HomeMy WebLinkAboutBUSINESS PLAN 9/8/2006UNIFIED PROGRAM INSPECTION CHECKLIST ~ Prevention Services
_' `"-~~ 900 Truxtun Ave., Suite 210
_ _ _ D~,ses,ei' n
$ E C T I O N 1: ~ ~ ~ ~~ ~ ~ e ~~ F/RE Bakersfield, CA 93301
~~ ~~ ~ ~ ~~~ ~~~ ~ aRrM r Tel.: (661) 326-3979
Business Plan and Inventory Proaram ~®.,- ;~
• -. - ~~~-- rax: ~nni~ rsi~-viii
FACILITY NAME
- ~ INSPECTION DATE INSPECTION TIME
A ! T /
,'/ /
ADDRESS PHONE NO. NO OF E~LOYEES
3 ~ ~~IFo,~ r ~ ~ ~~~- ~ a
FACILITY CONTACT ~
~~CR f1~ .C' -`/ei~1r~ BUSINESS ID NUMBER
15-021-~tpp7(o~2
Section 1: Business Plan andJnventoryProgram ~~ ` ;
LI ROUTINE ^. COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ c=compliance OPERATfON
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
Cld' ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
C~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS ~~`~ t ~~
^ VERIFICATION OF QUANTITIES ~ .=
~/
' L~'f ^ VERIFICATIONV OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
/
lmi' ^ VERIFICATIOI OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~,_
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINER:i PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
~QUE Ti0 EGARDINi TH(~INSPECT PLEASE CALL US AT(661) 326-3979
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Busi ess / es risible Party (Please Print)
Whitey -Prevention Services ~ Yellow -Station Copy. Pink -Business Copy FD 2155 (Rev. 09/05
^ YES .PrP1Q.
SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762
Manager JERRY MARGRAVE
Location: 631 CALIFORNIA AVE
City BAKERSFIELD
BusPhone: (661) 322-7360
Map 103 CommHaz High
Grid: 31B FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:2394
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JERRY MARGRAVE / OWNER TOM ONEAL / EMPLOYEE
Business Phone: (661) 322-7360x Business Phone: (661) 322-7360x
24-Hour Phone (661) 831-5057x 24-Hour Phone (661) 872-9281x
Pager. Phone (661) 205-7587x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact JERRY MARGRAVE Phone: (661) 322-7360x
MailAddr: 631 CALIFORNIA AVE State: CA
City BAKERSFIELD Zip 93304
Owner JERRY MARGRAVE Phone: (661) 831-5057x
Address 7601 PACK SADDLE CT State: CA
City BAKERSFIELD Zip 93309
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT°D J U L~ 1 ~ ~~87
Qased on my inn+airy of those individuals
respansib!e r';~r obtaining the information, ! c:wrtify
under penalty of IaL°r that I have personally
examined and am familiar with the information
submitted and b~ li;ve the information is true,
accurate. and complete.
~
Sig t e
Qate
-1- 07/16/2007
~.
