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Home My WebLink AboutBUSINESS PLAN HaZardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the followinp: [] Hazardous Materials Plan (3 Underground Storage of Hazardous Materials Permit ID #:: 015-000-000851 [] Risk Management Program KERN REFRIGERATION D Hazardous Waste On-Site Treatment LOCATION: 618 E CALIFORNIA AVE IELD ,,. ;'~,. ,~.~ 7.~ !~ ~: ' /%' '~ ..' ./.. ~;~7*''' .-... : . / / ~' Is su ed by: Bake rsfield Fire Depa~ment O~FICE OF EN~R ONMENTAL S~R ~CES O1715 Chester Ave., 3rd Floor Approv~dby: Bakersfield, CA 93301 OmceorEv~S~ic~ Voice (661) 326-3979 ~~~ F~ (661) 326-0576 Expi~tionDate: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ....... ,.,.,~.;~,,,X:f;EZ:i~5.,3,,,.!i,~.~.~,,,~,' ........ This permit is issued for the following: ¢¢i q'"T, ?~:!!::,;';'"<::;i i}!iiL J}!!!iiii~ iiiiii~ F;':'i ii}~}:~D~ii~ Se[ground Storage of Hazardous Materials KERN REFRIGE~TION LOCATION 618 E CALI FO RN I~}:?J~,;;;;;%'.?' BA~ERSE[ELD CA %;z;:." % *w::.. ~i .,.... ,.- ,,...~. .... f/ ../,,.'. '? '%;'7'":::.%. B~ersfield OF~CE OF E~R O~AL S~ ~CES 1715 Chewer Ave., 3rd Floor B~ersfiel~ CA 93301 Voice (~05) 32~3979 F~ (80S)~26~S76 ExpkationDate: dun. ~O~ ~0OO ~'- ~ CUST T~E & NO. :'.~ ~_~)L~ ~ MISCELLANEOUS RECEIVABLES ADJUSTMENT .-~-{ ,~'fi-'-~ NEW ACCOUNT DATE ADDRESS CHANGE CLOSE ACCT FINANCE CHARGE! OTHER ADJ ~ MAILING ADDRESS (~i% ~''-~'~. 9 , CITY ~)o,~.c_C%~, ~ '~c~ STATE SITE ADDRESS PARCEL NUMBER (IF APPLICABLE} ADJUSTMENT CHG DATE CHARGE CODE ADJUSTMENT AMOUNT FORM · NORTH SCALE: BUSINESS NAME: .~:~ft Kern Refrigeration Supply'. .- DA~: ~7 7 / FACILITY ~E:N/A .- ~IT ': OF (CHECK O~E) SITE DIAG~ FACILI~f ~[AG~ X PARKING e ~etal .... Bldg. [ ,: Chain link Elec~rical Shu~ o~fs ~so~y ~oor' evac. 618 E. Califo~ia Ave. ~ ....... Parki~ ...... EAST CALIFORNIA kVENUE Inspector's Comments~: -OFFICIAL USE ONLY- .... / / ~ORT~ SCALE: 8rdS [NESS ~A.'~E: 0~' 5/16 ~ 2~ ft. Kern Refrigerat ion' Supp~' ...FL0~R.: 7 7 N/A .. ' - (CHECK ONe) SITE DIAG~E X FACILI~ DrAGK(X I I ! I '~ : , ' ' ~'a tez. ~o~, . . I I I . ~ I I t ..:: I I I " ~ I I / tI tI , .:,. -..:, . '.~ .,. ~S~~ MAP ~ · ' ~' "' '..':~-':" COU~OF (Inspector's Comments): -O~FIC[AL USE KERN REFRIGERATION SiteID: 015-021-000851 Manager : (661) 327-9774 Location: 618 E CALIFORNIA AVE ~[~ ~ ~ BusPhone: Map : 103 CommHaz : Moderate City : BAKERSFIELD Grid: 32A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ADIN R BOSS / PRESIDENT / Business Phone:~ (661) 327-9774x Business Phone: (661) - x 24-Hour Phone : (661) 871-8124x 24-Hour Phone : (661) - x ~,tt~Phone : (~/)?DG -q~x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : Phone: (661) 327-9774x MailAddr: 618 E CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93307 OWner ADIN R BOSS Phone: (661) 871-8124x Address : 1505 CRESTMONT State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, -~ ,~ ~ Do hereby certify that ! have reviewed the at~ached hazardous materials manage any corrections constitute a complete and correct man- agement plan for my facility. 1 081221200'3 KERN REFRIGERATION ~ SiteID: 015-021-000851 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~U~ ~vl~ / ~£~ VIRGINIA 10 DEGREASING SOLVENT ~ ~ ~(~a, ~/~.~D~'~ Days On Site 365 Location within this Facility~dr~it M~: ~rid: UNIT 1 E WALL _~. ,~.~- , ~ CAS# ~ STATE l TYPEMixture Ambient PRESSURE I TEMPERATUREIAmbient METALCONTAINER TYPEcoNTA I NR - NONDRUM Liquid AMOUNTS AT THIS LOCATION I Largest C°ntainer I D~ily Maximu~ I D~ly Avera~e~ ~ co GAL GAL 25.00 GAL ~-~.z,a~uu u ~ COM~.NTS %Wt. RS CAS# 60.00 Naphtha No 8030306 15.00 Perchloroethane No 67721 15.00 Methane Yes 74828 HAZARD ASSESSMENTS TSecretINO NoRS I Bi°HaZNo Radioactive/AmountNo/ Curies EPAF Ha nardsIDH NFPA/// USDOT# MCPExt = Inventory Item 0048 Facility Unit: Fixed Containers on Site 9 ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER UNIT 4 CAS# 74-86-2 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum Daily Average 385.00 FT3I 385.00 FT3 190.00 FT3 HAZARDOUS COMPONENTS 100.00 Acetylene Yes 74862 HAZARD ASSESSMENTS TSecretINO N~S I BioHazINO Radioactive/AmountNo/ Curies EPAF P HazardsiH NFPA/// I USDOT# MCPHi -4- 08/22/2003 KERN REFRIGERATION SE SiteID: 015-021-000851 ~ Inventory Item 0038 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: UNIT 2 NE BLDG M CAS# 74-86-2 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 90.00 FT3 I 90.00 FT3 I 45.00 FT3 %Wt. I HAZARDOUS COMPONENTS I RS CAS# 100'001Acetylene' lYes 74862 HAZARD ASSESSMENTS [TSecretINo N~slBioHazNo Radi°active/Amount I EPANo/ Curies F P Hazards IH NFPA/// USDOT# I MCPHi ~- Inventory Item 0070 Facility Unit: Fixed Containers on Site ~ HYDROCHLORIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7647-01-0 Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION , Largest Container I Daily Maxi~mm Daily Av~ge %Wt. RS CAS# 26.00 Hydrochloric Acid Yes 7647010 HAZARD ASSESSMENTS TSecretINO NoRS [ Bi°Has [No Radioactive/AmountNo/ Curies EPA HazardsR IH NFPA/// I USDOT# MOPHi -5- 08/22/2003 KERN REFRIGERATION SiteID: 015-021-000851 ~ Inventory Item 0060 Facility Unit: Fixed Containers on Site ~U~U~ ~Vl~ / ~l ~ ~vl~ R-22 Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 75-45-6 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above AmbientIi Below AmbientIi PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATIONI Largest Conta~ ~ Daily Maximum Daily Average [5~ ,,~4.00 FT3 4000.00 FT3 15000.00 FT3 %Wt. S CAS# 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS TSecret ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MOP No N No No/ Curies P / / / Low -- Inventory Item 0037 Facility Unit: Fixed Containers on Site ~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7782 -44 -7 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient I Ambient PORT PRESS 'CYLINDER Gas . . AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 185.00 FT3I 450.00 FT3 250.00 FT3 HAZARDOUS COMPONENTS 100.00 Oxygen, Compressed N 778244'7 HAZARD ASSESSMENTS TSecretI oRSlBioHazI Radioactive/Amount EPA HazardsI NFPA I USDOT# MCP No N No No/ Curies F P IH / / / ,Low -7- 08/22/2003 KERN REFRIGERATION St SiteID: 015-021-000851 Fast Format = Training Overall Site -- Employee Training 09/21/2000 WE HAVE 3 EMPLOYEES AT THIS FACILITY. ~ DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE????????~???//~ BRIEF SUMMARY OF TRAINING: -- Page 2 Held for Future Use Held for Future Use 08/22/2003 ITY OF BAKERSFIELD CLAIM VOUCHER Vendor No. I I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. CLAIMANT'S NAME AND ADDRESS: Kern Refrigeration Supply (AUTHORIZED SIGNATURE OF CITY AGENCY) 6'18 E California Ave Bakersfield. CA 93307 9-25-00 Initials of Preparer: ED :ITY DEPARTMENT: PLEASE PROVIDE SHORT EXPLANATION OF PAYMENT: (Including Contract Number if Applicable) This business made an overpayment of $269.93 to their haz mat biliing leaving them With a credit of the same amount. We will refund the entire amount. Dept, Base El / Objt Project # Invoice # Amount Comments on check stub 0000 123 7900 269.93 VOOCH~.R TOTAl. $269.93 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount or writing, is guilty of a felony. MR4 0{07 ¢ TY OF B ERSF ELD 9/21/00 ~ ~-- Oscellaneous Receivables__iry 10:11:30 Customer ID . . . : 3147 Name: KERN REFRIGERATION SUPPLY Last statement : 9/01/00 Addr: 618 E CALIFORNIA AVE Last invoice : 0/00/00 BAKERSFIELD, CA 93307 Current balance : 269.93- Pending ..... : .00 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. Combined Detail 5=Display Chg Bnk G Opt Trans Date Code DesCription Amount Balance Typ Cd L 9/01/00 stmrn Statements Processed .00 269 93- 8/15/00 PAYMENT 269.93- 269 93- 00 Y 8/01/00 stmrn Statements Processed .00 00 6/16/00 PAYMENT 269.50- 00 00 Y -- 6/01/00 stmrn Statements Processed .00 269 50 - 6/01/00 SS001 CA STATE SURCHARGE 10.00. 269 50 A 6/01/00 HM017 HAZ MAT ANNUAL INSPE 50.00 259 50 A 6/01/00 HM013 HAZ MAT HANDLING FEE 218.00 209 50 A 5/01/00 stmrn Statements Processed .00 8.50- + F3=Exit F12=Cancel * = Pending SiteID: 015-021-000851 Manager: AV E~//~p_ ~20~ BusPhone: -(-8-O-r'J~ 327 - 9774 Location: 618 E CALIFORNIA ~ Map : 103 CommHaz : Moderate City : BAKERSFIELD g~V~gO~.t,~ . ~ Grid: 32A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 ~9~V;C~ SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ADIN R. BOSS ~/. PRESIDENT ~ ~{ / ALICE PRESiD~ Business Phone: ~ 327-9774x . ' e: (~ ~ 24-Hour Phone : (~) 871-8124x ~ : (~~ Pager Phone : ( ) - x ~ : (-~ } ~ x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : Phone: (~)~ - ~7~L MailAddr: 618 E CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93307 Address :'1505 CRESTMONT State: CA City : BAKERSFIELD Zip : 93306' Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd:. RSs: No Emergency DirectiVes: ---- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Name... ]SpeoHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat Common VIRGINIA 10 DEGREASING SOLVENT F DH L l~- ~.00 GAL Ext CALGON SPECIAL CLEANER DH L 48.00 GAL Low · MINERAL OIL F L '72 ~r0q 00 GAL Min OXYGEN F P IH G c/-~-O ~.00 FT3 Low ACETYLENE F P IH G 90 00 FT3 Hi ACETYLENE F P IH G 385 00 FT3 Hi NITROGEN .