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HomeMy WebLinkAboutBUSINESS PLAN (2) Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT THIS PERMITIS ISSUED FORTHE FOLLOWING: Permit ID # 1015-021-~1315 _ ~..~.:: ,,~ ~ . /:. .... :~...~ [] Hazardous Materials Plan Io~.==.~e~,.=. n r=; ~w a~u= aaa. .~T ~ ;* ·, ~' ,:L~:~ ~'~ ~.L~ ~-..~ ,~./~'".':~.~ ~ Underground Storage of Hazardous Materials ~?¢/(~'~. ,)~; ~ '~75:> '~5-} ......... 4 ~ ;'? ?~:':~'~'::?:?t::.[(?'~-Z?:' ~ Industrial Hood Suppression System :';,:.. '~ ,~: :: ::--:::'~.i~ .- ,, ~ ~ t~ c~:'~ ., .:,: ' '.' O~ICE OF P~~ON 5ER~CE5 ~._ 1715 Chester Ave., 3rd Floor Approved by: ~ph Hue~, Director--~ ~ ~;~;~. s. rV~. Bakersfield, CA 93301 Prevention SeMces ~r~r Voice (661) 326-3979 ":m~:~::::" F~ (661)852-2171 Expiration Date: June 30, 200e SUMMARY OF UNIFIED PERMIT CONDITIONS GENERALCONDITIONS I. This permit must be posted or maintained on site at all times. CALIFORNIA ACCIDENTAL RELEASE PROGRAM (CalARP): 2. Any questions regarding this permit shall be directed to: 1. Any facility required to submit a Risk Management Plan shall implement the prevention program listed in the plan for the covered processes on site. PREVENTION SERVICES 2. The prevention program shall be self-audited by the facility at least once during the term of Bakersfield Fire Department this permit. The results of the self-audit shall be available, to the Office of Environmental Services for evaluation. i 7 ! 5 ChesterAvenue, Suite 300 3. Accidental release.~ of federally regulated or extremely hazardous substances in reportable Bakersfield, CA 93301 quantities shall, in addition to the immediate reporting requirements, also be reported to the (661) 326- 3979 EPA at (800) 424-8802 3. You must notify Prevention Services within 30 days of any change in ownership. HAZARDOUS WASTE: 4. You must comply with the requirements of the California Health and Safety Code (HSC), I. Any amount of a hazardous waste must be reported to the Office of Environmental Services on California Code of Regulations {CCR), and California Fire Code (CFC) as applicable: the chemical description page of the Unified Program Consolidated Forms. · Ch.6.5 HSC and (T22CCR) for generators or treaters of hazardous wastes. 2. Hazardous wastes shall be properly labeled at all times and properly dispose of in a timely · Ch.6.67 HSC and (40 CFR 112)* for aboveground storage of petroleum, manner, no later than 180 days from accumulating 27 gallons (100 kg) at any time, or *Title 40 Code of Federal Regulations, Part 112 90 days if you accumulate more than 27 gallons (I00 kg) per month. · Ch.6.7 HSC and (T23CCR, Ch.16) for underground storage of hazardous substances. 3. Keep all waste disposal receipts or manifests for three years. · Ch.6.75 HSC and (T23CCR, Ch.18) for petroleum underground storage tank cleanup. · Ch.6.95 HSC and (TI9CCR) for hazardous materials response and inventories. ABOVEGROUND STORAGE OF PETROLEUM: · Ch.6.95 HSC and (TI9CCR) for accidental release prevention of acutely hazardous I. All new or modified aboveground storage tanks shall be installed under a valid installation materials and risk management plans, permit issued by the Office of Environmental Services. · Chapter 15.64 of the Bakersfield Municipal Code for local fire code amendments. 2. Any aboveground petroleum storage tank over 1320 gallons in aggregate storage shall file a 5. You must pay your consolidated annual permit fee and any state'service fees, as applicable, for storage statement with the State Water Resources Control Board and prepare a Spill Prevention this permit to continue to remain in effect. Control and Countermeasure (SPCC) plan. Call (916) 227-4364 for more information. 3. A copy of the sPeC shall be maintained on site and a copy also forwarded to the Office of Environmental Services. 4. Operation of aboveground storage tank shall be in accordance with all applicable sections of SPECIFIC CONDmONS the California Fire Code and California Health and Safety Code. HAZARI}OUS MATERIALS: PAINT SPRAY BOOTHS: t. Immediately report any release or threatened release of a hazardous material if there is a I. System must meet the requirements of Section 4502 of the California Fire Code. reasonable belief that life, health, safety, or the environment are at risk by calling: 2. Spray areas shall be kept free from accumulation of combustible deposits and residue properly disposed of. · 9-1-1 (for emergencies only), or 3. Ventilation system must be in operation during the spraying or cleaning equipment with Cla~ll~ · (661) 326-3979 for Office of Environmental Services, and liquids. · (800) 852-7550 State Warning Center 2. Report any changes or additions to your hazardous materials 'inventory within 30 days of the 4. Approved metal waste receptacles must be used for rags or waste impregnated with finishing--'- change to the Office of Environmental Services. materials. 3. Any amount of explosives must be reported to the Office of Environmental Services on the 5. Spraying areas shall be kept free of accumulated deposits of combustible materials. chemical des, cription page of the Unified Program Consolidated Forms. COMMERCIAL HOOD SUPPRESSION SYSTEM: UNDERGROUND STORAGE TANKS: 1. System must meet the requirement of Section 1005 of the California Fire Code. I. You must ensure that both the owner and operator of the tank are provided with a 2. System must be serviced every six months. copy of this permit. If you operate but do not own the tank(s), there shall be a written 3. Fusible links and automatic sprinkler heads shall be replaced annually. operating agreement with the owner to monitor the tanks. 4. Hoods, grease-removal devices, fans. ducts and other appurtenance shall be cleaned as necessary 2. You must maintain a monitoring program which includes a site map and a monitoring and and recorded. response program appropriate for the design of the tank(s). 3. The monitoring program shall be maintained on site as an attachment to this permit in compliance with state regulations and will be subject to annual review by the Office of Environmental Services. Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the followin_a: ~ *~, / '~ ~ ~.~ H ' P .~~v.-,,..,,,.~:..~,.:~,., ~,,,, [] azardousMatenals lan .~:~ ~' ) ?~.~.~:~~~?'5 ~=~% [] Underground Storage of Hazardous Materials Permit ID #: 015-000-001315 ~'!~:~?~'~' '~.~ ~}, ~'~:.:::?...~, I-1RiskManagementProgram ....................... ,:~ ~...~... ~.~_.?~.~ ~ ~,~ ~!~.r% ~...~.~.~ [] Hazardous Waste On-Site Treatment LOCATION: 1501 TRUXTUN (19TH & R) AVF~,~.' "~ ~'ii~ ..... '"i~KER~¢IEL~ ~ ., :"-'~.:-~..~' . ~ ~ · ;:~:,:. : ,. ~ :,~,¢!A ~ '5, OFFICE OF EN~R ONMENTAL SER VICES '  1715 Chester Ave., 3rd Floor Appmvedby: Bakersfield, CA93301 Voice (661) 326-3979 F~ (661) 326-0576 Exp~tion Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ......... ,~,;~,?~???? ii~ ? ~;. ~,~ ~ This permit is issued for the following: ~ ?i ~!~" i~ ! :'?~::;i :iiiiiii~ ~i !iL iiiiii~i i;:::::i ii;i!ii~ i~erground Storage of Hazardous Materials . _ ~!~ ~' ~:,::~ ~h:::::~:::~ ? :~:::::~::;:;~ ::~ ::~:~ ":~ ~ ;;"~ :: :?:::: Q*~a~:~d~s Waste BAKERSFIELD CENT~L LOCATION 19TH & R :~ ".. '-, ['~, ':~'[L~ ~,~ ..... ~ ~4~ ,, ~[~;~, [%~D~~='''''' q;- ""... ~ :'"-,.. "'-,~ :~: --.. ~:"".. ~j~:",.......:~ iss.~ by: 1715 Cheaer Ave., 3rd Floor B~e~el~ CA 93301 Voice (805) ~2~979 F~ (805)~2~576 Exp~tionDate: ~n~ ~O~ ~O00 , I~ t~LL I _~ -r ~> ~> (D ~ ~ .. ~ , ,1~1 ~ -- ~ ~, · o o m z m~ mm m 0 ~ ~ om ~m ~ ~ ~ m rn ~ '~ ~ o m z ~/ ~'~ o o --" CENTRAL PARK .,o,, CALIFORNIA ' ~,m ,c w~.~' ~'~.'~,,. ENfilHEERIN~ DEPARTMENT PPROVED BY THE DATE CiTY COUNCIL DRAWN 19__ CHECKED FIELD BOOK CITY CLERK PAGE SCALE ^pF'.OV,D * CITY OF BAKERSFIELD CALIFORNIA ..E~ 'No. CITY EN;INE£n ENGINEERING DEPARTMENT CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON June 19,1992 BAKERSFIELD, 93301 FIRE CHIEF 326-3§11 Ms. Linda Robinson City of Bakersfeild Parks & Recreation 4101 Truxtun Av Bakersfield, Ca. 93309 Dear Ms. Robinson: You have indicated in your Risk Management and Prevention Program that if a chemical release occurs at your facility your employees are trained to initiate an emergency response to that incident. Please forward the names of the employees who have been trained for this activity, a brief description, by the individual, of his or her training level, hours of training and response capability, and a copy of the documentation or certification of that training. This information will of course, be essential in the unlikely event of an incident at your facility. Please forward that information to our office by July 27, 1992. If you have any questions or need assistance please do not hesitate to call. Sincerely Yours, Ral~ Huey Hazardous Materials Coordinator REH:vp cc: Risk Management 01/24/91 BAKEF CENTRAL PARK POOL ~000-001315 Page Overall Site with 1 Fac lit General Information Location: I~-~ $ ,~ ,~T'f~.-e~'..~ Map: 103 Hazard: Unrated Ident Number: 215-000-001515 Grid: 50B Area of Vul: 0.0 ~~ ~~ . ~ ~ ~ ...... ~,,,,=t,,~ ~.~ ~~;~'C~HtaEC-Name ~' ~~ t (~)- 8usznes~ Pnone ~ x --[(24 Hour) ~llPh°neq Administrative Da~a ~a&l ~ddrs: 1501 TRUXTUN AV D&B Numbe~: Cl~y: B~KERSFZELD S~a~e: CA Zlp: Comm Code: 215-001 B~KERSFZELD ST~TZON 01 SZC Code: O~nen: OZTY OF BAKERSFZELD Phone: ~dd~ess: 1501 TRUXTUN S~a~e: CA Cl~y: BAKERSFZELD Zip: Summary I, Z~,J~ /~o~;n, rmDo horeby certi~ that I have ffy~ or p~m n~) reviewed the a~ached h~ardous materials m~age- ment plan for ~)/~ ~P~nd that it along ~th any aorre~ions constitute a aomple:~ and ~e~ ngemem plan for my fnaili~. 