HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
-.. CONDITIONS,.. . O.F-PERMIT ON REVERSE SIDE
" ~ . - . ..' .' Q'.'i':~:' · This oermit is issued for the followina:
'.---,,~--~,-- · ~-~- ~ ~~. El Hazardous Materials Plan -
~~~ ~~ O Underground Storage of Hazardous Materials
Permit ID #:: 015-000-000709 ' , ~ !~~,~, i~'~-~~.~i~ [] Risk Management Progmm ·
LOCATION: 900 CHESTER AVE ~~"
,,.~ ~7' ~,,~ - , .,... ;~_~ 'i~i~, . .
,. .
. ' ~C,".-.~" : :{" '~'".~' ' ' ;~.~- i i~'-~'... · '
' .. ". -' .~...~.~..~..... ...... ~ ~..';~ ~ ,.' . .
~ '7lq Ohe~ter Ave 3rd Floor Appmv~by:
..... , .
~}~ Voice (661) 326-3979 ' ' .
~~ F~ {661) 326-0576 ~ .Exp~tion Date:
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
............ ,~,,~;,~.,~,~?~;~,~.,~;~ ............. This permit is issued for the following:
,~,,~,,~"!~:~f'i', ,?~ :fi~>'~'::;i:. :, ~ iii;;:: ~iiiiiiiDiiO~erground Storage of Hazardous Materials
~-.-.. $ ~ ~. ~, ..., ." ..... .~. i. ,,
I~ by:
~ O~CE O~E~RO~AL S~ ~CES ~ph Hu~~
1715 Chewer Ave., 3rd Floor Office of ~enml
Voice (805) ~2~979
F~ (805) 326~576 Expiration Date: une 30~ 2000.
SITE DIAGRAM I I FACILITY DIAGRAM
.. Business Name: CLEANWAY SANITARY SUPPLY INC --
8usJrless Address: 900 CHESTER AVE. BAKERSFIELD CA 93301 For Office Use Only
First In Station: Area Map # ot
A
· Ins.Dec,ion Station: NORTH.
DOOR DOOR DOOR
i"ll ,
· II
OFFICE WAREHOUSE
SHOWROOM
-: .
! ;' ' 'l ~FFI.CE
DOOR
-~OoR
Wgi~HOUSE
· - . · .... '~.' ..... ,.';:.k '~ , , · ~ ~.
~" :LE~,' STO~G~:' CONTAI~R (S~ALAND) - ' AT 'j ..
ITE DIAGF1A~M ~ FACILITY DIAGRAM ~
CLEANWA¥ SANTTAR¥ 'sOP~5~ ZNC
6u~ne~ Nome:
' 900 CHESTER AVE~E kBA~RSFIELD CA 93301
Fo~ Office U~e Only
First In Station: Area Mop ;~ of
Station: NORTH ~ ~
Insoection
___
_ _... -~ _
.~ CITY OF BAKERSF[EI,D FIRE DEPARTMENT ~ _~
. `<w~ OFFICE OF ENVIRONMENTAL SERV[CES - ~~ ~~ f .
~' ~~ UNIFIED PROGRAM INSPECTION CHECKLIST -
s ~ , .._
`w ~a~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 :~2J
FACILITY NAME rf ~ '~ I ~~~~ INSPECTION DATE _
ADDRESS l~~' 4f~~ /4v~PHONE NO.
FACILITY CONTACT BUSINESS iD NO. 15-21U- ~~`'
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
^ Routine ^ Combined ^ Joint Agency ^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
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 on site?:
Explain:
^ Yes ^ No
Questions regarding this inspection? Please call us at (661) 326-3979
Whitr -Env.-Svcs. Yellow • Station Copy Pink -Business Copy
~_ `~ i/Y1,,,
~`1 T~ - ~~? vrU ~ ~ ~
Business Site Responsible Party
Inspector:
J~.. ~ ~~ CITY OF BAKERSFIELD FIRE DEPARTMENT
~~~ ~r~c~ o~ ~v~o~~A~ s~v~c~s
~ ~~]~IFIED PROG~M INSPECTION CHECKLIST
171~ Chester Ave., 3~" Floor, Bakersfield, CA 93301
ADDRESS ~ '~~T~ ~HONE NO.
FACIUTV CO~TACt nVS~NESS m NO. ~S-2~0-
~S~ECTIO~ T~E NU~ER O~ E~erOVEES
Section 1: Business Plan and Inventory Program
~ Routine ~ Combined [~ Joint Agency {~ Multi-Agency ~1 Complaint {~ Re-inspection
OPERATION C V COMMENTS
Apprgpriate 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
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 on site?: [~] Yes
Questions regarding this inspection'?. Please call us at (66 I) 326-3979 Business Site ~'esponsible
Party
While - Env. Svcs. Yellow - Station Copy Pink - Business Copy InspectOr:
CLEANWAY SANITARY SUPPLY INC Im~,~,~;~,~-~_. SiteID: 215-000-000709
Manager: /00T~'?1999°:ulphone: {805) 328-0320
Location 900 CHESTER AVE IBV. : Map : 103 CommHaz : Low
City : BAKERSFIELD ~ ~'- .. G~d: 32A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 02 SIC Code:5087
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
GENE SPINOZZI / GENERAL MANAGER JOE D'ANGELO / MANAGER
Business Phone: (805) 328-0320x Business Phone: (805) 328-0320x
24-Hour Phone : (805) 392-1070x 24-Hour Phone : (805) 834-2461x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 900 CHESTER AVE State: CA
City : BAKERSFIELD Zip : 93305
Owner GENE SPINOZZI Phone: (805) 392-1070x
Address : 7016 ELIAS AVE State: CA
City : BAKERSFIELD Zip : 93308
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
1 10/18/1999
f CLEANWAY SANITARY SUPPLY INC SiteID: 215-000-000709 9
~ Hazmat Inventory By Facility Unit 9
-- As Designated Order Fixed Containers on Site 9
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax Unit MCP
60 SECONDS BOWL CLEAN F IH DH L ~O~GAL Ext
BOWL CLEANER F IH DH L 60 GAL Ext
FURNITURE POLISH F P DH L t~ ~GAL Hi
DRAIN OPENER F IH DH L ~Of~'GAL Hi
HEAVY DUTY POWDERED BLEACH IH DH S ~f'O_SD%'LBS Hi
HOUSEHOLD BLEACH F IH DH L ~O2L6~TGAL Hi
MR MUSCLE OVEN CLEAN F P IH DH L I~-D0 GAL Hi
DEODORANT ROOM SPRAY F P DH L 60 GAL Hi
~T-Y~--GLE~ F IH DII L 00 GAL Hi
SHOWERS N STUFF BATHROOM CLEANE F IH DH L ~O.-9~'GAL Hi
WAX STRIPPER F DH L 300 GAL Hi
WINDEX GLASS CLEANER F IH DH L ~O~'GAL Hi
~ ........ F III DII L 55 GAL M~
HEAVY DUTY DEGREASER F DH L 335 Mod
HOUSEHOLD AMMONIA F IH DH L IOI~'GAL Mod
MEDICIDE F P L C0 GAL ...~-~
SPRAY CLEAN F DH L ~O~.8~-GAL Mod
SPRAY OUT SPOTTER F P IH DH L 60 GAL Mod
NET FLOOR 23 IH DH L ~ ~-ff'GAL Mod
UNDERCOAT SEALER F L ]%ol.8'~GAL Low
EXTRACTION SHAMPOO DH L ! ~ ~ .~"GAL Mod
CONCRETE CLEANER IH S /O~.~ LBS Mod
DBC IH L ~O ~O'GAL Hi
HONEYMIST DEODORANT DH L /O.fr0'GAL Mod
NB CLEANER DH L 300 GAL Low
NEUTRAL CLEANER DH L 300 GAL Mod
ALKALINE SPOTTER F L 50 GAL Mod
ALL PURPOSE CLEANERS IH L /OO.~GAL Mod
TANNIN STAIN REMOVER IH L /O.~TGAL Hi
CITROSOLVE F IH L 50 GAL Modi
TRAFFIC LANE CLEANER DH L 30 GAL Mod
ULTRAPAC TRAFFICLEAN DH S 20 LBS Mod
POG DH L 14 GAL Mod
ALL FABRIC STAIN SHIELD DH L 20 GAL Mod
KILL ODOR PLUS DH L 12 GAL Mod
HEAVY DUTY SOIL LIFTER DH L 12 GAL Mod~
FORMULA 161 DH L 10 GAL Mod:
PROFESSIONAL CARPET SHAMPOO DH L ~O~8'GAL Mod,
POWER-STRIP DH L 20 GAL Hi
STRIP-ALL DH L 20 GAL Hi
MAX-IT DH L 40 GAL Hi
UNDERCOATER SEALER DH L 20 GAL Low
RALLY GYM FINISH DH L 20 GAL Mod
NORTH STAR DH L ~O.]~rGAL Low
SPINKLEEN DH L 12 GAL Mod
UPHOLSTERY CLEANING PRESPRAY DH L 20 GAL Low
UPHOLSTERY DRY CLEANING SOLUTIO DH L 12 GAL Mod
2 10/18/1999
CLEANWAY SANITARY SUPPLY INC SiteID: 215-000-000709
----- Hazmat Inventory By Facility Unit
-- As Designated Order Fixed Containers on Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnitIMC~
UPHOLSTERY CLEANING CONCENTRATE DH L 12 GAL Low
ULTRA D DII L 10 GAL Mod
DRY SPOTTER/VS DH L 4 GAL Low
DISSOLVE DH L 8 GAL Mod
HD OIL BREAK UP DH L 12 GAL Mod
ALL PURPOSE SPOTTER DH L 4 GAL Mod
GUM-GO P DH G 2 LBS Ext
........~,_, ~ ~ .-~.~ P DII C "" GAL "'-~-
GENERAL PURPOSE FOAMING CLEANER P DH G 10 GAL Hi
PINE ODOR CLEANER & DEODORIZER DH G 20 LBS Mod
GLASS CLEANER RTU F DH L 12 GAL Mod
GLASS & UTILITY CLEANER F DH G 3 GAL Ext
GLASS CLEANER CONCENTRATE 40-1 F DH L 12 GAL Mod
GLASS CLEANER DH L 4 GAL Mod
CLEANWAY DEGREASER DH L 12 GAL Mod
LIQUID ENZYME P L 18 GAL Ext
STAINLESS STEEL CLEANER & POLIS DH L 6 GAL Mod
CREME CLEANSER DH L 6 GAL Min
HEAVY DUTY CONCRETE CLEANER DH L 50 LBS Mod
ALL PURPOSE CLEANERS F DH L ~.~5'GAL Mod
_T_ _.~"~'AT T~ ~ /5 ~-';%T '1~1',.-,.,-~
'~4'4 P Fnz L~-kL .... DH L
GENERAL PURPOSE CLEANER DH L ,~-O ~O'GAL Mod
SPARY & WIPE DH L 30 GAL Mod
'--CPTAf3KBO~D CLE~NER DH L 12 ......
RUST REMOVER R DH L ~ GAL Mod
EXTRA FLOOR FINISH DH L $O GAL Low
~ S. -Ut~ER--B R-t-T-E DH L CAL Low
TOP SHAPE DH L ~ 6~GAL Min
CLEANWAY SANITARY SUPPLY INC ~&~&~&~~&~ SiteID: 215-000-000709
i~ Notif./Evacuation/Medical ~&~~~~~~~ Overall Site
i~ Agency Notification ~~~~~~~~&~~ 09/01/1995
CALL 9-1-1
PUBLIC ADDRESS SYSTEM USE ALL DOORS. ALL DOORS TO REMAIN OPEN DURING
BUSINESS HOURS.
NOTIFY FIRE DEPARTMENT IF FIRE OR EXTREME LARGE SPILL. EITHER MYSELF OR
EMPLOYEE WOULD BE SENT TO NEIGHBORING BUILDING OF TOXIC SPILL, FIRE, ANY
DANGER TO HEALTH OR SAFETY TO NEIGHBORING BUILDING. IF IT WERE WORSE THE
FIRE DEPARTMENT WOULD HAVE ISSUED THE ENTIRE AREA TO BE EVACUATED.
i&&&&& Emergency Medical Plan &&&&&&&&&&&&&&&&&&&&&&&&&&&&~&&&&&&&& 09/01/1995
LOCAL HOSPITAL OR CALL 9-1-1.
-44- 10/18/1999
i CLEAN-WAY SANITARY SUPPLY INC ~~&~&~&~&~~ SiteID: 215-000-000709
i& Mitigation/Prevent/Abatemt ~&~~&~&~&~&~&~ Overall Site
i~ Release Prevention ~~~&~~~~~~ 09/01/1995
O
o TRAIN EMPLOYEES HOW TO HAZ MAT MATERIALS TO PREVENT SPILLS AND LEAKS.
o ??????????
O
i&~ Release Containment ~~~~~&~&~~&~~ 09/01/1995
O
o KEEP AN AMPLE SUPPLY OF HAZ MAT ABSORBANT ON HAND TO CONTAIN AND CLEANUP ANY
o SPILLS OR LEAKS.
O
O
o SEEK THE HELP AND ADVISE OF FIRE DEPARTMENT HAZ MAT TEAM BEFORE STARTING.
O
O
O
-45- 10/18/1999
i CLEANWAY SANITARY SUPPLY INC ~~~~~ SiteID: 215-000-000709
i~ Site Emergency Factors ~~~~~~~~ Overall Site
i~ Special Hazards ~~~~~~~~~~~~i
O
O
i~ Utility Shut-Offs ~~~~~~~~~ 09/01/1995
O
o A) GAS - OUTSIDE - NORTHEAST CORNER OF BLDG
o B) ELECTRICAL - INSIDE - SOUTHEAST CORNER OF BLDG
o C) WATER - OUTSIDE - NORTHEAST CORNER OF BLDG
o D) SPECIAL - NONE
o E) LOCK BOX - NO
O
i~ Fire Protec./Avail. Water ~~~~~~~ 09/01/1995
O
o PRIVATE FIR~ PROTECTIO~ - FIRE EXTINGUISHERS ONLY.
O
O
O
o NEAREST FIRE HYDRANT - 777777777777777
O
O
O
-46- 10/18/1999
CLEANWAY SANITARY SUPPLY INC &~~&~&~~ SiteID: 215-000-000709
i~ Training ~~&~~~~~~~~~ Overall Site
i~ Employee Training ~~~~~~~~~ 09/01/1995
WE HAVE/V EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: MONTHLY SAFETY MEETINGS, DIFFERENT TOPIC EVERY
MONTH. EMPLOYEES THAT ARE PUTTING MERCHANDISE AWAY OR DELIVERING HAZARDOUS
MERCHANDISE ARE TOLD OF THE HAZARD SIGNS THAT ARE ON THE CASES AND THEY ARE
TO BE STORED UPRIGHT. THE EMPLOYEES DO NOT WORK WITH THE CHEMICALS FOR ANY
REASONS OTHER THAN DELIVERY TO END-USER CUSTOMERS AND TO PUT IN STORAGE.
THEY ARE INSTRUCTED NOT TO STACK HIGH DUE TO BREAKING DOWN OF CASES. ALL
CASES ARE DIRECT FROM MANUFACTURE IN SAFE CASES, BUT WE DO NOT OVERSTACK
THESE ITEMS FOR OUR OWN SAFETY. THE DELIVERY PERSON HAS BEEN INSTRUCTED ON
STORAGE AND SALES PERSONNEL ARE AWARE OF MSDS REPORTS ON FILE AND DO KNOW
-47- 10/18/1999
?
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-00
Overall Site with 1 Fac. Unit /U/ ~U~ ~8 199r II/
Location: 900 CHESTER AV Map:103 Haz:2 Type: 2
City : BAKERSFIELD Grid: 32A F/U: 1 AOV: 0.0
Contact Name Title Contact Name Title
GENE SPINOZZI / GENERAL MANAGER JOE D'ANGELO / MANAGER
Business Phone: (805) 328-0320x I Business Phone: (805) 328-0320x
24-Hour Phone : (805) 392-1070x ! 24-Hour Phone : (805) 834-2461x
Pager Phone : ( ) _x ] Pager Phone : ( ) - x
Administrative Data
Mail Addrs: 900 CHESTER AV D&B Number:
City: BAKERSFIELD State: CA Zip: 93305-
Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5087
Owner: GENE SPINOZZI Phone: (805) 392-1070
Address: 7016 ELIAS AV State: CA
City: BAKERSFIELD Zip: 93308-
Summary
DBA/CLEANWAY JANITORIAL SUPPLY
~, ~;e,u~ ~',,~/~, z~_~ Do hereby certify that I have
r~iewed the a~hed t~adous materials m~age-
ment plan for~~~~snd [ha~ it Along ~th
any ~rrections ~nstitute a comp!~e and ~rre~ men~
agement plan for my faci~i~.
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-001 60 SECONDS BOWL CLEAN Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
02-002 BOWL CLEANER Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
02-060 GUM-GO Gas 2 Extreme
· Pressure, Delay Hlth LBS
02-061 DO IT ALL Gas 10 Extreme
· Pressure, Delay Hlth GAL
02-065 GLASS & UTILITY CLEANER Gas 3 Extreme
· Fire, Delay Hlth GAL
02-071 LIQUID ENZYME Liquid 18 Extreme
· Pressure GAL
02-004 FURNITURE POLISH Liquid 60 High
· Fire, Pressure, Delay Hlth GAL
02-005 DRAIN OPENER Liquid 60 High
· Fire, Immed Hlth, Delay Hlth GAL
02-006 HEAVY DUTY POWDERED BLEACH Solid 500 High
· Immed Hlth, Delay Hlth LBS
02-007 HOUSEHOLD BLEACH Liquid 160 High
· Fire, Immed Hlth, Delay Hlth GAL
02-008 MR MUSCLE OVEN CLEAN Liquid 90 High
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
02- 09 DORI E G SS EAN Li id 0 igh
02-010 DEODORANT ROOM SPRAY Liquid 60 High
· Fire, Pressure, Delay Hlth GAL
02-011 SAFETY FOAM BOWL CLEAN Liquid 80 High
· Fire, Immed Hlth, Delay Hlth GAL
02-012 SHOWERS N STUFF BATHROOM CLEANER Liquid 90 High
· Fire, Immed Hlth, Delay Hlth GAL
02-013 WAX STRIPPER Liquid 300 High
· Fire, Delay Hlth GAL
02-014 WINDEX GLASS CLEANER Liquid 60 High
· Fire, Immed Hlth, Delay Hlth GAL
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 3
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-028 DBC Liquid 60 High
· Immed Hlth GAL
02-034 TANNIN STAIN REMOVER Liquid 50 High
· Immed Hlth GAL
02-045 POWER-STRIP Liquid 20 High
· Delay Hlth GAL
02-046 STRIP-ALL Liquid 20 High
· Delay Hlth GAL
02-047 MAX-IT Liquid 40 High
· Delay Hlth GAL
02-062 GENERAL PURPOSE FOAMING CLEANER Gas 10 High
· Pressure, Delay Hlth GAL
~ 15 LL O BA ROO LEA ER · iqui 6 M era
02-016 CLEAN GUARD Liquid 55 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-017 HEAVY DUTY DEGREASER Liquid 335 Moderate
· Fire, Delay Hlth
02-018 HOUSEHOLD AMMONIA Liquid 60 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
02-019 MEDICIDE Liquid 60 Moderate
· Fire, Pressure GAL
02-021 SPRAY CLEAN Liquid 280 Moderate
· Fire, Delay Hlth GAL
02-022 SPRAY OUT SPOTTER Liquid 60 Moderate
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
02-023 SPRAY OUT SPOTTER Liquid 60 Moderate
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 4
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-024 WET FLOOR 23 Liquid 100 Moderate
· Immed Hlth, Delay Hlth GAL
02-026 EXTRACTION SHAMPOO Liquid 60 Moderate
· Delay Hlth GAL
02-027 CONCRETE CLEANER Solid 500 Moderate
· Immed Hlth LBS
02-029 HONEYMIST DEODORANT Liquid 60 Moderate
· Delay Hlth GAL
02-031 NEUTRAL CLEANER Liquid 300 Moderate
· Delay Hlth GAL
02-032 ALKALINE SPOTTER Liquid 50 Moderate
· Fire GAL
02-033 ALL PURPOSE CLEANERS Liquid 50 Moderate
· Immed Hlth GAL
02-035 CITROSOLVE Liquid 50 Moderate
· Fire, Immed Hlth GAL
02-036 TRAFFIC LANE CLEANER Liquid 30 Moderate
· Delay Hlth GAL
02-037 ULTRAPAC TRAFFICLEAN Solid 20 Moderate
· Delay Hlth LBS
02-038 POG Liquid 14 Moderate
· Delay Hlth GAL
02-039 ALL FABRIC STAIN SHIELD Liquid 20 Moderate
· Delay Hlth GAL
02-040 KILL ODOR PLUS Liquid 12 Moderate
· Delay Hlth GAL
02-041 HEAVY DUTY SOIL LIFTER Liquid 12 Moderate
· Delay Hlth GAL
02-042 FORMULA 161 Liquid 10 Moderate
· Delay Hlth GAL
02-043 PROFESSIONAL CARPET SHAMPOO Liquid 8 Moderate
· Delay Hlth GAL
02-049 RALLY GYM FINISH Liquid 20 Moderate
· Delay Hlth GAL
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 5
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-051 SPINKLEEN Liquid 12 Moderate
· Delay Hlth GAL
02-053 UPHOLSTERY DRY CLEANING SOLUTION Liquid 12 Moderate
· Delay Hlth GAL
02-055 ULTRA D Liquid 10 Moderate
· Delay Hlth GAL
02-057 DISSOLVE Liquid 8 Moderate
· Delay Hlth GAL
02-058 HD OIL BREAK UP Liquid 12 Moderate
· Delay Hlth GAL
02-059 ALL PURPOSE SPOTTER Liquid 4 Moderate
· Delay Hlth GAL
02-063 PINE ODOR CLEANER & DEODORIZER Gas 20 Moderate
· Delay Hlth LBS
02-064 GLASS CLEANER RTU Liquid 12 Moderate
· Fire, Delay Hlth GAL
02-066 GLASS CLEANER CONCENTRATE 40-1 Liquid 12 Moderate
· Fire, Delay Hlth GAL
02-067 GLASS CLEANER Liquid 4 Moderate
· Delay Hlth GAL
02-068 WINDEX GLASS CLEANER Gas 2 Moderate
· Pressure, Delay Hlth GAL
02-069 GLASS CLEANER Liquid 5 Moderate
· Delay Hlth LBS
02-070 CLEANWAY DEGREASER Liquid 12 Moderate
· Delay Hlth GAL
02-072 STAINLESS STEEL CLEANER & POLISH Liquid 6 Moderate
· Delay Hlth GAL
02-074 HEAVY DUTY CONCRETE CLEANER Liquid 50 Moderate
· Delay Hlth LBS
02-075 ALL PURPOSE CLEANERS Liquid 10 Moderate
· Fire, Delay Hlth GAL
02-076 IMPERIAL GOLD Liquid 30 Moderate
· Delay Hlth GAL
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 6
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-077 GENERAL PURPOSE CLEANER Liquid 20 Moderate
· Delay Hlth GAL
02-078 SPARY & WIPE Liquid 30 Moderate
· Delay Hlth GAL
02-080 CHALKBOARD CLEANER Liquid 12 Moderate
· Delay Hlth GAL
02-081 RUST REMOVER Liquid 0 Moderate
· Reactive, Delay Hlth GAL
02-025 UNDERCOAT SEALER Liquid 100 Low
· Fire GAL
02-030 NB CLEANER Liquid 300 Low
· Delay Hlth GAL
02-048 UNDERCOATER SEALER Liquid 20 Low
· Delay Hlth GAL
02-050 NORTH STAR Liquid 30 Low
· Delay Hlth GAL
02-052 UPHOLSTERY CLEANING PRESPRAY Liquid 20 Low
· Delay Hlth GAL
02-054 UPHOLSTERY CLEANING CONCENTRATE Liquid 12 Low
· Delay Hlth GAL
02-056 DRY SPOTTER/VS Liquid 4 Low
· Delay Hlth GAL
02-082 EXTRA FLOOR FINISH Liquid 0 Low
· Delay Hlth GAL
02-083 SUPER BRITE Liquid 0 Low
· Delay Hlth GAL
02-073 CREME CLEANSER Liquid 6 Minimal
· Delay Hlth GAL
02-084 TOP SHAPE Liquid 0 Minimal
· Delay Hlth GAL
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 60 SECONDS BOWL CLEAN Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL60Ii Daily Average30.00GAL I Annual Amount360.00GAL
Storage Press -. Temp Location
PLASTIC CONTAINER IAmbient AmbientlSE SIDE SHELF #3
PLASTIC CONTAINER Ambient Ambient REAR N SIDE SHELF
-- Conc ~ Components ~ MCP -~Guide
10.0%IHydr°flu°ric Acid IExtreme I 15
2.0% Hydrochloric Acid IHigh ! 15
02-002 BOWL CLEANER Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL Daily Average GAL Annual Amount GAL
60 I 30.00 I 360.00
Storage Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR N SIDE SHELF
PLASTIC CONTAINER Ambient~Ambient SE SIDE SHELF #3
-- ConcI Components I MCP ---TGuide
8.0% IPhosphoric Acid
I
ModerateI 60
3.0% IHydrochloric Acid High ! 15
2.0% IHydrofluoric Acid Extreme I 15
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 8
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-060 GUM-GO Gas 2 Extreme
· Pressure, Delay Hlth LBS
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max LBS I Daily Average LBS I Annual Amount LBS
2 ~ 1.00 2.00
StorageIIPress T Temp Location
IN SITU IAmbient~AmbientlWaREHOUSE & SHOWROOM
--ConcI Components i MCP ---TGuide
55.0% Isobutane High ! 22
40.0% Propane Extreme I 22
02-061 DO IT ALL Gas 10 Extreme
· Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max GAL10I~ Daily Average5.00GAL I Annual Amount20.00GAL --
Storage I Press T Temp~ Location
PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE & SHOWROOM
--ConsI Components i MCP ---TGuide
16.0% Propane Extreme I 22
12.0% Isobutane High ! 22
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 9
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-065 GLASS & UTILITY CLEANER Gas 3 Extreme
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
3 I 1.00 25.00
Storage IIPress T Temp Location
METAL CONTAINR-NONDRUMIAmbient~AmbientlWAREHOUSE & SHOWROOM
-- ConcI Components I MCP ---TGuide
14.0% iIsopropanol ModerateI 26
7.0%lis°butane IHigh ! 22
4.0% Propane Extreme I 22
02-071 LIQUID ENZYME Liquid 18 Extreme
· Pressure GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL 1 Annual Amount GAL
18 i 9.00 100.00
Storage~ Press I Temp Location
PLASTIC CONTAINER IAmbientlAmbient WAREHOUSE & SHOWROOM
--ConsI Components i MCP ---/Guide
5.0% Isobutane High ! 22
1.0% Propane Extreme I 22
1.0% Methanol High ! 28
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 10
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Hazmat Inventory Detail in MCP Order
02-004 FURNITURE POLISH Liquid 60 High
· Fire, Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL [ Annual Amount GAL --
60 ~ 30.00 200.00
Storage Press --Temp ~ Location
PORT. PRESS. CYLINDER Ambient AmbientINE CORNER
PORT. PRESS. CYLINDER Ambient Ambient E SIDE SHELF #1
-- Conc I Components I MCP ---TGuide
3.0%INaphtha IModeratel 27
2.0% Propane IExtreme I 22
02-005 DRAIN OPENER Liquid 60 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL60I~ Daily Average30.00GAL I Annual Amount360.00GAL
Storage Press -. Temp Location
PLASTIC CONTAINER IAmbient AmbientlsE SIDE SHELF #3
PLASTIC CONTAINER Ambient Ambient REAR N SIDE SHELF
-- ConcI Components I MCP ----~uide
50.0% ISulfuric Acid (EPA) IHigh ~ 39
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 11
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Hazmat Inventory Detail in MCP Order
02-006 HEAVY DUTY POWDERED BLEACH Solid 500 High
· Immed Hlth, Delay Hlth LBS
CAS #: Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: CLEANING
Daily Max LBS I Daily Average LBS I Annual Amount LBS --
500 ~ 150.00 1,800.00
Storage -Press T Temp I Location
BOX AmbientlAmbientIREAR N WALL SHELF
BOX AmbientlAmbient E SIDE SHELF #6
-- ConcI Components MCP ---~uide
70.0% ISodium Hypochlorite High ~ 45
02-007 HOUSEHOLD BLEACH Liquid 160 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
160 ~ 100.00 300.00
Storage . Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR N WALL PALETT
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #5
--ConsI Components i MCP ---TGuide
12.0% Sodium Hypochlorite High ! 45
8.0% Sodium Hydroxide, Solution ModerateI 60
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 12
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02-008 MR MUSCLE OVEN CLEAN Liquid 90 High
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL90 I Daily Average30.00GAL I Annual Amount200.00GAL
Storage . Press T Temp I Location
PORT. PRESS. CYLINDER Ambient~AmbientIREAR NE CORNER
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
--ConcI Components i MCP ---~uide
10.0% Sodium Hydroxide, Solution ModerateI 60
10.0% Isobutane High ~ 22
10.0% 2-Hydroxyethylamine High ! 60
02-009 ODORITE GLASS CLEANER Liquid 100 High
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL100 I Daily Average180.00GAL [ Annual Amount500.00GAL --
Storage Press T Temp I Location
PORT. PRESS. CYLINDER Ambient~AmbientIREAR NE CORNER
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
-- Conc I Components I MCP --TGuide
30.0% Ethyl Alcohol ModerateI 26
5.0% 2-Butoxyethanol ModerateI 26
5.0% LPG High ! 22
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 13
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02-010 DEODORANT ROOM SPRAY Liquid 60 High
· Fire, Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
60 I 30.00 150.00
Storage · Press T Temp I Location
PORT. PRESS. CYLINDER AmbientlAmbientINE CORNER
PORT. PRESS. CYLINDER AmbientlAmbient E SIDE SHELF #1
-- Conc I Components I MCP --/Guide
3.0%IPr°pane IExtreme I 22
2.0% Isobutane IHigh ~ 22
30.0% Ethyl Alcohol IModeratel 26
02-011 SAFETY FOAM BOWL CLEAN Liquid 80 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
80 ~ 40.00 320.00
Storage ~ Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE SIDE SHELF
PLASTIC CONTAINER Ambient~Ambient FRONT E SIDE SHELF #3
-- Conc Components I MCP ---~uide
8 0% Phosphoric Acid
. IModeratel 60
2.0% Sulfuric Acid (EPA) IHigh ! 39
7.0% Hydrochloric Acid IHigh ! 15
3.0% Oxalic Acid ILow ! 54
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 14
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02-012 SHOWERS N STUFF BATHROOM CLEANER Liquid 90 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS %: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
90 ~ 70.00 190.00
Storage . Press T Temp ~ Location
PLASTIC CONTAINER AmbientlAmbientI REAR N SHELF
PLASTIC CONTAINER AmbientlAmbient E SIDE SHELF #3
--ConsI Components [ MCP ---/Guide
2.0% Sulfuric Acid (EPA) High ~ 39
6.0% Phosphoric Acid ModerateI 60
02-013 WAX STRIPPER Liquid 300 High
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: STRIPPER
Daily Max GAL300I~ Daily Average200.00GAL I Annual Amount2,200.00GAL --
Storage -Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE CORNER 2ND SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE WALL #A
PLASTIC CONTAINER AmbientlAmbient S WALL SE CORNER
-- Conc I Components I MCP ----l-Guide
6.0% Sodium Hydroxide, Solution ModerateI 60
10.0% 2-Butoxyethanol ModerateI 26
5.0% 2-Hydroxyethylamine High ! 60
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Hazmat Inventory Detail in MCP Order
02-014 WINDEX GLASS CLEANER Liquid 60 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL [ Annual Amount GAL --
60 i 30.00 640.00
Storage Press -~ Temp ~ Location
PLASTIC CONTAINER Ambient'AmbientlN SIDE SHELF #20
PLASTIC CONTAINER Ambient Ambient E SIDE SHELF #2
PORT. PRESS. CYLINDER Ambient Ambient NE CORNER
PORT. PRESS. CYLINDER Ambient Ambient E SIDE SHELF #1
-- Conc I Components MCP ---TGuide
10.0%12-But°xyethan°l IModeratel 26
10.0% Isopropanol IModeratel 26
3.0% Isobutanol IModeratel 26
3.0% Propane IExtreme I 22
02-028 DBC Liquid 60 High
· Immed Hlth GAL
CAS #: 7647-01-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL 1 Annual Amount GAL
60 ~ 30.00 900.00
StorageIIPress T Temp Location
PLASTIC CONTAINER Iambient~ambientlaREa 2
-- Conc Components I MCP ---7Guide
22.0% Hydrochloric Acid
7.0% Phosphoric Acid IModeratel 60
2.0% Oxalic Acid ILow ~ 54
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 16
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02-034 TANNIN STAIN REMOVER Liquid 50 High
· Immed Hlth GAL
CAS #: 7647-01-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
50 ~ 25.00 600.00
Storage Press I TempI Location
PLASTIC CONTAINER AmbientfAmbientlAREA 2
-- Conc Components MCP ----~uide
5.0% IHydrogen Chloride IHigh ~ 15
02-044 TERMINATOR Liquid 30 High
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
30 , 15.00 100.00
StorageI~Press T Temp Location
PLASTIC CONTAINER IAmbientfAmbientlWAREHOUSE & SHOWROOM
-- Conc I Components I MCP ---TGuide
20.0%12-But°xyethan°l IModeratel 26
0.0% 1-Ethanolamine IHigh ~ 60
02-045 POWER-STRIP Liquid 20 High
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
20 ~ 10.00 100.00
Storage{{Press T Temp Location
PLASTIC CONTAINER Iambient{ambientlWaREHOUSE & SHOWROOM
-- Conc I Components ~ MCP ---[Guide
5.0% Sodium Metasilicate ILow 60
3.0% 1-Ethanolamine {High 60
07/11/96 CLEANWAY SANITARY SUPPLY INS 215-000-000709 Page 17 ~
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-046 STRIP-ALL Liquid 20 High
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
20 { 10.00 100.00
StorageI{Press T Temp Location
PLASTIC CONTAINER }Ambient}AmbientlWAREHOUSE & SHOWROOM
-- ConsI Components i MCP ~uide
5.0% Sodium Metasilicate Low 60
3.0% 1-Ethanolamine High 60
02-047 MAX-IT Liquid 40 High
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
40 ~ 20.00 200.00
Storage{{Press I Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWAREHOUSE & SHOWROOM
--Cons[ Components i MCP ----~uide
10.0% 2-Butoxyethanol ModerateI 26
5.0% Potassium Hydroxide Moderate{ 60
20.0% Monoethanolamine High ! 60
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 18
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02-062 GENERAL PURPOSE FOAMING CLEANER Gas 10 High
· Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
10 i 5.00 20.00
