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Home My WebLink AboutBUSINESS PLAN (2) STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 32&-3979 DATE: 12/01/97 TO: LLOYDS QARAQE 10i3 WHITE LN BAKERSFIELD, CA 9330& CUSTOMER NO: 3457 CUSTOMER TYPE: ES/ 3457 CHARQE DATE D~SCRIPTION REF-NUMBE~-~UE DATE TOTA-~--AMOUNT 11/01/97 BEQINNINQ BALANCE 208.00 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 208.00 DUE DATE: 12/31/97 PAYMENT DUE' 208.00 TOTAL DUE: $208.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE ~ DATE: 12/01/~7 DUE DATE: 12/31/~7 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 9~03-2057 CUSTOMER NO: 3457 CUSTOMER TYPE: ES/ 3457 TOTAL DUE: $208.00 CITY Of BAKERSFIELD ~ ~ ~- ~ ~ ~ ~ ~ '~- BAKERSFIELD, CALIFORNIA 93303 ~ Handle ~~- ~ Approve /~ / ~ .r t ~ Return ".~ ' ~ Keep or Toss t ~ Review with Me Date: "~". [ STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3~7~ DATE: 6/30/97 TO: LLOYDS QARA~E 1440 2ND ST BAKERSFIELD, CA 93301 CUSTOMER NO: 3457 CUSTOMER'TYPE: ES/ 3457 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/01/97 BEQINNIN~ BALANCE 208.00 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 208.00 DUE DATE: 7/30/97 PAYMENT DUE: 208.00 TOTAL DUE: $208.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE ~~% DATE: 6/30/97 DUE DATE: 7/30/97 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P,O. BOX 2057 BA½ERSFIELD CA 93303-2057 CUSTOMER NO: 3457 CUSTOMER TYPE: ES/ 3457 TOTAL DUE: $208.00 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 · · .. "~ ~...~' ~. ~ ,' ...., · .:~ ~. ? · ~ ,,...~ .. .... ' '" ' ' CUSTOMER': '" , · TYPE: ES/ 3457 CHARGE DATE £iESc'RIP.TION',."",':.' :'..'::i "'" ... ..REFt-NuMB. ER ,DUE ··DATE TOTAL. AMOUNT ~--~.'"~?' · ~. ..~,~.: 20~, O0 ~ ..... · . :. .... ..:~' .~.. . . .'~.":~'~ ~'~''' '' ' 5 ..~'~ . · · ' FOR OUESTIONS OR CHANGES TO YOUR ACCOUNT, PLEASE CALL THE NUMBER AT THE TOP OF' THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE: 12/0!/98 PAYMENT DUE: ~08. O0 TOTAL DUE: $208. O0 }?~.}.}::.. :::..:'::..' ~0:' ~ X'" :2057:..' ".. ::':' ':~:' '~'":'. ':':'~::::.' ~: ........ ' ' "' ':' :...., '.. :; .:':Bt IE:~ ELD F. I :';..":'-' :'":.:" ' ' ': '" ....... ' ." .:' ' ..~'.,:.l STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 8/01/97 TO: LLOYD8 QARAGE 1440 2ND ST BAKERSFIELD, CA 93301 CUSTOMER NO: 34~57 ~_~USTOMER_ TYPE: ES/ 3457 CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/30/97 BE~INNIN~ BALANCE 208.00 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 ~08.00~ DUE DATE: 9/0t/97 PAYMENT DUE: 208.00 TOTAL DUE: $208.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 8/01/97 DUE DATE: 9/01/97 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3457 CUSTOMER TYPE: ES/ 3457 TOTAL DUE: $208.00 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 10/01/97 TO: LLOYDS ~ARAQE i013 WHITE LN BAKERSFIELD, CA ~3306 CUSTOMER NO: 3457 CUSTOMER TYPE' ES/ 3457 '~C-R-A-R~-~E D~Ti DESCRIPTION - REF-NUMBER DUE DATE TOTAL AMOUNT 9/01/97 BEQINNINQ BALANCE 208.00 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 208.00 DUE DATE: 10/31/77 PAYMENT DUE: 208.00 TOTAL DUE: $208.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE ~~ DATE: i0/01/97 DUE DATE: 10/31/97 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO' 3457 CUSTOMER TYPE' ES/ 3457 TOTAL DUE: $~08.00 .