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Home My WebLink AboutBUSINESS PLAN '!-ice v H H ~ } C ~ N V M } ~ Ld } rl t M Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST a H R S F 1 D 9ooTruxtun Ave., suite 210 ~. ~~-.~./~. _~___ __. _ _.___-..~ .~__. ____~__ _. _ _- FIRE ... ---- Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "'~'"' T Tel.: (661) 326-3979 ~ ~ Fax: (661) 872-2171 FACILITY NAME ~~ INSPECTION DATE - INSPECTION TIME 7 sf~~~ ~ y C lc a-i b7 ~~:.~o ADDRESS ~ - oa ~~ s PHONE NO. - ~ NO OF EMPLOYEES 3 FACILITY CONTACT USINESS ID NUMBER 15-021-c~4~~ Section 1: Business Plan and inven#ory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ f~ ^ CORRECT OCCUPANCY . ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~~~¢(~ J U ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~f LJ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION IJ[~.S ~A' 10+3. r~~E C`LTI.VC~U`St4r/1~ ^ SITE DIAGRAM ADEQUATE & ON HAND IJEEUS -{~ vP~~rE ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # siness Site / Respo le Party (Please Print) White - Prevention.Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 F/RE ARTM Ronald J. Fraze Fire Chief Gary Hutton Kirk Blair Dean Clason Howard H. Wines, III Director Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 PHONE: 661-326-3979 FAX: 661-852-2171 ES tipo ~~~i July 25, 2007 ENr~D ~uG o s zoos 34T" STREET CLEANERS INC 1009 34T" ST BAKERSFIELD, CA 93301 1. Need 2A-10-BC fire extinguisher, per California Fire Code. 2. Need to update site diagram. ~NT~ ~ ~! ~' ~ ~ ~~Q7 Based on my inquiry of the deficiencies listed above and the individuals responsible for correcting the deficiencies, I certify under penalty of law that'I have personally examined and am familiar with the above list of deficiencies and believe the deficiencies have been corrected and are true, accurate, and complete. Jc2v~ ~ ~imirrti~e~~2~~~ ~~~~ ~9~ a ~c~~f~ .. ~' ... ~ n ,~ 34TH STREET CLEANERS INC SiteID: 015-021-000897 Manager LINDA ALBIAR Location: 1009 34TH ST City BAKERSFIELD BusPhone: (661) 325-1385 Map 103 CommHaz Low Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRISTOPHER YOO / OWNER LINDA ALBIAR / MANAGER Business Phone: (661) 325-1385x Business Phone: (661) 325-1385x 24-Hour Phone (661) 204-3900x 24-Hour Phone (661) 303-5295x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact Phone: (661) 325-1385x MailAddr: 1009 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner CHRISTOPHER & HYE RAN YO0 Phone: (661) 589-8388x Address 9714 BALVANERA AVE State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~hly~'ii ~~~~ ~~ ~ ~, ~~~~ l/"\ Based on my inquiry ,of those individuals btaining the information, I certify f , or o responsible under penalty of law that t have personally examined and am familiar with the information submitted and believe the information is true, accurate, and com lete .~a .D ignature Date -1- 01/24/2007 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP TETRACHLOROETHYLENE L 160.00 GAL Low -2- 01/24/2007 -3- 01/24/2007 r z F 34TH STREET CLEANERS INC ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME TETRACHLOROETHYLENE Location within this Facility Unit TANKS, BOILER. ROOM, CLEANING UNITS STATE TYPE PRESSURE Liquid TMixtur~ Ambient SiteID: 015-021-000897 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 160.00 GAL 160.00 GAL 160.00 GAL - r1t~~tircL~u~ ~ul~ir~lv~;iv~l~5 oWt. RS CAS# 100.00 Tetrachloroethylene No 127184 riAGLiK1J A7Jt5J~1~1t51V 17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 01/24/2007 s . F 34TH STREET CLEANERS INC SitelD: 015-021-000897 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 08/31/2001 I CALL 911. Employee Notif./Evacuation 07/12/1994 = ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. Public Notif./Evacuation 08/31/.2001 = VERBAL. Emergency Medical Plan 08/31/2001 = MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. -5- 01/24/2007 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/11/2006 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. Release Containment IN MACHINE. 08/31/2001 = Clean Up 07/11/2006 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. AAD DISPOSAL REMOVES WASTE PERCLORETHELYENE. V1.11C1 1CC.7V U1lrC ril:L1VCiL1V11 -6- 01/24/2007 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 07/11/2006 A) GAS - SW CRNR MAIN STUCCO BLDG B) ELECTRICAL - SE CRNR MAIN STUCCO BLDG C) WATER - MAIN - S ALLEY AT W PROP LINE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS: ALARM THROUGH KERN SECURITIES. FIRE HYDRANT - CRNR ALLEN RD & JEWETT AVE. 07/11/2006 1 WATER AND 1 CHEMICAL; Building Occupancy Level 03/02/2006 .2 ~~~~y~ -7- 01/24/2007 . ~ r• F 34TH STREET CLEANERS INC SiteID: 015-021-000897 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ONE OR BOTH EMPLOYEES LISTED IN SECTION 2 (EMERGENCY NOTIFICATION) WILL RESPOND/COORDINATE THE CLEAN-UP OF A SPILL. BOTH ARE FAMILIAR WITH EQUIPMENT AND PROCEEDURES FOR SAFELY HANDLING ANY EMERGENCIES AT THE CLEANERS. ALL PERSONS REQUIRING EMERGENCY MEDICAL TREATMENT WILL_BE TRANSPORTED TO _ MEMORIAL HOSPITAL FOR TREATMENT .. __v -.- -.__--~_ . rayC ~ Held for Future Use nciu ivt r u~.uic vac -8- 01/24/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business ,Plan and Inventory Program FACILITY NAME -----.___~~__~-_~~_r~__~~n~s__ -~'~._.._ _____ ...--_____ ._.. ADDRESS FACILITYCON7ACT ~ I~~i lr~ s f~~i~,~- ~~r~ Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661__) _326-39_79 _ INSPECTION DATE INSPECTION TIME PHONE No. No. of Empbyees ~~ 3~,5-- --- sines ID Number ~ s-o2 I - ll~l Q~ `~ ' Section 1: Business Plan and Inventory Program t~}2outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE: YES ~~ ExPU-IN: ~t'~/ai~p ( W61,91C.- • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-INShitt of Site White • Environmental Services Yelbw • Statbn Copy Business Site Responsi Party (Please Print) ~ Pink • Business Copy ;: .,~ + 34TH STREET CLEANERS INC ____________________________ SiteID: 015-021-000897 + Manager BusPhone: (661) 325-1385 Location: 1009 34TH ST Map 103 CommHaz Low City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / ~'itle Emergency Contact / Title CHRISTOPHER YOO / OWNER. LINDA ALBIAR / MANAGER Business phone: (661) 325-1385x Business Phone: (661) 325-1385x 24-Hour Phone (661) 204-3900x 24-Hour Phone (661) 303-5295x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact Phone: {661) 325-1385x MailAddr: 1009 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner CHRISTOPHER YOO & HYE RAN YO0 Phone: (661) 589-8388x Address 9714 BALVANERA.AVE State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: _ -Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK F/V j~ J U~ 11 ~~06 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 and believe the information is true, accurate, and co pl ,t . ~-aa-a6 Signature ~ Date ~~"~~ 5 -1- 03/03/2006 UNIFIED PROGRAM INSPECTION CaECKLIST .,~.~ ..~F.,.~,....._....~...__..~._..~___ _ _. _. _ .._ __ - - _ _ . - - SECTION 1 Business .Plan and Inventory Program ~ .~ • • Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661_) 326-3979 FACILITY NAME ~{ ~ IgNSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. ol~pbyees ,~j R FACILITYCONTACT ii Business ID Number ~~_r ~ c;.~13 A~ 1/ M9 15-021- ~~ Section 1: Business Plan and Inventory Program Routine O Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection C V -_ OPERATION t n~ COMMENTS l lV=Vioa on ~J ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ` ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY - --- ^ ~ ..-- VERIFICATION OF INVENTORY MATERIALS -- --------- ------ ----- ------- --- -------- __.. _.__ _. t _ . ----- ---. - - - --- ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ^ PROPER_SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE I ^ CONTAINERS PROPERLY LABELED ~'J ^ HOUSEKEEPING ^• FIRE PROTECTION ~ L~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66')~ 326-3979 Inspector (Please Print) Fire Prevention 1st-InlShift of Site White • Environmental Services Yellow • Station Copy O~/,~,~s`To/~~G~ ~ o n Business Site Responsible Party (Please Print) rn Pink • Business Copy 34TH STREET CLEANERS SiteID: 015-021-000897 BusPhone: (661) 325-1385 Manager : -~'~~ Location: 1009 34TH ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRISTOPHER YOO / OWNER LINDA ALBIAR / MANAGER Business Phone: (661) 325-1385x Business Phone: (661) 325-1385x 24-Hour Phone : (661) 204-3900x 24-Hour Phone : (661) 303-5295x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact : Phone: (661) 325-1385x MailAddr: 1009 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner CHRISTOPHER YO0 & HYE RAN YO0 Phone: (661) 589-8388x Address : 9714 BALVANERA AVE State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: ~'//'"F'dg'Z)/'//Z~'~"-"/~'~/, Do hereby certify that I have (Tyl3~ ~' Prin! name) reviewed the attachec~ i'~a~'doL~s materials manage- forJ/-~,~---- J~, ~/~ml'~r,d that it along with ment p~n ' (Name of Su~ne~) any corrections constit~e a complete and correct man- ~gement plan for my facility. 1 06/12/2003 34TH STREET CLEANERS INC SiteID: 015-021-000897 Manager : BusPhone: (661) 325-1385 Location: 1009 34TH ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRISTOPHER YOO / OWNER LINDA ALBIAR / MANAGER Business Phone: (661) 325-1385x Business Phone: (661) 325-1385x 24-Hour Phone : (661) 204-3900x 24-Hour Phone : (661) ~e-J~z~95~x-- Pager Phone : ( ) - x Pager Phone : ( ) m°M-~x Hazmat Hazards: Contact : Phone: (661) 325-1385x MailAddr: 1009 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner CHRISTOPHER YOO & HYE RAN YOO Phone: (661) 589-8388x Address : 9714 BALVANERA AVE State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No Emergency Directives: Hazmat Inventory One Unified List Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IUnitlMCP TETRACHLOROETHYLENE L 160.00 GAL Low I, C~//~/J~;~ ~r~ Do hereby certify that ~ have ' (TYI~Or print nam&) reviewed the attached hazardous materials manage- ment plan for 3z//x~ J~. ~'..~d that it along with (Name of BuSiness) any corrections constitute a complete and correc~ man- agemem plan for my ~acili~y. -1- 08/14/2002 34TH STREET CLEANERS INC SiteID: 015-021-000897 = Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME TETRACHLOROETHYLENE Days On Site 365 Location within this Facility Unit Map: Grid: TANKS, BOILER ROOM, CLEANING UNITS CAS# F STATE ~ TYPE i PRESSURE --~ TEMPERATURE i CONTAINER TYPE Liquid /Pure Ambient Ambient ABOVE GROUND TANK Largest Container Daily Maximum Daily Average 160.00 GAL 160.00 GAL 160.00 GAL %Wt. S CAS# 100.00 Tetrashloroethylene N 127184 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Low 2 08/14/2002 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 08/31/2001 CALL 911. -- Employee Notif./Evacuation 07/12/1994 ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. Public Notif./Evacuation 08/31/2001 VERBAL. Emergency Medical Plan 08/31/2001 MEMORIAL HOSPITAL, 420 34TH ST, 327-1792. IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. -3- 08/14/2002 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format -- Mitigation/Prevent/Abatemt Overall Site --Release Prevention 08/31/2001 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. --Release Containment 08/31/2001 IN MACHINE. -- Clean Up 08/31/2001 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. AAD DISPOSAL REMOVES WASTE PERCLORETHELYENE. Other Resource Activation -4- 08/14/2002 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format F Site Emergency Factors' Overall Site Special Hazards --Utility Shut-Offs 08/31/2001 A) GAS - SW CORNER MAIN STUCCO BLDG B) ELECTRICAL - SE CORNER MAIN STUCCO BLDG C) WATER - MAIN - S ALLEY AT W PROPERTY LINE D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 08/31/2001 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS 1 WATER AND 1 CHEMICAL; ALARM THRU KERN SECURITIES. FIRE HYDRANT - CORNER ALLEN AND JEWETT AVE. Building Occupancy Level -5- 08/14/2002 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format ~ Training Overall Site -- Employee Training 08/31/2001 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ONE OR BOTH EMPLOYEES LISTED IN SECTION 2 (EMERGENCY NOTIFICATION) WILL RESPOND/COORDINATE THE CLEANUP OF A SPILL. BOTH ARE FAMILIAR WITH EQUIPMENT AND PROCEEDURES FOR SAFELY HANDLING ANY EMERGENCIES AT THE CLEANERS. ALL PERSONS REQUIRING EMERGENCY MEDICAL TREATMENT WILL BE TRANSPORTED TO MEMORIAL HOSPITAL FOR TREATMENT. Page 2 Held for Future Use I Held for Future Use I -6- 08/14/2002 34TH STREET CLEANERS INC SiteID: 015-021-000897 Manager : BusPhone: (805) 325-1385 Location: 1009 34TH ST Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact ~ / Title BEP~ITA TiiO~U/~' MANAGER CHRISTOPHER YOO / OWNER ~ Business Phone: (805) 325-1385x Business Phone;/ ) 325-1385x 24-Hour Phone : (805) ~-{-~-7~Oy>3~ 24-Hour Phone : (805) Pager Phone : ( ) - x Pager Phone : ( )3o)-~_~g' x Hazmat Hazards: Contact : Phone: ( ) - x MailAddr: 1009 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner CHRISTOPHER YOO & HYE RAN YOO _ Phone: (805) Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax lunit MCP TETRACHLOROETHYLENE L 160.00 GAL Low agement plan for my ~cili~. -1- 0711712001 ' 34TH STREET CLEANERS INC SiteID: 015-021-000897 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UlV~Vl~ ~v~ / ~± ~-~1~ ~Vl~ TETRACHLOROETHYLENE Days On Site 365 Location within this Facility Unit Map: Grid: TANKS, BOILER ROOM, CLEANING UNITS CAS# F STATE I TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum Daily .Average GALL 160.00 GAL 160.00 GAL HAZARDOUS COMPONENTS 100.00 Tetrachloroethylene N 127184 HAZARD ASSESSMENTS TSecretI oRS BioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies / / / Low -2- 07/17/2001 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format ~- Notif./Evacuation/Medical Overall Site --Agency Notification 07/12/1994 CALL 911 Employee Notif./Evacuation 07/12/1994 ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. -- Public Notif./Evacuation 07/12/1994 VERBAL Emergency Medical Plan 07/12/1994 MEMORIAL HOSPITAL - 420 34TH STREET - 327-1792 IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. -3- 07/17/2001 34TH STREET CLEANERS INC SiteID: 015-021-000897 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 01/25/1995 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. Release Containment 01/25/1995 IIN I~CHINE -- Clean Up 01/25/1995 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. AAD