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HomeMy WebLinkAboutBUSINESS PLAN (2) 0, 8M 68 110 1 Account Number e , . e .---- ..~ - - -- - --- -.------ ---. ----- ------ ACCOUNTS RECEIVABLE ADJUSTMENT 1-13-92 Date . Valerie Pendergrass From: , Fire Department - Haz Mat Division Department/Division New Account Î New Address Close Account Service Change Other Adj. vi ---. Camenisch Engineering & Construction . Billing Name 4110 Wible Rd.. Suite L . Billing Address , Same' Site Address Parcel # (If Applicable) Landlord Name & Address jf Applicable ADJUSTMENT Last ! Billed' . <$ IS· <13 ! Correct ¡Billing - 0 - IAdjustment ¡To Billing I' [$15.93] i Effective Date !Of Change .' I 1-2-92 ! i I I I i 4~ ! APprove?t!fi¡ Remarks: Adiust off finance charges, business is no-longer in business (Vi ':' í)O Pf¡ _ If ) 1/ ¿J." ~ , e Bakersfield Fire Dlt.. Hazardous Materials Division 2130 "G" Street " Bakersfield, CA. 93301 RECtlVED FEe 2 t 1991 Ans'd.. .......... HAZARDOUS M,ATERIALS MANÄGEMENT'ÞIAN-' . _..h_.. _n~ ~- .--.... --- INSTRUCTIONS: 1'. To avoid further action. return this form within 30 days of receipt. 2. 'TYPE/PRINT ANSWERS IN ENGLISH. . · 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. " SECTION 1: BUSINESS IDENTIFICATION DATA , BUSINESS NAME: CAM ~I\JI S CH EN6IN~~R/N·G ; CtJtJsr. LOCATION: 4//0 Ú),b/-e. Rd 3Ld~ \\ L II MAILING ADDRESS: SAMr CITY: ßFtKE'í2SF/€L-D STATE: cA ZIP: q33/3 PHONE: 83590 4fl -X;¡1¿ TGt'f I.D.::::'- // DUN 8( BRADSTREET NUMBER: /C,-JS~- 9979 SIC CODE: 31Z,,¡, GtE7Vt7eA-L É' /l . PRIMARY ACTIVITY: EN G/N~Æ!. / (.OIUS 7/e(A.C'7/0A.J OWNER: J;"n CArneal 5' clf MAILING ADDRESS: ABo () e:.. ' SECTION 2: EMERGENCY NOTIFICATION: / CONTACT 1. 3M CAVY1€nls'c.H 2.' 0IÐV£ Dowt;l/ TITLE BUS. PHONE. 24 HR. PHONE ðwAJ~..e. 135C:¡(YI~ '3C,7 / 'i'~9 ~q IÍ iv (bIJTRoL 835 ?o"l~ 397 83 8 ~ / . \ 1. \ FDI" - Bakersfield Fire Dept. e Hazardous Materials Division ì'.ô'-\~ I .·HAZARDOUS MATERIALS MANAGeMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 3 --..~. - ----. -.- ... --- .<- -"-. -...----- ._-_.~------------- __~___ _______ n_..__ MATERIAL SAFETY DATA SHEETS ON FILE: L '¿S BRIEF SUMMARY OF TRAINING PROGRAM: . 1m r'\.e..d \~k e'1-~\~(l,J-1 ~ f' rm ð I /VS T!ZCA..C- T to,..) MP¡7~(2'AL 0.,.;) pfl-.em rSê$ CA.~OIÙ, HI k-(f . º F _ ?frF£"IY_, ..PI!:.{) C€ /)ul?~~ OF '¡"¡f)? 