Loading...
HomeMy WebLinkAboutBUSINESS PLAN 4/21/2004 (2)'~F PENSKE TRUCK LEASING SiteID: 015-021-001179 Manager : BusPhone: (661) 322-2600 Location: 2929 E BRUNDAGE LN Map : 124 CommHaz : Low City : BAKERSFIELD Grid: 03B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: 362702664 Emergency Contact / Title Emergency Contact / Title RALPH ELIZONDO / DISTRICT MGR JOE DOMINGUEZ / SERVICE MGR Business Phone: (559) 268-7000x Business Phone: (661) 322-2600x 24-Hour Phone : (800) 526-0798x 24-Hour Phone : (800) 526-0798x Pager Phone : (610) 213-4817x Pager Phone : (610) 213-4817x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MICHAEL COSTAlqZA Phone: (610) 775-6471x MailAddr: PO BOX 7635 ROUTE 10 GREEN HILLS State: PA City : READING Zip : 19603-7635 Owner PENSKE TRUCK LEASING, CO., LP Phone: (610) 775-6471x Address : PO BOX 7635 ROUTE 10 GREEN HILLS State: PA City : READING Zip : 19603-7635 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: THIS IS AN SPCC SITE AND REQUIRES A JOINT INSPECTION, PLEASE CALL THE OFFICE AT ENVIRONMENTAL SERVICE, 326-3979, TO SCHEDULE. l...[~ _~,~,, u~.-a Do hereby certify that ~ have ~iewed the a~ached h~a~ous matsria~s manage- men~ plan for ~J~ /~~a d ~ ~ ~on~ wEh (~e ~ Bus~) any ~e~ions cons~tute a complete ~nd ~rr~ man- agem~ plan for my facili~7. ~namm -1- 04/20/2004 Prevention Services Unified Permit SUBJECT TO CONDITIONS OF PERMIT THIS PERMIT IS ISSUED FORTHE FOLLOWING: . ~.~: . ~ ~.,... . .......... ,, Hazardous Materials Plan ~.~ .... . ........................... ., [] Underground Storage of Hazardous Materials ~?, ,. , ,= ~ ~ ~ .... ~-* ~, ~*.~ ..:* *:'~ u California Accidental Release Program ~** ' ' '~ ~ *~ *~*~ '~'; ~[ ' ~=[* "~" ~* ' ....... 1~[~* ' Hazardous Waste Generator and/or Treatment ~;,. ~ ~:~':?~-~' ,,.,.--*;~:~: *,: - .;v..:.,. :*' ....... ~*~,i':.'*-~ ,-~% *'* ~:,. [] Above ground Storage Storage of Petroleum · '. ' ....... ri ..' .._....... ~,.,. ::.::,.~ ~ '..'~ Industrial Hood Suppression System PENSKE TRUCK LEA~NG~CO., L,. · ~, . ~.- ,~ ,: . · .:.~. . ..~. '~. . 2929 E. BRUNDAGE ~NE ,~':.:':..~ [~ :. '~'.~+~<~/~ T~'.~. ~ ~ . BAKERSFIELD, CA 93307 ~..-' ~ -::~ ~:. ~.-~ .. ;,~ ..... '~.~,-/~.~.%.~:.~:~,~.~ ?:- :'~ ~. ~ ,... ~ ~ .~ ~ .~ ~. . ..... ~:. . Issued by: Bakersfield Fire Department ~,'~':--'~':~-' Approved by: ..... A"~ ~ n s'p ~'~ ~ph Hu~, Director-- ~~' · ~:~ ~e~ ~ Bakersfield, CA 93301 Prevention Se~lces e~a~r~r.. ,~ . .~ ~ Voice (661) 326-3979 ~?~*~ June $0~ 2006 ' "%~ F~ (661) 852-2171 Expirotion Dote: ~17~ SITE DIAGRA~ FACrLrrY DIAGRAM Business Name: ?~ ~ TSX~/c ,Z-e~.~"~3 Business Address: 2e~,,z~ ~'. Br~.',,l,~e L~,,~ : ~,~he~sf,'./ff. , FIRE - AUTOHOBILE PARKING - MAINTENANCE BLDG. CONCRETE CONCRETE STORMWATER STORHWATER RETENTION RETENTION AREA AREA APPROXIMATE SCALE IN FEET ~ 0 50 lbo SITE DL~,GRAM [ ] FACu~rl~ DIAGRAM Business Name: , Bus,ess Ad.ess: ?flteT..c ~oon~ L uB~ t~oo~n ~~ ' ~ ..... 1. Gas Shutoff A. Motor Oil ~ 2. Electrical Shutoff B. Motor Oil N 3. water Shutoff C. Grease ~ 4. Fire ~~sher D. ~ Oil SITE DIAGRAM FACrlJTY DIAGRAM Susiness Name: ?~.~ 7-~/~ ,z_~.s,'~ Business Address: 2et,z'~ ~'. B~',,,,~,.,,e L,...',~ : AUTOHOBILE PARKING - MAINTENANCE BLDG. . D I E Irr~. UST ::: .............. i' "i,'.~'bL:'". D~Ir$1L ~T CONCRETE CONCRETE S TORHWA TE R S TORHWATER RETENT I ON RETENT I ON AREA AREA APPROXIMATE SCALE IN FEET 0 50 SITE DIAG~ [ | FACrLrl~ DIAGRAM Business Name: ' - Bus~essAd~ess: ~q2q ~. ~fv.~e ~.e: ?1~.~ Room L v8~ Room }llllllllllllllllill - ~. Ga~ ~o~ ~. ~o~o~ 0~ ~ 2. Electrical Shutoff B. Motor Oil N 3. Water Shutoff C. Grease ~ 4. Fire ~~sher D. ~ Oil PENSKE TRUCK LEASING SiteID: 015-021-001179 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: PENSKE TRUCK LEASING Cross Street : Business Type: Org Type: Total Tanks : 2 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOE DOMINGUEZ Phone: (661) 322-2600x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : JOE DOMINGUEZ Phone: (661) 322-2600x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : UNKNOWN Financ'l Resp: STATE FUND Legal Notif : Property Owner Mailing Address Date:05/09/2001 Phone: (610) 603-8450x Name:BRIAN YAZEMBOSKI Ttl:FACILITY COMPLIANCE ENGINEER State UST # : 1998 Upg Cert#: 00820 -2- 04/20/2004 PENSKE TRUCK LEASING SiteID: 01~5-021-001179 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax Iunit MCP ACETYLENE E F P IH G 416 00 FT3 Hi USED BATTERIES F IH S 350 00 LBS Hi BATTERIES F IH S 280 00 LBS Hi DIESEL F IH DH L 24000 00 GAL Low WASTE OIL F DH L 500 00 GAL Low OXYGEN F~ IH DH G 220 00 FT3 Low ANTIFREEZE G 140 00 FT3 Low MOTOR OIL F DH L 1000 00 GAL Min FREON F P IH G 210 00 FT3 Min GREASE F DH L 55 00 GAL Min WASTE OIL FILTERS F DH S 350 00 LBS UnR SOAP L 200 00 GAL UnR 3 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~U~U~ ~vl~ / ~£~ ~Vl~ ACETYLENE Days On Site ACETYLENE 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 208.00 FT3[ 416.00 FT3 208.00 FT3 HAZARDOUS COMPONENTS 100.00 Acetylene Yes 74862 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Hi MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag. Defined7: Ag. Defined8: Ag.Definedg: Ag.Definel0: -- Ag.Definell PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0026 Facility Unit: Fixed Containers on Site ~U~U~ ~Vl~ / ~£~ ~Vl~ USED BATTERIES Days On Site USED BATTERIES 365 Location within this Facility Unit Map: Grid: SHOP CAS# MIXTURE  STATE =-~ TYPE PRESSURE , TEMPERATUREI CONTAINER TYPE Solid IMixture Ambient I Ambient PLASTIC CONTAINER Largest Container Daily Maximum Daily Average 40.00 LBS 350.00 LBS 150.00 LBS ~~UU~ ~U~U~'I'~ %Wt. RS CAS# 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 HAZARD ASSESSMENTS ITsecretiN~SIBiOHazNO No Radioactive/AmountNo/ Curies EPAHazardsIF IH NFPA/// USDOT# MCPHi MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8: Ag.Definedg: Ag. Definel0: -- Ag.Definell -5- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site BATTERIES Days On Site BATTERIES 365 Location within this Facility Unit Map: Grid: SHOP CAS# ~ STATE ~ TYPE i PRESSURE I TEMPERATURE CONTAINER TYPE Solid /Mixture Ambient Ambient BOX AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 40.00 LBSI 280.00 LBS 140.00 LBS %Wt. RS CAS# 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 HAZARD ASSESSMENTS TSecret oRSIBi°Haz Radi°active/Amount I EPA HazardsNo N No No/ Curies F IH NFPA/// IuSDOT# HiMCP MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. De f ined5: Ag. De f ined6: Ag. De f ined7: Ag.Defined8: Ag. Defined9: Ag. Definel0: -- Ag. Definell 6 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site DIESEL Days On Site DIESEL 365 Location within this Facility unit Map: Grid: SHOP CAS# STATE -- TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient '11 Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 24000.00 GAL 1200.00 GAL HAZARDOUS COMPONENTS [ I I 100.00 Fuel Oil No. 1 N 70892103 HAZARD ASSESSMENTS ITsecretl oRS BioHaz Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Low MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: -- Ag. Definell 7 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0015 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SHOP TANK DESCRIPTION Tank ID#: 1 Mfr: OWENS CORNING Compart Tank: N Installed: 01/1986 Capacity: 12000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use:MOTOR VEHICLE FUEL Petrol Type: DIESEL Matl Name:DIESEL Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNLINED Installed: Corr Prot: FIBERGLASS REINFORCED PLASTIC Installed: Spill Cnt : 1986 Alarm : Exempt: No Drop Tube : 1986 Ball Float : Striker Plate: 1986 Fill Tube S/O: 1998 TANK LEAK DETECTION Sgl Wall: Dbl Wall: INTERSTITIAL MONITORING TANK CLOSURE INFORMATION/PERMB_NENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No 8 04/20/2004 f PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : FIBERGLASS Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 06/29/1998 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 05/09/2001 Name:BRIAN FAZEMBOSKI Ttl:FACILITY COMPLIANCE ENGINEER Prmt Number: 1179 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:10/02/2003 STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: Yes Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 05/09/2001 Name:BRIAN FAZEMBOSKI Ttl:FACILITY COMPLIANCE ENGINEER 9 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~I~U~ ~Vl~ / ~1~ ~ ~Vl~ WASTE OIL Days On Site WASTE OIL 365 Location within this Facility Unit Map: Grid: SHOP CAS# 221 Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 500.00 GALI 500.00 GAL 250.00 GAL HAZARDOUS COMPONENTS %Wt' Waste I ~S CAS# 100.00 Oil, Petroleum Based N TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Low MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag. Defined9: Ag. Definel0: -- Ag. Definell -10- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site WASTE DATA TreatedNoOn Site CA Code I US Code GAL Generated/Mo. GAL Generated/Yr. Treatment UnitlD: I Unit Type: Agency-Defined Text Label -11- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME OXYGEN Days On Site OXYGEN 365 Location within this Facility Unit Map: Grid: SHOP CAS# 7782-44-7 STATE = TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Gas ~Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 110.00 FT3 220.00 FT3 I 110.