HomeMy WebLinkAboutBUSINESS PLAN (2)Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
B~emfield Fke D~a~ment Approv~ by: '
O~CE OF E~O~L S~
1715 Chewer Ave., 3rd Floor fi/ ~ph Hu~~
Office of ~enml S~id~
B~e~el~ CA 93301
Voice (805) 32~3979
F~ (805)32~0576 Expiration Date: ~un~ ~0~
eu!qool~ eu!lenl8 ' .
Blueprint Service ~0. Inc.
730 17th st,
Bakemfield, CA.
Phone (805) 527-2501
EXIT
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EXIT
Ill . Flee ¥olve FIRE EXIT
r F--Il
.~ _~'~ ql ~1 1i ^_~.~o~ ~, E~ II ExIT
II I ~ . cL_...~ ' · I Ill'e-'Phone - _~ ~.
Building
I Existing BLUEPRINT SE.~VIC]E, CO., J~IC.
I Proposed, FLOOR PLAN
PROPOSED SITES
OF RELOCATION OF
ANHYDRU$ AMONIA
~--~' THF:IEE 150 LB CYLINDERS
o '~ ,2 h"',,I ....
EXIT
BLUEPRINT SERVICE CO.
· ;
j~IRE HYDRANT 730 17TH ST. 17TH~'~T.
BLUEPRINT SERVICE CO INC ' SiteID: 215-000-000191
Manager : BusPhone: (805) 327-2501
Location: 730 17TH ST Map : 103 CommHaz : UnRated
City : BAKERSFIELD Grid: 30D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:8711
EPA Numb: DunnBrad:06-669-9455
Emergency Contact / Title Emergency Contact / Title
TERRY KUWAHARA / KEITH KUWAH3kRA /
Business Phone: (805) 327-2501x Business Phone: (805) 327-2501x
24-Hour Phone : (805) 872-7807x 24-Hour Phone : (805) 871-4486x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards:
Contact : Phone: ( ) - x
MailAddr: 730 17TH ST State: CA
City : BAKERSFIELD Zip : 93301
Owner TOM KUWAHARA Phone: (805) 871-3234x
Address : 2425 CASTLE 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 WHICH REQUIRES A JOINT INSPECTION. PLEASE
CALL ENV SVCS TO SCHEDULE THIS INSPECTION WITH HOWARD WINES.
Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax IUnitlMcP
PHOTO CHEMICAL CONTAINING SILVE L 15 GAL Min
~, 'T~-~ K~h~.- Do hereby ce~ify that ~
revie,~ed lhe s~chsd h~rd~s m~t~ m~
~~'~)
~"//Signm~e ' ~ '~ ' '
1 09/21/1998
BLUEPRINT SERVICE CO INC SiteID: 215-000-000191
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
PHOTO CHEMICAL CONTAINING SILVER Days On Site
WASTE HAZARDOUS LIQUID 365
Location within this Facility Unit Map: Grid:
INSIDE CHRONAR PROCESSING AREA CAS#
STATE ~ TYPE
I Waste PRESSURE TEMPERATURE CONTAINER TYPE
1Liquid I Ambient I Ambient I DRUM/BARREL- NONMETAL
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
15.00 OAL 15.00 GAL 15.00 GAL
HAZARDOUS COMPONENTS
0.10 Silver N 7440224
HAZARD ASSESSMENTS
TSecret oRS IBi°Haz Radi°active/Am°untNo N No No/ Curies EPA Hazards NFPA/// IUSDOT# MinMOP
-2- 09/21/1998
F BLUEPRINT SERVICE CO INC SiteID: 215-000-000191
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 03/20/1992
CALL 911
-- Employee Notif./Evacuation 03/20/1992
EMERGENCY NOTIFICATION TO ALL WITHIN THE BUILDING CAN BE MADE VOCALLY AND/
OR THRU OUR LOUD SPEAKER SYSTEM. WE HAVE BOTH FRONT AND REAR EXITS AND
EMPLOYEES WILL ASSEMBLE IN EMPTY PARKING LOT ADJACENT TO OUR BUILDING.
Public Notif./Evacuation 03/20/1992
PERSONALLY CONTACT ALL PERSONS IN IMMEDIATE NEIGHTBORHOOD.
Emergency Medical Plan 03/20/1992
DR. WILLARD CHRISTIANSEN OR VALLEY INDUSTRIAL MEDICAL GROUP
2021 22ND ST 2501 "G" ST
327-9617 327-2225
-3- 09/21/1998
BLUEPRINT SERVICE CO INC SiteID: 215-000-000191
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 03/20/1992
IF THERE SHOULD BE A PRESSURE "BUILT-UP" DUE TO EXTREME HEAT, SUCH
AS A FIRE IN THE BUILDING, THE CONTROL PANEL HAS A SAFETY VENT PIPE GOING
THRU AND ABOVE THE ROOF.
-- Release Containment 03/20/1992
TURN ON CEILING EXHAUST FAN, SWITCH LOCATED ON BACK WALL. DO NOT APPLY WATER
ONTO LEAKING TANK. STOP THE FLOW OF GAS OR LIQUID. WEAR FULL PROTECTIVE
CLOTHING AND SELF-CONTAINED BREATHING APPARATUS. USE WATER TO PROTECT MEN
EFFECTING THE SHUT-OFF. APPROACH FROM UPWIND. DIKE LIQUID SPILLS TO
CONTAIN LIQUID. EVACUATE THE AREA IMMEDIATELY. ELIMINATE ALL OPEN FLAMES
IN VICINITY OF INDOOR SPILLS OR RELEASED VAPOR. WATER FOG CAN BE USED TO
CLEANSE ATMOSPHERE OF AMMONIA VAPOR. DOWNWIND AREAS CAN BE PROTECTED BY
WATER FOG NOZZLES POSITIONED DOWNWIND.
-- Clean Up 03/20/1992
SPILLS MAY NEED TO BE REPORTED TO THE NATIONAL RESPONSE CENTER 800-424-8802
DOT REPORTABLE QUANTITY (RQ) IS 100 POUNDS). CALL KRAZAN & ASSOCIATES INC.
134 E. NORRIS RD., 800-800-0711, TONY MARTIN.
Other Resource Activation
-4- 09/21/1998
BLUEPRINT SERVICE CO INC SiteID: 215-000-000191
~ Fast Format
~ Site Emergency Factors Overall Site
-- Special Hazards 01/23/1992
AMMONIA TANKS
-- Utility Shut-Offs 01/23/1992
A) GAS - IN ALLEY
B) ELECTRICAL - IN ALLEY C) WATER - IN ALLEY
C) WATER - IN ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 01/23/1992
PRIVATE FIRE PROTECTION - 1 - REDI-FREEZE EXTINGUISHER 1 - DRY CHEM EXTINGUISHER
1 - MULTI PURPOSE EXTINGUISHER
FIRE HYDRANT - 17TH AND Q STREET
18TH AND Q STREET
Building Occupancy Level
5 09/21/1998
BLUEPRINT SERVICE CO INC SiteID: 215-000-000191
Fast Format
= Training Overall Site
-- Employee Training 01/07/1990
WE HAVE 35 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: HANDLING PRESSURIZED CONTAINERS ARE PERFORMED
BY A FEW TRAINED PERSONNEL ONLY. OTHER EMPLOYEES HAVE NO AUTHORITY TO
GET INVOLVED.
Page 2 I
-- Held for Future Use I
Held for Future Use I
-6- 09/21/1998
Corner 17th and Q ~ets
BAKERSFIELD, CALIFORNIA 93301
(805) 327-2501
City of Bakersfield Fire Department December 15, 1995
Fire Safety Services
1715 Chester Ave.
Bakersfield Ca 93301
Attn. Howard H. Wines, III
This letter is to inform the City of Bakersfield Fire Department that Blueprim Service Co.
has converted it's four blueline machines to aqua ammonia from anhydrous ammonia. To
the best of my knowledge we are no lqnger in violation of section 25534(K) CHSC or
section 25535(K) CHSC.
If you have any questions, please give me a call immediately at 327-2501
Sincerely
Terry Kuwahara
hone (805) 327-250'1 ° F~ (80S) 327-926S Total ¢ pages: · ~ "
From: Te~ K~ara
F~ Number:
I00~ S3A~ J2~I~dA~E 2996 ~t 20~ gt:tI 96/II/I0
CITY OF BAKERSFIELD
1501TRUXTUN AVE
BAKERSFIELD. CA 93301-0000
(805) 326-3979
DATE: 1/01/96
TO: BLUEPRINT SERVICE CO INC
730 17TH ST
BAKERSFIELD, CA 93301
CUSTOMER NO: 2849 CUSTOMER T%,~PE: ES/ 2849
CHARGE DATE DESCRIPTION REF-NUMBER DUE DAg~E TOTAL AMOUNT
12/01/95 BEGINNTNG BALANCE .00
HM014 1/01/96 HAZ MAT HANDLING FEE, N , , · . 377.00
HM017 1/01/96 HAZ MAT ANNUAL INSPEC~i:0N ','" ' 50.00
Pleas'e. ~all,,32'6=,3~J,79' ,if you have question or
changes'"~'g~d'~;hg your account.
CURRENT OVER 30 OVER 60 OVER 90
427.00
DUE DATE: 1/01/96 PAYMENT DUE: 427.00
TOTAL DUE: $427.00
[
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page 1
Overall Site with 1 Fac. Unit
General Information
Location: 730 17TH ST Map: 103 Hazard: High
BAKERSFIELD STATION 01 Grid: 30D F/U: ·
ICommunity: 1AOV: 0 0
contact Name ~itle Business Phone 24-Hour Phone-
ITERRY KUWAHARA (805) 327-2501 x ~(805) 872-7807
KEITH KUWAHARA (805) 327-2501 x (805) 871-4486
Administrative Data
Mail Addrs: 730 17TH ST D&B Number: 06-669-9455
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 7389
Owner: TOM KUWAHARA Phone:
Address: 2425 CASTLE DR State: CA
City: BAKERSFIELD Zip: 93306-
Summary
HAZ
I.,--'~"' Do hereby certify that I have
(Type or print name) --
any corrections co.sti~u~e a complete and correc~ man-
agernent plan for rny facility.
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page. 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 ANHYDROUS AMMONIA Gas 13500 Extreme
· Fire, Pressure, Immed Hlth, Delay Hlth FT3
CAS #: 7664-41-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: NEUTRALIZER
Daily Max FT3 Daily Average FT3 I Annual Amount FT3
13,500 10,.12,5.00I 81,000.00
Storage;IPress T Temp Location
PORT. PRESS. CYLINDER IAmbient~AmbientlBEHIND CENTER PARTITION
-- Conc Components MCP List
100.0% IAmmonia (EPA) IExtreme IEPA
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page 3
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
EMERGENCY NOTIFICATION TO ALL WITHIN THE BUILDING CAN BE MADE VOCALLY AND/
OR THRU OUR LOUD SPEAKER SYSTEM. WE HAVE BOTH FRONT AND REAR EXITS AND
EMPLOYEES WILL ASSEMBLE IN EMPTY PARKING LOT ADJACENT TO OUR BUILDING.
<3> Public Notif./Evacuation
PERSONALLY CONTACT ALL PERSONS IN IMMEDIATE NEIGHTBORHOOD.
<4> Emergency Medical· Plan
2021 22ND ST ~
250/
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page 4
O0 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
IF THERE SHOULD BE A PRESSURE "BUILT-UP" DUE TO EXTREME HEAT, SUCH
AS A FIRE IN THE BUILDING, THE CONTROL PANEL HAS A SAFETY VENT PIPE GOING
THRU AND ABOVE THE ROOF.v
<2> Release Containment
Turn on ceiling exhaust<fan, switch located on back wall. Do not apply water onto leaking
tank. Stop the flow of gas or liquid. Wear full protective clothing and self-contalned
breathing apparatus. Use water to protect men 'effecting the shut-off. Approach from
upwind. Dike liquid spills' to contain liquid. Evacuate the area immediately.
Eliminate all open flames in Vicinity of indoor spills or released vapor. Water fog canbe
used to cleanse atmosphere of ammonia vapor. Downwind areas can be protected by water fog
nozzles positioned downwind.
<3> Clean Up
Spills may need to be reported ot the National Response Center (800/424-8802)
DOT Reportable Quantity (RQ) is 100 pounds)
Call Krazan & Associates Inc
134 E. Norris Rd
1-800-8.00-0711
Tony Martin
<4> Other Resource Activation
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page 5
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
AMMONIA TANKS
<2> Utility Shut-Offs
A) GAS - IN ALLEY
B) ELECTRICAL - IN ALLEY C) WATER - IN ALLEY
C) WATER - IN ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 1 - REDI-FREEZE EXTINGUISHER 1 - DRY CHEM EXTINGUISHER
1 - MULTI PURPOSE EXTINGUISHER
FIRE HYDRANT - 17TH AND Q STREET
18TH AND Q STREET
<4> Building OccUpancy Level
02/24/92 BLUEPRINT SERVICE CO INC 215-000-000191 Page 6
00 - Overall Site
<G> Training
<1'> Page 1
WE HAVE 35 EMPLOYEES AT THIS FACILITY °
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: HANDLING PRESSURIZED CONTAINERS ARE PERFORMED
BY A FEW TRAINED PERSONNEL ONLY. OTHER EMPLOYEES HAVE NO AUTHORITY TO
GET INVOLVED.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
HAZARDOUS MA~RIALS INVENTORY
~ Farm and Agriculture ~--~ Standard Business : Page I of'~',!
NON - TRADE SECRET
BUSINESS NAME: Blueprint Service Company' Inc OWNER NAME: Tom Kuwahara NAME OF THIS FAcILITY-'B],,~nr{nt .q~r~,{~ Col
LOCATION: 730 ~th Street ADDRESS:. 2425 Castle Drive STANDARD IND. CLASS CODE: 7389
CITY, ZIP'~akersfield~ 9330l CITY, ZIP: Bakersfield~ 93306 DUN AND BRADSTREET NUMBER/FEDERAL ID #
PHONE #: 327-2501 PHONE.#:' 871-3234 0 6.-6 6 9 -9 4 ~ 5
95-3064 112
REFER TO INSTRUCTIONS FOR PROPER CODES
i 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Type Max Average ' Annual Measure # Days Cunt Cunt Cunt Use Location Where %~y Names of Mixture/Components
Code Code Amt Amt. Amt Units on Site Type Press Temp Code Stored in Facility ,: See. Instructions
~ Hydri{l% (Alkaline Gas)
Physical and Health Hazard C.A.S. Nu~er 7664-4 ]-7 component # 1 Name '& C.A.S. Number
(Check all that apply)o Component # ~ Nam~ a C.A.,S. Number Non-Flammable Gas UN 1005
of Pressure Health Health Component # 3 Name & C.A.S. Number
! NFPA Rating Health 3
I I I I I I I I I I I ~ Fire ]
I Reactivity-0
I.D. ~024.00
Phyeical and Health Hazard C.A.S. Number Component, # 1 Name & C.A.~. Number
; 10!25 FT3 Moderate
(Check all that apply) Component # Z Hame a C.A.S. ,m~er Neutralizer
I~] Fire Hazard ~ Sudden Release [] Reactivity [] ~iate [] Delayed i ~lo~erage
of Pressure Health Health Component # 3 Name & C.A.S. Number
I Physical State: Compressed G~
' Colorless Kas or liquid
I I I I I I I I I I I I with extremely punigent od~ r
Physical and Health Hazard C.A.S. Number Component # 1 Name & C.A.$. Number
I PH: 13+
(Check all that apply) Component # 2 Name & C.A.S. Number Boiling Point: 33.4 °C: ~21 .
of Pressure Health Health Component # 3 Na~ & C.A.~. Number
MeLting Folnt: -II..l~U: ~
I. I I I I I I I I I II -]07-9°F
, Solubilltv in Water 100%
Physical and Health Hazard , C.A.S. Number Component # 1 Name & C.A.S. Number
(Check all that apply) Component # 2 Name & C.A.S. Number
~'Fire Hazard ~ Sudden Release ~-- Reactivity ~ I~ediate [] Delayed
of Pressure Health Health Component # 3 Name & C.A.~. Number
EMERGENCY CONTACTS #1 Terry Kuwahara VP 872-7807 #2 Keith Kuwahara VP 872-4486
Name Title 24 Hr. Phone Name Title. 24 Hr Phone
Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) '
I certify under peanlty of law that I hayer personally examined and am familiar with the information submitted in ~s end~ a~hed documents end that based on my inquiry of those
individuals responsible for obtaining the information. I believe that the submitted information is tru~~ ' -
Terry Kuwahara~~'~/ 3-3-92
NAME AND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNER/OPERATOR'S A~'I'~ORIZED I~aESENTATIVE .. DATE SIGNED
(ty~e or ~rin~ name~ RECEIVED
JAN 0 h 1989
.Do hereby certify that I have 'reviewed the ~S'd ............
attached Hazardous Materials business plan ~
(name of business)
and that it along .with the attached additions
er corrections constitute a complete and correct
Business Plan for my facility.
s~na~ure '- date
BOSI'NESS NAME BLUEPRINT SERVICE CO INC ID NUMBER 215-000-000191
LOCATION 730 17TH ST I-IIGI:I HAZARD RATING 2
1 . O\;ERVIEW
LAST CHANGE 12/08/87 BY ESTER
JURiS CODE 215-001 JURIS BAKERSFIELD STATION 01
MAP PAGE 103 GRID 30D FACILITY UNITS 1 HAZARD RATING 2
RESPONSE SUMMARY
2A SEC 4) TOM KUWAHARA
TERRY KUWAHARA
KEITH KUWAHARA
EMERGENCY CONTACTS 2A SEC 2)
TERRY KUWAHARA - 327-2501 OR 872-7807
KEITH KUWAHARA - 327-2501 OR 871-4486
UTILITY SHUTOFFS 2A SE~ 3)
A) GAS - IN ALLEY 'B) ELECTRICAL - IN ALLEY C) WATER - IN ALLEY
D) SPECIAL - NONE E) LOCK BOX - NO
2 . NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED· FOR THIS SECTION >
Personally contact all persons in immediate
neighborhood.
}IATERIAL SAFETY DATA SYSTEMS, INC. 805)'..648-6800
BUSINESS NAME BLUEPRINT SERVICE CO INC ID NUMBER 215-000-000191
LOCATION 730 17TH ST HIGH HAZARD EATING 2
3 I-{AZ MAT TRAINING S UMMARI'
LAST CHANGE '/ / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
Handling pressuriZed containers are performed
by a few trained personnel only. Other
employees have no authority to get involved.
4 . LOCAL EMERGENCY MEDICAL JASS ISTANC'.E
LAST CHANGE 12/08/87 BY ESTER
2A SEC 5)' DR. WILLARD CHRISTIANSEN
2021 22ND ST
327-9617
PAGE 2 ' 12/13/88 16'30
MATERIAL SAFETY DATA SYSTEMS, INC. 805) 648-6800
B%:S~NESS NA)IE BLUEPRINT SERVICE CO INC ID NUMBER 215-000-000191
LOCATION 730 17TH ST HIGH HAZARD RATING 2
FACILITY UNIT 01
.t . OVERALL HAZARDOUS MA TERI'.tI~S !NSTENTORY
LAST CHANGE 12/08/87 BY ESTER
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT 'USE
1 PURE ANHYDROUS AMMONIA 10125 FT3 MODERATE
BEHIND CENTER PARTITION PORTABLE PRESS. CYL. NEUTRALIZER
ID PERCENT'COMPONENTS HAZARD LISTS
1024.00 100.0 AMMONIA (EPA) MODERATE EPA
B . FIRE PROTECTION / WATER SUPPI_:I ~F~.S
LAST CHANGE 12/08/87 BY ESTER
3A SEC 4) 1 - REDI-FREEZE EXTINGUISHER 1 - DRY CHEM EXTINGUISHER
1 - MULTI PURPOSE EXTINGUISHER
3A SEC 5) HYDRANT AT 17TH & .Q ST HYDRANT AT 18TH & Q ST
?-..AGE 3 ~.2t1')/~..,~ :~ 16:30
IAFERIAL SAFETY DATA SYSTEMS
BUSINESS NAME BLUEPRINT SERVICE CO INC ID NUMBER 215-000-000191
LOCATION 730 17TH ST HIGH HAZARD R.~.~Ih-G 2
D . EMPLOYE]! NOT IF IC.t.T I{)N / E%'ACUJAT I(DN
LAST CHANGE 12/08/87 BY ESTER
3A SEC 2) EMERGENCY NOTIFICATION TO ALL WITHIN THE BUILDING CAN BE MADE
VOCALLY AND/OR THRU OUR LOUD SPEAKER SYSTEM. WE HAVE BOTH FRONT AND REAR
EXITS AND EMPLOYEES WILL ASSEMBLE IN EMPTY PARKING LOT ADJACENT TO OUR
BUILDING.
E . MITIGATION / PREVENTION / .tB.iTEMENT
LAST CHANGE 12/08/87 BY ESTER
3A SEC 1) IF THERE SHOULD BE A PRESSURE "BUILT-UP" DUE TO EXTREME HEAT, SUCH
AS A FIRE IN THE BUILDING, THE CONTROL PANEL 'HAS A SAFETY VENT PIPE GOING
THRU AND ABOVE THE ROOF.
PAGE 4 12/13/88 16:30
MATERI. AL SAFETY DATA SYSTEMS, INC. (805) 648-6800
CITY of BA KERSI:IL'LD
BUSINESS NAME: Blueprint Service Co INc OWNER NAME: Tom Kuwahara NAME OF T~ [6~.~L13~: Shop
LOCATION: ~730 ]7th Street ADDRESS: '2425 Castle Drive STANDARD IND. CLASS CODE 7389
CITY, ZIP: Bakersfield, CA 9330~ CITY, ZIP: B~kersfield,. CA 9330p DUN AND BRADSTREET NUMBER
PHONE ~: 327-250~ PHONE ~: 87}-3234· .-
~ ~0 ~NS~RUC~XO~S ~0~ PROP~ COD~S
Tr~ns Type Max Averaqm Annual ~asure I Oys C~t Cat Cat Use l~mt$~ H~re % by No~, of Mixture/Come.ts
Code Code .Amt' Amc Est Units ~ Si~I Type Press Temo Code .. Stored In Facili~V Nt See Inscructi~s
"h?ic~lg~dHealthHa~ard C.A.S. Number 7664~41-7 C.~entll NaH&C.A.S. NumbeP Hydride (Alkaline Gas)~~/~
~ ] Fire Hatard [-] Reactivity [~] ~14y~ [~ ~dd~ ,,lees, [~] I~tate Non-Fla~able Gas UN 1005
'Health of Pressure H~ Ich
Physical and Health H~zard C.l.S~ NuBber C~t II ll~ & C.I.S. ~B~r Reactivity-O
(Chec~ ali chac apply) ........................
~--~ Fire Hazard ~--~ Reactivity ~iay~ u_ -- ·
Health of Pressure Hee Ich
C~c I] NaN & C.A.S. NueblP
10125 FT3 Moderate
PhvsJcal and Health Hazard C.A.$. Nueber C~t II NaN i C.A.S. lu.~r
'((h~k .11 ~h.; ~;~ly) ........................... ModeraEe EPA
Fire Hazard u--a Reactivity u--a OelaV~ u--a Sud~ Release u-- I~ie~e ·
Health oi Pressure Heait~
Physical and Health Hazard C.l.S. Nu~ber C~t II ffl~ i' C.1.$. Nu.bee
(Ch~k all that apply) ........................... . .
Flee Hazard. u--a ~eactivitv 0elayed Sudd~ Release -- I~iete ·
Health o~ Pressure Health ~' ...... - ......
C~t I] NaM & C.A.S.
~.~;GEHCY C0~rACTS fl Terry guwahara VP 872-7807 12 Keith Kuwahara VP ....................... '~2'~4'~6' .....
Certification (Read and sign after co~pletl'ng ail s~ct~ons)
. I certify under p~alty of la. that I have ~ers~ally e.aeined and ae faeillar .ith the tnfor~ttm,subeitt~ tn this ~d/eil Ittac~ d~ue~ts, and t~t based m ay ~n;uiry of t~se individ6als res~msible
Tom Kuwahara
HAZARDOUS MATERIALS. INSPECTION
MARCH 3, 1988
Dear Mr.Kuwahara
NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
IN THE INSPECTION OF YOUR BUSINESS BLUEPRINT SERVICE CO. INC.
LOCATED AT 730 17 TH STREET BAKERSFIELD, CA 93301
ON FEB. 18 1988 THE FOLLOWING HAZARDOUS MATERIALS REGULATION
VIOLATIONS WERE IDENTIFIED.:
1 NO HAZARDOUS MATERIALS COMMUNICATION PROGRAM.
VIOLATION OF OSHA 1910.1200
(g)The employer shall maintain copies of the
required material safety data sheets for each hazardouss
chemical in the workplace, and shall ensure that they
are readily accessible during each work shift to
employees when they are in their work area(s)
(h)(i) iNFOR~ATiON, Em~loyees shall be informed cf: (i)The requirements of this section
(iilAny operations in their work area ~.~here
hazardous chemicals are present; and,
(iii)The location and availability of the
written hazard communication program,
including the required list(s) of hazardous
chemicals, and material safety data 'sheets
required by this section.
also .... VIOLATION OF OSHA 1910.1200(H)
(2)Training. Em~ioyee training shall inc2ude at
least:
(i)~lethods and observations that may be used
to detect the ~resence or release of a hazardous
chemJ~ca] in the work area {such as monitorin~
conducted by the employer, continuous monitoril~
devices, visual appearance or o~or of hazardous
chemicals when being released, etc.);
(ii)The physical and health hazards of the
chemicals in the wori~ area:
(iii)The measures emDio3~ees can take to
Dro'tect themselves from "these hazards, inc!udins
specific procedures the employer has imDlemented to
'Drotect emDloyees from exDosure to hazardous
chemicals, such as aDDroDriate work Dractices,
emergency Drocedures, and Dersonal Drotective
e~uiDment to be used: and,
(iv)The details of the hazard communication
Drogram developed by the emnloyer, including an
exDlanation of the labeling system and the material
safety data sheet, and how emD!o}~ees can obtain and
use .the aDDroDriate hazard information.
2 MATERIAL SAFETY DATA SHEETS NOT AVAILABLE FOR AMMONIA
VIOLATION OF OSHA 1910.!200(G)
(9)Material safety data sheets may be keQt in
any form, including oDerating Drocedures, and may be
designed to cover grouDs of hazardous chemicals in a
work area where it may be more aDDroDriate to address
the hazards of a Drocess rather than individual
hazardous chemicals. However, the emDloyer shall ensure
that in all cases the required information is provided
for each hazardous chemical, and is readily accessible
during each work shift to emDloyees when they are in
their work area(s).
These violations must be corrected within t~o weeks
The deDartment will schedule a re-inspection of your facility
to verify comDiiance. If you have any ,~uestions regarding
this notice, Dlease contact Ralph Huey at ~6-~979.
Sincer~l~/ _
Hazardous ~aterials Coordinator
04/14/95' BLUEPRINT SERVICE C0 INC 215-000-000191 Page 1
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 ANHYDROUS AMMONIA Gas 13500 Extreme
~ Fire, Pressure, Immed Hlth, Delay Hlth FT3
CAS #: 7664-41-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: NEUTRALIZER
Daily Max FT3 Daily Average FT3 I Annual Amount FT3 --
? ~ 13,5oo I lO,125.oo 81,ooo.oo
Storage I Press T TempI Location
PORT. PRESS. CYLINDER IAmbient/AmbientlBEHIND CENTER PARTITION
-- Conc Components MCP ---TGuide
100.0% IAmmonia (EPA) IExtreme I 15
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
TOM KUWAHARA
TERRY KUWAHARA
,~ ~T~H~ ~>~iWAHARA
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
DR. WILLARD CHRISTIANSEN
2021 - 22ND STREET
BAKERSFIELD, CA 93301 ,.
327-9617
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE OR NO INITIAL REFRESHER
A. METHODS F0R SAFE HANDLING 0F HAZARDOUS
D. EMERGENCY EVACUATION PROCEDURES: ................. ~ N_~Q ~ NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YESN~ YES NO
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN $00 POUND~OF A
SOLID, $5 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... Y~ NO
I,. TOM KUWAHARA , certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 8.98
Sec. 25800 Et Al.) and that inaccurate information constitutes per3ury.
SIGNATUR~ TITLE PRESIDENT DATE
{,~ :2_ ~ BAKERSFIELD CITY FIRE DEPARTMENT
' BAKERSFIELD, CA 93301 (805) 326-3979
OFFICIAL USE ONLY
BUSINESS NAME
HAZARDOUS I~I~%T E R I ALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
8. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: BLUEPRINT SERVICE CO INC
B. LOCATION / STREET ADDRESS: 730 17TH STREET
CITY: BAKERSFIELD, CA ZIP: 9330] BUS.PHONE: (805) 327-2501
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the Stute Office of~ Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. TERRY KUWAHARA Ph# 327-2501 Ph# 872-7807
B. KEITH KUWAHARA Ph# 327-250l Ph# 871-4486
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: ALLEY
B. ELECTRICAL: ALLEY
C. WATER: ALLEY
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
SECTION 3: HAZARDOUS MATERIALS FoR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... [YES] N0
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES [Nd
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form #4A-!)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
I - Redi-Freeze Extinguisher
] - Dry Chem Extinguisher
I - Multi Purpose ·Extinguisher
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Hydrant @ 17th & Q
Hydrant ~@ 18th & Q
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS,/PROPAN~
Alley side of this location
B. ELECTRICAL:
Same
C. WATER:
Same
D. SPECIAL:
E. LOCK BOX: YES / ~0] IF YES, LOCATION: _
IF YES, SITE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFiCiAL USE ONLY
ID#
BUSINESS NAME:
BUSI NESS PLAN
SINGLE FACILITY UNIT
FORM 8A
INSTRUCTIONS
1. To avoid further action, this form must be re'turned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Ans~er the questions belo~,~ for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF ea~d CONCISE ,as possible.
FACILITY UNIT# FACILITY UNIT NAME:
SECTION 1: MITIGATION~ PREVENTION, ABATEMENT PROCEDURES
If there should be a pressure "built-Up" due to extreme
heat - such as a fire in the building ~ the control
panel has a safety vent pipe going thru and above the ,
roof.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY
Emergency notification to all wi~thin the building can
be made vo'dally and/or thru our loud speaker system.
We have both front and rear exits and employees will
assemble on empty parking lot adjacent to our building..
- 3A -
.DATE ADDRESS ZIP CODE FEE
BLOCK
' BUSINESS LICENSE NO, PERMIT REQUIRED PERMIT
[ BUILDING CLASS/TYPE OF OCCUPANCY BUSINESS NAME
BUSINESS OWNER BUSINESS MGR./RESPONSIBLE
! "
BUSlNESS.PHON~ HOME PHONE
NO. OF FLOORS ..SQUARE FOOTAGE
~, ')~ ~- , '~ ~., t~'-~,,~ "~,0 OTHER ~ ~ -
DATE OF REIN~PECTION (,1) ~(~ 1,' (~)/ '
INSPECTOR ',~ ,~). } ,/', 't-..._:~ ' ' ,.~.'~' STATION/SHIFT/STATIONPHO~
, Fo~ .... ~/~,.~...'~:' ~' c ~ ~1?1