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HomeMy WebLinkAboutBUSINESS PLAN ~IMMP P LAZ~.MAP SITE DIAGRAM ~ FACILITY DIAGRAM --~ Nor'~h Name of Area: C~ty of Bakersfield Fire Department Feb 1,1991 Hazardous Materials Div. P.O. Box 2057 Bakersfield, Ca. 93303 Re: Removal of Company name from records Dear Sirs, Please delete the following accounts from your records: HM 386401, HM 389901. The materials belong to Creative Consumer Products Inc. and have been move out of state as of Aug. 1, 1990. No materials are stored in California. ,~mes M. Carter %00 ~esident CREATIVE CONSUMER PRODUCTS, INC. P.O. Box 4997, Las Cruces, NM 88003 (505) 527-0018 FAX (505) 527-0227 Bakersfield Fire Dept. O~ / ~:~0/,. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: RECEIVED 1. To Qvoid further action, return this form within 30 days of receipt, 2. TYPE/PRINT ANSWERS IN ENGLISH. ~BG 1 5 1969 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. ~/~Z. MAT. DIV. SECTION 1' BUSINESS IDENTIFICATION DATA LOCATION: ~ 16 .~ q. ~ ~ MAILING ADDRESS: ~ ?)rA~,~ DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY'. ow~. EI~!~ MAILING ADDRESS: SECTION 2." EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR, PHONE 9___.,14o,,., ~.n~-'f~-~ o~_~ ~0~3 ~r~- Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: The by SECTION4: EXEMPTION REQu~5~: ' I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS 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: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- 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 H/a, ZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT ' N ~2J;~~Ti~ 7N STIT UT E S PERJURY. · /DATE . 2. FD1 Se0 Bakersfield Fire Dept~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: D. EMERGENCY MEDICAL PLAN: ~-~lr'~o~c~ IP, v-, ,~,,.c~,~i~.m~) ~'~-- ~~) Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ,"T'Thi'~ ..(.3r-oc:{u~'{" '~'b ~,r-~c~ B, RELEASE CONTAINMENT AND/OR MINIMIZATION' C. CLEAN-UP PROcEDUREs' ~ld ~ ~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: t.,O£s'/-' qdeol K,~,&~,.~,~,-~ FS,,,Id, c SPECIAL: LOCK BOX: YE~ IFYES, LOcATION' sECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: T'mo '-~. B, WATER AVAILABILITY (FIRE HYDRANT): CITY of BAKERSFIELD ~areand Agriculture n Standardnusiness.~AZ'ARDOUs MATERTALS TNVENTORY NON--TRADE SECRETS UL;A/IUN; ~ ~ -~: AUUM~U: ' -- STANDARD IND. CLASS CODE: ............ CITY. ZIP:- ~~/~ ~ ~/ CITY. ZIP: DUN AND BRADSTREET NUHBER ....... T - HONE,. .... m~W~ - ' ' P'HCONE ,' - ~ ~~ ~-~- ~_ ~_/ P ~ ~ .... RE,ER ~O~N~TRU~M5 huh PROP~ CODES , , , , , , , , , ,o ,,, ,, Trans ]y~e Hex Average Annual Neasure I ~e ~onL ConL Cont Us Location.~heEe Names of Hixture/Components Stored ~n ~ac~ty Code code AmL Amt EsL Un~Ls on ~ype Press [emp Co.e See Instructions Physical ~0d ,ealth Hazard C.A.S. Number / Component II Name I C.A.a. Humber _ U Fire Hazard U Reactivity U Delayed 0 Sudden Release U Immediate Number_~_~~ Health of Pressure Health Componen[ 13 Name I C,A.S. Number Physictl IOd ~ealth ~alard C.A.S. Number Component II Name t C,A.S. Number (Check 41/ LhaC 8pp/xl Component 12 Name I C,A.S, Number ~ Fire Hazard ~ Reactivity ~ Belayed ~ Sudden Release ~ Immediate Hem/Ch of Pressure Health Component 13 Name I C,A.5, Number (Check all that apply) ~ Fire Hazard ~ ReacLivity ~ Delayed ~ Sudden Release ~ ]mmediaLeC°mp°nenL 12 Name I C,A.S, Number Hem/Ch of Pressure Health ComponeflL 13 Name I C.A.S. Number Physical and Health Ualard C.A.S. Number Component II Name I C.l,S, Number (Check all that app/yl Component I~ Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ Hem ICh of Pressure Component 13 Name I C,A,S. Number EMERGENCY CONTACTS ~1 Name TItle 24 Hr Phone Name Tlcle 2T~r Phone ertifi arid Re and i n af r c0m 1 ti g ~11 s c~ions) ,certify un'er Den, l~, o~ th,t ] ~,v~ pe(son;~.examln,~,q~ ,m ~milla[,itb ~, information 8u~mittpd in this.end a11. .c~ached.dgc~ment~, an~ ~a~ cased on.ay ~nqu~ry gr.cnose individuals respons~o~e tot obtalnin9 the Information. i be~eve tha~ the ~ qpd Ofi~ili riP. of d~ner/ooerltor o~ o~net!oPerator's authorized representative