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HomeMy WebLinkAboutBUSINESS PLAN STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 150I TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (661) 326-3979 DATE: 8/01/99 TO: PERFORMANCE CYCLE 2309 CHESTER AVE BAKERSFIELD, CA 9330i CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ 2871 -----CR~E DATE--D--~SC~TIO~' RE-F-~qJMBE~ DU~-D-A-TE' TOT~A%--~-- 6/30/99 BEgINNINg BALANCE 174.50 FOR GUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 174.50 DUE DATE: 8/31/99 PAYMENT DUE: 174.50 TOTAL DUE: $I74.50 PLEASE DETACH AND SEND THIS COPY With REH~TTANCE ~ DATE: 8/01/9~ DUE DATE: 8/31/9~ REMIT AND MAKE CHECK PAYABLE TO: CITY O~ BAKERSFIELD PO BOX 2057 BAKERSFIELD CA ~3303-2057 (661) 326-3~7~ CUSTOMER NO: 2871 CUSTOHER TYPE: ES/ 2871 TOTAL DUE: ~174.50 STATEMENT DF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 6/30/99 TO: PERFORMANCE CYCLE ~309 CHESTER AVE BAKERSFIELD, CA 93301 CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ 2871 CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/01/99 BEQINNINQ BALANCE 174.50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT. PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 ....... 1'-'7~-50 DUE DATE: 7/30/99 PAYMENT DUE: 174.50 TOTAL DUE: ~174.50 PLEASE DETACH AND SEND THiS COPY WITH REMITTANCE ~~'~o~ DATE: 6/30/9~ DUE DATE: 7/30/~ REMIT AND HAKE CHECK PAYABLE TO; CITY OF BAKERSFIELD PO BO× 2057 BAKERSFIELD CA ~3303-2057 (805) 326-3979 CUSTOMER NO: 287I CUSTOMER TYPE: ES/ 2871 TOTAL DUE: $174.50 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 6/30/99 TO: PERFORMANCE CYCLE 2309 CHESTER AVE BAKERSFIELD, CA 93301 CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ 2871 CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/01/~9 BEQINNINQ BALANCE 174.50 FOR 8UESTIONS OR CHANQES TO YOUR ACCOUNT. PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE: 7/30/99 PAYMENT DUE: 174.50 TOTAL DUE: $174.50 PLEASE DETACH AND SEND THiS COPY WITH REMITTANCE ~~~ DATE: &/30/~9 ~UE DATE: 7/30/~ REMIT AND MA~E CHECK PAYABLE TO: CITY OF BAAERSFIELD PO BOX ~057 BAKERSFIELD CA 93303-2057 (805) 3~6-3979 CUSTDHER NO: 2871 CUSTOMER TYPE: ES/ 2871 TOTAL DUE: $174.50 STATEMENT OF ACCOUNT CITY DF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 9330i-5201 (805) 326-3979 DATE~ 6/01/99 TO: PERFORMANCE CYCLE 2309 CHESTER AVE BAKERSFIELD, CA 93301 CUSTOMER NO: 287! CUSTOMER TYPE: ES/ 2871 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 5/01/99 BEgINNINg BALANCE 174.50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 174. 50 DUE DATE: 7/01/99 PAYMENT DUE: -~ 174. 50 TOTAL DUE: $174. 50 CUSTOPI.E~ NO: ~871 CU~TOM_R TYPE: . ~-.8~ ~, TOTAL DUE: ~;'~. 74, 50 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (661) 326-3979 DATE' 9/01/99 PERFORMANCE CYCLE 2309 CHESTER AVE BAKERSFIELD, CA 93301 CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ 2871 CHARGE DA~E DESCRIPTION REF-NUMB~R 8101/99 BEgiNNiNg BALANCE 174.50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 174. 50 DUE DATE' 10/01/99 PAYMENT DUE: 174. 50 , TOTAL DUE' $174. 50 PLEASE DETACH AND 8~ND 'T~'~i~ COPY DATE: 910~t~9 hUE DATE: REMIT AND M~KE CHEC~ PAYABLE TO: CiTY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-~057 (~6!) CUSTOMER NO' 22871 CUSTOI'"tER TYPE: TOTAL DU,_-: ~¢i 74. 