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Home My WebLink AboutBUSINESS PLAN / OFFICE OF ENVIRONMENTAL~RVICES~ 1715 Chester Ave., CA 93301 (661) 326-3979-- · '~-~~"~ BUSINESS OWNER I OPE~TOR IDENTIFICATION FACILI~ INFORMATION FACIL,~ ID '~ ~L g i ~ , , , Year Beginning 1oo I Year Ending 3 I BUSINESS PHONE lO2 BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing B~iness ~) SITE ADDRESS 107 DUN & ~ .. SIC CODE OPE~TOR NAME OWNER NAME ~ [ ~ ~ tm ~ ~ L~ 111 I O~ER PHONE 112 OWNER ~ILING 117 ~ CONTACT PHONE 118 CONTACT NAME CITY BUS~NESS PHONE . ~2s BUS~NESS PHONE ~ ~' ~ 5~ ~ 13~ 24-HOURPHONE g~. 4 ~i 0 ,27 24-HOURPHONE F~' J ~ ~ ~ ,32 PAGER~ 128 PAGERg ~. ~7" ~ 133 Cedifi~on: Based on my inqui~ of those individuals responsible for ob~ining the info~ation, I ~di~ under penal~ of law ~at I have personally examined and am ~miliar with the info~a~on submi~ed in this invento~ and believe ~e info~ation is tree, accurate, and ~mplete. ~-~F OWNE~O~T~ (print) / 136 TITLE OF OWNE~OPE~TOR 137 UPCF (7/99) S:\CU PAFORMS\OES2730.TV4.wpd ~ DOUBLE GLASS DOUBLE GLASS MAN DOORS MAN DOORS Gas OFFICE I OFFICE Valve ...........Water OFFICE-1 ........... OFFICE BATHROOMSI KITCHEN -- Valve MAN DOOR -- "F SHIPPING/ RECEIVING ROLL UP DOOR OFFICE ~SAFETY / II HEALTH · CUTTING / FOLDING [CENTER [eDARKROOM I PAPER / PRODUCT BINDERY STORAGE PRINTING PRESS e AREA Main Electric Panel eI e = FIRE EXTINGUISHER ROLL UP DOOR ~CE ~F ENVIRONMENTAL ~aV~CES ~ rtn~ ~ 1715 Chester Ave., CA 93301 (661) 326-3979 "-'~~"~ BUSINESS OWNER / OPE~TOR IDENTIFICATION FACILI~ INFORMATION Page Of BUSINESS NAME (Same as FACILI~ NAME or DBA- Doing Business As) 3 J BUSINESS PHONE 102 / SITE ADDRESS ~o~ & Boa SIC CODE' . B~DSTREET FE ~ ~- ~ ~ ~ ~ (4 Digit ~) OWNER ~ILING CONTACT NAME I t ~. ..~,...~. :1 .. _ ././~ ,w I CONTACT PHONE NAME BUSINESS PHONE ~ I -~- ~ ,26 BUSINESS PHONE ~ ~. ~ ~ 24-HOURPHONE 3~q- q ~/ O ,21 24-HOURPHONE '~3- l~ ~33 Cedification: Based on my inquiff of ~ose individuals responsible for obtaining lhe information, I ~di~ under penal~ of lawthat I have personally examined ~nd am familiar with the information submitted in this invento~ and believe the information is l~e, accurate, and mmplele. SIGN~OPE~T~ ~ DATE 134 NAME OF DOCUMENT PREPARER '-~S OF OWN~OPE~TOR (print) V 136 TITLE OF OWNER/OPE~TOR 137 UPGF (7/99) S:kCU PAFORMSXOES2730'TV4'wpd HAZARDOUS MATERIALS MANAGEMENT PLAN Section II1.1 - FACILITY AND LOCALITY INFORMATION ~ UTII:I'FY~ SHUT-OFFS LOCATION OF SHUT-OFFS AT YOUR FACILITY: SPECIAL: LOCK BOX: YES ~ IF YES, LOCATION: · ':' ' ";;;':" *' ':~ :~*;*' , '-:* PRIVATE-FII~E*~PROTECTION IWATER AVAILABILITY:.:' .'~* · .....: * * A.PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): · '-~ .-'.':. ; . ,, :,.> ,::~,?.: .. · A. NUMBER OF EMPLOYEES: / ~ B. MATERIALS DATA SHEETS ON FILE: C. BRIEF SUMMARY OF T~INING PROG~M: ~'"~IFICATION ' ::.':. " ' ' Based on n~/Inqui~ of those Indtvldual~ res~sible f~ ~l~ng ~e ~f~, I ~ un~ ~1~ ~ ~w ~11 ~ ~y ~n~ a~ am fa~r ~ ~ I~ ~ ~ ~e ~ ~f~U~ ~ ~e, a~mte, ~ ~. SIG~TU~ OF.O~P~ OR DESIG~TED ~P~AT~ ~TE 477. ~ME O~ SIGht--t) ~ 478. T~E OF SIGNER 479. UPCF-(7/99) S:~PROCEDUR, IE MANUAL~w HMMP fm'm.wlXl OFFICE O1, E iViRONM : TALi RViCES 1715 Chester Ave., CA 93301 (661) 326-3979 H RDOUS MATERIALS INVENTORY ~ CHEMICAL DESCRIPTION (one fo~ per matehal per building or ama) ~ NEW ~ ADD ~ DELETE ~ REVISE 2~ Page BUSINESS NAME (~me as FACILI~ ~ME ~ DBA - ~ng Busin~ ~) 3 CHEMICAL LOCATION ~ ~NFIDENTIAL (EPC~) FACILI~ ID ~ ~ ~ [ I ~P ~ (op~naO / 203 J GRID ~ (op~naO 205 T~DE SECRET ~ Y~ ~ No 206 CHEMICAL If Subj~ to EPC~, FIRE CODE H~RD C~SSES (~mplete if ~u~t~ by I~1 fire ~i~ 210 ~PE ~ p PURE ~ m MITRE ~ w WASTE 211 ~ ~DIOACT~E ~Y~ ~No 212 ~ CURIES 213 PHYSICAL STA~ ~ s SOLID ~1 LIQUID ~ g ~S 214 ~RGEST ~NTAINER 215. FED ~RD ~TEGORIES ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~L~ ~ 5 CHRONIC H~LTH 216 (Ch~ all th~ apply) ANNUAL WASTE 217 ~I~M 218 A~GE 219 ~ STA~ WAS~ CODE 220 A~UNT ' DAILY A~U~ DAILY A~U~ UNITS* ~ ~ ~L ~ d CU ~ ~ lb LBS ~ tn TONS 221 ~ DAYS ON S~E 2~ * E EHS, amount must be in lbs. STOOGE CO~AINER ~ a ABOVEGROUND TANK ~ e P~STIONONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R ~3 (Check afl ~at apply) - ~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g CARBOY ~ k SOX ~ o TO~ BIN ~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WAGON S~O~GE PRESSURE ~ a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOWAMBIE~ 224 STO~E TEMPE~TURE:~ ~ 22~ ~ a AMBIENT ~ aa ABOVE AMBIE~ Dba BELOWAMBIENT ~ c CRYOGENIC ~2 .~ 230 231 ~Y. ~No232 233 3 ~ 234 235 ~ Y~ No 236 237 4 238 239 ~ Y~ ~ NO 240 241 5 242 ~ Y~ ~ No 244 243 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 i UP~3F (7/99) S:\CUPAFORMS\OES2731.TV4.wpd Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST / En~onment~d Sea, rices ..... "'" ' ~''" ........... '""' ~1 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACtt. iTY NAME ,'~ t INSPECTION Ii)ATE [ INSPECTION TIME 5action 1: 8~slness P]an a~g [~vento~ .................................................................... ~ .................................. ~?~.~.. ~,_~_ ~ ~_ ~ ~ ~O~ER $f6REGaT~O~ O~ ~aTER~a[ ~ ~ VE~CaT~ON O~ ~SAT~ENT $~U~5 aNO ~OCEO~RES ~ ~ ~ONTa~NER$ P~OPER~Y ~8~EO Inspector Badge No., White - Environmental Services Yellow - Station Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME {--~'~ ddex~'"~5 INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # , [] Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire; or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kepi closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided ,// Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal Office of Environmental'Services (661) 326-3979 ~' Bt~s~r~ess Si e esponaib~e Party White - Env. Svcs. Pink - Business Copy