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HomeMy WebLinkAboutBUSINESS PLAN " . ") " . 1, .'! ~-~~. ~;, . .... " ,'~ ~ ./ I 1- ð!. \) C. ~ e R. S I D£I\J (101-1... OLlfJJç¿ {:U't- "i-L. I-) .J. .It. ~ . . ~ !JJ U' ct fI) ~ r.( ~ - j) "it ~ V) ::::t \) .~ ~ ~ .J (g ~ r ~ (t ..¡ J' JJJ W l!. () :i ~~ ~ ~ ~ '.!.! <..,.~ 1fJ"J'St :;~Z ~J:: ~~ . SITE/FACILITY DIAGRAM FORM 5 .--" ~ SCALE: / II-=. iOO BUS INESS NAME 1-,41= /"..1.1 ß 12 + ßKf.1.k~ 5'lWpFLOOR: ( OF I DATE:@ 13 /757 FACILITY NAME: UNIT #: I OF ( / i< cf " 91 ~1<.121.2 w . tv 13..<5 r J1.. Y ~OFFICIAL USE ONLY- FACILITY DIAGRAM :i -,.. . f _ ~CV ~ f! .~ "- tf'. NORTH (CHECK ONE) SITE DIAGRAM ..,,;. J ~ c::. ,;z !.lJ C. .... '^ lu ~ 7 . I ..EoNS· , . IVí I \/ I IV/~R"'" F/!< I~ .4 ,.../r J-I-ypRtr ~ , -~. ···~I Lv I 13 L /3... Gis (Inspector's Comments): HMCU-13 '''', q !!.1 V d:. ðL f}J t- l.!..( ~ J ~ ~~ 00' \ f , · ; "r...- r/~ _ r .,~ ,~~ '-::- '.~~-:¿, ( ;¡ t; - .,;; e - I, " /~ ,/¿ ./¢ SITE/FACILITY DIAGRAM FORM 5 .~, ORTH "SCALE:\"= Ib' BUSINESSNAME:LOBE ~ßeAK.E:SH6?LOOR: l OF I DATE: / / FACILITY NAME:LOßE i Be.AK£' slk>p UNIT #: l OF 1 (CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM v 4?Ar¿~\~b ® ® @ M£~S L.ADIES J- (j) WA- fI lJb Q: Cf"1L~ ~en 5 Hò p. ~ W ~, 6HO i;/ L_JL~ ~ Ql ~ Dr-fIG£ I ¥ CD / I 61 (.-. pgAII4 E ' , / 1\11 E. ít\-I.- I" I 6 " I 'ßII\ , l.. D ' ~ l.L rtl I\)' ì J ~ IDðO GAL úMDE" 2..~Rc>~f..JD TA-~\(' (Inspector's Comments): Cal2.. WIBLe eD, ~OFFICIAL USE ONLY~ (A) I BLE RD HMCU-13 ' -:-;-;, PLEASE MAKE CHECKS PAYABLE TO , '. ; ,;' CITY,OF BAKERSFIELD RETURN THIS COpy WITH PAYMENT MÄT~~t~ts~:1:Vl~'l()N Ii". tiAl~~ÞÒÙS ~~RN ~Y,~ENTST9: '.' . "ç:ITV(jF BAKERSFIELD . 'I." " ~.O.:'~OX 20?7~ ' , . §~KERS~fElD; CA, 933Ö3~2b57 ., ,:' :~Î~: ': : I." " . '~~WjAl'fr~E :::: :r,~l~ ~J~~ Ð&j¡[ ':':;'!'::,"t"':::}""!',,:: , : i INQLÙR!ES CO,~tERNING THIS Bill t.of6~ NUMBERil . ·...utJ...~ , ',,' '.. ~.j " " "¡z:~~"~¿¿iS' , , 691\1~()1 ':-';'J Ö~;ti1,.;t'í,:iir . , ACCOUNT' NO . . r . , , 'kà:rnj l inøf,·"øS , . W18t.~; 'RD -,if '.,' ,,-'. '. :..' ,!: 'F:" -'; ;,''1 " ,.,.,...." '. . '. " ,. ',' ,: ':~ :,,,.' 'l':iiV--~, i2131l'lNOt 'Q,i!#?:~¡1 t~+' "'6/:'O/92/~:;2t ~~9H'RE(EIPl , . , . " ~'~~j i:Q~,:tt;, '\'.' '"' , ~, . . , .1\ lS , St10:t',: , .. :," (:A¡: ,93~:Ò,.~ " ",' t.ùae ANf.) BRAKE ~¡l" W,tßlE 'RO' ~A,¡(f;RSfIELO,., 3~6-39't9 -" MUST RETURN THISCOÞY WrrH PAYMENT """: ..,,/'" PLEASE PHONE ': ;-..; PLEASE f)lìÄKECHECKS PAYABLE TO '." \ ..."') dry OF ,BÄKERSFJ ELD , . . \ 1-¥1~ ION MATfRI~L5 HK 6~~40l ~. {)ú1JS> \i -1'( ~AV\ ~,i .. ì .. , ~~YMENTSTO: CITY OF BAKERSFIELD p:b, BOX 2057 ~) ~·I , , 11'$",;;.OlJ -113..0Q :S\~r<)lnc'$ P ðyffient " CHIS ~7122/'91 ! '\ ,Pr'llV Ol.l\iO~n,:.U7 f~'r BAKERSFIELD,CA 93303-2057 AccouNT NÖ flazardaU5 ~ite~tals H~nattng Fet& '.f..:'Add r' ~6:i? ~:H,n.:~ HV .:. Pt\vw~{n:s AH~~ l¿131/9j. t~QT {} 5~RVH':1:; FOf¡ 7/1ltfl .. 6/30!92 .2'37 "",en \,,,,., _,=-ø,ìOte~"';"".. Ot'~'fges ou£ is CE è' 0A l i'W' in the the Cityci Wible Road '.~~ , CUth'U~t .r .,;, , 01/01/92 , .. \ , , .: " :-., .' ,", '. . "1,' ;~ i~fItLtN{J'\DA tË '..<;,.J- .... j.'" '," . 1) ISUUEU~ON REC..PT '" ¡S.itH~U..AtF'.fE " \, .~1Ll , .. . . H1Í$ '. ' '¡'or ''"',' . .__~ -' ': .. i ~ ,"", ' Ht>16v\14 {j 1 - LUBE AND BRAKE SHOP 61. ¡tt.fl blE ko £-¡~~f~SF l~Ò4'C~!\ 93.304" ';'"~......._A~~¡;-.~, ;; .3 2 6- :S91<¡l r' CU'STO\YiER ç.opy ,- "" ¡] PLEASE PHONE THIS BILL, '\. - . ~ INQUIRIES CONCERNING >.b'ICENUMBER y. ,i~.:....... ';..: '~,- , i:-( , ~ .;' -- - HK 699401 Account Number --- --~ ------- - ------ -----"--- · ACCOUNTS RECEIVABLE ADJUSTMENT ,., " January 9, 1992 .. Date , . 'Valerie Pendergrass · From: Fire Department - Hazardous Materials Division · Departm~ntJDivision Luber & 'hB~ake Shop . . Billln 9 Name 612 Wible Rd., , Billing Address· SAME· Site Address New Account I New Ãddress - Close Account· Service Change I Other Adj. I ~ . -, .. " .. .- ,". -, "^ -, , . .. Bakersfield, Ca. 93304 , , '" Parcel # (If Applicable) '. Landlord Name & Address if Applicable I I ADJUSTMENT I Last I Billed' . \ 1~ 1-92 !Correct . . I Billing . I i - 0 - I \ \ \' I gtf!