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HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _~ermit is issued for the followiRg; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID#:: 015-000-001213 [] Risk Management Program FORDCO FOODS ~ [3 Hazardous Waste On-Site Treatment LOCATION: 314 CALIFORNIA AVE ]ELD Issued by: Bakersfield Fire Department l OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: · Bakersfield, CA 93301 .~: Issue Date Voice (661) 326-3979 FAX (661)326-0576 Expiration Date: Jur~ 30.= 2003 EQU I pMENT · . . ' ] ' . . COLD STOOGE WAREHOUSE . '122. 131 : 0 180' WAREHOUSE I 10~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~./~(-~0 ~ ~C~ INSPECTION DATE ADDRESS 3],~L ~-L/, ~ i~ l PHONE NO. ' FACILITY CONT~(~T "~ ~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES  Business Plan and Inventory Program 1~ Routine [21 Combined ~ Joint Agency ~l Multi-Agency [21 Complaint 121 Re-inspection OPERATION C V' COMMENTS Approw,~te permit on hand Business plan~act information accurate ~~/ Visibie address ~ ~,~l~ Correct occupancy Verification of inventory materials~ Verification of quantities % ~-.~x~ G-'y~- /~k~00~O Verification of location % Proper segregation of material % I ~.___~(5[. ~- I~{ qff:r"~ -- Verification of MSDS availability %% ~0~[. ~.Or~ Verification of Haz Mat training " Verification of abatement supplies and procedures X ~ ~q - ~::>~'-(~ Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~l Yes [~l No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White- Env. Svcs. Yellow- Station Copy Pink-Business Copy Inspector: is Phone · Manager : ~/F~ ~.~ (805) 325-7788 Location: 314 CALIFORNIA AVE~ ~;p : 10~ CommHaz : Minimal City : BAKERSFIELD Grid: 3lB FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code:4222 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title THOMAS L. FORD / PRESIDENT L. DALTON FORD / ADMINISTRATIVE Business Phone: (805) 325-7788x~$- Business Phone: (805) 325-1597x 24-Hour Phone : (805) ~ ~9~Z 24-Hour Phone : (805) 397-8570x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) .- x MailAddr: 314 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Owner THOMAS L FORD Phone: (805) ~ Address : 314 CALIFORNIA AVE State: CA 9~o??~F City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnitlMCP FREON 502 F P IH G 2249 FT3 Low F DH L 400 GAL Low WASTE OIL ~, ~__/~/~. ~ DO h~r~by C~i~ m~m plan ~0 ~ ~h~ ~ any corr~Jon~ cons~i~u~ a ~mpl~ and ~r~ agomon~ p~a~ 1 02/18/1999 FORDCO FOODS COMPANY INC SiteID: 215-000-001213 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ ~ COMMON NAME / CHEMICAL NAME FREON 502 Days On Site 365 Location within this Facility Unit Map: Grid: WITHIN REFRIGERATOR UNIT CAS# 75-71-8 F STATE ~TYPEPure PRESSURE ~ TEMPERATURE I CONTAINER TYPE ~Gas Above Ambient I Above Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average FT3I 2249.00 FT3 I 2249.00 FT3 HAZARDOUS COMPONENTS 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS MCP I TSecret I RS I BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# No No No No/ Curies F P IH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit MaP: Grid: OUTSIDE NE FENCES AREA CAS# 221 rSTATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid i Waste I Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 400.00 GAL 50.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N HAZARD ASSESSMENTS TSecretl RS,BioHazl Radioactive~Amount EPA Hazards NFPA I USDOT# MCP No JNo J No No/ Curies F DH / / / Low 2 02/18/1999 F FORDCO FOODS COMPANY INC SiteID: 215-000-001213 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 05/18/1990 CALL 911 -- Employee Notif./Evacuation 05/18/1990 NOTIFY BY PUBLIC ADDRESS SYSTEM. -- Public Notif./Evacuation 05/18/1990 NOTIFY BY PUBLIC ADDRESS SYSTEM AT THE SAME TIME OUR EMPLOYEES ARE NOTIFIED. Emergency Medical Plan 05/18/1990 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. 3 02/18/1999 FORDCO FOODS COMPANY INC SiteID: 215-000-001213 Fast Format = Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 05/18/1992 FREON GAS CONTAINED WITHIN REFRIGERATION SYSTEMS. THERE ARE NINE INDIVIDUAL REFRIGERATION UNITS ALL LOCATED ON THE OUTSIDE OF THE BUILDING. THESE SYSTEMS ARE REGULARLY CHECKED AND SERVICED BY A LICENSED REFRIGERATION SERVICE COMPANY. THERE ARE NO ADDITIONAL SUPPLIES OF FREON KEPT ON THE PREMISES. OUR EMPLOYEES DO NOT HANDLE THE FREON. THIS IS ALL DONE BY THE SERVICING --Release Containment 05/18/1992 ANY GAS THAT MIGHT LEAK FROM THE SYSTEM WOULD DISIPATE RAPIDLY. WASTE OIL IS CONTAINED IN 50 GALLON SEALED DRUMS LOCATED IN FENCES YARD AREA AWAY FROM BUILDING AND UNAUTHORIZED PERSONNEL. RELEASE WOULD BE FROM SPILLING THE WASTE MOTOR OIL ON THE GROUND. NO RISK FROM BREATHING OR SKIN IRRITATION. DRUMS ARE MAINTAINED BY A FULLY LICENSED WASTE OIL COMPANY. THEY ARE NOTIFIED WHEN RELEASE IS PRESENT. -- Clean Up 05/18/1992 ANY CLEAN UP REQUIRED IS PERFORMED BY A FULLY LICENSED REFRIGERATION MAINTENANCE COMPANY UNDER AN ALL INCLUSIVE MAINTENANCE AGREEMENT. THIS COMPANY IS CALLED IN FOR ANY RELEASE CLEAN UP AT DISCOVERY OF RELEASE. WASTE OIL IS REMOVED BY A FULLY LICENSED WASTE OIL HAULER EVERY 60 DAYS OR WHEN NEED ARISES. ANY CLEAN UP FROM SPILLAGE WOULD BE ALSO THE RESPONSIBILITY OF THE WASTE HAULER. SERVICE COMPANIES UNDER MAINTENANCE AGREEMENT ARE ON FILE AT 314 CALIFORNIA AVE., BAKERSFIELD, CALIFORNIA 93304. Other Resource Activation -4- 02/18/1999 FORDCO FOODS COMPANY INC SiteID: 215-000-001213 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs 04/28/1992 A) GAS - OUTSIDE WEST WALL AT PARKING AREA B) ELECTRICAL - WEST WAREHOUSE WALL INSIDE NEXT TO MEN'S ROOM C) WATER - SOUTH END OF DOCK ON WEST SIDE OF BUILDING NEAR STEPS D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 04/28/1992 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - AT FRONT OF BUILDING (SOUTH SIDE). Building Occupancy Level -5- 02/18/1999 FORDCO FOODS COMPANY INC SiteID: 215-000-001213 Fast Format = Training Overall Site -- Employee Training 10/03/1995 WE HAVE ~ EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: WE HAVE A WRITTEN PROGRAM THAT OUTLINES HOW WE WILL PROVIDE INFORMATION AND CONTROL YOUR EXPOSURE TO HAZARDOUS SUBSTANCES. THIS PLAN IS AVAILABLE FOR REVIEW DURING OUR TRAINING AND AT FORMANS OFFICE DURING THE WORKSHIFT. -- Page 2 --Held for Future Use Held for Future Use -6- 02/18/1999 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ......... ~,,.,~,**=..,,,,~,~,~,~,~,,,~ .......... This permit is issued for the following: FORDCO FOODS COMPANY LOCATION 314 CALIFORN~::::~::~ ~ ',~;..