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Home My WebLink AboutBUSINESS PLAN 7/16/2007,, ~~ ~~'~. ' '' ~`" j!~ ~ i~~ JOEYS RECYCLING ` ', 2101 WHITE LN - -- \. ~~~~~ ~ M ~a ., / SS~ ~,; ~~ ~4~ l JOEYS RECYCLING Manager LUIS CARBAJAL Location: 2101 WHITE LN City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: Map 123 Grid: 13B SIC Code: DunnBrad: SiteID: 015-021-000155 (661) 834-9933 CommHaz High FacUnits: 1 AOV: .Emergency Contact / Title Emergency Contact / Title RANDY BLOOMFIELD / OWNER / Business Phone: (661) 834- 9933x Business Phone: ( ) - x 24-Hour Phone (661) 589- 3151x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact BU HUN LEE Phone: (661) 834-9933x MailAddr: 2101 WHITE LN State: CA City BAKERSFIELD Zip 93304 Owner RANDY BLOOMFIELD Phone: (661) 834-9933x Address 2101 WHITE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~`~ ,~~~, ~ ~ ~~ ~~ Based on my inquiry of those individuals respansib':e for obtaining the information, f certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ate, and complete. ac cu r / nature Date , -1- 07/12/2007 ~. ~ F JOEYS RECYCLING SiteID: 015-021-000155 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LIQUIFIED PETROLEUM GAS F P IH G 1353.00 FT3 Hi -2- 07/12/2007 -3- o~/la/aoo~ r F JOEYS RECYCLING SiteID: 015-021-000155 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUIFIED PETROLEUM GAS Days On Site 365 Location within this Facility Unit Map: Grid: R REAR CRNR WHSE CAS# 74-98-6 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily1353100m FT3 I Daily 588r00e FT3 riHGl-1KLVUJ l:Vt~ir~lvl+;lv1~ %Wt. RS CAS# 100.00 Liquefied Petroleum Gas No 68476404 riAL,HKL F35~~SS1~1L"~1V~1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/12/2007 F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/07/2007 ~ CALL 911. Employee Notif./Evacuation 05/18/2006 UPON DISCOVERY OF FIRE, 911 IS DIALED AND AN ATTEMPT IS MADE TO EXTINGUISH FIRE. IF UNABLE TO EXTINGUISH, BLDG IS IMMEDIATELY EVACUATED. Public Notif./Evacuation 05/18/2006 UPON DISCOVERY OF FIRE, 911 IS DIALED AND ALL PEOPLE WILL BE VERBALLY TOLD TO EVACUATE THE AREA. Emergency Medical Plan 03/30/2001 MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -5- 07/12/2007 'Y F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/18/2006 ~ REQUIRED NUMBER OF FIRE EXTINGUISHERS ARE PLACED IN BLDG. ALL EXITS REMAIN OPEN AND UNBLOCKED. ALL OXYGEN AND ACETYLENE BOTTLES ARE SECURED BY STRAPS. Release Containment 12/08/1999 DIAL 91.1 AND EVACUATE AREA. Clean Up GASSES ONLY. 12/08/1999 V1.11G1 1CC w7V UL l:C t]l:L1VCL 1.1 V11 -6- 07/12/2007 F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 12/13/2006 ~ BATTERIES WITH NECESSARY PROTECTION PROVIDED. Utility Shut-Offs 06/07/2007 ELECTRICAL - OUTSIDE FRONT BLDG WATER - METER ON CURB Fire Protec./Avail. Water 05/18/2006 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS AND WATER HOSE. FIRE HYDRANT - CURB IN FRONT OF BUSINESS AT 2101 WHITE LN. Building Occupancy Level 03/07/2006 4 EMPLOYEES -7- 07/12/2007 .~ F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: POSTED MSDS ON WALL IN WAREHOUSE ALONG WITH EMERGENCY PHONE NUMBERS. rayc ~ nc.i.u ivi rut.uic u5C nC1u 1Vl rl,Ll.uLC U~~ -8- 07/12/2007 ~~ 1 2~''~ JOEYS RECYCLING SiteID: 015-021-000155 Manager (.,-u'/~s' ~.c~~D,a/~~~ BusPhone: (661) 834-9933 Location: 2101 WHITE LAY Map 123 CommHaz High City BAKERSFIELD Grid: 13B FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RANDY BLOOMFIELD / OWNER ~/' ~~ ~/ Business Phone: (661) 834-9933x Business Phone: ~ ~ 2 4 -Hour Phone - x 2 4 -Hour Phone (~jG~ ~~"~ " 3~ ~ ° Pager Phone ~~: (~ ~~ ~] • x / Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ~Lq+j~.i fire ._ Phone: (661) 834-9933x MailAddr: 2101 WHITE LN State: CA City BAKERSFIELD Zip 93304 Owner RANDY BLOOMFIELD Phone: (661) 834-9933x Address 2101 WHITE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~q l PROG A - HAZMAT ~~ ' Ovasc~d on my inquiry of those individua#s responsible for obtaining the infor i mat on under renalty of lam That I have pe , I certify c rsonall [:NT' y examined and am familiar ~fith the i, t submitted and believe th i o e ® ~/ i e nformation accurate, and complete, is u Z~ O, Signature Date ` -1- 05/22/2007 ., F JOEYS RECYCLING ~ Hazmat Inventory = ~ MCP+DailyMax Order = SitelD: 015-021-000155 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP LIQUIFIED PETROLEUM GAS F P IH G 1353.00 FT3 Hi -2- 05/22/2007 -3' 05/22/2007 F JOEYS RECYCLING SiteID: 015-021-000155 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LIQUIFIED PETROLEUM GAS Days On Site 365 Location within this Facility Unit Map: Grid: R REAR CRNR WHSE CAS# 74-98-6 i GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily1353100m FT3 I Daily 588r00e FT3 tit~Gl~tCUVUS 1:V1~lYV1VL";1V 15 %Wt. RS CAS# 100.00 Liquefied Petroleum Gas No 68476404 tYHGl-~.tt11 H~5~a~1~1~1V lJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 05/22/2007 F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/18/2006 ~ CALL 911 AND - - Employee Notif./Evacuation 05/18/2006 UPON DISCOVERY OF FIRE, 911 IS DIALED AND AN ATTEMPT IS MADE TO EXTINGUISH FIRE. IF UNABLE TO EXTINGUISH, BLDG IS IMMEDIATELY EVACUATED. Public Notif./Evacuation 05/18/2006 UPON DISCOVERY OF FIRE, 911 IS DIALED AND ALL PEOPLE WILL BE VERBALLY TOLD TO EVACUATE THE AREA. Emergency Medical Plan 03/30/2001 MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -5- ~ 05/22/2007 F JOEYS RECYCLING SiteID: 015-021-000155 ~ Fast Format ~ ~ Mitigation{Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/18/2006 ~ REQUIRED NUMBER OF FIRE EXTINGUISHERS ARE PLACED IN BLDG. ALL EXITS REMAIN OPEN AND UNBLOCKED. ALL OXYGEN AND ACETYLENE BOTTLES ARE SECURED BY STRAPS. Release Containment 12/08/1999 DIAL 911 AND EVACUATE AREA. Clean Up 12/08/1999 GASSES ONLY. V1..i1Gl nC.7VLLIVG L'il:V1VGLL1 V11 -6- 05/22/2007 r ~, F JOEYS RECYCLING SitelD: 015-021-000155 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 12j13/2006 ~ BATTERIES WITH NECESSARY PROTECTION PROVIDED. Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - OUTSIDE FRONT BLDG C) WATER - METER ON CURB D) SPECIAL - NONE E) LOCK BOX - NO 05/18/2006 Fire Protec./Avail. Water 05/18/2006 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS AND WATER HOSE. FIRE HYDRANT - CURB IN FRONT OF BUSINESS AT 2101 WHITE LN. Building Occupancy Level 03/07/2006 4 EMPLOYEES -7- 05/22/2007 ., F JOEYS RECYCLING SitelD: 015-021-000155 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/18/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIl~IARY OF TRAINING PROGRAM: POSTED MSDS ON WALL IN WAREHOUSE ALONG WITH EMERGENCY PHONE NUMBERS. rayv c. Held for Future Use ~ ~ r •aciu ivi L•u~..uic vac -8- 05/22/2007 ~~~w~~' ~`~' CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~_~ ~E ~~~ FACILITY NAME ~a~~ s i~EcycL-~uc~ ADDRESS ~ ~ ~, l W t+. -k ~.r- . FACILITY CONTACT lY1r~s . C-~ e INSPECTION TIME /b3a Section I: Business Plan and Inventory Program X52-532- Routine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy x Verification of inventory materials x Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training x Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ,~ Yes No • Explain: ,eked u7 @yr+~H ~»~~/~' ®®®~®® Questions regazding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy OFFICE OF ENVIRONMENTAL SERVICES •y~ UNIFIED PROGRAM INSPECTION CIIECKLIST t~ '''~gti ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 INSPECTION DATE •~=-4~~ ~- ~~- dF> PHONE NO. 3 31i - `~ ~i 3 BUSINESS ID NO. 15=210- ~ NUMBER OF EMPLOYEES ~ .~ Business Site Responsible Party Inspector: S'~o~l.y , .. ... - ... ,a~~ _. i 3 ~ BAKERSFIELD FIRE DEPT. ~ ~ ~- - . Prevention Services ~ ~g FIRE PREVENTION INSPECTION B EF~iRiE 1 D 900 Truxtun Ave., Ste. 210 ~j/ - AIrTAI T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 ~ -2171 DISTRICT BLOCK NO. DATE _ ~/~ ~ / ( EE ~ eg FACILITY ADDRESS ~7/~/ 16 6 J CITY ;ST T.E~~S /'~ _ / ~ ~ ~L~ 7` ~,( ~ ~ ~G /~`~ FACILITY NAME `~/ G!- FACILITY PHONE NO. MANAGER'S NAM E BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ~"^; NO' CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.} COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _ ____ (U.F.C.) ------------------------ g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS ~ Provide and maintain "EXIT" sign(s) with letters 5 or more in es in height over each required exit (door/window) to fire escape. (U.F.C.) 8 Provide and maintain appropriate numbers on a contrasting backg o v~i a from the street to indicate the correct address of the building. (B.M.C.) (U.F.C.) FIREDOORSI FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) __________________________ ___________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & focation) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 ~~Q ~~ sfa j 7 ~ J /~.~ , CUSTOMER: .~ ,,. ~ ~ (Signature) (Please Print Name Legibly, Title) INSPECTOR: ~~ / ~I ~4ji~/l-~/~! AP NO.: ~_ (Signature) LEGEND: C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~. ~~ ~.:~ ~~ UNstF1ED``PROGRAM INSPECTION CHECKLIST';' ~~~~ SECTION 1: Business Plan and Inventory Program ~~~ BABERSFIELD FIRE DEPT Prevention Services ~ ; . ~ , 900 Truxtun Ave., Suite` 210 Bakersfield, CA 93301 Tel.: (661) 326-397 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE NSPECTION TIME ~ ~ ADDRESS ~ ~ ~ 7 ( ,HON NO/. LI ~~~ f J/ Srj 'Y OOFEMPLOYEES FACILITY CONTACT SINE S ID NUMBER U 15-021- Section 1: Business Plan and Inventory Program . ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI•AGENCY ^ COMPLAINT ^ RE-INSPECTION ,Y; J ~ J C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND .^ - ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE .~l]- ^ VISIBLE ADDRESS _^- ^ CORRECT OCCUPANCY D ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^_ i'. ^ 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 O ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^. ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA.R~~DOUS WAS~JTE ON SITE? ^ YES ^ NO EXPLAIN: ! F_ , `- ~ L f • ~ 1 ~/ ~L~~~ ~ DUESTIONS REGARDING THIS iNSPECT10N4 PLEASE CALL US AT (861) 92t3-3879 Inspector (Please Print) Fire Prevention / 1" In / Shilt of Site/Station ~ Business Site/ ~ ool Site Responsible Party (Please Prtnq White - Prwention Sarvicea Yallow - Station Copy Pink - Buainese Copy FD2049 (Rw. 01/05) .~~ ~ :. ~. + Jt'~EYS RECYCLING _____________________________________ SiteID: 015-021-000155 + Manager Location: 2101 WHITE LN City BAKERSFIELD BusPhone: (661) 834-9933 Map 123 CommHaz High Grid: 13D FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RANDY BLOOMFIELD / OWNER / MANAGER Business Phone: (661) 834-9933x Business Phone: (661) 834-9933x 24-Hour Phone (661) 835-8991x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 834-9933x MailAddr: 2101 WHITE LN State: CA City BAKERSFIELD Zip 93304 Owner RANDY BLOOMFIELD Phone: (661) 835-8991x Address State: City Zip Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of thane individuals responsible for obtaining the information, I certify under penalty of laW that I have personally examined and am famlllar with the information submitted and bellev® the information is 4rue, accurate, and complete. m ~~~~~P~ S gnatur2 Date aura ~~~ z ~~'Q6 ----------------------------------------------------------------- -1- 03/07/2006 • ~' T~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ~~ UNIFIED PROGRAM INSPECTION CIIECKLIST ~w ~gti;~!' 1715 Chester Ave., 3`d Floor, Bakersfield, CA 93301 emu""" FACILITY NAME ~ca~.cs fZ~~YcL~N(~ INSPECTION DATE ~o - j1- 05 ADDRESS o~l01 ~~.tE L,y PHONE NO. ~jy - ~) 9 33 FACILITY CONTACT ~Ac~as g~.--, e c ~ BUSINESS ID NO. 15-210- INSPECTION TIME /D~o NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Multf-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address x Correct occupancy Verification of inventory materials LoQu~~9 Pe~rt.~lp.,~r Gat 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 x Site Diagram Adequate & On Hand X C=Compliance V=Violation Any hazardous waste on site?: ~ Yes ^ No • Explain:~~ c)p e~_j~-'t~N Questions regazding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy sin s ite esponsibl Part Inspector: ~~-A~ UNIFIED PROGRAM 1. _~PECTION CHECKLIST `~ SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmentai Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ,j ~~~ INSPECTION DATE INSPECTION TIME ADDRESS ~ 1 ~ / ~ ~ ~ - ~ PONE No. No. of Employees 34- y 3~ y-_-- ---- u - FACILI CONTAC ----_- ~ u 'z. - 8 °i J v x~ 01t ss ID Number B 15-021- p 0 01 s~ Section 1: Business Plan and Inventory Pn~gram 'Routine ^ Combined O Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C V L~I ^ \V=vioatonn~l OPERATION APPROPRIATE PERMIT ON HAND COMMENTS ^ ^ 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 AVAILABILITYE ----------- - ------ ~lhpcoS.r~_ ~~~w.,~ts_-L~-s~n.~~~ ----- -------- ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING / ^ FIRE PROTECTION !/ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ~- ANY HAZARDOUS WASTE ON SITE?: ^ YES EXPLAIN: ^ No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (C)6'1) 32G-3979 ,~ Inspector r Badge No. Business Site Responsible Party-~ ~~ v ,~ ~~~ r