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HomeMy WebLinkAboutBUSINESS PLAN 8/15/20071 V ,O YJ ' d v1 i ` • 7 ~ D N r~ N ' ' d ~ N M Q i~ ~~' AMERICAN JEWELRY CO Manager CARL SAENGER Location: 3200 21ST ST 500 City BAKERSFIELD SiteID: 015-021-002909 BusPhone: (661) 325-5023 Map 102 CommHaz Low Grid: 25A FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CARL SAENGER / EXECUTIVE VP / Business Phone: (661) 325-5023x Business Phone: ( ) - x 24-Hour Phone (661) 834-4954x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact CARL SAENGER Phone: (661) 325-5023x MailAddr: 3200 21ST ST 500 State: CA City BAKERSFIELD Zip 93301 Owner CARL SAENGER Phone: (661) 325-5023x Address.: 3200 21ST ST 500 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: .Emergency Directives: YROG A - HAZMAT PROG H - HAZ WASTE GEN ~N~~ ,~ ~ ~ .~ ~ ~~~~ Based on my inquiry of those individuals responsible for obtaining the information, I cF:rtify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, rate, and complete. u c a c ~~ /,// / / Signature ~ ~~./ Date -1- 06/29/2007 r' '~ F AMERICAN JEWELRY CO ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002909 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F IH DH G 250.00 FT3 Low WASTE CYANIDE SOLUTION DH L 1.00 GAL Min -2- 06/29/2007 -3- 06/29/2007 ,~ s F AMERICAN JEWELRY CO ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit STATE TYPE PRESSURE Gas TPure -Above Ambient SiteID: 015-021-002909 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co250100rFT3 Daily 250100m FT3 I Daily 250r00e FT3 - tiAGFjttL V u 5 lL V1~lY V1VL' 1V l a %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1AY,L~K11 HJJL' ~J~1~11"~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 1.00 GAL 1.00 GAL HAZARDOUS COMPONENTS °sWt . RSA CAS# HAZARD AS SESSriaivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min -4- 06/29/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste ~mbient ~ Ambient DRUM/BARREL-NONMETAL ~b F AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tayclll.y 1VV1.111C:dtr1V11 _ ~ i .... r~u~t/ivycc 1VV1.11. ~ LiVdC:Udl.1V11 rulrllu 1vV1.11./~VdC:Udl,1V11 ~u~clycii~y 1"1CU1C:d1 Yldil -5- 06/29/2007 F AMERICAN JEWELRY CO SiteID: 015-021-002909 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Release Containment 9 l.. l C Q1l IJ~J Other Resource Activation -6- 06/29/2007 f• :o F AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l:lcil ncL C. cLi u~ Utility Shut-Offs GAS: W SIDE OF BLDG IN ROSE BED NEXT TO WALL ELECTRICAL: N SIDE OF BLDG IN STAIRWELL OFF LOBBY OR CONTACT BLDG MGMT 322-4027 03/22/2007 Fire Protec./Avail. Water 5 FIRE EXTINGUISHERS 03/22/2007 Building Occupancy Level 7 EMPLOYEES 03/22/2007 -7- 06/29/2007 .i ., '_ sy F AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: ANNUAL SAFETY MEETINGS rayc ~ Held for Future Use Held for Future Use -8- 06/29/2007 Member (661).325-5023 American Gem Society Fax (661) 325-5383 ~--~ Certified Gemologist Appraiser - American Gem Society - CARL M. SAENGER _ti.= ? _ _ -- -- - Oak Park Tower `-- ' ~ -Suite 500 3200 21st Street at Oak Bakersfield: CA"93301 r - ~I F AMERICAN JEWELRY CO SiteID: 015-021-002909 Manager CARL SAENGER Location: 3200 21ST ST 500 City BAKERSFIELD BusPhone: (661) 325-5023 Map 102 CommHaz Low Grid: 25A FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CARL SAENGER /~%Ft-1t~ pt/;: ,/~ / Business Phone: (661) 325-5023x Business Phone: ( ) - x 24-Hour Phone (~i(v~) ~~~-~S~x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact CARL SAENGER Phone: (661) 325-5023x MailAddr: 3200 21ST ST 500 State: CA City :_BAKERSFIELD Zip 93301 Owner CARL SAENGER Phone: (661) 325-5023x Address 3200 21ST ST 500 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT D O PROG H - HAZ WASTE GEN ~NT'D MAR 2 z ~~ Q7 .. Rased on my inquiry of those individuals responsible for Obtaining the information, I certify under penalty of law that I have personally examined end am familiar with the information submitted and believe the information is true, accur te, and comp) e. C~ tJ Signat Date • -1- 01/24/2007 ;, $ ., F AMERICAN JEWELRY CO ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002909 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN WASTE CYANIDE SOLUTION F IH DH DH G L 250.00 1.00 FT3 GAL Low Min -2- 01/24/2007 -3- 01/24/2007 ,_ - F AMERICAN JEWELRY CO ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002909,E Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 tiAGt~l[iJVUJ ~:vinr~iv~ivl5 oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ri1~GHKL H~S~J.~1~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No ~ No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE CYANIDE SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid: S SIDE 5TH FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ LiquidWaste ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 1.00 GAL 1.00 GAL HAZARDOUS COMPONENTS %Wt. RSI CAS# t1E~GKKL 1-~5 .7,C,5J1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min -4- 01/24/2007 F AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation ,~ tU1J11V 1VV V11 ~ ~V0.1.. {.1Q L1V11 L'lllClyClll~y 1.1C U11.:Q1 r1Q11 -5- 01/24/2007 F AMERICAN JEWELRY CO SiteID: 015-021-002909 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention K~1ed~e l.Uill.dlillLlCill. ~.icau v~ Other Resource Activation 9 -6- 01/24/2007 _ ,, _.x ~~ ,; ~: F`AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:ld1 I1dGdl 1.15 = Utility Shut-Offs ~~f ~ s~~~ d ter- /N' GZ aSr ~~O nrr.,,~T T6 ~,~ ~ L o~v w ~,~ ~ ~l,bf~ ©~ ~ tom/ ~~~N y` Iv e R r~ so ~ ~ ®r- ,~~c i c o~~v 5 c~d2 c e~ j ~-c ~ ~1W ~ ~ ~i~ ~ M~r~ ~t f~~ r= ~I ~" ,gr' ,3~ ~ - tl ~ .~'rl ,~ rlic r1v~.c~..~rava.il. vva~.ci ~i ~~ ~n`~in~S~rs~r~~~~ DU11U111y VC.: (.: U~Jd11C: ~/ LCVC1 ~ ~,~~j ~y~~s -~- oi/24/200~ _ _ _ _ ____ _~~ F AMERICAN JEWELRY CO SiteID: 015-021-002909 ~ Fast Format ~ ~ Training Overall Site ~ Ldll~Jl VyCC 11_d111111y rdyC ~ RClu Lvi rul.. u1.C VAC nClu iVL r ul.ure use -8- 01/24/2.007 - ` l `~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST , 0 9ooTruxtun t~ve., Suite 210 -~ ~ ~ =~ = ~ FiRS ~ Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program 1~ wRrM t Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ /`ti-2(r-1F C-Q.v ~ 2w 2~ Imo" INSPECTION DATE ~~"Z`1 `- P~ INSPECTION TIME f ~ : S~ ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~(,~~ " ~ _ ~ " ` _ ~ ~ Section 1: Business P1ar~ anc~ tnve~ntor~r Program -. ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES _ -~•~, 0~ ^ VERIFICATION OF LOCATION - - - / L ~ ^ PROPER SEGREGATION OF MATERIAL ~~ // P~ ^^ VERIFICATION OF MSDS AVAILABILITY ~ L%~ LJ VERIFICATION OF HAZ MAT TRAINING C-1''~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C~ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING - / I~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? L~TYtS ^ NO Q/UESTIONS R~fE/CARDING THIS INSPECTION? PLEASE CALL US AT (661) Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ ~ FD 2155 (Rev. 09/05 ~~ r~r ~ (one /oim per matenal per budding or siea) g''vE`N ~ A0~ O DELETE 17 REVISE 200 ~ ~`~ Paget of :~ ~~ ~ ~`~ '~ ~ o~ ,~ZARDOUS MATERIALS INVENTORY Bakersfield Fire Dept. B R ~ P l o. Environmental Services CHEMICAL DESCRIPTION ~'~~~ 1713 Chester Ave ~Rrr t Bakersfield, CA 93301 Tel: (661)326-3979 I. FACILITY INFORMATION d ~,~~~;' ~ aUSINESS NAME (Same as FACILITY NAME W D8A ~ OOU+q Bu3me3a As) ~~~~'~ ~ ~ ~ ~ 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION ~ 202 j~S /4~ / ~~~~ ~ ~ ~ FLG~(L ~v'~ J G- CONFIOENTIAL(EPCRA) ^ Yes ^ NO FAC:U TV 10 NO. i 1 MAP No. (OpfiOnaQ 203 GRID Na. (OphOnaQ - 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes O NO 206 / ` ~"x~~~•N If Subject to EPCRA, refer to inswWans COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes.' all arrlounts Halow must De in IDs. FIRE CODE HAZARD CLASSES (Compete if requested by local fire chief) 210 TYPE ~pURE ^ m MIXTURE ^ w WASTE 211 RADIOACTIVE ^ Yes ^ No 212 CURIES 213 PHYSICAL STATE 214 ^ s SOLID ^ I LIOUIO ~q GAS LARGEST CONTAINER r7 ~l G` ~ V 215 FED riAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 218 (Check all that apply) ANNUAL WASTE AMOUNT 217 MAXIMUM ~ 218 DAILY AMOUNT `L AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 220 UNITS' ^ qa GAL ~ CU FT ^ ID LBS ^ to TONS 221 DAYS ON SITE ~ ~~ 222 1f EHS, amount must be m Ibs. 223 STORAGE CONTAINER ~ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (CAeck all lost appiy) - ^ b UNDERGROUND TANK ^ q CARBOY ~I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTICINONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ~-ae ABOVE AMBIENT ~ ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ AMBIENT ^ as A80VE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %VVT HAZARDOUS COMPONENT EHS CAS # 1 228 - 227 O Yes O No 228 229 2 230 231 O Yes O No 232 233 3 234 235 O Yes O No 238 237 q 238 239 ^ Yes ^ No 240 241 3 242 243 ^ Yes ~ NO 244 245 III. SIGNATURE- PRINT NAME b TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 N ~r ,~ZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~'VEW .7 AOD O DELETE ~~ REVISE 200 - Bakersfield Fire Dept. a R P l ° Environmental Services ~iR~ 171 Chester Ave ~wrr r Bakersfield, CA 93301 Tel: (661)326-3979 (one form per matenal per building or areal Pagel of i. FACILITY INFORMATION BUSINESS NAME (Sams as FACILITY NAME or OBA - Danq Bu>tnesa As) J CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 ,~^ c9UTS r ~c S 5! ~C ~~ Ste` ` tS~2. Sv'~ CONFIDENTIAL (EPCRA) ^ ves ^ No FACILITY iD No. i i t MAP No. (optionaQ 203 GRID No. (aphonaQ • 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 ,.c ~ W A~~ L ~ G~nI ( (~~ S~J ZUv~f If SuD(ect to EPCRA, refer to inswcLOns COMMON NAME 207 EMS' ^ Yea ^ Na 206 CAS No. 209 9f EHS is"Yes: a6 amounts below must De in IDs. FIRE COOE HAZARO CLASSES (Compete if requested Dy kxal fire chieQ 270 TYPE ^ p PURE ^ m MIXTURE '~w WASTE 217 RADIOACTIVE ^ Yea ^ No 272 CURIES 213 PHYSICAL STATE ~( 274 ^ s SOLID ~ UOUIO ^ q GAS LARGEST CONTAINER ( 2t5 FEO HAZARD CATEGORIES ^ 1 FIRE. ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~4 ACUTE HEALTH ^ 5 CHRONIC HEALTH lt th Ch k t l 276 a a app y) ( ec ANNUAL WASTE 277 MAXIMUM 276 AVERAGE ~ 219 STATE WASTE 220 AMOUNT GAILY AMOUNT ~ GAILY AMOUNT ( CODE UNITS' ~ GAL ^ cf CU FT ^ ID LBS ^ N TONS 227 DAYS ON SITE 222 U EHS, amount must De m Ibs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (CAecJr all tha! appy) ^ D UNDERGROUND TANK ^ q CARBOY ^ 1 CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ~ PLASTIC 80T-fLE ^ e PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN ~~ STORAGE PRESSURE V'ti AMBIENT ^ ae ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # t zee 227 O Yea ^ No 2ze zz9 2 230 231 ^ Yes O No 232 233 ] 234 235 ^ Yes ^ No 238 237 4 238 239 ^ Yes ^ No 240 247 3 242 243 0 Yea ~ No 244 245 III. SIGNATURE PRINT NAME b TITLE OF AUTMORIZEO COMPANY REPRESENTATIVE SIGNATURE PATE 248 ! 1 t 7 J 7