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HomeMy WebLinkAboutBUSINESS PLANCity of Bakersfield '~, z~ ~'~/~ TK~.NS~i1TAL SLiP Date ...... .J~..L~.~_..-...-J..~ ............. ..... ...... ~ Signature ~ Amion ~ Information ~ File Pl~se:~ ~ Return ~ See Me ~ Follow Up ~ Prepare Answer Copy to: Memo: ..................................................................................................... BULK TRANSFER (Business) OLD OWNER NAME /~/l ~ ,~/~/~ NEW O~ER ADD. ~)~. ACCOST N~BERS INVOLVED ~ ~~/ APPROX. DATE OF TRANSFER .//--7--~ THIS INFORMATION IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY cma' s. DISTRIBUTION: Sani:ation Wastewater Business Licenses :. 08/27/90 BAKI ELD CAR WASH 215-C)00-, 34 RECEIVED Page 1 Overall Site with 1 Fac. Unit Genera 1 I r~forrnmt ic, n ,JA7 ~AT O'~V. Location: 2523 ~RUNDAGE LN Map: 102 Hazard: Low Ident Number: 215-00C)-001034 Grid: 36C Area of Vul: O.C) 1 Contact Name .. Title 't ....... Busi~ess Phone ~ 24 Hour Phone3 I JOHN DE LA CRUZ (805) 325-8~15 x (805). Administrative Data Mail Addrs: 2523 BRUNDAGE LN D&B Number: City: BAKERSFIELD State: CA Zip. Corem Code: 21~-O)d BAKERSFIELD STATION 03 SIC Code: Owner: KIL-OAN KIM Phone: (805) 325-8515 Address: ~523 BRUNDAGE LN ._ State: CA City: BAKERSFIELD Zip: 9ddJ4-- Summary 08127/90 BAKERSFIELD CAR WASH 215-000-001034 Page 2 Hazmat Inventory List in Reference Number Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-001 UNLEADED GASOLINE Liquid 10,000 Moderate Fire, Immed Hlth, Delay Hlth GAL 02-002 SUPER UNLEADED GASOLINE Liquid 10~000 Moderate Fire, Immed Hlth~ Delay Hlth GAL 02-003 NEW MOTOR OIL Liquid 110 Minimal Fire, Delay Hlth GAL 02-004 WASTE OIL Liquid 500 Low Fire, Delay Hlth GAL 02-005 SOLVENT Liquid 55 Moderate Fire, Delay Hlth GAL [)8/27/9[) BAK~FIELD CAR WASH 215-000-~0034 Page 3 O0 - OYerall Site <D> Not if. /EYacuation/Medical <1> Agency Notification CALL 911 _<2> Employee Notif./Evacuatior~ THE NOTIFICATION OF ALL EMPLOYEES IS BY WORD OF MOUTH <3> Public Notif. /Evacuation <4> Emergency Medical Plan KERN MEDICAL CENTER 1830 FLOWER ST 323-7651 08/27/9£) BAKERSFIELD CAR WASH 215-[)[)[)-[)01[~34 Page 4 0¢) - Overall Site <E> Mit i gat i on/Prevent/Abat e~t <1> Release Prevention SHUT OFF SWITCH ON EAST SIDE OF FACILITY ~1, FOR GASOLINE SPILL, IF MAJOR SPILL, CALL 911 <2> Release Contain~e~t ~ <3> Clea~l Up <4> Other Resource Activation 08/27/90 BAK~FIELD CAR WASH 215-000-~034 Page 5 O0 - Overall Site <F> Site Emergency Factors Special Hazards ._<.2> Utility. Shut~Offs A) GAS - WEST SIDE OF DETAIL SHOP BUILDING ~2 B) ELECTRICAL - SOUTH SIDE OF DETAIL SHOP BUILDING #2, CENTER OF MAIN BUILDING #1~ C) WATER - ON SOUTH SIDE OF STREET ON SIDEWALK ON BRUNDAGE LN D) SPECIAL - NONE E) - LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BUILDINGS 1,2,3,4 FIRE HYDRANT - ON THE CORNER OF PINE AND BRUNDAGE LN <4> Held for Future use 08/27/90 BAKERSFIELD CAR WASH 215-000-001034 Page 6 O0 - Overall Site <G> Trair~ing <1> Page 1 WE HAVE 6 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as r~eeded <3> Held for Future Use <4> Held for Future U~e --'CITY of BAKERSFIELD EIRE ~[PARTMENT 210~ H STREET S. NEEDHAM BAKERSFIELD. 