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HomeMy WebLinkAboutBUSINESS PLAN 7/19/2007 . TOD~ \'-CLEA~~S #19 J - r ' /:;, 78~~~~I!?l-~'.~:!E..~.3-~.__ --.J i' 'I' , ,'-"~-----"'-'---'-------' \'i ..~.. j .. r I ~~ Cj1t /7tp r-- .~ 1 r.,-,w\ L:/,-Jj'l "1 \O~G ~ ('? 6\ ./~, III "-- i.' I 'p I í ~,. I .! ",' --''''-----' , ' ',". ,¡J L GOSI'ORØ' _.J ~, I X ::¡ 11), r- )Þ z m_ I :;¿-, lit ..t-l- '7 ~ ;pI q-9A !:ID.I / ...c - 7350 ¿VI-I..Z:~ /.¡v. =#-3 k ' / ,. / r] co-=: 0";- ~ , , :Þ . 1" N,E.C, OF OO&fOnD RD. .. WHITE LANE . f ! '4UII"Flno. CAlI'ORNIA 'V 'V f: ~ 7f' 7f' mO ICJ' :11"11 II> ~ CO 0 o < a: .. .. co .. co t+ r; g' r- (I) :J ='! C· ~e:D.3 III :J i'i m ~ 3 CD ~ ~ nI III ., n,< ~ .. ... co N :' !*' '" ~ ~ ... 0 VI .... III III ... -- .... ... III o ID 0- o ¡;¡ ~è'1S ç t I r~ -.- 102_._ ~ ~/;kLER 5'rn-tuµ f¡;é- ~ Fú(',r¡t6Zl»E5r-~ úJ¡tu..· / Gn:5 me7ë7( {,1Jf/í7:?A.. S/fUr"offS c:1 / /No s / A7RbmfJ. ~ ;;";_£ V¡<.A't".$ \ F~r~. @ 1 # 17(P 9-914 i {\J .. (jJc:oo f1:{ttm!Ç ~ 5'rua::è> ¿Õ~ Uc..770"'; 'Kð11Z. ~ 1)c:oR. YPf\y4-';"'" (fIt"k.fþN¡;; W¡"Y¡f j/¿/)- /crt> 6Ptt-lJW'JS o¡= "f1:F.c. /Ñ ßIJ$F 77J1Uk . ~ ~/- -; :7C.: L_ _.J 0.$5 ~q<JT. FT<0I...F! :[)cöR5 . ~ 15DA-Y ~t:KS 7g5D ý)!f;l-E bJ. #.31< FftC{~; ry Dift67?/tTn ,', : ' ,- ~·t' 'Operate ~ ;.' ,", ., ': '<'- ~ '~.~.' '.. t-- , " . " ' ,I... , , . '. - " - '0 - it Per Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF ,PERMIT ON RE.VERSE"SIDE " , I ~ It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Approved by: Issue Date Expiration Date: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Permit 10 #: 015-000-000176 TODAY CLEANERS #19 LOCATION: 7850 WHITE LN 3K Issued by: ------- - - Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE '. r the followin PERMIT ID# 015-021.QOO176 TODAY CLEANERS #19 ¡~ }l .!¡,i .~ .L) 11 /1 ii':. II ~ t LOCATION 7850 WHITE :SfiiI!LD _ CA ~rrrrr'n \r1~W, ' , .' ",' r;m~,,,, ,/' ;,1", , "; H P dili!il~! J:f,¡¡i1' dr i ~~!jr.l. I':~l '#l'i!~'tlf¡IIî.:ril!illdm,p¡'liIIHr~ ~!!:'tl1~~rbjg~,~i1~~.rl;;qi!J!.!n!! ~l~L ') Issued by: Bakersfield Fire Department Approved by: _ OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield. CA 93301 Voice (805) 326-3979 Expiration Date: FAX (805) 326-0576 UNIFIED PROGRAM INSPECTION CHECKLlSTI! =~Cc~--"'"----~'~"~'~'-'--=-==':-- =--::::--==-,,==:,==:::,,;:::,:~:,=:::,:::,=-'=ii SECTION 1: Business Plan andl~ventory Program J ACILl1Y NAME fOh ADDRESS C Lit kt'L~~ \ "I q L... M Prevention Services 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 COMBINED Business Plan and Inventory "r()~ram o JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT c V (C-COmPlianCe) V=Violalion OPERATION ~D ~D ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE o VISIBLE ADDRESS ~D CORRECT OCCUPANCY IV"" 0 VERIFICATION OF INVENTORY MATERIALS g/" 0 VERIFICATION OF QUANTITIES o VERIFICATION OF LOCATION o PROPER SEGREGATION OF MATERIAL o VERIFICATION OF MSDS AVAILABILITY [ij"'" 0 VERIFICATION OF HAZ MAT TRAINING ~ 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ 0 EMERGENCY PROCEDURES ADEQUATE o CONTAINERS PROPERLY LABELED o HOUSEKEEPING o FIRE PROTECTION o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: NO O<.!:PLOYEES 15-021- 17C, ORE-INSPECTION COMMENTS" DEe 11 2006 KBF.6013 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 4~ Fire Prevenlion 11't In 1 Shift of Sile/Slalion # White - Prevention Services Yellow - Station Copy I " llStU R Pink - Business Copy FD 2155 (Rev" 09105 \,;1 .::t. + TODAY CLEANERS 19 =================================== SiteID: 015-021-000176 + Manager : Location: 7850 WHITE LN 3K City BAKERSFIELD BusPhone: Map : 123 Grid: 16C (661) 634-1219 CommHaz : Low FacUnits: 1 AOV: "" CommCode: BFD STA 09 SIC Code:7216 EPA Numb: DunnBrad:02-788-0566 +==============================================================================+ +=======================================+======================================+ Emergency Contact / Ti tIe G. ~ Emergency Contact / Ti tIe MIKE DANIEL / TJICE FRE3IDEN'll JEFF NEWMAN JR / VIClJ PRESIDENT Business Phone: (661) 634-1130x Business Phone: (661) 634-1130x 24-Hour Phone: (661) ~€l9 ~80~x,~~.D"2. 