DISPOSAL REMOVES WASTE PERCLORETHELYENE. Other Resource Activation -4- 07/17/2001 F 34TH STREET CLEANERS INC SiteID: 015-021-000897 I Fast Format F Site Emergency Factors Overall Site iSpecial Hazards --Utility Shut-Offs 01/07/1990 A) GAS - SOUTHWEST CORNER - MAIN STUCCO BUILDING; B) ELECTRICAL - SOUTHEAST CORNER - MAIN STUCCO BUILDING C) WATER - MAIN - SOUTH ALLEY AT WEST PROPERTY LINE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/26/1997 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS - 1 WATER AND 1 CHEMICAL ALARM THRU KERN SECURITIES FIRE HYDRANT - CORNER ALLEN AND JEWETT AV Building Occupancy Level -5- 07/17/2001 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD iSO1TRUXTUN AVE BAKERSFIELD, CA ~3301-5201 · i :'~ DATE: 9/01/c28 TO: 34TH STREET CLEANERS INC CHRISTOPHER YOO'8,I HYE RAN YOO .'' BAKERSFIELD, CA ~93301 '.':' ' CUSTOMER NO: ' 3172 -- cusTOMER TYPE· ES/ 3172 ' :REF-NUMBER DUE DATE TOTAL AMOUNT CHAROE DATE DESCRIPTION,, ~ '.'i . 8/01/98 BEOINNINO BALANCE : . O0 7/21/~8 P~YMENT ~ 226. 50- REFND 8/19/98 MR INT REFUND VCHR~ - 226. 50 FOR oUEsTIONS OR CHANOES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER DUE DATE: 10/01/98 PAYMENT DUE: 226.50- TOTAL DUE: $226.50- ~" 4379 CENTURY TITLE & GUARANTY COMPANY ESCROW DEPOSITORY ACCOUNT B~d~r~J~d, CA 93311 5405 STOCKDALE H~., NO. 103 BAKERSFIELD, CA 9~09 . 90-8599/3222 ESCROW NO. 7e495-~ April 27,.- · 1~4 ~ 0~-~ 65/1~ ******'21.65 PAY DOLLARS $ TO Clt~ 'o~ THE C/O Treasu~ Dtvlsl0n ' * ' * ' ORDERP.O. ~X 2.57 (~* T~~E~E OF ~ersfteld. Caltfo~ia 93~3 QUIRED A~ Drew Sha~les D~TACH AND R~TAIN THIS STATEMENT CENTURY TITLE & GUA~N~ CO. ~ NO~ CO..=~ .=~s= NOm~ US ~O~=Y. NO ~=C=~ O=m~=O.. DELUXE FORM WVC-3 V-2 DATE ] * D E S C R ~ P T I O N AMOUNT ~4-27-94' [Escr0w $ 7~495-ka * -- ~ ******'21.65 ~~ ~~~ S~ree~ Cle~ers,'B~ersf~el~,-Califo~ta ' .... creditors claim .- v.= CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. I I certify that this claim is correct and valid, and is a proper CLAIMANT'S NAME AND ADDRESS: I charge against the City Agency and account indicated. I 34Th Street Cleaners Inc (AUTHORIZED SIGNATURE OF CITY AGENCY) 1009 34Th St Bakersfield, CA 93301 Date: 08-12-98 Initials of Preparer: CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business double paid their Hazardous Materials bill. For that reason they now have a credit of $226.50 which we will be refunding. Dept. El / Objt Project # Invoice # Amount Date of Invoice 0000 7900 $226.50 VOUCHER TOTAL $226.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined &.Approved for Payment Amount or writing, is guilty of a felony. BAKERSFIELD FIRE DEPARTMENT MEMORANDUM DATE: August 5, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund over payment of $226.50 paid by 34th Street Cleaners, Inc. They made a payment on 6/30/98 of $226.50 and again on 7/21/98. The second payment created the credit of $226.50. Please send a refund of $226.50 to: 34th Street Cleaners Inc 1009 34th St Bakersfield, CA 93301 Thank you, /ed STATEMENT OF ACCOUNT CiTY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE~ 8/01/98 TOi 34TH STREET CLEANERS iNC CHRISTOPHER YO0 & HYE RAN YO0 1009 34TH ST BAKERSFI~Lu, CA 93301 CUSTOMER NO; 3172 CUSTOMER TYPE' ES.." 3i72 ~.u,',=.'~:~..,,,.~,,,=~ DATE DESCR!OTION, REF-NUMBER DUE DATE TOTAL AMOUNT 6/30/98 BEQINNINQ BALANCE 226.50 6/30/98 PAYMENT 7/2i/98 PAYMENT 226.50- FOR ~UESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER &O OVER 90 DUE DATE: 8/31/98 PAYMENT DUE: 226. 50~- TOTAL. DUE: $2~6.50-- ~ .. PLEASE DETACH AND SEND THIS coPY WITH REMITTANC DATE' 8/01/98 DUE DATE' 8/31/~8 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX ~057 BAKERSFIELD CA ~3303-2057 CUSTOMER NO: 3172 CUSTOMER TYPE: ES/ 3172 TOTAL DUE: $~26. 50- 34TH STREET CLEANERS INC Training ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 06/26/1997 O WE HAVE 5 EMPLOYEES AT THIS FACILITY. o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o O BRIEF SUMMARY OF TRAINING PROGRAM: ONE OR BOTH EMPLOYEES LISTED IN SECTION o 2 (EMERGENCY NOTIFICATION) WILL RESPOND/COORDINATE THE CLEAN-UP OF A SPILL. o BOTH ARE FAMILIAR WITH EQUIPMENT AND PROCEEDURES FOR SAFELY HANDLING ANY o EMERGENCIES AT THE CLEANERS. ALL PERSONS REQUIRING EMERGENCY MEDICAL o TREATMENT WILL BE TRANSPORTED TO MEMORIAL HOSPITAL FOR TREATMENT. ° o o o i~ Held for Fumre Use o o O O 34TH STREET CLEANERS INC i JUN Z0'I~I lU) SiteID: 215-000-000897 Manager : ; ~usPhone: (805) 325-1385 Location: 1009 34TH ST [8y~ Zap : 103 CommHaz : Moderate City : BAKERSFIELD Irid: 19C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRISTOPHER YO0 / OWNER BERNITA THOMAS / MANAGER Business Phone: (805) 325-1385x Business Phone: (805) 325-1385x 24-Hour Phone : (805) 721-1307x 24-Hour Phone : (805) 366-2401x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Agency-Defined Topic Title = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA Hazards[ Frm DailyMax Unit MCP TETRACHLOROETHYLENE L 160 GAL Low I, d#£ZfP/¢~ ~o Do h~reby certi~ that I have ' '~pe ~r print n=m,~) .... review:ed t~ s~":':; ~d h~..~.~s materials manage- ment ~.~.~ ¢c' ~ ~., O~~nd that it along ~th any correctio~s constitute a complgt~ and ~t man- agement plan 1 05/22/1997 34TH STREET CLEANERS INC SiteID: 215-000-000897 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site TETRACHLOROETHYLENE Days On Site 365 Location within this Facility Unit TANKS, BOILER ROOM, CLEANING UNITS CAS# STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 160.00 160.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Tetrachloroethylene No 127184 2 05/22/1997 34TH STREET CLEANERS INC SiteID: 215-000-000897 Fast Format = Notif./Evacuation/Medical Overall Site -- Agency Notification 07/12/1994 CALL 911 -- Employee Notif./Evacuation 07/12/1994 ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. -- Public Notif./Evacuation 07/12/1994 VERBAL Emergency Medical Plan 07/12/1994 MEMORIAL HOSPITAL - 420 34TH STREET - 327-1792 IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. -3- 05/22/1997 34TH STREET CLEANERS INC SiteID: 215-000-000897 Fast Format Mitigation/Prevent/Abatemt Overall Site Release Prevention 01/25/1995 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. -- Release Containment 01/25/1995 IN MACHINE -- Clean Up 01/25/1995 PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. AAD DISPOSAL REMOVES WASTE PERCLORETHELYENE. Other Resource Activation -4- 05/22/1997 34TH STREET CLEANERS INC SiteID: 215-000-000897 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 01/07/1990 A) GAS - SOUTHWEST CORNER - MAIN STUCCO BUILDING; B) ELECTRICAL - SOUTHEAST CORNER - MAIN STUCCO BUILDING C) WATER - MAIN - SOUTH ALLEY AT WEST PROPERTY LINE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS - 1 WATER AND 1 CHEMICAL ALARM THRU KERN SECURITIES FIRE HYDRANT - CORNER ALLEN AND JEWETT AV Building Occupancy Level -5- 05/22/1997 34TH STREET CLEANERS INC SiteID: 215-000-000897 Fast Format ~ Training Overall Site -- Employee Training 07/12/1994 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. ONE OR BOTH EMPLOYEES LISTED IN SECTION 2 (EMERGENCY NOTIFICATION) WILL RESPOND/COORDINATE THE CLEAN-UP OF A SPILL. BOTH ARE FAMILIAR WITH EQUIPMENT AND PROCEEDURES FOR SAFELY HANDLING ANY EMERGENCIES AT THE CLEANERS. ALL PERSONS REQUIRING EMERGENCY MEDICAL TREATMENT WILL BE TRANSPORTED TO MEMORIAL HOSPITAL FOR TREATMENT. Page 2 -- Held for Future Use Held for Future Use 6 05/22/1997 BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715 'CHESTER',A,V£.: BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: I~C~IvED 1. To avoid turther action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. JUL O 7 1994 3. Answer the questions below for the business as a whole. 4. Be brief and concise aS possible. SECTION 1' BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~- "/'/I ~'jLY'¢~t MAILING ADDRESS: IOOf- ~ CITY: ~r~¢~l~ STATE: ~-ZIP: ~/ PHONE: DUN &BRADSTRE'ETNUMBER: ~qq-6~--~5~ SIC CODE: ~IMA~Y ACZiV~Y: ~~ ~ OWNER: CH~ToF~E¢ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE .~. .: .. Bakersfield Fire Dept. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: MATERIAL SAFE~ DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECT[ON 4,: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS iS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. V// WE OD HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TiMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, C#R/~/c'~P'~""~ , CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL.BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV.. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND TH,,g,T INACCURATE INFORMATION.CONSTiTUTES PERJURY. TITLE DATE.. 2. ...... ~Bakersfield Fire Dep~ ""~ ":-'~ ~lSazardous ~aterials Divig'lS'n HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~4-J-~l' ~qgLr-~t-~ ~t~/C~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES' B. EMPLOYEE NOTIFICATION AND EVACUATION: ~ii E,m?~oy,~_~ 'fro I~,~ C. PUBLIC EVACUATION' Vc-P-, Mu O. EMERGENCY MEDICAL PLAN' Hazardous Materials Di,rision ..... HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7' MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: S. RELEASE. CONTAINMENT AND/OR MINiMiZATiON: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): SPECIAL: LOCK BOX: YES/~} IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: B. WATER AVAILABIUTY (FIRE HYDRANT}' 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1009 34TH ST Map:103 Haz:3 Type: 3 City : Grid: 19C F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title - CHRISTOPHER YO0 / OWNER / Business Phone: (805) 325-1385x Business Phone: ( ) - x 24-Hour Phone : (805) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 1009 34TH ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: Owner: DONALD R. SHARP Phone: (805) 871-0445 Address: 2000 KINGSTON PL State: CA City: BAKERSFIELD Zip: 93307- Summary NEW OWNER BULK TRANSFER 4-22-94 I, C//£/'f7'~/~/'/e,~ ',Y~)~, Do hereby certify that I have reviewed lhe attaca,,d haz~'dous ma,enals ment plan for~¢//} d~/,'~ O/~d th~ it alon~j with "· (N~ne ~f I~sine~s) any corrections constitute a complete and corre~ man- agement plan for my facility. 06/0'7/94 34TH STREET CLEANERS INC 215-000-000897 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 TETRACHLOROETHYLENE Liquid 160 Low · GAL 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 TETRACHLOROETHYLENE Liquid 160 Low · GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL -- 160 I 160.00 I 200.00 Storage Press T TempI Location ABOVE GROUND TANK AmbientJAmbientlTANKS, BOILER ROOM, CLEANING UNI -- Conc Components MCP -~Guide 100.0% ITetrachloroethylene IL°w / 74 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. <3> Public Notif./Evacuation VERBAL <4> Emergency Medical Plan MEMORIAL HOSPITAL - 420 34TH STREET - 327-1792 IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. <2> Release Containment IN MACHINE <3> Clean Up PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE <4> Other Resource Activation 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER - MAIN STUCCO BUILDING; B) ELECTRICAL - SOUTHEAST CORNER - MAIN STUCCO BUILDING C) WATER - MAIN - SOUTH ALLEY AT WEST PROPERTY LINE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS - 1 WATER AND 1 CHEMICAL ALARM THRU KERN SECURITIES FIRE HYDRANT - CORNER ALLEN AND JEWETT AV <4> Building Occupancy Level 06/07/94 34TH STREET CLEANERS INC 215-000-000897 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. MEETING WITH EMPLOYEES, EXPLAIN USE OF MASK AND GLOVES, FIRE EXTINGUISHER AND HAZARDOUS MATERIALS, EXITS. MEETINGS HELD EVERY THREE MONTHS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use BULK TRANSFER 1994 ~w o~s ~D~SS / ACC0~T ~ERS DATE OF T~SFER q -Z~-~ THIS I~0~TI0~ IS T~E~ FR0~ THE DAILY REPORT' ~ S~O~LD BE VERIFIED PRIOR H~zardous ~terials P.D. A~a~s $ RECEIVED . 02/20/92 34TH STREET CLEANERS IRC 215-000-000897MAR 6 1992Page 1 Overall Site with 1 Fac. Unit Ans'd ............ General Information ILocation: 1009 34TH ST Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 04 Grid: 19C F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- BOB JOHNSON MANAGER (805) 325-1385 x 805) 872-1718 Administrative Data Mail Addrs: 1009 34TH ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code: . Owner: DONALD R~'SHAR'P ~ ........ ,. - Phone: (~9-) ~--~ Address: 2000 KINGSTON PL State: CA City: BAKERSFIELD Zip: 9330~- Summary I, [2,,,, .5""~,. ~, Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for~_4?/~.~.~nd that it along with any corrections constitute a complete and correct man- 02/2:0/92 34TH STREET CLEANERS INC 215-000-000897 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 TETRACHLOROETHYLENE Liquid 160 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 'Use: CLEANING Daily Max GAL I Daily Average GAL I Annual Amount GAL 160 ~ 160.00 200.00 Storage Press T Temp~ Location ABOVE GROUND TANK AmbientlAmbientlTANKS, BOILER ROOM, CLEANING UNI -- Conc .... Components MCP List 100.0% [Tetrachloroethylene ILow --~ 02/20/92 34TH STREET CLEANERS INC 215-000-000897 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. <3> Public Notif./Evacuation <4> Emergency Medical Plan MEMORIAL HOSPITAL - 420 34TH STREET - 327-1792 IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEDED FOR TREATMENT WILL BE SENT WITH INJURED. 02/20/92 34TH STREET CLEANERS INC 215-000-000897 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSED CONTAINERS. <2> Release Containment <3> Clean Up <4> Other Resource Activation 02/20/92 34TH STREET CLEANERS INC 215-000-000897 Page 5 00 - Overall Site <F> Site Emergency Factors <1> SPecial Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST CORNER - MAIN STUCCO BUILDING; B) ELECTRICAL - SOUTHEAST CORNER - MAIN STUCCO BUILDING C) WATER - MAIN - SOUTH ALLEY AT WEST PROPERTY LINE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS - 1 WATER AND 1 CHEMICAL ALARM THRU KERN SECURITIES FIRE HYDRAN~ CORNER ALLEN AND-JEWETT-A~ <4> Building Occupancy Level 02/20/92 34TH STREET CLEANERS INC 215-000-000897 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE ?~EMPLOYEES AT THIS FACILITY? WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. MEETING WITH EMPLOYEES, EXPLAIN USE OF MASK AND GLOVES, FIRE EXTINGUISHER AND HAZARDOUS MATERIALS, EXITS. MEETINGS HELD EVERY THREE MONTHS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .,- 'o-. :. 'U c'~,~, . .'"~ ~'. ~,~ CITY ~ ....~' "~,~ "IVE CARE" -.,.:...,:~x:; :.... ~x~,/ ..~ .. '~'"'ii~ JAN 2 5 1989 Do herebi certify ~hat I have reviewed the ~'~ ............ attached Hazardous Haterials business olan RECEIVED F[8 1 0 19~9 (name of business) HAZ. MAT. DIV. and that it along with the attached additions o~ corrections consti~u~e a complete and correct_ Business Plan for mM facilit}-. ' - - si,~na%ur'e ' / ' date BUSII~ESS ISTREET NAME 3, CLEANERS INC ~UMBER Z~5-~-.0008~7 LOCATION ~4TH ST ~lr HIGH HAZARD RATING 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / ~ ~BY < NO INFORMATION RECORDED FOR THIS SECTION > 4.. LOCAL EMERGENCY MEDICAL. ASSISTANCE LAST CHANGE 04/08/88 BY TERRY ZA SEC 5: MEMORIAl. HOSPITAL - 4Z0 34TH STREET - 327-1792 IF EMERGENCY INVOLVES CHEMICALS USED AT CLEANERS, MSDS FORMS OR INFORMATION NEEOEO FOR TREATMENT WILL 8E SENT WII'H INJURED, PAGE Z IZ/1s'/88 t~:59 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) ~. OVERVIEW LAST CHANGE 04/19/88 8Y ESTER JURtS CODE 215,¢K~4 JURIS BAKERSFIELD STATION 04 MAP PAGE 10~ GRID 19C FACILITY UNITS 1 HAZARD RATING 3 ~./ RESPONSE SUMMARY 2A SEC 4: ONE OR BOTH EMPLOYEES LISTEO IN SECTION Z EMERGENCY NOTIFICATIONS WILL RESPOND/CQ-ORDINATE THE Ct. EAN-UP OF E SPILL, BOTH ERE FAMILIAR WITH EQUIPMENT ANO PROCEEOURES FOR SAFELY HANOLING ANY EMERGENCIES AT THE CLEANERS. EMERGENcy CONTACTS ZA SEC Z: DONALD R. SNARP - OWNEFt/PRESIDENT - 325-1385 OR 871.-0445 UTILITY SHUTOFFS Zfl SEC 3: 8) NET. GES: SW CORNER - MEIN STUCCO BUILDING; B) ELECTRICAL: SE CORNER - MEIN STUCCO BUILDING; C) WATER: M~IN - S ELLEY AT ~ PROPERTY LI~E~ O) SPECIAL.: NONE] E) LOCKBOX: NO. 2. NOTIFICETION / PUBLIC EVACUATION LAST CHANGE t / BY < NO INFORMATION RECORDED FOR THIS SECTION PAGE t IZ/IS/88 10:SA METERIEL SEFETY DATA SYSTEMS, INC. (80S) G48.-G804~ NAME 34 TREET CLEANERS INC It ~UMBER Z1S-~OO-O~B97 LOCATION 1009 34TH ST HIGH HAZARD RATING 3 F~CILITY UNIT 0~ R. OVERALL HAZARDOUS MflTERIRLS INVENTORY /~ ~'-~ LAST CHANGE ~8 BY TERRY ID TYPE NAME MAX AMT UNIT HAZARD LOCRTI ON CONTAINMENT USE 1 - . ' ~ HIGH S YRLL CENTER IN PROC. HRCHINERY CLEANING ID PERCENT COMPONENTS HAZARD LIST -~I I~D.~ TETR~CHLORCET~YI. r~r_ HIGH B. FIRE PROTECTION / WATER SI~PLIES LAST CHANGE 04/08/88 BY TERRY 3R SEC 4: Z FIRE EXTINGUISHERS - 1 WATER AND 1 CHEMICAL ALARM THRU KERN SECURITIES. 3A SEC S: CORNER ALLEN RNO JEWET AVENUE. PAGE 3 1Z/15/88 t0:59 MATERIAL SAFETY DRTR SYSTEMS, INC, (805> 648-6800 BUSINESS N~ME 34~ITREET CLEANERS INC I/IMBER Z15-~X~O-O~BB? LAST CHANGE-~/~4~ BY TERRY SEC Z: ALL EMPLOYEES TO LEAVE BUILDING. CALL 911. E, MITIGATION / PREVENTION / ABATEMENT L~ST CHANGE 04108188 BY 'TERRY 3A SEC 1: PUT ON MASK, MOP UP SPILL AND RETURN TO CLEANING MACHINE. ALL MATERIAL KEPT IN CLOSEO CONTAINERS. PAGE 4 1Z/15/88 10:59 MATERIAL SAFETY DATA SYSTEMS, INC; (805) 648-68(~2) CITY of BAKERSFIELD N 0 N -- '1~ 11 A L) l~ S E C R E ]7 S P~qe .... of .... ADDRESS: ~ ~o ~,t xf~ (/~1 ~ STANDARD IND. CLASS CODE C~e C~e Mt Mt ~st Units m Site l~ ~l l~ ~ St~ tn FKt Hty ~ ~ I~t~ti~ ~lth of P~ ~lth ......... I Health (C~k iii t~t ely) · Irttficati~ (Read and sign after coep/et/ng all sections/ c Ir t ~ f CITY of BAKERSFIELD N 0 N ~ 'l.' l~ ~ l) ~ S ~ C R ~ ~.' S ' Psqe .... of .... ~ ~/. ,- .~_1~..1 .... z-~-._L_~ .... 1.~__. ~lthof P~ ~lth .~[~_J ..... & .... 1 ..... j_ ...... l___c. ...... P~ic4l ~ H~lth (~k ill t~t a~ly) ~t 12 ~ ~ Fire ~zird ~-~ ~ct~vity h14~ ~ ~1~ I~tltl ~lth of P~su~ ~lth (C~k ail t~t .... ~ ~ Flee Hazaed ~ ~ R.ctivity ~/~14~ ~ ~ ~d~ Reline ~ ~ I~lte of P~su~ NNIth ~tl] ~ & C.A.S. ~ .~I_~_~.~_L_L_L~__.I~z~ " e~ H~lth (C~a11 t~t t~ly) ~ F~ee Hazaed i . ' ...... 21'R;'P~i ............. *rttficati~ (Read and si~ after coep~ettng all sections) certify ~er ~lty . ' , '~ , ........ ~ ..... ~ 7 CITY of BAKERSFIELD N 0 N -- '1' I~ A [) [~ S ~ C R ~ ~].' S ' ~,ge ff of BUSINESS NAME: OWNER NAME: NAME OF T~S FACILITY: LOCATION: ADDRESS: STANDARD IND. CLASS CODE CITY. ZIP: CITY, ZIP: DUN AND BRAD~TREET NUMBER PHONE ~: PHONE ~: - - C~e C~e ~t ~t Est Units m Site T~ ~ 1~ ~ 5t~ ~n F~Jlity ~ ~ I~t~t~ ~lth of P~ ~lth ........... (C~k ill t~t appJy) ~th of P~ Mlth .... ~ ~ FJee Hazard ~d~ R~ctivity ~ ] ~le~ ~ ] ~d~ Rel~se r ~_d [~Jltl ~lth of ~ ] FJee Hazard H~lth of Pr~sure ~alth ~t NEaGENCY C~AC7S erttficat~m (Head and s~n after comp]e~n~ al] sections) or obtaining t~ Jnf~Nttm. I ~lJeve t~t t~ su~itt~ info~tJm ts t~, accurate. ~d cmplete. CITY of BAKERSFIELD N O N ~'l.' RAI) r~ S ~ C R ~'r s BUSINESS NAME: OWNER NAME: NAME OF T~ FACILITY: LOCATION: ADDRESS: STANDARD IND. CLASS CODE CITY. ZIP: CITY, ZIP: DUN AND BRADSTREET NUMBER PHONE ~: PHONE ~: - - ~ ~ ~U~O~ ~ ~OP~ ~OD~ ~e C~e Mt Mt Est Units m Site 1~ ~s TW ~ . St~ tn FKfltty ~ ~ I~t~tt~ .... Ph~icll ~d Hfllth of Pmere blth ~t P~ical ~ ~lth (C~k all t~t apply) r_j Ft~ ~zard ~_d ~ct~vlty ~la~ _d ~ ~1~ i~llte ~lth of ~ Mlth ~t I] P~ical ~ HNIth (C~k all t~t apply) ' ~t ~ ~ ~tee Hazard of P~su~ N~lth ~t P~ HN1th (C~k all t~t aNly) ..................... ~ -- -- ~--~ r--~ C~t -d F~ee Hazard HNIth of Pe~ure Nealth * ~t NERGENCY C~TACTS II ~ Rii-: ................................... ~(1~ ....................... 21'R~'P~i ...... ~ T~IT ~F'~l ..... Irtfficati~ (Read and s~Kn after colpJetinR all sectionsJ cert~fV'~der ~lty of or obtaining t~ infects. I ~lieve tMt t~ su~ttt~ into~t~ ~s t~. accurate, a~ c~9)ete. /- ;~' ~a~TliEiil'T ITI~'~T'~iTEF'OI'~7a~F~TaF'~'~T~FTi~T aTi;~ Sl~aT;~ ................................................... ~'51~ .......................... CITY of BAKERSFIELD N O N-- 'I' RAI) E S E C R E ~7 S Pqe.~of .... BUSINESS NAME: ONNER NAME: NAME OF T~S FACILITY: LOCATION: ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: CITY, ZIP: DUN AND BRADSTREET NUMBER PHONE ~: PHONE ~: - - Iran1 Ty~ ~x A~iql ~l ~asu~ I ~ Cmt ~t ~t ~ L~ttm ~ ~ ~ : ~ of Nixt~/~ts (~e C~e Mt Mt Est Units m Site T~ ~ TW ~ .. St~ tn FKtlity M ~ I~t~ti~ Ph~ical ~d H~lth ~zl~ C.A.S. ~ ~t II ~ & C.A.S. ~ ~ Ith of P~wre ~ I th / ~icil ~ ~lth Hazl~ C.A.S. ~ at Il ~i C.l.S. ~ / IC~k ~11 t~t apply) ~lth of P~ ~lth ~t 13 ~ i c.a.a. ~ Physical md H#lth (C~k ill tMt apoly) -- - ~ ~t --~ Ftre Hazard of P~su~ N~lth P~I~ Hfllth _ j F~re Hazard ~ ~ ~ctivity ~ ~ ~la~ ~ ~ ~e blme ~ ~ I~tete H~lth of Pr~surl Health AEflGENCY C~TACTS II 12 rtlficati~ [Read and sign after compJet~ng ali sectional . ' ' cert~f~*~der ~lty of 1 r obtEmtn9' t~ inf~ti~.- :" ' ITE/FACILITY D GR~dv~ ~ FORM'CF NORTH SCALE:/ ~'/0~3 BUSINESS NA~ME: 3~7~". ~e~ CZC~/M~FLOOR: OF'. DATE: ~/X~/~7 FACILITY N~ME:. ~IT.~: .0F (CHECK ONE) SITE DIAGRAM' ~' ' FACILITY DIAG~M ITE DIAGRAM FACILITY DIAGRAM For Office Use Only First In Station: Are~ Mc~ ~ of Inspection StaTion: NO~H ~~ ' FORM , 5 NORTH SCALE: ~/~'~ BUSINESS N~%ME: DATE: /. / FACILITY N~ME: ",:k~., . .. UNIT (CHECK ONE) SITE DIAfiR.~M FACILI~ DIAGR.~M ~' ~~~~ BAKERSFIELD CITY FIRE DEPARTMENT ..~-AD$ t~ ~{ KCFD HMCU HAZarDOUS ~TE~I BUSINESS PLAN AS A WHOLE FOR~ 2~ 1. To avoid furthe~ actSon, return th~s ~orm b~ 2. TYPE/PRrNT ANSWERS rN ENGLISH. KCFD HMCU 3, Answer the questions belo~ for the business as ~ ~hole. 4. Be as b~ief and concise as possibie, SECTION ~: BUSINESS [DENT[7[CATION DATA m. LOCATION / STREET ADDRESS: (OO~ g~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: AND TITLE ' ~._/~ DURING BUS. HRS. , AFTER B.Ug<.~[.~C SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE B. ELECTRICAL: C. WATER: ]~'~AI~- ~o~r~ ~_.-¥- ~,T I.~-.~x- ~-~'~--V--'~ (--t~-~ D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION:_I~ IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS9 YES / 'NO - 2A - SECTION 4: P~I~.E RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION-5~ LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO - INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.... ........................... . ......... YES NO NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ N0 YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~YES NO '~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO ~ NO ~E. DO YOU MAINTAIN EMPLOYEE TRAINING-RECORDS-:~.~'-..~, YES ~ YES NO SECTION 7: ~ZARDOUS ~TERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~F m SOLID, 55 GALLONS OF m LIQUID," OR ~00 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, ~~~ ~~ , certify that the above information is accurate, I understand that this information will be used to fulfill my firm's obligations tinder 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. SIGNA TITLE' O.A- ~,l ~,~__~ DATE KERN COUNTY FIRE DEPARTI~ENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT F O RI~I 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NA)IE: SECTION 1: ]~ITIGATION, PREVENTION, ABATE~ PROCED~S SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY HMCU-6 SECTION 3: P~ZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... NO If YES, see B. If NO, continue with SECTION 4. B.Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.? of the Government Code?...q~. If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A (NA-~-~-. ~ROPANE: B. ELECTRICAL: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO HNCU-6 B~AKERSF'IELD CITY FIRE DEPARTMENT I .D. ~ FORM 4A-1 Page __ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME :' f~g'~ ~'A~¢¢9" ~..~'/)M~',~ OWNER NAME: DG,q~.~) ~. f~f FACILITY UNIT ADDRESS: ;. ADDRESS:~DOO~i~~ ~ FACILITY UNIT NAME: c~Tv, z~p: c ~ TV, Z ~ r.:~e ~,e/~ + ' ~ OFFICIAL-USE C'FIRS CODE ptlONE ~: PIiONE ~: J ONLY i 2 3 4 5 6 7 8 9 10 TYPE MAX ANNOAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE GUIDE ., A~TBR BUS ~S: ' ~Y{--O ELHF]R6ENC~ CONTACT: TITLE: . PHONE ~ BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: '- - 4~-1 -