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Home My WebLink AboutBUSINESS PLAN 7/18/2007,~ N SCIENTIFIC DRILLING _ ,:'~, -~ 4516 & 4524 DISTRICT BLVD. r ~~ - SCIENTIFIC DRILLING INTL BusPhone: Map 123 Grid: 14C SitelD: 015-021-002145 Manager JOE G WILLIAMS Location: 4516 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: (661) 831-06.36 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JOE G WILLIAMS / DIST MANAGER KEN P LOWE / DISTRICT COORD Business Phone: (661) 831-0636x Business Phone: (661) 831-0636x 24-Hour Phone (800) 514-8077x 24-Hour Phone (800) 514-8077x Pager Phone (661) 201-3351x Pager Phone (661) 201-3352x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact JEREMY BYERS Phone: (661) 201-3364x MailAddr: 4516 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner SCIENTIFIC DRILLING INTL Phone: (661) 831-0636x Address 4516 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~~~~ PROG A - HAZMAT , t~ !~! PROG H - HAZ WASTE GEN lased on my inquiry of those individuals re~b;~.onsinie for ek?taining the information, I certify unger penalty of taw that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, an f ;ompiete. - _ Si nat g ure Date -1- 07/16/2007 i(~'1~ F SCIENTIFIC DRILLING INTL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002145 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LITHIUM BATTERIES F R IH DH S 500.00 LBS Hi ACETYLENE E F P IH G 200.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low -2- 07/16/2007 -3- 07/16/2007 f R F SCIENTIFIC DRILLING INTL ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME LITHIUM BATTERIES Location within this Facility Unit STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-002145 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7719-09-7 TEMPERATURE CONTAINER TYPE Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 500.00 LBS 500.00 LBS 500.00 LBS %Wt RSA CAS# riEiGEiKL H.7 .7~~a1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 t1E~G1~ttUVU~ C:V1~lYV1V~1V1~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 ti1~GHttL A57LS~1~1t;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARDOUS COMPONENTS -4- 07/16/2007 F SCIENTIFIC DRILLING INTL ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit INSIDE SW CRNR OF SHOP STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002145 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co249100rFT3 Daily 249100m FT3 I Daily 249r00e FT3 tiHGHKLVU~ 1:V1~lYV1VL'1V1J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1E~L,HKL 1~.751;.7~1~11;1V l ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE SE CRNR OF YARD CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00. GAL 110.00 GAL 55.00 GAL I11.1GL-iKLVUiJ 1.V1~lYV1V~1V 15 %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1F~GE~tCL H.7.7L" .7.71~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/16/2007 r- , F SCIENTIFIC DRILLING INTL SitelD: 015-021-002145 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 01/24/2001 FREQUENT INSPECTIONS DAILY. 9 Employee Notif./Evacuation 04j30/2007 IN CASE OF EMERGENCY CALL 911 OR CALL OFFICE OF EMERGENCY SERVICES 800-852-7550 TO REPORT ANY SPILLS THAT ARE A THREAT TO LIFE, SAFETY OR ENVIRONMENT, OR FOR OTHER NON-EMERGENCY SPILL REPORTING CALL 326-3979. PLEASE CONTACT JOE G WILLIAMS, DISTRICT MANAGER, 800-514-8077 OR KEN LOWE, DISTRICT COORDINATOR, 800-514-8077. Public Notif./Evacuation 09/19/2006 IN CASE OF SPILL OR RELEASE, CONTACT THE FOLLOWING: JOE G WILLIAMS, DISTRICT MANAGER, AT 831-0636 OR 800-514-8077 OR KEN P LOWE, DISTRICT COORDINATOR, AT 831-0636 OR 800-514-8077. Emergency Medical Plan 09/19/2006 IN CASE OF EMERGENCY, ACCIDENT, OR INJURY CALL THE FOLLOWING: 911, OR MERCY SOUTHWEST MEDICAL CENTER, 400 OLD RIVER RD, 663-6000. -6- 07/16/2007 ., F SCIENTIFIC DRILLING INTL SitelD: 015-021-002145 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/19/2006 ~ STORAGE CONTAINER, PAINT LOCKER. PAINT KEPT IN LOCKER. MSDS ON SITE. SAFE HANDLING PROCEDURES USED WITHOUT EXCEPTION. Release Containment 09/19/2006 USED OIL KEPT IN 55-GAL DRUM AND SECONDARY CONTAINMENT BARREL ON SITE. FOLLOW RECOMMENDED PROCEDURES FROM MSDS, PROPER PPE, LABELING, AND REGULAR DISPOSAL OR RECYCLE. Clean Up 09/19/2006 ALL LEAKS ARE REPORTED IMMEDIATELY. CONTROL EXPOSURE TO EARTH AND PERSONNEL, IMMEDIATE RECOVERY INTO SECONDARY CONTAINMENT UNIT. IF EARTH IS CONTAMINATED, REMOVE EARTH ONE FEET DEEP AND REPLACE. Vl.llcl itGAVUlVG 1-~l.V1VCi l.1 V11 -7- 07/16/2007 F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~ec:lal nd~drus Utility Shut-Offs 09/19/2006 A) GAS - SW CRNR OF BLDG ON DISTRICT BLVD B) ELECTRICAL - SW CRNR OF BLDG ON DISTRICT BLVD C) WATER - SE CRNR OF BLDG ON DISTRICT BLVD D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SEVERAL FIRE EXTINGUISHERS (ANSUL 2016). NEAREST FIRE HYDRANT - SW CRNR OF ENTR. 01/19/2007 Building Occupancy Level 41 EMPLOYEES 03/14/2006 -8- 07/16/2007 r` ~F F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/19/2006 ~ MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES HAVE INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: METHODS FOR SAFE HANDLING OF THE HAZARDOUS MATERIALS USED. THE CAL OSHA HAZARD COMMUNICATION STANDARD. CORRECT USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES. THE PREVENTION MINIMIZING AND CLEAN-UP PROCEDURES DEVELOPED. THE EMERGENCY EVACUATION PLANS DEVELOPED, AS WELL AS, NOTIFICATION PROCEDURE AND MEDICAL PLAN. PROCEDURE TO COORDINATE WITH AND ASSIST THE LOCAL EMERGENCY PERSONNEL THAT MAY RESPOND. WHO AND HOW TO CALL FOR IMMEDIATE ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING HAZARDOUS MATERIALS. rayc ~ nciu iui ru~uic u5C -9- 07/16/2007 p. ,C s"-~ F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Held for Future Use -10- 07/16/2007 SCIENTIFIC DRILLING INTL Manager JOE G WILLIAMS Location: 4516 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: ~~~i~ SiteID: 015-021-002145 BusPhone: (661) 831-0636 Map 123 CommHaz High Grid: 14C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOE G WILLIAMS / DIST MANAGER KEN P LOWE / DISTRICT COORD Business Phone: (661) 831-0636x Business Phone: (661) 831-0636x 24-Hour Phone (800) 514-8077x 24-Hour Phone (800) 514-8077x Pager Phone (661) 201-3351x Pager Phone (661) 201-3352x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact JEREMY BYERS Phone: (661) 201-3364x MailAddr: 4516 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner SCIENTIFIC DRILLING INTL Address 4516 DISTRICT BLVD City BAKERSFIELD Period to Preparers Certif'd: ParcelNo: Phone: (661) 831-0636x State: CA Zip 93313 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT ~/~ PROG H - HAZ WASTE GEN ~ i ~M ~V ~ eN~~~ ~ ~ R 3 0 ~~o~ ~ Y ~::~^~rd on my inquiry of those individuals responsik~le for obt>~,ning thA informatio~~rsonally under penalty of law that I have p examined and am famlllar with the information submitted and believe the information is true, accurate, and complete. -/ . e/~ 00 ignature D to -1- 04/24/2007 r, F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LITHIUM BATTERIES F R IH DH S 500.00 LBS Hi ACETYLENE E F P IH G 200.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low -2- ~ 04/24/2007 -3- 04j24j2007 F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LITHIUM BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7719-09-7 STATE TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid Mixture I Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 LBS 500.00 LBS 500.00 LBS HAZARDOUS COMPONENTS %Wt. RSI CAS# tif~Gf1KL L-1J .7r,,7~1~1L"1V1,7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 riEiGl-1tCL 1~7,Jr,JJ1~iL'1V1,7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 04/24/2007 F SCIENTIFIC DRILLING INTL ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit INSIDE SW CRNR OF SHOP STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-002145 ~ Facility Unit: Fixed Containers at 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 249.00 FT3 249.00 FT3 249.00 FT3 tu~~tittLVU~ t:vinrviv~iv i a oWt.. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1E1GHKIJ E~J SL" ~JJ1~1~1V 1 A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE SE CRNR OF YARD CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL t3t~G[-1ttUlJU~ 1;V1~lYV1Vr,1V1J °sWt. RS CAS# 100.00 waste Oil, Petroleum Based No 0 riE-~GHKL H~ 5~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 04/24/2007 L- F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 01/24/2001 FREQUENT INSPECTIONS DAILY. 9 9 9 Employee Notif./Evacuation 09/19/2006 IN CASE OF EMERGENCY CALL 911 OR CALL OFFICE OF EMERGENCY SERVICES AT 800-852-7550 TO REPORT ANY SPILLS THAT ARE A THREAT TO LIFE, SAFETY OR ENVIRONMENT, OR FOR OTHER NON EMERGENCY SPILL REPORTING CALL 326-3979. PLEASE CONTACT JOE G WILLIAMS, DISTRICT MANAGER, AT 800-514-8077 OR KEN LOWE, DISTRICT COORDINATOR, AT 800-514-8077. Public Notif./Evacuation 09/19/2006 IN CASE OF SPILL OR RELEASE, CONTACT THE FOLLOWING: JOE G WILLIAMS, DISTRICT MANAGER, AT 831-0636 OR 800-514-8077 OR KEN P LOWE, DISTRICT COORDINATOR, AT 831-0636 OR 800-514-8077. Emergency Medical Plan 09/19/2006 IN CASE OF EMERGENCY, ACCIDENT, OR INJURY CALL THE FOLLOWING: 911, OR MERCY SOUTHWEST MEDICAL CENTER, 400 OLD RIVER RD, 663-6000. -6- 04/24/2007 F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/19/2006 ~ STORAGE CONTAINER, PAINT LOCKER. PAINT KEPT IN LOCKER. MSDS ON SITE. SAFE HANDLING PROCEDURES USED WITHOUT EXCEPTION. Release Containment 09/19/2006 USED OIL KEPT IN 55-GAL DRUM AND SECONDARY CONTAINMENT BARREL ON SITE. FOLLOW RECOMMENDED PROCEDURES FROM MSDS, PROPER PPE, LABELING, AND REGULAR DISPOSAL OR RECYCLE. Clean Up 09/19/2006 ALL LEAKS ARE REPORTED IMMEDIATELY. CONTROL EXPOSURE TO EARTH AND PERSONNEL, IMMEDIATE RECOVERY INTO SECONDARY CONTAINMENT UNIT. IF EARTH IS CONTAMINATED, REMOVE EARTH ONE FEET DEEP AND REPLACE. Other Resource Activation -7- 04/24/2007 F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~C~ial na~aiu~ Utility Shut-Offs 09/19/2006 A) GAS - SW CRNR OF BLDG ON DISTRICT BLVD B) ELECTRICAL - SW CRNR OF BLDG ON DISTRICT BLVD C) WATER - SE CRNR OF BLDG ON DISTRICT BLVD D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SEVERAL FIRE EXTINGUISHERS (ANSUL 2016). NEAREST FIRE HYDRANT - SW CRNR OF ENTR. 01/19/2007 Building Occupancy Level 41 EMPLOYEES 03/14/2006 -8- 04/24/2007 :~ F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/19/2006 ~ MSDS SHEETS ON FILE IN THE OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES HAVE INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: METHODS FOR SAFE HANDLING OF THE HAZARDOUS MATERIALS USED. THE CAL OSHA HAZARD COMMUNICATION STANDARD. CORRECT USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES. THE PREVENTION MINIMIZING AND CLEAN-UP PROCEDURES DEVELOPED. THE EMERGENCY EVACUATION PLANS DEVELOPED, AS WELL AS, NOTIFICATION PROCEDURE AND MEDICAL PLAN. PROCEDURE TO COORDINATE WITH AND ASSIST THE LOCAL EMERGENCY PERSONNEL THAT MAY RESPOND. WHO AND HOW TO CALL FOR IMMEDIATE ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING HAZARDOUS MATERIALS. rayc c. nciu ivl.. ru~u.~c ~~c -9- 04/24/2007 F SCIENTIFIC DRILLING INTL SiteID: 015-021-002145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Held for Future Use -10- 04/24/2007 t: aJ + SCIENTIFIC DRILLING _________________________________ SiteID: 015-021-002145 + Manager Location: 4516 DISTRICT BLVD City BAKERSFIELD BusPhone: (661) 831-0636 Map 123 CommHaz High Grid: 14C FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOE G WILLIAMS j DIST MANAGER KEN P LOWE / DISTRICT COORD Business-Phone: (661) 831-0636x Business Phone: (661) 831-0636x 24-Hour Phone (800) 514-8077x 24-Hour Phone (800) 514-8077x ~ Phone ( 6 61) ° ` ° ""' "' " Phone ( 6 61) Q~'~ +--G -L~ ----------------~y_~=335-1------+--G----------------~301~_33~~ ----+ Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact JOE G WILLIAMS ~~ TEr2EMY BY~R S Phone: (661) 831-0636x MailAddr : 4516 DISTRICT BLVD c~tc, (~~) 2oC-336 State : CA City BAKERSFIELD Zip 93313 Owner SCIENTIFIC DRILLING Phone: (661) 831-0636x Address 4516 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: _ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT's S ~ P ~ ~ 2~~6 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. 9-Zz-2r~o~ ignature Date -1- 09/19/2006 .:,: • ' -~~' CITY OF BAItERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 4ry ~gti,~~r 1715 Chester Ave., 3rd I~ loor, Bakersfield, CA 93301 -uuuur FACILITY NAME v L~ ADDRESS ~-S"/6 S'7`R1G' /,~i-~1~. FACILITY CONTACT ,~3"~i /~iEas~_ INSPECTION TIME __~_ l~'lI nJ - INSPECTION DATE Gll Z.~ i'rSS _ PHONE NO. 3/- D6 i6 BUSINESS ID NO. 15-210- Od ~.1i9.~ NUMBER OF EMPLOYEES ~O ~-- 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 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 Y _,~ ~~ f~ a ~t- Business Site Responsible Party UNIFIED PROGRAM INSPECTION CHECKLIST 3.T'... -;yn:.u,_. 3i~:..79sf if.: J. Y..\:' e}7:. .~. F ~.:: .i-:+ ..;. :-..'~. .., i'. e.. 'x ..,.. ,-::..:,-.~' ::. A'.:. ._ .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT Prevention Services ra E~t~ 900 Truxtun Ave., Suite 210 ~Rtrr y Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION GATE NSPECTION TIME f~ - ~,~ ~L ~, ,'~~G d~ 06 od ADDRESS HONE NO. O OF EMPL ES FACILITY CONTACT USINESS ID NUMBER 15-021- d d 1-I ('y S ~T' Ll 1 Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r ~ I C V (~=Compliances OPERATION COMMENTS V=Violation ^ APPROPRIATE PERMIT ON HAND ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~p~ ^ / ~ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS 3 t-~ R qt- ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~. 7 ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND R CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~ ~ / { ^ SITE DIAGRAM ADEQUATE & ON HAND - - ~_ \ " ANY HAZARDOUS STE ON SITE? ^ YES I EXPLAIN: ~ ~'-~--Q- A~ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of SHe/Station # White - Prwention Services Yellow -Station Copy V ~/VVV~~/~y/-J/ Pink -Business Copy FD2009 (Rw. tyd105)