Storage IIPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWaREHOUSE & SHOWROOM
-- Conc I Components I MCP [-~uide
1.0% Isobutane High ! 22
1.0% 2-Butoxyethanol Moderate! 26
1.0% Ethanol Moderate/ 26
02-079 BALL BLEACH Liquid 50 High
· Reactive, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
50 ~ 25.00 300.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- ConcI Components MCP ---TGuide
48.0% ISodium Chloride Minimal I 7
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 19
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02-015 ALL IN ONE BATHROOM CLEANER Liquid 60 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL ~ Annual Amount GAL
60 ~ 30.00 375.00
Storage . Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientlREAR N SIDE SHELF #2
PLASTIC CONTAINER AmbientlAmbient E SIDE SHELF #3
--Cons[ Components i MCP ---TGuide
9.0% Phosphoric Acid ModerateI 60
1.0% n-Butyl Acetate ModerateI 26
02-016 CLEAN GUARD Liquid 55 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL55I~ Daily Average55.00GAL I Annual Amount220.00GAL --
Storage Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientI REAR N SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #5
- Cons Components MCP ---/Guide
8.0% 12-Butoxyethanol IModerateI 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 20
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Hazmat Inventory Detail in MCP Order
02-017 HEAVY DUTY DEGREASER Liquid 335 Moderate
· Fire, Delay Hlth
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max Daily Average Annual Amount
335 I 285.00 I 1,220.00
Storage -Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE SIDE SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #2
PLASTIC CONTAINER Ambient~Ambient S WALL
PLASTIC CONTAINER Ambient~Ambient OUTSIDE YARD
-- Conc Components MCP ---TGuide
10.0% 12-Sutoxyethanol IModeratel 26
02-018 HOUSEHOLD AMMONIA Liquid 60 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL ] Annual Amount GAL
60 ~ 30.00 1,000.00
Storage . Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR N WALL SHELF #A
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #5
-- Conc I Components MCP ---TGuide
5.0%IAmm°nia Solution, Conc. Less Than 20% ModerateI 60
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000~000709 Page 21
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Hazmat Inventory Detail in MCP Order
02-019 MEDICIDE Liquid 60 Moderate
· Fire, Pressure GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
60 ~ 20.00 100.00
Storage Press T Temp
PORT. PRESS. CYLINDER Ambient~Ambient REAR NE CORNER°cati°n
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
-- Conc Components MCP ---TGuide
1.0% IEthyl Alcohol IModeratel 26
02-020 SAND BRITE BATHROOM CLEANER Liquid 60 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL60I~ Daily Average40.00GAL I Annual Amount100.00GAL --
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlE SIDE SHELF #3
-- Conc Components MCP Guide
9.5% IPhosphoric Acid IModeratel 60
02-021 SPRAY CLEAN Liquid 280 Moderate
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
280 ~ 220.00 1,000.00
Storage Press T Temp i Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #2
PLASTIC CONTAINER Ambient~Ambient S WALL
-- Conc Components MCP ---TGuide
10.0% 12-Butoxyethanol IModeratel 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 22
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02-022 SPRAY OUT SPOTTER Liquid 60 Moderate
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
60 ~ 30.00 380.00
Storage Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #4
- Conc Components MCP ---TGuide
10.0% 12-Butoxyethanol IModeratel 26
02-023 SPRAY OUT SPOTTER Liquid 60 Moderate
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 ~ 30.00 380.00
Storage · Press .. Temp~ Location
PLASTIC CONTAINER Ambient AmbientlREAR N SHELF
PLASTIC CONTAINER Ambient AmbientIE SIDE SHELF #4
-- ConcI Components I MCP ---TGuide
10.0% 12-Butoxyethanol IModeratel 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 23
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Hazmat Inventory Detail in MCP Order
02-024 WET FLOOR 23 Liquid 100 Moderate
· Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
100 ~ 60.00 1,000.00
Storage Press --Temp, Location
PLASTIC CONTAINER Ambient AmbientlN SIDE SHELF #1
PLASTIC CONTAINER Ambient AmbientIE SIDE SHELF #A
PLASTIC CONTAINER Ambient Ambient $ WALL
--ConsI Components i MOP ---~uide
0.6% Ammonia Solution, Conc. Less Than 20% ModerateI 60
10.0% Diethylene Glycol Low ! 27
02-026 EXTRACTION SHAMPOO Liquid 60 Moderate
· Delay Hlth GAL
CAS #: 111-76-2 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL60I~ Daily Average30.00GAL I Annual Amount3,000.00GAL ..-
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlAREA 4
-- Conc~ Components MCP -~Guide
95.0% IEthylene Glycol Butyl Ether ModerateI 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 24
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02-027 CONCRETE CLEANER Solid 500 Moderate
· Immed Hlth LBS
CAS #: 6834-92-0 Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: CLEANING
Daily Max LBS I Daily Average LBS I Annual Amount LBS
500 ~ 100.00 1,200.00
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlAREA 3
-- Conc I Components ~ MCP ----~Guide
7.0%lS°dium Metasilicate ILow ! 60
5.0% Sodium Hydroxide IModeratel 60
02-029 HONEYMIST DEODORANT Liquid 60 Moderate
· Delay Hlth GAL
CAS #: 67-63-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 ~ 30.00 600.00
StorageIIPress T Temp . Location
PLASTIC CONTAINER IAmbientJAmbientlAREA 1
-- ConcI Components MCP ---/Guide
40.0% IIsopropanol ModerateI 26
02-031 NEUTRAL CLEANER Liquid 300 Moderate
· Delay Hlth GAL
CAS #: 111-76-2 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
300 ~ 150.00 3,000.00
StorageIlPress T Temp Location
PLASTIC CONTAINER Iambient~ambientlaREa 2
-- Conc ~ Components MCP ---~uide
5.0%12-But°xyethan°l ModerateI 26
5.0% Isopropanol ModerateI 26
50.0% INonyl Phenoxy Polyethoxyethanol Minimal I 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 25
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02-032 ALKALINE SPOTTER Liquid 50 Moderate
· Fire GAL
CAS #: 67-63-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
50 I 25.00 600.00
Storage {IPress T Temp Location
PLASTIC CONTAINER Iambient{ambientlaREa 1
-- Conc Components MCP ---TGuide
2.0% Ilsopropyl Alcohol IModeratel 26
02-033 ALL PURPOSE CLEANERS Liquid 50 Moderate
· Immed Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
50 ~ 25.00 600.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlAREA 2
-- Conc. Components MCP ---~uide
20.0% IPotassium Hydroxide IModeratel 60
02-035 CITROSOLVE Liquid 50 Moderate
· Fire, Immed Hlth GAL
CAS #: 2555-11-37 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
50 ~ 25.00 600.00
Storage Press T Temp Location
PLASTIC CONTAINER Iambient~AmbientlaREa
-ConsI Components i MCP --TGuide
5.0% 1,3,5-Trimethylbenzene ModerateI 26
20.0% D-Limonene ModerateI 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 26
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Hazmat Inventory Detail in MCP Order
02-036 TRAFFIC LANE CLEANER Liquid 30 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
30 ~ 15.00 200.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IambientlAmbientlWaREHOUSE & SHOWROOM
- Conc Components MCP ---~uide
8.0% I 2-Butoxyethanol I Moderate I 26
02-037 ULTRAPAC TRAFFICLEAN Solid 20 Moderate
· Delay Hlth LBS
CAS #: Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: OTHER
Daily Max LBS20I~ Daily Average10.00LBS I Annual Amount75.00LBS --
Storage Press T TempI Location
PLASTIC CONTAINER Ambient/AmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---~uide
23.0% 12-Butoxyethanol IModeratel 26
02-038 POG Liquid 14 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL14I~ Daily Average7.00GAL [ Annual Amount45.00GAL --
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- Conc I Components I MCP ------~uide
18.0% Mineral Spirits ModerateI 27
6.0% 2-Butoxyethanol ModerateI 26
8.0% 2-Ethoxyalcohol ModerateI 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 27
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-039 ALL FABRIC STAIN SHIELD Liquid 20 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
20 ~ 10.00 50.00
Storage I;Press T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWaREHOUSE & SHOWROOM
- ConcI Components I MCP ---/Guide
12.0% iMineral Spirits IM°derateI 27
4.0%Ii,l,l-Trichloroethane Low ! 74
02-040 KILL ODOR PLUS Liquid 12 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL12I~ Daily Average6.00GAL [ Annual Amount35.00GAL m
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- Conc~ Components MCP ---TGuide
0.0% 12-Butoxyethanol ModerateI 26
02-041 HEAVY DUTY SOIL LIFTER Liquid 12 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
12 ~ 6.00 30.00
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
--ConsI Components i MCP ----FGuide
0.0% Mineral Spirits ModerateI 27
~0.0% D-Limonene ModerateI 27
0.0% 2-Butoxyethanol ModerateI 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 28
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-042 FORMULA 161 Liquid 10 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL ,,
10 ~ 5.00 25.00
Storage ~lPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---TGuide
0.0% ITrisodium Nitrilotriacetate ILow /3
0.0% 2-Butoxyethanol ModerateI 26
02-043 PROFESSIONAL CARPET SHAMPOO Liquid 8 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL8I~ Daily Average4.00GAL I Annual Amount20.00GAL --
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-ConsI Components [ MOP ---~uide
0.0% Trisodium Nitrilotriacetate Low ! 3
0.0% 2-Butoxyethanol ModerateI 26
0.0% Nitrilotriacetic Acid Minimal I 31
02-049 RALLY GYM FINISH Liquid 20 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
20 ~ 10.00 50.00
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---~uide
21.0% INaphtha IModerateI 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 29
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-051 SPINKLEEN Liquid 12 Moderate
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
12 i 6.00 20.00
Storage ~~Press T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---/Guide
38.0% INaphtha IModeratel 27
02-053 UPHOLSTERY DRY CLEANING SOLUTION Liquid 12 Moderate
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL ~ Daily Average GAL ! Annual Amount GAL
12I 6.00I 50.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWAREHOUSE & SHOWROOM
--ConsI Components i MCP ---~uide
38.0% Naphtha ModerateI 27
16.0% Dipropylene Glycol Methyl Ether Low ! 27
02-055 ULTRA D Liquid 10 Moderate
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
10 ~ 5.00 30.00
StorageI~Press l Temp Location
PLASTIC CONTAINER Iambient~ambientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---/Guide
0.0% INaphtha IModeratel 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 30
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-057 DISSOLVE Liquid 8 Moderate
· Delay Hlth GAL
CAS %: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
8 ~ 4.00 12.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE & SHOWROOM
- Conc Components MCP ---TGuide
18.0% INaphtha IModeratel 27
02-058 HD OIL BREAK UP Liquid 12 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL12I~ Daily Average6.00GAL I Annual Amount30.00GAL --
StoragellPress T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE & SHOWROOM
-- ConcI Components I MCP --TGuide
7.0% 12-Butoxyethanol IModeratel 26
02-059 ALL PURPOSE SPOTTER Liquid 4 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL --
4 ~ 2.00 25.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP --~Guide
10.0% 12-Butoxyethanol IModeratel 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 31
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-063 PINE ODOR CLEANER & DEODORIZER Gas 20 Moderate
· Delay Hlth LBS
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max LBS I Daily Average LBS I Annual Amount LBS
20 i 10.00 100.00
Storage ~~Press T Temp Location
METAL CONTAINR-NONDRUMIAmbientlAmbientlWAREHOUSE & SHOWROOM
- Conc Components MCP ----~uide
100.0% Ilsopropyl Alcohol IModeratel 26
02-064 GLASS CLEANER RTU Liquid 12 Moderate
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
12 i 6.00 75.00
StorageIIPress T Temp Location
PLASTIC CONTAINER Iambient~AmbientlWaREHOUSE & SHOWROOM
-- ConsI Components i MCP ---~Guide
2.0% Ethylene Glycol Low ! 27
7.0% Isopropyl Alcohol ModerateI 26
02-066 GLASS CLEANER CONCENTRATE 40-1 Liquid 12 Moderate
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
12 { 6.00 75.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
-- ConsI Components ] MCP ---~uide
20.0% Ethylene Glycol Butyl Ether ModerateI 26
70.0% Isopropyl Alcohol ModerateI 26
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 32
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-067 GLASS CLEANER Liquid 4 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
4 , 2.00 16.00
Storage ~~Press T Temp Location
PLASTIC CONTAINER IAmbient~ambientIWaREHOUSE & SHOWROOM
-ConsI Components i MCP ---~Guide
5.0% Isopropanol ModerateI 26
1.0% Isobutane High ! 22
1.0% Propane Extreme I 22
02-068 WINDEX GLASS CLEANER Gas 2 Moderate
· Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
2 ; 1.00 10.00
Storage Press T Temp Location
METAL CONTAINR-NONDRUMIAmbiont/Ambiont I WAREHOUSE & SHOWROOM
-- Conc Components MCP Guide
4.0% Ilsopropyl Alcohol IModeratel 26
3.0% 2-Butoxyethanol Moderate 26
3.0% Isobutane High 22
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 33
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-069 GLASS CLEANER Liquid 5 Moderate
· Delay Hlth LBS
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max LBS I Daily Average LBS I Annual Amount LBS
5 , 5.00 5.00
Storage ~;Press T Temp Location
PLASTIC CONTAINER {ambient~AmbientlWaREHOUSE & SHOWROOM
--ConcI Components i MCP ---~Guide
9.0% Ethyl Alcohol ModerateI 26
78.5% 2-Butoxyethanol ModerateI 26
02-070 CLEANWAY DEGREASER Liquid 12 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL --
12 i 4.00 24.00
Storage Press T TempI Location
PLASTIC CONTAINER AmbientlAmbientlWAREHOUSE & SHOWROOM
-- Conc Components MCP ---TGuide
3.0% 12-Butoxyethanol IModerateI 26
02-072 STAINLESS STEEL CLEANER & POLISH Liquid 6 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
6 ~ 3.00 18.00
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
--ConsI Components i MCP -~Guide
35.0% Petroleum Naphtha ModerateI 27
60.0% Mineral Oil Minimal I 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 34
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-074 HEAVY DUTY CONCRETE CLEANER Liquid 50 Moderate
· Delay Hlth LBS
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max LBS I Daily Average LBS I Annual Amount LBS
50 ~ 25.00 200.00
Storage llPress T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlWAREHOUSE & SHOWROOM
- Conc Components MCP ----~uide
40.0% ISodium Hydroxide IModeratel 60
02-075 ALL PURPOSE CLEANERS Liquid 10 Moderate
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL10I~ Daily Average5.00GAL I Annual Amount 75.00GAL
StorageIlPress T Temp Location
PLASTIC CONTAINER IambientlAmbientlWaREHOUSE & SHOWROOM
- Conc Components MCP ---lGuide
3.0% 12-Butoxyethanol IModeratel 26
02-076 IMPERIAL GOLD Liquid 30 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
30 ~ 10.00 75.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IAmbient~ambientlWaREHOUSE & SHOWROOM
--ConsI Components i MCP ----FGutde
6.0% Tetrasodium Ethylenediamine Tetraacetate Minimal I 31
2.0% 2-Butoxyethanol ModerateI 26
2.0% Nonylphenoxypolyethyleneoxyethanol Minimal I 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 35
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-077 GENERAL PURPOSE CLEANER Liquid 20 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL20I~ Daily Average10.00GAL I Annual Amount45.00GAL --
Storage ;~Press T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWaREHOUSE & SHOWROOM
-- Conc ; Components ~ MCP ---TGuide
1.0%lis°butane IHigh ~ 22
1.0% 2-Butoxyethanol IModeratel 26
02-078 SPARY & WIPE Liquid 30 Moderate
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
30 ~ 15.00 60.00
StorageIIPress T Temp Location
PLASTIC CONTAINER Iambient~AmbientlWaREHOUSE & SHOWROOM
- Conc~ Components I MCP ---TGuide
4.0% 12-Butoxyethanol IModeratel 26
4.0%IS°dium Metasilicate ILow ! 60
4.0% Trisodium Phosphate ILow ! 31
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 36
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-080 CHALKBOARD CLEANER Liquid 12 Moderate
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL12I~ Daily Average6.00GAL I Annual Amount24.00GAL --
Storage Press T Temp~ Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
- Conc I Components MCP l~uide
2.5% Isopropyl Alcohol Moderate 26
3.5% 2-Butoxyethanol Moderate 26
02-081 RUST REMOVER Liquid 0 Moderate
~ Reactive, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL0I~ Daily Average 0.00 GAL I Annual Amount GAL 0.00 '"
Storage~~Press T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlBLDG #4
-- Conc~ Components MCP ---/Guide
99.0% IAmmonium Hydrogen Fluoride ModerateI 60
02-025 UNDERCOAT SEALER Liquid 100 Low
~ Fire GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: SEALER
Daily Max GAL100I~ Daily Average50.00GAL I Annual Amount350.00GAL
Storage~lPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlE SIDE WALL
-- Conc Components MCP ---~uide
3.0% I. Ethylene Glycol ILow ~ 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 37
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-030 NB CLEANER Liquid 300 Low
~ Delay Hlth GAL
CAS #: 107-41-5 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL --
300 ~ 150.00 3,000.00
Storage Press T TempI Location
PLASTIC CONTAINER AmbientJambientlAREA 3
-- Conc I Components I MCP ---~Guide
5.0%IHexylene Glycol ILow ! 27
5.0% Nonyl Phenoxy Polyethoxyethanol IMinimal I 27
02-048 UNDERCOATER SEALER Liquid 20 Low
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL ] Annual Amount GAL
20 I 10.00 75.00
Storage~ Press T Temp Location
PLASTIC CONTAINER I AmbientJAmbient WAREHOUSE & SHOWROOM
-- Conc Components MCP ----~uide
3.0% IEthylene Glycol ILow ! 27
02-050 NORTH STAR Liquid 30 Low
~ Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
30 ~ 15.00 100.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWAREHOUSE & SHOWROOM
- Conc I Components MCP ---rGuide
2.0%IDipr°pylene Glycol Methyl Ether Low ~ 27
0.9% Zinc Oxide Minimal I 7
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 38
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-052 UPHOLSTERY CLEANING PRESPRAY Liquid 20 Low
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL20I~ Daily Average10.00GAL I Annual Amount75.00GAL --
Storage ~~Press T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlWAREHOUSE & SHOWROOM
-- ConcI Components ~ MCP ---TGuide
16.0% IDipropylene Glycol Methyl Ether ILow ! 27
02-054 UPHOLSTERY CLEANING CONCENTRATE Liquid 12 Low
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL Daily Average GAL Annual Amount GAL
12 I 6.00 I 50.00
StorageI Press T Temp Location
PLASTIC CONTAINER IAmbientlAmbient WAREHOUSE & SHOWROOM
-- ConcI ComponentsI MCP ---~uide
34.0% IDipropylene Glycol Methyl Ether ILow ! 27
02-056 DRY SPOTTER/VS Liquid 4 Low
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL ] Annual Amount GAL
4 ~ 2.00 12.00
StorageIIPress T Temp Location
PLASTIC CONTAINER Iambient~AmbientlWaREHOUSE & SHOWROOM
-- ConcI Components~ MCP --TGuide
36.0% IDipropylene Glycol Methyl Ether ILow ! 27
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 39
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-082 EXTRA FLOOR FINISH Liquid 0 Low
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
0 ~ 0.00 0.00
Storage ~~Press T Temp Location
PLASTIC CONTAINER Iambientl~bientlBnDG #1
-- Cons Components MCP --~ui~e
19'5% IAcrylic Polymer IMinimal'
10.0% Diethylene Glycol Monoethyl Ether Low 27
0.6% A~onia (EPA) Extreme 15
02-083 SUPER BRITE Liquid 0 Low
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL --
0 ~ 0.00 0.00
Storage Press I TempI Location
PLASTIC CONTAINER Ambient]AmbientIBLDG #1
-- ConsI Components I MCP -~Guide
1.1% IM°rph°lineIL°w ! 29
0.0%ICarnauba Wax Minimal I 1
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 40
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-073 CREME CLEANSER Liquid 6 Minimal
· Delay Hlth GAL
CAS #: 7631-86-9 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
6 ~ 3.00 18.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlWAREHOUSE & SHOWROOM
--ConsI Components i MCP ---TGuide
2.3% 2-Butoxyethanol ModerateI 26
0.5% Ammonia (EPA) Extreme I 15
02-084 TOP SHAPE Liquid 0 Minimal
· Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
0 ~ 0.00 0.00
StorageIIPress T Temp Location
PLASTIC CONTAINER Iambient~AmbientIBLDG #1
-- ConcI Components MCP ---~uide
0.1% IZinc Oxide Minimal I 7
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 41
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 9-1-1
<2> Employee Notif./Evacuation
PUBLIC ADDRESS SYSTEM USE ALL DOORS. ALL DOORS TO REMAIN OPEN DURING
BUSINESS HOURS.
<3> Public Notif./Evacuation
NOTIFY FIRE DEPARTMENT IF FIRE OR EXTREME LARGE SPILL. EITHER MYSELF OR
EMPLOYEE WOULD BE SENT TO NEIGHBORING BUILDING OF TOXIC SPILL, FIRE, ANY
DANGER TO HEALTH OR SAFETY TO NEIGHBORING BUILDING. IF IT WERE WORSE THE
FIRE DEPARTMENT WOULD HAVE ISSUED THE ENTIRE AREA TO BE EVACUATED.
<4> Emergency Medical Plan
LOCAL HOSPITAL OR CALL 9-1-1.
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 42
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
TRAIN EMPLOYEES HOW TO HAZ MAT MATERIALS TO PREVENT SPILLS AND LEAKS.
??????????
<2> Release Containment
KEEP AN AMPLE SUPPLY OF HAZ MAT ABSORBANT ON HAND TO CONTAIN AND CLEANUP ANY
SPILLS OR LEAKS.
<3> Clean Up
SEEK THE HELP AND ADVISE OF FIRE DEPARTMENT HAZ MAT TEAM BEFORE STARTING.
<4> Other Resource Activation
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 43
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - OUTSIDE - NORTHEAST CORNER OF BLDG
B) ELECTRICAL - INSIDE - SOUTHEAST CORNER OF BLDG
C) WATER - OUTSIDE - NORTHEAST CORNER OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ONLY.
NEAREST FIRE HYDRANT - ???????????????
<4> Building Occupancy Level
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 44
00 - Overall Site
<G> Training
<1> Employee Training
WE HAVE 7 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: MONTHLY SAFETY MEETINGS, DIFFERENT TOPIC EVERY
MONTH. EMPLOYEES THAT ARE PUTTING MERCHANDISE AWAY OR DELIVERING HAZARDOUS
MERCHANDISE ARE TOLD OF THE HAZARD SIGNS THAT ARE ON THE CASES AND THEY ARE
TO BE STORED UPRIGHT. THE EMPLOYEES DO NOT WORK WITH THE CHEMICALS FOR ANY
REASONS OTHER THAN DELIVERY TO END-USER CUSTOMERS AND TO PUT IN STORAGE.
THEY ARE INSTRUCTED NOT TO STACK HIGH DUE TO BREAKING DOWN OF CASES. ALL
CASES ARE DIRECT FROM MANUFACTURE IN SAFE CASES, BUT WE DO NOT OVERSTACK
THESE ITEMS FOR OUR OWN SAFETY. THE DELIVERY PERSON HAS BEEN INSTRUCTED ON
STORAGE AND SALES PERSONNEL ARE AWARE OF MSDS REPORTS ON FILE AND DO KNOW
HOW TO READ THEM.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
07/11/96 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 45
00 - Overall Site
<G> Training
<4> Held for Future Use (Continued)
BAK[I IiS FI ELD CITY FIRE. ART. MENT
HAZARDOUS MATERIALS DIVISION .:-..
. 1715 CHESTER AVE
BAKERSFfELD, CA. 93301 .
(805) 32e-3979 ·-4/48. TM I995
.. HAZARDOUS MATERIALS INVENTORY ~4~. 0//4.
FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM [ ]
BUSINESS NAMEcnEAN~A¥ SANITARY SU?:PL¥ INC
FACILI?¢ ~AME SAME
SiTE ADDRESS 90o CHESTER AVENUE
CIT~ 'BAKERSFIELS STATE CA
NATURE OF 3USINESS PAPER, and JANITORIAL CLEANING SUP~,IES
SIC CODE DUN & BRADSTREET NUMBER
.. 328-0320 office
owNER/OPERATOR GENE S?INOZZI PHONE 392---1070 home
MAILING ADDRESS 7016 ELIAS AVE .--
C[]-Y BAKERSFIELD STATE CA ZIP 93308 ':'
EMERGENCY CONTACTS
NAME GENE SPINOZZI TiTLEGENERAL MANAGER
BUSINESS PHONE 328-0320 24-HOUR PHONE' - 392-1070
NAME JOE D'"ANGELO TITLE MANAGER
BUSINESS PHONE 328-0320 24-HOUR PHONE 834-2461/_
BAKERSFIF_ .D C1'i'3' FIRE DEPAR VIEN
HAZARII US MATERIALS INVENTS, ,~ .F~.ge_of=_
usiness Name Address
CHEMICAL DESCRI~ION
1) IN.TORY STA~S: New [ ] Addition [ ] Revision [ ] ~letmn { ] Check ~ chemi¢~ is a NON ~DE S~R~' [ '] ' ~ S~R~ [ ]
2) Common N~e: 3) ~T · (o~
Chem~ N~e: AHM [ ] CAS
4) PHYSICAL & H~L~ PHYSICAL H~
H~RD CA~GORIES Fire [ ] Reactive [ ] Sudden Relate of Pressure [ ~ ~mmedi~e He~h (Ac~e) [ ] ~y~ He~ (Chronic) [ ]
5) WAS~ C~SSIFICA~ON .(3-digit code ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] ~quid [ ] G~ [ ] Pure [ ] M~ure [ ] W~te [ ] R~ { ]
7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES
M~mum DaiyAmount: [~ [ ] ga [ ] ~3 [ ] a) Contaner:
Average Oaly Amount: cunes[ ] b) Pressure:
Annum Amount: c) Tem~r~ure:
~gest Size'Contaner:
~ Da~ On Site Circle~ich Months: AllYe~, J, F, M, A, M, J, J, A, S, O, N, D'
9) MITRE: ~st COMPONE~ CAS ~ % ~ ~M
the three most h~dous 1) [ ]
chemic~ com~nenm or
any AHM com~nents 2) [ ]
3) [ ]
lO) Location
CHEMICAL DESCRI~ION
1) IN~NTORY STA~S: New [ ] Add,ion [ ] Re.sion [ ] Deletion [ ] Check E chemi~ is · NON ~DE S~R~ [ ] ~E SECR~ [ ]
2) Common N~e: 3) ~T · (op~
Chemic~ N~e: AHM [ ] CAS
4) PHYSICAL & H~L~ PHYSICAL H~L~
H~RD CA~GORIES Fire [ ] Rea~ive[ ] Sudden Reie~e of Pressure [ ] lmmedi~eHe~h.(Ac~e) [ ] ~layed He~h (Chronic) [ ]
5) WAS~ C~SSIFICATION .{~igit code from DHS Fo~ 8022) USE CODE
6) PHYSICAL STA~ Solid [ ] Uquid [ ] G~ [ ] Pure [ ] M~ure [ ] W~te [ ] Redioa~ [ ]
7) AMOUNT ANO TIME AT FACIU~ UNITS OF M~SURE 8) STOOGE CODES
M~lmum Oaly Amount: [~ [ ] g~ [ ] ~3 [ ] a) Cont~ne~
Average Daly Amount: cunes[ ] b) Pressure:
Annu~ Amount: c) Tem~r~ure:
~ges~ Size Cont~ner:
~ Days On Site C[rcte ~ich Months: ~lYe~, J, F, M, A. M, J, J, A. S, O, N, D
9) MITRE: Ust COMPONE~ CAS · % ~ ' ~M
the three most h~aous 1) [ ]
chemJ~ com~nen~ or
~y AHM com~nents 2) [ ]
3) [ ]
1 O) Lo.on ~' -
, ce~ unOer pen~ of iaw, ~a~ ~ have pemonaiiy ex~m~ ~o ~ r~l~ w~m ~e inmma~on suDm~ on
~ubmi~ ink.eBon is ~e, accum~, ~d complete. "
PRINT Name & Title of AuZl3onzed Company F~epresenmfive Signature Date
.: Bakersfield Fire Dept.
-- Hazardous l~aterials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION3: TRAINING:
NUMBER OF EMPLOYEES: 7
MATERIAL SAFETY DATA SHEETS ON FILE: YES
BRIEF SUMMARY OF TRAINING PROGRAM: MONTHLY SAFTEY MEETINGS
DIFFERENT TOPIC EVERY MONTH
SECTION ~: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT' MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 5.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE OD NOT HANDLE HAZARDOUS MATERIALS.
WEDOHANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TiMEEXCEED THE MINIMUM REPORTING QUANTFfiES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ,~--~-,~-~' ~-- ~-- ' CERTIFY THAT THE ABOVE INFOR-
MATION IS AcC(g'f'~TE. I UNOERSTANO THAT THIS INFORMATION WILL-BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE!'
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
~ORMATION.CONSTITUTES PERJURY.
9
BAKERSFIELD CITY FIRE DEPARTMENT
HAZARDOUS MATERIALS DIVISION
1715 CHESTER AVE;
BAKERSFIELD, CA. 93301 ,-
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receip' ~' _
· 2. TYPE/PRINT ANSWERS IN ENGLISH. ~' - '
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: CLEANWAY SANITARY SUPPLY INC
LOCATION' 9oo CHESTER AVE
MAILING ADDRESS:
CITY:BAKERSFIELD STATE: CA Zlp:933Ol PHONE: 328-0320
DUN & BRADSTREET NUMBER' SIC CODE:
PRIMARY ACTIVIT"(: PAPER & JANITORIAL SUPPLY DISTRIBUTER
OWNER: CORPORATION
iv1AILING ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
GENE SPINOZZI GENERAL MANAGER 328-0320 392-1070
JOE D'ANGELO MANAGER 328-0320 834-2461
· 'x .' : · B~kersfieldFire Dc
Hazardous Materials Division
HAZARDOUS MATERIALS MANAC-EMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
TRAIN EMO?LOYEES HOW TO HAZ MAT MATERIALS TO PREVENT SPILLS AND LEAKS
B. RELEASE-CONTAINMENT AND/OR MINIMIZATION:
KEEP AN AMPLE SUPPLY OF HAZ MAT ABSORBANT ON HAND TO CONTAIN AND CLEANUP
ANY SPILLS OR LEAKS.
C. CLEAN-UP PROCEDURES:.
SEEK THE HELP AND ADVISE OF FIRE DEPARTMENT HAZ MAT TEAM BEFORE STARTING.
SECTION 8: UT[UTY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
OUTSIDE - northeast co~ner of building
NATURAL GAS/PROPANE: -
ELECTRICAL.INSIDE - southeast corner of building
OUTSIDE northeast corner of building
WATE,q:
SPEC!AL: NONE
LOCK 8OX: xfE~E~I:~[N° IF YES, LOCATION',
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION:
FIRE EXTINGUISHER ONLY
lB. WATER AVAILARILtTY (FIRE HYDRANT)' '
~ Bakers~_etd Fire Dept.
~H~ardous lqaterials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
CALL 911
B, EMPLOYEE NOTIFICATION AND EVACUATION:
PUBLIC ADDRESS SYSTEM USE ALL DOORS. ALL DOORS TO REMAIN O~EN
DURING BUSINESS HOURS
C. PUBLIC EVACUATION:
FOLLOW THE INSTRUCTIONSOF THE FIRE DEPARTMENT
O. EMERGENCY MEDICAL PLAN'
LOCAL HOSPITAL AND MEDICAL RESPONDERS
SITE DIAGRAM ~ FACILITY DIAGRAM Business NQme: CLEANWAY SANITARY SUPPLY INC
900 CHESTER AVENUE BAKERSFIELD CA 93301
Busine~ ACdress:
For Office Use OnLy
First In Station: Area Map # 0f
Insoection Station: NORTH
O
O
H
O
H
'<
~ o ~ o
Z
o
........................................
~ ~ ~ O O
o ~
SITE DIAGRA:M I i FACILITY DIAGRAM
Business Name: CLEANWAY SANITARY SUPPLY INC
8u$i~e~ AGates: 900 CHESTER AVE. BAKERSFIELD CA 93301
For Office Use Only
First in Station: Area Mc~ # of
Insoection Station: NORTH
·. DOOR DOOR DOOR
'' i I I I I
OFFICE WAREHOUSE
SHOWROOM
I OFFICE
Db6R
i~OOR
WAREHOUSE
o ['d o3
o
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 1
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-001 60 SECONDS BOWL CLEAN Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GAL I Daily Average GAL I Annual Amount GAL
60 ~ 30.00 360.00
Storage · Press T Temp ~ Location
PLASTIC CONTAINER AmbientlAmbientISE SIDE SHELF #3
PLASTIC CONTAINER AmbientlAmbient REAR N SIDE SHELF
-- Conc ~ Components MCP ---TGuide
10.0%IHydr°flu°ric Acid Extreme I 15
2.0% Hydrochloric Acid High ~ 15
02-002 BOWL CLEANER Liquid 60 Extreme
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 ~ 30.00 360.00
Storage · Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientI REAR N SIDE SHELF
PLASTIC CONTAINER AmbientlAmbient SE SIDE SHELF #3
- Conc . Components { MCP ---~uide
8.0% Phosphoric Acid
ModerateI 60
3.0% Hydrochloric Acid High ! 15
2.0% IHydrofluoric Acid Extreme I 15
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-004 FURNITURE POLISH Liquid 60 High
· Fire, Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
60 , 30.00 200.00
Storage i Press T Tempi Location
PORT. PRESS. CYLINDER Ambient~Ambient NE CORNER
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
-- ConcI Components I MCP ---~Guide
3.0% INaphtha IM°derateI 27
2.0%IPropane Extreme I 22
02-005 DRAIN OPENER Liquid 60 ~High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL [ Annual Amount GAL
60 ~ 30.00 360.00
Storage Press T Temp I Location
PLASTIC CONTAINER Ambient~AmbientI SE SIDE SHELF #3
PLASTIC CONTAINER Ambient~Ambient REAR N SIDE SHELF
-- Conc Components MCP ---TGuide
50.0% Isulfuric Acid (EPA) IHigh / 39
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-006 HEAVY DUTY POWDERED BLEACH Solid 500 High
~ Immed Hlth, Delay Hlth LBS
CAS #: Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: CLEANING
Daily Max LBS I Daily Average LBS I Annual Amount LBS
~ 500 I 150.00 1,800.00
Storage . Press -. Temp~ Location
BOX Ambient AmbientlREAR N WALL SHELF
BOX Ambient AmbientI E SIDE SHELF #6
-- Conc Components MCP -~Guide
70.0% ISodium Hypochlorite High ! 45
02-007 HOUSEHOLD BLEACH Liquid 160 High
~ Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
160 ~ 100.00 300.00
Storage . Press .. Temp~ Location
PLASTIC CONTAINER Ambient AmbientlREAR N WALL PALETT
PLASTIC CONTAINER Ambient AmbientI E SIDE SHELF #5
-- Conc I Components I MCP -~Guide
12.0%IS°dium Hypochlorite IHigh ~ 45
8.0% Sodium Hydroxide, Solution IModeratel 60
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 4
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-008 MR MUSCLE OVEN CLEAN Liquid 90 High
· Fire, Pressure, Immed Hlth, ~Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use:' AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL I Annual Amount GAL
90 ~ 30.00 200.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER Ambient~Ambient REAR NE CORNER
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
-- Conc~ Components I MCP -~Guide
10.0% ISodium Hydroxide, Solution IM°derateI 60
10.0% IIsobutane High ~ 22
10.0% 12-Hydroxyethylamine High ! 60
02-009 ODORITE GLASS CLEANER Liquid 100 High
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Da~ly Max GAL100I~ Daily Average180.00GAL I Annual Amount500.00GAL --
Storage i Press T Tempi Location
PORT. PRESS. CYLINDER Ambient~Ambient REAR NE CORNER
PORT. PRESS. CYLINDER Ambient~Ambient E SIDE SHELF #1
--Conc [ Components i MCP -~Guide
30.0% Ethyl Alcohol ModerateI 26
5.0% 2-Butoxyethanol ModerateI 26
5.0% LPG High ! 22
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 5
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-010 DEODORANT ROOM SPRAY Liquid 60 High
~ Fire, Pressure, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 ~ 30.00 150.00
Storage Press -. Temp Location
PORT. PRESS. CYLINDER IA mbient /~bientlNE CORNER
PORT. PRESS. CYLINDER Ambient Ambient E SIDE SHELF #1
-- Conc Components I MCP ---~uide
3.0%~lPropane IExtreme I 22
2.0%lis°butane IHigh ! 22
30.0% Ethyl Alcohol IModeratel 26
02-011 SAFETY FOAM BOWL CLEAN Liquid 80 High
~ Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
-- Daily Max GALI Daily Average GAL I Annual Amount GAL --
80 ~ 40.00 320.00
Storage · Press .. Temp~ Location
PLASTIC CONTAINER Ambient AmbientlREAR NE SIDE SHELF
PLASTIC CONTAINER Ambient AmbientI FRONT E SIDE SHELF #3
--Zeno [ Components i MCP --Iuide
8.0% Phosphoric Acid IModerate 60
2.0% Sulfuric Acid (EPA) IHigh 39
7.0% Hydrochloric Acid IHigh 15
3.0% Oxalic Acid ILow 54
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 6
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-012 SHOWERS N STUFF BATHROOM CLEANER Liquid 90 High
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
90 ~ 70.00 190.00
Storage · Press -. Temp~ Location
PLASTIC CONTAINER Ambient AmbientlREAR N SHELF
PLASTIC CONTAINER Ambient AmbientIE SIDE SHELF #3
-- ConcI Components I MCP ---~uide
2.0% iSulfuric Acid (EPA) High ! 39
6.0%IPhosphoric Acid IModerateI 60
02-013 WAX STRIPPER Liquid 300 High
· Fire, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: STRIPPER
Daily Max GALI Daily Average GAL I Annual Amount GAL
300 ~ 200.00 2,200.00
Storage . Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientI REAR NE CORNER 2ND SHELF
PLASTIC CONTAINER AmbientlAmbient E SIDE WALL #A
PLASTIC~'CONTAINER AmbientlAmbient S WALL SE CORNER
-ConsI Components i MCP ---~uide
6.0% Sodium Hydroxide, Solution ModerateI 60
10.0% 2-Butoxyethanol ModerateI 26
5.0% 2-Hydroxyethylamine High ! 60
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 7
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-014 WINDEX GLASS CLEANER Liquid 60 High
~ Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL60 I Daily Average30.00GAL ~ Annual Amount640.00GAL
Storage · Press T Temp ~ Location
PLASTIC CONTAINER Ambient~AmbientlN SIDE SHELF #20
PLASTIC CONTAINER Ambient~AmbientlE SIDE SHELF #2
PORT. PRESS. CYLINDER Ambient~AmbientlNE CORNER
PORT. PRESS. CYLINDER Ambient~AmbientlE SIDE SHELF #1
-- Conc~ Components MCP --TGuide
10.0% 12-Butoxyethanol ModerateI 26
10.0%IIs°pr°pan°l ModerateI 26
3.0% Isobutanol ModerateI 26
3.0%'~ Propane Extreme I 22
02-028 DBC Liquid 60 High
~ Immed Hlth GAL
CAS #: 7647-01-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
60 ~ 30.00 900.00
Storage Press T TempI Location
PLASTIC CONTAINER Ambient~AmbientlAREA 2
-- Conc ~ Components MCP ---TGuide
22.0%IHydr°chl°ric Acid High ! 15
7.0% Phosphoric Acid ModerateI 60
2.0% Oxalic Acid Low ~ 54
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 8 [
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-034 TANNIN STAIN REMOVER Liquid 50 High
· Immed Hlth GAL
CAS #: 7647-01-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
~ 50 ~ 25.00 600.00
Storage ~~Press T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlaREa 2
- Conc Components MCP ---~uide
5.0% IHydrogen Chloride IHigh I 15
02-015 ALL IN ONE BATHROOM CLEANER Liquid 60 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL --
60 ~ 30.00 375.00
Storage . Press T Temp I Location
PLASTIC CONTAINER AmbientlAmbientIREAR N SIDE SHELF #2
PLASTIC CONTAINER AmbientlAmbient E SIDE SHELF #3
--ConsI Components i MCP ---~uide
9.0% Phosphoric Acid ModerateI 60
1.0% n-Butyl Acetate ModerateI 26
02-016 CLEAN GUARD Liquid 55 Moderate
· Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL 1 Annual Amount GAL
55 ~ 55.00 220.00
Storage . Press T Temp I Location.
PLASTIC CONTAINER Ambient~AmbientI REAR N SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF #5
-- Conc Components MCP ---~uide
8.0% 12-Sutoxyethanol IModeratel 26
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 9
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-017 HEAVY DUTY DEGREASER Liquid 335 Moderate
· Fire, Delay Hlth
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max Daily Average Annual'Amount
335 I 285.00 I 1,220.00
Storage Press --Temp~ Location
PLASTIC CONTAINER Ambient AmbientlREAR NE SIDE SHELF
PLASTIC CONTAINER Ambient AmbientI E SIDE SHELF #2
PLASTIC CONTAINER Ambient Ambient S WALL
PLASTIC CONTAINER Ambient Ambient OUTSIDE YARD
-- ConcI Components I MCP ----[Guide
10.0% 12-Butoxyethanol IModeratel 26
02-018 HOUSEHOLD AMMONIA Liquid 60 Moderate
~ Fire, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: OTHER
Daily Max GALI Daily Average GAL ----~ Annual Amount GAL
60 j 30.00 1,000.00
Storage I Press I Temp I Location
PLASTIC CONTAINER I AmbientlAmbientIREAR N WALL SHELF #A
PLASTIC CONTAINER I AmbientlAmbient E SIDE SHELF #5
-- Conc ~ Components I MCP ---~uide
5.0%IAmmonia Solution, Conc. Less Than 20% IModerateI 60
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 10
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-019 MEDICIDE Liquid 60 Moderate
~ Fire, Pressure GAL
CAS 9: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
60 ~ 20.00 100.00
Storage I Press T Temp I Location
PORT. PRESS. CYLINDER IAmbient~AmbientIREAR NE CORNER
PORT. PRESS. CYLINDER IAmbient~Ambient E SIDE SHELF 91
-- Conc Components MCP ---TGuide
1.0%~1 Ethyl Alcohol I Moderate I 26
02-020 SAND BRITE BATHROOM CLEANER Liquid 60 Moderate
~ Fire, Immed Hlth, Delay Hlth GAL
CAS 9: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL60Il Daily Average40.00GAL [ Annual Amount100.00GAL --
Storage~~Press T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlE SIDE SHELF 93
-- Conc Components MCP -~Guide
9.5% IPhosphoric Acid IModeratel 60
02-021 SPRAY CLEAN Liquid 280 Moderate
~ Fire, Delay Hlth GAL
CAS 9: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
280 j 220.00 1,000.00
Storage -Press T Temp I Location
PLASTIC CONTAINER AmbientlAmbientIREAR NE SHELF
PLASTIC CONTAINER Ambient~Ambient E SIDE SHELF 92
PLASTIC CONTAINER Ambient~Ambient S WALL
-- Conc Components MCP --TGuide
10.0% 12-Butoxyethanol IModerate I 26
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 11
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-022 SPRAY OUT SPOTTER Liquid 60 Moderate
·· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: ~ Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
60 ~ 30.00 380.00
Storage . Press -. Temp, Location
PLASTIC CONTAINER 'Ambient AmbientlREAR NE SHELF
PLASTIC CONTAINER Ambient AmbientIE SIDE SHELF #4
-- ConcI Components I MCP --~Guide
10.0% 12-Butoxyethanol IModeratel 26
02-023 SPRAY OUT SPOTTER Liquid 60 Moderate
· Fire, Pressure, Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL ] Annual Amount GAL
60 ~ 30.00 380.00
Storage Press -Temp Location
PLASTIC CONTAINER I Ambient AmbientlREAR N SHELF
PLASTIC CONTAINER Ambient Ambient E SIDE SHELF #4
-- Conc Components MCP ----~uide
10.0%~12-Sutoxyethanol IModeratel 26
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 12
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-024 WET FLOOR 23 Liquid 100 Moderate
· Immed Hlth, Delay Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL100 I Daily Average60.00GAL I Annual Amountl,000.00GAL
Storage Press -Temp Location
PLASTIC CONTAINER IAmbient AmbientlN SIDE SHELF #1
PLASTIC CONTAINER Ambient Ambient E SIDE SHELF #A
PLASTIC CONTAINER Ambient Ambient S WALL
-- Conc ~ Components ~ MCP ---TGuide
0.6%IAmm°nia Solution, Conc. Less Than 20% IModeratel 60
10.0% Diethylene Glycol ILow ! 27
02-026 EXTRACTION SHAMPOO Liquid 60 Moderate
· Delay~Hlth GAL
CAS #: 111-76-2 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL60 I Daily Average30.00GAL I Annual Amount3,000.00GAL
Storage Press T Temp Location
PLASTIC CONTAINER Ambient~AmbientlAREA 4
-- Conc Components MCP---~uide
95.0% IEthylene Glycol Butyl Ether ModerateI 26
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 13
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-027 CONCRETE CLEANER Solid 500 Moderate
· Immed Hlth LBS
CAS #: 6834-92-0 Trade Secret: No
Form: Solid Type: Mixture Days: 365 Use: CLEANING
Daily Max LBS I Daily Average LBS I Annual Amount LBS
500 I 100.00 ! 1,200.00
Storage ~~Press T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlaREa 3
-- Conc Components MCP ---~uide
7.0% ISodium Metasilicate ILow .60
5.0% Sodium Hydroxide ModerateI 60
02-029 HONEYMIST DEODORANT Liquid 60 Moderate
· Delay Hlth GAL
CAS #: 67-63-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL60I~ Daily Average30.00GAL I Annual Amount600.00GAL --
Storage~~Press T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlAREA 1
-- Conc Components MCP Guide
40.0% Ilsopropanol IModeratel 26
02-031 NEUTRAL CLEANER Liquid 300 Moderate
. · Delay Hlth GAL
CAS #: 4!1-76-2 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL ] Annual Amount GAL
300 ~ 150.00 3,000.00
StorageIIPress T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlAREA 2
-- Conc i Components I MCP ---~uide
5.0%12-But°xyethan°l IModeratel 26
5.0% Isopropanol IModeratel 26
50.0% Nonyl Phenoxy Polyethoxyethanol IMinimal I 27
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 14
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-032 ALKALINE SPOTTER Liquid 50 Moderate
· Fire GAL
CAS #: 67-63-0 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL
50 ~ 25.00 600.00
Storage ~lPress T Temp Location
PLASTIC CONTAINER IAmbient~AmbientlaREa 1
-- Conc Components MCP -~Guide
2.0% Ilsopropyl Alcohol IModeratel 26
02-033 ALL PURPOSE CLEANERS Liquid 50 Moderate
· Immed Hlth GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
50 ~ 25.00_ 600.00
~torageIIPress T Temp Location
PLASTIC CONTAINER .IAmbient~AmbientlAREA 2
-- Conc Components MCP ---/Guide
20.0% IPotassium Hydroxide IModeratel 60
02-035 CITROSOLVE Liquid 50 Moderate
· Fire, Immed Hlth GAL
CAS #: 2555-11-37 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GALI Daily Average GAL I Annual Amount GAL
50 ~ 25.00 600.00
Storage Press T Temp Location
PLASTIC CONTAINER Ambient/AmbientlAREA
--ConcI Components , MCP iGuide
5.0% 1,3,5-Trimethylbenzene IModerate 26
20.0% D-Limonene IModerate 27
09/01/95 CLEANWAY SANITARY SUPPLY INC 215-000-000709 Page 15
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-025 UNDERCOAT SEALER Liquid 100 Low
· Fire GAL
CAS #: Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: SEALER
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
100 ~ 50.00 350.00
Storage iIPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlE SIDE WALL
-- Conc Components MCP ---TGuide
3.0% IEthylene Glycol ILOw / 27
02-030 NB CLEANER Liquid 300 Low
· Delay Hlth GAL
CAS #: 107-41-5 Trade Secret: No
Form: Liquid Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL I Daily Average GAL I Annual Amount GAL --
300 ~ 150.00 3,000.00
Storage IIPress T Temp Location
PLASTIC CONTAINER IAmbientlAmbientlaREa 3
--ConsI Components i MCP ---~Guide
5.0% Hexylene Glycol Low ! 27
5.0% Nonyl Phenoxy Polyethoxyethanol Minimal I 27
BAKERSFIELD CITY FIRE DEPARTMENT'
.. .AZA. RDOU ATERIALS INVENTORY Page_of__
~me;.,~ CLEANWAy..~S .~..ITARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD,~ CA 93301
CHEMICAL DESCRI~ON
~ & H~ PH~ICAL H~
iA~RIES Fire [ ] ~Re~[ ]Sudden. Rele~eof Pressure
ASS~FICA~ON ,(3~ig~ ~e ~m OHS Fo~ 8022) USE CODE
STA~ .Sol~ [ J Uqu~ [~ [ ] Pure [ ] M~m ~t
iND ~ME AT FAClU~ UNITS OF ~S~E 8) ST~GE CO~S
¢6m~eD~N~um: /~ cudes [ ] b) Pm~um:
~ On S~e . Cimle ~ich Monks:
Ust COMPONENT C~ · · % ~ ~M
~). [
WHRSG& SHOWROOM
CHS~CA~ DSSC~ON
~M
H~L~ PHYSICAL H~
~aGORIES Rm [ ] Rea~e[ ] Sudden Rele~e of Pressure [ ] Imm~eHe~(A~e) [ ] ~He~(Chmn~)
~SIFICA~ON (~ig~ code ~om OHS Fo~ 8022) USE CODE
IA~ Sold [ i Uquid [~ G~ [ ] Pure
D ~ME AT FACIE~ UNITS OF M~SURE 8) sTOoGE CODES
~e O~N A~unt: ~ curies [ ] b)
J~ ~ount: ~ ~ ~ c) Tem~:
~OnSite ~ ~ Cirde~ichMonths: NIYe=. J. F. M, A. M. J, J. A, S, O, N, D
Ust coMPONEnT C~ · % ~ ~M
~,~ or ·
~HRS S SHOWROOM
;off is ~e, accu~, ~ compleX.
'[NOZZ[ ~G~N NGR 5/1/95
~ of A~n~ Com~ Repmsenm~e . Sig~m
· --BAKERSFIELD _;. ..; __ . CITY FIRE DEPARTMENT'
...... , ' *'~: '~ r~Az-z~lJuUS. MATER!ALS',INVEN~HY Page of
BusinessNa~e:.,, CLEANWAy,-.S, .A~..!TA~.-Y sU,PPLY- .Address900 CHESTER AVENUE BAKERSF!ELD,,CA .93301
C~EMICAk DE~C~IPllON.
1) INVENTOS¥.STA.TU$: New[~ ~[.1 R.,.e~sion[ ] D~..letion[ ] Che<~ifchemicalisaNON~$ECREr [ ] TRADE SECRET [ ]
2) Comrne..am'.: T--~,---~-Z:'~ ji:¢,./~-I¢ - '$~ '~-(d 3)' ~%' (o~,"~
Chemical Name: NlM [ } CAS #
4) PHYSICAL & HEALTH PH~[cAL' " HEALTH
HAZARDCA:I'EGORIE$ Fire [j ~'React!~.'.,[ ], .Su~d?n. Relea~e of Pressure. { ] Immed'mteHe~th(Acute) [-] DelayedHeaJth"(Chr°nic)
5) 'WASTE cLAssiFICATION (3-digit code from OHS Fom~ 8022) USE CODE . '
7) AMOUNT AND TIME AT FACILITY UNITS OF M. EASU~E 8) sToRAGE CODES
· Maximum DaJlyAmount: ''* /'~ lbs [ J "gai ~]~'ft3 []. a)ContaJner.
Average Daily Amount: ~' curies [ ] . b) Pressure:
AnnualAmount:. _ Z~_ i,' c) Temperature:
Largest Size'Container. /~,v~T ..~
# Days On Site '~ fi~ ~ Circle Which Months: .~.NI Year. J, F. M. A. M. J. J. A. S. O. N. D
9) MIXTURE: Est COMPONENT CAS de - % WT AHM
chemicaJ components or .. - · /--
,41co'~,, I
1O) Loca~o. WHRSC& SHOWR~0M
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: .(3,,~. ~ ~ 3) DOT de (opUone~
Chemical Name: ~ NlM [ ] CAS ~
4) PHYSICAL & HEALTH. PHYSICAL HEALTH '
HAZARO CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] immediate Health (Acute) [ ] Delayed Hea~th (Chronic) [ ]
5) WASTE C~JkSSIFICATION .(3-digit code from OHS Fomn 8022) USE CODE
6) PHYSICAL STATE Solid ~/Uquid [ ] Gas [ } Pure ~M'lxttlre [ ] Waste [ ] 'Radioa~:~ve
7) AMOUNT AND TIME AT FACILITY UNITS OF/MEASURE a) sTORAGE coDEs
Maximum Daily Amount: ;2. (:~ lbs (~],~'gaJ [ ] ft3 [' ] a) Container. I~ ~
Average Daily Amount: / ~ curies [ ] b) Presmam:
Annual Amount: _'3-0 c) Tem~:.
L~rgest Size ContaJne~. ~, 0 c~
# Days On Site ~,5"- ~/ Circle Which Months: NI Year, J, F. M, A, M, J, J, A, S, O. N, D
9) MIX'rURE: Ust [~ B~ONENT CAS, %WT AHM
chemical components or
any AHM components ~) ~.~. [ ]
3) ~ [ ]
wH~£
Location
~ :--.,'e'fy under peneJ~.~. ...!aw,':that I'h,a~....®.P ,ers~-~. jyex~rr~., n.e~ an~ am farm//ar w~th the i~~.. ,~ docume~. .
· hmitted information is flue, accurate, and complete.
GENE SPINOZZI--I GEN MGR' - ~~':5/~'-~" ' ' · - 5/1/95
:g~,~r Name & Title of Authon~ Company Repre~enm~,e . ~"' . ~ignatu~e .........
4 .. BAKERSFIELD CITY' FIRE DEPARTMENT'
.,.., '"'HAI~RD. OUS MATER!ALS'INVL=~'ORY Page_of__
BusinessNa~e:.,. CLEANW~A~. SA.~ZTAgY. SUPPLY . Address900 CHESTER AVENUE BAKERSFTELD,. CA 9330~
CHEMICAL .DESCRIPTION-
1) INVENTORY STATUS: New[X] Additio.[] R ~evisio.[ ] Dele~n[ ] Check if chen~cal i~ a NON TRADE SECRET [ ] TRADESEGRET [ J
2) co.~o. ,am.: ~---:5~~. ~.,pO'~' ':, ................... 3) D~, (o~o.~,'
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ? Reactive [ ] Sudden. Release of Pressure [ ] Immediate HeeJth (Acute) [ ] Delayed HeaJth"(Chmnic) [~.
S) 'WASTE C-LAssiRCATION (3-digit code fro~ DHS Form 8022) ' USE CODE .....
6i PHYSICAL sTATE .Solid [ ] U~uid [~'/Gas [ 1. Pure [ I Mixture [,-.].-/Wast' [ ] Radioactive [
7) AMOUNT AND TIME AT FAClUTY UNITS .OF MEASURE 8) sTORAGE CODES
· Maximum Daily Amount: "'/"~ lbs [ ] ga] [~,"~3 [ ] a) Container.
Average Daily Amount: / ~ cudes [ ] b) Pressure: I
Annual Amount:. ,~'ED c) Temperature:
Largest Size'Container: '=~"~' ~ /
# Days On Site ~/.~ ~'"~ Circle Which Months: ..All Yea;. J, F, M. A. M. J, J, A, S, O, N. D
s) MIXT~..~E: L~t : COMPONE~rr CAs H - % WT NlM
me three most hazardous 1) [ ]
chemical components or - ·
· ,~ AHM cor. por=n~ 2). [.~ O ~ ~-~- [ ]
3) [ ]
1(~) Location WHRSC& SHOWROOM
CHEMICAL .DESCRIPTION
1) INVENTORY STATUS: New ~: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) commo. ,am.: ~'~C %G~,-.~%L~i:''~;'e~''~'~-~ 3) ~OT H (o~o.~ ....
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH. PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [i~
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas ~ Pure [ ] Mixture ~,.,t/'/~Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE S) STQRAGE CODES
Ma)amum Daily Amount: ~ lbs ,(,~gal [ ] ft3 [' ] N Container.
Average Daily Amount: ~ curies [ ] b) Pressure:
Annual Amount: _.~.. ,~,.(z~ c) Temperature:.
Largest Size Container.
# Oays On Site 7 &L/~r' Circle Which Months: All Year, J, F, M, A. M, J, J, A,
9) MIXTURE: LIst / / COMPONENT CAS H % ~ff' NlM
the mree most hazardous 1) ~/T]~/'~C/~---~HA Cc~v'c:r~osev3~) [ ]
chemical components or -
any AHM componen;s ~) ,:, ,/~ [ ]
10) Locaaon WHRS ~ SHOWROOM "~
~e..~y under penalty ~f. law, ;~hat ! h.~...e Pe ./~3n~. Jy ~n. eo ar~ am/ami//ar w~ the inforn~ion submitted on ~ and ~.~/ atJac, hecl documents.
,_h_m. ~ information is true, accurate, and complete.
~ GENE SPINOZZI/GEN MGR
5/1/95
:iNT Name & Title of AuthoriZed Company Representative Signature Date
OAKER:SFtELD CITY FIRE DEPARTMENT'
· . .... , H .AZA ,OUS: MATER!ALSINVEN:,, R¥ Page.__of._
Business Na~e,: .... CLE.ANW~A.Y. tS ,A~..!TAg. Y sU, pPLy . AddressgO0 CHESTER AVENUE . BAKERSFIELD,,- CA 93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[XJ .Add~[.] Revision[ ] O~.Jetion[ ] Checklfchemica]baNONTRAOESECRET [ ] TRADE SECRET
2) Common Name:'r~V'Oe :r..' ¢..~ '-"-~ "'; ..... .'~ ............................... 3) EXiT # (opeona]) "
ChemicaJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH : PHYSICAL HEALTH
HAZARD CATEGORIES, Fire ['] ':Reactive[ ]Sudden. Release of Pressure [ ! ImmedlateHeNth(Acute)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FACIUTY , .. ~z'~ uNrrs OF MF_ASU~ 8) sTORAGE COONS
· Maximum Daily Amount: "T lbs [ ] gal [ ~'tt3 [ ]. a) Container.
Average O,.iN Amount: ~ curies [ ] . b) Pressure:
Annua] Amount. ~ c) Temperature:
L~rgest Size'Container:
# Days On Site v~, ~" Cimle Which Months: ..All Year. J. F. M. A. M. J. J. A. S. O. N. D
9) MIX'~RI=' Est COMPONENT CAS # - % WT AHM
chemica] components or " (~/ ~ ....
