HomeMy WebLinkAboutBUSINESS PLAN (2)SANFORD SEMCHAK SPECIALISTS
1125 W. COLUMBUS STREET _~
:~ vx
SANFORD SEMCHAK SPEIGHTS INC
Manager EVELYN SHEARER
Location: 1125 W COLUMBUS ST
City BAKERSFIELD
CommCode: KCFD STA 64
EPA Numb:
BusPhone:
Map 103
Grid: 18C
SIC Code:
DunnBrad:
SiteID: 015-021-000735
(661) 322-5866
CommHaz High
FaCUnits: 1 AOV:
Emergency Contact / Title Emergency Contact / Title
DENNIS MCLEAN / OWNER EVELYN SHEARER / OWNER
Business Phone: (661) 324-3246x Business Phone: (661) 322-5866x
24-Hour Phone (661) 399-2468x 24-Hour Phone (661) 588-0482x
Pager Phone (661) 201-7095x Pager Phone (661) 201-7096x
Hazmat Hazards: Fire Press ImmHlth
Contact EVELYN SHEARER Phone: (661) 322-5866x
MailAddr: 1125 W COLUMBUS ST State: CA
City BAKERSFIELD Zip 93301
Owner EVELYN SHEARER Phone: (6610 322-5866x
Address 13601 TABLE ROCK AVE State: CA
City BAKERSFIELD Zip 93314
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No .
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D J U L 2 6 ~pQ7
Barad on my inquiry of those individuals
re5t:.r7.;~,i1~l; 'r~r r~tl~'~y~+~ing the information, I certify
uncr~~r p,~nalty of law that I have personally
exar~tlr~S end am f~~miliar with the information
s~~t~n~k~7~ari =~.r~s~ 6_,,^.i~4;,~e the information is true,
acct,rate, and campiete.
~1~~-- ~ ~a31Qr~
' .
Date
Siynat~r2
-1- 07/16/2007
'~ f
-.~
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ 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 250.00 FT3 Hi
CHLOROPENTAFLUOROETHANE P G 3456.00 FT3 Low
CHLORODIFLUOROMETHANE P G 2232.00 FT3 Low
OXYGEN F P IH G 460.00 FT3 Low
DICHLORODIFLUOROMETHANE P G 3175.00 FT3 Min
NITROGEN F P IH G 240.00 FT3 Min
-2- 07/16/2007
-3- 07/16/2007
r
;,.
F SANFORD SEMCHAK SPEIGHTS INC
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
ACETYLENE
Location within this Facility Unit
CTR E WALL WHSE
SiteID: 015-021-000735 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container - Daily Maximum I Daily Average
125.00 FT3 250.00 FT3 125.00 FT3
nti~tuc.uvu~ ~.~i~irviv~tvla
oWt. RS CAS#
100.00 Acetylene Yes 74862
I1HG1itCL 1-~.7.71;~J.>1~liS1V l ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
CHLOROPENTAFLUOROETHANE
Location within this Facility Unit
SW CRNR WHSE
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
76-15-3
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 3456.00 FT3 2765.00 FT3
nric~rilcl..iv V J L,vl•lrvlvlJly t J -
°sWt. RS CAS#
100.00 Chloropentafluoroethane No 76153
I1tiL.~L-iRL ri. 7JL'JJ1.1L'1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P / / / Low
-4- 07/16/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
CHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
SW CRNR WHSE CAS#
75-45-6
~Ga.SATE TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~
TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 2232.00 FT3 1339.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Chlorodifluoromethane No 75456
t1HGEittL H.7 J~JJ1~1J;1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P / / / Low
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
CTR E WALL WHSE
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 Co230100rFT3 Daily 460100m FT3 I Daily 230r00e FT3
n1-~t,rucLV V,7 Lvl•1r vtV L~1~ t J
%Wt• RS CAS#
100.00 Oxygen, Compressed No 7782447
L1t~GtiRL ti. 7.71', J J1"1L' 1V 1 .7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
-5- 07/16/2007
i
F SANFORD SEMCHAK SPETGHTS INC SiteID: 015-021-000735 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DICHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
SW CRNR WHSE CAS#
75-71-8
~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 3175.00 FT3 2540.00 FT3
ti1~L,HxLV U 5 1.V1~lYV1Vl;1V 1 J
%Wt. RS CAS#
100.00 Dichlorodifluoromethane No 75718
nt~~r-uc1J .yaal,a~l~ir~lVl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P / / / Min
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
NITROGEN Days On Site
365
Location within this Facility Unit Map: Grid:
CTR E WALL WHSE CAS#
7727-37-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION.
Largest Container Daily Maximum Daily Average
120.00 FT3 240.00 FT3 120.00 FT3
111-~G1~iiCLV U.7 1..V1~lYV1VL' 1V 1.7
%Wt. RS CAS#
100.00 Nitrogen No 7727379
tiKGEitCL Hi J.7 C,.7.71~1J;1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-6- 07/16/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/15/1999 ~
CALL 911.
Employee Notif./Evacuation 03/27/2006
IN CASE OF AN EMERGENCY WE WOULD CALL 911. EVACUATION PROCEDURES WOULD BE
TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOORWAYS MARKED EXIT. WE ALSO
HAVE AN INTERCOM WHERE WE COULD ANNOUNCE TO ALL PARTS OF THE BUILDING.
Public Notif./Evacuation
CALL 911.
10/15/1999
Emergency Medical Plan
04/14/2006
DIAL 911 OR MEMORIAL HOSPITAL, 420 34TH ST, 327-1792 OR SAN JOAQUIN
HOSPITAL, 2615 EYE ST, 327-1711.
-7- 07/16/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/14/2006 ~
OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE WALL WITH A
CHAIN AROUND THEM. FREON IS IN 30- OR 50-POUND CYLINDERS AND ARE KEPT IN
THEIR CARDBOARD SHIPPING BOX CONTAINERS UNTIL THEY ARE USED. CONTAINERS ARE
STACKED NO MORE THAN 3 HIGH IN A RESTRICTED AREA.
Release Containment 04/14/2006
IN THE EVENT OF A COMPRESSED GAS LEAK, AN ATTEMPT TO SHUT THE VALVE WOULD BE
MADE, A PATCH KIT APPLIED, IF APPLICABLE, AND THE SUPPLIER CONTACTED FOR
ASSISTANCE IN REMOVING THE LEAKING CYLINDER.
Clean Up 04/10/1992
COMPRESSED GAS ONLY.
Other Resource Activation
-8- 07/16/2007
M1 ~ ~~
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
especial riazaras
Utility Shut-Offs
A) GAS - SW CRNR OF BLDG INSIDE LOCKED FENCED YARD
B) ELECTRICAL - SW CRNR OF BLDG INSIDE LOCKED FENCED YARD
C) WATER - NE CRNR OF BLDG OUTSIDE FRONT WALL
D) SPECIAL - NONE
E) LOCK BOX - NO
03/27/2006
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - OUTSIDE BLDG.
02/06/2007
Building Occupancy Level 03/27/2006
13 EMPLOYEES
-9- 07/16/2007
•4.
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/14/2006 ~
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: MONTHLY SERVICE MEETINGS ARE HELD AND
SAFE HANDLING OF ALL MATERIALS IS EMPHASIZED.
rayc ~
Held for Future Use
aics.u ivi ru~..utc v.7c
-10- 07/16/2007
r~.
i
+ SANFORD SEMCHAK SPEIGHTS TNC ________________________ SiteID: 015-021-000735 +
Manager
Location: 1125 W COLUMBUS ST
City BAKERSFIELD
BusPhone: (661) 322-5866
Map 103 CommHaz High
Grid: 18C FacUnits: 1 AOV:
CommCode: KCFD STA 64 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DENNIS MCLEAN. / OWNER EVELYN SHEARER / OWNER
Business Phone: (661) 324-3246x .Business Phone: (661) 322-5866x
24-Hour Phone (661) 399-2468x 24-Hour Phone (661) 588-0482x
Pager Phone (661) 201-7095x Pager Phone (661) 201-7096x
Hazmat Hazards: Fire Press ImmHlth
Contact EVELYN SHEARER Phone: (661) 322-5866x
MailAddr: 1125 W COLUMBUS ST State: CA
City BAKERSFIELD Zip q 33D~
Owner .~ EVELYN SHEARER Phone: (661) 322-5866x
Address 13601 TABLE ROCK AVE State: CA
City BAKERSFIELD Zip _ `i331
------------------------
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
Based on my inquiry of thane' individuals
,responsible for obtaining the inform~fiQn, i certify
under penalty of law 4hat I have personally
examined and am familiar with the information
submitted and believe 4he information is true,
accurate, and complete.
n S~n~.~ o~c/o3/ob
Signature Date
ENrp APR
14 2006
-1- 03/27/2006
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SANFORf.i SEMCHA`K SPEIGHTS INC SiteID: 015-021-000735
Manager ~V~I Yl Shi~`u..c~Er- Bus Phone : ( 6 61) 3 2 2 - 5 8 6 6
Location: 1125 ~ COLUMBUS ST Map 103 CommHaz High
City BAKERSFIELD Grid: 18C FacUnits: 1 AOV:
CommCode: KCFD STA 64
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DENNIS MCLEAN / OWNER EVELYN SHEARER / OWNER
Business Phone: (661) 324-3246x Business Phone: (661) 322-5866x
24-Hour Phone (661) 399-2468x 24-Hour Phone (661) 588-0482x
Pager Phone (661) 201-7095x Pager Phone (661) 201-7096x
Hazmat Hazards: Fire Press ImmHlth
Contact EVELYN SHEARER Phone: (661) 322-5866x
MailAddr: 1125 W COLUMBUS ST State: CA
City BAKERSFIELD Zip 93301
Owner EVELYN SHEARER Phone: (661) 322-5866x
Address 13601 TABLE ROCK AVE State: CA
City BAKERSFIELD Zip 93314
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
Based on my inouiry of thos€~ in di±~~dur_51~°
responsible fior obtaining thc~ informot;on, I ~::ertitV
under penalty of fativ that I hau~: person;;,!iV
examined and am familiar w;th the informaf~or
submitted and belieue the information is true,
accurate
and com
lete
EIVT'D
~
,
p
. ~ ~Q~/
cn S~ oa/oq f an_o7
Signatur t]ate
-1- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ 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 250.00 FT3 Hi
CHLOROPENTAFLUOROETHANE P G 3456.00 FT3 Low
CHLORODIFLUOROMETHANE P G 2232.00 FT3 Low
OXYGEN F P IH G 460.00 FT3 Low
DICHLORODIFLUOROMETHANE P G 3175.00 FT3 Min
NITROGEN ~ F P IH G 240.00 FT3 Min
-2- 02/06/2007
-3- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
CTR E WALL WHSE CAS#
74-86-2
STATE T TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~
Gas I Pure I Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
125.00 FT3 250.00 FT3 125.00 FT3
- HAZARDOUS COMPONENTS
%Wt. - RS CAS#
100.00 Acetylene Yes 74862
I1tiGH1SL Ei. 7~JiS.7.71~1r,1V 1.7
TSecret RS BioHaz Radioactive/Amount -EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
CHLOROPENTAFLUOROETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
SW CRNR WHSE CAS#
76-15-3
~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 3456.00 FT3 2765.00 FT3
il.t~uB~iV.JV V O l..Vl•lr V1V L' 1V 1 J
sWt. RS CAS#
100.00 _
Chloropentafluoroethane No 76153
11t]LJCILCL tiJ JP.~J.71.1LilV 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P / / / Low
-4- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
CHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
SW CRNR WHSE CAS#
75-45-6
~GasATE T TYPE PRESSURE ~T TEMPERATURE ~ CONTAINER TYPE ~
I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 2232.00 FT3 1339.00 FT3
nr~ar~tcLVU~ ~~inrviv~ivl~
°sWt. RS CAS#
100.00 Chlorodifluoromethane No 75456
t1L-1GKKL HJ.7.C,JJ1~1~1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP
No No No No/ Curies P / / / Low
~ 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:
CTR E WALL WHSE CAS#
7782-4.4-7
STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~
~GdS I Pure Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Co230100rFT3 Daily 460100m FT3 I Daily 230r00e FT3
ruyc~ru~LV~~ ~.vl•1rv1va1v1S
~Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
!lL-~GtiRL 1i ~.7 P~.7.71"1P.~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / ,Low
-5- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DICHLORODIFLUOROMETHANE Days On Site
365
Location within this Facility Unit Map: Grid:
SW CRNR WHSE CAS#
75-71-8
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 3175.00 FT3 2540.00 FT3
t1AGHKLVUJ 1:V1~lYV1VL'1V15
°sWt. RS CAS#
100.00 Dichlorodifluoromethane ~ No 75718
t1AGE~tC11 A551;5J1~11~;1V"1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P j / / Min
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
NITROGEN
Location within this Facility Unit
CTR E WALL WHSE
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
120.00 FT3 240.00 FT3 120.00 FT3
til~GtutLVU~ ~.VrirVlvlJlvla
oWt. RS CAS#
100.00 Nitrogen No 7727379
I'1HGHtCL 1-~,7.7tS.7J1~1~1V1w7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-6- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/15/1999 ~
CALL 911.
Employee Notif./Evacuation
03/27/2006
IN CASE OF AN EMERGENCY WE WOULD CALL 911. EVACUATION PROCEDURES WOULD BE
TO HAVE EVERYONE LEAVE THE BLDG THROUGH THE DOORWAYS MARKED EXIT. WE ALSO
HAVE AN INTERCOM WHERE WE COULD ANNOUNCE TO ALL PARTS OF THE BUILDING.
Public Notif./Evacuation 10/15/1999
CALL 911.
Emergency Medical Plan
04/14/2006
DIAL 911 OR MEMORIAL HOSPITAL, 420 34TH ST, 327-1792 OR SAN JOAQUIN
HOSPITAL, 2615 EYE ST, 327-1711.
-7- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention 04/14/2006
OXYGEN & ACETYLENE ARE STORED IN A WELDING CART OR AGAINST THE WALL WITH A
CHAIN AROUND THEM. FREON IS IN 30- OR 50-POUND CYLINDERS AND ARE KEPT IN
THEIR CARDBOARD SHIPPING BOX CONTAINERS UNTIL THEY ARE USED. CONTAINERS ARE
STACKED NO MORE THAN 3 HIGH IN A RESTRICTED AREA.
9
Release Containment
04/14/2006
IN THE EVENT OF A COMPRESSED GAS LEAK, AN ATTEMPT TO SHUT THE VALVE WOULD BE
MADE, A PATCH KIT APPLIED, IF APPLICABLE, AND THE SUPPLIER CONTACTED FOR
ASSISTANCE IN REMOVING THE LEAKING CYLINDER.
Clean Up
COMPRESSED GAS ONLY.
04/10/1992
Other Resource Activation
-8- 02/06/2007
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_, _,_
.~~cciai raaaaiu~
Utility Shut-Offs 03/27/2006
A) GAS - SW CRNR OF BLDG INSIDE LOCKED FENCED YARD
B) ELECTRICAL - SW CRNR OF BLDG INSIDE LOCKED FENCED YARD
C) WATER - NE CRNR OF BLDG OUTSIDE FRONT WALL
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 02/06/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - OUTSIDE BLDG.
Building Occupancy Level 03/27/2006
13 EMPLOYEES
-9- 02/06/2007
~~ S '1
a _
F SANFORD SEMCHAK SPEIGHTS INC SiteID: 015-021-000735 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/14/2006 ~
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUNIMARY OF TRAINING PROGRAM: MONTHLY SERVICE MEETINGS ARE HELD AND
SAFE HANDLING OF ALL MATERIALS IS EMPHASIZED. '
rays ~
Held for Future Use
Held for Future Use
-10- 02/06/2007
UNIFIED PROGRAM INSPECTi®N CFIECI(LIST}
~.... w. max.. ....., 4 Y .r ,. -
SECTION 1: Business Plan and Inventory Pr®gram
•
BAKERSFIELD FIRE DEPT
a P Prevention Services
E~t~ 900 Trtuctun Ave., Suite 210
awrM s Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE I SPECTION TIMCA
l ~
~ ~ ~// G
ADDRESS HONE NO. O OF EMPLOYEES
i
FACILITY C~ CT USINESS ID NUMBER A~ /
15-021- (
( f
~
~ ~ ~ ~ ~ ~
` ~ `
J
'mow
h
-_--~~~
Section 1: Business Plan and Inventory Program
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=Compliance` OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIflBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
('~..._^ VERIFICATION OF QUANTITIES
o
f ~ ^ VERIFICATION OF LOCATION
/
~ ^ 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
•DUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~
Inspector (Please Print) Ire revention 1°' In /Shift of Site/Station # Business Site/Sc ool Site Responsible Party (Plea a Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02105)