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SITE/FACILITY DIAGRAM
FORM 5
NORTH
SCALE:
BUSINESS NAì'-IE:
r;,.~ /L. If' J2 /h_,
.18" I g7 FACILITY NAi'fE: .
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FLOOR: / OF !
DATE ://
UNIT #:
OF I
SITE DIAGRA'I
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FACILITY DIAGR.~'f
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(Inspector I S Comments): -OFFICIAL USE ONLY-
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SITE DIAGRAM (ReqUe ite.s)
1, Address: Identify the
principle buildings
by the Street nu.bers.
.
,¡
~~'I
i:;~ .
..::...
9. Lock (key) Box
10. "50S Storage Box
2. Street(s), Alleya,
Driveways, and Parking
Areas adjacent to the
property. Include the
street nalles.
11, RaIlroAd Tracks
12. Fence or 8arrier
a. wtre
b. Masonry
3. Star. Drains, Culverts.
Yard Drains
c. Wood
4. Drainage Canals, Dltches.-
. Creeks.
d. Gates
J3. Power lines
5. Buildings
a. Fralle construction
J4. Guard Station
c. Metal construction
15. Storage Tanks:
Ident1fy the
capacity in gal.
a. Above ¡round
b. Masonry construction
d. Access Door
b. Underground
6. Utility Controls
a. Gas
16. Diking or Ber.
b. Electricity
17. Evacuation Route
c. Water
18. Evacuation Area:
Identify the
location where
e.ployees will
.eet.
7. Fire Suppression Syste.s:
a. Fire Hydrants
b. Fire Sprinkler
Connections
19, Outside Hazardous
W.ste Storage
c. Fire Standpipe
Connection.
20. Outside Hazardous
Material Storage
d. Water Control Valves
tor protection syste.s
21. Outside Hazardous
Material
Uae/Handline
e . Fire pUJlp .
22. Type of Hazardous
Material/Maate
Stored
or Uaed (See
Below)
8. Fire Depart.ent Accesa
TYPE OF HAZARDOUS MATERIAL
F · FlUllable B · Explodve L · Liqllid
C · Corroa1ve 0 · Oxidizer G · Gal
W · Water Reactive T · Toxic S · Solid
R . Radiological
P . Poison
H . Cryogenic
o . Waate B . Etiological
Exa.ple: Flasaable Liquid· FL
FACILITY DIAGRAM (Required ite.a in addition to the above)
1- Risers for Sprinkler. 8. Plre Escape.
2. PartH Ion. 9. Air Conditionln, Units
3. Stairways: Indicate the 10. Ifindowa
levels served troll
highest to lo.eat. 11. Inalde Hazardous Waste
Storale
.. Escalator: Indicate the
levels served fro. 12. Inside Hazardous
bi~best to lowest. Materials Storace
5. Elevator 13. Inaide Hazardous
Materiale U.e/Handline
O. Attic Access
14. Sewer Drain Inlets
7. Sky ltiMs
."
-
P L A.N ~l.i.L\P 13/134 1/3:;1
FA IllTY DIAGRAM D
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D'AGRAM ~
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SIT E
3I.:.s:.;:ess :-fame:
(~ , ¡; ç ()N~0^7""'" l:'.e.-Yl/¡'£-,-,
~~So- ~ ~Ne
A:ea ~a;: ;
or
RECEIVED
JUL 2 J 1990
HA7 ",fAT.DIV.
/\
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NC:'~:l
Name 0: Area:
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CITY of BAKERSFIELD
, , IV E C-l R E "
ï
.fljl//, V MÞn~~
(tYDe or print name I
Do hereby certify that I ha"\-e re'vieí,-ed the
RECENED
'JYH 0 8 1989
HA~. MAT. DIV.
attached Hazardous Materials business plan
for
? ~n (!:f~' /' 'f~l./'¡ r,'",- Co,¡t"sv;'1~' ß/rv;0~
(name of busiriess)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
~ ~~-..~
19nat.ure
óft/k~
date
CITY of BAKERSFIELD
Far. ,nd Aqr1cU I turf
Standard Bus in.ss
œHAZARDOUS MATERXALS XNVENTORY
NON-TRADE SECRETS
P'C. ./_ of __I
'--'
I BUSINESS NAME: (;«1119,41 P/.,crr;, (ð;tJ~~'P
LOCATION: "19.$"1> ST"A~;r¿,¡ .s 7E ¡::.
