HomeMy WebLinkAboutBUSINESS PLAN (2) 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