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BUSINESS PLAN 7/27/2007
MAURICIOS 6401 WHITE LANE #106 ,~ \ f~q~ ~~~ CITY OF ~AKERSFIELD .o B E p,RB ` ° OFFICE OF ENVLRONMENTAL SERVICES ~ € 6 ARTM T 1715 Chester Ave., CA 93301 (661) 326-3979 +~*w ~ a+ ~~~~~~~ HAZARDOUS MATERIALS INVENTORY - oR CHEMICAL DESCRIPTION (one (orrn per material per building or area) ~EW ^ ADD ^ DELETE ^ REVISE 200 Page _ of _ I. FACILITY INFORMATION .. BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ! ~~~U21Cfd S CHEMICAL LOCATION i~St7~ f~,T~~S ~_((~+.f ( Cp~JY~/,-C~2 201. CONFIDENTIOAL(EORA) ^Yes ^NO 202 FACILITY ID # ~~ I ~- -i - ( c, I 11 MAP # (optionan 203 i GRID # (optionan 204 Q z I ~i ~ Z~ ~ ~ ~ ~-'- "~Xc $'f?.J CY- ~~ ~LP'a <T_.-_._ _... ' I -_ ~~-__.--1---~-------------------~---------~--._ --------._.-------- ` ` Ii. Ci~EMICAL INFORMATION .. ~-. -:._ . , ~, . , -TRADE SECRET 205 ~ ^ y~ ^ No 206 CHEMICAL NAME i f ' ~,Z~ J~ ~ If Subject to EPCRA. refer to instructions {--~----------.-.._.-.._ .--- ---- - - -- - - - 207 -•.-- ----- --------- COMMON NAME ~ ! EHS' ^ Yes ^ No 208 _~__ CAS # 209 ~ •IC EHS is"Yes,? all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fre chief) 210 i TYPE - ------ - - -- -- - --._------ ---- _ ~ CURIES 213 PURE ^ m MIXTURE ^ w WAST_ .. r.-J?IOACTIVc ^ Yes ^ No 212 ! - PHYSICAL STATE ^ s SOLID ^ I LIQUID ~ GAS 214 LARGEST CONTAINER ~ ~! ~ 215 i FED HAZARD CATEGORIES (Check all that apply) ^ 1 FIRE ^ 2 REACTIVE ,/~3PRESS;RE F:ELEF.SE ^ a .4::U-E HEALTH ^ 5 CHRONIC HEALTH 216 ~ ANNUAL WASTE --- _-- -217 -,- ;v14XIMUM- -- ---- -----~ -- . 218 AVERAGE -- - -- 2 i ~ -~- - 219 I STATE WASTE CODE 220 i AMOUNT DAILY AMOUNTZ~/~ DAILY AMOUNT I !, UNITS' ^ ga GAL ~ CU FT ^ Ib LBS ^ to TONS ~ 221 ~ DAYS ON SITE 222 ~j If EHS, amount must be in lbs. ~ I STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN v j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY 111^~~~...~~~k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ~p 1 CYLINDER ^ p TANK WAGON I ! STORAGE PRESSURE ^ a AMBIENT ~,~a ABOVE AMBIENT ^ ba BELOW AMBIENT 224 - - --- ------ - --...---. ------ -- _ _ _ --- - -- ------------------- -j STORAGE TEMPERATURE ~~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ,. %VVT` HAZARDOUS COMPONENT EHS `.GAS # 1 i 22fi i - 227 ^ Yes ^ No 228 229 I i .._ .__- -- i-_. _.-_._---------'----- i 2 j 230 ~ 231 233 i ! ^ Yes ^ No 232 3 234 235 ^ Yes ^ No 236 ! 237 II .... .. _ _ - _ _ ..._.______._f.__.__._._______-__-.-. 4 i 238 239 i _ 241 ^ Yes ^ No 240 ~_ _~__ ..--'-----~-------~-'---------- -I. 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE - ~ ~~~ ~ SIGNATURE ~- ~ ~ - - - ~ - ~~ ~ DATE 246 ----- ------ _ 4 r or UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ~,. =* ;._ MAURICIOS MEXICAN RESTAURANT Manager MIGUEL GARCIA Location: 6401 WHITE LN 106 City BAKERSFIELD SiteID: 015-021-002811 BusPhone: (661) 837-9570 Map 123 CommHaz Minimal Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title SALOMON AVILA / OWNER MIGUEL GARCIA / MANAGER Business Phone: (661) 837-9570x Business Phone: (661) 837-9570x 24-Hour Phone (661) 319-1424x 24-Hour Phone (661) 397-5186x Pager Phone ( ) - x Pager Phone (661) 699-0285x Hazmat Hazards: Fire Press ImmHlth Contact MIGUEL GARCIA Phone: (661) 837-9570x MailAddr: 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Owner SALOMON AVILA Phone: (661) 837-9570x Address 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT cA~ PROG C - COMM HOOD C/lII ~J JUG ~ ° ~oo~ Eased on my inquiry of those individuals responsible for obtaining the information. I certify under penalty of lativ that ! have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~ i t D gna e -1- 07/12/2007 F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HELIUM F P IH G 217.00 FT3 Min -2- 07/12/2007 -3- 07/12/2007 ,,,, F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: HOSTESS COUNTER CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE ~GaS Pure Above AmbiPn~ Amhi Pnt_ I PORT PRF.~~ [''VT,TNTIF.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 217.00 FT3 217.00 FT3 217.00 FT3 HAZARDOUS COMPONENTS r oWt. 100.00 Helium RSI CAS# No 7440597 llt'1L,t]iCL 1"~~ 7 ,J L,,,7 ,71.1L,1V l a7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/12/2007 ~, F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tic. Ci1C~/ 1VU1.111C:dl.1CJi1 Employee Notif./Evacuation ,~ rUJ.J11V LYV l..11. ~ ~V0.1.k0.{..l VLL L~uiciyclll..y i-1GU1t.a1 r1d11 -5- 07/12/2007 F MAUR.ICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 1CC.L CCLAC l..Vll 1~0.111111C11L L.1CQ11 V~! V 1.11C1 nCr7VUlVC til: l.lVQl.l Vll -6- 07/12/2007 F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 02/23/2007 GAS - ALLEY BY KITCHEN DOOR ELECTRIC - ELECT RM IN ALLEY BACK OF BLDG BY KITCHEN DOOR WATER - ALLEY BY KITCHEN DOOR KEY TO ELECT RM IN THE OFFICE Fire Protec./Avail. Water FIRE HYDRANT - ON ASHE RD SIDEWALK BY FASTRIP GAS STA 02/23/2007 Building Occupancy Level 02/23/2007 30 EMPLOYEES -7- 07/12/2007 F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/23/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: HELIUM TANK OR CYLINDER SHOULD ALWAYS BE CHAINED TO THE WOODEN STRUCTURE WHERE IT IS LOCATED. VALVE CLOSED WHEN NOT IN USE. IN CASE OF FIRE, THE CYLINDER SHOULD BE TAKEN OUT OF THE BLDG. rayc c. _~ , r_ aiciu ivi rut~ui.c mac riciu ivi ru~.uic ~cc -8- 07/12/2007 + MAURICIOS MEXICAN RESTAURANT ________________________ SiteID: 015-021-002811 + Manager MIGUEL GARCIA Location: 6401 WHITE LN 106. City BAKERSFIELD BusPhone: (661) 837-9570 Map 123 CommHaz Minimal Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SALOMON AVILA / OWNER MIGUEL GARCIA / MANAGER Business Phone: (661) 837-9570x Business Phone: (661) 837-9570x 24-Hour Phone (661) 319-1424x 24-Hour Phone (661) 397-5186x Pager Phone ( ) - x Pager Phone c ray o ) ~R9 -vagsx Hazmat Hazards : ___ImmHlth , _ --__ . ~-.-- ~ - -' Fire Press _ _ .Contact MIGUEL GARCIA Phone: (661) 837-9570x MailAddr: 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Owner SALOMON AVILA Phone: (661) 837-9570x Address 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ®&Sed on my inquiry of those individue~ls responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with 4he information submitted and believe the information is true, accurate, and complete, nature ''`-~~ ~ dGdG g Date ~ '-'° ~~ ti5~~~~ sy°~ ©~ -1- 03/23/2006 ~; + MAURICIOS MEXICAN RESTAUR'ANT ________________________ SiteID: 015-021-002811 + Manager ; N1 l ~ ~ ~- gtti~ ~ ~ Location: 6401 WHITE LN #106 City BAKERSFIELD BusPhone: (~~~) g~~ - ~.s7 ti Map 123 CommHaz Minimal Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: ~~~ Emergency Co tact / Title Emergency Contact / Title ~~io~lo~ ~~11r0~ / D /yli i]~ ~~tT/~~/ /Ylfri/~~~ ~ ~ Business Phone : (~~ ~) ~~? -gS l x rxX s Phone : ( EX~c) 83? - Busine 24 -Hour Phone ((~6 ~) 2v ~~} - /y2~ x 24 -Hour Phone {~~/~ )39"1 ~$'1~'6 x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth ~~ ~~' ~ a~ Contact /VI(!V~ Phone: ( ) - x MailAddr: 6401 WHITE LN ##106 State: CA City BAKERSFIELD Zip ------------------ Owne r S,4 t~ o ~ o ~-- ~ 1 ~-A~ Phone : ( ) x Address 6401 WHITE LN #106 State: CA City BAKERSFIELD Zip Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: Based on my inquiry of those individu-.Is responsible for obtaining the information, I certify nd r penalty of law that I have personaily m ed and am familiar with the information m't d and believe the information is true, ~c r~~ nd complete. `~~ •~ Date ~a~zp ~ ~~ 2006 ~b~ ~~ C~ ~~ -1- 12/21/2005 4 ry .' BAKERSFIELD FIRE DEPT. Prevention Services FIRE PREVENTION INSPECTION B ~FiRE ` D 90o Truxtun Ave., Ste. 210 AIPTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~ / UG EE .~-t / FACILITY ADDRESS /-~) ~ ~ ~ CJ / CITY, STATE, ZIP ~ ~ (1 ~+ ~ ~ FACILITY NAME ~(y~ ~ ~ MANAGER'S AME ~ FA CII-JT_Y PH NE a^ J ~ ~ r 7 ~~ U ~. ~ ~ ~ . BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE N0. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21 P, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RIS D TE ~ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. COMBUSTIBLE W STE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U. F.C.) A VEGETATION e of combustible waste and rubb's ~ nd' g,' stible containers with ti ht fittin lids for the stora Pro id non comb 2 g g v - u g e safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in h ht over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background an vi r~mf]h~street to indicate the EGG correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) ExITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate ii as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to-be_maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bake rsfield Munici al Code B.M.C. re ardin fireworks. OTHER 8 .. 1 / ~~ ~ ca__ tS'C~ ~ ~ ~G.C-1 ~ - J ~ G`--.... 4I~.A ~ S „ T •~ ~ / CUSTOMER: ' ~ -~/=l rr :~ ~ ~' `% ~~ LEGEND: ~l~V,/(Signature) / (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE f INSPECTOR: G ~r ~-~-- AP NO.:~~~4~ B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) _ .. ~' .~ - MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 Manager MIGUEL GARCIA Location: 6401 WHITE LN 106 City BAKERSFIELD BusPhone: (661) 837-9570 Map 123 CommHaz Minimal Grid: 15A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title SALOMON AVILA / OWNER MIGUEL GARCIA / MANAGER Business Phone: (661) 837-9570x Business Phone: (661) 837-9570x 24-Hour Phone (661) 319-1424x 24-Hour Phone (661) 397-5186x Pager Phone ( ) - x Pager Phone (661) 699-0285x Hazmat Hazards: Fire Press ImmHlth Contact MIGUEL GARCIA Phone: (661) 837-9570x MailAddr: 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Owner SALOMON AVILA Phone: (661) 837-9570x Address 6401 WHITE LN 106 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD Based on my inquiry of those individuals onsible for obtaining the information, I certify res ~'~ (~(~ 7 p under penalty of law that I have persona{ly 4~4~/ examined and am familiar with the information submitted and believe the information is true, accurate, and complete. t e ignatur a -1- 02/05/2007 ~, , F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HELIUM F P IH G 217.00 FT3 Min -2- 02/05/2007 ~r, -3- 02/05/2007 F MAURICIOS MEXICAN RESTAURANT ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit HOSTESS COUNTER STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-002811 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co217100rFT3 Daily 217100m FT3 ( Daily 217r00e FT3 - t1P,GA.ttLVUS c.:c~rlrc~lv~lv~1~5 %Wt. RS CAS# 100.00 Helium No 7440597 riHGE~KL A5~~551~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/05/2007 r r. F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification rJ lll~JlVyCC 1VV 1~11.~L~VdUUdl.1 V11 _i_ ~ i.-. r ui..r11~. 1VV l.ll ~ P~V0.l~UdLlVll P~LIICl_yC11C:~/ 1.1CU1Cd1 Y1dI1 -5- 02/05/2007 . z. ., , F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 1CCICCL.7-C t'I.CVC111.1V11 itC1CC.1 ~7C l..Vll l.Q111111C11L l.1 CCLll V~J V 1.11C1 .RCCVUi LC lil.:Ll Vdl.l Vll -6= 02/05/2007 a . F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Site Emergency" Factors Overall Site ~ J~1CC.:1d1 IldGdl U5 Utility Shut-Offs , ~ ~~~~ R ~ ~} ~,~~y~, ~~~ ~ 1 T~1~~~ pooh ~ /~S ~ A LL~~' ~ ~ K P7`~-~"t~l ~ ~ ~ ~ L~~~~'R~ `b .~L~c~2.t c ~6M, i~c~°~-J ~ 1~ 7~~+~ a~4Gt~ o~ 1~if~' g~tL~fu~ C~~~~ .~}~ ~iT~~t~~~ ~ooR. ,_ . r i.ic rtv~.c~:. / r-ivai..L . rva~C~ = tsuilaing occupancy Level -7- 02/05/2007 3 ., "• F MAURICIOS MEXICAN RESTAURANT SiteID: 015-021-002811 ~ Fast Format ~ ~ Training Overall Site ~ _, i7lllj.Jl Vy CC 1LGL 111.E 11y ~~ ,~ 1 L.l U1~ 'TANK oR c:r ~.~~~~~~~ S ~(~L1L.D ~C.~~Y ~ ~ ~ ~~r~r ~~~ ~~~ ~~L~~ c~~ ~~~~ ~r~T ~ ~ ~~. ~ ~ e~~~ ~~ Fc ~.~, ~=~ e c ~.t ~~~ ~~~ ~~ T~-~~; our o r~ TH-~ .~~ f~r~f~ rayc ~ rlcl~.a LvL rUI.uLC UDC 17C1<,A LVL rUI.ULC U5C -8- 02/05/2007