HomeMy WebLinkAboutFD Chem InventoryEnvironmental Hearn Services
P.O. BOX 1489
2156 Sierra Way
San Luis Obispo, CA 93406
Department of AQriculturc
2156 Sierra Way, Suite A
San Luis Obispo, CA 93401
10/21 /2003
MORABITO, JIM
ENVIRONMENTAL CONTACT
PAUL'S DRY CLEANERS
214 HIGUERA ST
SAN LUIS OBISPO, CA 93401
tl
(805) 781-5544 a- f y 0�
san fths omspo
(805) 781-5910 Fire Department (805) 781-7380
2160 Santa Barbara Avenue
San Luis Obispo, CA 93401-5240
CERTIFIED UNIFIED PROGRAM AGENCY (CUPA)
.. _ n � An A— A Al t 0
i
✓V I Iry 1 11 M r/ A ).A
SUBJECT: REQUEST FOR ANNUAL CHEMICAL INVENTORY UPDATE
FACILITY #: FA0005103 214 HIGUERA ST, SAN LUIS OBISPO
Please review your current Business Plan for any significant changes that may have taken place within your facility
and/or your chemical inventory. The number of hazardous materials you handle and/or the number of hazardous waste
streams you generate impact your fees. Your fees are based on the hazardous materials business plan we have on file
for your business. We bill annually in December. In order for your bill to accurately reflect your inventory, please
complete and return this form and copies of the attached Form I (if necessary), not later than 12/5/03. Attached is our
listing of your last reported chemical inventory.
If you have made additions/deletions to the listed chemicals, an increase/decrease in quantity, or a change in storage
location, please notify us by completing the attached chemical inventory form, and include these changes. If the listed
chemicals, quantities, locations, and units are correct, sign this letter and return it to City of San Luis Obispo Fire
Department. Refer to the enclosed Hazardous Materials Business Plan Reporting Requirements for reporting
requirements and exemptions.
Your inventory will be verified during your next annual inspection. Failure to provide accurate chemical inventory
information is a violation of the California Health & Safety Code, sections 25501 through 25515, and may result in
civil and/or criminal penalites.
If you have questions, please call Kerry Boyle, Hazardous Materials Section, at (805) 781-7383.
D. Kerry Boyle, Hazardous Materials Coordinator
City of San Luis Obispo Fire Department
1' ' The listed chemicals, quantities, locations, containers, and physical state are correct as listed.
The listed information is incorrect or has changed. I have attached a copy of Form I with the correct in-
formation for each chemical in our inventory.
U "ry Mt,..,?w ( [�t7 +v c G l��v� fir 03
Sig u e Title Date
Rpt. 9612
PAUL'S DRY CLEANERS
REQUEST FOR ANNUAL CHEMICAL INVENTORY UPDATE
Our records show you have the following inventory at your facility:
NAME Q LOCATION(S):
Common: -
2.
Scientific: PERCHL0R0FTHY1,FNF 3.
CONTAINERS 1. AGT, STEEL DRUM, TANKS INSIDE MACHINES
AT EACH 2.
LOCATION: 3.
DAILY AMOUNTS: Average: 110 GALLONS
Maximum: 110 GALLONS
NAME
Common: PERC
Scientific: PERCHLOROETHYLENE
CONTAINERS 1.
AT EACH 2.
LOCATION: 3.
DAILY AMOUNTS: Average: 230 GALLONS
Maximum: 460 GALLONS
PHYSICAL STATE CODE: LIQUID
LOCATION(S):
1. DRYCLEANING MACHINE
2.
3.
PHYSICAL STATE CODE: LIQUID
NAME LOCATION(S):
Co►nmon.�—PERC w�.-;�T�--- �rz9- �� 1.
2.
Scientific: PERCHLOROETHYLENE 3.
CONTAINERS 1. AGT, STEEL DRUM, TANKS INSIDE MACHINES
AT EACH 2.
LOCATION: 3.
DAILY AMOUNTS: Average: 110 GALLONS
Maximum: 110 GALLONS
NAME
Common: PERC
Scientific: PERCHLOROETHYLENE
CONTAINERS 1.
AT EACH 2.
LOCATION: 3.
DAILY AMOUNTS: Average: 230 GALLONS
Maximum: 460 GALLONS
PHYSICAL STATE CODE: LIQUID
LOCATION(S):
1. DRYCLEANING MACHINE
2.
3.
