HomeMy WebLinkAboutBUSINESS PLAN
..
.
r,
I
~,~\
_on
~'f""".
" '.'
. "'Jàa.,.....' >
oR,.NIl
~ ," . : ¡.
.. " '. ~ ~
~.. ~ -
. ,
E:
.'
uct< 5 T'~'R
H
T
<\../~t
.,
,"r
2'
,
.,
20')(
2 ~..x
..
.
. ..
CONSTRUCTION
,
j
:.. .... ~ .":
..'~ .~.. ....
~~;~' .{.:::
;'3
f ~'
,': -
~ '
>.
"
STEEL
.'
.~.
,
..
,
"
VALLEY
"
. .
~.
,
'.~
.'
-
I
"
'.
.
"
.~.
.
;
.
"
f:" .' ~~
"
., :,'
<
"
"
,.
J
;þ
'.~
"
,I
\-~'f· ..
.' .--~.:
\~;·;~~<F<r
':. t~
"
.
-'
,.
-"..
~.
'.
r
"
"
.....
"
,.
"
~
.
.,
"
,J
"
. '.~
.'
"
~';'
-
.
..
I,
"
.'
~.
.'
'.
...'!
. J
I
wi' ~!I.l,""" /
~¡:¡;.., , '¥
Ý
,
I
.
\
"
t
'~.' ~~:
;_.::-.....¡:..'f--.
.' "t...
: ~.~. :'. ...: .
___0,: :~
',:.;r.;
.
~1"
.\. '~\'
.I
"
-
.
"
..
;;..,,:' L'
~: :'.' .'., ;:-..
-I. .. ~ ;. ~
.. "
¡"'-.
,-,.:,'
,:
:
w...,.~1 M4,..J
l~'
l
",
"
- .
4MIfm¡J .
_ 5e:¡f;'IC~.
.~.
:~.-
..,.,....'
':'~~ >;.~ .~2. \. ;\ .::~':;~ j~:>:rA ~-
'~..v ~/~;;"~7VL£
T I;', ',:' r};h¡" ",., i..:,{" ,'- '¡ g "
I. ..... ;.,;;11 ;".'" ,'" ~ <c,,' ,',>¡¡, " 'Iu"
< '",' _ "',' ." 'I' ' '?'.'¡':'"~ " ' ·.Ii .."' rfflr
~' "~.:: ..:;1....... ..." ~;~¡q-, ~. " ,tf-7.Z- 1M
. _....--,~-O..E....~. . "'. ' ,. ,. '. ·aN-
,.; I, -: -.... ...... - \. .' . . -,. ~
... . L.." . '_~ ~ . t ... ..... ·2hQ~.·¿Xy .£.ltISTI"6.~O)'t."
'*,i*~ 2~xizc··;' '. ......'. ':~ .....¡¡¿d IU'LO'NG
"'. .',"f9~~O;~~::". :"'~~»<~;::17A_L;~_:. . :"""4;'~-.': .' :
~"£"'¡;;'I~("'''LL::--''''''~i. '>'.',_'....·,.·IOOA:N'oP. " .~:
. " z~' ", I. . .0: . ~ . - s.e_~~'ST"....!.:.E .LLL
-~~¡-. ;~~ iå~~~d/~ ..'
,
,
,'.
,': ,"
fl
..
, .~
;"',41-
!
z··
.~ ;
y
..
"
"-"'i
c
:-
.,
"
'.
~.~ ';"'\
;
I ..' ~.
-
..
.
, ~ .~
"SAK E~srIELD. ror·
KEAN'.'NG
-POINT LP'
ST.OI5 O' f
fRO.... S. ~ ¡E.
TH. H. WL'f )1.3 'T.
TH. SWL'f 1S'FT.-
..31)' fi.~w/L ""lot"
.
.' .
~...~.~.~
~ ......j;:;...~.
."l. . ,~.
~.~.~.~.
