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