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Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF-PERMIT ON REVERSE SIDE : ·. 'i. Thi~ permit is issued for the following_: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001538 ' [] Risk Management Program BRYANT RADIATOR SALES ~ Hazardous Waste On-Site Treatment LOCATION: 1030 CHESTER AVE OFFICE .OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor ' Approved by: ~'(-~Ralpla/Huey'D~~) Issue Dale Bakersfield, CA 93301 .,. OmceofEvironme~Services ~ Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: ·June 30. 2003 .... ,.:_: · ,. ,-.. ,- ..' . ;.~ ;:'-',.':' . Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ....... This permit is issued for the following: .... Materials Plan ..... /~i~'~i(:~(,!,~!~!iil;iiiii::::?::?~i}iiii~,~ ,~i}ii!ii!iiii~, ii}!iiiiiiii?~iiiiii!"ii~'i~!O~erground Storage of Hazardous Materials PERMIT ID# 015-021001538 ,=~i'~ ~: ~:,~,~': .......... ::.~,~,~,~ ~. i! :~,,,, ~-::~! ::, ~,.,,,i :: nt Program -: W,!i:~i= RVi:i~::~ ............. .--:~ ,i: ;!%?:;~::,i?i~? :,~,~3i; ~i,&:.: :::% ?:~, '"' ~ , k'[. ~#'".L ..........:~::] ' ' =: ~ !~ .,,;~' ~? .~,=,,' d ~ .2~'~ ~ ~d..:' .' ~ ~'% ~: ~ ~". % '~ ........ ~ ..~ ...:..." ,.][[~:~ ~ ~r a~, ', ~ ~ Issu~ by: ~ B~ersfield Fke Depa~ment Approved by: ~~~~' OFFICE OF E~R O~AL S~ ~CES 1715 Chewer Ave., ~rd Floor B~e~fiel~ CA 9~01 ~Voice (805) 326-3979 -'~-~ (805)32~576 Expiration Date: June 30, 2000 ITE DIAGRAM ~ FACILITY DIAGRAM For Office U~e Only First In Stction: Arec] Mca # of k~ ~ %'- ' - - ' ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301 FACILITY NAME"~0..M A ~ { ~ P~'~I A'~O'i'L· INSPECTION DATE q-lO'OX ADDRESS I0~0 e~$'~e;C'K~ ' PHONENO. ~qq~q9 FACILITY CONTACT- ~P Y~~ BUSINESS IDNO. 15-210- j ~y~ ~SPECTION TIME ~ NUMBER OF EMPLOYEES 7 Section 1: Bu~ines~ Plan ~nd Invento~ Program Romine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaim ~ Re-inspection OPERATION COMMENTS Appropriate pe~it on hand Business plan comact info~ation accurate Visible address Co~ect occupancy Verification of invemo~ materials Verification of quantifies Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat ffaining Verification of abatemem supplies and pr~edures Emergency procedures adequate Containers properly labeled ~ Housekeeping ~ , ~ Site Diagram Adequate & On Hand C=Compliance V=Violation ~~_~~]~ Any hazardous waste on site?: ~ Yes [~] No Explain: L~.]d_.~/'a..,t~'~j/~-/]--g"~?~'"~ r~ ~ Questions reg~ding ~is ~s~cfion? Ple~e call us at (661) 326-3979 B~ne~ Site Responsible Pa~y Inspector: White- EnD. Svcs. Yellow- S~tion Copy Pink Business Copy ~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE IO'~'c~- ,2-oo2.~ ADDRESS ~_ 03 o Ft.,e; ,L. '-- PHONE NO. 3-9- ct "' q'3 ff' ) FACILITY CONTACT_ ~Ye~ ~°r r i e*-.a BUSINESS ID NO. 15-210- © o J ~ ?,~ INSPECTION TIME 20 ~ ~,;, NUMBER OF EMPLOYEES /-"it Section 1: l~usiness Plan and Inventory Program [~outine I~ Combined [~ Joint Agency I~ Multi-Agency ~.] Complaint I~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material t/ Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste o~ site?: {~]'Yes {~] No Questions regarding this inspection? Please call us at (661) 326-3979 BUSl~efi~/~te R~'g~F~Ie Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~,, rA---4'- ~0~'aJi~ ~ o--"- INSPECTION DATE l 0- °t ADDRESS ~03 O ~'{,,e~-e~- PHONE NO... 7,2-4 '-ce ~ FACILITY CONTACT ~'~-~.. t°¢..-io.-q ....... BUSINESS ID NO. 15-210:. OD INSPECTION TIME__,,~ O ~.,: ~,~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program '[~Routine [~1 Combined I~ Joint Agency I~l Multi-Agency ~.] Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address [,/ Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material t./ Verification of MSDS availability ~ 0 . ~ a., "'- 9 --.----- ~._ Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping t/ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazard°us wt~ste °n site?: ~[Yes [~] N° Explain: /~".J~', p r~.e:z~_ Questions regarding this inspection? Please call us at (661) 326-3979 Busi~[Ss/~ite Responsible Party White- En¥. Svcs. Yellow- Stat,on Cory BRYANT RADIATOR SALES AND SERVIC~ SiteID: 015-021-001538 'r~0 Manager : ~C? ~b BusPhone: (661) 324-4343 Location: 1030 CHESTER AV~. r~ City : BAKERSFIELD ,~V~~.