¡fj¡- ~ Adjustment !To Billing f [$231.001 [I Effective Date ,Of Change, ' I ! )-)-92 i I I ! ! ! I I I ! Remarks: This business was found to be in the countYr We will also be refunding last years fee. ~-~ ~ ... e e Page: 2 ================================================================================ SUTL108 Account Billing/Collection Activity Inquiry ================================================================================ I Acct SSN Name Svc Add: 699401 Cyc St CL Parcel: LUBE AND BRAKE SHOP 612 WIBLE RD Bill St: CW Cyc: 5 Rt: 1 Svc CIs :e Seq: BUSIN -------------------------------------------------------------------------------- Readings Cons Prev'Rdg Curr Rdg Cons ------------------------------------------------------------------------------- 01/01/92 Fwd: Water: Sewer: Misc: Cred: Total: Amount $173.00 $0.00 $0.00 $237.00 $-173.00 $237.00 Type 99 T01 F06 Misc Desc PAYMENT 1 UNDERGROUND TANK HAZ MAT HANDLING FEE Transactions Date 07/22/91 01/01/92 01/01/92 Amount -173.00 50.00 187.00 Receipt # 37081 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Enter '/' For More Billing History, 'D' For Detail Postings, '/C' for Credit an ALT-F10 HELP 0 ADDS VP 0 FDX 0 9600 E71 0 LOG CLOSED 0 PRT OFF 0 CR 0 CR ~ 9 ;' :""~.o tI.. ~it~7---- ".' I~~ ¿ ."/ ~cÞ6 . -f-Ø- (ir e KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 9~308 (805) 861-2761 'IICII8VIfõ\ or I.!:U 7YL ,·AUS 3 .7 kCFD HMCu· OFFICIAL USE ONLY THE LUBE & BRAKE SHOP BUSINESS ~AME ID# éJOo!?n":) HAZARDOUS MATERIALS .. BUSINE$S PLAN.· AS ·A WHOLE·· FORM 2A 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business 4, Be as brief and concise as possible. !-I¡o/r69'ý¿¡tJ1 JUl 2 9 1987 RECEJVEQ, MAR 5 ,aq, Ans'd........... . INSTRUCTIONS: as a whole. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: '"jt-I.r.; l~''(~F- B. LOCATION / STREET ADDRESS: 1.0 , } CITY: ßrtkl2l2.~.çt ~L[) ZIP: +- ßRt\..k~ WI f;L £' S f-.l.-d.::p \Cor ~.~h 0'-( BUS. PHONE: (1)''ST8 xi - ø £.,.07 SECTION 2: EMERGENCY NOTIFICATIONS . . In case of an emèrgency involving the releaseorthr.eatened 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 INCASE NAME AND TITLE .;;r A . J I"\.RR Y U A<: k..,..JIE. ~J ( B .10 (J.~<;i4 -Çfç: [.. J OF EMERGENCY: DURING BUS. HRS. Ph# "833 - 0(,07 Ph#P3.S~ -. O&Oì AFTER BUS.· HRS. Ph# . 8'31- .2.~OI Ph# c¿f3t.( .....~-1..es,~ SECTIONS: LOCATION OF UTILITY SHUT~OFFSFOR BUSINÈSS AS A WHOLE : ~~~CT~¿~::E~ ~ ~~ ~ J~~ ~ ~~n1 :~¡;L,~~ ::.:~~ C. WATER: ¡~g~, ~s-_~ =_~~_ _ ßl~· ___-=- ~~ o~ _~~ tE._ D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: ~l? IF YES, DOSS IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES;' NO KEYS? YES / NO -Over- HMCU-4 111 \¡ '!J U~ II' (~~J ~iØ t; aUA ~ECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE H f1. fè R Y- 14ï~~t-k ,JJ~~ C c;PLVµ('R ) /3lf$, t~~ ¡;: .1'0' H-"; S 1)...* LL .. 8 £<S P f .o (oJ ~ 1-/." H "- \ 1. e ~s-ÒL:,°7 'B" 3 I - 2. "6t7C¡ (;"33 ..oc,07 1)3t./ 1;>-'-G'(... DS~~,~I.O~::,:~,: ; :L,0CAL EMERGENCY, MEDICAL ÁSSISTANCE FOR YOUR BUSINESS AS A WHOLE 1¡4'.' ;-: fV},j~tT/~ C. yHo Sf Ir-~ l. ", .' ..". ~.. ,- ~ -¡ . Ih~ I <) l' ~ O\;J-- ·"'..'I¡¡- ¡"> \'~ ,j, { 3 "'> Î - ? ~'11 \ -~",~f ~:~ <-; .~.t},!¡,... 0'- "" ' .,\ ~~~"~,,:~:,\ '.\~~ ' \ '~~.~~\ '.. .' ~ ~ ~-""~ '\ ,..," \~ " \"i \, ~ " \ \ \ \ €SECTIÒN 6: . EMPLOYEE TRAINING I EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND , , REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO 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 ~ NO @J NO INO INO NO YES NO YES ~ YES &:Ø YES 0 I. UA..R..R.~· U~C"'kt.Jf:\..;. . certify that the above information is accurate. I understa d that this 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.) ànd that'inaccurate information constitutes perjury. ô OSJGNATURII/7'0 III~ TITLE ð~ - I . .., DATE "'ZY - ( ... ~ 7 HMCU-4 ~. - :- .J ....þ';', e KERN COUNTY FIRE DEPARTMENT . 