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ACCOUNT NUMBER
CASH MANAGEMENT
ADJUSTMENTS TO ACCOUNTS RECEIVABLE
DATE 2-22-9/
(,) NEW ACCOUNT
( ) DELETE
Ç'\) $ ADJUS'IMENT
( ) SERVICE CHANGE
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fàrr:T ,~ AM:X1NT /BILLlliG AM:XJNT BILLING + (- ) DATE
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UTILITIES BILLING HISTORf FOR AN ACCOUNT RUTL107
02/22/91 .' ~-?"t PAGE 1
::::::::::::::::::::::::::::::::::::::::::::::::::::::::,:::::::::::::::::::::::::::::::'::::::::::::::::::::::::~~::::::::::::::
WATER
BILL BALANCE CHARGE/
DATE ,-FORWARD CONS
ACCOUNT NUMBER: 415901
SERVICE NAME: SUPREME AIR CONDITIONING
SERVICE ADDRESS: 423 SUMNER ST
CITY STATE ZIP: BAKERSFIELD, CA 93305
SEWER
CHARGE/
CONS
::~~~~::·::';~~~~::::T~~;1~1~;~::t::;~~~1f~~: ..~:!~;;;
ACCT CYCLE STATUS: CL
BILL STATUS: FB
--.----- --------- --------- .--------
CURRENT
106.51
01/01/91 106.51 106.51
09/12/90 1 00.00 1.05/01/90 ' 1. 51 B92 - FINANCE CHARGE NM*8164*2*103 106.5J
05/01/90 5.00 891 - PENALTY NM*8164*2*104
. 02/15/90 50.00 ~,q002115/90 50.00 ffA -_ NM:tB088*2.t329 100.00
02/10/89 Bill History record for bill date 02/10/89 not found. (BILLHIST5>415901*7712)
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¿uptt:mt: cffit Conditionin9
and ¿h.t:t:t cM.Eta[[/ nc.
423 SUMNER STREET, BAKERSFIELD, CALIFORNIA 93305
AIR CONDITIONING
HEATING
SHEET METAL
LICENSE NO, 276040
PHONE (805) 325-7938
August 27, 1990
City of Bakersfield
.. ',P~ 0,.' Bo .20.57
Bakersfield, cA 93303-2057
, ,
Re: Hþzardous Mate*ials Handling Fees
/r3..J~"'~ ~e·a..~ ~
To Whom It May Concern:
II M r/I'S" 9tJI
This is to advise that Supreme Air Conditioning is not
longer in business as of April 1, 1990.' The company has
filed Chapter 22 Bankruptcy on April 5, '1990, CASE #190-
01663A-IIK. The attached bill should be referred to the
bankruptcy if you £eel it is still due.
Sincerely,
adO-) ú?dt
VEda Pitts
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PLEASE MAKE CHECKS PAYABLE TO:
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CITY 0F BAKERSFIELD
lCQ.'51
,
~T"1&viQïJS JBæ¡lemcß>
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RETURN PAYMENTS TO:
CITY OF)ß'AKERSFIELD I STATEMENT OF ACCOUNT
~~lUL 1.." , ' .
P. . aOX 2057. ,.'!'".
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BAKERSFIELD, CA 93303-2057 ACCOUNTNO. HM415-901\
,*** f-' ¡R~ DEPARTMENT *'.H~
H~~~~dous M~t~ri~ls HÐn~lin~ FeQ$ ...
Account 011-!11~7. ,~
S>l te A~;¡j"1"U?'H. 423 SUI"INER 5T
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DËLt~¡GlUENT í\!OT!,{:E DATE Q5/0S/9Ö., TDYAl. NOi~
"{I3\.:-r1 ðiC:~QUnt 15:· ¡:j~lii1q( ,/ent. (:¡!O%. penØì!'{;1J ë:J11l¡,i a -il7.1!'(DV'H:e .... 'h<:J'i"9æ
of !% per month has bœ~n œssøsfiod' an th. Gutstanding b~lÐnCÐ 0' t
~,::¡£¡t £to 1j¡\¿;¡ys, TQ av~id I:Q,l',!ßctti:\n ac:'tiQr¡, p'¡:¡d~ ~~.. ,June 1, 1'990.
StŒl'¡;em:~l'lt m~!¡! 'Bcd; -re¡.flect /1:~o~.;i; T-(i1¿.~V'ìiJ¡ ,fi:J,-:J~m~H'ìt~. >
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~1~90l
SUP~EME tJ'¡X~ COltdDITIONKNG
423 SUM~R St
BA~~RSFIELD e~ 93308
326-397e;
INQUIRIES CONCERNING:THIS BILL,PLEASE PHONE:
REMITTANCE CO~V
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C~TY of BAKERSFIELD · (p 1~~tS:f¡~(j~~~¡~\
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"HE C.-I RE" "I':> =~;. ::;:J§
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RECEtVED
JAM 30 1989
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Do hereb~- certify that I ha-,-e re\-ieh-ed the
Ano'd'ÐoøDSDoa.oa
attached Hazardous Materials business plan
for
S~ßiJ(NJ A\YL C1Jnrtl,~tW(,oct
(name f business)
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
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BUSINE~S NAME SUPREME AI~ONDITIONING
LOCATION 423 SUMNER ST
ID N8IlER 215-000-000673
HIGH HAZARD RATING 1
B. FIRE PROTECTION / WATER SUPPLIES
LAST CHANGE 11/04/88 BY VAL
3A SEC 4) wcJ /pR!JN IÁtFJ /f/1.tœJ /rIRf/JWct'ttl:JM.
There are Fire Extingushers near flamable
areas in shop (Total 5)
3A SEC 5) FIRE HYDRANT?
West side of Tulare, between 21st and Sumner Street.
Do EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 11/04/88 BY VAL
3A SEC 2) SHOP IS SMALL ENOUGH FOR VERBAL EVACUATION OF BLDG AND WE WOULD
LEAVE THROUGH CLOSEST DOOR.
PAGE 4
12/28/88 11:26
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
"
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MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
12/28/88 11:26
PAGE 3
2 PURE FREON 22 1339 FT3 MODERATE
STORAGE RM BEHIND OFFICE PORTABLE PRESS. CYL. COOLANT
ID PERCENT COMPONENTS HAZARD LISTS
1104.00 100.0 CHLORODIFLUOROMETHANE MODERATE
3 PURE FREON 11 207 FT3 UNKNOWN
BACK OF SHOP PORTABLE PRESS. CYL. COOLANT
ID PERCENT COMPONENTS HAZARD LISTS
2632.00 100.0 TRICHLOROFLUOROMETHANE UNKNOWN
4 PURE FREON 12 190 FT3 LOW
STORAGE ROOM BEHIND OFFI PORTABLE PRESS. CYL. COOLANT
ID PERCENT COMPONENTS HAZARD LISTS
1086.00 100.0 DICHLORODIFLUOROMETHANE LOW
5 MIXTURE PAINTS 100 GAL EXTREME
SW BACK CORNER PORTABLE PRESS. CYL. AEROSOL
ID PERCENT COMPONENTS HAZARD LISTS
1006.00 30.0 ACETONE HIGH
1118.00 25.0 XYLENE, MIXED HIGH
1155.02 16.0 PROPANE EXTREME
1130,00 15.0 TOLUENE HIGH
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 PURE MOTOR OIL 75 GAL UNKNOWN
MIDDLE BY WEST DOOR DRUMS OR BARRELS MET.. LUBRICANT
ID PERCENT COMPONENTS HAZARD LISTS
2808.00 100.0 MOTOR OIL UNKNOWN
Ao OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 11/04/88 BY VAL
ID NUMBER 215-000-000673
HIGH HAZARD RATING 1
BUSINESS NAME SUPREME AIR CONDITIONING
LOCATION 423 SUMNER ST
FACILITY UNIT 01
BUSINESS NAME SUPREME AI~ONDITIONING
LOCATION 423 SUMNER ST
ID N~ER 215-000-000673
HIGH HAZARD RATING 1
30 HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
Will be instructing employees on MSDS. Proper handling of
chemicals and materials. Proper clean-up and safety measures
in~handling of materials.
< NO INFORMATION RECORDED FOR THIS SECTION >
40 LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 11/04/88 BY VAL
2A SEC 5) NILES MEDICAL - 2121 NILE ST
PAGE 2
12/28/88 11:26
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME SUPREME AIR CONDITIONING
LOCATION 423 SUMNER ST
ID NUMBER 215-000-000673
HIGH HAZARD RATING 1
\:;fft: ;
,';ý.
',--
1. OVERVIEW
LAST CHANGE 11/04/88 BY VAL
JURIS CODE 215-002 JURIS BAKERSFIELD STATION 02
MAP PAGE 103 GRID 29A FACILITY UNITS 1 HAZARD RATING 1
RESPONSE SUMMARY
2A SEC 4) NO PRIVATE RESPONSE TEAM.
EMERGENCY CONTACTS 2A SEC 2)
VEDA PITTS - 325-7938 OR 324-7933
RICK MYRTLE - 325-7938 OR 871-5826
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - BACK OF SHOP SW CORNER B) ELECTRICAL - BACK OF SHOP SE CORNER
C) WATER - BACK ALLEY WEST OF GATE D) SPECIAL - NONE E) LOCK BOX - NO
2. NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
Customer's are only permitted in front of shop. If a fire or
hazardous situation occures, a verbal command to exit thru front
door would be given.
< NO INFORMATION RECORDED FOR THIS SECTION >
Also will be putting up signs to inform customers of hazardous
materials in shop.
PAGE 1
12/28/88 11:26
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
.
.
BUSINESS NAME SUPREME AIR CONDITIONING
LOCATION 423 SUMNER ST
ID NUMBER 215-000-000673
HIGH HAZARD RATING 1
Eo MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 11/04/88 BY V1\L
3A SEC 1) OIL IS STORED IN SEALED CONTAINERS. IF SPILLED, WOULD CLEAN UP
WITH SAND. FREON IS STORED IN SEALED CONTAINERS, IF LEAKS OCCUR
WOULD LEAVE BLDG UNTIL CLEARED, PAINTS ARE IN ORIGINAL CONTAINERS
IF SPILLED WOULD CLEAN WITH SAND OR DIRT.
