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HomeMy WebLinkAboutBUSINESS PLAN (2) (~' ~~,~q ~ ~ ~ ~ Icy W '~ n u BAKER HUGHES INTEQ B ~ I' ~~y J/ • • ~S !~ ,' ~' `~~'' CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ OFFICE OF F.NV1ROlV1VIF.NTAI.. SERVICES ..w ~gtii~ ' 1715 ChesteRrA eR 3M I~ IooPr, BakerOsfi Id, C 93301 FACILITY NAME,~~A~CL-2 ~ulN~'S / ~~~ ADDRESS (o ~~ ? FACILITY CONTACT_~Cu! ~ t-: t ~ - INSPECTION TIME ~ w~ ras INSPECTION DATE R Z~ ~D~ PHONE NO. ~~' `~ - `~ 6 5 BUSINESS ID NO. 15-210- ~co~ 8"i NUMBER OF EMPLOYEES Co ~ Section 1: Business Plan and Inventory Program [Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand C Business plan contact information accurate v ~, ~? ~~. ~~~ Visible address ~, vti! c.o~LtdeT Correct occupancy Verification of inventory materials C Verification of quantities C ~NT . Verification of location ~ p ~o Proper segregation of material C Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures C Emergency procedures adequate C Containers properly labeled G V Housekeeping C Fire Protection ~ C Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Yes ^ No Explain: i~;~Z ! 5 u ~i~ Questions regazding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Bus' ss S' esponsible Party Inspector: _ 4~~ .. S' BAKER HUG Manager Location: City CommCode: EPA Numb: HES INTEQ BOB LEDET 6117 SCHIRRA CT BAKERSFIELD BFD STA 09 SiteID: 015-021-000687 BusPhone: (661) 834-9654 Map 123 CommHaz High Grid: 15C FacUnits: 1 AOV: SIC Code:1389 DunnBrad: Emergency Contact / Title Emergency Contact / Title BOB LEDET / W EST COAST MGR LUIZ VIGIL / MAINT COORD Business Phone: (661) 834-9654x Business Phone: (661) 834-9654x 24-Hour Phone (661} 834-9654x 24-Hour Phone (661} 834-9654x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact DOUG FORST Phone: (661) 834-9654x MailAddr: 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 Owner BAKER HUGHES INTEQ Phone: (661) 834-9654x Address 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT ~«C 2 6 X00? F;aSed nn my ~, quirt' of those indi~~iduals i certify ~ t~ ~ staining the infa a e personally resncn~:ih4e fc,r that f lay . under penalt / examined am beiieve'itae i~~,forha~~on i true, uui~mitted a cam lete accurat ; an P / - Dafe Sig t -1- 06/29/2007 r, ~~ F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPYLENE E F P IH G 400.00 LBS Hi ACETYLENE E F P IH G 60.00 FT3 Hi OXYGEN F IH DH G 800.00 FT3 Low WASTE TELLIS HYDRAULIC OIL L 55.00 GAL UnR -2- 06/29/2007 -3- 06/29/2007 F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE/OUTSIDE W SHOP WALL CAS# 115-07-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co100100rLBS Daily 400100m LBS ( Daily 200r00e LBS - rit~c,t~cLV~~ ~.vrirvivaiu t ~ %Wt. RS CAS# 100.00 Propylene Yes 115071 -- I1tiGriRL Hi JAL~Jw71"1P~1V1~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE ON CART W WALL/OUTSIDE W WALL CAS# 74-86-2 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 FT3 60.00 FT3 60.00 FT3 ru~utuZLVV.7 \.V1•lrVLVP~IV 1.7 %Wt. RS CAS# 100.00 Acetylene Yes 74862 rlti[~tit[.L 1ii J .7 ~.7.'~l•1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 06/29/2007 ., F BAKER HUGHES INTEQ ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit INSIDE W WALL/OUTSIDE W WALL STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-000687 ~ 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 60.00 FT3 800.00 FT3 60.00 FT3 titi~t~tcL~uS t_;vinr~iv~ivl,~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ti!