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Home My WebLink AboutBUSINESS PLAN SITE DIAGRAH (Required me) 1. Address: Identify 9. Lock (key) principle buildings by the Street numbers. 10. MSDS Storage Box 2. Street(s), Alleys, 11, Railroad Tracks Driveways. and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire mtreet nares. b. Masonry 3. Storm Drains, Culverts, Yard Drains c. Wood 4. Drainage Canals, Ditches, d. Gates Creeks. 13. Ps.relines 5. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the o. Metal construction capacity in gal. a, Above ground d. Accese Door b. Underground 6. Utility Controls a. Gas 16. Diking or Bern b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: ' Identify the ?. Fire Suppression Systems: location where a. Fire Hydrants employees will Rest. b. Fire Sprinkler 19. Outside Hazardous Connections Matte Storage c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves il. Outside Hazardous for protection systems Material Use/Handling e. Fire Pump 22. Type of Hazardous Material/Waste Stored 8. Fire Department Access or Used (See Below) F - Flammable ~ - E~ploslve L - Liquid R - Radlological C - Corrosive 0 - Oxidizer 0 - Oas P - Poison Water Reactive T - Toxic S - Solid 'H - Cryogenic O - Waste B - Btiologicai Exaaple: Flaemable Liquid - FL FACILITY O(AGRAq (Required liens in addition to the abo~e) l. Rlserw for Sprinklers a. Flee gocal~a 2. Partitions O. Air Conditioning Units 3. Stairways: Indicate the 10. Windows levels served from highest to lowest, 11. Inside Hazardous Waste Storago 4. Escalator: Indicate the levels served frow lg. Inelde Hazardous higbeet to lomaet. Materials Storage S. Elevator 13. Inside Hazardous Itaterlale Uae/Handling S. Attic Acceea 14. Se~er Grain Inlets 7. Skylights DECEMBER 27, 1990 TO: RALPH HUEY, HAZARDOUS MATERIALS COORDINATOR ,./~ FROM: DREW SHARPLES, FINANCIAL INVESTIGATOR SUBJECT: UNITED RENT-ALL HM 430301 Jimmie R. and Barbara M. Fallin DBA United Rent-All filed Chapter 7 Bankruptcy on November 19, 1990. Please close account as of that date. krc DS1227901 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET ...-..~r_()RECEIVEI3 BAKERSFIELD, CA 93301/~ (805) 326-3979 JUL 2 2 1987 Ans'd ............ ID# US INESS N.~IE B~SI~ESS PLA~ AS A ~HOLE ~oa~ INS~UCTIONS: 1. To avoid furthe~ action, return this fo~m by 2. TYPE/PRINT ANSWERS IN ENGLISh. 3. Answe~ the questions below for the business as a whole. 4. Be as brief and conclse as possible. SECTION 1: BUSINESS IDE~IFICATION DATA SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release ov threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1.916-427-4341. This will notify your local fire department and the State 0ffice of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE___ DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL':' E. LOCK BOX: YES /.~IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO / 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS : . . .' .................................... YES YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ........................... YES ~/~J~ YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES.~~ YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES .YES NO E, DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES YES NO SECTION ?: HAZARDOUS NATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 P~F A SOLID, §S GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: .... f. Y~ NO I, ~/~ ./~////;~J, certify that the above information is accurate. I understand that this information.will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 ,Sec. 2§$00~~Et Al.) and t~~/~a~t lnaccurate information constitutes perjury. BAKERSFIELD CiTY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAl, USE ONLY ID# BUSINESS NAME: BUSI NESS PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRiNT \'OUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION AAq] EVACUATION PROCED5-RES AT THIS UNIT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY · A. Does this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List.only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION $: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. 6AS./PROPAN~ B. ELECTRICAL: 'C. ~ATER: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: tF ~ES, SITE PLANS? YES ./ NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 Page __L_of~/'° NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME://~~...-t4/'/,~..-~ OWNER NAME: FACILITY UNIT ADDRESS: . ~/ ~~~ /~ ADDRESS: --' FACILITY UNIT NAME: ~ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY ~AZ'ARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE NAME: TITLE: SIGNATURE: 'DATE: EMER~ TITLE: PHONE · BUS ~OURS: AFTER BUS ~RS: EME CY CONTACT: TITLE: P~ONE ~ BUS ~OURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS. ~RS: