HomeMy WebLinkAboutBUSINESS PLAN 5/7/2004 Hazardous Materials/HaZardous. Waste'Unified Permit
CONDITIONS OF-PERMIT'ON ~'REVERSE SIDE.
· ..*- ; . .,.... . This perm,us,ssu~u ~u,,o~-ng:
** [] Hazardous Materials Plan
Permit ID #:: 015-000-001851 . . O Risk Management Program
STANCILS & ADS CUSTOM [] .,,.=,r~o~,~ W,,m Or,-S.o ~'r,,m~t
LOCATION: 801 BRUNDAGE LN K
OFFICE OF ENVIRONMENTAL SER VICES i Appmvedby: "* r"
1715 Chester Ave, 3rd Floor Cu*~p~Huey,~! . ~ssue roue
Bakersfield, CA 93301 Offic¢ofEv~Services ~ ·
Voice (661) 326-3979
FAX (661) 326-0576 'Expiration Date: Jlll'le 30.. 2003
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
)us Materials Plan
.~,:~,~ :~ round Storage of Hazardous Materials
PERMIT ID# 015-021 O01851 .:~'~il ~i= - -= ...Prnnram
STANCILS & ADS CUSTOM .,,.:=.'==;' .......... ' ~'.',,= Waste
LOCATION 801 BRUNDAGEii~,~:':,~: ca 933d~i~i~:r...,:~Ji~ ~{~:" :;::!!!ii
?..-.-.....:,], 'i, :~ ,r ~: ~r',.. '~-.,
]ssu~
B~cr~field Fkc Dcpa~ment
1715 Chewer Ave., 3rd Floor / ~ph .uey~7
B~e~fiel~ CA 93301 ~ O~ce of~enml S~
Voice (805) 326-3979
F~ (805)326~576 Expiration Date: ~~ ~0~ ~000
FFE DIAGRAM
Business Name: .~'C~,",Jc_ ~
Business Address:
BRUNDAGELANE
NORTH
PAINTS/SOLVENTS
20' OPENING~
ELECTRICAL
O POWER PANEL
20' OPENING I I OXY/ACET AIR COMP.
WELDER/ARGON
31'
FIRE EXTINGUISHERS
WATER SUPPLY CUT-OFF
801 BRUNDAGE LANE SUITE K
BAKERSFIELD, CA 93304
326-1532
' -- CUSTT~E & NO. ~ /-/eGO
MISCELLANEOUS RECEIVABLES ADJUSTMENT
DATE
%-
-- ~....~ NEW ACCOUNT
ADDRESS CHANGE
CLOSE ACCT
FINANCE CHARGE i
OTHER ADJ
MAILING ADDRESS <~Q)\ ~co~Ao,3 ~ L.__~,.
SITE ADDRESS
PARCEL NUMBER
(IF APPLICABLE)
ADJUSTMENT
CHG DATE J CHARGE CODE j ADJUSTMENT AMOUNT
-ICj
APPROVED BY
~STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Manager : BusPhone: (661) 326-1532
Location: 801 BRUNDAGE LN K Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 31D FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code:7692
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
STEVEN STANCIL / OWNER TOM STANCIL / FATHER
Business Phone: (661) 326-1532x Business Phone: (661) 325-1026x
24-Hour Phone : (661) 322-8005x 24-Hour Phone : ( ) - x
Pager Phone : (~) ~2~-~6~-x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 326-1532x
MailAddr: 801 BRUNDAGE LN K State: CA
City : BAKERSFIELD Zip : 93304
Owner STEVEN STANCIL Phone: (661) 326-1532x
Address : 219 S KING ST State: CA
City : BAKERSFIELD Zip : 93307
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo: .
Emergency Directives
have
C~r~C~5 P~ 3Z7~1 c~ reviewed ~he a~ached h~a~ous materials manage-
~ent p~n fo~a~,l C~t,~ ~1/~ that ii alone with
~Name of 8uSing) --
any co~e~iCns cons~ilute ~ complete and ~rr~ man-
agement plan ~r my facility.
