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Home My WebLink AboutBUSINESS PLAN 7/1/2007~ „ RUY DAVIE~ PAINTING 2436 OAK ST STE G ~~ ~~ - ~ ~ ~ ~~~~~ '(c 4, l9k ~: ~,\ i (~' F 'r= ROY,DAV~IES PAINTING SiteID: 015-021-002089 Manager GARY SCHARTON Location: 2436 OAK ST G City BAKERSFIELD BusPhone: (661) 323-2444 Map 102 CommHaz Moderate Grid: 25A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROY DAVIES / OWNER GARY SCHARTON / E STIMATOR Business Phone: (661) 323-2444x Business Phone: (661) 323-2444x 24-Hour Phone (661) 589-9763x 24-Hour Phone (661) 872-6554x Pager Phone (661) 979-6401x Pager Phone (661) 979-8555x Hazmat Hazards: Fire ImmHlth DelHlth Contact GARY SCHARTON Phone: (661) 323-2444x MailAddr: PO BOX 82223 State: CA City BAKERSFIELD Zip 93380- 2223 Owner ROY DAVIES Phone: (661) 589-9763x Address 11700 JENLEE AVE State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H Z W ~~~ 1 1 - HA ASTE GEN J 1,! ~~~~ 8asad on my inquiry of those individuals CeSvon!i"~a2 'iOr O~'°,':rlring ti'1p infOrnlaiion, l c~riiiy . under penalty of lae.~ ii~at ! have personally eYarnlr;P.d ana am familiar H4Eth the irlformatlOn submitted and ;,,^ ie~,re the information is true, accurate, anc' co~piete. ____._.-. ~' ~ll'r~~ Sfgnat~,re ~ )"~~ pate ~t2v\ ~YLv•~Glti -1- 07/16/2007 R• 5_' F ROY DAVIES PAINTING SiteID: 015-021-002089 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE THINNER KEROSENE F F IH DH DH L L 55.00 55.00 GAL GAL Mod Low -2- 07/16/2007 ~~ -3- 07/16/2007 F ROY DAUIES PAINTING SiteID: 015-021-002089 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME , WASTE THINNER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TWasteAmbient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS sWt. RS CAS# 100.00 Thinner No 8030306 nnr,xtcL t,J J~aaiir.ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8008-20-6 Liquid TMixtur~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.5.00 GAL 55.00 GAL 55.00 GAL tltiGtltcLVUJ 1.V1~lYV1VC~1V1S %Wt. RS CAS# 100.00 Kerosene No 70892103 I1tiGtilCL 1-~JJ~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 07/16/2007 ~~~ F ROY_DAV,IES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/13/2000 ~ DAILY VISUAL IF LEAK DETECTED CALL BAKERSFIELD FIRE DEPT. Employee Notif./Evacuation 03/15/2007 ROY DAVIES 589-9763 OR 979-6401, GARY SCHARTON 872-6554 OR 979-8555, NORMA MARTINEZ 852-0402 OR 703-4248, AND THEN CONTACT THE BAKERSFIELD FIRE DEPT AND BAKERSFIELD POLICE DEPT. Public Notif./Evacuation 12/13/2000 BAKERSFIELD FIRE DEPT. Emergency Medical Plan 12/13/2000 TAKE TO HOSPITAL IF NECESARY, THEN CONTACT WORKMANS COMP CARRIER. -5- 07/16/2007 ;_, F ROY~DAUIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/13/2000 ~ FLAMMABLE MATERIALS SEALED AT ALL TIMES, VISUAL CHECK DAILY, SPONTANEOUS COMBUSTIBLE KEPT SEPARATE. Release Containment 12/13/2000 50 LBS KITTY LITTER, SPILL KIT KEPT ON PREMISES, 10 LBS CLEAN RAGS, SHOVEL AND BARRIER SOCKS. Clean Up 12/13/2000 USE SPILL KIT FILL 5 GAL SEALABLE CANS ON HAND AND NOTIFY HAZ MAT CO FOR DISPOSAL. v~.iici nc~vui~.c ra~.t.iva~.iv11 -6- 07/16/2007 ~~ ~ F ROY,DASIIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ iJ~JCLICLI 11dGdLU~ Utility Shut-Offs 03/15/2007 GAS - FRONT OF BLDG BY ST NEXT TO N WALL ELECTRICAL - FRONT OF BLDG AT N WALL WATER - FRONT OF BLDG BY ST NEXT TO N WALL Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE ALARM. NEAREST FIRE HYDRANT - FRONT OF BLDG 200FT E. 01/17/2007 Building Occupancy Level 02/27/2006 ~~~ EMPLOYEES - 3 PERMANENT 15 -7- 07/16/2007 - ~, F ROY;DA~IES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/17/2007 ~ MSDS SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS. rayc c. Held for Future Use nclu iii ruLUi~ u5~ -8- 07/16/2007 33b3? R~JY DAVIES Manager Location: City PAINTING _, II ,-, ~~~ ~IJIY~V~M 2436 ~AK ST G BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SiteID: 015-021-002089 BusPhone: (661) 323-2444 Map 102 CommHaz Moderate Grid: 25A FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROY DAVIES / OWNER GARY SCHARTON / ESTIMATOR Business Phone: (661) 323-2444x Business Phone: (661) 323-2444x 24-Hour Phone (661) 589-9763x 24-Hour Phone (661) 872-6554x Pager Phone (661) 979-6401x Pager Phone (661) 979-8555x Hazmat Hazards: Fire ImmHlth DelHlth Contact ~Tk~~ ~, 1'~V'~^ Phone: (661) 323-2444x MailAddr: PO BOXf82223 State: CA City BAKERSFIELD Zip 93380-2223 Owner ROY DAVIES Phone: (661) 589-9763x Address 11700 JENLEE AVE State: CA City. BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT'D MA R 1 ~ ~~01 Sased on my inquiry of those individuals respansihie for obtaining the information, !certify under penalty of law that i have personall y examined and am fiamiliar with the information submitted and believe the information is true, accurate, ..ompiete. ~~ ~~ V Si ature Date C' ~" -1- 02/06/2007 F ROY DA`VIES PAINTING ~ Hazmat Inventory = ~ MCP+DailyMax Ordex = SiteID: 015-021-002089 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat. Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PAINTS AND RELATED MATERIALS' F IH DH L 150.00 GAL Mod WASTE THINNER F IH DH L 55.00 GAL Mod LACQUER THINNER F IH DH L 55.00 GAL Mod KEROSENE F DH L 55.00 GAL Low ~ ( - J ~- l2 C u~-- t - ~ I`t(~L~ (SN~~ P~r(-~hlL~ 1~-lKt N~. ~ ~ L ~ I UI~~KMLSV Ihl L('~UV G• ~GV S hI ~~~rh/MUCI GI-r~~- 'c Ct LL`s t L ~ 1 1 Ulh N l ~ ~ CAN IJ ['Ul`P Uv VL~U r 1'1-M\ ~haL I I -2- 02/06/2007 -3- 02/06/2007 F ROY DAVIES PAINTING SiteID: 015-021-002089 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PAINTS AND RELATED MATERIALS Days On Site 365 Location within this Facility Unit Map: Grid: WHSE CAS# 123-86-4 STATE TYPE P Liquid TMixture~Ambi Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 75.00 GAL rlr~~r~tclx~u5 wlnr~iv~lv~l~5 °sWt. RS CAS# 40.00 n-Butyl Acetate No 123864 10.00 Toluene No 108883 10.00 Propylene Glycol Monomethyl Ether No 107982 5.00 Acetone No 67641 5.00 Isopropyl Alcohol No 67630 5.00 Methyl Ethyl Ketone No 78933 riAGEittL Ei~JSJ;~JJ1~11";1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod RESSURE TEMPERATURE CONTAINER TYPE ent ~ Ambient METAL CONTAINR-NONDRUM -4- 02/06/2007 F R,OY DAVIES PAINTING ~ Inventory Item 0002 ~ COMMON NAME / CHEMICAL NAME I WASTE THINNER Location within this Facility Unit STATE TYPE Liquid TWaste = PRESSURE Ambient SiteID: 015-021-002089 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum - I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1E~GKtCL V U 7 lL V1~lY V1V 1;1V 1 J °sWt. RS CAS# 100.00 Thinner No 8030306 t1r~~r~tcL r~~5~5~ln~ly l~a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LACQUER THINNER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE Liquid TMixture ~ Ambient ~ Ambient CONTAINER TYPE _ DRUM/BARREL-NONMETAL CONTAINER TYPE METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1L~GLitCLVU.7 llV1~lYV1VL"1V 1J oWt. RS CAS# 42.00 Naphtha Solvent No 8030306 15.00 Toluene No 108883 13.00 Methyl Ethyl Ketone No 78933 ti1~GE'~KL 1~55J~;~51~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/06/2007 F ROY DP;VIES PAINTING SiteID: 015-021-002089 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 8008-20-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL r~~.