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BUSINESS PLAN
ITE DIAGP, AM FACILITY DIAGRAM Far Ottice Use Only First In Stctian: Area Mca # ct lns~ec:ian Stctian: NORTH L~Y " ' BUSINESS. PLAN 'MAP ·~1~ sITE'MAP ~F0rm.5 - [..'].. AREA MAP. Form 5A ,. -If Form 5A~Box is Checked: ~ea Map ~. of Name of ~ea: ~ RECE I VED KCFO ~CU STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805> 32&-3979 DATE: 3/01/97 TO: DARREL AND SONS MUFFLER REPAIR 235 E BRUNDAOE LN BAKERSFIELD, CA 93307 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 CHARQE DATE DESCRIPTION REF-NUMBER DUE ~-~f~ TOTA~-~ AMOU~ 0/00/00 BE~INNINQ BALANCE 385.67 HMO09 2/i3/97 Charge adjustment 2/13/97 1.58- FINANCE CHAROE PBO17 2/13/97 Charge adjustment 2/13/97 1.58- FINANCE CHARGE FOR QUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 9.48 3.16 369.87 DUE DATE: 3/31/97 PAYMENT DUE: 382.51 TOTAL DUE: $382.51 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE ~ DATE: 3/01/97 DUE DATE: 3/31/97 REMIT AND MA~E CHEC~ PAYABLE TO: CITY OF BAKERSFIELD P,O. BOX 2057 BAKERSFIELD CA 93303-~057 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 TOTAL DUE: $382.51 STATEMENT DF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE~ 2/01/97 TO: DARREL AND SONS MUFFLER REPAIR 235 E BRUNDAGE LN BAKERSFIELD, CA 93307 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 1/01/97 BEQINNINQ BALANCE 382.51 HMO09 2/0i/97 FINANCE CHARQE 1.58 FC011 PBO17 2/0i/97 FINANCE CHARGE 1.58 FCOll FOR GUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE: 2/03/97 PAYMENT DUE: 385.67 TOTAL DUE: $385.67 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 2/01/97 DUE DATE: 2/03/97 REMIT AND MA½E CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3~I2 TOTAL DUE: $385.67 STATEMENT DF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 1/01/97 TO: DARREL AND SONS MUFFLER REPAIR 235 E BRUNDAQE LN BAKERSFIELD, CA 93307 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 ----CNAR~E---~DA-TE~DESC~IP=%IDN ............ ~RE~~~DUE~II~_-_TO_'[AL~.~~ 12/01/96 BEGINNINQ BALANCE 373.03 HMO09 i/0i/97 FINANCE CHARGE 1.58 FCOil HMO09 1/01/97 FINANCE CHARGE 1.58 FCOll HMO09 i/0i/97 FINANCE CHARGE 1.58 FCOll PBO17 1/01/97 FINANCE CHARGE 1.58 FCOil PBO17 1/01/97 FINANCE CHARQE 1.58 FCOll PBO17 1/01/97 FINANCE CHARQE i. 58 FCOll CONTINUED ON NEXT PAGEo.. DATE~ 1/01/97 ~ REMIT AND MA~E CHEC~ PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX ~057 BAKERSFIELD CA ~3303-2057 CUSTOMER NO: G912 CUSTOMER TYPE: ES/ 391~ STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 150i TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3c~79 DATE: 1/01/97 TO: DARREL AND SONS MUFFLER REPAIR 235 E BRUNDAOE LN BAKERSFIELD, CA 93307 CUSTOMER ND: 3912 CUSTOMER TYPE: ES/ 3912 FOR GUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP DF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 9.48 3.16 3.16 366.71 DUE DATE: 1/01/97 PAYMENT DUE: 382.51 :PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: 1/01/~7 DUE DATE: 1/0I/~7 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAAERSFIELD P.O. BOX 2057 BAKERSFIELD CA ~3303-2057 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3~1~ TOTAL DUE: ~38~.51 "; ............ ~ .... ~ Bakersfield Fire' ~Dept. 1715 Chester Ave. Bakersfield, CA 93301 Date Completed 0~///2-~,/'~' Business ,ceaSe.: Business Identification No. 215-000 ~7~'/~'"~-.i''''~ {lop of Business Plan) Arrival Time: Departure lime: Inspection Time: ~d~quate Inadequate Adequate Inadequate Address Visable /I [] /r'l Emergency Procedures Posted [] [] ' Correct Occupancy//I D /¢1 Containers Properly Labled r"l [] Verification of Inventory Materials[/[ I'1 /i"1 Veri,cationofauanUtie /" I [] / [] Verification of Locatio~l \ i"1 /r'l Verification of Facility Diagrami'1 I'1 Proper Segregation of Materi~l ~[] /[] ,~tousekeeping [] El ' , ~ /":ire Protection [] [] Comr~ents: Verification of MSDS Avail~lity [] [] Number of Employ6es: M~.H~T M~ ~itodng Program [] [] Commen Verification of Haz Mat Training [] [] , Permits [] [] Comments: Spill Control [] [] Hold Open Device [] [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures [] /¢ [] Proper Waste Disposal [] [] Comments: Secondary Containment [] [] Secudty [] [] Special Hazards Associated with this Facility: Violations: t All Items O.K [] Business Owner/Manager PRINT NAME SIGNATURE Correction Needed ID Whi~Haz Mat Div. Yellow-Station Copy Pink-Business Copy n ' Business ,denafiCa~on No. 215:000 '"P~'/F~ F ~op o B s Pla . Depa~ure Time: · Inspec~on Time: '. : Address ~sable /1'~. ~ , /~ / .' EmergencyProcedures ~osted Adoquato~ Inadequate ' · ' ' Co~t Occupancy//I ~ /~' / .' COntainem PmpedyLabled ~ Verification of InveH[~ Materials F I ~ /~ ~ommentS: ."" - ':. ' .' ': "Nbmberof. Employ[es: i. / ., / ' ' ~M~aofing Program D - ~batement Supplies and Pr~urg~?;';'.''~' ~ .~ Proper ~aste Disposal ~ Oomments: ~'~'~"~' '~ ........ Seconda~ Containment :~ ecial Hazards Associate~.:with this Facili~: -a , Viola~ons: ~. .- . / All Items O.K Business Omer/Manager PRINT NAME SIGNATURE Correc~on Needed ~H~ Mat Div. Yello~S~aon C~y Pink-Business Copy )i?:i~, OI?I~'CE OF ENVIRONMENTAL SERVICES :,;: '~: ~[ ~ ! _ . ' "' ~ 1715 Chester Ave. ? ~,~, ,,~ , . . Bakersfieid, CA 93301 Date Completed "BUsiness Name~ ~r ¢~ 7~J ~' ~ ~~,~'5 Business Idenaficaaon No. 215-000 ~/~ ~ flop of Business Plan) ~ Sta6on No. / Arrival Time: Depa~ure Time: _ ~_ ~nspec~Oh Time: · _ gdequate Inadequate Adequate Inadequate Address ~sable /~, ~ / ~ / Emergency Procedures Posted ~ ' Co,ct Oocu~ncy [~ ~ / ~ / Containem Pmpedy Labled ~ ' Vedfi~tion of Inven'~ Materials / ~ ~ I ~ Comments: , Vedfication~fQuantitie~ [ ~ /~ / . :..Vedficatip~ of Locatio~ [ ~ ] ~ / Verification of Facili~ Diagram ~ ~ "'Proper Segregation of Mated~l ~ ~ / ~ / ' ' ' ~ousekeeping ~ : .:,. ' ' ] ~ ] / ' / ~ireProtection ~ Comments:.. ' ] ~, ] / / ! Electrical ~ / / omme., : Verification of MSDS Avail~bli~ ~ ~ / , Number of Employbes: ~ ~ ~ ~T M~n~on~g Program ~ ,~ ;':~ ': / Comments:"/ · " verification of H~ Mat Training ~ ~/ / / ' ~ / [ .... ~e~it~ ~ Comments: .' / .' , Spill Control ~ :' ',',:'" / ~ .. , HoldOpen Device ~ Verification of , ?,~:~.:~.;.~.~; / H~rd6us Waste EPA No. ~batement Supplies and Procedum~~'~'' ~ ~, ,ffi ....... . Proper Waste Disposal ~ Comments: .... "~'~"' Seconda~ Containment . D ,~;. ~pecial Hazards Associated~with this Facili~: ........ Violaaons: / All Items O.K Business O~er/Manag~ PRINT NAME SIGNATURE Correction Needed ~e-H~ Mat Div, Yello~S~tion Copy Pink-Business Copy OFFICE OF ENVIRONMENTAL SERVICES, 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 1NST~UCTIONS: o_. ~PE/PRfNT ANSWERS IN ;_NG~,S~.' "" 3. Answer ;~e auesfions beiow for t~e Ousiness cs ~ Be brief cnd concise cs Do~ibie. SECTION 1' BUSINESS IDENTIFICATION DATA ~ -,,. v- I ' ' t -I ,..~ CATION: ~.~.~"' ~'- '~,¢-~,,~.,_,~.~e., '.' ,'. x, c ..... ~ 8:~,¢_~, ..... ,~'UN ,", ,",':,~,,._.~ ~ " ,-'x ~MARY ....... '*' ' c. ,, ,~,~: ?'.",-~ LIN'-' ,-",~ _: ' . , ,: ,q::~ ~ £, ~.. . SECTION "" --. EMERGENCY NOTIFICATION: :.. CONTACT TiTLE ,BUS, ?HONE '24 HR. RHONE- 1 _iSa~-ers~e~a 2::=e Dept. :ardous ~ateriai.~ Divi.~ion' ~ HAZARDOUS MATERIALS MANAGEMENT PLAN ' 'SECTION ~: TRAININg: ~.~ ,. NUMBER OF ~MPLOYEES:~ " MATERIAL· SAFE~ DATA SHEETS ON FILE: ~ .. BRIEF SUMMARY OF TRAINING pROGRAM..__C,,o ~ /'/,//'/Ir SECTION 4: EXEMPTION EEQ. UEST: , -'.~,,, THAT:MY :US~N~ IS EXEMPT. FROM THE RE'OR'TING ..... ' .... ~v~EN~ OF CHA~T:: :.y: OF ~"CALIFORNiA HEALTH & SAFETY C~u.~ 7OR - ~' FCL.~7tNG .~,-*,~-,x~ C US MAT2ERIALS. SECTION E,: C&:,TIFICATI©N: MATi©N iS ACCURATE. ! UN©ERSTAN©THATTHtSINFORMATiON WILL ~E USED TO FULFILL ~I,Y RFR,'vl'S OBLIGATiC)NS UNDE~ "': '"" ' '-' ' T ON H,~ZAROCUS MATERIALS (DIV. 20' "-"' ~'"'~' ,,..,mAr'T::~ 6.9,5 ~:C. 255,00 E~: AL.) AND THAT INACCURATE iNFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE Hazardous Materials Divisio~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6' NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: . % EMPLOYEE NCTIFiCATICN AND .... :'/ACUA~ICN.' · :xG M E:_,~,C,-,L PLAN .. 'x" ' · . · Bakersfie!dFLreDePt. ' Hazardous Materials Division ....... H.~.AR-DO'~S MATERIALS MANAGEMENT P~N SECTION 7: MITIGATION, PREVENTION A'ND ABATEMENT PLAN: A. 2=_~A~- ~-PREVENTIONSTEFS: CONTAINMENT AND/OR MINIMIZATION' .~, c.', N-UP ?RCC.=uUR SECTION $ UTILITY.. SHUT-OEFS L,_..v.,..,,-..~,CN SHUT-OfFS AT YOUR FACILITY'): ,--,:... T~ !,._,,-,,_. :S~ t~'S SECTION 9' PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION' p°'A-q-cPv(~'. ,.,?__~,¢¢. ~.q_6,,.55~z~'L_~..~ B. WATER AVAILABILITY (FIRE HYDRANT')' ~,,.-,,~ BAKERSFIELD CITY FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326.3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION .' CHECK iF BUSINESS '=.m,~/NAME " SiTE ADDRESS NATURE CF EUSINE~S ~COE 7~ DUN & ~DSTREET EMERGENCY CONTACTS SUSiNESSr,,ONE ~- ~~ 2~-HOURFHONE SUSiNESS FHONE 24-HOUR PHONE BAKERSFIFii D CITY FIRE DEPARTS/tENT HAZARD13US MATERIALS INVENTOiq' ~t~f~-. ~sine~ Name ~' Addr~ '~ '~ " "CHEMICAL DESCRI~ON .-.1 . . . .'~-~ .... . ...~.. Co~n N~: ~.u ~=~ 3) ~T · (o~ Chem~N~e: AHM [ ] C~ H~D CA~GQRIE$ Fi~e [~Re~e ( ] Sudden Relate of Pressure ~[ ~ ~mme=i~e He~ (Ac~e) [ ] ~ He~ (C~m} [ ] WA$~ C~S$1~CA~ON ~3~ig~ c~e from DHS Fo~ 80~ USE CODE AMOUNT AND ~ME AT FAC~U~ ~NITS OF M~SURE 8) STOOGE CODES A~e 0~ A~unt: ~ ~ tunes ( ] b) Pressure: Annu~ Amouni: ~~ c) Tem~r~m: ~es~ Size'Contane~ ~ 3 ~ Oa~ On Site '~ C~rcte ~ich Months: All Ye~,.J, F, M, A. MITRE; Ust COMPON~ CAS :he t~ree most n~Oo~s ' i) [ ] c~em~ com~nen~ or IN~NTORY ST~S: New [ ~d~ion [ ] Re~ion { ] Deletion { ] Che~ ~ chemi~ a · NON ~DE $~ [~E SECR~ [ .] Common N~e: ;hemmca N~e: AHM [ PHYSICAL & H~L~ ~HYSICAL H~ ~O CA~GORIE~ F~re [~ea~=ve ( ] Suo~en Retake of Pressure (~ Immeai~e He~ (Ac~et [~ ] ~ He~ {Chmnm) [ ] WAS~ C~SSIF1CA~CN .~ig~t co~e from OHS Fo~ 8022) USE CODE PHYSlCALSTA~ ~olid [ ~ Uau,d [ ] G~ '[~ Fure (~ure [ ] W~e [ ] R~ [ ] AMOUNT AND ~ME AT FAC:~ ;NITS CF M~SURE 8) STOOGE CCOES M~lmumO~IyAmount: ~ ~ ] ~a ~ ~ ~3 [~ Average OaN Amount: tunes [ ] Annu~ Amount: ' ~ge5t Size Contane~ ; .~'~ ~ Oa~ On Site .... C~rCe ~icn ~on~ns: ~1Ye~, J, ~, 'M, A~- MITRE: ~s~ CCMPON~ C~ · ~ ~ ~M ;~e three most h~oous ~ ) cnem~ com~nen~ or .'~ unoer ~enm~ ~i law, mat i nave ~ e~n~ ~ ~ i~m~ w~m me/nto~ suDm~ on HAZ DOUS MATERIALS INVEI RY ~ . Page_oL CHEMICAL DESCRIPTION ' 'i ) INVENTORY STATUS: New (~(~ition ( ] Revision ( I Deletion ( I Che~k i~ Chemical i~ a NON TRADE SECRE-r [,,~ SECRET ( ] Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH . PHYSICAL HEALTH HAZ. ARDCATEGORIES Fire [~l~'~eactive[ ] Sudden Release of Pressure [ ] -ImmediateHeatth(Acute) [ ] Delayed HeaJth (Chronic) 5) WASTE CLASSIFICATION _;~'~,. ~ (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [l~ Gas [ ] Pure [ ] Mixture [ ] Waste ~ Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE a) STORAGE CODES Average Daily Amount: ~ cunes[ ] b) Pressure: AnnuaJ Amount: ~ c) Temperature: Largest Size Container: # Days On Site CircieWhichMontns: ~J, F, M, A. M, J, J, A. S. O, N. D 9) MIXTURE: Ust COMPONENT CAS # % WT AHM the three most hazaraous 1} [ ] chemicat components or any AHM components 2) [ ] [ ] I 0) Location CHEMICAL DESCRIFTION i) tNVENTORYSTATUS: New{ I Addition[ ] Revision[ ].Deletion( I Check ff chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2.) Common Name: 3) DOT # (optional) Shem~caJ Name: AHM [ ] CAS # -1,/ PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ( 1 Reactive [ ] Sudden Retease of Pressure [ I [mmeciiate Health (Acute) [ ] Delayed HeaJth (Chronic) [ ]' 5'1 WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE -3) PHYSICAL STATE Solid [ ! Liquid [ I Gas [ ] ~=ure { ] Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND T]ME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES M~xlmum LCaliy Amount: !bs ( ] gal [ i 33 [ ] ~) Container: Average CaJly Amount: curies [ I b) Pressure: Annual Amount: c) Temperature: L~rgest Size Container: # Days On Site Circle Which Months: All Year, J. F, M, A. M. J, J, A. S, O. N, 9) MIXTURE: I. Jst COMPONENT CAS # % ~ AHM ',he three most hazardous 11 [ ] chemicaJ components or any AHM components 21 [ ] 1 0) LoCation cerff~ uncler penalty or /aw, [nat i nave personaily examined anc~ am familiar w~th ~e ~nforn~itted on this and ail attached documents. -- '~- Date ~RINT Name & Tit/e of Authorized Company Represenm~ve '"-~$ignature ~ ' BAKERSFJLD ClTY"FIRE DEPAI MENT HAZARDOU.S. MATERIALS INVENTORY Page_of_ 3usiness Name Address -~ CHEMICAL DESCRIPTION :' 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemicaJ i~ a NON TI:IAI:RE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH . HAZARD 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 T1ME AT FAClETY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gaJ [ ] ~t3 [ ] a) Container:~ Average Dally