HomeMy WebLinkAboutBUSINESS PLAN 12/22/1997
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! 3901 WIBLE RQ STE.7
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Per
it
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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
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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_
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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'
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STATEMENT OF ACCOUNT
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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
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Brur\son Bros. Automotive
3901 Wible Rd. #7
Bakersfield, CA 93309
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~RDOUS MATERIALS INVENTa~;:
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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
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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~
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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
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HAZARDOUS MATERIALS INVENTORY
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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