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Home My WebLink AboutBUSINESS PLAN 10/7/2007 ~` 1't l t '1 BEDROSIANS Manager LUZ ACOSTA Location: 4301 ASHE RD City BAKERSFIELD SiteID: 015-021-000645 BusPhone: (661) 396-0555 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5211 DunnBrad: Emergency Contact / Title Emergency Contact / Title LUZ ACOSTA / MANAGER ARA J MOVSESIAN / FAC MANAGER Business Phone: (661) 396-0555x Business Phone: (559) 275-5000x101 24-Hour Phone (661) 805-3622x 24-Hour Phone (559) 432-5670x Pager Phone (661) 805-3622x Pager Phone (559) 289-5160x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LUZ ACOSTA Phone: (661) 396-0555x MailAddr: 4301 ASHE RD State: CA City BAKERSFIELD Zip 93313 Owner BEDROSIANS Phone: (559) 275-5000x Address 4285 N GOLDEN STATE BLVD State: CA City FRESNO Zip 93722 6316 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT F3ased on my inquiry of those individuals responsible for obtaining the information, I certify ENT'D under J penalty of law that I ex i have personally U L 18 2007 am ned and am fiamiliar wi submitted and believe th i th the information e n accurate, and complete. formation is true, ~ ^ f D _ O~ Signature Date -1- 07/09/2007 F BEDROSIANS SitelD: 015-021-000645 ~ ~ 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 1091.70 FT3 Hi CERAMIC - MASTIC F DH L 168.00 GAL Mod HYDRATED LIME F IH S 2500.00 LBS Low MORTAR IH S 25000.00 LBS Min PORTLAND CEMENT DH S 11000.00 LBS Min CEMENT BASED SANDED GROUT DH S 2500.00 LBS Min -2- 07/09/2007 -3- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ ~ 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: WHSE ROW 8 N WALL HOUSE 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 Daily Average 181.95 FT3 1091.70 FT3 500.00 FT3 r1t~~titcL~u~ ~vl~irvlv~ly 1 %Wt. RS CAS# 100.00 Propane Yes 74986 t1HGE•1tCL Ej55J;.7J1~11".ilV 1 J 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 CERAMIC - MASTIC Location within this Facility Unit ROW 2 ACROSS FR GROUT WHSE STATE TYPE PRESSURE Liquid Mixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8030-30-6 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Cont3150rGAL Daily 168100m GAL I Daily A84r00e GAL • lls~~tjicl~vua ~.ulnrvlvnlvla %Wt. RS CAS# 5.00 Petroleum Naphtha No 8030306 2.00 Ethylene Glycol No 107211 riEjGL-1KL 1•~~.7L" .7.71~11",1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -4- 07/09/2007 F BEDROSIANS SitelD: 015-021-000645 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDRATED LIME Days On Site 365 Location within this Facility Unit Map: Grid: ROW 2 WHSE CAS# 1305-62-0 ~SolidE I Mixture~~ PRESSURE TAE~MPeRATURE CONTAINER TYPE I Ambient ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 50.00 LBS 2500.00 LBS 1250.00 LBS t1AGHKLVU~ uulnrulv.r;lv1'S sWt. RS CAS# 50.00 Calcium Oxide No 1305788 5.00 Calcium Carbonate No 471341 3.00 Silicon Dioxide No 7631869 tYHGHKL A~5~5~1~11;1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F IH / / j Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME MORTAR Location within this Facility Unit WHSE W WALL Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 65997-15-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 25000.00 LBS 20000.00 LBS riHGt~1tLVU~ 1.V1~lYV1V~1V1~ %Wt. RS CAS# 30.00 Silica, Crystalline No 7631869 30.00 Portland Cement No 65997151 riHGl-~1CL E~~7JJJ.751~1J;1V J. J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / j Min -5- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ ~ 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 ROW 2 TOWARD N BLDG WALL CAS# 65997151 STATE T TYPE ~~~ PRESSURE TEMPERATURE CONTAINER TYPE Solid i Mixture I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 94.00 LBS 11000.00 LBS 5600.00 LBS HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Cement No 65997151 nt~~tircL [i~a~a~rir,ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CEMENT BASED SANDED GROUT Days On Site 365 Location within this Facility Unit Map: Grid: W WALL OF WHSE CAS# STATE TYPE PRESSURE Solid TMixture ~mbient TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 25.00 LBS 2500.00 LBS 1250.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 35.00 Portland Cement No 65997151 4.00 Titanium Dioxide No 13463677 nr~c~r~tcy tiaa~a~rinivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min -6- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/22/1999 ~ CALL 911. Employee Notif./Evacuation 10/10/2006 NOTIFICATION BY WORD-OF-MOUTH OR BY PA SYSTEM FOR THE EVACUATION OF THIS BLDG - MANY EXITS. THE BLDG HAS SEVERAL EXITS AND NOTIFICATION CAN OCCUR EITHER BY WORD-OF-MOUTH OR OVER THE PA SYSTEM. Public Notif./Evacuation 06/22/1999 PA SYSTEM. Emergency Medical Plan CALL EMS - 911 10/11/2002 -7- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/11/2002 ~ MATERIALS ARE ENCLOSED IN PAPER BAGS (TILE GROUT, CEMENT, LIME) ON PALLETS Release Containment 10/10/2006 PALLLETS OR IN RACKS THE SOUTHEAST CORNER OF THE WAREHOUSE OUT OF THE WAY Clean Up 10/10/2006 IF A BAG IS TORN OPEN WE CLOSE IT WITH TAPE AND SWEEP UP THE SALVAGE v~.iict iZG.7 Vt,ll l:C til:L1VCLL1V11 -8- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ~~~~~a~ na~a~u~ Utility Shut-Offs 03/22/2007 GAS - NE CRNR OF BLDG ELECTRICAL - SE CRNR SIDE OF BLDG WATER - E SIDE OF BLDG Fire Protec./Avail. Water 07/25/2003 PRIVATE FIRE PROTECTION - AUTOMATIC FIRE SPRINKLER SYSTEM Building Occupancy Level 12/11/2006 10 EMPLOYEES -9- 07/09/2007 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/10/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: LOCATING MSDS SHEETS, CAUTIONING EMPLOYEES OF HANDLING HAZARDOUS MATERIALS. PROPER RESPONSES TO ACCIDENTS INVOLVING HAZARDOUS MATERIAL. HAZ MAT BRIEFING AT THE TIME OF HIRE (FOUND IN THE NEW EMPLOYEE PACKET). rayc ~ nciu ivi ru~.u.~c vac nclu ivi ru~uic ~5C -10- 07/09/2007 ~- ':_ ~. ~~~f ~~ BEDROSIANS SiteID: 015-021-000645 iu.z. ~cos+~ Manager ~E R~ BusPhone: (661) 396-0555 Location: 4301 ASHE RD Map 123 CommHaz Extreme City BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5211 DunnBrad: Em"ergency Contact / Title, Emergency Contact / Title ~ ~B•E~S / MANAGER ARA J MOVSESIAN / FAC MANAGER Business Phone: -(661) 396-0555x Business Phone: (559) 275-5000x101 24-Hour Phone (661) 55.8=-2~~x5sD5 3~a 24-Hour Phone (559) 432-5670x Pager Phone (661) °'-~zx g05,~,1 Pager Phone (559) 289-5160x Hazmat Hazards: Fire Press ImmHlth DelHltYi Contact l~l~Z ~ CaS~ Phone : ( 6 61) 3 9 6 - 0 5 5 5x MailAddr: 4301 ASHE RD State: CA City BAKERSFIELD Zip 93313 Owner BEDROSIANS ~ Phone: (559) 275-5000x Address 4285 N GOLDEN STATE BLVD State: CA City FRESNO Zip 937226316 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ANT"~ N~~R ~ ~ ~QQ7 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 bate IkµD1~ PROG A - HAZMAT -1- 01/26/2007 I ~ ~~ F BEDROSIANS SiteID: 015-021-000645 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Sites ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit i~CP PROPANE E F P IH G 1091.70 FT3 Hi CERAMIC - MASTIC F DH L 168.00 GAL Mod HYDRATED LIME F IH S 2500.00 LBS Low MORTAR IH S 25000.00 LBS 1wIn PORTLAND CEMENT DH S 11000.00 LBS lt+tn CEMENT BASED SANDED GROUT DH S 2500.00 LBS Min -2- ~ Ol/26/Z007 -3- O1/26/~007 F BEDROSIANS SiteID: 015-021-00064fi ~ ~ 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: WHSE ROW 8 N WALL HOUSE CAS# 74-9g=6 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 181.95 FT3 1091.70 FT3 500.00 FTC tlt~~ritu~vua ~:ulnrulv~tvl~ %Wt. RS CAS# 100.00 Propane Yes 749$6 riAG1~CL 1~55L" 7J1~11'~1V 1 J 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 CERAMIC - MASTIC Location within this Facility Unit ROW 2 ACROSS FR GROUT WHSE Map: Days On Site 365 Grid CAS# 8030-30-6 CONTAINER TYPE PLASTIC CONTAINER STATE TYPE ~~~ PRESSURE TEMPERATURE Liquid TMixture ~ Ambient ~ Ambient AMOUNTS AT THIS LOCATION Largest Cont3i5e0rG~ Daily M68100m GAL I Daily A84r00e GAL. rls-i~r~u~vua 1~V1~lYUlV1;1V 1.7 oWt. RS CAS# 5.00 Petroleum Naphtha No 8030306 2.00 Ethylene Glycol No 1072].1 t1HGH.LCL EiJ ~~JJ1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mr~d Facility Unit: Fixed Containers on Site ~ -4- 01/26/2007 F BEDROSIANS ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HYDRATED LIME Location within this Facility Unit ROW.2 WHSE STATE TYPE PRESSURE Solid TMixture~ Ambient SiteID: 015-021-00064 ~ Facility Unit: Fixed Containers on Site ~ Days On Site. 365 Map: Grid: CAS# 1305-.62-0 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 2500.00 LBS I 1250.00 LBS ntiGi-1ttLVUS ~:vinrviv~lvla %Wt. RS CAS# 50.00 Calcium Oxide No 1305788 5.00 Calcium Carbonate No 471341 3.00 Silicon Dioxide No 7631869 t11-~L,EiKL E~.7 .7L" b.71~1~1V l.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# Mrs No No No No/ Curies F IH / / / Lady ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MORTAR Days On Site 365 Location within this Facility Unit Map: Grid: WHSE W WALL CAS# 65997-15-1 ~SolidE I Mixture-~- PRESSURE TEMPERATURE -~- CONTAINER TYPE I Ambient ~ Ambient I BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 25000.00 LBS 20000.00 LB5 nt~c~tLtcyv ~ 5 ~.vt~irviv niv t ~ %Wt. RS CAS# 30.00 Silica, Crystalline No_ 7631869 30.00 Portland Cement No 6599711 I1HG1-~KL 1~A.7~.7D1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~C1~ No No No No/ Curies IH / / / Min -5- O1/26/~007 F BEDROSIANS SiteID: 015-021-000645 ~ ~ 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 ROW 2 TOWARD N BLDG WALL CAS# 65997151 STATE T TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Solid ( Mixture I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 94.00 LBS 11000.00 LBS I 5600.00 LBS tiAY,ilItLVU~ ~V1~irViVl;lvla %Wt. RS CAS# 100.00 Cement No 65997151 t1HGHKL L~J JL" ~~1~1L'1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Miff ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CEMENT BASED SANDED GROUT Days On Site 365 Location within this Facility Unit Map: Grid: W WALL OF WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid ~ Mixtur~mbient ~ Ambient BAG AMOUNTS AT THIS LOCATION ,Largest Container Daily Maximum Daily Average 25.00 LBS 2500.00 LBS I 1250.00 LBS„ t]L~GEitCLVUS 1~V1~lYV1Vr,1V 1.7 %Wt. ~ RS CAS# 35.00 Portland Cement No 65997151 4.00 Titanium Dioxide No 13463577 riE~]GHtCL Ei.7~1;.7.~1~1tS1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mi -6- O1/26/2ti07 ;, F BEDROSIANS SiteID: 015-021-000645 ~ Fast Form~€ ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 06/22/1999 I CALL 911. Employee Notif./Evacuation 10/10/20E1 NOTIFICATION BY WORD-OF-MOUTH OR BY PA SYSTEM FOR THE EVACUATION OF THIS BLDG - MANY EXITS. THE BLDG HAS SEVERAL EXITS AND NOTIFICATION CAN OCCUR EITHER BY WORD-OF-MOUTH OR OVER THE PA SYSTEM. Public Notif./Evacuation PA SYSTEM. 06/22/19'99 Emergency Medical Plan 10/11/20t~2 CALL EMS - 911 -7- 01/26/2007 ~} ~ + F BEDROSIANS SiteID: 015-021-0006~~ ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 10/11/2002 MATERIALS ARE ENCLOSED IN PAPER BAGS (TILE GROUT, CEMENT, LIME) ON PALLETS Release Containment- 10/10/20f76 PALLLETS OR IN RACKS THE SOUTHEAST CORNER OF THE WAREHOUSE OUT OF THE WAY Clean Up 10/10/20!76 IF A BAG IS TORN OPEN WE CLOSE IT WITH TAPE AND SWEEP UP THE SALVAGE ~Lner xesource r~ccivacion -8- O1/26/2ti07 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Formet ~ ~ Site Emergency Factors Overall Site ~ special riazaras Utility Shut-Offs A) GAS - NE CRNR OF BLDG B) ELECTRICAL - SE CRNR SIDE OF BLDG C) WATER - E SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO ' 01/26/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - AUTOMATIC FIRE SPRINKLER SYSTEM 07/25/2003 Building Occupancy Level 12/11/20~~5 10 EMPLOYEES -9- O1/26/2b07 F BEDROSIANS SiteID: 015-021-000645 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/10/20f15 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: LOCATING MSDS SHEETS, CAUTIONING EMPLOYEES OF HANDLING HAZARDOUS MATERIALS. PROPER RESPONSES TO ACCIDENTS INVOLVING HAZARDOUS MATERIAL. HAZ MAT BRIEFING AT THE TIME OF HIRE (FOUND IIrT THE NEW EMPLOYEE PACKET). rcty~ L nclu Lvi t'ul,ulC U5C ric.~u ivi ru~uic v5c -10- O1/26/2b07 - Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST D 9oo'IYuxtun Ave., Suite 210 I B__.__ E R._S F.. 1 _~~~_-__._._~_ = _-~,, p/RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~` ~RrM r Tel.: (661) 326-3979 - Fax: (661) 872-2171 AGILITY NAME /~/ INSPECTION DATE INSPECTION TIME {~ ADDRESS ., H ENO. - NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER r ( ~S 15 021 , - - ,~ ~ _ Saction 1. B~s~ness Plan ;end It-ventory Program - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ,~ ^ APPROPRIATE PERMIT ON HAND ~^ BUSIf1PSS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ENT'D - ~^ CORRECT OCCUPANCY ~~^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ / IX ^ VERIFICATION OF LOCATION -^ PROPER SEGREGATION OF MATERIAL ~^ VERIFICATION OF MSDS AVAILABILITY ,,.fCl ^ VERIFICATION OF HAZ MAT TRAINING ~~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .0~~^ EMERGENCY PROCEDURES ADEQUATE ~J~ ^ CONTAINERS PROPERLY LABELED ~~^ HOUSEKEEPING ~~ ^ FIRE PROTECTION f!Yr ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: ' nnr-nuts QUESTIONS R~,Er~GARDING THIS INSPECTION? PLEA`/S/E,~/~CA~LLJUS AT (661) 326-3979 J ' ~/~ Inspector (Please Print) Fire Preve lion / 1s` In /Shift of Site/Station # Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 - Cl !~ + BEDROSIANS __________________________________________ SiteID: 015-021-000645 + Manager MELANIE ROBERTS BusPhone: (661) 396-0555 Location: 4301 ASHE RD Map 123 CommHaz High City BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:5211 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title MELANIE ROBERTS / MANAGER ARA J MOVSESIAN / FACILITIES MGR' Business Phone: (661) 396-0555x Business Phone: (559) 275-5000x101 24-Hour Phone (661) 588-2175x 24-Hour Phone (559} 432-5670x Pager Phone (661) .978-9442x Pager Phone (559) 289-5160x -~- Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 396-0555x MailAddr: 4301 ASHE RD State: CA City BAKERSFIELD Zip 93313 Owner BEDROSIANS Phone: (559) 275-5000x Address 4285 N GOLDEN STATE BLVD State: CA City FRESNO Zip 937226316 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT ,__~._, Based on my inquiry of EFtoae in~ivlduels responsible for obtaining the Informatlcan, 1 oertlfy under penalty of law that ! have p~arsonally examined (liar wlth the information submitt .rand Iisv the information is true, accu , and c mp e - _ ~l Si ~ Da EN~''b ~~~ ~ 200 -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees ---~ 3c~ i _..... ~ ~ s~ ~ - --~=~ --- -- _ - ---- -- - ------ ---- ___ ----- - -- ~~++'( 29- ti~03 -._ 396 vsss--~--- ~- --------- FACILITYCONTAC7 ~V Business ID Number m ~ ,~' R~b>±- ~ ~ 15-021- cx~otflti 5- t Section 1: Business Plan and Inventory Pn~gram (Routine O Combined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection C V \V=~oatonncel OPERATION APPROPRIATE JPERM~T ON HAND COMMENTS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ® ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~I ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ~) ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Q ^ ^ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING '~ '~ ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ~ ANY HAZARDOUS WASTE ON SITE: ^ YES EXPLAIN: ~ No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _~_ ~~~«Q--__.. ----_ __~ ~~--------- Inspector Badge No. White -Environmental Services Yellow • Station Copy ~~ Busi s SI Re onsi to rty Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST; 4.R.n~f':. !^*?' .4 '<4~e.",w.. t~ssi A'u.....Pc.J'~. ..,.....N l.cly-.r.., ,. .. .nr _. .... ... ... n. ., ...r. .,... .._`:v'a'.: SECTION 1: Business Plan and Invertltory Program • BAKERSFIELD FIRE DEPT Prevention Services rltl 900 TYuxtun Ave., Suite 210 ~tr~ t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION/DATE .r - ~3 ,Q~Z INSPECTION IME I 7j' ~~~5 ta ~ ADDRESS ~ ~ ~ S , L~ ~~ (l [_ ~J ~~ NO ~C_~ I J J O OF PLOYEES Y CONTACT T FACILI ~ ~L ~A-wt.~. ~ a)3 k,+'ztS MBER USINESS I D NU 15-021- (d ~~ Section 1: Business Plan and inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ~ BUSIfleS5 PLAN CONTACT INFORMATION ACCURATE , / LEY ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY C~ ^ VERIFICATION OF INVENTORY MATERIALS /~ ~ O i ~® ~~~~~ (`~ ~ ~~ ~ ~ ~ ~~ ~ /, , [~ C~ ^ VERIFICATION OF QUANTITIES tEQ ^ VERIFICATION OF LOCATION LTf ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY LEY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE I~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~~ l~(9~`1- _ [~C ~- llc~l c S . L~ ^ FIRE PROTECTION lvt.k~t~- ~' ST4~~ I~)~~rr.~s Sr . ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES CI~NO .QUESTIONS RE ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~,~ ~ ~c. Inspector (Please Print) Fire Prevention / 1`~ In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)