- ' SIT E DIAGRAM 1[~ LI TY DIA RA'~' ' RECEIVED ~ '' SITE/FACILITY DIAGRAM FORM $ ,NORTH SCALE: , BUSINESS NAME: FLOO, R: OF DA,E: ' ~ACILITY NA~E: ~ UNIT ~: OF (CHECK ONE) SITE DIAGRA~ FACILITY DIAGR.~ ~ (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - SiTE DIAGRAM (Re~ items) 1. Address: Identify the O. Lock {key) Box principle buildings ;~ by the Street numbers. 10. MSDS Storage Box 2. Street(s), Alleys, 11. Railroad Tracks Driveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b. Masonry 3. Storm Drains, Culverts, Yard Drains c. Wood' 4. Drainage Canals, Ditches, d. Gates Creeks, 13. PowerJlnes 5. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ~round d. Access Door b. Underground 6. Utility.Controls a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation,Area: Identify the 7. Fire Suppression Systems: location where a. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage " c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21. Outside Hazardous for protection systems Material Use/Handling e, Fire Pump 22. Type of Hazardous Material/Waste Stored 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS MATERIAL F = Flammable E = Explosive L = Liquid R = Radtologlcal C = Corrosive 0 = Oxidizer O = Gas P = Poison W = Water Reactive T = Toxic S = Solid H = Cryogenic D = Waste B = Etiological Example: Flammable Liquid = FL FACILITY DIAGP.~ (Required items in addition to the abo~e) ' ' 1. Risers for Sprinklers 8. Fire Escapes 2. Partitions 9. Air Conditioning Units 3. Stairways: Indicate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage S. Elevator 13. Inside Hazardous Materials Use/Hand] lng 6. Attic Access 14. Sewer Drain Inlets BAKERSFIELD September 13, 1994 Lloyd's Garage 1440 2nd Street Bakersfield, California 93301 Dear Owner: Our office has notified you on several occasions that your hazardous materials account is seriously past. due. You have failed to make payment or to make and keep any payment arrangements. The City of Bakersfield hereby demands payment in full on account HM479602 in the amount of $437.55. Payment must be received in my office within ten (10) working days of your receipt of this demand. Failure to make payment within the ten working days will force the City of Bakersfield to commence legal action against you. If a judgement is granted you will be held liable for the amount of the suit plus court costs plus interest at 10% until such time as the judgement is satisfied. ~ Respect fL 1 ly, Financial Investigator City of Bakersfield · Treasury Division · P.O. Box 2057 Bakersfield · California o 93303 LLOYDS GARAGE Manager : ~ ' BusPhone: (805) 324-1516 ~' ~ ~/Map : 103 CommHaz : Moderate Location: 1440 2ND ST ~ 17 7997 City : BAKERSFIELD ' . rid: 31C FacUnits: 1 Lev: CommCode: BAKERSFIELD STATI~ /SIC Code: ?538 EPA Numb: ,DunnBrad: Emergency Contact / Title Emergency Contact / Title RONALD LLOYD / / Business Phone: (805) 324-1516x Business Phone: () - x 24-Hour Phone : (805) 836-2169x 24-Hour Phone :~~97 -~x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Agency-Defined Topic Title F Hazmat Inventory One Unified List MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax lUnitlMCP WASTE OIL F DH L /---5~0--G~L~ Low I,'~)x~C,,/'~._.~. %cji. DO hereby' cer~ifl/.~hat ~ have ~y~ or reviewed ~he ~ached haz~d:3us match,Is ment plan for~[~ ~.~ ~nd tha~ i~ alo~ wilh any corrections constitute a complete aad corrsci man- a~omont plan ~osmy ~cil~tg. LLOYDS GARAGE "' SiteID: 215-000-001436 F Inventory Item 0001' Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME WASTE OIL Days.On Site 365 Location within this Facility Unit NORTHWEST END OUTSIDE CAS# 221 STATE -- TYPE PRESSURE -- 'TEMPERATURE CONTAINER TYPE Liquid Waste I Ambient ~ Ambient I DRUM/BARREL-METALL i C AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 50.00 40.00 DailyMaK Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Waste Oil, Petroleum Based No 0 -2- LLOYDS GARAGE SiteID: 215-000-001436 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification 01/07/1990 CALL 911 FOR EMERGENCY. FOR NON EMERGENCY SPILLS NOTIFY THE ADMINISTERING AGENCY. Employee Notif./Evacuation 01/07/1990 VERBAL. Public Notif./Evacuation Emergency Medical Plan 01/07/1990 MEMORIAL HOSPITAL - 420 34TH ST - 327-1792 OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -3- LLOYDS GARAGE SiteID: 215-000-001436 Fast Format F Mitigation/Prevent/Abatemt Overall Site Release Prevention 01/07/1990 WE USE PROPER VALVES AND FITTINGS ON COMPRESSED GASES. CYLINDERS ARE PROPERLY CHAINED. Release Containment Clean Up 01/07/1990 SPILLED WASTE OIL IS PICKED UP USING A DRY ABSORBENT MATERIAL. Other Resource Activation -4- LLOYDS GARAGE SiteID: 215-000-001436 Fast Format Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs 01/07/1990 A) GAS - NORTH END OF BLDG B) ELECTRICAL - WEST SIDE OF BLDG C) WATER - FRONT OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - 3 FIRE EXTINGUISHERS ON PREMISES. FIRE HYDRANT - ? Building Occupancy Level -5- LLOYDS GARAGE SiteID: 215-000-001436 Fast Format Training Overall Site Employee Training 01/07/1990 NO EMPLOYEES. MSDS SHEETS AVAILABLE FOR EACH HAZAROUS MATERIAL WE HANDLE. NO TRAINING. Page 2 Held for Future Use Held for Future Use 6 MEMORANDUM June 14, 1995 TO: Esther Duran, Hazardous Materials FROM: Drew Sharpies, Financial Investigator SUBJECT: Hazardous Materials Account Listed below are hazardous materials account which I have obtained judgments against. Please close the existing accounts and open new accounts if applicable. I have already made any necessary adjustment. HM439701 /~.~Kern Packing & Gasket Supply Company HM448202 /&~.~Gil's Welding ~33~ 3~ ~-~ -~' HM479602 &~C~=5/.Lloyd's0 Garage )~¥0_~ Sq. HAZARDOUS MATEh'I~J?S DIVISI(; ' / Date Completed Location: ~oo Business Identification No. 215-000 ~/~.~ ~op of Business Plan) Station No. ~ Shift ~ Inspector Adequate Inadequae Verificaion of Invento~ Uaerials ~ ~ ~O~/~ Verification of Quanlities ~ ~ .~A~ ~ V d/p~4 Ver~ication of Location ~ ~ .... '~ ~ ~/~ Proper Segregation of Material ~ Comments: Verification of MSDS AvailabliW~ Number of Employees Verification of H~ Mat Training ~ ~omments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted ~ Containers Properly Labeled ~ Comments: Verification of Facili~ Diagram ~ Special H~ards Associated with this Facili~: ~ ~ ~ ~~~'~ Violations: Correction Needed Sus~ Owner/Manager- / ~ ' FD 1~[ (~, 1-~) White-H~' Mat Div. Yellow-Sa~on ~py Pink-Busings O Fire Dept. HAZARDOUS MATERIALS DIVISION Date Completed Business Name: L. Ln~]~5 C~A. P,. A(;.