Loading...
HomeMy WebLinkAboutBUSINESS PLAN (2) l' SITE / F _-:....C I L... I T"~- 0 I .~G R_~':! F 0 R:'.I[ 5 ~ .j::i:" ,! c:2 t ð a,-,- I JU £~ ? BljSEESS ~r\:·!E: X-P£!2.T ¿Ver ~::'CCR:! 8? ) '3 /ii .?ACI~T~6A;'!E: W II-SON Jl.D ......;l-D_l \, '"',~: Ý" ~>~~ :::i ~ .~. .\ ".:~.. ;, 1;~' ~~, - . . :'10 R":;'; - SCr~L:: : -~- c....·-... R... .., i.... ::: .:- !' I 0,"'- ;...,=.: J (CHECi\ Q;/E) SITE 0 rAGR,ð,.\[ FACILITY DrAG~.~~ þ::Ø /!o IJ ., l' pf>t: fl. {<oil úrdðf)(L 4;r-[§T.1 flt;/I ~rPo()/i. ~ .sTeJ~A&£' s pM if'" 14' íé (j j)~ wJb$ <J \ i. ;J.e.w ð7' ~ 3ÞIw.t @ ¡ " ~~c,é' ~ÞaAtb£ ~ " . If ~ \~ ~ ,~ ~ $ -...., "\i ~ ~ J 6~'¡ PI'li ì Þ\ (l f>5t ltJelf1 º o^. ' it ..¡. fit-¡. I,..' ~ JC ¡< ~' \ \ L_~_=--J ÇðO G Q , , ~ itÞì1 eJ ~ '1 \1'ø~~~ e\)( y ~ AII.e -OF?ICIAL GSE o~ty- r ~ -I (rnspec:c~'s Comments): - 3A - S 1. T E, / F _,~C I L I -l-'[ - D,,~ AGR_~~"\'/£ /~/ð · 1Jv.~ /' ... .....~ -f ~--=-. ~ ;;",~..,':~~ ~ .';; J FO R.:'-'T 5 ~':ORTH SC:'L2:: BUSI~ESS ~A.\IE: x-rEI?T -- "CR :"")7 J I WEE : :...... J. : J t - -- OAT::: In FAC1CI.J6'ð?; '/)J It. $C>ì\I f(.þ CX~... -. RF lJ . ... ,.., J J (CHECi\ a~E) SITE 0 r AGRA.\r V" FAC:LITY DrAG~~~ I I f"qJ'f Gø "- K...IYJAf.T f}1A ¡2,}I,~t W 1'- $ð IV r<,J tzœ! sPJ2AV f!.J2fE é1.~tt!},J>'µ (" '. - ~~ V'~ l· . r- ~ '~." .. " .... \\ ~ -' ~ . . L ðCß v P $ TeJPA ~ iE '0 ,~ ......... ~ ~ I\( CH£v{ll)^1 :5T4r/óN D IIuI1S» 8'o~( '" ) "- a " ~~ WtëtJn1 IA 't~ L~Î '~ ~ \ JEJ ,~ ~ ~ .0 ~ lL - 't ~ (\. "i .__ ._ __ ,"'_, ~ 'I-FE" " '/ U'. " ~~~'" '. I ' - .,;" offJèi.." '. . í L..v$£ ¡ ,-',' ì . .-" . ''-...', ¡ ¡ - ! --- - -.'. ,.."tø' 8'4-,' 'rr:J '-., '.' ,. PL ~,-u ---- - w4> J ~~--"¡¡1 ~ ~ ~~ ¡¡J ~1'~ Aile. , -Of:ICIAL GSE a~ty- (Inspecro~'s Comments): - 3A - -, .- ~ . , ! _I, . ~ . . ., - " ' J1M~"1· . Áccount, Numb,e' , .~ ,~~~ ACCOUNTS RECENABLE ADJUSTMENT January 12.1995 Date, Esther Duran From x Fire Depar1ment - Hazardous Materials Division Depar1ment/Dlvision X-PERT LUBE BIlling Name 3601 WILSON RD. Billing Address Site Address Parcel # (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 208.00 0 <208.00> 1-11-95 ~fiLi;r rov d By: Remarks: THIS BUSINESS CLOSED ON APRIL 30, 1995 PER THE ATTACHED LETTER. 1""C~'~-.:,',,:',"':'''' ....c·'·,",',', ". ,'''' ",: ":",, '0., ,.' .' . .< ,:.'; ~ ..' ....,....., . '" ..... ." . .'. '.. '.. , ' " . ",. ' , tI' - - ,-" "<'. · . '. .' .... .'. ,....... ." g. '/;"A ·/'2 ,(0 Q ~ . .' . . '. ..... .' '. .." , , " .,': _' ' , '" " V/f'v ,(,""C( I 08 ' ' ,,' ""~~~(uI~~'i j8q- (~7a . 'I ...~~7J)~~ '. n~&v[~ ~1»~~ i //lj:~ '. ........ /. . '. . '., .l3~¡;ü/a~> .........< ',. " , ' ' I I . " ,.' .' .' ' , , " " ' - , ' ' ' ' ' .... . .,..' .'~ ¥20J6 1991~cf . .·....~·.~~·;l-W~J. . " .. .~.¿j;¡-::3&O/~l!clI8I:sF. ", " ..¿¡j¿.~..~..;&U...~...~~ , Á ~ ~ ~ F;' /_ . I c'.-,{L "I 'A'-v>/ 1",,_" + f '.'~, ."~ .~: . itx-:- ~. ¿,'~"'4' jU:f/VÞ7'g ,> -.' . '. . - . ··..·.~4·.~···ðf·~.~··~.·.· ......... .' ....... .....~. ¡?~ jE?éJOØ¿2ßJ3 tf3f:ßkI ,. . ·./M.iÞ.g>3;:L~30/:L.' ...... ......' ..... .' . . . . . - ". Û~ '.·..·Lf~··~···· . l.r()~6}~~ ·...·.ÛJ ~ y:-fJJ ~ . '. . ,.... ¡;)t. . ...,.'.. . . '. '. . ", " , " , ", ' - ' I ,," " ;,' '," " " ..' " ' ' _ <: . -..- . . .". " .' " ," .' " , ' ~ ,. ... . .." ,-' .' , ' ' , - ' , ' . , , . - '. -' ~ . ". , . ' : . ~7 _. , . ~. . " " . " ,.:, - ~ . . . . - - ' ~ . " . , ' , ' -. - - . . ' ,- "" ,. -~. ~-.. r \ I 'D - ' . BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISIO ~~CC~G~~~ ' 2130"G" STREET 93 U BAKERSFIELD, CA. 93301 M~R 23 19 (805) 326-3979 , , , ' . - By HAZARDOUS MATERIALS INVENTORY' "./, if' ¡,,_ CI:IECK IF BU.8.1NESS IS_A FARM [_] BUSINESS NAME .X - fEE -r FACILITY NAME ¿;?'/J-í/£- SITE ADDRESS 3 ¿, {) I ¿J / / :5 () ¡u ¡:d. CITY /Jf¡/(E£S PIE /d STATE CA-IIF. NATURE OF BUSINESS ,ZUߣ r 6/11 elf/l1tJ0£ . /- u,ð.l£- ~J iA'n [~~.( J HnA~ C' . thee Die¡4 t..:;u;t íl~ y ~F(I'- FACILITY DESCRIPTION ZIP Cl331Jf-- SIC CODE DUN & BRADSTREET NUMBER OWNÉR/OPERA TOR .LEi. ¡:: 0 y MAILING ADDRESS J j a () c¡ . C\TY'ri3fff::£'¡~.s': P"¡IZ U D.' IÜ&UFE./c! CIf t/ E- If t/ E- --' STATE' 'CfJ-f. PHONE 3qf(- /13~ I' I , ZIPC¡ 3 3 / :J- EMERGENCY CONTACTS NAME J£ROy b. NEUFEld BUSINESS PHONE 39¿-; - 1/38 TITLE {){JJ/VP¿ 24-HOUR PHONE S ð'9- 1310 .I NAME f/¡;-il/iYIJ f)}£op£ U BUSINESS PHONE 39R- //3g TITLE ~ IJ¿,U ¡u£Æ- 24-HOUR PHONE s-~c¡- 13 '70 Septemt>e, :JO, 1992 REGIONV LEPC STANOARDFORM BAKERSFIiL-D CITY FIRE DEPA~ HAZAR~US MATERIALS INVENTOWv ENT ~ i;:¡' , -""'- Page~Gf_ , , c Business¡Nà.me -- " Address , , : : -; . , i ~ \ ..;¿ , CHEMICAL DESCRIPTION '. ~ ~ <,;; , 1) INvEt;nORY STATUS: New Ltl Add_itioA [ ] Revision [ I Deletion [ ] Check if chemical is a NON TRADE SECRET ý{J TRADE SECRET [ ] ~ ~-' -': ~~) ¿J5l3IJ ¡(a/OK D, L 3) DOT # (optional) ~-- ----::::."'" -,;-"";'- .. - 2) Co¡"~o,".N~e:~-: ~'... Chemical Name: -~----»~ AHM [ I CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [Jt] Reactive [] Sudden Release of Pressure [ ] HEALTH Immediate Health (Acute) [I Delayed Health (Chronic) [\(J 5) WASTE CLASSIFICATION) (3-digit code from DHS Form 8022) USE CODE " 6) PHYSICAL STATE Solid [I Uquid DO Gas [ ] Pure ~ Mixture [I Waste' ~ CHECI<AU. THAT APPlY Radioactive [ ] : =7) AMOUNT ÃND~TÍtvlEÃT""'FÄCldTY -~--- -'. \ Maximum Daily. Amount:'~ 6I4L ¡ Average Daily Amount: Annual Amount: ),S-Ó Ò 07,~L Largest Size Container: # Days On Site < -UNITS'OF-MEASURE- ::0-__ ,,,-----=---8),STORAGE,GODES _' Ibs [] gal D( ft3 [ ] a) Container:.., 0 I curies [ ] b) Pressure: c) Temperature: ~&f-li 0/ L- ~-¿.I ~ircle,!Nhich Months: ,All Year. J. F. M. A. M. J, J. f:.,. S, O. N. 0 ,.',' '; 9) MIXTURE: Ust the three most hazardous chemical components or any AHM ~omponents 1) COMPONENT \~/s- CAS # %Wf AHM [ ] [ ] [ ] 2) 3) \, 10) Location , , CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ I Addition [ I Revision [ I Deletion [ ] Check if chemical is:a NON TRADE SECRET [I TRADE SECRET [ ] 2) Common Name: J¡/ ¡:: bJ /¥ 6I---ttJ £ 01 J- 3) DOT # (optional) .. -.. Chemical Name: AHM [ I CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [] Reactive [I Sudden Release òf Pressure [ ] HEALTH Immediate Health (Acute) [] Delayed Health (Chronic) [ I " '"'-5fWASTECCASSIFiCATIOW- (3=digit"ëode'frõm'DHS'Form~8022ì~-_ ~ --.. :-=1;JSE,C0ÐE",-- , ~~ .. , 6) PHYSICALST~TE " Solid., [ I Llguic!..[ ] _ G.as.. [L_ -,-..--- '- Pure [)'] Mixture [ ] Waste [-1- Radioactive [ I ,-, CHfCXAU THAr APPtY 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: '7 b1J Average Daily Amount: Annual Amount: 1J51J1.) Largest Size Container: # Days On Site UNITS OF MEASURE Ibs [ I gal rYI ft3 [ I curies [ I 8) STORAGE CODES a) Container: /0 b) Pressure: c) Temperature: /-{ (J io~, 01 t. , Circle Which Months: All Year. J" F, M. A. M. J. J. A. S. 0, N. D 9) MIXTURE: Usl the three most hazardous chemical components or any AHM components 1 ) COMPONENT \ \ iI/J:.a. \ \ CAS# %Wf AHM [ I [ ] [ ] ,. 2) 3) 10) Location certify under penalty of law, that I have personally exammed and am familiar With the mfomatJon submitted on thiS and an attached documents. I believe the submitted information is true, accurate, and complete. , Signature Date PRINT Name & Title of Authorized Company Representative ';-.cr~o.r3Q 1S192 REGl04V LEPCS1NrtOAAOFœW \' e e Bakersfield Fire Dept. Hazardous Materials Division ' 2130 "G" Street Bakersfield, CA. 93301 I , ' , HAZARDOUS M}\TERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action. retLIfn this form within 30 days of receipt. (April 5, 1993) 2. ' TYeElPRINTANSWERS IN ENGLISH, ' ' 3. Answer the questions belov-. fòr the business as a whole. 4. Be brief and concise as po::sible. ,.; . .... - ~ ~'-- '. + ' SECTION 1: BUSINESS IDENTIFICATION DATA ,~ BUSINESS NAME: J- &¿;f- jl/¿J£ LOCATION: ;5 t,(J / áJ/ /SOAl MAILING ADo"RESS: IJCtJ ~7 CITY: &~&.eS rleld d C/JI/E Jlæ- STATE:Œ::- ZIP: ~33J;2.PHONE: 3qJ?~//3J? DUN & BRADSTREET NUMBER: SIC CODE: I' PRIMARY ACTIVITY: ;LVLJ¿=- 7 ¿JI.L C##,¡1/G E OWNER:..L£eLìY_ ¿), N~UF£/d , MAILING ADDRESS: II ¿JtJ~? êrJl/£ Ill/'€- SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1, ,L&pf)tj./J Ale t/R.~!d t!JtU/IIE£· 39cf-//~g o;f9- 7370 r 2. Hrr¿/LYlv VEL/PEi! Go éJaJ/JE/- 39'<f-//3J7 .5~9- /l3 ?D 1 . / \' .j¡akersfièld Fire Dept. J!II!!ardous Materials Division e .,'" " "'-"} ~ ~ 'Ç- HAZARDOUS MATERIALS MANAGEMENT PLAN ~,.~ SECTION 3: TRAINING: NUMBER OF EMPLOYEES: ;)... f¡r~f-1í116 MATERIAL SAFETY DATA SHEETS ON FILE: ~;ve. BRIEF SUMMARY OF TRAINING PROGRAM: ',(/hz/v /Ifl-Z/fbéJOS. I1Il~iø,etf}Á U~f7ß.ð ¡J ;~-~~oiX;s~ P;¡C;l~9-f~c/s--7'1p~-C;=éJ/L. . -~-- -.. ~-- 5pll...is /1051- /I'k£ Iy tft1-LfJ~ LUð1.,<--I¿f..-~/tlß?1a.LÇ ¢ £1) s:- L y Ce ¡Jtï:;-Þ7v/F ß '- J: ¡() C-t7-.5 6.- & P P;~Æ' C¡triJ./cflt /;:'ß .