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxygen, Compressed N 7782447 ITsecret RS Bi°HasI HAZARD ASSESSMENTS I I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low MISC. LOCAL AGENCY DATA Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag. Defined5: Ag.Defined6: Ag.Defined7: Ag. DefinedS: Ag.Defined9: Ag.Definel0: -- Ag. Definell -12- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0028 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site ETHYLENE CLYCOL 365 Location within this Facility Unit Map: Grid: SHOP CAS# F STATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 140.00 FT3[ 140.00 FT3 70.00 FT3 %Wt. RS CAS# 45.00 Ethylene Glycol No 107211 3.00 Diethylene Glycol No 111466 45.00 Water No 7732185 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / Low MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag.Defined9: Ag. Definel0: -- Ag.Definell -13- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site MOTOR OIL 365 Location within this Facility Unit Map: Grid: SHOP CAS# 8020835 Liquid /Pure Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container [ Daily Maximum I Daily Average 1000.00 GALI 1000.00 GALI 400.00 GAL HAZARD ASSESSMENTS ITSecret[ RSlBioHazI Radioactive/Amount EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies F DH / / / Min MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag.Definedg: Ag.Definel0: - Ag.Definell -14- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 9 ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME FREON Days On Site FREON 365 Location within this Facility Unit Map: Grid: ADJACENT TO FUEL ISLAND CAS# 75-71-8 Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 105.00 FT3I 210.00 FT3I 105.00 FT3 HAZARDOUS COMPONENTS 100.00 Dichlorodifluoromethane N 75718 HAZARD ASSESSMENTS ITsecretl RSIBioHazI Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Definel0: -- Ag.Definell -15- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~U~IvIU~ ~vl~ / ~~ ~Vl~ GREASE Days On Site CHASSIS GREASE 365 Location within this Facility Unit Map: Grid: LUBE RM; INSIDE SHOP AREA CAS# 64742-52-5 ~ STATE I TYPEAmbient PRESSURE I TEMPERATUREAmbientDRUM/BARREL-METALLIC 'CONTAINER TYPE Liquid Pure AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 55.00 GAL~ 55.00 GAL 27.00 GAL HAZARDOUS COMPONENTS 100.00 Heavy Machine Oil N 8020835 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Min MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag. DefinedS: Ag. Definedg: Ag.Definel0: -- Ag. Definell -16- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0020 Facility Unit: Fixed Containers on Site WASTE OIL FILTERS Days On Site WASTE OIL FILTERS 365 Location within this Facility Unit Map: Grid: SHOP CAS# 221 F STATE ~ TYPE PRESSURE ., TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLIC Waste Ambient Solid AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum Daily Average 175.00 LBS[ 350.00 LBS 150.00 LBS HAZARD ASSESSMENTS lTSecret ~SIBioHaz Radioactive/Amount EPAHazardsI NFPA USDOT# MCP No N No No/ Curies F DH / / / UnR MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag. Defined9: Ag.Definel0: -- Ag.Definell -iV- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site WASTE DATA Treated On Site CA Code I US Code GAL Generated/Mo. GAL Generated/Yr. No Treatment UnitID: Unit Type: Agency-Defined Text Label -18- 04/20/2004 PENSKE TRUCK LEASING SiteID: 015-021-001179 ~ Inventory Item 0027 Facility Unit: Fixed Containers on Site ~U~U~ ~vl~ / ~1~ ~vi~ SOAP Days On Site CAR WASH SOAP 365 Location within this Facility Unit Map: Grid: SHOP CAS# FSTATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container ! Daily Maximum Daily Average 200.00 GAL[ 200.00 GAL 100.00 GAL i %Wt. i HAZARDOUS COMPONENTS RS CAS# TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies / / / UnR MISC. LOCAL AGENCY DATA Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Definedg: Ag.Definel0: -- Ag.Definell -19- 04/20/2004 ~ PENSKE TRUCK LEASING SiteID: 015-021-001179 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 06/25/2001 TANK AND PIPING IS DOUBLE WALL FIBERGLASS. INTERSTITIAL SENSORS ARE PRESENT IN THESE AREAS AND PROVIDE CONTINUOUS LEAK DETECTION MONITORING. IN THE EVENT OF A RELEASE AN ALARM WOULD SOUND. THE FACILITY WOULD IMMEDIATELY CONTACT CORP ENV DEPT FOR DIRECTION. -- Employee Notif./Evacuation 11/20/2003 BRANCH/DISTRICT MANAGER AND LOCAL/STATE AUTHORITY 911. A VERBAL AND PUBLIC ADDRESS SYSTEM ALARM WILL BE USED TO BEGIN EVACUATION OF FACILITY. EVACUATION MAPS ARE PROMINENTLY DISPLAYED THROUGHOUT THE FACILITY. INDIVIDUALS RESPONSIBLE FOR COORDINATING EVACUATION, INCLUDING SPREADING THE ALARM AND CONFIRMING THE BUSINESS HAS BEEN EVACUATED, WILL BE THE PRIMARY/ALTERNATE EMERGENCY COORDINATOR. -- Public Notif./Evacuation 11/20/2003 IN THE EVNET OF A SMALL SPILL, BRANCH PERSONNEL WILL CLEAN UP THE SPILL USING THE AVAILABLE SPILL KIT MATERIALS AND DISPOSE OF THE DEBRIS BY AN OUTSIDE ENVIRONMENTAL CONTRACTOR. IF IT IS A LARGE SPILL THE BRANCH WILL TRY TO CONTAIN THE MATERIAL AND CALL 911 TO GET PROFESSIONAL HELP. A VERBAL AND PUBLIC ADDRESS ALARM WILL BE USED TO BEGIN EVACUATION OF THE FACILITY. EVACUATION MAPS ARE PROMINENTLY DISPLAYED THROUGHOUT THE FACILITY. INDIVIDUALS RESPONSIBLE FOR COORDINATING EVACUATION, INCLUDING SPREADING THE ALARM AND CONFIRMING THE BUSINESS HAS BEEN EVACUATED, ARE THE PRIMARY/ALTERNATE EMERGENCY COORDINATORS. Emergency Medical Plan 08/28/1998 IF AN EMERGENCY MEDICAL CONDITION EXISTED AT THE FACILITY, THE EMERGENCY CONTACT WOULD IMMEDIATELY DIAL 911 TO GET PROFESSIONAL MEDICAL HELP ASAP. -20- 04/20/2004 'r ' UNIFIED PROGRAM (UP) ~' · NOV 1 BUSINESS ACTIVITIES Page 1 of 2 I. FACILITY IDENTIFICATION I ~ I EPA iD # (Hazardous Waste Only) 2 FACILITY ID# 1 5 0 2 1 0 0 1 1 7 9 CAL000183641 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 Penske Truck Leasing Co., L.P. II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page, 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 4 HAZARDOUS MATERIALS INVENTORY liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include - CHEMICAL DESCRIPTION liquids in ASTs and USTs); or the applicable Federal threshold quantity for an [] YES [] NO 4 4 CONSOLIDATED CONTINGENCY PLAN extremely hazardous substance specified in 40 CFR Part 355, Appendix A or (Section I and Site Map(s)) B; or handle radiological materials in quantities for which an emergency plan is 4 TRAINING PLAN required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) 4UST FACILITY 1. Own or operate underground storage tanks? X YES NO 5 4UST TANK (one page per tank) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 4UST FACILITY 4UST TANK (one per tank) 4UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) 3. Need to report closing a UST? [] YES [] NO 7 4UST 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 TO CUPAs --the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? 4 EPA ID NUMBER - provide at the top of this page. I~YES [] NO 9 4 As a generator, answer YES to Item E2b and complete Waste Generator Form. 2. Recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? [] YES .[] NO 10 4 RECYCLABLE MATERIALS REPORT 3. Treat hazardous waste on site? [] YES [] NO 11 40NSITE HAZARDOUS WASTE TREATMENT - FACILITY 40NSITE HAZARDOUS WASTE TREATMENT- UNIT (one page per unit) 4. Treatment subject to financial assurance requirements (for [] YES [] NO 12 4 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE 4 REMOTE WASTE / CONSOLIDATION 5. Consolidate hazardous waste generated at a remote site? [] YES [] NO 13 SITE ANNUAL NOTIFICATION 4 HAZARDOUS WASTE TANK CLOSURE 6. Need to report the closure/removal of a tank that was classified as I']YES [] NO 14 CERTIFICATION hazardous waste and cleaned onsite? E. LOCAL REQUIREMENTS 15 1. REGULATED SUBSTANCES Have Regulated Substances (RS) including Extremely Hazardous Substances 15a In addition to Hazardous Materials (EHS) stored on site at greater than the threshold planning quantities [-']YES [] NO requirements, complete: established by the California Accidental Release Program (Cai ARP) ? 4 Regulated Substance Registration 4 Risk Management Plan (when required) 2. OTHER REQUIREMENTS a. Have hazardous materials stored on site at or above a threshold amount 15b 4 Consult local CUPA or PA for added established by a CUPA's or PA's local ordinance? DYES [] NO reporting requirements. b. Required by a CUPA or PA to provide other information? 15c []YES [] NO 4 Waste Generator Form (LA C(~unt¥) /~-'7/,) ~ Z '~ . UPF LAC4:01 BA UP FORM (1/2000 Version) 1 " /-//~J © / ~ ?)~/~, O - - THE CUPAs OF LOS ANGEL~S COUNTY ~, ,~ ~ ~ ~ ~ <13 / ,f-~ 7-~ ~.-<~_~_, ~ ~f'~/.O ~.~ UNIFIED PROGRAM (UP) FORM BUSINESS OWNER/OPERATOR IDENTIFICATION O NEW BUSINESS r'l OUT OF BUSINESS I~I REVISE/UPDATE (EFFECTIVE 01/01/2002 ) PAGE 2 OF 2 I. IDENTIFICATION FACILITY ID# 1 5 0 2 1 0 0 1 1 7 9 1/1/2003 12/31/2003 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 I BUSINESS PHONE lO2 Penske Truck Leasing Co., L.P. I 661-322-2600 BUSINESS SITE ADDRESS 103 2929 East Brundage Lane CITY Bakersfield ~o4 { CA ZIP CODE 93307 lO5 DUN & BRADSTREET 36-270-2664 ~o5 SIC CODE (4 digit #) 7513 ~o7 COUNTY Kern ~o8 UNINCORPORATED [] Yes [] No ~33a. ' BUSINESS OPERATOR NAME lO9 BUSINESS OPERATOR PHONE ~o Penske Truck Leasing Co., L.P. (610) 775-6471 II. BUSINESS OWNER OWNER NAME ~l~ OWNER PHONE ~2 Penske Truck Leasing Co., L.P. (610) 775-6471 OWNER MAILING ADDRESS 113 Route 10 Green Hills, P.O. Box 7635 CITY Reading ~4 I STATE PA ~5 II1. ENVIRONMENTAL CONTACT CONTACT NAME 117 I' CONTACT PHONE ~8 Michael Costanza I (610) 775-6471 CONTACT MAILING ADDRESS Route 10 Green Hills, P.O. Box 7635 CITY Reading ~2o I STATE PA ~21 I ZiP CODE 19603-7635 122 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME Ralph Elizondo 123 NAME Joe Dominguez TITLE District Manager 124 TITLE Service Manager 129 BUSINESS PHONE 559-268-7000 ~25 BUSINESS PHONE 661-332-2600 ~3o 24-HOUR PHONE 1-800-526-0798 ~2s 24-HOUR PHONE 1-800-526-0798 131 PAGER # 610-213-4817 ~27 PAGER # 610-213-4817 132 V. ADDITIONAL LOCALLY COLLECTED INFORMATION 133 NUMBER OF EMPLOYEES 133b I FEDERAL TAX IDENTIFICATION NUMBER 23-2528618 ~3~ MAILING/BILLING INFORMATION Route 10 Green Hills, P.O. Box 7635 Reading PA 19603 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. ~F~R DES IGNATED REPRESENTATIVE, I DATE/ , 134 NAME OF DOCUMENT PREPARER /~ ~ [ Rita J. Trupp 136 TITLE OF SIGNER 137 I Ralph Elizondo District Manager UP FORM (1/2000 Version) 2 UPF_LAC4: 01_BA THE C_,UPAs OF LOS ANGE~S COUNTY COVER PAGE FACILITY IDENTIFICATION BUSINESS NAME 3 FACILITY ID # 1 Penske Truck Leasing Co., L.P. 015-021-001179 SITE ADDRESS 103 CITY 104 ZIP CODE 105 2929 East Brunda~e Lane Bakersfield 93307 The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following three written hazardous materials emergency response plans required in California: t0 Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR Sections 2729-2732), t~ Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and, ~ Underground Storage Tank Emergency Response Plan and Monitoring Program (23 CCR Sections 2632 and 2641). This format is designed to reduce duplication in the preparation and use of emergency response plans at the same facility, and to improve the coordination between facility response personnel and local, state and federal emergency responders during an emergency. Use the chart below to determine which sections of the Consolidated Contingency Plan need to be completed for your facility. If you are unsure as to which programs your facility is subject to, refer to the Business Activities Page. PROGRAMS SECTION(S) TO BE COMPLETED Hazardous Materials Business Plan (HMBP) Cover Page, Section l, and Site Map(s) Hazardous Waste Generator (HWG) Cover Page, Section I, and Site Map(s) Underground Storage Tank (UST) Cover Page, Sections I and II, and Site Map(s) HMBP, HWG, UST Cover Page, Sections I and II, and Site Map(s) A copy of the plan shall be submitted to your local CUPA and at least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. Describe below where a copy of your Contingency Plan, including the hazardous material inventories and Site Map(s), is located at your business: I Facility Managers Office PLAN CERTIFICATION I certify under penalty of law that 1 have personally examined and 1 am familiar with the information provided by this plan and to the best of my knowledge the information is accurate, complete, and true. Printed Name of Owner/Operator Title of Owner/Operator Ralph Elizondo District Manager (~O~~ Date// //~.)/0 3 We appreciate the effort of local businesses in completing these plans and will assist in every possible way. If you have any questions, please contact your local CUPA or PA. ] OFFICIAL USE ONLY [ DATE RECEIVED I REVIEWED BY UP FORM (1/2000 Version) 3 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGEL~ESCOUNTY I. FACILITY IDENTIFICATION BUSINESS NAME 3 FACILITY ID # 1 Penske Truck Leasing Co., L.P. 015-021-001179 SITE ADDRESS 103 I CITY 104 ZIP CODE 105 2929 East Brundage LaneI Bakersfield 93307 - Il. EMERGENCY CONTACTS PRIMARY SECONDAI~Y NAME 123 NAME 128 Ralph Elizondo Joe Dominguez TITLE 124 TITLE 129 District Manager Service Manager BUSINESS PHONE 125 BUSINESS PHONE 130 559-268-7000 661-322-2600 24-HOUR PHONE 126 24-HOUR PHONE 131 1-800-526-0798 1-800-526-0798 PAGER # 127 PAGER # 132 610-2134817 610-213-4817 111. EMERGENCY RESPONSE PLANS AND PROCEDURES A. Notifications Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, this Unified Program Agency (CUPA or PA), and the Office of Emergency Services. If you have a release or threatened release of hazardous materials, immediately call: FIRE/PARAM ED1CS/POLICE/SHERIFF PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Unified Program Agency and the Office of Emergency Services. Local Unified Program Agency: (323) 890-4045 State Office of Emergency Service: (800) 852-7550 or (916) 262-1621 National Response Center: (800) 424-8802 Information to be provided during Notification: ~ Your Name and the Telephone Number from where you are calling. ~ Exact address of the release or threatened release. ~ Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) ~ Material and quantity of the release, to the extent known. t~ Current condition of the facility. ~ Extent of injuries, if any. ~ Possible hazards to public health and/or the environment outside of the facility. B. £mergen¢¥ Medical Facility List the local emergency medical facility that will be used by your business in the event of an accident or injury caused by a release or threatened release of hazardous material HOS~P1TAL/CL]NIC: / I~PHONE NO-' As dispatched by 911 - ADDRESS: / CITY: I ZIP CODE: UP I:ORM (1/2000 Version) 5 UPF_LAC4: 01,BA THE CUPAs OF LOS ANGELES COUNTY C. Private Emergency Response DOES YOUR BUSINESS HAVE A PRIVATE ON-SITE EMERGENCY RESPONSE TEAM? [] Yes [] No If yes, provide an attachment that describes what policies and procedures your business will follow to notify your on-site emergency response team in the event of a release or threatened release of hazardous materials. · CLEANUP/DISPOSAL CONTRACTOR List thc contractor that will provide cleanup~ser~lces ~n thc event of a release. NAME OF CONTRACTOR: ~- PHONE NO: Penske Truck Leasing Co., L.P. *~ 610-775-6471 ADDRESS: Route 10 Green Hills, P.O. Box 7635 CITY: ZIP CODE: Reading, PA 19603-7635 D. Arrangements With Emergency Responders If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements on the lines below: N/A E. Evacuation Plan l. The following alarm s~gnal(s) will be used to begln.evacuat~on o~~ty-(check all whtch ,pp ~y): [] Verbal [] Telephone (including cell~af~arm Sy~em"~ Public Address System [] Intercom [] Pagers [] Portable Radio [] Other (specify).'......../ 2. [] Evacuation map is prominently displ/aye~'throughout the facility. 3. [] Individual(s) responsible for co~nating evacuation including spreading the alarm and confirming the business has been evacuated:./ Primary/Alternate Emergency Coordinator F. Earthquake Vulnerability Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. [] Hazardous Waste/Hazardous Materials Storage Areas [] Production Floor [] prOcess Lines [] Bench/Lab [] Waste Treatment [] Other: Aboveground/Underground Storage Tanks Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. [] Utilities [] Sprinkler Systems [] Cabinets [] Shelves [] Racks [] Pressure Vessels [] Gas Cylinders [] Tanks [] Process Piping [] Shutoff Valves [] Other: * Penske's Corporate Environmental Services Department will coordinate cleanup activities and contract with a qualified cleanup/disposal contractor. UP FORM (1/2000 Version) 6 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY SECTI · BUSINESS PLAN AND CONTI NCY PLAN G. Emergency Procedures Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials: 1. PREVENTION (prevent the hazard) - Describe the kinds of hazards associated with the hazardous materials present at your · facility. What actions would your business take to prevent these hazards from occurring? You may include a discussion of safety and storage procedures. To prepare and prevent accidents from occurring, the facility is provided a copy of the Penske Environmental Compliance Manual, which details proper procedures for storing, labeling, and inspecting chemical containers, and proper procedures for reporting and responding to releases. Employees will use the spill containment kit (pads and booms) to clean up small-scale spills. An appropriate emergency response firm will be contracted for larger releases. Penske's Corporate Environmental Services Department will coordinate clean up and disposal for larger spills. 2. MITIGATION (reduce the hazard) - Describe what is done to lessen the harm or the damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate response to a leak, spill, fire, explosion, or airborne release at your business? The Penske Truck Leasing facility is equipped with a spill containment kit and absorbent materials. Employees are trained to recognize that an emergency response situation exists and that they are to contact an outside fully trained emergency response firm. The employees are trained in the use of equipment and materials for spill containment. The employees are trained in the use of fire extinguishers and have also received Employee Right-to-Know (Hazard Com~uhication) training. 3. ABATEMENT (remove the hazard) - Describe what you would do to stop and remove the hazard. How do you handle the complete process of stopping a release, cleaning up, and disposing of releaseC, m/aterials at your facility? The spill containment kit will be used to stop spills/leaks and control~eanup small scale spills. Penske's Corporate Environmental Services Department will coordinate cleanup/disposal for larger,~Sills. / UP FORM (1/2000 Version) 7 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN IV. Emergency Equipment 22 CCR, Section 66265.52(e) [as referenced by Section 66262.34(a)(3)] requires that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE 1. 2. 3. 4. Equipment Equipment Category Type Location * Description** Personal [] Cartridge Respirators Protective, I'"lChemical Monitoring Equipment (describe) Equipment, [] Chemical Protective Aprons/Coa~s Safety [] Chemical Protective Boots Equipment, [5~Chemical Protective Gloves Nitrile Gloves and [] Chemical Protective Suits (describe) First Aid []Face Shields Equipment [] First Aid Kits/Stations (describe) [] Hard Hats l'"lPlumbed Eye Wash Stations [] Portable Eye Wash Kits (i.e. bottle type) [] Respirator Cartridges (describe) [] Safety Glasses/Splash Goggles [] Safety Showers [] Self-Contained Breathing Apparatuses (SCBA) [] Other (describe) Fire [] Automatic Fire Sprinkler Systems Extinguishing [] Fire Alarm Boxes/Stations Systems [] Fire Extinguisher Systems (describe) Wall-mounted fire extinguishers [] Other (describe) Spill [] Absorbents (deScribe) Pads in spill kit Control [] Benns/Dikes (describe) Booms in spill kit Equipment [] Decontamination Equipment (describe) and [] Emergency Tanks (describe) Decontamination [] Exhaust Hoods Equipment [] Gas Cylinders Leak Repair Kits (describe) [] Neutralizers (describe) [] Overpack Drums 95-gallon overpack drum [] Sumps (describe) [] Other (describe) Communications [] Chemical Alarms (describe) and [] Intercoms/PA Systems Alarm [] Portable Radios Systems [] Telephones [] Underground Tank Leak Detection Monitors [] Other (describe) Additional Equipment (Use Additional Pages if Needed.) * Use the Location Codes (LC)from the Site Map(s) preparedforyour Contingency Plan. ** Describe the equipment and its capabilities. If applicable, specify any testing/maintenance procedures/intervals. Attach additional pages, numbered appropriatel~v, if needed. UP FORM (1/2000 Version) 8 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY ITE DIAGRAM ! ] FACH~ITY DIAGRAM BufincssName: , Pe,~-, k e T-r~, lc REICTttL & .'