Loading...
HomeMy WebLinkAboutBUSINESS PLAN 7/18/2007® PERFECTION STAINLESS 901 SUMMER STREET '~ PERFECTION STAINLESS FAB SiteID: 015-021-001198 Manager ODILIA TORRES Location: 901 SUMNER ST City BAKERSFIELD BusPhone: (661) 324-5466 Map 103 CommHaz High Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI / FOREMAN Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x 24-Hour Phone (661) 834-6422x 24-Hour Phone (661) 836-9880x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ODILIA TORRES Phone: (661) 324-5466x MailAddr: 901 SUMNER ST State: CA City BAKERSFIELD Zip 93305 Owner CHRIS CARMIGNAN Phone: (661) 834-6422x Address 4005 ONSLOW CT State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~NT'~ ,~ ~ ~ ~ X001 ~?ased on my inquiry of those individuals responsib~e far oi~ja'.ning ts,e information, i certify under Nenalty G 6a+rt tf;at i have personally examined a,~d am familiar avith the information suf;mitted and ueiieve the information is true, ` accurate, and cornpl ~' ..~~~ ` Si nat re G~~ / g u te -1- 07/13/2007 I'~ F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ ~ 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 200.00 FT3 Hi OXYGEN F IH DH G 200.00 FT3 Low KEROSENE F IH DH L 55.00 GAL Low HYDRAULIC FLUID F DH L 55.00 GAL Low ARGON F P IH L 922.00 FT3 Min -2- 07/13/2007 -3- 07/13/2007 ,, F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map:. Grid: CAS# 74-86-2 ~GasATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 t1E~GHtCLllua 1:V1~lYV1V~1V1J %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1HGL•iL[L HJJl;J J1"11;1V 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit STATE TYPE PRESSURE _ Gas Pure .Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE ~~ CONTAINER TYPE ~ Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 IlEiGtitCLVU.7 1.V1~lYV1V.C~1V 1.7 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 1"LHGEitCL L~.7.7~.7~7P'11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/13/2007 ~- 5' F PERFECTION STAINLESS FAB ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME KEROSENE Location within this Facility Unit BEH SHOP STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-001198 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 70892103 TEMPERATURE CONTAINER TYPE' Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1AGH.ttLVU~ 1.V1~lYV1VL"1V1J %Wt. RS CAS# 100.00 Kerosene No 70892103 tll-~GHKL E~. 7.7J;~~i~11.i1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME HYDRAULIC FLUID Location within this Facility Unit Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ixture Above Ambient Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL riEiGE'1tCL V U w7 1. V1~lY V1V L' 1V 1 ~7 %Wt. RS CAS# 100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 t1tiGKK1J 1-~~51",~b1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/13/2007 F PERFECTION STAINLESS FAB ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ARGON Location within this Facility Unit CTR S WALL STATE TYPE PRESSURE _ Liquid TPure ~-Above Ambient SiteTD: 015-021-001198 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7440-37-1 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 461.00 FT3 922.00 FT3 461.00 FT3 t1AGAKLVU~ 1:V1~lYV1Vl;1V1~ %Wt. RS CAS# 100.00 Argon No 7440371 riAGHKL .HS 7L' 7 ~1~1J;1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 07/13/2007 -, is F PERFECTION STAINLESS FAB SitelD: 015-021-001198 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/07/1991 ~ CALL HAZARDOUS MATERIALS DIVISION 326-3979. Employee Notif./Evacuation 10/12/2001 VACATE BLDG AND CALL FIRE DEPT. Public Notif./Evacuation WITH EMPLOYEES. 08/07/1991 Emergency Medical Plan 12/09/1999 NEAREST HOSPITAL. -7- 07/13/2007 ~, .. F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/09/1999 ~ STORED PROPERLY, FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, NO SMOKING WHILE IN USE, IF UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE KEPT OUTSIDE. Release Containment 08/07/1991 ARGON CHAINED TO WELDING CARTS. Clean Up ABSORBANT MATERIAL. 