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Home My WebLink AboutBUSINESS PLAN 4/25/2007 (COPY)_ .. ~~ it I ~I ,~ y'~ ' ~ ~ n ;. ~ LENS CRAFTERS - ~. __ ~ ;, I~ , ~ 2724 MING AVE. ~}; '~ ~~~ u ~~ ~g~~~ LENSCRAFTERS 160 Manager ERIN LOUDAT Location: 2724 MING AVE City BAKERSFIELD SiteID: 015-021-001924 BusPhone: (661) 836-0194 Map 123 CommHaz Low Grid: O1C FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: CAL000128809 SIC Code:5995 DunnBrad:779-1013642 Emergency Contact / Title Emergency Contact / Title ANITA MARTINEZ / GENERAL MANAGER ~~~ C~4,a ~~~/ REG UAL COORD Business Phone: (661) 836-0194x Business Phone: _ ( xx 24-Hour Phone (661) 205-4499x 24-Hour Phone /~J) -~'^ ^r.-~.'~T'/~1 Pager Phone ( ) - x Pager Phone ( ~6 ~) ~ ~$ = 88Z-x! Hazmat Hazards: Fire Press ImmHlth Contact GRACE E HAGGARD Phone: (513) 765-3384x MailAddr: 4000 LUXOTTICA PL State: OH City MASON Zip 45040 Owner LUXOTTICA RETAIL Phone: (513) 765-6000x Address 4000 LUXOTTICA PL State: OH City MASON Zip 45040 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~Q I ' ~ L~asad on my inquiry of those individu2a9s responsible for obtaining the information, I certify under penalty of iativ that ! have personally examined and am familiar with the information submitted and believe the information is true, ., and ~ ,te. D to ~ v~-~/6 ignature a -1- 04/19/2007 ~~'~ F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROGEN F P IH G 608.00 FT3 Min -2- 04/19/2007 -3- 04/19/2007 F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: LENS PROCESSING 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 304.00 FT3 608.00 FT3 304.00 FT3 I1riGL-iCCLVUA 1.V1~lYV1VI;1V1J %Wt. RS CAS# 100.00 Nitrogen No 7727379 I1tiGtiRL 1'ii Jw7.Gw7.71~1P~1V1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 04/19/2007 F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/24/2006 ~ IN THE EVENT OF FIRE, EXPLOSION, SPILL, OR OTHER HAZARDOUS MATERIAL EMERGENCY, THE MANAGER IN CHARGE IS RESPONSIBLE FOR CALLING 911 AND ALERTING EMPLOYEES OF THE NEED TO EVACUATE. EMPLOYEES, CONTRACTORS, AND OTHER PERSONNEL WILL EVACUATE TO A PREDETERMINED LOCATION. Employee Notif./Evacuation FRONT DOOR OR REAR EMERGENCY EXIT TO THE VALLEY SQUARE SIGN. 02/22/2000 ,_ , ,~. tUJ/11t. 1VV 1.11. ~ t+V 0.l.U0.l. .L Vll Emergency Medical Plan 04/24/2006 MERCY HOSPITAL, TRUXTUN AVE. -5- 04/19/2007 F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/24/2006 ~ THROUGH SAFETY TRAINING AND WASTE DISPOSAL PROCEDURES. MINIMIZE QUANTITIES STORED ONSITE TO AMOUNT NEEDED. CONTAINERS ARE PROPERLY LABELED AND CLOSED WHEN NOT IN USE. SECURE COMPRESSED GAS CYLINDERS PROPERLY. ALL ASSOCIATES ARE TRAINED ON PROPER MANAGEMENT OF HAZARDOUS MATERIALS ON SITE. Release Containment 04/24/2006 AFTER PUTTING ON SAFETY EQUIPMENT, SPREAD COB-DRI OVER SPILL AREA TO ABSORB LIQUID MATERIAL. Clean Up 04/24/2006 ALL ASSOCIATES ARE TRAINED IN PROPER CLEAN-UP OF ANY CHEMICAL SPILL. WASTE MATERIAL IS CURED AND PLACED IN A WASTE CONTAINER DAILY. WASTE CONTAINER IS KEPT CLOSED EXCEPT AS NECESSARY TO ADD NEW MATERIAL. ALL ASSOCIATES ARE TRAINED TO ISOLATE AND ABSORB/REMOVE ANY CHEMICAL SPILL. ALL SPILLS ARE DISPOSED OF THROUGH A LICENSED CONTRACTOR. USING THE SPILL KIT AND PERSONAL PROTECTIVE EQUIPMENT, THE SPILL IS ABSORBED WITH COB-DRI ABSORBENT. V1.11C1. ttC~S'VIAIC:C tiC:l.lVdl.1U11 -6- 04/19/2007 F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~peciai na~cLru~ Utility Shut-Offs A) GAS - GAS METER BACK OF BLDG B) ELECTRICAL - INSIDE ORANGE ELECT BOXES BACK OF BLDG C) WATER - BRICK WALL ON CASTRO LN FACING ST D) SPECIAL - NONE E) LOCK BOX - NO 04/24/2006 Fire Protec./Avail. Water 11/27/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND FIRE SPRINKLERS. NEAREST FIRE HYDRANT - 30FT FROM REAR EXIT BY LOADING DOCK AT MICHAELS AND 275FT SE OF FRONT DOOR. Building Occupancy Level 12/20/2006 21 EMPLOYEES -7- 04/19/2007 f 1 F LENSCRAFTERS 160 SiteID: 015-021-001924 ~ _ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/24/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ASSORTMENT OF VIDEOS, BOOKS, HANDS-ON, AND TESTS. ALL ASSOCIATES ARE TRAINED TO ISOLATE AND ABSORB/REMOVE ANY CHEMICAL SPILL. ALL SPILLS ARE DISPOSED OF THROUGH A LICENSED CONTRACTOR. TRAINING IS CONDUCTED ONCE A YEAR. TRAINING RECORDS ARE UPDATED ONCE A YEAR. rays ~ Held for Future Use nciu tvt ru~.utc vac -8- 04/19/2007 l.; (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN (UNIFIED PROGRAM CONSOLIDATED FORM) APPLICATION BUSWESS OVVNER/OPERATORIDENTIFlCATKIN FORM (HAZARDOUS MATERIALS FACILITY INFORMATION) BAKERSFIELD FIRE DEPT. Prevention Services a x s r z n 900 Truxtun Ave., Suite 210 F/R6 Bakersfield, CA 93301 A`;~ T Tel.: (661) 326-3979 "'~"' Fax: (661) 852-2171 Page 1 of 2 ~(~~ ~/~~ I. FACILITY IDENTIFICATION FACILITY ID NO. ear eginning too Year Ending ~' BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) enscra erS 3 BUSINESS PHONE SITE ADDRESS Ing Ve. ~ ip CITY a erS le tpa CA IP 93304 DUNN & BRADSTREET 779-1013642 tpa Ic coDE 5995 I 4 Digit #) to COUNTY Kem ~~ ~Mi OPERATOR NAME LUXOttICa Retall - top OPERATOR PHONE tt 11. OWNER INFORMATION OWNER NAME Luxottica Retail ttt OWNER PHONE tt OWNER MAILING ADDRESS 4000 LUXOttICa PIaCe CITY Mason tta STATE OhlO t,s ZIP 45040 III. ENVIRONMENTAL CONTACT CONTACT NAME Grace E. Haggard i17 CONTACT PHONE - - 11 CONTACT MAILING ADDRESS 4000 LUXOttICa PIaCe CITY MasDn t20 STATE Oh10 72t ZIP 45040 - PRIMARY IV. EMERGEN CY CONTACTS -SECONDARY- NAME Anita MartlneZ NAME ROb $Clmdt 129 TITLE General Manager 12a ITLE Regional Quality Coordinator 1's BUSINESS PHONE (661) 636-0194 125 USINESS PHONE (925) 692-2107 13 I 24-HOUR PHONE (661) 205-4499 12 4-HOUR PHONE (925) 692-2107 131 PAGER No N/A 127 AGER No N/A 132 13 V. CERTIFICATION Certification: 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 in this inventory and believe the information is true, accurate, and complete. IGNATU OyW OP dull printed name) 6.~ 13 DATE 134 f< <a D,(~ NAME OF DOCUMENT PREPARER (full printed name) Gr~.~~ F l,~ygG~ 13 SIGNATURE OF OWNER/OPERATOR/OR DESIGNATED REPRESENTATIVE Rob Robison 13 TIT E OF OWNER/OPERATOR/OR DESIGNATED REPRESENTATIVE (SIGNER) Senior Manager of Safety & Environmental Affairs 13 FD 2142 (Rev. 09/05) ,-- QNIP training is in an interactive CD-ROM format and is supported by the Lab Quality coach. It is divided into 2 segments -surface and finishing. The surface segment contains 6 modules, which instruct the associates on the surface side of lens manufacturing: introduction, pulling surface stock, layout and blocking, generating, finishing and . polishing, and coating the lens. . The second segment instructs associates. on the finish side of lens manufacturing and also contains 6 modules: introduction, pulling stock, finish layout, edging, lens treating, and mounting the lenses. The objective of each module is to: 1. Provide a conceptual overview of each step of the process _ taught in the module (i.e., the proper method of coating a lens). 2. Teach the parts of the specific equipment used in the lab to perform the process. 3. Introduce the tools necessary to perform the process safely and accurately. 4. Introduce the Best Practices for performing the process using the equipment in the lab. 5. Forecast different types of "breakages" (mistakes) and how to avoid them. 6. Continually alert the .new associate to potential safety issues and how to avoid them. A1~1MUA1. SAFETY TRAIP111~IG: All associates complete annual Chemical Awareness Training. This training is designed to refresh associates' knowledge in safety practices and procedures, including waste coating, curing and disposal. 1. CAM (Chemical Awareness Month) Training: This is an interactive review of .hazard communication requirements, personal protective equipment use, spill clean up and waste disposal procedures and chemical storage and labeling requirements. The CAM program ~ is designed differently each year into a .fun, interactive game or activity. 2. Emergency Evacuation Procedures: Each store must review all emergency information for accuracy and conduct a mock store evacuation. 2 r` _ ~. y. ~. Routine In"spections: . Store management completes a daily checklist of store closing operations and a waste disposal log. Daily inspections of the waste curing and disposal process are conducted. Verbal coaching with lab associates is conducted as appropriate. Store management conducts any required routine maintenance on the laboratory equipment, as appropriate, including periodic replacement of the waste curing UV bulbs. Quarterly Inspections: Regional management conducts quarterly .visits to every location. This management team inspects the lens coating and waste curing operations for compliance with the QMP. Verbal coaching of store associates is conducted. as appropriate. Annual Inspections: The Regional Manager conducts a full safety audit of each store. annually. Among other things, associates are quizzed on lens coating and waste curing procedures. All laboratory equipment, including the Clean N' Coat unit, is inspected for proper operation. CinLibrary/1416282.1 3 ~ - ' (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN SITE & FACILITY DIAGRAM Peel of 2 SITE DIAGRAM `~ Business Name: ~enscvtiT~-~~s ~ /!00 Business Address: 224 M~~~ ~~.~ 3~,~,.~'eld, C'p q33 Cw~r1"RcT Roo.>• Sl t~REI1C.E. RE c, 1, ANE rzsc• L.An1~. FACILITY DIAGRAM _ _,__~ Da~- Q Fire ~>~'~.-.~d~s~~er y, (® Ede S~~4toN1 ~- .® ~i ~ Yom: ~erSona., ~r0 ^~ r i/f~ u i ~ ' 13uSiHes s {~'~k+, ~/vls DS i Q n4D5 ~sp.lt Cs~,-~,ol kt~ RETa~zL FL.ootZ L~rJs pROCGSSTaG RREA ~. u P `^ v f 1 ~ t ~ ~ .».w,+t~a's p, Q , . ` * .' OFFTC.E ST ~ RAt~ t FyE ~~.., zaoo ' ~2l:AK 4 'S ~ Roonh --- l O MPR~ t R y ` ~ . n ~ - ~ pOGT02'$ \1 dFFLGE Sl-otu+G~ PRC"fE$T (LOOM BAKERSFIELD FIRE DEPT. Prevention Services 8..,~A~ ~x' ~~ N s ~ ,~~ a_,.__.n 900 Truxtun Ave., Suite 210 E F/RE Bakersfield, CA 93301 DIPARTM~'IYT Tel.: (661) 326-3979 Fax: (661) 852-2171 - ~ V PfLETEST Y-- t itaeM REST 2£ST ~ ~'"~ QAOM Etk-~• f QM. /V NORTH Please indicate direction of North FD 2170 (Rev. 09/05) j ~'4y' T~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT Oc b OFFICE OF ENVIRONMENTAL SERVICES ~' ~ UNIFIED PROGRAM INSPECTION CHECKLIST z,~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~-~~«TC25 ~pV ~ Z0~ INSPECTION DATE 1 O r7 03 Section 4: Hazardous Waste Generator Program EPA ID # C'.A ~- ~tZgg~' ^ Routine ~- Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made t/ jl S-rC~ gip,. i~~s71; EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage ~~5~ Reported release, fire, or explosion within 15 days of occurrence // ,q~. Established or maintains a contingency plan and training Hazardous waste accumulation time frames ~/ -,RL~,~ v~o,,~ ~~„~~p,-~-7c,J Containers in good condition and not leaking / Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area / r/~ ~~-Ly ~S„~6 ~Zr,~~ Ignitable/reactive waste located at least 50 feet from property line i/ Pt Secondary containment provided / /.J't'2~~SiL ~ -~~~,,tG-~ v~~r' Conducts daily inspection of tanks i/ ~ Used oil not contaminated with other hazardous waste /3. Proper management of lead acid batteries including labels ~ ~ Proper management of used oil filters ~/ ~{- Transports hazardous waste with completed manifest ~ ~~ ~s%2 ~vtA,J~T-~~T ti1Cr L~-~~ Sends manifest copies to DTSC , 1/~/~.~f,1CC-5'~ ~~ or S-TC--~ Retains manifests for 3 years Retains hazardous waste analysis for 3 years MS n S duZv Retains copies of used oil receipts for 3 years ,~ A. Determines if waste is restricted from land disposal =~ompuance _. 'v=v~oianon. ~._ Inspector•.,~ V`~ ~ ~~5 ~ Office of Environmental Services (661) 326-3979 ~`- White -Env. Svcs. Pink -Business Copy ~~~/v Business Site Responsible Party 'I f~ s r ~ t0t~' z~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~`°~~~ OFFICE OF ENVIRONMENTAL SERVICES ~' ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ,4 ~~,~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ' 3 2flp3 NpV FACILITY NAME LC~cr~nF,~S INSPECTION DATE ~ o ~~ ~03 Section 5: Hazardous Waste Tier Permit Treatment Program ^ Routine ~-Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection Onsite Treatment Unit Tier: Unit number & name: ~ ^ PBR ^ CA ~CESW ^CESQT ^ CEI. ^ CECL OPERATION C V COMMENTS All hazardous wastes treated are generated onsite Onsite treatment notification forms available and complete Onsite treatment unit tier and/or count is correct on form Unit number is correct on notification form Number of tanks or containers is correct on form ~ ~ Treatment monthly volume is correct on form Waste identification & treatment is correct on form Complies with residual management requirements Properly closed a treatment unit Complies with tank and containment certification ,4'- Developed and maintains a written inspection log Meets pretreatment standards for waste discharge ~; /NK~~' w msnS t~s o~sPoSaz R~-srz~cr~J Developed and maintains a Closure Plan on site (PBR( ~J ~'v"'t''~t"V` ~"`~E ~s~ Developed and maintains a Waste Analysis Plan and Waste Analysis Records (PBRI Maintains Training Records on site (PBRJ Obtained local permits for treatment operations (PBR( Identifies and labels Treatment Units (PBRJ C=Compliance . V=Viol`atian~_ Inspector: l~ t ^f~ 5 ~ Office of Environmental Ser~ciee~ (SOS) 326-3979 C/V~'~CJ /V/~ Business Site Responsible Party CA=Conditionally authorized CECL=Conditionally exempt commercial laundry CEL=Conditionally exempt limited White -Env. Svcs. CESW=Conditionally exempt specified wastestream CESQT=Conditionally exempt small quantity treatment PBR=Permit by rule Pink -Business Copy ~ -- ,. , .r t.-`i'~.r' . i. . ice.: r - . _ „ ~~ Bakersfield Fire Dept. Enironmental Services UNIFIED PROGRAM INSPECTION C"HECKLIST 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 ~ Tel: (661)326-3979 FACILITY NAME `~. INSPECT ONE ATE INSPECTION TIME ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number ~ W/kt,''r12- ~ ~Z~s 15-021- ~S Z ~ . Section 1: Business Plan and Inventory Program ^ Routine ~-Combined O Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C V ~V=Vioatlonncel OPERATION COMMENTS (~ ^ APPROPRIATE PERMIT ON HAND UP{~,Q~~ "'i'Q ~./Zrxt~2G ~j2c„QZ'ry~.•vT' ~` ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE U(~~~~y~ ~ "~2~1?JO/Cl l,J~,r, ^ VISIBLE ADDRESS I~~ ^ CORRECT OCCUPANCY ~ -~1 ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ___... ^ VERIFICATION OF MSDS AVAILABILITYE - -- -- ,~ ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE /'U/ ^ ~L// CONTAINERS PROPERLY LABELED ~~-('L L~~ ~ ~ ~r~~7 ~ ~~JSto ^ HOUSEKEEPING _.__._ ___--- --.. ______.._ _._._... ----_... _.... --_ __ _ ^ FIRE PROTECTION ,5 ~~ ~r~~~ ^ SITE DIAGRAM ADEQUATE $c ON HAND ANY HAZARDOUS WASTE ON SITE?; ~ES ^ NO EXPLAIN: ~t/~~5~ t-yZ..~GNLt'xal~Ttr (2G''S~N "7'-CC~ PCrL~.'r ~GCS'"uJ V QUESTIONS REGARDING_THIS INSPECTIONS PLEASE CALL US AT ti66~~ 3Z6-3979 i ~U~ ms`s 3 Inspector Badge No., White -Environmental Services Yellow - Stettin Copy Business Site Responsible Party Pink -Business Copy r 1 i, _r + LENSCRAFTERS 160 =______~____________________________ S.iteID: 015-021-001924 + Manager WALTER NOBLES Location: 2724 MING AVE City BAKERSFIELD BusPhone: (661) 836-0194 Map 123 CommHaz Low Grid: O1C FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:5995 EPA Numb: CAL000128809 DunnBrad: Emergency ontact / 7~itle . ,R.o ~ Sch ~•; ~~ / ~ ~ ; ona~ Q~,a; I~ Coo Emergency Contact / .Title ~ri~~4a Mar'~-key / ~s~+e~ra( /Nanw~r Business Phone: (q~~)(~42 Zto7_ ` ' " ~ Business Phone: (G~/) 'g3~-b!9q. t 24-Hour Phone (Rai ~ -?~to ) 6~iZ 24-Hour Phone (~a6/.) 2oS- q~i 7 Pager Phone ( ) - x Pager Phone ( ) - x . Hazinat Hazards: Contact Phone: (513) 765-6000x MailAddr: 4000 LUXOTTICA :PL State: OH City MASON Zip 45040 Owner LUXOTTICA Phone: (513) 765-6000x Address 4000 LUXOTTICA :pL State: OH City MASON Zip 45040 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible far obtaining the information, i cortify under penalty of law that f have p$rsonallY examined and am familiar with the information submitted and believe the information is true, accurate, and rr~mpiete. ~NT'D A ~ R 2 ~ 2006 ~ _ .. xt, D~~ ~ ate -1- -- 03/09/2006 UNIFIED PROGRAM INSPECTION CHECKLISTs? .v.,: h..: ,c sr...-'F;. 34°o-..v-...«o..., . ._5~~, _-...A C4-„, ~.;.. t... ._.... _.'. 42.tN. ...~ .:.' :r ..:...t.:, ._.:1...-'. :,,,.. :. u.;~u` «. e_ :., ....tx., ..~~ SECTION 1: Eusiness Plan and Inventory Program • BAKERSFIELD FIRE DEPT Prevention Services ~Ilt/ 9001Yu~l:tun Ave., Suite 210 ARtAI t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ I D E INSPECTION TIME j~ ,j~~~~~~~~ ~ ' 1 O~ J K W - ~ ADDRESS 2 HONE NO. =0l°t4 83( O OF EMPLOYEES L ,N 0 FACILITY CONTACT , I ~~ USINESS ID NUMBER 15-021- ~ 9~ LOUDA~ Section 1: Business Plan and Inventory Program 1 0 ~ ~ I ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r~ ~J C V (C=Compliance` ppERATfON l v=violation + - p~G' ~ ~ 2 _ COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ~ Business PLAN CONTACT INFORMATION ACCURATE l r+tr SHfAQ 3 ~ IQs. ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS ~A, S ~ N 1`~ + - ^ VERIFICATION OF QUANTITIES /rte WN~/~S~iD ~ rr~~~ N (1'~-~~ " ^ VERIFICATION OF LOCATION ^ 11 __ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ ~ VERIFICATION OF HAZ MAT TRAINING Q~~A~ ~~.Z ~'``dd~>''~V ~~ ~~1N( ~/ " b ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ]S~ ^ ~ \ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZ DOU WASTE OAN)kSITE? EXPLAIN: ,.~_ {~ Q ~ ~l i F , •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3878 ~ ~~o ~ -L Inspector (Please Print) Fire Prevention! is' In /Shift of SitelStation # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02105)