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HomeMy WebLinkAboutBUSINESS PLANLEES COPY NETWORK/HOVEN PRINTING .I ~~ 4410 EASTON DRIVE r \ r ~' ., LEES COPY NETWORK/HOVEN PRINTING Manager SHIRLEY J LEE Location: 4410 EASTON DR City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: CAL000047756 SiteID: 015-021-002474 BusPhone: (661) 322-3450 Map 102 CommHaz Minimal Grid: 26C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title GLEN SHARP / COPY MANAGER CHRIS LEE / VICE-PRESIDENT Business Phone: (661) 322-3450x Business Phone: (661) 322-3450x 24-Hour Phone (661) 835-9336x 24-Hour Phone (661) 665-2054x Pager Phone ( ) - x Pager Phone (661) 747-4568x Hazmat Hazards: Fire React ImmHlth DelHlth Contact CHRIS LEE Phone: (661) 322-3450x MailAddr: 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Owner SHIRLEY J LEE Phone: (661) 322-3450x Address 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN TotalASTs: = Gal TotalUSTs: = Gal RSs: No ~r sad on my inquiry of those individuals resgc•:~~~~'e for oh}aining the information, I certify unr;er wenalty of lav: that ! have personally exarn~ned and am familiar ?Nith Elie information submitted anrf ',e?ic~~,~, the information is true, accurate, and complete. Signature ~- e 7 ~ ~ v Qate ENS ~U~ 18 2007 -1- 07/12/2007 ~ ~ I FLEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ ~ Hazmat Inventory By Facility Unit ~ F= MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI OXYGEN F IH DH G 498.00 FT3 Low WASTE FIXER R L 5.00 GAL Min WASTE INK IH L 20.00 GAL UnR -2- 07/12/2007 -3- 07/12/2007 F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 249.00 FT3 498.00 FT3 498.00 FT3 ' - t1E~GKKLVU~7 1:V1~lYV1Vi51V17 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riAGHKL A55t55~1~1L'~1V~1-5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ 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: DARKROOM CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ruiar~.uvu~ ~.vi•1rv1v1;iV t~ %Wt. RS CAS# Silver No 7440224 I1HGtiRL ti. 7AP~JJ1~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/12/2007 ,, F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE INK Days On Site 365 Location within this Facility Unit Map: Grid: NW CRNR OF BLDG CAS# Liquid TWaste ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 45.00 GAL 20.00 GAL 20.00 GAL HAZARDOUS COMPONENTS r r °b Wt RSI CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -5- 07/12/2007 r. ~ F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 03/27/2007 911 9 Employee Notif./Evacuation 03/27/2007 VERBAL Public Notif./Evacuation VERBAL 03/27/2007 Emergency Medical Plan 911 03/27/2007 -6- 07/12/2007 F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 03/27/2007 SELF-CONTAINMENT Clean Up PAPER TOWELS 03/27/2007 V1.11C1 .RC~7Vl.LJ.. I:C til,: l..1 VGL 1.1 V11 -7- 07/12/2007 ,. :. F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ arc~;lai nci~aiu~ Utility Shut-Offs 03/27/2007 GAS: E SIDE OF BLDG ELECTRICAL: N SIDE OF BLDG WATER: N SIDE OF BLDG Fire Protec./Avail. Water 03/27/2007 FIRE EXTINGUISHERS AND SPRINKLER SYSTEM FIRE HYDRANT: ACROSS ST Building Occupancy Level 03/27/2007 10 EMPLOYEES -8- 07/12/2007 ~: , . F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc ~ nciu ivi ru~uic vac nclu Lui ruLUi~ use -9- 07/12/2007 :~- 1~~~~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services H e a s F t o 900 Truxtun Ave., Suite 210 --. F/RE Bakersfield, CA 93301 ~Rre- t Tel.: (661) 326-3979-~'~~N.,i~.~ Fax: (661) 872-2171 FACILITY NAME 1 ~ INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES _ y 4 1 c~ E Pos~a ~ ~ 3ZZ- s9so v FACILITY CONTACT USINESS ID NUMBER 15-021-~'tS;pZl -ad Section 1: Easiness Plan and Inventory Pragralrl ..`_ ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^~ APPROPRIATE PERMIT ON HAND A7C•o ~ G° to ~ r e.M~ P~ / .^' 1 ^ BUSItI@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 /Jp~ ~ Grp r/'~ /~,S.~s ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ,'~A (~ ^ FIRE PROTECTION ~' '~9 ^ SITE DIAGRAM ADEQUATE & ON HANDA ANY HAZARDOUS WASTE ON SITE? ~ YES ^ NO EXPLAIN: ~A~CS~~ 1N~ ~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 C ~~~ ~~ ~ Inspector (Please Print) Fire Prevention / 1~/ In /Shift of Site/Station # usiness ite / Re onsible rty Ple se Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .: ~04~`- -~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~6 b~ OFFICE OF ENVIRONMENTAL SERVICES ~ , • • ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ?~ ~~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 w FACILITY NAME LEES Cory N6'~ ~o ¢.. ~ INSPECTION DATE -~ ~ ~ Section 4: Hazardous Waste Generator Program EPA ID # (_`A~. ~~ ~ ~'75~i ^ Routine ~ Combined ^ Joint Agency ^Multl-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number 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 N e a ~ t ,,...~ ~a ~ a s yrs Containers in good condition and not leaking 'fir >.~)1.~ ^~~ 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 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 5 A,~ ~,~ o, ,~, Retains copies of used oil receipts for 3 years ~ ~ Determines if waste is restricted from land disposal 5-P ~'o-~!° ,SCJ d ~ -. =~ompttance v=vtotanon Inspector: ~i P~ ~~ % ~ ) Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy Business to spo sible Party LEES COPY NETWORK/HOVEN PRINTING Manager Sh ~ K l~ r ~ Le.~- Location: 4410 EASTON DR City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: CAL000047756 SiteID: 015-021-002474 BusPhone: (661) 322-3450 Map 102 CommHaz Minimal Grid: 26C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / ; ~ Title GLEN SHAR P / ,copy rrt~~. CHRIS LEE / ~ V~ i Business Phone: (661) 322-3450x Business Phone: (661) 322-3450x 24-Hour Phone (661) 324-4810x 24-Hour Phone (661) 665-2054x Pager Phone ( ) - x Pager Phone (661) 747-4568x Hazmat Hazards: React ImmHlth Contact Ch+~~s L~`a'~ Phone: (661) 322-3450x MailAddr: 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Owner SHIRLEY J LEE Phone: (661) 322-3450x Address 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsitzie for obtaining the information, i certify under penalty of lour that I Y~ave personally examined and am familiar with the infiormation submitted and believe the information is true, l t ~ d ENT'D F E B 2 1 2007 e e. accur te, an comp h ignature Date -1- 02/02/2007 4 y F LEES COPY NETWORK/HOVEN PRINTING ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002474 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min WASTE INK IH L 45.00 GAL UnR -2- 02/02/2007 -3- 02/02/2007 F LEES COPY NETWORK/HOVEN PRINTING SiteID: 01.5-021-002474 ~ ~ 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: DARKROOM CAS# Liquid TWaste ~ AmbRient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL rit~~titcLUUa ~vriruiv~lvl~ %Wt. RS CAS# Silver No 7440224 t11-~L,HKL 1-~.7.7r,J~1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE INK Location within this Facility Unit NW CRNR OF BLDG STATE TYPE PRESSURE LiquidWaste ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE = Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 45.00 GAL 45.00 GAL 45.00 GAL HAZARDOUS COMPONENTS , cwt. RSI CAS# t11-~L,t1KL H,JSL"iJ51~1L"1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -4- 02/02/2007 F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ r~yvlluy 1VV1..1111.:C11.1V11 9 ~~ l ,~ n ~ ~-ess,~q Employee Notif./Evacuation , ~a ~ d 5~~~.,~Ge~ c ~ p-f~ ~ ~~ ~a+~~ n ~2. ~ 19- ,~ ruuii~. 1vV~.i1.. / ~va~.ua~.iVll - ~~l Emergency Medical Plan ~~ -5- 02/02/2007 :A F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention mot/ ~' ~ ~ (~ l~ ~ K ~ ~2 0 ~y ns y 1'i YY1 l c~-~5 ~ D ~ ~-l S ~~ ~~~ ~~ ~ ~ r iCC 1Cd.~"C 1.V111.d111lllCil 1. _ ~ ,,~~-r9-- I ~~-.G r n ~ s 1.1 Cdll V~1. ~~~. vL11Cl 1CC.7~Vl.L1_l:C HLl.1Vdl.1Vi1 -6- 02/02/2007 .~ ~. P LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Jt/G~.1a1 nac,al_u~ V l.llll~Y •711U 1.-Vllu7- /L S ~a ~2 ~ n x /~ we s y s~`p/'~ S t'~~e~ f - Tµ ~ r O r.Ltc riVl.Cl:. ~2iVd11 wdl.Cl , `~i4/'~`~KS~~e ~oQ ~l K~e ~p`'f` ~ ~i ~ W fy f ~ lG Q-1~ / r S -7- 02/02/2007 .~ !~ F LEES COPY NETWORK/HOVEN PRINTING SiteID: 015-021-002474 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc c. nciu tvL ru~uiC u~c uc i u i v t r u m ut c, v a c -$- 02/02/2007 t'~ + LEES COPY NETWORK/HOVEN PRINTING ____________________ SiteID: 015-021-002474 + Manager BusPhone: (661) 322-3450 Location: 4410 EASTON DR Map 102 CommHaz Minimal City BAKERSFIELD Grid: 26C FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code: EPA Numb: CAL000047756 DunnBrad: Emergency Contact / Title Emergency Contact / Title GLEN SHARP / CHRIS LEE / Business Phone: (661) 322-3450x Business Phone: (661) 322-3450x ~`S, 24-Hour Phone (661) '-~-~4•°= Ox dK 24-Hour Phone (661) °=~xZpS~F Pager Phone ( ) 'x Pager Phone (661) 747-4568x Hazmat Hazards: React ImmHlth Contact Phone: (661) 322-3450x MailAddr: 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Owner SHIRLEY J LEE Phone: (661) 322-3450x Address 4410 EASTON DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ raV v PROG H - HAZ WASTE GEN ~~ ~ ENT D J U ~ 2 6 Z0~6 ~~ ~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify examined and am famtl as with the Information submitted and believe the information is true, acc te, and complete. Signature Date -1- 05/18/2006 F/RE ARTM November 14, 2006 Ronald J. Froze Fire Chief Ms. Shirley J. Lee Gary Hutton Lee Printing Center Senior Deputy Chief 4410 Easton Drive Administration Bakersfield, CA 93307 326-3650 RE: Self Certification Deputy Chief Dean Clason Operations/Training Dear Ms. Lee: 326-3652 Deputy Chief Kirk Blair Enclosed please find your check for the sum of $31.00 payable to the Fire Safety/Prevention Services Bakersfield Fire Department. We are sorry for any confusion that may have been 326-3653 caused by our cover letter addressing the self-certification process. We do thank you for your returned checklist and you may be billed at a later date for the $31.00 annual self- certification inspection fee. This billing will be made in February or March of 2007. PREVENTIOI~t SERVICES Based upon the review of the self-certification checklist, as well as a review of any other Ralph Huey, Director requirements for inspection, you may or possibly may not be included in this program 900 Truxtun, Suite 210 and annual billing. Bakersfield, CA 93301 VOICE (661) 326-3979 If your facility has been inspected during the fiscal year, you may be billed for FAX (661) 852-2171 that inspection but you will not be double billed for the self-certification fee as well. If you have any further questions or comments, please feel free to call me at 661 - 326-3979. Sincerely, ,~~ gZalph E. u~y, Director of Prevention Services REH/db Enclosure