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Home My WebLink AboutBUSINESS PLAN (2)~ ~ ~i ~'~I~ CUSTOM AIRE _ C ~~~ 1210 LAKE STREET ~--= '~ -_=_ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION ~1: Business Plan and Inventory Program ~" Prevention Services a A F R S F, . D 900 Truxtun Ave., Suite 210 FiAe Bakersfield, CA 93301 aRr~ Tel.: (661) 326-3979 - Fax: `(661) 872-2171 FACILITY NAME ~ _ INSPECTION DATE INSPECTION TIME ' ADDRESS ~ a I ~ LAKE s ~ ~_ i - PHONE NO. ~a s-p8'7~ NO OF EMPLOYEES - FACILITY CONTACT - ~ BUSINESS ID NUMBER ~ ~ J N '-~S 15-021- C7Q'~ 7/ 7 __- _ - _ _ ,.. Section 1: Business Plan and Inventory Program ~V~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS - _ L~f ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS __ / L9" ^ CORRECT OCCUPANCY i9/^ VERIFICATION OF INVENTORY MATERIALS Ly7 ^ VERIFICATION OF QUANTITIES I~ ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ,_, Id ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING f ~i COY ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE C \ E~ ^= CONTAINERS~PROPERLY LABELED ^ HOUSEKEEPING LK ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8~ ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES L4' N(~ EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" 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 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services a . E _R_ S.. F_ ,- __D 900 Truxtun Ave. , Suite 210 F/RE Bakersfield, CA 93301 ARTM T Tel.: (661) 326-3979 Fax: (661} 872-2171 FACILITY NAME Cv~rc.~M ~ ~ rr.C - NSPECTION DATE ~ / 7 NSPECTION TIME ADDRESS l'L(O ~`~-~ 5'~ PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ?l SeCtlfltl 'I; BusltlesS PFan and (nYetltoly Proglracn ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS - ~ ^ ^ CORRECT OCCUPANCY ` ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF QUANTITIES O ^ ^ 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 ~l.~sC ~E~2.% CS~te+~fOL~t.s t+~- Lot,e~,~n /Y=C~O, ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND nor-Dula ANY HAZARDOUS WASTE ON SITE? ILS,IES ^ NO EXPLAIN: In.J~S ~ ~-~LLO~ .S G;~C.~ ~+~1iY~+~/CJL. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 W ~ ~~5 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # . )~SC.~J G~~r'Jc~~ I ~J uslness Site I Responsible Pay lease Print) White -Prevention Services _ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 + Cr~STOI~:AIRE _________________________________________ SiteID: 015-021-000717 + Manager BusPhone: (661) 325-0876 Location: 1210 LAKE ST Map 103 CommHaz High City BAKERSFIELD Grid: 28A FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:5722 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVE CERVANTES / OWNER FRED DOVELL / FOREMAN Business Phone: (661) 325-0876x Business Phone: (661) 325-0876x 24-Hour Phone (661) 399'-0401x 24-Hour Phone (661) 396-1623x Pager Phone (661} 61.9'-0675x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVE-CERVANTES Phone: (661) 325-0876x MailAddr: 1210 LAKE ST State: CA City BAKERSFIELD Zip 93305 Owner STEVE CERVANTES Phone: (661) 399-0401x Address 7101 WELDON AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT E~~ ApR z ~ 20Ds 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 heiieva the information is true, accurate, and complete. ~, ~ ~ Sig ture Date -1- 03/01/2006 • ~.~,, UNIFIED PROGRAM INSPECTION CHECKLIST j'. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a D Prevention Services ~,IiRI 900 Trtzxtun Ave., Suite 210 AiR>rM r Bakersfield, CA 93301 '~' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ADDRESS HONE N O OF EMPLOYEES iv L. ~ - 3a~-~:~7G 3 FACILITY CONTACT ~ ^ ' USINESS ID NUMBER 15-021- ~c:1 Cn `~ / `7 S ~ ~ ~ ~ S C~ v IV ~" Section is Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r~ ~J C V (c=compliance OPERATION V=Violation COMMENTS _ __ -/ ~" ^ APPROPRIATE PERMIT ON HAND ^ Business PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS Bd' ^ CORRECT OGGUPANCY ^ VERIFICATION OF INVENTORY MATERIALS LAY ^ VERIFICATION OF QUANTITIES ~Lf ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ~7 VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING _ /~ ~. /~ ~~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L~ ^ EMERGENCY PROCEDURES ADEQUATE [[~ ^ CONTAINERS PROPERLY LABELED ~ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES L+id' NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1`~ In /Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) lY~h ~, w i .a '~.._ y. _a` CI"fY OF BAKF,RSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERViCF,S UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME C ~ 5 ~ V m ~ ~2=- ADDRESS I ~ I L~ kr= S ~~ - FACILITY CONTACT Si ~ V: ~~ ~ily9N i~ ~ INSPECTION TIME ~~`i~ ~''~ r~ Section 1: Business Pian and Inventory Progra [~outine Q Combined ^ Joint Agency INSPECTION DATE ~ I ~ / ~! ~U 3 PHONE NO. 3:2 ~:; - U ~'7(~ BUSINESS (D NO. I5-21U- <~c30 7 / '7 NUMBER OF EMPLOYEES_L_ m ^ Multi-Agency ^ Complaint a 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 ~7-~i ~ ~S-~'O 7d ~/ Verification of MSDS availability ~ iJ~ pp Verification of Haz Mat training N ~ 1I 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 Whig -Env. Svcs. Yellow -Station Copy Pink -Business Copy i Business ite Responst le Party Inspector: >~ i., ,Y CUSTOM AIRE SiteID: 015-021-000717 Manager STEVE CERVANTES Location: 1210 LAKE ST City BAKERSFIELD BusPhone: (661) 325-0876 Map 103 CommHaz High Grid: 28A FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5722 DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVE CERVANTES / OWNER FRED DOVELL / FOREMAN Business Phone: (661) 325-0876x Business Phone: (661) 325-0876x 24-Hour Phone (661) 399-0401x 24-Hour Phone (661) 396-1623x Pager Phone (661) 619-0675x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STEVE CERVANTES Phone: (661) 325-0876x MailAddr: 1210 LAKE ST State: CA City BAKERSFIELD Zip 93305 Owner STEVE CERVANTES Phone: (661) 399-0401x Address 7101 WELDON AVE State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN A~ ~N,''~ QC r X007 F3ased on my inGufry of those individuals responsible for obt i a ning the information, I certify tinder penalty of law that t have examin e d p e rsonally and am tamiiiar with the informatio submitted and b n elieve the information is true, accurate, and complete. si l - Z~ gnature _ -... Date -1- 07/11/2007 r q P CUSTOM AIRE SitelD: 015-021-000717 ~ ~ 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 200.00 FT3 Hi OXYGEN F IH DH G 2000.00 FT3 Low WASTE FREON L 5.00 GAL UnR -2- 07/11/2007 -3- 07/11/2007 z F CUSTOM AIRE SiteID: 015-021-000717 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NW CRNR CAS# 74-86-2 ~GaSATE TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE -TPure Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co200100rFT3 Daily 200100m FT3 I Daily 100r00e FT3__ t1AY,Ei1CLVU.7 1:V1~lYV1VtS1V1 J °sWt. RS CAS# 100.00 Acetylene Yes 74862 tiHGE~tC1J A75t!;5~1~1J;1V"1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit NW CRNR 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 Container Daily Maximum Daily Average 2000.00 FT3 2000.00 FT3 1000.00 FT3 nriZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riEiGEitCL 1•i. 7~J;J.71~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/11/2007 r F CUSTOM AIRE SiteID: 015-021-000717 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FREON Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS , °sWt. RSI CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -5- 07/11/2007 F CUSTOM AIRE SiteID: 015-021-000717 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/22/2000 ~ CALL 911. Employee Notif./Evacuation 10/11/2006 IN CASE OF EMERGENCY, NOTIFY FIRE DEPT AND EVACUATE FROM ANY DOOR; REMOVE CYLINDERS IF SAFELY POSSIBLE. Public Notif./Evacuation 06/22/1992 AFTER EMPLOYEES EVACUATE THEY WILL NOTIFY NEIGHBORS OF EMERGENCY. Emergency Medical Plan 04/14/2006 IN CASE OF MEDICAL EMERGENCY, EMPLOYEE WOULD BE TAKEN TO KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -6- 07/11/2007 F CUSTOM AIRE SiteID: 015-021-000717 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/14/2006 ~ KEEP VALVES CLOSED ON TANKS. KEEP CONTAINERS COOL. OXYGEN: EXTINGUISH WITH WATER; ACETYLENE: EXTINGUISH WITH CARBON DIOXIDE, DRY CHEMICAL, HALON, WATER. Release Containment COMPRESS GASSES IN APPROVED PRESSURIZED CYLINDERS. 06/22/1992 Clean Up GASSES ONLY. 06/22/1992 ~,_ v~.iici nc~vui~.c C11.1.1VCLl~1V11 -7- 07/11/2007 P CUSTOM AIRS SiteID: 015-021-000717 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 rid'GdIU.S' Utility Shut-Offs GAS - NE CRNR OF BLDG ELECTRICAL - NW CRNR OF BLDG 04/19/2007 Fire Protec./Avail. Water 01/29/2007 PRIVATE FIRE PROTECTION - ONE FIRE EXTINGUISHER CTR DOORWAY OF BLDG. FIRE HYDRANT - NW CRNR OF BLDG (OUTDOOR WORK AREA). Building Occupancy Level 8 EMPLOYEES 04/19/2007 -8- 07/11/2007 ,~H ~, F CUSTOM AIRE SiteID: 015-021-000717 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: MSDS AVAILABLE TO EMPLOYEES. ADVISE EMPLOYEES OF HAZARDS AND EMERGENCY PROCEDURES. ruyc a Held for Future Use Held for Future Use -9- 07/11/2007