-.-.:a~. issu~ by: B~erdield Fke Depa~ment Approv~ by: 0~I~ OF E~R O~AL S~ ~CES 1715 Chewer Ave., ~rd Floor B~emfiel~ CA Voice (805) 32~979 F~ (80S) 326~576 ExpkationDate: June 30, 2000 ! 09/1~/95 ' ' 215-000-001213 Page 1 Overall Site with 1 Fac. Unit General Information Location: 314 CALIFORNIA AV Map:103 Haz:l Type: 3 City : BAKERSFIELD Grid: 3lB F/U: 1 AOV: 0.0 Contact Name Title --Contact Name Title THOMAS L. FORD / PRESIDENT .i~. L. DALTON FORD / ADMINISTRATIVE Business Phone: (805) 325-7788x Business Phone: (805) 325-1597x 24-Hour Phone : (805) 834-9099x 24-Hour Phone : (805) 397-8570x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 314 CALIFORNIA AV D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: 4222 Owner: THOMAS L FORD Phone: (805) 327-4084 Address: 314 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 93304- Summary RECEIVED HAZ. MA L I, 7'"//~.'~4· L. ,~.~W~o Do hereby certify that I have renewed the ~ach~ h~ardous materials man~ for~ ~ ~. and tha it along w~ mere P~ any ~~ons ~n~e a~mp~e ~d ~ ~ 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 FREON 502 Gas 2249 Low ~ Fire, Pressure, Immed Hlth FT3 02-002 WASTE OIL Liquid 400 Low · Fire, Delay Hlth GAL 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 FREON 502 Gas 2249 Low ~ Fire, Pressure, Immed Hlth' FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 Daily Average FT3 Annual Amount FT3 2,249 I 2,249.00 I 2,249.00 Storage Press T Temp Location IN MACHINE/EQUIP IAbove.~. ~Above IwITHIN REFRIGERATOR UNIT -- Conc Components ~ MCP ----~Guide 100.0% IChlorodifluoromethane ILow ~ 12 -- Notes 02-002 WASTE OIL Liquid 400 Low ~ Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GALI Daily. Average GAL I Annual Amount GAL -- 400 ~ 50.00 600.00 Storage Press T TempI Location DRUM/BARREL-METALLIC Ambient/AmbientlOUTSIDE NE FENCES AREA -- Conc~ ComponentsI MCP ---~uide 100.0% IWaste Oil, Petroleum Based ILow ! 27 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM. <3> Public Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM AT T. HE.SAME TIME OUR EMPLOYEES ARE NOTIFIED. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 5 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FREON GAS CONTAINED WITHIN REFRIGERATION SYSTEMS. THERE ARE NINE INDIVIDUAL REFRIGERATION UNITS ALL LOCATED ON THE OUTSIDE OF THE BUILDING. THESE SYSTEMS ARE REGULARLY CHECKED AND SERVICED BY A LICENSED REFRIGERATION SERVICE COMPANY. THERE ARE NO ADDITIONAL SUPPLIES OF FREON KEPT ON THE PREMISES. OUR EMPLOYEES DO NOT HANDLE THE FREON. THIS IS ALL DONE BY THE SERVICING COMPANY. <2> Release Containment ANY GAS THAT MIGHT LEAK FROM THE SYSTEM WOULD DISIPATE RAPIDLY. WASTE OIL IS CONTAINED IN 50 GALLON'~SEALED DRUMS LOCATED IN FENCES YARD AREA AWAY FROM BUILDING AND UNAUTHORIZED PERSONNEL. RELEASE WOULD BE FROM SPILLING THE WASTE MOTOR OIL ON THE GROUND. NO RISK FROM BREATHING OR SKIN IRRITATION. DRUMS ARE MAINTAINED BY A FULLY LICENSED WASTE OIL COMPANY. THEY ARE NOTIFIED WHEN RELEASE IS PRESENT. <3> Clean Up ANY CLEAN UP REQUIRED IS PERFORMED BY A FULLY LICENSED REFRIGERATION MAINTENANCE COMPANY UNDER AN ALL INCLUSIVE MAINTENANCE AGREEMENT. THIS COMPANY IS CALLED IN FOR ANY RELEASE CLEAN UP AT DISCOVERY OF RELEASE. WASTE OIL IS REMOVED BY A FULLY LICENSED WASTE OIL HAULER EVERY 60 DAYS OR WHEN NEED ARISES. ANY CLEAN UP FROM SPILLAGE WOULD BE ALSO THE RESPONSIBILITY OF THE WASTE HAULER. SERVICE COMPANIES UNDER MAINTENANCE.AGREEMENT ARE ON FILE AT 314 CALIFORNIA AVE., BAKERSFIELD, CALIFORNIA 93304. <4> Other Resource Activation 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE WEST WALL AT PARKING AREA B) ELECTRICAL - WEST WAREHOUSE WALL'INSIDE NEXT TO MEN'S ROOM C) WATER - SOUTH END OF DOCK ON WEST SIDE OF BUILDING NEAR STEPS D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - AT FRONT OF BUILDING (SOUTH SIDE). <4> Building Occupancy Level 09/18/95 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 7 00 - Overall Site <G> Trainin~g <1> Employee Training WE HAVE~/~.~EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS'ON FILE. BRIEF SUMMARY OF TRAINING: WE HAVE A WRITTEN PROGRAM THAT OUTLINES HOW WE WILL PROVIDE INFORMATION AND CONTROL YOUR EXPOSURE TO HAZARDOUS SUBSTANCES. THIS PLAN IS AVAILABLE FOR REVIEW DURING OUR TRAINING AND AT FORMANS OFFICE DURING THE WORKSHIFT. <2> Page 2 <3> Held for Future Use <4> Held for Future Use HAZARDOUS MATE ,LS INSPECTION !:: ~i~ersfield Fire Dept. HaL~clous Materials Division "~ DateCompleted ~/?/~Y ~..~ ~/..,. ~ ~/~-!~~.~,...,~ ,_,~ Business ....... : .~.-., -~.. ~ ci~ v v, ~/ ~, ~ ~i~c. ~¢.~ 4'4~, ~/f Lock, on: ~'/~ ~,,/~,~ ,~,~, Business Identification No. 215-000 (0~3/~/'3 (Top of Business Plan) Station No. ~/ Shi~t ~ Inspector Arrival lime: /qt~-C-'~ Departure limo: /~r~/j.