-£ _ II, · Business Identification No. 215-000 1~'5 ~o (Top of Business Plan) By Station No.~ Shift (~- Inspector Adequate Inadequate Verification of Inv'-entory Materials ~ Verification of Quantities ~ Verification of Location J~ Proper Segregation of Material ~ Comments: Verification of MSDS AvailablityJ~ )loyees Verification of Haz Mat Training~ Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: ,~.~ ~'.~'~'-~'.,~,)y ~-~r~// ~'~/~/ Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: '~ All Items O.K. t('l~ er~an~ag r ~,~,,~, Correction Needed Business Own FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy CITY of BAKERSFIELD ~-,. Fare and Aqf'iculture Standard Business '~' ~'~.~IL~:J~RDOUS ~vL~8'~R''~' ~S ~ N~~O~' NON--TRADE SECRETS LOCATION: ~ ~C% ~ ADDRESS: ~ ~~ ~ . STANDARD IND. CLASS COO~ ~~-- ---' Irons Iy~ ~x A~raqe ~nual ~asure I ~ Cmt ~t C~t~ L~tt~ N~re I ~ Nam of Ntxtuq/~tl (~e C~e ~ ~t Est Un~ts ~ Site Ty~ P~I Trap C~e Stor~ tn Fac~lity Nt ~ instmcti~s .... t .... 1._~ .... ~_i~._~_LI .......... L_g_.~ ~ ~ ~ Iqq_ ~,~s~&g~ ....... ,c~., ~ .p,~,) . ............................ '~~~ ...... ~-' ~-' ~ ~-' ~--'"-'~-"~-~ ~o, e,~~ ...... ae~ Ith of P~usuel ~lth ._~.~mJ~.~_h~~l~_~Jml~_l~.~_l. 'i _L~.J_~ q l m~,.~.~ m~'~ ;~ .... i ............... H~lth of P~ ~lth ..... .~_L_~L_:~._I_~_.I~3~Io~ I / Iv I~ "'"' (c~l C.I.S. ~ ~t I~ ~ 8 C.A.a. ~ --~ Ft~e Hazard u--J Reactivity u_~ ~le~ u I.se ~ ] I~tate Heelth of P.~su.e H~lth ...... ~t 13 N~&C.A.S. ~ .... l___t ............ ~ ............. ~ ............ 1. I .L~I .... ! 1 .... ~___ ' __ P~1cal ~ Hfllth HlzaPd CA.S. N~ Cra=mt II Nm & C.A.S. N~ (Ch~k all t~t a~ly) ....................... C=~3nmt 12 Nat. & C.A.S. Noaber Fire Hazard ~----~ Reactivity ~)ay~ ~uddm Release ~ ~ I~iate Health of Pr~sure Health Cer~ificati~ (Read and siRn after completinE ail sections) ,:~ BAKE~F. IELD CITY FIRE DEP~TMENT- '~ '"'~ 2130 'G' STREET BAKERSFIELD,.CA. 93301 (805) 326- 397~-~_ ~-~ ~'/ OFFICIAL USE OI I O .. BUSINESS NAME i HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS; HAZ. MAT. DIV. 1. To avoid further action, re%urn this from within 30 days of receipt. 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 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving [he release or [hrea[ened release of a hazardous ma[erial, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire depar~men[ and [he Stale Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. B. PH~ PH~ SECT[ON 3: LOCATION OF UT[I[TY SHgT~FES FOR BUSZNFSS AS A WHOI C. WATER'. :~ ~ ~~~/~/~_ U '- O. SPECIAL: .~ E. LOCK BOX: YES /~ IF YES; LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SEC'~O~'6: EMPLOYEE TRAINING ' EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS. A. NUMBER OF EMPLOYEES AT THIS FACILITY B.-DO YOU HAVE HSDS (HATER[AL S~F~TY DATA SHEETS) FOR EACH HAZARDOUS HATERIAL YOU HANDLE ? Y~ ' ' C. GIVE A BRIEF SUHHARY OF Y~R HAZARDOUS HATERIALS TRAINING PROGRAM: SECTION 7: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING. REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIE~ AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8: CERTIFICATION I, _~'Lx.~o~ ~.