~_ ~~:>~ p G ~ 80 00 FT3 Min R-12 ~, ;~J Do hereby~eAi~ ~hat ~ ha~ 120 00 FT3 Min R-502 Uy~p~n~) 100 00 FT3 LOW R-113 ~ ~- 200 00 LBS Min R- 22 reviewed the a~ached hazardous r~a~erials P~nagt~- 4000 00 FT3 Low LIQUID SCALE DISSOLVER ~/~~ ~ ~'q I~ /OO 80 00 LBS Min SULFAMIC ACID men~ plan ;or , and ~ a ng w 7~o 40 oo LBS Min ACETONE (Na~of~s~,~' F R IH L 500 00 FT3 Mod HYDROCHLORIC Aci~nycorrecfionsconsfitu~®acomple~ea_~d].qgrrectrnej]' ~- 50 00 GAL Hi KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Hazmat Inventory One Unified List -- As Designated Order All Materials at Site SpecHazlEPA HazardsI Frm DailyMax Unit MCP Hazmat Common Name... so~v~ F ~ 1-2~2~...eo"~ ~i 2 08/29/2000 KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~v~v~ ~VL~ / ~LVL£~_/.A..L.t VIRGINIA 10 DEGREASING SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: UNIT 1 E WALL CAS# STATE ~ TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid /Mixture Ambient Ambient METAL CONTAINR-NONDRUM I I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average / GAL 24.00 GAL 25.00 GAL _~I_..Z~.-~,..~E~UU~ ~U~U~'I'~ %Wt. RS CAS# 60.00 Naphtha No 8030306 15.00 Perchloroethane No 67721 15.00 Methane ~Yes 74828 HAZARD ASSESSMENTS TSecretINo N~S I BioHazINo Radioact ire/Am°unt I EPANo/ Curies F HazardsIDH NFPA/// USDOT# MCPExt ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site CALGON SPECIAL CLEANER Days On Site 365 Location Within this Facility Unit Map: Grid: CAS# 6834 -92-'0 T I Liquid / Mixture Ambient I Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION* Largest Container ! Daily Maximum Daily Average I GALL 48.00 GAL 36.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 5.00 Sodium Metasilicate N° 6834920 HAZARD ASSESSMENTS TSecret[ oRS BioHaz Radioactive/Amount [ EPA HazardsI NFPA USDOT# MCP No N No No/ Curies DH / / / Low -3- 08/29/2000 KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site MINERAL OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 64-74-2 F STATE I TYPE PRESSURE T TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum . ~-~--?:~i~Y Average 7 7-- 3oo. oo HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Mineral Oil N 8020835 HAZARD ASSESSMENTS [Tsoorot ~S BioHaz I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F / / / Min = Inventory Item 0037 Facility Unit: Fixed Containers on Site ~ C(,.)IVlIVlL)IN N.,q_rvl~ / Cl'-l~lVllC-,Ckl.~ N/..UvI~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7782-44-7 F STATE -- TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION I Largest Container [ Dai_~ Maximum Daily Average I%~ ET3 z~[3 ~ ET3 ~,.~7~~9%.00 ET3 HAZARDOUS COMPONENTS oR %Wt. S CAS # 100.00 Oxygen, Compressed N 7782447 ~ HAZARD ASSESSMENTS TSecret oRS BioHazl Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F P IH / / '/ Low -4- 08/29/2000 KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 ~ Inventory Item 0038 Facility Unit: Fixed Containers on Site -- CO~ON NAME / CHEMICAL NAME ACETYLENE Days On Site 3.65 Location within this Facility Unit Map: Grid: UNIT 2 NE BLDG M CAS# 74-86-2 STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Gas /Pure I ~ove. Ambient I A~ient PORT. PRESS. CYLI~ER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average ~FT3I 90.00 FT3 45.00 FT3 ~ZARDOUS COMPONENTS %Wt. y~ CAS# 100.00 Acetylene 74862 TSecret N~S BioHazI HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No/ Curies F P IH / / / Hi = Inventory Item 0048 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER UNIT 4 CAS# 74-86-2 ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas · Ambient Ambient PORT. PRESS CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 385.00 FT3 I 190.00 FT3 HAZARDOUS COMPONENTS %Wt. RSI CAS# 100.00 Acetylene Yes 74862 ...,HAZARD ASSESSMENTS TSecret' RSIBioHazl Radioactive~Amount I EPA Hazards I NFPA USDOT# MOP NoI I I I IN° No No/ Curies F P IH / /. / Hi 5 08/29/2000 KERN REFRIGERATION SUPPLY SiteID: 015-021-000851 = Inventory Item 0050 Facility Unit: Fixed Containers on Site ~1v~1~ ~vl~ / ~1 ~.~--k/J ~Vl~ NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7727-37-9 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION I Largest Container I ~1~ Maximum Daily Average FT3 ~ FT3 2~2 ~_~ ~ FT3 HAZARDOUS COMPONENTS I%Wt. Nitrogen oRS CAS# 100.00 N 7727379 HAZARD ASSESSMENTS I TSecret oRS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies P / / / Min = Inventory Item 0051 Facility Unit: F/i~ed Containers on Site ~ -- CO~ON NAME / CHEMIC~ NAME R-12 '~ [-----x._..-~j Days On Site Location within this Facility Unit ~ / / 75-71-8 F STATE ~ TYPE PRESS~E i TEMPERAT~EI CONTAINER TYPE Gas /Pure Ii Above Ambient Below Ambient PORT. PRESS. CYLINDER AMO~TS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 120.00 FT3 I 5800.00 FT3 HAZARDOUS COMPONENTS %Wt.I ~S CAS# 100.00 Dichlorodifluoromethane N 75718 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# I MOP No N No No/ Curies P / / / Min 6 08/29/2000 KERN REFRIGERATION SUPPLY ~~~~ SiteID: 015-021-000851 iE Inventory Item 0053 E~EE~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME R-502 ° Days On Site ° o 365 o Location within this Facility Unit Map: Grid: o CAS// o o 76-15-3 ° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas o Pure ° Above Ambient ° Below Ambient o PORT. PRESS. CYLINDER o {5~5~555~5~5~555~5~55~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum o Daily Average ° FT3 ° 100.00 FT3 o 2800.00 FT3 ° iEEEE6EEi6EEE~EEE~EEE~E HAZARDOUS COMPONENTS %Wt. o o RSo CAS// o 49.00 o Chlorodifluoromethane ONo o 75456° 51.00 o Chloropentafluoroethane ° No. o 76153 o i~i~i~i~~5~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA ° USDOT//o MCP o No ONoONo o No/ Curies° p o /// o °Low i~ Inventory'Item 0055 ~~~ Facility Unit: Fixed Comainers on Site i~ COMMON NAME / CHEMICAL NAME o R-Il3 o Days On Site o o o 365 o o Location within this Facility Unit ' Map: Grid: o o CAS# o o o76-13-1 o iE STATE ~i~ TYPE EEEiEE PRESSURE ~E~i TEMPERATURE EEiE~E~ CONTAINER TYPE o Liquid ° Pure o Above 'Ambiem o Ambient o DRUM/BARREL-METALLIC o iEEE~EEEEEE~EEEEEEEEEEE~EEi AMOUNTS AT THIS LOCATION o~ Largest Container o Daily Maximum o Daily Average o o LBS o 200.00 LBS o 300.00 LBS o i~i~~ HAZARDOUS COMPONENTS o %Wt. o °RS° CAS# o o 100.00OTrichlorotrifluoroethane ONo o 76131° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies° DH° /// o -7- 08/29/2000 KERN REFRIGERATION SUPPLY ~~~~ SiteID: 015-021-000851 i~ Inventory Item 0060 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME R-22 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o CAS// o o75-45-6 o iE STATE EiE TYPE EEEiE~ PRESSURE EE~i TEMPERATURE ~Ei5~ CONTAINER TYPE Gas o Pure o Above Ambient o Below Ambient o PORT. PRESS. CYLINDER o iE~E~EEE~EEE~EEE~EEE~EE~Ei AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o -Zq,)L..~z~ FT3 o . 4000.00 FT3 o 15000.00 FT3 o %Wt. o o RSo CAS// o 100.00 o Chlorodifluoromethane ONo o 75456° °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT//o MCP o No ONoONo o No/ Curies° p o /// o OLowO Inventory Item 0066 ~~EE~ Facility Unit: Fixed Containers on Site i6E COMMON NAME / CHEMICAL NAME 66E~666EE66~E66EEEE~E6EE66EE6iEEE66~66E666666~i LIQUID SCALE DISSOLVER o Days On Site o 365 o Location within ~is Facility U~t Map: Grid: o CASg o o 5329-14-6 o STATE ~i~ TYPE ~EEi~E PRESSURE ~EEi TEMPE~TURE ~iEE5~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BOX o i~88888~8~8~8~888~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o ~~BS o 80.00 LBS o 300.00 LBS o %Wt. o o RSo CAS~ o 50.00OSulfamic Acid ONo o 5329146° i~SEEESEiEE~i~EESEEi~EEESE6~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT~ o MCP No ONoONo o No/ Curies° R DH° /// o OMin -8- 08/29/2000 KERN REFRIGERATION SUPPLY eeaaaaaeeaaaeeaaeeaaaeeaaea SiteID: 015-021-000851 ia Inventory Item 0068 aaaaaaaaaaaaaaa Facility Unit: Fixed Containers on Site iaa COMMON NAME / CHEMICAL NAME SULFAMIC ACID o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o CAS// o o 5329-14~6 o ia STATE aia TYPE aaaiaa PRESSURE aaa~ TEMPERATURE Solid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o iaaaaaaaaaaaaaaaaaaaaaaaaaal AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o