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Home My WebLink AboutBUSINESS PLAN 10/19/2007 g w F- ~ cn -W. U ~ z z~ w, J ~ V Q r } U Zi W OI O N. Z'. ~~ O'~: Z W V1 Z W O; a w; Q N a NI ~ ~/ Y :, -_i PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 Manager MIKE SMITH Location: 2280 S UNION AVE City BAKERSFIELD BusPhone: (661) 833-2280 Map 124 CommHaz High Grid: 17A FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MIKE SMITH / MANAGER RICK GOVE / PRESIDENT Business Phone: (661) 978-0700x Business Phone: (951) 682-1091x 24-Hour Phone _: (661) 587-7491x 24-Hour Phone ( ) - x Pager Phone (661) 833-2280x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact RICK GOVE Phone: (951)- 682-1091x MailAddr: 121 N MAIN ST State: CA City RIVERSIDE Zip 92501 Owner PAVEMENT RECYCLING SYSTEMS INC Phone: (951) 682-1091x Address 121 N MAIN ST State: CA City RIVERSIDE Zip 92501 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A HAZMAT rAIT = PROG H - HAZ WASTE GEN ~ O COY/ C PROG T ABOVEGROUND STORAGE TANK ~ ~ ~ ~U o~ ~a:~ed on rr`y ir;guiry of these individuals resNcn~i;.~ic fi:~r o~s.~:.fining the infcrr,'.ation, !certify ~°^a!ty of ia~,~ that I have perscna.liy ur~e~ i e-~~,.n;ner: a^d am amiliar with the in?crmation s~t~nittccs ~•~d ~;2iieve the information is true, acc r= te. and c .~ efe. ~} ~j- d '„ ~ ~ I _.__ ~ Date ~i nature g -1- 07/13/2007 T ~ F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETELYNE E F P IH G 260.00 FT3 Hi DIESEL L 4000.00 GAL Low OXYGEN F IH DH G 300.00 FT3 Low WASTE OIL F DH L 200.00 GAL Low -2- 07/13/2007 -3- 07/13/2007 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETELYNE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 145.00 FT3 260.00 .FT3 145.00 FT3 ruiaru~l~vu~ 1.u1~lYUlVL'1V15 %Wt• RS CAS# 100.00 Acetylene Yes 74862 t11~iGKKL A55J~;551"11;N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ ~ !'~(lT/IT/~/1TT TTT TRL~ ~ l9TiT:TwwT r~nr ~~rr ~wr AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5000.00 GAL 4000.00 GAL 2500.00 GAL ntiarlRl~V u 7 1.u1~lYV1Vl;1V 15 ~Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 riLiGKKL H JSL''i5~1~11a;1V~l'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 07/13/2007 alriir, tYrr; YKI;SSUI2J~; TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient Above Ground Tank F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: 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 282.00 FT3 300.00 FT3 282.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP I No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 200.00 GAL 40.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ritiGH.tCL A J51;55P'lI;N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 07/13/2007 i ~. 