24-Hour Phone: (eel) 972 0047x3~.'38'3i +---------------------------------------+--------------------------------------+ I Hazmat Hazards: React DelHlth I +-----------~------------------------------------------------------------------+ Contact : Phone: (661) 634-1130x MailAddr: 121 MONTEREY ST State: CA City : BAKERSFIELD Zip : 93305 +-------------------------------------~----------------------------------------+ Owner RICHARD K NEWMAN & ASSOCIATES INC Phone: (661) 634-1130x Address : 121 MONTEREY ST State: CA City : BAKERSFIELD Zip : 93305 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------,------------------------+ Emergency Directives: p~~-~~i uJAj-r~ g6JJ in uiry of those individua,ls ~e~~~~si~~ ~l ob~~ningt~~ irf~~:ti~~'r~~~~:~~ under pena'~ 0 f~%i\iar with the information ~~~~i~~~ ~~d ~I\eve the information is true. accurate, and complete. ~-~/)fr'~~~~ SiQf~-~ Date ENTV APR 1 7 2006 +==============================================================================+ -1- 03/13/2006 ., /; FIRE ORDINANCE VIOLA lIQN. ~~ ~"'..:-: .. ~ o." ,,'.. OCCUPANCY , TO COMPANY ADDRESS (CITY, STATE, ZIP) CORRECT-ALL VIOLATIONS VIOLATION CHECKED BELOW NO, ' COMBUSTIBLE WASTE/DRY VEGETATION COMBUSTIBLE STORAGE EXTINGUISHERS SIGNS FJRE DOORS / FIRE SEPARATIONS EXITS 11 12 13 14, 15 .16 17 ~ . STORAGE ELECTRICAL APPLIANCES OUTDOOR BURNING FIREWORKS OTHER " ;" .'i~~fj\,Y '", -:~- y. .. t: (.~ 1t '~3'~' --"-~~ S"'~L-1):L (vs'G' ~ \' \'-\00 b BAKERSFIELD FIRE D~. Prevention Semces' ""'\fl 900 Truxtun Av~.. Ste. 210 , I,.. uJ c:f\./ Bakersfield. CA 93301, , tr \ Tel.: (6f;l1) 326-:3979 X Fax: (661) 852-2171 f. " 1__. DISTRICT I BLOCK ~O. DATE TITLE 6-7~05 FIRM OR DBA 1,.. , - ,,[ AJ I D '.r BUSINEss PHONE8..1&t 3J3olHOME PHONE , 7B:50 LJ \\< \-~ \ 1'\ "* F 1~1 DC; REQUIREMENTS Remove and safely dispose of all hazardous refuse and dry vegetation' on the above premises (U.F.C.) . " 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and ru.bbish pending its safe disposal. (U.F.C.) .Relocate combustible storage to provide.at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C,) Relocate fire extinguisher(s) so th'at 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) Provide and install. (amount) ..:__:.... approved (type & size) ____-'_____ portable fire extinguisher to be immediately accessible for use in (area)._________.:.-_---,-..,__ (U.F.C,) .1 I 3. 4 5 6 Re-charge all fire exting.uishers., Fire e"xtinguishers shall be serviced at least once e'ach year, and/or after each use, . by a person having a valid license or certificate. (U.F.C.) , . . , Provide and maintain "EXIT". sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) 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,) 7 8 9 Repair all (cracks/holes/openings) in plaster in (location) _______________________________. Plastering" shall return the surface to its original fire resistive condition. (U.B.C.) ," Remove/repair (item & location) _____~~_:_____________~____~____~_________. Self~closing doors shall be designed to close by gravity, or by the action of a mechanicllI 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.) Remove all obstruction from hallways. Maintain all means of egress free of any'storage. (U.F.C.) , Provide a contrasting colored and permanently installed electric light over or near required exit (location) ____ _ ___ _ ______ to clearly indicate it as an exit. (U.F.C.) Remove all storage and/or other obslructions 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.) Extension cords shall, not be used. in lieu of permanent appro.ved wiring. Install additional approved electrical outlets where needed. '(N.E.C,) (U.F,C.) ., Remove multiple attachment cords from specific electrical convenience outlet (one p.lug per outlet) (N,E.C.) (U.F.C.) Violation of Section 1102 dealino with recreational fires or ODen burnina. lU.F.C.\ Violations 'Of Section 7.802 lU,F,C.\ or 8.49,040 of the Bakersfield MuniciDal Code IB.M,C.\ reaardino fireworks. f),,,,c:.(~' j'1~"I--'~J/ )/.., r <.:;J.,lf'J,4 'b<.'t,'-iu'~-, (:jtJe/ c<",J R"q,V\",Q: '., , .., 10 , , . 'q~ON (DATE) " r /) J 0.. /1'-. AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDlT10NAL 1 REGULATORY AcTION MAY BE INITIATED., I] AN ENFORCEMENT ORDER WILL BE !lENT BY C AIL PROVlDINr. 4 IIF4AING DATE. I' PEItION RECEMNG NOTICE OF VIOlATION 1\1 )'1'111 (Ii (;,fA 'j-f <". - / \j . '"' v 'SIGNATURE BYORDER,I~, ~ CHIEF , (./r C ;2/t:- '~'-:.J INSPECTOR alGNATURE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS NOTICE BY MAIL OR IN PERSON TO: BAKERSFIELD FIRE DEPT. OFFICE OF PREVENTION SERVICES 900 TRUXTUN AVE., SUITE 210 BAKERSFIELD, CA 93301 . o.TE COMPLETEIIl LEGEND: C.F.c. u.s.c. B.M.c. N.F.PA. N.E.C. ''-''"' \ CALIFORNIA FIRE COllE UNFORM IIULlIINO CODE IIAKERSFIELD MUNlCFAL COOl NATIONAl. FIRE PROTEC1lON A88OClATION NATIONAl. ELECTRIC COOl White - Customer/Original -'-FD1918 (REV:G2/011 Yellow,- Stalion Copy Pink - Prevention Service. . U~IFIED PROGRAM INIECTION CHECKliST Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 . SECTION 1 Business Plan and Inventory Program \~Q"'< os~~LC1-__ <;j<;,<'<¡.'Þ ~.. .~-~~---~- W,^:t-e L~ ~~~_~~___ Hå\ ~LlTY NAME INSPECTION DATE INSPECTION TIME ID r 21..\- 0 ~ ól.Ò ----- --------- ADDRESS ¡ßSÒ FACILlTYCONTACT :s PHONE No, No, of Employees HZI ' __j___________ Business ID Number 15-021- 00017 Section· 1 : Business Plan and Inventory Program ~ Routine. , D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS .2J D ApPROPRIATE PERMIT ON HAND -~----------------------_._~---~------- ----------- -----"--.-----------------".".-"+----.----..----------.---.--.--..-.- 1);1 D BUSINESS PLAN CONTACT INFORMATION ACCURATE ------.----.------.....---.----------- .--- -----.--------'"----.-------------..--.--------.-.".-.-~--- .+-.----.-....--------.... -..--------- . (j!I D VISIBLE ADDRESS ~ D CORRECT OCCUPANCY flI D VERIFICATION OF INVENTORY MATERIALS 1J D VERIFICATION OF QUANTITIES -------~---~--_._------------_._---_.~------------- -------------------------------------_.._..~._.._------.--.---".--.--..----....---"--. ~ D VERIFICATION OF LOCATION '" D PROPER SEGREGATION OF MATERIAL ~ D VERIFICATION OF MSDS AVAILABILlTYE .--------------.--.-----------..--. ..-- -..--------------..----.--.----.------.-.----.--.-....---.---.---,.....------ ---- -----~----- ----..------..".-.---.-.. ---------.._.-~---_._-_._-----_._---_._---_.._._----_...---..---. -----.---------"-----.-----. .----------.-"-,.-----.-. ._-------_._-_.__._------_._--------~---_..._-- -------..-.-- -----~---------~----- ----------------..-----.------------.----.---.------.--. ---------.------".-------- -_._-~--_.__._--,------~~-- ...----------------.------.--.-.-.----.-..-....----- -~----~---------------_._--_.. ...----.-- ------._.__._-----+----_..._--_.+-----------_._----~_.----.----- S!I D VERIFICATION OF HAT MAT TRAINING ---.----..------.----....---- ---~----_._------_._~------_._-----_._._---.-_._-_._.-----.--- ~ D ~ D lJ LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -------.---.--.--+--..--.-..--- -----_._-----_..__._-----_._-~.------_.._-----------------.-.-- EMERGENCY PROCEDURES ADEQUATE - --------_.---_.---- -----_.._---_..._.__._~------------~-~-_._------_...- .._--_._-~~------_.__._.._._- CONTAINERS PROPERLY LABELED _______~_____~__._____.______ ________ _____.________.__________.___.._____..._____,_~___.__.u._____.____.__.___._.._ Ø(J D HOUSEKEEPING ----------------.---.-----,---+- ------.-----------------.--------.-.------ '~ D FIRE PROTECTION i --- .----.-.----------------- -------~---_.:..._---_._----,-_._--_._--------_._-.---+_.-----. ~ D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES ~ No ------ ~ ----- EXPLAIN: . White - Environmental Services Yellow . Station Copy Pink - Business Copy QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 _G~l~&Q_---____..____:£!__lDS_----~ Inspector Badge No. ~ . - . CITY OF BAKERSFIEIJD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 FACILITY NAMËÞDA Y ~AIVER5 ADDRESS 7ß?'D fAlHIT£ L.N 31< FACILITY CONTACT MIKE ~AlIEL INSPECTION TIME I~ ~,N, INSPECTION DATE 17- - ,'- - oZ- PHONE NO,(",I) h3l/-/2/9 BUSINESS ID NO. ] 5-210- NUMBER OF EMPLOYEES ~ Section I: ~utine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection . OPERATION C V COMMENTS Appropriate permit on hand ¡/ Business plan contact information accurate v' , v' Visible address Correct occupancy v' Veri fication of inventory materials ../ Verification of quantities ./ Verification of location Iv' Proper segregation of material Iv' Verification of MSDS availability 1./ Verification of Haz Mat training IV'" Verification of abatement supplies and procedures Iv Emergency procedures adequate v' Containers properly labeled :s LAl3eLs ON 42-.r14.-r. t:!J::;1I'1TÆ /" Ii: 12-:> Housekeeping V Fire Protection V \ Site Diagram Adequate & On Hand V' I' C==Compliance V==Violation , Any hazardous waste on site?: &rf es 0 No . Explain: -- 'cWnzAL...~~E-7r-1yLè."'¡ q- Questions regarding this inspection? Please can us at (661) 326-3919 White - Env, Svcs. Yellow· SlaIion Copy Pink· Business Copy Inspector: M11éLAJ ¡:- --' .. e TODAY CLEANERS #19 Manager : Location: 7850 WHITE LN City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EP A Numb: C.1~.r) q '1S '"> ~(þ0 ~C¡ '2..- Emergency Contact MIKE DANIEL Business Phone: 24-Hour Phone Pager Phone / Title / VICE PRESIDENT (805) 634-1130x (805) 589-2805x (805) 329-6774x Hazmat Hazards: Contact : MailAddr: 121 MONTEREY City BAKERSFIELD Owner Address City RICHARD K. NEWMAN & ASSOCIATES 121 MONTEREY BAKERSFIELD Period Preparer: Certif'd: to Emergency Directives: f= Hazmat Inventory p== As Designated Order .~ - SiteID: 215-000-000176 (~ 634-1219 CommHaz : Moderate FacUnits: 1 AOV: BusPhone: Map : 123 Grid: 16C SIC Code:7216 DunnBrad:02-788-0566 Emergency Contact JEFF NEWMAN JR Business Phone: 24-Hour Phone Pager Phone / Title / VICE PRESIDENT (805) 634-1130x (805) 872-8047x (805) 329-4346x React DelHlth Phone: ( - Jl.Jòx State: CA Zip 93305 Phone: 634-1130x State: Zip 93305 TotalASTs: Gal TotalUSTs: Gal RSs: No One Unified List 9 All Materials at Site 9 Hazmat Common Name... DailyMax SpecHaz EPA Hazards PERCHLOR~ENE ~ &-">"" (pG, \ 0 WA../ f'^i) -1- MCP R 200.00 GAL Low DH L 05/09/2000 ---- r e - F TODAY CLEANERS #19 p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME PERCHLOROETHYLENE SiteID: 215-000-000176 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit CLEANING MACHINE BASE TANK Map: Grid: CAS # 127-18-4 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container \ 30 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 160.00 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 DH / / / Low HAZARD ASSESSMENTS -2- 05/09/2000 e e F TODAY CLEANERS #19 I p= Notif./Evacuation/Medical ~ Agency Notification CALL 911. Employee Notif./Evacuation SiteID: 215-000-000176 l Fast Format l Overall Site l 12/17/1992 ] 12/17/1992 VERBAL CALL 911 Public Notif./Evacuation 12/17/1992 ] 12/17/1992 VERBAL Emergency Medical Plan WILLARD B CHRISTIANSEN MD - 2021 22ND ST - 327-9617 -3- 05/09/2000 e e F TODAY CLEANERS #19 I f= Mitigation/Prevent/Abatemt Release Prevention 'SiteID: 215-000-000176 ì Fast Format =¡ Overall Site =¡ 12/17/1992 WE STORE IN PROPER CANS, BARRELS, ALL HAZARDOUS MATERIAL. HAZARDOUS WASTE IS PICKED UP MONTHLY BY A LICENSED DISPOSAL COMPANY. WE HAVE PLANS FOR EVACUATION IN CASE OF A FIRE OR SPILL. WE SOAK UP SPILLED PERC WITH TOWELS AND RECLAIM THE SOLVENT FROM THE TOWELS IN THE DRYCLEANING MACHINE. LOTS OF FRESH AIR PLUS VENTILATION FROM DOORS, COOLERS AND 2 48" EXHAUST FANS. Release Containment 12/17/1992 DRYCLEANING MACHINE HAS CONTAINMENT AREA IN REAR. 8" HIGH CONCRETE CURB. Clean Up 12/17/1992 USE RESPIRATOR AND OPEN DOORS. TURN ON 2 EXHAUST FANS FOR GOOD VENTILATION. SOAK UP SPILLED PERC WITH TOWELS, AND RECLAIM IN DRYCLEANING MACHINE. Other Resource Activation -4- 05/09/2000 e e F TODAY CLEANERS #19 I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-000176 ì Fast Format ì Overall Site ì I 07/13/1998 A) GAS - N WALL EXTERIOR B) ELECTRICAL - NE EXTERIOR WALL C) WATER - EXTERIOR OF N WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 07/13/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, PLUS ENTIRE STORE IS SPRINKLERED. /lJ~(e.-?t Hre NydvCU't+ -'Íoco.--\--¡Ol'\) ~-nt OF ~~ ~ ~, f(t¡Jb ~I Building Occupancy Level -5- 05/09/2000 ~ ,.. '.. e . í TODAY CLEANERS #19 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000176 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 i o 0 o WE HAVE 6 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING: REVIEW OF MSDS'S AND SAFE USE AND HANDLING OF o PERC. USE OF RESPIRATOR. PRESENTATION OF SPILL CLEAN UP VIDEO. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ¡-- __--I.. - RECEIVED - TODAY CLEANERS #19 Manager : Location: 7850 WHITE LN 3K City BAKERSFIELD BY: BusPhone: Map : 123 Grid: 16C SiteID: 215-000-000176 ~/bO,tt (805) JJ16 CommHaz : Moderate FacUnits: 1 AOV: ..,"'... CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code: 7216 DunnBrad:02-788-0566 Emergency Contact MIKE DANIEL Business Phone: 24-Hour Phone Pager Phone / Title / VICE PRESIDENT (805) (805) ( ) Emergency Contact / Title JEFF NEWMAN JR / VICE PRESIDENT Business Phone: (805) 634-1130x 24-Hour Phone : (805) 872-8047x Pager Phone : ( ) ~ - ¥~~V Hazmat Hazards: React DelHlth Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== MCP+DailyMax Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP PERCHLOROETHYLENE R DH L 200 GAL Low ij, (Yì*!C1D::::~ [)@ Ü'U®r®K»W ©®~ó~ ~ru~R ~ ~~M~ rsviewoo ~~® ~~CÛ'~®@ ~~®M©J,%~ ffl®ft®ij®ij$ m®llïJ®@@ø ---.-- m~b"iR ~1~rB ~©rr ~O ~ ~~ ~~®ft Ö~ ~~@fií'1)] ~Ifï¡ « 4$1 ~) ..~ ~r¡~ ©©~å@ffi)~ OOIfD~ÖW~® ® rom¡ç»!®ft® ®8iX9J OOIiV®©t rn®~Ø ~®m@flb~ 9)~1ñJ ~@U' VOOJj V®©08ÒfíV. ~£L( IUra 7/fi1S -1- 03/11/1998 · e e F TODAY CLEANERS #19 p= Inventory Item 0001 F= COMM:ON NAME / CHEMICAL NAME PERCHLOROETHYLENE SiteID: 215-000-000176 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit CLEANING MACHINE BASE TANK Map: Grid: CAS # 127-18-4 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 160.00 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 DH / / / Low HAZARD ASSESSMENTS -2- 03/11/1998 " e e F TODAY CLEANERS #19 I p= Notif./Evacuation/Medical r=: Agency Notification LCALL 911. Employee Notif./Evacuation SiteID: 215-000-000176 ì Fast Format ì Overall Site ì 12/17/1992 ] 12/17/1992 VERBAL CALL 911 Public Notif./Evacuation 12/17/19921 12/17/1992 VERBAL Emergency Medical Plan WILLARD B CHRISTIANSEN MD - 2021 22ND ST - 327-9617 -3- 03/11/1998 e e F TODAY CLEANERS #19 I p= Mitigation/prevent/Abatemt Release Prevention SiteID: 215-000-000176 ì Fast Format ì Overall Site ì 12/17/1992 WE STORE IN PROPER CANS, BARRELS, ALL HAZARDOUS MATERIAL. HAZARDOUS WASTE IS PICKED UP MONTHLY BY A LICENSED DISPOSAL COMPANY. WE HAVE PLANS FOR EVACUATION IN CASE OF A FIRE OR SPILL. WE SOAK UP SPILLED PERC WITH TOWELS AND RECLAIM THE SOLVENT FROM THE TOWELS IN THE DRYCLEANING MACHINE. LOTS OF FRESH AIR PLUS VENTILATION FROM DOORS, COOLERS AND 2 48" EXHAUST FANS. Release Containment 12/17/1992 DRYCLEANING MACHINE HAS ·CONTAINMENT AREA IN REAR. 8" HIGH CONCRETE CURB. Clean Up 12/17/1992 USE RESPIRATOR AND OPEN DOORS. TURN ON 2 EXHAUST FANS FOR GOOD VENTILATION. SOAK UP SPILLED PERC WITH TOWELS, AND RECLAIM IN DRYCLEANING MACHINE. Other Resource Activation -4- 03/11/1998 e e F TODAY CLEANERS #19 I F Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 215-000-000176 ì Fast Format =¡ Overall Site =¡ I 12/17/1992 A) GAS - NORTH WALL EXTERIOR B) ELECTRICAL - NORTHEAST EXTERIOR WALL C) WATER - EXTERIOR OF NORTH WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/17/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, PLUS ENTIRE STORE IS SPRINKLERED. Building Occupancy Level -5- 03/11/1998 III f <t ~ e e í TODAY CLEANERS #19 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000176 íë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ~ëë EmPloyt: Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/05/1991 ~ o WE HAVE ~ EMPLOYEES AT THIS FACILITY 0 o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o BRIEF SUMMARY OF TRAINING: REVIEW OF MSDS'S AND SAFE USE AND HANDLING OF 0 o PERC. USE OF RESPIRATOR. PRESENTATION OF SPILL CLEAN UP VIDEO. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf ~.- -j, ..f~~_. ~ o - . ~~tlE~Ql 1 3/11/96 0 E '0!J 1£ 'r\j TODAY CLEANERS #19 215-000-000176 t~e Overall Site with , APR I ! 1 Fac. Unit 1 1996 VI General Information By_ - ..-. .....-.,._""*""r..: Location: 7850 WHITE LN 3K Map:123 Haz:3 Type: 3 City . BAKERSFIELD Grid: 16C FlU: 1 AOV: 0.0 . - Contact Name Title ~ Contact Name Title MIKE DANIEL I VICE PRESIDENT JEFF NEWMAN JR I VICE PRESIDENT Business Phone: (805) ~2S 1241x~'- Business Phone: (805) -625 1~41x ~.,- 24-Hour Phone · (805) 393-7871x "'JÞ 24-Hour Phone · (805) 872-8047x 11'36 · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 121 MONTEREY D&B Number: 02-788-0566 City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 7216 Owner: RICHARD K. NEWMAN & ASSOCIATES Phone: (805) J2S 1241' Address: 121 MONTEREY State: CA ú3tt-¡/~O City: BAKERSFIELD Zip: 93305- Summary ~ ~ / J-' e e 03/11/96 TODAY CLEANERS #19 215-000-000176 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-001 PERCHLOROETHYLENE ~ Reactive, Delay Hlth Form Max Qty MCP Liquid 200 Low GAL e e 03/11/96 TODAY CLEANERS #19 215-000-000176 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 PERCHLOROETHYLENE ~ Reactive, Delay Hlth Liquid 200 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 -- 200 I 160.00 I 250.00 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Ambient Ambient CLEANING MACHINE BASE TANK - Conc -, 100.0% Perchloroethylene Components I~ MCP ---.Guide Low I 74 e e 03/11/96 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911. <2> Employee Notif./Evacuation VERBAL CALL 911 <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan WILLARD B CHRISTIANSEN MD - 2021 22ND ST - 327-9617 e e 03/11/96 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention WE STORE IN PROPER CANS, BARRELS, ALL HAZARDOUS MATERIAL. HAZARDOUS WASTE IS PICKED UP MONTHLY BY A LICENSED DISPOSAL COMPANY. WE HAVE PLANS FOR EVACUATION IN CASE OF A FIRE OR SPILL. WE SOAK UP SPILLED PERC WITH TOWELS AND RECLAIM THE SOLVENT FROM THE TOWELS IN THE DRYCLEANING MACHINE. LOTS OF FRESH AIR PLUS VENTILATION FROM DOORS, COOLERS AND 2 48" EXHAUST FANS. <2> Release Containment DRYCLEANING MACHINE HAS CONTAINMENT AREA IN REAR. 8" HIGH CONCRETE CURB. <3> Clean Up USE RESPIRATOR AND OPEN DOORS. TURN ON 2 EXHAUST FANS FOR GOOD VENTILATION. SOAK UP SPILLED PERC WITH TOWELS, AND RECLAIM IN DRYCLEANING MACHINE. <4> Other Resource Activation ~ e e 03/11/96 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH WALL EXTERIOR B) ELECTRICAL - NORTHEAST EXTERIOR WALL C) WATER - EXTERIOR OF NORTH WALL D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, PLUS ENTIRE STORE IS SPRINKLERED. FIRE HYDRANT - EAST OF REAR DOOR, 50 FEET. I <4> Building Occupancy Level :::;...~ :i7 q" . '. '. It e 03/11/96 TODAY CLEANERS *19 215-000-000176 00 - Overall Site Page 7 <G> Training <1> Employee Training WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: REVIEW OF MSDS'S AND SAFE USE AND HANDLING OF PERC. USE OF RESPIRATOR. PRESENTATION OF SPILL CLEAN UP VIDEO. <2> Page 2 <3> Held for Future Use <4> Held for Future Use J . -o:¡. e ~ ~~:~Ü1~;'~ ~l ~ 1 ~ - Og/08/!}2 TODAY CLEANERS #19 215-000-000176 Overall Site with 1 Fac. Unit General Information By Location: 7850 WHITE LN 3K Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Moderate Grid: 16C FlU: 1 AOV: 0.0 Title VICE PRESIDENT VICE PRESIDENT Business Phone (805) 325-1241 x (805) 325-1241 x 24-Hour Phone (805) 393-7871 Contact Name MIKE DANIEL Administrative Data Mail Addrs: 121 MONTEREY City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 02-788-0566 State: CA Zip: 93305- SIC Code: 7216 Owner: RICHARD K. NEWMAN & ASSOCIATES Address: 121 MONTEREY City: BAKERSFIELD Phone: (805) 325-1241 State: CA Zip: 93305- Summary ~I mIKE D~/È:t- Do hereby oortify ~hat , have (TV1t3 ~ ~nt~G) ~vitSw®©1 the attached hazardous materials manags· msn~ plan 1011' .IODA'/, ÚEft,uEl\sand that it· along Wm'b (Nmm of 3usinelW) any roO'r~d¡ons constitute a complete and corred man· ðg®M®vmt ¡g~~n ~(j)11' my ~acmty. ~~~ , SlgnMIl9 I~/J 7/9;2. I Calf ), .. e e .' 0~/08l92 TODAY CLEANERS #19 215-000-000176 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 PERCHLOROETHYLENE ~ Reactive, Delay Hlth Liquid 200 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 -- 200 I 160.00 I 250.00 Storage DRUM/BARREL-METALLIC r Press T Temp ~ Location Ambient Ambient CLEANING MACHINE BASE TANK - Cone -, 100.0% Perchloroethylene Components ~ MCP ---rList Low I ,', e e 09/08/92 TODAY CLEANERS #19 215-000-000176 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CAu... c¡ II <2> Employee Notif./Evacuation V ERfAL- (Au.. Cfl/ <3~ Public Notif./Evacuation \J~t3AL <4> ~mergency Medical Plan WILLARD B. CHRISTIANSEN, M.D. - a.oa.J ~~D. Sri 3a7- 9tø/7 PŒUORIJ\L IIOfJPB?J\L EUERGENCY ROOU e e 09/08/"92 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt < 1> Release Prevention [)JE" S-rt:.VtE" Jµ ~Pt::'1{· ~S J ~t:"L..S I 1Jú... HRl:l/N)o~.s {Y)1t'11J1'\JA-c.... i/li?RttODtl5 W/tSrE Ú PIt.HeD uP rnC:>¡o-ntt..y B y ~ /"'¡CøuSf?O Z>IS~I'K.. (otnPÞ"-'Y· WE 1Þtut" ~s Æ>R EVI'tClUt'n~ ..::¡::¡u CAsE" o¡;: If fitfi: O^ SP¡'¿L.. lPE ~Af< "'" Sf/~ PeAf:.. u-Þ,"rH íO(..&Jf;;-?-t; /f'1Ul> R¡;c.ut"ñ 71fE' SOWeNT fi{OFf\. Tlte' ¡ewa.,$ ¡;v 71H::- V~'Cl.E'WJ/~ m1t<.loff~e-. I..ÞT:Þ or ~Eðll ¡¡-~p. (J/.-US V~T1Vff,DAJ ff{0lt\. OcoR5J éeÞoLERS 1f1\Jf) ;( J.¡S" E'tffflc-tST Fi'ffuS. <2> Release Containment . n 8" fl¡6H 1)RY~I~6 /nltCthlÙ'; ~ Ú:>ruïfltJÚ/¥)h-7VT' /MÐ4 ¡IV ,,~. Co flJc.A.erf? (u ~t3 . <3> Clean Up USE RESPIRATOR AND OPEN DOORS. TURN ON 2 EXHAUST FANS FOR GOOD VENTILATION. SOA1< uP S;f/~~7) ?t:'""'AL /..oJ tm ']'C>LA-'El-S.I ~/,) P'~-r.ut-/~ ¡ru l)RYC~~ - yY) ft(.Jf¡1'lJ ~ . <4> Other Resource Activation ... Á. e - 09/08/'92 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards- <2> Utility Shut-Offs A) GAS - NORTH WALL EXTERIOR B) ELECTRICAL - NORTHEAST EXTERIOR WALL C) WATER - EXTERIOR OF NORTH WALL D) SPECIAL - NONE ' E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????????? AR€ EX71/V"LJlS~ I fLÛS /::Ñ71;=f.e- SWRt!' is !;PR} u·"'~eo.. FIRE HYDRANT - 1????1??~??? E/t3, of' "ReftA. t:JooA. I 50 Ptë!'T': <4> Building Occupancy Level jt) £f1\PU::>Yees / tn~· .."\... I ; ,e¿ "" ,;, - - ~ ,09/öaF92 TODAY CLEANERS #19 215-000-000176 00 - Overall Site Page 6 <G> Training <1> Page 1 IJ WE HAVE 10 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: REVIEW OF MSDS'S AND SAFE USE AND HANDLING OF PERC. USE OF RESPIRATOR. PRESENTATION OF SPILL CLEAN UP VIDEO. <2> Page 2 as needed " <3> Held for Future Use <4> Held for Future Use \ - tsAI'\t:Hvr- it:LU vii T riM&; u¡;;rl'\n I IVIr;..I~ I ta 2130 eG1 STREET ~ S"'AKERSFIELD, CA. 933~ (805) 326-3979 Fœr cr, ø~ OFFICIAL USE ONLY I D # #I/Co BUSINESS NAME INSTRUCTIONS: '7 IO(P ð ( HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A q- 9A /;)3-/~~ RECEIVED '\lUl 3 1 199r HAl, M~T. OfV. 1. To avoid further action, return this from 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. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME:"Richard K. Newman & Assoc.,Inc. DBA: Today Cleaners #19 B. LOCATION / STREET ADDRESS: 7850 White Lane,Suite 3K CITY:Bakersfi~ld ZIP: q":nnq BUS. PHONE: (805) 832-3316 SECTION 2: EMERGENCY NOTIFICATIONS /:;¡ 1 ~ 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 NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A.Mike Daniel, Vice President, PHI 1?<=;-1?41 PHI 393-7871 B. Penny Geddes, Vice President PHI 325-1241 PHI 871-1729 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NATURAL GAS/PROPANE:Gas meter on north wall exterior B E ECTRIC EI t ' exterior wall . L AL: ec rlcal meter Danel lor~~prl nn nnr~~ Q~~t C. WATER:Exterior of north wall D. SPECIAL:N/A E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO J . - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINES~ AS A WHOLf In the event of a perce splll-employees are tralned to soa up solven with towels and or clothing-Put into drycleaning" machine for reclamation. Use respirator and open doors. Turn on 2 exhaust fans for good ventilation. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Willard B. Christiansen, M.D. Memorial Hospital Emergency Room SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS. ten A." NUMBER OF EMPLOYEES AT THIS FACILITY B. DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS MATERIAL YOU HANDLE ? Yps C. GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM: Review of MSDS's and safe use and handling of Perce Use of respirator. Presentation of spill cleanup video. SECTION 7: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8: CERTIFICATION I I, .:::JÉ.¡::'ý/!. '- 'ft (!. N~hY1 A?J, cert i fy that the above i nformat ion is accurate. I und rstand 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 Al.) and that inaccurate information constitutes perjury. SIGNATU TITLE President DATE 7/26/91 CITY of BAKERSF 0HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS IELD 1 of 1 NAME O~ THIS FACI~ITY' _ .~~ . T N A 0 NO CAS CÓ :__h'_ _,,___,_,_ 'Bu~ ~N BÄAOSTR~E NUMR!R 02- 788 _ 0566 - - - - CODES Page ~W~~~SN~MI:W ~~TY~ i~p:- R~,9MR TO Standard BusIness o ture B9SINEiS NAME..: L C¢Tl Ni.. - C T It' PHONË :_ and Agticu farJl u Na~es of ~iÄture/Çotponents See InstructIons 3 , by lit 12 on Where nFaclllty eantnq Mach B ~ -ª..!L.L J C.A Humber locat Stored 9 Cont Press 1 8 Cont Type 1 o~ ~He .36 5 0 6 - - 00127-18-4 6 Hea$ure UnIts 5 Annua Est 250Ga l Average ~ 160Ga 3 Max Allt 200Ga 2 Tyøe Code p 1 Trans Code u NUllber Number S C.A.S C.A.S Halle Nall8 Haae COllponent . '2 u mmediate COllponent Hea I th Component o Sudden Release of Pressure NUlllber o De layed Health C.A,S fJ ty end Health Ha~ard all that apply! React o Hazard re pn~~~~ o Humber NUllber Number C.A.S C.A.S C.A.S I Nalle I Nall8 & Nalle Component . Immediate COllponent .2 Health Component U o Sudden Release Of Pressure NUllber o De layed Hea I th C.A.S o Ph1Sic~1 eOd Health Hafard (Check all that apply Reactivity o Hazard re o Number Number NUllber C.A.S C.A.S C.A.S NUle & N&IIe Nall8 Component .t .2 '3 Immediate Component Health COlllponent o Suddfn Re ) ease o Pressure Number o De)ayed Health C,A,S o ty v th Ha~ard apply, React o end Hea a 11 that Hazard re Physica ¡Check F o NUllber Humber NUllber C.A,S C.A,S C.A,S Nalle & Na~e J Nue & . IlImediate Component '2 Health Component .3 Component o Suddfn Re I ease o Pressure NUllber o Delayed Health C,A,S o ty th Halard apply Reactiv o end Hea all that re Hazard o 871-1729 zrl!f'Tñ~ ldfn.~ . rH I "2 Pen me- çubnitted in this Infornatlon. I be Di rector Ttt ~Çertífiçatjo~ (Reed and $ign 8.fjer cçmp7eting ~77 se.c~ions) I certIfy under enalt 0 la th t I have persona I~ examln Qed m familIar it the InformatIon attaçhed dQCij~en~sl an~ t at ~ase~ on my Inquiry 0 lhose Inålvl~ua's responsib1e ~or obtaIning the subm1tted Inforllatlon IS true, accurate, and cOllplete, ," Brown ey "1K e ffãi EMERGENCY CONTACTS President perBtor's autftor mn-Mo