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T0:
M EM 0 RAN D U Mfj-
OCTOBER 1, 1991
FROM:
VALERIE PENDERGRASS, HAZARDOUS MATERIA;¡<LS
DREW SHARPLES, FINANCIAL INVESTIGATOR
,
HAZARDOUS MATERIALS ACCOUNTS
SNBJECT:
HM 419001 -
Howard's Mini Mart - 3200 Panama Lane.
For your information the bulk sale was
completed on 9-24-91. The new owners are:
Sung Tae Ahn & Ryan Sung Ahn \~
11495 Riverside Drive, #108
N. Hollywood, CA
California Coach Works - 4312 Wible
I have changed mailing address to:
c/o Darryl Jones
2205 Watson
Bakersfield, CA 93308
Broadway filed Chapter 11 Bankruptcy
2-10-91. Close existing account and
account. New mailing address is:
ATTN: Accounting Taxes
3880' N. Mission Road
" \fI..~
Los Angeles, CA 90031 li-
HM 405201 -
on
open 02
all ~¿./
D pa.t ,\ (1\
!ù,-ï-- .\
All needed adjustments have been made.
(See attachment).
k:r;c
MJDS.27
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Bakersfield Fire Dept.
Hazardous Materials DivisIon RECëlVED
Jl. 2130 "G" Street DEC 0 51990
O Bakersfield, CA 93301 HAZ
.. MA T. OIV.
" . .', ' . ,. ~&x0~
HAZARDOUS MATERIALS MANAGEMENT PLANr~ &:L-
&9\
e
INSTRUCTIONS:
1.
2.
3.
4.
To avoid further action. return this form within 30 days of receipt.
TYPE/PRINT ANSWERS IN ENGLISH.
Answer the questions below for the business as a whole. .. ~ ~
Be brief and concise as possible. 18 ~- \ 0~
BUSINESS NAME: 'c.. (1+ , ¡- t:'
LOCATION: ý:? /2- ~ "'I ß/ e
MAILING ADDRESS: 5' ~/~Œ-,
v
CITY: g/f~P/(\t;c¡:/C¡ STATE:~! ZJP:~/:1"PHONE: ~-~J?'SJ?..?
. ¡:::e¿ T~'f :r.D.~ . - - a..
DUN &: BRADSTREET NUMBER: 771- O;;S'- tg8~ SIC CODE: '7 ~ a I
l---lC'
C~¡¡C I/l "LV ~rý~s-'
, -
£'4
SECTION 1: BUSINESS IDENTIFICATI0N DATA
. PRIMARY ACTIYITY: Bðd'1 ýJdrlC lJu7v¡/J/l-d'f.-Ji/e
,OWNER: -f);9/Y'11 (]CJn,G?''-..\
, I
MAILING ADDRESS: /-)CJ~ WA--(--Sd r/ "þ,#);::..e/'. 9?3cr?"
SECTION 2: EMERGENCY NOTIFICA110N:
CONTACT
1 . ).... .' ý\ d A- 'lId .vi &='S
2. ~urt- 00/1V1úK
TITLE
BUS. PHONE
3c,q-J~'1()
g34-~.8o~
24 HR. PHONE
399--Z39ò
&3 ~ - ~f6df
1 .
FD1S"
! ' '
O"::J¡'ií::.t~·\:::tf'¡
~.. HI~...t.wi
. Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
" 1. \~'\
\ \' ¡;~'
~ .;>~ ~-:;:'j'
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, f\f:~! ,(I \.' ,.r..,.
~~;"\- ''\' "..)
'"
'A,q ,
.\!lCšÈ~b~ f< TRAINING:
NUMBER OF EMPLOYESS:
-f)-'
MATERIAL SAFETY DATA SHEETS ON FILE:
yes,
þo nib '
BRIEF SUMMARY OF TRAINING PROGRAM:
, ...
~
'.
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, BUTTHE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, (},{}'/J/'1/ ~-/Î--~ CERTIFY THAT THE ABOVE IN FOR-
MATlON 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 (D,IV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
{]«~ ~
. SIGNATUR "¿:/. '
{){--Uí/l~
TITLE
)? ",s' " 7,d
DATE
2.
FDI59(,
·" _ ~F~:_:~
.i"\.,<=.f-. ..,.
.-
e Bakersfield Fire Dept.e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name: C jJ)/-,p , Co {) cf\ ÚJO ¡-L,-s
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A., ',,' 'AGENCY NqTIFICATlON PROCEpURES:
. .. >,,' ,'-"" ,¡ , "
~~.þ 13J:!:~.~-~(Øo·cJk_ ~
CoØ.. q <P f
.. " \
, B. EMPLOYEE NOTIFICATION AND EVACUATION:
~~
C. PUBLIC EVACUATION:
1f J-tC.,~/f· ~ .~~"e-' I è - ¿,¿,MJ(/e'>.-/
~. /F6ttJf ~·~;;+tð b4. ~
D. EMERGENCY MEDICAL PLAN:
C 111-./ IJDd-;r JLr¿/p
~~~
" .-
, 3.
