HomeMy WebLinkAboutBUSINESS PLAN (2) on TrUCl~..~·
SERVICE
Phone: (661) 325-1400 . P.O. Box 71084
Mobile;, (661) 332-6916 Bakersfield, CA 93387
Oscar & Dolores Leon, o~nerS_ _ ......
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
............ ~,,a~,,,~,,~a~,~:~ ...................... This permit is issued for the following:
?i~i~'' i~ ""~"~'*::~'~:':'~i i~iiii ~ ~iii!iii,: iiiii? ?iii~iii~ground Storage of Hazardous Materials
PERMIT ID# 015-021~)01106 ~¢¥'ii~ ~!~.j;~!!:iii:i:~iiii:!!ii!iii? ...~j!!!!!i!!i!!i~!i~:ii!~%i!i!?i~iiiii,,~!!i~kii~oagement Program
LOCATION 717 E lOTH
~ii,,._ "--.~ L:i =~ . "~'::~i~iii~i~i~~'~ ,$~.::~;i~r :~ :;~,. i~,''.. '.,~'
.
'~.'
, Issu~ by:
0 B~ers.eld F~e Dep~ment Approv~ by: ~~~~'
0~I~ OFE~RO~AL S~ ~CES
1715 Chewer Ave., 3rd Floor
B~enfiel~ CA 93301
Voice (805) 32~3979
~ ~0,~,~ ~xp~at~on~a~: dun~ ~0, ~000
~'_~?~--~/~;~: l~i~-~ SiteID: 215-000-001106
EVANS ELECTRIC INC Ii~.!~ -.~ ~- ~ w ~
Manager : ~
Location: 717 E 19TH ST ~ A~ ~ 9 1997 BusPhone: (805) 327-5991
~ ~ Map : 103 CommHaz : Moderate
City : BAKERSFIELD Grid: 29D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION-02 SIC Code:
EPA Numb: DunnBrad:02-787-3686
Emergency Contact / Title ~cy Contact / ~
W~_~~ / GENERAL MANAGER ~w~, HAlf,fEE o~
Business Phone: (805) 327-5991x Business Phone: ( ) - x
~-~-.~._.~ :--~ Cf2 ~uux 24-Hour Phone : (805) 327-5991x
Page~ Phone ,, :~ (F~~ 3 ~ -~O ~a~ Phone : ~) ~-~//~x
Hazmat Hazards: Fire Press ImmHlth
Agency-Defined Topic Title
---- Hazmat Inventory One Unified List
---- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitlMcP
~Y~-~ ~-; F P iH --G 251
AEROSOL PAINT F P IH L =~~L
· I, /¢~ ~//~Z' Do hereby certify that I have
('rylm or p~nt name)
reviewed the atlached hazardous materials manage-
ment plan for ~'~/9¢'-~ z~/~'c and that it along with
(Name of B%usiness) -
any corrections constitute a complete a~d correct man-
agement plan for my facility.
Signature / '" Date
-1-
EVANS ELECTRIC INC SiteID: 215-000-001106
= Inventory Item 0001 Facility Unit: Mobile Containers on Site
-- COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit
MOBILE CAS#
7782-44-7
FSTATE TYPE PRESSURE [ TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3
251.00 251.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
HAZARDOUS COMPONENTS
%Wt. EHSI CAS#
100.00 Oxygen, Compressed ~ 7782447
-2-
EVANS ELECTRIC INC SiteID: 215-000-001106
= Inventory Item 0001 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
AEROSOL PAINT Days On Site
365
Location within this Facility Unit
MIDDLE OF BLDG CAS#
r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE I
Liquid MixtureIi Above AmbientIi Ambient METAL CONTAINR-NONDRUM
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL
85.00
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
%Wt. I HAZARDOUS COMPONENTS EHS CAS#
-3-
EVANS ELECTRIC INC SiteID: 215-000-001106
Fast Format
~ Notif./Evacuation/Medical Overall Site
-- Agency Notification 01/07/1990
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS FOR FIRE DEPARTMENT
MEDICAL ASSISTANCE, SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBER
FOR AMBULANCES.
-- Employee Notif./Evacuation 01/07/1990
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS OF FIRE DPARTMENT,
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
-- Public Notif./Evacuation 01/07/1990
ALL EMPLOYEES HAVE AVAILABLE THE EMRGENCY PHONE NUMBERS FOR FIRE DEPARTMENT,
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
Emergency Medical Plan 01/07/1990
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS FOR FIRE DEPARTMENT
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
-4-
EVANS ELECTRIC INC SiteID: 215-000-001106
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 01/07/1990
SMALL CONTAINERS, 02 CYLINDER RETAINED PROPERLY
-- Release Containment 01/07/1990
SMALL CONTAINERS
-- Clean Up 01/07/1990
WIPE UP LIQUID
Other Resource Activation
-5-
EVANS ELECTRIC INC SiteID: 215-000-001106
Fast Format
Site Emergency Factors Overall Site
Special Hazards
~ Utility Shut-Offs 01/07/1990
A) GAS - BACK OF BUILDING
B) ELECTRICAL - INSIDE SOUTHWEST CORNER
C) WATER - BACK OF BUILDING SOUTHWEST CORNER
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 01/07/1990
PRIVATE FIRE PROTECTION - WE HAVE A SUFICIENT AMOUNT OF FIRE EXTINGUISHERS
LOCATED IN THE PROPER AREAS. THE EMPLOYEES ARE TRAINED IN THE WHEREABOUTS
AND USE OF THESE PRODUCTS.
