HomeMy WebLinkAboutBUSINESS PLAN SITE/FACILITY DI AORA/~
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HMCU-13
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HMCU-13
05/~1/91~ KERN HIGH SCHOOL DIeT M & O 215-000· 001039/ Page 1
Overall Site with 10 Fac. Units
General Information
Location: 3100 CHESTER AV Map: 103 Hazard: Moderate
Ident Number: 215-000-001039 Grid: 19C Area of Vul: 0.0
Contact Name { Title i Business Phone 1(24 Hour Phone-
JACK TOWERY ( ) 327-2751 x ' ) 833-0747
GARY ROMRIELL ( ) 327-2751 x ( ) 399-611~
Administrative Data
Mail Addrs: 2000 24TH ST· D&B Number:
City: BAKERSFIELD State: CA Zip: 93301-
Comm Code: 215-004 BAKERSFIELD STATION 04 SIC Code:
Owner: KERN HIGH SCHOOL DISTRICT Phone: ( ) -
Address: 2000 24TH ST State: CA
City: BAKERSFIELD Zip: 93301-
Summary R~G~W~D
05/~.1/91~ KERN HIGH SCHOOL DIST M & O 215-0 001039 Page 2
Hazmat Inventory List in MCP Order
03 - ELECTRONICS SHOP
Pln-Ref Name/Hazards Form Quantity MCP
03-002 ACETYLENE ? 990 High FT3
03-001 OXYGEN ? 753 Low FT3
06 - PAINT SHOP
06-020 "DGERM" CLEANER, BATHROOM & FIXTURES ? 150 High
GAL
06-017 B-140 SUPER BOWL CLEANER ? 36 High
GAL
06-012 BLEACH, HOUSEHOLD ? 240 High
GAL
06-007 DUPLICATING FLUID ? 300 High
GAL
06-006 MINERAL SPIRITS #350 (PAINT THINNER) ? 100 High
GAL
06-016 PIONEER FORMULA 44 ? 60 High
GAL
06-011 AMMONIA, HOUSEHOLD .? 144 Moderate
GAL
06-008 BLANKET WASH, A B DICK ? 48 Moderate
GAL
06-009 FRESH AIR BAMBOO .. ? 24 Moderate
GAL
06-002 GUN & EQUIPMENT WASH ? 250 Moderate
GAL
06-004 MACLAC G26 CLEAN GLASS LACQUER ? 75 Moderate
GAL
06r005 MACLAC S67 HI SOLIDS SANDING SEALER ? 100 Moderate
GAL
06-010 MOTOR VEHICLE FUEL, REGULAR ? 2,000 Moderate
GAL
05/~1/91~ KERN HIGH SCHOOL DIST M & O 215-0 001039 Page
Hazmat Inventory List in MCP Order
06 - PAINT SHOP
Pln-Ref Name/Hazards Form. Quantity MCP
06-019 PIONEER BRITER-N-EVER ? 102 Moderate
GAL
06-018 PIONEER SUPER CLEANER ? 60 Moderate
GAL
06-021 PIONEER SYNTHETIC SHAMPOO ? 60 Moderate
GAL
06-015 SPRAY-SOLV CLEANER ? 180 Moderate
GAL
06-003 T-10 LACQUER THINNER ? 150 Moderate
GAL
06-022 PIONEER SEAL COTE ? 150 Low GAL
06-026 REFRIGERANT 22 ? 2,165 Low FT3
~06-024 COMET CLEANSER~WITH CHLORINAL ? 1,181 Minimal
LBS
06-023 PENNOZOIL LONG LIFE MOTOR OIL SAE30 ? 150 Minimal
GAL
06-014 PIONEER SUPER 60 ? 102 Minimal
GAL
06-025 REFRIGERANT 12. ? 1,873 Minimal
FT3
06-027 REFRIGERANT 500 ? 207 Minimal
FT3
06-013 EASTERDAY, SK-45, DISINFECTANT CLEANER ? 84 Unrated
GAL
06-001 OIL BASE PAINT ? ~ 0 Unrated
LBS
07 - ELECTRICAL MAINTENANCE SHOP
07-001 TURF GOLD 21-3-5- ? 500 Moderate
LBS
05/21/91~ KERN HIGH SCHOOL DIST M & O 215- 001039 Page 4
Hazmat Inventory List in MCP Order
07 - ELECTRICAL MAINTENANCE SHOP
Pln-Ref Name/Hazards Form Quantity MCP
07-002 DIESEL ? 5 Low GAL
09 - ADMINISTRATION OFFICE
09-003 PAINT THINNER ? 140 High
GAL
09-002 LACQUER THINNER ? 15 Moderate
GAL
09-004 OIL BASE PAINT ? 210 Moderate
GAL
09-001 WASH LACQUER THINNER ? 40 Moderate
GAL
10 - Description not entered
10-002 SAFETY SOLVENT ? 5 High
GAL
10-001 METHYL ETHYL KETONE ? 2 Moderate
GAL
10-004 REGULAR GASOLINE ? 10 Moderate
GAL
10-005 TURF GOLD 21-3-5 ? 500 Moderate
LBS
10-003 SAFETY SOLVENT BULK ? 35 Low GAL
11 - Description not entered
11-002 ACETYLENE ? 55 High
FT3
11-001 OXYGEN ? 92 Low
FT3
11-003 SAFETY SOLVENT ? 24 Low
GAL
05/~1/91~ KERN HIGH SCHOOL DIeT M & O 215-0 01039 Page 5
, 03 - ELECTRONICS SHOP
Hazmat Inventory Detail in MCP Order
03-002 ACETYLENE ? 990 ~ High
FT3
CAS #: Trade Secret: No
Form: Unknown Type: Pure Days: Use: WELDING SOLDERING
Daily Max990.00FT3 I Daily Average 0.00FT3 I Annual Amount'FT311,550.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T IWEST END OF WELDING SHOP
-- Conc Components MCP ---~List
100.0% IAcetylene IHigh
03-001 OXYGEN ? 753 Low
FT3
CAS #: Trade Secret: No
Form: Unknown Type: Pure Days: Use: WELDING SOLDERING
Daily Max753.00FT3 I Daily Average 0.00FT3 I Annual Amount10,400.00FT3~
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T WEST END OF WELDING SHOP
-- Conc Components MCP List
100.0% IOxygen, Compressed ILOw I
05/21/91° KERN HIGH SCHOOL DIST M & O 215-0~]~-001039 Page 6
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-020 "DGERM" CLEANER, BATHROOM & FIXTURES ? 150 High
GAL~
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max150.00GAL I Daily Average 0.00GAL_[ Annual Amount42.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP iList
22.0% IPhosphoric Acid IModerate
10.0% IIsopropyl Alcohol Moderate
4.0% IHydrogen Chloride High
06-017 B-140 SUPER BOWL CLEANER ? 36 High GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL --
36.00 ~ 0.00 85.00
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc I Components I MCP iList
6.0% Phosphoric Acid IModerate
2.0% Sulfuric Acid (EPA) IHigh IEPA
06-012 BLEACH, HOUSEHOLD ? 240 High
GAL
CAS #: Trade Secret: No
Form: Unknown Type: MixtUre Days: Use: CLEANING
Daily Max240.00GAL I Daily Average 0.00GAL 1 Annual Amount1,411.00GAL
~ Storage Press T Temp I Location
PLASTIC CONTAINER I · · SW END OF WAREHOUSE
-- Conc Components I MCP List
6.0% ISodium HypOchlorite ~ ~ IHig~ --~
05/~1/91' KERN HIGH SCHOOL DIST M & O 215-0 01039 Page 7
06 - PAINT SHOP
Hazmat InVentory Detail in MCP Order
06-007 DUPLICATING FLUID ? 300 High
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max300.00GAL' I Daily Average0.00GAL I Annual Amount588.00GAL --
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF WAREHOUSE
--.Conc~ Components ~ MCP List
95.0% IMeth¥1 Alcohol IHigh I
06-006 MINERAL SPIRITS #350 (PAINT THINNER) ? 100 High
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GALI Daily Average GAL I Annual Amount GAL--
100.00 ~ 0.00 75.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF WAREHOUSE
-- Conc Components 'MCP .List
30.0% Acetone Moderate
15.0% Toluene Moderate~
10.0% n-Propanol Moderate
10.0% n-Butyl Acetate Moderate
5.0% Xylene, Mixed Moderate
5.0% Methanol High
05/21/91.° KERN HIGH SCHOOL DIST M & O 215-0 01039 Page 8
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-016 PIONEER FORMULA 44 ? 60 High GAL
CAS #: Trade Secret: No
Form: Unknown Type:. Mixture Days: Use: CLEANING
Daily Max GAL60..00 I· Daily Average0.00GAL I Annual Amount107.00GAL --
Storage Press Temp Location
PLASTIC CONTAINER I 7~ ISW END OF WAREHOUSE
-- Conc Components MCP List
0.1% IDiethanolamine IHigh --~
06-011 AMMONIA,' HOUSEHOLD ? 144 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max144.00GAL I Daily Average0.00GAL 1 Annual Amount144.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP List
9.0% IAmmonium Hydroxide IModerateI
06-008 BLANKET WASH, A B DICK ? 48 Moderate
'GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL48.00 I Daily Average0.00GAL I Annual Amount74.00GAL
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF WAREHOUSE
-- Conc Components MCP ~List
100.0% INaphtha I'ModerateI
05/~1/91' KERN HIGH SCHOOL DIST M & O 215-0 01039 Page 9
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-009 FRESH AIR BAMBOO ? 24 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: NEUTRALIZER
Daily Max GAL24.00 I Daily Average0.00GAL I Annual Amount40.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I ~ ISW END OF WAREHOUSE
-- Conc Components MCP List.
45.0% I Isopropanol I Moderate I
06-002 GUN,& EQUIPMENT WASH ? 250 Moderate
GAL
~CAS #: Trade Secret: No
Form: Unknown Type: Pure Days: Use: PAINTING
Daily Max250.00GAL I Daily Average 0.00GAL ] Annual Amount275.00GAL
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF WAREHOUSE
-- Conc Components MCP List
100.0% In-Nonane IModeratel
05/Zl/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 10
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-004 MACLAC G26 CLEAN GLASS LACQUER ? 75 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
75.00 ~ 0.00 190.00
Storage Press Temp Location
-- Conc Components MCP List
19.0% Toluene Moderate
10.0% Isopropyl ~lcohol Moderate
5.0% Isobutyl Alcohol Moderate
9.0% Acetone Moderate
19.0% Methyl Ethyl Ketone Moderate
2.0% Methyl Amyl Ketone Moderate
06-005 MACLAC S67 HI SOLIDS SANDING SEALER ? 100 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: P~INTING
Daily Max GALI Daily Average GAL I Annual Amount GAL
100.00 ~ 0.00 120.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF. WAREHOUSE
-- Conc Components' MCP List
19.0% Toluene Moderate
10.0% Isopropyl Alcohol Moderate
5.0% Isobutyl Alcohol Moderate
9.0% Acetone Moderate
19.0% Methyl Ethyl Ketone Moderate
2.0% Methyl Amyl Ketone Moderate
05/~1/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 11
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-010 MOTOR VEHICLE FUEL, REGULAR ? 2000 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: FUEL
Daily Max GAL Daily Average GAL I Annual Amount GAL
2,000.00 I 0.00 36,000.00
Storage Press Temp Location
UNDER GROUND TANK I T 120 YARDS S WAREHOUSE ENT
-- Conc Components MCP List
100.0% IGasoline IModeratel
06-019 PIONEER BRITER-N-EVER ? 102 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max102.00GAL I Daily Average 0.00GAL I Annual Amount 85.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF'WAREHOUSE
-- Conc Components MCP . List
15.0% IPhosphoric Acid IModeratel
06-018 PIONEER SUPER CLEANER ?' 60 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL60.00 I Daily Average0.00GAL I Annual Amount107.00GAL --
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP ~List
10.0% IEthylene Glycol Monoethyl Ether IModeratel
05/2'1/91' KERN HIGH.SCHOOL DIST M & O 215-000-001039 Page 12
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-021 PIONEER SYNTHETIC SHAMPOO ? 60 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 00 ~ 0.00 62.00
Storage Press Temp LOcation
PLASTIC CONTAINER ~ I T ISW END OF WAREHOUSE
-- Conc Components. MCP ,List
18.0% IIsopropyl Alcohol IModerate.I
0,6-015 SPRAY-SOLV CLEANER ? 180 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max180.00GAL' I Daily Average 0.00GAL I Annual Amount472.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP List
5.0% 12-Sutoxyethanol Moderatel ~
06-003 T-10 LACQUER THINNER ? · 150 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Pure Days: Use: pAINTING
Daily Max GAL ~ Daily Average GAL ! Annual Amount GAL
150.00I 0.00I 375.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INE END OF WAREHOUSE
-- Conc Components MCP List
100.0% In-Nonane IModeratel
05/21/91' KERN HIGH SCHOOL DIeT M & O 215-000-001039 Page 13
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-022 PIONEER SEAL COTE ? 150 Low
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: SEALER
Daily Max150.00GAL I Daily Average0.00GAL I Annual Amount715.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP --~List
3.0% IEthylene Glycol
06-026 REFRIGERANT 22 ? 2165 Low
FT3
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: COOLANT/ANTIFREEZE
Daily Max FT3 Daily Average FT3 ----~ Annual Amount FT3
2,165.00 I 0.00 7,187.00
~Storage Press Temp Location
- Conc MCP List
100.0% IChlorodifluoromethane Components ILOw I
06-024 COMET CLEANSER WITH CHLORINAL ? 1181 Minimal
LBS
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max LBS Daily Average LBS [ Annual Amount LBS --
1,181.00 I 0.00 2,362.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T ISW END OF WAREHOUSE
-- Conc Components MCP List
o 8.0% ITetrasodium Ethylenediamine Tetraacetate IMinimal I
05/21/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 14
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-023 PENNOZOIL LONG LIFE MOTOR OIL SAE30 ? 150 Minimal
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: LUBRICANT
Daily Max150.00GAL I Daily Average 0.00'GAL I Annual Amount244.00GAL
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP List
100.0% IMotor Oil IMinimal I
06-014 PIONEER SUPER 60 ? 102 Minimal
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL Daily Average GAL Annual Amount GAL
102.00 I 0.00 1 149.00
Storage Press Temp Location
PLASTIC CONTAINER I T ISW END OF WAREHOUSE
-- Conc Components MCP List
5.0% IDimethyl Phthalate IMinimal I
06-025 REFRIGERANT 12 ? 1873 Minimal
FT3
CAS #: Trade Secret: No
Form: Unknown Type: Pure Days: Use: COOLANT/ANTIFREEZE
Daily Max FT3 Daily Average FT3 Annual Amount FT3 --
1,873.00 I 0.00 [ 3,270.00
Storage Press T Temp I Location
PORT. PRESS. CYLINDER I STORAGE SHED @ NE CORNER
-- C0nc Components MCP List
100.0% IDichlorodifluoromethane IMinimal I
05/~1/91'- KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 15
06 - PAINT SHOP
Hazmat Inventory Detail in MCP Order
06-027 REFRIGERANT 500 ? 207 Minimal
~FT3
CAS ~: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: COOLANT/ANTIFREEZE
Daily Max207.00FT3 I Daily Average 0.00FT3 I Annual Amount104.00FT3
Storage Press Temp .Location
PORT. PRESS. CYLINDER I ~ T ISTORAGE SHED @ NE CORNER
-- Conc Components . MCP List
100.0% IDichlorodifluoromethane IMinimal I
06-013 EASTERDAY, SK-45, DISINFECTANT CLEANER ? 84 Unrated
GAL
CAS ~: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL84.00I~ Daily Average0.00GAL I Annual Amount130.00GAL --
Storage Press Temp Location
PLASTIC CONTAINER I T law END OF WAREHOUSE
-- Conc Components MCP List
3.0% IDimethylbenzylammonium chloride Iunrated]
3.0% Ethylbenzylammoniumchloride Unrated
06-001 OIL BASE PAINT ? 0 Unrated
LBS
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use:
Daily Max LBS0.00 I Daily Average 0.00 LBS I Annual Amount LBS 0.00-
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T INorth and East walls of Paint Rm'
- Conc ~ Components ~ MCP IList
05/2'1/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 16
07 - ELECTRICAL MAINTENANCE SHOP
Hazmat Inventory Detail in MCP Order
07-001 TURF GOLD 21-3-5- ? 500 Moderate
LBS
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: FERTILIZER
Daily Max LBS I Daily Average LBS I Annual Amount LBS
500.00 I 0.00 250.00
Storage Press Temp Lo'cation
BAG I T ' I GREEN REF NW OF FENCE
-- Conc Components MCP List
21'0% INitr°gen IMinimal I
3.0% Phosphoric Acid Moderate
20.0% Sulfur Low
07-002 DIESEL ? 5 Low
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: FUEL
Daily Max GALI Daily Average GAL . .l Annual Amount GAL
5.00 ~ 0.00 480.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T IINSIDE~WHITE TRAILER N
-- Conc I Components I MCP iList
100.0% Diesel Fuel No.2 ILow
05/Zl/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 17
09 - ADMINISTRATION OFFICE
Hazmat Inventory Detail in MCP Order
09-003 PAINT THINNER ~ ? 140 High
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GALI Daily Average GAL I Annual Amount GAL
140.00 ~ 0.00 350.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T IFRONT OF SPRAY BOOTH
-- Conc Components MCP List
30.0% Acetone Moderate
15.0% iToluene Moderate
10.0% n-Propanol Moderate
10.0% n-Butyl Acetate Moderate
5.0% Xylene, Mixed Moderate
5.0% Methanol High
09-002 LACQUER THINNER ? 15 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GAL15.00I~ Daily Average0.00GAL I Annual Amount110.00GAL --
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T IFRONT OF SPRAY BOOTH
-- Conc CompOnents MCP List
19.0% Toluene Moderate
10.0% Isopropyl Alcohol Moderate
5.0% Isobutyl Alcohol Moderate
9.0% Acetone Moderate
19.0% Methyl Ethyl .Ketone Moderate
2.0% Methyl Amyl Ketone Moderate
05/~1/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 18
09 - ADMINISTRATION OFFICE
Hazmat Inventory Detail in MCP Order
09-004 OIL BASE PAINT ? 210 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
. 210.00 I 0.00 i 325.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T IN & E WALLS PAINT ROOM
-- Conc Components MCP List
25'0% IMineral Spirits IM°derateI
15.0% Naphtha Moderate
5.0% Methyl Ethyl Ketone Moderate
3.0% Ethylene Glycol Low
09-001 WASH LACQUER THINNER ? 40 Moderate
GAL
CAS #: Trade Secret: No
.Form: Unknown Type: Mixture Days: Use: PAINTING
Daily Max GALI Daily Average GAL I Annual Amount GAL
40.00 ~ 0.00 180.00
Storage Press Temp Location
METAL CONTAINR-NONDRUMI 'T ' IFRONT OF SPRAY BOOTH
-- Conc Components MCP List
19.0% Toluene Moderate
10.0% Isopropyl Alcohol Moderate
5.0% Isobutyl Alcohol !Moderate
9.0% Acetone Moderate
19.0% Methyl Ethyl Ketone ' Moderate
2.0% Methyl Amyl Ketone Moderate
05/21/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 19
10 - Description not entered
Hazmat Inventory Detail in MCP Order
10-002 SAFETY SOLVENT ? 5 High GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
5.00 ~ 0.00 24.00
Storage Press Temp Location
PLASTIC CONTAINER I T INE END OF ELECT SHOP
-- Conc Components MCP. List
0.0% [Methylene Chloride IHigh I
0.0% INaphtha Solvent Moderate
10-001 METHYL ETHYL KETONE ? 2 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL2.00 I Daily Average 0.00GAL ,--~ Annual Amount GAL 2.00-
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T I~NE END OF ELECT SHOP
-- Conc Components MCP List
100.0% IMethyl Ethyl Ketone ModerateI
10~004 REGULAR GASOLINE ? 10 Moderate
GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: FUEL
Daily Max GAL10.00, I Daily Average0.00~GAL 1 Annual Amount480.00GAL
Storage Press Temp Location
METAL CONTAINR-NONDRUMI ~ IINSIDE TRAILER N OF SHOP
-- Conc COmponents MCP ----[List
100.0% IGasoline ModerateI
05/~1/91' KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 20
10 - Description nOt entered
Hazmat Inventory Detail in MCP Order
10-005 TURF GOLD 21-3-5 ? 500 Moderate
LBS
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: FERTILIZER
Daily Max LBs Daily Average LBS Annual Amount LBS
500.00 I 0.00 [ 250.00
Storage Press Temp' Location
BAG I T IGREEN REF NW OF FENCE
-- Conc Components MCP {List
21.0% INitrogen IMinimal
I
3.0% Phosphoric Acid Moderate
20.0% ISulfur Low
10-003 SAFETY SOLVENT BULK ? 35 Low GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL35.00 I Daily Average< 0.00GAL ] Annual Amount55.00GAL --
Storage Press Temp ' Location
I T s.o / oc
-- Conc Components I MCP ..List
96.0% {1,1,1-Trichloroethane {Low ]
05/~1/91~ KERN HIGH'SCHOOL DIeT M & O 215-000-001039 .Page 21
11 - Description not entered
Hazmat Inventory Detail in MCP Order
11-002 ACETYLENE ? 55 High FT3
CAS #: Trade Secret: No '
Form: Unknown Type: Pure Days: Use: WELDING SOLDERING
Daily Max FT355.00 I Daily Average 0.00FT3 I Annual Amount 55.00FT3
Storage .Press Temp Location
PORT. PRESS. CYLINDER I T IcE END MAIN SHOP
-- Conc Components MCP List
100.0% IAcetylene IHigh --~
11-001 OXYGEN ? 92 Low
FT3
CAS #: Trade Secret: No
Form: .Unknown Type: Pure Days: Use: WELDING SOLDERING
Daily Max FT3 I Daily Average FT3 1 Annual Amount FT3
92.00 ~ 0.00 ~ 92.00
Storage Press Temp Location
-- Conc Components MCP List
100.0% IOxygen, Compressed IL°w I
11-003 SAFETY SOLVENT ? 24 Low GAL
CAS #: Trade Secret: No
Form: Unknown Type: Mixture Days: Use: CLEANING
Daily Max GAL24.00 I Daily Average 0.00 GAL I Annual Amount 48.00GA~ --
Storage Press Temp Location
METAL CONTAINR-NONDRUMI T ICE END MAIN SHOP
-- Conc Components MCP List
96.0% I 1 , 1 , 1-Trichloroethane ILOw I
05/2~1/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 22
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
EMERGENCY PHONE NUMBERS ARE POSTED AT VARIOUS LOCATIONS THROUGHOUT THE
SCHOOL. THE SCHOOL IS ALSO EQUIPED WITH AN INTERCOM SYSTEM.
<3> Public Notif./Evacuation
INTERCOM
<4> Emergency Medical Plan
VALLEY INDUSTRIAL MEDICAL GROUP
2501G ST
327-2225
LARRY M. CHO, M.D.
OR MERCY HOSPITAL ER
2215 TRUXTUN AV
327-3371
05/I1/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 23
00 - Overall Site
<E> Mitigation/Prevent/Abatemt'
<1> Release Prevention
<2> Release Containment
<3> Clean Up
<4> Other Resource Activation
05/I1/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 24
o 00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - ???????????
B) ELECTRICAL - ?????????
C) WATER - ????????
D) SPECIAL - ???????? ,
F) LOCK BOX - ???????
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLER SYSTEM ON EACH FLOOR. FIRE
DEPT PHONE NUMBER IS POSTED. THERE IS AN EMERGENCY DRILL EACH YEAR ON HOW
TO EVACUATE THE FACILITY.
FIRE HYDRANT - LOCATED 45' FROM SOUTHWEST CORNER OF THIS OFFICE.
<4> Building Occupancy Level
05/2~1~/91~ KERN HIGH SCHOOL DIST M & O 215-000-001039 Page 25
00 - Overall Site
<G> Training
<1> Page 1
WE HAVE ?? EMPLOYEES AT THIS FACILITY
DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE?
BRIEF SUMMARY OF TRAINING:
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
.~~ ~~' ' BAI~RSFIELD C~TY FIRF. DEPARTI~NT2130 "G" STREET
Y/ BAKERSFIELD. 'CA ~93301 OCT
'(sos) 's2o-ao,v .. ............
OFFICIAL USE ONLY
ID~
BUSINESS N~E
~0~
1. To avoid fuPtheP action, PetuPn this foPm by ~. TYPE/PRINT ANSWERS IN ENGLISH.
8. Ans~qe~ the questions below fo: the business as a whole.
4. Be as b~ief and concise as possible.
SECTIOM ~: BUSINESS IDE~IFICATION DATA
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency inyolving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.., AFTER BUS. HRS.~
I
SECTION 3: LOCATION OF UTILI~ S~-OFFS FOR BUSI~SS AS A ~0LE
B. ELECTRICAL:
C. WATER: .
D. SPECIAL:
E. LOCK BOX: YES / NO IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS9 YES / NO MSDSS? YES / NO
FLOOR PLANS9 YES / NO KEYS? YES / NO
- 2A -
SECTION 4: PRIVATE RESPONSE TEA)4 FOR BUSINESS AS A WHOLE
/
t / t --
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Valley Industrial Medical Group
2501 "G" Street Alternate Facilities:
Bakersfield, CA 93301 . .~
(805) 327-2225
Mercy Hospital Emergency Room
Larry M. Cho, M.D. 2215 Truxtun Avenue
Bakersfield, CA 93301
'. (805) 327-3371
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO INITIAL REFRESHER
'A; METHODS FOR SAFE HANDLING OF HAZARDOUS ~
MATERIALS NO NO
D. EMERGENCY EVACUATION PROCEDURES .................. NO NO
E'.: DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO YES NO
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES OR NO
. DOES YOUR BUSINESS HANDLE HAZARDOUS ,MATERIAL IN QUANTITIES LESS THAN 500' POUNDS OF_A__
~SOLID0 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES.(NOJ
I understand that this information.will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
SITE/FACILITY D I AGR,AM
FORM
'~0RTH SCALE: BUSINESS NAHE: ]fe~t//~l~14 ~C,/-/OOL FLOOR: OF
DATE: / / FACILITY N~E: ~/OO CWe;~ UNIT ~: 0F
(CHECK 0NE) SITE DIAGR~ f FACILITY DIAGRAM
KITCH~
InsDector's Coaments): -OFFICIAL USE ONLY-
HMCU-13
SITE/FACILITY D I AG R,~I~I
. '"'DATE: '/ 2 FACILITY N~S: g/O0 C~e~r~ ~U~ U~IT ~: OF
, .- (CHgCK ONE) $IT~ DIAG~ ~ FACILITY DIA~R~
HMCU-13
SITE/FACILITY DI AGR~
NORTH SCALE: BUSINESS NAME: ~'e~a,, A/i(~4 _~c/~o L ~. FLOOR: / OF~/
. .DATE: / / FACILITY. N~aE:~/O0 C ~eSTeR UNIT
(CHECK ONE) SITE DIAGR~I ~ FACILITY DrAGR~M
(!nspector's Comments): ' ' ~0FFICIAL USE ONLY-
.~ .' · .... KERN HIGH SCHOOL DISTRICT
,:],~ . , .,~ !..:,;~ ~' .. ~ 'I~I~tTENANCE AND OPERATIONS.,
: SCHooL.. D~O~.e.~ ' ~ LOCAIIOrl OF SER¥ICE 5100 Ch~te~ Ave'.
