HomeMy WebLinkAboutBUSINESS PLAN 10/31/2008UNIFIED PROGRAM INSPECTION CHECKLIST;i
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S E CT I O N 1: Business Plan and Inventory Program ~ E
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~
B F. R S P 1 . D
P/IPE
D AR~M
~
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME / ~~ INSPECTION D TE
~ INSPECTION TIME
~
s fr, r ~. rcr~ /b 3/ O ;
/.S
ADDRESS PH NE NO. NO OF EMPLOYEES
~~o ' ac~. ~23• S~"a /.~ /o
FACILITY CONTACT BUSINESS ID NUMBER
~ ~ ~~~
, 15-021-
0~
~
Section 1: Business Plan and Inventory Program
~ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
IE~ ^ APPROPRIATE PERMIT ON HAND
0~ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
A~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
~O VERIFICATION OF QUANTITIES
I~l ^ VERIFICATION OF LOCATION
~ ^ PROPER SEGREGATION OF MATERIAL
C7 ^ VERIFICATION OF MSDS AVAILABILITY
~^ VERIFICATION OF HAZ MAT TRAINING
~~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ^ EMERGENCY PROCEDURES ADEQUATE
~ ^ ' CONTAINERS PROPERLY LABELED ~
^ HOUSEKEEPING ~
FIRE PROTECTION
QC I
~ ~'Z' `t.r S
~' ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
C~^~ ~j~G~.6
Ins ctor (Please Print) Fire Prevention / 1" In / Shift of Site/Station # ness Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
Manager :
Location: 300 UNION AVE
City : BAKERSFIELD
BusPhone: (661) 323-5015
Map : 103 CommHaz : High
Grid: 32C FacUnits: 1 AOV:
CommCode: BFD STA 06 SIC Code:3446
I
EPA Numb: I
DunnBrad:
+_____________________________________ _________________________________________+
+_____________________________________ __+______________________________________+
Emergency Contact / Title Emergency Contact / Title
JOSHUA HUBBLE / FOREMAN /
Business Phone: (661)~32'3-5015x Business Phone: ( ) - x
24-Hour Phone :(661) 589-4544x 24-Hour Phone :( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
+------------------------------------- --+--------------------------------------+
~ Hazmat Hazards: Fire Press I
+------------------------------------- -----------------------------------------+
Contact : JOSHUA HUBBLE Phone: (661) 323-5015x
MailAddr: 300 UNION AVE State: CA
City : BAKERSFIELD Zip : 93307
+------------------------------------- -----------------------------------------+
Owner Phone: (661) 323-5015x
Address : 300 UNION AVE 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
+ JAGUAR CUSTOM WROUGHT IRON _________________________= SiteID: 015-021-000329 +
+= Hazmat Inventory ________________________________________= By Facility Unit +
+_= MCP+DailyMax Order ______________________________ Fixed Containers on Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit~MCP~
+--------------------------------+-------+-----------+-----+----------+----+---+
ACETYLENE E F P G 332.00 FT3 Hi
OXYGEN F P G 1200.~00 FT3 Low
CARBON DIOXIDE P G 1660.00 FT3 Min
+______________________________________________________________________________
-----+
-2- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
ACETYLENE Days On Site
365 (
Location within this Facility Unit Map: Grid: +----------------+
SHOP I CAS# I
74-86-2
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure I Above Ambient ~ Ambient I PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
332.00 FT3 332.00 FT3 200.00 FT3
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lAcetylene IYesl ~S# 74862I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNOretINoSIBN Hazl RNo~oactive/Cur1'es I FPP Hazards I%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
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
OXYGEN Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SHOP I CAS# I
7782-44-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
300.00 FT3 1200.00 FT3 600.00 FT3
+__________________________+____---------------------+_____________------------+
--------------------- ------------
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I 100t00lOxygen, Compressed INoSI CAS#7782447I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No I No I No/ Curies I F P I~~~ I I L~W 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-4- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= COAM~ION NAME / CHEMICAL NAME ______________________________+________________+
CARBON DIOXIDE Days On Site
365 I
Location within this Facility Unit Map: Grid: +----------------+
SHOP I CAS# I
128-38-9
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co300100rFT3 I Daily1660100m FT3 I Daily 600r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
I$Wt. I I RSI CAS# I
100.00 Carbon Dioxide No 124389
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies P /// Min
+_______+___+______+____________________+_____________+_________+________+_____+
+__________________________ 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 ----------------------------------------------------------------+
+______________________________________________________________________________+
-5- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medical ____________________________________ Overall Site +
+_= Agency Notification _______________________________________________________+
+______________________________________________________________________________+
+__= Employee Notif./Evacuation ___________________________________ 10/15/1999 +
NOTIFICATION - POSTED PHONE NUMBERS FOR POLICE, FIRE AND AMBULANCE.
EVACUATION - 3 ROLL UP 12 FT DOORS IN SHOP AREA ARE KEPT OPEN DURING WORK
HOURS. 1 STANDARD DOOR FROM SHOP AREA TO OFFICE.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ___________________________________= 07/13/1998 +
WE HAVE NO NEED TO EVACUATE THE PUBLIC.
+______________________________________________________________________________+
+____= Emergency Medical Plan _____________________________________ 07/13/1998 +
SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711.
+______________________________________________________________________________+
-6- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abatemt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 07/13/1998 +
THINNERS ARE KEPT IN METAL CABINET MARKED FLAMMABLE. PRESSURIZED TANK
CYLINDERS ARE KEPT CHAINED TO WELDERS, OTHER CYLINDERS ARE KEPT CHAINED
OUTSIDE BUILDING.
+______________________________________________________________________________+
+__= Release Containment ______________________________________________________+
+______________________________________________________________________________+
-----------------------
+___= Clean Up ____________________________________________________ 07/13/1998 +
A FIRE EXTINGUISHER IS LOCATED AT PAINT BOOTH. 2 FIRE EXTINGUISHERS ARE
LOCATED IN SHOP AREA AND ALSO THERE IS A SHOWER.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-7- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 12/13/2006 +
A) GAS - SE CRNR OUTSIDE OF BLDG
B) ELECTRICAL - S SIDE 40FT SW OF SE CRNR
C) WATER - SW END OF BLDG OUTSIDE
D) SPECIAL - NONE
E) LOCK BOX - NO
*______________________________________________________________________________+
+___= Fire Protec./Avail. Water ___________________________________ 12/28/2006 +
PRIVATE FIRE PROTECTION - FAUCETS IN FRONT, SIDE, AND BACK OF BLDG AND FIRE
EXTINGUISHERS IN PAINT BOOTH AND SHOP AREA.
NEAREST FIRE HYDR.ANT - ACROSS ST SW CRNR OF BLDG.
*______________________________________________________________________________+
+____= Building Occupancy Level ___________________________________ 12/28/2006 +
18 EMPLOYEES
+______________________________________________________________________________+
-8- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 02/O1/2007 +
MATERIAL SAFETY DATA SHEETS POSTED ON BULLETIN BOARD.
BRIEF SUMMARY OF TR.AINING PROGR.AM: WE HAVE WEEKLY SAFETY MEETINGS ON
HAZARDOUS MATERIALS. WE ARE WRITING A HAZARD CODM~IUNICATION PROGR.AM.
PHYSICAL AND HEALTH HAZARDS ARE DISCUSSED.
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
+______________________________________________________________________________+
-9- 08/25/2008
+ JAGUAR CUSTOM WROUGHT IRON __________________________ SiteID: 015-021-000329 +
+_________________________________________________________________ Fast Format +
+= Response/Risk Management _____________________________________ Overall Site +
+_= Operations ________________________________________________________________+
+______________________________________________________________________________+
+__= Planning _________________________________________________________________+
+______________________________________________________________________________+
+___= Logistics _______________________________________________________________+
+______________________________________________________________________________+
+____= Finance/Administration _________________________________________________+
+______________________________________________________________________________+
-10- 08/25/2008