5642 VICTOR STREET BAKERSFIELD. CA 93308 e /, --- ? OFFICIAL USE ONLY ID# ------ BUSINESS NAME: BUSINESS PLAN' SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS ., 1, To avoid further action, this form must be returned by: JUL 291987 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 NAME: -PHS. L.VfBE. +BíZ,Jc~5("'of CsECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES J!JI-/-... fH/c!k5 f1z.-1è"P Ss.Ì' FikJ.tt, ô^, CONCR£-"¿" Pl£>O~~ c:> , ~, f1.:;s t? J<ß /9. J\I ì M ~ ~ g "}i. L.. , S C7 '" . f p"'" D , N c:: 1>5 I';: . ørP s P N. £.. 1}-6 'i:.. I^' C/JSB ~-ç ß- KUp"ì'l1R:e V -f-ANk.· \ . TI-AB... 1-ß.1Vk-· gH~l..l.. BE PJ../j-C.'i:b IN fl. ?OSIì-/ð/J So 1-H2.Kt-{p'1't:{~ci- 'IS' 1-0 T-H~ /ò-p ì-P. rSSJl31..£. ~SECTION'2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY R-ZSJ]<OðH5 SH-J1.f....L-. ß~8..VI4-<-.L<~~'(.þ By i::J1...'- 7-L. !1Y/èJ:./9.S o,ç 17-f:z...' 734,1L.D/JJ<; òp <¡:µ 1-0 ,-,-ÇlI f7 b: R Iv "'i:>.. Doo~5' ,,9L.WJ9.ys o:iJ'<.N DC,,(~iAJ~ J9. R.. «j 'i:- F-.. ~ t.. L. ....... J / I o~c. ~ P£R.Soµ .Yë.L I I T#~ 0''17$IP~ E4S Jìu~.35 By t--/.o c.{ ù' I HMCU·6 ----;", e e ~t....- ~ .~ " \' ! ~ECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous MaterialS?...:.~ NO If YES, see B., If NO, continue with SECTION 4. ;..~- . , B. Are any of the hazardous materials a bona fide Trade Secret defined by Section 6254.7 of the Government Code?........ as_~ YE~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TBo!}PE'ß~CR,E;r¡S ONLY (yellow form #4A-2) in addition to the non-trade s\~1:re~ 'for'rh'.'" List only the trade secrets on form 4A-2. /~SECTION 4: PRIVATE FIRE PRÓTECTION Å ~lg£, £X71^lq?flSH~¡¿ :s;) ON~ IN 13f9..<tf.("Uo¡<K /J.1<1~19 ì SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS ø ^' WII6~~ ·í2.o~p Ijr-- Y-:-HF ßI;;'LI-~ nJZ.p..J1.c.~ 1¡Vt--SK'SE.a;Oi\l , . 'SECTION 6:" 'LOCATION OF UTILITY SHUT~OFFS AT THIS UNIT ONLY.£, A. NAT. GAS/P-ROCANE: WG..$j <3ìDt.= CJ£NìG..R., ~1'- 13u,(.v;N6 B. ELECTRICAL: N ofa'H- W b: SI' a¡<:")J~R. o Ç: Bl-1JL.DfN<S C. WATER: Lv 'Z.. S ¡- S ¡ p IS... (fB.Nl''€.R " . o-P g~u..t> J\/C; D. SPECIAL: E. LOCK BOX, YES~ YES, LOCATION, IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? . YES / NO KEYS? YES / NO HMCU-6 KERN COUNTY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY page~ of~ I. D.- # \JJ . BUSINESS NAME:~be ~ßr.;2.k:..e.. ~lr.l!)r OWNER NAME: H ar-r\! 4. l- a.e:.lV\e.\.f FACILITY UNIT #: -- ADDRESS:t.I~~ ~. ADDRESS: /fJ12. 1 ÆJ L~&ð(" ~- . FACILITY UNIT NAME: . CITY. ZIP: ì' Cf3 :::t;ð4 . CITY. ZIP:1=<...... "" erc;-Çi e d q :3~ð 7 P·HONE #: 8'=> '3 ~<:.:)(ó()-¡ PHONE #: B31-ZÆOcr "IOFF I C I AL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CO.NT USE LOCATION IN ·THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME .CODE GUIDE 2'21 lO~~ 4a.1 40 Vncte.rcrrounct IOOOcpl !oo% 1\/1 ìxed· Lùð'5te ðìl (!) Æ? A?E'" //j9i 7200 oJ S+-e.y-cg.<Of~ +~.II\I::.. F~t GI'1QQ .II "'2.~ I l..O eya-/ ()0 Dß f\lO'r~ t> ìC\e.. ;. lÐð% .:Solùe.n.1- (Ons~,¡Çïe.d) GÞ1L~ T - r<:)C:>m #:7 . ¡;:j~,'S.,.. W ~ L.. '- .. ;J ..-e-. P 8S-ð~j 7 1.. 00 ,C¡ä:£. CY2 1..JJ> ¡øoCZ Pl.1 R ~ Mo 1-0 1<- 0, '- '~'~i!~t ;;2ð() '/ hðò ,,-\ 2:!r 1 ð . ............~·9 . . . . .. ,.-- ,. - .. ~ì . A /J /7 NAME: HA-RleY A II... L ~(EY' TITLE: ~wneV- . ( S L6NATURE .//././-... tZ. ~ / U /.L/. ú? I DATE: ""l;___L.2~7 EMERGENCY CONTACT: ~~r-r-v .4. :L..L '/¡\@_\"/ . TITLE: I!>r.ô VI ev- , ð'PHONE # BUS ~RS: ~33-~7 .' '" { I ~ AFTER BUS RS:· S5l-Ze '9 , TITLE: ~~ð~ Fér~alt\ G.VV""h"lc:¡ìt'\cl Se.rt)ìc~. .... , CJ PHONE # BUS HOURS: ß33 -Cfo()7 AFTER BUS HRS:· 834-:-£20 ~ EM~IRGENCY CONTACT: T~n . S&ffell -PRIÑCIPAL.BUSINESS ACTIVITY: MðT¡f')t'" . ðì HMCU-9 01. 02. 03. 04. 05, 06. 07. 08. 09. 10. II. 12. 13. 14. 15. 99. CRMT FLGS - FLLQ - FLSI. NFLG - 'OGF'X - CONTAINER CODES . A Underg~oundTank Aboveground Tank Fixed Pressurized Tank Portable Pressurized CYHriders 'Insulat,~d'Tank (Incl udesèJryogenics) Drums o~~~~rrels. Metallic Drums or' B'arrels - NOÌ)-:-Metallic Carboy(s) Glass:ë'çm'tainer (s) Plast;ic'": èontainer(s) Box (es) . ,- ?, I' Bag( s), ,'0:: " . MetaYGoritainers (Not-DruÍlls) In Machinery or processing equipment Bin(s) OTHER, - Specify on separafe sheet .' USE CODES 'i.". 01.. Addi t,i ve ~ - ,.. 23. Herbicide '.,' ".. 02. Adhesive ' . '~ ;~24. Insecticide 03. Aerosol ., '. . - ':-;25. .Instructional 04. Anesthetic '. "26. Lubricant 05. Bactericide "27. Medical Aid or Process 06. Blasting .' ,28. Neutralizer 07. Catalyst. , ,~~29. ,Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating 10. Cooling .. 32. Preservative 11. Or i lli,Qg~ . .. 33. Refining 12. Drying' [',' ,'¡. 34. Sealer 13. Emul~lfi~r/Oemulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental ¡ 37. Storage Fabriciition" .. 16. 38. Str ipper: 17. Ferti I izer .: 39. . Washing 18. Formùlat.ion· , 40. Waste 19. Fuel' -: 41. , Wate,r Treatment 20. Fungicide 42. Welding Soldering 21. GrinØ,ing' ¡ ',:43. Well Injection 22. Heating ".-.. Oil Treatment 44. 0, '-.,.:,99. OTHER-Specify on HAZARD CODES. EXPL - Explosive CMLQ - Combustible Liquid CMSL - Combustible Solid . ORMA - Anesthetic, Irritant' !,'; ORME - Hazardous Waste ORMS - Other regulated Material B,C,and 0 Poison A (Gas) - Poison B (Liquid or Solid) - Radioactive - Water Reactive Etiological Agent Pyrophoric, Hypergolic or spontaneously combustible c~rrosive:~aterial Fl amml'l.bJ e Gas Flammable Liquid Flammable Solid ~~ Non-Flammable Gas' :~ Organic Peroxide .~ PSNA PSNB .' , .: RAOf ::'"' ~ATR ~T¡:O PYRO - / ,OXID Oxidizer - CRYO - Cryogeni cs <i. ~ CODES P Pure M Mixtures of pure· substances W Wastes (Also add~ appropriate waste code) ¡ '.1t, .~ ~, . UNIT CODES LBS = Pounds TON Tons (2,000 lbs ~, GAL Gallons BBL Barrels (42 gals.) Ft3 = Cubic.Feèt CUR = Curies' .~. . n .. , ~ " ~,' -. . . '- , . t· . ~ 11:, _ :.. .... ;¡'cj- ....,~_ .Ç¡.,r~- '.' " e e - '" - ' .~ ;~ 06/27~ THE LUBE AND BRAKE SHOP 015-010-000803 Page 1 ~~q~ Overall Site with 1 ~_~h~_____________________~:~:~~~_~~~~~~~~~~~______________________________ 1____~Ub_______________________________________________________________________1 I 1----------------------------------------------------------------------______1 I I 1 ILocation:. 612 WIBLE RD Map: 123 Hazard: Unrated I I IIdent Number: 015-010-000803 .' Grid: 01A Area of Vul: 0.01 1 I------------------------------------------------~------------------_________1 11--- Contact Name ---1------ Tit~ ------1-- Business Phone --I 24 Hour Phone- I/HARRY HACKNEY I ~W"'I£.2.. ï 1 (805) 833-0607 x 1 (805) 831-28091 1 I JOHN SAFFELL 1 t:=:f'''H'I-~Y 1(805) 833-0607 x 1(805) 834-52631 1 I £k..J:2.eh!__t3kÖ5.E...c....._____1 ___L::A~p__~~þ_______ 1.J!.Q.'2:'-..R:.3..2:..=z,s:-:3.7______1 ~~__'ir3.L:-_~ 1 1 --------------------------- Administrative Data ---------------------------_1 I Mail Addrs: 612 WIBLE RD D&B Number: 1 I City: BAKERSFIELD State: CA Zip: 93304- I I Comm Code: 015-004 BAKERSF I ELD - 4 SIC COde: 1 I -----------------------------~---------------------------------___________ I Owner: HARRY A HACKNEy/phone: (fjo~-) éßI -28&'1 I I Address: 1012 9ELWOOD ST State: CA I I City: BAKERSFIELD Zip: 93307- I I ----------------------------------------------------------------____~_______I 1 Summary-------------------------_____~----------------____________________1 I I 1 RELATIVELY SMALL LUBE BAY AND BRAKE SHOP, ABLE TO SERVICE I I 1 AT MOST THREE CARS AT ANY ONE TIME. SMALL PARKING LOT WHICH FRONTS WIBLE RDI I ¡ ¡MAY OFTEN BE CONGESTED WITH CARS WAITING FOR SERVICING. , I II II II II I I----------------------------------------~---------------------______________1 I 1==============================================================================1 [ffi rn © rn 0 w rn [Q) "JUL 2 0 1990 KCP'D HMCU ',' .::~... .~, ~ '" 06/27/90 e e THE LUBE AND BRAKE SHOP 015-010-000803 Hazmat Inventory List in Reference Number Order 02 -'Fixed Containers on Site 02-001 Pln-Ref Name/Hazards ? Form Quantity Page 2 MCP -~------------------------------------------------------------------------------ WASTE OIL > 1,000 GAL Low -------------------------------------------------------------------------------- 02-002 MOTOR OIL > ? 850 GAL Minimal -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- e e (j''¡~ 06/27/90 THE LUBE AND BRAKE SHOP 01$-010-000803 00 - Overall Site Page 3 <0> Notif./Evacuation/Medical -------------------------------------------------------------------------------- <1> Agency Notification ----------------------- <2> Employee Notif./Evacuation ------------------------------ REST ROOMS SHALL BE EVACUATED BY OFFICE PERSONNEL. ALL OTHER AREAS OF THE BLGD OPEN TO THE OUTSIDE BY LARGE ROLL UP DOORS, ALWAYS OPEN DURING BUSINESS HOURS. <3> Public Notif./Evacuation ---'------------------------- <4> Emergecny Medical Plan ---------------------.----- MERCY HOSPITAL 2215 TRUXTUN AVE BAKERSFIELD, CA 327-3371 , e e ~ ~~ 06/27/90 THE LUBE AND BRAKE SHOP 015-010-000803 00 - Overall Site Page 4 <E> Prev./Minimization/Cleanup -------------------------------------------------------------------------------- <1> Release Prevention ---------------------- <2> Release Containment ----------------------- ALL TANKS ARE SET FIRM ON CONCRETE FLOOR. OIL ABSORBANT MATERIAL IS ON HAND IN CASE OF SPILLAGE. IN CASE OF A RUPTURED TANK. THE TANK SHALL BE PLACED IN A POSITION SO THE RUPTURE IS TO THE TOP IF POSSIBLE. <3> Clean Up ------------ <4> Other Resource Activation --------.--------------------- ,'- , e e .~;;, 06/27/90 THE LUBE AND BRAKE SHOP 015-010-000803 00 - Overall Site Page 5 <F> Site Emergency Factors --------------------.----.-.-------------------------------------------------------- <1> Special Hazards ------------------- <2> Utility Shut-Offs --------------------~ A) GAS/PROPANE B) ELECTRICAL C) WATER D) SPECIAL E) LOCK BOX - W SIDE CENTER OF BLDG IN PLANTER -'NW CORNER OF BLDG FRONT - W SIDE CENTER OF BLDG N END OF PLANTER - NONE - NONE <3> Fire Protec./Avail. Water ----------------------------- ON W1BLE RD AT THE BELLE TERRACE INTERSECTION. <4> Held for Future use -.-------.---------------- qo - Farm and Agriculture r-., L_...J ,', KERN COUNTY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Standdrd Business ~ DUN AND BRADST REEf NIIMr3tR 4 " "- BUSINESS NAME:...n.~L-1L%.G. I1-NI713~kË. <ǵ'DF' OWNER NAME: J-JR-I<R~_~ I-f,~k¥ __ ~~~~~I~~~ J:¡;-.iïif.~~~ e :;7' 33o'f ~~~~~S~~p;- ~ft ~&.:~Jk~èj-3~5:--=: PHONE #: ___Ô_ps- _~~=EJ¿:J PHONE #: C ~ j S{£L_=-~~:L___.__________ STANDARD IND. CLASS CODE:_..L.A.- 82:.8:/__ NAME OF THIS FACILITY: N01J~________ REFER TO INSTRUCTIONS FOR PROPER CODES ---11 A,- __._~.. _ ..____________J. l' _~ .,~ ;1 Page of '7- 1 2 3 4 5 6 7 8 9 10 11 Ii Trans rype Max Average Annual Medsure Cant Cant Cant Use % by Names of Mixture/Components Code Code Amt Amt Est Units Type Press Temp Code Wt See Instructions -/1]- 1--~-'~t·-i?~~-Æ4~ -~~~.. ;-·~QÇÇ'f"~~:£"~ ~!t?- .._~h__. ______L__ ___::1-_, __-k..(e__ jf'.q,.._.._Mi/..Ú~~..':::¡EHL-:'s!P:.._::.._.._......____..__,_____: - mH:a l:h e LN->..£.:",--r:~.J<X:·__P- __.,.þr.tl{"J) .Åf..ej..____________..____..____._________..._..__ : .j:':' "\} , ----- __Ml.KT'M.Rf;îm..m._'..'._ ....._.'_.._.'m.._......__.._.._.. ~Delayed Health C.A,S, Number____!.:~...Jh..b:!..R£...--k!i7J1f-53 :> r -- --, r - , r -- "1 13) U Days ¡.3&S I - _.- - - _.- _n. _." - _..-..-~_.~ ...-----..-.-.."'...."..~.....~ _·~'·__·~_h_'"'" _·____."._...n .~.,,- ,- ..-.~_._'_...-:" L_..! React ivity L __..I Sudden Release of Pressure on Site L - _ ...J , ¡' ' :'" / _~li~~Iw. ~~I~l~;~~[;~o.~~~~@J~;~~~~~J~ÆbI~.~q~l~]~~~~~~!~~~[~~i~]~~~~~~~ ~~~ ~~W~~~;~~~~~~~~~~~~~~~~~~~=~~~~(~~~f~~~Q~~~ ~~ = J ImHedlia~e lUAiá~6f~L4J,J2D-,--TJMI.k..--Æ:·~Nr:.CE.N.r.t._R..-ºfØ_44~þìN~.. ~ ea t . ____. _._r~_Ll:-..'b4,E..G'..._....__..__._.....:.__,u_,_..__,. ....,_, .__n.'_.... ...........,.._.., C=J Fire ~Delayed Health C,A,S, Number___f1,J.:ì~,.P4g_£._W_::h.7. r .-- -, 13) " Days is ~I on Site ,- - -- .J r-- ., L_...J Fire e r-' L __.J React ivity r -., L __.J Sudden Re 1 ease of Pressure .' ~~- - '. - - -----..- --- --..-- _...- _.- ...~..-._.- -----~.._--~, ,._~. ~~. --.. - ~..~.. -~.. '-'-~- ,_.~._... _.. J:1 ----- --------~-------------..----..--.--..-_.--.---..-.----'-..--..--------..-- ro U1 '" o ---------------------~------------------------------------------------------------------------.---- ----- -------------------------------------------------------------- ~ rn © m n WE~ ,ONTACTS #ll1l:JAßR\L~l~kNE..'I..,----.-..-...-.---------ºWT-N-G.l"t...--,.--h.,.__.____....._...