-~G1-~tCL HJJ~JJ1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME WASTE TELLIS HYDRAULIC OIL Location within this Facility Unit Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS , °sWt . RSA CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -5- 06/29/2007 l F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/27/2006 ~ CALL 911 FOR FIRE DEPT OR HALL AMBULANCE SERVICE. Employee Notif./Evacuation 09/27/2006 EMPLOYEES TO BE NOTIFIED OF EMERGENCY SITUATION VIA PA SYSTEM AND TO MEET ACROSS THE STREET IN FRONT OF BUILDING. Public Notif./Evacuation 02/22/2007 NOTIFIED THROUGH OUR CORP OFFICES IN HOUSTON TX FOR PROPER CHANNELS. Emergency Medical Plan 12/29/1998 DIAL 911. -6- 06/29/2007 F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/08/1999 ~ ACETYLENE AND OXYGEN BOTTLES STORED ON PLATFORM AND CHAINED TO WALL. Release Containment 08/28/1991 REDUCE VAPORS WITH FOG OR FINE MIST. REMOVE ALL IGNITION IF WITHOUT RISK. SHUT OFF LEAK IF WITHOUT RISK. VENTILATE AREA OF LEAK OR MOVE LEAKING CONTAINER TO WELL VENTILATED AREA. Clean Up 09/27/2006 PREVENT WASTE FROM CONTAMINATING SURROUNDING ENVIRONMENT. DISCARD RESIDUE IN AN ENVIRONMENTALLY-ACCEPTABLE MANNER, IN FULL COMPLIANCE WITH FEDERAL, STATE, AND LOCAL REGULATIONS. V1.11C 1. 1CCSVUL C:C LiU l.lVdl.l Vi1 -7- 06/29/2007 F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 01/25/2007 ~ LITHIUM BATTERIES (STORED IN DOG HOUSE BLDG S OF SM WRKSHP IN BACK); MAX 20-30 BATTERIES STORED. Utility Shut-Offs 05/31/2006 A) GAS - FRONT E CRNR BLDG B) ELECTRICAL - FRONT YARD INSIDE E DOOR ON WALL C) WATER - FRONT YARD D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 05/31/2006 PRIVATE FIRE PROTECTION - 17 FIRE EXTINGUISHERS, ABC AND HALON TYPE. FIRE HYDRANT - RIGHT E FRONT CRNR OF LOT. Building Occupancy Level 03/10/2006 15 EMPLOYEES PLUS 15-20 FIELD EMPLOYEES -8- 06/29/2007 F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training- 05/31/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: VARIOUS SAFETY PROGRAMS CONCERNING FIRE, HAZARDOUS CHEMICALS, AND FIRST AID, AS WELL AS PUBLISHED MONTHLY SAFETY MEETINGS HELD FIRST WEDNESDAY OF EACH MONTH. Page 2 SB198 & COMPANY HSE PROGRAM IN PLACE. 11/19/1996 Held for Future Use Held for Future Use -9- 06/29j2007 T BAKER HUGHES INTEQ ~~-~- Manager ~pb ~~ Location: 6117 SCHIRRA CT City BAKERSFIELD SiteID: 015-021-0006'7 BusPhone: (661) 834-9654 Map 123 CommHaz High Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:l389 DunnBrad: Emergency Contact / Title Emergency Contact / Title BOB LEDET ~ / WEST COAST MGR LUIZ VIGIL / MAINT COORD Business Phone: (661) 834-9654x Business Phone: (661) 834-9654x 24-Hour Phone (661) 834-9654x 24-Hour Phone (661) 834-9654x Pager Phone ( ) - x Pager Phone ( ) - x .............. Hazmat Hazards: Fire Press ImmHlth De1Hltlz ............. Contact DOUG FORST Phone: (661) 834-9654x MailAddr: 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 Owner BAKER HUGHES INTEQ Phone: (661) 834-9654x Address 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 ............... Period to TotalASTs: _ dal Preparers TotalUSTs: _ dal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals res on ibl f ~ ~:~~ ~ ~ , p s e or obtaining the information, i certify d ~~~~ un er pe alty of law t at I have personally examine nd am fa ar with the information submitt d and b l' e the information is true , acc rat , nd co le i gnature at -1- O1/25f2n07 r ~: 5 P BAKER HUGHES INTEQ SiteID: 015-021-000637 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Sites ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit NIP ............. PROPYLENE E F P IH G 400.00 LBS Hi ACETYLENE E F P IH G 60.00 FT3 Iii OXYGEN F IH DH G 800.00 FT3 ~tiw WASTE TELLIS HYDRAULIC OIL L 55.00 GAL L7:ZR -2- 01/25/2007 -3- 01/25/2007 