:., UTILIIY COMPANY ,Paci~2c Gas & Electric METER NUMBER Maintenance g Ope~o~
.L~ .... ,'. RATE G-2 BUDGET HUMBER 01.05.55L.~.66.0000.00
:" "~CCOUHT,IIUMBER FTC 78-74201 LAST YEAR READING.
S ?7 "
':.', DATE METER QUANITY . COST THIS MONTH THIS MOHTH
~' ~' READING LAST YEAR LAST YEAR
, .' QUAIIITY 'COST
~. .. 8/06/8.6 55084 206 .~ 116 74 39 '$' ··25.26
?i: ~/05/86~ 55281 209 .118 43 " 34 21.32
., [0/06/86 55509 '241 136 57 .. 30 18.69
[1/ 4/86] 55761 266 .150 73 .. '214 133.29
[2./'06/86] 57006 1,31'1' 742 90 1,864 1,160.97
~. 1/07/87 58536 .. . 2,634'~'. 1,492 00. 2,937 ' 1,79__8_13
/ 2/04/87 62178 .2,750 't,555 46 1,695 .970.5.1
3/06/87 64200 2,099 1,187 54 1,119 640.75
..',' '-. 4/07/87 ~64904 ~ 728 . ~:"411 177 554 "' 317.26·
..'5/6/87 ~' '65111'.1. 84 ' '13~, O1 281 ' 160.92 I
:" 5/5/87: ' 65378 82' 138 58 ii 248 142.02
",':/.71/7./.R7 6.5378. 2'12 "'i19 · 91 '~,$5 ,1,33.26 ,, ',. ,
· ,
KERN HIGH SCHOOL DISTRICT
2000 TWENTY-FOURTH STREET
BOARD OF TRUSTEES BAKERSFIELD, CALIFORNIA
David B. Stanton, President 93301-3899
Earle J. Gibbons, Clerk Brent P. Casper, Vice President (AC-805)327-2751
Kenneth E. Secor Fred L. Starrh
DON MURFIN, Superintendent
NEAL W. OLSEN
ASS'T. SUPERINTENDENT, BUSINESS
Ralph E. Huey
Hazar'dous i'later'ials Coor'dinatoc
F i¥"e Depa¥"tment
City of Baker'sf'ie'.[d
Dea¥- MR. Huey:
~.f](:::lL[ded as per' you¥" r'eqL[est. They ar'e as f'ollc, ws:
1,, TURF GOLD-We have been t'cy~.ng to 9et a copy and ¥~ti],l forward
this to you as soon as we get a c:opy,,
~. DIESEl .... FUEL-I ow~¥" looked this clear'ly ma¥"ked ¥-eques'[;. I
w~ll send you copy as soon as t get one.
3. GAS AND OXYGE;N BO T"FLES..-.."r h er e was a break dok.,n in
[:oiflfl]uYiJ. c;at~.oYis and i failed 'bo have ts(:,ffle(:;,i"te se(:::t..tf-e the IdSDS
sheet ,,
I have cequested a staf'f per'son to get of]e rf~.ght a way, so ! may
send it to you.
i w~.].l tFy to serial them at the ~{~.ame t~.me.
erelv Yours
Gay-'~
Opec at !~. OhS Adm i n i s't::r' a't;or
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
CITY of BAKERSFIELD
FIRE OEPARTMENT ~~% 2101 H STREET
D. S. NEEDHAM ~ BAKERSFIELD, 93301
FIRE CHIEF 326-3911
............
Dear Bus,ness Owner:
Enc]osed p]ease f~nd a copy of your response to the Hazardous..Mater~a] Business
Plan request. Ne have found ~t necessary to reject your la'd for the
reason(s) as checked below.
r-~ T1]eg~b]e Business Plan (p]ease print or typ; ~n Eng]ish).
Form 2A ~--~ M~ss~n9 or ~ Zncomplete
Form "A r'"-'J Missing or ~ I let~ e~ ~'~'
Form 5A ~z ~ NeoJ~ ~£gx s/w_~ ov
Site Diagl r~ Mis! or ~ Incomplete -i-o/, mil t.co.~mL~
Fac~]Jt~e Diagram M~ssJng o~ Incomplete
This Js to be co mesubm~tted within 30 days to:
Bakersfield y Fire Department
Hazamdous Matem~a]s
2130 "S" Street
Bakersfield, CA 93301
If additional cop~es of any forms are needed they can be p~cked up from the
Hazamdous Materials Division at 2130 "G" Stmeet Jn pemson.
Sincerely Yours, /
Ha2ardous ~ater~a]s Coordinator
REH/og
OFFICIAL USE ONLY
·' ID~
BUSINESS NAME: ' · .
', ....:'," , BUS.I NESS' -
,, · SI~G.'".E ·FACILITY lJlqIT
_INSTRUCTIONS ~ ' "/'.' ' ·
1. To avoid further action,' this for~ ~ust be returned b~:
2. TYPE/PRINT YOUR ~SWERS IN ENGLISH.
3...Answer the 'questions below for THE '~A~ILI~ uNIT LISTED BELOW
. : 4. Be as BRIEF and CONCISE as possible.
· ' ~,~,~wo~ ..... ~../ /0
~,c~=~ ~ 9~'.~,~ ~ ~4c~ ~r' ~: ...~" ... .........
' . · . :.2.~: '.'
SE~ION 1: MITIGATIO~ PR~IO~; ABA~ PROCESS
~'~ ~~~...~~. ~ .~. ~ . ...
. SE~0N. 2: NOTIFICATION g ~A~ATION' PR0~ES AT ~IS ~IT 0gY "
" /;~' SEC?T0~ 3: HAZARDOUS ~ATERTALS FOR TILTS U~TT D~LY
't. .. ...'. ~A. Does this Facility Unit contain ltazardous .~iateuials? ......
.~.., If YES, see B.
~.. B. Are uny of the huzardous mute~'luls ~ bona fide Trade Secre~ YES
· ' If'No, complete a separate haZaudous materials inventory ,
for,~ marked: ~ON-T~D~ SECRETS O~LY
. . I~ Yes, complete a 'hazuudous materials Inventory Form marked:
. ..... .T~DE SECRETS OXLY (yello~v'~orm
· .~-'.' ~ecuet foam. List only gl~e tuude secrets on form 4A-2.
. ~, ~:: SEXTON 41 PRIVATE ~IRE PRO~EC~TON ..... ....
.' "'. S~CTTO~ 5: LOCATION,,,, O~ NAT, ER, S,U~PLY FOR, USE, BY E~ERGE2CY RESPO~ERS
. ,. SECTIO~ 6: LOCAT!O~ O~ UTILI~ ,S~T-OF~$ AT THIS U~IT O~T.Y.
'"'B, ELgCTRICAL: ~ " "
" D SpecIAL: --
.~. LOcK BOX: YES /~ f~ YES,
IF YES, SITE pLANS? YES / NO )isBss? YES ./ .~O
FLOOR PLAXS? ' YES / NO KEYS? YES :' XO
MATERIAL SAFETY DATA SHEET N 'CA ,-
.MATERIAL SAFET'f DATA SHEET
FOR COATINGS. RESINS ANO RELATED MATERIALS
S ection I
· CUARDSbhkN CH~tICALS, INC. - PC Division
· STaeE?AOO.CSS 9845 Miller Way C'T~.S*A*~.A.OZ,.COOE South Gate, Ca. 90280
E"E-Q~-CY,~L~.--O-,.O (213) 927-550[
,-OOUC? C~Sm Reducer UaNU~ACTUR[RS COOE IO[N?I~ICA~ION 690--7001
S~tlon II -- HA~RDOUS INGREDi~TS
Toluene ;[~ 19.0 100 1.2 22.0
Isopropyl Alcohol il gO, C ~ 10.0 400 .2'3 33.0
Isobutyl Alcohol ~ O~q, 9[ 5.0 50 1.2 8.8
Acetone i OO ~ 9.0 1000 2.6 186.0
Methyl Ethyl Ketone [ ~%~ 19.0 200 2.0 70.0
Butyl Cellosolve 2.0 25 1.1 .6
Special Lactol Spirits 34.0 150 1.0 23.0
Methyl ~l Ketone %~'q~, D' 2.0 50 1.1 2.1
Section III -- PHYSICAL DATA
L00.00 ~.~u
S~tton IV -- FIRE AND EAPLOSION HA~RD DATA
OOTCATEGO~Y Extremely Fla~able Liquid ~[*S.~O,Nt 0°F tcc
eXrlNGUISHI.GM~OIA : USE CARBON DIOXIDE OR DRY CH~[ICAL FOR S~L FIRES. ALCOHOL OR POLYMER
FOR ~RGER FIRES. WATER FOG WILL LESSEN INTENSITY.
u-usu*~,-~*-oa~os,o...z..os : KEEP CONTAINERS TICHTLY CLOSED. ISOLATE FROM HEAT, ELECTRICAL
EQUIPMENT, SPARKS, AND OPEM FLAMES. CLOSED CONTAINERS }~Y EXPLODE [~EN ~XPOSED
TO EXTRE~t H~kT. NEVER WELD ON OR NEAR CONTAINER (EVEN ~EN ~iPTY.)
'.. JIa[FI"EFIG--rING..OCEOU~$: DURIXG F~IERGE.XCY CONDITIONS. DECO}~OSITION PRODUCTS ~LAY CAUSE
HEALTH HAZARD. USE SELF-CONTAINED BREATHING APPARATUS WITH FULL FACE PIECE
OPERATED IN PRESSURE-DE, LAND OR OTHER POSITIVE PRESSURE ,~LADE.
(GT-1)
THE INFOF~QkTION CONTAINED HEREIN [S BASED O: DATA BELIEVED TO BE RELIABLE BY GUARD.~LAN.
iP.-','ESHOLD LI?llT VALUE: SEE SECTIOH II ~'-'"
EFF. ECTS OF .OVEREXPOSURE: EYES: CAN CAUSE 'SEVERE IRRITATION, REDNESS, TEARING, BLURRED VISIF;':,'~
SKIN: PROLONGED OR REPEA~:"~-~-CONTACT CAN CAUSE MODERATE IRRITATION, DEFATTING, DERMATITIS.
EREA'----THI~IG: EXCESSIVE INHALATION OF VAPORS CAN CAUSE RESPIRATORY IRRITATION, DIZZINESS,
HEADACHE, NAUSEA, AND ASPHYXIATION.
SWALLOWIrIG: CArl CAUSE GASTROINTESTINAL IRRITATIO;I, NAUSEA, VOMITING, AND DIARRHEA. ASPIRA'i
]F HATERIAL INTO LU:IGS CAf,' CAUSE CHEMICAL PHEUMONITIS WHICH CAN BE FATAL.
E?~ERGE~ICY A~D FIRST AID PROCEDURES: SKI:I: WASH WITH SOAP A~ID WATER. REHOVE CO~ITAMINATED CLOTH!:I,
EYES: FLUSH WITH LARGE AMOU~ITS OF WATER AND GET r~EDICAL ATTENTION.
!F ~WALLOt. IED: DO NOT INOUCE VOHITING. KEEP PERSO,q QUIET, WAR~.I AND GET MEDICAL ATTENTION.
IF I~;HALED: RE>lOVE TO FRESH AIR. IF BREATHING HAS STOPPED, GIVE ARTIFICAL RESPIRATION.
'S CTION VI -- REACTIVITY DATA
". STABILITY: UNSTABLE STABLE X CONDITIONS TO AVOID: CONTACT WITH STRONG OXIDIZING AGENT.
'.. I~iCOMPATABILITY (MATE'~TALS TO AVOID): "
HAZARDOUS DECOMPOSITION PRODUCTS: IN CASE OF THERMAL DECOMPOSITION, CARBON DIOXIDE, AND CARBON
?!O,qOX,.'OE WILL FORM.
': HAZARDOUS POLYMERIZATION: MAY OCCUR WILL NOT OCCUR X
CO~IDITIO?,IS TO AVOID:
SECTI VII -- SPILL OR LEAK PROCEDURES
STEPS TO BE TAY, EN IN CASE MATERIAL IS RELEASED OR SPILLED: ELIMINATE ALL SOURCES OF IGNITION;
OAM AND ABSORB WITH ABSORBANT MATERIAL SUCH AS SAND AND SHOVEL INTO DRUMS OR OTHER SUITABLE
- COHTAINER. USE NON-SPARY, I~,G TOOLS.
W,tSTE DISPOSAL METHOD: INCi;IERATE-tN APPROVED FACILITY OR DISPOSE IN ACCORDANCE WITH STATE,
~--n~oa~ OR LOCAL REGULATION DO NOT INCIHERATE CLOSED CONTAINERS
S.:cT CN VI I I -- SPECIAL PROTECTION I FOP ' ATION
ESP[RATORY PROTECTION: IF TLV OR PRODUCT OR ANY CI~IPONENTS IS EXCEEDED, USE NIOSH/MESA
APPROVED ARPARATUS.
VE:iT~ATION: PROVIDE SUFFICIENT MECHANICAL AND/OR LOCAL VENTILATION TO MAINTAIN EXPOSURE LEVELS
BELOW TLV. APPLICATION AREAS SHOULD BE VENTILATED IN ACCORDANCE WITH OSHA REGULATION
~29CFR 1910.107 d ·
PROTECTIVE GLOVES: USE NEOPRENE OR PLASTIC GLOVES TO PREVENT SKIN CONTACT.
EYE PROTECTIO~I: USE SAFETY EYE WEAR WITH SIDE SHIELDS.
OTHER PROTECTIVE EQUTPME~)T: SAFETY SHOWERi~ EiYE BATH.
P~ECAUTIONS TO BE TAKEN IN HA;iDLI~IG AND STORING: KEEP AWAY FROM HEAT, SPARKS, AND OPEN FL~ES.
'DCL STORAGE CATEGORY: FLANMABLE LIQUID.
OTHER PRECAUTIONS: CONTAI~IERS OF THIS MATERIAL MAY BE HAZARDOUS WHEN EMPTIED. SINCE EMPTY
CONTAINERS RETAIN RESIDUES, ALL HAZARD PRECAUTIO.,S MUST BE OBSERVED. OVEREXPOSURE TO MATERIAL
HAS APPARENTLY BEEN FOUND TO CAUSE THE FOLLOWIHG EFFECTS IN LABORATORY ANIMALS: ANEHIA, LIVE~
ABNORMALITIES, KIDHEY DA~IAGE, EYE DAMAGE.
FOR INDUSTRY USE Q~ILY
H ....I,q IS BASED ON DATA BELIEVED TO BE RELIABLE BY GUARDSMA;I CHEHICAL
·.~T. - 1
;~-' SECTION V - HEALTH HAZARD DATA
.~"~m,.,;t~,Li, ~.tM,~ v,~ ,. ~00 I'I'H
~FFECTS .OF OVERExPoSuRE
'~C~ .........
I~IJ?)ON: If ~he~e are si~n. or s~ptoms of overexpos~e to va~or or mist of
~rea~m~n~ n~s ~op~e~. a~y ar~4~cla~res~xrasxon. INGrain. If this ~riaI
SECTION VI * P~ACTIVITY DATA
INCOMPATABILITY {Materials to ava/dj
Hay react w~th strong oxidizin= mteriale
.~5a~9~ o~co~os.~o~ ~o~cTs Natal combustion fame carbon-dioxide, incmPlet·
combustion ca~ produce carbon monoxide
SECTION VII - SPILL OR LEAK PROCEDURES
STEPS TO SE TAKEN IN CASE MATERIAL 15 RELEASED OR SPILLED · '
'Absorb large spills w~th absorbent clay, d~ato~ceoua earth or other su~able
~terial. A fire or vapor hazard my exist since these cle~uo mterial will only
absorb liquid: they will not absorb vapor.
~ace all, contaminated materials in disposable containers and b~y in ~
dump~ n~area.
SECTION VIII - SPECIAL PROTECTION INFORMATION
R~SPIRATORY PROTECTION [Specify t)'p,~ X Under natal cond~tion8t I SPECIAL
. none reauired
VENTILATION ~ LOCAL, EXHAUST
PROTECTIVE GLOVES I EYE PROTECTION '
None required I N~n~ re~ui~d
O~HEfl PROT[CTIV[ E~LIIPME~T
SECTION IX - ~EClAL PRECAUTION$
PRECAUTIONS TO eE TAKEN ~N HANOLJNa AND STOR~Na ~ not 8~ore ne~ o~en fl~e or hea~in~
'devices. Extinguish all pilot lights.
O~HER PflECAUT~ONS
Do no~ uae in an~entt~a~ea
PAGE I2) Form OSHA.20
o em.s4o Rev, May '/I
~. U.$. DEPARIMENI' OF LABOR ~,,,~ A..,(,..a
,~ OMEI 1%4o. 44.RI,q87 ·
.?~: .~ Occupational Safety and Health Administration
MATERIAL SAFETY DATA SHEET
( Required under USDL Safety and Health Regulations for Ship Repairing,
. Shipbuilding, ~nd Shipbreaking (29 CFR i915, 1916, 1917)
SECTION I
MANUFACTURER'S NAME [ E:MERGENCM TELEPHONE NO. '
Certified Co&tin~e. Products Co.{ 263-688z~ .
ADORES5 [Number, .¢;trect, City° State, and ZIP Code/ '
2/~1/~ So. Connor Ave. Los An~elest Ca. .~/
CHEMICAL NAME AND SYNONYMS I TgAnE NAME AND SYNONYMS.
Lac__c_~u~r_ & Acrylic Thinner I 20~ Acrv-Lac Thinner ,.
CHEMICAL FAMILY A ~' ..........
I FORMUL-A ·
SECTION II - HAZARDOUS INGREDIENTS
PAINYS, PRESERVATIVES, & SOLVENTS % TLV ' TLV '
,. (Oflitqt) ALLOYSAND METALLIC COATINGS '%~. (Unit1)
PIGMENT~ BASE METAL-
CATALYST AI. LOY$
VEHICLE METALLIC COATINGS
" ~ ' ' ~ 'FILLER METAL,
SOLVENTS '!~(~ ~0 PL.US COATING OR CORE FLUX
ADDITIVES " OTHERS
OTHERS
· TLV
HAZARDOUS MIXTURES OF OTHER LIQUIDS, SOLIDS, OR GASES %
- .. .~ ... None .........
SECTION I1"1" PHYSICAL D;~TA
BOILINO POINT (°F.) ~T/A SPECIFIC GRAVITY (H3O=]) ~.789
PER CENT, VO"L-AT I LE
VAPOR .... PRESSURE (mm Hg.) ~0 BY VOLUME (%)
: ( '~0J~ RATE
VAPOR DENSITY (AIR-l} ~/~ EV TtON . =1) le~
50LUBILITY IN WATER Slight
~EARANCE AND ODOR ~/ater ~nite~ MiId
SECTION IV - FIRE AND EXPLOSION HAZARD DATA
10°F TOC ., I i I o ,
eXTINOUISHINO MEDIA ..-.
C0,.. Dr7 Chem.te&l~ Foam~ W&ter Sprat
SPE. ClAL FIRE FIOHTINO PRoCE~L~RE5
For fires involving this material, do not enter any enclosed .or e0nfi, n.ed fire a~ace
Y~hout pelf-Con~bained breathing apparatus to vro%ec% against the hazardous effects '"'
ef normal products of combustion or oxygen deficiency.
UNUSUAL FIRE AND EXPLOSION HAZARDS None , :.~:"' "-.': "i...
~ . -,' ..' 7 '. - · ;:' ' ~,':'
:, 'PAoli[',(1):.," . .; ., ' ,'.:.-' 'FOrm 06HA-20
'.' ' '. ' ~ · n,,. u,v ?Z ".' .."
MATERIAL SAFETY DATA SHEE'r NPCA 1-84
FOR COATINGS, RESINS, AND RELATED MATERIALS
REPLACES NPCA 1-82
~t~%~4UFACTURER'S NAME: EMERGENCY TELEPHONE NO.:
ELLIS PAINT COMPANY (213). 261-8114
3150 E.'Pico Blvd.
Los Angeles, CA 90023
DATE OF PREPARATION: INFORmaTION TELEPHONE NO.:
April 15, 1986 (213) 261-8114
SECTION I - PRODUCT IDEt4TIFICATION
PRODUCT NUMBER: PRODUCT N~.IE:
1100 Series Hy-Lux Enamel
Unleaded'
PRODUCT CLASS: Alkyd Resin Enamel
SECTION II - HAZARDOUS I,',~G.~EDIENTS
INGREDIENT: PERCENT OCCUPATIO?~AL VAPOR
By EXPOSURE LI:.II TS PRESSURE
..~ Weight TLV PEL mm Hg @68°F
Mineral Spirits 40.0 - 55.0 200 ppm 2.0
XYlene 1.0 - 2.0 100 ppm 10
SECTION III - PHYSICAL DATA
BOILING RANGE: 280-385°F VAPOR DENSITY x~ HEAVIER ~ LIGHTER THAN AIR
EVAPORATION RATE: ~ FASTER ~RSLOWER TIIAN ETIIER % VOLATILE VOLUME 60-65
WT/GAL. 7,~70 9.50 'lbs ~' " ....
· - ; V.O.C.- (500 grams/liter
SECTION IV - FIRE AND EXPI,OS1ON IIAZARI) DATA '~
FLA~LMABILITY CLASSIFICATION: OSHA Cc~mbusttbLe FLAf~II POIUT 10ZaF LEL 1.0
DOT C~,mbus t lb lc TCC
EXTINGUISIIING MEDIA: '~
~ FO~ g "ALCOHOL" FOAM ~ CO2 g DRY CIlEMICAL
~ WATER FOG g OTHER
UNUSUAL FIRE AND EXPLOSION HAZARDS
Keep away from heat, sparks and open flame. :
SPECIAL FIREFIGHTING PROCEDURES
!4stet spray may be ineffective. Water may be used to cool closed containers
to prevent pressure build-up.
SECTION V - HEALTH HAZARD DATA -
EFFECTS OF OVEREXPOSURE: Inhalation may cause dizziness, headache and
nausea. Eye or skin contact may cause discomfort and irritation.
~iEDICAL CONDITIONS PRONE TO AGGPY~VATION EY EY.P'-:'3URE: No information found.
PRIMARY ROUTE(S) OF ENTRY: ~ DEP. X~AL ~ INHALATION ~3 INGESTION
EMERGENCY AND FIRST AID PROCEDURES
Inhalation: Remdve to fresh air.
Splash (eyes): Flush immediately with large amounts of water for at least
15 minu~es.
Splash (skin): 'WaSh affected areas with soap and water. Remove contaminated
clothing - :,' 'c:'
ingestion: Do not induce vomiting ConsuLt physician or.poison con':to)
t;13..;'l'l~H'l VI - I~I:A~'TIVIT'~' I,..\TA ;.'~'. '"'
STABILITY: lJ UNSTABLE ~ ~'I'ABt, E
IIAZARDOUS POLYMERIZATION: ~ ~%Y OCCUR ~ WiLL NOT ~)CCU[{ '
llAZARDOUS DECOMPOSITION PRODUCTS:
Hay produce fume~ when heated to decomposition. May contian carbon dioxide
and/or carbon monoxide.
CONDITIONS TO AVOID:
Heat, sparks and Open flame.
INCOHPATIBILITY: (~TERIALS TO AVOID)
Strong oxidizing agents.
SECTION VII - SPILL OR LEAK PROCEDURES
STEPS TO BE TAKEN IN CASE blATERIAL IS RELEASED OR SPILLED: Remove sources o
ignition and 'provide ventilation. Large spills may be scooped up with
non-sparking tools. Provide respiratory protection, Small quantities may be,
picked up with absorbent material.
~{ASTE DISPOSAL [.IETHOD: Place in tightly clo~ed co~rainers.-,~-In¢inerate or ug
sanitary land fill in accordance with local, state and federal regulations.
_
SECTION VIII SAFE HANDLI:'IG :
RESPI~%TORY PROTECTION: Approved mask or respirator.
VENTILATI~' :
,~.i Adequate volume and 'pattern to keep the air cont:~minant concer
tration below current applicable OSHA or ACGIH's ILV limits.
PROTECTIVE GLOVES: Neoprene rubber gloves.
EYE PROTECTION: Splash guards or side shields, chemical RoE51es, face shie
OTHER PROTECTIVE EQUIPMENT: Use apron and full face shield, %~ear chemical
resistant .boots.
HYGIENIC PRACTICES: Wash ,hands befor eating or using'the wash room. Smoke
smoking areas only.
.. SECTION IX - SPECIAL PRECAUTIONS
PRECAUTIONS TO BE TAKEN IN HANDLING AN~'STORING: Store away from high
temperatures, sparks or open flames. Keep containers tightly, closed.
' ?l<; ': "
OTHER PRECAUTIONS'. Do not take internally. Avoid prolonged contact with
skin. Ground equipment to prevent accumulation of static charge. 'If peoria
or transferring materials.' conta[nt, rq mtt~t t,,, bonded or grounded.
.. ~' . ' OFFICIAL USE ONLY
· '.': ........ ·
' '- ~O~ .~A...
..... . .. '.....:.': ...':' . . . .
,INSTRU~IONS .... · .... :'..."
1,"To wold fu~tha~ action,' this [o~m must be ~atu~a~d by: . ~
.... 3.'..Answer the 'questions. balo~ [o~ TBg 'P~CILIW ~NIT LISTgD B~LO~
.. 4. Ba ~s BRIEF ~d CONCISg as passible. ' '
: . . . .~..:
· : me~,t'~k¥~g~. 'fc,¥" ~ll 'c~mplc,)/ee~; "a¥~d'mo:c~'~Nl'y ~a.~t~/ m~.a:,'l;fc~u~s o'f ~;1"~(~
w'~)-i~.S. C~'"<~s'. c~mp:lc,.~'e~:~'S .a~e:~ ~L~¥~; '~:0 i:~-iva~;~, cc, ml:3ani.~ -~'c:,~'" ~a'f(~d;y..
SE~]'ON. 2~ NOTT~ICATTO~ ~ ~A~ATTOH' PROXIES AT ~TS ~IT 0~9 "
': :' SECT '0~ :3: HAZARDOUS ..... MATERIALS FOR TILTS UNI? ONLY
:" ...." 'A. Does chis Faclllty Unit Contain llazaedous ~aterl'al~? ...... '~0
· · Ie NO. continue ~tch SECTION 4. -
' If No. co~ple~e a se~aeate.hazaedous ~ateetals lnvent.aey ,
form marked: NON-T~DE SECRETS 0~LY [t~hlge form *4A-l)
.T~DE SECRETS.OXLY (yellot~ 'fo,m ,4A-2). In additlon co cite non-trade
· .... uect'eC ~ot'm. Llsc only' Uie reade secrets on ~oPJ, 4A-2.
'~ 'SEXTON 4~ PRTVATE FIRE PROTECTTO~ ,,.~.. ....
' ~ECTIO~ 5: LOCATION OF NATER SUPPLY FOR .~SE BY EMERGENCY RESPO~ERS
,... '.. . .
SECTIOn,6: ' LOCAT.Y,Oa O~ U~,TLI~ S~T-O~FS ,AT THIS UNIT O~LY.
· ' A. XAT.' GAS/PROP~3 ..
B. ELECTRICAL:
'.C. ~ATER: ' '
D. SPgCI~L:
' ' E. LOC~ ~OX: Y~S / ~F YES. LOCATIOn:
YES, SITE PLANS? YES*/ NO )iSDSs? YES ./ YO
FLOOR PLAYS? ' YES / NO . KEYS? YES .,' XO
::. :. , ..
TYPE ~NAX '.. )ANNUAL:. ' ': CONT USE - LOCATION~':IN .THIS" · BY · - .', "' liAZAED D.O.'T
CODE 'AMOUNT' 'AMOUNT. UNiT =CODE CODE. FACILITY UNIT ' ',' WT. CHEMICAL OR COMMON NAME' '"'' CODE GUIDE
.. -.. : .: :. , : , , ~ .... .:'.. - ..... . . _ .. ~ .... .' .. . .:'-.' '....-
. .'~)..:,:' . .: ' ...: .. . , : . . .. - ._ }........
.' .. · . :.'- .: '::..,. . · . . , . . '' ~. -. .......'- .. " ·
NA~E ':" -": :,:". TITLE: SIGNATURE: DATE:
EMERGENCY CONTACT: ':' TITLE: .PIIOHE I BUS HOURS:
AFTER, BUS HRS:
E~ERGE~ CO~T~CT: ' TITLE~ P~ONE ~ BUS ~O~RS: ...........................
PRINCIPAL BUSINESS ACTIVITY: AFTER BUS tIRS:
..:~ , .., -... .. :,:..:.:'.~. ~_. .-.
.:'I 1:" '.." .: i.'" ' · " "
'" .... ..' '. ,' . OFFICIAL US1:' O~LY
~ ~ ~ '. ,',..' ,:'.. .,,, . ., , ...
",, '. ........' ...... ' .'.. · ' ID~ ---
. .. . _ _ _
,: .iBUS $S gA14E: , .
'. '-::'.... ]BT.~S.]: :~N~]~i;S~'
~ I " .. ' :B'Ol:~'~ ~.: ..
... . .'.:[.;' . ..... .. ..
i '" .... "':'
~.' To ~vo~d further ~c~on, ~h~ ~orm m~t be returned b2:
~' 2. TYP~IPRX~T YOUR ~SWBRS XN. ~NGLXSfl. . ':'
..' 3..An~es ~he '~ue~ons b~o~ ~ar TH~ 'PACX~X~ U~XT ~XST~ B~OW ~ '
.:... 4., Be .~s BRZ~.and CONCXS~ ~ ~os~b!e. "...' ~' ~ _
pe~-~c,n'nel ~'ra~ned ~n.uSe ~, stc,',-~g~, and appt~ca'bLc, n have
Z'f spi'l, ls C,C:CL~¥' ~ith oil c,r solvent the a~-ea i~ cleaned u~.ing
d~mposable absorbing me~te¥"1a].s to abmc,~-b the c:c,n~,minmnts,,
c:c, ntaine¥-m a~'-e c:ove~'-ed ~xnd or have pumps al:l. ov~3g them it:c, s't:and
upr'ight .. mm,~st(~, c'ontainers a~-e cc, vel-ed ,. Any cyl i'nde~-'s c~'r"e m'tc,¥"ect
~n ~ locked cmged 2.-f: s'bo~-ed outside 'facility and at~"'e
': ..... Ove¥-head sp~-inkle~- syster0m'a¥-e p~-e~er, t. Fi¥"e ex'b~nguishe',-s' a~-'e at
.. . ..' ~'d'~'f'ferent points ~n' 'the .'a~-ea, The~-e a¥-e mof~thly t~.a'f'e'ty
' ' meetings "fl::,r all. 'emp~c, yeem · and"monthly'safety meetings of the
-:' Vm¥-1em.c~-e~s.' emPlo.yeem.j~re sent 'to Private. (:c, mp(~n~.es -Fc,~- sa'fety
. : . and. -First aid~ tra'~n~l~g.. ' MSDS a~e ~:~ept at lc, c:a'tid, n for empl~,yee
]:~ an acc:ident c,r spi].~s' oc:cu~-~ the t~-mde 'Foreman is nc, ti'f'ied.
Emergency . phone numbers ar'e pc, st6ed . in 'Fc, l'lematri c,t ~ z(.:~ by .the
phone,..Ev,~cu~,t2c, n Ls tc .... thee Sc, ct'th p~(~"'k'.~ng Lc, 1~.. The
practL-mes .'once ~i .:year c,n evaqcuat~on d~-ill~ which inc:ludes' the
~ lc, catic, n a¥',d hc,~ to ~LU"¥', C,~' gms and elec'ti-'ical valves. '
I
' '..
" '/< :' SECTION 3: HA2ARDOUS MATERIALS FOR THIS UNIT ONLY
..
;"' ..." A. Does chis Facility Unit contain ltazardous .~[acerlals? ...... YES
.-..: If YES, see B.
'.' If ~0, continue alth SECTIO2 4.
...B. Are an~ of tho hazardou~ ma~e~'lals a bona fide T~'ade Secret YES
If'RD, complete a sera,ale hazardous aa~ertals lnvencoe~
forint ~al~ked: NON-T~DE SECRETS ONLY (~hl~e foem ~4A-1)
· . 'I~ Yes, co~plece'a ·hazardous u~a~et'lals lnvencoey fovnt
.T~DE SECRETS.OXLY (velloi~'form .4A-21 In addtclon to the
· ' · ' aecceC fo~'~. 'List only" ~he reade secrets on fora, 4A-2.'
~.. 'SE~ION 4: PRIVATE FIRE PROTECTTO~ .... ....
' S~ ..... 5: LOCATION SUPPLY FOR USE BY-EMERGENCY RESPO~ERS
. ~. X~T..' GaS/~ROP~i. , .'
.B, ~LECTRICAL:
D.' SP;.C ;AL:
"' "E. LOCK gOX: YES /~ I.~ YES, LOCATIOn:
IF YES, SITE PLAXS? YES / NO }lSDSs? YES ./ XO
FLOOR PLAXS?-. YES / NO ~E¥S? YES / XO
SI TE/PACTLI TY DI AGR~
· :;' 0 RI~ ..~
NORTH SCALE: BUSINESS NAME: ~e,~,U /-//6,5/ FLOOR: / OFc~
DATE: / / FACILITY N~E': UNIT
(c.~c~ o~) s~ ~~ ~c~ ~~ ~
SITE/FACILITY DIAGRAM
FORM
NORTH SCALE: BUs'INESs NAME:~e~a/ /-/,~/~ FLOOR:~
DATE: / / FACILITY NAME: T #: OF
~ ' ~lOO C#~Te~ ~4~PC~Vre'~
(CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM
Inspector's Comments): -OFFICIAL USE ONLY-
HMCU-13
,.: . .. .. ..
' Y'BU N £: ". - - ....
:., '. "'. ::: ... ]~U~.3: ~T~: SS~
.: ~ . .''.:...."~......'.." .. -
.'.~ ~NST~U~ONS · ' ... ..-.. ·
. .. 1.' ~o ~otd furthe~ action.'this fo~m must be returned b~:
;i' 2. ~TYPE/PRIRT YOUR ~S~ER$ IN ENGLISH.. · "'
"3.'..Answer the 'questions belo~ ~or T~E FACILI'~ UNIT LISTED
..., 4. Be ~s BRIEF..~nd CONCI$~ as possible. ....
.. . ...--:..?. ~..:. . .,... ....... -- ...... , ..... _ .. ,
.......... :~ a~d a~F,p].ica~'~;~l.c,¥'~ I~'e a~cces~.
If' Sl~i'lls (:,C:CL.~r- v~i'~.l"~ oil C,r" sc, iv~t.tl"~ee ~<r'ce~ iss c].<ea~e(:l
~:lisl~c, sa.~b:Le ~b~sc~:~-~)~.~-~9 n~at. ev-~.c~].s '~.c~ ca~:,sc~Y"~) '~.~'~e <::<:,~'~;e~C(~.'(~ar~t~s,
· ' u~pr'~.'c]l"~'b,. ~a~ste Co~'b~<i~e~-s a~-e c(:,ver'ec~,, Ar~]~ cy:L~.r~cl~er'~s
.'. ii~ ~ lc, c~::e~<~ (:a~:]ecl ~L'f: ss'bo'r'(s~<~ c,u~'b~.~.~s, -~'a~cil~Lty arid
Ove¥-h~,~d ~.F)~-i~::le¥- ~.'vst. er~s ~¥-e p¥-eser~'b I:~l'"e~ ~.~'bi~]L.~i~.he, r's
" . ... 3' d'i'~"fee~-e~t po i'~"~'bs ~.r~' "bl'~e . '~r-e~. 'T. lae~-~e .ar'(~.e n~c,~:~'bl"~ :L,/. ~.~a'f:'e'~;,/
' ~ee'b'~.v~<g~. '"f'of ~:1.]. '~e~l~)lc,)/'~eee, ar~<:~'~c,¥:~tP~].'y ~.e.'f'et'y ~ez, ce'bf~r'~cgss o-F ~l"~e~
W~)-ie~.cr~ev;s. ce~np'lo.~'ee's ~a~-(~e fe~er~t; 'be, I:~'r'~cva~'b~. c:c,~l:)a~i.~s fo~- ~,~'~et~y
':: ' a~z~e?s~. ''
I'f a~ a~cc:ider~t <:,~-sp~Lllss c,c:~:u~-~, t;P~e 'b~-ade:~ 'f~o~-cer~ ~Ls ~o'l;~"~'f~.eecl.
p~o~<e.. Ev~c~.~tic, r~ i~s '~;o .~;P~e:,e ~,c,u~'bl"~ pa~'r'~::.iY~cj lot. "l-~e dis~.¥-ict
',." SECTIO~ 3: HAZARDOUS ~ATERIALS POR THIS UNIT O~EY
:" ...' 'A. Does this Faclll~ Unl~ Con,alu Hazardous ~[atertal~? ...... YES
. If YES, see B. ·
If NO, continue wi~h SgCTlO~ 4.
B. Are any of the hazardous muterlal~ a' bona flde Trade Secre~ YES~
· If'No, co~ple~e a seParate.haZardous ~atertal~ Inventory
form ~urked: NON-TRAB~ SECRETS ONLY [whi~e form
· If ~o~, eo~plote a 'hazardou~ materlal~ laventory form marked:
.T~DE SECRETS.OXLY (~ellow 'form ,4A-2) In addition to the non-trade
~ecreC form. List ohio"tile trade secre[s on f°rm 4A-2.
'~ SECTION 4: PRIVATE FIRE PROTECTION
SECTION 5: LOCATION OF WATER SUPPLY FOR USE B~ E~ERGENCY RESPO~ERS
D. SPECIAL:
':' "E. LOCK BOX: YES / IF YES, LOCATIOX:
IF YES, SITE PLANS9 YES / NO ~[SDSs9 YES / NO
FLOOR PLANS9 . YES / NO KEYS? YES / NO
, i' ,., .... ..,,;:(:?'- OFFICIAL USE ONLY
~ .~ ...... :-' ..... - .... . ' ..' .. ' ID~ - ..
:.j BUiINE$$ NAHE:,, "
""" '..::: .-. BUS,I N~SS PL~ "
.*;, .. . ,.. SI~GT, E *FACILITY HIT
' JNSTRU~IONS. · . .""..".;' . · .
]; 1'. .To avoid further action, thla form must b~ returned by: ~ '
:'f' l. TYPE/PRInT YOUR ~$~ER$ IN E~aLISH. "'
· "' 3..:Answer ~he 'questions belo~ for TBE 'PACILI~ UNIT LISTED
....4'. Be as BRIEF ~nd CO~CISB as possible.-..
... ; .--: .?. f~ .'- . ..... . ..... . ...........
SE~ION '1: MITTGATION~ PR~I0N; ABA~~ROC~S
All haza¥-dou~ mat'eria]:s, are sto¥-ed i.~] a 'l'bcked area or ~-ol:,m wft. th
fi¥-e exti~a~uishecs~ .ven'~ilati. on~ and c,v~rhead sprinl.::le¥-s. Only
personnel trained in ulse , storage, and app].ic:atf~on have access.
I'f spi'lls occur with oil of sol'vent the ar'ea is cleaned using
disposable absorbing materials to absorb :bhe c:ontamf~nants, all
cc, ntaine¥-s are covered and oc have pumps al]~c,~,~ing them to stand
.upr]i. ght,, waste c'ontair~ers are cover'ed. Any cylf~nder's a¥"e s'bor'ec[
in a locked caged i'f stor'ed outside facility and ar'e chained,.
.... Ove¥-head spr~.nkler systems a¥"e present. Fife extingu~.sher's are at
3 d'i'f"ferent poi~]'bs in' ~the '.'area. There are mof'~'bhly sa'f'etY
' meetings .for. all employees · and' monthly safety meet!~ngs of the
-:' varies.cr'ews, employees .are sent t° private, companfl, es. fc, r' , ......... . . ;~'"~.
.. ' and.. firs'b ai. de. tr'a'ini~]~g.. 'MSDS awe ke~)t at locatidn fo'c emplc, y~
' ~Ci~BSS .
[] .. .
. ' If an accident or. spills occur, the trade foreman i.s nc, tif'f~ed.
