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Home My WebLink AboutBUSINESS PLAN FLOORFOR PLAN BUILDING 5, UNIT 101AND'128 EXHIBIT "B" " ," :~~-:'--i:-: '" ~-.-" ! . i EXHIBIT "A" '""'"-'"'"'"'/~ 898 Town and Country Road Orange, California 92668 Tel (714) 836-5652 February 12, 1991 ~ECEIVE1) ? HAZ. MAT. City of Bakersfield P.O. Box 2057 Bakersfield, Ca. 93303-2057 RE: HM398201 Gentlemen, Please be advised that our facility at 5650 District Blvd., #101 & #128 has been closed since December 1989. This facility has not relocated. We are no longer doing business in the Bakersfield Area Our outstanding debt of $.90 will be forthcoming from our Corporate Office. Please adjust your records accordingly. Thank you for your prompt attention to this matter. Sincerely, SyStems Control, Inc. Kathie Anderson Office Manager An SD-Scicon Company CITy OF BA KERSFIELD .... P.O. BOX 2057' ~AKERSFiELo ..... ESS CORRECTiOH REQUESTiD,~ ~;~ REFERRAL TO~FINANCE DEPARTMENT FOR COL~ECTION ~'~ Referrin~ Department/Section Person Making Referral Account Number Type of Billing Name(Business Name of Con%mercial Account Site Address Mailing Address Telephone Number Owner's Name, Address and Telephone Number Billing Period: From Month/Year ~onth/Year Amount Due . ':'. : .'~'.. '-.:;, .-".:.- ?~'~:?..' "- ~ , 7.- List Collection Efforts by Department Prior to Referral: ~t~.)"~O "~)~ ~ Co~ents THIS BILLING HAS BEEN VERIFIED AS ACCURATE AND VALID Authorized Signature (Original to Cash Management, copy to Accounts Receivable) NM 6/8/90 .' i rsfield Fire Dept. Hazardous Materials Inspection · Date Completed ~? -?/- ~ ~ Business Name: S'v' ,s f~',~ ~-~. ~,~ / /~ 'Location: ~ ~ ~,~/~,'~ ~/v~ ~ /~/ Plan ID # 215-0007oo ~ ? ~' (Top right comer Business Plan) Station No. ~ Shift '(Y .Inspector /-~ ~,/~ z,~-,~ Adequate Inadequate Verification of Invento~ Materials d~/,'~ r~,'~ ~ ~ ~ ~ ~o '~s~ RECEIVED Verification of Quantities 8[P 1 3 1989 ~ ~ Verification of Location Hg~, MAY. OIK ~oper Se~egafion of Material ~ ~ ColTLments: Verification of MSDS Availability [-] ~ · Number of Employees c3' Verification of Haz Mat Training ~ [] Comm. e_,-lts: Verifcafion of Abatement Supplies & Procedures Commenl3: Emergency Procedures Posted Containers Properly Labeled Comments: ~.~/;,d,,,..,_,,~.,..~ ~"-.,, c Verifcafion of Facility Diagram Special Hazards Associated with this Facility: Violations: FO 1852 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office BAKERSFIELD CITY FIRE. DEPART!4ENT 2 3o "o" STrEET' BAKERSFIELD, CA 9OO0! (805) 326-3979 OFFICIAL USE ONLY HAZARDOUS MATER I ALS BUSINESS PLAN AS A WHOLE INSTRUCTIONS: , 1. To avoid further action, return this form by 2 TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whol.e. 4. Be as brief and concise as possible. " SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME': .~.~ *w~ ~ ~m/~p/. / B. LOCATION / STREET ADDRESS: d <'b SECTION 2: EMEI~GENCY 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 $ItUT-OFFS FOR BUSINESS AS A ~IOEE A. NAT. GAS/PROPANE: /T/ZP~/- C WATER: /~.,~,,':f- /~/,,-/~ ~" . ~,~,,./~_ ~._~7'-~,~,;'~ ,"~,~.,'~.,,;...~ ~ ! ' D. SPECIAL: E. LOCK BOX: YES ~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS9 YES / NO 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE L4v t/cz SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE 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 YES B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... C. PROPER USE OF SAFETY EQUIPMENT: .................. NO D. EMERGENCY EVACUATION PROCEDURES: .................--~NO YES E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~.~ YES SECTION ?: HAZARDOUS I~ATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF~.~ SOLID, 55 GALLONS OF A LIQUID, OR~200. CUBIC FEET ,OF A COMPRESSED GAS: ...... YES ~ I,/~V~/ /~.'~/~, 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. 2§$00 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE.ONLY .ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY' UNIT FORM 8'A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT. YOUR ANS~TERS IN ENGLISH. 3. Answer the questions be]ow for THE FACILIT~ UNIT LISTED BELOW 4. Be as BRIEF a'nd CONCISE as .possible. SECTION 1: MITIGATION, PRE~NTION, ABATEMEN~ PROCED~ES SECTION 2: NOTIFICATI6N AND EVAC~UATION PROCEDURES 'AT THIS blNIT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facili'ty Unit contai~n ~I~gardous Materials? ...... NO If YES, see B. If' NO, continue with SECTION 4. B. Are.any of the~hazardous materials a bona f:ide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: N.ON~TRADE SECRETS ONLY (~.qhJte form #4A-1) If Yes, complete a hazardous materials .inve[~tory for. m marked: TRADE SECRETS ONLY (yellow fo~.-m #4A-2) in addition to the non-trade secret form. List only the Leade secrets on form 4A-2. SECTION 4: 'PRIVATE FIRE~PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPO~ERS SECTION 6: LOCATION OF UTILITY SHUT-OF~S AT THIS UNIT ONLY. A. NAT. GAS./PROPAN~] D. SPEC IAI,: E. LOCK BOX: YES ~tF YES, LOCATIO:~:" " IF YES, SiTE PLANS? YES / NO · ~ISDSs? YES ." NO FLOOR PLANS? YES /' NO KEYS? YES ./ NO BAKERSFIELD CITY FIRE DEPARTMENT ,.' I.D., FORM 4A-1 ~,age / NON TRADE SECRETS . HAZARDOUS MATERI ALS I mvEmXORY ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GU[DE NAME: ~Zu, h~ ~. ~kX TITLE:~~F~ SIGNATURE: DATE: SITE/FACILITY DIAGRAM FORM 8 NORTH SCALE: BUSINESS NA%[E: FLOOR DATE:_ / / FACILITY N~E: , " OF . !~/~/~- ~ (CHECK ONE) SITE DIAGR.~I~~ FACILITY DrAGR.~ ~ .[(.Inspector's[ Comments): -OFFICIAL USE ONLY- - SA - SITE DIAGRAM (Required items) ~ddress: Identify the 9. Lock (key) Box )rinctple bu!ldlngs by the Street numbers. 10. MSDS Storage Box '2~ Street(s). Alleys, ~11. Railroad Tracks Driveways, and Parking . Areas adjacent to the ~2. Fence or Barrier ' " property, Include the ~ Wire street names. bi Masonry ~-.%..S~orm Oralns, Culverts, · Yard Oralns c. ~ood 4. Dralnage Canals, Ditches, d. Gates Creeks, 13. Powerllnes ~,. Buildings a. Frame construction 14. Guard Station b. Masonry construction 15. Storage Tanks: Identify the c. Metal construction capacity in gal. ~ a. Above ground d. Access Door b. Underground Utility Controls a. Oas 16. Diking or Berm b, Electricity 17. Evacuation Route c. Water 18. Evacuation Area: Identify the 7. Fire Suppression Systems: location where ~. Fire Hydrants employees will meet. b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage .... c. Fire Standpipe 20. Outside Hazardous Connections Material Storage d. Water Control Valves 21. Outside Hazardous for protection systems Materlal Use/Handling e. Fire Pump 22. Type of Hazardous Material/Waste Stored .. 8. Fire Department Access or Used (See Below) TYPE OF HAZARDOUS MATERIAL F = Flammable E - Explosive L - Liquid · R - Radlologlcal C - Corrosive 0 - Oxidizer O = Gas P = Poison W = Water Reactive T = Toxic S = Solid H = Cryogenic D = Waste B - Etiological Example: Flammable Liquid = FL FACILITY DIAOR~ (Required items in addition to the. abo~e) Risers for Sprinklers ~B, Fire Escapes ~2. Partitions ',9. Air Conditioning Units 3. Stairways: Indicate the ~. 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 Materials Use/Handltn~ "~, Attic Access %14, Sewer Drain Inlets ?. Skylights :