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Home My WebLink AboutOPERATION/OWNER ID 4/25/2012BUSINESS ACTIVITIES KERN COUNTY ENVIRONMENTAL HEALTH DIVISION 2700 M STREET, SUITE 300 Unified Program Consolidated Form (UPCF) BAKERSFIELD, CA 93301 FACILITY INFORMATION 661 862-8700 Fax (6611862-8701 Page 1 of I I. FACILITY IDENTIFICATION FACILITY ID # 1 1 5 1 1 0 1 2 1 1 1 1010101916121 EPA ID # (Hazardous Waste Only) 2 CAL000277908 BUSINESS NAME (Same as Facility Name ofDBA -Doing Business As) Rolling Frito-Lay Sales LP I BUSINESS SITE ADDRESS 6320 District Blvd 103 BUSINESS SITE CITY Bakersfield CA ZIP CODE 93313 105 104 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, lease submit the Business Owner/Operator Identification page (KC Form 2730). Does your facility... if Yes, please complete these pages ofthe UP FORM.... A. HAZARDOUS MATERIALS 4 Have on site (for any purpose) hazardous materials at or above 55 gallons for HAZARDOUS MATERIALS INVENTORY liquids, 500 pounds for solids, or 200 cubic feet for compressed gases YES NO CHEMICAL DESCRIPTION include liquids in ASTs and USTs); or the applicable Federal threshold quantity for an extremely hazardous substance specified in 40 CFR Part 355, CONSOLIDATED CONTINGENCY PLAN Appendix A or B; or handle radiological materials in quantities for which an SITE MAP emergency lan is required pursuant to 10 CFR Parts 30, 40 or 70? B. REGULATED SUBSTANCES 4a Have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental Release YES NO CaIARP - REGULATED SUBSTANCE prevention Program (CaIARP)? REGISTRATION (KC Form 2736) C. UNDERGROUND STORAGE TANKS (USTs) 5 UST FACILITY Own or operate underground storage tanks? YES ® NO UST TANK (one page Pert.&) D. ABOVE GROUND PETROLEUM STORAGE TANKS (APSTs) 8 Own or operate ASTs above these thresholds: Store greater than 1,320 gallons of petroleum products (new or used) in YES ONO NO FORM REQUIRED TO KCEHD aboveground tanks or containers. E. HAZARDOUS WASTE 9 EPA ID NUMBER - provide at the top of this Generate hazardous waste? YES ONO page. HAZ WASTE GENERATOR FORM Recycle more than 100 kg /month of excluded or exempted 10 recyclable materials (per HSC 25143.2)? 0 YES 0 NO RECYCLABLE MATERIALS REPORT I I ONSITE HAZARDOUS WASTE TREATMENT — FACILITY (KC Form 17720 Treat hazardous waste on site? YES ® NO ONSITE HAZARDOUS WASTE TREATMENT — UNIT (one page perunit KC Form 1772u Treatment subject to financial assurance requirements (for Permit by Rule 12 CERTIFICATION OF FINANCIAL and Conditional Authorization)? YES N NO ASSURANCE KC Form 1232) Consolidate hazardous waste generated at a remote site? 13 REMOTE WASTE / CONSOLIDATION SITE YES ® NO ANNUAL NOTIFICATION Need to report the closure/removal of a tank that was classified as 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? YES ® NO CERTIFICATION Generate in any single calendar month 1,000 kilograms (kg) (2,000 14a Obtain federal EPA ID Number, file pounds2 or more of federal RCRA hazardous waste, or generate in any YES ® NO Biennial Report (EPA Form 8700 - single calendar month, or accumulate at any time, 1 kg (2.2 pounds) of 13A/B) and satisfy requirements for RCRA acute hazardous waste; or generate or accumulate at any time more RCRA Large Quantity Generator. than 100 kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste (HHW) Collection site 14b NO FORM REQUIRED TO KCEHD 1 ) T YES ® NO F. LOCAL REQUIREMENTS • " ~ 15 A copy of the facility's Contingency/Emergency Response Plan istobe included with the original submission of the Business Plan. KCEHD is to be informed of any revisions to the plan. Please contact KCEHD at the above number for assis1Anc9,01,p9mpletJng the plan. W1 c u " tt_ 05/2008 revised KC Form 2729 1I OI.;J,cid i. m {UN SEW= P,;IPA,q BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIRONMENTAL HEALTH DIVLSION 2700M STREET, SUITE 300 Unified Program Consolidated Form (UPCF) BAKERSFIELD, CA 93301 FACILITY INFORMATION 661) 862 -8700 Fax (661) 862 -8701 PAGE t OF 1 I. IDENTIFICATION FACILITY 1D# BEGINNING DATE I00 ENDING DATE 101 11 5 0 2 1 0 0 0 9 6 2 2011/01/01 2011/12/31 BUSINESS NAME (9azrc as FACILITY NAME or DBA - Doing Basins As) 3 BUSINESS PHONE 102 Rolling Frito -Lay Sales LP 661 -243 -7630 BUSINESS SITE ADDRESS lo3 BUSINESS FAX 102A 6320 District Blvd 661 - 835 -5839 BUSINESS SITE CITY 104 ZIPCODE los COUNTY 108 Bakersfield CA 93313 KERN DUN & BRADSTREET 106 PRIMARY SIC I07 PRIMARY NAICS 197. 7326879 4213 BUSINESS MAILING ADDRESS IOU 6320 District Blvd BUSINESS MAILING CITY 1f1811 STATE 108c ZIPCODE 108d Bakersfield 93313 93313 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE I Io Rolling Frito -Lay Sales LP 661- 243 -7630 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE 112 Frito -Lay - Attn: Charles Burton 909) 941 -6273 OWNER MAILING ADDRESS 113 9846 4`I' Street OWNER MAILING CITY 114 STATE 115 T zip CODE 116 Cucamonga 1 CA 91730 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Jason Armijo 661- 243 -7630 CONTACT MAILING ADDRESS 119 CONTACT EMAIL 119a 6320 District Blvd jason.p.armijo @pepsico.com CONTACT MAILING CITY 120 STATE 121 ZIP CODE 122 Bakersfield I CA 93313 PRIMARY - IV. EMERGENCY CONTACTS —SECONDARY - NAME 123 NAME 128 Jason Armijo Randy Pelayo TITLE 174 TITLE 129 Zone Operations Manager Warehouse Operations BUSINESS PHONE 125 BUSINESS PHONE 130 661 -243 -7630 818 - 689 -5019 24 -HOUR PHONE 126 24 -HOUR PHONE 131 661- 243 -7630 818 - 689 -5019 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 APN: 384 - 381- 04 -00 -9 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. N OR DESIGNATED REPRESENTATIVE D 134 NAME OF DOCUMINT PREPARER 13541PERATOR Z Z Jose R. Lopez-Mendez NAME OF SIGNER (prim) 136 TrI O SIGNER 137 Charles Burton Fleet Mana cr 05/2008 revised KC Form 2729 CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH DIVISION 2700 M STREET, SUITE 300 Unified Program Form BAKERSFIELD, CA 93301 COVER PAGE 661) 862 -8700 Fax (661) 862.8701 PAGE 1 OF 1 FACILITY IDENTIFICATION FAC1LrrY ID # 7 1 1 $ 1 1 0 1 2 1 1 1 10 0101916121 EPA ID # (Hazardous Waste Only) 2 CAL000277908 BUSINESS NAME (Same as Facility Name of DBA -Doing Business As) 3 Rolling Frito -Lay Sales LP The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following three written hazardous materials emergency response plans required in California: d Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR Sections 2729 - 2732), and d Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52) This format is designed to reduce duplication in the preparation and use of emergency response plans at the same facility, and to improve the coordination between facility response personnel and local, state and federal emergency responders during an emergency. A copy of the plan shall be submitted to your local CUPA and at least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. Describe below where a copy of your Contingency Plan, including the hazardous material inventories and Site Map(s), is located at your business: A copy of the contingency plan can be found in the ZOM's office. Appropriate components of the plan are posted throughout the facility. We appreciate the effort of local businesses in completing these plans and are available to assist in any manner. If you have any questions, please contact this Division at (661) 862 -8700. 05/2008 revised KC Form 2729 PLAN CERTIFICATION I certify under penalty of law that I have personally examined and I am familiar with the information provided by this plan and to the best ofmy knowledge the information is accurate, complete, and true. Printed Name of Owner/ Operator Charles Burton Title of Owner /Operator Fleet Manager Signa wner/ Op or Date / S We appreciate the effort of local businesses in completing these plans and are available to assist in any manner. If you have any questions, please contact this Division at (661) 862 -8700. 05/2008 revised KC Form 2729 ADVISORY Page 1 of 5 The site - specific Contingency Plan is the facility's plan for handling emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials or waste that could threaten human health and/or the environment. The contingency plan shall be reviewed, and immediately amended, if necessary, whenever: 4 The plan fails in an emergency 4 The facility changes in its design, construction, operation, maintenance, or other circumstances in a way that materially increases the potential for fires, explosions, or releases of hazardous waste or hazardous waste constituents, or changes the response necessary in an emergency 4 List of emergency coordinators changes d List of emergency equipment changes Submit a copy of any updates or changes to this Division. H. EMERGENCY CONTACTS PRIMARY SECONDARY NAME 123 NAME 128 Jason Armi'o Randy Pela o TITLE 124 TITLE 129 Zone Operations Manager Warehouse Operations BUSINESS PHONE 125 BUSINESS PHONE 130 661- 243 -7630 818 - 689 -5019 24 -HOUR PHONE 126 24 -HOUR PHONE 131 661- 243 -7630 818 -689 -5019 PAGER # 127 PAGER # 132 III. EMERGENCY RESPONSE PLANS AND PROCEDURES A. Notifications Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, this Division, and the California Emergency Management Agency. If you have a release or threatened release of hazardous materials, immediately call: FIRFJPARAMEDICS/POLICE/SHERIFF PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Division and the California Emergency Management Agency. Kern County Environmental Health Division: (661) 862 -8700 or after hours, call Dispatch at (661) 861 -2521 California Emergency Management Agency: (800) 852 -7550 or (916) 845 -8911 National Response Center: (800) 424 -8802 Information to be provided during Notification: 4 Your Name and the Telephone Number from where you are calling. 4 Exact address of the release or threatened release. d Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) 4 Material and quantity of the release, to the extent known. d Current condition of the facility. d Extent of injuries, if any. 4 Possible hazards to public health and/ or the environment outside of the facility. 0512008 revised KC Form 2729 B. Emergency Medical Facility Page 2 of 5 List the local emergency medical facility that will be used by your business in the event of an accident or injury caused by a release or threatened release of hazardous material. HOSPITAL/CLINIC: PHONE NO: Mercy Southwest Hospital 661) 663 -6000 ADDRESS: 400 Old River Road. CITY: ZIP CODE: Bakersfield 93311 C. Private Emergency Response DOES YOUR BUSINESS HAVE A PRIVATE ON -SITE EMERGENCY RESPONSE TEAM? Yes ® No If yes, provide an attachment that describes what policies and procedures your business will follow to notify your on -site emergency response team in the event ofa release or threatened release of hazardous materials. CLEANUP/DISPOSAL CONTRACTOR List the contractor that will provide cleanup services in the event of a release. NAME OF CONTRACTOR: PHONE NO: Double Barrel Environmental Services 661) 587 -5000 ADDRESS: 12420A Jomani Drive CITY: ZIP CODE: Bakersfield 93312 D. Arrangements With Emergency Responders If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements on the lines below: E. Evacuation Plan 1. The following alarm signal(s) will be used to begin evacuation of the facility (check all which apply): Verbal ® Telephone (including cellular) ® Alarm System Public Address System ® Intercom Pagers OPortable Radio Other (specify): 2. ® Evacuation map is prominently displayed throughout the facility. 3. ® Individual(s) responsible for coordinating evacuation including spreading the alarm and confirming the business has been evacuated: Jason Artnijo — Zone Operations Manager Randy Pelayo — Warehouse Operations F. Earthquake Vulnerabiflity Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. Hazardous Waste/ Hazardous Materials Storage Areas Production Floor Process Lines Bench/ Lab Waste Treatment ® Other: Mechanic's Garage Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. Utilities ® Sprinkler Systems Cabinets Shelves Racks Pressure Vessels Gas Cylinders ® Tanks Process Piping ® Shutoff Valves ® Other: Battery Charging Area 05/2008 revised KC Form 2729 Unified Program (UP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN G. Emergency Procedures Pa e 3 of 5 Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials: 1. PREVENTION (prevent the hazard) - Describe the kinds of hazards associated with the hazardous materials present at your facility. What actions would your business take to prevent these hazards from occurring? You may include a discussion of safety and storage procedures. Environmental spills and hazards include vehicle maintenance fluids and/or battery acid. Prevention is addressed through training on proper handling and storage of chemicals, as well as waste. All emergency response equipment is maintained and ready for use in mitigation of accidental spills. 2. MITIGATION (reduce the hazard) - Describe what is done to lessen the harm or the damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate response to a leak, spill, fire, explosion, or airborne release at your business? Employees are trained annually to mitigate incidental spills. Employees are trained to contact emergency services agencies in the event of an emergency situation. Spill kits are available in the garage, as well as in the distribution center. 3. ABATEMENT (remove the hazard) - Describe what you would do to stop and remove the hazard. How do you handle the complete process of stopping a release, cleaning up, and disposing ofreleased materials at your facility? Employees are trained annually on proper spill clean -up and disposal procedures for incidental spills. Employees will work with outside emergency services agencies for proper abatement of spills. Employees will use spill kits to clean -up any spills that do not require outside assistance. 0512008 revised KC Form 2729 IV. Emergency Equipment Page 4 of 5 22 CCR, Section 66265.52(e) [as referenced by Section 66262.34(a)(3)] requires that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE 1. Equipment Category 2. Equipment Type 3. Location 4. Description** Personal Protective, Equipment, Safety Equipment, and First Aid Equipment Cartridge Respirators Chemical Monitoring Equipment (describe) R Chemical Protective Aprons/Coats B7 Part ofthe spill kit Chemical Protective Boots Chemical Protective Gloves B7 Part of the spill kit Chemical Protective Suits (describe) Face Shields B7 Part of the spill kit First Aid Mts/Stations (describe) Hard Hats Plumbed Eye Wash Stations B7 Direct plumbing station Portable Eye Wash Kits (i.e. bottle type) Respirator Cartridges (describe) Safety Glasses/Splash Goggles B7 Part of the spill kit Safety Showers Self - Contained Breathing Apparatuses SCBA) Other (describe) Fire Extinguishing Automatic Fire Sprinkler Systems All building Automatic Fire Alarm Boxes/Stations All building Pull down Systems Fire Extinguisher Systems (describe) All building Portable Other (describe) Spill Absorbents (describe) B7, B I Universal Control Equipment and Decontamination Equipment Berms/Dikes (describe Decontamination Equipment (describe) Emergency Tanks (describe) Exhaust Hoods Gas Cylinders Leak Repair Kits (describe) Neutralizers (describe) Overpack Drums Sumps (describe) Other (describe) Communications and Alarm Systems Chemical Alarms (describe) Intercoms/ PA Systems All building Portable Radios Telephones All building Underground Tank Leak Detection Monitors Other (describe) Additional Equipment Use Additional Pages if Needed.) Describe the equipment and its capabilities. Ifapplicable, specify any testing /maintenance procedaresfintervals. Attach additional pages, numberedappropriately, ifneeded. 05/2008 revised KC Form 2729 Page 5 of 5 V. EMPLOYEE TRAINING VI. HAZARDOUS WASTE GENERATOR TRAINING Personnel are trained in the following procedures: LZ Internal alarm/notification LA Evacuation/re-entry procedures & assembly point locations Emergency incident reporting External emergency response organization notification Location(s) and contents of Emergency Response/Contingency Plan 2. Chemical Handlers are annually trained in the following: LZ Safe methods for handling and storage of hazardous materials Location(s) and proper use of fire ands ill control equipment Spill procedures /emer enc rocedures Proper use of personal protective equipment Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure (i.e. inhalation, ingestion, absorption) Hazardous Waste Handlers/Managers are trained in all aspects of hazardous waste management specific to theirjob duties (e.g., I container accumulation time requirements, labeling requirements, storage area inspection requirements, manifesting requirements, etc.) 3. Emer2encv Response Team Members are capable of and engaged in the following: Personnel rescue procedures Shutdown of operations Liaison with responding agencies Use, maintenance, and replacement of emergency response equipment Refresher training, which is provided at least annually Emergency response drills, which are conducted at least (Annually.) 0512008 revised KC Form 2729 1 2 3 4 5 6 7 8 9 10 11 12 A B C D E F G H I J For Site Map CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH DIVISION 2700 M STREET, SUITE 300 United Program Form BAKERSFIELD, CA 93301 SITE MAP 661) 862 -8700 Fax (661) 862 -8701 PAGE 1 OF 1 FACILITY IDENTIFICATION FACILITY ID # 1 1 5 1 1 0 1 2 1 1 1 10 0101916121 t I EPA ID # (Hazardous Waste Only) 2 CAL000277908 BUSINESS NAME (Same as Facility Name of DBA -Doing Business As) 3 Rolling Frito-Lay Sales LP SITE ADDRESS 103 1 CITY toa ZIP CODE toy 6320 District Blvd Bakersfield I 93313 DATE MAP DRAWN MAP # SUB - FACILITY # (if needed) 04 -18 -2012 1 1 2 3 4 5 6 7 8 9 10 11 12 A B C D E F G H I J For Site Map AssemblyAreas e ow)rum RN ehideMaintenance @Battery Charge Area 05t2008 revised Scale of Map Loading Areas Parking Lots Internal Roads Storm and Sewer Drains Adjacent Property Use Locations and Names of Adjacent Streets and Alleys Access and Egress Points and Roads Primary and Alternate Evacuation Routes For Sub -Site Map Scale of Map Location of Each Storage Area Location of Each Hazardous Material Handling Area Location of Emergency Response Equipment Nt KC Form 2729 0 Dist i¢t Blvd AssemblyAreas e ow)rum RN ehideMaintenance @Battery Charge Area 05t2008 revised Scale of Map Loading Areas Parking Lots Internal Roads Storm and Sewer Drains Adjacent Property Use Locations and Names of Adjacent Streets and Alleys Access and Egress Points and Roads Primary and Alternate Evacuation Routes For Sub -Site Map Scale of Map Location of Each Storage Area Location of Each Hazardous Material Handling Area Location of Emergency Response Equipment Nt KC Form 2729 HAZARDOUS MATERIALS INVENTORY — CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH DIVISION Unified Program Form 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661 ) 862 -8700 Fax (661 ) 862 -8701 (one page per material per building or area) ADD DELETE ®REVISE 200 Page Iof3 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Rollin Frito-Lay Sales LP CHEMICAL LOCATION 201 SUB LOCATION 199 CHEMICAL LOCATION CONFIDENTIAL 202 Battery Charging Area EPCRA) YES ® NO FACILITY 1 5 0 2 1 01 MAP# (optional) 203 GRID# (optional) 204 ID # B7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes 0 No 206 Sulfuric Acid IfSubject toEPCRA, refer to inswctions COMMON NAME Sulfuric Acid 207 EHS* ® Yes No 208 1 RS* Yes ONO 246a CAs# 7664939 209 IfEHS or RS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 211TYPE (Check one item only) a. PURE ®b. MIXTURE c. WASTE RADIOACTIVE []Yes ONO 212 CURIES 213 PHYSICALSTATE 214Checkoneitemonly) a. SOLID ®b. LIQUID c. GAS LARGEST CONTAINER 165 215 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE ® b. REACTIVE c. PRESSURE RELEASE ® d. ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 330 1 330 1 0 1 221 DAYS ON SITE: 222 UNITS* a GALLONS b. CUBIC FEET ® c. POUNDS d. TONS 365Checkoneitemonly) * IfEHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i . FIBER DRUM to GLASS BOTTLE q. RAE. CAR b. UNDERGROUND TANK f. CAN j. BAG n. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WI' HAZARDOUS COMPONENT (For mixture or waste only) EHS RS 246b CAS # 1 35 226 Sulfuric Acid 227 Yes 228 Yes 7664939 229 2 230 231 Oyes 232 Yes 233 3 234 235 Yes 236 Yes 237 4 238 239 Yes 240 Yes 241 5 242 243 Ye.S 244 Yes 215 Irmore Ituardow components are present at greater than I% by weight Ifnun- cardnogenk, or0.1 % by weight Ifmminogenle, attachadditional sheets ofpapercapturing therequired Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here 05/2008 revised KC Form 2729 HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH DIVISION Unified Program Form 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661 ) 862 -8700 Fax (661 ) 862 -8701 (onemevermaterial Da ilding m area ADD DEL.ETE ®REVISE 200 1 Page 2of 3 II. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME orDBA — Doing Business As) 3 Roffing Frito-Lay Sales LP CHEMICAL LOCATION 201 SUB LOCATION 199 CHEMICAL LOCATION CONFIDENTIAL 202 Battery Charging Area EPCRA) YES ® NO FACILITY 1 MAP# ( opional) 203 GRID# (optional) 204 ID # 1 1 5 0 2 1 0 1 0 1 0 9 1 6 2 1 1 B7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 0 Yes 0 No 2M Lead IfSubject toEPCRA, mfa to instruoiona COMMON NAME Lead 201 EHS* Yes ® No 208 1 RS* Yes ®No 246a CAs# 7439921 209 If EHS or RS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Courpicle if requred byCUPA) 210 HAZARDOUS MATERIAL 211TYPE (Check one item only) ® a. PURE b. MIXTURE c. WASTE RADIOACrrVE []Yes ®No 212 CURIES 213 PHYSICAL STATE Check one item only] ®a. SOLID b. LIQUID c. GAS 214 215 LARGEST CONTAINER 1,416 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE b. REACTIVE c. PRESSURE RELEASE d. ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 2,832 1 2,832 0 1 221 DAYS ON SITE: 222 UNITS* Da. GALLONS b. CUBIC FEET ®c. POUNDS d. TONS 365Checkoneitemonly) t If EHS, amount mustbe in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i . FIBER DRUM m GLASS BOTTLE q. RAIL CAR b. UNDERGROUND TANK f. CAN j. BAG [In. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE BUILDING S. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS RS 2466 CAS # l 226 227 Yes 228 Yes 229 2 230 231 Yes 232 Yes 233 3 234 235 Yes 236 Yes 237 4 238 239 Yes 240 Yes 241 5 242 243 Yes 244 Yes 245 Irmore hazardous components; are present at greater than 1% by weight Ifnon - carcinogenic, or0.1 % by weight Ifcarcinogenic, attachaddldonal sheets ofpapercapturing therequired Info m tlou. ADDITIONAL LOCALLY COLLECTED INFORMATION 746 IfEPCRA, Please Sign Here 05/2008 revised KC Form2729 HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH DIVISION Unified Program Form 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661 ) 862 -8700 Fax (661 ) 862 -8701 (arc a material buiUn marea) ADD DELETE ®REVISE 200 1 Page3of3 III. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Rollin Frito-Lay Sales LP CHEMICAL LOCATION 201 SUB LOCATION 199 CHEMICAL LOCATION CONFIDENTIAL 202 Vehicle Maintenance Area 1 EPCRA) YES ® NO1 FACILITY I MAoptional) 203P# ( 1 GRID# (optional) 204 ID# 1 5 0 2 1 0 0 B1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 0 Yes W No 206 Motor Oil Ifsubjm toEPCRA, refs toiwnictinns COMMON NAME Motor Oil 207 EHS* Yes ® No 208 RS* Yes ®No 246a CAS# 209 IfEHS or RS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ifrequited by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) a. PURE ®b. MIXTURE c. WASTE 211 RADIOACTIVE Yes ®No 2l2 213 CURIES PHYSICAL STATE Check one item only) [Ia. SOLID ®b. LIQUID c. GAS 2la 215 LARGEST CONTAINER 55 FED HAZARD CATEGORIES 216 Check all that apply) ® a. FIRE b. REACTIVE c. PRESSURE RELEASE d. ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGEDAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTEAMOUNT 219 STATE WASTE CODE 220 28 1 55 110 610 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS b. CUBIC FEET c. POUNDS d. TONS 365CheckoneitemonlIfEHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i . FIBER DRUM m. GLASS BOTTLE q. RAIL CAR b. UNDERGROUND TANK f. CAN j. BAG n. PLASTIC BOTTLE r. OTHER c. TANK INSIDE BUILDING S. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER P. TANK WAGON 221 STORAGE PRESSURE N a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS RS 246b CAS # 1 35 226 HYDROTREATED HEAVY PARAFFINIC 227 Yes z28 PETROLEUM DISTILLATES 64742-54-764742 -54 -7 2 210 SOLVENT- DEWAXED HEAVY PARAFFINIC 231 Yes 232 Yes 64742 -65 -0 2.1335DISTILLATE 3 2348 DETERGENT/DISPERSANT z3s Yes 236 Yes MIXTURE 237 4 23810 VISCOSITY MODIFIER 239 Yes zao Yes 9003 -29 -6 24I 5 242 POUR POINT DEPRESSANT za3 Yes 2aa Yes MIXTURE zas2 V morehazardous components arepresent at greaterthan I % by weight trnon - carcinogenic, or0.1 % by weight Ifcarcinogenic, attachadditional sheets of papercapturing the required Wormation. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here 05/2008 revised KC Form 2729 HAZARDOUS WASTE GENERATOR KERN COUNTY ENVIRONMENTAL HEALTH DIVISION Unified Program Form 2700 M STREET, SUITE 300 BAKERSFIELD, CA 93301 661) 8624700 Fax 661 862 -8701 PAGE 1 OF 1 I. FACILITY IDENTIFICATION FACILITY ID # 1 1 5 1 0 1 2 1 1 1 10 0101916121 EPA ID # (Hazardous Waste Only) 2 CAL000277908 BUSINESS NAME (Same as Facility Name ofDBA -Doing Business As) s Rolling Frito -Lay Sales LP OF EMPLOYEES 66 A U. TYPE OF GENERATOR PLEASE CHECK THE BOX THAT APPLIES B RCRA GENERATOR FEDERAL WASTE NON —RCRA GENERATOR CALIFORNIA ONLY WASTE LARGE QUANTITY GENERATOR 1000 KG HAZARDOUS WASTE PER MO SMALL QUANTITY GENERATOR., I00 KG BUT <I000 KG HAZARDUS WASTE PER MONTH) CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR 100 KG HAZARDOUS WASTE PER MO III. WASTE STREAM IDENTIFICATION PLEASE COMPLETE THE TABLE BELOW. (SEE INSTRUCTIONS FOR CODES AND EXPLANATIONS) PROCESS C WASTE DESCRIPTION D WASTE ID E AMOUNT F PER YEAR UNITS G STORAGE H METHOD DISPOSAL I METHOD Vehicle Oil Changes Used Motor Oil 610 110 Gallons A D 1 certify that the information provided herein is true and accurate to the best ofmy knowledge. OWNER/OPERATOR NAME 7 Charles Burton OWNER/OPERATOR TITLE K Fleet Manager 0 T <,, PURE DATE Z ? L 05/2008 revised KC Form 2729