HomeMy WebLinkAboutBUSINESS PLAN 11/19/1992
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS
SITE/FACILITM DIAGRAMS
FORM $
INSTRUCTIONS
GENERAL INSTRUCTIONS
Use these instructi°ns and the attached form to complete a SITE DIAGRAM'of the-property
and immediate surrounding area, and a FACILITY DIAGRAM of each facility unit or
building. ..
If the entire business can be shown in adequate detail on the Site Plan, individual
Facility Plans may not be necessary. The Inspector can assist you in making this
determination if there is a'question.
Complete the information at the top of the diagram form. The box at the bottom of the
form should be left blank.
SITE DIAGram,{
The SITE DIAGRAM should include the business and at least 300 feet from the property
line. Identify the items listed on the SITE DIAGRAM using the symbols provided on the
back. Include all items that apply. See the attached example.
FACILITY DIAGRAM
Develop a FACILITY DIA6R~M that will show the .building interior and the immediate
exterior area. Complete a separate FACILITY DIAGRAM for each floor of a multi-story
building. Identify on FACILITY DIAGRAM items listed under both "SITE DIAGRAM" and-
"FACILITY DIAGRAM" on the back of this page. Use the symbols provided. Include ali
.items that apply. See the attached example.
- $ -
AXELSON INCORPORATED
J. MICHAEL LAWSON
AREA SALES MANAGER
....... BUS: (805) 653-5062
MOBILE: (805) 332-5711
2802 N. VENTURA AVE. BLDG. C FAX: (805) 653-6905
VENTURA, CA 93001 RES: (805) 647-8.943
3333 GIBSON STREET. BAKERSFIELDi CA 93308
TELEPHONE (805) 325-9893 · FAX (805) 325-9896
Environmental Services
1715 Chester Ave
Bakersfield, CA 93301
Attn: Ester Duran
£~. . '~:::~ i' ~ ~ ~1~ ~
TheSe requests have already been cOmpleted. //[)? ..... ~,~ L~_ ~ ~] ~ ]?~ ~
EP 0 4 1997 ]~
SinCerely, ~q. r~?.~
Cr~ig Muscha
AV~%~4~N-~hNC SiteID: 215-000-000034
Manager : C~i~ ~%o5~ BusPhone: (805) 327-0975
Location: 1300 2GTi: ~T 3~ ~~$ ~ Map : 103 CommHaz : Low
City : BAKERSFIELD Grid: 19C FacUnits: 1AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:3533
EPA Numb: DunnBrad:05-741-2231
Emergency Contact / Title ~_~.~m Emergency Contact / Title
P~5~--~EC~^<~ ~~ DiSTRiCT~A~N~~ ~-K-E~T~N~ C~AnZ~ ---'-~AGZR
Business Phone: (805) 327-0975x Business Phone: (~ 653
24-Hour Phone : (805) ~3-~-~x3~72, 24-Hour Phone : (L~i~)
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Agency-Defined Topic Title
= Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... SpecHazlEPA HazardsI Frm [ DailyMax Unit MCP
ACETYLENE F P IH G 158 FT3 Hi
OXYGEN F P IH G 282 FT3 Low
DIESEL F IH DH L 55 GAL Low
I,_ · Do h..~re, by certify that I hays
(Type or print name)
reviewed th,.:~ "- ' '
;"~f(¢;,";'q~,"~ h~;:.:' ;' :" .)L S materials manage-
ment plan ~-:,-
... ~,_.::::.: ..... ~;,~.~__~n that it aio~ with
any correctior, s constitute a complete and correct man-
agement plan fo~ ~ faeili~.
1 05/16/1997
AXELSON INC SiteID: 215-000-000034
= Inventory Item 0003 Facility Unit: Fixed Containers on Site
~U~U~ ~ / ~l~b ~
ACETYLENE Days On Site
365
Location within this Facility Unit
~ CAS#
~ u_~e~- c~_~r ~- $~ 74-86-2
F STATE TYPE PRESSURE TEMPERATUREI CONTAINER TYPE
Gas Pure Above AmbientIi Ambient PORT. PRESS. CYLINDER
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3
158.00 158.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
HAZARDOUS COMPONENTS EHS CAS#
%Wt.
100.00 Acetylene No 74862
-2- 05/16/1997
AXELSON INC SiteID: 215-000-000034
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site
OXYGEN Days On Site
365
Location within this Facility Unit
7782-44-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above AmbientIi Ambient PORT. PRESS. CYLINDER
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3
282.00 282.00
DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3
HAZARDOUS COMPONENTS
%Wt. I EHS CAS#
100.001Oxygen, Compressed No 7782447
-3- 05/16/1997
AXELSON INC SiteID: 215-000-000034
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
DIESEL Days On Site
365
Location within this Facility Unit
~T CORNER CAS#
~~._~ ~~ o~ ~ ~ 68476-34-6
Liquid /Pure Ambient Ambient DRUM/BARREL-METALLIC
AMOUNTS STORED AND IN USE
Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL
55.00 ~/~ ~,~5~.oo
DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL
HAZARDOUS COMPONENTS
%Wt. EHS CAS#
100.00 Diesel Fuel No. 2 No 68476302
-4- 05/16/1997
AXELSON INC SiteID: 215-000-000034
Fast Format
~ Notif./Evacuation/Medical Overall Site
-- Agency Notification . 12/17/1'992
CALL 911
-- Employee Notif./Evacuation 12/17/1992
CALL EMERGENCY SERVICES THAT ARE NEEDED. EVACUATE THE BUILDING THRU ONE OF
THE DOORS THAT ARE OPEN DURING WORKING HOURS, THESE DOORS ARE LOCATED ONE
ON EACH SIDE OF THE BUILDING.
-- Public Notif./Evacuation 12/17/1992
THIS IS PRESENTLY A ~ MAN BUSINESS AND THE TWO (2) O~qER~B~'JSI~ESSES NEXT
T~--T44JS ..... ~m~T ARE
~~ ~ AND WHAT MATERIALS I HAVE ~' H~_N_~.
Emergency Medical Plan 12/17/1992
GREATER BAKERSFIELD MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
-5- 05/16/1997
AXELSON INC SiteID: 215-000-000034
Fast Format
Mitigation/Prevent/Abatemt Overall Site
Release Prevention 05/07/1992
DIESEL FUEL IS IN A 55 GALLON DRUM WITH PUMP, ~ IS IN THE
P~F~R--F~, PAINT THINNER AND PAINT ARE KEPT IN A METAL CONTAINER
STORAGE BOX.
-- Release Containment 05/07/1992
BUILD A BURM AROUND THE DRUM WITH KITTY LITTER
-- Clean Up 05/07/1992
WE HAVE PLANTY OF SHOP TOWELS, WATER HOSES AND OIL ABSORBENT TO CLEAN UP A
SPILL THAT MIGHT OCCUR.
Other Resource Activation
6 05/16/1997
AXELSON INC SiteID: 215-000-000034
Fast Format
Site Emergency Factors Overall Site
Special Hazards
-- Utility, Shut-Offs 04/28/1992
A) GAS - ~STSIDE OF BUILDING IN YARD
B) ELECTRICAL N~.~HSIDE nV ~TTTT.nT~T~
C) WATER - ~SIDE OF BUILDING AT CURB
D) SPECIAL - NONE~'I-
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 04/28/1992
PRIVATE FIRE PROTECTION -~ FIRE EXTINGUISHERS.
FIRE HYDRANT - ~TH
Building Occupancy Level
-7- 05/16/1997
AXELSON INC SiteID: 215-000-000034
Fast Format
~ Training Overall Site
-- Employee Training 12/17/1992
WE HAVE 3 'EMPLOYEE AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE SEVERAL TRAINING SESSIONS DURING
EACH MONTH WHICH COVERS TRAINING ON OUR WORK WE PERFORM HERE AND SAFETY IN
ALL AREAS. WE I HAVE READ ALL MSDS SHEETS.
