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BUSINESS PLAN 9/2007
~~ ~~, ;~~~ `~ ~ L. l~ ~ '~~ !~ ~i 1 ~.C ~~ ~i ,ill -~,~ i 2tl~td'32t 2iC1TLTn1 ~TxT_-rr~a cr~.+TaQea~u II a ~ ~~ ~~ M: UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program > Prevention Services R r; R s F , 900 Truxturi Ave., Suite 210 FIRE Bakersfield; CA 93301 D ARTM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ - ~ _ f3,4K,cr~S~t zc.D ~L<< <RIc,4~ s?~©c off. f -v C INSPEC ION DATE ~ <1 . INSPECTION TIME ~S~%~ - ADDRESS (Z ~ w . Sc>M N ~l~ HONE NO: O OF EMPLOYEES FACILITY CONTACT . - - BUSINESS ID NUMBER - 15-021-~'7Z~ - __ -- -~i T~J' ROUTINE ^ COMBINED eCtt^nJOINTBAGENCYeSS P^Ia Viand GENCntOr ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation ~ COMMENTS ^ APPROPRIATE PERMIT ON HAND L ~ ~ / ^ BUSItIeSS PLAN CONTACT INFORMATION ACCURATE lkf ^ VISIBLE ADDRESS - ~ CORRECT OCCUPANCY ,-,, / LW ^ VERIFICATION OF INVENTORY MATERIALS I]~ ^ VERIFICATION OF QUANTITIES L5V ^ VERIFICATION OF LOCATION ~ , ^ PROPER SEGREGATION OF MATERIAL / L/J ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING , , / LTV ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EY ^ EMERGENCY PROCEDURES ADEQUATE ~ ~~ ~ 5 ~(j© ~~,,JJ ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASjE ON SITE? L~7 YtS ^ NO EXPLAIN: ("f aS~C ~~ I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # ~~~ ~~ C White ~-Prevention Services Yellow -.Station Copy _ Pink -Business Copy - FD 2155 (Rev. 09105 ;r .. , ._,. BAKERSFIELD ELECTRIC MOTOR INC Manager ~,~ i ~- ~ /~, cb"~ Location: 121 W SUMNER ST City BAKERSFIELD SiteID: 015-021-000726 BusPhone: (661) 327-3583 Map 103 CommHaz Extreme Grid: 29A FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:7694 DunnBrad:05-227-3133 Emergency Contact / Title Emergency Contact / Title MICHAEL W LANGSTON / VICE PRESIDENT GERALD E ENDICOTT / PRESIDENT Business Phone: (661) 327-3583x Business Phone: (661) 327-3583x 24-Hour Phone (661) 872-8408x 24-Hour Phone (661) 638-0431x Pager Phone (661) 636-7564x Pager Phone (661) 394-3657x ............. Hazmat Hazards: Fire Press ImmHlth DelHltfi Contact ~,~ ~.. ~~~ ~.~ Phone: (661) 327-3583x MailAddr: 121 W SUMNER ST State: CA City BAKERSFIELD Zip 93301 ............. Owner M W LANGSTON & G E ENDICOTT Phone: (661) 327-3583x Address 121 W SUMNER ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information I tif ~~~ "~:,~ ,,, n , - ~ `~ ~~ , cer y _ / under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. o~itip-~~ I / ' " ~ ~ y f Signature Dat -1- 01/25/2007 v- d, F BAKERSFIELD ELECTRIC MOTOR INC ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-00072 ~ By Facility Unit ~ Fixed Containers on Sits ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP .............. ACETYLENE E F P IH G 990.00 FT3 Hi PROPANE ~ E F P IH G 727.80 FT3 Hi SOLVENT F IH L 55.00 GAL Mod THINNER F IH L 55.00 GAL Mod OXYGEN F P IH G 843.00 FT3 Low WASTE OIL F DH L 200.00 GAL Low LUBRICATING OIL F DH L 150.00 GAL Min -2- Ol/25/2b07 -3- O1j25f2~07 q` 7 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-000726 ~ ~ 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: MIDDLE RMS 1 & 2 CAS# 74-86-2 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambient Ambient PORT: PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 990.00 FT3 990.00 FT3 990.00 FT3 .............. HAZARDOUS COMPONENTS °sWt . RS CAS# 100.00 Acetylene Yes 7482 r~~titcL t~a5~5~ri~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit FORKLIFT Facility Unit: Fixed Containers on Site ~ Days On Site 3 65 Map: Grid: CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 727.80 FT3 ~ 727.80 FT3 727.80 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Propane Yes 7496 riHGL-~tCL Ei~J5~aJ1~1L1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 01/25/2007 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-00076 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: NE RM 2 CAS# 8052-41-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 40.00 GAL - - t1HGHhCLVU~ lLV1~lYV1VL"1V1~ oWt. RS CAS# 100.00 Naphtha Solvent No 80303i~6 riAGKKL A~ ~15JJ1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Med ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME THINNER Location within this Facility Unit NW RM 3 STATE TYPE -~- PRESSURE Liquid TMixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1330-20-7 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 25.00 GAL . r1ti~t~tcLVU~ wlnr~tvl;lv~.l~ °sWt. RS CAS# 100.00 Thinner No 8030346 ti1~GH.KL 1~a.72:,~~1~1L' 1V "15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mad -5- O1/25/~007 ~~ F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-00076 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE RMS 1 & 2 CAS# 7782-44-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 843.00 FT3 843.00 FT3 843.00 FTC t11'iGH.CCLVUb 1.V1~lYV1VI;1V1J °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1AGF~tC.1l F~551;571~1t;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / Lacy ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE .OIL Days On Site 365 Location within this Facility Unit Map: Grid: MIDDLE W WALL OF YARD CAS# 221 .. Liquid TWaste -~mbRient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 200.00 GAL 100.00 GAL ritiGEitCLVU~ ~.vrirVlvr,ivl~ oWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 tifiGHttL I~A~~5J1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F DH / / / La~v -6- 01/25/2007 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-00072 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LUBRICATING OIL Days On Site 365 Location within this Facility Unit Map: Grid: NW YARD CAS# 64742-54-7 Liquid TMixture 1 Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 150.00 GAL 75.00 GAS; HAZARDOUS COMPONENTS sWt. 100.00 Lubricating Oil (Petroleum-Based) RSI CAS# No 8020835 riAGAK.L A~Jr;5~1~1t;1V-17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -7- Ol/25/2d07 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-000726 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Sits ~ ~ Agency Notification 12/01/1959 ~ CALL 911. Employee Notif./Evacuation 09/29/20076 DIRECT EVERYONE TO LEAVE THE BUILDING AND PREMISES THEN NOTIFY THE APPROPRIATE AGENCY OF THE EMERGENCY. Public Notif./Evacuation 05/17/1980 IN THE EVENT OF A HAZARDOUS SPILL BEYOND OUR ABILITY TO CONTAIN, WE HAVE INSTRUCTED OUR PERSONNEL TO CALL 911 FOR EMERGENCY HELP. IN THE EVENT OF A FIRE, WE HAVE SEVERAL FIRE EXTINGUISHERS WITHIN A FEW STEPS OF ANY LOCATION. IF UNABLE TO CONTAIN THE FIRE BY USE OF A FIRE EXTINGUISHER, PERSONNEL ARE INSTRUCTED TO LEAVE THE AREA IMMEDIATELY, NOTIFYING OTHER PERSONNEL TO DO THE SAME. ONCE CLEAR OF THE BUILDING, THEE` ARE TO CALL 911 FOR EMERGENCY HELP AND ALERT OTHER BUSINESSES ADJACENT TO AND/OR NEAR OURS OF THE POTENTIAL DANGER. Emergency Medical Plan 10/26/2001 MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. -8- 01/25/2007 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-000726 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/01/1955 ~ KEEP ALL DRUMS AND CONTAINERS IN A VERTICAL POSITION. USE HAND PUMPS TO REMOVE LIQUID MATERIAL FROM DRUMS. USE SCOOP TO REMOVE DRY MATERIAL FROM CONTAINERS. ABSORBENT FLOOR SWEEP IS USED TO CONTAIN ANY SPILL OF LIQUID E7R POWDER. Release Containment 03/05/1952 SPILLS ARE CONTAINED BY THE APPLICATION OF ABSORBENT FLOOR SWEEP. Clean Up 09/29/20n6 ALTHOUGH WE HAVE NEVER HAD A SPILL, IF WE DID AND IT WERE OF ENOUGH MAGNITUDE TO WARRANT OUTSIDE INTERVENTION, WE WOULD IMMEDIATELY NOTIFY THE FIRE DEPARTMENT. vLrier rcesource ticLivaLion -9- O1/25/2b07 F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-000726 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~NC~:iai. ncic~aiu~ Utility Shut-Offs 11/08/2006 A) GAS - OUTSIDE NW RM 1 FRONT OF MAIN BLDG B) ELECTRICAL - INSIDE SW RM 1 C) WATER - OUTSIDE ALLEY SE AND SW RM 1 D) SPECIAL - NONE E ) LOCK BOX - NO Fire Protec.jAvail. Water 01/25/200`7 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND WATER, VIA HOSES AND FAUCETS. FIRE HYDRANT - ALLEY SE AND SW RM 1. Building Occupancy Level 03/06/2006 l3 1~"EMPLOYEES -10- Ol/25/~007 .; ~ F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-00072 Fast Format ~ Training Overall Site ~ Employee Training 09/29/20f~6 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: FROM THE BEGINNING OF THEIR EMPLOYMENT] PERSONNEL ARE INSTRUCTED IN THE PROPER PROCEDURES FOR REMOVING MATERIALS FROM THEIR CONTAINERS, AS WELL AS THE PROPER USE OF THE MATERIALS. PERSONNEL ARE ALSO INSTRUCTED IN THE CONTAINMENT OF SPILLS, BY APPLICATION OF ABSORBENT MATERIAL. IN THE EVENT OF AN OCCURANCE BEYOND THE SCOPE OF THE EMPLOYEES EXPERIENCE C7~2 IN CASE OF ANY DOUBT ON THE PART OF THE EMPLOYEE .OF THE PROPER PROCEDURE HE/SHE IS INSTRUCTED TO SECURE THE ASSISTANCE OF SUPERVISORY PERSONNEL IMMEDIATELY. ~ IN THE EVENT OF A FIRE, AS WE OUTLINED IN PART 2, FIRE EXTINGUISHERS ARE LOCATED CONVENIENTLY THROUGHOUT THE SHOP. PERSONNEL ARE INSTRUCTED IN THEIR PROPER USE. IN ANY CASE, WHEN A SITUATION ARISES THAT IS BEYOND THE SIMPLE AND SAFE CONTROL OF PERSONNEL, THEY ARE INSTRUCTED TO VACATE THE PREMISES AND CALL rage Held for Future Use -11- 01/25/2007 .~ _:.. F BAKERSFIELD ELECTRIC MOTOR INC SiteID: 015-021-00075 Fast Format ~ Training Overall Site ........... He or Future Use 9 -12- Ol/25/~b07 U UNIFIED PROGRAM INSPECTION CHECKLIST; :E:SC<k?'t°:K:?i;,.-:y a7Se1!fr.'X~.3?I:ti'>i•.L~.~£.....:?L':k..s.a;`.,'.'u'~'r, ~~.'.,.. ". ,,: '.-a. v.....,'.. i, ~.k_.'.=:., ~s~_ ;:~~:K°.r. ~. ,:.-..~..3:. ,'.. SECTIiDN 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~~Ri t D 900 Truxtun Ave., Suite 210 ~Rrr r Bakersfield, CA 93301 Tel.: (661) 32f~-3979 Fax: (661) 872-2171 FACILITY NAME (~~KicQS'rt rc.0 GL~C~ kl~ ~ o c o~ 1 °uC ~ INSP CTIO DATE ~ ~ a(~ INSPECTION TIME ~0~(~. ADDRESS Z ( W ~ ~ ~ MovL f~ HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- !