""'-'~
-:--'~
-.
PL:.OT PLAN
IU' r ," 117'"''
R(;])/A.UP
;Vð-r 7õ :5c?J./e
..'
.~ ........
...
~~'-'~.'
,
~
~
~I-
CONSTRUCTION
STEFL
V ALl.EY
L~-_~~"
MlJ.fjo~ ,(!Co
¡Ìtr(o~
- . -- ~
, '~1 MOl\G¡\
pf~' .-, - '
pI\ESIVE1'Ii" .
,-
612 "",'I""'S~. 91;05
.r~ttSfIELV
ß~pJ> 8 . .
805) 324-.4-91 .
( ,
~J,
'--=:-- -=--
~ì
~ I
FINANCE DEPARTMENT
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA 93303
ADDRESS CORRECTION REQUESTED
',-
AUTO
, if¡ t'-~~"::-:-~~':-'~A,~¿ \<;,""">,'"'tllf:...~_-:::} ~
','-Ç,u, -as ~." ~ t:7 -'
Ë:3 4~P p'~J~,~,' ",,"J'(~' !J.S.PO.STf1:t ~
u ¡-2 '\I ÞP:,..../: 'I <t1
ë 'n~ tljAR 12'£7 '-", p'. " . . , "
~~ " ' -~ lôJ i' ::
\,;>~ ~~~~ ~¡¡
~.~ ~(j~ ~
,'\ ~~tJ'~·
"" '
I '\ . ~
\./
'\
MORG6~2 q33052~OO ~2q7 03/~3Iq7
RETURN TO SENDER
:M08GAN AIR CONDITION-FAMILYST 07
PO BOX 6080i
6AKERSFIELD CA 933ðó-OðOL
RETURN TO SENDER
111111111111.11..11..11...11...111..111'11..1111...11...11...1
"
.
¡? î'
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD. CA 93301-0000
(805) 326-3979
DATE: 3/01/97
TO: MORGAN AIR CONDITIONING INC
POST PETITION ACCOUNT
612 WILLIAMS STREET
BAKERSFIELD, CA 93305
CUSTOMER NO:
3112
CUSTOMER TYPE: ESI
12248
----------------------------------------------------------------------------
____~ __ ~~ "'- ~__~~--__ _---..:c...- -_ _'---_,-,~_-_
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE
TOTAL AMOUNT
------ -------- ------------------------- ---------- -------- --------------
0/00/00 BEGINNING BALANCE
HMOO9 2/13/97 Charge adjustment 2/13/97
fINANCE CHARGE
HM009 2/13/97 Charge adjustment 2/13/97
ADMIN SERVICE FEE
HM009 2/13/97 Charge adjustment 2/13/97
FINANCE CHARGE
HM017 2/13/97 Charge adjustment 2/13/97
fINANCE CHARGE
HM017 2/13/97 Charge adjustment 2/13/97
ADMIN SERVICE FEE
HM017 2/13/97 Charge adjustment 2/13/97
FINANCE CHARGE
CONTINUED ON NEXT PAGE. . ,
495.44
1.58-
15. 95--
1. 58--
.50--
5. 05--
.50-
DATE: 3/01/97
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P'D' BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO:
3112
CUSTOMER TYPE: ES/
12248
r.,r., .
:.;
\.
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-3979
DATE: 3/01/97
TO: MORGAN AIR CONDITIONING INC
POST PETITION ACCOUNT
612 WILLIAMS STREET
BAKERSFIELD, CA 93305
CUSTOMER NO:
3112
CUSTOMER TYPE: ES/
12248
..-------
---------------------------
CHARGE
DATE DESCRIPTION
REF-NUMBER DUE DATE TOTAL AMOUNT
------ -------- ------------------------- ---------- -------- --------------
FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT,
-------------- -------------- -------------- --------------
CURRENT OVER 30 OVER 60 OVER 90
-------------- -------------- -------------- --------------
214.24
2.08
253.96
DUE DATE: 3/31/97
PAYMENT DUE:
TOT AL DUE:
470,28
$470.28
"'.'"'~..,~~':f"'O~"'~~-"'_="_,_~~~"'~"""'~·,..,._:~·....".""~~=,...""'=,,=,..,,....~'..,.~T~=?~~~~~.""w,.. ... ,......._..........".... ........ ...,.~~-',,~-"""'~="^"'"'-',=:.:~~~.,.:,,:~,,~
,,,~,,,,.C~"-"H,,,,;""..-.~.="-",^=,,,,""<n""":"":""n·"''''~''''',,^'~''',
DATE: 3/01/97
DUE DATE: 3/31/97
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P,O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO:
3112
CUSTOMER TYPE: ES/
TOTAL DUE:
12248
$470,28
~_·_~'--'_'__1 _
l~i ~,~ ~, ~,~ [[fr,\]~U'-,I.·
n' :,' '/.1... \..ìL", ¡
¡ L .,~. .),).
¡
¡ By
_.'
--
--
'.."i!
MEMORANDUM
October 23, 1995
TO:
Esther Duran, Hazardous Materials
ð
FROM:
Drew Sharples, Financial Investigator
SUBJECT: Hazardous Materials Account
3112 Morgan Air Condition Inc
Filed bankruptcy on 9-19-95, case #95-14895-B-11. This is a
Chapter 11 case, the business is still active. Close the
current account and open a new account. Please identify the
new account as post-petition.
oW~~
~
f~1f
,
~/¿;¿ úJæß~
f
y~ ltO.. <W ~
D't {) y ~ ~ 'i ij\\0~~6H' /À~'\¡'"
!J ~~ ~\@l~ be{('rA éU@£,e& ..æ:(Q(í
ecð~\ß~e~e\i@.røk, ~~tq@eq ø ~=- 4ße)~.
COùii NØt q~a~ ø.ud'>{; ~
n~ø.~ @~ b~Q~Joc~g \ ~() vt,,'-l\f
@ ~,,~{. ~'L 9~ II;
I
[ )
I
e
--
04/P8/91' 0\" MORGAN AIR CONDITIONING INC215-000-000781
( ~ Overall Site with 1 Fa~. U~it
~/~
@ Busi~ess Pho~e
(805) 324-4919 x
<DO:;}) _ :JC:::; 1 TlY x
Admi~istrative Data
612 WILLIAMS ST,
BAKERSFIELD
215-002 BAKERSFIELD STATION 02
.'
GeY',era 1
I n forma t i CrY'.
I Location. 612 WILLIAMS ST
Ident Number: 215-000-000781
r- CCIY',t act Name
¡DEAN J. MORGAN
r·1CRR I LL U.~~~CY
Title
-I PRE:S ;'BbO-T"
Mail Addrs:
City:
Cc.mm Cr:rde:
Owner: DEAN MORGAN
Address: ~ 715 P()N~~()I'rtA a:R: :J/ùß FA:t4'A/t. '"" "'-
City: BAKERSFI::D __ .
SunUllary
(!)~
Page
RECeiVED -
1
Map: 103
G,,~id: 28C
SEP {} J 199'1
HAZ-:-M;
Haz':\t~d ;
A"~ea Qf
---..