FOl5'1
.. Bakersfield Fire Dept. e
,., Hazardous Materials Division
~:~?:~ -;}'".;' I
~
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HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMHn PLAN:
A. RELEASE PREVENTION STEPS:
QL II lÞò++ I ë'-S t9f?e- C, {¡t.C¿ ,;). ('Ed (¡ ¡?
TO 1ÄJA-11 -~~~~~~
B. RELEASE CONTAINMENT AND/OR MINIMIZATION: .'
'5"'~ d!t vf)/~
C. CLEAN-UP PROCEDURES:
p U -1-' :D ¿ r1:s' Ddc..-</ '^
Up ~p/j/j-'
+cJ C/~~h
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFSATYOUR FACILITY):
NATURAL GAS/PROPANE: ::£//l f"./1J 7/1 -j-" O-PSIA CT;¡:?.Æ.L 7-' tis r:¥
ELECTRICAL: ~ ~ 'í ~(i) 4-.3I<f
WATER: (/'f\.Vi..t, '-ii,,] ~o) ~ ,1;.L~(~ .. '"
SPECIAL:
LOCK BOX:' YESÐ IF YES, LOCATION:
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SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
, ." ".' /
A. PR.VATE FIRE PROTECTION: .F'J r¿ eX'~/L^j5 ~~
~~
B. WATER AVAILABILITY (FIRE HYDRANT): yeS; Ý- C ÎCJ $3 C¿!!~/
4,
FD159t
'ft"':
CITY of BAKERSFIELD ''1'
'\. \
Farm and Agtlculture [] d []HAZARDOUS MATERIALS INVENTORY -', ,;-..
Standar BusIness or~_
NON-TRADE SECRETS Page
SIN~ðS NAHE~ 'rAJA- C=A-c~L.vo....,t:..( ~WNE~ NAHE: /)¡}rl"'fí va"!.e ~ NAH~ o~ THIS FACILITYÒ __ -- -,---~
C¢T N' q'":f ,/"'" 6! DDR S¡i ~~"t"0~ ST~ OA D AND. CLASS C DE: . ...- ----
T Ë Ü I Þ : -Ilð-~J...
ON. :__~<>-~~ f~ 6L~J' J}k~~ t~: ~sf1trJéHð¡; f-uR-PROPER D~o::: B A~S~R~E~ ~U~B~R~-~ - -
-
I - 2 . ] o~ ~ne 8 9 10 11 .12 13 U
lr~ns ly~e "ax ~ont ~ont ~ont us~ loc~tlon Whe~e , by Ha~es of ~ixture{1 ¡nen!
Co e Co e Allt ype ress emp Co e Store In FacI Ity lit See ¡nstruc /~
N ~51 () I ~ ð 1'7 ~.G)~ ,/".
v -
Ph~~jefl,nd ~ealth Haiard Îì g;;t. Lí L( 7 COllponent fI Nalle' C.A.S. NUllber f'r'-0;+- Iy
I ee a I t at apply . X05J3
~ Hazard [] Reactivity [] oelared ~n Re lease ~. COllponent.2 Nalle I C.A.S. Number ~' ~
IImedlate . ( -.J
Hea th of Pressure Hea I th
Component.3 Nalle' C.A.S. Number
/
'p~ /' f- ,-;,6/e- Do A
Ph~~ic~1 ,~d ~ealth "aiard Component. 1 Nalle I C.A.S. NUllber <) 4- V'v <--
I ec a t at apply
[] Fire Hazard [] Reactivity ErtiÍa red ~n Release ~ Component.2 Nalle I C.A.S. Number
late
Hea th o Pressure Health
Component.3 Nalle I C.A.S.Nullber
0 I
\,
Ph~sical ,nd ~ealth Haiard Component .1 '5 ,-f.#' -c.-
I heck a I t at apply
(9-1f(1ared ~n Release ~ Component.2 Nalle I C.A.S. Number .
o Fire Hazard o Reactivity . mediate
Hea th o Pressure Health
Component.3 Nalle I C.A.S. NUllber
Ph~sicrl ,~d ~ealth Haiard C.A.S. Number Component' 1 Nalle I C.A.S. NUllber
( hec a t at apply
o Reactivity o Delared o Suddrn Re lease o ,Component t2 NUle I C. A. S. NUllber
o Fire Hazard ImmedIate '
Hea th o Pressure ' Hea I th
Component.3 Nalle' C.A.S. Number
EHERGENCY CONTACTS 111 1M: ~d. A- Jð Y\-¿ ~ 'i\f'\ <:..¡+ "" NP?173 1t2Rii{..:> r+ kJd ~Ié:c Tltn-------?irt~¡~
R e TItle 42- fiðhe Certifiratio~ çReCfl and ~ifn af1~r c9mf7~ting. tt". ~f¡C~iOnS) ,'..
I certl y un er enal 0 a th t I av persona exam!n 0 I famIlIae It he nfoematl n $U IIltted In hIs ond all
attaçhed dQC~men~sl an~ t at ~ase~ on my In~uiry ~ lhose In~IVI~U&'S responslb1e or obtaInIng t~e In~orllatlon. i belIeve that the
submItted In ormatIon IS true, accurate, an COllp ete
horlzed representatlv I~-D-~ð
me ~ra ofTëTã Da . -S HF.eõ--