CITY. ZIP: .&k..vl' ¡:,'I'V t'J:13/.3
PHONE ,: ð? 'f t¡- l..Ps'"ð
;:',v. OWNER, NAME:
ADDRESS:
CITY, ZIP:
PHONE .:
RICrD ro
c.~.H "Pc~/ 'f ¡; ..-I,lL
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IlISrRUcrIOIIS roB PROPD CODIlS
1 2
Iran, Tvøe
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.vereqt
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AnnulI I
Est
6
IINsul'l
Units
7
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CII Sltt
11
Un
Code
12
lOClt 1C11 .......
Stored In f.c1l1ty
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PhysiUI and IIH1th llaurel C...S. .......________ ta.panlnt II .... C...S. .....
(ChKk .11 thlt ."Iy)
..A ,.-.. ,.-.. ,.-.. ,.-.. Cœaøntnt 12 .... C.A.S. .....
L~ir. Haz.rd L_.I IHCthdty L_.I 0.1.," L_.I SudcMn hl_ L_.I l-.dl.tt
""It" of PI'ISIUI'I ""It"
t~o
Callpanent IJ .... U.S. .....
----
Phys i e.1 end tIN I th H.,.1'd
(tllKk .11 thlt .""Iy)
t.A. S. .......
ec.panent II .... C.A.S. .....
NAME OF TWis ~~JL~TY:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
13
,by
lit
1&
__ of .i.tUl'l/Ccllllanlntl
SIt Instructl_
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il-.__C!t~~6./4G¿f'-/",o/'~ t'1~:J_~__ _
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r -, ~-., ...-... r-, ,.-.,
L_.I FIl'lIIallrd L_.I RHetivlty L_.I o.leyed L_.I SudcMn hl_ L_.I l-.diett
tIN I th of PI'ISIVI'I "" I th .
CcIIIIanInt 12 .... t.A.S. ......
J () Ie Z 'I, _c. ¡, / iY 001, 'f / (/ O.(9/~u:--r4.s~_'!:
S w COOvc" S ~¿
CcIIIIanInt 13 .... C... S. .....
P"""ie.1 end ""lth Ilar.1'd
(Check .11 thlt .""Iy)
C . a:s. .......
ta.panlnt II .... C.A.S. .....
.lo..
,..-, ~-., r-, r-, r-'
L _.J Fir. Hu.~d L _.I Rllctivity L _.I 0.1.v" L _.I Sudden 1.1.... L _.I l-.di.tt
HHlt" of PI'IISUI'I ""It"
to.ponent n ._. C...S. .....
ta.panlnt 13 .... C...S. .....
------l-___________1--____________JL_____________J______l_________l_______J_~JL_______L______
""""ic.land HHlth "'rll'd
(Check .11 thlt .",Iy)
C...s. ......,. ____________________ ta.panent II 11.-. C...S. .....
.5"0
r-, ~-., r-, ,..-., ,..-.,
L _.J Fir. Huard L _.I IIIIctivity L _.I Del.v" L _.I Sudden ".1.... L -.I l-.di'tt
Hill th of Pressure HIlIt"
Co.panent 12 11.-. C...S. IIIÎIIIIII'
~t IJ .... C...S. Nœbt~
-"T ...-.________ _____
A- ¿ e ¡. 'f / .e"..¿.
,LI",.,..4 CO/'A;~!._.....£,;L~ c:-
CJ
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__..-&lV· 't:_6___..k.e.'" ~_~___S ts__G:.._ ______
MfRGfNCY canAC7S II 1I¡I'A.i.t~----~~~~-C:------- Tifu~~---b..y..c--------- K-{;.~-J.-~-2'Z- .21i¡¡___u~___£t':t..Lt1______ Ttn~JZL.LiJ¿;¿h~---- nl,.{..fw.l-17.2...
C.rt/ic'tion (R~u.d /fnd sign/fftcr co_pietinl! all sections)
I c.rtHy und.r IIIIIlty of 1.. that J hlv. ",rsonal1y ..a.,n" .nd .. f..ih.r with the infor..tiCII~Ubllitttd i this end el1 Itt.chtd doc_ts, end that baS" CII 1ft inciuiry of thost ind1vidulls l'IIIOIIsibl1
for obtt.'nlnC the inf_tion. I beh.v. thlt tilt subllitt" 'nfo....tion IS tl'Ut, ,eeur.t., .nd eœ"let. ,
'i' '. . ' ~ e.. ' , .s: .1'/ '
R- ~ !L' (~1- 1(1-- :,/!£U2,~·---DR--Z./J;7-----T-b..::.~---~~---------r.r.-. S·· '''I~ --LJ~______________._._ ""r--S~-~-Z--------------------
~'¡-~õftrcì¡ (;Úi (f'ö:.nirTo",rðtor QIOII.r o,:¡er"or 5 'éu{líõr1l~ r'Orl!S""'l1Y' 'C~ \HIl' lCn...
~~,-'--~
t,o:.
BUSINESS NAME GENERrA:LECTRfC CO
LOCATION 44sø-F~rINE RD
10 Nl~R ZI5-ØØØ-ØØI13Z
H. HAZARD RATING I
1. OVERVIEW
[fT5TCFfAN6'E 071ZB/88 BY ESTER
JURIS CODE 215-007 JUrnS BI-ìKERSFIELDSTATION 07
MAP PAGE 1 Z 3 GRID 14C .. - FACIl ITY UNITS'r HAZARD RAT! MG
(/Y;"L.
RESPONSE 5U~1MARY
2A SEC 4) MINOR FIRE EMERGENCY-';': -FfR£,'EXrfNGursrlERS' ON SITE
3 MEMBERS OF TEAM TRflINEDIN1JSE"F\NU-EVfiCUATlON PROCEDURES'
FIRST AID MATERIAL LOCATED 01\1' syrE' -
EMERGENCY CONTACTS ZA SEC Z)
PHILIP NEMEC .. B}4-ZZ00 :He 0ZGQ., 8.71/- Z.S>SD 8'3'1~~' 72-
JOHN SMITH - Q.ßft ZbOO\- 835-8679 '3"1- 'l..t1'.s-ð
UTILITY SHUTOFFS ZA SEC 3)
A) GAS - BACK OF BUILDING EAST SIDE B) ELECTRICAL - BACK OF BUILDING EAST
SIDE C) WATER - SOUTH SIDE OF BUILDING D) SPECIAL - NONE
E) \..OCI< BOX - NO
J
e...-J
Z. NOTIFICATION I PUBLIC EVACUATION
Il¡
£..AST"CHANGE I I BY
< NO INFORMATION RECORDED FOR THIS SECTION>
PAGE !
IV19/B8 14:53
MATERI AL SAFETY DATA SYSTEMS, I NC. (80S) 648-6800
- -~
.''1' -~,.