- Ú5e Flee Eyr/IUJv'5/u5ß- Eft-¡' /S¡¿6 £/1/ C-i£.5 ¿J tJ{) I d ¡3 £- ~-tl.s éT-- ß Clt:'/J j" ~ (fii.i-oF c;.t/ ¿Jt 177-1'( Ë ':0 N/5¡€C'l ¡-fðsfJ)r~1 &/-(~c5. 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. , . ,.~- ---~.~~- -- , Wrs.J)O ~ANDLE HAZARDOUS MATER,IALS, BUT THE QUANTITIES AT NO TIMÈEXCEE-OTHEMTNTr\íf01V1 R~EP-ÖRTING' Q'UANTITIE-S'.~- ~- -=-==.--. . ~. ~----~ - - - -~._---- . ~ -- - - -" - - . . ---- ~" 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 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. SIGNA TURE TITLE DATE 2. FD1590 ¿:.~ n 1 --¡;'. 9'~~.~~ , -~~ - ¡i 'e Bakersfield Fire Dept. _ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: y~ fJe/2.-;f !-1/8£ SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: Gf} LJ.. q// ~ P~e-· .iJêprt; USIE ... B. EMPLOYEE NOTIFICATION AND EVACUATION: '> ,;Vð /IÆl- C.' PUBLIC EVACUATION: /lJ ó ¡f)£. .~ - D. EMERGENCY MEDICAL PLAN: -- ñ~e ,£j¡1(l .' J~ , C¡q L L 9/1 t:1ZJ 1J9-J! /£ ~ II /£¡eey I/tJ s-/? r/ìYÄ , ,\ 3. R:J1$;C \, e Bakersfield Fire Dept. e Hazardous Materials Division ~'-I.. 0'. ~ ..} ~~-.--~ HAZARDOUS MATERIALS MANAGEMENT PLAN ; SECTION 7: MITIGATION, PREVENTIÒN AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ? '_ ' /lJO/LJI3, ~ ~friV CAecK S'hJ~/16~ /L" J A iÅ4 0 ¡r./ ðl1Y 110 ß/U / /./~ (fjli--r EU!3/1/lIV'6- :rrv.u I' l FCJ /2 1-1£ If K. 'r:f1¿s r ::~~~. -~ ~--;;:.--~ B~ '=-~'''REt EAS B=:eô NT,Ai NMt'f\H'?AN Oi GR "MI t~IM ¡ZAlIO N :~,=-__,_, ~ ~_ ,.~_ ~-'- ,_ jl/eJ/l/e ð~ ~II-/Ù (;4ec¡¿ S7ót:.,/I--6€. ¡:::b;e. / e/J k 5'lJ.-t EJ e N [IV G-- j);¡VlJ Nt) III ¡IJ /J Y /1o~¡tJ //1/ G' -' 775s r C. CLEAN-UP PROCEDURES: S¡JJ¡'J../s /'105-¡-' .J¡kELy SH#-Á-I- --f> :f£/J£Ì/y Løluf'/fl/JË-Þ · ;C/IJe-'!7-SE 6Jp Plt=£ C/J-/I 9// --.-- ~- "-- --- SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: AJéJ/l/E..' 1ò 1111:5 r/fci//1y / tV $lþE- . ELECTRICAL: No/!. 111 8175'1" é,O¡(?ltl6~ le,crs íßé!.. . . - - - w AT Ê R :117; :5 £. ~ 'C¿):;j-iï/Ec~ T'; EJAI ~7d--6 VI' / d/-ø tP . ·bl£k--F~to~O-ßFllZP. . .- - --. SPECIAL: - - "ftjó /u ~ - .--'0- -- - , -- LOCK BOX: YES,@ IF YES, LOCATION: - ' --- - - - ,.,..:----~-- /1-/1.7 SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. B. PRIVATE FIRE PROTECTION: '721./0 r/eE"i - '? F;<,fílvqV'$IÍ,~/ $/£ Cot?/'l/êl!!.. ti( ,6(/tl¡(rv~ /}-/1J c. () /IJ E::- ,IV Þy-r ?'b ðPr I c...£ s-w é¿:;;I2/(/e,c:: ð F ,t5t/t I (j //¡/ G- WATER AVAILABILITY (FIRE HYDRANT): C Iy 10 k!.,EfI'1:/)I2.¡::¡--fl/'/ ð/V WI is o;J fbI -H- Nt£. CO/2, tJf ~()"r- 4. ...:;.. .. ~ -.:.... ~. ~---- '_ .... _..... .... _ --' ..... ..-'\.l.-& L'.._"'"""\._".. ,-. e FO R:'-t' 5 e '. t sc;.tz: BUSr:-;ESS :iA~{E:x-rE¡¿-r WKE 0,,--, I' C"\C~t--- 'l'\r¡:- ~..=.: 31: JJ tfi-.. M ~ J.J.: ......- ~ W J'- $O}./ !l.D -- ~Co ,.,- : :..... ~ "': J 'J;; J ::ORT:-i r....--- n¡:- 1.... I... =:) ~. J (CJEC~ O~E) SITE OrAGR~'r v FAC:t!T'l 0 rAG:\.~r I ~.eqð'1, GO " IHA /l.)J,~t )(. - /YIA'·T W 1'- Sð V f(,J 'rlIt/ .sPPAV ~JŒ ~A¡¿JI)}J~;J r.. '\1 ~ CH£VP-ON .. STAr; ðN '" D ~ L()Q vp 5 TtP¡2A£,E /vASil Eo~ l (,) ~ ~ ~ ~ (t "- ~ ~ \\(, I 'E=¡ ..... ~ Wt~um 6A If:> U/) ... Q , - t , ( ~ , . .. fE'11:r I l=1"- r:4£ .' fø' 8'-'0 ¡I AI/e.' I I I 1 "Ij Go' (:nspec:a~'s C~~ment~): -DF:¡C:Ar. CSE c:-:r.,y- . ,-,..:..¡ . . -. :::) ...i- ..... _, ¡:; _........."- ~ ~...i.. ......:.. ~ .l. ..--..\....-1 ..-......_-~.....!. .. e FO R:-1: 5 e '. i' :rOR7:1 1 SC;"::':: 8üSr:';ë:SS :;;..:.{E: 'j..-P£¡¿T ¿GJ8£ 0;..7::: 1313 10/'; FAC:r.:7Y :r;";·Œ; W Ii-SON J<D ?!.-::CR; t:;;:") t:~;¡: ~: 1 g= 1 (C:1EC:-\ miE) s tIT D rAGët\.\r ~ FAC:t:TY DrAG~~r !O' \ ) \. \ ;--~}- - --.-' $I? GQ' Cl.6-ih..;- :)'\.//1.<' I/LiJ ;( -tI~l7 V'fI"liJ)C '{ ';( AII~'1 r ,. 1.0 II ~ r pc<> f1. 'I I 5T~tA&£' 5 pM 1('.. P.I 7 £' ð.fl~WAs~ t '0" CJr ~()f/- i. " \: ~ ~ -..;,J (,) -3 J 6-,1 '91'11 JiI fðFF1 I '1. ,EJ.T ¿lIRE ~ 1C. ~l-~ ;< '!< f(' 't i ¡2,," "rCbof< t (51j I 10- ¡~ ,. ~ ~ '" ,'<.. -- -.;.. .,.',~' :;~~ - ~. ..~~ ;.,;' ~:-:: ¡ "~ ~ .J.."-: r< ~~iK~J" . I o ~ \. .,. l" ~ (:nsçec:~~'s CJmmentsj: -(1F::C:.U. í:Së: c~r:!- I I - 5A - t j;', ~~~~~~~~ ~ FEB 18 1993 ~ e \ . ------...,..._ --..0.-. BUU: TRANSFER (business) BUSINESS NAME SITE LOCATION OLD OWNER NAME NEW' OWNER NAME NEW OWNER ADD. - 91:1<. ï ,Lt.( e- 8 ~ (.p ð I úJ I L ~ C AI 1<1:> flo c.u ,q Il. () -rHu ~ ~ '" A.I, ;:¡-t..( L I HAle- 7Ñ W;;¿ ~ A Mil' '7) srI. 6&.-.... r- ,14..,.. , , I... t,;" 12. 0 1" '"2) . AI ~ ¡:' e-Á-!J F /??í'91Z. I L ý # ,¡(/ e-¿¡ F iT ¿ 'Ð , (.pt.-$" ::SY~"'P?OJ2-e SN"qFr(:~, ~ . ACCOUNT NUMBERS INVOLVED J.I /'Y7 J/. ~ 0 4- () I :PRO~~2V'93 THIS INFORMATION IS TAKEN FROM TIŒ DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. DISTRIBUTION: S8Ri:atian We.&t.......ur Busiøes£ li~8R£.5 , Hazarãous Materials \I , . '. :.~ -I -.~ - . .. .,' ~ r;¡yj ~ '. '. . ,", ' " . ",. ~.~. Bakersfield Fire J;>ept. HAZARDOUS MATERIALS DIVISION Business Name: £.. Location: Business Identification No. 215-000 ð () \ k l 0 . Date Completed /' L ~~UW~ r;\ ! i \ JUL 16 1992 U Station No. '~ Shift ß Inspector D o o o ¡Y1trPß<s~d 1tU,vr/;'-hes tJ r fVlðf1K ðJ 1 ~ 0 Verification of Inventory Materials Verification of Quantities Verification of Location, Proper Segregation of Material 'Comments: .5Jlven{ PI/} /~-e"'" if} ;/'IVp..nJrxy)· Verification of MSDS Availablity 2- Number of Employees Verification of Haz Mat Training Comments: Adequate Er ~ E(' ~ ~ Inadequate D o / ' Verification of Abatement Supplies & Procedures Comments: US 11.. CJ" I::. .5Of'b -/r; ð 10 5()£ 10 Emergency Procedures Posted Containers Properly Labeled . Comments: ~ sp'"{ l.s ~. ~' D o o Verification of Facility Diagram Special Hazards Associated with this Facility: ~ Violations: /\Jf)'YtL ~ ^ J{1]ÿt Q . ~ All Items O.K. ~ Correction Needed 0 \ ,FD 1652 (Rev. 1-90) White-Haz Mat Div, Yellow-Station Copy Pi~k-Business Copy .. ' _~_.'i. o 112,iÎ~9 2 '. '.. ~ PERT LUBE 215-000-0012~ ~~erall Site with 1 Fac. Unlt General Information RECEIVED JAM 3 1 1992 AuJJ Page 1 1 --- © Location: 3601 WILSON RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Moderate Grid: lID FlU: 1 AOV: 0.0 Contact Name HOWARD THURMAN DELBERT KEY \ ð 1Ø17~þ!-e Business Phone (805) 398-1138 x (805) 398-1138 x 24-Hour Phone (805) 835-'9219 (805) 393-8597 Mail Addrs: 3601 WILSON RD City: BAKERSFIELD Comm' Code: 215-007 BAKERSFIELD STATION 07 . Administrative Data Owner: HOWARD THURMAN Address: 1201 LA PUENTE DR City: BAKERSFIELD D&B Number: State: CA Zip: 93309- SIC Code: Phone: (~6$") Õ B 5"-05" (j ð State: CA Zip: ?"88oC¡- Summary E ¥ (ý f!--.. i /:Jðw,4 ~ Th /.flJ1to11- p;c,! ~. ~ ,...,', '/ ('~l1ify ihat ¡ have · (TÝPi' Qr ¡;rlnt namQ) . . ., " ' .. ~"""'1,,;<,'!'~1Ìf" ma....-"'p.- ¡ i ~ ~~ ~ ~+,... ~;..J..~.(. - , ;. ", ~'.. h lrlf,.~:~: ~ <.;þ 'u~.~.... revewot. 1.'~::, <:_~:.,,~,.., ;.>' ..' ,,' ,.' ^,,- .. ment planför1:P~r:~gF-.:;:"iid tl1atit along with (N¡"n;) :," dU..I:';"..·'1 ' any corrections constitute a complete and èorrect man- agement plan for mfacility. / - ~ '/-92- Dat& \ · 0.1/2.7/,92 ~ PERT LUBE 215-000-0012~ ~2 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 WASTE OIL Liquid 500 Low Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL -¡- Daily Average GAL ----r- Annual Amount GAL - 500 250.00 I -2,300. ~' /ift Oðð 'Ø'O Location t¡ f!:>ð> ð ENTER ' Storage ABOVE GROUND TANK r Press T Temp ~ ' Ambient Ambient REAR - Conc l Components 100.0% Waste Oil, Petroleum Based MCP ~List Low . I Notes PER HOWARD 1/3/91, HIS UST WAS ALWAYS AN ABOVE GROUND TANK. THE TANK IS IN A CEMENT VAULT THAT IS UNDERGROUND. CAN BE OPENED TO EXPOSE THE TANKS INSIDE. 02-002 MOTOR OIL Liquid ·300 Minimal Fire, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICA ---- Daily Max GAL ~ Daily Average, GAL ~ I ~.oo· 700 . 'ð6,OO Storage r Press T Temp ~ FIXED PRESS. CYLINDER Above Ambient CENTER OF - Conc l Components 100.0% Motor,Oil, Petroleum Based Amount GAL - ~ '" (JDðrtØ Location L/OPð BLDG 1-; MCP ~List Minimal I '. 0,1/27!-92 ~ PERT LUBE 215-000-0012_, 02 - Fixed Containe'rs on Site· Page 3 Hazmat Inventory Detail in Reference Number Order 02-003 JPC 140 SAFETY SOLVENT (7t!:>e1-t-' u~,g.. A~¥ H1tJy~ Liquid Fire ð.¡.;. Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 CLEANING Daily Max G~ ----r- ð ~ Annual Amount GAL -- 'I ~ o Storage DRUM/BARREL-METALLIC Location WALL CENTER - Conc l 100.0% Naphtha Solvent Components r; MCP -:--rList Moderate 1 ;¡. , ~ · '. if" 4Ik PERT LUBE' 21S-000-0012AIÞ 00 - Overall Site 0.1/271'92 <D> Notif./Evacuation/Medical ') <1> Agency Notification CALL 911 '--.. <2> Employee Notif./Evacuation VERBAL TO EXIT <3> Public Notif./Evacuation VERBAL TO EXIT <4> Emergency Medical Plan EMERGENCIES WOULD BE FALLS OR BURNS. WOULD CALL 911 OR TAKE TO MERCY HOSPITAL EMERGENCY OR MING AND ASH CENTER. \ Page 4 ,. " 4Ik PERT LUBE 215-000-0012~ 00 - Overall Site, ' ,Page 5 OJ/27 ¡<92 <E> Mitigation/Prevent/Abatemt <1> Release Prevention CHECK STORAGE EVERY EVENING AND MONDAY MORNINGS FOR LEAKS. <2> Release Containment .) c l~sQ.J ..) a bo v <2.._ 3 ~ou. N ¡; 1ö hiLg €I -PRo c5. u..ct- \Iõi1JK.~ eONt:;:;{lNeðr OJ <3> Clean Up SPILLS ARE CLEANED UP AND PUT INTO CONTAINER FOR PROPER DISPOSAL. <4> Other Resource Activation' 1:\ ~ -. ~ ~1~~7~92 ~ PERT LUBE 21S-000-00124IÞ 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Sh~t-Offs A) GAS - NONE B) ELECTRICAL - NORTH EAST CORNER OF BUILDING INSIDE FRONT WALL C) WATER - NEXT TO OFFICE DOOR REAR WALL INSIDE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water . PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS, ONE IN NORTHEEAST CORNER OF BLDG AND ONE NEXT TO OFFICE IN SOUTHWEST CORNER OF BUILDING " .~ FIRE HYDRANT NORTHEAST CORNER OF LOT ON WILSON ROAD <4> Building Occupancy Level , 9' ",' Ii ~ PERT LUBE 21S-000-Q0124IÞ 00 - Overall Site - Page 7 0,J/.,27 J92 <G> Training <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE SAFETY MEETINGS ONCE Á MONTH REGARDING HAZARDS OF CHEMICALS <2> Page 2 as needed - <3> Held for Future Use <4> Held for Future Use I .. CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY . ~ ~¡: , t -.' o Farm and Agriculture 0 Standard Business .. NON - TRADE SECRET . f-\; Page_o -. 1~"'" 1 Trans Code U NAME OF THIS'FACrLITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID t BUSINESS NAME, ~~ ~4 ~~;~~I~~~: jf;~ ~ ;509 PHONE I: "16 Õ ;:5 9 ~-//õ ~ - - -- 13 % by wt tóO 14 Names of Mixture/Components See Instructions LV /l5'J;Ç' 0 t'L -C!)ð V Physical and Health Hazard C.A.S. Number (Check all that apply) (£(' Fire Hazard 0 Sudden Release 0 Reactivity 0 Iounediate 0 Delayed of Pressure Health Health , Component It 1 Name , C.A.S. Number -- Component It 2 Name' C.A.S. Nùmber Component It 3 Name , C.A.S. Number (.,,{ 6/L Physical and Health Hazard (Check all that apply) o Fire Hazard ,0 Sudden Release of Pressure C.A.S. Number Component' 1 Name" C.A.S. Number O· n 0 'Reactivity L-J Iounediate ' Delayed Health Health Component' 2 Name '.C.A.S. Number Component It 3 Name & C.A.S. Number u Physical and Health Hazard (Check all that apply) CI Fire Hazard 0 Sudden Release 0 Reactivity 0 Iounediate 0 Delayed of Pressure Health Health C.Â.S. Number Component' 1 Name , C.A.S. Number Component It 2 Name , C.A.S. Number Component It 3 Name , C.A.S. Number Physical and Health Hazard (Check all that apply) o Fire Hazard D Sudden Release of Pressure C.A.B. Number Component It 1 Name & C.A.S. Number o Reactivity 0 Iounediate 0 Delayed Health Health Component It 2 Name , C.A.S. Number Component It 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 Hé.\liù{f- ¡, n 'jJI/'/.Il JJ/1Vh Name ' Title 'ð,Ç- 8 j"ç oC'$'("O 12 , 24 Hr. Phone Certification (READ AND SIGN AFTER,COMPLETING ALL SECTIONS) I certify under peanlty of law that I haver personallý examined and aiD familiar with the information submitted individuals responsible for obtaining the ,information. I believe that the submitted information is true, a tached documents and that based on my inquiry of those te. / - 2- 7~92- DATE SIGNED i' _ -<~3~. ~ "'<~~' ... o,<7·c·~I?~~0. .i :(:~' ..-.. ~,\ ;CJ" ::=,..\../'r..... d' ) ;: =:.~~~~, t \\-,. --,~1"-':i , ... ....~. -,; . ,. , :.::~~/ e e ·CITY of BAKERSFIELD "HE CrlRE" \?' 0 ~\~\~~W~ \\.?3 ~ "'''' o,,~ ~'b/ .§/~ \~ ~ < .....-:-~ /)}. =:;; \'\ /{/1 ~~o=: . ¿I :.~;; ~ J_ -.:':' ~}~ ......... I I'~ ~.... ~,/' 'S ~-_::-...:"~, \;",,/~ "~~ííÍÚ~ ;10 t{) A JZj} III ¿J I< mA/\! ItYDe or prin~ name) RECEIVED " JAN 1 0 1989 Ans'd........... . @ Do hereby cert i fy tha t I ha "\-e revi eh-ed the attached Haza~dous Materials business plan - .,_._--,- -'--- -- ---- _ __ ~~CËIVED JAN 26 1989 Aus'd ...... ...... for X-¡JEIif ¿.t/5E (name of business) and that it along with the attached additions or corrections constitute a complete and correct /- b - ~ y date I. __ ._ '. . ~ A fÝ~ ~ ßerJ &1/M /tŒW ~. ~A . / - '" '1 ¥ cI. 1Ý.,;yµ (J, Ã. tCh ~d. "~<"'J 'J:J aÞJ _' _ "i 1- -f!~ _ ,J¡~ ___, þ~_~, __~S-~'- , _ ( ---- Ita w:ll -- - ~ .- - p.M. ~1 ?~ct ~ 7. ( itJr No lAw. " e e REH/ed * BUSINESS NAME X PERT LUBE LOCATION 3601 WILSON RD I D, NUMBER Z 15'-000-001 Z 1 ø HIGH HAZARD RATING 3 1. OVERVIEW LAST CHANG~ 09/26/88 BY ESTER JURIS CODE Z15~007 JUR1S BAKÉRSF1ELD STATION 07 MAP PAGE 123 GRID 110 FACILITY UNITS 1 HAZARD RATING'~ RESPONSE SUMMARY ZA SEC 4) SPILLS WOULD BE MOST LIKËLY HAZARDOUS AND WOULD BE SMALL AND EASI~Y CONTAINED AND CLEANED UP~ IN CASE OF FIRE CALL 911 AND USE FIRE EXTI N6UI SHERS. ~, EMERGENCY ,CONTACTS ZA SEC Z) HOWARD THURMAN- 39~:-'113? OR 83~-SZ 19 DELBERT KEY - 398-113à OR 393-8597 UTILITY SHUTOFFS 2A sËe 3)' A) GAS - NONE B>EI,..EÇTRICAL - N£ CORNER OF BLDG INSIDE FRONT WALL C> WATER - NEXT to OFFICE DOOR REAR WALL rNSIPE D> SPECIA,L - NONE E> LOCK BOX - NO ' Z. NOTIFICATION / PVijLIC EVACUATION LAßT CHANGE I / BY Y.é/2.-6#" L ..Jð ¿// ~I-- < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 03/23/89 15: 17 MATERIAL SAFETY DATA ?VSTËMS. INC. <80S) 648-6B0Ø í' e ,~ BlJSIN~SS NAME X PERT LUBE LOCATION 3601 WILSON RD 3. HAZ MAT TRAINING SUMMARY 71 or émjJØ/#:S ;2 ~~¡:j!/ »?féft~5 e 10 NUMBER 215-000-001210 HIGH HAZARD RATING 3 LA$T CHANGE / / BY --- O/V4::Z A, mð¡J/~ . < NO IN~QRMATJPN RECO~~ED FOR THIS SECTION) J?,E. /-Ø~~ of ð//.??/èA?/s . 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 09/26/88 BY ESTER ZA SEC 5) EMERGENCIES WOULD SE FALLS OR SVRN$. WOULD CALL 91t OR TAKE TO ~ERCY HOSPITAL EMERG~NCY OR M1NG AND ASH CENTER. PAGE Z 03/2 3/89 15: 17 ,MATERI Al SAFElY DATA SVSTEMS, INC. (805) 648-6800 . -:~ '-~- . e . BUSINESS NAME X PERl LU~E . LOCATION 3601 WILSON RD FACILITY UNIT 01 10 NUMBER 215-000-001210 HIGH HAZARD RATING 3 ' A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 09/26/88 BY ESTER II;:> TYPE NAME LOCATION CONTfHNMENT MA)( AMT UNI T WIZARD USE WASTE WASTE OIL CENTER BETWEEN BI,DG/l, f\Lt,. UNDERGROUND TANK;; 10 PERCENT COMPONENTS . 1598.00 100.0 Wa5t~ Oil 500 GAL \JNf< NOlJN WASTE HAZtìRD LI$T LOW Z PURE MOTOR OIL 200 GAL ~IGH CENTËR REAR OF SLOG ' PLASTIC: CONTAINERtSJ LUBRICANT 10 PERCENT COMPONENTS HAZARD LIST 2359.00 ì00.0 Oxyg~n, COMpressed LOW :3 PURE SOLVENT CENTER ËAST WALL DRUMS OR BARRELS I D PERCENT Cm1PONENTS 1203.02 100.0 Naphtha Solvent 5~j GAl. MET.. CLEANING EXTREMË HAZARD LIST MODERATE 8. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 09/26/08 BY ESTER 3A SEe 4) TWO FIRE EXTINGUISHERS, ONE IN NE CORNER OF 8LOG AND ONE NEXT TQ OFFICE IN SW CORNER OF BLDG. 3A SEC 5) FIRE HYDRANT ON WILSON RD. AT NE CORNER OF L.OT. PAGE :3 03/23189 1!:¡=17 MATERIALSAFËTY DATA SYSTEMS, INC~(805) 648-6B00 , .... r-" e . BUSINESS NAME X PERT LUB~ LOCATION 3601 WILSON RD 10 NUMBER 215....000-001210 ' -trGI-! Hf'\ìARDRATING 3 D. EMPLOYEE NOTIFICATION / ÈVACUr-rtION· 'LAST CHANGE, 09/Z6/88 BY ESTER };i~F L- /0' E//'J- < NO INFORMATION RECOROED FOH THIS SECTION> Ë. MITIGATION / PREVENTION / ABATEMENT LAST CHANG~ 09/26/88 BY ESTER 3A SEC t) CHECI< STORAGE EVERY EVENING AND MONDAY MORNINGS FOR LEAKS. S.? / æ5 e.;tJ~/WEh- /)f2¿ {!J£þ.;JÆd ujJ /ik/d "pvf- /b,12-- ?/2P/E/2- ¿)/~¿. / ,iu/o . RAGE 4 03/23/89 IS:T7 ' MATERIAL SAFETY DATA'SYSTEr-1S. INC. (BillS) 648-6BØØ CITY of BAKERSFIELD ~ H,AZARDOUS MATER:!: ALS :J: NVENTORY NON~TRADE SECRETS f,r. ,nd Aqr;cu Iture I.....-' St,ndlrd Business I BUSINESS NAME, Øi. /JJ'ft m~:I~~~ ~- - (z- ~~::'t¡'f~ÓC¡ ~~"\ .' " "'"'-' P'ge ____ of ____ "e:f -, "" ~ OMMEB NAME, IIÓ~ ~A'~ ~!E:S;~pl~~ ~ :f)~. ~9 RD1lR ro IlISrRUcrIOIIS rrJlf PIlOPIDt CODIlS NAME OF TitS ~~JL1TY: STANDARD IND~ CLASS CODE DUN AND BRA~S~R~E~ ~U~B~R ~ _ LLJ '/::.- 1 2 Irlns Tyøe Codt Code 3 III" AIIt 5 Annuli Est , .....u... Units . Aver. Aat Ph~;ClI end H..lt" HeZlrd fCheck ,II thlt Ipply) C.A.S. ....r _ . ,...../, ~-,. ~~. r--, ,.-, ~ fire HlZ,rd L._" Røcth,ity ~ Dtllytd L._" SudIMft hl_:e L.....,.. l-.dilte ....It" of P....suri! ....It" 11 Un Code 12 locIttan ...... Stored in feci 1tty 13 ,'" lit 11 "- of lIilltUl'llc:a.an.ntl See Instruct;1II'II OIL ta.panMt II ----------- --- c..nnt 12 .... C .A.S. ...... ~~ ,..-,. ,.~ ,.-, ,.-, ~ fl... Hez.rd L._" IIHctiytty ~ OIl..,. L._" SuddIn hl_~'e L._..I l-.dine ....It" of ""'I1l1'O .... It" u ;..&: Firt Hlllrdr:~ Røct;yfty r:J Dtl.ytd ~:~ Sudden R.I...._ ~:~ l-.dilte H..lth of P....lUru IIHlth c.eJ-U:. ðO' ø../f)/ £' LJJ / L ta.panMt 12 .... C.I.S. .... ta.panMt 13 .... C.I.S. .... ta.panMt 12 .... C.I.S. ..... ta.panMt 13 .... C.A.S. ...... Phys; tll end H..It" IIIlft (Check .11 thlt ..,1,) ----JL,______l________~JL.____________JL_____________J______~_L_______J_~JL____~ 'I C.I.S. ..... ________________________ eo.,anent II .... C.I.S. ...... ,..-, ,.-, r--, ,..-.., ,..-., ! ~ -.. fire liliard 1.:-.1 IIHc:tlyity L. --.. OIllytd I. -.. Suddlll hl..s. L. -.. lMÌdllt. "..Ith of Pr...urf/ ~Ith , "E RGENCY COIIT ACTS 11 ~'?AßJ2--T/¡u1/!Atg-I:1--------- 'i?,~ß-o£k(..-.-..-------.- CentHiQ4tian (Reed end sign after co.pleting all sections') . ~ I c"!tH.y under 11111lty of 1.. thlt I hlye Dlrsanll1y lI.a.;ned end I. '.,;¡;Ir with the inf_tian, for~;n9 the InfOl'lllt Ian , I beHeye thlt the subllitted ;nto....t;on is tf'lll!. ,ccurltll, and c I II·}, - a· "-,,«1d,_' ~t,12,------C~¡¿/.!DR-m..~t?.-/1.-t--~---·t~~~··~~·--·~·---t-t--· .- 4" an 0 1C" titlll 0 owri(rTo~'tor ooon~r7õoer' or 5 'U ""rll.... rt ll'eslll , 1ye --~~~- C......t 12 .... C.A.S. IMber ---------------- ------ ta.oonInt 13 .... U.S. IIœbIr !?--'1------------ If¡.f.t:1.:t::·&------------- -N¥w.l-DJ. __ts. end thlt Msld an "t inquiry of those Indiyidual. .... IIII'I.ibl. ... ------------...-------- 1- 17-- ~7 u¡t¡·Si9ñ¡a-----~----------------------:~ . -. ~ - BAKERSFIELD CITY FIRE DEPAR~NT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED JAN 1 3 1988 Ans'd. ........... , ð~ ~, '" ". . ,-..., OFFICIAL USE ONLY , , \ 0 ID# ,001210" ~"'-~ " HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A US I;.¡'ESS ~A.\tE .' ' ,,- ;>~,"'> ", I ' ~NSiRUCTi(JNŠ~ ~ "'~,~-':c_ ~-'~ . . . -.- -- ..;........- ~-,-.- -.-".- < - ~..... -- - . -~ --,--~- , .;. --~-----...::......-_- --..:-:- ::::--;---- ~...._--.-.,.. -------,. ," ,{ 1. To avoid further action, return this form by j- (ç..-- <J ' 2. TYPE/PRINT ANSWERS IN ENGLISH; 3. Answer the questions below for the business as a whole, 4. Be as brief an~ concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: X- f Ep..T L.r) B £ B. LOCATION / STREET ADDRESS: 3 (¡; 0/ L( J J LSð JJ 12 OÆ 0 - , CITY:.!3AK..£P..>TIEL!J ZIP: 933ð9 BUS.PHONE: (~ðb) 39~-IJ3e SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material. calf 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. ---.-- -- - - .--.ç.' ---~-..... -,- E~PLOYEES TO NOTIFY IN CASE OF NAME AND TITLE A. H2I1IßI!..P Th..ntlMðJ1 B. Pe/lA.pv-l ¡¿-e'1 E~ERGENCY: DURING BUS. HRS. Ph# /j9<1 - ) / 3 8 Ph# ~9~""1/3g AFTER BliS. HRS. Ph# 9;35- /'2/9 Ph#ô<f3- C:¡597 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE, #" ~e... B. ELECTRICAL: ~E ::.. ~~tp 6~ ~)d5í- -I: ::,{d_c- {:;J;.T (1JQ// C. WATER: U \.Ø 'y-± 1- .¡;.t=- ~ _~ J!L.. _~-f _ aJ -' ,''''' ___ D. SPECIAL: ~ E. LOCK~BOX.:YE~ (@ IF YES", "LqÇATION: . , .,' . ' IF YES. DOES IT CONTAI:'i SITE; PLANS? YES / ~O MSDSS? YES .I ~O FLOOR, PLANS? YES / XO KEYS? YES / ~O - 2A - ;.. . e e , '¡,.'~.,J3;."'" ' .' ".:-::),,~ -"1 y..... ~~ '! '~ .\:./-'r,;~, ti. ',,- I " " ~-.' ~. .' >' ; ",.'<tl-. ' 1.i;: : '<. . SECTION 4': 'P~RIVATE RESPONSE TEA.'f FOR BUSINESS AS A WHOLE '. ' 1 Jd b~ s fì //~ '-UOtJJd be. Ino!>r /ì ke', h6 'Z-~""d q",-c::;I t.L)ðv ÒÞ71Q/1 rr e(þ~}/i9 .~. riJ'ff! '? f-a) ú....d ðp) ~ &.1-~N-¡fJJ \.J p.. ;1 h ~1f),5~_Þ F +ì ¡;€ "d II '9/I:~' V fe. rïr42.-, ex ¡.., "7 LJlJ 4IJy SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A ~vHOLE £1?1-&>Jì'~~IAC> 1!'~ Wt1p)d .be ~o I/.s ðJ/ ¡'l1VII/:5.. U))ðuJcJ (ÒdJ) =~ -.:.r:¡=/=k~ð?~._~.t:;Q~If..~~j;<!!-' _:!!!!.~V~'1~~-~/;/PS7J].~;qj, ,£~~~J~,?c:!-t¡-ð~M),-),;~~,-'~,,:: f}1¡ 117 ;- ¡J.s4 d~",f-e r. SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH I~ITIAL A~D REFRESHER TRAINING'IN THE FOLLowtÑG AREAS. .- '. ... . CIRCLE YES OR :W A. ~ETHODS FOR SAFE HANDLING OF HAZARDOUS :'<lATERIALS: . , . , . . . . . .. . . . . . . . . . . . . . . . . . . . . . . , . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.."...,........,........, C. PROPER USE OF SAFETY EQUIPMENT:.........~...... .. D~ E~ERGENCY EVACUATION PROCEDURES:."..,...........' E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....,.. INITIAL " REFRESHER· . YES @ YES NO YES I YES NO YES YES NO YES YES NO Y~S YES NO - - - - ~ ';""--.,,~~~t-~; ~-"----~~-~-~~...."...-----.,..- SECTIoN -7: HAZARÙOUSMATERIAL CIRC-~E.@ 0':' Nq- NONE >,~. ,,". ,. ' " . DOES 'YOUR 'BUSINESS HANDLE' HAZARDOUS XI\TERIAL I~ QUANTITIES"LESS THAN 300 POL'NDS OF A SO~ID~, .,55 GALLONS.. OF A LIQ~U:D '. OR 20.0" CUBIC FEET OF A CO~PRESSED GAS:.," . . : . @ ;.JO . ~ .~. ~ . '- \ . . \ '.. ... '. , II . HoU_h4RP Th clJR.mttJ1 " certify that the above information is accurate. I understand t at this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardoùs Materials '(Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and ~ t inaccurate information constitutes perjury. \ \ ' _' A' , ,', .1 TTT~~ðld ðLfl Be DAT.E J 2..-1 b -1<1 . - 28 - 'I 1) .' _ Í::--., ' !:'~?~*-- ~f~ ~, :~ "~:-,'i.w,,'_ ~ ': 'j' . "-.., . BAKERSFIELD CITY FIRE DEPART~IEXT 2130 "G" STREET BAKERSFIELD. CA 93301 ........ ..-'" OFFICIAL [SE OXLY BUSI~ESS XAME: Y..- PEp..7 L1/8£ ID# ~ lL.. þgº ~ I . . 1-· , ,; v BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS .s- -(<6 1. To avoid further action. this form must be TF?tul'nect hy: I-I ,.... 2,_ TYPE/PRIXT YOUR AXSWERSIN ENGLISH. , ~ '37 -Am!l~er--t-r1e '(lUestrons-op.~l:ow -fÖr~THE -f'.:\CH-ITY-I.iXIT LI-STEDBEI.OW, .;~ " 4. Be as BRIEF, and COL-;çrSE as PO,ssi.~le,.·,' . FACILI~1 UNIT#: l{'tJ-S a 1I# I FACILITY UNITNA.~: SECTION 1: ~ITIGATION, PREVENTION. ABATEME~ï PROCEbú~ES 1/1' ClÞ1 C JJ e~ j¿ 5'/ôjl/-) 0 B Jð? 0 0) é-.~ ,'J 111. C> ; t/I ì VI:J ¡~t6V IJOIJE' ,,¡¡-IEIL ÚJþ?d ~' :.;/ q/ ~ UPuì po .7 /~qJ::- j-es't " ' . , , . SECTION 2: NOTIFICATION AND EVAC~ATION PROCEDl~ES AT THIS l~IT OXLY '"'--- -- ,---~ - ~-~. ~. - - .,,---- -- - ~ ... µ C'tiJ£ ... ""--.. - 3:\ - - -" e if -""ij,,~ " ~,-,- T;::: ".y~,,_ >1::'11 -/ .~ '~,;' ...G~~ ".to SECTIO~ 3: HAZARDOUS ~ATERIALS FOR THIS L')1IT O~L Y A. Does this Facility Unit contain HilZ:1råol1s :1aterials?...., <J£J NO If YES I see B. If NO, 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 form marked: NO~-TRADE SECRETS OXtY (white form~4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS OXLY (yellow form *4A-2) in addition to the non-trade secret form. List o~ly the trade secrets on form 4A-2. .. - .-....... .--:-______<.,......c:..-.._...~_.~-~~...:...--.;~~-~.=::----'----~- -~----- SECT~MN--4_:~P,RI-VA~E'~F~mE--PRe~E'e-T-I-O~~~'~-" - , ¡ TWO Fì I/€ ¿:"A'flJ..7Û' j j,..¡JVS;OJj~Î'1' "µ'Ê-"(P'-c-~ï1e@v £>..¡: b ú) l.d') l4 J Q ( d (þfV € µ ex f 1 ð c> f-+r ~-e. J '1 5 :5 lAJ (Ð ð J¡.11 -" v ð .p B u j 1 J 7 '1 j , , SECTION 5: LOCATION OF WATER :UPPLY FO~US: BY E:'ŒRGENCY :RESPO,~E~S , .... J tftØS -e. ðJðl1f7--fJc +> ~)I'1 10 bC/ ,I dl b'; p-er. t f~ If¡f"f.Y, c.~". /!'J"11 Fì"~ H'1 J'VoJl/7 011 W;) S>ð'1 f)d ~ t µç (JðÞ ð'f-Lo t SECTION 6: LOCATIO~ OF UTILITY SHUT-OFFS AT THIS UXIT ONLY, A. x'v~~~?~\;';~o GA-5 ÎS f) jJtocJ f-e> jh JS ,F'crcJ'1r1'1 B. SLECTRICAL: µ E (VOIf'J1-"v 01/1 +V (!)þ? -r /)-J 0 J .., b1S;d e hOÌ-JJìh5 ----.--.-- -"---<-= ---- ~--- ~ -~- ---.....--.-_~~--:=;-------~- -~:::.....=:~-~~.....",....--:;",------=-----~._--';..-~. ---- '~- -.0;---=--- --~-~... -:----...--- __ -- C. WATER: )JoD~T 'j-ð o {'.Çl ~e.. -IV¡ .5 U/ (/J" vn,obvóf b uì JJ),,~ D. SPECIAL: E. LOCK BOX: V;:: 5 , (§) ~ YES, LOC.UIo~r: IF YES, SITE PLAXS? YES / ~O FLOOR PLAXS? YES / XO , ~SDSs? YES XO KEYS? YES! XO - 38- ......- 1\ ^ I< I; II :i to' t ~ I; U (; II \' I' I II h U L I' ^ It I tll:. II I FORM 4A-1 NON-TRADE SECRETS IIAZARDOtJS MATERIALS' INVENTORY "\0 '!' OlWßRU^HBI )JOO)A@/7'/hoJ<mol1 F^CII.ITV \IN IT I:_--'_'f AUUnESS I If. 6/ f1J r<jNj;¿mF AC 11.1 TV IIN IT NANE: IJJ/L-Sðé1) C I TV. ZIP I ,/+Ké --2..¡- / L_ PliO U E .: 1r:3 5" 9 Z I 9 n F F I C I ^I. II SEe fiR S c [ ) r OUI. (I f ra¡:c --5 II . ", ;. it II ,; I II r. ~s ',111111 F. ~ì S ; I I Y. Z II' : I 111111 F ': 10 1I^7.^II ) ) (I I ~!l ~~ ~--- !!!!!'!: 9 f¡ 0 1 0 I:lrNT liSP. I.UC^TIO" I" TillS ,nv ~!HHt C(Jº~ ___F AQ1JLllLJ!tll T, JL- ~!!~H,!!iAL O!Lfº~Wº"' "!1tlE ctelJre-tZ f?eqvli'f?:t"w~' .' ,¿-Q ç- 95'/)0 GJlL- C / !:it2 i1v~JcJï~) /'-wø// . /66% ItJ/F5¿£ 6/L I.::>-r 0 0I<./1J£ 2-5ò6 {;/fL 10 20 (!814~QÞi¡jf'Po-¡}J67 /60% Øf¿:)tó/2 ð;/ &3ŠC¡ rLL-~ 6'5~ q;4L 00?<B! &'1f~v¿:;':;toJQ// /Có7ð :5'ß!IH>H-I- ... lóJ03,()~~L4 ------. -- -1 ? :) II^X ANNIIAI. ^'I I! II~! L _M!!~ ~!!L .J!!HJ. , II 'I,~I~ ¡-J)p' :sr -----.-- 6ûO ---- P.()C) --------- 6:5 -- -- - --'---". ---- ---- ,- ;iJ ~_.+._-- ---- -- ---------- ----~._- - ...- ----- ----.- .,-- -- -.-.""---'-- .------ -. -. - - .~--_.- --- -< ------ ----. .------- --"~--- .---- --- - --- ----.--. ----. --"--qv' O^ TF.:: -.L~3~oð ..3 9 ~- ¡ 13 "'õ ~;35~ 72.~9_-~__ 3 9 <þ- / / 2> "Y 3 9 3 -3'5"9 ,~-~~ ,LA.~ 'ÍI S IIn " R 5 : AFTER nus liAS: PIIONE '. DUS !lOURS: AFTER' 0115, liAS: \ Ii ¡:, ; _~, H..Ci.W..éi&pflv J1.Ll:::l.dJ1 TIT IÆ:- ð w .IJ é ;:z 8 10" A T U REI III.JlI;J:,III:V COIITM:T:_ )I()WAJ2j/ ,-¡-/Juft,#!þJ1 , T ITI.E. ðU2J :I'llIt~FI/I'Y C:IIIIT^,~T:-12d-ð.py·7 ):::Pw-' TITLB. /~,/;-fl1tSl/ II I "1:t~II' ^ .. JIll Sill E S S ^ C T I V I TV : _ I lA.Y/./' ¡2. ¡<' e ¡e ,- ,.,,,·1-