50 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-5~01 DATE: 10/01/99 PERFORMANCE CYCLE ~309 CHESTER AVE BAKERSFIELD, CA 93301 CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ 2871 CHARQE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ?/0I/?? BEQINNINO BALANCE 174.50 FOR QUESTIONS OR CHAN~ES TO YOUR ACCOUNT. PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 174. 50 DUE DATE: 11/01/99 PAYMENT DUE: 174.50 TOTAL DUE: $174.50 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE DATE: i0/01/~ DUE DATE: II/0I/~ REMIT AND MA~E CHEC~ PAYABLE TO: CITY OF BAKERSFIELD PO BOX ~057 BAKERSFIELD CA ~3303-~057 (&&l) 3~&-3979 CUSTOMER NO: 2871 CUSTOMER TYPE: ES/ ~871 TOTAL DUE: $174.50 B~KERSFIEi~D~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME f~fi',~/'°'rz'~ ¢P'6~ INSPECTION DATE ~'- ?.- q? ADDRESS 9-.2o q ,-'_ ./d,r~f~z ,4e/~ PHONE NO. FACILITY CONTACT ~t6/d~ ~o~'z BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: BuSiness Plan and Inventory Program ~ RoUtine [] Combined [] Joint'Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~)( /U/J /~'~' rr~ Business plan contact information accurate !)~ ,,~'~ ~ Visible address Correct occupancy Verification of inventory materials ~ ~~( ~/ Verification of quantities Verification of location Y /~ ~W/7/-~//ff,~ Proper segregation of material ~ /~./69 Verification of MSDS availability ' g Jl~J~'C~ /ff,q/~4 Verification of Hag Mat training ~( ~j~ Verificati°n °f abatement supplies and pr°cedures X Emergency procedures adequate ~(~ Containers properly labeled ~ ~/~~/~.f~} Housekeeping' Fire Protection ~ Site Diagram Adequate & On Hand ~ C=Compliance 'V--Violation Any hazardous waste on site?: [~l Yes [] No Explain: RJ~--~ /~.a-ro~< a/~- ~~,~~ -- Questions regarding this inspection? Please call us at (805) 326-3979 Yellow - Station Copy Pink - Business Copy InspectOr· White -' Env. Svcs. MISCELLANEOUS RECEIVABLES ADJUSTMENT MAILING ADDRESS SITE ADDRESS PARCEL NUMBER ADJUSTMENT I CHG DATE I CHARGECODE I ADJUSTMENT.AMOUNT .I REMARKS: '~-'~e ~"~~' ~Oc~:~C~ ~Od~'~ APPROVED BY ~----~~~ RETURN PAYMENTS TO: CITY OF BAKERSFIELD HAZARDOUS MATERIALS DIVISION PLEASE MAKE CHECKS PAYABLE TO: P.O. BOX 2057 BAKERSFIELD, CA 93303-2057 ACCOUNT NO. ~ 391301 CITY OF BAKERSFIELD Hazardous Materials Handling Fees Previous Balance 86.96 Site Address: 2421 K Street Fund 011, Finance Charge 0.01 SERVICE FOR 7/01/92 - 6/30/93 Payment After 12/31/92 Not on This 9/10/92 Payment -86.07 RAZ MAT RANI)LING FEE'.66.00 Total Cur ~:.~,,, ~'::~,, :'~: i!~?~6-00 Current Charges 66.00 Billing Date 1/1/93 Total Balance Due 66.90 ANNUAL FEE THIS BILL IS DUE UPON RECEIPT. 2 MONTtIS "~R~ii~"i~j'~'iNG DATE A 10% AmINISTRATIVE SERVICE cI(ARGE AND FINANCE CRARGE OF 1% PER MONT~! WILL BE ASSESSED. INQUIRIES CONCERNINg THIS BILL, P~EASE.PHONE: (8~79 ' - ~ Performance Cycle . ' HM 391301 INVOICE NUMBER 2309' Chester Ave Bakersfield Ca. 93301-4017' CITY COPY ' Hazardous Materials/Hazardous 'Waste unified permit CONDITIONS OF PERMIT ON REVERSE SIDE ........... ,,<,.~?:???.?.?.?!i?,~** ....... This permit is issued for the following: · .~ ,,~,~,,?,, i"??'//~ !:i :'.:;:~ii::::;'~;:;;i:::;;i:::;'~'::;::;:ili::::::;:;:;E~.~Hazardous Materials Plan · ?iq'?:'i'., ~i??~:;I. ii!i!!;:. :~iiii!::[!iiiii, }iiiiii??:.}i;!ii!i~::ii0~erground Storage of Hazardous Materials PERMIT ID# 015-021000251 .=,:,,i?'{i:i,~.}~,!~.;i~i'~;}}:~ !ii!i} *~*~:" ..,,!!!!!:',!i!i: i!!! !~:}~::.i!*:??!';:::'!!!i?~:'~:!:}'~,,,~}i~.~ki:M'~agement Program LOCATION 2309 CHESTER ~?~,,'",,"~,~,~:;,' B~RS~[~LD CA ~.~}~' ~}}~{'~.~:~ . ~.~. .-. ~ ~ ~ .-' -::::.,.., ~¢' . ~ ..... ~i~ ~ , , , · . , ,. , . ,'~, , ~ ~ · '-,,. '~ ......... '~,. '~,~ ~Z~f ~,~=.. '..'.,~-~ .~[~ '~. '~ ~ .,...' .=~': ~,='~,~, ,~'. ',. ',.a~? '~" ....? .:' ''~ ~ '" ~(i ~j iE~r' ,h ~ ,,~=$. ., ~" · %~:,~..- ,.' .......?~,,,~ ~:' ~ .,~,=~'?"-' ~ , ~ [.~ .... ~ - .~..................,.?..~.....~ .... · , ~ · a ..... ~¢,~E.¢-" .,'" ..'" ./ ,'" ./ ,.' ,,' .,' / / ? ~'=~¢a  B~ersfield Fke D~ment Approv~ by: ff ~ O~ICE OF E~ O~L S~ 1715 Chewer Ave., ~rd Floor ce of~~ B~e~fiel~ CA 9~01 Voice {805) 32~3979 F~ (805)~26-0S76 Expiration Date: · dUn~ ~O~ ~000 08/30/96 PERFORMANCE CYCLE~ 5-000-000251 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2309 CHESTER AV Map:103 Haz:l Type: 3 City : BAKERSFIELD Grid: 30A F/U: 1 AOV: 0.0 Contact Name Title , Contact Name ,,/-- Title _/ Business Phone: (805) 327-0700x ~/Business Phone~ 1~05J)-~? - 0~7-~,. 24-Hour Phone : (805) ~9xf~~-'~ 24-Hour Phone : ~) ~7~- /~/ Pager Phone : (~D~)~-~x/ Pager Phone : ( ) - x Administrative Data Mail Addrs: 2309 CHESTER AVE D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Co~ Code: 215-001 BAKERSFIELD STATION-01 SIC Code: .~ner: JEFF MCCOY Phone: (805) ~-1428 Address: ~ 3~ ~ ~ State: CA ~73 City: BAKERSFIELD ~' Zip: ~- Sugary BUSINESS MOVED FROM 2421 K STREET .~ - rr~,~,o, .. ~ Do hereby certify that I hav~ reviewed the attached h .a.-za~ous ,-,=*~,-- .~. .,. merit plan for_/~ £~,~ ~ ~ and ~~:~ that i~ along with any ~rr~tions constitute a complete and correct agement plan for my 08/30/96 PERFORMANCE CYCLE ~ 215-000-000251 Page 2 Hazmat Inventory Lf~t in MCP Order 02 -'Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-002 ARGON Gas 280 Minimal ~ Fire, Pressure, Immed Hlth FT3 08/30/96 PERFORMANCE CYCLE ~ 215-000-000251 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ARGON Gas 280 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS #: 7440-37-1 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 280 ~ 280.00 280.00 Storage I~Press T Temp Location FIXED PRESS. CYLINDER IAmbient~AmbientlLEFT REAR CORNER -- Conc Components MCP -~Guide 100.0% IArgon IMinimal I 12 08/30/96 PERFORMANCE CYCLE ~ 215-000-000251 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL INSTRUCTIONS FOR EVACUATION TO PERSONNEL AND CUSTOMERS. DOORS ARE AT EACH END OF BUILDING FOR ENTRY/ESCAPE. EXITS ARE MARKED <3> Public Notif./Evacuation VERBAL NOTIFICATION OF CUSTOMERS <4> Emergency Medical Plan SAN JOAQUIN HOSPITAL, 2615 EYE ST, 395-3000 08/30/96 PERFORMANCE CYCLE AND ATV 215-000-000251 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention CLEANING SOLVENT IS KEPT IN APPROVED WASHER & HEAT SENSITIVE LID OXY/ACETYLENE WELDING IS IN WELDING AREA FARTHEST AWAY FROM SOLVENTS - (USED VERY LITTLE) <2> Release Containment <3> Clean Up <4> Other ResOurce Activation 08/30/96 PERFORMANCE CYCLE AND ATV 215-000-000251 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - ALLEY B) ELECTRICAL - ALLEY C) WATER - ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 5 FIRE EXTINGUISHERS FIRE HYDRANT - ????????????? <4> Building Occupancy Level 08/30/96 PERFORMANCE CYCLE AND ATV 215-000-000251 Page 7 00 - Overall Site <G> Training <1> Employee Training WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SELF TRAINED <2> Page 2 <3> Held for Future Use <4> Held for Future Use