., .:r·;.-'."·
.-
BUSINESS NAME GEN, ER~LECTRIC CO
LOCATION 445Ø-F~INE RD
10 N~R ZI5-ØØØ-0Ø113Z
~ HAZARD RATING 1
3. HAZ MAT TRAINING SUMMARY
LA~T CHANGE / / BY
< NO INFORfilATl'ON''RECTIRŒD 'FOR'"THI$'SECTION >
4. LOCAL EMERGENCY MED! CAe ''A'SSTSTANCEc,
LRST CHRI\f6F ørf13T88 BY (VAMC
ZA $EC 5) MEMORIAL HOSPITAL
4ZØ 34TH 5T
327-1792
PAGE Z
1 Zf 19/88 14: 53
MATERl At SAFETY OATH "$YSTEMS . I NC. < 80S) 648-6800
·'
"
.'¡'''
. E!USINESS NHME GENERAAECTRIC CO
LOCATION 4450-F ~INE RD
FACILITY UNIT 01
10 NUrA1 215-00Ø-001132
H¡~HAZARD RATING 1
A. OVERALL HAZARDOUS MATERIALS INVENTORY
LASr CHAN6t.: 01Tr3/88 BY EVAMC
10
TYPE NAME
LOCATION
.. COT\lTFlTNMENT '
MAX AMT UNIT HAZARD
USE
PURE R·-ZZ 446 FT3 t1QOERATE
SOUTHEAST CORNER PORTABLE PRESS. CVL. COOl.ANT
10 PERCENT COMPONENTS HAZARD LIST
1104.0Ø 100.0 CHLOROOTFLUOROMETRANE MODERATE
B. FIRE PROTECTION J WATER SUPPLIES
UìSrnlANGE 0U 13/88 BY EVAMC
< NO INFORMATlONREt:O'RPED FOR THIS 'SECTION >
PAGE :3
MATERIAL SAFETY -DATA 'SYSTEJVfS'; INC' (80S) 648-6800
1Z1tS/BS 14:53
<,,'
ii "
'" ~
BUSINESS NAME GENER~~ECTRIC CO
LOCATION 4450··F ~NE RD
D. EMPLOYEE NOTIFICATION / EVACUATION
10 NU~ 215-000-00t132
I-I.'HAZARD RATING 1
LAST CHANGE 01/13/98 BY EVAMC
3A SEC Z) EVACUATTONMFiP rSP05TEDflT'L1JÇ'ATTUN, ,dALLEMPLOYEES ARE AWARE OF
EVACUATION PLAN~'" FTRrOEPARTT1ENT~TO BE NOl'TFTEO" OF" AN'Y PROBLEM wIll-! RZ2
E. MITIGATION I PREVENTION / ABATEMENT
UiST CHANGE 07/Z8/88 BY ESTER
3A SEC 1) RZZ REFRIGERANT IS SlORED IN COOL DRY LOCATION IN TANKS ON SIDE OF
SUITE F. IT IS ONt Y 'USED"tJITIfA REGULATOR ATTACHED TO HìNKS.
PAGE 4
IVts/as 14~53
MATERIALSfiFETY OHTfr'5YSTEMS'; 'rN'C '{80S'} b4ff':':68ØQf'
- ¡ -
e
e
--
MEMORANDUM
"WE CARE"
October 2, 1989
SUBJECT:
Void Bil.l.ing
';~ ,,""
~." "
...
TO:
Nina Meyer, Accounts Receivabl.e
FROM:
Ral.ph E. Huey, Hazardous Material.s
'..
Nina:
.i~;1-C~·i;;;:~;ߧt~fì~*i;;.' ...
Due to an error on our part HM-01439 was,c"biil.ed)~~iõe·:k!.¡on"ce··
under this number and once under another number~:" Pl.ease.voidthis
invoice.
Hi',;
[,: '--'>'-
,
" .,
Thanks.
,
:-~:~ ~..
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rG IE A(p (pH i1J I/DI!; 18 S
General Electric Company
Appliance Park
Louisville, KY 40225
502 452-4311
July 19, 1989
City of Bakersfield
Fire Department
2130 G Street
Bakersfield, CA 93301
Dear Sir:
Please cancel this bill as we paid our annual fee on Account #MM-01132 on March 30,
1989.
1/1~
T. A. Scott
General Electric Company
AP 5 - 230
Louisville, KY 40225
/sb
Enclosure
REceIVED
'JUL 2 4 19H9
HA7.. MAT. DIV.
1 ,<." M
J".."....
" ¿;¡ , -
III '...",
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BAKERSFIELD CITY FIRE DEPAR~E~T
2130 "G" STREET
BAKERSFIELD. CA 93301 . . ~
(805) 326-3979 \?3- \ ~ "----
(j) JJJ6P 1
ID..: 111/ 1'1
I' '.
...<'
OFFICIAL CSE ONLY
, .
\Bus IXESS XA.'1E
RECEIVED
NOV" 3 1987
Ans·d............
u01132
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this fopm 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.
¡Jar; ~ )
fø¿ Gr 4·
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: C;¡;//røra/ Çkt"';;Iy/~ ~. .
B. LOCATION / STREET' ADDRESS:#~nM f5h~e:;fcl ~ ;- ~6
CITY:;ø;-~9/.rj¿ ZIP, P/f.'YJ9 BUS. PHONE, }/Afft/?¥2¡?¿J¿)
SECTION 2: EMERGENCY NOTIFICATIONS
In case of ' an emergenéy 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.
E:'1PLOYEES TO NOTIIY 'IN CASE OF
NAM~'5JÐ~' I.TLE 0
A.~!f2. &. ~.ð'/r'~
I' _
B~<'7 ~'5.ø/.#
E:'1ERGENCY:
, DUJJ5~ BUS. HRS.
PM ð,,~ - ,f!~~/)
Ph; /c.,?! ;J2!J/)
AF)'.f:j, aes. HRS.
Ph# 1t1,;l~~/J:;¿~9
Ph;'t r/:.7YdJ¿:p:,9
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE, 6(/{,j pi k/J¿)~!7-/£/9-;7' $./~
B. ELECTRICAL: ~~~ . .
C. WATER: 6-1'1) ~ // Ý ¡'P//~}J;>? '
D. SPECIAL: ~
E. LOCK BOX: YES /~ IF YES, LOCA:rIO:,,:
IF YES, DOES IT CO~TAIX SITE PLA~S? YES / ~O
FLOOR PLA~S? YES / XO
:1SDSS? YES / ~O
KEYS? YES / ~O
- 2;\ -
;: 3 \j ~ 1 :J :~ ~~;
e
e
ç~"\~,~.
1I!i- ~
.: t.~:~i ;~ ~ \!i} ~.~
> ~
~;; -.: .. -./
..,.
.-.
., . . ."
. ü·'.!·:/:
SECTION 4: PRIVATE RESPO~SE TEA." FOR BCSIXESS AS A \'/HOLE
/lJ¡/l&"'--fre PØ'?Mff ~ r"'é'/0-þ'p/:>dð'r.5 M.;Úi9.
ci'-?(~f?lf(5 ¿J./~~,f?ø 7/t?.///~d /4 p,s¿] Ç;¿?c:/ é?/Ç7¿1'Pd;/¿';~
/~(!e:ð.v/es.Z)
/,;f~ /7/d /Jl¿¿~//å/ ~~t?7&c./ Þ/7 t5//&
SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE
. 'J'fl~M5~/c/ $fP/7¿?/?dJ :$6-}Þ/¿¿ '.
/fpø %:.5 ÞP¿>ß::¿Jj/rPð~d/ ;;Ie é'",,/ ~y//cd /ø.ø~O~
~¿)/J eø~6?/?~.- :;.'
SECTION 6: EMPLOYEE TRAINING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL AXD
REFRESHER TRAIXI~G IN THE FOLLOWING AREAS'.'
CIRCLÈ YES OR NO IXITIAL
A. ~~~~~~L;~~.~~~~.~~~~~~~.~~.~~~~~~~~~........... ~ NO
B. PROCEDURES FOR COORDINATI~G ACTIVITIES fj
WITH RESPONSE AGE~CIES: . . . . . . . . . . . . . . . . . . . . . . . . .. YES ~O
C. PROPER USE OF SAFETY EQUIPMEXT:.................. ES NO
D. E~ERGENCY EVACUATION PROCEDURES:................ . ES) XO
E. DO YOU MAINTAIN EMPLOYEE TRAIXING RECORDS:......~ NO
SECTION 7: HAZARDOUS MATERIAL
'REFRESHER
G:Y NO
YES Œ7
¿¡YES . ~O
YES ~O
~NO
CIRCLE YES - NO- NONE
DOES YOUR BUSINESS HA~DLEHAZARDOUS ~<\TERIAL IN QGANTITIES LESS THAX 500 POSJL~F A
SOLID;. ~5 GAL~O~S OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:,.... .~. ~O
I. ' AI! r J/, i4. W7..t.. L " ,certify that the above inf~rmation is accurate.
I understan that this information will be used to fulfill my fi~m!s obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
SIGNATL:RE
~~ ¡(~tJTm~ /ì~K
DATE
/1/.sA 7
,
- :2:3 -
... <;7, ......~. ~
e
::
-$.
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BAKERSFIELD CITY FIRE DEPARTIIEXT
2130 "G" STREET
EAKERSFIELD. CA 93301
OFFTCTAL CSE OXLY
BUSINESS NAME:
ID#
- - -' - - -
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
returned by: ~/~/~ð(;?
INSTRUCTIONS
1. To avoid further action. this form must be
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as »ossible.
FACILITY UNIT NA.'fE: G~/ K.. C.g. ((') ^' oS (.l"" é .,. S~" v.
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FACILITY UNIT# ¡ i i - 07
SECTION 1: MITIGATION. PREVENTION, ABATEME~jl PROCEDL~ES
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SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDLKES AT THIS L~IT O\LY
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S:::CTIO~ 3: H,:\7.ARDOGS !f<lT~RIALS FOR THIS ¡TnT ONLY
A. Does this facility Unit con~ain Haz~rdous ~ate~¡JIs?.
V::S :\0
If YES. see B.
If NO. continue with SECTIOX 4.
B. Are any of the hazardous ~aterials a bona fide TrGde Secret YES XO
If No, complete a separate hazardous materials inventory
form marked: XOX-TRADE SECRETS OXLY (t.¡hite form :'4A-l)
If Yes. complete a hazardous materials inventory form mark~d:
TRADE SECRETS O~LY (yellow for~ #4A-2) in aùdition to the non-trade
secr~t for~. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTTOX
.._.~ -----. ..-...-..- ..
SECTION 5: LOCATION OF WATERSu~PLY FOR USE BY ~G~CY RESPO~ERS
SECTIO~ 6: LOCATIO~ OF UTILITY SHUt-OFrS AT THIS ~IT ONLY.
A. XAT. GAS/PROPA~E~
B. ELECTRICAL:
C. ~'lATER:
0, SPECAL:
E, LOCK BO:\: Y:'::S ':\0 E YES, LOC.\TIO~::
TF YES, SiTE P~A~S~
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BUSINESS ~E:&P~~~
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PHONE #: __
BAKERSFIELD CITY f.-IRE DEPARTMENT
FORM -'4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
OWNER NAME: /'Cn.."....- ¡J ç:,/ ://'"'/~ FACILITY UNIT # :¿./cPIJ?
ADDRESS:L/.., 'l./ð2/:--___7.ðA'.2/ FACILITY UNIT NAME: CS..o
CITY, ZIP ~ /Al'N/'./.'S.l//./Þ~./ //./) iP) ~q-::J
PHONE #: ~VJfl- H-.-7~~l7'.'f"/~,n
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1. D. #
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10FFICIAL USE CFIRS CODE
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1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUM" CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
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NAME: 'lA//~l/¡ Ã - ~- TITLE: .é30.ð9/Øt?...J': SIGNATURE:
È~'Œ~GENCÝ CONTACT: 7A/~h A~ ,M " T:I1JLE: .?¿)//~ ~O";:
~ERGENC.y CONTACT :C7/;,6/J ð>hJ/;?~ TITLE: ~YT,5
. PR}NFIPAL'B~~INESS ACTIVITY: Y;7,~ .~~~/~
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P'HONE #" BUS HOURS: ~¿¡/. fJ:7..ðO
AFTER BUS HRS: ~~
PHONE. # BUS HOURS: " 0
AFTER' BUS HRS:----!. -- ___