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Home My WebLink AboutBUSINESS PLAN 7/30/2007 -1: .-__. '. A. '.- . 'T- .u---&<. SU.<()' ~fimsAt. - &. ~ All.TO.. ~iAIRJ . . I AT- .J;L"c"'" .'J: . . .. .. } , ~1001W!!fllLANE.#ll7 -~ .Ii ~\~q~ @ if " I 'j ..';-) I. ., I t J/lJilL :J zUlU, " I' _~..,;( ) ! ~ r' ~'I " I ir Ii. ~ II I' II t'). ..'''If ':~ ,Ii . ./! 'i', . ......,. AT THE SHOP DIESEL & AUTO REPAIR SiteID: 015-021-001263 Manager : LARRY HANDY Location: 7001 WHITE LN 117 City BAKERSFIELD BusPhone: Map : 123 Grid: 16D (661) 831-9418 CommHaz : Low FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY HANDY / OWNER CARMEN HANDY / OWNER Business Phone: (661) 831-9418x Business Phone: (661) 831-9418x 24-Hour Phone : (661) 587-0460x 24-Hour Phone : (661) 587-0460x Pager Phone : ( ) - x Pager Phone : (661) 472-5349x Hazmat Hazards: Fire DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661 ) 831-9418x State: CA Zip : 93309 Phone: (661) 587-0460x State: CA Zip : 93314 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : LARRY HANDY MailAddr: 7001 WHITE LN 117 City : BAKERSFIELD Owner Address City LARRY HANDY : 701 QUINTANA DR : BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Ba8ed resPan ,g,n my inq , undAr"sp. I ,e far Ob''''I'nUJry of tho - en '<:;J In ,se', eXamined aalty Of lav... gt!he JnformatlndlViduals SUbmit nd am f '. Ita t I h IOn, I ; accurat~~~n~nd belie~;;/~~r :"lith ;:;: Fersoc~;~~~ ~ ComPlete. e Intormar nfa:mation k IOn IS t rue Signatur -.....:. _ ,_ ' , -~- o~~~O-C7 ate ~ ENT'D AUG 03 2007 -1- 06/29/2007 T, ., F AT THE SHOP DIESEL & AUTO REPAIR f= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-001263 9 By Facility Unit 1 Fixed Containers on Site 9 Hazards I Frm I DailyMax IUnitlMCP Hazmat Common Name... IspecHazlEPA F F F WASTE OIL ANTIFREEZE MOTOR OIL DH DH DH 110.00 GAL 55.00 GAL 55.00 GAL Low Low Min L L L -2- 06/29/2007 c, .. -3- 06/29/2007 f::- '\ F AT THE SHOP DIESEL & AUTO REPAIR p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001263 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SE CRNR 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 55.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ Curies F DH / / / Low p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility unit: Fixed Containers on site 9 Days On Site 365 Location within this Facility Unit NEXT TO WASTE OIL DRUMS Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -4- 06/29/2007 "' F AT THE SHOP DIESEL & AUTO REPAIR p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001263 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit E WALL FRONT OF STAIRS Map: Grid: CAS # 8020835 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL 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 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -5- 06/29/2007 -. .r, F AT THE SHOP DIESEL & AUTO REPAIR I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001263 1 Fast Format 9 Overall Site 9 12/20/2000 CALL 911. Employee Notif./Evacuation 03/24/2006 VERBAL AND CALL 911. Public Notif./Evacuation 09/25/2006 SIGN ON INSIDE WALL AT RIGHT OF FRONT DOOR EXIT. Emergency Medical Plan 12/20/2000 NEAREST HOSPITAL. -6- 06/29/2007 ~r'r,. , ., F AT THE SHOP DIESEL & AUTO REPAIR I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001263 9 Fas t Format 9 Overall Site 1 03/24/2006 TWO 55-GAL DRUMS IN WHICH ARE SEALED WITH SCREW-IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER AND OIL. Release Containment 03/24/2006 DRUMS HAVE SCREW-ON CAPS AND COVERS. Clean Up 01/07/1992 RICE ASH. Other Resource Activation -7- 06/29/2007 ,\~ , ~ F AT THE SHOP DIESEL & AUTO REPAIR I p= Site Emergency