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HomeMy WebLinkAboutBUSINESS PLAN 10/31/2007 AFFORDABLE CLEANERS SiteID: 015-021-002025 Manager : RYAN P HONG Location: 6300 WHITE LN Z Ci ty . BAKERSFIELD BusPhone: Map : 123 Grid: 15C (661) 831-4820 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:3633 DunnBrad:77-011-9766 Emergency Contact RYAN P HONG Business Phone: 24-Hour Phone Pager Phone / / OWNER (661) 831-4820 (661) 664-6838 (661) 373-7316 Title Emergency Contact / / ) ) ) x x x Title 831-4820Xj . J,. t:.) Business Phone: .f. @11~6f;Y-{)~ () 24-Hour Phone : 373-7316x Pager Phone : Hazmat Hazards: Period Preparer: Certif'd: ParcelNo: to Fire React ImmHlth DelHlth Phone: (661) 373-7316x State: CA Zip 93311 Phone: (661) 373-7316x State: CA Zip 93311 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : RYAN P HONG MailAddr: 10400 SOUTHPORT GLEN City BAKERSFIELD Owner Address City RYAN P HONG 10400 SOUTHPORT GLEN BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on mv inquiry of those 1!~~Lvj(iua, 'wvt'''' ,,,i;"i.:: lor uotaio III 'Y 1I1ti jll'UII fll:ltion. i ceri" II under penalty of law that I have personcJly examined and am familiar with the information submitted and believe the information is true. accurate, and complete. /1() ~. tIt- / Dater ~/ ~ ~ -1- 10/26/2007 U ____ A~,~ AFFORDABLE CLEANERS -- -- - -- _ __ - - - _ ~ ~~ 6300 WHITE LN_STE,~~2 ._ _-__ ~~ ~~o~?-~C~ ~~ ~~S ,, n .~; ~~~~ JUL 3 2(IQ$ l t ,, .. ~~, ~.~~y it to Operftte Materials/Hazardous Waste Unified Permit Hazardous CONDITIONS, OF ,PERMIT ON REVERSE SIDE " '" , :'.~ , .'~ :.',_,,::~ - .; I . _. _.~. -.. " " ;. ....~;. . .! ..... Issue Date Approved by: I , Exp~tión Date:., : ::':;4. ·~~;~~.~i;J~;~~·~f: :~'" -. ~~ LNZ Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 LOCATION: " Issued by: !> :=~~~r~e\L Cb~~~IAGRAMr Business Address: 0 :k,ú SLt~ y~ .:f..~~ ~~, I .,J ~t<cl. --R: ----- X ~dqQJ &ùiy'r-TJ ~W:-\e~ . --..I +l'--- .~ .çf I (q¡ ..-' I¥ . ~~_..--_. j \ , I, VI ( i / 'I J í,) éb~~¡A-- ..1J ¡,r / f :£ ~7 kc. . {II 'c.'k, 'VI , f'~ ?e\/t --,- r -~~~.==-- ...-:::::::-.- -- , "". V ~' ~ <, ~ I, ,() i '( ~-t6.\ç:' , " ,\ I II l ' J , · ! ~Q.oy..rie (- t N Ii i! il Q] Ii ~". ¡i i ~I ~~I ^ II ." -~ -=--~ Mt'Ú2 -.......,=~.."'""-T ~~r~ p~c:~(/ s,-\-o-~ l ----- ~-'~,", ... -"---¡ .. --~ £~,!.~~ ~('(er ~~, jJ . j ,~¡,tè4y :])c'Q'Gra~ ~. r7i~ L---::-~~- . ~ ~. J) ct- . l~G~ [:9J';¡~ Ju ~ 'Prrer ~ ú.J1S!<R r / F AFFORDABLE CLEANERS p= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-002025 By Facility Unit Fixed Containers at Site "I "I "I DailyMax IUnitlMCP 175.00 GAL Low 5.00 GAL Low Hazmat Common Name... IspecHazlEPA Hazards I Frm I PERCHLORETHELYENE WASTE PERCHLOROETHYLENE F IH DH L L R -2- 10/26/2007 -3- 10/26/2007 F AFFORDABLE CLEANERS p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME PERCHLORETHELYENE SiteID: 015-021-002025 "I Facility Unit: Fixed Containers at Site "I Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 127184 STATE - TYPE Liquid Mixture PRESSURE Above Ambient TEMPERATURE Above Ambient CONTAINER TYPE IN MACHINE/EQUIP Largest Container 175.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 175.00 GAL Daily Average 175.00 GAL NT %Wt. RS CAS # 100.00 Perchloroethylene No 127184 HAZARDOUS COMPONE S N TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSME TS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME WASTE PERCHLOROETHYLENE Facility Unit: Fixed Containers at Site "I Location within this Facility Unit Days On Site 365 Map: Grid: CAS # 127-18-4 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL Z C MPO ENTS %Wt. RS CAS # 100.00 Perchloroethylene No 127184 HA ARDOUS 0 N Z D E EN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Low HA AR ASS SSM TS -4- 10/26/2007 F AFFORDABLE CLEANERS I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-002025 "I Fast Format "I Overall Site "I 04/25/2006 WE HAVE TWO CLEANING MACHINES ON THE PREMISES. WE USE A TIF5550, AN AUBIDLE HALOGEN LEAK DETECTOR. THIS DETECTOR IS PASSED BY ALL JOINTS AND SEALS ON BOTH MACHINES WEEKLY. IF A LEAK IS FOUND, IT IS NOTED IN OUR LOG. Employee Notif./Evacuation 04/25/2006 SPILLS THAT ARE THREATENING TO EMPLOYEES AND THE ENVIRONMENT REQUIRE THE EVACUATION OF ALL EMPLOYEES, MAKING SURE ALL ARE SAFE AND ACCOUNTED FOR. BOTH MACHINES ARE IN PANS AND UNCONTAINED SOLVENT IS ALMOST UNHEARD OF. IF THE SPILL IS A THREAT TO LIFE OR THE ENVIRONMENT WE WOULD PHONE 911 AND PHONE EMERGENCY SERVICES. Public Notif./Evacuation 04/16/2007 RYAN P HONG WOULD BE IN CHARGE IN CASE OF EMERGENCY. HE WILL CALL FOR EVACUATION OF EMPLOYEES AND CALL 911 TO EXPLAIN THE SITUATION. Emergency Medical Plan 04/25/2006 DIAL 911. MERCY SOUTHWEST HOSPITAL IS CLOSE TO THE BUSINESS AND WOULD TREAT THE INJURED. -5- 10/26/2007 F AFFORDABLE CLEANERS J p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-002025 "I Fast Format "I Overall Site "I 04/25/2006 BOTH CLEANING MACHINES ARE PLACED IN A STEEL PAN THAT DOES NOT ALLOW ANY MATERIALS TO FLOOD THE BUILDING. THE PAN CONTAINS THE MATERIAL IF NEEDED. Release Containment Clean Up 05/03/2000 SMALL SPILLS ARE MOPPED FROM THE PAN AND WE RUN THE RAGS TO RECLAIM THE PERC. LARGE SPILL WOULD BE BAILED AND RETURNED TO THE MACHINE. RESPIRATORS ARE IN PLACE FOR USE. SAFETY KLEEN REMOVES OUR WASTE. Other Resource Activation -6- 10/26/2007 F AFFORDABLE CLEANERS I p= Site Emergency Factors Special Hazards SiteID: 015-021-002025 "I Fast Format "I Overall Site "I Utility Shut-Offs 04/16/2007 GAS: REAR OF SHOP ELECTRICAL: REAR OF SHOP WATER: INT REAR OF SHOP Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FRONT CURB. Building Occupancy Level 03/10/2006 5 EMPLOYEES -7- 10/26/2007 , .' SiteID: 015-021-002025 "I Fast Format "I Overall Site "I 04/16/2007 F AFFORDABLE CLEANERS I p= Training Employee Training MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: I ONLY ALLOW MYSELF TO OPERATE THE CLEANING MACHINES. THE EMPLOYEES KNOW WHICH DOORS WOULD BE EVACUATION DOORS AND THEY ARE INFORMED TO EVACUATE UPON A PROBLEM ARISING OR COMMAND TO EVACUATE. I WOULD IMMEDIATELY PHONE FOR HELP. Page 2 Held for Future Use Held for Future Use -8- 10/26/2007 t_ ~ Y AFFORDABLE .CLEANERS Manager A,~ X 0,~l~r Location:~00 WHITE LN Z City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: 30~0~ BusPhone: Map 123 Grid: 15C SiteID: 015-021-002025 (661) 831-4820 CommHaz Moderate FacUnits: 1 AOV: SIC Code:3633 DunnBrad:77-O11-9766 Emergency Contact / Title Emergency Contact / Title RYAN P HONG / OWNER - / Business Phone: (661) 831-4820x Busine s P one: (66 - 24-Hour Phone (661) 868-0340x 24-Hour Phone (6 - Pager Phone ( ) ''~-~~if~c Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth Del lth Contact RYAN P HONG Phone: (661) MailAddr: 10400 SOUTHPORT GLEN State: CA City BAKERSFIELD Zip 93311 Owner RYAN P HONG Phone: (661) ~ Address 10400 SOUTHPORT GLEN State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: O~ [~ ~ PROG A - HAZMAT (, PROG H - HAZ WASTE GEN ~NT'D ~ PR 16 ~OQ7 Based on my inquiry of those individuals nsible for obtaining the information, !certify respo under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. O i e D e -1- 01/24/2007 F AFFORDABLE CLEANERS SiteID: 015-021-002025 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PERCHLORETHELYENE F IH DH L 175.00 GAL Low WASTE PERCHLOROETHYLENE R L 5.00 GAL Low -2- 01/24/2007 _3_ 01/24/2007 F AFFORDABLE CLEANERS SitelD: 015-021-002025 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PERCHLORETHELYENE Days On Site. 365 Location within this Facility Unit Map: Grid: CAS# 127184 Liquid TMixtur~-AboveSAmbEent AboveAmbient IN MAOHINE/EQUIPPE AMOUNTS AT THIS LOCATION Largest Container- Daily Maximum Daily Average 175.00 GAL 175.00 GAL 175.00 GAL -- HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Perchloroethylene No 127184 tiE~GEittL tia S.C~ ~ 51n~1v l ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE PERCHLOROETHYLENE Location within this Facility Unit STATE TYPE PRESSURE Liquid L ste ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 127-18-4 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL nsyc~xwvv~ ~.vrirvtvalvtS ~Wt. RS CAS# 100.00 Perchloroethylene No 127184 I11~GtitCL 1-~ J .7 A.7 J1"1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Low -4- 01/24/2007 F AFFORDABLE CLEANERS %SiteID: 015-021-002025 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 04/25/2006 WE HAVE TWO CLEANING MACHINES ON THE PREMISES. WE USE A TIF5550, AN AUBIDLE HALOGEN LEAK DETECTOR. THIS DETECTOR IS PASSED BY ALL JOINTS AND SEALS ON BOTH MACHINES WEEKLY. IF A LEAK IS FOUND, IT IS NOTED IN OUR LOG. 9 Employee Notif./Evacuation 04/25/2006 SPILLS THAT ARE THREATENING TO EMPLOYEES AND THE ENVIRONMENT REQUIRE THE EVACUATION OF ALL EMPLOYEES, MAKING SURE ALL ARE SAFE AND ACCOUNTED FOR. BOTH MACHINES ARE IN PANS AND UNCONTAINED SOLVENT IS ALMOST UNHEARD OF. IF THE SPILL IS A THREAT TO LIFE OR THE ENVIRONMENT WE WOULD PHONE 911'AND PHONE EMERGENCY SERVICES. /~// Puxjli/~jcON~tif . /Evacuation s.v~-~ ~ "'/~~~r~~Tr,r /"~T C'+TtT WOULD BE IN EITHER PERSON WOULD CALL FOR EVACUATION OF THE SITUATION. 05/03/2000 CHARGE IN CASE OF EMERGENCY. EMPLOYEES AND CALL 911 TO EXPLAIN Emergency Medical Plan 04/25/2006 DIAL 911. MERCY SOUTHWEST HOSPITAL IS CLOSE TO THE BUSINESS AND WOULD TREAT THE INJURED. -5- 01/24/2007 P AFFORDABLE CLEANERS SiteID: 015-021-002025 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/25/2006 ~ BOTH CLEANING MACHINES ARE PLACED IN A.STEEL PAN THAT DOES NOT ALLOW ANY MATERIALS TO FLOOD THE BUILDING. THE PAN CONTAINS THE MATERIAL IF NEEDED. Release Containment Clean Up 05/03/2000 SMALL SPILLS ARE MOPPED FROM THE PAN AND WE RUN THE RAGS TO RECLAIM THE PERC. LARGE SPILL WOULD BE BAILED AND RETURNED TO THE MACHINE. RESPIRATORS ARE IN PLACE FOR USE. SAFETY KLEEN REMOVES OUR WASTE. Other Resource Activation -6- 01/24/2007 F AFFORDABLE CLEANERS SiteID: 015-021-002025 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC1d1 ridGdLUS Utility Shut-Offs 04/25/2006 GAS: REAR OF SHOP ELECTRICAL: REAR OF SHOP WATER: INT REAR OF SHOP SPECIAL: NONE LOCK BOX: YES Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FRONT CURB. Building Occupancy Level 03/10/2006 5 EMPLOYEES -7- 01/24/2007 F AFFORDABLE CLEANERS SiteID: 015-021-002025 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/25/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: I ONLY ALLOW MYSELF AND HAMID TO OPERATE THE CLEANING MACHINES . ~ ~3~13d~ =~3~P-~i~Aq~~a"~"-i~~ ~i" rTl~Tf,~, ,-+~iLi ~Ly~yy -THE EMPLOYEES KNOW WHICH DOORS WOULD BE EVACUATION DOORS AND THEY ARE INFORMED TO EVACUATE UPON A PROBLEM ARISING OR COMMAND TO EVACUATE. I WOULD IMMEDIATELY PHONE FOR HELP. rayC ~ Held for Future Use nciu tvi ru~..uic ~5c -8- 01/24/2007 ;i~~` TF~ CITY OF BAKF,RSFIELD FIRE DEPARTMENT ~~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~ , -y. UNIFIED PROGRAM INSPECTION CHECKLIST ''r~ ~gti;~ ~t 1715 Chester Ave., 3'd Ii'Ioor, Bakersfield, CA 93301 FACILITY NAME HFFDfZ1~A~c.~' t-L~~~SINSPECTION DATE Ala ~ ~ ~ ~O ADDRESS Co 3©~ GlJ,~~y~- ,t!.y, ~' .Z PHONE NO. ~~l ~ ~ ~~ ~ FACILITY CONTACT dQ.Ysa~J !-wur BUSINESS ID NO. 15-210-flc~~.~.2.5 INSPECTION TIME ~`~ yyt,,us . Nt1MBER OF EMPLOYEES Section I: Business Plan and Inventory Program (Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection • OPERATION C V COMMENTS Appropriate permit on hand C Business plan contact information accurate V ~~ d~~. ~ ee Visible address ®QU ~ ,v~ CA1 Correct occupancy C1'~ C Q d, n ~~• /LT 7L Verification of inventory materials C -,eS~f~~.~D ~'~~ C/33r Verification of quantities C Verification of location C ~e ~ ~ Proper segregation of material ~'., Verification of MSDS availability P ~tla " ~ 3 r Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled C Housekeeping G Fire Protection C 6 Site Diagram Adequate & On Hand C=Compliance V=Violation • Any hazardous waste on site?: Yes ~ No Explain: P~2CL-ice ~~,~tN6 ~~ti~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Cop; - , - - - " .. -" " " ~, ~ ~?..~ .J">i~lEi- •l .~ ev S, /-~~' ~'7-r ~; •a ~_/~c a '~ .~~ ~ . _ _., • ~ BAKERSFIELD FIRE DEPT. ~ (~ FIRE ORDINANCE VIOLATION. ' H $~iR~ I D Prevention Services ~ (,f a~ ..,~ wRap~ 900 Truxtlin Ave., Ste. 210 - ~ ~ ~ ~ . Bakersfield; CA 93301 " Tel.: {661) 326-3979 X Fax: (661) 852-2171 OCCUPANCY DISTRICT BLOCK NO. DATE } TO TITLE' FIRM Ott DBA - '' q COMPANY ADDRESS (CITY, STATE, ZIP) ` ~ ,~ - a, BUSINESS PHONE HO E PHONE CORRECT ALL VIOLATIONS vaLanoN ' REQUIREMENTS CHECKED BELOW uo. E /DRY M TIB WA 1 Remove and safely dispose: of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BUS LE CO ST , VEGETATION -2 Provide non-combustible containers with tight fitting lids for the sto~ageTof combustible waste and rubbish pending its safe disposal (U.F.C.) COMBUSTIBLE STORAGE 3' Relocate combustible storage to provide at least 3 feet clearance around ,motor fuse boxlfire door (N.E.C.) (U.F.C.) . _ 4 .Relocate fire extinguisher(s) so that they will be in a conspicuous location,.hanging on brackets with the top to the ' extinguisher not more than 5 feet above the floor. (N:F.P.A. No. 10) - EXTINGUISHERS - ~ 5 Provide and install (amourit).___~ approved (type 8 size) _____~_~______~ poetable fire extinguisher to be • immediately accessible for use in (area) _~__~_~____w_ _ (U.F.G.) ' /~i _ Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year,,and/or after each use; `~ - '° ~ ,~ by a person having a valid license or certificate. (U.F.C.) ~ ( f ~ ~ t );_,~-~ ~ I"cC ~, 7 Provide and maintain °EXIT° sign(s) with lette"rs 5 or more inches in height over each required exit (door/wintlow) to SIGNS fire escape. (U.F.C:). ` - ' g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate tfie correct address of the building. (B.M.C.) (U.F.C.) g'• Repair all (cracks/holes/openings) in plaster in (location) _______,~____ ______~_______________. Plastering FJREDOORS! ~ shall return the surface to its original fire resistive condition. (U:B.C.) FlRE SEPARATIONS , -. 10 Remove/repair (item & location) __ __ _ _• __ ___ _______. Self-closing - doors shall be designed'to close by gravity, or by the action of a mechanical device, or by an approved smoke and ' heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) ~~ 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U. F.C.) 12 Provide a contrasting colored and permanently installed electric light over or hear required exit (location) ' ~ _ to clearly indicate it as an exit. (U.F.C`) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire 'escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ~• 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICALAPPLUWCES where needed. (N.E.C.)'(U.F.C.) 15 • Remove multiple attachment cords from, specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U. F.C.) ouTOOOReuRNING ~ 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FlRENIORKS 1Z. Violations of Section. 7802 U.F.C. or 8.48.040 of the Bakersfi eld MuniCi al Code B.M.C. re ardin fireworks. OTHER . `..1~ # ~~ ~ f` c. vr~.. ~.., ! ~ .s C ~^.~.. { ..r` ~i ~, tit,.," ,.,. ~,=- ~, ' .. ~. 2 'Z O ~, ' .f L^ .l [.. ~ f~4 , wx i ' l~4 ,C C. 't] ON (DATE) AN INSPECTKNJ WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDITIONAL ' f pErta' pECF.nnpp oIp1K~ o~ yp~AnpN REGULATORY ACTION MAY BE INITIATED. ~ // N M RD L ENT BY C RTIFl MAIL P VID A NG D TE sl3NanIRE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS ev ORDER,OF THE F&tE CNR?F ' DATE COM NOTICE BY MAIL OR IN PERSON TO: ~,+". ~= ~ FL,,,,,-,,_ ~ [~ ~ , BAKERSFIELD FIRE DEPT. • wsvECroRSIONATURE elavEeTOaswlu~TURE -. OFFICE OF PREVENTION SERVICES• ~p°•~~0` Cp~pq~p FlRE COpE ' ~; 900 TRUXTUN AVE., SUITE 210 ~ s M ue ~~ ~ _ SAKERSFIELD, CA 93301 ~ . cc n uoNlc ~ Napa. NAnoNAL ~ PROTECTION AssocwTlor, ~ • ' . ~ N.E.C. NATIONAL ELECTRIC CODE - ~ . White-Customer/Original - , , Yellow-StstionCopy ,Pink-Prevention Services, ~ FD1918 IREV. oz~osl .. J ' BAKER8FIELD FIRE DEPT.' ,FIRE' ORDINANCE VIOLATION. • e._ eiR~ I D Preveation Servlices ~ - ' • ~r : A~~r 900 Truxtun Ave., Ste. 210 • ~ . - ' ~ •Bakersfield, CA 93301 , ' , ~ - ` . Tel.: (661)'326-3979 X Fax: (66'1) 852-2171 ~~ OCCUPANCY DISTRICT ~ ` _ BLOCK NO. DATE TO . ~ TITLE . FlRM OR DBA ~, ~ - r - COMPANY ADDRESS (CITY, STATE, ZIP) BUSINESS PHONE"y ; e ~~-. iF ' HOME PNONE CORRECT ALL VIOLATIONS vaunox REQUIREMENTS . - CHECKED BELOW uo: 1 Remove and safely dispose•of all hazardous refuse and dry vegetation_on the.above premises (U.F.C.) • COMBUSTIBLE WASTE /DRY VEGETAIION .` 2 - Provide non-combustible containers with tight fitting lids for the sto~iige.of combustible waste. and rubbish pending its safe disposal. (U.F.C.) - COMBUSnBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/tire door (N.E.C.} (U.F.C.) • ' q Relocate fire extinguisher(s) so that they will be in a conspicuous. location; hangin<y on brackets with the top to the • extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 ~• Provide and install •(amount) ~____ approved (type 8 size) ~_r~________~ Rartable.fire extinguisher. to be immediately accessible for use in (area) _________M~______~____~ (U.F.G_} ' ' - g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, ° ` by a, person having a valid license or certificate. (U. F.C.) ` 7. Provide and maintain "EXIT" sign{s) with letters 5 or more inches iri height over each required exit (doorlwindow) to SIGNS, fire escape. (U.F.C.) g Provide and, maintain appropriate numbers-on a contrasting background and visible from the' street to indicate the ° correct address of the building. (B.M.C.) (U.F.C.) - •, ~ ~ . g y.. Repair all (cracks/holes/openings) in plaster in (location} _____________Y_____________________, Plastering FJREDOORS/. shall return the surface to its original fire resistive condition. (U.B.C.) FlRE SEPARATIONS 10 Remove/repair (item 8 location) ___________________~___ _~ __ _ ____~_ ~________• Self-Closing doors shall be designed to close by•gravity, or by the action of a mechanical device, or by an approved smoke and • ~ heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the. ~ tt ' closing device. (U.F.C:) ' 'SRS ~ 11 Remove'all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)- ' ~, 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) . _~______M,_________________~• to clearly indicate it as an exit. (U:F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire , escapes/stair shafts are to be maintained free from obstructions at all limes.) (U.1r.G.) 14 Extension cords shall not be used in lieu of permanent approved wiring. • Install additional approved electrical outlets EI_ECTRICALAPPLU-NCES where needed. (N.E.C.p (U.F.C.) ' 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N,E.C.) (U. F.C.) OUTDOOR BURNING 18' Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. • FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER , . ~ .. 8-,;~ ~ ~ '" ~ ~ ~ ~ S ,t •e^ v ,~ ~. _ ~ 1 _~i` ^a ?' t`; ~9' `S'ti,P~i f1 ~'"''1 ~~ `~ ~ ' ms`s: ` ~" ~ _ ~ ~ ~ • ~ ' ~ , -- - -_ ~- ~ ~ ~ r `Q•~ON (DAl'E) AN INSPECTION WILL BE MADE, tF NO COMPLIANCE HAS BEEIJ MADE, ADDITIONAL: pap RE Ng10 NO OF VIOLA710N REGULATORY ACTION MAY BE INITIATED. / ,,r~ !i r{ / . t/ ll :.f 1 RDER 11111 E T BY C P D A N DAT ' ( 8 ~~~ I AFTER VIOLATIONS ARE CORRECTED, RETURN tNIS 6Y ORDER OF THE FIRECt11EF COM v ~T NOTICE BY MAIL OR IN PERSON TO: „.. ,- ,~..~ ~ ,' ~ ~ ' i BAKERSFIELI) FIRE DEPT. OYSVECroRSgNA711RE ` " ,~ PECiopsK+NA1upE OFFICE OF PREVENTION SERVICES ~ LEOENO: c,F.c. caufop-ua I•lRE CDDE ~, ° r 900 TRUXTUN AVE., SUITE 210 u.e.c. uNwRtn autwtNe CODE ,•1 . r " , ' BAKERSFIELD, CA 93301 ~•c• SgKER91~LD MUNtt~AL CODE ' r:: - NF.PA: NATIONAL FOlE PROTECrtON ASaOC1AT IDN ~ ~ - . - ~ N.E.C. NATWNALELECTpICtXIDE ~ - . ~ ._,, - ;_;~~l/Vpite -Customer/Original `~ Pt~~~ORLGIN~A1, •- Yellow -Station Copy -Pink -Prevention Services i FD1918IREV. 02/06) ;. ~. .:. + AFFORDABLE CLEANERS _________________________________ SiteID: 015-021-002025 + Manager BusPhone: (661) 831-4820 Location: 6300 WHITE LN J~S6/fTF, ~ .~ Map 123 CommHaz Low City BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:3633 EPA Numb: DunnBrad:77-011-9766 Emergency Contact / '~"itle Emergency Contact / Title / OWNER ~/J~ / ASSISTANT Business Phone: (661) 83~.-4820x Business Phone: (661) 831-4820x 2 4 Hour Phone ~~ ~} -6.6~ ~z-5~3f 2 4 -Hour Phone = Pager Phone Pager Phone ( ) ~ 3~3 ~31~ - - + --------------- -----+ ----------------+--------------------- Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 831-4820x MailAddr: 6300 WHITE LN ~2 State: CA City BAKERSFIELD Zip 93309 -- --_ ~~-~~~ ~~ ~ ~ Owner - ~ ~ 3- ~~1~~ f ~~ ~ ' Phone 0/1~ f ~~ A,-.TT1~T „ Address ~T~_-T*~ City I ! ! / ~ r *°.4a. /O , SON'„~o•r State : CA •T~ '7~ ~ Zip 93311 J~ ~ -~ ~ ~ ~ +- ----- -- -- - --- - ~------- ---------------+ ---- c ~ Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG A - HAZMAT ~N~ APR 2 5 2006 Cased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe thelnformation is true, oL -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST • in Inventory Program SECTION~~1: Bus' ess~Planand~f~~ ~ ~~~~~~~~ ~~ ~ ~ ~~~~~ ~~ ~~~~~~~~ BAKERSFIELD FIRE DEPT e D Prevention Services I;1R~ 900 ZYuxtun Ave., Suite 210 ~Rrr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION D TE INSPECTION TIME p 'CZ ~ ~ ZS C~ i S' 1M ADDRESS HON NO. O OFEMPLOYEES ~t~ ~ L S ~- S~ rz FACILITY CONTACT USINESS ID NUMBER 15-021- pa Zc~zS' ~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ~„ ^ APPROPRIATE PERMIT ON HAND BUSit1eSS PLAN CONTACT INFORMATION ACCURATE Y~3~ ~~~ 73 - 73i ll ~. ^ VISIBLE ADDRESS 'I ^ 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 CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: __ _._ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~1 . ~ ~ 111.E c t~ Q.~ ~'1, ~! IR L~ ~ ~ ~O ~~ Inspector (Please Print) Fire Prevention / is' In /Shift of Site/Station # Business Site/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILIT NAME .- - n - ~ rc~ 12 c2 r1 c'9aitt~_7 . _ ~ C~ t ---... (~ --..----__-- ------ INSPECTION DATE ~-'c[ ~ ~ _ U Itl INSPECTION TIME ~~ ,rj ~'-~7 -n __ _ .. ...- -- . - - - - ------------- - ----- ADDRESS `` ~, JJ / ---~i!_ i~ try 4V~ / Yr ~C ~ /L.~C.._. ~ ~ -..- ---- --- --- __ _- _ PHONE ,/ y ~ 3 `T O ~ti _ No of Employees ----7-_----- FACILITYCONTACT _ Business ID Number ~' ,~.^~ 15-21' ~f.J ~~ Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection V C lV=Vioatiolnn`Rl OPERATION COMMENTS ~ / LrJ ^ APPROPRIATE PERMIT ON HAND ^ ~J BUSINESS PLAN CONTACT INFORMATION ACCURATE `~~!~'~ ~~~"~-'~~ ~~~~~t~' (~~ ^ VISIBLE ADDRESS i~ ^ CORRECT OCCUPANCY Q L+~ ^ VERIFICATION OF INVENTORY MATERIALS --- --- --- --- -- ---------._. ------ ~^ VERIFICATION OF QUANTITIES -^-- - --1 ----` ---- ----- V L~'f U ERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL f lil ^ VERIFICATION OF MSDS AVAILABILITYE - O ^ V M -' - ERIFICATION OF FIAT AT TRAINING L ~` ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - / [~ ^ EMERGENCY PROCEDURES ADEQUATE - ^ ONTAINERS PROPERLY LABELED H OUSEKEEPING -_ _--l--- --- ---- --_-~_~ .. CC ^ FIRE PROTECTION ^ Ld U SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: LrJ TES ^ NO /~j-~~' ~S ~ Q ~O 7 Y ~-1 EXPLAIN: t~~ :l /C ~. ~ LV~j'YE ~'1=2C1-I L..~~2p- T~-/ E ~:'C~uE QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ta661 ~ 326-3979 Inspector Badge No. , .. C..~ White -Environmental Services Yellow - StatamCopy Pink - Buainese Copy C~(~/ ?4 QLD p'~cc' CITY OF BAKERSFIELD FIRE DEPARTMENT ~ OFFICE OF ENVIRONMENTAL SERVICES b r • ~ UNIFIED PROGRAM INSPECTION CHECKLIST,,-• „ ~ r, ff' ;mow "~g~;~ 1715 Chester Ave., 3'" Floor, Bakersfield, CA 9330~''~ •- ~ ~-% =~~.~--' FACILITY NAME Af=~-c~~ar.C Cu~:~~~S ~~ as ~~J~, ~ ~ ~ ~ Section 4: Hazardous Waste Generator Program INSPECTION DATE t 1 r ~"4 r~ 3 l~ LSU c a o l4 744? EPA # C~LOOOZ34 7 ^ Routine ^ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS ..---~-"~ Hazardous waste determination has been made ~ EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) T~,.tc~ ~,~ct ~~i t~~~; orJ E6C~ Authorized for waste treatment and/or storage / Reported release, fire, or explosion within 15 days of occurrence V~J ,~ Established or maintains a contingency plan and training / 1p03 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 / -~~ .~!'' `~. ~Ov / Weekly inspection of storage area ;/ ; ~;~~ ~' ~~ Ignitable/reactive waste located at least 50 feet from property line ~ ~x.~'cK- ~~`'~'' `,~~' 3' Secondary containment provided yry ~ ~ ~ ,-~ ~ y ~n J Conducts daily inspection of tanks ~, ~-- ~ ;%~ ~% "~~="~ Used oil not contaminated with other hazardous waste ~/ 11, ~ Proper management of lead acid batteries including labels n/ ,4 Proper management of used oil filters n/ /.~ Transports hazardous waste with completed manifest ~(~K ~S ~~ •Y Ki:i~.- o,,l C,Pa Sends manifest copies to DTSC / Retains manifests for 3 years / Retains hazazdous waste analysis for 3 years i/ Retains copies of used oil receipts for 3 years ,at Determines if waste is restricted from land disposal / t.;=c;ompuance v=vtolatton Inspector: w ~ ^~LS Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy ti, ," ~: .~ . B mess esponsible Party ~~:RDABLE CLEANERS ---1IÞ ,~,JUL 3 ll)f)~ .SiteID: 015-0:!i-002025 Manager : Location: 6300 WHITE LN Z City BAKERSFIELD BusPhone: Map : 123 Grid: 15C (661) 831-4820 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:3633 DunnBrad:77-011-9766 Emergency Contact DEBBIE DANSBY Business Phone: 24-Hour Phone Pager Phone / Title / OWNER (661) 831-4820x (661) 663-8259x (661) 703-0670xCELL Emergency Contact RHONDA CASEY Business Phone: 24-Hour Phone Pager Phone / Title / ASSISTANT (661) 831-4820x (661) 587-0316x () x Hazmat Hazards: Fire ImmHlth DelHlth Contact : MailAddr: 6300 WHITE LN Z City BAKERSFIELD Phone: (661) 831-4820x State: CA Zip 93309 Owner Address City DEBBIE DANSBY 9713 GREEN OAK PL BAKERSFIELD Phone: (661) State: CA Zip 93311 66x38259 Period Preparer: Certif'd: ParcelNo: to TotalASTs: TotalUSTs: RSs: No Gal Gal Emergency Directives: ( -ßIi.fJœ. f1aaIØc/her,3by ~er~;í'! thtij; j ~"<\ì9LS (ryP8 or prln' nama) , reviewed (he attached hazardous mat9r:p<il$ manags-- AFFOR PI1 ßle men'( plan 10r CL-ELlliÆ5.