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
~ 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 55.00 FT3 Hi
PROPANE E F P IH DH G 5.00 FT3 Hi
OXYGEN F P IH G 92.00 FT3 Low
CARBON DIOXIDE F P IH G 510.00 FT3 Min
ARGON F P IH G 345.00 FT3 Min
-2- 07/16/2007
-3-
07/16/2007
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
SE CRNR OF BLDG 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
55.00 FT3 55.00 FT3 25.00 FT3
• HAGAKJJUUS CUMPUNENTS
oWt. RS CAS#
100.00 Acetylene Yes 74862
ru~GtittL s-~~an~~rir,ly 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
PROPANE
Location within this Facility Unit
SW CRNR BACK SECT BLDG ALONG WALL
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-98-6
~GasATE TpureE -~AboveSAmbient AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 FT3 5.00 FT3 3.00 FT3
i"lt'~lJtiC~LVlJ w7 t.Vl"lt'l/1V L'1V1J
%Wt. RS CAS#
100.00 Propane Yes 74986
rLtiGtuCL liJ JPriJ.71`7P~1V lw7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH DH / / / Hi
-4- 07/16/2007
,. ,
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
~ Inventory Item 0002 Facility Unit:. Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
SE CRNR OF BLDG CAS#
7782-44-7
~GasATE T TYPE PRESSURE ~~ TEMPERATURE CONTAINER TYPE
I Pure Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Con92100rFT3 Daily M92100m FT3 I Daily A50r00e FT3
tu~~ritu~vu~ ~Vlnrviv~ivia
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
tiHL,KKL 1'a~7A1~,551~1J;1V l.'~
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
CARBON DIOXIDE
Location within this Facility Unit
SW WALL REAR SECT OF BLDG
STATE TYPE PRESSURE _
Gas TPure -Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
124-38-9
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
510.00 FT3 510.00 FT3 400.00 FT3
tiHGL-11CLVUJ 1:V1~lYV1VL'1V7J
%Wt. RS CAS#
100.00 Carbon Dioxide No 124389
t1HGKttL A75L" JJ1~1iS1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-5- 07/16/2007
~. ;,
i
F SPECIALTY TRIM & AWNING INC SitelD: 015-021-000762 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ARGON Days On Site
365
Location within this Facility Unit Map: Grid:
CTR OF BLDG 30FT REAR CAS#
7440-37-1
STATE T TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE
~GaS I Pure Above Ambient Ambient I PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co345100rFT3 Daily 345100m FT3 I Daily 200r00e FT3
rt[j~r~tcLUUS winr~i~~i~~l~
%Wt. RS CAS#
100.00 Argon No 7440371
ru~~tu~L r~~a~5~ri~ly 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-6- 07/16/2007
~. \~
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 11/21/2000 ~
CALL 911.
Employee Notif./Evacuation
04/25/2006
DIAL 911 OR FIRE DEPT 324-4552 OR POLICE 327-7111. NOTIFY IMMEDIATE
NEIGHBORS AND PROCEED TO EVACUATION POINT. VERBAL COMMUNICATION USED OVER
PHONE INTERCOM SYSTEM. NOTIFY IMMEDIATE NEIGHBORS IF THEY NEED TO EVACUATE
LOCATION AND PROCEED TO EVACUATION POINT.
Public Notif./Evacuation 04/25/2006
WE HAVE A SMALL AMOUNT OF HAZARDOUS MATERIALS AND PUBLIC EVACUATION WOULD
NOT BE NECESSARY, HOWEVER, IN CASE OF FIRE WE WOULD CALL FIRE DEPARTMENT.
Emergency Medical Plan 04/25/2006
FIRE DEPARTMENT, 324-4542; POLICE DEPT, 327-7111; HALL AMBULANCE, 327-4111;
GOLDEN EMPIRE, 327-9000.
-7- 07/16/2007
`` t
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 06/18/1990 ~
KEEP ONLY NECESSARY AMOUNTS OF HAZARDOUS MATERIALS ON HAND TO ADEQUATELY
OPPERATE BUSINESS FUNCTIONS. VISUALLY INSPECT CONTAINERS REGULARLY AND HAVE
SUPPLIERS INSPECT CONTAINERS WHEN THEY REFILL.
Release Containment
ALL HAZARDOUS MATERIALS ARE GASSES - CLOSE VALVES IF POSSIBLE.
02/23/2007
Clean Up 06/18/1990
IN CASE OF A SPILL WE WOULD CLEAN UP LIQUID SPILL WITH DIRT OR ABSORBENT AND
THEN HIRE PRIVATE HAZARDOUS WASTE CONTRACTOR TO REMOVE WITHIN 90 DAYS.
V1.11C 1. 1CC.7"V ULC.:C HC: l.1Vdl.1 V11
-8- 07/16/2007
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
-~ -,-
v~JG 1.10.1 aza c,aiua
Utility Shut-Offs 01/19/2007
A) GAS - ALLEY
B) ELECTRICAL - CTR OF BLDG INSIDE
C) WATER - ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 01/19/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR OF PROP ACROSS ALLEY.
Building Occupancy Level 03/08/2006
4 EMPLOYEES
-9- 07/16/2007
~~ ::
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/25/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES MUST READ HAZARD COMMUNICATION
AND EMPLOYEES GUIDE TO CALIFORNIA HAZARD COMMUNICATION GUIDE MUST BE READ
ONCE A YEAR. REVIEW SAFETY DATA SHEETS AS CHEMICAL ARE REFILLED.
CONTAINERS ARE INSPECTED REGULARLY. POST CAL OSHA REGULATIONS AND HAVE
SAFETY DATA SHEETS AVAILABLE FOR REVIEW AT ALL TIMES.
rayc c.
nC1u LVI r UI.UIC UDC
nC1u 1VL ru~.ulC Use
-10- 07/16/2007
~: 4~
SPECIALTY TRIM & AWNiIyNG INC
Manager : ; Je ~/~`' /'//G-~r~cR--
Location: 631 CALIFORNIA AVE f
City BAKERSFIELD
SiteID: 015-021-000762
BusPhone: (661) 322-7360
Map 103 CommHaz High
Grid: 31B FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:2394
DunnBrad:
Emergency Contact / Title Emergency Contact / Ti~le_ _
J
JERRY MARGRAVE / OWNER TOM ONEAL G .ems
/ ~'~~
~
Business Phone: (661) 322-7360x Business Phone: (661) 322-
360x
24-Hour Phone (661) 831-5057x 24-Hour Phone (661) 872-9281x
Pager Phone (661) 205-7587x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact ~~~/' j%~ ~.
~ Phone: (661) 322-7360x
MailAddr:`631 C
IFO~IA AVE State: CA
City BAKERSFIELD Zip 93304
Owner JERRY MARGRAVE Phone: (661) 831-5057x
Address 7601 PACK SADDLE CT State: CA
City BAKERSFIELD Zip 93309
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~pu~`~ R
~19 1 PU ~ ~' ~ ~ ~
~~~~
~~a~~a sn my inquiry of those individuals
respc~r~~lbi~ fqr gbtaining the information, A cQrtify
under p~naity of few that t have personally
examinmd and am familiar with the information
submitted and bolieve the information is true.
accurate, and complete.
Sig ,e Date
-1- 02/06/2007
:~
r,
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
~ 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 55.00 FT3 Hi
PROPANE E F P IH DH G 5.00 FT3 Hi
OXYGEN F P IH G 92.00 FT3 Low
CARBON DIOXIDE F P IH G 510.00 FT3 Min
ARGON F P IH ~ G 345.00 FT3 Min
-2- 02/06/2007
-3- 02/06/2007
i, 1
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
SE CRNR OF BLDG 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
55.00 FT3 55.00 FT3 25.00 FT3
riHGKL[LVUJ 1:V1~lYV1VL'1V"l.J
%Wt. _ RS CAS#
100.00 Acetylene Yes 74862
riHGHtCL A~SJ;S~1~1J;1V~1~~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / f Hi
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
3&5
Location within this Facility Unit Map: Grid:
SW CRNR BACK SECT BLDG ALONG WALL CAS#
74-98-6
STATE .TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 FT3 5.00 FT3 1 3.00 FT3
riliGlitCL V U w7 lr VL~lY V1V 151V 1 J
°sWt. RS CAS#
100.00 Propane Yes 74986
ria'~GE1KL 1~. 75L" .7.71~1L' 1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH DH / / / Hi
-4- 02/06/2007
~_
F SPECIALTY TRIM & AWNING INC
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
SE CRNR OF BLDG
STATE TYPE PRESSURE _
