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SO. CALIF AIR CONDITIONING ~ '~ - i 720 WILLIAMS STREET ' ~ ~~ M.~SOllt .. ~~ kern California Air Condit, p720 Williams St. {^ ~l i ~ ,~~ ~\ 1 i -~`~C~ -~ - _., - ~. Prevention Services e .~ F R s ~.1 0 900 Truxtun Ave.; Suite 210 UNIFIED PROGRAM INSPECTION CHECKLIST.: ~~ - _ , _ .,_v ._ . , „~_ __., FARE -_ Bakersfield, CA 93301 aRrM TeL: (661) 326-3979 SECTION 1: Business Plan and Inventory Program ~ Fax: (661) s72-2171 - :INSPECTION DATE (INSPECTION TIME j FACILITY NAME ~ ~ -~ ' ~, ~ " ~ L ~ '~ 2n! ~ ~ I tz - ~ 9 2 3 ~ b ~ ' 2 C~ u ADDRESS __ _ - _ PHONE NO. ENO OF EMPLOYEES .. z 6 i l-C. ! iq ,'-i S ~' Tc~-~-"T~ 3227 Z2 - - BUSINESS ID NUMBER FACILITY CONTACT tirZ ~1/~V~r=„J' c~ 15-021- U~ //~7 - _ _ _ _- ~ _1 Section 1: Business Plan and Inventory Program ! -cam-~ _~ 4 - _ __ I ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation ~ COMMENTS ^ APPROPRIATE PERMIT ON HAND E [~ _ ^ - BUSIneSS PLAN CONTACT INFORMATION ACCURATE 200U ^ L ~J VISIBLE ADDRESS ~ / L'7 ^ CORRECT OCCUPANCY EY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~` ~ i~ ^ VERIFICATION OF LOCATION [rY ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY _ ,,~/ L~J ^ VERIFICATION OF HAZ MAT TRAINING CY ^. VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~~ ~ ~ T~s ~ ,, ~ ~ ~~ ^ FIRE PROTECTION Ifd ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING-THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 GZ~~TLt-Lv,G~- ~- e- Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy - ~ FD 2155 (Rev. 09/05 ^ YES VIVO • • ~; UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ar a ~ItI 900 TrttZCtun Ave., Suite 210 ARfM t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ADDRESS ue" ~ HONE NO. ~-~22Z 32 O OF E PLOYEES s s v 1 I _ FACILITY CONTACT (~ , °~2 `~ ~ ~ - USINESS ID NUMBER 15-021- C7 ~ / / ~ ~ 1 (L ni i ~ = D (~ © ~l Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ___ ^ APPROPRIATE PERMIT ON HAND rJ ^ BUSIfIESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS Lt7~ ^ CORRECT OCCUPANCY 0' ^ VERIFICATION OF INVENTORY MATERIALS ^/^ VERIFICATION OF QUANTITIES ®~^ VERIFICATION OF LOCATION LL9~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING C~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l~ ^ EMERGENCY PROCEDURES ADEQUATE C'1' ^ CONTAINERS PROPERLY LABELED C•~ ^ HOUSEKEEPING ^ FIRE PROTECTION ' ^ SITE DIAGRAM ADEQUATE & ON HAND ^~ ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~O .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 -~--- --------• I l , Inspector (Please Print) Fire Prevention / 18~ In /Shift of SKe/Station # Business Site/School Site Responsible Pa ~ ( ase Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) - ~_s;(~. SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 U ~ ~ 1 ~(~i~flD t 7~lonf or1C~- ~i~ i S~/ ~i~ ~ K. s , Manager ARNIE MORENO ~ BusPhone: (661) 322-7222 Location: 720 WILLIAMS ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 28C FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code: EPA Numb: DunnBrad: 61-873-4826 Emergency Contact / Title Emergency Contact / Title SNi-ES ARNIE MORENO / BRANCH MANAGER ALEX PERALES / . Business Phone: (661) 322-7222x- Business Phone: 322-7222x (661) 24-Hour Phone (661) 831-2516x 24-Hour Phone _ (661) ` 831-_~-•~ ~ r ~~' Pager Phone ( 661) ' ~~,~-,8 ~7i~~- Pager Phone ( 661) ~`~'--~~~~ Hazmat Hazards: Fire Press ImmHlth DelHlth Contact A(~IiE (Y-DK~C~ Phone: (661) 322-7222x MailAddr: 720 WILLIAMS ST State: CA City BAKERSFIELD Zip 93305 Owner JOHN STAPLES Phone: (626) 854-4501x Address 16900 CHESTNUT ST State: CA City CITY OF INDUSTRY Zip 91748-1012 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT 3:~~cl on m~~ '..,yu!ry o: ~~.~se individuals ,os o~t3ininc~ the irf ~rmation, I certify ti-,i.°` „ r;~t;.;:r unCi~°, a~rs~!ty of lave t~.aY ~ have personally information ' h th i ~ ENrp F E ~ 2 6 2007 e ,~r a t Q•.~r*~!ned and am fwr,~~ . submitted any ~::'wE t ~ information is true, l + e ~. accuratt, and co .p Z ~Z ~°~~ _ ,~gnatur ~ ~ Dat -1- 02/06/2007 ~ SOUTHERN CALIFORNIA_AIR SiteID: 015-021-001167 ~ ~ Hazmat,Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 873.00 FT3 Hi ACETYLENE E F P IH G 120.00 FT3 Hi OXYGEN F IH DH G 240.00 FT3 Low FREON F P IH G 12000.00 LBS Min NITROGEN F P IH G 40.00 FT3 Min CARBON DIOXIDE F P IH G FT3 Min -2- 02/06/2007 -3- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit N WHSE WALL NEXT TO SLIDING DOOR STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-001167 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 437.00 FT3 873.00 FT3 437.00 FT3 r1t~GtixiluuJ ~vlnrulvniv 1 S °sWt. RS CAS# ' 100.00 Propane Yes 74986 t1HGEitCL H. 7.7r,.7J1~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount- EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit N WHSE WALL INSIDE NEAR SLIDING DOORS STATE TYPE PRESSURE Gas TPure ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12.00 FT3 120.00 FT3 120.00 FT3 t~u~Gt~tcLUUJ ~uriruivr,iv 1 J oWt. RS CAS# 100.00 Acetylene Yes 74862 IIHGHKL H.7 .71;JJ1~1P~1V 1J --- -_--- -------- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/. Curies F P IH / / / Hi -4- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit N WHSE WALL INSIDE NEAR SLIDING DOORS STATE TYPE PRESSURE Gas TPure ~mbient Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 24.00 FT3 240.00 FT3 240.00 FT3 tll-~GHKLVUJ l.Vl"lYV1V81V 1.7 owt. Rs cAS# 100.00 Oxygen, Compressed No 7782447 IIHGtilCL tiJ Jr.iJ iJl•1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON - Days On Site 134R, R22,~(t410A_~~C?~'~ ~a~l,~p(~i~l~o R~~i R~{dgq,RS~, MP~r~; 365 Location within this Facility Unit Map: Grid: S CENTRAL WALL OF WHSE CAS# 75-71-8 ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 12000.00 LBS 6000.00 LBS t1t~~tucLVUa ~.VrirVlv.aivlS oWt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 I1tiGKCCL tiJ JL~J JI.IP~1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No r:o/ Curies F P IH / / / Min SiteID: 015-021-001167 ~ Facility Unit: Fixed Containers on Site ~ -5- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: N INSIDE WALL NEAR SLIDING DOORS WHSE CAS# 7727-37-9 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Ambient ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION - Largest Con20100rFT3 Daily M40100m FT3 I Daily A40r00e FT3 tit~GlittLVUJ ~VrirVivl~Jly1J %Wt. RS CAS# 100.00 Nitrogen No 7727379 t1LjGHKL E~JJ~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit STATE TYPE Gas TPure = PRESSURE _ Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Cryogenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 FT3 FT3 r1r~c~.y.rci,JUS COMPONENTS %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 t1EiGLjt'CL !-1JJ~JJ1~1~1V 1 b TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/30/2001 ~ CALL 911. Employee Notif./Evacuation 01/30/2001 ALL EMPLOYEES EVACUATED TO APPROPRIATE LOCATIONS OUTSIDE BLDG. FIRE DEPT NOTIFIED IMMEDIATELY. " Public Notif./Evacuation 12/09/1997 NOTIFY CORPORATE OFFICERS AND PHYSICALLY NOTIFY ALL BUSINESSES IN THE IMMEDIATE VINCIITY BOTH BUSINESS AND PUBLIC. Emergency Medical Plan 12/09/1997 HALL AMBULANCE & BAKERSFIELD FIRE DEPT. -7- 02/06/2007 F SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention _ 10/13/1995 ~ ALL MATERIALS ARE KEPT IN SUCH A WAY THAT THEY NORMALLY WOULD NOT ESCAPE THEIR CONTAINER. REGRIGERANTS ARE BOXED AND STACKED. CLEANERS & GASSES ARE BOXED AND DISPLAYED. Release Containment 01/30/2001 MATERIAL IN INVENTORY DOES NOT REQUIRE ANY SPECIAL CONTAINMENT, EQUIPMENT, OR PROCUDURES THEY ARE PRE PACKAGED IN SMALL CONTAINERS FOR RELEASE. Clean Up GENERAL CLEAN UP MOP AND BUCKET. 01/30/2001 Other Resource Activation -8- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaras Utility Shut-Offs 01/11/2007 A) GAS - OUTSIDE NE CRNR B) ELECTRICAL - WHSE UNDER STAIRS C) WATER - OUTSIDE NE UNDER MIDDLE OFFICE WINDOW D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS/A. NEAREST FIRE HYDRANT - 75YDS S (ACROSS ST). Building Occupancy Level 03/01/2006 7 EMPLOYEES - ~ ~/1/ID~U~S -9- 02/06/2007 ~ SOUTHERN CALIFORNIA AIR SiteID: 015-021-001167 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/01/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: BIWEEKLY TRAINING AND SAFETY MEETINGS. rcxyC L nclu ivL ru~uic ~~c n~iu Lui ru~ui~ u5C -10- 02/06/2007 Vw~' ' ~a ., A- ~1/ _4 CITY OF BAKERSFIEI:D FIRE DEPARTMENT OFFICE OF ENVIROti'1~1ENTAL SERVICES UNIFIED PROGRA~1 INSPECTION CHECKL[ST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~~~` ~~-~ C~ ~ ~ ~ ~ Ire INSPECTION DATE_ ~ ~ ~ ~ l ~~ ADDRESS %~d ? ~~~ ~ ~' PHONE NO. 3~~'_ ~~~ FACILITY CONTACT rL~.-' ~'~ ~~2~~~:: BUSINESS ID NO. 15-2IU- ~ ~ 1 /~ 7 INSPECTION TIME ' - ~ m ~~ NUMBER OF EMPLOYEES ~ Section 1: Business Plan and Inventory Program [Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address DEC 4 1003 Correct occupancy Verification of inventory materials Verification of quantities ~a ~ ~~° 9 ~a~.-44..o i/ Verification of location ~ N~d%9' /~i ~ ~~n~ o ii Proper segregation of material Verification of MSDS availability / ~~Y Verification of Haz Mat training '-~ r`~ ~ ~ ~ ~~ Verification of abatement supplies and procedures h'%~,~ , ~ .~ ~ 33 ~ Emergency procedures adequate Containers properly labeled ~ Housekeeping ST~e "'r -~ ~~s'~ C/r~ ~-J ~ i!>~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~No Explain: Questions regarding this inspections Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink - Husiness Copy ~ T' ~,, - -- Business Site Responsible Party r Inspector: - I