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HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007---- - ~ f cS ~~ l~ \` \ _,C f: .::~. SOUTH UNION TRUCK REPAIR INC BusPhone: Map 124 Grid: 08C SiteID: 015-021-000187 Manager ROBERT HARMS Location: 2130 S UNION AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: (661) 831-6400 CommHaz High FacUnits: 2 AOV: Emergency Contact / Title Emergency Contact / Title HERBERT LAWSON / OWNER ROBERT HARMS / PARTS MANAGER Business Phone: (661) 831-6400x Business Phone:-(661) 831-6400x 24-Hour Phone (661) 399-9077x 24-Hour Phone (661) 832-6293x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact ROBERT HARMS Phone: (661) 831-6400x MailAddr: 2130 S UNION AVE State: CA City BAKERSFIELD Zip 93307-4190 Owner HERBERT LAWSON Phone: (661) 399-3605x Address 701 CHARLANA DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~~ PROG A - HAZMAT ~~L 1 9 ~O®7 PROG H - HAZ WASTE GEN °~?s2d or, my in :±uiry of these inclivicluals resgon~~ibie r„- ~hr ; ping the info ., r Un~!e!" _A t , maii ail. ~ certii t,; i c: ~~<<r that r ~ J lave ' y e~ fR ~ ~ amines any ar fa^iii• r Ae._on,~i~y sub.,, +' a ih°iti~ the infcrmation i t 1 ano o=i° • e the information is true, accurate, anC com le p .e. ~igi ttu,:, Date -1- 07/16/2007 1 a A F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SHOP ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 360.00 FT3 Hi .OXYGEN F P IH G 600.00 FT3 Low WASTE OIL F DH L 165.00 GAL Low MOTOR OIL F DH L 330.00 GAL Min -2- 07/16/2007 -3- 07/16/2007 F SOUTH UNION TRUCK REPAIR INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit Map: S WALL SHOP STATE TYPE PRESSURE TEMPERATURE Gas TPure Above Ambient Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 360.00 FT3 360.00 FT3 360.00 FT3 -- tu~~t~tct~~ua wlnrviv~lvl~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 t1E~GHttL 1-lSJ~JJI~lt',1V l a 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 N WALL SHOP Map: STATE T-TYPE PRESSURE TEMPERATURE Gas I Pure Above Ambient Ambient = SiteID: 015-021-000187 ~ Facility Unit: SHOP ~ Days On Site 365 Grid: CAS# 74-86-2 CONTAINER TYPE PORT. PRESS. CYLINDER Facility Unit: SHOP ~ Days On Site 365 Grid: CAS# 7782-44-7 CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 600.00 FT3 600.00 FT3 tit~GljttLUUJ ~~i~tr~lvl;ly 15 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiE~L,E~ttL .'~~7~7L'b~1~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 07/16/2007 F F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ ~ Inventory Item 0005 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME WASTE OIL- Days On Site 365 Location within this Facility Unit Map: -Grid: 35 FT S OF SHOP CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 165.00 GAL 165.00 GAL nr~c~ru~LV V a ~.VrlrVivr,ly 1 S °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 L11iL~tiRL t1w 7JL' w7 J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S EXT WALL SHOP CAS# 64742-57-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~ Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 330.00 GAL 330.00 GAL 17t~GtilCLVIJJ l..Vl"lY V1V L'1V 1.7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 r11iGLiLCL tiJ J~~J JI~li'.+1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 07/16/2007 ~ l a F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/20/1999 CALL 911. Employee Notif./Evacuation 12/05/2006 DIAL 911 AND EXPLAIN PROBLEM. IF FIRE CANNOT BE CONTAINED WITH OUR FIRE EXTINGUISHER, WE EXIT THRU NEAREST EXIT AWAY FROM FIRE AND WAIT FOR HELP. .AFTER CALLING OVER PA SYSTEM FOR IMMEDIATE EVACUATION. IF FIRE IS AT TRUCK SHOP THEN WE ALL MEET IN FRONT OF PARTS DEPT IF FIRE IS IN PARTS DEPT THEN WE CALL - MEET IN FRONT OF SHOP. Public Notif./Evacuation VERBAL. 