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HomeMy WebLinkAboutBUSINESS PLAN® PENHALL CO. 4625 DISTRICT BLVD. ' _~ PENHALL.CO SiteID: 015-021-002040 Manager JEFF KLEEMAN Location: 4625 DISTRICT BLVD City BAKERSFIELD BusPhone: (661) 832-1155 Map 123 CommHaz High Grid: 14C FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:l795 DunnBrad:80-444-1558 Emergency Contact / Title Emergency Contact / Title BOB SCHWERDETFAGER / SHOP MANAGER JEFF KLEEMAN / DIV MANAGER Business Phone: (661) 832-1155x Business Phone: (661) 832-1155x 24-Hour Phone (661) 201-6015x 24-Hour Phone (661) 201-6014x Pager Phone (661) 979-5402x Pager Phone (661) 979-5441x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact JEFF KLEEMAN Phone: (661) 832-1155x MailAddr: 4625 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner LEWIS BLANCHARD & GLEN BELL Phone: (661) 832-1155x Address 4625 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ENT J U L 1~ ~Q~7 PROG A- HAZMAT PROG H - HAZ WASTE GEN 0aced on my inquiry of those indivitiua{s resDOnsib{e fear obtaining the information, I certify uncle! penalty of Saw that I have persona{ly er..amined and am #ami{iar ~lvith the information submitted and t~elieve the information is true, acc rate, and comph ... ~~ ~~~~- Sfd ~~, Bate -1- 07/13/2007 ~s F PENHALL CO SiteID: 015-021-002040 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 500.00 FT3 Hi OXYGEN F IH DH G 1119.00 FT3 Low SHIELDING GAS P G 381.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low ARGON F P IH G 336.00 FT3 Min NITROGEN F P IH G 114.00 FT3 Min -2- 0~/13/200~ ;5 -3- 07/13/2007 a F PENHALL CO SiteID: 015-021-002040 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: lOFT OUTSIDE S ROLL-UP DOOR CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 132.00 FT3 500.00 FT3 300.00 FT3 t1HG1-1K.LVUJ l.Vl°1rV1V~1V 1D _-- _--- -- -- %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1HGHKL Fi,55L'J51~1L"1V"1.5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: lOFT OUTSIDE S ROLL-UP DOOR CAS# 7782-44-7 STATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 249.00 FT3 1119.00 FT3 249.00 FT3 nr~Griru~vua ~.vl~irvlvl;ly t a %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ril-1G1.1iCL L~'iJ.7L' .7.71~1P~1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/13/2007 F PENHALL CO SiteID: 015-021-002040 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SHIELDING GAS Days On Site 365 Location within this Facility Unit Map: Grid: lOFT OUTSIDE ROLL-UP DOOR CAS# 7440-37-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TMixtur~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 381.00-FT3 381.00 FT3 FT3 r1ti~r~tcL~ua ~~l~ir~iv~iv 1'a oWt. RS CAS# 5.00 Oxygen, Compressed No 7782447 85.00 Argon No 7440371 10.00 Carbon Dioxide No 124389 riAGKKL 1j75~5~1~1~1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Low ~ Inventory Item 0006 ~ COMMON NAME / CHEMICAL NAME I WASTE OIL Location within this Facility Unit SHED 75FT FROM SE CRNR OF MAIN BLDG Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 221 STATE TYPE PRESSURE Liquid TWaste ~ Ambient TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL nr~c~s-~tcL~ u ~ trt~l~irvly lJly l a %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riHGHKL AJJ1",5~1~11'~1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/13/2007 F PENHALL CO SiteID: 015-021-002040 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: lOFT W SIDE S ROLL-UP DOOR CAS# 7440-37-1 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 336.00 FT3 336.00 FT3 336.00 FT3 tiF~GHttLVUJ ~;vrirvlv.Glyla %Wt. RS CAS# 100.00 Argon No 7440371 nta~r-ucL tia~~aai~ir,lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ~ITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: NEXT TO N ROLL-UP DOOR CAS# 7727-37-9 GasATE ~pureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 114.00 FT3 114.00 FT3 I 114.00 FT3 t11',GHxUV U A L:ulYirvly ~,lv l a oWt. RS CAS# 100.00 Nitrogen No 7727379 tiHGHKL ti.~aL" JJ1~1L' 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 07/13/2007 F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/20/2007 ~ NONE AT THIS SITE Employee Notif./Evacuation 03/24/2006 JEFF KLEEMAN, THE DIV MANAGER, IS NOTIFIED VIA THE ON-CALL PERSON. IF SPILL IS AFTER HOURS, BASED ON THE SPILL AMOUNT, EITHER 911 IS CALLED OR THE NON- EMERGENCY SPILL NUMBER IS CALLED. Public Notif./Evacuation 03/24/2006 JEFF KLEEMAN WILL ACCESS THE SPILL AND CALL ALL NECESSARY AUTHORITIES AND COMPANIES. Emergency Medical Plan 07/25/2000 ANY EMPLOYEE EXPOSED TO THE CHEMICALS ON SITE WILL BE SENT TO KERN MEDICAL CENTER FOR TREATMENT. -7- 07/13/2007 F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/25/2000 ~ ONLY BOTTLES IN USE ARE KEPT INSIDE THE BLDG AREA. ALL OTHER BOTTLES ARE STORED OUTSIDE IN A BOTTLE CORRAL. ALL CONNECTIONS ARE INSPECTED ON A DAILY BASIS AND PRIOR TO EACH USE. Release Containment 07/25/2000 AMOUNTS OF MATERIAL KEPT ON SITE IS KEPT TO SMALLEST AMOUNTS POSSIBLE. Clean Up 07/25/2000 IF THE OIL IS SPILLED, KITTY LITTER IS SPREAD TO ABSORB IT. IT IS THEN TAKEN TO A PROPER DISPOSAL SITE. Other Resource Activation -8- 07/13/2007 F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~JCC:1d1 IldGdl C.L.S' Utility Shut-Offs 04/20/2007 GAS - NW CRNR OF BLDG INSIDE GATE ELECTRICAL - NW CRNR OF BLDG INSIDE GATE WATER - SIDEWALK LEADING TO FRONT DOOR Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN SHOP AND OFFICES. NEAREST FIRE HYDRANT - MAIN DRIVEWAY ENTR. 01/04/2007 Building Occupancy Level 03/14/2006 30 EMPLOYEES -9- 07/13/2007 ~' 1. ~'G ~/ F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/04/2007 ~ MSDS SHEETS ON FILE IN SHOP OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: OF THE 30 EMPLOYEES ONLY 2 WORK IN THE SHOP USING THE CHEMICALS. THEY BOTH TAKE TRAINING COURSES AND REFRESHER COURSES ON THE SAFE PRACTICES NECESSARY TO WORK WITH THE CHEMICALS AT THIS FACILITY. rctyC a nciu ivi r u~.uLC vac Held for Future Use -10- 07/13/2007 ~q~f'13 PENHALL CO BusPhone: Map 123 Grid: 14C SiteID: 015-021-002040 Manager JEFF KLEEMAN Location: 4625 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: (661) 832-1155 CommHaz High FacUnits: 1 AOV: SIC Code:1795 DunnBrad:80-444-1558 Emergency Contact / Title Emergency Contact / Title BOB SCHWERDETFAGER / SHOP MANAGER JEFF KLEEMAN / DIV MANAGER Business Phone: (661) 832-1155x Business Phone: (661) 832-1155x 24-Hour Phone (661) 201-6015x 24-Hour Phone (661) 201-6014x Pager Phone (661) 979-5402x Pager Phone (661) 979-5441x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ~Ejc~ 1<(.,E~ jY1F1~J Phone: (661) 832-1155x MailAddr: 4625 DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 Owner ~£~Ei~i~i,-~A- ,l, Ew/S tgLAN~~/~1 ~~ 9~ G~ ~ N ~ ~~phone : ( 6 61) 8 3 2 -115 5 x Address 4625 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 ~NT'D A ~ R ~ 9 X007 eased 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. w~Z~~=~..~ ~ l ~~~~ Signa Date -1- 02/05/2007 F PENHALL CO SiteID: 015-021-002040 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 500.00 FT3 Hi OXYGEN F IH DH G 1119.00 FT3 Low SHIELDING GAS P G 381.00 FT3 Low WASTE OIL F DH L 110.00 GAL Low ARGON F P IH G 336.00 FT3 Min NITROGEN F P IH G 114.00 FT3 Min -2- 02j05j2007 -3- 02/05/2007 F PENHALL CO SiteID: 015-021-002040 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: lOFT OUTSIDE S ROLL-UP DOOR CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 132.00 FT3 500.00 FT3 300.00 FT3 tii-~GHx.i.)VUJ 1:V1~lYV1VL"LV 15 %Wt. RS CAS# 100.00 Acetylene Yes 74862 ri1~G1-1ttL tia~~~51~11J1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit lOFT OUTSIDE S ROLL-UP DOOR STATE T TYPE T PRESSURE _ Gas I Pure I Above Ambient 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 1119.00 FT3 249.00 FT3 riHGF~1CL V U .7 lr V1~lY V1V 1"~1V T J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riHGH.ttL A5~1:';551~1t51V 1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/05/2007 F PENHALL CO ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME SHIELDING GAS Location within this Facility Unit lOFT OUTSIDE ROLL-UP DOOR STATE TYPE PRESSURE _ Gas TMixture ~-Above Ambient SiteID: 015-021-002040 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-37-1 TEMPERATURE CONTAINER TYPE - Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 381.00 FT3 381.00 FT3 FT3 tY1~GH1[LVUS lLV1~lYV1VI;1V 1.7 %Wt. RS CAS# 5.00 Oxygen, Compressed No 7782447 85.00 Argon No 7440371 10.00 Carbon Dioxide No 124389 riHGHKL 1~,~51",JJ1~1~1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SHED 75FT FROM SE CRNR OF MAIN BLDG CAS# 221 Liquid TWaste ~ AmbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container - Daily Maximum ` Daily Average 55.00 GAL 110.00 GAL I 55.00 GAL ru-i~s~tcLVU~ ~.V1~irvl.VlJlyl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riEiGEiKL L-~J JI;~~1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 02/05/2007 F PENHALL CO SiteID: 015-021-002040 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: lOFT W SIDE S ROLL-UP DOOR CAS# 7440-37-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure .Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 336.00 FT3 336.00 FT3 336.00 FT3_ t1AGKKIJVU~J 1:V1~lYV1Vt`,1V15 %Wt. RS CAS# 100.00 Argon No 7440371 riHGAKL A77.C,aJi~1L"1V17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit NEXT TO N ROLL-UP DOOR Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: 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 114.00 FT3 114.00 FT3 114.00 FT3 tiL~G[ittLVU~ ~vl~lr~lvt5lvlb %Wt. RS CAS# 100.00 Nitrogen No 7727379 tii'~GE~ttL .~,aa~~~lnrlvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 02/05/2007 P PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notifications /'V~DNc ,g T' 7~/1 S ~r9C~~-r r~ Employee Notif./Evacuation 03/24/2006 JEFF KLEEMAN, THE DIV MANAGER, IS NOTIFIED VIA THE ON-CALL PERSON. IF SPILL IS AFTER HOURS, BASED ON THE SPILL AMOUNT, EITHER 911 IS CALLED OR THE NON- EMERGENCY SPILL NUMBER IS CALLED. Public Notif./Evacuation 03/24/2006 JEFF KLEEMAN WILL ACCESS THE SPILL AND CALL ALL NECESSARY AUTHORITIES AND COMPANIES. Emergency Medical Plan 07/25/2000 ANY EMPLOYEE EXPOSED TO THE CHEMICALS ON SITE WILL BE SENT TO KERN MEDICAL CENTER FOR TREATMENT. -7- 02/05/2007 F PENHALL CO SitelD: 015-021-002040 ~ .Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/25/2000 ~ ONLY BOTTLES IN USE ARE KEPT INSIDE THE BLDG AREA. ALL OTHER BOTTLES ARE STORED OUTSIDE IN A BOTTLE CORRAL. ALL CONNECTIONS ARE INSPECTED ON A DAILY BASIS AND PRIOR TO EACH USE. Release Containment 07/25/2000 AMOUNTS OF MATERIAL KEPT ON SITE IS KEPT TO SMALLEST AMOUNTS POSSIBLE. Clean Up 07/25/2000 IF THE OIL IS SPILLED, KITTY LITTER IS SPREAD TO ABSORB IT. IT IS THEN TAKEN TO A PROPER DISPOSAL SITE. v~.uci Acwut~c til~l.lVQl.1V11 -8- 02/05/2007 F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC;1d1 11d'Gdl U~ Utility Shut-Offs 01/04/2007 A) GAS - NW CRNR OF BLDG INSIDE GATE B) ELECTRICAL - NW CRNR OF BLDG INSIDE GATE C) WATER - SIDEWALK LEADING TO FRONT DOOR D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN SHOP AND OFFICES. NEAREST FIRE HYDRANT - MAIN DRIVEWAY ENTR. 01/04/2007 Building Occupancy Level 30 EMPLOYEES 03/14/2006 -9- 02/05/2007 d a F PENHALL CO SiteID: 015-021-002040 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/04/2007 ~ MSDS SHEETS ON FILE IN SHOP OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: OF THE 30 EMPLOYEES ONLY 2 WORK IN THE SHOP USING THE CHEMICALS. THEY BOTH TAKE TRAINING COURSES AND REFRESHER COURSES ON THE SAFE PRACTICES NECESSARY TO WORK WITH THE CHEMICALS AT THIS FACILITY. rayc ~ nc.tu tuL ru~uic u5c nclu iui r u~u.ce use -10- 02/05/2007 UNIFIED PROGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT r, Prevention Services Iltl 900 Truxtun Ave., Suite 210 ~Rfl1 * Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME AL!_ 5 i~~Sv ~ l ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- Od ~-D~f l> ~ L L Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-IN PECTION r ~ J C V (c=Compliance` OPERATION V=Violation l COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ Busin@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 PR EDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY t.ABELED ^ O HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: YES ^ NO •OUESTIONS REPG'AR~DI/NG THIS INSPECTION? PLEASE CALL US AT (8131) 326-3879 , ~v V ~ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station t B IM School Site Responsible Party (Please Print) White -Prevention Services Yellow - Station Copy Pink -Business Copy FD2048 (Rw. 02!05) ~. . UNIFIED PROGRAM INSPECTION CHECK4IST SECTION 1 Business Plan and Inventory Program • • Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME z ~ ~ I?~}N~ - --------- INSPECTION DATE t ~ ~3 INSPECTION TIME 2-0 ------ -- ---- ADDRESS d -~~~------ - - ----- PH No. ~!rs No. of Employees -~--~- ------ - FACILITYCONTACT = Business ID Number 15-021-QD~.U yD t/ti ,~ ~ ;, Section 1: Business Plan-and Inventory Program Routine ^ Combined O Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection nce~ OPERATION tl C V COMMENTS on \V=Vioa `~I ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS l~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~ U VERIFICATION OF MSDS AVAILABILITYE ~ ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ` ~ ^ CONTAINERS PROPERLY LABELED --'------------- ------------------------------------ -- ----- ---- ------------------- ^ HOUSEKEEPING - -- ---- ^ FIRE PROTECTION ------------------------ ------------- ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ^ No - - QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~GG'I ~ 326-3979 G~ ~-~- h~~ ---- Inspector Badge No White -Environmental Services Yellow -Station Copy Business Site Responsible Party Pink `- Business Copy i -, '+ PENHALL CO __________________________________________ SiteID: 015-021-002040 + Manager ~~F KC~F'M~N BusPhone: (661) 832-1155 Location: 4625 DISTRICT BLVD Map 123 CommHaz High City BAKERSFIELD Grid: 14C FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:l795 EPA Numb: DunnBrad:80-444-1558 Emergency Contact / Title ~ Emergency Contact /~ Title -~.F~r j SHOP MANAGER / DIV MANAGER Business Phone: (661) 83.2-1155x Business Phone: (661) 832-1155x 24 -Hour Phone (~0~6 ~~'19~-~3-5~- 24 -Hour Phone ( 661) '01~x I~a~e~ "-ram-. ~ ((a~(o/) 97~J ~~~. P~rrar prime ~ (Colo) 979-..5%Y~x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 832-1155x MailAddr: 4625-DISTRICT BLVD State: CA City BAKERSFIELD Zip 93313 ~TT.TTA TlT TTT /"1TTT TlTA /'YT T'IT.T TITT Owner L 6k _ Phone: (661) 832-1155x Address 4625 DISTRICT BLVD ~' ~2.S D F State: CA City BAKERSFIELD ~~U I ~i>> N G Zip 93313 Period to ~~~~. OFS TotalASTs: = Gal Preparers ~ ~ TotalUSTs: = Gal Certif'd: ~~S~~~w RSs: No ParcelNo : ' ` J~J}+~~C.(. C~U/n'j pF}^' ~ ~' Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based Qn my Inquiry 4f thane individuals responsible for abtainin~ the informatlan, l pertify under penalty of law that l have personally examined and am familiar with the intormation submitted and bail®ve the information is true, accurate, and co_mpl te. Si net Date ENT ~~ ~ ~ 4 Zoos -1- 03/14/2006