HomeMy WebLinkAboutBUSINESS PLAN 7/24/2007
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RAINBOW CAR WASH
SiteID: 015-021-001369
Manager FRANCISCO MORALES
Location: 3951 WIBLE RD
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 13A
(661) 831-3311
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: BFD STA 07
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
~RANCICCO MOKALES / MANAGER -:J' ..... 4. f\ EDWIN BENYAMINI / OWNER
1l.. A.... ;. .... 'L
Business Phone: (661) 831-3311x Business phone: (661) 831-3311x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : (310) ,877-9395x
Hazmat Hazards:
Fire
React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 831-3312x
State: CA
Zip : 93309
Phone: (310) 877-9395x
State: CA
Zip : 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : ELYAS BABAJOHI
MailAddr: 3951 WIBLE RD
City : BAKERSFIELD
Owner
Address
City
RAINBOW CAR WASH & LUBE INC
: 3951 WIBLE RD
: BAKERSFIELD
Emergency Directives:
PROG A - HAZMAT
PROG C - COMM HOOD
C'!
Based on my inquiry of ,those individua,ls
respc.nsible for obtaining the information, I certify
under penalty of law that " have personally
examined and am familiar with the ~nformatlon
submitted and believe the information IS true,
accurate, /,\omPlete.
iZ..' ~ L 7- 2 L/,/J 7
~~~re-'- ~ Date
ENiD JUt 2 5 Z007
-1-
07/13/2007
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STORAGE CONTAINER DATA UST F RM A
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: RAINBOW CAR WASH
Cross Street :
Business Type: Org Type:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
Dsg Own/Oper : ICC Nbr:
PROPERTY OWNER INFORMATION
Name : EDWIN BENYAMINI Phone: (661) 831-3311x
Address:
City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : EDWIN BENYAMINI Phone: ( 661) 831-3311x
Address:
City : State: Zip:
Type : CORPORATION
BOE UST Fee# : UNKNOWN
Financ'l Resp: SELF INSURED
Legal Notif :
Date:02/1S/2000 Phone: (266) 133-11 x
Name:EDWIN BENYAMINI Ttl:OWNER
State UST # : 1998 Upg Cert#: 00844
o
SiteID: 015-021-001369 ,
)
F RAINBOW CAR WASH
-2-
07/13/2007
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SiteID: 015-021-001369 1
By Facility Unit 1
Fixed Containers on Site 1
I SpecHazIEPA Hazards I Frm I DailyMax IUnitlMCP
F RAINBOW CAR WASH
f= Hazmat Inventory
p== MCP+DailyMax Order
Hazmat Common Name...
CAR WASH DETERGENT
WHITE WALL CLEANER
TIRE DRESSING, WS-2NS
POLISH
IH DH
R IH
L
L
L
L
110.00 GAL
55.00 GAL
55.00 GAL
100.00 GAL
Mod
Mod
Mod
UnR
F
DH
-3-
07/13/2007
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07/13/2007
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SiteID: 015-021-001369 ,
Facility Unit: Fixed Containers on Site,
F RAINBOW CAR WASH
p= Inventory Item 0005
= COMMON NAME / CHEMICAL NAME
CAR WASH DETERGENT
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
1310-73-2
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
110.00 GAL
Daily Average
110,00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
20.00 Sodium Metasilicate No 6834920
10.00 Dodecylbenzenesulfonic Acid No 68608888
40.00 Sodium Carbonate No 497198
HAZARD ASSESSMENT
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Mod
S
p= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
WHITE WALL CLEANER
Facility Unit: Fixed Containers on Site,
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
111-76-2
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-NONMETAL
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
5.00 2-Butoxyethanol No 111762
4.00 Sodium Hydroxide No 1310732
Sodium Silicate No 1344098
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-5-
07/13/2007
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SiteID: 015-021-001369 ,
Facility Unit: Fixed Containers on Site,
F RAINBOW CAR WASH
p= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
TIRE DRESSING, WS-2NS
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
HAZARDOU MP NEN
%Wt. RS CAS #
16.00 Isopropanol No 67630
25.00 Glycerine No 56815
S CO 0 TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0006
F= COMMON NAME / CHEMICAL NAME
POLISH
LIQUID VEHICLE POLISH
Location within this Facility Unit
Facility Unit: Fixed Containers on Site,
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
100.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
G
CAS #
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
-6-
07/13/2007
,
.
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SiteID: 015-021-001369 ,
Fas t Format,
Overall Site,
01/18/2000
F RAINBOW CAR WASH
I
p= Notif./Evacuation/Medical
Agency Notification
CALL 911.
Employee Notif./Evacuation
01/18/2000
THE PA SYSTEM WOULD BE UTILIZED. THIS IS CONTROLLED BY MANAGEMENT AND
CASHIERS FROM LOBBY OR OFFICE. ALL EMPLOYEES WOULD BE DIRECTED TO THE
EVACUATION AREA.
Public Notif./Evacuation
01/18/2000
THE PA SYSTEM WOULD BE UTILIZED.
Emergency Medical Plan
04/27/1990
ANY INJURY FROM HAZARDOUS MATERIALS WILL BE SENT TO MEMORIAL URGENT CARE ON
MING AVE.
-7-
07/13/2007
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SiteID: 015-021-001369 ,
Fast Format ,
Overall Site 9
F RAINBOW CAR WASH
I
p= Mitigation/Prevent/Abatemt
Release Prevention
Release Containment
Clean Up
07/13/2006
DRY SWEEP FOR SMALL SPILLS. FOR LARGER SPILLS, A LICENSED HAZARDOUS WASTE
SPECIALIST WILL BE INVOLVED ALONG WITH FIRE AND HEALTH DEPARTMENTS.
Other Resource Activation
-8-
07/13/2007
'.
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SiteID: 015-021-001369 9
Fast Format "I
Overall Site "I
F RAINBOW CAR WASH
I
p= Site Emergency Factors
Special Hazards
Utility Shut-Offs
04/26/2007
GAS - SE PLANTER FRONT OF PROP
ELECTRICAL - S SIDE OF BLDG ELECT RM
WATER - E SIDE OF PROP AT WIBLE RD
Fire Protec./Avail. Water
01/11/2007
PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS.
FIRE HYDRANT - N SIDE OF BLDG NEXT TO TRASH ENCL & NE CRNR OF BLDG.
Building Occupancy Level
03/09/2006
30 EMPLOYEES
-9-
07/13/2007
-,.
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SiteID: 015-021-001369 9
Fast Format "I
Overall Site 9
07/13/2006
F RAINBOW CAR WASH
I
p= Training
Employee Training
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED AS PER
GUIDELINES PRINTED IN HAZARDOUS MATERIALS MANAGEMENT PLAN. MANAGEMENT IS
TRAINED IN EVACUATION PROCESS AND CONTACTING LOCAL AUTHORITIES.
Page 2
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Held for Future Use
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07/13/2007
oJ
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RAINBOW CAR WASH
SiteID: 215-000-001369
I
Manager
Location: 3951 WIBLE RD
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 07
EPA Numb:
BusPhone:
Map : 123
Grid: 13A
(805) 831-3311
CommHaz : Low
FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
KAMIES ELHOUTY / MANAGER /
Business Phone: (805) 831-3311x Business Phone: ( ) - x
24-Hour Phone : (805) 665-8914x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact : Phone: ( . ) - x
MailAddr: 3951 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93309
Owner SAMSARA INVESTMENT CORP Phone: (805) 831-3311x
Address : 3951 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93309
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List 9
All Materials at Site 9
p= Hazmat Inventory
p== MCP+DailyMax Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
SUPREME GASOLINE F IH DH L 12000.00 GAL Mod
UNLEADED GASOLINE F DH L 12000.00 GAL Mod
EEGULAR GASOLINE, l i( J ,r / J DR L 12000.00 GAL Mod
" ( ~ W Cl¿D.fAy¡ (1\ It 9ddlcJ {¡ ( It (.
4 1!jC; qtl/. 1A,({J.V\ð I, dir r- 'tl.f)~s Do he~';bY C~~ that II ~V~Y(!l/'ð((C<', ~(C·UI.« rr.(.Itt~/(4-
~P3 or print IIQ/TI:)
,-;) 55 fa!. ..,IQ,J'6. ctV"1sviewed U'ð~ attachoo hazardoos materials managa- ()Lk:rf(clC.f ç~/vl'Of\
I 5od,tJlV\.. ho.ur·'-d eff.." r
w:~ 5ðClP ment plan ior f2a'~~~~{~;¡1/;:'f5 t-Qoo ~ha~ ~t along \Î;¡'ith 5Jllaf'L
S'5f f . .
I Q.. '^ ' QJ l d (]tC1\ ,,,JL., any corrections constitut~ a complete and correct man-
(lo l, I k. agement plsU'! for my mcility.
