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Home My WebLink AboutBUSINESS PLAN 8/23/2000 P 0 BOX 2057 i:;¢~, ~ ~ ,.~,¢~.~,, DATE: 12/01/01 TO' ARTiSTiC iRON WORK~" ~:~ 907 E CALiFORNIA~AV~ ".: CUSTOMER NO: ~336!5 CUSTOMER TYPE: ES/ 40930 CHARGE DATE D~CRIP,~'~'ON: ....... ' ............. '~;R~F~'NUMBER ~O~-'DAT'E TOTAL AMOUNT II/0!/01 BEgINNINg BALANCE: ~.~: : / 229.00 CALL THE NUMBER 'AT:?THE~TOP OF THIS STATEMENT. CURRENT ovE~ ~o OVER ~0 OVE~ ~0 I ~. oo ~/2.,,. '~'~ ~ATE' -~/3~/0~ PAYMENT ~UE: ~~ 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, return 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: . 3.~ 'T-i ~.'~[ 0~ -~-.R~U ~I~X]O~ ~ ~ LOCATION: ,'~____q ~-"~-'"-~' O-&LIF Rd.!A -AV . ~iL~G ~D~SS:-~-. '-C.' :~} [ ~~~( ¢~, ." · E~RGENCY NOTIFICATION ..... CONTACT ,~., ...... .N TITLE BUS. PHONE .24 l--lg. PHONE 2. 1 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) P~VATE FI~ PROTECTION~ATER AVML~ILITY 'B. WA'iJER AVAILABILITY"(FIRE HYD~NT): .-. 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING MATERIAL SA~FETY DATA SHEETS ON FILE: ~ ~ C)~---~~~) BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION i~ ^CCU~TE. I ~rlpi~Rs~r~5/'~7 ~u~s ~o~o~ ~ ~ us~ ~o F~FILL ~ FI~OBLIGA~ONS ~ER T~ "C~O~ ~TH ~ S~E~ CODE;' ON ~~OUS ~TE~S ~. 20 C~TER 6.95 SEC. 25500 ET ~.) ~ CITY OF BAKERSFIELD FIRE DEPARTME]~""~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE ADD.SS ~a7 ~ ~c,~,~ PHONENO. FACILITY CONTACT ~ ~A~ BUS.ESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program /~,.Routinc [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~'~~::::~t,E-~ C"~cC-'r~' '~ Visible address Correct occupancy Verification of inventory materials t:~'r't~, ~/E:t> ~ t n/~ t" Verification of quantities Verification of location I, 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 ,.~~/_~_me~' /<.~o ~--~.,,40~.5 Fire Protection Site Diagram Adequate & On Hand ~'.e ) ~ctC~.,,e~ ~~ ~ C=Compliance V=Violation Any hazardous waste on site?: ~l 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: TY OF BAKE IELD FI · OFFICE OF ENVIRONMENTAL SERVICES / 0~3-'~-~ 1 ¥--') UNIFIED PROGRAM INSPECTION CHECKLIST '-~ ' · 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME A~T, 5';'~¢ tqm t, oo~,fs INSPECTIONDATE ADDRESS 3a? E C.A¢,c'-~,~,a, PHONE NO.' FACILITY CONTACT .~gC" ,JAf'<.-~A '.BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ~-- Section 1: Business Plan and Inventory Program ~ Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint' .~[]-Re-inspection ' OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information'accurate /r~ ~LC.~ ('c-~PCC-r~. Visible address Correct occupancy Verification of~nventory materials dS~'rgg, ~/~t> - ~,~,./· Verification of quantities ,t , 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 -. . . Fire Protection Site Diagram Adequate'& On Hand ¢ ~, C=Compliance V=Violation Any hazardous waste on site?: [] Yes ~[~No 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:· / ~'-~' .'~0n '" ' ' Gates;' I~e_~ce~;:DoorS' ~ _"n, Special C/istom,.. :, ' '-' . -':'...ir~n~,ork~ :.... _ "307,:East c'aiifor~ia~ve::' ', :....off~ '(661) 3~-~i06 '- Bakersfield, CA' 93307 '"'~ -- ' Pgr; (66-1)'638:~042~' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~""~~~'*"-'* HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (0~ ~ ~r ma~al per buildi~ or ama) ~ Pa~ ~ NEW ~ ADD ~ DElE ~ REVISE BUSINESS ~E (~e ~ FACIU~ ~ ~ O~ - ~ng B~n~ ~) 3 ~i ~EUI~LLO~TION ~ Y~ ~ No ~2 · ' '' ~ T~ESECR~ CHEMI~L ~E ~~~ ~ Subj~ to E~ ~ lo ins~s ~7 COM~N ~ EHS' FED ~RD~RIES ~FIRE D2 ~ ~ P~~SE ~4 A~ H~L~ D5 ~RoNICH~ ~6 ANNU~ WAS~ 217 I ~I~M ,~ 218 ~ A~ 219 ~A~ W~ ~DE STOOGE CO~AINER ~ a A~VE~UND T~K ~ e ~N~LIC ~UM D i FIBER DRUM ~ m G~SS BO~E D q ~IL (C~ck all ~at a~) ~b UNDER~OUNDT~ ~f ~ Dj ~G ~n P~C~ ~r O~ER ~ c T~ INSIDE BUILDING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~ DRUM ~ h SILO ~U~ ~ p T~K WA~N STOOGE P~SSU~ ~ a A~IE~ ~ A~VE ~1~ D ~ BELOW A~IE~ ~4 STOOGE ~RE ~1~ ~ ~ ~1~ ~ ~ B~OW~I~ ~ c CRY~IC z2e · 22z I-lyes I--IN• 22e 233 2~0 231 [] Yes [] No 232 . 2'37 234 235 0 Yes [] No 235 241 238 239 E] Yes [] NO 240 245 242 243 [] Yes [] No 244 UPCF (7/9g) S:\CUPAFORMS\OES2731.TV4.wpd B · CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per buil#lng or ama) n NEW I-I ADD r'l DELETE r-I REVISE 200 Page __ of BUSINESS NAME (Same as FACILITY NAME or DBA - D~ng Business As) 3 CHEMICAL LOCATION 2Oll CHEMICAL LOCATION [] Yes [] No 202 I CONFIDENTIAL (EPCRA) FACILITY ID, ~1 ! 1 MAP # (opgone/) 2o3ORlD,(opOonel) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME % T ~"(~ ~ If Subject to EPCRA. ret'er to instructiotls 2O7 COMMON NAME EHS° [] Yes [] No 208 FIRE CODE HAZARD CLASSES (Complel® if requested by local fire chic0 210 TYPE [] p PURE I--I m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES . 213 P.¥S,C~.ST^TE ~. souo ~, .,<3u,. []. GAs . ~ LARGESTCO.T~.ER ~ ~ g" FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RFrFASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 218 (Check ~l mat apply) A~OUNT DAP¥ AMOUNT OA~[¥ AMOUNT ~ '~ ~ UNITS* [] ga GAL ~ CU FT [] lb LBS [] In TONS 221 DAYS ON SITE 222 * If EHB. amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] ® PLASTIC_./NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all b~at 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 I~"'YMNDER [] p TANK WAGON STORAGE PRESSURE [] a AMBIENT I~aa ABOVE AMBIENT [] be BELOW AMBIENT 224 STORAGE TEMPERATURE [~ AMBIENT [] aa ABOVE AMBIENT I--I be BELOW AMBIENT [] c CRYOGENIC 225 1 ~ * - * 9~'7 []Yes [] NO / 2 ~ /"'"" 230 .... d*J 231 ~No232 233 _ '/.~ -._ /z~ ..... _ . .. _ ... , DYes 234 235 [] Yes [] NO 238 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE COMPANY REPRESENTATIVE UPCF (71gg) S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ""~'""~~~'"'"'" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form ~er material l~er building or ama) r-I NEW 1-1 ADD [] DELETE [] REVISE 200 Page ~ BUSINESS ~ME (~e ~ FACILI~ ~ ~ O~ - ~n9 ~n~ ~) 3 CHEMI~L ~NFIDE~L (EPC~) CHEMI~L ~E EHS' ~s. ............... ~. :.~~ ~~~ FIRE ~OE ~ ~ES (~e ff ~t~ by ~ fl~ ~ 210 ~PE ' ~ ~RE ~ m ~ ~ w W~ 211 ~D~A~ ~Y~ ~ 212 CURIES 213 PHYSI~STA~ ~ s ~UD ~UID ~ g ~S 214 ~ST~NNER ~ 215 FED ~D ~ES ~1 FI~ ~ 2 ~ · ~ 3 ~U~ ~E ~ 4 A~ H~L~ ~ 5 ~RONIC H~ 216 UNffS' ~ ~ ~ d ~ ~ ~ ~ ~ ~ m TONS ~ DAYS ON STOOGE ~AINER ~ a A~VE~UND T~ ~ · ~S~N~C DRUM D I FIBER DRUM ~ m G~SS ~LE D q ~IL ( C~ck all ~at ~ b UNDER~OUND T~K ~ ~ ~ j ~G ~ n ~C BO~ ~ r O~ER ~ c T~ I~IDE BU~NG ~ g ~Y ~ k ~X ~ o TO~ mN ~ d S~ ~UM ~ h SILO ~ I CYLINDER ~ ~ T~K WA~N ~GE~RE ~IE~ ~ ~ ~1~ ~'~ BELOW~I~ ~ c CRYOGENIC 22~ ' " 227 [] Yes [] No 226 - 229 230 231 r-J Yes [] No 232 233 234 235 [] Ya~ I--I No 23S 237 238 239 ~ Yes [] NO 240 241 242 243 [] Yes [] NO 244 245 DATE UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 '*"''~"'-'* HAZARDOUS MATERIALS INvENToRY CHEMICAL DESCRIPTION (one form per material per builcling or area) [] NEW I-1 ADD I"q DELETE [] REVISE 200 Page __ of BUSINESS NAIvlE (Same as FACILITY NAIvlE o~ DBA - C~ng Buslnes.~ A~) 3 201 CHEMICAL LOCATION r"-I CHEMIC. AL LOCATION ' / ~ ~ t ~ (~ /'~ -~ ! ~'~ ~ ~ ~ CONFIDENTIAL (EPCRA).,,,,~____~ CO~N ~ EHS* 0 Y~ ~PE ~' ~ m ~ ~ w WA~'- 2t1'1 ~D~A~ ' - ~Y~ ~ 212 CURIES . . 213 FED ~RD ~RIES O 1 FI~ D 2 ~ ~ P~RE ~E O 4 A~ H~L~ O 5 ~NIC H~ (~ ~1 ~at ~p~) ANNU~ WAS~~U. 217 I ~I~M ~LY ~U~ ~ 21a I A~ ~ILY ~U~ 219 STA~ W~ ~ DAYS ON UNff~ D ~ ~ ~~ ~ lb ~S D m TONS * ~ ~S. ~t m~ ~ in I~. STOOGE ~AINER ~ a A~U~ T~K ~ · ~N~IC ~UM ~ I FIBER DRUM ~ m G~S BO~E ~ q ~IL (Check all ~t ~ b U~ER~U~ T~K ~ f ~ ~ j ~G D n P~C ~ ~ r O~ER ~ c T~K INSIDE ~1~1~ ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~ ~UM ~ h SILO ~YLINDER ~ p T~K WA~N STOOGE P~SSU~ ~ a ~IE~ ~ A~VE ~1~ ~ ~ BELOW ~IE~ ~4 ~O~ T~~ ~e ~1~ ~ ~ ~ ~1~ 0 ~ BELOW~IE~ ~ c ~Y~IC 2 j ~0 ~1 ~Y~ ~2 ~ ~7 ~ ~9 ~Y~ ~ 2~ 24t 2~ 242 2~ ~Y~ ~ 2~ UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd