HomeMy WebLinkAboutBUSINESS PLAN 7/11/2003
'/
,/
.-.,,"..---
/
, ;.-
f',",~ .
0(
HlWMP
PLAM·
MAP
~ ."
J"
. UR = %ffÆ:J?iEZE
wo= wRSïE SITE DIAGRAM
OIL
,P{jj::::. PRI?7S Business Name:
. {JJIlSHER.
UOp: U.sEO OIL Business Address:
t=/LTERS
HT;: HOí"711/)I('
LuG::: úJELDlnG
(JFJ S
11:::.I9CElVL VilE
0::: OXYGEn
¡:E" t:¡IZE
EX71I7GUISf!œ
no::: n8J.J OIL
I X I FACILITY DIAGRAM I
RDVRnCED BJROPEfln RUTD/llaJ7//E
J130 S7Dcm/lLE f/Wv.
I
For Office Use Only
First In Station: Area Map if of
Inspection Station: NORTH 0
__, f:tQU~~ w
- " , - " ----. - - -
.
^'
f
o
s
mEns ~ (!1
-...j ~
r-j :".. ';:','
'~( womens @ W PT'7,
h. @ ~ ''''¡';;
< , w ~ÇJ
"
...\J 4.) a "'" ;:§ '.)
~ - -v OF¡:-ic E Î'-
~ I lG ~G':<
~ \b @
'" ~s ~
c..') - èt ~ \S
~ 'FE ~ "" \',J
~ ''S;
lu B ~ ~0 fiJð
,~
'-J 0 ~ -
~ ~
~ ~ (@ÆJ@
~ >o..~.;o;.>Oo'~~
~ I.UltTEt<
I=:J .:J/{t.lí
I ; t'-..- O¡::,c
C/)
I
THE
, LU{3GJ-7Gé
CEm13R -
Qf_t\l1. ·:rrDCkûl-iL{;
~V\\J
n ¡'crr4£ ~
flWy~
OPE/) ¡C¡ELO '
¡
,""'
<5,
~
<:.':::-
~
..j
::::!
-.
r
..... '. 1 I ..
"
Manager :
Location: 3730 STOCKDALE HWY
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 07
EPA Numb: CAL000058217
1}\~
(~
~~\. ~
. A~em,
/ / 1
~/ ')
\~ :
,_.
,----
~
(~~~CED EUROPEAN AUT~TIVE
015-021-000473
BusPhone:
Map : 102
Grid: 35D
(661) 322-4444
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:7538
DunnBrad:
Emergency Contact / Title
DAVE MALLORY / OWNER
Business Phone: (661) 322-4444x
24-Hour Phone : (661) 589-6529x
Pager Phone : ( ) - x
Emergency Contact / Title 5t>f!.JIUX
J.'\JH £:_~~TS:RJNfð E:<!:;f'ë.S/ SECREJT.'\¡n.: WlZJTç¡z:..
Business Phone: (661) 322-4444x
24-Hour Phone : (661) gQQ e238.ÁJíõfH'.~
Pager Phone : ( ) / - x
<- Ç~9"'/9Z.ð
Fire Press React ImmHlth DelHlth
Hazmat Hazards:
Period :
Preparer:
Certif'd:
parcelNo:
to
Phone: (661) 322-4444x
State: CA
Zip : 93309
Phone: (661) 589-6529x
State: CA . ' -
Zip . :~933ii~
TotalASTs: =:
TotalUSTs: =:
RSs: No
Gal
Gal
Contact :
MailAddr: 3730 STOCKDALE HWY
City : BAKERSFIELD
Owner
Address :
City
DAVID MALLORY
13600 WARRENTON AVE
: BAKERSFIELD
,
Emergency Directives:
í J)I\\llb, )/JAut)f-t{
f -'I
.~,. . .i....._. , rtl'-f'\!t:.-
, ¡:':;,. ~.' .:' "
rev: ,;' ;,' l
': ...
, ,
A t>V~C€t> £vCZC(eAN
ment piall í0,_^VT014CTIYt;;,
~ '~" ..' :"
"
any corrections cor: :-:-;~ ,.,.; , .
"
. "
agement plan for my facility.
~~~.
SlgnatlJre
7-//-03
Date
-1-
06/16/2003
¡;. I.
~ ," ,..
F ~~~CED EUROPEAN AUT.TIVE
I
F Training
Employee Training
.
SiteID: 015-021-000473 ì
Fast Format ì
Overall Site ì
OS/20/1999
WE HAVE 3 EMPLOYEE AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON
MALLORY IS THE OWNER OF BUSINESS,
READ MATERIAL SAFETY DATA SHEETS AND
BRIEF SUMMARY OF TRAINING PROGRAM:
~IT JMU OMHJDR AO SDC:R.E'fAKY, WE
ARE AWARE OF IMPLICATIONS OF SUCH.
~~ "EÆ>~ ~ Sg..!JLte tu Gtz..
1) EMPLOYEES ARE INFORMED OF THEIR RIGHTS UNDER THE CAL OSHA HAZARD
COMMUNICATION REGULATION.
2) EMPLOYEES ARE INFORMED OF THE HAZARDOUS SUBSTANCES PRESENT IN THEIR WORK
AREA.
3) EMPLOYEES ARE INFORMED OF THE LOCATION OF THE WRITTEN INJURY AND ILLNESS
PREVENTION PROGRAM.
4) EMPLOYEES ARE INFORMED OF THE HEALTH EFFECTS OF THE HAZARDOUS SUBSTANCES.
5) EMPLOYEES ARE INFORMED OF THE METHODS AND OBSERVATION TECHNIQUES USED TO
DETERMINE THE PRESENCE OF HAZARDOUS SUBSTANCES.
6) EMPLOYEES ARE INFORMED OF COMPANY STEPS TAKEN TO DECREASE HAZARDOUS
SUBSTANCE EXPOSURE AND FIRST AID PROCEDURES TO FOLLOW IF EXPOSURE OCCURS.
Page 2
r
I
I
Held for Future Use
Held for Future Use
-15-
06/16/2003
, -
.t#
-
-
..
.1illVANCED EUROPEAN AUTOMOTIVE
RECEIVED
~anager :
Ú~.ca t ion: 3730 STOCKDALE MAY 1-): 1999
City BAKERSFIELD /// /
Com~~ode: BAKERSFIELD STA£:~:{~:'/ --,
EPA Nûmb: CAL000058217
SiteID: 215-000-000473
BusPhone:
Map : 102
Grid: 35D
(805) 322-4444
CommHaz : Moderate
FacUnits: 1 AOV:
Emergency Contact
DAVE MALLORY
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ OWNER
(805) 322-4444x
(805) 589-6529x
() x
Emergency Contact / Title
JAMI SRI7nGK:. / SECRETARY
Business hone: (805) 322-4444x
24-Hour Ph ne : (805) 071 ~16Bx53'
Pager Phone : () X
Period
Preparer:
Certif'd:
to
Fire Press ImmHlth
Phone: x
State:
Zip
Phone: (805) 322-4444x
State: CA
Zip 93313
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Hazmat Hazards:
Contact :
MailAddr: 3730 STOCKDALE HWY
City BAKERSFIELD
Owner
Address
City
DAVID MALLORY
13600 WARRENTON AVE
BAKERSFIELD
Emergency Directives:
Hazmat Common Name...
SpecHaz EPA Hazards
One Unified List ì
All Materials at Site ì
DailyMax MCP
G 88 FT3 Hi
G 251 GAL Low
L 35 GAL UnR
L 55 GAL UnR
L 250 GAL UnR
G 35 FT3 UnR
F Hazmat Inventory
f== Alphabetical Order
ACETYLENE
OXYGEN
USED ANTIFREEZE
USED OIL FILTERS
WASTE OIL
WELDING GAS
F P
P R
IH
! DQú\(1 rfpJ)ör-j
· (Ty~ or print nlllmø)
reviewad the attached hazardous ma~erials manage-
#0 V ¡:¡nCEQ
ment plan for 8.J!?oPGJJn IVLáRa. that i~ ~Iong with
(NÐIYrI of Business)
any corrections constitute a complete and coned man-
DH
F DH
Dó hereby cert¡lY that I have
agsment p~~üî ~orr my ~emiy.
#
't,\ '
Š-Il- 9'1
DaIø
05/10/1999
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
p= Inventory Item 0001
COMMON NAME / CHEMICAL NAME
ACETY
SiteID: 215-000-000473 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
this Facility Unit
Map:
Grid:
CAS #
74862
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
88.00 FT3
Daily Average
88.00 FT3
HAZARDOUS COMPONENTS
~
CAS #
748621
I l~~~åoIAcetYlene
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P / / / Hi
HAZARD ASSESSMENTS
p= Inventory Item 0007
CO --º. NAME / CHEMICAL NAME
OXYG lí;J
Facility Unit: Fixed Containers on Site ì
Days On Site
365
this Facility Unit
Map:
Grid:
CAS #
7782447
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
251.00 GAL
Daily Average
251. 00 GAL
%Wt. RS CAS #
100.00 Oxygen, Compressed No 7782447
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P R / / / Low
HAZARD ASSESSMENTS
-2-
05/10/1999
'.
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
p= Inventory Item 0004
= COMMON NAME / CHEMI CAL NAME
USED ANTIFREEZE
SiteID: 215-000-000473 ì
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
OUTSIDE NE WALL
Map:
Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
35.00 GAL
Daily Average
35.00 GAL
%Wt. RS CAS #
99.00 Waste Anti-Freeze No 107211
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
HAZARD ASSESSMENTS
p= Inventory Item 0003
COMM~ AME / CHEMICAL NAME
USED L F TERS
Facility Unit: Fixed Containers on Site 9
Days On Site
365
this Facility Unit
Map:
Grid:
CAS #
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
I~I
CAS #
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
HAZARD ASSESSMENTS
-3-
05/10/1999
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
f= Inventory Item 0006
= COMMON NAME / CHEMI CAL NAME
WASTE OIL
SiteID: 215-000-000473 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
OUTS IDE NE WALL
Map:
Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
250.00 GAL
Daily Average
250.00 GAL
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
HAZARD ASSESSMENTS
,~
f= Inventory Item 0008
= COMMON NAME / CHEMICAL NAME
WELDING GAS
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
INSIDE SE WALL
Map:
Grid:
CAS #
STATE - TYPE
Gas Mixture
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
,
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
35.00 FT3
Daily Average
35.00 FT3
%Wt. RS CAS #
75.00 Argon No 7440371
25.00 Carbon Dioxide No 124389
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P / / / UnR
HAZARD ASSESSMENTS
I"
-4-
05/10/1999
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 215-000-000473 ì
Fast Format ì
Overall Site ì
04/29/1993
IN CASE OF A HAZARDOUS MATERIALS SPILL, THE OWNER DAVID MALLORY WOULD BE
INFORMED AND A CALL IS PLACED TO LOCAL FIRE STATION #3 OR 911.