I s-s- ral
PIJ(V {!;cot11 '
tJù ~CJ"-'f c I-Áu,,i _
11¡\(V}C/fCJ..( :k(Â.( Ol/
12/21/1999
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SiteID: 215-000-001369 ì
Facility Unit: Fixed Containers on Site ì
F RAINBOW CAR WASH
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
SUPREME GASOLINE
Days On Site
365
Location within this Facility Unit
NORTH OF BLDG E OF DISPENSER
Map:
Grid:
CAS #
8006-61-9
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
7000.00 GAL
%Wt. RS CAS #
100.00 Gasoline No 8006619
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / I / Mod
HAZARD ASSESSMENTS
f= Inventory Item 0002
F= COMMON NAME / CHEMICAL NAME
UNLEADED GASOLINE
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
NORTH OF BUILDING EAST OF DISPENSER
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK '
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
7000.00 GAL
%Wt. RS CAS #
100.00 Gasoline No 8006619
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
HAZARD ASSESSMENTS
-2-
12/21/1999
--
--
F RAINBOW CAR WASH
p= Inventory Item 0003
¡::::::= COMMON NAME / CHEMI CAL NAME
REGULAR GASOLINE
SiteID: 215-000-001369 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
NORTH OF BUILDING EAST OF DISPENSER
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
7000.00 GAL
%Wt. RS CAS #
100.00 Gasoline No 8006619
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Mod
HAZARD ASSESSMENTS
-3-
12/21/1999
e
e
Employee Notif./Evacuation
SiteID: 215-000-001369 ì
Fast Format ì
Overall Site ì
04/27/1990 ]
04/27/1990
F RAINBOW CAR WASH
I
p= Notif./Evacuation/Medical
r=: Agency Notification
LL 911
THE P.A. SYSTEM WOULD BE UTILIZED. THIS IS CONTROLLED BY MANAGEMENT AND
CASHIERS FROM LOBBY OR OFFICE. ALL EMPLOYEES WOULD BE DIRECTED TO THE
EVACUATION AREA.
Public Notif./Evacuation
04/27/19901
04/27/1990
I THE
P.A. SYSTEM WOULD BE UTILIZED.
Emergency Medical Plan
ANY INJURY FROM HAZARDOUS MATERIALS WILL BE SENT TO MEMORIAL URGENT CARE ON
MING AVE.
-4-
12/21/1999
e
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SiteID: 215-000-001369 ì
Fast Format ì
Overall Site ì
04/27/1990
F RAINBOW CAR WASH
I
p= Mitigation/Prevent/Abatemt
Release Prevention
LEAK ALERT SYSTEM INSTALLED, WHICH INDICATES VAPOR OR LIQUID FUEL LEAKS AND
SIGNALS AN AUDIBLE ALARM. FUEL LEVEL SENSORS INSTALLED IN UNDERGROUND TANKS
WHICH PROVIDES A PRINTED REPORT TWICE DAILY.
Release Containment
04/27/1990
LEAK ALERT AND FUEL LEVEL SENSORS CHECKED DAILY. EMERGENCY SHUT OFF SWITCH
ON OUTSIDE OF BUILDING, NEAR GAS DISPENSERS TO TURN OFF TURBINES IN THE
EVENT OF AN ABOVEGROUND LEAK.
Clean Up
04/27/1990
DRY SWEEP FOR SMALL SPILLS. FOR LARGER SPILLS A LICENSED HAZARDOUS WASTE
SPECIALIST WILL BE INVOLVED ALONG WITH FIRE AND HEALTH DEPARTMENTS.
Other Resource Activation
,I
-5-
12/21/1999
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SiteID: 215-000-001369 l
Fast Format ì
Overall Site ì
I
F RAINBOW ,CAR WASH
I
p= Site Emergency Factors
r== Special Hazards
Utility Shut-Offs
03/03/1994
A) GAS - SOUTHEAST PLANTER (FRONT OF PERPERTY)
B) ELECTRICAL - SOUTH SIDE OF BUILDING (IN ELECTRIAL ROOM)
C) WATER - EAST SIDE OF PROPERTY AT WIBLE ROAD
D) SPECIAL - GASOLINE EMERGENCY SHUT OFF NORTHEAST SIDE OF BUILDING
E) LOCK BOX - NO
Fire Protec./Avail. Water 03/03/1994
PRIVATE FIRE PROTECTION - COMPLETE SPRINKLER SYSTEM FOR ENTIRE BUILDING AND
OUTSIDE CANOPYS/FIRE EXTINGUISHERS READILY AVAILABLE AS PER FIRE INSPECTION.
FIRE HYDRANT - NORTH SIDE OF BUILDING NEXT TO TRASH ENCLOSURE
NORTHEAST CORNER OF BUILDING
Building Occupancy Level
03/03/1994 1
I 2
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12/21/1999
e
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SiteID~ 215-000-001369 9
Fast Format =¡
Overall Site =¡
04/27/1990
F RAINBOW CAR WASH
I
F Training
Employee Training
WE HAVE 30 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES ARE TRAINED AS PER GUIDELINES PRINTED IN HAZARDOUS MATERIALS
MANAGEMENT PLAN" MANAGEMENT IS TRAINED IN EVACUATION PROCESS AND CONTACTING
LOCAL AUTHORITIES.
Page 2
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I
Held for Future Use
Held for Future Use
-7-
12/21/1999
uSlness þfanU¡:;datèF.i
ain6owCarWaSfî-
':~:""':':;~.':iW!:)~":::8:8Mø.'"¿;~:;:;:8:;:;:'''''''''''''m'''':,"w'"';""""~"-'-:-'-""-',,"'"'''-'''''-~-;w.'',~:ili.::';:;:.'W8i;«fJ~.:~
From:
To:
Date:
Subject:
Steve Underwood
Esther Duran
Thu, Jan 13, 2000 4:30 PM
Business Plan Update For Rainbow Carwash
Esther,
I left an update on your desk, However doubt you can read it, Cut me some slack, i had to write it down
, while walking,lol
Here is what they are adding to inventory:
(4) 55 gal. Drums of Liquid White Wall Cleaner, chemical name is sodium hydroxide, sodium Metasllant
(2) 55 gal Drums of liquid Carwash soap, sodium Lauryl ether sulfate
(2) 55 gal Drums of Poly Bond Protectant, chemical name is Butyyether mineral seal oil.
See ya next Friday, left update on your desk. Be Cool!!!
'¡,-:1~:., ~
.
.
CITY OF BAKERSFIELD
CLAIM VOUCHER
I Vendor No.
I certify that this claim is correct and valid, and is a proper
charge against the City Agency and account indicated.
CLAIMANT'S NAME AND ADDRESS:
Rainbow Car Wash (AUTHORIZED SIGNATURE OF CITY AGENCY)
3951 Wible Rd
Bakersfield, CA 93309 Date: 04-01-99 Initials of Preparer:
CITY DEPARTMENT: FINANCE
PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable)
This customer made a duplicate payment of this years Haz Mat bill in the amount of $400.50.
We have since made an adjustment to the California State surcharge in the amount of $8.50
leaving them with a credit of $409.00.
Fund Dept.
Base Ell Objt Project #
Invoice #
Amount
Date of Invoice
11
0000
123
7900
$409.00
VOUCHER TOTAL
$409.00
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.
...
~
--
STATEMENT OF ACCOUNT
e
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD. CA 93301-5201
(805) 326-3979
DATE: 4/01/99
TO: RAINBOW CAR WASH
395i WIBLE RD
BAKERSFIELD, CA 93309
CUSTOMER NO:
3413
CUSTOMER TYPE: ESt
3413
----------------------------------------------------------------------------
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE
ïOTAL AMOUNT
------ -------- ------------------------- ----------- --------
--------------
3/01/99 BEGINNING BALANCE
2/17/99 PAYMENT
S8001 3/31/99 Charge adjustment 4/30/99
CA STATE SURCHARGE
.00
400. 50--
8. 50--
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT,
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
8. 50-
DUE DATE: 5/03/99
PAYMENT DUE:
TOTAL DUE:
409. 00--
$409. 00--
~..,..---__~'"__~_~_________.~~~w__~~_~~__________~~.
PLEASE DETACH AND SEND THIS COpy UITH REMITTANCE
DATE: 4/01/99
DUE DATE: 5/03/99
REMIT AND ...tAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
PO BOX 2057
BAKERSFIELD CA 93303-2057
(805) 326-3979
CUSTOMER NO:
3413
CUSTOMER TYPE: ESI
TOTAL DUE:
3413
$409.00-
}It
\ u_
GUST~. NO. t:5 3Ltl3
-
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE 3~ { l-:ft
NEW ACCOUNT !
