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HomeMy WebLinkAboutBUSINESS PLAN 8/13/1992 ~ \ ' ~ 07/29/92 - . FORD SPECIALIST 215-000-000634 Overall Site with 1 Fac. Unit Page 1 General Information . Location: 7001 WHITE LN 104 Map: 123 Hazard: Low Community: BAKERSFIELD STATION 05 Grid: 16D FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone KURT CASON OWNER (805) 397-9333 x'\ výá0;t 664-7396 SULLY CASON OWNER (805) 322-2007 x / ~s, ~-?3/1~~ Administrative Data Mail Addrs: 7001 WHITE LN 104 D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 7538 Owner: KURT CASON Phone: (80S) 397-9333 Address: 7001 WHITE LN 104 State: CA City: BAKERSFIELD Zip: 93309- Summary ~[E~fË~~fË[Q) !$~{PJ ® í ~992 H~f7, M&T. rv~V. Q ~Ð ~~ù~Qt~~_ ,~_ : ~--rïVF~ m ~.'rin¡ n,iì\~) - ~ . r; t. ~'. ;)~*~~"_' ,; ~~(-;;(~n)/ b~1~~ ~ ~ ~:;,}.. -- ~®tif~(~r(;j~t: ,:."7..f.' ._. ,..;~'. .._~" .::.,,' ~!~ \Ó",,"'jG1'31f'¡Iè'\~ , ;. 'oJ 1 ç;;¡,., "'" ø.' u~v ~(Sn~:,;(ç m®f)~ 10~ôv J . ~~.J t""~'~ A. ,. ":.....ý :'~ "";f~7"i'.'~.' 1\f,,'10¡~' ( \ Co.J~ ~ ~ .;:,! i' 1 ~. J-r¿c tt.:. (Q.l,l~J~ "'t6 V\¡ ~ ~ - - '- -í:}.;'1~,Ø'·í~.,~L,·J;~~·.:":~f~-- -_. \] ®UìJ~ OOl?0'@;©1C:Q)J:¡@3 ©"&t;:~~~<~c~ ~_ ~;t?;:¡ :0i¿Ý0 ~moJ ~0n"e~~ mB.:fju 8 - ~3- _'7~ c-o:--===--.-[£~~~__"'-_= - -~:> -J. ~ ~ ... I "f ¡~ t~ßL~~\ éÄ~ I~~ Q ~\ ~ - - -- - _ H}l~lP ÂL_\~ ~I--\P 51 T E ~IAGRAM g .C ILl TY 01 AGR.AM E::j ~De..O sf~e~~~ç\ '_Q'" ""a- := r a \ ,.... t'\. _"" ...,. ~..}. ""- ~rëU::!! == ';=~a; & ~2} P A~ 3~s :.::~s~ ~rame: /\ / \ -_-- ~¡c=~= .- ~ D ...- - L,J"\T~ LAr¡Ú1~, - - - - - ~ -- ~ \..::---..t ~ -=---- ---- ~. <..::::-~ '-0..-,-' ~__ ( \\ \ \ \ '\\ \\\_\_\~ ?~~\~ <) / / / ,,-\\ \ \\\\ ~ ~ ) ;?Q~ÇS ----- ---- , , ðUl ~ ~~ '1ò? ~ f~~ SiOß &-X/ þ~ $105 ~i)$)OË --, ~ \.,)Ò\(; ~ f\~.wv~c..L L ~ U i ¿ ^,.-J £;1/1. ( . -"\;' STATEMENT OF ACCOUNT CITY Of BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELDI CA 93301-0000 (805) 326-3979 DATE: 3/01/97 TO: FORD SPECIALIST 7001 WHITE LANE STE. iO~ BAKERSFIELD, CA 93309 CUSTOMER NO: 3520 CUSTDME~ TYPE: ES/ 3520 CHARGE DATE DESCRXPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 0/00/00 BEGINNING BALANCE 569.32 HM005 2/13/97 C~~T~e ~cljU$*Men* 2/13/97 1. 1 0-- rXNANCE CHARGE 1-11'1005 2/13/97 Ch~Tge ~cljus*men* 2/13/97 1:!.. :U.-- ADMIN SERVICE FEE HMOO5 2/13/97 Ch~Tge ~cljus*men* 2/13/97 1. 10- FJJ:NANCE CHARGE HM017 2/13/97 Ch~Tge ~cljustment 2/13/97 .50-- FINANCE CHARGE PB017 2/13/97 Ch~rge adjustment 2/13/97 2. 07-- FINANCE CHARGE FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 121. 01 3. 67 428. 76 DUE DATE: 3/31/97 PAYMENT DUE: TOTAL DUE: 553.44 ~553. 