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