HomeMy WebLinkAboutBUSINESS PLANPRECIS/ON
PLA_GT/C_G
Nancy Scrivano
STORE MANAGER
4620 New Horizon Blvd. · Bakersfield, California 93313
(805) 397-7962 · FAX (805) 397-6602
PRECIS/ONe
P[AST[C ;
RECEIVED
NO¥ 2 4
HAZ. MAT. DiV.
November 23, 1993
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
Our Bakersfield Plant ~ June 1993. Therefor/o(we
Materials Management tn for 1993~~./~
Sincerely, ~
will not be submitting a Hazardous
Tom Hall
ffor~-Ienry l~Iata
FRESNO
BAKERSFIELD
SACRAMENTO
SANTA CLARA
1401 N. Clovis Ave., #101, Fresno, CA 93727 · (209) 251-9494 · Fax (209) 251-5714
4620 New Horizon Blvd., Bakersfield, CA 93313 · (805) 397-7962 · Fax (805) 397-6602
9745-A Business Park Dr., Sacramento, CA 95827 · (916) 363-1595 · Fax (916) 363-1668
3077 Lawrence Expressway, Santa Clara, CA 95051 · (408) 736-6475 · Fax (408) 736-6295
Corporate Office: 1401 N. Clovis Ave., 0103, Fresno, CA 93727 · (209) 251-9558. Fax (209) 251-9128
Bakersfield Fire Dept.
/. Hazardous Materials Division.~./,. ~.~
/ / . . 2130 "G" Street' ~ J~ "Y-)~
/_/" .~STRUCTIONS: RECEIVED
1. To avoid further action, return this form within 30 days of receipt. SEP 2
2. TYPE/PRiNT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME: PI~CISION PLASTICS
LOCATION:
4620 NEW HORIZON BOULEVARD BAKERSFIELD, CA 933]3
MAILING ADDRESS: 14Ol N. CLOVIS AVENUE, ¢~101
CITY: FRESNO STATE:. CA ZiP: 93727 PHONE: (209) 251-9558
DUN 8, BRADSTREET NUMBER: 12-081-1759 SIC CODE: 5]62
PRIMARY ACTIVITY' RETAIL AND WHOLESALE DISTRIBUTION OF PLASTIC PRODUCTS
OWNER:
HENRY MATA, PRESIDENT
MAILING ADDRESS: 14Ol N. CLOVIS AVENUE, ¢~101
FRESNO, CA 93727
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE
NANCY SCRIVANO MANAGER
BUS. PHONE
(805) 397-7962
24 HR. PHONE
(80.5) 366-3657
2. BILLY CHENOWETH
(805) 397-7962
(805) 832-8442
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
Although we handle hazardous materials in the form of hydrogen and
oxygen gases, the total quantities of each product never exceed the
minimum reporting requirement of 200 cubic feet. Therefore, this section
is not applicable to our operation.
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT' FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES'.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, H E N R ¥ M A T A CERTIFY THATTHEABOVEINFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDERJHE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
SIGNATURE TITLE
DATE
RETURN PAYMENTS TO:
· CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CA 93303-2057
HAZARDOUS MATERIALS DIVISION
ACCOUNT NO. 1~ 737501
Hazardous Materials Handling Fees
'Site Addr: 4620 New Horizon Blvd Fund 011-1
.SERVICE FOR 7/1/91.- 6/30/92 "
STATE MANDATED PROGRAM
HAZMAT HANDLING FEE '
Total Current Charges
BILLING DATE 6/01/92
17
135~00
135.00
ANNUAL FEE ·
THIS BILL IS DUE UPON RECEIPT. 2 MONTHS FRoM,THEiBILLING DATE A 10% A
CHARGE OF 1% PER MONTH WILL BE ASSESSED.
PLEASE MAKE CHECKS PAYABLE TO:
CITY OF.BAKERSFIELD
Current Charges
TOTAL BALANCE DUE
135.00
135.00
MIN SERVICE CHARGE AND FIANCE
INQUIRIES CONCERNING THIS BILL, PLEASE PHONE:
INVOICE NUMBER
326-3979
CITY COPY
PRECISION PLASTICS
4620 NEW HORIZON BLVD
BAKERSFIELD, CA. 93313
HI{ 737501