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Home My WebLink AboutBUSINESS PLAN i H ~ ~ I ~- Q (~ ~ - N i 1"1 . . ~ ..C N LL W ~ L C ~ . Py ' ~ Q ..y ~ ~~ d ~` i /, ;, ~ ~ i. •K ~ 1 i I' 1 . _ ~ I ~ i I I ~I ii i ;! _ ;~ 'ii ~ :~ , ~~ N ~; u ~~ 'i is ,'s. a ARMOR FIBERGLASS SiteID: 015-021-001822 Manager JAYNE LOYD Location: 1117 E 21ST ST City BAKERSFIELD BusPhone: (661) 325-6070 Map 103 CommHaz Moderate Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:2221 DunnBrad: Emergency Contact / Title Emergency Contact / Title JAYNE LOYD / SUPERVISOR MARI BORDON / FOREMAN Business Phone: (661) 325-6070x Business Phone: (661) 325-6070x 24-Hour Phone (661) 397-9402x 24-Hour Phone (661) 393-8141x Pager Phone (661) 747-6283x Pager Phone (661) 345-9816x Hazmat Hazards: Fire React ImmHlth DelHlth Contact JAYNE LOYD Phone: (661) 325-6070x MailAddr: 4305 ALEXANDER ST State: CA City BAKERSFIELD Zip 93307 Owner JAYNE LOYD Phone: (661) 325-6070x Address 4305 ALEXANDER ST State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~UL ~ ~ 2007 E3ased on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty ofi law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and campiete. ~ G~ Date U Si tur -1- 06/29/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GEL COAT F L 55.00 GAL Mod ACETONE F R IH L 55.00 GAL Mod RESIN L 55.00 GAL Low L ~`.~ /~ DH 0 -2- 06/29/2007 -3- 06/29/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GEL COAT Days On Site UNSATURATED POLYESTER GEL COAT IN MONOMER 365 Location within this Facility Unit Map: Grid: NE CRNR OF SHOP WALL BY DOUBLE DOORS CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture~Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 4.00 GAL ~ : --~ c_ r1t~~.ytcLUUa ~vlnrvlv~lviJ %Wt. RS CAS# 50.00 Styrene Monomer No 100425 3.00 Silicon Dioxide No 7631869 t1HGHKL E~5 ~L' ~ 51~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETONE Days On Site KETONE 365 Location within this Facility Unit Map: Grid: NW WALL OF SHOP CAS# Liquid TPureE ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily M55100m GAL I Daily Av3r00e GAL nrit~[itCllv~J l.Vl°lYV1VP~1V1J %Wt. RS CAS# 100.00 Acetone No 67641 r11iGHKL H~J .7J;.7J1"1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Mod -4- 06/29/2007 F ARMOR FIBERGLASS ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME RESIN POLYLITE Location within this Facility Unit NW WALL OF SHOP STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-001822 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1HG1~KLVUS LV1~lYV1VL'1V1a %Wt. RS CAS# 45.00 Polyester Resins No 0 42.00 Styrene Monomer No 100425 2.00 alpha-Methyl Styrene No 98839 tlAGE~KL H~J~J51~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# OUTSIDE ALONG E FENCE 221 Liquid TWaste -~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily M55100m GAL I Daily A55r00e GAL riLiGl-1ttLVUJ 1.V1~lYV1VL"1V1.7 %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based ~ No 0 I1HGHitL H~7~J1;.7.71~1t',1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 06/29/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/26/2001 ~ FIRE DEPT, TELEPHONE 911. Employee Notif./Evacuation 03/26/2001 VERBAL. Public Notif./Evacuation 10/27/1997 VERBAL. Emergency Medical Plan 04/18/2006 EMERGENCY VEHICLE (AMBULANCE OR PRIVATE) AND TRANSPORT TO KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -6- 06/29/2007 ~- F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/18/2006 ~ MATERIAL IS STORED IN SHOP. A RUPTURE-PROOF CONTAINER HAS BEEN IMPLEMENTED TO CONTAIN SPILLS. Release Containment 04/18/2006 55-GAL STEEL DRUMS HAVE BEEN PLACED ON STEEL GRID 3FT X 8FT FIRE-RESISTANT BOX CONSTRUCTED OF 2IN X 8IN WOOD BEAM. Clean Up 04/18/2006 SAND STORED ON SITE FOR BERMS AND ABSORBING SPILLS. MATERIAL (SAND) TO BE DISCARDED .TO A HAZARDOUS WASTE FACILITY. Other Resource Activation -7- 06/29/2007 ., 'e F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 04/18/2006 A) GAS - N/A B) ELECTRICAL - SE CRNR OF BLDG OUTSIDE C) WATER - SE CRNR OF BLDG OUTSIDE D) SPECIAL - FIRE EXT AT EACH DOUBLE DOOR E) LOCK BOX - NO Fire Protec./Avail. Water 01/25/2007 PRIVATE FIRE PROTECTION - 6 FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - GAGE & TRUXTUN AT BOTH ALLEY ENTRS.APPROX 150FT. Building Occupancy Level 03/01/2006 3 EMPLOYEES -8- 06/29/2007 '~. v_ F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/25/2006 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: SAFETY DATA SHEETS, ALL PERSONNEL HAVE BEEN VERBALLY VERSED ON THE USE OF ALL ON-SITE MATERIAL. VIDEO TAPES ARE AVAILABLE. rayc c. 17C1U tVl 1'UI.UIC VSC 17G 1~A 1V1 L'LLI. UJ.C Vw7C -9- 06/29/2007 UNIFIED PROGRAM INSPECTION CHECKLIST A' Prevention Services A F a 5 ~ __, n 900 Truxtun Ave.', Suite 210: --FIRE Bake field, CA 93301..--_. SECTION 1: Eusiness Plan:and Inventory Program - "'~"" Tel.: -(Fi61) 326-397 ~ .- - ~ Fax: (661) 872-2171 FACILI NAME lNSP CTlON DATE INSPECTION TIME ` ADDRESS ~~ S ~ ~' ! /t ~O~ - HONE NO. O OF EMP OYEES FACILITY CONTACT - BUSINESS ID NUMBER 15-021-~~ ~~Z l - -"~ -- _~ - -~ ~ - - - ~ Section 1: Business Plan and Inventory Program.. ~OUTINE ^ COMBINED - ^. JOIN7 AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V - (c=Compliance OPERATION V=Violation COMMENTS ^ ~ APPROPRIATE PERMIT ON HAND .~ ..- ~ ~ ~,~r ^ LX ! ` BUSIII@SS PLAN CONTACT INFORMATION ACCURATE _ <-.• ~ I !}-~ ~~ ~~ ` ~ ^ , VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ~ ~~~ ~ 7~~ ^ ~ sss VERIFICATION OF INVENTORY MATERIALS ~ • ~'~ ~ ' T 1 112,E ~ Gov ^ ~ VERIFICATION OF QUANTITIES Crn-~ ~ A 2 - r-..t"t ~n.,ve,,.. '. ^ VERIFICATION OF LOCATION ^ ~ PROPER SEGREGATION OF MATERIAL ~~ /Q ~ ~ ~ .~ ~~~-r vim' ^ VERIFICATION OF MSDS AVAILABILITY ^ ~ VERIFICATION OF HAZ MAT TRAINING ^ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ~- EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING `~ ^ FIRE PROTECTION ^ I~Ii SITE DIAGRAM ADEQUATE & ON HAND ~'' l , ANY HAZARDOUSAAWASTE ON SITE?fit ~q~^JY'ES EXPLAIN: Y! 1~ G`~~'w~ ~ ~3 ' t.S V ` ~5,... .~ .- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~'7E'~M ~+1~ ~~-rte-~ ~ ~, ~~ ~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Busine 's ite / Resp Bible Party (Please Prin White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 Js ` 1 "r tt ~: ARMOR FIBERGLASS SiteID: 015-021-001822 Manager Location: 1117 E 21ST ST City BAKERSFIELD BusPhone: (661} 325-6070 Map 103 CommHaz Moderate Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:2221 DunnBrad: Emergency Contact / Title Emergency Contact / Title JAYNE LOYD / SUPERVISOR MARI BORDON / FOREMAN Business Phone: (661) 325-6070x Business Phone: (661) 325-6070x 24-Hour Phone (661) 397-9402x 24-Hour Phone (661) 393-8141x Pager Phone (661) 747-6283x Pager Phone (661) 345-9816x Hazmat Hazards: Fire React ImmHlth DelHltli Contact JAYNE LOYD Phone: (661) 325-6070x MailAddr: 4305 ALEXANDER ST State: CA City BAKERSFIELD Zip 93307 Owner JAYNE LOYD Phone: (661) 325-6070x Address 4305 ALEXANDER ST State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT'p FEB 2 2 2007 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. ~~ ~--~d-off 'g ature Date -1- 01/25/2007 .; F ARMOR FIBERGLASS SiteID: 015-021-00182 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Side ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GEL COAT F L 55.00 GAL Mod ACETONE F R IH L 55.00 GAL Mpd RESIN L 55.00 GAL Lt~w WASTE OIL F DH L 55.00 GAL how -2- O1/25/~f~07 -3- O1/25/~007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME GEL COAT Days On Site UNSATURATED POLYESTER GEL COAT IN MONOMER 365 Location within this Facility Unit Map: Grid: NE CRNR OF SHOP WALL BY DOUBLE DOORS CAS# = STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION = Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 4.00 GAL VT r/T 1'f T/'1T T('~ /^~/'111TT/ITTTTTT l1 __. rl.eaurucl~v~a ~vrlrvivrtvt~ $Wt. RS CAS# 50.00 Styrene Monomer No 100425 3.00 Silicon Dioxide No 7631f369 17ti(~tiRL H. 7AL~JJ1"1L~1V1iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETONE Days On Site KETONE 365 Location within this Facility Unit Map: Grid: NW WALL OF SHOP ~ CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 3.00 GAS.. L 117L.1L].[<L ll V O V V1•lr V1V Lily 1 S - -- oWt. RS CAS# 100.00 Acetone No 67641 ru-,c~rucl~ ri~ aL~~a1.latvta TSecret RS BioHaz Radioactive/Amount, EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Mod -4- 01/25/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON'NAME j CHEMICAL NAME RESIN Days On Site POLYLITE 365 Location within this Facility Unit Map: Grid: NW WALL OF SHOP CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture 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 . ru-~~~ttt~vua t_:ui~irulv~lyl~ ~Wt. RS CAS# 45.00 Polyester Resins No 0 42.00 Styrene Monomer No 10025 2.00 alpha-Methyl Styrene No 98889 riAGHKL A7~t5551~1L"~1V 15 T5ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# OUTSIDE ALONG E FENCE 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL n.-~c~r-ucLUU~ ~uinrulv~lvl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1LiGtlttL xa ~.c~a~i~ir.lvia TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F. DH / / / Low -5- 01/25/2007 r F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Notif./Evacuation/Medica'1 Overall Site ~ ~ Agency Notification 03/26/2001 ~ FIRE DEPT, TELEPHONE 911. Employee Notif./Evacuation 03/26/2001 VERBAL. Public Notif./Evacuation 10/27/199`7 VERBAL. Emergency Medical Plan 04/18/2006 EMERGENCY VEHICLE (AMBULANCE OR PRIVATE) AND TRANSPORT TO KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -6- 01/25/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/18/2005 ~ MATERIAL IS STORED IN SHOP. A RUPTURE-PROOF CONTAINER HAS BEEN IMPLEMENTED TO CONTAIN SPILLS. Release Containment 04/18/2005 55-GAL STEEL DRUMS HAVE BEEN PLACED ON STEEL GRID 3FT X 8FT-FIRE-RESISTANT BOX CONSTRUCTED OF 2IN X 8IN WOOD BEAM. Clean Up 04/18/2006 SAND STORED ON SITE FOR BERMS AND ABSORBING SPILLS. MATERIAL (SAND) TO BE DISCARDED TO A HAZARDOUS WASTE FACILITY. Other Resource Activation -7- 01/25/2007 F ARMOR FIBERGLASS SiteID: 015-021-001822 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special riazaras Utility Shut-Offs 04/18/2006 A) GAS - N/A B) ELECTRICAL - SE CRNR OF BLDG OUTSIDE C) WATER - SE CRNR OF BLDG OUTSIDE D) SPECIAL - FIRE EXT AT EACH DOUBLE DOOR E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 6 FIRE EXTINGUISHERS. 01/25/200'7 NEAREST FIRE HYDRANT - GAGE & TRUXTUN AT BOTH ALLEY ENTRS APPROX 150FT. Building Occupancy Level 03/01/2006 3 EMPLOYEES -8- 01/25/2007 p ARMOR FIBERGLASS SiteID: 015-021-00182 ~ Fast Format ~ ~ Training Overall Sits ~ ~ Employee Training 09/25/20U6 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY DATA SHEETS, ALL PERSONNEL HAVE BEEN VERBALLY VERSED ON THE USE OF ALL ON-SITE MATERIAL. VIDEO TAPES ARE AVAILABLE. ra~c Rclu LVt rul.U1C V.'7-C _ ~ ~ r _ •ici.u iVi ru~..utc Vac -9- 01/25/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 1e1: (bbl) 3Lb-3y/y FACILITY NAME WSPECTION DATE INSPECTION TIME r t2--~~ I-~ > b ----- ADDRESS i f' PHONE No. - - No. of E~ yeas FACILITYCONTACT ~ Business ID Number `~~ ~~ ~,~, 15-021- ~$ Section 1: Business Plan and Inventory Program outine O Combined O Joint Agency DMulti-Agency O Complaint D Re-inspection ANY HAZARDOUS WASTE ON SITE?: ^ YES It~IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT M+6F)') y 326-3979 Inspector (Please Print) Fire Prevention tsl-In/Shift of Site White -Environmental Services Yellow -Station Copy . - - s ess Site sponsible Party (Please Prin rn Pink -Business Copy .~ UNIFIED PROGRAM . :. _ 'ACTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. l~ Enironmental Services ~ 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ,t /~ (~/aze INSPECTION DATE 6- ~0-03 INSPECTION TIME o~vo ADDRESS -------~/_-7 - ~._21 S~ ~- -- - ---- -- PHONE No. 32S-6o7o No. of Employees ---- 5------- FACILITYCONTACT Cahra~ ~o~d Business ID Number I5-021- 8 22 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency O Complaint ^ Re-inspection C V inncel OPERATION p COMMENTS o \V=Vioa ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~. VERIFICATION OF INVENTORY MATERIALS ,,/ ' ^ VERIFICATION OF QUANTITIES ~ t/ ^ 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 - - ,cam ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE-O}N SITE: [ YES L^ NO EXPLAIN: ~~p f l e b ~ ~ f -', v`` N. l^~ dY' 1~ fr ut C ~~ j. QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 326-3979 ~ %~ y Inspe r Badge No. Business Site Resp nsible Party Wm1e ~ Envuonmenlal Services Yellow ~ Statwn Copy Pmk -Business Copy l + ARMOR GLAZE ~ ~moR Manager ---------------------------_._-•_-________= SiteID: 015-021-001822 + F'~ I~R C-~ I RSA Location: 1117 E 21ST ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: BusPhone: (661) 325-6070 Map 103 CommHaz Moderate Grid: 29D FacUnits: 1 AOV: SIC Code:2221 DunnBrad: Emergency Co tact / Title Em'e~ger7~y Contact- J Title- O ~yNe ~~1 SUPERVISOR LTT~n~TL~ T.,T~ ~/~+T / FOREMAN ~o~$'~07 ~~~ .,~~ Business Phone: (661) 325-6070x usiness Phone: (661 ~~rz-oo3x 24-Hour Phone (661) ~B'~-=r~22~39~'~ ~~4:-Hour Phone (661) "~~a-~~'~x313- Iy~ ._ (661) 633-2003x F ((~jo( ) ~tiS98J(ox --- ---- ------- --------------- Hazmat Hazards : ~'~~ 7~~` {O°~~~ Fire React ImmHlth DelHlth Contact JAYNE LOYD MailAddr: 4305 ALEXANDER ST City BAKERSFIELD Phone: (661) 325-6070x State: CA Zip 93307 Owner JAYNE LOYD Address 4305 ALEXANDER ST City BAKERSFIELD Phone: (661) 325-6070x State: CA Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~~ Sig ture Oate EN`C'D I~A~ 0 8 2006 -1- 03/01/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~? ~ItI . _. r..... ,.. ,... ~Rrr ~t',t~t, ~%::?~':'.:sY9"2{4i.~4P."3~Y,' X a.~.i .F t-..:.:'c;. F' ,..,,-~ r' .... ~~a. - .... r~... ...., ~~A,. .SECTION 1: Business Plan and Inventory Program ~ n rl ann~ BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~ ~ ~y~~ NSPEC ON DA E ~ C (, INSPECTION TIME ADDRESS ~9 ~ ~ ~~ n n D HON NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER J 4t~arC- ~s-oz~- c6-L2 Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT RE-INSPECTION C V C-Compliance ( - ) OPERATION V=Violation COM _ ~~ _ _ __ __ ^ ^ APPROPRIATE PERMIT ON HAND ~ ~1n1 ~(}(~ `"~ ~ L S~~ ,4 (J~s ^ ^ BU$InQ88 PLAN CONTACT INFORMATION ACCURATE .,f'''T~t~ L c~(~ 3Gt'+ ~'-1 ~~ ~„~ ~ / ~~7Z~3 C ^ ^ VISIBLE ADDRESS ~/+RY f~ _ „ ,. 1 ~ ~ ~ c^i (/-, -~~~- ~ ~(6 ~ I~U1~UU+~ LS `'C ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ . VERIFICATION OF QUANTITIES ^ ^ VERIFICATION OF LOCATION f ,~,~~5 ~ ~~ ~`~~,~~ ~L ~~. ~~ l ^ ^ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE _ 5 (J ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ~~~ ~,~~~ ~(~-YCCJCLl~ ~~ ^. ^ FIRE PROTECTION ~ ~ ~ ~f~l/lC~ ~ 1~~~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITES ^ YES ^ ND EXPLAIN: ~~~ 2C~G~P~C NiIQTLIs '~XZ- S~.i/~C.. ~/~?E _~lS~s.~t~ ---.- QUESTIONS REGARDING THIS INSPECTION4 PL~EA'SE CALL US AT (881) 328-3979 WIN ~~~ ti.3 ~~i' Inspector (Please Print) Fire Prevention / t" In / Shift of Sfte/Station q 8 Site/Sch I Sfte Responsible Party (P Print) White -Prevention Services Yellow -Station Copy Pink - Suainess Copy FD2049 lRw. 02105) (~ s _ ~ 30 g M R/R ~ x ~~ 19.5` 9• 4' 1' 1 5' Garage/ 24` Storage 17' 4z• Shop ~~ iri~~ ~, ~°~s . ~ ~~ 51' 28' Office R/R R/R 8.5' 5 {~ 18.5' 11' Office 10• 17' ~L^ .... ~~e5 Shop l~d- ~~ 70' i I i ~~ ~.-~i ~ ~N ~`~--~. ~'~