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 / ,. - .
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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:
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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
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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