4ft:> ()u.s . Mo~ TriLï RE )Jl:Ñ ----- - SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF .CHAP:r~R 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 TIMEEXCEED 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 OBLlGATIONŠ UNDER THE "CALlFORNIÃ HEALTH AND SAFETY CODE" 'ON HAZARDOUS MA TERIALS,,(DIV. ,20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES ÞERJURY. C .' ~. ", ~c~~ . SIGNATURE ðf.N~ TITLE ~/;9/9/ I~ ÓATE 2, FOI' / ¡,c.,' e Bakersfield Fire Dept ' Hazardous Materials DiviA ¡;~ (. 4;" HAZARDOUS MATERIALS MANAGEMENT PLAN :1 I -' SECTION 7: MITIGATION, PREVENTION AND ABATEMHH PLAN: .--- --.. - "-- ---. A. u--RELEASFPREVENTlONSTEPS:' ',-".". -_.- ,- . -- - --- - - . -- '. - - \) 0 L.f\-rfl..(!J GA-s is ST()K.El::> ,f~/) ;L!1!N/:) ¿,z-ö' WITH /~ . FitqJ 'D6Þr: GUIOiFL/¡()e-5> /t-Nð ~P6--CIFIC,IIJ7/(),.;J. IlOL.ATIl.fr blGt.oD is .s T()KE:;:-P' '//0 AN \ C>4-rs; Dt:=" ß}CKé.£) a8lÑ~r .-j 'I B. RELEASE CONTAtNMENT,AND/OR MINIMIZAnON: "",' , U5~ (J F ,UOLfl-ï Il:. r.;, ~1t-5 1./0" bE,S'1 e~ /fT 6"'ð,- ~,ee-¡t OAJ¿ '~. ,NOT..... STù~(f":P IN O()o~S, J ' ,VÆ-l-Vtr5 ~,"IF..o :Wf'oI9"/lJ ¡<JoT I;':; U~6.. (}0t;+:'{l-e: ¿lS¡tA Jt::> c.. P/f¡'¡.JT A-¡.J/j _ (1"/'~'~~--rL) usrð (!)t.\.T Dé)O.R..~ --'L.V '," - , , ~,... I' )oJ 0 I .5.... ¡¿ I Æ-^' OC-lT'DooR.. ~04ð)AJEï'. IÐ f:"b IN1:>OOk!-S j L..OG,ce.!).IN C. CLEAN-UP, PROC.EDURES: SPI LL¡z-o vOl.ArlL.G' WA-ïê-Ì'~ I c..cive-~D \ Ú ~u; b -- . l/Ya AltE"!) 1A-~éLyJ ,ÞI.$ p~.e.~e-j) .. DI RT: . Wf..,r{ WI Tff ~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: NOeTH Sf/){F ~ I!3LD6. OiJ. T' 3, DB" WA-LL- / . , ELECTRICAL: ÑOR.-TH StÖ1r OF . aLP&.. ,., u"'f' S"ID~ CV4-u , WATER: 1ùOR-TN .sf Dg- OF BL[){;. . . ($} ¡z () (.J..,y .0 I AJ F ~o rAJ or o,t:' 0 F~ ~i:-- SPECIAL: Fi R·G:. SPR.IIÙ /::..L¡..7ê Sc,1~-7/;:7Y\ hf57 1'iJ ðr 8tDt!;. ()(¡7SI.D'¡;" ,'-*" ÅJ.4kL LOCK BOX: YE~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER' AVAILABILITY: ~ A. PRIVATE FIRE PROTECTION: -ni e{?ç "FIÆG €'f;. rl/VI¡, u i SNt-7êS ' ;oN PR~/I11 S £'S .. ~ B. WATER AVAILABILITY (FIRE HYDRAN1\ /J&-ft-rt-t:?S, FtiG IIc(l>£It-AJr _ Ú)c/frëLJ dAJ -rrI(F' So,,_Wf!S 'í, ¿J;;/él¡O#/L. o~ 8L.D6-.. ~\ E II PI~e-cT'¿ÿ A-GI<oSS F~ e. GC- I 4 F/H.-IAJ ~ N0¡¿r'f. . FOló' if) ~ ~." ~ ;, '""'" - Bakersfield Fire Dept. e Hazardous Materials Division I I :¡ I HAZARDOUS MATERIALS MANAGEMENT PLAN Facility U nit Name: ... ~.. --.- . ~ ,~ .~_.. .~. - -- - .. ,- ,.- -~. - -_.- ..-. _ _. _ _._...._ .._.___. _w_.~·. . _ - - ---- - -- --- .. '",""' -. ---~--- _.- - ,. - -.--. ---.- =-- ~-~ ~ , SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AG'EN'CY NOTIFICATION PROCEDU.RES: . , , .' 'PJ..loþo)~ It-(<::f:'-~S'~¿'G'" ,f=ò¡è:. "9/1': THl2$ã 1<~-1 ',P&;ïè5C)N~ WITH K.t:'l5 To PP-(;1Y11!./:.s AÑO I/-cc-es.s -rò 4LI'/-Æ/I? t:.L)Dtr HIJ-v€" fi?e-s ID~,,-!é!.b-- \1 SPfF¢() ÞI/Tt.... II C(jD~D IrJíð - pf-l(rAl$"".~, CÆ/.'é 'S'C.t~pt-Ië-S 4-lJoClT', Â~ y - 'Ft9-'it1;-,'f ' SHUT "oFF ~'V',4L--t!Ë':5' "eN' I¥K:''-S. rrfo/IJl-roÆ- G/Ju66>-.$ /f-,v.L) . ~ '" 6" ' ,12.{,'::-Pl'}-f;e, oÆ. '~l;pVke ~ Nl:-":e:i)t:(). B. EMPLÒYEE.NÒTlFICATION AND EVAcuATION: ItPP,fèòfr¿{~r~ €K I ì SIGAJ"!> Aæ~. pò57£D. S/"JoP Supl!T12tJ/$cnii!.. t)'~ .sriÂJIDl- f:;""p'-tJy/ff" (..AJ'.L:L TA-¡cg- CHI9-/è-fi€' OF e 11 A-c tAA-ïfD.0 01= l:M P Lt:> lj ~ 4-0 b A-u:..-o CAIV, Fp Z- gP,-c!f C.' PU6L1C EVACUATION: , . /A) PeRSo;:) JJVI PvI e- ð I A 7" e' N f::-, Go H 8012"::1 WI' L(. Be- tJ A-/.? ..v c-L> 7Ø'1' etY)f'i..o '1e-6' S ON' O~ ¡::;efid)'S~' .. - - ~ j D. EMERGENCY MEDICAL PLAN: ft)kt)¡..)e.. ÑlMM- ~ o.ç NG-1-~(;:~T " # . mé{)/c4<. F4U (.-IT/f:;-S A--~ Pø~'T~.. e~o¡JË" 'tS 4-C.C-eSS/f3t..G". N~"ê.~T ¡ft1?8~urNt:,~ , " I~ 5pt:'"éD .D~Lh c;.oPe-t> ç..v Plfô;vC, -hA-$T ¡:¡'/D }(''';':.S It (l ~ ee-ft- f) , t.. y /}c c.. €ss.,,' 8 LL-:- . . ,~. . , -.... '. ..-"'\ 3. 101. e e Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED SEP 0 4 1990 HAZ. MAT. OlV. ---FoQ. Gr c¡ HAZARDOUS MATERIALS MANAGEMENT PLAN L--f d L\ INSTRUCTIONS: l. 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. I,d- '3>- \ ~C- SECTION 1: BUSINESS IDENTIFICATION DATA .~. - ~ ß BUSINESS NAME: CAMENISCH ENGINEERING & CONSTRUCTII LOCATION: 4110 WIBLE ROAD, BUILDING oLD MAILING ADDRESS: SAME CITY: BAKERSFIELD, STATE: -ºL- ZIP:93313 PHONE: 835-9048 DUN & BRADSTREET NUMBER: 16-152-9979 SIC CODE: 3724 PRIMARY ACTIVITY: STEEL FABRICATION & CONSTRUCTION OWNER: JIM CAMENISCH MAILING ADDRESS: SAME SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE l. JIM CAMENISCH OWNER 835-9048 397-1849 2. GENE DOWELL SHOP SUPv. 835-9048 397-8384 " 1. FD1590 e Bakersfield Fire Dept. e Hazardous Materials Division I <: , , '" I I HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 03 MATERIAL SAFETY DATA SHEETS ON FILE: NONE BRIEF SUMMARY OF TRAINING PROGRAM: 1. IMMEDIATE EXPLANATION AND INSTRUCTION OF HAZARDOUS MATERIALS ON PREMISES UPON HIRE. 2. MONTHLY REVIEW OF SAFETY PROCEDURES. 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 IICALlFORNIA HEALTH & SAFETY COOP FOR THE FOLLOWING REASONS: - - WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. I~\ u I ' OTHER (SPECIFY REASON) ," ' SECTION 5: CERTIFICATION: 'I; TED LEVY CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFill MY FIRM'S' OBLlGA TIONS-UNÓER THE IICALlFORNIA HEALTH AND SAFETY CODEII ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. íéJ¿~ SIGNA~ ACCOUNTS CLERK TITLE AUG. 46" 1990 DATE 2. FD1590 .... . e Bakersfield Fire Dept. Hazardous Materials Division e ì " HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: CAMENISCH ENGINEERING & CONSTRUCTION SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: ' PHONE ACCESSIBLE FOR "911" THREE KEY PERSONNEL WITH KEYS TO PREMISIS AND ACCESS TO ALARM CODE HAVE RESIDENCE "SPEED DIAL" CODED INTO PHONE. CALL SUPPLIER ABOUT ANY FAULTY SHUT OFF VALVES ON TANKS. - , MONITOR GAUGES AND REPLACE OR REPAIR AS NEEDED. B. EMPLOYEE NOTIFICATION AND EVACUATION: APPROPRIATE EXIT SIGNS ARE POSTED. SHOP SPV. OR SENIOR EMPLOYEE WILL TAKE CHARGE OF EVACUATION OF EMPLOYEES AND ACCOUNT FOR EACH C. PUBLIC EVACUATION: IMMEDIATE NEIGHBORS WILL BE WARNED IN PERSON BY EMPLOYEES ON OUR PREMISES. " D. EMERGENCY MEDICAL PLAN: PHONE NUMBERS OF NEAREST MEDICAL FACILITIES ARE POSTED. PHONÈ IS ACCESSIBLE. NEAREST AMULANCE IS "SPEED DIAL" CODED ON PHONE. ,1' FIRST AID KITS ARE READILY ACCESSIBLE. 3. F018jl() __ Bakersfield Fire Dept. e Hazardous Materials Division ~ ... ¡ .....".... ......... .,j. -"'.. I . -i HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: VOLATILE GAS IS STORED AND HANDLED WITHIN FIRE DEPARTMENT GUIDELINES AND SPECIFICATIONS. VOLATILE LIQUIED IS STORED IN AN OUTSIDE LOCKED CABINET. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: USE OF VOLATILE GAS IN DESIGNATED AREAS ONLY; NOT STORED INDOORS: VALVES CLOSED WHEN NOT IN USE. VOLATILE LIQUID (PAINT AND THINNER) USED OUTDOORS ONLY. NOT STORED INDOORS; LOCKED IN AN OUTDOOR CABINET. ·C. CLEAN-UP PROCEDURES: SPILLED VOLATILE LIQUID IMMEDIATLY DISPERSED WITH WATER, COVERED WITH DIRT. - SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL-GAS/PROPANE: ~ORTH SIDE OF BUILDING, OUTSIDE WALL ELECTRICAL: NORTH SIDE OF BUILDING, OUTSIDE WALL VVATER: NORTH SIDE OF BUILDING, GROUND IN FRONT OF OFFICE SPECIAL: N/A LOCK BOX: YES/NO IF YES, LOCATION: NO LOCK BOX SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: THREE FIRE EXTINGUISHERS ON PREMISIES B. VVATER AVAILABILITY (FIRE HYDRANT): SOUTHWEST CORNER OF BLDG. "E" DIRECTLY ACROSS FROM CAMENISCH ENGINEERING, FACING NORTH. 4. FD 1590 CITY of BAKEKSFIELD nHAZARDOUS MATERIALS INVENTORY ~. Farm and Agtlculture [] Standard BusIness Page ~__ of 01 .~ NON-TRADE SECRETS BUSINESS NAME: CAMENISCH ENGINEERING & CONSTR. ~WNER NAME: JIM CAMENISCH NAME OF THIS FACILITY:CAMENISCH ENGINERRliG &...c1lli..STR. L~C~TION: 4110 WTRI E Rn RI nr, I DDRESS·~12 SIEI1I:1EN DR STANDARD IND. CLASS CODF:3724 C T ZIP' i S N AND BRA T EET NUMBER ,.---------------.-' PHONÈ II: ¿3g~~oiáFIElD, CA_,93313 ~R6~È t 97_~VRSFIElD, CA 93304 DU ~S6.. R - L 5-2 -9-9.z 9- TO-lfiS/RUCTIONS-po~ROPER CODES -- 1 12 13 U Tr~ns loc~tion Whe~e , by Na~es of ~ixture{çc~ponents Co e Store In FaCI 1ty Wt See Instruc Ions - - N SW, outside bld . - - Name & C.A.S. Number 100 Argon. - - o Fire Hazard [] Reactivity [] Dela{ed g suddf" Re 1 ease Component 12 Name & C.A.S. Number 100 Oxygen [] Immediate -- Hea th o Pressure Health - Component 13 Name & C.A.S. Number - 1tJ"V6Ve fl - N P SE, outside bld . - Phl~jc~l ,~d ~ealth Halard Name & C.A.S. Number I ec a t at apply 100 :es >0 Fire Hazard [] Reactivity [] Dela{ed [] Suddf" Re 1 ease Component 12 Name & C.A.S. Number [] Immediate Hea th o Pressure Health Component 13 Name & C.A.S. Number Phlsical ,nd ~ealth Halard C,A.S. Number Component II Name & C,A.S, Number ( heck a 1 t at apply [] Reactivity [] Dela{ed [] SUddf" Re I ease Component 12 Name & C.A.S. Number [] Fire Hazard [] Immediate Hea th o Pressure Health Component 13 Name & C.A.S. Number Phlsic~l ,nd Health Halard C.A.S. Number Component II Name & C,A.S. Number ( hec a 1 that apply o Reactivity [] Dela{ed [] SUddf" Re 1 ease Component 12 Name & C.A.S. Number [] Fire HHard [] Immediate Hea th o Pressure Hea Ith Component 13 Name & C.A.S. Number EMERGENCY CONTACTS # 1 Ri~~ CAMEN I SCH O~NfR Wi~9 #2 GENE DOWELL - 2Tlff'1'ñ~ T t e r one Rame " Í)-r-tifiptio~ çReCFa and ~ifn afJer c9mf1~ting. ~11, sect:. ions) . , . cer~1 un er enal y. 0 a th t I av pe(sona 1 exam¡n ~ m faml1la( It the InformatIon $U m1tte~ In hIS ~nd all attaçhedrdoc~men[sl anij t at ~ase~ on my In~ulry ~ lhose Inålvl~ua's responslb1e ~or obtaInIng the In~ormatI0n. j belIeve that submltte'~,ln orllatlon IS true, accurate, an camp ete, 'r TED LIiVY,' 'ACCOUNTS CLERK Aug. 30, 1990 me a r õo f'!lTITTì operator's authorIzed represen ve uun fqr.êã