HomeMy WebLinkAboutBUSINESS PLAN 2/21/1995
~1 I HM478~01
· Acc~u.t Number
February 21~ 1995
Date New A=r~unt
New Address
Esther Dumn Close Account
From Sewl=e Change
Other AdJuatmen~ i, X
Fire Department- Hazardous Materlala Division
Department/Division
TUCKER AUTOMOTIVE
Billing Name
615 BROWN 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
<6.06> 02-01-95
Remarks: PER DREW SHARPLES THIS IS A BANKRUPTCY CASE. WE ARE TO ADJUST OFF ALL
CHARGES AFTER THE CASE DATE WHICH IS 1-20-95.
February 21, 1995
TO: Esther Duran, Hazardous Materials /~
FROM: Drew Sharpies, Financial Investigator
SUBJECT: Hazardous Materials Account
HM478901 615 Brown, Tucker Automotive
Bankruptcy case #95-16615b-7k was filed 1-20-95. Cloase the
existing account. This is a liquidation case, therefore,
there is no need to open a new account. Adjust off all
charges dated after the case date.
BAKERSFIELD
September 13, 1994
Tucker's Auto Repair
615 Brown Street
Bakersfield, California 93305
Dear Owner:
Our office has notified you on several occasions that your
hazardous materials account is seriously past due. You have failed
to make payment or to make and keep any payment arrangements.
The City of Bakersfield hereby demands payment in full on account
HM478901 in the amount of $581.86. Payment must be received in my
office within ten (10) working days of your receipt of this demand.
Failure to make payment within the ten working days will force the
City of Bakersfield to commence legal action against you.
If a judgement is granted you will be held liable for the amount of
the suit plus court costs plus interest at 10% until such time as
the judgement is satisfied.
Respectfully,
Financial Investigator
City of Bakersfield · Treasury Division · P.O. Box 2057
Bakersfield · California · 93303
BAKE~FIELD CI,T~, FIRE DEPARTMENT
BAKERSFIELD, CA. 93301
(805) 326-3979 /~g-~C ~~~
OFFICIAL USE {
, U0~ 429
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
1. TO avoid further action, return this from within ~l~Zda~T'o~lV~eceipt.
2, TYPE/PRZNT ANSWERS ZN ENGLZSH,
3. Answer the questions below for the business as a whole.
4, Be as brief and concise as possible,
SECTION 1: BUSINESS.IDENTIFICATZON DATA
A. BUSINESS NAME: ~ ~..~.
B. LOCATION / STREET ADDRESS: ~/~
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release
a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This
will notify your local fire deDartment and the State Office of Emergency
Services as required by law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NATURAL GAS/PROPANE: ~/~rrh ~//~ C~g~) , ,
C. WATER'. ~J~. ~ ~i~m~ ~
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOR PLANS? YES / NO KEYS? YES / NO
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHO~.E
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
S E C T I 0 .Nj ~.~;:..~ .~.._~.H ~.;~ .0. ¥ E E TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES
WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS
MATERIALS.
"
A. NUMBER OF EMPLOYEES AT THIS FACILITY
B. -DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS
MATERIAL YOU HANDLE ~ ~/~
C. GIVE A BRIEF SUMMARY OF YOU~ HAZARDOUS MATERI.A~.S ~RA~N~NG, pROGRA,:
SECTION 7: ~-X~.PT~O~ RSeUEST
~ CErTiFY UNOE~ P~NALTY OF P~JURY THAT .Y aUSZN~SS ~S ~XS.PT F~O. THE
REPORTING REQU~RENENTS OF CHAPTER 6,95 OF THE CAL~FORNZA HEALTH AND SAFETY
CODE FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS NATER~ALS,
WE DO HANDLE HAZARDOUS NATER~ALS, BUT THE QUANTZT~ES AT NO
TZNE EXCEED THE NZNZNUN REPORTZNG QUANTZT~ES,
OTHER (SPECZFY REASON)
SECTION 8:~'//CERTIFICATION~~~
accurate~ I understand that this information will be used ~o fulfill my
firm's obligations under the new California Health and Safe~y code on
Hazardous Materials (Div. 20 Chap%er 6.95 Sec. 25500 E~ Al.) and tha~
inaccurate information constitutes perjury.
BAKERSFIELD CITY FIRE. DEPARTMENT
2130 'G' STREET
BAKERSFIELD, CA. 93301
(805) 326-3979
~ OFFICIAL USE ONLY
~ ID#
II BUSINESS NAME
II
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 3A
INSTRUCT]:ONS
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 CONCISE as possible
SECTION 1: N[T[GAT[0N, PREVENTION, A~ATENENT PROCEDURES
,- d" f ,, ~. ~ ~ .... : (~
SECTION 2; NOTIFICATION AN[;) EVACUATION PROCEDURES AT THE UNIT ONLY
S ION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
. Does this Facility contain Hazardous Mat~a~s? YES NO
Unit
~ If Yes, see B.
~If NO, continue with SECTION 4
B. ~e any of the hazardous material~s~a bona fide Trade Secret? YES NO
I~NO, complete a separate~q~zardous.materials inventory
foR marked: NON-TRADE~ORETS ONLy (white form #4A-l)
If Y~S, complete a~b~ardous ma~rials inventory form marked:
TRADE~ECRETS ON~m.~a-2) in add~tion to the non-trade
secret~orm. 'st only the trade secrets on form 4A-2.
~EOTION 4: PRIVATE~%~E PROTECTION
SECTION 5: LOCATION OF WATER SUPPLY FOR U~E BY EMERGENCY RESPONDERS
(Fire Hydrant)
SECTION 6: LOCATION OF UT~IT~sHUT-OFFS AT TH~ UNIT ONLy,
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 3lB -
CITY of BAKERSFIELD
Fe~'. and ASriCulture '~-'-~ Standard eus~.~ss ~-~ ~AZARDOUS MAT~R~ ASS ~ ~V~T,ORY'
NON--TRADE SECRETS ' ~ .... of ....
BUSINESS NAME: . ~ ~F~ OWNER NAME: ~ ~_~ >~ NAME OF T~ FACILXTY:
CITY, ZIP: ' --~X~-~/ ~,~ C~TY, Z%P: - ' '' DUN AND BRADSTRg~T
PHONE ': ~ ~P~f~A PHONE ,: __ - __ _ -
~ ~0 ~S~UC~XO~ ~OR PROP~ COD~
~ ~ 3 4 5 6 ~ ~ g 10 11 I~ 13 14
Tr~ns Ty~ ~x AvePase ~nual ~asu~e I ~ Cmt ~t ~t ~e L~attm g~e ~ N8~ of gJxtu~/~ts
C~e C~e ~t ~ Est Units m S~te TyH P~s T~ G~ St~ in Facility~ ~ Inst~ctt~s
Physical and H~lth Hazard C.A.S. ~ C~t II ~ ~ C.l.S. ~
k all ~ a~ply) ...........
~--~ Fire Hazard u--~ R~ctivity c-- ~1~ c--J ~ Relflse ~--J I~tKe
Health of Pr~sure ~lth
P~ical ~ H~lth Hazard C.l.S. ~ ~t II Nm i C.l.S. ~
(C~k ell tMt apply)
~ ~ Fire Hazard ~ ~ R~ctJvtty ~ ] ~la~ ~--~ ~ RIl~ ~--~
H~lth of P~ ~lth ''
...... · , ~ ....
P~Jc. 1 ~ ,~lth Haza~ C.J.S. ~ ~t I1 ~ & C.A.S. ~ / ~
(C~k ell t~t apgly) -- · ......
Health of P~sure Health ' "
P~ical ~ H~lth Hazard C.A.S. Numar Cm~mt I1 Mm i C.A.S. N~ ~
(Ch~k all t~t apoly) .......................
u ] Fire Hazard ~ ] R~c~ivi~y ~--J ~lay~ u--J ~dd~ Release ~--~
Health of Pr~suee Health
~t 13 ~ ~ C.A.S. N~n
....... , ............... ' ..... ....
Certificeti~ (R~d and s~gn after compJetJng al] sections)
c~t~fy unde. ~alty of 1~. t~ I ~ve ~rs~ally ex~in~ end a~ familiar .ith t~ infor~tim su~it~ ~n ~his a~ ~11 att~ d~u~s, and ~t ~s~ m inquiry of'~e t~tvi~als
'". " '~ . CITy of. BAKERS'FIELD·
~U~IUESS ,A~E: ~ ~ ~ NAME~ NAH~ OF T~ FACILITY:
7ITY, ZIP: CITY, ZIP~ · DUN AND BRADSTREET NUMBER
'IlONE ~: PHONE ~ - -
~ ~0 ~S~UCTIO~ FOR PROP~ COD~S
4_l_ Ll ..... ~l__zz~:_L~_._~at.a~_~lo~_ I_~ !: ~_: i _~:_.~..az~_~.~~ ~__ ~_a..e~~.~_~'.~ .................. ,.'
al ~.d Health Hazard C.A.S. lushr Cm~t II NaN I C.l.S.
~ ~11 that apply) . . ......................................................................
.... ~ r--~ r--~ r--~ r--~ ~ Cm~mt 12 Nl~ &C.A.S. Number
d Fire Hazard ~--d Reactivity ~ d ~layed ~ d ~dd~ Release L
Health al Pressure. HNIth :'~ ..............................................................
CM~t I~ ~H i C.A.~. Number
A :Fiji ................... : "
...... ,1 .............. l ....... :D_L.I..,:..LJ:: ................................... ............................
~hysical tn~ Health H~z~rd C.A.S. lu.hr ~mt II NaN I C.A.S.
- -- r -- ~ r -- ~ r -- ~ r -- ~ .." gm.mt I~ Nlm & C.A.S. Numar
XL.L]_J: ...... J_J'.L, .... ,L ...... -.1" I" .l .... !~]];1' 1_~;;1 ..... __ ' .... ~~' ' . .......
~hysicol mM HeMth Hazard C.l.S.N.hr ~t II lin & C.A.S. Nuehr
(~ck 011 that apply) --
r - ~ - r - ~ r - ~ r-- ~ ~mt Il l~ & C.A.S. Numar
Health of PrflSUrl Health ~ ' ' ...... t ....
C~t I] NaN I C.A,S. Numar
:hysicel end Health Hazard C.A.S. Numar . Cm~mt II WiN I C.A.S.
(Check all that apply)
.....
/
~ Ftre Hazard L--~ Reactivity L-- Oeleyed L--J ~dd~ flelease ~--d
Health of Pressure Health ...................
Ca.mt I1 Na~ i C.A.S. N~r
R$$~ ............................. ' ...... TIU; II-RF'P~ ..... Ni~ ............................ UUI ....................... 2~'~r-Fh~ ...... ""
Ce/~'ification (Reed and sJEn after compJetlnE ali
~rtify under O~alty Of la. that I have versonally e~a~ined and ae ta~llt~r .lth t~ lnfersatlffi ~lttg t~ thtl I~ t11 ltt~c~ d~ue~t~, ~nd t~t based m
[~obtaining the Infor~ttm, ] believe t~t the subaltted tnforsiti~ il t~l, Icc~rltl, I~