Loading...
HomeMy WebLinkAboutBUSINESS PLAN ~"" '~ C ' .... · -~.~, TE/FA .ILITY DATE:7.~ /~7 FACILITY N~E: UNIT (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~W I (Inspector s Comments): -OFFICIAL USE ONLY- - ~A - ORTH SCALE: BUS,INESS NAME: FLOOR: UNIT ~': OF . (CHECK ONE) SITE DIAGR.k~! ~X~ FACILITY 0IAGRA.Y . $'{/ /t , i / ,. - . ,/...,. ,,' , ~ ~~ ----~7.)~~_ ¢~,~:~. ~ ~; ~.~+,. ~ Inspector' s ~omments): -OFFICIAL USE ONLY- ~..~~ Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION Date Completed Business Name..~~l,...~ "'~ (.F_J~ ~ L~ F'J~L. ,ocs, on: o o Business Identifibation-I~o. 215-000 ~ Z.{- ~:~ (Top of Business Plan) C_} ~"~ ~-.-)~!/1~/'~..~ '~ Adequate Verification of Invento~ ~o.~~ I~] Verification of Quantities Verification of Location Proper Segregation of Material mments' Verification of MSDS Availablity Number of Employees Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted ~] Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: AIIlltems O.K. Correction Needed Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy / · ,' H,,U- dZ,~ 7oi CASH MANAGEMENT 'ADJUSTMENTS' TO ACCCTJNTS R~._31IVABLE N,~ ~ BILLING HIS'[ORY FOR AN ACCOUNT RUILiO? 02/22/91 PAGE 1 ACCT CYCLE SIAIUS: CL SERVICE ADDRESS: 300 GOLDEN SLATE AVE gILL STATUS: FS CITY STATE ZIP: BAKERSFIELD, CA 9530! WATER SEWER BILL BALANCE CHARGE/ CHARGE/ ...................... PERIOD POSTINGS ....................... BILL DATE FORWARD CONS- CONS DATE AMOUNT TYPE DESCRIPTION IDENTIFIER AMOUNt CURRENl 3~2.08 $32,0~ 02/19/91 x32.08 02/19/91 '0.00 FO5 - HAZ MAT HANDLING F VP,8451,1,1 .3..08 01/01/91 225.00 .k.~ 05/01/90 3.01 B92'- FINANCE CHARGE NH,8164,2,126 532.08 ~ 05/01/90 7.50 Bgl - PENALTY NM*~164,2,127 ,~..y~6/~0/90 2,$6 892 - FINANCE CHARGE ~.~ ~8/01/90 2.S8 892 - FINANCE CHARG~ NM~8250~4541 ~0/01/90 2,4~ B92 FINANCE CHARG~ ......... 01/01/9! . 87.00 FO5 - HAZ ~Al HANDLING F NH~8405~]~$70 02/15/90 150.00 02/15/90 75.00 FFE - NH~8088~2~95 225.00 02/10/89 gill History re~ord for bill date 02/10/89 not found. SILLHIST5>422701~7712 ADJUSTMENTS TO'ACCOUNTS RECEIVABLE ~ ) $ ADJUSTMEN -' ( ) SrRV1CE CEA ~~ t: .. P~OPERTY OWNE? : ...... ': C/O LAS7 CORRECiED ADJ. ~ILLZNG AMOUNT SiLL!NG AMOUNT BiLLZ]~G "S. ,-~. og ~7. oa APPROVED '  M EM 0 I~tA N D U M FEBRUARY 12, 1991 TO: VALERIE, HAZARDOUS MATERIALS FROM: DREW SHARPLES, FINANCIAL INVESTIGATOR~ SUBJECT: HM ACCOUNTS HM 422701: Rudy & Jacinta Ortiz D.B.Ao Valley Diesel Fuel Injection filed Chapter 13 bankruptcy on 8-28-90. Claim was filed for charges through 8-1-90. Please close account and open new account starting with 1-1-91 billing. Also, please adjust off F/C of $4.83 dated 9-1-90 and 10-1-90. krc F:M.DS11 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 9330! (805) 326-3979- I0"~ 0FFIC~CAL USE ONLY ID# BUSINESS NAME ? ~, ~' HAZARDO($S lvI~kTERI ALS ~ ~m~Z- F () RlV[ 2A 1. To avoid furthee action, return this ~oe~ by 2.' TYPE/PRINT ANSWERS IN ENGLISH. 3. AnsweF the questions below foF the business as a whole. 4. Be as b~ief and concise ~s possible. SECTION 1: BUSI~SS IDE~IFICATION DATA SECTION R: E~RGENCY NOTIFICATIONS In case of an emerEency involvinE the celease cc thceatened celease of a hazacdous matecial, call 911 and 1-800-.8S2-T~0 cc 1-918-4R?-4341. This will notify youc local fice de~actmen< and the State. Office of Emecsency Sepvices as cequiped by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAMF_ ~ND TITLE , DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE · A. NAT. GAS/PROPANE:..,1~2(~'~ .~.~ ,Ak.,_ ~.. ,_ ~-~., '¢~.~._ , .b ~.,] /~'~ir~O B. ELECTRICAL: ~n{~ &k~.--~ ~} /~ A'~ ~,~,~.~. ~.,~J~ C. WATER: A~ 5'.Z,,a,< .% .-~, z, ~.. D. SPECIAL: E. LOCK BOX: YES /~Q' IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS?~--~-~-,i/ NO MSDSS? YES ./ NO FLOOR PLANS? ~TES, / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL ElVfERGENCY MEDUCAL ASS]:ST~ICE 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:...- ..................................... Y~~ YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ........................... (~ NO YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES NO D EMERGENCY EVACUATION PROCEDURES: .................. NO .YES NO E DO YOU MAINTAIN EMPLOYEE TRAINING RE(lORDS: ....... NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUN,~0F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ ~ NO I, C,~[~ ~f~7,~ , 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 info~mation constitutes perjury. SIGNATURE ~ ------'--' TITLE ~C"~';¢,'- /w~,--~c-- DATE / - 2B - BAK*ERS;!E~,= CITy FI~E DEPARTmEnT ~AR ! 5 1988 B~ERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUSI ]~qE S S PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be retuz-ned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. $ Answer the questions below for ZHE FACILITY UNIT LIo~D BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION, PRE~TION~ ABATEMENT PROCEDURES SECTION 2: NOTIFICATION ANI) EVACUATION PROCEDURES AT THIS 5'~/IT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS b~I.T, 'ONLY · ~,~ ,< !~' .. . f~ · A. Does this Facility Unit contain Hazardous'Materials? ...... YES ':"~ ' If YES, see B. ?i. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate haz, ardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1). If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ,4A-2) in addition to the non-trade secret foFm. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS 'SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. (3AS/PROPAN~? B. ELECTRICAL: D. SPECIAL: E. LOCK BOX: YES /~,~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3E - ~ I'.- .._. ,,, , l[.ITl[I IlIOIIATIIIIi~I__ IIllllt;[llf:¥ I;(I[IT^I:T: (,,~h/t',._~ (~/'~'1"?_,- l__ TITI,EI j,~,~,~,.Ij..~/ Fill)liE ~.~ ~ h.~. ~,~..,,. :ll l~tJt-IIl'T I:1111[^1:1: __~¢Z' (..,,.)"~C: 1'ltl:ItI ,.%,~. Fill)liE I HIIII'II'AI,. iiIISlIIESS ACTIVITV:I -- Al;TEll llllS, liftS: MARCII 18, 1988 Dear Mr.ORTIZ NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS VALLEY DIESEL FUEL ~ INJECTION LOCATED AT 300 GOLDEN STATE BAKERSFIELD, CA 93301 ON MARCH 18 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED.: 1) CALIBRATION OIL AND WASTE DIESEL FUEL NOT INCLUDED IN YOUR INVENTORY VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) Th~..annual inventory form shall include, but shall not be/limited to, information on all of the following which/are handled in quantities equal to or greater than the/~uantities-- specified in subdivision (a)of Section 25y~03.5: / (1)A listing of the chemical name and common ~names of every hazardous substance or chemical ~product handled by' the business. ~ (2)The category of waste, including the . ~general chemical and mineral composition of the ~waste listed by probable maximum and minimum ~concentrations, of every hazardous waste handled by ~the business. (3)A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4)The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1),(2), and (3) which is handled at any one. time by the business over the course of the year'. 2) NASTE DIESEL CONTAINER NOT PROPERLY LABLED: VIOLATION OF OSHA 1910.1200 (1)The chemical manufacturer, imoorter, or distributor shall ensure that each container of hazardous chemicals leaving the workplace is labeled, tagged or marked with -the following information: (i)Identity of the hazardous chemical(s). (ii)Appropriate hazard warnings; and (iii)Name and address of the chemical manufacturer, importer, or other responsible party. (4)Except as provided in paragraphs (31 and (41 the employer shall ensure 'that each container of hazardous chemicals in the workplace is labeled, tagged, or ~arked with the following information: (i)Identity of the hazardous chemical(si contained therein; and (ii)Appropriate hazard warnings. (51The employer may use signs, placards, process sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it is applicable and conw~ys the information required by paragraph (2) of this section to be on label. The written materials shall be readily accessible to the employees in their work area throughout each work shift. (?lThe employer shall not remove of deface existing labels on incoming containers of hazardous chemicals, unless the container is immediately marked with with the required information. (81The employer shall ensure that labels or other forms of warnings are legible, in English, and prominently displayed on the container, or readily available in the work area throughout each work shift.. Employers having employees who speak other languages may add the.information in their language to the material presented, as long as the information is presented in English as well. 3) MATERIAL DATA SHEETS NOT AVAILABLE: VIOLATION OF OSHA 1910.1200 ~--~ ' (g)The employer shall maintain cooies of the required material safety data sheets for each hazardous chemical in the workplace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work area(s) (h)(1) INFORMATION. Employees shall be informed of: (i)The requirements of this section (ii)Any operations in their work area where hazardous chemicals are present; and, (iii)The location and availability of the written hazard communication program, including the required list(s) of hazardous chemicals, and material safety data sheets required by this section. The above violations must be corrected by APRIL 1ST 1988 The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Ralph Huey at 328-3979. Sincerely~ Hazardous Material'az Coordinator