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Home My WebLink AboutBUSINESS PLAN 2/22/1989 SITE/F_~CI LI T¥ D I AGRA~ NORTH SCALE: BUSINESS NAME: (CHECK ONE) SITE DIAGR.%M ORTH SCALE:~/~ BUSINESS NA~ DATE:/~ I///?rFACILiTY (CHECK ONE) SITE DIAGR.~M FACiLI~ DIAGRXM ~" ~. '~'., ~ I ~ /~ ' .. Inspector's Comments): -OFFICIAL USE ONLY- - ~A - / BAKERSFIELD CITY FIRE DE?AR . 'J .~' 2130 "G" STREET ~_O ',-;- 3- -?. i"'(sos) s2s-3979 RECEIVED 1. To avoid further action, return this form by ' RE 2. TYPE/PRINT 'ANSWERS IN ENGLISH ~% A 3. Answer the 'q~es~ions below for the business as a whole. PR 2 4. Se as brief.'and concise as possible.:,L. ,~0,~, ~'~'~S'~ ............. SEC"~ION I.: BUSI~'ESS iDE~i'TF!CATION DATA ~.~ SECTION ~: EMERGENCY ~OTIFTCATIONS /_~,/fS,,~/...Z~'"' tn c~se of an emergency invoivin~ the re!e~se or threa~ened~.'re!e~se of a h~z~rdous m~ter±al, cal~ 911 ~nd 1-800-8~2-?~0 or 1-913-4~?-4~41~ This will your lo¢.~1 fire deg~rtmen~ and ~he Stute Office of Emergency Services as required bF EMPLOYEES TO NOTIFY IN CASE 0F EMERGENCY: NA~/TIT~/E ,/--.~// Db~RING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~IOLE E. LOC~ BOX: YES ~tF 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 SEC%ZO~ 5: ~06A5 E~E~6E~C~ ~ED~CA~ ASSIS~OE ~0~ ~Ob~ B~S~ESS AS A WBO~E &. ' d' /; SECTION 6: EMPLO~E T~INING EMPL0~%RS ARE REQUIRED T0 HA~ A PROG~M WHICH PROVIDES EMPLOYEES WITH ~NITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES 0R NO iNITIAL" REFRESHER A. METHODS FOR SAFE HANDLING 0F HAZARDOUS ~TERIALS: ....................................... ~YES3 N0 'YES B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... eYES3 ~0 -':;YES %0 C. PROPER USE 0F SAFETY EQUIPMENT: .................. ~ N0 :YES N0 D EMERGENCY EVACUATION PROCEDURES: ................. · N0 YES E DO YOU ~INTAIN E~PLOYEE TRAINING RECORDS: ....... N0 YES N0 SECTION 7: ~Z~DOUS ~TERI~ CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~&TERIAL IN QUANTITIES LESS. THAN 500 POUNDS 0F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES (~0~ I, ~..~_~_h~.~./"~'~¢~( : ~'.~L , 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. 25500 Et Al.) and that inaccurate information constitutes perjury. AKERSFIELD CITY FIRE DEPART}.IE 2130 "O" STREET BAKERSFIELD, CA 93501 OFFi~,.A~ USE ONLY ID~ BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by:i 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. " FACILITY ~IT~ FACILI~ ~IT N~:, SECTION ~: MITIGATION, PR~ION, ABATEM~ PROC~L~ES SECTION' 2: NOTIFICATION Ah~ ~ACUATION PROCEDL~ES AT THIS-b~IT 0h'LY SECTION 3: HAZARDOUS M~T~RIALS FOR TWIS IF~iT ONlY A. Does this Facility Unit contain Hazardous Materials? ...... ~MO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form =4A-!) 