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HomeMy WebLinkAboutBUSINESS PLAN orm 43~---Pr;nfed ;n U.S.A. '0/67 WORK SHEET Type of Work ~:?~/0~7'/~:?~,~/I/~ . .~ Date .......... Sheet No ............ ~ . - ./~ . -. RETURN SERVICE REQUESTED Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ....... ,,,,~,~,~??i??.i?,::~;~,!:~,~!?.,,~,~ ...... This permit is issued for the following: PERMIT ID# 015-021001772 ~?'~ '~ ~,~ ;i, ~i! ~,~ ...~,!!:.i~;i~[~::;:~i::iii~!~:::.i!?i?.:.?~!?ilG,,~:~"'k;Ma~agemento Program LOCATION 5304 ALDRIN ~"::'"'='="~?~ '"%~? " ~: BA~RSEIELD ca 933' ~F:=. "..'~[ ~: ~ . '-"' """?'~ "'"=~,:F.t'"'~"' '~".,~t ~ i' ~ ~ {'~ '~'"i~ ...... '~.-~ ~-' ~ "'...'~ .~;...-....'~. %~'~ ~'.....t ...~ L ~a '~ ...L... ~ %:'~ ~=~ ' =-i'~ .~ ~ '....'"""'"~ '~ ~ ~ % ' ~':.,. ~'".W"'{~ =~i~' ', ' ~ ' L..;' ' .,~" ~=~ ~ '~,~=. ............. :~=..~z~[~ .~r ~[=' ~=.:.:'"~..,=.~,...~...L.,L~.,~,..~,~i~="E- '~] '~W~, ~{~>~"~='~"'~ [ssu~ by: OB~er*field Fke Dep~ment Approved by: ~~~' OFFICE OF E~R O~A L S~ ~CES ph Huey, 1715 Chewer Ave., ~rd Floor c, of~~ B~emfiel~ CA 93301 Voice (805) 326-3979 F~ (80S)~26-0S76 Expiration Date: ~n~ ~O~ ~000 ' ' -REcE VE ROSEDALE EQUIPMENT RENTAL INC' SiteID: 215-000-001772 SEPll 7998 ~ Manager : Bi,sPhone: (805) 833-.2.90~0 . Location: 5304 ALDRIN CT By...~ ' ~p : 123 CommHaz : ~oaera~e City : BAKERSFIELD ...... ~rid: 15D FacUnits: 1 AOV:. CommCode: BAKERSFIELD STATION 13 SIC Code: 7353 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM SCOTT / BRANCH MANAGER JOHN E GREALISH JR / PRESIDENT Business Phone: (805) 833-2900x Business Phone: (805) 837-2800x 24-Hour Phone : (805) 831-6498x 24-Hour Phone : (805) 589-6272x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (805) 833-2900x MailAddr: 5304 ALDRIN CT State: CA City : BAKERSFIELD Zip : 93313 Owner ROSEDALE EQUIPMENT RENTAL INC Phone: (805) Address : 5304 ALDRIN CT State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List --~ As Designated Order Ail Materials at Site Hazmat Common Name... [SpocHaz]EPA HazardsI Frm DailyMax IUnitlMCP MOTOR OIL F DH L 110 GAL Min HYDRAULIC OIL L 110 GAL Low WASTE OIL F DH L 110 GAL Low GASOLINE L 500 GAL Mod DIESEL #2 F IH DH L 500 GAL Low PROPANE F P IH G 500 GAL Hi 09/09/1998 ROSEDALE EQUIPMENT RENTAL INC SiteID: 215-000-001772 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Fa.cility Unit Map: Grid: OUTSIDE THE W WALL OF BLDG CAS# 8020835 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Ambient /Pure I DRUM/BARREL-METALLIC /Liquid I Ambient AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 55.00 GAL I 110.00 GAL I 30.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS ITSoorotI RSIBioHazI Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No No No No/ Curies F DH / / / Min ---- Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ -- COMMON NAME / CHEMICAL NAME HYDRAULIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE THE W WALL OF BLDG CAS# F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient I Ambient I DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 30.00 GAL HAZARDOUS COMPONENTS 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu... N 112345 HAZARD ASSESSMENTS I TSoorot[ RslBioHazI Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No No No No/ Curies / / / Low 2 09/09/1998 ROSEDALE EQUIPMENT RENTAL INC SiteID: 215-000-001772 = Inventory Item 0003 Facility Unit: Fixed Containers at Site WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: APPROX 40FT FROM NW CORNER OF BLDG CAS# 221 Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 110.00 GAL 30.00 GAL ~ HAZARDOUS COMPONENTS %Wt. CAS# 100.00 Waste Oil, Petroleum Based 0 S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Low = Inventory Item 0004 Facility Unit: Fixed Containers at Site GASOLINE Days On Site UNLEADED 365 Location within this Facility Unit Map: Grid: APPROX 100FT FROM NE CORNER OF BLDG CAS# 8006619 r STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient I Ambient I ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 500.00 GALI 500.00 GAL 300.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl ~SIBioHazl Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies / / / Mod -3- 09/09/1998 ROSEDALE EQUIPMENT RENTAL INC SiteID: 215-000-001772 ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: APPROX 100FT FROM NE CORNER OF BLDG CAS# 68476-34-6 F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 500.00 GALI 500.00 GAL 300.00 GAL HAZARDOUS COMPONENTS 100.00 Diesel Fuel No. 2 N 68476302 HAZARD ASSESSMENTS TSecretl~sIBioHaz Radioactive/Amount EPAHazardsI NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: APPROX 120FT FROM NE CORNER OF BLDG CAS# 74-98-6 Gas Pure Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 500.00 GALI 500.00 GAL 300.00 GAL HAZARDOUS COMPONENTS 100.00 Propane N 74986 HAZARD ASSESSMENTS TSecretINo NoRS I Bi°HasINo Radi°active/Am°untlEPANo/ Curies F P HazardsiH NFPA/// I USDOT# IMCpHi -4- 09/09/1998 ~ ROSEDALE EQUIPMENT RENTAL INC SiteID: 215-000-001772 Fast Format ~ Notif./Evacuation/Medical Overa%l Site --Agency Notification 04/03/1997 CALL 911. -- Employee Notif./Evacuation 04/03/1997 ALL PERSONNEL WOULD BE NOTIFIED OVER THE PA SYSTEM AS WELL AS ON HAND HELD RADIOS. ALL PERSONNEL WOULD BE ADVISED TO PROCEED IMMEDIATELY TO OUR EVACUATION POINT. Public No~if./Evacuation 04/03/1997 THE PA SYSTEM WOULD BE USED TO ALERY ANYONE WITHIN A BLOCK OF OUR YARD IN ANY DIRECTION. THEN 911 WOULD BE CALLED AND THE PROPER AUTHORITIES NOTIFIED TO FACILITATE FURTHER PUBLIC NOTIFICATION AND EVACUATION. Emergency Medical Plan 04/03/1997 WE WOULD UTILIZE MERCY HOSPITAL AT 2215 TRUXTUN AVE.,~ PHONE NUMBER 805-632-5000. DEPENDING ON THE SEVERITY OF THE ACCIDENT AND INJURIES WE WOULD TRANSPORT THE VICTIMS OURSELVES OR HAVE THEM TRANSPORTED BY EMS PERSONNEL TO THE NEAREST MEDICAL FACILITY. -5- 09/09/1998 ROSEDALE EQUIPMENT RENTAL INC~ SiteID: 215-000-001772 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site .