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HomeMy WebLinkAboutBUSINESS PLAN " It CUSTrA&NO.E5 ~~~~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE 3-~3-0 1 NEW ACCOUNT ADDRESS CHANGE CLOSE ACCT ¡ : FINANCE CHARGE I ; OTHER ADJ ! /'J\ö,^o,. tJc\.lAbuì ßy)y ~. PO-ÀV1 t-- MAILING ADDRESS 4- \ °l to PI (ì e.wood We ,CITY ~ l~~~~\'€ \cA STATE CÁ SITE ADDRESS ';)~::L S Sc ~~ tW\ J.ve. CUSTOMER NAME Dr. ZIP CODE q~ ~ J -=#3> PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT ADJUSTMENT AMOUNT 0- APPROVED BY,~ ;ÛA~· FINANCE DEPARTMENT CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303 RETURN SERVICE REQUESTED ~~ '-~'~~,o If}U( ;1 Î~ iffll S ,/;1(1:1, ~/~, t2 c jI;"p ¡¡,' (J iF <. 7 =-~~~, a:,::"-:~~ - :X=:1 CA~ AU ftJ_1 U-! ~_.-._._ _..::'..;:$.=_14__:4 ..::.:_=:::. t n,I""II'H 11.11111\111 \I ;I/..~ "' -r·..·. ...--_ -0- "llIIm ~..,....~~--- --,,==-~ STATEMENT OF ACCOUNT CITY OF BAKERSF!ELD POBOx 2057 BÄKERSFIELD, CÂ 98808-2057 (661) 326-3658' '" DATE: 3/01/01 d TO: ALOHA RAINBOW BODY & PAINT 4176 PINEWOOD LAKE DR BAKERSFIELD, CA 93309 , CUSTOMER NO: 30382 ' CUSTOMER TYPE: ESt 36911 ---------------------------------------------------------------------------- -~. . -=- - ... CHARGE DATE DESCRIPTION'" "REt=NtJMBER D,tJE'DATE' TOTAL AMOUNT ------ -------- -..:..~~-------~------..:..--------....:.. ~--i--j.-..,.¡~,--..~ --:l--_"':~~ -------------- I , > ,< ,..., 2/02/01 BE(HNNING BALANCE' 63.00 FOR GUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 63.00 DUE DATE: 4/02/01 PAYMENT DUE: TOTÂL DUE: 63.00 $63.00 .. . r CUSrE & NO. E5- 30 ~ "6 ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE bd (-:00 NEW ACCOUNT i ADDRESS CHANGE CLOSE ACCT I : FINANCE CHARGE I 'OTHER ADJ i \/ r CUSTOMER NAME A\D~o. 12:..; (\'oOlA'> 8x:J.y ¿ Po..ín t MAILING ADDRESS Lr"\(b Pl 0ewoöd lR\c.~ Dr CITY ~\",>~i(:.\d STATE fA ZIPCODE~ SITE ADDRESS d3'd-3 5 l h\õ\\ ~\f~ -#~ PARCEL NUMBER (IF APPUCASLE) 'ADJUSTMENT T \ e STATEMENT OF ACCOUNT4It CITY OF BAKERSFIELD POBOX 2057 BAKERSFIELD, CA 93303-2057 ~·'r.i >{ ~; J ,~~~~~~79: TO: : j ''''''''/',' ALOHA RAINBOW /~~ODY"t..;::PAIN~ " 2323 S UN I ON<J~'tE/;#3,j\ :", ~<5;, " BAKERSFIELD ) \'CA ~~39,g~>¿t/ >, '%: ,/ ,. '<r/ ....:,..- <..::. l J// DATE: 6/01/00 ~;:> " };' < . "" t ',~-, i~~(~:'};/~'" ',k C~~.¡O ::~::<r,~:1G!3Q2 CUg;¡:-sMER'}"VPI;: E-S/ ---------------~~~~~~.~~~------_.~~-~--~------------~-~--~~~----------------- '" »,," " " ~,' ~,"- ,t '¡':. ^ ..', .~ ~ ' . " , <' ., 0' ,. "- DATE pþSCRI8¡TION H, ,'REF-NUMBER DUE DATE ______ ________ '~~·~~__W__";;,,:,,,,',,:,,,,_,,,,·~u_'__2.:''':'''~~_'''':'_:_'''::'''';''''''~'' _:.-.......;._....;._~___. _.____..;;.;.;.._ ______________ 1.~'\...."',;' ,,~ ,"0.;~.; ..,' '.~ " "" ( ",¿l" "I ~ 36,9,1~1~-,- CHARGE TOTAL AMOUNT \~:,,:,.,r,!,: .>.; ~"'/ .:"~.;.c,~.~.'~.;/,/\, 5/01/00 ,,~EGINN'ING BAt:A~~CE~ 6/01/00$!"I~Q!JAI\!,..ITYI-ÍAzwASrEGEN 'THJ:ß FEE IS FOR'pMALL QUANTITY "GENERATORß: ,'OF HAZARDOUS W~SrE. " 6/01/00 CASTATES!JRCHARGE~ 10.00 , "i,(, " i' < d t4 jA~.Aa,,~h''AJ ~I J û4J 1¡J/IfI(a1ç,,:k,,~,:-,:'fð,ð,O,···~,',.~'~,,~'M'~,"".',",~,",.,'.'. ., /".114«' 7J ~7-~!k~ ~ i/.p ~ lùØ~,tJ':/&#IMc'¿~~ ¡fyl//IV Ú. , ~ ~ bd ;Z~;3 fu~f'o~~tß:fo:1:~: ~cc~t::;f ~ti¡ ______________ ~:~~_:::_:~:::R ::_:::_:::_::_TH::_:::::::::~_~~ c't .00 50.00 HM018 SS001 CURRENT OVER 30 OVER 60 OVER ~o -------------- -------------- -------------- -------------- 60-:-(;o.Q DUE DATE: 7/03/00 PAYMENT DUE: TOTAL DUE: 60. 00 $60.00 ,¡ i -, '; "! } , !' , , " ' C(>VE~ÅNT, , ' - . ' . , "BUILDERS ,: ,,' '~è"',~~~~~~~;~i~~~~~r. ~" ' ". . ""¡-' :;1 ,'~', -< ,; Þ' ((338 . .. :"¡ ~~". ;', ~"" ",:: . '. , ","'~,':,J1".,,j , '., ' " . ", , i7t?¿ , . ~ ( , .. ' < '. , . ..., '¥1',', .;.,,' ;'~" ':~ ',',', ", ,'~:: ". ~¡' " , ' , ~,., :. ' , " , " " - '- T , .' " ; " " .. - , / " .' "' r hi¡li¡ " 1i1!~II!jl , ,~ .J,' !Iii I ij > ¡llf j ,II Illi I ¡jii llì I 1;; ì'll I,; , I ij 5E..2.i:=:': .. ~~~:3;~: ~>... . " ; : " '" (,,' ~ , "I " ';'1"': 1*) i ': h t} : .',,",, ~{?:L_, -,~::.:;:; -' ,-:;e" í :':~..':.~ ~~." r-:IC' ............. \ J," I '~-' "...,,'\ 'l ¡(~' ,.~ 4- Co J"! IY"l::, ';:] \ VI JO V.... ! J . 1..- -, '" Of]) luCjj -« 0::-' C() (I)...... :"'J':"; C::(; <) :-- ( L CiT' e \ :=¡U F-( N:3:=f< V: C 0: C I~ lJ :::S~E D (~ /-\ Ì\! \::_ L I~: ~ ~ ~~~ 1/1 FINANCE DEPARTMENT CITY OF BAKERSFIELD p,o, BOX 2057 BAKERSFIELD, CALIFORNIA 93303 RETURN SERVICE REQUESTED ------., ',\ (' --, ,) II ----~-~.......... 111 I I j J h t , 1111111 t 1 I - tl1ll I AUtlt~U.t8L ___ "":j..::.:.::.:i,J.:.:/" :':::i_::.:. { BODY & PAINT 2323 # 3 SOUTH UNION AVE. -- -'-- .--_.._-~._---_.. ---------~--- ~' L{--lcfrD9cri7 CITY OF BAKER~ELD ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfiel 93301 (805) 326-3979 t:' i:< V) \'1 FACILITY INFORMATION ~ 7 Page Of ' e I Year Beginning 100 101 - \SöDV 3 BUSINESS PHONE 102 SITE ADDRESS 23'23 ù~ (dyJ 5- CITY DUN& BRADSTREET COUNTY OPERATOR NAME -JIIV\ 103 106 SIC CODE (4 Digit #) 105 ! 107 i I 104 CA ZIP 108 I 110 i OWNER NAME -J f ^'\ c....fLE6:l-l OWNER PHONE 7 <47 - g--~3-b i 112 I I I 113 I OWNER MAILING ADDRESS 417G (~~' Ut,,~ CONTACT MAILING ADDRESS NAME ~T 75l.ANCò :~~;0~":¡~1j~;~i~gi~~!~~~ç~tç;@~[~çfu~jf)t 123 NAME .A:,...)6"éL ÁV ÂLÄ 125 TITLE ékJlÚé~ 126 BUSINESS PHONE ZIP CITY 129 TITLE CLJ>J'(,J't....... 130 BUSINESS PHONE 24-HOUR PHONE %"2 Î - () 5:.:< Cf PAGER # 131 127 24-HOUR PHONE :3 Z-~ - "?3;4~ I 132 133 ; ! 128 PAGER # Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNER/OPERATOR 137 A}òDS (f~òPLt:¿-¡t( P (5 fv5~L c;t-J~&L .....\/I'V c.C2éC-ô-I IS. 6U3s?drJStalE ~L #.Aè_ ùJlA.s~ O\V .