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