-- Release Prevention 04/03/1997 WE KEEP ABSORBENT MATERIAL ON HAND TO CONTAIN ANY TYPE OF SPILL & IMMEDIATE ACCESS TO BROOMS AND SHOVELS TO PICK UP THE SPILLED MATERIAL. SHOULD A SERIOUS'SPILL OCCUR WE WOULD TAKE THE APPROPRIATE IMMEDIATE MITIGATION AND CALL KERN ENVIRONMENTAL SERVICE 589-5220 TO COMPLETE THE CLEAN UP AND PROPERLY MANIFEST AND DISPOSE OF. ~Release Containment 04/03/1997 ALL ON HAND MATERIAL AND EQUIPMENT WOULD BE USED FOR IMMEDIATE RESPONSE THEN KERN ENVIRONMENTAL SERVICE 589-5220 TO COMPLETE THE CLEAN UP AND PROPERLY MANIFEST AND DISPOSE OF ANY HAZARDOUS MATERIAL. -- Clean Up 04/03/1997 ANY RELEASE OR SPILL BEYOND THE CAPABILITY OF ON HAND MATERIALS AND EQUPMENT WOULD BE HANDLED BY KERN ENVIRONMENTAL SERVICES AT 589-5220. Other Resource Activation -6- o9/o9/ 998 ~ ROSEDALE EQUIPMENT RENTAL INC SiteID: 215-000-001772 f Fast Format ~ Site Emergency Factors Overall Site VSpecial Hazards --Utility Shut-Offs 04/03/1997 A) GAS - NATURAL GAS SHUF OFF AT NE CORNER OF BLDG PROPANE - SHUT OFF 100FT FROM NE CORNER OF BLDG B) ELECTRICAL - SHUF OFF AT SW CORNER OF BLDG C) WATER - SHUT OFF AT NE CORNER OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 04/03/1997 PRIVATE FIRE PROTECTION - THE BLDG HAS A FIRE SPRINKLER SYSTEM AS WELL AS FIRE EXTINGUISHERS STRATEGICALLY PLACED THROUGHOUT THE BLDG. NEAREST FIRE HYDRANT -'THERE IS A CITY FIRE HYDRANT ACROSS THE STREET ON GRISSOM. Building Occupancy Level -7- 09/09/1998 ~FROSEDALE EQUIPMENT RENTAL INC SiteID: 21S-000-001772 Fast Format ~ Training Overall Site -- Employee Training 04/03/1997 WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE VERBALLY INFORM THE EMPLOYEES OF THE PROPER SAFETY AND HANDLING OF HAZARDOUS MATERIALS WHICH WE USE IN THE NORMAL COURSE OF BUSINESS OPERATION. IN ADDITION, WE SHOW VCR TRAINING FILSM ON NEW PRODUCTS AS WELL AS UPDATES ON CURRENT PRODUCTS. Page 2 1 Held for Future Use I Held for Future Use I -8- 09/09/1998 BAKERSFIELD CITY FIRE DEPARTMENT . HAZARDOUS MATERIALS DIVISION ~\¢~. 1715 CHESTER AVE.: H~AR~OUS MAT~RIALS MANAgemeNT P~N 1. 7o cvoiC further cction, reTUrn re, is fcrm within 30 G~ys o¢ receipt. ' '' 2. ~P~/PRINT ANSWERS iN _~. 3. Answer me cuestions below for :~e cusiness cs o 4. 5e oriel cnc concise cs ~c~,~.e. SECTION l' .~USINESS IDENTIFiCATiON DATA NAME' , .... Rosedale Equipment Rental Inc. 5304 Aldrin Ct ( Corner of White Ln & Grissom ) MA[L',NG ~CRESS: 5304 Aldrin Ct. Bakersfield c-,' --. . · ...... ~mt~. CA ZIP 93313 PHONE: 805-833-2900 '_UN...¢-' 3RA~-s~,,r_:: NUMuux. SIC CODE: ?353 ?~[ '^~v Equipment Rentals & Sales M,-,,~, ACTIV[T',/: OWNER' Rosedale Equipment Rental, Inc. !vlA'r;~N~ ........ ~,U_,:<a;c' 5304 Aldrin Ct. , Bakersfield~ CA. 93313 SECTION 2: EMERGENCY NOTI, iC,-,tION. CONTACT TiTL: BUS. PHONE 24 HR. PHONE 1. Tim Scott Branch Manaqer 805-833-2900 ~05_835-6,.498 ~. John E. Grealish Jr. President 805-837-2800 805-589-6272 ~ tBakersde~d F~re Dept. ~ " H~z~rdoua N~ateria[~ Di~sio~ ~, ..... · .... HAZARDOUS MATERIALS MANAGEMENT PLAN ' ; SECTION 3: TEAIN1NO: NUMBER OF EMPLOYEES: 4 MATERIAL .SAFE~ DATA SHEETS ON FILE: YES ' BRIEF SUMMARY CF TRAINING P~GG~AM: We verbally inform the employees of th9 p~0~er safety and handling of hazardous materials which we use in the normal course of business operations. In addition9~ we show ¥CR training films on new products as well as updates on current products. SECT[ON 4: EXEMPTION REQUEST: [ CERTIFY UNDER PENALTY OF , _:,~,..;uL,, THAT'MY .BUSINESS IS EXEMPT FROM THE ~E?ORT[NG R.'-GUIREMENTS OF C.~,'-' ..=:,: 6.'95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING,<=.~"-z~''',~NS.' WE DO NGT HANDLE HALZ. ROCUS MATERIALS. "' ""US ',,VT DC HANDLE HAZ,'"-,~D,.. MATERIALS, BUT THE QUANTITIES AT NO T[MEEXCEEO THE MINIMUM .EE.ZORTING QUANTITIES. ,-..,~mcR r~,..,cr'-._,, RE,'",SCN'~ SECTION 5: CERTIFICATION: I, Tim Scott CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL-BE USED TO FULFILL MY F'RM S OBLiGATiONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES ?ER JURY. 7 Branch Manager ~ SIGNATURE TITLE DATE. . .... · ' Bakersfiel&F e Dept Hazardous ~aterials Di~4~i~h'- ......' ..... ...... "~ ~"" ' HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. ~ELEAS5 ?REVENTICN STE?S: We keep absorbent material on hand to contain any type of spill & immediate access to brooms and shovels Co ' pick up the spilled material. Should a serious spill occur we would take the appropriate immediate mitigation and call Kern Envi~o~e~tai Service (589-5220) to complete the clean up and properly manifest and ~ dispose of. .~,- ~'~ B. RELEASE. CONtAINMENT AND/OR MINIMIZATION: All on hand material and equipment would be used for immediate response then Kern Environmental Service (589-5220) to complete the clean up and properly manifest and dispose of any hazardous material. :~:,a,N-Q? .x ~'~;~:;, Any release or spill beyond the capabili%y of on hand materials and equipment would be handled by Kern Environmental Services at (589-5220). SECTION 8: UTILITY SHUT-OFFS (LCC,·:.,7',CN OF SHUT-OFFS Al' YOUR FACILITY'): Natural gas shut off at N. E. corner of building NATU"' "' ~ ' ~ ,,~L '~,~/?,qOPANE: Propane shut off 100' from N. E. corner of buildihg -_-'~, ~!C,mL Shut off at S. W. corner of buildinq Shut off at N. E. corner of buildinG SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: A. ~¢RIVATE FiRE PR©T=~ICN'¢'~ The building has a fire sprinkler system as well as fire extinguishers strategically placed thoughout the building. , ,Vt% ~^NTA · · ~. WATE,2 AVAILABILITY (FIRE =, u~ ,~. There i~ a city fire hydrant accross the street on Grissom. -," Bakersrqeid Fire Dept. ' t~ " azardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN F~:cilify Unit Name: R E R Equipment Rental SECTION 6: NOTIFiCATiON AND EVACUATION PROCEDURES: ,. ZGENCv ~- ~ ~ .... NC t !riCAT[C N ?~C C:m~ !5E];~_ .~ Call 911 ............ :>,,to{ ~.v=: NC""lr~.~,IC~ ' ..... NAN~ :','~.~ATI©N' ~ I ' All personnel would be notified over the PA system as well as on hand held radios. All personnel would be advised to proceed immediately to our evacuation point. ,:UBL!C E"/A¢''^ ~ ~ N' ~m ,~ The PA system would be used to alert anyone within a block of our yard in any direction. Then 911 would be called and the proper authorities notified to facilitate further public notification and evacuation. ~L~L ~u.-.N We would utilize Mercy Hospital at 2~Z5 ?~ttm ~ve,, phone n~ber 805-632-5000. I:)epend~ng on the severity of the accident and injuries we would transport the vict'~ms ourselves or have them transported by EMS personnel to the n~arest medical facilty. HAZAI EIOUS MATERIALS INVENI FIY Page smess Name R E R Equipment R~ntal Address 5304 Aldrin Ct.~ Bakersfield, CA. -~33~13 CHEMICAL DESCRIPTION -~' ) INVENTORY STATUS: New iX] A~mo. I ! Helm. I ] ~m~" ~ ] Ch~ ~ ¢,em~ ~. NON TRADE SECrEt ~" ~ SECRET 2) Comalo~tNl~le: Motor oil 3) DOT · C~m~N~me: AHM { ] CAS~ 8020835 :) PHYSICAL & HEALTH PHYSICAL HEALTH ~AZA~D CATEGORIES P~re ~(] Heac~ve ~ 1 Suede. Rme-<e ot Pressure [ ] immeoia~e Hea~ (Acme) [ ] Demyee Hea~ (Chm~t ~) WASTE CLASSIFICATION (3-ale]it coa, ~om OHS Fo~n s0==~ USE CO0E 26 ~) PHYS~CALSTATE Soiicl [ ] L~c~u~J ~] Ga~ [ ] Pure [~ MLx~ure [ ] Waste [ ] Ra~i~m [ ] ') AMOUNT AND TIME AT FAC:U~ UNITS CF M~SURE 8) STOOGE CCDES M~mum 0air Amount: 55 Gal :~ [ ~ ~a [~ ~3 [ ~ ~) Con~ne~ 0~ A~e ~mN A~unt: ' ~0" :unes [ } ~) Pressure: Annum Amoum: 110" c) Temprite: ~est S~ze'Contaner: ~" ~ Oa~ On Site 365 c~r::, ~icn MOnths: Ail Ye~. J. F. M. A. M. J. J. A. S. O. N. O :r. em~emostn~ous :~ ~['or oil, Pebrole~ based 8020835 100 c~em~ c~m~nen~ or ~y AruM com~nen~ ~ 01 ~:~,on Outside the west ~11 of the buildinq CHEMICAL D5SC~i~ION ~N~NTORYSTA~S: Newl~ Ad~lon[ ] Re~loni ] Oeletlon; I Che~cneml~aNON~O~S~] ~ESECR~ C~eml~ N~e: AHM [ ~ CAs · 112345 PHYSICAL & N~L~ PHYSICAL ~O CA~GORIES F~e f~ Aeam~e ~ ~ Su~en ~e,e~e ot P,essure ~ ] ~mmeei~e ~e~ (Accel ~ ] ~l~e He~ (Chron') WAS~ C~$SIFICA~CN ~ig~ co~e from QHS Fc~ ~022: USE CO~E 52 PHYSICAL STA~ Solid [ } Uau~ ~) G~ { ) ~ure [~ M~ure [ ] W~te [ ] R~mm [ ] AMOUNT ANO ~ME AT FAC:~ UNITS CF M~SURE 8) STOOGE CCOES M~mum CaW Amount: 55 Gal :~ ([ ~m [~ ~3 ([ al C~n~ne~ 06 Average OaN Amount: ~O" curies [ ~ ~) Pressure: ~nu~ Amount: ~ ~0 h ' c) Tempera: · Da~ On Site 365 C~r~e ~icn Months: NI Ye~. J. F. M. A. M. J. J. A. S. O. N. D MITRE: ~s~ CCMPONE~ C~ · % ~ ~M :metnreemost,~ous I) Hydraulic oil ] ] 2345 inn [ cnem~ com~nen~ or OF VICES 1715 CHESTER AVENUE, 3RD FLOOR ~, ~ .. ~i~ BAKERSFIELD, CA 93301 ~~ ~ (805) 326-3979 H~A~DOUS MATERIALS INVENTORY FAC:L[TY DESCRIPTION 3HE,~K IF ~USiNESS iS A FARM ;' = BUSINESS NAME Rosedale Equipment Rental, Inc. ,='.-,~, ~,'~" '-~/, , NAME R E R Equipn%.ent. Rental 5304 Aldrin Ct. ( Corner of White Ln. & Grissom ) C;~f Bakersfieldf~ '- ,'A, - CA. ZiP 93313 Equipment Rental & Sales CWNE.=,/CFE.=,ATCR Rosedale Equipment Rental, Inc. PHONE 805-837-2800 MAIL;NG ASDRE~S 5304 Aldrin Ct. Bakersfield 5TATE CA. Z!? 93313 EMERGENCY CONTACTS Tim Scott ' .... ~ii - Branch Manaqer BUSINESS FHCNE 805-833-2900 24-HOUR PHONE 805-831-6498 NAME John E. Grealish Jr, TITLE Pr~_~ident BUSINESS PHONE RoE-~7-~oo 24-HOUR PHONE 805-589-6272' HAZA J)OUS MATERIALS INVEN' RY Page of 3 :siness Name R E R Equipment Rental Address 5304 Aldr.in Ct., Bakersfield, CA. 93313 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New tX] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~] TRADE SECRET [ 2) Common Name: Waste oi]~ 3) DOT # ChemicaJ Name: AHM [ ] CAS # 64742-65-0 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~x~ Reactive [ ] Sudden Release of Pressure [ ! Immediete HeeJth (Acute) [ ] Delayed HeaJth (Chronic) 5) WASTE CLASSIFICATION 221 .(3-digit code from DHS Form 8022) USE CODE 40 6) PHYSICAL STATE Solid [ ] Liau~d ~] Ge~ [ ] Pure [ ] Mixture [ ] Waste k] Rm3io~ctive [:] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Dmiy Amount: 55 Gal ~s [ ] gaJ tX ,'t3 [ ] a) Contmner: 02 Average Dmly Amount: ~ cunes[ ] b) Pressure: AnnuaJ Amount: 110" c) Temperature: Largest Size Container: 55 # Days On Site 365 CirclaWhich Months: All Yem'. J. F, M. A. M. J. J, A, $. O, N, D 9) MIXTURE: List COMPONENT CAS ~' % WT AHM me mree most haz~ous 1) Waste oil 64742-65-0 100 [ ] cnemlcaJ comoonents or ~'ly AHM comDonents 2) [ ] 3~ [ ] 10)' Location Approx 40' from N. W. corner of the building CHEMICAL DESCRIPTION ~ ~ iNVENTORY STATUS: New {]~ Adciit~on [ ] Revision [ ] Detetlon ( ] Check if chemicaJ is a NON TRADE SECRET ~] TRADE SECRET [ ] 2) Common Name: Unleaded Gasoline 3) DOT # (ol3aoneJ). CnemlcaJ Name: AHM [ ] CAS # 8006-61-9 A/ PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~ React~ve~] Suclcien Release of Pressure [] [mmedieteHeeJth(Acute) ~] De~ayedHeaJth(Chmnic)~ .5) WASTE CLASSIFICATION (3-digit cocle from OHS Form 8022) USE CODE 19 5) PHYSICAL STATE Solid [ ] L~c~uid [~] Gas [ } Pure {~ Mixture [ ] Waste [ ]. Rm:lioactive [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Dady Amount: 500 Gal ihs [ ] gaJ [~ f~3 [ ] a) Contmner: Average Daily Amount: q~('] . cunes[ ] b) Pressure: J. Annual Amount: 12000" c) Temperature: 4 Largest Size Contmner: 500" # Days On Site 365 Circle Whicn Monms: All Year, J. F, M, A, M. J. J, A, S, O, N. D 9) MIXTURE: List COMPONENT CAS # % WT AHM =ne three most hazardous 1) Unleaded Gasol~ ne 8006-63 -9 1 (~ [ ] cnem~caJ comOonents or ~ny AHM components 2) [ ] [ ] =erofy unOer pena~y ~f'lew, mat I have personally examined eno am faro#Jar wi~ me infom~non~su~mi~on~ ~iS ~nct/j a# artac~e~ clocumen~, t t~eimve me :nm~tted information is ~ue, accurate, an~ complete. Tim Scott, Branch Manaqer ~~.~/~~ RINT Name & Title of Au~hcnZed ComDany RepresentatJYe /Siena[ute Date HAZARDOUS MATERIALS INVENTORY Page_3of__3 ~usiness Name R E R Equipment Rental Address 5304 Aldrin Ct., Bakersfield, CA. 93313 i CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [X] Addition { ] Revision [ ] Deletion [ ] Check if chemicad is a NON TRADE SECRET Ix] TRADE SECRET [ 2) Common N~me: Diesel fuel ~2 3) DOT # Chemical Name: AHM [ ] CAS # 68476--34-6 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire ~] Reactive [ X Sudden Release of Pressure [ ] Immediate Hearth (Acute) :~ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 6) PHYSICAL STATE Solid [ ] Liquid :~ Gas [ ] Pure [:~ MLxture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 500 Gal l~s [] gm [:~ ,*t3 [] a) Contmner:. 02 Average Daily Amount: 3UU" cunes[ ] b) Pressure: Annual Amount: '._~r.,Q.0.J:~._~ c) Temperature: 4 Largest Size'Container: 500" # Days On Site 365 Circie Whicn Months: All Ye~, J, F, M, A, M. J, J, A, S, O. N, D 9~ MIX-rURE: Ust COMPONENT CAS # % WT AHM me three most haza~dous 1) Diesel fuel ~2 68476-34-6 100 [] cnemlcaJ components or a~y AHM comDonents 2) [ ] 10) Local,on ADDrO)C lO0' from N. E. corner nt: t. hP b]]ildiflc CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New IX] Adcl~ion [ ] Revision [ ] Deiet~on [ ! Check if chemicaJ is a NON TRADE SECRET [~ TRADE SECRET [ ] 2) Common Name: Propane~ 3) DOT # (optmnaJ) ChemicaJ Name: AHM [ ] CAS # 74986 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire EX] Reactive [ ] Sudden Release of Pressure [ ] Immediate Hea~th (Acute) ~:] Delayed Health (Chronic) 5'1 WASTE CLASSIFICATION (3-dig~t code from OHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] LiQuid ~:~ Gas [ ] Pure [:~ Mixture [ ] Waste [ ] R~dioactive [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily.Amount: 499 Gal lbs [] gaJ [::x]: ,~3 [ ] a) Container: 03 'l Average Dmly Amount: ' ~00" curies [ ] b) Pressure: i 'Annual Amount: 5000 " c) Temperature: 4 ; L~gest SizeContmner: 499" # Days On Site 365 Circle W~ich Months: All Yea~, J. F, M, A, M, J, J, A, S, O. N, D . 9) MIXTURE: Ust COMPONENT CAS # % WT AHM the three most hazm'dous 1) Propane 74986 100 [ ] cnem~ca~ components or any AHM coml~x3nents 2) [ ] 10) Location. ADDrox 12Q' from the N. E. ~_orner of ~.h~ buildino / cerVfy under p. enal~y of/aw, that I have persona/iF exernineo and arn fa)mi/ar wi~h ~e inforne~on submitted on U3is anti all allact~¢/~ocumenl~. / believe su~mltted infoi~'nefion is Z~ue, accurate, and complete. ~ ~~ Tim Scott, Branch Manager ~-~'~-~