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Home My WebLink AboutBUSINESS PLAN 9/18/2003 Hazardous · .ouS,,Waste~Unified Permit.i., CONDITIONS'OF .PERMIT ONREgERSESrlDE . -.,. :-.:-. :.* :,.'.. :~.: ~.: · ~-' '~ H~ous M~als Plan ' '...' .:' ~-~ ' '~ '"~ .::~:~ Unde~mu~'Stomge of H~Ous ~' Permit ID~:: 015-000-000371 ..,-.. ~.~:' ~ ~'H~ous waste O~ T~t ~lIO~k TOXICOLOGY L~ - LOCATION: 1100 CALIFORNIA AVE IELD ',. ..... ~.~ ' .. ~ . .. OFFIC~ O~ ~N~R ONM~NTAL S~R ~CES' 1715 Chester Ave., 3rd Floor Approv~by: Bakersfield, CA 93301 omceofE~s~ic~ Voice (661) 326-3979 F~ (661) 326-0576 Expi~tionDate: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ,,,~,~,,~,~?:~,~ ....... This permit is issued for the following: LOCATION 1100 CALIFORNI ~'~'-...:".~ O~CE OF E~RO~AL S~ ~CES ~ph Hu~~ 1715 Chewer Ave., 3rd Floor Office of ~mml S~iem B~e~cl~ CA 93301 Voice (805) ~2&~979 F~ (80S)~STb Expiration Date: ~n~ ~O~ ~OOO .... ' ...... ~HMSIP L ~ Bu~:n~_ss Name: ~ loxlcology Laboratories ,~¢. -' 'Thomas C. Sheath, B.$. [~O~°'~/'~ llffi ~lifomA Amnu~ ......... (~5) 322~0 ~e~fleld, CA' 93304 :~ ., - F~ (805) 3224322 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ro Floor, Bakersfield, CA 93301 FACILITY NAME ~g'D 0¥'"~: }OW '{,4)},,,~(,q. INSPECTION DATE ADDRESS I '~ 00' ~a, ~ ~ o~¢,A . PHONE NO. ') 1-2_ FACILITY CONTAC-T' .'?}~-.~'~' (.,,3Ot,~"~ BUSINESS ID NO. 15-210- ~'~., / INSPECTION TIME I NUMBER OF EMPLOYEES /6 Section 1: Business Plan and Inventory Program ~[} Routine [~ Combined [~ Joint Agency [~ Multi-Agency [,.] Complaint [~] Re-inspection OPERATION COM M ENTS Appropriate permit,on hand Business plan comact information accurate Visible address Correct occupancy Verification of inventood materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures ~ Emergency procedures adequate ~ Containers properly labeled ~ ~ ~ Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste o. site?: a. Ye~ a No ~/~(~/~~/~ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- ausiness Copy Inspector:/~'//''''''~ NATIONAL TOXICOLOGY RATORIES SiteID: 015-021-000371 Manager : BusPhone: (661) 322-4250 Location: 1100 CALIFORNIA AVE ~%%%%%% Map : 103 CommHaz : Moderate City : BAKERSFIELD · Grid: 3lA FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: EPA Numb: DunnBrad:77-013-2417 Emergency Contact / Title Emergency Contact / Title THOMAS SNEATH / PRESIDENT HASMUKH SHAH / TOXICOLOGIST Business Phone: (661) 322-4250x Business Phone: (661) 322-4250x 24-Hour Phone : (661) 366-3971x 24-Hour Phone : (661) 663-8930x Pager Phone : (661) 747-0688x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 322-4250x MailAddr: 1100 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Owner NATIONAL TOXICOLOGY LABORATORIES Phone: (661) 322-4250x Address : 1100 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RCs: No ParcelNo: Emergency Directives: I, ~ d'. ,~ Do hsmby cerUfy the. l ~ have (T~p~ o~ ~int n~) ~vie~d th~ ~ach~d h~ardous mat~als ment plan for ~r~'~ ~w~,/~ and t~t it along with (~e of Busl~) ' an~ corrosions constitute ~ ~mpl~s and ~rm~ man- ag~men~ plan for my ?acilRy. $tgn~ure *l~e 1 09/15/2003 NATIONAL TOXICOLOGY RATORIES SiteID: 015-021-000371 ~ Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpooHaz}EPA HazardsI Frm I DailyMax lUnitlMcP HYDROGEN E F P IH G 400.00 FT3 Ext~ HELIUM F P IH G /Fa~ ~ FT3 Min AIR F P IH G 750.00 FT3 Min NITROGEN F P IH G 600.00 FT3 Mini 2 09/15/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME A/~we.~ax.~ 'r-oxtcot.oC,.V t..A5 INSPECTION DATE '~/Z~7 ADDRESS ! :60 c.~c,~,.,rln PHONE NO. FACILITY CONTACT --'rt4o~&~ 5,,a¢,-~4 BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program t~_Routine [~ Combined [~ Joint Agency [~l Multi-Agency [] Complaint I~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~,/~.O ~-rn,,g' Business plan contact information accurate ~c.C~.S~ .~E~.t~ ~ Visible address Correct occupancy Verification of inventory materials (~'~'7'~ ~ Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand ~t~:?,6~ ~xIv> C=Compliance V=Violation Any hazardous waste on site?: [] Yes Explain: /x4~_A~ [C~t~ (.~Jy'~TC~ ~/c.~ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: T · · ' 11 II ~ I1.~' / · oxlco~ogy ~ Laboratories ~¢. Thomas Sneath Chief Toxicologist 1100 California Ave. (805) 322-4250 · Bakersfield, CA 93304 FAX (805) 322-4322 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "'*~""~~" ' ~ FACILITY IN FORMATION Page Of' BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE 102 SITE ADDRESS CITY 104 CA ZIP DUN & lo~ SIC CODE BRADSTREET (4 Digit #) COUNTY OPERATOR NAME ' 109 OPERATOR PHONE 110 OWNER NAME iii OWNER PHONE OWNER MAILING ADDRESS ii3 C(TY 11~. STATE 115 ZiP 116 CONTACT NAME 117 CONTACT PHONE iii) CONTACT MAILING 119 ADDRESS CITY l~ STATE l~l ZIP TITLE ~L,,J Y[~_ Y'- 12s TITLE BUSINESS PHONE ~.~2_.3.- - c_~ 1_~'~) 12e BUSlNESSPHONE ~ q-- -~ '~ L ~"'~'-) 24-HOURPHONE -~ ~, ~ ~ *'7~' ~27 24-HOURPHONE ~ ~ ~//~ ~3~ - ,. 3 Ce~fl~aon: Bas~ on my inqulw of ~ose Individuals r~nslble for obalnlng ~e tnfo~atlon, I ce~i~ under p~al~ of law ~at I have pemonally examin~ and am familiar with ~e Info~aaon subml~ed In this invento~ and believe ~e Info~atlon Is ~e, accurate, and ~mplete. SIG~TURE OF O~E~OPE~TOR DATE 1~ [ ~E OF ~CUME~ PREPARER I ~MES OF O~E~PE~TOR (pflnl) 138 TIT~ OF O~E~OPE~TOR 13~ . ~ CITY OF BAKERSFIELI~ " OFFI~E OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 H~RDOUS MATERIALS iNVENTORY CHEMICAL DESCRIPTION (one ~ per mate~al ~er ~u~ing or a~a) ~ NEW ~ ADD ~ DELVE ~ R~ISE ~. Page ~ of BUSINESS ~E (~e ~ FACIL~ ~E ~ ~ - ~ B~n~ ~) 3 ~ ~ ~ ~1/ CHEMI~LLO~TION ~ Y~ ~ No ~2 CHEMI~L LO~TION ~N~IDE~L (EPC~) CHEMI~L ~E ~ ~~ ~ ff Subj~ to EPC~ r~ to ins~s ~:~:~.~.~.I~,:,~,~ .~...~,:~%,,.,,,~.&.T~,~,~I RRE ~DE ~ ~Es (~ae ~ ~ ~y ~ ~ ~ ~0 ~PE ~ D m ~ D . WAS~ 211 ~D~A~ DY. D~ 2'2 ~ CURIES ~3 PHYSI~STA~ OS ~UD O' L~UID ~g ~S 214 ~st~<..~. (~7 FED ~ ~RIES ~.FIRE - O 2 ~ ~SSU~ ~E O 4 AC~ H~L~ O 5 ~RONIC H~ ~6 (~ ~1 ~at ap~) .. ~ .NU~WAS~A.U. 217 --I..~,Ly --U. ~:~ 218 A~DAiLY --U. 219 STA~W~DE . UNffS* ~ ~ ~L ~ ~ ~ ~ ~S ~ ~ TONS ~1 DAYS ON S~E * B ~S, ~t m~ ~ In lbs. STOOGE ~AINER ~ a ~G~UND T~K ~ · ~N~IC DRUM ~ i FIBER DRUM ~ m ~ BO~ ~ q ~]L (Check a8 ~at app.) ~ b UNDER~UND TANK D f ~ ~ j BAG ~ n ~TIC BO~E ~ r O~ER ~ c T~K I~1~ BUI~ING ~ g ~Y ~ k ~X ~ o TO~ BIN D d ~EL ~UM ~ h SILO ~CYLINDER ~ p T~K WA~N S~ PRES~ ~ a ~IE~ ~ ~VE~IE~ ~ ~ BELOW~IE~ ~4 STOOGE ~~ ~a ~1~ ~ ~ A~ ~l~ ~ ~ BELOW ~IE~ ~ c CRYOGENIC ' 242 243 ~ Y~ ~ ~ 2~ DATE 246 UPCF (7~99) S:~CUPAFORMS\OES2731 .TV4.W~:x:l OFPrCE OF ENVIRONMENTAL SERVICES 4Prr 1715 Cheste.r Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per bu#cling or ama) [] NEW [] ADD [] DELETE [] REVISE 200 Page ~ BUSINESS NAME (Same a~ FACILrI~ NAME o~ ?SA - Doing Business As) 3 C E CA /~'<, ~'""' / X:ffz, / < ~'~'*,-~ Z)~..~. CONF~DEm~. (EPC~I [] Y" [] No H MI L LOCATION 201 CHEMICAL LOCATION ' ' '~.': '~,~%: ":i "!~i~'~i~r :r'~'~:~~,~',~"'.'~!~.~;~:;.':'~?:IUCHEMI~INFORMATION ;~;~:.~;::~;~:~':q-% ~:'~; ;* ;";'. ~"'~.;?~.': .~? :;" *;:; ' ';~ '. .;?~'::b ~5 ] T~E SECRET ' { ff Subj~ to EPC~ ~ to i~s FIRE ~DE ~D ~ES (~me E ~ by I~ ~ ~ ~0 ~PE ~PU~ ~ m ~ ~ w WASTE 2~ ~ ~D~A~ ~Y~ ~No 2~2 CU~ES ~3 FED ~ ~RIES ~ 1 F~ · ~ 2 ~ ~ P~SSU~ ~E ~ 4 AC~ H~ ~ 5 ~N~C H~ (~ a~ mat ~) " ANNU~ WAS~ ' 217 [ ~mmu 1 ~ 218 A~ 219 STA~ W~ ~DE A~U~ DAILY ~U~ ' DAILY A~U~ DAYS ON S~E UNn~ ~ ~ ~ ~ CU~ ~ lb ~S D m TONS · ff EHS, ~t m~ ~ in I~. STOOGE ~AINER ~ a ~G~UND T~K ~ e P~N~IC DRUM D i FIBER DRUM ~ m G~S BO~ ~ q ~IL ~R (Check all ~et ap~) ~ b UNDERG~UND TANK ~ f ~N D j ~G D n P~TIC BO~E D r O~ER ~ c T~ INSIDE ~I~ING ~ g ~Y ~ k BOX ~ o TO~ BIN ~ d ~ DRUM ~ h SILO ~YLINDER ~ p T~K WA~N STO~GEP~SSU~ ~ a ~IE~ ~ ~VE~IE~ ~ ba BELOW~IE~ STOOGE ~~ ~1~ D ~ ~ ~1~ ~ ~ B~OW~IE~ ~ c CRY~NIC ~ ~ . ~V~No ~s 5 242 243 ~ Y~ ~ ~ 2~ PRINT ~ 8 UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd I~l CITY OF BAKERSFIELI~ OFI~CE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661)326-3979 *~'~~'~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (0~ ~ pe~ ma~l per ~ding or ama) ~ NEW ~ ADD ~ OELETE ~ REVISE ~ Page BUSINESS ~E (~e ~ FACIL~ ~E ~ p~ - ~ng Busin~ ~) . 3 MIlL LO~TION ~ . ~1 CHERYL LO~TION ~. ~ [ T~ESECRET CHEMI~L ~E I ~ ~ ~ ff Sub~ to EPC~ r~ to in~s FIRE ~DE H~ ~E$ (~me ~ ~t~ by I~ tim ~ ~0 ~PE ~ p PU~ ~ m ~ ~ w WA~ 211 ~D~A~ D Y~ ~ ~ 2~2 ] CUR~ES FED ~RD ~RIES ~ 1 FIRE ' D 2 ~ ~ 3 P~ ~E D 4 AC~ H~ ~ 5 ~RONIC H~ (~ ~1 ~et ~p~) · ' ~YS ON ' ~ EHS, ~nt m~ ~n I~. _ STOOGE ~AI~R ~ a ~G~UND T~K ~ e ~TI~N~IC DRUM ~ i FIBER DRUM ~ m G~S ~ ~ q (Check a8 ~at apply) ~ b UNDER~UND TANK ~ f ~N ~ j ~G ~ n P~C BO~LE ~ r OTHER ~ c T~K INSIDE BUI~ING ~ g ~R~Y ~ k ~X ~ o TO~ BIN ~ d ~EL DRUM ~ h SILO ~LINDER ~ p T~K WA~N STOOGE P~SSU~ ~ a ~IE~ ~ A~VEA~IE~ ~ ba BELOWA~IE~ ~4 STOOGE ~M~ ~ ~1~ ~ ~ A~VE ~1~ ~ ~ BELOW A~IE~ ~ c ~Y~NIC 2 ~ ~1 ~ Y~ ~ ~ ~2 ~8 ~9 ~ Y~ ~ ~ 2~ 241 242 243 ~ Y~ ~ ~ 2~ 2~ 246 UPCF (7/g9) $:'~CUPAFORMS'~OE$2731.TV4.wpd . ~i CITY OF BAKERSFIELI~ 8 r OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ' HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matetfal l~er building or area) [] NEW {~] ADD [] DELETE [] REVISE 2~) Page ~ of ..... . =~..~.. --~.-~,.... ,~,~ .,.,.~,:~¥.-,.~,;.,,~¢<~ '~.:~,~,....¥--:.!.~-,~-.:~.,~,~ .~ .%~ ,:~,~,--~.~.~.~m:",., ~ ~-'.~, ~.'! ',-,~ .' .... :!'.'>i..~' ~..~' ~ -%- ': .,~:., BUSINESS ~E (~e ~ FACIL~ ~E ~ ~ - ~ ~ ~) 3 TI N/ ~1~ CHERYL LO~TION CHEMI~L LO~ O '~l~ ~ / ~~~ ~ ~ ~NFIDE~I~(EPC~) ~2 FAClLI~ ID ~ ' 1 ~ ~ (oP~O ~3 GRID ~ (°~na~ ~ [ ff Subj~ to EPC~ rd. to ins~s CHErviL ~E /~ ~7 ~M~N ~ EHS* F~RE ~DE ~ ~ES (~¢~e ~ ~ by I~ ~m ~ ~0 ~PE ~.PU~ D m ~ ~ w WA~ 2~ ~OA~ ~ y~ ~ ~ 2~2 CUR~ES FEB ~g ~RIE8 ~ 1 FIRE , ~ 2 ~ ~3 P~S~ ~E D 4 A~ H~L~ D 5 ~RONIC HBTH (~ ¢1 mat a~pN) DAYS ON UN~S' ~ ~ ~ ~ ~ ~ ~ ~ ~S D = TONS STOOGE ~AINER ~ a ~VEG~U~ T~K ~ e ~N~IC ~UM ~ i FIBER DRUM D m ~s BO~E ~ q ~IL (Check all ~at apply) ~b UNDER~UNDTANK ~f ~ ~j ~G Dn ~TICBO~LE ~r O~ER ~ c T~ INSIDE ~I~ING ~ g ~Y ' ~ k BOX ~ o TO~ BIN ~ d ~EL DRUM ~ h SILO ~ CYLINDER ~ p T~K WA~N STOOGE PRESSU~ ~ a ~IE~ ~ A~VE ~1~ ~ ba BELOW A~IE~ STOOGE ~~ ~ ~1~ ~ ~ ~ ~1~ . ~ ~ B~OW ~IE~ ~ c CRY~ENIC 4 ~8 ~9 ~ Ym ~ ~ 2~ 5 242 243 ~ Y~ ~ ~ 2~ PRI~ ~ME & T~E OF AU~ORIZED ~A~ ~8E~AT~E 81~TUE UPCF (7/g9) S:\CUPAFORMS\OES2731.TV4.wlxl NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 ~.L~:~D BusPhone: (805) 322-4250 Manager : /~0 8 Map : 103 CommHaz : Moderate Location: 1100 CALIFORNIA AVE ~-~ .... 1999 Grid: 3lA 1 AOV: City : BAKERSFIELD //~ FacUnits: CommCode: BAKERSFIELD STATION O'~,:~t:?!.,~::r~n'~S~C Code: EPA Numb: DunnBrad:77-013-2417 Emergency Contact / Title Emergency Contact , ~ Title THOMAS SNEATH /~/ PRESIDEN~ ~ m~RIS~gk~ TOXICOLOGIST Business Phone: (~) 322-4250x Business Phone: (~) 322-4250x 24-Hour Phone : (~)~$~i-~?~x 24-Hour Phone : {~f~-~$o x Pager Phone : ( ~ '7~F~°~FFx Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 1100 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Owner NATIONAL TOXICOLOGY LABORATORIES Phone: (805) 322-4250x Address : 1100 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = 'Gal Preparer: TotalUSTs: = Gal · Certif'd: RSs: No Emergency Directives: ~, /~,~ C.~ne~rf'~ Qo hereby ceftin, Ch~ ~ h~v~ reviewed the aAached hazards m~t~ m~- ment pl~ for W~/~/~ t~t ~t ~ ~h -1- 10/04/1999 F NATION~ TOXICOLOGY L~O~TORIES SiteID: 215-000-000371 ~ Hazmat Inventory By Facility Unit --As Designated Order Fixed Containers on Site Common Name... ISpecHazlEPA HazardsI Frm I DailyMax Unit MCP Hazmat AIR F P IH G 7~o500 FT3 Min NITROGEN F P IH G ~~ FT3 Min HYDROGEN F P IH G ~0~ FT3 Ext HELI~ F P IH G ;D~ ~50 FT3 Min 2 10/04/1999 NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~UVI~ ~Vl~ / ~ 1 ~,/--~b ~Vl~ AIR Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 0 Gas Pure Above Ambient Ambient PORT. PRESS.-CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I ~H~8.00 FT3 ?~,54D4D.00 FT3 HAZARDOUS COMPONENTS %Wt. R~NoRS~ CAS# 100.00 Air 0 HAZARD ASSESSMENTS TSecretl ~SIBi°HaZNo N No Radioactive/Amount I EPA HazardsNo/ Curies F P IH NFPA/// USDOT# MinMCP ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~£ ~-.~l.J ~Vl~ NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 7727-37-9 Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I ~ '2~3~T. 00 FT3 6~0 25~.00 FT3 HAZARDOUS COMPONENTS I cas# 100.00 Nitrogen N 7727379 HAZARD ASSESSMENTS ITSoorotl ~S BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F P IH / / / Min -3- 10/04/1999 f NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HYDROGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW & SE CAS# 1333-74-0 r STATE = TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I ~ ~0.00 FT3 ~oO ~. 00 FT3 ' HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Hydrogen N 1333740 HAZARD ASSESSMENTS TSecretNo N~S [ Bi°HasINO Radioactive/AmountNo/ Curies EPAF P HazardsiH NFPA/// I USDOT# IMCPEXt ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: NW CAS# 7440-59-7 Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average FT3I ;~'~O =P5'0-.00 FT3I ;~a~ F~8~.00 FT3 HAZARDOUS COMPONENTS 100.00 N 7440597 HAZARD ASSESSMENTS I TSecret oRS BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No N No No/ Curies F P IH / / / Min 10/04/1999 NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 Fast Format ~ Notif./Evacuation/Medical Overall Site -- AHency Notification 02/26/1991 BAKERSFIELD FIRE DEPARTMENT - CALL 911 THOMAS SNEATH -- Employee Notif./Evacuation 02/26/1991 BY USE OF IN HOUSE PAGING SYSTEM - EVACUATION THROUGH THREE EXTERNAL DOORS Public Notif./Evacuation 02/26/1991 VIA P.A. SYSTEM - ADVISE TO GO TO NEAREST EXIT EmerHency Medical Plan 02/26/1991 SAN JOAQUIN HOSPITAL MERCY HOSPITAL BAKERSFIELD MEMORIAL HOSPITAL -5- 10/04/1999 f NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 02/26/1991 CHAIN ALL CYLINDERS; STORE HYDROGEN AND AIR CYLINDER AT LEAST 20 FEET APART WHEN NOT IN USE. HAVE SPILL CLEAN-UP KITS IN CASE OF SOLVENT SPILLAGE. -- Release Containment 02/26/1991 GAS CYLINDERS KEPT TO A MINIMUM; SOLVENTS USED IN FUME HOOD -- Clean Up 02/26/1991 COMPRESSED GAS CYLINDERS - BUILDING EVACUATED AND AIRED OUT. SOLVENT SPILLS - SOLVENTS ABSORBED IN SPILL CONTROL PILLOWS AND PLACED IN OPERATING HOOD. Other Resource Activation 6 10/04/1999 NATIONAL TOXICOLOGY LABORATORIES SiteID: 215-000-000371 Fast Format = Site Emergency Factors Overall Site -- Special Hazards , Utility Shut-Offs 02/26/1991 A) GAS - OUTSIDE NORTHWEST CORNER B) ELECTRICAL - INSIDE UTILITY ROOM C) OUTSIDE - WEST SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 02/26/1991 PRIVATE FIRE PROTECTIONS - 4 FIRE EXTINGUISHERS FIRE HYDRANT - WITHIN 100 YARDS Building Occupancy Level 7 10/04/1999 NATIONAL TOXICOLOGY LABORATORIES ~~~~&~& SiteID: 215-000-000371 i~ Training ~~~~~~~~~~~ Overall Site i~ Employee Training ~~~&~~&~~~&~~ 02/26/1991 ~ WE HAVE ~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE INSTRUCTED ON MATERIAL SAFETY DATA SHEETS AND CARE AND HANDLING OF COMPRESSED GAS CYLINDERS. 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1100 CALIFORNIA AV Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 06 Grid: 3lA F/U: 1AOV: 0.0' Contact Name Title Business Phone ~ 24-Hour Phone- THOMAS SNEATH PRESIDENT (805) 322-4250 x 1(805) - MIGUEL'PIRIS TOXICOLOGIST (805) 322-4250 x I (805) - Administrative Data Mail 'Addrs: 1100 CALIFORNIA AV D&B Number: 77-013-2417 City: BAKERSFIELD State: CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: NATIONAL TOXICOLOGY LABORATORIES Phone: (805) 322-4250 Address: 1100 CALIFORNIA AV State: CA City: BAKERSFIELD Zip: 93304- Summary APR 2 9 ~ De h®mby c®~ ~ ~ have the ~ched h~ardou~ material8 p~n for, W~. ~o.~. ~. and that ~t along with p~a~ for my 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 AIR Gas 500 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 0 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3I Daily Average FT3 I Annual Amount FT3 m 500~ i 500.00 7,000.00 Storage Press T TempI Location ~PORT. PRESS. CYLINDER Above IAmbientlNW & SE -- Conc Components MCP List 100.0%' lAir Minimal I 02-002 NITROGEN Gas 1000 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 7727-37-9 Trade Secret: No Form: Gas Type: Pure DaYs:.365 Use: OTHER Daily Max FT3 Daily Average FT3 , Ann~l Amount FT3 -- I .oo Storage Press T Temp iNW /Location ~-- PORT. PRESS. CYLINDER Above /Ambient & SE --Cons, Components ~ ~l--~List 100.0% ~Nitrogen Mi a 02-003 HYDROGEN . Gas 250 Extreme · Fire, Pressure, Immed Hlth FT3 CAS #: 1333-74-0 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 Daily Average 'FT3 T . Annual Amount FT3 250 I .7 c. oo I/ Storage Press T Temp I / Location PORT. PRESS. CYLINDER IAbove /AmbientlN~ & ~E/ -- Conc Components k./ . MCP ~List' 100'.0% IHydrOgen IExtreme I 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 HELIUM Gas 750 Minimal · Fire, Pressure, Immed Hlth ,~' FT3 CAS #: 7440-59-7 Trade'Secret: No / / Form: Gas Type: Pure ~ Days: 365 Use: OT~ER Daily Max FT3 Daily Average Fk3 ~/ Annual Amount FT3 750 '{ 5oo.o~/ I /~o~ ~o Storage Press'T Temp Location PORT. PRESS. CYLINDER IAbove {Ambient{NW -- Cons ComPonents MCP List 100.0% {Helium {Minimal I 02-005 ARGON Gas 7000 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: 744/37-1 Trade Secret: No _ ~, Form: ~ TyPe: Pure Days: 365 UT~: OTHER ~--/~aily Max FT3 I Daily Average F~3 ----U-- Annual'Amount FT3 ,,ooo I ,, oo/oo ,ooo.oo ~ ' - Storage Press ' Temp .'V / INSUL.TANK / CRYOGENICIAbove. {Cryogen NW Location / -- Cons I Components MCP List / . 100.0% IArgon · IMinimal I 02~006 ACETYLENE / Gas 180 High · Fire, Pressure~4mmed Hlth FT3 CAS #: 74- Trade Secret: No ~ Form: Ga~.. Type: Pure Days: 365. Use: 0THER -- Dg~ly'Max. FT3 I Daily A, vera~e FT3 Annual Amount FT3' , \/,o.oo [ .. oo.oo · / ' Storage I Press T Tem~/ I Location P~RT. PRESS. CYLINDER {above {ambient' ~' I Nw / Cons Components MCP .iList 100.0% I Acetylene IHigh 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification BAKERSFIELD FIRE DEPARTMENT - CALL 911 THOMAS SNEATH <2> Employee Notif./Evacuation BY USE OF IN HOUSE PAGING SYSTEM - EVACUATION THROUGH THREE EXTERNAL DOORS <3> Public Notif./Evacuation VIA P.A. SYSTEM - ADVISE TO GO TO.NEAREST EXIT <4> Emergency Medical Plan SAN JOAQUIN HOSPITAL MERCY HOSPITAL BAKERSFIELD MEMORIAL HOSPITAL 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 2i5-000-000371 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention cHAIN ALL CYLINDERS; STORE HYDROGEN AND AIR CYLINDER AT LEAST 20 FEET APART WHEN NOT IN USE. HAVE SPILL CLEAN-UP KITS IN CASE OF SOLVENT SPILLAGE. <2> Release Containment GAS CYLINDERS KEPT TO A MINIMUM; SOLVENTS USED IN FUME HOOD <3> Clean Up COMPRESSED GAS CYLINDERS - BUILDING EVACUATED AND AIRED OUT. SOLVENT SPILLS - SOLVENTS ABSORBED IN SPILL CONTROL PILLOWS AND PLACED IN OPERATING HOOD. <4> Other Resource Activation 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTHWEST CORNER B) ELECTRICAL - INSIDE UTILITY ROOM C) OUTSIDE - WEST SIDE OF BUILDING D) SPECIAL -'NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTIONS - 4 FIRE EXTINGUISHERS FIRE HYDRANT - WITHIN 100 YARDS <4> Building Occupancy Level 04/14/92 NATIONAL TOXICOLOGY LABORATORIES 215-000-000371 Page 7 00 -Overall' Site <G> Training <1> Page 1 WE HAVE 11 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EMPLOYEES ARE INSTRUCTED ON 'MATERIAL SAFETY DATA SHEETS AND CARE AND HANDLING OF COMPRESSED GAS CYLINDERS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use H~Zih~DOUS PlATERIALS INVENTORY' ~ Farm and Agriculture ~ Standard Business i.~! :. Page.__o_f__/~.~ NoN - TRADE SECRET LOCATION:. // O0 ~]..~(,'~ ~e~' ~ ." ~D~SS: ~[/? 2~A~ e~ ... ~ ST~ IND. :C~SS CODEr CITY, ZIP. 9~ ~$%'e(~ . ~ ~%~o~ CITY,. ~- ZIP: ~'c~'~{H.C,~ q33~ ~ D~ ~D B~ST~ET ~BER~FEDE~ ID 1 2 3 4 5 6 7 fl 9 10 11 12 13 14 ~s ~e ~ Average ~nual ~as~e ~ Da~ Cont ~ Cont Cont Use Location ~ * '~ % ~ N~s of M~u~/C~nents C~e C~e ~t ~ ~t 'Un/ts on Site ~ Press ~ Code Stored tn Facility ~ See Inst~cttons P~tcal and H~l~h ~za~ C.~.S. N~er eck al1 t~t apply) co~on~t ~ 2 N~ & c.a.B. N~t ~ F~ Hazed ~ Sudden ~lease ~ R.ctivity ~ I~iate '~ Delay~ . ~ '~: .... ',.:%~:' Co~on~t ~ 3 N~ · C.A.S. (Check all t~t apply) · . ~ [ Co~onmt { ~ N~ · C.A.8. N~ ' . ~ Fi~ Razed ~ Sudden ~leas. '~ R~ctiv*ty ~ i~*ate ~ Dei~M' " . (, .' " of Pressu~ ". H~lth H~lth Co~onen~ ~ 3 N~ & C.A.fl. N~ I I I I I I I I I I Ph~tcal' and H~lth ~ C.A.S. N~ .C' Co~on~t 9 i N~ & C.A.8. N~ (Check all ~t apply) . ' '~:'~ Co~on~ ~ 2'N~ & C.A.B. N~ ~ F~ Haz=d ~ Sudden ~lease ~ R.etivity ~ Im~iate ~ Dslay~ ' ~, of Pressure H~lth H~lth Co~on~t ~ 3 N~ ~ C.A.S. N~ . ... ph~cal 'and H~lth ~za~ " C.A.S. N~er Co~on~t ~ I N~ & C.A.S. N~ - (Check all t~t apply) Co~on~t 9 2 N~ & C.A.S. N~ ~ Fi~ Hazed' ~ Sudden ~leas. ~ ..CtiVit~ ~ I~*ate ~ Delay~ of Pressu~ H~lth H~lth Co~on~t 9 3 N~ & C~A.S. N~ E~RGENCY C~TACTS %1 , N~ Title 24 ~. Phone N~e = Title 24 ~ Phone C~t~f~cation (~ ~ SIGN AFTER CO~LETI~'" ~*T ~m~Tm~% I certify ~der p~nlty of 1~ t~t I ~ver ~onally ~in~ ~d ~ f~li~ with the info~tion su~it~d in ~s ~d all attached d~ts ~d .~a% ~sed on ~nd~v~d~ls res~ble for obtai~ng ~he info~tion. I believe t~t ~e' su~tted ~nfo~tion is t~e, acc~ate, and c~plete. N~ ~ ~FICI~ T~ OF ~~R OR ~om~R'S AbTuu~D ~m~.~I~ SI~ .~,,. ~ SI~D Naresh C. Jain, Ph.D. · I Natmna! ~' Laboratory Director ~.OXlC O~.O g ~tJ. ~. Thomas C. Sneath, B.S. Chief Toxicologist Laboratories 1100 California Ave. Bakersfield, California 93304 805 / 322-4250 800 / 350-3515 FAX 805 / 322-4322 ,RECEIVED MAR 1 6 1991 HAZ. MAT. DIV. March 14,1991 Bakersfield Fire Dept. Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 Dear Sir, Please update our Hazardous Materials Management Plan. Enclosed are updated Hazardous Materials Inventory, Site Diagram, and Facility Diagram. Thank you, Thomas Sneath President i CITY of BAKERSFIELD i ' · ,A~RDOUS HATERTALS 'rNVENTbRY Far, andAgticultur, Fl Stand,rdBusines, I~HAZ l I} Page __/_ of"'~ ;, NON--TRADE SECRETS, BUSINESS NAHE:~/~/'~L.7'7~,./ 7'-0x£~0/o;~. OWNER HAHE: 7',;,,,~,¢t,~o~',.~/,-'P/~.re.r~;~ NAHE OF THIS FACILITY: · LOCATION; /~0 ~/('~c~' ~ / ._ ADDRESS; ~W~ ~~ ~ - STANDARD ZND. CLASS CODE: . ' ............................ CITY. ZIP~ ~~~~ CITY. ZIP:~.~:~c~,~ ~ ~7 . DUN AND BRADSTREET HUHBER-'- S~red in Facility Il See ln~r~:t~ons Code Cooe AmL ~ Amc Ese Units 0 e ~ype Press lamp ~hvsical a,d ~e~azard * be~' comPone,[ II N~m~ I C.A.S. Humber ~ ~ _ ~ Fire Hazsrd ~ ~e~c[ivit~ ~ 0elayed ~'Sudden Release ~ l~udi~t~ C°~P°nent I~ I~le I C,i.~. Number ', Health of Pressure Health Component 13 Name I C.A.S. Humber ~ I~ '1 ~ I~'i ~ ~ ~:~rl, ~ I = I ~1,~7 I, ',~,~ ~' ~~"',~,- ~ - Physical lad ~ealth 8aZard C~A.S. Number : Componen~ II Neme I C.A,S. Number {Check all the[ 4pp/H ~ ~ ~ire Hazard D Reactivity ~ Delayed ~SOdden R~lease D Im~i~ Component ~ Hame I C.A.S, Number Health of Pressure Component 13 N~me i C.A.S. Humber Physical and ~eait~ Hazard C.A.S. Numb~ Componen~ II Name I C.A.S. Number {Check all that apply) ; , Component I~ Name I C.A.S. Number D rite Hazard D Reactivity ~ Oelayed ~ Sudden Release ~ Health of Pressure Component 13 Name I C.A.S. Number Physical god Health Ua~ard C.A.S. Number. Component II Name t C.A.S. Number {Check al/ thlt APP/Yl ~ Component I~ ~ame I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate -- Health of P~essure Health Compon~n~ 13 NAme I C.A.S. Number erCifi ~tio Re and i n a~ r corn'7 ting al 1 c ions) -,,.,~,~Y~,,.men[s 8n~ th~[ oase~ OA ay Inquiry ~.tnose 1noivlouals responsible Tot obkatfltn~ [ne lflforAltion, I believe th8~ the ~;~d"~orutlon IS true, accurate, ino ~]~;~THe of ouner/ooeritor u~ox~erioperator s autnortzeo re6resentatlve .' i . BakerSfield, CA. 93301 / ~,1~ 1 1. To avoid fuflher action, return ~is form within 30 days of r~eipt. 2. ~PE/PRINT ANSWERS IN ENGLISH. 3. Answer ~e questions below for the busine~ as a whol~. 4, Be brief an~ conc~e as po~ible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: "Na~ionat .Toxicology:-Laboratories .. "' LOCATION: 1100 · California" Ave, . . .. . ,' ' , .'. MAILING ADDRESS: 1100' O'alif0rn~a AVe 'Ba~'ers. fie'~'~:::"935o~ ; ~z.~ ,,- ..... ,'~ ~.' ..,,'.~; '...,",...,,.~: ',';I ,....~,.~'", .., " ' . CITY: Ba'~ersfield ' STATE:. CA '"'ZIP,.:. ;-93304_.PHONE:'~!8oi'-' 322-42~o. ..." ,: ....... - ........ ~ ...... : .... ... . .......... ' .~. .. ;,:.:... -!,.,.; ..... ~.,,v;:!... '~:::~I',~:--.' '. . "':".~ 6:'"T~z:°'~"~ ..... . ,..-...: .., . . . .. '.7..~" .. -DUN ~ BRADSTREET'NUI~IBER:i~Z:"' .' 7Z'-0"i'3-2~;?' ',' :: '"~"-'$1C'~'DE:',"::' PRIMARY ACTIVITY: Drug testin5 OWNER~ ..Thomas Sneath~ Naresh Jain : ~ ' MAILING ADDRESS: Same SECTION 2: EMERGENCY NOTIFICATION: .- ....., . ,...:,:~ :;, 'TITLE BUS. PHONE 24 HR. PHONE ~C) NTA~T . ~. ',.~ 4-250 .. '-..'.,~22-42~0 ' 'f:, 'i, 1 . Thoma -S-n~a,~.h d 'P-.,r'es'id. ent 80~ 22- ' ' :" , ..... ... ' .' ,'.'... ~" '."'.' ,.:"..", .. :.-"t,;i ~'" - ". 2. ~iguet P~ri.s Toxicologist '805-3'22:4250;' ",:~'22-~250 · 'i ~\ '"' .,. .., ~ , ., ~.. . · Bakersfield Fire Dept. ' ' ..~.nazardous_Ma~erials;:u~vision ... ,.. HAZARDO MANAGEMENT ' ' '"' "' US MATERIALS PLAN .,/ ,,+' ./-] .:. j;,:.. .~ SECTION 3: TRAINING: NUMBER OFEMPLOYESS: Eleven MATERIAL` SAFETY DATA SHEETS ON FILE:· iMain, o££-i ce .- i'ibr:a~-,y BRIEFSUMMARY OFTRAINING PROGRAM: Employees are instructed on data~h~& ...... material safety ~ are and handling of compressed gas cylinders. ' ,. :..- ........... SECTION '*4i""EXEMPTION REQUEST: ................... "*'*' "~/~ ' " I"C'ERTIFy UNDER PENALTy OF'PERJURY THAT'MY BUSINESS IS ExEMpT FROM THE' ...... .REPORTING REQUIREMENTS OF' CHAPTER 6.95 OFTHE "CALIF. ORNIA,'~EALTH .& SAFETY CODE" FOR THE FOLLOWING REASONS:'~ '"'> '*"'"": ' ........ ~-'"' :': ~ WE'DO NOT HANDLE HAZARDOUS'MATERIALS[ '"":U ' '" WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. ' OTHER (SPECIFY REASON) CERTIFICATION ........ SECTION 5: : I, Thomas Snea;bh~. · CERTIFY THAT THE ABOVE INFOR- · . .... MATION IS ACCURATE. I UNDERSTAND THAT THIS'INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON. HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~~-~ President 1/18/91 SIGNATURE TITLE DATE FO! -! ":Hazardous M~teriais Division · ~" '~"'~ .... '"' HAZARDOUS~MATE'RIALS MANAGEMENT PLAN Facility Unit Name: Nation-al .'T0xiC'ol0gy ·Labs 1100 Cali.fornka 'Ave SECTION 6: NOTIFICATION AND EVACUATION pROCEDURES: . A. 'AGENCY NOTIFICATION PROCEDURES: '. · Bakersfield.Fire D~partment Thomas Sneath B. EMPLOYEE NOTIFICATION AND EVACUATION: .- · ". :.'.:,[ '.(';..':,,., ~..3.y;,Qs'e':of in house Paging system - evacuation Through three.external doors. , '. PUBLI EVA " C. C CUATION:. D. EMERGENCY MEDICAL PLAN: San Joaquin Ho.spiral ' ~ercy .~ospitai Bakers'field Memorial,Ho. Sp,zt~l-.'. :,' ..... i Bakersfield Fire Dept. · Hazardous Materials Division HAzARD--USO '" "' '" " '* ' 'PLA-' ;MATERIALS MANAGEMENT ' .... SECTION-7: :MITIGATION, PREVENTION AND ABATEMENT PLA'N:'-'~ :!;'~./, '. :~ ':.: ..... A. RELEASE PREVENTION STEPS:- : Chain all cylinderS; store hyd~g~n' 'and""aJ?'' 6'~l['~ders at least 20 feet apart when not i.n~use. Have spill clean-up kits in case of solvent s~il'~age. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Gas cylinders kept to a minimum; S, olvents used in fame hood. C. CLEAN-UP PROCEDURES: Compressed!Gas CYlinders.- Bmilding evacuated'and aire'd out. Solvent Spills - Solvents absorbed in spill .contrbl pillo~ws and. placed-in operating hood. SECTION 8: UllLNY SHUT-0FFS~(L'OCATION OF SHUT-OFFS AT YOUR,FACILITY): N'ATuRALGAS/PROPANE: Ou'~'side nor' wes~"~:orn:e '~ :_...-.!;.,~,,.,... ...,. ELECTRICAL: Inside utility room WAIER: Outside - west Side o5' building SPECIAL: · LOCK BOX: YES~', IF YES, LOCATION: SECTION 9: pRIVATE FIRE PROTECTION/WATER AVAILABILITY: B. WATER AVAILABILITY (FIRE HYDRANT)' Two hydrants' w..ithin 100 yds. ~- 4 ,' FD159c CITY o ,' KERS IELD ~ '~ ~y~/AZARDOUS'. HATER!A..LS 'rNVENTORY "~' · ' · Farm and i!.t!cul,tu.re FI Standard Rusioess .~. NON--TRADE~.. SECEETS : Page 3USINESS NAME.N,~;~,~.,f '~w,e~,/.a~,,~ N NAHE: '"_~__~_"C~ : ...... NAM THIS FACILITY- ..~ "''-' -IIY,'ZIF.' '/'~x!~,..~/_JlJ../i ' CZTY, ZIP: ~,,_,,_~,~c~,~lg/.(-4 ,,~330~, DUN AND BRADSTREE[ NUMBER'": ......-. , ,., ... ,, Code come ,AEC .,. ~:. AmC : '~SC units on . ' . ,, .leap Stored in F~c~!l~y ,. · See ]nstru:t~ons ,, ~. · IChec~ al.I. that appl~) t .... · ., .- '.' '. ) .., e Hazard' O'Reactivitl ~:Oelayed ~Suddan Relemse ~ la CooPonent i2 Nile I C.A.S. Nuaber · · ... .... Hea l~h ~ of Pressure · t '. ""/"' ""' '" ~ ...... ~ (~ ..':, ." Component 13 Name I C.A.S. Number . . . , (~ ..... ~ . '~ ~ ,' ,/ PhySical and Healt~ 8azard " C.A.S. ,umber '- "'-' Co,ponent Il:: Nile I C.A.S. Number ~ / ~ (Check all that oppIH .. ; :: .:~..~,, .. ...... . ..... " * ~' :,,-'* ~"~ '..., Component I~. Naae'I'C.A.~. "umber ~ Fire ~az~rd · ~ Reactivity ~ Delayed ~Sudden Releose U im~l~t~ -'" : ',:*, ' Health ~ of Pressure ....... ~ ~ ~, ,. com,,,t u.. Nw ~ C.A.S. NUmber .,~',IP I'~ !~ I ~- I~'~1 ~ I ~'L"~l'~l'~~ .... .:,,,',~/ ,,,,,., ,,~ ,,,,,, ,,,,,, ,.,. ,.., ' ' co,;o,,,, ,~ ~',, ..,o.~. ,".., /~' ~,, · ~..C.A,S, Number ' ~eal~h ~ 0f Pressure ' ' ' ' :. , : : .' ,, .... .;. , ".' :":"; =.. : .' ~"( .'.::.,~ · Co.pone,~ 13 'Xa.e I C.A;S. Number EHERGENCY CONTACTS fll~ c-C.~.' T~fee.,-~ · 3~ZW~ ,2~.~l ~.'[C5 ~,~.'~o'~'~' erLifi atio " Re and i naf r com 1 Cf 9 ~11 c ions .... ll/Or~lTlOfl, ~~riciSi Title Of ovnetlooerjtor UK ovner/operator;S auChoriz~d~re~resenTsclve' ,. "' git "''" MATERIALS' BA ERsFZiNVENTORY ' ' Farl andAgticuiture I:] Standard Business [~ZARDOUS'. Trina [YOm ~ax Average ~nnusI ~a~ure I ' - · S~ored in Factltty · - See [ns~ructtons .... P~sicat ~nd fle~zard ~ ' ~Numbe~~ ' ..... '-':-' Componen~ Il' Nw~ C,A.S. Number ~ ' ' '.. ' '.. -:. Component 13 Hame I C,A,S, Nuaber ' ' " · Phyiical and Pellth 8azard " C',A.S. Humber ~ '~' ' '- Com~oflefl[ II .Hale I C,A,S, Humber " ' / '/" ' (Check ~11 that aPp/H '"" '. .... · Health ~ of Pressure ComPonent.13' ~8,e I C.A.S. Nu,ber '' -- Physical and 8ellth Uazard ' C.&.S. Humber ' '"' ":": "CoapOneflt'll'.'NaBe & C.A.S. KuBber .-." [Check ~11 that applyJ l' fluaber ~ Fire Hazard ' ~ Reactivity' ~ Oelayed ~ Sudden Release , ~ ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden' Release U ll~tl~e.".'.:..'...-. '. . . . Health of Pressure . . Conponeflt 13 Hale I'C,A,S. NuBber sub~itte~lntor~ o~ iS tr e~cc ~Le, alu c p L .... ~.. ; . ~ . Bakersfield Fire D~t. Hazardous Materials. Inspection Date Completed Business Name: Location: ] I (P O (70_ ~./--o ·/d ~ q' (~ ~'"~ ' Plan ID # 215-000 (Top right comer Business Plan) Station No. Shift Inspector Adequate Inadequate Verification of Inventory Materials · [-] ~ Verification of Quantities [--] ~ Verification of Location [--q [~ Proper Segregation of Material [--] ~ Commen~: ~1':' ~ ~/!',."," ~"' ~' /o_- J~ - t :.a~-q / ' Verification of MSDS Availability [~ [] Number of Employees Verification of Haz Mat Training [--] [--] Commen~s: Verification of Abatement Supplies & Procedures [-] [--] Colnments: Emergency Procedures Posted [~] [--] Containers Properly Labeled [~ [~ Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Violations: FD 1652 (Rev. 3-89) White~Haz Mat Div. Yellow-Station Copy Pink-Business Office REC't~D a ona ,, ~l =.iiit . ~8 0 6 1990 chieiToxicotogist t b ~to~ Dir~tor a oratories January 31,1990 BULLETIN: Notification of new location Effective February 10,1990 National Toxicology will be moving to a new location. Our new address will be as follows: National Toxicology Laboratories, Inc. 1100 California Ave. (at NW corner of N St.) Bakersfield, CA 93304 Our phone number will remain (805) 322-4250. We will have a new FAX number effective February 10th. The new FAX number will be (805) 322-4322. For those customers who send donors directly to the laboratory, new maps will be made available upon request. If you have any questions, please call us at (805) 322-4250. National Toxicology Laboratories, Inc. 3101 - 16th Street, Suite 107~Bakersfield, California 93301~.805/322-4250 · BAKERSFIELD CITY FIRE DEPARTMENT 2130 "O" STREET BAKERSFIELD, CA 93301 (805) 326-3979 l OFFICIAL USE ONLY USINESS NAME ~_~ HAZARDOUS MATERI ALS BUSINESS PLAN AS A ~,;HOLE 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: National Toxicoloq¥ Laboratories, Inc. B. LOCATION / STREET ADDRESS: 3101 16th Street, Suite 107 CITY: Bakersfield ZIP: 93301 BUS.PHONE: (805) 322-4250 SECTION 2: EMEROENCY 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. Thomas C. Sneath; President Ph# 805-322-4250 Ph# 805-366-3971 B. Gary Hill, Lab'Supervisor Ph# 805-322-4250 Ph# 805-325-7348 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS AW HOLE A. NAT. GAS/PROPANE: Front B. ELECTRICAL: Front - North West Corner C. WATER: North .. · D. SPECIAL: E. LOCK BOX: YES /~ 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 TE;%~ FOR BUSINESS AS A WHOLE ~' .... i'll?fire extinguishers. One employee with EMT Training. SECTION 5: LOCAL EMERGENCY MEDICAL ASSIST~WCE FOR YOUR BUSINESS AS A WHOLE Nearest hospital - Mercy Hospital , 16th Street and Truxtun 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 B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~ NO .~ 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: IiAZ~I)OUS I~TERIAL CIRCLE YES OR NO D.0ES YOUR BUSINESS HANDLE HAZARDOUS ~U%TERIAL IN QUANTITIES LESS THAN 500 POUND~_OF A SOLID 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... I, Thomas C. Sneath , 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 per3ury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS NAME: BUSI NESS 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. AnsweF the questions below for THE FACILITY UNiT LISTED BELOW 4. Be as BRIEF and CONCISE as poss%b!e. FACILITY UNIT# FACILITY UNIT N~E: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES The release or spill of hazardours materials is normally prevented by working in the hood and/or observing good safety practices. Any :(: spills would be less than 1.0 gal. and could be easily contained and cleaned up. SECTION 2: NOTIFICATION AND EVACUATION PROCEDL~ES AT THIS L~!T ONLY Notification of a hazardous situation (e.g. a fire) would go first to the fire department and then to the immediate neighbors in the complex. Evacuation of the complex would be accomplished using the exit doors, leaving them unlocked. If time permits, all instru- ments and gas tanks would be shut off, and both secure doors opened. SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous.materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-Z) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Smoke alarms (centrally'monitered), fire extinguishers SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS 16th Street - East of bulding hydrant SECTION B: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS./PROPAN~ Front of building - 16th Street B. ELECTRICAL: North West~corner door C. WATER: Front of building - 16th Street D. SPECIAL: E. LOCK BOX: YES '/G IF YES, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs? YES ./ NO FLOOR PLANS? YES / NO KEYS? YES ./ NO - OB - BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ,BUSINESS NAME: National Toxicoloqy Laboratories OWNER NAME:Tom Sneath,Naresh Jain,Zalco Labs FACILITY UNIT #: ADDRESS: 3101 16th Street, Suite 107 ADDRESS: FACILITY UNIT NAME: CITY, ZIP: Bakersfield, CA' 93301 CITY,ZIP: PHONE ~:805-322-4250 PHONE #: [OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT'USE LOCATION IN THIS · BY iBA,ZARD D.0.T CODE AMOUNT AMouNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE P 1 2 gal 9 18 SE corner hood 100 Hydrochloric Acid CRMT P 1 2 gal 9 18 SE corner hood 100 Benzene FLLQ ... P 1 2 gal 9 18 SE corner hood 100 Toluene FLLQ P 1 2 gal 9 18 SE corner hood 100 Ethyl Alcohol· FLLO P 1 ' ~ gal 9 18 SE corner hood 100 Hexane FLLO P 1 2 gal 9 18 SE corner hood 100 Methanol FLLO P 1 2 gal 9 18 SE corner hood 100 Acetonitrile FLLO P 1 2 gal 9 18 SE corner hood 100 E~hyl A¢~e P 1 2 gal 9 18 SE corner hood 100 Isopropyl Alcoho~ FLLO P 1 2 gal 9 18 SE corner hood 100 ~eptane FLLO P 1 2 gal 9 18 SE corner hood 100 Methvlene Chloride P 1 ~ gal 9 18 SE corner hood ~QQ Acetone P 1 2 ~al 9 18 SE corner hood ~QQ Carbon ~e]rach]oride P 1 2 9al 9 18 SE corner hood iOQ Chloroform ORMA P 1 2 gal 9 18 SE corner hood iQQ Petroleum Ether FLLQ NAME Thomas C. Sneath TITLE: President SIGNATURE: "'~-~.~--~.~(- DATE: EMERGENCY CONTACT: Thomas C. Sneath TITLE: President PHONE # BUS HOURS: 805-322-4250 AFTER BUS HRS: 805-366-3971 EMERGENCY CONTACT: Gary Hill TITLE: Laboratory Supervisor PHONE # BUS HOURS: 805-322-4250 PRINCIPAL BUSINESS ACTIVITY: Toxicology Laboratory AFTER BUS HRS: 805-325-7348 - 4A-1 -