Employee Notif./Evacuation
04/29/1993
EMPLOYEES ARE NOTIFIED VERBALLY AND INSTRUCTED TO EXIT THE BUILDING AND
GATHER AT THE TELEPHONE POLE IN THE WEST PARKING LOT.
Public Notif./Evacuation
04/29/1993
THE SURROUNDING PUBLIC WOULD BE VERBALLY INFORMED.
Emergency Medical Plan
04/29/1993
IF A MEDICAL EMERGENCY CANNOT BE TREATED BY FIRST AID, THE EMPLOYEE WOULD BE
SENT TO MERCY HOSPITAL OR AN AMBULANCE WOULD BE CALLED.
-5-
05/10/1999
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
I
f= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 215-000-000473 ì
Fast Format ì
Overall Site ì
04/29/1993
THE WASTE OIL CONTAINER IS ENCLOSED INSIDE OF A LARGER PLASTIC CONTAINER.
THE NEW OIL IS ENCLOSED IN A LARGE METAL DRUM WITH ONLY ONE HOSE CONNECTION
LEADING FROM IT.
r=:: Release Containment
SAME AS PREVENTION.
04/29/1993 ]
04/29/1993
Clean Up
SMALL SPILLS ARE WIPED UP PROMPTLY.
REFERRED TO THE LOCAL FIRE STATION.
MAJOR RELEASE OF MATERIAL WOULD BE
Other Resource Activation
-6-
05/10/1999
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
I
p= Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
A) GAS - OUTSIDE E SHOP NORTH WALL
B) ELECTRICAL - INSIDE E SHOP NORTH WALL
C) WATER - OUTSIDE W SHOP S WALL
D) SPECIAL - NONE
E) LOCK BOX - NO
SiteID: 215-000-000473 ì
Fast Format ì
Overall Site ì
I
04/29/1993
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND INFRARED
FIRE HYDRANT - SOUTHS IDE OF STOCKDALE HWY WHERE GARNSEY MEE
Building Occupancy Level
-7-
05/10/1999
~ 1 ~
e
e
F ADVANCED EUROPEAN AUTOMOTIVE
SiteID: 215-000-000473 ì
Fast Format ì
Overall Site ì
04/29/1993
WE
THIS FACILITY
WE
ON FILE
INING PROGRAM: DAVE MALLORY IS THE OWNER OF BUSINESS,
SECRETARY, WE HAVE READ MATERIAL SAFETY DATA SHEETS AND
TIONS OF SUCH.
OF THEIR RIGHTS UNDER THE CAL OSHA HAZARD
OF THE HAZARDOUS SUBSTANCES PRESENT IN THEIR WORK
3) EMPLOYEES ARE INFORMED OF THE LOCATION OF THE WRITTEN INJURY AND ILLNESS
PREVENTION PROGRAM.
4) EMPLOYEES ARE INFORMED OF THE HEALTH EFFECTS OF THE HAZARDOUS SUBSTANCES.
5) EMPLOYEES ARE INFORMED OF THE METHODS AND OBSERVATION TECHNIQUES USED TO
DETERMINE THE PRESENCE OF HAZARDOUS SUBSTANCES.
6) EMPLOYEES ARE INFORMED OF COMPANY STEPS TAKEN TO DECREASE HAZARDOUS
SUBSTANCE EXPOSURE AND FIRST AID PROCEDURES TO FOLLOW IF EXPOSURE OCCURS.
Page 2
r
I
1
Held for Future Use
Held for Future Use
-8-
05/10/1999
~.. .. .
=---'~~t#~ ~~ - - --.~. ---- - -
---- ----- --~ ----~~-_._-------~---.------_.----- - -------"---.-------- -----
!
--'---, ---~' .
i ~ D~,.. ,",A A ""1 :
- ---- --,-,--,' ---------~ ----,---'
I
---- --- ;t~-~M-~~~=-=~,
=~ -~--~--wa.J~-~~~-
i U
¡ . - ?-
- --,_,_- jfeL~~Ld2~ld---,-------,--,
,
·-=-f·--
----lL------ ---'-
I
i
--
---
I
D C-"'f&. 7CD '2 (0 f-f!'" ~
/
ZC) f-f-.~
: ~tJ Çuc-<- c~"
I
¡ I
C""",ic._.",..L..,;.. '--?Es
I
:$. '^ Ie ~~"" +: _I -Zþ NO ,L-ld-~
_____t~~,H,...J A..tCM': ~ -7 No, ~~
I,
!
---
'I"'" _'___'__n______________,___ --- - --'--- -
/'
~~~ ~~
... . ". ... UT762201
Account Number
-
.
ACCOUNTS RECENABLE ADJUSTMENT
May 10, 1994
Date
x
Esther Duran
From
Fire Department. Hazardous Materials Division
Department/Division
0000 UVING TRUST
BIlling Name
3730 STOCKDALE HWY
Billing Address
Site Address
Parcel # (If Applicable)
Landlord Name & Address (If Applicable)
ADJUSTMENT
Last Billed Correct Billing Adjustment to Effective Date of
BIlling Change
<8.09> 5·1·94
#:~/
Remarks: THE DODD'S PAID IN MARCH, A FEW DAYS AFTER FINANCE CHARGES ACCRUED.
SINCE THEY ARE WORKING ON REMOVING THE TANK WE WILL NOT PURSUE THE CHARGES.
~r'\~.
---~--------------------~----------------------=--~-----------------=--t----
------------------------------------------------- --------------------- -- -----
Page: 1 Account Billing/Collection Activity Inquiry . S LI08
========================================================================== =====
Acct : 762201 Cyc St CL Bill St: NO
SSN Parcel: 020-180-06-00-7
Name : DODD LIVING TRUST
Svc Add: 3730 STOCKDALE HWY
Cyc : 6 Rt : 1
Svc CIs :e
Seq:
--------------------------------------------------------------------------------
Amt due: 8.09 Current Period Postings
Lst pmt: -66.00 Type Desc Date Amount Receipt #
Pmt Dte: 03/15/94 B91 PENALTY 03/01/94 6.60
Prior Bills -- B92 FINANCE CHARGE 03/01/94 1.33
Date Balance 99 PAYMENT 03/15/94 -66.00 86447
01/01/94 0.00 B92 FINANCE CHARGE 04/01/94 0.08
01/01/93 0.00 B92 FINANCE CHARGE 05/01/94 0.08
================================================================================
Enter 'I' For Billing History, 'P' To Print Report,'D' For Detail Page, or
'IC' For Credit and Deposit History or 'XX' To Exit
\'
\
e
e
~£u Y\~n
Q'::
Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
/~pq
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
(April 2, 1993)
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.
RECEIVED
'APR 2 1 1993
....,.;.- "'-'
..,.i:: '.;~. :.: ,., ~:,-
SECTION 1: BUSINESS IDENTIFICATION DATA
HAZ, MAT OIV.
ADVANCED EUROPEAN AUTOMOTIVE
BUSINESS NAME:
3730 STOCKDALE HWY.
LOCATION:
SAME
MAILING ADDRESS:
CITY: BAKERSFIELD STATE: --ºlL... ZIP: 93309 PHONE: (805) 322-4444
DUN & BRADSTREET NUMBER: SIC CODE: 7538·
PRIMARY ACTIVITY: AUTOMOTIVE REPAIR
OWNER: DAVID MALLORY
MAILlNG'ÄDORESS: 3730 STOCKDALE HWY., BAKERSFIELD, CA 93309 '
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR, PHONE
1 , DAVID MALLORY OWNER 322-4444 589-6529
JAMI BARNES SECRETARY 322-4444 871-2468
2.
1.
\
.akersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
.t,
e
':'" .
>;
/:,...:::::.::.::;¡... ;... ~fI
~!- "; "7 .T>
.;¡
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 1
MATERIAL SAFETY DATA SHEETS ON FILE: YES
BRIEF SUMMARY OF TRAINING PROGRAM:
1. ~WYEE' S ARE INFORMED OF THEIR RIGHTS UNDER THE CAL OSHA HAZARD CDMMUNICATION
REGULATION.
2. EMPIDYEE' S ARE INFORMED OF THE HAZARJX)US SUBSTANCES PRESENT IN THEIR WORK AREA.
T. -EMfiIDYEE 'S-ARE1:NFöRMED OF-THE~LOCATION OF-THE WRI~INJûRY-ANDILLNESS~ -,
PREVENTION, ·F¡<OGRAM.
4. EMPWYEE' S ARE INFORMED OF THE HEALTH EFFECI'S OF THE HAZARIXJUS SUBSTANCES.
..,.. . . ..,..
5. EMPWYEE' S ARE INFORMED OF THE MEI'HODS AND OBSERVATION TECHNIQUES USED 'ID
DEI'ERMINE THE PRESENCE OF HAZARDOUS SUBSTANCES.
6. EMPWYEE I S ARE INFORMED OF ca.1PANY STEPS TAKEN 'ID DECREASE HAZARDOUS SUBSTANCE
EXPOSURE t~ FIRST AID PROCEDURES 'ID FOLIDW IF EXPOSURE OCCURS.
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 CODE1I FOR THE FOLLOWING REASONS:
N/A WE DO NOT HANDLE HAZARDOUS MATERIALS,
N/A WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES,
-.......o.__-=-.-__--::~~--=- ---'--:--:---"'~~.- ~...~
--- - -~ ,.......:-~..:~..,.".---.--"'-
.-..~~~'O_
N/A OTHER (SPECIFY REASON)
".
"
SECTION 5: CERTIFICATION: '''-''ì
I, DAVID MALWRY 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 HAZARDbuS MATERIALS (DIV, 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT
I~URATE INFORMATION CONSTITUTES PERJURY.
~UR~ ~~~EER 3-~~~:
2,
FDI590
..
" ~
e
Bakersfield Fire Dept. e
Hazardous Materials Division
..
(¡,
,¡ r r"""-
,!S ...
r
.!f
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
ADVANCED EUROPEAN AUTOMOTIVE
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
IN CASE OF A HAZAROOUS MATERIALS SPILL, THE OWNER DAVID MALLORY WOULD BE
INFORMED AND A CALL IS PLACED 'IO WCAL FIRE STATION #3'oOR 911.
--'
B, EMPLOYEE NOTIFICATION AND EVACUATION:
EMPLOYEE I S ARE NarIFIED VERBALLY AND INS'IRUCl'ED 'IO EXIT THE BUILDING
AND GATHER AT THE TELEPHONE POLE IN THE WEST PARKING wr.
,
C, PUBLIC EVACUATION:
THE SURROUNDING PUBLIC WOULD BE VERBALLY INFORMED.
D, EMERGENCY MEDICAL PLAN:
IF A:,MEDICAL :Ð51ERGENCYCANNOr :BE TREATED BY FIRST AID, THE EMPLOYEE
WOULD BE SENT 'IO MERCY HOSPITAL OR AN AMBULANCE WOULD BE CALLED.
3.
fa1$(¡ ,
\
e Bakersfield Fire Dept. e
Hazardous Materials Division
~.. 4 + _:::..
(
HAZARDOUS MATERIALS MANAGEMENT PLAN
o -"-,_.-" ~ '\
"'¡J'
,.,.
i,.
..
'-
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A, RELEASE PREVENTION STEPS:
THE WASTE OIL CONTAINER IS ENCLOSED INSIDE OF AÆ.ARGER¡~PlJASTIC
CONTAINER.
THE NEW OIL IS ENCLOSED IN A LARGE MEI'AL DRUM WITH ONLY ONE
HOSE CONNECI'ION LEADING FROM IT.
8, RELEASE CONTAINMENT AND/OR MINIMIZATION:
SAME -AS--AroVE
. - - --f- --
- ' -
C, CLEAN-UP PROCEDURES:
SMALL SPILLS ARE WIPED UP PROMPrLY.
MAJOR RELEASE OF MATERIAL WOULD BE REFERRED 'IO THE LOCAL FIRE
STATION.
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
.'
NATURAL GAS/PROPANE: OUTSIDE EAST>SHOE.'NORTH WALL
INSIDE EAST SHOP NORTH WALL
ELECTRICAL:
OUTSIDE WEST SHOP SOUTH WALL
WATER:
-=-- ,.--"'0_o__-
~ ~* ~
SPECIAL:
LOCK BOX: YE~ IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABllITY:
.,
A. PRIVATE FIRE PROTECTION:
INFRARED ALARM SYSTEM
B. WATER AVAILABILITY (FIRE HYDRANT):
SOUTHSIDE OF S'IDCKDALE HWY. WHERE GARNSEY MEErS S'IDCKDALE HWY.
4,
\
'"
Ir-
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
BAKERSFIELD, CA. 93301
(805) 326-3979
HAZARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM [
BUSINESS NAME 1I.nV1I.Nr.F:D F.nR'OPF.1I.N 1I.tIrrOMO'T'TVF.
FACILITY NAME
SITE ADDRESS
SAME
. . .' ~..
3730 STOCKDALE HWY.
CITY BAKERSFIELD
STATE
CA
ZIP
93309
NATURE OF BUSINESS
AUTOMOTIVE REPAIR
SIC CODE
7538
DUN & BRADSTREET NUMBER
OWNER/OPERA TOR
DAVID MALLORY
PHONE
(805) 322-4444
MAILING ADDRESS
3730 STOCKDALE HWY.
CITY -' BAKERSFIELD
STATE
CA
ZIP
93309
EMERGENCY CONTACTS
'NAME DAVID MALLORY
322-4444
TITLE
OWNER
589-6529
BUSINESS PHONE
24-HOUR PHONE
NAME
JAM I BARNES
SECRETARY
TITLE
BUSINESS PHONE
322-4444
24·HOUR PHONE
871-2468
Sep(emOer 30, 1992
REGIONV LEPC STANDARD FORM
BAKERSFI.O CITY FIRE DEPAReJlENT
HAZARDOUS MATERIALS INVENTORY
,
"''-.,
y
Page1ofLl-
Business NameADVANCED EUROPEAN AUTOMOTNIi!ress 3730 STor.KnAT.'R HWY , BAK'RRSFTF.T.n:; r.A ~q1109
1
\ CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ 1 Addition [ ] ~evision K ] .Ätion [ ] Check if chemical is a NON TRADE SECRET [x TRADE SECRET [ J
2) Common Name: USED OIL FILTERS V 3) DOT # (optional)
Chemical Name: AHM ( J CAS#
4) PHYSICAL & HEALTH PHYSICAL HEALTH "
HAZARD CATEGORIES Fire [ J Reac.tìve [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ I Delayed Health (Chronic) ¡X¡
5) WASTE CLASSIFICAT10N (~·digit code from DHS Form 8022) USE CODE 40
,
6) PHYSICAL STATE Solid (xJ Liquid [ ] Gas ( ] Pure [ ] Mixture ( ] Waste (~ Radioactive [ ]
C}lECJ(ALL n-IATAPPI"Y
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 55 Ibs [] gal j{J ft3 ( ] a) Container: 06
'-'--
Average Daily Amount: 55- " -- , curies [ I , b) pressure: " 1, , -
Annual Amount: ~~ c) Temperature: 4 ,
Largest Size Container: ~J,
, #- Days On Site 361) Circle Which Months: F, M, A, M, J. J, A, ,S., 0, N,O
-
9) MIXTURE: Ust USED OIL FIL~NENT CAS # ~8WT AHM
the three most hazardous 1) [ ]
chemical components or WASTE QIL 2
any AHM components 2) [ ]
3) [ )
10) Location OUTSIDE EAST WALL
CHEMICAL DESCRIPTION
I )
1) INVENTORY STATUS: New { ] Addition [ ] Revision ~l ¡Óeletion ( ) Check if chemical is a NON TRADE SECRET (X] TRADE SECRET ( )
2) Common Name: USED ANTIFREEZE -\I 3) DOT # (optional)
\ Chemical Name: AHM ( ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ) Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ) Delayed Health (Chronic) [X
5) WASTE CLASSIFICATION (3-digit code from DHS Form 802~) USE CODE 40
6) PHYStCA~ S_~A1E ~ __~~~[ J_ Liquid, [~ Gas [ ] - Pure [ ] Mjxture_(_], _W~I~ [X ' -' Radioactive [ ]
'. ~- ~ - --......,.. - - ..". -'-. .. -, -
CHECK AU. 1}j,l,T APPlY
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES 1?
Maximum Daily Amount: 35 Ibs [ ] gal ~] ft3 [ ] a) Container:
Average Daily Amount: 35 curies [ ] b) Pressure:
Annual Amount: 35 c) Temperature: 4
Largest Size Container: it) Circle Which Months: ~J,
#- Days On Site 1h? F, M. A, M. J. J, A. S. 0, N, 0
-
9) MIXTURE: Ust USED ANTI~ONENT CAS # %WT AHM
the three most hazardous 1) 99 [ ]
chemical components or WAqTE OIL 1
any AHM components 2) [ J
3) [ ]
10) Location OUTSIDE NORTH EAST WALL
eertHy under penalty Oflaw, that I have personally examined and am familiar With the mfomatJon suomltted on this ~d BJr attached documents. I belIeve the
submitted information is true, accurate, and complete.
Vnm/ I3fìRJ7ES, üECRéTfìR<I
PRINT Name & Title of Authorized Company Representative
J
s/gç¡;mû fi1rvzKv
ol.J/CJ-93
Data
A£CJ:CNY l£PC,STA/'IIC)MQFQU.f
'1.oot-"lo.r30. laa2
\
BAKER.ELD CITY FIRE DEP.TMENT
HAZARDOUS MATERIALS INVENTORY
"'--,
-,
"
,~
Pagec:Jot'f
Business N~me' A'ÐVANCED EUROPEAN AUTOMO'WJ~~ss 3730 STOCKDALE HWY., BAKERSFIELD, CA 93309
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Ryvision [)q Deletion [ ] Check if chemical is a NON TRADE SECRET K] TRADE SECRET [ ]
2) Common Name: HOI' TANK ,,./ 3) DOT # (optional)
,
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ Reactive [ Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [~
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 8
6) PHYSICAL STATE Solid [ ] Liquid ~] Gas [ ] Pure [ ] Mixture (X] Waste [ ] Radioactive [ ]
CHECX ALL THAT APPtY
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 50 Ibs, [ ] gal ~] ft3 [ ] a) Container: 06
50 '.
I Average Daily Amount: curies [ ] b) Pressure:' S
Annual Amount: ~H c) Temperature: -
Largest Size Container: < -
36~ - Circle Which Months: (All Year:)J.
.If Days On Site F. M. A. M., ~, J, A. S, O. N, D'
I ___.__ _"r""_~
I
9) MIXTURE: Ust DEI'ERGENT COMPONENT CAS # ~ß'T AHM
the three most hazardous 1) [ ]
chemical components or ,
any AHM components 2) DIRT AND OIL WASTE 2 [ ]
-
3) [ ]
10) Location or1'T'~ F.~~'T' r,T,
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] ReVi~] Deletion [ ] Check if chemical is a NON TRADE SECRET [Xj TRADE SECRET [ ]
2) Common Name: WASTE OIL V 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) ~]
5) WASTE CLASSIFICATION 221' (3-digit code from DHS Form 8022) USE CODE 40
,
6) PHYSICAL STATE Solid [ 1 Liq~id (X.] ,Gas [ ] Pure [ ] Mixture [ ] Waste [X Radioactive [ ]
- - ,-
CHECXAU. THAT APPLY
7) AMOUNT AND TIME AT FACILITY 250 UNITS OF MEASURE 8) STORAGE CODES 02
\ Maximum Daily Amount: .ÖU Ibs [ ] gal ~] ft3 [ ] a) Container: 1
Average Daily Amount: curies [ ] b) Pressure: \
Annual Amount: 250 c) Temperature: 4
! Largest Size Container: 250 -
i # Days On Site 365 Circle Which Months: ~II Ye::;':). F, M, A, M. J. J, A. S. 0, N. D
i
\ 9) MIXTURE: Ust COMPONENT CAS # %wr AHM
i the three most hazardous 1 ) WASTE OIL 100 [ ]
I
i chemical components or
I any AHM components 2) [ ]
3) [ ]
I 10) Location OUTSIDE NORTHEAST WALL
I
/ certífy uniTer pet1iiTty oTTaw, that I have personally examined and am familiar With the mfomatlon submitted on ,this aiiiJ ã7rattached documents. I believe the
submitted infarmadon is true, accurate, and complete.
Q)fIm/ f3/9RflES- ~ECRETlYR L/
PRINT Name & Title of Authorized Company Aepresentadve
(J1m"
j) ,
Signa e r
bJ;vzuY 4-/ChQ3
Date
AE(JOIY L£PCSTANQMOFCFIM
:!f/ICI.",o.30. fS1llil::l
-;..~"
" \
8AKERSFI~D CI~ FIRE DEPAR.ENT
HAZARDOUS MATERIALS INVENTORY
Page30fLJ
'Í
¡Business NameADVANCED EUROPEAN AUTOMOT1\\!Rress 3'730 STOCKDALE H~X., BAKERSFIELD~CA "93309
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ( 1 Addition ( I RÄlonx I Deletion ( I Check if chemical is a NON TRADE SECRET Q:¡ TRADE SECRET ( ¡
ACEl'ELYNE V
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #74-86-2
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure :¡c ] Immediate Health (Acute) [ J Delayed Health (Chronic) [)S:
5) WASTE CLASSIFICATION (3,digit code from DHS Form 8022) USE CODE 42
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [Xi Pure (X]' Mixture [ ] Waste [ ] Radioactive [ ]
CH£CK ALL mAT APPlY
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES,
M6,!:imu[T1 Daily Amount: 88 100 [ ] gal! ] ft3 ¥] a) Container: 04
Average Daily Amount: ~~ - - ~ - ~ , curies [ ] - b) Pressure: 2
\ Annual Amount: c) Temperature: 4
Largest Size Container: RR Çircle Which Months: (Ail Ye~,
# Days On Site 365 F. M, A. M. J, J, A, S, O. N. D
9) MIXTURE: List COMPONENT CAS # %wr AHM
the three most hazardous 1) ACEl'ELYNE 100 [ ]
chemical components or
any AHM components 2) ! ]
3) [ ]
.
10) Location INSIDE SOUTHEAST WALL
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] leviSiOn~] Deletion [ ] Check if chemical is a NON TRADE SECRET [Xl TRADE SECRET ( ]
2) Common Name: OXYGEN '\1 3) DOT # (optional)
.'
CAS # 7782-44- 7 /
Chemical Name: AHM [ ]
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire ¡ ] Reactive [ ] Sudden Release of Pressure fC] Immediate Health (Acute) ( ] Delayed Health (Chronic) K]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 42
6) PHYSICAL STATE Solid ( ! Liquid,[, ] Gas (~ ., Pure [X Mixture [ L Waste ( J Radioactive [ ]
CHECK ALl. mAT APPt'f
"
7) AMOUNT AND TIME AT FACiliTY 251 UNITS OF MEASURE 8) STORAGE CODES 04
Maximum Daily Amount: Ibs [ ] gal [ ] ft3 ~] a) Container:
Average Daily Amount: ;¿~I curies [ ] b) Pressure: ~
Annual Al!)ount: 25T c) Temperature:
Largest Size Container: 7.1)1 -
# Days On Site 365 Circle Which Months: VII Year"). F. M. A. M. J. J. A. S. 0, N, D
9) MIXTURE: List ' COMPONENT CAS # %wr AHM
the three most hazardous 1) OXYGEN 100 [ ]
chemical components or
any AHM components 2) ". [ ]
3) [ ]
..
,
10) Location INSIDE SOUTHEAST WALL
certify under penalty 07 law, that J have personally examined and am familial with the mfomat1on submItted on thiS and all attached documents. I oeHeve the
I
submitted information is true, accurate, and complete. '
vllm/ 8fllZ!7f:S- -SœR6¡7Y£Y
PRINT Name & Title of Authorized Company Representative
s¡gna(11mu
'!j{lM¡¿(]) rJ/-/t}-C)E
Date
AEQ0r4W 1,.EPC.STN'lOAADt:æt.l
iaCJI.-nÞW3Q ISBa
BAKERiilELD CITY FIRE DEP.TMENT
HAZARDOUS MATERIALS INVENTORY
Page~oftf
Business ~am~RVA~CED EUROPEAN AUTOMOT1'.\2IJitess 3730 STOCKDALE HWY., BAKERSFIELD, CA 93309
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ! Re,?r&, X ¡ Deletion [ I Check if chemical is a NON TRADE SECRET [Xj TRADE SECRET [ J
I WELDING GAS V
2) Common Name: 3) DOT # (optional)
'Chemical Name: AHM ( ] CAS #
-1) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire I ] Reactive ( ] Sudden Release of Pressure ¥] Immediate Health (Acute) [ ] Delayed Health (Chronic) [}t
5) WASTE CLASSIFICATION (3,digit code from DHS Form 8022) USE CODE 42
I 6) PHYSICAL STATE Solid [ ] liquid [ J Gas (~ Pure IX] Mixture [ ] Waste [ ] Radioactive [ J
,\ CfifC1C ALL ~Ar APPlY
I
I 7) AMOUNT AND TIME AT FACiliTY 35 UNITS OF MEASURE 8) STORAGE CODES 04
Maximum Daily Amount: 35 Ibs ( ] gal [ ] ft3 ~] a) Container: 2
Average Daily Amount: curies [ ] b) Pressure:
I Annual Amount: 3~ c) Temperature: 4
Largest Size Container: j~ ~.F.
I # Days On Site 365 Circle Which Months: M. A. M, J. J. A. S. 0, N, D
I
I . -
I 9) MIXTURE: list ARGON COMPONENT CAS # *~ AHM
the three most hazardous 1) [ J
chemical components or CO2 25
I any AHM components 2) [ J
3) [ ]
ì
I 10) Location INSIDE SOUTHEAST WALL
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Rev~X J Deletion ( J Check if chemical is a NON TRADE SECRET IvJ TRADE SECRET ( ]
1-'ARTS WASHER V
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ J CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ J Sudden Release of Pressure [ J Immediate Health (Acute) [ } Delayed Health (Chronic) ¡)f
\ S) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 8
I 6) PHYSICAL STATE Solid [ ] liquid [l Gas [ J Pure [ ] Mixture . [XI Waste [ J Radioactive [ ]
OofEO< AU. TU,Ar ÞPPl 'f
I '.,
I 7) AMOUNT AND TIME AT FACiliTY 55 UNITS OF MEASURE 8) STORAGE CODES 1 3
I Maximum Daily Amourit: 55 tbs [ ] gal r2i ft:! [ I a) Container: ,
I Average Daily Amount: curies [ ) b) Pressure:
Annual Amount: 55 c) Temperature: 4
Largest Size Container: ~~ Circle Which Months: 0U Ye~?). F,
I # Days On Site 365 M, A, M, J. J. A,S, O. N, 0
I
I 9) MIXTURE: list COMPONENT CAS # %WT AHM
! the three most hazardous 1) SOLVENT 98 [ I
i chemicaJ components or DIRT AND OIL WASTE , 2
any AHM components 2) .,. ,- [ J
,
3) . [ I
i 1 0) Location INSIDE EAST SHOP WEST WALL -
I certify under penalty of law, that I have personally exammecJ and am famt/lat WItl7 tl7e mfomaÞon submttted on this and all attachecJ documents. I belIeve tl7e
, !
submitted information is true, accurate, and complete.
vRm/ ð/Yl<fl&S-· \JErJREi71Yt<V
PRINT Name & Title of Authorized Company Representative
Sl~
ð2MuJ;. 4/f/-q 3
Date
-uc.~30.'S8I
"E13OiI"1..£PCS1'~FaW
, 1\' MAIL TO:
J~I!!!\- -~CITY OF BAKERSFIELD
P. 0, BOX 2057
BAKERSFIELD, CA 93303
CITVe BAKERSFIELD
CALIFORNIA
LICENSE.
FREi\lilSES i\liUST CONFGRrvi TO ZO¡,JiNG,
BUILDING, FIRE AND HEALTH CODES.
APPLICANT SHOULD ALLOW TWO WEEKS
FOR NECESSARY INSPECTIONS.
CHANGE OF D NEW D
OWNERSHIP BUSINESS
CHANGE OF VV1
ADDRESS ~
I
DATE 2/16/93
ARBLJCÂTION FOR BUSINESS LlCENSEITAX·CERTIFICATE
PURSUANT TO ORDINANCES OF THE CITY OF BAKERSFIELD
ADVANCED EUROPEANTAnIDOMOTIVE
NAME OF FIRM
MAILING ADDRESS
3730 STOCKDALE HIGHWAY, 93309
LOCATION OF BUSINESS
SAME
(Separate License Required For Each Location)
TELEPHONE
322 4444
KIND OF ,BUSINESS OR PROFESSION
AUTO REPAiR
NAMES AND ADDRESSES OF ALL OWNERS (Or Principle Officers, If a Corporation)
NAME HOME ADDRESS
DAVE MADLORY
TELEPHONE
8 INSPECTION RECORD
- OFFICIAL USE ONLY
H.O.P.
Zoning
AUTHORIZATION
DATE:
REOUIREMENTS OR CONDITIONS
FIRE DEPT.
f\Evê.\\JEO
\A~~ t)" \99)
M~'" 0\\1
'"' þ.:z..
PLANNING DEPT.
BUILDING DEPT.
c APPLICATION CONTINUED:
TYPE OF ORGANIZATION:
PARTNERSIlIP D ' CORPORATION D FEDERAL EMPLOYER IDENTIFICATION NUMBER
INDIVIDUAL D NAME
SSN
DATE COMMENCED BUSINESS IN BAKERSFIELD 3/1/93
CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER, IF ANY
NATURE OF BUSINESS FORMERLY AT THIS LOCATION UNKNOWN
FORMER OWNER
SALES TAX PERMIT NO. Sales or Use Tax may apply to your business; contact nearest STATE BOARD OF EQUALIZATION OFFICE.
ESTIMATED ANNUAL GROSS RECEIPTS IN BAKERSFIELD
I SWEAR UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
TITLE DATE
Signature Owner, Partner, Agent or Officer (if Corporation),
License Code Sect Stmt, Frq, Prm, Class Tax Rate
13085