01/24/91 BAKEI ELD CENTRAL PARK POOL )-001515 Page 2 O0 - Overall Slte <D> Notif./Evacuation/Medioal <1> Agency Notification <2> Employee Notif./Evacuation <3> Public Notif./Evacuation <4> Emer"gency Medical Plan 01/24/91 BAKE ~IELD CENTRAL PARK POOL ~-001515 Page O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention <2> Release Containment <3> Clean Up <4> Other Resource Activation 01/24/91 BAKEI CENTRAL PARK POOL 15 Page 4 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs P <5> Fire Proteo./Avall. Water <4> Held for Future use 0i/24/9i BAKEtIELD CENTRAL PARK POOL 2t000-00i5i5 Page 5 co - Overall Site <G> Training <5> Held Cot Future Use <4> Held for Future Use ,, CITY of BAKERSFIELD RECEIVED HAZARDOUS MATERIALS INVENTORY FarmandAgLiculture ~ StandardBusiness ~ NON--TRADE SECRETS ~A~ 2 0 BUSINESS NAME: ~--Y~T~,YZ~c_~_~o~ OWNER NAME' NAME OF THIS LOCATION; ~l A ~mr¢,,'y~ ADDRESS: STANDARD IND. CLASS CODE-~: ........ CITY, ZIP: CITY, ZIP~ DUN AND BRADSTREE! NUMBER PHONE #: PHONE #: - - REFER TO-7~STRU~7-J~N$-I~IR--PROPER CODES lrans !¥Qe Max Aver)ge Annual Measure ! ~¥) Cont Cont Cont Use Location. Whe(e. Code code nat nat Est Units on 5~ce Type Press lemp Code Stored in ~acl/~cy See Instructions Physical and Health Hazard C,A,S, Number Component II Name & C,A,S, Number (Check ali that apply) Component 12 Name I C.A,S, Number [] Fire Hazard ~ Reactivity;i ~ Delayed ~ Sudden Release ~)' Immediate Health of Pressure Health ~ Component 13 Name & C,A,S. Number Physical mhd Health Hazard i C,A.S. Number Component II Name S C.A,S. Number (Check 411 that Apply) Component 12 Name & C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~ Health of Pressure , Component 13 Nmme & C,A,S, Number Physical and Health Hazard ~ C.A.S, Number Component Il Name I C,A,S, Number (Check al1 thmt 8pp!y) ' Component 12 Name & C,A,S, Number ~ Fire Hazard ~ Reactivity~ ~ DelayedHealth ~ Suddenof PressureRelease [] ImmediateHealth -- Component 13 Name S C.A.S. Number Physica'l lhd-Health UaTmrd C.A.S. Number Component II Name I C,A,S, Number (Check all.that apply! Component 12 Hame & C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed [] Sudden Release [] lm~i~ Health of Pressure Component 13 Name & C.A,S. Humber ~ . - Z4 Hr Phone ;ertificatio~ ,~Re~ ~.n~.~fgn a?~c comp7~Cf(~g,~11 secCi~n~) , certify under oena)cy o1~p cnqc JnavepeEsonaj~.examlnqQaqoQm familiar with the inlormac~on ~u~mittpd in this.end all Lt~acned.document$, 8n~ t~c omseo on.my Inquiry ¢.cnose ~nolyloum)s responsible for obtmlnin9 the intormmcIon, I believe that the ;uomltted lntormmtlon !$ true, accurmce, AnD comp/ace, ~i~ ope oficiil'-Tlll~ of owner/~perator uH ownir/operator's authorited representative ~ure HAZARD ANALYSIS CHECKLIST Pool Site: Chemical Storage: 1. Amount of C12 stored, in season? ~OO {b5 ~-~ Amount of C12 stored, off season? 9.. How are cylinders secured? ~j/~ 3. Other Chemicals on site and location of .storage? Reactive with C127~. 8~n~ ~ l.~ ~/ [l~JD~%]~-~q~ 4. C12 consumption rate lbs/day? 5. Number of cylinders on line at one time? ~/~. 6. How is storage area ventilated? 7. Is storage area of combustible construction?.~/~ Is storage area dry and orderly? 8. 9. what else is stored in the C12 storage room and does this area have 10. Is hazard labeling adequate? ~o. 11. Is storage area secure? Who has access? 12. Who is responsible for receipt of deliveries? 13' How close is storage area t° exit? Are there other exits? Chlorination System: 1. Type of system? 2. Year installed? Was equipment new? 3. Who designed and installed? 4. Have there been any changes made to system design? 5. Are there any PID's of system? 6. List all system components: 7. Is there visible corrosion or damage? 8. Are there any excess flow controls on the system? 9. Does the system utilize electricity? What are the results~of power outage? 10. Are lines braced? 11. Are lines susceptible to physical damage? 12. Is system charged with chlorine and/or in operation while pool is unattended? Maintenance: 1. Who is responsible fo~ system maintenance? ~~ 2. How many people interact with system in any way? 3. How often is system inspected? ~[~ By whom and against what criteria? 4. Is maintenance logged? Training: 1. Are lifeguards trained regarding hazards of C127 2. Is there a hazard communication program? Are MSDS available? 3. Are lifeguards trained adequately if they change cylinders etc... 4. What training have maintenance personnel had? 5. Are safety regulations established and adequate? Emergency Identification and Response: 1. Is there a leak detector in the C12 room with exterior alarm? 2. Has response plan been established and are emergency 'procedures posted? ~$ 3. Would the phone be in the plume? ~/~ 4. Are the exits in the plume? 5. Has evacuation plan been established, ie. toward upwind site? Protective Equipment: .... ~-~ 1. What is used while changing cylinders or otherwise working on system? 2. Is PE stored on site or in maintenance vehicle? 3. Is eyewash available? Gas Masks, SCBA? Operating Procedures: 1. Are there written operating~ procedures for work on or around system? Documented training of daily work staff - guards? History: 1. Accidents? Releases Injuries while around or working on system? 3. Equipment failures and system weaknesses? 4. Observations and experiences of staff? 5. Fire department inspection outcome? 6. OSHA Inspection outcome? COSTS ..... BAKERSFIELD CITY' FIRE DEPAR~[ENT BAKERSFIELD. CA 9S301 (805) 326-39'79 0FFIC[AL USE ONLY v . ID~ ~ B 'S NESS U013 ! 5.. , 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 SECTION 2: EMERGENCY NOTIFICATIONS ,, In case of an emergency involvinE the release or threatened release of a hazardous material, call 911 and 1-800-852-7S~0 or 1-916-427-4341. This will notify your local fire department and the State 0ffice of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: 8. Ph~ Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WMOLE A NAT. GAS/PROPANE: C WATER: ~ZW ~ D SPECIAL: E LOCK BOX: YES ," NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS7 YES / N0 FLOOR' PLANS? YES / N0 KEYS? YES / N0 SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOb~ BUSINESS AS A WHOLE 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 INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS .MATERIALS:...