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HomeMy WebLinkAboutBUSINESS PLAN Per ~ ". _.~_.. -- -""_._----_..-- ~- --.. . t' ' : Ît to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 01S-Q21.o00S99 ONE HOUR MARTINIZING lOCATION Issued by: . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 3200 STINE This permit is issued for the following: ,ii~ª;zardous Materials Plan round Storage of Hazardous Materials qagement Program p'i" . Waste Approved by: ~~~. J...une 30, 2000 Expiration Date: .- ) .' ;. \(>' '... :"~ '"""c::._r ~--:: ,I NORTH t '!ITE/FACILITY FORM 5 DI&R~~ðð fS77;'re J:I 5.99. TflJs~ 7 FLOOR: OF ,SCALE: " ,BUS INESS NA.\fE: . I f;.}OO e DATE:ú> 'lc;- fs7 FACILITY NANE: our- rrÙ1)"CIYI/?/Yl UNIT #: OF /' {CHECK ONE) SITE DIAGRA\f .3 ;1.0 0 S"z.. I Ì'c Ç! ,~ .' \.1 /.J F- q¡ ~. ì I p~ ¡ r I i j ¡ I I I I I i i I i i I I I PµJ FACILITY DrAGR.~\{ I.J .I.. ~ " ill A- po. r -c; NI ".,., 1:' J ~ 'r~PQrL' f r~P~r!;. '\ æ pft ~ .@ ~ ~ r:¡ .? -~ %- ~ ~ ~-( \ \n - v }.... F''''o"d> I ~ It) I <) ~"Ç.-¡; I-O'J"~ U I-.J ~ c "- Boor~ E. .( -cJ (¡ ¡J.P() W l tJ W¡"1 \... .J "- {f/ P La n z- -OFFICIAL USE ONLY- (Inspector's Comments): - SA - -.I_t\_~1>-< , e 3£ø SITE/FACILITY DIAGRAM FORM 5 s//þe :tf 5 qc¡ .1)vS,P 7 ..~- ~ NORTH .SCALE : J/ / BUSINESS NA)fE: JJ~ ' . FLOOR: OF 1"- J =-15 vne ou -,... fhá/'7;rYIl Z;)\.4 DA TE : (g /1.:;-/tJ F AC I L!TY NAi'lE: UNIT #: OF . (CHECK ONE) , SITE DIAGRA.'! FACILITY DIAGRA'I / 3 ~oo S Z; I Y1' '<.. --¡e -/; tUt.. c. itl..áR ù e:t Æj / -é! N '€ --- ~sP.s [ I 1E1Yd o-+:ßLd9' @ c. I L./ ~ DTL.-O T"L. =:;$ ?-R "I'. \ . \ \ \ , c \ \ c ' 3;2.00 " =.'( ,. ~~ .- (Inspecto~'s Comments): -OFFICIAL USE ONLY- , - SA - . ÒNE iouR MARTINIZI' ' Don Doerksen Vice-President - DAN LANDON ENT. INC. 2025 Alta Vista Drive Bakersfield, Ca. 93305-3205 Phone (661) 327-8326 Fax (661) 327-30(>1 September 16,1999 Bakersfield Fire Dept Environmental Services 1715 Chester Ave. 3n1 floor Bakersfield, Ca. 93301 The One Hour Martinizing at 3200 Stine Rd. Bakersfield has been closed. P~t~~10005 ~. Don Doerksen < \. ~.~~ "\... " .~.." ... .....- . , .. " , -,.:. \ '. - //e ONE HOUR MARTINIZING SiteID: 215-000-000599 Manager : Location: 3200 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11C (805) 832-3480 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:1541 DunnBrad: Emergency Contact / Title Emergency Contact / Title DON DOERKSEN / VICE PRESIDENT NEELEY HOOPIIAINA / MAINTENANCE Business Phone: (805) 327-8326x Business Phone: (805) 327-8326x 24-Hour Phone : (805) 871-3511x 24-Hour Phone : (805) 834-7784x Pager Phone : (805) 329 7~6Bx / Pager Phone : (805) 3-2~ '±2.l~x / Hazmat Hazards: 631- 3'1n-,J React (, ~1-3'1~V Emergency Directives: One Unified List l All Materials at Site l f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP TETRACHLOROETHYLENE R L 240 GAL Low '0 ]) 'n 'V M.A 1.rØ~ ID ~ (tV~orpnmVlQlV\a) 4. 0 ~~©y OO~Ö~ ft&'3B1ft U ~~~~ f\9viewed th~ attacheJd haz~U'@ . OY$ MaQ~~&!~ m~ft1¢!g~- ment plan 1ortt, "rf1 . ~ . V~ot ~/è~~ f~~ ð~ a'(Q)~ wi~h ~U1y OOITedio61$ ~onstii4Jgs a oomn'~fte 15\"'''''' If? 1210 Olio! OOOTSim ffl2/Ti)- agsment plan ior my ~cm~. . -/"a.¿~ IQnaIU10 _I !)¡f'¿ -1- 10/24/1997 e ~I F ONE HOUR MARTINIZING f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME TETRACHLOROETHYLENE SiteID: 215-000-000599 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit NE CORNER NE CORNER Map: Grid: CAS # 127-18-4 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE IN MACHINE/EQUIP Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 240.00 GAL Daily Average 210.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Tetrachloroethylene No 127184 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Low HAZARD ASSESSMENTS -2- 10/24/1997 e ~ k F ONE HOUR MARTINIZING I p= Notif./Evacuation/Medical ¡==~:e::: Notification Employee Notif./Evacuation SiteID: 215-000-000599 l Fast Format l Overall Site l 02/14/1990 1 02/14/1990 IN THE EVENT OF A SPILLAGE OR POTENTIAL SPILLAGE, THE AREA IS TO BE IMMEDIATELY EVACUATED. PERSONNEL TRAINED IN CLEAN-UP PROCEDURE WILL IMMEDIATELY PROCEED TO CLEAN-UP SPILLAGE AS OUTLINED IN COMPANY MANUAL. THEY WILL ALSO CALL 911 FOR FIRE DEPT AND 1-800-852-7550 THE STATE OFFICE OF EMERGENCY SERVICES. Public Notif./Evacuation 02/14/1990 IF THERE IS ANY SPILLAGE OF CHEMICALS, THE PERSON IN CHARGE IS TO IMMEDIATELY EVACUATE THE CUSTOMER AREA, BEFORE STARTING THE CLEAN-UP Emergency Medical Plan 02/14/1990 EMPLOYEES WITH MINOR INJURIES ARE TO GO TO THE NEAREST EMERGENCY ROOM OR THEIR OWN DOCTOR. EMPLOYEES ARE REQUIRED TO CALL 911 WHEN A MAJOR INJURY -3- 10/24/1997 e ,\ SiteID: 215-000-000599 1 Fast Format 1 Overall Site 1 09/02/1992 F ONE HOUR MARTINIZING I p= Mitigation/Prevent/Abatemt Release Prevention ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SAMLL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. Release Containment 09/02/1992 ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SMALL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFETLY. IF SPILLAGE OCCURS, A TRAINED EMPLOYEE FOLLOWING COMPANY POLICY WILL EVACUATE THE AREA, TURN ON ALL COOLERS AND EXHAUST FAN, AND MOP UP SOLVENT WITH ABSORBANT COTTON MATERIAL. THIS MATERIAL WHEN SATURATED WITH SOLVENT WILL BE PLACED INTO THE DRY CLEANING MACHINE WHERE THE SOLVENT WILL BE Clean Up 09/02/1992 TRAINED EMPLOYEES WILL CLEAN UP SPILLAGE WITH ABSORBANT MATERIAL AND PLACE THIS MATERIAL IN CLEANING MACHINE TO BE RECLAIMED. Other Resource Activation -4- 10/24/1997 Î ~ e f) SiteID: 215-000-000599 ì Fast Format ì Overall Site ì I F ONE HOUR MARTINIZING I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 02/14/1990 A) GAS - EAST END OF SHOPPING CENTER B) ELECTRICAL - EAST END OF SHOPPING CENTER C) WATER - WEST END OF SHOPPING CENTER D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 02/14/1990 PRIVATE FIRE PROTECTION - THE BUILDING HAS A SPRINKLER SYSTEM FIRE HYDRANT - EAST SIDE OF BUILDING ON STINE ROAD NORTHEAST CORNER OF PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND EDMONTON Building Occupancy Level -5- 10/24/1997 ~ r·... ê e e F ONE HOUR MARTINIZING I F Training Employee Training SiteID: 215-000-000599 ì Fast Format ì Overall Site ì 07/15/1991 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES UPON HIRING ARE INFORMED THAT WE USE HAZARDOUS MATERIALS AND GENERATE HAZARDOUS WASTE. NEW EMPLOYEES ARE SHOWN AND INFORMED IN THE USE OF THE MATERIAL SAFETY DATA SHEETS. NEW EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO USE OUR HAZARDOUS CHEMICAL PROCEDURE BOOK, WHICH LISTS ALL OF THE CHEMICALS USED. IT ALSO GIVES IMPORTANT INFORMATION AND CLEAN-UP PROCEDURES FOR PERCHLOROETHYLENE. AFTER AN EMPLOYEE HAS BEEN HERE A FEW WEEKS, THEY ARE SHOWN A SAFETY FILM ON THE USE OF PERCHLOROETHYLENE AND THE CLEAN-UP PROCEDURES TO USE IN THE EVENT OF A SPILLAGE. THEY ARE AGAIN SHOWN AND INFORMED ON THE USE OF THE MSDS AND THE HAZARDOUS CHEMICAL PROCEDURE BOOK. Page 2 r I I Held for Future Use Held for Future Use -6- 10/24/1997 Business Name: Dt-\ E: ~ù R... KAA-~ t-ll l..1 r-J Go Location: 32.00 Síí N 6- Rs::> Business Identification No. 215-000 "er1 (Top of Business Plan) Station No. 1 Shift.ß Inspector ~. ~O~ Arrival Time: I ~()5 Departure Time: 15" ~~ Inspection Time: -;)..() /IIt¡#Jtt ~ Adequate Inadequate I!I [j li1 0 ø 0 ~ 0 p~ft()e1'"tJyUE.N 6-. ~ 0 - , ... ~~) , HAZARDOUS MA TE....S INSPECTION ¡;~j , Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material ments: ~ r~&rffr~ Tô Verification of MSDS Availability 3 Number of Employees: Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: *ersfield Fire Dept. Hazardous Materials Division . Date Completed 1 jIg Icrf :/ RECEIVED JUL 2 0 1994 HAZ. MAT. DIV. Gi 0 rr¿(' o Emergency Procedures Posted Containers Properly Labeled Comments: ~ o o o Verification of Facility Diagram Special Hazards Associated with this Facility: ~ Violations: I PRINT NAME White-Haz Mat Div Yellow-Station Copy All Items O.K /' Correction Needed L] , 'i- ~or1 ¡./~z., HK Þ/V15IDVl Pink-Business Copy ;;:; ~ ~ es N :8 a LL -¡-',- ;. e / y/. ~ ~ . 07/22'194 ~.- " . -~~~~~~~ ONE HOUR MARTINIZING 215-000-000 AUG 81994,."._I¡,age Overall Site with 1 Fac. Unit . General Information By 1 - -. Location: 3200 STINE RD City Map:123 Grid: 11C 3 0.0 Contact Name DON DOERKSEN Business Phone: 24-Hour Phone Pager Phone Title / VICE PRESIDENT (805) 327-8326x (805) 871-3511x (go5"") 3.J. 7-77b'g x Contact ame e. 'j RALPH DARDEE Business Phone: 24-Hour Phone Pager Phone itle / MAINTENANCE ./ (805) 327-8326x C¿?il,1 ( 805) '8 G 1 06 32 X 1,87 (gbS-) 3~q -LfJJ'1 x Administrative Data Mail Addrs: 3200 STINE RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: State: CA Zip: 93309- SIC Code: 1541 Owner: DAN LANDON ENT INC Address: 2025 ALTA VISTA DR City: BAKERSFIELD Phone: (805) 832-3480 State: CA Zip: 93305- Summary oK ~'j') t'Y1']) tt-& I~ D h b·' . (Type or print name) 0 are y certIfy that I have reviewed the attached hazardous materials manage~ . ment plan f~.