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HomeMy WebLinkAboutBUSINESS PLAN 12/11/2002 Hazardous Material ~ i'WasteUnified-permit LOCATION: 5601 ALDRIN CT .~ OFFICE OF. EN~R ONMENTAL SER ~CES' .App~oVedby ~a~crsg{cJd, C~ 9]~01 ~m~J~ Voice (661) 326-3979 ~- F~(661) 326-0576 .... ExpmtionDate: June 30, 2003 Hazardous MaterialS/Hazardous Waste Unified Permit' CONDITIONS OF PERMIT ON REVERSE SIDE ........ ,.~,~;~,,,~,,~ii.,,;~:.i~,~ ~,, ;~, ~.,~,, ~,~ . This permit is issued for the following: ~ ~,,~,~i~? i..~?~,~i??~'~'~'~:';;i iili!i i i~ iiiiii??iii~iiiU~e[ground~Storage of Hazardous Materials C ALI F WH 0 Waste L E S '~... '- '-'.~, ~' ", ':~[~':'" ~i~i~:~Si~i~i~[~{~J~JJi~iJ~mi,~'' '~:~f.::;:~:~i~ ~'..~ ...... ~. ;~L ", .'~,,~i~ :~L'"' :'~ '~,.?~, · ~i~Ji,....~i~;iiii~i~ii~,~;' 4;":;::7:~;;,,~,~i~' ~' '?, ',~ .%.~L..,,.~,,,=~,~ ':.~-~ ~..'.H:.~:' ~"'V '~'"." ',.~9 ~..,",:,:.iJ~i~i~~ ~/' ', ', Issu~ by: ' B~er,'eld Fke D~a~ment *pprov~ by: ~~~~' O~CE OF E~R ON~AL' S~ ~CES ~ ~ph Huey,~~ . 1715 Chewer Ave., ~rd Floor ~ Office of B~er~el~ CA 93301 Voice (805) 32~3979 F~ (805)326-0576 Expiration Date: dun~ ~0' ~OO0 (CHECK' ONE) SITE DrAGR~[ / FAC.ILrTY DrAGRA~ Inspector's .Comments): ~OFFICIAL USE ONLY- - SA - SiTE DIAGRAM {Requlre¢~ '1. Address: 'Identify the '9.-Lock (key) principle buildings by the Street numbers. 10. MSDS Storage Box 2 Street(s}, Alleys, 11. Railroad Tracks Driveways, sad Parking Areas adjacent to the 12. Fence or Barrier property.. Include the a. Wire street names. b..Nusonry 3. Storm Druins, Culverts, Yard Drains c. Mood 4. Drainage Canals, Ditches, d. Gates Creeks, · 13. Powerlinea §. Buildings · a. Frame'construction 14. Guard Stat.ion b. Masonry construction 15. Storage Tanks: Identify the " c. Metal construction capacity in ~al. a. Above ground d. Access Door ', ,,. '' b..Underground 6. Utility Controls a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route ...... ~ .. -~' c. Water 18. Evacuation Area: ~ Identify the ~.. ?. Fire Suppression Systeas: location where a. Fire Hydrants eaployeeswlll meet. b. Fire Sprinkler 19. Outside Hazardous Connections ' Mazte Storage · ,' c. Fire 'Standpipe 20. Outside Hazardous Connections Material Storage d. Mater Control Valves 21. Outside Hazardous for protection systems Material Uee/Handl I ne' e, Fire Pump 22. T~pe.of Hazardous Material/gaits Stored 8. Fire Department Access or'Um~d (See Below) TYPB OF HAZARDOUS MATERIAb F - Flammable g - Earpioelve L -Liquid R - Radiologicn! C - Corrosive 0 - Oxidizer O - Gas P - Poison M - Mater Reactive T - Toxic S - Solid 'H - Cryogenic 'U -Mails ' Example: Flannable Liquid- FL FAC}LITY D~AOR~'(Requlred items Ln addition to the. abo~e) ], Rlmore for Sprinklers 8, Firw Escapee ~. partitions 9. Air Cunditionln~ Units · , 3. Stairways: Indicate the . lO. levels served from highest to lowest, 11. Inside Hazardous Waste Storase 4. Escalator: Indicate the levels served from ~3. Inside Hazardous highest to lowest. Materials Storage 5. Elevator 13. Inside Hazardous Mater/ale Uae/Handling 6. Attic Access ,~ 14. Sewmr Drain Inlets ?. Skylights usiness .Name: '". ., .. + CALIF WHOLESALE SUPPLY ~. SiteID: 015-'02i- + Manager : n~%% ' BusPhone: (661) .398-0571 Location: 5601 ALDRIN CT ~,~c~ MaP : 123 CommHaz' : Moderate City : BAKERSFIELD ~u~ Grid: 15D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC C°de:5211 EPA Numb: DunnBrad: ~: + Emergency Contact / Title Emergency Contact y Title Business Phone: (661) 398-0571x Business Phone: (661) 398-0571x 24-Hour Phone : (661) 979-7365x 24-Hour Phone : (661) ~x · Pager Phone : ( ) I Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 398-0571x MailAddr: 5601 ALDRIN CT State: CA City : BAKERSFIELD Zip : 93313 Owner CALIFORNIA WHOLESALE MATERIAL SUP Phone: (661) 398-0571x Address : 7330 S CRIDER AVE State: CA City : PICO RIVERA Zip : 90660 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: += Hazmat Inventory One Unified List + +== Alphabetical Order All Materials at Site + .... + ....... + ........... + ..... + .......... + .... +__~+ Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCPI ................................. + ....... + ........... + ..... + .......... + .... +_ _ _+ BONDING AGENT E IH L 64.00 GAL Mod BONDING AGENT IH L 64 00 GAL Mod CEMENT IH S 500 00 LBS Min DIAMOND WALL S 350 00 LBS Min HENRY 137 F L 300 00 GAL Mod HENRY 204 & 308 F L 3000 00 GAL Mod INTERNATIONAL EPDM BONDING ADHE F L 150 00 GAL Mod PROPANE E F P IH G 500 00 GAL Hi ROOF CEMENT F DH S 3000 00 GAL Low ROOF CEMENT F IH DH S 3000.00 GAL Low ROOF SEALERS F L 5000.00 GAL UnR STUCCO S 500.00 LBS Low +===== ======= - _= == :: = _== = CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~?/~/~/~~ECTION DATE /,~° ADDRESS ~1 ~~ ~ , PHONE NO. ~~3 FACILITY CONTACT_~ ~~'~ BUSINESS ID NO. 15-210- ~ ~SPECTION TIME ~O ~ r~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine ~ Combined [~1 Joint Agency [~1 Multi-Agency .[~ Complaint [~l Re-inspection OPERATION CIV COMMENTS Appropriate pemlit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement suPplies and procedures Emergency procedures adequate /., Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Explain:Any hazardous waste on site?: [~l Yes_ ~No ~,~~,~ Questions regarding this inspection? Please call us at (661) 326-3979 Business ~nsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~ '~/Z~ :~cALIF WHOLESALE MATERIAL SUPPLY. SiteID: 215-000-000442 Manager : sPhone: (805) 398-0571 Location: 5601 ALDRIN CT ~ MAR 29 2000 M~p : 123 CommHaz : Moderate City : BAKERSFIELD [~~ G~id: 15D FacUnits: 1 AOV: CommCode: B~ERSFIELD STATION~I~3 ~ ~'~C Code: 5211 EPA Nu~: __ ~-~ DunnBrad: Emerg'e~cy~nCact / Title Emergency Contact / Title ........ /:EEDI~ ~AGER ~TEVE ........... ,, ~-,~ OPE~TIONS ~A Business Phone: (C05) 398-0571x Business Phone: (GGS) 398-0.571x 24-Hour Phone : (~) DDD 37~Ix 24-Hour Phone : (~, Pager Phone ': (&~;) 9V?-?~x Pager Phone : Hazmat Hazards: Fire Press Im~lth DelHlth Contact : Phone: ( ) - x MailAddr: 5601 ~DRIN CT State: CA City : B~ERSFIELD Zip : 93313 O~er C~IFO~IA ~OLES~E ~TERI~ SUP Phone: (805) 398-0571x Address : 7330 S CRIDER AVE State: CA City : PICO RIVE~ Zip : 90660 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: RECEIVED I, ~ ~. ~~' Do hereby ce~i~ ~hm I have EH~tRON. ~ERVICES ~y~ or print na~) reviswsd ~he a~ached h~ard~s mmedals manage- m en~ plan any corr~ions constitute a ~mple~ and coffe~ man- agemem plan for my ~cili~, -1- 02/29/2000 ,,F CALIF WHOLESALE MATERIAL SUPPLY SiteID: 215-000-000442 ;,~Hazmat Inventory By Facility Unit --Alphabetical Order Fixed Containers on Site Hazmat Common Name... ISpooHazlEPA Hazardsl Frm DailyMax Iunit]MCP HENRY 137 F L 300.00 GAL Mod HENRY 204 & 308 F L 3000.00 GAL Mod INTER_NATIONJ~ EPDM BON-DING ADHE F L 150.00 GAL Mod PROPANE F P IH G 500.00 GAL Hi ~.-ROOF~SEALERS- .' ..... ' ......... F ......... 7~ L 5000.00 GAL __UnR -2- 02/29/2000 CALIF WHOLESALE MATERIAL SUPPLY SiteID: 215-000-000442 ~ Item 0007 Facility Unit: Fixed Containers on Site ' ~N-RY 13.~ Days On Site365 ~ion within this Facility Unit Map: Grid: END OF WAREHOUSE INSIDE CAS# STATE TYPE PRESSURE TEMPERATURE . CONTAINER TYPE LiquidMixtureIBe~AmbientlAmbientI DRUM/BARREL-METALLIC ; AMOUNTS AT THIS LOCATION Largest C°ntainer ~ Daily Maximum I Daily Average GAL I 300.00 GAL 200.00 GAL %Wt. RS CAS# 3.00 Ethanol No 64175 3.00 Toluene No 108883 10.00 Isopropanol No 67630 HAZARD ASSESSMENTS I TSecret } ~S IBiOHazNO N No Radioactive/AmountNo/ Curies FEPA Hazards NFPA/// IUSDOT# ModMCPI ,06Facility Unit: Fixed Containers on Site ~' ~/v~v~--l~Vl~ / ~lVl · ~,~/~ ~vl~ ~N~_Y 274 & ~0~/ Days 365 On Site · ' 'in this Facility Unit Map: Grid: N SIDE OF WAREHOUSE IN REAR CAS# r STATE i TYPE i PRESSURE ~ TEMPERATURE CONTAINER TYPE Liquid Mixture Below,/-Ambient Ambient DRUM/BARREL-METALLIC Largest Container Da Daily Average 2000.00 GAL ~x.~uuu~ CO~AWEN~S ' %Wt. RS CAS# 20.00 Aromatic Hydrocarbon No 8030306 15.00 Asbestos, White iNo 1332214 HAZARD ASSESSMENTS TSecretNo NoRS I Bi°HasINo Radi°active/Amount I EPANo/ Curies F Hazards NFPA/// USDOT# ModMCP -3- 02/29/2000 CAI_~,F WHOLESALE MATERIAL SUPPLY ~~~ SiteID: 215-000-000442 Inventory Item 0008 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME INTERNATIONA~EPDM BONDING ADHESIVE ~ ° Days On Site o ~ ~ 365 o Location within this Facility Unit Map: Grid: E END OF N WAREHOUSE o. CAS# o o. o 108-88-3 o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient ° Ambient o DRUM/BARREL-METALLIC o i~88~88888/~88~/~8888/~/~8i A_MOUNTS AT THIS LOCATION Largest Comainer o Daily 'Maximum ° Daily Average o : GAL o 150.00 GAL o 70.00 GAL o i~i~~ HAZARDOUS COMPONENTS ~~6~66i~i~6~6~6~6~i %Wt. o °RS° CAS# o 43.00OToluene ONo o 108883° 3.00°Xylene, Mixed °No ° 1330207° i~86i/~i8~g~6~i~88~ HAZARD ASSESSMENTS ~6~i~668~86~i8~6~588i6~6~6i °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# o MCP o No ONoONo o No/ Curies°F o /// o OModO i}~ Inventorv Item 0003 ~~~ Facility Unit: Fixed Containers on Site  NAME / CHEMICAL NAME o~ Days On Site o .o 365 o Location within this Facility Unit Map: - Grid: E FENCE/260FT FROM OFFICE o CAS# o o 74-98-6 o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE Gas o Pure o Above Ambient o Ambient o FIXED PRESS. CYLINDER o i~~~~ AMOUNTS AT THIS LOCATION ~~~~i Largest Container ~,,-o Daily Maximum o Daily Average o GAL o 500.00 GAL o 300.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 100.00Opropane Oyeso 74986° i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount-o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°FP IH o /// o -4- 02/29/2000 C~IF WHOLESALE MATERIAL SUPPLY 88888888888~8888888~ SiteID: 215-000-000442 g8 Inve~amry-/telxrO004 88~~8~8 Facility Unit: Fixed Containers on Site i fS~ / CHEMICAL NAME ~'ROOF SEALERS/ o Days On Site o ' ~ ~ o 365 o E0eatirm~ithin this Facility Unit Map: Grid: 10FT N FENCE/20FT N WAREHOUSE ° CAS# ° O o STATE ~i~ TYPE ~i~8 PRESSURE ~81 TEMPERATURE ~i~ CONTAINER TYPE Liquid ° Mixture ° Ambient ° Ambient ° METAL CONTAINR-NONDRUM o f~8~8~8~Sa~8~ AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum o Daily Average o GAL o 5000.00 GAL o 3000.00 GAL o i8~8~i~:~8~8~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No °No°No o No/ Curies°F o /// o oUnRO 0005 8888888888~6~unit: ~ on Site COMMON / CHEMICAL-2XlAME WASTE OIL o 365° DaysoOn Site o Location within this Unit Map: Grid: E END OF o o o 221 o STATE TYPE ~8i~ ~8i 8~i~888 CONTAINER TYPE Liquid ~7i. Waste o Ambient o o AMOUNTS LOCATION Largeslt Container o Daily o Daily Average o GAL o o 110.00 GAL o %Wt. °I o RSo o }°Waste Oil, Based ONo o 0o : HAZARD ASSESSMENTS !RS °Bio] Radioactive/Amount o EPA Hazards o o USDOT# ° ° o No o o No/, Curies°F DH° // o o o : -5- 02/29/2000 i CALIF WHOLESALE MATERIAL SUPPLY 666666666666~6/~/~6 SiteID: 215-000-000442 i i~:~otif./Evacuation/Medical ~~~~~~ Overall Site i ~ee Agency NotfficaUon eeeeeeee~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee 01/24/1996 i }~F_SgD 5~EEDmX[~¢IS~RES~ONSIBLE FOR AGENCY NOTIFICATION: A) CALL 911 TO o o NOTIFY APPROP~ITE EMERGENCY ~SPONSE AGENCIES. B) IF NECESSARY CALL OFFICE o OF EMERGENCY~SERVICES 1-800-852-7550. o o o leee~~~Employee Nouf./Evacuat~on eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee 01/24/1996 i ~- o, ., ........ ,,~ IS RESPONSIBLE FOR PERSONNEL NOTIFICATION BY WAY IS ISSUING A o, cOM~ND~OVER THE LOUDSPEA~R FOR EMPLOYEES TO ASSEMBLE IN EVACUATION AREA. *~' WILL THEN SUPERVISE EVACUATION. o ...o ~/ o i6666 ~blic Notif./Evacuation 666666666666666666666666666666666666 01/24/1996 i o o o NONE LISTED o,, aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~~~~~f ............................................................................................... ~ ,,, ,, ~:,/' / i~ Emergency Medical Plan ~~~~?~~ 01/24/1996i ~~ ~s g~~/ o ALL EMERGENCY MEDICAL ATTENTION WILL BE TArN CARE OF BY ~UT~'ESTURGEi~/T o NOTIFYING THEM AND ~QUESTING AMBULANCE SERVICE IF NECESSARY. WE USE THE o 911 EMERGENCY TELEPHONE SERVICE WHEN NECESSARY. o o %. / ,. , ,/ . ,, -6- 02/29/2000 CA'IF WHOLESALE MATERIAL SUPPLY !6 Mitigation/Prevent/Abatemt 6~6~6~6~6~6~6~ Overall Site i~ Release Prevention ~~~~~~~ 05/02/1991 O ALL ITEMS OTHER T~N PROPANE A~ STOOD IN SEALED METAL CONTAINERS AND A~ STOOD AWAY FROM ~GH T~FFIC AREA WHICH WILL HELP TO PREVENT ACCIDENTALLY RUNNING INTO THE ITEMS AND DESTROYING THE CONTAINERS WHICH IS ABOUT THE ONLY WAY T~T THESE ITEMS COULD BE CONSIDE~D HAZRDOUS. THE PROPANE IS STORED IN o A P~SSU~ZED CONTAINER APPROXIMATELY 70 FEET FROM ANY STRUCTU~ AND IS OUT OF ALL T~FFIC~AS. '~'~ ----~ 1666 Release Contaiment 666666666666666666666666666666666666666666 05/02/1991 O WE ~EP AS S~LL AN INVENTORY AS IS POSSIBLE WHICH REDUCES ~SK TO SOME o DEG~E. WE STO~ THE MATE~ALS IN PAVED A~AS TO PREVENT SEEPAGE INTO THE o GROUND. WHENEVER WE USE TH~ PROPAN~ TANK, WE CHECK ~LL FITTINGS AN~ IN TH~ o EVENT OF LOOSE FITTINGS, WE NOTIFY OUR SU~LI~R (AME~GAS) AN~ ORDER THEM TO o ~ NECESSARY REPAIRS IMMEDIATELY. o o 'O THE ~TE~LS WHICH WE STO~ IN AND AROUND THE WAREHOUSE ARE THICK, TAR-LI~ SUBSTANCES WHICH CAN BE CLEANED UP WITH A SHOVEL WHEN IT FALLS ON TO PAVED o SU~ACES IN SMALL QUANTITIES. IN THE EVENT OF LARGER SPILLS OR SPILLS ONTO o UN~AVE~ GROUND, WE IMMEDIATEL7 NOTIF7 GROUND~ATE RESOURCES (TELEPHONE~NUMBE 835-??00), AND HAVE ~TE~ALS REMOVED BY THEM.. WE WO~ED-THEN, NOTIFY-LUC~L o E.P.A. OFFICIALS, REQUESTING INSPEC, i~ O~er Resource Activation ~~~~~~~i - ~ "', ' '"' ;" O -7- 02/29/2000 CALIF WHOLESALE MATERIAL SUPPLY E~/~/~EEE~/~E/~/~EE/~/~EE~/~E SiteID: 215-000-000442 ~i~' Site Emergency Factors ~~~~/~i~~/~/~/5 Overall Site i i~ Special Hazards o o i6~6 Utility Shut-Offs ~~~e~~e~~ 01/24/1996 O A) 'PROPANE - NOTIFY AMERIGAS PROPANE o B') ELECTRICAL - NEAR REAR DOOR INSIDE OFFICE o C) WATER - ALONG FENCE NEAR FIRE HYDRANT, 50FT NORTHEAST OF OFFICE D) SPECIAL - NONE o E) LOCK BOX - NO o o i~ Fire Protec./Avail. Water ~~~~~ 01/24/1996 · fY' /f o PRIVATE FIRE PROTECTION - WE ~V'E ~'FI'RE E~XTINGISHERS o FIRE HYDRANT - 50 FEET NORTHEAST OF OFFICE o i~ Building Occupancy Level ~~/~~6~~~6~6~ o -8- 02/29/2000 C&LIF WHOLESALE MATERIAL SUPPLY ~5~5/5~/~/5/~/~ SiteID: 215-000-000442 i . Trai~ng ~~~~~~~~ Overall Site i Employee Trai~ng ~~~~~~~ 05/02/1991 i .