~ .... t. Gas Shutoff A. Motor Oil 2. Electrical Shutoff B. Motor Oil DIAGRAM ~ FACILFI~ DIAGRAM - AUTOHOBILE PARKING - HAINTENANCE BLDG. .... CONCRETE ~ CONCRETE S 70RHWATE E S 7ORHWATER RETENT ION RETENT ION AREA AREA ~ll UNIFIED PROGRAM (UP) FORM I~ HAZARD~ MATERIALS INVENTORY - CHEMIC~II~DESCRIPTION /one pamge per malerial per buildin~ or ~rea I-lADD [-]DELETE ~]REVISE REPORTING YEAR 2003 200 I Page3 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Shop (EPCRA) [] YES [] NO ~::;:: 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 5 0 2 1 0 0 1 1 7 9 I1. CHEMICAL INFORMATION CHEMICAL NAME 2o5 TRADE SECRET [] Yes [] No 2o6 Grease If Subject to EPCRA, refer to instructions COMMON NAME Grease 207 EHS* [] Yes [] No 208 CAS# 209 *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 RADIOACT. tV~" l-lYes I~No 212 CURIES N/A TYPE (Check one item only) [] a. PURE I~b. MIXTURE [] c. WASTE ~ J 215 PHYSICAL STATE 214 I,~RGEST CONTAINER 55 (Check one item only) [] a. SOLID I~b. LIQUID [] c. GAS ~- FED HAZARD CATEGORIES S~E 216 (Check all that apply) [] a. FIRE [] b, REACTIVE [] c. PRES~ ASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH 221 DAYS ON SITE: 222 UNITS* I~a. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 [] Yes [] No 228 229 2 230 231 I--lYes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 []Yes [] NO 240 241 5 242 243 []Yes [-INo 244 245 If more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) I OFFICIAL USE ONLY I DATE RECEIVED REVIEWED BY DIV BN STA OTHER DISTRICT CUPA PA UP FORM (1/2000 Version) 3 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY / UNIFIED PROGRAM (UP) FORM ~) HAZARD(~ MATERIALS INVENTORY - CHEMIC3t~DESCRIPTION I , tone ~a~e ?er material ii)er building or area~ I--lADD [-IDELETE I~REVISE REPORTING YEAR 2003 2O0 I Page 6of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Penske Truck Leasing Go,, L,P. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL 202 ShopI (EPCRA) [] YES [] NO FACILITY ID # [ 1 i S I~l 0 [ 2 I 1 ,~i~ 0 I 0 I 1 I 1 I (optional} 203 I GRlO#(optiona,) 204 II. CHEMICAL INFORMATION CHEMICAL NAME //~ 205 TRADE SECRET [] Yes [] No 206 Diesel//' If Subject to EPCRA, refer to instructions COMMON NAME Diesel // 2o7 EHS* [] Yes [] No 208 CAS# 68476346 // 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Compl~'~f required by CUPA) 210 HAZARDOUS MATERIAL / 211 RADIOACTIVE I-JYes E;~No 212 CURIES N/A 213 TYPE (Check one item only) r-la/PURE l~;~b. MIXTURE [] c, WASTE PHYSICAL STATE / 215 (Check one item only) ~ a. SOLID I~b. LIQUID [] c. GAS 214 LARGEST CONTAINER 12,000 FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE I--I b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT1 2,00 217 I MAXIMUM DALLY AMOUNT24,000 218 ANNUAL WASTE AMOUNTN/A 219 I STATE WASTE CODEN/A 220 221 I DAYS ON SITE: 222 UNITS* []a. GALLONS I-lb. CUBIC FEET [] c. POUNDS F'I d. TONSI 365 (Check one item only) * If EHS, amount must be in pounds. , STORAGE CONTAINER [] a. ABOVE GROUND TANK r'-I e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT {For mixture or waste only) EHS CAS # 1 226 227 [] Yes [] No 228 229 2 230 231 E]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 are present at greater than 1% by v~eight 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFIC]AL USE ONLY J DATE RECEIVED I REVIEWED BY UP FORM (1/2000 Version) ~6 UPF_LAC4?01_BA THE CUPAs OF LOS ANGELES COUNTY HAZARD~ UNIFIED PROGRAM (UP) FORM MATERIALS INVENTORY - CHEMIC/~I~DESCRIPTION lone parle per material per buildin~ or area/ E]ADD I--IDELETE []REVISE REPORTING YEAR 2003 2OO I Page 8 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 20~ I CHEMICAL LOCATION CONFIDENTIAL 202 ShOp ~I (EPCRA) [] YES [] NO FACILITY ID# 1 5 ~ 0 2 1 ; 0 0 1 1 '7 9 i~; i ., II. CHE. M~CAL INFORMATION CHEMICAL NAME / 205 TRADE SECRET [] Yes [] No 206 / Waste Oil // ,f Subject to EPCRA. refer to instructions COMMON NAME Waste Oil // 207 EHS* [] Yes [] No 208 CAS# / 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required,b'~ CUPA) 210 .b~MI 213 HAZARDOUS MATERIAL 211 RADIOACTIVE []Yes I~No 212 CURIES N/A TYPE (Check one item only) [] a. PURE [] XTURE [] c. WASTE ///~ 215 PHYSICAL STATE 214 LARGEST CONTAINER 500 (Check one item only) [] a. SOLID b. LIQUID [] c. GAS FED HAZARD CATEGORIES F7/7 I I 216 (Check all that apply) [] a. [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 250 500 -3,600 211 /L 221 I DAYS ON SITE: 222 UNITS* []a. G LONS r'lb. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE L/N i3ONTAINER [] a. ABOVE GRO D TANK [] e, PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTrLE [] q. RAIL CAR [] 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 I / STORAGE PRESSURE /[] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE / [] a. AMBIENT I'-I b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC .225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 55-80 226 Base Lubricating Oils 227 [] Yes [] No 228 229 2 10-20 230 Detergent Inhibitor 231 r-lYes [] No 232 233 3 5-30 234 Viscosity Improver 235 [] Yes [] No 236 237 4 238 239 []Yes [] No 240 241 5 242 243 I-lYes {-]No 244 245 if more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) I I OFFICIAL USE ONLY I DATE RECEIVED I REVIEWED BY UP FORM (1/2000 Version) 8 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY " ~ UNIFIED PROGRAM (UP) FORM ~ HAZARD~ MATERIALS INVENTORY - CHEMIC]I~DESCRIPTION Ione J~al~e per material per buildin~ or areaI I~]ADD [-IDELETE ["iREVISE REPORTING YEAR 2003 200 J Page 12 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 204 I CHEMICAL LOCATION CONFIDENTIAL 202 (EPCRA) [] YES [] NO Shop ~ MAP# (optional) GRID# (optional) 204 II. CHEMICAL INFORMATION //- CHEMICAL NAME 205 TRADE SECRET [] Yes '[] No 206 Used Oil Filters /,f Subject to EPCRA, refer to instructions COMMON NAME Used Oil Filters z07 EHS*/ [] Yes [] No 208 CAS# 2o9 *If EH? is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) / 210 213 HAZARDOUS MATERIAL 211 RADIOACTIV/F///[-IYes I~No 212 I CURIES N/A TYPE (Check one item only) [] a. PURE []b. MIXTURE [] c. WASTE ES~O ' 215 PHYSICAL STATE 214 LARG NTAINER 1 75 (Check one item only) [] a. SOLID I-lb, LIQUID [] c. GAS FED HAZARD CATEGORIES / 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE/I~ d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 2~8 J/ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 150 350/I/j ~ 900J 221 d 221 DAYS ON SITE: 222 UNITS* []a. GALLONS I-lb. CUBIC FEET [] c. POUNI~ [] d. TONS 365 (Check one item only) * If EHS, amount must be in pourids. STORAGE dDRUM CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLI [] i. FIBER DRUM [] m. GLASS BO~-I'LE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN -/ [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER battery [] 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 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For/mixture or waste only) EHS CAS # 1 226 / 227 [] Yes [] No 228 229 2 230 ( 231 {-']Yes [] No 232 233 3 234~ 235 [] Yes [] No 236 237 4 238 239 []Yes [] No 240 241 ~ 243 I-lYes []No 244 245 5 242 If more hazardous components are present at greater than 1% by weight if non-car~:inogenic or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFICIAL USE ONLY DATE RECEIVED I REVIEWED BY D~V BN STA OTHER DISTRICT CUPA PA UP FORM (1/2000 Version) 12 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGEr:Es COUNTY i~l UNIFIED PROGRAM (UP) FORM ~ HAZARD~I~g MATERIALS INVENTORY - CHEMIC~I~DESCRIPTION lone pa~e per material per buildinq or area) ~]ADD r-IDELETE []REVISE REPORTING YEAR 2003 20o I Page 1of 12 ~- I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAMER DBA - Doing Business As) 3 Penske Truck Leasing Co.,.~P. CHEMICALLOCAT~ 2°t I CHEMICALLOCATIONCONFIDENTIAL(EPCRA) [] YES [] NO 202 Shop II. CHEMICAL INFORMATION CHEMICAL NAME 2o5 TRADE SECRET [] Yes []-No 206 Acetylene If Subject to EPCRA, refer to instructions COMMON NAME Acetylene 207 EHS* [] Yes [] No 208 CAS# 74-86-2 209 *If EHS is "Yes", all amounts below must be in lbs. 210 FIRE CODE HAZARD CLASSES {Complete if required by CUPA) 213 HAZARDOUS MATERIAL 211 RADIOACTIVE I-lYes I~No 212 CURIES N/A TYPE (Check one item only) [] a. PURE I-lb. MIXTURE [] c. WASTE 215 PHYSICAL STATE 214 LARGEST CONTAINER 208 (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 2t 7 I MAXIMUM DALLY AMOUNT 218 ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 208J 416 N/AJ N/A 221 DAYS ON SITE: 222 UNITS* I-la. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BO'F]'LE [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 [] Yes [] No 228 229 2 230 231 []Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 []Yes [] No 240 241 5 242 243 []Yes I'-INo 244 245 if more hazardous components ere present at greater than 1% by weight if non-carcinogemc, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY UP FORM (t/2000 Version) 1 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY ~ UNIFIED PROGRAM (UP) FORM ~ HAZARD~ MATERIALS INVENTORY - CHEMICJII~DESCRIPTION /one pa~e per material ~er buildinl~ or area I-}ADD I-]DELETE []REVISE REPORTING YEAR 2003 20o I Page 4 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Adjacent to Fuel Island (EPCRA) [] YES ' [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET - [] Yes [] No 2o6 Freon ' if Subject to EPCRA, refer to instructions COMMON NAME Freon 207 .EHS* [] Yes [] No 208 CAS# ~ *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) / 210 2~' [ 213 HAZARDOUS MATERIAL RADIOACTIVE []Yes I~No 212 CURIES N/A TYPE (Check one item only) [] a. PURE []b. MIXTURE [] c. WASTE 215 PHYSICAL STATE 214 LARGEST 105 (Check one item only) [] a. SOLID Db. LIQUID [] c, GAS FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE1 05 DAILY AMOUNT 217 2MAXIMUM1 0 DAILY AMOUNT 218 ANNUALN/AWASTE AMOUNT 219. STATEN/A WASTE CODE 220 221 DAYS ON SITE: 222 UNITS* I-la. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BO"FrLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER 1'3 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 2 230 231 []Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 r-lYes [] No 240 241 5 242 243 []Yes []No 244 245 if more hazardous components are present at greater than 1 Ye by weight if non-carcinogenic, or 0.1 Ye by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFICIAL USE ONLY I DATE RECEIVED REVIEWED BY dlV BN STA OTHER DISTRICT CUPA PA UP FORM (1/2000 Version) 4 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY HAZARDO~MATERIALS INVENTORY - CHEMIC]I~ESCRIPTION /one pa~e per material per buildincJ or area) I-lADD [-IDELETE []REVISE REPORTING YEAR 2003 2OO I Page 5 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Do, lng Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL 202 (EPCRA) [] YES [] NO Shop II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 206 Motor Oil ~f Subject to EPCRA, refer to instructions COMMON NAME Motor Oil 207 EHS* [] Yes [] No 208 209 *If EHS is "Yes", all amounts below must be in lbs. CAS# FIRE CODE HAZARD CLASSES (Complete if required by CUP~}// 210 213 HAZARDOUS MATERIAL ~URE 211 RADIOACTIVE l-lYes {~No 212 CURIES N/A TYPE (Check one item only) [] a. PURE [] b./MI [] c. WASTE 215 PHYSICAL STATE L~,/~b 214 LARGEST CONTAINER 1,000 (Check one item only) [] a. SO . LIQUID [] c. GAS FED HAZARD CATEGORIES / 216 (Check all tha~ apply)[]/~FIRE [] b. REACTIVE D c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT / 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 400 // J 1 000 N/AJ N/A ' 221 DAYS ON SITE: 222 UNITS* []a. GALLONS Db. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) / * If EHS, amount must be in pounds. STORAGE CONTAINER [] BOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BO'I-rLE [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 22,5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 55-80 226 Base Lubricating Oils 227 [] Yes [] No 228 229 2 10-20 230 Detergent Inhibitor 231 []Yes [] No 232 233 3 5-30 234 Viscosity Improver 235 [] Yes [] No 236 237 4 238 239 []Yes [] No 240 241 5 242 243 []Yes l-INo 244 245 if more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY UP FORM (1/2000 Version) 5 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY i~i UNIFIED PROGRAM (UP) FORM ~ HAZARD(~I~MATERIALS INVENTORY - CHEMIC)I~IDESCRIPTION ' lone pal~e per material per building or area) I--lADD [-1DELETE I~REVISE REPORTING YEAR 2003 2o0 I Page 7of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL 202 ShOpI (EPCRA) [] YES [] NO ~ MAP# (optional) 203 GRID# (optional) 204 ,.j II. CHEMICAL INFORMATION CHEMICAL NAME ~ 2o5 TRADE SECRET [] Yes [] No 206 Oxygen// If Subject to EPCRA, refer to instructions COMMON NAME ~ygen 2o7 EHS* [] Yes [] No 2o8 CAS# 7782-44-7/x 209 *If EHS is "Yes", all amounts below must be in lbs. 210 FIRE CODE HAZAR~CLASSES (Complete if required by CUPA) 213 HAZARDOUS MAT, E~IAL 211 RADIOACTIVE []Yes I~No 212 CURIES N/A TYPE (Check on/e4tem only) [] a. PURE Db. MIXTURE I--I c. WASTE 215 PHYSICAL S'l~'~ 214 LARGEST CONTAINER 110 (Check one item only) [] a. SOLID Db. 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 I ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 11 0 220I N/A N/A 221 DAYS ON SITE: 222 UNITS* Da. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * if EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m, GLASS BOTTLE [] q. RAIL CAR [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 [] Yes [] No 228 229 2 230 231 []Yes [] No 232 233 ,3 234 235 [] Yes [] No 236 237 4 238 239 []Yes [] No 240 241 5 242 243 I-~Yes []No 244 245 if more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY I DIV I BN STA OTHER DISTRICT CUPA ] PA I UP FORM (1/2000 Version) 7 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone pa~e pe~ material per bui~c~in~ or areat I--lADD I--IDELETE I~REVISE REPORTING YEAR 2003 2oo I Page 9 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 (EPCRA) [] YES [] NO 203 GRID~ (optional) 204 FACILITY ID # II. CHEMICAL II CHEMICAL NAME 2o5 TRADE SECRET [] Yes [] No 2o0 New Batteries If Subject to EPCRA, refer to instructions COMMON NAME Batteries 207 EHS* [] Yes [] No 2o8 CAS# 7664939 209 *If EHS is "Yes", all amounts below must be in lbs, FIRE CODE HAZARD CLASSES (complete if rec!uirecl by CUPA) 210 HAZARDOUS MATERIAL 213 TYPE (Check one item only) [] a. PURE I-lb. MIXTURE [] 211 RADIOACTIVE I'lYes []No 212 CURIES N/A 215 PHYSICAL STATE 214 LARGEST CONTAINER 40 (Check one item only) [] a. SOLID I~b. LIQUID :. 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 DAI 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 140 221 DAYS ON SITE: 222 UNITS* I-la, GALLONS r'lb. :EET [] c. POUNDS [] d. TONS 365 Check one item onl, * If EHS must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] i. FIBER DRUM [] m. GLASS BO'I-rLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] [] j, BAG [] n. PLASTIC BO'I-rLE [] r. OTHER Battery [] c. TANK INSIDE BUILDING [] g, CAI~ [] k, BOX [] o, TOTE BIN [] d. STEEL DRUM [] h, SILp [] I. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT []lb. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT []lb. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225 %VVT HAZARDOUS COMPONEN~T (For mixture or waste only) EHS CAS # 1 15 226 Sulfuric Acid / 227 [] Yes [] No 228 7664939 229 2 75 230 Lead ~ 231 []Yes [] No 232 7439921 233 3 234 235 [] Yes [] No 236 237 4 238 239 I--lYes '[-] No 240 241 5 242 243 []Yes []No 244 245 if more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported~chemical.) OFFICIAL USE ONLY DATE RECEIVED I REVIEWED BY DIV BN STA OTHER DISTRICT cuPA PA UP FORM (1/2000 Version) 9 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY i ~ UNIFIED PROGRAM (UP) FORM HAZARD(~Ig MATERIALS INVENTORY - CHEMIC~q)ESCRIPTION Ione pa~e ?er material ~er buildin~ or area~ ~ADD ~DELETE ~REVISE REPORTING YEAR 2003 2~ ~ Page ~O of 12 I. FACILI~ INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business ~) 3 Penske Truck Leasin9 Co., L.P. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL 2o2 ShOp~ (EPCRA) ~ YES ~ NO FACILITY ID ~ 1 5 ~ 0 2 1 0 0 1 1 7 9 II. CHEMICAL INFORMATION CHEMICAL NAME 2o5 T~DE SECRET ~ Yes ~ No 206 Used Batteries If Subject to EPC~, rMer to instru~ions COMMON NAME Batteries 207 EHS* ~ Yes ~ No 208 CAS~ 7664939 j 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE H~RD CLASSES (complete if required by CUPA) / 210 H~RDOUS MATERIAL/ 1 ' 212 213  S 2~ ~DIOACTIVE ~Yes ~No CURIES N/A ~PE (Check one item only) ~ a. PURE ~b. MI~URE ~ c. TE PHYSICAL STATE ~ GAS 215 (Check one item only) ~ a. SOLID ~b. LIQUID 214 LARGEST CONTAINER 40 F FED HA~RD CATEGORIES ~ 216 (Check allthat apply) ~ a. FIRE ~ b. R~CTIVE ~ ~RESSURE RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVENGE DAILY AMOUNT 217 MAXIMUM DAILY~U~ 218 ANNUAL WASTE AMOUNT 2~9 STATE WASTE CODE 220 / 150 ~ 350 / ~ - 1,500 I 741 / 22~ I DAYS ON SITE: 222 UNITS* ~a. GALLONS ~b. CUBIC F~ET ~ c. POUNDS ~ d. TONS (Check one tern on y) * f EHS, a~ount must be n ~unds, STOOGE CONTAINER ~ a. ABOVE GROUND TANK ~ e. PLASTIC/NONMETALLIC DRUM ~ i. FIBER DRUM ~ m. GLASS BO~LE ~ q. ~IL CAR ~ b. UNDERGROUND TANK ~ f. CAN ~ ~ j. BAG ~ n. PLASTIC BO~LE ~ r. OTHER battery ~ c. TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN ~ d. STEEL DRUM ~ h. SILO ~ ~ I. CYLINDER ~ p. TANK WAGON 223 STOOGE PRESSURE ~ a. AMBIENT ~ b.~ABOVE AMBIENT ~ c. BELOW AMBIENT 224 br STOOGE TEMPE~TURE ~ a. AMBIENT ~ . ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT H~RDOUS COMPONENT (For miAure or waste only) EHS CAS ~ 1 5 2~ Sulfuric Acid 227 ~ Yes ~ No 228 7664939 229 2 75 230 Lead 231 ~Yes ~ No 232 7439921 233 3 2~ 235 ~ Yes ~ No 23~ 237 4 238 239 ~Yes ~ No 240 241 5 242 243 ~Yes ~No 244 245 if more hazardous components are present at greater than 1% by weight if non~arcinogenic, or 0.1% by weight if carcinogenic, a~ach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPC~, Please Sign Here (Facilities reposing Chemicals subject to EPCRA reposing thresholds must sign each Chemical Description page for each EPCRA repo~ed chemical.) OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY D~V BN STA OTHER DISTRICT CUPA PA UP FORM (1/2000 Version) 10 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY lone page per material per building or area) {:~ADD [-~DELETE I-]REVISE REPORTING YEAR 2003 200 I Page 11 of 12 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME orDBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION CONFIDENTIAL 2O2 CHEMICAL LOCATION ' (EPCRA) r-I YES [] NO FACILITY ID# I 5 0 2 1 j II, CHEMICAL INFORMA/TION CHEMICAL NAME /205 TRADE SECRET [] Yes [] No 206 Truck Wash Soap/ If Subject to EPCRA, refer to instructions COMMON NAME TruckWash Soap / 207 EHS* [] Yes [] No 208 CAS# / 209 *If EHS is "Yes", all amounts below must be in lbs. / 210 FIRE CODE HAZARD CLASSES (complete if required by CUPA) 213 HAZARDOUS MATERIAL 1 RADIOACTIVE I']Yes I~No 212 CURIES N/A TYPE (Check one item only) [] a, PURE I~b. MIXTURE [] c. WASTE 215 PHYSICAL STATE / 214 LARGEST CONTAINER 200 (Check one item only) [] a. SOLID I~b. LIQUID [] c. GAS FED HAZARD CATEGORIES / 216 (Check allthat apply) [] a. FIRE [] b. REACTIVE [] c. PRE~URE RELEASE I~ d. ACUTE HEALTH [] e, CHRONIC HEALTH UNITS* []a. GALLONS []b. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount/must be in pounds. STORAGE C/~O CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTI NMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN / [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER battery [] 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 []/0. 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 # l / 227 [] Yes [] No 228 229 1 226 [ 231 []Yes [] No 232 233 2 230 I 235 [] Yes [] No 236 237 3 234 / 239 []Yes [] No 240 241 4 238 ~ 243 []Yes r-INo 244 245 5 242 If more hazardous components are present at greater than 1% by~veight 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) I OFFICIAL USE ONLY DATE RECEIVED I REVIEWED BY I D~V BN STA OTHER I DISTRICT CUPA PA I UP FORM (1/2000 Version) 11 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY ~ UNIFIED PROGRAM (UP) FORM i~l HAZARD~ MATERIALS INVENTORY - CHEMICIII~DESCRIPTION Ione~age~per material per building or area) I--lADD I--IDELETE [~REVISE REPORTING YEAR 2003 2oo I Page 2 of 12 I, FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or'DBA - Doing Business As) 3 Penske Truck Leasing Co., L.P. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL 2o2 ShopI (EPCRA) [] YES [] NO II. C~HEM~CAL INFORMATION CHEMICAL NAME ~ 205 TRADE SECRET [] Yes [] No 206 Ethylene Glycol~ If Subject to EPCRA, refer to instruCtions COMMON NAME Antifreeze / 2o7 EHS* [] Yes [] No 2o8 CAS# 1 07-21-1 j 209 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Comp~ if required by CUPA) 210 213 HAZARDOUS MATERIAL F'] .~PUR TYPE (Check one item only) E I~b. MIXTURE [] c. WASTE 211 RADIOACTIVE []Yes [~No 212 CURIES N/A / 215 PHYSICAL STATE /[] 214 LARGEST CONTAINER 140 (Check one item only) a. SOLID I~b. LIQUID [] c. GAS FED HAZARD CATEGORJES 216 (Check allthat 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 70 140 N/A N/A 221 DAYS ON SITE: 222 UNITS* []a. GALLONS I-lb. CUBIC FEET [] c. POUNDS [] d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BO'I-I'LE [] q. RAIL CAR I-] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BO'I-rLE [] 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 [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 45-50 226 Ethylene Glycol 227 [] Yes [] No 228 107-21-1 229 2 0-3 230 Diethylene Glycol 231 []Yes [] NO 232 111-46-6 233 3 45-50 234 Water 235 [] Yes [] No 236 7732-18-5 237 4 238 239 []Yes [] No 240 241 5 242 243 []Yes []No 244 245 If more hazardous components are 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 Sign Here (Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.) I OFFICIAL USE ONLY DATE RECEIVED I REVIEWED BY DIV BN I STA OTHER IDISTRICT t CUPA PA UP FORM (1/2000 Version) 2 UPF_LAC4: 01_BA THE CUPAs OF LOS ANGELES COUNTY November 4, 2003 Bakersfield Fire Department Prevention Services Attn: Karen Crawford 1715 Chester Avenue Bakersfield, CA 93301 RE: Hozardous Materials Program Per6ke Truck Leasing CO., L.P. 2929 Eost Brundage Lane Bakersfield,, CA 93307 Facility 1D # 15-021-001179 Dear Ms Crawford' Enclosed is t~ Hozardous Materials Business Plan for the referenced facility. I f you have any questior6 or require further information, please contact me at 610-775- 6409 7am-4pm Sincerely; Rita J. ~rupp Environmental Services 610-775-6409 Fax 610- 775-6442 P~'ta. TruppPpensI~e.com PENSKE TRUCK LEASING / ROUTE 10 GREEN HILLS / RO. BOX 7635 / READING, PA 19603-7635 TELEPHONE: 610-775-6298 / FAX: 610-775-6442 www. pensketruckleasing.com PENSKE TRUCK LEASING SiteID: 015-021-001179 Manager : SCOTT COWAN BusPhone: (661) 322-2600 Location: 2929 E BRUNDAGE LN Map : 124 CommHaz : Low City : BAKERSFIELD Grid: 03B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contaqt / Title JOSE DOMINGUEZ / SERVICE MANAGER ~SCOTT COWAi; ~ V~.e~5/ BRANCH MANAGER Business Phone: (661) 322-2600x Business Phone: (661) 322-2600x 24-Hour Phone : (800) 526-0798x 24-Hour Phone : (800) 526-0798x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact : BRIAN YAZEMBOSKI Phone: (610) 775-6406x MailAddr: PO BOX 7635 State: PA City : READING Zip : 19603 Owner PENSKE TRUCK LEASING Phone: (610) 775-6406x Address : PO BOX 7635 State: PA City : READING Zip : 19603 Period : to TotalASTs: ' = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: THIS IS AN SPCC SITE AND REQUIRES A JOINT INSPECTION, PLEASE CALL THE OFFICE AT 326-3979 TO SCHEDULE. ~, ~)(~ hereby, csr~i~ ~ha~ ~ h~v~ · ~y~ or print na~) reviewe~ ~he a~hsd h~ardous ~e~a~s ~anags- men~ plan ~or,,, and ~hm i~ alo~ wi~h (~ o~he~) any corrosions consfi~u~s a compls~s and corm~ man- agemen~ plan for my Signature Date -1- 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 STOP~AGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: PENSKE TRUCK LEASING Cross Street : Business Type: Org Type: Total Tanks : 2 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : SCOTT COWAN Phone: (661) 322-2600x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : SCOTT COWAN Phone: (661) 322-2600x Address: City : State: Zip: Type : CORPORATION BOE UST Fee# : UNKNOWN Financ'l Reap: STATE FUND Legal Notif : Property Owner Mailing Address Date:05~09~2001 Phone: (610) 603-8450x Name:BRIAN YAZEMBOSKI Ttl:FACILITY COMPLIANCE ENGINEER State UST # : 1998 Upg Cert#: 00820 ~ Hazmat Inventory One Unified List m Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMCP ANTIFREEZE F IH L 110 00 GAL Low DIESEL FUEL #2 F IH DH L 12000 00 GAL Mod DIESEL FUEL #2 F R IH DH L 12000 00 GAL Low GEAR OIL F DH L 55 00 GAL Low GREASE F DH L 55 00 GAL Min MOTOR OIL F DH L 1500 00 GAL Min WASTE 0IL F DH L 500 00 GAL Low WASTE OIL FILTERS F DH S 200 00 GAL UnR 2 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 9 = Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: LUBE RM; INSIDE SHOP AREA CAS# 107-21-1 STATE TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Liquid ~Pure Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GALI 70.00 GAL HAZARDOUS COMPONENTS 100.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS TSecretI ~SlBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F IH / / / Low = Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME DIESEL FUEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: S OF MAINTENANCE BLDG; NEAR FUEL ISLAND CAS# 68476-34-6 Liquid /Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GALI 8500.00 GAL HAZARDOUS COMPONENTS 100.00 Diesel Fuel No. 2 N 68476302 HAZARD ASSESSMENTS ITSecretl oRSlBioHazI Radioactive/Amount EPA HazardsI NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Mod -3- 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0018 Facility Unit: Fixed Containers on Site DIESEL FUEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: S OF MAINTENANCE BLDG NEAR FUEL ISLAND CAS# 68476-34-6 F STATE TYPE PRESSURE TEMPERATUREI CONTAINER TYPE Liquid PureI~ AmbientIi Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 8500.00 GAL HAZARDOUS COMPONENTS 100.00 Diesel Fuel No. 2 N 68476302 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F R IH DH / / / Low = Inventory Item 0016 Facility Unit: Fixed Containers on Site 9 GEAR OIL Days On Site 365 Location within this Facility Unit Map: Grid: LUBE RM; INSIDE SHOP AREA CAS# 64742-57-0 F STATE ~ TYPE PRESSURE -- TEMPERATURE CONTAINER TYPE Liquid /Pure I Ambient [Ambient I DRUM/BARREL- METALL I C AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 55.00 GALI 55.00 GALI 50.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Light Machine Oil 8020835 HAZARD ASSESSMENTS TSecretI oRSlBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MOP No N No No/ Curies F DH / / / Low -4- 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0014 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GREASE Days On Site CHASSIS GREASE 365 Location within this Facility Unit Map: Grid: LUBE RM; INSIDE SHOP AREA CAS# 64742-52-5 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE . ~ Ambient Pure Liquid Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 55.00 GAL 40.00 GAL HAZARDOUS COMPONENTS 100.00 Heavy Machine Oil N 8020835 HAZARD ASSESSMENTS ITSecretl RSIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# ] MCP No No No No/ Curies F DH / / / Min = Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S SHOP WALL CAS# 8020835 F STATE -- TYPE PRESSURE · TEMPERATURE CONTAINER TYPE Liquid Pure Ambient II Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container II Daily Maximum Daily Average 1500.00 GAL 1500.00 GAL 750.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecret] oRSlBioHaz Radioactive/Amount I EPA Hazards NFPA I USDOT# I MCP No N No No/ Curies F DH / / / Min -5- 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 = Inventory Item 0019 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: S SHOP WELL CAS# 221 Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 275.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS ITSecretl" RSIBioHaz[ Radioactive/Amount EPA Hazards I NFPA USDOT# I MCP No No No No/ Curies F DH / / / Low ---- Inventory Item 0020 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: SHOP NEAR LUBE RM CAS# 221 Solid I Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 200.00 GALI 150.00 GAL HAZARDOUS COMPONENTS %Wt. I RSI CAS# HAZARD ASSESSMENTS TSecretl oRSlBioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# [ MCP No N No No/ Curies F DH / / / UnR -6- 07/25/2002 F PENSKE TRUCK LEASING SiteID: 015-021-001179 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 06/25/2001 TANK AND PIPING IS DOUBLE WALL FIBERGLASS. INTERSTITIAL SENSORS ARE PRESENT IN THESE AREAS AND PROVIDE CONTINUOUS LEAK DETECTION MONITORING. IN THE EVENT OF A RELEASE AN ALARM WOULD SOUND. THE FACILITY WOULD IMMEDIATELY CONTACT CORP ENV DEPT FOR DIRECTION. -- Employee Notif./Evacuation 06/25/2001 BRANCH/DISTRICT MANAGER AND LOCAL/STATE AUTHORITY 911. Public Notif./Evacuation 06/25/2001 IN THE EVNET OF A SMALL SPILL, BRANCH PERSONNEL WILL CLEAN UP THE SPILL USING THE AVAILABLE SPILL KIT MATERIALS AND DISPOSE OF THE DEBRIS BY AN OUTSIDE ENVIRONMENTAL CONTRACTOR. IF IT IS A LARGE SPILL THE BRANCH WILL TRY TO CONTAIN THE MATERIAL AND CALL 911 TO GET PROFESSIONAL HELP. Emergency Medical Plan 08/28/1998 IF AN EMERGENCY MEDICAL CONDITION EXISTED AT THE FACILITY, THE EMERGENCY CONTACT WOULD IMMEDIATELY DIAL 911 TO GET PROFESSIONAL MEDICAL HELP ASAP. 7 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 06/25/2001 ALL EMPLOYEES ARE TRAINED TO EFFECTIVELY RESPOND TO EMERGENCIES BY FAMILIARIZING THEM WITH EMERGENCY SCENARIOS AND RESPONSE PROCEDURES. --Release Containment 06/25/2001 ALL PENSKE LOCATIONS HAVE SPILL KITS AND CLEANUP MATERIAL LOCATED AT THE BRANCH. BRANCH PERSONNEL ARE TRAINED TO CONTAIN THE PRODUCT TO THE PROPERTY AND PROTECT ALL STORM SEWERS. 06/25/2001 Clean Up THE CLEAN UP AND RECOVERY WOULD BE PERFORMED BY AN OUTSIDE ENVIRONMENTAL CONTRACTOR. Other Resource Activation 08/28/1998 ROLLINS EMPLOYEES WILL RESPOND TO SITE EMERGENCIES WHEN EMPLOYEE IS NOT AT RISK. OUR EMPLOYEES WILL NOT RESPOND TO LARGE SCALE FIRES OR DISASTERS WHERE PROFESSIONALLY TRAINED RESPONSE TEAMS ARE REQUIRED. -8- 07/25/2002 F PENSKE TRUCK LEASING SiteID: 015-021-001179 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 06/25/2001 A) GAS - W SIDE OF SHOP; NEAR AIR CONDITIONER B) ELECTRICAL - N WALL OF SHOP C) WATER - N FRONT ENTRANCE D) SPECIAL - NONE E) LOCK BOX - NO Fire Proteco/Avail. Water 08/28/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - IN FRONT OF BLDG. Building Occupancy Level -9- 07/25/2002 PENSKE TRUCK LEASING SiteID: 015-021-001179 Fast Format = Training Overall Site -- Employee Training 06/25/2001 WE HAVE 8 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN THE SERVICE MANAGERS OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: THE TRAINING PROGRAM IS DESIGNED TO TRAIN EMPLOYEES TO EFFECTIVELY RESPOND TO EMERGENGIES BY FAMILIARIZING THEM WITH THE EMERGENCY SCENARIOS AND RESPONSE. PROCEDURES, EMERGENCY EQUIPMENT AVAILABLE AT THE BRANCH, EQUIPMENT EMERGENCY SHUT DOWN DEVICES AND LOCATIONS, GENERAL HOUSEKEEPING PRACTICES, RESPONSE PROCEDURES FOR FIRES, SITE EVACUATION PROCEDURES AND RELATED SPILL RESPONSE ISSUES. -- Page 2 --Held for Future Use Held for Future Use -10- 07/25/2002 ," CITY OF BAKERSFIEL ~ R s P l~,k o OFFICE OF ENVIRONMENTAL SERVICES lt~,llltrltllWr 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. . To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. .. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA . , CITY: · ff~J"~3" STATE: EMERGENCY NOTIFICATION CONTACT TITLE 'BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: 2) z..o,,.l /s/,.,t,,, ~,..,~,,,,.t/ q t t' C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: SECTION II.2': RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: ~all B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) ELECTRICAL: ' ,,O/or/-[~ ~,,11 :,,rr' ~°F WATER:', SPECIAL: LOCK BOX: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): /:za-,'~ o rf /~,o/d,,',,~'~P-- HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, ~P~'~,~ ~/~z~ ~,(~,' CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. TITLE ' I~AT'E SIGNATURE~/// MAT MNGMNT PLAN & INSTRU¢ 4 ,,...,~i~_~_ _. a ._ ~,'~, ,. C OF ENVIRONMENTAL S'~RVICES ~ rtnm W 1715 Chester Ave.. CA 93301 (661) 326-3979 ~ -~-- .... BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page I. FACILITY IDENTIFICATION FACILITY ID # ' ...... ......... : ~. Year Beginning ~oo Year Ending ~o~ BUSINESS NAME [Same as FAClLITY NAUE or DBA- Ooing Business As) .......... 3 "BUSINESS PHONE ................ Pe,ske Tr~k .Le~.s ,i~l ............. ¢os .~2z 2.~oo .. SITE ADDRESS ~o3 DUN & ~o6 SIC CODE ~o7 ,~q~.~J_ .... _~.~ 2_Zo_z.~.6(.q (".9~~t~) 7xt X COUNTY ................... ~/~ II. OWNER INFORMATION ow.~A~ PC"S~ ~1~ Le~,'~ ,,, o~.~.o.~ ................ ~to 7~ ~_yv~ OWNER MAILING III. ENVIRONMENTAL CONTACT .c.?:~?~.E.. A~.~____~/I~ ~ ................................... Z__?_~??~__.~(0_..~Z~__~.e.~__.'_'.~_ CONTACT MAILING ~19 ......................... ~ to__ CITY O--./'m. 120 : STATE ~ 12, ZIP /q~O ~ ~I ~ ~ ............................................. -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- ..................... J ........................................ 7 ............................................................... ~ ................................... BUSINESS PHONE ............ ~ .............. ~_~....~ -- 126 ' BUSINESS PHONE ~/ __ ~ ~.~ ~ . 131 z Z :_.2.~.~_ .................................................................................................... 24-.OU'RPHONE ¢00 ~ ' 0 79~ ............ ~ ...................................... ~ ..... ~..5~.7.?.7_~ .................... '-.~- .................. ~ ...... 0 ................................ 121 : 24-"OURPHONE SOO V. CERTIFICATION Certification: Based on my inqui~ of those individuals respo~siNe for obtaining the information, I ceai~ under penalty of law that I have personally examined and am familiar with the information submitted in this invento~ and believe the information is true, accurate, and complete. s d~ku~i"8~'dW~i'E6~6~ -' '"7'""~ .......................... 5~'~ ....................... ,~;- :'"~i~'gB'F'ooCUMihY'~h'i~h'ii~ ................ ~M'~ O~'6Wh~~(~:i ........................................ ;~;"~ 'ii7[~ 6~'o~O~oa ................................... %7" UPCF (7~99) S:\CUPAFORMS\OES2730.TV4.wpd iiness Owner/Operator Identifi,'~n Please submit the E]usmess Actiwties page. the i]usmess Owner/Operator Idenbflcation page (OES Form 2730), and Hazardous Malenals · Chemical OescnptJon pages (OES Form 2731 ) for all hazardous materials inventory submissions. For the inventor? to be considered complete this page must be s~gned by the appropriale individual. Note: the numbenng of the instructions follows the da~a element numbers that are on the UPCF pages. These data element numbers are used .~r electronic submission and are the same as the numbenng used in 27 CCR, Appendix C, the Business Section of the Unified Prc<:jram Data DiclJonary.) Please number all pages o~' your submittal. This helps your CUPA or AA idenlify whether lhe submittal is complete and if any pages are separated. 1. FACILITY I0 NUMBER - Th~s number is assigned by the CUPA or AA. This is the unique number whiCh identifies your t'acilib/. 3. BUSINESS NAME - Enter the full legal name of the business. 100· BEGINNING OATE- Enter the beginning year and date o1' the report. (YYYYMMDO) 101. ENDING OATE- Enter the ending year and date of [he report. (YYYYMMDD) 102. BUSINESS PHONE - Enter the phone number, area code first, and any extension. 103· BUSINESS SITE ADDRESS - Enter the slreet address where the facility is located. No post office box numbers are allowed. This information must provide a means to geographically locate the facility. 104. CITY - Enter the city or unincoq:)orated area in which business site is located. 105. ZIP CbOE - Enter the zip code of business site. The extra 4 digit zip may also be added. 106. DUN & BRADSTREET - Enter the Oun& Bradstreet number for the facility. The Dun & Bradstreet number may be obtained by calling (610) 882-7748 or by Intemet. 107. SIC CbOE - Enter the pdmary Standard Indus~al Classification Code number for pdmary business activity. NOTE: If code is more'than 4 digits, report only the first four. 108. COUNTY - Enter the county in which the business site is located. 109. BUSINESS OPERATOR NAME - Enter the name of the business operator. 110. BUSINESS OPERATOR PHONE - Enter business operator phone number, if different from business phone, area code first, and. any extension. 111. OWNER NAME - Enter name of business owner, if different from business operator. 112. OWNER PHONE - Enter the business owner's phone number if different from business phone, area code first, and any extension. 113. OWNER MAILING ADDRESS - Enter the owner's mailing address if different from business site address. 114. OWNER CI'~Y'- Enter the name of the city for the owner's mailing address. 115. OWNER STATE - Enter the 2 character state abbreviation for the owner's mailing address. 116. OWNER ZIP CODE - Enter the zip code for the owner~ address. The extra 4 digit zip may also be added. 117. ENVIRONMENTAL CONTACT NAME - Enter the name of the person, if different from the Business Owner or Operator, who receives all environmental correspondence and will respond to enforcement activity. 118. CONTACT PHONE - Enter the phone number, if different from Owner or Operator, at which the environmental contact can be contacted, ' area code first, and any extension. 119. CONTACT MAILING ADDRESS - Enter the mailing address where all environmental contact correspondence should be sent, if different from the site address. .. 120. CITY - Enter the name of the city for the environmental contact=s mailing address. 121. STATE - Enter the 2 character state abbreviation for the environmental contact~ mailing address. 122. ZIP CODE "- Enter the .zip code for the environmental contact=s mailing address. The extra 4 digit zip may also be added. 123. PRIMARY EMERGENCY CONTACT NAME - Enter the name of a representative that can be contacted in case of an emergency im/oMng hazardous materials at the business site. The contact shall have FULL fadlity access, site familiarity, and authority to make decisions for the business regarding incident mi§gatJon. 124. TITLE - Enter the title of the pdmary emergency contact. 125. BUSINESS PHONE - Enter the business dumber for the primary emergency contact, area code first, and any extensions. 126. 24-HOUR PHONE - Enter a 24.-hour phone number for the pdmary emergency contact. The 24-hour phone number must be on~ which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the indMdual stated above. 127. PAGER NUMBER - Enter the.pager number for the primary emergency contact, if available. 