~ Inspection lime: /'5/~.5~ Adequate Inadequate Verification of Inventory Materials ~[~ l"'1 /v,,~v°~*~ Verification of Quantities ~ I'1 "~ Verification of Location ~ [~ DIV. Proper Segregation of Material~ 1'1 Comments: ~Nu' mber of Employees: Va riff cation of M SDS Availability [~-- ~-~°'~ Verification of Haz Mat Training ~ I'1 ~/~c:~'~' Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted ~ Containers Properly Labeled /~ Comments: Verification of Facility Diagram '~ I"1 Special Hazards Associated with this Facility: Violations: ~ ~ ~ ~ ,-I--, ~/~/~ All Items O.K Business Owner/Manager PRINT NAME A Correction Needed White. Haz Mat Div Yellow-Station Copy Pink-Business Copy Compa~y, Inc. SANTIAGO "JIMMY" MARTINEZ Director of Operations 314 California Ave. 9401 San Leandro St. Bakersfield, CA 93304 Oakland, CA 94604 (805) 325-7788 (510) 635-0366 (805) 325-4812 FAX FAX (510) 635-0368 04/29/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001 3 1 Overall Site with 1 Fac. Unit General Information ~' Location: 314 CALIFORNIA AV Map: 103 Hazard: Minimal I Community: BAKERSFIELD STATION 06 Grid: 3lB F/U: 1 AOV: 0.0 Contact Name Tit~e Business Phone 24-Hour Phone] THOMAS L. FORD I /~'~ ~(805) 325-7788 x (805) 834-9099, L. DALTON FORD ~l~D~ ~$S~ (805) 325-1597 x (805) 397-8570/ Administrative Data Mail Addrs: 314 CALIFORNIA AV D&B Number: A/~ City: BAKERSFIELD State: CA Zip: 93304- Comm. Code: 215-006 BAKERSFIELD STATION 06 SIC Code: 4222 Owner: THOMAS L FORD Phone: (805) 327-4084 Address: 314 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 93304- Summary 04/29/92 BAKERSFIELD COLD & DRY STORAGE 215-0~-001213 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-001 FREON 502 Gas 2249 Low ~ Fire, Pressure, Immed Hlth FT3 04/29/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 3 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM. <3> Public Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM AT THE SAME TIME OUR EMPLOYEES ARE NOTIFIED. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. 04/29/92 BAKERSFIELD COLD & DRY sTORAGE 215-000-001213 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention 1. FREON GAS CONTAINED WITHIN REFRIGERATION SYSTEMS. THERE ARE NINE INDIVIDUAL REFRIGERATION UNITS ALL LOCATED ON THE OUTSIDE OF THE BUILDING. THESE SYSTEMS ARE REGULARLY CHECKED AND SERVICED BY A LICENSED REFRIGERATION SERVICE COMPANY. THERE ARE NO ADDITIONAL SUPPLIES OF FREON KEPT ON THE PREMISES. OUR EMPLOYEES DO NOT HANDLE THE FREON. THIS IS ALL DONE BY THE SERVICING COMPANY. 2. WASTE OIL IS CONTAINED IN 50 GALLON SEALED DRUMS LOCATED IN FENCED YARD AREA AWAY FROM BUILDING ~ UNAUTHORIZED PERSONNEL. <2> Release Containment ANY GAS THAT MIGH LEAK FROM THE SYSTEMS WOULD DISAPATE RAPIDLY. RRT,RASE WOULD BE FROM SPILLING THE WASTE MOTOR OIL ON THE GROUND. NO RISK FROM BREATHING OR SKIN IRRITATION. DRUMS ARE MAINTAINED BY A FULLY LICENCED WASTE OIL COMPANY. THEY ARE NOTIFIED ~ RELEASE IS PRESENT. <3> Clean Up NONE NECESSARY. ANY CLEAN-UP REQUIRED IS PF~RFORMED BY A FULLY LICENCED REFREGERATION MAINTENCE COMPANY UNDER AN ALL INCLUSIVE MAINTENCE AG]~RRMENT. THIS COMPANY IS CALLED IN FOR ANY RELEASE CLKAN-UP AT DISCOVERY OF RELEASE. ~ASTE OIL IS ~OVED BY A FULLY LICENCED WASTE OIL ~AULER EVERY 60 DAYS OR WHEN NEED ARISES. ANY CnRAN-UP FROM SPILn;%GE WOULD BE ALSO T~E RESPONSIBILITY OF THE HASTE HAULER. SERVICE COMPANIES [JNDER MAINTENCE AGI~F. RMENT ARE ON FILE AT 314 CALIFORNIA AVENUE, BAKERSFIELD, CALIFORNIA 93304. <4> Other Resource Activation 04/29/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE WEST WALL AT PARKING AREA B) ELECTRICAL - WEST WAREHOUSE WALL INSIDE NEXT TO MEN'S ROOM C) WATER - SOUTH END OF DOCK ON WEST SIDE OF BUILDING NEAR STEPS D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - AT FRONT OF BUILDING (SOUTH SIDE). <4> Building Occupancy Level 04/29/92 BAKERSFIELD COLD & DRY STORAGE. 215-000-001213 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE 18 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: WE HAVE A WRITTEN PROGRAM THAT OUTLINES HOW WE WILL PROVIDE INFORMATION AND CONTROL YOUR EXPOSURE TO HAZARDOUS SUBSTANCES. THIS PLAN IS AVAILABLE FOR REVIEW DURING OUR TRAINING AND AT FORMANS OFFICE DURING THE WORKSHIFT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD HAZARDOUS ~ATERiALS INVENTORY Page ,.,of _ ~ Farm and Agriculture ~ Standard Business NON - TRADE SECRET BUSINESS NAME: Fordco Foods Company OWNER NAME: Thoma~ L. Ford NAME OF THIS' FACILITY: Fordco Fo~ds 'LOCATION: 314 California Avenue ADDRESS: 314 California Avenue ~ STANDARD IND. CLASS CODE: 4222 CITY, ZIP: Bakersfield CA 93304 CITY, ZIP:Bakersfield, CA 93304 PHONE #: (805~325-7788 PHONE,#:' (805~325-7788 REFER TO INSTRUCTIONS FOR PROPER CODES' I 2 3 4 5 6 7 8 9 10 ,11 12 1--~ 14 Trane Type Max Average Annual Measure # Days Cunt Cunt Cunt ~se Location Where % by Names of M~xture/Cc~ponent~ Code Code Amt Amt Amt Units on Site Type Press Temp dude Stored in Facility w~ ~ ~ [ ~ [ %6 ! 4 26 Outside NE fenced area ~-- Wh---~fu~l, dumped by £1cens 100 50 GAL 210 ' waste motor .oil ~ ~ I Component # ~ Same a C.A.S. ~u~er waste oil company Ph(~ and Health Hazard C.A.S. Number [ all that apply) Component ~ 2 Name & C.A.S. N~mber ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ I-~ediate ~] Delayed of Pressure Health Health ~ Component ~ 3 Name & C.A.S. Number Ph~ical and Health Haza~ C.A.S. Nu~er Co.orient # I Name & C.A.S. Nu~er (Check all that apply) . .Component I~ 2 Name & C.A.S. N~r ~ Fire Hazard ~ Sudden Release [] Reactivity ~-- Imodiate [] Delayed of Pressure. Health Health Component # 3 Name & C.A.S. Numbex ph~mical end Health Hazard C.A.S. Number Component ~ i Name a C.A.S. Number (Check ell that apply) Component # 2 Name & C.A.S. Number ~ Fire .azard [] Sudden Release ~ Reactivity [] In~ediate ~ Delayed of Pressure Health Health Component 9 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # I Name & C.A.S. Number (Check all that apply) Component ~ 2 Name & C.A.S. Number ~ Fire Bazard ~ Sudden Release [] Reactivity ~ I~ediato ~ Delayed of Pressure Health Health Component ~ 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 Thomas L. Ford Pres~ e~ ~ #2_~_D~,Lton Ford -- Adm Asst. 397-8570 Name Title 24 Hr. Phone Name Title 24 Hr Phone ~ Thomas L Ford~ President 5/13/92 , ' ' S~ ~NATURE DATE SIGNED NM,~ AND OFFICIAL TITLE OF O¥~'~IER/OPERATOR OR OWNER/OPERA-TORtS A'OTUOR.IZED CITY of BAKERSFIELD "WE CARE" April 28, 1992 F~RE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 L. Dalton Ford Bakersfield Cold & Dry Storage 314 California Ave. Bakersfield, CA 93304 Dear Mr. Ford: Enclosed please find the computer copy of your Hazardous Materials Business Plan that you certified as complete on April 10, 1992. This plan is not complete. The inventory is inaccurate. You have insufficiently completedthe highlighted sections El, E2, and E3 on page 4 of your plan. The business plan must also address your vehicle maintenance area. Please complete and return these sections by May 15, 1.992. If you have any difficulties please do not hesitate to call our office at. 326-3979. Sincerely Yours, "Ralph E. Huey Hazardous Materials Coordinator 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 1 Overall Site with 1 Fac. Unit ! General Information Location: 314 CALIFORNIA AV Map: 103· Hazard: Minimal Community: BAKERSFIELD STATION 06 Grid: 3lB F/U: 1AOV: 0.0 Contact Name Title , Business Phone ~ 24-Hour Phone- THOMAS L. FORD ~(805) 325-7788 x ~(805) 834-9099 L. DALTON FORD ](805) 325-1597 x L(805) 397-8570 Administrative Data Mail Addrs: 314 CALIFORNIA AV D&B Number: City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: 4222 Owner: THOMAS L FORD Phone: (805) 327-4084 Address: 314 CALIFORNIA AV ~ State: CA City: BAKERSFIELD Zip: 93304- Summary RECEIVED ~PR 1 3 1992 HA7 ~T. DI~ I, ~,~AZ~/~'~,~,'Do hereby ~ that ~ have reviewed ~he attached hazardous materials manage- ,' "'~~~__ anc; tha~ ~t along with "'- any corrections cons'U~ute a complete and c~rrect man- agement .plan for my facility. 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 2 .~ 02 - Fixed Containers on Site Hazmat Inventory. Detail in Reference Number Order 02-001' FREON 502 Gas 2249 Low ~ Fire, Pressure, Immed Hlth FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 Daily Average FT3 I Annual Amount FT3 2,249 I 2,249.00 2,249.00 Storage Press T Temp Location IN MACHINE/EQUIP Above ~Above IWITHIN REFRIGERATOR UNIT -- Conc Components ~ MCP List 100.0% IChlorodifluoromethane ILOw I - Notes 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification. CALL 911 <2> Employee Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM. <3> Public Notif./Evacuation NOTIFY BY PUBLIC ADDRESS SYSTEM AT THE SAME TIME OUR EMPLOYEES ARE NOTIFIED. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213. Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention FREON ~GAS CONTAINED WITHIN REFRIGERATION SYSTEMS. THERE ARE~t~B~ INDIVIDUAL REFRIGERATION UNITS ALL LOCATED ON THE OUTSIDE OF THE BUILDING. THESE SYSTEMS ARE REGULARLY CHECKED AND SERVICED BY A LICENSED REFRIGERATION SERVICE COMPANY. THERE ARE NO ADDITIONAL SUPPLIES OF FREON KEPT ON THE PREMISES. OUR EMPLOYEES DO NOT HANDLE THE FREON. THIS IS ALL DONE BY THE SERVICING COMPANY. <2> Release Containment Any gas that might leak from the systems wo~ld disapate rapidly. <3> Clean Up None neceaaA~,~. <4> Other Resource Activation 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut20ffs A) GAS - OUTSIDE WEST WALL AT PARKING AREA B) ELECTRICAL - WEST WAREHOUSE WALL INSIDE NEXT TO MEN'S ROOM C) WATER - SOUTH END OF DOCK ON WEST SIDE OF BUILDING NEAR STEPS D) SPECIAL - NONE ~ E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - AT FRONT OF BUILDING (SOUTH SIDE). <4> Building Occupancy Level 03/18/92 BAKERSFIELD COLD & DRY STORAGE 215-000-001213 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE ~]SEMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF.TRAINING: WE HAVE A WRITTEN PROGRAM THAT OUTLINES HOW WE WILL PROVIDE INFORMATION AND CONTROL YOUR EXPOSURE TO HAZARDOUS SUBSTANCES. THIS PLAN IS AVAILABLE FOR REVIEW DURING OUR TRAINING AND AT FORMANS OFFICE DURING THE WORKSHIFT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use · ,'.~: ~ ~.,\CITY of BAK~RSFI£LD ,.~.,,,~,.,....~.:~._ ./ Thomas L Ford (tyoe or Drinz name) Do hereby certify that I have reviewed the~,~,~ / attached Hazardous Materials business olan ~or ~a~ers~ie~a Co~ ~ ~y S~o~ase I~c. '~ (name of business) ~. ~T. DIV. and that it along with the attached additions or corrections constitute a complete and correct Busi~ss ~z~an for mv..~cility. . J___anuary 1751989__ . , s~gna~ur-e date BUSINESS NAME B6KERSILD COLD G ORY STORAGE IO £IS-~00-00121~ LOCGTION ~I~1~ C~ORNIA 6U HAZARD R~TING 1 1. OVERVIEW L~S'T"CHANGE'OG/IZ/88 BY ESTER JURIS CODE ZtS-OOG JURIS BAKERSFIELD STATION 88 MAP PAGE 103 GRID 318 ...... FACILI"FY'~N'I'TS I HAZARD RATING 1 RESPONSE SUMMARY ' ZA SEC 4) NO PRIV~T~"~£SPO~SE~'T1E'Fil'T~ EMERGENCY CONTACTS XA SEC Z> THOMAS L. FORD - L. DALTON FORD - 3ZS-ISB7 OR 397-8570 UTILITY SHUTOFFS A> GAS ~ OUTSIDE W WALL AT PARKING AREA- B) ELECTRICAL - W WAREHOUSE WALL INSIDE NEXT TO MEN'S ROOM C) WATER - S END OF DOCK ON W SIDE OF 8LOG NEAR STEPS D) SPECIAL - NONE E) LOCK BOX - NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHftNGE / / BY Notify by public address system at the same time our employees are notified. < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 1~/2~/B8 09:4B MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 848-G800 BUSINESS NAME BAKER.~I~LD COLD & DRY STORAGE ID NI~R~' 2~5-000-001213 LOCATION 314 CA~.'I'FORN'IA AV H~ HAZARD RATING 1 ~. HAZ MR~ TRAINING SUMMRRY L~ST CHANGE / / BY LOCAL EMERGENCY MEDICAL flSSISTRNC'E .... 'LAST CHANGE"OS/'l'ZYB~"'B~-'ES'TE-R SEC 5) MERCY HOSPITAL - 2215 TRUXTUN AVE - 32'7-33'71. != PAGE Z MATERIAL SRFETY~TR BUSINESS NAME BAKERSFILO COLD & DRY STORAGE IO NUmaR 21S~OOO-O¢~IZ13 LOCATION ~14 CAL~Im~'ORNIA AV Hll~/I~FIAZARD RATING 1 FACILITY UNIT O1 A. OVERALL HAZARDOUS MATERIALS INVENTORY ...... ' L~ST CM~NGE' 08712/88 BY ESl'ER ID TYPE NAME " NAX ANT UNIT HAZARD LOCATION CONTAINNENT USE 1 PURE FREON 50Z ZZ49 FT3 MODERATE WITHIN REFRIGERATOR UNI'T 'I'~"PROC;' ~C~NERY COOLANT ID PERCENT CONPONENTS '"~ .... HAZARD LIST 1104,00 100.0 CHbOROUtFEL'QOROI~T~NE'~ HODERATE B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 08/i~/88 BY ESTER 3A SEC 4> FIRE EXTINGUISHERS FOR'FyRE'~ROT£CT~OR. 3A SEC S) FIRE HYDRANT AT FRONT OF BLOG (SOUTH SIDE). PAGE 3 ............ 1Z/ZZ'/BB'~09:4~ MATERIAL S~FET¥ DATA SY'STEMS,'"I~C';<8~S>"'G~8~800 .... eUSINESS NAME BAKERSILD COLD & DRY STORAGE ID NUiR 215-~-~1Zt3" LOCATION 314 CAEmImFORNIA AV HI~ HAZARD RATING 1 O. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 08/12/88 BY ESTER SEC Z) NOTIFY BY PUBL. ICADDT~E$S'S¥S'T~M. E. MITIGATION / PREVENTION / ABATEMENT LRST~CH~NGE-~O~£~t2/SB.,.By-,~ESTER 3fl SEC 1) FREON GAS CONTR~NED'UITHIN REFRIGERATION "SYSTEMS. There are twelve (12) individual refrigeration units ail located on the outside of the building. These systems are regularly checked and serviced by a licensed Refrigeration Service Company. There are no additional supplies of freon kept on the premises. Our employees do not handle the freon. This is all done by the servicing eompany employees. PAGE 4 12122/88 OB:4G ' MATERIAl' SAF~El'¥'"DRTR"SYSTEMS";"'INC.'T80~) G4B'='BB'~ CITY of JERSFIELD .. ' Page I of 1 BUSINESS NAMEBakersfield Cold & Dry Storage OWNER ................ NAME: Thomas L. Ford NAME OF T~ FACILITY: Fordco Foods LOCATION:~14 California Avenue " ADDRESS: 314 California Avenue STANDARD IND. CLASS CODE Warehouse/4222~ cITY, Z~P: Bakersfield~ CA 93304 CITY, ZZP: Bakersfield, CA 93304 DUN AND ~.o,g ,: (~05)327-4084 ~MONE ,: (805)325-7788 or (805)834-9099 --_- __--- ~ ~o z~s~uc~zo~s ~o~ ~mo~ COD~S (ode ~ooe ~c Amc Est Units m Stce lyH Press lflp C~e .. Stored In Facility Nt see Inscructt~s ~C~kdll that a~y) -- ~"~--3 Freon #:12/CAS#75-71-8 .............................................................. ~,alt~ o~ P~essu~, ~lth # 22/CAS# 75-45-6 ...... ' **See attached invento~~'- ~5~5~~'~-3 .. -- ~ .... P~ysical end Health Hazard C.A.S. Num~ C~mt II HaH i C.A.S. (Check ell t~t apply) _.~ ~--~ Fire Hazard ~--J Reactivity ~--J ~lay~ ~--~ ~dd~ Release ~--J la. late Health of Pr~sure H~ith CMDm~t 13 Na~ i C.A.S. Number Physical end Health Hazard C.A.S. Numar b~t II NaN I C.A.S. Num~P (C~k all t~C apply) Fire Hazard ~--~ Reactivity ~--~ Oe~aye~ ~--~ ~d~ Release ~--~ I~late Health of Pressure Health .... Cn~t 13 NaN & C.A.S. Nul~P ,i rhysical *nd Health Hazard C.A.S. Num~r C~mt II NaN & C.A.S. Numar (Check all that r -- ~ r -- ~ r -- ~ ~ -- ~ r -- ~ C~mt 12 No~ & C.A.S. Ndmber ~--~ Fire Hazard ~--~ Reactiv~y ~--~ OeloyF~ ~ Release ~--~ I~late Health of Pressure Health ................ ~ ................................................ C~t II No~ ~ C.A.S. for ebtaininQ the infertile. ! believe t~t t~ subaltted tnforeati~ is true. accurate, and c~li~~ /~ ~ Thomas L. Ford~ Presidentz Tenant ~~~/~ 3Z03/89 - ~..,~, - BAKERSFIELD CITY FIRE DEPA ..-, ~3o "c" SVaEET RECEIVEB '~ /,~..~,~.~ BAKERSFIELD. CA 93301 - (805) 326-3979 JAN 2 5 1988 An~'d ............ HAZARDOUS MATERI ALS --~ ' ~. FORM 2 A ~~ INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a ~hole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS AME: Coco . --uc S. L0CATI0~ / STREET ADDRESS: ~ CAC(~~ A~u~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by !aw. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT.. GAS/_P~0PANE: Ou~,O~ &,3~'~I B. ELECTRICAL.4~[~,~---- $.O,~~q ~ ~2~(~ C. WATER: ~O~'~y ~d) ~' ~r.~ ,,~,~ c,.~'~T ~'.De ~ ~,c~,~C ~..cJ~_~oj . D. SPECIAL: E. LOCK BOX: YES /(~0~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SrTE PLANS? YES / NO MSDSS? YES / NO FL00R PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BI:SI.MESS AS A WHOLE SECTION ~'. LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAIXING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: ....................................... YES O YES B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~YES ~) ~ ~) C. PROPER USE OF SAFETY EQUIPMENT:.. ................. ~ NO NO D. EMERGENCY EVACUATION PROCEDURES: ................. '~.~ NO YES E. DO YOU .v~4INTAtN EMPLOYEE TRAINING RECORDS: ....... NO YES SECTION 7: KAZ~uRDOUS .W. ATERIAL CIRCLE YES - NO ~ DOES YOUR BUSINESS HANDLE HAZARDOUS M_¢TERIAL IN QUANTITIES LESS THAN ,500 POUNDS OF A SOLID, ,5,5 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF .-% COMPRESSED GAS: ...... YES X~ I, T~$ (-- ~J) , certify that the above information, is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.9~ ~Sec. ~$~00 Et ~.) and j;jkat inaccurate ,i4~formation constitutes perjury. - 2B - BAKERSFIELD CITY FIRE DEPART3IEXT 2130 "G" STREET BAKERSFIELD, CA 93301 -. OFFiCiAL USE ONL\ BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS ' 1. To avoid further action, this form must be' returned by: /2- 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 8. Answer the questions below for THE FACILITY UNIT LIFTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILI~ _/ FACILI~ ~'IT N~: SECTION 1: MITIGATION, PRE--ION, ABATEME~ PROCURES SECTION 2: NOTIFICATION AS'D EVACUATIO~ PROCEDURES AT THIS L%'}T ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS l;~qlT A. Does ti~is Facility Unit contain H;~zqrdous Yateria!s? ...... If YES, see ~. If NO, continue: with SECTiON'4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~~ If No, complete'a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (t~hite form If Yes, complete a hazardous mnterials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTiO~ SECTION §: LOCATI05' OF WATER SUPPLY FOR' USE BY EMERGENCY RESPO~YDERS SECTION fi: LOCATION OF UTILITY SHL'T-OFFS AT THIS b~?IT ONLY. . oAa,', ~xOPAN=. D. SPECIAL: E. LOC}{ BOX: YES '~ IF YES, LOC.kT!OX: IF YES '"" PLANS? "ES .... '"'" , 5:5 ,. ;.E : -. / 77(.~ ."4qD.q:-~? ~ .: ', .,, OOR Pf..\h'S? ::.'~ " ...... .,,.:, 38 IN] 0 [',1 -- T r~ A IL) l~ llAZARDOUS MATERI ALS I NVEN'I'O llY ..... ONLY HAX ANNIIAI, 'I,(iCATIOH IH TIll9 IIAZAI~I) I) () I TITLE: ~~ PIIOHE I DU~ IIOURS: ACTIVITY: ~~ ~~~ AFTER BUS. IlRS: -4A-I - Bakersfield Cold & Dry Storage 314 California Ave. Index Pg. 1. Coordinator Phone Numbers Pg. 2. Inventory Pg. 3. MSDS Report Pg. 4. Hazard Communication Program Pg. 1 Coordinator Tom Ford Product Information Number' 1-800-441-9450 Medical 'Emergency Phone' 1-800-441-3637 Transportation Emergency Number Chemtrec 1-800-424-9300 MATERIAL SAFETY DATA SHEET ID~lqTIFICATION Name: Freon® 12 with Dytel® Leak Detective Freon® 12 with Dytel® Leak Detective Concentrate Chenical Family: Halogenated Hydrocarbon + Dye Synonyms: . Formula: D£chlorodifluorome~hane + Dye* CCl2F2 Refrigerant 12 + Dye* * A proprietary anthraquinone dye ' ~' ~CAS Registry No. CAS Name: Methane, dichlorodifluoro 75-71-8 Manufacturer/Distributor: Medical Emergency Phone: E. I. du Pone de Nemours & Co. ([nc.) (800) 441-3637 Address: T.r. ansportation Emergency Phone: Freon® Products Division CHEMTREC (800) 424-9300 Wilmington, DE 19898 ' PHYSICAL DATA Boiling Point(°F): -21.6 Percent Volatile by Volume: 99.925+ Density: 1.311 g/cc at 77°F Vapor Pressure: 80 psig @ 77°F Vapor ~nsity (Air = 1): 4.2 Solubility in H20: 0.02 % by wt. @ 77°F Appearance: Clear Form: Liquefied Gas Color: Red Odor: Siight ethereal odor HAZARDOUS COMPON~ Material(s): Approximate % : Dichlorodi fluoromethane 99.925+ Stability: ' Material is-stable. However, avoid open flames and high temperatures. Incompat ib ility: Alkali or alkaline earth metals - powdered Al, Zn, Be, etc. ! Decompos i t ion: Freon® 12 can be decomposed by high 'temperatures (open flames, glowing surfaces, etc.) foming hydrochloric and hydrofluoric acids - possible carbonyl halides. ~ Polymerization: '~. Will not occur '.- FIRE AND EXPLOSION DATA ': Flash Point: Method: ~ None TOC '1 Autoignition Temperature: Flar~nable Limits in Air, % by Vol. Not Determined Lower: Nonflammable Upper: Nonfla~nable Autodecompos ition Temperature: >1400°F Fire and Explosion: Cylinders may rupture under fire conditions. Decc~nposition may occur. Extinguishing Media: ....... Nonflammable Special Fire Fighting Instructions ,~' Self-contained breathing apparatus' (SCBA) may be required if cylinders rupture and contents are released under fire conditions. HEAL~ HAZARD INFORMATION. ~ Principal Health Hazards: Inhalation: Vapor is heavier than air and can cause suffocation by reducing oxygen available for breathing. Breathing high concentrations of vapor may cause light-headedness, giddiness, shortness of breath, and may lead to narcosis, cardiac irregularities, unconsciousness or death. LC 50 Rats 800,000 ppm/30 min. Note: In screening tests with experimental animals, exposure at approximately 50,000 ppm (v/v) and above, followed by a large intravenous epinephrine challenge, has induced serious cardiac irregularities. Skin: Liquid contact can cause frostbite. Eye: Liquid contact can cause frostbite. Tests'in rabbit eyes with a 50%.solution in mineral oil and with vapors resulted in no observable damage. Oral: Rats were fed Freon® 12 dissolved in peanut oil. No deaths occurred at highest feasible dose - 1000 mg/kg. Ingestion of FC-12 w/dytel is to be avoided. Exposure Limits: PEL (OSHA) 1000 ppm 'TLV~ TWA (ACGIH) 1000 ppm Safety Precautions: Avoid breathing vapors and liquid contact with skin or eyes. Use only in well ventilated area. First Aid: " Inhalation: Ramove to fresh air, call a physician. If not breathing, give artificial respiration, preferably mouth-to-mouth. If breathing is difficult, give oxygen. Do not give epinephrine or similar drugs. Note to Physicians: Because of a possible increased risk of eliciting cardiac dysrythmias, catecholanine drugs, such as epinephrine, should be considered only as a last resort in life threatening emergencies. Eye: Flush with water; call a physician if frostbite occurs. Skin: Flush with water. Treat for frostbite if necessary. 'Medical Conditions Possibly Aggravated py Exposure: Cardiovascular Disease - See Princip eh" Hazards: Inhalation Section. Other Health HaZards: · Freon® 12 is not classified as carcinogenic by IARc, NTP, ·or OSHA. Based on animal studies and hunan experiences this fluorocarbon poses no hazard to man relative to systenic toxicity, carcinogenicity, mutagenicity, or teratogenicity when occupationa1 exposures are below its TLV~. PROTECTION INFORMATION Generally Applicable Control Measures: Normal ventilation for standard manufacturing procedures is generally adequate. Local exhaust should be used ~]en large amounts are released. Mechanical ventilation should be used in low places. Personal Protective Equipment: Lined butyl gloves should be used if liquid contact with the skin is possible. Chemical splash goggles should should be available. Under normal manufacturing conditions, no respiratory protection is required when using this product. Self-containing breathing apparatus (SCBA) is required if a large release occurs. Spill, Leak or Release: Ventilate area--especially low places where heavy vapors might collect. Remove open flames. Waste Disposal: EPA ~.azardous Waste No. UO 75 Comply with federal, state, and' local regulations. Reclaim by distillation or remove to a pemnitted waste disposal facility SHIPPING INFORMATION Domestic - Other than Air (DOT) Proper Shipping Name: Dichlorodifluoromethane Hazard Class: Nonflammable Gas UN No.: ' 1028 DOT Label: -' Nonflammable Gas DOT Placard: Nonflan~able Gas International Water or Air (IMO/ICAO) Proper Shipping Name: .,~%~[~"' .-~."~lorodifluoromethane Hazard Class: Nonflanmable Gas UN No.: 1028 IMO/ICAO Label: Nonflanmable Gas Other Information Shipping Containers: Cylinders, ton tanks, tank trucks, tank cars. Storage Conditions: -Clean, dry area. Do not heat above :125°F. Date Revised: 10/85 Person responsible: T. D. Armstrong, C&P Dept., Freon® .Products Lab., Chestnut Run, Bldg. 711, Wilmington, DE 19898 (302)-999-3847 or (302)-999'4338 -- E-77812-1 WR2.3 ,. ..~. MATERIAL SAFETY DATA SHEET IDMqTIFICATION Name: Freon® 22 with Dy~el® Leak Detective Chemical Family: Halogenated Hydrocarbon Synonyms: Formula: Chlorodifluoromethane + Dye* CHC1F2 + Dye R-22 + Dye*, Refrigerant 22, + Dye* *A proprietary anthraquinone dye CAS Name: CAS Registry No. Methane, Chlorodifluoro 75-45-6 ManufaCturer/Distributor: Medical Emergency Phone: E. I. du Pont'de Nemours & Co. (Inc.) 1800) 441-3637 Address: ~° Transportation Emergency Phone: Freon® Products Division ~*~' CHEMTREC (800) 424-9300 Wilmington, DE 19898 PHYSICAL DATA Boiling Point(°F) -41.4 Percent Volatile by Volume: 99.925+ Density: 1.194 g/cc @ 77°F Vapor Pressure: ~38'psig @ 77°F Vapor Density (Air = 1): 2.98 Solubility in H20: 0.30 Wt. % @ 77°F Form: Liquefied Gas Appearance: Clear Color: Red Odor: Slight ethereal odor HAZARDOUS CO~ONMNTS Material(s): Approxhnate %: Chlorod i f luorome thane 99.925+ HAZARDOUS REACTIVITY ~Stability: '~.~Material is stable. However, avoid open flames and high temperature. Incompatibility: Alkali or alkaline earth metals - powdered Al, Zn, Be, etc. Decomposition: Freon® 22 can be decomposed by high temperatures (open flames, glowing metal surfaces, etc.) forming hydrochloric and hydrofluoric acids - possible carbonyl halides. Polymerization: Will not occur. FIRE AND EXPLOSION DATA Flash Point: Method: None TOC Autoignition Temperature: Flanmable Limits in Air, % by Vol. ~l 170°F Lower: Nonflan~nable Upper: Nonflan~able Autodecompos ition Temperature >800°F Fire and Explosion: Cylinders are equipped with pressure and temperature relief devices but still may rupture under fire conditions. Decomposition may occur. Egtinguishing Media: Nonflammable Special Fire Fighting Instructions: O.t.h,e~,u.rning material may cause 'Freon® 22 to bum weakly. Extinguishant for other .~h~g%~aterial in area is sufficient to stop burning. Self-contained breathing ap~¥atus (SCBA) may be required if cylinders rupture or contents are released under fire conditions. Health Hazard Information .Principal Health Hazards: Inhalation: Vapor is heavier than air and can cause suffocation by reducing oxygen available for breathing. · Breathing high concentrations of vapor may cause light- headedness, giddiness, shortness of breath, and may lead to narcosis, cardiac irregularities, unconsciousness or death. LC 50 Rat 3000,000 ppm/2 hr.. Note: In screening studies with experimental animals, exposure at approxi- mately 50,000 ppm (v/v) and above, followed by a large intravenous epinephrine challenge, has induced serious cardiac irregularities. Skin: Liquid contact can cause frostbite. No other information found. Eye: Liquid contact can cause frostbite. No other information found. ._Exposure Limits: PEL (OSHA) 1,000 ppm TLV® TWA (ACGIH) 1,000 ppm Safety Precautions: Avoid breathing vapors and liquid contact with the skin or eyes. Use only in well ventilated area. First Aid: Inhalation: Remove to fresh air, call a physician. If not breathing, give artificial ..'_ respiration, preferably mouth-to-mouth. If breathing is difficult, give oxygen... Do not give epinephrine or similar drugs. Note to Physicians: Because of a possible increased risk of eliciting cardiac dysrythmias, catecholamine drugs, such as epinephrine, should' be considered only as a last resort in life threatening emergencies. Eye Contact: Flush with water. Call a physician if frostbite occurs. Skin Contact: Flush with water. Treat for frostbite if necessary. Medical Conditions Possibly Aggravated by Exposure: Cardiovascular Disease - See Principal Health Hazards: Inhalation Section. Other Health Hazards: ~. The components of this mixture are not 1,~{~d, as carcinogenic by IARC, NTP or OSHA. In chronic inhalation studies, Freon® ~a~'~'0duced a small incidence of tumors in male rats, but not in female rats orz.m~ie or female mice, at' concentrations of 50~000 ppm. In the same studies, no effects were seen in any animals at a concentration of 10,000 ppm (v/v). Moreover, based on animal studies and hcunan experiences this product poses no hazard to man relative to systemic toxicity, carcinogenicity, mutagenicity, or teratogenicity when occupational exposures are below recommended exposure limits. PROTECTION INTO~TI~ Generally Applicable Control Measures: Normal ventilation for standard manufacturing procedures is generally adequate. 'Local exhaust should be used when large amounts are-released. Mechanical ventilation should be used in Iow places.' Personal Protective Equipment: Lined butyl gloves should be used if liquid contact with the skin or eyes is possible. Cl~nical splash goggles should be available to prevent liquid contact with the eyes. Under normal manufacturing conditions, no respiratory protection is -- required when using this product. Self-contained breathing apparatus (SCBA) is required if a large release occurs. ~- ~Spill, Leak or Release: ,.';~entilate area--especially low places where heavy vapors might collect. Remove open ~lames. · W~ste Disposal: , Reclaim by distillation. Cc~nply, with federal, state and local regctlations'. SHIPPING INI~MTION Domestic - Other than'Air (DOT) Proper Shipping Name Chlorodifluoromethane .Hazard Class .: · Nonflar~nable Gas UN No. 1018 DOT Label(s) . Nonflanmable Gas DOT Placard ' Nonflanmable Gas International Water or Air (IMO/ICAO) P~oper Shipping Name Chlorodifluor°methane Hazard Class ,ll~nflanmable Gas IMO/ICAO Label Nonflammable Gas Other Information Shipping Containers Cylinders, tank trucks, tank cars Storage Conditions Clean, dry area. Do not heat above 125°F Date Revised: 10/85 Person Responsible: T. D. Armstrong, C&P Dept., Freon® Products Lab., Chestnut Run, Bldg. 71], Wilmington, DE 19898 (302) 999-3847 or (302) 999-4338. E-77771-1 REF 2/1.7 Inventory ,Refrigerant 12 #]0 Cont Temp. 32° · cc12 2 Cas-No. 75-71-8 O Refrigerant 22~ #10 Cont Temp. 46 CHC%F2 Cas-No 75-45-6 Refrigerant 502 #10 Cont Temp. 0° CHCIF2/CCIF2CF3 Cas-No 76-15-3 75-45-6 '"' ' '~MATERIAL SAFETY DATA SHEET I DEIYI/FI CATION Name: Chemical Family: Freon® 502 Halogenated Hydrocarbon Synonyms: Formula: Freon~ 115/Freon~ 22 Azeotrope, CHC1F2/CCl F2CF3 (.Azeotrope) R-502, Refrigerant 502 CAS Name: CAS Registry No. Ethane, chloropentafluoro 76-15-3 Methane, chlorodifluoro 75-45-6 Manufacturer/Dis tributor: Medical Emergency Phone: E. I. du Pont de Nemours & .Co. (Inc.) ~800) 441-3637 ~dress: ~"~' ~'~"' ~ansportation Emergency Phone: Freon® Products Division ~ CHEMTREC (800) 424-9300 · Wilmingt°n, DE 19898 PHYSICAL DATA Boiling Point(°F): -49.8 Percent Volatile by Volume: 100 Density: 1.242 g/cc ~ 77°F Vapor Pressure: 155 psig @ 77°F Vapor Density (Air = 1): 4.2 Solubility in H20: Not determined Form: Liquefied gas Appearance: Clear Color: Colorless Odor: Slight ethereal odor HAZARDOUS COMPONMYI~ Material(s): Approximate % : Chloropentafluoroethane 51.2 " -- Chlorod ifluoromethane 48.8 !