2 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification 04/24/2007 PROCEDURE FOR NOTIFICATION OF EMERGENCY AND NON-EMERGENCY RELEASES ARE: 911 ALL EMERGENCIES; 800-852-7550 FOR THREAT TO LIFE SPILLS; 661-978-0700 CORPORATE NOTIFICATION MIKE SMITH IS DELIGATED RESPONSIBLITY FOR ALL EMPLOYEE AND EMERGENCY SERVICE NOTIFICATION. Employee Notif./Evacuation 04/24/2007 PROCEDURE FOR NOTIFICATION OF EMERGENCY AND NON-EMERGENCY RELEASES ARE: 911 ALL EMERGENCIES; 800-852-7550 FOR THREAT TO LIFE SPILLS; 661-978-0700 CORPORATE NOTIFICATION MIKE SMITH IS DELIGATED RESPONSIBLIITY FOR ALL EMPLOYEE AND EMERGENCY SERVICE NOTIFICATION. SECOND EMERGENCY COORDINATOR, SPENCER SKIPWORTH, VP/OPS 951-682-1091. Public Notif./Evacuation 04/24/2007 WE HAVE NO CHEMICALS OR MATERIAL THAT WOULD WARRANT PUBLIC NOTIFICATION/ EVACUATION. Emergency Medical Plan 10/25/2006 MEDICAL EMERGENCIES WILL BE HANDLED BY MIKE SMITH, AREA MANAGER, MERCY HOSPITAL IN BAKERSFIELD HAS BEEN CONTACTED AND IS CAPABLE OF HANDLING ALL HAZARDOUS SUBSTANCE EMERGENCIES OR EXPOSURES FOUND AT PRS BAKERSFIELD. MERCY HOSPITAL, 632-5000, 2215 TRUXTUN AVE. -6- 07/13/2007 z F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention 04/24/2007 PROCEDURES USED TO ENSURE STORAGE CONTAINERS AND TANKS ARE SOUND AND LEAK FREE: DAILY VISUAL INSPECTIONS (VESSELS ARE LOCATED NEXT TO SHOP OFFICE) AND WEEKLY MAINT OF STORAGE AREAS. HAZARDS INCLUDE WASTE OIL, ACYTLENE CYLINDERS AND DIESEL STORAGE. ENGINEERING CONTROLS TO HELP REVENT INCIDENTS INCLUDE WASTE OIL TANKS W/SEALABLE CAPS- SEGREATION OF ACYELYNE CYLINDERS FROM OXYGEN TANKS. ABOVEGROUND - BERMED STORAGE OF DIESEL FUEL. Release Containment 07/12/2002 WASTE OIL TANKS ARE EMPTIED REGUARLY AND NOT LESS THAN EVERY 90 DAYS - STORAGE IS INSIDE SHOP ON CONCRETE FLOORING. DIESEL TANK IS BERMED TO PREVENT SPILLS OR LEAKS FROM REACHING STORM WATER STREAMS Clean Up 04/24/2007 SPILL CONTAINMENT KIT IN THE SHOP AREA, PROPER EMPLOYEE TRAINING FOR HAZARDOUS SPILL CLEAN-UP SERVICE TRUCKS CARRY 5-GAL SPILL CONTAINMENT KITS. v~.iici itc~cJULC.:C 1-1C:l.1VciL1O71 -7- 07/13/2007 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~.iai nac.aiu~ Utility Shut-Offs 04/24/2007 GAS: SW CRNR OF BLDG ADJ TO FENCE ELECTRICAL: ATTACHED DRAWING OF ALL UTILITY SHUT-OFFS WATER: NW SIDE OF BLDG Fire Protec./Avail. Water 04/24/2007 FIRE HYDRANT: 750FT S OF BLDG ON UNION AVE Building Occupancy Level 10/25/2006 4-6 EMPLOYEES -8- 07/13/2007 _~ F F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/04/2007 ~ MSDS SHEETS ON FILE IN MAIN ENTRYWAY TO SHOP. BRIEF SUMMARY OF TRAINING PROGRAM: YEARLY EMPLOYEE RIGHT-TO-KNOW INFORMATION; YEARLY HAZARD COMMUNICATION TRAINING, INCULDING MSDS YEARLY HAZARDOUS WASTE TRAINING; NEW HIRE ORIENTATION TRAINING, INCLUDING: PPE REQUIREMENTS; EMERGENCY NOTIFICATION PROCEDURES; SAFETY PROGRAM REVIEW; SPILL RESPONSE PROCEDURES; AND ALARM AND EVACUATION PROCEDURES. rayC ~ nc i u i vi r u L UI C U S e nclu 1vl rul.ute use -g- 07/13/2007 PAVEMENT RECYCLING SYSTEMS INC Manager MIKE SMITH Location: 2280 S UNION AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: 