-r 24 H1'i!~~
(80;::;) 1~'- 1
J (00::;) ;}'J'J :::;'][,1
D&B Numbe"~:
State: CA Zip:
SIC C.:.de:
93305-
Phone: (eo~) 67;;' -'ò7Q4-
state: CA
Zip: 93306-
1
I
III
I I
II
~J
04/(18/91'
e e
MORGAN AIR CONDITIONING INC 215-000-000781
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
Pln~Ref Name/Haza~ds
FC''r~m
0~-::-002 ACETYLENE Gas
Fire, Press'-\'r~e, Immed Hlth
02-003 OXYGEN Gas
Fire, P'r~essl.lre, Immed Hlth
02-001 R-22 FREON Gas
Fire, P'r~essu'r~e, Immed Hlth
Quarlt i ty MCP
74'+ High
FT3
450 LClw
FT3
223 LClw
FT3
·
04/08/91
e
e
MORGAN AIR CONDITIONING INC 215-000-000781
OÓ - Overall Site
Page
3
<D> Notif./Evacuation/Medical
<1> Agency Notification
~&~h,æ~~
cfÞW/M Þ'1 5ftt.//tftu #~
/ 7/b g ¿/~¡t' bl-·
63/- i'7Z0
tlle-
9// ~~
Employee Notif./Evacuatl0n
<2>
VERBAL ANNOUNCEMENT OVER PA SYSTEM. PERSONNEL TO EVACUATE THROUGH ONE OF
FOUR EXITS AND CALL EMERGENCY 911.
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
MEMORIAL HOSPITAL - 420 34TH ST - 327-1791.
.
0'+/08/r:31
e
e
MORGAN AIR CONDITIONING INC 215-000-000781
00 - Overall Site
Page
4
<E} Mitigation/Prevent/Abatemt
<I} Release Prevention
COMPRESSED GASES (OXY, ACE, R-22) ARE STORED IN DESIGNATED AREA WITH PROPER
SEPERATION BETWEEN TANKS AND WITH PROPER RESTRAINTS.
<2} Release Containment
. a.A~ /~ /2~ w;f/v ~
~Þdi-s :m ~ -hÌ?~~
<3} Clear. Up
/16 ad~/ ". ¿1'/Uj¿.val f/4,.¿:/~ d£-
Ø&/'~ ~~~ ar-d-
(4) Other Resource Activation
·
04/.08/91
e e
MORGAN AIR CONDITIONING INC 215-000-000781
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST CORNER
B) ELECTRICAL - SOUTHEAST CORNER INSIDE
C) WATER - SOUTHEAST CORNER FRONT
D) SPECIAL - NONE
E) LOCK BOX - NO
"
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - ????????????
FIRE HYDRANT - ???????????
<4> Held for Future use
'-...
Page
c::-
..J
e
e
ø
04"':08/91
MORGAN AIR CONDITIONING INC 215-000-000781
00 - Overall Site
Page
6
<8> Tt~a i rl i rIg
<1> Page 1
WE HAVE 14 EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? 'i 6 S
BRIEF SUMMARY OF TRAINING: _ .
~ ~ ök/ ~ ~'¡alA;t.¿{ ~
~ ~/~ 66-/9# á.dt-flJ~, ~
1'hcÛtM~ ~~ dI1~d. at- J~ /¢-/ i9?/ ¿y~
<2> page~~
<3} Held for Future Use
<4> Held for Future Use
~HAZARDOUS MATERIALS INVENTORY
Standard Business ~
NON-TRADE SECRETS Page __L_ of ~
'- ~U~¡~Ið~' NAME: MORGAN AI~ CO~'G, INC. ~~~~~S~~ME: VEAN MORGAN AP ~~~nD~~DT~~ð F¿fl~PtÒDp-.S1fQE/OFnCE Ud__________:")_
âTY ZIP: ~~ ~~~~ ~ - ~ CITY 3!P:~~ RW& ~~ --t,~ð DUN AND BRADSTREEI NUMBERu ----- - -- --
PHONÈ It: ~~~ _ ~-____ 3305 If?~~ iO-iWT~ -Sr=vR-PR~PER CODES 0 0 - 8 2 7 - 7 1 8 j
I 3 4 6 1 8 9 10 II ,12 13 1!
Tr&ns Max Average Measure' Dys Cont Cont Cont Use Loc~t Ion Where 'by 1¡ms of "ixture{ço~oor.ents
Code Allt Amt UnIts on SIte Type Press Temp Code Stored In FaCl11ty wt" See Instru: Ions
04 NofLth wail.
Component 'I Name & C.A,S. Number
Farm and Agticulture []
o Fire Hazard
~ Reactivity
o Delared ~ Sudd~n Release
Hea th of Pressure
CITY of BAKERSFIELD
Component '2 Name & C.A,S. Number
o Immediate
Health
Component '3 Name & C.A.S. Number
o Fire Hazard
~ Reactivity
o De Jared ~ Sudd~n Re 1 ease
Hea th of Pressure
NofLthe~t eo~n~
Component 'I Name & C.A.S. Number
O Component '2 Name & C,A.S. Number
Immediate
Health
Component '3 Name & C.A.S. Number
u
o Fire Hazard
~ Reactivity, 0 Delared I2iJ Sudd~n Release
Hea th of Pressure
NofLthweót eo~n~
Component 'I Name & C.A.S. Number
Component '2 Name & C.A.S. Number
o Immediate
Health
Component '3 Name & C.A.S. Number
o Fire Hazard
~ Reactivity
o De 1 ared ~ Sudd~n Re I ease
Hea th of Pressure
Sou;thweót eo~n~
Component 'I Name & C.A.S. Number
O ,Component '2 Name & C.A.S. Number
ImmedIate
Health
Component '3 Name & C.A.S. Number
. E~.üma.to~
TIt
Zl~H'if~ I
EMERGENCY CONTACTS #1 Vean Mo~qan P~eóident 872-8794 1t2 T~y Mo~gan
Rame Tttle Z41frPliõñe- .Rame
Certifiçatio~ (Reed and $ign afJßr c9mp7~ting, ~ 77, sections) , , . ,
1 certIfy under penalty. 0 la~ that I have persona Iy exam1naQ ~~d am faml11ar Ylth the informatIon $Ubmltte~ In thIs ~nd all
att~~hed dQcu~ents, anij t at based on my Inquiry Q those IndIVIduals responsible for obtaIning the InformatIon. 1 belIeve that the
submItted Infor~atlon IS true, accurate, and complete.
Vean J. Mo~gan/ P~eóident
Ijni~ o~rdofmãTTITIe of own~r¡opêrHor UR ownerlopefãtõT'-š-ã1ITtiõfîffifrëõreseñtãTiVe---
Ii
crTV'bf'BAKERSFIELD
, I
1
~HAZARDOUS MATERIALS INVENTORY
Standard Business ~
NON-TRADE SECRETS Page _..!:........ of-1...
BUSINíSS NAME: S~~ed on Page OWNER NAME: NAME OF THIS FACILITY: Shop! OßL~ee .
10CAT ON - ADDRESS' STANDARD IND. CLASS COO£:-_.... - _L...__..,..'.._.j'....__..
~Àb~~ i~i>: ~Àb~Ë ¡~P: DUN AND BHADSTREEJ NUMBER..·'..' .._-"--,, ....____.._n' --"-
REFER T01NSTRUCTIONS-nJR-PROPER CODES - - - -
f I 1 8 9 10 11 12 13 u
! Tr~ns I Dys Cont Cont Cont Use loc&tjon Where \ b~ 1lar.es of !lixt'.Jre{çQ~oor.ents
Code on SIte Type Press Temp Code Stored In FacIlIty lit' See Instru: IC~S
¡ A P 32 gal. 10.6/mo 128 gal. FT3 365 04 19 Sou.:th wall. - eentJtal. 00 PJtopane
¡Phy~ical end Health HSlard C,A,S. NUlilber 74-98-6 Component t1 Name & C.A.S. Number
(Check all that apply .
I 'IJ(PL{. L/3 3&, Ç¡C¡ 1l'o ,/,' '! ';j C~rn
I 1:'9 Fire Hazard ¿j Reactivity 0 Dé1ared 181 Suddfn Release
! 3 Hea th of Pressure
i ~5/3 '1b~:¡'J.e)ð.
