HomeMy WebLinkAboutUST REP. 8/1/1997 {CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M ~
'
(Inspector's ,Comments): -OFFICIAL USE ONLY-
- ~A -
FINANCE DEPARTMENT AETURN SIEAVICE w~ ~s~¥.~_~= .... .
CITY OF BAKERSFIELD ~
BAKERSFIELD, CALIFORNIA 93303 ~ ~ ~ ~ P~r~ ~
~ ~ 6797799 ~
ADD~E~ CO~ECTION ~EQUEGTED
5TANi~5 9330~0&~ ~7~7 07 0~/07/~7
RETURN TO SENDER
5TANSBURY
570D 5TOCKDALE HNY APT
BAKERSFIELD CA
~UTO -'' '
I II,l,,,,Ih,,lhll,,,,,ll,,,I,II lll,,,,,ll,,,~,lll,,,.,l,l,l,,,I,l,l,l,,,h,,/ll
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805~ 32&-397g
DATE: 8/01/97
TO: SIR LUBE CORP OF AMERICA
ATTN MEL STANSBURY
125 PACIFIC ST
BAKERSFIELD, CA 93305
CUSTOMER NO: 3854 CUSTOMER TYPE: ES/ 3854
CHAROE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT
6/30/97 BEOINNINO BALANCE 66.00
FOR QUESTIONS OR CHANQES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
DUE DATE: 9/01/97 PAYMENT DUE: 66.00
TOTAL DUE: $66,00
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
DATE: 8/01/97 DUE DATE: 9/01/97
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO: 3854 CUSTOMER TYPE: ES/ 3854
TOTAL DUE: $66.00
FINANCE DEPARTMENT
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA 93303
ADDRESS CORRECTION
STATEHENT OF ACCOUNT
CITY OF BAKERSFIELD
!501 TRUXTtJN AVE
BAKERSFIELD, CA 93301-0000
~805) 32 6"3979
}AT~: 9/01/96
TO: SIR LUB~ CORP OF AMERICA
3621 CA'-~FORNIA AV
BAKERSFIELD, CA 9330,9
CUSTOMER NO: 2969 CUSTOMER TYPE: ES/ 2969
CHARGE DATE ]DESCRIPTION REF,NUMBE~R',DUE"-..DATE TOTAL AMOUNT
8101195 BEGINNING BALANCE 188.36
HMO05 9/01/95 FINANCE CHARGE 1,10
FC01.1
MM017 9/01/96 FINANCE CHARGE .50
FC011
FOR ~UESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
1.60 20,81 ,50 167.05
DUE DATE: 9?02?96 PAYMENT DUE: 5L89,96
TOTAL DUE: $189,96
FINANCE DEPARTMENT
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA 93303
ADDRESS
CORRECTION
REQUESTED
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
!501 TRLJXTUN AVE
BAKERSFIELD, CA 93301-0000
PATE: 9/0!/96
TO: SIR LUBE C,~RP ~F AMERICA
362i CA_,'IFORNIA AVENUE
BAKERSFIELD, ~(A 93309
CUSTOMER NO: 3854 CUSTOMER TYPE: ES! 3854
CHARGE DATE DESCRIPTION -REF*'NUMBER,.D:OE'IDATE TOTAL AMOUNT
8/01/96 BEGINNING gALANCE 66.00
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE T~P OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
66. O0
DUE DATE: 9t02/96 PAYMENT DUE: 66.00
TOTAL DUE: $66.00
FINANCE DEPARTMENT
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA 93303 :
RETURN TO ,SENDER
5'TANSBURY
RE TL.IRN TO
~ U l 0 IIl,,,Ih,,,,Ih,lh,lh,,Ih,,ll,,,Ih,,..lllh,,ll,,,Ih,,I
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805> 32&-3979
DATE: 9/01/97
TO: 9IR LUBE CORP OF AMERICA
ATTN MEL STANSBURY
5708 STDCKDALE HWY APT i
BAKERSFIELD, CA 93309
CUSTOMER NO: 3854 CUSTOMER TYPE: ES/ 3854
CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT
0/00/00 BEQINNINQ BALANCE 66.00
FOR QUESTIONS OR CNANQES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
66. O0
L}%JE--DA ! {--: ' io?zol/¥/ P~DUE: ~-~--
TOTAL DUE: $66. O0
PL£ASE DETA¢]t-t AND SEND THiS COPY WiTH REMITTANCE ~(~]~
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO: 3854 CUSTOMER TYPE: ES/ 3854
TOTAL DUE: $86.00
CITY OF BAKERSFIELD .... ; .... ~ ...... :~,~; ..... ..: , - . . .~'
BAKERSFIELD, CALIFORNIA [RSFJELO P~DC.~3380 [[, O~ 0~05~ ./[ .... -'=
ADDRESS CORRECTION REQUESTED
~IRL70~ g~Og2100 iN 07 Og/O~/g7
RETURN TO SENDER
NO FORNAR9 ORDER ON FILE UNABLE TO FORNARO
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