FIRE HYDRANT - 500 FEET AWAY ON KING STREET, NORTHEAST FROM OUR BUILDING.
FIRE DEPARTMENT IS ONE BLOCK AWAY AT 716 EAST 21ST STREET
Building Occupancy Level
EVANS ELECTRIC INC SiteID: 215-000-001106
Fast Format
= Training Overall Site
-- Employee Training 01/07/1990
WE HAVE~ EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
WE HAVE AN ONGOING TRAINING PROGRAM
-- Page 2
Held for Future Use
Held for Future Use
-7-
04/20/92 EVANS ELECTRIC. INC 215-000-001106 e 1
Overall Site with 1 Fac. Unit ~
General Information 8¥.
Location: 717 E 19TH ST Map: 103 Hazard: Moderate
Community: BAKERSFIELD STATION 02 Grid: 29D F/U: 1 AOV: 0.0
Contact Name Title Business Phone I-' -' ' ~7'"
WILLI~ CROWLES IGE.E~L ~.~ER [{805) 327-5991 x
pg~go~ Administrative Data
Mail Addrs: 717 E 19TH ST D&B Number: 02-787-3686
City: BAKERSFIELD State: CA' Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC~Code:
Ownor'~.~EVAN HAMMER~R~ Phone: ~05 )327 -5991
Address: 717 E 19TH ST State: CA
City: BAKERSFIELD Zip: 93305-
Summary
/~, EVAN W. HAMMER Do hereby certify that I have'
(Ty~.. ~...~) .....
reviewed the attached hazardous materials manage-
ment plan fOrEVANS ET,EC;B~;u~end that it along with
(Name of Business)
any corrections constitute a complete and correct man-
agement .plan for my fadlity.
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 2
01 - Mobile Containers on Site
Hazmat Inventory Detail in Reference Number Order
01-001 OXYGEN Gas 251 Low
· Fire, Pressure, Immed Hlth FT3
CAS #: 7782-44-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 Daily Average FT3 Annual Amount FT3
251 I 251.00 [ 2,~000.00
Storage Press T TempI- Location
PORT. PRESS. CYLINDER Above ~ambientlMOBILE
-- Conc Components I MCP List
100.0% IOxygen, Compressed ILOw I
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in,Reference Number Order ,
02-001 AEROSOL PAINT Liquid 100 Unrated
~ Fire, Pressure, Immed Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use:. PAINTING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
100 ~ 85.00 100.00
Storage Press T Temp Location
METAL CONTAINR-NONDRUMIAbovo IAmbiontlMIDDLE OF BLDG
- Conc ~ Components ~ MCP ~List
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS FOR FIRE DEPARTMENT
MEDICAL ASSISTANCE, SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBER
FOR AMBULANCES.
<2> Employee Notif./Evacuation
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS OF FIRE DPARTMENT,
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
<3> Public Notif./Evacuation
ALL EMPLOYEES HAVE AVAILABLE THE EMRGENCY PHONE NUMBERS FOR FIRE DEPARTMENT,
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
<4> Emergency Medical Plan
ALL EMPLOYEES HAVE AVAILABLE THE EMERGENCY PHONE NUMBERS FOR FIRE DEPARTMENT
MEDICAL ASSISTANCE SUCH AS DOCTORS, LOCATION OF HOSPITALS, PHONE NUMBERS
FOR AMBULANCES.
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 5
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
SMALL CONTAINERS, 02 CYLINDER RETAINED PROPERLY
<2> Release Containment
SMALL CONTAINERS
<3> Clean Up
WIPE UP LIQUID
<4> Other Resource Activation
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 6
O0 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - BACK OF BUILDING
B) ELECTRICAL - INSIDE SOUTHWEST CORNER
C) WATER - BACK OF BUILDING SOUTHWEST CORNER
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - WE HAVE A SUFICIENT AMOUNT OF FIRE EXTINGUISHERS
LOCATED IN THE PROPER AREAS. THE EMPLOYEES ARE TRAINED IN THE WHEREABOUTS
AND USE OF THESE PRODUCTS.
FIRE HYDRANT - 500 FEET AWAY ON KING STREET, NORTHEAST FROM OUR BUILDING.
FIRE DEPARTMENT IS ONE BLOCK AWAY AT 716 EAST 21ST STREET
<4> Building Occupancy Level
04/20/92 EVANS ELECTRIC INC 215-000-001106 Page 7
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 4 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
WE HAVE AN ONGOING TRAINING PROGRAM
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
Bakersfield Fire Dept. ~-~' '"
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
B. EMPLOYEE NOTIFICATION AND EVACUATION:
C. PUBLIC EVACUATION'
D. EMERGENCY MEDICAL PLAN:
Bakersfield Fire Dept.
