA 13 .EPA Numb: U V SitelD: 015-021-000442 BusPhone: (661) 398-0571 Map -123 CommHaz Extreme Grid: 15D FacUnits: 1 AOV: SIC Code:5211 DunnBrad: Emergency Contact / Title Emergency Contact j Title TERRY PAT TERSON / MANAGER FRED GARTEN / OPS MANAGER Business Phone: (661) 398-0571x Business Phone: (661) 398-0571x 24-Hour Phone (661) 979-7365x 24-Hour Phone (661) 978-2543x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHltli Contact : ~-~'~tE-D--G3~R~'EN" ~ ~? y ~ ~ ~ ( ~~~`~,C Phone : ( 6b 1) 3 98 - 05 71x MailAddr: 5601 ALDRIN CT State : CA City BAKERSFIELD Zip 93313 Owner CALIFORNIA WHOLESALE MATERIAL SUP Phone: (661) 398-0S71x Address 7330 S CRIDER AVE State: CA City PICO RIVERA Zip 90660 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~' Based on my inquiry of those individuals responsible far obtaining the information, i certify under penalty of laev that i have personally examined and am familiar v~ith the inform ti EIY I"® MA p~ HT~ ~ 7 2pp7 a on submitted and n~fieve the information is true , accurate. and complete. Signature date -1- 01/29/2007 F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ ~ 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 500.00 GAL Fi HENRY 204 & 308 F L 3000.00 GAL Mod HENRY 137 F L 300.00 GAL Mod INTERNATIONAL EPDM BONDING ADHE F L 150.00 GAL Mod BONDING AGENT E IH L 64.00 GAL Mod BONDING AGENT IH L 64.00 GAL Mod ROOF CEMENT F DH S 3000.00 GAL Low ROOF CEMENT F IH DH S 3000.00 GAL Low STUCCO S 500.00 LBS Lew CEMENT IH S 500.00 LBS Min DIAMOND WALL S 350.00 LBS Min ROOF SEALERS F L 5000.00 GAL ~TnR -2- 01~29~2a07 _3_ Ol/29/~007 p CALIFORNIA WHOLESALE MATERIAL SUP i S teID: 015-021-000442 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME --- PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: N FENCE/40 FT FROM OFFICE CAS# 74-98=6 STATE TYPE PRESSURE~~' Gas TPure Above Ambient I TEMPERATURE ~ Am'hi E?nt - CONTAINER TYPE I FTx'F~rl URFCC (''vT.TTTTIF'~ AMOUNTS AT THIS LOCATION -- Largest Container - Daily Maximum Daily Average 500.00 GAL 500.00 GAL 300.00 GAL rlt~utiRlJUUJ 1.V1~lYUlV1;1V~1-5 " %Wt. RS CAS# 100.00 Propane Yes 74986 I11iGEitC1J HJJI;~51~7~iV'1'S '- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME -- HENRY 204 & 308 Days On Site 365 Location within this Facility Unit Map: Grid: -- REAR N SIDE WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE --- Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 55.00 GAL 3000.00 GAL 200.0.00 GAL HAZARDOUS COMPONENTS - %Wt. RS CAS# 20.00 Aromatic Hydrocarbon No 8030306 15.00 Asbestos, White No 1332214 ntiGEiKU AJ S~'~SSMt:1V'1'S - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod -4- 01/29/2007 P CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME - HENRY 137 Days On Site 365 Location within this Facility Unit Map: Grid: - E END WHSE INSIDE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture TAmbient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION --- Largest Container Daily Maximum Daily Average 55.00 GAL 300.00 GAL 200.00 GAL rra[~tiRLVV~ ~V1~lYV1Vr,1V 1-J '- %Wt• RS CAS# 3.00 Ethanol No 64175 3.00 Toluene No 108883 10.00 Isopropanol No 67630 rltiGtitC11 L~D~~JJ1~liS1V-1-J -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME --- INTERNATIONAL EPDM BONDING ADHESIVE Days On Site 365 Location within this Facility Unit Map: Grid: ---- E END OF N WHSE ~# 108-8$-3 STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE ~Llquld TMlxture Ambient ~ Ambient I I)F1ITM~R~1?•T?FT._NfT'T~T.T.T~ AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 55.00 GAL 150.00 GAL 70.00 GAL HAZARDOUS COMPONENTS --- %Wt. 43.00 Toluene 3.00 Xylene, Mixed RS CAS# No 108883 No 1330207 HAZAru.~ H5a~~5Mriv'1'S -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod -5- 41/29/2007 F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON. NAME / CHEMICAL NAME - BONDING AGENT Days On Site OMEGA BONDER 365 Location within this Facility Unit Map: Grid: -- CAS# 108-05-4 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE --- Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION -- Largest Container Daily Maximum Daily Average 64.00 GAL 64.00 GAL 64.00 GAL HAZARDOUS COMPONENTS - °sWt. RS CAS# 40.00 Vinyl Acetate Monomer (EPA) Yes 108054 HAZARL AS S~~SM~1V'1'S -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME -- BONDING AGENT Days On Site ACRYLIC BONDER 365 Location within this Facility 'Unit Map: Grid: -- CAS# 108-0'S-4 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 64.00 GAL 64.00 GAL I 64.00 GAL HAZARDOUS COMPONENTS %Wt. 35.00 Acrylic Polymer RS~ CAS# No 0 HAZARD ASSESSMENTS -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies I IH / / / Mod -6- 01/29/2007 s F CALIFORNIA WHOLESALE MATERIAL SUP = ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ROOF CEMENT APOC #101 Location within this Facility Unit END OF YARD SitelD: 015-021-000442 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map : Grid : - -- CAS# 107-21-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION -~- Largest Container Daily Maximum I Daily Average - 3000.00 GAL 3000.00 GAL 3000.00 GAL t1Ei~t~1[Llvv~ 1.V1~lYG1V~1V l.~ ~Wt. RS CAS# 18.00 Stoddard Solvent No 8030306 ritiGL~lCL H.7A~~JJi~1iS1V l 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Side ~ COMMON NAME / CHEMICAL NAME ROOF CEMENT Days On Site APOC #107 365 .Location within this Facility Unit Map: Grid: --- CAS# 107-21-1 ~SolidE I MixtureT PRESSURE TEMPERATURE ~~~ CONTAINER TYPE I Ambient ~ Ambient I OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3000.00 GAL 3000.00 GAL 3000.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 35.00 Stoddard Solvent No 80303(}6 riL~GHtC1J L~va1";.7J1~1L'ilV1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MAP No No No No/ Curies F IH DH j / / L©w -7- 01/29/2007 F CALIFORNIA WHOLESALE MATERIAL SUP = ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME STUCCO OMEGA STUCCO Location within this Facility Unit STATE .TYPE PRESSURE Solid TMixture T Ambient SitelD: 015-021-000442 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: -- CAS# TEMPERATURE Ambient CONTAINER TYPE BAG AMOUNTS AT THIS LOCATION --"- Largest Container Daily Maximum Daily Average 500.00 LBS 500.00 LBS 500.00 LBS ru~~titu~~u~ ~:vinrvtv~;iv_1_S sWt. RS CAS# 20.00 Calcium Oxide No 1305788 40.00 Portland Cement No 65997151 YSEiGKK1J AS ~L" J:i1~1L'1V'1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0011 Facility-Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME -- CEMENT Days On Site RIVERSIDE CEMENT 365 Location within this Facility Unit Map: Grid:- -- CAS# 65997-15-1 ~SolidE I MixtureT PRESSURE TEMPERATURE -~-'-- CONTAINER TYPE I Ambient ~ Ambient i BAG AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 500.00 LBS 500.00 LBS 500.00 LBS ru~an~cLVU~ ~.vrirvlvr~vl~ %Wt. RS CAS# 100.00 Portland Cement No 65997151 t1L-HGFIKL F~5.7~,.7.71~1r.1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Man -8- 01/29/2007 F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME -- DIAMOND WALL Days On Site 365 Location within this Facility Unit Map: Grid: ----- OMEGA DIAMOND WALL CAS# 65977-15-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE -- Solid TMixtur~Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 350.00 LBS 350.00 LBS Daily Average 350.00 LBS HAZARDOUS COMPONENTS °Wt' RS CAS# 85.00 Portland Cement No 65997151 11.00 Slaked Lime No 1305620 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No I No No No/ Curies / / / I,rji ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ROOF SEALERS Days On Site 365 Location within this Facility Unit Map: Grid: - 10 FT N FENCE/20 FT N WHSE ~# STATE TYPE PRESSURE. TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CQNTAINR-NONDRUM AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 5000.00 GAL 500.0.00 GAL I 3000.00 GAL VT 7TT]T/1T.Tn l'1111er~~~tt-.~:r.... -g- 01/29/2007 HAZARD ASSESSMENTS -- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies I F / / / F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 Fast Format ~ Notif./Evacuation/Medical Overall Side ~ Agency Notification 10/19/2006 TERRY PATTERSON IS RESPONSIBLE FOR AGENCY NOTIFICATION: CALL 911~T0 NOTIFY APPROPRAITE EMERGENCY RESPONSE AGENCIES AND, IF NECESSARY, CALL OFFICE OF EMERGENCY SERVICES 800-852-7550. Employee Notif./Evacuation 07/28/2006 Je~ ~' ic..K~~i ~~ .~D-GARS-~N ~S RESPONSIBLE FOR PERSONNEL NOTIFICATION BY WAY OF ISSUI3~TG A . COMMAND OVER THE LOUDSPEAKER FOR EMPLOYEES TO ASSEMBLE IN EVACUATION AREA. HE WILL THEN SUPERVISE EVACUATION. rUD11c 1VOL1L . /~L' VdCUaL1CJi1 Emergency Medical Plan 07/28/2006 ALL EMERGENCY MEDICAL ATTENTION WILL BE TAKEN CARE OF BY CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP, 4100 TRUXTUN AVE 200, 632-1540. ~B IS RESPONSIBLE FOR NOTIFYING THEM AND REQUESTING AMBULANCE SERVICE, IF NECESSARY. WE USE THE 911 EMERGENCY TELEPHONE SERVICE WHEN NECESSARY. ^ 4 1 ~ ~.~, -1. -10- 01/29/2©07 ~ CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/28/2006 ALL ITEMS OTHER THAN PROPANE ARE STORED IN SEALED METAL; CONTAINERS AND ARE STORED AWAY FROM HIGH TRAFFIC AREA WHICH WILL HELP TO PREVENT ACCIDENTALLY RUNNING INTO THE ITEMS AND DESTROYING THE CONTAINERS WHICH IS ABOUT THE ONLY WAY THAT THESE ITEMS COULD BE CONSIDERED HAZARDOUS. THE PROPANE IS STORED IN A PRESSURIZED CONTAINER APPROXIMATELY 90 FEET FROM ANY STRUCTURE AND IS OUT OF ALL TRAFFIC AREAS. FIRE EXTINGUISHERS ARE WITHIN 5-15 FEET. Release Containment 05/02/1991 WE KEEP AS SMALL AN INVENTORY AS IS POSSIBLE WHICH REDUCES RISK TO SOME DEGREE. WE STORE THE MATERIALS IN PAVED AREAS TO PREVENT SEEPAGE INTO THE GROUND. .WHENEVER WE USE THE PROPANE TANK, WE CHECK ALL FITTINGS AND IN THE EVENT OF LOOSE FITTINGS, WE NOTIFY OUR SUPPLIER (AMERIGAS) AND ORDER THEM 'I`O MAKE NECESSARY REPAIRS IMMEDIATELY. Clean Up 10/19/2006 THE MATERIALS WHICH WE STORE IN AND AROUND THE WAREHOUSE ARE THICK, TAR-LIKE SUBSTANCES WHICH CAN BE CLEANED UP WITH A SHOVEL WHEN IT FALLS. ONTO PAVED SURFACES IN SMALL QUANTITIES. IN THE EVENT OF LARGER SPILLS OR SPILLS ONTO UNPAVED GROUND, WE IMMEDIATELY NOTIFY GROUNDWATER RESOURCES 8'35-7700, AND HAVE MATERIALS REMOVED BY THEM. WE WOULD THEN NOTIFY LOCAL EPA OFFICIALS REQUESTING AN INSPECTION. HAZARDOUS MATERIALS SPILL REPORTING 800-825-7550< V1.11G1 ACDVIIl VG ril. l~lVQl.l V11 -11- 01/29/2007 F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~peciai nazaras Utility Shut-Offs 12/08/2006 A) PROPANE - NOTIFY AMERICAS PROPANE B) ELECTRICAL - NEAR REAR DOOR INSIDE OFFICE C) WATER - ALONG FENCE NEAR FIRE HYDRANT 50FT NE OF OFFICE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/08/2006 PRIVATE FIRE PROTECTION - 21 FIRE EXTINGISHERS. FIRE HYDRANT - 50FT NE OF OFFICE. Building Occupancy Level 12/08/2006 45 EMPLOYEES -12- 01/29/2007 .. ~~ ~ ~ F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/19/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE REGULARLY SCHEDULED SAFETY MEETINGS (12 PER YEAR/MONTHLY). WE DISCUSS ALL ASPECTS OF SAFETY. MOST OF OUR POTENTIAL RISK COMES FROM THE OPERATION OF TRUCKS AND FORKLIFTS, SUBSEQUENTLY WE CENTER OUR SAFETY TOPICS IN THE AREA OF SAFE DRIVING PRACTICES. WE MAKE A CONCERTED EFFORT TO HIRE DRIVERS WITH EXCELLENT DRIVING RECORDS AND WE HAVE FOUND THAT THIS HAS A PROFOUND EFFECT ON THE SAFETY RECORD OF A COMPANY. EMPLOYEES ARE INFORMED AT MEETINGS AS TO LOCATION OF HAZARDOUS MATERIALS. WE CURRENTLY HAVE AN INJURY AND ILLNESS PREVENTION PROGRAM IMPLEMENTED. WE HAVE A COMPREHENSIVE PLAN WITH EMPHASIS ON BOTH MANAGEMENT COMMITTMENT AND EMPLOYEE PARTICIPATION. CALPLY HAS AN EFFECTIVE PROGRAM OF INSTRUCTING ITS EMPLOYEES IN GENERAL SAFE WORK PRACTICES AS WELL AS HAZARDS SPECIFIC TO EACH ruyc ~ n~iu iui ru~uie u~~ -13- 01/29/2007 I~ ~~- ~ ~ ~ F CALIFORNIA WHOLESALE MATERIAL SUP SiteID: 015-021-000442 ~ Fast Format ~ ~ Training Overall Site ~ ~ Held for Future Use -- -14- O1/29/2Q07 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION:1: Business Plan and Inventory Program BAHERSFIELD FIRE DEPT a Prevention Services rlta 900 Truxtun Ave., Suite 210 ~trr Bakersfield. CA 93301 "r~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ NSPECTION DATE NSPECTION TIME ADDRESS S~c~ I ~ ~ R.~nl ~~ HONE NO. X98-0.~7 O OFEM LOYEES ~~ FACILITY CONTACT ~~~ ~ G a-ti r. r ~v USINESS ID NUMBER 15-021- v ~0 4 4 Z- Section 1: Business Plan snd Inventory Program a-~~ / ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r~ ~_J t~ C V ~ C=Compliance OPERATION V=Valation COMMENTS ^ APPROPRIATE PERMIT ON HAND _ ^ . BUSIt1QSS.PLAN CONTACT INFORMATION ACCURATE ~Nrp p E ~ ® 7 '~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~. ^ VERIFICATION OF INVENTORY MATERIALS "~ '~ VERIFICATION OFOUANTITIES ~~~~ ~ ,~ f,~~ ~~~r~-~~ `( ^ VERIFICATION OF LOCATION (~ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~~ ^ VERIFICATION OF HAZ MAT TRAINING `~ R ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES , ` ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS 1NASTE ON SITE? EXPLAIN: _~ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U8 AT (8131) 326-3879 ~~ c,~~ss , ~~-~-~~,~ ~3.~ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station Y ^ YES ~NO White -Prevention Services Yellow -Station Copy pink - 8uainesa Copy FD2048 (Rev. t~/t)S) UNIFIED PROGRAM INSPECT~I®N CIiECKLIST~, H Frei' D ~ECTION 1: Business Plan and inventory Program '~' BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME PP S INSPECTION DATE ~ ~a -~o- v,~ INSPECTION TIME 3J ~ ~ tJ ~ ADDRESS ~ ~o ~,~,~ c HON NO. 3 -~~ O OFEMPLOYEES 3~ FACILITY CONTACT ~~~~ ~~~-.- 1 USINESS ID NUMBER 15-021- ©00 ~~ Z Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIt1G'SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ 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 PRO EDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES fg NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~~rI~P I~ -,6 Inspector (Please Print) Fire Prevention / 1`t In /Shift of Site/Station # Bus Hess Site cool Site R ponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) + CALIFORNIA WHOLESALE MATERIAL SUP ___________________ SiteID: 015-021-000442 + Manager BusPhone~: (661) 398-0571 Location: 5601 ALDRIN CT Map 123 CommHaz High City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:5211 EPA Numb: ~ DunnBrad: Emergency Contact / Title Emergency Contact / Title TERRY PATTERSON / MANAGER FRED GARTEN / OPS MANAGER Business Phone: (661) 398-0571x Business Phone: (661) 398-0571x 24-Hour Phone (661) 979-7365x 24-Hour Phone (661) 978-2543x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth ----------------------------------------------------- -------------------- Contact Phone: (661) 398-0571x 4MailAddr: 5601 ALDRIN CT State: CA City BAKERSFIELD Zip 93313 Owner CALIFORNIA WHOLESALE MATERIAL SUP Phone: (661) 398-0571x Address 7330 S CRIDER AVE State: CA City PICO RIVERA Zip 90660 Period to Preparers Certif ' d: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: ~ ~ '~ 0O PROG A - HAZMAT I ~~ 4~ b~ Based on my inquiry of those individuals o\ responsible for obtaining the informatioe°rsona ly ~O \ under penalty of law that I have p Y examined and am familiar with the information [-d, submitted and believe the information is true, accurate, and complete. ~~ ~ ~ Ignature Date -1- 06/21/2006 c:;~; o~ ~ z ~ °' w ~ ~ Z ~ ~ ~ M ~p V~ Qj f`~ w CO O V M i ~., i z ~ ` - I r ~ 1z i~ i` 1 X Z w w a_ I o 0o j ai `° I < 1 I ;~ i tl ~ ~I I i ~~ I W I ~I V -II ~ 1 :~ I W j'il ° ~ ~ I I ~ i yl i ~ m _ o0 I ~ p~V ~~~ ~~ I Zw m H i ,I ~ ~d0 ~~~ ~ x; ~ 1 t~ I dt- ti ~I 1 C,V i ~ ~ ZZ ~ ~ZY~ NM ~ ~I I N~ ~ ¢ ~ O i ` ° N tl j ZZ win e I 'I I Q¢ ^z - OON ~ 1 ~~ 1 SW aaa ~ i ;; I gp ~ I N ~~ :~ ~; ; I w~ y, el I (n 1 ~I 'I I i `' I '' I ! ~ ~; I ~ ~I I; _ N I ~ I; z r z> ~.....~. t I 'I I! . coo x~. 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