10) Location WHP. S~S SHOWROOM
CHEMICAL DESCRIPTI°N
1 ) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemica] is · NON TRADE SECRET [
2) Common Name: C I_~.~--(~ o; c~-~ ., ) 3) (X)T'# (or~on~
Chemica] Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire ( ] Reactive ( ] Sudden Release of Pressure [ ] Immediate Hea]th (Acute) [ ] Delayed Heallb (Chronic) [ ]
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid ~ Gas [ ] Pure [ ] MLxture ~ Waste [ ] RadioaclJve [
7) AMOUNT AND TIME AT FACILITY ~/ UNITS OF MEASvURE 8) sTORAGE CODES
Mammum Oaily Amount: ~ lbs [ ] ga] [ ~ ~1 [ ] a) Container.
Average Daily Amount: ~ curies [ ] b) Pressure: ,
Annua] ~nount: c? ,~ c) memr.,raure:
, Largest Size Container.
#OaysOnSite ~,~ ~' CircJe Which Months: .AllYear, J. F, M. A. M, J, J, A. S. O. N, D
9) MIXTURE: Ust COMPONENT CAS # % WT AHM
chemicad components or O- .
10) toca~on WHRS & SHOWRooM " ! ' ' ' "~ '
~em~f under penalty o. t Jaw, [that I h .m/. e pe~al.,Iy examm, e~ ar~ am famdiar w~h ~he infomm~on ~ocume~.
'5...~i~ed informa~fon is ~rue, accurate, and complet~
GENE SPINOZZI I GEN MGR · ~ 5/1/95
:~NT N~,me & Ti#e of AuthoriZed CompanyRepresenta~e ~,~~~~ ~' Oat~
BAi ERSFIELD CITY FIRE DEPARTMENT'
HA~RDOUS' MATERIALS INVB~'ORY Page.__of_.
8usiness Name CLEANWAY SANITARY SUPPLY Address D00 CHESTER AVENUE BAKERSFIELD, CA 93301
CH MICA DESCRIPT! NO
1) INVENTORY STATUS: New[~ Addition[ ] Revision[ ] Dele~on[ ] Check if chemic, al b a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] 'Reactive[ ] Sudden Release of Pressure [ ] Imrnediate Health (Acute) [vl~ Delayed Hea~h (Chronic) [l~.
5) WASTE CLASSIFICATION .-,(3-digit code fi.om DHS Form 8022) USE CODE
6) PHYSICAL S/ATE Solid [ I Uquid as [ ] Pure [ ] Mixture te[ ] Radioactiv~ [ ]
7) ^MOUNT AND TIME AT F^ClU~ /~--~'~- UN,TS OF M. ~S~E[~..,~ S) STORAGE COOES
· Maximum Daily Amount: lbs [ ] gaJ ] ~) Container:.
Average Daffy Amount: ~.~ curies [ ] . b) Pressure:
Annual Amount: ! ~ ~;) c) Temperature:
Largest Size'Container:
# Days On Site ~ Circle Which Months: All Yea~. J. F, M, A, M, J, J, A, S, O. N, D
9) MIX"I3JRE: List -- e COMPONENT CAS ,~ % w'r AHM
chemical components or
any AHM components 2)B~y J ~/, (oso [u~ t I t - ~ ~ - z I ~/,~ [ ]
3) { x ~..f e ? 7 '7 3 Z.- 12-5- '----[ ]
10) Location WHRSC~& SHOWROOM
CHEMICAL DESCRIPTION
1 ) iNVENTORY STA'BJS: New Ix[ ] Addition [ ] Re,sion [ ] Deletion [ ] Check i~ chemical is · NON TRADE SECRET [ ] ~ SECRET [ ]
Chemical Name: NIM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive t } Sudden .eiease of Pressure [ i immediate HeaJth (Acute) [ ] Delayed Health {Chronic)
5) WASTE CLASSIFICATION (3-digit code 9om DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [] liquid ~v~ Gas [] Pure [] Mixture ;~aste [] Radioective []
7) AMOUNT AND TIME AT FACILITY UNITS OF MEAS],~I~ 8) STORAGE CODES
MaXimum DaflyAmount: ~/~.. lbs [ ] gal ~t3 [ ] a) Container:
Average Daily Amount: ~/~'~' curies [ ] b) Pressure: t
Annual Amount: JY*O c) Temperature:
I_argest Size Contamer: 3~'
# Days On Site Circle Which Months: All Yeu, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: List ~ < COMPONENT CAS # % WT AHM
the three most hazardous 1) ~'~to~bo~',C. ~C~C~ 7&&:~'1-3~-% '--- [ ]
chemical components or
any AHM components ~). [ ]
3) [ l
10) Location WHRS ~ SHOWROOM
ceracol under penamil of law, that I have personaJly exammeO ~ am famliJar wsth the inloma~o, subm;tted on this an~ a;; atlac, hed documer~. ~ believe
L, bmitted information is O~ae, accurate, and complete.
GENE SpINOZZI IGEN HGR 5/~/95
RI~,'T Name & Title of Authon~led Company F{epresenta#ve Signaalre Date
BAKERSFIELD CITY FIRE DEPARTMENT'
H OUS MATERIALS INVEN' RY Page_of__
Business Name-, CLEANWAY. SANITARY SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) IN~:NTORYSTATUS: New[X] Addition[ ] Revision[ ] Deletion[ ] Checkifchemic~b aNON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ' Reactive { ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [./~.
5) WASTE CLASSIFICATION . .(3-digit code from DHS Form 8022) USE CQDE
8) PHYSICAL STATE . Solid [ ] Liquid as [ ] Pure [ ] Mixture te[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS~,~ 8) STORAGE CODES
· Maximum OailyAmount: ~ lbs { ] gal'~r~ ~3 [ ] ~)Containe<
Average Daily Amoum: "~ cudes [ ] . b) Pressure:
Annual Amount: {~ c) Temperature: ~-~
Largest Size'Container.
# Days On Site Circle Which Months: Ail Yea;. J, F, M, A, M, J, J, A. S, O, N. D
9) MIXTURE: Ust . COMPONENT CAS # - % WT AHM
chemical coml3onents or /~ '
any AHM components 2) [ ]
3) [
10) Locaaon WHRSG& SHOWR00H
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~( ] Addition I ] Revision [ ] DeJetion [ J Check if chemic~ is a NON T~ADE SECRET
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
I;IAZARDCATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chmni¢)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYS~CALSTATE So,d [ I Uquid~as [ I Pure [] M~ture'~W--te ,[] ~,,,:t~ [ ]
7) AMOUNT AND TIME AT FAC[UTY ~7-~--- ~._~ UN~TS OF MEAS~ 8) STORAGE CODES
Maximum D~ily Amount: C~'f'~-;'~- lbs [ ] ga~ ~ it3 [ ] a) Con~aJner.
Average Daily Amount: ~ cur~es '[ ] b) Pre.urn:' '
Annual Amount: ~ ~:) c) Temperature: ~-~
Largest Size Container.
# Day$On Site '3'~~,~ Circ~eWhich Months: NIYear. J. F, M, A, M, J. J, A, S. O. N, D
9) MIX'rURE: IJst COMPONENT, · CAS # % WT AHM
chemical components or
Cerg/y uncfer penalty o!/aw, d/at / have ~ersona//y exam/ned and am farnfl/m' wizh. the/ntomagon s
:,h__m/tted/nforma#on/s ~ue, accurate, and comp~etc.
GEnE SPINOZZI IGEN MGR ~~~~~ 511195
~.,NT Nam. & Ti,e o, AuthoriZed Company Representa~ve ~re~~
BAKERSFIELD CITY FIRE DEPARTMENT'
HA RDOUS MATERIALS INVE ORY Page_of_
Rusiness Name.. CLEANWAY SANITARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
· ................. "": ....... ~' ...... cHEMIcAL DE$CR-'- --IPTION ' '
1) INVENTORY STATUS: New[X] AdditionJ ] Revision[ ] Deletion[ ] Check if chemiceJ i~ ,, NON TRADE SECRET [ ] TRADE SECRET [ ]
7
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed HeaJth (Chronic)
5) WASTE CLASSIFICATION ~ (3-digit code from DHS Form 8022) USE CODE
~ ' ~ ·
6) PHYSICAL STATE . Solid [ ] Uquid as [ ] Pure [ ] Mixture ~Waste [ ] RadiomctNe [ ]
7) AMOUNT AND TIME AT FAClMTY UNITS OF MEASURE 8) STORAGE CODES
· Maximum Dally Amount: C(o-~ lbs [ ] gal ~ [ ] a) Container: lC3
Average Dally Amount: ~['~' curies' [ ] b) Pressure:
Annual Amount:. I ~ c) Temperature:
Largest Size'Container: .~.~ ~ ~..~
# Days On Site Circle Which Months: All Year. J, F, M. A, M, J, J. A, $, O, N. D
9) MIXTURE: Ust ..-~ . _ COMPONENT CAS ~ % WT AHM
the three most hazard0u$
chemical components or
any AHM components 2) [ ]
3) [
10) Location 1,']Hlq. S(~S SH0WR00H
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [
Chemical Name: + AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ReactWe [ ] Sudden Release of Pressure [ ] Immediate HeeJth (Acute) [ ] Delayed Health (Chronic)
5) WASTE ClJ%SSlFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid 'l~Gas [ ] Pure [ ] MLxture ~'~aste [ ] Radioactive ( ]
7) AMOUNT AND TIME AT FACILITY % UNITS OF M._EAS~URE 8) STORAGE CODES
Maximum Dally Amount: ~., lbs [ ] gal ~ ft3 [ ] a) Container. ' jcl
Average Dally Amount: I. ~' cunes [ ] b) Pressure:
Annual Amount: ~ c) Temperature: /---~
Largest Size Container.
# Days On Site u'~(~5,---' Circle Which Months: All Year. J. F. M. A. M. J. J, A; S. O, N, D
9) MIXTURE: List coMPONENT CAS · % WI' AHM
chemicaJ components or
10) Location ~HRS F~ S~O~RO0~
cerEfy under penalty of law, that I ha~e pe~onalIy exammeO an~ am familiar W~rh the infomaifo~ submitted on this and ail a~tached documer~&
,Jbmitted information is b~e, accurate, and complete.
~ff, q' Name & Title of Authon~led Company Representaffve Signature Date
BAKERSFIELD CITY FIRE DEPARTMENT'
.. HAZ/ OUS MATERIALS INVEN' FIY Page. of
~usiness Name., CLEANNAY SANITARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
. :. ............... -.:.. ........... . .... CHEMicAL DESCRIPTION"
1) INVENTORY STATUS: New[XJ Addition[ ] Revision[ ] Deletion[ ] Check if chemioal is a NON TRADE SECRET [ ] TRAi:~$ECRET [ ]
2) Common Name: k///~l [4JI'SP_. /I~OV'~ ~:)OL.~ / ~,((~C~/,~ ~Y'"' ' ' 3) DOT * (op~on~)
ChemicaJ Name: AHM ( ] CAS *
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [] Delayed HeeJfll (Chronic) [1~.
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ J Liquid [ ] Pure [ ] Mixture ~v] ,,aste [ ] Radioec~e [ ]
7) AMOUNT AND TIME AT FACILITY
UNITS OF M. EAS.,,S,J,kgE e) STORAGE CODES
· Maximum Oaily Amount: ~ lbs [ ] gal y] fi3 [ ] a) container:.
Average Daily Amount: // cudes [ ] . b) Pressure:
Annual Amount: / c) Temperature:
Largest Size'Container: /~,~*C ~,,~r *-~- - /~. ~(
# Days On Site '~.~'" Circle Wl~ich Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: LIst' COMPONENT CAS * - % WT AHM
the three most hazardo'us 1) E-~-j/-~o.~/(o~.[-~,~z~ ~'v.3~:~o-r-- Alco~-to I ~
lO) Location [~HRS(;S SHO~/R00H
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common.amc: (~O ~O~J.~ 3) DOT*
ChemiceJ Name: AHM [ ] CAS *
4) PHYSICAL & HEALTH PHY~.~CAL HEj.~De
HAZARD CATEGORIES Fire [ ] Reactive [~'/ Sudden Release of Pressure [ ] Immediate Health (Acute) [ layed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~'"'~'as [] Pure [ ] Mixture ~aste , [ ] RadioactNe [ ]
7) AMOUNT AND TIME AT FAClUTY _~.~..~ UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amoum: ¢~'"~ lbs [ ] gaJ-~'~'~'~ [ ] a) Conta~nec
Average Daily Amount: ~, curies [ ] b) Pressure:
Annual Amount: 7 {~) c) Temperature:
Largest Size Container.
# Days On Site E ~:~' Circle Which Months: AllYea~. J, F, M, A. M, J; d, A. S. O. N, D
9) MIXTURE: List ~. COMPONENT. . CAS * % ~ AHM
the three most h-zardous 1)t4 /cJmhlour. 'c. Acl d. . JO%
chemical components or /
3) : .
10) LoceZion [4HRS & SH0~R00M
certify u~der Penalty of law, ~hat I haye personally exam~neO eno am famdiar wire the infoma~ submitted ~ ~i attajT.~clocumer~s. I believe the
· bmitted information is ~rue, accurate, and complete.
GENE SPINOZZT IGEN HGR '~ 5/:1/95
~INT Name & Title gf AuthoriZed Company Representative Date
.-' BAKERSFIELD CiTY FIRE DEPARTMENT'
., H DOUS. MATERIALS, INVEJ lr .DRY Page_of__
Business Na~e/*,. CT,E^NWA.~.S ,A~..ITA~.¥. SUP?T,¥ Addr~900 CH~ST~ AV~U~ ~A~sY[~D,. CA 93301
*';*~ ........... CHEMICAL DESCRI~ON.
1 ) IN~OR~ STA~S: New [~ ~
Chem~ N~e:
4) PH~IC~ & H~ PH~ICAL H~
H~DCA~GORIES Fire [ '] ~Re~[ ] Sudden Rele~e of Pressure
6)*PHYsIc~STAm .Solid I ] Uqu~ = ( ) Pure [ I U~m te [ ) ~ [ ]
~ ~OUNT AND ~ME AT FACIU~ UNITS OF M~ 8) STOOGE CODES
A~e O~N A~um:
~nu~ A~unt: ~
~est Size'~n~nec
~OnS~e Cimte~ichMon~s: ..~lYe~, J, F, M, A, M, J. J, ~ S, O. N. D
9) MITRE: Dst COMPONENT C~ · - % ~ ~M
chemi~ ~m~ne~ or
10) Lo~oa WH~S~;S
CHEMICAL DESCRi~ION
1) IN~NTORY STA~S: New E ] Add.on [ ] Re.ion [ ] ~letion [ ] Ch~ ~ ~emi~ b a NON ~E S~R~ [ ] ~ S~R~ [ ]
Chemi~ N~e: ~M [ ] C~
4) PHYSICAL & H~L~ PH~ICAL H~
H~O CA~GORIES Rm [ ] Re~ [ ] Sudden Rele~e of Pressure [ ] Imm~e He~ (A~e) [ ] ~ He~ ~) [ ]
5) WAS~ C~SSIFICA~ON (~ig~ code ~om DHS Fo~ 8022) USE CODE
M~mum Omly Amount: · ~
IJ
Ave~e D~W ~unt:
Annu~ Amount: ~
. ~est Size Cont~ ~
~Da~OnS~e Cir~e~ichMonths: NIYe~, J, F, M, A, M, J, J, A. S. O. N, D
9) MITRE: Ust coMPONENT CAS · % ~ ~M
chemi~ ~m~nen~ or ·
10) ~o. WHRS S SHOWROOM
~m~ info.aEon is ~e, accu~, ~ compleX.
GENE SPINOZZI ~GEN MGR 5/1/95
-- BAKERSFIELD CITY FIRE DEPARTMENT'
· '' 'HAZ/ ous MATERIALS INVENI RY Page__of__
Business Name.,. CLEANWAY S .A~N-.I~ARY. SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
CHE DESCRIPTION
1) INVENTORY STATUS: New(~ Addition[.] Revision[ ] Deletion[ ] Check if chernioal i~ a NON TRADE SECRET [ ] TRA~ESECRET
Chemical Name: AHM [ ! CAS
4) PHYSICAL & HEALTH .. PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden. Release of Pressure [ ] Immediate Health (Acute) [' ] Delayed Heall~'(Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022)' USE cODE
6) PHYSICAL STATE . Solid [ ] Liquid as [ ] Pure [ ]
7) AMOUNT AND TIME AT FACIETY UNITS OF MEASU~JBE'~-- 8) STORAGE CODES
· Maximum Dally Amount: 3 1~ lbs ( ] gal ~ ~t3 [ ] a} Container:.
Average Dally Amount: j ~.~'" cudes [ ] b) Pressure:
Annual Amount: ! ~ O c) Temperature:
Largest Size'Container. ' ~,,,'~,~ "~
# Days On Site ~'~(= ~ Circle Which Months: All Year, J, F, M, A, M, J, J, A, $. O, N. D
9) MIXTURE: list COMPONENT CAS · · % Wl' AHM
chemical components or - ' '
2) J~, ~,./{
any AHM. c~= mponents
[1
10) Location ~']~${;S SHOWROOH
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET
Chemical Name: NlM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIF$ Fire { } Re-cfive [ ] Sudden Release of Pressure { ] Immedi~e He~th (Aoute) { ] Delta/ed He~lh (Chronic)
5) WASTE CLASSIFICATION (3<iigit code tom DH5 form 8022) USE (;:ODE
6) PHYSICAL STATE Solid { I liquid (~'/gas {1 Pure {! ~i.~ure {~Wes{e { ! P,m:liom:~'ve (
7) AMOUNT AND TIME AT FACIUTY UNITS Of MEAS/URE 8) sTORAGE CODES
Maximum Oaily Amount: . ~Y lbs [ ] gal' [~l/ft3 [ ] a) ConteJner:. ~,(~
Average Dally Amount: ~ curies [ ] b) Pressure: ,
Annual Amount: · ~, t'D c) Temperature: ~'1
Largest Size Contalne~
# Days On Site ~G~"~ ' Circle Which Months: Ail Year. J. F, M, A. M, J, J, A, S, O, N, D
9) MIXTURE; List ~-.---------- COMPONENT a J/Z~_ CAS # %.__.~__~ AHM
the three most hazardous 1 ) /(,///~
chemical components or · ~
any AHM components ~). ---------- ~ · [
3) ,~ [ ]
10) Loca~on ~HRS & SHOWR00H
,hmitted information is ~ue, accurate, and complete. _~'
;It,~l' Name & Title of Authon~led Company Representative ~~~/ Date
.- BAKERSFIELD CITY FIRE DEPARTMENT'
.. HAi RDOUS MATERIALS INVE IrORY Page_of__
Business Name.,. CLE^NWAY SANITARY. SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENI'ORYSTATUS: New[~ Addition[ ] Revision[ ] Deletion[ ] Check if chemical H aNON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM { ] CA~ #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed HeaJth {Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
· ~ Mixture ]~Was [] 'Radioactive[]
6) PHYSICAL STATE Solid [ ] LJquid Gas [ ] Pure [ ] te
7) AMOUNT AND TIME AT FACILJTY UNITS OF MEAS~ 8) STORAGE CODES
· Maximum Daily Amount: ~,~ lbs { ] gad IV3' ~t3 [ ] a) Container.
Average Daily Amount: ~ cude$ [ ] ~ b) Pressure:
Annual Amount: ~-~ c) Temperature:
Largest Size'Container:
# Days On Site _ Circle Which Months: All Year, J. F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: Ust COMPONENT CAS # % WT AHM
the three most h~z~'do'us 1 ) ~' ~ ~ [ ]
chemicaJ components or
any AHM components 2) ~' [ ]
3). -------'----- - [ ]
10) Location WHRS~:;& SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Rele~e of Pressure [ ] Immediate Health (Acute) [ ] Delayed Hea#h (Chronic)
5) WASTE CLASSIFICATION (3-cligit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Uquid ~]/~Gas [ ] Pure [ i M~(ture ~]/~Waste [ ] Radioactive
7) AMOUNT AND TIME AT FACILITY UNITS OF MEAS~.URE 8) STORAGE CODES
MaXimum Daily Amount: / O lbs [ ] ga [VJ' ft3 [ ] a) Container.
Average Daily Amount ,~ curies [ ] b) Pressure;
Annual Amount: ;~ 00 c) Temperature:
Largest Size Container:.
# Days On Site /~, ~ Circle Which Months: Ail Year. J. F. M, A. M, J, J, A, S, O, N, D
9) MIXTURE: List ~.,, ~ , coMPONENT _ __, _~ CAS # % WI' AHM
chemical components or -
10) Loca~on WHR$ f. SHOWROOM
--e~Ty under penalty of law, ~at I h~Ve perc~nelly examin, e~ eno am/amfl/ar W~rh the inforna~3n submi#e~ on ~i$ and all at~ached clocume~& i be//eve
,_h_mitted information is ~rue, accurate, ar~f comp/em.
GENE SPINOZZI I GEN MGR 5/:1/95
~INT Name & Title of Authon~/ed Company Representative Signature Date
.... ' BAKERSFIELD CITY FIRE DEPAJ TMENT
.... . '"' ~ 'HAz/~0US' MATERIALS .INVEN ~FIY Page_of__
Business Name..,, CLEANWA¥- .SA. NI-TARY SUPPLY . Address 90.0 CHESTER AVENUE BAKERSFIELD, - CA 93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New [~ AdditJoo [. ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Combo. ,~ne: CC~-~:r' E' ~'~, e-~ ............. 3) DOT, (o,~,0 '
Chem~caJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ *] '~ Reactive [ ] .Sudden. Release of Pressure [ ] Immecrmte Health (Acute) [ ] Delayed Heal~'(Chronic) [
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) ' USE CODE
6)' PHYSICAL STATE .Solid [] "tJquid '~;~Ga.~ [] Pure [] Mix.re ~Wast* [] Radioac~ve []
7) AMOUNT AND TIME AT FACIUTY UNITS OF .MEA~J~IE 8) STORAGE CODES
· Maximum Oaly Amount: ' ~- lbs [ ]"gal ~ ft3 [ ] a) Container:
Average Dally Amount: '~ curies [ ] . b) Pressure:
Annual Amount: ~ c) Temperature:
Largest Size'Container:
# Days On Site [/ ~ ~ ~" Circle Which Months: All Year. J. F, M. A. M. J. J. A. $. O. N, D
9) MIXTURE: Est : COMPONENT CAS ~ . % WI' AHM
the throe most hazard(~us 1 ) ~ ~ [ ]
chemic4d components or - -
arp/AHM components 2) - ~ ~ [ ]
3) ~ ----- [ ]
10) Location WH~SGS SHOWROOH
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] -TRADE SECRET [ ]
I
2) common Name: ~__.,~P~...~/~..'"~.."~- - 3). DOT ~ (olXional)
Chemical Name: ~ NlM [ ] CAS ~
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heall~ (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE II
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEAS,~I~-~. 8) sTORAGE CODES
Me~ximum Dally Amount: ~, lbs [ ] gal ~v~ ft3 [* ] a) Container: tO
Average Dally Amount: I cudes [ ] b) Pressure:
Annual Amount: t~, _ ~_~,. c) Temperatxlre:
· Largest Size Container: ~ ,
# Days On Site Circle Which Months; NI Year. J. F. M, A, M, J. J, A. $, O, N, D
9) MIXTURE: Ust COMPONENT CAS · % WT AHM
chemical components or - ~ /- /
,.~ .
10} Loc~ion WHRS [ SHOWR00~ :.
:e.~fify under penalty pt/aw, :mat lh,av..e pe .t~*onaSy examin, ea eno am/am,i/ar wid~g~e infornabon~and ~l a~a~ocunl~, i b,li,ve ~he
Dmiffed information is flue, accurate, and complet~ ~ ~
'GENE SPINOZZI ~GEN MGR' /'"' 5/1/95
'!NT Name & Title of Authon~ed Company Represen~a~ve Date
BAKERSFIELD'CITY FIRE DEPARTMENT'
.. HA ,RDOUS MATERIALS INVE I'ORY Page. of
Business Name.. CLEANWAY SA~NITARY SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [Xj Addition ( ] Revision [ ] Deletion [ ] Check if chemiceJ b a NON TRADE SECRET [ ] ~ SECRET [ J
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH . PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ J Sudden. Release of Pressure [ ] Imrned'~te Health (Acute) [ ] Delayed He~th"(Chronic)
5) WASTE ~'I_4SSIFICATION (3-digit code from DHS Form 8022)' USE CODE
6) PHYSICAL STATE Solid [ ] Liquid as [ ] Pure [ ] Mixture -t~,~ .aste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY ~ UNITS OF M. EAS~,JRE' 8) STORAGE CODES
. Maximum Daily Amount: ~.- lbs [ ] gal ~ ft3 [ ] ~ Container:.
Average Daily Amount: I curies [ ] . b) Pressure:
Annual Amount: ~ c) Temperature: ~-~
Lax~est Size'Container.
# Days On S~te_ Circle Which Months: All Year, J, F, M, A, M, J, J, A. S, O. N, D
9) MIXTURE: List C, OMPONI~NT CAS · % ~ AHM
chemicaJ components or
any AI-IM components 2) [ ]
10) Loc~ion WHRSC$ SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~} Addition [ ] Revision [ ] Deletion [ ] Checkif chemical is a NON TRADE SECRET [ } TRADE SECRET [ ']
2) Common Name: ~l~-~--Tr--~'-¢'i'~.~-~-i~l~.,.;-- 3) DOT # (optional) ,.
Chemical Name: AHM [ ] CAS
HAZARD CA'i'EGORIES Fire [ ] Reactive ! ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] M~ure '[~,/Waste [ ] Redioaclive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEA./~I~ 8) STORAGE CODES
Maximum Daily Amount: ~ lbs [ ] gal ~ ft3 [ ] a) Cont-iner.
Average Daily Amount: 7 curies [ ] b) Pressure;
Annual Amount: /. c) Temperature:
Largest Size ContaJne~.
# Days On Site ~ ~.&~"" Circle Which Months: Ail Ye~, J, F, M. A, M, J, J, A, S, O, N,
9) MIXTURE: List COMPONENT CAS # % ~ AHM
the three most hazardous 1) ~r'oovlP D~_. , , t~.J .
chemicaJ components or
3) ,; "'-- [ ]
10) Location WHRS ~ SHOWROOM
--e.~fy under penaJty o! law, that I ha?, e pe~onally e .~neo eJ~ am familiar w~th ~he infomago~ submitted on ~ and ell altaohed documerg~ I believe th~
· hmitted informa~fon is ~e, accurate, and complete.
GENt SPIN0Z.~[ I GEN. ~R
5/~/95
:iNT Na~ne & Title of AuthonEed Company Representative Signature Date
- --' BAKERSFIELD CITY FIRE DEPAJ .TMENT'
., ' "HAzA 0US MATERIALS INVEN'i I¥Page_of__
Business Na_m.,e-.,- CLEAN-WAY. S ~A~..!TARY. SUPPLY. . Address90.0 CHESTER AVE.NUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION.
1) INVENT. OBY STATUS: New [Zj Add~ [. ] Re~4sion [ ]Oe. lelJon [ ] ' Check if chemical is a NON TRADE SECRET [ ] TFIAOE SECRET [ ]
Chemical Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
'HAZARD CATEGORIES Fire ['J ;Reactive[ ] .Sudde~.ReleaseofPressure [ ] Imrnedlate Health (Acute) ['] DelayedHeaJth"(Chronic) [
5) 'WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FAClMTY UNITS .OF MEASJ~J~ e) sTORAGE CODES
· Maximum DaJly Amount: ' "~. lbs [ ] gaJ ~ fl3 [ ] a) Container:. ~ [ ~ '
Average Dally Amoum: ~ cudes [ ] b) Pressure:
AnnuaJ Amount:. -I~ ~ c) Temperature:
I_a~gest Size'Container:
# Days On Site .~ Cimle Which Months: All Year. J, F. M. A, M. J. J. A. S. O. N. D
9) MIXTURE: List ~.., COMPONENT CAS · - % ~ AHM
memreemos~hazardous ~) ~/~[n~.cc~l Do'5°- ~o-~. -- [ ]
chemical components or
10) Location WHRSiSF. SHOWROOM
CHEMICAL DESCRIPTION
1 ) INVENq'ORY STATUS: New [~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is · NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH. PHYSICAL HEALTH
__
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (chronic)
5) WASTE CLASSIFICATION .. (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Uquid ~Gas [ ] Pure [ ] Mixture ~,,~Waste [ ] Radioactive
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS~J~E 8) sTORAGE CODES
Maximum Daily Amount: ~ lbs [ ] gaJ ~ ~t3 [ ] a) ContaJ~r: I ~
Average Daily Amount: ,~ cunes[ ] b) Pressure:
Annual Amount: 3 ~ c) TemperetUm:,
Largest Size ConteJne~. v~(o
# O&ys On Site Circle Which Months: Ail Year, J. F, M. A. M. J. J. A. S. O. N. O
9) MIXTURE: Ust coMPONENT CAS # % WT AHM
chemic~ components or , . -
c.5 '
10) Loca~o. WHRS 6 SHOWROOM · '~
:'.,-O'fy under penal,,. ,,w, jthat l h. a~..., per~onal, examin~eO an~ am tam,liar wi, {he info--,ub~~a~J~'~Je~,beli, ve ~h,
Dmitted information is flue, accurate, and complete. '
' 'GENE SPTNOZZI ICF"N HC~ - ~~~~ . 5/1/g5
BAKERSFIELD CiTY FIRE DEPARTMENT'
HA RDOUS MATERIALS INVlE ORY Page of
Business Name ,. CLEANWAY SANITARY. SUPPLY Address900 CHESTER AVENUE BAKERSFIELD,' CA 93301
1) INVENTORY STATUS; New [~ Addition [ ] Revision [ ] Deletion { ] Check if chemicaJ i~ a NON TRADE SECRET [ ] ~ SECRET [
2) Common Name: ~_..~. p _.J~.C+i'~.~---' ' ' * 3) DOT. (oPtional)
Chem~J Name: AHM ( ) CAS *
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [
5) WASTE CLASSIFICATION ,(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE .Solid [ I Liquid as [ ] Pure [ ] M[xtum~J'~te [ ] Radioective [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF M~.AS~IE'~ 8) STORAGE CODES
· Maximum Da]ly Amount: / ~- lbs [ ] ga] [ )~ it3 [ ] ~) Container:.
Average Dally Amount: f-. curies [ ] . b) Pressure:
Annual Amount: ' ~ c) Temperature:
I.m'gest Size'Container:
# Days On Site ~/~, J"" Circle Which Months: All Year. J, F, M, A, M, J. J. A. S. O. N, D
9) MIXTURE: Ust COMPONENT CAS., % WT AHM
chemical components or
10) Location WH~S(:~F~
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion ( ] Check if chemica] is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive{ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heatlb (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~Gas [ ] Pure [ ] Mixture '~v~Waste [ ] Radioactive
7) AMOUNT AND TIME AT FAClUTY UNITS OF M. EAS.~JB.E 8) STORAGE CODES
Maximum Dally Amount: /~ ~' lbs [ ] gal [V']' tt3 [ ] a) Container:..
Average Dally Amount: ~" curies [ ] b) Pressure:
Annual Amount: , ~ c) Temperature:
Lm'gest Size Container:
,~' Days On Site e'~,~, :f,.. CircteWhich Months: All Year. J, F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # % vifr AHM
chemical components or
3) ~ [ ]
10) Loc~tion W~R$ Fo S~OWROOM
-_e-~'fY under pena/ty of /aw,
~hat I haye persona/h/exammeo en~ am/ami//ar
,h_~lted /nformat/on /s lrue, accurate, e/~/ comp~ere.
GENE SPINOZZI IGEN MGR _.~ 5/1/95
;fNT Name & Ti~e of Authon[led Cornpany l~epre sentaUve Signature Date
- --' BAKERSFIELD CITY FIRE DEPAR'T:MENT'
.. -., H .AZA., ~ItO'U.S MATERIALS. INVEN:'i~I-.Y Page_of___
Business Name,:.,, CLEANWA. y-.$ .A~..!TARY sUPPLY. ..Address90-0 CHESTER AVENUE BAKERSFIELD,. CA 93301
.... CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[~ Addilio~.~[.] Revision[ ] .D~.lefion[ ] ' Chec~ if chemiceJ is a NON TRADE SECRET [ ] TRADE SECRET [
~) co.,,.o..ar.'o: ~ ~o; I ' ' ~-t~'D;.': .......................... a)_c~, ~o~,~'."
Chemical Name: AHM [ ] (::AS t~
HAZAROCATEGORIE$ Fire ('! ~Fleective( I .Su~d~n. Release of Pre~sure [ I Iramedia~Hiar~h(Acut~l l'l
5) WASTE CLASSIFICATION .(3-digit code from OHS Form S022) USE CODE
7) AMOUNT AND TIME AT FACIUTY UNITS OF M. EAs~Lc~ 8) S'I;~RAGE CODES
· Maximum Daily Amount: 6 lbs [ ]'gaJ ~ ft3 [ ]. a) ContaJ'ner.
Average Daily Amountc _~ curies [ ] b) Pressure:
AnnueJ Amount:. ~__ ~,~) ¢) Temperature:
Largest Size'Container. ~ . -
# Days On Site ~E~" . Circle Which Months: Ail Year. J. F, M, A, M, J, J, A, S, O, N. D
9) MIXTURE: Mst COMPONENT CAS ,~ - % WT AHM
chemicaJ components or .....
3) [ !
10) Lock,on WHR$(;~ SHOWROON
CHEMICAL DESCRiPTIO~
1) INVENTORY STATUS; New ~ ] Additioa [ ! Re~icn [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ]
Chemical Name: AHM [ ~ CAS #
4) ~HYS~CAL & HEALTH ~HYS~CAL HF_~.TH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immed~e Health (Acute) [ ] Delayed Healt~ (Chronic) [
5) WASTE CLASSII=ICATION .(3-digit code f~om OHS Form ~0~) USE CO~E
~) ~HYS~CALSTATE So~id I i Liquid ~"'~G~ [ I Sure i I a~ure ~.te 'Fi ~v~ [ 1
7) AMOUNT AND TI~E A~' FAC~U~ UN~TS OF M~AS~a~ 8) srO~AGE CODES
Maximum Daily Amount: ~ ~I~ [ ] gal ~ It3 [ ] a) Container. '
Average Daily Amount: '~ curies [ ] b) Pm&~e:
Annual Amount: ;~ ~ ¢) Tem~:
· La~ge~t Size Container.
~) MIX'RJRE: List COMPONENT CAS ,~' %
chemical components or · · -, -----
3) ~! [ !
10) Loca~on WHR$ ~ SHOWROOM
,_h_mitted information is lrueo accurate, and complete.
GENE SPINOZZI ' GEN MGR' ~ .. ~..,~=~ 5/i/95
BAKERSFIELD CiTY FIRE DEPARTMENT'
, . .. 'H/ ,RDOUS MATERIALS INVIE ORY Page_of__
Business Name., CLEANWAY SANITARY. SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: Newj_XLA.~ [ ] Revision [ ] Deletion [ ] Check if chemica/is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: ~,~)-~~2~Z .3) DOT $-(OlXiOnal) ........
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [' ] Delayed HeaJth'(Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022)' USE CODE
6) PHYSICAL STATE . Solid [ ] Liquid as [ ] Pure [ ] Mixture te[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEA.,:~IRE 8) STORAGE CODES
· Maximum Omb/Amount: /~' lbs [ ] gal ~v/J ~3 [ ] a) Container:.
Average OaJly Amount: {~ curies [ ] b) Pressure:
AnnuaJ Amount: ~ 1~ c) Temperature: .~.~
Largest Size'Container:
# Deys On Site ~'~ G,"~"' Circle Which Months: All YeaL J. F. M. A. M. J. J. A. $. O. N. D
9) MIXTURE: LIst ~ ~C_~ COMPONENT CA~ ~ - % WT AHM
the threemost hazaxd<~us 1) ~>~1~ -7 7','~7..- t~' - ~ ~ [ ]
chemicad components or
10) Loca~o. WHR~_~&
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New Ix: ] Addition [ ] Revision { ] Deletion [ ] Check if chemicai is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire { ] Reective { ] Sudden Release of Pressure [ ~ Immediate HeNth (Acute) [ ] De{~yed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] LJquid ~'~Gas [ ] Pure [ ] Mixture ~"Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY / UNITS OF MEAS~URE 8) STORAGE CODES
MaXJmum Daffy Amount: ~ lbs [ ] gal ~ ft3 [ ] a) Containec
Avem-ge Daffy Amount: _~ cunes[ ] b) Pressure:
Annual Amount: ~. 0 c) Temperature.'.
Largest Size Container:
# Days On Site c/~'G~'~ Circle Which Months: AJIYea~. J, F, M, A, M, J, J, A, $, 0, N, D
~) MIXTURE: List coMPONENT CAS · % WT AHM
chemicai components or .
3)
]
10) Loca~o, WHRS g SHOWROOH
:~-0'/~ under penaJ~y o! law, ~at I have per~onelly exam/ne<l eno em femiiiar w/th the infornagon subm/tted on thi~ and all a~achecl doc~
,bmitted informa§on is ~rue, accurate, and complete.
GENE SpINO,ZZI /GEN MGR .... 5/1/95
' BAKERSFIELD CITY FIRE DEPA [TMENT'
,. ., ": *HAZA OUS MATERIALS ,INVENI RYPage of
Business Na.m.e.-.,, CLEANWAY. SA.N.!TAi~,.Y. SUPPLY. . Address9.00 CHESTER AVENUE BAKERSFIELD,. CA 93301
· 1) INVENTORY STATUS: New iX] ~ [. ] Revision [ ] Deletion [ ] Check if ch~. mical b a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM { } CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [' ] Delayed HeeJl~'(Chmnic)
5) 'WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) ' UGE CODE .....
7) ~ou.~ ~.D ~ME ^~ ~^c~u~ ~-~ u.~s o~ ~_E~E e) STb~E CODES
. Maximum Daily Amount: ~'-~-~-~-~ tbs [ ] ga ~ ~ [ ]. e.) Container: t'
Average Dally Amount: / ' curies [ ] . b) Pressure:
Annual Amount:. ~ c) Temperetum:
Largest Size'Containe~
# Days On Site v=j ~, ~ Circle W~ich Months: NI Year. J. F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: Ust ...,~ COMPONENT CAS ~ - % WT AHM
chemical components or . - - - -.
I
~). [
10) Location WHRSC-;~-' SHOWR00~ - '
II CHEMICAL DESCRIPTI°N
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
I
Chemical Name: AHM [ ] CAS
!4) PHYSICAL&HEALTH' PHYSICAL HEALTH /Il
HAZARD CATEGORIES Fire [ ] Reactive J J Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
~) PHYSICAL ST^TE So~id [ I Uquid 'IVi""-Gas [ I Pure i I ~r. ~'"W,--~e [ i
7) AMOUNT AND 'nME AT FAC~UTY UN~TS OF ~EA,,,~E S) sTOP, AGE CODES
Maximum Daily Amourit: ~-~..,,'.-' lbs [ ] gal [u~J ti3 [ ] a) ContaJne~'
Average Dally Amount: ~ cunes[ ] b) Pressure: '
Annual Amount: /0"' c) Temperature:-
· Largest Size Containe~
# Oeys On Site ~'~ 5" Circle Which Months: NI Ye~, J, F, M, A, M, J, J, A, S, O, N,
9) MIXTURE: Ust COMPONENT CAS · % WT AHM
the three most hazm'dous 1) L,~C.~Jt'C ~ '-~'75"~.-' J~J' ~ ~
chemicaJ components or . . .
10) Loca~on WHRS ~ SHOWROOM ' "~
~' I
~mi~-,,d informe~fon is ~ue, accurate, and complete.
'GENE SPINOZZI I GEN MGR /
5/1/95
:iNT Name & Ti#e of Au~hon~ Company Representa~ve /'"~ig. ature~-'~"~./~
--' BAKERSFIELD CITY FIRE DEPAR'T:MEN'i"
.... , '" HA RD.OUS.-MATERIALS .INVE r, .OR.Y Page_of._
Eiusiness Name.,. CLEANWAy..S~..ZTAR¥. SUPPLY Address 900 CHESTER AVENUE .BAKERSFIELD, · CA .93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New [~.t ..Ad~litio~. [.] Revision[ ] Deletion[ ] Check if chemioal is a NON TRADE SECRET [ ] TRADE SECRET [
2) Common Name: (:::~0~'"'' ~r"~ . 3) DOT~ (op6ona4). '
Chemical Name: NlM { ~ CAS ~
4) PHYSICAl. & HEALTH PHYSICAL HEAL.TH
HAZARD CATEGORIES, Fire [ '] ~ Reactive [ ] Sudden. Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed Health"(Chronic) [
5) 'w^sTE ~U~SSiF,CATION ' .(3~, c~. ~o., ohs Fo.= 8022) use coDE .......
Gas Pure [] Mixture
6) PHYSICAL STATE . Solid [ ] Liquid [ ]. [ ] Redio~ctNe [ ]
7) AMOUNT AND TIME AT FACILITY ~ ...... UNITS OF M. EA/~d~E 8) ST~)RAGE CODES
· Maximum OaltyAmount: I '~--~'*' lbs [ ]'gal [~/]' lt3 [ ] ~) ContaJnec
Average Dally Amount.' ~[_ cudes [ ] . b) Pressure:
Annual Amount:. ~, b c) Temperature:
Lm'gest Size'Container:
# Days On Site Circle Which Months: All Year. J. F, M, A, M, J, J, A, S. O. N. D
9) MIXTURE: Ust. COMPONENT CAS # - % WT NlM
the three most hazardo'us 1) ~o~'~,-,~O-~¢cl '~OOC_.~O .
chemical components or ·
10) Location W[-[~SGS SHOW:~OoM ....
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New Ix: ] Addition [ J Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ J TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid ~""Gas [ ] Pure [] Mixture '~Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS/JJRE. 8) sTORAGE CODES
MaXimum Daily Amount: ~'~ lbs [ ] gal ~ ft3 [ ] a) Container: $ 0
Average Dally Amount: y cudes [ ] b) Pressure:
AnnuaJ Amount: ~J 0 c) Temperature: . ~.~
· Largest Size Containe~
# Days On Site ~' ,~, ~"' Circle Which Monfhs: All Year. J. F. M. A. M. J, J, A, $, O. N. D
9) MIXTURE: Est ~ COMPONENT · CAS tl~ % WT NlM
the three most hazardous 1) ~ [ ]
chemicaJ components or
any NlM componems ~) . '-'- ~: ---- ~ [ !
3) ~ -" ~- [ I
10) Loca~o, ~/HRS S SHOWROOM -,
~e~'ff under penait~ pf ; law, i.~hat I h.ay. e per~ona!ly examineO er~ am familiar w~rh ~e'in~ subrm#ed on ~ and all a~ache~l ~ocumer~.
~mitted informa~on i~ flue, accurate, and complete. ' '
GENE SPINOZZI '~' GEN MCR . 5/1/95
?','T Name & Title of Authon~ed Company I~epresenta~ve Sig~a~ure Date
-- BAKERSFIELD CITY FIRE DEPARTMENT'
.. HAZ/ OUS MATERIALS INVEN RY Page_of__
Business Name-. CLEANWAY SANITAR. Y SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: New[X] Addition! ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immed'mte Heaith (Acute) [' ] Delayed HeeJth (Chronic)
5) *WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ ] Liquid ~J~Gas ,[ ] Pure [ ] Mixture ~Waste [ ]' Raclioac~ve
7) AMOUNT AND TiME AT FAClUTY ~--~-_ UNITS OF M~EASU~ 8) STORAGE CODES
· Maximum Oaily Amount: ~ ~' lbs [ ] gaJ [%,~ ~3 [ ] a) CmltaJ~'ec
Average ~aily Amount: ~, curies [ ] . b) Pressure:
Annuai Amount: ~ c) Temperature: ,.,
Largest Size'Container.
# Osys'OnS~te ~v ~o~" Circle Which Months: AIIYemr, J, F, M, A, M, J, J,,A, $, O, N, D
9) MIXTURE: List COMPONENT -
chemicaJ components or
any AHM components 2) ' [ ]
10) Location .WHRSQ& SHOWROOM
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemic, si is a NON TRADE SECRE-r [ ] ~ SECRET [ ]
Chemiced Nm'ne: AHM [ 1 CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARO CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [
5) WASTE CLASSIFICATION (3-digit code from OHS Fon-n 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid [] Gas ~ Pure [] Mixture ~V~" Waste [) Radioactive [
7) AMOUNT AND TIME AT FACILJTY UN[TS/MEASURE 8) STORAGE CODES
Maximum OadlyAmount: ~ .-~ lbs ~ gaJ [.] It3 [ ] a) ConUdnet:. ~'~
Average Daily Amount: ,~, curies [ J b) Pressure: *
AnnueJ Amount: ~0~ c) Tem,rature:
Lmrgest Size Container: o~.
# Omys On Site ~. ~,..-o, Circle Which Months: All Yea~. J. F. M. A. M. J. J. A..S.O.N. 0
9) MIXTURE: List ., coMPONENT CAS · % WT AHM
chemical components or ~:)~ ~ [ .~ , ~ - (_~ [ _ cj
10) Locam:~n WHRS & SHOWROOM ~
~mi~ted information is flue, -courSe, m',,d complete.
GENE SPINOZZI IGEN MGR - . 5/1/95
i~__NT' Name & 7'ifle of AuthoriZed Company Representative Date
-- BAKERSFIELD CITY FIRE DEPARTMENT'
. .. 'HAi RDOUS MATERIALS INVE ORY Page_of__
Business Name-,, CLE^NWAY..S ,A~r..ITARY. SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD,. CA 93301
1) INVENTORYSTATU$: New[~ AddiSon[.] Revision[ ] Deletion[ ] Check if chemioal b a NON TRADE SECRET [ ] TRADE SECRET [ J
ChemicaJ Name: AHM [ ! CAS H
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :' Reactive [ J Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [' ] Delayed Health'{Chmnic)
5) WASTE ~LAssIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [i~ G~s [ ] Pure [ ] Mixture [~ waste [ ]" Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF M,F_~URE 8) STORAGE CODES
· M=amum D==ly A~oun,: ~C) ~ [ ]' g~' tV]~3 [ ]. ~) Cont~ner.
Average Dally Amount: t ~ curi~$ [ ] b) Pressure:
Annual Amount:. ~ c) Temperature:
Largest Size'Container.
# Days On Site _ Circle Which Months: All Year. J. F, M. A, M, J, J, A, S, O, N, D
3) MIXTURE: Est . ' COMPONENT CAS H % WT AHM
chemicaJ compollel~tsor " ' / 'J' ' · '
10) Location WHRSGS SHOW~OOH
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is s NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 0 Ir) & ~J t )~% 3) DOT t (opl~onei),
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGQRIES Fire { ] Reac~ve [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [~'
5) WASTE CLASSIFICATION ,(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid ~f~ Gas [ ] pure { ] Mixture ~ Waste [. ! Radioactive { !
7) AMOUNT AND TIME AT FACIliTY ~ UNITS OF MF.~URE 8) sTORAGE CODES I 0
MaXimum Daily Amount: ~ ~p~--~ __~ lbs [ ] gal [~ ft3 [ ] a) Container.
Average Daily Amount: ~ cune$[ ] b) Pressure:
Annual Amount: /~.3 0 c) Temperature:
Largest Size Container.
# Days On Site ~'~ ~ Circle Which Months: All Year, J. F, M, A, M, J, J, A. $. O, N, El
9) MIXTURE: List COMPONENT CAS # % WT NlM
[]
10) Loca~on ~H~$ ~
Cerbfy under penaJty pf law, mat I h~..e personally examined eno am familiar W~rh the infornabo~~c~ed document. I believe
' /_hmitted information is ~e, accurate, and complete. ~' '
GENE SPINOZZI IGEN MGR ~ 5/1/95
BAKERSF. LELD CiTY FIRE.DEPAJ TMENT
., ' 'H ous, MATERIALS. INVENI RY Page_of_
Business Na~.e.: .... CLEANTWAy. S .A~..I.TA~_Y SUPPLY.. Addr~90.0 CHESTER AVENUE BAKERSFIELD,. CA 9330~
.... CHEMICAL DESCRI~ON ·
1)i~oR~.sTA~6: New[~ ~[.] R~n[ ] ~le~n[ ] ' C~~aNON~S~ [ ] ~S~ [ ]
J
C~m~ N~e: ~M [ ] C~
4) PH~IC~ & H~ PH~IC~ H~
H~DCA~RIE~ Fire ['] ~'Re~[ ] ~udden. Rele~e of Pressure [ ] Im~eHe~e) ['] ~H~"~h~)
5) :WAs~ ~SS~FICA~ON ,(3~ig~ c~e ~m DES Fo~ 8022) USE CODE
6~~ PHYsIc~STA~ ..So~ [ ] Uqu~ G~ [ ]. Pure [ ] W~te [ ]
~ ~OUNT AND ~ME AT FACI~ :~' UN~ OF M~RE 8) STOOGE CODES" '
A~e D~ ~um: %0 curies [ ] . b) Pre~:
~nu~A~u~ · I I 0 c) Tem~:
~est S~e'~ne~
· ~ On SRe . Cite ~ich Mon~: ..NI Ye~. J. F, M, ~ M, J, J, ~ S. O, N, D
chemi~ ~m~ne~ or ~
7732=
CHEMICAL DESCRi~ION "
1) IN~ORY STA~S: New [ ] Add,ion [ ] Re~ioo [ ] ~letion [ ] Ch~k N c~m~ ~ a NON ~E S~R~ [ ] ~ S~R~ [ ]
Chemi~ N~e: ~M { ] C~
4) PHYSIC~ & H~L~ PH~ICAL H~
H~D CA~GORIES Hm [ ] Rea~e { ] Sudden Rele~e of Pressure [ ] Im~e He~ (~e) [
5) WAS~ C~SSIFICA~ON (~igA code from OHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ i U~aid ~ e~ [ I pure [] M~r, ~W~t~ [ I
~ AMOUNT AND ~ME AT FACIU~ UNITS OF B~RE 8) Sm~GE CO~S
M~mum O~N Amount: ~ O I~ ( ] g~ "~ "3 (' ] N ~n~<
Ave~e O~N ~unt: ~O cudes [ ] b) Proem: I
~nu~ ~u~ / ~ O c) Tem~:.
~est Size ~n~ne~
· Da~OnS~e Cirde~ichMo~hs: ~Ye~, J. F. M. A M, J, J, ~ 8, O, N,'D
9) MITRE: Ust CO~N~T -./~ _ ~ ~ ,~o/b [ ]
chemi~ ~m~nen~ or · · -- .
10) ~n ~HRS 8 SHOWROOM
cam'& q~er pen~ p~aw, ~atl h~e pe~~iq~ ~ ~ t~ili~ wt~ ~e mto~ su~ on ~ ~ ~l
c~bm~ info~a~on is ~e, accu~, ~ compleX. ' ' ' '
GENE SPINO~I GEN MGR' . 5/~/95
Rl~ N~e & ~e of A~n~ Com~epresenm~e Sig~mm
., HA RDOUS. MATER!ALS INVF- TOR¥ Page_.oL
Business Na~e.-,. C~,EANWA¥. S ,A~..T.~AR¥. SUPI~L¥ Address90.0 CH~.S?ER AVENUF. BA~ERSYTET,D,. CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New[~ AddilJo~.(.] Revision[ ] Deletion[ ] Checl( If chemical b a NON TRADE SECRET [ ] ~SECRET
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :'Reactive[ ] SuddenRelease of Pressure { ] Immediate Health (Acute) ['] DelayedHeaJ~"(Chmnic)
5) 'WASTE CLASSIFICATION .(3-digit code from OHS Form 8022) USE CODE
' ' dWas ' '
6)' pHYSIcAL STATE . Solid [ ] Liquid.s/I/ G~ [ ] Pure [ ] Mixturev, te[ ] RadioactNe [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS, OF .MF_~RE 8) STORAGE COl)ES
· Maximum Daily Amount: '~ lbs [ ]' gal ~ ft3 [ ] a) Container.
Average Daily Amount: ~ cudes [ ] . b) Pressure:
Annual Amount. -~'~ c) Temperature: ~'~
LaJ'gest Size'Container:
# Days On Site ~ (-. ~ Cimle Which Months: All Year, J, F, M, A, M, J, J. A. S. O, N, D
9) MIXTURE: Lfist. , COMPONENT CAS # · % Iffr AHM
chemicaJ components or ' ' ' / ~/7q Z ' 5/5 ~
10) Location WH~S(.'~; S SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is · NON TRADE SECRET [ ] TRADE SECRET
2) Common Name: 'L2~-- 3) OOT #
Chemical Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~/ Gas [ ] pure [ ] Mixture ~ Waste [ ) Radioactive
7) AMOUNT AND TIME AT FAClUTY . UNITS OF ~MEA.~RE 8) sTORAGE CODES
M~X~mum Daily Amount: '~ lbs [ ] gal ~ fl3 [ ] a) Container:. ~'(~
Average Daily Amount: r;~ , curies .~[ ] b) Pressure;
Annual Amount: /~7 c) Temperetum:
LArgest Size Container:. ~.~.~
# DeysOn Site ~'~ Circle Which Months: AllYear, J, F, M, A. M, J, J, A, S, O, N,'D
g) MIXTURE: List ~coMPONENT CA~ # % wr AHM
thethreemosthazandous 1) P)'/~ U'/ .V/ Ph~hc~l q;/~ $ff - 7¥-z- c. 'c. [ ]
[ ]
10) Location WHRS g SHOTgROOH -
cern'fy under penafly:O.f,. law, .fha! I ha~e pe .r~. ..fl/ examin, eo eno. arn
~bmitted informa#on is true, accurate, and complete..
GENE SI~INOZZI I GEN MGR · 5/1/95
RINT Name & Title of Authon~Ied CompeJly Representeffve Signature Date
.... ' BAKER. SF, J SLD CiTY FIRE DEPA i,TMEN T
.=r: .. ? 'HAZA IoUS MATERIALS' INVE.N3 I:I'.Y Page_of__
Business Na~e: CLEANW~y S .A~..ITARY. SUPPLY . ..Address90.0 CHESTER AVENUE .BAKERSFIELD.,. CA .93301 ..
CHEMICAL DESCRIPTION ~
1) INVENTORY.STATUS: New(X] .Addition.[.] Revision[ ] Dg. letion[ ] Chec~ If chen~caJ IS a NON TRADE SECRET [ ] TI~SECRET [ ]
ChemiceJ Name; AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARDCATEGORIE$ Fire [] :'Reactive[ ]Sudden. Release of Prassura [ ] ImmedlateHe~h(Acute) ['] DelayedHeaJth"{Chronk:)
5) 'WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6~ pHYSIcAL sTA'I'~: ..Solid [ ] liquid . G~s [ ]. Pure [ ] .1~__.'_~ [ ]
7) AMOUNT AND TIME AT FACILITY UNITS, OF M, EA~RE 8) sTORAGE CODES
· Maximum De~ly Amount: "' ~ ;bs [ J gaJ ~ ~t3 [ ] a} Cont~nec.
Average Daily Amount: ~, curies [ ] . b) Pressure:
AnnuaJ Amount:. /O c) Temperature:
Largest Size'Container.
# Days On Site Circle Which Months: .All Yea', J, F, M, A, M, J, J, A, S; O, N, O
9) MIXTURE: Ust . COMPONENT . -- CAS # - % %~r AHM
chemical components or ' '.~ /- '
10) Loca~on -WH:RSGS SHOW:ROOM ....
.... CHEMICAL DESCRIPTION "
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name:
Chemical Name: AHM [ ] CAS
.HYS,cAL. H TH' P. S,CA H TH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquidNd Gas [ ] pure [ ] Mixture'~v/ Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF' M~EA,/~ORE 8) S1:0RAGE CODES
Maximum Daily Amount: /~) lbs [ ] gal '~ it3 ['] a) C.,onf~inec J 0
Average Da~ly Amount: .~ curies [ ] b) Pressure;
AnnuaJ Amount: ~ d) c) Temperature:.
· LargeSt Size Container. 6'- ~
# Days On Site ~& ~" CircJe Which Months: NI Year, J, F, M, A, M, J, J, A, 8, O, N, 'D
s) M xTUnE: u,; COaPO.E.T ' CAS*
chemical components or ~ / / - ~/ ~ ' .-- ·
anyAHM componenl:s ~) ~(/'~¢~'" 773Z-~/~'-~- ~ I ]
3)
10) Loc~n WHRS & SHOWROOM ~
ce~'fy qnd. er..p~naJp/_o.~;/aw, 'th.at I' h.~..ep~mona~l), examin, ed end em/am/i/ar wi~h the inlomabon eubn~~e¢~ document.. 1 Inelieve
,,hmitted info~rnatJon ~s true, accurate; and complete.
GENE SpINOZZI '1 GEN MGR ~5~
~ff',rr Name-&':T/~e Of Au:thon~led Company RePresentative .. Date
- BAKERSFIELD CITY FIRE DEPARTMENT'
..... ,HA RDOUS MATERIALS .INVI 'ORY Page_of__
Business Name.., CLEANWAY. S .A~-.ITARY SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD,. CA 93301
': ...... ~"~':~":~"'":':~ ........ ~¥'~"" ...... ' .......... '~"'~:? ..... ~"~ ........... 'CHEMICAL' ' ..... 'D"-C~"-~""--"':'.':~-'E$ .IPTION ....... ': '""' ' "" ........... '"
1) INVENTORY STATUS: New [X] Addition [. ] Revision [ ] Delebon [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
2) Common Name: Pr'o- ~-I'''-)~' ~'Y~c:~f-'c°°'-~f //~'~<:~'/t~'1~ " 3) DOT~(olxk)naJ).
ChemiceJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH .. PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Rele~e of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeaJth"(Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022)' USE CODE
7) AMOUNT AND TIME AT FACILITY UNITS, OF M. EA/SURE 8) STORAGE CODES
· Maximum Daily Amount: ~ lbs [ ] gal ~[v~ ~3 [ ]. a) Container:
Average Daily Amount: 7 curies [ ] . b) Pressure:
Annuai Amount: ~0 c) Temperature: L~
Largest Size'Container:.
# Days On Site #~'(-~" CJrcle Which Months: All Yea/. J, F, M, A, M, J, J, A, $. O, N, D
9) MIXTURE: Ust COMPONENT CAS ,~ - % WT AHM
memreemosthaza~dO'us 1) (/..)O.'JC. t'-' 773'Z - 18''5'- [ ]
chemicaJ components or A /~, ~:)01v
re'iV )JIM components 2) Ci~'~/ i rY'l(~) j~' /~, A , '--"-' [ ]
!0) LocaZion ~'HRSi:;S SHO~RO0~
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SEC._RET [ ] TRADE SECRET [ ]
2) Common Name: ~--"~)~----~---~--__.~:/~ 3) DOT · (Ol:Xionai). -
Chemicai Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
[ ] Reactive { ] Sudden Release of Pressure [ ] Immediate Heaith (Acute) [ ] Delayed Health (Chronic)
HAZARD
CATEGORIES
Fire
5) WASTE CLASSIFICATION ,(3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~/' Gas [ ] pure [ ] Mixture ~L/~ Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEA/~JRE 8) sTORAGE CODES
M~im,,m D~ly Amount: / 0 ~bs [ ] a=' [/I ,3 [ ] a) Con~ne~. I 0
Average Daily Amount: ~ curies [ ] b) Pressure: I
Annuai Amount: .~ ('~ c) Temperature:
Largest Size Container:. ~'~-'(~"(~
# Days On Site Circle Which Momhs: Ail Yea/. J. F, M, A. M, J, J, A. S. O. N. D
9) MIXTURE: List % ~ NlM
') Ox;dCOM"ONENT cas,
.h.mi~ai compo...ts or (A ~- i~'~ ' --
10) Loca~on WHRS 6 SHOWROOM
cer0'/y under pe~a/~/ O! /aw, 'Z~at I hm/. e pe .r~on~/¥ exa~mec~ and am/am///ar w/fi? the into~ subrmrted on ~ an~ ali altached doGm
:/_h.m/tted/nformafion/$ Zrue, accurate, and comp~ere.
6ENE. £?:]:NOZZI '1 6EN ~6R 5/1/95
RINT Name & T/fie of Authon~led Company Representadve Signature Date
- --' BAKERSF4LELD CiTY FIRE DEPAJ LTMEN T'
., "H .ous MATER!ALSINVEN'I RY Page_of__
Business Name:. · CLEANWAy.. SA~..I:TARY sUPPLY. Address 900 CHESTER AVE,NUE BAKERSFIELD, .. CA · 93301
.1) INVENTORY STATUS: New[~ ~[ ] R.evi~don[ ] Deletion[ ] Check lf chemical b a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: NlM [ ! CAS #
HAZARD CATEGORIES Fire [ '] : Reactive [ ] .Sudden Release of Pressure [ ] Immediate Health (Acute) [' ] Delayed HeaJ~"(Chrunic)
5) :WASTE ~'LAssiFICAT]ON . (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FACILITY ' '~Z~.:~.-~_'. UNITS OF MEA~URE 8) ST~)RAGE CODES
· Maximum DeJly Amount: ¢ lbs [ ]" gal:~r ~t3 [ ] a) Container:.
Average Dally Amount: ~., cudes [ ] b) Pressure: I
Annual Amount:. . /,~-- c) Temperature:
Largest Size'Containe~
# Days On Site . Circle Which Months: ..NI Year, J, F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: Ust COMPONENT ..... CA~ ~ - ' - % ~ NlM
chemical componems or - ! · / '
3) COckier 775Z [~'~" -
10) Lo'ca, on -WHRS~-:;S' SHOWROOH - '
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common..~: COr~ JrenC~e.~.%¢~ 3) OOT~
Chemical Name: AHM [ ] CA~ $
4) PHYSICAL& HEALTH. PHYSICAL HEALTH '
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immed'm~e Health (Acute) [ ] Delayed Healltt (Chronic) [
Y
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] pure [ ] Mixture ~[/~/'Waste [ } Radioactive [
UNITS OF MEASURE 8) STORAGE CODES
7) AMOUNT AND TIME AT FAClUTY .~-:.-;~.- ..
MaXJmum Daily Amount: L-~'~' lbs [ ] gal ~ It3 [' ] a) Contalnec
Average Dally Amount: ~ cude$ [ ] b) Pressm'e:
Annual Amount: ~ c) Temperature:.
