The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 6/28/1996 ITE DiAGP, AM FACIL GRAM Far Cffica Use Onlv ins~ec,'ion Stc,~on: NORTH STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 11/01/96 TO: HOWARDS AUTO TECH ATTN: THELMA WEIMER 299 BELLE TERRACE BAKERSFIELD, CA 93304 CUSTOMER NO: 5262 CUSTOMER TYPE: ES/ 5262 ~H-A~RG~E ...... DIVI~E--B~R~ON · REF-N-UI~.~BER--DUF~-T~ ~_--T~D.TAL_AMOUNT. ___ 10/01/96 BEGINNING BALANCE 133.21 HM005 11/01/96 FINANCE CHARGE 1.10 FC011 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 1.10 1.10 1.10 131.01 DUE-~ '0' 9:6 Pin~Y~ENT ~D%J'E; ~.~ TOTAL DUE: $134.31 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 11/01/96 DUE DATE: 11/01/96 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 5262 CUSTOMER TYPE: ES/ 5262 TOTAL DUE: $134.31 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 3~-3979 DATE: TO: HOWARDS AUTO TECH ATTN: THELMA ~EIMER 299 BELLE TERRACE BAKERSFIELD, CA 93304 CO~ 52~ - UUSTOMER--TYPE-T-.'-~ES/ 5262-' CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 11/01/96 BEQINNINQ BALANCE 134.31 HMO05 12/01/96 FINANCE CHARQE 1.10 FCOll FOR QUESTIONS DR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT, CURRENT OVER 30 OVER 60 OVER 90 1. 10 __1.10 1. 10 ...... 132.11 DUE DATE: 12/0~/96 PAYMENT DUE: 135.41 TOTAL DUE: $135.41 PLEASE DETACH AND SEND THIS COPY WITH R~MITTANC~ ~~~ D~TE: 12/01/~6 DUE DATE: I~/02/~ REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX ~057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 52~2 CUSTOMER TYPE: ES/ 5262 TOTAL DUE: $135.41 Bakersfield Fire Dept.. OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Business Name: .... · Location: ~-/3 ~- '~/~~ ~ Business Identification No. 21S-000 ~ ~ ~op o~ Busine? Plan) ~ Arrival Time: Depa~um Time: Inspec~on Time: M~uato Inadequate5 ~doquato Inadequate Addm88 ~sable ~ ~ ~ 5 I ~) ~mer~oy ProoeOure8 Po~teO ~ ~ ' Oo~ot Oooupanoy ~ ~ ~ ~ ~ ~o~em Prope~ Labled ~ ~ Vedfioation of Invento~ Mate~al~vedfioation of Quantitie~~ ~~ Gommont~ ~ ~ ~efifi~ffon of Facili~ Diagram ~ ~ Verification of Location D Proper Segregation of Mateda~ ~ ~ ~/ / Housekeeping ~ ~ . ~ ~ ~ Fire Protection ~ ~ CommentS:vefificat ~~ ~ ~ ~~~ ~ ~ ~ ~cOmmOnts:- ~~filect~cal ~ ~ ~:~~ )' Comments: UST Monitoring Program ~ ~ Verification of H~ Mat Training Pe~its D D Comments: ~ Spill Control D D Hold Open Device ~ D Verification of H~rdous Waste EPA No. ~batement Supplies and D D Proper Waste Disposal ~ ~ Comments: Seconda~ Containment ~ ~ Secudty ~ ~ Special Hazards Associated with this Fncili~: Violations: / All Items O.K [] ~ Business Owner/Manager PRINT NAME SIGNATURE Correction Needed [] ~ VVhite-Haz Met Div. Yellow-Station Copy Pink-Business Copy Q I J_ ~ BAKERSI~I!ELD CITY FIRE.DEI=~RTMENT .. HAZARDOUS MATERIALS DIVISION 1715 'CHESTER .AVE'- BAKERSFIELD, CA. '93301 HAZARDOUS' MATERIALS MANAGEMENT pLAN INSTRUCTIONS: To cvo[c turTher action, return ;his term within 30 aays of receipt. 2. ~PE/FRINT ANSWERS IN ENGL;SH. 3. Answer me cues~ions Delow tar :ne ~ustness cs z. ~e onet cna canape c~ oc~ie. ~ '~ SECTION 1' BUSINESS IDENTIFICATION DATA £_.-CT;CN": EMERGENCY NCTiFiCAT;ON' " ' - ~zaraous'Ma~eriah Division -.. HAZARDOIJTS MATERIALS MANAGEMENT PLAN ' ~ SECTION 3: TEAININ(~: NUMBER .OF EMPLOYEES: (_.~~ MAI'ERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM:' SECTrON 4: EXEMPTION REQ. UEST:. 'CERTIFY UNDER FE..",!ALTY C.F , . Ax...;'THAT'MY E, USiN:,,-S IS EXEMPT FRC'M THE qE?C, RTING ~ ....' ...... ?TE~ '3 C= .... .;,"mi--"":, C "-" '"" '""' ,..., u = '.,.,,/c "'C H,'ANC..:r c ',',=,.",,-,--,~ - 7;biEE:(CE:D THE MINIblUM .2EFC.'2TiNG G. UANTFTIE~. SECTION 5: CE.qTIF!CATION: CE:iT[FY -HAT THE ABCVE iNF©R- ' MATi'©N IS ACCURATE. i UNIDER,%AND THAT THiSINFCRMATION WILL SE USED TO FULFILL MY FIRM'S CBLIGATI©NS UNDER THE,, :"~,,..,.~L,F,,.,RNh,-,' r .'-' ' HEALTH .AND SAFET.'"' CODE" ON HAZARDOUS biATERIALS .(.DIV. 20 CHATTER 6.95 ~E'C. 25500 ET AL.) .AND THAT INACCURATE iNFCRMAT[CN CCNSTIT-UTES PERJURY. - .,~:~NATURE TITLE DATE .._._ '~ . Hazardous ~fa~enais D~vis'~on ~1~} I HAZARDOUS. MATERIALS MANAGEMENT PLAN Fc~cility Unit Name: c~4~'s ':4~¢o ~ " SECTION 8: NOTIFIC:ATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES' _.'~ --MPL..,__NOTIF!CATIONAND :','~C~AtlON-'"* "- ' " SECTION 7: MITIGATION, PREVEN13ON AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: '- RELEASE-CONTAINMENT AND/OR MINIMIZATION' S' '-' _:jp ,--, :L..,.N CF ~HUT-OFFS AT YOUR FAC,LIT ,): SECT[CN 8: UTILITY SHUT-OFFS ."._:C ""~ , v -" _ .......,~ ,-" ,~, ,",J E: :C z' ' CO'w-U'<- 6>~ d~o'~S,O~ < SECTION 9: ?RIVATE FiRE ?RCTECT[CN/WATER .AVAILABILITY: A. ?RIVATE FiRE ?ROTECT;CN' WATER AVAILABiLLTY (FIRE "vr~RANT}:.=.~. ' BAKERSFIELD CiTY FIRE DEPARTIVtiENT '~-, ' HAZ. a~OUS MATERIALS INVEN~RY Page_of._ ~u~iness Name ~-~,~ ~ ~ '"~--~ Address ~TZ i ~ ~ * CHEMI~'DE~Ri~ON ' 1) IN~RYSTA~: N~{ ] ~{ ] R~[ ] ~n[ ] Ch~~a~N~ES~ [ ] ~S~R~ [ ] 2) ~.~: ~~ ~t~. 3)~T~ C~m~ N~: ~M [ ] C~ 4) PH~IC~ & H~ PHYSIC~ 5) WAS~ C~SS~CA~ON (~ ~e ~m eHS Fo~ a0~) USE CO~ ~ ~ 6) PH~C~STA~ ~ [] Uq~ ~ ~ [] Pure [] ~ [] W~te ~ ~[] ~ ,Mou~ ~o ~ME*~ F~C~W ~ U,~ O~ ~SU.~ S) STO~E CO,ES M~mum~u~ ~ [~ [ ] ga [ ] fi3 [ ] a) Co~ A~ O~ ~u~ ~ cunes[ ] b) Pressure: ~n~ A~C ~ : c) Tempera: ~D~OnSRe ~ Cimle~Mo~: AllYe~. J. F. M. A. M. J. J. A. S. O. N. D 9) MITRE: ~st COMPON~ CAS · % the t~me most ~ ~) [ ] cbem~ ~m~ne~ or ~y AHM ~m~ 2) [ ] [ ] 10) Lo~ion CHEMICAL DESCRI~ION 1) IN,TORY STA~S: New ( ] ~o~on [ ] Revision ( ] Deletion [ ] Check ~ chemi~ is a NON ~DE S~R~ [ ] Chemi~ N~e: AHM [ ] CAS 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES F~re ~ Rea~e ~ ] Sudden Rele~e of Pressure [ ] ImmeOi~e He~h (Ac~e) [ 5) WAS~ C~SSIFICA~ON 3-dig~ code from DHS Fo~ 8022) USE CODE 6) PHYSICAL STA~ Solid [ :~=uid [ ] G~ ] Pure [ ] Mi~um [ ] W~te [ ] R~ [ ] 7) AMOUNT ANO TIME AT FACI~ ;NITS CF M~SURE 8) STOOGE CODES M~imum Draw Amoum: ~ [~ [ ~ .;a [ ] ~3 [ ] a) Contmner: Average O~ly Amount: ' ~ curies [ ] b) Pressure: Annu~ Amount: ~ c) Tem~r~um~. ~gest Size Contaner: ~ Oavs On Site Circle~icn 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~oous ~ ~ c~em~ com~nen~ or ~y AHM com~nents ~} [ ] 10) Lo~ion ce~ unOer pen~ or law. mar I nave ~e~onalty ex~n~ ~o ~ f~m~ w~m ~e mtomaDon~uDmi~ on ~is ~ ~i a~ ~umen~ 81~ Name & ~e of A~nZ ~ Com.~y Re~reS enm~ve .. 'g~ ] ' . . . Dam BAKERSF LD CITY FIRE DEPABrMENT HAZARDOUS MATERIALS .INVENTORY Page_.of :i. · Jsiness Name Address CHEMICAL DESCRIPTION 1) IN~RYSTATU~:.New{ ] A~( I Revision[ ] Deletion[ ] Checkifat~i~&NONTRAD~EC~ET [ ] 'TI:IAi~-___~ [ ] 2) Common Name: 3) DOT ~ (o1~ Chemical Name: AHM [ ] CA~ 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEC-.-.-~RIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ]- Immediate HeaJ~t (Agute) [ ] ~ Healat (Chroak=) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHG Form 8022) USE CODE · ~) PHYSICAL sTATE Solid [ ] L.Jquid [ ] Gas [ ] Pure [ ] MiXtm~ [ ] Waste 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES MaXimum Dally Amount: lbs [ ] gal [ ] 1t3 [ ] e) Container. Average DaJly Amount: curies { ] b) Pressure: AnnuaJ Amount: c)*Tempereture: Largest Size Container: # Days On Site CircleW~ich Months: All Year, J, F, M, A, M, J, J, A. S, O, N, D 9) MIXTURE: I.fist COMPONENT CAS # % WT AHM the three most haz,~dous 1 ) [ ] ct~emmal components or any AHM componergs 2) [ ] ~ 0) Location CHEMICAL DESCRIPTION ) INVENTORY STATUS: New { ] Addition [ ] Revision { ] Deletion { ] Chect( if ct'mmical is a NON TRADE SECRET [ ] TRADE SECRET [ ] I Common Name: 3) DOT # (oDaonaJ). ChemicaJ Name: · AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ I Reactive ( ] Sudden Relesse of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION !3-digit cocle from DHS Form 80221 USE CODE 5) PHYSICAL. STATE Solid [ ~ ~c~u~(3 [ ] Ga~ [ ] Pure [ ] Mixture [ ] Waste [ ] Raglioecfive [ ] AMOUNT AND TiME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Oady Amount: !bs [ ] gaJ [ ] ft3 [ ] a) Container:.' Average Daily AmounT: cunes{ ] b) Pressure: AnnuaJ Amount: c) Temperature: L.a~gest Size Contmner: # Days On Site Circle Which Months: All Year, 'J. F, M, A, M. J, J, A. S, O. N, D MIXTURE: L~st COMPONENT CAS # % w-r AHM t~e th~;ee most I~azaroous 1 ) [ ] chemic..aJ components or any AHM components 2-1 [ ] o) Co~on · ernfy unaer ~ena~ty o/Jaw, ~nat / nave personalty examined eno am familiar wi~h the ~ntomanon suornitted on ~is aha ail atlactma clocumen1~ I I~elieve th ~rnitte~ mfon"nebon is tTue, accurate, a~3 comp!ere..