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HomeMy WebLinkAboutBUSINESS PLAN 12/22/1997 I \ ~ I ,) eJ ~ % "!#J / I --- CC II, B t. '.BRUNS0N=B'ROS.. ' ! 3901 WIBLE RQ STE.7 t ..' . __ - , l' - -~ I c ^, ~ ~ .. .(,"'-j'.:.i',jWt\':'-~' :;t;{,)-;,:':", 1'.::-...,.","~,..',',..'.'...'.. _1",,_.,,' ,,*i.')'t'~::',- , I ,:1 11 Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021.001846 BRUNSON BROS LOCATION Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 . FAX (805) 326-0576 3901 WIBLE This permit is issued for the following: zardous Materials Plan ~rsround Storage of Hazardous Materials ",¡"agement Program Waste Approved by: *~ ph Huey, ' , ffice of ental Servi es Expiration Date: June 30, 2000 I I e e CITY OF BAKERSFIELD CLAIM VOUCHER I Vendor No. CLAIMANT'S NAME-AND ADDRESS: I certify that this claim is correct and valid,and is a proper charge against the City Agency and account indicated, Brunson Bras Automotive 3901 Wible Rd, Ste 7 Bakersfield, CA 93309 (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 01/30/2001 CITY DEPARTMENT: Initials òf Preparer: ed PLEASE PROVIDE SHORT EXPLANATION OF PAYMENT: (Including Contract Number if Applicable) This business has a credit of $8.50. We will refund the credit since he is no longer a handler of hazardous materials or hazardous waste. Fund Dept. Base Ell Objt Project # Invoice # Amount Comments on check stub 11 0000 123 7900 8.50 VOUCHER TOTAL $8.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims_ Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount or writing, is guilty of a felony_ e e BRUNSON BROS SiteID: 015-021-001846 Manager Location: 3901 WIBLE RD 7 City BAKERSFIELD BusI?hone: Map": 123 Grid: 13A (805) 834-6469 CommHaz : UnRated FacUnits: 1 AOV: CommCode: OUT OF:BUSINESS/HAZ-MATL'S EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact 1 Title Emergency Contact 1 Title DAVID BRUNSON JR 1 OWNER 1 Business Phone: (805 ) 834-6469x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Contact .' Phone: (805) 834-6469x MailAddr: 3901 WIBLE RD 7 State: CA City : BAKERSFIELD Zip : 93309 Owner DAVID BRUNSON JR Phone: (805) 834-6469x Address : 3901 WIBLE RD 7 State: CA City : BAKERSFIELD Zip : 93309 , Period : to TotalASTs: = Gal Pre parer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: 6-7-00 DAVID BRUNSON JR PHONED - HASN'T HAD WASTE OIL IN 2 YRS. WILL SEND LETTER. ED One Unified List 1 All Materials at Site 1 f= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax -1- 01/30/2001' ~ I;' ;r ~.'I' , , J ~ W~d~ "~t- ~ ,&eu-U ~~rJt'~ ~ ~" fal IÂ~~J ~"2><f-. , ~òS {s & ~¿t_'\(\ ,r , . {)j ) Yl3 .s~·h~.t^1-e-J1l- + Fo r ~,W~~ _ &_~f2.. _.:'¥ ~=..-~~L,"("'-~" L,dh-:+t ;to<Jr ó)¡¡f'tc~f)' o.e èIo .- "",+ \wJL- ø.;;;I -+yr<- 6.fL, -\,J<J-=t-~rç;;:'¡:;;r~VS -6T~' ~-'" !tj ," 't.:>~ o~(' -\-;, ,,' " .- ~~ ,WL \1 ClUL- ,nJ-- InJ \Ão:z.or,&..,5 . vJ<;$" 0'" fr."" IS"-S ~iV'\ (JUrY ~ 11!S I " --n..'3 Ì5 -+k ~¿ u..v .-f¡, 1001 ll"ja.ri,hJ .f'hl:r ';vJ«.,1f-e£, f1ftW- _~ '/"tX b,')f,'J ~dL So ';¡--h'L+ WL W'''"')é cl..,./ ù ( l' ¡':s ~ C)ovc p~- !;.{-t :¡ ~ "'" <W'\iss [¿",5 ~ee,+- ""¿ ~r: Ô~+-~ ,ßì,~Jy ~ , 'Vqpbl V1 r ,_!ßUV()Sa^-. ~"~'-~~~ -----~<--"--.",~....--="'~""'"R',~,.:,- -~~,' ~ ru.Mò~' ~(t;):5. AJa Vt'tð~,- '3(.( () ( W· ~l~ ¡¿~ ,"51""~ JlF-7 ~eÆJJ~'F ' q 3;ltJ 1 p~. 3~fb' f5ß'~ I ~ :;'\h - ~Z- - - .-- . -~':~~~~-=- fø-: ~ STATEMENT OF ACCOUNT l i¡'" f CITY OF BAKERSFIELD POBOX 2057 BAKERSFIELD, CA 93303-2057 (661; 326-3979 TO: BRUNSON BROS AUTOMOTIVE C8412 3901 WIBLE RD SUITE 7 BAKERSFIELD, CA 93309 CUSTOMER NO: CUSTOMER TYPE: ESI TOTAL AMOUNT 16603 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE ------ -------- ------------------------- ---------- -------- -------------- 9/01/00 BEGINNING BALANCE FOR ~UESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- ------------~-- -------------- .." "·0 DUE DATE: 10/31/00 PAYMENT DUE: TOT AL DUE: RE;MtT ANt> MAJ.<.Et CH~CK CITY Of BAKERSFIELD PO BOX.2057 BAKERSFIELD CA 93:303....2057 ~. 