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SITE DIAGRAM
Business Name: ~_ ~,,.- /
Business Address:
FACILITY DIAGRAM
For Office Use Only
First In Station:
InsPection Station:
Area Map #
NORTH
of
L
LANDSCAPE SUPPLIES
BOB GIEG
~"'"'"~-DAVI D GIEG
9500 ROSEDALE HWY.
BAKERSFIELD, CA 93312
589-0888
CITY OF': BAKERSFIELD'
BAKERSFIELD, 'CA.93303-2057
PLEASE MAKE CHECKS PAYABLE TO:
CITY OF BAKERSFIELD
· MUST 'RETURN. THIS"coPY"'WITH PAYMENT
HM740401
Account Number
ACCOUNTS RECEIVABLE ADJUSTMENT
February 9~ 1994
Date '
Esther Duran
From
Fire Department- Hazardous Materials Division
New Account
New 'AddreSs
Close Account
Service Chan,qe
Other Adjustments X
Department/Division
THE BULK YARD '
Billing Name
9500 ROSEDALE HWY
Billing Address
SIts Address
Parcel # (if Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed , Correct Billing Adjustment to Effective Date of
Billing Change
110.OO 0. (110.00) 1'.1-94
Remarks: THIS BUSINESS CLOSED 3/1/93 AND MOVED TO 10014 ROSEDALE HWY WHICH IS NOW
IN THE COUNTY.
City Of Bakersfield
2130 G. st.
Bakersfield, Ca. 93301
2/1/94
As of March 19 1993 The Bulk Yard moved business operation
from 9500 Rosedale Hwy. to 10014 Rosedale # 9. Our Haz Mat
Handling Fee was paid up to 7/1/93. We no longer store
diesel fuel for the tractors at our new location.
Since we no longer store fuel at our new location~ we do
not owe the current charges of 110.00 for 7/1/93 to
6/30/94. We feel we should not be required to pay the
State or the City a fee for the privilege of storing a
small amount of fuel on location for our tractors. After
--a~-l~the--State--a-nd-l~l~a~l~-t~x-s--we--p-a~--~--sT£o~l-d--~ot~pa~-~n~
other fees. With all the taxs and fees business pay in
this state, and pepole wonder why business is leaving
California.
The Bulk Yard
10014 Rosedale Hwy. #9
Bakersfield, Ca. 93312
Acct. # HM 740401
ely /
Gen. Partner
Bakersfield Fire Dept.
HazardoUs Materials Division
2130 "G" Street-
Bakersfield, CA. 93301
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
2. TYPE/PRINT ANSWERS IN ENGLISH,
3.- Answer the questions below for the business as a whole. I
4. ~Be brief and concise as possible.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME:
LOCATION:
MAILING ADDRESS:
DUN & BRADSTREET NUMBER:
SIC CODE:
PRIMARY ACTIVITY'
OWNER:
MAILING ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
CONT~ .TITLE pE · 24~R. PHONE
~. R~ bec, f- 67 ,'~, '.><._ -'"'¢~, _ ~,~-,,,.~¢'~
].
FD159(
~Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 7_..
MATERIAL SAFETY DATA SHEETS.ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSI.N,,ESS IS EX.~I~A'I~T FROM THE
REPORTI~EQUIREMENTS OF CHAPTER 6.95 OF THE CAL~RNIA HEALTH &
'SAFETY C'ODE~,,~T. HE FOLLOWING REASONS: ~ '
~ E~ ~o .Ar~ .AZAr~DOUSZA~.~A~S. ~U~ ~ ~UA.~m~S A~ .O
_ T/~E~EED ~MINIMU~O~TiNG ~UANTITIES'
~, ~~~~ c~v~.A~.~ A~OV~ ~,~O~-
MA~ON_~shc~u~A~. ~,~S~A,D ~ ~,~S ~,,O~MA~O, W~ ~ uS~ ~O,,
FULFILL ~~CALIFORNIA HEALTH AND SAFETY CODE
~~~~~ SEC. 25500 ET AL..) AND THAT
FDI$90
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
F~cility Unit Name:
SECTION 6:
NOTIFICATION AND EVACUATION PROCEDURES:
AGENCY NOTIFICATION PROCEDURES' ~.o~./ !
EMPLOYEE NOTIFICATION AND EVACUATION:
PUBLIC EVACUATION:
]V~ 0 ,,'~ e._
Do
EMERGENCY MEDICAL PLAN'
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
RELEASE PREVENTION STEPS:
RELEASE CONTAINMENT AND/OR MINIMIZATION:
C),.t.fi pe. ,~.-,. c ecr ~h~ ,,....,-¢- p.,,,,,,.../¢,
CLEAN-UP PROCEDURES'
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: A/o ~,'t
ELECTRICAL: ~ ¢,e~Y-
WATER' '}_"~ ~ ¢,/L C"7.
SPECIAL:
LOCK BOX: YES~)
IF YES; LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
Bo
PRIVATE FIRE. PROTECTION:
WATER AVAILABILITY (FIRE HYDRANT)'
~ o · - E ~--~ T I~ ,/'¢.,,-, 'r-
.4,
Lc,'""/- ,.
OF' BAKERSFIELD
~'}~'~/Farm'and Agriculture [] Standard Business
:(CITX, ZIP.' l F/d
";"~ "' TO INSTRUCTIONS FOR PROPER CODES'
HAZARDOUS MATERIALS INVENTORY
NON - TRADE SECRET
o
WMER
CITY, ,. ZI :
P~ONE',,S: ~~'- Y/ ~ '
Page
NAME OF: THIS"'?F~CILITY: ~7c~_//~
STANDARD I~. C~SS CODE:
'D~ ~D B~ST~ET N~BER/FEDE~ ID
. Z 2
i 2 3 4 5 6 7 8 9 10 11 12 13 14
Trana Type Max Average Annual Measure # Days Cent Cent Cent Use Location Where % by Names of Mixture/Cnmponents
Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility wt See Instructions
A/IF I G -IomI i
Physical and ,,1th Hazard C.A.S. Number Component #1 Name ;~ C:A.S. Number/
· (Check all:.., that apply) ,.. ,... :.' Component # 2 Name :& C.A.S. Niunber
'"J~ F~re Hazard ~.Sudden Release ~ Reactivity ~ I~ediat. [~ Delayed
. . of Pressure Health Health ; Component # 3 Name & C.A.S. Number
Physical'and Health Hazard ' C.A.S. Number . Component # I Name ;& C.A.S. Number
·
, (Check all that apply) Component # 2 Name & C.A.S. Number
', ~ Fire Hazard ~ Sudden Release [] Reactivity [] In~ediat.' [~ Delayed ~'.
-, :, of Pressure ,,, Health Health Component # 3 Name & C.A.S. Number
';,)::!,';,',. ,... ,
P~ical and Health Hazard C.A.S. Number Component # i Name & C.A.S, Number
'L-". (Check all that apply) " :'
/~]:~.,. ,. : . . '"' Component # 2 Name & C.A.S. Number
of Pressure Health Health Component # 3 Name & C.A.S. Number
Physical and Health Hazard ~ C.A.S. Number Component # i Name & C.A.S. Number
.!! !Check all that apply) Component # 2 Name & C.A.S. Number
~"~ Fire Hazard ~ Sudden Release ~' Reactivity ~ Immediate [] Delayed
?,, of Pressure Health Health : Component # 3 Name & C.A.S. Number
EMERGENCY CONTACTS %1 ~e~Y- (~,'e~ /5~/-~e~' ~-~m-//F~F #2 }~.,.~//'~' C~,'~. /O~,~/-/.~e,/~ ,_~'~"0
~,'~ Name ~/ 'Title ' 24 Hr. Phone Name /Title 24 Hr Phone
i.:,, · .
:Certification . . (READ AND SIGN AFTER COMPLETING ALL SECTIONS) . ///
X. certify under peanlty of law that I hayer personally examined and am familiar with .the )nfo .rm.atio.n s.ubmit~d in .this /~a~/,~,a,ttac~hed~cuments and that based on my inquiry of those
responsible' for ob~aintng the information. I believe that the submittoa anrorear..on ,s r. rue,[aeo~,~a~:.,?? lompce=e.__~./;
· NAME'AND OFFICIAL TI F OWNER/OPERATOR OR OWNr~JOPERATOR~S Au'z'muRIZED REPRES~'zL~TIVE
SIG~I/tTURR ~/' .' .tn, DATE SI~NED