The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 9/9/2003 Hazardous Mater~als/Hazard0us Wast CONDITIONSOF. PERMITi · ~ H~Mous M~als P~n :: · ~ Und~mu~ Storage ~'H~ffious ~als ~ ~o~ W~m O~it~ lint CLARK PEST,CONTROL LOCATION: 530 CALIFORNIA AVE ~- I~u~ by: Bakersfield Fire Depa~ment. . ' . ': F , 1715 Chester Ave., 3rd Floor Approv~by: Bakersfield, CA 93301 Voice {661) 326-3979 , · F~ (661) 326-0576 Exp~tion Date: SITE/FACILITY DIAGRAM FORM 5 DA~: ./ / FACILIT~ N~E: ' - UNIT =: OF i i ,, (CHECK ONE) SITE DIAGRAM FACILITY DIAGR.~M ~ ~ ~ ~' , [(Inspector's Comments): -OFFICIAL USE ONLY- ., ,. SITE/FACILITY DIAGRAM NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE: / / FACILITY N~ME: UNIT =: OF (CHECK ONE) SITE DIAGRAM ;/' FACILITY DIAGR.%M ~r (Inspector' S Comments): -OFFICIAL USE ONLY- ., - 5A - SITE/FACILITY DIAGRAM FORM 5 'NORTH SCALE: BUSINESS NAME: FLOOR: OF bATE: / "/ FiC'I£[TY NAME: 'UNIT :: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGRA~M .... C~-;~;- ~,~ -- , I ~ ~ :n~---~ -. . [(Inspector's Comments): ~,. ' ' -OFFICIAL USE ONLY- "',""~ "..'~ ~ :.~: , ~ .,' ":' SITE/FACILITY DIAGRAM FORM 5 3/, ';/o L~ ~_. ~ .~-r ,, ,~ . ; DA~I'E': / / FACILIT~ NA~E: ..... UNIT ~: OF I I (CHECK ONE)' SITE DIAGRAM FACILITY DIAGR.~M ~ (Inspector's Comments): -OFFICIAL US8 ONLY- SITE/FACILITY D I AG RDflv~ FORm 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE: / / FACILITY N~ME: UNIT ~: OF (CHECK ONE) SITE DIAGRAM ~'/ FACILITY DIAGR.~M ] ~rc~ ~~ ~V~ Inspector's Comments): -OFFICIAL USE ONLY- - SA - SITE/FACILITY DIAGRAM FORM NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE: / / ' FACILITY N~ME: UNIT -~: OF (CHECK ONE) SITE DIAGR~%~ FACILITY DIAGR~%M ' I I .~(Inspect°r's Comments): -OFFICIAL USE ONLY- - 8A - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY CO~TAt~T ,~_-- i/M~'~tv'"-M.-~ BUSINESS ID ~qO. IS-210- ~'"~'.,~ INSPECTION TIME ' ~0'~t4~- NUMBEROF EMPLOYEES n 1: Business Plan and Inventory Program ~ Routine [21 Comb. ined I~ Joint Agency [~ Multi-Agency [~ Complaint [~ Re-inspection~, OPERATION C V COMMENTS Appropriate permit on hand ~/ Business plan contact information accurate [/ / Visible address ~-~ Correct occupancy / Verification of inventory materials ~/" ~O~/a0~ VI~-- ~"~/... ~/~tl~}~ ~.) Verification of quantities v/ Verification of location Proper segregation of material ~ Verification of MSDS availability Verification of Haz Mat training 4~/, .~i~/~!~.~ Verification of abatement supplies and procedures / t Emergency procedures adequate / Containers properly labeled / Housekeeping 3 Fire Protection ~ Site Diagram Adequate & On Hand / C=C°mpliance V=Vi°lati°n '~0 .~ Any hazardous waste on site?: [~ Yes '~ ~ Questions regarding this inspection.* Please call us at {661 ) 326-39'/9 es ~onsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST ,'/~ 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~~ ~q' ~~-'~ INSPECTION DATE ADDRESS ~-'-~0 ,~ff~-l-~'O P.~/A . PHONE NO.. FACILITyCONTACT~g ~/~~~- BUSINESS ID NO. 15-210- INSPECTION TIME - [90 '~OW, t',~ NUMBER OF EMPLOYEES - 1: Business Plan and Inventory Program ltine ~ Combined ~ Joint Agency [~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~ '7./"14 p Visible address / Correct occupancy ..... Verification of inventory materials , . , ~'~ A'[~ .~0/LO?tg.J~At/ ~ r-~Oe/'V Verification of quantities Vd Verification of location g Proper segregation of material ~ "' Verification of MSDS availability b/ Verification of Haz Mat tra!ning Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection ~ / Site Diagram Adequate & On Hand C=Compliance V=Violationi~ ~y Any hazardous W~steion s es ~] No Explain: ~,~/~ ~ ~t~s, ~'e7 Questions regarding this inspection? Please call us at (66 !) 326-3979 ~" Busines~ ~t~ Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~.2~'/~' INSPECTION DAT~ ADDRESS ~"~-"29D[~/P4~jP, t~'/~4/~ PHONE NO. 3~1'~ FACILITY CO~,ITA~T .J~k V~ BUSINESS ID No. IS-2{0- ~-"~'- INSPECTION TIME ~/,qt~. NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program outine[~ Combined [.J Joint Agency I.J Multi-Agency t..J complmnt t.J Re-inspectioN OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate V/ ~ Visible address " / Correct occupancy Verification of inventory materials / '~hrT.-/hlO,~J ~f'~I~D ~Z) Verification of quantities v/ Verification of location v/ Proper segregation of material de Verification of MSDS availability Verification of Haz Mat training / ~OI~L~r Verification of abatement supplies and procedures / ~. Emergency procedures adequate Containers properly labeled 4'I Housekeeping Fire Protection Site Diagram Adequate & On Hand / C=Compliance V=Violation Explain:Any hazardous waste on site?: [21 Yes ~//No ~/~ Questions regarding this inspection? Please call us at (661) 326-3979 /'7 Business ~i-te P~esponsible Party White- Ear. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: CLARK PEST CONTROL i"~-~,~r. ~,,~-?~- ~?~, ! SiteID: 015-021-000585 Manager : I JAN /9 Z001 BusPhone: (805) 325-7211 : : City : BAKERSFIELD ' ~/]~:,. ~ ~Grid: 3lB FacUnits: 1 AOV: CommCode: B~ERSFIELD STATION 06 SIC Code:7342 EPA Nu~: DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMES F. CLARK ~,_/, MICHAEL CLARK ~-/ / ~--~3~' Business Phone:~) 325-7211x Business Phone: (~) ~ 24-Hour Phone : (~) 325-7211x 24-Hour Phone : (~) 325-7211x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Press React ImmHlth Contact : Phone: ( ) - x MailAddr: PO BOX 2466 State: CA City : BAKERSFIELD Zip : 93303 Owner JIM JR/MIKE/pAT CLARK Phone: (805) 325-7211x Address : PO BOX 2466 State: CA City : BAKERSFIELD Zip : ~ ~3o~ Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif ' d: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List -- As Designated Order All Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax IUnitlMCPI · FT3 Ext METHYL BROMIDE P IH G 1000.00 VIKANE P. IH G 237~5 00 ~FT3 Ext BUC .~JICE III . L iSv 00 ~AL n~ L 316 00 GAL UnR KNOX-OUT 2FM . _, DIAZINON ~W~'~/~/~'~ R IH S 1000.00 LBS Hi ~'-,-~i~ /'"),~/'C~ D0 hereby cerfih/~hat ! have · ' (Type or pn-~narne) reviewed the a~ached hazardous materials manage- ment plan for~/~/'~ '~.57--~_~.,OTP~,/__ ~.._~_.~ - " (~,,~o~,,,~) and that it along with any corrections constitute a complete and correct man- agement plan for my facility. CLARK PEST CONTROL SiteID: 015-021-000585 ~ ~ Inventory Item 0001 'Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME METHYL BROMIDE Days On Site 365 Location within this Facility Unit Map: Grid: FUMIGATION DOCK CAS# 74-83-9 r STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average '/~ lbs FT3 1000,00 FT3 400.00 FT3 HAZARDOUS COMPONENTS 100.00 Methyl Bromide (EPA) 74839 HAZARD ASSESSMENTS ITSoorotN~SIBiOHazNO No Radioactive/Amount. EPAHazardSINO/ Curies P IH NFPA/// USDOT# MCPExt ~ Inventory Item 0002 Facility Unit: Fixed Containers, on Site ~ -- COMMON NAME / CHEMICAL NAME VIKANE Days On Site 365 Location within this Facility Unit Map: Grid: FUMIGATION DOCK CAS# 2699-79-8 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average / .'7~c'/---Z~.S FT3 2375.00 FT3 2850.00 FT3 HAZARDOUS COMPONENTS 100.00 Sulfuryl Fluoride N 2699798 HAZARD ASSESSMENTS I TSecret oRS Bi°Haz IRadioactive/AmountNO N No No/ Curies EPA Hazardsp IH NFPA/// I USDOT# MCPExt -2- 01/02/2001 CLARK PEST CONTROL SiteID: 015-021-000585 = Inventory Item 0004 Facility Unit: Fixed Containers on Site ~UIV~VlUN ~Vl~ / ~~Z--LL~ ~Vl~ ~ ~ Days On Site onw~~~ 365 Locati n this Facility Unit : ' : OFFICE ~. CAS# ~ STATE [ TYPE CONTAINER TYPE Liquid Mixture Ambient GLASS CONTAINER LOCATION Largest Container Daily Daily Average GAL 100. GAL 100.00 GAL %Wt. -D'~~IO~O ~ RS CAS# 0.50 2,2 vinyl Dimethyl Phosphate ~ 62737 0.50 Dia~'inon No 333415 0.30 Chlorpyrifos No 2921882 HAZARD ASSESSMENTS TSecret RS BioHaz. Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No N° No No/ CuriesI IH / / / Hi = Inventory Item 0005 Facility Unit: Fixed Containers on Site ~JUlVllVlU~{ ~./--Uvl~j / ~J1-J.~lVll~J,g-~ N.-~j.Vl~ F~NOX OUT 2FM Days On Site 365 Location within this Facility Unit Map: Grid: PEST STOREROOM CAS# 333 -41-5 Liquid Mixture Above Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION ~ Largest Container I Daily Maximum Daily Average I 316.00 GAL 25.00 GAL PIAZARDOUS COMPONENTS %Wt. RS CAS# HAZARD ASSESSMENTS TSecret RI RSIBioHaz/ Radioactive/Amount EPA Hazards NFPA USDOT# MCP No~No ~ ~No No/ Curies / / / UnR 3 01/02/2001 CLARK PEST CONTROL SiteID: 015-021-000585 Inventory Item 0006 Facility Unit: Fixed Containers on Site ~1~ ~Vl~ / ~1~ £ ~-LJ~ ~Vl~ DIAZINON ~C~~~ Days On Site 365 Location wit.hin this Facility Unit Map: Grid: PEST STOREROOM CAS# 33 -41-5 F STATE = TYPE TEMPERATURE CONTAINER TYPE Mixture PRESSURE lSolid I Ambient I Ambient BAG AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average .~"O LBSI 1000.00 LBS 500.00 LBS HAZARDOUS COMPONENTS 50.00 Diazinon N 333415 HAZARD ASSESSMENTS TSecretNo N~SIBi°HaZNo Radioactive/AmountlEPAHazardsINO/ Curies R IH NFPA/// USDOT# HiMCP -4- 01/02/2001 F CLARK PEST CONTROL SiteID: 015-021-000585 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 04/24/1992 FIRE 911 HAZARDOUS MATERIALS DIVISION 326-3979 STATE O.E.S. 1-800-952-7550 -- Employee Notif./Evacuation 04/24/1992 INTERCOM SYSTEM -- Public Notif./Evac~ation 04/24/1992 NONE LISTED Emergency Medical Plan 04/24/1992 TO MEDI CE~TER OF DA~ERSFIELD 820 34TII S~ - 3~5-6~3.1 - FOR FALLS, .CUTS, ABRASIONS, BURNS, CHEMICAL ACCIDENTS, FIRES. IN THE EVENT OF A FIRE OR OTHER EMERGENCY, ALL EMPLOYEES WILL BE NOTIFIED PERSONALLY ~ WILL BE INSTRUCTED TO LEAVE THE BLDG IMMEDIATELY THROUGH THE APPROPRIATE EXIT. t} J 0 IrK I r -5- 01/02/2001 CLARK PEST CONTROL SiteID: 015-021-000585 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 04/24/1992 TRAINING PROCEDURE FOR PROPER MIXING AND HANDLING OF HAZARDOUS MATERIALS. TRAINING PROCEDURE FOR CHEMICAL SPILL EMERGENCY PLAN. -- Release Containment 04/24/1992 IN CASE OF SPILLAGE WE WILL USE "SOAK-UP" FOR CONTAINMENT AND ABSORPTION OF THE SPILLED MATERIAL. FOR A LARGE SPILLAGE A DIKING METHOD MAY BE IMPLEMENTED, AND A PHONE CALL TO A HAZARDOUS MATERIAL COMPANY MAY BE USED ~ Clean Up 04/24/1992 THE PRODUCT "SOAK-UP" OR SAND WILL BE USED FOR SPILLAGE. "SOAK-UP" WILL THEN BE PICKED-UP AND REPROCESSED FOR USAGE. SAND WOULD BE PICKED-UP AND PROCESSED ACCORDING TO THE LAW. Other Resource Activation 6 01/02/2001 CLARK PEST CONTROL SiteID: 015-021-000585 Fast Format ~ Site Emergency Factors Overall Site Special Hazards ~ Utility Shut-Offs 01/07/1990 A) GAS - NORTH SIDE OF MAIN BUILDING B) ELECTRICAL - NORTH EAST CORNER MAIN BLDG C) WATER - NORTH WEST FENCE ON S ST BY TELEPHONE POLE D) SPECIAL - ELECTRIC BOX NORTH SIDE MAIN BUILDING E) LOC BOX - NO -- Fire Protec./Avail. Water 01/07/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - CORNER OF CALIFORNIA AV AND S STREET Building. Occupancy Level -7- 01/02/2001 ?~LARK PEST CONTROL SiteID: 015-021-000585 Fast Format = Training Overall Site ~ Employee Tra,ining 01/07/1990 WE HAVE A EMP£6¥ ES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS EXCEPT cLERICAL PERSONNEL ARE'EITHER CERTIFIED OR LICENSED BY THE STRUCTURAL PEST CONTROL BOARD AND THEIR LICENSING AND CERTIFICATION REQUIRES INSTRUCTION IN THE SAFE HANDLING AND USE OF PESTICIDES. SECTION 1983 OF THE ACT. PROCEDURES FOR COORDINATION WITH LOCAL EMERGENCY RESPONSE ORGANIZATIONS (FIRE dEPAT) ARE DONE ON AN ANNUAL BASIS. (CONT) -- Page 2 01/07/1990 EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES ARE IN CLEARLY MARKED AREAS OF THE BUILDING OR IN VEHICLES. ALL PERSONNEL ARE INSTRUCTED IN THEIR USE YEARLY. ALL EMPLOYEES ARE TRAINED IN EMERGENCY RESPONSE PLANS ALL EMPLOYEES RECEIV ANNUAL TRAINING ON SAFETY AND EMERGENCY RESPONSE PLANS ARE REVIEWED. --Held for Future Use Held for Future Use -8- 01/02/2001 · 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 1 Overall Site with 1 Fac. Unit General Information Location: 530 CALIFORNIA AV Map: 103 Hazard: High Community: 'BAKERSFIELD STATION 06 Grid: 3lB F/U: 1 AOV: 0~.0 Contact Name Title Business Phone , 24-Hour~ Phone- JAMES F. CLARK (805) 325-7211 x 1(805 )325 -7211 MICHAEL CLARK (805) 325-7211 x l(805 )325 -7211 Administrative Data Mail Addrs: P O BX 2466 D&B Number: N/A City: BAKERSFIELD State: CA Zip: 93303- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: JIM JR/MIKE/PAT CLARK Phone: (805) 325-7211 Address: P O BX 2466 State: CA City: BAKERSFIELD Zip: 93383- Summary RECEIVED O,... I, JaMES F,. CLARK ,JR. - Do hereby certify that I haveAPR 2 ~? 199?- (Type or prim name) · reviewed 'li~,e attacheT~ h~a~d0us materials manage- HAZ. MAT. DIV. ment plan ~o~cr~AR[ PEST CONT~O~nd that it along with (Num~:., t~u~fnes~} a complete and correct man- 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 2 02 - Fixed Containers on Site ~azmat Inventory Detail in Reference Number Order 02-001 METHYL BROMIDE Gas 1000 Extreme · Pressure, Immed Hlth FT3 CAS #: 74-83-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: PESTICIDE Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 1,000 ~ 400.00 . 6,241.00 · Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove ~AmBiontlFuMIGATION DOCK -- Conc Components MCP List 100.0% IMethyl Bromide (EPA) IExtreme IEPA -- Notes 02-002 VIKANE Gas 2375 Extreme · Pressure, Immed Hlth FT3 CAS #: 2699-79-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: PESTICIDE Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 2,375 ! 2,850.00 10,940.00 Storage Press T Temp~ Location- PORT. PRESS. CYLINDER Above ~AmbientlFUMIGATION DOCK -- Conc Components MCp' List 100.0% 'lSulfuryl Fluoride '1Extreme I - Notes 03/18/92 CLARK PEST CONTROL 215-000-000585 Page~ 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-003 UNLEADED GASOLINE Liquid 10000 Moderate · Fire, Immed Hlth, Delay H~th GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL I DailyrAverage GAL I Annual Amount GAL 10,000 ~ 5,000.00 30,000.00 Storage IIPress T Temp Location UNDER GROUND TANK IAmbientlambientlPUMP AREA IN YARD -- Conc Components MCP iList 100.0% IGasoline IModerate I 02-004 BUG JUICE Liquid 100 High · Immed Hlth' GAL CAS #: Trade Secret: No Form:'Liquid Type: Mixture Days: 365 Use: INSECTICIDE Daily Max GALI Daily Average GAL I Annual Amount GAL 100 I 100.00 100.00 Storage Press T Temp Location GLASS CONTAINER Ambient/AmbientloFFICE 0.5% 2,2-Dichlorovinyl Dimethyl Phosphate High EPA. 0.5% Diazinon High 0.3% Chlorpyrifos High . 02-005 KNOX OUT 2FM Liquid 316 Unrated' GAL CAS #: 333-41-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GALI Daily Average GAL 1 Annual Amount GAL 316 ~ 25.00 316.00 Storage Press T Temp Location PLASTIC CONTAINER IabOve ~ambientlPEST STOREROOM -- ConC ~ Components i MCP iList 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02,006 DIAZINON 50W Solid 1000 High · Reactive, Immed Hlth LBS CAS #: 33-41-5 Trade Secret: No Form: Solid. Type: Mixture Days: 365 Use: PESTICIDE Daily Max 'LBS Daily Average LBS Annual Amount LBS 1.,000 I 500.00 I 1,455.00 Storage Press T Temp Location BAG IAmbientlAmbientlPEsT STOREROOM -- Conc .Components MCP List 50.0% IDiazinon IHigh I 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification NONE LISTED STATE O. E. S. 1-800-952-7550 <2> Employee NOtif./Evacuation INTERCOM SYSTEM <3> Public Notif./Evacuation FIRE - 911 NON EMERGENCY 326-3979 HAZERDOUS MATERIAL DIVISION <4> Emergency Medical Plan ALL PERSONNEL THAT REQUIRE EMERGENCY MEDICAL SERVICES MAY REPORT TO MEDI CENTER OF BAKERSFIELD - 820 34TH ST - 325-6334 - FOR FALLS, CUTS, ABRASIONS, BURNS, CHEMICAL ACCIDENTS, FIRES. IN THE EVENT OF A FIRE OR OTHER EMERGENCY, ALL EMPLOYEES WILL BE NOTIFIED PERSONALLY AND WILL BE INSTRUCTED TO LEAVE THE BLDG IMMEDIATELY THROUGH THE APPROPRIATE EXIT. 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention TRAINING PROCEDURE FOR PROPER MIXING AND ~ANDLING OF HAZARDOUS MATERIALS. TRAINING PROCEDURE FOR CHEMICAL SPILL EMERGENCY PLAN. <2> Release Containment IN CASE OF SPILLAGE WE WILL USE "SOAK-UP" FOR CONTAINMENT AND ABSORPTION OF THE SPILLED MATERIAL. FOR A LARGE SPILLAGE A DIKING METHOD MAY BE IMPLEMENTED, AND A PHONE CALL TO A HAZARDOUS MATERIAL COMPANY MAY BE USED FOR PICKUP.' <3> Clean Up THE PRODUCT "SOAK-UP" OR SAND WILL BEMUSED FOR SPILLAGE. "SOAK-UP" WILL THEN BE PICKED-UP AND REPROCESSED FOR USAGE. SAND WOULD BE PICKED-UP AND PROCESSED ACCORDING TO THE LAW.. <4> Other Resource Activation 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 7 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2>'Utility Shut-Offs A) GAS - NORTH SIDE OF MAIN BUILDING B) ELECTRICAL - NORTH EAST CORNER MAIN BLDG C) WATER - NORTH WEST FENCE ON S ST BY TELEPHONE POLE D) SPECIAL - ELECTRIC BOX NORTH SIDE MAIN BUILDING E) LOC BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS FIRE HYDRANT - CORNER OF CALIFORNIA AV AND S STREET <4> Building Occupancy LeVel 03/18/92 CLARK PEST CONTROL 215-000-00'0585 Page 8 O0 - Overall Site <G> Training <1> Page 1 WE HAVE 15 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS EXCEPT ,CLERICAL PERSONNEL · ARE EITHER CERTIFIED OR LICENSED BY THE STRUCTURAL PEST CONTROL BOARD AND THEIR LICENSING AND CERTIFICATION REQUIRES INSTRUCTION IN THE SAFE HANDLING AND USE OF PESTICIDES., SECTION 1983 OF THE ACT. PROCEDURES FORCOORDINATION WITH LOCAL EMERGENCY RESPONSE ORGANIZATIONS (FIRE dEPAT) ARE DONE ON AN ANNUAL BASIS. (CONT) <2> Page 2 as needed EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES ARE IN CLEARLY MARKED AREAS OF THE BUILDING OR IN VEHICLES. ALL PERSONNEL ARE INSTRUCTED IN THEIR USE YEARLY. ALL EMPLOYEES ARE TRAINED IN EMERGENCY RESPONSE PLANS ALL EMPLOYEES RECEIV ANNUAL TRAINING ON SAFETY AND EMERGENCY RESPONSE PLANS ARE REVIEWED. <3> Held for Future Use <4> Held for Future Use 03/18/92 CLARK PEST CONTROL 215-000-000585 Page 9 O0 - Overall Site <G> Training <4> Held for Future Use (Continued) ~ ~. Bakersfield Fire Dept.e - ~ HAZARDOUS MATERIALS DIVISION'~ Date Completed Business Name: ~_,~¢'~. '~O~T Location: .5",_~0 ~,"~;~f/~ f~ Business Identification No. 215-000 ,...~'~(Top of Business Plan) StationNo. 'i~(~ ~r)~'l- Shift Inspector Adequate Inadequate Verification of Inventory Materials I~ Verification of Quantities I~ ~] Verification of Location ~] Proper Segregation of Material ~ Comments: Verification of MSDS Availablity ~ Number of Employees Verification of Haz Mat Training I~] Comments: Verification of Abatement Supplies & Procedures I~] Comments: Emergency Procedures Posted I~ Containers Properly Labeled I~] Comments: Verification of Facility Diagram ~ Special Hazards Associated with this Facility: ,..,~-oA~c__.~ o[' /Y)P.,Jh~,('. 4~'~d~O~ ~q_-7~~ n.~?.~;~. ~ - /75 I~ ~,/.'~ ,.,~ J_~(./~ All Items O.K. Correction Needed Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy CITY-' of BAKERSFIELD HAZARDOUS HATERTALS TNVENTORY Farm and Agriculture I-I Standard Business ~ NON--TRADE ~Cr~c~I~,~TS LOCATION; _~ ~.A~J[~'-~-' ADDRESS: ~3re ~e?~[ ~?&~ ' STANDARD IND. CLA55 UUU~: iIrtns !y~e Nax Average Annual Ngas~re I I~e gent ~ont Con[ Us Locl[ion.¥he[e. Store~ ~n ~aCllt[y ;Code Lode AeC Ret Est units on ~ype ,tess lea~ Cole See ins[ructions Physical and ~eal[h Hazard C.A.S. Number Component II ~aea I C.~.S. Number (Check ali that ap~ly) · . Component 12 Name I C.A.S. Number Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ immediate Health et Pressure Health Component 13 Name I C.A.S. Number Physical and Health Hazard C,A.S. Number Component II Name i C,A,S, Number ~Check all that applyl Component I~ Name I C.A.S: Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Health of Pressure Component 13 Name I C.A.S. Number Physical and Health Uaiard C.A,S. Number Component II Name I C,A.S, Number · ~Check a'/1 that ApplH Component 12 Name I C.A.5. Number D Fire Hazard ~ Reactivity ~ Belayed ~ Sudden Release ~ Immediate Health of Pressure Health ~ Component 13 Name I C,A.S. Number Physical and Health ~aTard C,A.S. Number. Component II Name I C,A,S, Number iCheck 411 that applH ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~C°mp°nent Name C.A.S. Number Health of Pressure Component 13 Name I C.A,S. Number EMERGENCY CONTACTS fll · ~e T~[le ~r Phone ~e Title erLi[jga[ioq .(Re~ ~,n~.~ign af~pr compl~tipg,.~ll..~c~i~n~) C~acned,docgments, iflQ :pat eased on.my Inquiry gT.cnose IndividUalS responsible tot oocaln~ng the Information, ] believe :hat the uom~tteo ~ntormat~on ~s true, accurate And comp~ece. ~~~e of o~nertooerator UH o~nerloperator's authorized representative ~ure ACUTELY HJ~ARDOUS MATERIALS RE(~. TRATION FORM TI-DS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA WHICH AT ANY TIME HANDLES ANY ACUTELY HAZARDOUS MATERIAL IN QU .ANTrrIES GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP.1 THIS FORM SHALL BE COMPLETED AND SUBMITTED TO YOUR ADMINISTERING AGENCY. (§25533 & 25536 Health & Safety Code) 199! ...l~lote Instructions on reverse ,u.,n..,-,, ............ Process Designation3 ACUTELY HAZARDOUS MATERIALS HANDLED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMENTS: ~ 3. California Office of Emergency Services FORM HM 3777 (1-15-88) INSTRUCTIONS: Superscripts: 1. Quantities for RMPP compliance are "equal to or greater than" the minimum criteria and apply to chemicals handled "at any one time". 2. Businesses handling reportable quantifies of Acutely H~7~rdous Materials that have not submitted a business plan MUST contact local Administering Agencies. The business plan submission date will assure the Administering Agency that a business plan has been submitted and is on file. This will also immediately identify businesses that have not submiued business plans. 3. "Process Designation" is provided as a reporting option (with the approval of the Administering Agency) for facilities that can most easily report by process. Thus, facility RMPP registration data could be submitted in a similar format to a business plan that is divided by process. "By process" data can initiate an emergency response to a process incident rather than a general emergency response to a major facility. Process designation can simplify inspections for major facilities and improve future emergency response. 4. Refer to the EPA list of Extremely Hazardous Substances from the Federal Register (Volume 52, No. 77, p. 13397 et. sea_., April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Updates of this list may be available early in 1988. To comply wis this dement, you may attach a copy of the inventory submitted to your Administering Agency from your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list aH extremely baT~rdous chemicals handled in quantifies equal to or in excess of 1) 500 pounds, and 2) any EPA threshold planning quantity less than 500 pounds. 5. Do not include Trade Secret information in these descriptions. General: For emergency response purposes, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: a. What raw materials? b. What operating pressure range? c. What operating temperature range? d. Batch capacity rating? e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? 2. Continuous process: (similar information as above.) "Pursuant to §255M, Ihe Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administ~ing Agency determines that the handler's operation may present an acutely hazardous materials accident risk. The handler shall ~ the RMPP in w~rdance with subdivision (c) [of §25534]. The RMPP shall be prepared within 12 months following the request made by the ~g Agency pursuant to this section." (§ 25534 (a) Health and Safe~y Code) An amendment to the RMPP must be submitted to the Administe~g Agency within 30 days of: 1. Any additional handling of acutely hazardous materials. 