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Home My WebLink AboutBUSINESS PLAN (2) 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 -