HomeMy WebLinkAboutBUSINESS PLAN
1-
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Per
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LOCATION
Issued by:
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to
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This oermit is issued for the following:
ItI Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
5300
CA
93313
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
-~l 3 l\t)tJ1
Issue Date
I
'June 3j),' 2003
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A-j SITE DEVELOPMENT PLAN
A-2 FLOOR AND CEILING PLANS
A-3 FIN. SCHED" MEZZ.-FLOOR AND CEILING
A-4 SECTION A. DTL. AND EXTERIOR ELEV.
A-5 SECTION B
A-6 C 8. D SECTIONS
A-7 DETAILS AND RESTROOM PLANS AND ELEV.
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SITE DEVELOPMENT PLAN
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
viii
A~ -
BAHERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NA NS ECTION DATE NSPECTION TIME
ADDRESS 3v ~ rV d ~. .~ ~ ~ H~~ v~~ / OOF EMPLOYEES
FACILITY CO CT /~ / / _
/v[(/G~(i(QiK USINESS ID NUMBER
15-ozt- vao21~
Section 1: Business Plan and Inventory Program ~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C
C V (C=Compliance` OPERATION
V=Violation J COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSInt3SS PLAN CONTACT INFORMATION ACCURATE ~ ~ _
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
~f\ ^ VERIFICATION OF INVENTORY MATERIALS
~' ^ VERIFICATION OF QUANTITIES
OR~ ^ 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
~L_ ^ CONTAINERS PROPERLY LABELED
~- ^ HOUSEKEEPING
~, ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITET ^ YES ~NO
EXPLAIN:
~UESTIONS REGARDING THIS INSPECTIONS PLEASE CALL U9 AT (881) 326-3979
Inspector (Pie tnt) Fire Prevention / 1 u In ! Shift of Site/Station tt Business Site/School Re iWe P ese Print)
White -Prevention Services Yellow -Station Copy Pink - Buainese Copy FD2049 (Rev. 02t05~
'!'
UNIFIED PROGRAnII INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
B >i s P t D Prevention Services
f~tt 900 Truxtun Ave., Suite 210
~RrAI r Bakersfield, CA 93301
Tel.: (661) 326-3
Fax: (661) 872-21'TY 7 Q ~R~S
FACILITY NAME
~1
te~ ~
J
-t' NSPECTION DATE .
1 ~-z~- cam`-' INSPECTION TIME
,~
c
v n
.n
ADDRESS ~
3 o p l,~oc~~ m ,e.re, ~ r ~ ~3 HONE NO.
Co - o z(o O OF EMPLOYEES
FACILITY CONTACT
~
~ USINESS ID NUMBER
~ s-o21- ~ ~ ~
i ~ ar,
Section 1: Business Plan and Inventory Program ~~(~/
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C
I
C V ~ C=Compliance OPERATION ' COMMENTS
V=Violation _ __ ___
^ APPROPRIATE PERMIT ON HAND
I
^ BUSitlesS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
i
^ VERIFICATION OF INVENTORY MATERIALS
I
^ 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 i
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~VO
EXPLAIN: _ _
REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 16' In /Shift of Site/Station f1
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)
}
UNIFIED PROGRAM IN'ECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME ( ,
ClC-~-CO^-S r-"'~¡Q-'~~./
ADDRESS
INSPECTION DATE
INSPECTION TIME
----~-----------~--~~-~-----
il-J?2 -D
PHONE No.
5 00 wDoam~~-c-_Dr_LJ~':¡±- /OèL
FACILlTYCONTACT
~ ì """"
, $ection1: Business Plan and InventoryProQram
tJ Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
o :~:~::s~:A:::~An~~~_=~-I-= - ~~~-~~:=~~~~~~
D CORRECT OCCUPANCY ..../'
-~ VER'F'CAT'ON~'NVENTORY MATERIALS -==_u= ~~u-i;;;:~~iie;n
* ~::::;::::: ::_~:~:s - u -----~ ~T5:--n-:i:,~---~/ - n
-~ ----~-----,-_m<UL2---,-----------------
roI' D PROPER SEGREGATION OF MATERIAL f!1I ..d d..../2.~ )¡I/)'? 8 ð I
7 D VERIFICATION OF MSDS AVA;LABIL-;~-~------------------'-----'--'----------------- ---------------
~-VERIFIC~TION OF HAT MAT TRAINING ------,----------- ------_'___'___________,_,__,______________m___________
--------------------- --------------------..---------.----------.------.-- _._------_._--_.~~--
D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
----~-_._--_._-- ~------_._---_."-_.._----_._---.--~------_.,--_._-----._._-----~--._-~
~' D EMERGENCY PROCEDURES ADEQUATE
----------------~------------~--------- ---------,_._-------._-~---------~-------_._----_._-~----- ---.------------
D CONTAINERS PROPERLY LABELED
----I---------------,-------~..---,..-- ",-----, .,--"--'--------,---,--------,-,-,------,--,..----,-"-----7"-----
!!f ,D HOUSEKEEPING V
--:-...¡. ,-------,----,- ---'---'--'-----,------,-----------,----------,-_..
