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BUSINESS PLAN 10/21/2007
~ j - .% i„ t MR CLEANERS -_ -_ - -_ 5444= ;CALIFORNIA=AVENUE- --- i~ - -~ fi~= .,., MR CLEANERS SiteID: 015-021-000922 Manager HAK SEO Location: 5444 CALIFORNIA AVE City BAKERSFIELD BusPhone: (661) 322-9030 Map 102 CommHaz Moderate Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HAK SEO / OWNER / Business Phone: (661) 322-9030x Business Phone: ( ) - x 24-Hour Phone (661) 361-0288x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact HAK SEO Phone: (661) 322-9030x MailAddr: 5444 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93309 Owner HAK SEO Phone: (661) 361-0288x Address 11215 VISTA DEL LUNA DR State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN E;a~ed on my inquiry of those individuals i ce:rtify ti on, responsitae for ohtaining the informa 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. ~ J ~s~----~ /PJ .- .,. o Signature Date s~ ~~ -1- 10/18/2007 ,~ it ,. MR CLEANERS SiteID: 015-021-000922 Manager ~ ~ _ S~z-o _ - Location: 5444 CALIFORNIA AVE City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: BusPhone: (661) 322-9030 Map 102 CommHaz Moderate Grid: 34D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title HAK SEO / OWNER / Business Phone: (661) 322-9030x Business Phone: ( ) - x 24-Hour Phone (661) 361-0288x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact ,~-{,(~~~L. ~~ts Phone: (661) 322-9030x MailAddr:`5444 CALIFORNIA AVE State: CA City BAKERSFIELD Zip 93309 Owner HAK SEO Phone: (661) 361-0288x Address 11215 VISTA DEL LUNA DR State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN 8rsded on my inquiry of those individuals rorpGn~'sble for obtaining the information, I certify under pQr+al4Y caf Izw that I have personally examined rind am familiar with the information p~ ~ ~~'~ EN`S"~ 6V6~ ~~ submitted and boli©ve the information is true, accurate, and complete. Signature Date / r -1- 02/05/2007 F MR CLEANERS SiteID: 015-021_000922 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers,. at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE SOLVENT F DH L 5.00 GAL Mod PERCHLOROETHYLENE DRY CLEANING F R IH DH L 100.00 GAL- Low -2- 02/05/2007 -J -3- 02/05/2007 f ~ F MR CLEANERS ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE SOLVENT WASTE SOLVENT & FILTERS Location within this Facility Unit STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-000922 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8030306 TEMPERATURE .CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL I 5.00 GAL t1AGKKLV U 5 1:V1~lYV1V L' 1V 1 b cwt: Rs cAS# 100.00 Cleaning Solvent No 8030306 riAGKKL 1-~57J;J51~1J;1V la7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F DH / / / Mod ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PERCHLOROETHYLENE DRY CLEANING SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: DRY CLEANING MACH REAR OF STORE CAS# 127184 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 100.00 GAL 100.00 GAL 90.00 GAL I1HL~HRIJVU.7 1.V1~lYV1ViS1V 1.7 %Wt. RS CAS# 100.00 Perchloroethylene No 127184 17.L~G1-1tCL 1-1JJJ;JJI~IJ;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Low -4- 02/05/2007 F MR CLEANERS SiteID: 015-021-000922 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/14/2000 ~ TWO PHONES IN STORE, ONE IN FRONT, ONE IN BACK, TO BE USED TO DIAL 911 IN CASE OF EMERGENCY. Employee Notif./Evacuation 10/16/1995 VERBAL WARNING IS SUFFICIENT TO NOTIFY EMPLOYEES AND CUSTOMERS TO QUICKLY LEAVE THE STORE THROUGH THE FRONT ENTRANCE. Public Notif./Evacuation 10/16/1995 PUBLIC IS NOT ALLOWED ANYWHERE EXCEPT RECEPTION AREA IMMEDIATELY INSIDE FRONT DOOR. Emergency Medical Plan 10/16/1995 MERCY SOUTHWEST HOSPITAL. -5- 02/05/2007 !` i F MR CLEANERS SiteID: 015-021-000922 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/13/2006 ~ DRY CLEANING MACHINE IS SELF-CONTAINED. Release Containment 04/13/2006 OWNER PERIODICALLY REMOVES WASTE SOLVENT FROM MACHINE INTO A 5-GAL BUCKET. LID IS KEPT ON TIGHT WHILE WASTE IS IN STORAGE. Clean Up 04./13/2006 WASTE SOLVENT AND FILTERS ARE REMOVED BY AAD DISPOSAL, A LICENSED HAZARDOUS WASTE HAULER. V1~11CL iCC.7VULl.:C HC: l~1Vdl.1 V11 -6- 02/05/2007 ~` F MR CLEANERS SiteID: 015-021-000922 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC l:1d1 IldGdL US Utility Shut-Offs 12/27/2006 A) GAS - NW CRNR OF COMPLEX B) ELECTRICAL - REAR OF STORE C) WATER - BOILER/STORAGE RM D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/27/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. WATER AVAILABILITY - CALIFORNIA & LENNOX. Building Occupancy Level 02/28/2006 1 EMPLOYEE -7- 02/05/2007 F MR CLEANERS SiteID: 015-021-000922 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/05/2007 ~ MSDS SHEETS IN BACK OF STORE ON MACHINE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE GIVEN INITIAL AND ANNUAL TRAINING ON HAZARDS OF PERCHLORETHYENE. HOWEVER, ONLY THE OWNER OPERATES THE CLEANER ITSELF. rayc a ncl.u tui rul.uLC use nciu ivi ruLULe use -8- 02/05/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST:' B £ R s F. 90oTruxtunAve., Suite 210 F~AE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "R"" 'rel.: (661) 326-3979 -Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS - PHONE~NO. O O_F EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- 606`TL2.~ Section 1; Business Plan and )nventory Program -- - ~, ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ . RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation ~,,~~.~ ~~ ~ COMMENTS '~ ^ APPROPRIATE PERMIT ON HAND !~ ~ ~ ~~ aJ s~ ~ Q'µj t~I ~ i:_ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE '~~, ~ f ,. ~LG?`~ Coil ^ VISIBLE ADDRESS , p (~ Z. i ~ V l ~'~ '\ 'IiL L.tA ^)'J'~ L.~~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~l, ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~; ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY _ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~. ^ EMERGENCY PROCEDURES ADEQUATE ~, ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND AN-Y HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~~ 't i Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/S ation # Busin s S' Responsible Party (Please Print) YES ~NO - White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 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 INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. zL_ p~~ No. of Employees (----- ~ ------- FACILITYCONTACT ~ ~f~.~d~7 i~ 9 'L~~3 Business ID Number 15-021-G~Qt~ ~L~ n~ ' Section 1: Business Plan and Inventory Program ~utine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C` V \ V=V'o aplonnCe / OPERATION ^ APPROPRIATE PERMIT ON HAND ' U COMMENTS ,, / YJ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ® ^ VERIFICATION OF LOCATION V ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE -- - ^ VERIFICATION OF HAT MAT TRAINING ~ '- ^ ! D ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ` ^ EMERGENCY PROCEDURES ADEQUATE ~.----_'--- - J - -- id ^ CONTAINERS PROPERLY LABELED y --_ -- ---^----- '------ -------_`---`-- ~ ^ HOUSEKEEPING .__- .~-_ - - _ , 10 ^ FIRE PROTECTION ---- -' - -- ----- -------- --- -' L'J ^ SITE DIAGRAM ADEQUATE ~ ON HAND - - - - - --^-- _'------'------~---- _..-~- ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (GF)1} 3ZB-3979 Inspector Badge No. White • Environmental Services Yellow • Station Copy ~^ Business a nsl eParty! Pink • Business Copy i Y F .% L + MR CLEANEF~S _________________________________________ SiteID: 015-021-000922 + Manager Location: 5444 CALIFORNIA AVE City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: BusPhone: (661) 322-9030 Map 102 CommHaz Low Grid: 34D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Cont t / Title _ RAJAB A / OWNER MI BATI /~d'ER usiness Phone: (661) 322-9030x Business Phone: (6 - 030x 24-Hour Phone (661) 6~ 24-Hour Phc (661) 665-0237x Pager Phone ( ) - x Pager ne ( ) - x Hazmat Hazards: Fire Rea ct ImmHlth DelHlth _-<-~_~ ~ Cont.ac.t__:,_ __- .._ .. - Phone: (661) 322-9030x MailAddr: 5444.CALIFORNTA AVE State: CA City BAKERSFIELD Zip 93309 Owner RAJAB ALI SHARBATI Phone: (661) 665-0237x Address 8425 STUART CT State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT ~~ ~ ~wn~i- ~~'~~ ~ N~I~ SAD z t~- H~U~ ~Y~ v r~~ X661 ~ - 3~3 ~ ~~,~.~. i3as'ed on my inquiry of those individuals responsible for obtaining the information, 1 certify undei' penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. -~ ~_ 3 ,~ S gna ire ~ Date o - ~ EN1`~ ~ ~~ ~ ~ 2 U~s --------------------------------- -1- 03/13/2006