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Home My WebLink AboutHAZ-BUSINESS PLAN 5/25/1989March 29, 1990 TO: FROM: SUBJECT: Nina Mayer, Accounts Receivable Ralph E. Huey, Hazardous Materials Division Airpol Inc. Nins, account # HM 400801 is no longer in business in the City of Bskersfield. The current chsrges of $50.00 should be voided, they closed their business cn June 1, 1989. Please void the charges and close this account. Thanks RETURN PAYMENTS TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CA 93303-2057 ACCOUNT NO. ALS ' DIV [SION 'I Fees for ~tI1-1Ii17 FEF.- -,' ~I.& ,, - .- ¢? -.' , , .,...;,,. : .'c, ~ :rp,' . ..-. ~ I,NQUIRI.?~CQNNCERNING THIS BILL, PLEASE PHONE: T -MUST RETURN COPY WITH PAYMENT 6AKE~SFIELD~ CA PLEASE MAKE CHECKS PAYABLE TO: CITY OF BAKERSFIELD , RI:TIll:IN THI~ COPY WITH PAYMENT ,,Current Charges :'~(~=gO-'" TOTAL ~ALANCE D~,5 5,~.,00 RETURN PAYMENTS TO:'. _~/ ,~ CITY OF BAKERSFIELD P.O. BOX 20~7 BAKERSFIELD,' CA 93303-2057 ACCOUNT NO. NA~A~OUS MATeRiALS ~A~DL~G FEE.' ...... 'NQOI~'~C~NCERNING" "I/ ""~ THIS B'~: PLEASE PHONE: CUSTOMER-COPY ~ '- PI:EASE N~AKE CHI~CK$ P. AYABLE TO: CITY OF' BAKERSFIELD Ai P oi 2572SO. UNION AVENUE · BAKERSFIELD, CA 93307 Class A Engineering Contractor's License No. 457535 · (805) 832-3995 (D poi March 5, 1990 City_of, Bakersfield 2130 G Street Bakersfield, CA 93301 ATTN: Valeria RE: HM400801 Gentlemen: Please be advised that AirPol has moved out of the city of Bakersfield, 6950 District Blvd., on June 1, 1989. Please find enclosed invoice for account # HM400801. We paid the county our hazardous material handling fee. Sincerely, · 3. Harrison AirPol Inc. ~- BAKER~r~=LD CITY 2130 'G' STREET ~ BAKERSFIELD, CA. 93301 (805) 326-3979 FiRE DEPARTMENT AirPol, Inc. BUSINESS NAME OFFICIAL U8E ONLY ID# ~~ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM. 2A INSTRUCTIONS; 02-0373096 RECEIVED It~'f 2 5 1989 HAZ, MAT, DIV. 2. 3. 4. To avoid further action, return this from within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICAT~QN gATA A. BUSINESS NAME: AirPol, Inc. LOCATION / STREET ADDRESS: C I TY:. Bakersfield ' Z I P: 933~7 BUS. PHONE: (805) 832-3995 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 1-91§-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. A. John J. Kerchinski/Gen. Manager PH# 805- 832-3995 PH# 805- 589-3289 B. Paul E. Sisler PH# 805- 832-3995 PH# 805- 832'4123 SECTION 3: LOCATION OF UTILITY SHUT-OFF~ FOR BUSINESS AS A WHOLE A. NATURAL' GAS/PROPANE: Southwest Side of building B. ELECTRICAL: Southwest side of building C. WATER: Southeast corner of property D. SPECIAL: LOCK BOX: YES /(~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES / NO YES / NO KEYS? YES / NO SECTION PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE - - NONE- - SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A. WHOLE ..~,?, · f, ,, ,..,~Valley Industrial Medical Group · 3? ; ,~ . SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS, A. NUMBER OF EMPLOYEES AT THIS FACILITY -8- B. DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS MATERIAL YOU HANDLE ~ Yes C. GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM: Indoctrination to new employees andweeklysafetymeetings SECTION 7: EXEMPTION REQUEST t CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING. REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8; CERTIFICATION I, John J. Kerchinski , certify that the above information is accurate. I understand that this information wi]] be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Cb~a4~cer 6.95 Sec. 25500 Et Al.) and that inaccurate i nformatigr~c~r~~tes perjury. SIGNATURE ~~,~/~'/~ T I T LE~/J/~~~ General Man aqer DATE .¢~~ i CITY of BAKERSFIELH Faro ;nd l~riculture L--. Standard Business ~X~ BUSINESS NAME: AirPol, Inc. PHONE #: 905_R39_3995 HAZARDOUS MATERI ALS I IIVENT.O RY' NON--TRADE SECRETS OWNER NAME: A~rPol ADDRESS: 32 Henry St. CX?Y, ZIP: · Teterb~ro ~J nT&n~, rNON~ #: (20]) 28817070 ~ ~o x~s~wuc~xo~sPoRP~OPg~ coogs ' Page 1 of 1 NAMe- OF T~ FACILITY: West Coast Div. STA.~DAR£ IND. CLASS CODE DUN AND .RADS I'REET NUMBER ! 2 ) 4 S I T I I IQ I1 Irans Type ~x Average Annual Illasurl I I)yl C~nt Cant Cant U~i Code Code Mt bt Est Units m Site IyH Press Imp Code P~St¢tl ~d J4oolth ~la~d C.A.S. mmbff 7727-37-9 {~.hac[ all that ami~) Health of Pressure Ilea Ith Physical i04 H#ith Hazard (~heck all tl~t apply) 2016 ~ --J Fire lllterd ~'---~ lil~ctlvity '--J Oolay~d Suddm blNu L--3 llidlete · He4 ICh of Pressur~ 1~41th (F~l~ctCll ami Health I~,ard k ell thaC apply) I~ 13 Locatton ~ tN~ .. Stored in Facility 42 [ Warehouse ~Ex~nt BI ~,, & ¢.&.$. mm~r 100 Ni 2 { Wareho~ks~ ...... ~00 ~ ~t I1 ~IC.A.S. ~ ~t 13 biC.l.S. ~ ....... ~t II hiC.l.5. ~ ~ I~ FF~SC.A.S. ~ Fire Hazard ---a Reactivity ~-_a ~iayed '---a Sudden llelflse ~.-J Imodlete Health of Pressur~ Health _L_I ............ L ............ J. .......... ~l~hecical i,4 HNIth Hazard C.A.S. Number k all tl~t al~ly) -a Fire Hazard L--J RflcttvIty ~._a ~lo~ [~] ~dd~ Relelse u--~ latall Health of Pr~sure Health I1 S4~ Instruct tens roge~ ~ 7727-37-9 fan 7. [40-37-1 IIiii..JQhD..J.,~__ ~e. rchinski Vice-Pres./Gen. Man. 589-3289 I~ Paul Sisler TTTIi ...................... ~l'R~'P~i ........ Rib TTTII ........... 21-ne-PluM! ...... :lficatim (Read and s~Kn after coIpJetJnE ali sectJons) ,rtify under p~nolty of law that I have personallye~amine4 and au fo.ililr .lth t~ lnformtJm Su~ItT~ Iff th~s~~~, ~ t~t bos~ tn~t~ of t~l IKlv I~is rt ~sabio Willi~ S. H~rison - Office M~ger ~~~ ....... ~y 22, 1989 ITE/FACI LI TY~I AGR/kl~I FORI~ 5 NORTH SC..%5E:%~,~[~ %O~ BUSINESS NAME: AirPolt Inc.. DATE: ,'" FACILITY X~E: May 22, 1989 AirPol, Inc. F[0OR: 1 OF 1 UNIT ~: OF Both (CHECK ONE) SITE ( Inspector's Comments): -OFFICIAL USE ONLY- - SA - ~2 '-/ / o ,qqo l CITY of BAKERSFIELD RRE DEPARTMENT /~~ 2101 H STREET O. $. NEEDHAM ~ BAKERSiqELD. 93301 FIRE CHIEF 326-3911 Dear Business Owner: Enclosed please find a copy of your response to the Hazardous Material Business Plan request. We have found it necessary So reject your plan for the following reason(s) as checked below. Illegible Business Plan (please print or type information in English). Form 2A _~sing or ~ Incomplete Form 3A ~ Missing or~-'~ Incomplete Form 4A ~-~ Missing or[T-~ncomplete Site Diagram ~'~ Missing or F'-I Incomplete Facilities Diagram ~ Missing ofF-~ Incomplete This is to be corrected and resubmitted within 30 days to: Bakersfield City Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 "G" Street in Person. Sincerely Yours, Hazardous. Materials Coordinator REH/eg BAKERSFIELD CiTY FIRE DEPART~NT 2130 "0" STREET BAKERSFIELD, CA 93301 (805) 326-39"/9 BUSINESS NAME OFFICIAL USE ONLY ID# RECEIVED JUN 2 6 f987 HAZARDOUS BUSINESS PLAN AS FORM 2A MATERIALS A WHOLE 832-3995 000 '8 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 whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: AirPol Inc, B. LOCATION / STREET ADDRESS: 6950 A_ D~r~ m]~ CITY: Bakersfield , ZIP: 93313 BUS.PHONE: (805) 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 TITLE DURING BUS. HRS. A. William S. Harrison Ph# R3P-qQQ5 AFTER BUS. HRS. Ph# 397-1613 ' B. John J. Kerchinski Ph# 837-3995 Ph# 589-3289 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Southwest cornar B. ELECTRICAL: Southwest corner of buildinq C. WATER: center of buildin~ - south wall. also at straaf wa*arMefar D. SPECIAL: N/A E. LOCK BOX: YES / NO IF YES, LOCATION: North wall of west off~ca IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? FLOOR PLANS? YES ~-NCr KEYS? * for vehicles parked within lot storage. YES / NO YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Ail fulltime supervisor staff are red cross trained and certified for first-aid and CPR. Staff is also trained and has become familiar with fire extingquisher use, 911 emergency contact unmber, and building evacation routes. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Ail full-time supervisor staff are red cross trained and certified for first aid and CPR. 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 ~ YES MATERIALS:...' .................................... k._.i_%L~NO B. PROCEDURES FOR COORDINATING ACTIVITIES ~ .......................... C. E QUIPMENT: .................. YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. Y~N~ YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES~_~ YES NO SECTION 7: HAZARDOUS MATERIAL ~--~o~ ~~-4~ . CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500' POUNDS SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES~_ I, OQhn KerchJnski , 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. 25800 Et Al.) and that inaccurate information constitutes perjury, / / - 2B -