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HomeMy WebLinkAboutBUSINESS PLANr ~, ~, B AND B PRINTING CO ', 4300 STINE RD #607 ,~ 'j ~ ~PJ ~~ / ~.~ ~~ ii i) i .~~~, ~~r Per . It Operil.te to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This oermlt Is Issued for the following: ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002136 B AND B PRINTING LOCATION: - Issued by: CA 93313 ~" " ~. ~.\ ~ ~ " \l,:,~:tI ., " '. H o' u 1'," ~~. " ,"i ;:.1. "'1 t ..t ." ~ I~· .~, " ...' 't., \, ~ Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: AlJG 1 S Issue Date . June 30, 2003 -~ -`~`' ~ Prevention Services UNIFIED PROGRAM LNSPECTION CHECKLIST a E R S F , 9ooTruxtun Ave., suite 210 FIRE Bakersfield, CE193301 SECTION 1: Business Plan and Inventory. Program gtarM r Tel:: (661) 326-3979 - Fax: (661).872-2171- - FACILITY NAME - ~ ON- ATE INSPE TI INSPECTION TIME j~ n L ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER - Qdlvc~~' SN>'1"G1 15-021-CJIS-C)21-~ 00 ~--. Section 1: Business Plan and Inventory Program ^ ROUTINE `~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ .RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON-HAND - ^ - BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~'N~r~ /~ ~~ /~ ~.[] ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY p ~J, -} y lJ~. a ~-- 1`1 S DS ~ a.- G i..e.~f ~s ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY.PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION (~ w0 a-~ ~~~~1~ ~ Ca /~ ~ ~~ ^ SITE DIAGRAM ADEQUATE & ON HAND ~.../-~ rp {~ i /' w' r v ~ ~ / r ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~d5{`~' Sb~~~^^~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 G ~~~~ -~ Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # AYES ^ NO' )3~ ~ - - White-Prevention Services- Yellow-Station Copy Pink-Business Copy FD2155 (Rev. 09/05 ~4`'`- -'tc~'`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~° .y UNIFIED PROGRAM INSPECTION CHECKLIST 'k•E'~gti ~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 FACILITY NAME ~: ~ ~'~~ NTi N 6 INSPECTION DATE ~ [ ~' I Section 4: Hazardous Waste Generator Program EPA ID # ~~ ~- ~~~ ~-~ `~ ° 9 Z ^ Routine ~ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number C"%~ ~ ~c~ Z-~ji Q ~ °l ~_ 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 tote hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line ~ ,y Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste N /~ Proper management of lead acid batteries including labels f11 Proper management of used oil filters 1~1 ~ Transports hazazdous waste with completed manifest Sends manifest copies to DTSC ~ r-g a imp a ~ Retains manifests for 3 years },~,~~ Retains hazazdous waste analysis for 3 years ~ ~,~~. ~ `~ Retains copies of used oil receipts for 3 years N ~ Determines if waste is restricted from land disposal ~=~,ompuance v=vto[aaon Inspector: ~ ~ ~~--~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy Business Site Responsible Party ~~-~lo B & B PRINTING ~SiteID: 015-021-002136 Manager ROBERT F SMITH Location: 4300 STINE RD 607 City BAKERSFIELD BusPhone: (661) 834-1235 Map 123 CommHaz Moderate Grid: 15D FacUnits: °1 AOV: CommCode: BFD STA 13 EPA Numb: CAL000249092 SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT F SMITH / OWNER / Business Phone: (661) 834-1235x Business Phone: ( ) - x 24-Hour Phone (661) 831-4930x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire DelHlth Contact ROBERT F SMITH Phone: (661) 834-1235x MailAddr: 4300 STINE RD 607 State: CA City BAKERSFIELD Zip 93313-2352 Owner ROBERT F SMITH Phone: (661) 834-1235x Address 4300 STINE RD 607 State: CA City BAKERSFIELD Zip 93313-2352 , Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN EfV~`~ MA'Y 11! ~ f v' ~ ~ 4oQ~ U ~ I yIII used on my inquiry of those fncii,~iclua;5 responsibie for obt i i a n ng the information, I Certify un er penalty of ladv that f t • so;~dlly ,ave pe± a fined and am familiar ~roith the information sub fitted and believe the inf ormation is true, ccu te, and c mplet~. Signature """' - p ' ~ ~` ate -1- 05/21/2007 F B & B PRINTING SiteID: 015-021-002136 ~ I ~ Hazmat Inventory By Facility Unit ~• 'i ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE SOLVENT F DH L 15.00 GAL Mod -2- 05/21/2007 -3- 05/21/2007 F B & B PRINTING ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE SOLVENT Location within this Facility Unit E WALL PRINT SHOP STATE TYPE Liquid ~aste SiteID: 015-021-002136 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# = PRESSURE TEMPERATURE CONTAINER TYPE _ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 GAL 15.00 GAL 15.00 GAL r~~r~xliuu~ uui~iruiv~iv'r~ ~Wt. RS CAS# 100.00 Cleaning Solvent No 8030306 riAGKK1J HSS~S~1~1r;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -4- 05/21/2007 F B & B PRINTING SiteID: 015-021-002136 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/06/2007 ~ 911 Employee Notif./Evacuation 04/06/2007 VERBAL/EVACUATION OUT FRONT OR BACK DOORS Public Notif./Evacuation ~ 04/06/2007 VERBAL/EVACUATION OUT FRONT DOOR Emergency Medical Plan 04/06/2007. 911, AMBULANCE, HOSPITAL -5- 05/21/2007 F B & B PRINTING SiteID: 015-021-002136 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/06/2007 ~ SECONDARY CONTAINMENT Release Containment 04/06/2007 SECONDARY CONTAINMENT Clean Up 04/06/2007 RAGS v~iici iccwuiuC tit,l.,lVdl.lVil -6- 05/21/2007 F B & B PRINTING SiteID: 015-021-002136 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1cl1 nd'GdIUS Utility Shut-Offs GAS: E SIDE OF BLDG ELECTRICAL: PANEL INSIDE SHOP WATER: E SIDE OF BLDG 04/06/2007 Fire Protec./Avail. Water FIRE EXTINGUISHERS 04/06/2007 DU11Ullll~. VC:L U~Jd11C: ~/ LCVC1 -7- 05/21/2007 F B & B PRINTING SiteID: 015-021-002136 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/06/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: IN-HOUSE TRAINING Y dt~. C G RClll lV1 r u~uic U.7C I1C1U 1V1. rUI.UIC U.7~C -8- 05/21/2007 PRINT G COMPANY Sheila R. S.rith ,Owner V (661) 834-1235 (661) 834-9815 Fax e-mail: Smith2001@earthlink.net . 4300 Stine Road, Suite 607 Bakersfield, CA 93313-2352 (Located in the Presidio Complex) "Quality & Service is Our Business" / PRINT G COMPANY Robert F. S]'Y'ith Owner 0 (661) 834-1235 (661) 834-9815 Fax e-mail: Smith2001@earthlink.net 4300 Stine Road, Suite 607 Bakersfield. CA 93313-2352 (Located in the Presidio Complex) "Quality & Service is Our Business" c. e ~Îo7 1::L~-\4C r~~- p\i )tA /~ , fJC-<.J CITY OF BAKERSFIELD FIRE MENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 F ACILITY NAME~ ß f'l-tlv'nAf&. ADDRESS3~C)C Sn~ (2.D ~,~, F ACILITY CONTACT ~ev- ~~'f 4"\4- INSPECTION TIME INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate penn it on hand /VC-c.J PC~"", I r 10 ~G 15$U'6C) Business plan contact infonnation accurate F'~kSG ~f'LGrc;: ~ 'R~ Visible address (~I-fC""'¡ ((€c./I) II\J ~ ç .&-W. f(.., ) 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 procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand Pt~ç ~c..C-rr: f:( ¡<:.é1 V(l¡\./ C=Compliance V=Violation Any hazardous waste on site?: ~ ~es 0' No Explain: ~ Œ ~C)L...J'GV í C"1)( C-fL White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~~l?ðwvH/ Business Site Responsible Party uJ7 N'CS Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 4: Hazardous Waste Generator Program INSPECTION DATE tI1 ( 7 ( Oú EP A ID # FACILITY NAMEß ~ ß ?<Zu-fT7,J& S-- Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination 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 kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided V ft~ ('/2ðVIf)f3- 'fTf2ð.-~ 67 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 Detennines if waste is restricted ftom land disposal C=Compliance V=Violation ¡I I I _ ^-::::-< Inspector: V\.)"" C / Office of Environmental Services (661) 326-3979 White - Env. Svcs. JidÅ/ xkd Business Site Responsible Party Pink - Business Copy HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION .. CITY OF BAKERSFIELia OFI'ttE OF ENVIRONMENTAL S~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 CHEMICAL LOCATION 200 (one form per material per building or area) Page 01 ~:M;t:g.~J$,fk;~ .:!.,~.~ti:i1 ;¡;_!.::xt:~~' ,.,~·'::~1b~~~;\~~~~::~~~::;~~,!':~,~~ ~': ,.'~ ''':;/~J~I;'f:ACILrrt INfØRMA 1'ION¿!>~..^,j~,,~:~' :, ., " 3 2011 o Yes 0 No 202 204 CHEMICAL NAME W~re ~Ç'd , - t' x. c.t< o Yes 0 No 206 It Subjeà to EPCRA, refer to instructions 207 o Yes 0 No 208 COMMON NAME CAS # 209 i FIRE CODE HAZARD ClASSES (Complete if requested by locaf fire chief) 210 TYPE o P PURE o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES o I LIQUID OgGAS 214 LARGEST CONTAINER '2.0 o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH 213 PHYSICAL STATE o s SOLID 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE 216 217 I'D 218 AVERAGE DAILY AMOUNT ç- 219 STATE WASTE CODE 220 UNITS· GAL OdCUFT . If EHS, amount must be in Ibs. ~PlASTICINONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o Ib LBS o In TONS 221 DAYS ON SITE 222 STORAGE CONTAINER (Check all thaI appty) o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PRESSURE o aa ABOVE AMBIENT o ba 8ELOW AMBIENT 224 STORAGE TEMPERATURE o Yes 0 No 228 2 i 230 231 DYes 0 No 232 233 3 234 235 DYes 0 No 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd . CITY OF BAKERSFIELÇa OFPK:E OF ENVIRONMENTAL SBVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DADD D REVISE 200 D DELETE (one form per material per building or area) Page or ,.~/~J;.l~Í4iJ ,:~~~¡;~..:\~ " Y.j:.> ...~ '.; 1/ ?':~~# > /.~~I;'FACILITY:INFORMATION " 3 '. '::\~¿~:·~ªf~.~~\~;~:f;, .:. BUSINESS NAME (Same as FACILITY NAME or DBA· Doing 8us1ness As) ~ ~ ß ~Q{ ,.J'Í'-&- CHEMICAL LOCATION IN S I Oé ot=- pf?.¡pJr '5 #ðP 2011 CHEMICAL NAME WÆ'S T E $'ò'LV6J"( o Yes 0 No 202 204 o Yes 0 No 206 If Subject to EPCRA. refer to instructions 207 o Yes 0 No 208 COMMON NAME CAS # 209 ! FIRE CODE HAZARD ClASSES (Complete if requested by local lite chief) TYPE o p PURE o m MIXTURE PHYSICAL STATE o s SOLID ~IQUID FED HAZARD CATEGORIES ~RE o 2 REACTIVE (Check all thaI apply) ANNUAL WASTE 217 MAXIMUM AMOUNT OAll Y AMOUNT IS- WASTE 211 RADIOACTIVE o Yes 0 No OgGAS 214 LARGEST CONTAINER :sa o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH 218 AVERAGE CAlLY AMOUNT I~ OgaGAL OdCUFT . If EHS, amount must be in Ibs. o Ib LaS o In TONS UNITS· STORAGE CONTAINER (Check all l11al apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE 8UILDING ~ STEEL DRUM o e PLASTlCINONMETALLlC DRUM 01 CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON STORAGE PRESSURE o aa ABOVE AMBIENT o ba BELOW AMBIENT IB4..AMBIENT STORAGE TEMPERATURE o 88 ABOVE AMBIENT o be BELOW AMBIENT J2Kà AMBIENT 210 212 CURIES 213 215 216 219 STATE WASTE CODE 220 i I 221 DAYS ON SITE 222 o q RAIL CAR o r OTHER 223 224 o c CRYOGENIC 225 DYes 0 No 228 230 231 DYes 0 No 232 233 I 3 234 235 OYesONo 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd