HomeMy WebLinkAboutBUSINESS PLAN 10/5/1994
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- .. HAZARDOUS MA TEß,aS INSPECTION
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~rstield Fire Dept.
Haz.ous Materials Division '
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Business Name:
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Location:
Business Identification No. 215-000 Oðð - 7...1 L/ (Top of Business Plan) By_
Station No. ~ Shift g Inspector W ~.$" _ ~ ~ I/;?e.e
Arrival Time: /1)' t> 2.. Departure Time: I t) tJ 7 Inspection Time: -r- 1"'-1/: ~
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments: g.. ¿, L7 <II! ~ ¡f/ t? / ~ ~ ,. , /'
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Verification of MSDS Availability
Number of Employees:
Verification of Haz Mat Training
Comments:
Verification of Abatement Supplies & Procedures
Comments:
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Adequate Inadequ~e
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Emergency Procedures Posted
Containers Properly Labeled
Comments:
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Verification of Facility Diagram
Special Hazards Associated with this Facility:
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Violations:
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Business OwnerlManager PRINT NAME
SIGNATURE
White-Haz Mat Div
Yellow-Station Copy
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All Items O.K D
Correction Needed D
Pink-Business Copy
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02./23/94
BANTZ MOBILE HOME SALES 215-000-000214
Overall Site with 1 Fac. Unit
General Informátion
Page
1
Location: 5311 S UNION AV Map: 124 Haz:2 Type: 1
Community: BAKERSFIELD STATION 05 Grid: 18C FlU: 1 AOV: 0.0
- Contact Name Title Business Phone - 24-Hour Phone
ORVAL BANTZ JR OWNER (805) 397-1029 x (805) 837-0405
KEVEN BANTZ (805) 321-0167 x (-805 ) 321-0167
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Administrative Data
Mail Addrs: 5311 S UNION AV ) D&B Number:
City: BAKERSFIELD State: CA Zip: 93307-
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC COde-:
Owner: PAUL OR ORVAL BANTZ Phone: (805) 397-1029
Address: 5311 S UNION AV State: CA
City: BAKERSFIELD Zip: 93307-
Summary
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02/23/94
BANTZ MOBILE HOME SALES 215-000-000214
HazmatInventory List in MCP Order
Page
2
02 - Fixed Containers on Site
PIn-Ref Name/Hazards
02-001 PROPANE
. Fire, 'Immed Hlth, Delay Hlth
Form Max Qty MCP
Liquid 200 High
FT3
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-
02/23/94
BANTZ MOBILE HOME SALES 215-000-000214
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-001 PROPANE
~ Fire, Immed H1th, Delay Hlth
Liquid
200 High
FT3
CAS :It: 74-98-6
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 --
200 .' 200.00 I 200.00
Storage r Press T Temp -:ì Location
PORT. PRESS. CYLINDER Ambient AmbientWEST CENTER/FRONT
- Cone l
100.0% Propane
'ì
Components
r; MCP ~uide
Extreme I 22
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02/23/94
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BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
Page
4
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 9~1-1
, <2> Employee Notif./Evacuation
VERBAL
I <3> Public Notif./Evacuation
VERBAL
<4> Em~rgency Medical Plan
NEAREST HOSPITAL
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02./23/94
BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
Page
5
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
r
USE PROPER VALVES & FITTINGS.
<2> Release Containment
ABSORBENT.
<3> Clean Up
USE ABSORBENT, SWEEP IT INTO DRUM AND HAVE PICKED UP.
<4> Other Resource Activation
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02/23/94
BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
Page
6
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) PROPANE - IN SMALL TANKS
B) ELECTRICAL - BIG POLE BY GARAGE
C) WATER - BEHIND THE OFFICE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS
NEAREST FIRE HYDRANT - AT THE CORNER OF UNION AVE.
<4> Building Occupancy Level
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02/23/94
BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
Page
7
<G> Training
<1> Page 1
WE HAVE 5-8 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: NO TRAINING
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
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02'/23/94
BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
Page
8
<M> Inspections
R WATKINS 08/04/92 FOLLOW UP
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02;/23/94
BANTZ MOBILE HOME SALES 215-000-000214
00 - Overall Site
. Page
9
<M> Events "M" Overall List
'R WATKINS 08/04/92 FOLLOW UP
/ /
NO MSDS SHEETS
UNLISTED WASTE OIL BARRELS
NO HAZ-MAT TRAINING
NO EMERGENCY PROCEDURES POSTED
EXTINGUISHER NEED SERVICE
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================================================~===============================
Page: 1
Account Billing/Collection Activity Inquiry
SUTL108
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
Acct
SSN
Name :.
Svc Add:
706701 Cyc St: CL
Parcel:
BANTZ MOBILE HOME SALES
5311 S UNION AVE
Bill St:, NO
Cyc: 5 Rt: 1
SvcCls :e
Seq:
--------------------------------------------------------------------------------
Amt due: 254.38 Current Period Postings
Lst Pmt: -87.00 Type Desc Date Amount Receipt =#
Pmt Dte: 09/05/91 B92 FINANCE CHARGE 02/01/93 1.29
-- Prior Bills -- B91 PENALTY 03/01/93 9.90
Date Balance B92 FINANCE CHARGE 03/01/93 3.28
01/01/93 122.69 B92 FINANCE CHARGE 04/01/93 2.42
01/01/92 104.88 B92 FINANCE CHARGE 05/01/93 2.44
07/01/91 0.00 B92 FINANCE CHARGE 06/01/93 2.47
B92 FINANCE CHARGE 07/01/93 2.49
B92 FINANCE CHARGE 08/01/93 2.52
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
Enter 'I' For Billing History, 'pi To Print Report, 'D' For Detail Page, or
! tIC' For Credit. and Deposit History or 'XX' To Exit
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07/01/93
BANTZ MOBILE HOME SALES 215-000-000214
Overall Site with 1 Fac. Unit
Page 1
General Information
35C/<C
,
LocatiOn: 5311 S UNION AV Map: 124 Hazard: Low
COffißÌunity: BAKERSFIELD STATION 05 Grid: 18C FlU: 1 AOV: 0.0
~ Contact Name Title Business Phone - 24-Hour Phone
ORVAL BANTZ· JR OWNER (805) 397--1029 x (805) '837-0405
- KEVEN BANTZ (805) 321-0167 x (805) 321-0167
Administrative Data
Mail Addrs: 5311 S UNION AV D&B Number:
City: BAKERSFIELD State: CA Zip: 93307-
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code:
- - -- ------ ,_ _h_ -- - ---- -- - - - -- - -
Owner: PAUL OR ORVAL BANTZ Phone: (805) 397-1029
Address: 5311 S UNION AV State: CA
City: BAKERSFIELD Zip: 93307-
Summary
RECEIVED
AUG 1 7 1993
HAZ. MAT. DIV ,
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I ()¡ufJrl ß· ~k--kl..DO hereby cèrtify that I have
, (Type or print r;ame) r
revievie(nheâ.tra"'Ched-hazardous-materialsmanage~ - ----
ment plan for~~_l__M..k-f~ ILA,~"ndthat it along with
~
any corrections constitute a complete and correct man-
agement plan f '\ Y faClK'~ty·
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Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RECEIVED
SfP {} 3 1991
HAZ" MAT. DfV.
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HAZARDOUS MATERIALS MANAGEMENT PLAN t::'Í
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INSTRUCTIONS:
..
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.
SECTION 1: 'BUSINESS IDENTIFICATION DATA
B'USINESSNAME:~~N\2 ~me. ~lQS
LOCATION: 53 t\ ~ S. ~ ÌXm .f+u
MAILING ADDRESS: SAme
CITy:I3A<.&e.Si=='IGLf) STATE: C-A: ZIP: Q3307 PHONE: ~"7-1();)...7
,
DUN & BRADSTREET NUMBER:
SIC CODE:
PRIMARY ACTIVITY: ~H mo6~t, nomf><." ~ lJ~fd·Co..¡rs
OWNER: (?)('\Icl\ bct'f\~"2.. Jr-
MAILING ADDRESS: /340 ~ ~. LiJn~ Å0f:-
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS, PHONE
l. r!) '('va \ <:6~ 2... ~ (" ðw(\(X 3C17-l Q;).. "1
2, KeNen ~AN"12- 3dl-OI~1
24 HR, PHONE
, ß37 ~o4o~
3 ;;).l- 0 l <0 I
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FD1590
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e Bakersfield Fire Dept. .
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
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,vìnsì2~flð~~3: TRAINING:
A~ NUMBER OF EMPLOYEES: 5 - 8'
, MATERIAL SAFETY DATA SHEETS ON FILE:
C'
BRIEF SUMMARY OF TRAINING PROGRAM:
,
Wo ..UL~~ æt
,
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 "CALlFORNIA 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:
I, CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE, I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE"
?10N HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
IN URATE INFORM TION C TITUTES PERJURY.
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SIGNATURE TITLE DATE
2,
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Bakersfield Fire Dept.
Hazardous Materials Division
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
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B, EMPLOYEE NOTIFICATION AND EVACUATION:
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C. PUBLIC EVACUATION:
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D, EMERGENCY MEDICAL PLAN: .
vT\.9-.~ .~""tõ..Q
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FD1S
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Bakersfield Fire Dept.
Hazardous Matèrials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7:' MITIGATION, PREVENTION AND ABATEMENT PLAN:
A.
, RELEASE PREVENTION STEPS:
(!) cL i/V è 10 S e.~
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B,
RELEASE CONTAINMENT,AND/OR MINIMIZATION:
~ ~o.£U2r~. ~ ur·~
C. CLEAN-UP PROCEDURES: ()..Sf, A5S0e.~f~.T).~ \.t VV'---tv
dN-.vm ~ ~~ ~~CL l«p . , ,
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SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: U(9 t-JE I p('(:J pCt/1 € 1 f\ 3ma.-L I f£LV\ ~s
¡ , .
ELECTRICAL: ~~ {)ðl~by ~0J(05 G
WATER: k~~n d +}~\e. Ø.ç.çìC.~
SPECIAL: _~ ~A f\e.
LOCK BQX: YES@ IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: ~.re... e}(.+;f\Su;'ShQ.AfS
B. WATER AVAILABILITY (FIRE HYDRANT): Ù(\~é)(\ ~e- oJ-c...-oYY'e...r
4,
mlSQO
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CITY OF BAKERSFIELD
IlAZAROOUS MATERIALS INVENTORY
~ ):
[] Farm and Agriculture o Standard Business
, f
page.:l oi~
BUSINESS NAME: ßA\J\2. fðìCD~ \%m-e.. ~\e~
LOCATION: '~~ ~,ù~~ .~
~~~~É :~p~ -¡~{9: l 1 C-~ ~~~¡)7
NON - TRADE SECRET
OWNER NAME: ð'('U':l\ ~2....:s., NAME OF THIS FACILITY:
ADDRESS: l~40~ "::>' ~ ~ At) STANDARD IND. CLASS CODE:
CITY, ZIP: ~~- ~FIi:; C.p.., C~~7 DUN AND BRADSTREET NUMBER/FEDE~
PHONE #: '837- D 4 0 c.:;;- _ _ _ _
ID #,
1
13
'is by
wt
14
Names ,of Mixture/Components
See Instructions
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Physical and Health Hazard
(Check all that apply)
~ire Hazard .'~udden Release
of Pressure
C.A.S. Number
component · 1 Name & C.A.S. Number
Component · 2 Name & C.A.S. Number
component · 3 Name & C.A.S. Number
-e.
Component · 1 Name & C.A.S. Number
Component , 2 Name & C.A.S. Number
Component , 3 Name & C.A.S. Number
--
o Reactivity' ~ediate ~elaYed
Health Health
Physical and Health Hazard C.A.S. Number
(Check all that apply)
B:ire Hazard '0 Sudden Release 0 Reactivity Q Immediate ~aYed
of Pressure Health Health
Physical and Health Hazard C.A.S. Number Component , 1 Name & C.A.S. Number
(Check all that apply)
0 0 0 Component II 2 Name & C.A.S. Number
Fire Hazard Sudden Release Reactivity 0 Immediate 0 Delayed
of Pressure Health Health Component · 3 Name & C.A.S. Number
component 1 Name & C.A.S. Number
Component · 2 Name & C.A.S. Number
Component , 3 Name & C.A.S. Number
B31-(J40$' #2
24 Hr. Phone
: I
Physical and Health Hazard C.A.S. Number
(Check all that apply)
o Fire Hazard 0 Sudden Release 0 Reactivity 0 Immediate 0 Delayed
of Pressure Health Health
EMERGENCY CONTACTS #1
Title
ents and that based on my inquiry of those
NAME AND OFFICIAL TITLE OF CMNER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE
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DATE SIGNED
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Hl\!MP
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MAP
SITE DIAGRAM I I FACILITY DIAGRAM
Business Name: ·6Af0T2- mob; I ~yY\e So(es
Business Address: 53 t\ 3, LlÎ\ '0 ý\
For Office Use Only
Area Map # of
NORTH 0-
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Inspection Station:
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HAZARDOUS MATERIALS DIVISION
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Business Identification No. 215-000 oon 214----.- (T~p .o! ~usiriess Plan) By.
Station No. '? Shift (2) Inspector u)r.:rr to( I tJS / "Rot:
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Adequate Inadequate
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RECEIVED
o iAUG 06'\9921
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HAZ. MAT. OlV.
Date Completed
Business Name: ' 'ß~\..rr-z:M()bl\c;. \Ao - SA LS ~
Location: 53 ·t v!£.' ,
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:
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Number of Employees
Verification of MSDS Availablity
5
Verification of Haz Mat Training
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Comments:
Verification of Ab~ement Supplies & Procedures
Comments:
D
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Emergency Procedures Posted
Containers Properly Labeled
Comments:
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Verification of Facility Diagram
Special Hazards Associated with this Facility:
D
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'Violations: U) No I"\'&~~ E8í5 (Z) Uk! U "'>n:::tJ WASTB ð \ l.- 'W(1¡¡þ I ç
L37 NO HAZ-M~ T\ëA\N\N,(4j t-Jo c.MEP4.CNCY~CëDÙ(2.E5 \pSTbÌ)
(, L7) 6)(1"\t-.ì Ù\SV\-t.\L., 'S"'6(<...\J\CE
FD 1652 (Rev. 1-90)
All Items O.K. D
Correction Needed rn-
White-Haz Mat Div. Yellow·Station Copy Pink-Business Copy
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