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Home My WebLink AboutBUSINESS PLAN FINANCE DEPARTMENT CITY OF BAKERSFIELD AKERSFIELO, CALIFORNIA 93~3 ADDRESS CORRECTION REQUESTED ITE DIAGRAM L.,J FACILITY DIAGRAM OHMMP PLAI~ MAP SITE DIAGRAM L"-I FACILITY DIAGRAM r-'-J Name o, ADJUSTMENTS TO'ACCOUNTS RECEIVABLE · C ) D_LL.£TE ~ < ) $ ADJUSTME' ', ( ) SERVICE PROPERTY OWNER : .... LA£? COKA-2~._';u ADJ. TO K.-Xr '--:'?ECTiVr- 5-_'LLi.~G AMOUNT BiLLiNG AMOUNT BiLL!]~G - (-) DATE APPROVSD q -/q 30 ;~ 05/31./90~ MID VALLEY. CUSTOM AUTO BODY 215-000-001433 Page Overall Site with 1 Fao. Unit General Information Location: 1411 28TH ST Map: 103 ]Hazard: Moderate Ident Number: 215-000-0014~5 Grid: 190 ' Area of Vul: 0.0 COntact Name , Title i 8usiness'Ph°ne' I 24 Hour Phoneq ARMANDO HERNANDES OWNER 1(805) 328-9412 x 1(805) 87i-266~ 1< 8o5) 87 ART RAMIREZ FOREM~N 1(805) ~28-9412 x 1-6848 Administrative Data Mail Addrs: 1411 28TH ST · D&B Number: City:-BAKERSFIELD State: CA Zip: 9~O1- Comm Code: 215-001 BAKERSFIELD STATION O1 SIC Code: Owner: ARMANDO HERNANDEs Phone: (805) 328-9412 Address: 1411 28TH ST State: CA City: B~KERSFIELD Zip: 93~O1- Summary 05/51/90 MID VALLEY CUSTOM AUTO BODY 215-000-0014~ Page 2 Hazmat Inventory List in MOP Order O1 - Mobile Containers on Site Pln-Ref. Name/Hazards Form Quantity MOP 01-002 AOETYLENE Gas - 260 Migh Fire, Pressure, Immed Hlth FT3 01-001 OXYGEN Gas 230 Low Fire, Pressure, Immed Hlth FT3 05/31/90 HID VALLEY CUSTOH AUTO BODY 215-000-001433 Page O1 - Hobile Containers on Site Hazmat Inventory Detail in MCP Order 0i-002 ACETYLENE Gas 260 High Fire, Pressure, Immed Hlth FT3 CAS ~: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daiiy Max FT3 ' I Daily Average FT3 I Annuai Amount FT3 260 t 130 . 260 Storage I Press T Temp ' i Location PORT. PRESS. CYLINDERlAb°ye IAmbientlHOBILE -- ConeI Components i MCP ---TList 100.0~ Acetylene High 01-001 OXYGEN Gas 230 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 I Daily Average FT3 I Annual Amount FT3 --- 230 I 115 . 460 Storage Press T Temp i Location PORT. PRESS. CYLINDER Above IAmbieBtlMOBILE -- Cone i Components I MOP ---~_ist 100.0% IOxygen, Compressed ILow 05/51/90 MID VALLEY CUSTOM AUTO BODY ,215-000-001455 Page 4 O0 - Overall Site <D> Notif./Evaouation/Medioal <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NONE LISTED <5> Publlo Notif./Evaouatlon NONE LISTED <4> Emergency Medical Plan NEAREST HOSPITAL 05/31/90 MID VALLEY CUSTOM AUTO BODY 215-000-0014~3 Page 5 O0 - Overall Site <E> Mitigation/Prevent/Abatemt . <13 Release Prevention NONE LISTED <2> Release Oontalnment <3> Clean Up <4> Other Resource Activation 05/51/90 HiD VALLEY CUSTOH AUTO BODY 215-000-001455 Page 6 O0 - Overall Site <F> Site Emergency Factors <1>' Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST BUILDING B) ELECTRICAL - SOUTHWEST BUILDING O) WATER - NORTHWEST IN ALLEY D) SPECIAL - NONE E) LOOK BOX - NO <5> Fire Protec./Avail. Water PRIVATE FIRE PROTEOTION - ??????????? FIRE HYDRANT - ??????????? <4> Held for Future use 05/31/90 MID VALLEY CUSTOM'AUTO BODY 215-000L0014~5 Page 7 O0 - Overall Site <G> Training <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FAOILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 03/21/9t MID VALLEY CUSTOM AUTO BODY' 215-000-001453 Page Overall Site with 1 Fao. Unit