HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/HaZardous Waste Unified Permit
. CONDITIONS OF .PERMIT ON REVERSE SIDE
'. ~' This _hermit is issued for the followfrL-:
El H_a~rdous Materials Plan
[] Undersround Stomg~ o! H~ardOus ~teri~ls
Permit ID #:: 015-000-001931 : [] Risk Management Program
P G & E T E V I S S U B S TA TI O N 13 Hazardous Waste On-Site Treatment
LOCATION: BUENA VISTA RD !LD
OFFICE OF ENVIRONMENTAL SER VICES i '- : ,."' '
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301 ; (.~Ralpl{Huey, D~~; Issue Date
Office of EvitmunealaTServices
Voice (661) 326-3979 .
FAX (661) 326-0576 ' -" ExPibaiion Date:'.June 30:2003
~ 2 ~ 4 ~ 1~ ~ 7 ": ! ~o
,,
~ MASONRY
· · ' WALI
.
.
VAC~T
I
LEGEND
I ~ I SYMBOL DESCRIPTION
FIRE EXTING~SHER
FIRE HYDR~T OR HOSE SIATION
D~ECTION OF SHEET FLOW
I
DIRECTION 0F DR~E FLOW
C I PROPERTY LI~
STOR~ DRNN
': , SEWER LINE
CATCH
<500ppm · , 0 ~OVEGROUND
· ~ m ~ ~ OIL CIRCUIT BEE~EE (THREE T~KS)
~ D contoinmen ) ~ OIL CIRCUIT ~E~ER (ONE T~K)
~ TR~SFOR~ER / REGULATOR
i 141' I ~ TR~SFOR~ERS
~ ~ CONTROL , ( SERVICE / POTENTI~ TR~SFORMER
~DO. ' z o~ CIRCUIT BREWER (SF6)
~ VACUUM CIRCUIT BREWER
/
m V~VE
COMPRESSED G~ (NON-FL~M~LE)
I I 0 25 50 75100
[
A TEVIS SUBSTATION
FACILIT~ LAYOUT
......... PAC~IC GAS .~NI) IZLECTRIC COkIP.'~NY ATTJt~J-lt4'MTII.?
"~ I 2 3 4 5 ~ 6 ? 8~ 9
~' !
pG~E TEVIS SUBSTATION S
Manager: ~P~~ ~~. ~~a~l~(~
Location: BUENA VISTA RD . .
City : BAKERSFIELD %%q%%%~ Grid: 19A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 13 SIC Code:4931
EPA Numb: DunnBrad:00-691-2877
Emergency Contact / Title Emergency Contact / Title
DON HICKS / MAINT SUPER MIKE HARBICK / SR ENVIR SPEC
Business Phone: (661) 321-4424x Business Phone: (559) 263-5217x
24-Hour Phone : (661) 398-5785x 24-Hour Phone : (661) 398-5785x
Pager Phone : . ' --~ Pager Phone :~8~~~..0~
Hazmat Hazards: Fire Press React ImmHlth'
Contact : MIKE HARBICK Phone: (559) 263-5217x
MailAddr: 487 W SHAW A State: CA
City : FRESNO Zip : 93704
Owner PACIFIC GAS AND ELECTRIC COMPANY Phone: (415) - 97x37000
Address : PO BOX 770000 State: CA
City : SAN FRANCISCO Zip : 94177
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: Res: No
ParcelNo:
Emergency Directives:
I,/('~.¢_¢¢ /~,'~?¢--- Do hereby certify that I have
- (TyPe. or Ixin! nsme)
reviewed the attached haz~'dous materials mana§e-
~.~,~_. and th= i~ ~ong with
merit
pmn
for
any ~e~ions ~nsfi~ute a complete end corr~ man-
ageme~ plan ~or my ~acility,
~~ /0 -1- 09/26/2003
UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS ACTIVITIES'
Page 1 of 1
~:E~IEI~i!ID ~ ~ EPA D # (Hazardous Waste Only) 2
BUSINESS NAME (same as FACILITY NAME or DBA-Doing Business As)
Pacific Gas and Electric Company - Tevis Substation 3
I1 I~'it[ ~ B:US:! es ~ e[a E.__.,.,,I [I J'O :O ,ES F: Em: ,
A. HAZARDOUS MATERIALS
Have on site (for any purpose) hazardous materials at or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic feet for
compressed gases (include liquids in ASTs and USTs); or the I~IYES NO 4 v HAZARDOUS MATERIALS INVENTORY-
applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION (OES 2731)
substance specified in 40 CFR Part 355, Appendix A or B; or handle
radiological materials in quantities for which an emergency plan is
required pursuant to10 CFR Parts 30, 40 or 70?
B. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate underground storage tanks? YES ~NO 5 v UST FACILITY (Formerly SWRCB Fern3 A)
v UST TAN K (one page per tank) (Formerly Form B)
O Intend to upgrade existing or install new USTs? YES I~NO 6 ,' UST FACILITY
v UST TANK (one per tank)
'~ UST INSTALLATION - CERTIFICATE of
COMPLIANCE (one page per (ank)(Formerty Form C)
3. Need to report closing a UST? YES I~INO 7 v UST TANK.(cJosure 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? ~" YES ~NO 9 v EPA ID NUMBER---pmvideatthetopofthispage
2. Recycle more than 100 kg/month of excluded or exempted YES I~INO lO v RECYCLABLE MATERIALS REPORT
recyclable materials (per HSC {}25143.2)? (one per recycler)
3. Treat hazardous waste on site? YES ['~INO 11 ~' ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY
(Formerly DTSC Form 1772)
v ONSITE HAZARDOUS WASTE
TREATMENT - UNIT (one page per unit)
(Formerly DTSC Forms 1772A,B,C,D, and L)
4. Treatment subject to financial assurance requirements (for Permit YES I~INO 12 v CERTIFICATION OF FINANCIAL
by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232)
5. Consolidate hazardous waste generated at a remote site? YES ~NO 13 v REMOTE WASTE / CONSOLIDATION SITE
ANNUAL NOTIFICATION (Formerly
DTSC Form 1196)
6. Need to report the closure/removal of a tank that was classified as YES ~NO 14 v HAZARDOUS WASTE TANK CLOSURE
hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249)
E. LOCAL REQUIREMENTS 15
(You may also be required to provide additional information by your CUPA or local agency.)
i~1~ ID# not known
UPCF (1/99)
UNIFIED PROGRAM CONSOL DATED F M
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Page 1 of 6
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 103 BUSINESS PHONE 102
PG&E - Tevis Substation None
BUSINESS SITE ADDRESS . 103
Buena Vista Road, between Soltiera Place and Illusion Way
CITY 104 I ZIP CODE 105
BakersfieldI CA 93311
DUN & BRADSTREET 106 SIC CODE (4 DIGIT #) 107
00-691-2877 4911
COUNTY 108
Kern
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
Pacific Gas and Electric Company (661) 321-4424
OWNER NAME 111 OWNER PHONE 112
Pacific Gas and Electric Company (415) 973-7000
OWNER MAILING ADDRESS 113
P. O. Box 770000
CITY 114 I STATE 115 ZIPCODE 116
San Francisco~ CA 94177
CONTACT NAME 117 CONTACT PHONE 118
Mike Harbick (559) 263-5217
CONTACT MAILING ADDRESS 119
487 W. Shaw, Bldg "A"
CITY 120 STATE 121 ZIP CODE 122
Fresno CA 93704 -
NAME Don Hicks 123 NAME Mike Harbick 128
TITLE Substation Maintenance Supervisor. 124 TITLE Environmental Specialist 129
BUS~NESS (661)321-4424 425 BUS~NESS (559) 263-5217 130
PHONE PHONE
24-HOUR (661) 398-5785 126 24-HOUR (661) 398-5785 132
PHONE PHONE
PAGER # 127 PAGER # 133
ADDITIONALLY LOCALLY COLLECTED INFORMATION: 133
Site ID#: not known
Correspondence and billing should be addressed to the Environmental Contact listed in fields 117 to 122 above.
I J~tification: 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
;tted and believe the ii]rui.~tion is true, accurate, and cui~ulete.
'~I.~I~'NATURE OF OWNER/OPERAT(j},I~'OR DjF.~SIGNATED REPRESENTATIVE DATE / ~' 134 I NAME OF DOCUMENT PREPARER 135
~.~//~//'~,_~ Cynthia Pappas
I
· 136 TITI~E OF SIGI~ER 137
Mike Harbick j Environmental Specialist
UPCF (1/99 REVISED) OES FORM 2730 (1/99)
Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [] DELETE [] REVISE 200 Page 2 of u
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 2032
TEVIS SUBSTATION
3HEMICAL LOCATION 201 CHEMICAL LOCATION
CONFIDENTIAL -
Building: SUBSTATION / Location: Control Room Bldg. EPCRA [] Yes '[~ No
I I UAP#(°Pti nal) see figure 2'l 2031GRIO:~Pti°na') B3 ~-~ ~ 204
CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 206
If subject to EPCRA~ refer to instructions
COMMON NAME 207 EHS* 208
WET CELL BATTERIES [] Yes [] No
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
Corrosives(C), Combustible Liquid(CL3B), Water (reactive)(WR2)
HAZARDOUS MATERIAL TYPE 211 RADIOACTIVE 212 CURIES 213
(Check one item only) [] a, PURE [] b. MIXTURE [] c, WASTE [] Yes [] No
PHYSICAL STATE 211 LARGEST CONTAINER 215
Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 78.00
FED HAZARD CATEGORIES 216
Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH
AVERAGE DA,LY 2,? MAX,MUM DA,LY 2,8 ANNUAL WASTE 2,g WASTE 220
AMOUNT 78.00. AMOUNT 78.00 AMOUNT
UNIT* 221 DAYS ON SITE 222
(Check one item only) [] a, GALLONS [] b. CUBIC FEET [] c. POUNDS [] d, TONS
* If EHS, amount must be in pounds 365
STO/ONTAINER 223
(Ched~l~t app y) [] a, ABOVEGROUND TANK [] e, PLASTIC 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
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225
226 227 229
28 SULFURIC ACID [] Yes [] No 7664-93-9
230 231 233
r-"~ Yes [~ No
234 235 237
[] Yes [] No
239 [] Yes [] No 241
242 245
[] Yes [] No
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
~,DDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPCRA, Please Sign Here
UPCF (1/99) OES FORM 2731 (1/99)
fied Consolidated Form
Program
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
ADD [] DELETE [] REVISE 200 Page 3 of 6
~USINESS NAME (Sa~ as FACILI~ NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
~HEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- ~ Yes ~ No
Building: SUBSTATION / Location: Yard-cylndr a~ch to equi EPC~
"'~';' ~'~' ~-' ~'"~7'~ - 203 GRID ~ (optional) 204
~ ~ ~ ~ ~ ~MAP~(optional) See figure 2.1 C3
CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 205
N IT~O~ E N if subject to EPC~, re*r to inst*~ions
COMMON NAME 207 EHS* 208
B Ye, B No
CAS~ 20~~ ' '~ - ~* ~ * *~*~ '~."" *'
7727-37-9
FIRE CODE H~RD C~SSES (Complete if required by CUPA) 210
Non Flammable Gas(NFG)
H~RDOUS MATERIAL ~PE 211 ~DIOACTIVE 212 CURIES 213
Check one item only) ~ a. PURE ~ b. MIXTURE ~ c. WASTE ~ Yes ~ No
PHYSICAL STATE 211 ~RGEST CONTAINER 215
(Check one item only) ~ a. SOLID ~ b. LIQUID ~ c. GAS 228.00
FED H~RD CATEGORIES 216
(Check all that apply) ~ a. FIRE ~ b. R~CTIVE ~ c. PRESSURE REL~SE ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
AVENGE DAILY 217 ~IMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 220
AMOUNT 228.00 ,,OU,T 228.00 *.OU.T CO9.
UNIT* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE 222
(Check one item only) * If EHS, a~unt must be in pounds 365
ER ~ a. ABOVEGROUND TANK ~ e. P~STIC DRUM ~ i. FIBER DRUM ~ m. G~SS BO~LE ~ q. ~IL CAR
~ b. UNDERGROUND TANK ~ f. CAN ' ~ j. BAG ~ n. P~STIC BO~LE ~ r. OTHER
~ c. TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
~TO~GE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224
STOOGE TEMPE~TURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225
226 227 228 229
1 ~ Yes ~ No
230 231 232 233
2 ~ Yes ~ No
2~ 235 236 237
3 ~ Yes ~ No
238 239 ~ Yes ~ No 240 241
4
242 243 244 245
5 ~ Yes ~ No
If more ha~rdous ~mponents are present at greater than 1~ by we~ht ~ non-~rdn~enic, or O. I% by weidht ~ ~rcinogenic, a~ach add~ional sheets of paper capturing the required inflation:
~DDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPC~, Please S~n Here
UPCF (1/99) eLS FORM 2731 (1/99)
Ofied Consolidated Form
Program
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
ADD [] DELETE [] REVISE 200 Page 4 of 6
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- [] Yes [] No
Building: SUBSTATION / Location: Yard-in gas circuit brkrs EPCRA
CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 20E
SULFUR HEXAFLUORIDE ~f subject to EPCRA, refer to instructions
COMMON NAME 207 EHS* 208
[] Yes [] No
CAS # 209 ,, . :~, :~,~ ~
2551-62-4 ~ ~ ~'' .t,, ~,'~,,~
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 21(;
Non Flammable Gas(NFG)
~IAZARDOUS MATERIAL TYPE 211 RADIOACTIVE 212 CURIES 21.!
3heck one item only) [] a. PURE [] b. MIXTURE [] c. WASTE [] Yes [] No
=HYSICAL STATE 211 LARGEST CONTAINER 21~
,~heckone itemonly) [] a. SOLID [] b. LIQUID [] c. GAS 369.00
FED HAZARD CATEGORIES 21E
Check all that apply) [] a. FIRE [] b, REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH
~',VERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 218 STATE WASTE 22c
AMOUNT 369.00 . AMOUNT 369.00 AMOUNT CODE
UNIT* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 221 DAYS ON SITE 222
Check one item only) * If EHS, amount must be in pounds 365
STOR~i~ONTAIN E R 223
[Chec~ltt apply) [] a. ABOVEGROUND TANK [] e. PLASTIC 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
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225
226 227 228 228
I [] Yes [] No
23(~ 231 232 233
2 [] Yes [] No
234 235 236 237
3 [] Yes [] No
238 23c' [] Yes [] No 240 241
4
242 24~ 244 245
5 [] Yes [] No
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPCRA, Please Sign Here
uPcF (1/99) DES FORM 2731 (1/99)
{~fied ConsOlidated Form
Program
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per bu~7ding or area)
ADD [] DELETE [] REVISE 200 Page 5 of {J
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL -
Building: SUBSTATION / Location: Yard-in op equip-4.9 EPCRA [] Yes [] No
~ ~ ~J~, I IH ~ MAP # (optional). ... See figure 2.1 20alGR~D~(°Pti°~al) C3 204
;HEMICAL NAME 205 TRADE SECRET [] Yes [] No 206
If subject to EPCRA, refer to instructions
:OMMON NAME 207 EHS* 208
INSULATING OIL 0-4.9 PPM PCB [] Yes [] ,o
CAS # 209 ...... - .... ~ ~ ~'~¢~,~ i~'' ' ~~i''~''~ '"
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
Combustible Liquid(CL3B)
HAZARDOUS MATERIAL TYPE 211 RADIOACTIVE 212 CURIES 213!
Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE [] Yes [] No
PHYSICAL STATE 211 LARGEST CONTAINER 21E
Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 6,623.00
FED HAZARD CATEGORIES 21E
Check all that apply) [] a. FIRE [] b, REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e, CHRONIC HEALTH
AVERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 22(;
AMOUNT 6,623.00 AMOUNT 6,623.00 AMOUNT :ODE
UNIT* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 221 9AYS ON SITE 22;
Check one item only) * If EHS, amount must be in pounds 365
ER [] a. ABOVEGROUND TANK [] e. PLASTIC DRUM [] i. FIBER DRUM [] m. GLASS BO'I-rLE [] 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
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 22~
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22,"
22E 227 22E 22.c
~ 0.01 POLYCHLORINATED BIPHENYL [] Yes [] No 1336-36-3
23( 231 23~ 23,'
2 0.2 BUTYLATED HYDROXYTOLUENE [] Yes [] No 128-37-0
23~ 235 23E 237
3 70 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE [] Yes [] No 64742-53-6
23E 239 [] Yes [] No 24£ 241
. 40 HYDROTREATED MIDDLE DISTILLATES 64742-46-7
24~ 243 244 24E
5 [] Yes [] No
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. I% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 24E
IfEPCRA, Please Sign Here
UPCF (1/99) OES FORM 2731 (1/99)
Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
! ADD [] DELETE [] REVISE 200 Page 6 of 6
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- [] Yes [] No
Building: SUBSTATION / Location: Yard-in Dp equip-499.9 EPCRA
~"~ .1~ ~ ~ I I I ~ ~Ap#(optional) See figure 2.1 203 GRID # (optional) C2-3 204
;HEMICAL NAME 205 TRADE SECRET [] Yes [] No 206
If subject to EPCRA. refer to instructions
COMMON NAME 207 EHS* 200
INSULATING OIL 50-499 PPM PCB [] Yes [] No
CAS # 20... ~ ~ .
FIRE CODE HAZARD CLASSES (Complete !f required by CUPA) 21u
Combustible Liquid(CL3B)
(CheckHAZARDOUSone itemMATERIALonly) TYPE [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 21u
PHYSICAL STATE 211 LARGEST CONTAINER 21u
(Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS 30.00
:ED HAZARD CATEGORIES 21~
2heck all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH
AVERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 22u
~.MOUNT 75.00 AMOUNT 75.00 AMOUNT CODE
221 DAYS ON SITE 22;~
iNIT* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS
ICheck one item only) * If EHS, amount must be in pounds 365
.22~
STOI:~ONTAINER [] a, ABOVEGROUND TANK [] e, PLASTIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR
[Checl~t apply) [] b, UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER
[] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE Sl~
[] d, STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON
224
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT
22.~
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c, BELOW AMBIENT [] d. CRYOGENIC
226 227 22~ 22.~
'~ 0.05 POLYCHLORINATED BIPHENYL [] Yes [] No 1336-36-3
230 231 232 233
2 0.2 BUTYLATED HYDROXY TOLUENE [] Yes [] NO 128-37'0
234 235 23E 237
3 70 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE [] Yes [] No 64742-53-6
238 , 239 [] Yes [] No 240 241
~ 40 HYDROTREATED MIDDLE DISTILLATES 64742-46-7
242 243 244! 24b
5 []Yes [] No
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
~,DDITIONAL LOCALLY COLLECTED INFORMATION: 24~
If EPCRA, Please Sign Here
UPCF (1/99) , OES FORM 2731 (1/99)
- . ....... '~ '- ............ ~ .'-~"~,x' ~ .,.~
"~~TATIOI%x~. -G_IZ"~J u-~ ~
........... ~ ......................... ,,,-- ~
,, ,, ~~ .........
' ' I MCCU 'CHEN RD
,I ;
...........................
I TEVIS SUBSTATION
~~ KERN COUN~
~ 8~ F~ISGO, ~lFOR~l~
~lo~od by SXfiC at ~12~10~ 04:34 ~M
~000 0 ~000 Fe~t
I
SOLTIERA PLACE
I'
VACANT LOT
SYkiBOL DESCRIPTION
® FIRE EXT~GU~SHER
~ FIRE HYDRANT OR HOSE STATION
~ r~ SPEL CONTROL EQUIP)lENT
--~-'- WALl( DOOR
/':'- ~ ROLL-UP DOOR
1;'" ~ DIRECTION OF SHEET FLOW
~ DIRECTION OF DR~A~y~.AGE FLOW
.. ~ CHAIN LIN)( FENCE '
.......... PROPERTY L~IE
/ /:' -.,o-. STORM DRAIN
! SEWER LINE
I
:.. [] CATCH BAStN
UNDERGROUND
~ ASOVEGROUND
'~ F~ O~. C~CU~T BREAKER (THREE TANKS)
· 0E C~CUiT BREAKER (ONE TANK)
· [] TRANSFORMER / REGULATOR
' ~ TRANSFORMERS
,. , x SERVICE / POTENTIAL TRANSFORMER
.~ j/ / 1 _ ~ EEE~ GAS CIRCUIT BREA~(ER (SF6)
I ~ VACUU)~ C~CUIT BREAXER
-- HWAA HAZARDOUS WASTE A~CUMULATION AREA
~-- H~A HAZARDOUS WASTE STORAGE AREA
Z
) ~ m,m , ALAR, PULL STATION
K~ ~) FIRST ND KIT
~ ~. E&4ERGENCY EYE WASH
W ~ IGNIT~LE
rr' ~C~ COMPRESSED GAS (NON-FIA~MASLE)
/ ~<SOOppm dCF COMPRESSED CAS (FLA~IM~SLE)
~ <(~' CORROSIVE
~ REACTIVE
lS~<SOO~p~n ~' TOXIC
0 ~ M~JN WATER SHUT-OFF
'~62.~G'(.~opm,,~ ,' ~ MNN ELECTRIC SHUT-OFF
~ ~ M~4N GAS SHUT-OFF
~ FUEl / CNG EMERGENCY SHUT-OFF
[] ,~, EVACUATION ROUTE
/ I* '
0 80 160
F
FEET '
VACANT LOT > 1
ILLUSION WAY i ~ A
I FACILITY LAYOUT
TEVI$ Su¢STATION
' PACIFIC OAS AND IELECTRIC COMPANY FIGURE 2 1
UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS ACTIVITIES
Page 1 of 1
I. FACILITY IDENTIFICATION
FACILITY ID #I 1 I EPA ID # (Hazardous Waste Only, 2
BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As)
Pacific Gas and Electric Company - Tevis Substation 3
II, ACTIVITIES DECLARATION
NOTE: If You check YES to any part of this list,
please submit the Business Owner/Operator Identification page (OES Form 2730).
Does your facility... · If Yes; 'l)lease complete these pages of the UPCF...
A. HAZARDOUS MATERIALS
Have on site (for any purpose) hazardous materials at or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic feet for
compressed gases (include liquids in ASTs and USTs); or the ~ []YES NO 4 " HAZARDOUS MATERIALS INVENTORY -
. applicable Federal threshold quantity for ;~n extremely hazardous CHEMICAL DESCRIPTION (OES 273~)
substance specified in 40 CFR Part 355. Appendix A or B; or handle
radiological materials in quantities for which an emergency plan is
required pursuant to10 CFR Parts 30, 40 or 70?
B. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate underground storage tanks? YES [NO s ,' UST FACILITY (Formerly SWRCB Form A)
· ' UST TANK (one page per tank) (Formerly Form B)
2. ° Intend to upgrade existing or install new USTs? YES I~INO 6 ,' UST FACILITY
,' UST TANK (one per tank)
'~ UST INSTALLATION - CERTIFICATE of
COMPLIANCE (one page per tank)(Formedy Form C)
3. Need to report closing a UST? YES I'~'INO 7 ,~ UST TANK (closure portion-one page per'tank)
C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs)
Own or operate ASTs above these threshblds:
---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? YES []NO 9 ,' EPA ID NUUB.ER~-provideatthetopofthispage
2. Recycle more than 100 kg/month of excluded or exempted YES [NO lO ,, RECYCLABLE MATERIALS REPORT
recyclable materials (per HSC §25143.2)? (one per recyc[er~
3. Treat hazardous waste on site? YES [~]NO 11 v ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY
(Formerly DTSC Form 1772)
" ONSITE HAZARDOUS WASTE
TREATMENT - UNIT (one page per unit)
· (Formerly DTSC Forms 1772A.B.C.D. and L)
4. Treatment subject to financial assurance requirements (for Permit YES I~INO 12 ,' CERTIFICATION OF FINANCIAL
by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232)
5. Consolidate hazardous waste generated at a remote site? YES []NO 13 ~' REMOTE WASTE / CONSOLIDATION SITE
ANNUAL NOTIFICATION (Formerly
DTSC Form 1196)
6. Need to report the closure/removal of a tank that was classified as YES []NO 14 ,, HAZARDOUS WASTE TANK CLOSURE
hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249)
E. LOCAL REQUIREMENTS ]5
(You may also:be required to provide additional information by your CUPA or local agency.)
Site ID# not known
UPCF (1/99)
U ED PROGRAM CONSOLIDATEDI RM
FACILITY INFORMATION
Page 1 of 6
FACILITY ID Ct BEGINNING DATE 100 I END DATE 101
04/01/2002 I 03/31/2003
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 103 BUSINESS PHONE 102
PG&E - Tevis Substation None
BUSINESS SITE ADDRESS 103
Buena Vista Road, between Soltiera Place and Illusion Way
CITY 104 CA ziP CODE 105
Bakersfield 93311
DUN & BRADSTREET 106 SIC CODE (4 DIGIT Ct) 107
00-691-2877 4931
COUNTY 108
Kern
BUSINESS OPERATOR NAME 109 I BUSINESS OPERATOR PHONE 110
Pacific Gas and Electric Company I (661) 321-4424
owNER NAME 111 I OWNER PHONE 112
Pacific Gas and Electric Company I (415) 973-7000
OWNER MAILING ADDRESS 113
P. O. Box 770000
CITY 114 I STATE 115 I ZIPCODE 116
San Francisco I CA I 94177
~ ~' , ,~ ~ ·: , ::' ',~ :,~ 74,,' ''~ ~ ,~:~,:',:
~, ~, ~,--~, ;~ .,, ?~.,~ ~,,, ,~¢ ~, ~..,.. ENVIRONMENTAL CONTACT
117 I CONTACT PHONE 118
Mike Harbick I (559) 263-5217
CONTACT MAILING ADDRESS 119
487 W. Shaw, Bldg "A"
CITY 120 STATE 121 I ZlPCODE 122
Fresno CA [ 93704
NAME Don Hicks 123 NAME Mike Harbick 128
TITLE ' Substation Maintenance Supervisor 124 TITLE Sr. Environmental Specialist 129
BUSINESS (661) 321-4424 125 BUSINESS (559) 263-5217 130
PHONE PHONE
24-HOUR (661) 398-5785 126 24-HOUR (661) 398-5785 132
PHONE PHONE
PAGER Ct 127 PAGER Ct 133
ADDITIONALLY LOCALLY COLLECTED INFORMATION: 133
Site ID#: not known
Correspondence and billing should be addressed to the Environmental Contact listed in fields 117 to 122 above.
Certification: Based on my inquiry of those individuals responsible for obtaining the information. I cedify 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.
DATE ~" / 134 ~ NAME OF DOCUMENT PREPARER 135
'~'~~ ~' I Cynthia Pappas
NAME OF SIGNER (print) 136 TITLE OF SIGNER 137
Mike Harbick Sr. Environmental Specialist
UPCF (1/99 REVISED) DES FORM 2730 (1/99)
Unified Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [~ DELETE [] REVISE 200 Page 2 of $
'BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing ~sin~ ~)
'TEVlS SUBSTATION
CHEMICAL LOCATION 201 CHEMI~L LOCATION
, CONFIDE~L -
Building: SUBSTATION / Lo~tion: Con~l R~m Bldg.. EPC~ ~ Yes ~ No
EACIL~,:ID~. :~1 I I I~: ~[~P~(~I) ~ fin .... ~ 4 2~GRID~(optional) ~ 2~
~CHEMICAL NAME · 205T~DE SECRET ~ Yes ~ No 2~
;~ ~ ~bj~ to EPC~. refer to ins~ons
;COMMON NAME 207[EHS* ~ Y~ ~ No 2~
~WET CELL BAKERIES
FIRE CODE-~RD C~SSES (C~plete ff r~ul~ by CUPA) 210,
Corrosives(C), Combustible Liquid(CL3B), Water (reactive)~)
~R~US MATERIAL ~PE 211 ~IOACT~E 212 CURIES 2~ 3,
(Check one item only) ~ a. PURE ~ b. MITRE ~ c. W~E ~ Yes ~ No
PHYSICAL STATE 211 ~GEST COmAINER 215,
(Check one item on y) ~ a. SOLID ~ b. LIQUID ~ c.~s 78,00
rFEO H~RD CATEGORIES 216,
~,(Check all that apply) ~ a. FIRE ~ b. R~CTNE ~ c. PRESSURE REL~SE ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
~A~ou.~ 78.00 AMOUNT 78.00 ~U~
UNIT' ~1 DAYS ON SITE 2~
(Check one tern ~ly) ~ a. GALLONS ~ ~. CUBIC FE~ ~ c. ~UNDS ~ d. TONS
· If EHS, a~t must be in ~nds 365
STOOGE CONTAINER ~ 223~
' ~at apply) ~ a. A~GROUND TANK ~ e. P~STIC DRUM ~ t. FIBER DRUM ~ m. G~SS ~E ~ q. ~IL CAR
~ ~. UNDERGROUND TANK ~ f. CAN ~ J. ~G ~ n. P~STIC BO~E ~ r. OTHER
