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Home My WebLink AboutBUSINESS PLAN TE/FAC I L I TY FORM NORTH SCALE: __ BUSINESS~ NAME: DATE~ / / FAGILITY NAME: FLOOR:/ OF UNIT #: OF ,~.., ~.' . , I ~11~ (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M (Ins] ~ctor's Comments): -OFFICIAL USE ONLY- - SA - Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021.000434 VOGEL ELECTRIC LOCATION 2312 P This permit is issued for the following: ';il;i~:i;iiiii;;i~?,:i;~:;i;;i;;:~;:,,:i;:?i~!:i:!~i~Hazardo' us Materials Plan i;ii~,i;,:~D;0~ae~ground Storage of Hazardous Materials Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326.0576 Approved by: ~flph Huey~ Office of ~ental Servides Expiration Date: June 30, 2000 HM400001~ Account Number ACCOUNTS RECEIVABLE ADJUSTMEN~ June 217 1994 Date Esther Duran From Fire Department- Hazardous Materials Division Department/Division VOGEL ELECTRIC New A=count New Address Close Account Servlco Chan.qe Other Adjustments X Billing Name 2312 "P" STREET Billing Address Site Address Psmel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 0 < 19.81 · 06-21-94 Remarks: THIS BUSINESS IS NO LONGER A HAZARDOUS MATERIALS HANDLER. WE WILL NOT TRY TO COLLECT THE ACCRUED FINANCE CHARGES. 06/02/94 VOGEL ELECTRIC 215-000-~0434 Page O Overall Site with 1 Fac.~r, it General Inforr,~at ion City : Grid: 30B F/U: 1 AOV: 0.0~ ~ Contact Name ]'itle ROBERT PALMBACH / Business Phone: (805) 323-1995x 24-Hour Phone : (805) 399-0196x Pager Phone : ( ) - x Contact Name Title MARGUERITE PALMBACH / Business Phone: (805) 323-1995x 24-Hour Phone : (805) 399-0196x Pager Phone : ( ) - x Administrative Data Mail Addps: 2~12 P ST City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Number: 12-775-2582 State: CA Zip: 93301- SIC Code: 7694 Owner: ROBERT PALMBACH Address: 2304 CHARLETON DR City: BAKERSFIELD Sunw~ary Phone: (805) ~o~ ~-1995 State: CA Zip: 93308- , JUN i ~ 1994 I,~"Q~. ~u~.,:~e-c-,,O~3o hereby ce~ttly that I have reviewed the attached hazardous materials manage- ~ plml for \lcw,~,. ~e.c~-;c end.that'lt along with -- (Nl~e of Buslne~) al~y ~ons constitute a complete andoormct man- agement plan for my facility. 06/02/94 Page P 1 rs- Re f Nar~e/Hazards VOGEL ELECT R I C 215-000-000434 Hazmat Ir, verstory List ir, MCP Order 02 - Fixed Contair~ers or~ Site F 0 r rfl Max Qty MCP 02-001 OXYGEN Fire, Pressure, Ir~med Hlth Gas 251 FT3 06 / 02 / 94 L TIC 215-000-000434 Page 02 - Fixed Corstair, ers o~ ite Hazn~at Inventory Detail irs MCP Order 02-001 OXYGEN Fire, Pressure, Irnrned Hlth Gas 251 Low FT3 CAS ~: 7782-44-7 Trade Secret: Nc, Eorr~l ~ Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 251 Daily Average FT3 125.00 Anr~ual A~nour~t FT3 502.00 Storage ~ Press T Ternp -T--- PORT. PRESS. CYLINDER lAbove lArnbientlNE CORNER Locat i or, -- Corec -- Compor, er, ts 100.0% 10xyger~, Con, pressed MCP ---~uid~ ow 14 06/02/94 VOGEL ELECTRIC 215-000-000434 Page 00 - OYerall Site <D> Notif. /Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ONE MAN SHOP, CALL 911. THE EMPLOYEES COULD BE EVACUATED THROUGH THE LARGE REAR DOOR OR REGULAR FRONT DOOR. THERE ARE WINDOWS ON THE SOULD SIDE AS WELL AS THE FRONT OF THE BUILDING. <3> Public Notif. /Evacuation IN EVENT OF PHYSICAL HAZARD SUCH AS FIRE, EXPLOSION, OR CHEMICAL EXPOSURE, THE NEIGHBOR ON ]'HE SOUTH SIDE OF THE BUILDING WOULD NEED TO BE NOTIFIED/EVACUATED. THIS HOME HAS AN ELDERLY MAN AND CHILD IN IT. THE MAN IS AWARE OF THE BUSINESS. <4> E~ergency Medical Plan IF AN EXTREME MEDICAL EMERGENCY OCCURED WE WOULD CALL FOR ASSISTANCE THROUGH THE 911 EMERGENCY NUMBER. WE HAVE A FAMILY DR. (EDWARD BROWN - 2531 G ST - 32?-7348) WHOM WE WOULD TAKE ANYONE NEEDING MEDICAL TREATMENT OTHER THAN NORMAL FIRST AID. 06/02/94 VOGEL ELECTRIC 215-000-000434 00 - Overall Site <E> Mit i gat iors/Prever~t/Abatemt page <1> Release Preventi OXYGEN &. ACETYLENE TANKS PROPERLY CHAINED ON MOBILE CART, USE ONLY SMALL QUANTITIES OF OTHER CHEMICALS. <2> Release Cc, r~tair~mer~t PRESSURIZED TANKS <3> Clear~ Up GASSES ONLY <4> Other Resour'ce Act i vat i or, 06/02/94 VOGEL ELECTRIC 215-000-000434 Page 00 - Overall Site <F> Site Er~erger~cy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE RIGHT REAR CORNER OF' BUILDING AND ALLEY BEHIND BUILDING B) ELECTRICAL - RIGHT REAR CORNER OF BUILDING OUTSIDE C) WATER - RIGHT REAR CORNER OF BUILDING OUTSIDE AND ALLEY BEHIND BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT THE BUILDING, BATHROOM HAS WATER ACCESS. FIRE HYDRANT - ON THE CORNER OF P STREET APPOXIMATELY 15 FEET FROM THE BUILDING <4> Buildir~g Occupar~cy Level 06/o,- / 94 VOGEL ELECTRIC 215-000-000434 00 - Overall Site <G> TrairJirsg Page <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ALL HAZARDOUS MATERIALS ARE LABELED. BOTH EMPLOYEES ARE AWARE OF' THE EMERGENCY NUMBERS WHICH ARE POSTED ON BULLETIN BOARD AND ARE AWARE OF ESCAPE ROUTES IN EVENT OF FIRE, ETC. PROTECTIVE MEASURES AND PROTECTIVE EQUIPMENT ARE USED WHEN HANDLING HAZARDOUS MATERIALS. <2> Page 2 as rseeded :<3> Held fc, r Future Use <4> Held for Future Use 03/17/92 VOGEL ELECTRIC 21'5r000-000434 Overall Site with 1 Fac. Unit General Information Page Location: 2312 P ST Map: 103 Hazard: Low I I Community: BAKERSFIELD STATION 01 Grid: 30B F/U: 1 AOV: 0.0 I Contact Name. Title ROBERT PALMBACH MARGUERITE PALMBACH Mail Addrs: 2312 P.ST City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 Business Phone (805) 323-1995 x (805) 323-1995 x 24-Hour Phoneq (805) 399-0196! (805) 399-0196! Administrative Data D&B Number: 12-775-2582 ~tate: CA Zip: 93301- SIC Code: 7694 Owner: ROBERT PALMBACH Phone: (805) 323-1995 Address: 2304 CHARLETON DR State: CA City: BAKERSFIELD Zip: 93308- Summary RECEIVED #AR 3 1 1992 HAZ. MAT. DIV. I, , ~a~~.~_ Do hereby cerli/y that I have rev/ewect .the attached hazardous mater/als manage- ment Plan for~a nd that it along with any corrections const/tute a Complete and correct man- agement Plan for my fac/lily. 03/17/92 VOGEL ELECTRIC 215-000-000434 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference 'Number Order Page 02-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 251 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3251 I Daily Average. 125.00FT3 Storage Press PORT. PRESS. CYLINDER Above ~AmbientINE CORNER 'Annual Amount FT3 502.00 Location -- Conc 100.0% IOxygen, Compressed Components MCP Low iList -- Notes 03/17/92~ VOGEL ELECTRIC 215-000-000434 Page 00 - Overall Site <D> Notif./Evacuation/Medical~ <1> Agency Notification CALL 911 <2>~Employee Notif./Evacuation ONE MAN sHoP, CALL 9.11. THE EMPLOYEES COULD.BE EVACUATED THROUGH THE LARGE REAR DOOR OR REGULAR FRONT DOOR. THERE ARE WINDOWS ON THE SOULD SIDE AS WELL'AS THE FRONT OF THE BUILDING. <3> Public Notif./Evacuation IN EVENT OF PHYSICAL HAZARD SUCH AS FIRE, EXPLOSION, OR CHEMICAL EXPOSURE, THE NEIGHBOR ON THE SOUTH SIDE OF THE BUILDING WOULD NEED TO BE NOTIFIED/EVACUATED. THIS HOME HAS AN ELDERLY MAN AND CHILD IN IT. THE MAN I.S AWARE OF THE BUSINESS. <4> Emergency Medical Plan IF AN EXTREME MEDICAL EMERGENCY OCCURED WE WOULD CALL FOR ASSISTANCE THROUGH THE 911 EMERGENCY NUMBER. WE HAVE A FAMILY DR. (EDWARD BROWN - 2531 G ST - 327-7348).WHOM WE WOULD TAKE ANYONE NEEDING MEDICAL TREATMENT OTHER THAN NORMAL FIRST AID. 03/17/92 VOGEL 'ELECTRIC 215-000-000434 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt 4 <1> Release Prevention OXYGEN & ACETYLENE TANKS PROPERLY CHAINED ON MOBILE CART, USE ONLY SMALL QUANTITIES OF OTHER CHEMICALS. <2> Release Containment <3> ,Clean Up <4> Other Resource Activation 03/i7/92 VOGEL ELECTRIC 215-000-000434 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-OffS A) GAS - OUTSIDE RIGHT REAR CORNER'OF BUILDING AND ALLEY 'BEHIND BUILDING B) ELECTRICAL -.RIGHT REAR CORNER OF BUILDING OUTSIDE C) WATER - RIGHT REAR CORNER OF BUILDING OUTSIDE AND ALLEY BEHIND BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT THE BUILDING, BATHROOM HAS WATER ACCESS. FIRE HYDRANT - ON THE CORNER OF P STREET APPOXIMATELY 15 FEET FROM THE BUILDING <4> Building Occupancy Level 03/17/92 VOGEL ELECTRIC 215-000-000434' Page 00 - Overall Site <G> Training <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? ALL HAZARDOUS MATERIALS ARE LABELED. BOTH EMPLOYEES ARE AWARE OF THE EMERGENCY NUMBERS WHICH ARE POSTED ON BULLETIN BOARD AND ARE AWARE OF ESCAPE ROUTES IN EVENT OF FIRE, ETC. PROTECTIVE MEASURES AND PROTECTIVE EQUIPMENT ARE USED WHEN HANDLING HAZARDOUS MATERIALS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 'r CITY O/ BAKERSFIELD "I,~f£ C,q R E" Do ,hereby certify that I Drinz name have reviewed attached Hazardous .~laterials (name of business) business plan and that it along with the attached RECEIVED ~'~ ............ flEGEIVED NAY. 2 ~ 19~9 ~ddi~ion~ o,r corrections constitute a comDlete and correct Business Plan for mM facility. ~ ~ gnanur.e date ,~BUSINESS NAME VOGEL ELECTRIC LOCATION 2312 P ST ID NUMBER ZlS-OOO-(Z~0434 HIGH HAZARD RATING Z 1. OVERVIEW LAST CHANGE 08/03/88 BY ESTER JURIS CODE ZLS-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 10~ GRID ~08 FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY 2A SEC 4) WE ARE A SMALL BUSINESS, FAMILY RUN. WE HANDLE VERY LITTLE HAZARDOUS MATERIAL. IN THE EVENT OF AN EMERGENCY WE HAVE FIRST AID SUPPLIES ON HAND. IF UNABLE 'TO HANDLE IT OURSELVES' WE WOULD CALL BI1 FOR EMERGENCY.ASSISTANCE. EMERGENCY CONTACTS 2A SEC 2) ROBERT PALMBACH - 3Z3-199S OR 399-019G MARGUERITE PALMBACH - 323-199S OR 399-8198 UTILITY SHUTOFFS 2A SEC ~) " A) GAS - OUTSIDE R REAR CORNER OF BI. DG AND ALLEY BEHIND 8LDG 8) ELECTRICAL - R REAR CORNER OF 8LDG OUTSIOE C) WATER - R REAR CORNER OF 8LOG OUTSIDE AND ALLEY BEHIND BLDG D) SPECIAL - NONE E) LOCK BOx - NO Z. NOTIFICBTION/ PUBLIC EVACUATION LAST CHANGE 5 62 69 BY Marguerite Palmbach In event of physical hazard such as fire, explosion, or chemical exposure, the neighbor on the South side of the building would need to be notified/ evacuated. This home has an elderly man and child in it. The man is aware of the business The employees (2) could be evacuated through the large rear door or regular front dOor. There are windows on the south side as well as the front of the building. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 MATERIAL SAFETY DATA SYSTEMS, INC. '(805) G48-BB(~ BUSINESS NAME VOGEL~EECTRIC LOCATION Z31Z P ST ID NUMBER Z15-000-000434 HIGH HAZARD RATING Z 3. HaZ MAT TRAINING SUMMARY 'LAST CHANGE 5 /22/89 BYMarguerite Palmbach T~ere ar~ two emplgyees. (oWner and son.) Ail hazardous materials are labeled. Both employees are aware of the emergancy numbers which are posted on bull~.tin board and are aware of escape routes in event of fire etc. Protective <m~~i~o~toiR~De~P~ts are used when handlin~ hazardous · SECTI ON > ~ma~era~±s. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 08/03/88 BY ESTER SEC S) IF AN EXTREME MEDICAL EMERGENCY.OCCURED WE WOULD CALL. FOR ASSISTANCE THROUGH THE Bl! EMERGENCY NUMBER. WE HAVE A FAMILY DR, (EDWARO BROWN - ZS31G ST - 3Z'7-7348) WHOM WE WOULD TAKE.ANYONE NEEDING MEOICAL TREATMENT OTHER THAN NORMAL FIRST AID. PAGE Z IZ!Z3/88 1S:18 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 848-6800 BUSINESS NAME VOGEL'~'~ECTRIC LOCATION Z~IZ P ST FACILITY UNIT 01 ID NUMBER Z15-000-0~434 HIGH HAZARD RATING Z R, OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 08/03/88 BY ESTER ID TYPE' NAME MAX RMT UNIT HAZARD LOCATION CONTAINMENT USE PURE OXYGEN NE CORNER PORTABLE PRESS. CYL. ID PERCENT COMPONENTS ~ OXYGEN, COMPRESSED Z51FT3 HIGH UELDING/SOLDERiNG HRZARD LIST HIGH B. FIRE PROTECTION / 'WATER SUPPLIES LAST'CHANGE 5 /22/89 BY M~rguerite Palmbach There is a fire h~rent located on th~ corner of P street approximately 15 feet from the building. Inside the building there is access to water( restroom facet) in the back south corner. Fire extinguishers are in easy accessible areas in the building. < NO INFORMRTION RECORDED FOR THIS SECTION > PRGE 3 12/Z3/88 15:18 MRTERIRL SRFETY DRTR SYSTEMS, INC. (805) G48-GS~K~ BUSINESS NAME VOGEL CTRIC LOCATION 2'312 P ST D. EMPLOYEE NOTIFICATION / EVACUATION SEC Z) ONE .MAN SHOP, C~LL All. I ' ID NUi~ER 215-000-~0434 HIGH HAZARD RATING LAST CHRNGE 08/03/88 BY ESTER E. MITIGATION / PREVENTION / ABATEMENT LAST CHA'NGE 08/03188 BY ESTER SEC 1) OXYGEN .& ACETYLENE TANKS PROPERLY CHRINED ON MOBILE CART, USE ONLY SMALL QUANTITIES OF OTHER CHEMICALS. PAGE 4 12/Z3188 15:18 MSTERIAL SAFETY DATA SYSTEMS, INC. (80S) G48-G800 CITY of BAKERSFIELD '~--. HAZARDOUS MATERI ALS I NVENT,O RY Farm and Aqriculture Standard Business N O N -- 'r R A D E S E C R E T S -' ' Page .Z_ of .Z LOCATION: ~/J ~/ ~: ADDRESS: C~TY, ZIP: ~~~ ~ ~0 IWS~UCTZO~ ~OR PROP~ COD~ I ~ 3 4 S 6 1 8 9 I0 11 12 13 14 Trens Ty~ ~x Average ~nual ~asure l C~e C~e ~ ~ Est Un*cs m Stte Ty~ P~l Tap C~I .. Stor~ tn Faciltty ~ ~ Inst~Ctiml (C~k ~11 t~t apply) - . ..... ~ ire Hazard ~--J Reactivity ~--J Health of P~sure ~lth ........... P~ical and H~lth Hazard C.A.S. {~k all t~t apply) ~ -- ] ~ -- ~ r -- H~lth of P~ H~lth ...... ---L__L __ L ........... ] [ I i- I ! L l ............. (~k ell t~t ~pply) -- ~ ~ Fire Hazard ~--~ Reactivity =--~ ~la~ =--~ ~dd~ RelHse Health of Pr~sure H~lth C~t 13 P~ic~l ~ H~lth H~zard C.A.S. Numar Cm~t I1 N~ & C.A.S. N~ (C~k al1 t~t apply) ....................... Fire Hazard ~ ~ R~ctivity [ Health ~t 13 N~ & C.A.S. N~r , ' .... ' : e~. ..... ==.~%%~' ' ' ~E,cv comus ,,Robert Palmbach'swner R;~ ............................. ' ...... T~E]~ .................. Certification (Read and siRn after completinE all sections) i certify under otmalty of law that ] have oersonally examined and aa faatliar with the Information submitted tn thtl end alt Ittlched d~uments, and that based on my inquiry of those Individuals responsibte for obtaining the information. I believe that the submitted Information ts true, accurate, and complete. -B~,~ERSFIECD CiTY FIRE DEPA~T~k~r 2230 "O" STREET BAKERSFIELD, CA 93301 (805) 326-3979 BUSINESS NAME OFFICIAL USE ONLY ID# HAZARDOUS MATERIALS BUSINESS PLAN -AS A WHOLE FORM 2A 000434 INSTRUCTI 0NS: 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 whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: EMERGENCY 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 TITL~ DURING BUS. HRS. AFTER BUS. HRS. Ph# ~'0~ A39~ o / F~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. ~NAT. GAS/PROP~ANE:.. ~' (~..,cdk ~r;~ qk~..[~l~r~ C~4 ~. B. ELECTRICAL: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES / NO YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTIONS: 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 A. METHODS FOR SAFE HANDLING 0F HAZARDOUS MATERIALS:..., .................................... ~'~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. y~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. (~ NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... ~ NO SECTION 7: HAZARDOUS NATERIAL REFRESHER' ~ NO ~ NO ~j~ NO NO C RCLE< OR NO · DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL. IN QUANTITIES LESS THAN~I~OF A SOLID;~'~GALLONS OF A ~-Qb-~j), ORe'pO ~U-BIC FEET OF A~O~R~~~~ NO I',~,~,~(~0~~ , certif~ that the above information is ~ccurate. I u~de~St~d that this i~formation will be used to fulfill my firm's obligations under the new California Health and Safet~ code on Hazardous Materials (Div. 20 Chapter Sec. ZEE00 Et Al.) and that inaccurate information constitutes perjury. DATE BAKERSFIELD CITY FIRE DEPAR~.!ENT 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESS NAME: OFFICIAL USE ONLY iD# BUSINESS 'PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1.. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. , 3. Answer the questions be!o~ for THE FACILITY UNiT LISTED BELOW 4. Be a's BRIEF and CONCISE as possible. ._ ~ _~ ' FACILITY L~IT~ FACILITY b~IT N~ME: '~/~ SECTION 1: MITIGATION, PREVENTION~ ABATEMEN-F PROCEDURES SECTION 2: NOTIFICATION .%YD EVACUATION PROCEDL~ES AT THIS L%'IT ONLY BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A- ! NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY ADDRESS: ' ~q~,~-~)'g~ '- - - ' ADDRESS: ~..~';~n-I/~A,~A{~¥9/~...~ ~..~ FACILITY UNIT NAME: CITY, ZIP: ~,~l~,. q~O/ CITY,ZIP:~~bD~% (~. ~3,~0~ I 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. CHEMIqAL OR COMMON NAME CODE GUIDE' ./::~ NAME EMERGENCY : E~RGENCY CONTACT: PR i~C I PAL BUSINESS T I T L E,.,~ SIG 'URE TITLE - 4A-1 - DATE __PHONE # BUS HOURS:~-'OS..%4~A, lI~9~; AFTER BUS HRS: '-_~'0.5- .~D¢-O/~;~- PHONE { BUS HOURS: pO~-3a AFTER- BUS HRS: 80~- ,~9~n~9¢