HomeMy WebLinkAboutBUSINESS PLAN 10/9/2003 Hazardous Materials/Hazardous Waste Unified Permit
· CONDITIONS OF PERMIT ON REVERSE SIDE:
This ~rmit is issued for the followinp:
I~ Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
Permit ID #:: 015-000-000922 [] Risk Management Program
M R C L E A N E RS [] Hazardous Waste On-Site Treatment
LOCATION: 5444 CALIFORNIA AVE
Issu~ by: Bakersfield Fire Depa~ment
OFFICE OF EN~RONMENTAL SER VICES' ' ~ ·
~~~ 1715 Chester Ave., 3rd Floor Approved by: ~(mlp, Hu~.D~i~ ~ Issue rote
Bakersfield, CA 93301 Omccofev~S~ic~
Voice (661) 326-3979
F~ (661) 326-0576 Expiation Date:
'- ' Bakersfield Fire Dept.
Enironment~! Semrlces
1715 Chester Ave
SECTION I Business Plan and Inventory' Pi'Ogram Bakersfield, CA 9330
Tel: (661)326-3979
ADDRESS PHONE No. No. of Employees
c~/~- ~, ~z.- ~ /
FAOILITYOONTAGT
.~' ...: ~?~'~:::. ~ :'.--':~; ~/. Sec,on.~. ~: sus~,esS,~an.ana ~,v~n~.prm~
~tine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
C V [ C:Compliance '~ OPERATION COMMENTS
~. V=Violation ]
'~[] APPROPRIATE PERMIT ON HAND
· .. .~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE
l--J VISIBLE ADDRESS
/[~/ [] CORRECT OCCUPANCY
~ [] VERIFICATION OF INVENTORY MATERIALS
,J~ [] VERIFICATION OF QUANTITIES
~[] VERIFICATION OF LOCATION
J~[] PROPER SEGREGATION OF MATERIAL
~ [] VERIFICATION OF MSDS AVAILABILITYE
~ [] VERiFiCATION OF HAT MAT TRAiNiNG
1~[~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~"-[] EMERGENCY PROCEDURES ADEQUATE
[~"'~[] CONTAINERS PROPERLY LABELED
~ [] HOUSEKEEPING
(~[] FIRE PROTECTION
J~ [] SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: [] YES j3/No
EXPLAIN:
~~~'QUESTIONS~ REGARDING THIS__ INSPECTION?i ........ PLEASE~//~CALL US AT (661) 326-3979 _R__~~~' ~.
Inspector Badge No. Business Sit~le Party
White - Environmental Services Yellow - Station Copy Pink - Business Copy / / C_..~.~,
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME //q,~- ~/~,,.q,~J~e.~ INSPECTIOND. ATE //-"-/5
ADDRESS 3'-z/q¥ ~.,~--/It~,,,.,L,~ ~',t. PHONE NO. ( .~O/~)"~'~.Z--
FACILITY CONTACT,~4.},~O D..5'dd.e,4,4Y'f BUSINESS ID NO. 15-210-
INSPECTION TIME__~0/.' '~'R NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
~Routine [~ Combined I~ Joint Agency [~ Multi-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 .-/ ~q/-~S/~(5. d~}~,/~ ..-~///~,.~
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~Y~ [~ No
Explain: ..,~""G~q../f
Questions regarding this inspection? Please call us at (661) 326-39'/9 ;Responsible Party
PvWe o_.. II ,
SiteID: 215~000-000922
'~ ...... :,'.?'~ ~ '?~-: ' ~ BusPhone: (805) 322-9030
Location: 5444 CALIFORNIA AVE ~ .... .-~ ,-'~, Map : 102 CommHaz : Minimal
' ~ ~' Grid: 34D FacUnits: 1 AOV:
City : BAKERSFIELD ~
CommCode: BAKERSFIELD STATION 11 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
RAJAB A. SHARBATI / OWNER MIRIAM SHARBATI / WIFE
Business Phone: (805) 322-9030x Business Phone: (805) 322-9030x
24-Hour Phone : (805) ~ 24-Hour Phone : (805)
Pager Phone : ( ) ~ ~7 Pager Phone : ( )
Hazmat Hazards: Fire React ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 5444 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93309
Owner RAJAB ALI SHARBATI Phone: (805) Ez~x
Address : 8425 STUART CT State: CA
City : BAKERSFIELD Zip : 93311
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
~ Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax Unit MCP
PERCHLOROETHYLENE DRY CLEANING F R IH DH L 100.00 Low
Uype or print name)
reviewed the attached hazardous materials manage-
mom plan ~or ~ ~. ~ ~,,~_~_./~,~:~ ~ha~ i~ along
' ' (Name of Business) ~'~..~
any corrections constitute a complete and correct man-
agsrnsnt plan for m~ facility.
-1- 12/14/1999
~ BIZZY BEE #2 SiteID: 215-000-000922
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
-- COMMON NAME / CHEMICAL NAME
PERCHLOROETHYLENE DRY CLEANING SOLVENT Days On Site
365
Location within this.Facility Unit Map: Grid:
IN DRY CLEANING MACHINE AT REAR OF STORE. CAS#
127184
rSTATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid ~/Pure I Ambient I Ambient IN MACHINE/EQUIP
AMOUNTS AT THIS LOCATION
Largest Container Daily~ Maximum Daily Average
100.00 90.00
HAZARDOUS COMPONENTS
%Wt. oRS CAS#
100.00 Perchloroethylene N 127184
HAZARD ASSESSMENTS
TSecretl oRS BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP
No N No No/ Curies F R IH DH / / / Low
2 12/14/1999
~ BIZZY BEE #2 SiteID: 215-000-000922
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 10/16/1995
TWO PHONES IN STORE, ONE IN FRONT, ONE IN BACK, TO BE USED TO DIAL 9-1-1 IN
CASE OF EMERGENCY.
~ Employee Notif./Evacuation 10/16/1995
VERBAL WARNING IS SUFFICIENT TO NOTIFY EMPLOYEES AND CUSTOMERS TO QUICKLY
LEAVE THE STORE THROUGH THE FRONT ENTRANCE.
Public Notif./Evacuation 10/16/1995
PUBLIC IS NOT ALLOWED ANYWHERE EXCEPT RECEPTION AREA IMMEDIATELY INSIDE
FRONT DOOR.
Emergency Medical Plan 10/16/1995
MERCY SOUTHWEST HOSPITAL.
-3- 12/14/1999
BIZZY BEE ~r2 ~6~~6~~~~ SiteID: 215-000-000922 i
Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i
i~ Release Prevention ~~~~~~~ 10/16/1995 i
o
DRY CLEANING ~CHINE IS SELF CONTAINED. o
o
i~g~ Release Contaiment ~g~g~~~~g~ 10/16/1995 i
O
OWNER PE~ODICALLY REMOVES WASTE SOLVENT FROM MACHINE INTO 5 GALLON BUC~T.
LID IS ~PT ON TIGHT WHILE WASTE IS IN STOOGE.
O
O
i~ Clean Up ~~~~~~~~ 10/16/1995 i
O
WASTE SOLVENT AND FILTERS A~ REMOVED BY "~D" DISPOSAL, A LICENSED o
~ZARDOUS WASTE HAULER.
o
i~ Other Resource Activation
O
o
-4- 12/14/1999
i BIZZY BEE//2 ~66~~~6~~~ SiteID: 215-000-000922
i~ Site Emergency Factors ~~~~~~ Overall Site i
i~ Special Hazards
o
o O
aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~f
iEEE Utility Shut-Offs EEEEEEE~EEEEEE~EE~EEEEEEEE~EEEEEEE~EEEEEEE 10/16/1995
O o
o NATU~L GAS/PROPANE: NORTHWEST CO~ER OF BUILDING COMPLEX.
O O
o ELECT~CAL: AT ~AR OF STO~. o
o O
o WATER: INSIDE BOILER/STOOGE ROOM. o
O O
o SPECIAL: NONE
O O
o LOCK BOX:
O o
i~ Fire Protec./Avail. Water ~~~~g~~ 10/16/1995 i
o P~VATE FIRE PROTECTION: FIRE EXTINGUISHER INSIDE STO~.
O o
o WATER AVAILABILITY: AT CALIFORNIA AND LENNOX.
O O
i~ Building Occupancy Level
-5- 12/14/1999
BIZZY BEE #2/5~6~5/~6~6~56~/~5~5~/~6~666~~66~ SiteID: 215-0004:)00922
Training ~~~~~~~e~~ Overall Site
iee Employee Training eee~eeee~eee~eee6eeeee~eee~eee~e~eeee~ee 10/16/1995 i
o
NUMBER OF EMPLOYEES: 1 o
O
MATERIAL SAFETY DATA SHEETS: IN BACK OF STORE, ON MACHINE. o
O
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE GIVEN INITIAL AND ANNUAL o
TRAINING ON HAZARDS OF PERCHLORETHYENE. HOWEVER, ONLY THE OWNER OPERATES o
THE CLEANER ITSELF. o
o
O
o
i~ Held for Future Use
O
o
i~ Held for Fumre Use
o
o
-6- 12/14/1999