HomeMy WebLinkAboutBUSINESS PLAN
DATE
..::.'......'.. . .,~ ~ ' .,,.,'. . ".-.' -~ ' : .' ..
B01LDIN,G CLASS/TYPE OF OCCUPANCY " BUSINESS NAME : ' ''. ' ,,' ~"~.~/
BusiNEs~:PHONE '.'. HOME PHONE
NO, O~ FLOORS ' ' SQDAREFOOTAGE . ' .... ' ' "
,
I~SPECTOR' · SIATION/SHiFr/STATI~N P'HO~E ~ ' ' ..... . . ~:.,
HTE3041
Account -Number
ACCOUNTS RECEIVABLE ADJUSTMENT
January 24, 1996
Date New Acco, mt
New Address
Esther Duren Close Account
From Service Chanae
Other Adjustmen~ X
Fire Department- Hazardous Materials Division
Department~Divlaion
BAKERSFIELD LIGHTING
Billing Name
1519 E 19TH STREET
Billing Address
Site Address
Parcel # (if Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed Correct Billing Adjustment to Effective Date of
Billing Change
208.00 0 < 208.00 > 01-01-96
Remarks: THIS BUSINESS REMOVED ALL HAZARDOUS MATERIALS AT THIS LOCATION IN
FEBRUARY OF 1995 AND THEREFORE SHOULD NOT BE ASSESSED THESE FEES.
Bakersfield LightingSpecialists
California License #438726
,. ~9 1519 East 19th Street
~ '~ _ .p Bakersfield, California 93305
........ ~.-:-~ -':: , '-'::: ',.' ~-~ -- {805) 324-0918
" t,,, t :.-.- ! i "' !::'::' ~ '\"t
......
JANg 1996
Janu:ary 19, 1996
~'" -' r r~-:: '".i .:...'~::~.~l.. ':,~>.~']..,: ' ~ ,,.. '
. .,..L I.., ..... [-.-. L~,~..I.,:C.,,..,::..~ .............. · ...... -....
'1'7 ! 5 "~"' "~ '" ~- :'-" ' ......
.b~:s:r~.,.., CA 93.30].
Subject: Haz. Mat. invoice
ES-3041
A.:, per .our .eonve:r:~,~:;;:::ion cm t'k,? t)kor~.~; ] ,/..0;96 ~,a do not owe
· ' ~'"" ",ropane t:ank, in lq.89
· f. or the invoi'c:e be,::;.z21us.:? .,,,~::: ';::.~,.mc.',.red .:.h~:-: ~ ....
aL~,'~ t.",",~:~ ,~;::hop 'o~:y;:;~,::~;.'~ ,~ a.:::e~",/'l .... ' ...... ta'rfka in 'Feb ].99s I ca:ll, e~t
.32.6 .~ 3:7'.~;;'~9 ..iL:~ .v,. ~..'~'~ .... .~, r'v'.. :'::;'::~qS... .... , .a; ~:~.g;~;':~-ii:(::.g . not owning., invoice,,
:a]?.~ wa:s .zo'~.d ,il_' ,..;',',.~: I:.~ .!ate ~:.:c ca.F;c:e~ a. nd ~:..zt:,~]Id. have t.,~a
so neX:t Ja.nua:~y '~ 996 -' ~'''
~z ...... c~z is wha-L we are L~yina to do.
T-~ · ¥ 1_
Si.nc.e~eLy ~
Ra'y-,2~c, nd Murphy'
RRY I'IURPHY BKSFL~, LTG, P,O2
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-3979
DATE: 1/01/96
TO: BAKERSFIELD LIGHTING
1519 E 1997H ST
BAKERSFIELD, CA 93305'
Ct]STOMER NO:. 3041 CUSTOMER T¥~E: ES/ 3041
C~ARGE DAg~E D~;SCRIPTION REF-NUMBER DUE DATE' TOTAL AMOUNT
12/01/95 BF-GINNING BALANCE .00
HM009 1/01/96 HAZ MAT HANDLING FEE I 158.00
HM017 1/01/96 HAZ )4AT ANNUAL INSPECTION B.LS. 50.00
' 3/~N It 1996~
~ i;i" ,.":: ,,:.: ,,. ?..?, {ii ....::
Please call 326-3979 if you have question or
changes regarding your account.