-- Page 2
Held for Future Use
Held for Future Use
8 05/16/1997
j
STATEHENT DF ACCDUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAK£RSFIELD, CA ~3301-0000
...................... (805) 32&-3979
~' ~ DATE: 5/01/96
TO: AXELSON INC
i300 28TH 5'F
BAKERSFIELD, CA 93301
CUSTOMER NO' :28,08 CUS~OMER'T~PE: ES/ 2808
FINANCE DEPARTMENT
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD, CALIFORNIA 93303
ADDRESS CORRECTION REQUESTED
AXEL300 g3301~00~
RETURN TO SENDER
:AXELSON - DRESSER O~L
B333 GIB~ON 5T
RETURN TO~ SENDER
Ilh,,lh,,,,lh,lh,lh,,Ih,,Ih,,ll,,,,,,lllh,,Ih,,th,,
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501 TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-3979
DATE: 2/01/96
TO: AXELSON INC
1300 28TH ST
BAKERSFIELD, CA 93301
CUSTOMER NO: 2808 CUSTOMER TYPE: ES/ 2808
CHARGE--~DAT~DESCRI~PTtON ................. REF--NU~_BER_DUE~flATE _/PI1TAL~AMOU~_~
1/01/96 BEGINNING BALANCE 160.00
Please call 326-3979 if you have a question or
changes regarding your account.
CURRENT OVER 30 OVER 60 OVER 90
160.00
-~UE'DATET.--2/~}t~96 ........... PAYME-NT DUE: ......... l~O-.OO
TOTAL DUE: $160.00
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
2/01/96 DUE DATE: 2/01/96
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO: 2808 CUSTOMER TYPE: ES/ 2808
TOTAL DUE: $160.00
11/16/92 AXELSON INC 215-000-000034 Page 1
Overall Site with 1 Fac. Unit ~ D~C-16 ]992 ~
General Information 8~_____~ ~
Location: 1300 28TH ST 'Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 01 Grid: 19C F/U: 1AOV: 0.0
Contact Name Title Business Phone ~ 24-Hour Phoneq
MARK LOWE DISTRICT MANAGER (805) 327-0975 x I (805) 831-8410!
MIKE LAWSON AREA MANAGER ,~- (805) 653-6700 x (213) 92570844/
Administrative Data
Mail Addrs: 1300 28TH ST D&B Number: 05-741-2231
City: BAKERSFIELD State: CA Zip: ~3391-
Comm Code: 215-001~BAKERSFIELD STATION 01 SIC Code:./1389~_:
Owner: AXELSON INC Phone: (903) 757-6650
Address: P O BX 2427 State: TX
,City: LONGVIEW Zip: 75606-
Summary
11/16/92 AXELSON INC 215-000-000034 Page 2
,02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference 'Number Order
02-001 DIESEL Liquid 55 Low
~ Fire, Immed Hlth, Delay Hlth GAL
CAS #: 68476-34-6 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
55 ~ 55.00 660.00
Storage Press T Temp Location
DRUM/BARREL-METALLIC IAmbient/AmbientlNORTHWEST CORNER
-- Conc Components MCP List
100.0% IDiesel Fuel No.2 IModeratel
02-002 OXYGEN Gas 282 Low
~ Fire, Pressure,' Immed.Hlth FT3
CAS #: 7782-44-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: FABRICATION
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
282 I 282.00 1,128.00
Storage Press T Temp~ Location
PORT. PRESS. CYLINDER Above ~AmbientlNORTHWALL
-- Conc Components MCP List
100.0% IOxygen, Compressed Low I
02-003 ACETYLENE Gas 158 High
~ Fire, Pressure, Immed Hlth FT3
CAS #: 74-86-2 Trade Secret: No
Form: Gas Type: Pure DaYs: 365 Use: FABRICATION
Daily Max FT3 Daily Average FT3 Annual Amount.~T~_'
158 I 158.00
~ LOcation
Storage iAbovePress T Temp
PORT. PRESS. CYLINDER ~AmbientlNORTH WALL
-- Conc Components MCP ----rList
100.0% IAcetylene IHigh
1.1/16/92 AXELSON INC 215-000-000034 Page 3
02 - Fixed Containers on Site
Hazmat Inv tory Detail in Reference Number Order
02-004 ~ ..... ~-- ....... :~'- .......... :" ......'~ Liquid 2500 LOW
~ ~Wa_ ter .... -:~
............. ~-~?~ ~ GAL
CAS %: 221 Trade Secret: No
Form: Liquid Type: Waste Days: 365 Use: wAsTE
Daily Max GAL Daily Average GAL Annual ~ount GAL
m ,ooo.oo
.~ ........ 8Lorag~ press T ~emp
~'?h~'~.(~.j~:iarifier ~bient/Ambient {YARD WEST OF BLDG
-- Conc .. Qomponents ' MCP List
7:'~-. -7_-- '
Co~.-~ ~ f
11/16/92 AXELSON INC 215-000-000034 Page 4
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
CALL EMERGENCY SERVICES THAT ARE NEEDED. EVACUATE THE BUILDING THRU ONE OF
THE DOORS THAT ARE OPEN DURING WORKING HOURS, THESE DOORS ARE LOCATED ONE
ON EACH SIDE OF THE BUILDING.
<3> Public Notif./Evacuation
,~ ~-THI'S-~IS?p_I~., S~EN:THY~A~- FOUR-MAN-BUSINESS~-'AND-THE'~TWO '[2 )' '6THER'-BUS~NESSES--NEXT TO
,TH!S-:F~ACI-L-iT¥~-~-ARE- -AW;~RE"~OF~WHAT .WE.?.DO .AND'~T~M~TER~IALS WE~HAVE-ON HAND.
<4> Emergency Medical Plan
GREATER BAKERSFIELD MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
11/16/92 AXELSON INC 215-000-000034 Page 5
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
DIESEL FUEL IS IN A 55 GALLON DRUM WITH PUMP, WIN-CHEM IS IN THE
POWDER FORM, PAINT THINNER AND PAINT ARE KEPT IN A METAL CONTAINER
STORAGE BOX.
<2> Release Containment
BUILD A BURM AROUND THE DRUM WITH KITTY LITTER
<3> Clean Up
WE HAVE~z~R~T~DF SHOP TOWELS, WATER HOSES AND OIL ABSORBENT TO CLEAN UP A
SPILL THAT MIGHT OCCUR.
<4> Other Resource Activation
11/16/92 AXELSON INC 215-000-000034 Page 6
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - WESTSIDE OF BUILDING. IN YARD
B) ELECTRICAL - NORTHSIDE OF BUILDING IN YARD
C) WATER - SOUTHSIDE OF BUILDING AT CURB
D) SPECIAL- NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS.
FIRE HYDRANT ; SOUTHWEST CORNER OF 28TH AND L STREET.
<4> Building Occupancy Level
11/16/92 AXELSON INC 215-000-000034 Page
00 - Overall .Site
<G> Training
<1> Page .1
WE HAVE~4~EMPLOYE~AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
_~ HAVE_A ~COMPANY ~SAFETY-MANUAL ON~F~LE
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE SEVERAL TRAINING SESSIONS DURING
EACH MONTH WHICH COVERS TRAINING ON OUR WORK WE PERFORM HERE AND SAFETY'IN
ALL AREAS. ~WE HAgE 'REA~?~SDS~SHEE~
<2> Page 2 as needed
· <3> Held for Future Use
<4> Held for F,uture Use
HAZARDOUS MATERIALS DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3970
UNDERGROUND TANK QUESTIONNAIRE
h FACILITY/SITE No. OF TANKS --O-
DBA.OR FACILITY NAME NAME O~ OPEI~TOR
Axelson, Inc. Axelson, Inc,
ADDRE~ NEAREST CROSS STREET PARCEL No.(OPTIONAL)
1300 28th Street
CITY NAME STATE ZIP COOE
Bakersfield,. CA 93301'
~BOXTOINOICATE I~ORPORAT1ON (~INOIVtDUAL [~PARTNERSHIP [~LOCALAGENCYDISTRIC~ ~ COUNTY AGENCY ~ STATE AGENCY [~FEDERALAGENC¥
TYPE OF BUSlNES3 [~ ! GAS STATION (~ 2 DISTRIBUTOR J KERN COUN~ PERMIT . ·
[~3FARM ~4PROCES~OR ~OTHERI TO OPERATE NO. Not applicable
EMERGENCY'CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional
DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE
Not applicable
NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAS'J'. FIRST) PHONE NO. WITH AREA CODE
II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
Not applicable
MAILING OR STREET ADDRESS ~' BOX ~ INDIVIDUAL [~ LOCAL AGENCY ~ STATE AGENCY
TO INOICAT~ [~ PARTNERSHIP (~ COUNTY AGENCY [~ FEDERAL AGENCY
CiTY NAME STATE ZIP CODE I PHONE No. WITH AREA CODE
I
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
Not applicable
MAILING OR STREET ADDRESS ~' BOX ~ INDIVIDUAL {~ LOCAL AGENCY Q STATE AGENCY
TO INDICATE [~ PARTNERSHIP ~ COUNTY AGENCY [~ FEDERAL AGENCY
CITY NAME = STATE I ZIP CODE PHONE No. WITH AREA CODE
I
OWNER'S DATE VOLUME PRODUCT IN
TANK No. INSTALLED STORED SERVICE
N lA N/A N lA N lA
Y/N
Y/N
Y/N
Y/N
Y/N
Y/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? 'Y/N TYPE
~.. % · Fill one segme ~ ut for each tank, unless ~anks and piping are
constructed of t~ same materials, style Ipe, then only fill
one segment out. please identify tanks by owner ID #.
I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN
A. OWNER'S TANK L O. ~ i 8. MANUFACTURED BY:
C. DATE iNSTALLED (MD/DAY'YEAR) I D. TANK CAPACITY IN GALLONS:
III. TANK CONSTRUCTION MARKONE~T~MONL¥~N~OXES~,B. ANOC.~D^LLTHATAPPLiES~NSOXO
A. TYPE OF [] 100UBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM ~ 2 SINGLE WALL [] 4 SECONDARY coNTAINMENT (VAULTED TANK) [] 99 OTHER
B. TANK [] 1 BARE STEEL [] 2 STAINLESS ~TEEL [] 3 FIBERGLASS [] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC
MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEV~/FRp
(..i==~T.~) [] 9 SRONZ~ [] ~o GALVAN,ZED STEEL [] 95 UNKNOWN [] 99 OTHER
C, INTERIOR [] 1 RUBBER LINED [] 2 ALKYD LINI~IG [] 3 EPOXY LINING [] 4 PHENOLIC LINb~G
UNING [] ~ ~ UN,NS [] S UNUNED [] 95 UN~OWN [] 99 OTHER
IS UN,NS MATERIAL COMPATIBLE WITH ~00% METHANOL ?. YES~ NO__
D. CORROSION [] ~ POLYETHYLENE WRAP [] 2 COAT, NO [] 3 V~NYL WRAP [] 4 FiBERGLASs REINFORCED PLASTIC
PROTECTION []. 5 CATHODIC PROTECTION [] gl NONE ~ 95 UNKNOWN .[]. 99 OTHER
A. SYSTEM TYPE ALI 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY & U 99 OTHER
B. CONSTRUCTION A U' '! SINGLE WALL A 'U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNI<NOWN J, U '99 OTHER
C. MATERIAL AND A U I BARE SYk:~L A U 2 STAINLESS STEEL ~ U 3 POLYVINYL C~.ORIDE(PVC)& U 4 FIBERGLAS.~ PIPE
CORROSION A U 5 ALUMINUM A U $ CONCRETE A U 7 STEEL Wl COATiNG A U 8 I00~ METHANOL COMpAT~BLEW/FRp
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING - . [] 3
'V. TANK LEAK D~T~.CTION
[] , v,suAL c~Ec~ [] ~ ,N~.TOR. RECO"C,L,A~,ON []~ V~OR MON,~OR~NG r--I' ~OMA~C TANK GAUG,NG [] . ~ROUND WATE. MO.~DR.NO 1
? ~ ~ANK TES~NG [] ~ I"TERST,~ALMONITOR,.~ [] 9, .o.E [] 95 UNKNOWN [] 99 OTHER
I. TANK DESCRIPTION COM"tET~ ALL ITEMS - SPECI~-Y IF UNKNOWN
A. OWNER'S TANK L O. # a. MANUFACTURED BY: I
C. DATE INSTAI~LEQ (MO/DAY/YEAR) O. TANK CAPACITY tN GALLONS: ·
III. TANK cONSTRUCTION MA,K ONE ~TEM ONLY IN BOXES A. B. ANOC. A~OALLTHATAPPt. iES~NBOXO
A. TYPEOF ~. ~ ~ OOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM ~ 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER
8. TANK ~ 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLAST1C
MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE..[] 7 ALUMINUM ~ 8 100% METHANOL COMPATIBLE.W/FRp
(P,,=,~T~) [] 9 SRONZE [] ,0 r~_w~o sTEEL [] 95 UNKNOWN[] 99 OTHER
[] , RubBER LINED [] = ~D L.,~G [] ~ ~XY L..iNG [] . ~E.OL,= LiN,NO
C, INTERIOR
UN,NS [] ~ ~ uNING [] S UNLINED [] 95 UNKNOWN[] 99 OTHER
IS LINING MATERIAL COMPATISLE WITH ~00% METHANOL ? YES ~_ NO~
D, CORROSION [] ! POLYETHYLENE WRAP [] 2 COAllNO [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC
PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [] 99 OTHER
IV. PIPING INFORMATION CIRCL~ A IFASOVEGROUNDOR U IFUNOERGROUND, BOTH IF APPLiCABLE
A. SYSTEM TYPE ~. U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER
B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER
C. MATERIAL AND A U 1 BARE STEEL A ~1 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 ~IBERGLA-~S PIPE
CORROSION A U 5 ALUMINUM 'A U 6 CONCRETE A U 7 STEELWlCOATING A U Il 100% METHANOL COMPATiBLEW,'=RP
PROTECTION A U 9 GALVANIZED STEEL A U 10 GATHOOICPROTECTION A U 95 UNKNOWN ~ IJ 99 OTHER
D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE T~GHTNESS TESTiNG ~ 3
~O.~ORING [] 99 OTHER
V. TANK LEAK DETECTION
''-' ' VISUAL CHECK. ~---'I 2 INVENTORY RECONCIUATION !~ 3 VAPORMONITORINO,I-~I 4 AUTOMATIC TANK GAUGING I---~ 5 GROUNDWATEqUONiTC~iNG
6 TANK FROSTING L.--J 7 iNTERSTITIAL MONITORING .---J~ 9t NONE ~ 95 UNKNOWN -- 99 OTHER
~ TANK DESCRIPTION cOMPLJ~ ~4S .- SPECIFY ~F UNKNOWN
~. OWNER'S TANK I. D. # R. MANUFACTURED BY:
C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS:
III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. 8. ANDC. ANOALLTHATAPPt. IESINSOXD
A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] g5 UNKNOWN
SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANIO [] 99 OTHER
B. TANK [] 1 BARE STEEL [] 2 STAINLESs STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLAST~C
MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] e 100% METHANOL COMPAT1SLEW/FRP
(..i=~..~)[] 9 B.ON= [] ,o GALVA.~D sTEM. [] 95 UN.~owN[] 99 OTHER
[] , RUB~R .INEO [] 2 .U<~O L..G [] . ~OX~ L,NiNG [] , ~ENGL,: L.~,NG
C. INTERIOR
UNu~G [] · a_~. L,N,.~ [] 8 U.U.~O [] 95 U.~OWN [] 99' OTHER
IS UNING MATERIAL COMPATIBLE wrrH 100'Ye M~ ? YES ~_ NG~
O. CORROSION [] ~ POLYETNYLENE WRAP [] 2 COAllNe [] 3 VINYL WRAP [] 4 RaER(~aSS REINFORCED PLASTIC
PROTECTION [] S C..ATHOO~C PROTECT~3N [] 9~ NONE [] 95 UNKNOWN [] 990TH;R
IV. PIPING INFORMATION C~CLE A ~aOVE~RCUNOOR U .=UNO~RCUNO. aOTH~~
A. SYSTEM TYPE A U 1 ~UCTION A U 2 PRESSURE A U 3 GRAVITY .A.U. 99,..QTH~ER
g. cONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL & U 3 LINED TRENCH A U 95 UNKNOWN A U 9g OTHER
C. MATERIALAN0 A U 1 8ARE:~T~.L A U 2 STNNLESS STEEL A U 3 POLY~/INYL CHLORID~(PVC)A U 4 I:IBERGLA,SS PIPE
CORROSION A U' 5 ALUMINUM A U e CONCRETE A U 7 STEELW/COATIN~ A U 8 1001, METHANoL COMPATiBLE W/FRp
PROTECTION A U.; C~LV~[ZED STEEL A U m C~T~OO~CPROTECT~ A U 95 UNKNOWN
D. LEAK DETECTION [~ ~UTO~AT~UNEU=..~--r;CTOR [] 2 LINET~H~NESST~.S~3 [] 3~,ffOR~,~'~'"~ [] 990T~ER
V. TANK LEAK DETECTION '
[] , v,S~AL CHECK [] Z ,.~.TO.. RECO.C,~T.~. [] ~ V..oOR MO..TOR,NG [] ' ~OMA.C TAN~ C..~.~ [] ~ C-~OU.D W*TER MON~OR,NG
I. TANK DESCRIPTION coM~.ETE ALL ITEMS - SPECIFY IF UNKNOWN
I A. OWNER'S TANK L D. · B. MANUFACTURED BY:
C. DATE INSTALLED (MO/DAY/YEAR) O. TANK CAPAClI~F IN GALLONS:
III. TANK CONSTRUCTION 'MARKONEITEMONLYINBOXESA. B. ANOC./t~OALLTHATAPI=LES NBOXO
A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT {VAULTED TA,IO [] 99 OTHER
B, TANK [] I BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD WlFIBERGLASSREINFORCEDPI. A.STIC
MATERIAL [-'-] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 2 ALUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP
(P,im.wr.~,~l ~ 9 e.o.zE [] ~o c, ALvAN~D sTEEL [] 95 UN~=OWN [] 99 OTHER
[] , .uB~R LIN~ [] = ~<~o L..G "[] ~ ~ox~ L,.,NG 'Fl , ~E.OL,: LIN.NG
C. INTERIOR
UN~N~ [] ~ a..ss L,.,NG [] . UNUN~O [] 95 UN~aOWN [] 99 OTHER
IS LINING MATERIAL COMPATIBLE WITH 10Oe/e kl~,~l.~. ? YES_ NO__
O. CORROSION [] I POLYE'I'14YLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC
PROTECTION ~ 5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [] 99 OTHER
IV. PIPING INFORMATION CIRCLE & IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF AP~LICABLE
A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE ~ U 3 GRAVITY A U 99 OTHER
B. CONSTRUCTION A U I SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U g5 UNKNOWN A U 99 OTHER
C. MAlaRIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS pIPE
CORROSION A U 5 ALUMINUM A U $ CONCRETE A U 7 STEELWlCOAT1NG A U 8 100'/. METHANOL COMPATlaLEW/FRP
PROTECTION · A U g GALVANIZED STEEL A U 10 CATHOOIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION ~ I AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INYh.~$11~t~L
~ONITOR~aG [] ~ OTHER
V. TANK LEAK DETECTION
~ , v.s~A. O~ECK [] ~ ,N~NTOR..ECONC,L,AT,O. [] ~ VAPO. ~ON,TOR,NG []. ~TDM~T,C TAN. aUG,NG [] ~ GaO~NO W.~. ~ON,TO.,NO
[] 6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] g' NONE [] 95 UNKNOWN [] 99 OTHER
$ I ' 1992 tl/'/?age 1
04/29/92 AXELSON INC 215-000-0000'34 ~A¥ ~
OVerall Site with 1 Fac. Unit
General Information By.
Location: 1300 28TH ST Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 01 Grid: 19C F/U: 1 AOV: 0.0
Contact Name Title Business Phone --~ 24-Hour Phoneq
.... ~ I District Manager I(~05) 327-0975 x/(805) 831-8410/
Low~-- ' -~ (i1~7~ --~x (213) 925-0844/
.La.~son. ~. ~ .krea Manager
Administrative Data
Mail Addrs: 1300 28TH ST D&B Number: 05-741-2231
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 3533
Owner: AXELS0N INC Phone: (903)757-6650
Address: P O BX 2427 State~ TX
City: LONGVIEW Zip: 75606- ,
Summary
~4/29/92 AXELSON INC 215-000-000034 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards ~Form Quantity MCP
02-003 ACETYLENE Gas 158 High
· Fire, Pressure, Immed Hlth FT3
02-001 DIESEL' ~ Liquid 55 Low
· Fire, Immed Hlth, Delay Hlth GAL
02-002 OXYGEN Gas 282 LOw
· Fire, Pressure, Immed Hlth 0 FT3
02-004 WASTE OIL Liquid 2500 Low
· Fire, ~Delay Hlth GAL
02-005 WASTE OIL & WATER MIXTURE Liquid 2500 Low
· , Fire, Delay Hlth GAL
04/29/92 AXELSON INC 215-000-000034 Page 3
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee N°tif./Evacuation
CALL EMERGENCY SERVICES THAT ARE NEEDED. EVACUATE THE BUILDING THRU ONE OF
THE DOORS THAT ARE OPEN DURINGWORKING HOURS, THESE DOORS ARE LOCATED.ONE
ON EACH SIDE OF THE BUILDING.
<3> Public Notif./Evacuation
THIS IS A ONE MAN BUSINESS AND THE TWO (2) OTHER BUSINESSES NEXT TO THIS
FACILIT~ ARE AWARE OF WHAT I DO AND WHAT MATERIALS I HAVE ON HAND.
<4> Emergency Medical Plan
GREATER BAKERSFIELD MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
04/29/92 AXELSON INC 215-000-000034 Page
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - WESTSIDE OF BUILDING IN YARD
ELECTRICAL - NORTHSIDE OF BUILDING IN YARD
C) WATER -' SOUTHSIDE OF BUILDING AT CURB
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION ~ 2 FIRE EXTINGUISHERS.
FIRE HYDRANT - SOUTHWEST CORNER OF 28TH AND L STREET.
<4> Building Occupancy Level
0/4/29/92 AXELSON INC 215-000-000034 Page 6
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE 3 EMPLOYEE AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE SEVERAL TRAINING SESSIONS DURING
EACH MONTH WHICH COVERS TRAINING ON OUR WORK WE PERFORM HERE~AND SAFETY IN
ALL AREAS. I AM-THE ONLY EMPLOYEE AT THIS FACILITY, I HAVE READ ALL MY MSDS
SHEETS.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
04/29/92 AXELSON INC 215-000-000034 Page 4
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release prevention
DIESEL FUEL IS IN A 55 GALLON DRUM WITH PUMP, WIN-CHEM IS IN THE
POWDER FORM, PAINT THINNER AND PAINT ARE KEPT IN A METAL CONTAINER
STORAGE BOX.
<2> Release Containment
Buil~burmaroundthedrumwithkittylitter.
<3> Clean Up
WE HAVE PLANTY OF SHOP TOWELS, WATER HOSES AND OIL ABSORBENT TO CLEAN UP A
SPILL THAT MIGHT OCCUR.
<4> Other Resource Activation
CITY of AKERSFIELD
"WE CARE"
April 28, 1992
FIRE DEPARTMENT 2101 H STREET
S. D. JOHNSON BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Mark Lowe
Axelson Inc.
1300 28th Street
Bakersfield, CA 93301
Dear Mr. Lowe:
Enclosed please find the computer copy of your Hazardous Materials Business Plan that
you certified as complete on March 30, 1992. This plan is not complete. You have
failed to complete the highlighted section E2' on page 4 of your plan.
Please complete and return this section by May 15, 1992. If you have any difficulties
please do not hesitate to call our office at 326-3979.
