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Home My WebLink AboutBUSINESS PLAN_ s " ~Qs~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program I~ ~.+ Prevention Services B t; R s ~ , „ 900 Truxtun Ave.", Suite 210 -FIRE Bakersfield, CA 93301 _ aRrui Tel.: (661) 326-3979 - ~'' ` " Fax: (661).872-217T FACILITY NAME ~ - INSPECTION DATE INSPECTION TIME nn ^^ M ADDRESS PHONE NO. O OF EMPLOYEES FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021- ~O~Z. v _ - _ - -__ - Section 1: Business Plan and Inventory Program I ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION i `C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE r ^ VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ' ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~^ ~ - - ,. (1 ^ 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 HAZARDOUS WASTE.ON SITE? 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 / Respon ' e Party (Please Print) - White -Prevention Services Yellow -Station Copy - - Pink -Business Copy FD 2155 (Rev. 09/05 ^ YES 1~~0 3a~~ CRIMSON RES MGT PANAMA 1-22 SiteID: 015-021=00102 Manager ~.ebr~ i.•(or--F.evroso Location: SEC 22 T30S R27E City BAKERSFIELD BusPhone: (661) 716-5001 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:1311 DunnBrad:12-279-1783 Emergency Contact / Title Emergency Contact /~~4 MT~~le SCOTT BUNTMANN / PRODUCTION SUPR MIKE P~7t`~ ~an.blr5/ Business Phone: (661) 343-3336x Business Phone: (661) 343--~~Bx 32~d 24-Hour Phone ( ) - x 24-Hour Phone ( 1,101 ) 343 -32Og x Pager Phone ( ) - x Pager Phone ( ) - x .............. Hazmat Hazards: Fire DelHltli .............. Contact DEBRA MONTERROSO Phone: (661) 716-5001x11 MailAddr: 5001 CALIFORNIA AVE 206 State: CA City BAKERSFIELD Zip 93309 Owner CRIMSON RESOURCES MANAGEMENT Phone: (303) 892-9333x Address 410 17TH ST 1010 State: CO City DENVER Zip 80202 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ............... Emergency Directives: PROG A - HAZMAT SITE LOCATION: WEST OF WOODMERE CUL-DE-SAC - WELLHEAD IN OPEN FIELD iFidi~iduals ~~ Based on my inquiry ~# tt~a~~ the !~~rm~#1°' responsible for obtaining ersona ly that I h~v~ p under penalty of lava xamined and am faml{iar with ttie information e submitted and bplisve the in#ormation is true, ccurate, and ompl te. `` 31 t o Signature Date ~~~ I~I1~~ A 6¢+ b~~/ -1- 01/29/zbo7 i+ t ~ ~ F CRIMSON RES MGT PANAMA 1-22 SiteID: 015-021-001042 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1'~CP DEMULSIFIER F DH L 55.00 GAL Lew -2- 01/29/2007 -3- 01/29/2007 P CRIMSON RES MGT PANAMA 1-22 ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME I DEMULSIFIER Location within this Facility Unit STATE TYPE PRESSURE Liquid Mixtur~mbient SiteID: 015-021-001042 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE' CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL tit~~t~ttL~ua ~v-nrviv~ivl~ ~Wt . 12S CAS# 30.00 Aromatic Solvent No 64742-95=6 1.00 o-Xylene, m-Xylene, p-Xylene No 1330207 30.00 1,2,4-Trimethylbenzene No 95636 1.00 Propyl Benzene No 98F328 t1HG1itCL Ha ~L;Ja1~1L1V~1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / Lew -4- 01/29/2007 F CRIMSON RES MGT PANAMA 1-22 SiteID: 015-021-00102 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/24/2005 ~ PHONE: PRIMARY AND SECONDARY EMERGENCY CONTACTS; 911; OES 800-852-7550; Alm BAKERSFIELD FIRE DEPT 326-3979. Employee Notif./Evacuation 10/24/2005 PHONE: PRIMARY AND SECONDARY EMERGENCY CONTACTS; 911; OES 800-852-7550; ANA BAKERSFIELD FIRE DEPT 326-3979. t'UJJ11C: 1VV1.11/P~VdC:Udl~lVil M i v- o r R.~.1~.as 4,. - iJ m ~,' .CY 4~ S i ADO C~ Ca R + o ~1-1-.a r rte ~CS~' ~ Gtq~c ~! ~c S . N(a f~- r'~.e~a. spa. - ~~ a..2 9 ~ 1 Q Emergency Medical Plan 05/02/2005 CALL 911. MERCY SOUTHWEST HOSPITAL, 900 OLD RIVER RD, 589-5220. -5- 01/29/2007 P CRIMSON RES MGT PANAMA 1-22 SiteID: 015-021-001042 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/02/2005 ~ FIRE EXTINGUISHERS. CLIP-ON H2S AND LEL DETECTORS. SECONDARY TANK CONTAINMENT. DAILY VISUAL INSPECTIONS. Release Containment ONLY SMALL QUANTITIES ON SITE. DAILY. 05/02/2005 SECONDARY CONTAINMENT. VISUAL MONITORING Clean Up 05/02/2005 ABSORBENTS ON SITE. COLES SERVICES QUARTERLY. Other Resource Activation -6- 01/29/2007 t _~ 5 P CRIMSON RES MGT PANAMA 1-22 SiteID: 015-021-001042 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaras Utility Shut-Offs NO UTILITY SHUT-OFFS. 05/02/20175 Fire Protec./Avail. Water 01/29/200`7 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ON VEHICLES AND ONSITE IN VARIOUS LOCATIONS. Building Occupancy Level 05/02/2005 1 EMPLOYEE -7- 01/29/2007 ., s '~ F CRIMSON RES MGT PANAMA 1-22 SitelD: 015-021-001042 ~ Fast Format ~ ~ Training Overall Sites ~ ~ Employee Training 05/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE AT 5500 DISTRICT BLVD. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES ARE TRAINED BY THEIR SUPERVISOR IN WORKING SAFELY WITH ON-SITE MATERIALS AND IN CONTACTING THE OPERATIONS SUPERVISOR FOR ASSISTANCE IN EMERGENCIES. rage nciu ivi. ru~.ui.c vac nc.Lt,~ ivl. r uuuic u~c -8- 01/29/2007 ~` `;~ t-' ' , CRIMSON RES MGT PANAMA 2-22 Manager ~2bra. M w~-~e.r ~raso Location: SEC 22 T30S R27E City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: 331 SiteID: 015-021-0001'70 BusPhone: (661) 716-5001 Map 123 CommHaz. Moderate Grid: 22B FacUnits: 1 AOV: SIC Code:1311 DunnBrad: Emergency Contact / Title Emergency Contact / Title ~orema.+~ SCOTT BUNTMANN / OPERATIONS SUPT ~liT?H '~~4$B-MfkcCyldu~Io~t~y Business Phone: (661) 716-5001x Business Phone: (~" ~~c cnn~,,,t 24-Hour Phone (661) 343-3336x 24-Hour Phone (~~r`±-) ':~1~~""'--" Pager Phone ( ) - x Pager Phone ~ (~~~) 343 -3 Zogx ............... Hazmat Hazards: Contact 17zbrci Mov~~tlrVbSc~ Phone: (661) 716-5001x11 MailAddr: 5001 CALIFORNIA AVE 206 State: CA City BAKERSFIELD Zip 93309 Owner CRIMSON RESOURCES MANAGEMENT Phone: (303) 892-9333x Address 410 17TH ST 1010 State: CO City DENVER Zip 80202 ............. Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT 5 od ~#tasoif orb my inquiry of those individuals responsible for dbtaining the Information, I certify urrder prsnalty of law that I hav e personally aXdminad and am familiar with the information submitted and elieve the information is true, aieurat ~IT ~IM I ~~ q~nn /~ 1 ~ ~ ~~~ Irl~~ ~ e, and co plet . . , ~- _ 3~ ~ ' a 8i a ufe Date -1- O1/29/~007 .- , F CRIMSON RES MGT PANAMA 2-22 SiteID: 015-021-000176 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name ... SpecHaz EPA Hazards Frm DailyMax Unit i~CP DEMULSIFIER L 55.00 GAL ~t~w -2- 01/29/2607 r. -3- O1/29/~007 ~ ti F CRIMSON RES MGT PANAMA 2-22 SiteID: 015-021-000170 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME """ DEMULSIFIER Days On Site 365 Location within this Facility Unit Map: Grid: -- WELL 2-22 CAS# STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 25.00 GAL - tiAGKKLUUS C.:U1~lYUlVL'"1V"1"5 oWt. RS CAS# 0.50 Propyl Benzene No 98-828 34.50 Aromatic Solvent No 64742-95-6 5.00 o-Xylene, m-Xylene, p-Xylene No 1330207 60.00 1,2,3 Trimenthylbenene No 95-63-6 ri1~Gl~KL L-~J~L' ~.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MAP No No No No/ Curies / / / Li~w -4- 01/29/2007 r s , F CRIMSON RES MGT PANAMA 2-22 SiteID: 015-021-0001`70 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 10/24/2006 PHONE: PRIMARY AND SECONDARY CONTACTS; 911; OES 800-852-7550; AND BAKERSFIELD FIRE DEPT 326-3979. Employee Notif./Evacuation 10/24/20076 PHONE: PRIMARY AND SECONDARY CONTACTS; 911; OES 800-852-7550; AND BAKERSFIELD FIRE DEPT 326-3979. Yl.Lll11L 1VV 1.11./P.~VdUUdl..l Vil 1~r1i /tor ~aS-e -- N o ~;~y DES, ~oC~(~ ~ ~ o~ o~G~ rc~a ce sSp-r'Y ~~" "~S. ~/l a' ar ~~.~ic5-c/ ~ rtic~ ol„e~- ~ i a. l °111 ` Emergency Medical Plan 05/02/20176 CALL 911. MERCY SOUTHWEST HOSPITAL, 900 OLD RIVER RD, 589-5220. -5- 01/29/2007 F CRIMSON RES MGT PANAMA 2-22 SiteID: 015-021-0001`70 ~ Fast Form~:€ ~ ~ Mitigation/Prevent/Abatemt Overall Sites ~ Release Prevention 05/02/20(16 FIRE EXTINGUISHERS. CLIP-ON H2S AND LEL DETECTORS. SECONDARY TANK CONTAINMENT. VISUAL DAILY MONITORING. Release Containment 05/02/2006 KEEP SMALL QUANTITIES ON SITE. SECONDARY CONTAINMENT. VISUAL INSPECTION DAILY. Clean Up 05/02/2006 ABSORBENTS ON SITE. COLES SERVICES QUARTERLY. V1.11C 1_ iCC~V Ul.VC YaV l.lVdl.l V11 -6- 01/29/2007 '~ ~ F CRIMSON RES MGT PANAMA 2-22 SiteID: 015-021-0001`70 ~ f~ Fast Format ~ ~~Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs N oh ~, Fire Protec./Avail. Water 10/24/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ON VEHICLES AND IN VARIOUS L00r: Building Occupancy Level 05/02/20016 1 EMPLOYEE -7- 01/29/2007 ~. - ' •F F IMSON RES MGT PANAMA 2-22 SiteID: 015-021-000170 ~ Fast Forme ~ raining Overall Site ~ Employee Training 05/02/2006 ~ MSDS SHEETS ON FILE IN SECT 15 OF OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES ARE TRAINED BY THE SUPERVISOR IN WORKING SAFELY WITH ON-SITE MATERIALS AND IN CONTACTING THE PRODUCTION SUPERVISOR FOR ASSISTANCE IN EMERGENCIES. rage nciu ic~i ru~uic v5c nc.LU ivi ru~uic ~~c -8- Ol/29/~007