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Home My WebLink AboutBUSINESS PLAN 8/30/2007~~~ m o _` V \\ '\ 1' t _ _ __ _ i~ . ~~, ^, F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 Manager :.LARRY MEDEARIS Location: 700 23RD ST City BAKERSFIELD BusPhone: (66'1) 327-7966 Map 103 CommHaz High Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad:CAL000040253 Emergency Contact / Title Emergency Contact / Title LARRY MEDEARIS / OWNER / Business Phone: (661) 327-7966x Business Phone: ( ) - x 24-Hour Phone (661) 872-2039x 24-Hour Phone ( ) - x Pager Phone (661) 747-6205x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY MEDEARIS Phone: (661) 327-7966x MailAddr: 700 23RD ST State: CA City BAKERSFIELD Zip 93301 Owner LARRY MEDEARIS Phone: (661) 872-2039x Address 2704 SIERRAGLEN CT State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~pU ~' ~ ~ ~`~~/ C3ased on my inquiry of those individuals responsible for obtaining the information, !.certify under penalty of lain that I have personally examined and am famiiiar with the information subr ~~'ted and belieue the information is true, et e. acc irat ,and compl ~ f ~ '~LE~ ~ C~~ _ _ nature ~ Date -1- 07/12/2007 Y: Y F MEDEARIS ELECTRIC CO SitelD: 015-021-000386 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 60.00 FT3 Hi CLEANING SOLVENT F DH L 60.00 GAL Mod OXYGEN F P IH G 122.00 FT3 Low ARGON P IH DH G 300.00 FT3 Min -2- 07/12/2007 -3- 07/12/2007 ~ 4 F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CENTER N WALL CAS# 74-86-2 ~GaSATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE TPure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 60.00 FT3 60.00 FT3 30.00 FT3 • t1HG1~KLVU.7 1.V1~1rV1VL" 1V l J %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1E~L+EiK1J A.7 J ~ 5 J1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE W END CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture Tmbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 60.00 GAL 30.00 GAL tltiGtl[CLVU~ w1~1rv1v1JsV1J %Wt. RS CAS# 100.00 Naphtha Solvent No 8030306 IIHGHICL HA .7~~7.71~1~1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -4- 07/12/2007 ~ R F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CENTER N WALL CAS# 7782-44-7 ~GasATE T TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 122.00 FT3 122.00 FT3 60.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I11-1GEiiCL lii J ~J P.+J .71°1P~1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: CENTER N WALL CAS# 7440-37-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 FT3 300.00 FT3 I 150.00 FT3 ru~uru~LV V o ~,vi-irvtvr,ty t S %Wt. RS CAS# 100.00 Argon No 7440371 nnc~ru~L ria a~~JriGly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH DH / / / Min -5- 07/12/2007 F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation 01/07/1990 NO NEED TO EVACUATE UNLESS OF FIRE. Public Notif./Evacuation 04/12/2006 NO NEED TO POST EVACUATION PROCEDURES. SOUTH SIDE OF BLDG HAS 3 DOORS (14'X20') THAT ARE OPEN TO PUBLIC AREA. SINCE BLDG IS ONLY 35 FT DEEP, ONE WOULD JUST STEP OUTSIDE. Emergency Medical Plan 06/11/1997 SOLVENT USED WOULD NOT REQUIRE SPECIALIZED TREATMENT. LOCAL HOSPITALS ABLE TO TREAT. -6- 07/12/2007 F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/11/1997 ~ CLEANING SOLVENT IS DELIVERED AND PICKED UP IN SEALED METAL CONTAINERS. Release Containment 04/12/2006 ANY RELEASED SOLVENT WOULD BE CONTAINED WITH AN ABSORBENT MATERIAL WHICH IS KEPT ON HAND FOR SUCH A SITUATION. Clean Up 04/12/2006 ANY SPILLED SOLVENT WOULD BE CLEANED UP AND PLACED IN USED SOLVENT CONTAINER FOR DISPOSAL BY SOLVENT COMPANY. Other Resource