HomeMy WebLinkAboutBUSINESS PLAN
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SITE DIAGRAM~ J FACILITY DIAGRAM
Business Name: {,VfJflJJ/:70 (/¡¡h¿V (Ofi{MUJ()fC/.}--r7ð¡V-£'
Business Address: 3&00 /1/0. S/c..(.{;c;;j 41/ú
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For Office Use Only
Inspection Station:
Area Map # of
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First In Station:
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CUST TYpf& NO. E5 -3S5"k,
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE b-~-q~ NEW ACCOUNT '
ADDRESS CHANGE
CLOSE ACCT i
, FINANCE CHARGE I ¿
; OTHER ADJ i 'Y
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CUSTOMER NAME L0Qrrv~r Ca.b \ e CDMMO(\ i Co...+C 0 (\ 'S .Ltc....
MAILING ADDRESS 3600 (). 5~ \\~ Äv<..
CITY &.l-c.Î~~(e..\d STATE rA ZIP CODE C¡~~'?s
SITE ADDRESS
PARCEL NUMBER
(IF APPUCABLE)
ADJUSTMENT
CHARGE CODE
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ADJUSTMENT AMOUNT
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REMARKS: l.b ha"2ard()I\S N\a+eÎ\Q("S> a+ #)ìS
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APPROVEDBY~
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CUST ~E & NO. E::S 35"S-G:,
MISCELLANEOUS RECEIVABLES ADJUSTMENT
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DATE J- ;)1- c¡ 7
NEW ACCOUNT
ADDRESS CHANGE
CLOSE ACCT
FINANCE CHARGE! I
, OTHER ADJ : V
CUSTOMER NAME ¿Jo ((I¿r ta Me. tDt11t11(J(}Jca/1tJr(f;.,1:;; c .
MAILING ADDRESS 360ô A), ,,-S;//erf IIv€-
CITY f3~keís A elcl STATE lj ZIP COPE 9-S30~
SITE ADDRESS
PARCEL NUMBER
(IF APPLICABLE)
ADJUSTMENT
CHG DATE
/- /- 97
CHARGE CODE
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ADJUSTMENT AMOUNT
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APPROVED BY <;í/Ør-if
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PM
NO.
SIGNED
WAS IN 0 URGENT 0
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HTE3556
Account Number
ACCOUNTS RECENABLE ADJUSTMENT
January 19. 1996
Date
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Esther Duran
from
Fire Department· Hazardous Materials Division
Department/Division
WARNER CABLE COMMUNICATIONS INC
BIlling Name
3600 N SILLECT AVE
BIlling Addreaa
Site Address
Parcel # (If Applicable)
Landlord Name & Addreaa (If Applicable)
ADJUSTMENT
Last Billed Correct Billing Adjustment to Effective Date of
Billing Change
158.00 0 <158.00> 01-01·96
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Remarks: THIS BUSINESS HAS NO HAZARDOUS MATERIALS AT THIS SITE. THEY DO HAVE
HAZARDOUS MATERIALS AT A SITE WHICH IS LOCATED IN THE COUNTY. WE NEED TO ADJUST
THESE CHARGES. AS THEY ARE NOT FOR A VALID CITY LOCATION.
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA 93301
HA7 M4T.DIV.
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HAZARDO MATERIALS MANAGWlENT PLAN c¡
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To avoid furthe ion. return this form within 30 days of receipt.' tJe/- / t./, /9 9 /
TYPE/PRINT ANSWERS IN ENGLISH. I
Answer the questions below for the business as a whole.~,:,""
Be brief and concise as possible.
RECEIVED
OCT 0 7 1991
INSTRUCTIONS:
1.
2.
3.
4.
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SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: WARNER CABLE COMMUNICATIONS INC.
,
3600 North Sillect Avenue
LOCATION:
,
,
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, MAILING ADDRESS: 3600 North Sillect Avenue
CITY: Bakersfield
STATE:.QL. ZIP: 93308 PHONE: 805/327-9935
DUN & BRADSTREET NUMBER: Tax I.D. #13-3134949 SIC CODE:
PRIMARY ACTIVITY: Cable
OWNER: Same as Business Name
MAILING ADDRESS: Same as Above
SECTION 2: "EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE
24 HR. PHONE
1. 1<lC\-\-FìR~ FI~þjR : -}EJ+i¡)F-~ ~Q.tt 32'7-,<1<=1 ~'S
2. 0t::~j<~ G-Mìs: ¡"'¡'¡::Pr"ìbE~\) 7èC\o\ ~2.î-99 3~
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FD1590
- Bakersfield Fire Dept. e
Hazardous Materials Division
,_', ·;\I;~:if)-:.;}-\ HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION,,3;., ,,]iRAINING:
7~' ...",
NUMBER OF EMPLOYEES:
o
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
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SECTION 4: EXEMPTION REQUEST:
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I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA 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.