~ REACTIVITY ....................... , : Material is stable~.~ However, avoid open flames and high temperatures. I Incompatibility: ' Alkali or alkaline earth metals - powdered Al, Zn, Be, etc. Decomposition: Freon® 502 can be decomposed by high temperatures (open flames, glowing metal surfaces, etc.) forming hydrochloric and hydrofluoric acids - possible carbonyl halides. ".. Polymerization: Will not occur FIRE AND EXPLOSION DATA · Flash Point: Method: None TOC · Autoignition Temperature: Flammable Limits in Air, % by Vol. Not determined Lower: Nonflm~nable Upper: Nonflanmable Autodecompos ition Temperature: Not determined Fire and Explosion: Cylinders are equipped with temperature and pressure relief devices but still may rupture under fire conditions. Decomposition may occur. Extinguishing Media: Nonflanmable t Special Fire Fighting Instructions: ~ Self-contained breathing apparatus may b~~ed if cylinders rupture or release under fire conditions. ~ HEALTH HAZARD INFORMATION Principal Health Hazards:. Inhalation: Vapor is heavier than air and can cause suffocation by reducing oxygen available for breathing. Breathing high concentrations of vapor may cause light- headedness, giddiness, shortness of breath, and may lead to narcosis, cardiac irregularities, unconsciousness or death. FC-115 LC50 Rat >800,000 ppm/4 hr., FC-22 LC 50 Rat 300,000 ppm/2 hr. Note: In screening studies with experimental animals, exposure to FC-22 at concentrations of approximately 50,000 ppm (v/v) and above, and exposure to FC-1]5 at concentrations of 150,000 ppm (v/v) and above, followed by a large intravenous epinephrine challenge, has resulted in serious cardiac irregularit les. Skin: Contact with liquid can cause frostbite. Eye: Contact with liquid can cause frostbite Exposure Limits: PEL (OSHA): Not Established TLV~ (ACGIH): '~' '1000 ppm for both components Safety Precautions: Avoid breathing v~p0rs and liquid contact with skin. Use in well ventilated area. First Aid: Inhalation: Remove to fresh air, call a physician. If not breathing, give artificial respiration, preferably mouth-to-mouth. If breathing is difficult, give oxygen. Do not give epinephrine or similar drugs. Note to Physicians: Because of a possible increased risk of 'eliciting cardiac dysrythmias, catecholamine drugs, such as epinephrine, should be considered only as a last resort in' life threatening emergencies. Eye: Flush with water. Call a physician if frostbite occurs. Skin: Flush with water. Treat for frostbite if necessary. Medical Conditions Possibly Aggravated by Exposure: Cardiovascular Disease: See Principal Health Hazards: Inhalation Section. Other Health Hazards: .... The components of this mixture are not listed as a carcinogen by IARC, NTP or OSHA. In chronic inhalation studies, FC-22 produced a small incidence of t~nors in male rats, but not female rats or male or female mice, at a concentration of 50,000 ppm (v/v). In the same studies, no effects were seen in any animals at a concentration of 10,000 ppm (v/v). Moreover, based on animal studies and hunan experiences this fluorocarbon poses no hazard to man relative to systemic toxicity, carcinogeniCity, mutagenicity, or teratogenicity when occupational exposures are below its recommended exposure limits. PROTECTION INFORMATION Generally Applicable Control Measures: Normal ventilation for standard manufacturing procedures is generally adequate. Local exhaust should be used when large amounts are released. Mechanical ventilation should be used in low places. Personal ProteCtive Equipment: Lined Neoprene gloves should be used if skin contact is possible. Chemical splash goggles should be available. Under normal manufacturing conditions no respiratory protection is required when using this product. Self-contained breathing apparatus is required if a spill or release occurs. DISPOSAL INFO~TION .~_~.~'~ ~ill, Leak or Release: Ventilate area--especially low places where heavy vapors might collect. 'Remove open flemes. · Waste Disposal: : -C~mply with federal, state, '~nd'ioCal regulatiOns or remove to permitted' waste disposal facility. Reclaim by distillation. '' 'SHIPPING INFORMATION "~mest£c - Other *Than Air (DOT) ' ' ProPer Shipping N~me . Refrigerant gas, n.o.s. Hazard Class · .. ' Nonflmmnable gas UN No. 1078 BOT Label(s) .. Nonflanmable gas DOT Placard Nonflm~nable gas .. International Water or Air (IMO/ICAO) ~ Proper Shipping N~ne' (]{!orodifluoromethane and . ~}~ .c~'opent:af luorclne thane m.~.. ~ur e ' bionflara~ble · gas Hazard Class . '~ :.. . :. UN blo. 1973 II~/IC~ Label bionfl~m'aable gas Other Informat:ion Shipping Containers 25~! Cyls to ton tanks Storage Conditions Clean, dry area. Do not heat above 125°F. Date Revised: 10/85 Person responsible:. T. D. Armstrong, C&P Dept., Freone Products Lab., Chestnut Run, Bldg. 711, Wilmington, DE 19898 (302) 999-3847 or (302) 999-4338. Hazardoo~Substance Group Type Training Once a month 1.S~fe~yfmeeting~ A. any new chemicals B. Questions on any chemicals C. any n~w ideas on (how to prevent) D. Any new dangerous situations New Employees 1.Show MSDS Sheets 2.E,xplain Refrigerant (dangers) 3.Explain fire evacuation program .... Hazardous Substance Group Type Training We~haVe a written program that outlines how we will provide information · and control your exposure to hazardous substances. This plan is available for your review during our traning and at the Foremans office for review dUring your workshift. Ail refrigerants at this warehouse are in the pipes suppling the evapa~ive coil in the freezers and in the cooler. None of the refrigerants are flammable or explosive. If you see a leak in the pipes, call the supervisor and let him know where the leak is. If yoU smell a odor (Sweet), call the supervisor. In the case of fire shut down equiptment, call supervisor, contact fire department.