HomeMy WebLinkAboutBUSINESS PLAN 11/1/2004
~
'".
~J;(et-~f,j
/'
.
SUZETTES
CLEANERS
,
-JLþ( ê;../ /~ ~, f'o.J~
13001 STOCKDALE HWY B ;-J (I.ANO
BAKERSFIELD
S ~.I-D+-O-l.5.::..02"l.~ 6_:,
BusPhone: ~tR(AJ.?P1._.__ ~_t~
Map : 122 CommHaz: Low
Grid: 02B FacUnits: 1 AOV:
Manager :
Location:
City
CommCode: KERN COUNTY SITES nr0.' AJD
EPA Numb: , L"...-t'1
SIC Code:7212
DunnBrad:
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/
~~(vr ~ 2~ =5IJ+
( ) -I x
Emergency Contact / Title
/
Business Phone: ( ) - x
24-Hour Phone : ( ) - x
Pager Phone : ( ) - x
Fire React ImmHlth DelHlth
Emergency Contact
Hazmat Hazards:
Contact : KAREN ATRIANO
MailAddr: 13001 STOCKDALE HWY B
City : BAKERSFIELD
Owner
Address : 13001 STOCKDALE HWY B
City : BAKERSFIELD
Phone: ( )
State: CA
Zip : 93312
Phone: ( )
State: CA
Zip : 93312
-
x
-
x
Period :
Preparer:
Certif'd:
parcelNo:
to
TotalASTs: =
TotalUSTs: =
RSs: No
Gal
Gal
Emergency Directives:
I,<T{ Vf;flrJ f)¡'f~Y\r) Do hereby certify that I h
(Type or print name) aye
reviewed the attached hazardous materials manage-
ment plan for S' U S C;~ <:: c ~~Br~t along w'th
(Nam~ of BU$lnðSS) [
any corrections constitute a complete and correct man-
agement plan for my facility.
-dfL
/1- 1/1-07
Date
-1-
10/25/2004
"t
.
F SUZETTES CLEANERS
f= Hazmat Inventory
p== MCP+DailyMax Order
SiteID: 015-021-002264
By Facility Unit
Fixed Containers at Site
9
9
9
DailyMax IUnitMCP
75.00 GAL Low
15.00 GAL Low
Hazmat Common Name...
PERCHLOROETHYLENE DRY CLEANING
WASTE PERCHLOROETHYLENE
specHazEPA HazardS Frm I
F R IH DH L
R L
-2-
10/25/2004
~
SiteID: 015-021-002264 ì
Facility Unit: Fixed Containers at Site 9
F SUZETTES CLEANERS
f= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
PERCHLOROETHYLENE DRY CLEANING
SOLVENT
Days On Site
365
Location within this Facility Unit
INSIDE DRY CLEANING MACHINE REAR OF STORE
Map:
Grid:
CAS#
STATE - TYPE
Liquid Pure
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
IN MACHINE/EQUIP
Largest Container
75.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
75.00 GAL
Daily Average
75.00 GAL
%wt. RS CAS#
100.00 Perchloroethylene No 127184
HAZARDOUS COMPONENTS
HA
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH DH / / / Low
ZARD ASSESSMENTS
Ag.Defined1:
Ag.Defined5:
MISC. LOCAL AGENCY DATA
Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined6: Ag.Defined7:
Ag.Defined8:
Ag.Defined9: Ag.Define10:
- Ag.Define11
-3-
10/25/2004
~
.-:
F SUZETTES'CLEANERS
f= Inventory Item 0001
¡== COMMON NAME / CHEMI CAL NAME
WASTE PERCHLOROETHYLENE
SiteID: 015-021-002264 ì
Facility Unit: Fixed Containers at Site ì
Days On Site
365
Location within this Facility Unit
BEHIND DRY CLEANING MACHINE
Map:
Grid:
CAS#
127-18-4
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
IN MACHINE/EQUIP
Largest Container
15.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
15.00 GAL
Daily Average
15.00 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
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
-4-
10/25/2004
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
FACILITY NAME ..¡J.. /) . L-.
~. 'Z6 ,.~f-S V 'E-.ò~(S
~u. . .. - ~~ ___ __._,___________.__..___._______._.___ ...-.- mm._._
ADDRESS---- 3-é) 0-1--~~---st;~-- L - JD e. I (. ß
FACILITYCONTkT--~~~--~---m-----~----~~- -----~-7------·----
.. -...-----.....---...-..
