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Home My WebLink AboutBUSINESS PLAN 8/1/2001 D September 4, 2001 Depiante Custom Farming Gene Depiante 5420 Cherry Tree Lane Bakersfield, CA 93309 FIRE CHIEF Rou m~ZE Subject: Revocation of Depiante Custom Farming; Permit to Operate ADMINISTRATIVE SERVICES Dear Mr. 2101 "H" Street Deplante: Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1340 Your "Permit to Operate" at 11707 Pensinger Road, known as Depiante Custom SUPPRESSION SERVICES Farming is being revoked effective Monday, September 10, 2001, at 5:00 p.m. This 2101 "H" Street "Permit to Operate" is being revoked due to failure to pay current as well as past due Bakersfield, CA 93301 VOICE (661) 326-3941 fees. FAX (661) 395-1349 " This action can be avoided by bringing your account current prior to that time. If you PREVENTION SERVICES :. 1715 Chester Ave. have '~{ny questions, please call me at (661) 326-3979. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Sincerely, ENVIRONMENTAL SERVICES ,~~ ~1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION Ralph E. Huey, Director 5642 victor Ave. Office of Environmental Services Bakersfield, CA 93308 ' VOICE (661) 399-4697 FAX (661) 399-5763 RH\db cc: Walter Porr, Jr., City Attorneys Office Steve Underwood, Enviromnental Services Esther Duran, Environmental Services Drew Sharpies, Treasury D Depiante Custom Farming Gene Depiante Frae CmEF 5420 Cherry Tree Ln. RON FRAZE Bakersfield, CA 93309 ~ADMINISTRATtVE*SERVICES ....................... VIA CERTIFIED MAIL 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Subject: Revocation of Depiante Custom Farming; Permit to FAX (661) 395-1349 .Operate SUPPRESSION SERVICES 2101 "H" Street Dear Mr. Depiante; Bakersfield, CA 93301 VOICE (661) 326-3941 F~ (661) 395-1349 Your "Permit to Operate" at l 1707 Pensinger Rd., known as Depiante Custom PREVENTION SERVICES Farming is being revoked effective Monday, August 13, 2001, at 5:00 p.m. This 1715 Chester Ave. "Permit to Operate" is being revoked due to failure to pay current as well as past Bakersfield, CA 93301 FAX (661) 326-0576 ""'" ENVIRONMENTAL SERVICES This action can be avoided by bringing your account current prior to that time. If 1715 ChesterAve. yOU have any questions, please call me at (661) 326-3979. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 Sincerely, 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Ralph E. Huey, Director Office of Environmental Services RH\db cc: Walter Porr, Jr., City Attorneys Office Steve Underwood, Environmental Services Esther Duran, Environmental Services . . :. Drew Sharpies, Treasury , -' .....-:, .-~ . ',: · ~,. ..:: · -, , :'.' .-;,~ , ~, .. .. -..,-. · · , · .' . . ~ ,' .~ , ~:'.. ;.. 7. ',.' - , -, ,, . MR430101 CITY OF BAKERSFIELD 8/01/01 Miscellaneous Receivables Inquiry 16:47:51 Customer ID . . . : 30379 Name: DEPIANTE CUSTOM FARMING Last statement : 6/30/01 Addr: 5420 CHERRY TREE LN Last invoice : 0/00/00 .BAKERSFIELD, CA 93309 Current balance : 623.00 Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES Previous balance : 623.00 Deposit balance : .00 Type options, press Enter. Open Activity 1=Select Opt Code Description Current Overdue Total due HM006 HAZ MAT HANDLING FEE F .00 447..00 447.00 HM017 HAZ MAT ANNUAL INSPECTION .00 103.O0 103.00 HM018 SM QUANTITY HAZ WASTE GEN .00 53.'00 53.00 SS001 CA STATE SURCHARGE .00 20.00 20.00 Bottom F3=Exit F7=Pending activity F8=Charge hsty F9=Payment hsty F10=Combined detail F11=Invoice inquiry F12=Cancel F13=Auto charges F14=Deposit detail F21=Other tasks OFFICE OF ENVIRONMENTAL SERVICEb--~.J~ 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 7000 0520 0021 9625 4890 DEPIANTE CUSTOM FARM~G GENE DEPIANTE 5420 CHE~Y T~E LN ~~ BA~RSFIELD CA 93309 · Complete items 1, 2, and 3. Also complete A. Recei)/ed by (Please Print Clearly) B, Date of Delivery item 4 if Restricted Delivery is desired, · .Print your name and address on the reverse so that we can return the card to you. C. Signature · Attach this card to the back of the mailpiece, X [] Agent or on the front if space permits. [] 'Addressee ~'. D. Is delivery address different from item 1.? [] Yes 1. Article Addressed to: If YES, enter delivery address below: [] No , Dep±ante Custom Far,m-lng Gene Depiante t5420 Cherry Tree Ln I Bakersfield CA 93309 3. Service Type i'~ Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise / I q 0 ~'~ (/_,~//~ ~t~//~ ~/~' ~,~, 4. Restricted Delivery? (Extra Fee) [] Yes 2, Article Number (Copy from service ~abel) . 7000 0520 0021 9625 4890 PS. _F°rm. . 3811,. July 1999 . Domestic Return Receipt 102595-99-M-1789 CITY OF BAKERSFIE OFFICE OF ENVIRONMENTAL SERVICES 715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 0 1. To avoid further action, return this ~ays of receipt. 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. 5. You may also attach Business Owner / Operator Form and chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA (.' LOCATION: S'~7~- c~~[,~---~-~y..)£.p_~ EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 2. HAZ~,RDOUS MATERIALS MANAGEMENT PLAN '~. '---,~ SECTION II. t: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITOR.lNG PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: 2 HAnII~ARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZarD ASSESSMENT AND PREVENTION MEASURES: iRELEASE CONTAINMENT AND/OR MITIGATION: /~ ' 7/ . C. CLEAN-UP AND RECOVERY PROCEDURES: NATURAL GAS/~ROPANE: PC%q ~ ELECTRICAL: ~q ~ : WATER:' ()a I. ~ ~ SPECIAL: ~ 1A- LOCK BO~: YES/NO IF YEs, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: ( B. WATER AVAILABILITY (FIRE HYDRANT): HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: { MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, ~0, ~j~ L, fgp Y-tn IA. v'h CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND ~ ~, I Ol SIGN,~TUR~ 0 ' TITLE DATE tl^Z IvIAT MNOMNT PLAN & INSTRUC 4 ,, - >.. .a CITY OF BAKERSFIEL~i~ -' '~-~-Z--~-- 1715 Chester Ave., CA 93301 (661) 326-3979 ~""~*'~ ' "-'" BUSINESS OWNER/OPERATOR IDENTIFICATION FACILITY INFORMATION. ...... Page ~ Of I. FACILITY IDENTIFICATION FACIUTY ID # : , t 1 1 Year Beginning loo YearEnding BUSIN'E$S NAME iSame as FaClklTY NaME or OBa- Ooing Business A$) .......... 3" BUSINESS PHONE ............. SITE ADDRESS /~' DUN & ~o6 SIC CODE B~DSTREET (4 Digit ~) OPE~'TORNAME ~r ~ ~ll~ ~ m~~ OPE~TORPHONE- ~ --~ -~ v II, OWNE~INFORMATION . OWNER 'NAME ~ OWNER PHONE ADDRESS CONTACT NAME ::~ CONTACT PHONE CONTACT MAILING ADDRESS CITY ~2o~ STATE ~2~ ZiP -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- ......................................... ~ ............... ......................... V. OERTIFIOATION Cedific~io.: Based on my inqui~ of lhose individuals responsible for obtaining tho information, I oeni~ under penal~ of law thal I have personally examined and a~ ~miliar with tho information submit: -d in this invento~ and believe tho information is true, a~uratel ~nd complete. UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd I~ness Owner/Operator Identific~.n ~-- .,~. Please submit the Business Actiwties page, {he Business Owner/Operator IdenlJflcatlon page (DES Form 2730), and Hazardous Matenals. Chemical Oescnp~ion pages (DES Form 2731) for all hazardous materials inventory submissions. For the inventory to be considered complete this page must be s~gned by the appropriate indiwdual. ',IDle: the numbenng or' the instructions follows the data element numbers that are on the UPCF pages. These data element numbers are used jr electronic submission and are the same as [he numbenng used in 27 CCR, Appendix C, the Business Section of the Unified Program Data Dictionary.) Please number 311 pages of your submittal. This helps your CUPA or AA identify whether the submittal is complete and if any pages are separated. 1, FACILITY ID NUMBER - Th~s number is assigned by the CUPA or AA. This is the unique number which identities your facility. 3. BUSINESS NAME - Enter the full legal name of the business. 100. BEGINNING DATE - Enter the beginning year and date of the report. (YYYYMMDD) 101. ENDING DATE - Enter the ending year and date of the report. (YYYYMMDD) 102. BUSINESS PHONE - Enter the phone number, area code fimt, and any extension. 103. BUSINESS SITE ADDRESS - Enter the street address where the facility is located. No post office box numbers are allowed. This informalJon must provide a means to geographically locate the facility. 104. CITY - Enter the city or unincorporated area in which business site is located. 105. ZIP CODE - Enter the zip cede of business site. The extra 4 digit zip may also be added. 106. DUN & BRADSTREET - Enter the Dun & Bradstreet number for the fac. Jlity. The Dun & Bradstreet number may be obtained by calling (610) 882-7748 or by Intemet. 107. SIC CODE - Enter the pdmary Standard Industrial Classification Code number for primary business activity. NOTE: If code is more than 4 digits, report only the first four. 108. COUNTY - Enter the county in which the business site is located. 109. BUSINESS OPERATOR NAME - Enter the name of the business operator. 110. BUSINESS OPERATOR PHONE - Enter business operator phone number, if different from business phone, area code first, and any extension. ' 111. OWNER NAME - Enter name of business owner, if different from business operator. 112. OWNER PHONE - Enter the business owner's phone number if different from business phone, area code first, and any extension. 113. OWNER MAILING ADDRESS - Enter the owner's mailing address if different from business site address. 114. OVVNER CITY - Enter the name of the city for the owner's mailing address. 115. OWNER STATE - Enter the 2 character state abbreviation for the owner's mailing address. 116. OWNER ZIP CODE - Enter the zip code for the owner=s address. The extra 4 digit zip may also be added. 117. ENVIRONMENTAL CONTACT NAME - Enter the name of the person, if different from the Business Owner or Operator, who receives all environmental correspondence and will respond to enforcement activity. 118. CONTACT PHONE - Enter the phone number, if different from Owner or Operator, at which the environmental contact can be contacted, ' area code first, and any extension. 119. : ....'"'", '~T MAILING ADDRESS - Enter the mailing address where all environmental contact correspondence should be sent, if different from the site address. 