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Home My WebLink AboutBUSINESS PLAN (2) ' ' ~s~ ~ " .OhT~: ./ '/ 'FAOIL'rTY S~ME: : .... OSIT ~: ~ '(CHEC~ ONE) :SITE' DIAGRAM FACIL'ITY DIAGR.~M .:. . :.:.. ... ~ .. .~. ~ , "..... .... · ...... ~ ~ ~" ..Lx, ~ .{.,:~..~..:.~.'~:', ~ ~ '~:~':',~..".... ~(Insp~ctor'.s Comments).:..... -OFFICIAL US~ ONLV~ ;...,,,...m "~"' ..... :"' ...... ~" ~' ~""' ..... . ~ ~ G EQUIPMENT RENTAL 1304 TELEGRAPH AVE. BAKERSFIELD. CA 93305 Hazardous ~ater±als 2130 G Street Bakersfield, Ca. 93303 Valarie: L As per our telephone conversation 1/25/91 I am sending this letter to confirm the fact that(.Mid=Valley Bit Service is no longer in business. Every thing remains the same except the business name is now Doyal Equip/ ~B/A'~G equipment Rental: Business location is still 516 E 18th St Inc Bakersfield, Ck. 93305. Mailing address is skill 1304 Telegraph Avenue Bakersfield, Ca. 93305. Bottles are in the'same location in shop at 516 E. 18th Street, Bakersfield, Ca. 93305. Respectifully yours v Golda L ~9yal , ,_ ~. ~,_ o r ~ n ,. n ara e ) F1ECEIVED FEB 1 4 1989 Do hereb3, certify that I have reviewed the HAl, MAT. OlV, attached Hazardous Naterials business plan for Mid-Valley .Bit Sarv~oD {name of business) and that it along with the attached additions or corrections constitute a complete and co~.~ct Business Plan for m,v facilit.v. signature / ~ - ~ate BUSINESS NAME MID VALLEY BIT SERVICE ID NUMBER 215-000-000638 LOCATION 1331 34TH ST HIGH HAZARD RATING 3 1 . OVERV I EW LAST CHANGE 03/23/88 BY ESTER JURIS CODE 215-004' JURIS BAKERSFIELD STATION 04 MAP PAGE 103 GRID 19C FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NONE EMERGENCY CONTACTS 2A SEC 2) C W DOYAL - 325-0368 OR 871-8954 GOLDA DOYAL - 871-8954 OR 871-8954 UTILITY SHUTOFFS 2A SEC 3) A) GAS - NONE B) ELECTRICAL - POLE IN BIG YARD NE OF SHOP BUILDING C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/27/88 17:44 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MID VALLEY BIT SERVICE ID NUMBER 215-000-000638 LOCATION 1331 34TH ST HIGH HAZARD RATING 3 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY ~ON RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASS ISTANCE LAST CHANGE 03/23/88 BY ESTER 2A SEC 5) NEAREST HOSPITAL PAGE 2 12/27/88 17:44 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MID VALLEY BIT SERVICE ID NUMBER 215-000-000638 LOCATION --~3~! ~TH ST~-/~ ~ I~ ~ HIGH HAZARD RATING 3 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 03/23/88 BY ESTER ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE OXYGEN 843 FT3 HIGH SE CORNER ROOM 1 PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 2359.00 100.0 OXYGEN, COMPRESSED HIGH 2 PURE ACETYLENE 990 FT3 EXTREME SE CORNER ROOM 1 PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LISTS 1241.00 100.0 ACETYLENE EXTREME B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 