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Home My WebLink AboutBUSINESS PLAN (3)I rr^^ V1 z ~~ a~ x ~F w~ ~~ ' .~ ~. - _ ~~ ~~ . ~ ,~ " ~ r Prevention Services UNIFIED PROGRAM INSPEC~TI~ON CHECKLIST a A £ R s ~ , , 0 900 Truxtun Ave., .Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° i°Rr"' Ter ` (661) 326-3979 - ~ - Fax: `(661) 872-2171 FACILITY NAME - / /~ ~ ~ - ~ ~ INSPECTION DATE INSPECTION TIME ' _+ ADDRESS G ~„~ P O OF EMP S O ~ ~ _ ~ ~ L ` ~ I ~~ ~ ~ FACILITY CONTACT - ~ - BUSINESS ID NUMBER 15-021-OI S -021 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 ^ BUSIrI@SS PLAN CONTACT INFORMATION ACCURATE ^ 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 PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND IR~s ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: ~' e. S kQ ~l xQ ~ ~ VJ c>-tz~ ~7~,n J( QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~~~~~ ~ ~ ~ l~ Inspector (Please Print) Fire Prevention / 1s~ In /Shift of Site/Station # Business Site /Responsible arty (Ple a rint) White.- Prevention Services Yellow -Station Copy Pink =Business Copy = ' FD 2155 (Rev. 09/05 1~ ~ A~ Fl,~ / ~"~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ OFFICE OF ENVIRONMENTAL SERVICES . ~ ~~ UNIFIED PROGRAIdI INSPECTION CHECI{LIST ~~~-tirt 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME v' 1 ~ 2Rfl PQi '~~~~ ~ INSPECTION DATE ~~~ a ~o ~ Section 4: I~azardous Waste Generator Program EPA ID # ~~ ~ ~~{~y ~0 ~ ~ ^ Routine i~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number C ~p ~ ~ ~{ ~d 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 '~ `~~ ~ f ` ° '~`~ ~~~ ~ _,-. --~ Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property- line n/ Secondary containment provided Q Conducts daily inspection of tanks ~° ' ~ '" k Used oil. not contaminated with other hazardous waste N ~(, Proper management of lead acid batteries including labels 1~ 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 :~ =~ompuances v=viotanon Inspector: [i ~G^~-~ ~--J ` Office of Environmental Services (661) 326-3979 Business Site Responsibl arty White -Env. Svcs. Pink -Business Copy 4- ~~ ' o :i s .&~, SIERRA PRINTERS SiteID: 015-021-001915 Manager STEVEN VAN ALSTYNE BusPhone: (661) 322-6128 Location: 901 19TH ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: CAD983643099 SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN VAN ALSTYNE / PRESIDENT PATTIE VAN ALSTYNE / TREASURER Business Phone: (661) 322-6128x Business Phone: (661) 322-6128x 24-Hour Phone (661) 872-5740x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact STEVEN VAN ALSTYNE Phone: (661) 322-6128x MailAddr: 901 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner SIERRA PRINTERS Phone: (661) 322-6128x Address 901 19TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~N I RU ~ ~ ~ ~ ~ _ ~~ C~as4d on my inquiry of those indi~~iriuals res~cr,sib ie fair ob~ta~:ning the information, !certify under ~e:~alty of lass that i have personally examined arac~ am familiar with the information submittec! and :a~~iie~re the information is true , c gate, ra core lets. /~ ~. , ~`~`V Signature Date -1- 07/16/2007 a ,; F SIERRA PRINTERS SiteID: 015-021-001915 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 1.00 GAL Min -2- 07/16/2007 r. ~- ,-~ -3- 07/16/2007 s F SIERRA PRINTERS SiteID: 015-021-001915 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: SE STOREROOM CAS# STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Waste .-~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 1.00 GAL 0.50 GAL - r1t~~rjtcLUU~ uul~iruiv~iv~l~~ °sWt. RS CAS# Silver No 7440224 riAL,1'~K1J A55r;~~1~1r;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min =4- 07/16/2007 ~~; F SIERRA PRINTERS SitelD: 015-021-001915 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation 03/22/2000 VIA INTERCOM, 3 EXITS; 1 AT S OF BLDG, 1 AT NW OF BLDG, AND 1 AT NE OF BLDG. Public Notif./Evacuation 03/22/2000 DISPATCH PERSON TO BOTH COMMERCIAL BLDGS TO W AND E SIDE OF OUR LOCATION. Emergency Medical Plan 05/05/2006 HALL AMBULANCE, MEMORIAL URGENT CARE. -5- 07/16/2007 r ~.- F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/22/2000 ~ SEALED CONTAINERS FURNISHED BY SAFETY KLEEN CORP. Release Containment 07/26/2006 ALL MATERIALS DISPOSED OF BY SAFETY KLEEN CORP. Clean Up 03/22/2000 SHOP TOWELS, MOPS, BUCKETS ON PREMISES. Other Resource Activation -6- 07/16/2007 .r ,r~S . F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~CG1d1 rid'GdIUS Utility Shut-Offs 05/11/2007 GAS - 900 BLOCK ALLEY ELECTRICAL - SE CRNR BLDG WATER - 900 BLOCK ALLEY LOCK BOX NW FRONT OF BLDG ABOVE DOOR Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - O ST BET 18TH & 19TH AT ALLEY OPENING 900 BLOCK. Building Occupancy Level 10 EMPLOYEES 05/11/2007 -7- 07/16/2007 e° , „~. ~ ' . .. F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/11/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: COMPANY SAFETY POLICY IS PROVIDED TO EACH EMPLOYEE UPON HIRE. rayc ~ Held for Future Use nclu i~L ru~uic ~~c -8- 07/16/2007 '1 r SIERRA PRINTERS SiteID: 015-021-001915 Manager :'S''~~V6Ytl v(x~.l (~IS~+~l~ Location: 901 19TH ST City BAKERSFIELD BusPhone: (661) 322-6128 Map 103 CommHaz :Minimal Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency. Contact / Title JOHN VAN ALSTYNE / PRESIDENT PATTIE VAN ALSTYNE / TREASURER Business Phone: (661) 322-6128x Business Phone: (661) 322-6128x 24-Hour Phone (661) 872-5740x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact ,~~~V-~~.1:_~~N F~~Sr -~~ Phone: (661) 322-6128x MailAddr: 901 19TH ST - ~ ~ State: CA City BAKERSFIELD Zip : 93301 Owner SIERRA PRINTERS Phone: (661) 322-6128x Address 901 19TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN i3a:~ed on my inquiry of those indivieiuais responsible for obtainin th i f EN1"D FFg g e n ormation, I ctartify d ~+ ® ~0®, un er penalty of law that t have persoraiiy examined and am familiar with the information s omitted and believe the information is true, ~ c urate, arad omp e. Si t gna ure ate -1- 02/06/2007 F SIERRA PRINTERS SiteID: 015-021-001915 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER ~R L 1.00 GAL Min -2- 02/06/2007 -3- 02/06/2007 F SIERRA PRINTERS ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit SE STOREROOM Days On Site 365 Map: Grid: CAS# Liquid TWaste ~Ambient~E ~ AmbientT~E ~ PLASTCICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 1.00 GAL 0.50 GAL nt~~r~tcLVU~ ~vlnrviv~ivla - %Wt; _ _. _.~ - -- -, ---- - ----- --- - _ RS _ - CAS# Silver No 7440224 riEiGHtCL 1'1. 7.7~.7~71~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min SiteID: 015-021-001915 ~ Facility Unit: Fixed Containers at Site ~ -4- 02/06/2007 F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif . /Evacuation _ _ _ __ , _____ 03/_22./2000 _ VIA INTERCOM, 3 EXITS; 1 AT S OF BLDG, 1 AT NW OF BLDG, AND 1 AT NE OF BLDG. Public Notif./Evacuation 03/22/2000 DISPATCH PERSON TO BOTH COMMERCIAL BLDGS TO W AND E SIDE OF OUR LOCATION. Emergency Medical Plan 05/05/2006 HALL AMBULANCE, MEMORIAL URGENT CARE. -5- 02/06/2007 F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/22/2000 ~ SEALED CONTAINERS FURNISHED BY SAFETY KLEEN CORP. = Release .Containment 0:7./26/2006__= ALL MATERIALS DISPOSED OF BY SAFETY KLEEN CORP. Clean Up 03/22/2000 SHOP TOWELS, MOPS, BUCKETS ON PREMISES. V1~11C1 iCC .~. VU1LC L"11:L1VGLL1CJ11 -6- 02/06/2007 F SIERRA PRINTERS SitelD: 015-021-001915 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ apeciai riazaras = Utilit. _ Shut-Offs. ~,_` _ _ _ _ _ -._- __ -._._07/26-/20-06_ ~_ - ~ A) GAS - 900 BLOCK ALLEY B) ELECTRICAL - SE CRNR BLDG C) WATER - 900 BLOCK ALLEY D) SPECIAL - N/A E) LOCK BOX - NW FRONT OF BLDG ABOVE DOOR Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. 01/11/2007 NEAREST FIRE HYDRANT - O ST BET 18TH & 19TH AT ALLEY OPENING 900 BLOCK. Building Occupancy Level 12 EMPLOYEES 05/05/2006 -7- 02/06/2007 .. ~: F SIERRA PRINTERS SiteID: 015-021-001915 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/11/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: COMPANY SAFETY POLICY IS PROVIDED TO EACH EMPLOYEE UPON HIRE. L1C 1U. 1V1 1'IIL ULC U.5'C nclu 1V.L 1'UI.U.LC U~S'C -8- 02/06/2007 + SIERRA PRINTERS _____________________________________ SiteID: 015-021-001915 + Manager BusPhone: (661) 322-6128 Location: 901 19TH-ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN VAN ALSTYNE / PRESIDENT PATTIE VAN ALSTYNE / TREASURER Business Phone: (661) 32.2-6128x Business Phone: (661) 322-6128x 24-Hour Phone (661) 87.2-5740x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 322-6128x MailAddr: 901 19TH ST State: CA City BAKERSFIELD Zip 93301 Owner SIERRA PRINTERS Phone: (661) 322-6128x Address 901 19TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ----- t + ------------------------------------------------------------------- Emergency Directives: ~, PC lob PROG H - HAZ WASTE GEN I ENT'D ~ u L 2 s Zoos _ `~ Based on my inquiry of those individuals ~ ~/~~ responsible for obtaining the information, I certify 1~ under penalty of law that t have personally 1, ~ G' (~ examined and am familiar with the information ~ -/~L/ submitted and believe the information is true, curate, nd omplete. ~a~~a~~~ Signature Date -1- 05/05/2006