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Home My WebLink AboutBUSINESS PLAN ;-..", H,¡IMP P~ MAP , " SITE DIAGRAM ¢ F~CJLITY DIAGRAM I I· Business Name: Að/EAJC¿é IIdl:f?eIIJG~ SPAS' Business Address: 7401 WA/'/7E ¿/IN€" For Office Use Only First In Station: g q~ Area Map # f ~ 3 of Ho ~ NORTH .0 . Inspection Station: é 5"ee AI/Ached Shee! rv PV.ø1U/¡n-7) .. t. . ',~ af ~ //ICI ¿I T~ Q I Pr~~ 12 A- fJ/? ~v:. i' = ~--'-~..--.-:_-=~ -- -- ¡:¡ PC I/t¿dmp;f- e ~ ~ ~ -.. ~ Q IJ_) I w#/rE ~A 7 4CJ ~ $/ D6"U/ A-~ j?¿AJU TiE IZ 6r121 p --- - .. .. .. - ·..·:îl--~-~--r· - --. j ~ p/leelNG I I II { - - -- - - - ~- - -- --. - --- AI:5¿c --- --~ --- µ€ ~ ~ \( k ~ e= ~-=- ~ I ~ ~ 1$71 n v/al-~ t5 h y; I- OtY rltJ- &#B1p!ex :ì , , , -:='->=- -=-- f ( !J@f.e: ð. Mnf't!&-Ie ~I- ~'~4""1"s: !-k <$ ðU/j.ß.r,,,.,.,,,,,.,. Q ~ S-, fI' q.., ~D t!-"r.f ~"eO?/fo~ ~~nJD;'¡1 . - 2 .at:! 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'v-"'<?" &"""~AJ,, "I~ f- . ·f~~~'--~ ,0.. ¡;J:=:f.,'!¡, W"ó'S' FLOOR PLAN .~..'",,-a.__'<-ft, '.:'.1<-1",$ '01 tVdI.'- '.Ie ,.~ y-e ~""ùd' 'A . , ~ '7...// I Wh' /TE -," (832'- 9535) L ~ ~ - ,.:. ...¿. .; . :: ~ ¿AIJe ~+ }. \u ~ ~ .' ~ .. Hi'JMP P~ MAP SITE DIAGRAM I I Ff'CILJTY DIAGRAM ~ ' . Business Name: A#/JeACL€ /ltJ/:Jpe¡IJG .:5PA-5 Business Address: 74¿J / W#/TE ¿A-J.J€ For Office Use Only First In Station: Inspection Station: Area Map # of NORTH -0. C ;See AIf#/checJ 5heel þv IJmM/IP1'C¡) j - e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 ~:;~1~:~~ ()~ By 1~So' 1~3·-J(PCø _ HAZARDOUS MATERIALS MANAGEMENT PLAN 0 .;C( fJ INSTRUCTIONS: h 0 1. To avoid further action, return this form within 30 days of receipt. t2..Æ 0v- J · 2. TYPE/PRINT ANSWERS IN ENGLISH. , 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. I 'ºu 1 SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: A/I/r¿:¡c Ie J-ItJJ.1'?Y1n1 :5,P¿; '5 LOCATION: 74PI wh/'Ie £ane 6u;.fe -#: Z3 MAILING ADDRESS: CITY: '8akefT.5hëlc! STATE: ~ ZIP: 93309 PHONE: 83"Z- 953S -ç ¿ T~~ 1:. D.:t.t-- rëdeV'di I Ta)t ::¡; Þ -#" DUN ~ BRADSTREET NUMBER: ??IJ 'Z?? DtJ 8 SIC CODE: PRIMARY ACTIVITY: 12el¿?il 6.qles ¿f 5'D~5 J-St.-'/'PDJI·é:5 f 1/ p OWNER: A//¡;". }/f/ørren Ð#l/e RVdc/¿efr MAILING ADDRESS: 4¿¡.o 13 Pea Ie Wá'ý í5a!ce'l"S'¡;ë/J CJ 99'3/1 ~a.l??e .?IS p¡6.(?ve: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 1. Ot:?lle í3 y¿cke-lf ¿) W/Jev ß"3 z-95gS 2. 72¡,¿;.h¿:¡t/d Mel hVU:fh A//¿Jf1Pfct/ /332-95'35 24 HR, PHONE 66£"- 201/P 39?-4zrotø 1. FOI5' e Bakersfield Fire Dept. . Hazardous Materials Division -' " HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: to MATERIAL SAFETY DATA SHEETS ON FILE: --Ie S BRIEF SUMMARY OF TRAINING PROGRAM: 4//eh?p/tJ'ýe.es- ¿:rye tTe11A;ved -f-p /?7~;r'n,~/n ¿::¡ Cd/F,;1p¿:;¡ný ?Ií#v¡j¿d emp/()ýee /YJðlnUð7! ~/l/h/?-h Inc:/uc/es- m~'5_D.:S: tfhecl-f' pv ø// ?Y#4J4?-fs ,U.;e tÇhc/c:.. øl/1~/ .¡-h-e mAPJVJ~ / is ul/hje4!/ AS' ¿::¡ rY4In/V<11 /n fùV"~ ~ý hd I. ¿ We hp/cI /J1p/,?lhJi C!~ 1- ó~5jfA. ¡-Yð/l~u~í) /n -f,;r;rJ.4~~ ~h hAYJd ¡jr¡i hA3c?lt'"dt?M5 /n¿::7¡~Y/~/.5 ?",&jz:;¡ ~r7 heðØf/l'~ høJøv-ds:; hy-è /?ðPføy-d5¡ -:$?i//'S'~nc/ /e;;Þf) , :5.f7;¡a;[ tfe c/¿qfPl Ø'y¡d GCð<'7cva I /1'1 fv~h.A~ ¿:P;Y] m~e:;h ctØ;; eme:Y~é'Yje 'I pVlJcedVlve::.s¡ ,<JcJ..fI'-fì~Mi--"J ¿;::¡P"I~/ evp:fCU~ ~ Ptr(/ced IA Vl::5ek ....... SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE IICAlIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: t/' I, l¡Jt/Vv1Þv) Oq!f> Brockft! CERTIFYTHATTHEABOVEINFOR- MÀTION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM1S OBLIGATIONS UNDER THE IICALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6,95 SEC, 25500 ET AL.) AND THAT· INACCURATE INFORMATION CONSTITUTES PERJURY. v ÆL ¿?~ /U-- SIGNATURE OWner TITLE ~ :J.- )0"C¡2 / DATE v 2, F0159' .¡ ....' -- Bakersfield Fire Depte Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN /1/1'1 ;"¿::fc:.le, ¡þfsp fl'1~1 :5p,q:5') Facility Unit Name: 740 I W h; J-e J-ðØl ne J 8 ð Z- '7' S-? ~- _ SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: / h )¡i/e PVðt./jJ-e é?-ffJpl!)ye-e. #?øI'7U~/$' U/h7~h ¿;qve.. /nffft1c!/bnf ~v /7p/,f/cøf/r/n j7y(}ced'¿""¡Y'e5 In . C~ ðe ~p ¿qn é"ff7ßYðjlcnc i OV /-I~3¿::¡y-vl#,¿45 m,ç:;hl/l¿;¡ I -1 f/ II u.--)¡¡c-h i&-?(/Iv¡~/..e.5 émtt::Ir-ré'''"1'ct Sel/vlc-e~ rh.e dlA/t'Jel/" " D¿;¡I-e !fy#c.l4?tI-) Z<¡. Ny: phgne f: 6.{P ~- Z¿;/¿ lh-c Ø/,?/nt?1.::¡e¡r/ 12¡'ch~v~/ Me/lu-nsh¡ zq.J.!Y. pþp/7e -:::: 3~?-- 4Z&b G'MpJ(/)'.e.e... / JII'77 8Vdcul-l 2.-4/17'. Ph#ne '=:' OS&,- 9990 EMPLOYEE NOTIFICATION AND EVACUATION: ' We ul;'4j~ rhe ~#~ jJhtl/7e p4"~/"7.j 5~S'k~ ¿::::f/?,4 ve¡rbp¡ I arnmu/7J~I/çn.5' ¿:q~~1 PIn e~ pJ#'Iee... m~ t1 t/i #j ¡ t7 t1 P tröt::-.ed ~ 1/<-.1' B, C. PUBLIC EVACUATION: We uh/13e .¡---he ¿Jflicé ph#l7e ?Pl&j'//?7 -:?t..¡5/-eJ?-7 ¿:¡Þ1d l/eYb,ør¡ I Cøml?'lu/Jl~ f/#"n 5 ¿:::¡MC/ ~ ¡r-¡ e:n? pltJyee MA n ¿1,ø¡ I- ð M ? If'I/Ce d ¿,¡¡ t/'e-$ D, EMERGENCY MEDICAL PLAN: _ ¿?uv e /rl p /(') y-ees ¿?Ye j/r#t/I de.::;/ /n~r¡t-1.q/S' û/)J1c-i, ? Y'III v]. A -e ? II"" ,l C c 6/ u ý e 5" ¡;;." I? t/ f I ¡; cÃ 1-; G/ n # / e/P7é'Y"7'e -¡ c Ý "Sevv J c.e:5 / W-e e?/ /=>" ~ tA ¡. /11 -:i--e; 9' J I ÂYI c/ / M ~ ¡ Yt-u;.h-v;, 5' ý"~~~v-¿;/ I ~; ¿)th Y ¡:::¡ ~ s J- A 1;/ S q 17 f1 J l-e"S¡ r tr~ f h IA/« k v- S IA ? l' J-ý /f.