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HomeMy WebLinkAboutBUSINESS PLAN 7/13/2007CUSTOM WORKS 3720 EASTON DRIVE #6 CUSTOM WORKS SiteID: 015-021-002237 Manager JERRY LANDGRAFF Location: 3720 EASTON DR 6 City BAKERSFIELD BusPhone: (661) 323-0471 Map 102 CommHaz Low Grid: 26C FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:5941 DunnBrad: Emergency Contact / Title Emergency Contact / Title BRIAN LANDGRAFF / OWNER JERRY LANDGRAFF / OWNER Business Phone: (661) 323-0471x Business Phone: (661) 323-0471x 24-Hour Phone (661) 589-4027x 24-Hour Phone (661) 396-8123x Pager Phone (661) 303-8113x Pager Phone (661) 333-8103x Hazmat Hazards: Fire Press ImmHlth Contact BRIAN LANDGRAFF Phone: (661) 323-0471x MailAddr: 3720 EASTON DR 6 State: CA City BAKERSFIELD Zip 93309 Owner JERRY LANDGRAFF Phone: (661) 323-0471x Address 3720 EASTON DR 6 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~' 3aSeCl ~h ~y ~t':guiry of these individuals res,connibl4 Yar ~+k~R~irling the information, I certify under penalty of iew that i have personally c~xamir,ed and am familiar with the intormation submitted and believe the in ormation is true, acc t ura e, and camplete _ -~ /3-~ Si nat g re Date -1- 07/11/2007 ~ :~ F CUSTOM WORKS SiteID: 015-021-002237 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP STARGON F P IH G 330.00 FT3 Low -2- 07/11/2007 -3- 07/11/2007 75 9 F CUSTOM WORKS ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME STARGON Location within this Facility Unit INSIDE CTR OF SHOP STATE TYPE PRESSURE _ Gas TMixture ~-Above Ambient SiteID: 015-021-002237 ~ 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 330.00 FT3 330.00 FT3 330.00 FT3 - nt~~t~tcL~uS winr~iv~iv~l-5 °sWt . RS CAS# 5.00 Oxygen, Compressed No 7782447 85.00 Argon No 7440371 10.00 Carbon Dioxide No 124389 ru~c~t~tcu ti~a~aain~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/11/2007 ~ ~ F CUSTOM WORKS SiteID: 015-021-002237 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tytJ. Glll. ~/ 1VV 1.1111:d L.L V11 Employee Notif./Evacuation rUL11l: 1VV 111 ~ L' VdC:Udl.1 V11 L~utGtyClll.y 1`1C l.l1 l:d1 Y1d11 -5- 07/11/2007 z F CUSTOM WORKS SiteID: 015-021-002237 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site iCC1Cd.5'C YiCVCi1l.1V11 Release Containment Other Resource Activation -6- 07/11/2007 ,. F CUSTOM WORKS SiteID: 015-021-002237 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~1C 1:1Q1 nc«,cii u~ Utility Shut-Offs 02/27/2007 S END OF BLDG IN UTIL CLOSET Fire Protec./Avail. Water SPRINKLERS AND WATER SPICKET BY UNIT 6 DOOR 02/27/2007 Building Occupancy Level -7- 07/11/2007 ;. F CUSTOM WORKS SiteID: 015-021-002237 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayv ~ nciu ivi ru~..utc vac nciu ivt ru~uic v5C -8- 07/11/2007 UNIFIED PROGRAM INSPECTION CHECKLIST': SECTION 1: Business Plan and Inventory Program 3! is Prevention Services H H__R._S F I ,D 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 ARlM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~// ~~S~oM (.~oR.oC.S p INSPECTION DATE ! 