3'~W`~ BusPhone: Map 124 Grid: 17A SiteID: 015-021-002401 (661) 833-2280 CommHaz High FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MIKE SMITH / MANAGER RICK GOVE / PRESIDENT Business Phone: (661) 978-0700x Business Phone: (951) 682-1091x 24-Hour Phone (6fo1 ).S'9*1 -7~lQI x 24-Hour Phone ( ) - x Pager Phone ( lobl ) 833 -2?,$~ x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact RICK GOVE Phone: (951) 682-1091x Ma i lAddr : -2 ~ °.o,~~or~I-~PT~~E 1 Z i ~. t`t1A ~ N $~-. State : CA City ~tV ER.S ! p-e Zip ~9-3-3-6-7 Q Z. SO ) Owner PAVEMENT RECYCLING SYSTEMS INC Phone: (951) 682-1091x Address E tea N. ~qr,,v ST• State : CA City ~t)~RS-9.~Q, ~ Zip az- z"T Qz..~01 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT rl,,o~ I PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Mike Smith Superintendent 3a~ed on my inquiry of those individuals Cell (661) 978-0700 n responsible for obt~inin~ the information, !certify mikesmith~pavementrecycl g:com under penalty r f aw: that 1 have personally / examined and ~ amiliar wit the information ~ s~ ; . fitted and ~ '~^ ~ '" ~ i Formation i~ true, PAVEMENT RECYCLING SYSTEMS r^te, a fete. ~ AN EMPLOYEE-OWNED COh1PANY p o CA LIC < 569352 2280 S. Union Ave • Bakersfield. CA 93307-4158 AZ LIC =183900 (661) 833-2280 • FAX (661) 833-2288 _ _ Slgnat date NV LIC ~ 0036228 vdww.pavementrecycling.com ENT'D APR 2 4 2007 -1- 02/05/2007 ~ is 5. F PAVEMENT RECYCLING SYSTEMS.INC SiteID: 015-021-002401 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETELYNE E F P IH G 260.00 FT3 Hi DIESEL L 4000.00 GAL Low OXYGEN F IH DH G 300.00 FT3 Low WASTE OIL F DH L 200.00 GAL Low -2- 02/05/2007 -3- 02/05/2007 ,_ F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETELYNE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 145.00 FT3 260.00 FT3 145.00 FT3 HA ZARDOUS COMPONENTS '°Wt• RS CAS# 100.00 Acetylene Yes 74862 I3HLitiRL HJ J L' J.71"1~1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E AboveOGroundRTankE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5000.00 GAL 4000.00 GAL 2500.00 GAL iu-auri[u~vvo ~.vt•1rv1~r~lvtS sWt• RS CAS# 100.00 Fuel Oil No. 1 No 70892103 ritiL~tiiCL ri. 7.7 L~J J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 02/05/2007 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN- Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7782-44-7 STATE TYPE PRESSURE ~ TEMPERATURE ~ CONTAINER TYPE ~ ~GaS Pure ~Abcwe Amhi c~ni- I Amhi Pnt I ~nnm w~cc rvr_rrmw I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 282.00 FT3 300.00 FT3 282.00 FT3 HAZARDO US COMPONENTS %Wt• RS CAS# 100.00 Oxygen, Compressed No 7782447 Iltit~ti[CL Li J JJ;J JITIP~IV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low 51~.9'1'r; '1'YY~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 200.00 GAL 40.00 GAL rlrauruci~v lJJ l..Vl'!t'V1V L'1V1J %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 rll]L~t1RL ti J JLiJ J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 02/05/2007 ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ ~~ /1/~1TIIT/~/lTT TTT 11 /IT.1 ~ /"1T TTITRT /lTT TTT wRT1 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/25/2006 ~ PROCEDURE FOR NOTIFICATION OF.EMERGENCY AND NON-EMERGENCY RELEASES ARE: 911 ALL EMERGENCIES; 800-852-7550 FOR THREAT TO LIFE SPILLS; a~_tiQ°' '^~l CORPORATE NOTIFICATION MIKE SMITH IS DELIGATED RESPONSIBLITY FOR ALL- [o(o~-Q743~1 EMPLOYEE AND EMERGENCY SERVICE NOTIFICATION. Employee Notif./Evacuation 10/25/2006 PROCEDURE FOR NOTIFICATION OF EMERGENCY AND NON EMERGENCY RELEASES ARE: 911 ALL EMERGENCIES; 800-852-7550 FOR THREAT TO LIFE SPILLS; Qom' `°~ '-II~-i CORPORATE NOTIFICATION MIKR SUBTTH IS DELIGATED RESPONSIBLIITY FOR ALL EMPLOYEE AND EMERGENCY SERVICE NOTIFICATION. Cct~1_`t~t8-Q~ Z.N~ EmEC~eN~ ~rt1P~NwT02 - ~NG.~`~. J~~PvJO21-~. V.~- o~~oNs - ~s-N t~~z- ~flq! Public Notif./Evacuation- ~5.~~2~ ~~u2. , ~ IVO ~t~aQ-.o..N~- p~bl•~ ~pTITo~C~-1-LO N C\~~-LJI~Tl (7 Emergency Medical Plan MEDICAL EMERGENCIES WILL BE HANDLED BY MIKE SMITH, HOSPITAL IN BAKERSFIELD HAS BEEN CONTACTED AND IS HAZARDOUS SUBSTANCE EMERGENCIES OR EXPOSURES FOUND MERCY HOSPITAL, 632-5000, 2215 TRUXTUN AVE. 10/25/2006 AREA MANAGER, MERCY CAPABLE OF HANDLING ALL AT PRS BAKERSFIELD. ~a -6- 02/05/2007 z ~ F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~~Release Prevention 10/25/2006 ~ PROCEDURES USED TO ENSURE STORAGE CONTAINERS AND TANKS ARE SOUND AND LEAK FREE: DAILY VISUAL INSPECTIONS (VESSELS ARE LOCATED NEXT TO SHOP OFFICE) AND WEEKLY MAINT. OF STORAGE AREAS. HAZARDS INCLUDE WASTE OIL, ACYTLENE CYLINDERS AND DIESEL STORAGE. ENGINEERING CONTROLS TO HELP REVENT INCIDENTS INCLUDE WASTE OIL TANKS W/SEALABLE CAPS- SEGREATION OF ACYELYNE CYLINDERS FROM OXYGEN TANKS. ABOVEGROUND - BERMED STORAGE OF DIESEL FUEL. Release Containment 07/12/2002 WASTE OIL TANKS ARE EMPTIED REGUARLY AND NOT LESS THAN EVERY 90 DAYS - STORAGE IS INSIDE SHOP ON CONCRETE FLOORING. DIESEL TANK IS BERMED TO PREVENT SPILLS OR LEAKS FROM REACHING STORM WATER STREAMS ~..icali vY C,,~ ~ t ~Q~ CG 1 ~ l ~ ~: to tom- ~N~ ~ ~~. ~z~a~s ~~1~ ~~-~v-~ rnP `~ '~ ~ C c;~ ~- ~~~5 JP ~ ~ ~ Other Resource Activation -7- 02/05/2007 F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special riazaras 1 S (~DC.AI"Ej~ I NJ ~~ JO~~ W2ST ~O2Nts'r~. c7~ -tz~ -tom -~-~~~ . riTr w~-~~. S ~~T- o~ ~ 5 L ~ ~~~~ ~ ~- ar `~e~ 1~0~1•. tomes ~" ~~'~--~ ~~ ~u~~ s s~ ~N ~ o~- Building Occupancy Level 10/25/2006 4-6 EMPLOYEES -8- 02/05/2007 ;~ F PAVEMENT RECYCLING SYSTEMS INC SiteID: 015-021-002401 ~ ~ Fast Format ~ ~ Training Overall Site ~ ~~Employee Training 01/04/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: YEARLY EMPLOYEE RIGHT-TO-KNOW INFORMATION; YEARLY HAZARD COMMUNICATION TRAINING, INCULDING MSDS YEARLY HAZARDOUS WASTE TRAINING; NEW