Loading...
HomeMy WebLinkAboutBUSINESS PLAN 3/22/1996 .' SITE DIAGRAM I-'--q ,,--.-. -- ,- FACC. LITY D_IAGRAM ./-' ., ,~,L¢,~% ~ ~~ . ~ Business Name: Business Address: 2148 BRICYN LANE BAKERSFIELD, CA. For Office Use Only First In Station: Area Map # of Inspection Station: NORTH Water Bur'r St.~._~-~¢*~--- 7~ Mai.Q ......... -  Kitchen ~ J Hall Way ~ Office ' ~ ~ ~ 8toraoe ~ Shop ~ ~ eat.room Office ~ Bathroom J J Bathroom Office 5 Office J j Gas Fuel Island cut off Main  lsland ~ Fire Extinguisher Z · Location / SITE DIAGRAM FACILITY DIAGRAM J~usJrless Name: PACIFIC WESTERN TRANSPORT Business Address; 2148 BRICYN LANE BAKERSFIELD, CA. For Office Use Only First In ,Station: Area Map # et Inspection Station: NORTH ~ G Driving Range O Burr o ;. i~ water JJ ANDERSONICS APEX g~' diesel fuel TrUcking Fi e Hydrant HMO'VIP PLAN~ MAP SITE DIAGRAM ~ FACILITY DIAGRAM I-~ Business Name: ~:'~/~O~t ~--~C~ Business Address: ~.~ I For Office Use Only First In Station: Area Map # of Inspection Station: NORTH ITE DIAGRAM F--"-I FACILITY DIAGRAM Business Name: Business Address: For Office Use Only First In Station: Area Map # of Inspection Station: NORTH Hi MP PLAi MAP SITE DIAGRAM FACILITY DIAGRAM · Business Name: Business Address: For OffiCe Use Only First In Station: Area Map # of Inspection Station: NORTH ~/% Driving Range Burr St. [] water ~_.,~,,~!'t engine oil i ~ ANDERSONICS APEX gas ~ diesel fuel' Tru cE in g co~u~.~,~ ~, Liquid ' HS MP PLA MAP SITE DIAGRAM ~ FACILITY DIAGRAM Business Name: PACIFIC WESTERN TRANSPORT 2148 BRICYN LANE BAKERSFIELD Business Address: FOr Office Use Only First In Station: Area Map # of Inspection Station: NORTH Water Burr St. ~ Main t" IHa~ Way ~ office , ® ~ 't:: _i 8tora~e -- ~ Bathroom Office ~ I ] ~ Bat.room ~ Bathr~m. ~ Electric ~ ~ Main , . m ~ ~8 Fuel Island cut of __ Main ~ .I Fuel ~ IslandI ~ Fire E~inguisher '~"~, ~V~?~?,~ 0 Location 05/02~96 ATLAS BULK CARRIERS WEST PACK(96) 215-000-000097 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2148 BRICYN LN Map:102 Haz:0 Type: 3 City : BAKERSFIELD Grid: 26A F/U: 1 AOV: 0.0 ~on~act Name Title Contact Name ~ . Business Phone: (805) ~ Business Phone: 24-Hour Phone : (805) 032'"035Jx ~ 24-Hour Phone : (805) Pager Phone : ( ) ~?A=~$~x J Pager Phone : ( ) - x Administrative Data Mail Addrs: P O BOX 227 D&B Number: 04-433-5388 City: PARAMOUNT State: CA Zip: 90723- Comm Code: 215-086 OUT OF:BUSINESS/HAZ-MATL'S SIC Code: 5172 Owner: ALTAS INC Phone: (213) 722-0937 Address: P O BOX 227 State: CA City: PARAMOUNT Zip: 90723- Summary I, ,./~,-,-,.~/'/,~,,e Do hereby certify that I have reviewed the a~ached h~ardous ma~efiats m;~:age- merit plan for4~s~/~.~ and tha~ it ~don~ with any ~rr~t~ons constitute a comp;~te and co~e~ man- agement plan for my facili~. 05/02/96 ATLAS BULK CARRIERS WEST PACK(96) 215-000-000097 Page 2 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification NOTIFY FIRE DEPT - 327-7111 OR 911 NOTIFY POLICE DEPT - 324-4542 OR 911 NOTIFY HAZ MAT DIV - 326-3979 NOTIFY KERN ENV SVC - (800) 332-5376 <2> Employee Notif./Evacuation SPREAD THE ALARM BY WORD OF MOUTH OR BY INTERCOM, WHICH EVER IS SAFEST. MOST EMPLOYEES WILL EXIT BLDG THROUGH THE FRONT (WEST) DOOR. DISPATCH WILL EXIT TO THE SOUTH. <3> Public Notif./Evacuation CALLS TO BUSINESSES CLOSE BY IF THERE IS A FIRE: ANDERSONICS - 631-8940 APEX TRUCKING - 323-7195 (IRON HORSE EQUIPMENT CO.) <4> Emergency Medical Plan TRANSPORT TO NEAREST HOSPITAL OF CHOICE, MERCY OR MEMORIAL. 05/02/96 ATLAS BULK CARRIERS WEST PACK(96) 215-000-000097 Page 3 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MONTHLY INSPECTION OF HAZARDOUS MATERIAL CONTAINERS ON THE FACILITY. <2> Release Containment SPILL KITS AVAILABLE AT BOTH LOCATIONS, DIESEL FUEL TANK AND ENGINE OIL TANK. <3> Clean Up CALL KERN ENVIRONMENTAL SERVICES FOR CLEANUP AND REMOVAL. <4> Other Resource Activation 05/02/96 ATLAS BULK CARRIERS WEST PACK(96) 215-000-000097 Page 4 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE S WALL NEAR W END OF BLDG B) ELECTRICAL - INSIDE S WALL IN DISPATCH OFFICE C) WATER - N SIDE OF BLDG NEAR CENTER D) SPECIAL - FUEL ISLAND POWER CUT-OFF S WALL OUTSIDE JUST N OF FUEL ISLAND E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WALL MOUNTED FIRE EXTINGUISHERS THROUGHOUT THE FACILITY, ON THE FUEL ISLAND AND TRUCK PORT. NEAREST FIRE HYDRANT - SW CORNER OF PROPERTY. <4> Building Occupancy Level 05/02/96 ATLAS BULK CARRIERS WEST PACK(96) 215-000-000097 Page 5 00 - Overall Site <G> Training <1> Employee Training WE HAVE 55 EMPLOYEES, 10 IN THE oFFICE AND 45 DRIVERS. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS FOR DRIVERS, MONTHLY MEETINGS FOR OFFICE EMPLOYEES. INCLUDED IN THE TRAINING IS THE HAZ MAT 181 TRAINING AND TESTING. GLOVES, SAFETY GOGGLES AND FILTER MASKS ARE ISSUED TO EMPLOYEES THAT ARE EXPOSED TO HAZ MAT MATERIALS. FIRE EXTINGUISHERS ARE MOUNTED THROUGH OUT THE FACILITY AND ON THE FUEL ISLAND. SPILL CONTINGENCY PLAN AND EMERGENCY ACTION PLANS ARE ON FILE AND EMPLOYEES SCHOOLED ON THE PROCEEDURES. EVACUATION PLAN NOT NECESSARY UNLESS THERE IS A FIRE AND THAT IS COVERED IN THE FIRE EVACUATION PLAN. <2> Page 2 <3> Held for Future Use <4> Held for Future Use I Bakersfield Fire Dept. W~FFICE OF ENVIRONMENTAL SER VICES ~! 1715 Chester Ave. ~[/~ ~ ~_~ ~ Bakersfield, CA 93301 Oom ,e: ~dval Time: /) 5 J Oepa~ureTime: /3~0 Inspec~onTime: ~ ~ ~o~a~ Adequate Inadequate Adequate Inadequate Address Visable ~ [] Emergency Procedures Posted ~ [] Correct Occupancy "~l,~ ' [] Containers Propedy Labled ~ [] Verification of Inventory Materials ~ Comments: Verification of Quantities [] ~ Verification of Location [] .,,'~. Verification of Facility Diagram [] [] Proper Segregation of Material I~' [] Housekeeping ~ [] ~ Fire Protection ~ r-I Comments: Electrical 5(3.. r'l Comments: Verification of MSDS Availablity ~ ~ Number of Employees: ~ ~:~*" UST Monitoring Program [] [] Comments: Verification of Haz. Mat Training [] ~ Permits 0 [] Comments: ~X~'~ ¢/-~-~-~-~ ~ Spill Control [] [] Hold Open Device [] [] Verification of Hazardous Waste EPA No, Abbatement Supplies and Procedures [] ~ Proper Waste Disposal [] 0 Comments: Secondary Containment [] [] Secudty ri [] Special Hazards Associated with this Facility: ~ola~ons: ~ ~o d~/e ~o ¢~C All Items O.K Business O. '~~PRINT NAME SIGNATURE ~ite-Haz Mat Div. Yellow-Station Copy Pink-Business Copy STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 1/01/96 TO: PACIFIC WESTERN TRANSPORT ATLAS INC P O BOX 227 PARAMOUNT, CA 90723 CUSTOMER NO: 3622 CUSTOMER TYPE: ES/ 3622 ~n~,~ DATE- DESCRiPTiUN .... R~-~FrNU~iBER--DUE~D'~TE ~TOT~L--~,~OUNT 12/01/95 BEGINNING BALANCE .00 HM006 1/01/96 HAZ MAT HANDLING FEE F 218.00 changes regarding your account. CURRENT OVER 30 OVER 60 OVER 90 218.00 ~-E -DATE-:" -1-/-8~/96 P~ME-N~DUE-: 2-1-8-.-8-0~ TOTAL DUE: $ 218.00  PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 1/01/96 DUE DATE: 1/01/96 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3622 CUSTOMER TYPE: ES/ 3622 TOTAL DUE: $218.00 BAKERSFIELD CITYFIRE DEPARTMENT .... HAZARDOUS MATERIALS DIVISION .. 2130` "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY CHECK IF BUSINESS IS A FARM [ ] SITE ADDRESS~~ ~(Ey~ ~ ~~ NATURE OF BUSINESS~~~%¢ ~ ~¢~6 ~ SIC CODE ~ ~ DUN & 8~DSTREET NUMBER EM ERG ENCY CO NTACTS NAME~'-<~ ~-- ~~~ TITLE BUSINESS PHONE ~~~ ~¢~ 24-HOUR PHONE NAME ~ V ~ ~~ TITLE BUSINESS PHONE ~ ¢~ ~ ~ ~ 24-HOUR?HONE ~el~ml~er 30, 1~ REGION¥ ~ ~TANDARD FORM · " BAKERSII ELD CITY FIRE .......... -HAZARDOUS MATERIALS INVENTORY-', ..... Page_ /of CHEMICAL DESCRIPTION "":-' 1) INVENTORY STATUS: New'~ Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON'TRADE SECRET~ TRADE SECRET [ ] 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES ' Fire ~ Reactive [ ] Sudden Release of Pressure [ ] Immedi~e HeaJth (Acute) [ ] Delayed HeaJth (Chron{c) 6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure ~]. Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILrrY UNITS OF MEASURE 8) STORAGE CODES DaJiyAmount: ~ lbs [ ] gaJ ~ ft3 [ ] a) Maximum Container. Average Daily Amount: ~~,, curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size ~ontainer: # Days On Site ~ C~rcJeWhich Months:,..,~J, F, M, A, M, J, J, A, $, O, N, D 9) MIXTURE: L~t ~:2-~i ~ ~( ~_, COMPONENT CAS # % ~ AHM the three most hazardous -- 1)~' J~.-O~T-I~ ~-~t~'D{¢.~C_/~ u~ /~C.a [ ] chemica~ components or 3) [ ] TAL DESCRIPTION 1) INVENTORY STATUS: New[~Addition[ ] Revision[ ] Deletion'[ ] ' Check if chemical is ~NON TRADESECRE'~.~_ TRA~E.~SE.._CRET [ ]. 3) DOT · (optiona),., 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES . Fire ~'~-Reactive [ ] 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 ~ Gas [ ] Pure [ ]' Mixture [ ] Waste [ ] Radioactive [ ] Maximum Daily Amount: t4 .~,~ lbs [] gN ~J ft3 [] ,} Container:. Average Daily Amount: ~ curies t ] b} Pressure: Annual Amount: (/~, /310rO ¢..~.