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HomeMy WebLinkAboutBUSINESS PLAN~~ ,~ 7 ~ MUSICK'S TRANS & AUTO CTR ~~ ~ ~', 1801 BRUNDAGE LANE ~Y ~ ~~~s ,1 ~=' Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ~ I This oerrnit is issued for the following: '~ [] Hazardous Materials Plan ,~ ~ [] Underground Storage of Hazardous Materials . [] Risk Management Program PERMIT ID # 015-021-000880 [] Hazardous Waste On-Site Treatment / CA 93304 ~//' LOCATION: 1801BRUNDAGE ~',.. '~,~,,. ~',, , OFFICE OF ENVIRONMENTAL SER VICES' ' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 OfficeofEv~Services Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 'Jur~e 30~. 2003 MAP OF BAK RSFI LD AND VICINITY &~"~i~u~crtJNI ~VeNU'- ~, , ,,,., 99. 8th 7th 8th Marcu Llo¥, HM' IP PLANe MAP SITE DIAGRAM ~ FACILITY DIAGRAM I------J Business Nome: ~SlClr,' S Al, L-STATE I'R/DISI~IISSTON Business Address: 1801 BEUNDAGE LANE BAKERSFIELD, CA 93305 FOr Office Use Only First in Station: Are~ Map # of Inspection Statlon: NORTH /"'~. BRUNDAGE LANE It ® ~t ~t w~,Tca ~ cKow fl ^ ~' CHILD DAY CAKE '~ A ' ' s ~ ~ :": ~s~Iss~o~ ~ A 1801 B~ndage B~r~el& CA A 93305 (80~) J2~-7500 , FREEWAY 58 ~' ,HM~IP PLAN~ MAP SITE DIAGRAM F i FACILITY DIAGRAM Business Name: ~slcK' s ALL-STATE TRANSMISSION Business Addre~: 1801 BKUNDAGE LANE BAKERSFIELD, CA 93305 FOr Office Use Only First In Station: Area Map # of Inspection Station: NORTH ~ 45' ~ I MUSICK'S TRANS & SiteID: 015-021-000880 Manager :~KAi~Y [,~SiCK ~CH~&~ /J/k~¢~Ke~ BusPhone: (661) 323-7500 102 CommHaz Moderate Location: 1801 BRUNDAGE LN City : BAKERSFIELD ~ ~-Z~ ~ %.~.Map : : Grid: 36D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC code:7537 EPA Numb: ~A ~O ~?~ ~ DunnBrad:47-0917498 Emergency Contact / Title _Emergency Contact / Title~J~ -R3u~DALL--~SiC~' / PRESIDENT ffu~tu~b ~u~f / OFFICE Business Phone: (661) 323-7500x Business Phone: (661) 323-7500x 24-Hour Phone : (661) ....... ~ ,,=S~g;-~ 24-Hour Phone : (661) ~5~7 ~ Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press Im~lth DelHlth Contact : C~LES ~ERKE~ Phone: (661) 323-7500x MailAddr: PO BOX 60638 State: CA ~~ City : BA~RSFIELD Zip : ~~ Owner VALLEY I~ESTMENTS, INC. Phone: (661) 323-7500x Address : PO BOX 60638 State: CA City : Period : to TotalASTs: ~ = Gal Preparer: TotalUSTs: ~ = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: THIS FACILITY IS A ~Z~DOUS WASTE GENE~TOR ~D REQUIRES A JOINT INSPECTION WITH HOW~D WINES ~D THE ENGINE COMPS. PLEASE GIVE THIS OFFICE 5 DAYS NOTICE PRIOR TO SCHEDULING THE INSPECTION. -1- 0 /12/2003 F MUSICK'S TRANS & SiteID: 015-021-000880 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Mobile Containers on Site Hazmat Common Name... IspecHaz EPA HazardsI Frm I DailyMax lUnitlMCP ACETYLENE E F P IH G /~ -~.vw^~ FT3 Hi OXYGEN F P IH G ;ql '~J~lw"O~FT3 Low 2 09/12/2003 F MUSICK'S TRANS & ENTER SiteID: 015-021-000880 = Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpeoHaz]EPA HazardsI Frm I DailyMax lUnit]MCP ACETYLENE E F P IH G ;~q ~2~0.C0~FT3 Hi SOLVENT F DH L 55.00 GAL Mod WASTE SAFETY SOLVENT F IH DH L 19.00 GAL Mod OXYGEN F IH DH G ;~l-~9~.00-FT3 Low TRANSMISSION FLUID F DH L 250.00 GAL Low WASTE OIL F DH L 250.00 GAL Low MOTOR OIL F DH L 165.00 GAL Min GEAR OIL/GREASE F DH L 60.00 GAL Min -3- 09/12/2003 MUSICK'S TRANS & SiteID: 015-021-000880 = Inventory Item 0002 Facility Unit: Mobile Containers on Site ~1~ N~ / ~1~ ~Vl~ ACETYLENE , Days On Site 365 Location within this Facility Unit Map: Grid: PORTABLE I/NIT IN SHOP CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average I~q -2~0.$~- FT3 /o~ ~ 2~C~C~ FT3 ~'~ ~130.C0' FT3 HAZARDOUS COMPONENTS 100.00 Acetylene Yes 74862 HAZARD ASSESSMENTS ITsecretl ~slBiOHaZNo N No Radioactive/Am°unt I EPA HazardsNo/ Curies F P IH NFPA/// IUSDOT# MCP = Inventory Item 0001 Facility Unit: Mobile Containers on Site ~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: MOBILE CART CAS# 7782-44-7 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas /Pure~ I Above Ambient [ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Oxygen, Compressed 7782447 HAZARD ASSESSMENTS TSecretI ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MOP No N No No/ Curies F P IH / / / Low 4 09/12/2003 MUSICK'S TRANS & SiteID: 015-021-000880 ~ Inventory Item 0007 Facility Unit: Fixed'Containers on Site Days On Site 365 Locat~ithin this Facility Unit Map: Grid: PORTABLE UN~P CAS# 74-86-2 Gas Pure Ambient PORT. PRESS. CYLINDER THIS LOCATIONI Largest Container Dail Daily Average HAZARDOUS COMPONENTS %Wt. CAS# ~n~ ~ ~..~^~^ 74862 HAZARD ASSESSMENTS TSecret[ ~SIBi°HaZNo N No Radi°active/Am°unt I EPA HazardsNo/ Curies F P IH NFPA/// MCP = Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ ~v~v~ ~v~ / ~£ ~ ~v~ SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE S END OF BLDG CAS# 8030306 ~ STATE -7-- TYPE PRESSURE -- TEMPERATURE , CONTAINER TYPE Ambient AmbientI DRUM/BARREL-METALLIC Pure Liquid AMOUNTS AT THIS LOCATION Largest Container [ Daily Maximum I Daily Average 55.00 GALI 55.00 GALI 25.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Cleaning Solvent 8030306 HAZARD ASSESSMENTS TSecretI ~SIBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Mod~ -5- 09/12/2003 F ~SICK'S TRANS & AU NTER SiteID: 015-021-000880 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ -- CO~ON NAME / CHEMICAL NAME WASTE SAFETY SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: ~JACENT EAST WALL CAS# 64741-41-9 |FLiquidSTATE ~1 TYPE PRESSURE --~. TEMPE~TURE CONTAINER TYPE Waste I Ambient Ambient I DR~/BARREL-METALLIC AMO~TS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 30.00 GAL I 19.00 GAL I 19.00 GAL HAZARDOUS COMPONENTS 1.00 Xylene, Mixed N 1330207 0'501Ethylbenzene INO I 100414 HAZARD ASSESSMENTS ITSecret] RS]BioHaz] Radioactive/Amount I EPA Hazards NFPA ] USDOT# MCP No No No No/ Curies F IH DH / / / Mod . Inventory Item 0008 Facility Unit: Fixed Containers on Site NAME / CHEMICAL NAME Days On Site COMPRESSED GAS 365 Lc within this Facility Unit Map: Grid: PORTABLE IN SHOP CAS# 7782-44-7 F STATE I TYPEPure :SSURE --~ TEMPERATURE IAmbient CONTAINER TYPE . . Gas PORT PRESS CYLINDER THIS LOCATION Largest Container I Dail' I Daily Average HAZARDOUS COMPONENTS -~ ~ .......... Ccm~rc_~_~d 7782447 HAZARD ASSESSMENTS ] TSecret ]No NoRS I Bi°Has]No Radi°active/Am°unt I EPANo/ Curies F HazardsiH DH NFPA/// MOP 6 09/12/2003 MUSICK'S TRANS & AU NTER SiteID: 015-021-000880 Fast Format = Training Overall Site -- Employee Training _~,^~1~~ ~-, ~... WE HAVE EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN SHOP OFFICE. BRIEF SUMMARY OF TRAINING: WITHIN THIRTY (30) DAYS OF HIRING, ALL NEW EMPLOYEES ARE REQUIRED TO PARTICIPATE IN A THOROUGH HAZARDOUS MATERIALS ORIENTATION TRAINING SESSION. THE TRAINING INCLUDES INFORMATION COVERED WITHIN THIS EMERGENCY RESPONSE REPORT AND RIGHT-TO-KNOW HAZARDOUS MATERIALS LAWS. INITIAL TRAINING ALSO INCLUDES BASIC INSTRUCTION ON HOW TO PROPERLY AND SAFELY HANDLE ALL HAZARDOUS MATERIALS AND WASTE PRODUCTS PRESENT AT THIS FACILITY. THIS TRAINING IS DONE IN CONJUNCTION WITH A HAZ MAT VIDEO AND EMPLOYEE HANDBOOKS. INSTRUCTION ON HOW TO INTERPRET THE NATIONAL FIRE PROTECTION AGENCY (NFPA) MARKING SYSTEM IS GIVEN, IN ADDITION TO HOW TO COMPREHEND MATERIAL SAFETY DATA SHEETS FOR SPECIFIC HAZARDS AND FIRST AID INFORMATION FOR USE INCASE OF MINOR INJURIES IN THE WORKPLACE. NEW EMPLOYEES ARE ALSO TRAINED IN THE LOCATION AND PROPER USE OF PORTABLE FIRE EXTINGUISHERS FOR FIGHTING SMALL FIRES, AS WELL AS IN THE USE OF RAGS, ABSORBENTS, AND OTHER SPILL CLEAN-UP CONTROL MATERIALS. ALL EMPLOYEES ARE TRAINED REGARDING THE LOCATION OF AND SHUT-OFF PROCEDURES FOR THE EMERGENCY UTILITY SWITCHES/VALVES. NEWLY HIRED EMPLOYEES ALSO RECEIVE TRAINING ON SITE EMERGENCY REPONSE EQUIPMENT AND MATERIALS, EMERGENCY TELEPHONE NUMBERS AS LISTED IN FORM E, SECTION II (EMERGENCY RESPONSE PLANS AND PROCEDURES) OF THIS BUSINESS PLAN, EVACUATION ROUTES, AND STAGING AREA. BUSINESS PLAN INFORMATION (SECTION I OF BINDER) AND MATERIALS SAFETY DATA SHEETS (SECTION III OF BINDER) ARE LOCATED IN THE HAZARDOUS MATEIALS BINDER WITHIN THE SHOP OFFICE. IN PERSON, VIDEO, AND WRITTEN EMPLOYEE HANDBOOK INSTRUCTION GIVEN TO NEW EMPLOYEES IS DOCUMENTED SECTION II OF THE HAZ MAT BINDER. Page 2 I Held f°r Future Use I Held for Future Use j -12- 09/12/2003  PO Box 70127 " Bakersfield, CA 93385 July 31, 2003 County Of Kern-Environmental Health Svc 2700 M Street Suite 300 Bakersfield, CA 93301 Subject: New Company Owner Effe~t~e Au--~ust 2, 2003, the operating assets of Musick's Transmission & Auto center-will be sold to Valley Investments, Inc. dba Musick's Transmission & Auto Center. The new owner will be Charles F. Haberkern. As of August 2, 2003, Randall Musick will no longer be responsible for any debts incurred on behalf of Musick's Transmission & Auto Center. All account statements for balances that are due as of August 1, 2003 at 5pm should be mailed to the same PO Box 70127, Bakersfield, CA 93387, as before and will be paid in full after all credits have been applied. Mr. Charles Haberkern has requested that accounts be opened on his behalf for Valley Investment, Inc. dba Musick's Transmission & Auto Center. His mailing address is PO Box 60638, Bakersfield, CA 93386. He retained the same business phone number 661 323- 7500. Mr. Haberkern can be reached prior to Monday, August 4th at 661 496-5638 should you have questions of him. Enclosed is Mr. Haberkern's financial information to assist you in setting up his accounts. We appreciate doing business with you over the past many years and thank you for your assistance while we make this transition. Thank You, Randy Musick President Enclosure Valley Investments, Inc. dba Musick's Transmission & Auto Center Effective August 4, 2003, Valley Investments, Inc., will be the new owner of Musick's Transmission & Auto Center. Valley Investments will operate under the dba of Musick's Transmission & Auto Center and will continue to do business at 1801 Brundage Lane. We would like to continue doing business with your firm and are submitting the following information for your credit files. Valley Investments, Inc. dba Musick's Transmission & Auto Center 1801 Brundage Lane Bakersfield, California 93304 (661) 323-7500 Please mail all invoices and correspondence to: P.O. Box 60686 Bakersfield, California 93386 Sales Permit Number - ARH 100-257386 Tax ID Number 47-0917498 If you have any questions or require additional information please call me at -(661-)-.3-23 -7-500 ~ ........ i Charles F. Haberkern President 2002 ,Hazardous .Materials Management pian · .HMMP' ' .~ /~~,, ]] uaza~do~s ~te~~;, ~ ~ ~~ I' T~NS' sHIFT CoRpORTATION, dba ~ Il MUSICK'S TRANSMISSION &' AUTO 'CENTER ~80~ Brundage Lane Bakersfield, ~ 93304 - 2846 (~0' ZZZ-ZSO0 Presented tO: CERTIFIED UNIFIED PROGRAM' AGENCY KERN COUNTY. Environmental Health ' 2700 "M" Street, Suite 310 Bakersfield, CA 93301 - 2370 (661) 862- 8700 Prepared by:' ~i~citic Management Services Environmental Compliance Specialists 1923 North Fine, Suite 101 (559) 251 -4060 . Fresno, California 93727- 1510 FAX (559) 251-5534 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of 10 I. FACILITY IDENTIFICATION BUS1NESS NAME (Same as Facility Name of DBA-Doing Business As) MUSICK'S TRANSMISSION & AUTO CENTER ; II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list,. please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility If Yes, please complete these pages of the UPCF A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the applic'able Federal threshold [] YES [] NO 4 HAZARDOUS MATERIALS INVENTORY quantity [or an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or,handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B., UNDERGROUND' STORAGE, TANKS (USTs) UST FACILITY (F ...... b' SWRCB Form I. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (o,e p,ge per ta.k) (Formerly Form B) 2. Intend to upgrade' existing or install new USTs? [] YES [] NO 6 UST FAC1L1TY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one pa~e per tank) (Formerly Form c) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (closure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: '"any tank capacity is greater than 660 gallons~ or [] YES [] NO 8 NO FORM REQUIRED'I:O CUPAs --- the total capacity for the facility is greater than 1,320 gallons? D: HAZARDOUS WASTE EPA ID NUMBER - provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 10 perrecy¢le0 ONSITE HAZARDOUS WASTE 3; Treat hazardous Waste on site? [] YES [] NO I 1 TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to financial assurance requirements (for [] YES [], NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232) REMOTE WASTE / CONSOLIDATION 5. Consolidate hazardous waste generated at a remote site? [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) .E,,LOCAL REQUIREMENTS (You may also be required to provide additional information by your CUPA or local agency.) UPCF (I/99) 165 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION 'Pa~e 2 o~ 10 I. IDENTIFICATION FAC1LITY ID// BEGINNING DATE ~00 ENDING DATE 06/01/01 05/31/02 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 BUSINESS PHONE 102 MUSICK'S TRANSMISSION &' AUTO CENTER (661) 323-7500 BUSINESS SITE ADDRESS 103 1801 BRUNDAGE LANE. CITY ~o4 ' ZIP CODE 10s BAKERSFIELD CA 93304- 2846 ' DUN & BRADSTREET 106 I SIC CODE (4 digit #) I07 11- 982- 8382 [7537 COUNTY KERN BUSINESS OPERATOR NAME io9 I BUSINESS OPERATOR PHONE ilo RANDALL MUSICK [(661). 323-7500 II. BUSINESS OWNER III OWNER PHONE 112 OWNER NAME TRANS-SHIFT CORPORATION 1(661). 323-7500 OWNER MAILING ADDRESS P.O. BOX 70127 CITY Il4 STATE lis ZIP CODE Il6 BAKERSFIELD CA 93387 - 0127 III. ENVIRONMENTAL CONTACT CONTACT NAME 1~7 CONTACT PHONE RANDALL MUSICK (661) 323-7500 CONTACT MAILING ADDRESS P.O. BOX .70127 CITY 12o STATE ~21 ZIP CODE BAKERSFIELD CA 193387 - 0127 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 129 RANDALL MUSICK MARSHALL BRADLEY TITLE 124 TITLE 129 PRESIDENT OFFICE MANAGER BUSINESS PHONE 12s BUSINESS PHONE (661) 323-7500 (661) 323-7500 24-HOUR PHONE 126 24-HOUR PHONE (661) 393-7146 (661) 587-6630 PAGER # 127 PAGER# 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIG~~RESENTATIVE DATE ' · 134 NAME OF DOCUMENT PREPARER 135 06/28 / 02 PACIFIC MANAGEMENT SVCS. NAI'~F SIGNER (print) ~ ' . . 136 TITLE OF SIGNER 137 RANDALL MUSICK PRESIDENT UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /one pa~e per materia~ per buildin[i or area/ []]ADD ]-']DELETE [~REVISE 200 J. Page 3 of 10 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL-STATE TRANSMISSION' CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA PORTABLE UNIT IN SHOP [] YES [] NO FAC1LITY ID # 2 of 2 II. CHEMICAL INFORMATION CHEMiCAL NAME 205 TRADE SECRET [] Yes IXI No 206 ACETYLENE . Subject to EPCRA, refer to instrufilions COMMON NAME 201 EHS* [] Yes [] No 208 ACETYLENE, COMPRESSED GAS CAS# 209 . *If EHS is "Yes", all amounts below must be in lbs. '74-86-2 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES N/A 2i5 PHYSICAL STATE 214 LARGEST CONTAINER (Check one itmn only) [] a. SOLID [] b. LIQUID [] c. GAS 260 FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTa [] e. CHRONIC HEALTH 130 126o ' . 221 DAYS ON SITE: 222 UNITS*. ' Da. GALLONS []b. CUBICFEET f--lc. POUNDS []&TONS 365' (CheCk one item only) * IfEHS, amount must be in pounds. STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRuM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY ' [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT· [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC 22s %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I' 226 227 [] Yes [] No 228 229 100 ~cetylene 74-86-2 2 230 23t [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 24o 24~ 5 242 243 [] YeS [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2~6 If EPCRA_ Please Si.n Here uPcF (1/99) 169 ' eLS Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone page per material per buildin~ or areaI F-lADD' [-']DELETE lSd]REVISE 200 J Page 4 of 10 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) . 3 MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 2o2 EPCRA [] YES [] NO OUTSIDEFAcILiTY IDAST'# I lIN FENCED[ ] ' AiEAi SiUTH. , OF iUIiDING 2MAP# (optiona,)of 2 203 I GRID# (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [_] Yes ~ No 208 )ETROLEUM HYDROCARBON MIXTURE .Subject to EPCRA, refer to instructions COMMON NAME 20'/ EHS* [] Yes [] 'No 208 AUTOMATIC TRANSMISSION FLUID CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERiAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 250 (Check one item only) [-]' a. SOLID [] b, LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] dl ACUTE HEALTH [] e. CHRONIC HEALTH ]25 12so . 22, DAYS ON SITE: 222 UNITS* []a.GALLONS F-]b. cuBICFEET [~]c, POUNDS F'~~.T~NS 365 Check one item only) * If EHS, amotmt must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR t [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] b. UNDERGROUND TANK [] f. CAN [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p, TANK WAGON 22.~ STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c', BELOW AMBIENT _ 224 sToRAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 85-100 Aliphatic Petroleum Distillates 64742-65-0 2 23o 23, [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 . . 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capluring the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA_ Please Sion Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS · HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /on6 page per matedal per building or area/ I'~IADD I'~IDELETE [~REVISE 200I Page .~_5 of 1_.9._0 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCAT1ON 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA ~SHOP EAST WALL, NEAR' CENTER OF WALL [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes IXI No 20o PETROLEUM· HYDROCARBON If Subject to EPCRA, refer to instriactions COMMONNAME ' 207 EHS* [] Yes [] No 208 GEAR OIL AND/OR GREASE CAS# 209 · If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 21'~ RADIOACTIVE [] Yes [] N o 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE ' 214 LARGEST CONTAINER 60 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) []. a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2l? MAXIMUM DAILY AMOUNT 2ts I ANNUAL WASTE AMOUNT 2,9 I STATE WASTE CODE 220 30 60 . 221 DAYS ON SITE: 222 UNITS* [] a.G^LLONi [] b. CUBIC FEET [] o. eOtmDS [] d. TONS tCheck one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE [] a. ABOVE GROUND'TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER ' [] b. UNDERGP, OUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT. 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %wT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # [ 226 227 [] Yes [] No 228 229 > 8,5 Various Lubricating Base Oils 6474X-XX-X 2 230 231 [] Yes [] No 232 233 < 15 ~dditive Package, including: Mixture 3 234 235 [] Yes [] No 236 23? < 2 Zinc Alkyldithiophosphate 68649-42-3 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carclnogenle, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA_ Please Sien Here uPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS' HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /erie pac~e per material Der buildin~ or area} [--]ADD [--]DELETE [~]REVISE 20o I page 6 o,f l0 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing ·Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCAT1ON 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA SHOP EAST WALL,, NEAR CENTER OF WALL [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 2(~5 TRADE SECRET [_] Yes PETROLEUM HYDROCARBON if Subject to EPCRA, refer to instructions COMMON NAME 20? El-IS* [] Yes [] No MOTOR OIL CAS# Mixture *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complele if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 2t2 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 55 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED B, AZARD CATEGORIES 216 (Check allthat apply) [] a, FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH 83 1165 22~ [ DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] ~. POUNDS [] d. TONS (Check one limn only) * If EHS, alnount must be in pmmds.. 1365 I STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC I~OTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.cARBoY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] e. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 z27 [] Yes [] No ~t ~ 85 Cm'ious Lubricating Base Oils 6474X-XX-X 2 ~30 23~ [] Yes ~. No x3~ 233 ( 15 ~dditive Package, including: Mixture 3 z34 z~s [] Yes [] No z3~ < 2 Zinc Alkyldithiophosphate 68649-42-3 4 23~ 239 [] Yes [] No :z4o 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY coLLECTED INFORMATION 246 IfEPCRA Please glen I-Icrc UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION· /one page per malerial per building or area/ ['-~ADD [-'-{DELETE {'~REVISE 2oo I Page 7 of [0 I. FACILITY INFORMATION· BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 VIUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 20i CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA PORTABLE UNIT IN SHOP [] YES [] NO FACILITY 1D # [ } [ I I[11112 MAP# (optionaq of 2 2°3 GRID# (°Pti°hal) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 208 OXYGEN If Subject to EPCRA, refer to instructions COMMON NAME ,. 207 208 El-IS* [] Yes [] No OXYGEN, COMPRESSED GAS CAS# 209 *IfEHS is "Yes", all amounts below nmst be in lbs. 7782-44-7 FIRE 'CODE HAZARD CLASSES (complete if required by CUPA) ' 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check 0n~ item only) [] a. PURE [] bi MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE' 214 LARGEST CONTAINER 249 (Check one it6m ottly) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZAP, D CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH 249 1498 22t DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 3 65 STORAGE [] a. ABOVE GROUND TANK [] e. PLAsTIc/NONMETALLIC DRUM [] i. FIBER DRUM []m. GLASS BOTTLE [] q. RAIL CAP. CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOy [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22s %WT HAZARDOUS COMPONENT (For mixture or waste only) Ells CAS it ~ Go 3xygen 7782-44-7 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 23g 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If mote hazardous components am present at greater than 1% by weight if non-carcin6genic, or 0.1% by w~igbt if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2~ If EPCRA. Please Sien ]-lere UpCF (1/99) 169 'OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION tone pa[lo per material per building or area} [~ADD [~]DELETE [5~REVISE 200[ Page S 0f 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA OUTSIDE, 1N FENCED AREA SOUTH OF BUILDING [] YES [] NO FACILITYiD# I I1'1[ IIIll 2 of 2 MAP# (optional) 203 CF{ID# (opliona,) 204 H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET I I Yes ~ No 206 HYDROCARBON SOLVENT If Subject to EPCRA, refer to instructions COMMON NAME 20? 208 El-IS* [] Yes [] No SAFETY-KLEEN 105 PARTS WASHING SOLVENT CAS# 209 *If EI-IS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES N/A TYPE (Cheek one item only) [] a. PURE [] b. MIXTURE · [] c. WASTE 215 PHYSICAL STATE 214 LARGEST CONTAINER 55 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217 I MAXIMUM DAILY AMOUNT 218 I ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 I I 28 155 UNITS* [] a. GALLONS [] b. CUBIC FEET [] ¢. POUNDS [] d. TONS 221 DAYS ON. SITE: 222 (Check one item only) * It EHS, amount ~nust be in pounds. 365 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK []'f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 85 C-9 to C-13 Saturated Hydrocarbon 64741-41-9 2 1.0 230 Xylene 23] [] Yes[] No 232 1330-20-7 233 3 .234 235 [] Yes [] Ho 236 237 0.5 Ethyl Benzene 100-41-4 4 '238 239 [] Ye6 [] No 240 241 5 242 243 [] Yes [] No .244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION .246 if EPCRA Please Sim~ Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION /one page per material per building or areaI I-lADD r-'IDELETE [~;'IREVISE. 200I .Page 9 of 10 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME 'or DBA - Doing Business As) 3 MUSICK'S ALL: STATE TRANSMISSION CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA OUTSIDE,. IN FENCED AREA SOUTH OF BUILDING [] YES [] NO ' 204 llll II I I I ] , 2MAP#of Il. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET LJ Yes LXI No 208 WASTE PETROLEUM HYDROCARBON .Subject to EPCRA, refer lb instructions COMMON NAME 207 208 EHS* [] Yes [] No WASTE. MOTOR OIL CAS# 209 Mixture *lfEHS is "Yes", all amounts be. low must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS,MATERIAL 2tl RADiOACTiVE [] Yes [] No 212 CURIES TYPE (Check one item 0nly) [] a. PURE [] b. MIXTURE [] c. WASTE' N/A PHYSICAL STATE 2~4 LARGEST CONTAINER 2~0 (Check one item 0nly) . [] a. SOLID [] b. LIQUID [] c. GAS FED [lAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c:. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIc HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 2t8 ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 12511250 ' 320~1221 221 DAYS ON SITE: 222 UNITS~ [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ilem only) * If EHS, amohnt must be in pounds. 365 STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM r-]'i. FIBER DRUM [] m. GLASS BOTTLE [] q..RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] 3. BAG [] n. PLASTIC BOTTLE [] r. OTHER i [] c. TANK INSIDE BUILDING [] g.CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOus COMI ONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 22s 229 > 85 Vm'ious Lubricating Base Oiis 6474X-XX-X 2 < 15 230 Additive Package, including: 231 [] Yes [] No 232 Mixture 233 ~Ts [] Yes [] No a~6 237 3 <2 234 Zinc Alkyldithiophosph'ate 68649-42-3 4 aT~ 239 [] Yes [] No 240 241 5 242 24~ [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION IfEPCRA Please Sien Here UPCF (l/99) .169 OCS Form 2731' UNIFIED pROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMIC^L DESCPdPTION lone pa~e Rer material per buildin~ or area1 ["]ADD [-]DELETE [~]I~EVISE 200 I Page 10 of 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 VIUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCAT1ON 20t CHEMICAL LOCAT1ON CONFIDENTIAL 2o2 EPCRA ADJACENT EAST WALL [] YES [] NO F^ClLITYID# I ] I ' I I I } I2. MAP'(optional)of 2 203 GRID# (°pti°na" 204 H:, CHEMICAL INFORMATION CHEM1CALNAME 20s TRADE SECRET II Yes IX] No WASTE HYDROCARBON SOLVENT ,Subiectto EPCFIA, refer to instructions COMMON NAME 207 208 EHS* WASTE SAFETY-KLEEN 105 PARTS WASHING sOLVENT Yes No CAS# 209 . Mixture' *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) . · 210 I 213 HAZARDOUS MATERIAL . 211 RADIOACTIVE [] Yes []No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE , 214 LARGEST CONTAINER 30 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 2t6 (Check allthat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 2~s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 22o I 19 119 ' 115 212 22t DAYS ON SITE: 222 UNITS* [] a.GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i, F1BER DRUM [] tn. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] m PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o, TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS cas # I 8-~ 226 227 [] Yes [] No 228 229 C-9 to C-13 Saturated Hydrocarbon 64741-41-9 2 1.0 23o Xylene 23~ [] Yes [] No 232 1330-20-7 233 3 0.5 · 234 ~thyl Benzene 23~ [] Yes [] No 23e 100-41-4 ~3~ 4 238 239 [] Yes [] NO 240 241 5 242 24~ [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or O. I% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA Please Sien Here UPCF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ,F"~ Hazardous Materials Storage Batteries ~ Hazardous Waste Storage Dip / Process Tank H Hoist Door ~ Material Safety Data Sheets Overhead Rollup Door [~] Medical / First Aid Kit Exterior Wall F~ Personal Protective Equipment Interior Wall O Pressurized Tank Driveway / Fire Dept Access Railroad Tracks Utility -- Electric Main O Sewer Drain Utility -- Gas Main t~ Storm Drain Utility -- Water Main /'~ Shower/Eye Wash Emergency Shutoff ~ Stairs  Aboveground Storage Tank Emergency Exit (with capacity) "- - - Underground Storage Tank Evacuation / Staging Area [ '~ "- - - / (with capacity) Eye Wash G Propane Tank Fence ~ Air Compressor Fire Department Connection ~-----~Z-(-'---~ North Direction Fire Hose ~ High Voltage Box Fire Hydrant ! Building / Roof Support Posts Fire Extinguisher ~ Trash , Sprinkler System Valve ,,---E ....... Alignment Rack BUSINESS PLAN MAP £ X ] SITE MAP- Form5 [ ] AREA MAP- Form 5A Business Name: MUSlCK'S TRANSMISSION & AUTO CENTER If Form 5A box is checked: Area Map # of Name of Area: OVERALL (~)Brundage Lane Children, LT LT.. LT D~ay C, are L;en[er P 200' .n . 0 ~ P ;Residence', x x ~.'X x x x x x x x x x x x x x .. x x x X Freeway 58 < 45'o"~ BUSINESS PLAN MAP [ -I SITE MAP- Form5 [ X ] AREA MAp- Form 5A Business Name: MUSICK'S TRANSMISSION· & AUTO CENTER If Form 5A box is checked: Area Map # 1 of 1 Name of Area: FACILITY /&,9~ O f6~ ( ¢5'0" ) , F~ Motor Oil°~ O' Slvt i~ ' Waste ',Coolant ~HWS~ Waste Oil ×xx x ×x × xxxx× x xx~ KERN CouNTY ENVIRONMENTAL HEALTH sERVICES (805) 862-8700 ID# BusinesS Name Map Grid DO NOT WRITE IN THIS BOX HAZARDOUS MATERIALS BUSINESS PLAN FORM 2 Forms' Due By: SECTION BUSINESS IDENTIFICATION DATA · A. FULL LEGALBUSINESSNAME: MUS!CK'S TRANSMISSION & AUTO CENTER PHYSICAL LOCATION/STREET ADDRESS: 1801 BRUNDAGE LANE CITY: BAKERSFIELD ZIP: 93304-2846 BUSINESS PHONE:( 661 ) 323-7500 C. MAILING ADDRESS: P.O. BOX 70127 CITY: BAKERSFIELD ZIP: 93387- 0127 D. HAVE YOU FILED A BUSINESS PLAN WITH THE DEPARTMENT UNDER A DIFFERENT NAME WITHIN THE LAST TWO YEARS? YES NO X IF YES, UNDER WHAT NAME DID YOU FILE? THIS SUBMISSION ISANEW OR REVISED X BUSINESS PLAN F. DOES YOUR BUSINESS HANDLE ANY "ACUTELY HAZARDOUS MATERIALS" LISTED ON THE ENCLOSED HANDOUT, IN ADDITION TO OTHER TYPES OF MATERIALS? YES__ NO X SECTION 2: EMERGENCY NOTIFICATIONS In the event of an emergency involving the release or threatened release of a hazardous material, telephone 9-1 -4, and then (800) 862-7550 or (916) 262-1621. This win notify your local fire departmen[ and the State Office of Emergency Services, as required by state law: Additional federal reports may be required. PERSONS WHO SHOULD BE NOTIFIED IN CASE OF EMERGENCY AT YOUR BUSINESS THAT HAVE FULL ACCESS AND CAN PROVIDE TECHNICAL ASSISTANCE: NAME AND TITLE DURING BUS[NESS HOURS AFTER BUSINESS HOURS A. RANDALL MUSICK / PRESIDENT Ph# (661) 323-7500 Ph# (661) 393-7146 B..MARSHALL BRADLEY / MANAGER Ph# (661) 323-7500 Ph# (661) 587-6630 - CONTINUED ON REVERSE - (1) SECTION 3: LOCATION OF THE MAIN UTILITY SHUTOEFS FOR THE ENTIRE BUSINESS A. NATURAL GAS/RROPANE: N/A B. ELECTRICAL: OUTSIDE, ADJACENT SOUTH WALL OF FACILITY C. WATER: OUTSIDE, NORTH oF FACILITY, ADJACENT STREET D. SPECIAL/OTHER: E. LOCK Box: YES/~,~} IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDS? YES / NO