....... CURRENT
208.00
TOTAL DUE: $'208.00
i ~ 1 1992 1
04/14/92 BAKERSFIELD LIGHTING 215-000-00066 ge
Overall Site with 1 Fac. Unit
General Information
Location: 1519 E 19TH ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 02 Grid: 28C F/U: 1AOV: 0.0
Contact Name Title Business Phone 24-Hour Phone-
RAYMOND-MURPHY ~~~ (805) 324-0918 x (805.) 324-2890
-~%~_ ~-~C.K (805) 324-0918 x' (~ ~3~ 01~1
Administrative Data
Mail Addrs: 1519 E 19TH ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215r002_B~KERSF!EL~ .S~T!ON 02 SIC Code: 3646._
Owner:' RAYMOND MURPHY Phone:
Address: F 0 BOX 1,~56 ~FYo~.~-~ .State: CA
City: LAKE ISABELLA ~o~6~I~,Z~~. ~$ ZiP:--~3%~0-~33~
Summary
,' '~ ' ~v~d ~ ~ach~ h~dous m~erials manage-
~Y ~rre~ns con~s a ~mpis~ and Corre~ man-
64/14/92 BAKERSFIELD LIGHTING 215-000~000664 Page 2
01 - Mobile Containers on Site
Hazmat Inventory Detail in ·Reference Number Order
01-001, OXYGEN~ Gas' 2630 Low
· Fire, Pressure, Immed Hlth ~ FT3
CAS #:' 7782-44-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 . Daily Average FT3 Annual /Mnount FT3
2,630 I 2,630.00 I 7,560.00
Storage Press T Temp Location
· PORT. PRESS .... CYLINDER ~ov_e_ .I_AmDiontlQN.TR~K__
- Conc Components MCP List
100.0% IOxygen, Compressed " ILow ' I
01-002 ACETYLENE.- Gas 2630 High
· Fire, Pressure, Immed Hlth FT3 ~
CAS #: 74-86-2 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 Daily Average FT3 Annual Amount FT3
2~630 I 2,630.00 I 4,410.00
Storage . Press T Temp ' Location
PORT. PRESS. CYLINDER Above ~Amb~entlON TRUCK
-- Conc Components ~ MCP List
100.0% IAcetylene IHigh I
04/14/92 BAKERSFIELD LIGHTING 215-000-000664 Page 3
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evac~ation
NOTIFY FIRE DEPT AN~ i'~.','~(UmAN~ OF EMERGENCY CONDITION'. EVACUATE AREA UNTIL
<3> PuBlic Not£f /Evacuation
NONE LISTED
<4>'Emergency Medical Plan
ANY LOCAL MEDICAL CLINIC OR HOSPITAL.
64/14/92 BAKERSFIELD LIGHTING 215-000-000664 Page 4
00 - Overall Site
.!
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
NOTIFY DETROLANE OF EMERGENCY CONDITION FOR CLEAN UP.
<2> Release Containment
<3> Clean. Up ~ ~. ,
<4> Other Resource Activation
04/14/92 BAKERSFIELD LIGHTING 2152000-000~64 Page 5
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS' - AT METER / PROPANE - ON TANK
B) ELECTRICAL - AT METER
C) WATER - ?/~ ~~~ ~ ~u,~,'~.
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BUILDING
-~ FIRE HYDRANT - IN FR-0NT O'F-BUiLDiNG 'BY ST~{EE~
<4> Building Occupancy Level
04/14/92 BAKERSFIELD LIGHTING 215-000-000664 Page 6
O0 - Overall Site
<G> Training
<1> Page 1
'WE HAVE ~ EMPLOYEES AT THIS FACILITY ~r
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: ONLY ONE PERSON HANDLES OXYGEN AND"ACETYLENE
MOUNTED ON'TRUCK WHICH IS ONLY ON PREMISES AFTER HOURS.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
v.. c -, .' > '; Q~<'.~ ,:.',,~':,',: ,~
".2.4 "-~, .. ..... \..."/
{rs'~e or print name) ~[~["~,cl]. . .