~_~/ c) Temperature: 9) MIXTURE: List COMPONENT ~'---~'~ CAS # % WT AHM chemical components or any AHM components 2) ~ { O.._yO_.(...( 9 ~ j [ '~ ~ [ cerUty un, er penal~y of law, ~at I have personally examined an~ arn familiar wiitl 01e infoma~'on suOrnitte~ on ~his anet a~l aUac~e~ ,ubmitted informa#on is ~ue,. accurate, and complete. PRINT Name & Title of Authorized Company F~epresenta~ve Signature Date · .. BAKERSi ..... DEPAi -M F [LD CITY FIRE" ENT ',' HAZARDOUS MATERIALS INVENTORY Page_of_. usiness Name Address CHEMICAL DESCRIPTION 1) INVF_NTORY STATUS: New'~. Addition [ ] Revision [ ] Deletion ( ] Check if chemical is a NON TRADE SECRET'~TRADE SECRET [ ] 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] 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 ~ Gas [ ] Pure NK~ Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIIJTY .,% _~- UNITS OF MEASURE 8) STORAGE CODES ."~c./4.. Maximum Dally Amount: ~ lbs [] gal ~]..lt3 [] a) Container. =~-(:~ C..A.~.C.~ '"r~ Average Dally Amount: ~,~/..~ / cudes [ ] b) Pressure: Annual Amount: -'~~(~ c) Temperature: i # Days On Site .. 'T~~~ '~ct~ Circle Which Months: All Year, J. F, M, A. M, J, 'J, '~, 'S,' o, N, O _, _ - [] .. chemical components or · - any AHM components 2) [ ] . 3) [] CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New~.. Addition [ ] Revision.[ ] Deletion [ ] Check ff chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 4) PHYSICAL & HEALTH . PHYSICAL HEALTH HAZARD CATEGORIES FIre [ ~/* Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION ,(3-digit code from DHS Form 8022) USE CODE 6) PHYStCALSTATE Solid [ ] {Jquid~. Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY ,~ UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~//IL-~ lbs [ ] gal ~,.ft3 [ ] a) Container:. ~ ~~J3/,-/.~O Average Daily Amount: b) Pressure: Annual Amount:. j~ ?k cudes [ ] C) Temperature: Largest Size Container. # Days On Site Circle Whic/b-Months: Ail Year, J, F, M, A, M, J, J, A, S. O, N, D 9) MIXTURE: List · . COMPONENT 2. CAS ~. % WT AHM cecify un~ter penalty of law, that I have petsonall¥ examined and am familiar with the infomabon submitmd on this and all attached clocumen~ I ~etieve sut=mil~d inforrr~lfon is true, accurate, and complete. PRINT Name & 77tie of Aulhorized Company Ftepresentaltve Signature. · ~- - ~ Date ..... · BAKERSI ELD;.,.,..-.. .FIRE-.: DEp TMENT ":' -' - -'- HAZARDOUS MATERIALS. INVENTORY``? Page. of__ )usiness Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New~p~ Addition[ ] Revision[ ] Deletion[ ] ' Check if chemical is a NON TRADE SECRET,~ TRADE SECRET [ ] Chemical Name: . AHM [ ] ' CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Ree. ctive [ ] Sudden Release ot Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFtCA~ON ~/~-- (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] liqui~. Gas [ ] . Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TiME AT FACILITY UNITS OF MEASURE 8) STORAGE CO~ Maximum Daily Amount: lbs [ ] gal [ ] /t3 [ ] .a) Contalner:.~' (~ I~_~.~ Average Dally Amount: cudes [ ] b) Pressure: Annual Amount:,.. / · c) Temperature: Largest Size Container: ~ Circe Which Months: All Year, J, F, M, A. M, J, J, A. S, O, N, D g) MIXTURE: List COMPONENT CAS # % WT AHM the thme most hazardous .... 1) ~ ~ [ ] . .. ~hem/~al components or ~j b~~' any AHM components ..... 2), ; [ ] 3). [ ] CHEMICAL DESCRIPTION / 4) PHYSICAL & HEALTH PHYSICAL HEALTH ' HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] s) WASTE CLASS~FICA~ON ~ I (~ig~ cod, ~o~, DHS ~o,~ ~0~=) USE CODE [ ] Liquid ~ Gas [ ] Pure~..L Mixture [ ] .Waste [ ] Radiosctive [ ] 6) PHYSICAL'STATE Solid 7) AMOUNT AND TIME AT FACILiTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~/'~) lbs [ ] gal '~ ft3 [ ] a) Container, D ~ Average Daily Amount: ...(.~_.~ cudes [ ] b) Pressure: Annual Amount: c) Temper~ure: Largest Size Container: ~ #DaysQnSite ,_Circle WhichMon , F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) & I /"'~ ~/._... [ ] chemical components or r'J '-' ' any AHM components 2) ~....