44 t~G\01ct 7'~~j J: ft {;(:I::; V ~¿ ;~: :~l ~:::c~~ :'~ "u")-~ ~~~~C L~ ¡;:PfYI'~: ;;;·YÖii.l97/ i0ç,J'u¡~; '.;3/81.19'71 ~~~lT ~~D N~~E CH~C~ ~~V~~LE r~: ~~TV ~F ~M~E~SFE~LD L<:D. ~]. í~œ~ ;2057 ~~~E~SF!ELD C~ ~330~-2057 CUSTO¡V¡JER Ú\10: 3520 CUSTOME~ TVPE: ~Sl TOT ðÌiL DUE: 3520 ~553. 6J.&;, STATEMENT OF ACCOUNT CITY Of BA~ERSfIELD 1501 TRUY.TUN AVE BAKERSFIELD. CA 93301-0000 <80S) 326-3979 DATE: 10/01/96 TO: FORD SPECIALIST 7001 WHITE LANE aTE. 104 BAKERSFIELD, CA 93309 CUSTOMER NO: 3520 CUSTOMER TVPE: ESI 3520 ---------------------------------------------------------~-----_._----------- ----CHARGE DATE DESCRIPTION ------ _.---- REF-NUMBER DUE DATE ------- ---- - TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- ---~---------- 9/01/96 BEGINNING BALANCE 421. 42 HM005 10/01/96 fINANCE CHARGE 1. 10 FC01! HMO!7 10/01/96 fINANCE CHARGE .50 FCO!:! PB01? 10/01/96 fINANCE CHARGE 2.07 fCO!! FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 3.67 3.67 39.78 377.97 - - -----~- ~---' -- ---------.---- -- ---------- DUE DATE: 10/01/96 PAVMENT DUE: TOTAL DUE: 425.09 $425.09 ~-~~--~._-- ~___________"_._'.,~.'.....".__~"""~,__'>'~_""'"._._o>o"..~""""__.~~......"'""".,~""'".."hM..^~_.....____."M'~,..'".._ ..~_..,~ g)~YíE: .11010.íl/9éi. DU~ ~~7~: ÂO/O~/9~ t~fl.JIii~S[¿ E}}~n'tM:;~-4 t~¡tS1ï;} Sm;I~31D r~x~ Cí!,j;~Í'V MX'n~ ~J~&~Jír'f~~t;~ ftEMIV ~ND ~1A~{E CHlECb\ {PAV~BL!E TO: C ITV OF B~f>(.E~S~ I ELD P.O. BOX 2057 BAKERSFIELD C~ 93303-2057 CUSTOMER NO: 3520 CUSTOMEn TVPE: ESI TOTAL DUE: 35:20 'ÚJ425.09 ~ .. STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (80S) 326-3979 DATE: 1/01/97 TO: FORD SPECIALIST 7001 WHITE LANE STE. 104 BAKERSFIELD, CA 93309 CUSTOMER NO: 3520 CUSTOMER TYPE: ES/ 3520 ------------------------------------------------------------------.---------- ------------------------- ---------- -------- ---.. .---------- ; - . -CHARGE ---- -DA-TE ------ -------- 12/01/96 HMOOS 1/01/97 HMOOS 1/01/97 HM005 1/01/97 HM005 1/01/97 HM017 1/01/97 HM017 1/01/97 -~ ----- - DESCR-IP-.-:rION--_-_-.--~-__ u___Fta:---==NUMBER. DUE-DAlE ~_TŒr.AL_-AMOUNT _ , BEGINNING BALANCE 432.43 FINANCE CHARGE 1. 10 FCO 11 FINANCE CHARGE 1. 10 FCO 11 FINANCE CHARGE 1. 10 FC011 HAZ MAT HANDLING FEE E 110. 00 FINANCE CHARGE .50 FCO 11 FINANCE CHARGE .50 FCO 11 CONTINUED ON NEXT PAGE. . . .., - ___...- __ -...0" _. _ _ -_. _ -. -- ___ ,- - ___ ~ J' _ _ _. ___ _ ..........,.- __ __ _ _ __ _ ___ ~- ---------------- - -~ ~ -- -"-----~_._._,- ~-'^~ -~--_._. -'^~._-~-~, _._,--~_._,--- -"-~_..~~_.._~-^._---~._--_._----_.~--~--"~-~...__.,.-~~~_.~.