i501TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-3979
DATE: 9/01/97
TO: SIR LUBE CORP OF AMERICA
ATTN MEL STANSBURY
5708 STOCKDALE HWY APT 1
BAKERSFIELD, CA 93309
CUSTOMER NO: 2969 CUSTOMER TYPE: ES/ 2969
CHARGE DATE DESCRIPTION REF-NUMBER ~UE DATE TOTAL AMOUNT
0/00/00 BEQINNIN9 BALANCE 425.56
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
D~:"iO/C~7 P~E-~ DU~: 4~5.56
TOTAL DUE: $425.5&
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
DATE: 9/01/97 DUE DATE: 10/01/97
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO: 2969 CUSTOMER TYPE: ES/ 2969
TOTAL DUE: $425.56
FINANCE DEPARTMENT RETURN SERVICE ~.~ ~'~':~'~,:~ ~ .... ""~-°~,
~_~ A?' "~- ~.q U.S. PO~I~ ~
BAKERSFIELD, CALIFORNIA 93303 ~
ADDRESS CORRECTION REQUESTED
5TANI~ ~3305~0~0 1797 Ob 0~/05/~7
RETURN TO SENDER
5TANSBURY
570~ 5TOCKDALE NNY APT
II,l,,,,ll,,,Ihlh,,,,ll,,,I,tl 'l'lh,,,,Ih,,hlll,,,,hhh,,I,hhh,,h-li!l~
FINANCE DEPARTMENT ...... ~:~ ,~,~,r-~ . ,,~ .. .~...o ,...~. ,,. ~,:.,. .... .. _ ..~.._~=.:_.:.:....:..~
CITY OF BAKERSFIELD m,,"',-.,; , . .:, ~ ::~ ~;L~' JULIO'~: :"::~'['~['.-.:':
P.O. BOX 2057 '~ :. -' · -; : "~ ; ''-" ,.m-- ~:,~ ~-,:" ." .
BAKERSFIELD, CALIFORNIA 93303 r.:~ '.~ ." :'" "'
ADDRESS CORRECTION REQUESTED
/ TAN125 ~330 ~0~ 17~7 07117197
RETURN TO 5ENOER
5TANSBURY 6T 07
~706 5TOCKOALE ~NY APT
STATENENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-397~
DATE:
TO: SIR LUBE CORP OF AMERICA
3621 CALIFORNIA AV
BAKERBFIELD, CA 93309
CUSTOMER NO: ~969 CUSTOMER TYPE: ES/ ~969
-~H~RO-,~ D,~TE '~¢t~-IFi¥iON-~'~' ~- ..... ~;?"REF-NUMBER ~DUE; DATE TOTAL. AMOUNT
7/0I/~6 BEgINNINg BALANCE I67. 55
HMO05 8/01/~6 ADMIN SERVICE FEE 11. 11
PN011
HMO05 8/01/96 FINANCE CHARGE 1. i0
FCOi 1
HMO05 8/01/96 FINANCE CHARQE I. i0
FCO 11
HMO05 8/01/96 FINANCE CHARGE 1. 10
FCO11
HMO05 8/01/9~ FINANCE CHARQE 1. i0
~CO 11
HMO05 8/01/96 FINANCE CHARGE I. 10
FCO11 ' ~ -
CONTINUED ON NEXT PAQE...
STATEMENT OF ACCOUNT
,.~-
CITY OF BA~iERSFIELD
1501TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
DATE: 8/01/96
TO: SIR LUBE CORP OF AMERICA
362I CALIFORNIA
BAKERSFIELD, CA'~3309
CUSTOMER NO' 2969' CUSTOMER TYPE: ES/ 2969
CHAR-QE DATE D~RTi~¥~O~ ........................ R, EF-NUMBER DUE~T~ATE TO~L- ~OUNT -
HMO05 8/01/96 FINANCE CHARGE I I0
FC011
HMO05 8/01/96 FINANCE CHARGE 1 10
FCOI'i
HMO17 8/01/96 FINANCE CHARGE 50
FC011
HMO17 8/01/96 FINANCE CHARGE 50
FCOI1
HMO17 8/01/96 FINANCE'CHARQE 50
HMO17 8/01/96 FINANCE CHA~E' 50
FC011
CONTINUED ON NEXT
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501TRU×TUN AVE
BAKERSFIELD, CA 93301-0000
(805) 32&-397g
DATE: 8/01/96
TO: SIR LUBE CORP OF AMERICA
3&2i CALIFORNIA AV
BAKERSFIELD, CA'~3309
CUSTOMER NO: 2~69 CUSTOMER TYPE' ES/ 2~69
-'--~H~'R~- DATE D~P~O~N" .... "---~'-7~EF~U~BER DUE DATE TOTAL AMOUNT
FOR GUESTiONS OR CHAN~ES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER ~0
20. 81 . 50 7. 05 160.00
DUE DATE: 8/01/96 PAYMENT DUE: 188.36
TOTAL DUE: $188. 3&
STATEMENT DF AccOUNT
CITY OF BAKERSFIELD
I501TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
DATE: 8/01/96
TO: SIR LUBE CORP OF AMERICA
362l CALIFORNIA,AVENUE
BAKERSFIELD, CA ~3309
CUSTOMER ND' 3854 CUSTOMER ~YPE: ES/ 3854
CHARQE DATE DES'C-~IPTIDN_'
7/01/96 BEQINNIN~ BALANCE 66.00
FOR GUESTIONS OR CHAN~ES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT,
CURRENT OVER 30 OVER 60 OVER 90
66.00
DUE DATE: 8/01/96 PAYMENT DUE: 66.00
TOTAL DUE: $66.00
(~,v~e or ~rin% name)
o
Do hereb3~ cert~ ~-- ' ~ '
_z~. that I have reviewea th ~ ............