FLOOR PLANS? YES / NO KEYS? YES/ NO SECTION PRIVATE RESPONSE TEAM' DESCRIPTION Do- you have a group of employees trained to handle minor accidents involving hazardous materials at your business? ' Yes N o X If so, you must explain the level of training and equipment they possess and how they are notified to respond. SECTION IDENTIFICATION OF THE CLOSEST APPROPRIATE EMERGENCY MEDICAL ASSISTANCE AVAILABLE TO YOUR BUSINESS #1 MERCY HOSPITAL #2 ADDRESS: 2215 TRUXTUN AVENUE CITY: BAKERS FI ELD PHONE: ( 661 ) 327-3371 (. ) COMMENTS/ADDITIONAL INFO: - CONTINUED ON NEXT PAGE- (2) SECTION 6:' EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED BY STATE LAW TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS: 1) Methods for safe handling of the hazardous materials used by your business; 2) The CAL OSHA Hazard Communication Standard; 3) Correct use of emergency response equipment and supplies availabte at your business; 4) The prevention, minimization, and cleanup procedures you have developed for your business and explained on the business plan forms; 5) T'he emergency evacuation plans you have developed, the notification procedures used to alert people to evacuate, and the closest location to .obtain appropriate emergency medical care; 6) Procedures to coordinate with and assist the local emergency personnel that may respond to your business; 7) Who and how to call for immediate assistance in the event of an accident involving hazardous materials. Describre the location of the written plan and the training records which are required to be developed and maintained. State law requires your training records be inspected. ALL RECORDS ARE KEPT IN THE OFFICE BUILDING, IN A BINDER MARK'ED "ENVIRONMENTAL COMPLIANCE AND SAFETY TRAINING PROGRAM." THE RECORDS ARE AVAILABLE FOR INSPECTION BY ALL EMPLOYEES OR INSPECTORS DURING NORMAL BUSINESS HOURS. - CONTINUED ON REVERSE - (3] SECTION 7: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES. INCLUDE A DESCRIP~FION OF MONITORING METHODS AND PROCEDURES. A. RELEASE PREVENTION: PREVENTION BEGINS WITH EMPLOYEE AWARENESS IN OUR TRAINING PROGRAM ON HAZARDOUS MATERIALS IN CONJUNCTION WITH A HAZMAT VIDEO AND EMPLOYEE HANDBOOKS. IN AN ATTEMPT TO PREVENT A HAZMAT-RELATED EMERGENCY, INVENTORY SUPPLIES ARE INTENTIONALLY KEPT LOW, ORDERING ON-AN AS-NEEDED BASIS ONLY. PRIMARILY, HAZARDOUS MATERIALS ARE LIMITED TO FLAMMABLE/COMBUSTIBLE PETROLEUM-BASED PRODUCTS ALL OF WHtCH ARE COMPATIBLE AND SAFELY STORED. DAILY CLEANUP PROCEDURES ARE ROUTINE IN ORDER TO PREVENT A RELEASE OF HAZARDOUS MATERIALS OR PERSONAL INJURY TO EMPLOYEES. B. RELEASE CONTAINMENT: . ouR PRIMARY STRATEGY TO PREVENT A RELEASE OF HAZARDOUS MATERIALS IS NOT TO HAVE ANY LARGE QUANTITY OF ANY HAZARDOUS MATERIALS ON HAND AT ANY GIVEN TIME. IN THE EVENT OF A MINOR SPILL OR LEAK, ABSORBENT MATERIAL IS IMMEDIATELY APPLIED TO THE SUBSTANCE. ONCE THE SPILL OR LEAK HAS BEEN COMPLETELY CONTAINED AND ABSORBED THE REFUSE IS CAREFULLY COLLECTED. THE CONTAMINATED' MATERIAL IS THEN PROPERLY STORED UNTIL ITS REMOVAL BY A LICENSED HAULER. C. CLEANUP: ALL EQUIPMENT USED IN CLEANUP WiLL BE PROPERLY INSPECTED AND CLEANED FOR THE NEXT TIME THAT IT MAY BE NEEDED. ALL CONTAMINATED MATERIALS WILL BE PROPERLY COLLECTED WITH ABSORBENT MATERIALS BY EMPLOYEES USING PROPER PROTECTIVE CLOTHING AND SAFETY EQUIPMENT. THEY WILL THEN BE STORED IN A LABELED WASTE CONTAINER TO BE PICKED UP BY A LICENSED HAULER. IN THE EVENT OF A LARGE SPILL, A CLEANUP CONTRACTOR WILL BE CALLED TO REMOVE THE SPILL AS NECESSARY. SECTION 8: EXPLAIN'THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES TO USE IN AN EMERGENCY. YOU MUST INCLUDE A MEETING POINT. A, AGENCY NOTIFICATION: IN CASE OF A SPILL OR CHEMICAL RELEASE, THE EMERGENCY COORDINATOR WILL NOTIFY: 1) ALL PERSONNEL TO EVACUATE THE FACILITIES AND MEET AT THE PREDESIGNATED STAGING AREA. 2) THE LOCAL EMERGENCY RESPONSE AGENCY--FIREIPARAMEDICSIPOLICE BY DIALING 9-1-1. 3) THE LOCAL ADMINISTERING AGENCY (805) 862-8700. 4) THE STATE OFFICE OF EMERGENCY SERVICES (800) 852-7550 5) THE LOCAL EMERGENCY MEDICAL FACILITY USED BY OUR BUSINESS-- MERCY HOSPITAL (661) 327-3371. B. EMPLOYEE NOTIFICATION/EVACUATION: BECAUSE OF THE SMALL SIZE OF THE WORK AREA AND THE SMALL NUMBER OF EMPLOYEES, IT WILL BE EASY TO VERBALLY NOTIFY EMPLOYEES OF AN EMERGENCY AND/OR EVACUATION. EMPLOYEES WILL EXIT THE FACILITY USING THE NEAREST EMERGENCY EXIT (AS DESIGNATED ON.THE SITE MAP). A MAP IS POSTED IN THE WORK AREA, IN A LOCATION READILY VISIBLE TO ALL EMPLOYEES. EMPLOYEES WILL MOVE TO THE PREDESIGNATED STAGING AREA, MEETING IN THE PARKING LOT WEST OF THE FACILITY, ADJACENT THE FENCE. THE EMERGENCY COORDINATOR WILL ACCOUNT FOR ALL EMPLOYEES AND GIVE FURTHER INSTRUCTIONS. - CONTINUED ON NEXT PAGE - · ' (4) SECTION 9: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE THAT MAY ASSIST EMERGENCY RESPONDERS, (NONE.) SECTION 10: LIST THE LOCATION OF ANY WATER SUPPLIES THAT MAY BE USED BY EMERGENCY RESPONDERS. A FIRE HYDRANT ON THE NORTH SIDE OF BRUNDAGE LANE IS AVAILABLE. ! RANDALL MuSICK certify that the information submitted on all the business plan forms is accurate and complete, understand that this information will be used to fulfill my obligations under California Health and Safety Code Division 20 Chapter 6.95 et seq. and Title 42 U.S.G.C. Section 1'100 et seq. and false information may be punishable by fine, imprisonment, or both. ': ~~-'~-~' PRESIDENT 06/28/02 Signature Title Date . (5) . KERN COUNTY ENVIRONMENTAL HEALTH SERVICES (805) 862-8700 Business Name MUSICK'S TRANSMISSION &' AUTO CTR ID# Facility Name MUSICK'S TRANSMISSION & AUTO CTR Map Grid HAZARDOUS MATERIALS ADDITIONAL AREA DETAILS FORM 3 This form is used as a Supplement to Form 2 and is required when directed by the Department and/or the business consists of several buildings or a large geographic area. Name of this area or subdivision MUSICK'S TRANSMISSION & AUTO CENTER This is Area # 1 of a total of 1 areas or buildings SECTION 1: EXPLAIN WHAT PREVENTION, MINIMIZATION, AND CLEANUP PROCEDURES YOUR EMERGENCY PLAN INCLUDES FOR THIS AREA OR BUILDING. INCLUDE A DESCRIPTION OF MONITORING EQUIPMENT AND PROCEDURES. Employees have our training program on hazardous materials (including video and handbooks). All · inventory is kept Iow in an attempt to prevent a hazmat-related emergency.. Absorbents, rags, and fire extinguishers are kept in work area, and employees have been trained how to use these items. Each employee knows where the emergency utility shutoff's are located and have been instructed to shut off all Utilities in case of an emergency. If a relatively small oil spill or leak occurs, company personel will immediately respond by attempting to .mitigate and abate the hazard, using rags and/or absorbent materials. Once the spill or leak has been completely containted and absorbed, the refuse is carefully collected with a scoop or broom. The contamintated materials are then stored in a metal recovery container for removed by a licensed hauler. The work area affected by the release is thoroughly cleaned with rags. SECTION 2: EXPLAIN THE NOTIFICATION METHOD AND EVACUATION PROCEDURES YOU HAVE DEVELOPED FOR THE EMPLOYEES THAT WORK IN THIS AREA OR BUILDING. Because of the small size of the work area and the small number of employees, it will be easy to verbally 'notify employees of an emergency and/or evacuation. Employees will exit the facility using the nearest emergency exit (as designated on the site map). A map is posted in the work area, in a location readily ' visible to all employees. Employees will move to the predesignated staging area, meeting in the parking lot west of the facility. The emergency coordinator will account for all employees and give further instruction. -coNTINUED ON REVERSE- (1) -I SECTION 3: EXPLAIN WHAT PRIVATE FIRE PROTECTION SYSTEMS ARE IN PLACE IN THIS ARE'A OR BUiLDING THAT MAY ASSIST EMERGENCY RESPONDERS. (NONE) SECTION 4: LIST THE LOCATION OF ANY WATER SUPPLIES IN THIS AREA OR BUILDING THAT MAYBE USED BY EMERGENCY RESPONDERS. A FIRE HYDRANT ON THE NORTH SiDE OF BRUNDAGE LANE IS AVAILABLE. SECTION 5: LIST THE UTILI]:Y SHUTOFF LOCATIONS THAT CONTROL THIS PARTICULAR AREA OR BUILDING. A. NATURAL GAS/PROPANE:OUTSIDE, ADJACENT SOUTH WALL OF OFFICES. B. ELECTRICAL: OUTSIDE, ADJACENT SOUTH WALL OF SHOP BUILDING C. WATER: OUTSIDE, NORTH OF FACILITY, ADJACENT STREET D. SPECIAL/OTHER: E. LOCK BOX IN AREA? YES ~ (CIRCLE ONE) .. LOCATION: CONTENTS:' (2) KERN COUNTY ENVIRONMENTAL HEALTH SERVICES HAZARDOUS MATERIALS SPILL REPORT Business Name Facility KCEH Haz Mat ID # MUSICK'S TRANSMISSION & AUTO CENTER Incident Date OES # Location 1801 BRUNDAGE LANE BAKERSFIELD, CA 93304-2846 Quantity Quantity Chemical/Material Spilled Recovered Physical State (Circle One) Bbl Gal Lbs Ft3 Bbl Gal Lbs Ft3 Bbl Gal Lbs Ft3 Bbl Gal Lbs Ft3 Cause Mitigation/CleanUp Reported By Date (Printed) Telephone (Signature) Spill reporting is required pursuant to Section 25507 of the Health and Safety COde. Your continued compliance with federal and state laws is helping to ensure that Kern County is a safer place in which to work and live. When completed fax to Kern County Environmental Health - Hazardous Materials (805) 862-8701 (HMCU 1/97) ~Hazar Materials Management Plan HMMP HaZardous MaterialS- DisClosure .F'orms For: T~NS-SHIFT COR~ORT~TIO~, dba MUSICK'S TRANSMISSION & AUTO CENTER ~801 Brundage Lane Bakersfield, CA 93304 - 2846 (661) 323-7500 Presented to: CERTIFIED UNIFIED PROGRAM AGENCY KERN COUNTY Environmental Health 2700 "M" Street; Suite 310 Bakersfield,' CA 93301 - 2370 (661) 862 - 8700 Prepared by: ~i~lfiC Atanagement 5ervices Environmental Compliance Specialists 1923 North Fine, Suite 101 (559) 251 -4060 Fresno, California 93727- 1510 · ' FAX (559) 251-5534 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Pa~oe 1 of 10 I. FACILITY IDENTIFICATION FACILITYil)# I I I ] I I I [ I I , EPA1D#(HazardousWasteOnlY)cAL 000 096 603 BUSINESS NAME (Same as Facility Nam. e of DBA-Doing Business As) 3 MUsIcK's TRANSMISSION & AUTO CENTER II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility If Yes, please complete these pages of the UPCF.__ A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons' for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCKIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Forn, er~y SWRCB Form A) I. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (o,e page per tank) (F ..... ly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST'TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (o,e page per tank) (Formerly Form C) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (c~os,~e portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: '"any tank capacity is greater than 660 gallons, or [] YES [] NO- 8 NO FORM REQUIRED TO CUPAs --- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE EPA ID NUMBER - provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclab!e materials (per HSC 25143.2)? [] YES [] NO ] 0 per recy¢ler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 11 TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (o,e page per unit) (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to financial assurance requirements (for [] YES [] NO 1 2 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1732) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS ~s (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 165 IFIED PROGRAM CONSOLIDATED FO FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pa,~a 2 o~ 10 I. IDENTIFICATION FACILITY ID// BEGINNING DATE 1oo ENDING DATE ~o~ /00 05/31 /01 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 BUSINESS PHONE Io2 MUSICK'S TRANSMISSION & AUTO CENTER (661)~.~23-7500 BUSINESS SITE ADDRESS 1801 BRUNDAGE LANE CITY ~o4 ZIP CODE BAKERSFIELD CA 93304 - 2846 DUN & BRADSTREET 1o6 I SIC CODE (4 digit #) 11 - 982 - 8382 ]7537 COUNTY ~o~ KERN BUSINESS OPERATOR NAME ~o9 [ BUSINESS OPERATOR PHONE ~o RANDALL MUSICK ](661) 323-7500 II:BUSINESS OWNER OWNER NAME iii OWNER PHONE ~12 TRANS-SHIFT CORPORATION (661) 32~-7500'~ OWNER MAILING ADDRESS P.O. BOX 70127 CITY nn STATE ns ZIP CODE 116 BAKERSFIELD CA 93387 - 0127 III. ENVIRONMENTAL CONTACT CONTACT NAME , . ~ 117 CONTACT' PHONE RANDALL MUSICK (661) 323-7500 CONTACT MAILING ADDRESS P.O. BOX 70127 CITY 12o STATE 121 ZIP CODE BAKERSFIELD CA 93387 - 0127 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 129 RANDALL MUSICK SCOTT ANDREWS TITLE n4 TITLE PRESIDENT OFFICE MANAGER BUSINESS PHONE 125 BUSINESS PHONE ~3o (661) 323-7500 (661) 323-7500 24-HOUR PHONE n6 24-HOUR PHONE 131 (661) 393-7146 (661) 587-8077 PAGER # 127 PAGER# ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~ · SIGNATURE. Off.,,~WNERJOPERATOR OR DESIGNATED REPRESENTATIVE DATE t34 ] NAME OF DOCUMENT PREPARER 135 '-~~~ ~ '~ 06/18/01 I[PACiFiC MANAGEMENT SVCS. NAME OF S1GNER (print) 136 TITLE OF SIGNER 137 RANDALL MUSICK PRESIDENT UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione ?s? '~er metefial ?er buildin~ or areal [~ADD [-']DELETE [~REVISE SOo [ Pa~ 3 of 10 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCAT1ON ~0t CHEMICAL LOCAT1ON CONFIDENTIAL EPCRA PORTABLE UNIT IN SHOP [] YES [] NO · . II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET L..] Yes [] No soo iACETYLENE ~f Subjem to EPCRA, refer to instructions COMMON NAME 2o7 208 EHS* [] Yes [] No ACETYLENE, COMPRESSED GAS CAS# 208 *IfEHS is "Yes", all amounts below must be in lbs. 74-86-2 FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE {Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 260 (Check one item only) [] a. SOLID [] b. L1QUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT _ 2~ ANNUAL WASTE AMOUNT 2t9 I STATE WASTE CODE 220 130 260 . 22~ I DAYS ON SITE: · 222 UNITS* [] a. OALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 1365 STORAGE CONTAINER [~]a. ABOVE GROUND TANK []e. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM [-Im. GLASS BOTTLE [] q. RAILCAR · [] b. tr~DERGRoUNV TAm: [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] l. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STOkAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYoGENIc 22s ' %WT I. HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 []Yes [] No 228 229 10(1 ~,cetvlene 74-86-2 2 230 2~ [] Yes [] No 232 3 2~a 2~s [] Yes [] No 23~ 4 ' 2:~s ~_~9 [] Yes [] No tao 5 242 243 [] Yes [] No 24~ If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information· ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please .qio~n Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS .MATERIALS HAZARDOUS MATERIALS INVENTORY - CH£MICAL DESCRIPTION (one pa~e per material per buildin~ or area1 I--lADD [-]DELETE [~]REVISE 200I Page 4 of ]0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 2o2 EPCRA OUTSIDE AST, IN FENCED AREA SOUTH OF BUILDING [] YES [] NO FACILITY ID # 2 of 2 - IH - 7 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 200 PETROLEUM HYDROCARBON MIXTURE . Subjecl to EPCRA, refer to instructions COMMON NAME 207 208 El-IS* [] Yes [] No AUTOMATIC TRANSMISSION FLUID CAS# 2o~ *IfEHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 ",, HAZARDOUS MATERIAL I 213 TYPE (Check one item on~y) [] a. PURE [] b. MIXTLrR. E [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212I CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 250 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 ~ MAXIMUM DAILY AMOUNT : 2ta ANNUAL WASTE AMOUNT 2~9 I STATE WASTE CODE 220 12s 1250 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 221 DAYS ON SITE: 222 (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER []a. td~OVEGROtn,iDTANK [--le. PLASTICmONMETALLI~DRtrM [] i. FIBERDRUM [~]m. GLASS BOTTLE [] q. RAILCAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] c~. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE ' [] a. AMBIENT ' [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # [ 226 227 [] Yes [] No 228 229 85 - 1 00 ~_liphatic Petroleum Distillates 64742-65-0 2 230 231 [] Yes [] No 232 233 3 234 23s [] Yes [] No 236 23? 4 238 239 [] Yes [] No' 240 241 5 2o. 243 [] Yes [] No 244 245 If more hazardous components am-present at greater than 1% by weight if non~carcinogeni.c, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sisn Here UPCF (1/99) 1 69 OES Form 273 1 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page E, er material per building or area1 I--lADD I~DELETE [~]REVISE 200I Page 5 of 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCAT1ON 2Ol CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA SHOP EAST WALL, NEAR CENTER OF WALL [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [ I Yes ~ No 206 PETROLEUM HYDROCARBON ~f Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No IGEAR OIL AND/OR GREASE CAS# 209 *if EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS IvlATERIAL 211 RADIOACTIVE [] Yes [] N o 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 2t 4 LARGEST CONTAINER - 60 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Ch.eck all that apply) [] a. FIRE []b...~EACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXiMUM DAILY AMOLTNT ': 218 I ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 I I I 30 16o 22, DAYS ON SITE: 222 UNITS* [] a. OALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * IfEHS, amount must be in pounds. 365 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TA,NK INSIDE BUILDING [] §.CARBOY [] k. BOX [] o, TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixtm:e or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 > 8,5 Various Lubricatin~ Base Oils 6474X-XX-X 2 < 15 a3o Additive Package, including: 23t [] Yes [] No a~2 Mixture 233 3 <2 234 Zinc Alkyldithiophosphate 2ss [] Yes [] No 236 68649-42-3 4 232 239 [] Yes [] No 24o 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 lfEPCRA, Please Si~n Here -UPCF (1/99) 169 OES Form 2731 'UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION (one ~a?e oer material per buiidin~l or areal [~]ADD [~DELETE ~]REVISE 2oo ] ?age 6 of 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL-STATE TRANSMISSION CHEM1CAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA SHOP EAST WALL, NEAR CENTER OF WALL [] YES [] NO FACILITYID# I I I I I' I' I 2MAP# (optional)of 2 2°3 I GRID# (°pti°nal)}H - 4 204 H. CHEMICAL' INFORMATION CHEM1CAL NAME 205 TRADE SECRET L..I Yes IXl No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS* [] Yes [] No 208 MOTOR OIL CAS# 209 *IfEHS is "Yes", all amounts below must be in lbs. Mixture FiRE CODE HAZARD CLASSES (complete if required by COPA) 210 I 213 ~ HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 55 (Check oneitem only) [] a. SOLID [] b. LIQUID [] c. GAS ' FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PILES'SURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT ' 218 I ANNUAL WASTE AMOUNT 21') [ STATE WASTE CODE 220 I 83 165 221 DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b, CUBIC FEET [] c. POUNDS [] d. TONS (Check one item onlv'~ * If EHS, amount must be in pounds. 365 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER · [] b, UNDERGROUND TANK [] f. CAN [] j. ,BAG ' [] n. PLASTIC BOTTLE [] r. OTHER [] ¢.'TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # ] 226 227 [] Yes [] No 228 229 >85 Various Lubricatin~ Base Oils' 6474X-XX-X 2 230 231 [] Yes [] No 232 233 < 15 kdditive Package, including: Mixture 3 234 235 [] Yes [] No 236 23'/ < 2 Zinc Allodldithiophosphate 68649-42-3 4 23g 239 [] Yes [] No 240 241' $ 242 243 [] Yes [] No 244 24s If more hazardous eomponems am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight it' carcinogemc, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION lfEPCRA Please Si~on Here UPCF (1/99) 169 OES Form 273 1 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one pa~e per material per buildin~ or area) [--]ADD ["1DELETE [-~REVISE 200 [ P~e 7 of 10 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA PORTABLE UNIT IN SHOP [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET [] Yes [] No 2o8 iOXYGEN , Subject to EPCR& refer to instructions COMMON NAME 207' 208 EH$* [] Yes [] No OXYGEN, COMPRESSED GAS CAS# 208 7782-44-7 *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL . 2~ ~ TYPE (Check one item only) [5~a. PURE [-]b. MIXTURE r--lc. WASTE 211 RADIOACTIVE E']Yes [5~]No 212 CtmIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 249 (Check one item only) ~ [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [~i~b. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMoUNT ~' 2~a ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 249 498 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS []d. TONS (Check one item only3 ' * IfEHS, amount must be in pounds. 