Farm and Agticulture []
Component.2 Name & C.A.S. Number
o Immediate
Health
Component'3 Name & C.A.S. Number
e
Phy~ical end Health HSlard
(Check a II that app I y
C.A.S. Number
COlilponent.1 Name & C.A.S. Number
,
i 0 F ire Hazard
o Reactivity
o Delsred 0 Suddfn Release
Hea th of Pressure
O Component.2 Name & C.A.S. Number
Immediate
Health
Component 13 Name B C,A.S. Nu~ber
,Phtsical ,nd ~ealth HBjard C.A. S. Number Component " Name & C,A.S. Number
I ( heck a I t at apply
i O' d [] Reactivity o De hred [] SUd~fn Release Component .2 Name & C,A.S. Number I
: Fm Hazar o Immediate
¡ Hea th o Pressure Hea Ith I
i Component B3 Name & C,A.S. Nur.ber
Ph~S¡Cfl ,ftd Health "8iard C.A.S. NUi\ber Component .1 Name ~ C.A,S. Number
( hec a I that apply
Component '2 Name & C.A.S. Number
[] Fire Hazard o Reactivity o Delared [] SUddfn Release o Immediate
Hea th o Pressure Health
Component '3 Name & C.A.S. Number
EMERGENCY CONTACTS #1 #2
Raile Tft I e ITlIrP1ione- .Rãñie
'~rtifiçatio~ (Reed and $ign af1ßr cÇ>mp1eting all sections) . . .
certIfy under pena1tï 0 la~ th&t I have persona Iy exam¡neQ ~~d em familIar vith the informatIon $UbIi11tte~ In thIs ~nd all
,ttaçhed dQcu~ents, anQ t at based on my Inquiry 0 those IndlVlduals responsible for obtaIning the InformatIon, I belIeve that t
;~Mtted lnror~at1Dn 1S true, accurate, and complete.
_~___ _ ~ _ Vean_ J. MOJt,qan / J~Jz.eJ.>ij.e~__ ~ ___ __..
!~? ~r~ oflë1gT""tf{Îe of Own~r/ooerator UR owner/operafõr's autñõfl1ëã reoresentitlve
¡
Tit Ie
'll'RrTficn.
... M . - . .--- _ ."_ _"'~_~"'-'-"'-"'~__~""'_~,.-_ . :: --.....-x-.- _ .-- __". Y_.__ ____ __ ______ _ ________-
-- '-.~
'. ,':1':-'-..-1.
e
e
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
..
103 -2~C--
P~!~
4D¡) axQ¿ ,.3
~QQ Gi :L
;'1
OFFICIAL USE ONLY . .' \
ID# ro ~ D f) ,J'~.: ,,' .
li5'(
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
1'0'\,
~.......
.~.
. '", '., ',' """ ,::
, . ('-' -,
. \. ~.. ~ . 4
... 'to, I, , '.
, .
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 whole.
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
RECEIVED
NOV 3 1987
ARS'd............
B, LOCATION / STREET ADDRESS:
612 Williams street
A. BUSINESS NAME: Morqan Air Concì it- ion i nCJ. Tn,... ðba. O"€lrn9¡¡d Door Co. o~ Dak.
CITY:
Bakersfield, CA
93305
BUS. PHONE: (805) 324 - 4918
ZIP:
SECTION 2: EMERGENCY NOTIFICATIONS
.
In case of an emergency 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.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME ~D TITLE T "'" _ I DURING BY~ HRS,
A. ,12E1TN ~. L!..!ðr~~1\J Ph# .32~4--,1 ~Ph#
B. fV\èrri lL1:JìM ~ Ph# 32-S- - n77 Ph#
. \ ~'. ¡..
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
AFTER BUS. HRS.
812..-IQQJ
;jqq - 3f/tþ /
,
'\ ~ ~
¡' .'