____.....___ 'n-~Pli(,z..~î-m ~ I~ame .,.. 1 tie <. 'I1r one s: .JlIl 2 01990 #2 .,..E._I,.DºN _,.__Er.j5:5..~_~_____...._____h_.._m___m.._ TJ..~IY12,kRÞ.,..--......---------..---,..- "1.'~R-~L:-92~:?~..-- ~ . - I~ame . ltTe ¿. r inane .!::: IX> --~¡r[J---Ff~-----------------~----------------------------------------------------------------------------------------------------------------------------------- ~ Certification (Read and sjp,n af'tercompleUng all sections) ~i1:-::J:J:ï::]~:~~-i~:::;::[:-~::::~:r:;¡:)f::~:::::~:]~:C]::j::,-::]::~::;::::r:::¡¡::][:~:: ~:;;: :~~:;::~:::::¡¡;¡¿~:¡;;;:::¡;::~;:;:::::::::::::::::::-:-: C = j ImH:~~~~e L_t.b..___&yn~~~f....._gkf~121~-~...n'_m_..............____m__....'..____.._.......... _..___ _ _.,_....___......_n____..'n.n....l~,~~__.,~~....______..___...__...___,.,. C =- ~ Fire ~ Delayed Health C,A,S, Number -....1lj.,~~-:--&&,:__k___ r ..,- -,.. , 13) ~ Days I~~~ on S1 te ~ - --, ~ e r- ..,.... " L - _J React ivity ,- -... ì L ___...J Sudden Release of Pressure r certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attdched documents, and that based on my in~: o~ t:os~~ndivi:al:-~::Po:;:~::;)~n~::-~::-::~~~:a~~::~ ~_::~~:::_~::~_t;/ sUbmittedä~ ~~:~_a~~~~~~:~_~:~_~~::~:~:~...___n.._:~_~L~. _::-~~_.._ R", ,0~r,l\(, ~ ,ff'"o,¡;;¡""" OR """I,p,,,'" , '"'O"",a "p",'o"',', ~ ~ . O,t, ",",a ~ .... INVENTORY CODE SHEET Trans Code (Column 1) Use Codes {Column 10~ A = Add This Item D = Delete This Item R = Revised Information Ol. 02. 03. 04. 05. 06. 07. 08. 09. 10. ll. 12. 13. 14. 15. 16. 17. 18. 19. 20. 2l. 22. 23. 24. 25. 26. 27. 28. 29. Type Code (Column 2) P = Pure Material M = Mixture of Substances W = Waste (Must Also: Add Appropriate Waste Code from "Waste Code Sheet") Measure Units (Column 6) LBS = Pounds TON = Tons (2,000 Ibs) GAL = Gallons BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies Container Type (Column 7) 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Cylinders 04. Portable Pressured Cylinders 05. Insulated Tank (Includes Cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non- Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (No~ Drums) 14. In Machinery or Processing Equipment 15. Bin(s) 16. Unlined Sumps 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 99. Container Pressure (Column 8) 1 Ambient Pressure 2 = Greater Than Ambient Press 3 Less than Ambient Press Container Temperature (Column 9) 4 = Ambient Temperature 5 = Greater than Ambient ~~ .. , 6 = Less than Ambient Temp but not Cryogenic 7~ Cryogenic condititlf Additive Adhesive Aerosol/Inflation Anesthetic- Bactericide- Blasting Catalyst Cleaning Coolant/Antifreeze Cooling Drilling Drying Emulsifier/Demulsifier Etching Experimental/Analytical Fabrication Fertilizer Formulation/Manufacturing Fuel Fungicide Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservation Refining Sealer Spraying Sterilizer Storage/In Storage Stripper Washing Waste Water Treatment Welding Soldering Well Injection or Service Oil Treatment Resale Aircraft Systems Battery/Electrolyte Breathing Air Drafting Aid Finished Product Fire Protection Hydraulic Equipment Road/Hwy Maintenance Testing Wholesale Chemicals OTHER-Specify on another page e Farm and Agricu1ture Standard 8usiness~ BUSINESS NAME: ~ '~__'_"'_'_'_M' 1 2 Trans Type Code r- --1 1- --.j Fi re r-., L _""-I KERN COUNTY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY ~, ,.¡ 4 "'---, '- _.. J ----- Max Amt 4 Average Amt 5 Annual .- --,. ::1 ~J De-Iayed Health 6 Measure Units ?ðge_~_._ nfh,.,_ "/ -____R_______.____....____._.___.W.,,_.._._____._.___.______~._.__.___.._._.__~.._~_.._......~..,,_._....._. 7 Cant 8 9 Cant Con t Press 11 % by 12 Names of Mixture/Comoonel1ts See Instructions . ----------,-...-------.-----.--, -.--.- ,.-~ ?·T~'~· .-.-, L r: C)/?1 ¡JC',;"~ Fd:'rlt.. 8/ r:. f:, <:;. LJ/) J:llf.frLr!<£R,.rJ2~__ ::: ,it,._ _ _ h4ß-R.1.C.Ar,.l.'r.-., ., :? __1.Ú?. _ _, __ ____ ,- -.- , r ,- ì L - J Reactivity _ L -- _i Sudden Release of Pressure C, A, S. Number __,___J~lXr:iA.L~G----- r -'--., 13) ~ Days ¡....., on Site ;::L0J ----- ------.--.------------..