Gas TPure Above Ambient
SiteID: 015-021-000762 ~
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
92.00 FT3 92.00 FT3 50.00 FT3
rlt~~fuu.~uu~ ~ul~irulvl+;.lv1~
%Wt. _ RS CAS#
100.00 Oxygen, Compressed No 7782447
t1AGHK11 A,5~tS551~1i'~1V"1"~
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
CARBON DIOXIDE
Location within this Facility Unit
SW WALL REAR SECT OF BLDG
STATE TYPE PRESSURE _
Gas TPure ~-Above Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
124-38-9
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
510.00 FT3 510.00 FT3 400.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Carbon Dioxide No 124389
t11~G1itCL s~aar.a~ri~ly 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-5- 02/06/2007
- 4'
F SPECIALTY TRIM & AWNING INC
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
ARGON
Location within this Facility Unit
CTR OF BLDG 30FT REAR
SiteID: 015-021-000762 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7440-37-1
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
STATE TYPE PRESSURE _
Gas TPure Above Ambient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
345.00 FT3 345.00 FT3 200.00 FT3
rit~.~HtcLVUS wrir~iv~i~~l~~
%Wt. RS CAS#
100.00 Argon No 7440371
tiHGHKL A5~1";SJ1~liS1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-6- 02/06/2007
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 11/21/2000 ~
CALL 911.
Employee Notif./Evacuation 04/25/2006
DIAL 911 OR FIRE DEPT 324-4552 OR POLICE 327-7111. NOTIFY IMMEDIATE
NEIGHBORS AND PROCEED TO EVACUATION POINT. VERBAL COMMUNICATION USED OVER
PHONE INTERCOM SYSTEM. NOTIFY IMMEDIATE NEIGHBORS IF THEY NEED TO EVACUATE
LOCATION AND PROCEED TO EVACUATION POINT.
Public Notif./Evacuation 04/25/2006
WE HAVE A SMALL AMOUNT OF HAZARDOUS MATERIALS AND PUBLIC EVACUATION WOULD
NOT BE NECESSARY, HOWEVER, IN CASE OF FIRE WE WOULD CALL FIRE DEPARTMENT.
Emergency Medical Plan
04/25/2006
FIRE DEPARTMENT, 324-4542; POLICE DEPT, 327-7111; HALL AMBULANCE, 327-4111;
GOLDEN EMPIRE, 327-9000.
-7- 02/06/2007
I~
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 06/18/1990 ~
KEEP ONLY NECESSARY AMOUNTS OF HAZARDOUS MATERIALS ON HAND TO ADEQUATELY
OPPERATE BUSINESS FUNCTIONS. VISUALLY INSPECT CONTAINERS REGULARLY AND HAVE
SUPPLIERS INSPECT CONTAINERS WHEN THEY REFILL.
Release_Containment
,~~~ ~~ r~
Clean Up 06/18/1990
IN CASE OF A SPILL WE WOULD CLEAN UP LIQUID SPILL WITH DIRT OR ABSORBENT AND
THEN HIRE PRIVATE HAZARDOUS WASTE CONTRACTOR TO REMOVE WITHIN 90 DAYS.
V1.11C.L tcC~c~uic.;C HC:L1VaL1OI1
-8- 02/06/2007
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.'~~JCC:1dl rid'GdIU~`S
Utility Shut-Offs 01/19/2007
A) GAS - ALLEY
B) ELECTRICAL - CTR OF BLDG INSIDE
C) WATER - ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
_- -
Fire Protec./Avail. Water 01/19/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR OF PROP ACROSS ALLEY.
Building Occupancy Level
4 EMPLOYEES
03/08/2006
-9- 02/06/2007
F SPECIALTY TRIM & AWNING INC SiteID: 015-021-000762 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/25/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES MUST READ HAZARD COMMUNICATION
AND EMPLOYEES GUIDE TO CALIFORNIA HAZARD COMMUNICATION GUIDE MUST BE READ
ONCE A YEAR. REVIEW SAFETY DATA SHEETS AS CHEMICAL ARE REFILLED.
CONTAINERS ARE INSPECTED REGULARLY. POST CAL OSHA REGULATIONS AND HAVE
SAFETY DATA SHEETS AVAILABLE FOR REVIEW AT ALL TIMES.
rayc c.
nciu ivi ru~uic vac
ncs.u ivi r u~.uic vac
-10- 02/06/2007
F~ .. 1F
+ SPECIALTY TRIM & AWNING INC _________________________ SiteID: 015-021-000762 +
Manager
Location: 631 CALIFORNIA AVE
City BAKERSFIELD
BusPhone: (661) 322-7360
Map 103 CommHaz High
Grid: 31B FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:2394
DunnBrad:
+______________________________________________________________________________t
Emergency Contact / Title Emergency Contact / Title
JERRY MARGRAVE / OWNER TOM ONEAL /
Business Phone: (661) 32.2-7360x Business Phone: (661) 322-7360x
24-Hour Phone (661) 831-5057x 24-Hour Phone (661) 872-9281x
Pager Phone (661) 205-7587x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 322-7360x
MailAddr: 631 CALIFORNIA AVE State: CA
City BAKERSFIELD Zip 93304
Owner JERRY MARGRAVE Phone: (661) 322-7360x
Address 7601 PACK SADDLE CT 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, 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, /
. / ,L~-/d O t,
SiJh - Date
E~~ APR 2
~ 2006
-1- 03/08/2006
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept.
'; Environmental Services
900 Truxtun Ave., Suite ~rG'
Bakersfield, CA 9330 ` ~ 9 Z~S
Tel: (661) 326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ~/ PHONE No. No. of Employees
- ___ _ _ _ .._ _ -- - --=~~a .----~ -
FACILITYCONTACy~ Business ID Number
r/ ,~ ~,EL~j~ 15-021-f9f/07l ~
Section 1: Business Plan and Inventory Pn~gram
routine O Combined D Joint Agency (7 Multi-Agency O Complaint O Re-inspection
•
ANY HAZARDOUS WASTE ON SITE: DYES L_fN0
ExPLAIN:
•
QUESTIONS REGARDI THIS INSPECTION? PL CALL us AT (661) 326-3979
~-~- ~G-___.__ __ ____~__~_ _____ _ __
Inspector ( ase Print) ~ Fire Prevention 1st-INShik of Site
White -Environmental Sen/iCes Yellow -Station Copy
Busir~~ esponsible Party (Please Print)
/ ~ g
Pink -Business Copy
~y~~ ~~' CITY OF BAKERSFIELD FIRE DEPARTMENT ~ o~
~~ ~ OFFICE OF ENVIRONMF,NTAL SERVICES 6 ti~
~ ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~'
`w ~gti,~~~ 1715 Chester Ave., 3rd T~loor, Bakersfield, CA 93301
„~~
FACILITY NAME ~~~ ~ ~ ~ -." ~.- INSPECTION DATE 9 2 2 -c~ 3
ADDRESS ~3) Co~(I ~.. k 1 cL, v•Q PHONE NO. 3 2 Z - 73~ C~
FACILITY CONTACT~~r l~ar ,. ,~ BUSINESS ID NO. 15-210- DOO 7(~ 2
INSPECTION TIME ~tr7 ~.~ : ~- _ 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 f
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled X
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C-Compliance V=Violation
Any hazardous waste on site?: ^ Yes ~o
Explain:
Questions regarding this inspection° Please call us at (661) 326-3979
Whirr - Em~. Svcs. Yellow -Station Copy Pink - Husiness Copy
~j -~ ~ 17,E `}.._.
~~ ~ ~..
~~
mess Site esponsible Party
`~
Inspector
~~~