661) 326-3979 CUSTOMER NO: CUSTOMER TYPE: ES/ TOTAL DUE: 16603 DATE: 10/01/00 26032 51. 50 ---- -- 51. 50 $51. 50 26032 $51. 50 'I ~ r ~tI _____'$.J ~~'; ---, ------¿ -----' ~""'"'''''~-'t..a ~_ ,,2LJ"S ? e~ ¿.. ßotkr"ót(2jl ~ \;b[ð ~G$ / '«(PJU2/"Sh~ LJ ~\; ç q-ö 3 ò'3 Brur\son Bros. Automotive 3901 Wible Rd. #7 Bakersfield, CA 93309 ;1 \ " I I I 1 ,',1,1 If " , n II IIi -g:;:~C:~+zrj::::7 II , t,_ · (805) 396-8881 ~~4;' ~4b4 2.'t 1<11.. ~ f&r-., ' ( , .. -;-.... _ _ ......r::: .- Vi~a / M.C. Accepted J ~ B~l!si.ness.N ame ~RDOUS MATERIALS INVENTa~;: . c ,~, Address ~ Page_of_ CHEMICAL DESCRIPTION I ) INVENTOR Y ST A 111S: New [ J Addition [ ) Revision [ ) Deletion [ J Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2)Common Name: I )S6C> - OJ/...-- 3) DOT II (optional) AHM [ J CAS 1# Chemical Name: 4) Physical & Health PHYSICAL HEAL TII Hazard Categories Firet2¡.J Reactive [ ] Sudden Release of Pressure [ J Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Fonn 8022) USE CODE 4-L-. 6) PHYSICAL STATE Solid [ Liquid ~ Gas [ ] Pure [ Mixture [ ] Waste~ Radioactive [ 7) AMOUNT AND TIME AT FACn.ITY Maximum Daily AmoWlt 4D Average Daily AmOWlt ':¡..~ Annual AmOWlt -:z. 40 Largest Size Container ÇS- 1# Days on Site 3 b ~ UNITS OF MEASURE Lbs [ ] Gal ~ ft3 [ Curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature (J f 4 Cin:le Which Months: All Year, J, F, M, A., M, J, J, A, S, 0, N, D 9)~: Li~ the three mo~ hazardous I) chemical components or 2) any AHM components 3) COMPONENT CASI# %Wf AHM [ ] [ ] [ ] lO)LOCATION jJV.s ID~ e W'C\ CL (fr S U-aP 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) OOT 1# (optional) Chemical Name: AHM [ ] CAS 1# 4) Physical & Health PHYSICAL HEAL TII Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily AmOWlt A verage Daily AmOWlt Annual AmOWlt Largest Size Container II Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ ] Curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature Cin:le Which Months: All Year, J, F, M, A., M, J, J, A, S, 0, N, D 9)~: Li~ the three mo~ hazardous I) chemical components or 2) any AHM components 3) COMPONENT CASI# %Wf AHM [ ] [ ] [ ] IO)LOCATION I certify under penalty of law, that r have personally examined and am familiar with the ÎIÛ4 believe the submitted infonnation is true, accurate and complete. Ù~"'J~ Á ,fbYt)Y\.Y¡"1 jv /¡'1~VV n~tÍ PRINT Name & Title of Authorized CompanyRepresentative /?. ' ;t;;) , 97 Dáte I I HAZARDOUS MATERIALS INVENTORY -_ 'e Address Page_of_ Business Name .., -. '. ~ CHEMICAL DESCRIPTION I ) lNVENTOR Y STATUS: New [ I Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT 1# (optional) Chemical Name: ARM [ ] CAS II 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Tmmediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature All Year, J, F, M. A. M. J, J, A. 51 0, N, D 7) AMOUNT AND TIME AT FACILITY , Maximum Daily Amount Average Daily Amount Annual Amount Largest 5ize Container II Days on Site UNITS OF MEASURE Lbs[ ]Gal[ ]ft3[ ] , Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT CAS# %Wf AHM [ ] [ ] [ ] , 10)LOCATION' 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemic:a1 is a NON Trade Secret [ ] Trade Secœt [ ] 3) OOT # (optional) AHM [ ] CAS II 2) Common Name: . Chemic:a1 Name: I' 4) Physical & Health PHYSICAL HEAL rn I Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure.: c ) Temperature 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container II Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[] Curies [ ] Circle Which Months: All Year, J, F, M, A. M, J, J, A. S, 0, N, D 9) MIXTURE: List the three mo~ hazardouS I) chemic:a1 components or 2) any ARM components 3) COMPONENT CASII %WT AHM [ ] [ ] [ ] lO)LOCATION r certitÿ under penalty of law, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted information is true. accurate and complete. Signature Date PRINT Name & Title of Authorized Company Representative