- ..................................... YE~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~.._~ NO ~ ~0 C. PROPER USE OF SAFETY EQUIPMENT: .................. NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. · NO YES NO E. DO YOU .MAINTAIN EMPLOYEE TRAINING RECORDS: ....... · NO YES NO SECTION 7: HAZARDOUS .~ATERIAL -CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARbOUS ~TERIAL IN QUANTITIES LESS THAN 50O POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR ZOO CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. ~0 Chapter ~.98 Sec. Z5800 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY. FIKE 0EPART>.IE.MT 2130 "G" STREET BAKERSFIELD, CA 95301 0FF~CLAL CSE ONLY [ BUSINESS NAKE: BUSINESS PLAN SINGLE FACI LI TI~ UNIT INS~UCTIONS 1. To avoid further act2on, this form must be returned by: 2. ~PE,,'PRINT YOUR ANSWERS IN ENGLISH. 3, Answe~ the questions below for THE FACILI~[ UNIT LISTED BELOW 4, Be as BRIEF and CONCISE as .possible. : " SE~ION 1: M~TIGATION~ PR~!ON~ ABA~ SECTION 2: :~OT!F!CATION S~CT!ON 3: HAZARDOUS MaT%RIALS FOR TWIS I:7~IT ONLY A. Does this Facilits~ Unit contain [tazardou~ Ha~e?~;.~!?? ...... ~~0 If YES, see B. If NO, continue ~£th SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (tvhite form If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (¥ello~ form ~4A-2) in addition to the non-trade secr,~t form. List only the trade secrets on form 4A-2. SECTION ~: PRIVATE FIRE PROTECTION SECTIOX 5: LOCATIOn' OF WATER SUPPLY FOR USE BY EMERG~'?ICY RESP{INI~IiRS SECTION 6: LOCATI0.~' OF UTILIT? SHUT-OFFS AT THIS U~IT ONLY. 0. SPEC:AL: ...... ,T :0...: E LOCK BnX Y.'TS ' NO r= ¥~'$ LOC' ~" · O ~.'. B NO, Occupational Safely and t4eahh Administralion IATERIAL SAFETY DAT Requi~ under USDL Salely and Hemllh ~e~ulalions for Ship Repairing, Shipbuilding, ~ Shlpb~eaking (29 CFR 1915, 1916, 1917} SECTION I t-:,~.' NUF't),C I'UI~:ER'S I%:,e,t. AE I IEME~CEr,~C¥ TELEPHONE ._J.one.s__Cn__e~_ic_~J.s, Inc. ..tl328_63~3_ or T/5-2887 · -OD n ~. SS [,%',,mhct. Street. Cit)'. S:ate. c. nd ZIP Code] _._3.~Q1. W. Del A~o Blvd., Torrance, California 90~07 CH[t,:~CmL N~t.:[ ~DSvNONYMS [ TmAOE ~AME A~D Chlorine SECTIONIl - HAZARDOUS INGREDIENTS PAlU_TS.-~"~ESERVATIVES. & SOLVENTS ~ ALLOYS AND METALLIC COATINGS ~.'~HICLE /~IET~,LLIC COATINGS ': ...... FILLE I:l METAL .. SOLVENTS PLUS COATING O1~ CO~E FLUX ~ DOIT IvES O~'HE TLV HAZARDOUS I%,~IXTURES OF OTHER LIOUIDS. SOLIDS. OR GASES % L SECTION II1-- PHYSICAL DATA  t'EI~CEr~T. VOLATILE '. EVAPOI~ATION RATE . ' VAnOc~ D[r¢SITY [AlPl-]} 2;~"~ ~) 0O C 0 I'T'F-P'Frg ( ' ' SOLUBILITY IN '~,'AIER lbs[lO0 a~ ~ 60b F ^~£~NCE ~00DO~i'ou!d_Clear Amq~ert C~_s-Greenish Yell°w O~or-r~q/nFent : SECTION IV - FIRE AND EXPLOSION HAZARD DATA 7....-': .:.' . F~MMABLE LII,~IT5. ~ - -'. Lo} · Uel* ..... ?fiF~:nlcs rea~t ~'ith ~orJ~e~ s~et].mes %'ith t'/;G5 Ill (Conli~t~ on ,cve~ ~dc) Form OSHA-20 SECTIONV - HEALTH H~ZARD DATA ~cu~e respa!etD~ irri~fSon fb-Jz~_e n e~& s_[ra f~io~ .... Qb_% e in_m~.a i c a 1_~ it e ntian._pzz~_ t~v. . SECTION V! - REACTIVITY DATA '[ '" ~ CC~m~IONS ~o'^vo,D .~ZAROOU5 I.~AY OCCUR -j ICONDI~IO~5 TO AVOID ~LY~[RI~ATION j / SECTIONVII - SPILL OR LEAK PROCEDURES ~cu.ate area. llsi~ ~tec~ive - ~uirc~ent,. close valves to isolate le~. Cont~t s~?~7~.ne~}~>e!y, .A~so:~5o~ _5~ ~;a].i solution. Conta.ct supplier for SECTION VIII - SPECIAL PROTECTION INFORMATION ~/s;',n~'~o~¥ .~o~,.c'r,or~ ISPecily Opt/ Canister r~sk, ~e~ conta~ne~ ~re~t~ ~Do~ratus. V[r~llLAl~Ori - j LO[AL EXHAUST . JSPECIAL . ., - [ " SECTIONIX'- SPECIal_ PRECAUTIONS '- ,T LD LII~IIT VALUE I' ' '~ ['i"'. 'trl C~,,rll ~.z>~ ,SlI[ht .irritation to ayes, ~kin and muscoua mmbranes. . ~ ~: Irrf[ate with water for at least 15 minutes'.. ~ SI;in: ~'ash with ~'ater. X Ir-halation: R~ve to fresh afr. STAbILiTY ST~LE ~TABILi~ l~i~l~ I~ Acids Y occu~ HAZARDOU~ ~ATION '- WILL ~OT ~ OCCUR , High humidity: causes ca~ing. · ~i]ls ~'a~ material tra fer ns--~-~-- ~ ' a container and discard :eneral ~rash. Residue ~ be %'ashed'a~,~_with ~-ater. , % NO special handling is requf ............. red. Residue quantities can be?-ashed EapLy containers ~y be incinerated or discarded as general ~rash. 0~~ · .... - OTHE~ AtVD &TORING ~Store In d~- -- ~-~~-~ ar_~.- avoid contact with acids };o special h~]dlinE Procedure. OT~aa ...~:,0~ ~red J . -~"' ~C~UT,O~s ~D ~~~ - .~ ~ . , ..- ...: , .'El:). ;1'0. 1-0. 313 IATERIAL SAFETy " SHEET ~,~..m A~ .. 872' Y t e 82935 0 HOpPer ' ' 'fy 0 "'IO~zENT~ ALLOys A~O ~E ,~D YST ~ ' TALLIc COATi.N.( ~ or~s =Lux NA ~ ~A~AnDOL's ~d~XTUREs O~ Orcaa L~Ou~oS. SOL~oS o, GASEs LIPVG POiN, ~oFj ~ ~[k'S~Ty ~A~TU' e~raa'u ...... ~:s I..D. # ~; -- BAKERSFIELD CITY FIRE DEPARTMENT · .. " FORM 4A-1 " Page ( of'/ NON--TRADE SECRETS ..... HAZARDOUS MATERI ALS I NVENTORI" TY, ZIP: ~m~ ~/~./~ ~S~O~ CITY,ZIP: ,~~~/~t~ 9-~,~0/ ' PHONS ~: PeONE ~: .~~.~{{~ ~OFFICIAL USE .CFI~S COD~  ~ ~ ONLY 1 2 ~.. 6 7 8 9 10 TYPE ~AX ANNUAL USE LOCATION IN THIS ~ BY HAZARD 300E AMOUNT AMOUNT COOE FACILITY UNIT WT. CHEMICAL O~ COH~ON NA~E CODE AME: TITLE: SIGNATURE: DATE:.' MERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: .MERG~NCY CONTACT: TITLE: PHONE ¢ BUS HOURS: RINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: -4A-1 - ..... 11572 SALIHAZ DRIVE" GARDEN GROVE, CALIFORNIA 92643 · 'PHONE':(71'4) 638-3573... - . ._ ,i Intoi'mal~on on Ibis lorm L~ furnished solely for the purpose of ¢ornl21ienca wil~ U~e O¢¢upalionel Salety and H~iIU'~ Acl of "1970 arid ahell no! be us~3 lot $ny olhe~' purpO~, U~e or dissemination of all or any part el this information for any other purpose m&y resull in a violation Of law or con$1itlJle grounds for legal action, SECTION 1 MANUFACTURER'S NAME I EMERGENCY TELEPHONE NO. AQUA TRI I (714) 638-3873 TRADE NAME AN[:) SYNONYMS All Clear Chlorinating Tablets All Clear Jumbo Tablets All Clear Alg~.e ~,1 [CHEMICAL NA, ME AND SYN©NYMS Trichloro-s-tri~inetrione; trichloroisocyanuric acid , CHE,',,',ICAL FAMILY FORMULA CAS Regis~.r'/ Number Chlorinated isocyanurate t C ~N :O ~, CI ~ 87-90-I SECTION I1 - HAZARDOUS INGREDIENTS COMPONEh~T % HAZARD DATA Trichlcrc~s_triazinetriene - 99 TLV not established. tactive .... ,n ...... ai=nt~, Trichloro-s-triazinetrione is a s,r~.,,g oxidizing agent. SECTtCN II1 - PHYSICAL DATA aOILING POINT (°F.) SPECiFiC GRAVI ,.--Y (H=O='~) 0.92 VAPOR PRESSURE (mm Pig.) Decomposition Range (° F) (225-230° C) 437~46° F "IAFCR DE'~S"-Y (AIR=i) SOLUBILITY IN WATEF ~'30 C g./100g. 2 APPEARANCE AND CC'O~ White cwsta!line solid with slight chlorine odor. SECTION IV - FIRE AND EXPLOSION HAZARD DATA E:(T hGt.:?'-,t,G ','E::.c '",",.' ~ '¢ , ::- r SPECIAL FiAE F~GNT;~;G FF, OCEDURES Wear se!f~ontained breathing a0paratus. Flood material with large amounts of water. Chlorin~containing gases released in fire situation. UNUSUAL FiRE AND EXPLOSION HAZAF, CS Thermal decomposition continues in the absence of oxygen once decomposition has begun. Lighted matches or cigare~es may ignite material. SECTION V - HEALTH HAZARD DATA TP~RESHOLD LIMIT VALUE NOt esMD,ishud. TOXICITY Trichtoro-s-triazinetrione is reported to be hiEnl'/' toxic to ~quat:,c organisms but only slightly toxic to birds and slightly toxic via oral and dermal applications. This material is consider~ corrosive to skin. ° ....._CTION V - HEALTH HAZARD DAT! nt.) ' EFFECTS OF OVER ~(POSURE · lrhtating to no~, mouth, and mucous membranes.'Material is corrcsive to skin. EMERGENCY AND FIRST ,~ID PROCEDUnES .... ' ...... .- . ..... . Eyes: Flush immediately with large amo~Jnts of water, Obtain medical attention if irritation persists. Skin: Wash exposed surfaces with soap and water. Inhalation: Remove victim to fresh air. Ingestion: Drink milk, water, or raw' egg whites; obtain medical assistance. Launder contaminated clothing before muse. SECTION VI - REACTIVITY DATA I ICONDITIONS TO AVOID STABILITY UNSTABLE Heat, moisture, organic materials. STABLE I X INCOMPATIBILITY Chlorine and carbon monoxide evolved when heated, to decomposition. I CONDiTiONS TO AVOIO MAY OCCUR I HAZARDOUS PCLY MERIZAT,ON WILL NOT OCCUR I XI SECTION VII - SPILL OR LEAK PROCEDURES STEPS TO BE TAKEN IN C,~SE MAT£B,',AL :S REL~-ASED OR SPILLED Sweep up and place material in clean container. Rinse contaminated area with large amcun.:s of water. WASTE DISPOSAL METHOD Spread small quantitles of 'waste material out in a thin layer in an isolated field. Rinse empty container with water and discard container. t SECTION VIII - SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION Use a dust respirator where dusting occurs. VENTILATION ! LOCAL EXHAUST Recommended SPECIAL cROTECTIVE GLOVE£ EYE PROTECTION Impervious gloves Chemica safety goggles OTHER PROTECTIVE EQUIPMENT Long-sleeved clothing to minimize potential of skin contact. SECTION IX - SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING Store in dry area. Rinse empty container with water and discard. Do not allow water to get into container. Keep container off wet floors. Store containers away from direct sunlight in cool, dry area. OT~ER PRECAUTIONS Avoid contact with skin. Do not get into eyes. Protect eyes when handling. Avoid contact with organic material. Avoid breathing dust.