~ ~ c. TANK INSIDE BUILDING ~ g. ~RBOY ~ k. BOX ~ o. TOTE SIN
iSTO~GE PRESSURE ~ a. AMBIE~ ~ b. ABO~ AMBIENT ~ c. BELOW AMBIENT 224
]STOOGE TEMPE~TURE ' 225
~ ~ a. AMBIENT ~ b. ~O~ AMBIE~ ~ c. BELOW AMBIENT ~ d. CRYOGENIC
~ ~ '226 ........ ~ ................... ~8 ..... '22~
~ ~ ~ 28 SULFURIC ACID ~ ~ ~ .o 7664-93-9
~ i
i 234 2351 2~1
~ ~ Ve~ D .o
2~ 2~9 2~( 241
4 ' ~ ~e~ ~ .o
I
242 243 2~) 245
If more haza~ous ~m~nents am present at greater than 1 ~ by ~ht if ~en~ or O, 1 ~ by ~ht E ~eni~ affa~ add~ional sheets of ~ ~ptud~ the required inflation:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 2~
if EPCRA. P/ease Sign Here
(1/99) OES FORM 2731 (1/99)
Unified Program Consolidated Form i
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
) [] ADO [] DELETE [] REVISE 200 Page3 of 6
BUSINESS NAME (Same as FACILITY NAME ~ DBA - Doing Business As}
J
TEVIS SUBSTATION
~CHEMICAL LOCATION 2011CHEMICAL LOCATION
CONFIDENTIAL -
Building: SUBSTATION / Location: Yard-cylndr attch to equi El'CRA I ,~ Yes ~ No
=Ac.-rn,. p #~ ~?! ~*,:? ~.~.~ M~P # (o¢ona.) See fi,',ure 2 1 203 GRID # (optional) 03 204
SHEM~CAL NAME 205JTRADE SECRET ~ Yes ~ NO
N ITROG EN J If subject to EPCRA. refer to instruc~ons
;OMMON NAME 207 EHS° ~ Yes'~ No 208:
Non Flammable Gas(NFG)
H~R~US ~TER~L ~PE 211 ~OIOACT~ 2!2 CURIES 213~
(Ch~ ~e item only) ~ a. PURE ~ b. MITRE ~ c. WASTE ~ Y~ ~ No
PHYSICAL.STATE 211 ~GEST ~AINER 215,
JFED ~RD CATEGORIES 216j
l(Che~ all ~al ap~y) ~ a. FI~ ~ b. R~ ~ c. P~SSU~ ~L~E ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
[~ou.~ 228.00 ~ou,~ 228.00 ~=ou~ [co~ ==o~
UNIT* ~ a. GALLONS ~ b. CUBIC FE~ ~ c. ~UN~ ~ d. TONS
221 DAYS ON SITE 222
(Check one item only) * If EHS. a~nt must ~ in ~s 365
,STOOGE CONTAINER 223
all ~[ apCy} ~ a, A~VEGROUND TANK ~ e. P~STIC DRUM ~ i. FIBER DRUM ~ m, G~S BO~LE ~ q, ~IL ~
~ b. UNDERGROUND TANK ~ f. ~N ~ j. ~G ~ n. P~STIC BO~LE ~ r. OTHER
~ c. T~K INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
:STOOGE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIE~ ~ c. BELOW AMBIENT 224~
iTO~GE TEMPE~TURE ~ a. AMBIENT ~ b. A~ AMBIE~ ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225j
23~ 231 233,
2~ 2~' 237
~ Y=s ~ No
3
238 239 240 241
4 242 ~ Yes ~ No 2~I
243 245
5 ~ ~ Yes ~ No
A~OlTIO~A[ LOCAllY COllECTeD INFORMATION: ~4~
If EPCRA. Please Sign Here [
CF (1/99) ORS FORM 273:1 (1/99)
Unified Program Consolidated
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
~ ADD ~-] DELETE ~ REVISE 200 Page 4 of 6
~BUSINESS NAME (~me as FACILI~ ~ME of O~ - ~ing Bu~n~ ~) 3~
[TEVIS SUBSTATION
CHEMICAL LO~TION ~1~NFIOE~LCHEMICAL LOCATION.
~ Building: SUBSTATION / L~fion: Yah-in gas d~it b~ E~ ~ Y~ ~ No
~ I I ~,.,,,,I I I, ,,I, I , I
~CHEU~CAL NAME ~ T~DE SECR~ ~ Yes ~ N~
SULFUR HE'FLUORIDE I . ~ ~o ~.c~, ,~e,~o
[COMMON NAME ~7~EHS' 208
~ , ~ Yes ~ NO
[CAS ~ ~ ~ ~.';~' ~;~;~7.~.;'`, ~v ";' · ' '
I
1
~FIRE CODE ~RD C~SSES (C~ptete if r~uir~ by CUPA) 210,
~Non Flammable Gas(NFG)
H~R~US MATERIAL ~PE 211 ~DIOACT~E 212JCURIES 2131
Check one ilem only) ~ a. PURE ~ b. MI~U~ ~ c. W~ ~ Y~ ~ No
PHYSICAL STATE 211 ~RGE~ CONTAINER 21
(Check one it~ ~) ~ a. ~LID ~ ~. UeU~O ~ c. ~ 369.00
FED H~RD CA~GORIES 216~
Che~ afl ~at apply) ~ a. FIRE ~ b. ~CT~ ~ c. PRE,URN ~L~SE ~ d. ACU~ H~L~ ~ e. CHRONIC H~LTH '
AVENGE DALLY 217 ~IMU. OA{LY 2t81~NU~ WASTE 219 STATE WAST~ 220~
AMOUNT 369.00 AaOU~ 369.00 ~OU~ CO~
UNIT* ~ d. TONS 221 DAYS ON SITE
(Che~ one item only) ~ a. GALLONS ~ b. CUBIC FE~ ~ c. ~UNDS
~IsTo~GE CqNTAINER ' "EHS. a~nt must ~ ~ ~nds 365
that apply) ~ a. ABO~GROUND T~K ~ e. P~STIC DRUM ~ i. FIBER DRUM ~ m. G~ BO~LE ~ q. ~IL CAR
~ b. UNDERGROUND TANK ~ f. CAN ~ j. ~G ~ o. P~TIC ~LE ~ r. OTHER
~ c. TANK INSIDE BUILDING ~ g. C~BOY ~ [ ~X ~ o. TOTE BIN
~ d. STEEL DRU~ ~ h. SILO ~ t. C~INDER ~ p. TANK WAGON :
BTO~GE PRESSURE ~ a. AMBIENT ~ b. A~ AMBIE~ ~ c. BELOW AMBIENT 224~
~TO~GE TEMPE~TURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d, CRYOGENIC 225,
'. ,,,;,,., ,, ;, .,~:?¥,i~':~~ .. -. ;,,;; '~?::! ',:-,=;~ ~,, '.i,-?¢~'~ .-. . ,,~,",: · , . ,. ....
h:: ' ·; ~%~'>~.;:'~,~.~"~:,'~,.. ;;~':~:;::,~;~BBQ~SCOM~Q~EN~([o(-m~m~,~S~;~)?;:;;?~.g:,-;>~,:¢;,':~: ,~,,~EHS :-, -.,~:~ .CAS~
226 227~ 22e! '229
~ ~ Yes ~ No 2~'
2~ 2~
230 231
~ Y~ ~ NO
23~ 237'
3 ~ Yes ~ No
4 238 239 ~ Yes ~ No 240 241
~5
~ v.o ~ No
If more haza~ous ~m~nents am present at greater than ~ % ~ ~ht ~ ~n-~ ~ O. f% by we/dh/~f ~n~eni~ afla~ add~na/~e~s of paper ~Dtudng the required information:
ADDITIONAL LOCALLY COLLECTED INFOR~TION:
If EPCRA, Please Sign Here
(1/99) DES FORM 2731 (1/99)
Unified Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per'bu~Tding or area)
-- ADD [] DELETE [] REVISE 200 Page 5 of
· TM~^.T.~ON · · :,.., ":"'
~BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
:TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202~
i Building: SUBSTATION / Location: Yard-in op equip-4.9 CONFIDENTIAL - [] Yes [] No
FACIL~IOf~' ~;~ ~;~ ~!MAP#{oPtional) ~,~, N ..... '") 4 203GRD#(o~tona) t",,~ - 204
iCHEMICAL NAME ', 205 TRADE SECRET [] Yes .~ NO 206;
i If subject to EPCRA. refe¢ to instructions
ICOMMON NAME 207 EHS° 208,
JlNSULATING OIL 0-4.9 PPM PCB
Yes
No
FIRE CODE HAZARD CLA~SES (Complete if required by CUPA) 210]
Combustible Liquid(CL3B)
HAZARDOUS MATERIAL TYPE [] a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE [] Yes [] No 2121CURIES 213~
~ Check one item only)
PHYSICAL STATE [] a. SOLID [] b. LIQUID [] c. GAS 211 LARGEST CONTAINER 215,
c~e~ one ~tm only) 6,623.00-
IFED HAZARD CATEGORIES 21
i(Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH
[AVERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 220i
iAMOUNT 6,623.00 AMOUNT 6,623.00 jA~ouNT CODE
tUNIT' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 221JDAYS ON SITE 22.2j
j(Check one item only)
: ' If EHS, a~llt to. Mst be i. pO[l~lds 1365
i RAGE CONTAINER 223!
all that apply) [] a. ABOVEGROUND TANK [] e. PLASTIC DRUM [] L FIBER DRUM [] m. GLASS BOTTLE ~ q. RAIL CAR
[] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC 8oTrLE [] r. OTHER
! [] c. TANK INS'DE BU~LD~,G [] g. GARSOY [] ~. SOX [] o. TOTE B~N
j [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON
i STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT '2241
ISTORAGE TEMPERATURE 225,
! [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC
I
i 22~ 2271 2281 229,
'1 0.01 POL¥CHLORINATED BIPHENYL I [] Yes [] No ! 1336-36-3
I i ~'31
~ 23C 232 233=
:,2 0.2. BUTYLATED HYDROXY TOLUENE ~ Ye, ~ No i 128-37-0
i 23~ 235; 236! 237'
i 3 70 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE [] Yes'[] No [ 64742-53-6
239i
2381 240[ 241
: 40 : HYDROTREATED MIDDLE DISTILLATES ~ Yes [] No [ 64742-46-7
t
242 243 244 2451
i s [] Ye: [] No
I If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. I% by weidht if carcinogenic, a~fach additional sheets of paper capturfng the required information:
IADDITIONAL LOCALLY COLLECTED INFORMATION: 246!
if EPCRA, Pfeese Sign Here
(1/99) DES FORM 2731 (1/99)
Unified Program Consolidated
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per matedal per building or area)
[] ADD [] DELETE [] REVISE 200 Page 6 of 6
~,BUSINESS NAME {Same as FACILITY NAME Or DBA - Doing Business As)
:TEVIS SUBSTATION
**CHEMICAL LOCATION 2011CHEMICAL LOCATION 202
ICONFIDENTIAL.