1365, STORAGE [] a. ABOVE GROUND TANK [] e, PLASTIC/NONMETALLIC DRUM [] i, FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22s %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 []Yes [] No 228 229 100 Oxvo~en 7782 -44-7 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 238 23? 4 238 ¢39 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.155 by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Si~n Here UPCF (1/99) 169 ' OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ione page per matedai per building or areal I-'lADD [7-1DELETE [~REVISE 200 [ Page X0f 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL'-STATE TRANSMISSION CHEM1CAL LOCATION 201 CHEM1CAL LOCATION CONFIDENTIAL 202 EPCRA OUTSIDE, IN FENCED AREA SOUTH OF BUILDING [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET U Yes IXI No 206 HYDROCARBON SOLVENT . Subject to EPCRA, raler to instructions COMMONNAME 207 EH8* [] Yes [] No 208 SAFETY-KLEEN 105 PARTS WASHING SOLVENT CAS# 209 *IfEHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 55 (Check ope item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 [ ANNUAL WASTE AMOUNT 219 [ STATE WASTE CODE 220 !28 1ss 22t DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * IfEHS, amount must be in pounds. 365 STORAGE []a. ABOVE GROUND TANK []e. PLASTICFiqONMETALLICDRUM []-i. FIBERDRUM ['-[m. GLASS BOTTLE [] q. RAILCAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK iNSIDE BUILDiNG [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON STORAGE PRESSURE []. ~. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABovE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 222 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHs CAS # I 226 227 [] Yes [] No 22g 229 8.5 C-9 to C-13 Saturated Hydrocarbon 64741-41-9 2 1.0 23oXyiene 23t []Yes [] No 232 :1330-20-7 233 3 234 235 [] Yes [] No 236 237 0.5 Ethyl Benzene 100-41-4 4 239 239 [] Yes [] No 240 -241 5 242 243 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If F, PCRA. Please Sien Here UPCF (1/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION .. (one page per material per buildin~ or area) ~]ADD ['-]DELETE [5~]REVISE 200I Page 9 of ]0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA OUTSIDE, IN FENCED AREA SOUTH OF BUILDING [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET I I Yes IX] No 20e WASTE PETROLEUM 'HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] WASTE MOTOR OIL CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 HAZARDOUS MATERIAL I-'la. PURE [~] b. MIXTUR.E []c. WASTE [ 213 211 RADIOACTIVE [-]Yes ~]No 212I CURIES N/A TYPE (Check one ~tem on¥) 215 PHY§ICAL STATE 214. LARGEST CONTAINER (Check one item only) [] a. sOLID [] b. LIQUID [] c. GAS 250 FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 [ MAXIMUM DAILY AMOUNT 2~s ANNUAL WASTE AMOUNT 2t9 [ STATE WASTE CODE .220 125 1250 ~ 320 1221 221 DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * IfEHS, amount must be in pounds. 365 STORAGE [] al ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER I--]b. UNDERGROUND TANK [~]f. CAN []j. BAG [] n.'PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBOY . [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT. [] .b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 [] Yes [] No 228 229 > 85 Various Lubricating Base Oils 6474X-XX-X 2 < 15 230 Additive Package, including: 231 [] Yes [] No 232 Mixture 233 3 < 2 234 Zinc Alkyldithiophosphate 23s [] Yes [] No 236 68649-42-3 23? 4 23s 239 [] Yes [] No :z4o ~ 242 243 [] Yes [] No. 244 245 If more hazard,GUS components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information· ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Ple~ts¢ Sien Here UPCF (I/99) 169 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one pa~e per malefial per buildin~ or area! [-]ADD [~DELETE [5~REVISE 20o I Page 10 or 10 1. FACILITY iNFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL-STATE TRANSMISSION CHEM1CAL LOCAT1ON 201 CHEMICAL LOCATION CONFIDENTIAL 102 EPCRA ADJACENT EAST WALL [] YES [] NO FACILITY ID # 2 of 2 H- 4 H. CHEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET [] Yes IXI No 206 WASTE HYDROCARBON SOLVENT if Subject to EPCRA, refer to instructions COMMONNAME 207 EHS* [] Yes [] No 208 WASTE SAFETY-KLEEN 105' PARTS WASHING SOLVENT CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL TYPE (Check one item only) Da. PURE ['"]b. MIXTURE []c. WASTE 211 RADIOACTIVE [-']Yes []No 212 CUmES N/A 215 PHYSICAL STATE ' 214 LARGEST CONTAINER 30 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DALLY AMOUNT" 2~8 ANNUAL WASTE AMOUNT 2t9 STATE WASTE CODE 22o 19 19 1115. 212 · 221 ,DAYS ON SITE: 222 UNITS* [] a. GALLONS [] b. CUB1C FEET [] c. POUNDS [] d. TONS (Check one item only) * IfEHS, amount must be in pounds. 365 STORAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 22~ STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 227 []Yes [] No 228 229 85 C-9. to C-13 Saturated Hydrocarbon 64741-41-9 2 230 23~ [] Yes [] No 232 233 1.0 Xylene 1330-20-7 3 234 235 [] Yes [] No 236 237 0.5 Ethyl Benzene 100-41-4 4 23s 239 [] Yes [] No 240 241 5 242 143 [] Yes [] No 244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please 5;Lon Here UPCF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~ Hazardous Materials Storage Batteries ~ Hazardous'Waste Storage Dip / Process Tank H Hoist Door ~ ' Material Safety Data Sheets Overhead Rollup Door [] Medical / First Aid Kit Exterior Wall ~ Personal Protective Equipment Interior Wall O Pressurized Tank Driveway / Fire Dept Access ~,, ~ i ~ ~ Railroad Tracks Utility -- Electric Main O Sewer Drain Utility -- Gas Main I~t Storm Drain Utility - Water Main /~ Shower / Eye Wash Emergency Shutoff ~ Stairs Emergency Exit ~ Aboveground Storage Tank (with capacity) Evacuation / Staging Area ~" - - - '''~ Underground Storage Tank ', - - - ,' (with capacity) Eye Wash Q Propane Tank Fence ~ Air Compressor Fire Department Connection ~Z-(~ North Direction Fire Hose ~ High Vqltage Box Fire Hydrant i Building / Roof Support Posts Fire Extinguisher ~ Trash Sprinkler System Valve < s Alignment Rack & AUTO CENTER BAKERSFIELD, CA 93304-2846 D E F G 'H I J Scale: Approx. (E) 1" = 57.76 Ft. Brundage Lane LT (D J,T -- LT ForSiteMap Childrens r~, · scale of Map D_.ay C, are ~ ~' '~ ' ~,enter · Loading Areas ( 2o(r · Parking Lots  .· Internal Roads " · Storm and Sewer , Drains " ~ · Adjacent , F'--I~!~ Propedy Use "~omoe~ · Locations and , Names of " Adjacent Streets " and Alleys " ® ~ · Access and , ~,~,~ p Egress Points , .~ a and Roads , 0[ .. ~ i n '1' For Sub-Site MaP , .g  " ' - Scale of Map ~ ,~m · Location of Each , l~'a Storage Area · , i>c~ · Location of Each  s~r~ ip-ept~'~ " Hazardous Children ~.~ 118' Material Handling ~~ ~ I Area ." · Location of s' Emergency ~ 2 Response ~ Equipment x x x x x x x x x x x x x .... × x x 1North Freeway 58 ( ' 45' OES Form 2729 (map) (1/94) Appendix E CALIFORNIAANOTATED SITE MAP I Business Name: MUSICK'S TRANSMISSION Site Address: 1801 BRUNDAGE LANE Map#2 of 2 '~. I & AUTO CENTER BAKERSFIELD, CA 93304-2846 A B' C D E F G H I J Scale: Approx. 1" = 26.26 Ft. ) For Site Map · Scale of Map · Loading Areas Parts Storage ·Parking Lots· · Internal Roads · · Storm and:Sewer Drains · Adjacent Property Use · Locations and Names of Adjacent Streets and Alleys · Access and .~ Egress Points s~ and Roads For Sub~ite Map · Scale of Map · Location of Each Storage Area · Location of Each Hazardous Material Handling Area · Location of Emergency Response O~S Form 2720 (map) Appendix E Hazardous Materials Management Plan HMMP AND Hazardous Materials : For: TRANS-SHIFT CORPORTATION, dba MUSICK'S TRANSMISSION & AUTO CENTER 1801 Brundage Lane Bakersfield, CA 93304 - 2846 (661) 323-7500 Presented to: CERTIFIED UNIFIED PROG~M AGENCY KERN COUNTY Environmental Health 2700 "M" Street, Suite 310 Bakersfield, CA 93301-2370 (661) 862- 8700 Prepared by: hlanagemen~ Services Environmental Compliance Specialists 1923 North Fine, Suite 10i (559) 251 -4060 Fresno, California 93727-1510 FAX (559) 251-5534 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of lO I. FACILITY IDENTIFICATION FACILITYID# I t I I I I I I I I I I I I I]EPAlD#(HazardousWasteOnlY)lCAL 000 096 603 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) MUSICK'S TRANS~SSION & AUTO CENTER II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility If Yes, please complete these pa[~es of the UPCF ..... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiologieal materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (FormerlySWRCB Form A) I. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one osge per tm,k) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (one For tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (o.e poge per tank) (Formerly Form 3. Need to report closing a UST? []YES [] NO 7 UST TANK (c~osure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: -'any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs -- the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE EPA ID NUMBER- provide at the top of 1. Generate hazardous waste? [] YES [] NO 9 this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one mcyclable materials (per HSC 25143.2)? [] YES [] NO 1 0 per recycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YEs [] NO 11 TREATMENT - FACILITY (Formerly DISC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per uni0 (Formerly DISC Forms 1772 A,B,C,D and Q 4. Treatment subject to f'mancial assurance requirements (for CERTIFICATION OF FINANCIAL Permit by.Rule and Conditional Authorization)? [] YES [] NO 12 ASSURANCE 0~ormerly lyrsc Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] l'qO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DT$C Form 12a9) E. LOCAL REQUIREMENTS (You may also be required to provide additional information by yollr CD-PA or local agency.) UPCF (1/99) 165 PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Pa~e I. IDENTIFICATION FACILITY ID# BEGINNING DATE lOG [ ENDING DATE / 00 112 / 31 / 00 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 [ BUSINESS PHONE MUSICK'S TRANSMISSION & AUTO CENTER 1(661) 323-7500 BUSINESS SITE ADDRESS 1801 BRUNDAGE LANE CITY 104 I ZIP CODE 10s BAKERSFIELD I CA 93304 o 2846 DUN & BRADSTREET 106 SIC CODE (4 digit #) 11 - 982 - 8382 7537 COUNTY los BUSINESS OPERATOR NAME 1o9 [ BUSINESS OPERATOR PHONE IlO RANDALL MUSICK 1(661) 323-7500 II. BUSINESS OWNER OWNER NAME II1 [ OWNER PHONE TRANS-SHIFT CORPORATION 1(661) 323-7500 OWNER MAILING ADDRESS P.O. BOX 70127 CITY il4 STATE tls I ZIP CODE BAKERSFIELD CA 193387 - 0127 III. ENVIRONMENTAL CONTACT CONTACT NAME il7 ] CONTACT PHONE RANDALL IVIUSICK 1(661) 323-7500 CONTACT MAILING ADDRESS 119 P.O. BOX 70127 CITY 12o I STATE 121 I ZIP CODE 12z BAKERSFIELD [CA [93387 - 0127 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 12~ NAME RANDALL MUSICK SCOTt ANDREWS TITLE 12a TITLE 129 PRESIDENT OFFICE MANAGER BUSINESS PHONE ~2~ BUSINESS PHONE 130 I661) 323-7500 (661) 323-7500 24-HOUR PHONE 126 24-HOUR PHONE (661) 393-7146 (661) 587-0877 PAGER # n? PAGER# ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. S ATIVE [ DATE Da NAlvlE OF DOCUIvlENT PREPARER 115 ]01 / 19 / 01 PACIFIC MANAGEMENT SVCS. NAME OF SIGNER (print.) 136 [ TITLE OF SIGNER 137 IRANDALL MUSICK IPRESIDENT UPCF ( 1/99 revised) 167 OES FORM 2730 (1/99) ' U"~FIED PROGRAM C6NSOLIDATED FOR"~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEmCAL DESC .IPTION Ione ~a~e per material per bu~din~ or area~ ~ADD ~DELETE ~EVISE 200 I Page 3 of 10 I. FACILI~ ~FORMATION BUS.ESS NAME (S~e ~ FACILI~ N~E or DBA - Doing Business As) ~SICK'S ~L - STA~ ~S~SSION CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA PORT~LE ~T ~ SHOP ~ YSS ~ ~o II. CHEMICAL ~FORMATION CHEMICAL NAME 2os TRADE SECRET ~ Yes ~ No 2o~ ACE~E~ ~f Subject to EPCRA, refer to in~ructi~s COMMON NAME 207 20e EHS* ~ Yes ~ No ACE~E~, CO~SSED GAS CASg 2o~ ~74-86-2 *If EHS is "Yes", all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES {complete if required by CUPA) 210 ~A~OUS ~ [ 213 ~PE (Check one ~em only) ~a.P~ Db.~ ~c. WAS~ 211 ~DIOAC~VS ~Yes ~No 212I c~ms N/A 215 PHYSICAL STA~ 214 LARGEST CO~A~R 260 (~eckoncit~on~) ~ a. SOLID ~b. LIQUID ~ c. GAS ~D H~D CA~GORIES 216 (Check all,at apply) ~ a. FI~ ~ b. REACTIVE ~ e. P~SS~E~LEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH A~RAGEDA~Y~O~ 217 I ~DA~Y~O~ 2~s A~ALWAS~AMO~ 2]0 [ STA~ WASTE CODE 220 I I ~3o 1260 221 1, DAYS ON SITE: 222 UNITS* ~a. GALLONS ~b.C~ICFEET ~ c. PO~S ~d. TONS (Cheek one it~ only) * If EHS, amount must be ~ pounds. [365 STORAGE ~ a. ABOVE GRO~D TA~ ~ e. PLASTIC~O~TALLIC DRUM ~ i. F~ER DR~ ~ m. GLASS BO~LE ~ q. RAIL CAR CONTAINER ~ b. ~ERGRO~ TANK ~ f. CAN ~ j. BAG ~ n. PLASTIC BOTTLE ~ r. OTHER ' ~ c. TA~ ~S~E BUdDha ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN ~ d. S~EL DR~ ~ h. S~O ~ I. C~DER ~ p. TA~ WAGON 223 STOOGE PRESS~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ e. BELOW A~IENT 224 STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT ~ d. CRYOGENIC 22, %WT ~OUS CO~O~NT (For mi~m or waste only) EHS CAS I 22~ 22? ~ Yes ~ No 228 229 l 0O AceWlene 74-86-2 2 230 2~1 ~ Yes ~ No 2~2 4 23S 239 ~ Yes ~ No 240 241 5 u2 m ~Yes ~ No 244 If more hazardom ¢omponen~ ~ present at greater ~n I ~ by weight if non-carcin~ic, or 0.1 ~ by weight if carcinogenic, at.ch ad~on~ shee~ of paper capt~ng the required info~a~on. ADDI~ONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA_ Please glen Here ~CF (1/99) 169 OES Form 2731 ' UI~FIED PROGRAM C6N$OLIDATED FOR'I~I" HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION gADD ~DELETE ~REVISE 200 J Page 4 of i0 I. FACILI~ ~FORMATION BUSINESS NAME (S~e ~ FACILI~ NAME or DBA - Doing Business As) ~SICK'S ~L - STA~ ~S~SSION CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL EPCRA OUTS~E AST, ~ ~NCED ~A SOU~ OF BUILDING ~ YES ~ NO II. CHEMICAL ~FORMATION CHEMICAL NAME 2os TRADE SECRET ~ Yes ~ No ~o~ PE~OL~ ~ROC~ON ~ . ~bject lo EPCRA, refer to i.~ruclions COMMON NAME ~0~ 20~ EHS* ~ Yes ~ No AUTOMATIC ~S~SSION ~U~ CAS~ Mi~um *If EHS is "Yes", all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES (complete if r~quir~d by CUPA) ~A~OUS ~ 211 ~IOAC~ ~ Yes ~ N o 212 C~ES ~PE (choa o,~ ~,~ o,)v) ~ ~ P~ ~ ~. ~ ~ ~. WAS~ N/A 215 PHYSICAL STA~ 2~4 LARGEST CO~A~R 250 (Check one i~ only) ~ a. ~OLID ~b. LIQUID D c. GAS ~D HAZ~ CA,aDamS (Check all ~at apply) ~ a. FI~ ~b. REACT[VE ~ c.P~SS~ERELEASE ~d. ACUTE HEALTH ~ e. CHRONIC HEALTH A~RAGE DAVY ~O~ 211 ~ DAVY ~O~ ~ ~s A~AL WAS~ ~O~ am ] STA~ WASTE CODE I 125 250 ~a~ DAYS ON SITE: UmTS* ~a.aALLONS ~.C~ICFEET ~.~O~S Da. TONS {Ch~ o,~ it~ o~y) * Xf~HS. ,~om mm ~ i, pomade. 365 STORAGE CONTAINER ~a. ABOVEGRO~TA~ ~e. PLASTIC~O~T~LICDR~ ~ i. FmERDR~ ~m. GLASSBO~LE ~ q. RAILCAR ~ ~. ~aaRO~ ~A~ ~ f. CA~ ~ j. BAa ~ n. FLAS~XC ~OT~E ~ ~. OTHER ~ o. XA~ ~S~E ~UmDma ~ s. CAR~OY ~ k. ~OX D o. ~O~E m~ ~ d. STEEL Da~ ~ h. SmD ~ L C~X~ ~ p. TA~ WA~O~ STOOGE P~SS~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IE~ ~ d. CRYOOENIC %W T ~DOUS CO~O~NT (For mixture or waste o~y) EH S CAS fl ~5 = loc Ali~fic Petroleum Distillates 64742-65-0 2 2)o m ~ Y,s ~ No m 3 a~4 2lB ~ Yes ~ No 23s 4 238 239 ~ Yes ~ No . 240 241 5 =4= m ~Yes ~ No =44 If more ~a~rdo~ compo~a~ am p~esent at greater ~a~ [ % by weight if non-carcinogenic, or 0.1% by weigEt if carcinogenic, at~c~ ad~fion~ sheets of paper capt~ng the reqa[[ed ADDI~ONAL LOCALLY COLLECTED INFORMATION If EPCRA_ Please glen Here ~CF (1/99) 169 DES Form 273] U'I~"IFIED PROGRAM C(~NSOLIDATED FOR]~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION fone pa~e per material per buildin~ or area) I-'lADD ['-]DELETE [~]REVISE 200 I Page 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA o Doing Business As) MUSICK'S ALL - STATE TRANSMISSION CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 2o2 EPCRA SHOP EAST WALL, NEAR CENTER OF WALL [] YES [] NO H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No GEAR OIL AND/OR GREASE CAS# 20~ Mixture *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] N o 212 CURIES TYPE (Chock one item only) [] a. pLrRE [] h. M~X-rtn~ [] c. WASTE N/A 215 PHYSICAL STATE (Check one item only) [] a. SOLID [~b. LIQUID [] c. GAS 214 LARGEST CONTAINER 60 FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE I-'lb. REACTIVE [] c. PRESSURE RELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH I 30 60 22] DAYS ON SITE: 222 UNITS* ~]a. GALLONS •b. CUBICFEET •c. POV~DS •d. TO)~S {Check one item onl¥~ * If EHS, amount must he in pounds. 3 65 ST0 RAGE [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. LrNDERGROIJ-ND TANK [] f. CAN [] j. BAG [] n. PL'ASTIC BOTTLE [] r. OTHER r-] c. TANK INSIDE BUILDING [--] g.CARBO Y [] k. BOX ~ o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AlvIBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %W T HAZARDOUS COMPONENT (For mixture or waste only) EH S CAS # I ~26 22? [] Yes [] No 228 229 >gq Various Lubricating Base Oils 6474X-XX-X 2 2t0 23! [] Yes [] No 232 233 < 15 Kdditive Package, including: Mixture 3 2~ 235 [] Yes [] No 23s 23? < 2 Zinc Alkyldithiophosphate i68649-42-3 4 238 239 [] Yes [] No 240 241 If more hazardous components am present at greater than 1% by weight i f non-carcinogmic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (1/99) 169 GE8 Form 2731 U~IFIED PROGRAM C(~NSOLIDATED FOR'I~r HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone page per material per huildin~ or area1 Page 6 of 10 I--lADD I--1DELETE []REVISE 200 I 1. FACILITY INFORMATION BUSINESS NAME (Saree as FACILITY NAME or DBA - Doing Business As) MUSICK'S ALL-STATE TRANSMISSION CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA SHOP EAST WALL, NEAR CENTER OF WALL [] YES [] NO FACILITYID# ] ] I [ I [ [2 MAP# (opi,onaq of 2 2°3 GRID# (°Pti°hal) H-4 20, H. CHEMICAL INFORMATION CHEMICAL NAME ~'o5 TRADE SECRET L.J Yes [] No 20o PETROLEUM HYDROCARBON , Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No :MOTOR OIL CAS# 209 Mixture *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] No 212 CURIES TYPE (Check one item only) [] a, PURE [] b. MIXTURE [] c. WASTE N/A PHYSICAL STATE 215 (Check one itera only) [] a. SOLID []b. LIQUID [] c. GAS 214 LARGEST CONTAINER 55 FED HAZARD CATEGORIES 21 (Check all that apply) [] a. FIRE f--lb. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH 83 1165 22~ DAYS ON SITE: 222 UNITS* []a. GALLONS Db. CUBICFEET [] c. POUNDS f--Id. TONS {Check one item only} * If EHS, amount must be in pounds. 365 STO RAG E [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] B.CARBOY [] k, BOX [] o. TOTE BIN [] d. STEEL DRUM [] h, SILO [] 1. CYLINDER [] p. TANK WAGON 2,1 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT - [] d, CRYOGENIC 225 % w T HAZARDOUS COMPONENT (For mixture or waste only) E H S CAS # ] 226 22? [] Yes [] No 228 229 >85 Various Lubricating Base Oils 6474X-XX=X 2 230 231 [] Yes [] No 232 233 < 15 ~,dditive Package, including: Mixture 3 234 235 [] Yes [] No < 2. Zinc Alkyldithiophosphate 68649-42-3 4 23S 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No :aa 245 If more hazardous components em present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION IfEPCRA_ Please $i~n Here UPCF (1/99) 169 OES Form 2731 IYlglFIED PROGkAM C~)NSOLIDATED FORI~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone pale per material per bui~ain~ or ~ADD ~DELETE ~REVISE 200 I Pag~ 7 of l0 I. FACILI~ ~FORMATION BUSINESS NAME (S~e ~ FACILI~ NAME or DBA - Doing Business As) ~SICK'S ~L-STA~ ~NS~SSION CHEMICAL LOCATION 2o~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA PORT. LC ~T IN SHOP ~ YES ~ NO FACILI~ ID~ 2 of 2 H- 4 II. CHEMICAL ~FORMATION CHEMICAL NAME 205 TRADE SECRET ~ Yes ~ No D~GEN , Subject to EPCRA, refer to in.ructi~s COMMON NAME 207 208 0~GEN, CO~SSED GAS EHS* ~ Yes ~ No CASS 2o~ *IfEHS is "Yes", all amoun~ below must be in lbs. 7782-44-7 FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 I 213 ~A~US~ 211 ~IOAC~ ~Yes ~No 212 C~S WPE (Che~ one acm only) ~ ~ P~ ~ b. ~ ~ c. WAS~ N/A 215 PHYSICAL STA~ 214 LARGEST CO~A~R 249 (Check one item only) ~ a. SOLID ~b. LIQUID ~ c. GAS ~D H~ARD CA,GOReS 216 (Check all~atapply) ~ a. FI~ ~ b. REACTIVE ~ c. PRESS~E RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH A~GEDA~YAMO~ 217 [ ~DA~YAMO~ 2lc [ A~ALWAS~AMO~ 219 [ STA~ WASTE CODE 249 498 22~ [ DAYS ON SITE: UNITS* ~a. OALLONS ~b.C~ICFEET ~ c. PO~S ~d. TONS (Check one item only) * ~EHS. amount must be in pounds. ]365 STORAGE CONTAIN E R ~ a. ABOVE GROU~ TA~ ~ e. PLASTIC~O~TALLIC DR~ ~ i. F~ER DR~ ~ m. GLASS BO~LE ~ q. RAIL CAR ~ b. ~ERGRO~ TA~ ~ f. CAN ~ j. BAG ~ n. PLASTIC BO~E ~ r. O~ER ~ c. TA~ ~S~E BUmDmG ~ g.CARBOY ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DR~ ~ h. SmO ~ 1. CYLINDER ~ p. TANK WAGON STOOGE PRESS~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW A~IENT 224 STOOGE ~E~ '~ a. AMBIENT ~ b. ABOVE A~IE~ ~ c. BELOW AMBIENT ~ d. CRYOGENIC 22, %W T ~OUS CO~O~NT (For mitre or waste only) E H S CA S ~ I 226 227 ~ Yes ~ No 228 229 Ion D~gen 778244-7 2 ~o 2n ~ Y~s ~ No m 3 2~a 2~S ~ Yes ~ No 2~ 4 ~8 ~39 ~ Yes ~ No 24o 5 242 243 ~ Yes ~ No 244 245 ]f more ha~tdo~ componenb am p~escnt at greater ~n I% by weight ifnon-carcin~nic, ot 0.1% by w~ight if carcinogenic, at. ch ad~fion~ sheets of paper capt~ing the ~equi~¢d information. ADDI~ONAL LOCALLY COLLECTED INFORMATION ~4~ If EPCRA. Please Si~n ~CF (1/99) 169 OCS Form 273 ] · ' U~'IFIED PROGRAM C(~NSOLIDATED FOR]~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCKIPTION Ione pa~e per material per buildin~ or area) ~]ADD [~DELETE ~]REVISE 200 [ Page 8 of 10 1. FACILI~ ~FORMATION BUSINESS NAME (S~e ~ FACILI~ NAME or DBA - Doing Business As) ~SICK'S ~L - STA~ ~S~SSION CHEMICAL LOCATION 20~ CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA OUTS~E, ~ FENCED ~A SOU~ OF BU~D~G ~ YES ~ NO H. CHEMICAL ~FO~ATION CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No ~0~ ~ROC~ON SOL~ . Subject 1o EPCRA, refer to in,ructions COMMON NAME 207 20~ EHS* ~ Yes ~ No S~-~EEN 105 P~TS WASH~G SOL~ CAS~ 20~ gixtB~ *If EHS is "Yes", all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 213 ~A~OUS ~RIAL 211 ~DIOAC~VE ~ Yes ~ N o 212 C~S ~PE (Check one item only) ~ a. ~ ~ b. ~ D c. WAS~ N/A PHYSICAL STA~ (~eckoneitemon~) D a. SOLID ~b. LIQUID D c. OAS 214 L~GESTCO~A~ER 55 ~D ~ CA.GOReS 216 (Chee~all~atapply) ~ a. FI~ ~b. REACTIVE ~ c. PRESS~RELEASE ~d. ACU~HEALTH ~ e. CHRONICHEAL~ A~RAOEDA~Y~O~ 217 [ ~X~DA~YAMO~ 21s A~ALWAS~AMO~ 2~ [ STA~ WASTE CODE 22o 28 221 [ DAYS ON SITE: 222 UNITS* ~ a. OALLONS ~ b. C~IC FEET ~ c. PO~S ~ fl. TONS (Check one item only) * ~ EHS, amount must be ~ pounds. 13 6 5 STORAGE ~ am ABOVE GRO~D TANK DemPLASTIC~O~TALLICDR~ D imF~ERDR~ ~m. GLASSBO~LE D q. RAILCAR CONTAINER ~ ~I~o~O~ TA~ ~ f. CAN ~ j. BAG ~ n. PLASTIC BOTTLE ~ r. OTHE~ ~ c. TA~ ~S~E BU~D~G ~ g. CARBO~ ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DR~ ~ h. S~O ~ I. C~ER ~ p. TANK WAGON STOOGE P~SS~ ~ a. AMBIENT ~ b. ABOVE A~IE~ ~emBELOW A~IENT 224 STOOGE ~E~ ~ a. AMBIENT ~ b. ABOVE A~IENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC %WT ~OUS CO~O~T (For mixture or waste o~y) EHS CAS 1 12s 2~ ~ Yes ~ No ns ~s c-9 to c-13 Saturated Hydmc~on 64741-41-9 2 1.0 ~o Xylene m ~Yes ~ No m 1330-20-7 3 0.5 m Ethyl Be~ne m ~ Yes ~ No ~ 100-41-4 4 m ~3~ ~Y~s ~ No uo 5 ~ 2~ ~ Yes ~ No 244 245 .I f more ha~do~ eomponen~ am present at ~eater ~an 1% by weight if non-earein~enie, or 0. 1% by weight if carcinogenic, a~eh ad~tion~ sheets of pa~r eapt~ng ~e required information. ADDI~ONAL LOC~LY COLLECTED INFO~ATION 24s If EPCRA. Please Si~n Here ~CF (1/99) 169 OES Form 2731 · ~FIED PROGI~M CONSOLIDATED FORI~ HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone page per material per building or areaI ~]ADD [~DELETE [~REVISE 200 I Pa§e 9 of l0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) : MUSICK'S ALL - STATE TRANSMISSION CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA OUTSIDE, IN FENCED AREA SOUTH OF BUILDING [] YES [] NO FACILITY ID # { I I J I I I I2MAP# (optional)of 2 203 [ GRID# (°pti°nalljH ' 7 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [-[ Yes [] No 200 WASTE PETROLEUM HYDROCARBON I, Subject ,o EPCRA. refer to instructions COMMON NAME 207 EHS* [] Yes [] No 2o8 WASTE MOTOR OIL CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if requirea by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] N o 212 CLrlLIES TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 250 (Check oneitem only) [] a. SOLID []b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Cheek all that apply) [] a. FIRE I--Ih. REACTIVE [] c. PRESSURE RELEASE [~d. ACUTE HEALTH [] e. CHRONIC HEALTH I I 125 1250 p20 221 221 [ DAYS ON SITE: 222 UNITS* [] a. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only} * If EHS, amount must be in pounds. [365 STORAGE CONTAINER [J~a. ABOVE GROI.~D TANK []e. PLASTIC/NON2vlETALLICDRUM [] i. FIBERDRUM F-]m. GLASS BOTTLE [] q. RAILCAR [] b. LFNDERGROUND TANK '[~] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER ~ c. TANK BqSIDE BUILDING [] g,CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEIvlPERATURE [] a. AMBIENT [] b. ABOVE AlvtBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC ::$ %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 226 22'/ [] Yes [] No 2:za 2:29 >85 Various Lubricating Base Oils 6474X-XX-X 2 230 251 [] Yes [] No 252 255 < 15 Additive Package, including: Mixture < 2 ' Zinc Alkyldithiophosphate 68649-42-3 4 258 239 [] Yes [] No 240 241 5 242 245 [] Yes [] No 244 245 If more hazardous components am pre'sent at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sien Here UPCF (1/99) 169 OES Form 2731 ' IJ~iFIED PROGRAM CONSOLIDATED FORRI" HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCV. IPTION Ione page per materia~ per building or area1 [-']ADD F"IDELETE [~REVISE 200 I Page 10 of 10 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 MUSICK'S ALL - STATE TRANSMISSION CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 EPCRA ADJACENT EAST WALL [] YES [] NO I IIII I:v'°-'- H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 209 WASTE HYDROCARBON SOLVENT .Subjectto EPCRA, refer to instructions COMMON NAME 207 208 EHS* [] Yes [] No WASTE SAFETY-KLEEN 105 PARTS WASHING SOLVENT CAS# 209 MixtuI~ *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) 210 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE [] Yes [] N o 212 CLTRIES TYPE (Check one item only) [] a. PUmS [] b. ~aXTU~E [] c. WASTE N/A PHYSICAL STATE 2t 5 (Check one item only) ' [] a. SOLID []b. LIQUID [] c. GAS 214 LARGEST CONTAINER 30 FED HAZARD CATEGORIES 216 (Check all ~hat apply) [] a. FIRE Dh. REACTIVE [] c.?RESSURERELEASE []d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 2]s ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 I 19 19 115 [212 22~ DAYS ON SITE: 222 UNITS* [~a,GALLONS []b. CUBICFEET FI c. POUNDS I--Id. TONS {Check one item only) * If EHS, amount must be in pounds. 365 STO RAG E [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR CONTAINER [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] h. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g.CARBO Y [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 22, STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT r'] c. BELOW AMBIENT ')24 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %W T HAZARDOUS COMPONENT (For mixture or waste only) E H S CA S # ] 226 227 [] Yes [] No 228 229 85 2-9 to C-13 Saturated Hydrocarbon 64741-41-9 2 1.0 230 Kylene 2n [] Yes [] No 232 1330-20-7 233 3 0.5 234 Ethyl Benzene 235 [] Yes [] No 239 100-41-4 :3; 4 239 239 [] Yes [] NO 240 241 5 242 243 [] Yes [] No :244 245 If more hazardous components am present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY, COLLECTED INFORMATION 296 If EPCRA. Please $ien Here UPCF (1/99) 169 OES Form 2731 KEY FOR MAP SYMBOLS (Used if applicable) Absorbent ~ Hazardous Materials Storage Batteries [-~ Hazardous Waste Storage Dip/Process Tank H Hoist Door ~ Material Safety Data Sheets Overhead Rollup Door [-~ Medical / First Aid Kit Exterior Wall ['~ Personal Protective Equipment Interior Wall O Pressurized Tank Driveway / Fire Dept Access -~' Railroad Tracks Utility - Electric Main O Sewer Drain Utility -- Gas Main i~ Storm Drain Utility - Water Main ,~ Shower / Eye Wash Emergency Shutoff ~ Stairs Emergency Exit ~-~ Aboveground Storage Tank (with capacity) Evacuation / Staging Area [" - - - ~ Underground Storage Tank .... ~ (with capacity) Eye Wash Q Propane Tank Fence ~ Air Compressor Fire Department Connection <:::~Z-("-'-~ North Direction Fire Hose ~ High Voltage Box Fire Hydrant B Building / Roof Support Posts Fire Extinguisher ~ Trash Sprinkler System Valve .... E ....... Alignment Rack ICALIFORNIAANOTATEDSlTEMAP ~ Business Name: MUSlCK'S TRANSMISSION Site Address: 1801 BRUNDAGE LANE Map#1 of 2 I & AUTO CENTER BAKERSFIELD, CA 93304-2846 A B- C D E F G H I J Scale: Approx. ® 1"= 57.76 Ft.  Brundage Lane ST For Site Map N Childrens ~ ~) · Scale of Map  ~y cato · Loading Areas 1 ~enter ( 20(7 · Parking Lots  · Internal Roads B · 'Storm and Sewer , Drains 2 i ~ · Adjacent , r'-'-I~,!~ Property Use ~ ~o~oe} · Locations and , Names of , Adjacent Streets I I ~-~6-~ ~ and Alleys 3 , ® ~ · Access and "~ Egress Points , .-~.. a and Roads 0[ 4 , g n For Sub-Site Map o~o ~ · Scale of Map o ~;m [ · Location of Each ,~_: ~ Storage Area I -~.~-~ '-[ , 8>c~~ ., =~ · Location of Each ~ , Material Handling  _~. is' Area ,~ · Location of § Emergency 6 ~ ~o Response ~ Equipment .v. × .v. .v. × .v. × × .v. .v. × × × .... .v. .v. × lNorth 7 Freeway 58 ( 45' OES Form 2729 (map) (1/94) Appendix E A B C D E F G H I J Scale: Approx. 1" = 26.26 Ft. "~' < For Site Map N __ [ · Scale of Map I ~ <~--E ~ - · Loading Areas Pa~. · Parking Lots Storage <~-'~ ~ · Internal Roads · Storm and Sewer  Drains 2 <~--~ · Adjacent Property Use · Locations and Names of ~ Adjacent Streets <~---E 3 ~ and Alleys · Access and .~ Egress Points sM and Roads 4 ~ ~C~cd For Sub-Site Map ~ ~ · Scale of Map · Location of Each ~ Storage Area <3---E · Location of Each 5 Hazardous Material Handling Area · Location of <--~ Pa,~ Emergency 6 Response ® \ -- ~ Equipment , Waste ',Coolant 7 ~ Wa.,e o,i~ N o rth OES Form 2729 (map) (1194) Appendix E EMERGENCY' RELEASE FOLLOW-UP NOTICE REPORTING FORM '" '~ I TRANS-SHIFT CORP. dba 1 1MUSICK'S TRANSMISSION & AUTO CTR 1 RANDY M'USICK (661) 323 - 7500 I DA~ / / / I oEs (use24 hr time)I oEs I INOTIFIED I CONTROL NO.////// I ~io-~-~l-c~ - ~~-- zip 1801 BRUNDAGE LANE BAKERSFIELD ~ 93305-2846 1801 BRUNDAGE LANE ~_ ~ I CHEMICAL OR TRADE NAME (print or type) ICAS Number I I! P~s~cAL STm coNT~-~D ~--~sIcAL ST^TE RELE^SE~ QU^NTIWP~LE^SED ! ! ~r~O~~ ~ON~^~O~ ! ~ O~^~ ! ~O~ O~ ~^~ / 1 []AIR [] WA~R I 1 ! I [] o~o~,~ [] o~I I ~A¥~o~_~~ ACTIONS TAKEN KNOWN OR ANTICIPATED HEALTH EFFECTS (Use the comments section for additional information) [] ACUTE OR IMMEDIATE (explain). [] CHRONIC OR DELAYED (explain). [] NOT KNOWN (explain) ADVICE REGARDING MEDICAL ATTENTION NECESSARY FOR EXPOSED INDIVIDUALS i ~ I CEi~TIFIC^'rlON: I certify under penalty °f law that I ha'~e pcr~°~anyexamined a~d I am familiar with the intbrmation submitted and believe the submitted information is true, accurate, and complete. REPORTING FACILITY REPRESENTATIVE (print or type). SIGNATURE OR REPORTING FACILITY REPRESENTATIVE DATE: