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Home My WebLink AboutBUSINESS PLANl~,$~ ,~~ ~ ~ ~ ~~ Prevention Services UNI~D PROGRAM INSPECTION CHECKLIST A P R s e , 900 Truxtun Ave., suite 210 Fine Bakersfield, CA 93301 aRtM Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program s Fax: (661) 872-2171 1 FACILITY NAME INSPEC N DATE INSPECTION TIME ~./~ ~• `1 ~ C ivL6 ~ s J }io / c7 ~~'E1 v ADDRESS ~ PHONE NO. (~ ~~~ ,- NO OF EM OYEES 2~oc~ N s~ [ ~W FACILITY CONTACT BUSINESS ID NUMBER 15-021-b1S- 02/ ~ ~° _: Section.~1_: BusinessePlan and~.Inventory Progrann ~ `" ~~ ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ iN~~ ~~.. ^ 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 'yhVG ~~GC)N G~CTI~~.• ) ~' f ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~® YES ^ NO EXPLAIN: ~ ~'~~'~ ~~ ~ o QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Busine s Site / Responsib a Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~~~ ,~. ,11u~au1 ~'' Lll Fb `O4y~~~ f'1~+`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ OFFICE OF ENVIRONMENTAL SERVICES ~ •'~ iJNIFIED PROGRAM INSPECTION CHECKLIST ~k•L,'~gti~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~~ E ~ ~ ~ S ~ ~ ~ o INSPECTION DATE y' 1 b ~ `' Section 4: Hazardous Waste Generator Program EPA ID # ~~t- ®C~bd y L~ S ^ Routine ~ Combined ^ Joint Agency ^Multf-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 occurcence Established or maintains a contingency plan and training Hazardous waste accumulation time frames ~,4I,e, ~ Je ~-}- Containers in good condition and not leaking 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 tine Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste /~ Proper management of lead acid batteries including labels /li Proper management of used oil filters /~ ~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC ~~'Y N. _ _ f ~y. vG.~ V~ Retains manifests for 3 years M~ A ~ ~ Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~,=~,ompuance v=viotanon Inspector: ~) ~ K ~--- ~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Business Site Responsible Party Pink -Business Copy it HENLEYS PHOTO INC Manager .~~'c~t.~3V Location: 2000 H ST City BAKERSFIELD SiteID: 015-021-001490 BusPhone: (661) 324-9484 Map 103 CommHaz Minimal Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: CAL000082255 SIC Code:5946 DunnBrad:02-787-6093 Emergency Contact / Title Emergency Contact / Title THOMAS F BURGH / PRESIDENT / Business Phone: (661) 324-9484x Business Phone: ( ) - x 2 4 -Hour Phone ( 6 61) ~O~T~~~ 7 Z "" ~~ 2 4 -Hour Phone ( ) - x Pager Phone (661) 747-9486x Pager Phone ( ) - x Hazmat Hazards: React Contact ~Qhli'l~ c:/ Phone: (661) 324-9484x MailAddr: 2000 H ST State: CA City BAKERSFIELD Zip 93301 Owner THOMAS BURGH Phone: (661) ~~ 324-9484x Address l ~f.?l5 ~~.,(jSSO %'k R.ID~ State : CA City BAKERSFIELD Zip 933~A-~ q~~~p Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN END FEB 2 2 2~D~ Qased on my inquiry of thaw individuals responsible for obtaining the infartt~ation, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~-~?~ ~l Signature Date -1- 01/31/2007 n , ~ HENLEYS PHOTO INC = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-001490 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE ~ ~~ x~~, R L 8 . 00 GAL Min -2- 01/31/2007 -3- 01/31/2007 T F HENLEYS PHOTO INC SiteID: 015-021-001490 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE ~- l~.l={I'~ Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR DARKROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid Waste ~mbient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 8.00 GAL 4.00 GAL riHGHKLVUJ 1:V1~lYV1VL';1V'1'S %Wt. RS CAS# Silver No 7440224 t1HG.yKL 1-1~~1';551~1~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 01/31/2007 F HENLEYS PHOTO INC SiteID: 015-021-001490 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/10/1998 ~ LOCAL FIRE DEPT TELEPHONE NUMBER 911. Employee Notif./Evacuation 01/18/2000 BY VOICE OVER TELEPHONE PAGING SYSTEM. Public Notif./Evacuation 01/18/2000 BY VOICE OVER TELEPHONE PAGING SYSTEM. Emergency Medical Plan 01/18/2000 SAN JOAQUIN HOSPITAL EMERGENCY. -5- 01/31/2007 F HENLEYS PHOTO INC SiteID: 015-021-001490 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 05/05/2006 DIKING WITH ABSORBENT/OTHER MATERIAL. BERM IN STORAGE/WORK AREAS. _~ AC1Cgw7C \.V111..R111111C11L -_---- S'o~-lam (~ f Imo- r -rl~, /4-~ ~ ~:g~v; '~v4-T~~tA- L._ TES ~ ~ ~~ P(~-~c~ (J~ ~`~~~- ~ sd 1--v~'r~~ l ~ Clean Up 05/05/2006 ABSORBENT MATERIAL. DILUTE/FLUSH (ONLY THOSE CHEMICALS ACCEPTABLE TO THE SANITARY SEWER). LICENSED HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL COMPANY. vt,llct 1CC.7VUI.C:C L"1C:l.1Vd(.1Vi1 -6- 01/31/2007 F HENLEYS PHOTO INC SiteID: 015-021-001490 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rc~i.ctl na.~caiu~ Utility Shut-Offs 05/05/2006 A) GAS - SE END BLDG IN ALLEY B) ELECTRICAL - BACK OF BLDG IN ALLEY C) WATER - NE CRNR BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/29/2006 PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - 20TH ST ALLEY BEH BLDG. Building Occupancy Level 06/02/2006 8 EMPLOYEES -7- 01/31/2007 .. F HENLEYS PHOTO INC SiteID: 015-021-001490 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/05/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: SEMI SAFETY TRAINING. rciyc G nc.iu ivl. rul.ul.C lJSC nc.LU ic~i r uLUre use -$- 01/31/2007 ;, t. + HENLEYS PHOTO INC ___________________________________ SiteID: 015-021-001490 + Manager BusPhone: (661) 324-9484 Location:. 2000 H ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:5946 EPA Numb: CAL000082255 DunnBrad:02-787-6093 Emergency Contact / Title Emergen Contact / e THOMAS F BURGH / PRESIDENT PAUL J COO VICE PRESIDENT Business Phone: (661) 324-9484x Business P -(661) 324-9484x 24-Hour Phone (661) 83,2-1439x 24-Hou one 61) 399-1986x Phone (661). ~~,,,,//~~ Pag Phone (6 632-3264x Hazmat Hazards: React Contact Phone: (661) 324-9484x MailAddr: 2000 H ST State: CA City BAKERSFIELD Zip 93301 Owner THOMAS BURGH Phone: (661) 324-9484x Address 2724 LAYTON 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 Jr/ ~~ V~a2 ~ Zoo ~~ s ~~ ~~ d Based on m i y nquiry 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, accurate, and complete. ~~ s~~ ~~ Signature Date -------------------- ---------------------------- -1- 05/05/2006