Æ:J#l ¡'-C/UU $' -5'p,¡1 pfr!J-ec;.~V\ e:ft:'VIC.,ë-f, m..S:Ø?f :f'heeJ.-~ C/t?ArJ¿...¡j> AM4 p/;:5't#.fð7) flJ"~ceJIA ve.~. 3. ft)1~ ' a Bakersfield Fire Dept. .. Hazardous Materials Division e ;'·t~ . , '<' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVE~TlON STEPS; IÆ/e pypv}d-e wVl.JI-en ¿:;¡lY/4 ~ýh~ I //lfIYI/lc-fü,YJ5'¡;V 6f-ovac::¡e aM~/ dls-?/Rý dr lYð4t-1vf-s. .,-IJe. 'pvóc/u¿:-f:5 ¿:::¡ve, õ!-t/Y'Cc/ In -;:)/n,?¡I/ pre ':'-~?rt?l./ed 41"ì!-a¡'né?¡/'J aM~/ ¿q~ nv-Ý s'¡-tØ~d /n U/?-:S-ak- L-s-.L ' , r~ n/#~. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Y:-n CA5'e ¿?j"' e:::? 7'p,i/ ¿IV rc/~ø:fe tA/-e- h,p¡v-e 5¿:;zfe/-f ? Irl//-c.,p~ Þ'"' d~vlé-e ~ PI/#1d ¿)/J Ii ¿¡ IAM#vJ g-e'/ ?-é?YT'ð/Þ7S" h¿¡M¿(Ie- ¡.£e /U,øJ-eýlcÝ1 J, /)V"}l"ÞJfi!-eYla I J'S' C'ú'5"II'I ?'ck.ecl Mp t¿/o(; ~ m ¿:¡ j-e:- v I ~ I /5 e ð1 5""'¡ f-ø> ßI?J VI Þ } vi. ?V!/ /JJ,ør "'1-e / $' / ~ c a J.e pi } ¡I"i ¿:::¡Ç<'j æ?? vP~t4' ¿::¡ ~ u..-jpt, ¿:::¡ 1/')1' v~T.>I¿;¡k -::JÎ, I . . L 'J. / l C. CLEAN-UP PROCEDURES: f' / 1¿r/7S-';- /.$ rMlt;¡t;!/.etyt 17'1 ¿::1'Þrhllto¿é'¿y1 f~ pI-en !Ale h¿/1LH:. an em pip ,/-e-e /n,Ø&7¿,¡.q I ~f 5&"h- {;t/'I--I, ~ /1 C/¿-ðf/1:-¡ !/¡ p ?Yvc~~/"'It..-c-s- 4þ¡~ ph ¡oJ ¿::¡' Jj - J '9 -e",. .J. . I 1 ðf r~ ú' (/1 7-e t/ I I:: 5" d -yy I t? V p Jut!!' p 1M ¿::¡ C /Cð2 "'7 ¿...¡ tn dv ~ ~ I ¿:::¡ þ d""7.4/ -¡/} , r .// ~ .r &t'ì SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): ~ATURAL GA~PROPANE: vel t?S'1-- w¿:;¡ /1 ð f n,~/ j¡ '/-i & 141-11 j:e ) ELECTRICAL: \/1/ e~ /- tA/41 J ~ f IA/~ V'C- h P lA -s-e J n" 6&4 ¡/tP/l-;j WATER: ~sl :5íd-e óf htC¡J¡ Ii ( ðÚ/-':7jJe) , SPECIAL: Pv" 'A Yl-€:. ~Yj/c-5" In CpYl? y¡::;J-e 6/71 (/k..- ;5 I-vuc./M ~ Pi I- Yë:ß.,f0f þC7'// ..¡ ~l/1 "$'db1 ~~¡.. CbVM-eV. LOCK BOX: YES~ IF YES, LOCATION: \ SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: ~~..e e¥7I/Þ~·-é.. a~.p/.e~ h.4r ø#I-~Ma,llc' ? ~ t'1 P") kJ -e I/' ~ ¡.:::¡ vc é:-¡/C 1-1 ,v?? ð'? ~ .:t'h¿: I/'f / n ~ '54 Ît!?f 'J2Q¿¡ w-¡ .¡... W,q ~ ¡, t/ 141' f¿ ¡:::;:;-¿;¡c-cj~,ç;'¡ ~#J-e r:Gv tv4ÍeV /" ~ /../11.4../ ÛV!/l.çv-#{- ~ n-vV'i '5<.. B. WATER AVAILABILITY (FIRE HYDRANT): ¡::::;~y; h}/dvdYl/-5 Plre lo~ CJÞ"1 -tL< }../ðÞ"fh/~f'¡- 4Yl1ey iYl -fV-OYlI- o¡' æ.. -¡:;ciliJ- .?l"1d A~ ~ ~t>1~ I e-4ft€'~ I.,ol/"Me-rr-Ct t-~. VÚJí:v- ti Ç- ~ ,t;c..