08/07/1991 U1.11C.L iCC.7-UTAl.LC lil:l.lVdl.1U11 -8- 07/13/2007 w F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~;iai na~aiu~ Utility Shut-Offs 01/05/2007 A) GAS - SE CRNR B) ELECTRICAL - SE CRNR C) WATER - BEH SHOP IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - ALLEY BACK OF BLDG. 01/05/2007 Building Occupancy Level 03/15/2006 6 EMPLOYEES -9- 07/13/2007 ~~ ~ '4' F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/05/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMA.RY OF TRAINING PROGRAM: EMPLOYEES ARE INFORMED OF SAFETY PROCEDURES AND EMERGENCY GUIDELINE BEFORE BEGINNING EMPLOYMENT. rciyc ~ Held for Future Use nciu ivl. r u~.uic u~c -10- 07/13/2007 ~/~ s Q~~~.n F~,~~ CITY OF BAKFRSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ro .y UNIFIED PROGRAM INSPECTION CHECKLIST ~w ~4Q;~~t 1715 Chester Ave., 3'~ I~ loor, Bakersfield, CA 93301 'wlllllu' FACILITY NAMEQ~'2F~~T~o/1I ~ Atl,(~ J,QSSINSPECTION DATE II ~ ~ D 3 ADDRESS 4y I ~ J ~ a 1~ f2- S ('~ PHONE NO.~y- ~s Yw ~ FACILITY CONTACTC.h'2i 5 C.~,~~ i n1~(~eV' )~ BUSINESS ID NO. IS-21U- GO Lf ~i Fs INSPECTION TIME 1 S- rn~'~ NUMBER OF EMPLOYEES S Section 1: Business Plan and Inventory Program ~outine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate QE Visible address / 3 Correct occupancy Verification of inventory materials ~ <f Verification of quantities G~'~L ~ Verification of location /~ j'~ Proper segregation of material °G~~~" '~~~ oo ~N Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ` / ~t ~~ 1 ~1 <_) 9 Containers properly labeled j~ ~ ~, ~ ~ Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~o Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink - Husiness Copy 7 Business ite ~ onsible Party Inspector: ~~ :+-_- ~- 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 F LITY NAME INSPE TION DATE INSPECTION TIME ~~-~,~LT. ! ~-'_~ --- ~~f_-1~.tJ~~-~-s- ~~~~.-~c--+~~ ~6~)..- ----- ----- 1 t ~ls/os -~tp- r"f ~/_- A RESS PHONE No. No. of Employees .-- r---- 3~. .~ ~ Business ID Number FACILITYCONTACT ~~~2 ~ ~ Cf~C~W~~GPtAr~`~~ ~ IS-021-~/ / 1 ~ '~ Section 1: Business Plan and Inventory Program Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection ~C/V \V=V'oaponncel OPERATION COMMENTS D ^ APPROPRIATE PPERMIT ON HAND ~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE LZY ^ VISIBLE ADDRESS ,~~/ ^ CORRECT OCCUPANCY U' ^ VERIFICATION OF INVENTORY MATERIALS L7 ^ VERIFIGATION OF QUANTITIES ,.,,/ ^ VERIFICATION OF LOCATION LM ^ PROPER SEGREGATION OF MATERIAL ~^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ~ ~J ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES LY ^ EMERGENCY PROCEDURES ADEQUATE ^~^ CONTAINERS PROPERLY LABELED LJ ^ HOUSEKEEPING -- ----- --- - ------ - - -- ---- ---- --- _r_ _ ___ _ lJ ^ FIRE PROTECTION ~ LY' ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES L9'No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I ~ 326-3879 ~~~ _~~~-~--_-- -arc---------- Inspector (Please Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy Busin i Responsible a (Please nnt) m S N Pink -Business Copy ~_ PERFECTION STAINLESS FAB Manager Q ~ t~ ~ IG~-- ~ U (' ~-Q=-S Location: 901 SUMNER ST City BAKERSFIELD SiteID: 015-021-001198 BusPhone: (661) 324-5466 Map 103 CommHaz High Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / ~'itle CHRIS CARMIGNANI / PRESIDENT LEVI CARMIGNANI / ~C'.IY~~IV~ Business Phone: (661) 324-5466x Business Phone: (661) 324-5466x 24-Hour Phone (661) 834-6422x 24-Hour Phone (661) 836-9880x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ~ i~r~ I ~~ Phone: (661) 324-5466x MailAddr: 901 SUMNER ST State: CA City BAKERSFIELD Zip 93305 Owner CHRIS CARMIGNAN Phone: (661) 834-6422x Address 4005 ONSLOW CT State: CA City :.BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~07 Based on responsible fury ,npuiry pit t~~~~ ir~di,~iduals under ot,tntnlrl(~ tho frtfgrt~y~ion natt • , 1 certify y of lacy examined tr,~~ I have personally and am fpt~,l-lar sub l W tht the information mitted and bdllev~r the irtforrnation i accurate and , s true, complete, G e -1- 02/05/2007 ,;. F PERFECTION STAINLESS FAB ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-001198 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 200.00 FT3 Hi OXYGEN F IH DH G 200.00 FT3 Low .KEROSENE F IH DH L 55.00 GAL Low HYDRAULIC FLUID F DH L 55.00 GAL Low ARGON F P IH L 922.00 FT3 Min -2- 02/05/2007 -3- 02/05/2007 F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-86-2 ~GdSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Acetylene Yes 74862 rif~GH.ttL 1~i~:iJ;J~1~1L'1V~15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / j Hi ~ 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: CAS# 7782-44-7 STATE T TYPE PRESSURE ~~' TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure Above Ambient I Ambient i PORT. PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Co200100rFT3 Daily 200100m FT3 I Daily 200r00e FT3 nrarucLUU~ ~.viirutvrty t S SWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1tiGHit1J 1-~J JL~JJI~IJJIVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/05/2007 F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ ~ Inventory Item 0001 Facility-Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: BEH SHOP CAS# 70892103 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture T Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container. Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1AGHKLVUJ 1~V1~lYV1VJ~;1V1J %wt. RS CAS# 100.00 Kerosene No 70892103 tll-~GKKL E~~ SL"J51~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDRAULIC FLUID Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 0 Liquid TMixture ~AboveSAmbEent AmbientT~E IN MACHINE/EQUIPPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL riHGL•i.1tLV U.7 1.V1~lYV1V J~,1V 1.7 owt. Rs cAS# 100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 112345 I1EiGEiKL 1~~J.7L' J.71"1L' 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / j / Low -5- 02/05/2007 n -~ F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: CTR S WALL CAS# 7440-37-1 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 461.00 FT3 922.00 FT3 461.00 FT3 ru~~r~xliuu5 Lc~Nirc~N~N•1.5 %Wt. RS CAS# 100.00 Argon No 7440371 l1L~iGKRL 1i~ 747 r+47 J1"181V 147 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 02/05/2007 F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/07/1991 ~ CALL HAZARDOUS MATERIALS DIVISION 326-3979. Employee Notif./Evacuation 10/12/2001 VACATE BLDG AND CALL FIRE DEPT. Public Notif./Evacuation 08/07/1991 WITH EMPLOYEES. Emergency Medical Plan 12/09/1999 NEAREST HOSPITAL.. -7- 02/05/2007 ,, F PERFECTION STAINLESS FAB SiteID: 015-021-001198 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/09/1999 ~ STORED PROPERLY, FOLLOW SAFETY PROCEDURES, USE PROPER FITTINGS, NO SMOKING WHILE IN USE, IF UNIT FOUND LEAKING CALL SUPPLIER AND HAVE REPLACED KEROSENE KEPT OUTSIDE. Release Containment 08/07/1991 ARGON CHAINED TO WELDING CARTS. Clean Up ABSORBANT MATERIAL. 08/07/1991 Other Resource Activation -8- 02/05/2007 l ~~ F PERFECTION STAINLESS FAB SitelD: 015-021-001198 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~Nc~ial nac.aiu~ Utility Shut-Offs 01/05/2007 A) GAS - SE CRNR B) ELECTRICAL - SE CRNR C) WATER - BEH SHOP IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/05/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - ALLEY BACK OF BLDG. Building Occupancy Level 03/15/2006 6 EMPLOYEES -9- 02/05/2007 F PERFECTION STAINLESS FAB SitelD: 415-021-001198 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/05/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: EMPLOYEES ARE INFORMED OF SAFETY PROCEDURES AND EMERGENCY GUIDELINE BEFORE BEGINNING EMPLOYMENT. rayc ~ Held for Future Use Held for Future Use -10- 02/05/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A ' F R 5 F . n 900'IYuxtun Ave., suite 210 ~. 4 _k ~~ __ . _.~.~u. ,~ ~._ ;:.-~,~~-a~,x_„ ,_.-~ _ __.~ ~ ~~~ _M~~ ~ ~ 4 ~ :_ a: _ _., ~_m ~ ~« ~ FIRS Bakersf eld, CA 93301 ,- SECTION 1: Business-Plan and Inventory Program. gRret r Tel.: (661) x26-3979 -Fax: (661) 872-21.71 FAC_I NAME - ~+Q.~~-Tl~o n1 - T F-~i ~S Lrz~ s ~A~ C?, INSPECTIO DATE , © 2 3 0 INSPECTION TIME ~ ~ r,~ ~^~ ADD ESS ~ D ( ~ Jm ~' d~~ ~' i l'~ts~ i " PHONE NO. - 32 - 3' ~ NO OF EMPLOYEES FACILITY CONTACT ~ 15 ~.2m JG/~AI~J BUSINE SID NUMBER 15-021- 04 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 'U/ ^ APPROPRIATE PERMIT ON HAND L~J ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE , ^ VISIBLE ADDRESS L S ~ / Ild' ^ CORRECT OCCUPANCY 9n ~ ~ ZOO6 ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ILI/^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ,,.. L7 ^ VERIFICATION OF MSDS AVAILABILITY L7 ^ VERIFICATION OF HAZ MAT TRAINING O CJ's ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IJ' ^ EMERGENCY PROCEDURES ADEQUATE CY ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING lJ ^ FIRE PROTECTION i ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^YES [5'NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # White -Prevention Services - ~ Yellow -Station Copy Pink -Business Copy I Responsible FD 2155 (Rev. 09/05 _ / ~