-'(\~ SC--VC--!?A(., fAivJT ~S AI 71-115 S o'(=--. OES FORM 2730 (7/9ð) P;\OES2730,TV4,wpd ~ CITY OF BAKERSFIiLD "FICE OF ENVIRONMENTAlPSERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 ., ¡ ":, <I UNDERGROUND STORAGE TANK FACILITY Page of TYPE OF ACTION (Check one item only) o 1 NEW SITE PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION (State Iype of change) o 7 PERMANENTLY CLOSED SITE o 8 TANK REMOVED 400 o 6 TEMPORARY SITE CLOSURE I. FACILITY I SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # o 4 LOCAL AGENCY/DISTRICT' o 5 COUNTY AGÈÑCY' 06 STATE AGENCY" o 7 FEDERAL AGENCY' 402 NEAREST CROSS STREET 401 FACILITY OWNER TYPE 01 CORPORATION o 2 INDIVIDUAL o 3 PARTNERSHIP BUSINESS TYPE o 3 FARM o 4 PROCESSOR o 5 OTHER 403 o 6 COMMERCIAL 01 GAS STATION o 2 DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE Is facility on Indian Reservation or trustlands? 'If owner of UST a public agency: name of supervisor of division, section or office which operates the UST, (ThiS is the contact person for the tank records,) 404 DYes DNa 405 406 II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407 PHONE 408 MAILING OR STREET ADDRESS 409 CITY 410 STATE 411 ZIP 412 PROPERTY OWNER TYPE 01 CORPORATION o 2 INDIVIDUAL o 3 PARTNERSHIP o 4 LOCAL AGENCY I DISTRICT o 5 COUNTY AGENCY o 6 STATE AGENCY o 7 FEDERAL AGENCY 413 'III.TÀNK O~ERINFORMATíON PHONE 415 TANK OWNER NAME MAILING OR STREET ADDRESS 416 CITY 417 STATE 418 ZIP 419 TANK OWNER TYPE o 1 CORPORATION o 2 INDIVIDUAL o 3 PARTNERSHIP o 4 LOCAL AGENCY I DISTRICT o 5 COUNTY AGENCY o 6 STATE AGENCY o 7 FEDERAL AGENCY 420 TY(TK)HQ IV. BOARD OF EQUALIZATIONUST STORAGE FEE ACCOÜNTNUMBER Call (916) 322-9669 if questions arise 421 V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) o 1 SELF-INSURED o 2 GUARANTEE o 3 INSURANCE o 4 SURETY BOND o 5 LETTER OF CREDIT o 6 EXEMPTION o 7 STATE FUND o 8 STATE FUND & CFO LETTER o g STATE FUND & CD o 10 LOCAL GOVT MECHANISM o 99 OTHER: 422 VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box 10 indicate which address should be used for legal notifications and mailing, Legal notification and mailing will be sent to the tank owner unless box 1 or 2 is checked, o 1 FACILITY o 2 PROPERTY OWNER o 3 TANK OWNER 423 VII. APPLICANT SIGNATURE Certificalion: I certify Ihallhe informaliOll provided herein is true & accurale 10 Ihe besl of my knowledge SIGNATURE OF APPLICANT DATE 424 PHONE 425 NAME OF APPLICANT (print) 426 TITLE OF APPLICANT 427 STATE UST FACILITY NUMBER (For local use only) 1998 UPGRADE CERTIFICATE NUMBER (For local use only) (Formerly SWRCB Form A) July 1, 1998 P:\USTFAC-A,FM4,wpd . CITY OF BAKER~ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 DADO o DELETE D REVISE 200 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material per budding or area) Page of ·'·"i. FÂêlUtv INFORMATlð~'~; BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Business As) .. .... .. ' .... . ,,'.' lI.ë~ËMICÁLlNFORMATlON 3 I I I l.~~~~'~:~_~CA TlON FACILITY 10 II rIJ<;, If) E C;ïCJYGf" f?CVVV1. ~'Ai 50 I DE oF 1 MAP II (optional) DYes 0 No 202 204 CHEMICAL NAME tJ L\;S TG:, ((A-,0T (++'; I\//VC--L o Yes 0 No 206 If Subject 10 EPCRA, refer to iinstrudions 207 COMMON NAME EHS' DYes DNa 208 CAS II 209 ..:., EHS·~~~. aU ;u¡,Ooi1ts bei~ must ~¡,):'inV, 'lbs.', '.>. ;'.,:,¡ 217 MAXIMUM ""7D DAilY AMOUNT -->, ~GAl 0 å CUFT . If EHS. amount must be in Ibs, 218 AVERAGE DAilY AMOUNT 70 219 STATE WASTE CODE 210 213 215 216 220 .j. 222 223 TYPE o p PURE o m MIXTURE w WASTE 211 RADIOACTIVE DYes oNo 212 CURIES ~lIaUID D9GAS 214 lARGEST CONTAINER "30 o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check alllhat apply) ANNUAL WASTE AMOUNT ~F'RE UNITS' o Ib LBS o In TONS 221 DAYS ON SITE STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUilDING ~ STEEL DRUM De PLASTICJNONMETALlIC DRUM Of CAN o 9 CARBOY o h SilO o i FIBER DRUM OJ BAG Ok BOX o 1 CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN o P TANK WAGON o q RAIL CAR o r OTHER STORAGE PRESSURE ;:(a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~a AMBI~NT 0 aa ABOVE AMBIENT 0 ba BELOW AMBIENT ;',;. ',';, %Wr' '..:;'~;:"·¡i;#t~;ý·l;%:,···;·:r:¡;j;· '.t':::':1;0;~t~~99[~:~tlt~R9N§:NÍ.~;j~\~;;~:i(G(l"~E0?:1;*~~;~:r;:}jiÅ o C CRYOGENIC 225 .'. " , 'CASt#- 228 2 230 3 234 4 238 5 242 -...---. 227 o Yes 0 No 228 231 o Yes 0 No 232 235 o Yes 0 No 238 239 o Yes 0 No 240 229 233 237 241 243 DYes 0 No 244 245 SIGNATURE --~._.'-,--- -----------~-~ ....,.¿<..:-. ." ~ .;'" ,. ; ;$IGNÄTURE ':-.':;,.""" .' ;';"..~ DATE 246 OES FORM 2731 (7/98) P:\OESZ731,TV4,wpd . CITY OF BAKERSF.D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 " r .1 .-< (, ~ DADD [] DELETE D REVISE 200 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per material pe' building or area) Page of CHEMICAL LOCATION 1 MAP # (optional) 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optional) o Yes 0 No 202 204 ~'~> ~;: ":'ê¿: i . ''''It&figM¡bÁtl~~6.R, MÀi,dN "','<,';, " o Yes 0 No 206 If Subject to EPCRA, refer to iinstructions CHEMICAL NAME 207 COMMON NAME EHS' o Yes 0 No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE o p PURE o m MIXTURE o w WASTE 211 RADIOACTIVE o Yes 0 No 212 CURIES 213 PHYSICAL STATE o s SOLID o I LIQUID o g GAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 1 FIRE 0 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 217 MAXIMUM DAILY AMOUNT 218 AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 220 UNITS· o ga GAL 0 cf CUFT . If EHS, amount must be in Ibs, o Ib LBS o tn TONS 221 DAYS ON SITE 222 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PRESSURE o a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o a AMBIËNT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 226 227 o Yes 0 No 228 231 o Yes 0 No 232 235 o Yes 0 No 236 239 o Yes 0 No 240 243 o Ye~ 0 No 244 229 2 230 233 234 237 4 238 241 5 242 245 OES FORM 2731 (7/98) P;\OES2731,TV4,wpd