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HomeMy WebLinkAboutBUSINESS PLAN (2)Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID#:: 015-000-001915 ' SIERRA PRINTERS LOCATION: 901 19TH ST This _Dermit is issued for the followino_: [] Hazardous Materials Plan 13 Underground Storage of H=~,=rdous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: EXpiration Date: Off'icc of'Ev~ices''''J Issue Date June 30. 2003 ITE DIAGRAM [~ ~_~FACILrrY~AGRAM [ ! SIERRA PRINTERS_ SiteID: 015-021-001915 ~ Hazmat Inventory By Facility Unit ~-- MCP+DailyMax Order Fixed Containers at Site Hanmar Common Name... ISpooHazlEPA Hazards. I Frm DailyMax lUnitlMcP WASTE FIXER R L ·. 1.00 GAL Min -2- 10/21/2003 · SIERRA PRINTERS SiteID: 015-021-001915 F Inventory Item 0001 Facility Unit: Fixed Containers at Site COMMON NAME / CHEMICAL NAME' WASTE FIXER Days On Site WASTE PHOTOGRAPHIC FIXER 365 Location 'within this Facility Unit Map: Grid: SE STOREROOM IN BLDG CAS# r STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient I Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 1.00 GAL 0.50 GAL HAZARDOUS COMPONENTS %Wt.~ RS CAS# Silver ....................... "NO .......... 7440224 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No NO/ CuriesI R / / / Min -4- 10/21/200.3 SIERRA PRINTERS ~ SiteID: 015-021-001915 -Fast Format ~ Notif./Evacuation/Medicai Overall Site Agency Notification 03/22/2000 WHAT AGENCIES ARE YOU.GOING TO NOTIFY?????????????? Employee Notif./Evacuation 03/22/2000 VIA INTERCOM, 3 EXITS; 1 AT S OF BLDG, 1 AT NW OF BLDG, AND 1 AT NE OF BLDG. Public Notif./Evacuation 03/22/2000 DISPATCH PERSON TO BOTH COMMERCIAL BLDGS TO W AND E SIDE OF OUR LOCATION. ~Emergency Medical Pfa~ J-- .......... 03/22/2000 = HALLAMBULANCE, MEMORIAL URGENT CARE OR WILLARD CHRISTIANSEN, MD. -5- 10/21/2003 SIERP~A PRINTERS SiteID: 015-021-001915.9 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 013/22/2000 SEALED CONTAINERS'FURNISHED BY SAFETY KLEEN CORP. Release Containment 03/22/2000 ALL MATERIALS DISPOSED BY SAFETY KLEEN CORP. Clean Up 03/22/2000 SHOP TOWELS, MOPS, BUCKETS ON PREMISES. --b~'her-ReSOu~e~ACti~-atiOn~ ............ ..__ .......... .~ -6- 10/21/2003 SIERRA PRINTERS SiteID: 015-021-001915' Fast Format Site Emergency Factors Overall Site Special Hazards. Utility Shut-Offs 03/22/2000 A) .GAS - ALLEY IN 900 BLOCK B) ELECTRICAL - SE CORNER OF BLDG C) WATER - ALLEY IN 900 BLOCK D) SPECIAL - N/A E) LOCK BOX ABOVE DOOR, FRONT OF BLDG, NW SIDE Fire Protec./Avail. Water 03/22/2000 ~RI~TE--FiRE PROTECTION'- FIRE 'EXTINGUISHERS. NEAREST FIRE HYDRANT - 0 ST BETWEEN 18TH AND 19TH AT THE ALLEY OPENING IN THE 900 BLOCK. Building Occupancy Level -7- I0/21/2003 SIERRA PRINTERS SiteID: 015-021-001915 Fast'Format ~ Training Overall Site Employee Training 03/22/2000 WE HAVE 12 EMPLOYEES AT THIS FACILITY. WE DO HAVE YOUR MSDS SHEETS ON FILE. GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: COMPANY SAFETY POLICY IS PROVIDED TO EACH EMPLOYEE UPON HIRING. Page 2 Held for Future Use Held for Future Use 8 10/21/2003' t P~EiVEF} : SIERRA PRINTER8 8iteID: 21~-000-00191~ } M~ 0 2000 BusPhone: (661) 322-6128 Manager : Location: 901 19TH ST ,~/. -- Map : 103 CommHaz : Minimal City : BAKERSFIELD '-'-~ Grid: 30A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN VAN ALSTYNE / PRESIDENT PATTIE VAN ALSTYNE / TREASURER Business Phone: (661) 322-6128x Business Phone: (661) 322-6128x 24-Hour Phone : (661) 872-5740x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React Contact : Phone: (661) 322-6128x MailAddr: 901 19TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner SIERRA PRINTERS Phone: (661) 322-6128x Address : 901 19TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, ',~'J l/~,,j ,4-&-r%/,,j J'-- Do hereby certi~/that i have (Type or print name) reviewed the attached hazardous materials manage- ment plan for ,~',-/__,,..,~J..~,J~and that it along wi~h (Name of 8usln4~) ' any corrections constitute a complete and correct man- agement plan for my faciliiy. 1 01/20/2000 SIERPLA PRINTERS SiteID: 215-000-001915 ~ Hazmat Inventory By Facility Unit ~--Alphabetical Order Fixed Containers at Site Hazmat Common Name... SpecHaz EPA HazardsI Frm I DailyMax~.. Unit MCP WASTE FIXER R L ~~~0~. O0 GA_L Min 2 01/20/2000 SIERRA PRINTERS SiteID: 215-000-001915 F Inventory Item 0001 Facility Unit: Fixed Containers at Site COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site WASTE PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: Liquid /Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily M~G~ Daily Average/G/~// 5.00 GAL I.~~,.o.~ ~,~ , ~ ~ HAZARDOUS COMPONENTS %Wt. RS CAS# Silver No 7440224 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -3- 01/20/2000 SIERRA PRINTERS SiteID: 215-000-001915 Fast Format Notif./Evacuation/Medical Overall Site Agency Notification Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -~- 01/20/2000 F SIERRA PRINTERS SiteID: 215-000-001915 ~ Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention --Release Containment Clean Up Other Resource Activation -5- 01/20/2000 SIERRA PRINTERS SiteID: 215-000-001915 Fast Format ~ Site Emergency Factors Overall Site Special Hazards Utility Shut~Offs 01/14/1999 B) ELECTRICAL - C) WATER- ~g~' E) LOCK BOX - Fire Protec./Avail. Water 01/14/1999 PRIVATE FIRE PROTECTION - ~/~.! ~t~- ~XT-/~J~/~J'/~-~ (9~/ ~,~£~-4~ NEAREST FIRE HYDRANT ~ 77 Building Occupancy Level 6 01/20/2000 SIERRA PRINTERS SiteID: 215-000-001915 Fast Format F Training Overall Site Employee Training 01/14/1999 HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY???????~ ~o YOU rmVE Your MS~S SHEETS ON FI~E????????? GIVE A BRIEF SUMMARY OF YOUR TRAINING PROGRAM: Page 2 Held for Future Use Held for Future Use 7 01/20/2000 CITY OF BAKERSI~IELD ' OFFICE OF ENVIRONMENTAL SERVICES 171'5 Chester Ave., Bakersfield, CA 93301 (805) 2t26-3979 ~[~' · FACILITY INFORMATION FACILI~ ID g ~ ~ ' Year B~inning lOO Year Ending BUSINESS NAME (Same as FACILI~ NAME or DBA- Ooing B~iness ~) 3 BUSINESS PHONE ~2~ -- ~/~ 102 103 SITE ADDRESS~o t / ~ ~4 CITY '~ CA ZIP DUN & ~ SIC CODE B~DSTREET (4 Digit ~) COUN~ ~08 OPE~TOR NAME ~ ~ ~ ~ ~ ~ ~ 5~ ~ 109 OPE~TOR PHONE ~0 OWNER NAME ~ OWNER PHONE ~2 OWNER MAILING ADDRESS 113 CITY ~4 STATE ~5 ZIP ~6 CONTACT NAME ~7 CONTACT PHONE 118 119 CONTACT MAILING · ADDRESS CITY ~20 STATE 121 ZIP 122 TITLE BUSINESS PHONE ~2s BUSINESS PHONE ~ ~ ~ 24-HOUR PHONE ~Z- ~0 ~27 24-HOUR PHONE ~32 PAGER ~ ~2a PAGER ~ 133 Codification: Basod on my inqui~ of thoso individuals rosponsib~o for ob~inin~ tho information, I co~i~ under ponal~ of law that I hav~ porsonally oxamined and am [ami~iar with tho in[omafion submi~ in this invonto~ and boliovo tho information is tree, accuralo, and comploto. SIGNATURE OF O~E~OPEmTOR DATE 134 NAME OF OOCUME~ PREPARER 135 NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNERJOPERATOR 137 0ES F01~M 27'50 (7/9b) P:\OES2730.T'V4.wpd  · CITY OF BAKERSFI~e~ O~CE OF ENVIRONMENTA~SERVICES . 1715 Chester Ave.,. CA 93301 (805) 326-3979 .. UNDERGROUND STORAGE TANK FACILITY Page __ of__ TYPE OF ACTION [] I NEW SITE PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION (State type of change) [] 7 PERMANENTLY CLOSED SITE (Check one item only) [] 4 AMENDED PERMIT [] 8 TANK REMOVED 400 [] 6 TEMPORARY SITE CLOSURE I, FACILITY / SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # ~1~ t~t'~ ~' 1 r NEAREST CROSS STREET 401 FACILITY OWNER TYPE [] 4 LOCAL AGENCY/DISTRICT* ~'~1 S [] 1 CORPORATION [] 5 COUNTYAGENCY* [] 2 INDIVIDUAL STATIONBUSINESS [] 3 FARM [] 5 OTHER 403 [] 6 STATE AGENCY' TYPE [] 3 PARTNERSHIP [] 2 DISTRIBUTOR [] 4 PROCESSOR [] 6 COMMERCIAL [] 7 FEDERAL AGENCY* 402 TOTAL NUMBER OF TANKS ~ ' Is facility on Indian Reservation or *If owner of UST a public agency: name of supef~sor of REMAINING AT SITE ~ trustlands? division, section or office which operates the UST. · "~,X04' (This is the contact person for the tank records.) [] Yes [] No 405 406 ",~,' . II. PROPERTY OWNER INFORMATION ..· PROPERTY OWNER NAME ~ 407 PHONE 408 MAILING OR STREET ADDRESS ~ 409 CITY ~2 410 STATE 411 ZIP 412 PROPERTY OWNER TYPE INDIVIDUAL [] 4 LOCAL AGENCY/DISTRICT [] 6 STATE AGENCY 413 [] I CORPORATION r-.~\ L_I 3-x,PARTNERSHIP [] 5 COUNTY AGENCY [] 7 FEDERAL AGENCY · ' "" Ill.'TANK oWNER INFORMATi ' ~' ' ' 414 PHONE 415 TANK OWNER NAME MAILING OR STREET ADDRESS ~ 416 CITY ~. 417 STATE 418 ZiP 419 TANK OWNER TYPE [] 2 INDIVIDUAL ~ [] 4 LOCAL AGENCY / DISTRICT [] 6 STATE AGENCY 420 -- -'"' 'F I~QUAtiZATION UST STOR~E~ IV. BOARD O FEE ACcouNT'NUMBER TY (TK) HQ 4 4 [ I Call (916) 322-9669 if ques~ns adse 42, V. PETROLEUM UST FINANCIAL RESPONS~LITY INDICATE METHOD(S) [] 1 SELF-INSURED [] 4 SURETY BOND [] 7 STATE FUND ~_ [] 10 L~CAL GOV'T MECHANISM [] 2 GUARANTEE [] 5 LETTER OF CREDIT [] 8 STATE FUND & CFO'"LE'I;3'ER [] 99 OTHER:\ [] 3 INSURANCE [] 6 EXEMPTION [] 9 STATE FUND l CD \ 422 'VI. LEGAL NOTIFICATION AND MAILING ADDREss i " Check one box to indicate which address should be used for legal notifications and mailing. [] I FACILITY [] 2 PROPERTY O~F,.R ~ [] 3 TANK OWNER 423 Legal notification and mailing will be sent to the tank owner unless box 1 or 2 is checked. ~ . VII. APPLICANT SIGNATURE Certification: I certify that the information provided herein is true & accurate to the best of my knowledge SIGNATURE OF APPLICANT DATE 424 PHONE 425 NAME OF APPLICANT (print) 426 TITLE OF APPLICANT 427 STATE UST FACILITY NUMBER (For local use only) 1998 UPGRADE CERTIFICATE NUMBER For local use only) (Formerly SWRCB Form A) July 1. 1998 . P:\USTFAC.A.FM4.wpd ~~ CITY OF BAKEiltI~LD ~OFFICE OF ENVIRONME~TXL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 H~RDOUS MATERIALS INVENTORY Chemical Description Form · ~.: ... (one ~ per material ~er ~dd~ or ama) ~AOO O OELETE ~ R~ISE ~ P~e __ I. FAClL~ INFO~ATION BUSINESS ~ME (~e ~ FACILI~ ~ME ~ O~ - ~ng ~an~ ~) 3 ~ CHEMI~L cO~rrO~ L~TION ~NFIDE~IAL (E~) II. CHEMICAL INFORMATION T~DE SEC~ ~M~N ~ ~S' ~. . · ..:.?...: 210 ~PE ~ e ~RE ~ m M~RE ~ w WAS~ 2tl ~IOA~E D Y~ ~ ~ 212 ] CURIES 213 ~YSI~LSTATE ~ s ~LID ~1 LIQUID ~ g ~ 214 ~GEST~NNER ~ 215 ANNUALW~ 217 ] ~I~M 218 ] A~ 219 STA~W~OE UNffS* ~ ~ D ~ cu~ O ~ ~ O ~ TONS ~1 DAYSONS~ STOOGE CO~AINER ~ a ~UND T~K ~e ~S~N~IC DRUM ~ I FIBER DRUM ~ m ~S ~E ~ (Check aN ~t ~b UNO~OUNDT~K ~f ~ ~j ~G ~n ~TIC ~LE ~r O~ER ~ c T~K INSIDE BUILDING ~ g ~Y ~ k ~X ~ o TOTE BIN ~ d ~EEL ~UM ~ ~ SILO ~ I ~LI~R ~ p T~K WA~N STOOGE ~ESSURE ~ a ~IE~ ~ ~ ~IE~ ~ ba BELOW~IE~ ~4 . , ........ :..~.., . · ... . -.; ... .~.~.:. -. ... . , ..: ..¥. ;¥:..:...f: .~--,.~::-,.: .....:. ~ .._ -.......; ::~.;,.~.~ ~&:'. ~, . ~..~,. :.:~,...: ..::... .. · .. 2 ~ 231 OY~ ONo =2 { 233 3 ~4 235 ~ Y~ ~ NO ~6 237 4 238 239 ~ Y~ ~ No 240 241 5 242 243 ~ Y~ ~ ~ 2~ 245 IlL 81GNA~RE PRINT ~ME & TITLE OF AUTHORIZED COMPANY REPRESENTAT~E SIG~TURE DATE 2~ FORM 2731 (7/98) P:~OES2731.TV4.wD(~ E OF ENVIRONMENTA~E SERVICES ~: ~ 1715 Chester Ave., CA 93301 (805) 326-3979 . ,. HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one ~orm ~r material ~r Oo#O~ or ~) ~ ~0 ~ 0ELETE ~ R~ISE ~ P~ ~ M I. FACIL~ INFO~A~ON BUSINESS ~ (~e ~ FAC;Li~ ~ ~ O~ - ~g ~ ~) 3 ~ ~EMI~ L~N ~1~ ~E~ L~T~N ~ y~ ~ ~ ~NFIDE~ (~) ~7 (~~) . ~._ .... :.-...-:.... :.-.. .... -......-.., .'...- ::.+~;.ff:--'.. '. ..-. :~,-;~.'~?r~-r~:~-~:-~.? ,.:.- '~ ,.: '....= ;r:..~::~, . (~:,~::.;~.-: .:,~+~::~". ,~;.: .-. : ..-' ..... . ' - - :" 3 ~4 ~s ~Ym~ ~6 4 ~8 239 ~Ym ~ 240 241 : s 2e2 2q ~ Y~ ~ ~ 2u 245 ~INT ~ME & TI~E OF AUTHORIZED ~ RE~E~EN?ATNE ~I~TU~E [:)ATE FORM 27'11 'TP600 DTSC Tiered Permitting System Onsite Profile Report for Facil ty SIERRA PRINTERS INC Report Date: O7/,12/94 - 13.35.2q Page: Auth./Reply: 08/30/93 Region:.1 Receipt Date: 03/25/93 Status: ACTIVE Generator ID: CAD983643099 BOE Number: Company Name: SIERRA PRINTERS INC ', Physical Location: · Street: 901 lgTH ST City: BAKERSFIELD State: CA ZIP: 93301 County: KERN Contact: PATTIE VAN ALSTYNE --- 905/$22-6128 Mailing Address: Company Name': Street: -City: State: ZIP: Country:' Contact: --- Notifi~cation Categories: 0 Conditionally Exempt~Small Quantity Treatment -1 Conditionally Exempt-Specific Wastestream · 0. Conditionally Authorized 0 Permit by Rule Total Fee Attached: S 100 Check #: 11859 CID: 92~00009 SIC Codes: 1:$911 Jewelry, precious metal 2:0000 Prior Permit Status: N File PBR Notice of Intent to Operate in 1992 fo~ this location? N Ever held a state hazardous waste facility full permit or interim status permit for any of these treatment units? N Ever held a state full permit or interim status for any other hazardous waste activities at this location? N Ever held a variance issued by DTSC for this location? N Been inspected as a hazardous waste generator? Prior Enforcement History: U · Attachments: X Plot plan/map detailing location of units X Unit specific notification for each unit Certification Information: Name: PATTIE VAN ALSTYNE Title: TREASURER SIERRA'PRINTERS ' SiteID:'015-021-001915"= / Manager : - / BusPhone: (661) 322-6128 Location: 901 19TH S~ ~ Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid:· 30A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN VAN ALSTYNE / PRESIDENT PATTIE VAN ALSTYNE / TREASURER Business. Phone: (661) 322-6128x Business Phone: (661) 322-6128x 24-Hour Phone :' (661) 872-5740x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: ReaCt .... . .... _~ ..... phone':~ -(661)--32'2-_-6t28x Contact .' -. ............. MailAddr: 901 19TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner SIERRA PRINTERS Phone: (661) 322-6128x Address : 901 19TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs': No ParcelNo: Emergency Directives: ~~? reviewed 'ihe attached hazardous materials ma,'mge- ment plan for~l~.'rr'~~/,~:/-~,';St~'~d4hat it along with (Name of Business) / any corrections constitute a complete and correct rnan- agement plan for my facility. S~n~u,~ ~ Date TP600 Page: 2 DTSC Tiered Permitting System Onsite Profile Report for Facility SIERRA PRINTERS INC Report Date: 07/12/94 - 13.35.24 'Unit Specific Information Unit Type: CESW Unit ID: 000163 Name: DRU PRODUCTS-SILVER RECOVERY U Tanks: 0 Containers: Est. Monthly Treated Volume: Pounds: 0 Gallons: 100 Specific Waste Types Treated: SILVER FROM PROCESSING FILM 'Treatment Process(es) Used: SILVER RECOVERY Residual Managementi Y Discharge non-hazardous waste to a POTW? N Discharge non-hazardous waste under a NPDES permit? Y Hauled offsite b~ registered hauler? Where: AD (A=Offsite, B=Thermal, C=Land, D=Add'l Treatment) N Dispose of non-hazardous solid waste offsite? N Disposal Other: Basis For Not Needing a Federal Permit: 1: X 2: 3: 5: 6: 7: 8: 9: Other: Transportable Treatment Unit: N Wastestream Information:. 7 PHOTOGRAPHIC WASTE-RECOVERY OF SILVER '<500 GALLONS PER FACILITY End-of Wastestream data for this unit End of data for EPA ID: CAD983643099