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Home My WebLink AboutBUSINESS PLANDATE ADDRESS ZIP CODE FEE I BLOCK NO. ~' .~ ~, ,~, ~1~ BUSINESS LICENSE O. PERMIT REQUIRED ~ PERMIT NO. BUILDING CLASS/ PE OF OCCUpANcY [ /~J NAME BUSINESS PHONE HOME PHONE NO. OF FLOORS SQUARE FOOTAGE VIOLATION NOTICE ,SSUED? ~ OCCUPANT LOAD DATE OF REINSPE( 'ION (1) (2) (3) INSPECTOR STATION/SHIFT/STATION PHONE ~ .: RETURN PAYMENTS TO: PLEASE MAKE CHECKS PAYABLE TO: .... CITY OF BAKERSFIELD . HAZAfiDOUS NATERIALS Dt VISION P.O. BOX 2057 CITY OF BAKERSFIELD i BAKERSFIELD, CA 93303-2057 ACCOUNT NO. flt~ &4020! RETURN THIS COPY WITH PAYMENT ~S,~te,.Addr ~3~1-5- PIERCE :RO *' .... ~ '~ 02120/91. PaYment -t25.00 '" ' SERVICE FOR 111191 - ........ '"" BILLING DATE 01101192 TOTAL 'BALANCE 13~.00 · .:.: ::.~.- ,::.. ~..: . :....~.../~....: :~ ..~.....~ ~ ~'"~r~.~._g~rO.,, t?A:,:':~-~::t:" :........~'.:"".' .,, .,.~."::' .. '.'...:':...:..........:. '.';';,;~iS B:!LL JS OUt, UPON RECEIPT - ', ~;?.'j .~::. .:~ . ::'..:,, ;. ; .'.,,~..'. ,, . . ..... , -. ', :,.,..,,., .... . ,, -~' ;'.:{/:: .'.L'.,..: r..¥... ~:t.;.::. , ~,':.~.,.. . .... . . ~ .. ~UIR~ES:CONCERNtN~ THiS B~LL, PLEAS~ ~HONE: ' ~26~39Z9 - ~,:,- ~ . ' - . ' ~:".~volcE 'NUMBER ' . · ;'.* ' " ': {' ~.~'. ".":: · ' '. "' ~usT' RETURN PAYME;~TS TO: / ~: PLEASE M~KE CHECKS PAYABLE TO: CITY OF BAKERSFIELD ~ ~ ' .... Z"y P.O. BOX 2057 CI OF BAKERSFIELD. A CO BAKERSFIELD, CA 93303-2037 UNT NO. ~. ~fi ~'; ' t, CONCERNING THIS BILL, PLEASE PHONE: INVOICE NUMBER CUSTOM ER COPY CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303-2057 ADDRESS CORRECTION REQUESTED ~o ~O~R~ ~'-~LE(:I'R~C PA~RTS .& S£RVIHt~4/~020'I 3315 P]ERCE RD OAKERSFIEI. D~, CA 93308 04/03/91 ~\ DIESEL BE lC PARTS & SERVICE 2 )969 Page 1 jg~- Overall Site with 1 Fac. Ur, it Ger, eral Ir:forr,~at i ILc, cation: 3315 PIL--.RCE RD Map: 1(])2 Hazard: Moderate I Ider~t Nur,~ber: 215-000-00o969 ~Grid: 23B Area c,f Vul: 0.0~ i Cor~tact Nar~le I Title ~ Business Phc, ne ~ 24 Hour Phone~ Administrative Data ~ail Addrs: 3315 PIERCE RD D&B Nu~,~ber~ City: BAKERSFIELD state~ CA Zip: 9S308- Com~ Code~ 215-001 BAKERSFIELD STATION 01 SIC Code~ Owner: WARREN L. CHARLES INC Phone: ( ) - Address: 3315 PIERCE RD State~ CA City~ BAKERSFIELD Zip~ g3308- Su~m~ary 04/03/91 DIESEL ELECTRIC PARTS & SERVICE 215-000-000969 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-003 ACETYLENE Gas 139 High Fire, Pressure, Immed Hlth FT3 02-001 CHEVRON THINNER 325 Gas 200 Moderate Fire, Delay Hlth GAL 02-002 OXYGEN Gas 154 Low Fire, Pressure, Immed Hlth FT3 ,:,4x¢,3x91 DIESEL e~_ IC PARTS & SERVICE ;--'~J¢,,..~l~¢,oo96e page 00 - Overall Site <D> Notif. /Evacuatior~/Medical Agency Not i ficat ior~ <2> E~plc, yee Notif. /Evacuatior~ NOFITY ALL PERSONELL OF FIRE AND CALL 911. <3>. Public Notif. /Evacuatic, r~ <4> Er,~erger, cy Medical Plan NEAREST HOSPITAL. 04/03/91 DIESEL ELECTRIC PARTS & SERVICE ~1~-0..)o-0.)o~9 Page 4 O0 - Overall Site <E> Mi t i gat i or~/PreYer~t / Abat er~t' <1> Release Prever, tir, n COMPRESSED GAS CYLINDERS HAVE CHAINS WITH PROPER VALVE AND FITTINGS SOLVENT IS IN SEALED METAL CONTAINERS. <2> Release C,..,rJtair~er, t <3> Cl~ear, Up <4> Other Resource Act i vat i or, 04/03/91 DIESEL lC PARTS & SERVICE 2i~ ]00969 Page 5 00 - Overall Site <F> Site Emergersc'y Factors <1> Special Hazards TRUCK BATTERIES STORED IN SHOP AREA. <2> Utility Sh,.it~Offs A) GAS - NORTH SIDE OF' BUILDING NEAR FRONT, OUTSIDE B) ELECTRICAL - NORTH SIDE OF EAST WALL INSIDE BUILDING C) WATER - NEAR CURB OF PIERCE RD ON NORTHEAST CORNER OF' PROPERTY, AT MAIL BOXES D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - ?????????]~? <4> Held for Future use 04/03/91 DIESEL. ELECTRIC PARTS & SERVICE 215-000-000969 Page 6 00 - Overall Site <G> Trair, ir, g <l> Page 1 WE HAvE 5 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 as rfeeded <3> Held for Future Use <4> Held for Future Use ~,_' ~kersfield Fire Dept. HAZARDOUS MATERIALS DIVISION Date Coml~leted /',~'- Location: ~3,.~1~'- )O~'erce. ~A~ Business Identification No. 215-000 ~ o o ~,6 ?' (Top of Business Plan) Station No. ! Shift ~'~ Inspector /. 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: ~!~ 'Co ~,,.~ ,f~S~,~ O' Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: All Items O.K. ~.~'~-~~-~ (~) Correction Needed B~us[ness Owner/U~nager~ FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy rsfield Fire D Jt ~_~.~..~ Hazardous Materials Inspection ' Location: Plan ID # 215-00000o9~ (Top right comer Business Plan) Station No. ! Shift i~ Inspector ~. Adequate Inadequate Verification of Inventory Materials ~, [~] Verification of Quantities RECEIVED ~ [] Verification of Location I[U 2 419[~9 j~ [] HAZ. MAT. DIV. Proper Segregation of Material Comments: Verification of MSDS Availability ~ [] Number of Employees Verification of Haz Mat Training Verification of Abatement Supplies & Procedures /~ [-] Comments: Containers Properly Labeled Verification of Facility Diagram ~ t~ ~)l~i~'l [--] Special Hazards Associated with this Facility: Violations: D FO 1652 (Rev. &89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office BAKERSFIELD, CA 9330]. /OD-~)~ B (80,5) 326-3979 US INESS N~E HAZ~DOUS ~TERI ALS ~U~N~ P~ ~S ~ ~OL~ ~O~ l. To avoid ~urther action, return this ~orm by ~h~-~{~'~~o1~~ 2. ~E/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below Yor the business as a 4. Be as buie~ and concise as possible. SE~IO~ 1: BUSI~SS ID~IFICATIO~ DATA SECTION 2: k~RGENCY NOTIFICATIONS In case of an emergency involviny 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: NA~ME .AND TITLE DOqRING BUS. HRS. AFTER BUS. HRS. A. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WI~0LE B. ELECTRICAL: D. SPECIAL: - E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES rT CON'TAIN SITE PLANS7 YES / NO MSDSS? YES / NO FLOOR PLANS7 YES / XO ~EYS7 YES / N0 - 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 EMPLOY~RS ARE REQUIRED TO HAVE A PROGR~M WHICH PROVIDES ~MPLOYEES WITH INITIAL ~\~ REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS .MATERIALS:...' .................................... ~ NO %~S NO ~. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... N~NO YES NO C. PROPER USE OF SAFETY EQUIPMEL~: .................. ~S~ YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. -YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES NO SECTION ?: RAZ~RDOUS ~AT~IAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN ~00 POL~DS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, ~'~~o ~j~,~ A;~,-~/ , 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. Z0 Chapter Sec. ~5~00 Et Al.) and that inaccurate information constitutes perjury. S I GNATU ~..,~. _ TITLE DATE - 2B BAKERSFIELD CITY, FIRE DEPARTMENT 2130 "0" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY iD# BUSINESS N~IE: BUS I NESS PLAN SINGLE FACILITY UNliT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGnISH. 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 PROCEDbqlES SECTION 2: NOTIFICATION AND EVACUATION PROCEDL.'RES AT THIS L~IT ONLY SECTION $: HAZARDOUS .~IATERIAES FOR THiS I~'IT O~I,Y A. Does this Facility Unit contain Ho. zardous Materials? ...... YES If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous matepials ~ bona fide Trade Secret YES If No, compl~e a separate hazardous materials inventory for] marked: N~'-TRADE SECRETS ONL{' (white form ~4A-1) If 5es, complet~a hazardous materials inventory form ma~ed: TRADE SECRETS 0N~Y (5'ellow form ~4A-2) in addition to ~e non-trade secret form. Lis~only the trade secrets on form 4~. ~ '. :: ~ . ' F - ~ . PO~ERS . SECTION ~: LOCATION' OF L~ S~-O~S AT THIS U~tT B. C WATER: D SPECIAL: TF YES S-~ PLA5:S9 v~S :' . :':..~ ...,, , ~;,: ~:0 MSD~s© ...... ~LOOR Pf.\¥g? "?~ " ., ..... ~,~ BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page ~of NON--TRADE SECRETS .._ "' HAZARDOUS ~IATERI ALS INVENTORY ' L BUSINESS NAME: ~{,~,~ ~/~---]q',~- ~'~-~-~,./'vt-c' OWNER NAME: Ld.~rPz.-~.. ~. ~r~ ~C FACILITY UNIT ADDRESS: ~ P{~r~ ~ ADDRESS: ~1~ ~l~r~e ~ FACILITY UNIT NAME: PHONE ,: ~-'3~'$~ PHONE ~: ~A-~'~9~ ]OFFICIAL USE CFIRS CODE I ONLY I 2 3 · 4 -5 6 7 8 9 10 T~PE MAX ANNUAL CONT ffSE LOCATION IN THIS · BY HAZARD D.O.T ..CODE AM~OUNT AMOUNT UNIT CODE CODE FACJL}TY UNIT WT. .+CHEMIqAL OR COMMON NAME CODE GUIDE NAME: ~xl ~l ~ M~ TITLE: ~~m~.C SIGNATU~ - ~ DATE: ~ v~;3 :~2~'~ TITI, E: ~~.~. PHONE ~ BUS : AFTER BUS .RS: ~-6~ EMERGENCY CONTACT: ~*)~Fm~L ~~.% TITLE: ~~_F~ .... .. PHONE { BUS HOURS: ~.~_~ P~INCIPAL BUSINESS ACTIVITY: ~l,_,.~, ~ ~ ~ ~ ~ ~ J ~,_~ AFTER BUS HRS: ~(. - 4~-{ - , .,; ~., L~ ~ "-i SlTE/~ACILIT¥ DIAGR/:~i ~OR~ ~ NORTH SCALE: BUSINESS N'A~[E: FLOOR: OF DATE: ~,,,.1~/~,,~ FACILITY. NA~MF,~. UNIT -~: OF (CHECK ONE) SITE D~AGRa.~t FACrnrTY DfAGR.a~ Inspector s Comments): -OFFICIAL USE ONLY- - 5A - 1. Address: Identify the 9. Lock (ke~)'/Box principle buildings by the Street numbers, lO. MSDS Storage 2. Street(s}, Alleys, 11, Railroad Tracks DriveNays, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. b. Masonry 3. Storm Drains. Culverts. Yard Drains c. Wood 4. Drainage Canals, Ditches. d. Gates Creeks. 13. Pomerlines 5. Buildings a. Frame construction 14. Guard Station b. Masonry construction IS. Storage Tanks: Identify the c. Metal construction capacity tn gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identity the ?. Fire Suppression Systems: location where a. Fire Hydrants employees will meat. b. Fire Sprinkler 19. Outside Hazardous Connections Masts Storage c. Fire Standpipe 20. Outside Hazardous Connections #atnrlal Storage d. Mater Control Valves 21. Outside Hazardous for protection systems Material Uae/Handling e. Fire Pu~p 22. TYi~ of Hazardous Material/Masts Stored 8. Fire Department Access or Used (See ~elow) ?Y, PE OF HAZARDOUS MATERIAL F - Flammable E - Explosive L - Liquid R - Radiologlcal C - Corrosive 0 · Oxidizer G - Gas P · Poison M - Water Reactlve T - Toxic S - Solid H - Cryogenic D - Waste B - Etiological Example: Flauable Liquid - FL FACILITY DIAGRAM (Required items in addition to the above) l. Risers Eot Sprlnk2ers 8. Fire Escapes 2. Partitions g, Air Conditioning Units 3. Stairways: Indicate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage 5. Elevator 13. inside Hazardous ~terlals Use/Handling 14. Sewer Drain Inlets ?. Skylights