-----..------"---------.--...-------_..__.- -------J------J-----¿;-------r----~-----[--~-------------J-~--¡J---------[---i-----J--~---[--;:L;--- ---~- -------------------------------------------------------------- - -,-1=~1- ___e~_ __k. ------[-- ~~:;~:'-l~:j ~~\-~:î(------ _~.-lJ_, __£2_6__ ------ --- ---L- --------- lø.__ - ----------..--- -- -- --,--- -- -- -- -- ----- ---- - --------,- - ,--- ---- - ,-- L_ - _J Immed1a,te -.E:(~:t('-f4,l,..~"-d_.QJ::--iSkLC.:·J)_L.f.J..ft_______,________________---------- .B . D Il :Ii;¡ N r- -1 Hea ttì __', 7týJ{ð -w,-{p ----- ~-~€',L<".--, -E..).Q:£Dh\.--_ .~_l:18,~C.c.,d__ ~ðNS;:{- ._$'2 L..._' Fire ~l Delayed Health C.A.S, Number___j~1_l~l_nlF"IL_,______ r ..-. --., ~~k~""1 ~~fi~~~J~~~~~J~~~~~~~~~-[~~[~..j..~~.-.~....~-.-...~....~~.~.[~~.-~.~~~~~~~~~~J~~~J~~~~~~~~[~~~~l~~~~J~~~~~[~~~:~~ ~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~;:~::~~~~~~~~~~~~~~~~~~~ ~ ::::: ~ Im~:~li~~e . -N~i~~-~¡tø;!Jf\-~~-i--.ts(,<;h.D.;N'-6.---------,-------------n----m__ ___, -Mf.Nß..~-~----5f:¡;Ú-r:> ... __,_.._. __'_.n ..., __ ______,__,_.. __ [~ Fire ~~J ûelayed Health C.A,S, Number_~~~~~_~:L~.~_______ r ,-- -'-, i I 8&S:-- -' ------J------J--------~-----[-----------[----------------J------J---------[---------J-------[--------- ----- ---------------------------~---------------------------------- ~ -,-::.:: -, ------ ----,. ------I-- n'..U'______ ------------- -,-- ----,..- .--,------- ---------- ,-.------ - -------.- .., ---.- ----- .--..- - ,-,-.....-,--., -.... ., -- .-,-.,--,-..,.---.-., -... -.--,....,.. - n. ,...- . -...--".. . ,... ., L - J Immediate ~ Health ----------, -----------.-------, -----------,---------------------..-- ,-------- _____ ____________________ ________,___,,_________________ ,__ ~ lJ1 ex> o '" .. ... lJ1 ::x: š: ------------------------------------------------------------- ~ en (" .~-- 1 L -- -' Reactivity r- --.., :...:- -' Reactivity r·-- -1 L___J Fire r--- ., L_J Reactivity r ~.'-- -', L _..i Sudden Release of Pressure r- --·-1 L --- _.1 Sudden Release of Pressure r·ou , Ln_ ,J Delayed Health r" ...... "' L --- _J Sudden Release of Pressure 13) ~ Days on Site 13) ~ Days on Site C,A,S, Number __...__ E~~\l?_:_______d'..d'.:1:~J}.. __ __, ...__.,_..________.______ dU_'_ .----,.. ------------.--.--.----.---,---.---.---."----.-------------- "..- .......-.., -. _.""~.-. 13) n Days on Site -------------------.---.---"..- .----.- .--..------.---.--..--------..-----.-....-----..----..----- r- --- -- -1 ¡ i... _._ __.J ~~~~~~I~~~~~~J~~~~~~~~~~~-~~r~~~~~~~~~~~[~~~~~~~~~~~~~~~~J~~~~~~J~~~~~~~~~[~~~~~~~~~J~~~~~~~[~~~~~~~~~ ~~~~~ [ ~~: J lmmedi ate L_ _ L.___ _ _ ________________q, __,_____,_________________________________,_________ Health r ".'- ., L -,..- -' Fi re r -'--1 L -- -' Delayed Hea lth r -- ., r~ .~~. ì l_ - J Reactivity L -- J Sudden Release of Pressure C,A.S. Number ---------.--..--..--..--------------------".-----.--------_._--- ~ ~ '" ~ - ------------_.._~ - -- ..--- ---... ----.-- ------ --- ---. - --- ---------- 13) II Days on Site --------------------------- ------- ----------- -- ...-----------. ----- --------------------------..- r-- , ! I L__-' ------------------------------------------------------------------------------------------------------ ----- ------------------------------------------------------------- ...o;:~..__ ~_ INVENTORY CODE SHEET Trans Code (Column 1) A = D = R = Add This Item Delete This Item Revised Information Ol. 02. 03. 04. 05. 06. 07. 08. 09. 10. ll. 12. 13. 14. 15. 16. 17. 18. 19. 20. 2l. 22. 23. 24. 25. 26. 27. 28. 29. Type Code (Column 2) P = Pure Material M = Mixture of Substances W = Waste (Must Also: Add Appropriate Waste Code from "Waste Code Shèet") Measure Units (Column 6) LBS = Pounds TON = Tons (2,000 lbs) GAL = Gallons BBL Barrels (42 gals) Ft3 = Cubic Feet CUR = Curies Container Type (Column 7) 1_ 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Cylinders 04. Portable Pressured Cylinders 05. Insulated Tank (Includes Cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non- Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11 . Box ( es ) 1 2 . Bag ( s ) 13. Metal Containers (Not Drums) 14. In Machinery or Processing Equipment 15. Bin(s) 16, Unlined Sumps 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. Container Pressure (Column 8) 1 Ambient Pressure Greater Than Ambient Press 3 = Less than Ambient Press " Go . . Container Temperature (Column 9) 4 Ambient Temperature 5 = Greater than Ambient 6 = Less than Ambient Temp but not . - Cryogenic ;.. 7~ Cryogenic condititlr 54. 55. 99. Use Codes (Column 10) Additive Adhesive Aerosol/Inflation Anesthetic Bactericide Blasting Catalyst Cleaning Coolant/Antifreeze Cooling Drilling Drying Emulsifier/Demulsifier Etching Experimental/Analytical Fabrication Fertilizer Formulation/Manufacturing Fuel Fungicide Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservation Refining Sealer Spraying Sterilizer Storage/In Storage Stripper Washing Waste Water Treatment Welding Soldering Well Injection or Service Oil Treatment Resale Aircraft Systems BatterY/Electrolyte Breathing Air Drafting Aid Finished Product Fire Protection Hydraulic Equipment Road/Hwy Maintenance Testing Wholesale Chemicals OTHER-Specify on another page e y 'f~-#;' H~DOUS MATERIALSàtUREAU INSPECTION PO,- ID. 750 3 DATE <6 / 2- / <ß"<6 ANNUAL INSPBCTION ~ BXBMPTION __ RB-INSPBCTION ALL ITBMS OK:[ ~VIOLATIONS NOTBD:[ ] . Ii' INSPECTION SUMMARY: COMPLAINT__ o - Does not Apply 1 - In Complianèe 2 - Correction Needed 3 - Verbally Warned 4 - N.O.V 5 - Citation ~ - Referred to (Specify) EMERGENCY PROCBDURES (CCR TITLE 19-2729 & 31) PREVENTION & CLBANUP PROCEDURES (CCR TITLB 19-2731 A. Agency Notification Plan (O.E.S., FD) B. Employee Notification & Evac. Plan C. Bmergency Responder Notification D. Medical Assistance B. Private Response Team Procedures + -L i- TRAINING REQUIRBMENTS (CCR TITLB 19-2732) F. Training Records 0 G. MSDS Available to Bmployees -¡- H. Employees Familiar with MSDS :r: I. Use of Personal Protective Bquipment -1- J. Waste Material Permits & License -l- K. Employees familiar with evacuation plan. ~ Comments: ALl.- l -.:reM 5 ðK L. Work Area Safety M. Clean-up Materials placement/availability N. Clean-up Bquipment O. Fire Protection Systems P. Waste Handling & Storage Q. Availability of Protective Bquipment JNV. & DIAGRAM VERIFICATION (CCR TITLB 19-2729) R. Inventory Quantities S. Storage, Container Cond., & Labeling T. Location in Facility Unit U. Bmergency Water Supply v. Evacuation Plan & Area w. Surrounding Exposures X. Utility Shut-offs Y. Other tl Li L· -L ...L J.... i -L I -t- ..L L ...(.... Clearance Granted [ ~ Re-inspection Required [ Started~: IS-- completed~: ~~. Total -tf!-fI iJ~ riií1- ] on_____/ / D.E. Miles on Insp "--'. ,,- . e !i\ KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD. CA 93308 I t.-VðG <Ρ ßM~ 9JøP BUSINESS NAME ID#_ ~~ __ INSPECTOR QUESTIONNAIRE BUSINESS PLAN AS A WHOLE FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN (2A). INSTRUCTIONS: 1. Complete this form only once 2. Attach this form to BUSINESS for each occupancy. PLAN (2A) and fòrward ~ / ?><Z to Data Entry, BUSINESS PLAN VERIFIED ON: ß / SECTION 1: RESPONSE SUMMARY (Limit to 4-5 lines) (ZéLA-nv~L~ 5MA/....L- LuBE ßAc! ArJD ~RAI<G s./=U)~ þßU~ <TD ::;;£3z. J 'C~ þ-T 1'40'; "í --r+-tRG£"' OAÆS 4 -r ,4;f'JV C)"-fG <l'~, .sMALL P,q.a..f<IN6- U::?I ~+-\-I(...H F,eo,¡0'1S MAY" c>~t0 --1$6 eo-rJ6-GsTED WI-rl-t ~ I ß LiS' I<-\) e"Af2-s.. ¡...,J A' í'", NC- föt2- $C.-<z"V IC' "...¡Gr-... SBCTION 2, NOTIFICATION I BVACUATION OF AFFBCTBD PUBLIC (Limit to 13 1ines~ o HMCU-:Q v' ~ . e :. 'I' KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 L- VßG & BUSINESS NAME ~A~ >HoP ID# 'Z°3 ------ INSPECTOR'S QUESTIONNA~RE SINGLE FACILITY UNI~ FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN FORM (2A) THAT REQUIRES A BREAKDOWN INTO FACILITY UNITS (FORM 3A). INSTRUCTIONS: 1. Complete this form for each FACILITY UNIT. 2. Attach this form to BUSINESS PLAN 3A and forward to Data Entry. BUSINESS PLAN VERIFIED ON:~/~ / ~~ FACILITY UNIT #: FACILITY UNIT NAME: SECTION 1: SPECIAL HAZARDS ASSOCIATED WITH THIS UNIT ONLY ',J O,.J r; W n . HMCU-7