~[_~. , certify that the above information is accurate. I understahd that this information will be used to fu.lf~ll my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 8.95 Sec. 25500 Et Al.) and that inaccurate i~mation constitutes per3ury. MEMORANDUM DECEMBER 11, 1992 TO: VA LERI E PENDERGRASS, HAZARDOUS MA TERIAL~~ FROM: DREW SHARPLES, FINANCIAL INVESTIGATOR/~/' SUBJECT: HAZARDOUS MATERIALS HM479601 Lloyds Garage, 1440 2nd Street Judgment received on 10/28/92. Close 01 Account and open 02 Account if applicable. HM388901 Callaways Crankshaft Grinding, 2216 N Street Judgment received on 10/22/92. Close 01 Account and open 02 account if applicable. nrc MDS.ll3 Utilities General Account Maintenance PUTLS801 Acct Nbr: 479601 Bill Stat: NO Transfer-from: Page 1 of 6 Cyc Stat: CL Acct Cyc Stat: CL Transfer-to: Due: 160.51 1. .Customer Name: LLOYDS GARAGE 2. Social Sec Nbr: 3 Telephone: 805-324-1516' 4. Service Address: 1440 2ND ST ~ ~ ~ ' 5. Service City: BAKERSFIELD ~ 6. State: CA 7. Zip: 93301 8. Parcel ID: 9. Bill Cycle: 5 20. Water Svc Class: 10. Route Nbr: 11. Comments : S.C. JUDGMENT 10-28-92 $160.51 + 40.00 COURT COSTS 12. Prev Acct: HM01436 23. Misc Services: 23.1 F09 HAZ MAT HANDLING 13. Service Date: 23.2 14. Fund no: 24. Closing Date: 15. Bill-to Addressl: 1440 2ND ST 16. Bill-to Address2: 17. Bill-to City: BAKERSFIELD 18. State: CA 19. Zip: 93301 Enter Save(S), Cancel(XX), Next Page(/), or Field 9 to Change ALT-F10 HELP I ADDS VP I FDX I 9600 E71 I LOG CLOSED I PRT OFF I CR I CR Utilities General Account Maintenance PUTLS801 Acct Nbr: 388901 Bill Stat: NO Transfer-from: Page 1 of 6 Cyc Stat: CL Acct Cyc.~Stat: CL Transfer~to Due: 160.51 1. Name: CALLAWAYS CRANKSHAFT 2. Social ,r: 3 805-327-3231 4. Service Addres 6 N ST 5. Service City: [ELD ..'~'r'.·'' 6. State: CA 7. Zip: 93301 8. Parcel ID: 9. Bill Cycle: 5 20-. ~ Svc Class: 10. Route Nbr: 11. Comments : S.C. JUDGMENT -92 $160.~ 40.00 COURT COSTS 12. Prev Acct: HM00209 / 23. Misc Service~3.1 F09 HAZ MAT HANDLING 13. Service Date: 10/14/92-- ~2~2 14. Fund no: ~ 24.~sing Date: 09/15/92 15. Bill-to Addressl ~/0 JAMES & PATSY BARNES 16. Bill-to Addres~ 919 34TH STREET STE B 17. Bill-to ,: BAKERSFIELD 18. State: CA 19.~ip: 93301 Enter Save(S), Cancel(XX), Next Page(/), or Field ~ to Change .. BAKERSFIELD CITY FIRE DEPARTMENT ~ 2130 'G' STREET /' BAKERSFIELD. CA. 93301 (805) 326-3979 ~ OFFICIAL USE ONLY · ~ ID# II BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE 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 below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as Dossible FACILITY UNIT ~ FACILITY UNIT NAME: SECTION 1: MITIGATION. PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THe UNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If Yes, see B. If NO, continue with SECTION 4 B. Are any o¢ bhe hazardous materials a bona fide Trade Secret? YES NO I¢ NO, complete a separate Hazardous materials inventory., form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If YES, complete a hazardous materials 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 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS (Fire Hydrant) SECTION §- ~ATION OF U?ILITY SHUT-OFFS AT TH~S UNIT oNLy. A. NATURAL S/PROPANE: / / / B. ELECTRICAL: / C. WATER: / D. SPECIAL' E. LOCK BOX: YES / NO I YES, EON: IF YES, SI ~ PLANS? YES / ~ MSDSs? YES / NO FLOOR PLANS? YES'/N% KEYS? YES / NO - 3B-