Amount: cur~es [ ] b) Pressure: Annual Amount: c) Temperature: L.a, rgest Size'Container: # Days On Site' Circle Which Months: All Yea~', J, F, M. A, M, J, J, A, S, O. N, D 9) MIXTURE: Lfist COMPONENT CAS # % WT AHM the three most hazardous t). [ ] chemical components or any AHM components 2) [ ] 31 [ 1 O) Locntion CHEMICAL DESCRIPTION i! 1) INVENTORY STATUS: New ( [ Addrtion [ ] Revision I I Deletion [ ] Check if chemic, el is a NON TRADE SECRET [ ] TRADE SECRET [ I2) Common Name: 3) DOT # (optional) . Chemicnl Name: AHM [. ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES .-'ire [ I Reactive { ] Sudden Release of Pressure [ 1 Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION 3-digit coae from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TiME AT FACILJ'FY ::JNtTS CF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ihs ( ] g~J [ ] ~3 [ ] a) Container: Average Daily Amount: tunes [ ] b) Pressure: Annual Amount: c) Temperature: La~'gest Size Container: # Days On Site Circle Which ,Months: All Year, J. F, M, A, M, J, J, A. S, O. N, D 9) MIXTURE: I_Jst COMPONENT CAS # % WT AHM the three most haza~aous 1) [ ] cnemicaJ components or ajay AHM components 2) [ 10) Location cer~/~.under pen~uty of/aw, ~hat / have personally exammeO anti am familia~ wire the infoma~on submitted on this and ail altacl~eo documents. ~ubm~tteO'mfod'nation is true, accufata,.and complete.. - - · ' . .? .~. . . '". PRINT Name & Title cf Authorfzed Company Representative Signature Date ' STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 9/01/95 TO: DARREL AND SONS MUFFLER REPAIR CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/01/95 BEGINNING BALANCE 158.00 NEW STATEMENTS! Please call 326-3979 if you have questions or changes regarding your account. CURRENT OVER 30 OVER 60 OVER 90 158.00 DUE DATE: 9 / 01 / 95 PAYMENT DUE: 15 8~ 00 TOTAL DUE: $158.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE : 9/01/95 DUE DATE: 9/01/95 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3912 CUSTOMER TYPE: ES/ 3912 TOTAL DUE: $158.00 '"' General Information Location: 2:].35 U~LIN.)A(,L LN Ivl'ap:"i24 Haz:0 C i t y : ('? A K I!"J 17S F I E L D ' ~ iii r i d i' 0 ..5 : ' 't A () .......... (:ontac~-. Name .....................:. Title ....................... 1 ' '()0ntact'Name ............................Title BHs~mess .Phone: (805) 833--..27"~8x ~ Bus,ness Phone: (805) 24-1'iour Phone ~ (805) :32~--.:3381x i 24.-t'.tour Phone : (805) :}) 3 :3 -.. 4 ~ '1.: ..~ Pager. Phon~ : ( ) .... x I Pager Phone : ( ) ..... ........................................... " Administrative I:)at a ' CJ ty: EiAKERSI:: ]ii~L.D ~)t~te: OA '?" I! ............................ ............. Su mrna r y "~r.j'¢i/1.5.'/94 L')ARI~EL. SONS ivR.IFF::L. EI:~ F4EPA]:!:~ 0!5....0_]10----001848' Page ,~' '~' l-4ezmat :i;nven~on~ [)eteiq in Keference Number Order 02....001 . CE"f'YLE CAS ~: 74-.-88.--.2 "i"nade Secne,t: N0 ' Form: Gas "f'Mpe: Pune I:)ays: 365 Use,. NELD]:N(~; ............... l)ai]y Ivlax !:::T::-) ................ ! ........ !:)afi']y, Avepage !::T:? ........ ! ........ Annual Amount i:::T:? ........ 210 ! 124,08 ! 830.00 'i PL, KI, PI-~I......>,..>, ' .... I..:[NDEI~.IE~e~ow lBeqow I:I:'N SN !vl]:l)l")Ll~ OF E~I..DG .... Conc .... i ................................................................................... Componen't~ ....................................... ......... ~ .... tvl(:: P ....... I.Gui d~ !00,0~. I Acetyq ene I 1"ti gh l i"; > t:::i ~, PP8ss(.l~8 ~::"i"3 : (::AS ~: '7?8244? 'f'nade ©~e~.,Pet-: I:::onm,, G~s Type:. Pune I)~s: :?65 Use: NELD]:NG SOLDEI:~]:N(;~ ............... t:)8i'1y Nex F:'I":? ............... i ....... Oefi'iy Aven~ge FT? ........ ~ ........ Annu~'l' Amoun',~ I:::T3 ....... :? 10 ! 1~'8,08 ! 930.00 ,..,,.,... c~Me .......................... PPe~s ~ "f'emp ~.... ........................ ........ ..L .... !...oc8~fion ...~ ................................. P O R T ' P 1~ E S S, C Y I... :[ N I) E I~ (~ e ~ o w ! B e ~ o ~ .... (::onc .... ~ ................................................................................... Components .. ~ .... '~l(::P ...... Guide 100 0~ iOxygen, Compnes~ed iL. ow '14 <".2.> Emp'Joyee N'otif,/l:!!vacuation ¢3> Publlc No~.il=,/'l:vacuetJo'n "" 1/i" ~' ~' .... ).-. ' < !::: > P r e v. / IyI fin i m fi z a t fi o n / C: ] e a n u p <1> Re]ease Pr~ver, tfion . . .-'.3> C'lean Up <4> (~ther Resource Act'iva~ion 0 0 .... 0 v ~ r a ] ') ~ 'i ~ e <!>. ~pec~'~ Hazards <2> l.lt~!~ty ~!~hut,-Off$ , ap~ Protec,/Av~-i] , Nater <4> 'l~i~pthqual<e Vu]l;,er'ab~3fity O0 --- ()v.er'a'i~ Sdte r <G> 'i"raining Training i~ecord Location .. <2> Describe 'i"radndn,q Program ':3>. Emer, Agency. C:oord'~n~,..-~.on ~4> !!!men, Ke,..'" -~.ponse [!!qt..id pment ,.Jr High Schools <3> Elementary Schools <4> Private & Pre Schools CITY of BAKERSFIELD "WE CARE" January 11, 1995 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Darrel & Sons Muffler Repair 235 Brundage Lane Bakersfield, CA 93304 Dear Business Owner: Because of the annexation of the location of your business on November 10, 1994, the Hazardous Materials Business Plan and Inventory reporting requirements of both Federal and State "Community Right to Know" regulations will now be administered by the Bakersfield Fire Department Hazardous Materials Division. We have made arrangements to transfer the plans that you have previously filed with Kern County, to our office. Therefore, we will not need a new business plan and inventorY from you at this time. California law does require all inventories to be updated annuallY and your business plans to be amended within 30 days of any one of the following events. 1) A 100% or more increase in the quantity of a previously disclosed hazardous material subject to the inventory requirements. 2) Any handling of a previously undisclosed hazardous material subject to the inventory requirements. 3) Change of business address. 4) Change of business ownership: 5) Change of business name. You should' also report any significant changes to your business plan such as contact information, telephone numbers etc. For any of these changes or any questions regarding the handling or storage of hazardous materials on your site, or for any necessary underground storage tank permits, please contact us at 1715 Chester Ave., Bakersfield, CA 93301, or call 326-3979. Sincerely yours, Ralph E. Huey Hazardous Materials Coordinator