¡)ß.w ()¿ 7. . If 1»J~~thaft 'Üft along ''''VI'th (Name of BUSIn8811) , wv any corrections constitute a complete Md ",^I?V~ v.vu I ~a man-- agemen~ plan foU' mygacili~. ~~ SIgnalUre tk/?;/ 0$' ~ - e 07/22/94 ONE HOUR MARTINIZING 215-000-000599 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-001 TETRACHLOROETHYLENE ~ Reactive Form Max Qty MCP ;2. lfö Liquid ~ Low GAL -.. '; e e, 07/22/94 ONE HOUR MARTINIZING 215-000-000599 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 TETRACHLOROETHYLENE Liquid 165 Low ~ Reactive GAL CAS =It: 127-18-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max ~ ----r-- Daily Average GAL --r-- --rtr.;; . I dO 5 . 0'0 I cJ.LfD :;)..10. Storage k:l Press ì Temp IN MACHINE/EQUIP Ambient Ambient NE CORNER DRUM/BARREL-METALLIC Ambient Ambient NE CORNER Annual Amount GAL -- 420.00 Location - Conc -I 100.0% Tetrachloroethylene Components ~ MCP ----rGuide Low I 74 - \ -, e: 07/22/94 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF A SPILLAGE OR POTENTIAL SPILLAGE, THE AREA IS TO BE IMMEDIATELY EVACUATED. PERSONNEL TRAINED IN CLEAN-UP PROCEDURE WILL IMMEDIATELY PROCEED TO CLEAN-UP SPILLAGE AS OUTLINED IN COMPANY MANUAL. THEY WILL ALSO CALL 911 FOR FIRE DEPT AND 1-800-852-7550 THE STATE OFFICE OF EMERGENCY SERVICES. <3> Public Notif./Evacuation 'IF THERE IS ANY SPILLAGE OF CHEMICALS, THE PERSON IN CHARGE IS TO IMMEDIATELY EVACUATE THE CUSTOMER AREA, BEFORE STARTING THE CLEAN-UP PROCEDURE. <4> Emergency Medical Plan EMPLOYEES WITH MINOR INJURIES ARE TO GO TO THE NEAREST EMERGENCY ROOM OR THEIR OWN DOCTOR. EMPLOYEES ARE REQUIRED TO CALL 911 WHEN A MAJOR INJURY OCCURS. - . - ~ 07/22/94 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release'Prevention ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SAMLL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. <2> Release Containment ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SMALL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFETLY. IF SPILLAGE OCCURS, A TRAINED EMPLOYEE FOLLOWING COMPANY POLICY WILL EVACUATE THE AREA, TURN ON ALL COOLERS AND EXHAUST FAN, AND MOP UP SOLVENT WITH ABSORBANT COTTON MATERIAL. THIS MATERIAL WHEN SATURATED WITH SOLVENT WILL BE PLACED INTO THE DRY ,CLEANING MACHINE WHERE THE SOLVENT WILL BE RECLAIMED. <3> Clean Up TRAINED EMPLOYEES WILL CLEAN UP SPILLAGE WITH ABSORBANT MATERIAL AND PLACE THIS MATERIAL IN CLEANING MACHINE TO BE RECLAIMED. <4> Other Resource Activation i' _ _ ,¡ , . ~ . 07/22/94 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST END OF SHOPPING CENTER B) ELECTRICAL - EAST END OF SHOPPING CENTER C) WATER - WEST END OF SHOPPING CENTER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THE BUILDING HAS A SPRINKLER SYSTEM FIRE HYDRANT - EAST SIDE OF BUILDING ON STINE ROAD NORTHEAST CORNER OF PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND EDMONTON <4> Building Occupancy Level :' .. ... ,. .. -- =- - 07/22/94 , ... ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES UPON HIRING ARE INFORMED THAT WE USE HAZARDOUS MATERIALS AND GENERATE HAZARDOUS WASTE. NEW EMPLOYEES ARE SHOWN AND INFORMED IN THE USE ÒF THE MATERIAL SAFETY DATA SHEETS. NEW EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO USE OUR HAZARDOUS CHEMICAL PROCEDURE BOOK, WHICH LISTS ALL OF THE CHEMICALS USED. IT ALSO GIVES IMPORTANT INFORMATION AND CLEAN-UP PROCEDURES FOR PERCHLOROETHYLENE. AFTER AN EMPLOYEE HAS BEEN HERE A FEW WEEKS, THEY ARE SHOWN A SAFETY FILM ON THE USE OFPERCHLOROETHYLENE AND THE CLEAN-UP PROCEDURES TO USE IN THE EVENT OF A SPILLAGE. THEY ARE AGAIN SHOWN AND INFORMED ON THE USE OF THE MSDS AND THE HAZARDOUS CHEMICAL PROCEDURE BOOK. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~ - .- " " . 07/22/94 e ,r \ ...~ ONE HOUR MARTINI ZING 215-000-000599 00 - Overall Site Page 8 <G> Training <4> Held for Future Use (Continued) "IIr F. .\- -..a' ;,; . '. - .-;> ~ 08/05/92 ONE HOUR MARTINIZING 215-000-000599 Overall Site with 1 Fac. Unit Page 1 General Information' Location: 3200 STINE RD Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION 07 Grid: 11C FlU: 1 AOV: 0.0 --- Contact Name Title Business Phone - 24-Hour Phone DON DOERKSEN VICE PRESIDENT (805) 327-8326 x (805) 871-3511 RALpH BARBEE MAINTENANCE (805) 327-8326 x (805) 861-0632 . Administrative Data Mail Addrs: 3200 STINE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 1541 Owner: DAN LANDON ENT INC Phone: (805) 832-3480 Address: 2025 ALTA VISTA DR State: CA , City: BAKERSFIELD Zip: 93305- Summary \ .ED , ) AUG Î 61992 HAZ. MAT. OIV. - ~:J)dYlÞ fte.r,I<S Q 0 Do herrsby c~rai~ ~tQ~ ~ hSlV® (Tvpt! C1 ~~Ø) .1i19~i~wOO ~hs stlached hazardous matarial$ manage- m@n~ ~!~n ~oU' àf)Q L ¡j/); 111¡-nj 2,I~nd that it alonf~ wìth (flæme of Buell13&S) ~©:§J~diiOi"8$ ©Oi1S~i~U~~ ~cromp!~s and correct man- ~®m®~~ p~~UB ~@i" my ffatdliW. ~¡if;;; . 'rliL,.: ;¡W~f'" . ,. '. .' .,;, . ~-: // !"""q . ¡ . . ~:. e e 08/05/92 ONE HOUR MARTINIZING 215-000-000599 02 ~ Fixed Containers on Site Page 2 \ Hazmat Inventory Detail in Reference Number Order 02-001 TETRACHLOROETHYLENE . Reactive Liquid 165 Low GAL CAS =It: 127-18-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 165 I' 105.00 I 420.00 Storage ~ Press ì Temp IN MACHINE/EQUIP Ambient Ambient NE CORNER DRUM/BARREL-METALLIC Ambient Ambient NE CORNER Location - Conc -I 100.0% Tetrachloroethylene Components ~ MCP ---rList Low I " .... . ¡ . - - e -, 08/05/92 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 3. <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE EVENT OF A SPILLAGE OR POTENTIAL SPILLAGE, THE AREA IS TO BE IMMEDIATELY, EVACUATED. PERSONNEL TRAINED IN CLEAN-UP PROCEDURE WILL IMMEDIATELY PROCEED TO CLEAN-UP SPILLAGE AS OUTLINED IN COMPANY MANUAL. THEY WILL ALSO CALL 911 FOR FIRE DEPT AND 1-800~852-7550 THE STATE OFFICE OF EMERGENCY SERVICES. <3> Public Notif./Evacuation IF THERE IS ANY SPILLAGE OF CHEMICALS, THE PERSON IN CHARGE IS TO IMMEDIATELY EVACUATE THE CUSTOMER AREA, BEFORE STARTING THE CLEAN-UP PROCEDURE. <4> Emergency Medical Plan EMPLOYEES WITH MINOR INJURIES ARE TO GO TO THE NEAREST EMERGENCY ROOM OR THEIR OWN DOCTOR. EMPLOYEES ARE REQUIRED TO CALL 911 WHEN A MAJOR INJURY OCCURS. ,'" -- e 08/05/92 ONE HOUR MARTINIZING ' 215-000~000599 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SAMLL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. ' ,~ ~ . . . --.-".-. , ",·,----..'-1' .; '! J <2> Release Containment . ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS ,I, EXCEPT FOR 5MALLQUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. .' MACHINERY 'IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. ¡ í 'ì 1 f 'J IF SPILLAGE OCCURS, A TRAINED EMPLOYEE FOLLOWING COMPANY POLICY WILL EVACUATE THE AREA, TURN ON ALL COOLERS AND EXHAUST FAN, AND MOP UP , SOLVENT WITH ABSORBANT COTTON ~1A TER I AL;, TH I S MATER I AL WilEN SA TURA TED WITH SOLVENT WILL BE PLACED INTO THE DRY CLEANING MACHINE WHERE ,THE ,SOLVENT WILL BE RECLAIMED. ,J ; d : t ," , , "\ .' <3> Clean Up i ' :1 . I 1 \ Trained employees will clean up spillage with absorbant ~~terial and place this material in cleaning machine to , " be reclaimed ., ¡ , ,¡ \ " <4> Other Resource Activation " :\ ,'. - , . . ~ ~ e - ~ 08/05/92 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST END OF SHOPPING CENTER B) ELECTRICAL- EAST·END OF SHOPPING CENTER C) WATER - WEST END OF SHOPPING CENTER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THE BUILDING HAS A SPRINKLER SYSTEM FIRE HYDRANT - EAST SIDE OF BUILDING ON STINE ROAD NORTHEAST CORNER OF PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND STINE ROAD NORTHWEST CORNER PLANZ AND EDMONTON <4> Building Occupancy Level ,,'" ;.s- ,.' . . r:: e e jl 08/05/92 ONE HOUR MARTINIZING 215-000-000599 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES UPON HIRING ARE INFORMED THAT WE USE HAZARDOUS MATERIALS AND GENERATE HAZARDOUS WASTE. NEW EMPLOYEES ARE SHOWN AND INFORMED IN THE USE OF THE MATERIAL SAFETY DATA SHEETS. NEW EMPLOYEES ARE ALSO SHOWN WHERE AND HOW TO USE OUR HAZARDOUS CHEMICAL PROCEDURE>BOOK, WHICH LISTS ALL OF THE CHEMICALS USED. IT ALSO GIVES IMPORTANT INFORMATION AND CLEAN-UP PROCEDURES FOR PERCHLOROETHYLENE. AFTER AN EMPLOYEE HAS BEEN HERE A FEW WEEKS, THEY ARE SHOWN A SAFETY FILM ON THE USE OF PERCHLOROETHYLENE AND THE CLEAN-UP PROCEDURES TO USE IN THE EVENT OF A SPILLAGE. THEY ARE AGAIN SHOWN AND INFORMED ON THE USE OF THE .MSDS AND THE HAZARDOUS CHEMICAL PROCEDURE BOOK. <2> Page 2 as ne$ded <3> Held for Future Use <4> Held for Future Use ot· -17, ~ ; ~omm ì . - -- ., ~?~ Bakersfield Fire Dept._ HAZARDOUS MATERIALS DIVISION Date Completed 7 - ~ 8.... 9 L v . \ ('\('\ f\ R -\ ~ ~ '\ 'J,.J ~ c,.. Business Name: () ~ t: ~OI..\..R ST\~¿ Business identification No. 215-000 OC:ù 5 <\ <1 (Top of Business Plan) Station No. Shift 'ß Inspector /'"J ë Fpt't. /J RECEIVED JUl 30 19921 HAZ. M,AT, D1V. , , I Location: '3 À co Adequate ~ G1 ~ Inadequate o o D D Verification of Inventory Materials Verification of Quantities Verification of Location ¿R0h.o RE+-À. / Verification of MSDS Number of Employees & Verification of Haz Mat Training ~ D Comments: Verification of Abatement Supplies & Procedures Comments: ffi/ D Emergency Procedures Posted Containers Properly Labeled ~ ffi/ D D Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: ~ o Violations: ~~~r' FD 1652 (Rev. 1-90) All Items O.K. ~ Correction Needed 0 White-Haz Mat Div. Yellow-Station Copy Pink· Business Copy j ..~:j:~\ ...1.... ~\\ : .''-, *"", 1 ..- ;:- :o..A.~ '-j. \ .,:~~\,.! "('4 ':',\'7-// .,(I[O~.!' j ..........~ e "WE C.-iRE" _ ' r"'r'~ __ l£:L. \..---} ~e'~ ,"1TTnh 'h,', , \1I\,~;~ :~lrrr- J' ...!¡.'...., , _<'/f~ -j¡'~~' ," \." ." ~--~<.~ í .-2i': ~' }¡ ~~"§ - )...\V-::: . - .¡t: - , ~ t8" ==,~ -:-- -"'"' -' ,~ 1 ./ - , . ,@' - ~.... ~; , .... ....·10...._ _- I "ì ~ - \" " -J <~ ç. ";~/ïíííñ~ CITY oj' B.4KERSFfELD , ~ð'Y\. Dð E?" )oo./~ ~ ~ ~ ItYDe or prin~ name) ® RECEIVED JAN 1 7 1989 Ans'd. ............ Do her2b~~ certif:;- that I ha-,-e :::-e\-ieh-ed the attached Hazardous Materials. business plan for I 10'>1. ~ ÞkC1~ 'MUï-)Yt) '2.)'{ J (name of business) f , 7 Le Ca--H IYl S- I Y'\ C ,-to J /... )7'I1,"t s. -, and that it along with the attached additions cr c0rrections constitute a complete and correct Business Plan for my facility. din 1Jd~ . i..,.. a.t.ure /¡/;¡i{} øL BUSINESS NAME ONE HOUR MA~NIZING LOCATION 3200 STINE RD ID NUIltR 215-000-000599 HIGH HAZARD RATING 3 1. OVERVIEW ~ ~ LAST CHANGE 07/29/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 . GRID 11C FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) TWO EMPLOYEES ARE ON PAGERS AND CAN RESPOND TO CALLS. SEVERAL EMPLOYEES AT THE STORE HAVE BEEN TRAINED TO TAKE CARE OF MINOR PROBLEMS. EMERGENCY CONTACTS 2A SEC 2) DON DOERKSEN ~ 327-8326 OR 871-3511 RALPH BARBEE - 327-8326 OR -398 9206 8~ I-O~b do UTILITY SHUTOFFS 2A SEC 3) A) GAS - E END ~F SHOPPING CENTER B) ELECTRICAL - E END OF SHOPPING CENTER C) WATER - W END OF SHOPPING CENTER D) SPECIAL - NONE E) LOCK BOX - NO 2. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE l / '1/ ð4 BY If there is any spillage of Chemicals, The person in charge is to immediately eva~uate the customer area, before starting the Clean-up procedure. PAGE 1 12/27/88 16:02 MATERIAL SAFETY DATA SYSTEMS, INC. (805)648-6800 .' e - ID NUMBE~ 215-000-000599 HIGH HAZARD RATING 3 BUSINESS NAME ONE HOUR MARTINIZING LOCATION ,3200 STINE RD ' 3. HAZ MAT TRAINING SUMMARY LAST CHANGE I / 4/ /~, BY All employees upon hiring are informed that we use Hazardous Materials and generate Hazardous Waste~ New .. employees are shown and informed in the'use ,of the Materlal Safety Data Sheets. New employees are also shown whe~e and how to use our Hazardous Chemical Procedure Book, WhlCh lists all of the Chemicals used. It also gives important ' information and clean-up procedures for Perchloroethylene. After an employee has been here a few w~eks, they . aTe ,shown a Safety Film on the use of Perchloroethylene and the Clean-up procedures to use in th~,event of a spillage. They are again shown and informed on the use of the MSDS and The Hazatdous C~emicalProcedure Book. ~ ~ .. 4. LOCAL EMERGENCY MEDICAL ASSISTANCE. LAST CHANGE 07/29/88 BY ESTER 2A SEC 5) EMPLOYEES WITH MINOR INJURIES ARE TO GO TO THE NEAREST EMERGENCY ROOM OR THEIR OWN DOCTOR. EMPLOYEES ARE REQUIRED TO CALL 911 WHEN A MAJOR INJURY OCCURS. ' PAGE 2 12/27/88 16:02 MATERIAL SAFETY DATA SYSTEMS, INC. '(805) 648-6800 . ~' e BUSINESS NAME ONE HOUR MARTINIZING LOCATION 3200 STINE RD FACILITY UNIT 01 e ID NUMBER 215-000-000599 HIGH HAZARD RATING 3 .A~ OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 07/29/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT 1 PURE TETRACHLOROETHYLENE NE CORNER IN PROC. MACHINERY ID PERCENT COMPONENTS 2580.01 100.0 TETRACHLOROETHYLENE MAX AMT UNIT HAZARD USE 150 GAL HIGH CLEANING HAZARD LISTS HIGH ;}., Lv a sT.e 1 ~-r~A ,-ALl "'D.nt..'j L.,..... ~ Ne.~ ~ \'\-4! I- 1)J-.v rv\. S ¡:.. j) P øt uÞt\"7 Úh-f~ -.€Y1.1- ~ ~~(!), f!) - T.' . ~5_ ° ",TJ..A. c..ÁL.,~Þ-eT1-7 L~ÝI ~ / S- 'ja L. tv a. 5Î ...q" µ/~ ~ #o~L/~r þ1í'JA :;,..:.-.;.:.,- B. FIRE PROTECTION /'WATER SUPPLIES LAST CHANGE I / </ If? BY Building has Sprinkler System. . - FI RE HYDRAN TS 1. East side 2. NE corner 3. NW corner 4. NW corner of building on Stine Rd. of Planz and Stine Rd. Planz and Stine Rd. Planz and Edmonton. PAGE 3 12/27/88 16:02 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 J' .,,;. ~ ,_ BUSINESS NAME ONE HOUR MARTINIZING LOCATION 3200 STINE RD e ID NUMBER 215-000-000599 HIGH HAZARD RATING 3 D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 07/29/88 BY ESTER 3A SEC 2) IN THE EVENT OF A SPILLAGE OR POTENTIAL SPILLAGE, THE AREA IS TO BE IMMEDIATELY EVACUATED. PERSONNEL TRAINED IN CLEAN-UP PROCEDURE WILL IMMEDIATELY PROCEED TO CLEAN-UP SPILLAGE AS OUTLINED IN COMPANY MANUAL. THEY WILL ALSO CALL 911 FOR FIRE DEPT AND 1-800-852-7550 THE STATE OFFICE OF EMERGENCY SERVICES. E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 07/29/88 BY ESTER 3A SEC 1) ALL CHEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SMALL QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY IS KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. PAGE 4 12/27/88 16:02 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CIT}T of BAKERSFIELD ~ar. and Aqricultur@ ~ Stand.rd Bus ;n@ss z HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS P'9. L- of _L BUSINESS NAME: on e ¡JOUr Y'YlnÞ7:.IY/IZ-111 ~ LOCATION: ~~ S !¡j.'JI1 ~ CITY, ZIP,' j I ~ 'I 3 3 D '1 PHONE', 'J(o S- 8"3 ~ - 3'1/10 OWNER NAME: We:¡)1 /...0 J.1d FYI. [""'Lt> J: 11 ~ ADDRESS: a.. 0 .;)....s::: CI £.I:g UI('Ttl .b,,-- CITY, ZIP: 'Öc<J2D.!<.-{:J,ltl. c:¡rS~Ð("" PHONE ,,: X"O-5 -~.;). 7~~ 3:.:l b RKl'IUl 2"0 IIfS't'RUC'rIOIfS roB PROPIlR CODa NAME OF Tft1s ~f~L~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1 1 'r~n. TYØII ( 00' Cod, ] III. "t C _"req. "t 5 """'a 1 Est 6 IIInu,.. Units 11 Un CoeM u . locat Ion ....,.. St~ In facility, 1] ,by lit 11 .... of I1lxture'CaIIoonIntl SM Inttructi_ Plly!iC.1 and HH Ith M".rd IOwock .1Itllet .øøly) r"r~ r-., r-., r-" L-'ir. H.urd L_-' IIHctivity L_-' o.l.yo.d L_-' Sudden hlH" L_-' l-.di.t. H..lth of Pr..surf IIMlth N IE ...f.ð ÞO rt ~.__.__.._ f.P..!)._ CaIIoonInt 1\ ..., C...5. ..... ~.P-~Th. y.""~ ------------------------- ------- - ~t 12 .... U.S. ........ ---- -- c:c,.pon.nt 13 .... e... s. ........ C-öï -vt...R Ir--- ~ _7::. PTf:.f! c.h ~o r 0 -e 't L.p )1. 4( , - ------ - Phys ic.l end IIee 1 th Maurd (thfl:k .11 tllet .pply) ~t II .... C...S. ........ -- --....- r-., "'V"1 ,..--. ,..-., ,..-., L _J ftrf Hllerd L_-' IINctlvlty L_-' o.l.yId L_-' SuddIn hl_ L_.J l-.dlet. lleelth of P,..,su,.. IIMlth CaIIoonInt 12 .... C.A.S. ........ c:c,.pon.nt I] .... e... s. ........ ---- ----- Pllysic.l end 11M Ith Mu.P'd (theck .11 tllet ' Ily) C.A.5. ....... eo.tIoMnt II .... C.A.5. ..... ,..-, Ir--. r-, r-~ r-., L - J flrl! Hazard L - -' IINctivity L - -' o.l.ywd L - -' Sudd"" 1I@INn L -.. l-.di.t. ".. It h of p.....u,.. "N It h c:c,.pon.nt 12 "_, C... 5. ........ c:c,.pon.nt 13 ... .e.A.5. ..... __.L._________i_____________l___________j_____-'-___l__l__----L-___l~____L___ Physic.1 end MNlth KIIuP'd (tllKk .11 tllet ."ly) C._.S. ......._______________________ eo.tIoMnt I' "_, C...5. ........ --- ----- ,..-, ,.-., ,.-~ ,.-~ ,.-., < --' ~trl! Hazerd L_-' ,,"ct;vity L_-' D.layo.d L_-' Suddl!ll .rlNn L_-' l-.diat. "Nlth of Pr"IUrf H..lth CœpaMllt n ..., C.A.5. IIùIIbIr --------------------------------- ----- c:c,.pon.nt 13 ..., C...5. IIuMIr ~fRGENCY CI*T ACTS 1,11~.Q.7.\.])'O-~l':1~b8-~------- TiH:-E--..-------------~--- ~!;.~~:L----- 12 .~(&pLßM-b~---m------l(¡Rt"æ.!'-2.:n££-.-.-- ~..;?~~3!e..__ b -0(." ~ ,Ç.rrilication (Rtu.d IJnd sil!Ð Ifftcr co_plp-Ung all s~ctions) ", 1 unify und@rpeneTtyofla.thatlhav@ IM!rson.l1y @'a.in~ and .. fa.nier .ith thl infor..tÜln sut.HtlC! In t~i end.ll Ittachld doc_U, end tllet basIC! on Wi ;lIC \Iiry of thol. Inc11vtduel. ....poII.fbl. for ot.ta;ning thl infor..tlon. I ~1;I!vl! tllet till! lubloítt~ ;nfor..t;on ;s trill!. .cci/rat., .nd c~pl.tf\ \ A -- --,:Da- - 0 "2111?1º-~T--t:8Tc~£>·~--OR----c¿l.el--.- -.---- «=-"-=~--n----.( -.". -- S"---t~---- ---------------------- ------------------ ,,=t.1.sj- .¿Li:-2....._______________ .... an oH,cll ,h @ 0 ownfr OOl!rðtor ownl!r/O:H'ra,or 5 au ""ru,.., rl!orurn a,lv@ '9na Url! . va r 19niá·· ". ONE HOUR MARTINIZING 2513 So H st. 2221 Brundage 3801 Auburn 5630 Stockdale Hwy. 1601 McDonald Way 1601 McDonald Way Just off Mlng 3200 Stine Rd. 2507NChesterAve. 8200 B4 Stockdale Hwy. :~:o"::":'"'· 'oo~ea';; ~ at Planz ~...: ~f a spillage occurs ~ a trained employee following 8200 Stockdale Highway company policy will evacuate the area ~ turn on all in Town & Country Village coolers and exhaust fan~ and mop up solvent with absorbant cotton mate~ial. This material when saturated with solvent will be placed into the dry cleaning machine where the solvent will be reclaimed. DON DOERKSEN Vice President 2025 Alta Vista Bakersfield. California 18051 325,5562 OTHER LOCATIONS 2513 So. H Street In Benton Park 2221 Brundage lane In Brundage Square 5630 StOCkOale Highway ,n StockOale Village 2232 Niles Stree' Corner 01 Ash Street 3801 Au Durn Street Corner of Oswell Granny'. Waah 2234 Niles Street 3805 Au Durn Street 1601 McDonald Way 2505 N. Chester Ave. 3200 Stine Eldon Drapery Cleaner. 2025 Alta Vista '. . OnE HOUR ·,tn·· .,~. .Q' .' ~Z,Il- ' ~' ,ZZi:.f1--CffL -1- - _I _I _1_ -I -1--1 1-1- I_I' 1_/' -/ _/ .,_/_ -, -/-/ -/ 1-1- -I 7/~ '/~' -/-:-' -!~. . 7""~ 7"". -I~' -:-. ~f~1 -:-. 71:-' -I. ". DRY CLERn/nG DAN LANDON ENTERPRISES 2415 E. ASHLAN · FRESNO, CA 93726 · (209) 224·2996 Mr. Ralph Huey Bakersfield Fire Dept. 2130 G st. Bakersfield~ Ca. July 7,1989 RECEiVED JUL 1 1 1989 HAl. MAT. DIV. Mr. Ralph Huey Please add to the Hazardous Business Plan under "E" Mitigation/Prevention/Abatement for the following locations. ID 215-000-000590 v 215-000-000589/ 215-000-000593 ~/ 215-000-000591 ~ 215-000-000600 v'/ / 215-000-000599\// I 215-000-000592 17 /' () M1;~ i (JØtÝ. -/¿ ~,iJ:cutLj :' , .J -, ~/ >:::.¡:'" "~ ."0" .~é)- v',. ~. e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 )d.-3-1 \ ~ RECEIVEDG), JUN 1 9 1987 A 'd ' - --:JJ:fv l' 7 ns . ........... OFFICIAL USE ONLY ID# Of3Sc¿ d-- BUS I NESS NA.\fE HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid furiher action, return this form b~ 2. TYPE/PRINT ANSWERS IN ENGLISH. ~. Answer the questions below for the business 4; Be as brief and concise as possible. as a whole. 000599 SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: (G Y7 e bl Ð U r mar~ /)112 J Y1.] I B. LOCATION / STREET ADDRESS: 3 ~ ð () S -c 11'1-0 CITY: ~Ú)¿I))-~-tIPIJ ZIP: 9-:s3ð9 BUS.PHONE: (~) ??:<';;¿-3'-Jkñ ~'. ". SECTION 2: 'EMERGENCY NOTIFICATIONS In ~ase of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office-of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE A. U 0'Y1 Ì) o€.¡.-J<~'t'Yl B. Y?aLoh Ka/1 b..o..p (ì1atnTPI4d71c,!) Ph# , u,p DURING~BUS. HRS. Ph# 3~7 "'R3~('" 3 Çl. ) '- ~3;2. fc SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE ê º:V\.cl 15 54p,PI yy? L()'Il:i~ i- f:. ~~:i 9) '54 P ¡n 'r\f} L.() "'-.:1- ..p ¡-. W~-'-Jl'y\c.ti:{ðf.õ1Þ~Ir'k¡f.. ÆY.þ~ ,?' A. NAT. GAS/PROPANE: B. ELECTRICAL: C~ WATER: D. SPECIAL: E. LOCK BOX: YES /~ IF YES, LOCATION: AFTER BCS. HRS. Ph:: f?ì I-aS 11 PM '315 - 7.d 0 (P ~~.~1:~~::_ l~ - :~;~-~~_. IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / ~O KEYS? YES / NO - ?A - .~I \ ~ J ..: ,t ' ._ . - , c.~ ,..-....:~~ '. ' .. ';3r'.' " . , ,.. ..#,' .2 ';\,; ,,~' ù SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE T:Wù .Q"f"V'.p.l..O,\ 'p,o~ Cp'~ N\ p(.l~"I"-.s t7Ytd. ~ ./V.s.pplTYlcL t:".. G::¡//S, C(Í"so. ...o~~ð!- -P ~ ~ Q..aA DJ/- ~ S. i-trU'< ~ b..D {>7\ 't;.,J-o ~ y¡.tJJ "W. 2::,/¿p Cø-t '" 'ð m;'rt. H p ~ b J..¿ 'rt'\ s.. 1:. ;1:. W r l' :f SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A,WHOLE /. Ërv;:f?,l¿;,)..I2..o"s'" l.A>/7:;~ h"'~no-! lY\jU¡-'I~ ~ a}..~ L.. ~"'"G.- ï1..cy\()&--f..o5L ~<P1.1.a..t'1 ;;. )'--" :' 'i') G,~ ' f- 6'0 iÝ\ Ü ~ Q.¿ ~ ~ ö-v-' YI ~ d 0-\, , , .;;( , £. 'Y\"- f' ~ ~ -'t.Q S (>.AS) .A-2 1;-(.0 ....~ JL;: C a. L} '1 L I (,.j- Lv.. YWJ1 j 1M I Y\ JLM , (0 J C) c...CuÅ.... SECTION 6: .EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR ~O A. METHODS FOR SAFE HANDLING OF HAZARDOUS MTERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPO~SEAGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIPMEXT: ... ............... D. EMERGENCY EVACUATION PROCEDURES:................. E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... INITIAL REFRESHER @'NO YES @) ¡NO NO . YES NO ._t{: ~E ~ NO YES ® ~ NO YL NO E NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YO~~ BCSI:\~SS ~ANDLE ~AZARDOU; MATERIAL IN Q[AN~ITIES LESS THAN. 500 POCN~S OF~,,\ SOLID, ;);) GALLONS O. A LIQUID, OR _00 CUBIC fEET OF A COMPRESSED GAS....... X'ES (~ I, J:)ö'/\ \)ö-{!rJ<!c;oÝ\' " certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. , (' (' ...', ~' . /: , " SIGNATURE__L)" oPd Î~ 1 ': f ,~....tJ . ~..! ..;-', \' , ..', . - ..- . '¡f TITLE U þ0\ DATE G, - 1\"' -Y7 _ ')D _ " .. e . ..~,' :\ ;. BAKERSFIELD CITY FIRE DEPARTMEXT 2130 "G" STREET BAKERSFIELD, CA 93301 ,,; > . OFFIcr~t GSE CILY ID# ------ ,¡ , ; BUS INESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further ection, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions belol\' for 1117-: ::"ACII.ITY UNIT ,LISTED BELü\v ~. Be as BRIEF and CONCISE as posstb:e. FACILITY UNIT#' FACILITY UN!.T NA.'Œ: SECTION 1: MITIGATIO~. PREVENTION, ABATÐIEXT PROCEDtJRES ,AU., e.J.-.<J2TV\.:c.aL..s 'a¡.....¡¿ /¿.J2f'l., sçat....pd .md S7-cl--i?d p'l ¡1",¡¡.. ¡?HJP~r c..rn. ;-q,¡~..«..s ¡v(CJ2p::1..fv¡ , S T'^a I J r; 1111/14 '6'.l;/J..s v $.oJ ;"1'\ s/,,(j'('(:)¡ ,c...l, rf.ps~ . mø.c.ÁI~-R"''1 LS )¿p-r s.ÇQl.."d 'û-P^.(!(Je>-,1.-r lv,a/2a.9'" o-f ckmlc.~t..S'. . (Y1ÓJ..,"".(I....~ is you"C/1'\.JLï lñc¡)'.qc:-!..I'd ~~S"H cf..e.~ tH~ wð--t/¿w, C-tJ1 /\.&J c::t l.¡ ÇIoy'\ do S .. -{.o t... ":1 ' , SECTION 2: ~OTIFICATION AXD EVACUATIO~ P?OCEDCRF.S AT THIS eXIT OXLY /ý'¡ ~ ...eVºM-~ ~ $p/¡ltJ'ì:l' c9-1 p~..P.-ytÎl~L 7~¡//~fP) ~ QH''1 L S L:¡).. Io.R ,I m rYI ~d(Q't'~ ß- UCH u'a:f-..R c:l, P Ø{~ p-ý'I ']I J) L --r,..Q rn. -JJd "'I" c./...ea 'Y' - I.J P (h-oc.,odu....'" wèLl ;....YY)yYI.Dd:Q."1i¡ fJ-Gf!.1Jrp,£ t:¡;... ~'ÝI~ ~I',!IQ.,", as.. . OeJ'f-I...,~P d ,~ ~'fQ"t\ ~ f'Y'a'¥\,vsoL.., ~~ ~ Q~ Ca.ß) \ uvI ) 1 (1- +1 roO cLf4'i-1--vvt~ S ~ 0 Hl'-E' ~ ~ n1-Rt' 9 ~ J ~ (J I <..124 ,~ ~ ~~-7S'Çt) .' 8·\- BAKERSFIELD CITY FIRE DEPARTMENT I . D . # FORM 4A-1 Page -L- òf NON-TRADE SECRETS ~ HAZARDOUS MATERIALS INVENTORY . . . BUSINESS NAME: ðne }Iou/-. maf1"CI>'JJ2. IY19 OWNER NAME: L) Q Ì'1 l.a 'YJ C/" Y1 f 'YI 6ð -enc... FACILITY UNIT Ii:_ ADDRESS: 3 J. Ðc) . SL7/Y1.(J· ADDRESS: ~():;t c: QL fa U/s./q, b....... FACILITY UNIT NAME: I CITY, ZIP: t3q I4t ç -( I P I r6 13~o9 CITY,ZIP: ßrJJr::J:>rs+,-I'{ci 933Q~ I PHONE it: 8"3;l· =3 L/ ~O PHONE #: $<>0, 3.:2.?-Ç>~.;1.~ IOFFICIAL USE CFIRS CODE I ONLY I 1 2 3 4 5 6 7, 8 9 10 TYPE MAX ANNUAL r,ONT USE LOCATION IN THIS % BY HAZARD D.O CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GU I[ !\!\. 7 35 ;\cJL /0 '1/ 6o//~r- 1'00 yY) m~r;h. yL-PY/ '1 Ph05PhtJ rt/'- C(c;J. -- Am /)"/0 Z:J-¿ (j?1~t:'J...ýJ..-InE. PM5NJ--/c.. 6" U LId.) ?e')o' Z; it SDd I·U"'" <"rt / T: ? J '1'-1 SelL /0 °8 /Yl (ð, s""f}....o 0 rY\ Ú ¿ e. é Ie- (J c../d. ^)\ / J pT... /0 08 I ruse- ve¡?1où~¡"- II jdýdro J.Lvor/~ a c./ d. ~ ICY ¡:h()rqCtý}/~ rLu{);-/Jp eLf, F c..) M I / (þ, -c. /0 D8 I , Þl c...J 0 q Q -ý¡ ? .Q J-{) 'i ¡ J .0 , 30-5"0 ? .t2.;--0 'i. ; d ~ J 08 . 0'1..11) ^~ J r¡-c. 09 / ) / n ).ç S fa' n r.e m 0 u ~ r- c:. R /11 r..-- --¡:::> n -C f1 S 5 I U WI ):JQ}- YY1 r. ~/7 V1aZ"f. / . (? h 05 (? h 0 r /c.. Clc-/d. . N\ Y {p ::\aL~ /0 3C¡ / I ?r -€ - S Dr! C C ~ \.-- SoL IJ (> Y1 L- 60 íJez z:::: ro /" ( yÝ î) I 57Ï'/ Ja 1:-e c; I / (Jon '1 I r.> h'f!}'JDL (', c h ox ÿ LaTe... ... íì 'f'I NAME: 'DDn Doe r-N sf? Y1 TITLE: 0lP. SIGNATURE: h~ ¡ lJ.A_JU JhA .c DA TE: b -/6"- J:lìl ..~,.- " Ii i' .. r EMERGENC,Y CONTACT: Do n Do erN s'f;' h TITLE: PHONE # BUS HOURS: AFTER BUS HRS: PHONE # BUS HOURS: ^FTF.R .BUS !IRS: up < EM E R'G E N C Y CON T ACT : n? 0" J d )0 .p/ ~!?RINCIP^L nUSINESS ACTIYITY:_ SfI Lnll'L s' . TITLE: tlSSIS/"T/'nT J'J1tiJftlff2J-- '" D r, ~J. f.. L ~a ~:,"YlJ) .ci- 1... 0. u >'"Id. r J I\^- - , 3;)..]-g3;;J.{:J R71-3S/I ??3éJ.. -)..'¡ go 9 "iii - h3~-r;. , - ''Y - .. ~ . ŒJ~ - -::J - /IId~ / /l I? / / -(J ~< . - i : i i " :-- I ,'D. # " nAKERSFIEtD CITY FIRE DEPARTMENT FORM-4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page &- òf ~ - , ~ BUSINESS NAME: one. ¡Jour marL:IYJ/2)'V1~ OWNER NAME: u4Y-tLa'Y1do'Y1 EY1t'..T-Y1~1 FACILITY UNIT #: ADDRESS: 3.;1.&0 5't ~ ADDRESS: d-.O:2.S0Lra U"ÇíQ.. 'FACILITY UNIT NAME: C T TY. Z T r: _~ef/~>-1-I{)IL__..3 3 ~___ CITY. 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HRS: 7 S- f ¿- 5, <-uql! ..2 .s , I Lj \ I . U,P TITLE: NAME: 001'1 IJoeJ--l<seY) .TITLE: I EMERGENCY CON TAr. T : D ö)1 Ù () e r I.¿s e Vì ~~ßRGENCY CONTACT: PRtNCI~AL nITSINESS ACTIVITY~ ~,- ?j ~ , m .€., r:::A 4 L I sò b U 7'1 L 1< 0 r.OJ1(? D ipJ-Dp~J.qYlQ. 51.::tC-OL yY "Y1'" ,-hoJL .D 'C he I- C. ':'\ ¿ L oh e.1;ta. no L ., 1).Q. ocl ,., h::? Y1 7:: (}JI'¿" L 7J ;m ecA L1l 8 Q 1t:Z Y L IJ LUn1~Y1vl'l1 - \....Ç h .Lori cl Ç> £-chQ'I10L_ ( a ¡.- ý.:? e z:: r: Lça Y7 C? 1- . 'PO"F (9) no n ~ / K:)he I7tJ L oJ Ca r o.e (.. 5 Po Z:L e r- , ., ,- , -. TITLE: 1) }-. j CLèa T1 ! "1.] t"t., d .J:,o,(}. '}1 c:::I ,... J .. ~ 4A~1 ~ .. , . . - 1 . BAKERSFIELD CITY FIRE DEPARTMENT "'v," ...3 o .... # FORM 4A-1 Page of ---¡- NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ~ ~ne. JJoUI-,mar7:/Y1/¿"Y\j NAME: Uái"\--LQY1c-JNI t')'11;, J. nc:., < USINESS NAME: OWNER FACILITY UNIT '#: I ADDRESS: ~()~~ al..ío. U;Çïc¡ FACILITY UNIT NAME: . ~DDRESS: 3~C9--D Sì'I"""-P J '2:>q /4u. c; -{., oP / rI. q~;3Ðj M all,cr, PIf'/cI 9330.'> > J TY . ZIP: CITY,ZIP: I . ¡HONE tt: B 3;>- '3 r.¡ ð-ú PI/ONE #: 3 :tÎ- Ó"3.:t0 IOFFICIAL USE CFIRS CODE ONLY , 2 3 4 5 6 7 8 9 10 ~rF. MAX ANNUAL r:ONT USE LOCATION IN TI/IS % BY HAZARD D.O.T I CHEMICAL !DOE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. OR COMMON NAME CODE GUIDE ~ ~ R rr;éø /0 08 J >1 r-..¡>sÌ' ~o ð M Sur- fa.cla YlG 51') ¿ u L: l D h I I < ,;;¿ 1-.CZCI/C {lLc.Id. I . ~I ß"'"G· ./ , m d- ID 08 L- , 1)",~ S Z J- I P p..r¿ J- I 4-5 Su¿-fu¡..-/c... {Lc. ld I . J-ll /5 too o¡qL 00 ta/O nl£, ÚH Y\ -R v-- ,;).5 /£2.. I r-a. ch L /)}.. 0 e (:; A '1 L 4' n .Q oRm5 I ~ I .. I , I . . . , I I I I , I " AME :. "DOY) 1)o~H¿s.~Y'\ TITLE: lJ. p, SIGNATURE: L..~ llL M /J...A. DATE: Cc-/')'-1¡7 I ,E,R G E NCY ERGENCY I ," { N,C.I PAL ~'.J, TITl.E: u,P. TIT L E: - C LOll"Y1 I Y\.J 0.'"1 J " L.. c!U~ d 1-- J - ,4A~1 '- CONT Ar:T : - 1:) (")Î1 "Doe. f-N. 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