~rcLUUS ~uriruiv~iv_1_~ %Wt. RS CAS# 100.00 Kerosene No 70892103 riHGlitCL 1~J 5L' S 71~1151V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 02/06/2007 F ROY DAVIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Notif./Evacuation/Medical ~ Overall Site. ~ Agency Notification 12/13/2000 ~ DAILY VISUAL IF LEAK DETECTED CALL BAKERSFIELD FIRE DEPT. Employee Notif./Evacuation 03/08/2006 ROY DAVIES 5'89-9763 OR 979-6401, GARY SCHARTON 872-6554 OR 979-8555, NORMA MART INE 7 ?6-~~ OR 8'~~~ AND THEN CONTACT HE BAKERSFIELD FIRE DEPT AND BAKERSFIELD POLICE DEPT. ,~ ~'S2 - oL(~2 ~~ ~~3 ~(2y ~ Public Notif./Evacuation 12/13/2000 BAKERSFIELD FIRE DEPT. Emergency Medical Plan 12/13/2000 TAKE TO HOSPITAL IF NECESARY, THEN CONTACT WORKMANS COMP CARRIER. -7- 02/06/2007 F SOY D~IVIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/13/2000 ~ FLAMMABLE MATERIALS SEALED AT ALL TIMES, VISUAL CHECK DAILY, SPONTANEOUS COMBUSTIBLE KEPT SEPARATE. Release Containment 12/13/2000 50 LBS KITTY LITTER, SPILL KIT KEPT ON PREMISES, 10 LBS CLEAN RAGS, SHOVEL AND BARRIER SOCKS. Clean Up 12/13/2000 USE SPILL KIT FILL 5 GAL SEALABLE CANS ON HAND AND NOTIFY HAZ MAT CO FOR DISPOSAL. V1.11G1 1CGAVLLtVG Hl..L1VGL l.1 V11 -8- 02/06/2007 F RQY DAVIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C:1d1 Ild'G dl US Utility Shut-Offs 01/17/2007 A) GAS - FRONT OF BLDG BY ST NEXT TO N WALL B) ELECTRICAL - FRONT OF BLDG AT N WALL C) WATER - FRONT OF BLDG BY ST NEXT TO N WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/17/2007 PRIVATE FIRE PROTECTION - FIRE ALARM. NEAREST FIRE HYDRANT - FRONT OF BLDG 200FT E. Building Occupancy Level 02/27/2006 10 EMPLOYEES - 3 PERMANENT -9- 02/06/2007 ;. F RAY D~VIES PAINTING SiteID: 015-021-002089 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 01/17/2007 I MSDS SHEETS ON FILE. BRIEF SDMMARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS. rayc ~ ric.~u tvi r ut.utc v7c RG LI..I 1V1 r Ul.u1C U.~.-C -10- 02/06/2007 ~~ UNIFIED PROGRAM INSPECTION CHEC~LIST! (€ B E R S F I D c~...__ _ __ _ _ __~_ ___~ -_ _. _ _...._.__._ _ __.. F/RE t SECTION 1~:' Business-Plan and Inventory Program ~~~ r I~ Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~ : n ~ t 3 ~o,,,; r ADDRESS ~-. S (! i~ PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ppap~ Section 1: Business Plan and Inventory- Program CJ' ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND LU/ ^ BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS PR ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION l ( ^ PROPER SEGREGATION OF MATERIAL ~ , - / q~ ^ VERIFICATION OF MSDS AVAILABILITY l~^ 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 ANY HAZAiR~,'D~OUS ASTE ON SITE? L~d'YCS ~NO EXPLAIN: L I `~ t e ~ ~h ~ (~ (/Q'h~ ~r~/ , ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~ In /Shift of Site/Station # Business Sit / Responsible.Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRi4M INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program i• Bakersfield Fire Dept. Enironznental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACT NAM r INSPECTION DATE INSPE~CrT,ION TIME PH tdE No~ No. of Empl ees ADDRES Z3 ~~ ~ ~ 3 L 6~~ ~ FAC CONTACT Business ID Number ' 15-021- 9 ~ ~~~~~ Section 1: Business Plan and Inventory Program Mine ^ Combined ~ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ,,C Vy \V=Vioatonnce~ OPERATION COMMENTS Lkd' L^ APPROPRIATE PERMIT ON HAND ~'^ BUSINESS PLAN CONTACT INFORMATION ACCURATE /~ ~E7 VISIBLE ADDRESS ~ J ! l__--_ l~^ CORRECT OCCUPANCY 1 l~i ^ VERIFICATION OF INVENTORY MATERIALS !3~ ^ VERIFICATION OF QUANTITIES - ^ -VERIFICATION OF LOCATION- - - - _ __ m~ ^ PROPER SEGREGATION OF MATERIAL L!