12/01/2003
ST~CILS & NS CUSTOM WELDING SiteID: 015-021-001851
= Hazmat Inventory By Facility Unit
-- MCP+DailyMax Order Fixed Containers at Site
Hazmat Common Name... [SpocHazlEPA HazardsI Frm I DailyMax IUnit MCP
ACETYLENE E F P IH G 105.00 FT3 Hi
OXYGEN F IH DH G 155.00 FT3 Low
ARGON/CARBON DIOXIDE F P IH G 205.00 FT3 Min
ARGON F P IH G 155.00 FT3 Min
-2- 12/01/2003
-3- 12/01/2003
STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
ON WELDING CART CAS#
74-86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
I AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
105.00 FT3 105.00 FT3 105.00 FT3
I (%Wt. HAZARDOUS COMPONENTS I I RS CAS#
100.00 Acetylene Yes 74862
HAZARD ASSESSMENTS
ITsecret I ~S IBiOHazNO N No Radioactive/AmountNo/ Curies EPA HazardsF P IH NFPA/// IUSDOT# MCP
= Inventory Item 0002 Facility Unit: Fixed Containers at Site 9
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
ON PORTABLE WELDING CART CAS#
7782 -44 -7
Gas ~Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
155.00 FT3I 155.00 FT3) 155.00 FT3
HAZARDOUS COMPONENTS
%Wt. RI RSI CAS#
100.00 Oxygen, Compressed~ 7782447
HAZARD ASSESSMENTS
TSecretI oRS[BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# [ MCP
No N No No/ Curies F IH DH / / / Low
4 12/01/2003
F STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851 ~
= Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
~U~ ~v~ / ~£~ ~v~
ARGON/CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
ON WIRE FEED WELDING CART CAS#
7440-37-1
F STATE -q-- TYPE PRESSURE ,TEMPERATURE CONTAINER TYPE
Ambient PORT
Mixture Above Ambient PRESS
CYLINDER
Gas . .
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
205.00 FT3I 205.00 FT3 205.00 FT3
~'J..~UU~
%Wt. RS CAS#
25.00 Argon No 7440371
75.00 Carbon Dioxide No 124389
HAZARD ASSESSMENTS
TSecretl ~SlBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F P IH / / / Min
= Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
ARGON Days On Site
365
Location within this Facility Unit Map: Grid:
CENTER OF SHOP CAS#
7440-37-1
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container { Daily Maximum { Daily Average
155.00 FT3I 155.00 FT3I 155.00 FT3
HAZARDOUS COMPONENTS
%Wt. R}NoRS~ CAS#
100.00 Argon 7440371
HAZARD ASSESSMENTS
TSecretI ~SlBioHazI Radioactive/Amount EPA Hazards [ NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
-5- 12/01/2003
F STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Fast Format
= Notif./Evacuation/Medical Overall Site
--Agency Notification 03/19/1998
EMERGENCY NOTIFICATION: PHONE 911
NON-EMERGENCY: PHONE BFD STATION #6 - 631-1845
SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION CONTROL DIST: 862-5200
-- Employee Notif./Evacuation 03/19/1998
N/A AT THIS TIME - NO EMPLOYEES.
Public Notif./Evacuation 03/21/2001
VERBAL COMMUNICATION OF SPECIFIC INSTRUCTIONS FOR EVACUATION ROUTES FOR ANY
VISITORS OR BYSTANDERS AS DICTATED BY SPECIFIC CIRCUMSTANCES.
Emergency Medical Plan 03/21/2001
OWNER IS CURRENTLY TRAINED IN FIRST AID/CPR. FOR INJURIES/ILLNESSES BEYOND
THE SCOPE OF FIRST AID TELEPHONE 911 TO EMPLOY THE BAKERSFIELD/KC EMS
12/01/2003
F STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 03/19/1998
ALL GAS CYLINDERS ARE PROTECTED BY CYLINDER VALVE CAPS WHEN NOT IN USE.
-- Release Containment 03/21/2001
THERE ARE NO LIQUID HAZARDOUS PRODUCTS IN BUSINESS BEYOND CONSUMER
QUANTITIES. GAS RELEASE IS MINIMIZED BY ABOVE DESCRIBED VALVE CAP
PROTECTIONAND ENSURING VALVES ARE TIGHTLY SECURED WHEN STORED.
-- Clean Up 03/19/1998
NATURAL VENTILATION AS WELL AS A FORCED AIR SOURCE IS USED TO DISPURSE ANY
GAS WHICH MAY OTHERWISE ACCUMULATE IN THE SHOP.
Other Resource Activation
12/01/2003
F STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 03/21/2001
A) GAS - N/A, NO NATURAL GAS UTILITY
B) ELECTRICAL - PANEL IS LOCATED ON THE E WALL - N OF RESTROOM FACILITY
C) WATER - VALVE IS LOCATED ON THE E WALL INSIDE THE RESTROOM
D) SPECIAL - PORTABLE AIR COMPRESSOR LOCATED ADJACENT TO E WALL - S OF
RESTROOM
-- Fire Protec./Avail. Water 03/21/2001
PRIVATE FIRE PROTECTION - 1 10LB EXTINGUISHER ON E WALL CENTER AND 1 30LB
EXTINGUISHER ON W WALL S END.
NEAREST FIRE HYDRANT - DIRECTLY ACROSS BRUNDAGE FROM THE INDUSTRIAL COMPLEX
ENTRANCE AT 802 BRUNDAGE LN. THIS IS APPROXIMATELY 400FT FROM SUITE K'S BAY
DOORS.
Building Occupancy Level
-8- 12/01/20o3
STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Fast Format
= Training Overall Site
-- Employee Training 03/19/1998
WE HAVE NO EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEETS ON FILE FOR THOSE LISTED IN THIS PLAN.
BRIEF SUMMARY OF TRAINING PROGRAM: THERE ARE CURRENTLY NO EMPLOYEES
ASSOCIATED WITH THIS BUSINESS. THE OWNER IS SOLE OPERATOR. NO TRAINING
PROGRAM IS IN PLACE.
Page 2
--Held for Future Use
Held for Future Use
-9- 12/01/2003
.... Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330l
Tel: (66 l)326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME-
ADDRESS ~(~ PHONE No. No. of Employees
~o, --~,--~,~ dr~_~.__~L~__.~_ .........................
FACILITYCONTACT Business ID Number
'i' ~' "' '..' :".' . Section 1: Business Planand InVentory Program. '.
,~Routine I~l Combined ~ Joint Agency ~ Multi-Agency i'1 Complaint I-I Re-inspection
C V /'c=co.~,,ance~ OPERATION COMMENTS
'-- APPROPRIATE PERMIT ON HAND .
"~ ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE
/I
VISIBLE ADDRESS
co .c
[ ~ VER~F~CAT~ONOFMSDS
~ ~ VERIFICATION OF HAT MAT T~INING
~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ~ EMERGENCY PROCEDURES ADEQUATE
SITE DIAGRAM ADEQUATE & ON HAND
ANY H~ARDOUS WASTE ON SITE?; ~ YES ~No
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector Badge No. Business Site Responsibl~ ParTy
White - Environmental Services Yellow - S~ation Copy Pink - Business Copy
STANCILS & ADS CUSTOM WELDING SiteID: 015-021-001851
Manager : /i'~i~]~'~~'~sPhone: (805) 326-1532
Location: 801 BRUNDAGE LN K I ivlaH ~ 0 2~n~ ~ap : 103 CommHaz : Minimal
City : BAKERSFIELD ~/~:_ ~'~. -vv,/~rid: 31D FacUnits:. 1 AOV:
CommCode: BAKERSFIELD STATION 06 .~~~ ~IC Code:7692
EPA Numb: -~unnBrad: ·
Emergency Contact / Title Emergency Contact / Title
STEVEN STANCIL / OWNER TOM STANCIL / FATHER
Business Phone: (805) 326-1532x Business Phone: (805) 325-1026x
24-Hour Phone : (805) 322-8005x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (805) 326-1532x
MailAddr: 801 BRUNDAGE LN K State: CA
City : BAKERSFIELD Zip : 93304
Owner STEVEN STANCIL Phone: (805) 326-1532x
Address : 219 S KING ST State: CA
City : BAKERSFIELD Zip : 93307
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
= Hazmat Inventory One Unified List ]
-- As Designated Order Ail Materials at Site ~
Hazmat Common Name... ISpocHazlEPA HazardsI Frm I DailyMax IUnitIMCP
ARGON/CARBON DIOXIDE F P IH G 205.00 FT3 Min
OXYGEN F IH DH G 155.00 FT3 Low
ACETYLENE F P IH G 105.00 FT3 Hi
reviewed the attache,~J haza__.rdous materials
.s'T~,~,/C~,,/~ - manage-
ment plan for ~"~I'~/';/~ -~ T~.""~-~ . -
~an~ that it along with
any corrections constitute a complete and correct man-
agement plan for my facility.
o2/ol/2OOl
Date~--'---
S TANCILS & ADS CUSTOM WELDING ~66~~~ SiteID: 015-021-00'1851
Inventory Item 0001 ~6~~ Facility Unit: Fixed Containers at Site i
~6 COMMON NAME / CHEMICAL NAME 6/~6~5~5~/~/~666~5~/~666/56~5~66~6~6666~666~
ARGON/CARBON DIOXIDE o Days On Site o
o 365 o
Location within this Facility Unit Map: Grid:
ON WIRE FEED WELDING CART o CAS# o
o 7440-37-1 o
STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE
Gas o Mixture o Above Ambient o Ambient o PORT. PRESS. CYLINDER o
i~~~~i AMOUNTS AT THIS LOCATION
Largest Container o Daily Maximum o Daily Average o
205.00FT3 o 205.00 FT3 o 205.00 FT3 o
i~8~i~66~/~ HAZARDOUS COMPONENTS
%Wt. o o RSo CAS# o
25.00OArgon ONo o 7440371 o
75.00OCarbon Dioxide ONo o 124389°
i~i~i~i~6~~ HAZARD ASSESSMENTS
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o
No ONoONo ° No/ Curies°FP IH o /// o OMinO
Inventory Item 0002 ~~~ Facility Unit: Fixed Containers at'Site i
i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~
OXYGEN o Days On Site o
o 365 o
~cation wi~in this Facili~ U~t Map: Grid:
ON PORTABLE WELDING CART o CASg o
o 7782_44_7°
STATE EiE TYPE EEEiEE P~SSURE EEEi TEMPE~TURE EEi~EEE CONTAINER TYPE
Gas o ~re o Above Ambient o Ambient o PORT. P~SS. CYLINDER
i~8~EEEE~EE8~EEEEi AMOUNTS AT THIS LOCATION
Largest Container o Daily Maximum o Daily Average
155.00FT3 o 155.00 FT3 o 155.00 FT3 o
{~i~~ HAZA~OUS COMPONENTS
%Wt. o o RSo CAS~
100.00OOxygen, Compressed ONo o 7782447°
{~i~~i~~ HAZARD ASSESSMENTS ~~~~i~
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT~ o MCP
No ONoONo o No/ Curies°F IHDH° /// o OLowO
-2- 02/01/2001
STANCILS & ADS CUSTOM WELDING ~EE~EE~EE~EE~E~EE~E SiteID: 015-021-001851
Inventory Item 0003 EEE~E~EEEEEE~ Facility Unit: Fixed Containers at Site i
i~ COMMON NAME / CHEMICAL NAME
ACETYLENE o Days On Site o
o 365 o
Location within this Facility Unit Map: Grid:
ON WELDING CART o CAS# o
o 74_86_2°
STATE EiE TYPE EEEiEE PRESSURE EEEi TEMPERATURE EEiEEEE CONTAINER TYPE
Gas o Pure o Above Ambient o Ambient ° PORT. PRESS. CYLINDER o
Largest Container ° Daily Maximum o Daily Average o
.105.00FT3 0 105.00 FT3 o 105.00 FT3 o
i¢~i~e~e~ HAZARDOUS COMPONENTS
%Wt. o o RSo CAS# o
100.00 o Acetylene o Yes o 74862 o
i~i~i~i~~ HAZARD ASSESSMENTS
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP °
No ONoONo o No/ Curies°FP IH o /// o OHio
-3- 02/01/2001
STANCILS & ADS CUSTOM WELDING EEE/~EE/~/~EE/~/~E~/~/~E SiteID: 015-021-001851 i
i~ Notif./Evacuation/Medical E~~~~~ Overall Site i
i~ Agency Notification ~~~~~~~ 03/19/1998 i
o
EMERGENCY NOTIFICATION: PHONE 911 °
NON-EMERGENCY: PHONE BFD STATION #6 - 631-1845 o
SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION CONTROL DIST: 862-5200 °
O
i~ Employee Notif./Evacuation ~~~~~ 03/19/1998 i
o
N/A AT THIS TIME - NO EMPLOYEES. o
O
iEEEE Public Notif./Evacuation EEEEEEEEEEEEEEEEEE~EEEEE~EeEEEEEEEEE 03/19/1998 i
o
VERBAL COMMUNICATION OF SPECIFIC INSTRUCTIONS FOR EVACUATION ROUTES FOR ANY o
VISITORS OR BY-STANDERS AS DICTATED BY SPECIFIC CIRCUMSTANCES. o
o
iE~EEE Emergency Medical Plan E~EEEEEEE~EEEEE~EEEEEE~EEEE~EEEEEEEEE 03/19/1998 i
o
OWNER IS CURRENTLY TRAINED IN FIRST AID/CPR. FOR INJURIES/ILLNESSES BEYOND °
THE SCOPE OF FIRST AID - TELEPHONE 911 TO EMPLOY THE BAKERSFIELD/KC EMS o
o
-4- 02/01/2001
i STANCILS & ADS CUSTOM WELDING ~/~/~/~/~/~/~/~/~~ SiteID: 015-021-001851
i~ Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i
i~ Release Prevention ~~~~~~~ 03/19/1998 i
O o
o ALL GAS CYLINDERS ARE PROTECTED BY CYLINDER VALVE CAPS WHEN NOT IN USE.
O O
i~ Release Contaiment ~~~~~~ 03/19/1998 i
O o
o THE~ ARE NO LIQUID HAZARDOUS PRODUCTS IN BUSINESS BEYOND CONSUMER
.o QUANTITIES. GAS RELEASE IS MINIMIZED BY ABOVE-DESC~BED VALVE CAP
o PROTECTION AND ENSUING VALVES A~ TIGHTLY SECURED WHEN STORED.
O o
i~ Clean Up ~~~~~~~~ 03/19/1998 i
o o
o NATU~L VENTILATION AS WELL AS A FORCED AIR SOURCE IS USED TO DISPURSE ANY
o GAS WHICH ~Y OTHERWISE ACCUMULATE IN THE SHOP.
O
i~ Other Resource Activation
O
O O
-5- 02/01/2001
i STANCILS & ADS CUSTOM WELDING EEEE~EEEEE~EEEE~ SitelD: 015-021-001851
i~~E~~E~~E~~E~~~ Fast Format
iE Site Emergency Factors EEEEEE~EEEE~EE~EEEEEEE~E~E~E~ Overall Site i
i~ Special Hazards
o O
O O
i~g Utility Shut-Offs ~~~~~6~~ 03 / 19/1998
O O
o A) GAS - N/A, NO NATURAL GAS UTILITY o
o B) ELECTRICAL - PANEL IS LOCATED ON THE E WALL - N OF RESTROOM FACILITY °
o C) WATER - VALVE IS LOCATED ON THE E WALL INSIDE THE RESTROOM o
·o D) SPECIAL - PORTABLE AIR COMPRESSOR LOCATED ADJACENT TO E WALL - S OR o
o RESTROOM o
o O
ieeee Fire Protec./Avail. Water eoeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeee 03/19/1998
O O
o PRIVATE FIRE PROTECTION - 1 - 10LB EXTINGUISHER ON E WALL CENTER AND °
o 1 - 30LB EXTINGUISHER ON W WALL S END. o
O o
O O
O
o NEAREST FIRE HYDRANT - DIRECTLY ACROSS BRUNDAGE FROM THE INDUSTRIAL COMPLEX °
o ENTRANCE AT 802 BRUNDAGE LN. THIS IS APPROXIMATELY 400FT FROM SUIT, E K'S BAY o
o DOORS. o
O O
i~ Building Occupancy Level
o o
o o
-6- 02/01/2001
STANCILS & ADS CUSTOM WELDING/~EEEi~i~/~EEEEEEE/~EEEEEE~ SitelD: 015-021-001851
Training ~~~~~~~~ Overall Site i
i~ Employee Trai~ng ~~~~~~~ 03/19/1998 i
O
WE HAVE NO EMPLOYEES AT THIS FACILITY.
o
WE DO HAVE MSDS SHEETS ON FILE FOR THOSE LISTED IN THIS PLAN.
o
B~EF SUMMARY OF T~INING PROG~M: THERE ARE CU~ENTLy NO EMPLOYEES o
ASSOCIATED WITH THIS BUSINESS. THE OWNER IS SOLE OPE~TOR. NO T~INING o
EROG~M IS IN PLACE. o
o
o
o
i~ Held for Fumre Use
O
o
i~ Held for Fumre Use ~~~~~~~~i
o
o
-7- 02/01/2001
MA RIAL DATA SHEET
IIII I I I II II JI
LIQUID CAIBONIC
INDU~?R~A~M~ CORI~ORATION
_~~ ~, ~:. ~ U~t ~,~ ,(800} 424-9300
~~ ;-~ ~;~= .......
~=~ ~~~' ~ ................
~~ ~ (~.) ~ -302,6~ ~~C ~~ (~a~1) 1.39 ~ a.P.
~ ~~ (~1), 1.38 ~1~ ~ (~ ~l) N/A
.... .. ~.:~ '~--~ ~' ~~ ~ '~ ............ . :.
~.'
PA~ 1
No.,guer.enty.i, mede al to the ac~urecy of envdeta or ~ment con~ln~ herein, While this metett~t
~ mrn~n~ i~g~ f~, NO WAR~N~ EXPRESS OR IMPLIED, OF MERCHANTABIU~, FITNESS
OR O~ERWiSE ~ MA~. Thi~ m~.l i. offe~ only ~r ~ur consideretion, in~g~lon and veri-
f~etion I~ L~uid Ce~nic ~lll n~ In any ~ant ~ Iilble for ~cial, lncMen~l or conlequenlia~
p~n~n~ op~nin~
STANCILS &' ADS cusToM WELDI~~]~-~C~T~]5~'~)I SiteID: 215-000-001851
~IAR t'6 1998
Manager : BusPhone: (805) 32~-~32
~ap :
Location 801 BR~AGE LN ~B~" ~ 103 Com~az : Minimal
City B~ERSFIELD ~ .... ~ Grid: 31D FacUnits: 1 AOV:
CommCode: B~ERSFIELD STATION 06 SIC Code: 7692
EPA Nu~: DunnBrad:
Emergency contact ./ Title Emergency Contact / Title
STEVEN STANCIL / OWNER TOM STANCIL / FATHER
.Business Phone: (805) 326-1532x Business Phone: (805) 325-1026x
~24-Hour Phone : (805) 322-8005x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards:. Fire Press ImmHlth DelHlth
Emergency Directives:
= Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA Hazards Frm DailyMax IUnitlMCP
PROPANE F P IH G 180 FT3 Hi
ACETYLENE F P IH G 105 FT3 Hi
OXYGEN F IH DH G 155 FT3 Low
ARGON/CARBON DIOXIDE F P IH G 205 FT3 Min
~, s76v~- -. ~,u D0 hereby certify that ~ have
~~ ~r pdnt name)
revisited ~he a~ach~d h~ard~us m~tefials msnage-
~t p~an for ~,c.,,s ~vo~nd that it along w~h
any ~rm~ions ~nstitut~ a complete and correct man-
agsmsnt plan for my facili~.
