Loading...
HomeMy WebLinkAboutBUSINESS PLAN ~ ~TE/FACILITY· FORM 5 , ì S b ŠO ;S Toc /(d,4{ e:.. DI.RAM t:t, sq / ;rrvçf>'.z '''"- ~ , -:-J\.' '0, {;~ NORTH SCALE: ,t I BUSINESS NAXEþj .. , ,FLOOR: OF '·1>" ' . I ::: /00 ' ('))1e' OClr mar""tl.yll~ jYllt · ", DATE: (pl¡~ ~7 FACILITY ~A¡\[E: "- UNIT #e, OF /' ' ., (CHECK ONE) SITE D IAGRA.'I FACILITY DIAGR.~~ 5(P3D s-t-ocl¿dd·l.Þ tlW'1 I '" ~ " .~ I· ~ \.0 - " ... VI· ¡. "" CS' \J f J IÌo ~ -C ~ '" 1/1 JI !. '" ~ f. \.) ~ ~ 0 oJ ~ VI T"I ""11 ~ 0 '" ¡; a --11 S' Ú -J ...c q, £ p ($ ~ -:::.. ~ 0 VI .A- S ~ < -0 . ; . . , H ~ ~ ~ o t'YItI"C ' .... ù '-f- j €I J~QS.s () 5k0F' «Q ~;t r v....-r: . VI ~ l<osn V'\1'C :t j 'PJ.c¡..¡ sr J \.. ffl - J "- PH 1. \" 5 fO,c.R da,t. .p,.jJ w, (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - ,~;:\ ') "~' !!- .ITE/FACILITY FORM 5 .. ' ',563cJ5~v{4L~ D~GRAM :ti. ~ql .' TYv5¡>··': +- .. ~{.. ~ ~. . t§ "",,'P'" NORTH SCALE: 1/ 5' BUSINESS NA'tE : " FLOOR: OF -1\ . J ;; I one ~tJu oo ma,.7:,ln/2/YlCf DATE: ~ .~s- /~7 FACIL ITY NAi'IE: .. . UNIT #: OF , ' . , " ., ., , , " (CHECK ONE) SITE DIAGRA't FACILITY DIAGR~~ "../ 5"30 SToU<.da J..,p /;Jw,/ \ tJe. ~\.. ~ € ~\olZP ~~~Gl ~ ~ J '- f'O ~ T'L. (Inspector's Comments): -OFFICIAL USE ONLY- - SA - ~ DON DOERKSEN VICE-PRESIDENT DAN LANDON ENT. INC. 2025 AL TA VISTA DRIVE BAKERSFIELD, CA, 933J5 N ):> "" " a~ ~. .2: U"J . ~ ;;: ONE HOUR r!iARfINIZING 'v4 m / f £S ,It ,;';' ",/ Telephone 8Œi 327-8326 Fax 8Œi 327-3J01 1/16/96 I 0ò r~(\--t , ~ City. of Bakersfield 1501 Truxtun Ave. Bakersfield RE: account no. 3007 As of Dec.31,1995 we no longer have perchloroethylene nor do we generate hazardous waste at this location. Don Doerksen r..; e STATEMENT OF ACCOUNT . .. CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 1/01/96 TO: ONE HOUR MARTINIZING 5630 STOCKDALE HWY BAKERSFIELD, CA 93309 CUSTOMER NO: 3007 CUSTOMER TYPE: ES/ 3007 ---------------------------------------------------------------------------- DATE DESCRIPTION ....~',:¡'lEF=NÚMBER·DUE DATE:"-'TOTAL"AMÖUNT"-- CHARGE ------ -------- ------------------------- .---------- -------- -------------- 12/01/95 BEGINNING BALANCE HM009 1/01/96 HAZ MAT HANDLING FEE I HM017 1/01/96 HAZ MAT ANNUAL INSPECTION .00 158.00 50.00 Please call 326-3979 if you have question or changes regarding your account. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 208.00 ~~ ~DtJE--DA!!!_E_:_____1_4_.0,1-/_,_9_6 ~---~ ~ .".' ,~~-P-A¥MEN_'I'~DY.E+~- TOTAL DUE: ~,,0_8_.-0,O--~ $208.00 -'-_~-C_-'--_.~~.._¥ - ......y~v~"._."'~~~_....~~v """".....,..................~."'..........""""'~~~~...~~............,...,"'........_~.n,n_~~Rw__~______-_-_- PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 1/01/96 DUE DATE: 1/01/96 MIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3007 CUSTOMER TYPE: ES/ TOTAL DUE: 3007 $208.00 , .3 ~ e . ~~(ÇiW' 1 ~ o , 1/12/96 ONE HOUR MARTINIZING 215-000-00051 j ¡J, i\ >J l~~ ge Overall Site with 1 Fac. Unit . ~ \..... II~Hr'j I General Information By , I = Location: 5630 STOCKDALE HWY Map:123 Haz:3 Type: 3 City . BAKERSFIELD Grid: 03B FlU: 1 AOV: 0.0 . ,.- Contact Name Title - Contact Name Title DON DOERKSEN I VICE PRESIDENT NEELEY HOOPIIAINA I 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) 329-7968x Pager Phone · (805) 329-4219x · · Administrative Data Mail Addrs: 5630 STOCKDALE HWY D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 1541 Owner: DAN LANDON ENT INC Phone: (805) 322-2197 Address: 2025 ALTA VISTA State: CA City: BAKERSFIELD Zip: 93305- Summary ""~ 'o-q~ ;¡C's f \O'~~\ I~ ~ I")~ .,-?-- 1"\ hn~.~"". ("'r;,r'¡'(~# 1h""~ ! a..""Uð , -lL.~.~ G<J~ --- _ ...... I ,';.t <:. '...' ...:... t l.1 ~ It;4l U ~ ~Q\11,W; U,'¡::: '.: p;i¡,¡ l1z.rnt') rG\Uj·",':p¡-,¡.j '¡",q ail·'...''';..,u,'j' .....',..,..,.., ,-··,':(.;;"·I""!.... m""'nage v'V \Oo!," '-' "" .. "." ,L Q,vi h.. '" (tt:.',...,"'"",'" .:-,. ¡ d::;,! 0,;'; ii:Ì,;:, Q - ment plan for~m~nd that it along with (NIllTIG of BClsine!JS) any corrections constitute a complete and corr€~ ~ ~ý /;u-e M -£.1f1 ~.e 14iC(~~4 " vi ~ti~· C»P~ (TJt;;~~ ,; " - - 01/12/96 ONE HOUR MARTINIZING 215-000-000591 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site Pin-Ref Name/Hazards Form Max Qty MCP 02-001 TETRACHLOROETHYLENE ~ Reactive Liquid 213 L~..- GAL Î7{) ~ <2- ~" ,*, .' e e 01/12/96 ~ ONE HOUR MARTINIZING 215-000-000591 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 TETRACHLOROETHYLENE ~ Reactive Liquid ~ Low GAL {YlJL J1 CAS #: 127-18-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual ~ I 1&5.60 I 1U"Y\Jl rvu~ Storage ~ Press 1 Temp DRUM/BARREL-METALLIC Ambient Ambient IN MACHINE/EQUIP Ambient Ambient Location N WALL CENTER OF BLDG N WALL CENTER Amount GAL - ¡,eo. ÐoQ ~~ - Conc -I 100.0% Tetrachloroethylene Components C" MCP ---,Guide I Low I 74 ~, ~" e e 01/12/96 ONE HOUR MARTINIZING 215-000-000591 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 MANUEL. THEY WILL ALSO CALL 911 & FIRE DEPT. <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 DOCTQ~. EMPLOYEES ARE REQUIRED TO CALL 911 WHEN MAJOR INJURIES OCCUR. .' e e 01/12/96 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt c <1> Release Prevention ~, 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. <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 SAFELY. 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 IF A SPILLAGE OCCURS, A TRAINED EMPLOYEE FOLLOWING COMPANY POLICY WILL EVACUATE THE A~A, 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. <4> Other Resource Activation e e 01/12/96 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST WALL B) ELEÇTRICAL - BEHIND LAUNDRY MAT IN ELECTRICAL ROOM C) WATER - SIDE WALL OF BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - ~Ò <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - 50 FEET NORTH OF NORTHWEST CORNER OF BUILDING SOUTHWEST CORNER OF BUILDING ON STOCKDALE HIGHWAY 300 FEET EAST OF BUILDING ON STOCKDALE HIGHWAY <4> Building Occupancy Level If'" ~;. e e 01/12/96 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ji. ALL EMPLOYEES UPON HIRING ARE INFORMED THAT WE USE HAZARDOUS MATERIALS AND GENERATE HAZARQQUS 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 <3> Held for Future Use ¡, \:::;;), <4> Held for Future Use · t¡¡ e e , 1- ~" ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 8 01/12/96 <G> Training <4> Held for Future Use (Continued) -::: ~ ,. '""". ~ ... 07/22/94 .::-("- - ~- .--, .:. e 411 / o ~(Ç~lli[J1~ ~ / . A UG 8 1994 ~I e 1 By ::::-:-- ONE HOUR MARTINIZING 215-000-00059 Overall Site with 1 Fac. Unit General Information "._':,~ Location: 5630 STOCKDALE HWY City Contact Name DON DOERKSEN Business Phone: 24-Hour Phone Pager Phone Title / VICE PRESIDENT (805) 327-8326x (805) 871-3511x (&'05) '3;).9 -7'1'-'>1 x Contact Nam RALPH DARBEE Business Phone: 24-Hour Phone 'Pager Phone Map:123 Haz:3 Type: 3 Grid: 03B F/U: 1 AOV: 0.0 ' . ee <2:\ Titl~ / MAINTENANCE (805) 327-8326xg3i1;:; (805) 861 Ð631x "pg-, C~O~-) 3¥1 -L/;)J~x Administrative Data Mail Addrs: 5630 STOCKDALE HWY City: BAKERSFIELD Comm Code: 215-011 BAKERSFIELD STATION 11 D&B Number: State: CA Zip: 93309- SIC Code: 1541 Owner: DAN LANDON ENT INC Address: 2025 ALTA VISTA City: BAKERSFIELD Phone: (805) 322-2197 State: CA Zip: 93305- Summary OV-- ~,:v()')\ D{)-e..-/< SOY"- /Do herebv carti4., tha~ n h (Type or pnnt name) Y II L U ave reviewed the attached hazardous materials manage- uoon~ ¡olaf» foOhfIJ L II ð(h 11/2YI1md that it along with (Namè ~ BU81n&SO) -r . IBlU1lY ©:Q)~õ©U]$ OOu]$titute a¡ complat~ and oorrSd man- agsm®1ñiR t9>~ñ) ~I(' m~ ffacili~. {)JA~ *æý· e e 07/22/94 ONE HOUR MARTINIZING 215-000-000591 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site P1n-Ref Name/Hazards Form Max Qty MCP 02-001 TETRACHLOROETHYLENE ~ Reactive Liquid 215 Low GAL f, e e 07/22/94 ONE HOUR MARTINIZING 215-000-000591 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 TETRACHLOROETHYLENE Liquid 215 Low ~ Reactive GAL CAS #: 127-18-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 215 I· 16Ð.cra I 100.00 /fG"·9V Storage ~ Press I Temp Location DRUM/BARREL-METALLIC Ambient Ambient N WALL CENTER OF BLDG IN MACHINE/EQUIP Ambient Ambient N WALL CENTER - Conc l 100.0% Tetrachloroethylene Components ~ MCP ---rGuide Low I 74 '! ., e e 07"/22/94 ONE HOUR MARTINIZING 215-000-000591 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 MANUEL. THEY WILL ALSO CALL 911 & FIRE DEPT. <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 MAJOR INJURIES OCCUR. ~ e e 07/22/94 ONE HOUR MARTINIZING 215-000-000591 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 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. <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 SAFELY. 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 IF A 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. <4> Other Resource Activation .J .. ,. e e 07'/22/94 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST WALL B) ELECTRICAL - BEHIND LAUNDRY MAT IN ELECTRICAL ROOM C) WATER - SIDE WALL OF BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - 50 FEET NORTH OF NORTHWEST CORNER OF BUILDING SOUTHWEST CORNER OF BUILDING ON STOCKDALE HIGHWAY 300 FEET EAST OF BUILDING ON STOCKDALE HIGHWAY <4> Building Occupancy Level ;0 eJ tit ..¡. - p ,. , 07/22/94 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 7 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE 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 needed <3> Held for Future Use <4> Held for Future Use - ... ,..... " e e " 07/22/94 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 8 <G> Training <4> Held for Future Use (Continued) - .~ " ·tJB' ..-¡; / ~.:.~/~,,:._ V I··'.;r' " - - I ~! - ,e BAKERSFIBLD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 '?.-y \ ;23-06 ß RECEIVEOGl) . JUN 1 9 1987.:1]¡)5P ¡(A Ans'd . ............ OFFICIAL USE ONLY ID# (6\~DL\ , !BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 0005.91 INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS I~ ENGLISH. ~~ Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: () YJ e Þ1ÐU r mar"l.lY'J 12 J n'j B. LOCATION / STREET ADDRESS: 00 3 ñ 5 To c/¿cla L ...{> CITY: 'BDJdus. -1-1 f')J ZIP: 933 () c; BUS. PHONE: CfOJ) ~;l;;J.';)../97 SECTION 2: EMERGENCY NOTIFICATIONS In case 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 ~OTIFY IN CASE OF EMERGENCY: NAME AND TITLE A. U 0')1 [) ()€.¡-I¿~ 't'y\ U r P B. RctLph ,Ka/\ b...o-p malnT~ð7'l~.P DURING BUS. HRS. AFTER BrS. HRS. Ph# 3;L7'R3~G, Ph# f?7 r-3s L I PM 3 é).. ì '- ~'3;t &, Ph# '31ð- 9.;) 0 (; ..: ~ ,~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Lv e5"t: Wa II B. ELECTR r CAL :-:Eq¡:*~MJJ¿.':~J=::O'£f:i:t':.:¿:.¡.;m'~Jf: ,'=r}') '. S{'Þ<'~#.¡ Cd. L J2 f¡ ~:m C. WATER: 5, w(J./1 ðß J:,~¡/~ J..l>ð1Y"l D. SPECIAL: E. LOCK BOX: YES I ~ IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES I NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A- e . n-=,---, _ -" --- .. " - - ... ~.. i ,,-: i!:~~;~.. ~.:~ '\ ,1'.1 ~~ \f; J '. -¡ t:: \"; ~~i:~; :~ ~ 'Ì¡!\¡ " ~ <,,' " . «.~: ~}¡J' SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE "L:wf) ..Q.'Y'-'-Pl..ð1.D.D~ Qr-e NI f(l.~"\"..s P'hd. ~ ..Æ..R.s.~trr'lcL l4- G:t/Is. úL..so. .-Q..Q ~a !- -P rAp ~ O-DA o.;; - 7i.o 5. 1- ~ ~ b.D ~71. "6}-o ~ y\..DJ L¡¡... [;,/2p Cb1 ~ ð Y>1. ;">1. H p tvJ' b J.r¿ 7V\. s.. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE :~ () ~ ,:'t- ~'~·i ,;; I. "'{~'pi::')~.D.s v-> It:~ ŸY'~ 1'1 t>I IY\~ Ur-I~ ~ a)..--'? tv.. ~ ~ TL Y\0r,.-1..oSL. ~ <Pi. 9.Q.y( ~ )-aom 0--\ ~\.. ~'Y'\ ~do--\.I , , "\ C' I An rr- C L) c¡tl (,.j-~ rw:rjð'1 IY\Jt.MI~J ~c....Cc..cÅ"" 0<... , L ')'\0\. P VO ~ -ti'S o-u:> '" -1J-<-¡ I ~ ci....,.. a. ' SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL A~D REFRESHER TRAIXING IN THE FOLLOWING A~EAS. CIRCLE YES OR ~O A. METHODS FOR SAFE HANDLING OF HAZARDOUS :vtA TER 1.4L5: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPO~SE AGENCIES:.. c....................... C. PROPER USE OF SAFETY EQUIPMEKT:... . . . . . . . . . . . . . . . D. EMERGE~CY EVACUATION PROCEDURES:.. c..... ......... E. DO YOU MAINTAIN EMPLOYEE TRAIKING RECORDS:....... I~TTIAL REFRESHER @ NO @'NO YES @ YES @) ~ NO ¡NO NO ' NO NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR ~O DOES YO~~ BVSIXESS ~ANDLE ~AZARDOUS MAT~RIAL IN QUANTITIES LESS THAN. 50 0 POVN~S OF~c, SOLID, ;);) GALLONS O. A LIQCID, OR 200 CUBIC FEET OF A COMPRESSED GAS. , . . . .. yES (~ I. J)~Yì'\ \)éy<:!r-)¿SCJÝ'\ , 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. \ ~.r:~. ....- , .~ .\' ~ :,. ". . ,,;..... ...... ·:.~r ,: ~ .I (~ .. / , (I' ¡(j Ó ' SIGNATURE_hiM.JJrJ ~~ TITLE u Ý)' DATE (; - I ç -&-'7 _ '>D _ '.''Î.' , ,'~ . .. BAKERSFIELD CIiY FIRE DEPARTMEXT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFIcr~t ~SE CXLY ID# ------ ,BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE!PRIXT YOUR ANSWERS IN ENGLISH. 3. Answer the questions b~low for TH~ ~ACII.ITY UNIT ,LISTED BELOW ~. Be aé BRIEF and CONCISE as possible. . FACILITY UNIT# FACILITY UN!.T NA.'Œ: ,,sECTtON 1: ~ITIGATION. PREVENTION. ABATDIEXT PROCEDURES ., AL 1.- ~Y'/\.; c..a L.s a ¡"'..r¿ /¿.QP'-' $<?Q t..-P d. em d <;.-¡-" to -R d / 'YI y1..pl·)- ¡?HjP.(J;- . ...... C-rn.1-<t/-rt1'..e.tS ¡V(CJlr:l.-f+-1 '>¡YI.all ~tlfJ/I'1"6Il;;/~.s vs.oJ;" S/,tj'tt/~,~rf.pS~- mfÞ.c.ÁI~-R~'J lS )¿Dp1: s.QQJ..-Jd Ù'-P^~ut?-,'ct' Â..Ila/2a.r¡"' o-{ c:.-kJ'YI/C.~l..ç.. . (YI()c:1I~.Q't-"\·~ y.DCJ~I")'I...d'1 IYI.'7J'.PC.-f-RJ ?::u-btJs~)..-e ~1 tH..,P WtH/¿w, c..r¡..I'\~ ct l..¡ ~ cL .$......(41 t... ':\ ' SECTION 2: NOTIFICATION AND EVACUATIO~ PROCEDURES AT THIS UNIT ONLY /Y'I ~ ...e vºM' -15' t:¡ >p/¡/o<¡;/ &-1. prR-J2.rt,ItØlL 7~dlt fP) ~ QH'~ t S ~fo.q ./mtyl~d(Q'"tL¡ ..JLvac.ua.i-.I?d, pØ(~ff\ J/,J)L 'ÍrQI~.Qd /-Y\ e-/...o."'ýI-IJP (h-{) c. .!?d u ... '" r.» t u ;... Yr¡ yYloD d ~ q '1L¡ [> N c..P "",f. 4;... c~ 'ÝI ~ g I' " / t1 ,., 0 So. ()e.J'f-/...¡~p d '- " __ ---1 .f) ~ ~ J I ~ 0r.y\-pq"t\~ f'YIQ-nvs>L., J~~ w-dß Q.~ (fU.J./, ~ 1(/- +1 ¡.-oO d '-fi4~~ } ~ ~ g:>s-;¡- 7 s ÇD S ~ 0 .f-+lc.(> ~ C¿ rYI ..J2t" '1,p,A. .3 ~(J I r.../J..d ^ , ,j -\ ;~ BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page ~ ~~f .../ 'ì . n. t ~... .. BUSINESS ADDRESS: CITY, ZIP: PHONE #: NAME: ð n e jJou ¡... maf1TJY} rz. ~.."., 9 f>(.3õ S 10 LJ¿ clð L~ I=Iw'j RClI~>f.¡.plj 9330 7 3;;';;'-.)../97 OWNER NAME: -¡;jQ~ L.a-ndl'>YI £...,6'" Z:hC.. FACILITY UNIT #: ADDRESS: d-n.;ll:;' àLTa U/s.T"q, b...... UNIT NAME: CITY,ZIP: ß è;:s;-+ln.J. 33 P" 0 N E #: $;:>0 ~ 3 ,.:2, ? -I? 'R .;¡, ¥> 0 F F I C I A L USE C FIR S COD E ONLY 1 2 3 4 5 6 7 8 9 TYPE MAX ANN U M. CONT USE LOCATION IN THIS % BY CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMI AL t\'" 7 35 dL 10 Lit 6o//.e.- I- 00 yY} 5' 10 HAZARD D.O. CODE GUID '9 /0 08 E. luo.lloff-e-?ì)..oorv1, Ct¿e.éIL Qc./d. /0 1081 l\ II rus?: ye¡?1ou~r- I r~ ____ _. ..,__ __~u~__ LLL__I M.'1_J~_QJ).._Oor/~ a c./ d I _1___ __1_____ I . _ I Il~--- ~ ---------__r--'-'ll_rn~~rqaY2/~__ELllor~J~~~- F I 1____ ~t6-I---J----I--/----I_~_~;~I>_;_I_º_8-1_~-----~~ ~1----r;1, ~J:~;~?.QJ-Oy!~-~- --~___~I___~~~~~]_ , ____uT ~_~__J_~'-__-' I -~3-:~r-PQJ-;~ ;J-~- .,-- -- ___~___c--I-----I- -;~]~/~Ur~--j-----I~~-c.IQ91~~~r~-=___I_~___-______ =r_ _ -~J_I~~_~IQ I n _t~ me> u ~ r- - L~~~~L ~L___I_____I_ ______I '-, '-______1 ____________________I____-'~fl_~__'2S S I U h'1 ?Q;-~~~~ han~J~~_~-~=_~ _______ 1 1 I I I __I ________________1 ___I_~ht2s_¡?ho¡-;'G -~id /-____[-~=I N\ I ~ 1...fR. I :,\aL, lID 13 'ì 1 [I 1 1''Pr~ -~ PoCC~r So Luenk L ___=1=__ _____u_1' "., , I r- 1---1 SIGNATURE: ~~ l~ DATE :~~__/õ".:-j¡) up PHONE # BUS HOURS :~~c3.~ì-g3u~~H' AFTER BUS HRS: ~J~2-L-3~~J.L PHONE # BUS HOURS :3 ;)'~-d-/9:l~~ AFT E R B II S II R S: ~_ Fi:.3!{~'.á-3 t.__ / ,I '. 1 'ILl J ....J q l- , ., I p7:. I '__-=-1., _ ^f\ ,I. __~I - -, I : : 60 ' Pc2 'C ro L12 u M Ù I s7i '1/ cz l:".¡¿s ¡ I (Jon '1 Lp h~YIDL e. eb oK '1 LQTe.. "" I (\ n .1'1....-- NAME: Dðn J)oeJ-Ns-f?n TITLE: EMERGENCY CONTACT: Do n Do erN s f.> h {.JlP. ' TITLE: "EMERGENCY CONTACT: TIohhn:' III -t!'U.Dr- . n'R I N C I PAL ß U SIN F. S SAC T I V I T Y : p r ~ TITLE: rn0J1d1..f)¡'" t: L eo '>'I J"YI 'J cl- J... éA U YI d r- j - "/\-1 - 1.0. # ~ BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page j ,*-,,-ø f :~. BUSINESS NAME: one. ¡Jour VY1CU"'L;IYJ/?_);"Cj ADDRESS: ~fo =50 S'kclge:-lw-k Þ/wyr> . CITY, ZIP: B'1~s-{..,eld 9330 ~ P " 0 N E It: e 3 d- d-.- d. I 9 7 1 2 3 " 5 TYPE MAX ANNUAL r.ONT CODE AMOUNT AMOUNT UNIT CODE P Iso ?ÒD '?I C L / '-J P ~ L/ '3aL /3 ^~ cd-. b "at.. 13 m ~ 3 5,QL I() !YJ In 3 q"ctL '-' /0 m 3 3 a...aL /0 NAME: 1J01'1 DDes.-;(sen EMERGENCY CONTAr.T: D t\ Y\ uce rl<.se"Yì TITLE: . . _,EMERGENCY CONTACT: . 'P R I N C I PAL nus I N F. S SAC T I V I T Y : . .' 6 lISE CODE 08 08 08 3c) 39 39 ~ -- ~~¡ OWNER NAME: Uc.,"...¡.1 ,LaY! do"Y1 t.YI r:ø 7:.11LI FACILITY UNIT #: ADDRESS: ào;:;1..5" ClLía U'Sïct. FACILITY UNIT NAME: C I T Y . ZIP : ß Clì< -e ,..., P J e ) .J 9 3 3 DS PHONE #: , 3 ;;t 7-, R .3.=2 G:, IOFFICIAL USE CFIRS COOt I ONLY r: a ¡.- P e Z é L f>Q Y1 C? }- '-/ 'PÓ "f (9) nonr..1. JOhe.l7oL v Ca r o.e r; 5 Po 'C-c e. J- /6 [,A-¡LIJYJe e¡Lvc.o tyJM1l'Jbu"f11L . L.t<.thë.1- t,' 1'.. _" p " Jd).,. L LJ /.,- 0 h/)I SIGNATURE: ' Ac¿;:.."I\ I.()u,.o...,,,,. DATE: 7 LOCATION IN THIS FACILITY UNIT 8 % ny WT. n I Lv Q L , Ce.,..::I.£.( r:r/ fj L d 'f E- Wet V 9f ¡¿S1-¡"DO M 11 49 7 S- f ,!J.... £, (/.>-a/I . ;¿ .5 1\ ( U,I P TITLE: l) I P. TITLE: "D J-. j { L:èa. >1 I ""-j I?'I., d )..0 ().")1 J ¡... J - 4A-l - HA~~~D. 0 CHEMICAL OR COMMON NAME COD_~l~UI[ , d50 () , ···'1 1f2. 7: J-a. c. J, L.. 0 J.- 0 e c J" '1 1..Q YI ~ ð (J) R. m s __ c. h 1-or) Yla"C q, d hl1. cl.l-o Co.rlo on-. -- 9 501/ r-€'n?ouer c;¡ J-o m a Z; I Co 51? L t~ <:'1'1 L: m ,~ c-h ~ L I Sf) b u ì'j L /( e Z::Oh<~..I D ¡P1-DP'j/..~Y1Q. 5k::1C.OL. m OY/ :~L L ..I2,l: her L ··L_ C. ':'\ ¿ L 0 h e."-a.. Y1 0 L 1 D.Q. od ¡Of) )-- a Y1 7:; f1JI'¿..¡ L 7J;m eTh lfL 8 C2n %vL IJ LlJm~~1Vh1 \...Ç h lo;-ir11/ f- I_ I- L_ L Co-I ç-tJ [:7::),0.11 0 L PHONE # nus HOURS: '3~)-<5>3.;t (p _ AFT E R BUS H R S : 8 ì J . 3.!::.- I} , PHONE # BUS HOURS: AFTER BUS HRS: , "' BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page.3 "f.~ D ...j# r. .~ (c ~. ¡USINESS \DDRESS: ::IT '\I 0 NAME: <!J')1€. JJOUI- mar"CIY1/'2.·'Y\j Sf; 30 ~ ~c-Ia L . ¡¡~ '/, Ba ~ OWNER NAME: uá-n.Ll;'Y1d..rY1 £,'),,[:, Inc., FACILITY UNIT t: . ADD RES S : ;l ();:}; I{ a L r 0. u is -r a FA C I LIT Y UN I T N A ME : -~ V, ZIP: a., S-Ç¡ f'1 9 ';;, I) C CITY,ZIP: ~ Q I¿ '" ... <:. ¡:: I f' / cI 9330-5 ,NE it : 5(;1d-.·~197 PI/ONE #: 3 ')..7- .s>3.:l0 IOFFICIAL USE CFIRS CODE ....- ONLY 2 3 4 5 6 7 8 9 10 MAX ANNUAL r;ONT USE LOCATION IN THIS % BV HAZARD D.O.T AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE n_~ 1-- ;>.. g rct:.. /0 08 E. LV q tI 0 + foP!>L 1-0 oW) SUr fac.Ta)'10 S¡') L u z:: l D ~ "1 v , ;¿ 1-.. Cl C I/C (fLc.Id. I LJ ß-C· , ~. /0 08 H 1) 1.0, t¿ SZ}-I pp.J;¿J- uJ_ '-1-5 . Su¿-fUy/e- O-c. ; d ul~ / -\ /5 00 00 ~/D h, ÚJ 0... L L. (..pT\ +~ ~ . ó'-"S-~() o¡qL f?t..JQ J.5 /.t2. í ra ch L I)).. 0 e (:; Æ '1 L.() YI ..Q 6Rm£ I - [ .. , I I_c~~ . I ~ : 1:)0"'" 1)0 ~ rJ( So -t Y'. TITLE: v. r>, SIGNATURE: k~ , l L ", t..A. DATE: ~-/':J'-1r7 1 VrE JOE Yl YJ , ;)-1 AME MER G EN CY CONT Ar.T: :D (')")1 Doe. ¡-J,¿ .s~"r"I TITL'E: U,P. PI/ONE # BUS HOURS~ AFTER BUS HRS: PHONE f BUS HOURS: AFTER BUS HRS: 3 .:l 7 -'8 '3.;l. (p $'7/,3.5/1 MEpGENCY CONTACT: R!~~IP^L nUSINF.SS ACTIVITY: TITLE: Ù }... ~ C Loa """1 Y\ j " 0." cI L-. a U YI é 1- J - 41\-1 - ,y. e e " '~' ~ 08/05/92 ONE HOUR MARTINIZING 215-000-000591 Overall Site with 1 Fac. Unit Page 1 General Information Location: 5630 STOCKDALE HWY Community: BAKERSFIELD STATION 11 Map: 123 Hazard: Moderate Grid: 03B FlU: 1 AOV: 0.0 Contact Name DON DOERKSEN RALPH BARBEE Title VICE PRESIDENT MAINTENANCE Business Phone (805) 327-8326 x (805) 327-8326 x 24-Hour Phone (805) 871-3511 (805) 861-0632 Administrative Data Mail Addrs: 5630 STOCKDALE HWY City: BAKERSFIELD Comm Code: 215-011 BAKERSFIELD STATION 11 D&B Number: State: CA Zip: 93309- SIC Code: 1541 Owner: DAN LANDON ENT INC Address: 2025 ALTA VISTA City: BAKERSFIELD Phone: (805) 322-2197 State: CA Zip: 93305- Summary '.. Að~G ?6.A~~l2 H~~~M~~.TòPJ~· W" ", '.',1':" , :U,' . ~.., fDð"11 DD'f~~r.?n fO)©) ¡n1SV'®~~ OOV1/¡c.n ~~~ ~ ~æM~ fi\1p::> w ~) u ¡¡ U®~¡~®©1 ~h~ &lfti!~©to®©1 hazardou.,s maîeti~~~ manag~o m®roft @~tj1i1 ~©V'tJY¡rp1kV)\}I)¿ú1t;YÚl/ri¿;ihai i~ ~¡Om~ wå&h (Nvne of Busmsa) ~ ®!?ùSJ @])&,&,®(ÇÍÌ¡©wn~ OO~$&ijw~ ~ rom~~~fte Slnd Correct man- ~®m®fi1ft ¡QJ!~ViJ ff©1f fíiiîJ~ g&l©õ!åftV. M¡iL ~ X:- o '-'t e e " 08/05/92 ONE HOUR MARTINIZING 215-000-000591 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 TETRACHLOROETHYLENE ~ Reactive Liquid 215 Low GAL CAS #: 127-18-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 215 I 160.00 I 8.2~O 1{)01ø:() Storage ~ Press í Temp Location DRUM/BARREL-METALLIC Ambient Ambient N WALL CENTER OF BLDG IN MACHINE/EQUIP Ambient Ambient N WALL CENTER - Conc l 100.0% Tetrachloroethylene Components ~ MCP -rList Low I ~ e e 08/05/92 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site P~e 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 MANUEL. THEY WILL ALSO CALL 911 & FIRE DEPT. <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 MAJOR INJURIES OCCUR. ... e e 08/05/92 ONE HOUR MARTINIZING 215-000-000591 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 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. ........ '~"-~-"'- .,~ .... - '. - .,-;" ._....~., ........... -,,-~.._.._,--_. -,-.. -.- <2> Release Containment ALL C~IEMICALS ARE KEPT SEALED AND STORED IN THEIR PROPER CONTAINERS EXCEPT FOR SMAll QUANTITIES USED IN SPOTTING CLOTHES. MACHINERY I~ KEPT SEALED TO PREVENT LEAKAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKIN~ CORRECTLY AND SAFELY. 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 WilEN SATURATED WITH SOLVENT WILL BE PLACED INTO THE DRY CLEANING MACHINE WHERE THE !: SOLVENT WILL BE RECLAH1ED. ...".-- ,I' <3> Clean Up ¡ ¡ \ " , , , r .... .....,."..-,..,;.',,¡,¡¡ IF A 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. '. <4> Other Resource Activation i .. e e é. ø, " 08/05/92 ONE HOUR MARTINIZING 215-000-000591 00 ,- Overall Site <F> Site Emergency Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - WEST WALL B) ELECTRICAL - BEHIND LAUNDRY MAT IN ELECTRICAL ROOM C) WATER - SIDE WALL OF BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water ;;iATE FIRE PROTECTION - ??????????~ ~ J FIRE HYDRANT - 50 FEET NORTH OF NORTHWEST CORNER OF BUILDING SOUTHWEST CORNER OF BUILDING ON STOCKDALE HIGHWAY 300 FEET EAST OF BUILDING ON STOCKDALE HIGHWAY <4> Building Occupancy Level ç. ",' ::,J. . e e 08/05/92 ONE HOUR MARTINIZING 215-000-000591 00 - Overall Site Page 6 <G> Training <1> Page 1 WE HAVE~<_,r~~.; EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE 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 needed <3> Held for Future Use <4> Held for Future Use CJ' Farm and Agriculture~andard Business CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY pageÌ-ofL' ; BUSINESS NAME: . LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ..: NON - TRADE SECRET 'nQ'}) Z-o'YIdfYI £'ì1 ~ ,7:n C::., ;;2...0;J.. S- C'lL.. Ie¡ U I $Ta 1> ;....} 'bClI¿ç¡,..5+1~¡¿ C4 r (/,3 5~ -:s -::L 7.....!;:> 3. .::¡ (A NAME OF THIS FACILITY: STANDARD IND.· CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID I - -- - - -- ö -<! ~cal ,and Health Hazard ~eck all that apply) o Fire Hazard Ct Sudden Release of Pressure C.A.S. Number / d.. 1-1 S' --1 Component 1/ 1 Name & C.A.S. Numb~ o Reactivity 0 Immediate 0 Delayed '" Health Health Component It 2 Name & C.A.S. NUmber Component It 3 Name & C.A.S. Number u Physical and Health Hazard (Check all that apply) o Fire Hazard 0 Sudden ReleaseD of Pressure C.A.S. Number 'f1í - / Ç?- '-I Component /I 1 Name & C.A.S. Number Reactivity 0 Immediate 0 Delayed Health Health Component 1/ 2 Name & C,A.S. Number Component 1/ 3 Name & C~A.S. Number Physical and Health Hazard (Check all that apply) C.A.S. Number Component B 1 Name & C.A.S. Number .. Fire Hazard é o Sudden Release D Reactivity 0 Immediate 0 Delayed of Pressure Health Health Component 1/ 2 Name & C.A.S. Number Component B 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number (Check all that apply) o Fire Hazard Q Sudden Release 0 Reactivity CJ Immediate 0 Delayed of Pressure Health Health Component /I 1 Name & C.A.S. Number Component 1/ 2 Name & C.A.S. Number Component /I 3 Name & C.A.S. Number EMERGENCY CONTACTS u , .s-Q 11 Title~ I =?.?-/- p~~(ó #2 24 Hr. Phone <3? l-~ s-. I ...Q() (l'rO J YJ" fh1 h1 c...Q. Titlå Certif'1cation (READ AND SIGN AFTER COMPLETING ALL SECTIONS) :i~certify under peanlty of law that I haver personally examined. and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those inÌ1~Vidual~ responsible for obtaining the information. I believe that the submitted information is true, a6'èùrate, and Cnete. ! \:. -<- ~ 'J) , Î \ 1 ¡) /J x2/ ./ ;" J JffY) (>¡ '€?r!< s...¡;)Y\.. UJ. P, ~ ~t?O~ ~ b- <Í¡tl 2- !IAMB AND OFFICIAL TITI.!B OF CMNER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE ì st ATÜRÉ DATE SIGNED ,À> ~'-?~ , at . " ~..<.'\ ;':è- ... .~'.\ (.. :.)..A}.. :" \ . '-"/ -......, ! -~¡"I' ~, -', ' "'('4"'" <i\'?-/// "~ . - ¡ CI'--' a a {;4./ \..V 'L/ ., ITTTn>- ., "504ì~ '\\:\\~:':¡;~ ::~~ r T T 'B [,- rRSFIELD ~, ,. _.~ '- [ } 0) :-ll~L , ',/(/'\}¡ <0~ .. WE C-i R£" "".., )..l.æ,.. S2. = '1 v~ ~\ .,>~,§ <~d -' ' ~)ihíí¡~~' @ , :IJfY'Y\. Dð €" J-N ~ ~ ~ !tYDe or prin~ name) RECEIVED JAN 1 7 1989 Ans'd ............. Do 11 ere b;.~ c e r t i fy t hat I h a "\' ere vie h' e d t 11 e '. attached Hazardous Materials business plan for , 1)')1-.P ÞkuJt.. Y'v1tM"7-/YtJ '2..) ~ , (name of business) f 7 Le Ca-+t m. ~ 1)"\ C rt.J L }'~/i: 5, -- and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. dJ~ , i~"" 'Cure· I¡/;¡{!l 0'~ BUSINESS NAME ONE HOUR~INIZING LOCATION 5630 STOCKDALEHWY ID ~BER 215-000-000591 HIGH HAZARD RATING 0 1. OVERVIEW @ LAST CHANGE 01/11/89 BY VAL JURIS CODE 215-011 JURIS BAKERSFIELD STATION 11 MAP PAGE 123 GRID 03B FACILITY UNITS 1 HAZARD RATING 0 RESPONSE SUMMARY 2A SEC 4) TWO EMPLOYEES ARE ON PAGERS AND CAN RESPOND TO CALLS. ALSO 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 a~8 ~206 861-00'$ ~ UTILITY SHUTOFFS 2A SEC 3) A) GAS - WEST- WALL B) ELECTRICAL - BEHIND LAUNDRY MAT IN ELECTRICAL ROOM C) WATER - SIDE WALL OF BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO 2. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE J / '1/ rr BY If there is any spillage of Chemicals, The person in charge is to immediately evacuate the customer area, before starting the Clean-up procedure. PAGE 1 01/11/89 11:39 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BÚSINE~S NAME ONE HOUR JltTINIZING LOCATION 5630 STOCKDALE HWY ID ~BER 215-000-000591 HIGH HAZARD RATING 0 3. HAZ MAT TRAINING SUMMARY LAST CHANGE r / '1-/ ~ BY All employees tip on 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 forPerchloroethylene. After an employee has been here a few weeks, they are ,shown, a Safety Film on the use of Perchl?roethylene and the Clean-up procedures to use in the event of a spillage. They are again shown and informéd on the use of the MSDS and The Hazardous C~emical Procedure Book. 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE OS/24/88 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 MAJOR INJURIES OCCUR. PAGE 2 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 01/11/89 11:39 ~USIN~SS NAME ONE HOUR~TINIZING LOCATION 5630 STOCKDALE HWY FACILITY UNIT 01 ID~MBER 215-000-000591 HIGH HAZARD RATING 0 A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE OS/24/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT 1 PURE TETRACHLOROETHYLENE N WALL CENTER OF BLDG IN PROC. MACHINERY ID PERCENT COMPONENTS 2580.01 100.0 TETRACHLOROETHYLENE MAX AMT UNIT HAZARD USE 150 GAL HIGH CLEANING HAZARD LISTS HIGH 2 WASTE TETRACHLOROETHYLENE 15 GAL HIGH N WALL CENTER OF BLDG DRUMS OR BARRELS MET.. WASTE ID PERCENT COMPONENTS HAZARD LISTS 2580.01 ~.O TETRACHLOROETHYLENE HIGH ;;;t~, 1:> ì, E.' FIRE PROTECTION / WATER SUPPLIES LAST CHANGE as/24/8B BY ·~'f'Eft I L/ I g-~ FI RE HYDRAN TS 1. 50ft N of NW corner of building. 2. SW 60rner of building on Stockdale Hwy. 3. 300 ft E of building on Stockdale Hwy. PAGE 3 01/11/89 11:39 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINE§S'NAME ONE HOUR eTINIZING LOCATION; 5630 STOCKDALE HWY ID ~BER 215-000-000591 HIGH HAZARD RATING 0 D. ,EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE OS/24/88 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 MANUEL. . THEY WILL ALSO CALL 911 & FIRE DEPT. .\~~,. - E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE OS/24/88 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 01/11/89 11:39 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CIT}T of BAKERSFIELD F..e .nd Ac¡ricuhurt l..-J ~ HAZARDOUS MATERIALS INVENTORY Stlnd.rd Bus 'ntSS '--' NON - T R A D '1;:' SEe R E T S P'9t ---I of __J '~r 1~ !~. BUSINESS NAME :~~~¿~,... !¡~~~ 1~/'2.J Y17 LOCATION:. 51 c.J¿>. JJ ~ '1 CITY, ZIP: 8.fll<..o,¡,'¡¡"",,.J ,,«O? PHONE II :~ø ç- ~ :;)..;).. 'dol q., , OWNER NAME: Ì)a."..., l-,a... ..1."...... ç~t::..). ^ <- ADDRESS: ~ ~L~~ ~~~ ~~ ;~~~É ;~P: ~' ~~/d ~ I q 0 '. U1"IlR 2"0 IlISrRUcrIOIIS "'If PROPIlR CODIlS NAME OF Tft1Š ~~~L~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1 2 Irwn, Tyøe Codt Codt ] lie. Mt . AnI'lql &lit . 5 Annu.1 Est , ....IU,.. Units , 'Oys on SIt. 11 Un Code 12 loutlon IhrI Stored In Feci IIty u 'by lit 14 __ of .bt_~t. SII Inttruct 111M () No 0 --P7:.Ä II L ý.I )11 7 P~~iC.1 IIftd HNlth III,,", tr.Iwck .11 thlt 'JIØ Iy) ea.øøn.nt" .... C.A.S. ..... ------- r\:-, . ,..-., ,..-., ,..-, L_..J Fir. H.urd. L_..J Reecthdty L_.J DeI.yId 1..-..1 SudcMn hIH" L_.J I-.li.t. ""lth 01 Prasur. 11M Ith ec.aønent'2 ..... C...S. ..... ----- to.ponent n ..... U.S. ..... to.ponent .. -------- r - ., ,.. V'.., ,. - ., ,. - .., ,.. -.., L _..I FI,.. :lIIurd I.. _.J RHctl"lty I.. _..I Del.yed I.. _.J Sudden hl_ I.. _.J 1-.l11t. IIN Ith 01 Pt'If_ 11M Ith CGIiIIoNnt 12 ..... C... S. ...... c-t n .... C...S. ..... -------- P",",lc.1 IIId IINlth 1111'", (Chtc:k .11 thlt ' IIIly) C...S. ..... to.ponent" ..... U.S. ...... ,.-., ,..-., r-, ,..-', ,..-, L _..I Firt Hu.rd I.. - J RNct;"lty I.. _.J DeI.y9d I.. _..I SuddtnRtlHIf I.. _.J 1-.lI.t. HN Ith of P,,"lur. HN Ith ea.øøn.nt.2 ..... C...S. ...... to.ponent n .... C.A.S. ..... ____JL______l____________JL.____________JL_____________J______l________l_______J~_______L_.____Jl_______L______ P",",iell IIId KNlth "'rare! (Chtc:k .11 thlt .,,1,1 C.A.S. IIuebIr _____________________ ea.øøn.nt.l", . C.A.S. ..... ------ r--, ,..-, r-, r-' r-' '--JFlrtHII.rd I.._JlIMf:ti"Hy ·1..:....JOtlay9d 1.._.JSuddtnR.IH!f I.._.J (-.dfat. Hfa 1 th of Prnsur. Heal tll Cœ IOMIIt 12 __. C...S, IIùIIber --------------------------------------------------------- ------ ea.øøn.nt I] .... C. A.S. ......r "f~GfNCY C,*UCTS .11I2?-~-J>-Q~J:-B-.Sa.f..r:.----------. mf.(~---------~----------~ cf.~f-~-k---- rl.¡~jLl.:.p1L&M------------ ~htJf..1Lc..L_____ ~~~~~-=~- C.rtt/;Clt;on JRt!lId IInd sign IIft~r co.plp.tJng 1111 s,t!ctJonsJ 1 c.rtifv undt~ penalty of la. that I hayt frson.l1y t.a.intl! and.. f..iH.r ..lth the infor_tion su for obta,nin9 the infor_tlon. I ~H.yt that t~ sub.itttd info~..tion-is trut. .ccur.tt. .nd co.øltt II"".. -- a-:DSJ.:"i1,- }'f\ ,('J ~i:-I...:2..£-£Y:\O..------7·----f--·----f h9-~e--m----f -f--- ... an oit'CI.,-titWõT own.r,oDt'rator . owntr oO!'~. or 5 .u ""ruro rt ~n," . lyt .11 .UlChed cIot_n, and thlt blsed on ~ inquiry of thos. Ind\Yiclu.1s I'ft ICIIIlìb1. \lãt¡-ki,iðtf..~KJ:.------------------- onlrouR tit Ol~g7ÃZll~ZÃZr1#: . ... - ~ .. ~ . , - - ., ·f·f ' ",_ . ./_ _ ., -1- . _I -I _1_ _I -1--1 1-1- ,-I' ,_I. ., ,_/ ,/_". _/ I_I _/ '1_1' _,1 -# 71-:- '/~' -/~' -/~ -I. -.f"!- -. ~/-' -:-. ~/~I -. -:-1-:-' ~?!æ".1J DRY CLERn/nC DAN LANDON ENTERPRISES 2415 E. ASHLAN · FRESNO, CA 93726 . (209) 224-2996 DON DOERKSEN Vice Prp.sldent 2025 Alta Vista Bakersfield, California 1,805) 325,5562 Mr. Ralph Huey Bakersfield Fire Dept. 2130 G st. Bakersfield, Ca. July 7,1989 RECEiVED JUL 1 1 1989 HAZ. MAT. DIV. OTHER LOCATIONS Mr. Ralph Huey Please add to the Hazardous Business Plan under "E" Mitigation/Prevention/Abatement for the following locations. 2513 So, H Street In Benton Park 2221 Brundage Lane !n Brundage Square 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. 250ì N Chester Ave 8200 B4 St ockdale Hwy. :~:oo:,:":'"" 'o'~I1a"; ~ at Planl ~-.: ~f a spillage occurs, a trained employee following ~OO80ct~~H~~~ company policy will evacuate the area, turn on all in Town & Country Village coolers and exhaust fan, and mop up solvent with absorbant cotton matenial. This material when 5630 Stock dale Hlgnway ,n Slockdale Village ID 215-000-000590 V 215-000-000589/ 215-000-000593 ,// 215-000-000591 V/ 21 5 - 000 - 0 006 00 v/, 21 5 - 00 0 - 0005 99 !,/// I 215-000-000592 2232 N,les Street Corner 01 ASh Street 3801 Auburn Slree! Corner of Oswell Granny'. Wash 2234 Niles Street 3805 Auburn Street 1601 McDonald Way 2505 N, Chester Ave, 3200 Sllne saturated with solvent will be placed into the dry cleaning machine where the solvent will be reclaimed. ß:~ Eldon Drapery Cleaner. 2025 Alia V,sta i '~ ,- L ~. A \,~~cut0 (]#rÝ ¡¿. ~ '-J---