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Home My WebLink AboutBUSINESS PLAN 7/11/2007 u _~.XJ b~ D,) ~_ . ~x ~ ~.~ ~'S `~i L~ ~:_ ~.~ EXPRESS FABRICATION INC BusPhone: Map 103 Grid: 19D SiteID: 015-021-000320 Manager :PATRICK HUESTIS Location: 320 30TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: (661) 322-2678 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title PATRICK HUESTIS / PRESIDENT ADAM HUESTIS / PURCHASING AGNT Business Phone: (661) 322-2678x Business Phone: (661) 322-2678x 24-Hour Phone (661) 398-9775x 24-Hour Phone (661) 746-0779x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press Contact PATRICK HUESTIS Phone: (661) 322-2678x MailAddr: 320 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner PATRICK HUESTIS Phone: (661) 398-9775x Address 2400 MOFFITT WY State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based S'A'T respensib3e fior obt quirt' of those individ5-~.,p~/ ~ a under ~ ruing the infor n ~ ! mation, t certify `" v~ atty of law that I have per a~amined am f ~ 5 200? sonally submitted and amiliar with the informati ac bei1eJe th on curate, and ~ e information is m le ~, true, e Dat -1- 07/11/2007 1: li F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ~ 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 G 150.00 FT3 Hi OXYGEN F P G 500.00 FT3 Low FREON F P G 3400.00 FT3 Min ARGONjCARBON DIOXIDE F P G 1200.00 FT3 Min CUTTING OIL F L 200.00 GAL Min -2- 07/11/2007 -3- 07/11/2007 -, F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ~ 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: NE WALL WELDING ROOM CAS# 74-86-2 ~GaSATE TYPE PRESSURE TEMPERATURE CONTASNER TYPE TPure Above Ambient Ambient PORT. PRE5S. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 150.00 FT3 100.00 FT3 ti1~GHKLVU.7 1,V1~1rV1V~1V1~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 til-1GKKL !-~. 7J~.7.71~1~1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: NE WALL WELDING ROOM CAS# 7782-44-7 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 FT3 500.00 FT3 250.00 FT3 nti~KttLV ua ~.vrirvivr lv 1 ~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiliGHKL A~ S~.7~J1~1t51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Low -4- 07/11/2007 F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ~REON Days On Site 365 Location within this Facility Unit Map: Grid: NE WALL WELDING ROOM STATE T TYPE ~~ PRESSURE TEMPERATURE Gas I Mixture I Above Ambient Ambient CAS# 75-71-8 CONTAINER TYPE _ PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average FT3 3400.00 FT3 1700.00 FT3 riHGKKLVUJ trV1~lrVlv~lvl~7 %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 tiHGLittlJ 1-~~ ~ L" .7.71~1~1V l A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Min ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ARGON/CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: NE WALL WELDING ROOM CAS# 7440-37-1 ~GaSATE TYPE ~~ PRESSURE TEMPERATURE ~~~ CONTAINER TYPE ~ TMixture I Above Ambient Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily1200100m FT3 I Daily 600r00e FT3 IlEiGEittLVU.7 LV1~lYV1VJJ1V1.7 %Wt. RS CAS# 75.00 Argon No 7440371 25.00 Carbon Dioxide No 124389 riHGfjtCL 1-~. 7.7r,JJ1~1r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Min -5- 07/11/2007 F EXPRESS FABRICATION INC ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME CUTTING OIL Location within this Facility Unit W OUTSIDE WALL OF WELDING RM STATE TYPE PRESSURE Liquid. TMixture~ Ambient SiteID: 015-021-000320 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 100.00 GAL nt~~.yttt~~u~ winrulv~iv 1 %Wt. RS CAS# 100.00 Cutting Oil No 0 riHGKKL A5JL~71~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min -6- 07/11/2007 F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation 03/27/2007 VERBAL WARNING AND EVACUATION. CALL 911. Public Notif./Evacuation 12/01/1999 IN THE EVENT OF AN EMERGENCY OR FIRE THERE WILL BE VERBAL NOTIFICATION OF EXPRESS FABRICATION EMPLOYEES AND ANY VISITORS ON THE PREMISES. THE ONLY BUSINESS NEIGHBOR WE HAVE IS GIFFORD ELECTRIC AND WE WILL NOTIFY THEM BY PHONE AT 325-2428 OR VERBALLY IN PERSON. Emergency Medical Plan MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. 03/27/2007 -7- 07/11/2007 F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/01/1999 ~ HAZARDOUS GASES ARE CHAINED TO A WALL PER CAL OSHA REQUIREMENT. ALL BOTTLES ARE EQUIPPED WITH PROPER FITTINGS. Release Containment 12/01/1999 ALL GASES ARE STORED IN APPROVED PRESSURIZED CYLINDERS. IN THE EVENT OF RELEASE WE HAVE NO MEANS FOR CONTAINMENT OF GASES. CUTTING OIL IS STORED IN 55 GALLON DRUMS PROVIDED BY SUPPLIER. Clean Up 03/23/1992 CUTTING OIL SPILLS WILL BE CLEANED UP USING A GRANULAR ABSORBANT THAT IS A STOCK ITEM IN MY SHOP. V1.11G1 nCaVU1 l:C L'il.:L1VGLL1V11 -8- 07/11/2007 F EXPRESS FABRICATION INC SitelD: 015-021-000320 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C:1dl tldGdl U~ Utility Shut-Offs GAS - SW CRNR OF OFFICE BLDG ELECTRICAL - CTR OF E PROP LINE WATER - SIDE ON FENCE 20FT E OF GATE 03/27/2007 Fire Protec./Avail. Water 01/30/2007 SHOP AND OFFICE TRAILER ARE EQUIPPED WITH AUTOMATIC FIRE SPRINKLERS, SHOP HAS 5 FIRE EXTINGUISHERS AND OFFICE HAS ONE FIRE EXTINGUISHER. FIRE HYDRANT - 30FT W OF FRONT GATE ON 30TH ST. Building Occupancy Level 03/06/2006 4 EMPLOYEES -9- 07/11/2007 -a F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE NOTIFIED OF ALL HAZARDOUS MATERIALS AND TRAINED IN THE USE OF THESE MATERIALS AT OUR QUARTERLY SAFETY MEETINGS. rayc ~ nclu iui ru~.uiC u~c nc.L lA LVL rul,,.ulC l.J b-C -10- 07/11/2007 • UNIFIED PROGRAM INSPECT~tON CHECKLIST .k~_ _...3~:ar`r. ~u^»;±;.~.~~.z_w. S.~i... :,x...r r-:~..:.,~.:~:c~. ,:... ,~..4~.. ~,.. ~-.,r-.~ ...a;..:---...i.,, ~._~; s:;~., ~_. ,_: E~. SECTION 1: Business Plan and Inventory Program '~r BAKERSFIELD FIRE DEPT p D Prevention Services ~~t~ 900 ZYuxtun Ave., Suite 210 ARfM ! Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~1'R~~sS ~.~4- B fit' c~TtON INSPECTION DATE 1 ~ 3 o k INSPECTION TIME I f1 r~.-~-. ADDRESS ~G~ ~ O~ HONE N O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- ~OS' ZQ a P5 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 ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES EN ^ VERIFICATION OF LOCATION ~®~6 ^ PROPER SEGREGATION OF MATERIAL ` ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES [~ NO ~OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 \ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # 6 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) 1 _ ... a ~~ EXPRESS- FABRICATION INC SiteID: 015-021-000320 Manager rA~T2.C.\t.~~sTls BusPhone: (661) 322-2678 D, Location: 320 30TH ST Map 103 CommHaz High City BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PATRICK HUESTIS / ~regfp~l 1 ADAM HUESTIS / pc,t=c.~-v\,~ ~~~n i Business Phone: (661) 322-2678x Business Phone: (661) 322-2678x 24-Hour Phone :.(661) 398-9775x 24-Hour Phone (661) 746-0779x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press Contact PATRICK HUESTIS Phone: (661) 322-2678x MailAddr: 320 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner PATRICK HUESTIS Phone: (661) 398-9775x Address 2400 MOFFITT WY State: CA City BAKERSFIELD Zip 93309 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 for obtaining the information, 1 certify O~ O 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. ~,. S^~ ~~ Signature Date -1- 01/30/2007 ~~ F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ~ 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 G 150.00 FT3 Hi OXYGEN F P G 500.00 FT3 Low FREON F P G 3400.00 FT3 Min ARGON/CARBON DIOXIDE F P G 1200.00 FT3 Min CUTTING OIL F L 200.00 GAL Min -2- 01/30/2007 _3_ 01/30/2007 F EXPRESS FABRICATION INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit NE WALL WELDING ROOM STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-000320 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co150100rFT3 Daily 150100m FT3 I Daily 100r00e FT3 ru~~r~rcLVU~ ~vi~irvivr~ivl~ oWt. RS CAS# 100.00 Acetylene Yes 74862 ri1~GHKL Lj~J~JJ1~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit NE WALL WELDING ROOM 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 Co500100rFT3 Daily 500100m FT3 I Daily 250r00e FT3 ttt~G.titclJVU~ 1.V1~lYV1V~1V1~ oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1HGH.tCL .HJ 5~JJ1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Low -4- 01/30/2007 F EXPRESS FABRICATION INC SitelD: 015-021-000320 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site ' 365 Location within this Facility Unit Map: Grid: NE WALL WELDING ROOM CAS# 75-71-8 ~GasATE TYPE ~AboveSAmbEent TA~PeriRtATURE ~ CONTAINER TYPE TMixture PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily3400100m FT3 I Daily1700r00e FT3 - riHG1jtCLVU~ 1:V1~lYV1VL"ilV1.~7 oWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 tiHGAtC1J A55t5~Ji~1r;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Min ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ARGON/CARBON DIOXIDE Location within this Facility Unit NE WALL WELDING ROOM STATE TYPE PRESSURE _ Gas TMixture ~-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 ContainerFT3 -Daily1200100m FT3 I Daily 600r00e FT3 i1HGH.tCL V U w7 1. V1~lY V1V L" 1V 1.7 %Wt. RS CAS# 75.00 Argon No 7440371 25.00 Carbon Dioxide No 124389 riHGEitCLJ 1'~~ SL" .7~1~1L' 1V l TSecret RS. BioHaz Radioactive/Amount EPA Hazards .NFPA USDOT# MCP No No No No/ Curies F P / / / Min -5- 01/30/2007 F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CUTTING OIL Days On Site 365 Location within this Facility Unit Map: Grid: W OUTSIDE WALL OF WELDING RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS~LOCATION Largest Container Daily Maximum I Daily Average 200.00 GAL 200.00 GAL 100.00 GAL riAG1~CIJVUS I:VL~lYV1VL~1V"1"5 %Wt. RS CAS# 100.00 Cutting Oil No 0 riHGHKJJ A5~1~~~1~1J;1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min -6- 01/30/2007 t- ~ F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/01/1999 ~ CALL 911. Employee Notif./Evacuation VERBAL WARNING "FIRE" AND EVACUATION. CALL 911. 01/07/1990 Public Notif./Evacuation 12/01/1999 IN THE EVENT OF AN EMERGENCY OR FIRE THERE WILL BE VERBAL NOTIFICATION OF EXPRESS FABRICATION EMPLOYEES AND ANY VISITORS ON THE PREMISES. THE ONLY BUSINESS NEIGHBOR WE HAVE IS GIFFORD ELECTRIC AND WE WILL NOTIFY THEM BY PHONE AT 325-2428 OR VERBALLY IN PERSON. Emergency Medical Plan 12/01/1999 MEMORIAL HOSPITAL - 420 34TH ST - 327-1792. -7- 01/30/2007 F EXPRESS FABRICATION INC SitelD: 015-021-000320 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/01/1999 ~ HAZARDOUS GASES ARE CHAINED TO A WALL PER CAL OSHA REQUIREMENT. ALL BOTTLES ARE EQUIPPED WITH PROPER FITTINGS. Release Containment 12/01/1999 ALL GASES ARE STORED IN APPROVED PRESSURIZED CYLINDERS. IN THE EVENT OF RELEASE WE HAVE NO MEANS FOR CONTAINMENT OF GASES. CUTTING OIL IS STORED IN 55 GALLON DRUMS PROVIDED BY SUPPLIER. Clean Up 03/23/1992 CUTTING OIL SPILLS WILL BE CLEANED UP USING A GRANULAR ABSORBANT THAT IS A STOCK ITEM IN MY SHOP. Other Resource Activation -8- 01/30/2007 F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7NCC:ld1 i1d'GdLC1~5" Utility Shut-Offs 01/30/2007 A) GAS - SW CRNR OF OFFICE BLDG B} ELECTRICAL - CTR OF E PROP LINE C) WATER - SIDE ON FENCE 20FT E OF GATE D) SPECIAL - NONE E) LOCK BOX - NO Fire ProteC./Avail. Water 01/30/2007 SHOP AND OFFICE TRAILER ARE EQUIPPED WITH AUTOMATIC FIRE SPRINKLERS, SHOP HAS 5 FIRE EXTINGUISHERS AND OFFICE HAS ONE FIRE EXTINGUISHER. FIRE ,HYDRANT - 30FT W OF FRONT GATE ON 30TH ST. Building Occupancy Level 03/06/2006 4 EMPLOYEES -9- 01/30/2007 :i- -f~ F EXPRESS FABRICATION INC SiteID: 015-021-000320 ~ ,' Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: EMPLOYEES ARE NOTIFIED OF ALL HAZARDOUS MATERIALS AND TRAINED IN THE USE OF THESE MATERIALS AT OUR QUARTERLY SAFETY MEETINGS. ruyc ~ nciu ivi ru~.u.LC vac nciu ivi r u~.uic vac -10- 01/30/2007 _ i, r~ + EXPRESS FABRICATION INC _____________________________ SiteID: 015-021-000320 + Manager BusPhone: (661) 322-2678 Location: 320 30TH ST Map 103 CommHaz :.High City BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad: +______________________________________________________________________________t Emergency Contact. / 't'itle Emergency Contact / Title PAT HUESTIS / A~DA~/1~~-(G~'!S Business Phone: (661) 322-2678x Business Phone: (661) 322-2678x ~ 24-Hour Phone (661) 398-9775x 24-Hour Phone (661) '~'7y~P 7 Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press Contact PAT HUESTIS Phone: (661) 322-2678x MailAddr: 320 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner PATRICK HUESTIS Phone: (661) 398-9775x Address 2400 MOFFITT W~ State: CA City BAKERSFIELD Zip' 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ENT MAR 2 ~ 2006 Based an my in4u!ry afi thaa® individuals ersanally respansibte tar aofalawgthatilfhave p , 1 certi under penalty famlilar with the information examined and am submitted and beli1e~e the information is tru , accurate, and p Date Signature -1- 03/06/2006 BAKERSFIELD FIRE DEPT .UNIFIED PROGRAM INSPECTION CHECKLIST : >i a p = D Prevention services ~~t~ 900 TYux>tun Rve., Suite 210 -. >. -; .:.. ~.. ~ ~ ~ Bakersfield; CA 93301 SECTION 1: Business Plan and Inventory Program ®I~' Tel.: (661) 326-397 • Fax: (661) 872-217~~'' 6 ~QOf FACILITY NAME NSPE 10 DAT~~ - INSPECTION TIME t` ~P~~sS ~R 8~ ~ c.9-7 rD~cJ l' I ~ ~O ADDRESS ~ ~© ~ O~ HONE N O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- 320 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 ~. ^ BUSIrI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~A ^ VERIFICATION OF INVENTORY MATERIALS / ~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION I~ ^ PROPER SEGREGATION OF MATERIAL / - ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES I~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: __ _ _. •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3978 ~~ ~ W Inspector (Please Print) Fire Prevention / 1s' In / S ift of Site/Station # Bu i s Site/S ool Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) ,~~ ~-~ ~` ~ ~F CITY OF BAKERSF[E1.D FIRE DEPARTMENT OFFICE OF ENVIRONMF,NTAL SERVICES ~'~ UNIFIED PROGRAM INSPECTION CHECKLIST ' ~ ~ 1715 Chester Ave., 3`d Floor Bakersfield CA 93301 FACILITY NAME ~~ ~~R~ss ~L1 ~;I21CATlON !^~ C ADDRESS ~ Zo 36~~ ST FACILITY CONTACT INSPECTION TIME / O /~t,~J Se ton 1: Business Ptan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mutti-Agency [] Complaint INSPECTION DATE ~D' Cv -- ~ 3 . PHONE NO. '32-y-Z~ ~~ BUSINESS ID NO. 15-21U- 6c~5.~zCG NUMBER OF EMPLOYEES f ~ _ ^ 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 ~~~" ~~`~~~/ r Any haze('dous waste on site?: Yes ^ No ~~''~~-~-~' ~-~~ - Explain: W e7 ~l 1-~ Cat i0-// ~ ~ r ' , ~~l.J~i~" '. ---------' ~'!l0 .~~ Questions regarding this inspection? Please call us at 61) 326-3979 Bu iness Site Responsible Party Whirr -Env. Svcs. Yellow -Station Copy Pink - Husmess Copy InS eC10C: L' P ~. UNIFIE®''PROGRAM INSPECTION CHECKLIST- SECTION 1: Business Plan and Inventory Program ~.. Prevention Services >3 > R s F , „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v aer,>N Tel.: (661) 326-3979 Fax: (661) 872=2171 FACILITY NAME r ~ P GZ~SS ~~-~ 12cC>4Tro~ 1 ~C, INSPE TION-DATE ai ~~ ~ NSPECTION TIME ~.~,c/! ADDRESS ~~ ~ Z-D 3 0 -i PHONE NO. NO OF EMPLOYEES FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021- ~~QD ~ZO ~- - - ~ Section 1: Business Plan and Inventory Program ~,~ROUTWE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAWT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS LY ^ APPROPRIATE PERMIT ON HAND ` ~1' ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS L~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES L~ ^ VERIFICATION OF LOCATION ~ t CJ ^ PROPER SEGREGATION OF MATERIAL I~ // YJ ^ VERIFICATION OF MSDS AVAILABILITY LK ^ VERIFICATION OF HAZ MAT TRAINING C1 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Y y ~ LLJ' ^ EMERGENCY PROCEDURES ADEQUATE `~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING NJ ^ FIRE PROTECTION ~ ~ ~OO/ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 1~YES ^ NO EXPLAIN: ~~ ~~'~ n ~ I // QUESTIONS~~I1R)EGARDING TiHtISfI~NSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .~, .