S~gr~ture Dat~
-1-. 02/23/1998
STANCILS &'ADS CUSTOM WELDING SiteID: 215-000-001851
= Inventory Item 0004 Facility Unit: Fixed Containers at Site
PROPANE Days On Site
:' 365
Location. Within this Facility Unit Map: Grid:
ON HEATER STAND CAS#
74-98-6
F STATE .~' TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas.. I'Pure .~ I. Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily'Average
" ~. .180..00 FT3 180.00 FT3 180.00 FT3
HAZARDOUS COMPONENTS
%Wt. S CAS#
100.00 Pr6Pane' N 74986
HAZARD ASSESSMENTS
TSecretINo N~SIBi°HazINo Radi°active/Amount I EPANo/ Curies F P HazardsIIH NFPA/// USDOT# I MCPHi
=.Inventory Item 0003 Facility Unit: Fixed Containers at Site
ACETYLENE. Days On Site
365
Location within this Facility Unit Map: Grid:
ON WELDING CART CAS#
74-86-2
F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above AmbientIi AmbientIi PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
I Largest Container I Daily Maximum I Daily Average I
105.00 PT3 105.00 FT3 105.00 FT3
HAZARDOUS COMPONENTS
100.00 Acetylene N 74862
HAZARD ASSESSMENTS
I TSecret INoRS IBioHaz INo No Radioactive/Am°unt I EPANo/ Curies F P HazardSiH NFPA/// [ USDOT~ MCP
-2- 02/23/1998
F STANCILS & ADS .CUSTOM WELDING SiteID: 215-000-001851
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site
OXYGEN Days On Site
365
LoCation within this Facility Unit Map: Grid:
ON PORTABLE WELDING~CART CAS#
7782-44-7
F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas . Pure Above Ambient Ambient PORT. PRESS. CYLINDER
Largest Container Daily Maximum Daily Average
155.00 FT3 155.00 FT3 155.00 FT3
%Wt. S CAS#
100.00 Oxygen, Compressed 7782447
HAZARD ASSESSMENTS
TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MOP
· No N No No/ Curies F IH DH / / / Low
---- Inventory Item 0001 Facility Unit: Fixed Containers at Site
ARGON/CARBON DIOXIDE Days On Site
365
Location within this Facility Unit Map: Grid:
ON WIRE FEED WELDING CART CAS#
7440-37-1
FGSTATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
as . I Mixture I Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
205.00 FT3I 205.00 FT3 205.00 FT3
%Wt. RS CAS#
25.00 Argon No 7440371
75.00 Carbon Dioxide No 124389
HAZARD ASSESSMENTS
TSecret RI RSI BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No~ No No/ Curies F P IH / / / Min
-3- 02/23/1998
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 2t26-2t979
INSTRUCTIONS-
1. To avoid further action, return this form within 30 days &receipt.
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 l: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: ~'~'~/ct ~ ~' ~- ~
LOCATION: ,~01 /3 ~atn~'~.n c--~ Z~.,/F___ .s'~
MAILING ADDRESS:
CITY: Z~,~ K ~-~ .q't~-/~ ~-z.h STATE:
DUN & BRADSTREET NU1V[BER: /Y'/,O SIC CODE:
PRIMARY ACTIVITY: 2)~-~/Z,,~-rz/,'~: g~,,~e., ~/,'v'(,
OWNER: ,ff T~v'~-,q/ ~. ,.5'7-,~,v'a/~.
MA/LING ADDRESS: ~,,~ ~
SECTION 2: EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE .
ItAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE: ¥65- ~-q Li,ST~ tN "/341~ P/an tq
BRIEF SUMMARY OF TRAINING PROGRAM:
Tgt~..rs ~P..~ o--u~saeo-c'ct,I No ~pt. oye,6..5 /~,.~oC~T~-l~ c,OiTkl -'~
SECTION 4: EXEMPTION REQUEST
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM
THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF ~ "CALIFORNIA HEALTH
& SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT
NO TIME EXCEED THE MINIMLqVI REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION
I, ,~T&tt~M ~. ,~T~.tVC I C. CERTIFY THAT THE ABOVE
INFORMATION 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.
SIGNATURE TITLE DATE
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES
A. AGENCY NOTIFICATION PROCEDURES:
F_.rn~ R.~cq ~o-r , ~ ca&-rt o N
NoN- g/~ffK~C¥:
B. EMPLOYEE NOTIFICATION AND EVACUATION:
N/A ~7- t-O4t~ "F~nn~-
A/o
C. PUBLIC EVACUATION:
~/&£tMt. f_~Ol~lvtvatt c_A'Ttoat Otr ,S£~c,t£1 C_
D. EMERGENCY MEDICAL PLAN:
HAZARDOUS MATERIALS' MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN
A. RELEASE PREVENTION STEPS:
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLE~-~ PROCED~S:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY~
NATURAL GAS/PROPANE: M/~ -- No _A/~ITCRA'L
ELEC~C~: ~ ~ ~c~ ~ ~
WATER: .v~cv~ tx ~c~ a~ ~ ~~ll
LOCK BOX: ~~ · ~S, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PKIVATE FIRE PROTECTION: J-30 ?~,,..,t~ ~-h~64~$a~e,-~',~ W,a.~'r o.~I-~H e,~/3
B. WATER AVAIl,ABILITY (FIRE HYDRANT):
T~t~ ~S ~~~ qOo~ ~h ~u~ '~" ~
~¥DP._~nr ~ BRUNDAGELANE
M A
N
B
0
C
P
D
Q
R E
S 1~
T
G
U
H
V
W 350'
X
60'
6' BLOCK WALL
801 Brundage Ln. Suite K
NORTH Bakersfield, Ca 93304
326-1532
'~5!i~ STANCIL'S ~; A.P"S
CUSTOM WELDB~3
AND AUTOMOTIVE
Old Car Specialties 1975 Down
Ornamental & Security Wrought Iron
Mail Boxes * Bar-B-Q Pits
All Repairs and Fabrication
Shop: (805) 326-1532 Steven Stancil
Pg~. (805) 329-6165 801 Brundage Lane, #K
Pgt~ (805) 394-9567 Bakersfield, CA 93304
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester ~ield, CA (805) 326-3979
1. To avoid ~her actio~ re~ tbs fora ~t~n 30 days of receipt.
2. T~E~~ ~S~RS ~ ENGLISH.
3. ~swer th~ quesfiom below for ~e bus,ess ~ a whole.
4. Be ~ brief ~d conci~ ~ possible.
SECTION l: BUS.SS ~E~ICATION DATA
BUSINESS NAME:
LOCATION: gO
~n~G ~D~SS:
CITY: STA~:
D~ & B~S~ET ~ER: SIC CODE:~
P~Y ACT~TY:
~~G ~D~SS:
SECTION 2: EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1. c&~--'~-..~JC-.~ <~'r-r~c, c SE.6 . t ~3'2. 3 z~ - gO0~
HAZARDOUS MATERIALS MANAGEMENT PLAN ~ /
-,~
SECTION 3: TRAINING
NUMBER OF EMPLOYEES: ~'
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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION
I, CERTIFY THAT THE ABOVE
INFORMATION IS ACCURATE. I UNDERSTAND THAT TH/S 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.
SIGNATURE TITLE DATE
2
.- IIAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES
A. AGENCY NOTIFICATION PROCEDURES:
B. EMPLOYEE NOTIFICATION AND EVACUATION:
C. PUBLIC EVACUATION:
D. EMERGENCY MEDICAL PLAN:
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN
A. RELEASE PREVENTION STEPS:
RELEASE CONTAINMENT AND/OR MINIMIZATION:
C. CLEAN-UP PROCEDURES:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURAL GAS/PROPANE:
ELECTRICAL:
WATER:
SPECIAL:
LOCK BOX: YES/NO IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
4
H~RDOUS MATERIALS [NVENT(~Y
~' Page of
Business Name Addrcs,s
'd CHEMICAL DESCRIFI~ON
I ) INVENTORY STATUS: New [ ] Add/tion { ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Sa:ret
2) common Name: ~f~J/ CD 2.- ~ ~ '~ C~,-~ 3) OOT # (optio.~)
Chemical Name: AHM [ ] CAS #
4) Physical & Health PHYSICAL I-IEALTH
Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure/,~r] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-d/git code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Ga,v~ ] Pure [ ] Mixture [~] Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNYFS OF MF_ASURE 8) STORAGE CODES
Maximum Daily Amount 'Z.O ~ Lbs [ ] Gal [ ] fl3 [4 a) Container:
Average Daily Amount ? oC' Curies [ ] b) Pressure:
Annual Amount 'LO ~-- c) Temperature
Largest Size Container
# Days on Site '"< 6 S' Circle Which Months: All Year, $, F, fYI, A, M, $, $, A, S, O, N, D
the three most hazardous 1) ~ "] 5 [
chemical components or 2) C.~r'c~.~O 0 to× ~,'~ ~_g"-' [
any AHM components 3) [
10)LOCATION ~ CO~P..C ~"C-C~--~c,d~O,-,~d-
1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] Check if chemical is a NON Trade Secret [ ]TradeSecret[
2) Common Name: (~))(~c'rdb'c''-~'J 3) DOT # (optional)
Chemical Name: AI-IM [ ] CAS #
4) Physical & Health PHYSICAL HEALTH
Hazard Categories Fire[ ]Reactive[ ]SuddenReleaseofPressure[ ] lmmediateHealth(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 IVlEASURE 8) STORAGE CODES
Maximum Daily Amount /~'~"~ Lbs [ ] Gal [ ] fl3 ~ a) Container.