3. Change of address, business ownership, or business name. (§ 25533 (c) Health & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP · California Office of Emergency Services FORM HM 3777 (1-15-88) .. CITY of BAKERSFIELD "WE CARE" April 19, 1991 FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFIELD. 93301 FIRE CHIEF ..... 326-3911 Mr. Patrick L. Clark Corporate Secretary Clark Pest Control P' O. 'Box ~66 Bakersfield, Ca. 93303 Dear Mr. Clark, The enclosed "Acutely Hazardous Materials Registration Form" must be completed by any business~ handling above the minimum repo~ting quantity of any material on the EPA list of Extremely Hazardous Substances. (Fed. Register Vol. 52~ No ??~ P. 13397). Your company has reported handling the following Acutely Hazardous Materials: 2~605 FT3 OF 100 % METHYL BROMIDE Please return the completed Acutely Hazardous Materials Registration Form by May 15, 1991 to: Bakersfield City Fire Department Hazardous Materials Division 2130 G Street Bakersfield~ Ca. 93301 If you have any questions regarding this £orm please call Barbara Brenner at 326-3979. Sincerely Yours~ Barbara Brenner Hazardous Material Planning Technician Bakersfield Fire Dept. ACUTELY ~Z~US ~TERI~ ~GIS~TION RISKMANAGEMENT AND PREVENTION PROGRAM CHECK LIST 1. A.H.M. REQUESTED 2. A.H.M. RECEIVED 3 . R.M.P.P. REQUESTED 4. R.M. P. P..REVIEWED 5 . R.M.P.P. APPROVED 6. R.M.P.P. INSPECTION COMMENTS: BUSINESS NAME I. DNUMBER RECEIVED CITY of BAKERSFIELD u6~ ~ 5 ~99~. Farm and Agticulture ri Standard Business :[~HAZARDOUS MATER'rALS ~NVENTORY BUS[NESS NAHE' ClaPk Pe~ Con~ol O~NER NAHE' ~im Cla~k, J~, Pa¢ Cla~AHE OF THIS FACILITY: ' B~anch 1 LOCATION;~20 ~li~~ ~ ADDRESS; o' ~ ~ ~A STANOARD IND. CLASS CODE: -' . ~ .......... CA ~0~ DUN AND BRADSTREE[ NUMBER ............... Irons [y~e ,ax Average Annual ,ea~ure I ~ont ~ont ~onC ~e Loc~tjon.lheEe. . Stared In taClllCy See Instructions Code core A~C ~mC EsC Un,ts on e ~ype Fress ~e~e . y~ lO( Pe[~oZeum GasoZ~ne Physical and ~eai[h Hazard C.A.S. Number ~~ Co~ponenC II ~e I C.i.S. Xumber . .. ~Fire Hazard ~ Reac:ivitr ~ Delayed '~ Sudden Release ~ leeediaLe Component Name I C.A.S, Number Health of Pressure Health Component 13 Name ~ C.A.S. Number ,.,I ~ I ~,~o~1~.~'1 ~.~ I~ I ~ I o~ I~ ~ I ~ IAO IF~mi~ation Dock IOC Methyl Bromide Physical and Health H~zard C,A.S. Number 74-83-9 Component II ~i~ t C,i,S, Humber Co~ponen['12 Ha~e I C,A.S, ~uaber B Fire Hazard' B Reactivity B 0elayed ~ Sudden Release ~ l"~i~ '- HeR/Ih of Pressure Component 13 Haa~ I C,A,S, Humber .I , I ~,~1~,~o I ~o,~o I~1 ~ I o~ I ~ [ 4 I 3o I F~migation Dock 9~ Vikane (Sulfuryl Fl~de) Physical and Heal[hHazard- C.A.S. Nu~ber 002699-79-8 Component II ~e I C,LS, Humber [Check ali [~ ~!~) 1 Ine~t Ingredient Fire Hazard ~ Reac[ivi~ ~ Delayed ~ Sudden Release ~ l~e~i~t~C°ap°nent 12 Ha~e I C,A,S, ~u~ber . Health of Pressure Health Component 13 Name I C,A.S. Humber ~ I , I ~,oool ~oo I ~,~ I.~s I ~ I ~ I ~ I ~ I~oI~e~Storeroom Dia~inon 50W ~h~SiC~l ~nd ~e~l~h ~H~rd C,A.S. Number. 33-41-5 ~0~p0ne~ Il ~e i ~,A,S, ~ber Diazinon:OO-Diet'hyl (Check ali thaL IpplH 50 Q~2-~sbpropyl-..' - Componen[ U Name I C,A.S, ~uaber 6-Methyl-4-Trylmidinyl B Fire Hazard B Reactivity B 0elayed B sudden Release B IB~i~ ~, ph"~sp~orothinate Health of Pressure Component I~ Name I C.A.S. Number ~ee Title ~r Phone ~e Title erti[jatioq ,(~e~ and sign a~pc compl~Cfctg.e11 sec~f~n~) .cer~[y unaer pena~[~ oy~a~ that l havepersonaj~Lexaaln~qe~o~a ~aaiataLgit~the~n[ocaaUpn submitted Jn this.end ali ~ ' . . acHcned.d0cgments, an~ t~4c oasea on By ~nquiry 9r. tnose InalVlOUalS responsible ror obtaining [ne information. I believe t~the % . - ~/ suomlttea IntormaLio~ IS true, accuraLe, ,no complec,, - ~~/~/~/ ~/~ ~ o~~ie ot e~n.r/ooerator u~ o~nerfoperator's authorizer reuresentatlve ~gn~- - ~t ~- - CITY of BAKERSFIELD ~U~[NE5S NAME: C~ ~e~ COR~PO~ O~NER NAME: NAME Or T~S rACZ~ZTY: LOCATZON: AODR~SS: STANDARD CITY, ZZP: CZTY, ZZP: DUN AND BRADSTREET NUMBER / (c~,u t~ ,~yl -- 46 Dichlorviny L Dimethy~ Ph~sPhat,e ]04 Related Compound ~ fl ~ ~ C.I.S. ~ )8.7) Inert I~redient blth of Pm~q blth ..... (c~k ~11 t~t . ~lth of Prfl~urt ~lth '~ - ..... Nf~GENCY C~TACTS I1 :ert~icat~ (Read and s~n after coepiet~n~ all ~ectJons) : ADI/' '- P.O. Ilex 24~6 530 California ^¥onue Bakersfield, California 93303 Phone (805) 325-7211 FAX (805) 325-1021 CHEMICAL USAGE - 1989 Chemical Usage // Aluminum Phosphide ' 24 oz. Amdro ' 26 lbs. Avitrol ................................ 5¼ lbs. Baygon ................................ 9 gals., 56 oz. Baygon Bait ........................... 1 lb. ~Blue Diamond Roach Bait ................ 13 lbs. Chloropicrin ........................... 351 oz. or 10.96 qts. Demon WP - Bag ......................... 748-3/4 lbs. Demon WP - Box ......................... 132 oz. Diazinon WP 50 ........................ 1,630 lbs. Drione ................................ 230 - 3/4 lbs. Dursban TC ~ . ........ 69.2 gal. Dursban WP ............................ 1,648 lbs. Eaton's Apple Blend ................... 506 - 3/4 lbs. Eaton's Bait Blocks ................... 47 oz. Empire 20 ............................. 9.8 qts. Ficam D ............................... 55 lbs. Ficam WP ' 764 oz. or 47-3/4 lbs. Ford's Ant & Roach Bait ............... 5 lbs. Knox-Out · 11 gals. Maxforce - Ants '~ 2 lbs, 8 oz. Maxforce - Roaches .................... 119.68Soz. or 7.45 lbs. Methyl Bromide .............. ~.. .......... 1,784-3/4 lbs. '~ Precor 5E ............................. 9.2 oz. PT 110.Resmethrin ..................... 77.2 lbs. PT 280 Orthene ................. ' ...... 1,656 oz. Purge III ............................. 956 oz. Pyrid ................................. 4 qts. Pyrocide ............................... 20 gal or 1½ qts.' Safrotin .............................. 11 qts. Sevin 80W ............................. 9 lbs. Sevin Granular ........................ 1,380 lbs. Tempo ................................. 224 lbs. Tempo WP 9 oz Vikane · 3 434 lbs VWR Purge Crack & Crevi.ce .............. 630 oz. Q pt. Hazardous Materials Inspection Date Completed Location: ~O. CO ~ ~.C.~ ~ I ~ RECEIVED Plan ID ~ 2~5-OO0 ~ ~ (Top fight co.er Business Plan) Station No. ~ S~ ~ Inspector ~e~q~ H*7 MaT. DIV. Adequate Inadequate Verification of lnvento~ Materials Verification of Quantities Verification of Location ~oper Se~ega~on of Matefifl Verification of MSDS Availab~i~ N~ber of ~ployees ~ ~ VefificaUon of Haz Mat Trai~ng C~~: Ve~caUon of Abatement SuppUes & Procedures Co~: ~e~ency Pr~ed~es Posted Containers Properly Labeled Co~: Ve~cafion of Faci~ Dia~ Speci~ Haz~ds ~sociated ~th t~s Fac~: ViolaUom: FO 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office "WE CARE" FIRE DEPARTMENT 2101 H STREET O. S. NEEDHAM BAKERSFIELD, 93301 FIRE CHIEF 326-3911 January 24, Mr. Jim Clark Jr. President .~-...Clark Pest Control '"530 California Ave. Bakersfield, CA 93304 Mr. ~lark: Following my inspection on 1-23-91, I contacted the Engine Company who conducted the inspection of Clark Pest Control on 2?-90. The Company Captain reports that his concerns regardin~ pesticide storage exceeding the quantities reported on your inventory were based upon the following observation: there were at least 2 cylinders of each vikane and methyl bromide inside the exterior storage room. Two cylinders of vikane equal 950 cubic feet of gas and do exceed the reported 250 cubic feet. There was no confusion on the part of the engine company inspectors regarding the empty cylinders. You are correct that you do not have to report the capacity of empty cylinders on your hazardous msterisls inventory. The updated 'hazardous materials inventory for Clark Pest Control is due on February 23, 1991. Report all hazardous materials which exceed 55 gallons, 500 lbs or 200 cubic feet. If products which are stored in amounts under the reportable quantities share a common primary ingredient and together equal the reportable amount, please combine the quantities and report them. Report them under the name o~ the specific chemical and indicate that the inventory item is a combination oX several pro~uc~s. Liquids can be converted into weights using the density of the material. Densities can usually be found on the Material Safety Data Sheets. ' It is fine to report your bulk chemicals individually even if they have similar ingredients. Combining the others, if they share constituents, helps to alleviate the problems related to storage of chemicals under the reportable quantities. I will include an hypothetical example on an inventory sheet. I can also assist with conversions of gallons to pounds if that would be helpful. I question the conversion factor that we received for methyl bromide, and I intend to contact Great Lakes Chemical to verify that figure. I believe that they quoted.the actual space inside the cylinder ( o 5 cubic feet) instead of the cubic feet per pound of compressed gas. Please call, 326-3979, if you have any questions. Sincerely, Barbara Brenner Haza~d~u~ Materials Planning Technician CITY of BAKERSFIELD HAZARDOUS MATERIALS I NVEN'TORY Farm and Agriculture [] Standard Business FI / ~, NON--TRADE SECRETS ; Page o'f BUSINESS'NAHE' ONNER NAHE' NAHE OF THIS FACILITY: LOCATION; ' ADDRESS: ' STANDARD IND. CLASS CODE; ' CITY. ZIP; -- CITY. ZIP'" DUN AND BRADSTREET NUHBER ......... P.o,E ,. ' -~~a-~.-~~~~ p ~o .. '- - - - ' ~ ?,t, ~.'A ~ ~ '~R~ ~O~NSTRUCTZONS~R~ROPER CODES - - lrans lyre Hex Avfr~ge Annual H~a~ure ~ont ~ont ~ont ~[~e Hix[ure/ComDonents (:ode cone ANt Amc Est un]ts / o,, e ~ype tress . . Storee In e~tty 5~e instruct~ons m I 1- I I' t' 14,' I' ........ , Physical and Health Hazard C.A.5. Humber ~,~c,~ ~_~ Component I! Name ~ C.A.S. Number lCheck all that apply) Co~.,~ ~ ~Y~' ~c~ ~ u~~ ,'~'~~~ - Component 12 Name I C.A,S. Nu~Far Health of Pressure Physical and Health Hazard C.A.S. Number Component 11 Name i C.A,S, Number (Check al/ that applyJ Component I~ Name I C.A,S, Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure ,Health - ~-- Co,poneAt 13 NAme I C.A,S. Number Physical 'and Health Ha~rd C.A.S. Number . ~/ ~~1 Name I C.A.S, Number ~ Fire Hazard ~ Reactivity ~ ~l~(d ~u~d~h. Release [ Heal~r 'Or Pressure~ Health C°mp°nent 13 Name ' C'~'5' NuAber ,, Ph,,sic*l -nd uealth Hazard~ C I S Number ' Coeponen: II Na~e I C.A.S. Nueber - Component I~ Hame I C.A.5. ~umber ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Hem ICh o~ Pressure Hem Ith -- Component t3 Name I C.A,S. Number EHEEGEHCY CONTACTS fll ~ee Title ' '~r PhOne ~e erti[jgatioq .(Re~ ~.n~.~ign af~pr compl~tipg.all sec~ipn~) certl[V unaer oenalty or,aW tnRt I nave pe[sonauL exaelnq~eqa le raNi lie(. vitb the/nlOCeaUpn iu~eitted in this.end all at~ached doc~ent~, Inl t~at oaseo on.my Inquiry ~[.tnose IflOivIouals responsible tot Obtaining the lfltorma:lOfl. ] believe that the suo~ tree Information Is true, accurate, ann co,HAte. ~~r~ITle of e~nerfooerator u, o~ner/~'~~~~Tatlye ~e ~It~i~a~ .... · ~' BAKERSFIELD CITY FIRE DEPARI!~ENT . 2130 "G" STREET · BAKERSFIELD, CA 93301 ~ (805) 326-3979 OFFICIAL USE ONLY BUSINESS NAME ~ ~ (~ HAZARDOUS lVL~TERI ALS BUSINESS PLAN AS a WHOLE FORM 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 whole. 4. Be as brief and cOncise as possible. SECTION 1: BUSINESS IDENTIPICATION DATA A. BUSINESS NAME: Clark Pest Control B. LOCATION / STREET ADDRESS: 530 California Avenue CITY: Bakersfield ZIP: 93304 BUS.PHONE: (805) ~25'7211 SECTION 2: E~[ERGENCY NOTIFICATIONS In case of an emergency involving the-release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-434,1. This will notify your local fire department.and the State 0fftce'of Emergency SerVices as requl~ed by 'law. .... EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. James F. Clark, Jr. Ph# (805) 325-7211 Ph#.{805) 325-7~1]. . B. Michael Clark ., Ph# !805) ~25-7211 Ph# {805)· 325-7211 ' SECTION 3': LOCATION OF UTILITY SHUT-OFFS FOR~ BUSINESS AS A WHOLE- ~:.,'. A. NAT, GAS/PROPANE,:/~Or~h side--of main buildi,nK_ :'". ~'' ,,~... B. ELECTRIC,AL:,' "_Np~th~tNo~tb~e~t cor~r ~f m~n~':~r~etbUil~i'n~_~:" .... ,':~ "~ :"~" '" C. WATER: . Yen~e ~n !,~!, b3 th'~'tel~Dnone ~leI'' SPECIAL: .'.' Ele_c,~rical box - North side"-of'maln~bui~din~, ;i:",~: ..... .' ,'~,' ,i? LOCK. BOX: YES / N~ IF.YES, LOCATION: '' , ~ ' .... IF YES, DOES IT CONTAIN SITE PLANS? YES /:NO 'MSDSS? YES / NO FLOOR PLANS? YES / NO' KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Immediat~e notification to: a. 91~; Fire Department and Health Department; 861-362~ b. State Office of Emergency Service~; ~-800-852-7550 or 916-427-4341 c. .All personnel shall file out the nearest exit. SECTION 5: LOCAL ENERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE 2. Ail personnel that require emergency medical services may report to Medi-Center of Bakersfield, 820 - 34th Street, 325-6334. 3. For Falls, cuts, abrasions, burns, chemical accidents, Fires, see Item 1 and 2 above. 4. In the event of a Fire or other emergency, all employees will be notified personally and will be instructed to leave the building immediately through the.appropriate exit. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO ~HAVE A PROGR~ WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER m. METHODS FOR SAFE HANDLING OF HAZ~RDOUS C. PROPER ~SE OF S~FE~ EQUIPage: .................. ~ ~0 ~ ~0 E. DO YOU ~I~AIN EMPLOYEE T~INING RECORDS: ....... NO NO CIRCLE ~S OR NO DOES YO~ BUSINESS ~NDLE ~ZA~OUS ~TERIAL IN QU~TITIES LESS THAN 500 POUNDS 0F A SOLID, 55 GALLONS OF A LIQUID,. OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, James F.:~%apk, 4~, .~: , certify that the above lnfo~matlon is accurate. I understand that this information will be used to fulfill my firm's obligations under the ne~ California Health and Safety code on Hazardous Materials (Dlv. 20 Chapter 6.95 Sec. 25500 Et Al.) and that..4naccurate_tnformation constitutes perjury. 'iG President' DATE. 7-6-87 - 2B - BA/(ERSFIELD CITY FIRE DEPAR'r]~NT 2130 "G' STREET BAKERSFIELD, CA 93301 ID# BUSINESS N~E: . BUS I N~-SS SINGLE FACILITY 'LT~IT. FO~U~ 1. To avoid further actioa, this form must be ret~rnedbY.: .:. 2. TYPE/PRInT 'YOUR A~SI~R$ IN ENGLISR. " "',."'::..'" ' ~. ^,.,,,-:th, qu,,t~o,, ~,,o,, ro~ T~. F^CZLZ~ UNiT L'ZSr~e"~:'.~i'.~.:'Li..· ~..' ' ".: .":~r, .F '%*.: . ~*:'; '%' , . · ' ~,czcz~ ~z~e..'.'.'::?..."..' ~' .~,czcz~ ~x~ ~: B~&~oh..o~'~i*~"~'::":~:~"?.:'::'..':'.:.''. '"?*' . : ..... ;".?:*':~::...:..:. '....:~ '.?...;..'...~.:'.~.... . .. . .. ,':' . ..... , _..,.:....... A ION ~ ~ . .?::.:.?,~¥ ~,~, -: -..:... - '.' TraXn~8 pr~edure for che~ceX ~p~11 emergency ~;ECT~O.~. :~: ~{AZARDOUS ~ATffRTA~$ ~OR Tll~S I~T 'O,~LY A. Doe~'th~ FacZl~ty Unit con~ln Haxnrdous ~aterJ~Is? ...... Zf ~S, aec B. ~f ~0, continue w~th SS~lO~ 4. a. ~e ~y of the hazardous .aterla~s a-~na f/de Trade Secret .~:.~:~ ' · If ~o, .c~piete a.'se~rete hazardous saterials lnveutory. fo~' mark~: ~ON~ JSE~ ~y (white for. . if Vas,. coepl eta :.a': ~=~dous. ~teri a I a l nveu.to~ ~ .fore..-iarkad ' ~OE .SE~.O~y (Ye] low tore., a~.l ) ~ n .addi t ion' to 'the ~n~trade' secret fo~. :!st' oaly.'.the' teed· secrets` Ou ::fore 4A~.".:::,..'. '~':'"'.:::.'J ...'.· .. ,'., .., · Corner of California Avenue and "S" Street ~ ~~AT~O~ O~ ~ ~ S~~S AT~. ~AT. .~ 7P~OPA~] No~th side of main building.. Northeast corner of ma~ bu~id~nR' ..,' . :.. . Northwest fence on ."S" Street by the telephone pole '_,. · ' ~ . '. ' · ' ,~'.--'~,. ':"~".. ~, . . .'~ ,..-.'- -.'.~.":'~.?: x . . .. -~~r~.~ . · .... . .' .. ~,, '_~., .: . ~ .... ~... ..... .,. . ..... ..,.,:.~.~;~"-,',::~:.',.:. :.,'., ,, . .- ,,, :. ..:.: - ,.~ , . . .... ' · ,' / :~:~'~,:~,/,' , :'::' ' .', .~.:. ".-':' ':':,"~L"::..~:'/':..'~?~:',' ". '.:,,'.~;,~.:'.'~/c;,;:'; "'. , F'.,' CITY of BAKERSFIELD NON--'I.'RAI) E S EC RETS ~SIHESS NA~E: ............ CL~RK PEST. CONTROL~...~.~_ OWHEm NA~E~ZM CL~RK ~. ~MIK~ CL~RK ............ P~ CL~RKH~E- ~_ _ OF T~ F~CZLZTY:_ ...... CORPO~TE OFFICE LOCATION: 530 CALIFORNIA AVE ~gg~S~"'~:O~' ~aX"~4g~' '*'* ........... ' STANDARD I.D. CLASS CODE CITY, ZIP: BAKERSFIELD,CA 93304 CITY, ZXP~AKERSFIELD~CA 93303 DUN'AND BRADSTREET ~UMBER PMONE ~: 325-7211 ~MOM~ ~: 325-7211 __-___ - of Pm~ ~lth ............... .... With of ~m ~lth ~ ' 0.4fi Dichloro~inyl d}mo~hyl phosphato (C~k ill t~ e~ly) .0~ Related Compound ~t ~ ~.s C.A.S. ~ 0.25 Chlorpyrfus ~lth of Pm~ Mlth ~' 55~ DiazinoB ~t I] ~&C.I.S. ~ ~8.~5 Inert ingredients ~lth of Prflsure ~lth '--- - .... .[.~[.c. C~t~TS ,~ JIM CLARK. JR. PRESIDENT 325-7211 gl MIKE CLARK GENERAL ~NAGER 325-721 1 CHEMICAL SPILL CONTINGENCY PLAN The purpose of this plan is to protect personnel and the environment in case of a chemical spill involving Clark Pest Control equipment and/or applicators. I. SCOPE--SPILLS ON HIGHWAY AND BYWAYS 1) If an applicator of Clark Pest Control is responsible for the release of a hazardous material, .he/she is responsible for taking charge of the situation prior to the arrival of local authorities. The applicator will ensure that: a) Traffic is diverted and that no one walks on or drives through the spilled material and that, b) Immediate steps, utilizing spill control material, be taken to contain the material at the original site. (See Spill and Clean-up I" Procedures.) 2) If the spill occurs on a freeway or a road in an unincorporated area, the California Highway Patrol Officer at the scene will assume control of the situation. After he has diverted the traffic around the accident, he will determine the product and call Chem Trec (1-800-424-9300). They will, in turn, notify Clark Pest ,Control and request the spill be cleaned up. If the accident occurs on a city street, the 'local authorities will assume control and follow a simila~ procedure. 3) At the first opportunity, the Clark Pest Control applicator will report by phone giving as much information as possible relative to the completion of a "Hazardous Spill Report". If' it is not possible for Clark Pest Control personnel to clean up the spill, then a superior will direct an outside contractor to the site. 4). Any spill off the premises, particularly on a public · road;' Wili probably cause the news media to be alerted. Those CIark Pest Control employees handling the. situation shOuld ~consult with the office prior to commenting to ~ neWs. media. ~.'..'.:~?,~ '~ ' :~-iI !-k ~ . ..... ','.'~: ~' ~'.:. '," ; · ' ' ' : J~ 1 SPILL CONTROL AND CLEAN-UP PROCEDURES--OUTSIDK 1) Site and s_e_~. Secure the spill site from entry by unauthorized personnel, if~ necessary, obtain assistance from the local authorities. 2) Containment and contrOl. Spilled pesticides must be contained at the original site of the spill. The pesticide must be prevented from entering the storm drains, wells, water systems, and navigable water-ways by following these procedures: a. Wear appropriate protective equipment from a spill kit. b. Prevent further leaking by repositioning the pest- icide container. c. Prevent the spill from spreading by trenching or encircling the area with a dike of sand, absorbent material, or, as a last resort, soil or rags. Cover the spill. If the spill is liquid, use an absorbent material. If the spill is dry material, use a polyethylene or plastic tarpaulin and secure. NOTE: Use absorbent materials sparingly as they must.be disposed of as hazardous waste. 3) I)rv so ills (dusts, wettable powders, granular form-- ulations) should be picked up in the following manner. a.. Immediately cover powders, dusts, or granular materials to prevent them from becoming airborne. This can be done by placing a polyethylene or plastic tarpaulin over the spilled material. Weight the ends of the tarp, especially the end facing the wind. Begin cleanup operations by systematically rolling up the tarp while simult- aneously sweeping up the spilled pesticide using .a broom, shovel, dust pan or vacuum. While sweeping', avoid brisk movements in order to keep the dry pesticide from becoming.airborne. If indoors, a cover may not be necessary. When .ipractical, a light sprinkling with water may be · used instead of a cover. b. Collect the pesticide and place it in heavy-duty · . plastic bags. Properly secure and label the bags, identifYing the pesticide and possible hazards. Set the bags aside for later disposal.. .4) Liquid spills should be cleaned up by placing'a spill into the spill using a broom or other tool to. force the 2 pesticide. Collect all spent 'absorbent material and place into a properly labeled leakproof container. II. SCOPE--SPILLS IN THE INTERIOR OF A STRUCTURE 1) Most interior spills can be avoided, they are generally the result of inadequately maintained equip- ment or misapplication by the applicator. Therefore, equipment should always be checked prior to application. Power spraying equipment for termiticide applications should be tested outside the structure to check for leaks in valves, hose connectors, hose and/or.injection equipment. Under no circumstances should concentrations be brought inside a struCture. A. S~!l]_]~onNon-CarDeted Areas 1. When making interior applications of termiticides bring a spill-control kit into the structure. a. At first indication of flooding, stop the treatment. b. Lightly sprinkle spill control absorbent onto liquid. c. Ventilate area. d. Use chalk to outline the' area or liquid flooding for future clean-up Procedures. e. Phone appropriate supervisor giving as much information as possible relative to the comp- letion of a "Hazardous Spill Report", and request a decontamination kit if needed. f. Use a dust pan or similar scoop to collect absorbent. Place in bucket. Empty bucket into spray tank on truck. Be sure not to contaminate other areas during the removal process. 2. .Smaller. spills (i.e., compressed air sprayers) can be handled in a similar manner, if it can not be cleaned readily with a rag. 1. When making interior applications of. termiticides bring a spill control kit into a structure. 2. At first indication of flooding, stop treatment. S. Apply spill, control absorbent to liquid surface and-contaminated areas to control spread. 4. Remove as much absorbent as possible and .place in bucket. Empty bucket into spray tank. 5. Call supervisor to report information. Hazardous spill reports must be completed as soon as possible. ~ III. DECONTAMINATION PROCEDURES' WILL BE SPECIFIC TO EACH PESTICIDE Applicators should wear appropriate protective equipment(' when performing cleanup or decontamination procedures. You should Check with the manufacturer to determine the appropriate means of decontamination before an incident. IV. SpILL-CONTHOL KIT 1) 5 gallon bucket with sealable lid or sealable heavy duty' plastic bags. 2) Copy of company spill control procedures. 3) Rubber gloves. 4) 'Dust pan and dust broom. 5) Detergent and water. 6) Soak-up, cat-litter or other absorbent material; (Caution: Soak-up may only be used with water based materials, carry enough absorbent materials to handle maximum spill from truck) 7) Fifty. feet of twine. 8 ) 4 Stakes. 9 ) ' Chalk. 10) Tarp or pglyethylene cover .for dust materials. 11) Gum labels or labels for plastic bags and marking pen. 12 ) Sponges V. DECONTAMINATION KIT 1 ) Copies of company ' s spill and decontamination procedures (as determined by manufacturer) 2 ) Rubber gloves. .. 3) Fifty feet of twine 4) 5' gallon bucket with sealable lid and heavy duty plastic bags. 5) Paper or cloth t6wels. 6) Dust pan and dust broom. 7) Detergent and water; (check MSDS for appropriate materials) 8) Bleach .and alcohol; (check MSDS for appropriate. materials ) 9) Soak-up, cat litter or absorbent material; (enough to handle maximum spill by this truck) 10) Six (6)'inch squeegee. 11 ) Chalk. 14) Small portable vacuum (Dust Buster). 15) Tarp or polyethylene cover (for dust). . CLAi K . mlPEST CONTROLIB P.O. Box 2466 530 California Avenue Bakersfield, California 93303 Phone 325-7211 December 29, 1986 Office of Emergency Services 1030 - 15th Street, Suite 302 Sacramento, CA 95814 Gentlemen: I. Inventory Plan for Hazardous Materials 1. Clark Pest Control, Inc. 2. (805) 325-7211 3. Operator: James F. Clark Owners: .James F. Clark,.Jr., Michael H. Clark, Patrick L. Clark 4.. Clark Pest Control services homes and commercial establish- ments for termite, pest control, fumigations and yard and tree services. 5. Physical Address: 530 California Ave., Bakersfield, CA 93304 Mailing Address: P.O. Box 2466, Bakersfield, CA 93303 6. Technical information Can be provided by Jim Clark, Jr. or' Mike Clark, Manager & General Manager, respectively - 24 hrs., (805) 325-7211 7. See attached Exhibit A. 8. Storage for pest cOntrol supplies and termitlcdes are stored in the warehouse - see attached diagram for exact locations. Fumigants are stored in locked area on the dock located on the east side of yard area. See diagram. All chemicals are mixed and dispersed.at Job sites except fumigation chamber in yard (see conex on map) Or trucks brought in for fumigation (see fumigation area on map). Emergency Response Plan - Part Two Spills and Fire 1. Immediate notification to: a. 911; F~re Department and Health Department; 861-3621 c. All personnel shall file out the nearest exit. Office of Emergency Services Page Two Sacramento, CA 95B~4 Dec. 29, ]986 2. All personnel that require emergency medical services m~y report to Dr...Willard Christiansen, 20~ - 22nd Sto,...327-9617 or Memorial Hospital ~ 420 - 34th Street - 327-.1792. 3. 'For falls, cuts, abrasions, burns, chemical accidents, fires, see Item 1 and 2 above. 4. In the event of a fire or other emergency, all employees will be notified personally and will be instructed to leave the building £mmediately through the appropriate exit. III. Training 1. Methods. for safe handling of hazardous materials except clerical personnel are either certified or licensed by the Structural Pest Control Board and their licensing and certification requires instruction in the safe handling and use of pesticides. Section 1983 of the Act. 2. Procedures for coordination with local emergency response organi- zations (Fire Department) are done on an annUal basis. 3. Emergency response equipment and supplies are in clearly marked areas of the building or in.vehicles. All personnel are instructed in their use yearly. 4. All employees are trained in emergency response plans. 5. All employees receive annual training on safety and emergency response plans are' reviewed. Very tr.uly yours, /JAMES F. CLARK, / President * HAZARDOUS SPILL .REPORT * Date: Employee Name: Time: LOCATION OF SPILL: - Address: City: Zip Property Phone #: NAME OF CHEMICAL SPILLED: ( ) Concentrate ( ) Dilute Percentage AMOUNT OF CHEMICAL SPILLED: AMOUNT OF ABSORBENT MATERIAL USED: ( ) oz. ( ) pt. ( ) qt. ( ) gal. ( ) lb. Explain how spillage Occurred: Explain procedures in cleaning up the spill: Where was material diposed of.. Conditions during spill: (weather) (windy) (moisture) (auto accident) What measures can be taken to avoid spillage from occuring again~ Technician signature Name of person contacted at the'office:' Supervisor signature' Was anyone exposed to' pesticide,~ ~" ....... ~: Name of person(s).exposed~ ~ Management signature · CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFIELD, 93301 FIRE CHIEF 326-3911 May 15~, 1990 P.O. Box 2466 Bakersfield, CA Dear Mr. Clark, Pursuant to our phone conversation~ I am sending you the forms to update your Hazardous Materials Management Plan. Only update the inventory portion of the plan unless there have been changes in the other sections as well. Please send the.updated inventory to: The Bakersfield Fire Department Hazardous Materials Division 2130 G St. Bakersfield, CA 9330i This information is needed to close out the status of Clark Pest as a handier of acutely hazardous materials w~ic~ exceed the total planning quantity. Please send it as soon as possible. Sincerely, Barbara Brenner Hazardous Materials Planning Technician May 6, 1~0 Mr, James Ol~rk Jr. P.O. Box 2466 Bakers?ield, Ch 93304 Dear Mr, Clerk, During our past phone conversations regarding hazardou~ materials handlimg, you expressed ari interes% in participating in the emergency planning process. The chemical industry is active in planning arid training · throughout California via the formation of Community 6wareness and Emergerlfy Response (ChER) Stoups. These groups are formed by industry to add their experience 'to that of government in training emergency responders and 5uiiding community understanding of the hazards and risks associated ~ith chemical use and applications, The Bakersfield Fire Department Hazardous Materials Division encourages the formation of a CeER Group in the southern San Joaquin ~alley. We would be pleased to with such a group to help provide proQram suggestions and suppor%. Through your professional affiliations, perhaps you will find that there is interest in forming a local ChER Group. I have included contac% information for %he various groups in the state. TePesa Withers, of the South Fr'esrio CeER, is a member of this area~s Local Emergency Planning Committee (LEPC) and knows of our' desire to foster such a group in the south valley. She would be able to Give you specific details of ChER Group activities arid how to %opm the organization. I will notify hep that you may be contacting her in this regard, The Local Emergency Planning OoMmittee meetings are open to the public and held bimonthly within Region 5. The LEPC plans and coordinates response for hazardous materials emergencies. By at'tending the meetings, you can participate fully and act on subcommittees such as training and standards. Members o? the LEPC inciude representatives ?rom private industry, law enforcement, fire, transports%ion, agriculture, the media, local administering agencies, emergency healthcare, and environmental interest groups, vacancies come open, active participants may be asked to sit as votin~ members of the LEPC, The statewide organization that addresses chemical emergency issues is the Chemical Emergency Planning and Response Commission (CEPRC). The CEPRC ~eets t~lce each month in Sacramento. If you would be interested in attending either o¢ these organizations' meetings, give ~e a call at 526.-J979 and I will get you a cur'rent schedule, I hope that you and your associates in the pest control industry ar'e interested in beginning a local CSER 6roup, Please call i¢ you wish to pupsue this possibility and I witi lend assistance in any way ican. Sincerely, Barbara Brenner Hazardous Matepials Plannin~ Technician c/o D~ Coacor~ (N~ar~ ~m~L Uuion ~W) c/o ~C N~ ~to ~ Don B~ P.O. ~out~em C=t~nmia ~ Gab~d Va~ ~c M~ P.O. ~ ~ (818) g~81 ~ c/o App~ S~ar ~r~ ~ h~t~ ~ 91749 C/O ~ O~ Com~ ~ ~ ~49 ~rlsbad A~ ~ER 3~ ~ ~9 P~ Oa~ Way (619) ~I-95~ ~A~ AND ~A~ONAL May G Ms, Teresa Withers South Fresno CAER c/o FMC P.O. Bo× 2386 Fresno, CA 93745 Dear Ms. Withers, As you kno~, the Bakersfield Fire Oepartment Hazardou~ Materials Oivlsion is interested in encour'aging the formation o? a CaER Group in the southern San Joaquin k~alley. Jame~ Clark, of Clark Pest Control, has expressed an interest in becoming more active in the area of e~ergency planning and responae, i have shared what I can with hi~ about the function and activities o¢ CGER Groups, i suggested that he contact you to find out more details about individual organizations and the formation of these groupa. if you could send any in¢or'mation you may have outlining OAER Group activities and requirements for group formation, it will be helpful to me in recruiting interested industry partici, pan~s. Thank you for your a~sistance and please call, 32G -3979, if you have any sugQestion~ regarding our approach to initiating a CAER Group locally. Sincerely, Barbara Brmnner Hazardou~ Materials Planning Technician May 1, 1990 Dear Business Manager: The following questionnaire is a supplement to the Acutely Hazardous Materials Registration Form previously submitted by your business as required under Section 25534 of the California Health & Safety Code. This registration indicates an accutely hazardous material ( AHM ), in a~ amount greater than the planning quantity for this chemical. Additional information is necessary irt order to complete the risk management planrtir~g functions of this agency. This questionnaire should be completed by an officer of the company or other person having substantial management control over all operations at the facility. If there is arty doubt as to whether or not the answer to a question is yes or no, the answer "yes" shall be given. With in two weeks of receipt, complete and return the questionnaire to: The Bakersfield Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 If you need additional information, please call 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician Flowable Microencapsulated Insecticide .... £~ Registration ~o. 4581-335 '--~' .,. . GENERAL INFORMATION '::' ..... '": '" KNOX OUT 2FM is aflowable microencapsulated formulation containing '-......,% . .: 2 pounds Diazinon per gallon. It is to be used for residual pest control in and around buildings including, ,." but not limited to, homes, apartments, stores, hospitals, nursing homes, manufacturing plants, warehouses, schools, restaurants, hotels, motels, ~" .,';: food processing plants, and on vessels, aircraft, boats, ships, rail cars, buses, trucks, and trailers. -", ",' . KNOX OUT 2FM can be sprayed on any sudace which will not be damaged ' ..: .. or stained by water. Under conditions of ~o_per ap_p caton~_ KNOX OUT "' ....... 2FM-will n0Tieave a visi~le'depds tl R(~'~r, i~ ~[~;enl~'~-~lie~r~ ..... ~ :, ... to run-oil, a wsible deposit may occur on some dark surfaces and may be / . wiped oil w~h a wet cloth or sponge. ,..,/' . .. .... .::...~.:. · - · .' Due to its controlled-release nature, KNOX OUT 2FM gives excellent residual ' : kill of the pests listed below; however, effective knockdown may take up to 24 hours after application. DIRECTIONS FOR USE GENERAL CLASSIFICATION It is a violation of Federal law to use this product in a manner inconsistent ~', '~.~ with its labeling, i: .':" ' ' ' '*': ~ :':' ' ' f '''~': ~ Thoroughly wash out spray equipment before using KNOX OUT 2FM. Shak~ !: · :' ' concentrate well before diluting. When diluting, first add approximately half of the water to the spray tank, then add the required quantity of KNOX'0U? 2FM, and finally add the rest of the water;:- Occasionally agitate spi'~' ............ during use to assure even coverage, Shake or re-agitate sprayer before use [ - .. ..,.;~_....:. if application is interrupted. Do not use this formulation with oil. IF SPRAY SCREENS ARE USED, THEY SHOULD BE 50 MESH OR LARGER. Unless otherwise directed, dilute KNOX OUT 2FM with water to make a 0.5% to 1% spray" as indicated below: Amount* of KNOX OUT 2FM to [.. ' use for: Amount of Finished Spray 0.5% Spray** 1% Spray** " 1 Pint 0.3 fl. oz. 0.6 fl. oz. !~ 2 Pints 0.6 fl. oz, , 1.2 fl.:.oz?.~:.,,;~:..,.,~. : '. :'. ' · - - ... ~ 4 Pi~t~' 1,2 fl_ oz. "2~5 fl.' o~ 1 Gallon 2,5 fl. oz. 5.0 fl. oz. ~ 2 Gallons 5.0 fl. oz. 10.0 fl. oz; ' 3 Gallons 7.5 fl. oz. 15.0 fl. oz. [.' ' ' '" :,~' -'" · ~i0 Gallons 25,0 fl. oz. 50.0 fl. oz. GENERAL CLASSIFICATION~I It is a violation of Federal law to use this product in a manner inconsistent ~with its labeling. Thoroughly wash out spray equipment before using KNOX OUT 2FM. Shake . . . ;,.,~,~,concentrate well before diluting. When diluting first add approximately half., ~.~. w,?.r tO !he spray tank, then add th.e ,eq.?red quantity o.f' .~OX~0UT :..? .. :~ ,.-. ,.,.~~ ~.~Z~ ~..,,~~ ZrM, anD rna y add the rest of the wa~er uccas onaly agitate sprayer --~~/~ during use to assure even coverage Shake or re-agitate sprayer before use if apphcatlon is interrupted. Do not use this formulation with oil, IF SPRAY SCREENS ARE USED, THEY SHOULD BE 50 MESH OR LARGER. "' , -"' :-'.'... ?".;- . "-" :' =' '" 2;-:: · · ' -. · ' Unless otherwise directed, dilute KNOX OUT 2FM with water to make a . ,- -.~.~:... 0.5% to 1% spray*' as indicated below: · ' ;/;.-.,. ,??:,,. -~.i'. · ...': ,,'~-,:::.~,i?-.~,::~.:,.:%.:,.~ :- ... · .' - .' . Amount* of KNOX OUT 2FM to ' ' ~'' ~':'~'~ '-'?"-"- ''.~'' "' 7" ';; .::,v..:..~:,:~.:F.h.,;~.¥.':. .,, .:' .:-.,. ': :'-'."-.- use for: Amount of Finished Spray 0.5% Spray** 1% Spray** '.' .~' ' -' 1 Pint 0.3 fl. oz. 0.6 fl. oz. 2 Pints 0.6 fl. oz. 1.2 fl. oz. 4 Pints 1.2 fl. oz. 2.5 fl. oz. 1 Gallon 2.5 fl. oz. 5.0 fl. oz. , 2 Gallons 5.0 fl. oz. 10.0 fi. oz. ': . - ' 3 Gallons 7.5 fl. oz. 15.0 fl. oz. 10 Gallons 25.0 fl. oz. 50.0 fl. oz. --.' '. . (1.6 pints) (1.6 quarts) '~ ,:.' '1 Tablespoon = 0.5 fl. oz. * · · 'i.-i:'...,:;'.'~' '" ' · *Active ingredient basis "-.~...~ '....'~ · Cockroaches and Silvedish--Make spot applications of KNOX OUT 2FM as " a 0.5% to 1% fine spray or by paint brush to drawers, shelves, around water pipes, storage areas, closets, behind and under cabinets, re- frigerators, sinks, stoves and in similar areas where these insects hide. Repeat treatments of KNOX OUT 2FM should be made as needed, but generally will not be necesary more than once every 60 days. Use the Iow :? ':°'. rate for light infestations or monthly maintenance sprays, and the higher concentratio~ for heavy infestations, initial clean out, or where insecticide resistance is suspected. Ants--Make spot applications of 0.5% to 1% KNOX OUT 2FM as a spray to baseboards, window frames, wall voids, crawl spaces, cracks and cre- vices, and similar hiding or habitation areas. Apply to trails, around doors and windows, and other areas where these pests may crawl or enter the premises. Repeat application as necessary. ' ' I' Carpenter Ants.--Make spot applications of 0.5% to 1% KNOX OUT 2FM ......... . '. :' . . · ..- to any trails, around doors and windows, wall voids, crawl spaces, and . · .. ~,:...;':.'.,:.L:,:-:.['..-'. ' -' '. '. ' '. ' '.,. "..' ~... . other places where ants enter premises. Where possible, treat ant nest or . ~.:,. ~::?_.,:~,:.?,.,: infested wood directly. Repeat application as necessary. · Carpet Beetles--Make applications of 0.5% to 1% KNOX OUT 2FM as a ". :--: ': .:,~!!~'/??-',;~iL~::_:'..:j ':'~.',:: ·: ' ~".'.i.' ";:. ". ....~'" spray on and under edges of floor coverings, under carpets and furniture, and in closets or other localities where these insects are found. Entire carpets may be treated. When treating entire carpets see directions under Fleas and Ticks. Repeat application as necessary. Crickets--Make spot applications of 0.5% to 1% of KNOX OUT 2FM as a '"', spray to baseboards, behind and under cabinets and appliances, and other ' ' · hiding places. Areas around doors and water pipes should be treated to .:'~ help prevent crickets from entering the premises. Repeat application as . ' ~ -...- ...... necessary. .: ...: .- :.. . Flies---Make spot applications of 1% KNOX OUT 2FM as a spray to window frames, screens, dumpsters, trash cans, and similar areas where these .. pests may congregate. Repeat application as necessary. ' :', :' ' ..!.:'i~ Fleas and Ticks--Thoroughly apply KNOX OUT 2FM as a 1% fine spray to · pet beds and resting quaders, adjacent cracks and crevices, baseboards, . .. ' .... -~,:'-;,.,- ~..?..: ?~,:' .. ,, :;-.'..,..'-¢,.' ~' · ..,~. '~.:- '~..,.... carpets and floor coverings, between and under cushions of upholstered '" ' ' " ' ' ' furniture, and other areas where these pests may be present. Entire carpets may be treated. Applications to most surfaces should be as light as possible, approximately 2 quarts finished spray per 800 square feet. It may be necessary to use a higher volume of spray, approximately 3 to 4 quarts per 800 square feet, on long, dense shag carpets. Old bedding of pets should be replaced with clean, fresh bedding after treatment. Animals should not be sprayed with Ibis producl. AGCHEM DI¥1SION--PENNWALT CORPORATION porches. ,~. v,,,~(]~;~,,, ham~;s, eaves, s. pahos, garages. ~il(] OtllfJ~ ,'tlt;3S where conwegate or emer premises To help prevent infeslations ol buildings by lhe above pests, treat a band m "' of soil 6 to 10 leer wide around and adiacent Io lhe building· Also. treat the building /oundahon Io a heighl Of 2 tO 3 leer where pests are active and may lind entrance. KNOX OUT 2FM may be applied in compressed air equipment or power spray equipment· Apply as a coarse spray to thoroughly and uniformly wet the band area. A rate o1 4 lo 6 ounces of KNOX OUT 2FM per 1,000 square feet is desirable. · Food Hafldltflg Establishments--Places other than private residences in which food is held, processed, prepared, packaged, or served. Applications are ~imited to spot and/or crack and crevice treatments only. Make spot and/or crack and crevice applications of KNOX OUT 2FM using a 0.5% to I% spray in and around both food and non-food locations, treating localized areas where cockroaches, silverfish, ants, and flies have been seen or are suspected of hiding or entering. Do not use as a space spray Or allow spray to contact food, food processing surfaces, or utensils. ' '.. Make applications using Iow pressure. . . Crack and crevice applications should be made using equipment capable of · · delivering a pin stream or of applying small amounts of insecticide directly I . ' ?:'II· "' " ' '· ~' ~'.i ~... -: into or between equipment and floors, openings leading ~o voids in walls, '*'"'"" * '" -"':*:' ' ~"' : ?!~,.:'. '~..:";" f'i'.:.: '~*' floors, and ceilings, and similar locations where these pests may hide or "' '" '"" '"' ' "'":":' -.i ' ~ - . enter. · , ,.: . .2..._~....., ... .. ..;~..~...?.~,.,.~.~.~?,:..:,,;.... -.: .... This product is authorized for use in inedible product areas of · Federally Inspected Meat and Poultry Plants. :'-'.' ~%'.'-. '~?'.'.'... -~". ~.'.. ' v-', .;: .-'~ .'(:';. :',~..'iL ~:"':'" .:-' .': , .,': ~,': ,?....~ v t,,~..-,;" f'.., .: . ,.. ,.,';..~'~,.:,. ':-....,;'., ,,'~;.-:-~ ,~ - .'~:..~.,-,.~,'... ,.- - ~tomd ProdaCt Pests--For control of exposed stages of SaWtoothed Grain ::.':..-.' '~:-;?;:':C~7~.:,~!~%,', ,~-,,"-.' ,~'-' :-.': ~',::,:~:;~;-~:~?~' ~":::' "- ':-'.. .... , :-2', .':¥.:.?' '""." -,. -' Beetle, Confused Flour Beetle, Red Flour Beetle, Rice Weevil, Grain Weevil, ' ~, '~ -~" ,:, :" --' , ' ' ~ ...... '~'.~ ~.'.." · . Make spot and/or crack and crevice treatment of 0.5% to 1% KNOX OUT , ., t~-_.,..,...~::': :~.:.,.~ ;;,.., :I: ' . ,' ,?';'.--,r--;~. ~ <' :,~..:~ ' ,.., -.. , . ' . . ,~ :' '-',., , ' · , .:,. ~ .y,{,..~..~ ...... ?:..,...........;: .,.%,:.,..... . . .. 2FM to localized areas including shelves, cupboards, walls and floors, .. : ,·-: ¥;:.;;, ..-,' ~, , ..,.~, ,-. :~. ,:,,: ..... . .-. · .. . where food products suspected of being infested are stored. Food should be removed or covered during treatment. This treatment is supplemental to :. . ·': .i,:~;.? ·. '. -. good housekeeping, since it will have no effect on insects breeding within ' ',: packaging, Infested food packaging should he destroyed. ,~ . .: U~e Ill Greenhouses --For control of Aphids, Fungus Gnat Larvae, Leaf- miners, Mealybugs, (Citrus, Stem and Root), Mites, Scale Insects and Thrips: · Apply KNOX OUT 2FM to the ornamentals listed below at a rate of 0,5 to "~, ; 1.0 fl. oz. per gallon of water (3-6 pints/100 gallons). Treat when insects appear. Use higher rate for heavy insect infestations. ,. ' ' · Repeat applications as necessary. · :' -.' : ! OR#AMENTALS .., African Violets Flat Topped Sedum Petunia X, Agapantt~us FlOss Flower ' Photinia ' ....~,,. · .' · ': ' .,'"'-,-.. Ageratum Friendship Plant Pineapple Guava ,:. .?~-:. ..' ' ' ' ' ~:'- ' .... ' '" ' , Numinum Plant Gardenia Pittosporum · ; ,..&., ' , : . · ,.;: , . .: :;"~:' ~ .... ., . · i": ":' i"~'"-' i:{L'?:"";' ' Alyssum Gaztnia Poaocarpus · , ...'...,:,......: ,.:.. ~.:::;~;. . , , . ¥. ., :..,;. · Arrowhead Geranium Primrose ., Azalea Golddust Privlt ... ..... ~, . Begonia Honeysuckle Pyracantha :"~: '"! :i'~ ' ~, :':' :!i':i ',:," . - ~ · ' B~rd.'s Nest Fern Hydrangea Raphiolepsis .. ., BOSton Fern Ilex Rhododendron 8ottlebrush impatiens Rose ': :. i,'??: :; ;i'i;:. ':?;"; ii'." :,'.~:~i..:'?---;,'. :;/:i!'''~''' '"": ;':{~ """"" "!~:':.. ~i; ~. Calendula Jade Plant (Crassula) Sansevieria := '.~' '.?"!' · .... : Camelia Japanese Arelia Scarlet Sage Celosia Jewel Box Juniper Snake Plant Chrysanthemum Leucothoe Snapdragon Cockscomb Lilac - Spider Plant Coleus Malus Star Jasmine Cotoneaster Maranta Strawflower Crape Myrtle Marigold Tahitian Bridal Veil ..... '~ " Croton Nandia Velvet Plant (Gynura) ..... ~., ~..-~ ..~..,- ~..~ Daisy Oleander Verbena Diaflthus, Orchid Virvia Dogwood' Osmanthus Wandering Jew ?;' i;-'....:.. ~"._... Escalonia~ Pachysandra Wax Plant Euonymu[S Periwinkle ": : Do not tJse on 8ella I~alm, Dracaena, Ho'~i' Maidenh~'~d Fern,:'~eath -.'. Poinsettia,, and Prayer. Plant. -'.~.!.~i/ ':'~' KNOX O0T 2FM has demonstrated excellent plant safety; however, all varieties of the plants listed above have not been tested, When treating lar0e .,,~. numbers of plants .of a single Variety, spray a few plants and observe for phytotOxicity prior to full scale application. '-"* ;:.' ' . ~;: .~-..: ,,~KNOXn~,,,ou'i:,~o,,~2FM may not control some organophosphate, resistant ornamen- · ~'~ ' PetUnia . 'i ROss Rower, '.! :': :;' ' ' Photinia Gardehia;*' · '. '. '.'. Pittosporum: :'GaZl!dai./.¥;'..' :::? ~".~::;;- -.'. PodocarPus: :.. ~....:-Geranlij~?:~-': . ..';:-. ~. i~dmroSk "'},:! i.: ':'--:5"'Golddu~':~ ',: * ' Pfivit ' ' S Nest F~m :' '. Hyd'r~gea: :' · ~- ' ' . Raphiolepsis ~k)s'toi~.Fem .'. .Ilex . . . Rhododendron : BOttiebtush~/ Impatiens · Rose · .. - . ... :i-.;.?:?:./'~5'=." . - ~ . :-:,:.:.: .' :~..Cactus' ..:.':...:':::. :- ..'..1~.. :' . '..-..~: 'Salvia "-;..:' ': *-~ - '-L;amnoula::: i / !': '.. 'Jade Rant'*--''t~rassum) ~::..'~.?-.' Sansevieria .........., ::, ...... . L .".:~> :,.?~ ':..' ?.,.'. ... '. ...... ~, ..... ... i~ '- camella~ ~:.,.?.:: ~ !'-;.:. 'Japanese A~;elia'.' '. ' ":;:,~'.::.. - Scarlet Sage :. :'...':-:.. '-:~:. ~."' :' : ". ~:~' ;~'~,:~' :?'-':'~:-' .:: :%i..::':-.i: ~:'.i.::'-:.":.. :' ' :' :~.~...Cock~)~b!J~,. Lilac.."...:" '?'?~::'.? ;.'Spider Ran,. ~.i'. ' ':' '?:??'!~::ii;!?i"!:''~:'' ": "i ': "'' .-.Co~neastiii:.:?~ ~aranta ' , :-.~ : Stra~oWe~ : .... · Crape Myrtle:' Marigold " Tahitian Bridal Veil Croton Nandia Velvet plant (Gynura) .:.: - .:./.:' .!'.,: " Daisy Oleander Verbena .,~ .. · '~. .' Diaflthus · Orchid Virvia Dogwood 0smanthus wandering JeW Escalooia:. · Pachysandra Wax Plant I:uonymus Periwinkle Zinnia Do,not'use on Belle Palm, Dracaena, Hoya. Maidenhand Fern, Neath, Po!nsettia,.and Prayer Plant. KNOX OUT 2FM' has demonstraied excellent plant 'safety; however, all .. · varieties of the. Plants listed above have not been tested. When b'eating large numbers of'plants.0f a.single.~ariety, sptaya few plants and observe for ' '~ "."." :.?!ii:::'~. ~ ' phytot~xicity prior':~o:full ..... sCale application.'.' ' ~ "':.:i ill{' !'":'"" :: ": ". KNOX OuT ~2FM' ma~,:n~ C0nir01 some 6r~anoph0sphate resistant ornamen- .tel plar~t pestS':"..'.: :.- ::,:'::: ~,.rm-mg.....~., .,m~'.n~ ,~."~!,,m-.u.," '; :"'~":?'~" :~'::': ~:~.:-:~:~".~i'.-','..~:~...;~ '...~ ....... · ...... r,~ Bamsand.,., " ~.. "--~'.':~"'~.'-'w':~-"---s'~-::'~-t;-'~-' ~". i~: ~ ' ' Anirhal Sleeping-:ouailm:s (eXcept Dill: B~rnS',. ~Milk' Rooms and Poultry ' "*-'-':;-'"- ~''* ' ' ~ ..... '," ~'~' '"~ ':' ': ~: ",'~'~ !i! "Apl~iY'~.1% 'KN6~::Od~:~iil~ip;h :~).:.cei'lings and. walls of livestock sheds, .:~. ~:' :'calf.'bams, hog'barnS:.loading'sheds;':.andother.farm buildings except dai~ -' ~,,: .': barns;:.m, ilkrOom~';~d-PoUlti¥ hous~::'4ieas'.where flies congregate, such {~:.}:::: "~' ....... ~':'" ::'" TM 2 :' · !i., :~ as garbs]e: dumPs, and.corrals; sho'bld-.be'~prayed thoroughly. RePeat , :~,:.: .- .. ;..:. . ..,..,.~: :.,.: :¥~,,.~, , ~.'*':':.'::RemOve}~ap. ii~J~:~'ii:~..buil~[figs-:p?°~;.tgi~t~e~ment'and keep animals out ..¥.':;- :': :: ..... ; .... :.' ....... . ~:?-.', ~" : ': ..... -: "'"... . '. '-.' : ' '* DO 'ni~t Co~ta~linaie*milk::~:i~ed,"drii~Jr{g' :~vate~.- or. app y to an reals 'or Ye'ila~daekal~.AjSe i~'. ~it~lfor'Co~i:t~;~j~of :Sc:aVende~;¥ellowiackets pu/,~ p~nsy~an/ca, 'V. vu/gar/$) in thO'11' ContiguouS.Western States Only: ... C0nsu!tthe Supplemepial la, et ~Baii~ in tl~ese 'states. .'~ ,--: .... .. ~,=*.*-:' ; .. : WARRANTY AND DISCLAIMER Per~nwal! Co~c~oratiofl warrants thal this material co~foems to the Chemical desc~p~ion on the label and is reasonably fi! for the puqc)oses referred to in the Directions for Use, subject to the risks referred to therein. PENNWALT MAKES NOT OTHER EXPRESS OR IMPLIED WA~I~IANTY OF FITNESS OR MERCHANTABILITY OR ANY'OTHER EXPRESS OR IMPLIED WARRANTY. IN NO CASE SHALL PENNWALT OR SELLER BE LIABLE FOR CONSEQUENTIAL. SPECI'AJ_ OR INDIRECT DAMAGES RESULTING FROM THE USE OR HANDLING OF THIS PRODUCT INCLUDING, BUT NOT LIMITED TO. LOSS OF PROFITS, BUSINESS REPUTATION, OR CUSTOMERS; LABOR COST; OR OTH~R EXPENSES INCURRED IN PLANTING OR HARVESTING, Pendwatt and seller offer this product and me' buyer and user accept ~t subject tO the fore~olr~ (~.o~ditions of sale and warrarlf~ which riley be varied only by a~reemef3t in writing s~ned by a duly authorized representative of Pennwalt 5-Z411D-01 L4 (9/84) Made and Printed in US.A. .: - ROACH SPRAY ~ AND HOUSEHOLD INSECT SPRAY ,'.i. ':: .. 41264 .~ - (~eo~y,o ;,e)' ' ' .' For control of resistant and .nonJresi~tant roachol, fleas, tlc'ks;-.. . i' flies, and mosquitos. ' ' .' ' , ' .' '-:. "i , '~ : ?.';'L~'..~%~ :. ' ; · ACTIVE INGREDIENTS,' '' '* ';" PERCENT BY Manufach C~T.,JLB~ T~.S? COI~I'TI~OT., ~;~';~:.":.-~:~'~. 530 CALIFORNIA AVE. · BAKERSFIELD, CALIFORNIA BUILDING CLASS/TYPE OF OCCUPANCY BUSINESS NAME BUSINESS OWNER BUSINESS MGR./RESPONSIBLE BUSINESS PHONE HOME PHONE . ....... vmo LATION NOTICE ISSU ED? OCCUPA~T-LOA D.__ ~,:~- ........ OTHER ~~ DATE OF REINSPECTION (1) (2) (3) _~'" ' BAKERSFIELD crl'Y FIRE. DEPART)lENT R ~ C ~ [ V [ ~ 2130 "G" S~EET B~ERSFIELD, CA 93301 JUL 1) {987 (805) 326-3979 Ans'd ............ OFFICIAL USE ONLY BUSINESS N~E HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 0 0 0 5 8 ~ 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 whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Clark Pest'Control B. LOCATION / STREET ADDRESS: 530 California Avenue CITY: Bakersfield ZIP: 93304 BUS.PHONE: (805) 325-7211 SECTION 2: EB4ERGENCY 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 law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. James F. Clark, Jr. Ph# (805) 525-7211 Ph# (805) 32~-7211 B. Michael Clark' Ph# (805) 325-7211 Ph# (805) 525-7211 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT.. GAS/PROPANE: ~N6rbh~side-of main.buiil~ih~L' B. ELECTRICAL: C. WATER: i Npr2tb~~$t?en~e'~.'J'~"~:ir?et::DA,~h'~t~%phQn? Dqle D. SPECIAL: Ele,~rical box - North side :of main buildin~ E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS9 YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE Immediate notification to: 1. a. 911; Fire Department and Health Department; 861-3621 b. State Office of Emergency Services; 1-800-852-7550 or 916-427-4341 c. All personnel shall file out the nearest exit. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE 2. All personnel that require emergency medical services may report to Medi-Center of Bakersfield, 820 - 34th Street, 325-6334. 3.For fa~ts;~cuts, abrasions, burns, chemical acciden%s, fires, see Item. ~ 'and 2 above. 4. In the event of a fire or other emergency, all employees will be notified personally and will be instructed to leave the building immediately through the appropriate exit. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER~ A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: ' ~ NO ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... Y('~E~ NO ~YES~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO SECTION 7: ~AZARDOUS ~ATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN U00 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, James F, Clark, Jr. , 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 6.95 Sec. 2§$00 Et Al.) and that inaccurate information constitutes perjury. 'SIGNA TITLE President DATE 7-6-87 - 2B - BAKERSFIELD CITY FIRE DEPARTHENT 2130 'G' STREET BAXERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NA,'~E: BUSI NESS PL~kN 'SINGLE FACILITY Training procedure for che~cal spill emergency plin.. _$ECT~rO~. 9: ~ZARDOU$ ~ATEI~IAL$ FOR T~S A. Does'this Faclll~ Unit contain Hazn~dous If ~$. ~ee B. · If HO, continue ~lth SEXTON 4. '? " "seCret . ' ' ' :-~-': .,~'~:...' ' '.. '~ ' ' · "*'"~..'..""' . . :..:. -. '~,.: ';:~::?.: :.. ,~-.' ~ATER: ~. ~o~e~ ~ce ~ "~" ~.~y C~e ~elep~o~e pole ' ' ...... -. . .- ..,:./,.~,....:~:.' .. . .. ~ _.- ~ ,,- .- /:;... ~ '~ ..-,. '.';': :'~. ~,'..' ~: . ._ .: .... ..~...: -. ..:~.,::_ _.- :/.- .... . AgBRESS:' P. '" CITY,ZIP: Bake~sfie'ld ' .... r: .. ~""'?~'' .'7'""1 ....... -".:, . :., ;:::::;:~LocAII.ON IN THIS' -- D.O.T ?:FACILITY UNIT.".. OUID~; ~::.. Pest Storeroom., :t,~.. ~ "~--" : :.:'; ~' .,.~. ~... · - . :'~:'"240 ~ .... Pesg Sgore~oom DE~ON ~.,P.-, PS~B .~'. ~;6 Cype~emethrin ' . ....... 64,4 Inert Ingredients .., ,.~,,: ~. PSNB PS~B " : ' "':' 'drazone .,, .~ . .;~_.::'. .... . ~ ':. ,:.~..,,., ,(~..-.-.:~:. <.~ · '~':' tne~- ~edien~s . ,N~ f:'?-," .-;~.,J:~i~'-~ci~r~;':~-'Jr. ' TITLE ;:' .... President S IGNATUR~: ' .' .... ,~. DAT~: 7-6-87 :ONTACT:[.'-<'? :~Jim Clark~ Jr]" .... TITLE: Presiden~'''~ "PRON~ 8 BUS HOURS: (805) 325-7211 ..... '.:~," ~"~ - :':: ':"~'~:~ ' :' ...... '~ ' '":~' "~'~ "}: ' ~ ' ' gM~'RoENc~ii'CONTACT'?:'~:~:;~';?~ke~ Clark . TITLE: General Manager .. ' pHONE. ~ BUS HOURS: (805) 325-7211 'PRi;NClpAL~/:"BUSI~EsS~~' ~est Control Services A~TER BUS aRS: ' (aO5) 3a5-'[2'~ . Cla~k Pesg Con~o1 ', NNER NANE.Jim Cla~k -Jn.~Nike. Cla~k~P.ag Cla~k'FACiLiTY UNIT ...... .., CalifOrnia Avenue P "~ ' ~'" 1% . 'Pvrethr%~ [:'~.~RG~NC~CONTACT: Jim Clark. Jr. TITLE: President PHONE e ~US HouRs:,, (805) 385-72~ ;...~N~ROENC~ 'coNTACT': Mike Clark ' ': TIT~E: General Manager PaON~ "PRINCIPAl! BUSINESS ACTIVITY: Pest Control Services AFT~R ,'~?([~:(~:)'.,7' · C~ark ,'Pes¢ Control ' ' OWNER NAME: Ji'm- cia'rk'¢/'Jr..qMike .ClaekcPat Clark' FACILITY UNIT t: 1 :, FACILITY UNIT . /' CODe ~i~esmethri.n :6,yele'p~op~:~ne Ca.rboxylat, '-['":?. .'r}'.["' : 1 _ R28 ',/' ~romatic Petroleum,' ~ydrocarbons qT.q'{6 '.':, Inert ., .... RAYCOM BATT. pSNB 2% ' '.-2'~( 1-M~thv] eth~%.) Phenol MethvlcaPt~amate Pest StorerOom ..BAYGON 1.5 PSNB -. 1~.5 O-Zso Propoxypheny Nethylearbamate ..... 'v;" 85.5 --Znert Ingredients .~¢NE:' ' ..... :~" TITLB: President SleNATUR~: . DATB:7-6-87 "[.S~ENC~;~ONTAcT~...':.~ Mige Clark TITLe: General Nana'ger .. P,ONg~ ~ BUS HOURS: r~nn) 325-7211 'PRINCIPAL~BUSINESS ACTIVITY: Pest ContPol Services .... . AFTER BUS HRS: ~80~) 325-72~ , . ,, ~.:-'~ ', . . . %-, · .. · ANNUAL>. ..a~7}~,.:,,?.'," USE LOCATION IN THIS ..l' 'BY · HAZARD D O l ' , CODE CODE FACILITY UNIT. : ':WT"??';?;}?C~ENI~:AL?~:/:'~oNNO NINE ,, CODE GUIDE "'¥0' ', "' Lbs 10 30 past. at.o~a~oom ' ' Yan~n~C paNR qT_RP' hart Tn~redient P3~ ' ~'.h~ lP Pa Pes% Storeroom DIAZINON 50W PSNB :~,?~'~kOENcy:";'CoNTiCT: Mike Clark TITLE: General Manager. .. 'PHONE.. 9'.BUS'ROURS: (805) 325-7211 ~¥'pRINC'IPAL'~BUSINESS ACTIVITY: pest Control Services AFTER BUS RRS: (805) 325-7211 · #~i :'!!~'i-'. ~?i i!".. :~.i' :'?'~">!:.?~.'~'..' ' ,~ ' F~i.`.~.~`[~!~.:~i.~.~?...~;~:~:.`<!`!:.~i:~!.`.(~![~?~!i`~:.:.:. ' · Pa~e INESI .. O~NER NAME: Jim cla,~k.,.'J~'~;:ClarkaPat clarkFAciLiTY UNIT ~: 1 ADDRESS: P' 0. B°x a[~6~:. ",:~:'.FACILITY UNIT NAME (:~i~,,'S:,,::?'? -":: :~'::':::;':"~;~: '~:(~ ' -: '"'~'~i:~;:~;:!~;y-':::', '-;-'''~ · '~':~". ' ' .: '- :' ':'-: .' '- : . ' ,'-~ --'.- I ONLY ~':'~((~:!:~.~.-~- '.,~';::'![~:~:,i~'~:: .' ...... .3,',,=? ::?': .;:?,~.4:; :/5 6 · 7 ' ' 8 ~{~E,:~': [:'~?Ni!~:~;i~;i.' :~ANNUA'.~(~::~¢~::]:;~'{.~'~,.' C'ONT USE' "LOCATION IN THIS .. I BY '":' " ' '. ":-* ':" HAZARD D O T ,~;~Sv/A'N( ~NI;~,~ .?ANOUNT~<~' '-UNIT CODE ,CODE . FACILITY UNIT : .-"~ :?,'. MT;:: ~--?'CHENI~AL-' OR~'CONMON,~ NAME CODE GUIDE ~,~;:~,~..~,.,~ :.~..~.~ ~:~,?~,..~ ~2~-.? .?:: :GAL. -. 10 24' ' Pest Storeroom- :-'.", . - ,, , , , , .. .- R~ · ,;~v~af.h~a,,, ............. .,....:...~ ~:' . . · ,. 10°~ .. N~af. vl. ~'i ay.al nh-anf, an~. Di a~ha~iml, p ,,'~,,-r ,' :', .. ,.5:.g~ ~, ,~,. :j '"'?~:~'? S -3S. Lbs 1 2 3.0 P~st Storeroom ~: . ~T,IlC & ~N~TI, GRANIIT,ARS P~NR · .-,., , ,' 2_7q.' .... [',.~::i~t:?,~]::'~ ~' '.....-i.... ~'~,( q7_25 .. 'T:~a~f, T~adfamf:'a-- - .~:.'., ??.' .. . · "' '5[~' .... 4'80 :"" Lbs ~ ~ '30 ' Pesg S~o~e~oom ':" V~R AI.L M~'~'T~RR RATT . .~':' !.~,. . :~ ~ . , . ":""~' "'J~':.':':[~ "]'" "' : ": ' ' ',": O.OOP~" "Dinh~ainnna .(2 ninhanvl~a~f.v-l" ' ~ l~dandinna -...?~:,..?~... .': ,% · .. ,-, ....... ...>,~, '.~:~.. . .- ,-: · . ~., : .~:, {,,j~.(.,% . ~ ~M~RGENC~'..CONTACT: Jim Clark, Jr. ~ .TITLE: President :'. ' PHON~ · BUS HOURS: (805) 325-7211 ' ';.::".::;'~:':';' :' ~ ";:~;~[~:~ ' "~ .... AFteR BUS aRS: '(805) 325-72~ ' PRiNCIPALI. BUSINESS ACTIVITY: p~8t Control Servicews - AFTER BUS HRS: (805) 3Z~-TZ11 ...... .. . . . ; ' . .. /W, ¥:::', :' "' .' ~[:iTy.';:'~.Z] ~ .:-,.':.~'~ n~'~:'~.~a'~:~:.-~venue, .~:?':?B.' ADDRESS :.' · 'p": ~'...-~.a.~-:-~&a', '. '-',-:.:.:,.:¥:.¥:.f'~ACI~TY UNIT NAME :~n~ nrr~a~ USE CFIR$ CODE ,~:,~,_...~. ,~' :,.~;~:.~ ....,..:,.~:.,~,;,::, ~ , ,- - ', . ..... , ... ' . .......... . ·-~- ,:..: ..... ~r,..:' -.-.~ .... ONLY ~[e~--l'J:~:'~;Nj ~¢;:~'~"['["~ANNU'A~;:' -)tt;[J~:~J';'.'.';~.[~'C:oNT USE'i .,..;'LOCATI'ON I. THIS.' ~"BV' ":::'~'"~' .... ' : ;'~:"" ..... HAZARD D O , ............ :.. ~ ~?;:.~:.¥'-.. ...... ~ ~ : i:"4 "30'.") "' Fumigation Dock , [.: '~ [~M~-~HYZ:}:: '6MI.DE .', . NFZ6 [ ~ ' ":" ";;' -" 100%".]~'; B~0mide : ['] ,. :. ':"~:';f:';.':'f' F,T.3~ 4 30 ." ": Fumigation Dock -,' .... BIKANE NFL6 Flou~ide . 2~R 2~ 1 FUmisation Dock CHLOROP~CR~N NFL6 · , t/?. ',', q'. ',., " 99% Chloropie~in ..., ,:..:.::: ,....,~:~.. ,~.. 2~' a~ nmm,d~ L~s 1~ ~0 Fum~ag~b~n Doeke : PHOSTOX~N FLSL ' ' ' : I · : AluminumPhosphide. ."[ ' 'qu' .~' ,~ M R_~'~0 " 'R~'000"':'~ Gai 1 19 Pump Area in Yard · ·" "'~' .-UNLEADED .GASOLINE FLLQ :,.~?i~~.. .:,:..' ..,...:...,,~:./' . , ~.:.. ':' , ..