Activation -7- 07/12/2007 ., F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC:1d1 Lld'GdLUS Utility Shut-Offs A) GAS - W END OF BLDG B) ELECTRICAL - W END OF BLDG C) WATER - W END OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 06/11/1997 Fire Protec./Avail. Water 11/09/2006 PRIVATE FIRE PROTECTION - 1 DRY CHEMICAL AND 2 CO2 FIRE EXTINGUISHERS FOR FIRE PROTECTION. FIRE HYDRANT - ONE BLOCK NE CRNR 24TH & R ST. Building Occupancy Level OWNER/OPERATOR NO EMPLOYEES 02/05/2007 -8- 07/12/2007 ,_ F MEDEARIS ELECTRIC CO SiteTD: 015-021-000386 ~ Fast Format ~ ~ Training Overall Site ~ loyee Training 09/2006 MATERIAL SAFE TA SHEETS ON FILE. BRIEF SUMMARY OF TRAININ EMPLOYEES HAVE BEEN INFORMED OF THE HAZARDS OF THE SOLVENT U ERE.• OLVENT TANK ITSELF IS POSTED AS A FIRE HAZARD. THE S NT IS NOT AN IMME HEALTH HAZARD UNLESS SWALLOWED OR SPLASHED I S. EMPLOYEES HAVE BEEN TRA D UNDERSTAND PROCEDURES TN THES TANCES. ~~ ra.yc ~. rie1Q =Or' t'ULUr@ USe , i ~ ~ `~.. , f ~ ~~ RGlu iv1 ru~..uic V~7c -9- 07/12/2007 i _ _ _ _ BAKERSFIELD FIRE DEPT Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST' "p n 900TruxtunAve.,~Suite210 ..-t ~,.;..; _,. ;....,~ . .,. .... ,. ,:.;., ~~rnv r Bakersfield, CA 93301 SECTION 1: Business Plan~and Inventory Program '` Tel.: (661) 326=3979 . Fax: (661) 872-2171 FACILITY NAME INSPECTIO ~ 9~~ INSPECTION TIME 1~"'~~DE~-/ZiS t~-C~c`(~~c Cor ` T~~`r /0M ADDRESS HONE NO. O OF EMPLOYEES '700 'Z3 ~ A S i FACILITY CONTACT USINESS ID NUMBER 15-021- 0003cQ~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS _ ___ ______ ' L ~ ' ^ APPROPRIATE PERMIT ON HAND _ ~ ~~ U . ~ / L`~1 ^ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION / Kd ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY Q' ^ VERIFICATION OF HAZ MAT TRAINING ENT'D Q C T .15 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l~. ^ EMERGENCY PROCEDURES ADEQUATE L9~ ^ CONTAINERS PROPERLY LABELED C ~ ^ HOUSEKEEPING , _ / Lt7 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~O EXPLAIN: ._ _- _. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy IJ~Y ennnsihla ParW lPlaaca Prinfl FD2049 (Rev. 02/05) r. ~- t ~ i _ .- MEDEARIS ELECTRIC CO Manager LARRY MEDEARIS Location: 700 23RD ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000386 BusPhone: (661) 327-7966 Map 103 CommHaz High Grid: 30B FacUnits: 1 AOV: SIC Code: DunnBrad:CAL000040253 Emergency Contact / Title Emergency Contact / Title LARRY MEDEARIS / OWNER / Business Phone: (661) 327-7966x Business Phone: ( ) - x 24-Hour Phone (661) 872-2039x- 24-Hour Phone ( ) - x Pager Phone (661) 747-6205x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY MEDEARIS Phone: (661) 327-7966x MailAddr: 700 23RD ST State: CA City BAKERSFIELD Zip 933.01 Owner LARRY MEDEARIS Phone: (661) 872-2039x Address 2704 SIERRAGLEN CT State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT EN D F I 2 6 2007 Based on my inquiry of those individuals responsible for obtaining the information, t certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information, is true acc ate, and complete. ZZ ~~ V1C7 ~~~..~ i natu Date -1- 02/05/2007 ~~` F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 60.00 FT3 Hi CLEANING SOLVENT F DH L 60.00 GAL Mod OXYGEN F P IH G 122.00 FT3 Low ARGON P IH DH G 300.00 FT3 Min -2- 02/05/2007 ~" -3- 02/05/2007 jr ~ F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CENTER N WALL CAS# 74-86-2 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 FT3 .60.00 FT3 30.00 FT3 t1AG1itCLVU.7. LV1~lYV1VJ;1V1~ oWt. RS CAS# 100.00 Acetylene Yes 74862 I1L~G1-~tCL 1~D.7L" w7.