Sincerely Yours,
~Ralph E. Huey
Hazardous Materials Coordinator
HAZARDOUS NATER[ALS ~NVENTORY'
~ Farm and Agriculture ~ Standard Business :~ Page_2 of 2~
NON - TRADE SECRET
BUSINESS NAME.- AxelSon Inc. OWNER NAME: Axelson Inc. : NAME OF THIS'~FACILITY:Axelson Bakersfield
LOCATION: 1300 z~tn st. ADDRESS: P.O. BOX 2427 .: ~ STANDARD IND. CLASS CODE: 3533
CITY,· ZIP~Bakersfield~93301 CITY, ZIP: I~nr~w_T~ 7q~ ~ 'DUN AND BRADSTREET NUMBER/FEDERAL ID~
PHONE #: 805-327-0975 PHONE.,#r~. ,~!~/D/-~U· .... . ,. 05-- -/7;4 1 - 2 2 3 1
~.n TO INSTRUCTIONS FOR PROPER ~ODES"
i 2 3 4 5 6 7 8 9 10 11 12 13 14
Trane Ty~e Max Average Annual Measure # Days Cunt Cunt Cunt Use LoCation Where % by Names of Mixture/Components//
Code Code Amt Amt Amt Units on Site' Type Press ~,mp. Code Stored ~n Facility wt See Instructions
W [ 2500 I 1000 [ 1000 [GAL [365 [ 99 [ 1 I 1 [~R [V~r~ w~ ~.~ ~,~g
A
&ysical and Health Hazard · C.A.a. Number ~ Component # X Nam~ '& c.A.a. N=mb~ Waste oil & water
Check all that apply) . Component # 2 Name & C.A.S. N~mber Clarafler
--~ .Fire Hazard ~ Sudden Release ~ Reactivity ~ Inu~ediate '[~ Delayed ·
' of Pressure ,,,, Health . Health (!i Component # 3 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number Component # i Name !& C.A.S. Number
(Check all that apply) ~ . , Component # 2 Name & C.A.S. Number
~ Fire Hazard ~ Sudden Haleas. [] Reactivity ~- Innnediate [] DeiaYed ''/'. '
of Pressure Health Health Component # 3 Name & C.A.S. Number
Physical and Health Hazard C.A.S. Number .~. Component # I Name &- C.A.S. Number
(Check all that apply)
Component # 2 Name & C.A.S. Number
~ Fire Hazard [] Sudden Release ~ ReaCtiVit~ [] :~nediate ~ Delayed ''
of Pressure ~ealth Health Component # 3 Name & CoA.So Number
~hysical and Health Hazard CoAoSo Nun~s~ Component # i Nan~ & CoAoS. NUmbar
(Check all tha~ apply)- : Component # 2 Name & C.A.S. Number
of Pressure Health Health Component # 3 Name & C.A.S. Number
EMERGENCY CONTACTS #1 Mark T_~we Di.~trio_~ M~n~ qP7~Q75 #2 Mi~m T~w~n~
~ ;- Title 24 Hr Phone
Name Title 24' Hr. Phone Na~e
certification (READ AND SIGN A~'T~.'R COMPLETING ALL SECTIONS)
I Certify under peanlty of law that I hayer personally examined and am familiar with the ~nformat~o~ submitted ~n this and all attached documents a~d that based o~ ~y /~qu~ry of those
~ndiv~duale responsihle for obtaining the information. I believe that the submitted information is true, accurate, and c°~plete.
, ~rk Lows District Manager ':' :
N~4E AND OFFICIAL TITLE OF OWI~R/OPERATOR OR ow~R/OPEP~%TOR'S A~T~ualZ~D ~u~u~.~'~aTl~~SIGNATURE .~,.. DATE SI~NED
03/26/92' AXELSON INC 215:000-000034 ~ APR 09 1992 ~ager 1
Overall Site with 1 Fac. Unit l
General Information ~Y
Location: 1300 28TH ST Map: 103 Hazard: Low
Community: BAKERSFIELD STATION 01 Grid' 19C F/U: 1 AOV: 0.0
iCARLContact Name ~ Title Business Phone 24-Hour Phoneq
A. CURTIS I '(805) 327-0975 x (805) 831-8410!
ICHIP CIP ARUOLO (213)' 424-6522 x (2.13) 925-0844/
Administrative Data
Mail Addrs: 1300 28TH ST D&B Number: 05-741-2231
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 3533
Owner: AXELSON INC Phone: ( ) -
Address% P O BX 2427 State: TX
City: LONGVIEW Zip: 75606-
Summary
~, n'),~.. L~,.u,5 Do hereby cerfi;y that I have
(Type o, ~nt ~e) '
reviewed ~he a~ached hazardous mal~a~ manage-
men~ plan formal ~ ~nd ~ha~ it along wi~h
CITY of BAKERSFIELD
"WE CARE"
April 28, 1992
FIRE DEPARTMENT
2101 H STREET
S. O. JOHNSON BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Mark Lowe
Axelson Inc.
1300 28th Street
Bakersfield, CA 93301
Dear Mr. Lowe:
Enclosed please find the computer copy of your Hazardous Materials Business Plan that
you certified as complete on March 30, 1992. This plan is not complete. You have
failed to complete the highlighted section E2 on page 4 of your plan.
Please complete and return this section by May 15, 1992. If you have any difficulties
please do not hesitate to call our office at 326-3979.
Sincerely Yours,
~Ralph E. Huey
Hazardous Materials Coordinator
PHONE~ FAX: (903) 753-8479 · TELEX: 735-440
A~XELSON INCORPORATED
A Leader Since 1892
August 1, 1991
...........
Mr. Joe Dunwoody
Bakersfield Fire Department
Hazardous Materials Division
2130 G Street
Bakersfield; CA'-~ 9'3301
Dear Mr. Dunwoody:
Enclosed is a completed Underground Tank Questionnaire,. It is my
understanding that Axelson, InC. does not fall under the jurisdiction of
the Hazardous Materials'Division as we do not have an underground
storage tank but do have a three stage clarifier.
SinCerely;
Vice President-Administration
JT:sb . ~.~2 ~
Enclosure ~{~ )~ . ..
At Axel$on, SERVICE is very much a part of our product!
HAZARDOUS MATERIALS DIVISION
2130'G Street, Bakersfield, CA 93301
(805) 326-3970
UNDERGROUND TANK QUE..S.T-IQI NAIRE ECEIvEo
I. FACILITY/SITE No. OF TANKS -0- ' /~//S_ ............
DBA OR FACILITY NAME ~IAME OF OPERATOR
Axelson, Inc. AXelson~ Inc.
ADDRESS NEAREST CROSS STREET PARCEL No.(OPTIONAL)
1300 28th Street'
CITY NAME STATE ZIP CODE
Bakersfield, CA 93301'
~' BOX TO INDICATE ~ORPORATION [~ INDIVIDUAL [~ PARTNERSHIP I~ LOCAL AGENCY DISTRICTS I~ COUNIY AGENCY [~ STATE AGENCY ~ FEDERAL AGENCY
TYPE.OF. BUSINESS ~. ~ I.GAS STATION ~.[~-2 DISTRIBUTO~ .... : ..... KERN COUNTY-PERMIT--~ --~-~. ..... ' ....
[~3FARM Q4PROCESSOE l~OT"tR TO OPE"~ NO. Not applicable '-
EMERGENCY CONTACT PERSON (PRIMARY) . EMERGENCY CONTACT PERSON (SECONDARY) optional
DAYS: NAMENot(LAST,appHCab~eFIRsT) ..PHONE No. WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE
NIGHTS: NAME (LAST, FIRST) PHONE No, WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE
II. PRopERTY OWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
Not applicable
MAILING OR STREET ADDRESS ~' BOX~' [~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY
TO INDICATE [~ PARTNERSHIP [~ COUNTY AGENCY ~ FEDERAL AGENCY
CITY NAME STATE ZIP CODE PHONE No. WITH AREA CODE
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
Not applicable ·
MAILING OR STREET ADDRESS /BOX ~ INDIVIDUAL [~ LOCAL AGENCY ' ~ STATE AGENCY
TO INDICATE [~ PARTNERSHIP [~ COUNTY AGENCY [~ FEDERAL AGENCY
CITY NAME STATE ZIP CODE PHONE No. WITH AREA CODE
OWNER'S DATE VOLUME PRODUCT IN
TANK No. INSTALLED STORED SERVICE
N la N/A N la N la
Y/N
Y/N
Y/N
YIN
YIN
Y/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE
PHONE: (214) 757-6650. FAX: (214) 753-8479 * TELEX: 735-440
AXELSON INCORPORATED
A Leader Since 1892 (805) 327-0975 R E C E I ~/E 0
DE(; 2 1991
Novemeber 27, 1991
Ans'd ............
City of Bakersfield
--. .. --_Enclosed_a_~s~.cop.y~o~_the--lette_~~ I_~ reci-eved-~<-p~ikers-fi~l~<frc~a-~r~p~t-e
office, it alSO has a copy of our underground tank qUestionaire tha~ has been
filled out, if you have any qUestions please feel free to call me.
Thank[ You,'?-_..
Carl A. Curtis
District Manager
At Axelson, SERVICE is very much a part of our productl .
~ INTERCOMPA'NY
AXELSON INCORPORATED
October 16, 1991
TO: Carl Curtis
FROM: John Teegerstrom
SUBJEC_T.~: ~ Un~d_.ergr?_u_n.d Tank_Ques--t~°--~n-ajEe
Enclosed is a cppY of a report which was returned to Mr. Joe Dunwoody of
the Bakersfield Fire.Department.
