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HomeMy WebLinkAboutBUSINESS PLAN CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole~/~9 ~ 4. Be as brief and concise as possible. SECTION I. 1; BUSINESS IDENTIFICATION DATA MAILING ADDRESS: SECTION 1.2: EMERGENCY NOTIFICATION CONTACT TITLE BUS.PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING'PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: SHUT-OF _OCATION OF SHUT-OFFS AT YOUR FACILITY)_ ELECTRICAL: WATER: SPECIAL: ~~ LOCK BOX: YE IF YES, LOCATION: PRWATE FIRE pROTECTION/WATER AVAILABILITY HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION IS C I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO ' FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND .~~CCURAT~. ORMATION CONSTITUTES PERJURY. $IGNXTI_~/ / TITLE DATE 4 . CITY OF BAKERSFIE~ ~ ; ~a .~r- ,.~._..,~, OFFICE OF ENVIRONMENTAL SERVICES t~r 1715 Chester Ave., CA 93301 (661) 326-3979 *.~.,.~~a,...~...* HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ,~/ (one form per matedal per building or ama) NAME (Same as FACILITY NAME 3 []Yes []No 202 2O4 205 TRADE SECRET CHEMICAL NAME ~ ' No 206 20? COMMON NAME EHS* [] Yes [] No 208 FIRE CODE HAZARD CLASSES (C,~mplete if requested by local fire chief} 210 TYPE .El p PURE r"~ m MIXTURE ~ WASTE 211 RADIOACTIVE r'~yes ~o 212 I CURIES 2.13 PHYSICAL STATE [] s SOLID LIQUID [] g GAS 214 LARGEST CONTAINER ~ 215 FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) DAYS ON SITE ~ 222 UNITS* [] ga GAL [] d CU FT [] lb LBS [] tn TONS 221 ° If EHS. amount must be Jn lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK /~e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS Bo'rrLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [ [] f CAN . [] j BAG [] n PLASTIC BO3-1'LE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE '~.a AMBIENT E] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd CITY OF BAKERSFII OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ~-NE~/ I'-I ADD I'-I DELETE D REVISE ~ -- 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 | CHEMICAL LOCATION .~6..~(~ (~/-~-00~'C~'* '~ /(~"~ 2011CONFIDENTIAL (EPCRA)CHEMIC'AL LOCATION DYes r-]No 202 FACILITY'D# 'l ~ [.'-~,.1MAP#(optional) 203 GRID # (ap~na/) · 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME ~ ~.) ~r"'"(~ If Subject tO EPCRA, refer tO instnJctions 2O7 COMMON NAME EHS* [] Yes [] No 208 CAS# FIRE CODE HAZARD CLASSES (Complete If requested by local fire chief) 210 TYPE [] p PURE ~'m MIXTURE [] w WASTE 211 I RADIOACTIVE [] Yes [] No 212 CURIES 213 [] s SOLID ~ LIQUID ["] g GAS 214I LARGEST CONTAINER PHYSICAL STATE 215 FED HAZARD CATEGORIES ~ 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~k all that apply) ANNUAL WASTE 217 I MAXIMUM (~ 218 I AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT UNITS* '~ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 DAYSON SITE 222 ' If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] · PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-FLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG ~ PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 230 23'1 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd ITE DIAGRAM ! i FACII2'FY DIAGRAM Business Name: Business Address: CENTRAL CALIFORNIA CLEANING SUPPLY Equipment and Chemicals For The Professional Cleaner TONY LIMA (805) 834-8600 5610 District Blvd. (888) 815-3500 Suite # 105 Fax (805) 834-8675 Bak~ersfield, CA 93313 Fresno (800) 336-2829 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N__. 9 3 4 Location Sub Div.. BIk. . Lot You are hereby required to make the following corrections at the above location: Cot. No Comp]et.ion Dale fo,' Corrections ~' /I% /~ InspectOr 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROG.,RAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 4: Hazardous Waste Generator Program EPA ID # [] Routine [~[,Cornbined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous xvaste determination has been made EPA ID Number (Phone:916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire. or explosion xvithin 15 days of occurance Established or maintains a contingency plan and training Hazardous waste accumulation time fi'ames Containers in good condition and not leaking Containers are compatible ~vith 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 Retains copies of used Determines if waste is restricted fi'om land disposal Inspector: Office of Environmental Services (805) 326-3979 iness Site R~:sponsible Party White - Env. Svcs. Pink - Business Copy CENTRAL CALIFORNIA CLEANING SUPPLY Equipment and Chemicals For The Professional Cleaner JOE MARIN (805) 834-8600 5610 District Bird, (888) 815-3500 Suite # 105 Fax (805) 834-8675 Bakersfield, CA 93313 Fresno (800) 336-2829 / F'ROH : STEN,~x.i~ENIE PHONE NO. : 310 8~14 142~ t/z/ ,~_ GO DSTU~F ' R MA1 E [AL SAFETY DATA SHEET LC610 Page I of 2 ,~a~ ,=s~ s,=a,,~ tv Steam Genie, inc. [ME~G[NCY Spill, Leak, Fire, Exposure or Acei&nt 1320 W. Walnut St. Call D~y or Night C~M-~L ~C.: 800-255-3924 Compton, CA 90220 INFO'~ATION Telephone Number: 800-345-2411 Date Prepared: 7/21/97 [ S[CTION 2 H~.zardous Ingredients/Identity lnfor.nation , aazardous C0nwonents I ' CAS~ .*~.(Opti0'n'}fl) ~ .... Threshold Limi~ ......... Isopropyl ~cohoi 87-83-0 TWA: 400 pp~STEL: 500 ppm "sECTto~q' 3 Physical/Chemical Characteristics ,, Boiling Point: 180 Degrees F I Specific Gravity CWater~l): 1.o ,, Vapor Pressure (mm Idg,): N/A 1 Melting Point: N/A Vapor Density (Air=l): N'/A Evaporation Rate: ND' pH= N/A (Butyl Acetate=l) .' Solubility in Water: Complete Appearance and Odor: Clear liquid, cherry odor sE_cTION 4 ..... Fire and Explosion Hazard Data ,' Flash Point (Method Used): 63 Degrees F TOC Extinguishing Media: CO2 or d,y chemical Special Fire Fighting Procedures: Treat as flammable liquid, use self contained breathing apparatus, Unusual Fire and Explosion Hazards: Vapors may ignite, Stability: Unstablel---[ Conditions to Avoid: None known Stable Incompatibility (Material to Avoid): None known Hazardous Decomposition or ByTproducts: Hazardous May Occur [3 Co~ditions to Avoid: Polymerization: Will Not Occur ~ ,. Bealth Bazar Data Routes of Entry: "' iahalatior[ Eye~i Skin, ingestion Carcinogen: '~o Signsand Symptoms of Exposure: Inhalation: Irritation of nose and throat; above TLV may cause headaches and drowsiness, Eyes: Moderate irritation, possible corneal injury, Skin} Prolonged contact may cause drying and crackingl Ingestion: Slightly toxic; large quantities may cause dro/wsmess or loss of consciousness, stomach cramps, pain, vomiting and diarrhea. ,..-' FROM : STEAM GENIE PHONE NO. : 310 604 1427 Aag. 16 1999 02:58PH P2 MATER[AL SAFETY DATA SHEET I STEAM GEN~, INC., 1320 W. Walnut St., Compton, CA 98" ' OODSTU'FF ...... ' Page 2 of ~ Medical Conditions Generally Aggravated By Exposure: Pre-existing eye, skin or respirato~ conditions may be aggravated. Emergency and First Aid Procedures Inhalation: Remove to fi'esb air. If breathing stops, give artificial respiration and get prompt medical attention, Eyes: Flush eyes i~ediately with lots of water for at least 15 minutes, Get medical attention, Skin: Flush skin with water. Remove contaminated clothi:)g. Ingestion: Give lots of water, induce vomiting and get prompt medical attention. ls c, ............... 'l ION Control Measures Respiratory Protection: ~;ctfcontained breathing apparatus in high concentrations, Ventilafirm: Provide good general ventilation. Protective Gloves: Where prolonged contact is possible, use butyl rubber or other impervious gloves, Eye Protection: Where contact may be a problem use chemical safety goggles. Other Protective Clothing or Equipment: As required hy employer roles. Work/Hygenic Practices: Wash hands thoroughly after using, practice good personal hygiene, Steps to be Taken in Case Material is Released or Spilled: Collect large spills for disposal; flush small spills with water. Make sure area has no ignition source, Waste Disposal Method: Ireatment, storage, transportation and disposal of this material must be in accordance with applicable federal, state and local regulations. Precautions to be Taken in Handling or Storage: WARNING! Flammable! Keep in closed container away from sparks and flame. Other Precautions: None known