The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° 0 3 5 8 Location ~O ! <~ ~O / ~O -r~ Sub Div. . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. NO Completion Dale for Corrections ~3/~--/'~ '7 Inspector 326-3979 RE~OR'T OF. HAZARDOUS ~i~TE RIALS Date -ADDRESS ~o / ~o ~ MANAGER / OWNER HAZ'ARDOUS MATERIALS SEEN OR SUSPECTED AND AMOUNT AREA STORED !; INSPECTOR STATION 8~ SHIFT )' FO ~645 ( Rev. t/87) , ,; Permit to Operate Hazardous Materials/HazardoUs Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE ~~~/.., /. ? ~ .? ~ ~ H~ous Matenals P~n . ' ~ ~ ~ ~ ~~ / ?~_ . D Unde~round Storage of H~rdous Matenals 015~00-001175 ' ........... ~ ~ ~-~ ~ ~ ....... ~ ~ ~v~.. ~~ D H~ous Waste On-S;te T~m~t · .. _. _ HUNTER(CENTrE ~ .... ~'~' ..... ~'~ ~ '~'~~ .... ' ' Issued by~ Bakersfield Fire Depa~m~nt .' ~, :: ..... -.-'. ' ' ' ~~~ 1715 GhesrerAve.,3rdFloor ":.. Appmvedby: ': ~ v~Ip"u~,D~~ . Issue~te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE Issued by: Permit ID#:: 015-000-001175 HUNTER(CENTRAL PRINTING LOCATION: 801 20TH ST This ~ermit is issued for the followinq; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment Bakersfield Fire Department OFFICE OF ENVIR ONM£NTAL SER VICES 1715 Chester Ave., 3rd Floor · Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Office of Evironm~lffServices Issue Date Expiration Date: June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ,~,,,,,,,~=,~.~¢?,.?,~?~,,~..~,,~:.,, ...... This permit is issued for the following: ~'~i'''i~:i'*~. :~,i?'~:~'~%iiiii~?~!i~:. ;,~i?~!!!!i!i~. iii!iiiiiiiii?::;, iii~"i~DiiiO~aemround Storage of Hazardous Materials H U NTE R( C E NTRAL '~'""~!~"~ ~' ?, ~iiii,. ';~!iiii ~iii:,::: ~:::~::[i:i:;,:::.:.:::%:i=~i;~i':i.:.:i,.i:::;~i' ;'~':~ :: ~.S.! ~!i~a~db~s Waste PRINTING/G~PHICS!)~''-'.'' ..............., ...... ""~"='~:'~-:":i??'~:'~,,:~:Ni~,:m,i;:'~,,~i:i:.::.:~i~,~,~ LOCATION 801 20TH ..................... Issued by: OFFICE OF ENVIRONMENTAL SER VICES 1715 ch~te~ Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: ExpiratiOn Date: Office of i~.i~ental Servides june 30. 2000 CITY OF BAKERSFIELD FIRE DEPARTMENT ~i~ ~ ~ W OFFICE OF ENVIRONMENTAL SERVICES ~~~ '7'5 Chester Ave., 3~° F]oor' Bakersfield, CA 9330, FACILITY NAME C~,~.~f~/ ~-,.~k,,~ ~ ~SPECTION DATE ADDRESS fro / 2 ~ 'z ~ ~ 'f · ~;~ ~ PHONE NO. [[/- '3'2 t .- Section 1: Business Plan and Inventory Program ~ Routine ~] Combined I~ Joint Agency ~] Mu!ti-^gcncy ~ Complaint ~] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ' Visible address Correct occupancy Verification of inventory materials J ~O~F~ o--~ /~/e~.~,-- Verification of quantities Verification of location /' Proper segregation of material ~ ~ 1~ ~ ~. Verification ofMSDSavailability ~ / 1 I~]r~ (~/~ 1~" Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate. / ~ I Containers properly labeled / ~.~_..._ t// Site Diagram Adequate & On Hand ~ .... ~ ~, ~ A~y'~aghrdpu, wasLe on site.?:~ga~z~ " [~]Ves \ L~N° - '" ~ss~Sitc~~es~ Q : s insl~¢lion.~le~s~ll'us ~1 (661) 326-3979 ,ponsible Party While- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:~,ff]~ ~-~ Craig. Combs CENTRAL (805).3:~1-3150 ~ Fax' (805) 3'25-7101. 901 20th St. o Bakersfield, CA 933011 CITY OF BAKERSFIELD ~, ,///~ . OFFI~ OF ENVIRONMENTAL SEI~CES ~500J I rtm~ I 1715 Chester Ave., CA 93301 (661) 326-3979 '~~'~' BUSINESS OWNER I OPE~TOR IDENTIFICATION //7~ FACILI~ INFORMATION r.?'h~", :'?.,~,.~v~,~:::.,''..:~n-' ~,..,. ~7~:~,,,, .~,~/,,,~,',. ~.~,~:~.~,,~,~;~7~.?~:~5~:~5.;'~.)).",~'~ "- , , ...... ~.'~,.' ...... ,.'.." ,.,.~,:' ..... ',,'.'.,,:~,,,,,,_, .,~,¥.~y,5~?,,::,~,~,.,',',,.,,~,~,~,,,',.'~?;;.v_:;.,.C_,;::. .~..,.,.~,,' .:.,,, :":~':.:~:..i.F: '. ~] . . / a ~ o ~ ...... BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing Business ~) 3 BUSINESS PHO~ 102 SITE ADDRESS 103 (4 Digit~) ~ OPE~TOR NAME ~~ ~~5 109 OPE~TORPHONE~/_5~i_~/~O ~o '~,: ,;77~??,~:.7',~, ~,:, ':' ":,~',, '; '?'' :'~{~,;:U:? :,?~)~¥~?:,,~?:, '~?':~:,~'~?~'?,'~?'.~?:~:":':" ',, ':-,:~,.,' :'::"': ':::~ :' :::~.~-:,~: ~:,"~:~,,:~': ::,:~: ,A ', '; 'A"; .'~:'?A': h-"~::,,"'~'?'??.~' ~:'''` ~ ::5~5:'"~;~'~ ?' ~7,'V~-,:~~ , ', ~,:,::':'~.~'?,',,,,'?, ~'~' ~.?,~?.~57.?7%%: '~?¥~ 7,~"~&,~ :, :;?:{ ',;.?'?,F '?~:~%:':?~h:~O~,~:~;':~¥:~'~,~::i~.~'~!I.~::OWNER INFORMATION~ ;:: ......,:~' ':;7. ~,':',,:"?~,.? ?. {? L';?,::L.. ~'~;.:~??'..~.,:,~;~:~.:,~ : ~.;'. :.,,~ ::;. ,,?:'....~ .': U OWNER NAME ~~ ~~ "' O~ER PHONE~/~3~[~/~0 ,,2 OWNER ~ILING ADDRESS ~O/ ~O~ 5~. CONTACT ~ILING ~ ~9 c,~ ~~>~/~ ,~ STATE ~,~, Z~P 733Ot NAME ~~ ~~ 123 NAME 129 ..... ~c~ ..... (~~ ................ ,~,- - ~,~ ......................................... ~,o. ..... BUSINESS PHONE~/-~r [ --~2 [ ~~> ,2, BUSINESS PHONE 24-HOURPHONE ~__ ~l -- O~ ~27 24-HOURPHONE ~32 PAGER ~ ~28 , PAGER ~ 133 ::."~'.:~.'"'~'.'~.' ':' ".'..:.: ...... "..." ~:~.¥.~`:?.?.?~:~.:.~?:~.?.~::..~....:.:v~.~:a~*i~~:::A:...~?.~:.;...::?.~.??:;::..` %.. :..?:.~;' "7?7.7':": ":: ~:..:,.~:.:..~.~. .. ,. : .; ..:/: . .. . . . .... ...%.. ~::;y,;b.~:.'.7<': .;.~ ,..' .~:~%:~.:.: . .. COdifim~on: ~asod on my inqui~ of ~oso individuals msponsiblo for obtainin~ tho info~ation, I ~i~ undor ponal~ of law that ~ haw porsona,y examined and am ~miliar with tho infomation submi~od in this invonto~ and boliove the info~ation is truo, accurato, and mmploto. · DATE 134 NAME OF DOCUMENT PREPARER ~35 .SIGNATURE OF OWNE~OPE~TO~ i ~-~OPE~TOR (print) TIT~E Of OWNER/OPE~TOR 137 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIELD OFFIt ENVIRONMENTAL SER:~'[CES r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section I1.1 - DISCOVERY AND NOTIFICATIONS ~SINE~ ~E (~ as FACIL~ ~E ~ D~ - ~g ~n~ ~) 3 ~D~ (~ ~1 u~ ~) 476. A. L~ DETECTION AND MONITORING PROCEDURES: B. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: -C~ ~-P~-~'IF~'(~ I~.E~P~-~S~'BiL~- O-F kM~Y~E~ ....................................... D. CLOSEST LOCAL MEDICAL FACILI~: UPCF (7/99) S:',PROCEDURE MANUAL~Iew HMMP fo~m.wl~l I HAZA ~IF~US MATERIALS MANAGEMEI~ Section 11.2 - RELEASE RESPONSE PLAN ' A. H~RD ASSESSMENT ~D PREVENTION M~SURES: B. REL~SE CONTAINMENT ~D MITIGATION: '"' -'' ' ' .v..v-- ur=~//~'Hn ACTIONS ~.. C. CL~-UP~D RECOVERY PROCEDURES: uPcF Ct/'~) - $:~,PROCEDUR~ MANUAL~Iew HMMP fo~n.wlxl HAZARDOUS MATERIALS MANAGEMENT PLAN Section II1.1 - FACILITY AND LOCALITY INFORMATION LOCATION OF SHUT-OFFS AT YOUR FAClLI~: NATU~L GAS / PROPANE: ELECTRICAL: WATER: ~ SPECIAL: LOCK BOX: YES /~ ' ~F YES. LOCATION: ' "' ....... .. '*'~' '..~ ... ... ':~"~'~":;~ ;L~;;~ ~ ~ '"~"~-'.:~= =- ';* ;. · · * ".Y,~'-."P,~'~V-~*.':~''*'x~: *¥~'~'.''~':-~':~;'<'.*~;?~::'?;p/~.~;~?~=~;~;'~;'"~.'*'=~.~' ;~"~.'~ A. PRIVATE FIRE PROTECTION: ~[ ~ ~~u,~~~ B. WATER AVAILABILITY (FIRE HYDRANT): A. NUMBER OF EMPLOYEES: B. MATERIALS DATA SHEETS ON FILE: C. BRIEF SUMMARY OF T~INING PROG~M: CERTIFICATION Based on my inquiry of those individuals responsll~e f~ o~3fainthg the Info,'maUon, I ceslJfy under penally of law that I have pemonnaly examined and am familiar with the thfom~ation ~bmttted and believe the tnformalmn is true. accurate, and complete. SIGNATURE OF OWNER / OPERATOR OR DESIGNATED REPRESENTATIVE DATE / / 477. NAM 478. TITLE OF SIGNER 479.~ UP'CF ('//99) S:~:~)CEDURE MANUAL~Iew HMMP form.wl3d '" ~' · CITY OF BAKERSFIELD ~ OFF[~ OF ENVIRONMENTAL SEOICES 1715X2hester Ave., CA 93301 (661) 326-3979' ~-"'~"~'"~-'" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION · ~ .... . ..;... '. (one form per malapai per butTding or ama) O NEW D ADD D DElE ~EVISE 2~ ' Page __ BUSINESS ~E (Same as FACILI~ ~ME ~ DBA - ~ng Bu~n~s ~) ~ ' 205 I T~DE SECRET CHEMI~L ~ME If SubJ~t to EPC~, r~er Io Instm~ions 207 FIRE ~DE H~D C~SSES (~plete ~ ~u~t~ by 1~1 fire ~i~ 210 WPE ~ p PURE ~ m MITRE ~ w WASTE 211 ~ ~DIOACTI~ ~ Y~ ~No 212 CURIES 213-- P~SI~L STATE ~s SOUD ~1 UQU~O ~ g ~S 214 ~RGEST~AINER ~ ~ ~ ~ 215 FED ~ ~TE~RIES ~ 1 FIRE ~ 2 R~CT~E ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC HEALTH (~ en that apply) 216 UN~S' ~ ga ~L ~ d CU ~ ~ lb LBS ~ ~ TONS 221~ DAYS ON SITE 222 ', EHS. amen, must be in ,bs. 1 STOOGE CO~AINER ~ a A~VEG~UND TANK ~ e P~STI~ONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR fCheck afl ~at ap~) 223 ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE '~r OTHER D c TANK INSIDE BUILDING D g ~"~Y D k BOX D O TOTE BIN ~1 ~ d S~EL DRUM ~ h SILO D I CYLINDER ~ p TANK WA~N STOOGE PRESSURE ~ · A~IE~ ~ ~ ABOVE AMBIE~ ~ ba BELOW AMBIENT 224 STOOGE TEMPE~TURE ~e A~IE~ D aa A~VE A~IE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC 225 I 2 230 231 ~ Yes ~ No 232 233 ' 3 2~ 235 ~Y~No 236 237~I 4 ~ 238 239 ~Yes ~No 240 i 241 5 ~ 242 243 DY~ ~No 244 : 245 PRINT NA~ & TITLE OF AU~ORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ...................................... ~A~ .... ~" UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ITE DIAGRAM FACILITY DIAGRAI~ I'" Business N*ame: t'"~-t"~-.z_ ~'~,,u-n ~- Business Address: %~ ~ ~) T~ HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Manager : BusPhone: ,, (661) 321-3150 Location: 801 20TH ST Map : 103 CommHaz : Low City : BAKERSFIELD 'Grid: 30A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:2752 EPA Numb: CAD983595539 DunnBrad: Emergency Contact / Title Emergency Contact / Title. CRAIG COMBS / OWNER / Business Phone: (661) 321-3150x Business Phone: (805) 321-3150x 24-Hour Phone :' (661) 871-0436x 24-Hour Phone : ( ) - x Pager Phone, : ( ) - x Pager Phone : ( ) - x Haz~a~ Hazards: ImmHlth Contact : Phone: (661) 321-3150x MailAddr: 801 20TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner CRAIG COMBS Phone: (661) 871-0436x Address : 1768 GLENWOOD DR State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs:,No Emergency Directives: THIS IS A WASTE TREATMENT SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE INSPECTION WITH HOWARD WINES. F Hazmat Inventory One Unified List ~--Alphabetical Order Ail Materials at Site H.a z ma.t_ ~ Gommon_Name~._i.~_~ ~___l.sP e cHa_z~ _EPA~H.a_z a~ds_ __F_rm_l__.Da llaMax WASTE INK IH L 55.00 GAL UnR I, .('~.~f~/G- ~.~,wr~5 Do hereby ce~i~ ~ie~ed the' ~ach~ h~ardous mat~d~s any ~rr~ions ~s~i~s a ~mplsts and ~rr~ man- ~emem plan for my facili~. 1 01/30/2003 HUNTER(CENTPJtL PRINTING/GRAPHICS) SiteID: 0i5-021-001175 Inventory Item 0001 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME '.WA~'I'~ INK Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE NE CORNER OF PRODUCTION FACILITY CAS# ~ STATE I TYPE PRESSURE TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLIC Ambient Liquid Waste AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL HAZARDOUS COMPONENTs %Wt. - ........... - RS .... CAS# ..... : -Naphtha No 8030306 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No ' No No/ CuriesI' IH / / / UnR -2- 01/30/2003 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format ~ Notif./Evacuation/Medical Overall Site Agency Notification 03/14/1997 PHONE AVAILABLE IN PRINT SHOP (PRODUCTION.FACILITY). Employee Notif./Evacuation 03/14/1997 WORD OF MOUTH SUFFICIENT. Public Notif./Evacuation 03/14/1997 CUSTOMERS NOT ALLOWED IN PRODUCTION FACILITY. Emergency Medical Plan 10/21/1998 MERCY MEDI CENTER ON TRUXTUN AVE PLUS TWO FIRST AID KITS IN PRODUCTION FACILITY. -3- 01/30/2003 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 03/14/1997 WASTE INK TRANSFERED FROM COLLECTION TRAYS DIRECTLY TO STORAGE DRUM. Release Containment 03/14/1997 SHOP RAGS AND ABSORBAlqT AVAILABLE. Clean Up 03/14/1997 SA.FETY wT.~N PROVIDES WASTE REMOVAL. Other Resource Activation -4- 01/30/2003 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format ~ Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 03/14/1997 = A) GAS - OUTSIDE SE CORNER OF BLDG B) ELECTRICAL - INSIDE SE CORNER OF BLDG C) WATER - OUTSIDE SW CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/21/1998 PRIVATE FIRE PROTECTION - PORTABLE EXTINGUISHERS. NEAREST FIRE HYDRANT - NW CORNER OF 20TH & Q ST. Building Occupancy Level -5- o1/3o/ oo3 HUNTER(CENTP~AL PRINTING/GRAPHICS) SiteID: 015-021-001175 ~ Fast Format ~ Training Overall Site Employee Training 03/14/1997 WE HAVE 7 EMPLOYEES (AT PRODUCTION FACILITY). WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: HAZARDOUS MATERIAL COMMUNICATION MATERIALS ARE POSTED ON INTERIOR WALL OF PRINT SHOP. Page 2 Held for Future Use - Held for Future Use 6 01/30/2003 -- HUNTER (CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 --- Manager : ';~'~VED SusPhone: (805) 321-3150 Location: 801 20TH ST ~/JA' N 1'8 Map : 103 CommHaz : Low City : BAKERSFIELD 200~ Grid: 30A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION .0K SIC Code: 2752 EPA Numb: CAD983595539 DunnBrad: Emergency Contact / Title Emergency Contact / Title CRAIG COMBS / OWNER / Business Phone: (805) 321-3150x Business Phone: (805) 321-3150x 24-Hour Phone : (805) 871-0436x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: ImmHlth COntact : Phone: (805) 321-3150x MailAddr:,~01 20TH DT ~ ~~d~7, State: CA City : BAKERSFIELD Zip : 93301 Owner CRAIG COMBS ~ Phone: (805) 871-0436x Address : 1768 GLEN-WOOD DR State: CA 'City : BAKERSFIELD Zip : 93306 Period : to TOtalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: THIS 'IS A WASTE TREATMENT SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE INSPECTION WITH HOWARD WINES. F Hazmat Inventory One Unified List As Designated Order Ail Materials at Site ...... Hazmat_ Common. Name... I Sp,ecHaz I EPA Hazards Frm DailyMax Unit I MCP WASTE INK ~, ~,.~! & (~/~5 Do hereby ce~i~ thaI~ have n 55.00 GAL UnR ~ (I ype or print n-am6) reviewed the attached hazardous materials ma~age- ment plan for/'~-J.~ ~,,~,.~nd that it along '?~ith (Name of Business) any corrections constitute a complete and correct man- .... agementplan for my facility 1 01/02/2001 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE INK Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE NE CORNER OF PRODUCTION FACILITY CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Naphtha No 8030306 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR 2 01/02/2001 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format ~Notif./EVacuation/Medical Overall Site Agency Notification 03/14/1997 PHONE AVAILABLE IN PRINT SHOP (PRODUCTION FACILITY). Employee Notif./Evacuati°n 03/14/1997 = WORD OF MOUTH SUFFICIENT. Public Notif./Evacuation 03/14/1997 = CUSTOMERS NOT ALLOWED IN PRODUCTION FACILITY. Emergency Medical Plan 10/21/1998 MERCY MEDI CENTER ON TRUXTUN AVE PLUS TWO FIRST AID KITS IN PRODUCTION FACILITY. 3 01/02/2001 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention 03/14/1997 WASTE INK TRANSFERED FROM COLLECTION TRAYS DIRECTLY TO STORAGE DRUM. Release Containment 03/14/1997 SHOP RAGS AND ABSORBANT AVAILABLE. Clean Up 03/14/1997 SAFETy KLEEN PROVIDES WASTE REMOVAL. Other Resource Activation -4- 01/02/2001 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 015-021-001175 Fast Format ~ Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 03/14/1997.= A) GAS - OUTSIDE SE CORNER OF BLDG B)' ELECTRICAL - INSIDE SE CORNER OF BLDG C) WATER - OUTSIDE SW CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/21/1998 PRIVATE FIRE PROTECTION - PORTABLE EXTINGUISHERS. NEAREST FIRE HYDRANT - NW CORNER OF 20TH & Q ST. Building Occupancy Level 5 01/02/2001 HUNTER(CENTRAL PRINTING/GRAPHICS) ~~~ SiteID: 015-021-001175 ~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Fast Format i i~ Training ~/~~/~/~¢~¢~~~~ Overall Site i i~ Employee Training ~~/~/~/~/~/~~~~ 03/14/1997 i WE HAVE 7 EMPLOYEES (AT PRODUCTION FACILITY). o o WE DO HAVE MSDS SHEETS ON FILE. o BRIEF SUMMARY OF TRAINING PROGRAM: HAZARDOUS MATERIAL COMMUNICATION ° MATERIALS ARE POSTED ON INTERIOR WALL OF PRINT SHOP. o o i~i~i~ Held for Fumre Use i~i~ Held for Fumre Use HI/NTER(CENTRAL PRINTING/GRAPHICS) ~ SiteID: 215-000-001175 Manager : BusPhone: (805) 321-3150 Location: 801 20TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:2752 EPA Numb: CAD983595539 DunnBrad: Emergency Contact / Title Emergency Contact / Title CRAIG COMBS / OWNER '~0~ SM±'£~ / PRINTER- Business Phone: (805) 321-3150x Business Phone: (805) 321-3150x 24-Hour Phone : (805) 871-0436x 24-Hour Phone : (805).831 4930x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: ImmHlth Contact : Phone: (805) 321-3150x MailAddr: 901 20TH ST State: CA. City : BAKERSFIELD Zip : 93301 Owner CRAIG COMBS Phone: (805) 871-0436x Address : 1768 GLENWOOD DR State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: THIS IS A WASTE TREATMENT SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE INSPECTION WITH HOWARD WINES. F Hazmat Inventory One Unified List ~-- As Designated Order All Materials at Site Name... ISpeoHazlEPA Hazards Frm DailyMax IUnitlMCP Hazmat Common WASTE INK ~, ~."/~.k~_or_~,~5~,~ ~-, DO hereb~ c,~J~ ~h~ ~ ~ L 55 G~ UnR 'any ~rr~io~s ~ns~i~u~e a ~mplete a~ co~s~ man- agemen~ plan ~or ~y ~li~. -1- 09/15/1998 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 215-000-001175 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE INK Days'On Site 365 Location within this Facility Unit Map: Grid: INSIDE NE CORNER OF PRODUCTION FACILITY CAS# FSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~1 Waste I Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Naphtha No 8030306 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -2- 09/15/1998 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 215-000-001175 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification 03/14/1997 PHONE AVAILABLE IN PRINT SHOP (PRODUCTION FACILITY). Employee Notif./Evacuation 03/14/1997 WORD OF MOUTH SUFFICIENT. Public Notif./Evacuation 03/14/1997 CUSTOMERS NOT ALLOWED IN PRODUCTION FACILITY. Emergency Medical Plan 04/21/1997 MERCY MEDI CENTER ON TRUXTUN AVE PLUS TWO FIRST AID KITS IN PRODUCTION -3- 09/15/1998 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 215-000-001175 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 03/14/1997 WASTE INK TRANSFERED FROM COLLECTION TRAYS DIRECTLY TO STORAGE DRUM. Release Containment 03/14/1997 SHOP RAGS AND ABSORBANT AVAILABLE. Clean Up 03/14/1997 .SAFETY KLEEN PROVIDES WASTE REMOVAL. Other Resource Activation -4- 09/15/1998 HUNTER(CENTRAL PRINTING/GRAPHICS) SiteID: 215-000-001175 Fast Format ~ Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 03/14/1997 A) GAS - OUTSIDE SE CORNER OF BLDG B) ELECTRICAL - INSIDE SE CORNER OF BLDG C) WATER - OUTSIDE SW cORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 03/14/1997 PRIVATE FIRE PROTECTION - PORTABLE EXTINGUISHERS NEAREST FIRE HYDRANT - NW CORNER OF 20TH & Q ST Building Occupancy Level -5- 09/15/199s HUNTER(CENTRAL PRINTING/GRAPHICS) i& Training ~&~~&~~&~&~~&~&~~~~ Overall Site i~& Employee Trainin~ ~~~&~~~~~&~~ 03/14/1997 WE HAVE 7 EMPLOYEES (AT PRODUCTION FACILITY). WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF'TRAINING PROGRAM: HAZARDOUS MATERIAL COMMUNICATION MATERIALS ARE POSTED ON INTERIOR WALL OF PRINT SHOP. i~ Held for Future Use ' BAKERSI LD CITY FIRE DEP.Z TMENT :' · HAZARDOUS MATERIALS INVENTORY Page~°fm ~ 3usiness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) 'Common Name: 3) DOT # (optional) Chemical.Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES ' Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] ' 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSlCALSTATE Solid [ ] Liquid [.] Gas [ ] . Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) 'AMOUNT AND TIME AT FAClMTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gal [ ] ~3 [ ] a) Container: Average Daily Amount: cudes [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous ' 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ]' Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] . 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # ~,) PHYSICAL & HEALTH PHYSICAL . HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSiFICATiON (3-digit code from DHS Form 8022) USE CODE· 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACI[.JTY UNITS oF MEASURE 8) STORAGE CODES Maximum Dally Amount: 'lbs [ ] gal [ ] tt3 [ ] a) Container: Average Dally Amount: cur~es [ ] b) Pressure: Annual Amount: c) Temperature: · L~rgest Size Container: # Days On Site Circle Which Months: Ail Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazm'cious 1) [ ] chemiCaJ components or any AHM components 2) [ ] 3) [ ] 10) Location ce~fy under penalty of law, that I have personally examined and am familiar with the infomabon submitted on this and ail attached documents. I believe the submitted information is b'ue, accurate, and .complete. PRINT Name & Title of Authorized Company Representative Signature Date · BAKERSI LD CITY FIRE DEPAI TMENT. ' HAZARDOUS MATERIALS INVENTORY Page_of_ Business Name ~f~,(j~j1-~_.~_ pI2~,~/,~,~[¢--- Address ~O ( 2_(~ ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New,[d'] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: (..AJ' ~ ~T~--~ /~"%/(~- ~ ~"07..~J~--'''V'q''- 3) DOT # (optional) Chemical Name: AHM [ ] CAS #. 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) ~ ' 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE ~----~C_..) 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture { ] Waste ~Z~ Rsdioactive [ ] 7) AMOUNT AND TIME AT FAClUTY · UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~'-~'"' lbs [ ] gal [~ ft3 [ ] a) Container: Average Daily Amount: ~ c.~ cudes [ ] b) Pressure: Annual Amount: ~ ~' c) Temperature: Largest Size'Container: --.5~ ~ # Days On Site '"~'~'- Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List ~ COMPONENT CAS # % WT' AHM the three most hazardous 1) ~J [ ] chemical components or ~~'/~ '. any AHM components 2) ' [ ] 3) [ ] 10) Location t~/~,lOE ~v/E ~__,~Z,~II'Z ~ ~:::>~O~O~L/C"/w.U~ ~.._;(.;'T'(r/ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH 'PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ~ Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gal [ ].1t3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Cont~'ner: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: ' List COMPONENT CAS # % WT AHM the three most hazardous 1) [ chemical components or any AHM components 2) [ ] 3) [ ] 10) Location chTcuments. I believe certify under penai~y of law, that I have personally examined and am familiar with the infomatJon submitted on this and ail atta . submitted ,nformagon is ffl. le, accurate,, and complete. ~/ ~.~.~/~.~./.~.~/ PRINT Name & Title of Authorized Company Representative ' S~re ~ c'' Date B ak~r s~_eicl Fire I2) ep ~. Hazardous ~a%erials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7' MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. ~ELEASE-CC. NTAINMENT ANO/O~ MINIMIZATION: ,-- --,, - ,..,, , ~o :cr".CEC. URES: ..... :-:,^ v --- - !HUT-OFFS AT ',/OUR FACtLtTY)' SECTION 3' UTILtTY SHUT-OFFS ,.,,_-v,..,- .... .,,,, ,- ',.I '" TU"" "' ~ -,':',£ ..... '"' "' .,.-. ,,,-.,_ ,. :-.x,_, r,-,NE: c~..,""¢~,o~ .~ "E' 6,¢-~ c.¢. '.,,.,::~ ,¢~.J "r~, ~ E... ..% ,....3 ~ ¢-,..u ,'c. o,F ' "" '-'": r'" X: ,.' N C' - ....... -"-' N' SECTION 9' PRIVATE FiRE PRCTECTIC'N/WATER AVAILABILITY: A. PRIVATE FiRE PROTECT[ON' 0orc'r~c~ . B. WATER AVAiLABILtTY (FIRE HYDRANT'): :qazardous ~Ia~erials Division ': HAZARDOUS MATERIALS MANAGEMENT PLAN Fc:ciiify Unit Name: ~o,~-rc-~ ~-,~-r-,,o ~ " SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: ^ ,~GcNC F NOTIFICATION ?.qCCEC, URE.~' /-~o : U ~. L'.C E"/AC~,A lION. _. --ME~,GENC'? ME:":,C,~.L FLAN' _~azardous ~a~eria],s Di~sion HAZARDOUS' MATERIALS MANAGEMENT PLAN ' ~ '~' SECTION3: TRAINING: NUMBER OF =MPLOYE_~. ~ ~A~ ¢~oouc.~ ff~ .'- MATERIAL SAFE~ DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECT[ON 4: EXEMPTICN REQUEST: CE:RTIFY UNDER . ._: ,,,,--, ~ ..... :RJUR'," .HAl MY BUSINESS IS cX,...MPT FROM THE ,. ..... ',z'=~,,~ut'.,~EN C, ,A, t,...., OF o,."..., :'CALIFORNIA HEALTH & ...SAFETY CO .z .::'_,'< ~m5 FCLLC",VING RE,'".SCNS . .~',, -- ,,,: ]~',....,,, .,.., T :.-.iAN D L E H,z,..,_.-. h - ' ' C C,..,-~,~ btATE~IALS , ".'V 5 DC':'~ '-hiD. L=.,. ~A_, ,~,F,n'''' ''~.~. .~ ~ .,'~¢, I c',,[~,L~, ~UT ,r~,-~UANTITiES Ai NC) -:MEE:(CEEC T;Hz MINIMUM :':EFCRTiNG ~UANTFTIES. .~ -'._; -_ ::,,~ :-.~,,-.,/;,_., ,.~ ~_.6,~L, ..... ~..~,. SECTION 5: C~.RT[FICATION: (, ,CERTIFY THAT THE ABOVE INFOR- MATiON IS ACCURATE. ! UNDERSTAND THAT THIS iNFORMATION W1LLBEUSED TO r::'~M S L.,BL,G,.-,,ilCNS UNDER ira: ,_.,-,,_,, ~,,,-,,,~ HEALTH AND SAFE:TY CODE" ,-ULrtL_ MY ..... ' ON HAZARDOUS MATERIALS (DIV. mZC ~' ' '' ~-- _ ,~,-.F~ER 6.,c5 SEC. 25500 ET AL.) AND THAT iNACCURATE INFORMATION CONSTITUTES FERJURY. TITLE .... .- BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES = 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: i. To cvoic fur~r~er action, return this form within 30 days of receiot. · "'_,. ~PE1PRINT ANSWERS IN ENGL',SH. $. Answer t,he cuestions below for the Cusiness cs a whole. -'. Be brief cna concise cs 2o~ibie. SECTION 1' BUSINESS IDENTIFICATION DATA =:~=tx::~_..,.,,,,,.~,. NA M~-..~"' ¢4~,u.~-'e.r,_ ¢¢~,,,~'r',,,~0-- C'b&/~ C.¢_---".~,'~0 e~,,,¢../~. LC CATION' ¢-~'0 i 20 ¢4- ..... ,,,, ,--- ,~ COl 2.0 ~ ;'..,,-,,'.,N,,.~ ~:.... ~,~r-~.. .~,,: ~TAT=' ,Z~P' ~/35o ~ PHONE: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TiTL: BUS. PHONE 24. HR. PHONE SITF__ DIAGRAM ~ FACILITY DIAGRAM Business N(:me: " Busine~ AC=re~: ~0 ( ~-0 ~ ~.d"- For Office Use Only Firs; In StaTion: . Area Mca # !ns~ecdon StaTion: NORTH o