~'-:':- mv oy s ms v amy o ~~ ~ O WE ~VE M~TE~AL SAFETY DATA SHEETS ON FILE o B~EF SUM~RY OF T~INING: WE HAVE ~GULARLY SCHEDULED SAFETY MEETINGS (6 PER YEA~BI-MONTHLY). WE DISCUSS ALL ASPECTS OF SAFETY. MOST OF OUR o POTENTIAL ~SK COMES FROM THE OPE~TION OF TRUCKS AND FO~IFTS, o SUBSEQUENTLY WE CENTER OUR SAFETY TOPICS IN THE AREA OF SAFE D~VING o PROCTICES. WE MA~ A CONCERTED EFFORT TO HIR D~VERS WITH EXCELLENT D~VING o ~CO~S AND WE ~VE FOUND T~T THIS HAS A PROFOUND EFFECT ON THE SAFETY o OF A COMPANY. EMPLOYEES ARE INFO,ED AT MEETINGS AS TO LOCATION OF O o i~ Held for Fumre Use o o i~E~ Held for Fumre Use 0 o ITE DIAGRAM {.. ':.] i.. FACILITY DIAGRAM Bu~inos$ Name: ' '. SITE DL~GtlAM ~ '! FA ~ ' Business Name: ; Business Ad.ess: ~¢1 ~°~.'~-~ ~w .~~~ "'.. ~ . / ITE DIAGRAM [..-~'~] ' ~:: '~': FACILITY DL~GRAM Business Name: &--.- /"7 CALPLY , .INVENTORY LIST HAZARDOUS OPERATION/AREA MSDS ON FILE SUBSTANCE USED YES OR NO COMPLETED BY: ~~ ~X~~ BRANCH: DATE: ~ CALPLY , INVENTORY LIST HAZARDOUS OPERATION/AREA MSDS ON FILE · SUBSTANCE USED YES OR NO " i 0 7 S~- " tim ~ S~cco tl~ ,, _COMPLETED BY: BRANCH: DATE: CALPLY INVENTORY LIST HAZARDOUS OPERATION/AREA MSDS ON FILE SUBSTANCE USED YES OR NO "? ::. COMPLETED BY: BRANCH: ~ DATE:'.  P~ge L of 7 ' ' : Date l., sued 10/31/96 S TY DATA S ET. P.O. Box 5~9 T~pa, ........ ' [ II . I~ · .. A.-~ ~E~CATION ~ E~RGENCY ~O~ATION Chemi~ N~m~: N/A '~ A Compl~ ~odu~ Ap~ce ~d Odor: A ~ .bla~ p~ ~ a ~ght ~olem hy~~ mlvmt odor. :: Eme~ency T~eph°ne Nmber: ~MT~C 1-8~4~9300 } I ~ '-~2- II II II . I -- _ I III I'" ' "' CO~O~S ~ ~~ ~O~TION ~~ ~ ~ ~ Approx mate Concentration Petmlem ~p~t 8052424 5.~g/mO) ~m0 ~ss th m 50% ' St~d~d Solver 80524I-3 1~ ppm L~S · m 20%.' .Cell~ose Fibefi 90~6 10mg/m(3)* L~.~ 5% ' ~organic. Fillet 131%65-3 ' ~ ,. I . r ~r~m Mffi0d~ Identffimtign Ss~em:. ~SI 1 2 0 R~m~nd~ . i ,':' ",t ,~I~.~ ' '~:~:. ' . PC: 7470 :?' ,,~ ',~. ~! RO~S OF ENVy ~ E~RG~CY &. ~T . ~lven~ & ~ph~it' Com~nen~ - m ca~ ~vem ~d~Oon, t~ ~d' ' ' ~' ~g ~olem. Sol,~ ~d ~ph~t.Cm~n~ - prolonged or re~ed ' w~h ~~ ~e~ ~ soap ~d wattr. ~ k~mflon ~s~or re~ d~o~ ~d ~, ~ ~ P{~olem Solven~ ' tx~,e ~afion of va~rs c~ m~ ~on ~ d~ess, w~, ~a~e, harem, h~che, ~ible unC,~o~ R~ove ~~ m [~h ~; If b~~ h d~cul~ admi~!~er o~g~,~if br~ h~ ' a0OP~, a~i~er ~c-i~l r~pkafion. K~p ~n w~ ~d ~t. G~ m~ ~fion ~ ~pkation h~ard, DO NOT ~UCE VOM~G 7 ~Po~ to hoSpit~ im~e~atdy. ~t a en on. Note mPhysici~ - ~om g~cla aze accor c pr~d~ rot ]~!ash Point (Minimxun~: ~utoi~L~nition Tem~r: rare ~ Film): 105 deg~ F. via TCC (Petroleum Solvent) Greater than 4 ~0 degrees ' · _NationaLFire l~rotection Association (NI~__A), Hazard Identif'matiotl ~ Recommended 0 2 " 0 By Ga~'dner ltan~n~ Precaution Keep coll~_.a, lners tightly c]~.~d. Keep containers'cool, dry and away from ~ouree~ of ignilion. Use this product with adequate ve. ntilatton..Material i~ }COMBUISTIBI~.; equipment in ~torage or ~_a. ndling areas should be installed per P~rPA vequirem . :.:'~ower ~E~) 6.0% · - Upper ~) 0.9% ~ing:M and F~re Fighfi~ ~edUr~: E~~~ ~ ~ ch~ & CO2 or Uffivers~ ~pe foam ~d water fog ~e ~fi'te b~ may mine ~~, DO NOT USE WATER. Pe~olem b~ com~ float on water. Fight · ~om~on ~odu~ Under Fire Con~ons~ . May tom tomc mat~; '~bon ~o~de ~d c~n mono~de ~d nl~ogen o~d~. ~p~ Co.in r D~ of m~enm~oam?~ly mfe m~ner ~d m accordance m~ go.e~ent~ con~er,.ret~ r~da~ ~qffid ~or vapor) ~d c~ be d~gero~. DO NOT P~SSI B~E, SOL~R, D~L, G~ OR'E~OSE SUC~ CO~~~ TO ~AT, ~ O~R S0~'C~ OF .IG~TIO~. ~Y ~Y E~LODE ~ CAUSE ~ OR DEA~. Do ' ~t aR~pt to ~e~ smee r~idue ~ ~fficffit to remove. For wOrk on t~ refer to OSI A relation ~SI ~ 1 ~d ofl~ r gov~rmm~ ~d ind~i~ ref~c~ ~ning to cleaning, repeal eom.~plated o ~rafio~. E. i HEALTH AND HAZARD,INFoRMATION yari,bilit'v Am~on~ Individuals= Health studieshave s,h.own that individual sensi.tiviti.es vary from person t° person. As ~ precaution, exposur~ to vapors, iiq~d$, trusts,' or f~rmes should be minimized. Effects of O*e.imxposure: I '.. ', {Signs and 'sy~pt°ms of exp~ure)' Breathing a~phalt aerosol or asphalt smoke for protracted Periods of ~me- has' produced _~amage to the lungs of mzce, Among the eban~es observed were: bronchilts, tmemnonitis and .?me Agency for Re~rch on C~cer '~C) r~o~med i~ earlie ' ~~en~ that ex~s~ to ~p~t ~ro~d~ ~adequa~ evidence o~ c~c~ogeffi~. ~p~ ~ a Group 3 sub.ce, not cl~fiable ~ to its ~cinogeffi6tY ~th pr ~i~ng eea~ he.Om sy~ fl~e, s~n ~r~m, or ~o~c s~d a,old expose to ~hi~ product.. ~ · The follo~ 5rig ~ appromte or ~ic~ *~u~ ~d shoOd not ~ m~d for pr~c~ d~i~ p~ Boi~ng Range ~ " Vapor.~sur~: M~ Sp~i~ 300 - 390 de~e~ F- Approx, 6~ Hg 106 deg,, F, Greater ~ 1~ 3.9 (~r = 1.0) Mot~lar_~e~ ght: ' Perc~t ~olaffie by N/A A Complex ~e. !~s' ~ 25% I ~ E~a~rafion Rate ~ 1 NtA Slower ~ e~er N[A, pr~uct a a ~ ~e co~ten~, l~qoluble ApprOximate2y ~00,000 - 1,500,000 cps ~ 77 degF. "' ~' I REACTIVITY ils s~abte and will not ~olemtly react with water. Hazardous polymerization 9411 not occur..Avoid openhypochl~rite.flagae and strong ox~dlzers such as liquid, chlorine, concentrated o,,~/gen, SO,urn hypochlorite or REGULATORY / ENVIRONIVlE~ INFORMATION !Shut off and eli: innate all g~ruhon sourc?. Keep people away. Recover free product. Ado sand, earth or other suttable absortnats to spill area. Minimize skin contact and breathing vapors. Ventilate ®ntined spaces. all windo, vs and doors. K~__p product out of sewers and water eoumes by. diking oq impoundlng. 3,dvlse. authoriti.? if ~.raduet ha~ entered or may enter sewers, water c~ursea or extenmve land ~r~as. Assure c0nforrmtY w~t~ applicable governmental regulations, SARA TitleIII Sect[on 313 ~ ToxJg_C_,he~!lig.~ This pro~ act does not contaln toxic chemicals of Section 313 of Title III of Superfund Amendments and Reauthor zatlon Act of (SARA) and 40 CFR Part 372. (~RA!ifle III ._~ction~ll ~-HaZard Catre. gox~ .' Acute --- Fumes only SARA Title IH Section 302(a~ - Extremely Itazardous Substances' This pr~uct does not contain~ Extremely Hazardous Substances of Section 302(a). ~.~C,I~A~- Coinprehensiy_e_Env~ronmenta!_Res_non_se.. Comnensation, and Liability Act :lection 102 Haz~.~ doxl Sub_stances, 42IU.S.E. 9602 petroleu~n and petroleum fractions are excluded from the list of CERCLA hazard,ns sUbstances by Section 1~I(14) of CERCLA. Hazard Cl~si~tionCode: ,',r .. j. ~t~ ,e~afion s~aent to prevent eXCee~ reco~ended ex~$~e [~it or i~dup of ~pl~ive , ofvapor ~ ~r. Use expl~ion-pr~[ eqmpm~t. No smo~ng or op~ of [~es determine ~e level of prot~i°n n~ded. Use .offiy ~OSH a+prov~' resplmto~ , } ~ of ~e prot~tion,factors for ~t eq~pm~t. ~°t~ti~eGlov~; Use pmte~ve ~i~.r~is~ ~ov~ auch ~ n~pr~e or ~iI~buta~e~ rubber glo"r~. Safe~ gl~, ~p~h go~ °r face s~eld should be ~ed. CO,ACT LENSES SHOED NOT BE WO~ ~her ~t~i~ Equipment: . . ~ . Employ~ wh~ have prolo~ed or re~ated ~pos~e shoffid we~ ~ov~ ~d clo~ ~ at ~ ~mom to ~em so¢.~a~ ~d ~ph~ com~nen~cto avmd mn~a~g cloth~g whi~ mul, r~t ~ prolo~ad or re~ted s~ contact. · ' -. ' ' Work ~cfi~: K~p conings cl~ed When not ~ me. DO NOT STO~ ~ ~AT,' SP~, ~ ~ OR S~ONG O~~S. ~o prevent fire or ~pl~o~ r~k from static acc, mulat~on ~d d~Charge, lff~fiwly ~o~d produ~ ~f~r ~em ~ a~ord~ce ~ ~A ~srd for p~role~m produc~. Persolla/Hy~ene: · Employees w~o handle this material should deans hands thoroughly before eating and smoking. Minimize breathing yap ars or mist. Remove contaminated clothing, launder or .d[y clean before teuse. Re.m?ve COnt~rrdnated shoes and thoroughly dean and dry before use, Product m readily remov~:d from skin by waterless ham l cleaners followed by washing thoroughly with soap and water. :'!i:['he info~atlon and :ecommendations confined herein are to the best of Gardner Asphalt's ~r~°wXedge and ~dief,,:',acclu'ate and r .liable as of the' date issued. 'Gardner 'Asphalt does not wan'ant or guarantee their tccuracy or reliabilit and Gardner Asphalt shall not be liable for any loss or dama~ arising lout of the use .hereof. , rials .reformation and recommendations are offered for the users consideration. and examination, and it is o satisfy itself that they are suitable and complete for its particular use. ' C~'.'~~ental ih formation included in Section. H hereof as well .as th.e tta~.ardou.$ ~on ~ational Fire Protection Association (NFPA) ratm~s na~e oeen mcitme~ ~,ar SYstem (HNIIS) alld ~ Asphalt CorporatiOn in order to ..provide additional health and hazard classification information. The ratings are based upOn the. cl'iteria supphed by the ~levelopers of these ratings systems,, together with Gardner Asphalt's interpretatlon of the available data, . . ' -. For Other Produa I fformation Contact; ' Max~er, 'Customer ~ervice Gsrdner Asphalt Co ~ration P,O.:iBox ~49,. T_~_mpa, FL'336?$-S~ ~ .  Page 1 of.-7 Date Issued 2/18/97 MATERIAL SAFETY. DATA P.O. Box 5449 Tampa, .FL 33675 A. ! IDENTIYICATION AND.E1VrERGENCY INFORMATION Product Nar~e:~._APOC~#107':Profess~ona!__ . . ...Cold: .Process_.~Roo~f. ~. .. ........ Cemen~t,,. Produc Code: 7360 i CAS 1~ ~mber: N/A A Chemical Na~e: N/A , Mixture Product Appearance and. Odor: A m°derately rtbick, black coating:with a'slight petrol wn hydrocarbon · solvent odor. Emergency ,Telephone Number: C~MTREC 1-800424-9300 B. i COMPONENTS AND HAZARD INFORMATION Petroleum A~iphalt 805242-4 5.0mgtm(3) (Fume) Less mn 65% I Less t~an 35% Stod~ord Solyent 805241-3 100 ppm Cellulose Fibber 9004-3~ 10raft/m0)* Less ,an 10% * As reSpirab, le dust. l:La_7-a-rdous Materials Id~tlflcatiOn System: _(HM_tSI ]~_eal :h ~ ~ gas/s 1 ' 2 0 Re~ ommended ~ B r Gardner Asp_h.alt. , ~-,\i; ?i- ~eWoleUm SolVen~ & ~phalt Components c~ ~e severe-~mfion, t~g ~... bl~ed V~ion. FiSh ~th la~e ~o~ts of water for at 1~ 15.minute. me~ ,". a~enfion. I ~ pe~ole~. Sol,en~ and ~ph~t Com~nen~ - prolonged or repeated ~n~ ~ ~me . ~o~erate zEita~on, defa~ ~d derma~. R~ove ~n~ted ~°~n~sh~ ~oro~y ~ge~hme~c~pos~a.cnfion.a,~ ~* soap ~d ,vat~. If b~flon p~s~ Or ~dn~ d~vclops ~d pc~, Inh~afion P~oleum Sol~ - ex~ive ~ation of va~ ~ ~e ~tafion of nose ~d t~at. dlzz~ess~ w~ess, farine, ~, h~da~e, ~sible ~com~o~ness ~md even ~ph~afion Remove m~d~ ~ fr~h ~; if brea~ng ~ ~ffic~t, admini~er o~gel ~ br~thlng h3~ ~op~d,' adm~i~er ~~ r~pirafion.' Keep' per~n ~iately. · ln~on: ~p~a~on h~d. DO NOT ~UcE VO~T~G medic~ a~fion. Note to PhySi~ - perfo~ g~c lavage ~g~fion of ~olem produc~. ~ FiashPoint (Minimum}: A. ptoi_po, ition Tempe ure {])ry Fihn); 105 de~esi~ F. via TCC (Petroleum Solvent) Greater than ~50 degrees N~fional Firei ~Protection Association. ' (NFPA).: I-laZard Identification l Recon~ended 0 i 2 0 . By G~dner ltandlln~, Prdeaution Ke~p container~, tightly clo~ed, Keep contalners cool, dry and. .... itnifion. Use th,.~ product with adequate ventilation. Material istCurv~u~.~, ' eqnipment in ~,~orage or b~ndling areas shoed be k~stall~ per I~ reqmx,.naen~. age 3 oI : ~7360 ' · ..~/!~oble or?xplosi,e Limits: (Appro.~mate ,ercent by volume in.~ . I . . ~ Lower ~L) 6.0% ' Up~r ~L) 0.9% E~in~is~ng~Med~ andFire Fight~'g E~p~~[wRh d~ ~emiml & C02 or Univers~ ~ foam ~d ~ter fog ~e ~ve but my ca~ frothmg~ ~ NOT~.t U~ W~TER. Pe~ole~ b~ ~m~ float on Wat~. ~[~t D~o~fiofi ~du~ under. Fire Con~tions: ' 'May'fom m~e m~ai~; ~bon ~o~de and ~n monO~de and ~ogen o~d~. ~mn~ COnt~er Warning: Dis~e of in ~viromenmR. y s~e mann~, and ~ a~ord~ce ~th ~Ov~nmenml ~n~ner~ r ~idue ~quid ~or v~r) ~d e~~ be d~gero~. ~O NOT P~SS B~ZE, SO~DER, D~L, G~ OR E~O~ ~CH CONTA~ TO ~EAT, ] L~, /~R O~RSO~CES OF !~I~, ~Y MA~ ~LODE ~ CAUSE ~~ OR DE~. o ' '~ot a~em~ t° cl~ ,~ re~d~ ~ ~ficult to rmove. For work °n ~,. ~f~ to ~9.1 ~ offier goverm~ ~d ~dmtri~ ref~enc~ ~alnlng to cle~g, ropa[~, wel~mg or o~ contempla~d o~afiom. ~ . . '. E. [ ~TH ~ ~~ ~O~~ON · ~bili~ A'noun~ IndiddU~s: ' . H~ s~ ~ have ~o~ that ~dual ~mi~ifi~ v~ from ~r~n to ~son. ~ ~ pr~u~n, ~su~ ~ va~m, fiq~, mis~, or fm~ shoffid be m~mmlzed. ' · Eff~ o~ O~ er~e! (Si~ ~d ~pto~ o[ ~~0 Brea~g asphalt a~ro~1 or mph~t ?moke.[or prat ~ prO0uced g~mage to ~t 1~ of ~ce.. ~o~'the ~ges ob~e~ were. nron~ ' ab~ fora afion. } "? PC: 7360 the ~te~fion~ ~cy for ms~ on ~r ~C) r~med j~. ~ r ~s~m~t ~t ~or~z ~p~ed m ~p~t pmmde in~deq~te end~e of ~cmo~q~. . RC h~ previo~y mp~t ~ a Group 3'~b~ce, not d~sffiable Persom with ~re~t~g cen~al ne~om syst~ ~e, s~ ~sorders, or ~ffic r~ ~irato~ ~e~e should avoid ~posure to ~s produ~. F. ' PHYSICAL DATA The following are approximate or typical values and should not be used for precisl design purposes Boiling Rartge: Vapor Pressure; Mineral .Spirits: 300 - 390 degrees F. Approx. 6mm Hg 106 deg.. F. Specific Gravity_: Vapor Density_: , Approx. 1.07-1.11 3.9 (air = 1.0) Molecular. Weight :' percent Volatile by Volumo.: N/A A Complex Mixture. less than 25% pi:IA Evaporation Rate ~_1 ATM & 25 .de~_C_. (77 deg F~ N/A Slower than ether ,Pdz!~_C, ftllg~.al, lng or Melting Poin~ ~.olubility in Water cC 77 deg. F. N/A; produ~ is a thick paste conzisteney. Insoluble ApprOximately 25,000-45,000 cps @ 77 deg. · .,'.-¢'"¥'"- ."? ,~?' ' ~--""'  ~ ........ ._,~ .............. ,, ,, , ,, ~ .... ,_ , ....... ' ~ ~AC~Y ~ ruble ~$~11 not ~01ently rea~ heat or n~ 'flame ~d ~rong o~zem su~ ~ ~quid . , ~} t m ' ' .... : I I I I I I ' '1 I' _ . I I I II ~ I II ' I1' ~ '~ ~6~ATORY / ~IRO~~ ~O~TION ":?.~ ~ ' --~ " .... 7 ' Il[ . I Il [ [* .... I P . [ I 111 [ - [ I' I Stens to ~ ~en in ~e mate~nl Lq rele~ed or soffied: ,~ble ab~o~ to ~p~t ~. M~e s~n contact ~d breat~g O~n.~[ ~¢~ow~ ~ aoors. Ke?. ~roauct out of aumom~s ~ pr~au~ h~ enter~ or may ~ter ~wem, w~ ~o~ ~ appH~ble. . go~en~ r~ations.. . S~ Ti~ HI S~on 313 ~ To~c Chemi~!~ T~ prbdu~ d~ not mn~ to~e ch~m[c~ of ~ion 313 of Title .... S~ Title ~, S~on 311 - Hn-ard__ . Cat~ori~_ -S~ Title ~I ~on 302(a~ - E~ely Hazardom Substances T~ .p~ do~ not coniCn E~ely H~dom SUbst~c~ of CERCLA~;~omOrehensive gnMr°mental Res~n~. cempe~aflon, ~d Li~iHtv'A~ ~ 102..H~d~' · Pe~ol~ ~d pe~olem ~a~o~ ~e ~cluded from ~e ~ of CER~A h~Ja lorn sub~ by s~o~ ~ome of c~c~. EFA H~a~ C[~cafion Code: ; 'PC: 7360 PROTECTION AND PRECAUTION Use only ~wi.'th ~ventilatiOn s~ficlent to.prevent exceedlng recommended exposure'limit oF buildup of explosive concentration& of vaPOr ~n air.'U~e explosion,proof equipment. No ~noldng or open ligt~t~. ReSPiratory l~rotection~ ' ' Air concentrations of f, mes determine the level of protection nee.de& Use Only NIOSH pproved respiratory equipment w~ ~ the limits of the protection factors for that eqmpment. ProtectiVe Glloves: Use protective.chemical,resistant gloves such as neoprene or nltrile~bUtadiene rubber g oyes. Ig~e Protectibn: or homa be cO T^CT L -2 S S SUOtm o'r .WOm ER_her Protegt~ ~e Ea. uipment: EmPloyee~ ~ho have prolonged or ret~ated exposm-e should wear glo,~es .and clothing Ihat is ~a~i~rvtous to petroleum s01vent~ a~id a~phalt eomponen~ to: avoRl' contaminating clothing which, coidd re,nit in prolong~ or repeated ~ddn contact. ~ eloped when not ~ use. DO NOT STORE NEAR It-EAT, SP.~, ~LAME OR STRONG o3rm/~l'rl~. To prevent fire or explosion rt~k from static acctmmlation and dlS_ch~arg~ effectively produ~ transfer ~ystem tn. accordance with NFI:'~ ~andard for petroleum producm. Persomdtt ~ene: Emplo~.~ ~'ho handle thi~ matedal should eleame hand~ thorouglfly I:~fore ~ating ~ td smol0ng. Minlmtz~ bre~thlng ~ apors or mi~:. R~move eo~tamtnated clothing, launder or ~y el .e~.. befor .~ reme. Re. move eonm~l~at ~d ~hoe~ and thoroUghlY clean and dr~ befort me. Product ~ r~dily rem~ .red from ~lOn by waterless la md cleane.~ ~ollowed by washing thorouglfly wRh soap and w~ter. ~!~i01 19~g l~:SO FR SERVICES INC ~1~g~0~00 T00~1~00~477 R.O~/i~ ~,{A,'X*F.,~ SA~ DATA S~-ET FAx g09 63~ 1897 TXI RIVERSIDE. CEmeNT :i ' ,' ' ~002 i I ~,' po~ ~ice ~ ~2 · Rive~de; ~l~mia 92~02 * Ph. ~9.683,3660 * Fax 909788,8099 , .,, .. ,? , Cemen= 8higped to ; ."Da=e ; 9-7-99 'Des=inati~ : " · T~e Cemen~ : TYPE I-II-V Silo~ 28 : Grind Number : K-29 ~IO2 .................. 21.7" ~TM >20.0 Lose On. I~ition ...... 2,0 % ASTM' <3, 0 ~203 ............... .., 3.4 ~TM < 6.[) Insolubl'e Residue ..... 0.20 % AS~ <.75 Fe203 ................. 3,3 ~ < 6.0 Total ~kali (Ne20 Eq,) 0.34 % ~ <.60 CeO .................. 63.9 C35 (Tricalclum Silicate). 59 % 503 ...i ............. 2.5 % AS~ < 3.0 C2S (Dicalcium Silicate) i8 % ~T~. C-.20~ Blaine Fineness. ........... ,.Cm~]gm, ~310 ~ > 280~ ~ C-151 Autoclave E~ans'lOn ......... percent 0101 ~ < ~. 80 Caltrann Autoa~'aVe Expansio~ ...... ~..percent 0.0l C~ltranm < 0 ~ 50 ~TM C-~ Vicar S~ttin~ Time, Initial.minu~ee 165 ~ > ~ C-191 Vicar Settin~ Timm, Final...minutes 300 ~TM < 375 ~TM C-I85 ~r Con=~=' ' percent 7.0 ASTM <' ASTM C-10~ Compressive Strength .... .,.psi..1 Day 1410 AS~ psi..3 Day 2890 ~TM > 1500 ASTM C-1038-98 ......................... percent 0.016 at 14 days Section 90-2.01 modified T-II, ~fzona Department of T~anspOrtation, and ASTM to~aranteobe implled.fiBighed~aVin~work.~O congrol over the ,u~.~,~ it~ cemeR~s,~ · T~I Ri,rer~5~ do~ not '55 FAX 909 65~ '1597 ~ TXI RIVERSIDE CEMENT-- ' ~]003 RIVERSIDE .CEMENT ~ '"' MATE~ SAFETY DATA S~.ET . SE~ION I ...... ~uuf~ctur~r's N~m~ ~ad Addr~s Eme~ Telephone ~v~i~ Ce~t Comp~ ~09) 861~028 0~I w~ '~id Ck~mi~I blame au4 S~o~yms .Po~ C~m~nu (C~ ff {$~7-tS-t) Fo~ula 3~O. nh~ (~ ~ i2042-7~) C~c~om ~a C~O, - ~zO (C~ ~ 13397-2~) CaO Plm ~1 ~o~ . . $EC~ON ~ - ~OUS ~G~D~NTS Po~d ~m~ ~ ~l~ifisd ~ ~ ~ ~ ~ ( ~ ~ 1910, l~0, T~ Z-3), M~ ( 30 C~ ~6J001, ACO~ ~V's for 19~, Bo~ P0~t Sp~mc G~vt~ Not appl!~le, ~ poffi~d =~ iS a ~ ~il~ 3 VaPor Pr~e . Pe~e Vo~file by' Volume Not ~p~lc, ~ ~ ~t i~ ~ ~wd~ ~li~ .0% $olubiH~ in Wa~r A~p~nea aud Odor 511~(0.1 - 1.0%). O~y ( or whit~ ) ~der, ~ odor. SEC~ON ~ - ~ ~ ~LOSIO~ ~ DATA . ~aah Point · . S~tal ~r~ghfiug Pruc~ur~ Po~d c~ ~ non~b~b{~ ~d uOnm~l~iv~ NOt ~pli~ ~lammable °r Explo~ve ~i~ Unmuai Fire &'Explosion'~rds . ~ot ~pli~t~... Nons. ~xti~u~hin~ ~ed~ Thr~old Li~/e Valu~ ~ ~ffeC~ or.erasure Smbili~ ' ' Ha~rdou$ Decomposition Produ~ ' Incompatibfli~ ~a~ous Polyme~don Non~ - W~I not oc~. ~ION ~ - ~L W~ Dt~o~I M~°d $~ps to be Takea in ~ Mate~l ~ Spilled M~ ~ b~ ~d ~ cou~,r flor ~f ~, or R c~ ~ .' SE~XON ~ - SP~C~PR~IO~ ~O~ON R~pi~t~w P~tec~on S~n Prot~on ~ · ~'. ;' Venflla~on Eye Prot~on Pre~ufions to be Ta~n Handing sad $~fing O~ar P~ufio~ N~e. No~ ~OSH - N~.~ I~ tbr ~doa~ S~eW & a~ Of pmduc~ ~r p~ee$ p~t=~ needs ~d we disclaim ~y ~{~tIIW ~t [mp~ ~pti~n or ~ of ~ ~d~ in ~ ~ wh~cr, FAX 909 $5~ 1897 TXI' RIVERSIDE CEmeNT ~005 RBVERSIDE CEMENT Post Ch~¢e Box li~2 · RiveraSde, C.~lheomla 92502 · i~t~on Cement : Plastic Silo: ~ical Grind No. er ~iO2 ... ................ '20.a % LO~S On ~203 ................. 3.10 % Insoluble Residue ............. Fe203 3.2 % Total ~k~fes (as Na20 CeO . .. ~ ............. S2.5 % C3S (Tricalcium MgO 1.5 % C3A (Tricalcium Aluminate $05 ................. 3.0 % C2S (Dicalcium Silicate) Gilmore Set Time, Initial ..... 180 Minute~ AST~ C-266 {' Final ....... 200 Air Conteat ..................... 22 % ASTM C-185 7 Day 2900 , psi This cement meets the req~ir=men~s of Specification A~TM C150=8B portland Cement Ty~e IaIZ exceu= in res~ec= ~itation~ on loss on ignition, Uniform Buildin~ Code: Plastic Cement (198~'~--~ ~ . . '' 1.~:$6 FAX, 909 635 1897 TXI RIVERSIDE CE~IEbI~ · ~]005 RIVERSIDE CEMENT ' SECTION 1 '~, P.O. Box BIp~ C~,nt · C~emt~at ~e a~ Synonyms Fomu~ Pa~d Ccm~a~ (CAS ~ 6~997-1 ~1) ~C~.' S~ : (CAS ~ ~ 1168.85 2C~0. StO:· (~S ~ 3CaO- ~ (CAS ~ 12~2-78-3) C~emical F~mily ~O (C~ ~ 1305-7g~) ~ - ~~OUS ~TE~ ~[N~ICATION sYSTEM 0 ~ ~si~ifi~t 1 ~ Sli.~t 2 ~ Moderate 3 ~ ~ 4 ~ E~eme $E~ION II - ~~OUS INGRED~S Po~t ~m~ ~ ol~ ~ nM~ d~ by ~I~ ( ~ CFR ]VI0, 1000, Tabl~ ~3~ MS~ ( 30 CFR 56.5001, A~ Appcnd~ ~, ~d ACG~ ( TLV'~ for l PS$-86,~pea~ D}. PoRiand ~t ~ NOT. Ih~d by ~, ~ or OSHA ~ a ~r~Mog~ or pot~fi~ o~0~ how~, it ~ ~le amoun~ of ~ical ~n to ~e S~ of ~t~mt~ w ¢m~g ~, ~ flc~ ~ other ~c~ ~. S~rON ~ - P~SfCAL DATA B°~g Point Specie G~vi~ Not appll~le, ~ po~n~ cem~ h a powdg~d solit 3,15 Vapor Pr~s~e ' , Percentage Volaffie by Volume Not ~ll~lc, as po~ ~cnt 1s a p0wd~ solid, 0% Vapor Denst~ Evapo~tion ~te ~ot appli~ble, ~ pa~ o~ {s a pawdCrgd ~olid. ~ot appB~ablz. ~ ~d ~ment h ~ powdered Solubfli~ In Wa~r Ap~rance and Odor SE~ON I~' - F~ ~]) E~LOilON HAZ~ DATA F~sh Point . Sp~ Fire.bring pro~dur~ Po~d ~m~ ~ ~n~bl~ ~d ~n~plO~tv¢, Not appllg~le. Fhmmab~ or Expt~ive ~[mits Unusual F~ & ExplOSion ~r~ No~ appli~bl~. None. Not a~pli~Ie. THU i8:56 FAX 909 635 1597 TXI RIVERSIDE CEMENT . [~007 · , SECT]ON V - ~-ALT~] HAZa~I)DAT,~ p0~[~d c~ent con~ d~tc~ble ~munm of~emlc~ ~own ~o ~ Stem of'C~lifomia to C~o ~o~r, ~l~h d~C~ or o~ mproducfiv~ ~. ' ' ~: ~.~ Thr~hold Limit Valu~ "- ......... ' .' ~n:~te. c~ ~ ~ ~ ~d.~~ ~kgi bu~. C~ent Emergency and Fi~t Aid PrOcedure. ' Ch~nl~; C~mmR du~t ~ =~ inflaalo~ ~ ~e l~g ~ of ,: ~ wi~ ~oap ~d w~cr, . ' l~l~id~ may dev=l~ ~ ~lergic de~ ( s~n , . ., .......... ...... . .. , SECTION ,VI- ~EAC~TyDATA ,,~ : Stabllt~ H~l~ous D~om~siiion Products ~t is s~t~. a~p ~ un~ ~e~ None. ~compatiblli~ ~ Hn~rdous P°iym~r~tiOn ... ~one. · ' Will not o~. . SECTION '~I - SP~L PRO~DURE8 ' W~te ~sai Method Steps to be Taken in ~se Material ~ Sp~le~ ~t~ ~ ~ ~ed ~ ~u~uar ~r t~r u~ °r it ~ b~ ~sp~d "':: ':. '? i ' Use d~ ~[e~up m~ ~m do not di~se ~ fl~t taw th~ a~.. of ~ ~ ind~E ~, ' SECTION ~ - SPEC~, FROTE~ION ~O~ON , "; :. ,-~ ':' -:. . ~espi~tory Prot~on - Skin Peotee~on is~o~en~d, , ¢ . ~om prolonged ~n~t wi~ ~ ce~ · w~n ~hould ~ ~ soap ~ ~ter. ~ P~natlo~ ~must be ~ ob~d be~ '. =~cm b~ wi~ little ~lng-. Ventilation Eye Protmion Lo~ e~a~t ~ ~ ~ ~, ~ ~1 ~c dust ~ du~ e~nm~ ~e ~ offl~ fitgn& ~o~ ~ r~nde~ . SEC~ON ~ - SPEC~L P~~IONS · Precaution~ to be Taken HandUng and StOring · O~er Precautions .' No~,. Non~ SE~ION X - CAS chcmlca Ab~act S~ioe ' ~0~ - N~ionol t~m~c ~c OCCup~on~ S~c~ ~ - Nag~a[ T~i~io~ ~3 . Cubi~ Foo~ : osH~ - Occ~dOn~ $~c~ and ~ Admlnb~ation IARC - Iat~o.~ A~n~ fox ~ch on ', ' ' · , ~ TLV - ~hold Limit V~uc m~ - Cubic Meter · " * ' Th~ t~rc~olng ~1¢~ i~o~a~on ~d m~u~on arc compli~ ~om sow~ U~at ~e believe6 to b~ a~ ~ ~li~l~, H~evor, supplied widlotlt w~ty or ~aantee of ~y.kind eiU~r ~pressed or Implied, ~ pure'er is ~sPon~ible iht Set~ttn~ a~d det~lalng ~e sdlt~ili~ of products for purch~'$ p~cul~ n~ and x~ disarm ~y ~po~ibili~ ~or Impw~r ~plicafion' or m~ 'of our ~duc~ in ~y m~ner OCT 01 1999' 1.4:51-ER OPP~L SERUICES INC ?149350600~T0 166139884?? ~,0. ~ 1~ ~ ~ ' 1o, s~~ ~~ .. ~+2. ~ ~ N~A ~~ N/A V~ ~~ NIA ~~ ~ N/A ~~'~ ~/A. ~.~e~. ~/A 14:51 FR OPAL SERUICES INC ?149350600 TO '166139884?? P. 07713 o~ ~.C~ N~ 1~ Che~ M~: NI ~e~ ~s ~e ' ~ Ae~ ~~ 36~ N~e N~ W~r ~ N~ M~ ~ 0~2~. v~ ~ <1 ' '. - S~ ~: ~e ~ ~ ~ 14:53 FR OPAL SERUICES INC ?149350600 TO 01 '~.999. 1Al:52 F'R OPAL SEAr. ICES 'INC ?149350600 U~~ ~ (~I 2~.1 CALIFWHOLESALE MATERIAL SUPPLY ~'~ ..~ SiteID: 215-000-000442 Manager : --- ~ ~g ~us~none: (805) 398-0571 Location: 5601 ALDRIN CT ~ /...~~---~ Map : 123 CommHaz : Moderate City : BAKERSFIELD <~!~°~©~%~ ~,~-~ Grid: 15D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code:5211 EPA~Numb: DunnBrad: Emergency Contact ./ Title Emergency Contact / Title ~D ~ / MANAGER ~ ~ / OPERATIONS MANA Business Phone: (805) 398-0571x Business Phone: (805) 398-0571x 24-Hour Phone : (805) ~x 24-Hour Phone : (805) 8~j~!--~9~x Pager Phone : ( )~1~ ~~ Pager-Phone : ( ) , Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 5601 ALDRIN CT State: CA City : BAKERSFIELD Zip : 93313 Owner CALIFORNIA WHOLESALE MATERIAL SUP Phone: (805) 398-0571x Address : 7330 S CRIDER AVE State: CA City : PICe RIVERA Zip : 90660 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials~ at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IunitIMCP HENRY 137 F L 300 GAL Mod HENRY 204 & 308 F L 3000 GAL Mod INTERNATIONAL EPDM BONDING ADHE F L 150 GAL Mod PROPANE F P IH G 500 GAL Hi ROOF ' SEALERS ., ........ F .... - L 5000 GAL UnR WAS-T~--'01 L . F ....... ~ L - 220 GAL Low ~ ...... ~ .......... ! ..... - Do hereb~at-~aue ...... .  ' " (Type or print narn~) (' /k~%_ ~ /~ y ,ev,ewed t,e atta¢h.d ~az~rdous rnm."al, rnana,"  any corrections configure a complete and correct man- agernent pan ~or my facili~/. 1 08/25/1999 S~gnamre Date CALIF WHOLESALE MATERIAL SUPPLY SiteID: 215-000-000442 ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site HENRY 137 Days On Site 365 Location within this Facility Unit Map: Grid: E END OFWAREHOUSE INSIDE CAS# ~TATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE [ Mixture Below Ambient I Ambient DRUM/BARREL-METALLIC LLiquid AMOUNTS AT THIS. LOCATION Largest Container "1 -~Daily Maximum Daily Average GALI 300.00 GAL 200.00 GAL %Wt. RS CAS# 3.00 Ethanol No 64175 3.00 Toluene No 108883 10.00 Isopropanol No 67630 HAZARD ASSESSMENTS !TSecret] ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MOP No N No No/ Curies F / / / Mod ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site · ~ ~ ~lvuvl~ ~Vl~ / ~£ ~Z--~,L, ~Vl~ HENRY 204 & 308 Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF WAREHOUSE IN REAR CAS# STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Mixture I Below Ambient I Ambient I DRUM~BARREL-METALLIC AMOUNTS AT THIS LOCATION ' Largest Container Daily Maximum Daily Average GAL 3000.00 GAL 2000.00 GAL ll.~uuu~ ~u~u~'~'~ %Wt. RS CAS# ~ 20.00 Aromatic Hydrocarbon No 8030306 15.00 Asbestos, White No 1332214 HAZARD ASSESSMENTS TSecretI RSIBioHaz Radioactive/Amount EPA Hazards NFPA [ USDOT# I MCP No No. No No/ Curies F / / / Mod i CALIF WHOLESALE MATERIAL SUPPLY ~~~A~~ SiteID: 215-000-000442 i~ Inventory Item 0008 ~~~ Facility Unit: Fixed Containers on Site ~INTERNATIONAL EPDM BONDING ADHESIVE o Days On Site 'o o 365 o E END OF N WAREHOUSE o CAS# o o 108-88-3 aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeee~ i~ STATE 81~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~18~8A CONTAINER TYPE 8~8~ o Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-METALLIC o Largest Container o Daily Maximum o Daily Average o ~ GAL o 150.00 GAL o 70.00 GAL o %Wt. o o RS© CAS# o 43.00OTolUene ONo o 108883 o 3.00oXylene, Mixed ONo o 1330207 oTSecretO RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o NO ONo o NO o No/ Curies o F o / / / o o Mod CA'LPL% I:r~d ~art~n 5601 Aldrin Court Bakersfield, CA 93313 (661) 398-05 71 Ftcx (661) 398-8477 CALIFORNIA WHOLESALE MATERIAL SUPPLY INC. i~ Inventory Item 0003 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~i PROPANE o Days On Site · ~ o 365 Location within this Facility unit Map: Grid: ~~~~ E FENCE/260FT FROM OFFICE o CAS# o 74_98_6~ STATE &~& TYPE &&&~&& PRESSURE &&&~ TEMPERATURE &&~&&&& CONTAINER TYPE &&&&&i Gas o Pure o Above Ambient .o Ambient o FIXED PRESS. CYLINDER i&~~&&&~&&~&~&~ AMOUNTS AT THIS LOCATION ~~~&&&&&~&~&i Largest Container o Daily Maximum o Daily Average GAL o 500.00 GAL o 300.00 GAL i~~~~~ HAZARDOUS COMPONENTS.~~~~~~~i %Wt. o o RSo CAS# 100.00opropane ONo o 74986 oTSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F P IH o / / / o o Hi -3- 08/25/1999 i CALIF WHOLESALE MATERIAL SUPPLY ~~~~~ SiteID: 215-000-000442 i~ Inventory Item 0004 ~~~ Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME ROOF SEALERS o Days On Site o o 365 o Location within this Facility Unit Map: 'Grid: o 10FT N FENCE/20FT N WAREHOUSE o CAS# O O eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeee~ i~ STATE ~ TYPE ~~'PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE o LiqUid o Mixture o Ambient o Ambient o METAL CONTAINR-NONDRUM ~e~~u~e~~u~e~ee~~ue~~~u~ee~e~~e~e~ i~~~~~~ AMOUNTS AT THIS LOCATION ~~~~~i o Largest Container o Daily Maximum o Daily Average o GAL o 5000.00 GAL o 3000.00 GAL ~ee~ee~eeeeeeeeeeeeeee~uee~eee~ee~ee~eee~ee~ee~ee~e~ee~e~e~ey o %Wt. o o RSo CAS# oTSecretO RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o. No o No/ Curies o F o / / / o o UnR . i 005 ~$$~$~&$~&~$ Facility Unit: Fixed Containers on Site °{ W~STE Oil/ \ o Days On Site ~/ / % o 3~5 o/ Loc~ion within this Facility Unit Map: Grid: 70~DE z~ OF yARD o CAS# : o\ / / o 221 ~_~TE ~ T.~E ~~ PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~ Lic~--~-~[aste o Ambient o Ambient o DRUM/BARREL-METALLIC o Largest Container o Daily Maximum o Daily Average o GAL o 220.00 GAL o 110.00 GAL i~~~~~ HAZARDOUS COMPONENTS ~~~~~~~i o %Wt. o o RS0 CAS# o 100.00OWaste Oil, Petroleum Based ONo o 0 oTSecretO RSOBioHazO.Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o N© ..ONo o No o No/ Curies o F DH o / / / o o Low -4- 08/25/1999 CALIF WHOLESALE MATERIAL SUPPLY ~~~~~ SiteID: 215-000-000442 i~ Notif./Evacuation/Medical ~~~~~~~~ Overall Site i~ Agency Notification ~~~~~~~~~ ~01/24/1996 NEELPLAM IS RESPONSIBLE FOR AGENCY NOTIFICATION: A) CALL 911 TO NOTIFY APPROPRAITE EMERGENCY RESPONSE AGENCIES. B) IF NECESSARY CALL OFFICE OF EMERGENCY SERVICES 1-800-852-7550. ~ee~~eeee~eeeeeeeeeeeeeeeee~eee~e~ee~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~ £~ Employee Notif./Evacuation ~~~~~~~ 01/24/1996 ~-~' IS RESPONSIBLE FOR PERSONNEL NOTIFICATION BY WAY IS ISSUING A COMMAND OVER THE LOUDSPEAKER FOR EMPLOYEES TO ASSEMBLE IN EVACUATION AREA. °.'~H~WILL THEN SUPERVISE EVACUATION. NONE LISTED ' i~ Emergency Medical Plan ~~~~~~~~ 01/24/1996 ALL EMERGENCY MEDICAL ATTENTION WILL BE TAKEN CARE OF BY SO~:EDT ~--~~, ~ C~iE 5297 TXL~TU~J ~JE D2~ 2272. ~iCiLr~D I~EEDI~-~ IS RESPONSIBLE FOR NOTIFYING THEM AND REQUESTING AMBULANCE SERVICE IF NECESSARY. WE USE THE 911 EMERGENCY TELEPHONE SERVICE WHEN NECESSARY. -5- 08/25/1999 CALIF WHOLESALE MATERIAL SUPPLY ~~~~~ SiteID: 215-000-000442 i~ Miti~ation/Prevent/Abatemt ~~~~~~~ Overall Site i~ Release Prevention ~~~~~~~~~ 05/02/1991 ALL ITEMS OTHER THAN PROPANE ARE STORED IN SEALED METAL CONTAINERS AND ARE STORED AWAY FROM HIGH TRAFFIC AREAWHICH WILL HELP TO PREVENT ACCIDENTALLY RUNNING INTO THE ITEMS AND DESTROYING THE CONTAINERS WHICH IS ABOUT THE ONLY WAY THAT THESE ITEMS COULD BE CONSIDERED HAZRDOUS. THE pROpANE IS STORED IN A PRESSURIZED CONTAINER APPROXIMATELY 70 FEET FROM ANY STRUCTURE.AND IS OUT OF ALL TRAFFIC AREAS. i~ Release Containment ~~&~&~&~&~&~&~&&~~05/02/1991 WE KEEP AS SMALL AN INVENTORY AS IS POSSIBLE WHICH REDUCES RISK TO SOME DEGREE. WE STORE THE MATERIALS IN PAVED AREAS TO PREVENT SEEPAGE INTO THE GROUND. WHENEVER WE USE THE PROPANE TANK, WE CHECK ALL FITTINGS AND IN THE EVENT OF LOOSE FITTINGS, WE NOTIFY OUR SUPPLIER (AMERIGAS) AND ORDER THEM TO MAKE NECESSARY REPAIRS IMMEDIATELY. THE MATERIALS WHICH WE STORE IN AND AROUND THE WAREHOUSE ARE THICK, TAR-LIKE SUBSTANCES WHICH CAN BE CLEANED UP WITH A SHOVEL WHEN IT FALLS ON TO PAVED SURFACES IN.SMALL QUANTITIES. IN THE EVENT OF LARGER SPILLS OR SPILLS ONTO UNPAVED GROUND, WE IMMEDIATELY NOTIFY GROUNDWATE RESOURCES (TELEPHONE NUMBER 835-7700), AND HAVE MATERIALS REMOVED BY THEM. WE WOULD THEN NOTIFY LOCAL E.P.A. OFFICIALS, REQUESTING INSPECTION. 6 08/25/1999 i CALIF WHOLESALE MATERIAL SUPPLY ~~~~~ SiteID: 215-000-000442 i~ Site Emergency Factors ~~~~~~~~ Overall Site O O o A) PROPANE - NOTIFY AMERIGAS PROPANE o B) ELECTRICAL !- NEAR REAR DOOR INSIDE OFFICE o C) WATER - ALONG FENCE NEAR FIRE HYDRANT, 50FT NORTHEAST OF OFFICE o D) SPECIAL - NONE o E) LOCK BOX - .NO O o PRIVATE FIRE PROTECTION - WE I4_~VE IRE EXTINGISHERS O O O o FIRE HY'DRg~T - 50 FEET ~ORTHEAST OF OFFICE O O O -7- 08/25/1999 CALIF WHOLESALE MATERIAL SUPPLY ~~~~~ SiteID: 215-000-000442 i~ Trainin~ ~~~~~~~~~~~ Overall.Site i~ Empl6~ee Trainin~ ~~~~~~~~~ 05/02/1991 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE %~.BRIEF SUMMARY OF TRAINING: WE HAVE REGULARLY SCHEDULED SAFETY MEETINGS (6 ~"PER YEAR/BI-MONTHLY). WE DISCUSS ALL ASPECTS OF SAFETY. MOST OF OUR POTENTIAL RISK COMES FROM THE OPERATION OF TRUCKS AND FORKLIFTS, SUBSEQUENTLY WE CENTER OUR SAFETY TOPICS IN THE AREA OF SAFE DRIVING PROCTICES. WE MAKE A CONCERTED EFFORT TO HIR DRIVERS WITH EXCELLENT DRIVING RECORDS AND WE HAVE FOUND THAT THIS HAS A PROFOUND EFFECT ON THE SAFETY RECORD OF A COMPANY. EMPLOYEES ARE INFORMED AT MEETINGS AS TO LOCATION OF -8- 08/25/1999 MATERIALs INVENT Page ' of. Basmess Name Address CI~F~MICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [>]'~Rcvision [ ] Deletion [ ] Check if chemical is a NON.Trade Secret [ ] Trade Secret [ ] 2)CommonName: ~ L~r~t~,v:- !;'-c,,cco c¢~ ~oo ~ ~,vo 3)DOT#(optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL. HEALTH Hazard Categories F/re [ ] Reactive [ ~c] S~dden Release of Pressure [ ] Immediate Health (Acute) [~ Delayed Health (Chronic) 5) WASTE CLASSIFICATION . (3.digit code from DHS Form g022) USE CODE t.{ 5- 6) PHYSICAL STATE Solid,~ ] Liquid [ ] Cas [ ] Pure [ ] Mixture [ ~ Ws.~ [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEAS~ 8) STORAGE CODES Maximum Daily Amount Lbs [ :<]' Gal [ ]ft3[ ] a) Container. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Col~tMner ~o t.,v. Days on Site ' ~' ~ .C Circle Which MOnths: ~, F, M, A, M, $, $,A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % Wr AI-IM the three most hazardous 1) 'T~?z £ ~.,/-~-~ ,~ ~[. ] chemical components or 2) ~,~ LC_ ~v~ ~ ~ ~¢o~'o~' ~-.[ ] any AHM components 3) I%~ ~-,'r~,,~ C~cr~ ~'~/ ~,. ~. [ ] 10)LOCATION 1) IlqVENTORY STATUS: New [ ]'Addition[ ]Revision[. ]Deletion[ ] Check ff chemical is a NON Trade Secret [ ]TradeSecret[ ']- 2) Common Name: "? ~ ~ $ t..~r~ ~ 3) DOT # (optional) ChemicaiName: C./9t.cc~o.~ I-i~/~w~'~o~' AHM[ ] CAS# 4) Physical & Health PHYSICAL HEAL~ - . "./ I-IazardCategories Fire[ ]Reactive[><JSuddenRelesseofPressure[~<] tmmediate Health (Acute) [)<'] Delayed Health (Chwnici [ ] 5) WASTE cLASsIFiCATION (3-digit code fi'om DES Form 8022) USE CODE ri ~' 6) PHYSICAL STATE. Solid[t;~] t.iquia[ ] c~[ .] Pure[] MixtureI>q Waste[] P.~iio~ave[ ]' 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ~ Gal [ ] fl3 [ ] a) Container:. J ~ Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~o~ ~ ~ # Days on Site ~/~ ~- C/role Which Months: F, M, A, M, 1, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# '% WT AHM the three most hmardous 1) tm-C*O,~ I-4 Vv~,~W~ [ ] chemical components or 2) [ any AHM components 3) [ ]. lO)LOCATION I certify under penalty of law, that I lmve personally examined-and nm familiar with the inI'ormation on tiffs and all attached documents. ! believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield,. CA (805) 3,26,3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] / BUSINESS NAME FACILITY NAME SITE ADDRESS '.CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE M~nJ~a AD'DREss CITY > STATE ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24 HOUR PHONE NAME TITLE BUSINESS PHONE 24 HOUR PHONE 1 Page __ of Business Name Address Cl~MICAL DESCRIPTION 1) INVENTORY STATUS: New [. ] Addition [:~JRevision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ . ] Trade Secx~t [ ] 2) Common Name: O/nfr~a ~ (~o~e ~. 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ '~at-S~dd_en Release of Pressure [.~] Immediate Health (Acute) [~] Delayed Health (Chronic) [ ] 5) WASTE CLASSIYICATION (3-digit code from DHS Form 8022) USE CODE ~ ~'- 6) PHYSICAL STATE Solid [~'~ Liquid [ ] Gas [ ] Pure [ ] Mixture [,~] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ~] Gal [ ] fi3 [ ] a) Container:. .... t ~ Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~c~ t.~ # Days on Site '~ (~ 5- Circle Which Months: ~..~J, F, M, A, M, $, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT 'AHM the three most h~:,~nSous 1) ~o~v~ c~r~ Le~r~7 [ ] chemical components or 2) [ any AHM components 3) [ ] 10)LOCATION ~/~r~/ovs~ 4d- [ · 1) I]qVEbFI'ORY STATUS: New [ ] Addition [~Revision [ ] Deletion [ ] Check ffchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: g.~¥vks~o~- fces-r,c ¢ e o~r~ 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH ~d Categories Fire [ ] Reactive [ ~'Sudden Release of Pressure [,.'~]'-lmmediate Health (Acute) [.-~:] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE L~ ~ 6) PHYSICAL STATE Solid [ ~ Liquid [ ] Gas [ ] Pure [ ] Mixture [.~c~~ Waste [ ] Radioactive [ ] 7) AMOUNT AND T]]M~ AT FACILFfY UN1TS OF MEASURE g) STORAGE CODES Maximum Daily Amount Lbs [r~] Gal [ ] ~ [ ] a) Container:. ~ ~, Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~ u~ # Days on Site 3 g~- Circle Which Months: ~ F, M, A, M, $, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS// % WT AHM the three most hazardous 1) ' f~q-~ ~,.~ ¢ e~/r ~.~-/ [ chemical components or 2) [ ] any AI-IM components 3) [ ]. I certifY under penalty.of law, that I have personally examined and am familiar with the intbrmation on this and all attached documents. I believe the submitted information is true, accurate and complete. PR1]qT Name & Title of Authorized Company Representative Signature Date ~CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester'-Ave., BakerSfield~'.C4. (805).326-3.979 HAZARDOUS MAT-ERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM[ BUSINESS NAME FACILITY NAME SITE ADDrEss CITY STATE ZIP i -~ NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER. ~ OWNER/OPERATOR, . PHONE MAILING Ai)DRESS CITY · STATE ZIP EMERGENCY CONTACTS NAME.' "- TITLE - BUSINESS pHoNE 24 HOUR PHONE NAN'm TITLE BuSINEss PHONE 24 HOUR PHONE Page ~ of Business Name Address ' CtiEMICAL, DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [t~ Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Tra~ Sec~t [ ] 2) Common Name: ~ t~s~v¢ toc~-~cewn Camo~,-/' 3) DOT # 0~ptional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Ha~rdCategories Fire[ ]Reactive[L~c~``~udd~Re~ease~fPressure~fs5[~mmediateHea~th(Acute)[``)~-]~De~ayedHea~th(chr~nic)[ 5) WASTE CLASSIFICATION ' (3-digit code flora DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ~ Liquid [ ] Gas [ I Pure [ ] Mixture [.5~-]' Waste [ ] Radioa(:tive [ l 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [~j Gal [ ] ft3 [ ] a) Container:. Average Daily Amount Curies [ . ] b) Pressure: Annual Amount c) Temperature Largest Size Container ctq L,t # Days on Site ~-~ Cin:le Which Months: ~. F. M. A, M. $, $, A,S, O, N, D 9) MIXT~: List COMI~NENT CAS# % WT AHM the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 3) [ ] 10)LOCATION x~.~ rt ~- 1-.(o-,~-~ ~ [ .I)..INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] Check if chemical iS a NON Trade Secret [ ]TradeSeeret[ ] 2) Common Name: To-rot. - rOt. t. ~ ~-~ _)~ ,~'~ Co',a,t,~,o 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HF_.ALTH Hazard Categories Fire[ ]Rea~tive[)~]'Sudd~ReleaseofPressure[,~C'] Immediate Health (Acute) [,',q Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ~ Liquid [i>$'f Gas [ ] Pure [ I Mixture [',<] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACII..1TY UNITS OF, MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [r'<j'Gal [ _~;] ft3 [] a) Container. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container q~>t.e, C'~ ~' # Days on Site % ~ f C~le Which Months: All Year, J, F, M, A, M, .1, $, A, S,'O, N, D 9) MIXTURE: List COIVlPO~ CAS# % WT AHM the three most hazardous 1) t.v,, s 5-v(,,-. ~ '~ -t- ~5-2 [ ] chemical components 0r 2) i~o~.ot', (-~t; t Io3/)q- g-*-I any ~ components 3) ~',,e,~s- o~,~ p,n~.)-t t e4 g'7~'~ -'7o-~ [ ]. IO)LOCATION ~-~ t-4o~5~' $:/: I certify under penalty or'law, that I have personally examined and am familiar with the intbrmation on this and all attached documents, I believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date CITY.OF BAKERSFIELD ~' OFFICE OF ENVIRONMENTAL SERVICES . 1715'Chester Ave., Bakersfield;' CA (805) 326-3979 HAZARDOUS MAtERIALs INVENT, ORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] .,~ BUSINESS NAME - - ' FACILITY NAME SITE ADDRESS CITY STATE ZIP, NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE MAILING ADDRESS CITY "~ STATE " ZIP EMERGENCy CONTACTS · NAME ' TITLE .' BUSINESS PHONE 24 HOUR PHONE' NAME TITLE BUSINESS PHONE ~ 24 HOUR PHONE Page of Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ["~]'Revision [ ] Deletion [ ] Check if chemical is a NON Trad~ Secret [ ] Trade Secret 2) Common Name: ~-),~t~,~-t~ (~?_$a~-'x~ ~c~_ '-rv~-r~,l~ 3) DOT # (Optional) Chemical Name: AI-IM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive ['>$'] Sudd_~a Release of Pressure [ >~]"lmmediate Health (Acute) [ ~I'Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 'M f- 6) PHYSICAL STATE Solid [2~'1 Liquid [ ] Oas [ ] Pure [ ] Mixture [..~/] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ~<] Gal [ ] fO [ ] a) Containing. ~ 2, Average Daily Amount Curies [ ] b) Pressure: · ) ' Annual Amount c) Temperature Largest Size Container _go t_~ . # Days on Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXT~: List COMI~NENT CAS# % WI' AHM the three most hazardous 1 ) '~l ~- ~t~- [ chemical comlxments or 2) e~,c,~ [ any AHM components 3) -r n c C [ 10)LOCATION ~dOtc, f~t. sJ~c 'iq- i I)INVENTORYSTATuS:New[ ]Addition[,,~]Revision[ ]Deletion[ ] CheckffchemiealisaNONTradeSeeret[ ]TradeS--[ Chemical Name: AI-IM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive'[ ;~Stad_d_en Release of Pressure [,,~]' Immediate Health (Acute) [ ~"]'Delayed Health (Clxroni¢) [ 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE t4 ~' 6) PHYsicAL STATE Solid ~ Liquid ~ Cas [ ] Pure [ ]Mixtu~ [-~r] Waste [ ] Radiea~tive [ AMowrr tnars SrO E COO. . S Maximum Daily Amount Lbs [ ~]'Gal [ ;x'] fO [ ] a) Container:. // Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container MI~ ~.~ # Days on Site ~ 6 5' Circle Which Months: ~ Year. J, F, M, A, M, $, J, A, S, O, lq, D 9) MIXTURE: List COMPONENT CAS# % WT - AHM the three most hazardous 1) ~_I¢/~ [ chemical components or 2) ~ t ~ [ any AHM components 3) ~ O ~- (. [ 10)LOCATION I certify under penalty of law, that I have personally examined and am familiar with the iatbrmation on this and all attached docum~ts. I believe the submitted information is mm, accurate and complete. / \. PRINT Name & Title of Authorized Compmiy Representative Signature Date CITY OF BAKERSFIELD ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave.,. Bakersfield} C~A (805)326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSI}q-ESS NAM~ FACILITY NAME SITE ADDRESS CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE MAn.ING'ADDRESS CITY STATE .... ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24 HOUR PHONE NAME TITLE BUSINESS PHONE 24 HOUR PHONE Page of Business Name Address CI~EMICAL DESCRIPTION I)INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] CheckffchemicalisaNONTmdaSecret[ ]Trad~Secx~[ ] 2) Common Name: [-ta~,,_-ra~ ~.-,r t.}~,0~) w,~ -ro~-vn, 3)DOT#(~ptional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HF_.ALTH Hazard Categories Fh'e [ ] Reactive [~;] Sudden Release of Pressure [ ~]~ Immediate Health (Acute) [?<~] Delayed Health (Chronic) [ ] 5) WASTE CLASSIYICATION (3-digit code fn:nn DHS Form 8022) USE CODE Lt '~'' 6) PHYSICAL STATE Solid [ ~] Liquid [ ] Gas [ ] Pure [ ] Mixture [.,~(]' Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [;~] Gal [ ] 1t3 [ ] a) Containea: 1 Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~o bt, ~a< ~~-~'~ J, F, M,A, # Days on Site '~(.~ Cimle Which Months: M, J, J, A. S, O, N, D 9) MIXTURE: List COMPONENT CAS# %WT AHM ' the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 3) [ ] 10)LOCATION I)INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] Check ff chemical is a NON Trade Secrct [ ]TradaSectet[ ] Chemical Nme: · AHM [ ] CAS # 4) Physical & Health ' ' PHYSICAL HEALTH Hm,ard Categories Fire [ ] Reactive [;,.<']'Sudd_,m Release ofPresmu'e [:~] Immediate Health (Acute) [,~] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit ~ from DHS Form 8022) < USE CODE 6) ?HYsIcAL STATE So~/d [ I Liquid [. ] C-as [ ] htre[ ]' Mixtur~ [ ] Waste [ I e, adiomive [ ] 7) AMOUNT AND TIME AT FACILITY uNr~ OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ >.ri Gal [ ] fl3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~ t. ~ Days on Site 3 ~ S' Circle Which Months: ~.~')J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AHM. the three most hazardous 1) [ ] chemical components or 2) [ any AHM components 3) [ ]. ~0)LOC^TION I certiSy ander penalty of law, that I have personally examined and am familiar with the intbnnation on this and all a~ached documents. I believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 · Im .oav FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] : BUSINESS NAME FACILITY NAME SITE ADDRESs CITY STATE ZIP NATURE OF BUSINESS SIC CODE: ' DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE ~_~r~r~a XDDm~SS CITY STATE ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24 HOUR PHONE NAME .TITLE BUSINESS PHONE 24 HOUR PHONE · Page of Business Name Address CltEMICAL DESCRIPTION t) INVENTORY STATUS: New [ ] Addition [ ] Revisio~ [. ] Deletion [ ] Check ffchemical is a NON Trad~ Secret [ ] Trad~ Secret 2)Common Name: OS1 - ~oq/~oc~t3~ ~-P,t~,¢~-~.~a~,,'rot.~:~,,,,~z~ ~s~ 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazsrd Categories Fire [>,;] Reactive [~5'ySud_,J_~ Release of Pressure [~ Immediate Health (Acute) [k<5] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code fi-om DHS Form 8022) · USE CODE 6) PHYSICAL STATE Solid~/~ Liquid[tS] Gas[ ] Pure[ ] Mixture[S4' Waste[ ] Radioactive[ 7) AMOUNT AND TIME AT FACILITY uNr~ OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ~] ft3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Aunual Amount e) Temperature Largest Size Container ~ 6z # Days on Site 7t,-s- Cimle Which Months: ~ $, F, M, A, M, $, $, A, S, O, N, 9) MIXTURE: List . COMPONE/qT CAS# % WT AHM the three most txazardous 1) p~rrto~e~,,,x peeny,,* t~'~q~- 8q -~" [' chemical components or 2) ~- qo~ ~~-~-~' [ any AI-flVI components 3) f'4~a ~ c~''r I ~ ~ -~'~---7 [ 10)LOCATION 1) I2qqENTORY STATUS: New [ ]Addition[ ]Revision[~ ]Deletion[~,4 Check ifchemical is a NON Trade Secret [ ]Trad~Secret[ 2) Common Name: XA/qS-T t~' (ali L. 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Iaa~,~rdCategories Fire[',/~ReaCtive[ ]SuddenReleaseofPressure[ ] lmmediateHe, alth(Acute)[ ]DelayedHealth(Chnmi¢)[ 5) WASTE CLASSIFICA'HON (3-digit code from DHS Form 8022) USE CODE 6) ?HYS~CAL STATE Solid [ ] riquia b~l C,.s [ ] Pure [ ] Mixture [ ] Waste 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount 'v. zo ~ Lbs [ ]-Gal [~] fi3 [ ] a) Container:. Average Daily Amount ~ C~,c Curies[ ] b) Pressure: Annual Amount c) Temperature · ,~m~ ~ ~"~ Largest Size Container C ~ ~- # Days on Site '36 ( Circle Which Months: ~ F, M, A, M, $, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS// % WT AHM the three most hazardous 1) [ chemical components or 2) [ any AHM components 3) [ 10)LOCATION " I certify under penalty of law, that I have personally examined and am familiar with the intbrmation on-this and all attached documents. I believe the submitted information is true, accurate and complete. PRIlqT Name & Title of Authorized Company Representative Signature Date CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester BakerSfield, (805) Ave;, C~ 326-3979 HAZARDOUS MATERIAL'S INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM BUSINESS NAME ~--~ FACILITY NAME SITE ADDRESS CITY STATE ZIP. NATURE OF BUSINESS SIC cODE DUN & BRAI)STREET NUMBER- oWNER/OPERATOR PHONE m~n~-~mDm~SS CITY ;~ STATE " ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24 HOUR PHONE NAME TITLE BUSINESS PHONE 24 HOUR PHONE H~tRDOUS MATERIALS INVENTO~ Page of Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [;~']"Revision [. ] Deletion [ .] Check if chemical is a NON Trade Secret [ ] Trade Secret 2) Common Name: tJ$ C. p_~¢ov~'x',C t~t._ ~L,,o t-,/k~'T 3) DOT # (optional) Chemical Name: AH/VI [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [.%q Sudden Release of Pressure [,-~;] Immediate Health (Acute) [>~] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [.k-'] Gas [ ] Pure [ ] Mixture [;K] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILrrY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [~'l f t3 [ ] a) Containen q q - Average Daily Amount Curies[ ] b) Pressure: Annual Amount . c) Temperature Largest Size Container 9,*x # Days on Site '~ ~ ~- Cimle Which Months: (AIl Y~F, M, A, M_, J, J, A, S, O, lq, D 9) MIXTURE: List COMPONENT CAS# % WT AHM the three most hazardous 1) t-lin v S'to v g .I '~ I '7- 6 s- '~ [ chemical components or 2) t~e~L IS~,~ZU~_ -p~m }l ~*c.,r-t~ ~'-"~~ ~'- '7 [ any HMcomponents · 3) .~r-r~WL~'~ C,~.~(o~- IoV-a)- i [ 10)LOCATION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [. ].. Check ii'chemical is a NON Trade Secret [ i Trade Seer~ [ 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ l Reactive [ ] Sudden Relearn ofP~ssure [ ] ~mmediat~ Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION O-digit code from DHS Form 8022) USE CODE Iq 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] RadiosCdve [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] fi3 [ ] a) Containe~. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container # Days on Site Cimle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WI' AHM the three most hazardous 1) [ chemical COmponents or 2) [ any AHM components 3) [ 10 )LOCATION I certify under penalty of law, that I have pe~o~ly examined and am familiar with the intbrmation on this 'and all a~sc_hed documents. I believe the submitted information is true, accurate and COmplete. PRINT Name & Title of Authorized Company Representative Signature ' Date CITY OF BAKERSFIELD- OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester'Ave.i Bakersfield, CA (805) 326-3979 ~!-LAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CH~...CK IF B_USRqE, SS IS A FARM - BusINEss NAME FACILITY NAME SITE ADDRESS CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER OWNER/OPERATOR PHONE MAn,ING ADDRESS CITY STATE ZIP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24 HOUR PHONE NAME TITLE BUSINESS PHONE 24 HOUR PHONE Page of Business Name Address CI~MICAL I)ESCR1PTION I)I~/ENTORYSTATUS:New[ ]Addition~Revision[ ]Deletion[ ] Check if chemical is a NON Tracl~ Seeret [ ]Trad~Seer~[ 2) Common N~me: H~to~ ~O,-4 '&u~tc~Oz,~) ~cSOHOLT 0~)~u'~ 3)DOT#(0ptional) Chemical Name: AI-IM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [;K'] Reactive [ ] Sudden Release of Pressure [K~ Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid Dc] 'Oas t'~] Pure [ ]Mixture ["~] Waste [ 1, Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE COI~S Maximum Daily Amount Lbs [ ] Gal [ ] ft3 [ ] a) Contain~ Average Daily Amount Curies [ ] b) Pressure: ~1~ Annual Amount c) Temperature · Largest Size Container ~-/ o~ ceo # Days on Site ' ~$5- Circle Which Months: ~ J, F, M, A, M, J, J, A, S, O, N, D 9) ~: List COIVIPONENT CAS# % WT AHM the three most hazardous 1) 8Fr,to i.~-u.-,x 'OO:%o-~'r~ [ chemical components or 2) B t~u~tc., O~o~o ~ Pno~a.c~w-r ' [ any AHM components 3) [ I 0)LOCATION 1) INVENTORY STATUS: New [ ] Addition [~] Revision [ ] Deletion [ ] CheCk ffchemkal is a NON Trade Secret [ ] Trade Secret [ Chemical Name: AHM [ ] CAS # 4) Fhysical 8: Health FHYSICAL .HEALTH Flmard Categories F~re ['~'] Reactive [ ] Sudden Releas~ of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ S) WASTE CLASS]~qCATION (3-digit cod~ from DHS Form 8022) USE CODE td ~'' ' ' 6) PHYSICAL STATE Solid~] Liquid [~' Gas [ ] Pure [ ] Mixture [ ~ Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [2~~] ft3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container ~ ~t_ ~'v # Days on Site '~ ~ ¢ Cimle Which Months: , F, M, A, M, j, j, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AHM the three most hazardous 1) /}5~'.