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Home My WebLink AboutBUSINESS PLAN 6/16/1987 "' '* · ' ~ orA~A~ (~nqulr, ~eas) 1.-Address: ]dentlf~ 9. Lock (kel principle buildings '.' · by-the Street nuebers' 10. HSD8 S~rage Box 2.' Street{s). Al'leVs. '11. Rat'lroad Tracks Driveways, and Parking Areas adjacent to the 12. Fence or,Barrier prol Include the e. Wire. .... street eases. ~ ..... - b..Maaonry 3. Stora Drains. Culverts, r ... .... .. ..... Yard'Dralne c**"#ood .... 4':Drainage Canals, Ditches, d,~.,Oatee Creeks, a. Frame construction .14, Guard Station .......... b. Masonry construction 15, Storage Tanks: '~ . . ]dentlffy. the .............. ~ ?':''"~'"'.'"' "' c. Metal Construction capacity in gal, · ' a, Above ground .d. Arrest Door b, U=dergrouud 6. Utility Controls a, Gas 16, Diking or Berm b. Electricity 17, ~vacuat~oa Route c. #star 18, EVacuation Area: ]denti;~ the ?. Fire Suppression Systeat: location mhere a, Fire Hydraott employees : lee t · . b. Fire Sprinkler 19. Outside Hazardous Connections #mete Storage *: c~ Fire Standpipe ~0. Outside Hazardous ~ ' connections Mator{al Storage d. Wate~ Control Valves ~1. Outa/de Hazardous . for protection systems Haterlai Use/Hand,.lng e. Fire P,,-p 22. Type of HazardouslY:. Material/Matte Stored · 8, Flr~e Department Access or Used (See -~-'-- ~'~' Below) TYPE oF Y,~A~DOOS F - Flmable '~ - ~ploslve L - Liquid R - Radlologlcal .C - Corrosive 0 - Oxidizer O - Oas P -Poison. ~ - ~ater ReactXve T' ~'Toxlc 3 - Solid B -.Cryogenic *Example: Flaoabl~ L~quld - FL FACILITY DIAO~ (Requi~ed l.ten~ In addltlon ~o ~he a~e) ' 1, Risers for Sprinklers 8. Fire Esco~s ~' 2, Pa~tlttons g. AIr Conditioning Units 3. Stairways: indicate tbs 10, levets served free highest to lo,est, 11, Inside H~ardoue Storage . 4, E~cala~o~: indicate the * . . . "~,:~ ]eveJ~ served from 12, Inside.Hazardous highest ~o lo,est. Nnterials 3torage 5. Elevator 13, ins/de Hazardous ~terlals Use/H~dllng 6,~Att/c Access ~ ' · - 14, Se~r.D~in , 7. Skylights ' LCOM TO BUILD ~oR.~u. MPORIUM '~~~ WE'RE BUILDING A BETTER STORE ' · HOME CUST©~E~ ~O~E SErViCE LM~ER ~ECOR & RALPH RUSSELL ~ L~G STORE MANAGER ~ATE~ALS Agio HO~E TOOLS STORAGE SEASONAL 4400 CALiFORNiA AVE. FnRE HOUSEWARES IBAKERSFnELD, CA E×~T PLUI~I~BNG ~33~s PHONE: (/~ (805)322-2037 - STORE HOURS: NURSERY ~,,. ~NS_T_A. L_L._EO .,/ ~ ~,~,,~o -- MON- FRI GAR[BEN ELECTRICAL 8AM- 9PM . SAT 8AM o 7PM · SUN OlHJEOKOIgTS 9AiVi - 7PiVl · "' . E×~T EXDT ENTRANCE "WE CARE" February 15, 1995 TO: Cathy Taylor FROM: Esther Duran SUBJECT: Refund of Overpayment . Cathy please issue a claim voucher for an overpayment on the Builders Emporium' account #396001. Refund of $754.00 should be forwarded to the parent company: Collins'& Aikman Real Estate P. O. Box 32665 Charlotte, NC 28232 Thank you, /ed Collins701 & McCulloughAikman ProductSDrive P.O. Box 32665 Charlotte, NC 28232 (704) 547-8500 January 31, 1995 City of Bakersfield P.O. Box 2057 Bakersfield, CA 93303-2057 RE: Acct#: HM 396001 .......... Builders Emporium I. '" 40 Parker Irvine, CA 92718 Dear Sir or Madam' We have received your statement noting our credit balance $754.00 with the city as a result of overpayments made in March 1994. Please remit the credit balance due us as soon as possible. As!.pf.:Ma¢ch 1994, the Builders Emporium division is no longer operating and all receipts and remittances are being forwarded t° the parent company, Collins & Aikman Products in Charlotte. Please remit to: Builders Emporium .. c/O Collins & Aikman Real Estate P.O. Box 32665 Charlotte, NC 28232 .... . -- Please do not.hesitate to call if you,require further in¢ormation to close this account. Sincerely, COLLINS & AIKMAN . ..' , ';.;.':' , . ',':' :'1 ,.-:- !;:~: ...... "; ":. ~'" '"- .~"-.- ;- ';~ ".Jeff, SJe. op:~?....':.; .,.,. ,'.,:, {.;;-,,! ::. ::: ';:.;:-;"¢,~;:-'~ , · ~:..:. :, -? -. :,'"~.:.: Real Estate Department .~::'"' '::.:'::,":; ihS!t:,;. ': .... :'- ::;., .',.- :. :',", '.~,,., .. ;, -.,:, ,.:...:,,: , .- ... .. .... : · .'. . , ;' ; . ,..¢.. · .:.: .., , ~ ........ -.'," ~"~': PLEASE MAKE CHECKS PAYABLE -~O: ~.' "RFTURN i~ ,:..:: ' ' ..... ' PLEASE AAAKE CHECKS PAYABLE ~O: '!~:i!:~i' ~,.-?,,?~,.~r...,CITY OF BAKERSFIELD ] ~.' ~:."~..:. ,:. , .:,' L:;;;"~,' · OLE'S · CASHWAY · ALLWOODS 40 PARKER, !RVINE, CALIF. 927'18 (7'14) 454-1090 City Of Bakersfield ,P.O· Bo>: 2057 Bakersfield, CA. 95505 Re: Business Lic. Certificate No. 18454-589-1-0 Hazardous Material Acct. No. HM 596001 Alarm Permit No. C1495 To whom it may concern: Builders Emporium is hereby notifying you that it has ceased operations in all of its stores. The following store located at 4400 California Ave,'Bakersfield, Ca. 95501 was closed on 10-27-95. The Corporate Office located at: 40 Parker, Irvine, Ca. 92718 will re- main open until aboUt the end of April 1994. Any correspondence after April should be forwarded'to: ~ Collins & Aikman Group, Inc. 8520 University Executive Park, Suite 102 Charlotte, NC. 28256-2257 you have any questions please call me at (714) 454C6117. Sincerely, Builders Emporium Georqe_ Garcia ~. .' .- Staf~ Accountant February 25, 1994 George Garcia, Staff Accountant Builders Emporium 40 Parker Irvine, CA 92718 Dear Mr. Garcia: We have removed Builders Emporium, 4400 CalifOrnia Ave., Bakersfield, CA from Our computer and hazardous materials billing. This letter is just to remind you that there is still $377.00 owed on account HM 396001. Although the billing period is July 1, 1993 to June 30, 1994 the.City of Bakersfield does not prorate any bills. Thank you in advance for your prompt attention to this matter. Sincerely, Esther Duran Hazardous Materials Division /ed Utilities General' Account Maintenance 02/25/94 PUTLS801 Acct Nbr: 396001 Bill Stat: FB Transfer-from: Page 1 of 6 Cyc Stat: CL Acct Cyc Stat: CL Transfer-to: Due: 377.00 1. CustOmer Name: BUILDERS EMPORIUM 2. Social Sec Nbr: 3. Tglephone: 805-322-2037 4. Service Address: 4400 CALIFORNIA AVE 5. Service City: BAKERSFIELD 6. State: CA 7. Zip: 93309 8. Parcel ID: 9. Bill Cycle: 5 20. Water Svc Class: ~10. Route Nbr: 11. Comments : CHGD FROM FEE 10 TO 14 PER RALPH 4/6/92 12. Prev Acct: HM00348 23. Misc Services: 23.1 F99 NOT IN BUSINESS 13. Service Date: .23.2 14. Fund no: 23.3' 15. Billto Adl:BUILDERS EMPORIUM 23.4 16.' Billto Ad2:40 PARKER 24. Closing Date: 01/24/94 17. Bill-to City: IRVINE '18. state: CA · 19. Zip: 92718 Enter Save(S), Cancel(XX), Next Page(/), or Field # to Change 02/24/92 BUILDERS EMPORIUM 215-000-000348 Page 1 ~ ? Overall Site with 1 Fac. Unit General Information I .Location: 4400 CALIFORNIA AV , Map: 102 ~ Hazard: Moderate I STATION 03 BAKERSFIELD · ICommunity: Grid: 35A F/U: 1AOV: 0 0 Contact Name ' Title ~ Business Phone 24-Hour Phone] I RALPH RUSSELL IMANAGER 1(805) 322-2037 x (805) 872-7850~ I ~~m~. i~T~.MANAGER . ~'8~,_:,,~§ame322-2037 x (805)none 366-8019|, AdminiStrative Data Mail Addrs: 4400 CALIFORNIA AV 'D&B Number: 00-531-9272 / ity: BAKERSFIELD State: CA Zip: 9330.1- Com~ Code: 215-003 BAKERSFIELD STATION 03 SIC Code: A Owner: WICKES COS BUILDERS EMPORIUM Phone: (714) 454 _6267 ddress:~-0-P~k~~7~~ State: C 8 City: IRVINE Zip: ....~.~- · Summary O~ RECEIVED L jO 1 1992 02/~4/92 BUILDERS EMPORIUM 215-000-000348 Page 2 ~ ~ 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02~001 PROPANE Gas 1052 High ~ Fire,· Pressure, Immed Hlth, Delay Hlth FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max ~FT3 /Daily Average FT3 I Annual Amount FT3 1,052 "I 450.00 2,000.00 Storage ~lPress T Temp Location ABOVE GROUND TANK IAmbient~ambientlO/S NW SIDE -- Conc Components ~ MCP -~List 100.0% IPropane ._ IExtreme I 02-002· ASSORTED PESTICIDES · Liquid 100 Unrated ~ Fire, Pressure, Immed Hlth, Delay Hlth ~ GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily'Max GAL100 I Daily Average75.00GAL I Annual Amount400.00GAL Storage Press I Temp Location GLASS CONTAINER IAmbient~ambientlX/S SW CORNER OF BLDG -- Conc ' Components MCP List -100.0% IPesticides IUnrated I 02-003 ASSORTED HERBICIDES Liquid 100 Unrated ~ Fire, Pressure, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HERBICIDE Daily Max GAL Daily Average GAL Annual Amount GAL 100 I 75.00 I 400.00 Storage~lPress T TemP Location GLASS CONTAINER IAmbient|AmbientlI/S SW CORNER OF BLDG -- Conc Components MCP List 100.0% IHerbicides 02/~4/~2 BUILDERS EMPORIUM-215-000-000348 Page 3 ~ ~ 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 ASSORTED FERTILIZERS Solid 4000 High · Fire, Immed Hlth, Delay Hlth LBS CAS #: Trade secret: No Form: .Sol'id Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS Annual Amount LBS -- 4,000 I 2,000.00 I 10,000.00 Storage Press T Temp ~ocation PLASTIC CONTAINER AmbientlAmbientl'I/S SW CORNER OF BLDG -- Conc Components MCP List 100.0% ISodium Nitrite IHigh I 02-005 ~mm~L ~cl~ Liquid 200 High ed Hlth GAL CAS #: Trade Secret: No Form:' Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL Annual Amount GAL 200 I 100..00 I 600 00 Storage I Press T Temp~ Location PLASTIC CONTAINER IBelow IAmbientlI/S SW CORNER OF BLDG -- Conc Components' MCP iList 02-006 PAINT Liquid 1'020 Moderate · Fire, Pressure, Delay Hlth GAL CAS. #: 64741-41-9 Trade Secret: No Form:.Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL Daily Average GAL Annual Amount GAL 1,020 'l '800.00 1 1,200.00 Storage _~ Press T Temp I ~ _ _Lo_cation METAL -- Conc Components- · st 25.0% Mineral Spirits ModerateI 15.0% Naphtha ModerateI 5.0% Methyl Ethyl Ketone ModerateI '3.0% Ethylene Glycol /- Low 02/~4/'92 BUILDERS EMPORIUM 215~000-000348 page 4 · ~ 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-007 ACID Liquid 156 -High ~ · Reactive, Immed Hlth GAL CAS #: Trade secret: No Form: Liquid Type: Pure.. Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL Annual Amount GAL 156 I 80.00 [ 500.00 Storage IIPress T Temp Location PLASTI'C CONTAINER IAmbient/AmbientlI/S SW CORNER OF BLDG -- Conc Components MCP List 35.0% I Hydrochloric Acid .. IHigh I 40.0% Sulfuric Acid, Spent High 02-008 LIME Solid 650 Low · Immed Hlth, ~' LBS CAS #: Trade Secret: No Form: Solid Type: pUre Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS Annual Amount LBS 650 I 200.00 I ' 650.00 Storage Press T Temp'I Location BAG Below JAmbientlI/S SW CORNER OF BLDG -- Conc Components MCP List 100.0% {Calcium Oxide JLow } 0~/~4/92 BUILDERS EMPORIUM 215-000-000348 Page 5 02 - Fixed Containers on Site Hazmat inventory Detail in Reference Number Orde~ 02-009 GLUE Liquid 190 High · Fire, Pressure,'Reactive, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: .No Form: Liquid· Type: Mixture Days: 365 Use: ADHESIVE Daily Max GAL 190 I 60.00 . 190.00 Storage Press'T Temp , · Location PLASTIC CONTAINER [Ambient[Ambient -- Conc ~ Compon~~-~'~:'-~ ~--~"~ ~MCP~-~List 10.0%IMEK ModerateI 25.0% Dichlbromethane High 10.0% Naphtha Moderate 40.0% Toluene IModeratel 0~'/~-4 j92 BUILDERS EMPORIUM 215-000-000348 Page 6 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EVACUATE GENERAL AREA OF SPILLAGE. EVALUATE NEED FOR EVACUATION OF ENTIRE BUILDING. UPON THE NEED FOR COMPLETE EVACUATION, BUILDING WILL.BE CLOSED USING SAME EVACUATION TECHNIQUES AS USED FOR FIRE AND OR BOMB THREAT. MANAGEMENT WOULD NOTIFY FIRE DEPARTMENT OF NEED OF ASsiSTANCE AT THAT TIME. <3> public Notif./Evacuation WE HAVE AN EVACUATION PLAN POSTED. WE'HAVE ASSOCIATES ASSIGNED FOR SPECIFIC DUTIES IN AN EVACUATION EMERGENCY. WE HAVE A MAP OF ALL EMERGENCY EXITS AND LOCATION OF FIRE EXTINGUISHERS. <4> Emergency Medical Plan BAKERSFIELD OCCUPATIONAL MEDICAL GROUP, 4880 CALIFORNIA AVE MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371 0~/24/,92~. , ~ o BUILDERS EMPORIUM 215-000-000348 Page 7 00 '- Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MINIMUM AMOUNTS ARE CONTAINED SHELVES HAVE FENCINGTO PREVENT DROPPING MSDS WASTE CONTAINERS AND ABSORPTION MATERIAL AND ALL TOOLS NEEDED TO RETREIVE SPILLAGE <2> Release Containment 1. ISOLATE SPILLS WITH CARTS AND SAFETY CONES ~'~'. NOTIFY blANAGF_2qERT ~§~:~ VENTILATE AREA <3> Clean Up 1. RETRIEVE SPILL KIT FROM CHEM. WASTE AREA L~-. PUT ON SAFETY EQUIPMENT :,,~3~~'~ IDENTIFY MATERIAL 'fZ~;~: IF LIQUID, ABSORB UNTIL DRY ' ')'~!~:~ PLACE ABSORBED MATERIAL IN DOUBLE BAG (HEAVY DUTY) ~"~'CLEAN UP SPILL AREA WITH DETERGENT AND WATER <4> Other Resource Activation 02/24/~92 BUILDERS EMPORIUM 215-000-000348 Page 8 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs .A) GAS.- NORTHEAST.SIDE OF BUILDING EXTERIOR B) ELECTRICAL - NORTHEAST SIDE OF BUILDING EXTERIOR WATER - NORTHEAST SIDE OF BUILDING EXTERIOR SPECIAL - NONE E) LOCK BOX -' NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM THROUGHOUT BUILDING, 14 FIRE EXTINGUISHERS THROUGHOUT STORE, ALARM SYSTEM ACTIVATED UPON RELEASE OF WATER IN SPRINKLER SYSTEM. ~ FIRE HYDRANT - NORTHEAST CORNER OF OUTSIDE BUILDING <4> Building Occupancy Level 0~/2~92~ ,~ . ~ BUILDERS EMPORIUM 215-000-0003'48 Page 9 00 - Overall Site : <G> Training <1> Page 1 WE HAVE''''5'Z EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OUR HOURLY. TRAINING PROGRAM, WE HAVE PRINTED MATERIAL AND VIDEOS. FOR THE ASSOCIATES WE ALSO TEST THEM ON THE INFORMATION. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use .,'~ *,'. ~'~ CITY of BAKERSFIELD ,4 ~ .... ~ Do hereby certeS-' , _~ that I have ~ex.-iewea the attached Hazardous Materials business elan {name of .business) and that it along with the attached additions, or corrections constitute a complete an~ correct Business Plan for my facility. BUS!I\~SS NGME BUILOERS EMPORIUM ID'NUMBER 2t5-0e0-~08034.8 '~LOCGTION 44ee ChL. IFORNI8 8V HIGH H~ZRRD RATING 1. OVERVIEW EAST CHANGE 10/24/88 8Y VAL JURIS CODE Z1S-,003 JURIS BAKERSFiElD STATION MAP PAGE t82 GRID ~SA FACILITY UNITS I HAZARD RATING 3 RESPONSE SUMMARY 2~ SEC ~) SRILLS ARE H~NDEED DITH CARE, USE OF HAZARD DISPOSAL CONTAINERS AND ABSORBENT ~RE USED. ALL NECESSARY SAFETY EQUIPMENT IS USED AND STORED IN R CENTRAL LOCATION. EMERGENCY CONTACT~ ZA SEC Z) ALAN MARBLESTONE, MGR - 3ZZ-Z03'? OR 39?-4780 GARY BOHLHRN, RSST MGR - 3ZZ-Z037 OR 397--377G UTILITY SHUTOFFS ZA SEC 3) f~) Gels - NE SIDE OF BL~ EXTERIOR B) ELECTRICAL - NE SIDE OF 8L.E~ EXTERIOR 'C) WATER - NE SIDE OF 8L~ EXTERIOR D) SPECIRL -- NONE E) LOCK BOX -- NO z. NOT F CaT O / PUBLIC EVaCUaT:[ON ( NO ~NFORH~T]ON RECORDED FOR PC, GE I IZlZ3i88 1t:5B MFYrERIPiL SAFETY DATA'SySTEMS, INC. (8~E~) IS4.8-G80r~ BUSINESS NAME ,BUILDERS E,~ORIUM ID NUMBER Z1S-000-000348 L. OC~tTION 4400 CALIFORNIA ~-lV HIGH HAZARD P~TING 3 ~. HAZ M~T:TRRINING SUMM~RY LnST CHANGE / / BY < NO INFORMATION REcoRDED FOR THIS SECTION } 4. LOCAL EMERGENCY MEDICAL ASSISTANCE · - - -LAST CHANGE 10124/88 BY VAt.. . ZA SEC S) BAKERSFIELD OCCUPATIONRL MEDICAL GROte, 4888 CALIFORNIA AVE MERCX HOSPITAL~ Z2iS TRUXTUN AVE, 3Z7-~3S7t' PAGE Z 12/23/88 1t:58 MATERIAL SAFETY DAI'~ SYSTEMS, INC. (8(~)S) G48'--G800 ~ -~ 8US!N~ESS NRME BUILDERS EMPORIUM ID NUMBER 21S-000-00~>348 ..... ~; ' LocRTION 4400 C~LIFORNIA ~V HIGH H~Z~RO ~RTING'~ ~CiLITY UNIT ~, OVERALL HRZRR~OUS MRTERIRLS INVENTORY L.~ST CHANGE 1~/24/88 BY V~L. ID TYPE N~ME MBX ~MT UNiT HRZRRD LOCRTI ON CONTRI NHEN'F USE ' ' ~ PURE PROPANE 1~52 FT3 EXI'REfftE O/S Ng SIDE ~BOVE GROUND TRNKS FUEL. ID PERCENT COMPONENTS HBZ~RD LIST ~155,~% 1~.0 PROPRNE EXTREME' Z PURE RSST PESTICIDES ~00 GRL UNKNOWN I/S St~ CORNER OF BLD6 GLASS CONTRINER[S} PESTiCiDE ID' PERCENT COMPONENTS HRZ~RD LIST -: !~B.~0 3 PuRE ~SST HERBICIDES ~ 6RL UNKNO~]N I/S S~ CORN~R'OF BLDG GLRSS CONTRINER[S1 HERBICIDE ID PERCENT COMPONENTS " HBZRRD LIST - 1057,00 ~.~ HERBICIDES ~JNI<NO~4N 4 PURE RSST.FERTILIZERS 4~ LBS HIGH: i/'~' S~ CORNER OF BL~ PLRSTIC CONTRINER[S]- FERTILIZER ID PERCENT COMPONENTS HRZRRD LIST Z538,~ 1~,~ SODIUM NITRITE HIGH 5 PURE CHLORINE '' 'J~ 6~L HIGH I/S S~ CORNER OF BL~ PLUS'tiC CONTRINER[S] ~TER TREATMENT tO PERCENT COMPONENTS H~Z~RD LiST t0'78.~% 1~,.0 HURI~TIC ~CID HIGH G PURE FUEL ~S GRL HIGH I/S s~,~ CORNER OF BLD6 PLR5T!C CONTRINER[S] FUEL ID, PERCENT, COMPONENTS HRZRRD LIST tl.G~.~ }~0.~ GRSOLINE HIGH 7 MIXTURE PAINT l~Z~ 6RL EXTREME I/~ SU CORN~.R OF ~DG METRL CONTR!NERS PRINTING I0- PERCENT COMPONENTS HRZRRD LIST ~203.~ 15.~ NRPHTH~ EXTREHE s.e E"rHYL ZrHYL TONE HZSH zBez.e'e ETHYLENE GLYCOL UBKNOUN 8 PURE ~CIO '~ 155 G~L HIGH I/S' Sk~ CORNER.OF BL.~ 'PLRSTIC CONTaINER[SI ~RTER TRE4THENT ID PERCENT CO~ONENTS ~, HRZRRO LIST PAGE ~ 1~./Z3/88 11:58 MATERIRL SAFETY DATA SYSTEMS, INC, <BOS) G48"EJS(ZY'~) BUSINESS NPiME BUILI]ERS EMPORIUM !tO NUMBER 21S-000-000348 LOCATION 4400 CALIFORNIA AV :HIGH HAZARD RATING FACILITY UNiT ~ ~, OVERALL HA~EOOUS ~TERtALS INVENTOR~ ( * CONTINUED * ) LAST CHSNGE ~/Z4/88 BY V~L ID TYPE NAME MAX ~MT UNIT HAZARD LOCATION CONTFII NMENT USE 8PW~E .~CID, ISS GAL HIGH ( * CONTtNUEO ~ ) zo' P~RC~NT' COWPON~'rs H~ZaRO LIST ~e'78.00 !00.0 HYDROCHLORIC nCIO ...... HZGH 9 PURE OIL ZB6 GAL UNKNOWN ,l/S Sg"cORNER OF BL~4 PLRST'IC CONTaINER[SI LUBRZCRNT ID 'PERCENT cOHPONENTS HAZARD LIST Z8~8.~ ]88.8 MOTOR OIL~ UNKNOWN ]~ PURE LIME GS~ L.[RS LO~J I/S SW CORNER OF ~DG 8AG[SI FERTILIZER · ID PERCENT COMPONENTS I538.~ I:~.0 CALCIUM OXIDE LOW : ~:. 1t MIXTURE GLUE 1B~ GAL - EXTREME I/S SW CORNER OF BLOG PLASTIC CONTBtNER[S~ ADHESIVE -.' I0 PERCENT cO~ONENTS HAZARD LIST 1 t 30.~ 4~.0 TOLUENE HIGH ' EZ34.8~ ZS.8 ~ETHYLENE'CHLORIDE MODERATE 1Z83.~ !8,,8 NRPHTH~ EXTREME ~ PURE PtNTIFREEZE 58 G~L. UNKNOWN I/S SW COR~ER OF 8L~ PLASTIC CONTR~:NER[S] COOLANT ID PERCENT COMPONENTS . HAZARD LIST ETHYLENE GL'YCOL '" UNKNOWN PAGE 4t "MATERIAL SAFETY DATA SYSTEMS, INC. (80S) G48'~G800 BUSI~,~SS NAME 8OiLOERS' E~,IPORIUH I0 NUMBER Z1S-8~8-~8~8 ~LOCRTION 4488 CRLiFORNI~ A~ HIGH HAZARD RRI'ING ~ FlEE PROTECTION / W~TER SUPPLIES ~ LAST CHANGE 1~/Z4t88 BY VEL SEC 4) SPRINKLER SYSI~M THROUGHOUT BLDG J4 FIRE EXTINGUISHERS THROUGHOUT STORE ALARM SYSTEM ACTIVATED,,' UPON RELEASE 0F WATER IN spRINKLER SYSTEM SEC S) FIRE HYDRANT -~ NE CORNER OF OUTSIDE BL, DG EMPLOYEE NOTIFICr~TION / EVACUATION LEST CHANGE 18/24/88 BY VRL SEC Z) EVACUATE GENERAL AREA OF SPILLP~E EVBLURTE NEEO FOR EVACUATION OF ENTIRE BLDG UPON THE NEED FOR OOMPLE'FE EVACUATION, BLL~ WILL BE CLOSEO USING : SAME ~EVACUATION TECHNIQUES AS USED FOR FIRE ANO OR. BOMB THREAT MANAGEMENT WOULD NOTIFY FIRE DEPT OF NEEO OF I~SS!STRNCE " AT THAT TiME PAGE 5 lZ/Z3i88 lJ;S8 MATERIAL SAFETY DATA SYSTEMS. tNC. (80S) G48-G8~ BUSINESS NAME BUILDERS EMPORIUM- · ID NUMBER 2..!5.-C~,D0-000348 LOC~TiON 44~ C~LtFORNI~ ~V HIGH H~Z~RD R~TING 3 E. MITIGATION / PREVENTION / RBRTEMENT L~ST CHANGE 1~/Z4/88 BY VRL. ZF! SEC S) MINIMUM. ~MOUNTS RRE CONTRINED SHELVES H~VE FENCING TO PREVENT .DROPPING MSDS W~STE CONTAINERS aND aBSORPTION M~tTERiAL ~NO F~LL TOOLS NEE~D TO RETREIVE SPILL~GE PFIGE EJ I2/23/88 MATERIRL S~tFETY D~tTA SYSTEMS, INC. (80S) CITY of BAKERSFIELD CITY, (~ C~e kt ~ [st ~its m Site I~ ~ l~ ~ St~ tn F~tllty ~ I~t~tlw HHItH of Pr~surl ~lth Certificatim (Remd and si~ after completing ail sections) for o~a)nt~g CITY of BAKERSFIELD MATERI A1-.S ~.~,..d ~,.c.l,,,. ~ st..a..~ o.,.~ ~' HAZARDOUS NVENTORY' NON--TRAI3E S~cRBTS , p~ ~_ of .~.. LOCATION: M~ ~[r~/~ ~W~ ADDRESS: /~ ~-~ ~ . STANDARD IND. CLASS CITY, ZIP: ~~Za-~( ~. ~ t CITY, ZIP:~~. ~ . ~ ~/~ DUN AND BRADSTREET NUMBER ~ ~ ~~o~ ~R ~oP~ coD~. _~l.~.l._.O~..l/o~._].~..IqoQa¢3-I/o I .m I q I CLl;-/s ~ e~_ ,r:,:~a~= ::.2:~~, ,:~>-~..(eaa~c) _. ,~k MI ~t ~ly) ~ --~ /~ ' .~-- - .... r ~t 12 ~&C.A.S.~ ~lth of P~m ~lth (C~k ell t~t i~ly) ~lth of ~ ~lth P~tCI] , q~-~-~ , ,q , f~~ ,, .... ~ t ...... ._L ............ r .... ,,._] ~ .L_J L_.[ .... J .... ~lth of Pr~surl ~lth I;~ .......... ; .......................... ~;1; ....................... ~I-R;'P~ ...... ~ Cer~lficatt~, (Read and sJRn after co=p]et~nR a~7 sections) ~ certify ~der ~lty of 1~ t~t I ~ve ~rsmellyex~m~ ~ am f~tl~ar etth t~ lnf~mt~m su~tt~ In thug ~ ell attK~ ~t~. ~ t~t ~s~ m ~ ~IW of t~e ;o~ oot~mm9 t~ mf~ttm. I ~lieve t~t t~ su~ttt~ info.tim ~s t~. ~curate. ~ c~lete. R~' ~;;a' ~UiEi~I-t itl;-ST'~i;~;~iSF'~-~;7~F~5;';'~G~;ii~';i~t ~i;i Si~RiIG;; ................................................... ~ti'51~;~ ........................... CITY of BAKERSFIELD 1N10 N-- TRYXD E S E C R E T-<3 ' P,m, of ' CITY. ZIP: ~ff&~ '~'/~i ~. ~) CITY, ZIP: ~VI~- ~, Q~2/ DUN AND BRADSTREET NUMBER v.,o.z .: ~ .q~ ~ g. o37' v.o.z ~ ~ I~U~ZO~ ~R ~OP~ COD~ t ~ ] 4, S S 1 I t 1l II 1~ 13 1i [~e C~e ~t ~t Est ~its m Site ~.,, ,~, .,,,~ · . . ,l 6 ~ ~_ D_L.._] ......... 'l ............. ] { .... L''I ..... L--L J- I ..... '" -~~ ~lth of ~ ~}th .... 1 ..... [ k .......... [ I I .[ ! I 1_ 1 ........................ P~{cil ~ ~lth ~4~ C.A.S. ~ IC~k ~11 t~t e~ly) ~lth of P~su~ ~lth ..SL_t ........... L ........... Z ....... ,.j, ~ ~.L_I~ ~ t _1___2 ........... (C~k ~11 t~t ~{y) ...................... .. ,. _ --. , ...... ~ - r--. -- -- -- C~t . ~,..,..d .-~t~y [ ]h~.~ [ ]~,.~m. [ ]t~.~. ............ H~lth of Pr~surl ~lth " R~'] ............ 7 ...................... ~[1{ ....................... 2I-RF-P~ ....... ~ T1{1~ 2i:W~'~! ...... Certlficati~ (Read and sign after co~pJeCinE al] sections) certify ~ee ~lty of 1~ t~t I ~ve ~rsmellye.~iM ~ N fNilile ~or o~aining t~ inf~ttm. I ~iieve tMt t~ suMitt~ info~ti~ is t~. R~g~E~i~6T~6~Z~;2~F~6~{~7~F~6~}~{~U~Fl~F{~{~E~;~ $1~R{IG;i .................................................. ~{}}'li))~ .......................... CITY of BAKERSFIELD NON--'I'RADE SECREq/S ' p~ .... of .... ~lth of ~ ~lth ~lth of P~ ~lth ' H~ith of Pr~sure ~ith ~' ~" ....... ' .............. ~ Ce~ic,ti~. (Read, nd ~i~ after compJettn~ ali sections) ~o~ ootam~ng t~ ~n/~tt~. I ~lieve t~t t~ su~ttt~ info~ti~ ~s t~. ~curate. ~ c~lete. 2130 "G" STREET BAKERSFIELD, CA 98001 OFFICI.~L USE ONLY BUSINESS NAME HAZARDOUS MATER I ALS BUSINESS PLAN AS A WHOLE F O Ri~[ 2A INSTRUCT IONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a w~ole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS iDENTIFICATION DATA· SECTION 2: EM~ERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. 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 TITSE\ \ DURING BUS. HRS. AFTER BUS. HRS. SECTION 3: LOCATION' OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE C. WATER: 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 TEAM FOR BUSINESS AS A WHOLE SECTION,~5: LOCAL EMERGENCY MEDICAL ASSISTANCE. FOR YOUR BUSINESS AS A WHOLE' SECTION 6: EMPLOYEE T~INING 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 C. PROPER USE OF SAFETY ..(~ NO NO' D. EMERGENCY EVACUATION PROCEDURES: J~=i~NO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS ..... .Y(~ NO. NO SECTION 7: ~ZARDOUS MATERI~ CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN .QUANTITIES LESS THAN 500 POUNDS OF~ SOLID, $5 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES~ N~ I understand that this information will be used to-fulfill my fiem's obligation's under the new California Health and Safet~ code on Hazardous Materials (Div. 20 Chapter.6.05 Sec. 25500 Et Al..) and that inaccurate information constitutes peejue~. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESs ,m e xo .BUSINESS RLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS .1. To avoid further action, th~s form mu~t be returned by: 2. TYPE/PRINT ~0UR A~SWERS IN ENGLISH. 3, Answer the que~tion~ below for THE F~6ILITY UNIT LISTED 4. Be as BRIE~ and CONCISE as possible. FACILI~ L~IT~ ~ FACILI~ ~IT N~ME:.".~X~-~~ SECTION 1: MITIGATION, PRE~NTION, ABATEMEN~ PROCEDb~ES . SECTION'~ 2: NOTIFICATION AND EVACUATION PROCEDL~ES' AT THIS 5~IT' ONLY' - 3A - SECTION 3: HAZARDOUS MATERIALS FOR TUIS UNIT ONLY · coa,.a~n Hazardous Materia!s?. G NO A Does this Facility Unit '~ ' ..... If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES tf No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONI,Y (white form'~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS 0NI,Y (yellow form ~.i:4-2) in addition to the non-trade secret form. List only the ~ad,. secrets 'on form 4A-2. SECTION 4~ PRIVATE FIRE PROTECTION SECTION 5: ~OCATION OF WATER SUPPLY FOR USE BY E~ER6ENCY RESPONDERS SECTION 6: LOCAT!'ON OF UT!LIW SHUT-OFFS AT THIS UNIT ONLY. . .,. GAo.,~RvPAN~, .." ... .~ NAT ,~ ,. . B. ELECTRICAL: C. WATER: g. SPEC!AL: E. 50OK BOX: YF.S .~.~,~ tF YES, SITE PLANS2 VES / NO .MSDSs9 5;ES /' NO - FLOOR PLA.NS? YES / NO KEYSo YES .." BAKERSFIELD CITY FIRE DEPARTMENT I.D. # ' -' FORM 4A-1 Page I of' ............... NON--TRA"DE sEcRETs HAZARDOUS MATERI ALS INVENTORY PHONE ~: ~-~$~-~ ' PHONE #:.,, ~-~-~ [OFFICIAL ONLY USE CFIRS COOE 1 2 3 4 5 6 7 8 9 10 TYPE NAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T .~O~E. ANOUNT ANOUNT UNIT CODE CODE FACILITY. UNIT . ~T. CHENI~AL OR CONNON NANE CODE GUIDE N~ME: [TLE 'URE: DATE: E~ERO~NCY CONTACT: TITL PHONE ~ BUS HOURS: ?AHi~U - )~U/ HAZAHUUUG IYIAII:HIAL~ INVI:NIUHY ..... ' ........ ...... '. PAGE~OF INST~uCT'~.NS:' m READ ALL THE NSTRUCT ON OW AND ON PAGE;,~4:..,j),qHOTOCOE~~' "" cX'TqA~.uOP. J~G.O~S FORM BEFORE COMPLETING IT. (REPORT HAZARDOL '-~- WASTES ON REVERSE SIDE.) 1. CO.MPL~-TE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA. OR ROOM WHERE HAZAROOUS MATERIALS ARE LOCATED. USE 80X BELOW TO SPECff THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZAROOUS WASTE ON PART C.} '1 LOCATION OF HAZARDOUS MATERIALS: I COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS ROOM NAME our OO0~ ~ OR NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGAROLESS OF THE OUANTIT INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY ANO APPLICA, TION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL tN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MA×IMU~ ESTIMATE TOTAL LIST ALL THE TYPES ,,~F Y( -- HAVE MATERIAL MIXTURE. USE EXAOT SPELLING. OUANT]TY HANOLEO OR STOREO QUANTITY HANDLED OR ' OF CONTAINERS UArER~ A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL AT ANY TIME IN 1987 AT STOR~=D OURING 1987 USED TO STORE ;AEEI¥ ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UN~TS. (Le. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. ~; HAZA~[ All INGREDIENTS IN HAZARDOUS MATERIAL. etc.) ~NCLUOE UNITS. MA~'ERI A. ORGANOPHOSPHATE TNSECT~CIDE B. O~qanosolvent 40 ?ropetamphos 50 % 24 16 oz 240 '16 oz F, ** % % A. HOUSEHOLD / INDUSTRIAL CLEANER B. Sodium Carbonate 6,6 % lO0 24 oz 500 24 oz G ** Sodium Sesqui Carbonate 33 % A. FUNGICIDE ~. Copper Sulphate 7 % 24 12 oz 250 12 oz E ** Petroleum Oil 30 Ine~t 64 % % A. {,iNSECI'T~IDE ~SPRAY ~M~LATHION m. 'Malathion .- .-~ 50 % 48 16 oz 500 16 oz Petroleum S'olvents 41 % aerosol aerosol J ** % ~. MECHANIC' S 'ABSORBENT MATERIAL s. Calcined Diatomacious Earth 100 % % 250 lbs 1500 lbs F ** % % A. AUT0~-OTIVE ANTI-FREE'ZE ~cOOL/ANT 8. Eth-¥1ehe-Glycol · 99 % 50 gal 500 gal P ** % Bott!e_~ % ~. AEROSOL SILICONE LUBRICANT SPRAY B. Naptha 35 % Methylene Chloride 37 % 24 .16 oz 240 16 oz Propellant ( propane i) 25 % aerosols aerosols J ** Inert balance % -. TABLE I STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel - Not portable 8 = Drums. Barrels. Carboys G = Boxes, Cartons, Cases M = Tank Car/Trailer INSP. lO DATA ENTRY I0 __ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) 0 = Ab0ve~r0und Tanks I = Industrial Processing Equipment 0 = Unsealed Source (radi0aclive material) INSP INl~' __ DATA ENIRY INIT E Glass L. ontainers J =C0mpressed Gas Cflinders P = Other container type, specily PAG 5 5 0ATE DATE __ ? ~a~ersfield, C~Jif. ~330'~ INSTflUGTIOflS: READ ALL THE INSTRUCTIONS BELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES OF THIS FORM BEFOR~ COMPLETING IT. (REPORT HAZAflDO WAS~S ON ~EVE~S~ 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECi THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) LOCATION OF HAZARDOUS MATERIALS: COMPLETE ALL ITEMS !N BOX. BUSINESS NAME ADDRESS ROOM NAME OUTDOOR AREA OR NUMBER BUI'LDING NAME OR NUMBER, NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTa' INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED Off REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HA~ROOUS ES~MATE MA~MUM ..' ESTIMATE TOTAL. LIST ~ALL THE TYPES~AVE MATERIAL MIXTURE. USE EXACT SPELLING. OUAN~TY ~ ~R STORED OUANTITY HANDLED 0fi OF CONTAINERS MATE A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY ~ME IN 1987 AT STORED OURING 1987 , USED TO STORE ~ SAFE1 A~OVE LOCA~O,. INCLUOE AT AaOVE LOC~T~ON. ~ HAZAROOUS MATE~AL - S,~ B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. H~A ~ALL. .INGREDIENTS IN HAZARDOUS MATERIAL. otc.L_, INCLUDE UNITS. MATE . , . .,~ ;. · . Propoxur ' : 5 % '':;~',:'/2'5 ~2 o~ ':' ' '' 250 12 Oz J * Dichloromethane 20 % .... aerosols · ':'aerosols 1,1,1 ,Trichloroethane 55 ~ ltl - Diflouroethane 25% : A. FLEA LIQUID INSECTICIDE s. Chlorpyrifos .2 % '. 12. 12, oz 120 12 oz 5 E * % , A. RAT POISON s. Warfarin 1 % 12 12 .oz 120 12 oz G * %~ % A., ROACH POISON - INSECTICIDE ~S~.~ ..... Boric Acid % 48 16 oz . 500 16 oz G * Percentace not disclosed in MSDS ~- ' WASP & HORNET INSECTICIDE SPRAY ,.':':,; "'"' :' ' ' ':' ~:" ~.~... ';.:'... ; .'.: .-...: .. .... 3';:. Bavcon~ 5 % ~'~':~.:':24 16 Oz :. . 250 16 Oz J * 'AliDhatic Naptha ' ~O % '" ...... _ ' ..'aerosol aerosol A. VEGETABLE FOGGER INSECTICIDE ~- Pyrethrines .2 % 24 12 oz 250 12 oz W~ter 75 % ~erosol aerosol J Propane ( Expellant ) 25 % % ~. MOTH & BEETLE INSECTICIDE SPRAY ..~.. ~ s. gesmethrin ..37 % -t,- : . surfactant ( not identified ) 35 % "24-12 oz. 250 12 oz T~nbutane 15 % "..';' aerosol aerosol J * w~or 55 % ' . TAB~ 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) ' K = Compressed Gas Mami~01d OFFI~5 USE ONLY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel - Not portable B Drums. Barrels. Carboys G Boxes. Cartons, Cases M = Tank Car/Trailer mS~. ID 0ATA E~RY 10 _ C = Underground Tanks H =Sumo or Pit N = Sealed Source (radioactive material) O = Aboveground Tanks I = Industrial Processing E~uipment 0 = Unsealed Source (radioactive m~terial) tNS~ tNIT ,0ATA [~RY LNtT. E Glass Containers J = Compressed Gas Cylinders P = 0t~er container type, specify ~ATE ~A~ PART B - ~,987 HAZARDOUS ~ATERiAI.~. NVENTORY . .-'.~i;O C..::~.i.'.~,: PAGE~OF INSTRUCTI0.NS: RE,~0 ALL THE INSTRUCTIONS BELOW ANO ON PAGE 4. PHOTOCOPY EXTRACOPIES 0F THISIFORM BEFORE COMPLETING IT. (REPORT HAZAR00' · ' WASTES ON REVERSE SIDE.) 1. COMPL£TE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SFECi THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) ; LOCATION OF HAZARDOUS MATERIALS: COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS ROOM NAME ' OUTDOOR AREA OR NUMBER . BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 F0R EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE. REGARDLESS OF THE OUANTIi INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR ~AZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES , · ~ HAVE MATERIAL MIXTURE. USE EXACT SPELLING. 0UANllTY HANDLED OR STORED 0UANTITY HANDLED OR OF CONTAINERS MATE~- A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 1987. AT STOREO 0URING 1987 USED TO STORE SAFE~' ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, ~ HAZARDOUS MATERIA~ - SHE~i THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS. GALLONS, EVEN IF ONLY BRIEFLY· USE TABLE 1. HAZA;- ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUBE UNITS. A. CAUSTIC DRAIN OPENER LIQUID S. Sodium Hydroxide Solution 10 % · : ;.50' 'qts ... .500 qts P ** Butyl Cel'losolve 5 % · :. Plastic · i Bottle % ' . .: % A. LIQUID BLEACH ~S. Sodium Hypochlorite 5 % 10 gal 100 gal P ** Liquid Chlorine Bleach % ;:'Plastic Percentaqes not noted on MSDS % Bottle % A. ' PROPANE GAS -LIQUIFIED S. Propane 100 % ~ 50 16oz 600 16oz J * % . cYlinders cylinders ' A. OXYGEN-COMPRESSED B. .0xycen 100 % 20 16oz 100 16oz J ** --" % cylinders' cylinders A FIRE EXTINGUISHERS - DRY CHEMICAL .. : :~" '"" ' Ammoniu~ Phosphate 100 % 25 various 250 varmouB J --' °/o ' 1 lb- 10 lb 1 lb- 10 11~ '.. '" ~WTMMTN~ bOOT, '~HLOR!NE -/ T,T~TITD ~d~um ~vn~h]'~r.'~te ]5 % 100 Gal. 1200 Gal. ~ ** , ' ' % Plastic · % ~ Tx7 T M M Tl~T ~ ~ ~ O T.,'- -A'C T r) iT,T©T1T F) .. ~,,~hl~r~ A~'d ' 35 % . '100 Gal. 1200 Gal. P ~ % p1 n ~-'i c~ % .: TABLE I STORAGE CONTAINER TYPES. (L~ST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (~5 gallons) F -- Bags L = Pressure Vessel - Not portable B = Drums. Barrels. Carb0ys G Boxes. Cartons. Cases M = Tank Car/Trailer INSP. 10 .0ATA ENTRY ID __ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) D = Aboveground Tanks { = lccuswial Processing Equipment 0 = Unsealed Source (radioactive material) iNSP INIT DATA ENTRY INI;' _ E G;assContainers J Compressed GasCyiinCers m^ P =Other container type, specify · ~ ~ c {:lATE 0ATE PA~{T B - 198? HAZA~{DOUS MATERII INVENTORY 4400 ColiforfJa~nu,.'~'~ PAGE ,,, OF · ' ~':~:~akersfield, Calif. ~.~QI ~HSTRUCT]eNS: R~D ~CC T~E ~HSTRUCT~0HS eECOW *~ 0H P~E 4. PHO~OCO~ EXTR~ COP~ES 0~ m~ ~eR~ eE~OR~ COU~CEZ~H~ m (REPORt ~Z~ · ' ~ WASTES 0N REVERSE ELBE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, 0R ROOM wHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW T0 SPE( THE LOCATION 0F THE HAZARDOUS MATERIALS LISTED 0N THIS FORM. (HAZARDOUS WASTE 0N PART C.) LOCATION OF HAZARDOUS MATERIALS: BUSINESS I COMPLETE ALL ITEMS IN BOX, I ROOM NAME . NAME ADDRESS IOR NUMBER BUILDING NAME OR NUMBER OUTDOOR AREA NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORE9 0R HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS 0F THE QUANT INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED 0R REPACKA~ED, AND CHEMICALS DISTRIBUTED. USE THE CODE'. TABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICAT[0N IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL. IN A & B FOR EACH HAZARDOUS MATERIAL OR H~RDOUS ES~MATE MAXIMUM ESTIMATE ~0TAL LIST AL~ THE TYPES MATERIAL MIXTURE, USE EXACT SPELLING. OUAN~TY HANOLED 0R STORED QUANTITY HANDLE0 0R 0F CONTAINERS ~AVE MAT[ A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY ~ME IN 1987 AT STOREO OURING 1987 USED TO STORE I SAF~ ABOVE LOCA~ON. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL- SHE[ B. CHEMICAL NAME ~ND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LES, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. THE ALL INGREDIENTS IN HAZARDOUS MATERIAL. e~c.) INCLUDE UNITS. H~; S°d~um- d~ch~o~°-s-t~az~ne- '% ~-'-:.200 'Z~s'. ~200 [~s ~ * t~o~e ' ' 95 % ~ ~.:"' --~-- ' '. ' % A. POOL STABILIZER - CONDITIONER S. Cyanuric Acid 100 % 20 lbs 200 lbs p * A.. POOL iACID -DRY GRANULES , B. Sodiu~m -Bisuiphate Anhydrous _ globular Technical 100 % 200 lbs 1200 lbs · A. ' LAMP~JO~L -~LIQUID B., Para~'f~inic Naphthenic Solvents % p ~ branched and cyclic aliphatic % 25 qts 100 qts ~ -hydrocarbons % . Percentages not disclosed in MSDS% ~ ~c~-I-~q A. WATER SYSTEM RUST PROHIBITER ". .' R.' Sodium .Hydrosulfite % 10 pt 50 pt ' A '' * Sodium Bisulfite % ". . Sodiu~h C. arbon~te % : : "' .. MSDS doe~ not d~.~c]o.qe oer'~Pn~Rqp~ .' . A. ROOF / DRIVEWAY COATINGS.~F~~' B. Mineral Spirits· '-~r-~ 60 % _ ~ p ;. Aliphatic Hydrocarbons and % , 250 gal i 2500 gal Plastic tub aromatics % :"' - Stoddard Solvent % Metal- cans Percentages 'not disclosed on MSDS i, CONTACT ADHESIVE - FLAMMABLE .. . ' '~. M~.z< I~lqO. O~ lO % .'. , ' ' A * Methylene Chloride/~. 25 % · ' 10. gal '"120 gal' .. Naptha //1"!~"~'~). O ~ 10 % :" . Toluene /C~.~ '~ [ 'a,,L-Q 40 % .': "' "' .. :TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel - Not portable 8 = Drums. Barrels. Carboys G Boxes. Cartons. Cases M = Tank Car/Trailer INSP. lO DATA ENTRY tO __ C = Underground Tanks H ='Sump or Pi,' N = Sealed Source (radioactive material) O = Aboveground Tanks I = Industrial Processing Equipment 0 = Unsealed Source (radioactive material) INSP INIT ,, OATA ENTRY INIT E Glass Containers J Compressed Gas Cylinders P = Other container Woe. soecifv : A~I BUILDERS PART B - ~1987 HAZARDOUS rvlATERI NVENTORY ~ ,q,q. uu CoJi f o r n k:?'~,',',~ ,-~u ~ PAGE ~ OF iNSTRUCTI.aH$: READ ALL THE INSTRUCTIONS BELOW AND ON PAGE 4. PHOT'J~e~J~OI~I.i~I, T~I~'~I~ BEFORE COMPLETING IT. (REPORT HAZAROC " WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPEC THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) LOCATION OF HAZARDOUS MATERIALS: COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS ROOM NAME OUTDOOR AREA OR NUMBER IBU~LD~NG NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTI INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE C00ES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM, ESTIMATE TOTAL LIST ALI. THE TYPES ~ ~F' MATERIAL MIXTURE. USE EXACT SPELLING. 0UANTITY HANOLED OR STORED 0UANTITY HANBLED OR OF CONTAINERS ~-AVE' MATE A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 1987 AT STORED 0URING 1987 USED TO STORE i SAFE] ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL- SHEE~ B. CHEMICAL NAME .AND PERCENT(%) CONCENTRATION OF UN~TS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. THE HAZA ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLU0E UmTS. ~ATE A. LIg, UTD NAILS - CONSTRUCTION ADI-IES~[ E' ' ...=~.. '.. ' . B. Hexane 33 % ' :.. .. :... Alum±~um S±lic'ate 32 % - · ':: · Mineral Spirits 3 % caulk tube A. PRESSURE TREATED LUMBER S. Copper II Oxide % ** Chromium III Oxide % 500 board 5000 board~' P Arsenic V Oxide % feet feet ODen~ storag~: Percentages not disclosed in MSDS°!0 A. ' --~DOLOMITIC HYDRATED LIME S.. Calcium' 'Hydroxide 50 % Magnesium Hydroxide 35 % 50-0- ~bs~--!..'. 2000 'lbs F ** Calcium CarbEnate 5 % .::' ... .'i' : ,~ Silicone..Dioxide 3 ~ % i · ' :..'" ". Other 3.. ': .. :~ ~ A. PLASTIC'FIBERED ROOF CEMENT/PATCH B.' Petroleum Distillates 20 % 50 gal 250 gal A ** Asbestos ( encapsulated ) 14 % % A. FIBEROUS GLASS INSULATION :. :~.... .~.:... ..':~.;,... B. Fiberous Glass 91 % : .'i1000 '.'.':"-':' ?.6500~ p:: . ** Phenolf0rmaldehyde Resin - cured % : ·:linear .ft. ·'·linear ft Paper'Wrapp.~_d , .: '. rolls A. :INSECTICIDE - SPIDER/SCORPION SPRAY: S. Pet Distillates ' 80 ~. Methylene Chloride 8 % 50 16 cz 350 16 cz J ** 1,1r 1 rTrichloroethane 8 % aerosols aerosols Bayqon .5 % DDVP . .1 % ~- SNAIL & SLUG INSECTICIDE - DRY ' ~.'.. S. Metaldehyde 2 % : "" :"' ... "' Inert .. % . .:50..lbs · 500 'lbs G ** TABLE I STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (<5 gallons) F = Bags L -- Pressure Vessel- Not portable 8 = Drums, Barrels, Carboys G = Boxes. Cartons. Cases M = Tank Car/Trailer INSP. lO DATA ENTRY ID __ C = Underground Tanks H = Sum;~ or Pit N = Sealed Source (radioactive material) D = Aboveground Tanks I = Industrial Processing E(luipment 0 = Unsealer~ Source (radioactive material) INSP INIT __ DATA ENTRY INIT _ E = Glass Containers J = Compressecl Gas Cylinders P = Other container type, specify p~, ~ c: ~ OATE OATE ?A'RT B 'IGC7 HAZAhBOUS MATERI~INVENTORY 4400 '"~ INST~UCTJONS: R~AD ALL THE INSTRUCTIONS BELOW AND 0N PAGE 4. PHOT0C0P~ EXTRA ~0PIES 0F ~HIS FORM BEFORE COMPLETING IT. (REPORT HAZARD[ WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, 0R ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BEL0WTO SPEC THE LOCATION 0F THE HAZARDOUS MATERIALS LISTED 0N THIS FORM. (HAZARDOUS WASTE 0N PART C.) LOCAT ON OF HAZARDOUS MATERIALS: ROOM NAME · ADDRESS OR NUMBER BU LDING NAME OR NUMBER OUTDOOR AREA NAME OR NUMBER 2. COMPLETE COLUMNS 1-5' FOR EACH HAZARDOUS MATERIAL STORED 0R HANOLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS 0F THE OUANTI INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED 0R REPACKAGED, AND CHEMICALS DISTRIRUTED. USE THE CODES TABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENOL0SED SELF-ADORESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL LIST AL~ THE TYPES MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANOLED 0R STORED 0UANTITY HANDLED 0R 0F CONTAINERS HAW MAT A. PRODUCT NAME 0R COMMON NAME 0F HAZARDOUS MATERIAL. AT ANY ~ME IN 1987 AT STORED DURING 1987 USED T0 STORE l SAFE ABOVE LOCA~ON. INCLUDE AT ABOVE LOCATION, m HAZARDOUS MATERIAL - SHEE B. CHEMICAL NAME ~ND PERCENT(%) CONCENTRATION OF UN)TS. {).e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. THE H~, AL~ INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MAT A. ABROSO~ S~RA~ ~AZN~S ( -Various ) Acetone 33 - 37 % 12~00' 12 pz 10,000 J P~opane ' ' ': 16 - 18 % aerosols · 12 cz : Xvlen~ ~ - A.. AgROSOS SPRAY va~1sh/~ shellac B. Acetone 29.6 % 200 12 o~ 400 P~oBane ~ 20.1 % aerosols 12 cz J * Toluene ~,~ 7.6 % ~~ aerosols Heptane 22 . 4 % / Na~tha 8. 9 s.' Ket0nes ~ % 20 gallons 120 gallor s A % A. :LAQUER THINNER LIQUID % 20 gallons 120 gallons A 8. ~MEK ~ / 30 % Naptha~ 25 % Toluene ~ , 15 % Alcohol ~% 15 Isopro Isobuty1 Acetate 15 A..~TURPENTINE LYQUID · .20 gallons . 120' ga!lons A * B.''-Terpene Hydrocarbo~,s / 100 % "'." ~ % ',.~ ':.~ ~:'.~:' ~...'" A. ~L~NSEED O~L LIQUID ~ 99'2 20 gallons 120 gallons A * ~..-~r.~o-~-~-,~ DENATURED LIOIIID 99% 20 gallons 120 gallons A * % TABLE 1 STOaAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Bas Manifold OFFICE USE ONLY A = Me~al Containers ((5 gallons) F = Bags L = Pressure Vessel- Not portable B Orums. Barrels, Carboys G Boxes. Cartons. Cases M = Tank Car/T~ailer rasP. ID C ~ Underoround Tanks H = Sump or Pil N = Sealed Source (radioaclive maledal) O Aboveground Tanks I = Industrial Processing Equipment 0 = Unsealed Source (radioactive material) raSP INIT OATA E Glass Containers J Compressed Gas Cylinders ..... P = Other container type, specify P T B - .iDB gATERIA NVENTORY ...... ' 'f' 't~,~:C_jJ),''', ~hgb~/'"~ rAGE OF INSTR~.CTIONS: RE~D ALL THE INSTRUCTIONS BELOW AN0 0N PAGE 4. PHOTOCOPY EXTRA COPIES 0F THIS FORM BEFORE COMPLETING IT. (REPORT HAZARDO WASTES 0N REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING. 0UT000R AREA, 0R ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOWT0 SPECI THE LOCATION 0F THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE 0N PART C.) LOCATION OF HAZARDOUS MATERIALS: COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS , ROOM NAME OUTDOOR AREA OR NUMBER BUILDING NAMEOR NUMBER NAMEOR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED 0R HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE 0UANTIT INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED 0R REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES ~ABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR H~ARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL LIST AL~ THE TYPES MATERIAL MIXTURE. USE EXACT SPELLING. 0UANTITY HANDLED 0R STORED QUANTITY HANDLED OR OF CONTAINERS HAVE A. PRODUCT NAME 0R COMMON NAME 0F HAZARDOUS MATERIAL. AT ANY TIME IN ~987 AT STORED 0URING 1987 USED TO STORE t SAFET~ ABOVE L0CA~0N. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION 0F u~s. (Le. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. AL~ INGREDIENTS IN HAZARDQ~ MATERIAL. ,Lc.) INCLUDE UNITS. H~R, - ~ MATER] B. ~Hethy[ene' U-hEctare 25 Mineral 'Spirits..~ ~ 15 % 50-gallons 300 gallo.ns A ** Methanol 30 % ~% 20 Toluol Acetone 25 A. ~ WATER SEAL LIQUID- ~ $. ~ Mineral spirits " 8 ~', Other ingredients proprietary % 100 gallons 600 gallons A ** ~ no~ disclosed on ~SDS ~ ~. g~neral spirits 99 q~ SO ~allons SOO ~allon~ h A. ~BENZENE LiooID ' ~-,~ a,~ 99 % B... ~ ~_ ~-~,~ ) % 10 gallons 50 gallons g ** 2 B. % 25 gallons 50 gallon ~ A ** ~. CREOSOTE B. Coal tar & petroleum distillate % 8 gallons 24 gallon ~ A ** ~ 99 % ~' B-~-Q lighter / torch fuel s. Na~th~ ..... 99 % 50 gallo~s' 500 gallon~ A ** % I~ABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A =,= Drums, Metal Containers (<S gallons) F = Bags L = Pressure Vessel - Not portable M = Tank Car/Trailer INSP. 10 __ 0ATA ENTRY ID Barrels, Carboys Boxes, Cartons, Cases = Underground Tanks H = Sum~ or Pit N = Sealed Source (radioactive material) D =AbovegroundTanks I =lndus[rialProcessing Equipment 0 = Unsealed Source (radioactive material) msPm[T__ E Glass Containers ' J =.Comoress~d G~ Cvlind~r~ P = ~lh~r rnntnln~r rune PART. B -.1987 HAZARDOUS. MATERII INVENTORY :,400 C,::i[c?~:~ :'-~ t~ PAGE OF~ JNSTRUC'I'I(]NS: READ ALL THE INSTRUCTIONS BELOW AND 0N PAGE 4.~'~~T~'~dPIES ~'S FORM BEFORE COMPLETING IL (REPORT HAZARD0[ W~STES ON REVERSE SIDE.) 1. ~MP[ETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECI~ THE LOCATION 0F THE HAZARDOUS MATERIALS LISTED 0N ~HIS FORM. (HAZARDOUS WASTE ON PART C.) LOCAT ON OF HAZARDOUS MATERIALS- COMPLETE ALL ITEMS IN BOX ' BUSINESS ' NAME ~ ADDRESS ~ROOM NAME OUTDOOR AREA OR NUMBER BUJLDtNG NAME OR NUMBER NAMEOR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANOLEO AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE OUANTH INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM 0F THiS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-AODRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS · ES~MATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES MATERIAL MIXTURE. USE EXACT SPELLING. OUANTITY HANDLED OR STOREO QUANTITY HANOLED OR OF CONTAINERS MAT[~ A. PRODUCT NAME 0R COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 1987 AT STORED DURING 1987 USED TO STORE SAFE] ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF uNns. (Le. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. ~ THE HAZA~ ALI INGREDIENTS IN HAZARDOUS MATERIAL. e~c.} INCLUDE UNITS. MA~E~ A. ~ITU~/ WOOD ~INIS~R 5IOUID B. M~ne~al sp~ts 85 % 40 '~al!ons 400 9allo~ PentachZd~ophenol 3 % . A. CLEAR WOOD FINISH LIQUID s. Toluene ? % 40 gall6ns 400 gallo s A ...... Mi~ne r a 1 Spirits 85 % J % ,r~ ~SDS does not state volume ~ % · oluene ~n ~.~ ~}~neral Spirits 31 % 120 ~allons 500 .~allo~ ~ ~~S does noe' seaee volume ~r % nature o~ colorants, etc. % ' ' ~. ~OOD PRESERVATIVE ~Ig~ID ~. Emulsified oil % 20 ~allons 200 ~allo~ s Glycol Ethe~ 2 % Tributvltin Oxide .5 A. GLUES:'/ CEMENTS / ADHESIVES B. Methanol % 60 gallons ~50 gallo ~s A ** Xylene % J .... : Styrene Copolymer % P... Percentages not disclosed in MSDS % Caul~ Tube ~. CONST. SEALANTS/ CAULK/ GLUES/ ~. Propyl Alcohol % 120 gallons 500 galior s A ** Silicone Dioxide % · j % MSDS does not stat~ percentages % '~ Caulk Tube ~ABLEO f inqredients I STORAG~ CONTAINER TYPSS. (LIST ALL THAT APPLY) K = Compressed Gas Manifold· OFFICE USE ONLY A = Metal Containers (<S gallons) F =Bags L =PressureVesseI-Notportable B = Drums. Barrels. Carboys G Boxes, Cartons. Cases M = Tank Car/Trailer INSP. mo __ DATA ENTRY C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) D = Above, round Tanks I Induslrial Processing Equipment 0 = Unsealed Source (radioactive material) INSP INIT ~ OA~A ENTRY INtT_ E =Glass~ontainers J Compressed Gas Cylinders P = Other container type. specify PAGE 5 DATE ART B - '198.7 HAZARDOUS MATERIALS ENTORY 4400 "'-,! ~'- ......... A,...:,.. INSTRUCTIONS; READ ~,LL THE iNSTRUCTiONS BELO',',' AN0 ON PAGE ~:Ol~:)'f~O~,EX~I~j'~DP~i'HIS FORM BEFORE. COMPLETIN6 IT. {REPORT HAZAROOUS · ' WASTES ON REVERSE SIOE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA, OR ROOM WHERE HAZAR00US MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIF'( THE LOCATION OF THE HAZAR00US MAT£RIALS LISTED ON THIS FORM. (HAZAROOUS WASTE ON PART C.) LOCATION OF HAZARDOUS MATERIALS: BUS~NESS ADDRESS COMPLETE ALL ITEMS IN BOX. NAME OUTDOOR AREA NAME OR NUMBER ROOM NAME ~ BUILDING NAME OR NUMBER OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGAROLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AN0 CHEMICALS DISTRIBUTED. USE THE C00ES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-AOORESSED ENVELOPE. =iLL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDO'¢S ESTIMATE MA×IMUI%_~ I ESTIMATE TOTAL IST ALt. THE TYPES ~-AVE ,,tATERIAL MIXTURE. USE EXACT SPELLING. OuANT~TY HANDLED OR STORE{:). I QUANTITY H~ED OR OF CONTAINERS MATE&B", A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL AT ANY TIME IN 1987 AT ~ STORED 0URING 1987 USED TO STORE SAFETY C ABOVE LOCATION. INCLUDE ~ ~T ABOVE LOCATIOn[ HAZARDOUS MATERIAL - SHEET HAZAR~'Z B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF U~:lTS. (i.e. LBS, GALLONS. ~ EVEN IF ONLY BRIEFLY. USE TABLE 1. ~ THE ALL INGRED'.ENTS IN I~AZARDOUS MATERIAL. etc.) ~ INCLU0E umTS. ~. AUTObIOTIVE ENGINE ,OILS i ** ~ Petroleum Lube Oil' 60 % 1000'qts.. 10000 qts P - . Olo _C~a rdbo ~ rd .{ listed on MSDS ~s trade ~_e_~rets % m~ta] AUTOMOTIVE ENGINE TREAT?~ENT-S7 ' A. p ** B. Olefin Polymer { (~)'~'J'"* .... ~ / 50 pts. 500 pts ' Petrol 1 um O~1 ",'; / i~ ' ..... . - _ !/ A. ~F, ROROT, RNRTNI~,/ CAeBHRRTOR ,qPRA¥ . ~o~% · % 50 16os 250 1 ~' My] ene % aerosols aeros Tr~ .q~c_rpts ~ot disclosed A. WD-40 AEROSOL / LIQUID t *'~ S Aliphati¢ Pet. Dist. 70 % Pet. Base Oil 20 % 150 12 oz. 1500 12o J Corrosion Inhibitor p r o p r i e t ar I~,',. aerosols aerosols Wetting Agent Proprietary% ~ F_r,ag r a, nce Proprietary A. ACID _~ SULPHURIC DRAIN CLEANER 5. Sulphuric Acid Solution % 50 gallon-~ 500 P % gallons Plastic ct * % ~al bo~l[e Percentage not disclosed o,n MSDS % ' A. i-ACID -/ MURIATIC PAINT PREP ETCH t P ~. "Hydrochloric Acid Solution 35 % % 5 gallon 50 Plastic ~ % gallons bottle A. PVC PIPE CEMENT PRODUCTS A B. pVC Resin 14 % 60 % 50 pints 250 pints Tetrahvdrofuran 20 % MEK 9 % · x none 2 OFFICE USE ONLY TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas ,Manifold A = Metal Containersl<Egaltons) F =Bags L =PressureVessel' Not portable B = Drums. Barrels. Carboys G = Boxes, Cart:ns. Cases M = Tank Car/Trailer INSP. ~0 .0ATA ~-~:'rR't,' !$ _ C = Underground Tanks H = S.;m= or Pit N = Sealed Source (radioactive material~ D = Aboveerouno Tanks I = !nCus:r~aI ?rcc-~:-s:ng Equipment 0 = Unsealed Source tradioactive ma erial) It;S~ h';If ,. DATA ENTRY E Glass ~on:ai.",ers J = Compressec gzs C/linders P = Other container type. specify gATE . gATE ~ ~UILDER$ E~!'~? PART B - iYU/ HR/RXUUU;5 MRILMIRL~C~IUMI '4400. Cc~l~{,>~",~:~.~ /~..~;-..~ r~ OF ~ ~ Bakersfield, Cedi{. ~33L~ INSTRUCTION~ READ'~LL THE INSTRUCTIONS BELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES OF THIS FO~M BEFORE COMPLETING IT. (REPORT HAZARDOUS · ' WASTES ON REVERSE SLOE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILOING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPEClF~ THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZAROOUS WASTE ON PART C.) I LOCATION OF HAZARDOUS MATERIALS; ~OMPLETE ALL ITEMS IN BOX, BUSINESS NAME AD~RE$$ OUTDOOR AREA ROOM NAME OR NUMBER BUI'LDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED 0R HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS 0F THE QUANTITY INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED 0R REPACKAGE9, AND CHEMICALS DISTRIBUTED. USE THE C09ES TABLE I AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETE0 INVENTORY AN0 APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE, FILL tN A a B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ES~MATE MAXIMUM ESTIMATE TOTAL LIST--ALL THE TYPES ~HAvEIF Y0L MATERIAL MIXTURE. USE EXACT SPELLING, QUAN~TY HANDLED 0R STORE~ QUANTITY HANOLED 0~ 0F CONTAINERS MATERJA AT ANY ~ME IN 1987 AT STOREO 0UR~NG 198~ USED T0 STORE SAFETY A, PRODUCT NAME 0R COMMON NAME 0F HAZARDOUS MATERIAL, ABOVE LOCA~ON, INCLUOE AT ABOVE LOCATION, HAZARDOUS MATERIAL B. CHEMICAL NAME AND PERCENT(%) CONCENTRAT~0N 0F UN~TS, 0.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY, USE TABLE 1, HAZAR0{ mALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MATERI~ ........... ~ ~ .... '?~'?;'~': ':'= .; .... . . . -., · .~ · ,, , D~az~non . ~'::,-'~ . .. ~. ..~: . · 25Y. ...'?50.~s ,;....'~ 500 [~s · . % .';',..... : . · N~t~oqen ~hospho~us 4% ,. 250 ~bs 500 [~s Potassium 8% G Inert 68% ,..~'P~BB~E LIME > . / ~ . ~. Alkaline Earth ~6xide 100%~ 150 lbs~ 500 lbs F ** ~ ,. % : ... . ~' ':...- ~ODIUM~ NITRITE 9~Q~ 100% 500 lbs F S. nor~ani~ S~lt ' --.