ß,nd ~hat ¡~ ÐIOi1gj w¡~h (i\l&me of Busln3S3) any OOiTectiOi1~ CÖ¡'i)S~~~uftl8 tal ((;omp!e~s Sind ©~ru~d ma~ agemeni plan ior my ~acmtþ'. -1- 06/16/2003 . SiteID: 015-021-002025 By Facility Unit Fixed Containers at Site ì ì 9 DailyMax Unit MCP 175.00 GAL Low F AFFORDABLE CLEANERS ~ p= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name. . . specHaz EPA HazardS Frm I PERCHLORETHELYENE F IH DH L 1 -2- 06/16/2003 e SiteID: 015-021-002025 9 Facility Unit: Fixed Containers at Site 9 F AFFORDABLE CLEANERS ~ p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PERCHLORETHELYENE Days On Site 365 Location within this Facility Unit ?????????????? Map: Grid: CAS# 127184 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Above Ambient Above Ambient CONTAINER TYPE IN MACHINE/EQUIP Largest Container 175.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 175.00 GAL Daily Average 175.00 GAL %Wt. RS CAS# 100.00 Perchloroethylene No 127184 HAZARDOUS COMPONENTS Z D M TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HA AR ASSESS ENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -3- 06/16/2003 F AFFORDABLE CLEANERS I p= Notif./Evacuation/Medical Agency Notification . · SiteID: 015-021-002025 ì Fast Format ì Overall Site ì 05/03/2000 WE HAVE TWO CLEANING MACHINES ON PREMISES. WE USE A TIF 5550 A AUBIDLE HALOGEN LEAK DETECTOR. THIS DETECTOR IS PASSED BY ALL JOINTS AND SEALS ON BOTH MACHINES WEEKLY. IF A LEAK IS FOUND IT IS NOTED IN OUR LOG. Employee Notif./Evacuation 05/03/2000 SPILLS WHICH ARE THREATENING TO EMPLOYEES AND THE ENVIRONMENT REQUIRE THE EVACUATION OF ALL EMPLOYEES, BEING SURE ALL ARE SAFE AND ACCOUNTED FOR. BOTH OF MY MACHINES ARE IN PANS AND UNCOTAINED COLVENT IS ALMOST UNHEAD OF. IF THE SPILL IS A THREAT TO LIFE OR THE ENVIRONMENT WE WOULD PHONE 911 AND PHONE EMERGENCY SERVICES. Public Notif./Evacuation 05/03/2000 DEBBIE DANSBY OR RHONDA CASEY WOULD BE IN CHARGE IN CASE OF EMERGENCY. EITHER PERSON WOULD CALL FOR EVACUATION OF EMPLOYEES AND CALL 911 TO EXPLAIN THE SITUATION. Emergency Medical Plan 05/03/2000 WOULD DIAL 911 - MERCY SOUTHWEST HOSPITAL IS CLOSE TO THE BUSINESS AND WOULD TREAT THE INJURED. -4- 06/16/2003 . SiteID: 015-021-002025 ì Fast Format ì Overall Site ì 05/03/2000 F AFFORDABLE CLEANERS I f= Mitigation/Prevent/Abatemt Release Prevention . BOTH CLEANING MACHINES ARE PLACED IN A STEEL PAN WHICH DOES NOT ALLOW ANY MATERIALS TO FLOOD THE BLDG. THE PAN CONTAINS THE MATERIAL IF NEEDED. ¡: Release SAME. Containment 05/03/2000 ] 05/03/2000 Clean Up SMALL SPILLS ARE MOPPED FROM THE PAN AND WE RUN THE RAGS TO RECLAIM THE PERC. LARGE SPILL WOULD BE BAILED AND RETURNED TO THE MACHINE. RESPIRATORS ARE IN PLACE FOR USE. SAFETY KLEEN REMOVES OUR WASTE. Other Resource Activation -5- 06/16/2003 F AFFORDABLE CLEANERS I f= Site Emergency Factors Special Hazards . .0 SlteID: 015-021-002025 ì Fast Format =j Overall Site ì 05/03/2000 A) GAS - REAR OF SHOP B) ELECTRICAL - REAR OF SHOP C) WATER - INTERIOR REAR OF SHOP D) SPECIAL - N/A E) LOCK BOX - YES Utility Shut-Offs r Fire Protec./Avail. Water 05/03/2000 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHERS ARE IN PLACE. NEAREST FIRE HYDRANT - IS AT THE FRONT CURB. Building Occupancy Level -6- 06/16/2003 F AFFORDABLE CLEANERS I F Training Employee Training . · SiteID, 015-021-002025 1 Fast Format ì Overall Site ì 05/03/2000 - ~' . WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING ROGRAM: I ONLY ALLOW MYSELF AND RHONDA CASEY TO OPERATE THE CLEANING MACHINES. I HAVE INFORMED PHONDA OF THE ABOVE EMERGENCY MEASURES, EXTINGUISHERS, SPILLS ETC. THE EMPLOYEES KNOW WHICH DOORS WOULD BE EVACUATION DOORS AND THEY ARE INFORMED TO EVACUATE UPON SENSING A PROBLEM OR COMMAND TO EVACUATE. RHONDA, I OR HAROLD WOULD Page 2 r I I Held for Future Use H~ld for Future Use -7- 06/16/2003 12/1D/2003 11:49 559-485-2008 SK-FRESNO PAGE 01/03 ,tþ - SAFETY-KLEEN SYSTEMS, INC. 3561 scum MAPLE AVE FRESNO, CA 93725 PHONE (559) 486·1960 Fi\.X (559) 486-2008 TO: 13 ru Cf ~ @FAX: (p f¡J 1-&54 -cÇjr£ FROM: Laurie Kiser DATE: 12. -I 0 -03 RE: PAGES: 3 ( Including cover sheet ) 12!10:2003 11:49 55'3 -4 8E,- 2(\88 Sf( -FRESNO . PAGE (\2/03 e December 10, 2003 8 Department of T oxi<: Substance Control G~nerator Information Services Section, HQ-9 ATTN: Ma"lfeats Correctlons9 PO Box 806 Sacram&nto, Ca 95812·0606 RE: Manifest Correction Letter This letter is to notify you of a correction to the manifest listed below. 1. 22374917 M .n¡teet Number 2. 06·25-G3 ShIpped Dete (Une 18 D..) 3. AFFORDABLE CIrNRS Genlll'.tor'. Name as Indlcared On the ManIfest 4. CAl000147447 EPA ID NumÞer lAB Indlclted 0tI the Manl1e&t 4. I"oorrec:t or Incomplete Manifest Item 5. Correotion($) Number (Ust Box or Item 1..20 or A..k) Item 1 Generator's US EPA ID No, should read "CALOOO234147" If you have anyquestions, please calf me at (559) 486·1960. Sinceri!ly, 6. Laurie Kiser Branc:h Suaretery ¡;t~~ 00: Customer Branch File Designated Facility ". .' 3561 S. MAPLE SAPE~~fE~ CORP. FRESNO, CA 93728 559-488-1960 rAX 559-486·2008 @ 12!lÐ/2ß0J 11:49 559-485-2008 Fo"" Ap~,o~ OMI{N;;.:iöšö'~ëo:i'iË~¡;¡;,;:'r.ïõ-~!I - ~ -..., oS. .;;-..., oS. . Pl.o... fI't~. or ","po, For'" ¿..,ion"! fey Vd o~ ell,. (I ;Z'piIr: , 1. SK-FRESNO S.. 'nstrlJcti"nJ on bat:k of. 6. .... f-" o.-d} (;eerello,', U$ EPA ID Nil, Mooi"'1 Cocumtlll No. 12903 PAGE ü3!03 OOpol'fmllll.f T.... ,..b,'o""e, Coo" So...,,"'",., C:Q'f!.rftIQ 10rorll>0IIon ill ¡he .halllod 0....0. ;~ .crt .-.qu:t.d ~ FotIOt<Ii Icw, 2. Par,¡e 1 1 . UNifORM HAZARDOUS WA.STE MANIFEST I 01 ~I' CD, oj .~I ¡~I <t¡ ~¡ 0, 51 ;1 ~I ~I ~ gj, N ;81 E .;, R ' ~I A I ;1 T ;I. 0 ~ ~'i R. ~! _I i!:'1 " J u ? " ~ ? u , 01 CA 93309 I" ..........:--- - 2 2 37491 7 i 8. SIoNo.""",,~, ID ". .'. ..... .,.... 3, Ÿ'~O!e'" Nome ond Mailins Add"... 6300 WHITE LN, #Z Bf'1ì"E.RSF ! ELD 6, Gonororcr'. ~¡'o".1 QÓlì 8:31-4820 4, \IS tPII. It! NDlllbw $, T",n'po'lOt 1 C:~I!I MI/IY MOIne ! 8ArETY·-~(L.EEN SYSTEMS, INC. c, O. Tt'GUI'OMt"', ·'.5S9 4B''': 1 '60 E. .$M Tnmsportlr'. Do(I~,'J . . , . ~::' . f . >, T"'"'p~,"t 2 '_pon" No",. è,R'~!'i',.~t~w~as~~s, IN(; 1.0625- HICKSON ST UNIT A EL MONTE CA 917~1 ÇAT00061~a93 I ":'."' 1 ¡. US OCT Þ.t~(il"¡;"" tit>ciuding Pr.",... Shippl"t ,..;"..... Høz~td CIa... one! It) f'(~.rJ ...../': ..;' 1~Q~~O~~¡~~~~~~~) "·~"\'~fh1XfJ..11) t~*J'OAI FU,:rt-rts b. RG WASTE TETRACH~QAOET~YLENE 6. 1 UN18 POrI! (ERQ 160)(F002 0007 D039 0040) l:3#/GAI... d, I~ ~ ~.~~~~ I, 1·L.'.... --'r' u..~J.r---,.""'." :nSJD007 J)()3Ç 'nJ) 1)040. ..... ~ I ,'.' , " " ; I :1 ï/ ¡' ) l!~~~~ä,In$~~~4t'8'JJpt760 24HR ,- .. ,51" AUTHORIZED TO RETAIN LICENSED SUBSEQUENT CARRIER, AS NECESSARY, I -~ _ -:f.:I~J IS 12627 C D I I ð, GENERATOR'S aIt'/ll'U;ATlOH: 'h....... cleclo,. thol t~. 00._ 0' tltla 'cm,IOftM'~t CI../IIi'~ ondoceurc",ly o:'.lc,ll>"" 0_ by p""p.f Inipoln. ~a!M and ,,,., <IOHI~..d. p".ktd, I !Mrkad. onå I"ooi.d, end aro In "II ,,_poCIS tn p...."'" .DI1dlJr,," '"~ Ifllnlpol'l "y higkw.y .,ulI'''!n, k> a".U..~¡,1o ¡n"'mollon.1 ond 1\0"""01 g....."'m.n' ,...loP/on., , ¡ Î I If \ 0"" . Itlft. q"",,:ily "'!ere"',. I o.thfy therll 11..... 0 p.""",.. I~ pia.. 10 t~ije. Iho ~a ~"", 'M Jolllelly of W'c.~ (¡In.~ 10 In ogroo hewt d.i1I,mln_ 10 It. .~_micQII)t ll'CIcll<o~l. one! '~at n.... lol.c:.d It.. ,"'''ellco~'. ....I;...d çf trttltment, IlCItag", 'If á¡II~"I..1 '~mIlH)' o'tCIII.bJ. tOJ m. wl. c~ minim ' h. p'.""" ond "'1\1.... ,h,..QIIO humClII hOltlr , Må tho ftnvlronm.~t; OA, i! am 0 IImall quanttty 1I""_I/IIt, I hf!\'1 IIIIItItr ø c¡ocd fallt. ..fIoJ~ 10 /IIf~I'"¡ft III~ sto 90~",.r O" Oft .. ',_ b..t _." maftø90menl mothod ~al ¡. ovailobi. to "'OJ CII1c1 ~hGf I con oflord, " ;1 I I I * A ~ ~ P G A I f ~, i F 19, \)¡.<t.p..~cy Indlcollc. $ NCe IA ¡ ~ I ¡ L 20, facility o..n., W Op.'I'e'Ot C.rf~c~~ h.nrd"". , , T ¡ P~"'od/T~,""" N..m< l~ Month ~' lÌ-1 I I :. c.....~'by ih¡.m.nlf....t' 'KIIII fU ~OItId in 'ta1l\' 1 9, $î;notIJto DO NOT WilT( 'UOW fHIS LINt, SC $022), ¡! /,~) ... S700-H W~"Q T$i)r- S!:NOS TI'n:> COpy TO OTSC W¡TI'1IN JO DA rS r~' p,O, !>n. ,,000. 500'O",<IIIQ, c'A 9~U'! 2 .... \ - -, CITY OF BAKERSFIEtD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I·'loor, Bakersfield, CA 93301 FACILITY NAME j)Fr::S;e.,IJAbl.G CL.ß4.uOCS INSPECTION DATE Il/ /4/0'"'2... ADDRESS c'.3oD WUI r~ LAJ , $: z... PHONE NO, 831 - <1'ff .,¿;) FACILITY CONTACT ß4u ('e DðL..E; ,,J BUSINESS ID NO. 15..rfe.. (!)OO - 0 0 Z 0GS" INSPECTION TIME AS Ih 1«..>.$ NUMBER OF EMPLOYEES 5" Section J: , Routine Business Plan and InventoQ; Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS . Appropriate peonit on hand C. Business plan contact infoonation accurate It V IJe.v Ot.())v~ , Visible address t- Correct occupancy c.. Verification of inventory materials Ie.. Verification of quantities c.. - Verification of location c.. Proper segregation of material C. Verification of MSDS availability (. Verification of Haz Mat training ~ Verification of abatement supplies and procedures C Emergency procedures adequate ¡,..., "'- Containers properly labeled ~ I\- Housekeeping Ie.. Fire Protection C. Site Diagram Adequate & On Hand Ie.. C=Compliance V=Violation Any hazl).fdous waste on . te?: Explain: ,t'~ILc:.. II.( \JC 6:::.. ~~rH?' ~~--" ) onsible Party Inspector:ø~ ~ q¡f Questions regarding this inspection? Please call us at (661) 326-3979 While - Env, Svcs, Yellow· Station Copy Pink - Business Copy · e ., ~ AFFORDABLE CLEANERS _. (80~\ Q31-4820 ~ ~-DU Most Items $2.99 I 6300 White Ln, SuiteZ Bakersfield, CA 93309 HAROLD & DEBBIE DANSBY Owners --~-. -- - ',.- ,It _ CITY OF BAKERSFIELD -.. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATEIDALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 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. 5. You may also 3ttach Business Owner / Operator Form and Chemical Description Form(s) to the ftont of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: jf(!~ (2da b I Ý' Cl.ea 110 \2.ç- LOCATION: 1030D (Dk:cl<. tA.;/.{ SLll f;. LCg¿nillrota1<Ajil¿~ . MAILING ADDRESS: C?7/3bre-&.-... t1l .pI CITY~t" vs ç.Q. l c\ STATE: G.JL ZIP:CJ&II PHONE: ?ô 1- c:1? 2ò PRIMARY ACTMTY: ':br\./ 01(t}()C/; d {~ ( OWNER: hb..1J;-e J»úsbl' MAILING ADDRESS: 07/3 6/e.e.-. &i- t:1. . PHONE:~ó/rWZð qß~1 , EMERGENCY NOTIFICATION CONTACT 1.~¡'.e (:to~hy 2. ~\\cn1ch CÞsey TITLE BUS. PHONE nú.~U(J r ~ól ~ L/-(( Go QC;;ç ì Jet {J ~ 1c;(;3 -f ¿s1 ~f~4-?éO> ~6<V03(~ 1 24 HR. PHONE .~" ,~ _ e HAZARDOUSMATEmALS~AGEMENTPLAN SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: ák4ave ~~~¿X~'P.f! ItS a 6;e 6550 ¡;l tk:!alY.<#'" ~,~ ~. ~ dA-f>e A" ~L:tdl ~~~ b>l./:»I.ø~~~~ - j/t?~~-' tl /d /Jl)id ;« ~~ Æ~, B.- ~MP-LOYEE AND AGENCY NOT!EICATION: L '._ /712. cI 'It ~~ wrtaY- ~ ~4~t.~3 -70 e/~-O~<1 &1~ ~ -/6 ~_uarlpc. tJ7' aÚ ~~j(Ø4')' ~ glLM~ t;;b CU? Q~ I/Y ~cI ~ þ~ l,c/fJtllirlbé:~ au ?M ~ .~ átt~. J~eI S51~ {,ð at.#li'£1IJ . á4t~ ~ ¿þ ~ ~tA tt ~ /0 J2f 19f~ ,114- ~.l,,~ùJt/YIlØD// Ocæ ~cI ¡Ytõq:J q/( fl0te ~ ~)/Ckr ' c. ENVIRONMENTAL RESPONSE MANAGEMENT: J>e0b..~ ~ ðr QIlD>\d.. ilis.ø¡ WðU (d he.- III (!/~ ìf\(}).S-{ 0+ €VKO~C7,' . b'+~v µr~ LùöJd Cb.l( -Gr Bùaø.af)~ Dr ~¥i (lw:1 CRit c¡ {( -+v 8ffJ1at ltl +k. S{'k {Ö\.- .~ (d ckQ) Qf\ 'S ~l6&Q ~--+~ i v1j\ÂreA _ '{'ý\e.rf.-y ço,,--4w~.sf 4¡),f~ j rd +fd~. Du..SZwS-..s Qv\Q LO~ D. EMERGENCY MEDICAL PLAN: 2 .. "-)' #'--. · e' HAZm»OUS MATERIALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: I. /I ~, CL\~~Vt8 {)'\~c-lt~s (Jre ~ ~Mtd l f\..~ S~, '^~""êiJh-è~ "~hHj) + a~OlcJ ~ /Yb.-ky\'~ c/v -B0~"~ ?~ì/d'M9:: " I~ ~, ~'K5',~ (J1a..-kr,,<0 B. " RELEASE CONTAINMENT AND/DR MITIGATION; . .' - 7f þ~J- ." " \, .. .~ '\ '\ \ ,~ '. . . ,\ '.' ~ \ '-.I .. ... Se-e AboùL. " ","'~ \s~- , ' ' .. ' \ , " . . " ,,~,~'\..., \.- ,..... ~ \. , , \ . " \.. . . " ~:.' , " ", '\' , , , ,,''-.....' , 'C." èLEAN-UP AND.I~:COVE. R~ PRO~EAURI.URES: . . .J . ~ 8NQ.K ~ QMLI~d. -~ -fk ,~(llt ~,f~ "' lt~,,' " ~ .,,' /ain, ~ ,~J ,A /J;i:1e¿ ~::= ~ ~c-~¡;;;::~ ~ðpihJx-S'&t.t\'ù- Pbee +;'(2 f.JSß . Sh'+t kfee-.-- rCI'\.U:,,,QS oar ()X€,S,k , UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) IF YES, LOCA nON: ,(.9.( '.!> M"~ d .ç>1ðK.. If) wi lord 0. d tot'll /¡y¿ I~(d Dy us . PRIVATE FIRE PROTECTIONIW A TER AVAILABILITY NATURAL GAS ELECTRICAL: WATER: SPECIAL: LOCK BOX: ~INO A. PRIVATE FIRE PROTECTION: s;ç.;V\ t \E'~ '( '/\", p ~<.:e. - 50 ( e 0L+M3 cn s kc/S ì ^ pie:¡ C<L. WATER AVAILABILITY (FIRE HYDRANT): +;öð &t b B. 3 .. "-<I, _& .. - - HAZARDOUS MATEIDALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: Ö MATERIAL SAFETY DATA SHEETS ON FILE: Y-e5> - 2=-ö&' Q'EO~ g-b . ~ro:F SUMMARY OF TRAINING PROG~. 1Jodù iU ~ CX\ IV Q\(ÖcV fY\yseJ r 4cf<~ ~ -h> ~ ---J-/<R. ehtvtÚeg, Jt!ae!êúœs, g- Aaue PkC£¿ rd+L- QbðW. ~~ f'Y\QQS ; ~Ò~ ~¡ øh:-. .--¡k ~ tÀb( ~ ¿Ù/úèA. døof2S> wc:dJjx ÐXkWJShcR c/r:dJ {)M¿( --Jh. ~ ;4~'-Þ ~. ~ ~Q þølWu-. ði &m~ -ft ~C ~ ~ cP'CL ði ~cI úJeJ¿ (/JJµ4tR~cb~ ¡o'kfe CERTIFICATION !, ~ì'€- ~~y CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGA nONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. f2~' SIG TURE tJ a~ TITLE 4r~~ DATE 4 · CITY OF BAKERSFIELDa OFflltE OF ENVIRONMENTAL SftVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION oof BUSINESS PHONE ,,¡¡;, 102 1- 83/- 'Jl20 SITE ADDRESS 103 CITY CA ZIP C;Eßo? 105 DUN & 106 SIC CODE 107 BRADSTREET (4 Digit #) &03>':' COUNTY 108 OPERATOR PHONE ;;a/-t!ú'UJ OWNER PHONE g3/-c;/8ZO OWNER MAILING Pi ADDRESS 113 117 CONTACT PHONEt?31 ~'lF2i> c;.,~~~~~~MAILlNG Q'7 I~ Gr-e.ef\t:al?' ~,At.e~~e. \¿ 119 130 131 132 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATU FOR/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER Jflbb/~ ~sb lf~30--ðO 135 , I Cu.:M R-- i ! , 137 ¡ í A NAM S OF ?WNER/0K,RA TOR (print) DeJiJj~ ~JJý 136 TITLE OF OWNER/OPERATOR UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd . CITY OF BAKERSFIEL" OFFtf:E OF ENVIRONMENTAL SIMVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per malerial per building or area) Page -1- of -1.. COMMON NAME ~erc, - /R-4 FIRE CODE HAZARD CLASS (Complete if requested by local fire chief) 207 CAS # 209 - 210 ¡YPE p PURE o m MIXTURE o w WASTE 211 RADIOACTNE DYes PHYSICAL STATE o s SOLID fll LIQUID o 9 GAS 214 LARGEST CONTAINER FED HAZARD CATEGORIES (Check all that appl ) ANNUAL WASTE AMOUNT o 3 PRESSURE RELEASE &4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 UNITS· 1 GA I. .Dfga GAL 0 d CU FT . If EHS. amount must be in Ibs, 218 AVERAGE DAILY AMOUNT ~ 6rt/. 219 220 o Ib LBS o In TONS 221 DAYS ON SITE 222 ¡ , STORAGE CONTAINER (Check all that apply) ~ a ABOVEGROUND TANK Db UNDERGROUND TANK ~ c TANK INSIDE BUILDING o d STEEL DRUM De PLASTICINONMETALLlC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o Q RAIL CAR o r OTHER 223 STORAGE PRESSURE ø.. a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE 2 230 231 o Yes 0 No 232 233 3 234 235 DYes 0 No 236 237 4 238 239 DYes 0 No 240 241 5 242 243 DYes 0 No 244 245 , , UPCF (7/99) S:\CUPAFORMS\OES2731.T\Í4.wpd