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Home My WebLink AboutBUSINESS PLAN 10/9/2007NATIONAL TOXICOLOGY -_ _~~ _ ~ 1100 CALIFORNIA AVENUE "~ -- - - - I n - - - . - -- - - ._. -- - UNIFIED PROGRAM INSPECTION CHECKLIST ~~ Prevention Services H A F_R s.r ,-, „ 900 Truxtun Ave., Suite 21.0 Fief Bakersfield, CA 93301 - SECTION 1:- Business Plan and Inventory Program ° i°RT'" -Tel.'. (661) 326-3979 _ _ Fax: (661) 872-21.71 - FACIL TY NAME TION DATE -- : INSPE C INSPECTION TIME ~ ) l AD RESS 0 ~ G9 ~ ~ ~;. dry ~ ;~,,g P HONE NO. ~2 2, zlL ~ NO OP EMPLOYEES / FACIL ONTACT ~ BUSINESS ID NUMBER ~~ ~. .. ~. , 15-021- D~jd ~ ~ 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 ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS- ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES Nr ^ VERIFICATION OF LOCATION ( ,Z ^ 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 ANY HAZARDOUS WASTE ON SITE? EXPLAIN; YES 1~N0 , QUESTIO/~NS REGARDING 1TH S INSPECTIaO\N? PLEASE CALL US AT (661) 326-3979 Inspector (Please In Fire Prevention / 1" In /Shift of Site/Station # uslness Slte / esponslble Party (Please Pnnt) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 _'' - Y NATIONAL TOXICOLOGY LABORATORIES Manager THOMAS C SNEATH Location: 1100 CALIFORNIA AVE City BAKERSFIELD SiteID: 015-021-000371 BusPhone: (661) 322-4250 Map 103 CommHaz Extreme Grid: 31A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code: DunnBrad:77-013-2417 Emergency Contact / Title Emergency Contact / Title THOMAS C SNEATH / PRESIDENT HASMUKH SHAH / TOXICOLOGIST Business Phone: (661) 322-4250x Business Phone: (661) 322-4250x 24-Hour Phone (661) 366-3971x 24-Hour Phone (661) 663-893~x ~ ~3" Pager Phone (661) 747-0688x Pager Phone ( ) - 'fx Hazmat Hazards: Fire Press ImmHlth DelHlth Contact THOMAS C SNEATH Phone: (661) 322-4250x MailAddr: 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Owner NATIONAL TOXICOLOGY LABORATORIES Phone: (661) 322-4250x Address 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT°D J U L 18 2007 Edr°d on my inquiry of those individuals resp~~nsihle for ob~_al Wing the infor und er ~ mation, I c~:rtify p~naity of law chat i have Qxamined and am famili al l o n ar with the info ~a submitted and believe th i e nformation is true, accurat , end complete. Signa~_ ______~ t`-a ~ lz Da te -1- 07/12/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HYDROGEN E F P IH G 400.00 FT3 Ext HELIUM F P IH G 2100.00 FT3 Min AIR F P IH G 750.00 FT3 Min NITROGEN F P IH G 600.00 FT3 Min WASTE MEDICAL IH DH L 55.00 GAL UnR -2- 07/12/2007 -3- 07/12/2007 ,. , F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDROGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 1333-74-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 FT3 400.00 FT3 400.00 FT3 -• rlti~titcL~u~ 1:V1~lYV1VL;1V 1"~J %wt. Rs cAS# 100.00 Hydrogen Yes 1333740 r~~xtc~ r~~a~aal~ir.ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Ext ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: NW CAS# 7440-59-7 ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATIONI- Largest C2100100rFT3 Daily2M00100m FT3 1-- Daily2100r00e FT3 ritiGl-~KLVUb 1,V1~lYV1VL'1V1.> %Wt. RS CAS# 100.00 Helium No 7440597 tll-~GHKL 1~.7.7L' .7~71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/12/2007 ~, F NATIONAL TOXICOLOGY LABORATORIES ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME AIR Location within this Facility Unit NW & SE SiteID: 015-021-000371 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co~50100rFT3 Daily M50100m FT3 I Daily A50r00e FT3 riL-~GH.CCLV U.7 1.V1~lYV1VL" 1V 1.