A. NAT. GAS/PROPANE:
B. ELECTRICAL:
C. WATER:
D. SPECJ.Ù:,: . ®
E, LOCK BOX:, YES NO IF
IF YES, DOES
YES,
. ,
'"
. , i
IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO
YES / NO
- 2A -
¿
MSDSS?
KEYS?
YES / NO
YES / NO
..--- ,.
-
e
l ::.. ~-fif ,;
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
¡1/diJL
,. ,.,~.. 2 '"
. . "\ "
. .
\ "
SECTION 5:, LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
/l1C/Y)()t2II/-L /k¡J/¡í¿!
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO I~ITIAL REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:.,............,................,....... @ NO @ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:..........,.".",.....,.. i NO I NO
C, PROPER USE OF SAFETY EQUIPMENT:......"...".,.. . NO YE NO
D. EMERGENCY EVACUATION PROCEDURES:........".,.,... NO ES NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. ... .., E NO ES NO
SECTION 7: HAZARDOUS MATERIAL ~R.e(!) pJ l-S. C!-o N ¢ ,d e eeA ~ ~~ .edou..s Md¿·
CIROLE YES OR ·NO f."',.,'.,...'· '
DOES'YOUR BUSINESS HANDLE HAZARDDUS MATERIAL IN QUANTITIES LESS THAN 5001POU~F A
SOLÌD·.~5: GALj!.ON.$ OF A LIQ~I'~, .QR .200~ ÇUBIC FEET OF A Ç9M:RES~F;D ':AS,:,. ~.' i . ¡' ~ NO
I ._þE'A,j {V\ðr~O,.j , certify that the above information is accurate,
I understand that this 'nformation 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
See, ,25q~O..·Et- AI. )\ and th!\lt ,~n-a~cur~te: information consti tutes perjury.
~. 0\ ~ ., .. ø'
.. .
. .
_.", .. III, ,. ': .
. . i\,.,.... .'. \. ~
. "--t.'. Ct.... ..: .
" ;'.
SIGNATURE
TITLE
;k:
I
DATE /oØð'ß7
I I
- 2B -
e
SECTION 3:
e
,.' 7:"'";:,'!I ,.
¡
FOR THIS UNIT ONLY
A. Does
Unit contain Hazardous Materials? . . . ,. YES NO
If Y . see B.
If NO, cont'nue with SECTION 4.
B. Are any of the h zardous materials a bona fide Trade Secret YES ~O
If No, complete a s arate hazardous materials inventory
form marked: NON-TRA SECRETS ONLY (Nhite form #4A-l)
If Yes, complete a haz rdous materials inventory form marked:
TRADE SECRETS ONLY (yel ow form #4A-2) in addition to the non-trade
secret form. List only e trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
. . <. \^ J
,r ~ b It Þ . \t.~) lV, i
.",', "",' ",,4:~, í\:¡!"';"<;~' ~I
1\ '\, ( ,
',,'ÿ "
...~ ~ -
, " ~
'"
~ ~...
,I>:. . 'f¡:> ,<) , \..
, ,
SECTION 5.: .-LOCATION OF
. '.
. '-=:; -,) ~ " ..
.. ,
.,"".. .'
, .
D"'~ \
'. "'" I
.. IP. -. ,
.' .
,
.. .. .~
'.
Y. EMERG.ENCY 'RÊSPONDERS,
\~. I
~ " :;'J to·;
. . .
'I"}, ,.....
"""
.
.~ '¡...."'. ....
.. "<,4 , ,
, ,
.~ . '~
.. . 'C. .
" .....
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT
A. ~AT. GAS/PROPANE:
f. ~ ~'~". 1 rl'(, eo·
~ .' ~ .."..~
,
B. ELECTRICAL:
)~ ... r
'to :'
.......'.' \",
..~ -.. "'.',..
C. \'ÎATER:- , ,,;'
.:~ " ":." ~ . -1'. .J'-
\. f4 .... ~
........ ø-
"',' .. '*
~
D. SPECIAL:
"
!. ~".... ,\?
, ø. ~ ~ -:-0 Iþ ... t¡" "'" ~
. ,",', '¡,... "¡ . .
, .
'\ . ,t:. "...:' '
-" -'....
~ ~ -. ,'"'. ~
,. .
. " . " ,I
f' ".,...
~:
"
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, SITE PLANS?
FLOOR PLANS?
YES / NO
YES / ~O
MSDSs?
KEVS?
YES / NO
YES / XO
- 3B -
~<\ ,,~..-....::a.,_.
.. ,"
e
e
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
------
BUSINESS NMŒ:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be r8turned by:
2, TYPE/PRINT YOUR A~SWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELON
4. Be as BRIEF and CONCISE as possible.
FACILITY UNITt 000ð ~ FACILITY UNIT NAME'~Q~ Mil. (1r-.rl{-hå-N;"/j!
SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES ~~
f!bw.~d ~ (ox/lacer/ Æ'~Z-i) 4M-
S/rJutL iN ~9fñätEd M£tL N/~ f:!O¡:;OU
SJ1»/1a.11~ ~~S ~ WIth- fA~
~ipfs .
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS L:JIT O~LY
{/.l/LÍdL aA//1/ð1/Wt~ ~ 11" SyJ~·
~ ~~~ ~~~ðÖ
~ ..0C/fs- ~ cad ~ 9/1.
.'
-, 3A -
\ -
·/)ß
4f'
\II
Q
~ ~
~ ~..t.,
ø:.. <II u. .
o <II~':
. , . ""'0 QO
,W!fA. ,. oil!:, ~
.f//!:.. . <<,¡.1',~, '.
. ..... ....,~
....., .... ~'.. .~" .
7- ~' ,." ,;','Q;N,
.J. e. ~. <,¡.1,~
:"".. III '';;ot; \II ,
,..~'ti:',:;";~ :~%.,
.. ..
..,",,-,.'
"
.'.;' .'
._.~-._--."""" .-
, , . ,,','
....--.ç~."":f.'.
/
(/~ð
.'.\ ."
"' -,....--..,~_...,
-:-
~..
'(~
---..~-._.~-.~---"---~-... - .-
e
e
¡ -:.;..... '-'..... f..;~.
e
e
SITE/FACILITY DIAGRAM
FORM 5
NORTH
SCALE:
FLOOR:
:rA/C- .
UNIT :;:
OF
-1
OF I
(CHECK ONE)
SITE DIAGRA:.r
FACILITY DIAGRAVf
.} S€ fE /II;I:¡ dtt!d f%r ~¡J
.-
.
,
(Inspector's Comments):
-OFFICIAL USE ONLY-
- 5A -
I. D. #
ðOGðr
II ^ K E H S l' 11:. L U \., 1 ì l' J 1\ L IJ LI 111\1 1'1 L U I
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
Page
of
.
.
!.
,
,
BUSINESS NAME:
ADDRESS:
CITY, ZIP:
PHONE #:
OWNER NAME:
ADDRESS:
CITY,ZIP:
PIIONE #:
'J¡
FACILITY UNIT #: ~
FACILITY UNIT NAME: ð~~~ va
¡.
OFFICIAL USE CFIRS CODE
ONLY
COMMON NAME
10
HAZARD O.O,T
CODE GUIDE
8
% BY
WT.
9
-e-
NAME:
EMERGENCY CONTACT:
TITLE:
SIGNATURE:
DATE:
TITLE:
PIIONE # BUS HOURS:
AFTER BUS HRS:
PHONE f BUS HOURS:
AFTER BUS, HRS:
EMERGENCY CONTACT:
PRINCIPAL RUSINESS ACTIVITY:
.
TITLE:
- ,4A-t -