120. CITY - Enter the name of the city for the environmental contact~ mailing address. 121. STATE - Enter the 2 character state abbreviation for the environmental contact=s mailing address. 122. ZIP CODE - Enter the zip code for the environmental contact=s mailing address. The extra 4 digit zip may also be added. 123. PRIMARY EMERGENCY CONTACT NAME - Enter the name of a representative that can be contacted in case of an emergency invoMng hazardous materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the business regarding incident mit/gallon. 124. TITLE - Enter the title of the pdmary emergency contact 125. BUSINESS PHONE - Enter the business number for the primary emergency contact, area code first, and any extensions. 126. 24-HOUR PHONE - Enter a 24-hour phone number for the pdmary emergency contact. The 24-hour phone number must be one which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the indMdual stated above. 127. PAGER NUMBER - Enter the pager number for the primary emergency contact, if available. 128. SECONDARY EMERGENCY CONTACT NAME - Enter the name of a secondary representalJve that can be contacted in the event that the pdmary emergency contact is not available. The contact shall have FULL fadlity access, site familiarity, and authority to make derisions for the business regarding incident mitigation. 129. TITLE - Enter the title of the secondary emergency contact. 130. BUSINESS PHONE - Enter the business telephone number for the secondary emergency contact, area code first, and any extensionl 131. 24-HOUR PHONE - Enter a 24-hour phone number for the secondary emergency contact. The 24 hour phone number must be one which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the individual stated above. 132. PAGER NUMBER - Enter the pager number for the secondary emergency contact, if available. 133. ADDITIONAL LOCALLY COLLECTED INFORMATION - This space may be used for CUPAs orAAs to collect any additional information necessary to meet the requirements of their indMdual programs. Contact your local agency for guidance. 134, DATE - Enter the date that the document was signed. (YYYYMMDD) 135. NAME OF DOCUMENT PREPARER - Enter the full name of the person who prepared the inventory submittal information. 136. NAME OF SIGNER - En~r the full pdnted name of the person signing the page. The signer certifies to a familiarity with the information submitted and that based on the signer=s inquiry of those individuals responsible for obtaining the information, all the information submitted is true, accurate and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE - The Business Owner/Operator, or officially designated representative of the Owner/Operator, shall sign in the space provided. This signature certifies that the signer is familiar with the information submitted and that based on the signer=s inquiry of those individuals responsible for obtaining the information it is the signer=s belief' that the submitted information is true, accurate and complete. 137, TITLE OF SIGNER - Enter the title of the person signing the page. OF ENVIRONMENTAL ~RVICES ~~~r 1715 Chester Ave., CA 93301 (661)326-3979 ~ H~RDOU$ MATERIALS INVENTORY ~HEMI~AL DESCRIPTION (oao form oor matortal Oor NEW ~ ADD ~ OELETE ~ REVISE ~ of 200 Pa~e I. FACILI~ INFORMATION CHEMICAL LOCATE... 201. CHEMI~L LOCATION ' CONFIDENTIAL(EPC~) ~ Y~ ~ No 202 II. CHEMICAL INFORMATION CHEMICAL NAME ~ Yes ~ NO ~6 If Subj~ to EPC~. refer lo i~lm~i~s FIRE CODE H~RD C~SSES {~plete if r~u~l~ by I~ fire 210 '~ ....... ~ p PURE m MI~URE ~ w WASTE 211 ~ ~DIOACT~E ~ Y~ ~ No 2~2 CURIES 2~3 PHYSICAL STATE ~ s SOUD I LIQUID ~ g ~S 214' ~RGEST CONTAINER 215 FED H~RD ~TEGORIES ~ I FIRE ~ 2 R~CIIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~L~ 216 ~ ~1 that aDply) UHITS' ' ~ ga ~L ~ lb LBS ~ tn TONS 22~ DAYS ON ' ~ EHS. am~nl must be in lbs. STOOGE CO~AINER ~ a A~VEGROUND TANK ~ e ~STI~NONM~ALMC DR~M ~ i FIBER DRUM ~ m G~SS BO~E ~ q ~lL (Check all ~at appty) ~ b UNOERGROUND TANK ~m f ~ ~ j ~O ~ n ~STIC ~LE ~ t OTHER nc T~K ,NS,DE 8U,LD,NG n g ~BOY ~ k ~X no TOTE 8,N ~ d STEEL ORUM ~ h SILO ~ / CYLINDER ~ p TANK WAGON STO~GEPRESSURE ~ a AMSIE~ ~ aa A~VE~BIE~ ~ ba BELOWAMBIE~ ~4 STOOGE TEM~TURE ~ a ~BIE~ ~ aa A~VE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC 0 226 i ~'..~ ~7 ~ ~y~ ~No 220~ 4 I ~ ~~ ~Y. ~No 240 245 ..~ ............... J ....... L III. SIGNATURE UPCF (7~99) S:\CUPAFORMS\OES2731 .TV4.wpd Hazardous Materials Inventory - Chemical Description YOu muSl ,;omplele .I ;*~p;ir;ite H.l-*ardou~ ,'vtater~als !nventor'/ · Chain{cai Oescrlptlon page ,~or each ~azardou$ malarial (hazardous suOs~ances and hazardous wasle) thai you han~h~ JI you? f~c~hly m iqg~qdle quanhhes ~qual ~o ,ar ~realer than 500 ~unds, 55 gallons, 200 c~Oic ~eet of gas (calculated at ~(andard tempe?ature and Pr~aure) or the fader 11 ~hres~ol{J Dla~nm~aq ~luanlmty ~or Extremely HazardOus Substances, w~lchever is Jess. AI~ ~mplele a page ~or each radioactive malarial nandl~ over quanhhes tot ~n~cn ,in ~mer0e~(;y Dian ~s required iD ~e adopted pursuanl to 10 CFR Pads 30, 40. or 70. The completed ~nven(o~ ~hould re~ect all repo~able ,3~ hazardous ~n,]{er~als .)[ your facd~ty, reposed separately ~or each building or outside adjacent area. w~lh separate pages for umque ~currences o~ physi~l state, slo~ ~empe~3~ure ]nd ltorage prnssure. [Note: ~he numOer~n~ of ~he ins~ruclions ~otlo~ ~he dale elemenl numOers that are on the UPCF pages. These data elemeRt numbe~ are us~ for elec/romc submission and are the same as ~he numOenng used ~n 27 CCR, Appendix C. ~he Business Sechon of ~he Um~ed Procare Oa~a Oic~iona~.) Plea~ number 311 paqes of your submittal. ~h~s helps your CUPA o~ ~ ~denhfy whether the submiltal ~s ~mplete and ~f any pages are separated. 1. FACILITY ID NUMBER - Th~s number ~s assigned ~y {he CUPA or ~. This is ~he un~ue numar which identi~es your facdi~. 3. BUSINESS NAME - Enter ~he full I~al name of ~he business. 2~. AOOIOELET~ REVISE - Indicia if the material is ~ing add~ to the invenlo~, dele~ from the inventor, or if the info~ation previous~ subm~ed is ~ing r~i~. NOTE: You may choose to leave ~his blank ~f you resubmit your entire invento~ annually. 2~1~ CHEM~CAL L~CAT~N ~ Enter ~he bui~ding ~r ~ut~ide~ a~jacent area w~ere ~he hazard~us ma~eria~ is hand~ed~ A chem~l tha~ is stored at the same pressure and ~emperature. in multiple lo.lions w~thin a building, ~n be reposed on a single page. NOTE; This info.etlon is not subject to public disclosure pumuant lo HSC {25506. 202. CHEMICAL LOCATION CONFIDENTIAL - EPC~ - All businesses which are subject to the Emergency Planning and Communi~ Right ~o Know Act (EPC~) must check "Yes* to keep chemi~l I~ation info~at~n ~n~dential. If the business d~s not wish ~o keep chemi~l I~lion information confiden0al check 'No'. 203. MAP NUMBER. If a map is included, enter the numar of the map on which the lo. lion o( the h~ardous material is sho~. 