The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN ITE DIAGRAM I ! FACILITY DIAGRAM Business Nome: · ~ ~ O ~::),~74,,,,/~ For Office Use Only First In Stction: Area M¢~ # of inspection Stc:~on: NORTH 01.' Unaergrouna ~anK Cg. ~i~ can~iner(s) 02. Abov~rouna ~n~ ~ 0. 03. ~x~ Pre~u~ ~nk 11. ~ox(es) C4. ~o~le p~~ ~tindem ~2. ~a~(s) ~5. Insuta[~ tank 13. Meal con~in~ (inc~uaes c~i~) 14. In macnine~ or pmce~ng ~5. ~mms or ~a~ms - m~lic ~uiomen~ 07. C~ms ar :a~e~s - non-metaLlic ~5. Bin(s) ~) P~E~SURE CCOES I - The mamnal is sto~ a~ ambi~t (no~ai a~esonenc) pre,ute. 2 - ~e mamnai is ~o~ aC grater t~an amoient ~ressure. 3 - The materials is stor~ at le~ ~an ambient ~ressure. c) TEMPERATURE 4. The material is ~or~ ~[ amDient (surrounding) :emcem~re. ~ - The matenai is s~or~ at greater ~an ambient :emoem[ure. 5 - The mater~ai is s:creQ s[ tess ~an ameien~ =am~era~ure. 7 - The material is stere~ un,er c~ogenic ccnciticns i 01. A(3~itive 20. Fungi=Ce 39. Washing C2. Aal~es~ve 21. Gdn(:ing 40. Wa~e 23. ~eres~ 22. Heaun~ ~1 .. Water Trea~ent 24. Anesme[ic 23. ~em~c:ce · '~2. W~aing/sol~enng 05. ~ac~enci~e 2~. Ins~actce ~. Well ini~an C~. 5tasung 2~. [ns~c~nai ~. Oil trea~en~ 37. Catalyst 25. Lu~n~n~ ~5. Retie C8. C;eanm~ 27. ~eci~ ~a/~rccess ~. Airc~ sy~ems ;~. Coolant ~. Neu[raUzsr ~7. EaEe~ el~e :O. Ccc~ing 29. ~lnung ~. Breathing aLr ~ ~. 0nlling 30. Pesuc:~e ~9. Ora~ng 12. O~mg 31. Rlaang 50. ~nisn~ 0ro~uct 13. Emulsffier/~emutsffier ~2. Frese~a[Ne ~1. ~re I ~. E~c~ing ~3. Aefining 52. Hyamuiic ~uiomen[ 15. ~Denmentsl 34. ~ea~er 53. Roa~IH~ maintenance 16. Facn~uon 35. Somytng 54. Testing ' ,; ~oie~ie c~emt~ts 17. Femlization 35. Steniizer =-. 18. ~crmuia~cn 37. Stooge .~ gg. O~er- sD~=~, ~g. Fue~ 38, Stripper ;, FINANCE DEPARTMENT ADDRESS CORRECTION REQUESTED ,~ '0 7 1996 lhh,,,ll,,,il,th,,h.h,lh,lh,,il,,,,i,hh,h h,h,lhl STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 3/01/96 TO: PPO COMPANY 644 BELLE TERRACE #2 BAKERSFIELD, CA 93307 CUSTOMER NO: 5272 CUSTOMER TYPE: ES/ 5272 --CMARGE-. .DA~E-.DESC-R-I~T-ION ~ REF-=-NUMBER_DIIE_DATE .... TOTAL_AMQUN_T 2/01/96 BEGINNING BALANCE 158.00 Please call 326-3979 if you have a question or changes regarding your account. CURRENT OVER 30 OVER 60 OVER 90 158.00 DUE ~--~E .---~3~0-i~/~ 6' P-A~ENT -DUE~: ~8~0'0 TOTAL DUE: $158.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 3/01/96 DUE DATE: 3/01/96 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 5272 CUSTOMER TYPE: ES/ 5272 TOTAL DUE: $158.00 CUST'~_E & NO. ES 5272 MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE 05 -14-96 NEW ACCOUNT , ADDRESS CHANGE CLOSE ACCT ! FINANCE CHARGE i I ' OTHER ADJ MAILING ADDRESS 644 BELLE TERRACE #2 ~-"-)l ' GITY BAKERSFIELD STATE cA ZIP CODE 93304 SITE ADDRESS SAME PARCEL NUMBER (IF APPLICABLE) ADJUSTMENT CHG DATE CHARGE CODE ADJUSTMENT AMOUNT 01-01-96 HM 002 $158.00 REMARKS: WE WILL ADJUST THIS BILLING DUE TO THE FACT THAT THIS FAOILfTY IS MERELY A TRANSFER STATION. THERE IS NO HAZARDOUS MATERIALS STORFD THERE. APPROVED BY "<~¢~ ' (805)., 396-1609, · Pager 632-9485 1~ ' Sp~ializing in Plasti~q. paper Bags & Automotive Supplies 644 Belle Terrace #2 SAM R,~OA Bakersfield, CA 933~)~- ~ BAKER ELD CITY FIRE DEPARTMENT · HAZARDOUS MATERIALS DIVISION i715 'CHESTER ~. ~ BAKERSFIELD, DA. ~ c~ HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: i. To avoid further action, ret'urn this farm within 30 days of receipt. · 2. ~PE/PRINT ANSWERS IN ENGLISH. 3. Answer the auestions betow for the business as a whole. 4. Be brief and concise cs pcssib e. SECTION l: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~ ~,~0. LOCATION' ~ MAILING ADDRESS: ~'~ ~V C~, ' STATE' ~ ZiP' ~~ PHONE: ~ - ~6o~ DUN & BRADSTRE'ET NUMBER: SIC CODE: PRIMARY ACTIVITY: OWNER: ~60/~ MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE- BUS. PHONE 24 HR. PHONE .. ~ai~ersiieid Fire Dept. ~-Iazardous l~aterials Division .... " .~ HAZARDOUS MATERIALS, MANAGEMENT PLAN . / SECTION 3: TRAININ(~: NUMBER OF EMPLOYEES: O MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM' SECTION 4: EXEMPTION REQUEST: I CERTIFY UNOER PENALTY OF PERJURY THAT'MY BUSINESS IS EXEMPT FROM THE ,~E, ORTING REQUIREMENTS OF C'r'iAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY COOE:' FOR THE FOLLOWING REASONS: WE OD NOT HANDLE HAZARDOUS MATERIALS. WEDO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT'NO TiMEEXCEEO THE MINIMUM REPORTING GUANTFFtES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: i, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WlLLSE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CAUFORNIA HEALTH AND SAFE?'f CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE - ..... -. Bakersfield F%re Dept. - '~ Qazardous ~ateris]~ Division \ ~. HAZARDO US I~ATERIALS MANAGEMENT' PLAN Facility Unit Name: C~, ~,0, do~?,~dcH" SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: ~c/x~t~,, %cyE~-~ /,,3~,~c_cc-~ ~ -5~-to? ~DT' %%"STC--,~5") 8, EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION' pro O u c-r ¢.~coac:~ O. E,:'vIERGENCY MEDICAL ?LAN' Hazardous MateriaLs Division ........ ¥ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 8. RELEASE. CON'TAINMENT AND/OR MINIMIZATION' C. CLEAN-UP PROCEDURES' SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: ELECTRICAL: % ¢-.,.r WATER: ' LOCKBOX: YES/NO tFYE~,LOCATION: SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: A~,c~ ~ B. WATER AVAILABILt~ (,FIRE HYDRANt: ' BAKERSFI D CITY FIRE DEPAF MENT HAZARDOUS MATERIALS INVENTORY Page of 3u~inessName ff FO ~-~V Address ~::~/J~'~ ~~ ~~ CHEMICAL DESCRI~ION 1) IN~NTORY STA~S: New [ ] Add,ion [ ] Revis~n [ ] ~letion [ ] Check ~ chemi~ is a NON ~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common N~e: ~~ ~ t ~ 3) ~T · (option~) Chemi~ N~e: AHM [ ] CAS · 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire ~ Rea~ive [ ] Sudden Relate of Pressure [ ] Immediate He~h (Ac~e) [ ] ~layed He~h (Chronic) [ 5) WAS~ C~SSIFICA~ON . (3-digit code ~om DHS Fo~ 8022) USE CODE 6) PHYSlCAL STA~ Solid [ ] Uquid ~ G~ [ ] Pure ~ M~ure [ ] W~te [ ] R~io~e [ ] 7) AMOUNT ~D ~ME AT FAClE~ UNITS OF M~SURE 8) STOOGE CODES M~imum D~ly Amount: ~ ~O i~ '[ ] g~ ~ ~3 [ ] a) Cont~ner: ~' Average D~ly Amount: .~ cudes [ ] b) Pressure: Annu~ Amount: ~ 0 ~ ~ ~_ % c) Tem~r~ure: ~gest SizeContaner: ~T ~ ~ · Days On S~e ~ Cimle~ich Months: AllYe~, J, F, M, A, M, J, J, A, S, O, N, D 9) MITRE: ~st COMPONENT CAS ~ % ~ AHM the three most h~dous 1) ~~ ~ I ~ [OO [ ] chemi~ com~nen~ or ~y AHM com~nents 2) [ ] 3) [ ] 10) Loc~ion /~ %~ O~ CHEMICAL DESCRI~ION 1) INVENTORY STA~S: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ~ chemi~ is a NON ~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common N~e: 3) ~T · (optionN) Chemic~ N~e: AHM [ ] CAS ~ 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CATEGORIES Fire [ ] Rea~ive [ ] Sudden Relate of Pressure { ] Immedi~e He~h (Acme) [ ] ~layed HeNth (Chronic) [ ] 5) WASTE C~SSIFICA~ON (~digit code from DHS Fo~ 8022) USE CODE 6) PHYSlCALSTA~ Solid [ ] Liquid [ ] G~ [ ] Pure [ ] MiAure [ ] W~te [ ] Radioamive [ ] 7) AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: t~ [ ] g~ [ ] ~3 [ ] a) Contaner: Average Daly Amount: cudes [ ] b) Pressure: Annu~ Amount: c) Tem~r~ure: ~gest Size Cont~ner: · Days On S~e Circle~ich Months: All Ye~, J, F, M, A, M, J, J. A, S, O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ AHM the three most h~dous 1) [ chemi~ com~nen~ or ~y AHM com~nents 2), [ ] 3) [ l 10) Lo~ion ce~ under pen~ of law, ~at I have pe~onally ex~in~ ~d ~ f~ili~ wi~ ~e infoma~on submi~ on ~is ~ a~ch~ documenm, I believe PRI~ N~e & T/ge of A~o~z~ Comfy ~epresenm~ve Da~ BAKER. iI IELD CITY FIRE DEP tTMENT HAZARDOUS MATERIALS INVENTO!RY- Page_of_ Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is aNON TRADE SECRET [ ] 'TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS #. 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) J ] · 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClMTY UNITS OF MEASURE 8) STORAGE CODES Maximum Dally Amount: lbs [ ] gal [ ] 1/3 [ ] a) Container: Average Dally Amount: cudes [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size'Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemicaJ components or any AHM components 2). [ ] 3). [ ] 10) Location CHEMICAL DESCRIPTION 1) iNVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARO CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Dally Amount: lbs [ ] gal [ ] 1/3 [ ] a) Container: Average Dally Amount: cudes [ ] b) Pressure: Annual Amount: c) Temperature: I. argest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2). [ ] 3) [ ] 10) Location r certify under penal~y of law, that I have personally examined and am familiar with the infomation submitted on this and all attached documents. I believe ~h~ submitted information is true, accurate, and complete. PRINT Name & T/tie of Authorized Company Representative Signature Date