~__ MaPGrid:: 31A103 FacUnits:C°mmHaz: Moderatel AOV: CommCode: BAKERSFIELD STATION~"'~g~~,~ SIC Code:7539 EPA Numb: ~O~9~ DunnBrad: E~erqe~cy~Contact / Title Emergency Contact / Title Business Phone: (661) 324-4343x , Business Phone: (661) 324-4343x 24-Hour Phone : (661) ~.~3~ ~'~ ~ 24-Hour Phone : ( ) - x Pager Phone : ~7)~2~,-~3~x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 324-4343x MailAddr: 1030 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 Owner ~7~V ~-~/'~wz~ Phone: (661) Address : /~'~-~-~F~ ~ State: CA City : BAKERSFIELD Zip Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List 9 -- As Designated Order Ail Materials at Site ~ Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax Iunit MCP ANTIFREEZE F DH L 48.00 GAL Low SODIUM HYDROXIDE F IH DH S 300.00 LBS Mod OXYGEN F IH DH G 2000.00 FT3 Low ACETYLENE E F P IH G 350.00 FT3 Hi SODIUM HYDROXIDE F IH DH L 500.00 GAL Mod I, ~7-,8.~' ~,~ Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials ma~age- for_L~ ~ ~,v- ~"~ ment plan ~7--- and that Jt along with (Name ~ any corrections constitute a complete and correct man- agement plan for r~y facility. .... ./?" lO/16/2ooo Signature Da~e BRYANT RADIATOR SALES AND SERVICE SiteID: 015-021-001538 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~UIVUVlU~ ~Vl~ / ~i ~aJ~ ~Vl~ ,., ANTIFREEZE Days On Site 354 Location within this Facility Unit Map: Grid: S WORK AREA - RADIATOR REMOVAL AREA CAS# 107-21-1 STATE i TYPE i PRESSI/RE i TEMPERATI/REI CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Containerl.00 GAL I Daily Maximum48.00 GAL I Daily Average24.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Ethylene Glycol N 107211 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE REAR S IN CONTAINMENT AREA CAS# 1310-73-2 ~ STATE -- TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Ambient Pure Ambient DRUM/BARREL-METALLIC Solid AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 LBSI 300.00 LBS 300.00 LBS HAZARDOUS COMPONENTS %Wt. R~oRB CAS# 100.00 Sodium Hydroxide 1310732 HAZARD ASSESSMENTS TSecretI ~SIBioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod -2- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE SiteID: 015-021-001538 = Inventory Item 0003 Facility Unit: Fixed Containers at Site ~lVUVl~ ~Vl~ / ~1 ~_/-k.L.~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE WORK AREA AT EACH WORK STATION CAS# 7782-44-7 F STATE T TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Pure Above AmbientI Ambient PORT PRESS CYLINDER Gas . . AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 2000.00 FT3 1200.00 FT3 HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Oxygen, Compressed 7782447 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount EPA HazardsNo N No No/ Curies F IH DH NFPA I USDOT# MCP = Inventory Item 0004 Facility Unit: Fixed Containers at Site ~UIVUvlu~ ~vl~ / ~ 1 ~.Z--LI_, ~vl~ ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: N WORK AREA INSIDE BEHIND GARAGE DOOR AREA CAS# 74-86-2 F STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 350.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS 100.00 Acetylene 74862 TSecretl ~ I HAZARD A~SESSMENTS ] S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Hi -3- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE SiteID: 015-021-001538 ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~U~UvI~ ~Vl~ / ~l ~-~-~ ~Vl~ SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE CONTAINMENT AREA CAS# 1310-73-2 [ STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure ]Ambient I Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 55.00 GALI 500.00 GAL 350.00 GAL %Wt. S CAS# 100.00 Sodium Hydroxide N 1310732 HAZARD ASSESSMENTS TSecret ~S]BioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod 4 10/16/2000 F BRYANT RADIATOR SALES AND SERVICE SiteID: 015-021-001538 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 09/19/1995 NOTIFY EMERGENCY HELP BY DIALING 9-1-1 AND 1-800-852-7550 IF A RELEASE OF HAZARDOUS MATERIALS. -- Employee Notif./Evacuation 11/30/1999 VERBAL NOTIFICATION BY OWNER OR FELLOW EMPLOYEE WHO FIRST NOTICES PROBLEM OR SPILLAGE, FIRE, OR WHATEVER HAZARD, EVACUATING TO NEAREST EXIT, ONCE OUTSIDE OF BLDG, ALL EMPLOYEES ARE TO MEET AT THE NW CORNER OF BUSINESS LOT. Public Notif./Evacuation 09/19/1995 ONCE EVERYONE IS OUTSIDE OF SHOP WE