~ V ./ ~' % % A. ' ~.. :.. ,.. '. B. % ':'.:'~. ' .... . ' "' '" ; ·; 3- . .~ ': ·.... , · % '.~..;~.:??:/~.. . '~ :. ~..' ~.~', . ' ~ % ; % ~:'~;:.~;':' ~ .......... .:.. . :.. ," :'",'"' .... ..', ' 7.;;:... A. B. t' % .% % A. · ' "..;: ' .. , ,:.. ~ · ... B. ' ' % .' , '.'~'" ?'.' ' · . ' '. ' ~" .. ~. :';.. :. ., .. I % :..'... .: .. n~pld~ USE ONLY TABLE I STORAGE CONTAINER TYPES, (LIST ALL THAT APPLY) K = Compressed Gas Manifold A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel- Not portable 8 = Drums, Barrels, Carboys G Boxes, Cartons, Cases M = Tank Car/Trailer INSP. 10 ,. DATA ENTRY ID __ C = Underground Tanks H ='Sump or Pit N = Sealed Source (radioactive material) 0 = Unsealed Source (radioactive material) INSP INIT ,,. DATA E~RY iNIT _ 0 =AbovegroundTanks I =lndustriaIProcessing Equipment E Glass Containers J Compressed Gas Cylinders P = Other container type, specify oA~ 0ATE " ..... ;' ':' PAGE OF 'ART B 1987 HAZARDOUS MATERIAL VENTORY .?!..!iLLi~i:'.!';-; ' ....... INfSTRUCT'I~]NS: REAQ ALL THE INSTRUCTIONS BELOW AND ON PA E'4 I~HOTOC~)P'~'EkT~,A'CQPIES OF THIS FORM BEFORE COMPLETING IT. (REPORT HAZAR00US ; WASTES ON REVERSE SIDE.) ~.~ :C,~ ....... : k.-~,.~', 1. C0M'PLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZAROOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) LOCATION OF' HAZARDOUS MATERIALS: COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS OUr DOOR AREA ROOM NAME NAME OR NUMBER OR NUMBER .BUILDING NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIE0 ABOVE, REGARDLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL LIST~ALL THE TYPES "HAVEIF YOU MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANDLED OR STORED QUANTITY HANDLED OR. OF CONTAINERS MATER/;. AT ANY TIME IN 198[ AT STORED DURING 1987 USED TO STORE SAFETY [ A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZAR00US MATERIAL- SHEE~' FC THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS. GALLONS. EVEN IF ONLY BRIEFLY, USE TABLE I. ~: HAzAnl)! ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS, A. AUTOMOTIVE FUEL~S'¥STEM CLEANER · ~. Methanol · . /~-~'~ J 98 ~ 24 pt. 240 pt P ** ~ ~W~/~...- o/o ,'~'~, 0~ .0./~. Plastic ' ~ bottle .,~i AUTOMOTIVE CARB CLEAN SPRAY . i~. Toluene 50 % Isopropanol Alcohol 10 % 25 16 cz 250 16 cz J MEK 10 % aerosols aerosols Methanol 5 % .. Acetone ? A. AUTOMOTIVE BRAKE FLUID B. Glycol ether mixture 100 ( proprietary ) ~; 12 qt 120 qt. A ** % A. DRAIN OPENER - DRY CRYSTAL B. Sodium Hydroxide granules 54 % 24 12 cz 240 12 cz A ** % % A. OVEN CLEANER - AEROSOL S. Sodium Hydroxide 4 % 24 12 ox 240 .12 cz Hydrocarbon propellant ? % aerosol aerosol J ..- % A. !ALCOHOL ~FUEL - APPLIANCE B. Isopr0pyl Alcohol 37 % 24 12 cz 120 12 cz A .... Ethyl Alcohol 30 °/°v ~ Methyl Alcohol 2 % "~ " % ~. AUTOMOBILE WAX / POLISH -- B' Ethelene Glycol % 48 12 oz .240 12 oz A NaDtha % P .q~ ]ici¢ Acid % A] ~mhatic Solvent NaDtha % bott!~= T,~ht Aliohatic NaDtha TABLE 1 STORAGE CONTAINER TYPES, (LIST ALL THAT APPLY) K = Compressed Gas Manifold A = MetaI Containers (<5 gallons) F =Bags L =PressureVesseI-Not portable 8 = Drums, Barrels, Carboys G = Boxes, Cartons, Cases M = Tank Car/Trailer IusP. iD ,. OATA £NTR¥ ID _~ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) D = Aboveground Tanks I = Industrial Processing Equipment 0 = Unsealed Source (radioactive material) INSP INIT ~ DATA ENTRY E Glass Containers J = Compressed Gas Cylinders P = Other container type, specify 0ATE DATE PAGE 5 PART B - 1987 HAZARDOUS MATERIA VENTORY ~u~,~,,-, ~""i .... ~' ...... ~ PAGE OF ~ '~ .'440!~ C.':~iii'°~l~:':: REAb ALL THE INSTRUCTIONS BELOW AND ON PAGE ~.,~UD~I~Pc¥.E:~[~0P'J~)~I~'CHIS FORM BEFORE COMPLETING IT. (REPORT HAZAROOU INSTRUCTI0~S: · ' WASTES ON REVERSE SIDE.) I. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUT000R AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATE0. USE BOX BELOW TO SPECIF THE LOCATION OF THE HAZAROOUS MATERIALS LISTE0 ON THIS FORM. (HAZARDOUS WASTE ON PART C.) LOCATION OF HAZARDOUS MATERIALS: COMPLETE ALL ITEMS IN BOX. BUSINESS NAME ADDRESS ROOM NAME OUTDOOR AREA OR NUMBER BUI'LDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTIT INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED. AND CHEMICALS DISTRIBUTED. USE THE CODES TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL MST ALL THE TYPES ., IF ~ HAVE MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANDLED OR STOREO DUANTITY HANOLED OR IF CONTAINERS MATERI A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 198~ AT STORE0 DURING 1987 USED TO STORE SAF~T~ ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZAR00US MATERIAL[- SHEET THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. HAZAR ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. ~ATER A. c~Timr%t%,",l~ ¥~¢:V..C"T'TC'Tn'~.. /. .:.' ] :: ]. a;' ~-~/*,'~'~ ~~,-~ ~no/° i;' ':':::'~'i'i. ' .. . ~,~rn~thr'~h .' 75% ~ .~,"15"0':;12 '(~z:.~: . :" 500. '12"oz ";' J ** 2-hydroxyethyl' n octyl sulfide 1% . .'aeroSol ~erosol ': Propane 25 % Water 75 A. ANT & ROARCH INSECTICIDE LIQUID S. Baygon 1% Vapona.2 % ' 25 12 oz 250 12 oz ~'~.~ E ** Aliphatic compounds 80 % Isopro~yl Alcohol 10% A. ' !~WEED'~KILLER 'LIQUID s. '-Aromatic-Hydrocarbons 80% 25 16 oz .250 16 oz '.' F ** Paraffinic & Naphthenic HydrocarbOns ' 5 % .~ Emusifie~s 15 % ""...iii., .':iii.'-. .'i'.~...''. ..... ~ · A. WEED KILLER LIQUID 's., Primatol MG '25 E 3% 25 16 oz 250 16 oz F ** _-!?' 'X¥1ene 84 % ~ % o/0 ^. FULL LINE OF ORTHO GARDEN CHEMICALS '' .... "'' ~" ~..'ii?i.:'.....'.. B. % 250'.16 oz .~1500 16 oz ....... E ORTHO DOES NOT PROVIDE MSDS FOR % .i:: ;.:':;' ...:. ":"'"~'::':'""" "" ' ":"'"" ' ANY GARDEN INSECTICIED, ETC, % "'~ ' % ".' ii:' ':' '.i" '~ ":" .' . 'i'. , A. DRY FERTILIZER B. [~r~ no % % ' F * ,. ~onammonium Phosohate disclo~e~° 1500 lbs 10000 lbs c-al c~um .carbonate O~ M.qD.q % , ~mmonium sulohate % Tn~rl; C~al'i ' 4 g A. ~T,O~DAN~ CONCENTRATE' LIOTITD ,1. ' i:. i a'l . A . , B. chl nraane 67 % 2 0" TABLE I STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) '~---~( = Compressed Gas Manifold OFFICE USE O~LY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel- Not portable B = Drums, Barrels, Carboys G = Boxes, Cartons. Cases M = Tank Car/Trailer INSP. lO OATA ENTRY I0_ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) O =Ab0vegr0undTanks. I =lndustriaIPr0cessing Equipment 0 = Unsealed Source (radioactive material) E Glass Containers J = Compressed Gas Cylinders P = Other container type, specify DATE CATE PAGE 5 "' ; CLASc 530 FERTILIZERS FINE LINE /!. .//' .,....~' .................... ~__ ..... FINE LINE Z LAWN FERTILIZERS / ' . ................................................. ~TFH DESCR]PT ION ITFH 'DESCR[PTZON VEN ]TH NO ' "5~T~3--STEER-HANURE"i 'CF FARH[KS ~53263 STEER MANURE REDI-GRO ' : 55211g *SULFATE ~ AMMONIA 20~ ' 5~.2T6B ORGANIC FARM5 CHICK FERT 5~B77~ OLES PROM LAWN FERT20-5-5 5000SF .... 560308 .'STEER-MANURE ]-]/2CF FARM' 505307 GERMIN PENTREX GAL ~CC-12 "-'5[659T---SCOTT-TURF BUILDER-'SH .......... 23382' -- F/L TL 3 FARH FERTILIZERS 5~B782 OLES PROM WEEDEFEEDIO-6-~ SCOOSF 5q87~5 DLES PREM WEEDEFEED25-~-~ 5000SF 51655q- SCOT1 TURF B PLUS 5'M 2~697 506397 BANDIN] SUPER BLADE~OOOSF ~0~ 5~85q5 OLES PREH LA~N FERT27-3-~ 5000SF ..... ~599 l~'P A'~'E~S~UCST N: B ER'NU:~--205 .......... 516589 SCOT1 TURF BUILDER 2.5 H 5~3772 BANDINI SUPER GRN 9600SF 9600SF .... 506 ]76-- SCOTT 'BONUS--Df CH "'2000 ....... 33C6 .... '.~06389 BANDJNZ SUPER ~LADE2OOOSF 20~ ,., " 55270~ BANDJNJ SUPER GREEN~8OOSF ~SOOSF .- ~ 65~6~CDT~URr-B~[U ~N~ .... 2353 J ........ 5275q8 PAX FUNGICIDE INSEC FEET 516686 SCOTT STARTER FEET 5000SF 2~208 568287 SCOTT TURF BO BURMUDA 2M 2009 5~6562 SCOTT TURF BD PLUS HLT2,5 '506 3q6 BANDJN] WEE DOUT 5000SF 5000SF 522775' PAX-SUPER'CLD*W/F ~ICH .... 13~ ..... 530212 SCDTT-STARTER FERT 600 52P307 B~N[.] NJ WE EOOUT 250CSF 2500SF 52756~ PAX TOTAL FOR BLADE GRAS 2C3 55g3[e ORTHO J~g PHDS l&-20-OLV 20 ~ ~-.' 505~63 B~NDINJ SEVEN IRON *C ~ 505qOq ' GERNIN IRON PLUS PT ' ' :," RO.Sql2 'GE~MIN iROt~--P'LUS OT ' ' q00-29 ( 530816 FERT CHACON ]~ON 1.75~ [, 505722 GYPSUH SOFT N SOIL ~0~ ~0~ '- 527637 PRDF ~LEND EASY GROW &PGL GAL "522236 PAX PRgFSNL ALL PUmPOSELV 6~OOSF ' · " 50616B SCOTT TURF BUILD~H&LTS2H 3OeO : '-. '~ -' ~F587 PPOF RLEND DEEP FEED GAL O00-lOl 50~592 ~ANDIHI SOIL ~UL~E~ 5¢ · ' ,528536 PEOF RLEN~ HI ~REEN G~L 5ZZ~2 PAX LAUN FOOD 30000 SF LV ". "- 5593Z6' ~EST ~ PH 36-20-0 ~0~ LV 522]~ eAT PEOFSWL ALL ~U~POSELV 32005F 52230~ PAX LA~N FOOD 5000 SF LV r ... 569755 DPGANO SUPER ]FONZ aO~ LV '30T59 " 55aR'~'2 BAND]N] SE.VEN_.]~ON.2500LV "" 52Pq63'-'PROF eLEND EASY GRnU G~L '"0C0~9~ .... ' 55~296 DRGAND SOIL SULFEP 20~ LV ~ 55~7] BAND]NJ SUPER BL~OE2OOOLV ' 20¢ ' 55~¢gR eA~DZN] SUPE~ PLADEaOOOLV , 57a~72 RED]-GRO SULFATE A~HON~A · . 5i~9~e BEST SOIL FUSTER 2-5-C LV ~0233~ ' '. 55~83q D~C,~NO SOIL SULFER 5~ LV 55773q BANOINI SUPEe GREE~qSO~LV_..~B~O.S~_ ; 5]n~36 ~GAH~ 5~R ]~N7 PLUSLV 55~0a8 BA~DIN; ~ED~1 5000Sr. LV ..5000SF. r 55aPO~ RANDINJ SEVEN I;ON ~ , 5q5627 ORGANO PECAN/C~APE/rRUIT~ 30637 .. ..... 53~6F" 'PA~ F~[L~'INTE¢' FEPT 5C00 P205 · :' 5Z]957 PAX TOTAL FOR ~J~NS LV ~025~ 56~279 PAX LA~ FPOD 3750SF25~-5 203 -- 56q65R "WAX '~[r'-ST' ~UGSTNC~ER~UOa 50OOOLV ~ ,. 55575P BAND~N~ ZINC SULFATE -.,~ ,/"ICier LI~E I' INSE'CTIClr~Es P[STICIPES ·., 572~03 INSECT MR SCDTTS GAL SPRY ?06-06 I~SECT ~THO DIaZINON ~OZ 507326 '~--~6~162 I~SEC'T~-ID~-e~G-PEST GL 9]2 ...... ~ ~* 507~07 lt~CECT ~eT~O ~EVI~ LI~ PT ]PO0 ~ 5~2117 INSECT ARAb CHLORDAqEI/2G I/2GAL . · ,._ 56q798 IN~ECT ORT~ POSECFLR RTU 11~9 52R~P INSECT DKX~L GENE~HAL PT 07NO '5~3357 It~SECT aD CR'~K:CREVIC'~]ZZ ]69~ ., S39e13 INSECT HOLIDAy' FOG *.THN PK · HR'S3 ~ 5276~6 ~5ECT H~COTTS FLECT~CK G ~JL ~ . 5076~. INSECT ORTHO' PALATH 50 OT 16~2 " 56~1~6 INSECf RID-A-CUE FLEaKTGL ~12 511315 ~NSECT ORTPO PEST ~/SPg~Y atoll ;"--'-~07C~'"INSE'CT"ORTHO"pA*E~TH'SO PT I~ ~ ~377~° II, SECT SPECT ]~ OZ G,~,HP 07985 ~ ;": 57~11 ]~SEC1 ~R SCOTTS 1/2 GAL 206-0q r'r __5~33~9 .. INSECT RD ~ASP HORN 01351 AEROI8 526967 INSECT DEX~L ~EN~PDIA GN 07Pti - * - .- 5070~6" ~HSECT ~eTHO ;]SOX S'~y *PT 1601' 511~& JNSECT"SPECTRA'CIOE"-C CT 25E-OT" ~ 5~0617 I~SECT OEXOL DFXA-CLO~ 8Z AO131 ~ .'-, 50~32 INSECT ORTHO DIAZ GT~AN l~ 2581 507199 INSECT GRANT ~ ~ 57~615 INSECT EN~PeCE~ FL~A rILL ES-I* ~ ....... ' S AN7 STA :.~ 521175 INSECT CER~ I~--~TH' ~ GAS ~ T-' ~1¢70~ 1~SECT TAT ANT T~APS (~) ~]]00~ ~'Ol-bZ--*-- ~ 5Z6?qq ~KFDKILL DEXOL CO~TACTCAL 0~01 ~6015~ INSECT RID A BUC SUPER ~10 ..... ~o PAINT TPEE HE~L PT qO0'Ol · ' 52191, INSECT SPECTRACIDE. REFILL 51180 .... 5~333 * ]~ECT'CH~O~ AHT SeOO ~ ~TU PT " 589829 TERH.'DUTLAEROSOLZ30Z 29002q ~ ~2~59~ INSECT GER~IN CUTWORM PT ,' 5555,1 INSECT STRIKE FLEA ~5 FOG 29~305 · ' 50750~ INSECT RD ANT-RCH ~_~_. aEgOl6 56~q2P INSECT O~TMO FLEAR~ ~TU 1611 52A756 ~NS~CT DFXPL ANT/ROACH~qO CIOI 507318'-'I'NSEC~PECT-PT ..... 25E-PT .... ~ 507DOn INSECT O~THO P~UNE OalNT ]C70 - 5¢53.~ INSECT DEXOL DEXA-CLO~ ~T · .__ 52005~ klD'A'EUCFLEAK/SPRAYER262 ~35-262 5073R5 INSECT DEKKO SILVE..RFIS~ 79001 507237 INSECT GF~IN ROSE iEk~ ~GI-IO ~ 51°27q INSECT ATTACK ~'HTEPLY P~P 7911~2 · 536326 INSECT SCOTT ~ST L~N C 2H 528153 INSECT ORTHO F&CGER 7.5 1622 5060~2 IUSFCT O~TPO TO~CV~G DUST 3630 -" 50726~ INSECT GERHZN MALATH 'B PT 503~1 INSECT' GE~P~ HCG DUST 60]-25 "~507539~INSE~T-RD-'Y'~RDCU~RD 016C1'-FOCRI6'--~ ~ 52~3~R. INSECT ANT~OL ~NT SET 6923 qOl-bl ~. 507679' INSECT OPTPO FPUTCV~G P, 0Z ]TRI ~ .. 5~0633 . INSECT DEX~L DEXA-CLOR PT A01~2 · ' ~60138 INSECT R~D ~ BUG FLEA : T '~10 -'- ~ ' -52~7,7 "]~]SECT-'-O~CL-~'N-T DUST]C~Z 0~00 ..... 56980l INSECT"ORTHO TDHCVEG'RTU" 15~7 ~ 563277 INSECT D~XOL ~O~E C CALLV '~50833~I~S'E-C'~TE'~I~-E-hO-pE'ST-SiP--12~ ....... 52~07F I~S~CT O~X~L GE~ 5~V ~S - 536377 INSECT ORTHO LAwN SPRy PT 1911 : ~2~996 TriSECT J~RE ~OSF SPIKE 6092 · . 507156 INSECT ORTHO SEVIN DUST I 2~22 ~ ~01977 )~5ECT S~' CLOUD ~ ~Z' , 5112S5 INSECT SPECT 18 OZ PROF i ~09qO 57~66~ INSECT ELI S~x LU~E F~5OO0 'r--50~555 '*IN'~E~T'R~LR-PROF-'01732 AERO16-' ~ ..... ~51' *T~SFCT~CLO~ G~AN 1LP 0]30 .... 5]~30R INSECT ATTiCK ~HTFFLY GD~ -. 507113 INSECT ORTHO POSECF AErO 3002 5]6325 ~R SCOTTS OUA~T ~060~ ___566853 FLY BAIT GOLDEN HALRIN gl' 2500 *~]a~16 ~HSECT ATTACK TO~U'~q ~ST 507~82 IN'SEC'T-RD~N-T:R.C.H~-Olb21-...AEpOjl.__ ~ ' 51a~F. IF/SECT ATTACK VF~TPL ~ST Z91160 569~52 ]NSECTEFUNC OFTHENEX PT ]223 52771P ~NSECT HSCOTT~ ~L~cT]CK I/2 G~L 526959 INSECT DEXOL GENERDIA PT 07~1 .... 