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HomeMy WebLinkAboutBUSINESS PLAN Per it to Operüte Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE . z. This permit Is Issued for the following: ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment , PermitlD #:: 015-000-001986 ONE HOUR MARTINIZING LOCATION: 5636 STOCKDALE HWY 't Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661),-326-0576 Approved by: Issue Date " ":", . "·1 . : :¡:'E~p¡fàtion' Date: : ';~¡.~~~' ~1~':;~~~~~~~~~{~~~i- ~ '~{.:.' - ,June 30, 2003 , . .0;_ ,,~~~::"'~¿~f:'~J' ~_.:~.. I .;l. --;'. :".-:;\~ ! .," :, " Perna it to·· Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the fOllowing: ':;Hazardous Materials Plan . round Storage of Hazardous Materials Q,~gement Program ,", Waste PERMIT ID # 015-021-001986 ONE HOUR MARTINIZ,;:, LOCA nON 5636 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 *~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: . ./ ~TE/FACILITY DIIbRAM FORM 5 l' .SCALE: JI I BUSINESS NAJ'IE: . ;; ¡OD 0')1 e DATE: /. / FACILITY NAJ'IE: 7 ~'J. ';-1 OF NORTH OF / / (CHECK ONE) SITE DIAGRA'I v FACILITY DIAGRAJ'I Ó(P 3 (p 'S-rrJ cJ !¿J ~ t .,t) tJ w I '. " " w ., ,H ~ \.v, ,. " , _4/.' " ~ 'f; t Sa tJ e-f")1 Q /'ï:: !^YlOJ-/i'.ÞT ~I ... ...'- ~ ~ .fi '" Ft+ I " , . ;.' , , Þs ~ ~ , . " If- £ a E -<. ~ () ++, c..p 1P PO -r: VI >, , 5fø3~ PH- . , , - :. .:.. ", , .' ,J.' :'),: '¡ .... \~ ! . !\. . ',' ,', ~', ", " . l:IoU-:;1W06 . úiJpt) \ ~: ~ 5 I 'fH) \.. ¡ .¡ .~ :. ,'" .. . (: ~- ~ t. :\ pJ./ ) s 1 () {,12. d oj. p þ/ W ~ -OFFICIAL USE ONLY- .J \ (Inspector's Comments): '. .,'. "(1''-,- .. :1' . p.. ~.I -;:~ ~t,: 4 '01 :...... ..',: 1 ,'.j ,. J i' . . . ~ . ,. ~., .' - 5A - ~ l''i:''''' /' ./, ~TE/FACILITY DIIb~AM FORM 5 /~ ,SCALE: I If - /S' BUSINESS NAME: - ONE. DATE: 7 I. I FACILITY N~~E: ~çq, FLOOR: OF NORTH UNIT~: OF (CHECK ONE) SITE DIAGRA'I FACILITY DIAGRA.l'l ,/ ~b 3" SÎDCJJ.J~l~ ¡Jw'j rl'.,' ",' E. ßo..e.... \ R,oørw' vJ G- ) RR c. ',1' ð1 1.).06. Tl.. ~, . . ,i. ," /.t1.... ,'0,; ~ ',' . I ~.: ..,' , . . II . c '.': J;.', I, '", ¡i ¡ ....: , . . .. t ',.1' ; .,~ ' . '." . '¡ , c. ',' t. ; .' I ,". ':,'" .;.,! " . " , ' , -' :~:. ~:~ .~. \ (Inspector's Comments): -OFFICIAL USE ONLY- ~ ' . \ 'r' ";. ". ~ . j 1" .~'~. . .~: .~ ~ ; "", ~·.1" ~. .., 'I.' :1: {'')'./,' "~. ~ ," I :: '~i ·~.:·H~~I'~ t ,., ." t . ,i .r 1 11. ! "j ~, - 5A - " . ð/'/ .-'i"'"~\, ., '~-F "';.~ .., ;ONE HOUR MARTINI ZING JIÞ SiteID: 015-021-001986 CommCode: BAKERSFIELD STATION 11 EPA Numb: \-~~'\ ~ S~'Þ BusPhone: Map : 102 Grid: 34D (661) 322 -2197 CommHaz : Moderate FacUnits: 1 AOV: Manager : MARGARET SOLINAS Location: 5636 STOCKDALE HWY City BAKERSFIELD SIC Code:1541 DunnBrad: Emergency Contact DON DOERKSEN Business Phone: 24-Hour Phone : Pager Phone : / Title / GENERAL MANAGER (661) 322-2197x (661) 831-9393x (661) 332-1274x Emergency Contact / Title NEELEY HOOPIIAINA / MAINTENANCE Business Phone: (661) 322-2197x 24-Hour Phone : (661) 834-7784x Pager Phone : (661) 345-5329x Hazmat Hazards: React Contact : €HARLE£: }~ERIŒRN Jf')~ T J~4c.. MailAddr: 3876 ALLEN RD City : BAKERSFIELD Period : Preparer: Certif'd: parcelNo: to Phone: (661) 588-~S),c State: CA 11'1'1 Zip : 933tt Phone: (661) 588-~ State: CA 91)''if,/ Zip : 93311; , TotalASTs: = TotalUSTs: = RSs: No Gal Gal Owner Address City JTCH INC : 3876 ALLEN RD : BAKERSFIELD Emergency Directives: I,D~"í\ ut>erlU,eY\!Do hSi'~by c@ñi1y ~h~~ i haNS (TYII3 or print name) rs"¡~'Wsd U'ðS atlachsd hazardoLDS ma~eviaJ$ manil~~ , msnt ¡g¡~/I"I ~©U: l)Ja '¥' 'f¡ t'ð "J, 1)1 Q Slnd ~het i~ ~1(Q) {1J@ w¡~h (NamG of buslnøoo) .,. alny OOIT~d¡On$ roV1$i¡~LDi~ a1 oompl~~ t§lnd oor~~~ m~V1- agsms'nt plan ~@i' Mlf facility. Mr, Ü1~- S'ignaturGI ih/ð3_ Datil -1- 09/15/2003 .- .~:- . ~ SiteID: 015-021-001986 By Facility Unit Fixed Containers at Site 9 9 9 DailyMax IUnit MCP FÞONE HOUR MARTINIZING f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... specHaz EPA Hazards Frm L L R 1.50~ 00 GAL Low 25.00 GAL Low PERCHLOROETHYLENE DRY CLEANING WASTE PERCHLOROETHYLENE -2- 09/15/2003 ·... ~ ... ~:~~E HOUR MARTINI ZING jIþ f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME PERCHLOROETHYLENE DRY CLEANING . SiteID: 015-021-001986 9 Facility Unit: Fixed Containers at Site 9 SOLVENT Days On Site 365 Location within this Facility Unit E WALL CENTER OF BLDG Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE IN MACHINE/EQUIP Largest Container 150.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum /Sb .¡..e&. 00 GAL Daily Average 120.00 GAL %Wt. RS CAS # 100.00 Perchloroethylene No 127184 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS f= Inventory Item 0002 === COMMON NAME / CHEMI CAL NAME WASTE PERCHLOROETHYLENE Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit INSIDE SW CORNER OF STORE Map: Grid: CAS # 127-18-4 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE IN MACHINE/EQUIP Largest Container 25.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 25.00 GAL Daily Average 25.00 GAL %Wt. RS CAS# 100.00 Perchloroethylene No 127184 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Low HAZARD ASSESSMENTS -4- 09/15/2003 Þ. ,/ 'Co 5"- .. ~~ ~.... r~;6~E HOUR MARTINIZING jIþ I F Training Employee Training . SiteID: 015-021-001986 9 Fast Format 9 Overall Site 9 08/18/1999 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM; 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. AFr-BR 1\N EMP-Le¥EE RAS. BF.EN H'R~Jii: A PEW-WEìI3KO, TIIE¥-AR·B:-S.I:IOWW,,-A~~-FILH ON ~..--.ySE OF-PBReHI:JeReE.!fH~g.-AND ~HE-G±:,.B.AN...y.:p--PROOBBW~ THE EYEN~ ~-SP-I-bbAOO . Ttf~IN gHOWM AND IN!' ORJ'.1~D 011 'fHE-tffiE-6-P 'fIlE ~4CDC ."..:ND ~A.RDOUS- CIIBÞUCAL PROC~æRE-Ð6e*:- Page 2 [ I I Held for Future Use Held for Future Use -8- 09/15/2003 - e CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I~'loor, Bakersfield, CA 93301 FACILITY NAME C)fVf:- ktR ~...Jr"'Z.'~ ADDRESS ~ >þ S~Ik.C:: ~ FACILITY CONTACT j\~~'lé'Í SAUNAS INSPECTION TIME INSPECTION DATE <ö-' I ?.g-!07- PHONE NO. 3"2.. "L- 2(q7 BUSINESS ID NO. 15-210- 1 ~ ~ NUMBER OF EMPLOYEES S Section 1: Business Plan and Inventory Program o Routine Äfombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand ÅU- ( 1L~.s oK.... Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~ es 0 No Explain: ~~ ?Ge.CI~~ Questions regarding this inspection? Please call us at (661) 326-3979 \ White - Env. Svcs. Yellow· Station Copy Pink - Business Copy Inspector: L.A.J (""'L-==:S · ", .. . ï_';~ t .., ~ '\ ~ :'\...~-... ,,/ .' ~1_'¡ "-;;,,)0' CITY OF BAKERSFIEl.D FIRE DEPARTMENT OFFICE OF ENvIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST ' 1715 Chester Ave., 3rd I;'loor, Bakersfield, CA 93301 FACILITY NAME c:.;Nf:, ki1t ~'.^","".....t,... ADDRESS ,5"'<6 ".>~ S1ðe¡()')lkc; f.4W~ FACILITY CONTACT ~:r ~/IIJ'AS INSPECTION TIME INSPECTION DATE <is I ?,.',& JOë.- PHONE NO. 321..- Z(C¡7 BUSINESS ID NO. 15-210- 1":¡1s! NUMBER OF EMPLOYEES S Section 1: Business Plan and Inventory Program o Routine )2Ífombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand Au- t 'fL~ 5 oK... Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of materíal Verification of MSDS availability Veri fication of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: :w-'Yes 0 No Explain: ~~,,?C~c,...,,-cAé(l"~~ \\1\. Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow· Station Copy Pink· Business Copy Inspector: ~'~5 e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 4: Hazardous Waste Generator Program INSPECTION DATE ~ !-¿2Ç I~ EP A ID # CA.L éXX)lZ3S;-CZ<b6 FACILITY NAME ~ f-tt<. ~J.tL7'^-JZ'N&, o Routine ø- Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made ÁU- (~S ðk:. EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property 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 oil receipts for 3 years Detennines if waste is restricted tTom land disposal C-Compliance V=Violation ~ÀUQ Inspector: Wr^'G$ -u.. Office of Environmental Services (661) 326-3979 Busine~ ~Sìte 'Responsible Party White - Env. Svcs. Pink - Business Copy " - -- g ( + ONE HOUR MARTINI ZING -------------------------------- -------------------------------- SiteID: 015-021-001986 + Manager: mØ r- 90 f...of S&L, 'f'.tÃ> Location: 5636 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 102 Grid: 34D (661) . 3,.;:J..'J.-::2.197 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 SIC Code:1541 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ EtTlergency Contact / Ti1;.le_ _.- Emergency Contact / Title DDI\U?OERKSEN / ~1/o..IJ,{(jl-1N.I!~.tY '!. Rt (J ..ee.,L09.'j N cop; ¡ 0..; 1\0- / MAINTENANCE BUSlness Phone: (661) 3;;J.:).-~lq7'- BUSlness Phone: (661) 3 ':)...'d..-;;l/q 7 24-Hour Phone : (661) 831-93~Jx 24-Hour Phone : (661) 834-7784x Pager Phone : (661) 33J.'- l-:l7 '-I Pager Phone : (661) 3 "5-53i9 +---------------------------------------+--------------------------------------+ Hazmat Hazards: I +------------------------------------------------------------------------------+ cox:tact : ¿~¡..'J...~,~_ '/idb.er-/¿.o}.. n Phone: (661) Sg'i tf'3 i3' MallAddr: ;3 S' 7 Cp A-L-.L ¡;: N /<d State: CA City : BAKERSFIELD 9331?.. Zip: 933\);2... +--------------==-~----,~-----~-------------------------------------------------+ Owner '.jTC- t}, ,. 1JY.f-,_-:_."; Phone: (661)6gg>-9353 Address : _~ g 7(ð AL.L E N Rd., State: CA City : BAKÉRtiFIELD q ~30 I~ Zip : 933\;2. +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: Gal Certif'd: RSs: No +------------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I 'Hazmat Common Name... I SpecHaz EPA Hazards I Frm DailyMax UnitIMCP +--------------------------------+-------+-----------+-----+----------+----+---+ ~~r\CHLOROETHYLENE L 100.00 GAL Low 0l9si.J2. P;'rc,A L{)~{) ..eTt..iL.e~ ..e ~5IDo6-øL +==============================================================================+ -1- 01/24/2002 r + ONE HOUR MARTINIZING ================================ SiteID: 015-021-001986 + += Inventory Item 0001 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ TETRACHLOROETHYLENE I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ E WALL CENTER OF BLDG I CAS# I +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I IN MACHINE/EQUIP I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 150.00 GAL 100.00 GAL 120.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt . I IRS I CAS# I 100.00 Tetrachloroethylene No 127184 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ Tsecret\ RS\BioHaz . Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies / / / Low +=======+===+======+====================+=============+=========+========+=====+ tit e += Inventory Item 0002 =============== Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE PERCHLOROETHYLENE I Days On Site I 365 +----------------+ I CAS# I 127-18-4 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Pure I Ambient I Ambient I IN MACHINE/EQUIP I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 15.00 GAL áS107) GAL 15.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I ~5> I Perchloroethylene __~ ___m_J ~~~ I____:~:_~:~~~~ I +=======+====================================---==---------+---+---------------+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ \TSecret RS BioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies R / / / Low +=======+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit INSIDE SW CORNER OF STORE Map: Grid: -2- 01/24/2002 (. e e + ONE HOUR MARTINIZING ================================ SiteID: 015-021-001986 + +================================================================= Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== Agency Notification =========================================== 08/18/1999 + 911 +==============================================================================+ E I N 'f / . 08/18/1999 +=== mp oyee otl . Evacuatlon =================================== + 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. +==============================================================================+ +---- Publl'C Notl'f /Evacuatl'on ------------------------------------ 08/18/1999 + ---- . ------------------------------------ IF THERE IS ANY SPILLAGE OF CHEMICALS, THE PERSON IN CHARGE IS TO IMMEDIATELY EVACUATE THE CUSTOMER AREA, BEFORE STARTING THE CLEAN UP +==============================================================================+ +----- Emergency Medl'cal Plan ------------------------------------- 08/18/1999 + ----- ------------------------------------- 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 +==============================================================================+ -3- 01/24/2002 , u e e + ONE HOUR MARTINIZING ================================ SiteID: 015-021-001986 + +================================================================= Fast Format + += Mitigation/Prevent/Abatemt =================================== Overall Site + +== Release Prevention ============================================ 08/18/1999 + 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 LEADAGE OF CHEMICALS. MACHINERY IS ROUTINELY INSPECTED TO BE SURE THEY ARE WORKING CORRECTLY AND SAFELY. +==============================================================================+ +--- Release ContaJ.'nment ------------------------------------------ 08/18/1999 + --- ------------------------------------------ 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. IS 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 ---------------------------------------------------- 08/18/1999 + ---- ---------------------------------------------------- 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 +==============================================================================+ +===== Other Resource Activation ==============================================+ I I +==============================================================================+ -4- 01/24/2002 ~ e e / + ONE HOUR MARTINIZING ================================ SiteID: 015-021-001986 + +================================================================= Fast Format + += Site Emergency Factors ======================================= Overall Site + +== Special Hazards ===========================================================+ I I +==============================================================================+ +--- UtJ.'lJ.'ty Shut-Offs -------------------------------------------- 08/18/1999 + --- -------------------------------------------- A) GAS - N WALL B) ELECTRICAL - N WALL C) WATER - N WALL D) SPECIAL - NONE E) LOCK BOX - NO +==============================================================================+ +---- FJ.'re Protec /AvaJ.'l Water ----------------------------------- 08/18/1999 + ---- .. ----------------------------------- PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND BLDG HAS SPRINKLERS. NEAREST FIRE HYDRANT - 50FT E OF ENTRANCE AND 80FT S OF ENTRANCE. +==============================================================================+ +===== Building Occupancy Level ===============================================+ I I +==============================================================================+ -5- 01/24/2002 , g e e + ONE HOUR MARTINIZING ================================ SiteID: 015-021-001986 + +================================================================= Fast Format + += Training ===================================================== Overall Site + +== Employee Training ============================================= 08/18/1999 + WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM; 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 ===================================================================+ I I +==============================================================================+ +==== Held for Future Use =====================================================+ I I +==============================================================================+ +===== Held for Future Use ====================================================+ I I +==============================================================================+ -6- 01/24/2002 / ONE ~OUR MARTINIII. Don Doer.sen Vice-President Phone (66\) 327-S326 Fax (66\) 327-300 I "7 Þ [5/91 Bakersfield Fire Dept. 2130 G st. Bakersfield, 93301 Dear Sir. ~~~o \0 \\ L ~1 ?lp ?-O<y, 'FØq DAN LANDON EN~. INC. 2025 Alta Vista Drive Bakersfield, Ca. 93305-3205 u~ R~.~ElVED f..,...,Û r"' 1 I.; 1999 BY: "'~ Enclosed is a Hazardous Materials Business plan for a new location at 5636 Stockdale Hwy., Bakersfield. Untill the store opens approximately September 15, 1999 Bakersfield, Cä¡ 93305. please address all information to 2025 Alta Vista Dr. Ilk Y U Don Doerksen ," /'1 ~AKERSFIELD CITY FIRE DEPARTMEJIÞ 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFtCIAL'USE ONLY ID# BUSINESS NAME HAZARDOUS MATERIALS,' BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action. return this form by '2, TYPE/PRINT ANSWERS IN ENGLISH, 3. 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: ' '(J tv E B. LOCATION / STREET ADDRESS: CITY: t?Jo I~S +,"fJIJ . . , H 00 R' ,m A- í~ TrrY /2-1 IÝ 6- 5'f.o ~ Co 5'-'-0 C.).2~ð 1.0 jJ w.J " ZIP: 9 ~ ~ f) L BUS.PHONE: ({,fp() 3~- ;¡,,9? SECTION 2: EMERGENCY NOTIFICATIONS - , In case of an~emergency involving the release or threaterted 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. ':í)(I),,", V f)-e ~12. s...p'V' ' B. f)C}(Jlo~";JoOr)~¡ ,,~~'a " DURING BUS. HRS. PhI . 3 )..';:> . ~ 3 ~'=' PhI ~~ì...~';~'" AFTER BUS. HRS. Ph#' g-~/- 93 t:t 3 Ph# r!?~Lf - 77 ft4 , , . , ~...I I SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS'AS'A WHOLE A; NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER:, D, SPECIAL: E, LOCK BOX: YES / ~ .NO~~ 'NoJ.. f\ n ¡..n UJet J I , WQ I J wt1 { , IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE,PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - CIT}' a/BAKERSFIELD ,-, ~ Stlllclard Bus'""s .......: HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS ~~~L FlMI .,..¡ Aqr;cultur. \.-J BUSINESS HAME: Ohe. <Þ!OIJ}- J?1lJh7TJ'/rz.~'I'7V LOCATION: ~?, ~&. tJ.ÎtHj¿dt1/"oi1 ,,",Wj CITY. ZIP: Bit J2Ju c,..r,..--IA If ~;i D' PHONE I:"-r ~g..':).. :)..,Q.., OWNER NAME: '}) Q '>" L,., "lid oM ~ ~ 1: .:Ð H. L. ' ADDRESS: .;¿, o~ It., a L. T't'I tJ, '" +tJ 1'> ~ CITY. ZIP: a )~""t",-+,..,,~ '9330~ PHONE .: (~ , ~ ~ ') ,.þ ~ ó>- h IUa'Ø ro zIIsnacrzollS ",If l'ItOPIlIf CODa I l IrllM TV" C ode Code J ... AM , "'"""- Un;ts 7 I~ III SU. t II II Cøtt tent u.. '"" T.. CadI . A_. Mt 5 Annuli Est .(l PIoys;ell and ....Ith lllI.N Jr./wck .11 thet ...1,.) ,..-, r~ L _..I F;re "'Z'N L -... Rwctivtty C.A.S. ....... r-, ,..-, ,..-, ..-... OIl"," L_'" SucIØn ..1_ L_..I .....t.t. ""Ith of p,...".. 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C.A.S. ..... ea.o-nt 13 ..., U.S. ...... '. NAME OF TØ1Š ~_ÇJL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER u 'by lit .. __ of IItllturelt ..t. s.. IIIItN:t 1l1li .ø rG;k l() r O-e-,i.. ... PY'I ~ ól _ La ÿ o-e[t.. L.QY'....Q IIUGENCY CØlTACTS I1l1i~:n..1)1).eJ:L~Ð"' ____ Ti~-,e.---~-- ~?J;Je ~ all.£eLQ ~ I--1fJOl2'~ o.lÍ1-.'L-__ m J'y1 t'I {YI t:o.".. N(:.. ~ Cltl"t!f;cat;an (RtllJd and sign lifter co.pletine all sflctionsJ I cltl"tHy,!IId... IIIIIlty of 1.. that I ha". øerslII.l1y ....;ned and .. f..iH.r with tla i"forMt; fo~ obt.i";", the Int_fllll. 1 bell.... that tM sube;ued ;nforwet;1II is t"". eccur.te. IIId A...·iña-õff;ë;il-t1tl¡·õf·ö;ñ¡r7ãõi~ã[õ~-OR-ö;ñ¡~7ã;;~¡tör~š-ãütñDrii¡a-r¡;r¡¡iñti£iVi w "... to ~'~tI. IIId that based III ., Inquiry of thol. Indtv1 eu. r1 _.. 7 ~ ure ----------.. on¡- '9" - - -- " \. ... \ '., -e s ' e e ... ONE HOUR MARTINI ZING Page 1 General Information Location: 5636' STOCKDALE HWY Map:123 Haz:3 Type: 3 city . Grid: 03B FlU: 1 AOV: 0.0 . r-- Contact NamJ - - - Contact Name Title . "Tl i'ie DON DOERKSEN I VICE PRESIDENT I MAINTENAN~ Business Phone: (661') 327-8326x Business Phone: ( 661) 327-8326x! 24-Hour Phone : (661 ) 831-9393 24""7Hour Phone · ( 661) 834-7784 · ce].l ·.phone . (661)' 331-6426 . cell Phone · (, 661) 332-3306 I . · .. Administrative Data Mail Addrs ¡5636 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 ( PIn-Ref e e Max Qty Page 2 ONE HOUR MARTINIZING U2 - Fixed Containers on Site Name/Hazards Form MCP 02-001 Low TETRACHLOROETHYLENE ÞO Reactive Liquid 1 ð~L e e ONE HOUR MARTINIZING 02 - Fixed Containers on Site pa.ge 3 Hazmat Inventory Detail in MCP Order 02-001 TETRACHLOROETHYLENE ~ Reactive Liquid 150 GAL Low 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 150 I 100" I 120 ~~nr~nA -------r Press T Temp ~' Location IN-MACHINE/EQUIP . l~mbientIAmbientl~ E. wall center of building - Conc l 100.0% Tetrachloroethylene Components ~ MCP ----rGuide Low I 74 " e e ONE HOUR MARTINIZING 00 - Overall ~1~e 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 ~VACUATE 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 ONE HOUR MARTINIZING 00 - Overall ~it& 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 e e ONE HOUR MARTINIZING 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - N-. wall B) ELECTRICAL - N. wall C) WATER - N. wall D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS Building has sprinklers FIRE HYDRANT - ~O feet E. of entrance 80 feet S. of entrance <4> Building Occupancy Level ,. ,~ e e ONE HOUR MARTINIZING 00 - Overall Site Page 7 <G> Training <1> Page 1 c WE HAVE 5 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