HIRE ORIENTATION TRAINING, INCLUDING: PPE REQUIREMENTS; EMERGENCY NOTIFICATION PROCEDURES; SAFETY PROGRAM REVIEW; SPILL RESPONSE PROCEDURES; AND ALARM AND EVACUATION PROCEDURES. rayc ~ MSDS SHEETS ON FILE IN MAIN ENTRYWAY TO SHOP. Held for Future Use Held for Future Use -9- 02/05/2007 ti _ - _ ~3.F-_ _.. -. .. - ` ~ _ _ - , ~ I ~, ~ ~• . ~ I Y" i Yav.; ;~2 t t~.t; ~ : ! { ? iii ~~ . ~ W S.' ` a :a : a ~= > :~ ~ ~ t '~` °:;b L ~. .4. .y ••g . .~~. i .. _ .... j. ~ - ~: h ~~.,. .~ ~~ yob .~ 3~.. wa~rct ~- II r 5t _ _ .- _ _ _O _ T~ ~ ' _ ~~ + PAVEMENT RECYCLING SYSTEMS INC ______________________ SiteID: 015-021-002401 + Manager MIKE SMITH Location: 2280 S UNION AVE City BAKERSFIELD BusPhone: (661)-833-2280 Map 124 CommHaz High Grid: 17A FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code: EPA Numb : I i% ~ (~ DunnBrad: ~` ___ ri Emergency Contact / Title Emergency Contact / Title MIKE SMITH / MANAGER RICK GOVE / PRESIDENT Business Phone: (661) 978-0700x Business Phone: 682 1091 24-Hour Phone ( ) - x _ X 24-Hour Phone (qs~~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth ------------------------------------------------ -- t----------------+ Contact RICK GOVE Phone : .(.~A 9 ) 6 8 2 -10 91x MailAddr: 2280 S UNION AVE State: CA City BAKERSFIELD Zip 93307 ~ Owner PAVEMENT RECYCLING SYSTEMS INC Phone: ( ) 682-1091x Address 2280 S UNION AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs:: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ENT o~ r25 200 6 ~pil~ ~~~~ 5~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information subrr~~ an belie the information is true, ac¢G)l~te. and complete. rs~- re -1- /7-oC~ 09/08/2006 {-, . ~~ . ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~~ Prevention Services R s f _, , n 900 Truxtun Ave., Suite 210 __ FIRE... Bakersfield, CA-93301 SECTION 1:_ Business Plan and Inventory Program "R'"' ~ Tel.: _(66.1) 3zs-3979 - - Fax:. _(661) 872-2171 ' i~ Section 1: .Business Plan and Inventory Program _. - - - -- V=Violation ~ ^ APPROPRIATE PERMIT ON HAND I i ~^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE i i ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES i i/ I I!d' ^ VERIFICATION OF LOCATION I I ^ PROPER SEGREGATION OF MATERIAL i - ^ VERIFICATION OF MSDS AVAILABILITY ~Y ^ VERIFICATION OF HAZ MAT TRAINING i ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,,_,/ 1~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ,~/ L7 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS W STE ON7Sr~I~TE~ j~E~/S/~ 4 ^nMO EXPLAIN: ~ / ~~ ~~ (-~i-~ _ f~ ~,q (=l~k l~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ e ~ ~~ ~~~~ ~o~ .~~. Inspector (Please Print) 'Fire Prevention / 1~` In / Shi ' e/Station # Business Slte /Responsible Party (Please Print) - ~ White -Prevention Services ~ Yellow -Station Copy - ~ Pink -Business Copy FD 2155 (Rev. 09/05 C V (~-=~-ompuance~ OPERATION rnMMGA1Tc