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HomeMy WebLinkAboutBUSINESS PLAN (2)~' . ~~ ;~ .~ /~ ~~ . ~ ' 1` RAGSDALE AIR CONDITIONING i ;: z, - -- - ----h-- ---~-~ :--. - -- -; ~ ~f ~,; e //3/ ac UNIFIED PROGRAM INSPECTION CHECKLIST;: SECTION 1: Business Plan and inventory Program BAKERSFIELD FIRE DEPT a p Prevention Services w/tl 9001Yuxtun Ave., Suite 210 ~RrM * Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: _ (661) 872-2171 FACILITY NAME ~ ~ NSPECTION DATE ~ ~ INSPECTION TIME v !~/ ~ +J - T I !~ C'r'y h.~ L =~ I ~ c~ 1f d S I I ~ J S M / n/ ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- (~~; J 3 % ~ ~~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C ~i C V (c=compliance) OPERATION V=Violation COMMENTS LIB ^ APPROPRIATE PERMIT ON HAND ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE IY^ VISIBLE ADDRESS L9'~ ^ CORRECT OCCUPANCY G~ ^ VERIFICATION OF INVENTORY MATERIALS CzY ^ VERIFICATION OF QUANTITIES L9'' ^ VERIFICATION OF LOCATION L~1' ^ PROPER SEGREGATION OF MATERIAL L~ ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ~ ~~ l~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE v L~ ^ CONTAINERS PROPERLY LABELED •/~ /G ^ HOUSEKEEPING Lz3' ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES qd NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3879 r L ~ a ~" ~ Ir~sp~(Please Print) Fire Prevention / t°~ In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02/05) ;~i`. ~ ~ - ~ Prevention Services UNIFIED PROGRAM INSPECTION- CHECKLIST; e. F R 5 r t D 900Truxtun Ave.,-Suite 210 Flee ~ Bakersfield, CA 93301 _ SECTION 1 : BUSI17@SS Plan a11C~ IIIV@t1tOY~/ PI"O9t'aRl ~RrM Tel:: (66T)~326-3979 `Fax: (661)872-2171 FACILITY NAME Li C ` ' INSPECTI N DAT ~~ C INSPECTION 71ME ~ ~~ ~ ~/ z o >t~ .~ n~CT- o G Z ADDRESS ~ ~~ ~ ' PH_O~ fV0^~ ~, )~ 77 z 7 NO O~EMPLOYEES T ~ S ~~ c ..SS FACILITY CONTACT ~ lT#}(L~ l ~A- ~ ~f1L.~ BUSINESS ID NUMBER 15-021- ©~ t /3 ~ Section 1: Business Plan and Inventory Program. ,~, - _ _ _ ~ llY ROUTINE ^ COMBINED ^ JOINT AGENCY ^= MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ' ~ C=Compliance OPERATION V=Violation - COMMENTS ~~,,__ 1Q ^ APPROPRIATE PERMIT ON HAND ^' Q BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE E~ ('~ U - LK ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ®~^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~/ L'7 ^ VERIFICATION OF LOCATION ~^ PROPER SEGREGATION OF MATERIAL ~ ` ` ^ VERIFICATION OF MSDS AVAILABILITY G, VV ~I~^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION Q~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # - ^ YES C~YNO White -Prevention Services Yellow -Station Copy Pink -Business Copy - ~ ~ FD 2155 (Rev. 09/05 J RAGSDALE AIR CONDITIONING Manager Location: 1127 SUMNER ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: ~~$1 SiteID: 015-021-001131 BusPhone: (661) 322-2449 Map 103 CommHaz High Grid: 29D FacUnits: 1 AOV: SIC Code:1711 DunnBrad: Emergency Contact / Title Emergency Contact / Title STUART RAGSDALE / OWNER TRACY RAMIREZ / Business Phone: (661) 322-2449x Business Phone: (661) 322-2449x 24-Hour Phone (661) 872-3703x 24-Hour Phone (661) 871-4148x Pager Phone (661) 343-2590x Pager Phone (661) 246-6801x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 322-2449x MailAddr: 1127 SUMNER ST - State: CA City BAKERSFIELD Zip 93305 Owner STUART RAGSDALE Phone: (661) 872-3703x Address 12200 VISTA MONTANA DR State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT , /~ ~ ~ ~ sya: E:U ar: my inquiry of those individuals I certify n ti , o resr3e! ~,'ible ror ~31"iga;ning the informa unde,. oenaity of law that I have personally ENT'D M e;;amined anti am familiar with the information AY ~ 3 ZG~T s4!bmitted and believe the information is true, accurate, and complete, _ }~ ~` ~~~l. Date signature -1- 05/16/2007 r ~~ F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ ~ 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 30.00 FT3 Hi FREON R-22 F P IH G 224.00 FT3 Low OXYGEN F IH DH G 75.00 FT3 Low -2- 05/16/2007 '3- 05/16/2007 h F RAGSDALE AIR CONDITIONING ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit S WALL E OF DOOR STATE TYPE PRESSURE Gas TPure .Ambient SiteID: 015-021-001131 ~ 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 30.00 FT3 30.00 FT3 30.00 FT3 ti1~L,Att11VUJ 1:v1~1rv1v~lv1~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 tiHGHtCL H~J~~Ja1~1~,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME FREON R-22 Location within this Facility Unit SW CRNR UNDER STAIRS STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 224.00 FT3 224.00 FT3 224.00 FT3 ntic~titcLU u ~ ~.vi~trvly my t 5 %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 Y11~iGHKL 1-~,'~~~~.71~1L'1V1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 05/16/2007 ,, F RAGSDALE AIR CONDITIONING ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SE WALL IN GROUP ~GdSATE TYPE PRESSURE TPureAbove Ambient SiteID: 015-021-001131 ~ 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 75.00 FT3 75.00 FT3 75.00 FT3 ru~~~ucl~vu5 ~vl~irvlv~iv'1'S %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1AGE~KL A~~J;~S1~11;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 05/16/2007 F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/26/2000 ~ CALL 911 - FIRE DEPT - POLICE - AMBULANCE. Employee Notif./Evacuation 06/12/1992 VERBAL NOTIFICATION AND CALL 911. Public Notif./Evacuation 06/12/1992 CALL OR WALK NEXT DOOR TO NEIGHBORING BUSINESSES TO NOTIFY THEM CALL 911. Emergency Medical Plan KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 OR HALL AMBULANCE. 01/26/2000 -6- 05/16/2007 F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/25/1990 ~ FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. Release Containment 01/26/2000 VENTILATION OF BLDG SINCE GASSES CANNOT BE CONTAINED. l..1C0.11 IJ~J V 1.1161 i\.G w7V UL \.C 17t.L1V0.V1V11 -7- 05/16/2007 F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~c~.-.ai na~.cii.ua Utility Shut-Offs 02/06/2007 A) GAS - NW CRNR OF PROP B) ELECTRICAL - REAR WALL IN BLDG C) WATER - W OF PROP 100FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO Fire Protec./Avail. Water 02/06/2007 PRIVATE FIRE PROTECTION - NONE. FIRE HYDRANT - NW CRNR E 21ST ST & GAGE ST. Building Occupancy Level 03/01/2006 3 EMPLOYEES -8- 05/16/2007 T F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/09/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: TOTAL VENTILATION OF BLDG FOLLOWED BY EXITING. rciyc ~ nciu ivi. r ui.ua.c vac nciu ivi ru~.uic v5C -9- 05/16/2007 ,~- RAGSDALE AIR CONDITIONING Manager : STUART RAGSDALE Location: 1127 SUMNER ST City BAKERSFIELD SitelD: 015-021-001131 BusPhone: (6611 322-2449 Map 103 CommHaz High Grid: 29D FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:l711 DunnBrad: Emergency Contact / Title Emer` cy Contact Title STUART RAGSDALE / OWNER TRACY REZ / Business Phone: (661) 322-2449x Business P e: (661) 322-2449x 24-Hour Phone (661) 872-3703x 24-Ho hone 61) 871-4148x Pager Phone (661) 343-2590x P Phone (66 46-6801x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact STUART RAGSDALE Phone: (661) 322-2449x MailAddr: 1127 SUMNER ST State: CA City BAKERSFIELD Zip 93305 Owner STUART RAGSDALE Phone: (661) 872-3703x Address 12200 VISTA MONTANA DR State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D ~ C ~' 1 J ZQO7' gases Un ern~jtJtP t~'yOt3t 4uiry pf tt1 examined natty at ta,~n~~he infor ~af/o dividu~'~ts am at f t n subm3 nave certify ° tam~lia a, her writ pers teea ~ d ~ th ~ie co e intprm8ti n ~ S on t Signat ure ~~ l date ~ -~~ -1- 07/13/2007 1 F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ ~ 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 30.00 FT3 Hi FREON R-22 F P IH G 224.00 FT3 Low OXYGEN F IH DH G 75.00 FT3 Low -2- 07/13/2007 7 .~ -3- o~/i3/2oo~ .:~ F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ ~ 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: S WALL E OF DOOR CAS# 74-86-2 ~GaSATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE TPure I Ambient ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 FT3 30.00 FT3 30.00 FT3 rlr-~~.~ttLVUa ~:V1nr~iV~1V1~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 t11~G1-~KL H551=,~a1~1~1V1~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME FREON R-22 Location within this Facility Unit SW CRNR UNDER STAIRS STATE TYPE PRESSURE _ Gas PureAbove Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 224.00 FT3 224.00 FT3 224.00 FT3 riL-~G1iCCLVU.7 ~.V1~lYV1V2S1V1J cwt. Rs cAS# 100.00 Chlorodifluoromethane No 75456 nr~~~-ucl~ ti~~l;~~ri~lyla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/13/2007 ~~ ~ F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ ~ 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: SE WALL IN GROUP 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 Daily Average 75.00 FT3 75.00 FT3 75.00 FT3 tiF~GKKJJVUS C:VMYUN~IV'1'~ oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 i1HGti[CL H. 7 w7 E.7 J1~1~1V -1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -5- 07/13/2007 ~~ ~. F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/26/2000 ~ CALL 911 - FIRE DEPT - POLICE - AMBULANCE. Employee Notif./Evacuation VERBAL NOTIFICATION AND CALL 911. 06/12/1992 Public Notif./Evacuation 06/12/1992 CALL OR WALK NEXT DOOR TO NEIGHBORING BUSINESSES TO NOTIFY THEM CALL 911. Emergency Medical Plan 01/26/2000 KERN MEDICAL CENTER - 1830 FLOWER ST - 326-2000 OR HALL AMBULANCE. -6- 07/13/2007 r; !CA~ 1 F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/25/1990 ~ FREON IN APPROVED PRESSURIZED CYLINDERS AND PROPERLY STORED. Release Containment 01/26/2000 VENTILATION OF BLDG SINCE GASSES CANNOT BE CONTAINED. 1..1GQ11 V~l Other Resource Activation -7- 07/13/2007 - ~ F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JG 1:1Q1 nac~a.~u~ Utility Shut-Offs 02/06/2007 A) GAS - NW CRNR OF PROP B) ELECTRICAL - REAR WALL IN BLDG C) WATER - W OF PROP 100FT AT REAR D) SPECIAL - NONE E) LOCK BOX -NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE. FIRE HYDRANT - NW CRNR E 21ST ST & GAGE ST. 02/06/2007 B ding Occupancy Level 03/01/2006 = 1 .. TT~,_ to ~~ ~~~~ -8- 07/13/2007 ~, tt; ;~ F RAGSDALE AIR CONDITIONING SiteID: 015-021-001131 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/09/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: TOTAL VENTILATION OF BLDG FOLLOWED BY EXITING. rayC ~ Held for Future Use nCiu ivi ru~uic v~~ -9- 07/13/2007