ARE TO NOTIFY ANY PERSON OR BUSINESS THAT MAY BE AFFECTED BY THE HAZARD. Emergency Medical Plan 11/30/1999 DEPENDS ON SERIOUSNESS OF PROBLEM IF MINOR GO TO MSDS BINDER, MORE SERIOUS CALL 9-1-1 AND TELL THEM OF EMERGENCY KEEPING MSDS CLOSE AT HAND IN CASE EMERGENCY CREWS DO NOT KNOW HOW TO TREAT HAZARDOUS MATERIAL. COMPANY DOCTOR: DR WILLARD B CHRISTIANSEN, 2021 22ND ST, 327-9617 AMBI/LANCE: HALL AMBULANCE 327-4111 HOSPITAL: MEMORIAL HOSPITAL 420 34TH ST 327-1792 -5- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE ~~~ SiteID: 015-021-001538 i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release Prevention ~~~~~~~ 02/14/1995 o HAZARDOUS MATERIALS ARE STORED IN A CONTAINMENT AREA. OXYGEN CYLINDERS ARE CHAINED TO THE WALL. HAZARDOUS MATE~ALS ~NDLING AND SAFETY ARE TAUGHT, FOLLOWED AND REVIEWED. o i~ Release Contai~ent ~~~~~~ 02/14/1995 i o HAZARDOUS MATE~ALS ARE STORED IN A CONTAINMENT AREA WHICH INCLUDES CU~ING FOR SPILLED LIQUID. o o i~ Clean Up ~~~~~~~~ 02/14/1995 o MOPS AND ABSO~ENT ARE AVAILABLE. o i~b~ Other Resource Activation ~E~b~E~E~E~~E~~E~Eb~Ei o o -6- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE ~~/~/~~ SiteID: 015-021-001538 i~ Site Emergency Factors ~~~~~~ Overall Site i i~ Special Hazards o o i~ Utility Shut-Offs ~fi~fi~~~fifi~fi~~ 02/14/1995 o A) GAS - OUTSIDE, REAR CENTER OF BLDG E SIDE B) ELECT~CAL - INSIDE, REAR OF BLDG o C) WATER - IN ALLEY BEHIND SHOP o D) SPECIAL - NONE E) LOCK BOX - NO O iEE~E Fire Protec./Avail. Water EEEEEEEEEE~EEEEEEEE~EEEEEEEEEEEEEEE 11/30/1999 i o P~VATE FI~ PROTECTION - 4 FIRE EXTINGUISHERS. o o O NEAREST FIRE HYD~NT- 777777~77 ~¢~ ~S '%~ O~qeq~ a~eeeee~eeeeeeeeeee~eeeeeeeee~e~eeeeeee~eeeeeeee~eeeeeeeee~eeeeeeee~ee~ i~ Building Occupancy Level o -7- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE i~ Training ~~~~~~~~ Overall Site i i~ Employee Training ~/~/~/~/~/~~/~/~~ 11/30/1999 i o WE HAVE 4 EMPLOYEES AT THIS FACILITY. ° o WE DO HAVE MSDS SHEETS ON FILE. o o BRIEF SUMMARY OF TRAINING PROGRAM: WHEN A NEW EMPLOYEE STARTS WORK WE o INFORM THEM OF THE LOCATION OF OUR MSDS BINDER, WE TOUR THE SHOP, WE SHOW ° THEM THE POSTED EVACUATION PLAN AND DISCUSS IT. THE NEW EMPLOYEE THEN GOES o THROUGH OUR SAFETY PROGRAM WHICH INCLUDES HAZARDOUS MATERIAL HANDLING, SHOP SAFETY, VEHICLE SAFETY. AT THE CONCLUSION OF THE SAFETY PROGRAM THEY GO TO o MAKE SURE THEY ARE FOLLOWING SAFETY PROCEDURES WHICH INCLUDES HAZARDOUS o MATERIAL HANDLING. WE HAVE MONTHLY SAFETY MEETINGS. o o o o i~i~ Held for Future Use o o i~ Held for Fumre Use O o -8- 10/16/2000 BRYANT RADIATOR SALES AND SERVICE ~ .... SiteID: 215-000-001538 Manager BusPhone: (805) 324-4343 [i"'0!~0 ~9~p Map : 103 CommHaz : Moderate : Location: 1030 CHESTER AVE _ City : BAKERSFIELD .... "'-' ..... Grid: 3lA FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 ~ '''-"';2~IC Code:7539 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title R055~o~¢_~ / OWNER EMILIO FLORES / SHOP FOREMAN Business Phone: (805) 324-4343x Business Phone: (805) 324-4343x 24-Hour Phone : (805) 5~q~%~7~x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 1030 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 ~Owner ~o55 ~u~c~ ~.. ~ Phone: (805) 5~q-~,~.c ~Address : %~0~[~o~5~ ~o~o State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: 1 10/04/1999 BR¥~T RADIATOR SUES MD SERVICE SiteID: 215-000-001538 ~ Hazmat Inventory By Facility Unit -- As Designated Order Fixed Containers at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm I DailyMax IUnit MCP ~TIFREEZE F DH L 48 GU Low SODI~ HYDROXIDE F IH DH S 300 LBS Mod OXYGEN F IH DH G 2000 FT3 Low ACETYLENE F P IH G 350 FT3 Hi SODI~ HYDROXIDE F IH DH L 500 GU Mod 2 10/04/1999 BRYANT RADIATOR SALES AND SERVICE SiteID: 215-000-001538 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lVUVlU~ ~Vl~ / ~1 ± ~ ~Vl~ ANTIFREEZE Days On Site 354 Location within this Facility Unit Map: Grid: SOUTH WORK AREA - RADIATOR REMOVAL AREA. CAS~ 107-21-1 Liquid Pure Ambient Ambient PLASTIC CONTAINER Largest Container Daily Maximum Daily Average GAL 48.00 GAL 24.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Ethylene Glycol 107211 HAZARD ASSESSMENTS TSecretl ~S BioHazl Radioactive/Amount EPA Hazards NFPA I USDOT~ I MCP No N No No/ Curies F DH / / / Low = Inventory Item 0002 Facility Unit: Fixed Containers at Site ~lVUVlU~ ~Vl~ / ~± ~ ~Vl~ SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE REAR SOUTH IN CONTAINMENT AREA CAS# 1310-73-2 F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Solid /Pure Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average LBSI 300.00 LBS 300.00 LBS HAZARDOUS COMPONENTS %Wt.I ~S CAS# 100.00 Sodium Hydroxide N 1310732 HAZARD ASSESSMENTS I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N° No No/ Curies F IH DH / / / Mod 3 10/04/1999 BRYANT RADIATOR SALES AND SERVICE SiteID: 215-000-001538 = Inventory Item 0003 Facility Unit: Fixed Containers at Site OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE WORK AREA AT EACH WORK STATION CAS# 7782-44-7 F STATE ~ TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 2000.00 FT3 1200.00 FT3 HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Oxygen, Compressed 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards I NFPA USDOT# MCP No N° No No/ Curies F IH DHI / / / Low = Inventory Item 0004 Facility Unit: Fixed Containers at Site ~lVUVl~ ~Vl~ / ~lVll ~.PkJ_~ ~Vl~ ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NORTH WORK AREA INSIDE BEHIND GARAGE DOOR AREA CAS# 74-86-2 F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 350.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS %Wt. R~NoRS~ CAS# 100.00 Acetylene 74862 ~ HAZARD ASSESSMENTS I S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Hi -4- 10/04/1999 ~ BRYANT RADIATOR SALES AND SERVICE SiteID: 215-000-001538 = Inventory Item 0005 Facility Unit: Fixed Containers at Site ~[v~vl~ ~vl~ / ~~_/.-k~ ~vl~ SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE CONTAINMENT AREA CAS# 1310-73-2 STATE -- TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid Pure Ambient Ambient DRUM/BARREL-METALLIC I I AMOUNTS AT THIS LOCATIONI Largest Container Daily Maximum Daily Average GAL 500.00 GAL 350.00 GAL HAZARDOUS COMPONENTS 100.00 Sodium Hydroxide N 1310732 HAZARD ASSESSMENTS MCP TSecretI ~SIBioHazI Radioactive/Amount EPA Hazards NFPA I USDOT# No N No No/ Curies F IH DH / / / Mod -S- 10/04/1999 F BRYANT RADIATOR SALES AND SERVICE SiteID: 215-000-001538 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 09/19/1995 NOTIFY EMERGENCY HELP BY DIALING 9-1-1 AND 1-800-852-7550 IF A RELEASE OF HAZARDOUS MATERIALS. -- Employee Notif./Evacuation 09/19/1995 VERBAL NOTIFICATION BY OWNER OR FELLOW EMPLOYEE WHO FIRST NOTICES PROBLEM OR SPILLAGE, FIRE, OR WHATEVER HAZARD, EVACUATING TO NEAREST EXIT, ONCE OUTSIDE OF BUILDING, ALL EMPLOYEES ARE TO MEET AT THE NORTHWEST CORNER OF BUSINESS -- Public Notif./Evacuation 09/19/1995 ONCE EVERYONE IS OUTSIDE OF SHOP WE ARE TO NOTIFY ANY PERSON OR BUSINESS THAT MAY BE AFFECTED BY THE HAZARD. Emergency Medical Plan 09/19/1995 DEPENDS ON SERIOUSNESS OF PROBLEM IF MINOR GO TO MSDS BINDER, MORE SERIOUS CALL 9-1-1 AND TELL THEM OF EMERGENCY KEEPING MSDS CLOSE AT HAND IN CASE EMERGENCY CREWS DO NOT KNOW HOW TO TREAT HAZARDOUS MATERIAL. COMPANY DOCTOR: DR. WILLARD B. CHRISTIANSEN, 2021 22ND ST. 327-9617 AMBULANCE: HALL AMBULANCE 327-4111 HOSPITAL: MEMORIAL HOSPITAL 420 34TH ST 327-1792 6 10/04/1999 i BRYANT RADIATOR SALES AND SERVICE ~~~~ SiteID: 215-000-001538 i~ Mitigation/Prevent/Abatemt ~~~~~~~ Overall Site i~ Release Prevention ~~~~~~~~~ 02/14/1995 O o HAZARDOUS MATERIALS ARE STORED IN A CONTAINMENT AREA. OXYGEN CYLINDERS ARE o CHAINED TO THE WALL. HAZARDOUS MATERIALS HANDLING AND SAFETY ARE TAUGHT, o FOLLOWED AND REVIEWED. O i~ Release Containment ~~~~~~~~~ 02/14/1995 O o HAZARDOUS MATERIALS ARE STORED IN A CONTAINMENT AREAWHICH INCLUDES CURBING o FOR SPILLED LIQUID. O 0 o MOPS AND ABSORBENT ARE AVAILABLE. O 0 0 -7- 10/04/1999 i BRYANT RADIATOR SALES AND SERVICE ~~~~ SiteID: 215-000-001538 i~ Site Emergency Factors ~~~~~~~~ Overall Site O O O o A) GAS - OUTSIDE, REAR CENTER OF BLDG E SIDE o B) ELECTRICAL - INSIDE, REAR OF BLDG o C) WATER - IN ALLEY BEHIND SHOP o D) SPECIAL - NONE o E) LOCK BOX - NO O i&&&& Fire Protec./Avail. Water &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& 02/14/1995 O o PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS O O O o NEAREST FIRE HYDRANT - ??????????? O O O 8 10/04/1999 BRYANT RADIATOR SALES AND SERVICE ~~~~ SiteID: 215-000-001538 i~ Training ~~~~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~~~ 02/14/1995 WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WHEN A NEW EMPLOYEE STARTS WORK WE INFORM THEM OF THE LOCATION OF OUR MSDS BINDER, WE TOUR THE SHOP, WE SHOW THEN THE POSTED EVACUATION PLAN AND DISCUSS IT. THE NEW EMPLOYEE THEN GOES THROUGH OUR SAFETY PROGRAM WHICH INCLUDES HAZARDOUS MATERIAL HANDLING, SHOP SAFETY, VEHICLE SAFETY. AT THE CONCLUSION OF THE SAFETY PROGRAM THEY GO TO MAKE SURE THEY ARE FOLLOWING SAFETY PROCEDURES WHICH INCLUDES HAZARDOUS MATERIAL HANDLING. WE HAVE MONTHLY SAFETY MEETINGS. -9- 10/04/1999 BAKERSFIELD CITY FIRE DEp TMENT H~.ARDOUS MATERIALS DIVISION 1715-CHESTER AVE: SEP 6 1994 BAKERSFIELD, CA. 93301 H~RDOUS ~AGEMENT P~N ~:/u~ ~T ANSWERS iN = '~" ,Answer the cues?ions ~elow for the Dusiness cs ~ whole. 5e Drier cnc~cc~c~e cs - ~J'FltZ~ ~,~,=.~*~--. Cfi ziP. ~/. ~HONE: '~ ;~,~,. A~,IV~I,. SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 2~. HR. PHONE SECTION 3: TRAINING: NUMBER CF EMPLOYEES: ¢ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: O& T~' £/]Y~ 174f92c,,4~''~ '7'-tP~' ~o To i.~o/zl~ , ,¢,..o ,...~ ,,'-,¢T~t-/ 7,q'eY',, '7-~ SECTION ~.: EXEMPTION REQUEST: CERTIFY UNDER PENALTY OF PERJURY THATMY BUSINESS IS EXEMPT FROM THE 'RE?ORTING REQUIREMENTS CF CHAPTER 6.95 OF THE :'CAL[FORNIA HEALTH & :,~Fz: ,,,_.,..,,....,..~'"'m'-" FC.R tH.'- r'CLLQWINGn~,'-k~NS'"" ~'"" ' 'NE DO NOT HANDLE HAL&RE)GUS MATERIALS. WEOO,,ANDL= HAZARDCUSMATERIALS, BUT i m,"- QUANTiTIES AT NO TiMEEXCEED -HE MINIMUM RE?ORTiNG QUANTITIES. ~,1, ,ER (S?EC',FY 'REASON) SECTION 5' CERTIFICATION' I, ~J:m ~-_Frbr4fl. t" J,,,3. CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILLSEUSED FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH ANO SAF5~ CODE" ON HA~ROOUS MATERIALS (DIV. ~0 CHA~TER 5.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~ - ~iGNATURE~ ~ TITLE DATE ..... Fccilify Unit Nc:me: SECT[CN ~: NOTIFICATICN AND E"/ACUAT[CN PROCEDURES: · . Bak~rsfieidF[re Dept.~l ~,., ~, HAZARDOUS MATERIALS MANAGEMENT PLAN SECTICN 7: MITIGATI©N, ?REVENTICN AND ABATEMENT PLAN: A. ~z_zA ? RE"/ENTiC N STEFS' .2c,zA,~=.CCNTA1NMENT AND/OR MINIMIZATION: SECTION $: UTILITY SHUT-OFFS ~' '-'"' '" ~'~a, - , AC~LITY) SECTION 9: PRIVATE FiRE PROTECTION/WATER AVAILABILITY: A. ?RIVATE FiRE PROTECT[ON: ~ f//~, ~34¢z~t~d'//~¢~' WATER AVAILABILITY (FiRe H, ORAN~ BAKEH~FIELD CITY FIRE DE~I~RTMENT BAKERSFIELD, CA. 93301 (805) 326-3979 H~ARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK iF BUSINESS IS/~ARM [ ] BUSINESS NAME ' ,D/~"//~ FAClLIW NAME SiC CODE ~¢ ~ ~ DUN & B~DSTREET NUMBER EMERGENCY CONTACTS BAKERSFIELD Cl'i FIRE DEPARTMENT HAZA IIOUS MATERIALS INVEN'I IY CHEMICAL DESCRI~ION 1) IN~NTORY STA~S: New ~Addition { ] Revision [ ] Deletion [ ] Check if chemic~ is a NON ~DE SECR~ ~ ~DE SECR~ 4) PHYSICAL & H~L~ j PHYSICAL H~L~ H~RO CA~GORIES Fire [~ Reactive [ ] Sudden Rele~e of Pressure [ ] Immedi~e He~h (Ac~e) [~ Delayed He~h (Chronic) 5) WAS~ C~SSIFICA~ON (3-digit code from DHS Fo~ ao~) USE CODE 0 ~ 6) PHYSICAL STA~ Solid [ ] Uquid ~ G~ [ ] Pure [ ] M~ure [~W~te [ ] R~io~e [ ] 7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES Average D~Iy Amount: ~ ¢ curies [ ] b) Pressure: Annu~ Amount: ~ ~? 0 c) Tem~r~ure: ~gest Size Contaner: ¢ Days On Site ~ 5/ Circte~ich Months: ~J. F. M. A. M. J. J. A. S. O. N. chemlc~ com~nen~ or 3) GMEMIGAL 1) IN~NTORY STA~S: New [~Add~ion [ ] Re,sion [ ] Deletion [ ] Che~ E chemi~ is a NON ~DE 8~R~ ~DE SECR~ 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire [ ] Restive ~ Sudden Rets~e of Pressure [ ] Immedi~e He~th (Ac~e) 5) WAS~ C~SSIFICATION (~igit code kom OHS Fo~ 8022) USE CODE 0 ~ 6) PHYSICAL STA~ Solid ~ Uquid [ ] G~ [ ] Pure [¢~Mi~ure [ ] W~te [ ] Radioa~ive 7) ~ouN~ *N~ T~e AT ~C~U~ UN~TS~ ~SU~E 8) STOOGE CODES M~,mumO~lyAmount: ~ lbs [~g~ [ ] ~3 [ ] a) Cont=ner: Avenge Only Amount: ~O curies [ J. b) Pressure: Annu~ Amount: ~ c) Temper~ure: ~gest Size Confiner: ¢ Days On Site ~ ~ Circte~ich Months: ~llYe~ J, F, M, A, M, J, J, A, O, N, D 9) MITRE: Us~ COMPONENT CAS ¢ % ~ ' AHM the three most h~dous 1 ) [ c~emi~ com~nen~ or ,. ~y AHM com~nents 2) [ 3) [ , ce~ un~ er pen~ ot ~aw, ~at t have ~e~ona~ty ex~n~ ~ ~ t~m~ wi~ ~e ~ntoma~o~ su~mi~ On ~is ~ ~I ~RI~ Name & ~Ee of ~onZ~ Com~y ~epresen~w ~ S~na~re ~ · f 9. BAKERSFU LD CITY FIRE DEPAI MENT ~., ~ HAZARDOUS MATERIALS INVEN'i'~RY Page__of__ usiness Name Address CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New [t~Addition [ ] Revision [ ] Deletion [ ] Check if chemical is & NON TRADE SECRET [ ~V"TRADE SECRET [ ] 0ommon Name: 43 .X' ,' 3) DOT * 4) PHYSICAL & HEALTH PHYSICAL HEAL~ HAZARD CATEGORIES Fire. { ] Reactive { ] Sudden Release of Pressure [~' immediate Health (Acute) [~J' Delayed HeaJth (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE .~_ 6) PHYSICAL STATE Solid [ ] IJquid [ ] Gas [~f Pure [U~ Mixture [] Waste [] Radioactive [ ] 7) AMOUNT AND TIME AT FACIliTY UNITS OF MEASURE 8) STORAGE CODES MaxJmum Daqy Amount: 1~ Ib~ [ ] gal [ ] it3 ['~ a) Container: Average Daily Amount: 74:?~ curies [ ] b) Pressur.e: Annuat Amount: 2 '~'~0 C) Temperature: LaJ'cjest Size Container: # DaysOnSite .~,*~J"" Circle Which Months: ~J, F, M, A, M, J, J,'~/~, S, O, N, D 9) MIXTURE: L/st COMPONENT CAS # % WT AHM the three most hazardous 1 ) [ ] chemicaJ components or any AHM components 2). [ ] CHEMICAL DESCRIPTION I) INVENTORY STATUS: New [[fl~Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [~DE SECRET [ ] 2) Common Name: /~ C e~ yc e~?' ~"/'hyx*d (~;, Itz 3) DOT # (optional) 4) PHYSICAl-& HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~'"' Reactive [ ~Sudden Release of Pressure [~""'"' Immediate HeaJth (Acute) Ilar Delayed HeaJth (Chronic) [ ] WASTE CLASSIFICATION (3-dicjit code f~om DHS Form 8022) USE CODE 5) 6) PHYSICAL STATE Solid [] Liquid [ ] Gas [u~ Pure [I/]"' Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Max,mum Daily Amount: l~'-0 lbs [ ] gaJ [ ] ~ a) Container: 0 Average Daily Amount: j':20 curies [ b) Pressure: :2. Annuai Amount: ij~'O ,~, ~ c) Temperature: Largest Size Container: # Days On Site ';{1~ ,~ Circle Which Months: (~AILYear.~J. F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1) [ ] chemical components or a~y AHM components 2) [ ] 3) [ ] 10) Location )¢~l.rffj/.)t~ ~&r~fy under ~en~ of/aw, that I have personally examined enct am faro#let wi~h the infoma~on suDm~rte~ on this and ail attache~ Oocumen~s. I believe C~INT Name & Title of Authorized Company Representative L,," ~gnature ' ~ -- ~/ Date BAKERSFIELD CITY FIRE DEP/ TMENT H OUS MATERIALS INVEN'I RY Business Name Address CHEMICAL DESCRI~ION 1) IN~NTORYSTA~S: New [~Add~ion[ ] Revision[ ] ~letion[ ] Check~chemi~isaNON~DESECR~ [~DESECR~ [ 4) PHYSICAL & H~L~ PHYS:CAL H~L~ H~RD CA~GORIES Fire [ ] Reactive [~ Sudden Relate of Pressure [ ] Immedi~e He~h (Acme) [~ Delayed He~h (Chronic) [ ] 5) WAS~ C~SSIFICA~ON .(3-digit code from OHS Fo~ 8022) USE CODE ~ ~ 6) PHYSICALSTA~ Solid [ ] Liquid [~ G~ [ ] Pure [ ] U~ure ~ W~te [ ] R~ioa~Ne [ ] 7) AMOUNT AND ~ME AT FACIU~~ UNITS OF M~RE 8) STOOGE CODES Average O~ly Amount: ~0 curies [ ] b) Pressure: Annu~ Amount: ~ c) Tem~r~ure: ~gest Size'Contaner: ~ ~ ~ Days On Site ~ Circle~ich Months: ~Ye~, F, M, A, M, J, J, A. S, O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ AHM the three most h~dous 1) [ ] chemi~ com~nen~ or ~y AHM com~nents 2) [ ] 3) [ ] CHEMICAL DESCRI~ION 1) INVENTORY STA~S: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check ~ chemi~ is ~ NON ~DE SEcR~ [ ] ~DE SEcR~ [ 2) common N~e: 3) ~T · (option~) Chemica Name: AHM [ ] CAS 4) PHYsIcAL & H~L~ PHYslcAL ~RO O~GORIES Fire [ ] Reactiw[ ] Sudden Rele~eof Pressure [ ] Imme~i~e~e~h %c~a) [ ] ~layed He~h (ch~n~) [ ] 5) WAS~ C~SSIFICA~ON ,(~digit code ~om OHS Form s022) USE cODE 6) PHYsICALSTA~ Solid [ ] Liquid [ ] G~ [ ] Pure [ ] ~i~ure [ ] W~te [ ] Radio~ive [ ] 7) AMOUNT AND TiME AT FACIO~ UNITs OF M~sURE 8) STOOGE CODES M~mum Daily Amount: Ihs [ ] g~ [ ] ~3 [ ] a) Confiner: Average oaly Amount: curies [ ] b) Pressure: Annu~ ~moum: c) Tem~r~ure: ~gest Size Container: · Dsys On Site Circle ~ich Months: NI Ye~. J, 6. M, A, M, J. J, A, S. O. N. O 9) MITRE: Ost COMPONENT CAS · % ~ ~M the three most h~dous I) [ ] chemi~ com~nen~ or ~y ~HM com~nents ~) [ ] 3) [ ] 10) Lo~jon ce~P unOer pen~ of law, ~at i have personailY examm~ ~d ~ f~iii~ wi~ ~e infoma~on suOmi~ on ~is ~0 ~I a~ch~ Oocumen~. I be#eve submi~ info~a~on is ~e, accumte, ~0 complete. PRINT Name & title of AuthonZed Company RepresentaOve Signature Date BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715-CHESTER BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return ibis form within 30 days of receipt. · 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a w~ole. ~. Be brief and concise as po~ible. RECEIVED SECTION 1' BUSINESS IDENTIFICATION DATA AUG 2 i .i995 DUN ~ BRADSTR~'ET NUMBER: SiC CODE: OWNER' Z~' i~ ~~c ~' 7T~ SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24. HR. PHONE Bakersfield Fire Dept ~-tazardous 1V~aterials Div/siom HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: zT~ ' MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM' SECT[ON 4: EXEMPTION REQUEST: 1 CERTIFY UNDER PENALTY OF PERJURY THAT-MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE OD HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TiMEEXCEED THE MINIMUM REPORTING QUANTEtES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION- I. &c.,F?'~ ?/Z£,~,7'1c,,,' Fr~,,,,z/- d/z, CERTIFY THAT THE ABOVE INFOR- MATION iS ACCURATE. I UNOERSTANO THAT THiS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE!' ON HAZAROOUS MATERIALS (DIV. 2a CHAPTER 6.95 SEC. 2550a ET AL.) ANO TH,&.T INACCURATE INFORMATION-CONSTITUTES PERJURY. TITLE DATE. · ..... Bakersfield F~e Dept. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES' A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: O, EMERGENCY MEDICAL PLAN: B~kersfietd FLre Dept.~I Hazardous Materials Diw/sion ....... -' ' - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: B. RELEASE-CONTAINMENT AND/OR MINIMIZATION: bt fl' o tz O~.zr4..~..~.,-~r ,,}~t-~ 0 ~,7~r~,~ SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY')' C' NATURAL GAS/PROPANE: ELECTRICAL: J~,~t~ 0'r ~'~,-, SFSC[AL: LOCK~OX: YES~ %FYES, LOCAT[ON: SECTION 9: PRIVATE FlEE PROTECTION/WATER AVAILABILITY: 8, WATER AVAILABILITY (FIRE HYDRANT): " : BAKEP~FIELD CITY FIRE DE~RTMENT HAZARDOUS MATERIALS DIVISION ...~. 1715 CHESTER'AVE, BAKERSFIELD, CA. 93301 (805) 326-3979 , HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESSISAFARM [ ] BUSINESS NAME ~/~Y/~ T /'~/¢,¢/.,¢/'~//- ,.~/.,"~, r_..:e FACILITY NAME ~/E,/'/~v 7'- /~/~/]/,,¢,,~/L SiTE ADDRESS I0.~ ~ Ct./'EO"-'rT~ /¢(/(" SiC CODE '"'7 .)"'..,7 ~' DUN & BRADSTREET NUMBER MAILING ADDRESS crn' ¢,~/~rL~'~:~¢ STATE EMERGENCY CONTACTS BUSINESS PHONE (OC'D~') JZ,~' qZ~.~ 24-HOUR PHONE ~") BAKERSF LD CITY FIRE DEPARTMENT · HAZAI DOUS MATERIALS INVEN'I Y .:,, ;usinessName ~Y~ ~/~. ' Addre~ /~ ~[~x ~'- ~.J~ CHEMICAL DESCRI~ION "~ · ?' *:."~:~ .' 1) IN.TORY STA~S: New [ ] Addition [ ] Re.sion [ ] ~letion [ ] Check ~ chemica is a NON ~DE S~R~' ~DE S~R~ .[ ] 4) PHYSICAL & H~L~ / PHYSICAL H~L~ H~RD CA~GORIES Fire [~ Reactive [ ] Sudden Rele~e of Pressure [ ] lmmedi~e He~h (Ac~e) [~ Delay~ He~ (Chronic) [ ] 5) WAS~ C~SSIFICA~ON (3~igit code from DHS Fo~ 8022) USE CODE ~ ~ 6) PHYSICALSTA~ Solid [ ] Uquid [~ G~ [ ] Pure [ ] M~ure [~ W~te [ ] R~io~e [ ] 7) AMOUNT AND ~ME AT FACIUW UNITS OF M~RE 8) STOOGE CODES Average Daiy Amount: ~ ~ cunes[ ] b) Pressure: Annu~ Amount: ~ c) Tem~r~ure: ~est Size'Contaner:/- ~ ~Oa~OnSite '~ ~ Circte~ichMonths: ~ J, F, M, A, M, J, J, A, S, O, N, D 9) MITRE: Ust % ~ ~M anyAHM ~om~nenls 2) I[t vc cvcoc ZO ZV-FZ- 7 3) [ ] CHEMICAL DESCRI~ION 1) IN~NTORY STA~S: New [ ] Add,ion [ ] Remsion [ ] Deletion [ ] Check ~ chemi~ is a NON ~DE 8~R~ ~DE SECR~ [ ] 4) PHYSICAL & H~L~ PHYSICAL / H~ H~RO CA~GORIES Fire [~ Rea~ive [~ Sudden Rele~e of Pressure [~ Immedi~e He~h (Ac~e) [ ] ~layed He~h (Chronic) { ] 5) WAS~ C~SSIFICA~ON .(~igit code from DHS Fo~ 80~Q) USE CODE 6) PHYSICALSTA~ Solid [ ] ~uid [ ] G~ ~ Pure ~ M~ure { ] W~te { ] R~ioa~e [ ] 7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE / 8) STOOGE CODES Average Daly Amount: I ~ O cu~es { ] b) Pressure: Annua Amount: ~ c) Tem~re: ~gest Size Confiner: · Da~ On Site ~{" Circte~ich Months: ~Ye~ J. F. M, A, M, J, J, A, O. N, D chemi~ com~nen~ or ~y ~M com~nents 2), [ ] 3) [ ] PRI~ N~e & ~e of ~nz~ Comfy Repre~enm~e -Slgna~m ~ ' BAKERSF LD CITY FIRE DEP.a TMENT...: .. HAZARDOUS MATERIALS INVENTORY Page Z- of -3usiness Name Address CHEMICAL DESCRIPTION ~ 1) INVENTORY STATUS: New { ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET 4) PHYSICAL & HEALTH PHY/~CAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ~ Sudden Release of Pressure [ ] Immediate Healt~ (Acute) [ ~ Delayed Health (Chronic) 5) WASTE CLASS~CATION (3-~g~ ~ode from DHS Fo~ ~=~ USE CO~E 6) PHY$~CALSTATE So~id [ ] Liqu~ ~ ~as [ ] Pure [ ] M~ure ~-d"~Waste [ ] ~io,,,-'~w [ ] 7) AMOUNT AND TiME AT FAClUTY UN~TS OF MEASU,E S) STO~E CODES Maximum Daily Amount: .. Average Oaily Amount: _~ O ~ curies [ ] b) Pressure: ! Largest Size Container: ~ d ~ # Days On Site Circle Which Months: ~Jl Ye.~ J. F. M. A. M. J. J. A. $. O. N. D 9) MIXTURE: List COMPONENT CAS # %O~V~ AHM chemical comlx~nents or 10) Location j~ ~ CHEMICAL DESCRIPTION 1 ) INVENTORY STATUS: New [~Addition [ I Revision ( ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET 2) Common Name: ~J~- ~,"-~7/J~' _?/._~1/) C'~:~ 3) DOT # (optional) ChemicaJ Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [ ] Immediate Heaith (Acute) [ ] DelaYed Health (Chronic) [ 5) WASTE CLASSIFICATION /-~_~"/ (3-digit code from DHS Form ~022, USE CODE 6) PHYSICAL STATE Solid ['v~ Liquid [Z Gas [ ] Pure [] Mixture [l/]/ Waste [L']/ Radioactive [ ] 7) AMOUNT AND TIME AT FAClUTY UNITS/OF MEASURE 8) STORAGE CODES Maximum Daily Amount: /~'~)0 lbs [~J gaJ [] 1t3 [] a) Container. Od Average Daily Amount: ~'O~ cudes [ ] b) Pressure: AnnuaJ Amount: '~'~'~ 0 c) Temperature: Largest Size Container: ' ~,' O~,~ # Days On Site '~5~' Circle Which Months: ~ J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List ~/ COMPONENT CAS # NlM chemical components or ,,., BAKERSFIELD CITY FIRE DEPARTMENT HAZ/ OUS MATERIALS INVEN I)RY Page..~/bf_._~ ' Business Name ~'~",~F~/d~ Addre~ ~0 ~0 C[~f~ ~d~ ~[~1~ ~'~ ff~ ..~ CHEMICAL DESCRI~iON 1) IN~NTORY STA~S: New [ ] Add~n [ ] Revision [ ] ~letion [ ] Check E chemi~ is a NON ~E SECR~ [~ S~R~ [ ] 4) PHYSICAL & H~L~ PHYSICAL H~ H~RD CA~GORIES Fire [~ReactNe ~Sudden Belows of Pressure [~ Immedi~e He~h (Ac~e) [~ ~la~ He~ (Chron.) 5) WAS~ C~SSIFICA~ON .(3-digit code ~om DHS Fo~ 8022) USE CODE 6) PHYSICALSTAm Solid [ ] Uquid [ ] G~ / Pure [~M~ure [ ] W~te [ ] R~io~ [ ] 7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES M~imum Oaiv Amount: *J 5~ I~ [ ] ga [ ] fi3 [~ ~) Con~ne~ Average D~N Amount: j ~ cunes[ ] b) Pressure: Annu~ Amount: 3 ~ c) Tem~r~re: ~gest Size'Contaner: '~ Circle~ich Months: ~J, F, M, A. M, J, J. A. S, O. N, D · Days On Site 9) MITRE: ~st ~ COMPONENT CAS · % ~ AHM thethreemosth~dous 1) .,Cc-'rYL~C i E T iYY~' C [ //~ 7 ~-~- ~ chemi~ com~nen~ or ~y AHM com~nen~ 2) [ ] 3) [ ] CHEMICAL DESCRI~ION 1) IN~NTORY STA~S: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check Echemi~ is a NON ~DE S~R~ [~E S~R~ [ ] 4) PHYSICAL & H~L~ PH~ICAL H~ H~RD CA~GORIES Fire [ ] ResTive ~ Sudden Rele~e of Pressure j ] Immedi~e He~h (Acme) [~ ~l~d He~ (Chron.) ~ ] 5) WAS~ C~SSIFICA~ON .(~igit code from DHS Form 8022) USE CODE ~ ~ 6) PHYSICALSTA~ Solid [/ Liquid [ ] G~ [ ] Pure I/MinuTe [ ] W~te [ ] R~io~ [ ] 7) AMOUNT AND ~ME AT FACIU~ I .'~OF M~SURE e) STOOGE CODES Average Da~ Amount: ~ curies [ ] b) Pressure: Annua Amount: ~ E c) Tem~ure: ~gest Size Cont~ner: ~ ~ · Days On Site ~ Circte~ich Months: ~, F, M, A, M, J, J, A, S, O, N, D 9) MITRE: Ust COMPONENT CAS · % ~ ~M the three most h~dous 1). [ ] chemi~ com~nen~ or ~y AHM com~nen~ ~) [ ] 3) [ ] ce~ under pen~ of law, ~at I have pemon~ly ex~n~ ~ ~ PRI~ N~e & ~e of ~dz~ Com~ Repmsen~e $ig~mm ~ ~- . - ............. CITY of BAKERSFIELD FIRE DEPARTMENT ~ 1715 CHESTER AVENUE M. R. KELLY ~ ~ BAKERSFIELD, 93301 FIRE CHIEF SITE P~N REVIEW/P~N CHECK 326-3911 Re: B~ant Radiator Shop 1030 Chester Occupancy shall be designated as H-4. Contact City Building Department for requirements on this type of occupancy. File or update a business plan with the Bakersfield Fire Department Hazardous Materials Division. Plan shall include provisions for handling of used anti-freeze which shall be approved by Bakersfield Fire Department Hazardous Materials and City Sanitation Department. Fire extinguishers (in cabinets, if outdoors) a. One 2-A10BC extinguisher not to exceed 75 feet travel distance. Building address numbers to be large enough to be seen from the street and on a contrasting background. Piping for natural gas welding operations shall be in compliance with Uniform Fire Code Article 49. If welding is performed within 10 feet of combustibles, non-combustible shields shall be used. A welding/cutting permit shall be required. This permit may be applied for at Bakersfield Fire Department Fire Safety Control Division, 1715 Chester Ave., Ste. #300, 326-3951. Date Typed: 3/3/94 Typed By: dlf cc: Greg Yates/City Fire Department WDPRFPLANSCH EC K: 1030C H ES