Building: SUBSTATION / Location: Yard-in op equip-499.9 iEPCRA [] Yes ,~ No
FAGIL ~ITY;~iD.'#;. ti~:: .;i~ i ~;;; .~:~ MAP # (opUo~al) ~ R,,,,, ,~-~ O 4 203 GRID # (optional) ~,~,-j ,,~ 204
!
ICHEMICAL NAME 20,5 TRADE SECRET [] Yes ,~ NO 206
207 EH$* If subject lo EPCRA, refer to instructions
~cOMMON
NAME
208
I [] Yes ~ No
ilNSULATING OIL 50-499 PPM PcB
'
iFIRE cOON Hazard claSSEs (compete If required by cUPA) 210~
combustible Liquid(cL3B) ·
HAZArDOus MATERIAL TYPE [] a, pURE 211 RADIOACTIVE 212rcURIEs 213~
I(check one item only) [] b. M~x'ruRE [] c wast~ [] Yes [] No
PHYSICAL STATE
i(Che~ one .em one) [] a. SOUD [] b.U~U~D [] c. GAS 30.00
IFED HAZARD CATEGORIES 216.
!(Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH
~AVERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 220:
!AMOUNT 65.00 AMOUNT 65.00 AMOU"T CODE
221 DAYS ON SITE 222!
UNIT* ~ a. GALLONS [] b. CUBIC FEET [] o. POUNDS [~ d. TONS
(Check one item only) 365
~. ° If EHS, amount must be in pounds
ISTORAGE CONTAINER 223
Beck all that apply) [] a. ABOVEGROUND TANK [] e. PLASTIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR
[] b. UNDERGROUND TANK [] f. CAN [] J. BAG [] n. PLASTIC BO*F1'LE I~ r. OTHER
[] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN
~ d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON
STORAGE PRESSURE ~ a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224'
~STORAGE TEMPERATURE 225,
i [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC
..... ~26 ..... 2271 ....... 22~ · 22~.
~ 0.05 POLYCHLORINATED BIPHENYL [] Yes [] No 1336-36-3
230 231 25~ 23:
2 0.2 BUTYLATED HYDROXY TOLUENE [] Yes ~3 No 128-37-0
234 235 23E 233
3 , 7~1 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE I-1 Yes ~ No R4742-~R-R
238i 239 2401 241
" 40 il HYDROTREATED MIDDLE DISTILLATES i ~ Yes ,'~ No~i 64742_46_7
2421 24~ 2441 245
5 : ~' Yes ~ No
I ,
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPCRA, Please Sign Here
~pCF (1/99) OES FORM 2731 (1/99)
'~"=, ViS SUBc,TATIO '",: ...... ._~.L~.~.UL.U ~
,
" [ ~ MC~ ~EN RD _
1 ............ '
TEVIS SUBSTATION
~Sewicesl KERN COU~
N
~ PACIFIC GAS ~D ELECTRIC COMPLY
S~ F~ClSCO, C~IFORNIA
~lo~od by 8Xfi~ at ~12OlO~ 04:34 ~M
aooo o aooo F~t
l SOLTIERA PLACE
E E
~ VACANT LOT
SYMBOL DESCRIPTION
® FIRE EXTINGUISHER
~ FIRE HYDRANT OR HOSE STATION
~ SPILL CONTROL EOUIPMENT
--~ WALK DOOR
,~ -- ~ ROLL-UP DOOR
D ~ DIRECTION OF SHEET FLOW D
~ DIRECTION OF DRAINAGE FLOW
~ CHAIN LINK FENCE
........ PROPERTY LINE
-'~-~ STORM DRAIN
y --*s-- SEWER LINE
0II j J~ CATCH BASIN
~ UG UNDERGROUND
AG ABOVEGROUNO
~- -' ~ OIL CIRCUIT BREAKER (THREE TANKS)
Z
<~ ~ OIL CIRCUIT BREAKER (ONE TANK)
0 ~ [] TRANSFORMER / REGULATOR
~CJ ~. ~ TRANSFORMERS
~ ~ ~/"~ SERVICE /POTENTIAI_ TRANSFORMER
~ ~ I/ ~ EEE] GAS CIRCUIT BREAKER (SF6)
_1 , [] VACUUM CIRCUIT BREAKER
-- HWAA HAZARDOUS WASTE ACCUMULATION AREA
~., II HWSA HAZARDOUS WASTE STORAGE AREA ..~
Z
C) ~ FIRST AID KIT
Cf) ~ EMERGENCY EYE WASH
bJ <~ IGNITABLE
CF ~N COMPRESSED GAS (NON-FLAMMABLE)
30g<SOOppm ~y COMPRESSEO GAS (FLAI',IMABLE)
[] <~' CORROSIVE
® REACTIVE
Isg<soop~ ~T~ TOXIC
~ ~ MAIN WATER SHUT-OFF
5623g<Sppm
[] ~ MAIN ELECTRIC SHUT-OFF
14t' ~H ~ MAIN GAS SHUT-OFF
~ FUEL/CNG EMERGENCY SHUT-OFF
iii [] & EVACUATION ROUTE
B ~ j '~' ,'? ASSEMBLY AREA B
0 80 160
> j 'FEEP
VACANT
LOT
I
ILLUSION WAY I mm A
FACILITY ILAYOUT
TEVIS SUBSTATION
PACIFIC GAS ,AND ~LECTRIC COMPANY FIGURE2-1
SAN FRANCISCO, CALIFORNIA
FlED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS ACTIVITIES
Page I of 1
FA~ E~,: D:# ::' EPA ID 2
BUSINESS NAME (Some as FACILITY NAME or DBA-Doing Business As)
Pacific Gas and Electric Company - Tevis Substation 3
A. HAZARDOUS MATERIALS
Have on site (for any purpose) hazardous materials at or above 55
gallons for liquids, 500 pounds for solids, or 200 cubic feet for
compressed gases (include liquids in ASTs and USTs); or the ~YES r~NO 4 V HAZARDOUS MATERIALS INVENTORY -
applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION (DES 2731)
substance specified in 40 CFR Part 355, Appendix A or B; or
handle radiological materials in quantifies for which an emergency
plan is required pursuant to10 CFR Parts 30, 40 or 70?
B. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate underground storage tanks? DYES ~NO 5 v usT FACILITY (Formerly SWRCB Form A)
v UST TANK (one page per tank) (Formerly Form B)
2. Intend to upgrade existing or install new USTC? QYES G]NO 6 v UST FACILITY
v UST TANK (one per tank)
v UST INSTALLATION - CERTIFICATE of
COMPLIANCE (one page per tank)(Formerly Form C)
3. Need to report Closing a UST? DYES ~NO 7 v UST TANK (closure portion--one page per tank)
C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs3
Own or operate ASTs above these thresholds:
---any tank capacity is greater than 660 gallons, or DYES miND a NO FORM REQUIRED TO CUPAS
---the total capacity for the facility is greater than 1,320 gallons?
D. HAZARDOUS WASTE
1. Generate hazardous waste? DYES r~NO 9 " EPA ID NUMBER---pmvide at the top of this page
2. Recycle more than 100 kg/month of excluded or exempted DYES ~NO 10 v RECYCLABLE MATERIALS REPORT
recyclable materials (per HSC §25143.2)? (one per recycler)
3. Treat hazardous waste on site? DYES ~NO 11 -' ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY
(Formerly DTSC Form 1772)
v ONSITE HAZARDOUS WASTE
TREATMENT - UNIT (one page per unit)
(Formerly DTSC Forms 1772A,B,C,D, and L)
4. Treatment subject to financial assurance requirements(for Permit DYES I'~NO 12 v CERTIFICATION OF FINANCIAL
by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232)
5. Consolidate hazardous waste generated at a remote site? DYE, S ~NO 13 v REMOTE WASTE / CONSOLIDATION SITE
ANNUAL NOTIFICATION (Formerly
DTSC Form 1196)
6. Need to report the closure/removal of a tank that was classified as DYES r'~lNO 14 v HAZARDOUS WASTE TANK CLOSURE
hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249)
E. LOCAL REQUIREMENTS 15
(You may also be required to provide additional information by your CUPA or local agency.)
Site ID# not known
UPCF (1/99)
FlED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERaTOR IDENTIFICATION
Page I of 5
FACILITY ID # BEGINNING DATE 100 END DATE 101
04/01/2001 03/31/2002
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 103 BUSINESS PHONE 102
PG&E - Tevis Substation (661) 398-5923
BUSINESS SITE ADDRESS 103
Buena Vista Road
CITY 104 ~ ZIP CODE 105
Bakersfield I CA 93311
DUN & BRADSTREET 106 SIC CODE (4 DIGIT #) 107
00-691-2877 4931
COUNTY 108
Kern
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
Pacific Gas and Electric Company (661) 398-5923
OWNER NAME 111 OWNER PHONE 112
Pacific Gas and Electric Company (415) 973-7000
OWNER MAILING ADDRESS 113
P. O. Box 770000
CITY 1'14 STATE 115 ZIP CODE 116
San Francisco CA 94177
CONTACT NAME 117 CONTACT PHONE 118
Mike Harbick (559) 263-5217
CONTACT MAILING ADDRESS 119
487 W. Shaw
CITY 120 STATE 121 ZIP CODE 122
Fresno CA 93704
NAME Don Hicks 123 NAME Mike Harbick 128
TITLE Substation Maintenance Supervisor 124 TITLE Senior Environmental Specialist 129
BUS~NESS (661) 398-5923 ~25 BUS~NESS (559) 263-5217 130
PHONE PHONE
24-HOUR (661) 398-5785 ~126 24-HOUR (661) 398-5785 132
PHONE PHONE
PAGER # 127 PAGER # 133
ADDITIONALLY LOCALLY COLLECTED INFORMATION: 133
Site ID#: not known
Correspondence and billing should be addressed to the Environmental Contact listed in fields 117 to 122 above.
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.
SIGNATUREOFO~.RJ~P~E,J;~OR_QRDESIGNATE~REPRESENTATIVE DATE 134 ~ NAME OF DOCUMENT PREPARER 135
~~ 03/31/2001 I Cindy Pappas
NAME OF SIGNER (print) 136 TITLE OF SIGNER 137
Mike Harbick Environmental Specialist
UPCF (1/99 REVISED) OES FORM 2730 (1/99)
~ Inified Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [] DELETE [] REVISE 200 Page 2 of 5
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- [] Yes [] No
Building: SUBSTATION / Location: Yard-cylndr attch to equi EPCRA
~;~iLq~l F~ E ~J ~'~JMAP # (optional) ~==, fi,~.r,~ ~ ~ ~03 GRID # (optional) ('~_c[ 204
CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 206
N ITROSEN if subject to EPC~, refer to inst**ions
:OMMON NAME 207 EHS* 208
~ Yes ~ No
:iRE CODE H~RD C~SSES (Co~l~te if required by CUPA) 210
Non Flammable Gas(NFG)
*~R~US MATERIAL ~PE 211 ~DIOACTIVE 212 CURIES 213
Check one item only) ~ a. PURE ~ b. allURE ~ c. WASTE ~ Yes ~ No
PHYSICAL STATE 211 ~RGEST CONTAINER 215
;heck one item only) ~ a, SOLID ~ b. LIQUID ~ c. ~AS ~228.00
=ED H~RD CATEGORIES 216
Check all that apply) ~ a, FIRE ~ b, R~CTIVE ~ c. PRESSURE REL~SE ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
~VE~GE DAILY 217 M~IMUM DAILY 218 ANNUAL WASTE 21~ STATE WASTE 220
~MOUNT 228.00 AMOUNT 228.00 AMOUNT ;ODE
~NIT* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 3AYS ON SITE 222
;h~k one item only) * If EHS, a~unt must be in pounds 3~5
STO~GE CONTAINER 223
Check all that apply) ~ a. ABOVEGROUND TANK ~ e, P~STIC DRUM ~ i. FIBER DRUM ~ m, G~SS BO~LE ~ q. ~IL CAR
~ b. UNDERGROUND TANK ~ f. CAN ~ j. BAG ~ n. P~STIC BO~LE ~ r. OTHER
~ c, TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STO~GE PRESSURE ~ a. AMBIENT ~ b, ABOVE AMBIENT ~ c. BELOW AMBIENT 224
STO~GE TEMPE~TURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225
226 227 228 229
I ~ Yes ~ "O
230 231 ,232 233
2 ~ Yes ~ No
2~ 235 2~ 237
3 ~ Y~= ~ .o
23s 239 ~ Yes ~ No 24C 24~
4
242 243 24~ 245
5 ~ Yes ~ "O
If more ha~rdous ~mponents are present at greater than 1~ by we~ht if non-~rcin~enic, or O. 1 ~ by weidht ~ ~r~nogenic, a~a~ add~nal sheets of paper ~ptu~ng the required info.at.n:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPC~, Please S~n Here
UPCF (1/g9) OES FORM 2731 (1/9g)
~ ~.lnified Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [] DELETE [] REVISE 200 Page 3 of
BUSINESS NAME (Some as FACILITY NAME or DBA - Doing Business As)
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- [] Yes [] No
Building: SUBSTATION / Location: Yard-in gas circuit brkrs EPCRA
~i~i~D~ I ~ I [ li~.:i~l I J I J I ~';?'~J~IMAP # (optional) O~ ~; ..... O 4 2031GRID # (optional) /'~ 204
CHEMICAL NAME Z05 ~DE SECRET ~ Yes ~ No S06
SULFUR HE'FLUORIDE ,r subject to EPC~, refer to instructions
COMMON NAME 207 EHS* 208~
~ Yes ~ No
CAS ~ 2o~ ~ ~ ~O~tRi~,....~
FIRE CODE H~RD C~SSES (Co~lete if required by CUPA) 21
Non Flammable Gas(NFG)
H~R~US ~TERIAL ~PE 21 ~ ~DIOACTIVE 212 CURIES 213
Check one item only) ~ a, PURE ~ b. MI~URE ~ c. WASTE ~ Yes ~ No
PHYSICAL STATE 21~ ~RGEST CONTAINER 21~
Check one item only) ~ a. SOLID ~ b. LIQUID ~ c. GAS 369.00
FED H~RD CATEGORIES 21~
Check all that apply) ~ a. FIRE ~ b. R~CTIVE ~ c. PRESSURE REL~SE ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
AVENGE DAILY 217 ~IMUM DAILY 218 ANNUAL WASTE 21~ STATE WASTE
*MOUNT 369.00 AMOUNT 369.00 AMOUNT CODE
UNIT* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE 22;
Check one item only) * If EHS, a~unt ~st be in pounds 365
STOOGE CONTAINER 22~
Check all that apply) ~ a. ABOVEGROUND TANK ~ e. P~STIC DRUM ~ i. FIBER DRUM ~ m. G~SS BO~LE ~ q. ~IL CAR
~ b.'UNDERGROUND TANK ~ f. CAN ~ j. BAG ~ n. P~STIC BO~LE ~ r. OTHER
~ c. TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STOOGE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 22~
STOOGE TEMPE~TURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c, BELOW AMBIENT ~ d. CRYOGENIC 22~
226 227 228 22~
I ~ Yes ~ No
230 231 232 23~
2 ~ Yes ~ No
2~ 23~ 236 237
3 ~ Yes ~ No
238 23~ ~ Yes ~ No 240 241
4
242 24~. 244 24~
5 ~ Yes ~ No
If more ha~rdous ~m~nents are present at greater than I ~ by we~ht ~ non-~rcin~enic, or O. 1 ~ ~y weidht ~ ~rcin~enic, a~ch add~ional sheets of paper ~ptu~ng the required info~ation:
ADDITIONAL LOCALLY COLLECTED INFOR~TION: 24~
If EPC~, Please S~n Here
UPCF (1/99) OES FORM 2731 (1/99)
i~l. lnified Program Consolidated Form
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [] DELETE [] REVISE 200 Page 4 of 5
BUSINESS NAME (~ as FACILI~ NAME or DBA - Doing Busine~ ~) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- ~ Yes ~ No
Building: SUBSTATION / Lo~tion: Yard-in op equi~.9 EPC~
~i~i~ZiO~ I ~JI I I ~1 I I [ I I ~;IMAP ~ (optional) O~ ~; ..... 0 ~ 2031GRID ~ (optional) ~ . 204
IE~C EMI EM: I~ :~,; ~ ~ ~
CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 206
If subje~ to EPC~. refer to instructions
COMMON NAME 207 EHS* 20~
INSULTING OIL 0-4.9 PPM PCB ~ Yes ~ No
FIRE CODE H~RD C~SSES (Co~lete if r~uired by CUPA) 21(
Combustible Liquid(CL3B)
H~RDOUS ~TERIAL ~PE ~ 211 ~DIOACTIVE 212 CURIES 21~
Check one item only) ~ a, PURE ~ b. MI~URE ~ c, WASTE ~ Yes ~ No
PHYSICAL STATE 211 ~RGEST CONTAINER 215
Check one item only) ~ a. sOLID ~ b. LIQUID ~ c. SAS 6,278.00
FED H~RD CATEGORIES 21~
Check all that apply) ~ a. FIRE ~ b. R~CTIVE ~ c. PRESSURE REL~SE ~ d. ACUTE H~LTH ~ e. CHRONIC H~LTH
AVENGE DAILY 217 M~IMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 22(
AMOUNT 6,623.00 AMOUNT 6,623.00 AMOUNT CODE
UNIT* ~ a. GALLONS ~ b. CUBIC FE~ ~ c. POUNDS ~ d. TONS 221 DAYS ON SITE 222~
Check one item only)
* If EHS. a~unt ~st be in pounds 365
STOOGE CONTAINER 223~
Check all that apply) ~ a. ABOVEGROUND TANK ~ e. P~STIC DRUM ~ i. FIBER DRUM ~ m. G~SS BO~LE ~ q. ~IL CAR
~ b. UNDERGROUND TANK ~ f. CAN ~ j. BAG ~ n. P~STIC BO~LE ~ r. OTHER
~ c. TANK INSIDE BUILDING ~ g. CARBOY ~ k. BOX ~ o. TOTE BIN
~ d. STEEL DRUM ~ h. SILO ~ I. CYLINDER ~ p. TANK WAGON
STOOGE PRESSURE ~ a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224
STOOGE TEMPE~TURE ~ a. AMBIENT ~ b. ~OVE AMBIENT ~' c. BELOW AMBIENT ~ d. CRYOGENIC 225
226 227 228 229
~ 0.01 POLYCHLORINATED BIPHENYL ~ ~s ~ No 1336-36-3
230 231 232 233
z 02 BU~LATED HYDROXY TOLUENE Q Yes ~ ~o 128-37-0
2~ 235 236 237
3 70 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE ~ Yes ~ No 64742-53-6
238 239 ~ Yes ~ No 240 241
. 40 HYDROTREATED MIDDLE DISTIL~TES 6474246-7
242 243 2~ 245
5 O Yes ~ NO
If more ha~rdous ~m~nents are present at greater than 1 ~ by we~ht ~ non-~r~n~enic, or ~. ~ ~ by weidht if carcin~enic, a~ach edd~nal sheets of paper captu~ng the r~uired ink.at.n:
ADDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPC~, Please S~n Here
UPCF (1/99) DES FORM 2731 (1/99)
~ t~Llnified Program Consolidated Form
HAZARDOUS MATERIALS
H.~.ARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION
(one page per material per building or area)
[] ADD [] DELETE [] REVISE 200 Page 5 of 5
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
TEVIS SUBSTATION
CHEMICAL LOCATION 201 CHEMICAL LOCATION 202
CONFIDENTIAL- [] Yes [] No
Building: SUBSTATION / Location: Yard-in ap equip-499.9 EPCRA
FACIEIT~iD'r#[J ?~1 ~i ~JMAP # (optional) (:~ .F ..... ') '1 203 GRID # (optional) t'"'"~ O, 204
CHEMICAL NAME 205 ]'RADE SECRET [] Yes [] No 206
If subject to EPCRA, refer to instructions
COMMON NAME 207 EHS* 208
INSULATING OIL 50-499 PPM PCB [] Yes [] No
3AS # 209 }'~i~,~ ,~ ~'~ - ~:~:~-~: : ......... ~' ~
~;El;t$;is;,~C~:~![;amoun~ ~,o~'~E~uSt!be in lbs;: ': :::