Hazardous Materials Divi
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)'
SPECIAL:
LOCK BOX: YES/NO IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTEC.,[IObI:~,~' ~/_/_~/-~/g'" /"~. '
B. WATER AVAILABILITY (FIRE HYDRANT):~(~/~D~ ~o
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN "-.
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS:
MATERIAL SAFETY DATA SHEETS ON FILE:
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 CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES,
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UN~D THAT THIS INFORMATION WILL BE USED Z~
FULFILL MY Ft.,P~S OBLIGA~,K~~ DER THE "CALIFORNIA HEALTH AND SAFETY CODE'
ON HAZ~'('DOUS MAT. F~'A'~S (DIV~.~,20 CHAPTER 6,95 SEC. 25500 ET AL,) AND THAT
I~C~.. ~~R~ATIO N/~STIT~P E RJ U RY.
FDI590
~~,.~~~~-% Bakersfield Fire Dept. ~~
~~~ Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
'HAZARDOUS MATERIALS MANAGEMENT PLAN
f~ I
1. TO avoid further action, return this form within 30 days of receipt. (_./]~ Zq/ J(-jS~
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME: £~ _~/t.rC,.
CITY' ~~~~ ST ATE~' ZlP¢~~ONE::~
DUN * BRADSTREET NUMBER:~2-TfT--~~~ s,c coo~:
MAILING ADDRESS: 7/7 S~~.~¢~ ~~~ ~i~-
SECTION 2: EMERGENCY NOTIFICATION:
BUS. PHONE
'CONTACT TI, T, LE /h 24 HR. PHONE
FO15c
CITY of BAKERSFIELD
· . HAZARDOUS MATERIALS INVENTORY
term and Agriculture 1-1 Standard Business I-] ...... '-'ADE '~<'~C°ETS . . .,~ Page _~_ of //
nf~T,~nn ~H~ ~~ ~~ ~/~nWNEn NAME'/~~/~ ~~~ NAME OF THIS
............ :~f//~/~ '~'- ' - -' -- ~ - ST NDARD IND CLA55 UUU~: _
L C Y~ N' - - ~DDR~SS' ~ ¢~/~
' ' 0 E~' ~ . ~ ~-~ '
I 2 ) , 5 , , 8 9 I0 .1, 12 ,I~y Ne,es of ,ixture/~o,ponents
Trane lYRe Nax Average Annual Neasure I ~e ~on[ Coat Coat Us [ocation.~he[e.
Code code Aat Amt Est Un,ts on ~ype Press lempcolut See Instructions
Stored tn ~acH~ty ....
Pb,,ic,l ,0dHe;Ith~'~ C.A.S. Number ~ Component It Name ,C.A.S. Nu be
(Check al/ that applyl ~ ~~ ~ --
~ _. __~.
~ _ ~nent 12 Name I C.A.5. Number
~ Fire Hazard ~ Rea~viLy ~ ~la~ud~n_~elease ~ Imm~d_ip~ ~
Physical ~od Health ~a~ard C.A.a. Humber Co~ponent II Hame I C.A.a. Number
(Check all that appIYl. _ ~~ ~~X/
~ Fire Hazard U Reactivity ~ Delayed ~ Sudden Release ~ lm~i~ ComponenL 12 Name I C.A.S Number
Health of Pressure Component 13 Name I C.A.S. Number
(Che~k a~ aPPlH ~ ~..
' ~ .... ~ ~ Component !2 Nam~ C~ber
~ ............... ~ponenk 13 Name I C.R.S. Number ~. . .
Physical ~nd Health ~H~fd C,A,S, Nunbef ComponenL II H~e I C.A,S. Number
(Check all that app/y/
Componenk I~ N~me I C.A.S. Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~
Hea/th of Pressure
Component 13 Name I C,A.S. Number
Race ...... z4 Hr ~none Name ~ / ~r Chone
Certifi arid Re and i naf r corn 1 ting ~ll s c~ions)
RECEIVED
0 CT 1 $ 1989
/l~s'd ............
EVANS EI..ECTF, IC INC.~
BILL cRoV~LES. 24-H~'"- Phone
Electrical Instructor Shop (805~/~-5991
General 'Manager
32 Yrs. Experience
717 East 19th Street
Bakersfield, CA 93305
ALTERNATORS - GENERATORS - STARTERS
Z. ~.:~.:-?~-: 'l' i c:, n 2 IE;.'.'~ 0 4, F:' a ¥' 't 13 El m e'r' 9 e:..~'n c y F;.'..~:.:,.'.~: p o'n.,.~' (.:..~ I::' I. a n:
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g~p~.', o'f Heat'h 'l'eL~.:,~: 209-445-335'7,
0~"1~' i c:e: o'f E~.marganc:,/ ,S'a¥'v i c:e i--?i6--.42'?-4900.,
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FOOTNOTES:
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F:'a9~:.:, 3 & 4.:
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a .I.. 'l'
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,~;:l.~b....~'ec:~' ion i: I._abe[e~: and ~he in'f(:n"[~a'~ ion 'l'hey r~lu.s:~' I:~¥'ov i(:le~
J..~ I d e n '1' i '1' y o f '1' h e I.-I a z a ¥' d o ~.s' ~' ~.~ b .s' '1' a n (: e (:: I. e a ~" I. y [ ~ b e L e d.,
2 ~ H,a z a i" d ~ a ¥' n i n ~:~ ~[: '~ a -I: ertl e n '~' ~.,
The f:'e¥'~onneL Nanage~" and 'l'he Leacl pel"~'on in c::ha¥'ge
wi L I. insu.~"e '['ha'l' 'J'he er~tpLoyee~: a~"e awal"e of 'l'he
I-.I a ~: a ¥' d o u ~: r~ a -I: e I" i a I. ~[: u ~ e d i n '~ h e i ~" w o ¥' k a ~" e a ~', ~ I..s: o,
have I:~¥'(:)pe~- LabeLing~
5., I'[' wi I.I. be ou~" po[ic:y '['o t. al:)el, ail. se(::onclal"'y
c:on!'ainet"~:., This c:hec:king wi [I. be done by '('he. lead
l~eT~:on it') chaTge,
,S'u.b-~'ec:'~ ion 2 : Ma'('el-ia [ ~'a'fe'('y Da'~
i,. Loca'l'ion of N.:~.,D.,;~:~ fo~" alt. haza~"clou..s'
a¥'e [o(::a'!'ed whe¥'e it' i~' u.~ed and in a 'fi I.e r~lai"l~ed
"M., ~', D ~,~:.~ open roi" er~p I. oyee i n~'l:,e(:
o f f i (:: e w a I. [, w h e i" e a I.I. t" e,:l. u i i" e d p o s' '1' e d r~l a '(' e !" i a [ .~:
a~"e I. oc:a'~ed~ The peT~:onnel. N
r~lanage¥' wi [1. be ¥'e~:pon~'ib[e roi" ob'~ainin9 and
[~'~ a i n ~ a i n i n 9 d a '[ a ~' h e e '1' .s' f o ~"
~"eview ail. new M~',D~,~:
· ('ha~ affec:'~ sa'fe'~y o~" he
Review roi" (:o[~[~[e'l-ion I:)y '~he F'eT~:onne[ Hanage~" and
wi [[ al.~'o no'l'ify 'the Divi~'ion of Oc(:Ul:~a'l'ional.
:~:afet'y and I.-lea['l'h/Righ-~ To I4now Uni't', i~25 ~'ha'~'l'uck
4... If any N.,~:~D,,~,. shee'~ i~' no'l' avai I. ab[e fo~" er~pI, oyee
ins'pe(::'('ion, 't'he er~lpl, oyee wi
Managel" o¥' 't'he F'el".~onne[ M~nagel" s(:) '!'ha'l' i'l' (::a'n be
c: o/" ¥' e (:: '~' e d ~
5,. Fou¥"f. een [~lai¥1 e[er~len'l:.s' of al.l.
T h e y r~ u. ~' 't c o v e I- '1' h e ~' e f o I. I. o w i n
on '[he I. abe[,)
~ '~ Chr,;,r~ i (::a L and
~..., .... ,. .~,.:.~ ¥1u.[llbe1" of
each h a z a'r'(:lou~'
:3~ The [~hy~s'i(::a[ and c:herr~ic:a[ p¥'opel"'l'y, su(::h
.~o[ubi l.i'~y of '~he chemi(:aL~
4., The phy~ica[ hazards s~(::l'~ a~[: 'fire,
(Lon~j 'l'erm) heal.'~'h haza~"d, i~'~ci, udi'n~ 'l'he
C o n f e ~" e n c (.:.) (:) 'f (3 o v e ~" 'nm e ¥~ '~ a I. :[ ~'~ d u s '1' ~" i a I.
I.-I y g i e n i ~: '1' ( A C G ]: I..I ), ]" h ¥' e ~: h o L d I... i ~ i ~' V a I. u e
~" e c: c) m m e n d e d I:) y '(' h (~.) N a ¥~ ~l 'f a c '(' u ¥' e ¥'.,
8 ~ :[ f '1' h c~ h a z a ~" d o u..~: s' u b ~' '1' a n c e ~' i ~' I. i :~: ~' e d a s a
c:a~"(::inogen by 'l'he Na'('iona[ Toxic:ol. gy
F'rog¥'am (NTF'), 'l'he ]:n'[erna'l'io~ai. Agency 'fo~"
· ~' h e R e ~: e a ¥' c h o ~'~ C a ¥~ c e ¥' ( ]: AI:;:C ) o r [) ~'I..IA.,
S~ .~ T h ~ p r (.:.:.(:: a u '[ i o ¥~ n e c e.~: ~' a ¥' y 'f o ¥' ~' a f e h a ~'~ d [ i ¥~ g
~] ~: e a n d ~: ~' o ¥' a ~ e, i ¥~c [ ~ d i 'n ~:j ~' h e I:~ ¥' (:) '(' e c '~' i v e
x~) .
is ~ The kn(:)~n co~'~'l'ro I. mea.~ur(a~:, i'nc I. ud ing
i ~ 'F (:) '[ e (:: '1' i v e (e q. ~ i F, ~ e ~'~ '~' ~'~ e (:: e.~' ~' a ¥' y ~' o p ¥' o '~' e (:
a~:jai¥~:'(' 'l'he hazard.~
J.., [: i ¥' s '~ A i (:t p ~" o (: ~:, cl u.~" e ~ ~
~:~"~ ,. T h e d a '1' e o 'f I~ ~" e p a '~" a '~' i o n o f 'I' h e N., ,~" ~ ~.) ~ ,S'., o r
'(' h e d a '(' e o 'f '(' h e I. a ~ '~' c h ~ ¥'~ g e i ¥~ (:: (:)~'~ '~ e ¥~ '~ ~: ~
4., Th~.:~ ¥~ame, add~"ess a¥~d I~ho'ne ¥~mbe~" o'f 'l'he
I:~ a ¥' '~' y ¥' e ~:t:~ o n ~ i b 1. e 'f o ~" [~ ~" (~e [~ a ¥' i ~'~ ~j '[ h e
...... D., ;~' .~ ~: h e e 'I'.,
" ':'~ 94, 8 .,
II., F'a~"T C. ~;:ec'~'ion ._t TiTI. e C,:..',I. Adm~ Code:
.~i: ~.( b .-~ ..? e c: '~ i o n S ~ IE m p [ o )' e '," D ~.~ '~ i e s a ~: ~: '1' a '~' e d i 'n ~[: e c '~' i c, 'n 2'.5'.504 /
Pa;" T C.:/,S'ub-~:,'ec '~' ion ~3.,
i,. l!.".Xl:~l, ana~'t'ic',n of wha'l: a M,.'i~:~D.[.', i.s' anti wl",a'l' i'l'
(::on'l'a i n.'.-.~'~ No'l: i 'fica'!' io'n of an'y haza'~"dou.s' ~;ul:,~"l'an(:e.~.~:
t'o which '~'he ¢;:[~'q:~boyee.~[: are (.:.:,xpo.~:ed '!'c'.,, 'l.'h~"ollgh
· t'raining p'rog~"am~
When 't';"ainincj empkoyee~;' who
.'.-.': :., b .'..i: 't' a n c e '1' h e e m p L o y e ~" .s' h a L I. e x p L a i n a n y h e a L '1' h
I", a z a ~- d a ~:.~!: o(:: i ,.'..'~ '[' e d w i -I: I", '~' h e .'-~:
:3 .~ P'r o p e 'r I:~ ~" e c a u '!' i o n s' '1"' o ~" h a n d L i n
~.~ ~..~ b .~: .1: a 'n c e .'-~ ~
4 .~ N e c e.s' ~; a~ T ¥ I:) e'r' .~.~' o'n n e I. I:) 'r' o t' e c '[' i v e e q. u i I:) m e'n '~' a n d o .1: h e'r'
.'.-:: a f' e ~.' ),' I:) ~" e (:: a u '!' i o'n.s' n e (: e ~;' s' a ~" y '[ o i:) ~" e v e'n 'l' o 'r ~'r~ i ~"~ J [~'~ i z e
e x [.) o .s' u 'r' e '(' o h a~ z a 'r d o ~.L.~: ~; u I:) _~.~ '[' a
15 ,. Eme'rge~'~cy p~"o(::ed uT(.:.:~.~' '["c.',J- .s'p i 1. I..'..~:, f' i 're d i .s'po~.~'a L and
f i~" .'..~ '~' a id,
6,. Whe'n eve~" empLo'ye'r rec:eiYe.s' 'new o'r 'revised H.,,~i.'.,D.~.',
.s:uch info¥'maTion .s'l",aLI. be p~"ovided '1'o 'l'he empl. oyee~.~
wi'~hin 7.,0 days f',"om 'receip'['~ I'f '~he~"e a¥'e i~",c:~"ea~:ed
· r' i ~: k .s- a b o v e ,.'..', n d b e y o n d '1' h o.s' e .'.-.~' '1' a '~ e d i n '1' h e p ~- e v i c, u.s'
'?., E m p I. o'y ce 'r ~: .'..~ h a L L i ¥~. '1'" o ;" m e m[.) I. o 'y e e ' ~: o f '[' h e i ~" ¥' i g h '~' '~' o:
To I:)er.'..~onaI. Ly 'receive inf'o¥'ma'~ion ~"ega;"ding
I", ,'.~ z a ~" d o i.~ ~: .s' u b .~ -I: a n (:: e s' t o w h i (:: h t' h e'y m a ¥ b e
e x I-') o.s' e d a (:: c: o ~" d i n g 'l' o t' h e i:) 'r o v i .s- i o n .s' o f 'l' h i .'..~:
s e c t' i o n,
B., I'.:'o¥- '~hei~" I:)h¥~ician o¥' (::oLI. ect'ive ba'r'g,?~inin,..:]
aoen'[' '1'o ~"ecei ve info'r'ma-I' ion ~"ega'r'd i
h ~':~ z a ¥' cl o u. ~: .~!: u b s' .1: a n c e.s' '~' o w h i c I",