93301 FIRE CHIEF 326-39~ 1 September 4, 1990 Ms. Klm Kil-Oan Bakersfield Car Wash 2523 Brundage Lane Bakersfield~ Ca. 93304 Dear Ms. Kil-Oan: £nclosed you will find a computer printout of the Hazardous Materials Management Plan that is currently in our computer~ we have highlighted the areas that need to be revised. Also due to a change in the law that went into effect Sanuary~ 1989~ we need to have a new inventory form (enclosed) filled out. These forms must be filled out and returned to our office by SePtember 28~ 1990. If you have any questions please don't hesitate to contact us at (805) 326-39?9. Sincerely Yours~ Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures S~ERSFIELD CITY FI]~E · ' 2130 "O" S~EET RECEIVED B~ERSFIELD, CA 93301 (805) 326-3979 SEP 2 B 1987 OFFICIAL USE ONLY o0i BUSINESS I~S~UCTIO~S: 1. To avoid further action, return this ~or~ b~ ~-~-~. 2. TYPE/PRIST ~SS~ERS IS ESGLISH. 3. ~ns~er the questions belo~ for the business as a ~hole. 4. Be as brie~ and concise as possible. SECTIO~ 1: SECTION 2: E~ROENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-882-7580 or 1-916-427-4341. This will notify your local fire department and the State Office 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 SItUT-OFFS FOR BUSINESS AS A WllOLE A. NAT. GAS/PROPANE: W**i .;a~.o{ A~;t ~kop ~A;IA;~a ~- B. ELECTRICAL: ~u%[ ~!d*- ~$ ~o~h~2{ ~-~l~l~ ~u2[~]~q ~ ,Q~~ O4 ~;~ g{~q. ~l C. WATER: ~.~~ %,~ ~$~ ~;~ ~d~ m ~VU~~ ~, q D. SPECIAL: ~B~ ~ ~ E. LOCK BOX: YES / ~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS.'? YES / NO ~SDSS? YES / NO FLOOR PLANS? YES / NO KEYS9 YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A ~tIOLE "~. SECTION 5: LOC~ E~RGENCY ~DICAL ASSIST~CE FO~ YO~ BUSINESS AS A ~HOLE 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:.... .................................... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO .YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES (~ YES NO SECTION ?: HAZARDOUS I~ATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, ~ be_ ~ ~-~- .... 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. 28500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME:....~,aff-~-.C~'~¢t4! C~~ ~5~ BUS I NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 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. SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES · , , . ' ' '. SECTION 2: NOTIFICATION ha%ID EVACUATION PROCEDURES AT THIS UNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT ONLY A. Does this Facility Unit ~ ~ Hazardous MaterJa!s? COil ~.a ~. I1 ...... NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secuet YES If No, complete a separate hazardous materials .inventory form marked: NON-TRADE SECRETS ONLY (white form If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (szellow form #4A-2) ~n addition to the non--trade secret form. List only the trade secress on form SECTION 4: PRIVATE'FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A, NAT. GAS/PROPAN~J'i B. ELECTRI'CAL: D SPECIAL: E LOCK BOX: YES /. ~ T.F YES, LOCATION: iF YES, SITE PLANS? YES ;" 'NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO NON--TRADE SECRETS I-IAZ ARDOUS MATERI ALS' I NVENTOIIY ADDRESS: ~ '~u~~ ~ ADDRESS: ' FACILITY UNIT NAME: ONLY 2 3 4 5 6 7 8 9 PI': bIAX ANNIIAL CONT USE [,(}CATION IN Tills ~ BY llAZARI) D.O.T 0E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CIIEMIUAb 0R COMMON ~AME CODE GUIDE ,%HE: ----~ TITLE: ~&~er SIGNATURE: / ~ DATE: q AFTER BUS IIRS: t. IERngNCy CONTACT: ~L~A~ t. ~ ,, TITLE: ~k]k)~ PIIONE t BUS IIOURS: I~IN(:IPAI, BUSINESS ACTIVITY: AFTER BUS. IIR9: CITY of BAKERSFIELD Farm and ASticulturs ~l Stand.d Business ~HAZARDOUS MATERIALS INVENTORY TRADE sECRETS ; Pa~e PP~ NA~:~~A~~~ OWNER NAME: ~~~ ~1~ NAME 0F THIS FACILITY: LUCA/IUN; ~~~~~ ADDRESS: ~~~ b~.~ STANDARD IND. CLASS CODE: DUN AND BRADSIREE~ NUHBER bans ]~e ~ax Avtrpge Annual Hfia~re I ~ont ~ont ~ont Us Location. Whets. ~w~), tla.s of HixturelCoeponen~'s ICode code Aet AmC Est un,ts on e ~ype Press ~emp Coue , See Instru:tlons Stored IA PaClllty Physical lod peplth ~alard C,A.S. Humber ~ Component II Name t C.A,S. Humber (Check all that applyl ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sbdden Release ~ Immediate Component I~ Name I C.A,S. Numb" Health Pressure Health Component la Name I C.A,S. Number He~lt~ of Pressure Component I~ N~me I C,A,S. Number ~hysical and Health Ua~ard C,A.S. Number Component II Name I C,A.S, Number ICheck all khaL App/yl CoAponenk I~ Name I C,A.S, Number, ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Nmi.se ~ Immediate HealL~ ' of Pressure Health Component I] NAme I C,A,~. Numb. Il H Fire Hazard ~ Reactivity ~ Delayed ~ ~ Hca/Ch ' of Pressure Component Ii Name I C.A.S. Number EHERGEHCY CONTACTS fll~--aA~. ~t~ ' TT~ ~%~ fl2 ' erti iatio Re n ~ naf ~ c~m 7 Cf ~ ~ c ~ons at~ached.dgcgeenta, ang ~pat oas. on.my ~nquwy ~Ltnose ~no~v~aua~s respons~a~e ~or obh~n~ng the ~ntormat~on. ! ben,eve that the ~~~le of o~ner~opera~r oR o~nerloperaLor's a~thori~ed representative - C ]"i*Y o f BA K E RS F / E L U NON--TRADE SECRETS BUSINESS NAHE:~.~~ ~W~ OWNER NAME: ~t~-- OA~ ~l~ NAME OF THIS FACILITY: HA~.MAT. DJV, LOCATION; ~ ..... ~ .... ~gg~ES~[_~t~~ g~ ~ . STANDARD IND. CLASS CODE~ CJlY, ZIP: ~_~.~ uz/Y. zlF:~,~,~>m~ ~.~o~ DUN AND BRADSTREEI NUHBER PttONE ~: ~'~- PHONE ~: ~-~~/~-tt~ ' - - REFER TO~S~C~D~S~~ROPER CODES -- Trans ~ax Code come A~C Amc Est ~nJts on /ype Press Jemp Co~e See ]nstru:L~ons ' Stored In PacllICy Fhysical and ~ealt~ Hazard C.A.S. Humber Com,onenL II ~a~e I C.~.S. ~,,ber d (Check all that applyl ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sud~enRelease ~ Immediate Health , of Pressure Health Component 13 Name I C,A.S. Number Physical 8nd Health Hazard C.A.S, Humber Component II Name I C.A.S, Number ICheck 41/ that 8ppl~J CoAponenL 12 Name I C,A.S. Number ~ F~r~ Hazard ~ Reactivity ~ ~elayed ~ Sudden Release ~ Health of Pressure Component 13 Name I C,A.S, Number Physical and Health Hazard C.A.S. Number Component II Name I C,A,S. Humber IChe:k 811 that apply) Component I~ Name I C,A,S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure Hea]th Component 13 Name I C,A.S. Number Physical 8nd Health ~alard C.l,S. Number Co~poflenC Il Nam~ I C.A,S, Hu~er (Check 411 that applH Componen[ I~ Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ OelAyed ~ Sudden Release ~ Health of Pressure Health Componen~ 13 Name I C.A.S, Number EHERGENCY CONTACTS ¢1 ~[L-OA~ ~r~' o~~ J~-tl~ certify unoer ~ena~cX ~8W [nqc l navepeEsonH~y, examln~OQqoQm Tami~a[.vi[~ [he.~nlo~meupn fu~miLt~ in this.lnd all aC~acned.dOc~menc~, aflQ [pac Daseo en.m~ Iflqulry ~r. cnose lnOlVlOUa/s responsible Tot ODCelflln9 [no Information. I believe the[ the summit[dO IATOrmatlo~ IS crud, accurate, ano comp/ace, ~Tr~tle of o~neP/oo~rator oH ounerlo~rator'~ authorized representative