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GORILLA P AINTBALL
2530 WIBLE ROAD "-,
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GORILLA
PAINTBALL - WIBLE
~~a-r1 'Rd $. S
2530 WIBLE RD
BAKERSFIELD
SiteID: 015-021-002422
Manager
Location:
City
BusPhone:
Map : 123
Grid: 11D
(661) 397-5200
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 07
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact
JERRY ROSS
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ AIR TECH
(661) 397-5200x
(661) 323-1066x
() x
Emergency Contact
Title
Business Phone:
24-Hour Phone
Pager Phone
/
/
)
)
)
x
x
x
Hazmat Hazards:
Fire Press
ImmHlth
Period
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 397-5200x
State: CA
Zip 93304
Phone: (661) 397-5200x
State: CA
Zip 93304
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : JERRY ROSS
MailAddr: 2530 WIBLE RD
City BAKERSFIELD
Owner
Address
City
Emergency Directives:
PROG A - HAZMAT
I1MW{
Based on my inquir .
responsible for obtainin~ t~f .t~ose Individuals
unde~ penalty of law tha~ '~ ~rmation, I certify
examined and am fa " . ave personaily
submitted and believ~'~~r ,:^,Ith the .information
accu " d complete. e informatIOn is true,
ENTD MAY 2 9 2007
51),'1/07
Date
-1-
OS/21/2007
<,
:1
F GORILLA PAINTBALL - WIBLE
p= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-002422 ,
By Facility Unit ,
Fixed Containers at Site 9
IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP
Hazmat Common Name."
AIR
C02
F P
F P
IH
IH
G
G
232.00 FT3 Low
300.00 FT3 Min
-2-
OS/21/2007
1"
:j
-3-
OS/21/2007
~
"
F GORILLA PAINTBALL - WIBLE
F Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
AIR
SiteID: 015-021-002422 9
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
SHOP
Map:
Grid:
CAS #
7727-37-9
STATE - TYPE
Gas Mixture
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS, CYLINDER
Largest Container
232.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
232.00 FT3
Daily Average
232,00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
21. 00 Oxygen, Compressed No 7782447
79.00 Nitrogen No 7727379
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZARD ASSESSMENTS
F Inventory Item 0001
~ COMMON NAME / CHEMICAL NAME
C02
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
SHOP
Map:
Grid:
CAS #
128-38-9
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT, PRESS. CYLINDER
Largest Container
300,00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
300,00 FT3
Daily Average
300.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Carbon Dioxide No 124389
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-4-
OS/21/2007
~ .
"
SiteID: 015-021-002422 1
Fast Format 9
Overall Site 9
f GORILLA PAINTBALL - WIBLE
I
p= Notif./Evacuation/Medical
Agency Notification
Employee Notif./Evacuation
Public Notif./Evacuation
Emergency Medical Plan
-5-
OS/21/2007
l' ,
.,
SiteID: 015-021-002422 ,
Fast Format 9
Overall Site 9
f GORILLA PAINTBALL - WIBLE
I
p= Mitigation/Prevent/Abatemt
Release Prevention
Release Containment
Clean Up
Other Resource Activation
-6-
OS/21/2007
c . '
F GORILLA PAINTBALL - WIBLE
I
p= $ite Emergency Factors
. Special Hazards
SiteID: 015-021-002422 1
Fast Format 9
Overall Site 9
Utility Shut-Offs
'Fire Protec. /Avail. Water
~
i
.Building Occupancy Level
-7-
OS/21/2007
~~ 'to .- ':i
F GORILLA PAINTBALL - WIBLE
I
F Training
JE~ployee Training
SiteID: 015-021-002422 1
Fast Format 1
Overall Site 1
Page 2
Held for Future Use
Held for Future Use
-8-
OS/21/2007
T\
<r
+ GORILLA PAINTBALL =================================== SiteID: 015-021-002422 +
Manager
Location: 2530 WIBLE RD
City BAKERSFIELD
BusPhone:
Map : 123
Grid: lID
(661) 397-5200
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 07 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
JERRY ROSS / AIRTECH /
Business Phone: (661) 397-5200x Business Phone:) x
24-Hour Phone : (661) 323-1066x 24-Hour Phone :) x
Pager Phone () x Pager Phone ) x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth I
+------------------------------------------------------------------------------+
Contact : JERRY ROSS Phone: (661) 397-5200x
MailAddr: 2530 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------------------------------------------------+
Owner Phone: (661) 397-5200x
Address : 2530 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93304
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
PROG A - HAZMAT
ENT'D APt:? 282006
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accu '" and complete.
Dar/t~
+==============================================================================+
-1-
03/09/2006
")
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enlronmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTION DATE
(90 ~ I Lt..:fr___efu~""l~--.---.________ ___.___ .__.....___._.___..._._._____.__.____.. .3..:ti:~r?
ADDRESS PHONE No.
2.-5 ~ w, eu- _e-O ____.____________.______. ;3Ql-I;):Loo
FACILlTYCONTACT Business 10 Number
0~e. y
INSPECTION TIME
IJ~J.:i____._._
No. 01 Employees
Z-
15-021- 002.J'I '2.Z-
Section 1: Business Plan and Inventory Program
lV~outine
D Combined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
C\V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
D D ApPROPRIATE PERMIT ON HAND
--.------------ ------.-..---.--.---------..--.-..-.--.----.-.---..---
D D
BUSINESS PLAN CONTACT INFORMATION ACCURATE
D D
D D
D D
D D
D D
D D
--
---.--------.-..-.---.-..- -.--.--------------.---....---------..--.--..---.-.-.-..-.--.-.--
~~~~ ~
- ." -- .----------.- -.-----.----.....---(\"-\.-----..-... -----...---....---.-----
CORRECT OCCUPANCY ()tJ
._-- --...-----...------. --------.-------..--.-.-.-----.-.....--- ---.-.---
VERIFICATION OF INVENTORY MATERIALS
.-.---------.- -----.-.-------..---.------.------------...---.----- -.--.
VERIFICATION OF QUANTITIES ,.J!;/ T E' 7' 5 c:{ ~ 5
..--.-.-----.- --~;;;-------_.._._------_.._._---_.._._.__._...--. -...-..---
VERIFICATION OF LOCATION C "'<=;~ % . .:.~./.I-.2...2.....
-- _...-._------ .-----.---.--.----------
PROPER SEGREGATION OF MATERIAL
D D VERIFICATION OF MSDS AVAILABILlTYE
D D VERIFICATION OF HAT MAT TRAINING
-- .-..-- ------.-----.---------..-.--..----.--.----..---.--..----
o D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-------.----..------ ---------------.----------...--.--------.-----
r-~ ~ :::::~:: :~~~~~~E~B:::U~~---..----t------.-.-..--.--.---------- -..-- .-----.-..-.-...-...-----..----
~------------------------ ---.--" ----.---.---------.---.---.----.-----.-,...-.----.-----.---.-
o D HOUSEKEEPING ~
1-----.-----------------.-------.-- - --.--------.--.------_.______.____._...._____.._..
o D FIRE PROTECTION
;---__u_u_____ __.___________.______ ________ ________ __.____._._______._.__.. __u__.____..__.___.. ......_______
D D SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?:
DYES
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0-170 /7 \v
c5..;5 0 0 /
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
A4[Q~2;'-'~u_~~,-- l~~.~",;;~
White . Envoronmental ServIces Yellow. Stetion Copy Pink . Susiness Copy 1 ~
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 ~ .1=3 INS~TIO~ ,ATE INSPECTION TIME
"'''''--u~. ~-___=~_==~_-_:~~_-==:__= 'f;~~ :bt:-_
FACILlTYCONTAC Business 10 Number
't-' 15-021-lX>2;f2L
Section : Business Plan and Inventory Program
Routine
o Combined
a Joint Agency
a Multi-Agency
a Complaint
ORe-inspection
c V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
D ApPROPRIATE PERMIT ON HAND
~ D BUSINESS PLAN CONTACT INFORMATION ACCURATE
"i~V;SIBLE AD~ESS=-~===~==____==.... r: =-==--===_= .._=___ _
~ D CORRECT OCCUPANCY I
j.O' VERIFICATIO~-~~-I~~~NTORY ~~TE~-'AL;----------"-
______~_~._______.,_____~__.______~..._______,__________ ...._._.__._._ .__ ~_"__'__" _" __._~____.__ .__ __________..__.. _.__,____.._.______n _.._n __ _.__._._ ..._
~_~_~ERIF~CATION OF _~UAN.2'~~~ES ______ _m________.._.__ .u___..______.u__ ______.n_.____h______._.,._ _. _n___.__.._
~_~_.__\,,'~~~~AT~~ OF _~OC~T!~~_____________________..__. ______._.._____._______ _.____._.__.__._... __..__n.____
.~ D PROPER SEGREGATION OF MATERIAL
_'_.__~~_~_____.__________._._____ _________._______h_._.._....__.____ _' ._.__._________..__._ ____..__.___.. __ .. ______._.___.____.. n____ _~___ _u_.___...._.u "..~_._
D - VERIFICATION OF MSDS AVAILABILlTYE
. D VERIFICATION OF HAT MAT TRAINING
)i --r;--;-RIFICA T1~N OF -~~~TE~;NT SU;~;~~-~~D-;~~~~~~~~----------. -- ---.---------- - --------- __Hn_ --.-
t -r,-- EM~RGENC~- PR~CED~;~-.~DEQ~TE --. --.--. _u_ u__ -.---.----- .-.-----. __n --- . . - -- _..n n .-- - ----.-.---. n.
_!-~~~~T~ER~-~O~~RL~-~~E~___=~-- ....j_~=...__==..... _-=_.. ....... . .__ ...
D HOUSEKEEPING' . j
-~ -~~-.----~_-.----~________________~___________._._..____ ...._u___._..___ ~__ _____.___._ _________....__..___..._______.____._...._____.__._ _ .__.____ .._..._..
~ c:J FIRE PROTECTION
.--'---. .------n-.-------.-----c>,--.---..------.-.-- --__.._.___._ __..___ .'___ ______.__ __.____.__. _n._ ___._... ___ :___._..n__._____.... . ..._.__.. __ _......___.._.. _ ... _ _ 'nn .___.
o SITE DIAGRAM ADEQUATE & ON HAND
i
ANY HAZARDOUS WASTE ON SITE?:
DYES
~O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
- --~-_u_!~lNO--- ~4f~~-
While . Environmental Services
Yellow - S1alion Copy
Pink. Business Copy .