HomeMy WebLinkAboutBUSINESS PLAN 7/19/2007
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SPEEDY SMOG
7001 WHITE LANE #114
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SPEEDY SMOG
SiteID: 015-021-003015
Manager : GARY FUSSEL
Location: 7001 WHITE LN 114
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16B
(661) 834-7664
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title
GARY FUSSEL / OWNER
Business Phone: (661) 834-7664x
24-Hour Phone : (661) 742-8169x
Pager Phone : ( ) - x
Emergency Contact / Title
DEAN FUSSEL / BROTHER
Business Phone: (661 ) 834-7664x
24-Hour Phone : (661 ) 332-5039x
Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press
ImmHlth
Contact : GARY FUSSEL
MailAddr: 7001 WHITE LN 114
City : BAKERSFIELD
,
Phone: (661) 834-7664x
state: CA
Zip : 93309
phone: (661) 834-7664x
state: CA
Zip : 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Owner
Address :
City
GARY FUSSEL
7001 WHITE LN 114
: BAKERSFIELD
Period :
Preparer:
Certif'd:
ParcelNo:
to
Emergency Directives:
PROG A - HAZMAT
mffi JUL ~ 8 ,eG1
Bafj8d on my inquiry of those individuals
responsible for ot';aininrJ tf18 information, I certify
under penalty of 18W that i have personally
exammed ancJ am farr.i1iar with tl16 information
submitted and I)elis\le the information is true,
accurate, and complete.
~A~-2Mh
;"Qnatur., Date
-1-
07/16/2007
t . ~
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SiteID: 015-021-003015 9
By Facility Unit 1
Fixed Containers at Site 9
IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP
F P IH G 442.00 FT3 Min
F SPEEDY SMOG
f= Hazmat Inventory
p== MCP+DailyMax Order
Hazmat Common Name...
CALIBRATION GAS
-2-
07/16/2007
'J' ~
-3-
07/16/2007
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SiteID: 015-021-003015 1
Facility Unit: Fixed containers at Site 9
f SPEEDY SMOG
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
CALIBRATION GAS
Days On Site
365
Location within this Facility Unit
INSIDE SHOP ALONG WALL
Map:
Grid:
CAS #
- TYPE
Mixture
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
221.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
442.00 FT3
Daily Average
442.00 FT3
%Wt. RS CAS #
98.00 Nitrogen No 7727379
2.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
A N
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD SSESSME TS
-4-
07/16/2007
$ ..
I.",
f SPEEDY SMOG
I
f= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-003015 1
Fast Format 9
Overall Site 9
Employee Notif./Evacuation
Public Notif./Evacuation
Emergency Medical Plan
-5-
07/16/2007
:,;' ~". ...~
F SPEEDY SMOG
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 9
Release Containment
Clean Up
Other Resource Activation
-6-
07/16/2007
~ ~ -.
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 1
F SPEEDY SMOG
I
p= Site Emergency Factors
Special Hazards
Utility Shut-Offs
Fire Protec./Avail. Water
Building Occupancy Level
-7-
07/16/2007
:.;, ~. ;.
F SPEEDY SMOG
I
p= Training
Employee Training
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 9
Page 2
Held for Future Use
Held for Future Use
-8-
07/16/2007
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SPEEDY SMOG
SiteID: 015-021-003015
Manager : MARK ARMSTRONG
Location: 7001 WHITE LN 114
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16B
{661} 834-7664
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:
DunnBrad:
~?J~J~~y~3;}~I--- j OWN~~tle
Business Phone: (661) 834-7664x
24-Hour Phone: (I-J) }7~~-J>I"x
Pager Phone : ( ) - x
Emerq.enc~ _Contact__ / ~
-Pe.tI;:h-- r~!':.r:~ /' / G_~R 8174';-6.<77-
Business Phone: (661) 834-7664x
24-Hour Phone : (61/) 377- -.)~9x
Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press
ImmHlth
Contact : ~'-J.t fLr44fl~r .:1110> Ge,7Z'J P J/~-T'e.-/ Phone: (661) 834-7664x
MailAddr: 7001 WHITE LN 114 State: CA
City : BAKERSFIELD Zip : 93309
Owner r'~' .A mth A.. 1e~ 6,,~ rY~-e-/ Phone: ( 661) 834-7664x
Address : 7001 WHITE LN 114 State: CA
City : BAKERSFIELD Zip : 93309
Period :
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
oJI(
~\r
~Nf'fj M A)4 1 '? ,007
Based on my inquiry of those individuals
responsible for obtaining the information. I certify
unde~ penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true
accurate, and complete. '
~e4- ~ Dat;~~;;>
-1-
05/03/2007
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SiteID: 015-021-003015
By Facility Unit
Fixed Containers at Site
9
9
9
DailyMax IUnitlMCP
442.00 FT3 Min
F SPEEDY SMOG
f= Hazmat Inventory
f== MCP+DailyMax Order
Hazmat Common Name...
IspeCHazlEPA Hazards I Frm I
CALIBRATION GAS
F P
IH
G
-2-
05/03/2007
f; -,
-3-
05/03/2007
"
SiteID: 015-021-003015 1
Facility Unit: Fixed Containers at Site 9
F SPEEDY SMOG
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
CALIBRATION GAS
Days On Site
365
Location within this Facility Unit
INSIDE SHOP ALONG WALL
Map:
Grid:
CAS #
STATE - TYPE
Gas Mixture
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
221. 00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
442.00 FT3
Daily Average
442.00 FT3
%Wt. RS CAS#
98.00 Nitrogen No 7727379
2.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD ASSESSMENTS
-4-
05/03/2007
"
SiteID: 015-021-003015 9
Fast Format 1
Overall Site 1
F SPEEDY SMOG
I
f= Notif./Evacuation/Medical
Agency Notification
Employee Notif./Evacuation
Public Notif./Evacuation
Emergency Medical Plan
-5-
05/03/2007
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 9
F SPEEDY SMOG
I
p= Mitigation/Prevent/Abatemt
Release Prevention
Release Containment
Clean Up
Other Resource Activation
-6-
05/03/2007
i) -.-
F SPEEDY SMOG
I
p= Site Emergency Factors
Special Hazards
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 9
. Utility Shut-Offs
Fire Protec./Avail. Water
Building Occupancy. Level
-7-
05/03/2007
1> .. ; '~l
F SPEEDY SMOG
I
p= Training
:Employee Training
SiteID: 015-021-003015 9
Fast Format 9
Overall Site 9
Page 2
Held for Future Use
Held for Future Use
-8-
05/03/2007
I~
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JOHNS INDEPENDENT HONDA & AfURA
Manager : JO~--z5v..LO~ ..
Location:. 7001 WHITE LN 120
City BAKERSFIELD
t 101 {
SiteID: 015-021-001855
ComrnCode: BFD STA 09
EPA Numb:
BusPhone:
Map : 123
Grid: 16D
(661) 396-7778
CornmHaz : High
FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:
Emergency Contact
JOHN JACOBSON
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNER
(661) 396-7778x
(661) 845-4601x
() x
Hazmat Hazards:
Contact : --:;;sO~ -:S~B
MailAddr: 7001 WHITE LN 120
City BAKERSFIELD
Owner
Address
City
JOHN JACOBSON
4501 N WHEELER RIDGE RD
ARVIN
Period
Preparer:
Certif'd:
ParcelNo:
to
Emergency Directives:
PRO<;; . A. -: HAZMAT
PROG H - HAZ WASTE GEN
L-1-~7
Date
Emergency Contact
KERRI JACOBSON
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNERS WIFE
(661) 839-5272x
(661) 845-4601x
() x
Fire Press
\\~\)O'\
-1-
ImmHlth .DelHlth
Phone: (661) 396-7778x
State: CA
Zip 93309
phone: (661) 845-4601x
State: CA
Zip 93203
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
ENf'6 MAY' 6' ZQ07
02/01/2007
i\ .,
F JOHNS INDEPENDENT HONDA & ACURA
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-001855 9
By Facility Unit 9
Fixed Containers at Site 9
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax MCP
200.00 FT3 Hi
5.00 GAL Mod
200.00 FT3 Low
110.00 GAL Low
110.00 GAL Low
55.00 GAL Min
ACETYLENE E F P IH G
SOLVENT F DH L
OXYGEN F IH DH G
ANTIFREEZE L
WASTE OIL F DH L
MOTOR OIL F DH L
-2-
02/01/2007
_ 'i
-3-
02/01/2007
F JOHNS INDEPENDENT HONDA & ACURA
p= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
ACETYLENE
SiteID: 015-021-001855 1
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
74-86-2
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
200.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 FT3
Daily Average
200.00 FT3
%Wt I
100.00 Acetylene
HAZARDOUS COMPONENTS
~
CAS #
748621
D
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZAR ASSESSMENTS
p= Inventory Item 0002 Facility Unit: Fixed Containers at Site 1
= COMMON NAME / CHEMICAL NAME
SOLVENT Days On Site
365
Location within this Facility Unit
REAR OF SHOP
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
5.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
~
CAS # I
8030306
11~~\0 I Naphtha
E TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
HAZARD ASS SSMEN
-4-
02/01/2007
F JOHNS INDEPENDENT HONDA & ACURA
f= Inventory Item 0005
= COMMON NAME / CHEMICAL NAME
OXYGEN
SiteID: 015-021-001855 1
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
7782-44-7
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
200.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 FT3
Daily Average
200.00 FT3
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ CUries F IH DH / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0003
F= COMMON NAME / CHEMICAL NAME
ANTIFREEZE
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
GAL
ZARDOU COMPONENTS
%Wt. RS CAS #
100.00 Ethylene Glycol No 107211
.
HA S
Z AS ESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HA ARD S
-5- 02/01/2007
c;, :..
F JOHNS INDEPENDENT HONDA & ACURA
p= Inventory Item 0004
F= COMMON NAME / CHEMICAL NAME
WASTE OIL
SiteID: 015-021-001855 9
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
110.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARD A E
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
SS SSMENTS
p= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
REAR OF SHOP
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
A E MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD SS SS
-6-
02/01/2007
i:
,"
F JOHNS INDEPENDENT HONDA & ACURA.
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-001855 9
Fast Format 9
Overall Site 9
01/18/2001
CALL 911 AND CALL BAKERSFIELD CITY HAZ MAT DIVISION.
Employee Notif./Evacuation
01/18/2001
NO EMPLOYEES.
Public Notif./Evacuation
01/18/2001
EXIT THROUGH FRONT DOOR. PUBLIC IS NOT ALLOWED IN WORK AREA.
Emergency Medical Plan
01/18/2001
FIRST AIDE KIT. POSTED DIRECTIONS TO URGENT CARE.
-7-
02/01/2007
"
F JOHNS INDEPENDENT HONDA & ACURA
I
f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001855 1
Fast Format 9
Overall Site 9
01/18/2001
BE ALERT IN WHAT YOU ARE DOING THE ONLY THING I HAVE IS WASTE OIL.
Release Containment
01/18/2001
I HAVE ABSORBENT TO SOAK UP A SPILL IF ONE SHOULD HAPPEN.
Clean Up
02/23/1998
ABSORBANT MATERIAL FOR OIL SPILLS.
Other Resource Activation
-8-
02/01/2007
~ ~~
F JOHNS INDEPENDENT HONDA & ACURA
I
p= Site Emergency Factors
Special Hazards
SiteID: 015-021-001855 9
Fas t Format 9
Overall Site 9
Utility Shut-Offs
12/11/2006
A) GAS - NONE
B) ELECTRICAL - MAIN PANEL CTR OF BLDG
C) WATER - MAIN SHUT-OFF CTR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
12/11/2006
PRIVATE FIRE PROTECTION - AUTOMATIC FIRE SPRINKLERS AND 2 FIRE EXTINGUISHERS
Building Occupancy Level
12/11/2006
1 EMPLOYEE
-9-
02/01/2007
i~ ~
F JOHNS INDEPENDENT HONDA & ACURA
I
p= Training
Employee Training
SiteID: 015-021-001855 9
Fast Format 9
Overall Site 9
03/13/2006
BRIEF SUMMARY OF TRAINING PROGRAM: I HAVE A WASTE MANAGEMENT BOOK THAT I
HAVE READ.
Page 2
Held for Future Use
Held for Future Use
,..~,'~.;".:\";'.
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-10-
02/01/2007
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Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
T~I: {661) 3~6-:~979
INSPECl'ON OrE INSPECTION TIME
_.__.___._ .__._.____m..._ _4L~1~~~--.--_-----.m-
~- PHONE No. No. of Employees
6n~ l \' -. . _ -,-~nT
.-.- - .-.-b-J-~u-..-. ...-. Business I lU5~~21_ ~
- _._. _.. . _.____. '''_0
~DO' .
.. ...~ ~~6\1...~..-_-'__~_.~u~_-~~---___
'5SbD.u.-~_----.----.-
SPEEDY SMOG .I
SMOG INSPECTION & REPAIR
Cars / Trucks / RV's
30 Years Experience
~ _ 0-0
.\ ~ ~- "h
~M~~:'~~~~
FACILITY NAME
_____u____S~~.Yn_._'?~_:_c__n_ u.__.__...___.__.____
ADDRESS
____2C:O'!___.._~~!(_1lf~__~_____~_U~__._____.....
FACILITY CONTACT
Section 1: Business Plan and Inventory Program
~utine
CJJoint Agency
CJ Multi-Agency
CJ Combined
c V
( C=Compliance )
V=Violation
OPERATION
CJ CJ ApPROPRIATE PERMIT ON HAND
pJ&.J P~l-r $'c~
Ll Ll BUSINESS PLAN CONTACT INFORMATION ACCURATE
Ll CJ VISIBLE ADDRESS
Ll Ll CORRECT OCCUPANCY
-~~li=~:::~~~2~~~S..........~.~n._l:::~
_~___~._~~O~~~__~=-~~~~~~~~.~F.~~~E~I~~...._.. . _n un m ...u .._ j _ ..___. .
...l-.- M_____
i
+-.---
9___~__.~~~F~~~:I~_N_~F A_~~~~_~ENT ~~~~I~:_AN~~~OCE~~~.~S t
Ll Ll EMERGENCY PROCEDURES ADEaUATE I
------.---- ..._u_._..__u_.__..__...____....___...__ _._..u_ . ..- ..-.--..----.-....--.-- ... .tl _.
Ll Ll CONTAINERS PROPERLY LABELED
.__._____.__.__u___________..m._....__. --...--- ---.- m. - .- ... _u._. ..-. ..-.---. . ..-- -...- '-.1'.-
Ll Ll HOUSEKEEPING
----.--._.__.. .h________ '___'_' .__...______.___.__._._.__.._ _.... _0_'_.,._.___. ,_O__n__ .._____ _ .__.__,_'" _4'_ ..' .,~ _, _,.
CJ Ll. FIRE PROTECTION I
......_ . .u_ .(__
I
Ll Ll VERIFICATION OF MSDS AVAILABILlTYE
Ll Ll VERIFICATION OF HAT MAT TRAINING
Ll Ll SITE DIAGRAM ADEauATE & ON HAND
834-7664
ANY HAZARDOUS WASTE ON SITE?:
ClCNo
Ll YES
EXPLAIN:
OWNERS:
MARK ARMSTRONG
~RAARMSTRONG
LJ Complaint
COMMENTS
.()F.S~
~
~.
-;-
834-SMOG
7001 White Lane, #114
Bakersfield. CA 93309
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
._---~!~~----- ..-.---..----. -------_._--____~/~_-
Inspector (Please Print) Fire Prevention 1st-In/Shift otSite"".- -.-
White - Environmental Services
Yellow. Station Copy
Pink . Business Copy
~~POnSible Party (Pt9ase Prin --
I
UNIFIED PROGRAM INSPECTION CHECKLIST
Prevention Services
D 900 Truxtun Ave., Suite 210
. Bakersfield; CA 93301
Tel.: (661) 326-3979
"Fax: (661) 872-2171
SECTION 1: Business Plan and Inventory Program
.
.COMBINED
INSPECTI N D E
10 'DDt
PHONE NO. L i
. 't 'f- 7~~ 7
BUSINESS ID NUMBER
15-021-
. INSPECTION TIME
70 Q (
FACILITY CONTACT
Sm 0 (p
l.J 1+ tr er L;...{
4R~
.l.:n
NO OF EMPLOYEES
2-
30 IS-
o1~J~>':~I~~':1:~;~~;:::~1\?~f~~:li~i~t~~;}~-~~:n~' ,G' '~i.: ~~- i~( .--,:~ i t~fi~c: _~:f,:-~~-;_~::^ -.' ,-,<,",,~_
.fBlI$ine$~.:el~rl,'~ri(:l JrivenlQ'Pr(i" r
_, ;,<<.,.',:n;'..';" <7'.,', ,.;; 0., .;.,. '0 . ,'" rt ;i.. .'Y'~Y7
JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT
C v ( C comPlianCe) OPERATION
V=Violation
u;( 0 ApPROPRIATE PERMIT ON HAND
lLY'O Business PLAN CONTACT INFORMATION ACCURATE
u;V 0 VISIBLE ADDRESS
Id' 0 CORRECT OCCUPANCY
Ij;;I' 0 VERIFICATION OF INVENTORY MATERI,A.lS
g- O VERIFICATION OF QUANTITIES
E:V" 0 VERIFICATION OF LOCATION
.~ 0 PROPER SEGREGATION OF MATERIAL
Ia'" 0 VERIFICATION OF MSDS AVAilABILITY
~O VERIFICATION OF HAl MAT TRAINING
e( 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
IB' 0 EMERGENCY PROCEDURES ADEQUATE
16" 0 CONTAINERS PROPERLY LABELED
0 0 HOUSEKEEPING
~ [;(' FIRE PROTECTION
..g- 0 SITE DIAGRAM ADEQUATE & ON HAND
COMMENTS
ENT'D DE C 0 a 2.006
feeD.> .5e;1..l) Ice
~
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
DYES
o NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CAll US AT (661) 326-3979
.
Inspector (Pleas
e..-
Int)
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
FD 2155 (Rev. 09/05