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HomeMy WebLinkAboutBUSINESS PLAN 1- , Per it Operate I . LOCATION Issued by: '" 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 ';~~'~U-â;'i,~ i¡I~!5ij i.2~m !i"; ~" i~dg bl~I;ª ~I;¡! 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J C'I ~i 0 ----_.._-~ -~ 80' ~EASJ S: ACE, SUITE 105 G LEAS!! SP ACE, ITE 107 - œr r r - :i $frtfìœ ~~' 00605 SeNice TRlC S'MTCrit:R mO PHONE ClOSE, ~ ' "".. lEADER FROM CONT. Q.JmR DOWN TO CONe. SPlASH BLOCK ::'ltDER FRau T. CUTJ"t:'-R r-.----- _ª£::i=--__ I 10 CONe. SPWH 9LOO< I -----1--'------- 278:;:--- 03 ¡, .:. , ~ < 51 ,¡ § ~ 25' PARKING o .:. I ~ ~ u . < 0 e. 0) ,¡ § ¡ ¡; ìn I f----ç¡¡;;;-+___ / ~V~ ~ / I / : I / / . I I I , I I i UJ I I 18' > /. í - I . ¡ ~ I J Q , í I ! UJ . : ~ I ¡ w I I ~ I L NDSCAPING ~ , I o I o , TR NSFoRMEJ¡ ~ I [Ji I /i fâ\ I ¡ \.V I 32 sa.lFT. ,~ I ~~m~ - :I: I / ~ I 'P', I ~ . , ./ /' ... r: '2'" A/e/ PAVING O\ÆR t.. BASE ~ < , OVER COIlPACTED SOIL. SEE SOILS Ô REPORT FOR SPEC. , " z! '? o I 10 I 0, C'I , è., i I .... I øl i fiq¡ H.$dmrTt -- ~ i ¡ i i I I I 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' jf ~ ./ ~ .- 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 . ~ ,0 ~ p. ,,',rr?'" /~:--;'~)'/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? ,. , /", , " "''0 e - [ 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 í BLACKS CONSTRUCTION ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000216 i !ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat i ré Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/14/1999 i 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 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf