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JOURNEY AIR CONDITIONING CO
Manager EMILY CHAPMAN
Location: 821 E 21ST ST
City BAKERSFIELD
SiteID: 015-021-000529
BusPhone: (661) 322-1633
Map 103 CommHaz Extreme
Grid: 29D FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:3441
DunnBrad:78-667-2543
Emergency Contact / Title Emergency Contact / Title
RANDY C JOURNEY / OWNER KIRK WATERFIELD / FOREMAN
Business Phone: (661) 322-1633x Business Phone: (661) 322-1633x
24-Hour Phone (661) 396-7400x 24-Hour Phone (661) 588-8609x
Pager Phone (661) 979-9768x Pager Phone (661) 979-9885x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact EMILY CHAPMAN ~ Phone: (661) 322-1633x
MailAddr: 821 E 21ST ST State: CA
City BAKERSFIELD Zip 93305
Owner RANDY C JOURNEY Phone: (661) 322-1633x
Address 821 E 21ST ST State: CA
City BAKERSFIELD Zip 93305
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif~d: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN ~~~~ ~ ~ ~ ~~~
Based on my inquiry of those individuals
responsible for obtaining the information, !certify
under penalty of iaw thai I haue personally
examined and am fame iar with the information
submitted _,,:J Y .;rev the information is true,
accur to and ,c nplete.
~ Z' ~~
Sigi ature -ate
-1- 07/12/2007
F;
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ 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 240.00 FT3 Hi
ACETYLENE E F P IH G 110.00 FT3 Hi
FREON R-22 P IH G 300.00 FT3 Low
OXYGEN F P IH G 250.00 FT3 Low
WASTE HYDRAULIC OIL F DH L 55.00 GAL Low
-2- 07/12/2007
-3- 07/12/2007
k ~
F JOURNEY AIR CONDITIONING CO
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
STATE TYPE
Gas Pure
SiteID: 015-021-000529 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-98-6
= PRESSURE TEMPERATURE CONTAINER TYPE
Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 240.00 FT3 FT3
HAZARDOUS COMPONENTS
%Wt . _ RS CAS#
100.00 _ _ __ _ _
Propane
Yes _
74986
L1LiGEi[CL H~7 JP~J.71~1P~1V 1 w7
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
ACETYLENE
Location within this Facility Unit
SW CRNR
STATE TYPE
Gas Pure
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
= PRESSURE TEMPERATURE CONTAINER TYPE
Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co110100rFT3 Daily MlOl00m_FT3 I Daily 110r00e FT3
- ~~~L~~a COMPONENTS
%Wt• RS CAS#
100.00 Acetylene Yes 74862
r1tiL~tiiC.L Hi J Jl'.~J J1"1L'1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-4- 07/12/2007
C
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FREON R-22 Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
~GasATE TPureE ~AboveSAmbEent BelowAmbient PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 300.00 FT3 FT3
t1E'~G1~itCLV U.7 1.V1~lYV1VJ;1V 7.7
%Wt . RS C
AS#
100.00 _ _ _ _ _
Chlorodifluoromethane ~ _
No _
_
~ 75456
riL-~GI•~ltlJ 11~J~JJ1~1iS1V 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Low
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
SW CRNR
STATE TYPE PRESSURE =
Gas TPure Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 FT3 250.00 FT3 250.00 FT3
• t1L-~GH[CLV UJ l.V!"lYV1V~1V 1 J
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
ru~as-~ru~ r-~aa~aal~i~lVl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-5- 07/12/2007 ~,
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE HYDRAULIC OIL Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC
-~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
- riAGl~KLVUa 1:V1~lYV1VL'1V1_J
°sWt . RS C
AS#
__ _ _ _ _ _
Hydraulic Oil ~ ~ _
No _
112345
t1HGE~KL tiaJJJJJI~IJ;1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-6- 07/12/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/10/2000 ~
FIRE DEPARTMENT 911.
Employee Notif./Evacuation 10/10/2000
EVACUATION THROUGH THE S SIDE OF BLDG, E SIDE OF BLDG OR THE N SIDE OF BLDG.
Public Notif./Evacuation
10/10/2000
EVACUATION THROUGH THE S SIDE OF BLDG, E SIDE OF BLDG OR THE N SIDE OF BLDG.
Emergency Medical Plan 10/10/2000
MEMORIAL OR MERCY HOSPITAL WOULD BE USED. ACCORDING TO MSDS WHAT TREATMENT
WOULD BE USED ON PROPERTY.
-7- 07/12/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/02/1993 ~
WHAT WE HAVE IS STORED AND USED IN A OPEN VENTILATED AREA OF THE SHOP AND
STORED ACCORDING TO MSDS.
Release Containment 03/02/1993
WHEN WELDING IS BEING ~DONE IT IS DONE IN A-WELL VENTILATED~AREA CONFINED TO
ONE PART OF THE SHOP WITH A FIRE EXTINGUISHER NEAR BY AND THE MEN HAVE BEEN
INFORMED ON WHAT TO DO ACCORDING TO THE MSDS.
Clean Up 03/02/1993
ACCORDING TO MSDS.
v~.iici ncavutt,.c r~~.~.iva~.lvii
-8- 07/12/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
iJ~JCC:1d1 ild'GdLC1.7'
Utility Shut-Offs
A) GAS - BACK S SIDE OF BLDG~
B) ELECTRICAL - BACK S SIDE OF BLDG
C) WATER - SW CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
12/13/2006
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - SE CRNR OF BLDG ACROSS ALLEY
12/13/2006
Building Occupancy Level
27 EMPLOYEES
03/01/2006
-9- 07/12/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/13/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: TALKED ABOUT THE PROPER USE OF GOGGLES
AND GOOD VENTILATION WHILE USING MURIATIC ACID, LIQUID OXYGEN AND ACETYLENE,
AND WHAT TO DO IF YOU BECOME INJURED WHILE USING ANY OF THE ABOVE MENTIONED.
= Page 2
nciu ivi rut.uic vac
nca.u ivL r u~uic ~~c
-10- 07/12/2007
7 ~- ,~
JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529
Manager : , ttnnf,~y C-~`pVYuc~~
Location:~821 E 21ST ST
City BAKERSFIELD
BusPhone: (661) 322-1633
Map 103 CommHaz Extreme
Grid: 29D FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:3441
DunnBrad:78-667-2543
Emergency Contact / Title Emergency Contact / Title
RANDY C JOURNEY / OWNER KIRK WATERFIELD / FOREMAN
Business Phone: (661) 322-1633x Business Phone: (661) 322-1633x
24-Hour Phone (661) 396-7400x 24-Hour Phone (661) 588-8609x
Pager Phone (661) 979-9768x Pager Phone (661) 979-9885x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contac-t -: --~~in^~ l`,- - - y~ ~ " "' ~~ ~ Phone : ( 6 61) 3 2 2 -16 3 3 x
MailAddr: '821 -El21ST T State: CA
City BAKERSFIELD Zip 93305
Owner RANDY C JOURNEY Phone: (661) 322-1633x
Address 821 E 21ST ST State: CA
City BAKERSFIELD Zip 93305
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif ' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
EN'S EEC ~ ~ ~~p~
Based on my inquiry of those individuals
responsible for obtaining the information, 1 certify
under penalty of law that I have personally
examined and am familiar with the information
submitte an .;~ ~ .the information is true,
accurat , an mplete.
2.56'1
t
D
e
a
- Sig ature
-1- 02/01/2007
~'
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ 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 240.00 FT3 Hi
ACETYLENE E F P IH G 110.00 FT3 Hi
FREON R-22 P IH G 300.00 FT3 Low
OXYGEN F P IH G 250.00 FT3 Low
WASTE HYDRAULIC OIL F DH L 55.00 GAL Low
-2- 02/01/2007
-3- oa/oi/aoo~
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ Inventory Item 0004 Facility~Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
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
FT3 240.00 FT3 ~ FT3
t11-~GHK1J V U.7 1. V1~lY V1V 1;1V 1.7
100:=0°O= -~ - - - :--~-_ ~f-- --
-Propane =~ ~ ' -- _ _ -
Yes
74986
t1HGE~t~CL H55~J~1~11=;1V1~J
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
ACETYLENE
Location within this Facility Unit
SW CRNR
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
110.00 FT3 110.00 FT3 110.00 FT3
riEiGEi1tLV U 5 1:V1~lYV1VL' 1V 1 D
oWt. RS CAS#
100.00 Acetylene Yes 74862
11EiGLittL Ei7~~7.71~1L"1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-4- 02/01/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME /. CHEMICAL NAME
FREON R-22 Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Below Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 300.00 FT3 FT3
HAZARDOUS COMPONENTS
°sWt . _ RS _
C
AS# _
__ ~i.
= 10-0-0~0~ _ _ _ _ _ _
_
`Chlorod`fl`uoromethane '''-''- "! - _
No _
_
_
75456
rltiGtiiCL ti. 7Jl~J~J1°1LilV 1 iJ
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365 ,
Location within this Facilit
Unit Ma Grid
y p: :
SW CRNR CAS#
7782-44-7
STATE T TYPE
Gas I Pure PRESSURE ~~
Above Ambient I TEMPERATURE ~
Ambient ~ CONTAINER TYPE
1 PnRT _ PRF.~~ rvr.TTTT~F.R I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 FT3 250.00 FT3 250.00 FT3
HAZ
- ARDOUS COMPONENTS
%Wt• RS CAS#
100.00 Oxygen, Compressed No 7782447
i1Ci[~riRL 1'i J~J L'+a7 J1"1L~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-5- 02/01/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE HYDRAULIC OIL Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TWaste I Ambient ~ Ambient DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDO S C
U OMPONENTS
oWt . _ R
S
#
-~"- _ _ _ _ __ _
~Hydrailc Oil `- 4 "-Y ~ ~ ~
No .
- _ .
112345
ri1"+c~tiRL ti J w7 ~.7.71~1L'1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-6- 02/01/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/10/2000 ~
FIRE DEPARTMENT 911.
Employee Notif./Evacuation 10/10/2000
ION-~THROTJGH THE S SIDE OF BLDG,~E-SIDE OF BLDG OR THE N SIDE OF BLDG.
Public Notif./Evacuation 10/10/2000
EVACUATION THROUGH THE S SIDE OF BLDG, E SIDE OF BLDG OR THE N SIDE OF BLDG.
Emergency Medical Plan 10/10/2000
MEMORIAL OR MERCY HOSPITAL WOULD BE USED. ACCORDING TO MSDS WHAT TREATMENT
WOULD BE USED ON PROPERTY.
-7- 02/01/2007
F JOURNEY AIR CONDITIONING CO SiteID: 015-021-000529 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/02/1993 ~
WHAT WE HAVE IS STORED AND USED IN A OPEN VENTILATED AREA OF THE SHOP AND
STORED ACCORDING TO MSDS.
Release Containment
03/02/1993
WHEN-WELDING~IS BEING DONE IT IS DONE IN A WELL VENTILATED AREA CONFINED TO
ONE PART OF THE SHOP WITH A FIRE EXTINGUISHER NEAR BY AND THE MEN HAVE BEEN
INFORMED ON WHAT TO DO ACCORDING TO THE MSDS.
Clean Up 03/02/1993
ACCORDING TO MSDS.
V1~11G1 itG r7V LL1VG 1'~l.. l.1VQl.1 V11
-8- 02/01/2007
F JOURNEY AIR CONDITIONING CO SitelD: 015-021-000529 ~
Fast Format ~
~ Site~Emergency Factors Overall Site ~
,_
a~c~.iai nac,aLUo
Utility Shut-Offs
A) GAS - BACK S SIDE OF BLDG
B) ELECTRICAL - BACK S SIDE OF BLDG
C) WATER - SW CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
12/13/2006
Fire Protec./Avail. Water 12/13/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - SE CRNR OF BLDG ACROSS ALLEY
Building Occupancy Level 03/01/2006
27 EMPLOYEES
-9- 02/01/2007
;:
F JOURNEY AIR CONDITIONING CO SiteID: 015-021.-000529 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/13/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: TALKED ABOUT THE PROPER USE OF GOGGLES
AND GOOD VENTILATION WHILE USING MURIATIC ACID, LIQUID OXYGEN AND ACETYLENE,
AND WHAT TO DO IF YOU BECOME INJURED WHILE USING ANY OF THE ABOVE MENTIONED.
Page 2
ric.iu ivi r u~.u.LC vac
nciu ivi ru~.uic ~5c
-10-
02/01/2007
~-. _~
,.~ - ,.rcF
BAKERSFIELD FIRE DEPT
UNIFIED PROGRAM INSPECTION CHECKLIST ~' a p - Prevention Services
IItII 900 Truxtun Ave., Suite 210
SECTION 1: Business.Plan~and In - . ,~ . ~ - ~R'n ' Bakersfield, cA 93301 ~I
ventory Program ~~ Tel.: (661) 326-3979
• Fax: (661) 872-2171 '
FACILITY NAME NSPECTION DATE INSPECTION TIME
/3'12 ~~/ ~OhC~/qtr ~ J ~ c 7-~Z `~ 6C9 `. tJ7~
ADDRESS HONE NO. O OF EMP
L
OYEES
~ Y°' ~ ZZ ' LO -
~
J
FACILITY CONTACT
- USINESS ID NUMBER
,5_az,_ ~a~
~~
_ _____
Section 1: Business Plan and Inventory Program 3~~'~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=Compliance` OPERATION
V=Violation l COMMENTS
^ APPROPRIATE PERMIT ON HAND
BUSIt1@SS PLAN CONTACT INFORMATION ACCURATE
~" ^ VISIBLE ADDRESS I
^ CORRECT OCCUPANCY
`~ ^
( VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
~j ^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
1 ~T ~ /
`/
^ VERIFICATION OF HAZ MAT TRAINING 06
^ VERIFICATION OF ABATEMENT SUPPLIES AND
CEDURES
^
EMERGENCY PROCEDURES ADEQUATE _
^ CONTAINENS PROPERLY LABELED
`~ ^ HOUSEKEEPING
^ FIRE PROTECTION
^ S E D GRAM ADEQUATE & ON HAND
iy'~
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: - _-
~iUEST10NS REGARDING THIS INSPECTION? PLEASE CALL US AT (687) 328-3878
II / G1 h ~ U r
Inspecto (Please Print) Fire Prev Ion / 1" In / Shift of S8e/Station p
White - Prwention Services Yellow -Station Copy Pink - Business Copy
^ YES ~TIO
~~V
FD2048 (Rw.02/05)
+ JOURNEY AIR CONDITIONING CO _________________________ SiteID: 015-021-000529 +
Manager
Location: 821 E 21ST ST
City BAKERSFIELD
BusPhone: (661) 322-1633
Map 103 CommHaz :.High
Grid: 29D FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:3441
DunnBrad:78-667-2543
Emergency Contact / Title Emergency Contact / Title
RANDY C JOURNEY / OWNER KIRK WATERFIELD / FOREMAN
Business Phone: (661) 322'-1633x Business Phone: (661) 322-1~x~(~3
24-Hour Phone (661) 396-7400x 24-Hour Phone (661) 588-8609x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact ~ Phone: (661) 322-1633x
MailAddr: 821 E 21ST ST State: CA
City BAKERSFIELD Zip 93305
Owner RANDY C JOURNEY Phone: (661) 322-1633x
Address 821 E 21ST ST State: CA
City BAKERSFIELD Zip 93305
Period to
Preparers
Certif~d:
ParcelNo:
TotalASTs:
TotalUSTs:
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
ENS ~~~ ~ g X006
Based on my inquiry of those individuals
responsible for obtaining the information, {certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, an omp{ te.
3^2-O~
Sig r Date
-1- 03/01/2006
Eakersfield Fire Dept.
UNIFIED PROGRAM INSPECTION CHECKLIST 'Environmental Services
*°"~"`~°~~ ~''~ ~"~ ~ 900 Truxtun Ave., Snite 210
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)_326-3979 _
FACILITY NAME .r. INSPECTION DATE INSPECTION TIME
-------- ~Olai-r1Q~__~iY' _1,.,.N~ 11d1.r,r~1~ ~b r~.".~"4~J ~.~~
ADDRESS PHONE No. No. of Employees
~ a 1 ~. a ~sfi ,St. 3~a~r633 33
FACILITYCONTACT ~' n Business ID Number
~~n~ C/pwrne ~ 15-021- .~ Zq
Section 1: Business Plan and Inventory Program
Routine O Combined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection
C V ~V=Vioaeon ce\ OPERATION
) COMMENTS
"~ ^ APPROPRIATE
PERMIT ON HAND
^
CCU
TE
B
--
A. - -- _ _---- -
~~,, 'f ~ 97~ ~_ ~~68
RA
USINESS PLAN CONTACT INFORMATION A ___.- _. _ _ ~yr,~- _ ~ ~y- 98~~ .__ _.- -_
-~ ^ VISIBLE ADDRESS
-~ ^ CORRECT OCCUPANCY
(~L~ R ~~ r~~h ~ ~-^ax ~~
---- - -.._ ERIFICATION OF INVENTORY MATERIALS
--- --- _- _. -. -.
...-------- ---_ --_..__
z
~rQpGr,.~._.._-. r,.,a~x.. Hb
-__ .._ ----- _ . - -
~ ___-- - -
^ VERIFICATION OF QUANTITIES ,,,, ~ y~
1,/RS-~ Hy~reu./ e O!
^ -
.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
I --- - -- _..-- - - ..-.
}
-~ ^ HOUSEKEEPING
^. FIRE PROTECTION ~
^ SITE DIAGRAM ADEOUATE & ON HAND
ANY HAZARDOiJ/S~WASTE ON SITE?: -~ YES ^ NO
EXPLAIN:. 1 /~X S~ ~L{ J ~A/GtS~~ ~',/~j'6q~l~~C Ofy
QUESTIONS REG~AR/D~NG THIS INSPECTIONS PLEASE CALL US AT (661 ~ 32G-3979
Inspector (Please Print) Fire Prevention 1st-In/Shik of Site
White -Environmental Services Yellow -Station Copy
rn