~,~ ,~o5~. -- ci ~. -W [ chemical components or 2) 5wor~ n,~ . ~*Cvuu-~ ~c, s~ ~ql. 2 [ uny AHM components 3) Ct, LLv~-O~[: F'~_ g~qfi~- 6~-q [ I 0 )LOCATION I certif~ under, penalty of law, that I have personally examined ~md:.am farailiar with the int'ormation on this and al! a ~.tU~d d0%meats. I believe the submitted information is Ixue, accurate and complete. ' PRINT Name & Title of Authorized Company Representative Signature . Da~e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Ch~ter Ave., Bakersfield",, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY :. FACILITY DESCRIPTION CHECK IF BU-SINEss IS A FARM [ ] FACILITY NAME SITE ADDRESS ~ $:01 0)1'/¢/~1~ C7. CITY ~[CS~b0 ' STATE ,S!¢ CODE DUN & BRAiJS~ET NUMBER. .:':-'. '... . ~~G. . ~D~SS CITY " // < '~ STA~ EMERGENCY CONTACTS -I NAME TITLE BUSINESS PHONE ' 24 HOUR. PHONE CITY OF'BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA .(805) 326-3979 SITE AND FACILITY DIaGRaM INSTRUCTIONS FOR HAZARDOUS MATERIALS MANAGEMENT PLANS These instructions explain the use of the site dia~un and the facility diagram. Normally, small .. and medium size businesses will only have to submit a site diagram. If you haVe subdivided your' __ business into smaller areas because of the complexity or size, then you will be completing and additional detail map, facility diagram, for each of these areas. Include instructions that show the route to your business it it is in a remote location. ~ SITE DIAGRAM INSTRUCTIONS The site diagramis used to show your business and to' indicate the businesses that immediately surround your property, usually within 300 feet, Ifyou will be showing specific area detail on facility diagrams, use the site diagram to show an overall layout of the plant. I/you will not be submitting facility diagrams, the site map must include all i~fthe f0Howing information:' 1. ~ Check the box on the top left comer of the form provided that indicated "Site Diagram". 2. Print the name of your business, as shown ~n your HMMP, on the top of the diagram .... 3. Label the location of the hazardous materials and ident~ them by name ~nd type of hazard (ie. Flammable liquid, corrosive solid). 4. Label the' location of utility shutoff points for gas, electric and water services. 5. Label the location offire hydrants. 6. Label portions of the buildin8 protected by automatic sprinkler systems.. 7. Label the direction representing north on the diagram. (The diagram form provided includes a north arrow). Map labelin8 must bele and easily understandable. Try to the use of'abbreviations or symbols. If you must use them, provide a iesend explainin8 your system. Maps may be returned for correction if you fail to follOw these instruction. FACI1YrY DIAGRAM INSTRUCTIONS Facility diagrams are supplements to the site diagram. Use them.to show the subdivision details of a larse business. 1. Check the box in the upper fight hand corner of the form provided that indicated "Facility Diagram". 2. Print the na~e of your business as shown on your HMMP. Print the name of the area that this map represents. This name should be the same name that you used on this area's inventory report. 3. Indicate which area the diagram represents and the total numbe~ of facility diagrams that you are in¢ludin&. If a map represented the' fu'st of four areas, it would be labeled #1 of 4. ~ ~ 4. FolloTM instruction (3 -7) for site diagrams regarding the sp~ci~¢ details to be included on each facility diagram. ~ 2 11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-00,~42JAN 1 9 199~.Pa~I 1 Overall Site with 1 Fac. Unit · General Information Location: 560~*ALDRIN CT Map:123 Haz:3 Type: 3 City : BAKERSFIELD Grid: 15D F/U: 1 AOV: 0.0 C ~c%~a~e~ ~W Title / Contact Nam~~~ Title ~A~ES A. DDMI~G ' / MANAGER ! STEVE WILLIAMS / OPERATIONS MANA Business Phone: (805) 398-0571x ~$tl Business Phone: (805) 398-0571x 24-Hour Phone : (805) ~--~x~ I' 24-Hour Phone : (805) 831-8795x Pager Phone : ( ). - x ~ Pager Phone : ( ) - x Administrative Data Mail Addrs: 5601ALDRIN CT D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93313- Co~ Code: 215-013 BAKERSFIELD STATION 13 SIC Code: 5211 Owner: CALIFORNIA WHOLESALE ~TERIAL SUP Phone: .(805) 398-0571 Address: 7330 S CRIDER AV State: CA City: PICe RIVE~ Zip: 90660- Sugary reviewed the attached hazardous materials ma~:age- merit plan for ~ ~L..~ L/a~" and that it along w,','.h any corrections constitute a complete and correct man- 0~/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 PROPANE Gas 500 High · Fire, Pressure, Immed Hlth GAL 02-006 HENRY 204 & 308 Liquid 3000 Moderate · Fire GAL 02-007 HENRY 137 Liquid 300 Moderate · Fire GAL 02-008 INTERNATIONAL EPDM BONDING ADHESIVE Liquid 150 Moderate · Fire GAL 02-005 WASTE OIL Liquid 220 Low · Fire, Delay Hlth GAL 02-004 ROOF SEALERS Liquid 5000 Unrated · Fire ~ GAL 0~/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP~Order 02-003 PROPANE Gas 500 High · Fire, Pressure, Immed Hlth GAL CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max GAL I Daily Average~GAL I Annual Amount GAL 500 ~ 300.00 _ 2,400.00 storage ~ Press T Temp~ Location FIXED PRESS. CYLINDER Iabove IAmbientlE FENCE/260FT FROM OFFICE t -- Conc Components MCP ---TGuide 100.0% IPropane IExtreme I 22 02-006 HENRY 204 & 308 Liquid 3000 Moderate · Fire GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: EMULSIFIER/DEMULSIFIER Daily Max GALI Daily Average GAL I Annual Amount GAL 3,000 I 2,000.00 10,000.00 Storage~ Press T Temp~ Location DRUM/BARREL-METALLIC IBelow ~AmbientlN SIDE OF WAREHOUSE IN REAR -- Conc Components MCP ---~uide 20 0% IAromatic Hydrocarbon I . ModerateI 27 15.0% IAsbestos, White Minimal I 31 02-007 HENRY 137 Liquid 300 Moderate · Fire ~ GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADHESIVE Daily Max GALI Daily Average GAL I Annual Amount GAL 300 i 200.00 1,000.00 Storage Press T Temp Location DRUM/BARREL-METALLIC IBelow IAmbientlE END OF WAREHOUSE. INSIDE -- Conc Components I MCP -~Guide 3.0% IEthanol IModeratel 26 3.0% IToluene IModeratel 27 10.0% IIsopropanol IModeratel 26 0~/11/96 ~LIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-008 INTERNATIONAL EPDM BONDING ADHESIVE Liquid 150 Moderate · Fire GAL CAS #: 108-88-3 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADHESIVE Daily Max GAL I Daily Average GAL I Annual Amount GAL 150 ~ 70.00 600.00 Storage Press T Temp~ Location DRUM/BARREL-METALLIC AmbientlAmbientlE END OF N WAREHOUSE -- ConcI Components I MCP ---TGuide 43.0% IT°luene IM°derateI 27 3.0%IXylene, Mixed ModerateI 27 02-005 WASTE OIL Liquid 220 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: NO Form: Liquid Type: Waste Days:' 365 Use: WASTE -- Da~ Max GAL Daily Average GAL Annual Amount GAL -- 220 I 110.00 I 400.00 Storage Press T Temp~ Location DRUM/BARREL-METALLIC Ambient/AmbientlOUTSIDE END OF YARD -- Conc~ Components ~ MCP ---7Guide 100.0% IWaste Oil, Petroleum BasedIL°w ! 27 02-004 ROOF SEALERS Liquid 5000 Unrated · Fire GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 USe: SEALER Daily Max GALI Daily Average GAL I Annual Amount GAL 5,000 I 3,000.00 8,500.00 Storage~lPress T Temp Location METAL. CONTAINR-NONDRUMIAmbient/AmDientI10FT N .FENCE/20FT N WAREHOUSE -- Conc ~ Components ~ MCP ---~uide 0~/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 page 5 00 - Overall Site~ <D> Notif./Evacuation/Medical <1> Agency Notification ~-~4~I8 RESPONSIBLE FOR AGENCY NOTIFICATION: A) CALL 911 TO NOTIFY APPROPRAITE EMERGENCY RESPONSE AGENCIES. B) IF NECESSARY CALL OFFICE OF EMERGENCY SERVICES 1-800-852-7550 <2> Employee Notif./Evacuati°n · ~RRY--PATTEKSON IS RESPONSIBLE FOR PERSONNEL NOTIFICATION BY WAY IS ISSUING A COMMAND OVER THE LOUDSPEAKER FOR EMPLOYEES TO ASSEMBLE IN EVACUATION AREA. SHE WILL THEN SUPERVISE EVACUATION. <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan ALL EMERGENCY ~DICAL ATTENTION WILL/BE TAKEN CARE OF BY SOUTHWEST URGENT CARE - 5397 TRUXTUN AVE - 322-2273.~~ IS RESPONSIBLE FOR NOTIFYING THEM AND REQUESTING AMBULANCE SERVICE IF NECESSARY. WE USE THE 911 EMERGENCY TELEPHONE SERVICE WHEN NECESSARY. 0~/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL ITEMS OTHER THAN PROPANE ARE STORED IN SEALED METAL CONTAINERS AND ARE STORED AWAY FROM HIGH TRAFFIC AREA WHICH WILL HELP TO PREVENT ACCIDENTALLY RUNNING INTO THE ITEMS AND DESTROYING THE CONTAINERS WHICH IS ABOUT THE ONLY WAY THAT THESE ITEMS COULD BE CONSIDERED HAZRDOUS. THE PROPANE IS STORED IN A PRESSURIZED CONTAINER APPROXIMATELY 70 FEET FROM ANY STRUCTURE AND IS OUT OF ALL TRAFFIC AREAS. <2> Release Containment WE KEEP AS SMALL AN INVENTORY AS IS POSSIBLE WHICH REDUCES RISK TO SOME DEGREE. WE STORE THE MATERIALS IN PAVED AREAS TO PREVENT SEEPAGE INTO THE GROUND. WHENEVER WE USE THE PROPANE TANK, WE CHECK ALL FITTINGS AND IN THE EVENT OF LOOSE FITTINGS, WE NOTIFY OUR SUPPLIER (AMERIGAS) AND ORDER THEM TO- MAKE NECESSARY REPAIRS IMMEDIATELY. <3> Clean Up THE MATERIALS WHICH WE STORE IN AND AROUND THE WAREHOUSE ARE THICK, TAR-LIKE SUBSTANCES WHICH CAN BE CLEANED UP WITH A SHOVEL WHEN IT FALLS ON TO PAVED SURFACES IN SM~LL QUANTITIES. IN THE EVENT OF LARGER SPILLS OR SPILLS ONTO UNPAVED GROUND, WE IMMEDIATELY NOTIFY GROUNDWATE RESOURCES (TELEPHONE NUMBER 835-7700), AND HAVE MATERIALS REMOVED BY THEM. WE WOULD THEN NOTIFY LOCAL E.P.A. OFFICIALS, REQUESTING INSPECTION. <4> Other Resource Activation 02/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) PROPANE - NOTIFY AMERIGAS PROPANE B) ELECTRICAL - NEAR REAR DOOR INSIDE OFFICE C) WATER - ALONG FENCE NEAR FIRE HYDRANT, 50FT NORTHEAST OF OFFICE D) SPECIAL - NbNE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WE HAVE 5 FIRE EXTINGISHERS FIRE HYDRANT - 50 FEET NORTHEAST OF OFFICE <4> Building Occupancy Level 01/11/96 CALIF WHOLESALE MATERIAL SUPPLY 215-000-000442 Page 8 00 - Overall Site <G> Training <1> Employee Training WE HAVE 23 EMPLOYEES AT'THIS FACILITY ~ WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY ~F TRAINING: WE HAVE REGULARLY SCHEDULED SAFETY MEETINGS (6 PER'YEAR/BI-MONTHLY). WE DISCUSS ALL ASPECTS OF SAFETY. MOST OF OUR POTENTIAL RISK COMES FROM THE OPERATION OF TRUCKS AND FORKLIFTS, SUBSEQUENTLY WE CENTER OUR SAFETY.TOPICS IN THE AREA OF SAFE DRIVING PROCTICES. ~WE MAKE A CONCERTED EFFORT TO HIR DRIVERS WITH EXCELLENT DRIVING RECORDS AND WE HAVE FOUND THAT THIS HAS A PROFOUND EFFECT ON THE SAFETY RECORD OF A COMPANY. EMPLOYEES ARE INFORMED AT MEETINGS AS TO LOCATION OF HAZARDOUS MATERIALS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET .:. __- , .~A.RDOUS MATERIALS, iNVENT~R~ E 51993 CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME ~'AL,¢ ~l~l<s~l~. ~tl~',~/ .~'~/~/al/V. .- FACILI~ NAME ~ ~ ~ SITE ADDRESS ~G O I ~ /2¢ 1,~ ~ Cl~ ~q ~ ( ¢ ~ 4~ I~ STATE ~ ZIP ~ ~ '~ NATURE OF BUSINESS B~, ]~ ,"q~ ~G f~,~ I ~", I~-'¢ SIC CODE DUN,& BRADSTREET NUMBER OWNER/OPERATOR ..~-r ~ ]~¢~ ,~.~/ /~(2~4.~-¢-' PHONE MAILING ADDRESS ~0) ~ /~1~ ~ C,~ ~eF,~~ STATE ~¢ EMERGENCY CONTACTS NAME ) ¢Y~ -- ' " TITLE ~ ~ BUSINESS PHONE ,.-,."~ ~'- g) 5~ I 24-HOUR PHONE BUSINESS PHONE ~ ?' O_¢7] 24-HOUR PHONE September 30, 1992 REGION V II=PC STANDARD FORM · ' BAKERSFIL D CITY FIRE DEPAR' ENT HAZARDOUS MATERIALS INVENTORY Page._of =._ BusinessName Address .5'"~,D I ~ }~/~ ~ ~~/~ CHEMICAL DESCRI~ION 1) IN~N~ORY STA~S~ New [ ] Additi6n [~ Revision [ ] ~letion [ ] Check if chemic~ is a NON ~DE SECR~ [~ T~DE SECR~ [ ] 4) PH~S~C~t-t-HE~Lm . ~ PHYSICAL H~Lm H~SD CA~GORIES Fi~e '[~ Reactive [ ] Sudden Rele~, of Pressure [ ] Immedime Health (Acute) [ I Delayed He~h (Chronic) 5) WAS~ C~SSIFICATION (3-digit code ~om DHS Fo~ 8022) USE CODE 6) PHYSICALSTA~ Solid [ I Uquid ~ . G~ [ ] Pure [ I Mi~um--[~'. W~te [ I Radioa~Ne [ l 7) AMOUNT AND nME AT FACI~ ~_~ UNITS OF M~SURE 8) STOOGE CODES M~imum D~ly Amount: {~~ lbs [ ] gal ~ ~3 [ ] ~) Cont~ner: Average Daily Amount: ~~ cudes~ [ ] b) Pressure: Annual Amount: ~~ c) Temperature: ~ . ~gest Size ~ontainer: · Days On Site 'Circle~ich Months: ~ItY~ J, F, M, A, M, J, J, A, S, O, N, D ' 9) MI~URE: Dst ~ COMPONENT, ~O~ % ~ AHM chemic~ componen~ or CHEMICAL DESCRI~ION ' 1) IN~NTORY STA~S: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ~ chemic~ is a NON T~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common N~e: 3) ~T · (opfion~) Chemic~ Name: AHM [ ] CAS · ~) PHYSICAL & H~L~ PHYSICAL H~RD CATEGORIES Fire [ ] Reactive [ ] Sudden Rele~e of Pressure [ ] Immediate He~th (Acute) [ ] ~leyed He~th (Chronic) [ ] 5) WASTE C~SSIFICATION (~digit code ~om DHS Form 8022} USE CODE 6) PHYSICAL STA~ Solid [ ] Nquid [ ] G~ [ ] Pure [ ] Minute [ ] W~te [ ] Radiosctive [ ~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: lbs [ ] g~ [ ]' ~3 [ ] a} Cont~ner: Average D~ly Amount: cudes [ ] b) Pressure: Annu~ Amount: c} Tempermure: ~gest Size Contmner: -~ · Oays On Site Circle~ich Months:' AllYe~, J. F, M, A, M, J, J. A, S, O, N, D 9) MITRE: Nst COMPONENT CAS · % ~ AHM the three most h~dous 1) [ ] chemi~ com~nenm or ~y AHM com~nents 2) '~ [ ] 3), [ 10) Lo~ion [ ce~W under pen~ of law, ~at I have pemonally examin~ ~d ~ f~ili~ wi~ ~e infomaSon submi~ on ~is ~d all a~ch~ documenm. submi~ info.aBort is ~e, accurate, and complete. PRINT Name & Title of AUthorized Company Representa~'ve Signature Date CITY of BAKERSFIELD FIRE DEPARTMENT (.){t-.-- m.,%'[ 2101 H STREET s. D. JOHNSON January 6, 1993 9~¢~'Y~9 BAKERSFIELD,93301 FIRE CHIEF 326-3911 Mr. Jim Demming Calply 5601 Aldrin Court Bakersfield, CA 93313 . Jim: Enclosed are copies of the correspondence requesting and nOtice of violation · regarding Calply's hazardous material inventory and site diagram updates. I have also enclosed the forms necessary to supply this information. As we discussed on the phone, this information is long overdue. In order to avoid a citation, you will need to submit the inventory additions and map revision to this office by January 20, 1993. Please call me at 326-3979 if you have questions or need assistance completing the forms. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey FIRE DEPARTMENT November 17, 1992 2~0~ H STR£ET Mr. Steve Williams: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE In the inspection of your business Calply, located at 5601 Aldrin Court, Bakersfield, CA 93313 on August 21, 1992 the ~following hazardous materialsregUla~ion..v.io~a~ion2s~We~ identified: 1. The hazardous materials inventory was incomplete. 150 gallons of'rubber adhesive and 55 gallons of 15-40 weight motor oil have not been reported. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(a)(1-4) (a)The'annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal.to or greater than the quantities specified in subdivision (a) of Section 25503.5: .~ (1) A listing of the chemical-name and common names of every hazardous substance or chemiCal product handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste listed by probable maximum and minimum · concentrations, of every hazardous waste ~ handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs .(1), (2)~ and (3) wh±ch is handled at any one time by the busines~ over the course of the year. i 2. ~ The hazardous materials site map was current. VIOLATION OF'CALIFORNIA HEALTH & SAFETY CODE CHAPTER ~.95, SECTION 25509 Inventory forms; contents; amount of hazardous mata.rial; federal requirements (a)(5) Sufficient· information on how~and~where.t.he hazardous-materials disclosed in paragraphs (1),(2), and (3) are handled by the business to J allow fire, safety, health, and other· appropriate personnel to preDare adequate emergency responses to potential releases of the hazardous materials. 'A copy of previous correspondence requesting this information is enclosed. Blank forms to be used to revise the site diagram and the hazardous materials inventory are also enclosed. The above violations must be Corrected by December 17, 1992. Failure to correct these violations will result in enforcement action. The department will schedule a re- inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact me at 326-'3979. Sincerely, ~.,~, ~/ Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey, Hazardous Materials Coordinator M£Chael Allford, Deputy City Attorney captain Stan Perry CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S, 'D. JOHNSON ' september 10, 1992 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Mr. Steve Williams Calply 5601 Aldrin Court Bakersfield, CA. 93313 Mr. Williams: A recent, hazardous materials inspection at your facility revealed that. the site diagram for is no longer accurate. Please use the enclosed forms to complete a revision of the hazardous materials management Plan map. Additions must also be made to the hazardous materials inventory. The inspectors noted that 150 gallons of rubber adhesiVe and 55 gallons of motor, oil 'have not been reported. Use the enclosed inventory form and instructions to add these materials to the existing inventory. These revisions to Calply's hazardous materials management plan map and inventory must be submitted to the Hazardous Materials Division, 2130 G Street, Bakersfield 93301' by October 12 1992. Please call me at 326-3979 if you have any questions. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Captain Start Perry · O , Bak~e~sfield I ire Dep .l~ .~ '/ _ ' HAZARDOUS MATERIALS DIVISION . ',' :..'*' Date Completed ~'~, 7_t ~ 1~%7.., , .... · RECEIVED Business Name:... (~ q).\ C~ . . " Loc--ation: · .%1.,,c')\ AUG 5 I 1092.1 HAZ. MAT. DIV. Business Identification No. 215-000 O:X:>,q ~'?-- {Top of Business Plan) _.. StationNo. ~"~ 'S~ift~5 Inspector ~o_~.. ?¢,(¢.-~, , cr..~c\, ?~o.~) :, ~,,~ ~:x¢-~o .- Adequate Inadequate -- ... Verification of Inventory Materials ~ ~ ._.:i: ....... : .... --," .. " Verification of QuantitiesI~' ~ ' Verification of LocationI~ ' ' ' ' . 'Proper Segregation of Material comments: '-' "- VerifiCation of MSDS Availablity ~ ~ ~-. ~ Number of EmploYees Z.~ _~(b.~".~,z.). ~-~ Verification of Haz.Mat Training ~' ~ o'~ ~ ,~"~-- Comments: ~" Verification of Abatement Supplies & Procedures ~ I~] ~ /¥"'-'- ' · Comments: Emergency Procedures Posted ~ Containers Properly Labeled .-' Comments: - . _ Verification of Facility Diagram ~ ~ ~.,\',~ Special H~ards AssOciated with this Facility:  · , ~ . All Items O.K. . _ _ _ .. '- n ,,;~,,.,orre,.,,.,n Needed "~.r""-i .. 'Duo,ness""":'-" '~-- -'" -uwner/~anager :. . ... .. · . .FD 1652 (Rev. !-90) -' ' White-Haz Mat Div. - Yellow-Station Copy Pir~k-Business Copy Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street ~ECE~¥EO "Bakersfield, CA. 93301 HAR 2.7 1991 ' A,s'~ ............ BUSlNESSNAME: C/~L jo~.y MAILING ADDRESS: ~ " DUN · BRADSTREET NUMBER: SIC CODE; ~E~TION 2: EMERGENCY NOTIFICATION: .... CONTACf TITLE BUS. PHONE 24 HR. PHONE FDI - Bakersfield ~ire Dep[.. '~' ~ Hazardous Materials Division .... -HAZARDOUS MATERIALS MANAGEMENT P~N S~CTION 3: TRAININ~: NUMBER OF EMPLOYESS: '~5" MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: ~EMPTION REQUE~: I CERTIFY UNDE~ PENALTY OF ~E~JURY THAT MY BUSINESS IS ~EMPT FROM RE~ORTING REQUIREMENTS OF CHAPTER 6.95 OF TH~ "CALIFORNIA H~LTH SAFEW CODE". FOR THE FOLEOWING ~EASONS: WE 'DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDoUs MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, /~" ~.~1'~ r14" ri q~ CERTIFY THAT THE ABOVE INFO R- ~,,,,~'~o, ,s ,,,,ccu,^'~. ~ u,,,~t~¢^~ ~',,,,,~' 'r,,s ~,or~,,,'rlo, w,,.,_ ~ us~ o,,, ,,,,,zA~ous ~,,,,~',r~,,,,~.s '<~,v. 2o c,,,,,-,, ~.9~ sac. 2~oo ~-r ,,,,.) ^,~ 'r,,,,~' Ba rsfield Fire De~ Hazardous Materials Division · HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: JIM DEMING IS RESPONSIBLE FOR AGENCY NO"['IFICATION: A) [;ALL 911 TO NOTIFY APPROPRCqlTE EMERGENCY RESPONSE AGENCIES.· B) IF' NECESSARY CALL OFFICE OF EMERGENCY SERVICES 1 8o0-8~-~o B. EMPLOYEE NOTIFICATION AND EVACUATION: TERRY PATTERSON IS RESPONSIBL_E FOR PERSONNEL NOTIFICATION BY WAY IS ISSUING A COMMAND OVER THE LOUDSPEAKER FOR EMPLOYEES ]"0 ASSEMBLE IN EVACUATION AREA. SHE WILL THEN SUPERVISE EVACUATION. C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN' ALL. EMERGENCY MEDICAL A"F'TENTION WILL BE TAKEN CARE OF BY SOU'fHWEST URGEN]' CARE - 5397 TRUXTUN AVE - 322-22'73. JiM DEMING IS RESPONSIBLE FOR NOTIFYING 'f'FIEM AND REQUESTING AMBULANCE SERVICE IF:' NECESSARY. WE USE THE 911 EMERGENCY TELEPHONE SERVICE WHEN NECESSARY. 02/26/~,~( [}ALIFORNI HOL~:~SALE MATERIAL SUP' 2 ~000-00044R Page 4 00 - Overall Site ~'~E'. ~//D ~__.~ <E> H i t i gat i or,/Preve't,t/Abat emt Re 1 ease Prever~t i,:,'r~ ~11 items other than propane are stoced in sealed metal oontainers and are stored 'away ~rom high traffic areas whioh will help to .prevent aooidentally runnin~ the items and d~stroyin~ the o°ntainers whioh is about the only way that ~hese items oould be oonsidered hasardous. ?he propane is stored in a pressuriseO oontainer approximately 70 ~eet ~rom any struoture and is out o~ all trample areas. <~> Release Cor~tair, mer~t We keep as small an inventory as is possible which reduces risk to some degree. We store the materials in paved areas to prevent seepage into the ground. When- ever we use the propane tank, we check all fittings and in the event of loose fittings, we notify our supplier (Amerigas) and order them to make necessary repairs immediately. Clear, Up The materials which we store in and around the warehouse are thick, tar-like substances which can be cleaned upwith a shovel when it falls on to paved surfaces in small quantities. In the event of larger spills or spills onto unpaved ground, we immediately notify Groundwater resources (telephone # 835-7700), and have materials removed by them. We would then notify local E.P.A. officials, requesting inspection. SECTION 8: UTILITY SHUT-OFFS ~LOCATION OF SHUT-OFFS AT YOUR FACILITY)' A) PROPANE - NOTIFY /~/~1~ PROPANE B) ELECTRICAL - NEAR REAR DOOR INSIDE OFFICE C) WATER - ALONG FENCE NEAR FIRE HYDRANT, 5OFT N[]R'I"F.]EAST JIF OFFICE -~ ....... -~ } ............ ~ ....... : - ~ C~"~ ........... ._.' .._ .' LOCI( BOX: 'YES/~) IF YES, LOCATION: ~>~ ~ire Protec. /Avail. Water ? PRIVATE-FIRE PROTECI'ION - ??????????? We have 5 fire extinguishers placed strategically around the premises (see map). Our office is equipped with hea'¢ acls£vated sensors during off duty hours. These sensors set off alarms and emergency services are contacted by alarm company. FIRE HYDRANT - 5(]) FEET NORTHEAST OF' OFFICE <4> Held f,-,r Future use 0 expansion ~w ~.*~ ~:~ ~~:7'.,.': *" . '% ~E~ ~ /¢' ¢'¢'~'~' ... ~. / ~ .... T ~ ." ~ /.,' ';~' future umbrella O; / , , ~ STORAGE YARD ..... . /// ,?' ~?' / .. ..' /, , ..,, ~,~, / / ... ,., ,.?..:-. /' / ' ~e/ ':" ""~' /,.:~ $, ' future umbrella ,,'t, ~ .... ~" ~ ~ ~'X ..... railroad spur easement CITY of BAKERSFIELD Farm and Agriculture U standard Business ~,I;IAZAR'DOUS MATERTALS INVENTORY ' NON._~T RA DE SECRETS BUSINESS NAME'O-A P -y' OWNER NAME' do~ ~Mcr_,~ev"o NAME OF THIS FACILITY' LOCATION: ~- ~JF~ . ~ , ' ADDRESS: ~"~ ~: C~~ ~u~ D~ND~D_~D~_~S. PHONE. ~'. Do~ , _~e~/- " PHONE ~'~ ~ -~]-~ - ~/ ........ 1 2 3 4 5 6 7 8 9 10 11 Trans tyne Max Average Annual Measure onl 5Ice ~y~ ConLType Cant Cant Use Location. WheRe.In PaClllCy Code CODe 'AmC AmC ESt UniCa Press TemD Code Stored Physical 8nd Health H~rd v -~C.A.S. Component II Namet C.A.S. Number ,Check all th,t "PMY) Numb~  Component 12 Na~e ~ C.A,S, Humber re Hazard U Reactivity U DelayedHeaTth U SuddenofPressureRelease U Immediate Health ~ Component 13 Name & C.A.S. Number ¢ire Hazard U Reactivity:, U DelayeOHeaith O SuddenofPressureRelease U 'tamediateC°mp°nentHealth: 12 Na,e,C.A.S. Humber Componen~ 13 Name & C,A.S, Number " Component 12 Name & C.A.S. Number ~ire Hazard O Reactivity 0 Delayed ~ Sudden Release 0 Immediate Heal[h of Pressure Health Component I3 Name S C.A.S. Number I PhysicA'1.O~OHe81th,llard C,A.S. Humber ComponenCll Name&C.A.S, Number (Check ell that apply) ~Hazard U Reactivity ~U Sudden Release U lm~i~c°mp°nentf2 Name'c'A'S: Number of Pressure Component ~3 Name & C.A.S. Humber Certifi~a~io · Re and f naf er corn 1 C lng. a 1 l. secC ions) . . I cer~l~y..~.un~er pena,~X O~g, Ch,C I ~avF pe[sona~:ly, examlnq~,q~ ~,/ fam, llar.~ltb the ,nfor,stlon ,u~,ltted inthis ~ at[acned~cv~en[s, an~ [~baseo 0n.~y tnqu~rF Qt.[nose inDiViDUalS responsiu~e for obta~nin~ the ~nror~at~on. I belier' sub~tt.gdj lo,or,at:on I~ru~ accurate, and co~pJece. ~ . . ~ ~ . .Bakersfield'Fire Dept': ~: ~ :. .' HA7_~RDOUS MAIERIALS DIVISION -. " ' " Date Completed ' ' Business 'd~ntifi~ati°n N°: * 21~000 07, .inspector Stat~o, No.' /g Sh~ Adequate' InadeqUate ' Verification of Invento~ Materials · . - Verification of Quantities ' ... Ver~ication of Locaion ' Proper Segregation of Materi~ Comments: _~ ~~~ Verification of MSDS Availabli~ Number of Employees ~ ~ / . VerifiCation of H~ Mat Training Comme. : Verification of Abaeme~ Sbpplies & Procedures ' Comments: Emergency Procedures Posted ~.. Containers Properly Labeled -J~] J~J Comments: ~ ./~ .~.~t~'~ ~_~ ~-- . · - Verification of Facility Diagram .. J~] J~] - Special Hazards Associated with this Facility: . /Z)/_.~j--~--. '-' . COrrection'Needed .. ./ BuSiness Owner/Manager '. ' .' ED 16.52 (Rev. 1-90) ' .' .. ' ~' White:H~ Mat Div. Yellow-Station Copy .Pink-Busi.ness Copy -- February 26~ I991 Mr. Steve Williams California Wholesale Material Supply Inc. 5601Aldrin Ct. Bakersfield~ Ca.' ~93313 Dear Mr. Williams~ £nclosed please find forms to comple£e your chemicml inventory update as well as your site and facility diagrams. Your Hazardous Materials inspection completed on February 1~ 1991' indicated that revisions were necessary in these arems. This follows m letter that was sent to you on January 30~ 1991 requesting that you make the necesssry changes to your, business plan. Please revise the appropriate forms and return them to our office by'March 10~ 19B1.~ If I cmn be of any further assistance please do not hesitate to call. Sincerely fHazardous Materials Coordinator ..i;.: CITY of BAKERSFIELD ~ ~ ..:,, O. S NEEDHAM BAKERSFIELD 93301 FIRE .... CHIEF ....... ....... , 326-3911 Dear Business Owner:~ , This notice is meant to act as a reminder that the California Health and Safety Code, Chapter 6.98, requires any handler of hazardous materials to revise their hazardous materials business plan within 30 days of any one of the following events: (1) A 100 per cent Or more'increase in the quantity of a previously-disclosed material. (2) Any handling of a previously-undisclosed hazardous material, subject to the inventory requirements of Chapter 6.95. (3) ~hange in business ownership. .(4) Change in business address. (§) Change ~ business name. Any questions regarding these required revisions, please call the Hazardous Materials Division at (805) 326-3979. · Sincerely yours, alch E. ~ dous Materials Coordinator REH/d BAKERSFIELD FIRE DEPARTMENT Date APPLICATION Application I.n conformity with provisions of pertinent ordinances, codes and/or regulations, application is rnac~e by: " Name of ~.oml:~r~; / ~/ Address to display, store, install, use, operate, sell or handle materials or .processes involving or creating con- ditions deemed hazardous to life or property as follows: RESOURCE MANAGEMENT AGENCY  Environmental Health Services Department RANDALL L. ABBOTT STEVE McCALLEY, REHS, DIRECTOR DIRECTOR Air Pollution Control District DAVID PRICE III WlLLUO~ J. RODDY, APCO ASSISTANT DIRECTOR Planning & Development Services Department~' TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOP, PERMANENT ~ PERMIT NUMBER A 1354-31 OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY .-' FACILITY NAME/-ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: CAL .PLY Joe Zucchero Groundwater Resources, Inc. 5601 Aldrin Ct. 7330 S. Cider 5400 Aldrin Ct. Bakersfield, CA Pico Rivers, CA 90660 Bakersfield, CA 93313 License #520768 Phone: (213) 949-5421 Phone: (805) 835-7700 PERMIT· FOR CLOSURE OF PERMIT EXPIRES February 19, 1991 2 TANK(S) AT ABOVE APPROVAL DATE November 19i 1990 Hazar~dfis Materials Specialist ........................................ J~ ..................................... POST ON PREMISES .............................................................................. · CONDITIONS AS FOLLOWS: 1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work (i.e.~ City Fire and Building Departments). 2, Permittee must noilly thc Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to arrange for required inspections(s). 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is thc contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. 5. Thc tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience prior to working unsupervised. 6. If any contractors other than those listed on permit and permit application are to bc utilized, prior approval must be granted by thc specialist listed on the permit. Deviation from the submitted application is not allowed. 7. Soil Sampling: a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank al depths of approximately two feet and six feet. b. Tank size greater thaa 1,000 to 10,000 gallons - a minimum of four samples must be retrieved one-third of. thc wayin from the ends of each tank at depths of approximately two feet and six feet. c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved one-fourth of tile way in from the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet . 8. Soil Sampling (piping area): A minimum of two samples must be rctrieved at depths of approximately two feet and six feet for every 15 lineal' feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93a01 (805) 861-ada6 FAX: (805) 861-3429' PERMIT FOR'PERMANENT ~ PERMIT NUMBER A 1354-31 OF UNDERGROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 9. Soil Sampl/: analysis: . a. All soil sampl~ retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons (for gasoline). b. All soil samples retrieved front beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene. c. All soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. d. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. e. All soil samples retrieved from beneath tanks and appurtenances that ~:ontain unknown substances must be analyzed for a full range of substances that may have been stored within the tank. 10. The following timetable lists pre~ and post-tank removal requirements: -- . ACTIVITY DEADLINE Complete permit application submitted Al least two weeks prior to closure to Hazardous Materials Management Program Notification to inspector listed on permit of d'ate Two. working days and time of closure and soil sampling Transportation and tracking forms sent to Hazardous No later than 5 working days for tt~ansportation and 14 working Materials Management Program. All hazardous waste days for the 'tracking form after tank removal manifests must be signed by the receiver of the ., hazardous waste Sample analysis to Hazardous Materials Management No later than 3 working days after Completion of analysis - Program 11. Purging/Inerting Co'nditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41.700) b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) No emission shall result in odors detectable at or beyond property line. (Rule 419) d. No emission shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700) e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal. RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removals to ensure thfit the tanks are safe to remove/close and that the overall job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this department. 1. .10b site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSHA regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule, workers are not permitted in improperly sloped excavations or when unsafe conditions exist in the hole. 'Tools and equipment are to be used only for their designgd function. For example, backhoe buckets are never substituted for ladders. 2. Properly licensed, contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and abiding by the conditions of the permit. Deviation from the permit conditions may result in a stop-work order. 3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests and analyses documentation are necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will increase. Acce~led. By: //' _ .OWN'I::~{ OR AGENT _ -! L~AT'E WGN:cas _ \ 1354-31.ptc I~~ Bakersfield Fire Dept. Hazardous Materials Division RECi/IVED 2130 "G" Street I~R 2 0 1990 - (~p~-~ Bakersfield, CA. 93301 H~Z. MAT. HAZARDOUS MATI:RIAL$ MANAGI::MI:NT PLAN 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: * BUSINESS IDENTIFICATION-DATA 'MAILING ADDRESS: ~A~ ~ CITY: STATE: ~ ZIP: PHONE: DUN & BRADSTREET NUMBER' SIC CODE' PRIMARY ACTIVITY' 8/~' /4]/i3 N~t~'",~. /~" MAILING ADDRESS: '7~'~2 v.,?, ~P~ 4V~, ~eO SECTION ~: EMEE~ENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR, PHONE 1 FDI$90 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ~BECT~ON S: I~A~N~N~: '~'O~ER OF EMPLOYESS: ~ I MATERIAL SAFETY DATA SHEETS ON FILE: (~ BRIEF SUMMARY OF TRAINING PROGRAM: ' SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. · WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER (SPECIFY REASON) SECTION $: CERTIFICATION: '1, ~ rl~&~ ~ i,4,~ I X~-_,,~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNOERSTANOTHATTHISINFORMATION 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 THAT INACCURATE INFORMATION CONSTITUTES PERJURY. T~LE DATE 2. FD15~ Bakersfield Fire Dept.~ Hazardous Materials Divisional" HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES' B. EMPLOYEE NOTIFICATION AND EVACUATION: C, PUBLIC EVACUATION: ~/a C ~ ~, ~. D, EMERGENCY MEDICAL PLAN: Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): SPECIAL: LOCK BOX: YES/~---) IF YES, LOCATION: SECTION 9: pRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fi ~- e ~ B, WATER AVAILABILITY (FIRE HYDRANT): -5~'-~"~ J0er~)l~is-J 4, FD159g '~'~£JFOPF, NI~ WHOLESALE MATJ~R-JA[ ~'UPPL~, iNC.' · - . CITY of BAKERSFIELD c tar. and Agriculture U ~S~n~r~gusiness ~ ,:..' L,:,' NON TR~n~ e~~~ P~ ~ ' of Trans ]y~e Hax Av?r~ge Annual Heasure I ~ont ~ont '. Cont Us Locqtjon?e[e. H~xture/Co~Donents Code cooe Ami Amc Est Un,ts on ~ype yress iemp Code See: lnstru~tons Physical Io~ Health Hazard C.A.5. Numb~ . Component II Name t C.A.S. Number ICheck al/ ChaL appl~J Componen& 12 Name I C.A.S. Number Fire Hazard ~ Reac&iviky ~ Delayed ~Sudden Release ~ Immediate Hea lob of Pressure Hea lkh - ComponenL 13 Name I C.A.S. Number / Physical a~d Bealth ualard C.A.S. Number ~ Componen~ II Name I C.A.S~Number / ICheck all ~haC applll Componen~ Name C.A,S, Number ~ire Hazard ~ Reac~ivi&y ~ Delayed ~ Sudden Release ~ Immediate Hea ICh of Pressure Heal&~ Componen& 13 Name I C.A,S. Number Physical and HellJh Ualard C.A.S. Number ' . Componen~ II Name I C.A.S. Number JCheck all Jha~ 8pp/JJ C~mponeflk Name C.A,S, Number ~ire Hazard a ReacCiviky B Delayed a Sudden Release a lmmedim Hea ICh of Pressure HealCb --. ~O ~o~ ~J '. Componen~ 13 Name I C.A.S. Number (Physical Ifld Health Usl8rd C.A.S. Number CoAponenC II N8Ai I'C.A.S. Number Compoflen~ I~ Nsm~ I C.A.S. Number ~iire Hazard a Reac&ivi~i B Delayed B Sudden Release B Imm~di~.~ He8 l~h of Pressure He~l~ Componen~ 13 Name I C.A,S. NuAber :EHERGENCY CONTACTS fll ~ ~,~ ~ ,~J/)~. '. ~ 24. Hr ~P~ne ' Ti~cf 2I~t Phone erti[j;atioq '.(Rep~ an~.~ign af~pr compl~tiog.~11 sec~ipn~) cer~ty unaer pena~ ol~a~ th{~ I navepetsonal~Y, exaalnqeeqa {a ~aai~la[.Vit~the in~o[aa~pn ~u~aitt~ in this.end all aL'~aChed.dec~aen~, an~ tba~ ~asea on.my ~nqu~ry 9Ltnose ~n~vloua~s responsible ~or obtaining ~ne ln~oraa~lOn, I be~eve that the ~m~e~Oficjaj [1(1~ et o nerlop~ra~or u o ne~ o aut6o~ea representauve~ ~lgnacure / NORTH SCALE~. i :,: .iD0~ BUS. tNESS NAME: · - , . F.LOOR'.' '~0~:''::':. '~-:- ~ ~ DATE:~../_Z[ FACIL'ITY,.N~E: ' -; . .? -'. - ', .UNIT'S: OF '(C~c~ os~) S~T~ ~6~' ' / F~C~L~'~ ~6~.~ / Bakersfield Fire lYept. · Hazardous Materials Inspection-...DE Date Complethd-:?~c!l-}~:.~ ~. 9:%~:~ Location: ~ g 0 ~ / A ~"' · ". -, -.~1-~ ' '.. ;' ', ' , ' '~Plan ID ff 2!~-0.00'o0o~.~ Z,(Top ~ght come?.~usiness Plan) .... . · Inspector '~ e ~ d ~,~ [¢ s a ~" · Adequate Inadequate Ve~ficafion of Invento~ Materials Ve~ficafion of Quantities ' ' Ve~ficafion of Location ~oper Se~egafion of Matefi~ Ve~cation of MSDS Availabfli~ Nmber of~ployees VeNficafion of Haz Mat TraiNng Comments: Verification of Abatement Supplies & Procedures Comments: .Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards Associated with this Facility: / ;, FD 1652 (Rev. 3-89) White-Haz Mat Div.. Yellow-Station Copy Pink-Business Office  BAKERSFIELD CITY FIRE DEPARTMENT 2130 "O" STREET BAKERSFIELD, CA 93301 (805) 326-3979 - - ID#.. USINESS NAME __ HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE 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 m. BUSINESS NAME: B. LOCATION / STREET Am)RESS': SECTION 2: EMERGENCY NOTIFICATIONS In c~se 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: NAM~_.AND TITLE -, DURING BUS. HRS. AFTER BUS. HRS. B. Pkil SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE :,-, B. ELECTRICAL: ~CCI~' Rea~- ~- o'~c ,Mc-£,'~e irts,~e o+&'~ce _ D. SPECIAL: ~O~DIIm~ E. LOCK BOX~ YES / NO IF'YEg, LOCATION:',,.~[&~ .. IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS9 YES / NO KEYS? YES / NO - 2A - SECTION ~ PRIVAT~ RESPONSE TEA~ FOR BUSINESS AS A I~-IOLE ?eresa ~atterson is the emergency response ~aptain for the facility. She-is'responsible for notification of all personnel by issuing a command over our Zood speaker to meet ,in the evacuation are~, Zf power shut-offs are nec.essary, Phil Haws is responsible to turn off electricity both in office and ~t-:fuel storage island; Dave Sudaria is responsible-for ~e~cl~-Fjr2g-¥medm-~cal~:h.~p..~7 Jim Deming is responsible for calling appropriate civil authority. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR"BUSINESSAS A WHOLE All-~.e~ergency medical attention will be taken care of by South- west~?~g~-~.....~.,~.,,. ~ Care Ce~n,~e~,~7~.~ Truxtun Ave. Jim Deming is respon- sibIe for notifyi~g~"~n-em,~a~,~ requesting ambulance service if necess- ary. We use the '9l~'~ emergency telephone service when necessary. " 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 NO NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCI'ES: ................ ' .......... (.Y~NO ~'~Y~ NO C. PROPER USE OF SAFETy EQUIPMENT:i..~ ............ ' .... ~ NO ~. NO D. EMERGENCY EVACUATION PROCEDURES: ................. ~ ~NO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... N© YES NO SECTION ?: HAZARDOUS NATERIAL C I RCLEQ~YE~/~ NO_/ ' ' DOES YO~7~U~f~ESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES. LESS THAN 500 POUNDS OF~ SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: .... ... YES(~NO~ I, J~me~ A. D~min~ , certify that the above, information is accurate. I understand that th~s 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 ~E.General Manager DATE' 6122/87 BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: ~'a / /~0%NER NAME: ~obev4- ~3 P~CJ ~a~[~v u.~, { ,,o~v 1 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. CHEMIqAL OR COMMON NAME CODE GUIDE 'NAME: ~4~e~ )e/~,,%? TITLE: e'/[ S G.~ATURE F~~-, DATE: ~MERGENCY CONTACT: ~im r~/~ T : ~e,~,_ ~O~ . PHONg * S: 3~W , ' AFTER BUS HRS: EMERGENCY CONTACT: ~// ~J3, ,, TITLE: ~ ~ . PHONE ~ BUS BOURS: ~RINCIPAL BUSINESS ACTIVITY: ~u,~.~% ~d~e/';~ ~a~-~ AFTER BUS HRS: - 4A-1 -