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Home My WebLink AboutBUSINESS PLAN 10/26/2005r ~` ~,,. ~ , ~ STA CLEAN ~ , ~ , J 2229 COY AVENUE UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services e r~Rd t n 900 Truxtun Ave., Suite 210 ~Rrer s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ I ~ ~ INSPECTION DATE ~ INSPECTION TIME ~ ~ ~ ~ / 0 CJ`s O (, b ~ ADDRESS '7. 'L `~ mac, HONE O. ~.~~ g6 S' 2. NO OFEMPLOYEES `~ FACILITY CONTACT ~` USINESS ID NUMBER 15-021- Utz `Z ~vr' // ~f i`r 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 ^ BUSItI@SS 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 P RO CEDURES = / (,d' ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WA,S+TE ON S,I~TE? EXPLAIN: -~~ ^ YES ~ NO t~VJ~ # 7 IOUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspect (Please Print) Fir Prevention / 1b` In / Shift of Site/Station # Busi ss Site c I Site esponsib e I White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 1Y1105) UNIFIED PROGRAM I..~PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmentai Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE ~ INSPECTION TIME ADDRESS PHONf o. No. of Employees FACILITYCONTACT Business ID Number ls-o21-~~,a3s Section 1: Business Plan and Inventory Program ~ Routine ^ Combined ^ Joint Agency ^ Mutti-Agency O Complaint ^ Re-inspection C V ^ \V=Vioatonncel OPERATION APPROPRIATE PERMIT ON HAND COMMENTS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY yQ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~. ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE C~ ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ' ~• ^ EMERGENCY PROCEDURES ADEQUATE Q~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ENO ~ /J ~~ ~~ crC ~// EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (C)G1~ 32G-3979 'J i nspector Badge No. Business Site Responsible Pa'flTy White ~ Envuonmental Services Yellow • Station Copy Pmk • Business Copy - _ _ `\ ~- - ~, STA CLEAN PRODUCTS INC SiteID: 015-021-001235 Manager ~j~91I~lo1^r"!S BusPhone: (661) 836-8652 Location: 2229 COY AVE Map 124 CommHaz High . City BAKERSFIELD Grid: 17A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:1629 DunnBrad: e ency ontact / Title Emergency Contact / Title / PRESIDENT JOE RUBIO / PRODUCTION MGR Business Phone: (661) 836-8652x Business Phone: (661) 836-8652x 24-Hour Phone (661) 589-3994x 24-Hour Phone (661) 395-1963x Pager Phone (661) 747-5832x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact BILL MORRIS Phone: (661) 836-8652x MailAddr: 2229 COY AVE State: CA City BAKERSFIELD Zip 93307 Owner BILL MORRIS Phone: (661) 747-5832x Address 2229 COY AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ PROG T - ABOVEGROUND STORAGE TANK ~~ JUG ,~ ,t~ ~~U~ Da.sed on my inquiry of those individuals fes~onsil~le #ar obt i a ning the infarmation, I certify under penalty or iav~ that I ha ve personally examined and am familiar with the information submitted and t .~e?ie1e the information is true, accurate, and complete. .-•~~ ~.. Sig re ~ ~~ Q Date -1- 07/16/2007 ~, _ F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM NITRITE F S 1000.00 LBS Hi GOODRITE K-752 POLYACRYLIC ACID IH L 110.00 GAL Hi STA-CLEAN RADIATOR CLEANER F IH L 420.00 GAL Mod LIQUID CAUSTIC SODA IH L 200.00 GAL Mod POTASSIUM HYDROXIDE SOLUTION IH L 55.00 GAL Mod STA-CLEAN GLYCOL F L 18300.00 GAL Low STA-CLEAN ANTIFREEZE F DH L 1500.00 GAL Low TRITON X-114 AND X45 F L 110.00 GAL Low SODIUM SILICATE 40 DEGREE IH L 110.00 GAL Low MARACELL XE F IH S 500.00 LBS Min BIO SOFT 5-100 IH L 55.00 GAL Min MAYOQUEST 1320 IH L 55.00 GAL UnR MAYOQUEST 1500 IH L 55.00 GAL UnR -2- 07/16/2007 -3- 07/16/2007 3 i F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM NITRITE Days On Site 365 Location within this Facility Unit Map: Grid: BY OVERHEAD DOORS CAS# 7632-00-0 ~SolidE Mixture~~~ PRESSURE TEMPERATURE CONTAINER TYPE I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 50.00 LBS 1000.00 LBS 400.00 LBS riAGHl<LVUJ 1:U1~lYU1VL'1V1~ cwt. Rs cAS# 99.00 Sodium Nitrite No 7632000 t1HGHKL I~JSL" J~1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0015 COMMON NAME / CHEMICAL NAME GOODRITE K-752 POLYACRYLIC ACID Location within this Facility Unit BY OVERHEAD DOORS STATE TYPE PRESSURE Liquid TPure ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 67-63-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL I1HGEitCLVU~7 l.Ul"lYV1V1;1V 1.7 ~Wt. RS CAS# 5.00 Isopropanol No 67630 1.00 Acrylic Acid No 79107 1.00 Propionic Acid No 79094 I1HG1-~i'CU H~ .7~a.7P7~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi -4- 07/16/2007 .~ F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STA-CLEAN RADIATOR CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: NEAR OVERHEAD DOORS UNDER METAL RACKS CAS# 1310-58-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 420.00 GAL 110.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 20.00 Potassium Hydroxide No 1310583 riAY,KKIJ L~JJL'~5~1~1~1V 15 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUID CAUSTIC SODA Days On Site 365 Location within this Facility Unit Map: Grid: BY OVERHEAD DOORS CAS# 1310-73-2 Liquid TMixture ~ AmbRient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 200.00 GAL 150.00 GAL t1.HGH1<LVU~ ~vrlrulv~N~1~~ %Wt. RS CAS# 15.00 Sodium Hydroxide No 1310732 nriat~cL r~ ~~~ai~t~ty t ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod -5- 07/16/2007 3 i F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POTASSIUM HYDROXIDE SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid: BY OVERHEAD DOORS CAS# 1310-58-3 Liquid TMixture~ Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average- 55.00 GAL 55.00 GAL 55.00 GAL t1HGKKLVU~ 1:V1~lYV1V151V1~ %Wt. RS CAS# 52.00 Caustic Potash No 1310583 t1E~G.ytCL A55La~1~11;1V"17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies IH / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STA-CLEAN GLYCOL Days On Site 365 Location within this Facility Unit Map: Grid: BY OVERHEAD DOORS REAR OF BLDG NEAR BACK OVERHEAD CAS# 57-55-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid Pure ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION .Largest Container Daily Maximum Daily Average 55.00 GAL 18300.00 GAL 6150.00 GAL n.sy~,rucLVU~ l.Vl~lt'V1VL" 1V 1 w7 ~Wt. RS CAS# 97.00 1,2-Propylene Glycol No 57556 I1HGL~I.CL 1~i. 7iJL~w7w71~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low -6- 07/16/2007 1 •~ F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STA-CLEAN ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S SIDE CAS# 57-55-6 Liquid TPureE ~ Ambient~E ~ A~PeRATURE ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1500.00 GAL 1500.00 GAL 750.00 GAL ---~ titi~t~ttLVUa uvrirviv~ivl~ %Wt. RS CAS# 100.00 1,2-Propylene Glycol No 57556 ru~~tittL t~a~~aain~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME TRITON X-114 AND X45 Location within this Facility Unit S SIDE OF PLANT STATE - TYPE PRESSURE Liquid Pure ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 9038-95-3 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily 110100m GAL I Daily A60r00e GAL I1l-~GtiRLVVJ l.Vl"lYV1V P~1V 1.7 oWt. RS CAS# 100.00 Octylphenoxypolyethoxyethanol No 9063195 I1HGH.CCL H~J JP~JJ1"1~.,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low -7- 07/16/2007 ~` p STA CLEAN PRODUCTS INC SitelD: 015-021-001235 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM SILICATE 40 DEGREE Days On Site 365 Location within this Facility Unit Map: Grid: BY OVERHEAD DOORS CAS# 1344-09-8 Liquid TPureE ~mbient~E ~ A~PeRATURE DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL til-~GI~KLV U.7 ~vrirvlvl~,ly 1 ~ %Wt. RS CAS# 40.00 Sodium Silicate No 1344098 riAY,Htt1J A:i~L'~a51~1li1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low ~ Inventory Item 0016 COMMON NAME / CHEMICAL NAME MARACELL XE Location within this Facility Unit BY OVERHEAD DOORS STATE TYPE PRESSURE Solid TPure -~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68131-31-7 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 500.00 LBS 350.00 LBS IStiGLiRLU U.7 1.V1~lYV1V ~1V 1 J sWt. RS CAS# 100.00 Sodium Lignosulfonate No 0 i1t~GtitCL H. 7.7 L~J.71"1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Min -s- a~/16/200~ ~ ,, F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BIO SOFT 5-100 Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE OF PLANT CAS# 27176-87-0 Liquid TPureE ~ AmbRient~E ~ A~PeRATURE DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL - rit~~~ucLUUS uuriruiv~iv-1-5 %Wt. RS CAS# 100.00 Dodecylbenzenesulfonic Acid No 68608888 tiHL,KKLJ !-~~SL'~~51~11';1V"1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME MAYOQUEST 1320 Location within this Facility Unit S SIDE OF PLANT STATE TYPE PRESSURE Liquid TMixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 6419-19-8 TEMPERATURE CONTAINER TYPE Ambient .DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL rltiatilCLVU.7 l.Vl"lt'ulVL'1V 1.7 %Wt. RS CAS# 50.00 Methylene Phosphonic Acid No 1984152 ru-~c~s-u~L s-~a ~~~ariaivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -9- 07/16/2007 ~ j .c f F STA CLEAN PRODUCTS INC ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MAYOQUEST 1500 Location within this Facility Unit S SIDE OF PLANT STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-001235 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 2809-21-4 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL L1t1G1-1RLVUJ 1..V1~lYV1V P~1V 1.S $Wt. RS CAS# 60.00 1-Hydroxythlidene No 0 1'1LyGtiICL tiJ w7 L' JJ1.1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -10- 07/16/2007 { T F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/21/1999 CALL 911. Employee Notif./Evacuation .09/21/1999 THE PLANT WORKER WOULD KNOW IMMEDIATELY IF THE PLANT NEEDED TO BE EVACUATED AND WOULD ALERT ANYONE IN THE OFFICE. THE OFFICE PERSON WOULD CALL 911. Public Notif./Evacuation 10/24/2000 THIS BUSINESS IS A WHOLESALE MANUFACTURER. RARELY IS ANYONE FROM THE PUBLIC ON THE PREMISES. IF SOMEONE DOES COME, THEY ARE ONLY ALLOWED IN THE OFFICE AREA, UNLESS THEY ARE GIVEN A PERSONAL TOUR OF THE MANUFACTURING AREA BY MS BARRICKLOW. IF THERE WAS AN EMERGENCY, THEY WOULD BE EVACUATED BY THE FRONT DOOR OF THE OFFICE, AND ACROSS THE ST. AT THAT TIME, THE BUSINESS NEXT DOOR (HIGHLAND TOWING) WOULD ALSO BE NOTIFIED OF THE SITUATION. Emergency Medical Plan 09/21/1999 WE ARE USING SAN JOAQUIN INDUSTRIAL MEDICINE ASSOCIATES, MEMORIAL HOSPITAL AND HALL AMBULANCE. THEIR NUMBERS ARE POSTED ON THE PLANT WALL. -11- 07/16/2007 r ~, F STA CLEAN PR ~ Mitigation/ ~ Release Pr TS INC SiteID: 015-021-001235 ~ Fast Format ~ ent/Abatemt Overall Site ~ tion 10/24/2000 ~ EACH CHEMICAL IS HANDLED ONE AT A TIME. VERY SMALL AMOUNTS ARE USED (A FEW GAL AT EACH TIME) OUR EMPLOYEE HAS BEEN INSTRUCTED TO STAND AND WATCH AS THE LIQUID IS POURED (THIS IS DONE BY SPIGOT) HE HAS TO WATCH EACH TIME BECAUSE IT IS ON A SCALE TO THE CORRECT AMOUNT EACH TIME. ANY SPILLS ARE CLEANED UP ACCRODING TO THE SAFETY DATA SHEET ON THE ITEM. Release WE HAVE STOCK TO MSDS. nment 10/24/2000 FLOOR DRY 85 TO SOAK UP OR DIKE SPILLS. DISPOSAL ACCORDING Clean Up 09/21/1999 WE HAVE STOCK TO MSDS. FLOOR DRY 85 TO SOAK UP OR DIKE SPILL. DISPOSAL ACCORDING Other Resource Activation -12- 07/16/2007 a ;. F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ special Hazaras Utility Shut-Offs 03/06/2007 GAS - N OF OFFICES BY ROLLING GATE ELECTRICAL - N OF OFFICES BY ROLLING GATE WATER - W OF OFFICES BY SIDEWALK Fire Protec./Avail. Water 12/06/2006 PRIVATE