Factors Special Hazards SiteID: 015-021-001263 9 Fast Format 9 Overall Site 9 Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SHOP ON OUTSIDE BATHROOM C) WATER - UPSTAIRS ON E SIDE UPPER WALL D) SPECIAL - NONE E) LOCK BOX - NO 09/25/2006 WALL (1) VALVE Fire Protec./Avail. Water 01/25/2007 PRIVATE .FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - FRONT L OF BLDG CTR DIVIDER. Building Occupancy Level 12/11/2006 1 EMPLOYEE -8- 06/29/2007 :. ,i; . . F AT THE SHOP DIESEL & AUTO REPAIR I p= Training Employee Training SiteID: 015-021-001263 9 Fast Format 9 Overall Site 9 09/25/2006 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETING ONCE A MONTH. Page 2 Held for Future Use Held for Future Use -9- 06/29/2007 " ';:". . e; Q " AT THE SHOP DIESEL & AUTO REPAIR siteID: 015-021-001263 Manager : Location: 7001 WHITE LN 117 City BAKERSFIELD BusPhone: Map : 123 Grid: 16D (661) 831-9418 CommHaz : Low FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact. / Title Emergency Contact / Title LARRY HANDY / OWNER CARMEN HANDY / OWNER Business Phone: (661) 831-9418x Business Phone: (661) 831-9418x 24-Hour Phone : (661) 587-1l4a~ "y.O 24-Hour Phone : (661) 587 -.llSQJe- 046c'> Pager Phone : ( ) - x Pager Phone : (661) 472-5349x Hazmat Hazards: Fire DelHlth Owner Address : City LARRY HANDY 701 QUINTANA DR : BAKERSFIELD Phone: (661) 831-9418x State: CA Zip : 93309 Phone: (661) .~ State: CA s-e7-04 '0 Zip : 93314 Contact : MailAddr: 7001 WHITE LN 117 City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~PEm - Q !S ,~~, B d on my inquiry of those indi~idua.IS ase nsible for obtaining the information, l certify respO. It of law that I have person~IIY unde~ PdenaandYam familiar with the information examine . . t e submitted and believe the information IS ru 1 accurate. a1 comPlete~. / -s~atu ,~~ Dat~-2-1~:J ~Ign -1- 01/25/2007 ~l -l F AT THE SHOP DIESEL & AUTO REPAIR f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-001263 9 By Facility Unit 1 Fixed Containers on Site 9 Hazmat Common Name... SpecHaz EPA Hazards WASTE OIL ANTIFREEZE MOTOR OIL F F F -2- DH DH DH L L L DailyMax 110.00 GAL 55.00 GAL 55.00 GAL MCP Low Low Min 01/25/2007 f~ .1 -3- 01/25/2007 '.1 F AT THE SHOP DIESEL & AUTO REPAIR f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001263 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility unit SE CRNR 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 55.00 GAL HAZARDOUS COMPONENTS %Wt. - RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARD A ESSM NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low SS E f= Inventory Item 0003 F=== COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit NEXT TO WASTE OIL DRUMS Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL . . Daily Average 55.00 GAL E %Wt. RS CAS # 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPON NTS A M NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD SSESS E -4- 01/25/2007 F AT THE SHOP DIESEL & AUTO REPAIR f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001263 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit E WALL FRONT OF STAIRS Map: Grid: CAS # 8020835 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NO~ETAL 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 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 01/25/2007 .. F AT THE SHOP DIESEL & AUTO REPAIR I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001263 9 Fast Format 9 Overall Site 9 12/20/2000 CALL 911. Employee Notif./Evacuation 03/24/2006 VERBAL AND CALL 911. Public Notif./Evacuation 09/25/2006 SIGN ON INSIDE WALL AT RIGHT OF FRONT DOOR EXIT. Emergency Medical Plan 12/20/2000 NEAREST HOSPITAL. -6- 01/25/2007 r, F AT THE SHOP DIESEL & AUTO REPAIR I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-001263 1 Fast Format 9 Overall Site 9 03/24/2006 TWO 55-GAL DRUMS IN WHICH ARE SEALED WITH SCREW~IN CAPS UNLESS BEING FILLED, THESE DRUMS HAVE OLD ANTIFREEZE, WATER AND OIL. Release Containment 03/24/2006 DRUMS HAVE SCREW-ON CAPS AND COVERS. Clean Up 01/07/1992 RICE ASH. Other Resource Activation -7- 01/25/2007 ,i" i r~ F AT THE SHOP DIESEL & AUTO REPAIR I f= Site Emergency Factors Special Hazards SiteID: 015-021-001263 9 Fas t Format 9 Overall Site 9 Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - SHOP ON OUTSIDE BATHROOM C) WATER - UPSTAIRS ON E SIDE UPPER WALL D) SPECIAL - NONE E) LOCK BOX - NO 09/25/2006 WALL (1) VALVE Fire Protec./Avail. Water 01/25/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - FRONT L OF BLDG CTR DIVIDER. Building Occupancy Level 12/11/2006 1 EMPLOYEE -8- 01/25/2007 ,~ t-1" '" f AT THE SHOP DIESEL & AUTO REPAIR I f= Training Employee Training SiteID: 015-021-001263 9 Fast Format 9 Overall Site 9 09/25/2006 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETING ONCE A MONTH. Page 2 Held for Future Use Held for Future Use I I -9- 01/25/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME 'ADDfu1.-~(S~~Q~.-,------ . -.; --.-.--- . --.-.- - .- --'~-1.~\\) --.. .-- 'n' .-.-. ______._kJ ~ _\te.._-.h~_.__....JrI_:______ _..." _~c.l ?, .__._.._.__._. _.____ FACILITYCONTACT INSP"TION DATE INSPECTION TIME 'L1.t.LQ~"__ ._-'-51.s-._______ PHONE No. No. of Employees ~~,jL&.____. ... L_. ..... ._' Business 10 Number 15-021- 00 I ZCc3 Section 1: Business Plan and Inventory Program lIJ4"outine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) V=Violalion OPERATION COMMENTS CJ 0 ApPROPRIATE PERMIT ON HAND o 0 BUSINESS PLAN CONTACT INFoRMATION ACCURATE 0 0 VISIBLE ADDRESS ------------------ ---- 0 0 CORRECT oCCUPANCY 0 0 VERIFICATION OF INVENTORY MATERIALS -..------....--- 0 0 VERIFICATION OF QUANTITIES ( 0 0 VERIFICATION of LOCATioN o 0 PROPER SEGREGATION OF MATERIAL o 0 VERIFICATION OF MSDS AVAILABILITYE o 0 VERIFICATION of HAT MAT TRAINING o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES o 0 EMERGENCY PROCEDURES ADEQUATE o 0 CONTAINERS PROPERLY LABELED ~- :- ;,~~S::::::~N E""~~."~:$~ t,kec.s'- ~e"~~~tJ~------'--'-"'u ------------. ----.----- --------_._---~-----,------_._._-_.._-_.__._.__.,._----.--.- o 0 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES o No :;;/ EXPLAIN: W 4~ I~ GLt...- While . Environmental Services Yellow . Slation Copy _X~~Oo~ /. Businessst Responsible Party U ~ Pink. Business Copy . ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _G.=-~QLhuQ__._.____.._.___..___..iQ5_=-_._. Inspeclor Badge No. .UNIFIED PROGRAM INSPECTION CHECKLIST BAKERSFIELD FIRE DEPI' Prevention Services 900Truxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326~3979 Fax: (661) 872-2171 . , /t:,l!(-~::tt'f~,:4.~;1~;;TI%1..~.~'J..ll'.r- i:~J:0i~~'ll;'7{-l.~~.1',jt~,tj ~~;~"~':':~;:";~';.?'mIti:.::!:,~;:'"_..:~:~f,:;o..J~/,i.-'<;J,:~"....th":: '~:'~~M'fJ.::. ':'~<..~'1f~"'.::_:':_/':f'!i-1;~ ~~.y;,.~.;,'. '~'~'!.l-)',<,;.4"r t,'" . SECTIQN 1: Business Plan and Inventory Program FACILITY NAME ~ NSPECTION DATE NSPECT10N TIME 1 eJo I W .\A- IT s~c:.... LN. ( ( o OF EMPLOYEES , loeA] ADDRESS FACILITY CONTACT L.>'\- ./ [3"" ROUTINE Section 1: Business Plan ~nd Inventory Program o COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT ORE-INSPECTION I. c v ( C=Compliance) OPERATION COMMENTS V=Violalion -- ~O ApPROPRIATE PERMIT ON HAND ,0'/' 0 Business PLAN CONTACT INFORMATION ACCURATE ~ VISIBLE ADDRESS / .ef'o CORRECT OCCUPANCY J2('o , VERIFICATION OF INVENTORY MATERIALS ~-O VERIFICATION OF QUANTITIES / ~O VERIFICATION OF LOCATION J2f'o PROPER SEGREGATION OF MATERIAL /". . .~O VERIFICATION OF MSDS AVAILABILITY ~'O VERIFICATION OF HAl MAT TRAINING .er- 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~O EMERGENCY PROCEDURES ADEQUATE ~/ ~O CONTAINERS PROPERLY LABELED ~O HOUSEKEEPING ~O FIRE PROTECTION ...~.~ Ai" 0 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ... EXPLAIN: -W.4-ST~ t:> 'L ~S o NO .UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 S .\)/JitZ 9c d Inspector (Please Print) Fire Prevenlion / l't In / Shift of Site/Slalion # White - Prevention Services Yellow - Slation Copy Pink - Business Copy FD2049 (Rev. 02105) "- '. ~. ....3 + AT THE SHOP DIESEL & AUTO REPAIR ==================== SiteID: 015-021-001263 + Manager : Location: 7001 WHITE LN 117 City BAKERSFIELD BusPhone: Map : 123 Grid: 16D (661) 831-9418 CommHaz : Low FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:7538 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title LARRY HANDY / OWNER/OPERATOR CARMEN HANDY / OWNER/OPERATOR Business Phone: (661) 831-9418x Business Phone: (661) 831-9418x 24-Hour Phone : (661) 587-1450x 24-Hour Phone : (661) 587-1450x Pager Phone : ( ) - x Pager Phone : (661) ~ u~5~ +---------------------------------------+-----------------------------~~------+ I Hazmat Hazards: Fire :"J7'}..-S";~q DelHlth I _~.'+ :-. =.::. -- .__ =-.__,= ::-:-_:: ,- -:' =--=-.-:- -:- - -: __- - - :- - - :- - .- - - :- - - - -- =- --. - :-: -,:- - -- ,... :-. - - ,... - - -=- - - -- ..." - .7 -- - - -: - - - -- - - - - - - - - - - - - + .- Contact :. .. -. Phone: (661) 831-9418x MailAddr: 7001 WHITE LN 117 State: CA City : BAKERSFIELD Zip : 93309 +------------~---------------------------------------,...-------------------------+ Owner LARRY HANDY Phone: (661) 831-9418x Address : 701 QUINTANA DR State: CA City : BAKERSFIELD Zip : 93314 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif ' d: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those i,ndividu8:ls responsible for obtaining the information, I certify under penalty of law that I have person~lly examined and am familiar ,,:,ith the ,lnfo~matlon submitted and believe the Information IS true, accurate, a~~~mPlete.. 11/ . .~~ i ~-\~,-06 Signature Date fNT'{) MAR 24 2006 +==============================================================================+ -1- 03/13/2006 -=--- Prevention Services D 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326~3979 Fax: '(661) 872-2171 UNIFIED P-ROGRAM INSPECTION CHECKLIST SECT ION 1: Business Plan and Inventory Program . INSPECTION DATE IO~/O"O(P INSPECTION TIME l~o LA R.R (.. W /+- ~fIc.. l:f-/1-IA~ c.W PHONE NO. 83/,'1 /8' NO OF EMPLOYEES, I FACILITY CONTACT BUSINESS ID NUMBER 15-021- l?iJ o JOINT AGENCY C V ( c-ComPlianCe) OPERATION V=Violalion (id1 0 ApPROPRIATE PERMIT ON HAND G4' 0 Business PLAN CONTACT INFORMATION ACCURATE Gt 0 VISIBLE ADDRESS 121 0 CORRECT OCCUPANCY 0 0 VERIFICATION OFINVENTORY MATERIALS IiJ 0 VERIFICATION OF QUANTITIES . 0' 0 VERIFICATION OF LOCATION ~ 0 PROPER SEGREGATION OF MATERIAL g- O VERIFICATION OF MSDS AVAILABILITY Q-- 0 VERIFICATION OF HAZ MAT TRAINING 12" 0 VERIFICj\.TION OF ABATEMENT SUPPLIES AND PROCEDURES lAY 0 EMERGENCY PROCEDURES ADEQUATE u;;r 0 CONTAINERS PROPERLY LABELED' Ii3' 0 HOUSEKEEPING Ia'" 0 FIRE PROTECTION Ii3" 0 SITE DIAGRAM ADEQUATE & ON HAND COMMENTS o B 2006 ANY HAZARDOUS WASTE ON SITE? EXPLAIN: )(VES 0 NO W~MiJ Inspeclor rinl~re Prevenlion 11" In 1 Shift of Sile/Slalion # QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 . {{C/ White - Prevention- Services Yellow. Station Copy Pink - Business Copy FD 2155 (Rev. 09/05