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HomeMy WebLinkAboutBUSINESS PLAN 7/23/2007- - - --- ~~- ~ _ _ --- ~ --- - ---J~ Youngs Mnrket~2 ~~~~ _- _ - --~-- 3030 Brundage Ln T - - __ ~g YOUNGS MARKET 2 - BRUNDAGE ;Z Manager J JIMINEZ Location: 3030 BRUNDAGE LN City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: SiteID: 015-021-001400 BusPhone: (661) 327-3526 Map 102 CommHaz High Grid: 36C FacUnits: 1 AOV: SIC Code:5411 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROY LOPEZ / DIRECTOR J JIMI NEZ / MANAGER Business Phone: (661) 327-3526x Business Phone: (661) 327-3526x 24-Hour Phone (661) 834-6373x 24-Ho ur Phone (661) 322-7533x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact ROY LOPEZ Phone: (661) 327-3526x MailAddr: 3030 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Owner KENNETH YOUNG Phone: (661) 327-3526x Address 3030 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD N~4~ J ~ ~ ~ ~~~ E3au,ed on my inquiry of thoce indi~~ic;°:~ ;;. . res~cncih!e .or obtaining the infcrmaiian, I c,.rtify under penalty of iawi that I have pc,r.~on:~i!;r d~amirnd a.nd am familiar with thn information submitted and bF;~e ~e the information is true , accurate, and coy ~ple:e. ~Z~3~~, Signat~~ e ®a{ -1- 07/16/2007 -°} .l ~ F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ ~ Ha~mat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH IH DH L 300.00 GAL Hi CLEANSER IH DH S 700.00 LBS Min MOTOR OIL F IH DH L 22.00 GAL Min INSECTICIDE F IH DH L 47.00 GAL UnR -2- 07/16/2007 ~~ , -3- 07/16/2007 F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 9D C'AS# 7681-50-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.50 GAL 300.00 GAL 150.00 GAL tu~~xtc.uvu~ ~vl~irvlvl~Jlvl~ %Wt. RS CAS# 100.00 Bleach No 7681529 t11-~GHttL A~~i5aJ1~1L"1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CLEANSER Location within this Facility Unit AISLE 8D STATE TYPE PRESSURE Solid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7631-86-9 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4.00 LBS 700.00 LBS 400.00 LBS HAZARDOUS COMPONENTS °sWt. RS CAS# 5.00 Calcium Chloride No 10043524 rlti~,r~l:cl~ rja~~a~lnl;lvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Min -4- 07/16/2007 i .`~ ~, I F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL ~ Days On Site ' 365 Location within this Facility Unit j Map: Grid: AISLE 8D CAS# ~ 6474-53-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid T Mixture Ambient ~ Ambient _ ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 32.00 GAL 22~i00 GAL I 100.00 GAL t1HGL-~tUJVUJ wrirvlv>Jlvla %Wt. ~ RS CAS# 100.00 Motor Oil, Petroleum Based ! No 8020835 tiHGH.KL EiS~~~J1~1L"~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies Fi IH DH / j / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME INSECTICIDE Location within this Facility Unit AISLE 8C STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 ~~ Map: Grid: CAS# 2843-00-6 TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 17.50 GAL 4 7,00 GAL I 500.00 GAL tiP,GHt[UVU~ C.V1YlYV1Vt;iV1~ oWt. RS CAS# 100.00 Insecticides ~ No 0 riAGHKL ASaJ;a~1~11;1V 1"a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F; IH DH / / / UnR -5- i 07/16/2007 ~/ ~ F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/15/1999 ~ CALL 911 TO NOTIFY FIRE DEPT. Employee Notif./Evacuation STORE INTERCOM SYSTEM USED TO NOTIFY ALL DEPTS. 07/15/1999 Public Notif./Evacuation 05/02/1991 MANAGERS INSTRUCTED ON EVACUATION OF STORE IN THE EVENT OF AN EMERGENCY, EITHER THROUGH FRONT OR REAR OF STORE. Emergency Medical Plan 05/02/1991 MERCY HOSPITAL. -6- 07/16/2007 .~'~ ., , F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/02/1991 ~ ALL PERSONNEL TRAINED IN PROPER HANDLING OF HAZARDOUS MATERIALS. Release Containment 04/19/2006 TWO FULL-TIME JANITORS COVERING OPEN FOR BUSINESS HOURS. CLERKS AND BAGGERS TRAINED TO CHECK CONTAINER CAPS WHEN STOCKING OR BAGGING. Clean Up 05/02/1991 IN THE EVENT OF LARGER SPILL, CUSTOMER SERVICE PERSONNEL WOULD BE USED IN CLEAN-UP. V1.11CL iCC~y'VUlC:C HC:L1VCl.l.1(~il -7- 07/16/2007 ;. ._,~, F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ w7~JCC:1d1 I1dGdI Cdy' Utility Shut-Offs 02/28/2007 GAS - REAR OF STORE ELECTRICAL - PRODUCT BACK ROOM WATER - STREET Fire Protec./Avail. Water 01/09/2007 PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLERS, EXTINGUISHERS IN ALL DEPTS AND REAR AND FRONT OF STORE,~~ SYSTEM NOTIFIES FIRE DEPT. FIRE HYDRANT - FRONT OF STORE. Building Occupancy Level 35 EMPLOYEES 02/28/2007 -8- 07/16/2007 ~`~ :~ F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/09/2007 ~ MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES ARE VERSED IN TRAINING PERIOD ON MATERIAL HANDLING AND SAFETY PROCEDURES. rayc c. Held for Future Use _, e~ Held for Future Use -9- _07/16/2007 ;~. s YOUNGS MARKET 2 - BRUNDAGE Manager J JIMINEZ Location: 3030 BRUNDAGE LN City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: SiteID: 015-021-001400 BusPhone: (661) 327-3526 Map 102 CommHaz High Grid: 36C FacUnits: 1 AOV: SIC Code:5411 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROY LOPEZ / DIRECTOR J JIMINEZ / MANAGER Business Phone: (661) 327-3526x Business Phone: (661) 327-3526x 24-Hour Phone (661) 834-6373x 24-Hour Phone : (661) 322-7533x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth L~Z Contact ~~ Phone: (661) 327-3526x MailAddre 30 0 B UNDAGE LN 3 State: CA City BAKERSFIELD Zip 93304 Owner KENNETH YOUNG Phone: (661) 327-3526x Address 3030 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ~~'~'~ ~~rr~ o~ t"ny inquiry of those individuals ~QO, respUnsi#~,1~~ 4~r ak;$r-:1i`tin~ the information, I certify f i~w that I hav© personally it y ct under iacna e;;amined and arm famfil~ir with the information submitted and r Eiovo th® information is true, accurate, and .,m late. 2l~ ~O ~ _ 0 Signat~ re ~ Date -1- 02/20/2007 F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH IH DH L 300.00 GAL Hi CLEANSER IH DH S 700.00 LBS Min MOTOR OIL F IH DH L 22.00 GAL Min INSECTICIDE F IH DH L 47.00 GAL UnR -2- 02/20/2007 -3- 02/20/2007 F YOUNGS MARKET 2 - BRUNDAGE ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME BLEACH Location ~ithin this Facility Unit AISLE ~' ~~ STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-001400 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-50-9 TEMPERATURE CONTAINER TYPE - Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.50 GAL 300.00 GAL 150.00 GAL t1AGHKLVU~ 1:V1~lYV1VL'1V1J %Wt. RS CAS# 100.00 Bleach No 7681529 t1AGAKL A7a155J1~11'~1V 17 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CLEANSER Location within this Facility Unit AISLE ~$ t~~ STATE TYPE -~ PRESSURE Solid Mixture i Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7631-86-9 TEMPERATURE .CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Cont4100rLBS Daily M00?OOm LBS I Daily 400r00e LBS !3E'1GEiICLV U.7 1.V1~lYV1V ~1V 1 J %Wt. RS CAS# 5.00 Calcium Chloride No 10043524 i'IHGHKL HA .7~J.71~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Min -4- 02/20/2007 F YOUNGS MARKET 2 - BRUNDAGE ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit AISLE ~ ~D STATE TYPE PRESSURE Liquid TMixtur~ Ambient SiteID: 015-021-001400 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 6474-53-3 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 32.00 GAL 22.00 GAL 100.00 GAL ril-~GHKLV U 7 1,V1~lYV1VJ;1V 15 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1E'~GL~1CL 1~~ J J L" .7.71~1L" 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME INSECTICIDE Location within this Facility Unit AISLE ,~ ~~, STATE TYPE PRESSURE Liquid TMixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 2843-00-6 TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 17.50 GAL 47.00 GAL 500.00 GAL - I1L-~GL-IKLVU.7 ~V1~1rVlvl;lvl7 °sWt. RS CAS# 100.00 Insecticides No 0 tll-~GEitCL 1-».7L" .7.71~1L" 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR -5- 02/20/2007 F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/15/1999 ~ CALL 911 TO NOTIFY FIRE DEPT. Employee Notif./Evacuation 07/15/1999 STORE INTERCOM SYSTEM USED TO NOTIFY ALL DEPTS. Public Notif./Evacuation 05/02/1991 MANAGERS INSTRUCTED ON EVACUATION OF STORE IN THE EVENT OF AN EMERGENCY, EITHER THROUGH FRONT OR REAR OF STORE. Emergency Medical Plan MERCY HOSPITAL. 05/02/1991 -6- 02/20/2007 F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/02/1991 ~ ALL PERSONNEL TRAINED IN PROPER HANDLING OF HAZARDOUS MATERIALS. Release Containment 04/i9/2006 TWO FULL-TIME JANITORS COVERING OPEN FOR BUSINESS HOURS. CLERKS AND BAGGERS TRAINED TO CHECK CONTAINER CAPS WHEN STOCKING OR BAGGING. Clean Up 05/02/1991 IN THE EVENT OF LARGER SPILL, CUSTOMER SERVICE PERSONNEL WOULD BE USED IN CLEAN-UP. v1.11CL iCC.7VU1l:C 1"~1;1.1Vdl.1Vll -7- 02/20/2007 ~ 4 F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Jj.lG 1:10.1 nac~aiua Utility Shut-Offs A) GAS - REAR OF STORE B) ELECTRICAL - PRODUCT BACK ROOM C) WATER - STREET D) SPECIAL - NONE E) LOCK BOX - NO 01/07/1990 Fire Protec./Avail. Water 01/09/2007 PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLERS, EXTINGUISHERS IN ALL DEPTS AND REAR AND FRONT OF STORE, AAA ALARM SYSTEM NOTIFIES FIRE DEPT. FIRE HYDRANT - FRONT OF STORE. Building Occupancy Level ~ EMPLOYEES 35 03/22/2006 iI26~IQ`i~ -a- 02/20/2007 ,; . F YOUNGS MARKET 2 - BRUNDAGE SiteID: 015-021-001400 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/09/2007 ~ MSDS SHEETS ON FILE FOR EACH HAZARDOUS MATERIAL WE HANDLE. BRIEF SUMMARY OF TRAINING PROGRAM: NEW EMPLOYEES ARE VERSED IN TRAINING PERIOD ON MATERIAL HANDLING AND SAFETY PROCEDURES. rayc ~ Held for Future Use nciu ivL r u~.uic ~5c -9- 02/20/2007 ""'~~, r:f' i•F ~^.Y~..-. ',l-u-~.aj_l..: w.%i.. ._~-rK.;Y,.„~-=iv;,,..ti;.. ~1't,~.-~.-+,,...., ~^..:. BAKERSFIELD FIRE DEPT. / Prevention Services ~[f,3fJ,~ FIRE PREVENTION INSPECTION >3 ~PUPE r L o 900 Truxtun Ave., Ste. 210 l ARfM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) -2171 DISTRICT BLOCK NO. DATE ~ OL EE G~ FACILITY ADDRESS CITY, STATE, ZIP FACILITY NAME ~ MANAGER'S NAME"'-'~ _~ FA TY ~ N r1 v ~ ~ ~ . .t -..dr/ BUSINESS OWNER'S NA E AND ADD ESS CITY, STATE, ZIP O 'S HO BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS ' b CHECKED BELOW Ho. COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N. E. C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) ExTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) ____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) __ ______________________________________________________, Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 1 7 V iolations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER /' ' ~T '~-$S-~" p T`~:.. .~•> c,~ ~ c~ . ~ ? d v •- i .. a i /~ I l~ ~t z~ ~ ~ ~:-..- G ~~ ~ L S c, _ ~ \ +; C .o -^~G ~ ~ ~ e .S S; '-- ..s yy , ~' C. c~/1 `ETC ~ ~~ . . y, t _ // r \ ~ ..~~9-~" ; CUSTOMER , a.~.----~- LEGE D: ~ / -~ , _ • Signat ure') / (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ( v B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: / ' Z/re {,Z ~_ t .-~ AP N~ N.F.P.A. NATIONAL FIRE PROTECTION (SlgnatUre) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE ~C- White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) + YOUNGS MARKET:_______________________________________ SiteID: 015-021-001400 + Manager Location: 3030 BRUNDAGE LN City BAKERSFIELD BusPhone: (661) 327-3526 Map 102 CommHaz High Grid: 36C FacUnits: 1 AOV: CommCode: BFD STA 03 SIC Code:5411 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ROY LOPEZ / DIRECTOR J JIMINEZ / MANAGER Business Phone: (661) 327-3526x Business Phone: (661) 327-3526x 24-Hour Phone (661) 834-6373x 24-Hour Phone (661) 322-7533x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact Phone: (661) 327-3526x MailAddr: 3030 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93301 T ~ ~/o~~v .., TTTTT ~~~~ ~«,u, E-L,,a Owner =~~~~ Phone: (661) 327-3526x Address 3030 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: _ 'Gal Certif' d: RSs : No ParcelNo: ' Emergency Directives: ~ PROG A - HAZMAT PROG C - COMM HOOD ENT'D A P ~ ~ 9 2006 Based nn my inquiry of those individuals responslbie for obtaining the inbrmatlan, I certify under penalty of law that I have personally examined and am familiar with the Information submitted and beilgvg the information is true, accurate, and com te. ~~ Sign re Date -1- 03/22/2006