HomeMy WebLinkAboutBUSINESS PLAN
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,,' Bakersfield Fire rCt.
Hazardous Materials Division
2130 "G" Street
. , Bakersfield, CA 93301
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HA-ZARDOUS MATERIALs 'MANAGEMENr-PlÄN~~' ..~_...._-'u
INSTRUCTIONS:
1. To avoid further action. return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer' the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: ~ 0 Tì ~.'t ~n+(78~(" s p_S
LOCATION: '7_CJ~4 S-\-\he. ~.fJ~ ~~~<i.Q'eJrl r-O~\~ q33\3
MAILING ADORESS:q~O ~'X Y OLa I 0 )t::ü~~~~'P\A J ~o. ~ 3~<xL\ - O~J a
CITY: STATE:_ZIP:
'Çp¿ T~'f I.D.~ ()
DUN &: BRADSTREET NUMBER: ~.c\ - 3 ~ 'ï ..S-fJw-~
PRIMARY ACTIVITY: ~H....~\Q~ ~o !ì~S(,11 p?'
OWNER: ~(\'f)\ fJ\ \f\f'lX~<: "
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MAILING ADDRESS: S(\\'n e_ () S ot)o\,/P_
PHONE:
SIC CODE:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE.
24 HR. PHONE
1.
2.
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I
"
1.
FD1
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,.. Bakersfield Fire Dept.
~: It Hazardous Materials Divisiontt
.' HAZARDOUS MATERIALS MANAGeMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS:
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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 "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOllOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
~
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITJES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OT~ER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ~Q\t \€. \ 5· \f\Of)·~ í CERTlFYTHATTHEABOVEINFOR-
MATtON IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARD US MATERIAI.:S (DIV. 20 CHAPTER 6.95 SEC. 25500 ET Al.) AND THAT
INACC R E NFORMATlON CONSTITUTES PERJURY.
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TITLE
2.
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DATE
FD"·
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===============================================================================
Utilities
General Account Maintenance
PUTLS801
===============================================================================
Acct Nbr: 705301
Cyc Stat: CL
Bill Stat: FB
Acct Cyc Stat: CL
Transfer-from:
Transfer-to:
Page 1 of 6
Due: 99.40
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Customer Name: MONJI ENTERPRISES
Social Sec Nbr:
Service Address: 7324 STINE
Service City: BAKERSFIELD
Parcel ID:
Bill Cycle: 5
Route Nbr: 1
Comments : BUSINESS DOES NOT
Pre v Acct: HM1271 23.
Service Date: OS/28/91
Fund no:
Bill-to Address1: P.O. BOX 40610
Bill-to Address2:
Bill-to City: BAKERSFIELD
3. Telephone: 805-831-5403
6. State: CA
7. Zip: 93313
20. Water Svc Class:
\
HAVE DIESEL - ARE EXTEMPTING FROM
Misc Services: 23.1 F99 NOT IN
23.2
24. Closing Date:
FEES
BUSINESS
10/07/91
18. State: CA
19.
Zip: 93389-0610
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