Average Daily Amount / 5'-C" Curies [ ] b) Pressure:
Annual Amount ~"~O c) Temperature
Largest Size Container /
# Days on Site ~65 Circle Which Months: All Year, $, F, M, A, M, $, $, A, S, O, N, D
9) MIXTURE: List COMPONENT CAS# % WT AI-IM
the three most bsz_~_rdous 1) [
chemical components or 2) [
any ~ components 3) [
10)LOCATION ~ ~o'~T'zxci L~ C,.3'C.-a..c3 ~a/(~
I certify under penalty of law, that [ have personally examined and am familiar with the information on this and all e}ttached documents. I
believe thc submitted information is true, accurate and complete. ./~)J.~ l 0/ /
PRII~ Name & Title of Authorized Company Repre,~ntative Signature Date
HA~RDOUS MATERIALS INVENTO$
Page of
Business Name Address ...~
CHEMICAL DESCRIFrION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ J l~letion [ ] Ch~k if chemical is a NON Trad~ Secret [ ] Trad~ Secx~ [ ]
2) Common Name: .~7~'""~ O~..,~_, 3) DOT # (optional) ,
Chemical Name: AHM [ ] CAS #
4) Physical 8: Health PHYSICAL HEALTH
Hazard Categories Fir~ Reactive [ ] Sudden Release of Pressure {~ Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION O-digit ood~ flora DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Cas [~1 Pure f~l Mixtu~ [ ] W~: [ ] Radio~tive [
7) AMOUNT AND TIIME AT FACIIATY UNITS OF MEASURE 8) STORAGE CODES
Maximin Daily Amotmt {~ 0 <~ Lbs [ ] Gal [ l ILl [~] a) Containe~.
Average Daily Amount ~ O ~'- Curies [ ] b) Pressure: 7_.
Annual Amount .'R t ~ c) Temperature
Largest Size Container ! o
# Days on Site "'z~-- Circle Which Montl~: AIl Year, $, F, 1~ A, I~ $, I, A, $, O, N, D
9) MIXTURE: List CONfl~ONENT CAS# % WT
the three most hazardous I)
chemical components or 2) [ ]
any ~ components 3) [ ]
10)LOCATION ~ O~C O/,O~--.
1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] CheckifchemicalisaNONTrad~Sect~[ ]TradeSecret[ ]
2) Common Name: '~-'~.- C/l--O~ 3) DOT # (optional)
Chermcal Name: ~ [ ] CAS #
4) Physical & Health. PHYSICAL HEALTM
H~tzardCategories Firej~,~]Reactive[ ]S,,dd_,~_RelenseofPressu~lmm,'~4in~Health(Acute)[ ]DelayedHe~lth(Chronic)[ ]
5) WASZ~ cL~ssn~c^~o~ O~it code n~n mtm ~orm ~0=) ~SE COmE
7) AMO~ AND ~ AT FACILITY UNITS OF 1VffiASUR~ ~) STORAGE CODES
Maximmm Daily Amount ~ ~ Lbs [ ] Gal [ ] R3.[~,,] n) Contain~
Average Daily Amount ~ ~'O Curies [ ] b) Pressm~: ~z.
Annual Amount ! ~ c) Temperature
Largest Size Container ! f~
# Days on Site '~ ~ Circle Which Months: All Year, $, F, ~ A, !~ $, ~, A, S, O, N, D
9) NOXTURE: List COIVlI~NENT CAS# % WT AHM
the three most ~us 1) [ ]
chemical components or 2) [ ]
any AHM components 3) [ ]
10 )LOCATION
f certify under penalty oflaw, that I have personally examined and am familiar with the information on this and all attached documents. I
believe the submitted information is true, accurate and complete.
PRINT Name & Title of Authorized Company Repre.mntafive Signatur~ ~