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Home My WebLink AboutBUSINESS PLAN~> ~,, ~Y -~ , ~, ~ . ~~. ~~ .. ,° ~, ,._ , I L~ (~~ ~~ ~~ W ~~ / ! HALLIBURTON DRILLING SYSTEMS_ °,~ i ~ AKA HALLIBURTON ENERGY SERVICES ~=~ ~~ ~, 5221 STINE ROAD ~, ~~ ~vO 1 02 ~ ~ ,~ ..., ~~ HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 Manager ROD KESSEL Location: 5221 STINE RD City BAKERSFIELD BusPhone: (661) 834-6464 Map 123 CommHaz Extreme Grid: 23A FaCUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:1389 DunnBrad:04-329-6920 Emergency Contact / Title Emergency Contact / Title ROD KESSEL / MANAGER ADAM WENTWORTH / FSQC Business Phone: (661) 834-6464x Business Phone: (661) 834-6464x 24-Hour Phone (661) 834-6464x 24-Hour Phone (661) 834-6464x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact A''-~~- ~^"' ~~ H Phone : ( 661) -834 - 6-4'6"47c MailAddr : 341 Z Z Z~s~~ *~-a~ State : CA ~~~ "~5~~! City. BAKERSFIELD Zip : :.~~ ~-~31~ Owner HALLIBURTON CO Phone: ( ) - x Address 4100 CLINTON DR State: TX City HOUSTON Zip 77020 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~1 (~4sed on my inquiry of those individuals responsible far obtai i n ng the information, 1 certify under penalty of law that I have personally examined and am familiar with the inform ti a on submitted and believe the information is tr a ue, ccurate, and complete. Signatur . ~ ~o~ ~~ Date ENfi`D Mp ~ ~ ~ ~0~~ -1- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE F DH G 10368.00 FT3 Hi ACETYLENE E F P IH G 2340.00 FT3 Hi OXYGEN F P. IH G 1245.00 FT3 Low SHELL TELLUS OIL 32 F DH L 55.00 GAL Min f -2- o1j31/2o0~ -3- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit E CTR OF PROP STATE TYPE PRESSURE = Gas TPure -Above Ambient SiteID: 015-021-000213 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10368.00 FT3 10368.00 FT3 7200.00 FT3 tita~x.ttt~~ua ~~lnr~iv~ivl~ %Wt. RS CAS# 96.00 Liquefied Petroleum Gas No 68476404 rit~~xtcL .y~~~~~lnr~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SW SIDE 5241 STINE RD STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 2340.00 FT3 1800.00 FT3 riIiGKKLVU.> lrV1YlYViV~1V i.~ ~Wt. RS CAS# 100.00 Acetylene Yes 74862 ru~,~,tLecL t~~ ~~aal~i~.lvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SW SIDE 5241 STINE RD STATE TYPE PRESSURE= Gas TPure Above Ambient SiteID: 015-021-000213 ~ 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 Co300100rFT3 Daily1245100m FT3 I Dailyl000r00e FT3 t1AGAKLU U 5 lLU1~lYUlVL' 1V 7 b °~wt . Rs cAS# 100.00 Oxygen, Compressed No 7782447 riAGt1K1J H55L' ~~1Y1L'~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0001.- Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SHELL TELLUS OIL 32 Days On Site 365 Location within this Facility Unit Map: Grid: NW CRNR 5241 STINE RD CAS# 64742-54-7 Liquid TMixtur~ AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 40.00 GAL IIliGHiCLVUb l.Vl"lYV1V~1V 1.7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 tLLiGtitCL Ei. 7~7~.7.7P7~1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/04/2006 ~ IN CASE OF EMERGENCY CALL 911. IN NON-EMERGENCY SITUATIONS, CALL HAZMAT OFFICE OF FIRE DEPT. Employee Notif./Evacuation 05/04/2006 SUPERVISORS WILL VERBALLY NOTIFY ALL PERSONNEL OF AN EMERGENCY SITUATION AND DIRECT THEM TO THE NEAREST EXIT. ALL PERSONNEL ARE TO ASSEMBLE AT A SAFE DISTANCE - EITHER AT THE FRONT PARKING LOT OR THE BACK TOOL STORAGE AREA. SUPERVISOR OF EACH DEPT WILL BE RESPONSIBLE FOR A HEAD COUNT OF THEIR PEOPLE AND ALL SUPERVISORS WILL REPORT TO THE BASE MANAGER OR THE BASE COORDINATOR. Public Notif./Evacuation VERBAL NOTIFICATION. 03/03/1994 Emergency Medical Plan 05/04/2006 EMERGENCY CALL 911, NON-EMERGENCY TRANSPORT TO THE NEAREST MEDICAL FACILITY. -6- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/03/1994 ~ INSPECT VALVES, HOSES AND GAUGES DAILY FOR DAMAGE. ALL GAS CYLINDERS ARE CHAINED AND SIGNS ARE POSTED. Release Containment 03/03/1994 LIQUID SPILLS IN SUMP OR ABSORBENT MATERIAL. GAS VALVES AND CYLINDERS ARE CHAINED. Clean Up 10/20/2000 SM AMOUNTS BY EMPLOYEES WITH ABSORBENTS, LRG AMOUNTS OUTSIDE CONTRACTOR. Other Resource Activation 05/04/2006 EMERGENCY CALL 911, NON-EMERGENCY TRANSPORT TO THE NEAREST MEDICAL FACILITY. -7- 01/31/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ .~j/c~..iai riac~aiu~ Utility Shut-Offs 11/21/2006 A) GAS - 5221 SE SIDE OF BLDG B) ELECTRICAL - 5221 SE CRNR & SW WALL SHOP C) WATER - 5221 SE & SW SIDES OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/21/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FRONT OF NW CRNR 5221 STINE BLDG. Building. Occupancy Level 12/08/2006 20 EMPLOYEES -8- 01/31/2007 ,., q ~ e• r F HALLIBURTON-SPERRY DRILLING SERV SitelD: 015-021-000213 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/04/2006 ~ MSDS ON FILE IN THE MATERIALS COORDINATORS OFFICE AT 5221 STINE RD. BRIEF SUMMARY OF TRAINING PROGRAM: VERBALLY EXPLAIN TO ALL PERSONNEL LOCATION OF MATERIALS AND PROPER HANDLING METHODS. INSTRUCT ALL PERSONNEL ON PROPER SAFETY EQUIPMENT REQUIRED WHEN WORKING WITH OR HANDLING HAZARDOUS MATERIALS. INFORM ALL PERSONNEL OF THE LOCATION OF MSDS. rayc c. riciu ivi ru~.utc vac nclu 1VL r UI.LLIC U.5'C -9- 01/31/2007 UNIFIED PROGRAM 1. _~PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME - -----~~.1.~~~~JC~i/---~~''~- --'~-- P(Ul'~_,~5,....---------- ,INSPECTION DATE INSPECTION TIME ---__-~/off-=~~ --------. l PHONE N N f E ADDRESS ~ V 5 as / ~t'~ ii ~ ae ~ 4 2°°3 o. mp oyees j o. o ! /5 . ---- --~----------------- -~~~+-- FACILITYCONTACT f~l m~ c~~ --}-------1------------------- jBusiness ID Number Is-o2I- ~./ 3 -- Section 1: Business Plan and Inventory Pn~gram ^ Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection V C OPERATION t nCe COMMENTS IV=Vioa on / 1 ^ A CI PPROPRIATE PERMIT ON HAND -- - - ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ NIBBLE ADDRESS ---- ----------------------------~--------_-------- ~ `L~ IJ ------- I:ORRECT OCCUPANCY ~^ VERIFICATION OF INVENTORY MATERIALS ^ -----r------- V -•---------------------------------...__ ------- ERIFICATION OF QUANTITIES ^ V Lf~ L ERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~^ V M - ERIFICATION OF SDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING -/ l1~" ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES v ----- ---- -- -- ----- ---- -- - - ^ EMERGENCY PROCEDURES ADEOUATE ~ ~ ~ --- - -------------- ~~ .--.--.._.-..----- ---- - -----._.-~_...---- f CONTAINERS PROPERLY LABELED ~ ~, ~ / ^ ~ HOUSEKEEPING ~.~~c~ ~'~lO~~ J -- -- -------- -- ------------- ---- I10 FIRE PROTECTION /U - %~ Z - d LEA LJ SITE DIAGRAM ADEQUATE & ON F'IAND - ANY HAZARDOUS WASTE ON SITE: ^ YES U IVO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66~~ 326-3979 -r-~-- ~ 1 °~ .~ ~. Inspector - Badge No - Business Site Respon ' Party White • Environmental Services Yellow -Station Copy Pink • Business Copy l ~ ~J P;,, - ~i~ Yi' + HALLIBURTON-SPERRY DRILLING SERV ____________________ SiteID: 015-021=000213 + Manager BusPhone: (661} 834-6464 Location: 5221 STINE RD Map 123 CommHaz High City BAKERSFIELD Grid: 23A FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code:1389 EPA Numb: DunnBrad:04-329-6920 Emergency Contact / Title.. Emergency Contact / Title H~FH-~tR`YAS~cX~ ~e~l. / -OPS 'MANAGER ROD_KESWELL-~~/~ W~~~RFs~-~-I-AN~O~RD Business Phone: (661) 834-6464x Business Phone: (661) 834-6464x ~SqC 24-Hour Phone (661) 834-6464x 24-Hour Phone (661) 834-6464x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact PAUL W SMITH Phone: (661) 391-5385x MailAddr: 5221 STINE RD State: CA City BAKERSFIELD Zip 93313 Owner HALLIBURTON CO Phone: ( ) - x Address 4100 CLINTON DR State: TX City HOUSTON ~ Zip 77020 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: .~ PROG A - HAZMAT p~ I ~~ ENTl~ M14Y Q ~ ~~06 5~~ Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true. curate, and c mple ~ a~ ~6 Signa D t ENTb MAC ®,~ 200 s -1- 04/19/2006 r• HALLIBURTON-SPERRY DRILLING SERV Manager ROD KESSEL Location: 5221 STINE RD City BAKERSFIELD SiteID: 015-021-000213 BusPhone: (661) 834-6464 Map 123 CommHaz Extreme Grid: 23A FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code:1389 DunnBrad:04-329-6920 Emergency Contact / Title Emergency Contact / Title: ROD KESSEL / MANAGER ADAM WENTWORTH / ~9$e"•C~2~ Business Phone: (661) 834-6464x Business Phone: (661) 834-6464x 24-Hour Phone (661) 834-6464x 24-Hour Phone (661) 834-6464x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact PAUL SMITH Phone: (661) 393-8111x MailAddr: 34722 SEVENTH STANDARD RD State: CA City BAKERSFIELD Zip 93314 Owner HALLIBURTON CO Phone: ( ) - x Address 4100 CLINTON DR State: TX City HOUSTON Zip 77020 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~°B ~~ 1' 1 2~~~ ,. L .... ... -~' a_n,~' ~^Geve Y:~e ir~icrm;tacn ~~ tr:a:;, ?c~!,r~fs z, ~c corgi plat. ~u,natr ~~~~ ~C~ute -1- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE F DH G 10368.00 FT3 Hi ACETYLENE E F P IH G 2340.00 FT3 Hi OXYGEN F P IH G 1245.00 FT3 Low SHELL TELLUS OIL 32 F DH L 55.00 GAL Min -2- 10/08/2007 -3- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit E CTR OF PROP STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-000213 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10368.00 FT3 10368.00 FT3 7200.00 FT3 7 riAGAl[LVU~ 1:V1~lYV1V151V1b oWt. RS CAS# 96.00 Liquefied Petroleum Gas No 68476404 t1HGHKL 1-1JJ~5J1~1tS1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SW SIDE 5241 STINE RD CAS# 74-86-2 ~GasATE T TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 2340.00 FT3 1800.00 FT3 HAZARDOUS COMPONENTS °sWt . RS CAS# 100.00 Acetylene Yes 74862 LIHGHKL HJ .7~.7~J1~lElV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SW SIDE 5241 STINE RD CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 300.00 FT3 1245.00 FT3 1000.00 FT3 titi~tirct~vua ~:vinrvlV~lvl~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiE~GH1CL S~a JL' SJ1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SHELL TELLUS OIL 32 Days On Site 365 Location within this Facility Unit Map: Grid: NW CRNR 5241 STINE RD CAS# 64742-54-7 Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily M55140m GAL I Daily A40r00e GAL l3HGEiICLVUA 1..V1~lYV1Vr,1V1.7 ~Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 I1HGHtCL HJ.7~.7.71~11S1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/04/2006 ~ IN CASE OF EMERGENCY CALL 911. IN NON-EMERGENCY SITUATIONS, CALL HAZMAT OFFICE OF FIRE DEPT. Employee Notif./Evacuation 05/04/2006 SUPERVISORS WILL VERBALLY NOTIFY ALL PERSONNEL OF AN EMERGENCY SITUATION AND DIRECT THEM TO THE NEAREST EXIT. ALL PERSONNEL ARE TO ASSEMBLE AT A SAFE DISTANCE - EITHER AT THE FRONT PARKING LOT OR THE BACK TOOL STORAGE AREA. SUPERVISOR OF EACH DEPT WILL BE RESPONSIBLE FOR A HEAD COUNT OF THEIR PEOPLE AND ALL SUPERVISORS WILL REPORT TO THE BASE MANAGER OR THE BASE COORDINATOR. Public Notif./Evacuation VERBAL NOTIFICATION. 03/03/1994 Emergency Medical Plan 05/04/2006 EMERGENCY CALL 911, NON-EMERGENCY TRANSPORT TO THE NEAREST MEDICAL FACILITY. -6- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/03/1994 ~ INSPECT VALVES, HOSES AND GAUGES DAILY FOR DAMAGE. ALL GAS CYLINDERS ARE CHAINED AND SIGNS ARE POSTED. Release Containment 03/03/1994 LIQUID SPILLS IN SUMP OR ABSORBENT MATERIAL. GAS VALVES AND CYLINDERS ARE CHAINED. Clean Up 10/20/2000 SM AMOUNTS BY EMPLOYEES WITH ABSORBENTS, LRG AMOUNTS OUTSIDE CONTRACTOR. Other Resource Activation 05/04/2006 EMERGENCY CALL 911, NON-EMERGENCY TRANSPORT TO THE NEAREST MEDICAL FACILITY. -7- 10/08/2007 F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rC~:iai nc~c~caiu~ Utility Shut-Offs GAS - 5221 SE SIDE OF BLDG ELECTRICAL - 5221 SE CRNR & SW WALL SHOP WATER - 5221 SE & SW SIDES OF BLDG 03/27/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FRONT NW CRNR 5221 STINE BLDG. 03/27/2007 Building Occupancy Level 12/08/2006 20 EMPLOYEES -8- 10/08/2007 ~. F HALLIBURTON-SPERRY DRILLING SERV SiteID: 015-021-000213 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/04/2006 ~ MSDS ON FILE IN THE MATERIALS COORDINATORS OFFICE AT 5221 STINE RD. BRIEF SUMMARY OF TRAINING PROGRAM: VERBALLY EXPLAIN TO ALL PERSONNEL LOCATION OF MATERIALS AND PROPER HANDLING METHODS. INSTRUCT ALL PERSONNEL ON PROPER SAFETY EQUIPMENT REQUIRED WHEN WORKING WITH OR HANDLING HAZARDOUS MATERIALS. INFORM ALL PERSONNEL OF THE LOCATION OF MSDS. rciyc G Held for Future Use nciu .L~i ru~uic vac -9- 10/08/2007 1 \ . ,- •, `~._ +% `. CITY. OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMF,NTA1, SERVICES UNIFIED PROGRAn1 INSPEC'T'ION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME~~A- ~/ ~~~r i ~.~ ~~a~~1SPECTION DATE /1~ - f~ - ~ ~ _ ADDRESS ~ZZ / S ~ /~--c._ f2 D PHONE NO. .~ ~ - ~` ~ ~ 6 `-! FACILITY CONTACT ~.c.n~ae C- ~~3os~ Ky~~$USINFSS ID NO. IS-2IU- ~-/3 INSPECTION T1ME~ ) 4~, ~, NUMBER OF EMPLOYEES _ ~.. d - Section 1: Business Plan and Inventory Program ~~0~ Routine..,'' ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection 3~ p ~' OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate //~~ ry V / ~oo Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location ~C1 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 hazardous waste on site?: .Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Whitr -Env. Svcs. Yellow - Sletion Copy Pink -Business Copy ^ Yes ~No (~ Business Site Rpesponsible Party ~} {/Inspector. : - /~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business PI d Inventory Program • • Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite Bakersfield, CA 93301 ? ~ ?~05 Tel: (661) 326-3979 ________ _ FACILITY NAME WSPE TIO~TE INSPECTION TIME ADDRESS ~ ~ PH E N No. of Employees FACILITYCONTACT Business ID Number ~ w~l `~ ~~ ~ 15-021- ~/ Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency DMulti-Agency ~ Complaint ~ Re-inspection ANY HAZARDOUS WASTE ON SITE?: ^ YES C!Y NO ExPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (66~~ 326-397'9 ~-~G-- ~---- . __-- - - Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy I Busi ess Site Responsible Party (Please Print) S Pink -Business Copy