128. SECONDARY EMERGENCY CONTACT NAME - Enter the name of a secondary represenlalive thai can be contacted in the event that the primary emergency contact is not available. The contact shall have FULL fadlity access, site familiarity, and aulhodty to makedecisions for the business regarding incident mitigation. 129. TITLE - Enter the title of the secondary emergency contact. 130, BUSINESS PHONEi- Enter the business telephone number for the secondary emergency contact, area .code firs~ and any extensio~i 131. 24-HOUR PHONE - Enter a 24-hour phone number for the secondary emergency contact. The 24 t'~aur'phone numbei' must be one which is answered 24 hours a day. If it is not the contact's home phone number, then the service answering the phone must be able to immediately contact the individual stated above. 132. PAGER NUMBER - Enter the pager number for the secondary emergency contact, if available. 133. ADDITIONAL LOCALLY COLLECTED INFORMATION - This space may be used for CUPAs or AAs to collect any additional information necessary to meet the requirements of their individual programs. Contact your local agency for guidance. 134. DATE - Enter the date that the documenl was signed. (YY'YYMMDD) 135. NAME OF DOCUMENT PREPARER - ~ .'.,~.r the full name of the person who prepared lhe inventory submittal information. 136. NAME OF SIGNER - En~r the full p,dnted name of the person signing Ihe page. The signer certifies to a familiarity with the information sul~mitted and thai'based on the signer=s inquiry of those individuals responsible for obtaining the 'information, all the information submitted is true, accurate and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENT. ATIVE - The Business Owner/Operator, or officially designated representative of the Owner/Operator, shall sign'in the spa(~:e, provided. This signalure certifies tha~ the signe?.is familiar with the. information submitted and that based on the signer=s inquiry Gl' those individuals responsible for obtaining the information it is lhe' signer=s belief that the submitted information is true, accurate and complete. 137. TITLE OF SIGNER - Enter the titJe of the person signing the page. -' HAT. ARDOUS MATERIALS INVENTORY : /3..._ ./._ , Page of CKEMICAL DESCRIFrION I ) INVENTORY STATUS: New D(] AddiUOn[ ]Revision[ ]Deletion[ ] Checkifche~mcalisaNONTrad~Secr~[ ]Tra~[ 4) Physical & Health PHYSICAL HEALTH H.7-rd Categories Fire [ X] Reactive [ ] S-Odin Release o£Pr~ssure [ ] Immediate Health (Acute) [.-~] Delayed Health (Chronic) 5) WASTE CLASSIFICATION ,2 ~ I (3-digit code ~ DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid[ ] Liquid[~] Gas[ ] Pm'e[~'] ~[ ] War~[ ] Ra~ioa~v~[ ] 7) AMOUNT AND TIME AT FACII/I'Y UN1TS OF MEASURE 8) STORAGE CODES Maximum Daily Amount RqOOO Lbs[ ]GaI[X]~[ ] a)Conmin~ OI Average Daily Amount [TDoo Curies[ ] b) lh'e~'m~: / Annual Amount 2 ~ O O O c) T~ratu~: La~e~ Siz~ Container ! a oo o # Da~ on Site ~63" Cin:le Which Monlhs: ~-'~ $. F. NI. A, M, $, J, A, S. O, N. D 9) M/XTURE: List COMPONENT CAS# % WT A/-IM cne, mm com~onems or 2) /~. ~? ~ ~ ~/~. e ~ -zo-3 __~- / [ any AHM components 3) .~ .~ { ¢ ~ e / ~ 3 0 -Fo- ? 0 - / [ I)INVEN~ORYSTATUS:New[ ]Addition[ ]Revision[ ]Dele[ion[ ] Check if chemical is a NON Tr~t~ S~',:t [ ]Trad~[ 2) Common Name: tt~o~lor ~)// 3) DOT # (optional) /~///~ CAS# 4) Physical & Health PHYSICAL t-IF. ALTH HazardCategones FireD<]Reactive[ ]Sud~tenReleas~ofPressure[ ] lmmediateHealth(Acute)[ ]DelayedHealth(Ghnmic)[,3C] 5) WASTE CLASSIFICATION 2 7_ [ (3-digit co~e from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solidi ] Liquid[/~ Gas[ ] Puli ] Mixtu~[ ] Wa.~a[ ] Ra~ioa~iv~ [ ] 7) AMOI.YNT AND TIME AT FACItITY UNITS OF MEASURE 8) STORAGE CODES Maxim~ Daily Amount [5'00 Lbs [ ] Gal [.,~] 113 [ .] a) Cont. iner:. Average Daily Amount 7~'0 Curies { ] b) Pressure: / Annual Amount ., 15-0 0 c) Temperature Largest Size Container I000 # Days on Site 765-- Circle Which Months: ~ J, F, M. A, M, J, J, A. S, O, N, D 9) MIXTUILE: List _COMPONENT % WT AHM chermcal components or 2). /~,~ 5 e O,'/ a'q7~l/F,9'q 30 [ any AI-{M components 3) [ HAZARDOUS MATERIALS INVENTORY Page of CI~MICAL DESCRIFrlON I)[NVENTORYSTATUS;New[.~']Addiuon[ ]Revmon[ )Delctiun[ ] Check if che~ucaJ is a NON Trade Secr~t [ ]TradeSecr~t[ ] 2) Common Name: ~¢~. f' (~// 3) DOT # (optiomfl) 4) Physical & Health PHYSICAL HEALTH H~7,,rd Categories Fh-e DC] Reacuve [ ] SuS,~,'~ Release ofPrcsmn~ [ ] Immediate Health (Acute) [ ] DeAayed Health (Chromc) [-'~1' 5) WASTE CLASSIFICATION 2 2 / (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [X'] Gas [ ] Pure [ ] 7) AMOUNT AND ~ AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amom~t ~"..5~ Lbs [ ] Gal [.~"] Average Daily Amount ,7-0 Curies [ ] b) ~ / A~ual Amount ..5-3-- c) Largest Size Container ~-~'- # Da~ on Site , ~5'- Circle Which Months: ~'~$, F, lVl, A, lVl, $, .7, A, S, O, N, D 9) MIXTURE: List _ COMPONENT_ .~ CAS# % vcr AHM .-y AHM corapo~m~ 3) [ ] I)INVENTORYSTATUS:New[ ]Addition[ ]Revision[ ]Deletion[ ] Check if chemical is a NON Trad~ Secret [ ]TradeSec~-l[ 2) Common Name: 3) DOT # (optional) chermcal Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH HazardCategones Fire[ ]Reaztive[ ]S-da~Releaseo£Pressur~[ ] ImmediateHealth(Acum)[ ]DelayedHealth(Chnmi¢)[ ] 5) WASTE CLASSIFICATION (3-ctigit code Mm DHS Form S0Z2) USE CODE 6) PHYSICAL STATE Solidi ] Liquid[ ] Gas[ ] Pur~[ ] Mixture[ ] Wasm[ ] Radioa~ive[ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] ft3 [ ] a) Conlamer:. Average Daily Amount Curies [ ] b) Annual Amount c) Temperatm'~ Largem Size Container # Days on Site Circle Which Months: All Year, J, F, M, A, M, $, J, A, $, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AHM · e ttu'ee mos~ hazardous 1 ) [ ] chemical components or 2) [ ] any AHM components 3) [ ] )LOCATION certify under lx'nal~ of law. that I have personally examined and ~am fame..' ~ HAZARDOUS MA~S INVENTORY Pa~e of__ Cl:mMICAL DESCRIPTION I ) INVENTORY STATUS: N~v {II Addiuon [ ] Revmon [ ] DdeUon { ] Ch~t..k if ch~amcal is a NON Tr,,d¢ 2) Common Name: /t~r/~/, :to e z e 3) DOT # (optional) · f/////~ 4) Physical & H~alth PHYSICAL HE. ALTH H,,~rd Categories Fire [ ] R~a~rive [ ] $u,~,~-,3 Rele. me ofPmssur~ [X'] lmrneciiat~ Health (Acura) [ ] De.~yed Hmlth (Claroni~) [ ] 5) WASTE CLA3SIlrlCATION /..~,-.q~' O-digit coc~ Rom DHS Form 8022) USE CODE 6) ?m, sic~ ST^TE SoUd [ ] Liquid IX] c~ [ I h~ [A/I ~ { ] w~'~ 7) AMOUNT AND TIME AT FACILITY ~ OF MEASURE 8) STORAGE CODES ~m Daily AmounI / I 0 Lbs [ ] Gal [)('] R3 [ ] a) Container:. kverag, e Daily Amount 70 cunts [ ] b) ~ Annual Amount l[ t7 ¢) Tempera~ Largest Siz~ Container 5'..c' # Da.rs on $i~ _3~5- Circle Which Months: (~ J, F, M. A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT , CAS# % WT AHM chmaxicalcompommt~or 2) 19teJZhv/e,e ~'/,,,¢o [ III 'q~' b 5 [ ] any AI-IM components 3) [ ] I)INVENTORYSTATUS:Ncw[)(']^ch:tition[ ]Revision[ ]Deletion[ ] Checkii'¢h~nicalisaNONTrad~S~cr~[ ]Tmd~S{~'~[ ] 2) Common Name: C 6 ".$-~' s ~ Fe,.J~. 3) DOT # (optional) 4) Physical & Health PHYSICAL HF. ALTH Ha:,ardCategones Fire[X]R~active{ ]Sudd~Releas~ofPmsnn~[ ] lmmedmt~Hmlth(Acut~)[ ]l~hyedHmlth(Clmmi¢)[)<] 5) WASTE CLASSIFICATION .2~ / O-digit cod~ from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid[Xq 'Liquid[ ] Cra~[ ] Pur~ Mixxm~[ ] Wa.~[ ] Radi~w[ ] 7) AMOUNT AND TIME AT FAClZ2TY UNITS OF MEASURE 8) STORAGE CODES Maxtmum Daily Amount .~-,.5- Lbs[ ]Gal[,X]fl3[ ]. a)Contama': Average Daily Amount ~ 0 Curies [ ] b) Pr~ssm~: I Annual Amount .>-~'- c) Temperature Largest Size Container # Days on Site ' .~b- Circle Which Months: ~, F, 1~ A, M, J, J, A, $, O, N, D 9) MIXTURE: List C~.VIPONE~...z CAS# % WT AHM chemical components or 2) /,~,~.~e ~, ( 6 "/7¥/8'8'¥ ,R. C7 [ ] any AHM compon~--ms 3) [ ] )LOCATION / HAZARDOUS MATERIALS 12VVENTORY -" P.age ~_of CHEMICAL DESCRHr~ON I ) INVE'NTORY STATUS: New D<] Addition [ ] Revision [ ] Deletion [ ] Ch~k if cheque, al is a NON Trad~ Secret [ ] Trad~ Secret 2) Common Name: ~5/e O// 3) DOT # (optional) 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [xXq Reac~ve [ ] Suddeu Release ofPressun: [ ] !mmediat~ Health (Acute) [ ] Delayed Health 5) w^s'l-E CLASS~IC^TION .2.7. ] O-digit co& from DHS Form S022) USE CODE ~2 ~ 6) PHYSICAL STATE Solid [ ] Liquid [e~] Gas [ ] Pm'e [ ] Mixture [ ] Waste [/~] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount ,~-00 Lbs[ ]Crai[)<]i:t3[ ] a)Con,,,ine~. 0.2 Average Daily Amount .2 ]7 5-- Curies { ] b) Pressure: O / Annual Amount YO00 c) Temperature O ~q Larges~ Size Container ,500 # Days on Site .~ $.5" Ch'cie Which Months: ~ J', F, ~ A, M, J', J', A, S, O, N, D 9) MIXTURE: List C~IV[POIV~;,, CAS# % ~ AHIVI chemical coml~nents or 2) [ any AHM components 3) [ P>LOCAnON oCo~,].~ Sm]of ~I,/,~ 1/ I)RqYEITrORYSTATUS:New[~<]Addifion[ ]Revision[ ]Deletion[ ] Ch¢ckifcheroJcalisaNONTrad~S~'rc'~[ ]TradeS.cfm[ 2)Common a e: 0// )DOT#(optio ) 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [~] Reactive [ ] Sudden Release ofPre~sure [ ' ] Immediate Health (Acute) [ ] Delayed Health (Chnmic) [..54 5) WASTE CLASSITICATION 2 :E ] . (3-digit code from DHS Form 80:22) USE CODE ,2 $ 6) PHYSICAL STATE Solid [~ Liquid [ ] Oas [ ] Pure [ ] MLx'U.u'e [ ] Waste [j~ Radioa~v¢ [ ] 7) AMOUNT AND TI2vlE AT FACILITY UNTrS OF MEASURE 8) STORAGE CODES Maximum Daily Amount ,200 Lbs[ ]Oal[>C]ft3[ ] a)Contamer: Ob Average Daily Amount /,5'O Curies [ ] b) Pressure: O / Annual Amount ?O O.. c) Temperature O ¥ Largest Size Container .5'b~ # Days on Site . ,~ (; 5" C~le Which Months: , F, M, A, M, .r, .r, A, S, O, IV, D ;)MIXTURE; List C MPO ¢.//., ~ ff ~f ff T~-30- 2 "~ tO [ the three most hazardous 1) h~ra chemical components or 2) [ any AHM components 3) [ )LOCATION . / z ., :emfy under pemal .fy of law, that I h~v¢ persormlly examm~ and am £amili~ )vith the. ire'on-nation 91~ thi.~ and~ ~a~ll ~tm~l;~ .dg~m~.. I :lieve ae subrrUued intbrmauon is tr~, accurate and complete, b/','~,~ ~'e~ bosb.', ~ ~ ~"//alO t