HomeMy WebLinkAboutBUSINESS PLAN 9/10/2007<.i
CATANOS AUTO BODY & PAINT SiteID: 015-021-001875
Manager VERONICA CATANO
Location: 615 BROWN ST
City BAKERSFIELD
BusPhone: (661) 869-0168
Map 103 CommHaz High
Grid: 28C FacUnits: 1 AOV:
CommCode: BFD STA 02
EPA Numb:
SIC Code:7532
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TERESO CATANO / OWNER RAMIRO CATANO / OWNER
Business Phone: (661) 336-0168x Business Phone: (661) 869-0168x
24-Hour Phone (661) 864-0737x 24-Hour Phone ( ) - x
Pager Phone (661) 304-8064x Pager Phone (661) 330-0614x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact RAMIRO CATANO Phone: (661) 869-0168x
MailAddr: 1504 E TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93305
Owner TERESO CATANO Phone: (661) 869-0168x
Address 615 BROWN ST State: CA
City BAKERSFIELD Zip 93305
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
Based on my inquiry of those individuals
nsible fir obtaining the informatior°e, I certify
respo
under penalty of law that I have personally
examined and am familiar with the information
su mitted and bF;~eve the information is true,
acr urate, snd ca n' Sete. f
/~/~~ ENT°p ~~F ~. ~ ~~p7
~~
_
ig r to ~ Date
-1- 07/10/2007
Y j
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 1320.00 FT3 Hi
THINNER F DH L 55.00 GAL Hi
OXYGEN F IH DH G 1124.00 FT3 Low
WASTE PAINT F DH L 35.00 GAL UnR
-2- o7j1oj2oo7
-3- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP CAS#
74-86-2
~GasATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~
I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
330.00 FT3 1320.00 FT3 685.00 FT3
- HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Acetylene Yes 74862
ril-1GEitCL H77~~71~1J"~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
-4- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
THINNER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%4Vt • RS CAS#
30.00 Acetone No 67641
15.00 Toluene No 108883
10.00 n-Propanol No 71238
10.00 n-Butyl Acetate No 123864
5.00 Xylene, Mixed No 1330207
5.00 Methanol No 67561
Clt'1Ut1RL L'iJ .7~JJl•1L' 1V 1 a7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Hi
-5- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP CAS#
7782-44-7
STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
~GaS I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
281.00 FT3 1124.00 FT3 562.00 FT3
tit-1GE'~ttUUUJ lrul~lYV1V1:',1V1J
oWt. RS CAS#
100.00 Oxygen, Compressed No 7782447
til'~GEi1tL E1.7 b L" .7 ~71~1L" 1V l J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE PAINT Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Liquid TWaste ^~Ambient ~ Ambient DRUM/BAR,REL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 35.00 GAL 35.00 GAL
HAZARDOUS COMPONENTS
°sWt .
RSA CAS#
nriZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
-6- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/20/2006 ~
CALL 911 OR OFFICE OF EMERGENCY SERVICES 800-852-7550. ALSO CALL OR NOTIFY
BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979.
Employee Notif./Evacuation 10/20/2006
EMPLOYEES TO NOTIFY OWNER OF SPILL AND ATTEMPT CLEAN-UP, IF TOO LARGE, OWNER
TO NOTIFY 911 OR OTHER AGENCY.
Public Notif./Evacuation 03/24/2006
THE PUBLIC MUST BE AT LEAST 20 YARDS AWAY FROM THE BLDG FOR THEIR SAFETY.
P~l(lCil~. C11C:y i~1C U1c: Cll rlan
-7- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/24/2006 ~
WHEN NOT IN USE ALL PAINT MATERIAL WILL HAVE CLOSED LIDS AND BE KEPT IN
CABINETS WITH CLOSED DOORS. ALL PAINT WASTE TO BE KEPT IN DOT-APPROVED DRUM
WITH APPROVED SAFETY FUNNEL-TYPE LID. WHEN IN USE, WORK AREA TO BE KEPT
CLEAN AND FREE FROM CLUTTER.
Release Containment 03/24/2006
ALL PAINT WASTE TO BE KEPT IN DOT-APPROVED DRUM IN ALL AREAS WHERE PAINT AND
PAINT WASTE ARE KEPT. WE WILL KEEP APPROVED LIQUID ABSORBENT FOR QUICK
RESPONSE AND CLEAN UP.
Clean Up 03/24/2006
ANY SPILLS TO BE CONTAINED WITH APPROVED LIQUID ABSORBENT AND TO BE DISPOSED
OF PROPERLY. PICK UP HAZARDOUS WASTE ABOUT EVERY 6 WEEKS.
PCL
3150 E PICO BLVD
LOS ANGELES CA 90023
800-752-1566
v~.iici ncovui.~.c r~~.~.iva~.lvii
-8- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aNc~.~..a.L nac~aiu.~
Utility Shut-Offs 10/20/2006
A) GAS - NE CRNR OF BLDG NEXT TO OFFICE 1
B) ELECTRICAL - NW CRNR NEXT TO OFFICE 1
C) WATER - SW OUTSIDE OF PROP ON BROWN ST
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 03/24/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - E 19TH & BROWN ST.
Building Occupancy Level 12/12/2006
3 EMPLOYEES
-9- 07/10/2007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/20/2006 ~
NO MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: AVOID ANY FIRE EXPLOSION. CALL FIRE
DEPT FOR AN UNSTOPPABLE FIRE.
rayc c.
Held for Future Use
Held for Future Use
-10- 07/10/2007
_~
,,~
CATANOS AUTO BODY & PAINT SiteID: 015-021-001875
Manager : ~~-~'Y1I ~( (
Location: 615 BRO~~TN SZ~~
City BAKERSFIELD
CommCode: BFD STA 02
EPA Numb:
BusPhone: (661) 869-0168
Map 103 CommHaz High
Grid: 28C FacUnits: 1 AOV:
SIC Code:7532
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TERES~ CATANO / OWNER RAMIRO CATANO / OWNER
Business Phone: (661) 336-0168x Business Phone: (661) 869-0168x
24-Hour Phone (661) 864-0737x 24-Hour Phone ( ) - x
Pager Phone (661) 304-8064x Pager Phone (661) 330-0614x
...............
Hazmat Hazards: Fire Press ImmHlth DelHltti
Contact RAMIRO CATANO Phone: (661) 869-0168x
MailAddr: 1504 E TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93305
Owner TERESO CATANO Phone: (661) 869-0168x
Address 615 BROWN ST State: CA
City BAKERSFIELD Zip 93305
Period to TotalASTs: = Coal
Preparers TotalUSTs: _ dal
Certif'd: RSs: No
ParcelNo:
Emergency .Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
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,
accurate d complete.
~~~ Id ~N~~ ~~~
,
Date ~ ~ ~~~7
Signature
-1- 01/29/2007
s
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~+fCP
ACETYLENE E F P IH G 1320.00 FT3 X13.
THINNER F DH L 55.00 GAL H
OXYGEN F IH DH G 1124.00 FT3 ~6w
WASTE PAINT F DH L 3 5. 0 0 GAL f7fZR
-2- Ol/29/~007
-3- O1/29/~b07
~,
F CATANOS AUTO BODY & PAINT
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
ACETYLENE
Location within this Facility Unit
SHOP
SiteID: 015-021-001875 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid: ----
CAS#
74-86=2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER,,,,,,,,,,,,,,,
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
330.00 FT3 1320.00 FT3 685.00 FTC
- rit~~rjlcl~vua ~vi~ir~lVr;lv'1'S
%Wt. RS CAS#
100.00 Acetylene Yes 7462
ri1~GL~ttL A~~li~~1~1L"~1V'1'S
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA
No No No No/ Curies F P IH / / / Hi
-4- Ol/29/~007
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
riAG1-1tCLVU~ 1;V1~lYV1VL";1V1~
°sWt . RS CAS#
30.00 Acetone No 67641
15.00 Toluene No 108g$3
10.00 n-Propanol No 71238
10.00 n-Butyl Acetate No 12364
5.00 Xylene, Mixed No 1330207
5.00 Methanol No 67551
riE~GL•itCL 1~~~L"iJ~1~1L'1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Hi
-5- 01/29/2007
l~
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
...............
,.,..,,.,.~~ ,t,,.,~, ~ ,...r...,~,.,,r ..~..r,
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP CAS#
7782-4~-7
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
281.00 FT3 1124.00 FT3 562.00 FT3
t1HGA1[LVUb 1:V1~lYV1V~1V1A
%Wt. RS CAS#
100.00 Oxygen, Compressed No 778247
tiHGKL[L 1-~~7~~5.`~1~1L"1V1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA
No No No No/ Curies F IH DH / / / Lt~w
~ Inventory Item 0005
Facility Unit: Fixed Containers at Site ~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 35.00 GAL 35.00 GAt
°sWt .
RSA CAS#
r1H~.ylc1~ r~~~~~~i~irlVla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1
No No No No/ Curies F DH / / / U111
HAZARDOUS COMPONENTS
-6- O1/29/~007
Liquid Twaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
}
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Sites ~
~ Agency Notification 10/20/20175 ~
CALL 911 OR OFFICE OF EMERGENCY SERVICES 800-852-7550. ALSO CALL OR NOTIFY
BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979.
Employee Notif./Evacuation 10/20/20E76
EMPLOYEES TO NOTIFY OWNER OF SPILL AND ATTEMPT CLEAN-UP, IF TOO LARGE, OWNER
TO NOTIFY 911 OR OTHER AGENCY.
Public Notif./Evacuation. 03/24/20016
THE PUBLIC MUST BE AT LEAST 20 YARDS AWAY FROM THE BLDG FOR THEIR SAFETY.
Ij lllClyClll:y 1.10 U1L: Cif r1Ci11
-7- Ol/29/~007
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/24/20176 ~
WHEN NOT IN USE ALL PAINT MATERIAL WILL HAVE CLOSED LIDS AND BE KEPT IN
CABINETS WITH CLOSED DOORS. ALL PAINT WASTE TO BE KEPT IN DOT-APPROVED DR~TM
WITH APPROVED SAFETY FUNNEL-TYPE LID. WHEN IN USE, WORK AREA TO BE KEPT
CLEAN AND FREE FROM CLUTTER.
Release Containment 03/24/20175
ALL PAINT WASTE TO BE KEPT IN DOT-APPROVED DRUM IN ALL AREAS WHERE PAINT A1.~D
PAINT WASTE ARE KEPT. WE WILL KEEP APPROVED LIQUID ABSORBENT FOR QUICK
RESPONSE AND CLEAN UP.
Clean Up
03/24/2005
ANY SPILLS TO BE CONTAINED WITH APPROVED LIQUID ABSORBENT AND TO BE DISPOSE
OF PROPERLY. PICK UP HAZARDOUS WASTE ABOUT EVERY 6 WEEKS.
PCL
3150 E PICO BLVD
LOS ANGELES CA 90023
800-752-1566
v~.tict itC.7VUl.l.C til~l.lVCLl.1V11
-8- Ol/29/~007
;.
F CATANOS AUTO BODY & PAINT SiteID: 015-021-0018'75 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~Nc~iai na~.cxLU~
Utility Shut-Offs 10/20/2006
A) GAS - NE CRNR OF BLDG NEXT TO OFFICE 1
B) ELECTRICAL - NW CRNR NEXT TO OFFICE 1
C) WATER - SW OUTSIDE OF PROP ON BROWN ST
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 03/24/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - E 19TH & BROWN ST.
Building Occupancy Level 12/12/2006
3 EMPLOYEES
-9- O1/29/Z007
~,
F CATANOS AUTO BODY & PAINT SiteID: 015-021-001875 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/20/20175 ~
NO MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: AVOID ANY FIRE EXPLOSION. CALL FIRE
DEPT FOR AN UNSTOPPABLE FIRE.
rayC ~
RCll1 Lvi r u~..ulC u~C
nciu tvi r UI.ULC U5C
-10- ~ O1/29/~b07
YJ1 ,^.
~^
+ CAT-ANOS AUTO BODY & PAINT ___________________________ SiteID: 015-021-001875 +
Manager BusPhone: (661) 869-0168
Location: 615 BROWN ST Map 103 CommHaz High
City BAKERSFIELD Grid: 28C FacUnits: 1 AOV:
CommCode: BFD STA 02 SIC Code:7532
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TERESQ CATANO / OWNER RAMIRO CATANO / OWNER
Business Phone: (661) 336-0168x Business Phone: (661) 869-0168x
24-Hour Phone (661) 864-0737x 24-Hour Phone ( ) - x
Pager Phone (661) 304-8064x Pager Phone (661) 330-0614x
` Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact TERESO CATANO Phone: (661) 869-0168x
MailAddr: 1504 E TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93305
Owner TERESH CATANO Phone: (661) 869-0168x
Address 615 BROWN ST State: CA
City BAKERSFIELD Zip 93305
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
ENS ~~;
~ ~ ~~~
Based on my inquiry of those individuals
responsible for obtaining the infgrmation, 1 certify
under penalty of law that I have personally
examined and am famlllar with the information
submitted and relieve the information is true,
accurate, a mplete.
3,? -oG
Signature Date
-1- 03/01/2006
Prevention Services
UNi~FiE`~ PROGRAM INSPECTfON CHECKLIST A r R s r , , ~ 900Truxtun Ave.,~Suite 210
~,~~Ae~.: ~u~ys~ ~:~x. _~~~._~_ _ ...
-FIRE Bakersfield, CA 93301
_ SECTION 1: BusinessPPlaln and Inventory Program ARr"' t Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
C~ i ~®s ~ -- ~ a~ - ~tN
ADDRESS'
. PHO ENO. NO OF EMPLOYEES
FACILITY CONTACT
~ BUSINESS ID NUMBER
15-021-UC~y (~75
M
~.U -
_ _ _ _ _ -__
:.Section 1: Business Plan and Inventory Program ~~ ~~
I~ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION -
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
CI
Y
^ APPROPRIATE PERMIT ON HAND
,
/
L'J ^ - BUSIneSS PLAN CONTACT INFORMATION ACCURATE
~ ^ VISIBLE ADDRESS ENT'D ®E C ~ ~ 2000
~ ^ CORRECT OCCUPANCY
I~ ^ VERIFICATION OF INVENTORY MATERIALS
I~ ^ VERIFICATION OF QUANTITIES
~ CY ^ VERIFICATION OF LOCATION
LtJ'~ ^ PROPER SEGREGATION OF MATERIAL
^ CY VERIFICATION OF MSDS AVAILABILITY -
^ ^ VERIFICATION OF HAZ MAT TRAINING eti ~
I~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ [~ EMERGENCY PROCEDURES ADEQUATE
~'~^ CONTAINERS PROPERLY LABELED
~ j
^ 6d~ HOUSEKEEPING
I~ ^ FIRE PROTECTION
^ ~ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZiA1R~DOUS WASTE N SITtE? I3'~ES ^ NO
EXPLAIN: U~! AST~z ~(~I IJ ~1'
~QU._ESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979
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
i
,~..~. e `9''
UNIFIED PROGRAM INSPECTION CHECKLISTr
~~,.::.:~~:?rr~~u=.€;~sczfw..-..~~.x~x.......n,_ ,r.--:..;-.:~^.csT ..,.-~:. _,+.-.~., ~.~,;...... :,r~....~.:, z~.,,_~-.».., .~r .....ra,
_ SECTION 1: Business Plan and Inventory Program ~~
`~
BAKERSFIELD FIRE DEPT
a P Prevention Services
~Itt 900 Truxtun Ave., Suite 210
~Rrr f Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME 3
C ,~~ s v~v ~o ~ Q~ ~ ~~ NSPEC ION DATE
I old ~~ INSPECTION TIME
nz~'/V
ADDRESS
Cn! ~ g car S^T HONE NO.
3.~/, -o /(~ S O OF EMPLOYEES
~
FACILITY CONTACT USINESS ID NUMBER
15-021- p p 1 S '7 ,5
~2~ p e, ~9a~/
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V ~ C=Compliance OPERATION
V_Violation COMMENTS
J
- /
Iii' ^ APPROPRIATE PERMIT ON HAND
^ ~~ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE ~ P ~ QT so ash S S ~~/J
(~^ VISIBLE ADDRESS
I~^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
Q~ ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
It
~
J J
-
/
CT ^ VERIFICATION OF MSDS AVAILABILITY
^ ^ VERIFICATION OF HAZ MAT TRAINING I
~!/
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ C~ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
~, /
I.{y ^ HOUSEKEEPING
^ FIRE PROTECTION
O SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SIT ? Lt7 YtS ^ NO
EXPLAIN: ~A/ S ~ ~- A 1 ~ _^._ _
~OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
v T L-p Q~ (~-~- .a ._. C~1r~-~
inspector (Please Print) Fire Prevention / 1°` In I Shift of Site/Station # Business S cool Site Responsible Party (Please rint)
White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02105)