Do hereb3' c~rti~-- '
~) that I have reviewe~ th~gS~ ............
attached Hazardous Haterials business plan
...... RECEIVED
~-~,~.~,~F,'.~ /.-/~,-,'~'"'~ FEB 0 6 1989
~or
(name of business) A~s'~ ............
and that it along with the attached additions
or correctiOns constitute a complete and correct
Business Plan for m,v facilit}-.
date -
CITY',of BAKERSFIELD
HAZARDOUS MATERI'ALS I NVE NT'O RY'
NON__TRADE~ SECRETS ,
NAME OF TI~ FACILITY:
Page .... of ....
BUS !NI':~:~ NAIqI:.: ' UWNI~K NAPIP-: ' .................
LOCATION: ADDRESS: STANDARD IND. ~S~ODE
CITY, ZIP: CITY. ZIP: DUN AND BRADSTREET HUMBER
PHONE ~: PHONE ~: -- --
Innfls Ty~ ~x A~a~ ~i ~su~ I ~ Cmt ~t ~t ~ L~tt~ ~ ~
(~e C~e Mt Mt Est Un*~s m Stt~ T~ ~ TM ~ St~ In FKtllty . ~ ~ I~t~ti~
.~.l_e._l ...... ~-.1 _l t_ 1 ~ 1. ~ I,~ I I .~l ~ ~ ~~_.~
(C~k ~11 tMt 4~ly) ~ ..----
~] Fire Hazard ~] R~tivtty =--~ hi. th~-~ ~of P~mhi~ ~--~ IMllte~lth
2 ~- ~o t ~ ~ 4 ~t. ~ s C.A.S. ~
_9__L~51,:.~.~ ..... ~l~7:~,.l~r~l~X4~~_~,~ I ~ .r~,~ __ _
(C~k all t~t apply) - ' 100~
~ -- r--~~ r--~ ~t 12 i&C.A.S. ~
~ith of Pm~ ~lth
~t IS ~&C.A.S. ~
-- -- -- ~t 12 NM&C.A.S. ~
~ Fire Hazard. ~ ~ Rflctivity ~ ~ hla~ ~ ~d~ Relm(~ ~ ~ i~tlte ....
H~lth of P~su~ Nfllth
~t 13 ~&C.A.S. ~
.... l,__t ........... k ..... , ...... ~__i ....... 1 ~ ~i .... I. ! , 1 .... I .................
(C~k ~11 t~t i~ly) * *
-~ .... '~ -- C~t 12 ~&C.A.S. ~
H~lth of Pr~svr[ Health
~t B3 ~&C.A.S.
~.~.~.c, ~,;,2".,~~ ~e_~_~(¢ ~ff.~ ............. ~,~;~/-~--- '~~-~~ ............. ~ ,,~. ~ ~.o~,~
.......................... ~-~ .......
£erttfication (Read and siKn after c°mpJetJnE all sectJons) '
I certtfy u, der pe~lty of la. thet I ~ve ~'rs~11yex~min~,~d ~m f~i}~r ~tth t~'tnfo~ti~,~ this ~lllfftt~
~-s~ ..... ~ ......................
BUSINESS NAME BAKERSFIELD LIGHTING ID N ER 215-000-000664
LOCATION 1519 E 19TH ST' HIGH HAZARD RATING 3
1 . OVERV I EW
LAST CHANGE 12/04/87 BY ESTER
JURIS CODE 215-002 JURIS BAKERSFIELD STATION 02
MAP PAGE 103 GRID 28C FACILITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY
2A SEC 4) NO PRIVATE RESPONSE TEAM
EMERGENCY CONTACTS 2A SEC. 2) C~oY) 3~-~
RAYMOND MURPHY - 324-0'918 OR (619) 379-3787
PATSY STUCK - 324-0918 OR 833-0191
UTILITY SHUTOFFS .2A SEC 3)
A) GAS - AT METER / PROPANE - ON TANK B) ELECTRICAL - AT METER
C) WATER - ? D) SPECIAL - NONE
E) LOCK BOX - NO
2 . NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1 12/28/88 11:11
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME BAKERSFIELD LIGHTING ID NUMBER 215-000-000664
LOCATION 1519 E 19TH ST HIGH HAZARD RATING 3
3 . HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION'>
4 . LOCAL' EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 12/04/87 BY ESTER
2A SEC 5) ANY LOCAL MEDICAL CLINIC OR HOSPITAL.
PAGE 2 12/28/88 11:11
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME'BAKERSFIELD LIGHTING ID N ER 215-000-000664
LOCATION 1519 E 19TH ST HIGH HAZARD RATING 3
FACILITY UNIT 01
A.. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 12/04/87 BY ESTER
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
EAST YA~ A
2 PURE OXYGEN 125 FT3 HIGH
ON TRUCK PORTABLE PRESS. CYLo WELDING/SOLDERING
ID .PERCENT COMPONENTS HAZARD LISTS
2359.00 100.0 OXYGEN, COMPRESSED HIGH
3 PURE ACETYLENE ?5 FT3 EXTREME
ON TRUCK PORTABLE PRESS. CYL. WELDING/SOLDERING
ID PERCENT COMPONENTS HAZARD LISTS
1241.00 100.0 ACETYLENE EXTREME
B . FIRE PROTECT. ION / WATER SUPPLIES
LAST CHANGE 01/07/88 BY ESTER
3A SEC 4) FIRE EXTINGUISHERS IN BLDG FOR FIRE PROTECTION.
3A SEC 5) FIRE HYDRANT IN FRONT OF BLDG BY STREET.
PAGE 3 12/28/88 11:11
MATERIAL SAFETY DATA SYSTEMS, INC; (805) 648-6800
BUSINESS NAME BAKERSFIELD LIGHTING ID NUMBER 215-000-000664
LOCATION 1519 E 19TH ST HIGH HAZARD RATING 3
D . .EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 12/04/87 BY ESTER
3A SEC 2) NOTIFY FIRE DEPT AND PETROLANE OF EMERGENCY CONDITION.
EVACUATE AREA UNTIL SAFE.
E . MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 12/04/87 BY ESTER
3A SEC 1)-N~I~IFY P~~k~--EMEIiGEN_Q~CON~IT3~ Fg~ C~.EAN UP.
PAGE 4 12/28/88 11:11
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 .
· SECTION 3: .HAZARDOUS MATERIALS FOR THIS UNIT ONLY
· A. Does 'this Facility. Unit contain Hazardous Ma. retie!s? ...... YES NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No, complete a separate hazardous materials inventory
'form marked: NON-TRADE SECRETS ONLY (~hlte form ~A-1)
If Yes, complete a hazardous mat-eria!s 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 .'~A-2.
SECTION 4: PRIVATE FIRE PROTECTION
Fire extinguishers in building as required by Fire Dept. inspections.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
In front of buildin'g by street.
SECTION 6: LOCATION OF UTILITY ShqfT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS/'PROPAN~i
At meter in fr'ont of office.' Propane valve on tank.
B. ELECTRICALi
At main panel on side of metal building in yard.
C. WATER:
In front parking area at meter. ~ ~~'
D SPECIAL:
E LOCK BOX: YES ~ IF YES, LOCATION
IF YES, SITE PLANS? YES / N0 MSDSs? YES / NO
~ ~OOR PLANS? YES / NO KEYS? YES .," .~0
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G".STREET
BAKERSFIELD, CA 93301
OFFiCiAL USE ONLY
ID#
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A·
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS' IN ENGLISH.
3. Answer the questions belo~w, for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as .possible. '
FACILITY UNIT~ FACILITY UNIT NAME:
SECTION 1: MITIGATION, PRBVENTION, ABATEMENT PROCEDURES
Notify Petrolane of emergancy condition for ct~an up.
SECTION 2: NOTIFICATION ~N~ EVACUATION PROCEDL~ES-AT THIS· b~IT ONLY
Notify Bakersfield·Fire Dept. and Petrolane of emergancy condition.
Evacuate area unti~.~safe.
I~r. ' SECTION 4: ,PRI.VATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL EiWERGENCY MEDICAL ASSISThaXlCE 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
~ATERIALS:...- .................................... YES/'~,~D~ YES NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES (~J~2P YES NO ·
C. PROPER USE OF SAFETY EQUIPMENT: ................... c--d~NO YES NO
D. EMERGENCY EVACUATION PROCEDURES: .................. YES~ YES NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES.~ YES NO
SECTION ?: HAZARDOUS ~LATERIAL
CIRCLE YES OR NO
DoEs'YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ' YES ~)
I,~/,,~/~zC~,/w , certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et Al.) and that inaccurate information constitutes per3ury.
SIGNATUR ITLE z~zz~',-''~','--- DATE .-" '
'~<-';-/ ~ BAKERSFIELD CITY FIRE
DE P~TMEI~r
- ,~ 2130 "G" STREET 'RECEIVED
(805) 326-3979 I U 1 ~ 1987
D osp ........
OFFICIAL USE ONLY
O ?-g (:::, ooo664
BUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further 'action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible,
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: ~,~t~'t~2:> ~/~T/~'~
B. LOCATION / STREET ADDRESS: /'~-/~ ~ /f ~'/'/j~'
CITY.. ~~fZ-[~. ZIP: ~O._~"- BUS.PHONE: (~f) 3~ ~/~
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7560 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:
NAME AND TITLE DURING .BUS. HRS. AFTER BUS. HRS.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
D. SPECIAL.:-.
E. LOC~'BO×': 'YES /~_~IF YES, LOCATIOn: '.
IF YES, DOES IT CONTAIN SITE PLANS? YES / ~O MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
NON--TR~ADE SECRETS '
HAZARDOUS MATER'I' ALS INVENTORY '-" "~'
BUSINESS NAME: ~tcE,~,~tE~ ~,t~/.zr-,,~,~ OWNER NAME :_~"~?,~,-~D t,~tY,~P,~/t/'~ FACILITY UNIT ·:
ADDRESS: /~/~ ~. /~~ ~. ADDRESS: ~.~ /~ FACILITY UNIT NAME:
CITY, ZIP: ~uD ~3~of CITY,ZIP: ~ /~F~ ~O .
PHONE ~:_ ~-~/~ PHONE ~: &f~/~7~-~~ [OFFICIALONLY USE CFIRS C00E
:~1 2 3 4 5 6 7 8 9 10
· TYPE MAX ANNUAL CONT USE LOCATION IN THIS' ~; BY HAZARD D.0.T
'CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT. WT. CHEMICAL OR COMMON NAME CODE GUIDE
~p-' 35'0 ~ ~oz c~~c~ ~ ~,~ /oo'T~~ r~,~ ~IS5,~:c~
NAME.: ,~:~Jt'.~-~ ,,"2'2z/,'~'~/""',2'' TITLE: ~,,~,z~,~, S GNATURE: )~.~ PHONE #/I~,S ~4~bR~.''
EM.E,RGENCY CONTACT: TITLE:
AFTER BUS HRS:(
EMERG'~NCY CONTACT: ~y"-.~'~' ,,,-~"~._~'"~'/~ TITLE:. ~e.~'~. . PHONE it BUS HOURS: ~7..Z,~ o~/~:'
P'R, INCIPAL BUSINESS ACTIVITY: ~,~-,,~¢t,~t.. /~/~7-,~,~ff_. ~,,.~;"-~.,,~.,~-~ AFTER BUS HRS:
- 4A-1 -