attached Hazardous Haterials business plan
(name of business)
and that it along with the attached additions
or corrections constitute a comolete and correct
Business Plan for my facility.
signature [ ~ate '
BUSINESS NAME SIR L CORP OF AMERICA ID NUMBER Z1S-OOO-OOOSOZ
LOCATION 36Z! CALIFORNIA AV HIGH HAZARD RATING
1. OVERVIEW
LAST CHANGE 09/30/88 BY ESTER
JURIS CODE Z15-003 JURIS BAKERSFIELD STATION 03
MAP PAGE 10Z GRID 3SB FACILITY UNITS 1 HAZARO RATING Z
RESPONSE SUMMARY
ZA SEC 4) OUT EMPLOYEES ARIS CAPABLE OF TAKING CARE OF ANY SMALL OIL SPILLS,
WE USE OILSORB TO CLEAN UP ANY OIL OR GREASE ON OUR LOT.
EMERGENCY CONTACTS ZA SEC Z) ~
MEL STANSBURY - 3Z~-8348 OR ~ZG-8031
MITCH STRNSBURY - ~Z]-8348 OR 836-89?9
UTILITY SHUTOFFS ~ SEC ~)
A) GAS - S SIDE OF MINI MARKET 8) ELECTRICAL - S WALL W END OF SHOP INSIBE
C) WATER - W ENO OF LUBE SHOP OUTSIDE D) SPECIAL - NONE E) LOCK 80X - NO
NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1 1Z/Z~/88 16:47
MATERIAL SAFETY DATA SYSTEMS~ INC. <805) 648-6804~
BUSINESS NAME SIR LUBE CORP OF AMERICA ID NUMBER Z1S-OOO-OOOSOZ
LOCATION 3GZl CALIFORNIA AV HIGH HAZARD RATING
3. HRZ MAT TR/~INING SUMMt~RY
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 09/30/B8 BY ESTER
SEC S) WE HAVE INSTALLED FIRST AID KITS. WE CAN TAKE A PERSON TO SAN
JOAQUIN HOSPITAL - 2B1B EYE ST - 327-1711. ~E HAVE THE PHONE
~ 911 POSTED.
PAGE Z lZ/Z~/B8 16:47
MATERIAL SAFETY DATA SYSTEMS, INC. (BOB) 648-6800
BUSINESS NAME SIR L CORP OF AMERICA ID NUMBER Z1S-(DO<~-000S02
LOCATION 362! CALIFORNIA AU HIGH HAZARD RATING
FA£ILITY UNIT 0~
OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE O9/30/8B BY ESTER
ID TYPE NAME MAX RM'F UNIT HAZARD
LOCATION CONTAINMENT USE
WASTE WASTE OIL Z000 GAL UNKNOWN
SE CORNER OF LOT UNDERGROUND TANKS WASTE
ID PERCENT COMPONENTS HAZARD LIST
1598.00 100.0 WASTE OIL UNKNOWN
2 PURE MOTOR OIL 220 GAL UNKNOWN
NORTH WALL OF SHOP ABOVE GROUND TANKS LUBRICANT
ID PERCENT COMPONENTS HAZARD LIST
2808.OO 10~).O MOTOR OIL UNKNOWN
PURE MOTOR OIL 150 GAL UNKNOWN
S WALL./W END WAITING RM PLASTIC CONTAINER[S] LUBRICANT
ID PERCENT COMPONENTS HAZARD LIST
2808.O~ ~OO.O MOTOR OIL UNKNOWN
FIRE PROTECTION I WATER SUPPLIES
LAST CHANGE 09/30/88 BY ESl'ER
SEC 4) WE HAVE INSTALLED THE REQUIRED FIRE EXTINGUISHERS IN THE SHOP AND
LUBE PITS THAT ARE REQUIREO BY THE CITY FIRE OEPT. OUR EMPLOYEES
HAVE BEEN SHOWN HOW TO USE THE FIRE EXTINGUISHERS.
SEC 5) THERE IS A CITY FIRE HYDRANT ON CALIFORNIA AVE ABOUT 200 FT FROM
OUR SHOP,
PAGE 3 1Z1~3/88 16:47
MATERIAL. SAFETY DATA SYSTEMS, INC. (805> 648-88<~
BUSINESS NAME SIR LUBE CORP OF AMERICA ID NUMBER 215-000-(~0050Z
LOCATION ~G21 CALIFORNIA RV HIGH FIRZRRD RRTING Z
D. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 09/30/88 BY ESTER
SE(; 2) WE HAVE THE PHONE ~911 POSTED IN EACH SHOP IN CASE OF EMERGENCY.
EMPLOYEES HAVE BEEN TOLD WHERE TO MEET AFTER AN EMERGENCY.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 09/30/88 BY ESTER
3R SEC 1) THE SYSTEM WE USE IS R DIRECT DRAIN FROM THE LUBE PIT INTO R BULK
OIL TANK. IT IS NOT HANDLED 8Y ANY EMPLOYEE. IF WE FtAVE R SMALL
OIL SPILL WE USE OIL SOR8 .TOCONTRIN AND ABSORB THE OIL.
PAGE 4 tZ/Z~/88 1G:4~
MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-G800
CITY of BAKERSFIELD
NON--TRADE SECRETS
IC~k ell t~t e~ly)
~}th of P~ ~lth
I/
, c~ t o c~¢ e ~lth T ............... j .......
Certlfic~f~ (go~d ~nd ~ efter, co~pJe~JnE all sections)
~_.~- ,,
BAKERSFIELD CITY FIRE DEPARTMENT
a aSFIELD, CA 9330
(805) 326-3979
l OFFICIAL USE ONLY
ID#
USINESS NAME
HAZARDOUS MATER I ALS
BUSINESS PLAN AS A WHOLE
F O RlV[ 2A 000502
INSTRUCTIONS:
1, To avoid further action, retu~'n this form by
2. TYPE/PRINT ANSWERS [~
3. Answe~ the questions below ~or the business as
4. Be as b~ie~ ~nd concise as possible.
SECTION 1: BUSI~SS IDE~IFiCATION DATA
B. LOCATION / STREET Ammm ss:J6
SECTION 2: EMEROENCY 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 .TITLE~ ~ DURING BUS. HRS. AFTER BUS. HRS.
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 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
EMPLOYERS AR~ 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 ~ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO
D. EMERGENCY EVACUATION PROCEDURES: .................~YE__~~NO~-~ ~N0
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES N(~O) YES N~O7
SECTION ?: HAZARDOUS MATERIAL
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: ...... YES NO
I, ~1~ ~M,~O,.~ , 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. 25500 Et Al.) and that inaccurate information constitutes perjury.
f
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFiC~ ~
.LA~ USE ONLY
ID#
BUSINESS NAME:
BUSI NESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TYPE/PRINT VOUR 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 AND EVACUATION PROCEDURES AT THIS b~TIT ONLY
SECTION 8: HAZARDOUS MATERIALS FOR THIS bqNIT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO
If YES, see B,
If NO, continue with SECTION 4.
Are any of the hazardous materials a bona fide Trade Secret YES ~
B.
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: ~OCATION OF NATER SUPPLY FOR USE BY E~RGENCY RESPO~ERS
SECTION2: LOCATION OF UTILIW S~T-OFFS AT THIS UNIT ONLY.
A .~PROPAN~
B. ELECTRICAL:
C ' WATER:
'. D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO MSDSs? YES / NO
FLOOR PLANS? YES / NO KEYS9 YES / NO
- 3B -
.. BAKERSFIELD CITY FIRE DEPARTIqENT
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NArdE: ,_~/d~ l~, dL ii d e~/~ OWNER NA~E: FACILITY UNIT
~YPE ~AX ANNUAL CONT USE LOCATION IN ~THIS · BY HAZARD D.O.T
;O~E A~OUNT A~OUN,,T UNIT CO~E CO~E FACILITY UNIT ~T. CHEHIqAL O~ CO~ON,, ~,~E CODE GUIDE
, .. ~ ~,~ ~ .............
..
-,. -. . ~ ~ .~ h, .~[ .~ ....
"~]RGENCY CONTACT:~/ k{5 ~ TITLE: :~d~ ~/ PHONE , BUS HOURS:
- 4A-1 -