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Home My WebLink AboutBUSINESS PLAN ;F' 0 RI'Vl .~ SCA~:i,'= ~o ~us~ss ~-: V~ ~L %eeLy ~oo~:~ ,°~, DATE:~/,~FACILITY N~E: ?COL %~eQTM UNIT ,: OF ' t I (CHECK ONE) SITE DIAGR~ FACILITY DIAGRAM ~ H3ISIP PL~5 5IAP SITE DIAGRAM FACILITY DIAGRAM ~ ~. Bakersfield Fire Dept; HAZARDOUS MATERIALS DIVISION Date Completed Business Name: J,//~'l ~ 7~00~ 5/_?/~/:~L_ ~/ Location: ,,~ ~'~. ~,/~5,,//I/j~,,~_~Z.~ Z. vV, t~ E ~ ~_ I !/ ~ ~i Business Identification No. 215-000 /,'~ ~.7 (Top of Business Plan) SEP 2 ~ 1991 ° Station No. ~ Shift ~ Inspector ~/ ,'~.Z-~ ,_ .. ~II# E. ........... Adequate Inadequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: /~/., ,/ Verification of Abatement Supplies & Procedures ments: Emergency Procedures Posted Containers Labeled Properly Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: All Items O.K. I~ Correction Needed I~] Business Owner/Manager FD 1652 (Rev, 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy MEMORANDUM JUNE 18, 1991 TO: VALERIE, HAZARDOUS MATERIALS FROM: DREW SHARPLES, FINANCIAL INVESTIGATOR~ SUBJECT: HM ACCOUNTS HM 451001 - Per Kay Estrada, I changed mailing address to: P.O. Box 10713 Bakersfield, CA 93389 krc Bakersfield Fire Dept. ~,~c~v~D Hazardous Materials Division J U L 2 3 1990 2130 "G" Street /i~'~ ............ Bakersfield, CA. 93301 ~ARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1" BUSINESS IDENTIFICATION DATA BUSINESS NAME'. MAILING ADDRESS: ~5 ~ ~~~~ /~~ ~u~ ~ ~A~S~ uu~' ~ s~c co~: PRIMARY ACTWITM: OWN~. /~C ~T~~ '" MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HI?. PHONE FD15~ Bakersfield Fire Dept. .- · Hazardous Materials Division .."' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS' ~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY 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 TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIF. Y REASON) SECTION 5: CERTIFICATION: MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV, 20 CHAPIER 6,95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE ¸, FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES' B. EMPLOYEE NOTIFICATION AND EVACUATION' C. PUBLIC EVACUATION: ~,/~ <b'~//~7'- ,I D. EMERGENCY MEDICAL PLAN: Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: ~ C. CLEAN-UP PROCEDURES: .? SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~~ '~.~f~_~ /~/~7'~/' ~:'"~ ~t~'~'~ ELECTRICAL: (~'/~)~' '~(--)Z"~)2/~ ./[~'~),'~::::~Z'. ~"./' (.z.,,,'~ ~~~ SPECIAL: LOCK BOX: YE,~O,,,,/) IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: 4, FO15~ CITY of BAKERSFIELD Farm andAgticulture ['] Standard Business AZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS Pag~ of__ BUSINESS NAME'/'2~..~ ~- ~"~'~y~/~Y OWNER NAME: ~.)~J~_~~~ NAME OF THIS FACILITY: LOCATION;~e~ ~.~~ ~'~ ADDRESS; ~ ~~~ STANDARD IND. CLASS CO~: CITY. ZIP:~~z~-~ CITY. ZIP: '~~ DUN AND BRADSTREET NUMBER PHONE ~: ~/~y~- PHONE ~: ' ' ~Z~y~ - - REFER TO~~~~~ CODES -- 'l 2 3 4 5 6 I 8 9 10 l, 12 ,,3yW~ Trans ~yoe Hax Average Annual Xeasure I ~y~ ~ont ConL C~t Us Locq~on Code ~ooe Amt Am~ Est ,,~ Unlts on 5lEe Type Press Temp Co~e... .S~QFeo in Facility See Instructions Na~es of ~ixture/Components Physical ~od Healt~ Hazard C.~.S. ~u~er Co,po,~,[ il Na~e t C.~.S. N~,ber (Check al1 that ~Haz~rd 0 Reactivity D Delayed D Sudden ~elease 0 I~ediate Co~ponen~ Name C.A.S, Number Health of Pressure Health Component 13 Name t C,A.S. Number (Chec& all that apply) ~re Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Component Name C.A.S. Number Health of Pressure Heamtb Component 13 Name I C.A.S. Number Physical and Health Ua~ard C.A.S. Humber Component I1 Na~e ~ C.A.S. Humber (Check A'll that apply) ~e Hazmrd ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Component 12 Name C.A.S, Number Health of Pressure Health ). Component 13 Name S C,A,S. Number Physical lad H8ll[h UATlrd C,A.S, Number Co~ponenC I1 Name i C.A,S, Number [Check al/ [h~t 8pp/y) ComponenC 12 Name ~ C.A.S, Number ~ Fire Hazard ~ Reac[ivity ~ Oelayed ~ Sudden Release ~ lm~i~ HealCh of Pressure ,- Componen[ 13 Naae t C.X.S. Number Name i m~- - -- Name ..... 