INSPECTION DATE INSPECTION TIME
JJiLæ~____ ______n_~__~_
PHONE No. No. of Employees
-~ k
BusinesslDÑumber _____n_______~___ .--
15-021-
_·___m_~._n~__.._
Section 1 : Business Plan and Inventory Program
Routine
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
o ApPROPRIATE PERMIT ON HAND
__..____._._____.____."___u.___.______.___ ._____,_~__.__.__._._ ._..____..n__._.... ..._______._____.... ..____.. ...__..__..., ..._ .__..
uu._.... .~_ .._.. n . __.n ...____u_________n_....._._.._. _ .n._ ._____
o BUSINESS PLAN CONTACT INFORMATION ACCURATE
___.____________________._____~__..____...__.__ ___...___._....__________m_..____.. _~_
_. ..un_____.__
__ __. _______~__n __._._._....._._ ._____._.
_ ____.,_..-_---.--.----------~-----.-~.-_--u---..---.--._._ ______._.__....________
-------.-. .-_..... --
o CORRECT OCCUPANCY
----- ---------~-------_._----'----_.._.__.._------_._--.__.._--._..__.--._-.._._.~-_._--------- -- -----."--- --- -_..__._.__._._-~-_._.- - -- -~... . -..-
-- - -'- ._~-..-
o ' VERIFICATION OF INVENTORY MATERIALS
- --------_...._~--_._-~--_._----_._---------~
---- -----~.- ..-..----.--..-....--... --------.--..-..---.--.-....----- ._._.._-_...~.
'- -. -~-------------~ ...-....----. -.. -..-..
o VERIFICATION OF QUANTITIES
--.---..----------...---.-.----------.---..--..-...--
__ .______.___n_~n__"-_'-___.__~___ _______._n_ _ n"-.n__ _n______________
. ..... .-.--..-----------.------.
o VERIFICATION OF LOCATION
---- -.---..-----..-----.---.--------- .---------- .
_.__.__.______u______._____... _. ___u.__.__._._____.___. __.~____..._ ._._ ..
- __ _n_~_.____
o PROPER SEGREGATION OF MATERIAL
----....---.-- .-.--.--.----------------...----.-----------
._. ___nO ___. ___..__._._...-...._ ..___._..~__ __ _.. _ __ ___"-__ _n_
_.._____._____...__,,_ __._ ._._____ __.._.___._.___~_.__n
i
-------------.--.--.---- .------.-.----.-..--- -----.-. _.m~_. --~--------. -----T----- ------
o 0 VERIFICATION OF HAT MAT TRAINING i
---~----.~-.~-------~-.------.-.~-~~--- ---~-- ---- .-----~-- .___._.m..~_n ._n~. .n___ .1--- .------. _ __.n___..._.__.___._. ____.. m
~__~__n~-=~~_I~~~I~~_~F ABA~~_~~~_:UP~~I~-=_AND PROCEDURES .j___~__~~~_ _.____~_________.~_
o 0 EMERGENCY PROCEDURES ADEQUATE I
_______~·_______·_~____~._______~___m_.______.__·._h _ _~__. __________________~_____ L__.._____ __. . _._.______.____ ._~..~_
o 0 CONTAINERS PROPERLY LABELED I
O-,-uC:J ---H~~~~~~PI NG---------- -~~- -- _~m n_____~___n ~----u--t-~ ..-~~ . -- ..-- ---~ n
~______________.__m~___~__.~____.__.__..m..n _.___n___.._~____.___n____.. ..--- --m-r........----~---_. -- . --_. ___._ ___
o n ~. ::: ~A::;;;'£E~~~-&-O~H~ND -------+----- nmn__
o 0 VERIFICATION OF MSDS AVAILABILlTYE
_.. n _._..._. _. ..._
..___...n_...........____
-. --" ..------.-...--..---.---.--..-. .-.
--..- .-.-..------.------..-- -----..-.,,-.-
- --_.------_._-_.__..~- ----._---~-+...-.--
_.~--_._-_._-----.-...__..-_----
. -.-.----------.....
_.__..n.___~_ __~___.
-. -. .-.-.. ---..- -.--------- --'-'-.-.
_..____._n____u_.___
..._ ..._.._.. _.___m_u____.___.____...__n._
u.__._._ ___ n_ __. __..___.. _ .__._._._._.._ .....___._.________.___._..
pe.(·c.
(YES 0 No
V\IL~~+c.-
ANY HAZARDOUS WASTE ON SITE?:
EXPLAIN:
Fire Prevention 1 st-In/Shift of Site
Xin'·
._--~~--
NG THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
__n~___._ ___~._____.___________~__._______~_._.._____.__._.
White - Environmental Services
Yellow ~ Station Copy
Pink ~ Business Copy
0>
;;
N
;¡¡