d "D FIRE PROTECTION V
=/'.-----------,------,---,---------
Irl D SITE DIAGRAM ADEQUATE & ON HAND
-------~-----------_._---~------------- ----.------.----
ANY HAZARDOUS WASTE ON SITE?:
DYES
~
EXPLAIN:
~-X;i=nON? p:;; :~(661) 326'39~/b"_"~¿~
( //-
Yellow.. Station èopy-" Pink - Business Copy \ j L;/
White - Environmental Services
J'
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1< t '
CONSTRUCTION .
.
SiteID:
/
015-021l.000216
'"'j
BLACKS
Manager
Location: 5300 WOODMERE DR 101
City BAKERSFIELD
1fJ'
-I'
BusPhone:
Map : 123
Grid: 15D
(661) 396-0261
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 13
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JIM BLACK / OWNER GARY KAUK / FOREMAN
Business Phone: (661) 396-0261x Business Phone: (661) 396-0261x
24-Hour Phone (661) 588-2517x 24-Hour Phone (661) 632-4882x
Pager Phone ( ) x Pager Phone ( ) x
Hazmat Hazards: Fire DelHlth
~~~r~~~;;~ ~; 00- W;O~~~~~ -~~oG0 -
Ci ty : BAKERSFIELD L____
,":~-~-=--, ~---:--:. '·pnone-:- (66"1) 3-96--0-26Í){-"-.---o-
State: CA
Zip 93313
---I
Owner
Address
City
JIM BLACK
PO BOX 2251
BAKERSFIELD
Phone: (661) 665 18~ßx
State: CA e; 7 ¿¡ -7S'1' c.-
Zip 93303
Period
Preparer:
Certif'd:
ParcelNo:
to
TotalASTs:
TotalUSTs:
RSs: No
Gal
Gal
Emergency Directives:
BUSINESS MOVED TO 5300 WOODMERE, SUITE~ER NOTICE RECEIVED 4-20-01.
,:::I::- ~.~;::::--Do hereby certify that ~ have
(rype or prInt nalMI
reviewed the attached hazardot!s mat~rials J11_an~g~__ _
ment plan ~o'{~¿ ~ ~; ( and that it aionn wåth
(Namø 01 Buølness) ~
any corrections constitute a eomplete and cm'U'sd man-
agement plan forr my facility.
~ ¡-/.Þ~J.J
Date
-1-
NfY)DO!
N0\Ö(]
5SÐöf
07/15/2003
/"/TE E~51ðD1
.
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/~:--;'~)'/B~CKS CONSTRUCTION.
I
F Training
Employee Training
5'
WE CURRENTLY HAVE ;( EMPLOYEES
.
/
SiteID: 015-021-000216 ì
Fast Format ì
Overall Site ì
07/03/2001
AT THIS FACILITY, BUT IT VARIES.
WE DO HAVE MSDS SHEETS ON FILE.
BRIEF SUMMARY OF YOUR TRAINING PROGRAM: AT TIME OF HIRE AND EVERY MONDAY
DURING SAFETY MEETINGS.
r
:---\
I
Page 2
~---.......,.--~ --~-
I
-~-I-
I
Held for Future Use
Held for Future Use
-7-
07/15/2003
'?
-
JIM BLACK
President
B General Contractor
C-g Drywall Systems
C-33 Painting & Wallcovering
5300 Woodmere Drive
Suite 101
Bakersfield, CA 93313
Tel. 661.396.0261
Fax, 661.396.0262
.', ,~.!. ~. .
,., ,t1? ,.
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, "
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-
[ BLACKS CONSTRUCTION
~ Manager :
Location:
City
/
//
/'
//
1 /
SiteID: 015-021-000216
5300 wuJ~ ~~IT( If)'
5640 BISTRICT BLVD 11~
BAKERSFIELD
BusPhone:
Map : 123
Grid: 15D
(661) 396-0261
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 13
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JIM BLACK / OWNER GARY KAUK / FOREMAN
Business Phone: (661) 396-0261x Business Phone: (661) 396-0261x
24-Hour Phone : (661) 588-2517x 24-Hour Phone : (661) 632-4882x
Pager Phone : ( ) - x ·pager Phone : ( ) - x
Hazmat Hazards: Fire DelHlth
Contact : Phone: (661) 396-0261x
MailAddr: 5640 DISTRICT BLVD 111 State: CA
City : BAKERSFIELD Zip : 93313
Owner JIM BLACK Phone: (661) 665-1890x
Address : PO BOX 2251 State: CA
City : BAKERSFIELD Zip : 93303
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
BUSINESS MOVED TO 5300 WOODMERE, SUITE 101 PER NOTICE RECEIVED 4-20-01.
f= Hazmat Inventory
p== Alphabetical Order
One Unified List ì
All Materials at Site ì
SpecHaz EPA Hazards DailyMax MCP
F DH L 55.00 GAL UnR
Hazmat Common Name...
LACQUER & LATEX PAINTS
I, .J A-'""'^ """.s ~L..~ Do hereby certify that I have
(Type or pnnt name)
reviewed the attached hazardous materials manage-
ment plan for ~J hK' ~ I?^,~~d that it along with
(Name 01 &:fneaa)
any corrections constitute a complete and correct man-
agement plan for rAY facility.
"
").
~~~/
04/20/2001
e
e
F BLACKS CONSTRUCTION
1-
ß= Notif./Evacuation/Medical
r=: Agency Notification
911.
Employee Notif./Evacuation
SiteID: 015-021-000216 ì
Fast Format ì
Overall Site ì
05/14/1999 l'
05/14/1999
BY PHONE AND TWO WAY RADIO.
Public Notif./Evacuation
05/14/1999 ]
05/14/1999
MEDIA.
Emergency Medical Plan
NON SERIOUS INJURIES - WALK IN CLINIC.
SERIOUS INJURIES - CLOSEST HOSPITAL.
-3-
04/20/2001
e
e
F BLACKS CONSTRUCTION
,P= Inventory Item 0002
'1== COMMON NAME / CHEMI CAL NAME
LACQUER & LATEX PAINTS
SiteID: 015-021-000216 ì
Facility Unit: Fixed Containers on Site ì
,
Location within this Facility Unit
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
5.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
35.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
G
CAS #
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
-2-
04/20/2001
e
e
F BLACKS CONSTRUCTION
,~
'F Mitigation/Prevent/Abatemt
~ Release Prevention
L:AINT HOOKS.
r=:: Release Containment
~AND & SAW DUST.
SiteID: 015-021-000216 1
Fast Format 9
Overall Site 9
05/14/1999 ]
05/14/1999 ]
05/14/1999
Clean Up
SCOOP IT UP, ONCE IT IS ABSORBED.
,Other Resource Activation
-4-
04/20/2001
e
e
F BLACKS CONSTRUCTION
t
'F Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
SiteID: 015-021-000216 ì
Fast Format ì
Overall Site ì
I
05/14/1999
A) GAS - N/A
B) ELECTRICAL - SE CORNER WALL OF WAREHOUSE,
C) WATER - W SIDE OF EXTERIOR WALL
D) SPECIAL - N/A
E) LOCK BOX - N/A
UNDER STAIRWAY NEXT TO RESTROOM
Fire protec./Avail. Water
05/14/1999
PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - LOCATED 150 FT IN NE DIRECTION OF DOORS, IN THE
MEDIAN BETWEEN BLDGS.
'Building Occupancy Level
-5-
04/20/2001
e
e
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ré Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i
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o 0
o WE CURRENTLY HAVE 11 EMPLOYEES AT THIS FACILITY, BUT IF VARIES.
o 0
o
o WE DO HAVE MSDS SHEETS ON FILE.
o
o
o
o BRIEF SUMMARY OF YOUR TRAINING PROGRAM: AT TIME OF HIRE AND EVERY MONDAY 0
o DURING SAFETY MEETINGS. 0
o
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