HomeMy WebLinkAboutBUSINESS PLAN 7/27/1989 Post-It'"routing request pad '/'664
ROUTING _- REQUEST
Please
~ APPROVE '
~ FORWARD _
~ REVIEW WITH ME
Oate ~-(~ From~~
July 27~ 1989
TO: Nina Meyer~ Accounts Receivable
FROM: Ralph E. Huey~ Haz Mat Coordinator
SUBJECT: Voided Accounts
These four sccounts should voided as they are no longer in
business or are not in the city.
HM-0~439 General Electric Appliance
4450 Stine Rosd
Bakersfield~ Ca. 93313
HM-O1451 Ornamental Iron Materials & Supply Co.
3400 Pierce Road
Bakersfield~ Ca. 93308
HM-01427 Ultrans~ Inc.
4937 Standard Road
P.O. Box 10240
Bakersfield~ Ca. 93389
HM-01385 Western Industrial Laundry
370 Bernard Street
Bakersfield~ Ca. 93305
Thanks~
Valerie
BAKERSFIELD CITy FIRE DEPARTMENT
~ 2130 'G' STREET ~ _
BAKERSFIELD, CA. 93301 ~ ~-/~/0 /,
(805) 326-3979 ----~,~~ ~#J/eF~,-----
OFFICIAL USE ONLY
ID8 '
BUSINESS NAME
HAZARDOUS MATERIALS RECEIVED
BUSINESS PLAN AS A WHOLE YUN16 1989
FORM 2A ,~z. ~AT. O~V.
INSTRUCTIONS:
1. 'To avoid further action, return this from within 30 days of receipt.
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: BUS[NESS IDENTIFICATION DATA
-' B;' LOCATION / STREET ADDRESS: '~L'{O0 ~::)¢¢¢(~__.~--_. ~--_~] .... -'--
SECTION ~: EHERGENCY NOTIFICATIONS ........ ' .... ' .....
In case of an emergency involving the release or threatened release of
a hazardous material, ca33 911 and 1-800-852-7550 or 1-916-427-4341. .This
wi33 notify your local fire departmen~ and ~he S~ateOffice of Emergency
Services as required by ]aw,
ENPLOYEES TO NOTIFY IN CASE OF EHERGENCY:
NAHE AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A PH~ PH~
B. PH~ PH#
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUS~N~SS AS A WHOLE
A. NATURAL GAS/PROPANE:
B, ELECTRICAL:
C. WATER:
D. SPECIAL-
E. LOCK BOX: YES / NO IF YES, LOCATION-
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO NSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
SECT[ON 4' PRIVATE'RESPONSE TEAM FOR BUS[NESS AS A WHOLE
SECT[ON 5' LOCAL EMERGENCY MEDICAL ASSZsTAN~'E--~OR-YOUR BUS[NESS AS A WHOLE
EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES
' '"' ....... WITH INITIAL 'AND REFRESHER "TRAINING IN THE SAFE HANDrlNG~'OF HAZARDOUS'
MATER[ALS.
A. NUMBER OF EMPLOYEES AT THIS FACILITY
.B., .DO YOU HAVE.MSDS (MATER[AL SAFETY DATA SHEETS) FOR .EACH HAZARDOUS
MATER[AL YOU HANDLE .? -
..... C-;~ -G'i~V E~ --A~- ~ R-I-E F-~S UN MARY -;O F~' "YOU R~H~-ZA'R D O U ~ -~ MA~T- ER I A L S - -TRA'T:N I-NG ~P R(~ G R A-M c
SECTION 7: EXEMPTION REqU. EST
I OERTIFY UNDER pENALTY OF PERJURY THAT MY BUSINESS IS'EXEMPT'FROM THE''~
REPORTING REQUIREHENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY
CODE FOR THE FOLLOWING. REASONS'
WE DO NOT HANDLE HAZARDOUS MATERIALS.
Y~ WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 8: CERTIFICATION
I, ~¢~\ ~~~--- , certify that the above information is
accurate. I understand ~hat 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
SIGNATURE,~-~'/'//~¢-~-¢.~- TITLE ~C%~;~ DATE' 6-~-~2~(~
'fl (/ -.
Dr~ve b~ ~n~pect~on Repor~
DUE
RECARO
Fabrication
(805) 328-1
DUE flRY 3i: 1589
-.. ?,..-: , ....