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HomeMy WebLinkAboutBUSINESS PLAN (2)1 ~' ,~; . ; WESTERN GRAPHICS Manager SCOTT POWERS Location: 1222 30TH ST City BAKERSFIELD SiteID: 015-021-000317 BusPhone: (661) 322-5548 Map 103 CommHaz Minimal Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:2396 DunnBrad:878-2062-93 Emergency Contact / Title Emergency Contact / Title MARK & JANINE LYNCH / OWNERS SCOTT POWERS / PROD MANAGER Business Phone: (661) 322-5548x Business Phone: (661) 322-5548x 24-Hour Phone (661) 871-0619x 24-Hour Phone (661) 399-0355x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact MARK LYNCH Phone: (661) 322-5548x MailAddr: 1222 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner MARK & JANINE LYNCH Phone: (661) 322-5548x Address 1222 30TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENr~ ~ ~ ~ ~ ~ zoo, O~~~c~r# on mY inquiry of t: ose individuals res~;c,,~;ik~~2'rurok~t ~i-'•~~ h , under '~r~~~ ti'r' informGiian, I certify penalty of lave that I have pers examinee and onally am familiar with the information supmitted and faelieve the inf ac ormation is true, c~,~~te, a~..l complete ,gnaiure ~~- _ ~,~ ~/6 D at ~ .o--- -1- 07/16/2007 F WESTERN GRAPHICS SiteID: 015-021-000317 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WILFLEX SCREEN PRINTING INK/ALL F S 1800.00 LBS Min WILFLEX SCREEN PRINTING INK/BLA F IH S 50.00 LBS Min WASTE INK IH L 55.00 GAL UnR -2- 07/16/2007 ,~ -3- 07/16/2007 _~ F WESTERN GRAPHICS SiteID: 015-021-000317 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WILFLEX SCREEN PRINTING INK/ALL COLORS ~ Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE BACK RM CAS# 1317-65-3 ~SolidE TMixture ~ Ambient~E ~ AmbientT~E ~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 LBS 1800.00 .LBS 1800.00 LBS riAGKKLVUa 1.V1~lYV1Vi'1V1a %Wt. RS CAS# 10.00 Calcium Carbonate No 471341 10.00 Titanium Dioxide No 13463677 1'1LjGli[CL Ei~7~J1;~~71~1C,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies F / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WILFLEX SCREEN PRINTING INK/BLACK Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE BACK RM CAS# 1333-86-4 ~SolidE TMixture ~ Ambient~E ~ AmbientT~E ~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Cont1100rLBS Daily M50100m LBS I Daily ASOr00e LBS nraurucLV~o ~.vi•irvLV~lviJ ~Wt. RS CAS# 1.00 Carbon Black No 7440440 ruiuruti re~ ~~aal~lr,ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Min -4- 07/16/2007 ~~ - i F WESTERN GRAPHICS SiteID: 015-021-000317 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ ............ .t,,..,-. ~...,..~,..,,~ ___..,, AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL oWt. HAZARDOUS COMPONENTS RSI CAS# tiHGH.tCL L~J5~JJ1~1L"1V1~ TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -5- 07/16/2007 ~iquid TWaste -~mbient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ :.~ F WESTERN GRAPHICS SiteID: 015-021-000317 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/11/2000 PRODUCTION MANAGER IN THE EVENT OF A HAZARDOUS MATERIAL SPILL OR ACCIDENT NOTIFIES THE BAKERSFIELD CITY FIRE DEPT AND CAL OSHA. 9 Employee Notif./Evacuation 07j11/2000 PERSON DISCOVERING HAZARDOUS MATERIALS EMERGENCY WILL NOTIFY PRODUCTION MANAGER IMMEDIATELY. PRODUCTION MANAGER WILL NOTIFY ALL OCCUPANTS OF AREA TO EVACUATE AT WHICH POINTS PERSONS GO TO MARKED WALKWAY AND EXIT OUT W EXIT MEETING ON S SIDE OF 30TH ST DIRECTLY S OF W EXIT. IN THE EVENT OF AN EXTREME EMERGENCY THE COMMUNICATION LINE WILL BE ACTIVATED FOR AT LEAST 7 SECONDS. Public Notif./Evacuation 07/11/2000 SHOULD MEMBERS OF PUBLIC BE IN BLDG AT TIME OF EMERGENCY PRODUCTION MANAGER WILL DELIGATE NEAREST EMPLOYEE TO ESCORT THAT PERSON TO EVACUATION POINT. Emergency Medical Plan 07/11/2000 IN CASE OF A MEDICAL EMERGENCY REPORT TO OWNER OR PRODUCTION MANAGER. CALL 911 FOR AMBULANCE IF NECESSARY. PERSONNEL EXPOSED TO HAZARDOUS POTENTIAL ACCIDENTS ARE TO BE DIRECTED TO KERN MEDICAL CENTER. -6- 07/16/2007 :~ ~, F WESTERN GRAPHICS SiteID: 015-021-000317 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/07/1993 ~ ALL CONTAINERS HAVE LIDS THAT SEAL. 5 GAL INK CONTAINERS ARE STORED ON FLOOR. SOLVENTS ARE KEPT IN METAL STORAGE CABINETS. Release Containment 07/11/2000 SOLVENTS (WITH EXCEPTION OF SAFETY KLEEN) ARE PURCHASED IN ONE GAL CONTAINERS WITH NO MORE THAN 9 GALS KEPT AT A TIME. SOLVENTS ARE PLACED IN PLUNGERS TO REDUCE AMOUNT IN WORK AREA. Clean Up 07/11/2000 ALL SPILLS ARE CLEANED WITH MATERIALS FROM AMERIPRIDE INDUSTRIAL SERVICES. WHERE SPECIFIED IN MSDS RINSING WITH WATER OR OTHER AGENT IS PERFORMED. V1.11C1 ICC w`7V ULl.:C riLl.lVdl.1 V11 -7- 07/16/2007 ~. ~i F WESTERN GRAPHICS SiteID: 015-021-000317 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, o~c~.iai na~.atua Utility Shut-Offs 03/08/2007 GAS - W SIDE OF BLDG lOFT S OF DOOR ELECTRICAL - INSIDE BLDG W WALL 8FT N OF ROLL-UP DOOR WATER - E SIDE OF BLDG 6FT N OF ENTR DOOR SPECIAL - KEY TO DUMPSTER ON W WALL NEXT TO PHONE Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - 50YDS W OF BLDG S SIDE OF ST. Building Occupancy Level 03/01/2006 5 EMPLOYEES -8- 07/16/2007 ,* F WESTERN GRAPHICS SiteID: 015-021-000317 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/11/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE FOLLOW SAFETY KLEEN BUSINESS AND INDUSTRY HAZARDOUS MATERIALS PROGRAM EMPLOYEE TRAINING MANUAL AND ILLNESS AND INJURY PREVENTION PROGRAM. ANNUAL TRAINING PROGRAMS ARE SCHEDULED FOR EVERY 3RD WEEK IN JUNE. QUARTERLY SAFETY MEETINGS ARE SCHEDULED FOR 1ST TUESDAY,OF QUARTER. NEW MATERIAL MSDS SHEETS ARE SCHEDULED FOR REVIEW. rayc c. 11G1U ivt ru~..uic vac 11C1U 1VS. L'ul. l1LC U.7'C -9- 07/16/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program r: • Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 ___ FACILITY NAME -------~1_Ue~~--__Gr°-"~--- ~ cs----- ADDRESS ~ 1l~ 2 ----- v ` .~__~-...-----~.~_ _-- ..__~ ..1.._._'_.-....---- FACIUTYCONTACT ~ I /~ ~~ Ss~~_~.---q---__ _. _ iciness ID Number 15-021-~®Q ~ 7 Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint ~ Re-inspection ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO ExPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~F)G'I ~ 3Z6-3979 Inspector (Please Print) Fire Prevention 1 t-In/ShiN of Site While - Envvonmenral Services Vellow - Sretion Copy uslness Site Responsible Partyrty (PI~ ~~ Pink -Business Copy i~~ew ~~~' CITY OF BAKERSFIELD FIRE DF.PART1viENT ~ ~ ~" ~ ~:~ ~ ° OFFICE OF ENVIRONMENTAL SERVICES ~' ~~ UNIFIED PROGRAl11 [NSPECTION CHECKL[ST ~~'' 11 sx(;~ ~w„' ati~,~!' 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME LU {S`T~j~ ~~~ ~'~ INSPECTION DATE ~ ~ ~ ~ 3 _ ADDRESS 1 Z2 Z 3 ~Ti'~ ST PHONE NO. FACILITY CONTACT '~-~~ L,YNLt+ BUSINESS ID NO. 15-210- 3 ~ 7 INSPECTION TIME ~ S ~ t ~ NUMBER OF EMPLOYEES ~ Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ 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 ^ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ~ -,~ - ~_ White -Env. Svcs. Yellow -Station Copy Pink -Business Copy i' 5~~' Business ~t~' Responsible Party Inspector: L - Q7-^.J"~4~ X93 ~~ ~~-~ .. + WESTERN GRAPHICS ____________________________________ SiteID: 015-021-000317 + Manager BusPhone: (661) 322-5548 Location: 1222 30TH ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:2396 EPA Numb: DunnBrad:878-2062-93 Emergency Contact / Title Emergency Contact / Title LAWRENCE POWELL / OWNER SCOTT POWERS / PRODUCTION MGR Business Phone: (661) 32.2-5548x Business Phone: (661) 322-5548x 24-Hour Phone (661) 871-0619x 24-Hour Phone (661) 399-0355x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact Phone: (661) 322-5548x MailAddr: 1222 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner LAWRENCE POWELL Phone: (661) 322-5548x Address 1222 30TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT /~~ Q~rJi(f ~-- j~~~2~ ~~,~~t/i ti~ Neff ~22 Z ~or'lj 5r~ ~~~,~. ~ Based on my inquiry of those individuals " ~~v/ responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and bepl'~eve the information is true, EI~T'~ rat ,and om 1 C R ®, 6 2006 ~ 3^zlos Signature Date -1- 03/03/2006 ;~~ r~ WESTERN GRAPHICS Manager SCOTT POWERS Location: 1222 30TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: ~p SiteID: 015-021-000317 BusPhone: (661) 322-5548 Map 103 CommHaz Minimal Grid: 19C FacUnits: 1 AOV: SIC Code:2396 DunnBrad:878-2062-93 Emergency Contact / Title Emergency Contact / Title MARK & JANINE LYNCH / OWNERS SCOTT POWERS / PROD MANAGER Business Phone: (661) 322-5548x Business Phone: (661) 322-5548x 24-Hour Phone (661) 871-0619x 24-Hour Phone (661) 399-0355x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth Contact ~ /~!' /t.L~~ Phone: (661) 322-5548x MailAddr: 1222 30 ST State: CA City BAKERSFIELD Zip 93301 Owner MARK & JANINE LYNCH Phone: (661) 322-5548x Address 1222 30TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those indivl~l~!~ l~ EN1"p MAR 7 2007 responsible for obtaining the information, t r.c~Ftify under penalty of law that I Nava g~srcac~e~ally examined and am familiar with the information submitted and believe the information is true, acct •ite, and complF: ,. /~-, 0 _ ~ ~~ Z~'v~ ~D ~~ignature Date -1- 02/20/2007 ~1 F WESTERN GRAPHICS SiteID: 015-021-000317 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA~Hazards Frm DailyMax Unit MCP WILFLEX SCREEN PRINTING INK/ALL F S 1800.00 LBS Min WILFLEX SCREEN PRINTING INK/BLA F IH S 50.00 LBS Min -2- 02/20/2007 -3- 02/20/2007 C ' , F WESTERN GRAPHICS SiteID: 015-021-000317 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WILFLEX SCREEN PRINTING INK/ALL COLORS Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE BACK RM CAS# 1317-65-3 ~SolidE TMixtur~ Ambient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 LBS 1800.00 LBS 1800.00 LBS nt~arucLVUa ~.vtnrvlv~ivt5 oWt.. RS CAS# 10.00 Calcium Carbonate No 471341 10.00 Titanium Dioxide No 13463677 r1HGHttL H. 7.7~D.71~1L'1V-lam TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min ~ Inventory .Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WILFLEX SCREEN PRINTING INK/BLACK Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE BACK RM CAS# 1333-86-4 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 LBS 50.00 LBS 50.00 LBS HAZARDOUS COMPONENTS oWt. RS CAS# 1.OO Carbon Black No 7440440 riHGi-1KL A55t':~~ML'~N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Min -4-, 02/20/2007 r F WESTERN GRAPHICS SiteID: 015-021-000317 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/11/2000 PRODUCTION MANAGER IN THE EVENT OF A HAZARDOUS MATERIAL SPILL OR ACCIDENT NOTIFIES THE BAKERSFIELD CITY FIRE DEPT AND CAL OSHA. Employee Notif./Evacuation 07/11/2000 PERSON DISCOVERING HAZARDOUS MATERIALS EMERGENCY WILL NOTIFY PRODUCTION MANAGER IMMEDIATELY. PRODUCTION MANAGER WILL NOTIFY ALL OCCUPANTS OF AREA TO EVACUATE AT WHICH POINTS PERSONS GO TO MARKED WALKWAY AND EXIT OUT W EXIT MEETING ON S SIDE OF 30TH ST DIRECTLY S OF W EXIT. IN THE EVENT OF AN EXTREME EMERGENCY THE COMMUNICATION LINE WILL BE ACTIVATED FOR AT LEAST 7 SECONDS. 9 Public Notif./Evacuation 07/11/2000 SHOULD MEMBERS OF PUBLIC BE IN BLDG AT TIME OF EMERGENCY PRODUCTION MANAGER WILL DELIGATE NEAREST EMPLOYEE TO ESCORT THAT PERSON TO EVACUATION POINT. Emergency Medical Plan 07/11/2000 IN CASE OF A MEDICAL EMERGENCY REPORT TO OWNER OR PRODUCTION MANAGER. CALL 911 FOR AMBULANCE IF NECESSARY. PERSONNEL EXPOSED TO HAZARDOUS POTENTIAL ACCIDENTS ARE TO BE DIRECTED TO KERN MEDICAL CENTER. -5- 02/20/2007 ~Y F WESTERN GRAPHICS SiteID: 015-021-000317 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/07/1993 ~ ALL CONTAINERS HAVE LIDS THAT SEAL. 5 GAL INK CONTAINERS ARE STORED ON FLOOR. SOLVENTS ARE KEPT IN METAL STORAGE CABINETS. Release Containment 07/11/2000 SOLVENTS (WITH EXCEPTION OF SAFETY KLEEN) ARE PURCHASED IN ONE GAL CONTAINERS WITH NO MORE THAN 9 GALS KEPT AT A TIME. SOLVENTS ARE PLACED IN PLUNGERS TO REDUCE AMOUNT IN WORK AREA. Clean Up 07/11/2000 ALL SPILLS ARE CLEANED WITH MATERIALS FROM AMERIPRIDE INDUSTRIAL SERVICES. WHERE SPECIFIED IN MSDS RINSING WITH WATER OR OTHER AGENT IS PERFORMED. V~.iic1 icC7VULt=C til: l.lVdl.1 V11 -6- 02/20/2007 F WESTERN GRAPHICS ~ SiteID: 015-021-000317 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~Nc~.ial azac.atu~ Utility Shut-Offs 01/11/2007 A) GAS - W SIDE OF BLDG lOFT S OF DOOR B) ELECTRICAL - INSIDE BLDG W WALL 8FT N OF ROLL-UP DOOR C) WATER - E SIDE OF BLDG 6FT N OF ENTR DOOR D) SPECIAL - KEY TO DUMPSTER ON W WALL NEXT TO PHONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - 50YDS W OF BLDG S SIDE OF ST. Building Occupancy Level 03/01/2006 5 EMPLOYEES -7- 02/20/2007 ~; .. F WESTERN GRAPHICS _ SitelD: 015-021-000317 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/11/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE FOLLOW SAFETY KLEEN BUSINESS AND INDUSTRY HAZARDOUS MATERIALS PROGRAM EMPLOYEE TRAINING MANUAL AND ILLNESS AND INJURY PREVENTION PROGRAM. ANNUAL TRAINING PROGRAMS ARE SCHEDULED FOR EVERY 3RD WEEK IN JUNE. QUARTERLY SAFETY MEETINGS ARE SCHEDULED FOR 1ST TUESDAY OF QUARTER. NEW MATERIAL MSDS SHEETS ARE SCHEDULED FOR REVIEW. rayc ~ nciu tvi ru~uic vac Held for Future Use -8- 02/20/2007 UNIFIED PROGRAM INSPECTION CHECKLIST __ ~ __ _ - ~~i __- - SECTION 1: Business Plan and Inventory Program H_ E R S-F_ 1 _D F/RE ARTM T - `I Prevention Services 900 Ttuxtun Ave. , Suite 210 Bakersfield, CA 93301 Tel.:. (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~~ ~ ~ ~- PHONE NO. 3~a~s~ y~ O OF E YEES FACILITY CONTACT - .SAC®~- ~~~~ BUSINESS ID NUMBER 15-021- ©O®317 Section 1: Business Plan: and Inver#ory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ,~/ LT ^ APPROPRIATE PERMIT ON HAND ( ~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE _ / Imo" ^ VISIBLE ADDRESS lei' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS (~^ VERIFICATION OF QUANTITIES IQ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ L VERIFICATION OF MSDS AVAILABILITY T ~,~/l c ~ /j jTi ~ t! ~ / ~ / ^ L~7 VERIFICATION OF HAZ MAT TRAINING ~ ~ ~~ /1 0 /`1O~ }~ (/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Ll ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED UN O ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ~~ ~ ~ /J~~p~ ,~ ~ Ktlh-tiU1J ANY HAZARDO{/U~S WASTE/ON SI~TIE? E~'YtJ ^ NC EXPLAIN: ~" i`' S`~~~^ QUESTIONS RE/CARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 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