The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 10/10/2007 ~~' `~- --~~ i ~ ~ ii ESYS~ -- . - ~ .I ~, ~ ~~ 4520 STINE ROAD, STE #7 -- "- - ~~ ,,, Prevention Services- UNIFIED "PROGRAM INSPECTION CHECKLIST,: B A F~i- 900'IYuxtun Ave., Suite 210 _ - - FIRE - .Bakersfield, CA 93301 .._ SECTION 1: Business Pian and Inventory Program ° aRTM Tel.: (661) 326-3979 - Fax: (661) 872-2171 - FACILITY NAME INSPECT N D TE INSPECTION TIME ~ v Q 7 ~~ ADDRE S~ ~D ~~ ~~ }~ ~ - ~ /~ PHrON~NO.~ ~ VV~~33 G NOOF~PLOYEES FACILITY CONTACT - BUSINESS ID NUMBER - 15-021- b 0 ~ ~3~ J,JI ~ v-r r FL ~D ~-- - - --- - ~ - I Section 1: Business Plan and Inventory Program ~, I ! • ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE - W ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY {~ ^ VERIFICATION OF INVENTORY MATERIALS 200! ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF.MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY I~ ^ 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 (667) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # - Business Site /Responsible Party (Please Print) ^ YES ^ NO White -Prevention Services Yellow -Station Copy _ Pink -Business Copy FD 2155 (Rev. 09/05 ' ~t.f ~ ~1 ~ t~ ; ESYS n SiteID: 015-021-001137 Manager iu~IS-H;~TB9N~O~~e K~SSb~1~~~101 BusPhone: (661) 833-1902 Location: 4520 STINE RD 7 ~`~'~`'~ ~'na:~ Map 123 CommHaz High City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad:l4-868-2933 Emergency Contact / Title Emergency Contact / Title FABIO RUSSONIELLO / OWNER KRIS HENSON / OFFICE MANAGER Business Phone: (661) 833-1902x101 Business Phone: (661) 833-1902x1-~-1I~~ 24-Hour Phone (661) 398-6160x 24-Hour Phone (661) 809-1340x Pager Phone (661) 809-1340x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact FABIO M RUSSONIELLO Phone: (661) 833-1902x MailAddr: 4520 STINE RD 7 State: CA City BAKERSFIELD Zip 93313 Owner FABIO M RUSSONIELLO Phone: (661) 833-1902x Address : 3200 CLEARWATER DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Prepares: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those indi~iiduals p,, ~~ responsible for obtaining the information, !certify ! under penalty of i~~~,. that I have ersonall ~~ ~ p y ®xamined and fam tar with the information , ~ ~ , n ~ submitted ~ , believe the information is true +~ ~~ accurate. , ~~ ete. . Signature to -1- 07/11/2007 ~; F ESYS SiteID: 015-021-001137 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 150.00 FT3 Hi OXYGEN F P IH G 244.00 FT3 Low NITROGEN F P IH G 6000.00 FT3 Min -2- 07/11/2007 -3- 07/11/2007 F ESYS SiteID: 015-021-001137 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-86-2 ~GaSATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE TPure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 150.00 FT3 70.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1HL+EiKL H.>.7L' J.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas TPure Above Ambient 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 Co244100rFT3 Daily 244100m FT3 I Daily 122r00e FT3 nric~riiwv~J ~..vi-irviV~l~tS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1t~AtiiCL riJ JL' JJ1~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/11/2007 F ESYS SiteID: 015-021-001137 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: WHSE CAS# STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily6000100m FT3 I Daily1800r00e FT3 riY.GHtCLV U.7 1.V1~lYV1VJ;1V 1 J oWt. RS CAS# 100.00 Nitrogen No 7727379 171il~ti2CL Lii J .7 L~.7.71°11J1V 1 r7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/11/2007 F ESYS SiteID: 015-021-001137 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/13/2000 ~ CALL 911. Employee Notif./Evacuation 07/24/2006 IN THE EVENT OF AN UNCONTROLLED OXYGEN LEAK, VENTILATE AREA BY OPENING GARAGE DOOR. IN THE EVENT OF AN UNCONTROLLED ACETYLENE LEAK, VENTILATE BY OPENING GARAGE DOOR, DO NOT CAUSE SPARKS OR FLAMES AND NOTIFY OFFICE PERSONNEL TO EVACUATE AND CALL 911. IN THE EVENT OF TEST GAS LEAK, VENTILATE AREA. Public Notif./Evacuation Emergency Medical Plan 07/24/2006 WHITE LANE MEDICAL CENTER, 5401 WHITE LN, 832-2000. -6- 07/11/2007 F ESYS SiteID: 015-021-001137 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/24/2006 ~ CLOSE MAIN TANK VALVE ON WELDING EQUIPMENT AFTER USE. IN THE EVENT OF MAIN VALVE FAILURE, USE REGULATOR VALVES OR HOSE VALVES. NOTIFY HOPPER FOR REPAIR. Release Containment Other Resource Activation -7- 07/11/2007 F ESYS SiteID: 015-021-001137 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCl:ld1 11d'GdLll.`5 Utility Shut-Offs 03/06/2007 ELECTRICAL - NW FACE OF BLDG WATER - W SIDE OF BLDG ON STINE NEAR MAILBOX Fire Protec./Avail. Water 01/30/2007 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLER SYSTEM AND SPRINKLER ALARM AND OFFICE HAS TWO ABC FIRE EXTINGUISHERS. FIRE HYDRANT - 2 PUBLIC AND 1 PRIVATE W SIDE OF SITE ON STINE RD. Building Occupancy Level 40 EMPLOYEES 07/24/2006 -8- 07/11/2007 }` d~ ~ = S~ F ESYS SiteID: 015-021-001137 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/30/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS, DOCUMENTATION OF ATTENDANCE AT THIS TIME IS ONLY KEPT IN THE EMPLOYEES QUARTERLY REVIEW SHEET. THEY ARE GOING TO START KEEPING RECORDS OF TOPICS AND WHO ATTENDED. rayc c nc~.u ivi ru~.ul.c u~c nciu ivi ru~uic vac -9- 07/11/2007 UNIFIED PROGRAM INSPECTION CHECKLIST $~ .,. <`:^..+ _ "tiW;"Ne*vY.`."......... .nY't i:, f k ".V- ~.: _: .t ' ' ".. ;.. ... .SECTION 1: Business Plan and Inventory Program r ~ L_J BAKERSFIELD FIRE DEPT Prevention Services ~~~s 900 Truxtun Ave., Suite 210 ARtM s gakers8eld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME J ~ ~. ADDRESS HONE NO. O OF EMPLOYEES ~ 3- ~ 2. C~ FACILITY CONTACT USINESS ID NUMBER ~s-o2~- c~o//3'7 d v - i 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 ^ BUSItI@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 ' Y ^ VERIFICATION OF ABATEMENT SUPPLIES.AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE - ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^. ^ FIRE PROTECTION L ~~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ®NO ~,' " " E~CPLAIN~ - ~.~.*:: ;T'~•QUESTIONS REGARDING THIS INSPECTION4 PLEASE CALL US AT (861) 326-3979 ~~.~ ~ r~- Inspector (Please Print) Fire Prevention / t" In / Shift of Site/Station # -~/.~-- Business ' e/School a Responsible Party (Plea~s~e Print) I White -Prevention Services Yellow -Station Copy Pink - Buaineas Copy FD2048 (Rw. 02105) UNIFIED PROGRAM INSPECTION CFIECKL,IST ~~ SECTION 1 Business Plan and Inventory Program i• Bakersfield dire Y~ept. ' Environmental Services 900 Truxtun Ave.; Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 _ FACILITY NAME INSPECTION DATE INSPECTION TIME - ---. .p _ ADDRESS PHONE No. No. of Em oyees Business ID Number FACILITYCONTACT _,tA.~l~ ~~Urro~vi,~~L ls-o2l-oo//3w7 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V nCe~ OPERATION l COMMENTS lV=voati on ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ---- ^ --- VERIFICATION OF INVENTORY MATERIALS - - ---- -----...------- -----__ . - ---- - -------- _ - --_..._.. ---__-_ _ _ --- - -.._. _ . _ ...... ^ I VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL - ^ -- VERIFICATION OF MSDS AVAILABILITYE --- - ^ ---- -------------- _..-----_ --- ._.._..-_ - -- ---_ __ VERIFICATION OF FIAT MAT TRAINING r ...--_._ .._.-....- ._.....-.. ._ _ . ................. .--.-..- ._-----.... --- ----._...- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ -- ----- ^ --- --___- ---___ ---_------ --------- --__.___-- { CONTAINERS PROPERLY LABELED I __--- -._.-.- ___ - ^ HOUSEKEEPING C~ ^• FIRE PROTECTION _ -- ~ ^ SITE DIAGRAM ADEaUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: 0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _._. ~~~i ~ _ ~d yNo R _ - -------1_-3= ~ _------- ---------- Inspector (Please Pri ) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business Site Res onsible Pally (Please Print) Pink -Business Copy 1 ' .i + ESYS ________________________________________________ SiteID: 015-021-001137 + Manager BusPhone: (661) 833-1902 Location: 4520 STINE RD 7 Map 123 CommHaz High City BAKERSFIELD Grid: 14C FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad:14-868-2933 Emergency Contact / Title Emergency Cont ct / Title FABIO M RUSSONIELL j OWNER - ~r~5 ~2nSQn / Business Phone: (661) 833-1902x101 Business Phone: (661) 833-1902x121 24-Hour Phone (661) 398-6160x . 24-Hour Phone (661) °" "~°'~~ ND~-13 0 Pacer Phone (661) p°~*°r ph '`61,-~3~b-499~a~ Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 833-1902x MailAddr: 4520 STINE RD 7 State: CA City BAKERSFIELD Zip 93313 Owner F RUSSONIELLO Phone: (661) 833-1902x Address 3200 CLEARWATER DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emer nc Directives ~ ge y ~~' : ~ ' PRnC~ A - NA7MAT I 1 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty w that 1 have personally examined an am f miliar with the information submitted d bell a the information is 4rue, accurate, d co ete. ~ ~ ~ ~~ Signature Dat ~~`d~~~ 5~°~ ENT ~~~ 2 4 2406 -1- 03/14/2006