~ ^ VERIFICATION OF MSDS AVAILABILITYE L`S ^ VERIFICATION OF HAT MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES fNT"~ ~~ ~ (~fl LJ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED L'1 ^ HOUSEKEEPING ^ FIRE PROTECTION ~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: -_ QUESTIONS REGARDING~yTfHIS INSPECTION? PLEASE"{f~)C~ALL US AT ~66~~ 326-3979 Inspector ~ -- -- ------ -- -- -- ----Badge No., - White -Environmental Services Yellow - Station Copy PaAy Pink -Business Copy ROY?~r~y~F,S PAINTING _________________________________ SiteID: 015-021-002089 + Manager BusPhone: (661) 323-2444 Location: 2436 OAK ST G Map 102 CommHaz Moderate City BAKERSFIELD Grid: 25A FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code: EPA Numb: DunnBrad: t__________________________--______________________________________________=====t Emergency Contact / Title Emergency Contact / Title ROY DAVIES / OWNER GARY SCHARTON / ESTIMATOR Business Phone: (661) 32'3-2444x Business Phone: (661) 323-2444x 24-Hour Phone (661) 58'9-9763x 24-Hour Phone (661) 872-6554x Pager Phone (661) 979'-6401x Pager Phone (661) 979-8555x 4 Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 323-2444x MailAddr: PO BOX 82223 State: CA City BAKERSFIELD Zip 93380-2223 Owner ROY DAVIES Phone: (661) 589-9763x Address 11700 JENLEE AVE State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~ MAR 0 8 2006 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, ac urate, and complete. ``~~'~ 03 02 06 / / Signature ~ Date -1- 02/27/2006 + ROYI~,vIES PAINTING =___----___________________________ SiteID: 015-021-002089 + +_________________________=-_______-_____________________________= Fast Format + += Notif./Evacuation/Medical ____________________________________ Overall Site + +_= Agency Notification ___________________________________________ 12/13/2000 + DAILY VISUAL IF LEAK DETECTED CALL BAKERSFIELD FIRE DEPT. +--------------------------~_--------------------------------------------------=t +__= Employee Notif./Evacua~ion ___________________________________ 12/13/2000 + ROY DAVIES 589-9763 OR 979'-6401, GARY SCHARTON 872-6554 OR' 979-8555, NORMA MARTINEZ 721-2394 O'R 900-5446 AND THEN CONTACT THE BAKERSF]CELD FIRE DEPT AND BAKERSFIELD POLICE DEPT. **NEW NUMBERS FOR NORMA MARTINEZ (661) 725-5533 OR (6fj1) 81~-~~~~ +___= Public Notif./Evacuation ____________________________________ 12/13/2000 + BAKERSFIELD FIRE DEPT. +____= Emergency Medical P7~an _____________________________________ 12/13/2000 + TAKE TO HOSPITAL IF NECES~ARY, THEN CONTACT WORKMANS COMP CARRIER. -7- 02/27/2006 ., ~~^" `F CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMF,NT'AL SERVICES -"~~ UNIFIED PROGRAM INSPECTION CHECKLIST ;v ~~~,~,~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ~+nu.•~ FACILITY NAME 1P ?" ADDRESS O FACILITY CONTACT__ INSPECTION TIME 'Z ..t! INSPECTION~A,~E b (S ~_ PHONE NO. (l.(o t) 32 - ~2..~ ~(~ BUSINESS ID NO. 15-21 U- do 2.0 8~ NUMBER OF EMPLOYEES_~__ Section l: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mutti-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 Verifcation 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 ha a dous w on site?: Yes ^ No Explain: ~ ll Questions regarding this inspection'' Please call us at (661) 326-3979 Whitt - Fm'. Svcs. Yellow -Station Copy PmA - Husmess Copy ~•` ^ InSpeClOi: