HomeMy WebLinkAboutBUSINESS PLAN 9/26/2006---- ----
_._~
I i. _ ~
KC HALL OF RECORDS
~ 1655 CHESTER AVENUE
4~
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I •
i~ ~
Prevention Services
R F R S r, 900'IYuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM Tel.: (661) 326-3979
F
x
(661) 872
2171
a
:
-
FACILITY NAME
Fern (
, ~~ 2ecc~rc~ INSPECTION DATE
-~~ - INSPECTION TIME
!~O
ADDRESS / HONE NO. / /~~ O OF EMP YEES
FACILITY CONTACT II
~e~~, SM~~-~-V~ BUSINESS ID NUMBER //
15-021- ~~~~c0
Section 1: Business Plan and Inventory Program
~-15~~1
- ---
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ "MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIf1eSS 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 I
1,
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~., ^ EMERGENCY PROCEDURES ADEQUATE
(~, ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
C~~PJ O
~ A 1
QUC~NS EG NG THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~~ ~~
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Busin I /Responsible Pa ( lease Print)
White -Prevention Services Yellow -Station Copy -Pink -Business Copy FD 2155 (Rev. 09/05
--
~ ~ -'
KERN CO HALL OF RECORDS
Manager JEANI SMITH
Location: 1655 CHESTER AVE
City BAKERSFIELD
CommCode; BFD STA Ol
EPA Numb:
SiteID: 015-021-000426
BusPhone: (661) 868-6400
Map 103 CommHaz High
Grid: 30C FacUnits: 1 AOV:
SIC Code:9199
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JEANI SMITH / ASST RECORDER PAT LEMAY / REC MGMT SUPR
Business Phone: (661) 868-6411x Business Phone: (661) 868-6433x
24-Hour Phone (661) 588-9566x 24-Hour Phone (661) 822-1428x
Pager Phone ( ) - x Pager Phone ( ) - x
~ Hazmat Hazards: React ImmHlth ~
Contact PAT LEMAY Phone: (661) 868-6400x
MailAddr: 1655 CHESTER AVE State: CA
City BAKERSFIELD Zip 93301
Owner COUNTY OF KERN Phone: (661) 868-6400x
Address 1415 TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: _
Preparers TotalUSTs: _
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN ENT~D .~ ~d.f- 2 ~ ~QQ7
C3a:~ed on my inquiry of those individuals
responsible for obtainiryg the infiormaiion, I certify
under penalty at i2~rr That I have personally
examined and am familiar with the information
sub fitted a.nd believe the information is true,
ac u te, and c mplete.
_ ~1 23
ignatu ~~ Date
Gall
Gal
-1- 07/12/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
KODAK PROSTAR PLUS R IH L 60.00 GAL Hi
KODAK PROSTAR FIXER R IH L 60.00 GAL Hi
WASTE FIXER R IH L 40.00 GAL Min
-2- 07/12/2007
-3- o~/ia/aoo~
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
KODAK PROSTAR PLUS Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE Sw CRNR CAS#
123-31-9
Liquid TMixture ~mbRent~E ~ AmbientT~E -~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 60.00 GAL 60.00 GAL
nt~~xlu~~ua ~vrirv1V1;1V1~
%Wt. RS CAS#
2.00 Hydroquinone (EPA) No 123319
5.00 Sodium Sulfite No 7757837
5.00 Potassium Sulfite No 10117381
t1HGHKL 1~~7w7L' .7.71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
KODAK PROSTAR FIXER
Location within this Facility Unit
INSIDE SW CRNR
STATE TYPE PRESSURE
Liquid Mixtur~mbient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7783-18-8
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
GAL 60.00 GAL 60.00 GAL
t1HGHKL V U .7 l: V1~lY V1V I;1V 7 .7
%Wt. RS CAS#
20.00 Ammonium Thiosulfate No 7783188
5.00 Ammonium Sulfite No 10196202
5.00 Sodium Sulfite No 7757837
IlEiGH,CtL H~ ~~J~J1~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH j / / Hi
-4- 07/12/2007
F KERN CO HALL OF RECORDS
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
WASTE FIXER
Location within this Facility Unit
CENTER OF BASEMENT
SiteID: 015-021-000426 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7783-18-8
STATE TYPE PRESSURE
Liquid Waste =mbient
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
GAL 40.00 GAL 20.00 GAL
- -~ ru~~rjtcLUU~ wriruiv~iv 1 a
%Wt. RS CAS#
20.00 Ammonium Thiosulfate No 7783188
5.00 Sodium Acetate No 127093
riEiGHKL L3~ ~~JJ1~1~1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Min
-5- 07/12/2007
F KERN CO HALL OF RECORDS SitelD: 015-021-000426 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 07/30/1999 ~
EMPLOYEES ARE INSTRUCTED TO REPORT ANY INCIDENT IMMEDIATELY TO THE
SUPERVISOR WHO WILL NOTIFY EMERGENCY RESPONDERS BY DAALING 9-9-1-1 (THE
PREFIX 9 REQUIRED FOR OUTSIDE LINE).
Employee Notif./Evacuation 10/21/1992
MICRO PHOTOGRAPHERS IN THE VICINITY OF HANDLING & STORAGE AREAS ARE CLOSE
ENOUGH IN PROXIMITY TO BE VERBALLY WARNED TO EVACUATE. TWO DIRECTIONS OF
EGRESS FROM THE PROCESSING AREA ARE EAST INTO WAITING AREA & NORTH TO DATA
ENTRY.
Public Notif./Evacuation
10/21/1992
SUPERVISORS IN EACH DEPARTMENT AREA WITHIN THE BUILDING WILL BE NOTIFIED TO
ASSIST EVACUATION OF PUBLIC THROUGH INTER-OFFICE PHONES. THEY WILL ISSUE
VERBAL EVACUATION DIRECTIONS FOR PUBLIC TO EXIT EAST MAIN & SOUTH DOORS.
Emergency Medical Plan 10/21/1992
MEDICAL ASSISTANCE WILL BE SUMMONED THOUGH DIALING 9-9-1-1 FROM ANY
TELEPHONE.
-6- 07/12/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/22/1990 ~
PLASTIC CONTAINERS ARE OVERPACKED IN CARDBOARD BOXES FOR STACKING IN
STORAGE. THIS ALLOWS LEAKS TO BE DETECTED BY DISCOLORATION OF PACKAGING.
Release Containment
03/22/1990
PLASTIC CONTAINERS IN USE ARE PLACED INSIDE SECONDARY CONTAINMENT PLASTIC
TRAYS. INSIDE STORAGE & USE AREAS ARE VENTED TO PURGE VAPORS.
Clean Up
11/21/2000
STORAGE AREA IS EQUIPPED WITH PLASTIC 40 GAL TRASH CAN FOR TEMPORARY STORAGE
OF CONTAIMINATED CARTONS. USE AREA IS TILE LINED WITH FLOOR DRAIN FOR WATER
FLUSHING OF SPILLS (AS PER MSDS).
V1~11C1 1CC b"V LLLVC tiC:L1VCL 1.1 V11
-7- 07/12/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aYC~:.i.ai ncic,aLU~
Utility Shut-Offs 02/02/2007
A) GAS - OUTSIDE CTR W WALL
B) ELECTRICAL - OUTSIDE CTR W WALL
C) WATER - MAIN VALVE UNDER SIDEWALK SW CRNR OF PROP
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire ProteC./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR TRUXTUN & CHESTER AVE.
11/22/2006
Building Occupancy Level
26 EMPLOYEES
03/16/2006
-8- 07/12/2007
~ . ~ ~
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 11/22/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMAY OF TRAINING PROGRAM: EMPLOYEES ARE INITIALLY INSTRUCTED ON THE
LOCATION OF MATERIAL SAFETY DATA SHEETS AND THE INFORMATION CONTAINED
THEREIN. SPECIAL EMPHASIS IS PLACED ON HEALTH RISKS ESPECIALLY DUE. TO
CONTACT WITH EYES OR SKIN, AND THE PROCEDURES APPERTAINING TO SPILLS OR
LEAKS.
rciyc ~
nciu ivi ru~.utc vac
Held for Future Use
-9- 0~/12/200~
+ KERN
CO HALL OF RECORDS =____________________________ SiteID: 015-021-000426 +
Manager
Location: 1655 CHESTER AVEI
City BAKERSFIELD
CommCode: BFD STA Ol
EPA Numb:
BusPhone: (661) 868-6400
Map 103 CommHaz High
Grid: 30C FacUnits: 1 AOV:
SIC Code:9199
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JEANI SMITH / ASST' RECORDER PAT LEMAY / REC MGMT SUPR
Business Phone: (661) 868-6411x Business Phone: (661) 868-6433x
24-Hour Phone (661) 588-9566x 24-Hour Phone (661) 822-1428x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React ImmHlth
Contact Phone: (661) 868-6400x
MailAddr: 1655 CHESTER AVEI State: CA
City BAKERSFIELD Zip 93301
Owner COUNTY OF KERN Phone: (661) 868-6400x
Address 1415 TRUXTUN AVE. State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
~NT`'~ ~"~~ :~ Z~
b6
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
~3 ~~ 6
Date
-1- 02/28/2006
~~y` ''~ CITY OF BAKERSFIEI.D FIRE DEPARTMENT
~ ~ OFFICE OF ENVIRONMF.NTAi, SERVICES
~ •~ UNIFIED PROGRAM INSPECTION CHECKLIST
y
.w ~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ` ~ !/ d/ S INSPECTION DATE /(~ /~- U~ _
ADDRESS l~ Che ~ PHONE NO.
FACILITY CONTACT ' L~a~ BUSINESS ID NO. 15-210-
[NSPECTION TIME /~-% / NCIMBER OF EMPLOYEES ~>
Section 1: Business Plan and Inventory Program
^ Routine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business 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
~~~ i _
C=Compliance V=Violation v/ ~~Z ~~~T ~~
Any hazardous waste on site?: ^ Yes ~No c`'`-`~ ~ ~ enc. r~ ~0 t
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979 ~ usiness it Respon ~ le Party
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy Inspector:
~.~ ~ b COUNTY OF KERN R1NT C7ATE ~.o. ~~ ~R ~ ''"~""'A*~:,,
PURCHASING DIVISION R
1115 TRUXTUN AVE. BAKERSFIELD, CA. 93301-4639 .'' 0 7 3 3 2 7 1/ 3
661-868-3000 0 7/ 0 7/ 2 0 0 6
PURCHASE ORDER
"- PURCHASE ORDER NUMBER AND SHIP TO
0 2 2 3 7 6 INFORMATION MUST APPEAR ON ALL
-,_ [,~~ El+i 1~; (r ytJVOICESANDSHIPPINGLABELS.
{~ ~~ ~p CO NTY OF KERN qq p
CITY OF BAKERSFIELD K~~ ~"~`'~'~ ~~SHIPTO ES d.I ~/~
PO BOX 2057 Recorder
BAKERSFIELD CA 93303 1655 Chester Ave.
Bakersfield CA 93301-5232
SEE BELOW FOR INVOICING INSTRUCTIONS
s.,~g P~AY~~IEI'~~~TERkA__-__`_..., "~~1 e`,t ~~ ..W...._...~ BIDO~FZ E~ _ ,~-.
~-r
Destination Net As Required 02705-07-000014
1.0 1.00 BLNKT $528.06 $528.06
Miscellaneous Services provided by the City
of Bakersfield including:
Haz Mat Fee Group 9 - $224.00
Haz Mat Annual Inspection - $93.00
Sm Quantity Haz Waste Generators - $72.00
CA State Haz Mat Surcharge - $24.00
_ ~ _ Ghe-~+te.r ~.venue< r:a-n.dsca.n i nq_ - $115 . 0-6 -_ - : , = ._.
Contact: Jeanne Lov~n
Phone: 326-3678
INVOICING INSTRUCTIONS
INVOICES MUST BE SUBMITTED IMMEDIATELY UPON pELIVERY OR
PERFORMANCE OF ITEMS OR SERVICES TO:
Assessor
Accounts Payable
1115 TRUXTUN AVE FL 3RD
~~~' ~ ~
sY
~
7/07/06
BAKERSFIELD CA 93301-4639 DEPUTY PURCHASING AGENT DATE
NOTE: IF UNABLE TO FILL ORDER IN TIME PROMISED OR INVOICE EXACTLY IN ACCORDANCE WITH DESCRIPTION UNIT AND PRICE HEREON,
CONTACT PURCHASING DIVISION FOR INSTRUCTIONS. ASK FOR: Cd rol Cox(661) 868- 3034
NOTE: CONDITIONS PRINTED ON THE REVERSE HEREOF, SHALL BECOME A PART OF THIS CONTRACT.
TOTAL $528.06
DEPT.# 02705 P.O.# 073327 EXP. CODE 7700 66 AMOUNT $528.06
VENDOR#022376 TAX ID#956000672 EXP. CODE AMOUNT
EXP. CODE AMOUNT
EXP. CODE AMOUNT
-~ `y COUNTY OF KERN
PURCHASING DIVISION
1115 TRUXTUN AVE. BAKERSFIELD, CA. 93301-4639
661-868-3000
PURCHASE ORDER
022376
CITY OF BAKERSFIELD
PO BOX 2057
BAKERSFIELD CA 93303
r ` RINT T
07/07/2006 073327 2/3
PURCHASE ORDER NUMBER AND SHIP TO
INFORMATION MUST APPEAR ON ALL
INVOICES AND SHIPPING LABELS.
COUNTY OF KERN
SHIP TO
Recorder
1655 Chester Ave.
Bakersfield CA 93301-5232
Destination Net As Required 02705-07-000014
If not already provided, Vendor must have a
current insurance certificate on file with
the County of Kern, meeting all County
requirements, prior to performing any
on-site service(s).
All insurance coverage requirements shall be
-_ - - -- - ma°nt-a~ned -by~Jen-do-r a-rltil completion -o f- -all
of Vendor's obligations to the County, and
shall not be reduced, modified or canceled
without thirty (30) days prior written notic
to the County Purchasing Agent. The
certificate(s) shall state that there shall
be at least 30 days notice to the County if
the insurance is to be canceled, non-renewed
or if there is any material change in
coverage.
Partial payments will be made upon receipt o
SEE BELOW FOR INVOICING INSTRUGTIONS
i:'~IV~~~iF RIG ~N ST(?11.r,T~C+NC
INVOICES MUST BE SUBMITTED IMMEDIATELY UPON DELIVERY OR
PERFORMANCE OF ITEMS OR SERVICES TO:
Assessor
Accounts Payable
1115 TRUXTUN AVE FL 3RD BY
BAKERSFIELD CA 93301-4639
C~~-- ~
07/07/06
DEPUTY PURCHASING AGENT
DATE
NOTE: IF UNABLE TO FILL ORDER IN TIME PROMISED OR INVOICE EXACTLY IN ACCORDANCE WITH DESCRIPTION UNIT AND PRICE HEREON,
CONTACT PURCHASING DIVISION FOR INSTRUCTIONS. ASK FOR: Cd rol Cox (661) 868- 3034
NOTE: CONDITIONS PRINTED ON THE REVERSE HEREOF. SHALL BECOME A PART OF THIS CONTRACT.
DEPT.# 02705
VENDOR #022376
P.o. # 073327
TAxID# 956000672
EXP. CODE 7 7 O O
EXP. CODE
EXP. CODE~~ ^~
EXP. CODE
TOTAL $528.06
66 AMOUNT $528.06
AMOUNT
AMOUNT
AMOUNT
:~_ •- COUNTY OF KERN
PURCHASING DIVISION
1115 TRUXTUN AVE. BAKERSFIELD, CA. 93301-4639
661-868-3000
PURCHASE ORDER
022376
CITY OF BAKERSFIELD
PO BOX 2057
BAKERSFIELD CA 93303
RAN ~ ~T P.o.
,.-
.,
" 07/07/2006 073327 3/3
PURCHASE ORDER NUMBER AND SHIP TO
INFORMATION tv1UST APPEAR ON ALL
INVOICES AND SHIPPING LABELS.
COUNTY OF KERN
SHIP TO
Recorder
1655 Chester Ave.
Bakersfield CA 93301-5232
SEE BELOW FOR INVOICING INSTRUCTIONS
I
.@ - ~ 'ERR. ~ - _ !'2EQt ~r
Destination Net As Re uired 02705-07-000014
q
itemized triplicate invoicing. This blanket
order establishes funding for the authorized
acquisition of the materials and/or services
as specified for the period 7/1/2006 through
6/30/2007.
Not to exceed including California sales tax,
if applicable.
!NV~I~!Nr INSTR~acT!on!s -
INVOICES MUST BE SUBMITTED IMMEDIATELY UPON DELIVERY OR
PERFORMANCE OF ITEMS OR SERVICES TO:
Assessor
Accounts Payable
1115 TRUXTUN AVE FL 3RD
BAKERSFIELD CA 93301-4639
ubtotal
Tax
Total
$528.06
$0.00
$528.06
C~~~_ ~ 07/07/06
BY
DEPUTY PURCHASING AGENT DATE
NOTE: IF UNABLE TO FILL ORDER IN TIME PROMISED OR INVOICE EXACTLY IN ACCORDANCE WITH DESCRIPTION UNIT AND PRICE HEREON,
CONTACT PURCHASING DIVISION FOR INSTRUCTIONS. ASK FOR: Cd rol Cox (661) 868 -3034
NOTE: CONDITIONS PRINTED ON THE REVERSE HEREOF, SHALL BECOME A PART OF THIS CONTRACT.
DEPT. # 02705 P.O. # 073327
vENDOR#022376 TAxID# 956000672
EXP. CODE 7 7 O O
EXP. CODE
EXP. CODE- .-
EXP. CODE
TOTAL
66
$528.06
AMOUNT $528.06
AMOUNT
AMOUNT
AMOUNT
~.:
_~ '~
KERN CO HALL OF RECORDS SiteID: 015-021-000426
- ,
Manager ~q,,u ~~ ~ BusPhone: (661) 868-6400
Location: 1655 CHESTER AVE Map 103 CommHaz High
City BAKERSFIELD Grid: 30C FacUnits: 1 AOV:
CommCode: BFD STA O1
EPA Numb:
SIC Code:9199
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JEANI SMITH / ASST RECORDER PAT LEMAY / REC MGMT SUPR
Business Phone: (661) 868-6411x Business Phone: (661) 868-6433x
24-Hour Phone (661) 588-9566x 24-Hour Phone (661) 822-1428x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards:
React ImmHlth
Contact ~AT ~MAY Phone: (661) 868-6400x
MailAddr: _
_
1 55 CHESTER AVE. ~ - State: CA
City BAKERSFIELD ~ Zip 93301
Owner ~ COUNTY OF KERN Phone: (661) 868-6400x
Address 1415 TRUXTUN AVE State: CA
City BAKERSFIELD Zip 93301
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ VdASTE GEN
~NT`® ~~~ ~ s ,~
X07
Based on my inquiry of thase individuals
responsible for obtaining ?he inforrrta~tion, l certify
under penalty of law that I have personally
examined and am fiamiliar with the information
submitted and believe the information is true,
ac rate, and c plete.
Signature ~ ~~ Da
-1- 02/02/2007
;a
t i,
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
KODAK PROSTAR PLUS R IH L 60.00 GAL Hi
KODAK PROSTAR FIXER R IH L 60.00 GAL Hi
WASTE FIXER R IH L 40.00 GAL Min
-2- 02/02/2007
-3- 02/02/2007
F KERN CO HALL OF RECORDS
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
KODAK PROSTAR PLUS
Location within this Facility Unit
INSIDE SW CRNR
STATE TYPE PRESSURE
Liquid TMixtur~mbient
SiteID: 015-021-000426 ~
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
123-31-9
TEMPERATURE CONTAINER TYPE
Ambient ~ LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 60.00 GAL 60.00 GAL
1'1HG1-itCL V U .7 l: V1~lY V1V L' 1V 1 ~J
%Wt. RS CAS#
2.00 Hydroquinone (EPA) No 123319
5.00 Sodium Sulfite No 7757837
5.00 Potassium Sulfite No 10117381
riE~GHKL A551;5~1~11;1V'1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
KODAK PROSTAR FIXER Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SW CRNR CAS#
7783-18-8
LiTAid Mixture Ambient~E AmbientTURE CONTAINER TYPE
qu' T ~- ~ ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 60.00 GAL 60.00 GAL
tl[-]GtitCL V U .7 1. VP7Y V1V ~1V -1 .7
%Wt. RS CAS#
20.00 Ammonium Thiosulfate No 7783188
5.00 Ammonium Sulfite No 10196202
5.00 Sodium Sulfite No 7757837
nr~~tircl.~ s~~~l~.~al~ilJlvta
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4- 02/02/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE FIXER Days On Site
365
Location within this Facility Unit Map: Grid:
CENTER OF BASEMENT CAS#
7783-18-8
Liquid TWaste ~ Ambient~E ~ AmbientT~E ~ PLA.STIOCTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 40.00 GAL 20.00 GAL
rieauti[u~V V.7 L.V1•lt'V1Vr,iv to
oWt. RS CAS#
20.00 Ammonium Thiosulfate No 7783188
5.00 Sodium Acetate No 127093
iztiutu~L r~a ~~o~rlatvta
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Min
-5- 02/02/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 07/30/1999 ~
EMPLOYEES ARE INSTRUCTED TO REPORT ANY INCIDENT IMMEDIATELY TO THE
SUPERVISOR WHO WILL NOTIFY EMERGENCY RESPONDERS BY DAALING 9-9-1-1 (THE
PREFIX 9 REQUIRED FOR OUTSIDE LINE).
Employee Notif./Evacuation 10/21/1992
MICRO PHOTOGRAPHERS IN THE VICINITY OF HANDLING & STORAGE AREAS ARE CLOSE
ENOUGH IN PROXIMITY TO BE VERBALLY WARNED TO EVACUATE. TWO DIRECTIONS OF
EGRESS FROM THE PROCESSING AREA ARE EAST INTO WAITING AREA & NORTH TO DATA
ENTRY.
Public Notif./Evacuation
10/21/1992
SUPERVISORS IN EACH DEPARTMENT AREA WITHIN THE BUILDING WILL BE NOTIFIED TO
ASSIST EVACUATION OF PUBLIC THROUGH INTER-OFFICE PHONES. THEY WILL ISSUE
VERBAL EVACUATION DIRECTIONS FOR PUBLIC TO EXIT EAST MAIN & SOUTH DOORS.
Emergency Medical Plan
10/21/1992
MEDICAL ASSISTANCE WILL BE SUMMONED THOUGH DIALING 9-9-1-1 FROM ANY
TELEPHONE. '
-6- 02/02/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/22/1990 ~
PLASTIC CONTAINERS ARE OVERPACKED IN CARDBOARD BOXES FOR STACKING IN
STORAGE. THIS ALLOWS LEAKS TO BE DETECTED BY DISCOLORATION OF PACKAGING.
Release Containment 03/22/1990
PLASTIC CONTAINERS IN USE ARE PLACED INSIDE SECONDARY CONTAINMENT PLASTIC
TRAYS. INSIDE STORAGE & USE AREAS ARE VENTED TO PURGE VAPORS.
Clean Up
11/21/2000
STORAGE AREA IS EQUIPPED WITH PLASTIC 40 GAL TRASH CAN FOR TEMPORARY STORAGE
OF CONTAIMINATED CARTONS. USE AREA IS TILE LINED WITH FLOOR DRAIN FOR WATER
FLUSHING OF SPILLS (AS PER MSDS).
v1.11C S. 1.CC .5"V UL C:C LiC: l.1VdL1~Il
-7- 02/02/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.~~c~.iai nac.atu~
Utility Shut-Offs 02/02/2007
A) GAS - OUTSIDE CTR W WALL
B) ELECTRICAL - OUTSIDE CTR W WALL
C) WATER - MAIN VALVE UNDER SIDEWALK SW CRNR OF PROP
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 11/22/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
FIRE HYDRANT - SW CRNR TRUXTUN & CHESTER AVE.
Building Occupancy Level 03/16/2006
26 EMPLOYEES
-$- 02/02/2007
F KERN CO HALL OF RECORDS SiteID: 015-021-000426 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 11/22/200.6 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMAY OF TRAINING PROGRAM: EMPLOYEES ARE INITIALLY INSTRUCTED ON THE
LOCATION OF MATERIAL SAFETY DATA SHEETS AND THE INFORMATION CONTAINED
THEREIN. SPECIAL EMPHASIS IS PLACED ON HEALTH RISKS ESPECIALLY DUE TO
CONTACT WITH EYES OR SKIN, AND THE PROCEDURES APPERTAINING TO SPILLS OR
LEAKS.
rayc ~
nC1u 1VL ruLULC lJSC
nclu ic~r r u~ure use
-9- 02/02/2007
Bakersfield Fire Dept.
UNIFIED PROGRAM INSPECTION CHECKLIST ~ Environmental Services
~~ ~~"°"~~~~ -~ '° 900 Truxtun Ave., Suite 210
- SECTION 1 Business .Plan and Inventory Program Bakersfield, CA 93301
• Tel: (661)_326-3979 _
INSPECTION DATE INSPECTION TIME
FACILITY NAME
ADDRESS PHONE No. No. of Em to ees
FACILITYCONTACT Business ID Number
T~,.,,~ _S~r~~ ~s-o21-
Section 1: Business Plan and Inventory Program
Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
•
ANY HAZARDOUS WASTE ON SITE?: AYES ^ (VO ~`
j~ ~y--
EXPLAIN: k/'~~ / f
~Gf dC ~ /--'
l~ 1 ~. ~ ®l.S / / ` 1
[ /ST2 Gl.
•
QUESTI`ONS~REGARDING THIS INSPECTION? PLEASE CALL US AT (66~~ 326-3979
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
Bus' e s Site Responsi a PaAy (Please Print)
rn
8
Pink • Business Copy