2-13-06 INSPECTION TIME ADDRESS 3720 ~l~STOcJ ~Q_ PHONE NO. 323-o<-t?I O OF EMPLOYEES FACILITY CONTACT I~Q~14-rv ~N~~~T=i~- BUSINESS ID NUMBER 1 5-021- 00 2237 ~y Section 1: Business Plan and Invent©ry Plrogram L7 ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS / ^ APPROPRIATE PERMIT ON HAND lS J/ - / ~f~" ^ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE T~ D ~ C 2 ~ 2006 ^ VISIBLE ADDRESS L~' ^ 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 Icy ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES C~O QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ c c Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 + CUSTOM WORKS =___________-~___________________________ SiteID: 015-021-002237 + Manager Location: 3720 EASTON DR 6~ City BAKERSFIELD BusPhone: (661) 323-0471 Map 102 CommHaz Low Grid: 26C FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:5941 DunnBrad: Emergency Contact / Title Emergency Contact / Title BRIAN LANDGRAFF / OWNER JERRY LANDGRAFF / OWNER Business Phone: (661) 323-0471x Business Phone: (661) 323-0471x 24-Hour Phone (661) 58'9-4027x 24-Hour Phone (661) 396-8123x Pager Phone (661) 303-8113x Pager Phone (661) 333-8103x Contact BRIAN LANDGRAFF' Phone: (661) 323-0471x MailAddr: 3720 EASTON DR ~~ State: CA City BAKERSFIELD Zip 93309 Owner JERRY LANDGRAFF' Phone: (661) 323-0471x Address 3720 EASTON DR 6~ State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~--- ._= -- ____~._ - .~ _--~- --. - . -------_ - ---~~ENT-~ ~~-~-~-~-- 2~OS -- _ _ _ .. _ __ - __- - 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 c m I te. ~ -~'-4 !0 Signatu ^~ Date -1.- 03/02/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ` aF.3s'~`-1•'.'!t~':si55+'dt"~°"...r_9".,.,d^~nY,^4'3".,....?~..M,.y:~. .v:=. 7c?.L=,.. :, °.m~.u. :: -..i3 :'aS-.: •,. -. .v..~:' .w.'4v~¢. 6' _ SECTION 1: Business Plan and Inventory Program r BAKERSFIELD FIRE DEPT Prevention Services p~~j D 900 Trtixtun Ave,., Suite 210 ARTN T Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS /~ Z~ ~ ~"~6 ~ 0~ . ~ ~D HONE NO. ~j Z~J~Lt 1 ~ O OF EMPLOYEES ~ FACILITY CONTACT ~e(~~ ~~~6~AFF USINESS ID NUMBER 15-021- 4C~ZZ3~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (c=Compliance OPERATION V=Violation COMMENTS _ __ l~ ^ APPROPRIATE PERMIT ON HAND B~ ^ BUSI~I?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS LS ^ CORRECT OCCUPANCY , C 7 ^ VERIFICATION OF INVENTORY MATERIALS ~~ // 6d' ^ VERIFICATION OF QUANTITIES , L`f' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING C ~ , _ / ~T ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO CEDURES / Ld' ^ EMERGENCY PROCEDURES ADEQUATE C~% ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE cALL us Ar (ssi) a2s-ss~s Inspector (Please Print) Fire Prevention / ib' In /Shift of Site/Station # ^ YES [9' NO White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) ,~ CUSTOM WORKS SiteID: 015-021-00227 Manager ~F2R-~ L /9'N/~lR2,4--~~ Location: 3720 EASTON DR 6 City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 323-0471 Map 102 CommHaz Low Grid: 26C --FacUnits: 1_AOV: SIC Code:5941 DunnBrad: Emergency Contact / Title Emergency Contact / Title BRIAN LANDGRAFF / OWNER JERRY LANDGRAFF / OWNER Business Phone: (661) 323-0471x Business Phone: (661) 323-0471x 24-Hour Phone (661) 589-4027x 24-Hour Phone (661) 396-8123x Pager Phone (661) 303-8113x Pager Phone (661) 333-8103x .............. Hazmat Hazards: Fire Press ImmHlth ............. Contact BRIAN LANDGRAFF Phone: (661) 323-0471x MailAddr: 3720 EASTON DR 6 State: CA City BAKERSFIELD Zip 93309 ............. Owner JERRY LANDGRAFF Phone: (661) 323-0471x Address 3720 EASTON DR 6 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ............... Emergency Directives: PROG A - HAZMAT .. ~Nfi~'p F~~ ~ x(107 Based on my inquiry of these 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 comp e. ~ ~ ~ ~~ ~ Signatur pate -1- Ol/29/2~07 ~ ; F CUSTOM WORKS SiteID: 015-021-00227 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP STARGON F P IH G 330.00 FT3 Low -2- O1/29/~n07 -3- Ol/29/2d07 :. ; F CUSTOM WORKS SitelD: 015-021-002237 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME STARGON Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CTR OF SHOP CAS# 7440-3'7=1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Mixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 330.00 FT3 330.00 FT3 tiHL,AttUV u 5 1:V1~1Y V1V ~lv'1'J °sWt. - RS CAS# 5.00 Oxygen, Compressed No 7782~~7 85.00 Argon No 7440371 10.00 Carbon Dioxide No 124389 t~~tattli r~~5~5~ri~lv'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Lrwu -4- Ol/29/2b07 '~ S F CUSTOM WORKS SiteID: 015-021-002237 Fast Form+~t ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification Employee Notif./Evacuation 9 9 YLLCJIIL 1VV1.11~P.~VdUUdl,1V11 rJui~iyellc:y i~ieuic:di rlcin -5- 01/29/2007 F CUSTOM WORKS SiteID: 015-021-00223`7 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ltc icaac r1.C VC111.1 V11 1ZC 1C0.AC 1.V111.0.11111LCll 1. 1.160.11 V~J v Vlaci 11C7V Ut VC til.: l.1 V0.L1Vll -6- O1/29/2b07 F CUSTOM WORKS SiteID: 015-021-0022`7 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ apeciai riazaras Uti.Tity ,Shut-O€:~s ~G ~t.T~' ~Na O~ ~Vt ~ L d ~ti (~ /(,c7'i ~ i I ~ CL D 5 E % r•ire rrotec . ~/yvail , water S~/~ IA1(~L~~S / w /~-~2 ~ ~IGK ET ~~ l/l /l!' ~ 7" ~ ~ ~ A9~ Building Occupancy Level -7- 01/29/2007 t F CUSTOM WORKS SiteID: 015-021-002237 ~ Fast Form~it ~ ~ Training Overall Site ~ ~ Employee Training rayc c. nciu iv.L rut.ul.c v5c nciu Lvi ru~uic u~c -8- Ol/29/~007 CUSTOM WORKS SiteID: 015-021-002237 Manager : , BusPhone: (661) 323-0471 Location: 3720 EASTON DR 6 %%%%- Map : 102 CommHaz : Low City : BAKERSFIELD .~% Grid: 26C .FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 %~'-- SIC COde:5941 ~~ EPA Numb: DunnBrad: 3~~\ Emergency Contact / Title I Emergency Contact / Title BRIAN LANDGRAFF / OWNER JERRY LANDGRAFF / OWNER Business Phone: (661) 323-0471x I Business Phone: (661) 323-0471x 24-Hour Phone : (~1) ~-~0~Tx 24-Hour Phone : (~&~) ~&-~ Pager Phone : (~l) ~ -~/~x Pager Phone : (~) ~D~-~gx Hazmat Hazards: Contact : BRIAN'LANDGRAFF Phone: (661) 323-0471x MailAddr: 3720 EASTON DR 6 State: CA City : BAKERSFIELD Zip : 93309 Owner JERRY LANDGRAFF Phone: (661) 323-0471x Address : 3720 EASTON DR 6 State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, "~r~~ ~/~ Do hereby certify ~hm I have (Ty ~ ~m ~e) reviewed the a~ached h~ardous mmerials manage- ment plan for ~ ~ ~o k ~ and ~hat i~ along ~ith (~e o~ any ~e~ions ~nsti~u~e a ~mpls~s and'~rr~ man- a~mem plan ~or m~ ;acil~ 08/04/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CItECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME ~--~-~ ~ INSPECTION DATE/~/~ FACILITY CONTACT ~d?~,°~ /~.~.~dl~J~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES,. Section 1: Business Plan and Inventory Program iRoutine [~] Combined [~ Joint Agency [~ M~iti-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 ~ ~ 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=Complianc¢ V=Violation AnYExplain:hazardous waste on site?: [~ Yes~"N°'~t~ Questions regarding this inspection? Please call us at (661) 3~6-3979 Businc arty White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: