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Home My WebLink AboutBUSINESS PLAN K BERRY WELDING & FABRICATION SiteID: 015-021-002045 Manager : BusPhone: (661) 706-4636 Location: 644 BELLE TERRACE 1 Map : 124 CommHaz : Minimal City : BAKERSFIELD Grid: 06B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DAN CASTLEBERRY / OWNER BOYD SMALL / PROPERTY OWNER Business Phone: (661) 706-4636x Business Phone: ( ) - x 24-Hour Phone : (661) 324-0241x 24-Hour Phone : ( ) - x Pager Phone : (661) 324-5541x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 706-4636x MailAddr: 644 BELLE TERRACE 1 State: CA City : BAKERSFIELD Zip : 93307 Owner DAN CASTLEBERRY Phone: (661) 324-0241x Address : 629 V ST State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No Emergency Directives: ~ Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazIEPA HazardsI Frm I DailyMax IUnitlMCP ARGON/CARBON DIOXIDE F P IH G 410.00 FT3 Min -1- 07/01/2002 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEiK. u%rry ~0~d;.~¢3 ~ F,~lat.;c,~-,'~ INSPECTION DATE ADDRESS C,,q,t ~ll~"['t~c¢~ I PHONENO. Co6I FACILITY CONTACT BUSINESS ID NO. 15-2 ! 0- Og.o'-tg' INSPECTION TIME NUMBER OF EMPLOYEES Section I: Business Plan and Inventory Program [~ Routine [~ Combined [~l Joint Agency [~ Multi-Agency [,~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy ~e yf Verification of invento~ materials Verification of quantities t/~/] ? Verification of location Y'¥'-d J / ~ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training p%/ \ L! Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~] Yes ~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _m~mit is issued for the following_: [] Hazardous Materials Plan r-I Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002045 K BERRY WELDING LOCATION 644 #1 '93304 "i · Issued by: Bakersfield Fire Department "- · OFFICE OF ENVIRONMENTAL SERVICES' ~. ,a' ' ~o,=~2q-O0 1715 Chester Ave., 3rd Floor Approved by: (..~~ ~C~u~. ~'t-'~_~~ ,~ue n-~te Bakersfield, CA 93301 Omceofevironmm~TServices ~ Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 'JH~'~E' 30.. 2003 OFFICE OF ENVIRONMENTAL SERVICES' UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME I~-~C"r~'t'"~"O'tL INSPECTION DATE ADDRESS ~- ! ~-,'ttS~c~ PHONE NO. FACILITY CONTACT DAaff~~ ~ BUSINESS ID NO. 15.210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program J~l_Routine [~] Combined [~ Joint Agency [~ Multi-Agency [~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location / Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~l Yes No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 '~u~ine~s'SilgrR~sponsible Partyc}..-'"' White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: ~ ~ ~ ~) CITY ~F~BA~RSFIELD FIRE DEPARTMEN~I' . OFFI~E OF ENVIRONMENTAL sERvICES . UNIFIED PROGRAM INSPECTION CHECKLIST 1715 chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~'- ~C, re~y' CO'~d'),'~'/~ INSPECTION DATE ~'~/l~ ADDRESS fffOat- t (~cc& -r~.-~r~cc~ PHONE NO. FACILITY CONTACT DA~/f~t-c~' f~ BUSINESS ID N0. 15-210- ' INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~._Routinc [] Combined [~ Joint Agency [] Multi-Agency [] Complaint [~l Re-ins )cction OPERATION C V COMMENTS Appropriate permit on hand /~ct_r,., ! ~--e~ S ~:~ ~ .. Business Plan contact information accurate Visible address Correct occupancy ~ . Verification of inventory materials' Verification of quantities Verification of location ' . Proper segregation of material .:, . / Verification of MsDs availability ' / Verification of Haz Mat training / Verification of abatement supplies and procedures 'Emergency 'procedures adequate" Containers 'properly labeled · Housekeeping Fire Protection Site Diagram Adequate & On Hand .. C=Compliance V=Violation Any hazardous Waste on site?: [] Yes ~No/~* .,,~* . Explain:' ' / Questions regarding this inspection? Please call us at (661) 326-3979 ~usiness ~itjtResponsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:. ~' -- ~'~ ~ CITY OF BAKERSFIELI~iI B~O OFI~CE OF ENVIRONMENTAL S~RVICES ~ :~ rt~t ~ / 1715 Chester Ave., CA 93301 (661) 326-3979 · ~~~ BD$1N~$$ OWNER I OPE~TOR IDENTIFIGATION FACILI~ INFORMATION ~' . Page Of BUSINESS NAME (Same as FACILI~ NAME o~ DBA- Doing Business ~) : 3 BUSINESS PHONE ~02 . 103 Cl~ ... + 1~ CA ZiP 105 DUN & '> :' . ~o6 SIC CODE ~o7 B~DSTREET '; . .:- (4 Digit ~) COUN~ . . "~ ' "' · OWNER NAME ~, C~' ~ ~ "' OWNER PHONE ,:. OWNER ~ILING '. 113 ADDRESS. · .. CONTACT NAME , ~'~C~~ ~ 117 CONTACT PHONE CONTACT ~ILING ADDRESS , " :;~ ~ TITLE ~~ . 125 TITLE ~~ ~~ ,.' . · ~. 130 BUSINESS PHONE . , 126 BUSINESS PHONE 2n-HOUR PHONE· ~ ~4 -- ~'~' ,27 2n-HOUR PHONE ~ - ~4 t , ~32 PAGER ~ ~ ~ ~ ~,.~ I ~28 PAGER ~ Ce~ifica~on: Based on my inqui~ of ~ose individuals responsible for ob~ining the info~ation, I ~i~ under penal~ of law ~at I have pemonally examined and am ~miliar with the info~ation submiffed in this invento~ and believe the info~afion is tree, a~umte, and ~mplete. SIGNATURE OF OWNE~OPE~TOR DATE ~ NAME OF DOCUMENT PREPARER ~35 N~S'OF'O~E~OP~T~R (print) ~ ~ ~3~ TTLE OFOWNE~OPE~TOR ~37 UPCF (7/99) S:\CU PAFORMS\OES2730.TV4.,wpd gt i'm I OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661)326-3979 H RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ ~r ma~al per budding or ama) ~W ~ ADD ~ DELVE ~ REVISE ~ Page ~ of ~ BUSINESS ~E (~e ~ FACIL~ ~E ~ D~ - ~ Bu~n~ ~) 3 CHEMICAL LOCATION 201/ CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCF~.) / FACILITY ID # ~.1~ ~ 1 MAP # (#pEon•O;, 203 Ii GRID # (opUonal) 204 CHEMICAL NAME ~ ~ 205 ! TRADE SECRET [] Yes ~ No 206 207 = COMMON I EHS* []Yes []No 20~ FIRE CODE HAZARD CLASSES (Complele if requested by local fire c~iet) 210 TYPE [] p PURE ~ MIXTURE [] w WA~I'E 211 RADIOACTIVE [] Yes [] No 212 CURIES 213 PHYSICAL STATE r'"]s SOLID ["'11 LIQUID ,,~ GAS 214 I LARGESTCONTAJNER ~_(:~).4~' 215 FED HAZARD CATEGORIES [] 1 FIRE · [] 2 REACTIVE ~ PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all that apply) uNrrs· [] ga C~L ~ CU FT [] I~ LaS [] ~ TONS 22~ OAYS ON srm 222 · If EHS. amount must be in Ihs. . .. STORAGE CONTAINER [] a ABOVEGROUND TANK [] ~ PlASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS SOTTLE [] q RAIL CAR ' ~''?': '~ 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [~ CYLINDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE AMBIENT [] aa ABOVEAMSIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 234 235 [] Ye~ [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 UPCF (7/99) S:\CUPAFORMS~OES2731.TV4.wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, remm this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: MAILING ADDRESS: 'CITY: STATE: ZIP: PHONE: PRIMARY ACTIVITY: OWNER: PHONE: MAILING ADDRE S S: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. 2. HAZARDOUS MATERIALS MANAGEMENT. PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: o~'-~t~'c>~' -~' ELECTRICAL: ~.aTs,oE .5 C--,,.ro ~ WATER: Egt)'r5 ,DC-- ~ ~.e,.ffc axe: q>t_96 SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: / MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 4