HomeMy WebLinkAbout4201 ARROW STREETHAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM
For Use by Unidocs Member Agencies or where approved by your Local Jurisdiction
Authority Cited: Health and Safety Code §25503.3(c); 19 CCR §2729.5(c)
To: Agency Name: Bakersfield City Fire Department
Agency Mailing Address: 201 H Street
Bakersfield. CA 93301
Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials
Business Plan (HMBP) certification described below is hereby submitted for the following facility:
Facility Name: PG &E - Bakersfield Arrow Facility
Facility Street Address: 4201 Arrow Street City: Bakersfield
Date of Current HMBP: March 2010
I certify that: (Check the appropriate box.)
I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and
certify that the HMBP is complete and accurate. (See bottom ofpage for details.) If this facility is subject
to Federal Emergency Planning and Community Right to Know Act (EPCRA) reporting requirements, I
have submitted the following documents with this Certification Form: Unified Program Consolidated Form
UPCF) Business Activities page; UPCF Business Owner /Operator Identification page with current
signature and date; Hazardous Materials Inventory -,Statement page(s) with an original signature, photocopy
of an original signature, or signature stamp on each page for all Extremely Hazardous Substances (EHS)
handled at or above their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less.
or
Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is complete and
accurate and is being implemented. A copy of the revisions has been electronically submitted or is
enclosed with this Certification along with a signed UPCF Business Owner /Operator Identification page
and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials
Inventory Statement.
OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my
inquiry of those individuals responsible for obtaining the information reported above, I believe that the
submitted information is true, accurate, and complete. I understand that a revised HMBP must be
submitted within 30 days of any change in this facility's storage or handling of hazardous materials that
would require updating of the HMBP.
Name of Owner /Operator (Print): Lori Luces- Nakagawa Title: Environmental Scientist
Phone: 209.932.2556 Signature: Date: 02 -24 -2012
By checking the upper box on this form, you are certifying that:
The information contained in the HMBP most recently submitted is complete, accurate, and up -to -date; and
There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials
Inventory forms; and
The facility has not begun handling any hazardous material in a HMBP reportable quantity that is not currently listed in the
Hazardous Materials Inventory; and
The most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and
There have been no substantial changes in the facility's operations that would require revision of the current HMBP.
UN -039 - 1/1 www.unidoes.org Rev. 10/09/07