LBS o 40.00 LBS o 40.00 LBS ° i~a~aai~aaa~aaa~aaaa~ HAZARDOUS COMPONENTS %Wt. o ° RS° CAS// o 97.00OSulfamic Acid ONo o 5329146° i6aaaaaaiaaai~aa~ai~a~a~aa~a HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o R IH o / / / o o Min o ia Inventory Item 0069 aaaaaaaaaaaaaaa Facility Unit: Fixed Containers on Site i~a COMMON NAME CHEMICAL NAME o ACETONE o Days On Site o o o 365 o o Location within this Facility Unit Map: Grid: o o CAS// o o o 67641 o ia STATE ~la TYPE aea~aa PRESSURE aaai TEMPERATURE aaiaaaa CONTAINER TYPE ° Liquid o Pure ° Above Ambient o Ambient o PORT. PRESS. CYLINDER o iaa~aaa~aaa~aaa~aaaaaaaaaa~ AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o o FT3 o 500.00 FT3 o 400.00 FT3 o i~aaa~aai~a~a~a~a~a HAZARDOUS COMPONENTS aaaaaaaaaaaaaaiaaaiaaaaaaaaaaaaaaai o %Wt. o o RSo CAS// o o 100.00OAcetone ONo o 67641° ieaaeaaaiaaaiaaaeaaieeaa~aaae~a HAZARD ASSESSMENTS aaaiaaaaaaaaaiaaaaaaaaiaaaaai °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# ° MCP ° o No ONoONo o No/ Curies°F RIH o /// o -9- 08/29/2000 KERN REFRIGERATION SUPPLY ~~~~ SiteID: 015-021-000851 i~ Inventory Item 0070 ~~~ Facility Unit: Fixed Containers on Site i~E COMMON NAME / CHEMICAL NAME HYDROCHLORIC ACID o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o CAS# o o 7647-01-0 o iE STATE EiE TYPE EEEi~ PRESSURE EEEi TEMPERATURE E0iEEEE CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o GAL o 50.00 GAL o 100.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 26.00OHydrochloric Acid °Yes° 7647010° iEEEE/~EEiEEEiEEEEEEii~E/~/~/~EEE~SE/~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° RIH o /// o OHio Inventory Item 0071 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i SOLVENT o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o CAS# o o 64742-98-7 o STATE/~i~ TYPE 8~i~ PRESSURE/~8~i TEMPERATURE ~i~/~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o METAL CONTAINR-NONDRUM o i~/~/~/~/~/~5~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily~verage o l GAL o 24.00 GAL° [2.-.~_..G..AL o i~E~i~~E~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 50.00OStoddard Solvent ONo o 80303060 10.00 o Dichloromethane ONo o 75092° 8.00 o Perchloroethylene ONo o 127184° iEEE~EEEiEEEiEEEEEEiEEEEE~E~EEE HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o 'EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F o /// o OHio -10- 08/29/2000 KERN REFRIGERATION SUPPLY ~~~~ SiteID: 015-021-000851 i i~ Notif./Evacuatio~Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 10/29/1991 i o IN EXTREME EMERGENCIES CONTACT FIRE DEPARTMENT, HAZ MAT UNIT. REFER TO MSDS o IF SMALL SPILL OR LEA~GE. LOCAL BUSINESS OWNER CAN CONTAIN AND DISPOSE OF o ~TE~AL AS PER LOCAL, STATE, FEDE~L REGULATIONS. o O i~ Employee Notif./Evacuation ~~~~~ 10/29/1991 i o NOTIFICATION OVER PA SYSTEM OR VENAL AND CALL 911. o O i~ ~blic Notif./Evacuation ~~~~~~ 10/29/1991 i O NOTIFY NEIGHBO~NG COMPANIES AND FAMILY UNITS~ EVACUATE TO A SAFE DISTANCE. o REFER TO MSDS FOR HAZARD TYPE AND PROCEED WITH CLEAN UP AFTER EVACUATION. o o ~ Emergency Medical Plan ~~~~~~ 10/29/1991 i O NOTIFY OFFICIALS OF ACCIDENT AND TRY TO MINIMIZE FURTHER DESTRUCTION OR o HA~. o o ~RN MEDICAL CENTER - 1830 FLOWER STREET - 326-2000 o MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 o SAN JOAQUIN HOSPITAL - 2615 EYE S~REET - 395-3000 o GOLDEN EMPIRE AMBULANCE - 325-9011 o O aeee~eeeeeeeee~ee~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eee~f - 11- 08/29/2000 KERN REFRIGERATION SUPPLY/~5~5~5~/5~~/~/5~ SiteID: 015-021-000851 i i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release Prevention ~~~~~~~ 10/29/1991 o MATERIAL PACKAGED IN SMALL PACKAGES FOR RESALE CONTAINERS AND PROPERLY o O i~ Release Containment ~~~~~~ 10/29/1991 O IF SPILLS, USE ABSORBANT MATERIALS AND DAMN FLOW OF MATERIALS. IF SOLID o SPILLS, SECURE AREA AND CLEAN UP IN PLASTIC LINED CONTAINER. IF o REFRIGERANT, SECURE AREA AND WAIT UNTIL CYLINDER HAS VENTED CONTENTS, BE ° SURE TO VENTILATE AREA. o o i~ Clean Up ~~~~fi~~~~ 10/29/1991 o USE APPROVED CLEAN UP CONTAINER TO REMOVE SPILLAGE MATERIAL TO APPROVED o SITE. REFER TO MSDS FOR PROPER HANDLING OF WASTE. o O i~ Other Resource Activation o o - 12- 08/29/2000 KERN REFRIGERATION SUPPLY ~~~~ SiteID: 015-021-000851 i ' i~ Site Emergency Factors ~~~~~~ Overall Site i~ Special Hazards O O i6/~ Utility Shut-Offs ~66~~/~i~/~~/~~~ 10/29/1991 o A) GAS - REAR OF UNIT I, IN ALLEY ° B) ELECTRICAL - REAR OF UNIT 3 ON BACK OF N WALL ° C) WATER - REAR OF UNIT 5 IN ALLEY ° D) SPECIAL - NONE o E) LOCK BOX - NO ° O i~ Fire Protec./Avail. Water ~~~~~ 10/29/1991 o PRIVATE FIRE PROTECTION - ????????????? o O o O FIRE HYDRANT - WITHIN 6 BLOCK' AREA. AREA DOES NOT HAVE ADEQUATE FIRE ° HYDRANTS, CITY SHOULD PROVIDE MORE. ° o i~E~E Building Occupancy Level O o -13- 08/29/2000 i KERN REFRIGERATION SUPPLY E6EEEEEEEEEEEEEEEEEEEEE~EE SiteID: 015-021-00085 i~ Training ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 01/26/1990 o HAVE/~E~MPLOYEES o o WE AT THIS FACILITY o O ' O o DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? o O o BRIEF SUMMARY OF TRAINING: o o o o o o o aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee ee~f ii~i~E~ Held for Fumre Use O O iEE~E Held for Fumre Use -14- 08/29/2000 Manager : ~ /l~sPhone: (805) 327-9774 Location: 618 E CALIFORNIA AV ~' ~5~ ~ ~ ~7 IMp : 103 CommHaz : Moderate City : BAKERSFIELD ~. ~ .... ~id: 32A FacUnits: 1 AOV: ! CommCode: BAKERSFIELD STATION ~~~~C Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ADIN R. BOSS / PRESIDENT HANK BOSS / VICE PRESIDENT Business Phone: (805) 327-9774x Business Phone: (805) 325-7156x 24-Hour Phone : (805) 871-8124x 24-Hour Phone : (805) 325-7156x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Ag.def2 : Phone: (~o~) 5~- ~x MailAddr: 618 E CALIFORNIA AV State: CA City : BAKERSFIELD Zip : 93307 BusOwner ADIN R. BOSS Phone: (805) ~ZV~77~x Address : 1505 CRESTMONT State: CA City : BAKERSFIELD Zip : 93306 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: EHSs: No Agency-Defined Topic Title = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax UnitlMcP VIRGINIA 10 DEGREASING SOLVENT F DH L t 7_ ~24 GAL Ext ACETYLENE F P IH G 385 FT3 Hi ACETYLENE ~ F P IH G !~ 90 FT3 Hi HYDROCHLORIC~ACID R IH L 50 GAL Hi SOLVENT // F L /~ 24 GAL Hi ACETONE -~ F R IH L ~ 500 FT3 Mod R-22 P G ~ 4000 FT3 Low OXYGEN F P IH G 600 FT3 Low R-502 P G ~ '100 FT3 Low CALGON SPECIAL CLEANER DH L 48 GAL Low MINERAL OIL 'F L ~-- O 300 ~GAL Min R-113 DH L 200 LBS Min R-12 P G ~ 120 FT3 Min NITROGEN P G ~(30 80 FT3 Min LIQUID SCALE DISSOLVER R DH S ~ 80 LBS Min SULFAMIC ACID R IH S 40 LBS Min KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ VIRGINIA 10 DEGREASING SOLVENT 365 Location within this Facility Unit CAS# UNIT 1 E WALL Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 24.00 25.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHSI CAS# 60.00 Naphtha No I 8030306 15.00 Perchloroethane NoI 67721 15.00 Methane No 74828 HAZARD ASSESSMENTS TSecret EHS BioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No No No No/ Curies F DH / / / Ext UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? ('l'yp~ or p~nt na~) msn~ plan ~or~~~ and ~hm i~ alon~ wi~h any corrections consfi~u~ a comple~ and cormc~ man~ agemen~ plan for my ;acili~. -2- MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag.Defined9: Ag. Definel0: -- Ag. Definell -3- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0048 Facility Unit: Fixed Containers on Site ACETYLENE 365 Location within this Facility Unit CAS# SE CORNER UNIT 4 74-86-2 F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas /Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 385.00 190.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. I EHS CAS# 100.00IAcetylene No 74862 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# NCP No No No No/ Curies F P IH / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. DefinedS: Ag. Definedg: Ag. Definel0: -- Ag. Definell -4- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0038 Facility Unit: Fixed Containers on Site ACETYLENE 365 Location within this Facility Unit CAS# UNIT 2 NE BLDG M 74-86-2 [ STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 90.00 45.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHSI CAS# 100.00 Acetylene No I 74862 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.DefinedS: Ag. Defined6: Ag. DefinedT: Ag. DefinedS: Ag. Defined9: Ag. Definel0: -- Ag.Definell -5- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0070 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ HYDROCHLORIC ACID 365 Location within this Facility Unit CAS# 7647-01-0 I CONTAINER PLASTIC Ambient Ambient Mixture Liquid AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 50.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. HAZARDOUS COMPONENTS EHS CAS# 26.00 Hydrochloric Acid No 7647010 HAZARD ASS~M~NT~ TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag.Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag. Defined7: Ag.DefinedS: Ag.Definedg: Ag. Definel0: -- Ag.Definell -6- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0071 Facility Unit: Fixed Containers on Site ~u~u~ Na~l~ / ~lUa~ N~ ways un ~l~e ~ SOLVENT 365 Location within this Facility Unit CAS# 64742-98-7 F STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient I Ambient [ METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 24.00 24.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. EHS CAS# 50.00 Stoddard Solvent No 8030306 10.00 Dichloromethane No 75092 8.00 Perchloroethylene No 127184 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT#~ MCP No No No No/ Curies F / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? -7- MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag. Defined6: Ag.Defined7: Ag. Defined8: Ag. Defined9: Ag.Definel0: -- Ag.Definell KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0069 Facility Unit: Fixed Containers on Site ~u~vavlu~ N~u~ / ~~a~ m~ ways un ~e ~ ACETONE 365 Location within this Facility Unit CAS# 67641 STATE T TYPE PRESSURE ,,TEMPERATURE CONTAINER TYPE Liquid Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 500.00 400.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Acetone No 67641 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH ! ! / Mod UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag. Defined5: Ag.Defined6: Ag. Defined7: Ag. DefinedS: Ag. Defined9: Ag.Definel0: -- Ag. Definell -9- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0060 Facility Unit: Fixed Containers on Site R-22 365 Location within this Facility Unit CAS# 75-45-6 F STATE [ TYPE PRESSUREiTEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Below Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 4000.00 15000.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Chlorodifluoromethane No 75456 HAZARD ASSESSMENTS TSecret EHslBioHazI Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No I No No No/ Curies P / / / Low UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag. Defined6: Ag. Defined7: Ag. DefinedS: Ag.Definedg: Ag. Definel0: -- Ag.Definell -10- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0037 Facility Unit: Fixed Containers on Site OXYGEN 365 Location within this Facility Unit CAS# 7782-44-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 600.00 400.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 %Wt. HAZARDOUS COMPONENTS EHS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARD A~M~NT~ TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag.DefinedS~ Ag.Definedg: Ag. Definel0: -- Ag. Definell -11- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0053 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ R-502 365 Location within this Facility Unit CAS# 76-15-3 FSTATE -- TYPE PRESSURE TEMPERATUREI CONTAINER TYPE Gas Pure Ii Above AmbientIi Below Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 100.00 2800.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS ! %Wt. EHSI CAS# 49.00 Chlorodifluoromethane No I 75456 51.00 Chloropentafluoroethane NoI 76153 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies p / / / Low UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag.DefinedS: Ag.Defined9: Ag. Definel0: -- Ag. Definell -12- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 = Inventory Item 0002 Facility Unit: Fixed Containers on Site CALGON SPECIAL CLEANER 365 Location within this Facility Unit CAS# 6834-92-0 F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 48.00 36.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 5.00 Sodium Metasilicate No 6834920 HAZARD A~M~NT~ TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined5: Ag. Defined6: Ag. Defined7: Ag. DefinedS: Ag. Definedg; Ag. Definel0: -- Ag.Definell -13- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 = Inventory Item 0024 Facility Unit: Fixed Containers on Site MINERAL OIL 365 Location within this Facility Unit CAS# 64-74-2 Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 300.00 200.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Mineral Oil No 8020835 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. DefinedS: Ag.Defined9: Ag.Definel0: -- Ag.Definell -14- F KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0055 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ R-113 365 Location within this Facility Unit CAS# 76-13-1 F STATE TPureTYPE PRESSURE ,[ TEMPERATURE CONTAINER TYPE ~Liquid I Above Ambient Ambient }DRUM/BARREL-METALLIC AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 200.00 300.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS %Wt. HAZARDOUS COMPONENTS EHS CAS# 100.00 Trichlorotrifluoroethane No I 76131 HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.DefinedS: Ag.Definedg: Ag. Definel0: -- Ag.Definell -15- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0051 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ R-12 365 Location within this Facility Unit CAS# 75-71-8 Gas Pure Above Ambient Below Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 120.00 5800.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 I HAZARDOUS COMPONENTS EHS CAS# %Wt. 100.00 Dichlorodifluoromethane No 75718 HAZARD A~M~NT~ TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies p / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag.Defined6: Ag. Defined7: Ag. DefinedS: Ag.Definedg: Ag.Definel0: -- Ag. Definell -16- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0050 Facility Unit: Fixed Containers on Site ~Utv~vlu~ ~.&~'J.~ / ~£~ ~ ~ U~ ~ ~ NITROGEN 365 Location within this Facility Unit CAS# 7727-37-9 STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas /Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc FT3 DailyMax this Loc FT3 DailyAvg this Loc FT3 80.00 80.00 DailyMax Stored FT3 DailyMax Open Use FT3 DailyMax Closed Use FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Nitrogen No 7727379 TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag.Defined7: Ag. DefinedS: Ag. Defined9: Ag. Definel0: -- Ag.Definell -17- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 = Inventory Item 0066 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME Days On Site ~ LIQUID SCALE DISSOLVER 365 Location within this Facility Unit CAS# 5329-14-6 F STATE T TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Ambient Mixture Ambient Solid BOX AMOUNTS STORED AND IN USE Lrgst Cont.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 80.00 300.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. I EHS CAS# 50.001Sulfamic Acid No 5329146 HAZARD AS$~SMM~NT~ TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R DH / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag.DefinedS: Ag.Defined9: Ag.Definel0: -- Ag. Definell -18- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 ~ Inventory Item 0068 Facility Unit: Fixed Containers on Site SULFAMIC ACID 365 Location within this Facility Unit CAS# 5329-14-6 Solid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cent.this Loc LBS DailyMax this Loc LBS DailyAvg this Loc LBS 40.00 40.00 DailyMax Stored LBS DailyMax Open Use LBS DailyMax Closed Use LBS HAZARDOUS COMPONENTS %Wt. IEHSl CAS# 97.00 Sulfamic Acid ~ 5329146 TSecret EHSiBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag. Defined4: Ag. DefinedS: Ag.Defined6: Ag. Defined7: Ag. DefinedS: Ag. Defined9: Ag. Definel0: -- Ag.Definell -19- F KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 10/29/1991 IN EXTREME EMERGENCIES CONTACT FIRE DEPARTMENT, HAZ MAT UNIT. REFER TO MSDS IF SMALL SPILL OR LEAKAGE. LOCAL BUSINESS OWNER CAN CONTAIN AND DISPOSE OF MATERIAL AS PER LOCAL, STATE, FEDERAL REGULATIONS. -- Employee Notif./Evacuation 10/29/1991 NOTIFICATION OVER PA SYSTEM OR VERBAL AND CALL 911. Public Notif./Evacuation 10/29/1991 NOTIFY NEIGHBORING COMPANIES AND FAMILY UNITS. EVACUATE TO A SAFE DISTANCE. REFER TO MSDS FOR HAZARD TYPE AND PROCEED WITH CLEAN UP AFTER EVACUATION. Emergency Medical Plan 10/29/1991 NOTIFY OFFICIALS OF ACCIDENT AND TRY TO MINIMIZE FURTHER DESTRUCTION OR HARM. KERN MEDICAL CENTER - 1830 FLOWER STREET - 326-2000 MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 SAN JOAQUIN HOSPITAL - 2615 EYE STREET - 395-3000 GOLDEN EMPIRE AMBULANCE - 325-9011 -20- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 10/29/1991 MATERIAL PACKAGED IN SMALL PACKAGES FOR RESALE CONTAINERS AND PROPERLY -- Release Containment 10/29/1991 IF SPILLS, USE ABSORBANT MATERIALS AND DAMN FLOW OF MATERIALS. IF SOLID SPILLS, SECURE AREA AND CLEAN UP IN PLASTIC LINED CONTAINER. IF REFRIGERANT, SECURE AREA AND WAIT UNTIL CYLINDER HAS VENTED CONTENTS, BE SURE TO VENTILATE AREA. -- Clean Up 10/29/1991 USE APPROVED CLEAN UP CONTAINER TO REMOVE SPILLAGE MATERIAL TO APPROVED SITE. REFER TO MSDS FOR PROPER HANDLING OF WASTE. Other Resource Activation -21- F KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 10/29/1991 A) GAS - REAR OF UNIT I, IN ALLEY B) ELECTRICAL - REAR OF UNIT 3 ON BACK OF N WALL C) WATER - REAR OF UNIT 5 IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/29/1991 PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - WITHIN 6 BLOCK AREA. AREA DOES NOT HAVE ADEQUATE FIRE HYDRANTS, CITY SHOULD PROVIDE MORE. Building Occupancy Level -22- KERN REFRIGERATION SUPPLY SiteID: 215-000-000851 Fast Format = Training Overall Site -- Employee Training 01/26/1990 WE HAVE 4 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? y~ BRIEF SUMMARY OF TRAINING: -- Page 2 -- Held for Future Use Held for Future Use -23- 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 1 Overall Site with 1 Fac. Unit General Information Location: 618 E CALIFORNIA AV Map:103 Haz:3 Type: 3 City : BAKERSFIELD Grid: 32A F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title ADIN R. BOSS / PRESIDENT HANK BOSS / VICE PRESIDENT Business Phone: (805) 327-9774x Business Phone: (805) 325-7156x 24-Hour Phone : (805) 871-8124x 24-Hour Phone : (805) 325-7156x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 618 E CALIFORNIA AV D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: Owner: ADIN R. BOSS Phone: (805) 327-9774 Address: ~-P~V~ L'J~.~A /~' ~~44o~J7- State: CA City: BAKERSFIELD Zip: 93306- Summary RECSiVED HAZ. MAT. DiK t, /~ ttO~__a~_ DO hereby certify that I have reviewed the attached hazardous materials ma,:age- ,or ~---~ and that it along ~th' merit plan _ {,,,.~-~I - any corrections constitute a complete and ¢oNect man- agement plan to~ my facility. 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form M~x Qty MCP 02-001 VIRGINIA 10 DEGREASING SOLVENT Liquid V~-- ~ Extreme · Fire, Delay Hlth G AL' 02-038 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 02-048 ACETYLENE Gas 385 High · Fire, Pressure, Immed Hlth / FT3 02-070 HYDROCHLORIC ACID Liquid~/~ ~ High · Reactive, Immed Hlth <~) GAL 02-071 SOLVENT Liquid V/~._~ ~' High · Fire GAL 02-069 ACETONE Liquid 500 Moderate · Fire, Reactive, Immed Hlth / FT3 · Delay Hlth __--~GAL 02-037 OXYGEN Gas 600 Low · Fire, Pressure, Immed Hlth / FT3 o2-06o R-22 Gas Low · PreSsure ~ 4000 02-056 R-500 ~Gas ~Low 02-053 R-502 C~ ~~ Gas ~ ~ Low 02-066 BI,HID 8ChB~ DISSOBVER Sol~d ~ Reactive, Delay Hlth' 02-050 NITROGEN Gas 80 Minimal ~ Pressure FT3 ~ Pressure {~ ~ ~ ~~ ~~ / ~ Pressure ~O 02-055 R-113 ~ [~ (~ ~~<' Liquid ~~ ~ Minimal 02-024 MINE~L OIL ~ ~~ Liquid 300 Minimal ~ Fire GAL 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 3 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-068 SULFAMIC ACID Solid 40 Minimal · Reactive, Immed Hlth LBS 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 VIRGINIA 10 DEGREASING SOLVENT Liquid 55 Extreme · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING -- Daily Max GAL I Daily Average GAL I Annual Amount GAL ~55 ~ 25.00 66.00 ~torage Press T Temp~ Location METAL C6NTAINR-NONDRUMIAmbient~AmbientlUNIT 1E WALL -- ConcI Components I MCP ----/Guide 60.0% INaphtha IM°derateI 27 15.0%I Perchloroethane ModerateI 53 15.0% Methane Extreme I 17 02-038 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT390I~ Daily Average45.00FT3 I Annual Amount90.00FT3 -- Storage~ Press I Temp~ Location PORT. PRESS. CYLINDER IAbove ~AmbientlUNIT 2 NE BLDG M -- Conc Components MCP ---TGuide 100.0% IAcetylene [High ~ 17 02-048 ACETYLENE Gas 385 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 1 Annual Amount FT3 385 ~ 190.00 6,050.00 Storage~~Press T Temp Location PORT. PRESS. CYLINDER IAmbientlAmbientlSE CORNER UNIT 4 -- Conc Components MCP ---/Guide 100.0% IAcetylene IHigh ! 17 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 5 ~. 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-070 HYDROCHLORIC ACID Liquid 150 High · Reactive, Immed Hlth GAL CAS #: 7647-01-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL I Daily Average GAL I Annual Amount200.00GAL 150 ~ 100.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbient~ambientl -- Conc Components MCP ---~uide 26.0% IHydrochloric Acid High 15 02-071 SOLVENT Liquid 180 High · Fire GAL CAS #: 64742-98-7 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GALI Daily Average GAL T Annual Amount GAL 180 I 24.00__ 120.00 Storage Press T Temp Location METAL CQNTAINR-NONDRUM AmbientlAmbientI -- ConcI Components I MCP ---TGuide 50.0% IStoddard Solvent]ModerateI 27 10.0%IDichl°r°methane High ~ 74 8.0% Perchloroethylene Low ~ 74 02-069 ACETONE Liquid 500 Moderate · Fire, Reactive, Immed Hlth FT3 CAS #: 67641 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 ] Annual Amount FT3 500 ~ 400.00 3,000.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove ~AmbientI -- Conc~ Components ~ MCP ---TGuide 100.0% IAcetone IModeratel 26 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 6 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 CALGON SPECIAL CLEANER Liquid 72 Low · Delay Hlth GAL CAS #: 6834-92-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL I Daily Average GAL I Annual Amount GAL 72 I 36.00 120.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbientlAmbientl -- Conc~ Components MCP ---TGuide , 5.0% ISodium Metasilicate Low ~ 60 02-037 OXYGEN Gas 600 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 600 ~ 400.00 6,000.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~AmbientI -- Conc Components MCP ---TGuide 100.0% Ioxygen, Compressed ILow ~ 14 02-060 R-22 Gas 20000 Low · Pressure FT3 CAS #: 75-45-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 -- 20,000 ~ 15,000.00 743,000.00 Storage Press T Temp~ Location PORT. PRESS. CYLINDER Above ~Below I -- Conc Components MCP'---TGuide 100.0% IChlorodifluorOmethane ILow ~ 12 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 7 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-056 R-500 Gas 4760 Low · Delay Hlth FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: COOLING Daily Max FT3 Daily Average FT3 I Annual Amount FT3 -- 4,760 I 2,000.00 36,720.00 Storage Press T Temp Location PORT. PRESS. CYLINDER Above |Below I - Conc Components MCP iGuide 74.0% IDichlorodifluoromethane IMinimalI 12 26.0% 1,1-Difluoroethane Low 22 02-053 R-502 Gas 4000 Low · Pressure FT3 CAS #: 76-15-3 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 Daily Average FT3 I Annual Amount FT3 4,000 I 2,800.00 6,000.00 Storage Press T Temp Location PORT. PRESS. CYLINDER IAbove |Below I -- Conc Components MCP ---~uide 49.0% Ichlorodifluoromethane Low / 12 51.0% Chloropentafluoroethane Low 12 02-066 LIQUID SCALE DISSOLVER. Solid 400 Minimal · Reactive, Delay Hlth LBS CAS #: 5329-14-6 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBS I Daily Average LBS I Annual Amount LBS 400 I 300.00 450.00 Storage Press T Temp Location BOX IAmbient|Ambientl -- Conc~ Components MCP ---~uide 50.0% ISulfamic Acid Minimal I 60 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 8 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-050 NITROGEN Gas 80 Minimal · Pressure FT3 CAS #: 7727-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount 80.00FT3 80 I 80.00 Storage Press T Temp Location PORT. PRESS. CYLINDER Iabove /ambientl - Conc Components MCP ---TGuide 100.0% INitrogen ILow ! 12 02-051 R-12 Gas 8000 Minimal · Pressure FT3 CAS #: 75-71-8 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING -- Daily Max FT3 Daily Average FT3 I Annual Amount FT3 8,000 J 5,800.00 30,200.00 Storage Press T TempI Location PORT. PRESS. CYLINDER Above lBelow I - Conc Components MCP ---~uide 100.0% IDichlorodifluoromethane IMinimal I 12 02-054 R-ii Liquid 800 Minimal · Pressure LBS CAS #: 75-69-4 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING Daily Max LBSI Daily Average LBS I Annual Amount LBS 800 I 600.00 3,000.00 Storage Press T Temp Location DRUM/BARREL-METALLIC IAmbientlAmbientl -- Conc Components MCP iGuide 100.0% ITrichlorofluoromethane IL°w I 12 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 9 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-055 R-113 Liquid 300 Minimal · Delay Hlth LBS CAS #: 76-13-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING Daily Max LBS I Daily Average LBS ~ Annual Amount LBS 300 I 300.00 , 600.00 Storage Press T Temp Location DRUM/BARREL-METALLIC IAbove IAmbientl -- Conc Components MCP Guide 100.0% ITrichlorotrifluoroethane Minimal I 58 02-024 MINERAL OIL Liquid 300 Minimal · Fire GAL CAS #: 64,74-2 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL 300 I 200.00 1,000.00 Storage Press T Temp Location PLASTIC CONTAINER /~nbientlAmbientI -- Conc Components MCP -~Guide 100.0% 1Mineral Oil IMinimal I 27 02-068 SULFAMIC ACID Solid 40 Minimal · Reactive, Immed Hlth LBS CAS #: 5329-14-6 Trade Secret: No 'Form: Solid Type: Mixture Days: 365 Use: CLEANING Da~l¥ Max LBSI Daily Average LBS I Annual Amount LBS 40 ~ 40.00 80.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbientlAmbientl -- Conc Components I MCP ---TGuide 97.0% ISulfamic Acid IMinimal I 60 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 10 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification IN EXTREME EMERGENCIES CONTACT FIRE DEPARTMENT, HAZ MAT UNIT. REFER TO MSDS IF SMALL SPILL OR LEAKAGE. LOCAL BUSINESS OWNER CAN CONTAIN AND DISPOSE OF MATERIAL AS PER LOCAL, sTATE, FEDERAL REGULATIONS. <2> Employee Notif./Evacuation NOTIFICATION OVER PA SYSTEM OR VERBAL AND CALL 911. <3> Public Notif./Evacuation NOTIFY NEIGHBORING COMPANIES AND FAMILY UNITS. EVACUATE TO A SAFE DISTANCE. REFER TO MSDS FOR HAZARD TYPE AND PROCEED WITH CLEAN UP AFTER EVACUATION. <4> Emergency Medical Plan NOTIFY OFFICIALS OF ACCIDENT AND TRY TO MINIMIZE FURTHER DESTRUCTION OR HARM. KERN MEDICAL CENTER - 1830 FLOWER STREET - 326-2000 MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 SAN JOAQUIN HOSPITAL - 2615 EYE STREET - 395-3000 GOLDEN EMPIRE AMBULANCE - 325-9011 HALL AMBULANCE SERVICE - 821-4357 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 11 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MATERIAL PACKAGED IN SMALL PACKAGES FOR RESALE CONTAINERS AND PROPERLY STORED. <2> Release Containment IF SPILLS, USE ABSORBANT MATERIALS AND DAMN FLOW OF MATERIALS. IF SOLID SPILLS, SECURE,AREA AND CLEAN UP IN PLASTIC LINED CONTAINER. IF REFRIGERANT, SECURE AREA AND WAIT UNTIL CYLINDER HAS VENTED CONTENTS, BE SURE TO VENTILATE AREA. <3> Clean Up USE APPROVED CLEAN UP CONTAINER TO REMOVE SPILLAGE MATERIAL TO APPROVED SITE. REFER TO MSDS FOR PROPER HANDLING OF WASTE. <4> Other Resource Activation 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 12 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF UNIT I, IN ALLEY B) ELECTRICAL - REAR OF UNIT 3 ON BACK OF N WALL C) WATER - REAR OF UNIT 5 IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ????????????? FIRE HYDRANT - WITHIN 6 BLOCK AREA. AREA DOES NOT HAVE ADEQUATE FIRE HYDRANTS, CITY SHOULD PROVIDE MORE. <4> Building Occupancy Level. 01/12/96 KERN REFRIGERATION SUPPLY 215-000-000851 Page 13 00 - Overall Site <G> Training <1> Employee Training WE HAVE 4 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <2> Page 2 <3> Held for Future Use <4> Held for Future Use I~0. BOX 3313 · 618 E. CALIFORNIA AVE. BAKERSFIELD, CALIFORNIA 93307 (805) 327-9774 o (800) 821-1711 FAX (805) 323-7846 04/05/91 ~0~\ KER~FRIGERATION SUPPLY ~.15-' )00851 Page 1 ~/~ Overall Site with 1 Fac.~'Unit ~[ ~ ]~1 ~ Ger, e~al Ir, fc, rmatior, A Id ............ ILocatior,: 618 E CALIFORNIA AV Map: 1(:)3 ~Hazard: Moderate I lder, t N~.~mber: 215-000-000851 Grid: 32A Area of Vul: 0. - Cor~tact Name ..... ~ Title ,.. Business Phor~e ~. 24 Hc, ur Pl~c, pe~ ADIN R. BOSS · ~ ~~~ ~ (805) 327-9774 x ,~(805) HANK BOSS ~-~~~ (805) 325-7156 x ~ail ~ddrs: 6lB E C~LIFO~NI~ ~V D&B Number': City: B~ERSFIELD State: (]~ Zip: 93307- Corem Code:-R15-00~ B~KE~SFIELD STATION' OZ SIC Code: Owne~: ~DIN R. BOSS Ph°r~e: (805) City: BAKERSFIELD Zip: 93306- Summary 04/05/91 KERN REF:RIGERATION SUPPLY 215-(:)(:)(:)-(:)(:)(:)851 Page 2 Hazmat Ir, ver, tory List in MCP Order Fixed Contairlers c,n Site P 1 r~-Ref Name/Hazards Form Quant ity MCP ~02-0(~1 VIRGINIA 10 DEGREASING SOLVENT Liquid 55 Extre~e Fire, Delay Hlth GAL 02-038 ACETYLENE Gas 90 H i gh Fire, Pressure,~ Immed Hlth FT3 02-048 ACETYLENE Gas 385 'Hi gh Fire, Pressure, Immed Hlth FT3 Ir,~med Hlth, Delay, Hlth LBs 02-066 LIQUID SCALE DISSOLVER 50 High Liquid Ir,~med Hlth~ Delay Hlth GAL ~02-068 41200 CALGON ~~~ ? 30 GAL Moderate 02-0~2 CAL 41610 DEGREASER SOLVENT ? .16 Moderate 02-043 CAL CLEAN ? . ~(.) Moderate GAL ~ 02-002 CALGON DEGREASI'NG SOLVENT ? 24 Moderate GAL 02-047 CALGON SPECIAL H-~ CLEANER 0 6(:) Moderate GAL / 02-020 RBP D51066 ~10 SOLgEN]' ~~ ' ~ 2 Moderate GAL 02 -021 RBP DS2566 ~10 SOLVENT ~~~ ~ 2 Moderate ~~ ~ GAL / (])2-(')26 VIR 021(:) ~IO~DEGREASER SOLVENT ~ ~ ~ ~ 10 Moderate ~02-027 VIR D1 ~10 DEGREASER SOLVENT 0 50 Moderate GAL 02-064 15 R22 o 19,380 Low FT3 ~ 02-067 ~ C . ~4.) CALGON LIQUID SCALE INHIBITOR o 40 Low GAL 04/05/91 , KER FRIGERATION SUPPLY 2 )-000851 Page 3 Hazmat Irlventory List ir, MCP Order · . 02'- Fixed Cor~tair~ers or~ Site P 1 r,-Ref Na~e/Hazards Forn~ Quar, t ity MCP / '02-040 CAL 41426 ~ 38 Low GAL ~ 02-037 OXYGEN ~ 4(]) Low FT3 ~ 02-049 OXYGEN ~ 1,580 Low FT3 0~-(.)o~ R22 125 REFRIGERENT ~ 25,500 Low FT3 ~ 02-060 R22 REFRIGERANT ~ ' 65,620 LOw FT3 .)~-0~ R~O~ 1~5 o 34, 0()0 L. ow FT3 02-062 R502 15LB REFRIG[RANT * 2,550 Low FT3 .,~-,~ R502 REFRIGERANT o 11,900 Low FY3 02-058 R502 REFRIGERANT ~ ~, 180 Low J FT3 02-04~ STA LU~E 10-40 ~ 4 Low GAL 02-044 STA, LU~E .SAE20 ~ 4 Low GAL 02-045 STA LUBE SAE30 ~ 4 Low GAL ' k 02-014 2~275 4GS REFRIGERATOR OIL ~ 130 Mini~al GAL ~ 02-013 2~28~ 3GS RIFRIGERATOR OIL. ? 123 Mini~al GAL FT3 >~-01~ AEROL OIL CALGON ? 6 Mir~irnal > GAL 04/05/91 KERN REFRIGERATION SUPPLY 215-000-000851 Page 4 Hazr~at Inventory List ir~ MCP Order (])2 - Fixed Cor, tair, ers or, Site Pl r,-Ref Na~e/Hazards F,z,r~ Quar~t ity MCP ~- 02-016 CAL 3GS MINERAL OIL REFINED ? 80 Mir~ir~al GAL 02-017 CAL 43041 4GS MINERAL OIL REFINED ~ 20 Mir~i~al GAL 02-018 CAL 43051-43055 500 REFRIG OIL/MINERAL o 10 Mir~ir~al GAL (]2-(]31 CAL 43830, VACUUM PUMP OIL ~ 45 Mini~al ~ GAL 02-029 CALGON 43834, VACUUM PUMP OIL o 20 Mir~i~al GAl_ 02-011 CALGON C-4 REFRIGERATOR OIL ~ 10 Minir~al GAL 02-008 CALGON S-C REF. 01L ~ 25 Mi~i~a 1 GAL ,~ 02-005 CALGON VACUUM PUMP 01L ~ 17 Mi ~i~a 1 GAL 02-007 CALGON VACUUM PUMP 01L ~) 45 Mi ~i n~a 1 GAL ~02-034 DO1 TELESPONT OILER ? 2 Mini~al GAL 02-03~ GEM 441 200M SPOUT OILER ~ 2 Mi~i~al GAL ~02-032 J/B DVO~, VACUUM pUMp OIL ~ 20 Mini~al GAL' 0=-.1~ J2 BRIQUETTE COOLING WA'I'ER CONTROL ~ 1 500 Mir, irnal LBS 02-035 M098 SUPER TURBINE OIL ? 2 Mir, i~al ~ GAL ~ 02-050 NITROGEN 2 150 Mi ~i~a 1 FT3 ~ 02-042 R- 12 ? 350 M i ~i ~a 1 LBS ~ 02-051 R-12 ~ 14,790 Mini~a 1 FT3 04/05/9i KER~EFR IGERAT ION SUPPLY 215-~.)-000851 Page 5 Haz~nat Inventory List in MCP Order 02 - Fixed Contair~ers or, Site Plr,-Ref Name/Hazards Form Quar~t ity MCP ~ 02-054 Rll REFRIGERANT ? 1,800 FT3 02-059 Rll REFRIGERANT ~ 10,'200. Minimal 02-055 R113 REFRIGERANI' ? 300 M'ir, irnal . FT3 02-061 ? 105,740 Minimal REFRIGERANT ' ~ Fl3 02-056 R500 REFRIGERANT ? 4,760 Mir, irnal FT3 '~.02-028. RB1'13204 VACUUM PUMP OIL o 9 Mir, imal GAL ~ 02-025 RBI 13205 15(:) WIS OIL. 3GS o 9 Mir~imal GAL 02-006 ROBINAIR ALL CLIMATE HI VAC PUMP OIL ' ~ 21 Mir, imal ., 0~-003 SERCON R-12 * 1 Mir~imal GAL 0~-0~ VIR L318 3GS MINERAL OIL 120 Mix~imal GAL 02-024 VIR L31~ 4GS MINERAL OIL o 130 Mi~imal GAL 02-01~ VIR L. 320 5GS OIL - MINERAL OIL o 6 Mir~imal GAL ..02-033 VIR L340, VACUUM OIL * 6 Mir~imal GAL 02-030 VIR L341, VACUUM OIL o 40 Mir, irnal GAL ..02-009 VIRGINIA 3GS ~ 123 Mir, imal GAL ~ 02-010 VIRGINIA 4GS o 130 Mir~irnal GAl_ "~}2-004 VIRGINIA VACUUM PUMP.OIL o 40 Mir, imal - GAl_ 04/05/91 KERN REFRIGERATION SUPPLY 215-000-000851 Page 6 00 - OYerall Site <D> Not i f. /Evacuat ion/Medical <2> Employee Notif. /Evacuatic, r~ NOTIFICATION OVER PA SYSTEM OR VERBAL AND CALL 911. <4>. Emergency Medical Plan NOTIFY OFFICIALS OF ACCIDENT AND TRY TO MINIMIZE FURTHER' DESTRUCT~ION OR HARM. KERN MEDICAL CENTER - 1830 FLOWER STREET - 326-2000 MERCY HOSPITAL - 2215 TRUXTUN AVENUE - 327-3371 SAN JOAQUIN HOSPITAL - 2615 EYE STREET - 395-3000 GOLDEN EMPIRE AMBULANCE - 325-9011 HAL[. AMBULANCE SERVICE - 821-4357 04/05/91 KER~EFR IGERAT ION SUPPLY 21 ~-000851 Page 7 O0 - Overall Site <E> Mi.t i gat iordprever~t/Abatement <1> Release Preventic, r~ MATERIAL PACKAGED IN SMALL PACKAGES FOR RESALE CONTAINERS AND PROPERLY STORED. <2> Release Contair~mer~t <'4> Other' ReSource Activation 04/05/91 KERN REFRIGERATION SUPPLY 215-000-000851 Page 8 O0 - Overall Site <F> Site En~ergerfcy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF UNIT I, IN,ALLEY B) ELECTRICAL - REAR OF UNIT 3 ON BACK OF N WALL C) WATER - REAR OF UNIT 5 IN ALLEY D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - ????????????? ~-~ FIRE HYDRANT - ???????????? 04/05)91 KER~EFRIGERAT ION SUPPLY 215-~)-000851 Page 9 ()0 - Overall Site <G> TrairJir~g <1> Page 1 WE'HAVE 4 EMPLOYEES AT THIS FACILITY Do YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? <3> Held for Future Use ~<4> Held fc, r Future Use CI'I'Y o1'-' BAKERSFIELL) ;.. AgLicultu?e ri' Standard Business ~.HAZARDOUS INVENTORY Farm and i , NON--TRADE SECRETS Page ....... of. ~,~,~ ~l~;~~/~,~ ~¢7 CITY. ZIP%~~~ ~- ~~ DUN AND BRADSTREET NUMBER iran, [y,e Hex Av~,¢9o'; Annual Neasure 'OfSeSiL ConL ConL ConL Us Location.,he(e. I ,-by,~ ,ames of Hixture/~oeDonents Code cooe AeL Aec '. EsL Units on lype Press Tamp Co~e ' S~e Instructions , Stored In ~acl/l:y Fire Hazard ~B Reactivity B DeleTed B Sudden Release B Immediate ~_~¢% ~: ~ Health of Pressure Health ~ Componen: ~3 Na,~l C.6.S. Number :: ~ Health of Pressure Component 13 Name I C.A.S. Humber : ~ - Health of Pressure Health Component 13 Hame I C.k.S. Nueber * Delayed Release ~lmmedia~eC°mp°nen~ 12 ~e I C,~.S. Number ~ Hazard~*~ReacEjvi~ ~ ~ Sudden F~re . HealEh of Pressure~ Health ~ ~ Componen~ 13 Na~e ~ C,A.S, Hu~ber CONTACTS EHERGENCY ~ertiFjcation :(Re~d and sfqn ~fCer completing ~11 sections) cer[ify under penal~) ofhw that ]hay)personally examlnedQndam familiar iiLh the information ~ubmitted in this ~nd all i C]-'I'Y ol-' BAKERSFIELD :HAZARDOUS MATER'I-ALS TNVENTORY Farm and Agticultu=re 11' Standard Business ~1~ i , NON--TRADE SECRETS , Pa~e ..... of. Code coae X~L Amc EsL , units on /ype Press lamp Code Storea tn racially ~1 See lnsLrucLtons ~ Fi~e Hazard ~ Reactivity ~ Delayed ~SuddenRelease ~ lmmediateC°ep°nent 12 Name I C,A.S. Humber Physical god Health,Hazard C.A.S. Nueber Component I1 Hame I C.A.S. HUmber it:/ Hearth of Pressure ComponenC 13 Name I C.A.a. Number ,'~/ ~Oelayed ~ Sudden Release ~ I,,edia,e Componen, 12 Name I C.A.a. Number ' i; ~ Component ,3 Hame, C.A.S. Hu,ber i . : ' Component 12 Hame I C.A.S. Number ~ Fire Hazard ~ ~ Reactivit~ ~ Delayed ~Sudden Release ~ · HealCh ~ of Pressure Health ~ : ComponenC 13 Hame ~ C.A,S. Humber CertificaCion :(Re~d ~d ~f~n ~ c~m~7~Cf(~ ~7 secCYons2 certify under penaRy o flap tha[ ]havepersona/~V exa~lne~oqQ8~ [ami~lar ~i~h the tn(or,etlon ~ubeiCted in Chis end all · ¢~F-~Fdsubm~edattacheddec~ments' ~nOthstbased onmy inquiry ¢.those Indlvlduals resp~sib/e for obLalnin9 the Information, I believe L~~~~/~~(~~ri~ljl~l[l~~~5~Tl~Flnforratlon Is true~ccurs[e~snol~; f~~c°mplete '¥~iI~-f~6f~6~ti[]ve~~~~ ' i i CI'I'Y Of' BAKERSFIELD ' ' ,HAZARDOUS MATERIALS INVENTORY Farm and Agriculture [1' Standard__ Business ~' NON--TRADE SECRETS Page kg~TIQU2~, ~//~/~ /~_. , ADDRESS;~ ?~)~ ~. ~ STANDARD IND. CLASS CODE: Trans !Y,e ,ax Avgrpge: Annual Measure I~e Cent Cent ConC Us Location. Whe(e. ~w~7 Names of,ixture/Comoonents Code cooe Amt' AeC Est ' Un,ts on lype Press lemp Co~e See lnstructtons Stored mn eac~m~cy i Physical and Health: Hazard )' C.A.S. Number Component II Name I C.A.S. Number (Check all that apply) ) Component Name C.A.S. [ Component 13 Name I C,A,S, Number ~ ..... CompOnent 12 Na~e i~ ~mber ~ Fire Hazard [~ Reactivity ~ O~lmH,~d~p~Rel~.as~ ~ ~empoia~e .em/th of Pressure ,ealth Component 13 Name t C.A.S. Number Physical(check allmndthatHealWapp1,)., Hazard'~' C.A.S. Number '- Component ,, Name, C.A.S. Numb/ ~ Fire HazardJ~,'u Reacti ityj ~ Delayed ~SuddenRelease ~ Immediate ~ - Health F of Pressure Health ~ ~ Component 13 Name $ C.A.S. Number ~. . Component 12 Name i C,A.S, Number ~ Fire Hazard ~ ~ Reactivit~ ~ Delayed ~Sudden Release ~ Immediate ~ Health ~ of Pressure Health , : Component 13 Name ~ C.A.S. Number Certification ~(Re~d and sign ~fCec comuleti/]g all sections) I cer[]~y under peri, iff oil~ tb~ ]h~v~person~/b ex~ln~¢~qd~ fa~il]~r,~i(~ the information ~u~i~ted in (his ~nd all at[ached documents. ,n~ t~aL based on my ,nquiry,f. those ,no,viOUamS responsiome ,or obCa,nin, C,e ,nfor,ation. lb,I],ve that ,hesub, ,ed Inforeation,strue~ccurate~anoco,p,e~e. _ _ ~~~~~~-~~ ~/~/~/ i CI'I'Y of' BAKER,SFIELD ,HAZARDOUS HATERTALS TNVENTORY ~arm and AgLicultu're [']' Standard Business ~' ~ NON--TRADE SECRETS , Page of. LOCATION;~¢~ ~2/~;~ ~- ADDRESS:'~-~~ , ~ STANDARD IND CLASS CODE: cI]Y. ZIP~j~~,~ ~7' CZTY. Z]~~~ ~ ~~ DUN AND BRAD~TREET NUHBER ....... Code . AmL Ami ~ EsL , Un~Ls on ~ype Press Temp Code Stored ~a tacH,tX ~ See Instruct~on~ Physical and ~e~lth;Hmzmrd ~' C.A,S, Number Component II Name & C.A~. N~mber . ~. ~ Component 12 Hame I C.A,S. Number ~ Fire Hazard :::~ Reactivity ~ Delayed Sudden Release ~ Immediate ~ ,eaKh o~Pressure He'lib'component 13 Hame I C.A.S, ,umber. Physical IOd Health,Hazard C.A.S. Number Component Ii Naae I C.A.S. Number ~ Compon 12 Name I C.A.S. Number ~ Health of Pressure Health Component 13 Name I C.A.S. Humber " ~ Component 12 Name , C.A.S. Number 0 Fire Hazmrd ~O Reactivity; ~,elayed O SuddenNelease O [,,edia[e . ~ ~ ~ Health of Pressure Health ~~ . ~ Co,ponenL '3 Name , C.A.S. Number, Physicm{'{nd ~e~lth ~Hard ~ C.A.S. Hu~ber ComponenL Il ~[e I C.}.S. Humber ~_~~ -__ ____~ ~' ~ Componen~ 12 Hame I C.A,S. Number ~ Fire Hazard { ~ Reactivit~ ~ Delayed ~ Sudden Release ~ Immediate ~ Health of Pressure Health : Component 13 Name I C,A,S, Number C, ~ 2~FP~e -- T Certific~tio~ '(Re~ and sign af~pr compl~ti~]g all secti.ons) cerL fy under pen~lti oI~ that l h~v~¢ersona/~f ex~ln~O~qo{[ ~ami~ar, fi[~ [he inlor~8[ ¢n. Su~i~teO in ~his ~nd all BAKERSFIELD CITY FIRE' DEPARTMENT 2130 "0" STREET BAKERSFIELD, CA 93301 (805) 326-3979 ! .! OFFICIAL USE ONLY iD# 000851 USINESS NAME HAZARDOUS MATER I ALS BUSINESS PLAN AS A YqHOLg FORM 2A 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 IDENTIFICATION DATA A. BUSINESS NAME: Kern Refrigeration Suppl~ B. LOCATION / STREET ADDRESS: 615 E. California Ave., CITY: Bakersfield, CA ZIP: 93307 BUS.PHONE: (805) 327-97?4 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7850 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. Adin R. Boss Ph# ~27-9774 Ph# 872-7995 B. Hank Boss Ph# 325-7156 Ph# 32~-71~6 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Rear of Unit I, ,in alley B. ELECTRICAL: Rear of Unit ~ on back of North Wahl C. WATER: Rear of Unit ~, in alley D. SPECIAL: E. 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 Evacuate customers and employees from all exits, and proceed clean up damage after insuring there is no hazard or danger ,, .! 'inv~]~¥ed. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Notify officials of accident and try to minimize further destruction or harm. Local facilities: Hospitals Ambulance Kern Medical Center Golden Empire Ambulance Mercy Hospital Hall Ambulance San Joaquin Hospital 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 -When needed B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO ~) NO C, PROPER USE OF SAFETY EQUIPMENT: .., ................ ~ NO Q~D NO-If improper D. EMERGENCY EVACUATION PROCEDURES: ................. ~ NO .~ NO proced, seen E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES N~ YES NO -Inc. pertinent info. SECTION 7: HAZARDOUS NATERI~L CIRCLE . OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A CoMPRk-~D GAS:.. .... YES ~ I, Adin R. Boss, 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. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY iD# BUS INES$ 'NAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions be]ow for THE ~ACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. FACILITY UNIT# FACILITY UNIT NAME: SECTION 1: MITIGATION, PRElrENTIONr ABATEMENT PROCEDL~E$ M~~~~This business is not considered~large eno~ugh~ ~~ SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES 'AT THIS UNiT ONLY / - SA - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY ~' A. Does this Facility Unit~contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO · If. No, complete a separate hazardous materials i~ventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous.materials inventory form marked: TRADE SECRETS ONLY (yellow 'form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS?PROPAN~T B. ELECTRICAL: C. WATER: O. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SI~E PLANS? YES / NO MSDSs? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 3B - I.D. # ~_ FORM 4A-1 ~ Page of 2 NON--TRADE SECRETS HAZARDOUS I~IATE R I ALS I NVENTORY .... .>. BUSINESS NAME:~z~(~C~'~C~f~F.;C~QCo~¥~Cs~ ~l~p\~ O~NER NA~E: ~ ~.~S FACILITY ADDRESS: ~ ~ ~ ~ ' ' AODRESS:.,~71/ ~ Z..~ FACILITY UNIT NAME: CITY. ZIP;_~~C~[~ ~ ~ ~~ CITY, ZIP: ~ir$~/~ ~ P.O~ ~: (~ 2~-'~ . P~ON~ ~: ,~>7~vs~ O~C~A~ US~ C~RS COO~ X_. ,,, ~: x i ,, ONLY 1 2 3 4 5 6 ~ 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN T~IS ~ BY ' ~AZ'ARD D.O.T ~DE AMOUNT ANOUN~ UNIT CODE CODE FACILITY UNIT ~T, CIIENIqAL OR COMMON NA~E CODE GUIDE ~ZL,/o %~ (~,.,,/ / ~o~... (..,.,~f,. lbo...~Y-,~.~. . ~'~ °,/. MEROENCY CONTACT: ~.~ It.j ~ ~OSS .... i;~.,~/,, C~<,.I/.~.... -' ~ _ . TiTLe: . ()r~S~.~ P~OU~ ~ BUS aOU~S: AFTER BUS ~RS: RINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: ';' " BAKERSFIELD CITY FIRE DEPARTMENT ' '~ " ;' Page of I.D. FORM 4A-1 ~ NoN--TRADE SECRETS ' " HAZARDOUS MATERI ALS INVENTORY ADDRESS: ~ '~OX ~'~X"~~ . ' ' ADDRESS: 5~1 ~c[~ L~.~c. ~ : FACILITY UNIT NAME: OFFICIAL USE CFIRS CODE 1 . 2 . 3 '.~' 4 ~5 6 ~ 7 8 ~ 9 10 TYPE MAX ANNUAL CONT USE LOCATION.IN THIS · BY HAZARD D.O.T, CODE AMOUNt, AMOUNT UNIT CODE CODE FACILITY UNIT WT, 'CHEMICAL OR COMMON NAME CODE GU.ID~ E~EROENCY cONTACT:' ~di~ (~, ~0~ TITLE: [/ C~Si~A~ ~PHONE t BUS~ HOURS: - . PHONE * BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER ~US. HRS: ~-- BAKERSFIELD CITY FIRE DEPARTMENT -' : ., [,D. # .... FORM 4A-1 Page NON--TRADE SECRETS '~ ..... HAZ'ARDOUS MATERI ALS INVENTORY BUSINESS NAME:~©.CC~ ~Cc,~C\(~Gh~Ck~r~C~,~ %~k~ O"NER NA~g: ~;~ (~ ~ FACILITY UNIT ADDRESS: ~ ~C~X ~1~~ ADDRESS:~?~ ~.{~ L~ FACILITY UNIT NAME: CITY. ZIP:~WQCa~;~ ~ ~(-~ '~%%5 CITY,ZIP:...~,~.~VS~rff/,] C~ ~>~ { oNLY - 10 rYP~ ~AX A~UAn COST USS UOCAT~O~ ~ ~.~S m ~V .AZA~n O.O.T ~ODE .~MQUNT A~OUNT UNIT CODE CODE FAC!,L!TY~.NIT WT, UHE~I,~AL o8 co~0~ .NA~ ,, _CODE OUIDE ...... ' ........ C~.~..~" ~e~ ~,~ ~;p ' ~ -- ~ ,~ ~ ~-,0.~_ ~o ~ x ~/ ~:/~ ~,.~ o; u ~,o~.o~~ I ~ /~ 1~ ~ · ... ~,.,d~ ,~ ~y..,~,~ ~v, fe,,::,~,;~ ~t.~.¢L~/e~L- AtTer BUS Brs: ,, ~-7~-0 ~ERGENCY CONTACT: ~0~ [~5S TITLE: (J~ ~ ~r-~&)C~. P"ONE ~ BUS HOURS: '~r~-~D~ RINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: _~~7/~ '[.D. '~ .... '~ FORM 4A-1 Page _ o'f'" NON--TRADE SECRETS ,~ HAZARDOUS MATERI ALS INVENTORY ... ~YPE HAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T 90DE AMOUNT A~OUNT UNIT CODE CODE FACILITY UNIT ~T. CflE~I~AL OR CO~ON NA~E CODE {E~ERGENCY CONTACT: ~r~ .... ~J TITLE: ,/C~, ~JJC~2~. PHONE ~ BUS HOURS: ~':~. ~?~. : {PRINCIPAL BUSINESS ACTIVITY: AFTER BUS, HRS: -~-- I. D.~ "# ' FORM 4A-1 Page NON--TRADE 'SECRETS , HAZARDOUS MATERI ALS INVENTORY .. BUSINESS NAME:~(mO~C,~ \~Ci~CL~'~ %t-\~P~o\~I OWNER NAME: ~,~ ~.. ~0S5 FACILITY UNIT ~:~ ADDRESS: ~ ~ ~ ~~ ' ' ADDRESS: ~/t ~d~o t~ FACILITY UNIT NAME: PHONE ~: [~ ~c~ PHONE #: ~7~,7~)- .. {OFFICIALoNLY USE CFIRS CODE TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T E AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIQAL 0R COMMON NAME CODE OUID~ ~RG~NCY CONTACT: ~ TITLE: ~)/~Sr,~?',~' PHONE * BUS HOURS: ~P ~ AFTER BUS HRS: ~ ,~-~'~' PRINCIPAL BUSINESS ACTIVITY: AFTER BUS, HRS:,,,~--~,S~. BAKERSFIELD CITY FIRE DEPARTI4ENT I.D. ~ ,' FOR~ 4A-I P~e _¢ o~ " NON--TRADE SECRETS HAZARDOUS MATin'. R T ALS I NVENTORY BUSINESS NA~E:~c~ ~-i~~ ~~0~NER NAN,: ~ ~ ~X~ FACILITY UNIT AOSR~SS: ~ ~ ~'~ ~ . ' ' ADDRESS: 57/~ ~. ~ FACILITY UNIT NAN,: CITY, ZIP:-~~~k~ ~ ~~ CITY,ZIP: ~d~l~ ~ P~0N~ ~: ~~ ~:c~ P~0N~ ~.: ~g-~$~ OFFICIAL USE CFIRS CODE ONLY rYP~ ~Ax a~NU~[ CO~T US~ LOCATIO~ IN TBIS ~ By BAgAR~ 30DE ,AMOUNT AMOUNT UNIT ~OOE CO,DE FACILITY UNIT WT,.,, C.H[M, IqAL OR COMMQ,N..NAME CODE GUIO[ ) .... ~ ,'~ t'~,~ LL~ /I~ , x~ " " ~ g ,, . . " F~:¢+ ~ SION~TUR~: DATE: -2"/-4 ...... IA~E: TITLE: ' 'f ~' "~ ~3Y~S~,~~ ~ - ',~EROENUY 60NTAUT /~ ~ ' TITLE: PHONE · BUS HOURS ~3 c, :~EROENCY CONTACT: ~o~,~ ~ TITLE: ~f'~ ~ ~.~]'~ PHONE ~ BUS HOURS:. 'RINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: ~- }/~ NON--TRADE SECRETS ~ HAZARDOUS MATER/ ALS 12 NVENTORY PHONE {:<~ ~-'<~ PHONE ~.: ' mOFFXCXAL USE CFIRS CODE .,m ONLY TYPE MAX ANNUAL CUNT USE LOCATION IN IRIS · BY HAZARD D.O.T CODE, AMOUNT AMOUNT,~ ,UNIT CODE CODE, FACILITY UNiT ,.:,, ~T. CHEMIqAL. 0R COMMON NAME ,. CODE GUIDE ~ AFTER BUS HRS: ENEROE~CY CONTACT:,. W~/~ ~OS5 . TIT~g: g. Pra~ PHONE ~ BUS UOURS: PRINCIPAB BUSINESS A~TIVITY: A~TER BUS. ~RS: BAKERSFIELD CITY FIRE DEPARTMENT , "/ I.B..,, ~oRM 4A-, -., NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVE. NTORY CITY, ZIP: '~V~QcA~-~qk~ Q~ ~~ CITY,ZIP: f%%~kersq~{3 PHONE ~: (P~) ~-~A~ P~0NE ~: ~'~fl~ [0FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T .CODE. AMOUNT AMO.~NT ..UNIT CODE COBE FACILITY UNIT WT C~EMIqAL 0R COMMON NAME COBE GUIDE '~ t "~ "GAL ~ I u~, ~ t,,'a~ ~, ' ~, , ¢~ .I. ~ q I Z~'~ ~ ~'~'~' '~ o~ ~,,~ ,~,~ ' [{n,'t- ~ ~. 90~ h~l~t%oo/ ..... L~_r --~,~ r I"i (~ ~t~f ~:t;c(~ l'r~id~, ~)0~~ i' / " EMERGENCY CONTACT: TITLE:¢ .iYf~S~-(~ oPHONE . ~ AFTER BUS HRS: Passe,Pan .us~.ess ~ct~v~Tv: D # FORM 4A-1 Page o~ " NON--TRADE SECRETS HAZARDOUS MATERI.ALS INVENTORY BUSINESS NAME: ~'t~cCh ~Q~C\%~-~c'qN~t~%~ ~L),.C~,\q, OWNER NAME: ~/,D /?.~oS3 FACILITY UNIT ADDRESS: ~ ~ ~~ ' ADDRESS: 5~// ~/,~ X,~ FACILITY UNIT NAME: C~T~, ZIP:~~C3V~qx~ C,~ q%~5 C~TY,Z~P: ~e~, ~ ~' P~ON~ ~:~ ~-~ P~ON~ ~: ~'7~ O~F~C~A~ ~ CF~aS COO~ ONLY ~ ~o · ~ ~nx ~uas co~T~s~ SOCaTIO~ ~ ~IS ~ S~ ~aZa~D~.O.T ;ODE A~OUNT ANOUNT UNIT,, CODE CODE FACILITY UNIT ~T. C~ENI~AL OR CONNON NA~E CODE GUIDE - , j~ / ~ . '" · ~IK~ ~,,(~ ..... ' / ' ~. ~,/,~ · , z! ~- ,=. o~ , /,~ t~', . , .. , ... A~E TITLE: SIOm '~l:, ~k~;-,~ . DA:E: '~' : F~. ~. - q' '27'-/ ~ER~E~G~ ~O~T~T; ~:>% TITLE; PflO~B ~ BUS ~OURS . AFTER BUS HRS: ~p" RINCIPAL BUSINESS ACTIVITY: AFTER BUS. fRS: ~-~/[~-~ , BAKERSFIELD.CITY 4A-1FIRE DEPARTMENT Page of HAZARDOUS MATi~.R T ALS INVENTORY BUSINESS NA~E: ~,-,~ ~,-;~,'~c~,~ ~Ok~l OWNER NAME: ~ ~" ~o~ FACILITY UNIT ADBRESS: ~ ~X ~'~ ~ ' ' ' ADDRESS: ~/) ~,~ (~ FACILITY UNIT NAME: ~u~ CITY, ZIP: ~cc~C~& ~ q"~'~ . CITY,ZIP: ~'/~~/,-~ ~' ~ ~~ ONLY [ , 'YPE MAX ~NN~AL ~O~T ~SE LOCATIO~ I~ THIS · BY HAZARD D.O.T tPDE AM0,.UtNT AMOUNT UNIt. CODE CODE FACILITY UNIT WT. ,,,,,,,CHEM!,qAL OR CO~MON NAME CODE GUIDE A~E: ~//).J,t) _TITLE: SIGNATURE: ~¢¢,- C ~ DATE:__ - .,..~ >. .... . PHONE { BUS HOURS: -~.~-- ~ RINUIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: . ,, BAKERSFIELD CITY FIRE DEPARTMENT ' .. ~.D? #',?' FORm 4A-1 Pa~e _9',, oi' _,.,~_ NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ADDRESS: ~ Q>"~)O'A ,~'~\'~ ADDRESS: ~,t~ (.z~d,~o, Lvp~'~ FACILITY UNIT NAHE: CITY, ZIP:_'~.]z~C~kqXc~ ~ ~.~ CITY,ZIP: ~{/~'~ ~- PHONE {: (~%~ ~-~-t~ PHONE ~: '~--~":~ [OFFICIAL 0SE cFI'~S {, ONLY I. 2 3 4 5 6 7 ~ ~ 10 TYC~ ~AX AN~U~ CO.T US~ ~OCAT~ON ~N ~.IS m SV .AZA~n ~.O.T CODE,. AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT.. CHEMI,~AL OR CONMON NAME CODE GUIDE Vv~ 2~ ~ L6s ID ~ u~,'~ ~. ~...s.u~ '~,~.; , ~.~ vLsL AFTER BUS HRS: PRINCIPAL BUS~NESS ACTiViTY: AFTER BUS. HRS: I.D #" FORM 4A-1 Page o~ '~;" NON--TRADE SECRETS ~ HAZARDOUS MATERI ALS INVENTORY .. BUSINESS NAME:~-%Zf'V~ ~CiQt(~.CC~CsfN ~tAi30\kl OWNER NAME: ~,'~ .~ 6o~ FACILITY UNIT ADDRESS: ~0 ~OX ~ 'J ' ADDRESS:~I ~j FAC ,ONLY 1 2 3 4 5 ~ 6 7 ~ 8 9 ~ 10 TYPE RAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AROUNT AROUNT UNIT ,CODE CODE FACILITY UNIT ~T. CHEMICAL OR COMMON NAME' CODE GUIDE. ', (P.~ . ~r~ ~ PIIONE k~ BUS HOURS: ~ AFTER BUS HRS: ]PRINCIPAL BUSINESS ACTIVITY: ~ AFTER BUS, HRS: · # FORM 4A-1 Page -~- O't~" NON--TRADE SECRETS HAZARDOUS MATERI ALS t NVENTORY FACILITY UNIT #: ADDRESS: ~(~ ~ ~3 '' 'ADDRESS: '57// ~e~o L~c~ FACILITY UNIT NAME: 1 . 2 3 4 5 6 7 8 9 1 0 TYPE ~AX ANNUAL " CONT ~USE LOCATION IN THIS · BY HAZARD. D.O.T CODE AHOUNT A~OUNT UNIT CODE ~CODE FACILITY UNIT WT. CiiE~IqAL OR CO~ON NA~E CODE GUIDE 7' D .~-', tt~'.J siGNATURe: .A % [0 DAJ~:D '~ NA~E: TITLE ~ ....... AFTER BUS HRS: E~ERGENC'Y CONTACT: ~_.,/o~ ~S5 TITLg: ,Lg- Cr s;dv,.u PHONE { BUS HOURS:., PRINCIPAL BUSINESS ACTIVITY: AFTER BUS. HRS: ~2,~-~/[~ BAKERSFIELD CITY FIRE DEPARTMENT c2 ' I.D.., # FORM 4A-1 Page ~ of'"~: NON--TRADE SECRETS HAZ ARDO'US MATERI ALS INVENTORY ADDRESS: ~(~ ~X ~'~ ' ' ADDRESS: ~711 ~t~ FACILITY UNIT NANE: PHONE ~: (~)~ 3~-'~ PHONE ~: ~7~-777U [OFFICIALONLY USE CFIRS.. CODE 1 2 3 4 5 6 7 8 9, 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T C~ A,OUNT A,O~T UNIT CODE CODE F~CILITY UNIT ,T. CHE,I~AL OR CO,,ON NAME CODE GUIDE g~ERGENCY CONTACT: /J-~'~ r~ ,, T'ITLE: AFTER BUS HRS: · ~ BAKERSFIELD CITY FIRE DEPARTMENT~ "J-~ ~L' O~f.'~J- I.D. #" FORM 4A-1 Page , ~ NON--TRADE SECRETS HAZARDOUS ~ATERI ALS I N.VENTORY ~S~N~SS ~A~:~c~ ~c~U~~ ~u~u 0~ ~: ~d~ ~. ~~ ~AC~TY U~IT ADDRESS: ~() ~oX ~ ~ ' ' ' ADDRESS: ~wi~ (~,;{,'~. /.,d~c. ~ _FACILITY UNIT NA~E: PHONE *: (~O~h ,3~:~U~ PHONE ~: ~,~-~h~ OFFICIAL USE CFIRS CODE - ONLY !, 2 3 4 5 6 7 8 9 10 - TYPE ~A~ ANNUAL CONT US~ LOCATION IN .T~IS · BY HAZARD D.O.T CO0~ A~OU~T A~OUNT, UNIT COD~, COD,~ FACILITY UNIT ~T.., C~I.~AL OR CO,~ON NA~ CODE GUIDE_ G~ ..lO 0~. " ~ col/o~ s;J,'c~ ' PLL~ . ....... . ~ ~ · ¢¢. b.¢ ¢ · ~, 1, IAHE: ,~v,,~ TITLE: ~klCE(~'~ SIGNATUR~ u-:':~ ,.-. .& ,, (.(..-,,J~. .... . , D~TE: ~ERGENCY CONTACT: , ,~d'~g S~ TITLe: P~.o~J~_. 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