ADDRESS CHANGE
CLOSE ACCT i
: FINANCE CHARGE
, OTHER ADJ
f?o; 0 boL0· Ca£ Û~
MAILING ADDRESS 3QS t uJ'l b \ -e D.
CllY P-::o.-l~('S~t f'\cÀ STATE C ckr'
CUSTOMER NAME
ZIP CODE q~sCA
SITE ADDRESS
PARCEL NUMBER
(lFAPPUCABlE)
ADJUSTMENT
R~~~S:b~:; ~Ó -sºrda~~ doJ\cÁ'v~
APPROVED BY ~ ~
e ST ATEMENT OF ACCOUNT e
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-5201
(805) 326-3979
TO: RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD. CA 93309
DATE: 9/01/98
CUSTOMER NO:
3413
CUSTOMER TYPE: ES/
3413
----------------------------------------------------------------------------
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE TOTAL AMOUNT
------ -------- ------------------------- ---------- -------- --------------
8/01/98 BEGINNING BALANCE
7/21/98 PAYMENT
REFND 8/19/98 MR INT REFUND VCHRS
.00
350. 50--
350. 50
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
DUE DATE: 10/01/98
PAYMENT DUE:
TOTAL DUE:
350. 50--
$350. 50--
REMIT AND MAKE CHECK
CITY QFBAKERSf"IELD
Pet ,BQ~ ,2057
BAKERSFIELD CA 93303--2057
CUSTOMER NO:
3413
CUSTOMER TYPE: ESI
TOTAL DUE:
3413
$350, 50-
;;:-2 ;' _ ~
e
e
CITY OF BAKERSFIELD
CLAIM VOUCHER
I Vendor No. '
I certify that this claim is correct and valid, and is a proper
charge against the City Agency and account indicated,
CLAIMANT'S NAME AND ADDRESS:
Rainbow Car Wash
3951 Wible Rd
Bakersfield, CA 93309
(AUTHORIZED SIGNATURE OF CITY AGENCY)
Date: 08-12-98 Initials of Preparer :
CITY DEPARTMENT: FINANCE
PLEASE PROVIDE SHORT EXPLANATION OF PAYME
(Including Contract Number if Applicable)
This business double paid their Hazardous Materials bill. For that reason they now have a
credit of $350.50 which we will be refunding.
Fund Dept.
Base Ell Objt Project #
Invoice #
Amount
Date of Invoice
011 0000
123
7900
$350.50
VOUCHER TOTAL
$350.50
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.
:;¡¿ ,~
~~'!t~~
~
BAKERSFIELD
FIRE DEPARTMENT
.
e
I
--
MEMORANDUM
DATE: August 5, 1,998
TO: Susan Chichester
FROM: Esther Duran
SUBJECT: Claim Voucher
Please issue a Claim Voucher to refund over payment of $350.50 paid by
Rainbow Car Wash. They made a payment on 7/01/98 of$350.50 and again on
7/21/98. The second payment created the credit of $350.50. Please send a refund
of $350.50 to:
Thank you,
led
Rainbow Car Wash
3951 Wible Rd
Bakersfield, CA 93309
1Jg..~ de W~ ~p vØ60P6!Y%~ A ~~ "
~i·~ ~
~')Õ,~
e
STATEI'IENT OF ACCOUNT e
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
'BAKERSFIELD, CA 93301-5201
, (805) 326-3979
TO: RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD, CA 93309
DATE: 8/01/98
CUSTOMER NO:
3413
CUSTOMER TYPE: ES/
34·13
----------------------------------------------------------------------------
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE
TOTAL AMOUNT
------ -------- ------------------------- ---------- -------- --------------
6/30/98 BEGINNING BALANCE
7/01/98 PAYI'IENT
7/21/98 PAYMENT
350. 50
350. 50--
350. 50--
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
DUE DATE: 8/31/98
PAYMENT DUE:
TOT AL DUE:
350. 50--
$350. 50--
'-'-" ",
. ., - ,
'., PLEASE DETACH ~/ANI>SEND THISCÔPy,:WI:TH
" ,
DATE: 8/01,/98
DUE DATE: 8/31/98
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
PO BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO:
3413
CUSTOMER TYPE: ES/
TOT AL DUE:
3413
$350. 50-
I .,I"..':¡ " '"
----,..
. ~
BAKIt1SFIELD CITY FIRE ~PARTMENT
-
HAZARDOUS MATERIALS DIVISION
.1715 CHESTER AVE.
BAKERSFIELD, CA. 93301
(805) 326-3979
HAZARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION
II~J'\
'"''"IN , 0
Ii~< . 1995
. 114-4 .,.
. DII/.
CHECK IF BUSINESS IS A FARM ( ]
BUSINESS NAME RAI¡VßrM ~A-RW!t-5H
f
FACILITY NAME
SITE ADDRESS 30 f I
CITYS \(--eV-)j~1'~
W~~l_~ ~\\)
STATE ¿~
(7A~,~,Jltb,^- ~ Co,A-S
ZIP i:3 1 '0 (
\
I
I
I'
II
Ii
\\
!i
:: I
"
I'
NATURE OF BUSINESS
SIC CODE
DUN & BRADSTREET NUMBER
OWNER/OPERATOR, 5C1.r:.M.C;~v4. ~,{V'R ';J~-I'I.(\ (1D'fp PHONE
I MAILING ADDRESS 39>) Wì~L-E' ~V
\ CITY <B"-ll:(-E''' J.(Îc U STATE r2P
(ffð5Jg3-3~11
ZIP
q8 J ai
I
\ EMERGENCY CONTACTS
I NAM E ;:;, ýY) 1(: :; ~ ~ /\.1) <--<"t f TITLE f?V',c.)'
BUSINESS PHONE CgrrfJ) C¡31 ~ '3 31 } 24-HOUR PHONE lIdf-) 6;/;) - K I / if
NAME' /uD~ f)(j'rÁa.rn TITLE /,)/'0c ~
,
BUSINESS PHONE 6tJ S-. ß3J--:7L~11 24-HOUR PHONE A6~ - 3c;/~()19l./Ú
~.....- 3:). 1S1Q'2
REGION V lE?C STANCAAO F-:
BAKERSFII.i.LD CITY FIRE DEPARWI,' ENT
HAZAR~US MATERIALS INVENTO'"
:P. ,i', 'f,~
k
Page_of_ i
3usiness Name
Address
CHEMfCAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ 1 Revision [ 1 Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 3) DOT # (optional)
Chemicat Name: AHM [ 1 CAS #
,
,
i 4) PHYSICAL & HEALTH,: : PHYSICAL HEALTH
,
\ HAZARD CATEGORIES Fire [ 1; Re,active [ 1 Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
,
! 5) WASTE CLASSIFICAT10N " (3-digi~ code from DHS Form 8022) USE CODE
'. - "
6) PHYSICAL STATE Solid [' ] '" 'Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHEOCN..J.. THAT APPlY
7) AMOUNT AND T1ME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: -. Ibs [ ] gal ['] ft3 [ ] ',a) Container:
Average Daily Amount: curies [ ] b) Pressure:
Annual Amount: c) Temperature:
Largest Size'Container:
# Days On Site Circle Which Months: All Year, J. F, M, A. M. J. J. A. S, 0, N,D
9) MIXTURE: Ust , COMPONENT CAS # %WT AHM
, the three most hazardous 1 ) [ ]
chemical components or
any AHM components 2) '''\ [ ]
3) [ ]
-
! 10) Location
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL ' , HEALTH
HAZARD CATEGORIES Fire [ J 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 [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHEC1<AJ..L THAT APPlY
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: Ibs [ ] gal [ ] ft3 [ ] a) Container:
Average Daily Amount: curies [ ] : b) Pressure:
Annual Amount: " c) Temperature:
Largest Size Container:
# Days On Site Circle Which Months: All Year. J. F, M. A. M. J. J. A. S. 0, N. D
9) MIXTURE: Ust COMPONENT CAS # %WT AHM
the three most hazardous 1) [ ]
chemica! components or ".,
any AHM components 2) [ J
3) [ 1
1 0) Location
I certify unaer penalty of law, that J nave personally exarntnea and am famIliar WIth the mTomaOon su/Jmttted on thiS and tiJT attached documents. I /Jel/eve the
submitted information is true. accurate, and complete.
Signature
Date
PRINT Name & Title of Authorized Company Representative
AEœcJ\I v lÆPC STJtNQMD FQII..
....~1ma
."i)A.\:"~:(
-.
-
-
/'
---r¡
.....................,
~;
12/06/94
RAINBOW CAR WASH 2l5-000-001369
Overall Site with 1 Fac. Unit
Page 1
General Information
Location: 3951 WIBLE RD Map: 123 Haz:2 Type: 3
City . Grid: 13A F/U: 1 AOV: 0.0
.
- Contact Name Title --- Contact Name Title
KAMIES ELHOUTY / MANAGER JOHNNY DUENA3 / AS 8'-1 to ':I::' MAD.lA~1\
Business Phone: (805) 831-3311x Business Phone: (805) 831-3311x
24-Hour Phone · (805) 665-8914x 24-Hour Phone · (805) 831 2126x
· ·
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
Mail Addrs: 3951 WIBLE RD D&B Number:
City: BAKERSFIELD State: CA Zip: 93309-
Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code:
Owner: SAMSARA INVESTMENT CORP Phone: (805) 831-3311
Address: 3951 WIBLE RD State: CA
City: BAKERSFIELD Zip: 93309-
Summary
RECEIVED
JAN 1 0 1995
HAZ. MA r. DIV.
I, ~~,,~ I'lCo hereby certify that have
revieWedthø attached hazardous materials manage-
ment plan for~JL~ý+ß8nd that it along .with
any correctIons constitute a complete and correct man-
agement plan for my facility.
~
/2-~-7'y
·i e e
.
,
l2/06/94 RAINBOW CAR WASH 215-000-001369 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-001 SUPREME GASOLINE Liquid 12000 Moderate
.. Fire, Immed Hlth, Delay Hlth GAL
02-002 UNLEADED GASOLINE Liquid 12000 Moderate
.. Fire, Delay Hlth GAL
02-003 REGULAR GASOLINE Liquid 12000 Moderate
.. Fire, Delay Hlth GAL
02-004 PREMIUM CLEAR VINYL DRESSING ? 0 Unrated
..
e
e
12/06/94
RAINBOW CAR WASH 215-000-001369
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02~001 SUPREME GASOLINE
~ Fire, Irnmed Hlth, Delay Hlth
Liquid
12000 Moderate
GAL
CAS #: 8006-61-9
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
Daily Max GAL
12,000
-¡
Daily Average GAL
7,000.00
I
Annual Amount GAL --
36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTH OF BLDG E OF DISPENSER
- Conc l
100.0% Gasoline
Components
\-; MCP -¡-Guide
Moderate 27
02-002 UNLEADED GASOLINE
~ Fire, Delay Hlth
Liquid
12000 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
12,000 I 7,000.00 I 36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTH OF BUILDING EAST OF DISPEN
- Conc l
100.0% Gasoline
Components
r; MCP -¡-Guide
Moderate 27
02-003 REGULAR GASOLINE
~ Fire, Delay Hlth
Liquid
12000 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
12,000 I 7,000.00 I 36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientlNORTH OF BUILDING EAST OF DISPEN
- Conc -,
100.0% Gasoline
Components
\-; MCP ~Guide
Moderate I 27
e
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12/06/94
RAINBOW CAR WASH 215-000-001369
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02-004 PREMIUM CLEAR VINYL DRESSING
~
?
o Unrated
CAS #:
Trade Secret: No
Form: Unknown Type: Unknown Days: Use:
Daily Max
o
r-- Daily Average
0.00
I
Annual Ainount
0.00
Storage
Press T Temp
Location
- Conc
Components
MCP --¡Guide
D / -.S C ò n +ifJ fA-É'-oI
~ f/L.~~
/)0
~~
~
~
e
e
~
12/06/94
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
5
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation ,
THE P.A. SYSTEM WOULD BE UTILIZED. THIS IS CONTROLLED BY MANAGEMENT AND
CASHIERS FROM LOBBY OR OFFICE. ALL EMPLOYEES WOULD BE DIRECTED TO THE
EVACUATION AREA.
<3> Public Notif./Evacuation
THE P.A. SYSTEM WOULD BE UTILIZED.
I <4> Emergency Medical Plan
ANY INJURY FROM HAZARDOUS MATERIALS WILL BE SENT TO MEMORIAL URGENT CARE ON
MING AVE.
~
~
.
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l2/06/94
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
6
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
LEAK ALERT SYSTEM INSTALLED, WHICH INDICATES VAPOR OR LIQUID FUEL LEAKS AND
SIGNALS AN AUDIBLE ALARM. FUEL LEVEL SENSORS INSTALLED IN UNDERGROUND TANKS
WHICH PROVIDES A PRINTED REPORT TWICE DAILY.
<2> Release Containment
LEAK ALERT AND FUEL LEVEL SENSORS CHECKED DAILY. EMERGENCY SHUT OFF SWITCH
ON OUTSIDE OF BUILDING, NEAR GAS DISPENSERS TO TURN OFF TURBINES IN THE
EVENT OF AN ABOVEGROUND LEAK.
<3> Clean Up
DRY SWEEP FOR SMALL SPILLS. FOR LARGER SPILLS A LICENSED HAZARDOUS WASTE
SPECIALIST WILL BE INVOLVED ALONG WITH FIRE AND HEALTH DEPARTMENTS.
<4> Other Resource Activation
):;:oJ ~ ~ '.- e e
.
"
'"
12/06/94 RAINBOW CAR WASH 215-000-001369 Page 7
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - SOUTHEAST PLANTER (FRONT OF PERPERTY)
B) ELECTRICAL - SOUTH SIDE OF BUILDING (IN ELECTRIAL ROOM)
C) WATER - EAST SIDE OF PROPERTY AT WIBLE ROAD
D) SPECIAL - GASOLINE EMERGENCY SHUT OFF NORTHEAST SIDE OF BUILDING
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - COMPLETE SPRINKLER SYSTEM FOR ENTIRE BUILDING AND '
OUTSIDE CANOPYS/FIRE EXTINGUISHERS READILY AVAILABLE AS PER FIRE INSPECTION.
FIRE HYDRANT - NORTH SIDE OF BUILDING NEXT TO TRASH ENCLOSURE
NORTHEAST CORNER OF BUILDING
<4> Building Occupancy Level
2
.:." '(.
,~,
e
e
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12/06/94
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
8
<G> Training
<1> Employee Training
WE HAVE 30 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES ARE TRAINED AS PER GUIDELINES PRINTED IN HAZARDOUS MATERIALS
MANAGEMENT PLAN" MANAGEMENT IS TRAINED IN EVACUATION PROCESS AND CONTACTING
LOCAL AUTHORITIES.
I <2> Page 2
<3> Held for Future Use
<4> Held for Future Use
-' ~ ~J2ØJv(' ,-_.
HAZARDOUSMA TERIAAINSPECTION r,',',:*,:',i Ba&Arield Fire Dept.
~ iii HazarcB Materials Division
~Mjm Y£\1Bz111iJ¡PttKS.\7H ?!GF/i)V/ C:U':'0H:E/ ::rœtWiMtfn%~ ,^'-'-,"'x';:;:;::':AittIhF m~:,~,:~::::,~::~~:~,:,:::~:~::;;,25n;;;,----,- ~~. ~,,:,:,:,
;ie:;,
h/~
"<-'~
Date Completed
)
f'-IO.--'~
Business Name: r~A..'\ b" IN CA.^- 4.J ,4J~
Location: J q.J ( tv .- b (~ 1-)
Business Identification No. 215-000 - O(J I J 6 c¡ (Top of Business Plan)
,
Shift f) Inspector <f - L... L45
11.'/7
Departure Time: ,~ Inspection Time: 17 ft.\. < .,,- r
Station No. 7
Arrival Time: II.' () (j
~~ß f ~ '
~ ¡o/!)p \
I ~
~ Comments:~
I~'
Number of Employees:
(. \.A , Commen1s:
\ (/?fJ
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Adequate
D
D
.gf
ø
Inadequate
,(gJ RECEIVED
g AUG 1 6 1994
o HAZ. MAT. DIV.
o
Verification of MSDS Availability
?-~
Verificatiòn of Haz Mat Training
~
'gJ
D
D
Verification of Abatement Supplies & Procedures
Comments:
~
o
Emergency Procedures Posted
Containers Properly Labeled
Comments:
1%1
~
o
o
D
Verification of Facility Diagram
Special Hazards Associated with this Facility:
ø
(
--~ -"'"
Violations: :'¡) <:> b I~ { .S
ç fL -e. 1"'- . "u. "VI.
c.leA-'~ - 1/:"'-<1 { QA~5~;V'~
1 '"
F /4/"'-,.., -1-br (
. /.L 1+ .~- "'hA f...,~, '~"J - '2-
¡¿¡AIr ~í th'l--JL111-1 'þ'
.¡(
White-Haz Mat Div
Yellow-Station Copy
Pink-Business Copy
All Items O.K ~
Correction NeededC7
¡;)
Q1
m
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~
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"'-'1.. .~.. ... ..; .' ~ - ~.
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, .
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, :': \,~,
. "'. ..'::.....:~,~>./. ~::~. .
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~. -. ~~
RAINBOW CAR WASH 215-000-001369
Overall Site with 1 Fac. Unit
'"
General Information
, /
,,/
./
Page ).
Location: 3951 WIBLE RD
Community: BAKERSFIELD STATION 07
Map: 123 Hazard: Low
Grid: 13A FlU: 1 AOV: 0.0
,
~ Contact Name ~ . Title
~ ~I~O~~~MAS, ~:~~~RMANA6ER
~iness Phone ~Hour Phonel
·'·831-3311 x - ) óé5 277-6
5) 831 3311 x~9-8-(}848
Administrative Data
Mail\Addrs: 3951 WIBLE RD
City: BAKERSFIELD
Comm Code: 215-007 BAKERSFIELD STATION 07
D&B Number:
State: CA Zip: 93309-
SIC Code:
, Owner: SAMSARA INVESTMENT CORP
Address: 3951 WIBLE RD
City: BAKERSFIELD
Phone: (805) 831-3311
, State: CA
Zip: 93309-
Summary
CO¡vf4C.:t .N'~,,^<,
!It{ rt Î C5 Glho V\ +- y/
G.cC;~ 6'¡Vr¿./
-rl +-L(' [3k $(1'\<.55 f~o",
f1t1V\t(G~Y // (jc5) F31- 331/ I
,A5S/ST rf\et~'Y/ g3' - 1JII /'
~~/t;Y7;C5 ~olA+1 Do hereby certify tha~ I tua\p~
(Type or print name) ,
Ii19viewed the attached hazardous materials mansg(9.
Wü~ p~~~brr~ðtlffß()W f!:c(~d.Uø it mlong wö~h
(Name of Bus SO)
mw OO~@U'ft~oon$~itu~~ ~ oomp~~® ~ OOUTsä marro--
~!ñ1ù®¡¡ìiír ~ i@¡r ~ flM~åttv.
I
I
I
. ~'- ¿o:~f/
z,V hoY f'~o'1
(Yéfi}6¿f -9'1/4/"
(~".v 137- 'Z$}l ,/
RECEIVED
ffB 2 2 1994
H '
~Z. MAT. DIV.
.
.
01/1~2/94
~. ¡~
RAINBOW CAR WASH 215-000-001369
Hazmat Inventory List in MCP Order
Page
2
~
02 - Fixed Containers on Site
i PIn-Ref Name/Hazards
02-001 SUPREME GASOLINE
~ Fire, Immed Hlth, Delay Hlth
Form Max Qty MCP
Liquid 12000 Moderate
GAL
Liquid 12000 Moderate
GAL
Liquid 12000 Moderate
GAL
02-002 UNLEADED GASOLINE
~ Fire, Delay Hlth
02-003 REGULAR GASOLINE
~ Fire, Delay Hlth
I
I
.
.
01/Y2/94
i) > Ii
RAINBOW CAR WASH 215-000-001369
02 - Fixed Containers on Site
Page
3
-
Hazmat Inventory Detail in MCP Order
02-001 SUPREME GASOLINE
~ Fire, Immed Hlth, Delay Hlth
Liquid
l2000 Moderate
GAL
CAS #: 8006-61-9
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
Dai.1-Y Max GAL
12,000
--¡
Daily Average GAL
7,000.00
I
Annual Amount GAL --
36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTH OF BLDG E OF DISPENSER
- Conc -I
100.0% Gasoline
Components
1-; MCP -:-rGuide
Moderate 27
02-002 UNLEADED GASOLINE
~ Fire, Delay Hlth
Liquid
12000 Moderate
GAL
(
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
12,000 7,000.00 I 36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTH OF BUILDING EAST OF DISPEN
- Conc l
100.0% Gasoline
Components
r; MCP -:-rGuide
Moderate 27
02-003 REGULAR GASOLINE
~ Fire, Delay Hlth
Liquid ,
l2000 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
12,000 , 7,000.00 I 36,000.00
Storage
UNDER GROUND TANK
r Press T Temp ~ Location
Ambient AmbientNORTH OF BUILDING EAST OF DISPEN
- Conc -,
100.0% ' Gasoline
Components
r; MCP -:-rGuide
Moderate 27
.
.
01/î2/94
A . ~
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
4
-
<D> Notif./Evacuation/Medica1
, <1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
THE P.A. SYSTEM WOULD BE UTILIZED. THIS IS CONTROLLED BY MANAGEMENT AND
CASHIERS FROM LOBBY OR OFFICE. ALL EMPLOYEES WOULD BE DIRECTED TO THE
EVACUATION AREA.
<3>-Pub1ic Notif./Evacuation
THE p.A. SYSTEM WOULD BE UTILIZED.
<4> Emergency Medical Plan
ANY INJURY FROM HAZARDOUS MATERIALS WILL BE SENT TO MEMORIAL URGENT CARE ON
MING AVE.
.
.
01/Ï2/94
~ -!i
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
5
~
<E> Mitigation/Prev~nt/Abatemt
<1> Release Prevention
LEAK ALERT SYSTEM INSTALLED, WHICH INDICATES VAPOR OR LIQUID FUEL LEAKS AND
SIGNALS AN AUDIBLE ALARM. FUEL LEVEL SENSORS INSTALLED IN UNDERGROUND TANKS
WHICH PROVIDES A PRINTED REPORT TWICE DAILY.
l,
<2> Release Containment
LEAK ALERT AND FUEL LEVEL SENSORS CHECKED DAILY. EMERGENCY SHUT OFF SWITCH
ON OUTSIDE OF BUILDING, NEAR GAS DISPENSERS TO TURN OFF TURBINES IN THE
EVENT OF AN ABOVEGROUND LEAK.
<3> Clean Up
, I
DRY SWEEP FOR SMALL SPILLS. FOR LARGER SPILLS A LICENSED HAZARDOUS WASTE
SPECIALIST WILL BE INVOLVED ALONG WITH FIRE AND HEALTH DEPARTMENTS.
I <4> Other Resource Activation
.
.
01/12/94
.) !J ,~.
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
6
-
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - SOUTHEAST PLANTER (FRONT OF PERPERTY)
B) ELECTRICAL - SOUTH SIDE OF BUILDING (IN ELECTRIAL ROOM)
C) WATER - EAST SIDE OF _PROPERTY AT WIBLE ROAD
D) SPECIAL - GASOLINE EMERGENCY SHUT OFF NORTHEAST SIDE OF BUILDING
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - COMPLETE SPRINKLER SYSTEM FOR ENTIRE BUILDING AND
OUTSIDE CANOPYS/FIRE EXTINGUISHERS READILY AVAILABLE AS PER FIRE INSPECTION.
FIRE HYDRANT - NORTH SIDE OF BUILDING NEXT TO TRASH ENCLOSURE
NORTHEAST CORNER OF BUILDING
<4> Building Occupancy Level ~
·'
.
o 1 /'12 /94
;; ""-. ,. .~.
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
7
.;;:-
<G> Training
<1> Page 1
WE HAVE 30 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES ARE TRAINED AS PER GUIDELINES PRINTED IN HAZARDOUS MATERIALS
MANAGEMENT PLAN" MANAGEMENT IS TRAINED IN EVACUATION PROCESS AND CONTACTING
LOCAL AUTHORITIES.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
~,
.
.
01/12/94
:·0 ",!, ~
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
8
ç
<H> RMPP DATA
<1> Release Containment
<2> Offsite Consequences
<3> In House Capabilities
"
<4> Plant Shutdown Instruction
~ Commems:
~ 2mber of Employees
~
<:¡,- :'\
" \....
'~- ~
. ¡:
r r;
.akersfieldFire Dept. ' .
HAZARDOUS MATERIALS DIVISION
fñ ._ _ Date Completed
AI N E:QtA1 ~c.. ltJ ~H
'01./6" aD
. Business Name:
Location:
Busin~ss Identification No. 215-000 /3 to 1 (rop of Business Plan)
Station No; 1 ' Shift ~ Inspector . A . /J\ 00
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Ade~
ø
~
Proper Segregation of Material
Verification of MSDS Availablity
. ¿~,
m'/
~
~
~
r/
, Verification of Haz Mat Training
Comments:
. Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled
Comments:
Verification of Facility Diagram
Special Hazards Associated w~h this Facility:
,--/",
1 f3/qs
- ~~~~.
LJUL 261993 ~...
Inadequate
D
o
o
,0
o
D
o
D'
D
D
'Violations: J2~b6ñ f\.'6- t?'Çr¡tJ ~ tJJsÞJ~ ~1/cÒþ S 15~ 1/ Dlit../
M '^-\-"-I fvE ,~A1....- A-~b?1 íS þt i> ~SúV\ Û nD.5
, é,~tJÐ, 'þf3 U:SG-v,
All Items O.K.
Correction Needed
~
FD ,1652 (Rev. 1-90)
White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy
,'";' . .
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:: RAINB0W
CAR WASH
--
---
, ,
395J Wible Road--
KamiesJ;'hou§t - - - ,-Bakersf~~ld CA 93309, '
-- , . - -- ,- --...:.. __ -- (805) '831'-3311
-:fAX ,(805) '83t"3580'
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MEMORANDUM
"WE CARE"
JULY 23, 1993
TO: RALPH HUEY, HAZARDOUS MATERIALS DIVISION
FROM: CAPT. G.A. MOORE 7B
SUBJECT: OWNERSHIP/MANAGEMENT CHANGE OF BUSINESS
*************************************************************
THE RAINBOW CARWASH BUSINESS LOCATED AT 3951 WIBLE
ROAD HAS NEW OWNERSHIP AND PEOPLE TO CONTACT BUT THE FRAN-
CHISE NAME WILL REMAIN THE SAME. THE BUSINESS TELEPHONE WILL
REMAIN THE SAME.
THE NEW OWNER/MANAGER:
KAMIES ELHOUTY . 665-8914
ASSISTANT MANAGER:
JUAN RAMIREZ 831-8742
.
, ,
RAINBOW. .
. CAR WASH
-
'.
February 3; 1993
City of Bakersfield
P.O. Box 2057
Bakersfield~ CA 93303
'.- --~~'::::'" -~",,-._--,--=_.... ."";;"5- ~:;~_-._T
-..=..r. ~ .~_...:: --=__""'"-_ _
To Whom~t May Concern:
.
","C4"'IO
Q" '¿ \99~
~~n v
"A~1. p\\l..
\,,\A.b. ~"," '
-" -- - ---
~ ~---'''':c-~'''''=-~-_-'-'''''-
~'
6546 N. Blackstone Ave.
Fresno, CA 93710
(209) 432-0695
- "- ": -.; -~ ~-- -. - ~.-
.._---- - -
--
. The business known a·s Rainbow of Bakersfield at 3951 Wible Road,
Bakersfield, CA has been sold. ·The closing date was December 18,
i992. The new owner is )SAMSARA-iÑV;ST~;~;-~~~P:!r Kameis Elhouty.
::=~.:::==::~=..__._.,,~~;;::;,:;::.-::;,_-=-.;;:;-~::::.=-~-:==:.o:1'"!'~""...,.rl...""..____,-f
..r-':;"?;'::::'?:./.~.. l
... T~ ~ou: // . ~_:>'~/'::.~'"
~~ 3152
Pat Barbeau
RAINBOW OF BAKERSFIELD, INC~/~.~
-"-~-'--=---='-_.
17330 I· F',ØS
. 7bÒ10 ( í03
:'2..~~~:.-,,---=-~,,-=--_. _~~ ___~_ _ __ ___.___ ~ ____.""'_-=---___________=___
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~ ~ :;;2/703
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55 5'4 S-OO/
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"--- -,-
oc
/,fee d OI'Yt'P a'/tÞr
- - .-
.
.
RAINBOW
CAR WASH
6546 N. Blackstone Ave.
Fresno, CA 93710
(209) 432-0695
February 3, 1993
City of Bakersfield
P.O. Box 2057
Bakersfield, CA 93303
To Whom It May Concern:
The business known as Rainbow of Bakersfield at 3951 Wible Road,
Bakersfield, CA has been sold. The closing date was December la,
1992. The new owner is SAMSARA INVESTMEN'I' CORP., Kameis Elhouty.
T~ ~ou, .
- -~~~~~~~~
=---~---- -.-- -- --=- -- --
Pat Barbeau
RAINBOW OF BAKERSFIELD, INC.
HH <+î~701
UI ¡(PO{O!
tJ~~
Ot
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08 70'519~
RAINBOW CAR WASH
Overall Site
1:
Location: 3951 WIBLE RD
Communtty: BAKERSFIELD-STA
Map: 123 Hazard: Low
Grid: 13A F/U: 1 AOV: 0.0
Contact Na~e,....;
BRAD ':ffiULB ~.&~.
MARTIN THOMAS
Title
MANAGER
ASSIST MANAGER
Business Phone
(805) 831-3311 x
(805) 831-3311 x
2 4 ~ HouS-E.hon.~....
(805 )066 9284
(805) 398-0848
Mail Addrs: 3951 WIBLE RD
City: BAKERSFIELD
Comm Code: 215-007 BAKERSFIELD STATION 07
Administrative Data
,D&B Number:
State: CA Zip: 93309-
SIC Code:
Owner: CLYDE & PAT BARBEAU
Address: 3951 WIBLE RD
City: BAKERSFIELD
Phone: (805) 831-3311
State: CA
Zip: 93309-
Summary
E
AUG 3 1 1992
HA7. M-'T. o,v~
'O~··
", 'J'~
vP
rf:0
~ ~r
~o ,ß ~~ ~~ L ¿ [>0 oorøby C~~- @'ð~ft ~ have
, ( y~ or prim fWmO
mviswelO1 ~he Sl~ached hazardous ma,terial$ m~nage-
ment plan 'for "R.1'\.\rJ ~\.J LAíZ-Warfel1hat i~ along with
(Name of Booiness)
~ <OOfred¡onsoo~SmuiS ~ compl~~e élnd com~d Mario
, ~®m<snt plan~Of Ml?~SJ(cm~~.
l
@/-- -.ðh~\<tL-
"Signaturø Date
¡'f. '
ìl~"'"
~\.' ',//'1',,-..
lit.. ~:t.:..~~~:
,/
(7
. ~
"'- 5 ~
,0'8/0'5/92 .'
':1 .'
.
--.
.
RAINBOW CAR WASH 215-000-001369
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
Liquid
12000 Moderate
GAL
02-001 SUPREME GASOLINE
· Fire, Immed Hlth, Delay Hlth
. CAS #: 8006-61-9
Trade Secret: No
Form: Liquid
Days: 365 Use: FUEL
Type: Pure
Daily Max GAL
12,000
Annual Amount GAL --
36,000.00
Daily Average GAL
7,000.00
I
-r
Storage
UNDER GROUND TANK
r Press T Temp -:I Location
Ambient AmbientlNORTH OF BLDG E OF DISPENSER
- Conc l
100.0% Gasoline
Components
MCP -:-TList
"';oderate I
Liquid
12000 Moderate
GAL
02-002 UNLEADED GASOLINE
· Fire, Delay Hlth
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
12,000 'I 7,000.00 I 36,000.00
"
Storage
UNDER GROUND TANK
r Press T Temp -:I Location
Ambient AmbientlNORTH OF BUILDING EAST OF DISPEN
- Conc -I
100.0% Gasoline
Components
r; MCP -:-TList
'Moderate I
02-003 REGULAR GASOLINE
· Fire, Delay Hlth
Liquid
12000 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
12,000 I 7,000.00 I 36,000.00
Storage
UNDER GROUND TANK
r Press T Temp -:ì Location
Ambient AmbientNORTH OF BUILDING EAST OF DISPEN
- Conc l
100.0% Gasoline
I~ MCP -:-TLi s t
Moderate
, Components
, .
.- ~
~;. .\
,
~ .-;
.
.
'.
_ J ___ .J
"'"" ';:;:..
0'8/05/92
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
THE P.A. SYSTEM WOULD BE UTILIZED. THIS IS CONTROLLED BY MANAGEMENT AND
CASHIERS FROM LOBBY OR OFFICE. ALL EMPLOYEES WOULD BE DIRECTED TO THE
EVACUATION AREA.
<3> Public Notif./Evacuation
THE P.A. SYSTEM WOULD BE UTILIZED.
<4> Emergency Medical Plan
ANY INJURY FROM HAZARDOUS MATERIALS WILL BE SENT. TO MEMORIAL URGENT CARE ON
MING AVE.
:i'.
.g~ -; ,.
'.to "J"
.
.
0:8 J 0 51.9'"2
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
4
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
LEAK ALERT SYSTEM INSTALLED, WHICH INDICATES VAPOR'OR LIQUID FUEL LEAKS AND
SIGNALS AN AUDIBLE ALARM. FUEL LEVEL SENSORS INSTALLED IN UNDERGROUND TANKS
WHICH PROVIDES A PRINTED REPORT TWICE DAILY.
<2> Release Containment
LE~K ALERT AND FUEL LEVEL SENSORS CHECKED DAILY. EMERGENCY SHUT OFF SWITCH
ON OUTSIDE OF BUILDING, NEA~ GAS DISPENSERS TO TURN OFF TURBINES IN THE
ÈVENT OF AN ABOVEGROUND LEAK.
<3> Clean Up
DRY SWEEP FOR SMALL SPILLS. FOR LARGER SPILLS A LICENSED HAZARDOUS WASTE
SPECIALIST WILL BE INVOLVED ALONG WITH FIRE AND HEALTH DEPARTMENTS.
<4> Other Resource Activation
·'~.f ..
.
.
-. ~ ~ '"
0'8/05/82
RAIN.BOW CAR WASH 215-000-001369
00 - Overall Site
Page
5
<F> Site Emergency Factors
<1> Special Hazards
\
I .
I
<2> Utility Shut-Offs
A) GAS - SOUTHEAST PLANTER (FRONT OF PERPERTY)
B) ELECTRICAL - SOUTH SIDE OF BUILDING (IN ELECTRIAL ROOM)
C) ·WATER - EAST SIDE OF PROPERTY AT WIBLE ROAD
D) SPECIAL - GASOLINE EMERGENCY SHUT OFF NORTHEAST SIDE OF BUILDING
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - COMPLETE SPRINKLER SYSTEM FOR ENTIRE BUILDING AND
OUTSIDE CANOPYS/FIRE EXTINGUISHERS READILY AVAILABLE AS PER FIRE INSPECTION.
FIRE HYDRANT - NORTH SIDE OF BUILDING NEXT TO TRASH ENCLOSURE
NORTHEAST CORNER OF BUILDING
<4> Building OccuP?ncy Level
" .
,,- .\1-
>.
.
.
..,
- '~..........
0:8/051.9'2
RAINBOW CAR WASH 215-000-001369
00 - Overall Site
Page
6
<G> Training
<1> Page 1
WE HAVE 30 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
ALL EMPLOYEES ARE TRAINED AS PER GUIDELINES PRINTED IN HAZARDOUS MATERIALS
MANAGEMENT PLAN" MANAGEMENT IS TRAINED IN EVACUATION 'PROCESS AND CONTACTING
LOCAL AUTHORITIES.
<2> Page 2 as needed
I'
<3> Held for Future Use
".
<4> Held for Future Use
--~
I'
T
-"".......'.r
~ I
"
~akerSfield Fire Dept. ·
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
",',
RECEIVED
'APR ~O 1990
HAZ. MAT. DIV.
c#-c:!J~C
HAZARDOUS MATERIALS MANAGEMENT PLAN\f"~~
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: /f}¡/ÍJiOh/ ol,lfe¡Æê/'r¡}e// ß? Æ/Ì7 jt'n/ ÛQ/"' ÞI?S 1
LOCATION: 39-.5/ ¥/jk at;( ,ÓC?ßrr¡;'e// CA 9330J
MAILING ADDRESS:
SCfßt ~
CITY:
STATE: _ ZIP:
PHONE: !os/"-? 3/- 3 3 'l
DUN & BRADSTREET NUMBER: SIC CODE:
PRIMARY ACTIVITY: {! Cl/1 ft/qS~
OWNER: f}:;/I1¿CIf/ 01 ¡íJ{¡ÆPr:f.¡;e¥ CIy;~ßt1r/e/f/
. " ¿/ / / /:J / Pc? I 3t?//'ðetPt(
MAILING ADDRESS: 3c;j I fl/ /'ð /e IT 1 '
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
1.:ßqc/ -/bd/e
2. tic¡ rl/ h ~ /J/tf ~
TlTLE- BUS. PHONE
/'& /'. ð3/- .3 3 //
. t 3/- :5 3 //
~if/fy 39j?~Ó
24 HR. PHONE
3 ?0-9~fÝ
.
~
1 .
FD1590
, 'Bakersfield Fire Dept
. Hazardous Materials DiViS.
HAZARDOUS MATERIALS MANAGEMENT PLAN
',,--,
~~ -;- -<,':'~\;
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:" .'~¡
{~~ ::1\¡i~·,~:)::.~r~
~~-~
',,~
qÇ\j1> , ¡ '-: ::)C¡l~
~. 'SECTION~ 3: TRAINING:
---..- .V_LCt ~"~. ¡~~ f\ t; . ~~ /~ }o t
¡ NUMBER OF EMPLOYESS: :w
~ MATERIAL SAFETY DATA SHEETS ON FILE: 1\'\ ö'H:/(.t,;' t\~~})..\ 6M?LbYt:Þ B~~"A}C A1"2èJ\
¿,.--- BRIEF SUMMARY OF TRAINING PROGRAM:
Au... (;to/IPLO"'¡I%S Al2-b Ti2^,I~gù A=:. 'Ya 6-/')~LJ"'t>S '?;z1l\1~~ IN "IIA~\)'5::.
M~~iA<-S MPtJl\~GMè"í rtM\}\"
MA-~~~ J!:.. ñzM\\I.¡;-~ IN 6"JAÜ)A410~ ?zaLS~ ANi) (ONìftCtïN6- W-flrL- Avì'/-l~ìntS
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 "CALIFORNIA 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)
SECT~ CERTIFICATION:
I, 7f~ CERTlFYTHATTHEABOVEINFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
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FD1590
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Bakersfield Fire Dept.
.azardous Materials Division .
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HAZARDOUS MATERIALS MANAGEMENT PLAN
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Facility Unit Name:
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SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
rreG DL$?~1"{G"'í No'\1~'C/A'l1~N AI\\\J YAT ~~1tO oE '6~ )t::JC~
B. EMPLOYEE NOTIFICATION AND EVACUATION:
TMG: ?~. "Sÿs--e-M ~C:>\)1..'t> ~C' \JTILI':ë&Ù. Tl-hS IS ¿ðN~\...t.6~
ßy MA-T\\~I'-t§NT ANi) LASHlE1Z!? FíZoM L.6"ß~'/ ò7 ó'pré:,¡c..[
/h-L (;~LC:-""¡tc=:. w()tJL-j:) 'j6¡!; ~/iZ$c..'E"Þ Ie::, Trt6 cSvALoflr1o'N ~Pt-
C. PUBLIC EVACUATION:,
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D. EMERGENCY MEDICAL PLAN:
ANY .I,{}J u~ý f1Z.ó)ol ;/Ji-u:f'g.'OO'Ú ~ H~1r'- s
u.>/t.L í$,£ 66NJ
Jõ }VIBM&:.Jt/t<- uí26-ß\)\ (f\~C ðJJ H/N6- 'Aryl!;...
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Bakersfield Fire Dept.
. Hazardous Materials Divi.
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS: LêA)L AL¡?~ 6ySICM IN'i::.ìf\U-t;\':)} /lVHKI1
JN~lc.~""'::::, -VA-?ö"Ç. ojZ. L.1~t:> ~GL ~'I'-s. AI-)Ì) 5J&-NA1-S AI'\ fw'c\6L6 ~ I
¡::-U13L LcvGI- ~~~~ ìNS'11\u-c.~ IN.' U\)\::xs-F-6-~Ol)Ñb 1f\1-i(-~ w\-\\-u{ ~D'I'b~
A ?iz \ tS"íG ì::> ?¿:-I:t:;~ T W (...5 ÒA1 ~ ý . -
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
L 1$ A-K- A-UJ;-'7:J\ d- ~I,)~ L-tsv&- <=>~N~~'.:::. ~H5L-,t:e;i:::I Ì0-r:y...L'I,
15MB'fZ.W:!:f.Jc...\( Sr\'U\ ð~F ~\ìL'I-\ ~ ð\)~\~ of 6Q)\.t::>!\\\6- I NCA~ 6-'P6 ~,>7Þt-,)~
Tö 'Tu)Z.~ ~ç::- lu~'6\~ I.) JHiÇ GYB..)\' of IHtJ A-~'lö&lZO\)N\::) L6A ¥-.
C. CLEAN-UP PROCEDURES:
ù~...¡ StJ:::.~r.;-V ~~ 6NAU- 6HLLS
'Fe'?.,. L~12-"'" @llLS' A LI(lS.NS~'D ;JA~A?-'ùOC)'S. w~ S;:'ð'-lM-/SC \.¡ùILL ~'"
)I\IlIöLVe-Ì':::> í-\~G Ì)G?'f p.,~\) H57'\L'11-\ ~?ì. 76?::ts: }0&IRl!;Ì)
MY. VALUl>þ--\ 7iZ'0(JL 6e?.YICE
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SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: :Sc,~\.I. G~ 7L~'\?:;~ Lj::'eöÑT C~ ~~~
ELECTRICAL: /,;,£-, :'-.Þ', Sr-,\~~ ~\~(r ð~ J6ÙI-~II\[&-
eN CL-t:èt,"eILA'L 'Z.""1 )
WATER: CAc:::í 6/h,< f"'o.r= ~'?r'C=\ý l'I"f W¡"í~Lé Ï2.D_
SPECIAL: &p.,~r-.I \~\lr fS'-M5Z.Irl7NL'¡ fy.¡l)~ (,\Þ1<= ~ ~\c; ~ì~(Ç 0<;;- ~'0ILì::::,l1\J(,-
LOCK BOX: YES/NO
IF YES, LOCATION:
¡¿'c'Ý Tó w'fTU:;-r Hfl-I/V t.DL1f'\ëÒ)1\) C!fi+/(£
A.
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
PRIV A TE FIRE PROTECTlO}'J: Cöt-t.,?LC>1ZS S?iZ*-Œ'i2 .s.ýS'tel'1 ço7.. G\)ìr¡Z6 '16vll.bltù6-
f+N \:) Ol,)\b/ ì;)lS"'~J%.)c~ys I 'F rfZ6 ÞVìJ1o.! Crù Sri fi.-~ ~IVD?"'-o/ A-V/ÞL,q:ßl..Þ lis 'P.s'Z
[.:11213 //US.?t5Cf1o'Ñ,
WATER AVAILABILITY (FIRE HYDRANT):
rïrz-c IJVi;)~Rfù\ Lo{~"":) AT No'iZ:p-/ 5¡\)zç or.:- "ß\J)L~/Ñ&- Nc;ff TO T7Z-A6)-{ e-1ùLLD5U~C .
A~'DfïH)'ÙAt... HöùlLU?<6 LO(~';'", A, /-)~\2."T'H 5Pr6T Cö~~ ð~~-JILbfùú-,
~ FD1590
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, ,CITY,of BAKERSFIELD
. . HAZARDOUS 'MATERIALS INVENTORY
Farll and Agtlculture ,0 Stan~rd BU~1J1ess 0 I/''?' '1"'(;
JJ,.OoJ. ,Q'f\ biJvV 0 [1!<e-1"'15e/¡p ¡..-'Ie' ",' NON-:-TRADE SECRETS
BUS¢NES~"NAHE: c.¡¡' bow' Qr 'WQs OWNQR NAHE: 'fc¡f 13qr~e~w NAME OF THIS FACILITYõ'
LOC TION' 3q.s. . ADO ES§' ....s::t:::~1,....~ {f.''t~ q¡. STANDARD IND. CLASS C Dc:,'
~MN~ ~!P: 03'1"'2 / ~ÀÓN~ Íi!P: f?d:: ~'¡lpl t' ~~CJb DUN AND BRADSTREET NUHBER-·-·n------ ,,---.--------
. 8! :.33"; REFER TO-rNSTRUCTIONSï=V11PROPER CODES - - - -
(2 3~ Ç!) ~" 8 ',;,9 - 10 II .12 13 U
T'Y.De I!Jx Average , ys Cont,' Cont', Cont Us~ loc~tlon Where 'by Hailes of l!ixture{ColIPonents
Code AIIt -Allt on He Type Press Temp Code Stored In Facility Wt See Instruc Ions
? ~.'. ç \ \C\.. .f'~~ p,~!.£2-~_..œ
ical GOd Health Hafard Name I C.A.S. Number
eek all that apply
Page __'_On' of __
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o Reactivity
o De I ared 0 Suddf' n Re lease
Hea th 0 Pressure
O . Component.2 Name I C.A.S, Number
Immediate
,Health '
Component'3 Nane I C.A.S. Number
Ph~~iC~1 ,~d ~ealth ~atard C.A.S. Number Component .1 Name I 'C.A.S. Number ~
\ ae a t at app y
o Fire Hazard o Reactivity o De Jared o SUddf" Re I ease ' o ' . COllponent.2 Nalle & C.A.S. NUllber
ImmedIate
Hea th o Pressure Health
, Component.3 Nane I C.A.S. Nunber
Phl~ical ,nd ~ealth ~ajard C.A.S. Number Component .1 Nane & C.A.S. Number
( eck a I t at app y '.
t
o Reactivity o De Jared o SUddfn Release o . Component.2 Name I C.A.S. Nunber
Fire Hazard Immediate
Hea th o Pressure Health
'Ì Component .3 Nane I C.A.S. Nu~ber
Phy~ical 'nd Health Ua¡ard
\~heek a I that applYI
C.A.S. Hu~ber
COllponent.1 Nane I C.A.S. Nu~ber
o F ire Hazard
o Reactivity
o Delayed 0 Suddf" Release
Health 0 Pressure
O . Component.2 Name I C.A.S. Number
ImmedIate.
Health
Component.3 Nane I C.A.S. Nunber
EMERGENCY CONTACTS "1 _2
HIlle I tie ' Z4 Hr phone RUle
!, Cerlifiçatioq fReed and $ign afjør c9mp7eting ÇJ.77 rce.ct.ionS)
I 1 ~ertlfy under penal1x 0 la~ th4t 1 nave persona I~l exalllnâQ oqd,n familiar wit the In(ormatlon eubnitte4 ,in this ond all
.~-~_ at.taç.hed dQcUllents\ anQ t at based on, ~y Inquiry 0 hose In IVldua s responsible or obta1ß1ng the Information. I believe that the
...àS~~ed Informat on IS true, accurate, and collplete. ,. -' , ' ,
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\~~-enO!\Jflchl tItle of owner/operator DI! owner/operator's authorIZed representatiye, STgiiature
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BAKERSFIELD CITY FIRE DEPARTMENT,
2130 "G" STREET '
BAKERSFIELD. CA 93301
(805) 326-3979
RECEIVED
OCT 1 7 1988,
Ans'd.
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OFFICIAL CSE
ID#
u01369'
CSINESS ~AME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A , "
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 whol~.
4, Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: '~lUdldÐ:'{J !5e< tJI-MtJ,
B, LOCATION / STREET ADDRESS: 31-5/ ú}¡ tR¿£ Kb.
C TrY : ~~SF1B-.Ì) ZIP: '? .5 1£/1 BUS. PHONE: (goS) g:;! -l?oJ /
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emerge~cy 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,
E~PLOYEES TO NOTIFY IN CASE OF EMERGENCY:
,NAME AND TITLE DURING BUS. HRS.
A, ;]ïM Esï8 Ph# 8~/~ 5 sit
AFTER 81.7S, HRS,
Ph# S?'3'-!Û;;;.()
Ph# fÞ~-OsOg
B, f> Ot!.&2? L fÁ
Ph# 85 f - 3 S 1/
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: -¡:'Loo¡¿ PlAN ii, I
~: ~~'£ ~~J :~
D. GA<':.' <;-rA--rtoIÙ .ß 4-
E. YES ~'IF YES, LÓCATION: A\n
ELECTRICAL:
WATER:
SPECIAL: "
LOCK BOX:
IF YES. DOES IT CONTAIN SITE PLANS? YES / NO
FLOOR PLANS? YES i NO
MSDSS? YES NO
KEYS? YES ·NO
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SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
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SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
¿; 4J.5e7r: /-fvrh LJ1:t'5 L6
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SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAIXING IN THE FOLLOWING AREAS.
CIRCLE YES OR ~O
, A. METHODS FOR SAFE HANDL ING OF HAZARDOUS
~TERIALS: . , ',' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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
YES
YES
YES
YES
@.,
i
~ NO
YES W
@S2 NO
YES ~
YES ~
YES
SECTION 7:, HAZARDOUS MATERIAL
C TRCLE YES OR NO QR NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 PO[X~F A
SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:,.. . " ~ NO
I, ~~ ~~ , certify that the above information is accurate.
I understand 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
sëc. 25500 Et AI.) and that inaccurate information constitutes perjury.
, .
SIGNATURE ~~~
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA· 93301
OFFICIAL CSE ONLY
BUSINESS NAME:~
ID#
------
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
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*
I
FACILITY UNIT NAME:RMA/ßaù Wtdft51-1
SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES
AlO'" I/PP~ LIi,
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT ONLY
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SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A, Does this Facility Unit contain Hazardou& ~aterials? , ,
~NO
If YES, see B.
If ~O. continue with SECTION 4,
B, Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous materials inventory
furm marked: ~ON-TRADE SECRETS ONLY (white form #4A-l)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form, List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
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SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
M&- Co~ t)¡C- t1u I ~bl.1/t:..
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. NAT. GAS¡PROPANt~
§; '7C (l¡¡;J J:;t I
B. ELECTRICAL:
Š Ire hf);'fJ;f:t=:;l
(, WATER:
ç ,T(; fltJ.lJff-;
D, SPECIAL: ¿tI~
E, LOCK BOX: YES /~F YES, LOCATION:
IF YES, SITE PLANS? YES / NO
FLOOR PLANS? YES / NO
MSDSs? YES / NO
KEYS? YES / ~O
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