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 PROTECTiOM SECTION §: LOCATI05' OF WATER SUPPLY FOP. USE BY EMERG~ RES, PONDERS SECTION ~: LOCATION OF UTILI_V? SHUT-OFFS AT THIS UNIT ONLY. ~ A. NAT. GAS/PROPANE~ / I~,/~ ~ B. ELECTRICAL: E. LOCK BOX: YES IF YES, LOC.XT~O..: IF YES $~TE ~av~ ?ES ,; .... , _ ....... ?Tr) MSDgs., ~..:~ ~'a . ..OOR .... · ..... ~: ' ...... - 3B - CITY of BAKERSFIELD '~-~ AZARDOUS MATERI ALS INVENTORY Farm and &~riCulture Standard BuSings 'r RAD E S E C R E TS ,.q.]=_ ~. 0 CTTY, ZIP: ~ ~.0. ~OX IO3Z5 CITY, ZIP: ,. ~n~/~---~ DUN AND BRADSTREET NUMBER' ' -- of P~ ~lth ..... f~ ~zard ~--~ ~ctlvlty ~lth of P~ ~lth .......... H~lth of P~su~ afllth ' ' ' J . ~lth of Pr~sure ~ealth Certlficat~ (Re~d and siKn after coepletinE all sections) certify ~dee ~lty of 1~ tMt I ~ve ~esmlllye~am~n~ ~ ~ f~JlJer ~Jth t~ Jnf~tJm su~Jtt~ tfl thJs ~ ell ett~ ~ts. ~ t~t Ms~ m ~ J~J~ af t~e ~tvt~ll obtamj~9 tM tnt~t~m. I ~l~eve tMt t~ su~itt~ info,tim ~s t~. accurate. ~ c~lete. CITY of BAKERSb'IkL '~ ~ HAZARDOUS MATERI ALS INVENTORY' F~i a~ ~q~f~}tvre $t~rd 9usin~S :[TY zIP:~L I~Ub[v~l{~:~:~: CITY, ZIP: DUN AND BRADSTREKT HUMBER ¥, P.O. BOX 70325 (C~k ~ll t~t a~iy) ' · Hazird ~--] l~tivlty [ , ~lth of Pm~ ~ith ............. fl~lth Certtficiti~ (Reed and sign after colpJeting all sections) CITY of BAKERSFIELD '~_.~ ~/HAZARDOOS MATEP~I ALS INVENTORY' F~rm ~nd l~ri~ltur~ Standard ~usin~s NON--'I~RA'-) E S E C RET S ' ~q.,5of~~ ~. OBL TRUCK SERums::. : OWNER NAME: NAME OF T~ FACILITY: ._ , BUSINESS NAME ~- ~:;;;:; A7 F~%. ~ STANDARD [ND CLASS CODE - LOCATION: ~. ~ ~ ...... ADDRESS: · CITY. ZIP:_ ~- s.v. DUA /UdZ~ CITY. ZIP: DUN AND BRADSTREET NUMBER (C~k ell t~t a~ly) . / r .... , .................. [ ~ Fire Hazard ~--~ R~ctivity ~ H~lth of P~su~ N~lth ...... (C~k iii t~t INly) H~lth of Certlficiti~ (Read and si~fl after completing alJ sections) for obtaining t~ inf~t'Im, I ~lieve t~t t~ su~itt~ info~ti~ is t~, accurate. ~ c~lete. Truck Service Mt. Vernon At Fwy. 58 P.O. Box 70325 Bakersfield, CA 93387 (805) 326-8273 May 12, 1989 City of Bakersfield RECEIVED P.O. Box 2057 Bakersfield, California 93303-2057 '~ ~ ~ 1959 A~TN: Hazardous Materials Division To Whom It May Concern, During the course of last year RRR Truck Service changed its name to Robl Truck Service, we also changed our address. The city as well as the fire department were notified of the changes and the business license is now reading Robl Truck Service. This note is to ensure that you have the proper name on your paperwork and that we do not receive another bill under our new name o A new hazardous material plan has been filed and rejected. We are currently revising our plan. Thank you for taking care of this little problem for us. Robl Truck Service T - '. PLEASE'MAKE CHE_QKS RAYABLE TO:~ ~..t ;. :: ,.' "; ~FIELD, CA 93303-2057 .~-.' ACCOUNT.:~;'~':::'~'~'...:.,-'.. ,,~',... ' · - ...' C~TY..OF BAKERSFIELD .. · . .-.. ....... ~ ,~ ,~.C ....... ~L~ ,.~- ,./?-. ~.--. /-'- ~ ..... , INQUIRIES coNCERNiNG THIS BILL, F[~'E PHONE: '"' L'" .... . ~:.~ · : ..