General.Information 'lLooa.tion: 141'1 28TH ST idap: 103 Hazard: Moderate I Ident' Number: 215-000-001455 Grid: 190 Area of Yul: O.0 Oontaot Name . Title I Business Phone ...... F 24 Hour Phone ARMANDO HERNANDES OWNER 1(805;) 528-9412 x 1(805) 871-2669 ART RAMIREZ FOREMAN (SOS) 528-9412 x /(SOS) 871-5848 I / Administrative Data Mail Addrs: 1411 28TH ST ~- D&B Number: City: BAKERSFIELD State: CA Zip.: 95501- Oomm, OOde: 2i5-00i BAKERSFIELD STATION Ol SIO Oode: ,Owner: ARMANDO HERNANDES Phone: (805) 528-94i2 Address: i4ii 28TH ST State: CA City: BAKERSFIELD Zip 95SOl- Summary '.' 05/21/91 MID VALLEY CUSTOM AUTO,BODY 215-000-001455 Page 2 Hazmat Inventory List in MOP Order · - O1 - Mobile Containers on site P. ln-Ref 'Name/Hazards Rorm' Quantity MCP 01-002 ACETYLENE .Gas 260' High Fire, Pressure, Immed Hlth FT3 01-001 oXYGEN Gas '230 Low. Fire, Pressure, Immed Hlth FT5 05/21./9[ MID VALLEY CUSTOM AUTO BODY 215-000-00143~ Page O1 - Mobile Containers.on Site Hazmat Inventory Detail in MCP Order 01-002 ACETYLENE Gas 260 High Fire, Pressure, Immed Hlth FT3 CAS ~: 74-86-2 Trade SeOret No Form': Gas Type: Pure' Days: 365 Use: WELDING.SOLDERING Dail'y Max FT~ ] Daily Average FT3 ----~ Annual Amount FT3 -- 2'60.00 150.00 2'60.00' Storage press T Temp 'I Location PORT. pRESS. CYLINDER IAbove IAmbientlMOBILE .100.0~ Acetylene High Oi-OOl OXYGEN Gas 230 Low Fire, Pressure, Immed Hlth FT5 CAS ~: 7782-44-7 Trade Secret: No Form: Gas Type.: Pure Days: 565 Use: WELDING SOLDERING Daily Max FT5 ... Daily Average FT5 Annual Amount FT5 230.00.I 115.00 I 460.00 Storage -Press T Tem? t" LooatiQn PORT. PRESS. CYLINDER Above IAmbien MOBILE --Cono, , Components , MOP ',List 00.0~ Oxygen, Compressed IL°w '/ 03/21/91 MID VALLEY CUSTOM AUTo BODY 2'15-000-001'433 ,Page 4- O0 - Overall Slte <D> Notl¢,; fEva°uation/Medioal <1> Agen'oy, Notl¢ioatlon OALL 911 <2> Employee Noti¢./Evaouation NONE. LISTED <3> Publio Notif./Evaouatlon NONE LISTED <4> Emergency Medloal Plan NEAREST HOSPITAL 05/21/91 MID VALLEY CUSTOM AUTO BODY 215-000-00i455 Page 5 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Reieasm P~eYention ~ ~ NONE LISTED <2> Release Containment <5> Olean Up <4> :Othen Resounoe.Aotivation 03/21/91 MID VALLEY OUSTOM AUTO BODY 215-000-0014'55 Page co - overall site <F> Site EmergenCy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST BUILDING 8) ELECTRICAL - SOUTHWEST BUILDING C) WATER - NORTHWEST IN ALLEY D) SPECIAL -'NONE E.) LOCK 80X - NO <5> 'Fire Proteo./Avail. Water PRIVATE FIRE PROTEOTZON- ??????????? FIRE HYDRANT - ?????????.?? <4> Held for Future use 05/21/91 MID VALLEY CUSTOM AUTO BODY 215-000-001455 Page 7 co - Ovecaii Site <G> Tra'ining <l> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU-HAVE, MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF. TRAINING: <2> Page 2. a$ needed <5> 'Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD P.O.cALiFORNiABOX 2057 93303.2~57,- ~AKERSFIELD, ADDRE S CORRECTION REQUESTED DO NOT FORWARD/'?:'.?~:~ ~. ' ~ MID VALLEY CUSIOM AUTO BODY iI,h,,,Ih.lhlh,,-,Ih, hlflii,,.ih!h',l,,,liil ~ ~i! ~ Bakersfield Fire Dept. ".~,' ~~ /.~ ~/ HazardOUs Materials Division ~., ~ 2130"G'' Street REC£iVF-o / ~L ~ ~- Bakersfield, CA. 93301 · HAZARDOUS MATERIALS MANAGEMENT PLAN 1. To avoia further action, return this form within 30 ~ays of r~eipt. 2. ~PE/PRINT ANSWERS IN ENGLISH, 3. Answer the questions below for the Dusiness as a whole. 4, Be Drier aha concise as po~iDle. SECTION 1: BUSINESS IDENTIFICATION DATA l t. %. DUN & BRADSTREET NUMBER' SIC CODE' PRIMARY ACTIVITY: p~l~'~ ~~~y ~~ MA~UNG ADDRESS: ~ [~'~ ~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN~ ...: ~ ~ ~SECTI~N 3: TRAINING: ..... MUM:B~R OF EMPLOYESS: ~' ,'-', MATERIAL SAFETY DATA SHEETS ON FILE: '~.,. ,. BRIEF SUMMARY OF TRAINING PROGRAM: ~0 SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESSlS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER '(SPECIFY REASON) SECTION 5: CERTIFIxCATION: MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.]. AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE ' ' ¢¢ TITLE DATE 2. FD1590 Bakersfield Fire Dept Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FaCilit~ Unit Name: ~ t ~ ~ ~ RI L~t~ j~y ~ ~ ~ - SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C, PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN' Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ¢ SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION STEPS: B, RELEASE CONTAINMENT AND/OR MINIMIZATION: C, CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: SPECIAL: LOCK BOX: Y~ IF YES, LOCATION: SECTION 9: PRIVATE F~RE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION' B, WATER AVAILABILITY (FIRE HYDRANT): iI~ "~ ' FD15~ CITY ,of BAKERSFIELD. i_]HAZARDOUS:; MATERIALS INVENTORY Farm andAgticulture Fi Standard Business '.,?~i;.::,~..NON_TRADE SECRETS Page LOCATION; ~ ~ I~. ~ · . ADDRESS;_ t~lt ~.~. - STANDARD IND CLASS CODE[ irans [y~e ~ax Av~rpge Annual Neasure I ~ont ~ont ~on[ Us Loc~tion.lhe[e. Code cooe Aa~ Aa[ Est Unl[s on /ype Fress ~emp Coue Stored tn ~hysical god HeAlth HAzsrd C,~,S. Number Componen[ II NiLe I C,~.S. Number ~Hazard ~ ReacLivi[~ ~ Delayed ~~Release D Immedia[e Component Name C,A.S. Number ' Heal[h ~ ~ Pressur~ Health 13 N8m~ I C.~.S. Number Componen[ PhysicAl god Health Ualard C.A.S. Number : Componen[ II Name I C.A.S. Number [Check al/ [haC App/H : Componan~ I~ Name I C.A.S. Number ~ Fire Hazar~ D Reactivity ~ Delayed D Sudden Release D ]m~i~ Heal[h of Pressure . Component 13 Name I C.A.S. Number Physical and Health Hazard C.A.5. Number :' Component II Name I C.A,S, Number ICheck all that apply) t Component 12 Name I C.A.S. Number D Fire Hazard ~ ReKCiviLy ~ Delayed ~ Sudden Release ~ im~i~ HeN/Ch of Pressure Component 13 Name I C.A.S. Number Physical and HealCh Uallrd C.A.S. Number Component II Name I C.A.S. Number ICheck 811 that app/H Component I~ Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ Immediate HeN/Ch of Pressure Health Component 13 Name I C.A,S. Number EHER~EHCY COHTACTS ~1 ~2 aaa__' - i icle ~ ~q. Hr'Phone - ' Name "Title 2I~t Phone erCi[i{a[ioq .(Re~d and.~ign after compl~Cipg.~ll s'ec~ipn~) cer[tty unoer penal[~ o~,~ thai l nave person, l~.examlnq~e,o ~m ,milta¢.~i[~the i:~a[~gn ~u~mi[t~d in [his.~nd all ~acned,d~cgment~, an~ t~a[ ~aseo on.my inquiry 9t.cnose tnetvloua~s responsible tor obi ' g [ e tn~ormaHon. I believe that the ~bmlt[eo I~lorml[lO~ IS true, accurate, eno comp/elm. . -~~l[le of o, nerloperacor UH o~nerloperatot'~"authorized representative 0 Free Estimates 05) 328 9,412 Insurance Work y~~ ' Fiberglass Work MID-VA LE CUSTO~ AUTO BODY Foreign & Domestic ....... Bakersfield; CA