PHYSICAL STATE CODE: LIQUID
10/21/2003
PAGE 2
JUN 27 190'01
�►II�IIIIIIIIIiIIII�Nlllll���� pilll�ll�►IIII
atN of sAn tuis oBispo
FIRE DEPARTMENT
' Am""i_ 2160 Santa Barbara Avenue • San Luis Obispo, CA 93401-5240 • 805/781-7380
"Courtesy & Service"
HAZARDOUS MATERIALS BUSINESS PLAN UPDATE FORM
YEAR 2001
FACILITY NAME: C/
ADDRESS: -f H/5 4 ee-•-.
CONTACT PERSON: &`, etc) o r`
Annual Inventory -update (due each year)
TELEPHONE:
No significant changes in inventory have occurred since the last Business Plan or inventory was
submitted.
[ ] New inventory forms are attached.
[ ] Replace previous inventory with attached inventory.
[ ] Replace only designated pages of inventory.
Additional Comments:
Yearly Review and Recertification
ix 1 I certify that the Business Plan has been reviewed and the information contained in the Business
Plan is accurate and complete as of this date.
Other Updates
[ ] Please incorporate the following information into the Business Plan for this
facility*— - - -
I declare, under penalty of perjury, that the information provided herein is true and
correct to the best of my knowledge.
Signature: 12 - Date:
Printed Name: Ariq e to /, / cwvt i /' 7--0
Please Return to: Mdlly Brown, Hazardous Materials Section
City Fire Department
2160 Santa Barbara Avenue
San Luis Obispo, CA 93401-5240
H:/BUSINESS PLAN UPDATE FORM MOLLY
The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities.
L/ Telecommunications Device for the Deaf (805) 781-7410. 0
Site Visit Packet
Permit No 60-0077
Facility Number:
Facility
Facility Name:
PAUL'S DRY CLEANERS
Operator:
ANGELO MORABITO 0
Address Number:
214
Address:
HIGUERA ST
Suite:
City:
SAN LUIS OBISPO
Zip:
93401
CrossStreet:
Parcel No:
003-711-043
Phone No:
(805) 543-2250
Facility Type:
Operator
Name: ANGELO MORABITO 0
Address:
City:
State:
Zip:
Phone:
Miscellaneous
SIC Code
Dun Bradstreet
Business License
Guarantor Number CAD981666464
Status:
Permit Expiration Date:
12/6/99
Property Owner
Name:
PAUL'S DRY CLEANERS
Address:
214 HIGUERA ST
Care Off Address:
City:
SAN LUIS OBISPO
State:
CA
Zip:
93401
Phone:
(805)543-2250
Business Owner
Name:
Address:
City:
State:
Zip:
Phone:
Environmental Contact
Name:
Address:
City:
State:
Zip:
Phone:
Current Balance 138 00
Emergency Contacts
prima Haut I a¢f Name
Business 24 Hr
Nam�
Title
Phone onE
® MORABITO ROD
GENERAL MANAGER
(805) 543-2250
0 MORABITO JIM
PRESIDENT
(
0 MORABITO ANGELO
VP/TREASURER
(
PAGE NO. 1 Administrative Report 01/07/97
Disclosure Packet For Business: [13371 PAUL'S DRY CLEANERS
BID Range: [13371 To [13371
Business ID...: 1337
Business Name.: PAUL'S DRY CLEANERS
Number........: 214
Street........: HIGUERA
Suite.........:
Building.......
City..........: SAN LUIS OBISPO
State.........: CA
Zip Code......: 93401
Mailing Name..:
Attention.....:
Street.........
City/State/Zip:
Owner.........:
Business Phone: (805) 543-2250
Shift Hours Name
ROD MORABITO
Bus inessAddress
Mai ling Address
Business H our s Contact
Title
GENERAL MANAGER
Phone
( ) 543-2250
After Business H our s Contacts
JIM MORABITO PRESIDENT ( )
ROD MORABITO GENERAL MANAGER ( )
ANGELO VP/TREASURER ( )
H a z a r d o u s M a t e r i a l E m e r g a n c y C o n t a c t s
ROD MORABITO GENERAL MANAGER (805) 5
JIM MORABITO PRESIDENT (805)
General and Building Information
Doing Business As: PAUL'S DRY CLEANERS
Business License.:
Dun & BradStreet.:
EPA ID ........... :Lf}D'14161.0
46y
Operation Desc...:
Shift Hoursl.....:
7-6 M-F
Number
of Employeesl: 16
Shift Hours2.....:
8-5 SA
Number
of Employees2: 4
Shift Hours3......
Number
of Employees3: 0
Sic..............:
UBC1.............:
Al.
UBC2.............:
UNKNOWN/UNDEFINED
Non -Profit........
NO
Lot Size.........:
6075
Number of Floors.:
0
Reporting Status.:
C
jor � I of/al/
fl.6,
1 BUSINESS(ES) LISTED
li1�
,�f
--
.........;r
PA G F. No. Chemical Inventories Report
All Chemicals
(In Maximum Quantity Per Day Order)
BID Range: [13371 To [13371
01/07/97
Tr acde N" HazClass Tw DOT# MaxPerDay Un Haz Rate Location
Chemical Names/Components CAS # EC % MaxPerDay
------------------------------------------------------------------------------
----------- --- Business: [013371 PAUL'S DRY CLEANERS
--- -------------------------------------------------
1,1 , 2,2,TETRACHLOROETHYLENE, LIQUID 15 23 1897 180.0 GA 200 P CENTER OF BUILDING
Compl: 1,1,2,2,TETRACHLOROETHYLENE, LIQUID 127184 C 0 0.0
1 CHEMICAL(S) LISTED
1 BUSINESS(ES) LISTED
08/02/94
PAGE NO. 1
Business ID...: 1337
Business Name.: PAUL'S DRY CLEANERS
N umbe r ........: 214
Street........: HIGUERA
Suite.........:
Building......:
City..........: SAN LUIS OBISPO
State.........:
CA
Zip Code
...... : 93401
Mai L i ng Name..:
Attention..... .
Street........:
City/State/Zip:
Administrative Report
Disclosure Packet For Business: [13371 PAUL'S DRY CLEANERS
BID Range: [13371 To [13371
Business Address
Mai Ling Address
oa I j7l�s
og 30
Owner..........
Business Phone: (805) 543-2250
B u a i news Hours Contact Phone
Title l
Shift Hours Name �_vgr�,`,/va6` l )
ROD MORABITO
A to r Bus i ness�5i���Tontacts ( )
JIM MORABITO aa'' ( )
R0p
l�is��o � P � 5y rei
Hazardous M a t e r i a l E m e r g e n c y C o n t a c t s
(805) ,p (7f'
(�2n?fA( M u � � ROD MORABITO p/ Sgyp(enT (805)
JIM MORABITO
G e n e r a l a n d B u i l d i n g I n f o r m a t i o n
Doing Business As:
Business License.:
Dun & Bradstreet.:
EPA ID...........: L
Operation Desc... : f
Shift Hoursl..... : O'7g00 Number of Employeesl: 16
Shift Hours2..... : CEO " «u0 M Number of Employees2: j Li
Shift Hours3..... : Number of Employees3:
Sic...............
USC1.............: Invalid Code: [B2 ]
UBC2.............: UNKNOWN/UNDEFINED
Non -Profit.......: NO
Lot Size.......... 6075
Number of Floors.: 0
Reporting Status.: C
1 BUSINESS(ES) LISTED
PAGE NO. 1 Chemical Inventories Report
All Chemicals
(In Maximum Quantity Per Day Order)
BID Range: [13373 To [13373
07/18/94
Trade Name
HazClass
Tw DOT#
MaxPerDay Un Haz
Rate Location
Chemical Names/Components
------------------------------------------------------------------------------------------------------------------------------------
CAS #
EC %
MaxPerDay
----------------------------------------------
Business: [013371 PAUL'S DRY CLEANERS -------------------------------------------------
1,1,2,2,TETRACHLOROETHYLENE, LIQUID
15 23
1897
180.0 GA 200
p/-y Clea,'
I ly M1-1(11 fit%`�
Compl: 1,1,2,2,TETRACHLOROETHYLENE, LIQUID
127184
C 0
0.0
G. e,-r-r of-
&4,1"Idi.,J6
1 CHEMICAL(S) LISTED
1 BUSINESS(ES) LISTED
J SINESS PLAN UPDATE FO_ II
San Luis Obispo City Fire Dept.
Spencer Meyer, Haz Mat Coordinator
748 Pismo Street
San Luis Obispo, CA 93401
FACILITY NAME: Paul's Dry Cleaners
214 Higuera
ADDRESS: SLO, CA 93401
HAZ MAT FILE
DEC 0 G 19sJ�
,�,
CONTACT PERSON: �Yt' ru `� TELEPHONE:�3 �' Z S (�
Annual Inventory Update (due every year by January 1)
( No significant changes in inventory have occurred since the last business plan or inventory was
submitted.