09/20/1999 Emergency Medical Plan KAISER HOSPITAL. 12/05/2006 -6- 07/16/2007 F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 06/20/1990 THE ONLY THING WE COULD SPILL WOULD BE OIL AND WE WOULD CLEAN IT UP AT THE TIME OF THE SPILL WITH RAGS AND SOLVENT. OIL IS STORED IN SEALED METAL CONTAINERS. ALL GAS CYLINDERS ARE CHAINED. 9 9 Release Containment Other Resource Activation -7- 07/16/2007 F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oYC~:lai na~aiu5 Utility Shut-Offs 04/16/2007 GAS - SHOP-S CTR OUTSIDE BLDG; PARTS-OUTSIDE S CTR BLDG ELECTRICAL - SHOP-E, N ELECT BOX ON WALL; PARTS-OUTSIDE N CTR BLDG WATER - WELL Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - SE CRNR OF LOT. 03/16/2006 Building Occupancy Level 3 EMPLOYEES 12/06/2006 -8- 07/16/2007 J ~ a. F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/05/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: DISCUSS HAZARDOUS MATERIALS, HOW TO RECOGNIZE THEM, SAFETY PROCEDURES AND SAFEGUARDS. IMPORTANCE OF USING INFORMATION ON MATERIAL SAFETY DATA SHEETS, WHO TO CONTACT IN CASE OF EMERGENCY, USE OF GLOVES, GOGGLES, MASKS ETC. PASS OUT COPIES OF PROP 65 AND DISCUSS. POSTED MSDS SHEETS. rayc ~. Held for Future Use nciu ivi ru~.uic vac -9- 07/16/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program • FACILITY NAME ADDRESS ~.1--~--«----- ---5--__u~ ~..~~,~~.-------~-~-- v------- ---- - --- --.. - -- - Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 __ _ _ e ~ G~ o P E No. of Empbyees Business ID Number 15-021-Opo/~7 0 Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined ^ Joint Agency ^Mnlti-Agency O Complaint O Re-inspection u ', C V \V=Vioa6onn~) OPERATION ~ COMMENTS I ~^ APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE U ---- --------- -- - - - - - _ -- - - -_ _ . ~ _ _ .. _ _ - . . . - ._ .. - VISIBLE ADDRESS CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES ~ I VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL . ~ VERIFICATION OF MSDS AVAILABILITYE --- ---------------~-- ---------- - --- ._.__..- _-------___ __T-._ _ _-- --- --._..._. __ _ _ _.....-.....----._ _..-------- --- - ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ -- _.. EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~ - - _. .. _ .. __.__..._..f_. ..._ .. .... ....... ...... _... .-__.- ^._ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO ExPt.AIN: • QUESTIONS REGARDING THIS INSPECTIO(V~ PLEASE CALL US AT ~6G') ~ 326-3979 .- Inspector (Ple se Print) ~ Fire Prevention 1st-INShik of Site While • Environmental Services Yellow - Station Capy L- Business Site Re si Party (Please Print) mmy Pink -Business Copy ~ a + SOUTH UNION TRUCK REPAIR INC ________________________ SiteID: 015-021-000187 + Manager Location: 2130 S UNION AVE City BAKERSFIELD BusPhone: (661) 831-6400 Map 124 CommHaz High Grid: 08C FacUnits: 2 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HERBERT LAWSON / OWNER ROBERT HARMS / Business Phone: (661) 831-6400x Business Phone: (661) 831-6400x 24-Hour Phone (661) 399-3605x 24-Hour Phone (661) 832-6293x Pa er Phone (-r~r}- B-3 ; ~- ~ ~ ~ ,.,r- g ^ ~ " -- , . Pager .Phone Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 831-6400x MailAddr: 2130 S UNION AVE State: CA City BAKERSFIELD Zip 93307-4190 Owner HERBERT LAWSON Phone: (661) 399-3605x Address 701 CHARLANA DR State: CA City BAKERSFIELD Zip 93308 