52~]~2 ]~SE~' gP T~ ~R ~LOH5FI~ 569036 INSECT ORTHO HOME'PESTRTU 163q ~" 527961 ]~SECT doqF RFC SP~KE lGqO 533955. INSECT RD FORGER INDOOR6Z .]5~6 ~55~70 SPC qrn O~THO reUsE ~T]37 01('71 521906 INSECT.,LAST-E]TE ANT KILL )~ ' 51~952 INSFCT ATTf. CK VEGTL Sr~Y 79.]166 507k23 INSECT G/RkIN ~ALATH A EZ ~01-60 ~ ' 5ZOlOl IN~ECT SAFEP SOAP 507512 INSECT RD FLYSPRAT 01662 AEROI2 52012R I~SKCT SArrR S~a~ r~UT~v~ ~2~Z 573701 INSECT STRIKE FLEA 75 SPY 2~q323 5&57~7 '1NSFCT DEXDL T~Y RFLL GLLV "' 5200~7 RID-A-BUG N/SPRAYER 160Z 200 ~ 200221 53~P17 INSECT C~E PD SP~P ~]TE ~ OZ 533351 PEST ~aT g HOUSE STRIKE 2q&352 ''- 5476~n OLIVE :~TDP DEIDL 80Z LV 5~AO~ PEST. ~aT WaPF eL W/~IV~L 2(-590 · 564001 CH~LQ~ E~IG CONTROL 1~ 5542q6 PEST DEADLINE LIO SNAILES PT 52nS5~ I~5ECT'C'ORTP'9 ~OMEPE~T~C'~" i633 .... - '527726 'C~up~T ~nA~H"CO~T~DL 41910 "' ~ 51P~77 INSECT FL ~OSOUITD 5PrYOT 31006 516°61 PEST COACH TAT TRAPS (7) 211001 544337 INSECT RD DEEP ~OOD O~F E OZ R16q72 S~AIL JAIL SPEC e 5~Z~ ..~NSECf en OFF " 60Z. 517C03' 5PC DrD S~ 'COWRY ]0~ ~6-1099 ~" 56)9R6 DRTNO ~OTOX SULFUR 2~OZ ~2~2 ' 500497 PF ST POlE ~ %LLEP FORCES ]~0, .----~6-YV)F'~'X~'L-~:'~"~ ............ '"eo~o6d~ .... '- ~2P242 '~FST' ~PN ~C~S~S HFtt~ FPO09 ...... ~" 5~5q~7 SP~ flPO O~T~ VOLCK PILOT 1702 56qTga /~SECT DEXOL HOHE-C ~TULV ~,1~6 56055~ )~SFCT DEXOL VEC RTU SPLV t0-I~5 - "52e~ "']NSECT~D~THO'~NTCWASp NO ~ ~6]~ ' ' ~ 56a036 CYTR~L AHITROLE-T PT 5ZQglq , SPC DP~ aGr/Fpp~ T~50 82~ 6260' 50~qq5 ]NSECT RLK LEaF C,LODNqSt~ ]/2GAL ..... 53~1~ '-INSE'Ct'LaST-BIT~ SW~G CT 2~PX '~ 5Z°516 ]N~ECT~KuNG OrTHNExn~? N~ 122~ 554210. PES~ ~C~ p~UFE ' -52&qa~"eESl S~5 L~ST 1pITF2*2~eEL 21/~PEL ~0~31~ P~ST ~RIHn eUr.-GETA 2 1/~ 1~0 '52~7~ PESI SR5 LaST ~IIE 2,~EL 50n3el PEST rAT ~-CO~ PELLET ltl. 0251 ............ · ...... FINE LT~E 3 ~E~TClDES OESCe IPT/ON 55~52~ NFEO KILL O~T~O kLEFNUP 5~5~57 ~EEO KILL O~7HO KLEC~Ur 3 rTU, IG ~6~771. ~FE~ KILL r~T,n q-n~; ~TU 1763 ' 5~°2a3 ~FFB KILL ~RTHO KL~II~n OT - 50Tq3~ ~[FD k~L '~R~O'T~T~X ~AL 4~05 '' "~3ae~7*' ~FED KTLL PPTHO u ~O~ rT 03a~7. · 5~n235 ~EED KILL ~THO KLNUP PT "50Tql] 'U~ED ~ILL rR~ T~I~X CT 507R27 WEED KILL GER~IN NO-SELCT ~01-~2 ._ ~OT~6~... WEED kILL GER~IN F~ESF-ST 517~6~ WEEDIC)~E 'GERHA]NS A OT . 507903 WEED ~TLL GE~IN C~AnCrA'~ ~Ol-~o '5077q2 'PEED-'g~LL_SPECT~UH 33eLU5 520012 ~FE~ KILL CHACON RTU GAL ~AL SOR~6.. STUPP ~M~VE~ CHflCO~I P 53~2~ ~EED KILL FPTAH P~F-E~GE 1~/5~ 50635e ~SS CeN SiC D~D a2OCLCK .... 56a~¢~ ._WEED KILL .ORTHO ~PUSHnGON 1352 50ea53 ~FED KILL EN~DE ~T ~72032' 53P61~ WEED KILL CALIC~ ICE PLNT 5 GAL 50~OTg MDS~ GeN SIC DRD alOCLCK ~10 5¢603P WEED PLD~PWDVFN Ga~I CVer 72-3102 ~0"170 WFFD ~)LL CD~F CX~LIS, I '1/~ 51~¢~ utEP kILL ~PT~O ED~q 5¢n~01 WEED KILL ~RTHD.~-GOq *gT 03P68LV 5ee928 WEED KILL ~RTHO 5-GDNI/2G 3Y69LV 56q712 WEEO KILL ~EXOL* GeS' a.TULV ~0-qq0* ' ~6e6q~' WEE~ KILL DEX~L SPT RTULV ~0-aq5 52q5~5 WEED KILL CHACON STMP],~N0 /* : ...... ~:tfqE_L. INE. 2 ...~,AQt~[N. F. EI~TILTZFPS .. ITT~ DESCRIPTION . 50~2~6 ORTHO ROSE/FLOWER C~eE 5~ 2~72 506]Z5 HIRaCLF GRO TOMATO B .... 509~3P-TTNOT~T ROSE'FOOD ..... 5fi*' *T~ ...... 505~85 FISH E~ULSN SEA PAL A eT 250120 ~ 506036 M~RACLE G~O PLANT D ~ff ~ 5060~q HIRACLE GRO ~]RAC]D A 80Z · ' 505668 BANO]NI HYDRATED LIHE 8~ 50602R MIRACLE GeD PLANT e I.,5ff' ~y-~i.--F-~R-~RA.PID.GRO CNCh~RATE*-' 3'm'LB .... · :' 50545R 'RANDINI ROSE FO0~ 20 ~C~ ' ~ · 505~q7 BANDIN] qOSE FO~O !0~ ~Ofl ~, 506265 SUPER THRIVE 2 ~Z PP 53~4g~ ~ANOIN1 CITRUS FOOD 20 20ff 506117 MIRACLE GRO TOHATD A .:. ~"--~2',1~'"~'AHDT~TRUS"'rBDO ~* S~ ..... * 505927 GER~Ia 'TOMATOE "SET'SPRAY ~ · 5~R161 .~flNOlqT CITRUS FOOD 10 ~Oe 506087 MIRACLE GRD ROSES A 8 OZ "51aq2~ F[RT dOeE ;RT-TREE SPIKE 100003 5521q3 FERT JDBE TOMATO . 6001 505595 BANOINI BOHE ~EAL 5~ ~fl 50~033 WATER-IN 1/2 CAt 1/2 GL 567g06-"-UNI-'GP~C1TRUS/~VOC'~*O ~ 101'tbS'" ' ' 536083 PROF' B~END HI' B. LOOH eT ' ~ . 505501 BAND)~I SUPER PLO0~ ~0~ 20fl 52~26, FERT dOBE EVERGREEN SPIKE 1~0003 52627~ 'BANDINI VEGETAPLE F~OD 5 5~ SZRq~7 PROF BLEND HI BLOOM GAL 000-095 .... ' .... G-~ CHACON A .... 57260P F~PT' JDeE '~RUIT T~E SPIKE .i502' 51258'3-'V~1AM]~[ ................ 6"CZ' - ~ 5262~2 RaNDI~I VEGETABLE FDqD ~0 ~0~ 5~667 FERT JOBE PALHEFERN SPIKE 567R92 UNI'GRO PLANT FOOD 5~ 10~1~ 536822 BANDIN] CRO-PELLT SP~_ODR. -. 5o552e' BANDINI"'TDHATD FOOD 5ff ..... 505~7~ '-DA~I'~ER ~L~OH *SE .SLP 566187 FERT dORE AZALCCAHE SPIKE kO0[ ~ -. 52P2Ie BAND/MT GPD-RITE 10 loft 536016 PROF BLEND FISH EflULS QT 50795a DPTHO pOSE/FLOWER CARE 2~ 2a77 ...... 52921*~-'-HiR~C~E"~D-'P~A'Ny 'C 3~ ..... ..... 56T922 UU~:Gq~ ~OSE~LWR FOOD 5~ 10112~ '~ 557qq9 UNT-GPQ ~PATO/VEG FRflPS~ 10-1133 5~oe38 TREE STAKES ROSS BULK LV LV 5 5~ 51T208 HYPONEX TRFES SHRUBS,,. 5 60-q2~ . 52P072. BANDIH] ACiD FOOD .... 536075 PROF BLEND HI BLODH PT PT .... ~D%RqD*.'*FTSH*~ ~A P~L ~' GL" '2~ ..... 528552 PROF BLEND CROW PLUS GAL 000-099 ~' 52P12q BANDIN) CbPELLIA ~RaD 5 ~fl 57209F PROEM FERT IRON PLU~ ..... ~.0 ....... 512e3~ 'VITAMIN e-] CHACON 0 Gal 5'~O~-~R'O~'~TIk~-'TRS-EVRG ~ 56A17q : FERT JflBE erSE ' SPlKE ' ~002 572~5 PROEN FERT GROW GREEN qqO ., 5osaqe RANDTNT SUPE~ BLOOM 10~ lO~ 569739 'ORGANO BORE MFAL ~ LV 30742 · ~'Sq~T '~~ FUUD' ' 5~ ~a.,. ......... --' 54]]]T554596" B'AND'~N~-BONE'HE'ALTREE STAKES ROSS EVERGRN5 LvS:-' ~ 52R196 eANOtNT GoO-RITE 5 5~ 538~18 HYPONEX TREE SPIKE PRIMO 567957 UNI-G~O aZaLEA,c~,rO~05~ 101121 ..... 554 ~6'~B%~ ~i' fl* I--~O'S~F~ O'O 5~LV ~ ~ 5¢~276. GERHI~ e~SE GUARD 2~ a01-17 558222 B'ANDINI ROSE FOBD lOC LV 50~579 PANDINI PLDOO HEAL 5fl 5~ 55961e BANDINI BONE HEAL 10 .----5~"~A~'RDNE REAL ....... 10E ' ~OE ......... --"53R515'- HYPDNEX'FRU'IT~C~TRUS PRHD ~ .. 537101 BANDIN) GeD-PELLETS ~0~ ~OC 559782 BANDINI ROSE FOOD HLV 20 · 5)R~69 HYPONEX EVERGREEN PRDED 60-02~B StiFle ;VITA~I~ P-I CHACON R PT . "~ST2'O~3'--PDOE'~--FER~BOD'*N~BL'OO'H ...... qA'q .............. 52~0q~ ~I'TACLF g~O HIRACI~ ~ ].~ fl ~ .. 517216 HYPONEX F~UIT C CITeUS D e,O-a2D 5¢110~ TREE STAKES' ROSS BULK FUT LV 532a36 FE~T dO~E TREE FOOD SeIKE 10012~ 55¢561 BANDINI BLOODCBONE 5 . .....~q~.-'~ND*~TT~[~EP ~OO ']O'ff' lOB "' 55825755q5~5 'BANDINIBANDiNI BLOOD IRON SLPHTEPEAL 5~ LV5 ~ 55q715 B'ANDIN] cRo-RI~E 10 10~ . 555037 BANDINI VEGETABLE FOOD 5 55~0~ BANDIN[ GRO-RITE .... 5 5C ~.' 55qg28---BANDIN~--SUPER- BLOOH ..... lO '-IG~ ...... ~ 55~626 9ANDINI CITRUS FOOD 5 5~ 55~g01 BANDIN] SUPER BLOOM 5 558t~1 BANDIN] SUPER PHOSPHTE 05 5C - 558~68 BAND]N[ SUPER PHOSPHTE 10 10C .... S5~-8~BANDINi~Y'D~-~TED-'~'I'H*~-8~-"E'C ..... "' ' ....5550q5" BAND]N] VEGETABLE FOOD 30 ~ 55~685 BANDIN] GRO-PE LLETS ~0 10C 55.63~ BAND[Ni CITRUS FOOD . ~0 lC~. ................................................. 529613"'FER1 "RA-P]D-GRO CNCNTRINO 5 LB ~ 55~669 BANDINI COTTON MEAL 5 55~529 BAN~INI ACID FOOD 5 5~ ................. .... 55(53T --B'AND'iNtTM f~'F'OO'~ ..... [ 0 "~ O~ 5582~9 BAND~I SULP~PDTASHS~ L9 .5~ ~. 555002 BANDIN~ 10~ATD FOOD~ 5 5= '- .................................................. ~N~l'~tJO_l']'0-'N_~: READ ALL THE INS AND ON PAGE 4/ PHOTOCOPY E~<TRA COPIES d~l~lS FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS -'~ - -' WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA, OR ROOM WHERE HAZAR00US MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY -THE LOCATION OF THE HAZAROOUS MATERIALS LISTED ON THiS FORM. (HAZAR00US WASTE 0N PART C.) LOCATION OF HAZARDOUS MATERIALS: .... COMPLETE ALL ITEMS tN BOX. BUSINESS ~.~; {j~,;~ ~ .... ~..',~/~ ;..~ ADDRESS ' ' NAME OUTDOOR AREA ;ROOM NAME BUI'LDING NAME OR NUMBER NAME OR NUMBER OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED 0R HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS 0F THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED 0R REPACAAGED, ANO CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM 0F THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AN0 APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. ~ IF YOU FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ES~MATE MA~MUM ESTIMATE TOTAL LIST ALL THE TYPES MATERIAL MIXTURE. USE EXACT SPELLING. eUAN~TY HANDLE0 0R STORE0 QUANTITY HANOLED 0R ~ 0F C~AINERS ~AVE MATERIAL A. PRODUCT NAME 0R COMMON NAME 0F HAZARDOUS MATERIAL. AT ANY ~ME IN 1987 AT i STORE0 0URING 1987 I USED T0 STORE SAFETY 0AT~ ABOVE LOCA~0N. INCLUDE AT ABOVE LOCATION, ~ HAZARDOUS MATERIAL- SHEET FOR THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION 0F UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. ~ USE TABLE 1. HAZARDOUS AL~ INGREDIENTS IN HAZARDOUS MATERIAL. etc.) ff~CLUDE UNITS. MATERIA~ LAWN ~ GARDEN INSECTICIDE '.,,;.;" . . Diazinon :: . '" 25% ' 'J 50 Ibs' .- 500 lbs F ** CITRUS FERTILIZER -,DRY MIX Nitrogen Phosphorus 4% 250 ibs 5o0 lbs F . ** Potassium 8% Inert 68% ' PEBBLE LIME · ** Alkaline Earth Oxide 100% 150 lbs 500 lbs % ~A. SODIUM NITRITE S. Inorganic Salt '100% 250 lbs 500 lbs F **' % 8. % % A. % % B. % % .i '. oFFICE USE )NLY TABLE I STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K =Compressed Gas Manilold A = Metal Containers (<5 gallons) F = Bags t = Pressure Vessel - Not portable . B = Drums. Barrels. Carboys G : Coxes, Cartons, Cases M = Tank Car/Trailer I;~sP. Io 0ATA ENTRY iD __ C : Underground Tanks H: Sump or Pi~ N = Sealed Source (radioactive materiall O = Above~]round Tanks J = InOustrial Processing E~,Jipment 0 = Unseated Source {radioactive material) iris? INIT DATA ENTRY INIT __ E Glass Containers J = Compressed Gas CylinCers P = Other container type. speciiy 0ATE DATE PAG5 5 INSTRUCTIONS: READ ALL THE iNSTRUCTiONS 8ELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES O~HIS FORM .BEFOR_E COMPLETING IT. (REPORT HAZAROOUS . WASTES ON REVERSE SIOE ~ 1~ C0M,°~E~TE A SEPARATE FORM FOR LAC OUTDOOR AREA, OR ROOM WHERE HAZAROOI~5"MATERIALS ARE LOCATED. USE BOX RELOW TO SPECIFY THE LOCATION OF THE HAZAROOUS MATERIALS LISTED ON THiS FORM. (HAZARDOUS WASTE ON PART C.) I LOCATION OF HAZARDOUS MATERIALS: .~,' ROOM NAME · OUTDOOR AREA OR NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE 60LUMNS 1-5 FOR EACH HAZAR00US MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED AB0VE. REOAROLESS OF THE 0UANTITY. INCLUBE RAW MATERIALS, FINISHED CHEMICAL PR00UCTS. CHEMICALS MANUFACTURED OR REPACKAGED, ANB CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO 60MPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLIOATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. { 'FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MA×IMUM ESTIMATE TOTAL LIST ALL THE TYPES __¢~F YOU I/ MATERIAL MIXTURE. USE EXACT SPELLING. I 0UANTITY ~0R STORED 0UANTITY ~ED OR OF C0~AINERS HAVE MATERIAL , A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL DE TERIAL- SHEET FOR ~ B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF I UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. THE HAZARDOU. ! ALL INGREDIENTS IN HAZARDOUS MATERIAL. I etc.) INCLUDE UNITS. MATERIAL· I ~¢~mFfhr~n 7K%. ' '5'0. . ,'12 ~z 500 12 cz J ** 2-hydroxyethyl' n octyl sulfide 1% ·"aerOsol aerosol Propane 25 % Water 75 iA. ANT & ROARCH INSECTICIDE LIQUID - S. Baygon 1% Vapona .2% 25 12 cz 250 12 cz E ** Aliphatic compounds 80 % Isopropyl Alcohol 10% A. WEED KILLER LIQUID - · / 8. Aromatic Hydrocarbons 80%/ 25 16 cz 250 16 cz F ** Paraffinic & Naphthenic Hydrocarb~n~ . . Emus/f/ers ~ / ' ' A. WEED KILLER LIOUID '~. Primatol MG .25 E 3 % 25 16 oz 250 16 oz F ** Xvlene 84 % % A. FULL LINE OF ORTHO GARDEN CHEMICALS ' , S. % 25© 16 cz ':1500 '16 CZ .... E " ORTHO DOES NOT PROVIDE MSDS FOR % ANY GARDEN INSECTICIED, ETC, % % A. DRY FERTILIZER B. [Jre~ DQ % % F ** _. ~onammonium Phosphate disclose~'° 1500 lb~ 10000 lbs m~l cium carbonate on M~D~q .. ~mm~nium sulphate % A. ~HLORDANE CONCENTRATE' LIQUID S. ¢"hl~r~n¢_ 67 % 12 .gal 40' gal A · ** % TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (<5 gallons) F = Bags t = Pressure Vessel - Not portable 8 = Drums. Barrels. Carboys G = 8oxes, Cartons, Cases M = Tank Car/Trailer INSP. tO 0ATA ENTRY ID __ C = Underground Tanks H = Sumo or Pit N = Sealed Source (radioactive material) 0 = Above,]round Tanks I = Indus:rial Processing Equipment 0 = Unsealed Source {radioactive material) rasp INIT DATA ENTRY INIT_ E Glass Uontainers J = Compressed G,~s Cylinders P = 0thor container type. specify OATE DATE PAGE 5 INS'fBUCT~,ONS: READ ALL THE iNSTRUCTIO~ELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES HIS FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS ~ ' ' ' WASTES ON REVERSE SLOE.)~' 1. COMPLETEA SEPARATE FORM FOR EACH BUILOING. OUTOOOR AREA, OR ROOM WHERE HAZAROOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZAROOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) ILOCATION OF HAZARDOUS MATERIALS: t ,, '? "-- ,-'~ ~ ~ OUTDOOR AREA : /ROOM NAME ' ' NAME OR NUMBER OR NUMBER BUILDING NAME OR NUMBER 2. COMPLETE 60LUMNS 1-5 FOR EACH HAZAR00US MATERIAL STORED OR HANOLED AT THE LOCATION SPEOIFIE0 ABOVE. REGAROLESS OF THE 0UANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PR00UCTS. 6HEMIOALS MANUFAOTURED OR REPACKAGE0, AN0 6HEMICALS DISTRIBUTED. USE THE 00DES IN TABLE I AT THE BOTTOM OF THIS FORM TO COMPLETE 60LUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL LIST ALL~ THE TYPES --"¢HAvEIF YOU MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANDLED OR STORED QUANTITY HANDLED OR 0F CONTAINERS MATERIAL A. PRODUCT NAME OR COMMON' NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 1987 AT STORE0 0URt~IG 1~87 USED TO STORE SAFETY ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL- SHEET FOR · THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. NAZARDOUL ALL INGREDIENTS IN HAZARDOUS MATERIAL etc.) INCLUOE UNITS. MAfERIAL lA. . FLEA & TICK SPRAY INSECTICIDE "-.: e. Dichlorvos 5 ~/* ':'- 7' . '-' , Propoxur' ' : 5 "~' ':.i.'.' 25... 12 o'Z 250 12 CZ J . ** Dichlo'romethane 20 % aerosols aerosols 1 r 1,1 rTrichloroethane 55 % 1,1 .- Diflouroethane 25% A. FLEA LIOUID INSECTICIDE ,B. Chlorpyrifos .2 % 12 12. cz 120 12 cz E ** % % RAT POISON Warfarin 1 % 12 12 -cz 120 12 cz G ** % % !A. ROACH POISON - INSECTICIDE S. Boric Acid % 48 16 cz 500 16 cz C, ** Percentage not disclosed in MSDS % ^' WASP ~ HQRNET INSECTICIDE SPRh¥ S. .Vapona 5 %. Ba_VgQ~ 5 % 24. 16 cz 250 16 J ** 'Aliphatlc Naptha aQ % ·aerosol aerosol 1,1 .! . Tr~ ch ].oro~thane 50 % : A. VEGETABLE FOGGER INSECTICIDE s. Pyrethrines .2 % 24 12 cz 250 12 cz Water 75 % aerosol aerosol J ** Propane ( Expellant ) 25 % % A. MOTH & BEETLE INSECTICIDE SPRAY S. 9esmethrin . 37 Surfactant ( not identified ) 35 % 24 .12 cz 250 12 cz -- Tsobutane 15 % · ' '...a.e rD s o 1 aerosol ~ ,7 ** w~er 55 % OFFICE USE ONLY TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Comgressed Gas ManiJold A =Metal Containers (<5 gallons) F = Bags L = Pressure Vessel- Not portable B = Drums. Barrels. CarOoys G = Boxes. Cartons, Cases M = Tank Car/Trailer ms?. C : Underground Tanks H = Sumo or Pit N : Sealed SoOrce (radioactive material~ O =Above~]round Tanks I =lncus:riaIProcessing Ecuipment 0 = Unsealed Source (radioactivema~erial) E Glass Comainers j = Compressed ga5 Cyhncers p = Other container type, specify DATE. DATE PAGE 5 INSTRUCTION~ AND ON PAGE 4. PHOTOCOPY EXTRA COPIES 0tS FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS INSTRUCTIONS: READ ALL THE · ~ ; ~ : WASTES ON REVERSE SIDE.) 1.COMPLETE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZAROOUS WASTE ON PART C.) ~LOCATION OF HAZARDOUS MATERIALS; BUSINESS ~ ,~[. ~..,') .;; (~. "'q" -';'~C ~2'_ '-~ ADDRESS <-~'' '~') ] ''"' !' ['l; i~.;._~ ""~; COMPLETE ALL ITEMS IN BOX. NAME "' ' ' ~ "' ' OUTDOOR AREA iROOM NAME NAME OR NUMBER .OR NUMBER BUILDING NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANOLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS. CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3.RETURN COMPLETED INVENTORY ANO APPLICATION IN ENCLOSED SELF-ADDRESSE0 ENVELOPE. !FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS STIMATE MAXIMUM ESTIMATE TOTAL LIST__ALL THE TYPES ~-AVE" IF YOU MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANOLEO OR STORED QUANTITY HANOLEB OR OF CONTAINERS MATERIAL ~,T ANY TIME IN 1987 AT STORED 0URING 1987 USED TO STORE SAFETY OAT;- A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET FOR THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. HAZARDOUS ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MATERIAL. LIQUID NAILS - CONSTRUCTION ADHESI\ E .' · · .' Hexane 33 % ' ' ' · Calcium Carbonate 3 % ' 150 .lbs ' . ·'7.50.. lbs . P ** Aluminum Silicate 32 ,% Mineral Spirits 3 % 1. PRESSURE TREATED LUMBER Copper II Oxide % ** Chromium III Oxide % 500 board 5000 board _P Arsenic V Oxide % feet feet ODen~ storag disclosed in MSDS% ~tD_~_~t~-- Percentages not DOLOMITIC HYDRATED LIME i. Calcium 'Hydroxide . 5O % Maqnesium Hydroxide 35 % 500 lbs 2000 lbs ~ ** Calcium Carb6nate 5 % Silicone Dioxide 3 % Other 3 t. PLASTIC FIBERED ROOF CEMENT/PATCH Petroleum Distillates 20 % 50 gal 250 gal A ** Asbestos ( encapsulated ) 14 % % % FIBEROUS GLASS INSULATION p~dl I. Fiberous Glass 91 % '1000 .i' · .6500 . P' ' ** Phenolformaldehyde Resin - cured % linear ft. linear ft Pa~er wrap 9 % rolls ~. INSECTICIDE - SPIDER/SCORPION SPRAY ~. Pet. Distillates 80 % Methylene Chloride 8 % 50 16 oz 350 16 oz J ** ! , 1, 1, Trichioroethane 8 % aerosols aerosols Bay~on .5 % DDVP .1 % ~. SNAIL & SLUG INSECTICIDE - DRY Metaldehyde 2 % Inert % 50. lbs 500 lbs G ** % % OFFICE USE ONLY TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold A =Metal Containers (<5 gallons) F =Ba~s L =Pressure Vessel- Not portable 8 = 0rums, Barrels. Carboys G = Boxes. Cartons. Cases M = Tank Car/Trailer ~sP. ID. DATA ENTRY C = Underground Tanks H = Sum~. or Pit N = Sealed Source (radioactive material) 0 = A~avegrouna Tanks I = InCus:;ial Processing Equipment 0 = Unseale~ Source (radioactive ma[or~al) ~ISP INIT DATA ENTRY INIT ,, . · E Glass Containers J = Com;resse~ Gas Cylinders P = Other container type, specify o,~rE OA'~E PAGE 5 PART B - 1987 HAZARDOUS ~IATERiALS iNVENTORY FACE OF .,_- I~NsT~u[;~10~S: READ ALL THE INS LOW AND ON PAGE 4. PHOTOCOPY EXTRA C FORM BEFORE C0~JPLETING IT. (REPORT HAZARDOUS WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BEL0WT0 SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE 0N PART C.) LOCATION OF HAZARDOUS MATERIALS; .... ~ ~,' j ,' ./~.-7~- ~ '~ ]ROOM NAME OUTDOOR A~EA OR NUMBER BUILDING NAMEOR NUMBER . NAMEOR NUMCER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED 0R HANOLED AT THE LOCATION SPECIFIED ABOVE, REGAROLESS 0F THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PR00UCTS, CHEMICALS MANUFACTURED 0R REPACKAGED, AN0 CHE~.IlCALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INMENTORY AN0 APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR H~RDOUS ES~1ATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES ~ IF YOU OF C~AINERS ~AVE MATERIAL MIXTURE. USE EXACT SPELLING. QUAN~TY HANOLED OR STORED OUANTITY HANDLED OR MATERIAL A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. ~T ANY ~ME iN 1987 AT STOnEO DURING 1SBT USED TO STORE SAFETY ABOVE LOCA~ON, INCLUDE AT ABOVE LOCATIO)I. ) HAZARDOUS MATERIAL - ) SHEET B. CHEMICAL NAME AND PERCENT(~.) CONCENTRATION OF U~TS. (i.e. LBS, GALLONS, EVEN ;F ONLY BRIEFLY. mUSE TABLE I. ALL INGREDIENTS IN HAZARDOUS MATERIAL. e~c.) INCLUDE UNITS. ) ' MATER)AL. t~ione, ' · 95 % % A. POOL STABILIZER - CONDITIONER S. Cvanuric Acid !00 % 20 lbs 200 lbs P ** % P1 t~ A. POOL ACID -DRY GRANULES S. Sodium BisulDhate Anhydrous % P, ** globular Technical 100 % 200 lbs 1200 lbs plastic A. LAMP OIL -LIQUID S. Paraffinic Naphthenic Solvents % D ** branched and' cyclic aliDhatic % 25 qts 100 qts hvdrocarbons % Percentages not disclosed ~n MSDS% A. WATER SYSTEM RUST PROHIBITER B. Sodium Hydrosulfite % 10 pt 50 pt ~ ** Sodium Bisulfite ~% --' Sodium Carbonate A. ROOF / DRIVEWAY COATINGS @. Mineral Spirits 60 % P t** Aliphatic Hydrocarbons and % 250 gal 2500 gal Plastic tu___b aromatics % A Stoddard Solvent % Metal c~s Percentages not disclosed on MSDS ~. CONTACT ADHESIVE - FLAMMABLE @- MEK 10 % A ** Methylene Chloride 25 % 10. gal 120 gal NaDtha 10 % Toluene 40 % TABL£ 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K =ComDressed Gas Mani{old OFFtCEUS5 ONLY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel - Not portable 8 = Drums. Barrels. Carboys G = Boxes. Cartons. Cases M = Tank Car/Trailer ~SP. l0 DATA ENTRY tO __ C = Underground Tanks H = Sumo or Pit N = Sealed Sourc~ (radioactive material) ' O = Above,round Tanks I =Indus:rial Processing Eouipment · 0 = Unsealed Source (radioactive mater~al) E Glass Containers J = Compressed Gas Cylincers P = Other container type. specity ox:2 0ATE I~S,TitUCTI,0~IS: REA0 ALL THE INSTRUCT101 ELOW AN0 ON PAGE 4. PHOTOCOPY EXTRA FORM BEFORE COMPLETING IT. (REPORT HAZAR00US WASTES ON REVERSE SIOE. 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZAR00US MATERIALS ARELOCATE0. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) I LOCAT ON OF HAZARDOUS MATERIALS: ........ · . · ~_.,.~ BUI'LDING NA NUMB NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZAR00US MATERIAL STORED OR HANOLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTITY. INCLUOE RAW MATERIALS. FINISHE0 CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGEO, AN0 CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AN0 APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HA~_.ARDOUS ESTIMATE MAXIMUM -'STIMATE TOTAL LIST ALL THE TYPES ,, IF YOU OF C 0-'~"AI N ERS ~AVE MATERIAL MIXTURE. USE EXACT SPELLING. O~JAN.DTY HANOLED OR STORED QUANTITY HANDLED OR MATERi,~L A. PRODUCT NAME OR C0M M0N NAM E OF HAZARDOUS MATERIAL. ~,T ANY 'DUE IN 1987 AT STORED 0URING 1987 USED TO STORE SAFETY ABOVE LOCATION. iNCLUDE AT ABOVE LOCATION, · I HAZARDOUS MATERIAL- SHEET THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF ~ UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. I USE TABLE 1. HAZAROC'. ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUOE UNITS. I MATERI,~L ,A. CAUSTIC DRAIN OPENER LIQUID .. B. Sodium Hydroxide Solution 10 % ~'.'50. . qts .' 500 qts P ** Butyl Cel'losolve 5 % .... : : . Plastic % ' Bottle A. LIOUID BLEACH S. Sodium Hypochlorite. 5 "`'0 10 gal 100 gal P ** Liquid Chlorine Bleach % Plastic Percentaqes not noted on MSDS % Bottle A. PROPANE GAS -LIQUIFIED s. Propane 100 % - 50 16oz 600 !6oz J ** A. OXYGEN-COMPRESSED B. Oxygen 100 % 20 16oz 100 16oz J ** % cylinders cylinders % A. FIRE EXTINGUISHERS - DRY CHEMICAL / / 1 'Y 8. Ammonium Phosphate !00 % ' 25 variou~ 250 variou~ ' J ' ** % 1 -lb- 10 b 1 lb- 10 1 A. ~WTMMTN~ POOL CHLORINE - T, TQTTTD 8. Cn~Hm Hvn~c~lor~t~ !5 % 100 Gal. 1200 Gal. P ~ ** ~' ~t~TMMT~ D~OT. ~PTD T,TQTITD e. H,,arn~hlnric A~id 35 % ' 100 Gal. 1200 Gal. P ~** % TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USEONLY A = Metal Containers (~5 gallons) F = Ba~s L = Pressure Vessel - Not portable B = Drums. Barrels, Carboys G = Boxes, Cartons, Cases ' M = Tank Car/Trailer C = Under~round Tanks H = Scm~ or Pit N = Sealed Source (radioactive material) D = Above~roune Tanks I = Ictus:hal Processing Eguipmen~ 0 = Unsealed Source (radioactive mz[enal) raSP INIT DATA ENTRY ~N~r __ E G;ass gOmainers j = Compressed Gas CyHncars P = Other container type, specity DATE OAE PAG5 5 pART B - 1987 HAZARBOUS INVENTORY- PAGE INSTRUCTIONS: REA0 ALL THE iNSTRUCTIONS BEL0',V AN0 ON PAGE 4. PHOTOCOPY EXTRA COPIES OF THiS FORM BEFORE COMPLETING IT. (REPORT HAZAR00US WASTES ON REVERSE SIOE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUIL01:IG. 0UT000R AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX 8EL0W TO SPECIFY THE LOCATION OF THE HAZAROOUS MATERIALS LISTED ON THIS FORM. (HAZAR00US WASTE ON PART C.) LOCATION OF HAZARDOUS MATERIALS: .... ..~.~;.~,,.,!. ,~ .,'~ -.. : , ,o ~ ROOM NAME -- -- OUTDOOR AREA lOP NUMBER BUILDING NAME OR NU .'lEER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZAR00US MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIE0 ABOVE, REOAROLESS OF THE QUANTITY. INCLUOE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGES, AN0 CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM 0F THIS FORM T0 COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AN0 APPLICATION iN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & 8 FOR EACH HAZARDOUS MATERIAL OR H~DOUS ES~MATE MAXffJUM ESTIMATE TOTAL LIST ALL THE TYPES ~ IF YOU ~ ~AVE MATERIAL MIXTURE. US6 ~XACT SPELLING. QUAN~TY HANOLE0 0R STORE0 QUAN~TY HANOLE~ 0R 0F CONTAINERS MATE~I~L A. PRODUCT NAME 0R COMMON NAME 0F HAZARDOUS MATERIAL AT ANY ~ME IN 1S87 AT STORED 0URTNG 1987 USED T0 STORE SAFETY ~.: ABOVE LOCAqON, INCLUDE AT ABOVE LOCATIOX. HAZARDOUS MATERIAL- SHEET FO~ THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. H~AR~OL ALL INGRED',ENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MATE~I~L A. AUTOMOTIVE ENGINE OILS lB. Petroleum Lube Oil 60 % 1000'qts~ 10000 qts P ** Additive's and other inqredients % ~ardbo~rd/ listed on MSDS as trade secrets % m~tal c~n~ % Ola~ti~ A. AUTOMOTIVE ENGINE TREATMENTS S. Ole~in Polymer % 50 pts. 500 pts ~ ** Petrol ium Oil % % 50 16oz 250 16o~ ,7 ** S. ~y] ene % Butyl C~l 1 o~l v~ aerosols aerosol~ % s. Aliphatic Pet. Dist. 70 % ** Pet. Base Oil 20 % 150 12 oz 1500 12 J Corrosion Inhibitor Proprietary% aerosols aerosol Wetting Agent Proprietar~'~ Fragrance Proprietary A. ACID - SULPHURIC DRAIN CLEANER ~ S. Sulphuric Acid Solution % 50 gallon 500 P Percentage not disclosed on MSDS % % ~al bo~tl~e % A. ACID - MURIATIC, PAINT PREP ETCH ~ S. Hydrochloric Acid Solution 35 % P % 5 gallon~ 50 Plastic ~al % gallons bottle % A. .PVC PIPE CEMENT PRODUCTS ~ s. pVC Resin 14 % ~ A __ Tetrahvdrofuran 60 % 50 pints 250 pints ,-, ~K 20 % ~c]ohCxanone 9 % TABLE 1 STORAGE CONTAINER TYPES: (LIST ALL THAT APPLY) K =Compressed Gas Manilold OFFICE USE ONLY A = Melal Comainers ~<5 g:llons) F = Bags L = Pressure Vessel - ~;ot portable 8 : Orums, B~rrets. CarDoys G = Bcx~s, Ca~tsns. C~ses M = Tank Ca/ITraiIer m?. ~O DATA ENTRY ~0 ~ C = Un~ergroun~ Tanks H = S.:m~ cr 9,: N = Sealed Sourc~ (racieactive material~ O : Aboveqround TA~gs [ = ~ncus:nal ~rsc~ss:ng Esuipment 0 = Unsealed Sourc~ :raCmac:ive ma:chat1 mS2 ::;~T DATA ENTRY INIT __ PART B - 1987 HAZARDOUS MATERIALS INVENTORY PAGE___]" OF ~ ~ IN,~TRUCTIO'~iS: READ ALL THE U'1STRU AND ON PAGE 4. PHOTOCOPY EXTRA COPIES FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS; WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) I COMPLETE ALL ITEMS IN BOX. ~UASMI~ESS :~","~....~ ', · - ADDRESS ¢ ...... :', -- i~ROOM NAME " OUTDOOR AREA __ __ NAME OR NUMBER _ __ __ ,IORI NUMBER BUILDING NAME OR NUMBER ' -- -- 2 COMPLETE COLUMNS 1-5 FOR EACH HAZAR00US MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGAROLESS OF THE QUANTITY. I INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. i 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. ,, IF YOU FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS EST]MATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES I MATERIAL MIXTURE. USE EXACT SPELLING. 0UANTITY HANOLED OR STORED 0UANTITY HANDLED OR OF CONTAINERS MATERIAL A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL· %m ANY T~ME IN 1987. AT STORED 0URING 1987 USE0 TO STORE SAFETY 0ATA ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET FOR THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. HAZARDOUS ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUOE UNITS. MATERIAL AUTOMOTIVE FUEL SYSTEM CLEANER l. Methanol 98 % 24 pt 240 pt P ** r . . % Plastic I % bottl'e AUTOMOTIVE CARB CLEAN SPRAY L Toluene 50 ~'~ Isopropanol Alcohol 10 % 25 16 oz 250 16 oz J ** MEK 10 % aerosOls aerosols Methanol 5 % Acetone ? AUTOMOTIVE BRAKE FLUID h Glycol ether mixture 100 % ( proprietary ) % 12 qt 120 qt. A ** % % ~. DRAIN OPENER - DRY CRYSTAL L Sodium Hydroxide granules 54 % % 24 12 oz 240 12 oz A ** % % ~. OVEN CLEANER - AEROSOL ~. Sodibm Hydroxide 4 % 24 12 ox 240 12 oz Hydrocarbon propellant ? % aerosol aerosol J ** % . ALCOHOL FUEL - APPLIANCE · Isopropyl Alcohol 37 % 24 12 oz 120 12 oz A ** Ethyl Alcohol 30 % Methyl Alcohol 2 A. AUTOMOBILE WAX / POLISH S- Ethelene Glycol % 48 12 oZ 240 12 oz A ** NaDtha % p ~] ~ Dhatic Solvent NaDtha % l,~ ~ht AliDhatic NaDtha TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K : Compressed Gas Manifold OFFICE USE ONLY A = MetaI Containers (<S gallons) F =Bags L =PressureVesseI-Notportable 8 = Drums. Barrels. Carboys G = Boxes. Cartons. Cases M: Tank Car/Trailer . rasP. lo _ DATA ENTRY C = Underground Tanks' H = Sump or Pit N = Sealed Source (radioactive material) O = Above,round Tanks I = Industrial Processinq Equipment 0 = Unsealed Source (radioactive material) ~NSP I~'JIT ~ DATA ENTRY INli' E Glass Uontainers J Compressed Gas Cylinders P = Other container type, specily .-. 0ArE DATE PAGE 5 IN.S.I'RUCTIONS: READ ALL THE INSTRUCT[OI~ LOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING. OUTDOOR AREA, OR ROOM WHEHE HA,"AHUUU5 MAII"HIAL5 AHb LUL.,AII:U. Ub: HUA Ut:LUW IU 5HI-L;IFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZAROOUS WASTE ON PART C,) COMPLETE ALL ITEMS IN BOX. BUSINESS ,'~ . ~ ~ / ^" ROOM NAME OUTOOOR AREA OR NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PROOUCTS. CHEMICALS MANUEACTUREO OR REPACKAGED, AND CHEMICALS 01STRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ESTIMATE TOTAL ~ LIST ALL THE TYPES ,, IF YOU -- ~AVE MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANOLED OR STORED OUANTITY HANDLED OR OF CONTAINERS MATERIAL A. PRODUCT NAME oR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN t987 AT STORED DURING 1987 USED TO STORE SAFETY OAT ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZARDOUS MATERIAL - SHEET FOR THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (Le. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. HAZARDOUS AI.L INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MATERIAL. A. ORGANOPHOSPHATE INSECTICIDE 8. Orqanosolvent 40 Propetamphos 50 % 24 16 cz 240 16 ozl E ** °/0 A. HOUSEHOLD / INDUSTRIAL CLEANER B. Sodium Carbonate 66 % 100 24 cz 500 24 cz C~ ** Sodium Sesqui Carbonate 33 0`% A. FUNGICIDE s. Copper Sulphat~ 7 0`'0 24 12 cz 250 12 cz F ** Petroleum Oil 30 % Inert 64 A. INSECITICIDE SPRAY -MALATHION S. Malathion 50 % 48 16 cz 500 16 cz Petroleum S~lvents 41 % aerosol aerosol J ** % A. MECHANIC ' S ABSORBENT MATERIAL B. Calcined Diatomacious Earth 100 % 250 lbs 1500 lbs F ** . % % A. AUTOMOTIVE ANTI-FREEZE COOLANT s. Ethylene Glycol 99 % 50 gal 500 gal P ** % % A. AEROSOL SILICONE LUBRICANT SPRAY S. Naptha 35 Methylene Chloride 37 % 24 .16 cz 240. 16 cz Propellant ( propane ) 25 0/° aerosols aerosols J ** Inert balance % '. TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL ,THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Containers (<5 gallons) F = Bags L = Pressure Vessel - Not portable 8 = Drums, Barrels, Carboys G = Boxes. Cartons, Cases M = Tank Car/Trailer mst'. ID _ DATA ENTRY ID __ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) O = Aboveground Tanks I = Induslrial Processing Equipment 0 = Unsealed Source (radiaaclive material) raSP INIT OAfA ENTRY INIT __ E Glass Containers J = Compressed Gas Cyhnders P = Other container type, specify OAfE DATE_ PAGE 5 INSTRUCTIONS: READ ALL THE INSTRUCTI£ ELOW AND ON PAGE 4. '~HOTOCOPY EXTRA COPIES HIS FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS ; ~ ' ~ ' WASTES ON REVERSE 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTDOOR AREA, OR ROOM WHERE HAZAROOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZAR00US WASTE ON PART C.) I LOCATION OF HAZARDOUS MATERIALS: .... ¢'.-~. *~"< ' ROOM NAME OUTDOOR AREA OR NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE COOES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUSI E S ~ MATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES ,, IF YOU -- HAVE MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANOLEO'OR STORED QUANTITY HANDLED OR ! OF CONTAINERS MATERIAL A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN I~87 AT STORED OURING 1987 I USED TO STORE SAFETY ABOVE LOCATION. INCLUDE AT ABOVE LOCATION, HAZAROOUS MATERIAL - SHEET FOR THE B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS. EVEN IF ONLY BRIEFLY. USE TABLE I., HAZAROOL' ALL INGREDIENTS IN HAZARDOUS MATERIAL. elc.) INCLUOE UNITS. MATERIAL. A. FURNITURE/ WOOD REFINISHER LIQUID B. Mineral Spirits 85 % 40 'g.allons 400 gallo ~s A ** Pentachl~rophenol 3 °A % A. CLEAR WOOD FINISH LIQUID B. Toluene ? % 40 gallons 400 gallo] s A ** Mineral Spirits 85 % J % MSDS does not state volume of % Toluene in materia% A. WOOD STAIN LIQUID - OIL BASED S. Mineral Spirits 31 % 120 gallons 500 .gallol s A ** MSDS does not' state volum~ Q~ nature of colorants, etc. °/° A. WOOD PRESERVATIVE LIQUID B. Emulsified oil % 20 gallons 200 gallo] .~ A ** Glycol Ether 2 % Tributyltin O~i~ ,5 °'~ % A. OIL BASED PAINTS / COATINGS S. Alkyd Resin Enamel 69 % 120 gallons 4.00 gallo] s A ** Mineral Spirits 31 % % A. GLUES / CEMENTS / ADHESIVES 8. Methanol % 60 gallons 250 galloTs A ** Xylene O/o J Styrene Copolymer % P... Percentages not disclosed in MSDS % Caulk Tube A. CONST. SEALANTS/ CAULK/ GLUES 8~___Propyl Alcohol % 120 gallons 500 gallo~s A ~Silicone Dioxide % J M~SDS does not state percentages % " Caulk Tube of inqredients TABLE I STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE ONLY A = Metal Conlainers (<S gallons) F =Bags L =PressureVessel- Not portable 8 Drums, Barrels, Carboys G = Boxes, Cartons. Cases M = Tank Car/Trailer INSP. ID DATA ENTRY ID __ C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive malerial) O = Aboveground Tanks I = Industrial Processing Equipment 0 = Unsealed Source (radioactive material) tNSP INIT DATA ENTRY INIT __. E Glass Containers J = Compressed Gas Cylinders P = Other container type, specify DATE DATE PAGE 5 . PAF~ B "i~987 HAZARDOUS MATER ~VENTORY PAGE ~- OF INSTI~UCTIONS: REAO ALL THE INSTRUCTIONS BELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES OF THIS FORM BEFORE COMPLETING IT. (REPORT HAZAROOUS WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, OUTOOOR AREA, OR ROOM WHERE HAZAROOUS MATERIALS ARE LOCATED. USE BOX BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C~) LDO^TIc. OF HAZ^.OOUS MATER,ALS= ' '" , ,'; .... ROOM NAME ' OUTDOOR AREA tOR NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER. 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGARDLESS OF THE QUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE ! AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETED INVENTORY AN0 APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESTIMATE MAXIMUM ! ESTIMATE TOTAL LIST~ALL THE TYPES ~-AVE~ IF YOU MATERIAL MIXTURE. USE EXACT SPELLING. DUAN~TY HANOLED OR STORED OUANTITY HANDLED OR OF CONTAINERS MATERIAL A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY TIME IN 1987 AT STORED DURING 1987 USED TO STORE SAFETY OAT AaOVE LOCATION. INCLUDE AT ABOVE LOCATION, NAZAR00US MATERIAL- SHEET FOR B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF u~TS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE 1. THE RAZAROOUS ALL INGREDIENTS IN HAZARDOUS MATERIAL. etc.) ~NCLUOE UNITS. ~ATER~AL. ~,. 'PATNT STRTPPER LTQUID ~. Methylene Chloride 25 Mineral -SDir'its ].5 % 50 gal.l.(~ns 300 gallons A Hethanol 30 % .' Toluol 20 Acetone 25 ~,. WATER SEAL L'[~UID :~. Hineral sp 'i r .i.. t s 8 Other ingredients proprietary "`'o lO0 gallons 600 gallons A & not disclosed on MSDS % A. PAINT THINNER LIQUID s. Mineral st~irits 99 % 50 gallons 500 gallons ~ ** % % A. BENZENE LIQUID 99 % B. % 10 gallons 50 gallons A ** ~/0 % A. KEROSENE 99 % B. % 25 ._gallons 250 gallon A ** % % A. CREOSOTE B. Coal tar & petroleum distillate % 8 gallons 24 gallon ~ A ** 99 % % 'k. B-D-Q liqhter / torch fuel s. Naptha 99 % 50 gallons 500 gallon ~ A _ % % TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manilold OFFICE USE ONLY A = MetaI Containers (<5 gallons) F =Bags L = Pressure VesseI- Not portable 8 =. Orums. Barrets. Carboys G = Boxes. Cations. Cases M = Tank Car/Trader rasP. l0 __ DAtA £N'~RY ID C = Underground Tanks H = Sump or Pit N = Sealed Source (radioactive material) ~D = Abover,]r0uml Tanks t = Ineustrial Processing E(~uipment 0 = Unsealed Source (radioactive material) ms? INI! __ DAi'A ENTRY INIT PART B - IDB7 HAZARDOUS MATERIALS INVENTORY PAGE INSTBUCTIONS: READ ALL THE INSTRUCTIONS BELOW AND ON PAGE 4. PHOTOCOPY EXTRA COPIES OF THIS FORM BEFORE COMPLETING IT. (REPORT HAZARDOUS WASTES ON REVERSE SIDE.) 1. COMPLETE A SEPARATE FORM FOR EACH BUILDING, 0UTOOOR AREA, OR ROOM WHERE HAZARDOUS MATERIALS ARE LOCATED. USE BOX. BELOW TO SPECIFY THE LOCATION OF THE HAZARDOUS MATERIALS LISTED ON THIS FORM. (HAZARDOUS WASTE ON PART C.) [LOCATION OF HAZARDOUS MATERIALS; BUSINESS /I COMPLETE ALL ITEMS IN BOX. NAME "~'J ii''''~'.~;') ( ~"-~'~"/~i'J/-~, ADDRESS ~'~"~Jl; ....... /" --./'~.!~ [ROOM NAME OUTDOOR AREA IDB NUMBER BUILDING NAME OR NUMBER NAME OR NUMBER 2. COMPLETE COLUMNS 1-5 FOR EACH HAZARDOUS MATERIAL STORED OR HANDLED AT THE LOCATION SPECIFIED ABOVE, REGAROLESS OF THE OUANTITY. INCLUDE RAW MATERIALS, FINISHED CHEMICAL PRODUCTS, CHEMICALS MANUFACTURED OR REPACKAGED, AND CHEMICALS DISTRIBUTED. USE THE CODES IN TABLE 1 AT THE BOTTOM OF THIS FORM TO COMPLETE COLUMN 4. 3. RETURN COMPLETE0 INVENTORY AND APPLICATION IN ENCLOSED SELF-ADDRESSED ENVELOPE. · . FILL IN A & B FOR EACH HAZARDOUS MATERIAL OR HAZARDOUS ESI,IMATE MAXIMUM ESTIMATE TOTAL LIST ALL THE TYPES ,' IF YOU -- HAVE MATERIAL MIXTURE. USE EXACT SPELLING. QUANTITY HANDLED OR STORED. OUANTITY HANOLED OR OF CONTAINERS MATERIAL A. PRODUCT NAME OR COMMON NAME OF HAZARDOUS MATERIAL. AT ANY'nME ~N ABOVE LOCAll0N. INCLUOE AT ABOVE LOCATION, HAZARDOUS I'4AI.ERIAL - SHEET FOR B. CHEMICAL NAME AND PERCENT(%) CONCENTRATION OF UNITS. (i.e. LBS, GALLONS, EVEN IF ONLY BRIEFLY. USE TABLE t. THE HAZARDOU ALI_ INGREDIENTS IN HAZARDOUS MATERIAL. etc.) INCLUDE UNITS. MATERIAL. A. AEROSO'r, SPRAY PAI.'NTS ( Various ) B. Acetone 33 - 37 Propane ' : 16 - 18 % aerosols ' 12 cz MEK O - .17 % aerosols Toluene ~ - 30 % Xvlene A. AEROSOL SPRAY varnish/ shellac B. Acetone 29. 6 % 200 12 cz 400 Propane 20.1 % aerosols 12 cz J ** Toluene 7.6 % aerosols Heptane 22. 4 Na~tha 8 .9 , A. ACETONE LIQUID 99 % ~. Ketches % 20 gallons 120 gallo[s A ** % A, LA~.UER THINNER LIQUID 20 gallons 120 gallors A ** B. MEK 30 % Naptha 25 % Toluene 15 Isopro Alcohol 15 % Isobut¥1 Acetate 15 A. TURPENTINE LIQUID 20 gallons 120 gallo[s A ** B. Terpene Hydrocarbons 100 % .'' % A. LINSEED OIL LIQUID 99 % 20 gallons 120 gallons A ** B. Veqetable Oil Triqlicerides % % A~. ~T,pQHOL -- DENATURED LIO~HID 99% 20 gallons 120 gallons A .- ** B. % % % TABLE 1 STORAGE CONTAINER TYPES. (LIST ALL THAT APPLY) K = Compressed Gas Manifold OFFICE USE )NLY A =Melat Containers (<5 gallons) F = Bags L = Pressure Vessel - NoI portable 8 = Drums. Barrels, Carboys G = 8oxes. Cartons. Cases M = Tank Car/Trailer rasP. IO DATA ENTRY C ¼ Underground Tanks H = Gui,la or Pit hi = Sealed Source (~adio~cti~.e m.a.?~r!;~l!.,,