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE W END CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE = Liquid TMixture Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55_.00 GAL 60.00 GAL 30.00 GAL I1HL~L-l1tLVUA 1..V1~lYV1V~1V 1.7 oWt. RS CAS# 100,.00 Naphtha Solvent No 8030306 t1HGEitCL Ei~ J.7~J~J1.1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -4- 02/05/2007 F MEDEA.RIS ELECTRIC CO ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit CENTER N WALL STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-000386 ~ 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 Co122100rFT3 Daily 122100m FT3 I Daily A60r00e FT3 rt[~GHKL V U .7 1. V 1~1Y V1V 1;1V 1 J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 r1HGL•i![L H~JJt5JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ARGON Location within this Facility Unit CENTER N WALL STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7440-37-1 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 300.00 FT3 300.00 FT3 150.00 FT3 rues-u~ct~vuJ ~.vr~rvlvr,lvlJ %Wt. RS CAS# 100.00 Argon No 7440371 rujGLi2CL li. 7JI;J.~1~11;1V-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH DH / / / Min -5- 02/05/2007 ~~ F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation NO NEED TO EVACUATE UNLESS OF FIRE. 01/07/1990 Public Notif./Evacuation 04/12/2006 NO NEED TO POST EVACUATION PROCEDURES. SOUTH SIDE OF BLDG HAS 3 DOORS (14'X20') THAT ARE OPEN TO PUBLIC AREA. SINCE BLDG IS ONLY 35 FT DEEP, ONE WOULD JUST STEP OUTSIDE. Emergency Medical Plan 06/11/1997 SOLVENT USED WOULD NOT REQUIRE SPECIALIZED TREATMENT. LOCAL HOSPITALS ABLE TO TREAT. -6- 02/05/2007 .. F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/11/1997 ~ CLEANING SOLVENT IS DELIVERED AND PICKED UP IN SEALED METAL CONTAINERS. Release Containment 04/12/2006 ANY RELEASED SOLVENT WOULD BE CONTAINED WITH AN ABSORBENT MATERIAL WHICH IS KEPT ON HAND FOR SUCH A SITUATION. Clean Up 04/12/2006 ANY SPILLED SOLVENT WOULD BE CLEANED UP AND PLACED IN USED SOLVENT CONTAINER FOR DISPOSAL BY SOLVENT COMPANY. V1.11C1 iCC.7~VU1lLC HLl.1Vdl.1V11 -7- 02/05/2007 ~4 F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .71JCC:1Cl1 IldGCLL 1.1.7- Utility Shut-Offs 06/11/1997 A) GAS - W END OF BLDG B) ELECTRICAL - W END OF BLDG C) WATER - W END OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec.jAvail. Water 11/09/2006 PRIVATE FIRE PROTECTION - 1 DRY CHEMICAL AND 2 CO2 FIRE EXTINGUISHERS FOR FIRE PROTECTION. FIRE HYDRANT - ONE BLOCK NE CRNR 24TH & R ST. Building Occupancy Level 02/05/2007 OWNER/OPERATOR NO EMPLOYEES -8- 02/05/2007 _. F MEDEARIS ELECTRIC CO SiteID: 015-021-000386 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES HAVE BEEN INFORMED OF THE HAZARDS OF THE SOLVENT USED HERE. THE SOLVENT TANK ITSELF IS POSTED AS A FIRE HAZARD. THE SOLVENT IS NOT AN IMMEDIATE HEALTH HAZARD UNLESS SWALLOWED OR SPLASHED IN EYES. EMPLOYEES HAVE BEEN TRAINED AND UNDERSTAND PROCEDURES IN THESE INSTANCES. Ydy C G Held for Future Use nclu ivi r u~.uic vac -9- 02/05/2007 UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program • HAHERSFIELD FIRE DEPT Prevention Services „ lr~ta 900 Trtuctun Ave., Suite 210 ~Rrr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY N/`AMpE p ~+ p /r' ,~, NSPECTION D TE{ INSPECTION TIME ADDRESS~oo ~~ R h HONE NO. O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021-~ (~ Section 1: Business Plan send Inventory Program ROUTINE ^ COM9INED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compiiartce~ OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND _ ^ BUSIi'1@SS PLAN CONTACT INFORMATK)N ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ /( PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY T~ ~r T V ~ ^ VERIFICATION OF NAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED O~ ^ f•fOUSEKEEPING ~1 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HANG ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - - I QUESTIONS R~EpG~~AR~DING THIS INSPECTION4 PLEASE CALL US AT (881) 326-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # ~~~ White -Prevention Sarviees Yellow -Station Copy Pink - Business Copy FD2048 (Rw. 02/05) i + MEDEARIS ELECTRIC CO ________________________________ SiteID: 015-021-000386 + Manager LARRY MEDEARIS Location: 700 23RD ST City BAKERSFIELD BusPhone: (661) 327-7966 Map 103 CommHaz :-High Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: . EPA Numb: DunnBrad:CAL000040253 ~ ergency Contact / Title ~ Emergency Contact / Title / Q LARRY MEDEARIS / OWNER L Busine one: ) - x~ Business Phone: (661) 327-7966x 24-Hour e 61) 24-Hour Phone (661) 872-2039x P hone ( - x Pager Phone (661) 747-6205x Hazmat Hazards: Fire Press ImmHlth_ DelHlth ~___ Contact LARRY MEDEARIS Phone: (661) 327-7966x MailAddr: 700 23RD ST State: CA City BAKERSFIELD Zip 93301 Owner LARRY MEDEARIS Phone: (661) 872-2039x Address 2704 SIERRAGLEN CT State: CA City BAKERSFIELD Zip : 93306 Period to TotalASTs: ~_ Gal Prepares: TotalUSTs: = Gal Certif~d: RSs: No ParcelNo : ~ , . Emergency Directives: PROG A - HAZMAT EN~'D APR 12 zoos Based on my inquiry of 4hose 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 tr , accu te, and complete. 4~' ~ ~, c7 ignatur Dat -1- 03/06/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ~«~ SECTION 1: Business Plan and Inventory Program • FACILITY NAME INSPE TIO DATE INSPECTION TIME lM~ ti4R (S ~ C~cCTi~(C C a. l l U ~b wu~ ADDRESS ~ ~ O ~~ A D HON NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- o®Q~g~ 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 . D BUSIn2SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~' ^ CORRECT OCCUPANCY I~, ~ " ^ VERIFICATION OF INVENTORY MATERIALS ~ . ^ VERIFICATION OF QUANTITIES L~ / ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY I~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~1 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~ YES ^ NO EXPLAIN: - _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1S' In /Shift of Site/Station # us' ess Site/S ool Site Responsible Party (Please Print) BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun AvrL.,, Suite 210 Bakersfield, CA x93301 Tel.: (661) 326-397 Fax: (661) 872-21 £C 1 S~~®~ White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 ~•;(Rev. 02!05) ..~ OCT 6 2~(]3 T~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES s UNIFIED PROGRAM INSPECTION CHECKLIST w ~R~~d 1715 Chester Ave., 3rd Moor, Bakersfield, CA 93301 INSPECTION DATE ~ ''/ ~ - 0 3 PHONE NO. -~ 2 BUSINESS ID NO. 15-21U- ~.~'~' NLIMBER OF EMPLOYEES i FACILITY NAME lM ~ ~ ~ ARl S ~~~« iC ADDRESS 74 a Z~ ~ ~T FACILITY CONTACT t'~ar'r' INSPECTION TIME_f~ V/!~ r~ Section 1: ~outine Business Plan and Inventory Program ^ Combined ^ Joint Agency ^Muhi-Agency () Complaint Q Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business 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 procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand_._- C=Compliance V=Violation ~. Any hazardous waste on site?: yes ^ Nol /a G ,, ~V Explain:_ N D Lin L vJ A S ~(' ~~~ ~~' ~ __-_--- - -- - - Questions regarding this-inspection?_..Pleas ca~a (661) 326-3979 While -Env. Svcs. Yellow -Station Copy Pink -Business Copy 7 ~' ~. ,~ C ~~ B mess Site Responsible Party Inspector: /~ `~ !.~