-'IRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
Combustible Liquid(CL3B)
HAZARDOUS MATERIAL TYPE 211 RADIOACTIVE 212 CURIES 213
Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE [] Yes [] No
PHYSICAL STATE 211 LARGEST CONTAINER 215
Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 30.00
FED HAZARD CATEGORIES 216
Check all that apply) [] a. FIRE [] b. REACTIVE [] c, PRESSURE RELEASE [] d, ACUTE HEALTH [] e. CHRONIC HEALTH
~VERAGE DAILY 217 MAXIMUM DAILY 218 ANNUAL WASTE 219 STATE WASTE 220
~,MOUNT 65.00 AMOUNT 65.00 AMOUNT CODE
INIT* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 221 DAYS ON SITE 222
Check one item only) * If EHS. amount must be in pounds 365
STORAGE CONTAINER 223
Check all that apply) [] a. ABOVEGROUND TANK [] e, PLASTIC DRUM [] i. FIBER DRUM [] m. GLASS BoI-rLE [] 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
STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224
STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225
226 227 228 229
~ 0.05 POLYCHLORINATED BIPHENYL [] Yes [] No 1336-36-3
230 231 232 233
z 0.2 BUTYLATED HYDROXYTOLUENE [] Yes [] No 128-37-0
234 235 236 237
3 70 HYDROTREATED LIGHT NAPHTHENIC DISTILLATE [] Y~ [] No 64742-53-6
238 23~ 240 241
4 40 HYDROTREATED MIDDLE DISTILLATES [] Yes [] No 64742-46-7
242 243 244 245
5 [] Yes [] No
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weidht if carcinogenic, attach additional sheets of paper capturing the required information:
~,DDITIONAL LOCALLY COLLECTED INFORMATION: 246
If EPCRA, Please Sign Here
UPCF (1/99) eLS FORM 2731 (1/99)
~ .;=~~ ~ .~.__.q ,iCC PLAN ATTACHMENT # 1-1
· '~ ___ '~B.~ -, C, OLFCOUR~E ',.~. ~ _. . ..elll
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TEVIS SUBSTATION/
x 1~ '
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¥1¢INITY
TEVIS SUBSTATION
PACIFIC GAS AND ELECTRIC COMPANY
SAN FRANCISCO, CALIFORNIA
'"') l SOLTIERA PLACE
£ E
~4 VACANT LOT
LEGEND
I' SYMBOL DESCRIPTION
(~) FIRE EXTINGUISHER
..-"'J 2: r!rl FIRE HYDRANT OR HOSE STATION
y'~',( ~ SPILL CONTROL EQUIPMENT
--'~--- WALK DOOR
-.c==- ROLL-UP DOOR
D '%-,-- D~R£CT~ON OF SHEET FLOW D
'---'' DIRECTION OF DRAINAGE FLOW
,.,.J ..,,e---.x- CHAIN LINK FENCE
y~ .... PROPERTY LINE
--D--~ STORM DRAIN
--s--- SEWER LINE
I.-- j ~1 CATCH BASIN
0
-.I UG UNDERGROUND
AG ~OVEGROUND
Z ~ ~ ~ OIL CIRCUIT BREAKER (THREE TANKS)
<~ I r3 OtL CIRCUIT BREAKER (ONE TANK)
OI r~l TRANSFORMER / REGULATOR
~ ~ TRANSFORMERS
~ ~ SERVICE / POTENTIA~ TRANSFORMER
I~ ~ GAS CfiCUIT BREAKER
f ~'~ -J D VACUUm40RCUIT BREAKER
-- HWAA HAZARDOUS WASlE ACCUMULATION AREA
~ C
~ Z HWSA HAZARDOUS WASTE STORAG~ AREA
) ) ~ ~,l ® AL~' PUI. L STATION
:~ bO (~ EMERGENCY EYE WASH
~ O) IG~TABLE
rY ~ COI4PRESSED GAS (NON-FLN4MN~LE}
/ 3~<so~ ~ COMPRESSED GAS (FLN~IM.~LE)
I~ ~i~. ~ CORROSIVE
:. REACTIVE
lSg<SoOi~pm . TOXIC
~ [] MAIN WATER SHUT-OFF
S$2$9"SpPmrxl ": ~ MAIN ELECTRIC SHUT-OFF
~W :i [] laAIN GAS SHUT-OFF
~ ,,' [] FUEL / Cra:; E~ERGENCY SHUT-OFF
I~ ¢' ~ EVACUATION ROUTE
B ~ ~ ~ ASSEM.LY AREA B
o 8o
VACANT LOT ;>' - "" SPCC
A ILLUSION WAY A
) ~ FACILITY LAYOUT
~ TEVIS SUBSTI,TION
$,ad~l F'R.aQ~I~CO, CAA.~FORNIA
U....-. ED PROGRAM CONSOLIDATED.~.JRM
~ ~ FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION f~ .... · ~' '
Page 1 of 1
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 103 BUSINESS PHONE 102
PG&E - Tevis Substation I (661) 398-5923
BUSINESS SITE ADDRESS 103
Buena Vista Road
CITY 104 I ZIP CODE 105
Bakersfield I CA 93311
DUN & BRADSTREET 106 SIC CODE (4 DIGIT #) 107
00-691-2877 4931
COUNTY 108
Kern
BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110
Pacific Gas and Electric Company (661) 398-5923
OWNER NAME ",11 OWNER PHONE 112
Pacific Gas and Electric Company (415) 973-7000
OWNER MAILING ADDRESS 113
P. O. Box 770000
CITY 114 STATE 115 I ZIPCODE 116
San Francisco CA I 94177
CONTACT NAME 117 CONTACT PHONE 118
Mike Harbick (559) 263-5217
CONTACT MAILING ADDRESS 119
487 W. Shaw
CI~ 120 STATE 121 ZIP CODE 122
Fresno , ~ CA ~ 93704
NAME Don Hicks 123 NAME Mike Harbick
TITLE Substation Maintenance Supe~isor 124 TITLE Senior Environmental Specialist 129
BUS~NESS (661) 398-5923 ~25 BUS~N~SS (559) 263-5217 ~30
PHONE PHONE
2~-.ou. (661) 764-5229 ~2~ 2~-.ou. (661) 764-5229 132
PHONE PHONE
PAGER~ (661) 638-5923 127 PAGER~ (888) 365-5130 133
ADDITIONALLY LOCALLY COLLECTED INFORMATION: 133
Site ID~: not known
Correspondence and billing should be addressed to the Environmental Contact listed in fields 117 to 122 above.
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.
SIGNATURE O~ 0~NER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135
~,~_..,/~'~"~_~~ ,,,,~_,,..~,.,v ,~,,. ~ 03131/2000 Patrick Mayfield
NAIVetE OF SIGNER (print) 136 TITLE OF SIGNER 137
Chuck Davis for Don Hicks Electric Transmission Maintenance Supervisor
UPCF (1/99 REVISED) OES FORM 2730 (1/99)
-. Pacific Gas and Electric ~pany.".~' 5 '
Grid Maintenance and Construction,!/ . ' '~ -~./t, 2401 Coffee Road, Bakersfield CA 93308
May1 1998 ' -~ '
City of Bakersfield Fire Dept. ~
Hazardous Materials. Divisionr.. ~ ~
1715 Chester, Sute300 ,'~~~ / ~
'"' ~VIC,
Bakersfield, CA 93301 ~
Re: Business Plan Updates for PG&E's
unstaffed substations in the City of Bakersfield
Dear Mr. Huey:
Enclosed, are the updated California Hazardous Materials Inventory Forms
which are required by California Code of Regulations Title 19, Article 4 (Minimum
'Standards for Business Plans) for Tevis Substation which is now located within
Bakersfield city limits. This site was formerly included in the plans submitted to
the County of Kern before the property was annexed into the city limits
This plan for Tevis Substation includes an updated map and inventory - other
components of the Business Plan are the same as the other Substations. Other
components of the Business Plan include: Notification/Evacuation/Medical,
Mitigation/Prevention/Abatement, Site Emergency Factors, and Training, all of
which have not changed.
If You have any questions regarding this submittal, please call me at
(805) 398-5923.
Sinc~
Don Hicks
Grid Maintenance and Construction Supervisor
Attachments
California Hazardous Materials Inventory Reporting Form - Business Owner/Operator Identification Page
CALENDAR YEAR BEGINNING (1) [ 04/01/98 I ENDING(2) 104/01/99[ (3) PAGE 1 OF
BUSINESS NAME (4) I PG&E- Tevis Substation [ BUSINESS PHONE (5)
SITE ADDRESS (6) [ Buena Vista Road ,
CITY (7)IBakersfield ISTATE (8) CA ZIP (9)
DUN & BRAI)STREET (10)l 00-691-2877 ' I · sic CODE (4 DIGIT #)(11)14931
OPERATOR (12)1 Pacific Gas & E~ect~ie ¢o. I OPERATOR PHONE (13) [ (805) 398-5923 [
NAME:
OWNER INFORMATION
OWNERNAME (14) I Pacific Gas and Electric Company ] OWNER PHONE (15) ] (415)973-7000
OWNER MAILING ADDRESS (16) [ P.O. Box 770000 (77 Beale St.)
CITY (17) I San Francisco ] STATE (18) ~l ZIP (19) I 94177 I
ENVIRONMENTAL CONTACT
CONTACT NAME (20)[ Mike Harbick [ CONTACT PHONE (21)
M~ILING ADDRESS (22)I 487 W. Shaw
CITY (23) I Fresno [ STATE (24)~ ZIP (25) 193704
NAME:(26) I DonHicks NAME:(31) [JoeLafferty
TITLE: (27) Substation Maintenance Supervisor TITLE: (32) Substation Maintenance Supervisor
BUSINESS PHONE: (28)} (805) 398-5923 BUSINESS PHONE: (33)[ (209)945-2745
24-HOURPHONE: (29) (805) 764-5229 24-HOURPHONE: (34) (209) 237-7115
PAGER #: (30) I (805) 638-5923 PAGER #: (35) [ (209) 262-5437
ACUTELY HAZARDOUS MATERIALS (AHM)
ONSITEAHM (36) I ElYes [] No I lnyes, and above Threshold Planning Quantities, attachasheetofpaperwitha
general description of the process and principal equipment.