__._----~ . .. '".__-._. __.~~~".. ._h~_...H..._..~~_....".. >~.~_~....._...' ....u...._h _"u..~._ ._........__._,_ . ._" . ...~.._.._""__. __._ ..... ..... ."__...." . _~ '._' _____ '" . ......... ......_ ~".__ ..H " .... D,~Y¡;;: i/!!:j"ß.1::P¡7 REMXT AND MAV\E CHECK PAYABLE TO: CITV OF BAMERSFIELD P.O. BOX 2057 ijA~ERSFIELD CA 93303-2057 CUSTOMER 1\10: 3520 CUSTOMEn TVPE: EGI ;'1520 c.. STATEMENT OF ACCOUNT .; CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 1/01/97 TO: FORD SPECIALIST 7001 WHITE LANE STE. 104 BAKERSFIELD, CA 93309 I I I - ·c.ÞtARGE----DA:r:E-D.ESCR~------, CUSTOMER NO: 3520 CUSTOMER TYPE: ES/ 3520 -------------------------------------------------.--------~-----_._------------ REF-~UMBER DUE-DATE TOT AL ~1"\11\)NT_____ , ------ -------- ------------------------- ---------- -------- HM017 1/01/97 FINANCE CHARGE FCO 11 PE017 1/01/97 FINANCE CHARGE FCOll PE017 1/01/97 FINANCE CHARGE FCO!l PB017 1/01/97 FINANCE CHARGE FCOll ----..---------- .50 2.07 2.07 2. 07 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF Tl-IIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -----------.--- 121.01 3.67 3.67 425.09 - --.... - - -- --- - PAYMENT DUE: 553.44 --TOTÄLIJUE:-- --- U$:553. 44 DUE DATE: 1/01/97 : ."""~~&&_""^-';"_~".;¡¡'~'~~="O_'"='~""'_","~=""_~"""'='¡"'~""'.==_=,,,~,";.-~.~=";:'-:- =.';;~<-:;:;"'._, 1"·~....~__;;_~=.:_"'n:__~_;:~~.;_~·~~"':'..::;.~.~~:__:::;.;::::':.:;:;::;;:::;~,'.::;::'-_;::::~.==:;;;:;..==~;~~,:.;;;:;..';"~~~::-:-.;;..""7;::~:;_.::::=:;::::::M:~~~~~:~::'_~_::_:;:_::=~~:_:_.;:;::::::__:-_::_:::_~~ PLi:iAt3rE i1:LŒ7&'}{~f~g ¿~~G\JD !;;1fE:J~i~, ~J'f~~X~ C[i)~'~V ¡Jtyt~ : 1110 '5./ 1:';1'1 DU)E ~t~Y~: i IO'i /97 REMXY AND MAKE CHECK ~AYABLE TO: CITY OF BAKERSFXELD P.O. BOX 2057 ~AKERSF!ELD CA 93303-2057 CUSTOMER NO: 3520 CUSTOMER TVPE: E8/ TOT AL DUE: :3520 ~"553. !'}4 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 2/01/97 TO: FORD SPECIALIST 7001 WHITE LANE STE. 104 BAKERSFIELD} CA 93309 CUSTOMER NO: 3520 CUSTOMER TYPE: ES/ 3520 - ----..........-~-...........----~'-----~------~~------ ..___---.._...._________~____~,_';";O-____.I ~ CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 1/01/97 BEGINNING BALANCE 553.44 HM005 2/01/97 FINANCE CHARGE L 10 FCO 11 HM005 2/01/97 ADMIN SERVICE FEE 11. 11 PNO 11 HM005 2/01/97 F!NANCE CHARGE 1. 10 FCO 1 1 HM017 2/01/97 FINANCE CHARGE .50 FCO 1 1 PB017 2/01/97 FINANCE CHARGE 2. 07 FC01l FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- ----1-5-.-88 - 124-.----04.----- ---- -~-- -- 42S~--- -- --- ---- ---- DUE DATE: 2/03/97 PAYMENT DUE: TOTAL DUE: 569.32 $569.32 '-".""","".''''.'.", ",-,,, -¡" . ..« ~.".." ~_~,^..v~.,.__ "~'_~~~'~U ~;t'~~'~2: 2/0~ !(¡'¡'7 t:fU):: ;)?';'ii¿: 2/08/97 ~:~)~'~.J:J~~;¿ :~)l,;¿'~"'{~~~~~~~ ~~~,~\[;J; ~3tl~Jhj "r;·~ ~ í:) CG:~\' ~.:. ~~: ~.:~:' ~q:s::~-; ~ ~7 ;.~~~~C:·,:i ~!Eûv~XT ~;N¡O (1:ti~[4.E CHiEC~~ PAV~BL!E TO: CETV OF ~~KE~SF!ELD P.O. BOr. 2057 ~ÅKERS¡'X~LD C~ 93303-2057 CUSTDMER NO: 3520 CUSTOME~ TYPE: ESt TOTAL DUE: 3520 Ç)569.~2 " - ~r?~ 1BSß®Jr§íffi®TIirll Fire Dept._ HAZARDOUS MATERIALS DIVISION . / Business Name: F c,,~ S py> (' .. "" f ~ ) L Location: 700 f \Alk ; ~e ~ ... .¿,\ J 2. Ò Business identification No. 215-000 - 06 Ó /.1 'f (Top of Business Plan) Station No. or Shift C. Inspector ~ Adequate Inadequate Verification of Inventory Materials Verification of Quantities Verification oilocation Proper Segregation of Material Comments: Date Completed 6- !Ç-C;) Q.-- D RECE~VEID G- O ~J.Uí\t 1 S) ~993_ rn.- D !HAZ. MAT. D!V. 0.- 0 LJ Verification of MSDS Availablity Number of Employees ;:L Verification of Haz Mat Training Comments: r;r G- rJ D Verification of Abatement Supplies 8. Procedures Comments: G" Emergency Procedures Posted Containers Properly labeled Comments: Q., [:v D o D ~ Verification of Facility Diagram Special Hazards Associated with this Facility: ~: Áo.l1 ~i''H r 4<A<A J ~ .rl" U P'\. <:)"Je.. ..tA ~o4 K2.0 .(\..' SvJ'L lo'f FD 1652 (Rev. 1-90) All Items O.K. 0 Correction Needed I:Ø- White-Haz Mat Div. Yellow-Station Copy Pink·Business Copy e e ... ~ 07/29/92 FORD SPECIALIST 215-000-000634 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL ~ Fire, Delay Hlth Liquid 110 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 110 I 55.00 I 110.00 Storage DRUM/BARREL-METALLIC r Press T Temp ~ Ambient Ambient Location - Cone ~ Components 100.0% Waste Oil, Petroleum Based ~ MCP -¡List Low I e e - - " ~ 07/29/92 FORD SPECIALIST 215-000-000634 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation SELF EMPLOYED <3> Public Notif./Evacuation NO CUSTOMERS ALLOWED INSIDE OF SHOP, BUT IN AN EMERGENCY WILL TELL CUSTOMERS WHERE TO EXIT OR NEAREST DOOR. <4> Emergency Medical Plan CALL 911 AND THEN GO TO THE NEAREST MEDICAL FACILITY ON WHITE LANE. e e "<, ,.. 07/29/92 FORD SPECIALIST 215-000-000634 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention USE CANS WITH SAFETY ~S ON TOP/SO OIL WILL NOT RUN OUT. (fr. / V <2> Release Containment I WOULD KEEP HAZARDOUS MATERIALS IN DRUMS AND SEAL THEM UP SO THEY THEY WOULD NOT GET OUT. <3> Clean Up USE OIL SWEEP AND HAVE IT HAULED AWAY. <4> Other Resource Activation e e , . 07/29/92 FORD SPECIALIST 215-000-000634 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards lJDJ0é:> <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - AT DOOR AT SIDE OF SHOP C) WATER - AT FRONT OF SHOP D) SPECIAL-NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - OUTSIDE OF SHOP <4> Building Occupancy Level I -, " 07/29/92 e e FORD SPECIALIST 215-000-000634 , 00 - Overall Site 6 Page <G> Training <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE WE READ ALL MATERIALS I FIND ON HAZARDOUS MATERIALS AND MATERIAL SAFETY DATA SHEETS. <2> Page 2 as needed <3> Held for Future Use . <4> Held for Future Use I '~'t Bakersfield Fire ~ / HAZARDOUS MATERIALS DIVISION Date Completed ~ - {f - c¡ Z e Business Identification No. 215-000 QOO Ò 1 'f (Top ~~ ss PI Station No. c¡ Shift C Inspector ?-j,Jf! ~ Adequate ðí: ().Q r / yerification of Inventory Materials Ð q~~ . ~~ -~ ~ ¡;(.hß' v n Ii ' r:;r ~ ~ V'- JlJ\rr-< ~, Verification of Location D / Proper Segregation 01 Material G:r Comments: \Pi\EC\E~V\E\o) AUG 1 3 ~992 HAl. MAT. D~V. Inadequate o o D D Number of Employees Verification of MSDS Availablity '2- Verification of Haz Mat Training Comments: (Dr D ~ D D Verification of Abatement Supplies &. Procedures Comments: ff Emergency Procedures Posted Containers Properly labeled Comments: llL",(~) \j\ e oAf Iít Special Hazards Associated with this Facility: --------------, Verification of Facility Diagram ~ ~ D o D D ~i\J aiiuI15: 70a~ ¡v ~~ It) ~~p} s 'AI ~ : l- "L Ì-. "\ dt=- I 20 ~~!~ FD 1652 (Rev. 1-90) All Items O.K. D Correction Needed r:t' White·Haz Mat Div. Yellow-Station Copy Pink-Business Copy e ~ Q ~ -!)~ -P2øuvc B~fi;jd Fire Deptee HAZARDOUS MATERIALS DIVISiON Date Completed Business Name: Pc> or jl S f e ~ i C\. \ ~ '> l Location: 70 0 ~ \v~ ~ \- Œ.- h '" ~ ~o'r- Business Identification No. 215-000- 00 () {; 3"f (Top of Business Plan) Station No. '1 Shift C- inspector ~=~ v 71- ~:3 -- "I( ~fEfèE~~fE[)J AlHSJ ~ ~ ~~~~ A~$'d.DDD 0 DDDD ODD Adequate Inadequate Verification of Inventory Materials D D Verification of Quantities D 0 1 0 D Verification of location I Proper Segregation of Material 0 D ~ Comments: Number of Employees Verification of MSDS Availablity ,2- D D Verification of Haz Mat Training m---- Comments: Verification of Abatement Supplies &. Procedures Comments: D rn-- o Emergency Procedures !Posted Containers Properly labeled m ~ Comments: D D D Verification of Facility !Diagram Wr 1< ~:Q! Ma:zafcls ASCBGiatedWitb tR~: r...; '" ~ ó v t- , '''I ~e 1 ~ ~O\.ti!'\r~ ~ ~ 5 " ß¡;S~~f5~ ~!A.')f"'t,J~c;", ~ou'" 1 ~ ~ ~ 0 ~I:tUO~S _~ \vC\c;~(t -- /f;. ~ ~ /I C) õ.Ji -t- ~ðJ2 ~~ ~;~ ~ !1' Iy. All items O.K. Correction Needed Business Owner/Manage FO 1652 (Rev. 1-90) LJ o White·Haz Mat Oiv. Yellow-Station Copy Pink-Business Copy e e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 .. (./;D¡ 4io J HAZARDOUS MATERIALS MANAGEMENT PLAN h¡::-Po¡:: #Y!è:' OCl . ~!òJ 2 2 19- AROil. ~@ '.. .... ·0 0<1000 INSTRUCTIONS: ì 2Jl\ lp . 1. 2. 3. 4. To avoid further action. return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. l?--~-l bD SECTION 1: BUSINESS IDENTIFICATION DATA §)- gß BUSINESS NAME: ~ ~fL.~J~ t)(J LOCATION: ')00 \ wh;~ ~<-~. to\¡] MAILING ADDRESS: I 0 ù t u ~ \-~ ~-L -t1l ~, Ö~ CITY: ~Nk-{r¿sMj STATE:O;W'1-ZIP: ~~~ PHONE: d7,)- ,~3 DUN & BRADSTREET NUMBER: SIC CODE: OWNER: PrJ\() ~~~IL ~p ~rf1 G%i}0 MAILING ADDRESS: pO ~ 0'^- ~1"Œ. ~£.. ~ 1 ù"-j PRIMARY ACTIVITY: SECTION 2: EMERGENCY NOTIFICATION: 1. ß" ~ONTACT \6J,~ WOJ Sùllê ~u- TITLE BUS, PHONE \)LJù~ ~,. 9dJg ð w erz- ~2.2. -'2ò~") 24 HR. PHONE 664 - 'IJ 79P ~ 2. 1 , FD1590 CIo -----... e Bakersfield Fire Dept. e Hazardous Materials Division . ., \, , 1) r' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: ú) MATERIAL SAFETY DATA SHEETS ON FILE: ~.e..3> Ow ~op ~ BRIEF SUMMARY OF TRAINING PROGRAM: '~ ~. r;º-?J ~ ~r L)Æ2J ~e. ou .\:+pt'L~O~U5 ~Ll'&.~S CVL SECTION 4: EXEMPTION REQUEST: 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: ~ DO NOT HANDLE HAZARDOUS MATERIALS. E DO HANmE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I. ~12fí:: CBrsov CERTIFYTHATTHEABOVE INFOR- MATION IS ACCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM1S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON AZARDOUS MATERIALS (DIV, 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT INAC URATE INFORMATION CONSTITUTES PERJURY. ~-fíL TITLE tQrlJ,-~tJ DATE 2. FD1590 .. e Bakersfield Fire Dep_ Hazardous Materials Divisi,on HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: (1) MATERIAL SAFETY DATA SHEETS ON FILE: ~-E:...) Q.." ~ o~o \..A.ivYL--~ BRIEF SUMMARY OF TRAINING PROGRAM: .~ ~ ÇJQ.t> ~ ~r~ \+pt Z-A- O~ ù.s S'<-€!- OJ '¿ ),U- t11 èl'{Yl. ~~ ò/L 'SECTION 4: EXEMPTION REQUEST: 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: ~O NOT HANDLE HAZARDOUS MATERIALS. , E DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTlO~5: CERTIFICATION: I, l)~ CA-:sùu CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLlGA nONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON AZARDOUS MATERIALS (DIV. 20 CHAPTER 6,95 SEC. 25500 ET AL.) AND THAT INAC URATE INFORMATION CONSTITUTES PERJURY, , ô-v .<fL TITLE lO-6....C}¡) DATE 2. .:ì{ e e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 ~=s= f( .C'" ,.. .- I" OCr.., . Eo ¿ 2 19. 4ns{f. '90 (¿i141.0 / ........... HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: ~?J~ 1. 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. ' , l~::'-l bD S-Sb BUSINESS NAME: ~ <3.f'C- c -'~ ~ ,(; LOCATION: -y;:;o \ w h.)~ ~<- ~ lO"1 MAILING ADDRESS: I D Ù ~ U ~ \.\)J ~<- 1:Jl ¿, O"-{ CITY: ~fVk.Ce..S.þ...jj STATE:CMÅl1-ZIP: Cj2)ð 5 PHONE: :?;/-,~3 SECTION 1: BUSINESS IDENTIFICATION DATA DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: PrJ\() ~ytN.1l. ~p ~rr;- ~ D..) MAILING ADDRESS: pO t 0"'"'-. t'1\:: '~<- 14- l D~ OWNER: SECTION 2: EMERGENCY NOTIFICATION: 1. ._ ~ONTACT ~ fZ:;) CM 00 SDlL~ C~ u.- TITLE BUS. PHONE \)....\j'eL ~,. 5d)g ð W ê''2- 62.:2. .f)...D 4J? 24 HR. PHONE bb4...'7 :91~ 2. 1. FD1:' ~ ~ . <31 . e Bakersfield Fire Dept. e Hazardous Materials Division ir- . ~~ '" HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~<t)~J , 9-f<L ~~ t ~ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: / A. ABINCY NOTIFICATION PROCEDÙRES: &/t~~ ~ CQ- ~ 1 OJ L I S:;OrL 1: Yh- ~ \ / B. EMPLOYEE NOTIFICATION AND EVACUATION: ~,t?- ~~ / C. PUBLIC EVACUATION: ~OThL 1> ~ "- '] ~o ~Oðlõ~ m~)C;; ý?~~ s.)Jup 1)01 \0 f} <Z."'Þ"'}eJLs~-vJ\ w,;-w - ~~ Co.$~ \.J~ '"'[;[ f:'.¿J T. é)fL --ro þ{,Qg ið fíè>o~ ~, EMERGENCY MEDICAL PLAN: (þ¡JL~A ~ 11 µ€f?<t meotJ~ ()~~ ~o<:: \~-t0 crt> f'() ~ L DJ--J \,j1vv1ð ~ 3. FDl&1O ~ e Bakersfield Fire Dept. e Hazardous Materials Division (, ;.~ ~ /' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: 0Se. CAD'S l.J'~ Cry5 OÞJ~.p S'o ðll- W\ ~ \ ~) ~ ~ ^f-~-r~ ¡;()V I . B, C, RELEASE CONTAINMENT AND/OR MINIMIZATION: A \.J ~ 'f~<-f '^-A ~(ýL do~ t µ D(fvv~}'~ Se..A-'L- '~~...... ~. ~ vJ ßvàl ,c;re;- 0$, CLEA~£LR06~~ES: ~~ ~ ~ ~;VvL) ~o ~ ~ ~~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: W~ó ~Ù~ ELECTRICAL: ~O~ ~12.. (>?) S',Vê o+- ~¡? t ç ». ~ (J) p:--~ ~ ~ ~~ '(6. (:)~Q)I\l. ..." WATER: ~ ~µ) rJr ç~ S'"-ød"~vr ~ ~ SPECIAL: LOCK BOX: YES/NO IF YES. LOCATION: .Y-J 0 Á.I L SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A, P~IVATE FIR~ PROTECTION: ( ~ð5lJLL- ~j(2) ~) <lé.. 4t~. oJ a(L.l1~ 5~~C S'~p" ~ ~ -==)('n.-\¡J\'-\-e~) ~. CL) 'L~T I ~ <\~ -\ ç '" ~QJ "td r~€. ~Cb ~ Ç1'¡ ~~ ~7 1 B. WATER AVAILABILIty (FIRE HYDRANT): '¡? vP ~ . ðúi çto~ \)~ S~, DR- ff1 ~' f 4. F01590 I ...{ ~-. CITY of BAKERSFIELD @ ., 6 OHAZARDOUS MATERIALS INVENTORY \; Farm an~ A9tlcu~ture [] Standard BusIness , NON-TRADE SECRETS Page of - b£~¢~~2~þ~AME:----- OWNER NAME: NAME OF THIS FACILITYÒ - - ADDRESS' STANDARD IND. CLASS C OE:--- CI~Y~ zip: DUN AND BRADSTREET NUMBER--- -- - -.- - PH~N~ $I: PH N $I: - - REFER TO-r7ïTSTRUC /1 uNS rUff fJffuÞER CODES - - - - - - - - 1 3 4 1 8 9 10 11 ,12 13 14 Tr~ns Max Average . Dys Cont Cont Cont us~ loc~t10n Vhe~e , by Na~es of ~ixture{ço~ponents Co e Allt Amt on SIte Type Press Temp' Co e Store In FaCl Ity Wt See lnstru: Ions 3b) Ot? ) 4 '-I V) 1.J e,'Í >' /~'ð t.J twl. VUJV1 ()t.,L... '" - --=&=- Name I C,A,S, Number - [] Fire Hazard o Reactivity o Delared o suddf" Re' ease o d' Component.2 Name I C.A,S. Number Imme ute Hea th o Pressure Health - Component.3 Name & C,A,S, Number - - Ph~~ic~1 ,~d ~ealth ~afard C,A.S. Number Component II Name I C,A,S. Number I ec a t at app y - [] Fire Hazard o Reactivity o De Jared o SUddf" Release o ,Component 12 Name & C.A,S. Number ImmedIate Hea th o Pressure Health - Component.3 Name & C.A.S. Number - - Ph~~ical ,nd ~ealth ~ajard C,A,S, Number Component II Name I C,A,S, Number I eck a I t at app y - o Reactivity o Component 12 Name I C,A,S. Number [] Fire Hazard ase Immediate o Pressure Health - Component 13 Name I C,A,S. NUllber - - - -- o SUdd,n Re I ease o . Component 12 Name & C,A.S. Number [] F; re Hazard Immediate ~ o Pressure Health - 00'-/1'" Component.3 Name & C,A.S, Number ~~&~~~ - EMERGENCY CONTACTS #1 0' I 'fri~ tUetL $12 21'1IT"P ne Name n - Zfl{fl7fjOìfe; Jertifilatío~ ~ReCfa and ~ifn afj~r cçmf'fting all sections) I certl un er enal 0 a th t I av pe(sona exam1n 0 m familla( it the info(matlon $U mitte~ in his '~~(taçhedYdQC~men~s, an~ t at ~ase~ on my In~ulry ~ lhose 1"~IVI~Ua's responslbfe ~or obtaInIng the ln~ormatl0n, i be Q:-~- ~Q ~ubllltted In ormatIon IS true. accurate, an COllp ete ve [í~tF-'5í~r.~-- ~~... /o~,~, ,'"'' , .,-s-)...., Ii::.' ~\ it;, ~ b..: ~ "J ~ i \' ~ -,,"i \\ ~~I '.. ~,...!/ '§4ii'-~/ _ OR., e e CITY of BAKERSFIELD "WE CARE" lr3-«=1\ FiR:: Q=~..\~Î:/~=>;- ~.=. - 37rlE~~ J 3 'Æ::'::-':'.',: 3':.. =~SF:::_ù 33:JC' =I~E \=~'E~ 326-391 ~ Dear Business Owner: Enclosed please find Material Management necessary to re.ject checked below. a copy of your response to the Hazardous Plan (HMMP) request. We have found it your plan for the fOllowing reason (s) as D Illegible Management informa tion) . 6ft Plan (please print or type " Inventory D Diagram Missing or of HMMP incomplete. ~ Incomplete. Missing or ~IncomPlete. '- Section(s) D This is to be corrected and resubmitted Ui: b~ I-l~-G I City of Bakersfield, Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 If additional copies of any forms are ~eeded they can be picked up from the Hazardous Materials Division at 2130 G Street in person. Coordinator REH/ed