SECTION 5: CERTIFICATION:
I, é(ÇoK-ò d 5rUL vA-Ý-1 CERTIFY THAT THE ABOVE INFOR~
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6,95 SEC, 25500 ET AL.) AND THAT
INACCURA E INFORMATIO NSTlTUTES PERJURY.
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T I TL E $7}Fì.;'íL-f {()O o/L-¡) I A)
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OTHER (SPECIFY REASON)
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e Bakersfield Fire Dept. .
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A.
RELEASE PREVENTION STEPS:
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B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
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SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS~ROPA~ (!JAY ffrJvJ( - J'(.~ JI n: ;/G/)..J
ELECTRICAL: &-¿~Gr{Ll(h ßJJi:\., /l-J .rl+òwJ t)AJ SIn? !iA-J
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WATER:
SPECIAL: ¡t/ÒN ~
LOCK BOX: YES~ IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION:
B. WATER AVAilABILITY (FIRE HYDRANT):
4.
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Bakersfield Fire Dept.
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
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SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
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B. EMPLOYEE NOTIFICATION AND EVACUATION:
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C. PUBLIC EVACUATION:
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D, EMERGENCY MEDICAL PLAN:
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FD1SO
CITY OF BAKERSFIELD
HAZARDOUS MATERIALS INVENTORY
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Page_of
NON - TRADE SECRET
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C . . Inc.
ormnunlcatlonsOWNER NAME: Same ¡:¡~ Rp!5dfle55 1\TatIH¡~
CA ADDRESS: 1(;00 N ri 11 âëf n~~7§ .
CA 93308 CITY, ZIP: Bakers leI , CA 3308
PHONE #: R 0 S / ~ 2 7 - q q ~ S
INSTRUCTIONS FOR PROPER CODES
9 10 11 12
Cont Location Where
Type Stored in Facilit
C\J I 'b 11:11>
NAME OF THIS FACILITY:
STANDARD IND. CLASS CODE: ~
DUN AND BRADSTREET NUMBER EDERAL
tJ - 3l ~ ~ ':/ g y
BUSINESS NAME: Warner ,CaDle
LOCATION: Bakersfield.
CITY, ZIP: Bakèrsfield,
PHONE #: 805/327-9935
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13
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Physical and Health Hazard C.A.S. Number Component /I 1 Name & C.A.S. Number
(Check all that apply)
'0 0 0 Immediate 0 Component /I 2 Name & C.A.S. Number
Fire Hazard 0 Sudden Release Reactivi ty Delayed
of Pressure Health Heal th Component It 3 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number Component /I 1 Name & C.A.S. Number
(Check all that apply)
0 0 0 0 0 Component /I 2 Name & C.A.S. Number
Fire Hazard Sudden Release Reactivity Immediate Delayed
of Pressure Health Health Component /I 3 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number Component /I 1 Name & C.A.S. Number
(Check all that apply)
0 0 0 0 Component It 2 Name & C.A.S. Number
Fire Hazard Sudden Release Reactivity 0 Immediate Delayed
of Pressure Health Health Component /I 3 Name & C.A.S. Number
EMERGENCY CONTACTS
u
~II/) (EA) )
Title
component It 1 Name & C.A.S. Number
Component /I 2 Name & C.A.S. Number
Component It 3 Name & C.A.S. Number
2 ~êflll,~ GAfl./S Ht./ftI) ~"'~ .,-eé;H
Name Title
Physical and Health Hazard
(Check all that apply)
o Fire Hazard 0 Sudden Release 0 Reactivity 0 Immediate 0 Delayed
of Pressure Health Health
C.A.S. Number
Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
I certify under peanlty of law that I haver personally examined and am familiar with the information submitted i
individuals responsible for obtaining the information. I believe that the submitted infqrmation is true, ac
ached documents and that based on my inquiry of those
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GÌ!ó/l..6(.:" 5f-1.)J.- ~M-1" 5tH: {¿OrZ-I)jN/YW/l/
NAME AND OFFICIAL TITLE OF amER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE
DATE SIGNED
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