2~GR~NUMBER-~fgridc~rdinatesareused~en~er~he~r~dc~rdinates~f[hemap~ha~c~es~ndt~he~ati~n~thehazard~usma~eria~ If appli~ble, multip~ g~ ~ordinates can be lis~. 205. CHEMICAL NAME - Enter the proper chemical name as~iat~ ~th the Chemi~l Abstract Se~ice (CAS) number of the hazardous material. This should be the International Union of Pure and Appli~ Chemis~ (IUPAC) ~me found on the Material Safe~ Oa~a Sheet (MSDS). NOTE: If the ~emi~l is a mixture. ~mplete this field; ~mplele the 'COMMON NAME" fieM instead. 2~. T~DE SECRET. Check ~es' ~ the Jnformat~n in ~ ~on is d~ar~ a t~e se~et, or "No' ~ it is not. S~te r~uirement; If yes, and b~iness is nol sub~ ~ EPC~ di~ure of the des~t~ Eade s~ret infomart ~ ~und by HSC ~25511. F~eml requirement: If ~s. and busings is ~ub~ to EPC~. d~sum 0f the d~t~ T~ ~et info~afi~ is ~und by 40 CFR and the ~si~ must submit a 'Su~ntia~n to A~mpany C~ of T~e S~' f~m (40 CFR 3~.27) to USEPA. 207. COMMON N~E - Enter the ~mon name or ~de na~ of ~e h~at~us matedal or m~um ~ini~ a haza~ous mate~l. 208. EHS - Ch~k ~" if the h~ard~s matedal is an ~e~ H~ous Subs~nce (EHS), as de~n~ in 40 CFR, PaA 3~, Ap~ndix A. If the mate~l is a m~um ~ntaining an EHS. leave this sect~n blank and ~mplete the s~n on ~zardous ~m~nents be~w. 209. CAS ~ - Enter the Chemical Abstm~ Se~i~ (C~) numar for the h~ar~us mate~al. For matures, enter the CAS numar of the m~ture if it has b~n a~ a numar distinct from its ~mponen~. If the mixture has no CAS number, leave this ~lumn blank and mpo~ the CAS numbem of the ind~idual h~a~s ~mponen~ in the appropriate s~tJon bel~. 21~ F~RE C~DE H~R~ C~sSEs - Fire ~e H~ard C~es descdbe t~ ~mt msp~nders the ~ and ~eve~ ~f h~ard~us mate~a~s which a business ha~es~ Th~ info~ation shall only be provided if the 1~1 fire ~ief deems it ne~a~ and requests the CUPA or ~ to ~ll~t it. A list of the hazard classes and ins~ on how {o determine whi~ class a mate~al falls u~er are incl~ in the ap~ndi~s of ~cJe 80 of {he Unifo~ Fire ~e. If a material has more ~an appli~ble hazard class, i~lude all. ~n~ CUPA bt ~ for guidan~. 211.'H~RDOUS MATERI~ ~PE - Ch~ the one ~x that ~st dead.s ~e ~e of h~ardous material: pure, m~um 0r ~ste. If ~ste mate~al. ~k only If mixture or waste, complete h~ard~s ~nen~ sec~on. 212. ~DIOACTIVE - Ch~k 'Yes' ff ~e hazardous mate~l ~ md~e or 'No' if it is noL 213. CURIES - If ~e hazardous material is rad~ct~e, ~ th~ ar~ to m~A ~e a~i~ in ~Hes. Y~ may use up to nine ~ wi~ a floating d~imal ~int a~vity in ~des. 214. PHYSICAL STATE - Che~ ~e one ~x ~at b~t d~s ~e s~te in ~ t~ h~rd~s material is handle: solid, I~uM ~ gas. 215. ~GEST CONTAINER - Enter ~e to~l ~paci~ of the ~rgest ~ntai~r in whi~ ~e matedal is stor~. 216. FEDE~L H~RD CATEGORIES - Check all ~t~ ~at de~ ~e physi~l and h~lth ~s a~t~ Wi~ ~e ~za~ous material. PHYSICAL ~RDS ~ H~L~ ~RDS Fire: Flammable Liquids and ~l~s, Combusable L~u~s, ~rophod~, Oxid~ers ~ Ac~e Health (Immediate): High~ Tox~. Toxic, I~nts. Sensitizem. ~sN~. Reactive: Unstable Reactive, Or~an~ Perox~es, Water R~ve. Rad~e other hazardous ~em~ls with an ~veme effe~ ~th shoA term ex.ute Pressure Release: Explosives. Compressed Gases. B~sting Agents Chronic Health (Delayed): Caminogens. o~er h~ardous chemi~ls ~ an adveme efl~t with ~ te~ ex.sure 217. AVENGE DAILY AMOUNT - Calculate ~e average daily amount of ~e h~ardous matedal or m~ture ~ntaining a h~ar~us material, in ea~ buildi~ outside area. Calculations shall be based on the previous yea~s invento~ of matedal re~A~ ~ ~ page. To~l all daily amoun~ and d~e by t~ numar of da~ the chemi~l will ~ on site. If this is a matedal ~at ~s not pr~sly been present at ~is t~tion, the am~nt shall ~ the average dai~ a~unt y~ proj~t to be on hand during the ~ume of ~e year. Th~ am~nt sh~ ~ ~sistent ~ ~e units m~ed in ~x 221 and should not ex~ ~at of m~imum dai~ amount. 