~ ~Wt. RS CAS# 100.00 Air No 0 nr,c,tucL r-» aaaai~ialV 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facilit Unit Ma Grid y p: : NW & SE CAS# 7727-37-9 STATE T TYPE ~GaS I Pure PRESSURE ~ Above Ambient I TEMPERATURE ~ Ambient ~~ CONTAINER TYPE ~ I PORT _ PRESS _ (~YT,TNnF.R I AMOUNTS AT THIS LOCATION Largest Co600100rFT3 Daily 600100m FT3 I Daily 600r00e FT3 rirauruu~v~~ vvl•irvt~r~ivts %Wt. RS CAS# 100.00 Nitrogen No 7727379 L1riL~riRL 1'iJ JL~~J ~J1.1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/12/2007 i~ ~ P NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE MEDICAL Days On Site TESTING MATLS 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWasteAmbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS , %Wt. RSI CAS# r~~,s-ucL .ya~~~arir.iv l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR -6- 07/12/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/30/1999 ~ BAKERSFIELD FIRE DEPARTMENT - CALL 911. THOMAS SNEATH Employee Notif./Evacuation 11/30/1999 BY USE OF IN HOUSE PAGING SYSTEM - EVACUATION THROUGH THREE EXTERNAL DOORS. Public Notif./Evacuation 11/30/1999 VIA PA SYSTEM - ADVISE TO GO TO NEAREST EXIT. ___ Emergency Medical Plan 11/30/1999 SAN JOAQUIN HOSPITAL, MERCY HOSPITAL, BAKERSFIELD MEMORIAL HOSPITAL. -7- 07/12/2007 r F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/26/1991 ~ CHAIN ALL CYLINDERS; STORE HYDROGEN AND AIR CYLINDER AT LEAST 20 FEET APART WHEN NOT IN USE. HAVE SPILL CLEAN-UP KITS IN CASE OF SOLVENT SPILLAGE. Release Containment 11/30/1999 GAS CYLINDERS KEPT TO A MINIMUM; SOLVENTS USED IN FUME HOOD. Clean Up 11/30/1999 COMPRESSED GAS CYLINDERS - BLDG EVACUATED AND AIRED OUT. SOLVENT SPILLS - SOLVENTS ABSORBED IN SPILL CONTROL PILLOWS AND PLACED IN OPERATING HOOD. V1.11G1 LCC .'1. Vl.Ll I.:G i"lU L1VCl l.1 V11 -8- 07/12/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 ild'GdiU~ Utility Shut-Offs A) GAS - OUTSIDE NW CRNR B) ELECTRICAL - INSIDE UTILITY RM C) OUTSIDE - W SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 11/14/2006 Fire Protec./Avail. Water PRIVATE FIRE PROTECTIONS - 4 FIRE EXTINGUISHERS. FIRE HYDRANT - 100YDS. 02/05/2007 Building Occupancy Level 03/08/2006 21 EMPLOYEES -9- - 07/12/2007 .; F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/14/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED ON MATERIAL SAFETY DATA SHEETS AND CARE AND HANDLING OF COMPRESSED GAS CYLINDERS. rctyC G nc.iu Lvi ru~ui.c ~~c Held for Future Use -10- - 07/12/2007 .. NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 Manager ~~-f _ S~e~~"_ Bus Phone : ( 6 61) 3 2 2 - 4 2 5 0 Location: 1100 CALIFORNIA AVE Map 103 CommHaz Extreme City BAKERSFIELD Grid: 31A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code: DunnBrad:77-013-2417 Emergency Contact / Title Emergency Contact / Title THOMAS C SNEATH / PRESIDENT HASMUKH SHAH / TOXICOLOGIST Business Phone: (661) 322-4250x Business Phone: (661) 322-4250x 24-Hour Phone (661) 366-3971x 24-Hour Phone (661) 663-8930x Pager Phone (661) 747-0688x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact THOMAS C SNEATH Phone: (661) 322-4250x MailAddr: 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Owner NATIONAL TOXICOLOGY LABORATORIES Phone: (661) 322-4250x Address 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN 6~cc~~ dh ti`iy iiigtairy of those individuals rc:sp4i~6i~l~ f~}t ~~t~ir,(n~ the infarmation, I certify under p~n~lty gf I~w that I have personally /~' ~, examin®~ a~~d ~m ff~mlUar with the information '`~ / submitted ar~d bellovp the information is true, ~ ~ accurate, anc! ct~mplete. ~ ~' a- y ~ 7 , ~00, Signatur Date -1- 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HYDROGEN E F P IH G 400.00 FT3 Ext HELIUM F P IH G 2100.00 FT3 Min AIR F P IH G 750.00 FT3 Min NITROGEN F P IH G 600.00 FT3 Min WASTE MEDICAL IH DH L 55..00 GAL UnR -2- 02/05/2007 -3- 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDROGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 1333-74-0 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PnRT _ PRRSS _ C'YT,TNI~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 400.00 FT3 400.00 FT3 400.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Hydrogen Yes 1333740 I1tiGtitClJ H. 7,7L,~.71~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Ext ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facilit Unit Ma Grid y p: : NW CAS# 7440-59-7 STATE T TYPE ~Ga.S I Pure PRESSURE ~T ~AbOVe Ambient 1 TEMPERATURE ~ Ambient ~ CONTAINER TYPE I PORT _ PRF.~~ CVT,TTTT~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2100.00 FT3 2100.00 FT3 2100.00 FT3 HAZARDOUS COMPONENTS , %Wt. 100.00 Helium HAZARD A RSI CAS# No 7440597 S SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AIR Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE = Gas TPure Above Ambient Ambient PORT.. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 750.00 FT3 750.00 FT3 750.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Air No 0 t1L~GHKL H.7 .7iS.7.71~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit NW & SE STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 600.00 FT3 600.00 FT3 600.00 FT3 riEiGtitCLVUJ LV1~lYUlVJ;1V1J %Wt. RS CAS# 100.00 Nitrogen No 7727379 t11-~GH.C'CL 1-1.7.71;J.71"1~1V l J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES. ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME WASTE MEDICAL TESTING MATLS Location within this Facility Unit STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-000371 ~ Facility Unit: Fixed Containers on 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 HAZARDOUS COMPONENTS , oWt. RS CAS# riAL,F~K1J AaJt;~J1~1J;1~ 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / UnR -6- 02/05/2007 i F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/30/1999 ~ BAKERSFIELD FIRE DEPARTMENT - CALL 911. THOMAS SNEATH Employee Notif./Evacuation 11/30/1999 BY USE OF IN HOUSE PAGING SYSTEM - EVACUATION THROUGH THREE EXTERNAL DOORS. Public Notif./Evacuation 11/30/1999 VIA PA SYSTEM - ADVISE TO GO TO NEAREST EXIT. Emergency Medical Plan 11/30/1999 SAN JOAQUIN HOSPITAL, MERCY HOSPITAL, BAKERSFIELD MEMORIAL HOSPITAL. -7- ~ 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt. Overall Site ~ ~ Release Prevention 02/26/1991 ~ CHAIN ALL CYLINDERS; STORE HYDROGEN AND AIR CYLINDER AT LEAST 20 FEET APART WHEN NOT IN USE. HAVE SPILL CLEAN-UP KITS IN CASE OF SOLVENT SPILLAGE. Release Containment 11/30/1999 GAS CYLINDERS KEPT TO A MINIMUM; SOLVENTS USED IN FUME HOOD. Clean Up 11/30/1999 COMPRESSED GAS CYLINDERS - BLDG EVACUATED AND AIRED OUT. SOLVENT SPILLS - SOLVENTS ABSORBED IN SPILL CONTROL PILLOWS AND PLACED IN OPERATING HOOD. v~.tiCt ACSVULI:C tiUl.lVdl.lUi1 -$- 02/05/2007 F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ orc~:iai nac~aiu~ Utility Shut-Offs 11/14/2006 A) GAS - OUTSIDE NW CRNR B) ELECTRICAL - INSIDE UTILITY RM C) OUTSIDE - W SIDE OF BLDG D) SPECIAL - NONE E ) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTIONS - 4 FIRE EXTINGUISHERS. FIRE HYDRANT - 100YDS. 02/05/2007 Building Occupancy Level 03/08/2006 21 EMPLOYEES -9- 02/05/2007 ~~- F NATIONAL TOXICOLOGY LABORATORIES SiteID: 015-021-000371 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/14/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED ON MATERIAL SAFETY DATA SHEETS AND CARE AND HANDLING OF COMPRESSED GAS CYLINDERS. rayc ~ Held for Future Use nc.i.u ivi r u~uic u~c -10- 02/05/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~ e F R s r, D 900 Truxtun Ave:, Suite 210 ~..~a~::__~~e~~ ~~R,~~~ :~ ~.~_...~ ._.~.~.._._ - ~FiRE Bakersfield, CA 93301 SECTION 1: Business`Plan and Inventory Proaram . r.._ Tel.: (661) 326-3979 • - - T ,1' a3C: (bb 1 J 2576-L l / 1 FACILITY NAME INSPECTION DATE INSPECTION TIME ~~ i G~1 _ taX, 1' ~t30R/~i UT1.ItL'r ~I -1-®~ 3~ ADDRESS 110 o G~~~- - t; v ~ ~~; HONE NO. 3 ~ Z ~/~,5"0 O OF EMPLOYEES 1 '1 FACILITY CONTACT BUSINESS ID NUMBER 1 N U i"~4 S IJ L~ ~' bi 15-021- C7O d 371 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 ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY "~ ^ VERIFICATION OF INVENTORY MATERIALS _ ~i ^ 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 V ^ EMERGENCY PROCEDURES ADEQUATE O ^ CONTAINERS PROPERLY LABELED ~ ~~ °•~I ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~Y S ^ NO EXPLAIN: ~ ~-~~A ~ I J ~ ~/`~ T Y I WL ~,I~ 19 L QUESTIONS REGARDING TiitS INSPECTION? PLEASE CALL US AT (66ij 326-3979 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # - White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 i ,~ , + NATIONAL TOXICOLOGY LABORATORIES ____________________ SiteID: 015-021-000371 + Manager Location: 1100 CALIFORNIA AVE City BAKERSFIELD BusPhone: (661) 322-4250 Map 103 CommHaz Extreme Grid: 31A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code: DunnBrad:77-013-2417 +_________________________----___________________-_________________-________=====t Emergency Contact / Title Emergency Contact / Title THOMAS SNEATH / PRESIDENT HASMUKH SHAH / TOXICOLOGIST Business Phone: (661) 32'2',-4250x Business Phone: (661) 322-4250x 24-Hour Phone (661) 3Ev~~-3971x 24-Hour Phone (661) 663-8930x Pager Phone (661) 741T-0688x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 322-4250x MailAddr: 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Owner NATIONAL TOXICOLOGY LABORATORIES Phone: (661) 322-4250x Address 1100 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT ENT'D MAR 0 8 2006 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. I ~~ ~ ~ 0 Signature Date -1- 03/02/2006 -~ - ~ „ ~ .- -_ a-..`~F~ .. `.-....-.-. - -. - -' - r .-' ~ - .. .. ...-. ... - -_ .. - -.tom .. L' '3a .... - ..~ ~ DAKERSFIELD FIRE DEPT ---- Prevention Services UNIFIED PROGRAM INSPECTION CFIECICLIST a Friii D 900TruxtunAve.,Suite210 ~~~~~~~: ~~~ _.fi~~~z~~- _r.n.-.;~~h .~o.~,. __-.~ .~..~.;~« .~ ~:.;~. ~ _~~. .-r _,-- ~ a1~rn1 >r Bakersfield, CA 93301 - - SECTION 1: Business Plan and Inventory Program Tel.: (ssl) 326-3979 Fax: (661) 872-2171 ,, i} i~ FACILITY NAME ` *~ INSPECjT[IO~N Dt,AgTE y y ~ ~r INSPE,`CfTION TIME t1 }~ f i~ ~ . J RS 1S V f -1W ~>Y l F] i ] ADDRESS ` HONE NO. O OF EMPLOYEES I V C.3 ~'~s.:l s v~"t,.~i ~ ~'1.L '~~~ ~ t t FACILITY CONTACT USINESS ID NUMBER 15-021-~~' ~~tCiMt1~ ~t'~~~~~ 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 t ~i . ^ BUSIPIt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY IID, ^ VERIFICATION OF INVENTORY MATERIALS '~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^~ ^ PROPER SEGREGATION OF MATERIAL , ~ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~4 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C3 ^ EMERGENCY PROCEDURES ADEQUATE L~7'( ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ,~ ^ FIRE PROTECTION I~ ^ SITE DIAGRAM ADEQUATE i£ ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ' ~" ~~ ..~P~f ~' ~`~ Inspector (Please Print) ve;:~revention ! 181 In / Shift of SitelStation tk ~ Business Site/School Site Responsible Party (Please Print)` ^ YES [~ NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) • ~~~~ "'r~ CITY OF BAKERSF1El.D F1RE DEPARTIVtENT OFFICE OF ENVIRONMENTAI, SERVICES ~~ UNIFIED PROGRA~~1 INSPECTION CHECKLIST ~ . 'w ~a~,~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME-~~~~IU1~'~1~ `~w'GDLelvl ADDRESS ~ ~ b s FACILITY CONTACT j -~0~ 1 t~,n'~~ INSPECTION TIME 1 INSPECTION DATE~I 0 _ PHONE NO. _ ? Lt ~1 ZS BUSiNI:SS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-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 C~2~ C~ ~ ~-~ 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 "t~`C~ Business Site Responsible Party Inspector: