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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 f ``` 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)