F BAKER HUGHES INTEQ SiteID: 015-021-00068`7 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE/OUTSIDE W SHOP WALL CAS# 115-07-1 STATE T TYPE PRESSURE ~ TEMPERATURE ~1~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest~Container Daily Maximum Daily Average 100.00 LBS 400.00 LBS 200.00 LBS HAZARDOUS COMPONENTS °sWt• RS CAS# 100.00 Propylene Yes 1150171 I1L-1L~tiICL tiJ J.G w7 J1"1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# M~f No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE ON CART W WALL/OUTSIDE W WALL CAS# 74-86-2 STATE T TYPE PRESSURE -~ TEMPERATURE --~ CONTAINER TYPE "....... ~GaS I Pure Above Ambient I Ambi Pnt I pC~RT PRFC~ (''VT.TTTTIF'_R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 FT3 60.00 FT3 I 60.00 FTC rac-iuraccLV V.~ ~.v~•lrvl~nly t.7 %Wt• RS CAS# 100.00 Acetylene Yes 74852 nti[~riRL ti J.7 r,.7.71~1L~1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Hi -4- 01/25/2607 `_ F BAKER HUGHES INTEQ SiteID: 015-021-00068'7 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL/OUTSIDE W WALL CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. ,PRESS. CYLINDER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 60.00 FT3 800.00 FT3 ( 60.00 FT3. - - rst,c~t~tcuuu~ ~.vrirvlvr,ivl~ oWt. RS CAS# 100.00 Oxygen, Compressed No 778247 ru~~Htc~ ti~~~~ari~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE TELLIS HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: --- CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS - oWt. RSA CAS# HAZ ARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies / / / U#i1 tir -5- Ol/25/~007 i1 ?. F BAKER HUGHES INTEQ SiteID: 015-021-000687 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/27/20~~ ~ CALL 911 FOR FIRE DEPT OR HALL AMBULANCE SERVICE. Employee Notif./Evacuation 09/27/207 EMPLOYEES TO BE NOTIFIED OF EMERGENCY SITUATION VIA PA SYSTEM AND TO MEET ACROSS THE STREET IN FRONT OF BUILDING. Y ~11C IvoLlt . ~ L~vacuaLlon 1 C.FS rc.~ Emergency Medical Plan DIAL 911. 12/29/198 -6- Ol/25/~b07 - t+ F BAKER HUGHES INTEQ SiteID: 015-021-0006'7 ~ Fast Forma€ ~ ~ Mitigation/Prevent/Abatemt Overall Sites ~ ~ Release Prevention 12/08/195 ~ ACETYLENE AND OXYGEN BOTTLES STORED ON PLATFORM AND CHAINED TO WALL. Release Containment 08/28/1951 REDUCE VAPORS WITH FOG OR FINE MIST. REMOVE ALL IGNITION IF WITHOUT RISK. SHUT OFF LEAK IF WITHOUT RISK. VENTILATE AREA OF LEAK OR MOVE LEAKING CONTAINER TO WELL VENTILATED AREA. Clean Up 09/27/20176 PREVENT WASTE FROM CONTAMINATING SURROUNDING ENVIRONMENT. DISCARD RESIDUE IN AN ENVIRONMENTALLY-ACCEPTABLE MANNER, IN FULL COMPLIANCE WITH FEDERAL, STATE, AND LOCAL REGULATIONS. V1.11CL iCCSVULC;C 1'il:l,lVdl.1CJ11 -7- O1/25/~b07 ,_~. F BAKER HUGHES INTEQ SiteID: 015-021-00068'7 ~ Fast Formtit ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 01/25/2087 ~ LITHIUM BATTERIES (STORED IN DOG HOUSE BLDG S OF SM WRKSHP IN BACK); MAX 20-30 BATTERIES STORED. Utility Shut-Offs 05/31/20t~5 A) GAS - FRONT E CRNR BLDG B) ELECTRICAL - FRONT YARD INSIDE E DOOR ON WALL C) WATER - FRONT YARD D) SPECIAL - NONE E} LOCK BOX - NO Fire Protec./Avail. Water 05/31/20D6 PRIVATE FIRE PROTECTION - 17 FIRE EXTINGUISHERS, ABC AND HALON TYPE. FIRE HYDRANT - RIGHT E FRONT CRNR OF LOT. Building Occupancy Level 03/10/20015 15 EMPLOYEES PLUS 15-20 FIELD EMPLOYEES -8- Ol/25/~b07 ~~ F BAKER HUGHES INTEQ SiteID: 015-021-0006'7 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/31/20175 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM:- VARIOUS SAFETY PROGRAMS CONCERNING FIRE, HAZARDOUS CHEMICALS, AND FIRST AID, AS WELL AS PUBLISHED MONTHLY SAFETY MEETINGS HELD FIRST WEDNESDAY OF EACH MONTH. Page 2 11/19/1995 SB198 & COMPANY HSE PROGRAM IN PLACE. Held for Future Use _ ~ ~ r _ L1Glu 1v1 ru~..ulc ~~c -9- O1/25/~007 UNIFIED PROGRAM INSPECTION 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 INSPECTION DATE INSPECTION TIME jam/ `_ ~ ~± ~ `' •~ ` ADDRESS 1 L~ ~~ ~ ('~ --~ ~~ ~~-4--E=~(-~-----~~~ '-------------------- --- ~ PHONE No. No. of Empbyees Business ID Number FACILITYCON T 15-021-~~(,g'~ Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C V ^ \V=Vioationncel OPERATION APPROPRIATE PERMIT ON HAND COMMENTS ' ' ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE - VISIBLE ADDRESS -------- ------- /~ DF~, ,¢ - ------------~jjn---------------•----°---------------- ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS --- 1----- __-_____.._._-._____ _ ~.- ..--- ----_. ^ -- VERIFICATION OF QUANTITIES -- ---- ----- . _- _-_~ - -` ------ _ ~--- -- ------ ^ VERIFICATION OF LOCATION ` -- - -- --~----_ -- ~i ^ PROPER SEGREGATION OF MATERIAL ` ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING - ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEOUATE - ` - ^ CONTAINERS PROPERLY LABELED _ ^ HOUSEKEEPING -.- - - - 1~ ^ FIRE PROTECTION --- --- ---------- ---- I~ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ~~ ~~~ ~ d ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~) 326-3979 Inspector Badge No - ~ B sloe Site Responsible Party White -Environmental Services Yellow - Statbn Copy Pink • Business Copy ~ V BAKERSFIELD FIRE DEPT s D Prevention Services UNIFIED PROGRAM INSPECT'I®N CHECKLIST ~~~~ 9ooTruxtunAve., Suite 210 .~a,> SECTION 1 BUSIneSSa ,.. ,>: .. > . ,:, : , : -:.. ,. ~Rrr r Bakersfield, CA 93301 Plan and Inventory Program ~ Tel.: (661) 326-3979 • Fax: (661) 872-2171 FACILITY NAME INSPECT ON DAT INSPECTION TIME ~ _ ~ ~ zs ~' I~~., ~ ADDRESS ~O~E NO. r O OF ~ LOYEES 9 r ~0 1~ ~ ~ tJJ J " ~ FACILITY CONTACT USINESS ID NUMBER 15-021- ~O~ (~ d-~ l.. V l ~/ l L Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation ' COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIftt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES aj iL,!( ^ EMERGENCY PROCEDURES ADEQUATE (1// ~~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING , /I~ ^ FIRE PROTECTION /~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ^ NO •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3879 Inspector (Please Print) a Prevention! is' In /Shift of Site/Station # ~ X12 i,~ 6 G / ~-- Business SitelSchool Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) _~ + BAKER HUGHES INTEQ __________________________________ SiteID: 015-021-000687 + Manager Location: 6117 SCHIRRA CT City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 834-9654 Map 123 CommHaz High Grid: 15C FacUnits: ,1 AOV: SIC Code:1389 DunnBrad: Emergency Contact / Title Emergency Contact / Title ~rj LEd~c-T' / WEST COAST MGR LUIZ VIGIL / MAINT COORD Business Phone: (661) 834-9654x Business Phone: (661) 834-9654x 24-Hour Phone (661) 834-9654x 24-Hour Phone (661) 834-9654x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact DOUG FORST Phone: (661) 834-9654x MailAddr: 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 Owner BAKER HUGHES INTEQ Phone: (661) 834-9654x Address 6117 SCHIRRA CT State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ENT~~ ~U~ 14 2006 PROG A - HAZMAT ~`~ ~ O 1 l ~~ ~~ ~ ~ b~ 5~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under pens of law that I have personally examined am fa ' 'ar with the information submitted a d be ' v the information is true, aCCUr~te, C nlcr (o /Z ~~ bate ©~ ~~ CCg~ ~s t ~ ~r~~n-~ ~~~~ ~, LAP ~T -1- 05/31/2006