-'" [ ] ' cergfy uncter pena~y of law, that I have personafly examined and am familiar wi~h ~e infom~Jon submitted on this an~ a~l a~Zached documems. I believe . submiffed information is ~rue, accurate, and comp/ate. ., . PRINT Name & ~tie of Auglodzed Company Representative : ..... : ' Signature Date BAKERSI LD CITY FIRE DEPA i'MENT HAZARDOUS MATERIALS INVENTORY Page_of_ Business Name Address CHEMICAL DESCRIPTION It 1 ) INVENTORY STATUS: New [ ~(.Addition [ ] Revision [ ] ~letion [ ] Check if chemi~ is · NON ~DE $ECR~ ~DE SECR~ [ ] 4) PHYSICAL & H~L~ . f PHYSICAL H~ H~D CA~GORIES Fire ~ Re~ctNe [ ] Sudden Rele~e of Pressure [ ] Immedi~e He~h (Acute) [ 5) WAS~ C~SSIRCA~QN ~ (~igff ~de from DHS Fo~ 8022) USE CODE Uquid~ G~ [ ] Pure ~ U~um [ ] W~te [ ] Radioa~Ne [ 6) PHYSICAL STA~ Solid [] 7) AMOUNT ~D ~ME AT FACI~ UNITS OF M~SURE 8) STOOGE CODES _ Average D~N ~ount: ~,~. _ cudes t J b) Pressure: ~nu~ Amount: c) Tempe~um:' ~gest Size Cont~ne~ / ~ Days On Site Momhs:~AII Yes, J, F, M, A, M, J, J, A. S, O, N, D Circle ~ich 9) MITRE: Ust ~ ~__~_ COMPONENT CAS · % the three most h~dous chemi~ com~nenmor / - ' ~ ~ -- ~ ~y AHM cOm~nents 2) [ ] .- 3) [ CHEMICAL DESCRI~ION 1) [N~NTQRY STA~S: New [ ~ Add,ion [ ] Re.sion [ ] Deletion [ ] Check ff chemi~ is · NON ~DE SECR~ [ 2) Common N~e: 3) ~T · (opQo~ Chemi~ N~e: AHM [ ] CAS 4) PHYSIC~ & H~L~ PHYSICAL H~ H~RD CA~GORIES Rre [ ] Rea~ive [ ] Sudden Rele~e of Pressure [ ] Immedi~e He~h (Acme) [ ] ~layed He~th (Chronic) [ ] 5) WAS~ C~SSIFICA~ON ,(~igit ~de ~m DHS Fo~ 8022) USE CODE 6) PHYSICALSTA~ Solid [ ] Uquid [ ] G~ [ ] Pure [ ] M~ure [ ] ~te [ ] 'R~io~tive [ ] ~ AMOUNT AND ~ME AT FACIE~ UNITS OF M~SURE 8) STOOGE CODES M~imum D~iyAmoum: I~ [ ] ga [ ] ~ [ ] a) Con~ner: Average DaN Amount: cudes [ ] b) Pressure: Ann~ Amoum: c) Tempe~m: ~est Size Contaner: · Oe~ On Site Cimie ~ich Months: NI Ye~, J, F, M, A, M, J, J, A, S, O, N, 9) MITRE: Ust CQMPQN~T CAS · % ~ ~M · e ~me most h~dous 1) [ ] chemi~ com~nen~ or ~y ~M ~'m~nents 2) [ ] 3) [ ] 10) ' ce~ u~er pen~ of law, ~at I have pemon~ly e~in~ ~d ~ f~iii~ wl~ ~e m~mason su~mi~ on ~is ~o ~1 a~cn~ ~ocumen~ submi~ in~afion is ~e, accumm, ~d complete. PRI~ N~e & ~fle of A~odz~ Comply Represen~e Signa~re Da~ PA.~ c WE~T~T ~MERGEN(~Y It is Pacific Western Transport's intent to respond to all emergencies conditions as soon as notified with trained supervisory personnel to mitigate any injury or damage that may occur from the emergency. Upon an emergency condition the driver or outside party will contact Pacific Western Transport that is always directed to the dispatch office on a 24 hour basis.· The dispatch will assess the situation to determine if other supervisory personnel should be notified. If so; I. NOTIFICATION a. Safety Coordinator Jeff Stockton Home-phone (805)832-8333 Car phone (805) 322-6272 b. PreSident Erv Myers Home phone.(805) 365-2829 Car Phone (805) 331-8377 .c.i Chief Dispatcher Robert Goode Home (805) 832-3216 d. Paramount Terminal Manager SteVe Witkowski Office (310) 531-2608 Home (714) 520-3229 · Upon notification the Safety CoOrdinator shall respond to the scene to investig~te the situation and mitigate all injuries and damages to the Company's employees 'and property. 'The key to success in responding and mitigating emergency conditions is based on prompt notification of·an incident that is considered t° -be'an. EMERGENCY CONDITION, therefore call· in if there· is' any ·doubt-or· concern regarding a Gondition you may experience in your daily tasks. PACIFIC WESTERN TRANSPORT SPILL CONTINGENCY PLAN, All emphasis in the prevention of an accidental discharge· of petroleum products is every employees responsibility. Therefore, the driver is the first line of defense in the prevention of spills while transporting ~.azardous Materials. It is important to understand that Hazardous Materials pose potential risk and danger to people,the environment, and property. The Department of transportation Emergency Response Guidebook provides identification utilizing four-digit ID numbers. An ~example would be UN 1203 which is required while transporting gasoline'. These numbers are useful for' agencies in order to respond in assisting with spill containment. In case of a petr°leum spill follow the proceeding Steps. in order to mitigate possible damages and liabilities to yourself·and the. CompanY. 1. Have knowledge of the ·products you are handling. Material Safety Data Sheets ar.e available upon request if you are not aware of the characteristics of the produCt you are transporting.i ~ · ',. .. . .· 2. EnSure that iyour vehicle is equipped with the Company standard Soill Kit. This kit must consist of a' 5 gallon· container, absorbent pads (15), pair of gloves, containment' absorbing dike, and a small amount of loose absorbent .