After t~ean~Up~wou~d~~tore in sealed containers and contact proper disposal
company for disposal.
PAGE 5
12/28/88 11:26
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
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CITY
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301 ~^.
< 805 ) 326-3979 \ 03 - I"'f
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OloD~D
R E'C E I V E 0
JUl \\~ 1987
Ans'd... ,,'~'."."
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OFFICIAL USE ONLY
ID#
ßUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
~0673
<!
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: ~~l-tr~ 4-U'2... ~l h~v~
Lfl<' SUJVV\' N-e.vl
ZIP: 7 ~ ~'O ,~ BUS. PHONE: <aJS-) 3;}.s--?'7 ß i:3
B. LOCATION / STREET ADDRESS:
CITy:(~~M
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 ANDV TITLE \ DURING BUS. HRS. AFTER BUS. HRS.
A. Bl)1d éJ I J-t-~ Ph# 3;2..S- -113 g Ph# 8.:2 Y -17.1> .:r
B. K,¿J Wt1 (t..J.- J ~ Ph# 3ð..s- J}'j3 S Ph# 1?J / - S-gd-~
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE, ß¡2·~~@f0~ _~~tù .~f()~
B. ELECTRICAL: ~~U__ 5 . ~ ....:- (:.....--P-
C. WATER: ,~4<' ,L ' '.J:.. t')J- -,-' ,
D. SPECIAL: '
E. LOCK BOX: YES /~ IF YES, LOCATION: '
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
MSDSS? YES / NO
KEYS? YES / NO
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SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
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SECTION 5: LOCAL EMERGENCV MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
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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 ~
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:...................... ....
C. PROPER USE OF SAFETY EQUIPMENT: . . . . . , . . . . . . . . . . . .
D. EMERGENCY EVACUATION PROCEDURES:.. ...............
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.... .. .
INITIAL REFRESHER
YES (@) YES NO
·1 YES NO
YES NO
YES YES NO
YES YES NO
SECTION 7: HAZARDOUS MATERIAL
CIRCL~RdiiP
DOES ~~SINESS HAND.LE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: .....' YES NO
I . - R .2k fI1 ~J of' . cert ify that the ahove information is accurate,
I understand that his 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. 25500 Et AI.) and that inaccurate information constitutes perjury.
~GNATURE~ f1f~,' TITL~~ ~DATE 7/7167
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BAKERSFIELD CITY FIRE DEPART~EXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL ~SE ONLY
ID#
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BUSINESS NMIE:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
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 possible. .
FACILITY UNIT#
.
FACILITY UNIT NA..'tE: SlApae...n'\e.. ~ I n &~/+-I 0 tV' tví
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES
oft.. I~ STl>lte6 IN S~Ie.O CDi\,.fA-,,^'e..eS
:Jr Sf,-Jt¡ 4JOloll\'&> G ~ "-I\",""\..,. 6>~c0
fizu- I"~ s-mee.o ~ p(¡fPJ~ Cl:IVM-¡~~. 1:C leAk',)
OG~1'l. fAfo:"'LJ l'furve ßtA.~[JJ....f':, -1;//1 c./f2MLQ.
~ lvh atl,t ¡"tv rne.~jl'Vt4-1 ¿ø~1Vm.:5 t+ 5pz.1kLeI
/.JÐI),,(JI de.A-, t.U I~ ,^"O CIL 0, t!~ .
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SECTION 2: NOTIFICATION ~\~ EVACCATIO~ PROCEDL~ES AT THIS L~IT O~LY
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OJ. ßu. ~ W1>c..dc;9 teA1;e.. ~tl""'1 ~' {..Ios¡r'~ dœR.
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FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
4-11" ,,, I. " ., .L
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: ~~ ~ FACILITY UNIT .
-::' " ';'" ~' FA C ~ I T Y UN I T NAME:
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~~1A--?4_~~ 10FFICIAL USE CFIRS
ONLY
OWNER NAME.
ADDRESS:_:
CITY,ZIP:
PHONE I:
BUS INESS NAME: 0lA~t2... ¡{J;/~
ADDRESS: ~ :;;I"V¿/t
CITY, Z~~ Al _ _ ~£~ û;J.
PHONE " ~.L,<,: - 74.$
CODE
D.O.T
GUIDE
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CHEMICAL OR COMMON NAME
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"AZARD
CODE
1 2 3 45 6 7 8
TYPE MAX ANNUAL CO NT USE LOCATION IN THIS % BY
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT
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PH E' BUS HOURS
AFTER BUS HRS:
ç ~ PHONE' BUS HOURS
AFTER BUS. HRS:
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~~IGNATURE
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TITLE
TITLE
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NAME: I~ ~~ -¡r[f: rz,ijv- TITLE
EMERGENCY CONTA, T: V 804 ~~ff7
EMERGENCY CONTACT: t:r.i" J4t-?æ#t.r
PRINCIPAL RUSINESS ACTIVITY/.