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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~