Emers}ency phone numbers ace .posted . in f'or'eman o'ffice by .the
phone,, Evac:uation is to,..thee south park.lng lot. The district
practices 'once a ..:]x:ear' on evacuation dr'ill, ~h.ic.:h includes the
location and how to t~u¥-n of gas and electri, cal valw~s.
."''" ' S._ECTIO~...3: HAZA. RDOUS ~ATERIALS FOR Tills UNIT ONLY
·
.;" ... -' '.A. Doe~ this Facility Unit Con~ain. ltazardous ~laterlal~?..
· ., If YES, see B.
· ' I~ NO, continue wi~h SECTIO~ 4. .
.. . 'YES
B Are any of the hazurdou~ mate~,lals a' bona f/de T~'ude Secret
'. "- If'~o, complete u separate huZardou~ mucerlula inventory
... form roux'keri: ~ON-T~DE S~CRETS O~LY (~{hl~e form m4A-1)
-I~ Yes, 'complete a hazardou~ materials Inventory form marked:
. .T~BE SECRETS OXLY (yello.tv 'form ,4A-2) In addition co the non-tua(lu
' .~. '.' ~ect'eg foum. List only ~lle trade secrets on ~o~'m 4A-2.
~, '-. 'SE~IO~ ~j PRTVA?E FIRE PRO?EC?TOR .
' ~~ ' . ·
· A. XAT ' GAS/PROP)D~} '. ·.
'. ~. ._, ~." . ..... ~,' ._,': . · .'~ ' .-.- .... ..~
B..ELECTRICAL:
· D. SPECIAL: '
. . ' ....
.E. LOCg BOX: YES / IF yes, LOCATIOn:
IF YES, SITE PLA~S? YES / NO )lSDSs? YES ./ ~O
FLOOR PLAXS? . YES / NO REYS~. YES .,' XO
':!' ',, . ,' OFFICIAL" USE ONLY
........ ' ..... '.
BUSINESS NAME: , .
'. '. :. .... BUS.I NESS
,:!., SINGLE 'FAC. ILITY. I.T~IT
INSTRUCTIONS ..... .'
~ 1.' To avoid further action, this form must be returned by: ...
~ 2. TYPE/PRINT YOUR ~SWER$ IN ENGLISH.
"3.'. AnSwer the 'quesCt0ns bel0~ for THE 'FACILI~ UNIT. LISTED BELOW
.. 4. Be as BRIEF and CONCISE as possible. ' '
. ...
. ' .,-'7 - :' ~ f.~- ·.
SE~ION 1: ~ITTGATION~ PR~TON~ ABA~ PROCESS
All hazardous mate¥"ia].5 are stoced in a locked a/'*ea of ¥"oom with
· f'ir'e extinguisher's a~-mt Ventila%ion'. Only per'sonnel tcained in use
, ~,tO¥-.age, and appl ication have access. If'. spi ]. ].!~$ OC(:]LI¥" with (:)i 1
c:,* t'" ~ c 1 v e i"l t. 'i'3 h e a r* e a i s c 1 e a
mater' ials to absor'b the:, c:ont.ami¥']ar]ts ,, al 1 clo¥'vi;airie¥"s a'r'e clover'ed
and or have pumps al]c~,.ling thern to stand up¥-ight. ~,~aste~
COi"itafLi'iE'l-S ai-e cc, vel-ed, a¥'iy cy]. ii'idel"S ar'e !stc, i'"ed ii"l a 1c, cked
.~ c:aged if' Edtoi"'ed (:)Lit g~ide f'ac i 1 i ty ai"id al-el{, chained. Fife
'ext.inquishers ace' at 3, df~..f'f'er*e.r~t points in the ar'aa, Ther'e are
mo¥:%th ].y sa*f'ety maet i¥']gs 'troy' a'l ]. - emp ].(..
fiiei;~'13 fl.l'*l~j~ (:)f' the varies cr'e~s employees a¥"e sen'i:: to p¥" ivate
Companies ~:(:,i'-'safety and fir'st aide. t¥-ain~[rl(]..MSDS ar'~ ke9% at
1 o c a t i. o n f C, r' e;"[ip 1 o v e e ..... /... ~= .....
SE~ION,,;.2: NOTIFICATION ~ ~A~ATION PROXIES AT ~IS ~IT 0~.
tf' an accident o¥- Spilis occu¥', the trade 'f'oreman is nc, ti'~:': '~'
Eme¥"gency phone numbers .are' posted ir, fo¥"emar', office by the
phone. Evacuation 'is to thee south par'king lot or" nortl"l ',/ar'd. 'The
d i !str' i il:: t pi"' ac: ~ i Ees. (::,¥'~c e. a yea¥" c,¥'1 evai::ua t i.C,l'] [:h"' i 1 1 ~ ~.~i"i i ch
.': 'SEC?~ON 3: HAZARDOUS MATERIALS FOR Tll~S UNiT ONLY
· .." A. Does ~hls Facility Unl~ contain Hazardous )fa~erlal~ ...... YES ~0
.'.., If YES, see B.
· ' ..'. If NO, continue ~ith SECTION 4, ..
B. Are uny of the huzUudou~ materials u bona flde' Trade Secue[ YES'
· ". I~'No, complete a ae~arate'haZardous materials inventory
~or~n marked: ~ON-T~DE SECRETS 0~LY (~hl~e form m4A-1)
· If Yes, complete a 'hazurdou~ materials lnve~{tory form marked:
T~BE SECRETS ONLY (yelloiv'form ,4A-2) In uddt~lon
"' sect. et foam. List only' tl{e trade secrets on for,~ 4A-2.
'., SECTION 4: PRTVATE ~IRE PROTECTTOM ..... ,...
.... ........ :::~ ...:"~CTIO~"'. ~~~' 5:_ .LOCATIOn-..- OF NA~R. SUPPLY~,,.FOR USE BY~~~EMERGE~CY RESPO~ERS
S,ECTIO~ 6:.. 'LOCATION Og UTILI~ S~T-OFFS .AT THIS .UNIT OSI. Y.
A. XAT ' GAS/PROP~i
B, .ELECTRICAL:
.g.' SPECIAL: ·
'" "~. LOC~ BOX: Y~S /~ IF Y~,
IF YES, SITE PLAXS~ YES / NO ,ISDSs~ YES ./
FLOOR PLAXS? YES / ~O ~EYS? YES / XO
BAKERSFI~DD C~'TY FIRE DEPARTMENT
I.D. * FORM 4A-1 Page
NON--TRADE SECRETS
HAZARDOUS lViAT E R I ALS INVENTORY
ADDR ESS :~/dO ~J~ ~, ADDRESS: ~-~$'Je.~ FAC l L I TY UN I T NAME:
PHON~ ~:~f33~7-~/. PHONE ~:(~d~)3~~/_ [ [O'FFIC[ALoNLY USE CF IRS COD~
"
· I 2 3 4 $ 6 7 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T
--', ~dO ~ ~ '~ 10 $~ . ., ., ., ,, ~o~e~~e~e ~ ',
lbo / ~o " /~ ~q " " " " " . ~s~v Y, d~L,4s~.d,.~ ~oler FLLO
q~ 7~ ,, /~ o ~,. ,. ,. .. , lbO..~ ~~ .=,~,~or~ CNZQ~,,,~
" ~ ~ ~3 /~, /0 ~ ' ....... " .,L"T~'~ ~d~~e ~~e
%~g: TIT[E: S l ONATURE: DATE:
gMERGENCY CONI'ACT: TITLE: .... PHONE ~ BUS HOURS;
AFTER BUS HR8;
{M~ROENUY CONTACT: TITLE: .. PHONE { BUS HOURS:
,RINCIPAL BUSINESS ACTIVITY: AFTER BUS. HR8:
. - 4A-1 -
CHEMIqAL OR COMMON NA~E CODE GUIDE' TM ' "'
AFTER BUS. HRS; '.... · ·
BAKERSFIE~DD CITY FIRE DEPARTMENT
I.D. ~ ' FORM 4A-I . Page _] of
NON--TRADE SEICRETS .
HAZARDOUS MATERI ALIS INVENTORY
BUSINESS
CITY, ZIP:~~~f~ ~ ~/ CITY,ZIP~~/~ ~
.... ~, ,,[ ,.ONLY
1 2 3 4 5 8 7 8 9
TYPE ~AX ANNUAL. T CONT USg LOCATION IN THIS · BY' HAZARD
~CODE ANOUNT A~OUNT UNI CODE CODE FACILITY UNIT WT.~ ,CHENIQAL OR COMMON NA~E CpDE OUlO~
~ ~ /3o ,, / o ~ ,, " '," " . 5~
~AME: TIT~E: S I GNATUR:~.~; DATE:
g~ERGENCY CONTACT' TITLE:. ,t PHONE $ BUS HOURS:
~)~ AFTHR BUS HRS~ ,
~ERGENCY CONTACTt TITLS; . .L~ .... : PHONE ~ BUS HOURS: _
,RINCIPAL BUSINESS ACTIVITY: {~ A~TER BUS. HRS;
- 4A. {
IEPART~ENT
Page I o f .,~/ :;!: '
S INVENTORY - ?::":: '"'
~~ FAC [ L I TY UN I T NA~g' "
~/ [o~c~ use c~s cooe
[ .,ONLY '¥ .... ' ...... · ..'
CHEBI~A~ OR CO~ON NA~E CODE GUIDE , ~. ~ . ,. . ........ .~'
· ~ ' :::'.-..' ~ :.. :.
' ' ::,3::t.' :
~/ ~_~ ¢ ~.~. /./~ ,., 5'~~ s~ , . ~ ~, :': ~':: ~':>~ '
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· ::' :: .3:. :-¢ ': '.: . ' '
E: _ DAT~: .:... :.::(?: . :~;:::. .:: ::.:. ::::.,..
p~ON: ~ ~U~ HOURS t ...... 'h.:::,:;. '..:::?.:' .-:.".
AFTER BUS HRS{
PHON~ ~ BUS HOURS: ..::::,../:.::.?:.::..... ..
'::~ ~' "~'
%?.: ' . ..'
BAKERSFIZ[~[} C~ITY FIRE DEPARTMENT
I.D. ~ FORIW 4A-I Page
NON--TRADE SECRETS
HAZARDOUS MATER][ ALS INVENTORY -
AODRESS:~/vd~~ ~ ADDRESS:~O'~.~~ FACiLiTY UNIT NA.E:
PHONE
I 2 3 4 ~ 8 7 8 9 ' I0
TYPE ~AX ANNUAL CONT USg LOCATION IN THIS · BY HAZARD D.O.T
COOg AMOUNT .A~OUNT UNIT CODE CODE FACILITY UNIT WT. ,CHE~IqAL OR COMMON NA~E - CODE GUIDE
(
~A~E: IITDE: SIONATURE: DATE:
~ERGENCY CONTACT: TITLe: ..... PHONE $ BU3 HOURS;
AFTER BUS HRS~
~RGENCY CONTACT~ TITLE; ,. PHONE { BUS HOURS:~_
'RINCIPAL BUSINESS ACTIVITY; AFTER BUS. HR$:
FORM 4A-1 Page .,~- ,of'~ .....
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY -
AOPRESS :~/~~~~, ADDRESS ~-~~e~ff FACILITY UNIT NAME:
I 2 3 4 5 6 ~ 8 9 I0
TYP~ flAX AXNUAL CONT USff ~OCATION Iff TffIS $ BY ffAZAR~ ~.O.T~
CODE,, AMOUNT AMOUNT UNIT CODE COD. E. FACILITY UNIT WT. CHENIqAL OR COMMON NAMB
~A~: TIT~: SIGNATURE: DATE:
~ERGENCY coNTACT: T~TLE: PHONE ~ BU8 HOURS:
AFTER B~S HRS~
{~RGENCY CONTACT: TITLE; ....... PHONE 8 BUS HOURS: .....
~RINCIPAL BUSINESS ACTIVITY: AFTER BUS.
'" "' O~F .......
"' ~... ', ,' , I¢IAL USE ONLY
' ....... ' ' T.D~ - -
~ .~ , . . .
· .~ '. "' '.(..-~ ~U~.~~ .'~~
'[.~ ' .~ .... ' '
~.~ .. 1'.' .To. avo'ld furthe~ action,' th~' forn must be returned b~: ..
~' · ~. T~PE/PR[KT YOUR ~S~ZRS ~N ENGLISH. · "'
· " 8.' ~s~er the 'que~ons belo~ for THE 'FACILI~ UNIT LISTED BELO~
· '. 4;.~e ~ BRIEF and CONCISE as poss~bl.e.'
. ~.. .. ..... ~..-,~ '
· ~f~. .. . .
- ' ..'.. -~£CT,IO.~ 3: HAZARDOUS ..~ATERIAF. S FOR TtI[S U~I?
:" .' . Does chis Facility UnlC co~aln Hazardous ~la~erlal~? ......
· .. If ~0. continue with SgCTIO~ 4.
B. Are any of the hazardous materials ~ bona fide Trade Secret
form marked: ~ON-T~DE SECRETS ONLY (~hl~e form ~4A-1)
.T~BE SECRETS.OXLY [yellotv'form ,4A-2) In addition to the non-tr~du
· .... aecx, e~ form. L/sc only' the trade secrets on form 4A-~.
~', 'SE~TON 4: PRTVAT~ ~IR~ PROTECTOr' . ...
SECTIO~~O~O~ NATER SUPPLY ?OR USE BY EMERGENCY' RESPO~ERS
k 2 , SECTI0~ 6: LOCATYO~ OF UTICI~ S~T*OFFS AT THIS U~IT 0YLY.
~ A. XAT.' GAS/PROP~21
"B..ELECTRICAL: ·
D. SPECIAL:
'E. LOCK BOX: YES / IF YES, LOCATION:
IF YES, SITE PLANS? YES / NO ~iSDSs? YES ./ NO
FLOOR PLAXS? . YES / NO KEYS? YES / XO
I. O .i #~ i':' .. '>. ':i!'.'::i: i:~"::t,i {,"i~:ii:" i?'i~FOR~4:4'A-3':,':'ii':i:,'Li::,:('i,.'-:i':::I '::::.i:!!.:'.i".:. "':i-i::~.' .~;'L ': . i: i--'. ".-i...':"J:--: ~--:.'::: ::.!:'::....::.-.Page.'
AUDR ESS; :~3 ]O~'-'. '~ ~ST~ :"-~ U~'".:: '-: .... :"."~.:': :' :--'-" ADDRE. SS.[::-'-~O ::.:-~ ~..:~;" :-:'::-' ' .FAC I L I TV. 'UN [ T-.NA~E
CITY,'. ZIP: ~~/~G~" . ".~ -..__~o I .' .CI. TY,..ZIP:-~~i~ :::' '" ~'~OI .......
PnONS~:~::. ~'~':'.~z~-z~-~_ ... '-'e~ ::~r-.... ... ' P~oNs..::. '*:..":~o~::<:Sz~_ _ --z~' : '[O~cI~' U.s~ c~s. ~. CODS
.... : ": ' . ' ': '. -... :: " :. "'- '.' : ::'-. . '? '::.".<-'.. : ' ONLY ' '
I .:2 .'.: '3'.'.. . -- 4 5 -.'6 ''-' ~'. ~ . , .'. . 8 '. .'. ..'. 9. :...:..: ..[ '('-" .::.. .10
TYPE HAX · ANNUAL' ".:',' CONT~ USE(' LO'CATION 'IN THIS g BY '. --. .
· ' . ...... "' ~.' ~."~ ~: ":'IIAZARD D.O.T
co~E A~OU'~T A~OU~T U~T CO~E:CO~E "FACiliTY U~iT :'. '-"WT" 'CHEmiC'AL O~ CO~O~'~A~E' :: --".:CO~E GU~
:'" ' ~"":"':' " ''" ~' '"'" "~' """ '~0.'
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' NA~E: ~IT~:~ p~~'~ ':.::::- -' .TITLE.:~oU~- FO~e~A~ SIGNATURE~ ~: ~..':.- ". DATE: ~Z~7
' EH~ROENCY "CONTACT: ~/~C~':'~'~'~'" .... ' · :': '.TITLE :' pj~e-cTOK:-','d, ff '~ )'~. PIIO~E,.'. ~)S HOURS:~Z~'2?~I
t,:~ . r ' .'--- .' : ..' :" '. : ,-: . .':..' .-"; ..... '-: . "-: ·-:',..'.:.-.:..;: -..-',..:AFTER .BUS HRS:'.- ~' .~O~q~
.:: ~E~C~ 'cO~TAc?: c~ecr~'~~o~s '::'-"-: : '.<T']TL~/'~: 'n)~'~a?o~-.".'":':~:.'.::'pU%~ ~' eUS HOURS:~.:.. ...... -.':..
.' pf~ClPAL'~USI~ESS ACTIVITY:~AI~T~cC:~ O~E~AT/e~,5 ~_~~cb/~oC AFTER .BUS ilRS:.'~)'~'~?~"
. . ... .. ~. ~ -~5~, - . . .
KERN COUNTY FIRE DEPARTMENT
I,.D. # FORM 4A-] page... /_. offs_.
NON--TRADE SECRETS
HaZaRDOUS MATERI ALS INVENTORY
BUSINESS NAME:'~'~/ZA/ /ql6/4 ~/lOoC~.t)67. ~,O6~WNER NAME:~R~ [~ ~L 0~57 FACILITY UNIT ~:_~_
ADDRESS: ~}00 ~TL~ ~0~- ADDRESS:. ~0 ~ ~. FACILITY UNIT NAME: ~ ~
, ONLY
1 2 3 4 5' ~ 7 8 9 10
TYPE MfiX ANNUAL CORT USE LOCATION IN ,THIS · BY HAZARD D.O.'
CODE AMOUNT AMOUNT UNIT CODE COBE FACILITY UNIT ~T. CHEMICAL OR CO'MON N~ME CODE 6UID1
,~ ' · i
','".', .'.,. ::?.. ' · . OFFICIAL USE ONLY . "· ....
'"'::..! .. ""..' ..-'.' '.'.." '. " ID, . '
I
'. '-.(:..'..' .. BUS.I I~]]ES S 'PL~' "
; .~N~TRU~ON~ .... '. "'..': ' '..' ' '
.~ 1 "To ~vo~d fur~he~. ac~on', 'th~s for=
~" 2. TYPE/P~INT YOUR ~$~ER$ I~
3.~.A~s~e~ ~he 'q~es~ons b.elo~ for T~E '~ACILI~ U~IT LISTED BELO~
.['" 4; Be ~s BRIEF and CONCIS~ as possible. :' ..
All hazardous ma'b'eria.].s ace sto¥"ed in a ].'bcl.::ed acea c,c room with
fi'ce extin(]uishecs~ .ven'll~latic, n~ and overhead spcinl.::le¥-s. Only
personnel 'brained in use ~ stc, ragm'~ and applicatic, n have access.
If spi'lls occur with oil or solvent the ar'ea is. ~].eari~d'us~.[i. rlg
disl:~c, sable absorbing mate¥-ials 'bo ab~or'b the c:ontam~l, nant~s, ali.
'" cc, i'~'ba~ne¥'s are covered ar, d o¥" have pumps a].][owimg them to sta¥'~d
.' .up'c~.'ght,, waste c'omtair~ers a~-e coveY"ed. A~-~y cyli~"~ders a¥"e sto¥"e~A
f~n a locked caged i"F stored outs~.de facility and ar'e chained.
'~ ,.. ... .Overhead sprinkler systems ar'e present. Fire ext. in~luishers' ar'e at
3 d'i'Pfferent . poin'bs in the ' 'area. ]]here are mo~:~'bhly saf'ety
meet[ings "for- a11' employees and' month].y safety mee'gings of the
.~' " va)'-ies.cr'ews, emP!oyee's are sent to p'rivate, cc, mpal]~.es for' safety
· and fir'st a~.de tr'a[~n[~4g'.. 'MSDS a~-e kept .at lc, ca'tgS¥~ for' employee
If ali acc~.dent or spills [,[:EL~i-~ ~;he trade '~oremal] is notified.
! Emergency. phone numbers al~e posted in for'eman off'i'ce by .the
~ phone. Evacuation ~s t~ thee South p~r'k'.ing lot.. The district
. p~'-act~ces 'once a...year on evacuation dr'[L1].~, ~l'lfLch includes' the
.. lc, cation and how to tt.u"¥-~ of gas arid elec:tr~.cal valves.
.= '" ~KCTI~)~ 3: HAZARDOUS ~ATI~RIALS FOR TIIYS U~YT ONLY
: ' ...' A. Does this Facility Unit co~cain Hazardous .~[atertals? ...... YES
~,,., If YES, see B;
B, A~e ~n~ of the h~zardou~ m~te~,l~ls ~' bona flde Trade secret YES~NO~
', '~ · If'ED, complete a se~avate hazardous materials Inventory
fovl~ mal'ked: ~ON~T~DE SECRETS O~LY (t~hi~e fo~m
· '. .. 'If Yes, complete a 'hazardous ma~e~'lals Inventory for~ umrked:
.T~D~ S~CRgTS.ONLY (ye~loiv'fovm ~4A-2) In addiclo~ co the
' ' r '' :'4.' uecL, e; form' Lis; only" tile ~rA(le secrets ol~ for~ 4A-2.
· .S;~ON ~: PRTVAT; F~R~ PROT;CTTO~ .~.
,SECTiOn,6: LOCATION OF UTTLTW S~T-OFFS AT THIS UNiT
B, gLECTRICA~: ()
.C. ~ATER:
' Z, LOCE BOX: YES / IF YES, LOCATION:
IF YES, SITS PLANS? YES / NO )ISDSs? YES ./ NO
. FLOOR PLANS? . YES / NO KEYS? YES /' NO
<, .. HAZARDOUS MATERI ALS INVENTORY
. . . ~ .'.,
ADDRESS: ~taO C..h~¢~e, .A,~% ADDRESS:.gOOO Xq~ ~,~ee~ FACILITY UNIT NA~E:
PHONE $: (~q05.)~27557g/ . OFFICIAL USE CFIRS cO'O~
....] ONLY
~ z a' 4 ~ ,, .6 ~ d 9 x0
TYPE ~AX A~U~L CO~T USE LOC~T]O~ I~ ,THIS $ BY IIAZARD O.O.'
~OO~., ~OU~T A~OU~T UNIT C~DE CODE ,.FA;~L!Ty O~IT. ~T. CHEMICAL On CO~O~ ~A~E CODE 6OlO~
i .
: 7~ ~ . ~ .
~AME TITLE: SIGNATURE: . .~., ..
- . KERN COUNTY F/RE DEPARTMENT .* - ·
~AZARDOUS MATERI ALS I NVENTORY
TYPE ANNUAL CONT USE LOCATION IN .THIS ~ BY IIAZARD D.O.'
CODE~ ' A~OUNT UNIT CODE CODE FACILITY UNIT ~T CHENICAL OR COHHON NAHE CO~E
NA~E:
TYPE MAX'.'. ANNUAL" .., .. coNT USE · LOCATION ',IN THIS '~ BY , ,: " - :~'- ~:'IIAZARD D.O.T
CODE AMOUNT, ,AMOUNT 'UNIT COOE CODE ' FACILITY UNIT ,~ '-WT. ' CHEMICAL,OR COMMQ~ NAME' CODE OUID~
:. . ' ~ ..,~- /~l .-. ' , . . . - .
~' '' ' o~' :
EMERGENCY CONTACT:C~OC~ ~DO~5 TITLE:~,G~, ~1~0~' PHONE t BUS flOURS:~ ............
PRINCIPAL BUSINESS ACTIVITV:~i~T~Atcc:~ opE~T~oA,5 Fo~_AG~ HtQ~Sc,bloo~ AFTER BUS tIRS: ~i--6~3~ _
U.S. DEPARTMENT OF LABOR ~o,m A¢.~o,,.,=
~ OMit ~0. 44-R~387
~ Occupational Safety and Health Administration
MATERIAL SAFETY DATA SHEET
I. R[~JIRED UNDER U.S..DEPT. OF LABOR ,SAFETY ,MiD HEALTH, REGULATICW$ FOR ~IP I~PAIRIIIG, ~IIP-
BUILDING NID ,IHIPBRrAKING (29 CFR 1915, 1916, 1917J, 'AND k,t ADOPTED UND£R OCCUPATIO#AL
.... ~AFETY MID HEALTH ACT OF 1970, SECTIOIi I~, Eh) [2), (29CFR1910).
'** ;,.'*Manufacturer: 'Emergency phone:
', ~'~ SNARE CORPORATION ' (414) 355-4000
P.O. BOX 23053
MILWAUKEE, WISCONSIN 53223
_ Ref. No. SASOTLUSPA2553
date of input: 10/'31/1985
********* SECTION I - PRODUCT IDENTIFICATION ******************
Trade names and synonymS: SAFETY 'SOLVENT - NON-FLAMMABLE
Chemical name / synonyms:
Chemical family:
Formula: AEROSOL DEGREASER
********* SECTION II -:HAZARDOUS 'INGREDIENTS ******************
Substance % composition TLV
1,1,1-TRICNLOROETHANE, CAS# 71556 96 % 350 ppm
*********' SECTION III - PHYSICAL DATA *************************
Boiling point(OF): 162 Specific gravity: 1-3
Vapor pressure(mm Hg): 1OO % volatile(volume %): 1OO
Vapor density(air=l): 4.5. Evaporation rate
Solubility in water: INSOLUBLE ( ETHER =1): UNDET.
Appearance and odor: CLEAR, WATER WHITE LIQUID, CHARACTERISTIC
....... CHLORINATED*SOLVENT ODOR.
********* SECTION IV' - FIRE AND EXPLOSION HAZARD DATA *********
Flame extension: NONE Flammable limits in air (volume%)
FLASH POINT: NONE Upper: Lower:
Extinguishing media: WATER, FOAM, CARBON DIOXIDE, DRY CHEMICAL.
Special fire fighting procedures: FIREFIGHTERS SHOULD BE EQUIPPED
WITH SELF CONTAINED BREATHING APPARATUS..COOL CANS IN VICINITY
OF FIRE WITH WATER FOG.
Unusual fire egd explosion hazard: EXPOSURE TO TEMPERATURES ABOVE
12OoF. MAY CAUSE CANS TO BURST.
Threshold limit value: 350 ppm, 8 HR' TWA
Effects of overexposure: EYES: IRRITATION, REDNESS, BURNING,,
BLURRED VISION. SKIN: IRRITATION, DERMATITIS. INHALATION:
IRRITATION OF RESPIRATORY TRACT, CONFUSION, DIZZINESS,
HEADACHE, IMPAIRED COORDINATION, NARCOSIS, WEAKNESS,
UNCONSCOIUSNESS. INGESTION: NAUSEA, VOMITING.
Emergency and first aid procedures- EYES: FLUSH EYES AND UNDEH
EYELIDS WITH PLENTY OF COOL WATER FOR AT LEAST 15 MINUTES, AND
OBTAIN MEDICAL ATTENTION.
SKIN: REMOVE CONTAMINATED CLOTHING AND WASH WITH SOAP AND
.... WATER.