If you have any questions please contact me.
JT.:sb
Enclosure "
P.O. BOX 2427 ,, LONGVIEW, TEXAS 75606-2427. USA
PHONE: (903) 757-6650 ~, FAX: (903) 753-8479 ,, TELEX: 735-440
AXELSON. INCORPORATED
A Leader Since 1892
August 1, 1991
Mr. Joe Dunwoody
Bakersfield Fire Department
Hazardous Materials Division
213.0 G .Street. ..................................
Bakersfield, CA .93301
Dear Mr. DUnwebdy:
Enclosed. is a completed Underground Tank Questionnaire. It is my
understanding that Axelson, Inc. does not fall under the jurisdiction of
the Hazardous Materials Division as we do not have an underground
storage tank but do have a three stage clarifier.
Sincerely,
.Vice President-Administration
JT:sb
Enclosure
At Axel.en, SERVICE is very much a part of our productl
CITY of BAKERSFIELD
Far- a,d ~gricuhure '--- Sta,dard eush~ess ~ I3:'t~":~-.a./:~E::)OT-TS l'~.a.'I"lEl/::~.-r ,l~.'T'-S I N'V'~-N'"I'OI:~*'x"
BUSINESS NAME: AXO'Iso~ Tlq,~, OWNER ~A~E: ~A~E O~ T~ EAC~EITY:
LOCATION: 1300 28~ S~, ADDRESS: .........
STANDARD IND. CLASS CODE
CITY ZIP.:~ Rm~F~7~ qqqO] CITY, ZIP: DUN AND BRADSTREET NUMBER
PHONE ~: ~2~26~ - - - PHONE
~ FO INS~UC~IOMS FOR PROP~ CODE:; ~-
I 2 ] 4 5 6 7 8 9 lO
Trans Type Max Average ~nual ~asure I ~s ~t CmO Cml Use L~at~m Hhere %NbYt
Code Code Aic ~mc Est Units m SIC~
~hysical and Health Hazard ........
.......... ~a~__~ .......
r--n r--n r--n COm~t 12 NaN & C.l.S. ~mber
[~.. Fire Hazard u--J Reactivity ~]ay~ u_a ~dd~ Release u--~
Health of Pressuee HH Ith ~-.
._.,_Z .... 1 .......... 1. I I ..... 1 ....
Physical and Health Hazard C.l.S. Nunb~ C~mc II Xa~ i C.A.S. ~,~r ........................
{~h~ ~1 ~ a~l~)
OhvsJca] and Heakh Hazard.' C.A.S. Num~r ........
(~h~k all that apply) ~t 11 Xa~ A C.i.S. Nue~r
~ ~ Fire Hazard ~--~ Reactivity ~ ~ Oelay~ ~--~ ~dd~ Release ~ ~ [~tate
Health of Pr~sure Health
...... . ........ ~ ............................... J_ .......
Physical and Health Hazard C.l.S. Nuaber C~C I1 Nam & C.l.S. NurSe ........
(Ch~k all that apply)
u--J Fire Hazard ~--J Reactivity Oelay~ Sudd~ Release ~--J
Heakh of Pr~sure Health
C~C 83 NaN & C.A.S. HumOr ............. ~ ...............................................
CONTACTS
certify under ~alty of law that [ have pers~ally examin~ and am familiar .ith the infor~ttm submitt~ tn this a~ oll Ittac~ d~u~ts, and t~c based m ~ inquiry of c~se individuals respmsible
~or obtaining the infor~ci~. !belteve t~c the submitE~ inforaaci~ is true accurate and complete
8~lEl~HE~6T~;~6~;~;~;~;~6;qq~F~;~;~El;; Si~E O~ ......................
.... Of BAKERSFIELD
'~' "-- CITY
~arm and ~riculture ~---. S~a,~d ~usin.s ~g ~~~0~ ~~~ ~ ~ ~~~OR~'
BUSINESS NAME: ~elson ~c. OWNER NAME: ~elson Inc. NAME OF T~ FACILITY:~]~on Bakersfield
LOCATION: 1300 28~ St. ADDRESS: P.O. BOX 2427 STANDARD IND. CLASS CODE 3533
CrTY, ZIPs: ~ersfield, 93301 GITY, ziP: ~n~iew T~as 756q~ DUN AND BRADSTREET NUMBER
'PHONE ~: 805-327--0975. PHONE ~: 214-7~7-6650
~ TO ~NS~UCTIONS FOR ~ROP~ COD~
I 2 3 4 5 6 7 8 g I0 11
Trams Type ~ax kver49e Annual ~asure I ~s C~t C~t C~t Use L~att~ Nhere ~N?. Na~s of N~xture/Com~n~ts
Code Code Amc AK Est . Units ~ Site Type Press Told C~e ., Stored in Faci lity . See [nscructi~s
............................................................................... 10C D~osel fuel }¢_ .............................
Physical and Hem]th Hazard C.A.S. Number 68476-~.~ ...... C~enc :t Na~ & C.A.S. Mumbo,
(C~k 411 that apply) Pe~ole~ ~d-~sillate 68476-34-(
~] r-~ r-~ r-~ r--~ CoI~C 12 NaN & C.A.S. ~mbe~
Fire Hazard u_d Reactivity u_~ ~14y~ u--~ ~dd~ Release u--d
Hem ich of ~ressure HM I th .... - .......
CM~t I] NaN & C.A.S. Nu,bet
.... · I J I I I I I ' .........
~, ~ 1 ......................... 7 ..................
r -- n r -- n r-- n r-- n r-- ~ v CM~mC 12 Na' $ C.l.S. Number ·
~--d Fire Hazard ~--d Reactivity ~--J ~lay~ u_J ~ddm Release ~-J Imitate
Heai th ~ of Pressure H~ Ich .... .......
. C=~mt 13 NaN & C.A.S. Num~P '
..... ............................................
Physical and Health Hazard.' C.l.$. ,u,~r 7782-44-7 ~c ~1 NaN & C.J.S.
(ch~ .n ,~., .,,~y) ........................ .-~ ..... ~ .... 77~?~:.7_ .............................
-- r--~ r--~ -- C~mt 12 NaN i C.A.S. Number
~ ~ Fire Hazard u--J Reactivity u--J Oelay~ ~ Sudd~ Relemse ~ ~ [~iate
Hea I th of Prusure , Hca it~ ................... ; ..................................................
C~t I~ NaM & C.A.5. Nutone
L_ i .... -.. .....
Physical and Health Hazard C.l.$. Number ........................
(Ch~k all chat apply) 74--~--2 C~n~ Il Nam i C.A.8.
-- . r--n -- -- C3~ 12 Ne, i C.A.S. Number
~ Fine Hazand ~ ~ Reactivity ~--d Oelay~ ~ ~ Sudd~ Release ~ ~
Health of Pressune HeMt~ ...................... ; .............................. ; ....... : ............
C~ 13 Nam.& C.A.~. Numar
~ER6ENCY CONTACTS ,1.~_.~ .................... ~~__~~._. ~.~:.~.~ I~ ~~~0 ~ ~e~ ~-4~4-~22
Name. Aa~ ..... ~ ............... TT~1i ......................... 21'R~'P~ .........
Calcification (Read and sign after completing all sections)
[ ce¢cJfy unde~ ~a]ty of Ia. that [ have peesonM]y examined and aa faa~iiae .ith the tnfor~ subaJtt~ tn this a~ ali attac~ d~u~s, and t~ based ~ ~y inquiey of c~se individuals ~esp~sib]e
for o~caining the infor~ti~, I believe t~c the subiictaU informaci~ i~ true, accurate, and complece~ ~ _
R~?an9 orrlc~al title Or o~er/ooeraCo o~erl~era s aucnor~z~ represencaclve 3T~nac~re .............................. O~E ~ ...................
..."~....~ ...~ ~,~ CITY o/ BAKERSFIELD _~ ,~,,,' ,.,. ,,":,~
:'.'G'. ~_:~.~/)"'--. ~'~ f'~ % ~' k~ ~ ~-~
~., ~ .~ ../ ~ ..
.... ~
,ty~e or prin~ name)
Do hereby cert~ ~--
_z~ that I have reviewem' the~
attached Hazardous Materials business Dian R[C~;V~O
AX~.T SON ~C, ,
for "
(name of business) A~ ............
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
-s~na%ure date
BUSINESS NAME AXELSON INC ID NUMBER 215-000-000034
~LOCATION 1300 28TH ST HIGH HAZARD RATING 2
LAST CHANGE 11/09/87 BY ESTER
JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01
MAP PAGE 103 GRID 19C FACILITY UNITS 1 HAZARD RATING 2
RESPONSE SUMMARY
2A SEC 4) NO PRIVATE RESPONSE TEAM
EMERGENCY CONTACTS 2A SEC 2)
CARL A. CURTIS 327-0975 OR 831-8410
........ ............ 4
UTILITY SHUTOFF8 gA $~0 3)
A) GA8 - WESTSIDE OF BUILDING IN YARD B) ELEOTRIOAL - NORTHSIDE OF BUILDING
IN YARD C) WATER - SOUTHSIDE OF BUILDING AT CURB D) SPECIAL - NONE
E) LOCK BOX - NO
2 . NOTIFICATION / PUBLIC EVACUATION
LAST CHANGE / / BY
This is a one man business and the two(2) other buisness's next to this facility
are aware of what I do and what materials I have ~on hand.
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1 12/12/88 14:42
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME AXELSON INC ID NUMBER 215-000-000034
LOCATION 1300 28TH ST HIGH HAZARD RATING 2
3 . HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
I am the only employee at this facility, I have 'read all my MSDS sheets.~%~-~£..
< NO INFORMATION RECORDED FOR THIS SECTION >
4 LOCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 09/02/87 BY ESTER
2A SEC 5) GREATER BAKERSFIELD MEMORIAL HOSPITAL - 420 34TH ST - 327-1792
PAGE 2 12/12/88 14:42
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME AXELSON INC ID NUMBER 215-000-000~34
LOCATION 1300 28TH ST HIGH HAZARD RATING 2
FACILITY UNIT 01
A . OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 12/14/87 BY ESTER
ID TYPE NAME MAX AMT UNIT HAZARD
LOCATION CONTAINMENT USE
1 MIXTURE DIESEL #2 55 GAL MODERATE
NORTHWEST CORNER DRUMS OR BARRELS MET.. CLEANING
ID PERCENT COMPONENTS HAZARD LISTS
1178.00 100.0 FUEL OIL NO. 1 MODERATE
2 MIXTURE WIN-CHEM 55 GAL UNKNOWN
NORTHWEST CORNER DRUMS OR BARRELS MET.. CLEANING
ID PERCENT COMPONENTS HAZARD LISTS
-1025.00 100.0 WIN-CHEM UNKNOWN
3 PURE OXYGEN ~ 282 FT3 HIGH
NORTH WALL PORTABLE PRESS. CYL. OTHER
ID PERCENT COMPONENTS HAZARD LISTS
2359.00 100.0 OXYGEN, COMPRESSED HIGH
4 PURE ACETYLENE 158 FT3 EXTREME
NORTH WALL PORTABLE PRESS. CYL. OTHER
ID PERCENT COMPONENTS HAZARD LISTS
1241.00 100.0 ACETYLENE EXTREME
B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 09/02/87 BY ESTER
7-z o
3A SEC 4} FIRE EXTINGUISHERS
3A SEC 5) FIRE HYDRANT IS LOCATED AT THE SOUTHWEST CORNER OF 28TH STREET AND
L STREET.
PAGE 3 12/12/88 14:42
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME AXELSON INC ID NUMBER 215-000-000034
LOCATION 1300 28TH ST HIGH HAZARD RATING 2
D . EMPLOYEE NOT IF I CAT ION / EVACUAT ION
LAST CHANGE 09/02/87 BY ESTER
3A SEC 2) CALL EMERGENCY SERVICES THAT ARE NEEDED. EVACUATE THE BUILDING THRU
ONE OF THE DOORS THAT ARE OPEN DURING WORKING HOURS, THESE DOORS ARE
LOCATED ONE ON EACH SIDE OF THE BUILDING.
E . MITIGATION / 'PREVENTION / ABATEMENT
LAST CHANGE 09/02/87 BY ESTER
3A SEC 1) DIESEL FUEL IS IN A 55 GALLON DRUM WITH PUMP, WIN-CHEM IS IN THE
POWDER FORM, PAINT THINNER AND PAINT ARE KEPT IN A METAL CONTAINER STORAGE
BOX. WE HAVE PLENTY OF SHOP TOWELS, WATER HOSES AND OIL ABSORBENT TO
CLEAN UP A SPILL THAT MIGHT OCCUR.. WE HAVE SEVERAL TRAINING SESSIONS
DURING EACH MONTH WHICH COVERS TRAINING ON OUR WORK WE PERFORM HERE AND
SAFETY-IN ALL AREAS.
PAGE 4 12/12/88 14:42
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
/ / BAKERSFIELD CITY FIRE' DEPARTMENT
'2130 "G" STREET
. BAKERSFIELD; CA 93301
(805) 326-3979
OFFICIAL USE ONLY
BUSINESS NAME-
HAZARDOUS I~TERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
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
A. BUSINESS NAME: Axelson Inc.'
B. LOCATION / STREET ADDRESS: 1300 28th St.
CITY: Bakersfield ZIP: 93301 BUS.PHONE: 805 ) 327-0975
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS.
A. Carl A. Curtis Ph# 327-0975 Ph# 831-8410
B. Jeff Riesner Ph# 327-0975 Ph# 398-8924
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: Wes~mida
B. ELECTRICAL: Nor~h~id~ of ~iling in yard. '
C. WATER: ~ou~_hsidm of ~ilding
D. SPECIAL:
E. LOCK BOX: YES / N~Q-2IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
SECTION 5: LOCAL E1WERGENCY'MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Bakersfield Memorial Hospital
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 C NO NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... YES NO E~NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO ~ NO
D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO NO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO.
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO
I, Carl A. Curtis , certify that the above information is accurate.
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. 20 Chapter 6.95
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury:
SIGNATURE TITLE District 5iana_oer DATE 5-21-87
BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET _
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID#
BUSINESS NA~ME:
BUSI NESS pLAN
SINGLE FACILITY UNIT
INSTRUCTIONS 1. To avoid further action, this form must be returned by:
2. TyPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT# FACILITY UNIT NAME:
SECTION 1: MITIGATION, PREVENTION, ABATEMEN~r PROCEDURES
Diesel fuel is in a 55 gallon drum with pump, Win'Chem is~in the powder form,
Paint thinner and paint is kept in a ~tal con%ainer 'storage box.
We have. plenty of shop tOWels, water hoses and oil abso~be_n~ tol Clean up.a spill
that might occour. · ' "'- ..... ':.'. ·
We have several training sessions during each month'whibhc0vers training on our
work we perform here and safety in all areas.. '.' .'-''...-: ' '
" ' '' ~ " :" :i' ~''
SECTION 2: NOTIFICATION AND EVACUATION PROCEDbq{ES AT THIS UNIT'ONLY
Call emergency., services that are needed.
Evacate the building thru one of the doors that are ppen during working hours,
these doors are located one :on each 'side of the building.
- SA -
:';SECT!ON 3.:.: HAZARDOUS(MATERIALS FOR THIS UNIT ONLY
A, Does this Facility Unit contain Hazardous Materials? ...... ~ NO
If YES, see.~B.
If N0,..continue.with SECTION 4.
B. Are any of' the hazardous materials a bona fide Trade Secret YES
Ii' So,. complete a'-separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONI.,¥ (white form #4A-l)
If Yes; complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (¥eltow form #~A-2) in addition to the non-trade
secret form. List. only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
Required fire extinguishers.
SECTION 5:. LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Southwest corner of 28th St. and "L" St.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~!T ONLY.
A. NAT. GAS./PROPAN~
Westside of building in yard.
B. ELECTRICAL:
Northside of building in yard.
C. WAT,ER:
Southside of building at the curd on 28th St.
D. SPECIAL:
N/~
E. LOCK BOX: YES ~ IF YES, LOCATION:
IF YES, SITE PLANS? YES ./ NO MSDSs? yes / NO
FLOOR PLANS? YES /' NO KEYS? YES /' NO
- 3B -
BAKERSFIELD CITY FIRE DEPARTMENT
I. D. # FORM 4A- 1 Page 1, o'f 1
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
BUSINESS NAME: ~elson Inc. OWNER NAME: Axelson Inc. FACILITY UNIT #:
'ADDRESS: 1300 28th St. ADDRESS: P.O. Box 2427 FACILITY UNIT NAME:
C I TY, Z I P: Bakersfield 93301 C,I TY, Z I P: Lonqview Texas 75606
PHONE' ~: 327-0975 PHONE #: 214-757-6650 [OFFICIAL USE CFIRS CODE
ONLY ,
! 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
,CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT. WT. CHEMICAL OR COMMON NAME CODE GUIDE
I)M 55 qal 660 gal BBL 06 08 North-west corner Diesel
M 5 qal 5 qal Gal 10 26 North-east Corner Chevron GST 32 Oil FLLQ
M 1 qal 1 qal Gal 10 29 East Side Paint thinner CMLQ
M 1 gal 1 gal Gal 13 29 " " Paint CMLQ
~3~p 282 1,128 Ft 3 04 99 North wall Oxyqen ~,,3~ NFLG
>M 158 474 · Ft 3 04 99 " " Acetylene / ~ q / FLGS
~'~NAME: ~arl A. C'ur~±s TITLE :,,,D&strJ_ct M~k~.gor SIGNATURE: DATE: 5-21-87
E-3~'ERGENC¥ CONTACT: C~rl A. Cur~±s ' TITLE: Distr±ct l~:anager PHON~. # BUS HOURS: 327-0975
~ERGEN, QY CONTACT: Jeff Riesner TITLE: ,.Sales Rep. PHONE # BUS HOURS: 327-0975
P~C~,N~:~PA[;~BUSINESS ACTIVITY: Sales & Service of subsurface oil primps AFTER BUS HRS: 398-8924
SITE/FACILITY D I AGR~%/vI
FORM C5
F~oo~:t o~
NORTH SCALE: BUSINESS N~ME~ ~&/~D
~ DAT%_ 50/¢~ACILITY N~ME: UNIT
(CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~
(Ihupector's Comments): -OFFICIAL USE ONLY-
- 8A -
SITE DIAGRA/~ (Requiredl
1, Address: Identify the 9, Lock (key) Box
principle buildings
by the Street numbers. 10, MSD$ Storaffe Box
2. Street(s), Alleys, Ii. Railroad Tracks
~rlveways, end Parking
Areas. adjacent to t~e 12. Fence or Bottler
property. Include the a, Mire
m~reet asses.
b, Masonry
3. Storm Drains, Culverts,
Yard Drains c, Mood
4. Drainage Canals, Ditches, . d, Oaten
Creeks,
23, Pogeriines
5. Buildings
a, Frame construction 14, Guard Station
b,* Masonry construction 15, Storage Tanks:
Identify the
c, Metal construction capacity in gal.
a, Above ground
d, Access Door
b, Underground
6. Utility Controls
a, Gas 16, Dlklng or Bern
b, Electricity 17, Evacuation Route
c, Mater 18, Evacuation Area:
. Identify the
7. Fire Suppression Systens: location where
a. Fire Hydrants employees will
neet.
b, Fire Sprinkler 19, Outside Hazardous
Connections Masts Storage
c, Fire Standpipe {0, Outside Hazardous
Connection~ Matgrial StOrage
d, Mater Control Valves ~1, Outeld~ Hazardous
for protection systems Material
Uae/Handling
e, Fire Pimp 22. Type of Hazardoue
~aterlmi/Maste
Stored
8. Fire Department Aocees or Used (See
· aeiou)
P - Fl~abie -g - bpi'olive L - Liquid' R - Radlological
C - Corrosive 0 - Oxidizer 0 - Oeo P - Poison
~ - Water Reactive T - Toxic S - Solid 'H - Cryogefllc
O - Waste B - Etiological
Exanple: Flnmble L1quid - FL
~AC~LI~ D~AG~ (Required ltelo la nddltlon to ~be.
l. Risers ~or SprlnkJer. 8. Flrn EsCape
2. Partitions 9. Air Conditioning Units
3. Stairways: Indicate the 10.
level= served troe
high=at to lo.eat. 11. Inside Huardoua Waste
~tocago
4. Escalator: Indicate
levels served ~roa la. Inside Haz~doua
highest to.lo~est. ~teriale Stora~
5. Elevator 13. Inside Hazardoum
~tariaia Uae/Handling
a. Attic Acc=ma
14. ~e~r Drain Inlets
7. Skylightm ·
- MATERIAL SAFETY DATA SHEET ""
'- (A~ptovod by U.S. O~p~r~ont ol Lobot .~ "o~anti~ll~ ~lmil~t" Io Form L$0.0~.4) .............. ~ODUCT,.. · . · q
I
~o,~s~ ~.,. s,,..,, c,,~. ~,.,..~ z,, co~.~ 05 J~89
5300 NO~s R~, P,O, ~ox ~687 ~ke~s~el~, O~,
'1 com~lex, ~o~rSe~e~v m[x~ure'
SEC/ION II - HAZARDOU~ COMPONENIS OP MIXTURES
Thl pracllo composition of th[s product h proprlcto~ Information, A mo~o dotall0d dhclosure will bo pro~ldod by , "
~o~e b7 OSHA or N[0SH s~a~da~ds
.,
' 2
.PPEARANCE AND ODOR ' ' ~' ' ' ;PECIFIC GRAVITY " ................... ~
Fellow ~ranula~ material N/A ~ ~
OILING POINT (~} PERCENT VOLATILE
'APOR'DENSITY LAIR 1)
~/~
SECTION IV- FIRE AND EXPLOSION HAZAB0 OATA'-* ......... ' ..................
I (PERCEN/ OY VOLUME}--,.-): ...... Lei ' Uii.'
~o~e ' '
N/A " '~" '"- '" :":"
......... ~ ,. ........ ,~,
~ 0 ~ e · '"-~, --' :~;. ~ .,::.: .' '; 'T':. .... .
~/~
:HiS INFORMATION RELAT[S ONLYTOTHE SPECIFIC MATERIAL REPRESENTATION. WARRANTY OR GUARANTEE IS MADE
~ESIGNATED AND MAY NOT ~E VALID FOR SUCH MATERIAL IT~ ACCURACY. RELIAOlLITY OR COMPLETENESS. IT
JSEO I~ COMBINATION WITH ANY OTHER MATERIALS OR IN ANY USER*S RESPONSIBILITY TO SATISFY HIMSELF AS TO THE Si.
'ROCESS, Such Inloz~tlonh, to lhobott of, ..' 4knowlodoe AgLENESS AND COMPLETENESS OF ~UCH INFORMATION ~OR'
PRINTED IN
~,<(?/~'"' SECTION V. HEALTH HAZARD DATA
HRESHOLO LIMIT VALUE ~T/A
OVEREXPOSUR~IACUTE N/A
OF
'~CV~ND~mST~,O.~OC~U~S Rinse eTes with 'cool water. W~sh off skin' If
in~ested, drink large amounts of water, followed b~"-vinegar';'0:r"~it~uS,'j~'ic~:
TA~I LIT7 CONDITIONS TO AVOID
U~STABLE. :
STABLE X . .
DECO~POSITION
PRODUCTS
sEcTIoN VII . SPILL OR LEAK PROCEDURES
Ti[PS TO DE TAKEN IN CASE MATERIAL I$ RELEASED ORSP. ILLED
Sweep up and dispose in rubbiSh.
.'ASTE DISPOSAL (INSURE CONFORMITY WITH LOCAL DISPOSAt. REGULATIONS) All 'We~t'in~:ma~ents are bio-.
degradable and will .not interfer with waste water treatments. ,.
SECTION VIII - PERSONAL PROTECTION INF0~MATION
~ESPIRATORY PROTECTION., ,:.~:~.~.;i ~;~::;,: .;:::- '
. . -.~..~¢,~'?,- - . ..
LOCAL
EXHAUST
SPECIA~
MECHANICAL (Geno~*lj OTHER . ,'..~;~ ; .' :,, ....
I
)THOR PROTECTIVE EQUIPMENT
,
SECTION IX- HANDLING AND STORAGE
'8ECAUTIONS TO BE TAKEN IN HANDLING AND STORING
Keep con~a[ner covered when no~ in us~e.
)THER PRECAUTIONS
:)ATE OF ISSUE "' J APPROVED DY
~ NEW r-]REVISED;SUPERSEDES J TITLE