HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
.~ CONDITIONS OF.PERMIT. ~ ~· .ON REVERSE SIDE
Thla ~g is i~ for ~e follow,q:
~ H~ous Materials P~n
D Unde~mund Storage ~ H~Ous ~s
Pe~it ID ~:: 015~00~01989 D Risk Manage~t P~mm
__ _______ PAINTING. ~ .~ous Waste OmSite T~
KIMS
LOCATION: 5630 DISTRICT BLVD 129
OFFICE OF ENVIRONMENTAL SER VICES' ..
1715 Chester Ave., 3rd Floor Appr°vedby:
Bakersfield, CA 93301 , (" Ralpla/Huey' I~'Officeof EYv'~i' ' Issue Date
Voice (661) 326-3979
<~> 326.0576, : Exp~ationDate:Jul'~ 30. 2003
SIT~ DIAGRAM ! ! FA IAG~ ! 'x !
BugnessNarne: KIM' S PAINTING
Bush~essAddress: 5630 DISTRICT BLVD., $TE~129. BAWF.~,qWTW. T.n. CA 93313
S
· . ~e Liquid
OFFICE SHOP AREA
E ~~ , iI .
SPR~ER ~
~~ Liquid
* ABOVE THE OFFICE IS AN OPEN SECTION WHICH H~S FIVE
SPRINKLERS o' ~-
WATER SHUT-OFF VALVE IS LOCATED OUTSIDE OF BUILDING
56.30i~>DISTRICT BLVD., IN FRONT OF ~107 and ~108.
-~ BONDED.~, INSURED
.~ CONTRACT~_./'f471359
KIM'S PAINTING
HYOUNG S. KIN1, Owner
BUS: (805) 835-8899
5630 DISTRICT BLVD. FAX: (805) 835-1656
~ SUITE 129 PGR: (805) 321-8235
· ,: BAKERSFIELD, CA 93313 htIp://www. KIMSPAINTING.COM
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT N°- 921
Sub Div. Blk. ,. ~t
You are hereby required to make the following cor~ctions ,
at the above l~ation: :.'
Cot. ~o~
Completion Date foi' Corrections
Inspector
Z'~.~- Pea; ~e;cc<- ~c-~-w, ~.~<,.,.,. 326-3979 .,,
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Baker~326-3979
3' ~swer ~e que~ons below for ~e bus~ ~ a whole r'
4. Be ~ bfi~ md ~ncise ~ possible.
SECTION 1' BUS--SS ~~CATION DATA
BUSINESS NAME: KIM'S PAINTING
:
LOCATION: 5630 DISTRICT BLVD., SUITE %~129, BAKERSFIELD, CA 93313
MAILING ADDRESS: P.O. BOX 10451
CITY: BAKERSFIELD STATE: CA ZIP:93389 PHONE: (661 ) 835-8899'
DUN & BRAI)STREET NUMBER: SIC CODE: 5 '~ 9 8
PR/MARY ACTIVITY:
OWNER: HYOUNG S. 'KIM
MAn' .lNG ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 FIR. PHONE
1. HYOUNG S. KIM OWNER (661)835-8899 (661)321-8235 PAGER
/ :.L~ · ' '" '
H~ZARDOUS MATERIALS MANAGEMENT PLAN~
SECTION 3: TRAINING
NUMBER OF EMPLOYEES: FIVE
MATERIAL SAFETY DATA SI-~TS ON F~.~: YES
BRIEF SUMMARY OF TRAINING PROGRAM:
VERBAL INSTRUCTIONS ARE GIVEN TO EMPLOYEES. EVACUATION PLAN,-MEDICAL
AND:-EMERGENCY PLANS POSTED ON BULLETIN BOARD. EMPLOYEES ARE AWARE OF
AND DO'"'LOOK'OVER BULLETIN BOARD. .
SECTION 4: EXEMPTION REQUEST
I CERTIFY UNDER PENALTY OF PERJI~Y THAT MY BUSINESS IS EXEMPT FROM
THE Iii.PORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH
& SAFETY CODE" FOR THE FOIJ.OWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT
NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION
I, FIYOUNG K IM . CERTIFY THAT THE ABOVE
INFORMATION IS ACCURATE: I UNDERSTAND THAT TI{IS 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 CONSTITLFrES PEKIURY.
SIGNATURE TITLE DATE
SECTION 6: NOTIFICATION AND EVACUATION PROCEDUREs
A. AGENCY NOTIFICATION PROCEDURES:
IN CASE OF EMERGENCY, CALL 911 AND EXPLAIN SITUATION SO. THEY
CAN SEND THE APPROPRIATE EMERGENCY TEAM.
B. EMPLOY~-RNoTIFIcATION AND EVACUATION: THE"DOOR IS ALWAYS KEPT LOCKED
AND THREE OF THE E~PLOYEES DO NOT HAVE KEYS. OWNER AND/OR SECRETARY
WILL ALWAYS BE AWARE OF THE NUMBER OF EMPLOYEES INSIDE FACILITY. IF
A SITUATION OCCURS~ THAT REQUIRES EVACUATION, WITH A TOTAL OF FIVE
EMPLOYEES ONLY, WE WOULD BE ~BLEC'TO:"KCCOUNT FOR ALL EMPLOYEES AND I-;'
HAVE EMPLOYEES EVACUATE THROUGH DOCK OR ROLL-U.P DOOR..AND MEET ON
THE WEST SIDE OF BUILDING: PAST PARKING LOT.
C. PUBLIC EVACUATION:
A EMPLOYEE WOULD KNOCK ON EACH DOOR TO NOTIFY THEM OF THE SITUATION;,~
EMPLOYEE WOULD ONLY NOTIFY TENANTS OF OFFICES LOCATED IN SAME
BUILDING THAT OURS IS LOCATED. ALSO NOTIFY THE OWNER BY CALLING
STOCKDALE BUSINESS CENTER.
D. EMERGENCY MEDICAL PLAN:
IN CASE OF A MEDICAL EMERGENCY, CALL 911. EMPLOYEE WILL BE TAKEN
TO MEDICAL FACILITY OF THEIR CHOICE OR NEAREST FACILITY DEPENDING
ON THE EMERGENCY SITUATION. NOTIFY EMPLOYER OF MEDICAL EMERGENCY.
HAZARDOUS .MATERIALS MANAGEMENT PLAN
SECTION 7; MITIGATION. PREVENTION AND ABATEMENT pLAN
A. RELEASE PREVENTION STEPS:
A LIQUID LOCKER WILL BE INSTALLED AND MATERIALS WILL BE STORED
INSIDE. MATERIALS ARE NOT OPENED IN SHOP AREA. MATERIALS ARE
TAKEN TO JOB SITE. ~
B. RELEASE CONTAINMENT AND/OR lVlIN]lV~ZATION:
E~AMMABLE MATERIALS WILL BE KEPT IN A LOCKER.
C. CLEAN-UP PROCI~.r)uR~s:
IN CASE 'OF SPILL, REFER TO MSDS AS TO THE PROPER PROCEDURE FOR
CLEAN Up..
SECTION 8: UTILITY SHUT-OFFS _(LOCATION OF SHUT-OFFS AT YOUR FACILITY)_
NATURAL GAS/PROPANE: N/A
ELECTRICAL: NE CORNER OF SHOP AREA
5630 DISTRICT BLVD~'-"IN FRONT OF %~107 & ~108
WATER: ONE MAIN VALVE LOCATED OUTSTDF,
SPECIAL:
-LOGK BOX: -YES~0~ -IFYES;-LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
WE HAVE A FIRE EXTINGUISHER AND TWENTY SPRINEIERS THROUGHOUt' OFFICE
AND SHOP AREA.
B. WATER AVA~,ABILITY ('FIRE HYDRANT):
THE N,EAR~ST FIRE HYDRANT IS LOCATED IN THE NORTHWEST AREA OF COMPLEX.
"~ CITY OF BAKERSFIELi~
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
"~'""~'"~-'* HAZARDOUS MATERIALS INVENTORY
CHEMICAl. DESCRIPTION
(one form per mate#al per building or ama)
,(~NEW r-'l ADD 1'3 DELETE [] REVISE 200 Page ~ of
BUSINESS NAME ( _Samev~s FACIL tl~ NAME m' DBA - Doing Business As) 3
~ ,ds, o e. ,~/ d'rck~ ~ s~ I CO.F,DE.~_~E.CRA~ []Y~ [].o ~o~
CHEMICAL NAME
ff S~bject to EPCRA. refer to instruct[cms
2O7
COMMON NAME EHS' [] Yes [] NO 208
CAS # 209
FIRE CODE HAZARD CLASSES (Complete if requested by Ioc~ fire chief)
210
TYPE .~ p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] NO 212 I CURIES 213
PHYSICAL STATE [] s SOUD ~'1 UQUID [] g GAS 214 lARGEST CONTAINER ~ 215
FED HAZARD CATEGORIES ~t FIRE 1"~2 REACTNE []3 PRESSURE RELEASE 1--14 ACUTE HEALTH r-~5 CHRONIC HEALTH 216
(Check all Inat apply)
AMOuNTANNUAL WASTE 217 I MAYJMUMDAILy AMOUNT /O 2i8 [ AVERAGEDAiLY AMOUNT ~ 219 STATE WASTE CODE 220
UNITS' [] ga GAL [] cf CU FT [] lb LBS [] In TONS 221 DAYS ON SITE
* ff EHS, amount must be in lbs.
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e Pt.ASTIC/NONMETALUC DRUM [] i FIBER DRUM [] m GLASS BOTrt. E [] q RAIL CAR 223
(Check a# that sppty)
[] b UNDERGROUND TANK ~ CAN [] j BAG [] n PLASTIC BO3'TLE [] r OTHER
r-J c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
[] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON
STORAGE PRESSURE '~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224
STORAGE TEMPERATURE ~ aAMBIENT [] aa ABOVE AMBIENT [] be BELOW AMBIENT [] c CRYOGENIC 225
226 227 []Yes []No 228 229
230 231 [] Yes [] NO 232 233
234 235 I-lyes [] NO 236 237
238 239 [] Yes [] No 240 241
242 243 [] Yes [] NO 244 245
PRINT}.~,¥ O'[~N ~NAME & TITLEs.OF AUTHORIZEDi~ I IV[ t 0~/~I~ ~ RCOMPANY REPRESENTATIVE~.~.~ ~~ .~[~' ~ ~ .,..,--~t SIGNATURE. ~ ' '"'/~'/'~ ~DATE ,~246
UPCF (7/99) S:\CUPAFORMS\OES273 J .TV4.wpd
I ntt ~ OF~CE OF EN~RO~NT~ SERVICES
~~~r 1715 Chester Ave., CA 93301 (661) 326-3979
~ H~RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(o~ ~ ~r ma~dal ~r ~g or ama)
BUSINESS ~ (~e ~ FACI~ ~ ~ D~ - ~ng ~ ~) 3
CHEMI~
L~T~N
CHEMI~ ~
~7
RRE ~DE ~ ~ES (~plem ~ ~ by I~ tim el~
210
PHYSI~ STA~ ~ s ~UO ~1 LIQUID ~ g ~S 214 ~6E~ ~NNER 215
(~ ~ ~a{ ap~)
UNffS' ~ ~ ~ ~ d CU ~ ~ lb ~ ~ m TONS ~1 DAYS ON SITE ~
' ff EHS, ~nt m~ be in ~.
STOOGE ~AINER ~ a ~OUND T~ ~ e ~ONM~IC DRUM ~ I FIBER DRUM ~ m ~ ~ ~ q ~IL ~R ~
(Che~ ~ ~et apply)
~ b UNDER~OUND T~ ~f ~ ~ j ~G ~ n P~C ~ ~ r OTHER
~ d ~EEL ~UM ~ h SILO ~ I ~NDER ~ p T~K WA~N
STO~GEP~SSU~ ~ a ~IE~ ~ ~ ~OVE~BIE~ ~ ~ BELOW~BIE~ ~4
226 227 E]Yes ~-'~No ~ ~
234 235 E] Yes r'] No 236 237
238 239 [] Yes [] No 240 241
242 243 [] Y.es [] NO 244 245
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENT~~ DATE 24~
UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd
· OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fo~rn per mate#al per buffdtng or ama)
' .~. EW I'-I ADD I-1 DELETE [] REVISE 200 Page ~ of
BUSINESS NAME (Same as FACILITY NAME m' DBA - Doing Business As) 3
CHEMIC. ALLOCATION /~J~t~[ ~L.~.~ ~__.~/'~,,~" '~/f~ 5 C'*.,~C./_.5 2011CONFIDENTIALCHEMICALLOCATION(EPCRA) DYes •No 202
) 205 TRADE SECRET [] Yes [] No 206
CHEMICAL NAME
/ ~J 3'- ~f Subj~ to EPCP.~ .~e~ to ins~uc~o.s
207
COMMON NAME EHS° [] Yes [] No 208
CAS # 209
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chiof)
210
T'rPE [] p CURE ~ m Mm'URE I--I w W~ 2, t RAO~O^CT~ •,res •No 2~2 I CURIES 2~3
PHYSICAL STATE [] s SOLID [~rl LIQUID [] g GAS 214 LARGEST CONTAINER 215
FED HAT_.ARDCATEGORIES []1 FIRE r'12 REACTIVE El3 PRESSURE RELEASE 1--14 AcLrrE HEALTH El5 CHRONIC HEALTH 216
(Chec~ ail that apply)
ANNUAL WASTE 217 I ~M I AVERAC-E 219 STATE WASTE CODE 220
^MOu DA,'¥AMOUNT D~L¥ OUNT
DAYS ON Sn'E 222
uNrrs' [~ ga C, AC [] d CU ~r [] ~ LeS [] tn TO~S 22~
· If EHS, amount must be in lbs.
STORAGE CONTAINER [] a ABOVEQROUND TANK [] e Fq. ASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223
(Check all that apply)
[] b UNDERGROUND TANK ~'f CAN [] j BAG [] n PLASTIC BOTTLE E] r OTHER
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
[] d STEEL DRUM [] h SILO E]I CYLINDER [] p TANK WAGON
STORAGE PRESSURE
~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224
STORAGE TEMPERATURE ~' a AMBIENT r~ aa ABOVE AMBIENT [] be BELOW AMBIENT ~ ¢ CRYOGENIC 225
230 231 [] Yes [] NO 232 233
234 235 [] Yes [] No 23~ 237
238 239 [] Yes [] NO 240 241
242 243 [] Yes [] No 244 245
PRINT NAME & TITLE OF AUTHORIZE. D COMPANY REPRESE~ DATE 246
UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd
:;,~
r'
~',%~:~ KIM'S PAINTI'~1G #129 =~
5630 DISTRICT BLVD• __--
D ___
r
.s
F KIMS PAINTING
Manager HYOUNG S KIM
Location: 5630 DISTRICT BLVD 129
City BAKERSFIELD
CommCode: BFD STA 13
EPA Numb:
SiteID: 015-021-001989
BusPhone: (661) 835-8899
Map 123 CommHaz Moderate
Grid: 15C FacUnits: 1 AOV:
SIC Code:5198
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
HYOUNG S KIM / OWNER /
Business Phone: (661) 835-8899x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone - Pager Phone ( ) - x
Hazmat Hazards: Fire TmmHlth DelHlth
Contact HYOUNG S KIM Phone: (661) 835-8899x
MailAddr: PO BOX 10451 State: CA
City BAKERSFIELD Zip 93389
Owner HYOUNG S KIM Phone: (661) 835-8899x
Address PO BOX 10451 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~-B~Y~ ~~~
~~~
PROG A - HAZMAT
Qased or, my inquiry of those individuals
res,consi~ale 6~- ok~t.aining the inform
ti
a
on, I csrtify
under penalty c~t ia~ that I have
e
personally
xamined and am familiar with the information
sunmitted and believ
e the information is true,
accurate, and complete.
Signature """'---°
ate "'°"°
-1- 07/12/2007
F KIMS PAINTING SiteID: 015-021-001989 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
PAINT F IH DH L 500.00 GAL Mod
LACQUER THINNER F IH DH L 55.00 GAL Mod
KEROSENE F DH L 10.00 GAL Low
-2- 07/12/2007
-3- 07/12/2007
a
F KIMS PAINTING SiteID: 015-021-001989 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
PAINT Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE BLDG N & S WALL CAS#
= STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 500.00 GAL 300.00 GAL
HAZARDOUS COMPONENTS
owt. Rs cAS#
25.00 Mineral Spirits No 8030306
15.00 Naphtha No 8030306
5.00 Methyl Ethyl Ketone No 78933
3.00 Ethylene Glycol No 107211
riHGHKL HJ7L',~J71~1L"1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
-4- 07/12/2007
F KIMS PAINTING SiteID: 015-021-001989 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
LACQUER THINNER Days On Site
365
Location within this Facility Unit Map: Grid:
NE CRNR SHOP INSIDE CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 55.00 GAL 30.00 GAL
tiHGKtCLVUA 1:V1~lYV1VL"1V1.7
%Wt. RS CAS#
42.00 Naphtha Solvent No 8030306
15.00 Toluene No 108883
13.00 Methyl Ethyl Ketone No 78933
_- - riEiGEitCL HA A~J.71~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
KEROSENE Days On Site
365
Location within this Facility Unit Map: Grid:
N CRNR SHOP INSIDE CAS#
8008-20-6
Liquid TMixtur~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 10.00 GAL 5.00 GAL
Ilti41'i.CCL V V ~7 l.. V1'lt V1V P.~1V 1 J
%wt. Rs cAS#
100.00 Kerosene No 70892103
11tiGtiLCL 1iJ JL' J.71•1L' 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-5- 07/12/2007
.~.
P KIMS PAINTING SiteID: 015-021-001989
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 10/19/1999
IN CASE OF EMERGENCY, CALL 911 AND EXPLAIN SITUATION SO THEY CAN SEND THE
APPROPRIATE EMERGENCY TEAM.
Employee Notif./Evacuation 04/25/2006
THE DOOR IS ALWAYS KEPT LOCKED AND THREE OF THE EMPLOYEES DO NOT HAVE KEYS.
OWNER AND/OR SECRETARY WILL ALWAYS BE AWARE OF THE NUMBER OF EMPLOYEES
INSIDE FACILITY. IF A SITUATION OCCURS THAT REQUIRES EVACUATION, WITH A
TOTAL OF FIVE EMPLOYEES, WE WOULD BE ABLE TO ACCOUNT FOR ALL EMPLOYEES AND
HAVE EMPLOYEES EVACUATE THROUGH DOOR OR ROLL-UP DOOR AND MEET ON THE WEST
SIDE OF BLDG PAST PARKING LOT.
Public Notif./Evacuation 04/25/2006
AN EMPLOYEE WOULD KNOCK ON EACH DOOR TO NOTIFY THEM OF THE SITUATION.
EMPLOYEE WOULD ONLY NOTIFY TENANTS OF OFFICES LOCATED IN SAME BLDG THAT OURS
IS LOCATED. ALSO NOTIFY THE OWNER BY CALLING STOCKDALE BUSINESS CENTER.
Emergency Medical Plan
10/19/1999
IN CASE OF A MEDICAL EMERGENCY, CALL 911. EMPLOYEE WILL BE TAKEN TO MEDICAL
FACILITY OF THEIR CHOICE OR NEAREST FACILITY DEPENDING ON THE EMERGENCY
SITUATION. NOTIFY EMPLOYER OF MEDICAL EMERGENCY.
-6- 07/12/2007
`J
F KIMS PAINTING SiteID: 015-021-001989 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/19/1999 ~
A LIQUID LOCKER WILL BE INSTALLED AND MATERIALS WILL BE STORED INSIDE.
MATERIALS ARE NOT OPENED IN SHOP AREA. MATERIALS ARE TAKEN TO JOB SITE.
Release Containment 10/19/1999
FLAMMABLE MATERIALS WILL BE KEPT IN A LOCKER.
Clean Up 10/19/1999
IN CASE OF SPILL, REFER TO MSDS AS TO THE PROPER PROCEDURE FOR CLEAN UP.
v~.11ci icc~vul~c tit~l..1VQ1.1V11
-7- 07/12/2007
J ;
P KIMS PAINTING SiteID: 015-021-001989 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aNc~:lcil ncac~c~i u~
Utility Shut-Offs 04/25/2006
A) GAS - N/A
B) ELECTRICAL - NE CRNR SHOP
C) WATER - ONE MAIN VALVE OUTSIDE FOR EACH BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire ProteC./Avail. Water
02/02/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER AND 20 SPRINKLERS IN OFFICE AND
SHOP.
NEAREST FIRE HYDRANT - NW AREA OF COMPLEX.
Building Occupancy Level
1 EMPLOYEES
12/08/2006
-8- 07/12/2007
~~
C
F KIMS PAINTING SiteID: 015-021-001989 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/25/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: VERBAL INSTRUCTIONS ARE GIVEN TO
EMPLOYEES. EVACUATION PLAN, MEDICAL AND EMERGENCY PLANS POSTED ON BULLETIN
BOARD. EMPLOYEES ARE AWARE OF AND DO LOOK OVER BULLETIN BOARD.
rciyC G
ncs.u Lvt ru~.utc Vic
L3C1U 1VL r ul.ulC VSC
-9- 07/12/2007
UNIFIIED PROGRAM INSPECTION CHECKLISTs~'
.SECTION 1: Business Plan and Invlentory Program
H~AKERSFIELD FIRE DEPT
Prevention Services
~~ss 900 Trtuctun Ave., Suite 210
~R>rr ~ Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
rt,L` ~J NSPECTION DATE
8 lS~=~ NSPECTION TIME
~~ ,~
ADDRESS ~~ ? T ~ ~
c>V ( L HON~NO_ ~-~~
Q~J V O OF E'PLOYEES
FACILITY CONTACT
~ ~ USINESS ID NUMBER
15-021- ,~pl~$~
Section 1: Business Plan end Inventory Program a~ d' l~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ~ ^ COMPLAINT ^ RE-INSPECTION
L'
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ O BUSIf18SS PLAN CONTACT INFORMATION ACCURATE n' n ~ry
EMT"IJ ;J [
L-
^ 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
P
RO
CEDURES
_
/
Lld" ^ EMERGENCY PROCEDURES ADEQUATE
^ .CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ , FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~' NO
EXPLAIN: - _ -
DUES ONS REGARDING THIS INSPECTION? PLEA8E CALL US AT (681) 326-3979
a B 13 ~ ~ ~ ~ ~!'~'~
Inspector (Please Print) Fire Prevention / 1u In /Shift of SkeJStation q Business Ske/School Ske Responsible Party (Please Print)
White - Prwention Services Yellow -Station Copy pink -Business Copy FD2lN9 (Rw. ~/OS)
,: ;,
+ KIMS PAINTING _______________________________________ SiteID: 015-021-001989 +
Manager
Location: 5630 DISTRICT BLVD 129
City BAKERSFIELD
BusPhone: (661) 835-8899
Map 123 CommHaz Moderate
Grid: 15C FacUnits: 1 AOV:
CommCode: BFD STA 13
EPA Numb:
SIC Code:5198
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
HYOUNG S KIM / OWNER /
Business Phone: (661) 835-8899x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone (661) 321-8235x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact Phone: (661) 835-8899x
MailAddr: PO BOX 10451 State: CA
City BAKERSFIELD Zip :93389
Owner HYOUNG S KIM Phone: (661) 835-8899x
Address PO BOX 10451 State: CA
City BAKERSFIELD Zip 93389
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
ENT'D APR 2 5 2006
Based on my inquiry of those individuals
responsible for obtaining the information, 1 certify
under penalty of law that l have personally
examined and am familiar with the information
submitted and believe the information is 4rue,
accurate, and complete. /}y
r ~ f~CJ~
Signature ~. bate
t______________________________________________________________________________+
-1-
03/14/2006
UNIFIED PROGRAM INSPECTION CHECKLIST i/
:. .3
.SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
' Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)-326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ~ PHONE No. No. of Employees
__ _ _ x.35 S Q~~
FACILITYCONTACT Business ID Number
/JR^}~~ Cd-S~/M ~0 15-021-4o1~i$~1
Section 1: Business Plan and Inventory Program
Routine O Combined O Joint Agency OMulti-Agency ~ Complaint ~ Re-inspection
ANY HAZARDOUS WASTE ON SITE?: ^ YES /LJ tV0
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~GC)'I ~ 326-3979
Inspector (Please print} Fire Prevention 1st-1nIShiN of Site
While -Environmental Services Yellow -Station Copy
Business Site sp sibie Party (Please Print)
Pink -Business Copy