HomeMy WebLinkAboutHAZMAT INSP 1/14/2009/,
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTi~ B A F. R s F,. .„ 9oo~-uxtun t~ve., suite 210
~- _ -~--_ _--- _--_ __~._ __ ._-- - =- _ _--= - -_. -_--- ~ =- -'; F~RE ~ Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program 'I ~ Fr~AR~M $" Tel.: (661) 326-3979
~ Fa~c: (661) 872-2171
FACILITYp AME '
`
~~
< INSPECTION DATE INSPECTION TIME
'
~
n
s ~ ds C~s z
St~i~c< 1-/ -d9 3~
/y.
ADD~OS' .^ J_' O
.w
~
~ PHONE NO. NO OF EMPLOYEES
l
D~vn
f ~N i
FACILITY CONTACT )
~
~
~ USINESS ID NUMBER
15-021- ~ l°a ~ 1
j
.~.X ~1 J Tq~c,
/
Section 1: Business Plan and Inventory Program
^ ROUTINE ^ COMBINED 0 JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
NG ^ APPROPRIATE PERMIT ON HAND
~^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE
~~ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
1~ ^ VERIFICATION OF INVENTORY MATERIALS
'4J ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
L~ ^ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING
~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~^ EMERGENCY PROCEDURES ADEQUATE
L~Y ^ CONTAINERS PROPERLY LABELED
^ I~ HOUSEKEEPING
Iilv~ C l~P 4n~ ~?PC~l~
^ L~ FIRE PROTECTION ~, ~y / _
C~y'~'~ d'/~ l'C
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN:
QUESTIONS REGAROING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
J. ~. imnntr ~7 ~ C-
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
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
Manager : STEVEN E STANCIL
Location: 801 BRUNDAGE LN K
City : BAKERSFIELD
CommCode: BFD STA 06
EPA Numb:
BusPhone: (661) 326-1532
Map : 103 CommHaz : High
Grid: 31D FacUnits: 1 AOV:
SIC Code:7692
DunnBrad:
+______________________________________________________________________________+
+_______________________________________+______________________________________+
Emergency Contact / Title Emergency Contact / Title
STEVEN E STANCIL / OWNER ~t~-~~~p7 TOM STANCIL / OWNERS FATHER
Business Phone: (661) 3'2~~5~ Business Phone: (661) 326=1.5.32x
24-Hour Phone :(661)~-3"21_6407~ 24-Hour Phone (661) 325-1026~c
Pager Phone . ( )L.._ x :
Pager Phone ( )
---~x
~
+---------------------------------------+------------------ --------------------+
~ Hazmat Hazards: Fire Press ImmHlth DelHlth ~
+--------------------------------------- ------------------- --------------------+
Contact : STEVEN E STANCIL Phone: (661) 326-1532x
MailAddr: 801 BRUNDAGE LN K State: CA
City : BAKERSFIELD~ Zip : 93304
+--------------------------------------- ------------------- --------------------+
Owner STEVEN E STANCIL Phone: (661) 326-1532x
Address : 219 S KING ST State: CA
City : BAKERSFIELD Zip : 93307
+--------------------------------------- ------------------- --------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
~ Emergency Directives: ~
PROG A - HAZMAT
+------------------------------------------------------------------------------+
------------- ----------------------------------- --------- ---------
-1- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING ______________ ________ _ SiteID: 015-021-001851 +
+= 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 105.00 FT3 Hi
OXYGEN F IH DH G 155.00 FT3 Low
ARGON/CARBON DIOXIDE F P IH G 205.00 FT3 Min
ARGON F P IH G 155.00 FT3 Min
+______________________________________________________________________________+
-2- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
WELDING CART I CAS# I
74-86-2
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient I PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
105.00 FT3 105.00 FT3 105.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00IAcetylene IYesl ~S# ~4862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cur1'es I FPp HalHrds (%F~A/ I USDOT# I HiP I
+_______+___+______+____________________+____---------+---------+____----+_____+
--------- --------- ----
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
I Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-3- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
PORTABLE WELDING CART I CAS# I
7782-44-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
155.00 FT3 155.00 FT3 155.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INosl CAS#7782447I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPA HaIHrDH I%F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
+______________________________________________________________________________+
-4- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
ARGON/CARBON DIOXIDE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
WIRE FEED WELDING CART I CAS# I
7440-37-1
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Mixture ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co205100rFT3 I Daily 205100m FT3 I Daily 205r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
%Wt. RS CAS#
25.00 Argon No 7440371
75.00 Carbon Dioxide No 124389
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Curles I FPP HalHrds I%F~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag.Defined8: Ag.Defined9: Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
*______________________________________________________________________________+
--------------- --------
-5- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers at Site +
+_= CODM~ION NAME / CHEMICAL NAME ______________________________+________________+
I ARGON I Days365 Site I
Location within this Facility Unit Map: Grid: +----------------+
CENTER OF SHOP I CAS# I
7440-37-1
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co155100rFT3 I Daily M55100m FT3 I Daily A55r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lArgon INoSI CAS#7440371I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oactive/Cu~l'es I FPP HalHrds I jF~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ MISC. LOCAL AGENCY DATA =__________________________+
~ Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: ~
Ag.Defined5:
Ag.Defined6:
Ag . Def ined7 :
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
*______________________________________________________________________________+
-6- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ OS/30/2007 +
EMERGENCY NOTIFICATION 911. NON-EMERGENCY BFD STA 6 631-1845. SAN JOAQUIN
VALLEY UNIFIED AIR POLLUTION CONTROL DIST 862-5200.
+______________________________________________________________________________+
+__= Employee Notif./Evacuation _______________________________________________+
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 03/21/2001 +
VERBAL COMMUNICATION OF SPECIFIC INSTRUCTIONS FOR EVACUATION ROUTES FOR ANY
VISITORS OR BYSTANDERS AS DICTATED BY SPECIFIC CIRCUMSTANCES.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 07/14/2006 +
OWNER IS CURRENTLY TRAINED IN FIRST AID/CPR. FOR INJURIES/ILLNESSES BEYOND
THE SCOPE OF FIRST AID TELEPHONE 911 TO EMPLOY THE BAKERSFIELD/KC EMS
+______________________________________________________________________________+
-7- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt __________________________________= Overall Site +
+_= Release Prevention ____________________________________________ 03/19/1998 +
ALL GAS CYLINDERS ARE PROTECTED BY CYLINDER VALVE CAPS WHEN NOT IN USE.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 07/14/2006 +
THERE ARE NO LIQUID HAZARDOUS PRODUCTS IN BUSINESS BEYOND CONSUMER
QUANTITIES. GAS RELEASE IS MINIMIZED BY ABOVE-DESCRIBED VALVE CAP
PROTECTION AND ENSURING VALVES ARE TIGHTLY SECURED WHEN STORED.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 03/19/1998 +
NATUR.AL VENTILATION AS WELL AS A FORCED AIR SOURCE IS USED TO DISPURSE ANY
GAS WHICH MAY OTHERWISE ACCUMULATE IN THE SHOP.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-8- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 05/30/2007 +
ELECTRICAL - PANEL E WALL N OF RESTROOM
WATER - E WALL INSIDE RESTROOM
SPECIAL - PORTABLE AIR COMPRESSOR ADJ TO E WALL S OF RESTROOM
+______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 12/11/2006 +
PRIVATE FIRE PROTECTION - 1 10-LB EXTINGUISHER ON E WALL CENTER AND 1 30-LB
EXTINGUISHER ON W WALL S END.
NEAREST FIRE HYDRANT - ACROSS BRUNDAGE FROM INDUSTRIAL COMPLEX ENT AT 802
BRUNDAGE LN. APPROX 400FT FROM BAY DOORS.
*______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 05/30/2007 +
OWNER/OPERATOR
+______________________________________________________________________________+
-9- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 07/14/2006 +
MSDS SHEETS ON FILE FOR THOSE LISTED IN THIS PLAN.
BRIEF SUMMARY OF TR.AINING PROGRAM: THERE ARE CURRENTLY NO EMPLOYEES
ASSOCIATED WITH THIS BUSINESS. THE OWNER IS SOLE OPERATOR. NO TRAINING
PROGR.AM IS IN PLACE.
+______________________________________________________________________________+
+__= Page 2 __________________________________ +
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use =---------------------------------------------------+
--------------------------------------
+______________________________________________________________________________+
-10- 08/25/2008
+ STANCILS & ADS CUSTOM WELDING _______________________ SiteID: 015-021-001851 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-11- 08/25/2008