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Home My WebLink AboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the followin_.: [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002075 PRECISION ~:'~ ~ LOCATION 1117 W ST t01 [ OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: C Ralpl/~Uuey, D~~i Issue Date Bakersfield, CA 93301 OfficeofEvironmer~ltTServices Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: ' Ju~'~e 30.. 2003 usines~Addre~: ~t~-v~T e_oL-,,',"gOl 'Sr. $0~r~ g , ~[3~o I ITE DIAGRAM ! I FAC'11.1TY DXAGRAM ! PR~ECISION ANALYTICAL SiteID: 015-021-002075 Manager : BusPhone: (661) 323-1682 Location: 1117 W COLUMBUS ST B Map : 103 CommHaz : Minimal City : BAKERSFIELD. ~l~9 2§~Grid: 18C FacUnits: 1 AOV: CommCode: COUNTY STATION 64 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Con / Title STEPHEN E HARRIS / LAB MGR/OWNER DIANA HARRI: / WIFE Business Phone: (661) 323-1682x BuSiness : (661) 323-1682x 24-Hour Phone : (661) 804-1611x 24-Hour )ne : (661) 587-1586x Pager Phone : ( ) - x Pager : ( ) - x Hazmat Hazards: Fire ImmHlth Contact : Phone: (661) 323-1682x MailAddr: 1117 W COLUMBUS ST B State: CA City · : BAKERSFIELD Zip : 93301 Owner STEPHEN E HARRIS Phone: (661) 323-1682x Address : 1117 W COLUMBUS ST B State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: = Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common~Na~... ISpooHazlEPA HazardsI Frm I DailyMax IUnitlMCP ARGON . ~ F P IH G 4600.00 FT3 Min COMPRESSEDAIRu~/ G 311.00 FT3 Min HELIUM F P IH G 291.00 FT3 Min ~, Oo horeby'c,~r~ihy ~ha~ ~ ha,~ ~m name) reviewed ihs a~ached hazardous materials rnanags- me.m plan for (~.~o~..~,~.), _and ~ha~ it a~ong wi~h any corrscfions constitute a comple~ and c~rrsc~ acjem®r~ pOan for my facility. -1- 07/18/2003 SJgnerure-~ - 'Date - 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: ~._[E..i~! O(0 ~JA b-~T[ C,4- L. LOCATION: /ll~" ~OEST~ c__~b-o~,t~OI £'K. ~,~ IT£ g MAILING ADDRESS: itl'~-~ ~,IIE~;'U Co~o0,ngOl 5"F. 5;ut~"~ ~ CITY: gA't~--gg~;F/CC/) STATE: C~ ZIP: 6.t PHONE: Pm~Y ACTIVITY: ~[S~t d ¢ ~ ~ ~ ~ ~ ~ ~ MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. 5-f-~°e[t~/ ~' ~~ O,~t4[~i~ ~j. 5-t~Y'Z ~o~'-I~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. ~LEASE CONTENT A~/OR ~TIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: cbe.-~n~-,~P .~o~b 'ff--~x- ~x~ 'To UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: P~ ~-~- ~ SPECIAL: LOCK BOX: YES~3'~ IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 60 cot-u ~,.g o S 5r~ ~ ?/L~/- O~,t..~) 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: ! MATERIAL SAFETY DATA SHEETS ON FILE: '~ ~"-- $ t /.~o cv~ 1"~'--~ t-fl k~ ~, B~EF S~Y OF T~~G PROG~: CERTIFICATION I, ~i~l:?~° ['~ et ~' ~Cdl--I.5 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 PRECISION ANALYTICAL SiteID: 015-021-002075 Manager : BusPhone: (661) 323-1682 Location: 1117 W COLUMBUS ST B Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid: 18C FacUnits: 1 AOV: CommCode: COUNTY STATION 64 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEPHEN E HARRIS / LAB MGR/OWNER / Business Phone: (661) 323-1682x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 323-1682x MailAddr: 1117 W COLUMBUS ST B State: CA City : BAKERSFIELD 'Zip : 93301 Owner STEPHEN E HARRIS Phone: (661) 323-1682x Address : 1117 W COLUMBUS ST B State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP HELIUM F P IH G 291.00 FT3 Min ARGON F P IH G 4600.00 FT3 Min COMPRESSED AIR G 311.00 FT3 Min !, Do hereby cer~ih/tha~ I have (Type or print name) reviewed the attached hazardous materials mar~age- rnent plan for and that it along with (Name of Business) any corrections constitute a complete and correct man- agement plan for nay facility. ,~gnature Date · ~, 11/09/2000 PRECISION ANALYTICAL SiteID: 015-021-002075 = Inventory Item 0001 Facility Unit: Fixed Containers at Site HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SW CORNER OF LAB CAS# 7440-59-7 Gas ~Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 291.00 FT3I 291.00 FT3I 291.00 FT3 HAZARDOUS COMPONENTS 100.00 Helium N 7440597 TSecret RS BioHaz HAZARD ASSESSMENTS i i Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min = Inventory Item 0002 Facility Unit: Fixed Containers at Site ARGON Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SW CORNER OF LAB CAS# 7440-37-1 r STATE --T-- TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 4600.00 FT3L 4600.00 FT3 4600.00 FT3 HAZARDOUS COMPONENTS 100.00 Argon N 7440371 ITSecret RS BioHazI HAZARD AiSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / /. . Min 2 11/09/2000 PRECISION ANALYTICAL SiteID: 015-021-002075 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~lV~VlU~ ~vl~ / ~ £ ~,~--~,J_l ~Vl~ COMPRESSED AIR Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER OF LAB CAS# FSTATE ~ TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Gas I Mixture Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 311.00 FT3I 311.00 FT3 311.00 FT3 HAZARDOUS COMPONENTS %Wt. R~NoR~ CAS# 100.00 Air HAZARD ASSESSMENTS TSecret I NRoS I BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MOP No No No/ Curies / / / Min -3- 11/09/2000 UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 ~'7~.~ FACILITY NAME ~Z~_..a,oM jiffy-t-,c/nC. INSPECTION DATE ~/4/°0 ADDRESS 111"7 60. C,:n..c,,~o5 ~ PHONE NO. FACILITY CONTACT .~cc.~to~ ~$ 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 i lvt Appropriate permit on hand t..a'tt.c. ~ .~,rT- /~Ptac~a,~j Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials r'Precision Analytical- -- Verification of quantities Samnling. Ana ~hrsis & Research Verification of location STEPHEN E. HARRIS Proper segregation of material Laboratory Manager/Owner (661) 323-1682 1117 W. Columbus St., #B (661) 323-1684 FAX Verification of MSDS availability %.Baker~eld' CA 93301 (661) 203-3761 Cel~ Verification of Haz Mat training Verification of abatement supplies and procedures ]- - Emergency procedures adequate ~ Containers properly labeled FireH°UsekeepingProtection [ / ~?~ ~::~CC~_~ ~--~ ~ Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [] Yes t~L_No _ / // Explain: ~_ ., Questions regarding this inspection? Please call us at (661) 326-3979 Busin/ess Site Responsible Party White - Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: .s r O~CE CITY OF BAKERSFIEL~ OF ENVIRONMENTAL ~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per ma~al Oer bufding or ama) · ~ ~ ADO ~ DELVE ~ REVISE ~ Page BUSINESS ~E (~e ~ FAClLI~ ~ME ~ O~ - ~ng B~ ~) 3 CHEMI~L ~E ~ [~ :,; E Subj~ to EPC~ r~ to insulins COM~N ~ i EHS* FI~ ~DE ~D C~ES (~p~e ~ ~t~ by ~ tim ~ ~0 ~PE ~URE ~ m ~ ~ w WA~ 211 J ~DIOA~ ~Y~ ~ 212 j CURIES / PHYSI~L STA~ ~5 FED ~D ~RIES ~ 1 FI~ · ~ 2 ~ ~ P~S~ ~E D 4 A~ H~L~ ~ 5 ~NIC H~ ~6 (~ al ~at ~ON) ANNU~WAS~ 217 J ~I~M 218 [ A~ 219 STA~W~DE A~U~ DAILY ~U~ ~ f DAILY ~U~ UNffS' D ~ ~L ~ CU ~ g ~U ~S ~ m TONS DAYS ON S~E · ~ EHS. ~nt m~ ~ln I~. STOOGE ~AINER ~ a ~VE~UND T~K ~ · ~N~IC ~UM ~ i FIBER DRUM ~ m G~S BO~E ~ q ~IL ~R (Check all ~at app.) ~ b UNDER~UND TANK D f ~N ~ j ~G ~ n ~TIC ~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k ~X ~ o TO~ BIN ~ d S~EL DRUM ~ h SILO ~LINDER ~ ~ T~K WA~N STO~GEP~SSU~ ~ a ~IE~ ~VEA~I~ ~ ba BELOW~IE~ ~4 STOOGE T~~ ~1~ ~ ~ ~VE ~1~ ~ ~ BELOW A~IE~ ~ c CRY~ENIC ~ ~9 ~ Y~ ~ ~ 2~ 242 243 ~ Y~ ~ ~ 2~ 2~ SIGNATURE DATE 246 UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wlxl . ~ CITY OF BAKERSFIEL~ s r OffiCE OF ENVIRONMENTAL S'ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form 13er matetfal l~er building or ama) ~ ADD DELETE [] REVISE -- [] Page BUSINESS ~E (~e ~ FACIL~ ~ME ~ D~ - ~ B~n~ ~) 3 201 CHERYL LO~TION ~ Y~ ~ No ~2 CHEMI~L ~ ~O~ ! ff Subj~ to EPC~ COM~N ~ ~ EHS* ~PE ~ ~ D m ~ D w WA~ 211 J ~DIOA~ ~Y. ~No 212 ~ CURIES ~3 (~ all ~at app.) ANNU~ WAS~ 217 , --I~M ~, /~ 218 , A~ 219 STA~ W~ ~DE A~U~ [ DAILY~ ~~ I DAILY~ UNffS* D ~ ~ ~ ~ ~ lb ~S D m TO~ ~1 DAYS ON STOOGE ~AINER ~ a ~G~UND T~K ~ e ~N~IC ~UM ~ i FIBER DRUM ~ m G~SS ~ ~ q ~IL (Check all ~at ap~) ~ b U~R~UND TANK ~ f ~ ~ j BAG ~ n P~TIC BO~E D r O~ER ~ c T~K INSIDE ~I~ING ~ g ~Y ~ k ~X ~ o TO~ BIN ~ d S~ DRUM ~ h SILO ~ CYLINDER ~ p T~K WA~N · ~IE~ ~ ~VE~IE~ ~ ba BELOW~IE~ ~4 STOOGE P~SSU~ STOOGE ~~ ~ 8 ~1~ ~ ~ A~ ~1~ ~ ~ B~OW~IE~ ~c ~Y~IC ~ ~9 ~Y~ D~ 2~ 241 242 2~ ~Y~ ~ 2~ UPCF (7~99) S:\CUPAFORMS\OES2731 .T¥4.wpd I Ftmm I OF~CE OF EN~RONMENTAL ~VICES ~mr~r 1715 Chester Ave., CA 93301 (661) 326-3979 *'~""~~"**""'"' HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per mate~al per bu~d~g or ama) W ~ ADD ~ DELETE ~ REVISE ~ Page ~ BUSINESS ~E (~e ~ FACIL~ ~ME ~ O~ - ~nG BuMn~ ~) 3 ~5 ~ T~ESE~ET CO~N ~ t ~HS' FIRE ~DE ~O C~ES (~e ~ ~u~t~ by ~ tim ~ h~.~ ,~ .,"~;~'.~,~'~ ~ .~. ~ ~'~*~'~ ~0 ~PE ~ ~ D m ~ ~ w WA~ 211 I ~A~ ~ Y~ ~ No 212 CURIES ~3 FED ~O ~RIES ~ 1 FIRE · ~ 2 ~ ~ P~S~ ~E ~ 4 AC~ H~l~ O 5 ~NIC H~ ~6 ANNU~WA~ 217 ~ ~M 218 ~ A~ 219 STA~W~DE UNffS* ~ ~ ~ ~ ~ ~ D · ~ ~ m TONS ~1 DAYSONS~ * ~ ~S, ~nt m~ ~ in lbs. STOOGE ~AINER ~ a ~VEG~UND T~K ~ e ~N~A~IC DRUM ~ i FIBER DRUM ~ m ~S BO~ ~ q ~IL (Che~ all ~at apply) ~ b UNDER~OUND T~K ~ f ~ D j ~G ~ ~ P~TIC BO~ D r O~ER ~ c T~K INSIDE BUI~ING ~ g ~Y ~ k BOX ~ 0 TO~ BIN ~ d S~EL ~UM ~ h SILO ~ CYUNDER ~ p T~K WA~N STO~ P~SSU~ ~ a ~IE~ ~ ~VE ~IE~ ~ ba BELOW A~IE~ ~4 STO~GE~~ ~IE~ ~ ~ ~VE~I~ ~ ~ B~OWA~I~ ~ c ~YOGENIC 4 ~8 ~9 ~Y~ ~ 2~ 241 5 242 243 ~ Y~ ~ ~ 2~ 2~ PRINT ~ & TI~E OF AU~OR~O COMPA~ RE~SE~A~E Si~U~ ~ / / DA~ UPCF (7~99) S:~CUPAFORMS\OES2731.TV4.wpd