~(~'?2~ Section 1: Business Plan and Inventory Program J o / ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r ~ L_J ANY HAZARDOUS WASTE ON SITE? EXPLAIN: C V ~ C=Compliance, OPERATION V=Violation COMMENTS 1~1 ^ APPROPRIATE PERMIT ON HAND . !] BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ENrb ^ VERIFICATION OF INVENTORY MATERIALS ~OOs ^ VERIFICATION 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 ~i ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND C,~YES ~NO /~ ~ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~~ P ~~ ~-1~ r Inspector (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # siness te/School Site esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) ~ s + BAKERSFIELD ELECTRIC MOTOR INC ______________________ SiteID: 015-021-000726 + Manager Location: 121 W SUMNER ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: BusPhone: (661).327-3583 Map 103 CommHaz High Grid: 29A FacUnits: 1 AOV: SIC Code:7694 DunnBrad:05-227-3133 +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title MICHAEL W LANGSTON / VICE PRESIDENT GERALD E ENDICOTT / PRESIDENT Business Phone: (661) 327-3583x Business Phone: (661) 327-3583x 24-Hour Phone (661) 872-8408x 24-Hour Phone (661) 638-0431x Pager Phone (661) 636-7564x Pager Phone (661) 394-3657x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 327-3583x MailAddr: 121 W SUMNER ST State: CA City BAKERSFIELD Zip 93301 ---------------------------------------- -------------------------~~- Gxsr rv~; e~~-aa..\ W . Owner --~LD~R~ir~--F-~si+ ~-l ~~~ ~~~Phone : ( 6 61) 3 2 7- 3 5 8 3 x 1• P.41V11R HI IA -TFF!" Address 5 ^"'' ""'T""" ~"" E w~,; `-Q'-rt= ~"'~.State : CA ~~~~~ City BAKERSFIELD t a--L ~¢~~ Sc~..->-..~~ Zip ~~-0--~{33a ! Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Ep~~ Irl~ h ,~, ~ ~oOC 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, accurate, and complete. Signature Date -1- - 03/06/2006 UNIFIED PROGRAM INSPECTION CHECKLIST r~ SECTION ,1 Business Plan and Inventory Program i Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 9330d~ Tel: X661) 326-3979 __~'_ 6 ?/lq~ 1~~~1 PHONE No. Business ID Number - ~ ~--- 15-021- i~CL'J72~ Section 1: Business Plan and Inventory Program ~outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • FACILITY NAME ADDRESS ) Z ( (mot/ r ~~ /~ N' ~ J~ FACILITYCONTACT ANY HAZARDOUS WASTE ON SITE?: ~ YES ^ NO ExPLAIN: __ (~~~ ' (~ 1 • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~sC)'I ~ 326-3979 ~- Inspector (Please Print) Fire Prevention 1st-In/Shik of Site Whfte -Environmental Services Velbw - Statbn Copy usiness ' e R ible Party (Please Print) m Pink -Business Copy ACT 6 2~0~, ~~y~, "~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT ~ ~° OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKi.IST ~ `w '" ti,~ 1715 Chester Ave., 3rd Floor, Bakerstleld, CA 93301 ~~~~ ~aR ~ ~ ~ FACILITY NAME B~Kx;eSFj~r`A cL~~~1L INSPECTION DATE. 1'- 2 S• a 3 ADDRESS Z t,J, Sv~~-,v~R PHONE NO. 2~ - 3 s ~3 FACILITY CONTACT r BUSINESS ID NO. 15-210-~~6 7 INSPECTION TIME /~,~,~.J NUMBER OF EMPLOYEES.. I C~ Section 1: Business Plan and Inventory Program ~utine ^ Combined ^ Joint Agency ^Mu1ti-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 Verification 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 ~~/~ ~/ An~~ hazardous waste on site?: Yes ^ No Explain: i~~t 5 ~ G i Questions regarding this inspection'! Please call us at (661) 326-3979 c_ While -Env. Svcs. Yellow • Station Copy Pink - Husiness Copy _ ~. .~---- Busi ss rte Responsible Party Inspector: n ~ ~~_ l.~~