2T~F~ ertifiatio Re and ~ naf ~ com 7 Cfng ~77 secCfons) ~.cer~l~y un'er pertain, o~w thqL ,~avCpe[sonaf~.exam,nq~eq~, famillaLViC~ the ,nformaL,pn Submitted in this end all ". .aC~8¢~ed,dqc~menc~, ~n~ C~ac Daseo OA.Ay Inquiry 9r. cnose In~lVlaUa/S respoflslD/e Tot obL81ning Che lntOrmaClon. I believe ~~ JUNE 18, 1990 DEAR MR. ESTRADA; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS VALS POOL SUPPLY AND SPA LOCATED AT 2594 BRUNDAGE LANE, BAKERSFIELD, CA 93304 ON JUNE 18th THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) HAZARDOUS MATERIALS BUSINESS PLAN NOT ON FILE VIOLATION OF UFC 80.103(c) VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. 2) HAZARDOUS MATERIALS WERE PRESENT BUT NO INVENTORY ON FILE VIOLATION OF UFC 80.103(d) VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral com~oosition of the waste listed b~~ probable maximum and minimum concentrations, of every hazardous waste hand. led by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not o'therwise listed pursuant to paragraph (!) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at any one time by the business over the course of the year. The above violations must be corrected by JULY 2, 1990 The department will schedule a re-inspection of your facility to verif? com~iiance. If you have an? ~uestions re~ardi:~ this notice, please contact Ralph Huey at 326-3979. Sincerely, , Hazkrdogs Mkteriais Coordinator DATE ADDRESS ZIP CODE . .,:~ FEE BUILDING CLASS/TYPE OF OCCUPANCY ' BU~ NAME aUS~ESS OWNER '~' aUS~NESS U~R./~SPO~SmL~ HOME P ' ]'No. OF FLOORS ' SQUARE FOOTAGE VIOLATION NOTICE ~SSUED? OCCUPANT LOAD OTHER DATE OF REINSPECTION {1) (2) {3) INSPECTOR ST~TION/SH I FT/STATION PHONE O Bakersfield Fire Dept. R E C E~v ~ 0 Hazardous Materials Inspection FEB 1 1990 Date Completed /-,~-~t7 Aiis'd ............/ Plan ID · 215-000 /~ (Top fight comer Business Plan) Station No.. J S~L ~ Inspector D~f~ Adequate Inadequate Ve~ficafion of Quantities ~ ~ ~ ~ Verification of Location ~ ~ ~ ~oper Segegafion of Matefi~ ~ ~ ColTllnents: Verification of MSDS Availability Number of Employees Verification of Haz Mat Training Comments: VerLfi. cation of Abatement Supplies & Procedures Emergency Procedures Posted [--] Containers Properly Labeled Verification of Facility Diagram [--] ~ Special Hazards Associated with this Facility: Violations: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office 1990 DEAR MR. ESTRADA; NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE iNSPECTION OF YOUR BUSINESS VALS POOL SUPPLY AND SPA LOCATED AT 2594 BRUNDAGE LANE, BAKERSFIELD, CA 93304 ON JUNE 18th THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) HAZARDOUS MATERIALS BUSINESS PLAN NOT ON FILE VIOLATION OF UFC 80.103(c) VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.Z5503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at any one time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed g.as, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. 2) HAZARDOUS MATERIALS WERE PRESENT BUT NO INVENTORY ON.FILE VIOLATION OF UFC 80.103(d) VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on all of 'the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A l±sting of the chemical name and common names of every hazardous substance or chemical product handled by the business. (2) The category of waste, including the general chemical and mineral com'~osition of the waste listed by probable maximum ~nd minimum concentrations, of every hazardo~s waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). {4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2!, and (8/ which is handled at any one time by the business over the course of the year. The above violations must be corrected by JULY 2, 1990 The department will schedule a re-inspection of your facility to verify compliance. If you have any ~uestions re~ardin~ this notice, please contact Ralph Huey at 326-3979. Sincerely, · ~ Hazardous Materials Coordinator ; i¥~)~.~ KERN COUNTY FIRE DEPARTMENT §642 VICTOR STREET BAKERSFIELD, CA 93308 0CT 3 0 1987 (~o5) 8~-~ 3~ n' ............ OFFICIAL USE O~LY oo os, BUSINESS ~OR~ I~S~UC~IO~S: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDE~IFICATION DATA CITY:~~~[~'~ ZIP: ~¢O~ BOS.PHONE: (~ SECTION 2: EHERGENCY NOTIFICATIONS In case of an emergency involving the release or 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 Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TIT~.~,_._. DURING BUS. HRS. AFTER BUS.~H~RS. A. ~,-./ ~-'c~te4Z)A Ph# ~t~_/-g/Or~ Ph# ~,~,~ ./77_3 SECTION 3: LOCATION OF UTILITY S~uT:OF~S FOR BUSINESS AS A WI~OLE ..... B. ELECTRICAL: k.~o~-.,rt.4-u...~:~'-~ c~I~(X.,,. D. SPECIAL: ~ ~ E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? (~'~/ NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEY .~r" '"~/ NO -Over- HMCU-4 SECTION 4: PRIVATE RESPONSE TEAN FOR BUSINESS AS A WHOLE '~,,, SECTION 5: LOCAL E~ERGENCY ~EDICAL ASSIST~CE FOR YOUR BUSINESS AS A NHOLE SECTION '6: E~PLO~E T~INING ............ ' ..... EHPLOYERS..ARE REQUIRED TO HAVE A PROGR~ WHICH PROVIDES E~PLOYEES ~ITH INITIAL ~D REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS: .... . ................ ............... - ..... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES ~ITH RESPONSE AGENCIES SO NO C. PROPER USE O~ S~FETY EQUIP~EST: .................. ~0 ~O D. E~ERGESCY EV~C~TIO~ PROCEDURES: ................. YES ~O YES ~O E. DO gOU ~I~T~I~ E~PBOgEE TR~ISISG RECORDS: ....... gES ~ YES I, ~& ~~~ , 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 ~aterials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that-inaccurate information constitutes perjury. H74CU-4 KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93508 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSINESS PLAN SINGLE FACILITY UNIT 'FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. / 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF an~NCISE~ as possible. ~ FACILI~ ~IT~ ~ FACILI~ ~IT N~: SECTION 1: MITIGATION, PRE~ION, ABATE~ PROCED~S SECTION 2: NOTiFiCATiON ~ EVACUATION PROCED~ES AT Tiffs ~T O~Y , ~ HMCU-6 SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... 0 If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code? ......... YES 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 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDS. RS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS]PROPANE: B. ELECTRICAL: C. WATER:~(ZX3~%.¥_k2,5~_ ~.,0~-,?~7~,~ ~f_O&3~- 0.~ ~:~3~C~{;_.~ D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF-YES, SITE PLANS? C~_~NO MSDSs? YES / NO FLOOR PLANS? ~/ NO KEYS9 YES / NO HMCU-6 :,. FACiLI,TY-'..UN T ,* .:.: ~?'WT*~7 ::~'CHEMICAL"OR OOMM N ~AME CODE GUIDE CODE AMOUNT REFERRAL TO FINANCE DEPARTMENT FOR COLLECTION Referring Department/Section Person Making ReferraZ,: Account Number Type of Billing N~e(B~iness N~e of Co~ercial Account) Site Address Mailing Address ~ Telephone N~r ~er's N~, Address and Telephone N~r Billing period: From g -~U To ~O ''. Month/Year Month/Year " Amount Due u - L. ist Collection Efforts by Department Prior tO Referral: ~t~Dd. ~.~2Q -- u ~ ~ u ' ~IS BILLI~ H~ BE~ V~IFIED ~ ACC~ ~D V~ID Authorized Signature (Original to Cash Management, copy to Accounts Receivable) NM 6/8/90