[ ] New inventory forms are attached.
[ ] Replace previous inventory with attached inventory.
[ ] Replace only designated pages of inventory.
Special instructions:
1
Biennial Review and Recertification (due January 1 of even -numbered years)
[ ] I certify that the business plan has been reviewed and the information contained in the business
plan is accurate and complete as of this date.
Other Updates
I declare, unc
knowledge
er penalty of perjury, that the information provided herein is true and correct to the best of my
/j, W%A
Printed Name:
Date: 12 -3 rY3
&M .doc
..ii� TAM SAH
PAGE NO. 1 Administrative Report 10/12/93
Disclosure Packet For Business: [13371 PAUL'S DRY CLEANERS
BID Range: (13371 To [13371
Business ID...: 1337
Business Name.: PAUL'S DRY CLEANERS
Number......... 214
Street........: HIGUERA
Suite..........
Building.......
City........... SAN LUIS OBISPO
State.......... CA
Zip Code......: 93401
Mailing Name..:
Attention.....:
Street.........
City/State/Zip:
Owner.........:
Business Phone: (805) 543-2250
D
Bus i n e s s Address
Mai Ling Address
P6T/
11 /0,� jo 3
—L Ve /1150 Ncj(,
A WY OF Tke� 1rvSPecTrion/
i epc,rT For yacc/, (�-e caro(5,
Ta fiat r�UT Pro(,r¢.-1
ix. w Aere 15 i-T 57mr�p,l o�
4o w 1,5 IT V 5_e. :
'j�l�, � �✓ 1� S
Business Hours Contact
Shift Hours Name Title Phone
7JIM
MORABITO, i i /n 15 Tka 5-r CBuilt c r R-e&prdi�+/v' �7GiZ MaT 543-2250
A f t e r B u s i n e s s H o u r s C o n t a c t sMORABITO ( ) 543-
( ) -
H a z a r d o u s M a t e r i a l E m e r g e n c y C o n t a c t s
ROD MORABITO (805) 481-
JIM MORABITO (805) 544-
G e n e r a l and B u i l d i n g I n f o r m a t i o n
Doing Business As:
Business License.:
Dun & BradStreet.:
EPA ID............
Operation Desc...:
Shift Hoursl.....:
Number of
Employeesl: 16
Shift Hours2.....:
Number of
Employees2: 0
Shift Hours3.....:
Number of
Employees3: 0
Sic ..............:
UBC1..............
Invalid Code:
[B2 ]
UBC2.............:
UNKNOWN/UNDEFINED
Non -Profit........
NO
Lot Size..........
6075
Number of Floors.:
0
Reporting Status.:
C
1 BUSINESS(ES) LISTED
• -rr tC-�
'' ;+.
_'u _�1,�
� -! 1.
�l
PAGE NO - Chemical Inventories Report 10/12/93
ALL Chemicals
(In Maximum Quantity Per Day Order)
BID Range: [1337I To [13371
Trade Name HazCLass Tw DOT# MaxPerDay Un Haz Rate Location
Chemii cal Names/Components CAS # EC % MaxPerDay
------- — -----•-------------------------------------------------------------------------------------------------------------------
-- ------------------------- Business: [013371 PAUL'S DRY CLEANERS -------------------------------------_-_-_-_--_
1,1,2,2, TETRACHLOROETHYLENE, LIQUID
Compl : 1,1,2,2,TETRACHLOROETHYLENE, LIQUID
5Ttit 6ormNl R es Idoe
15 23 1897 180.0 GA 200 P
127184 C 0 0.0
1 CHEMICAL(S) LISTED
1 BUSINESS(ES) LISTED
j,) - 15 6--1 1 r-70iv77,
o i l �r A>>^-r BtA-T 04e5
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T� w�ri:^.r„-r havinl'6 i�
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ADDITIONAL INFORMATION:
_fir- - 'Two UI y -
c r��� ;,�r� r�aa!► Mes
e �`P 75 j AT or --
VIOLATIONS:
A.)O Is�`a I� 7�`� �v 5 '7- Tl�e -Al
FOLLOW-UP/ENFORCEMENT:
SAMPLING DATA: ----- ------
FLOW DATA: _----
----------------