~ material. Do not operate. Vehicle if during your pre-trip inspection yo~ discover the Spill Kit is missing, notify ~' your immediate supervisor. ~. ~ 3, Positi°n yourself at the loading/unloading Val~e ~t°.minimize .1 ~a. Spill if. it occurs. If a discharge of product occurs you "~'~c,.,an. stop'the flow.of product bY' closing the 'Valve,~thus'. minimize the .amount of product discharged. 4 [ Upon the detection of an accidental product discharge complete 'the ' following· steps. a. stop the flow of product b. identify the product~ and hazard. · c.-~?iconta~n ~the spil! with the' spill Kit d. notify your supervisor of the spill e. protect .the incident scene. Notify others to prevent further damage or injury. f. if spill is small clean up with provided spill kit. g. if spill is large await for assistance coordinated, from dispatch center. h. DO NOT allow anyone to wash product down with water. It must be absorbed and dispensed. 5. Emergency NUmbers are as follows: ParamOunt Terminal 800 669-6625 Bakersfield Terminal 800 788-4798 National Response Center 800 424-8802 City o'f Bakersfield TRANSMITTAL SLIP Plec~se :-- [] I~eturn [] See Me [] Follow Up [] Prepare .a. nswer Copy to: ........................................................................................................... Memo: ATLAS PARAMOUNT, CA 90723 CORPORATE OFFICE (213) 722-0937 July 20th, 1993 FAX (213) 722-1617 24 HOUR DISPATCH SOUTHERN CALIFORNIA Dear Sirs, (213) 887-7222 FAX (213)887-1036 This is tO inform you that effective July 1, 1993, the mailing address for Pacific Western Transport is the fo/lowing: NORTHERN & CENTRAL CALIFORNIA C/O Atlas/nc (805) 323-2135 POBox 227 FAX (805) 323-0641 Paramount, CA 90723 TERMINALS Any questions regarding your accounts should be addressed to Ms b'nda .. Pisonero at the above address or at phone if (213) 722 0937. LOS ANGELES Thank you for your cooperation in this matter. COLTON BAKERSF,ELO FRESNO ""~/~ ~.~,, ~..~'~--~-"~. RICHMOND S~N bU,S O~S~O Lore~a Surprenant SAN ~,~O Office ~anager CH~CO ARIZONA PHOENIX QUARTZITE' NEVADA LAS VEGAS RENO NEW MEXICO ALBUQUERQUE .GALLUP P.O. Box 4,1030 · Bakersfield, CA 93384-1030 · (805) 8:33-3961 TO: CITY OF BAKERSFIELD FIRE DEPARTMENT RECEIVED FROM: JEFF STOCKTON 'APR 2 1 1993 SUBJECT: CITY HAZMAT PLAN HAZ. MAT. DIV, DATE: APRIL 19, 1993 ATTN: S.D. JOHNSON FIRE CHIEF THIS LETTER IS TO NOTIFY YOU THAT WESTPAC TRUCKING CO. IS THE SAME AS PACIFIC WESTERN TRANSPORT WHICH IS DOING BUSINESS FROM THE YARD AT 2148 BRICYN LANE, BAKERSFIELD, CA. 93308° OFFICIALLY, WE ARE WESTPAC TRUCKING CO. DBA PACIFIC WESTERN TRANSPORT. YOU ALREADY HAVE A CITY HAZMAT PLAN ON FILE FOR PACIFIC WESTERN TRANSPORT. PLEASE FIND ENCLOSED THE FORMS THAT YOU SENT. JEFF STOCKTON PACIFIC WESTERN TRANSPORT SAFETY COORDINATOR BAKERSFIELI~~/~-~',~ .REM,SES MUST CONFORM TO Z..ONING, ~,i, II l~r P'BAK~SFIELp,O*~ CA 93303 . ? VPLICANT SHOULD ~OW TWO CAMFORNIA PER~IT FO~ NECESSARY INS9ECTION$. AFPLICATION FOR BUSINESS LICENSE/TAX"CERTIFICATE ,~ OWNE RSH I P BUSt NESS ~- PURSUANT TO ORDINANCES OF THE CI~ OF BAKERSFIELD CHANGE OF ~ ADDRESS NAME OF FIRM Westpac TruckinF Co. - . . DATE 1/21/93 LOCATION OF BUSINESS ~,/~.q &!~g~ Z~. TELEPHONE (805) 833-3961 (Seoarate ~cen~e Requlr~ For Eac~ ~ocatlon) KIND OF BUSINESS OR PBOFESSlON Diansportation and Distribution of Fuel ~roducts AND ADDRESSES OF ALL OWNERS' (Or Principal Officers, If a Corporation) ~'~- ~ NAUES NAME · HOME ADDRESS TELEPHONE Irvin ~iyers 3004 Pin Oak Park Blvd. 'Bakersfield, CA 93311 ~805) 833-3961 Brian W. Mock '1907 Bayadere Terrace~ corona Del' Mar~ CA" 92625 (7i4) 86~-J600 ~astasia N. Dolan 69 Misty Run I~ine, CA 92714 (~14) 863-J600 TYPE OF ORGANIZATION: PARTNERSHIP [] CORPORATION [] FEDERAL EMPLOYER IDENTIFICATION NUMBER 33 - 0483~)47 INDIVIDUAL [] NAME, .. SSN ,, , ~ ' DATE COMMENCED BUSINESS IN BAKERSFIEED 12'/1/92 ' TAX EXEMPT [] OFFICE OR WAREHOUSING [] FEDERAL OR STATE CODE REFERENCE FOR EXEMPTION NATURE OF BUSINESS FORMERLY AT THIS LOCATION Unknown FORMER OWNER Unknown Sect. No. Tax Rate Storage and Warehousing Indoor Floor Space ,,, ~ S.F. SALES OR USE TAx'MAYAPPLY TO YOUR BU'~INESS';~TIVITIES. YOU MAY SEEK WRI'I-i'EN ADVICE REGARDING';rH~ APPLI- CATION OF TAX TO YOUR PARTICULAR BUSINESS BY WRITING TO THE NEAREST STATE BOARD OF EQUALIZATION OFFICE, Owner, Partner, Agent or Officer if Corporation INSPECTION REQUEST PLANNING DEPT. [] ' FIRE DEPT. [] BUILDING DEPT. [] ...... DO NOT WRITE"~t~LOW THIS LINE, FOR iNSPECTORS USE ONLY INSPECTION RECORD P.O. BOX 41030 BUS: (805) 633-3999 Bakersfield, CA 93384-1030 FAX: (805) 633-3988 ' Bakersfield Fire Dept. ~~' Hazardous Materials Division ~ 2130 "G" Street- '~' Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT 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 BUSINESS NAME: PACIFIC WESTERN TRANSPORT LOCATION: 2148 BRICYN LANE MAILING ADDRESS: P.O. BOX 41030 CITY: BAKERSFIELD STATE: CA ZIP: 93384 PHONE: (805) 633-3999 DUN & BRADSTREET NUMBER: 04'-433-5388 SIC CODE'. 51'72 PRIMARY ACTIVITY: PETROLEUM PRODUCTS TRANSPORTATION MOCK RESOURCES -. OWNER: 5 PARK PLAZA SUITE 1400 IRVINE, CALIFORNIA MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE ]. JEFF STOCKTON SAFETY 633-3999 832-8333 2. ERVIN MYERS' PRESIDENT 633-3999 665-2829 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 55 10 -- OFFICE, 45 -- DRIVERS MATERIAL SAFETY DATA SHEETS ON FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY SAFETY MEETINGS FOR DIRVERS, MONTHLY MEETINGS FOR OFFICE EMPLOYEES. INCLUDED IN THE TRAINING IS THE HAZ MAT 181 TRAINING AND TESTiNG. GLOVES, .SAFETY GOGGLES AND FILTER MASKS ARE ISSUED TO EMPLOYEES THAT ARE EXPOSED TO HAZMAT MATERIALS. FIRE EXTINGUISHERS ARE MOUNTED.THROUGH OUT THE FACILITY AND ON THE FUEL ISLAND. SPILL CONTINGENCY PLAN AND EMERGENCY ACTION PLANS ARE ON FILE AND EMPLOYEES SCHOOLED ON THE PROCEEDURES. EVACUATION PLAN NOT NECESSARY UNLESS THERE IS A FIRE AND THAT IS COVERED IN THE FIRE EVACUATION PLAN. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &' SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOus MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, JOHN J. STOCKTON (JEFF) CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNAT~E ' TITLE DATE 2. Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS' MATERIALS MANAGEMENT PLAN Facility Unit Name: PACIFIC WESTERN TRANSPORT. SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: 3. NOTIFY FIRE DEPARTMENT HAZMAT DIVISION 4. NOTIFY KERN ENVIRONMENTAL SERVICES -- (800) 332-5376 B. EMPLOYEE NOTIFICATION AND EVACUATION: 1. ' SPREAD THE ALARM BY WORD OF MOUTH OR BY INTERCOM, WHICH EVER IS SAFEST. MOST EMPLOYEES WILL EXIT BUILDING THROUGH THE FRONT (WEST) DOOR. DISPATCH WILL EXIT TO THE 'SOUTH. C. PUBLIC EVACUATION: 1. CALLS TO BUSINESSES CLOSE BY IF THERE IS A FIRE A. ANDERSONICS -- 631-8940 B. APEX TRUCKING -- 323-7195 (IRON HORSE EQUIPMENT CORP.) D, EMERGENCY MEDICAL PLAN' A. TRANSPORT T~ NEAREST HOSPITAL OF ~HOICE, MERCY OR MEMORIAL. Bakersfield Fire De Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: MONTHLY INSPECTION OF HAZADOUS MATERIAL CONTAINERS ON THE FACILITY. B, RELEASE CONTAINMENT AND/OR MINIMIZATION: SPILL KITS AVAILABLE AT BOTH LOCATIONS, DIESEL FUEL TANK AND ENGINE OIL TANK. C. CLEAN-UP PROCEDURES: CALL KERN ENVIRONMENTAL SERVICES FOR CLEANUP AND REMOVAL. SECTION 8: UTILITY SHUT-OFFS(LOCATION OFSHUT-OFFS ATYOURFACILITY)' OUTSIDE SOUTH WALL NEAR WEST END OF BUILDING NATURAL GAS/PROPANE: ELECTRICAL: INSIDE SOUTH WALL IN DISPATCH OFFICE NORTH SIDE OF BUILDING NEAR CENTER " WATER: FUEL ISLAND POWER CUT-OFF SOUTH WALL OUTSIDE SPECIAL: JUST NORTH OF FUEL ISLAND. LOCK BOX: YES/NO IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: WALL MOUNTED FIRE EXTINGUISHERS THROUGH OUT THE FACILITY, ON THE FUEL ISLAND AND TRUCK PORT. B. WATER AVAILABILITY (FIRE HYDRANT): SOUTH WEST CORNER OF PROPERTY,~ ?i . ,-::" ~" 4. BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME Wes%~ac TrUcking dba Pacific western mransport FACILITY NAME Pacific Western Transport SITE ADDRESS ._2148 Bricyn L~ne CITY Bakersfield STATE CA ZIP 93308 NATURE OF BUSINESS Pe~croleum Transport SIC'CODE 5172 DUN & BRADSTREET NUMBER 04-433-5388 OWNER/OPERATOR Mock Resources PHONE (714.) 863-0600 MAILING ADDRESS P. o. Box 19630 CITY Irvine ' STATE CA ZIP 92713 EMERGENCY CONTACTS NAME Jeff Stockton TITLE Safety/Maintenance BUSINESS PHONE f 805 ) 6~3L399~ 24-HOUR PHONE ( 805 ) 832-8333 NAME Ervin Myers TITLE President BUSINESS PHONE (805) 633-3999 24-HOUR PHONE (805) 665-282~) September 30, 19~2 REGIONV LEPC STANDARD FORM BAKERSI ELD CITY FIRE DEPAI 'MENT HAZARDOUS MATERIALS INVENTORY Pagelof__4 BusinessNamePacific Western TransportAddress 2148 Bricyn Luna, Bakersfield, CA 9'~308 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [~ Addition [,,J Revision [ ] Deletion [ ] Check if Chemical is a NON TRADE SECRET [~x~ TRADE SECRET [ ] 2) Common Name: Diesel v'/ 3) DOT#(optionai) NAl~)93 ChemicaiName: Diesel Oil AHM[] CAS# 68334-30-5 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION D 0 01 .(3-digit code from DHS Form 8022) USE CODE ]~ 9 6) PHYSICAL STATE Solid [ ] Liquid ~] Gas [ ] Pure IX] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 11,500 lbs [ ] gal IX] ft3 [ ] a) Container: 02 Average Daily Amount: ~8 curies[] b) Pressure: Annual Amount: c) Temperature: Largest Size ~ontainer: ] ~ . (] 0 0 # Days On Site 36~ Circle WhichMonths: ~ J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # . % WT AHM the three most hazardous 1) Bicyclic Aromatic Hydrocarbons [] chemical components or any AHM components 2) Tricyclic Aromatic Hydrocarbons [ ] 3), [ ] 10) Location 20 feet south of building CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New IX] Addition [ ] Revisi/n [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~ ] TRADE SECRET [ ] 2) Common Name: Diesel Fuel %/' 3) DOT# (optional) NA1993 ChemicalName: Diesel Oil AHM [ ] CAS# 68334-30-5 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) ~ ] 5) WASTE CLASSIFICATION Doc1 (3-digit code from DHS Form 8022) USE CODE N/A 6) PHYSICAL STATE Solid [ ] Liquid [~ Gas [ ] Pure ~] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FAClETY UNITS OF MEASURE. 8) STORAGE CODES Maximum Daily Amount: 4~500 lbs [ ] gal [~ ~3 [ ] a) Container: 99 -t. rk (~argc~ ~-Rn} s Average Daily Amount: 500 cudes [ ] b) Pressure: Annual Amount: 6 . 000 c) Temperature: Largest Size Container: 120 # Days On Site Temp. storage Circle Which Months: ~J, F, M, A, M, J, J, A, S, O, N, D during transport 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most haz~dous 1) Bicyclic Aromatic Hydrocarbons [) chemical components or any AHM components 2) Tricyclic Aromatic Hydrocarbons [ ] 3) [ ] 10) Location In truck parking area south of buildinq certify under penal~, of law, that I have personally examined and am familiar with the infomatJon submitted on this and all attached documents. I believe th~ submitted information is b'ue, accurate, and complete. Jeff Stockton Maintenance/Safety PRINT Name & Title of Authorized Company Representative Signature Date · ' BAKERSI IELD CITY FIRE DEP.Z MENT HAZARDOUS MATERIALS INVENTORY Page 2__of4__ Business Name Pacific Western TransportAddress 2148 Bricyn Lane, Bakersfield, CA 93308 CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New [ X Addition [ ] ~ion [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~] TRADE SECRET [ ] 2) Common Name: Asphalt ~/' 3) DOT # (optional) N/A Chemical Name: Petr°le~]m Hydrocarbon AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] 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 [~ Gas [ ] Pure [~ Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TiME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: N/A lbs [ ] gal [~ 1t3 [ ] a) Contalner.99-trk cargo tank Average Dally Amount: 1~/A curies [ ] b) Pressure: Annual Amount: N?A c) Temperature: Largest Size Container: 4 .. ~ 0 ~) #OaysOnSite temp storage CircieWh[chMonths; AilYesr, J, F, M, A, M, J, J, A, S, O, N, O between sni~ts 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) Asphalt petroleum fumes 8052-42-4 [] chemical components or any AHM components 2) [ ] 3) [ ] lO) Location T13 f~'l]~k p~'r'~-~ncT, area .~nnfh nf hl]ildinq CHEMICAL DESCRIPTION .- 1) INVENTORY STATUS: New [~ Addition [ ] Rev~ion [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~] TRADE SECRET [ ] 2) CommonNarne: Fuel Oil .. / 3) DOT # (optional) N/A ChemicalName: Fuel Oil #6 AHM [ ] CAS# 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~x~ Reactive [ ] Sudden Release of Pressure [ ] ~lmmediate Health (Acute) [ ] Delayed Health (Chronic) [~] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 1 6) PHYSICAL STATE Solid [ ] Liquid [~ Gas [ ] Pure [X] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACiETY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: ~/~ lbs [ ] gal ~] 1t3 [ ] a) Contalner: 99-- trk_ na~-~n fan [s Average Daily Amount: Ni/A curies [ ] b) Pressure: ~ Annual Amount: c) Temperature: Largest Size Container: 4 .. 5 ~ 0 # Days On Site Circle Which Months: AllYem', J, F, M, A, M, J, J, A, $, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) Naphthenic Distillate (petroleum) ~4742-34-3 [] chemical components or anyAHMc~mponents 2) Naphthenic Extract (petroleum) 64742-11 -6 [ ] 3) [ ] 10) Location In truck Darkin area ~outh of building · . g ' cer~fy under penalty of law, that I have personally examined and am familiar with the infoma#on submitted on this and all attached documents. I believe th~ Jeff Stockton Maintenance/Safety ' '-.7~-~ PRINT Name & Title of Authorized Company Representative Date BAKERSI LD CITY FIRE DEPA i'MENT HAZARDOUS MATERIALS INVENTORY Page__3 of 4__ BusinessNamePacific Western Transport Address 2148 Bricyn Lane, Bakersfield-, CA 93308 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [z~! Addition[ ] Revision [ ] Deletion[]/ 'Check if chemical is a NON TRADE SECRET [_,~ TRADE SECRET [ ] / 2) Common Name: Desulferized Gas Oil %/' 3) DOT# (optional) Chemical Name: . AHM [ ] ' CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [X] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) ~ ] 5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [~[ Gas [ ] Pure {X] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Dally Amount: lbs [ ] gal ~(] tt3 [ ] a) Container9 9- trk cargo tank Average Dally Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: il: c, f} N # Days On Site te~[Rp storacje Circle Which Months: AIIYear, J, F, M, A, M, J, J, A, S, O, N, D between shifts 9) MIXTURE; List COMPONENT CAS # % WT AHM the three most hazardous 1 ) NO]Xllq. [ ] chemical components or any AHM components 2).. [ ] 3) ,, [ ] 10) Location South of building CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ~J Addition [ on [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~ ] '[P, ADE SECRET [ ] 2) Common Name: Motor Oil 3) DOT #'(optional) N/A ChemicalName: Petroleum Hyd_rocarbon_~ ~!u_= ad_d_itive_= AHM [ ] CAS# 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ~[ Reactive [ ] Sudden Release of Pressure [ ] mmediate Health (Acute) [ ] Delayed Health (Chronic) ~[ ] 5) WASTE CLASSIFICATION 2 2]_ (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 [~ lt3 [ ] a) Container: (] 2 Average Daily Amount: R ~ curies [ ] b) Pressure: ] Annual Amount: c) Temperature: 4 Largest Size Container: 12 0 # Days On Site 36~ Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [qonE~ [ ] chemical components or any AHM components 2). "~ [ ] 3) [ 10) Location Southeast corner of building cedo'h/ under penal5, of law, that I have personally examined and em familiar with the infomatJon submitted on this and all attached documents. I believe th~ submitted information is ~'ue, accurate, and complete. ~ J~ff .qt~.k~_on ~aintenance/~q~fety ' ~/'g~re PRINT Name & Title of Authorized Company Representatlve Date ' '"'? ' BAKERS ELD DEP/ TM HAZARDOUS MATERIALS INVENTORY Page4of4 BusinessName Paci~:±C Wesl~err~ Trar~sport~ddress 2148 9~cy~ ~a~e, 9a~e~s~e[d, CA 93308 CHEMICAL DESCRI~ION ) IN~NTORY STA~S: New [~ Addition [ ] Revision~ ~letion [ ] Check if chemi~ is 1 2) Common Name: Diesel Fuel / 3) ~T~ (option~ ~A] qg~ Chemi~N~e: Diesel Oil AHM [ ] CAS~ 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire ~ Reactive [ ] Sudden Rete~e of Pressure [. ] Immedi~e He~h (Ac~e) [ ] ~layed He~h (Chronic) 5) WAS~ C~SSIFICA~ON ,(~igit ~de from DHS Fo~ 8022) USE CODE 6) PHYSICALSTA~ Solid [ ] ~quid [~ G~ [ ] Pum ~] M~um [ ] W~te [ ] R~io~Ne [ ] 7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES M~mum Daly Amount: ~ Average D~ly Amount: 450 cudes [ ] b) Pressure: ~nu~ Amount: c) Tem~r~um: ~est Size Cont~ner: 1 2 0 · Days On S~e Circle~ich Months: All Ye~, J, F, M, A, M, J, J, A, S, O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ ~M the three most h~dous 1) Bicyc~ic Aromat_ic Rydroc~rb~n [] chemi~ com~nenm or ~y AHM com~nenm 2). [ ] 3) [ ] 10) Lo~tion In parkin~ area south of CHEMICAL DESCRI~ION 1 ) IN~NTORY STA~S: New [ ] Add,ion [ ] Re.sion.[ ] Deletion [ ] Check ~ chemi~ is a NON ~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common N~e: 3) ~T · (option~ Chemic~ N~e: AHM [ ] CAS 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire [ ] Rea=ive [ ] Sudden Relate of Pressure [ ] Immedime He~h (Ac~e) [ ] ~layed He~h (Chronic) [ ] 5) WAS~ C~SSIFICA~ON (~igit code from DHS Fo~ 8022) USE CODE 6) PHYSICALSTA~ Solid [ ] ~quid ['] G~ [ ] Pure [ ] Mimure [ ] W~te [ ] Radioa~ive [ ] 7) AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: I~ [ ] ga [ ] ~3 [ ] a) Con. nar: Average Daly Amount: cudes [ ] b) Pressure: Annu~ Amount: c) Temper~ure: ~gest Size Contmner: · Days On Site Circle~ich Monks: AllYe~, J, F, M, A, M, J, J, A, S, O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ AHM the three most h~dous 1) [ ] chemi~ com~nenm or ~y AHM c6'm~nents 2). [ ] 3) [ ] 10) ~ion ~ ce~ u~er pen~ of law, ~at I have pe~on~ly ex~in~ submi~ info.aEon is ~e, accumm, ~d compleX. /) ' PRI~ N~e & ~fle of A~o~z~ Comply Represenm~e