FIRE PROTECTION - THREE 2A-lOBC AND ONE BC15 LB EXTINGUISHERS IN THE PLANT AREA. NEAREST FIRE HYDRANT - SW CRNR OF LOT. Building Occupancy Level 12/06/2006 2 EMPLOYEE -13- 07/16/2007 y ~- it F STA CLEAN PRODUCTS INC SiteID: 015-021-001235 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/06/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL SAFETY DATA SHEETS ON ALL PRODUCTS PURCHASED ARE LOCATED IN A BINDER IN A METAL FILE CABINET IN THE PLANT NEXT TO THE DOOR INTO THE OFFICE. THE PLANT WORKER IS AWARE OF THE INFORMATION PROVIDED BY THEM AND THEIR LOCATION. THE PLANT EMPLOYEE (ANY ANYONE WHO MAY BE HIRED IN THE FUTURE) IS GIVEN TRAINING ON HANDLING AND THE PROPERTIES OF ALL MATERIALS USED IN THE MANUFACTURING PLANT BY MS BARRICKLOW. rayc ~ nc.LU tai ruLUiC use nciu ivi ru~uic vac -14- 07/16/2007 'v L; '~ + STA CLEAN PRODUCTS INC ______________________________ SiteID: 015-021-001235 + Manager DEEANN J BARRICKLOW Location: 2229 COY AVE City BAKERSFIELD BusPhone: (661) 836-8652 Map 124 CommHaz High Grid: 17A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:l629 DunnBrad: Emergency Contact / Title Emergency Contact / Title DEEANN BARRICKLOW / PRESIDENT JOE RUBIO / PRODUCTION MGR Business Phone: (661) 836-8652x Business Phone: (661) 836-8652x 24-Hour Phone (661) 3~9-7.9~x ~T~3 ~ 24-Hour Phone (661) 395-1963x Pager Phone (661) Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact DEEANN J BARRICKLOW Phone: (661) 836-8652x MailAddr: 2229 COY AVE State: CA City BAKERSFIELD Zip 93307 Owner BILL MORRIS Phone: (661) 747-5832x Address 4408 LA MIRADA DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: - Gal Certif'd: RSs: No ParcelNa: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~N~'~ a~~ Q g ~'8®~ t______________________________________________________________________________+ -1- 03/07/2006 STA CLEAN PRODUCTS INC Manager DEEANN J BARRICKLOW Location: 2229 COY AVE City BAKERSFIELD SiteID: 015-021-001235 BusPhone: (661) 836-8652 Map 124 CommHaz High Grid: 17A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code:l629 DunnBrad: Emergency Contact / Title Emergency Contact / Title DEEANN BARRICKLOW / PRESIDENT JOE RUBIO / PRODUCTION MGR Business Phone: (661) 836-8652x Business Phone: (661) 836-8652x 24-Hour Phone (661) 589-3994x 24-Hour Phone (661) 395-1963x Pager Phone (661) 747-5832x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth °~'Coiitact'- - ~1~I ~`~~Ot'f~l S` ~ Phonec (661) 836-8652x- ~ - MailAddr: 2229 COY AVE State: CA City BAKERSFIELD Zip 93307 Owner BILL MORRIS Phone: (661) 747-5832x Address .222 q ~~ }~-\fE . State : CA City BAKERSFIELD Zip 93301 7 Period to TotalASTs: _ ~~ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT'D MAR 5 2007 _ _ ~~ - -- - Based on: my ,in~Wiry_of #h?~~ i!st~ividuals.. : ~ -. _. ~_ - - - .<- ~ . _ _. - respbnsible for obtaining the Infge~~,~tion, I certify _ _ under penalty pf la!nr that I hqv~ personally examinrad end am farrolllc~r with the infarrnation submitted and belipv$ the information is true , accurate, and complete. ~ Z`7 lS 7 Signature Da - - - -1- 02/06/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A q F R S P 1 D PIKE ARTM ~~ .. Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS 2 °1 PHONE NO. `~3 - NO OF EMPLOYEES 2 22 v>z G ~ Z - FACILITY CONTACT BUSINESS ID NUMBER `~ 15-021- 601 g~ F Section 1: Business Plan and Inventory Program `~j ~~ . - - -- ROUTINE ^ COMBINED ^ JOIN - -- _ ~J T AGENCY ' ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ~ ~ ~ G Q ~ 2006 ^ VISIBLE ADDRESS ' \ ^ CORRECT OCCUPANCY "'~ ^ VERIFICATION OF INVENTORY MATERIALS ^ 'VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL I~ ^ 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? ^ YES `~ NO EXPLAIN: / ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ` \M y f 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