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