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 inqu!rY of those individuals 1 certify responsib-e for obtaining the information, ersonatly under penalty of Ifamil aatwithahe P formation examined and am subtTmitted and believe the information is tru , ete. accurate, and com ~~ ~~ ---® Date Signature ~N~'~ ~A ~ ~ ~ 2006 -1- 03/07/2006 + SOUTH UNION TRUCK REPAIR INC ________________________ SiteID: 015-021-000187 +~ Manager Location: 2130 S UNION AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: (661) 831-6400 Map 124 CommHaz High Grid: 08C FacUnits: 2 AOV: SIC Code: DunnBrad: Emergency Contact / Title gb 2~mergency Contact / Title HERBERT LAWSON / OWNER -3a~ ROBERT HARMS / Business Phone: (661) 831-6400x Business Phone: (661) 831-6400x 24-Hour Phone (661) -3-995' -~ 24-Hour Phone (661) 832-6293x Pager Phone (661) 835-2361x Pager Phone (661) 398-7305x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 831-6400x MailAddr: 2130 S UNION AVE State: CA City BAKERSFIELD Zip 93307-4190 Owner HERBERT LAWSON Phone: (661) 399-3605x Address 701 CHARLANA DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN ~r.~. ~ ~ 206 t______________________________________________________________________________+ -1- 03/07/2006 U~ SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 Manager Location: 2130 S UNION AVE City BAKERSFIELD BusPhone: (661) 831-6400 Map 124 CommHaz High Grid: 08C FacUnits: 2 AOV: CommCode: BFD STA 05 EPA-Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HERBERT LAWSON / OWNER ROBERT HARMS / ~~ y'}1G~~-*~ ~. Business Phone:~(661) 831-6400x Business Phone. (661) 831-6400x 24-Hour Phone (661) _399-9077x 24-Hour Phone (661) 832-6293x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazard s: Fire Press ImmHlth DelHlth s ~ Contact ~e~~ ~ ~~ ~ Phone: (661) 831-6400x MailAddr: 2130 S UNION AVE State: CA City BAKERSFIELD Zip 93307-4190 Owner HERBERT LAWSON Phone: (661) 399-3605x Address 701 CHARLANA DR State: CA City BAKERSFIELD _ Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT~D ~ ~" ~ ~ ~ ZQO7 PROG H - HAZ WASTE GEN ~ ~ ~~ Based on ;ry irrtlir~+ of it~C3Se 'to'~divi?!.i~is rP,SpOrlSibiP, for Gw?4.,f;ii:t~ ~F'~ ~rii(:rri1at10n, i Ci'.rilfy under penalty of i~~r t~jot i hc~`Je personally examined and am tarnilittP writh the informatian su5m~tted and believe the inrormation is true. l ate. acc r ite, and c p ~~~ ~ ~~ _ Sic . e Date -1- 02/06/2007 :F SOUTH UNION TRUCK REPAIR INC. SiteID: 015-021-000187 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SHOP ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 360.00 FT3 Hi OXYGEN F P IH G 600.00 FT3 Low WASTE OIL F DH L 165.00 GAL Low MOTOR OIL F DH L 330.00 GAL Min -2- 02/06/2007 -3- 02/06/2007 _F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ '~ Inventory Item 0002 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: S WALL SHOP CAS# 74-86-2 ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 360.00 FT3 360.00 FT3 360.00 FT3 HAZARDOUS COMPONENTS ~Wt• RS CAS# 100.00 Acetylene Yes 74862 r11iGEiiCL rio Ar,J J1"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 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: N WALL SHOP CAS# 7782-44-7 STATE T TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~GaS I Pure Above Ambient I Ambient I PORT _ PRFSS _ (''YT,TNI~RR I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 600.00 FT3 600.00 FT3 ruyc~ru~uv~J ~.V1"!t'V1VP~1V 1S %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 l1t1GriRL tiJ .78JJ1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 02/06/2007 ,F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ ~ Inventory Item 0005 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: 35 FT S OF SHOP CAS# 221 Liquid TWaste -Tmbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 165.00 GAL 165.00 GAL -- l1HG1iRLVUJ l,Vl"lYV1VP~1V1S %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 nt~c~r~tcl~ r~JJ1;aJ1~i1,1v1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 Facility Unit: SHOP ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S EXT WALL SHOP CAS# 64742-57-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 330.00 GAL 330.00 GAL ru~~. u~l~ V U J ~.vlirvly lJly t J %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 I11iGHttL HJ JP~AJI~IP~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 02/06/2007 ~F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/20/1999 CALL 911. Employee Notif./Evacuation 12/05/2006 DIAL 911 AND EXPLAIN PROBLEM. IF FIRE CANNOT BE CONTAINED WITH OUR FIRE EXTINGUISHER, WE EXIT THRU NEAREST EXIT AWAY FROM FIRE AND WAIT FOR HELP. AFTER CALLING OVER PA SYSTEM FOR IMMEDIATE EVACUATION. IF FIRE IS AT TRUCK SHOP THEN WE ALL MEET IN FRONT OF PARTS DEPT IF FIRE IS IN PARTS DEPT THEN WE CALL - MEET IN FRONT OF SHOP. Public Notif./Evacuation 09/20/1999 VERBAL. Emergency Medical Plan KAISER HOSPITAL. 12/05/2006 -6- 02/06/2007 F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/20/1990 ~ THE ONLY-THING WE COULD SPILL WOULD BE OIL AND WE WOULD CLEAN IT UP AT THE TIME OF THE SPILL WITH RAGS AND SOLVENT. OIL IS STORED IN SEALED METAL CONTAINERS. ALL GAS CYLINDERS ARE CHAINED. 1CC1C0.w7C L.V111.0.11111IC11L VLGCall Vt.! V 1.1161 116 s7V1.111..G l~l. l.1V0.l.1 Vll -7- 02/06/2007 :F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l.1Q1 nac.aiu~ Utility Shut-Offs 12/05/2006 A)GAS - SHOP-S CTR OUTSIDE BLDG; PARTS-OUTSIDE S CTR BLDG B)ELECTRICAL - SHOP-E, N ELECT BOX ON WALL; PARTS-OUTSIDE N CTR BLDG C) WATER - WELL D) SPECIAL - NONE E)LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - SE CRNR OF LOT. 03/16/2006 Building Occupancy Level 3 EMPLOYEES 12/06/2006 -8- 02/06/2007 ;F SOUTH UNION TRUCK REPAIR INC SiteID: 015-021-000187 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/05/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: DISCUSS HAZARDOUS MATERIALS, HOW TO RECOGNIZE THEM, SAFETY PROCEDURES AND SAFEGUARDS. IMPORTANCE OF USING INFORMATION ON MATERIAL SAFETY DATA SHEETS, WHO TO CONTACT IN CASE OF EMERGENCY, USE OF GLOVES, GOGGLES, MASKS ETC. PASS OUT COPIES OF PROP 65 AND DISCUSS. POSTED MSDS SHEETS. rayC ~ _ ~ ~ r _ llC 1lL 1V1 1'LLI. I.LtC V~G Held for Future Use -9- 02/06/2007 UNIFIED PROGRAM INSPECTION CHECICLIST~. SECTION 1: Business Plan and Inventor)/ Program BAKERSFIELD FIRE DEPT » , p , D Prevention Services ~~RV 900 Truxtun Ave., Suite 210 ~wnlr t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ NSPECTION DATE INSPECTION TIME ('' ADDRESS t; ..~; l ~ ~ S 2 %~ - HONE NO. '~ 1 Y O OF EMPLOYEES •~ ~ , . .: ~ . ~-, . ee ~- - FACILITY CONTACT USINESS ID NUMBER Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation j COMMENTS ^ APPROPRIATE PERMIT ON HAND __ ^ BUSIt18SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ r ^ CORRECT OCCUPANCY L~ ^ b_ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~Y ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ f` FIRE PROTECTION ~~ ~ ~ f~.~.~ ' ^ SITE DIAGRAM ADEQUATE 8 ON HAND ~ ~~S ~ ~ ~ Z©® ANY HAZARDOUS W ON/ SI E? EXPLAIN: -A!1.~ d ~L __~: ~'ES ^ NO -. w .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 161 In / Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)