218. M~IMUM DALLY AMOU~ - Enter the maximum amoun~ of each h~ar~us material or mixture ~ining a haza~ous material, whi~ ~ handled in a buiMi~ adjacenFoutside area at any one time over ~e ~ume of ~e year. This am~nt must ~n~in at a minimum last yea~s invento~ of ~e mate~l repo~ page, with the refle~n of addit~ns, deleti~s, ~ mvb~ns pm~ed f~ ~e currant year. ~ am~ni should ~ ~tent wi~ ~e units m~Aed in ~x ~1. 219. ~NUAL WASTE ~OUNT - If the ~zard~s material ~ing inventoH~ is a ~ste, p~e an esamate bi the annual a~unl handle. 220. STATE WASTE CODE - If the hazardous material is a ~sle, enter ~e appr~Hate California 3~it haza~ous waste ~e as list~ on ~e ~ck of the Unifo~ Haza~ous Waste Manifest. 221. UNITS - Check the unit of measure that is most appmp~ate for the ~teHal ~ing repo~ on this p~e: gallons, pounds, cub~ feet or tons. NOTE: If the ~teHal ~ a federally de,ned Extremely Hazardous Substan~ (EHS), all a~unts must ~ re~A~ in ~unds. If matedal is a m~ure ~ntaining an EHS. repo~ ~he matedal is stored in (gallons, ~unds. cubic f~t. or tons). 222. DAYS ON SITE - List the total number of days dud~ the ~ar ~at the material is on site. 223.sT~GEC~NTA~NER-Checka~b~xesthatdes~i~hetype~fst~mge~ntainersinwhich~ehazard~usmate~a~isst~red~ NOTE: If appropriate, you may ch~se more than one. 224. STOOGE PRESSURE - Check the one box that best des~bes the pressure al which Ihe hazardous matedal is stored. 225. STOOGE TEMPE~TURE - Check the one box thai ~st descd~s the temperature at which the haza~ous material is s~red. 226. H~RDOUS COMPONENTS I-5 (% BY WEIGHT) - Enter the ~r~ntage weight of the hazardous component in a mixture. If a range of percentages is available, repo~ the high ~t percentage in that range. (Re~ ~or com~nen~ 2 through 5 in 230, 2~, 238, and 242.) 227. H~RDOUS COMPONENTS 1-5 NAME - When repoAi~ a h~ardous material ~at is a mixture, list up to ~ve chemical ~mes of hazardous components in that mix,ute by parent weight (refer to MSOS or, in the ~se of trade secret, refer to manufacture0. All hazardous c~nen~ in the mixture present al grealer ~han 1% by weight if non~rcinogenic, or 0.1% by ~ight if carcin~en~, should ~repo~. If more than five h~ardous ~mponents are present above these pementages, ~u may attach an additional sheet of pa~r to capture the required information. ~en reposing waste mixtures, mineral and chemi~l core.siren should be listed. (Reda for componenls 2 through 5 in 231,235. 239. and 243.) 228. H~RDOUS COMPONENTS 1-5 EHS - Check 'Yes' if the ~mponenl of the mixlure is consider~ an Extremely Hazardous Substance as deEned in 40 CFR, Pa~ 355, or "No" i~it is not. (Rep '- components 2 through 5 in 232. 236, 240, and 244,) 229. H~ARDOUS COMPONENTS 1-5 CAS - i .... ~,~mical Abstra~ Se~ice (CAS) numbers as rela~ed to the hazardous ~m~nents in the mixture. (Repeal for 2-5.) 246. LOCALLY COLLECTED INFORMATION - This space may be us~ by the CUPA or ~ to collect any additional information necessa~ to meet the requirements of their individual pr~rams. Contact {he CUPA or ~ ~or guidan~. UPCF (1/99) 7 OES Form 2731