-., .... ......:, , ,,' :(',,.,? , .:~. :~ -.t .. . ~.~..-.. . :.( ~'. .... ,~. .~::-.,.:.~,~. ~.~; ' . ,' -¥:-. . ' ~'". ....... ..'~ : ..... -Y :~'7 T' .~.A~ :, ..,' '. :-,~.. /..-,,,,'; J~m cYa~k-.,. Jr. T~TL~: President ; ~[ONATUR~: ~ATE: 7-f -87 · ~RO~C¥"CO~TACT: :' FJim"Clark, Jr. ' TITLE: President. PRO~ $ RU~ ROUR~: (80~) R2~-7211 ~'I"~'~R~EN'C~"~'~IONTACT~'~' '~Mike ~'~ TITLe: General Manager PHONE ~ BUS ROURS: (805) 325-7211 ' · - PR.iNC'IPAL~t~BUSlN~SS ACTIVITY: Pest' Control Services AFTER ~US HRS: '[605) B~5-7211 :"~'.;~'.:~!ia~'~P:a~t:"C6ntr0i ':"~!'.'~ O~ NANE:' Jim,:'C!'~:i',:~J.~'~?M'~k~'~'C'!~'k~P~:~-~:~q:~a.~ACILITY UNIT ~: ~1 .... -'" "' - ADD R E S S:; · ". ,' :'-p?: O~?{';:~-R~.J',:~:a:6'6-.; .' ,~';,,;;~:,; :.;;,;:.FAC I L I TY.. "UN I T NANE: B~anah O ffioe '"':,V":-" -'. "';.¢':~; ';:~'?~ ',.'.. ; ;'.z,-. -.,';'s¢~ .~.,~¢ :- :-' - ;% ~ "~;J.: :'?"Z':~'~''' ';' ' ;' ' · . :'."~",~': ......... ;~-..~':,: ........ " ..... '?, ........... ~¢',.~,,;.,,:,. ': ' din 1)., ~hosphorothioate ..".':? ~?~.:,?' '." ~'.;:' -~'?"i"Y",:~C;; :.' : '.' %'?,? '. ;':~:;;~?':- - : ' / ' ' ' ..-, ,, ,,.,;... ~ . ' .;- . ,.:.,~. ,; .: .... ,- . .~, ,-,: .... ,.,;,,:? ~ . , ~.~',e~ ,,, ,.... ,.......~ j~ .... ,,,~,~.;> . . ,,,:? .......... .. -, 56,3% Xylene range a~omatic solvent ";'~*"~:;'":'~' ':' ';'~'~ ..... " ;~':? .... : 18.7~ Ine~t Ingredients . - ~.~,.~ ,.%;.:~ . , · .. '.~. , ~ ,~,.;'?? .... ,.- ( :~"' :'~[;~'~{~';~' '~-'~'~:~"'"';' 76. ' ....... Gal' 13 2~ Retail Storage & Gondol SPECTRACIDE PROFESSIONAL HOME PEST PSNB - ' CONTROl . ,~'~;,;,?,,,,,~ - 0.500 ~ Diazinon o.o-diethT~ 0-(2 isoprop:'l- ,..~}~',~,,:~'~. 0.261' -,. ,,Technical piperonyl, butoxide (equ: valent) :':~'?:~?.:'~;'/.-'~ ...... ~ ...... -. ., toU0.209~/o [butvlcarbityl] [6-prop~ lpiperon 1] . ,-~:¢:.,/.- ;' . .' ?..';.. ...... - . : . . -.. :'"~,:?~:~]~':~' ~;'.?-:,:{~t . :'..:_.~ . . .., .-.: .... either" and .0 ..0~?~ · other ,related c~ mpouDds :.'...~:.~L~:..:'" ' '~ ~,' :.' .; ':,]~/.k.'[' "' ~ . ?,,~,,.. ? "~.:-:'~..' ~ . 68.60 )~/o -Petroleum distillate :~ ~ .., .j .~ . . :y..::..,. ~,,.3' . . ~0 .~8 Inert ingredients - · . i .... "¥'~?"~"'~"' "~' ~ TITLE: '"' President SIGNATUR~: -. · . ....... - ..... "~": 7-6 ?:',':~'~RSENC~.~i~CONTACT: .~'-,-? Jim-Clark~ Jr .... '."' -TITLE: President .,." ' PRONE..,$ BUS ~OURS: (805) 325-7211 ~::~' ...... :~?..., '~,.,<- ,,,. . - :" AFTER SOS ~RS: {805) 325-7211 :,',~-'~ROENC~;~CoNTAGT:...'~: ..Mike Clark TITLE: General Manage~.- .. p~ON~ ~ BO~ ~OURS: (U05) 3~b-'(z]] ~.pR~NCIPA~?RUSINESS A~TIVITY: Pest Control Serv~aes AFTER ~US ~RS: (805) 325-7211 ':' ? - '~ : ' .. ~ · .' ' ., ) :u. .,.", .., ';...,=., .. :::.~., , ~. · ' "':""a~:` ~, Pest cont'rol"'. ........ OWNER ____.~Ni~R~::m Cl:.:::::::::::.sM:ke'-c:la:~:~:t,c:l,~k:FACI~ITY___.:__. __ UNIT ~: 1 ::,:-,'=~:' ................ ADDRESS: P. ,0.:. Bo~:-246~6':~'':'';:':'< ''' .' FA'CIhlTY UNIT NAME: Branch Office '. ~ ..:'-,¥. ............ .';',. '" CITY,ZIP: -:': ........ ": ...... ....... PHONE ~: (805) '::~-2'5,~,~2t,~:.-.:!,. ,:"~:.::?:,i':::/'.<'~::: tFFICIA~ USg CFIRS CODE :~' -'":: . . .. .. . ']: ...... ,. : ..,~ ..... . :]:'~'~:~ ~;~?~:::':"?.l~'~i~' =====:=====?== ===== USE :.. " .::.-'LOCATION IN THIS %:'B ' :::',: ........... ====/========]===?=======(======;==== ,.. HAZARD D.O.T ~ ~ ' CODE CODE ':' FACILi'T~' UNIT:. . ':NT ~:::. ;'.:,.::-:::CHiNI~:AL?:O~?:C'~NNON'NANE ,, CODE GUIDE ?:-,?.~;'~ ~:~ , · ~;,~: ;t."', ' ' ...... .":"r' ' - -.'' : ' '" '' : . ' . ~ ' ..' · "~:'::~:<:?~':': ~:~<":~:':::~;:':'"::? ..... : ..... :>':~:< ...... :':~" ..... ,.:":"~ ..... '" "':?'"' '~" .... ' ' ': ' :~ '0 ~%~"' -/~'.~-O-D:me~hY:'~2:~":2~i:ahto~o~':'nY1.; . Pho~p la~e ======================= .'::: :::::::::::::::::::::: ::]-: .....:::;: ] :.~':~ :::. :. -.,,:. , ::.<...-.:',' .:. , . :..-. ::'.- ,,~,.: . . ,-': , ::-:':::":::::~:: '~;":': '-:"'-' :;:: :':: ........ ' '..' '~Primidinyl · ;S' .~:;:; ;~.;.; ' ": '"" ' ::~::": ...... '~::a:~::~' ',::,<.. "'= ';. , ' .~:'¥'.- .... 0,.5~/~.- :.:..,Phospho~o~hioage · ,,...' ~...., .. ::::.:., .,. ...,.: :~ -. · .' -".': ~.0°/~ ,Pe~o:eum Derivative So:ven:s :..',:':.~:. :,... . . . . : I '::' ::' ::i?::: ;~/:.': . :"" '::':';::N":. '1'~(",' 20 .~ Lbs 13 24 Retail Storage & Gondola ,Holiday Fogger.' PSNB . ~. '/~:~::. ., '. ~ ': ::? ' O. '¢=;:::: :: '?. _ .~::? . :.'?:':"~" :'" ":::::: ' chioroalp-ha-(1-Methyl'ethyl) Benzen ~acetate - ~..?. '.' , , · ....,.:~5....'~- .] . '" ,. '[,. ,.: ,. '.':".'.':/;-. :~:i:--" .. 1. 0% N-Octvl Bicvclohe~tene M '~>~:."" " 24 ''.': 'Lbs 11 24 ~etai] granada & Gondo]~ ' RnZOT. HOli,q~ MOTl.q~ ~TT.T.ER P.RNR u..~' .' ..:..j ,:. · :.%,:,~ ::, · .: ..... ']:..:?/' . ~:' :: ] '. ',-::::'.~'<:,':.: ':":~'" ~.' : ... NANE~ .~:::.,'. ':: ~im Cla'r~::.' 'Jr. TITLE: President _. SIGNATURE · - : E~ERGENCY:~CONT-ACT: ";:~:' .Jim Clark', J~i TITLE: president - PHONE $ BUS HOURS: (~QS) R25-7211 :/'.ENERGENCY:~coNTACT~.:f'.'~:' :.'Mike Clark TITLE: General Manager . PHONE ~ BUS HOURS: (805) 325-7211 , ~..pRiNCiPAL,(BUSi'NgSs'-ACTiVlTY: Pest Control Services AFTER BUs HRS: (U053 325-72~1 :.'" .. - 4A-1 - ,. ~~ana~ ,~o~i~ So~v~.~ :'- '" ." "."~ .... 1 7~ Ine~t .Ing~edien'ts "E~E:RGENCY~'~,CONTACT: ~;~'" .... Jim Clark, Jr. ' " TITLE: President ...... '' PHONK ~ BUS HOURS: (805) 325-7211 S~NBR~BNCY'[~CONTACT; ~ :~i.ke Clark '" TITLE: General ~anag:er . .. PHON~,,.$ ~BUg HOURS: (805) 3aS-Ta~ ?,PRi'-~CI~IL."~SiN~SS ~CTIVITY: Pest Cont~o~ Services AFTER BUS aRS: (805) MATERIAL AFETY DATA SHEET " ~chem Division , -E~E~IALLY SIMI~R' TO ~HA FORM 20 .... ~ .... ~o~ 4o~o ~... g~o} Three par~ay '1 ~ ...... . ..... [ ~iladelphia, Pe~sylvanta 19102 ~ . = ~: c~.m~=, ".~..~ ~o~.~,.. ~o,m.,. ~-'"'"' (215) 587-72 t9 ~ o O,O-Dieth71 O-[6-~chyt-2-(l~thylethyl) -4- ot.~, (206) 627-9101 :i~ ~'~ pyrimidtn71 ]phosphor°th~[e · C 12~2 .}-~ .~.: i' f::~ ::'~?~!N~ ~1 Fimlly :,~ ~.i~ t -. ,. , .~::, ~,~:~:, Diaz inD'' Or~anophos phs ~e :~. ~ D/azinon 23.0 This foliation has reduced ; Contained in politic ~icrxapsulea dis- ~he hazard of ~he active ..~.~;':~.~ ~rsed and sue~nded id ~ater ~redien~. Please see reverse ~t~.:~.~ ·. - ,,, ?~'~ D~ Shippt~ ,am - RQ Hazardous Substance, Liquid, ,~ ~iazinon) '}:'~ D~ Hazard Class - 0~-~ ' ~;~.~: D~ Identification No. - NA-9188 ' ~lling ~lnt/Range J Melting ~1~ Freezing ~lnt :~ ca ~00 °C ca 2Z2 °Fl =C ~:~: S~f~ Ora~ty (H20-lj' " (mm ,,, ]Va~ntlty (Air-l) ' ! ' 1.036 O 20 / 20 °ti ~ °C ~;?~.~?.::.,~::~ Beise liquid charac~eris~ic odor Fli~ ~lnt ' ' ....... Te~ Methoa Flammable Limits ' Autoignlt~n Tem~r~ture/Flre ~lnt ;~:~: > 96 °c > 205 °F TCC u-- % u,~ % C F ~ *':.~:~ :: ~ w,.r- ~ter- ~w,t. ~ ' ~ Dry ~:~ ~CI~L ~lRk FIGHTING PROCEDURE[ "~ear se If-contained breathi~ apparatus ~uAL ~me AND' EX~OS~ON HAZARDS " O~t e~o~ ~n~tl~ Ot~ ~m STABILITY CONDITION5 C~RIBUTING TO INSTABILITY "i[~i iNCOMPAtiBiLiTY. A~Ie cO~tl~ W~h ' , ,-, ~ (,~,v). Hacertals that react vith rater :*~:';'~Possible toxic substances ~r~ Cheil de~ada~ion ~j~ m:~ ' ' ,[,~ ~NDITI~ TO AVOID ~':' '" ":~:~ ~ O~n ~ ~urces · ".~,' ..:,:~[;':.:: IT[~ TO BE TAKEN IF MATERIAL I~ RELEA5EO OR ~PILLEO .~?;~> Dispoae ot accordin~ ~o Fegeral~ Scace~ or local pr~ed~es under the ~s~rce Con- ~k~.~: "':~::~:~ se~CioD and Recove~ AcC. See ~1 ~or additional inaCrucctons. ] ~NTINUED ON ':' "~'-6'~ .J .... ': ~-wot~b~,. NE - Not Established ~A - Data Not Available .2<,4~ ~ LDo0' (rat, mouse) - >~1,000 m~/kg for~ulation ~ 9180 ~50 (rabb~t) - )10,000 ~/~ fo~lation The active ingredient~ diazin~ is a cholinesteraae inh'ig'itor to ~hich re~ated ~.~ exposure ~y produce effects ~ithout S~tom of acute organophosphate poisoalag include headache ~ incoordiaation~ msc~ '~itchiag~ tremor~ nausea~ abd~inal cramps~ diarr~a~ and ~]~ sweating. co..os,v,T = ~: :. LUNG EFFECT5 {Speclfy}= : ~ OTHER (Specify): ' ~ln defatte( (S~clfy): ~ ~mitlng of waS,, .tt.nt~n (w~lfy), Refer to label ~../ ~ , DERMAL ~ntiml~ted Get ~dical attentio~ and water remove i launder ~oei- destroy ~ (wlclfy), if 8~pt~8 appear EYE CONTACT It I~st 15 minutes attention (IpeclfyD : INHAaTION If not breathing. Get ~dical atten:io~ ~'¥ ~ Oth~ attention ~ (lp~lfy}t ~ ~p~ spear fresh air oxygen respiration .%~¥; ~ VENTI~TION REQUIREMENTS -- ~y$ ~ifltJJfl expoivr~ ~/ow pe~i~iMe ex~tuM limits :; ~/SPl RATe R TYPE - ~e only NIOSH/ME~ appro~ ~u~nt conllln~air ~s or ~por fume. mist (Weclfy)~ ;:~i~;~i:: OTHER PROTECTIVE EQUIPMENT ...::...;..y?. ~}~:;~;., PRE;AUTIONARY LABELING' O ~ after hlndllng IA I on skln or dust. ~r. mat. ~ cloHd ~ . ~ ~ntal~rs {~ t ~ -- m with clolhlng Ind ~ Empty ContllflM ~ U~ explosion {~ ~ I I ~ ~ot ~o,e near I [ oth~ comoustibl4 may ~ntaln I I proof ~ COmOustlOi~ ~ ~terMIs . . ~.1~ ~ haza~qous residues ~ equipment ~ (~lly)t i' Obren ~cke~t 10/10/83. 2952 Ta71or WaT, Taco~, ~ash~nston 9~21 6) 627-9101 ~[~S~ ~ Chafl~ dna the conOit~ns of handling and ute, O~ meiute tf40eyona our control. ~nnwalt MAKES NO WAR RANTY, [ITH~ R [XPRCSS OR ~NOT[ IMPLIED, WITH fl[sPIrT TO TH[ COMPLETENESS OR CO~TI~ING ACCURACY OF THE INFORMATION CONTAINED HEREIN ~NO j i CLARK : PEST CONTROL.I P.O. Box 2466 530 California Avenue B,~kersfleld, California 93303 Phone 325-7211 December 29, 1986 Office of Emergency Services 1030 - 15th Street, Suite 302 Sacramento, CA 95814 Gentlemen: -. I. Inventory Plan for Hazardous Materials 1.Clark Pest Control, Inc. (805) 325-7211 3.Operator: James F. Clark Owners: James F. Clark, Jr., Michael H. Clark, Patrick L. Clark 4. Clark Pest Control services homes and commercial establish- ments for termite, pest control, fumigations and yard and tree services. 5.Physical Address: 530 California Ave., Bakersfield, CA 93304 Mailing Address: P. O. ~Box 2466, Bakersfield, CA 93303 6. Technical information Can be provided by Jim Clark, Jr'. or Mike Clark, Manager & General Manager, respectively - 24 hrs., (805) 325-7211 7. See attached Exhibit A. 8. Storage for pest control supplies and termiticdes are stored in the warehouse - see attached diagram for exact locations. Fumigants are stored in locked area on the dock located on the east side of yard area. See diagram. All chemicals are mixed and dispersed at Job sites except fumigation chamber in yard (see conex on map) or trucks brought in for fumigation (see fumigation-area on map). II. Emergency Response Plan - Part Two Spills and Fire 1. Immediate notification to: a. 911; Fire Department and Health Department; 861-3621 b. State Office of Emergency Services /-~'E~'~ ~' ~ c. All personnel shall file out the nearest exit. Office of Emergency Services Page Two Sacramento, CA 95814 Dec. 29, 1986 2. All personnel that require emergency medical services may re- port to Medi-Center of Bakersfield, 820 - 34th Street, 325-6334 3. For falls, cuts, abrasionsl burns,· chemical accidents, fires, See Item 1 and 2 above.· 4. In the event of a fire or other emergency, all employees will be notified personally and will be instructed to'leave the ~bu~lding immediately through the appropriate exit. III. Training .1. Methods for safe handling of hazardous materials except clerical personnel ~re either certified or licensed by the Structural Pest~ Control Board and their licensing and certification requires instruction in the safe handling and use of pesticides. Section 1983 of the Act. 2. Procedures for coordination with local emergency response organi- zations (Fire Department) are done on an annual basis. 3[ Emergency response equipment and Supplies are in clearly marked areas of the building or in vehicles. All personnel are instructed in their use yearly. 4. All employees are trained in emergency response plans. 5. All employees receive annual training on safety and emergency response plans are reviewed. Very truly yours, President