03/23/88 BY ESTER 3A SEC 4) FIRE EXTINGUISHER FOR FIRE PROTECTION 3A SEC 5) FIRE HYDRANT LOCATED SW CORNER OF K ST & 33RD ST. PAGE 3 12/27/88 17:44 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MID VALLEY BIT SERVICE ID NUMBER 215-000-000638 LOCATION 1331 34TH ST HIGH HAZARD RATING 3 D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 03/23/88 BY ESTER 3A SEC 2) NOTIFY VERBALLY AND CALL 911. E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 03/23/88 BY ESTER 3A SEC 1) PROPERLY STORED, CHAINED, HANDLE PROPERLY, PROPER GAUGES & VALVES. PAGE 4 12/27/88 17:44 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ~ _'~k~- / BAKERSFIELD CIT~ FIRE' DEPART~NT ~ E C E 213o "G" S~EET {987 (805) 326-3979 Ans'd ............ OFFICIAL USE ONLY ~USINESS. N~E ~ ~ ~US,INESS:.. PLAN AS-. A ~HOLE' ,0 0,0638 .' 1. To avoid further action, return this form by '' 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answe~ the questions below for the business as a Whole. . ~,}~. 4. Be as brief and concise as possible. SECTION 1: BUSI~SS IDE~IFICATION DATA A. BUSINESS N~E: ~d-VaZ~ay ~Z --'~d-i~. ' .... :' ' · SECTION ~ E~Rfl~ NOTIFICATIONg ' : ' ' .'..'.":. f':-~.: ,..:.'.:~'::': ;t'~. ~ . .. '~,.,?:~ ..... : .. hazardous ~ate~lal, call 911 and 1-800-852-T~0 o~ 1-916~42~-484i. This ~ill. notlfy 2ou~ local fl~e department and t~e State 0f~ice of Emergency se~vice~ as' ~equt~ed la~. .- L:.; · · ........... E~PLOYEES T0 NOTIFY IN CASE 0F E~ERGENCY~ N~E ~D TITLE D~ING gU~. BRS. AFTER BUg. BGo]da' n~r~ Ph~71-8954 Ph~: , 871-8054 · ".:.~ .L~:~':.:.~,'~:':?~'.~.~'~'. : ..~-, ~ .. .' ~.'~.-.~:.... .. - . ' , ' ...... .~'":~Z~'--/'~ ...................... '~' ,.-: . .-:,: .: ~. . [:'-i,,'~.~.(~.. :;.t ~ECTION"3': LO~ATION OF ~ILI~' ~O~S F0~ BUSIeSt' AS'~ ~0Lg "~'~.:" :: ~.~ .... · -· ' · .~.., ': , :'..:."~ :, ~'.: A. NAT. 6AS/PROPANE: No~e _ . , , . , , D. 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 - 2A - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE NEAREST HOSPITAL SECTION 8: EMPLOYEE TRAINING NO ElVIPLOYEE'S. OUTS/SE'CONTRACTORS CIRCLE YES OR NO . ~ /INITIAL : REFRESHER MATERIALS:...< .......... ~ ...... ~ ...... YES. NO YES NO B. PROCEDURES FOR '~....i~.i: WITH RESPONSE AGE~ NO-'::' YES NO C. PROPER USE OF SAFETY EQUIP]~E~ .~ .... YES NO . YES NO D..E ER ENC EVAcu ON i YES NO/ CIRCLE YES OR NO. ' ...... : DOES YOUR BUSINESS HANDLE HAZARDOUS ,MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID,"$$'~ALLONS OF A LIQUID,"0R 200 CUBIC FEET'OF A COMPRESSED GAS:.:..'.. ~ NO "I'~ G~da"~oya! ......................... ,'Certify that the'above information ts accurate, I understand that this information.will be used to fulfill my firm's obligations under the newCalifornia Health and:.Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that lnaccdrate informati'on constitutes Per3ury. BARERSFIELD CiTY FIRE DEPARTMENT 21S0 "G" STREET BAKERSFIELD, CA 93501 O?~iCiAL USE ONLY ID# BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM SA 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 C0NCISE as possible. ' FACILITY L,~IT¢_~ FACILITY UNIT NAME: ~id-Valley Bit Servia~ SECTION 1: MITIGATION, PREVENTION, ABATEMEN"F PROCED5'RES Properly S~o~ed, chained; Handle properly. Proper Guages~ valves SECTION' 2: NOTIFICATION .%\m EVACUATION PROCEDLmES 'AT THIS ~IT ONLY No'fy Verbally. Call 911 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Uait contain Hazardous Materials? ...... NO If YES, see B. If NO, continue with SECTIO~ 4. B. Are any of the hazardous materials a bona fide Trade Secret If No, complete a separate hazardous materials inuentor¥ form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (Fellow form ~4A-~) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Fire ex%inguisher SECTION 8: LOCATION OF WATER SUPPLY FOR USE BY EMERGENL"! RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~IT ONLY. A. NAT. GAS/PROPANE] D. SPECIAL: E. LOCK BOX: YES ,,~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES .," NO FLOOR PLANS? YES ./ NO KEYS? YES /' NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page ~of NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY AODRESS: ~/~ ~-, I~. S~, ADDRESS: /~m~ '~/~m~f ~ ~VF/ FACILITY UNIT NAME: ! 2 3 4 5 6 7 8 9 10 rvpE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.0.T .':DUE AMOUa~ AMOUNT UNiT CODe COUE FAC~UITV ,~T.. WT. CHe,IOA~ OR CO~,O, NA,e CODe OUiUe ~{AME: TITLE: S IONATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE ~ BUS HOURS: AFTER BUS HRS: EMEKGENCY CONTACT: TITLE: ,. PHONE ~ BUS HOURS: 51(~ ~ /7¢~ CITY of BAKERSFIELD '~---~ ( HAZARDOUS MATERI ALS I NVENT.ORY' Farm and iqlriculture Standard Business NON--TRADE SECRETS ' Pqe .J__ of ~_._ L0CATION:~/g ~- /F~'~, ADDRgSS: /Bm~ ~t/~r~.J D~F, STAHDARD I~D. CLASS PHO.~ ,: ~ ~ ~ ~ ~ ~ ~ Pno.g ,: ~--- F 7/- ~ ~ ~ _ _ - _ '[~e Cftc Mt Mt Est Units m Site T~ ~ IW ~ St~ in F~tilty_. ~ IHt~ti~ .~lz_l .... _~?~.:i*~-, IJow.'~~~~~~a~_~~ ........... Oh~ical ~ HHlth ~zl~ C.l.S. ~ ~t II ~ & C.A.S. ~ ~lth of P~ ~lth ~t I~ ~&C.A.S. ..~.L~_I_.~_.__I .... ?~ ..... l!~_~__l~/:lm.~l~-~~i~~~ ~:~_._~ ~ (C~k ~11 t~t apply) ~-- - [~ ,-, ~t m~ ~ & C.A.S. ~ ~lth of ~ ~lth ...... .... ~_L_ I I I I l i I I I I P~Jcal ~ ~lth ~zl~ C.A.S. ~ ~t 81 h & C.A.S. ~ (C~k ~11 t~t ~ly) - r--~ - -- r--a ~t I~ Nm&C.A.S. ~ ~ J Flre g~zand u--~ RNctivtty [ ~ h}~ ~ ~ ~ Reline ~--~ H~lth of P~su~ ~lth ' ~tlI L, ~% i ~ J , t ] t ~ I..................... · ,~ ................................ __. __ ....... ____ . ~ (C~k all t~t ~ly) ~_ _ [-~ - - ~-~ - C~t 82 ~&C.A.S~ ~Hlth of P~.Pe Hmo~t~ ~tS~ ~ & C.A.S. ~ CertJficati~ (ReBd and si~ after completing ali sections) [ certlfy ~der mlty of 1~ t~t ] ~ve ~rsmollyexuinK ~ am fNi}ilr vtth t~ lnf~mtim suhittK tn thls W a11 IttKi ~ts. ~ t~t ~s~ ~ W i~t~ of t~e t~$vt~ll ~stbtl for ob[,ainin9 t~ interim. [ ~lie&e t~t t~ su~itt~ info~ti~ is t~, iccurate, Ind cmpl~e. ~--~, o, ~&~ 0,-~,~ ..~-~,~,~, ............. ~- ..................... ~,-,,~ .......................... BUSINESS NAME MID BIT SERVICE ID Z1S-OOO-(~3B LOCATION 13~1 34 tZARD RRTING 3 1. OVERVIEI~ ~ . ~ LAST C1~N~[~/'~3/88 BY ESTER JURIS COOE ZlS-004 JURIS BAKERSFIELD ST~TIOh~zK~- ~ ' MAP, PAGE. 103 GRID, . 19C ' . , FRCI~NIT'S' 1~ H~RRO. . RATING. , 3~/ ' ZR SEC ~) N~E ~ "~ ' / .~~ /~/ EMERGENCY CONTACTS 2A SEC Z> C W DOYRL - 325-0368 OR 871-8954 GOLDR DOYRL - 871~,8954 OR 871-8954 UTILITY SHUTOFFS ZR SEC R> GAS - NONE B') ELECTRICAL - POLE IN BIG YARD NE OF SHOP BUILDING C) WATER - NONE D) SPECIAL - NONE E) LOCK BO>( - NO Z, NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMRTION~OR,~~R THIS SECTION PAGE i 04/11/89 MATERIAL SAFETY DATA SYSTEMS~ INC. <805) G40~G80~) BUSINESS NAME MID VALLEY BIT SERVICE ID NUMBER Z15~-OOO-<~OG38 LOCATION 1331 ~4TH ST HIGH HAZARD'RATiNG 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEDICAL RSStSTRNCE LAST CHANGE 03123188 BY ESTER ZA SEC S> NEAREST HOSPITAL PAGE 2 MATERIAL SAFETY DATA SYSTEMS, INC. (805) BUSINESS NAME MID lIT SERVICE ID Nl~8~Z1S-OOO-OOO63B LOCATION 1331 34] ~HIG~m~IAZRRD RATING 3 FACILITY UNIT 0~ A. OVERALL HAZARDOUS MATERI~LS INVENTORY LAST CHANGE 03123/88 BY ESTER ID TYPE NAME MAX AMT ,UNIT HAZARD LOCATION CONTAINMENT USE ! PURE OXYGEN 843 FT5 HIGH SE CORNER ROOM 1 PORTABLE PRESS. CYL. WELDING/SOLDERING~ ID PERCENT COMPONENTS HAZARD LIST Z~59.00 $00.0 Oxygen, C~mpress~d LOg Z PURE ACETYLENE BOO FT~ EXTREME SE CORNER ROOM ~ PORTABLE PRESS. CYL. WELDING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST ~24].00 100.0 ~¢e~ylene HIGH B, FIRE PROTECTION / ~ATER SUPPLIES LAST'CHANGE 0~fZ3/88 BY ESTER SEC 4) FiRE EXTINGUISHER FOR FIRE PROTECTION SEC S> FIRE HYDRANT LOCATED SW CORNER OF K ST E 33RD ST. PAGE 3 04/11/89 0B:55 MATERIAL SAFETY DRTR SYSTEMS, INC. (885)648-6800 BUSINESS NRME MID VRLLEY BIT SERVICE ID NUMBER Z~S-<~00-OOO~38 LOCATION 1331 34TH ST HIGH HRZRRD RRTING 3 EMPLOYEE NOTIFICRTION / EVRCURTION " "' ~-GST"CHRNGE'ODZ'Z3/S8 BY ESTER SEC Z) NOTIFY VERBRLLY RND CRLL 911. "' E. M!TIGRTION / PREVENTION / RBRTEMENT LRST CHRNGE O3/~3/88 'BY ESTER SEC l) PROPERLY STORED, CHRINED, HRNDLE PROPERLY, PROPER GRU5ES & VRLVES. PRGE 4 " 04/1t/89 09:55 MRTERIRL SRFETY'DRT~ SYSTEMS, tNC, (805> G48-G80~ SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY · A. Does this Facility Unit contain Hazardous blateria!s? ...... NO If YES, see B. If NO, continue with SECTION 4. any of the hazardous materials a bona fide Trade Secret YES ~ B. Are · If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) 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 Fire extinguisher SECTION 5: LOCATION OF WATER suPpLy FOR USE BY EMERGENCY R~SPONDERS SECTION 6: LOCATION OF UTILI~ S~T-OFFS AT THIS b~IT ONLY. A. NAT. GAS/PROPANe'] B. ELECTRICAL: 'C. WATER: D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT 5;OUR ANSWERS iN ENGLISH. 3, Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIE~ and CONCISE as possible. FACILITY UNIT# Bi~ Shop FACILITY UNIT NAME: ~id-Valley Bi~ Serv~ae SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDbq{ES Properly S~ored, chained; Handle properly. Proper Guages~ valves' SECTION 2: NOTIFICATION AND EYACUAT~0N PROCEDb~REs 'AT 'THIS LrNIT ONLY' Not£y Verbally. Call 911 - 3A - SECTION 4: PRIVATE RESPONSE TEAI~ FOR BUSINESS AS A WHOLE 'NOLTE .................................. SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR yOUR BUSINESS AS A WHOLE NEAREST HOSPITAL SECTION 6: EMPLOYEE TRAINING NO EFIPLOYEE'S. OUTSIDE-C'ONTRACTORS A:'-METHODS'F~R"SAF~,HANDLIN~ H~ZARDOUS ~ ~,L ..... ~i''t".,,:"','~ ' ¥~TERIALS:'...'i.'.h ......... ..~ ...... ~ .... YEs NO YES NO B. PROCEDURES FOR~.'" V WITH RESPONSE'A~'"YEs C. PROPER.USE OF:SAFETY EqUIP~~... YES~. ~0,.. yES NO E.. DO.yOU'.MAINTAI~[,~PL~O~2,~>INING RECORDS'' .YES' . NO [... YES .NO. SECTION'7: I~ZARDOUS RTERIAL ' · ' '~i'. ', ., . CIRCLE..¥ES:eOR NO.. ". ..... DOES ¥OU~ BUS~ESS ~A~DnE H~Z~o~S:~E~Z ~ QUA~T~T~ES Z~SS TH~ ~0°' POU~S.O~ A .. s6n'ID,'"s'~"~nno~s "Ii ~'~$ida"~o'ya~' '~'' ................... ,:~ertify that the"above Information-is accurate. I understand that this information.will be used to .fulfill m'y fir~'s obllsations under the new California Health and~,Safe~y code on Hazardous,Materials (Div...20 Chapter 6.95 Sec. ~SSO0 Et Al.) and'~t tdac~ate informafi'on ¢0n~titut~s'!'~'erjur~. , ...... ::....".. .' ..'i; ' .... BAKERSFIELD CITY FIRE DEPAKTHE1 ~r [~ E C E { V E [~ 2130~ -O-STREET~ BAKERSFIELD. CA 9330! ~O'~)-Iq JUL 1 3 1987 (805) 326-3979 ~../.j~ AIlS'El ............ OFFICIAL USE ONLY ID# BUSINESS.. NAME HAZARDOUS MATERT ALS .:.;.'~ :' v ..~'.-~ Bus:I'NEss-~ pLAN AS:.i' :A~.'~WHOLE:~' , FORM 2A INSTRUCTIONS: ~)~ 6 318 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: Mid-Va/lay Bit SECTION 2: E~RGENCY NOTIFICATIONS ..... '. :': ." 'In'case'.'~ ~n'e~ergenc~..thvolving the eelease'oe th~eatefi~d"~lease.0~ a hazardous ~ateeiaI, call 011 and 1-800-852-7gS0 oe 1'0i02~2g-484i. Thls'~ill. notif~ ~our local fire department and the State OffiCe of Emergefie~'Se~ices as'required b~ la~. E~PLOYEES TO ~OTIFY I~ CASE OF E~ERGE~CY: N~E AND TITLE DURING BUS. HRS. AFTER BUS. HRS. ~dnlaa Dnval. Ph~71-89~4 . Ph~' 871-89~4 A NAT. D. 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 BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page , NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: ~d-Vs.]]ay Bi~ Service OWNER NAME: Q.W./Go/da Doral FACILITY UNIT #: ADDRESS:~S~i ~th Stree.t ADDRESS: 13o~ Telegraph A~enue FACILITY UNIT NAME: CITY, ZIP: Bak~rsfi'eld, Ca. 93301 CITY,ZIP:Bakersfield, Ca. 93305 P,ONE #:_~805) 325-0768 PHONE #': (805) 871-895~ [OFFICIAL USE CFIRS CODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE h_p -~ FT 3 V 42 S,E Corner Room 1 100 Oxygen ~55 ~- FT 5 ~ 42 $.E. Corner Room 1 i00 Acetylene i~Q NAME: C.W./ Golda Doyal TITLE: Owners ..... SIGNATURE:~~ ~ ~~ DATE: EMEROENC~'CONTACT: GO]ds Doys.] TITLE: O¥~ner -' pHOnE ~ 6US' HOURS: 871_89~~ ' ' _ AFTER BUS HRS: EMERGENCY CONTACT: Po~er Ch~ffin TITLE: Son · PHONE ~ BUS HOURS: 8~1-8~2 'PRINCIPAL BUSINESS AC?IVITY: Bit tipping/retail bits AFTER BUS HRS: 871-8~22 SITE/FACILITY DIAGRAM FORM NORTH SCALE: BUSINESS NAME: FLOOR: OF MID-¥~LT,RY BIT SERVTCE - DATE: ~/10/8?FACILITY NAME: UNIT 3: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M ×X (Inspector's Comments): -OFFICIAL USE ONLY- SITE O[AGRAM (Requir teas) ~"....,.~, ,~, l. Address: Identify the 9. Lock ~key) Box principle buildings by the Street numbers. 10. MSDS Storage Box 2. Street(a), Alleys, 11. Raitroud Tracks Driveways, and Parking Areas adjacent [o [he 12. Fence or Barrier property. Include the a. Wire 3. Storm Drains0 Culverts, Yard Dralns c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks, 13. Pomerlines 5. Buildings a. Frame construction ]4. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal coeatructloa capacity in gui. a. Above ground d. Access Door b. Underground 6. utility Controls a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. [vacuation Area: Identify the 7. Fire Suppression Systems: location share a. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Matte Storage c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21. Outside Hazardous for protection systems Material Uae/Handling e. Fire Pump 22. Type of Hazardous #aterial/Waste Stored 8. Fire Department Access or Used (See Below) ~YFE OF HAZARDOUS MATERIA~ P - Placeable E - Explosive L - Liquid R - Radiological C - Corrosive 0 - Oxidizer O - Gas P - Poison M - Mater Reactive T - Toxic g - Solid ff - Cryogenic D - waste S - Etiological Example: Flammable Liquid - ~L FACiLiTY DIAGRAM (Required items in addition to the above) Rimers for Sprinklers 8. Fire Escapee Partitions g. Alu Conditioning Units 3. Sta/rways: Indicate the 10. Misdate levels served from highest to lo~ett. 11. Inside Hazardous Waste Storage 4. Escalator: indicate the levels served from 12. Inside H~zmrdoue highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Materiels Use/Handling S. Attic Access 14. Se~er Drain Inlets ?. Skylights .BAKERSFIELD CITY FIRE DEPARTMENT NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: OWNER NAME: FACILITY UNIT #: ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE ~: PHONE #: ]OFFICIAL USE CFIRS CODE I ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD iD.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT. , WT. CHEMICAL OR COMMON NAME CODE GUIDE ~w /~r~-'~ o-y-= ~/~, NAME: TITLE: SIONATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: PRINCIPAL 'BUSINESS ACTIVITY: AFTER BUS HRS: - 4A-1 -