-J ,'-l- ~ . I FD159 page.Lof 'lJ . CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ", NON - TRADE SECRET ~standard Busiµess o ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- Il and Agriculture Farm 13 %by wt INSTRUCTIONS FOR PROPER CODES 9 10 11 12 Cont Cont Use Location Where Press Temp Code Stored in Facility ï 4=- 99' I ::5 hlJW 1200 W4r/ehtJt4'Si!!:. REFER TO 8 Cont Type 00 7 B Days on Site 3~~ 1 Trans Code N & C.A.S & C.A.S Component , 1 Name Name Component , 2 497--/9=8 ~ Delayed Health C.A.S. Number XReaCtiVity X Physical and Health Hazard (Check all that apply) ~ Fire CJ & C.A.S Component , 3 Name to Immediate Health 3.luS b$. Sudden Release of Pressure .ÇO Hazard hflm Component B 1 Name & C.A.S. Number 7&q7='!S'=~ Component' 2 Name & C.A.S. ~ 1=711=9; ~elaYed Health Z8 Number )( C.A.S ~ Reactivity [DO Health Hazard that apply) o Physical and (Check all ~ Fire Hazard & C.A.S Component # 3 Name 9'~ l~ 4 Immediate Heal th Sudden Release of Pressure Component It 2 ð ~ Delayed Health C.A.S. Number ~ ~ Physical and Health Hazard (Check all that apply) 'þ( Fire 0 Component 1/ 3 Immediate Health Reactivity Sudden Release of Pressure Hazard ~~ I :;$ ~ØJ~ 2.(2 *Dd H'idt/'ôch 1m:,;;; o :3 RiO Number N~; Number Component , 1 Name & C.A.S ?'ø47"'" ¿;) I =rt:) Component 2 Name & C.A.S 57= S;'5"=(ø:;; Component /I 3 Name & C.A.S ~ Delayed ~ Health )(f C.A.S ~ Reactivity Physical and Health Hazard (Check all that apply) þ( Fire 0 ; '2 f2¡CM¡Pj1Ef[} mét., Name o WilE f2 TitiØ . Immediate Health Sudden Release of Pressure Hazard fl({)C~(E,rr certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of ~aw that I haver personally øxamined and am familiar with the information submitted in this J.ndividuals responsible for obtaining the information. I believe that the submitted J.nformation is true, accurate, 'I 'D (iJ~iG Name EMERGENCY CONTACTS those of my inquiry based on and that and all attached documents and complete. Z- L£ 8120ctcEvuJ OW¡...Jee OWNER/OPERATOR OR OWNERIOPKRATOR' S AUTHORIZED REPRESENTATIVE OF Jf212&tJ !lAME AND OFFICIAL TITLE pageZ of 8 . CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY . - TRADE SECRET and Agriculture~standard Business - , o ID JG NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- 13 'by wt to fJu.¡e Number NUmber Component # 1 Name & C.A.S. Z'SI S"S'- 30 - (/ Component # 2 Name & C.A.S. 5"Iß//- ?~- / Component # 3 Name & C.A.S. NON ~De1aYed Health þ( ~ Reactivity 4 Average Amt '2- Farm BUSINESS LOCATION: CITY, ZIP: PHONE i: 1 Trans Code IV lo)!.PI Þì e.. '$ Number I:s J()ö I PC)" J ,. me..rk ()u';fe!.-. Immediate Health Sudden Release of Pressure o Hazard ire .J-e :fP~ '5'íltl ~ChtE CbN-rlYll, 5 Z Ph OS p h 0 f) 0 "&01 .J-,ø¡ VI e -':"8) Z)4--Tv/c~lI'llox..¡l/c c Number Number C.A.S. Number Number Number fJt4Se C.A.S & C.A.S & C.A.S & C.A.S & & & Component # 1 Name Component # 1 Name J...I 0 n e component # 2 Name component # 3 Name Component # 2 Name Name Component # 3 ~ t..I e ~ Delayed Health * Sudden Release of Pressure Physical ,nd H~ Hazard (Check a~that apply) ~F 0 Physical (Check j)([ Fire Hazard N Number Number & C.A.S & C.A.S Component # 1 Name Component # 2 Name ~elaYed Health ~Immediate Health ~ReaCtiVity Physical an~~, Hazard (Check all that apply) Þ(Fire 0 IY1IHJ f4.G ~ 12.. Title tAl S 1 Number 121 eN .q.J2 i) I!II Name & C.A.S Component # 3 Name .2 ts.S:-- 2:.011.P 24 Hr. Phone E"[2.. Sudden Release of Pressure Hazard those my inquiry of based on and that all attached documents complete. 11 'D~¿G Name certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of :1,._ that I haver personally examined and am familiar with ths information submitted in this and individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and EMERGENCY CONTACTS Z- W A- 12 l2EN !tAME AND OFFICIAL TITLE page~of1L . CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY '.; NON - TRADE SECRET and Agricu1ture~standard Business o Farm ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- 13 'by wt NUmber S. s. & C.A.S & C.A & C.A PROPER Component , 1 Name Component , 2 Name Component , 3 Name ow ~ 4- !J@o X'DelaYed Health tD ~5" Sudden Release of Pressure o Physical a: {Check all ~ Fire Hazard (PO Number S. & C.A Component , 1 Name S-7- _£ C.A.S Physical and Health Hazard (Check all that apply) o 0 Number & C.A.S Component # 2 Name ~ Delayed Health ~IlIDDediate Health ~ pee PA N é ~I )"iqui d p,-z.f-vtI/eu ~ 6~'S Number S. & C.A Component , 3 Name ;$SCo S" I () 4 2: ?4 - 98-(", Reactivity Sudden Release of Pressure Fire Hazard N C.A.S. Number Physical {Check ~ Fire & C.A.S S. & C.A Name Component , 3 Name Component /I 2 IlIDDediate~DelaYed Health Health ~ Reactivity . W ~()M ~~Is, 4- Number Number & C.A.S & C.A.S Name Name Component /I 1 Component /I 2 ~lIDDediate~ Delayed Health ~Health ~ReaCtiVity Physical and (Check all ~Fire Number S. & C.A Component II 3 Name ~s;-- 'Zol 24 Hr. Phone Sudden Release of Pressure #1 'D4lE- Name Q Hazard EMERGENCY CONTACTS Certitication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of J,- that I haver personally examined and am familiar with the information submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. Á2~ those ~Z- my inquiry of based on and that page..!!!::..-Of ð , CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ". - TRADE SECRET and A9ricu1ture~standard Business o NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- NON f OWNER NAME: - ADDRESS: 4- CITY, ZIP: PHONE .1: . Farm BUSINESS LOCATION: CITY, ZIP: PHONE #: ID S d())./CGN17Ufíé 0 991 :5iJcI /(H¡I'I 'j) I C h J () V'tJ I :>~ c ýa n M IßJ Jre 'D í b Vði 1-e: Component /I 1 Name & C.A.S. Number G:,;834 -92-() . Component /I 2 Name & C.A.S. Number t;:. 8 4/ 2 - 5"9- - .:J Component 1/ J Name & C.A.S. Number Number Number & C.A.S & C.A.S Component 6 1 Name Component /I 2 Name "~J:f. q- ,~o Number & C.A.S (p{) fJ!4 :J'.e... 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Title T Reactivity ,~~ 'fa, 1Z-oCf£G- Name Sudden Release of Pressure i1 EMERGENCY CONTACTS Hazard Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of :J..aw that I haver personally examined and am familiar with the information submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. those of ~2- my inquiry based on and that Page 5'"Of1- . CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY .' NON - TRADE SECRET and Agricu1ture~standard Business o ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL --- ---- I OWNER NAME: ADDRESS: (IJ CITY, ZIP': PHONE ,,: tp' Farm BUSINESS NAME: LOCATION: j CITY, ZIP: PHONE I:ll 13 ~ wt /c'O(){3 '2b Kg re:Jf~Kf¡e. ß1 zc::.-4, lJDt:j ¡.h¡J,..l!~1=- 2 Type Code Wi 1 Trans Code N Number Nùmber & C.A.S & C.A.S. Component # 1 Name Component # 2 Name Physical and Health Hazard (Check all that apply) ~ Fire CJ ~elaYed Health 1;21- Reactivity Number {}M~~' ¿G A Ie "5 é 4t- 71~S 5"~dJ·t-2 ¡;;y' ff¡l,rat.e Number & C.A.S Component # 3 Name " 4- 1 p{ Sudden Release of Pressure L Hazard M Jlf¡"" Dø e~ /ju I- Number & C.A.S. & C.A.S. Name Component # 2 Name 1 Component II Physical (Check 12D Fire Hazard i~ J ¿¿~¡:¡ 4~ I ,¿j Number & C.A.S. Number Number tJ~ß<e:. & C.A.S & C.A.S. & C.A.S Name Name Component # 2 Name Component # 3 Name Component /I 3 Component 1/ 1 Cjql'5 ~ j&( Delayed Health ¢ Sudden Release of Pressure o Component' 1 Name & C.A.S. Number 6ßéJIZ-.s-4- 4- Component' 2 Name & C.A.S. Number :54S9ð - 9<r1 - ¿9 component' 3 Name & C.A.S. Number )<f Delayed Health ~IDllDediate Health ~ Reactivity Physical and'1rèa-J.th--Házard (Check all that apply) .¢. Fire Hazard' 0 Sudden Release of Pressure 11 EMERGENCY CONTACTS Cert1tication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of :\,.aw that I haver personally examined and am familiar with the information submitted in this individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, those of my inquiry based on and that and all attached documents and complete. ~Z- SIGNATURE page" of A- . OF BAKER.SFIELD MATERIALS INVENTORY CITY HAZARDOUS and Agriculture~standard Business o ID NAME OF THIS"FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- TRADE SECRET NON - OWNER NAME: ADDRE S S : .f1..;. CITY, ZIP: PHONE ,I: . í Farm BUSINESS NAME LOCATION: '74, CITY, ZIP: PHONE f: 14 Names of Mixture/Components See Instructions lZeiJeW poJ.,,:¡ Sf / IA 11'/'1 P ð:;(. ft1 13 %by '<It Ut4sr'e & C.A.S. 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EMERGENCY CONTACTS certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of :1,.- that I haver personally examined and am familiar with the information submitted in this and individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and Z- Page V of ¿j , CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON - TRADE SECRET and Agricu1ture~tandard Business o ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - -- --- ---- OWNER NAME: ADDRESS: ..!1:. CITY, ZIP: PHONE ,t: . 5' Farm BUSINESS LOCATION: CITY, ZIP: PHONE t: '>iP? Number 1'7&1 ~ ðd, w ~ & C.A.S s component , 1 Name 4 and Health Hazard all that apply) PhYlJical (Check :PÍ Fire ¡ NUmber & C.A.S Name Component it 2 ~Immediat~ Delayed Health Health '5ì I iCfJY/e- é/M/A IS) y ñ //4&. /}ðC.r t1l1l-J¿s~~ Number & C.A.S Component it 3 Name r¡:. I '\ Physical and Hèa"ìt1í Hazard (Check all that apply) o & C.A.S. Number & C.A.S. & C.A.S. Component IJ 1 Name Component # 2 Name Component i 3 Name ~mmediate;g(DelaYed Health Health Sudden Release of Pressure <¡L ~ediate~DelaYed Health Health JO l -5S- -9 o ~eactivity Sudden Release of Pressure Fire Hazard D ~ediate~ Delayed Health Health ~CtiVitY Sudden Release of Pressure o Physical (Check ~ire Hazard .Q ~ev Title J1 EMERGENCY CONTACTS certitication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under pean1ty of :1,.- that I haver personally examined and am familiar with the information submitted in this and all attached documents individuals responsible for obtaining the information. I believe that the submitted information is true, accurÞte, and complete. those of z my inquiry based on and that eíZ REPRESENTATIVE page.ß....of.!L- , CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY '., TRADE SECRET and Agriculture)ßlstandard Business o ID NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL - - --- ---- NON OWNER NAME: ADDRES S : .!l:... CITY, ZIP: PHONE,': '> Farm BUSINESS NAME: LOCATION:' CITY, ZIP: PHONE I: 2> 13 , by Names of wt See S'tJ '1) I µ /íiA Number ~q 5od1l4W> í?ÎrOfíi/J:J-t' ð.4<Ç PROPER FOR REFER TO INSTRUCTIONS - - 8 9 10 11 Cont Cont Cont Use Type Press Te: Code 10 4 Average Amt ~ 3 2 Type Cod, p 1 Trans Code N & C.A.S. Component , 1 Name Physical and'~: Hazard (Check all that apply) % Fire [] =,'þ\ & C.A.S. NUmber Component , 2 Name rl¿G t.l- I - 4- iI A MJVI tH111A ~ , I @ I@"€ 21.& Ph IJ Sf' h (þ; " i ¿ A-~ ¡ J Number Component ø 1 Name & C.A.S ?~~ ". - 3' e-ez.. Component' 2 Name & C.A.S Number & C.A.S Name Component , 3 4- ~elaYed Health ó Immediate Health ~ ~eaCtiVity A Sudden Release of Pressure 2.. Hazard Physical (Check ~ Fire Hazard Number Number !ZAG IZ/f}JC{£> A/~h@1 & C.A.S Name Component /I 3 ~ Delayed Health Sudden Release of Pressure o Number & C.A.S Component , 1 Name Number & C.A.S Component /I 2 Name 19. Physical and' (Check all t ~Fire tA P¡;1Z- 'þ !GCIæ:. Wf;fJ Ï) 5 Mi t1tCV'c:¡ f ~ 0 ~$ Number I!.1I4 f-<¿¡ & C.A.s.Numler & C.A.s.~er & C.A.S ~'ReaCtiVity Component , 3 Name 1st Delayed ~ealth Immediate Health Sudden Release of Pressure o Hazard . J ({)(J i?".«il. Name Name Component , 1 Component 1/ 2 Physical and H, &h ard (Check all that ~ply) þ9: Fire D J>'CImmediate~elaYed Health Health þ(ReaCtiVity f/l/6t:. Title & C.A.S. Number i212lC1 Name Name Component 1/ 3 E-12- Sudden Release of Pressure II Hazard those of my inquiry based on and that and all attached documents and complete. EMERGENCY CONTACTS Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of ~aw that I haver personally examined and am familiar with the information submitted in this individuals responsible for obtaining the information.. I believe that the submitted information is true, accurate, 'L Wit é ~ OFFIcrn " lID'\. · ~ ~ e ~rL{U~[Lj f]lAiJ Co -# (/3 ~w; 6- C£¿I 9lð/- ~pu;;7? 1-1 d(;¿ M.D. ATKINSON CO., INC. May 28, 1992 City of Bakersfield - Refuse Collection P.O. Box 2057 Bakersfield, CA 93303-2057 Re: 7401 White Lane, Bakersfield, California Dear Vendor: Sc-3;;;J.~to()/ /11'1 {fl q Lf () / S5 S-O/?CJ I HM 73CJ5èJ1 Melvin D. Atkinson in care of M. D. Atkinson Company, Inc. has been appointed receiver for the above referenced location by Kern County Superior Court Order #220664 effective May 27, 1992. Future billings for this property should be sent as follows: WHITE LANE SPORTS CENTER c/o M. D. Atkinson Company, Inc. 5500 Ming A venue, Suite 228 Bakersfield, CA 93309 Please forward any contracts that you might have in conjunction with the above referented property. . Should you have any questions, please do not hesitate to call. - ,--7 Sincer~IY,'_ ,'~;~.:~~----:? t r~;~;!;:/:--;~-:/ .:,------, - --- /j:Ø' ¿,..---<,/'-- Gl~~¿:~,Férie~ga \ 7-- ." ." .. PrdØerty Manager ¿; corr\28-5 5500 Ming Avenue Suite 228 Bakersfield, CA 93309 (805) 397-5001 FAX (805) 836-1986 . P.O. Box 15930 San Luis Obispo, CA 93406 (805) 543-1011 FAX (805) 543-0218