INHALATION: REMOVE PERSON TO FRESH AIR. ADMINISTER ARTIFICIAL
RESPIRATION IF INDICATED. DO NOT GIVE STIMULANTS. EPINEPHRINE
OR EPHEDRINE MAY ADVERSELY AFFECT THE HEART.
INGESTION: GIVE SEVERAL GLASSES OF WATER AND INDUCE VOMITING.
CALL PHYSICIAN OR POISON CONTROL CENTER IMMEDIATELY.
PRIMARY ROUTES OF EXPOSURE: INIIALATION, .SKIN CONTACT.
Stability: STABLE Conditions to avoid: HIGH TEMPERATURES
Incompatibility: STRONG OXIDIZING AGENTS, STRONG ALKALIS
Hazardous decomposition products: THERMAL DECOMPOSITION MAY YIELD
CO, C02, IIC1, C12, PHOSGENE GAS.
Hazardous polymerization WILL NOT OCCUR.
Conditions to avoid: NOT APPLICABLE.
Steps to be taken if material is released or spilled: VENTILATE
AREA THOROUGHLY. SOAK UP ON INERT ABSORBENT AND PLACE IN
CLOSED CONTAINER FOR DISPOSAL.
Waste.disposal method: CONSULT LOCAL ENVIRONMENTAL AUTHORITIES.
DISPOSE OF CAN IN.NON-INCINERATED TRASH ONLY.
~.*****'**** SECTION VIII - SPECIAL PROTECTION INFORMATION *******
Respiratory protection: AVOID BREATHING YAPORS. USE ONLY WITH
ADEQUATE VENTILATION.
Ventilation -Local exhaust: RECOMMENDED
-Mechaaical: RECOMMENDED
Protective gloves: RUBBER GLOVES IF DESIRED
Eye protection: CHEMICAL GOGGLES OR FACE SHIELD IF DESIRED
Other protective equipment: EMERGENCY SHOWER AND EYE WASH.
Precautions to be .taken in handling and storage: STORE IN COOL,
DRY PLACE, A~AY FROM 'iEAT, OPEN FLAME, OR DIRECT SUNLIGHT.
KEEP CONTAINER TIGHTI~ !LOSED WHEN NOT IN USE.
Othe: p~ecautions: KEEP 0!:? OF REACH OF CHILDI:EN. DO NOT PUNCTURE
OR INCINERATE CAN.
- U.S, DEPARTMENT OF LABOR
OGrupatior~l S~laty ~nd H#lth Administration
MATERIAL SAFETY DATA SHEET
SHARE CORPORATION (4t4) ~55-4OO0
P.O. BOX 25055
'MILVAUKEE~ VISCONSIN 55225
Ref. ~o. SAS0WIMISL
date of input: 4/8/1986
*~~ ~ SECTION I - PRODUCT IDENTIFICATION
Trade names and synonyms: SAFETY SOLVENT
Chemical name / synonyms:
Chemical family;
Formula: ','~0RGANiC SOLVENT BLEND
********* SECTION II - HAZARDOUs INGREDIENTS ******************
Substance ~ composition TLV
*Methylene Chloride.CAS# 75092 ~1o~ >70.O % 350 ppm
Mineral Spirits CAS# 8030306 \~..O~ <20.O'% 200 ppm
*Possible cancer hazard based on tests with laboratory animals.
Overexposure may create a cancer risk.
*******~* SECTION III - PHYSICAL DATA *************************
Boiling point(OF): 300 Specific gravity: 0.86 pH: N/A
Vapor pressure(mm Hg): NOT DET. % volatile(volume %): 1OO
Vapor density(air=l): > 1.0 Evaporation rate
Solubility in water: INSOLUBLE ( ETHER__=1): > 1.O
Appearance and odor: CLEAR, WATER-WHITE LIQUID, CHARACTERISTIC
CHLORINATED SOLVENT ODOR.
********* .SECTION IV - FIRE AND EXPLOSION HAZARD DATA *********
Flash point (OF): 105 Flammable limits in air (vOlume%)
(tesC method): CLOSED CUP Upper: N/A Lower: N/A
Extinguishing media: FOAM, CARBON DIOXIDE, DRY CHEMICAL.
Special fire fighting procedures: FIREFIGHTERS MUST USE FULL
PROTECTIVE GEAR INCLUDING SELF-CONTAINED BREATHING APPARATUS.
Unusual fire and explosion hazard: USE WATER SPRAY TO COOL FIRE-
EXPOSED CONTAINERSi MAY PRODUCE TOXIC FUMES WHEN HEATED..
*********-.SEJTioN.V.d.HEALTH.HAZARD.DATA..********************.
..Threshold limit value: NOT ESTABLISHED .
Effects of overexposure: EYES: IRRITATION~ REDNESS, TEARING,
..BLURRED 'VISION.' SKIN: IRRITATION WITH PROLONCED CONTACT,
DERMATITS. INHALATION:. RESPIRATORY TRACT IRRITATION, ............
DIZZINESS, WEAKNESS~ HEADACHE~ NAUSEA, EUPHORIA,
UNCONSCIOUSNESS, POSSIBLE. DEATH..INGESTION: GASTROINTESTINAL...L.i.~
IRRITATION~ NAUSEA~ VOMITING~ DIARRHEA~ DIZZINESS~ LOSS OF
UNCONSCIOUSNESS.
Emergency and first aid procedures: EYES: FLUSH EYES. AND UN ER
EYELIDS WITH PLENTY OF COOL WATER FOR AT LEAST 15 MINUTES.
-~-.- ~-. 'OBTAIN MEDICAL ATTENTION.~
SKIN: REMOVE CONTAMINATED CLOTHING AND LAUNDER BEFORE HE-USE.
WASH WITH SOAP AND WATER
INGESTION: CALL PHYSICIAN OR.POISON CENTER IMMEDIATELY. DO NOT
INDUCE VOMITING. NEVER GIVE ANYTHING BY ~IOUTH TO AN
UNCONSCIOUS PERSON.
INHALATION: REMOVE PERSON TO FRESH AIR. ADMINISTER ARTIFICAL
, RESPIRATION IF INDICATED. OBTAIN IMMEDIATE MEDICAL ASSISTANCE.
********* SECTION VI - REACTIVITY DATA ************************
Stability: STABLE Conditions to avoid: NONE
Incompatibility: STRONG ACIDS AND OXIDIZING AGENTS..
Hazardous decomposition products: THERMAL DECOMPOSITION lAY YIELD
CO AND CO~.
Hazardous polymerization WILL NOT OCCUR.
Conditions to avoid: NONE
********* SECTION VII - SPILL OR LEAK PROCEDURES **************
Steps to be taken if material is released or spilled: SOAK UP ON
INERT ABSORBANT AND PLACE IN CLOSED CONTAINER FOR DISPOSAL.
Waste disposal method: CONSULT LOCAL ENVIRONMENTAL AUTHORITIES.
********* SECTION VIII - SPECIAL PROTECTION INFORMATION *******
Respiratory protection: USE WITH ADEQUATE VENTILATION' IN AREAS
OF HIGH CONCENTRATION, AN NIOSH APPROVED RESPIRATOR MUST BE
USED.
Ventilation -Local exhau.st: RECOMMENDED
-Mechanical: RECOMMENDED
Protective gloves: RUBBER GLOVES
Eye protection: CHEMICAL GOGGLES OR FACE SHIELD
Other protective equipment: PROTECTIVE CLOTHING, EMERGENCY SHOWER AND. EYE WASH STATION
********* SECTION IX - SPECIAL PRECAUTIONS ********************
Precautions to be taken in handling and storage: STORE INA COOL,
DRY AREA. WASH THROUGHLY AFTER HANDLING. KEEP CONTAINER
TIGHTLY CLOSED WHEN NOT IN USE.
Other precautions: KEEP OUT OF REACH OF CHILDREN.
?" BUSINESS NAJqE: ~ · - .....
/., .. .:". SZ~Gr.E FACILITY TJI~ZT
..... FO~ ~A
.' ,~NST~U~ONS .. '. ' ' ;..."'.
.) .l "To avoid further action, th~s form must be returned by:
?f' 2. TYPE/PRInT YOUR ~S~ER$ IN ENGLISH.
· ' 3...~s~er the 'questions belo~ for THE 'PACILI~ UNIT LISTED BELO~
· .. '. 4'. Be ~s BRXEF ~nd CONCIS~ as possible.
I ]--- ~:f ..............
. .... . ~ :-
~-i~-{~ ex2[.ngu.~hel-~ ve~-l~lat[on~,.and ov~¥~h~ad ~p¥"i~l.::lCe¥"~.
I'ff ~pi'll~.OCCL~r with oil o¥' ~oIv~l'~2 2he
dispossab]L~e abso~-bi¥'~ mate~-ia].s 'bo absoi-b th~, cc,¥~tami~qa~-~'bs, all
coi"itain~,¥-s a~-~e cc, very-ed and or have pumps al].owi;,-~g rheem to
.up~-.i'ght.. waste.. ~on'bai~-~er~s au-e cov~-~d. P, ny ~yli~q(zl~e~-~s a~'"~ ~.tc,¥"ec%
in a locked caged i'f stc, i"'ed ou~tsi, de facility and al-e.chain(ed.
': ... Ovel-he)ad ~.F)i-iiq~::l~l- ~.ystems al-e p¥'es~l]t. Fi¥'e~
3 d'i'ff'ff{el-ent pc,[~ats ifa" 'the . 'al-¢~a. ]-hel-e~ ac~e mc,~:itl"l].y ~sa'f'ety
me~,tf~¥~gts "Fc:,~-' 'all' .¢~mploy'ee~,. ~ad'mo¥'vthly sa'~¢.~ty meeti~-~gs of tl"~
.:' varies c¥"ew~a. ~mp'l , ' :'~= '" ~'~ .
. .' ai"'~d.'~'ii"st aid.ce 'bi]a'[la~]~g;. 'MSDS aide kept .at loc:a't~c~¥~' roY- ¢~mpld, yee
.~ ......... S~mYON, 2: NOT~CAT~0~ ~ ~A~ATTON' PR0~ES A~ ~Ts ~IT _~ '"
I'f al~ accident o'~- spills OC:CL~i-~ the ti-ade 'ffoi-~?man fi.~s mot~'f'i~ed.
Emerge~ncy. phone .nu~mbers. a~-e post,ed . in 'f"o¥"ernan o'Ffice by .the
pho¥](-~..Evacuation i~s tc ..... th~.e s~c,u'bh ps(~"ki¥~g lo't~. The dist¥-ict
locatio~-~ a~-~d how to tur¥~ of gas a~nd celCect~-'ical valve, s.
- ' .:: ~' SECT{OX 3: HAZARDOUS ~ATE..RIA.LS FOR TILTS UNIT
:' ....;' ~. Doe~ thl~ Fa¢lllty IJnlt Contain Itaxardou~ .',lacerlal~? .....
If YES, see B.
· ... If NO, continue wl~h SECTIO~ 4. ..
..... B. Are uny of the hazardous materials, a bona fide Trade Secret' YES~
· Ii'No, complete a se~ara[e hazardous materials inventory
form marked: ~0N-T~DE SECRETS 0~LY {tvhl~e form
· If Ye~, complete a hazardoua ma:eulala Inventory form marked:
.T~BE SECRETS.OXLY [yellmv'~oum ,4A-2) In atldi~ion [o ~he non-tuadu
.. ~.. uecuet fou~{. Lis~ only' the ~rude secrets on form 4A-2.
~, 'SE~ION 4: PRIVATE ~IRE PROTECTTOM ..... ....
'. ,$ECTIO~ 6: 'LOCAT!ON O~ UTILI~ ,S~T-O~S AT THIS U~TT O~I.Y.
A. ~'AT ' GAS
C. ~AT~R:
D. SPeCIAl:
"E. LOCK BOX: YES /~ I~ YES, LOCATIOn:
IF YES, SITE PLAXS? YES / NO )lSDSs~ YES ./ ~0
FLOOR PLAXS? , YES / NO REVS9 YES / NO
KERN COUNTY FIRE DEPARTMENT
I.D. # FORM 4A-I page~
NON--TRADE SECRETS
HAZARDOUS MATERI ALS INVENTORY
ADDRESS: 3/00 ~A~ ~- ' ADDRESS: 2/)00-2q~ ~$1,a~ FACILITY UNIT NAME:
PHONE ~: ~05-3~7-~75~ ~X~. /F~ PHONE ~: g05=32~-275l' ]OFFICIALoNLY USE ~FIRS
1 2 3 4 5 6 7 8 9
TYPE MAX ANNUAL CONT USE LOCATION IN .THIS · BY HAZARD D.0.'
CODE AMOUNT AMOUNT UNIT 'CODE CODE FACILITY UNI~. WT. CHEMICfL OR COMMON NAME CODE GUIDJ
.... ~ ~ II ~
~ ../3 ~ $~I~ loo~ _-- -0~~ ., Cg~
- ' ~ - ~ · ~o
~ ~ .... 2 . .~ ~3 ~ ..... o~~~. ~o~I___
~ ~ ~ 10'/~ ~ __L_ , .......
NAHE: T']TLE: SIGNATURE: LATE: ............
E~ERGENCY CONTACT: TITLE: PHONE ~ BUS HOURS:
E~ERGENCY CONTACT: TITLE: :'HO~F C :US :fURS:
~FRINC~PAL BUS]NESS ~.CT~V~V: :.T'Tk'~l ~:U?
SITE/FACILITY DIAGRAM
FORM 5
NORTH SCALE' BUSINES~ NAME: ~4~,~O~}~ ~C_~ ~I~LOOR:" OF~
(CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM
(Inspector's Comments): -OFFICIAL USE ONLY-
,,,
HMCU-lS