ADDITIONAL LOCALLY COLLECTED INFORMATION
(37)
..,,s.!?.~.!.~..!..~(~. .......... /....D.....~.~ .............................................................................................................................................................................. : ........................
Certification: I certify under penalty of law that I have personally examined and an familiar with the information submitted in this
inventory and belie the information is true, accurate, and complete.
PrintName of Document Preparer (38) [ Patrick,. Mayfield
Signature of Own~rfOp~rator (39) I I Date (40) I, ~'-- ~ -- Ot ?
OES Form 2730(04/96)
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1) I []ADD []DELETE []REVISE .1 Page (2) ~ of(3) [ 5
BUSINESS NAME (4) I PG&E- Tevis Substation I
Chemical Location (5) I Y~,d- in operating equipment I
Map # (6) [ Att. 1-2 I Grid # (7) 1 C3
CHEMICAL NAME(8) I ITRADE SECRET (ll) I [] v [] N I
COMMONNAME (9) ] INSULATING OIL W/ 0-4.9 ppm PCB [ EHS(12) ] [] Y [] N
CAS# (10) l I ~E. SBO×,S
ALL AMOUNTS MUST BE IN LB.
FIRE CODE (13) I Combustible Liquid / Class III-B
HAZARD CLASSES
I
COMPLETE BLOCK (13 IV REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS
TYPE (14) [] PURE [] MIXTURE [] WASTE ] RADIOACTIVE (15)1 []. Y [] N ] (16) I I
PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS] CURIES
FED HAZARD (18) [] FIRE [] REACTIVE [] PRESSURE RELEASE []ACUTE HEALTH [] CHRONIC HEALTH I
(,9, I [] O,,k [] 166:
CODE I [] LB. [] TONS
I
DAYS ON SITI~ (20) i 365 I IfEHS, amounts must be in lb. AVG DAILY AMT (24)16623
LARGEST (21) 62~ I ANNUAL WASTE AMT (25) I '1
CONTAINER
I
STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON
CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR
[] TANK INSIDE BUILDING [] SILO [] GLASS BOTTLE [] EQUIPMENT
[] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE []
[] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN
STORAGE
PRESSURE (27)I[] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT I
STORAGE
TEMPERATURE (28) I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I
(29) % WT (30) HAZARDOUS COMPONENT (31) EHS .(32) CAS
I
1] 70 I I Hydro Treated Light Naphtha I ] [] Y [] N I I 64742-53-6
2 ] 40 I I Hydro Treated Middle Distillate ' I ] [] Y [] N I I 64742-46-7
3I 0.2 [ I ButylatedHydroxy Toluene ' I I [] Y [] N I I 128-37-0
41 0.0o05 I I PolychlorinatedBiphenyls i I I [] Y [] N I I 1336-36-3
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Form 2731 (04/96)
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1) [ [] ADD [] DELETE [] REVISE I Page (2)
BUSINESS NAME (4) [ PG&E -Tevis Substation [
Chemical Location (5) ] Yard-in operating equipment "
· Map # (6) I [ Grid # (7)[ C2-3
CHEMICAL NAME (8) ] ] TRADE SECRET (ll) [ [] ¥ [] N ]
COMMONNAME (9) [ INSULATING OIL W/ 50-499.9 ppm PCB I EHS(12)
CAS # (10)I [ IF EHS BOX IS "Y"
ALL AMOUNTS MUST BE 1N LBS
FIRE CODE (13) I Combustible Liquid/Class II[-B
HAZARD CLASSES
I
I
COMPLETE BLOCK (13 IF REQUESTED BY THE LOCAL FIRE CHIEF ~ REFER TO INSTRUCTIONS
TYPE (14) ] FIpURE []MIXTURE r"IWASTE [ RADIOACTIVE(15)I []Y []N [(16)I
PHYSICAL STATE (17) ] Fl SOLID [] LIQUID [] GAS I CURIES
FED HAZARD (18) [] FIRE [] REACTIVE [] PRESSURE RELEASE []ACUTE HEALTH [] CHRONIC HEALTH
STATE WASTE (19) I I UNITS (22)l [] GAL [] CU FT I MAX DAILY AMT (23)]65
CODE [] LBS [] TONS
DAYS ON SITE (20) 365 I If EHS, amounts must be in lbs. AVG DAILY AMT (24)
LARGEST (21) 30 I ANNUAL WASTE AMT (25)I
CONTAINER
STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON
CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL CAR
[] TANK INSIDE BUILDING [] SILO []GLASS BOTTLE [] EQUIPMENT
[] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE []
[] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN
STORAGE
PRESSURE (27) I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT
STORAGE
TEMPERATURE (28) [ [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I
(29) % WT (30) HAZARDOUS COMPONENT (231) EHS (32) CAS #
I ·
1I 70 I I Hydro Treated Light Naptha I I [] Y [] N I I 64742-53-6
2 I 40 I [ Hydro Treated Middle Distillate ~ [ } [] Y [] N I I 64742-46-7
3 I 0.2 I I Butylated Hyroxy Tolulene ' I I [] Y [] N I I 128-37-0
41 0.05 ] ] eolychlorinatedBiphinals = ] I [] Y [] N I I 1336-36-3
51 I I ' I I[]¥ []N I I I
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Form 2731 (04/96)
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1) I []ADD F1DELETE [] REVISE I Page(2) ~ o£(3) I 5 I
BUSINESS NAME (4) I PG&E - Tevis Substation [
Chemical Location (5) I Yard - cylinder attached to operating equipment I
Map # (6) I Att. 1-2 ] Grid # (7)I c3 I
CHEMICAL NAME (8) l NITROGEN ITRADE SECRET (II) I [3 Y [] NI
COMMON NAME (9) I [ EHS (12) I [] Y [] N ]
CAS # (10) 17727-37-9 ] IF EHS BOX IS "Y"
ALL AMOUNTS MUST BE IN LB.
HAZARDFIRE CODE CLASSES (13) I C°mpressed gas ' Inert I
COMPLETE BLOCK (13 IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS
TYPE (14) ] [] PURE []MIXTURE [] WASTE I RADIOACTIVE (15)1 ri Y []NI (16) I I
PHYSICAL STATE (17) [] SOLID [] LIQUID [] GAS CURIES
FED HAZARD (18) [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH I
STATEWASTE (19) I I UNITS(22)l [] GAL [] CUFT MAX DAILY AMT (23) 1228]
CODE I [] LB. [] TONS
DAYS ON SITE (20) 365 I IfEHS, amounts must be in lb. AVG DAILY AMT (24) [ 228 I
LARGEST (21) 228 cf ANNUAL WASTE AMT (25) I I
CONTAINER
STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON
CONTAINER [] UNDER GROUND TANK [] CARBOY [] CYLINDER [] RAIL cAR
[] TANK INSIDE BUILDING [] SILO []GLASS BOTTLE []
[] STEEL DRUM [] FIBER DRUM [] PLASTIC BOTTLE
[] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN
STORAGE
PRESSURE (27) I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT I
STORAGE
TEMPERATURE (28)I[] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC I
(29) % WT (30) HAZARDOUS COMPONENT (31) EHS (32) CAS #
I
11 I I I I[]Y DN I I I
4[ [ I ' I I[]v I-tN I I I
51 I I ' I I[]¥ []~ I I I
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
OES Form 2731 (04/96)
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1) I ADD []OELETE []REVISE I Page(2)of(3) 15
BUSINESS NAME (4) I PG&E- Tevis Substation
Chemical Location (5) I Yard - i.n operating equipment
Map a (6) I Att. 1-2 I Grid # (7)I c3
CHEMICAL NAME (8) I SULFUR HEXAFLOURIDE I TRADE SECRET (11) I [] ¥ [] N
COMMON NAME (9) I I EHS (12) I [] Y [] N
CAS # (10)[ 2551-62-4 } n~ El-IS BOX IS "¥"
ALL AMOUNTS MUST BE 1N LB.
FIRE CODE (13) ] Compressed Gas
HAZARD CLASSES
COMPLETE BLOCK (13 IF REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS
TYPE (14) [ []PUKE []MIXTURE []WASTE ] RADIOACTIVE(15)[ [] Y [] N] (16) [
PHYSICAL STATE (17)I []SOLID []LIQUID []GAS] CURIES
FED HAZARD (18) [] FIRE [] REACTIVE [] PRESSURE RELEASE [] ACUTE HEALTH [] CHRONIC HEALTH
STATE WASTE (19) [ I UNITS (22)[ [] GAL [] CUFT I MAX DAILY AMT (23)1369 I
CODE I [] LB. Fl TONS
I
DAYS ON SITE (20) 365 IfEHS, amounts must be in lb. AVG DALLY AMT (24) I 369
LARGEST (2l) 369 ANNUAL WASTE AMT (25) I
CONTAINER
STORAGE (26) [] ABOVE GROUND TANK [] CAN [] BOX [] TANK WAGON
CONTAINER [] UNDER GROUND TANK [] CARBOY I-]CYLINDER [] RAIL CAR
[] TANK INSIDE BUILDING [] SILO []GLASS BOTTLE [] EQUIPMENT
[] STEEL DRUM [] FIBER DRUM [] PLASTIC. BOTTLE []
[] PLASTIC/NONMETALLIC DRUM [] BAG [] TOTE BIN
STORAGE
PRESSURE (27) [ [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT
STORAGE
TEMPERATURE (28) I [] AMBIENT [] ABOVE AMBIENT [] BELOW AMBIENT [] CRYOGENIC
(29) % WT (30) HAZARDOUS COMPONENT (31) Ells (32) CAS #
31 I [ ' I I[]¥ []~ I I I
41 I I I I[]v []N I I I
51 I I I I~ =mI I I
(3~) .OmlO~.[ loc,[iv co[[~c~zo ~voa~,
OES Form 2731(04/96) .