b e e x p o.~: e (:l a c c: o~" d i n 9 'J' o p 'r' o v i ~.~' i o n.'.~: o f 'J' h i
~: e (:: t' i o'n.,
C., A g a i n s: '[' d i ~[: c I", @ ~" .9 e o ~" o .1: h e'r cli s:(:: '," i m i n a .I.. i c:,'n d u e
T o e m p L o y e e .s' e x e i" c i .'.-~ i n,..:~ '1' h e i 'r' ~" i g h T ~.~' a f f' o ~" d e d,
pu~".'.-'.:ua'n'i' -1:o t'he l:)'rovi_~:ion.s' o'f' '('he I..laza'rclou.'.~
~.q u b .s' '(' a n c: e.~:, I n f o ~" m a t' i o n a n d T
8., IEmpLoye¥'.'.i: z,'haL L be in compLianc:e wi'J'l", 'J'he
f o I. I. o w i n g a d d i '1' i o n a I. I:) ~" o v i ~:,' i o n s b y ':~ "'') ~''''' "o ,:.
A., ['" m F, I. c:,¥ e e ~' :=..' h a L L b e i n f o~" m e d o f '1' h e ~" e,:L u i ~- e m e n '~ ~'
o f T h i .~ '..~' e,.':: T i o n,
B., EmF, I. oyee..~ :~'haI. L be info¥'med o'f an
'!'he~"e wo~"k @~"ea whe~-e haza'rdo~.~.'.~: s'~:.b:.~"l'ance.~ a~-~:.:
P a g e 5
.'0., I:':.'mF, Loyee~: M"~a t. I. be 'trained i n 'the me'thocl.,~' and
ob~;'e~"va'l.'ion.,..;- 'ti'tat may be u.~.~'ecl 'to de'tec't the
i:~ 'r (..'.? .s' e 's-~ c e o ¥' 'f' e L (*:..', a 1.~: e o 1: a h a z @ t" d o u.~..': .~: ti b ~ t: a ~'~ c e J 'f'~
'the wc, r'k a¥'ea (.s'uch a.'.s' mo'hi'for'lng c:onduc'ted by
· 1: h e e m I:~ I. o y e ¥', c o n '1' i n u o u.s' m o'n i 't o'~~ i 'n 9 d e v i c e.?;,
vi~[:ua[ appear'aT~(::e o'r' odor of haza¥'clou.t~-
~ L~ b ~: 't a 'f~ c e.'.-i: w h e'f~ b e i 'f'~ g 'r e I. e a .s' e d e .1: c ~, ,. ) ,.
E ,. I.:i: m f:.~ I. o y e e.'.,." .'.-; h a [ I. b e 't ~- a i n ecl i 'n 't h e p h y.~ i c a [ a n d
h e a I. 't h h a z a ~- d .'--; o'f 't h e .',." u b z.." 't a n c e s' i n t' h e w o ¥' k
a'r'ea and '('he measur'es' 'they can 'tal,'e 'l'o p'r'o'l'ec'l-
'l.'hem~'e I. ve~_[: 'l'"'f'om 'thez~'e l'~azarcl.~'.¢, i nc I. ud i
· '~:1:~ e c i '[" i c: p ¥' o c e d ~..t ~" e.'..~' 't' h e e m p I. o ¥ e'r h a .'.4' i [~p I. e m e n 'l' e d
· t o F, ¥' o 't e c 't 't I'1 e e m p I. o y e e.'..~.' 'f r' o m e x I:) o s' ~. ¥' e '1: o
P ¥' o '1' e c '1: i v e e.:l. u i I:) m e n '1' 't o I:.', e u.~ e (:1 ~
F:'., Eml:.~l. oyees- s'hal. I. be i"rained in 'the de't'ai 1._'.~: o'f .l:he
haza¥'d communica~.'io'n p'rog'ram devel, oped by 'i'he
emp[oye~-, intruding an expl. ana't ion of 'the
I. abetin9 ~y~"l'em and 'the ma'te~"iat :~:afe'ty da'ia
shee't and how 'the employee,s: can obtain and u. se
· l'he app¥'op'~-ia-t'e hazar'd i¥~for'ma'l'ion,.
C'.o n 't i n u e.~.; t' o ..S'e c 't i o n 2 5_g 0 4, I::' a ¥' .1: D o 'f 't ¥' a i n i n 9 p ~" o g ¥' a m
s- '1' a ~" 't i n 9 w i .1: h ~: u b - ~!: e c '1' i o n 4 ~
F:' a g e 6
T h u.~" 4~' d FJ y o f e v e J" y m o n ~' h.
h a z a 'r' d, I ¥'~c L ~.i d i n cj v e n .1: i L a '~' i o'r'~, 'r e ~.:.'1::, i ~" a '1' o'r z:.'
