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Home My WebLink AboutBUSINESS PLAN 5/1/2001 ITE DIAGRAM I--"~1 ' FACILITY DIAGRAM Business Name: Business Address: STATEMENT OF ACCOUNT CiTY OF BAKERSFIELD P 0 BOX 2057 BAKERSFIELD, CA 93303-~057 DATE: 5/01/01 RIDERS HYDRAULICS - · ~iOi MiN~ AVE ''' BAKERSFIELD, CA 93204" C.:jo"~n~=o NO: 17008 CUSTOMEP, TYPE~ 4/0i/0! BEGINNING BALANCE 91. 50 FOR GUESTIONS OR CHANGES T° YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE lux u~ THiS 8TATEMENT. m. '. = , .... RR._NT .... 30 OVER 60 OVER 90 91. 50 DUE DATE: 5/31/01 PAYMENT DUE~ 91. 50 TOTAL DUE: $91. 50 REMIT AND MAKE CHEC~' PAYABLE CUSTOMER NO: 17058 CUSTOMER TYPE: ES~ ~0596 TOTAL DUE: $9i. 50 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 9330i-5~01 (805) 3~6'3979 DATE: 6/01/98 TO: RIDERS HYDRAULICS , ~, 801BRUNDAQE LN ~V BAKERSFIELD, CA 93304 CUSTOMER ND: 17058 CUSTOMER TYPE: ES, ~059& 5/01/98 BEQINN!NQ BALANCE .00 HMO01 6/01/98 HAZ MAT HANDLINQ FEE A 73.00 STATE MANDATED FEE SSO01 6/01/~8 CA STATE SURCHARQE 18.50 FOR ~LE~TIONS OR ~.HAN~ES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 91. 50 DUE DATE' 7/01/~8 PAYMENT DUE: ~I. 50 TOTAL DUE: $~1. 50 BAKERSFIELD CA 93~0~-205.~ CUSTOMER NO: 17058 CUSTOMER TYPE; ES/ ~0596 TOTAL DUE: $91. 50 STATEMEN~ u~ ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-5201 TO: RIDERS HYDRAULICS SO1BRUNDAQE LN ~V BAKERSFIELD, CA 93304 CUSTOMER NO: 17058 CUSTOMER TYPE: ES/ 20596 CHARGE DATE DESCRIPTION ~ ~ ~REF-NUMBER DUE DATE TOTAL AMOUNT 6/11/98 ~EGINNINQ BALANCE 91.50 FOR 9UESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER c20 DUE DATE: 7/30/c28 PAYMENT DUE' 91. 50 TOTAL DUE* $91. 50 PO ~OX ~057 BAKERSFIELD C~ ~0~-~057 CUSTOMER NO: 17058 CUSTOMER TYPE: ES/ 2059& TOTAL DUE: ~1.50 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 150i TRUXTUN AVE BAKERSFIELD, CA 9330i-5~0i (805) 326-3979 DATE: 8/01/98 TO: RIDERS HYDRAULICS, ~ 801BRUNDAOE LN ~V BAKERSFIELD, CA 93304 CUSTOMER NO: 17058 CUSTOMER TYPE: ES/ ~059& 6/30/98 BE~INNIN~ BALANCE 91.50 FOR OUESTIONS OR CHANOES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 91.50 DUE DATE: 8/31/98 PAYMENT DUE: 91.50 TOTAL DUE: 491.50 D~T~:-~,8/O~,/98 DUE C~TY OF BAKERSFIELD PO' ~0× ~057, CUSTOMER NO: 17058 CUSTOMHR TYP~: ES/ 205~6 TOTAL DUE: 991.~0 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following. ..... x~, ..... us Materials Plan PERMIT ID# 015-021001852 i!!ii !i ~iii !!i? ii,~' rround Storage of Hazardous Materials Zi?i '~i Program RIDERS HYDRAULICS Waste · ~....... ~ [ssu~ by: B~ersfield F~e D~a~ment OFFICEOFEN~RO~ALS~CES Approv~ by: ~~~~. 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93301 Voice (805) 326-3979 F~. (80~)32~76 Exp~ationDate: dunz $0, ~000 801 Brundage Bakersfi,~ld, CA Ste. V ~,,.~304 ~. Riders Hydraulics ~-~_~,~ Parts & Installation ~ Frame Reinforcing & Repair ~ John Robert (805) 336-2097 (805) 863-4707 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chesterfield, CA 1805) $26-3979 1. To avoid ~nher a~io% rem~ t~s fo~ ~t~n 30 days of receipt. 2. T~E~ ~S~KS ~ ENGLISH. 3. ~swer the questions below for the bus,ess ~ a whole. 4. Be ~ briefed conci~ ~ possible. SECTION 1' BUS,SS ~E~WICATION DATA BUSINESS NAME: 'LOCATION: ~0! MAILING ADDRESS: CITY: STATE: ZIP: PHONE: DUN 8: BRADSTREET NUMBER: SIC CODE:~ PRIMARY ACTMTY: OWNER: MAIl,lNG ADDRESS: 2 101 ~ ..,,,-6-- ~,/. '~ '5304- SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE --~4-tJR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN "" SECTION 3: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SI.YMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, . CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS LrNDER TH~ "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: 3 BAZA~OUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIOATION, PREVENT!.ON AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: B. RELEASE CONTA/NMENT AND/OR MINIMIZATION: C. CLEAN-UPPROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)_ NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): ' I~RDO US MATERIALS INVENTORY 8usinessNam¢ ~c~'C~ ~~t. c5 Ad~ Page C~EMIC~ ~gSC~ON 1 ) ~ORY STA~S: New [ ] Ad~tion [ ] Re, sion [ ] ~le~on [ ] Ch~k itch~ is a NON Trade S~et [ ] T~ Ch~ N~e: ~ [ ] CAS ~ 4) Physi~ ~ H~ P~SIC~ H~dCategofi~ F~e[ ]R~c~v~S~Rel~of~e~e[ ]~ateH~(Acute)[ ]~lay~H~(C~c)[ 5) WAS~ C~SS~CA~ON (3~t ~ ~m D~ Fo~ 8022) USE CODE ~ ~ 6) P~SIC~STA~ Solidi ] Liq~d[ ] ~] ~e[~ ~e[ ] W~[ ] ~five v) At _ S) stolon COrnS Av~e D~ly ~omt . ~ I C~ [ ] b) ~: ~ Days on Si~ ~ ~ C~le ~ch Mon~: ~ Y~, J, F, ~ ~ ~ l, I, & S, O, N, D 9) ~: Lia CO~~ C~ % ~ · e ~ moa b~ar~ 1) ch~ ~n~ or 2) ~y ~ ~m~n~m 3) I)~ORYSTA~S:New[ ]A~fion[ ]Re~si~[ ]~lefion[ ] Ch~kifch~aNONT~S~[ ]T~et[ 2) Co--on N~e: ~~~ 3) ~T ~ (op6o~) CheYeNne: ~[ ] C~ 4) Physi~ & H~ P~SIC~ ~d Categofi~ F~ [ ] R~five [ ] Sn~ Rel~ of~ [ ] ~ate H~ (Acute) [ ] ~lay~ H~ (C~c) 5) W~ CMSS~CA~ON (3~t ~ ~ D~ Fora 8022) USE CODE ~ ~ 7) ~O~ ~ ~ AT FAC~ ~ OF ~~ 8) STOOGE CODES ~mDaly~omt /O~ L~[ ]G~[ ]~[~ a)C~: Av~age ~ly ~omt t o~ C~ [ ] b) ~e~: ~ ~o~t ~ c) T~~ ~gest S~ Con~ I o ~ 8 Days on Si~ %~ C~le ~ch ~n~: ~ Y~, J, F, ~ A, M, J, J, & S, O, N, D 9) ~: Lia CO~~ C~ % ~ ~e ~ mo~ ~m 1) che~ ~m~n~m or 2) ~y ~ ~m~n~m 3) [ ceni~ ~d~ ~ of law, ~t I Mve ~ly e~ ~ ~ f~li~ ~ ~e ~omfon on ~s ~d ~1 a~ d~. ~,/cve~esub~~is~.a~te~d~pl.. ~ ~~ / l - / ~ -[ / P~ N~e & Title of Au~ Comfy R~fiv~ ~ Si~e ~ D~ HA~OUS MATERIALS INVENTO$ Page of · Business Name Address CHEMICAL DESCRIFrION I)INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] Check if chemical is a NON Trade Secret [ ]Tradesocret[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AI-IM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire[ ]Reactive[ ] Sudden Release of Pressure [ ] lmmediateHealth(Acute)[ ]DelayedHealth(Chroni¢)[ ] 5) WASTE CLa. SStaCAT~ON (3-disit cod~ from OHS Form S022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ I C-as [ ] Pure [ ] Mixtur~ [ ] Waste [ ] Radioactive 7) AMOUNT AND TIME AT FACILrrY UN1TS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] C-al [ ] ~ [ ] a) Coataia~ Average Daily Amount Curies [ ] b) Pressure: Annual Amount ¢) Temperature Largest Size Contaiaer # Days on Site Circle Which Months: All Year, $, F, M, A, M, $, $, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % w'r AttM the three most hazardous 1) [ ] chemical components or 2) [ ] any AHlVI components 3) [ ] I 0 )LOCATION 1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] CheckffchemicalisaNONTradeSeca'et[ ]Trad~Secret[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH I-l~,ard Categories Fire [ ] Reactive [ ] S~a_den_ Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chnmi¢) [ ] 5) WASTE CLASSIFICATION (3-digit code f, om DHS Form 8022) USE CODE 6) PHYSICAL STATE SoLd[ ] Liquid[ ] Gas[ ] Pur~[ ] Mixture[ ] Wa,~[ ] Radioactive[ ] 7) AMOUNT AND TIME AT FACILITY uNrrs OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] C-al [ ] ti3 [ ] a) Contain~ Average Daily Amount Curies [ ] b) Pressure: Anaual Amount ¢) Temperature Larsest Size Containa' # Days on Site Circle Which Montlm: All Year, J, F, M, A, M, J, $, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS// % WT AHM the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 10)LOCATION [ certify under penalty oflaw, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted information is mm, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Data