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Home My WebLink AboutBUSINESS PLAN 6/17/1992 i~ATE. '~ . ADDRESS ZIP CODE FEE [ BLOCK NO. BUSINESS LICENSE NO. ' PERMIT REQUIRED PERMIT ~'.~ ¢~O f ~ ~s~ ~o~ ~ BUILDING CLASS/T~PE OF OCCUPANCY BUSINESS NAME BUSINESS OWNER BUSINESS MGR,/RESPONSIBLE /' .; BUSIneSS PHONE HOME PHONE NO, OF FLOORS SQUARE FOOTAG~ ' VIOLATION NOTICE ISSUED? ' OCCUPANT LOAD ; DATE OF REINSPECTIO. ,1) ,2) (3)' OTHER ~ I....., 1 INSPECTOR STATION/SHIFT/STATION PHONE ~ ' ;~: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... ,~,,+,~????? ?!? ?, ?>~ .......... This permit is issued for the following: ~,~???':?"i?/?.:,~?ii,:::i~::iii::;;?,:?:.:ii~:::;ii:~:;;i: i i:,:;':i:i::~!Hazardous Materials Plan LOCATION 3624 PIERCE ,~?::::':::::~,;?[~::::::??'?' 12 B~S~i:~LD CA ~.....:'"-~. ~;,,.~ ,~: ':...~-.;:" ,[~?~ ~".? :~ -.. ,=~. Bakersfield Fke Depa~ment A~roved by: F ~P~* ~ ' OFFICE OF E~R ON~L S~ 1715 Chewer Ave., ~rd Floor f~~ B~e~el~ CA 9~301 Voice (805) 32~3979 F~ (80S)~26-0S76 Expiration Date: ~n~ 30~ ~000 Overall Site with 1 Fac.'Un General Information ~. JUL 2 1992 Location: 3624 PIERCE RD 12 Map: 102 Hazard: Moderate Community: BAKERSFIELD STATION 01 Grid: 23B F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- ~~ ~~ (805) 323-2891 x PAM REYNOLDS (805) 323-2891 x (805) 831-0505 Administrative Data Mail Addrs: 3624 PIERCE RD #12 D&B Number: City: BAKERSFIELD State: CA Zip: 93308- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: ~-~Z-~A%%N~ ~W~ ~LH~ ~ Phone: ~0~ )~ - Address: 3624 PIERCE RD State: City: BAKERSFIELD Zip: 93308- Sugary " (Tv~ 6~ ~, ~*m~) reviewsd i~e aliaci~e:5 ~'~.~;m any corr¢cticns cons~tuto a agcment plan for my facil~. D~te 06/12/92 BAKERSFIELD ENVELOPE CO 215-000-000441 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 ISOPROPYL ALCOHOL Liquid 55 Moderate · Fire GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL55I~ Daily Averagej 30.00GAL [ Annual Amount250.00GAL -- Storage Press T Temp Location DRUM/BARREL-METALLIC AmbientlAmbientlsouTHEAST CORNER. -- Conc Components MCP List 100.0% IlSopropyl Alcohol ModerateI 06/12/92 BAKERSFIELD ENVELOPE CO 215-000-000441 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL. LEAVE BY FRONT OR BACK ENTRANCE. CALL 911. <3> Public Notif./Evacuation PUBLIC NOT PERMITTED IN AREA WHERE MATERIAL IS LOCATED. PUBLIC WOULD LEAVE THE OFFICE AREA WITH PERSONNEL BY FRONT DOOR. <4> Emergency Medical Plan MEDI CENTER 820 34TH ST 325-6334 OR MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 06/12/92 BAKERSFIELD ENVELOPE CO 215-000-000441 Page 4 00 - Overall Site , <E> Mitigation/Prevent/Abatemt <1> Release Prevention DRUM HAS SPICKET ON IT. ALCOHOL IS PROPERLY STORED IN A SEALED METAL CONTAINER. SECURE HEATERS IF ON. -'~' "'~ .... · .... ~- <3> Clean Up MOP UP <4> Other Resource Activation 06/12/92 BAKERSFIELD'ENVELOPE C0 215-000-000441 Page 5 00 -.Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - CENTER OF PARKING AREA B) ELECTRICAL - BETWEEN UNIT 11 & 12 C) WATER - BETWEEN UNIT 11 & 12 D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - NONE LISTED FIRE HYDRANT - IN FRONT OF BUILDING <4> Building Occupancy Level 06/12/92 BAKERSFIELD ENVELOPE CO 215-000-000441 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 12 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use HAZARDOUS MATERIALS DIVISION '~/(~LL~F~ Date Completed Business Name: . Location: ,:K~- L_/ _. ,/<~. /~./p_~cz~ //~... Business Identification No. 215-000 O~/J ~Y ~ ? (Top of Business Plan) Station No. ./ Shift ~ Inspector ~ ~,/v,~x .,//~/~,~r~r' / ~ ~ ~ r-'*~ Adequate Inadequate Verification of Inventory Materials ~ F?ECEIVED Verification of Quantities ~ ~ D EL~ t ~ 1990 Verification of Location ~ Proper Segregation of Material~ Numar of Employees · Verification of Haz Mat Training ~ comments: ,/"7, ~ .~. ~'- /q~r Verification of Abatement Supplies & Procedures I~' Comments: Emergency Procedures Posted ~ Containers Properly Labeled ~/ Comments: Verification of Facility Diagram ~' Special Hazards Associated with this Facility: Violations: ~~.~.~~~ AIl Items O.K. ~] J Correction Needed ~ ~-~B~iness Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy ,,'~' ~.'" ~,~ CITY. of BAKERSFIELD ,,. ~_. ~.~ ,/ '~'VE C,4RE' ~k '~ ,,'~ '"(:: ~,,,,,ff~ T J~S B. ~R ( ty~e or Drin~ name) Do hereb7 e~.ti~-- ~ .... =~ z.~ that i have reviewed the ........ attached Hazardous Materials business plan RECEIVED f o r BAKERSFIELD ENVELOPE ~NIPANf )f? ::' : ,".. (name of business ) JAN ! 9 1989 ~,~'d ............ and that it along with the attached additions or corrections consti~ ~ ~u~e a complete and correct .Business Plan for mM facility. s 1~9~89 date BUSINESS NAME BAKER LD ENVELOPE CO ID Z15-0~4)-0~441 LOCATION 3624-12 PIERCE RD HIGH NAZARD RATING 3 I. OVERVIEW LAST CHANGE 12/04/87 BY ESTER JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP RAGE 102 GRID 238 FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS ZA SEC Z) JIM GARNER - 323-Z891 OR 833-8900 ~ _ --- ~r-~ u ..... ~r ~" PAM REYNOLDS 323-2891 or 831-0505 UTILITY SHUTOFFS ZA SEC 3> '.. A) GAS - CENTER OF PARKING AREA B) ELECTRICAL - BETWEEN UNIT ll & lZ C) WATER -. BETWEEN UNIT 1! & IZ O) SPECIAL - NONE E) LOCK BOK - NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE 1/17/89 BY Jim Public not permitted in area where material is located. Public m~uld leave the office area with personnel by front door. < NO INFORMATION RECORDED FOR THIS SEC'FION > PAGE 1 tZ/Z3/88 15:36 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648~8800 BUSINESS NRME BAKERSFIELD ENVELOPE CO ID NUMBER Z 15-f~-~44 LOC~TION 3824-12 PIERCE RD HIGH H~ZhRD RATING 3, H~Z MST TRBININ6 SUMMRRY LBST CHANGE 1/17/89 BY J~ ~loy~s giv~ individual ~d group ~ai~ng. < NO INFORMRTION RECOROEO FOR THIS SECTION > 4. LOCAL EMERGENCY MEDIChL ~SSISTRNCE L~ST CHANGE 12/04/87 BY ESTER SEC 5) MEDI CENTER 820 34TH ST ~Z5-6334 OR MERCY HOSPITAL Z21S TRUXTUN ~V 3Z7-3371 PAGE 2 12/23/88 15:36 M~I'ERIAL SGFETY DRTA SYSTEMS, INC. (805) 848-6800 BUSINESS NAME BAKER LO ENVELOPE CO ID Z15.-0~-0~8441 LOCATION ~G24-12 PIERCE RD HIGH HAZARD RATING 3 FACILITY UNIT 0~ A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 12/04/87 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE I PURE ISOPROPYL ALCOHOL. SS GAL HIGH EAST END OF BLDG DRUMS OR BARRELS MET., CLEANING ID PERCENT COMPONENTS HAZARD LIST 11GO.O! !OO,O ISOPROPYL ALCOHOL HIGH B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 1 27 ~9 BY JJ_m Fire Hydrant located in front of building < NO INFORMATION RECORDED FOR THIS SEC'FION > PAGE 3 IZ/23/88 15:3G MATERIAL SAFETY DATA SYSTEMS, INC, (805) G48-GB(~ BUSINESS NAME BAKERSFIELD ENVELOPE CO ID NUMBER Z15-0(~-~0441 LOCATION 3G24-1Z PIERCE RD HIGH HAZARD RATING D, EMPLOYEE NOTIFICATION / EVACUATION LAST CHANOE 1Zt04/87 BY ESTER SEC Z) VERBAL. LEAVE BY FRONT OR BACK ENTRANCE. CALL 9!1. E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 12/04/87 BY ESTER i 17 89 Jim 34 SEC l) MOP UP, DRUM HAS SPICKET ON IT. ALCOHOL IS PROPERLY STORED IN ~ SEALED METAL. CONTAINER, Secure heaters if on. Ventilate up PAGE 4 1~/~/88 15:JS MATERIAL SAFETY DATA SYSTEMS, INC, (805) 648-6888 CITY of BAKERSFIELD ~O~--T~AD~ SECRETS ' ~,~,.l. 0t..[. PIERCE PLAZA uu~.~ --~: Bakerofield Envelo~ Co. u..~ ...~: Jim Garner ~AME O~ T~ F~CILITY: LOCATION: 3624 Pierce Road ADDRESS: 7616 0kanagan Ct. STANDARD IND. CLASS CODE CITY, ZIP: Bakersfield. CA 93308 CITY, ZIP: Bakersfield, CA 93309 DUN AND BRADSTREET NUMBER PHONE ~: (805) 323-2891 PHONE ~: (805~ 833-gq0~ __ - ---- - ~ ~ x~u~xo~ ~ ~oP~ co~ 1 ? 3 4 S i 7 I g 10 11 lr.ns T~ ~x A~e ~1 ~Su~ I ~ Cmt ~t ~t ~ L~tt~ ~ % ~ i ~ Ntxt~/~tl (~e C~e ~t ~t Est Units ~ Site l~ ~ 1~ ~ St~ tn FKtlity ~ ~ I~t~ti~ ~FiPI N4z~Pd ~--u R~tivity L ~ r--~ ~lth of Pm~ With _,[ .... 1 ........ ,,1 .............. 1 1 ..... 1 ..... ,k_l, . ~5. L. P~icll ~ ~lth Hlzl~ C.l.S. ~r (C~k all t~t a~ly) - r--~ ~--] r-~ r--~ ~t ~lth of F~ ..... ~__1 ~ .......... 1 k I _[ ! ! 1- ! ' ......................... P~ic41 ~ ~lth ~z4~ C.l.S. ~ (C~k iii t~t i~ly) _ . ............. .... ~ -- Hfllth of Pm~l ~lth '--- -- ...... NHIth of Pe~uee Heelth ............ ~t ........................................ ~11 ....................... ~ TI~11 ~F'~, ....... Ce~ttficati~ (Reed and sJ~n after completJnE all sections/ I ,~rttf~ ~de~ ~lty of 1~ t~t I ~ve ~Psmallyexamin~ and Im f~iliae with t~ tnfo~tim su~itt~ fo~ obtaining t~ inf~mtim. [ ~lieve tMt t~ su~ittH info. tie,, is t~, Accurate. 4nd . . ,~ . ,. ~./~.=:~_ ~;a~T~[~V~[]~-~T~F~F~F?~F~[~F~[~F~F~[[~i..~.~ ~[~ ....................h~i'~~ ~ 2130 "G" STREET BAKERSFIELD. CA 9330! R E C E I V E D (805) 326-3979/0~~ OCT 2 3 1987 / Ans'd ............ OFFICIAL USE ONLY HAZARDOUS RTERI ALS BUSINESS PLAN AS A WHOLE ¢0~~. 1. To avoid further action, return this form by 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. SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: '~~ ~~*~/~ CI~ . ZIP: f~O~ BUS.PHONE: SECTION 2: E~RGEN~NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7850 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: N~M~ .%~D TITLE DURING BUS. HRS. AFTER BUS. HRS. A. ~AT. GAS/PROPANE; ~~ C. WATER: / ' D. SPECIAL: ~. LOC~ BOX: YES / IF YES, IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / N0 FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TE~ FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES ~MPLOYEES WITH INITI~tL REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS .~ATERIALS:.... ....................................Y~ NO ~S NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~YE~_~,)N0 YES NO C. PROPER USE OF SAFETY EQUIPMENT: ..................~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO .YES NO E. DO YOU ~INTAIN EMPLOYEE TRAINING RECORDS: ....... NO YES NO SECTION ?: HAZB~RDOUS ~4ATERI~_L CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POL~DS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I,~-~ ~~~ , certify that the above information is accurate' I understand that this i~formation will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. - 2B - 8U$[:'TES$ NAZE: - BL'SINESS PLAN SIN-GLE FACILITY b-NIT [NS~UCTIONS !. To avoid further action, this form must be returned 2. ~'PE.,'PR[NT YOUR IXSwERS iN ENGLISH. 3. Answer the question~ below for THE FACILi~f UNIT LISTED BELOW 4. ~e a~ 8RIZ~ and CONCISE as ~ossible. FACILi~ ~IT~ FACILI~ ~'iT SECTION ~: ~!TT~.ATiON. ..... · ~.':. ~u~. ABATEM~ PROC~L~ES $~CT!0N 3: [{AZ:\RDOUS M~T%RTALS FOR TWIS ~'iT ONlY A. Does this Facility Unit contain Hazardous }[ater~al?? ...... ~ If YES, see B. rf N'o, continue with SECTiOI' ~. B. Are any of the h~znrdous materials a bona fide Trade Secret If No, complete a separnte h~zmrdous materials inventory form m~rked: NON'-TRADE SECRETS ONLY (white form If Yes, complete a hmzardous materials inventory form m~rkmd: ~DE SECRETS ONLY (Fellow form ~4A-2) in addition to the non-trade secret form. Lis~ only the trade secrets on form 4A-~. SE~IOM 4: MRIVA~ F~E MROTE~IOM J SECTIOM ~: 50CATIO~' OF WATER S%'PPSY FOR USE B~f ~MERGE?~CY. RESPO.%~D~-R$ A. MAT. GAS.:PROPANE~ B. ELECTRfCAL: O SPEC:AL: . ' . , ""c ,,T .0:7 E LOCK BoX ",.'.,T.S .x.-O r._= YES E .... ' '" : I). ~ FORM 4A-I PaEe / of ___~ ~} NON--TRADE SECRETS l'lAZ A'RDOU9 MATERI ALS' I NVENTO~{Y ll~lr.ll~fi~ NAHE: OWNER NAME: FACll, iTY UNIT 2 3 7 O g I U AMUUN'I' AMUUNT FACILITY ONIT WT. ClIEMI~AL OR COMMON NAME CODE AFTER r~us .RS: ,J)-.._t~_a~oz) ~rl]r~ENC. Y f:IINTACT: _,, TITLE: PIIONE t BUS IIOURS.' SITE/FACILITY DIAGRAM FORM NORTH SCALE: BUS INESS Nk%[E: FLOOR: OF DATE: / / FACILITY NAME' UNIT ~: 0F (CHECK ONE) SITE DIAGRk~! FACILITY DIAGRAM Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SITE D[AGRA~ (Requl I. Address: Identiff¥ ~e 9. Lock (key) Box principle buildings by the Street numOers, lO. NSD$ Storage Box 2. Street(s}. Altsys. lt. Railroad Trachs Driveways. and ParkinE Areas adjacent to the 1R. Fence or Barrier property. Include the e. Wire street naaea. b. Masonry 3. Storm Ora£na. Culverts. Yard Drains c. Wood 4. Drainage Canals. Ditches. d. Gates Creeks. 13. Po,eel/sea 5. Buildings a. Frame construction 14. Guard Station b. Nasonry construction i~. Storage Tanks: Identify the c. Nrta! construction capacity In gal.. a. Above ground d, Acceea Door b. Onde~round 6. Otillty Controls a. Gas I6. Olk~n~ or Bern b. Electricity ~, ~ ~ 0 p, ,, ~17. Evacuation Route c. ,at,, ..' ?:,:'0 ~"~","'. ~o...~v,~.tlo. ~r,a: 7. Fire Suppression 3ystams: location ~ere a. Flre. aydrnntm employees mill IIIC, b. Fire Sprinkler 19. Outalde/Hazardo,~uq Connectioni '-- .~ '.,, ~¥aitl SCo~nge ,. '~', c. Fire Standpipe Con~cClonl ~tegia1 Storage d. Water Control Valvee ~1. Outside Hazardous "~ ~or protection systems /MCat/al gla/HMdling e. Flee P~mp ~. Type or Hazardous #atertaJ/~amta Stored 8. Fire Department Access or Used (See TyPE OF HAZARDOUS NATERIAq F - Flag.able B · Explosive L - Llquld R - Radloioglcal C - Corrosive O - Ox/dlzer O - Gas P - Poison Water Reactive T - Toxic g - Sol/d H - Cryogenic O - WesCo B - Etiological £xanple: Flassable L/quid · FL FACILITY OIAGRAN (Required Items in addition to thee\above) 1. R/sera Eot Sprinklers Ia. Fire Escapes 2. Partitions ig. AIr Cond~t/on/ng Units 3. Stairways: Indicate the iO. ~lndo~u levels served highest to loweet. !3. Inside ~azardoua Waete 3tora~e 4. Escalator: :ndicate the levels served from 13. Ina/de Hazardous highest to lo.est. WaCeriaia 3forage 3. Elevator 13. Inside Hazardous 6. Attic Access 14. Se.er Drain Inlets T. Skylights HAZARDOUS MATERIALS INSPECTION ~IFI~TION OF I~RY ~~ ~ ~IFI~TION OF ~u~ITI~ ~ ~IFI~TION OF ~TION ~ ~0~ 8g~IO~ O~ ~ffi~ ~ VERIFICATION OF HAZ MAT TRAINING ~ VERIFICATION OF MSDS AVAILABLE ~--~ VERIFICATION OF ABATEMENT S~PPLIES & PRO~RES I~1 COMMENTS: CONTAINERS PROPERLY VERIFICATION OF FACILITY DI~ SPECIAL HAZARDS ASSOCIATED WITH THIS FACILITY: VIOLATIONS: