HomeMy WebLinkAboutBUSINESS PLAN
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FORM 5
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(Inspector's Comments):
-OFFICIAL USE ONLY-
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REFERRAL TO FINANCE DEPARTMENT FOR COLLECTION ,..-
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Referring ('Department/Section
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Person Making Referral'
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Account Number
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Type of Billing U
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Name(Business Name of Commercial Account)
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Site Address
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Mailing Address
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Telephone Number
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Owner's Name, Address and Telephone Number
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Billing Period:
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Amount Due ----0
List Collection Efforts by Department Prior to Referrål: :3Lf!. me-mo a.+-Ir1rh c.(! d
Comments
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THIS BILLING HAS BEEN VERIFIED AS ACCURATE AND VALID
Authorized Signature
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(~iginal to Cash Management, copy to Accounts Receivable)
NM 6/8/90
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May 25, 1990
TO: Bill Descary, City Treasurer
FROM: Ralph E. Huey, Hazardous Materials Coordinator
SUBJECT: Freeway Glass and Mirror
Account # HM 464401 is no longer in business with no apparent
£orewarding address. I have talked to Frank Fosters wi£e who said
they sold the glass shop last year to a £ellow that operated it 3
months and closed it down. I have no £orewarding adress £or the
Fosters, but I have a phone number where they work now 832-3691.
Freeway Glass has no current balance, only a prvious balance o£
which the Fosters would be responsible. Please try to collect.
Thanks
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March 6, 1990
TO: Nina Mayer, Accounts Receivable
FROM: Ralph Huey, Ha2ardous Materials Coordinator
SUBJECT: Freeway Glass and Mirror
Nina, account #464401 is no longer in business. This has been
veri£ied because the phone is no longer connected and the invoice
came back unable to £orward. I have talked to Frank Fosters wi£e
who said they sold the glass shop last year to a £ellow that
operated it 3 months and closed it down. I have no £orwarding
address £or the Fosters, but I have a phone number where they
work now 832-3691. Freeway Glass has no current balance, only a
previous balance o£ which the Fosters would be responsible.
Please take steps to turn this prior balance over to collections.
Thanks
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BAKERSFIELD CITY FIRE DEPAR~
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
U01258
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OFFICIAL USE O~LY /~j- /3U S...tJ..o
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HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
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INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDE~lIFICATION DATA
B. LOCATION / STREET ADDRESS:
CITY: ~A-k~ P¡dJ.
Free.J"vA,-j ~/c1$g A¡Jj) ;t{lff'Of'
:y 110 W t iDle rd.
ZIP:q'S-:Sl'S
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A. BGSINESS NAME:
BUS.PHONE:
(fO~) c:g ::5 c.¡-7 Lf '36
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material. call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER Bes. HRS.
A. ~T'a. ¡vir I'Y>S ,€/, (!) fAJ/tIe/"' Ph# ~:3.2. - 3 ~ cr I Ph#
B.I3/11 tUI(/A.Jf~41rl- ;t(ÁlJClj-er Ph# ~3'-i-'-7C¡3ro Ph=
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SECTION 3: LOCATION, OF UTILITY SHUT-OFFS FOR BUSINESS AS A ~fHOLE
A. NAT. GAS/PROPANE:
B. ELECTRICAL:
C. \vATER:
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIX SITE PLANS~ YES ~O
FLOOR PLANS? YES XO
~SOSS? YES / ~O
KEYS? YES! NO
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SECTION 4: PRIVATE RESPONSE TEA~1 FOR BUST:iESS AS A :mOLE
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U~ II.J;j é>... 17 ~ vat eI"'t .
SECTION 5: LOCAL EMERGE~CY ~EDICAL ASSISTANCE FOR YOU~ BUSINESS AS A WHOLE
&it aIft./;U/:wC{¿ k/" g €?/'/()VS /1.J$o-f"/~j m CÄe. ~
¡tÆec!CÆ( Fa..C(ltï)' aU win .flU.
SECTION 6: EMPLOYEE TRAINING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH IX1TIAL A~D
REFRESHER TRAIXING IN THE FOLLOWING AREAS.
CIRCLE YES OR XO 1XIT1AL
A. ~~~~~~;L~~~.~~~~,~~~~~~~~.~~.~~~~~~~~~........". ~ XO
8. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES, '" " " "." " " " '" " " " " , " " '" " " " " "" I );0
C. PROPER USE OF SAFETY EQUIP~EXT:,................. y~ NO
D. EMERGENCY EVACUATION PROCEDURES:......,..,......,· E ~
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... YES ~
REFRESHER
YES :iO
YES XO
YES NO
YES XO
YES NO
SECTION 7: HAZARDOUS ~TERIAL
CIRCLE YES - NO - NONE
DOES YOUR 3USI:-rESS HANDL;::: :-IAZARDOUS :·!.ATERIAL IX QtjAXTEIES LESS T:-L"'.X ,')00 ?OemS OF A
SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES C1õ)
I,~,II ~ ~AYAV~~~ , certify that the above information is accurate.
I understand that this information \I/ill be used to fulfill;ny :'irm's obligations nnder
the new California Health and Safety code on :-Iazardous ~aterials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccurate information constitutes perjury.
SIGNATt~E~P7
TITLE ¡/t,,(//r~
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BAKERSFIELD CITY flRE DE?ART:'rE::T
2130 "G" ST¡\EET
BAKERSFIELD, CA G3301
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FREEWAY GLASS AND MIRROR
4110 WIBLE ROAD
WIBLE COMMERCIAL CENTER
SLIIT~ .
BAKERSFIELD. CA 93313
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BUSINESS PLAN
SINGLE FACILITY UNIT
FCR!'I! 3A
INSTRüCTIO:;rS
1. To Civoià further action. this form must be r~tul'!i.~d hy:
2. TY?E!PRTXT YOUR AXSWERS I~ ENGLISH,
8, An:::wer the (IUest ions bp.low for THE FACILITY ¡;XIT LISTED BET.mv
4. Be as BRIEf and C8~C:SZ as possible.-
FACILITY UXIT~ II
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FACILITY L'"NIT ~A.'Œ: Hee¿Ja í/ ~¡;fl-S q- ßúrr-OT'
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PREVE~1IO~, ABATE~E~l PROCEDL~ES
SECTION 1: ~ITIGATION,
$L;r~p £?teS ~o/~ý J .ÇXYPo/v/J4 ~
F~eS ., . ,', ' ,
SECTION 2: ~OTTFTCATTûN A~~ EVAC0ATIO~ PROeEDl~ES AT THIS l~IT OXLY
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SECTIO~ 3: HAZÞ,RD01iS :fATERIALS FOR THIS f;:¡¡TT O~LY
A. Does this Facility Unit
con 1:;} i n :-i,az:1!' do us
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If YES, see ~
If NO, continue with SEC7IOX ~.
B. Are any of the hazardous materials a bona fide Trade Secret YES~
If No, complete a separQte hazardous materials inventory
form marked: ~O~-TRADE SECRETS OXLY (white form =4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRE~S ox:y (yellow for~ =4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
~F,C7TO~ 4: PRIVATE fIRE ?~O~CTTOX
£Þ(7iU;1Vt'S~ rÆ:r ~ ~ ~ ¡£V/¿¿~,
SECTION 5: LOCATIO~ OF WATER SGPPLY FOR USE BY ~RGENCY RESPONDERS
~/Ið/ s,/wesr'ø-P ~uÞt~,
SECTIO~ 6: lOCATTOX OF GTTLITY Shùi-OFFS AT THIS ,;XIT O~LY.
A. ::,':' T. :';.-l5, PRC?"~,:é:-;
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B. ::LECTRICAL:
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C. NATER:
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O. SPEC I...\L :
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LOC:{ BO:C: YES 'éJ9 - Y:::S, LOC."TIO~;:
IF ~~ES, S~:: ?L~:\:S?
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YES
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BAKERSFIELD CITY FIRE
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
DEPARTMENT
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PHONE #: : SUITE H PHONE #: IOFFICIAL USE CFIRS ~ODE
BAtŒ~SFIELD. C,r- 9~313
(805) 834-7436 ONLY
1 2 3 '. 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
P ;;l.. 50 Pr3 ~5()Fr3 . Pr3 0'1 4'- J. } (þ IVeJl1 /00 CJÞ( .- - -.) . OXID
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NAME :13,// ~ 'L.HA//l//#(' ¿I"'~ TITLE: ///f4Æ.Jc¡~..er SIGNATURE: .L('~///""7. '~ DATE: 5'- S~88
EMERGENCY CONTACT: ' /.5 II ( ~JI'..JNINr~· TI'h.E: ~../_. - ~~ P" PHONI!' # BUS HOURS: 8''Sl.{ - '70/ "S cp
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FACILITY
FACILITY UNIT NAME
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OWNER NAME
ADDRESS:
CITY,ZIP
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4110 WIBLE P
LE COMMERCIAL CENTER
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NAME
BUSINESS
ADDRESS :.
CITY, ZIP
AFTER BUS HRS:
PHONE # BUS HOURS
AFTER BUS HRS:
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TITLE
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ACTIVITY:
CONTACT:
BUSINESS
EMERGENCY
PRINCIPAL