~'1 '1"1 d £.." .q'l e '1" g e t"l c: ¥ j:;, '1" o c e d LL '1" e ,~: :.
F:'a (:j e 8
F'LAN TO TF(AIN EMPOLOYEE'~' ABOUT
THESE ARE THE I$$~JE$ TO GO OVER WITH THE EMPLOYEE
m,~ n u f a c i' u'r' e'r c, f ';: h e .?. a i: e 't y d a +. a .~.~ h e e 't.,
B.'...').., L-'.EXF, I.a i n and de.s'c~" ibe t'he chem i ~.::a L name and commcm name.':~;.~
C :3 .~ E x p L a i nl-", e I" m i .s' ~' i b t. e e x p o.~; u. ',." e L i m i t; ~; ( 0 $ I..I A P., I!"'., I .... ) a n d
· I: h 'r' e .s' h o L d L. i m i 't V a I. u e ( '~" e c c, m m e n d e d '¥' .~ L. ~ V ~ ) t' h e_s' e n ,'..~ m b e ~" .s'
E 5 E x p I. a i n F' h y ~; i c a I. a n d c h e m i c a I. c h a ¥' a c t.. e ¥' i ~.~' -I.. i c .s' .'..:,' u c h a .'.-?
e v a p o'r a t' i o n 'r' a .I.- e, ¥ .;.'~ p o ~- p 'r' e_'-.;.,.~: u ¥' e, b o i I. i n 9 P o i n -I: a p p e,."..~ ¥' a n c e
a n d o d o ~" ~ T h i .s i ~: t' o p ¥' e ¥ e n i' i I. I. 'n e.s'.s'.,
F'6 F'i¥'e end expLo.'.-.:'ion haza¥'d and -I:he condi'tion.s which the
chemical I:)ul"n~' o~" expLodes', This' would al.~c, incl.~.u:le
f'l.a.~l'~poin'~', L,.~L~e~;. [~:<[~l~.s:}.~z~ L, im.Ll Li ...... E.~L ...... Z a~ /U.,,.E:~.L).
open coni'aine'r of Liq. ui(:l give.~: c, ff enough fLammabLe
vapol" t'h~'~ wi I.I. ignite when a fLame o¥' ~:pa~-I< i~:
appI. iecl,. Chemical..s' wii'h a fLas'h poin'l: bel. ow i00 F
(38C) ate ve¥'y da¥~ge¥'ou.s'.,
G'? R e a c '!' i v i t: y a n d h o w ~,: J.,'. a I-::i ~.,,. a n cl j..):.'~ ~ Q m [.~. a.t.i. J:::.L e..,. o ~" i 't .'.~
fl~i,'~ii,~mE:.,',~.'.~;.i.:li.i, gl] and [i~;~i',,.'.meI-izat.LgI:n,.i., ,,,~"'l'~l:lJ,.i.L:.~.¥...,
i'nfo¥'mat'ion -I:el.l.:s. whe'l:he~" ,.':', chemical i.'-; .s't'abl. e and wi LL noi'
'readi Ly ~"e,.."~ct: wit'h air o¥' c:ha'nge i'l:s c:hemical, s'l:'ruc:'!'u.'r'e
Lt'r~d,'_.'..','r c:ommo¥'~ cc.vnd i t: i c,n.s' oi"' 't'emF:'e¥'a'l.' u're, I::,'r'e.s'.~::u're and I. i gh t'.,
:.?.., In (::ompa'l:ibi Lit",/ is' t'he effect' s:ome chemical..'..:,' have on
what' no~-mal, l.y i.,; c:onside¥'ed i'o I.)e a s'i'al.')l.e chemi(::a L., The
· , ~:: )," . .....
t4~I.~.~ .'..;houl. d explain t'he 'r'eact'ion specific" (::hemical.~.: can
c a u .s' e w h e n I:., ¥' o u g h '(' i n t' o (:: o n t' a c t: w i '~ h 9 e n e'r a L I. y ..'.; t' a I::, I. e
chemic:a L in'to .s'imp Le¥' cl",emicaL~ tf +.he decompo:~:ed p'rodL~c:t's
a~"e haza¥'dou.~;, 1'fie NS'DS' .s'houLd explain i'he condit'io'ns' t'hat'
C:aLt.~'e dec:omPoc:i '[' io¥~ a'~nd .I.-he ¥'~a'~me of '[he i:)¥'odu, c'['.~
4~ F'oLyme'rizat'ion i.~: i'he a(::t'ion 'thai' 'lake.t-: place-'-:' when
moLe(::L~l.e~:.: of a c:hemic:a L .join t.-o t:ol"m Long chain.'.~: caL Lecl
l::'a cj e :LO
:1: ? ,~i.'l) e c: i a L p ~" e(:: a u ~: i o ¥~.~: a n d :~' p i L I. a 'n cl L e a k I:.) ¥' o c: (.:.? cl ~ ¥' ~-:,.s' ~: L~(:: h a ~.~
i-~ (-z, (.:.: p i n ,:j L i d .'.~.' c t .......~", ~" e~'d T i g. h -I: L y o ~" h ¥ ,...'~ i e 'n i ~"... p ~" a (: '~' i ,'.: e .s' .,
,~uaep [rig (:,~" 'f Lu~;'h i'ng ~,,,~i'l.'h t~,,a't'~..~¥' o~" @('J(e,:l.U.a'l'e ~).'.l.'.lLj...L~.'.l,'..i.[;;~).'.l
:.;.' u b -'.. s:e c 'I' i o n 6, i n f o'r m i n cj c: o n '1' '~" a c ~ o r .~: o f h a z a r d s: w h i t e
~ o ~" I( i n c]o n '1' h e p 'r o i:~ e ~" '[' y.
i .~ T fi e p e ¥- .,~- o'n n e t. M a n a .g e ~" o'~" '~' h e F' 1. a n 'l' Pi a n a ,.'.j e ~" w i I. I
p 'r o v i d e c o n 'l' r a c ~' o ~" s w i ~' h 't' h e '1"' o I. I. o w i n ::j i n f o'~" m ,'.~ .1~. i o n:
A ,. I-.I a z a~ ~" cl o ~i.?:: .,.~ u b .s' '[' a n c: e :~ t: o w h i c: h -I.- h e y in a y b e
expc,.s'e(.'l whi Le on 'l'he jol')~
2 ,. I..I a v e c o n t' '~" ,.'.~ (:: -t: o ~" .'.; ~'~' i g n a .'-; .1: a '1' e m e n 't' 'l' h a '1- i n d i c a '1' e.~;
he h,'~ been info'treed of any haza~"clou.:i: c:c.',ndi'l:ion_'.?.~
~.'e e a '~' '~' a c h e d (:: o p 'y,
S., I f .1: h e ¥' e a '~" e ,'~ n ¥ q. u e ~: t.- i o n s' a b o u .1: ~.' h i :..: p I. a n, c o n .1: a c '!'
· ~' h e F:' e ~" .s- o n n e I. i"] a n a ~..] e~- o'r t.- h e F' I. a n '1' P'i a n a ,.:j e'r, 0 u r
peopl, e, ]"he pot. icy o'[" ou~.'r company wi I.I. l'.',e enfo'rced
-I: o '1' fi e b e ~: -I: o f o u.l" a I:.-, i I. i .1: y, ,.
Omi'I'd'ed wi I.I. be I.-laza~-(:lou..'.-': ,':-i.'ul::,.,.~:'l['ance.,.~' in Unl. al:.~eLed
p ipe.,.c, I::,ecau.~.~e -I.-he',-'e a/"e no p ipe.~: '~'ha+. (::,':~'~--'~--y l--laza'~"do~.'.~;
.? u b s: '~' a n c e .'...~' ,.
E V A N I~' E L E C '¥ R I C ~7 Ii:' R V I C F
ii:. h a v e r e a d 't h e M a '!' ~:., r i a I. D a .1: a ,~'~ a 'f" e t' y ,.. h e e 't' o'n 't h e c h e m i c a ~ .s'
work w i't'h,. I have been informed abou'!' i'he I. oca't ion of 'the
have been 1"rained ~:o under.s'~'and wha'~- a M.,~T~!),,~'~ i~' and it's'
nt'en'!'~:., I know wha'l' my ~:a'fe-t'y re~'pon.sibi t.i'['ie~: are concerning
e hanclLing of hazardc, us' cl')emical, s in my depar'['ment'~
E m p t o ¥ e e ~? i g 'n a t.. u r e ................................................................ D a t' e ........................................
P a g e .t. 4
.. No. pw 069320
i 88felq llleen®.
'" America's Largest Solvent Recycler
Certificate, of Assurance
For ·
'":/': ' Safety-I~een Cog. certifies to its parts washer, immersion cleaner and coMs customers, that we assume
responsibility for proper disposal of all solvents provided by Safety-Kleen Corp;, as follows:
· .: ·- We agree to ffbnsport, store, recycle, and dispose of your waste in accordance with all applicable state and
'.. federal laWs.:' -
~ . · In the event a spill occurs while we are transporting, storing, reCYcling"°r disposing of your waste,.we
· ' :'' · · Wil! pa.y all expenses of clean-up of that spill.
' .-' .· In the event ground or water pollution results from our handling or disposal of your waste, we Will pay
al[costs and damages arising from that pollution..
:" While no one can offer to fully relieve your firm of its "cradle-to-grave" responsibility as a generator of
hazardous waste, this certificate is your assurance that your wastes will be handled in the most economical and
:" ecologically sound manner available.
SAFETY-KLEEr'I CORP.
. Over $135,000,000 in Assets .
NYSE Symbo. l: (SK) D(~ald W,~rinckman
D&B Rating: 5A1