· Lm-gestSizeContaJner:. ,~- ~-/~,
# O~ysOn Site ~.0~ Circle Which Months: AllYear, J, F, M, A, M, J, J, A, S, O, N,'D
9) MIXTURE: List' _ coMPoNENT ' CAS · % WT NlM
the three most hazardous
1)
chemical compenen~ ot
any AHM components ~?'S~OY"~(t~'O<ry bc,4¥l alcohol' (I) 7a--q~.--'7--
10) Loca~on ~HRS S SHOWROOM'
Cerbfy under per~/ty o. t:/aw, :~at /h ..aye. pe .~../yexam/n,e</ar~ am fam~//ar wqh the/nfomabon~ i/~elieve the
sbm/tted /nforma#on /s l~ue, accurate, and comp~ere. ~jl~~~ ''
RINT Neme & Title o! AuthoriZed Company Represemal~ve ~~~_...-'~ . . nail
.... ' BAKER LFIELD CITY FIRE DEP ARTMENT'
.. .. 'HA RDOUS MATERIALS. INVEIlIR'ORY Page___oL
Business Name., CLEANWAY S ./~..I.TARY SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [~ ~ [. ] Revision [ ] I~letion [ ] Chec~ if chemical is a NON TRADE SECRET [ ] TRADE SECRET
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] "Reactive[ ]Sudden. Release of Pressure [ ] Immediate HeNth (Acute) [] DelayedHeaJ~l'(Chmnic) [
5) 'WASTE ~LAssIFICATION (3-digit code fi-om OHS Form 8022) USE CODE
6i PHYsicAL STATE Solid [ I Liquid G~ [ ] Pure [ ] Waste [ l'
7) AMOUNT AND TiME AT FACIUTY UNITS OF M.F_~RE 8) STORAGE CODES
· Maximum Daily Amount: ~=~-O lbs [ ]' gaJ '[~/J ~t3 [ ] e.) Container;. J O
Average Daily Amount: / ~:~ curies [ ] b) Pressure:
Annual Amount: ~='{~) c) Temperature:
Largest Size'Container:
# Days On Site Circle Which Months: All Year. J. F, M, A. M. J, J. A. S. O. N. D
9) MIXTURE: List '~ . -- COMPONENT, ' % w"r AHM
chemical components or -
fho.I $, -
I -. ,
10) Loca~on WHRSGg SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: NewK] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ! TRADESECREr [
ChemicaJ Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive | ] Sudden Release of Pressure [ ] Immed~e Health (Acute) [ ] Delayed Health (Chronic) [
5) WASTE CLASSIFICATiON .(~-digit code from DHS Form 8022) USE CODE
G) P,YS~CALSTATE So,d [ I Uquid ~ Gas [ ] Pure [ ] M~re 'N/waste [ ]
7) AMOU,T A,D ~ME ^~ FAC~U~ /~ UNitS OF ME~hE ~) sTORAgE CODES
M~.~u.~ De~ly Amount: ~bs [ ] ga~ '~.F "~ [ ] ~ Con~ne~.
Average Dally Amount: ~' curies [ ] b) Pressure:
Annual Amount: ~Z~_~"_ c) Temperature:
Largest Size Container:. ~
i # Oeys On Site Circle W~ich Months: Ail Year. J. F. M. A. M. J, J, A. S. O. N. D
9) MIXTURE: List COMPONEI',IT CAS # % ~ NlM
the three most haza~dous 1) 5c~",u~r~ M~' Yo~i/,'C~ O0~;3L-/-qZ-O -- [ ]
chemical components or
any AHM compenents N/ r,tc,'fr'/c .c ro.c 01F 4 2--5 -
~=.~.
10} Location WHRS g SHOWROOM
cergfy ~nder penalty of law, 'that I ha~..e pe .r~..ty exam, n, eo er~ am famliiar with ~he infomabon submitted on this and all a~ached docun~er~.
£,bmitted information is b3Je, accurate, and complete.
GENE SPINOZZI IGEN MCR 5/1/95
RINT Name & Title of Authon~Ied Company Representa6ve Signa~re Date
- BAKERSFIELD CiTY FIRE DEPARTMENT'
.,. H ,AZA .OUS MATER!ALS.INVEN'I FIY Page_of__
Business Na~e .... CLEANWAy~ S ,A~/.ITAR, Y. SUPPLY. . Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New[X] Addition[.] Revision[ ] Deletion[ ] Check if chemic~ b a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemic. dj Name: AHM [ ] CA~ #'
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ '] :'Reactive[ ]Sudden. Release of Pressure { ] Immed'mteHeaJth(Acute) [] DelayedHea~l"(Chmnic)
5) 'WASTE CLASSIFICATION (3-digit code from DHS Form 8022)' USE CODE .'~
6~ PHYsIcAL STATE . Solid [ ! Liquid '~ G~ [ ] Pure [] 'Mixture ~ Waste [ ] Raclioec~ve [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF M. EA,;~IRE 8) sTORAGE CODES
· Maximum Daily Amount: ' '~--/0 lbs [ ]' gaJ ~' ft3 [ ] a) Container.
Average Daily Amount: ~ '{:2 curies [ ] b) Pressure:
AnnuaJ Amount ._~ ~,~'_ c) Temperature:
Largest Size*Container: -,ej~z..fZ. . '
# DaysOnSite r,.[~,~f.- Circle Which Months: AIIYear. J, F, M, A. M, J, J, A, $, O, N, D
9) MIXTURE: Ust. ,, ~ COMPONENT/. /,.~)~ c~cA~' ·· . ~ AHM
c!'cJ (L: ¼ no,'c v
chemicaJ components or - ·
any AHM components 2) [ ]
3) [ ]
10) Locaaon [~HRSGS SHO~/ROOH
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemicai is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CA~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health {Chronic) [~'/"
5) WASTE CLASSIFICATION .(3-digit code fTom DHS Fonm 8022) USE CODE
6) PHYSlCAL STATE Solid [] liquid ~F Gas [] pure [] Mixture et~/' Waste [] Radioactive []
7) AMOUNT AND TIME AT FAClUTY UNITS OF M.F_~URE 8) sTORAGE CODES
MaXimum Daily Amount: /V{~) lbs [ ] gai.~/] ft3 [ ] ~) ContaJnec [ (~
Average Daily Amount: ~'"' curies [ ] b) Pressure:
Annual Amount: ~.. ~ c) Temperature:.
Largest Size Container.
# Days On Site "'~'" Circle Which Months: All Yea/, J, F, M, A, M, J, J, A, $, O, N, D
9) MIXTURE: List' c-., ~, coMPONFNT ' ____--_~. ~_ .,~CAS# %WT AHM
chemicaJ components or
10) goc~Jon ~g~l~S g SHO~gP, O0~ ~ '.
cern'fy unde, pe~,. law, '.at lhaV~ p.mon~.~ ~q. -- am familiar with the inlorna~n s~ ~l aga~ocumenes, l b..ve th,
· _,bmittecl information is ZTue, accurate, and complete. ~(//'~,_ .
"GENE SPINOZZI 'IGEN MGR' _ ~ _' 5/1/95
~l~r Name & Title of Aufhon~ed Company ~epfesenta~ve ~
.... ' BAKERSFIELD CITY FIRE DEP AR.TMENT'
:.. . ?' "~::H/~RD,ouS~MAT~R!ALS:,INV~OR¥ Page of
Business Name:.,..' Cn~.ANWA¥.. SANTTAR¥. SU~Y. . Addr~.9,00 OHgSTgA AVg~Ug .gA~SF[g~D.,. CA .93301
:r :': .............. CHEMICAL,DESCRI~ON ·
1) IN~ORY sTA~s: New [~ ~ [. ] R~n [ ] ~le~n [ ] C~ ~ ~ ~ a NON ~ 5~ [ ] ~ ~ [ .]
2) ~=~.N~*~4:~. ~e~. 3)
- C~m~N~e: ~M [ ] C~
- , .........·
4) PH~IC~ & H~ P~C~ H~
H~D CA~RIES Fire [' '] ?Reac~ [ J S~de~ Rele~e of Pressure [ ] Im~e He~ ~e) [: ] ~ H~"~hm~)
5) WAS~ C~SSJFICA~ON (~igA ~e ~m DHS Fo~ 8022) USE CODE
6~ PHYslc~ STA~
So~ u ~ {]' ~ [] Pure [] ~.~ [] ~[]
~ ~OUNT ~ND ~ ~T ~AC~U~ '" U~ ~SU.~ 8) STO~GE CO~S ....
· M~mum O~ Amount:
A~mge DNN ~um:
~nuN A~u~
~est S~e*Con~ne~
· ~wOnS~e ~ .~ Ci~e~ichMon~: .NIYe~, J, F, M, ~ M, J, J, ~ S, O, N, D
9) MITRE: ~t. COMPON~ .... C~ ~ · % ~ ~M
~emi~ ~m~ne~ or - .-~/~
3) [ ]
1~) Lo.on [~S~S
CHEMICAL DESCRi~ION
1) IN~ORY STA~S: New [ ] Add,on [ ] Re~ion [ ] ~letion [ ] Ch~k ~ ~emi~ ~ a NON ~E S~R~ [ ] ~ S~ [ ]
2) co.~o..~: E~}~e~
Chemi~ N~e: ~M [ ] C~
4) PHYSICAL & H~~ PH~ICAL H~
H~D CA~GORIES Rre [ ] Rede [ ] Sudden Rele~e of Pressure [ ] Im~e He~ (A~e) [ ] ~ He~ ~)
5) WAS~ C~SSIFICA~ON .(~ig~ ~e ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid ~ ~qu~ [ ] G~ [ ] Pure [ ] M~m~W~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ U~IT~F M~SURE 8) sTOoGE coDEs
M~mum DmN Amount:
A~e D~ ~unt:
~ ~ount:
· Da~OnS~e ~ ~ Cir~e~ich Months: NIYe~, J. F, M, A. M, J, J, A, ~, 0, N,'D
9) MITRE: ~st COMPONENT ~/~ · % ~ ~M
~emi~ ~m~ne~ or /
~y ~M ~m~n~ ~) r [ ]
3) ~ [ ]
-- 0 ...... ........ .:... .....
10) ~n HH~ S SH ROOH ~ '. ~" ..
~,bm~ info~aSon is ~e, accH~, ~ comple~ '" "" "' ' ' ' ~ .... "'
' GENE .S~INOZZI ~ GEN MGR , 5/1/95
.... ' BAKERSFIELD CITY FIRE DEPARTMENT'
"' -H~ouS. MATER!ALS INVEN~R¥ Page of
Business Name:.,. CLEANWAy ~S .A~.,ITAi~.y, SUPPLY. :Address9,0.0 CHESTER AVE,HUE BAKERSFIELD,-CA /93.30!
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[X] ,Ac~. [.] Revision[ ] Dg. letion[ ] Check lf chemioal is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: ~_~/"-\~-:T-~-~'-~:~-:~,?7 ..................... 3) D6T # (optional)"
! !
ChemicaJ Name: AHM [ ] CAS ,~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES. Fire [ '] :' Reactive [ ] SUdden. Release of Pressure [ ] Immediate Health (Acute) [' ] Delayed HeeJth"(Chronic) ~.
5) 'WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6~ pHYSlcALSTA~ .So,d ~/' '~,uid [ ] Gas [ ]. Par. [ ] 'M~.r.~ W--t, I ] ' ~ I l
7) AMOUNT AND TIME AT FACILITY' ~ UN?.S,~F%.~. MEASURE 8) STORAGE CODES
· Maximum Dally Amount: e- lbs p/flgai [ ] E3 [ ] s) Container:.
Average Daily Amount: ~4~/,~ cudes [ ] . b) Pressure:
Annual Amount:. c) Temperature:
Largest Size'Container:
# Days On Site ~ ~(~,T' circle Which Months: ..All Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: Ust.., . COMPONENT CAS # - ~W~°/o AHM
chemical components or / -- /
any AHM components 2) [ ]
3) [ ]
~0) Lo'~o. ~S'.';~ SHO~RO0~ ..... :
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New Ix:: ] Addition [ ] .Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
· Chemical Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH' PHYSICAL ' HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heall~ (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid %{~/ Gas [] Pure [ ] Mixture ~ Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) sTORAGE CODES
Maximum Daily Amount: /~) lbs [ ] ga [ ] a3 ['] a) Contmner.
Average Daily Amount: ~ curies [ ] b) Pressure:
Annual Amount: ~'~ c) Temperatum:.
Laxgest Size Container.
# DaysOnSite 6~' ~ ~ Circle Which Months: AiIYear. J. F, M, A. M, J, J. A, $. 0, N.'D
9) MIXTURE: Ust COMPONENT CAS · % WT' AHM
the three most hazardous 1 ) .._ [ ]
'rely AHM components ~) r* [ ]
3) ~ [ ]
10) Loc,~on WHRS & SHOWROON .. '*.
cerbly under penalZy pf : law, iulat i-h.aY.,e pe .~. jy examin?o encl am familiar w/th I~e in~ alt a~ached
~ ubmitted, information is true, accurate, andl complete. ~~'~~'
GENE S?Ilq07,%I GEN IqGR' ~ ~ 5/:1/§$
~Rtt,~r Name & Title of Authon~led Company Representative Date
-- BAKERSFIELD CITY FIRE DEP R.TMENT'
.:~:., "'~:H~RDous}: MATER!ALS'.INV~oR.Y, Page__og
Business Na.m.e::,.. CLEANW.A.~...~ .A~I..ITAI~.Y. SUPPLY. .,Address90.0 CHESTER AVENUE .BAKERSFIELD,. CA 933.01
CHEMICAL DESCRIPTION.
1) INVENT. ORYSTATUS: New(~ ~i.] Revision[ ] De..lefion[ ] ' Che~ktfchemicallsaNONTRADESECRET [ ] TRADE SECRET
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ '] :'Reactive[ ] Sudden. Release of Pressure [ ] ImmediateHe~th(Acut. e.) [- ] DelayedHea~h"(Chronic)
6~ PHYsICAL STATE Solid [ ] Liquid !~' Gas [ ]. Pure [ ] ' Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY " UNFrS OF .MEA.~RE ' 8) sTORAGE CODES' '
· Maximum Daily Amount: '~ lbs ['i gai~J' ft3 [ ]. a)Contaiter. I0
Average Daily Amount: 4~f_. curies [ ] . b) Pressure: ,
Annual Amount:. ~ c) Temperature:
Largest Size'Container. .
# Days On Site ¢/~ ~ Circle Which Months: NI Year. J, F, M, A, M, J, J, .A, S, 0, N, D
the three most haz~d0~u$ 1) p:~,v I ~h~nox~e,,,ox~/e4¼v/~im¢~vlbe~t
any AHM compote,ts 2) [ ]
3) [ ]
10) Logo. w~RSC~ S~owROoM
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New ~: ] Addition [ ] Revision [ ] De~etion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET
/
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH '
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Healltl (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE 8olidX/ Liquid [ ] Gas [ ] Pure [ ] M'~ure~//Wast. [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UN?S/~F MEASURE 8) sTORAGE CODES
MaX]mum Daily Amount: ~ lbs ~/~ gal ' [ ] ft3 [ ] a) Container.
Average Oaily Amount: ~ curies [ ] b) Preasurl:
Annual Amount: ;~10 c) Temperature:
- Largest. Size Container.
# Days On Site 4/ ~ ~ Circle Which Months: Ail Year, J. F. M. A, M. J. J, A, S. O. N. 'O
memreemosthaz=do~ 1) 05 C~-~C ~uilc~er-~ C~°/~ [ ]
i any AHM components 2) I; ....
~ r
10) Location WHRS g SHOWROOM · '
cero'fy under penal~.~. ~ /aw, :lhat / h ~a~_e pe .~. _.h, examme<; an~ am familiar wi~ ~e infomabo, submi~ed on ~ and all attached ~ocumet~m. I beaeve
ubmitted infotrna#on i~ ~ue, accurate, and comp/em. "' .... " '
GENE SPINOZZI I GEN MGR' 5/1/95
'RI~VT Name & T/He of Auffion~ Company Representa~ve ~'gnature ......... Date
- BAKERSF..[ELD CiTY FIRE DEPARTMENT'
"';'H~ouSMATERIALS. INVEN~IBRY Page. of
Business Na~e:.,'- CLEANWA..Y,..S ,A~..ITARY. sUPPLY. - Address 900 CHESTER AVENUE .-.BAKERSFIELD,. CA .93301
CHEMICAL DESCRIPTION.
1) IN .VENTORYSTA.TUS: New[X] ~[.] Revision[ ] D~.lefion[ ] ' Check if chemieaJ ts I N .ON TRADE SECRET [ ] TRADE SECRET [.]
· Chemica} Name: AHM [ ] CAS #
4) PHYSICAL & HEALT~-I ...... '~ :" "'
PHYSICAL HEALTH
HAZARD CATEGORIES Fire [']'-~Reactive[ ] Sudd~n_Release of Pressure [ ] Immed'mte'He~th(Acute) [-] DelayedHeaMt'(Chmnic)
5) WASTE C-LASSi~ICATION .(3-digit code from DHS Form 8022) USE CODE
6)' e.YS,cALsT~E .~o,~ i~'":' u,'~ ~ ~ ~'. ~ure ~ 'M~. ~/~-;i;' i' ~ ....
7) AMOUNT AND TIME AT FACIIJTY UNITS OF M~EA~E 8) STORAGE CODES
· Maximum Daily Amount: 'L-~: lbs [ 'j gaJ ~ fi3 [ ]. a) Container:.
Average Daily Amount.- ! ~ curies [ ] . b) Pressure:
Annual Amount:. -~<:;:~) c) Temperature:
Largest Size'Containe~
# Days On Site . //~ ~=, ~ Circle Which Months: ~.AII Year. J, F. M, A, M, J, J, A, S, O, N, D
9) MIXTURE: List . COMPONENT CAS · - % ~ AHM
chemicaJ components or -- -- -' -
3) [ ]
16) Location .WHRSG& sHOWR~)OM ....... :"
~: .... ' .... ' ..... CHEMICAL DEscRPTIONI ' '~' "
1) INVENTORY STATUS: New[x[] Addition[ ] Revision[ ] Deletion[ ] Check if chemicaJ is a NON TRADE SECRET [ ] ~SECRET [ ]
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEAL'I~ PHYSICAl. " HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heatth (Chinnic)
S) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSlCALSTATE Solid [ ] Liquid ~ Gas ['] Pure [] Mixture ~Waste [] Radioact~e []
7) AMOUNT AND TIME AT FAClUTY UNITS OF MxEA/RE 8)
S'I:ORAGE
coDEs
MaXJmum Daly Amount: ~---:> lbs [ ] ga ~ It3 [ ] a) Container. ~0
Average Daily Amount: ~ cudes [ ] b) Pressure: I
Annual Amount: / ~ c) Temperature:.
· Largest Size Container:
# Days On Site o':~ ~,---_ Circle Which Months: AJI Year. J. F. M, A. M, J. J, A. 8. O, N,'D
9) MIXTURE: List coMPONENT CAS # % WI' AHM
th. th,.. most A icl '
chemical compenellt~ or ' ' .:
any AHM components ~) ~: [ ]
3) ~,/ [ ]
10) Loca~on NH:RS F~ SHOW~,OON .~.
c erg~ Un~,e~.pena/l~: .o.~: law,' :lt~at !' h~a~...e, pe.~..ly exan~n, eO ano mw tam~liar
:_,bm~tied informa#on is true, accurate, and complet~ '
',~If,'T Name & Tiffe of Aug'/on~led Company Representat/ye Date
- .-'BAKER..SFIELD CITY FIRE.DEPARTMENT'
RDOL. IS..MATERIALSINV TORY Page. of
Business Name:.,~ .Cr,:~ANi4&¥.~S ..~..T~A~..¥. SU, p?~,¥. . Addr~90.0 CHeSTeR AV~NU~ ~A~Rs~[~sD,- cA 9330~
~= ~ CHEMICAL DESCRI~ON .
-4)~0n~sTA~s: New[~ ~i.] R~n[ ] ~le~n[ ] C~~baNON~G~ [ ] ~~ [ ]
C~m~ N~e:
4) PH~IC~ & H~ PH~ICAL H~
H~D CA~RIES Fire
5) 'WAS~ C~ss~FIcA~ON .(3<ig~ ~e ~m DHS Fo~ 8022) USE CODE
' .... " ' ' :'- . 'M~ .
6)' PHYSIC~STA~ .'Sol~ [
~ AMOUNT AND ~ME AT FAClU~
. M~mum Dm~ Amount: ~ ~ I~ [ '~ g~ ~ fi3 [ ] ~ ~c I0
A~e D~ ~um:
~ ~nu,~u~ ~ c) Tem,~:
~est S~e'Con~ne~ · -
~OnS~e v~ ~ Cimle~ichMo~: ..NIYe~. J, F, M, ~ M, J, J, ~ S, O, N. D
chemi~ ~m~ne~ or ....
~y ~M ~m~ 2) [
3) [ ]
10) Lo.on [~S~S ~H0~00~ '" : '
1 Y STA~S: New ~ ] Add~on [ ] Remion [ ] ~letion [ ] Ch~k E ~em~ ~ a NON ~E S~R~ [ } ~=S~ [ ]
Chemi~ N~e: ~M [ ] C~
4) PHYSlC~ & H~~ PH~ICAL H~
H~D CA~GORIES
5) WAS~ C~SSlFICA~ON ,(~ig~ c~e ~om DHS Fo~ 8022) USE CODE
~ AMOUNT AND ~ME AT FACIU~ UN[T~F M~SURE 8) Sm~GE CODES
M~mum Daly Amount:
~nua ~ou=:
' ~gest Size Cont~ne~
· Da~OnS~e_ Cir~e~ichMo~s: NIYe~. J. F. M, ~ M. J. J, A. S, O, N,'D
9) MITRE: Ust COM~NENT CAS · % ~ ~M
the three most h~ous 1)
chem~ ~m~nefl~ or / : ·
~y ~M ~m~n~ ~) r'- [ ]
3) ~ ( ]
ubm~ info~a~on i$ ~e, accu~, ~ compleX.
RI~ N~e &'- ~ffe of A~n~ Com~ Rep~sen~e
- .- BAKEflSEIELD CITY FIRE DEPARTMENT'
· HAZ/!~OUS MATER. IALS..INVEN:I~RY,....., ,. , ... . Page of
Business Na~e:.,-,-CLEAN-WAY- $ .AI~..ITA~,-Y su, pPLY. Addr~900 CHESTER AVENUE :BA~RSFIELD,-CA .93301
CHEMiC~ DESCRI~ON ·
1)I~O~STA~S: New[~ ~[.] R~n[ ] ~le~n[ ] · C~E~baNON~S~ [ ] ~~ [ ]
C~m~ N~e:
4) PH~IC~ & H~ . P~IC~ H~
H~DCA~RIE$ Fire ~'] ~Re~.[ ] SUdd~n. Bele~e of Pressure [ ] Im~eHe~e) ['i ~H~"~h~)
e)' PH~C~STA~ So~ [] Uq~~. [[ .u~ [] ~~W=t'.' '
. [] ~[]
~ ~OUNT ~O ~ AT ~AC~U~ U.~S OF ~.e ~) sTO~% CO~S'
-. M~mumD~unt: '~
A~e DNN ~: ~ cudes [ ] b) Pm~um:
~nu~ A~ · ~ c) Tem~r~:
~e~ S~e'Con~ne~ ~ · -
/
· ~OnS~e ~~ Cimle~ichMonths: .,NIYe~, J, F. M. A, M. J. J, ~ 8; O, N. D
9) MI~R~ ~t ~. COMPON~T . , C~ · - %~ ~M
~ ~M ~m~n~ 2). [ ]
~6) ~o..WURS'G~' SU0~00~ ....
: ' ...... CHEMICALDESCRi~ION
1 ) INk.CRY STA~S; New [ ] AddAion [ ] .Re~ion [ ] ~letion [ ] Ch~k ~ ~em~ b a NON ~E S~ [ ] ~ S~ [ ]
Chemi~ N~e:
4) PHYSICAL & H~~' P~ICAL H~ .
H~D CA~GORIES Rm [ ] Rea~e [ ] S~den Relate of Pressure [ ] Im~e He~ (~e) [ ] ~ He~ ~)
5) WAS~ C~SSIFICA~ON (~ig~ c~e ~om DHS Fo~ 8o22) USE CODE
6) PHYSICAL STA~ Solid [ ] ~quid
~ AMOUNT AND ~ME AT FAClU~ ~. UNITS OF M~RE 8) S~0~GE COQES
M~um DmN Amount:~
A~e D~N ~unt: cudes [ ] b) Pm~:
~nu~ ~ou~: ~ c) Tem~:-
~est Size ~n~K
· DamOn S~e ~ Cir~e~ich Monks: NIYem, J. F. M. ~ M, J. d. A. S. O, N,'D
9) MITRE: Ust , COM~N~T C~ · % ~ ~M
chemi~ ~m~ or '' ' · -.- -
~y ~M ~m~n~ ~) K [ ]
3) ,~,~ [ ]
.. . . ...: : ... . . ~. ....... . _.: .... ~ .. :.. . _~.. ..
10) ~n ~RS g SHOWROOM
" GENE SPINQZZI '~ GEN MGR' . ~~ .~- ~ 5/~/95
' BAKERSFIELD CITY FIRE.DEPARTMENT'
, MATER!ALS. INVI i'oR¥ Page of
Business Na~.e.,. CLEANW~.Y,--~ ,~.-ITARY sUpPLY.' ..Addr~ 90,0 CHESTER AVENUE BA~RSFI.ELD., . CA 93301
~IN~ORYSTA~S: New[~ ~[] R~n{ ] ~le~n[ ] ' C~ff~~NON~S~ [ ) ~S~ [ ]
Chem~ N~e: ~M
4) PH~IC~ & H~~ .....
P~ICAL H~
H~DCA~GORIES Fire [~ -Reac~[ ] ~udden. Rele~e of Pressure [ ] Im~eHe~e) ['] ~H~"~h~)
5) 'WAS~ C~SSIFICA~ON .(~ig~ ~e ~m DHS Fo~ 8022) USE CODE
~ AMOUNT ~D ~ME AT FAClUW '~ UN~s OF a~E ~ 8) ST0~GE CO~S
A~e O~ ~u~: ~ cudes [ ] b) Pm~um:
~est Ske'Con~ne~ ·
· ~OnS~e Cimle~ichMon~s: ,,.NIYe~. J. F. M. A. M. J. J. ~ S; O. N. D
9) MI~R~ Ust : COMPONENT. '
~emi~ ~m~ne~ or ' ·
10) Lo~o~ WH~SQ8 S~0~R00N
CHEmiCAL BESCRi~ION
1 ) IN~NTORY 8TA~8: Ne~ ~ ] Add~o~ [ ] Re~ion [ ] ~letion [ ]
Chemi~ N~e:
4) PHYSICAL & H~' PH~ICAL H~
H~RD CA~GORIES Rm [ ] Rea~e[ ] Sudden Rele~e of Pressure
5) WAS~ C~SSIFICA~ON (~igR code ~m DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] Uquid ~ G~ [ ] PuT [ ] M~m~ W~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF ~/URE. 8) sTOOGE CODES
A~e D~N A~unt: ~ cudes [ ] b) Pre~:
~nu~ ~unt: ~ O c) Tem~:.
, ~t Size Con~ ~
· Om~OnS~e Cirde~ichMonths: NIYe~, J, F, M. A, M. J, J. A, S. O. N, D
9) MITRE: ~st COMPONENT C~
chemi~ ~m~nen~ or
3) ~ [ ]
10) Lo~n WHYS ~ SHOW~OOH ;'~
ce~ u~e~ pen~./aw, :~ / h~e pe~ ~ ~ ~ f~///~
ubmi~ /nfo~a~on /s ~e, accu~, ~ comp/e~. ' ~~ ~' '
GENE S~INOZZI ~GEN MGR ~ . - 5/1/95
'RI~ N~e & Ti~e of ~n~ Com~ Repres~a~e -
--' BAKERSFIELD CITY.FIRE.DEPARTMENT'
'*s MATER!ALS,--- --- ----- Page of
Bus~nessNa~e;,,~, CLE.ANW.Ay;,s .A~..I,TA~,.Y. sUpPLy. .!.Address900 CHESTER AVENUE BA~RSFIELD,..CA .93301
.... CHEMICAL DESCRI~ON .
- C~m~ N~e:
4)' PH~IC~ & H~ PH~IC~ H~
H~DCA~RIES Fire ~'*J Re~( ] ~u~dpn. Rele~eofPressur( [ ] Im~eHe~e) [] ~H~'~hm~)
5) WA$~ C~SSIFiCA~ON · ,(~ig~ ~e ~m DHS Fo~ 8022) USE ~DE
D ~OUNT ~O ~ME AT FAClUW. M~mum O,N ~un.: '"~
A~mge D~N ~um:
~nu~ ~u~ .~ c) Tem~r~:
~e~ S~e'Co~ne~
~OnS~e u~.~ Ci~e~ichMon~: ..NIYe~. J. F. M. ~ M. J. J. ~ S. O. N. D "
10} Lo.on WHRSgg SHO ROON
CHEMICAL OESCRi~IO;'h
1) IN--DRY STA~S: New E ] Add,on [ ] Re~ion [ ] Deletion [ ] Ch~ ~ ~em~ ~ a NON ~E S~R~ [ ] ~ S~ [ ]
2) co=~..~.: ~'~ ~ ~ ~ ~ J, 3) ~T · (o~
Chemi~ N~e: ~M [ ] C~
4) PHYS~C~ & H~~' PH~C~ H~
H~D CA~GO~ES Rm [ ] Rea~e
5) wAS~ C~SSlFICA~ON (~igA code ~m OHS Fo~ 8022) USE CODE
~ ~OUNT ~D ~M~ AT ~C~U~ U.*TS O~ ~.E 8) ST0~G~ CODES
M~mumO~NAmount: ~ I~ [ ] g~ ~ ~3 ["] N~n~c ~0
A~e D~N ~u~ / cudes [ ] b) Pm~: t
~, ~u~: ~ c) Tem,~m:. ~
· ~est. S~e
· Da~OnS~e ~ ~ ~ Cir~e~ichMon~s: ~Ye~. J. F. M. ~ M. J. J. ~ S. O. N. D
9) MITRE: Ust COM~N~T C~
~em~ ~m~ or .....
'~ ~M ~m~n~ ~) ~: [ ]
3) ~,,) [ ] ,
10) ~. WHRS g SHOWROOM
~,bm~ info.eBon is ~e, aCcu~, ~ comple~
GENE '.SPINOZZI ~ GEN MGR' - 5/1/95
~ N~e & ~e of ~~ com~ Repres~m~e
-- BAKEEISFIELD CITY.FIRE.DEP ,RTMENT
:';~: ' CHEMICAL DESCRI~ON:
C~m~ N~e: ~M [ ] C~ ·
4) PH~IC~ & H~~ P~ICAL H~
H~DCA~RIE$ Fire ~']~Re~[ ] ~u.~de~.Rele~e of Pressure [ ] Im~eHe~e) ['] ~H~"~hm~) [~
5) 'WAS~ ~ssiFICA~ON · (~ig~ ~e ~m DHS Fo~ 8022) USE CODE
6)~PH~Ic~sTA~ .So~ [ ] Uqu~ G~ [ ]' Pure [ ] M~m [ ]"- ''
. M~mum O~ount: ~-'~ I~ [ ~ g~ ~3 [ ]. N ~ne~
A~eO~N~um: /~ cudes [ ] b) Pre,urn:
~nu~ ~un~ . ~ c) Tem~:
~est S~e'Con~ne~ ~ · ·
~ ~On S~e ~ ~G ~ Cimle~ich Monks: ,.NIYe~. J. F. M. ~ M. J. J. ~ S. O. N. D
9) MITRE: ~t COMPON~, C~ - '- ' ~ ~M
chemi~ ~m~ or '
1~) Lo~ WH~SG8 SHO~O0~
CHE c L
I~ORYS S; New[] Add~on[ ] Re~ion[ ] ~letion[ ] C~em~baNON~ES~R~ [ ] ~S~R~ ~ ]
Chem~ N~e: ~M [ ] C~ ·
4) PHYSIC~ & H~~' PH~ICAL H~
H~D CA~GORIES Rm [ ] Rea~e [ ] Sudden Rele~e of Pressure [ ] Im~e He~ (~e) [ ] ~ He~ ~) ~
5) WAS~ C~SSIRCA~ON ,(~ig~ code ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] "quid~ G. [ ] P.. [ ] M~,.~ W.t. [ ) ~ ( )
~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~UBE 8) sTOoGE coDEs
M~mum Daly Amunt: ~ I~ [ ] ga ~ ~3 [' ] N Co~c [ ~
A~e D~ ~unt: / ~ curies [ ] b) Pre~:
¢¢ Annu~ ~ount: ~ c) Tem~:. ~
-- ~t S~e Cont~ne~
· Da~OnSRe ~ ~ Cir~e~ichMonths: NIYe~, J. F, U, A. M, J, J. A, 8, O, N.'D
9) MITRE: ~t COM~NENT C~ · % ~ ~M
the three most h~ous 1)Od~less ~l'me~ ~p~,'~ o~7~Z- 4~-5 ~
chemi~ ~m~n~or r . -u- ·
10) ~n WHRS 8 SHOWROOM % ~, "
cem'~ u~er.pen~ law,"~ I h~e.~e~ ~iq~ ~ ~ f~iti~ wi~ ~e in~~~~ I b~eve ~
~,bm~ in~o~aSon iS ~e. accu~, ~ comp/e~ ....... ' .... ·
~ .- BAKERSFIELD CITY FIRE.DEPAR'T:MENT'
· ,~ .. H~OUS. MATER!ALS'.INVEN~iRY Page_of__
Business Na..me: .... CLEANW.Ay. S ,A~..ITAR. Y. sUPPLY. Address900 CHESTER AVENUE .BAKERSFIELD,. CA .93301 ..
CHEMICAL DESCRIPTION..
1) INVENTORY. STATUS: New[X] ..Addition_[] Re~ision[ ] Deletion[ ] ' Che~-~lfchemicali~aNON~SECRET [ ] TRAOESECRE'r [ ]
2) CommonNan~: FZ,~'~" ~'~//'~-)~,"~r~ol~t(7~"k/'- ~h~.lrm'F:~3 ............... 3) DOT#(olxionaO. "
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALT~I PHYSICAL HEALTH
HAZARDCATEGORIE$. Fire ['J '~Reactive[ ] ~udden_ Release of Pressure [ ] Immed'mte Health (Acute) [.] DelayedHeaJth"(Chmnic) [~y~.
5) WASTE ~LAssi~ICAT]ON (3-digit COde from DHS Form 8022) U~E CODE
6~ PHYSICAL ST~E .:Solid [ ] Liquid . Gas [ ] Pure [ ] Mixture [ ] ' Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY...,£~._~> UNIT..S OF M, EA~°~RE 8) sTORAGE CODES
Maximum Daily Amount: ~ lbs [ ] gal ~ ~t3 [ ]. a) Contmnec fO
Average Daily Amount: ~ curies [ ] . b) Pressure:
Annual Amount:. /~ ~' c) Temperature:
Largest Size'Container:
# Days On Site ~ Circle Which Months: ..All Year. J, F, M, A. M, J, J, A. $, O, N. D
9) MIXTURE: Est , COMPONENT . ' CAS ~ · % WT AHM
chemical components or · - .-
~0)' Logo. ~n~St:;~' S~O~O0~ ......
: ' ..... - ' CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New~:] Addition[ ].Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRIET [ ] TRADE SECRET [ ]
2) co'~o.,ar..: J-to~'i?~'r~ Co~o..~ bphol s~f~r-y Sb~poo 3) DOT#
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALT~ PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Hea~th (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~t/ Gas [ ] Pure [] Mixture'~/]/ Waste [] Raclioa~ [ ]
7) AMOUNT AND ~ME AT FAClUTY ~_~,'~ UNITS OF M~EAj~LJRE , 8) 8~:ORAGE CODES
Maximum Daily Amount: ~ ~ lbs [ ] gal ~ ft3 [ ] a) Container:. [ 0
Average Daily Amount: /-J curies [ ] b) Pressure:
Annual Amount: /~r c) TemPerature:-
· Largest Size Container:.
# Days On Site ~/,~'-~"- Circle Which Months: All Year. J. F, M, A. M, J, J, A, 8. O. N, D
moth..o~o.~ou. · ~) -~r'i~OdiL~c-.-~ co~,O,~t· cas# ~wr
chemical components or - '
10) Locamon WHRS ~ SHOWROOM '; -' ! ' "-'-"~ ......
cer~fy under penal~d:O.f:law,'~lhat. I. h..ag, e pe .~. . .ly e~. 'n, eO aha am familiar wah ~he inloma~on submitted on ~ and ali a~ac~e~l docume~
~qbmitted information is ~ue, aCCUrate, and complete~ " ' '
GENE .SPINOZZI GEN MGR' 5/1/95
'RINT Name & Title of Authon[led Comiaany Representa~w S/gnature Dam
" BAKERSFIELD CITY FIRE DEP. AR'TMENT'
" H~DoUS~MATER INV~..oRY
.. ..... , IALS'. Page of
Business Na.m.e: .... CLEANWA. y..-S .A~,.ITAR, Y sUPPLy :'.Address 90.0. CHESTER AVENUE .BAKERSFIELD, ,CA .9~301
*' :' CHEMICAL DESCRIPTION ~
1) INVENTORY..$TA_TUS: New(~ ~( ] R...e~is~n[ ] ._Oe. letion[ i Checkffchemicalis&NON'l~SECl~Et' [ ] 31~SECRET [ ]
2)~.mo. Nar.': ~'~'~ 'OC3~' ....... .': ................................... ~)DOT*(o~.O "
· Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALT~I _ PHYSICAL HEALTI-I
HAZA~DCATEGORIES, Fire [:'] :Reactive.[ ] Sud..dp,n.~eleaseofPressure [ ] Immed'm~eHeaith(Acute) ['] DelayedHeall~"(Chronic)
5) ~WAsTE cLAssIFICATiON (3-digit code from OHS Form 8022) USE CODE
Si PHYSICAL STATE .' Solid [ ] liquid Gas [ ]' Pure [ ] Mixture "[
7) AMOUNT AND TIME AT FACIIJTY '~: UNITS OF M~EA~'E ' 8) STORAGE CODES'
· Maximum Daily Amount: ~ lbs [ i gaJ ~ It3 [ ]. a) COrltaJner:
Average Da~ly Amount curies [ ] . b) Pressure:
Annual Amount:. ~ ~ c) Temperature:
Largest Size'Container. ~.~___~
# Days On Site Circle Which Months: AJI Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: List COMPONENT ..... CAS ~ - ' % ~zr AHM
chemic.,aJ components or - .....
1(~) LocaUon WHRS('~, sHoWR~o~ "
O 'V/ CHEMICAL DESCRIPTION
1) I RY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemic. a] Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH. PHYSICAL HEALTH '
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
£
S) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~[k/Waste '[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILJTY UNITS OF M. EA~:I~E 8) 'sToRAGE coDEs
MaXimum Daily Amount: / ~ lbs [ ] ga ~ ft3 [ ] a) Container. '~D
Average Daily Amount: ~? curies [ ] b) Pras~lm;
Annua~ Amount: ~~::~ c) Temperature:.
Largest Size Container.
# D~ys On Site Circle Which Months: NI Year. J. F. U. A. M. J. J. A. $. O. N.
i9) MIXTURE: List ~. COMPONENT CAS ,~ % ~ AHM
! chemical components or - ~ ~,//~/ Cy /0/~
i ' " ' 4-.-I -/~e~h~,~/
, 3) . [ ]
corOT), ur~erPena/0/;O, t;/aw,"~ha~/.'h,.a~?e pe _mon~?/exam/ri, ed aha am/arm//at with the/ntommm~ subm/tmd DO ~ a/x~/ a// ,a~ac/'m~ ~o~omen~.
,_,bm~fled/nfoi'ma#on/s 0'ue, accurate; an~ comP/em ' · ' "" ' ' "
GENE S?TNOZZ~ /GEN ~GR : 5/1/95
~INT Name & 770'0 of Authon~'ed Company Representa~fve . - S/gna~um ...........
BAKERSFIELD CITY FIRE DEPARTMENT'
:. ., *H OUS. MATERIALSINVENI RY- 4~, 4.,, Page of
Business Nar~e,:... CLEANWAY SA, NITARY SUPPLY Address90.0 CHESTER AVENUE BAKERSFIELD, CA 93301
CHEMICAL DESCRI~ON.
1) IN~ORYSTA~S: New[~ ~[.] R~n[ ] ~le~n[ ] C~~baNON~S~ [ ] ~S~ [ ]
C~m~ N~e: ~M
4) PH~IC~ & H~ PH~ICAL H~
H~DCA~RIES Fire [ '] :'Reac~[ ]Sudden. Rele~e of Pressure [ ] Im~eHe~e) [' ] ~He~"~hm~)
5) 'WAS~ ~SSi~,CA~O. (~ig~ ~. ~ ~HS/o~ ~o2~) USE COD~
6j PH~IC~STA~ ..So~ [ J Uqu~ [ ]
~ ~OUNT AND ~ME AT FAClU~ " UN~T~M~SURE ' 8) STooGE CODES
, M~u~ ~ A~o~t: /
A~e D~ ~um: ~ cu~es [ ] . b) Pm~um:
~nu~ Amount: ~
~est S~e'Con~ne~
· ~OnS~e Circle~ichMon~s: ..~lYe~, J, F, M, A, M, J, J, ~ S, O, N, D
MI~~
Ust
chemi~ ~m~ne~ or -.
10) Lo.on .WHRSG8
CHEMICAL DESCRi~ION
1) IN~ORY STA~S: New [ ] Add.on [ ] Re~ion [ ] Deletion ( ] Ch~ ~ chem~ ~ a NON ~E S~R~ [ ] ~ S~R~ [ ]
Chem~ N~e:
4) PH~IC~ & H~~' PH~IC~ H~
H~D CA~GORIES Rm [ ] Rea~e
5) WAS~ C~SSIFICA~ON (~ig~ code from DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] Uquid~ G. [ ] Pure [ ] M~.~W. te '[ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF ~S~E 8) sTOoGE CODES
M~mum DaN Amount: ~
Ave~e D~N A~unt: ~ curies
~nuM ~um: ~ c) TemPera:
- ~est Size Con.nec
· Da~OnS~e Cir~e~ichUo~s: NIYe~. J. F, U, A, M, J, J, A, S, O, N. D
9) MITRE: Ust COMPONENT - C~ · % ~ ~M
chem~ ~m~nenm or
~y~M ~m~nm ~) , r' [ ]
3) ~ [ ]
10) ~n WHRS g SHOWROOM
ubm~ info.eBon is ~e, accu~, ~ comple~
GENE .SPINOZZI ~GEN MGR' . . ~ 5/1/95
..... ' BAKERSFIELD CITY-FIRE-DE R'TMENT-
..., " :H RDQUIS: MAT.E,.R!!ALS:!NV OR¥ Page_of__
Business Na,me: ..... CLEANWAY.,..S ..~,,ZTA~,.y. sU,~PLY. · Address 90.0 CHESTER AVENUE :BAY, ZRSFTELD, .. CA . 93301
CHEMICAL DESCRII:FTION.
1) INVEN'F. O,R.,Y.,,S,.TA?US: New [~ . .Addition.' [ ] R.,,e~ision [ ] .D:q,. ,l~tion [ ] · Che~ ff chemicaJ I~ a. NON TRADE SECRET [ ] ~ SECRET [ ]
- ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALT~-I ".' PHYSICAL HEALTH
HAZARDCA~GORIES. Fire ["] ~ReactNe.[ ] .SuJdde. rn.l~elease of Pressure. [ ] Ircmedlat~'Hea,:th(Acutff) ['] DelayedHealth"(Chmntc
5) 'WASTE ~-LAs~i~IcATIoN (3-digit code from DHS Form 8022) USE CODE
6~ PHYSICAL STATE .,.Solid [ J Liquid 'Gas [ ]. Pure [ ] Mixture te[ ].. __i~,d:_._~c~=lNe
7) AMOUNT AND TIME AT FACIUTY UNITS, OF M~EA,~RE 8) STORAGE CODES'
· MaxJmumOallyAmount: '~':i:;: lbs [ ] gal M it3 [ ]. a) Container.
Average Daily Amoum: '~' curies [ ] , b) Pressure:
Annual Amount: ~) c) Temperetum:
Largest Size'Container: ~ ·,
# D~ys On Site Circle Which Months: ,.All Year. J. F. M. A. M, J. J. A. S. O.
9) MIX'I'URE: Ust COMPONENT CAS · ·
chercical componems or / X Y '
anyAHMcorcponer~s 2)2.,: ~::~PO,IOC, Y'"IO[l- l-- lJ~:>UtO O0 S I ~
3).
I~0 CHEMICAL DEScRiPTION I I:
1) RYSTATUS: New[] Addition[ ].Revision[ ] Deletion[ ] Check if chercicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: I'~CAJV J~,JJF\/ ~0~'( L-{'~:'~-t~'Y~ 3) DOT#(ol~ional)
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTM PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ } Immediate Health (Acute) [ ] Delayed Health (ChrO''fic) [L]/
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~/ Gas ( ] Pure [] Mixture ~ Waste [] Radioactive [ !
7) AMOUNT AND TIME AT FACILITY UNITS OF .ME.~RE 8) sTORAGE coDEs
Maxircurc Daily Arcount: ~ lbs [ ] gaJ ~ it3 ['] a) Container:. ~, C)
~ {~ Average Dally Amount: ~, curies [ ] b) Pressure: ~.
RZ . Lm'gest Size Container.
I · Days On Site ~" ~ ~ Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, 'D
J9) MIXTURE: list coMPONENT CAS tl~ % ~ AHM
chemical components or ~ -
~o) Loc~on ~RS ~ SHOWROOm41 ~ ~
cere'/y under.perm/tyo, f ;/aw, :that / h..~._.e pe .r~on~../y exam~, n, ed eno am/am///ar W~h lhe /~ su~~-nd a/~ / believe
- BAKERSFIELD CiTY FIRE DEPARTMENT'
.. .... , OUS MATER!ALSINVEN R¥ Page. of
usi~ess Name:.,. CLEANW.A.~. S ,A~..I.TA~,y. sUpPLY. Address90.0 CHESTER AVENUE BAKERSFIELD,. CA 93301
I~I~/VENTOR¥.S!A~S: New[~
C~m~ N~e:
4~ PH~IC~ & H~ P~IC~ H~
H~D CA~GORIES Fire
5) 'WAS~ ~SS~ICA~ON (3<ig~ ~e ~m DHS Fo~ 8022) USE CODE
6j'PH~Ic~sTA~ ..Sol~ [ I Uqu~ Gu [ ]. Pure [ ] M~m [ ] ~ [ I
~ ~OUNT AND ~ME AT FAClU~ UNITS OF ~RE 8) STOOGE CO~S
. M~mum D~N~ount: "/~
A~mge D~ ~um:
~nu~ ~o~
~est S~e'~ne~
· ~OnS~e ~ Ci~e~ichMon~s: ..NIYe~, J, F, M, ~ M, J, J, ~ S. 0, N, D
9) MI~R~ Ust.., ,~ COMPON~T C~ · - % ~ ~M
~emi~ ~m~ne~ or .......
1~) Lo.on WH~SGS SHO~OOH
CHEMICAL DESCRI~ION
1)IN~ORYSTA~S: New[] Add~on[ ] Re~ion[ ] ~letion[ ] Ch~chem~aNON~ES~R~ [ ] ~S~R~ [ ]
2) co<~o..~= ~:1-~-~ s ~ 3) ~T · (o~ . _.
Chemi~ N~e: ~M [ ] C~
4) PHYSIC~ & H~~' PH~ICAL H~
H~D CA~GORIES
5) WAS~ C~SSIFICA~ON (~ig~ ~de ~om DHS Fo~ S022) USE CODE
6) PHYSICALSTA~ Solid [ ] ~quid ~G~ [ ] Pure [ ] M~m ~W=te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF ~RE 8) s~O~GE coDEs
M~mum D~ly A~unt:
Ave~e D~N ~unt:
- ~est Size Con~
· De~ On S~e ~ ~ Cir~e~ich Monks: NIYe~, J. F, M, A, M, J, J, A, S, 0, N, D
9) MITRE: Ust COMPON~T 'C~ · % ~ ~M
the three most h~ous 1) ~ ~ [ ]
chem~ ~m~ or
~y ~M ~m~n~ ~) ~ ~ ~ [ ]
10) Lo~n ~H~S S SHO~O0~ ~
I!
~~er pen~ ~ /aw,':~ /' h~e pe~ ~ ~ ~.f~///~ wi~ ~e mfo~ su~ on ~. . ~ ~t ~ ~~ i b~eve ~e
~,bm~ /n~aSon /s ~e. accu~, ~ comp/e~
~RI~ N~e & T/~e of A~n~ Com~
BAKER [=IELD CITY FIRE DEP4 ,RTMENT
H DOUS MATERIALS INVEIq FORY Page__ofI
Business Name· CLEANWAY SANITARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) IN~YSTA~S: New[~ ~[ ] Re~n[ ] ~le~n[ ] C~m~baNON~S~ [ ] ~S~R~
Chem~ N~e: ~M [ ] CAS
4) PHYSlC~ & H~L~ PH~ICAL H~
H~D CA~GORIES Fire [ ] React~ [ ] Sudden Rele~eof Pressure [ ] Im~i~eHe~h ~e) [ ]
5) WAS~ C~SSIFICA~ON (3~igA c~ ~om DHS Fo~ 8022) USE CODE .
,/ ~ . M~mumD~NAmount: /6 I~ [ ]~ g~ ~ ~3 [ ]
~ A~mge D~N A~u~: ~ cudes [ ] b) Pre.urn;
~num
Amount:
~est Size'Contmne~
~OnS~e Circle ~ich Months: NIYe~. J, F, M, A. M, J, J, A, S, O, N, D
the throe most h~d0us 1)'~ ~ 5~ I'~ ~ COMPONENT C~
chemi~ com~ne~ or
3) [ ]
10) Lo.on WHRS(;~ SHOWROOM
CHEMICAL DESCRI~ION
1) INaNItY STA~S: New [ ] Addition [ ] Remsion [ ] Deletion ( ] Check ffchemi~ ~ a NON ~E S~R~ [ ] ~ S~R~
Chemic~ N~e: ~M [ ]
4) PHYSICAL & H~L~ PHYSICAL H~
H~RD CA~GORIES ~re [ ] Rea~Ne [ ] Sudden Rele~eof Pressure [ ] Imm~eHe~h (Ac~e) [ ] ~ He~ (Chron.)
5) WAS~ C~SSIFICA~ON (~ig~ co~e from OHS Form 8022) USE CODE
5) PHYSIOAkSTA~ Solid [ ] Uquid ~F G. [.) pure [ ] M~.re ~
AMOUNT AND nME AT FACIU~ UNITS OF ~RE 8) STOOGE CODES
M~imum Daly Amount: ~ lbs [ ] gN ~ ~3 [ ] a) Con~ne~
t~ Ave~e D.~ A~unt: ~ curie. [ ] b) Pres.=:
Annu~ Amount: ~'~ c) Tempera:
~gest Size Contmner:
· Os~OnS~e ~ C{rcle~ich Months: NIYe~. J. F, M, A. M, J, J, A, S, O, N, 0
9) MITRE: Dst coMPONENT CAS · % ~ ~M
chemi~ com~nenm or
10) Lo~ion ~S ~
',hmi~ info~e~on is ~e, accum~, ~ compleX.
GENE SPINOZZI ~GEN MGR 5/1/95
RI~ N~e & Ti~e of A~on~ Com.~ Represenm~ve Sig~ D~
.... ' BAKERSF, LELD CiTY FIRE DEPAJ TMEN',T
H OIJS MATERIALS INVEN..II RY ·Page_of_
Business Na.m.e.-,- CLEANWAy-.SA, NITARY- SUPPLY. . Address900 CHESTER AVENUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New[~ Addition[.] Revision[ ] Deletion( ] CheckifchemicaibaNON~$ECRET [ ] 'rRADESECRET [ ]
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ? Reactive [ ] Sudden Release of Pressure [ ] Immecrmte Health (Acute) [* ] Delayed HeaJth"(Chronic) [
5) 'WASTE CLASSIFICA'I30N ' (3-digit code from DHS Form 8022)* USE CODE
6)' PHYSICAL STATE ,.Solid [ ] Liq id G~-~ [ ] Pure [ ] Mixture [ ]" ' Radioactive [ ]
7) AMOUNT AND TiME AT FAClUTY :~ UNITS OF M~ EArlObE ' 8) sTORAGE CODES
· Maximum Daly Amount: ' ~ lbs [ ']" ga ~ ft3 [ ] a) Container.
Average Daily Amount: ~ curies [ ] . b) Pressure: I
Annual Amount:. ~.. 0 c) Temperature:
Largest Size'Container.
# Days On Site ~' .~K ~ Circle Which Months: AllY ear. J, F. M. A, M, J. J. A, S. O. N. D
9) MIXTURE: Ust COMPONENT CAS ,~ . % ~ AHM
the three most hazardous 1) .... [ ]
chemical components or · -
any AHM components 2) -- [ ]
3) [ ]
10) Location ~T[--[~$~;F~ SHo~o0~ ....
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: NlM [ ] CAS ~
4) PHYSICAL & HEALTH' PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health {Chronic) [ ]
5) WASTE CLASSIFICATION ,(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquidVGas [ ] pure [ ] Mixture te [ ] Radioactive ( ]
7) AMOUNT AND TIME AT FAClUTY (~ UNITS OF M~F~RE 8) STORAGE CODES
Mammum Daily Amount: lbs [ ] gaJ ~ fi3 [* ] a) Container:
Average Daily Amount: ,~ curies [ ] b) Presstal:
AnnuaJ Amount: ~ c) TemPerature: L../
. Largest Size Container.
# Days On Site ~' ~ Circle Which Months: AJlYea~. J, F, M, A, M, J, J, A, S, O, N. D
chemicaJ ¢oml3ollarRs or
3)
Il
-- ;
10) Locatio. WHRS & SHOWROOM
ce~nc[e~ty of law, 'that I have pe ~r~onelly exam, n, eno am~ ~ument~ i believe ab,
.... . .... familiar wi~h the
:,_hmitted information is/rue, accurate, and complete. . .
·
GENE SPINOZZI ' GEN MGR' 5/1/95
RINT Name & Title of AuthoriZed Company Representative Date
-- BAKERSFIELD CITY FIRE.DEP_ARTMEN,T'
~.: .. ' *'H/~RDous. MATERIALS .INVL~i, ORY Page of
Business Name...,. CLEANWAy-,SA.N!TARY sUpPLY . Address90.O CHESTER AVE,~UE BAKERSFIELD,. CA 93301
1) INVF-_~r~O~h':S~ATUS: NewlX~ Add~mi.l nev~n[ I Dele~on[ ! Chec~chem~J~aNONmADESEC~-r
2) Common Name: *;~'~) ~" m' i'/-~l ~J~:~ 0'~ ......................... 3) D0T # (op(ion~) "
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL. & HEALTH PHYSICAL HEALTH
HAZA~DCATEGORIES Fire [ '] ~Reactive[ ] SUdd~n. Release of Pressure. [ ] Immedia~eHeaith(Acute) [] DelayedHeaWf(chronic) [~/..
5) 'WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FAClUTY UNITS OF M~F_~R'E 8) STORAGE CODES
· Maximum Daily Amount: ~ 0 lbs [ ]' gal .[~J fl:3 [ ]. a} Container:.
--~ Average Daily Amount: 4/ ~ cudes [ ] . b) Pressure: t
Annual Amount: /~ ~ c) Temperature:
Largest Size'ContaJne~. ' ~"~=,4~_
# D~ys On Site ~'~r' circle Which Months: All Year. J. F, M, A, M, J, J, A, S, O, N. D
CAS--
9) MIXTURE: Ust.., COMPONENT % ~q' AHM
chemicaJ componenl= or
10) Location ['~HRS~, SHO~ROOH
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) common Name: ~(J'~r~ ' ~('n ~_~ 3) DOT. (op(ionai)
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Relea.fe of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heallh (Chronic) ~'~.~
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid Gas [ ] pure [ ] Mb<ture Waste [ ] Radioactive [
7) AMOUNT AND TIME AT FACIUTY UNITS OF ME/~URE 8) sTORAGE CODES
M~mum Daily Amount: /~ 'bs [ ] o~ ~,~ ~3 ['] .) cont~ner.
Average Daily Amount: ~=~ curies [ ] b) Pressure:
Annual Amount: ~.~" c) Temperalure:. ('~
Largest Size Container. ~
# Day~ On Site C~rde Which Months: NI Year, J. F, M, A. M, J, J, A, $, O, N,
~) MIXTURE: List COMPONENT CAS # % WT' AHM
chemical components o~'
~O) Loca~n ~RS ~ SBOWR00N
cema/under penal~/(~!Taw, 'that/-h.ay, e pe .~3~../y exam~ec~ ~ am tami//ar w/~h the/n~ su/~m/tt, ed o~ t/~ at, c/all ~t~c. hed docm l /~al/eve the
',b_m/tted/n/om?al/on/~ Z~Je, accurate, m'~ comp/eM.
GENE S?TN0ZZI '! GEN NGR 5/!/95
~,lt,'T Ne/ne & 77t/e of Autho~[led Compar~Representative . Signature -.
--' BAKERSFIELD CITY FIRE DEPARTMENT'
...., H AZA. OUS MATER!ALS.INVEN'i IY Page_..oL
Business Na~e.,. CLEANWAY. SA~/.ITARY. SUPPLY . Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: New [~ ~ [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ '] :' Reactive [ ! Sudden Release of Pressure [ ] Irnrnediate Health (Acute) [' ] Delayed HeaJ~'(Chronic)
5) WASTE CLASSIFICATION .(3-digit code from OHS Form 8022) USE CODE
6)" PHYsIcAL STATE . Solid [ ] Uqu G~ [ ] Pure [ ] Radioactive [
' 7) AMOUNT AND TIME AT FAClUTY UNITS, OF MEA~URE 8) STORAGE CODES
· Maximum Daily Amount: ~) lbs [ ] gal ~ ft3 [ ]. a) Container.
Average Daily Amount: / ~- cudes [ ] . b) Pressure: ,
AnnuaJ Amount: .~K~-~ c) Temperature:
i Largest Size'Contamer,
# Days On Site ~' ~,~ ~ Circle Which Months: .All Year, J, F, M, A, M, J, J, A, S, O, N, D
chemicaJ components or - ~p
10) Location .WHRSi; g SHOWROOM
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON ~E SECRET [ ] ~ SECRET [
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSiCAl & HEALTH PHYSICAL HEALTH
H/~_.ARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure· [ ] Immediate HeeJth (Acute) [ ] Delayed Health (Chronic)
~) WASTIE CLASSIFICATION (3-digit code from OHS Form 8022) USE COOE
s) PHYmCALSTATE So~id [ ] U~uid ~ Gas [ ] ?ure ! ] M~ura~f/ W~ta ! ] ~,,=~ve ! !
7) AMOUNT AND 'nME AT FAClUTY ON~TS OF MEA~URE 8) STORAGE CODES
MaXimum Oa~ly Amount: ~ (~ lbs [ ] gaJ '~kav' ft3 [ ] a) Container:.
Average DaJN Amount: / ~ curies [ ] b) Pressure: I
AnnuaJ Amount: /~"~) c) Temperature:
· t.a~gest Size Container:.
# DaW On Site O~'~.~,,,~.. Circle Which Months: All Year, J. F. M, A. M. J, J, A. S. O, N, 'D
9) MIXTURE: Est :..._ ~. _ ,,x/,~COMPONENT / ~ .\ CAS # % WT AHM
chemicaJ components ut ' -
10) Loc~ion WHRS & SHOWROOM
cerO'fy under penalty-pr.law, ~het l ha~.,e pemona(Iy exam,n,, an~ am ,ami/jar w, fl3 the int~ eub~ ~l ~?~e~do~ument~ l believe
,b_mitted information is true, accurate, and comp/em. --.
' GENE SPINOZZI I GEN MGR ' ' 5/1/95
-~#~,~ Name & Title of AuthoriZed Company RepresentatYve ~ ~..~i~~~/~'~ Date
- --' BAKERSFIELD CITY FIRE DEPARTMENT'
.,. ., ' RDOUs,MATER!ALS..INV.E I'.. ORY · Page_of__
Business Na~e:.,. CLEANWAy--.S .;~N.!TAR. Y SUPPLY . Addr~ 90.0 CHESTER AVENUE BAKERSFIELD,
O~m~ N~e: ~M [ ] OAS ~
4) PH~;C~ ~ H~~ P~C~ H~
H~D CA~GOfllES. F'ire [' '] : fleact~ [ ]Sudden. flele~e of Pressure. [ ] Im~e He~ ~e) [ ] ~
5) 'WAS~ C~SSlFIOA~oN (3~ig~ ~e ~m DHS Fo~ 8022) USE CODE
~)' PHYSlO~STA~ ..So~ [ ] ~qu~ G~ [ ] Pure [ ]
~ AMOUNT ~D tiME AT FAClUU UNIT~ OF ~flE 8) STOOGE CODES
· M~mumDm~ount: ~ I~ [ ] g~ ~ ~3 [ ] ~c
~nu~ Amount: ~ c) Tem~r~m:
~est S~e'~n~ne~
~OnS~e v~ Cimte~ichMon~s: .NIYe~, J, F, M, ~ M. J, J, ~ S. O, N. D
9) MITRE: ~t . .~. COMPONENT , ' - C~ · - % ~ ~M
chemi~ ~m~ne~ or
10) Lo~n WHRSC~ SHOWROOM
CHEMICAL DESCRI~ION
1)IN~NT S: New~] Add~on[ ] Re~ion[ ] ~leaon[ ] Ch~kE~em~aaNON~E$~R~ [ ] ~S~R~ [ ]
Chemi~ N~e: ~M [ ] C~ ~
4) PHYSICAL & H~~ PH~ICAL H~
H~D CA~GORIES ~m [ ] Rea~e [ ] Sudden Rele~e of Pressure [ ] Imm~e He~ (~e) [ ] ~ He~
5) WAS~ C~SSIFICA~O'N (~ig~ code ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] Uquid~ G~ [ ] pure [ ] M~re~ W~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClUW UNITS OF ~RE. 8) Sm~GE coDEs
M~mum Dm~ Amount: ~ I~ [ ] ga ~ fi3 [ ] ~ ~n~c
A~e DaN ~unt: /~ cunes[ ] b) Pm~: I
~g~t Size Con~
· Daw On S~e ~r ~ Circle ~ich Monks: NI Ye~. J. F, M, A. M. J, J, A, 8, O, N. D
chem~ ~m~n~ or
10) ~n ~RS ~ SHOWROOM .
cem'N u~er pe~,p~aw, :~ I h~e pe~ ~i~ ~ ~ f~/li~ wi~ ~e inio~ eu~'~ on ~ ~ ~l ~ d~
ubm~ info~aebn i~ ~e, eccu~, ~ comp/eM.~~' ' '
- --BAKERSFIELD CITY FIRE DEPARTMENT'
,. ., 'H OU'S MATER!ALS. INVEN'i RY Page_of__
Business Na~e:.,, CLEANWAY SANITARY. sUpPLY Address900 CHESTER AVENUE BAKERSFIELD,. CA 93301
D ,
1) IN STATUS: New [~ Addition (. ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS ,
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive[ J .Sudden. Release of Pressure [ ] Immedlate Health (Acute) [] DelayedHeaMi'(Chmnic) [~,,~.
5) 'W^STE 'LAsSi = cATIO. (3 ,git co . DHS Form 8022) USE CODE
6i PHYSIcAL STATE . Solid [ ] Uquid GM .[ ] Pure [ ] Mixture Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF M~F_A~RE 8) STORAGE CODES
· Maximum Daily Amount: ~/~ lbs [ ]' gal [VI fi3 [ ]. N Container:. i C)
,, _.~' Average O.ly Amount: ~) curies[] . b) Press.: ,
~::~'- .~.._.~Annuai Amount:. c) Temperature:
I_a~est Size'Contmner.
# Days On Site ,~ ~ Circle Which Months: All Yeer. J, F. M, A. M, J. J. A. $, 0. N. D
G) MIXTURE: List. . COMPONENT CA~ ~ * % WT AHM
chemical components or
10) Cocstion WHRSCS sHOWROOM '"
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] C/t~ t9
4) PHYSICAL& HEALTH. PHYSICAL %~/} HEALTH
HAZARD CATEGORIES Fire [ ] Reective [ ~ Sudden Release of Pressure Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFiCATiON .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ~/~ pure [ ) Mixture%~ Waste [ ] Radioactive [
7) AMOUNT AND TIME AT FAClUTY UN~IT~/~)F MEASURE 8) sTORAGE CODES
Mammum Oaily Amount: ~ lbs ~ ga~ [ ] ti3 [ ] e~ Container:
Average Daily Amount: ~ curies [ ] b) Preasum:
AnrtuaJ Amount: /~Z-~-/,.)/~. c) Temperature:
Lm'gest Size Container:.
# D-ys On Site ~'T'.F Circle Which Months: All Yea~. J, F, M, A. M, J, J, A, S, 0, N,
9) MIXTURE: List _ ~ . coMPONENT . CAS # % WT AHM
the three most hazardou$ I) c~- 1.~,l~;"~oYy~-.Jfh ~nO I /[/-7~- ~
mlyAHMcomponents 2) EF/"')C-~J~'tO /~FF)}'n .
10) Loca~o. WHYS S SHOWROOH
cerbfy under penalty of jaw, 'b~at / haye personal/y exam/qe~ er~ am/ami/mr wi~h the/nlom~ subm/tted on ~ an~ all a~ached documerY~. /be//eve
: ~bmitted informa#on is flue, accurate, and complete. "
GENE SPINOZZI ~ GEN MGR
5/1/95
":INT Name & Title of Authon~ed~ C~mpany Representa~e , Signature Date
- -- BAKERSFIELD CITY FIRE DEPARTMENT'
~ ., H/~RDOUS. MATERIALS INVIE~ORY Page_of__
Business Name .... CLEANWAy~ SA..NI.TARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD,~ CA 93301
_ S: New iX] Additio~ [ ] Revision [ ] Del°lion [ ] Check if chemical i~ a NON TRADE SECRET [ ] TRAI3E SECRET [ ]
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [' I Delayed HeaJth"(Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
s) PHYSICAL STATE . So~ [ ! Uqu~ ~ G~ [ ] P,,r~ [ ! M~', ~d'"W%° [ ]' ' ~ [ !
7) AMOUNT AND TIME AT FACILITY UNITS, OF .ME.~URE 8) STORAGE CODES
H · Maximum Daily Amount: ~ lbs [ ] gm ~ ~3 [ ] N Container. i 0
~\~'"'- Average Daily Amount: ~ cudes [ ] . b) Pressure:
~ I ' AnnuaJ Amount: 7 ~ c) Temperature:
~ Largest Size'Container. ~
# Days On Site Circle Which Months: All Yea& J, F, M, A, M, J, J, A, $, O, N, D
9) MIX'TUBE: List ~., ' . . COMPONENT CAS $ - % w'r AHM
chemicaJ componer~s or / / - ·
a~y AHM components 2}. [ ]
a) [ ]
10) Location WHR$CS SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS' New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ l
2) Co~mo.N=~.: 1-~, ~, ~00 0 3) ~OT,(o~
ChemiceJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] pure [ ] Mixture~ Waste [. ] Radioactive [ }
7) AMOUNT AND TIME AT FACILITY UNITS OF .ME.~RE 8) sToRAGE CODES
MaXimum Daily Amount: '~' lbs [ ] ga ~ It3 [] a) Container. { 0
Average Daily Amount: ~ curies [ ] b) Pre.urn:
Annual Amount: /~ c) Temperature:
Largest Size Container.
# Days On Site Circle Which Months: All Year, J, F, M, A. M. J, J, A, $, O, N. D
the three most haza.,dou$ 1) ~J~/¢r- ~.. ~,_~ 7 7 7~z- }~-5- -- [ ]
chemical components or
10) Location ~}-[RS S SHOWROOH ..
Cerbty under penalty:pr, law, ~hat I he~.. e pe .~o~_.ly examsn~eo eno am rain,tier wi~h the infomabon submitted on this and all attacJle¢l doc~ I believe
~bmitted information is true, accurate, and complete. ' '
GENE SPINOZZI IGEN MGR' . 5/1/95
~Vr Name & T;~e of Au~hon~ed Com.~ny ;~pre~e~m~'ve $igna~Jre
.... ' BAKERSFIELD CITY FIRE DEPARTMENT
.,.., "HAZA 0uS MATER!ALS'.INVEN :IY Page. of
Business Na~e:.,, CLEANWAy-,s .A~,-ITARY SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, · CA 93301
' * CHEMICAL, DESCRIPTION.
1) INVENTORY STATUS: New [~ .Additiog. [ ] ne~,ion [ ] Deletion [ ] Chec~ if chemical ia a NON TRADE SECRET [ ] ~ SECRET [ ]
2) Common Nan'e: [,t_i/~-G 'J/~ ....... .~ ....................... 3) D~T ' (OlXiOMJ) "
ChemicaJ Name: AHM [ ] CAS it
4) PHYSICAL & HEALTH ;. ~ PHYSICAL HEALTH
HAZARD CATEGORIES. Fire [*] 'Reactive[ ]Sudden. Release of Pressure [ ] ImmedlateHe~h(Acute) ['1 OelayedHeaatl*'{Chmnic) [
5) 'WASTE CLASSIFICATION - (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND T/ME AT FAClUTY ,' ', ¢ UNITS, OF .MEA.~ORE 6) sTORAGE CODES
· Maximum Daily Amount: lbs [ '] ga..~ fi3 [ ]. a) Container:. I (~)
Average Daily Amount: ~ cudes [ ] . b) Pressure: I
Annual Amount:. ~ c) Temperature:
Largest Size*Container.
~ ~ o n ORe { I Circle Which Months: ...All Year. J, F, M, A, M, J, J, A, S, O. N. D
9) MIXTURE: Mst . . COMPONENT . . , ' .... CAS it % ~r AHM
chemicaJ components or "~ ' / - ~J ' --' ' ~/""
10) Location WHRSGg SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] .Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) co=mo. Name: ~L~,O~¥1GL~/~ Ej~ ~) ~OT it (o~
Chemicai Name: AHM [ ] CAS it
4) PHYSICAL & HEALTH. PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
[U/
5) WASTE CLASSIFICATION .(3-ciigit code from DHS Form 8022) USE CODE
6) PHYS~CALSTATE Solid [ ] Uquid'~'l" Gas [ ] pure [ ] M~'ure~l,4/ W.-te [ ! ~dk,acti~ ! ]
7) AMOUNT AND TIaE AT FAClUW UN~TS O~ ~.E~U.E e) S~:0RAGE CODES
M~mu=Oai~y^mo..~: ~ ~b= [] ga IV] .3 [*] .)conmn~r.
Average Daily Amount: ~ cudes [ ] b) Pressure: i
Annu~d Amou~ ~, O c) Temperature:. H
# Days On Site Circle Which Months: NI Year. J. F, M. A. M, J, J, A, S, O, N, D
9) MIXTURE: ' Mst' COMPONENT CAS it % WT AHM
the mree most hazardous 1) i_, ~c~r- -77'hz. - 15 -5- '-- [ ]
any AHa components t y ~_..V% ~ C3~C~" ' H' ~ --
10) Local, WHRS g SHOWROOM.
.F
~_,bmilted information is true, accurate, and complete. . .
GENE SPINOZZI 'i GEN MGR
~INT Name &' Title ~f AuthoriZed c°m~RepresentaUve Date
- - BAKERSFIELD CITY FIRE DEPARTMENT'
., HA RDOUS MATERIALS .INVIE rORY Page_of___
Business Name.,. CLEANWAy..SA~N[..IT;LRY SUPPLY Address g00 CHESTER AVENUE BAKERSFIELD,. CA 93301
H .
1) STATUS: New [~ Addition [. ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) CommonName:~C~I/V ~\ly)''l 'P/~ /",~A ......... 3) DOTe(op~one~ " ! J
Chemical Name: AHM { ~ CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :'Reactive[ ] Sudden_Release of Pressure [ ] lmmedlateHeNth(Acute) [] OelayedHea~1"(Chr°nic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE ,.Solid [ ] Liquid G~. [ ] Pure [ ] te[ ] Radioactive [
7~j AMOUNT AND TIME AT FAClUTY UNITS OF .MF_~URE 8) STORAGE COORS
· Maximum Daily Amount: ~O lbs [ ]" gaJ'W~ ~3 [ ] a) Container. ,i
(~ Average Daily Amount: / O cudes [ ] . b) Pressure: t
<~_.,_.AnnuaJ Amount: ,~ c) Temperature:
~ Lapgest Size'Container:
# Days On Site ~ ~ ~ Circle Which Months: All Year. J. F. M. A. M. J. J. A. $. O. N. D
9) MIXTURE: Ust ' . ' CO/,M~/ONENT .'" ~ J~ '~' CAS # % ~r AHM
7'
10) Location WHRSG& SH0WROON
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New[] Addition[ ] Revision[ ] Deletion[ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD
CATEGORIES
Fire
[ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ! Delayed Hea/th (Chro~c)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) ~HYS~CALSTA~ So,~ [ I Uqui. ~ G.~ I ] put. [] ~ur~ ~ W~ [i
7) AMOUNT AND TIME AT FAClUTY UNITS OF M. EA~URE 8) sTORAGE CODES
Maximum Daily Amount: '~ lbs [ ] gal '~,q ft3 [ ] a) Container. ~r'
Average Dally Amount: ~. curies { ] b) Pressure:
Annual Amount: ~ c) Temperature:
I_a~gest Size Container. ~
# D&ys On Site Circle Which Months: All Year, J, F. M. A. M. J. J. A. S. O. N. O
9) MIXTURE: List COMPONENT CAS ,~ WT
_ []
chemicaJ compenents or
10) Location WHRS & SHOWROOM :
.cerOTy urger penal~y pf : l ,w, ~hat I ha~e per~onagy examineO eno. em famdiar w~h lhe infoma~o~~ed
L, bmiffed information is flue, accurate, ~ complete.~~
s/1/9
GENE SPINOZZI ~ GEN MGR
RINT N~'ne & 77tie of AuthonT~edf Comr~'~y Represen,,.'= ~'ve ~ignature ~ DaJ~
" BAKERSFIELD CITY FIRE DEPARTMENT'
...... , OUS MATERIALSINVEN Page. of
Business Na~.e:.,. CLEAN'WAY. S ,A~..I.TA~,.Y. sUpPLY. Address 900 CHESTER AVENUE BAKERSFIELD, · CA 93301
CHEMICAL DESCRIPTION.
.1) INVENTORY.S.TATUS: New[~ Addit~,[ ] R.evision[ ] Dqlefion[ ] ' ChecR If chgmical is e NON TRADE SECRET [ ] TTIAD~SECRET [ ]
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALT~ . PHYSICAL ~ HEALTH
HAZARD CATEGORIES Fire ['] :'Reactiye,[ ] SUdde.n. Release of Pressure [ Immediate HeNth (Acute) ['] DelayedHeelth'(Chronic)
5) 'WASTE cLAsSiFICATION (3-digit code from DHS Form 8022) US, E CODE
PHYSICAL STATE Solid [ ] liq [{~ Pure [ ] 'Mixture~ 'waste' [ ] Paldioactive [ ]
7) AMOUNT AND TIME AT FAClUTY :!~ UNITS. OF M_EA~RE ' ' 8) sTORAGE COONS'
· Maximum Daily Amount: ' ~ lbs [ ]' gal .[~ ~3 [ ]. a) Container.
Average Daily Amount: / cudes [ ] b) Pressure:
Annual Amount:. /0 c) Temperature:
Largest Size'Container. ~ ~ 03,.
# Days On Site '~ ~ Circle W~ich Months: .:.,All Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: Ust . : COMPONENT CAS ,~ · % WT AHM
the three most hazardous 1) [
chemical components or " - .....
any AHM components 2). [ ]
3) [ ]
10) Location WHRSG& sHoWRooN
....... CHEMICAL DESCRIPTION ' ..
1) INVENTORY STATUS: New [~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH. ' PHYSICAL HEN.TH
HAZARD CATEGQRIES Fire [ ] ReectNe { ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Uquid "~ Gas [ ] pure [ ] Mixture ~ Wute [ ] Radioactive
7) AMOUNT AND TIME AT FAClUTY UNITS OF M,F_.~URE . 8) S~ORAGE coDEs
Maximum Daily Amount: / ~ lbs [ ] gaJ' [~f~ ft3 ['] ' a) Collt~ner.
Average Daily Amount: O~ curies [ ] b) Pressure:
Annual Amount: ~/~ c) Temperature:.
· Largest Size Container. ~
# Days On Site Circle Which Months: Ail Year, J, F, M, A, M, J, J, k $, O, N, D
9) MIXTURE: List' COMPONENT CAS # % WT AHM
chemicaJ components or - ·
10) LocasJon ~HRS & SHOWROOH.,
cern'fy under.penal~:.o.f :/aw, ithat I h .ay.e p~ .r~.ly examin, ed eno e
:_,_hmitted information is true, accurate, and complete. ' *' "'
GENE SPINQZZI IGEN MGR' . - 5/1/95
r~ll','T Name &Titfe of Authon~led company Ftepresenmtjve -. S/gna/ute ....
--' BAKERSFIELD CITY.FIRE.DEP, ,RTMENT'
..,. ., ' ';HA RD.OUSi: MATERIALS..INVBIBI,OR¥ Page.of__
Business Na~e:.,. CLE.ANW~A.Y,.,S ,A~.I:TARY. SUPPLY. ' Address90.0 CHESTER AVENUE -BAKERSFIELD,. CA 93301
C~m~ N~e: ~M [ ] C~ ~
4) PH~IC~ & H~ P~IC~ H~
H~D CA~RIES Fire [ '] '~ Re~ [ ] Sudde9 Rele~e of Pressure [ ] Im~e He~ ~e) [' ] ~ H~"~hm~)
5) ~WAS~ ~ssi~ICA~ON : (~ig~ ~ ~m DHS Fo~ 8022) USE CODE
~ ~OUNT ~D ~ME AT FACI~ :~ UN~ OF M~URE a) ST0~GE CO~S
. M~mumD~ount: '~0 I~ [ ] g~ ~] ~3 [ ]. ~Co~c [ O
~nu~ ~un~ ~ c) Tem~r~:
~est S~e'Con~ne~
· ~OnS~e ~ ~' Ci~e~ichMon~: .NIYe~. J, F, M, ~ M. J, J, ~ S. O. 'N. D "
9) MITRE: ~t COMPON~ C~ ~ - % ~ ~M
10) Lo~ion W~S['~8 S~Og~O0~
CHEM~CAL DESCm~ON
1) IN~NTORY STA~S: New [ ] Add,ion [ ] Re~ion [ ] ~letion [ ] Ch~ ~ ~emi~ ~ a NON ~E S~R~ [ ] ~ S~R~ [ ]
Chemi~ N~e: ~D [ ] C~ t
4) PHYSICAL & H~TM P~ICAL H~
H~D OA~GORIE~ Rm [ ] Rea~ [ ] Sudden Rele~e of Pressure [ ] Imm~ He~ (A~e) [ ] ~ H~
5) WAS~ C~SIFICA~ON .(~ig~ co~ ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ I Uquid ~ G~ [ ] pure [ I M~r. ~ W~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~RE 8) ST0~GE CO~S
M~mum O~NAmount: /O I~ [ ] g~ [~ ~a ['] ~ ~n~.
A~e D~N ~unt: ~ cudes [ ] b) Pm~: i
An~ Amoum: ~ ~ c) Tem~:-
~t Size Con~n
· Da~OnS~e ~ Cir~e~i~ Months: NIYe~. J. F. M, ~ M. J. J, ~ S. O. N,'O
9) MITRE: Dst COMPON~T C~ · % ~
chemi~ ~m~nen~ or ·
L, bm~ info~a~on is ~e, aCCU~, ~ comple~ "; '" ' ' '
RI~ N~e & TiEe of A~n~ Com~ Represenm~e Sig~
-- BAKERSFIELD CITY FIRE DEPARTMENT'
.. ., 'HAzA IOUS MATERIALS INVENI IY Page of
Business Name..~. CLEAN, AY. S .A~..ITARY. SUPPLY. Address go0 CHESTER AVENUE BAKERSFIELD,. CA 93301
'?" :"':= .......... '~: ......... ~ ......' ~'~'~'~ ..... ~'~' .......... ~HEMICAL DESCRI~ON
~)IN~ORYSTA~S: New[~ ~[.] R~n[ ] ~le~n[ ] · C~~baNON~5~ [ ] ~~ [ ]
C~m~ N~e: ~M [ ] C~ ~
4) PH~IC~ & H~~ PH~IC~ H~
H~DCA~RIES Fire [ ] ?ReactS[ J Sudden Rele~e of Pressure [ ] Im~eHe~e) [' ] ~H~'~h~)
5) 'WAS~ ~SSIFICA~ON (3~ig~ c~e ~m OHS Fo~ 8022)' USE CODE ' '
6~PHYSIC~STA~ .Solid [ ] Uqu~ G~ [ I PuT [ ! M~m W~te [ I ~ [
~ ~OUNT AND ~ME AT FACIU~ UNITS OF M~RE e) STOOGE CODES
· M~mum D~lyA~unt: '~0 I~ [ ]' gN ~ ~.[ ] . N Co~ne~
A~mge O~ ~um: ~' 0 cudes [ ] .. . b) Pm~um:
~nu~ ~oun~ ~ ~( c) Tem~r~m:
~est S~e'Con~ne~
· ~OnSRe Ci~e~ichMon~: .~lYe~, J, F, M, A, M, J, J, ~ 8. O. N. D
9) M~RE Dst . ~. . COMPONE~ '
~0) Logo. WHRSG8 SHO~ROOH
CHEMICA2 DESC~i~ION
Chemi~ N~e: ~M [ ] C~ ~
4) PHYSICAL & H~L~ PHYSICAL H~
H~D CA~GORIES Rm [ i Rea~e [ ] Sudden Relate of Pressure [ ] Imm~e He~ (~e) [ ] ~ He~ (Chm~) [
5) WAS~ C~SSIFICA~ON (~ig~ code ~om DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] Uquid [~ G~ [ ] pu, [ ] M~, ~W~te [ i ~ [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) sTOoGE CODES
M~imum D,ly Amount: ~ I~ [ ] gM ~ R: I I ~ Con~ ..
Ave~e D~N A~unt: ~ ~ cudes [ ] b) Pm~:
~nuN Amount: ~[~0 c) Tempera:.
' ~est Size Con~ne~
· Os~OnS~e ~ ~ ~ Cir~e~ichMonths: NIYee. J. F. M. & M. J. J. A. S. O. N.
9) MITRE: Est . COM~N~T CAS · % ~ ~M
chemi~m~nen~or ~. ' / . , -~ ·
10) ~n WHRS S SHOWROOM
'
cem'~ u~er pen~ 9f law, :.~ I h~e pe~jy ~iq~ ~ ~ f~iti~ w~ ~e in~~ d~
,hmi~ info~aOon is ~e. accu~, ~ complete.
GENE S~INOZZI '~ GEN MGR' ~~ 5/1/95 '
- .-' BAKERSFIELD._,____ , CITY .FIRE DEPARTMENT'
....,H RD US:MATERIALS:INV FrOFIY Page of
Business Na~e: .... CLEANW~.Y...$ .A~.!TA/~_Y sUP?Ly .: Address 900 CHESTER AVENUE BAKERSFIELD., .. CA .93301
.'!' (~ CH EMICAL DESCRII~TION.
C~m~ N~e: ~M [ ] C~
4) PH~IC~ & H~ P~IC~ H~
H~D CA~RIES Rte [ '] 7Re~ [ ] Sudden. Relate of Pressure { ] Im~e He~ ~9) [ ] ~ H~"~hm~)
5) WAS~ c~sSiFICA~ON (3~ig~ ~e ~m OHS Fo~ 8022) USE CODE
~ ~OUNT AND ~ME AT FAClU~ UNI!S OF ~URE a) Sm~GE CO~S '
. M~mum D~N ~ount: '~
A~ D~N ~um:
~ ~ ~nu, ~o~ · ~
~est S~e*Con~nec ~ · -
9) MITRE: Ust
3) [ ]
CHEMICAL DESCRiml0N
1 ) IN~ORY STA~S: New ~ ] Add~on [ ] .Re~ion [ ] ~letion [ ] Ch~k E ~m~ ~ a NON ~E S~ [ ] ~ S~ [ ]
Chem~ N~e:
4) PHYSICAL & H~~ PHYSIC~ H~
H~D CA~GORIES Rm [ ] Rea~e [ ] Sudden Rele~e of Pressure [ ] Imm~e He~ (~e) [ ] ~ He~ ~) [ ]
5) WAS~ C~SSlFICA~ON (~ig~ code ~om DHS Fo~ 8022) USE CODE
6) PHYSiCALSTA~ Solid [ ] ~quid ~G~ [ ] Pure [ ] M~m ~W~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClUW UNITS OF ~URE . 8) sTOoGE CODES
M~mum Daly A~unt: /~
A~e D~N ~unt: ~
~est Size Co~
· Da~OnS~e ~ Cir~e~ichMonths: NIYe~, J, F, M, ~ M, J, J, ~ S, O, N, D
9) MITRE: ~t COM~NENT C~ · % ~ ~M
the ~me most h~ous 1 ). [
3) ~.~ [ ]
10) ~on WHRS S SHOWROOM
~,bmi~ info~afion ~s ~e. aCCU~ ~ compleX. ' ~ . '' ' ' '
RI~ N~e & ~fle of ~n~ Com~ Repms~m~e
.,-" BAKER. SFIELD CITY FIRE-DEPART:MENT'
..,: ... HA/-~UUUS' MATE. RIALS: INVENTORY Page of
Business Nam. e:.,-.. CLEANW~.Y.-,~ .A~.ZTARY SUPPLY- ' Address 90.0 CHESTER AVENUE · ..BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION.
1) INVENTORYSTA.TUS: NewIX] ~( ] Revision[ ] Deletion[ ] ' Check if chemioal is a NON TRADE SECRET [ ] TRADE SECRET [
- Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH : . . PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ 'J - Reactive [ ] Sudden. Release of Pressure [ ] I.rnmed'mte Health (Acute) [' ] Delayed HeaJth"(Chmnic)
5) 'WASTE CI:ASSiFICATION ' (3-digit code from DHS Form 8022) USE CODE
'" .,, .. ": il
7) ~OUNT AND ~E ^T ~'^ClU~' U.~TS OF ~. EAS~E e) STOOGE CO~ES
· Maximum Deily Amount:"'~ lbs [ i gal 'I~3 [ 1. ~)Contalner.
Average Daily Amount: curies [ ] . b) Pre.ute:
Annual Amount:. c) Temperature:
largest Size'Containe~.
8= Days On Site Circle Vv~ich Months:. :..All Year. J, F, M, A. M, J. J, A, S, O, N. D
9) MIXTU.R~' List,..,. : COMPONE~I' -. CAS # ' % WT AHM
· the ~hree most haZa.dous 1)' ,-----.._ . ~ [ ]
~"""~ co'""ne'~ °' '~vu~"~' N '--'
any AHM components 2) ~ ~ '~--~' [ ]
3) [ ]
.... ... . . CHEMICAL.DESCRiPTioN
1) INVENTORY STATUS; New ~ ] Addition [ ] .Revision [ ] Deletion [ J Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET ['
2) Common,.~.: :P C -~. 3) DOT,
Chemical Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH' PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ! Sudden Release of Pressure [ ] . . Immediate HeaJth (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION ,- (3-digit code from DHS Form 8022) USE CODE r ~.
6) PHYSICAL STATE Solid [~Uquid [ ] Gas [ ] Pure [ ] Mixture II'Waste, [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS~;)I~EASURE 8) sTORAGE CODES
Maximum Da~ly Amount: ~4~::~ lbs [ivr gaJ,. [ ] fi3 ["] a) Contadner:
Average Daily Amount: .~"' curies [ ] b) Pres~lre:
Annual AmOunt: ~ ~ c) Temperetum:.
Largest Size Container:. ~" ~- 1~
# Days On Site ?~; ~ Circle Which Months: AJI Yea'. J, F, M, A, M. J, J, A. S. O, N, D
9) MIXTURE: Ust , coMPONENT CAS · % WT NlM
lO) Loc~n 1~RS & SHOWROOM - -~
e~rbly under.per~l~ .o. t:i~w,:lha~ I h~ve. pe .r~or~.ly e.~min, e~ ~ ~m tamili-r wiltl ~he inlorl~lk~ ~ubi~4le~ ~n ~ ~ ail ~c, hel~
~bmitled infon~#on i~ ~ue, "c~ur~ ~l complet~ '" "
"GENE SPINOZZI '1 BEN MGR - 5/1/95
n.%'T'""' Name &'-T/t~e of Authon'~ed Company Representative " S/gnalure . - Date
BAKERSFIELD CITY FIRE.DEP-ARTMEN T
''": RDOUSi: MATERIALS',INV OR¥ Page_of__
Business Name.: .... CLEANWAY'.:,-S .A~..T,TA~',Y' SUi~PLY- -; Address 900 CHESTER AVENUE · .BAI4gRSFIELD, -. CA 93301
CHEMICAL ,DESCRIPTION,
1) INVENTORY STATUS: New[~ Addition[ ] Revision[ ] Deletion[ ] ' Check lf chemical b a NON TRADE SECRET [ ] TRADE SECRET [ J
2) Common Name: ~1~ / ~ ~ '~-- .................................. 3") ~:X~T.# (op~iona0.
ChemicaJ Name: NlM [ ] CAS it
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :'Reactive[ ] Sudd~B Release of Pressure [ ] Immed'mteHeaJth(Acute) [] DelayedHeaah"(Chr°nic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022] USE CODE
6)" PHYSICAL STATE .Solid [ J I, Jquid Il Pure [] Mixture ii' [ ] '
.
7) AMOUNT AND TIME AT FACIUTY UNITS OF E 8) STORAGE CODES
· Maximum Daily Amount: ~--'~--/~£'-£ ' - lbs [ 'i*"gal ~ ft3 [ ]. a) Container. t
Average Daily Amount: ~ cudes [ ] b) Pressure:
A~nuai Amount: ~ 0" c) Tempomtur.:
Largest Size'Contmner: ~'~' . -
#Oays On Site Circie Which Months: All Year. J. F, M, A, M, J, J, A, S, O, Ni D
9) MIXTURE: Ust.., ' COMP. oNENT _ ' . CASit'- %w'r NlM
3) [ ]
1{~) Location ~'H~SCF~
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: (' ,3pJ~)Ol~tC~// Clec. io P sc ro-v, / a) C Tit
ChemicaJ Name: NlM [ ] CAS it
4) PHYSICAL & HEALmHr PHYSICAL HEALTH
HAZARO CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chr°nic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~Waste [ ] Radioactive
7) AMOUNT AND TIME AT FAClUTY/_~_,_ /- UNITS OF ~EA,~d'RE 8) sTORAGE CODES
Maximum Daily Amount:\--4~' - lbs [ ] gal ~ ft3 [ ] a) Container. [0
~ Average Dally Amount: ~ curies[] b) Pressure: t
.. Annuai Amount: c) Temperature:. ~/
- I_a~gest Size ContaJne~ ~
i~ # DaysOn Site ~.~/, ~" CircJeWhich Months: NIYear. J, F, M, A, M, J. J, A, $, O, N,'D
9) MIXTURE: Dst , COMPONENT , CAS · ~ NlM
the three most haza.,dous I) DJ'r~o~Jlem~ ~l,_/col r~or~dr~-i-/~v( 3cr'~'-~O-AH-~'[¢,, []
chemical components or
any AHM components
3) ..' [ ]
10) Loca~on ~TH~S g SHOT~,OOH ,:
,_,bmi~ted information is ~z~e, accurate, and comple~ ~..~ ~ .
,5/1/95
~,INT Name & 77#e of AuthoriZed Company RepresentaUve -- ~ Date
- BAKERSFIELD CITY FIRE DEPARTMENT'
HAZ/~,.,OUS. MATERIALS.,INVEN~.RY. Page. of
~:? ', .,~ . :.. : ? ..* .. ,.~ .. *.
Business Name: .... CLE.ANW,Ay/~s ~A~..ITA~I_y SUPPLY. Address 9.00 CHESTER AVENUE -..BAKERSFIELD,. CA 93301 ..
.I~U~qVEglTORY STATUS: New [Z] ~ [. I R.evision [ ] _De. letion [ ] · Check if chemica~ is .a .NON TRADE SECRET [ ] TRADE SECRET [ ]
· ChemioaJ Name: AHM [ ] CAS~
4) PHYSICAL & HEALT~-I PHYSICAL HEALTH
HAZARD CATEGORIES Fire ['] ?Reactive[ ] ~;u~de.n. Release of Pressure [ ] Immed'mteHe~th(Acute) ('] DelayedHeaJl~"(Chmnic) [
5) W~:sTE ~LAssi~=~c^TION- (3<~g. code ~o~. O.S Fo.~ 80~ USE COD~
..so~ ! ! Uqu~ [ i Pa. [ ] M~r~ [ ]~**'
a ~OUNT ~,O TI~E AT F~C~U~ u,rr~s o~ ~,~S,~E a) CODES
· Maximum Daily Amount: ~ lbs [ ] ,~aJ ~ fl:3 [ ]. ~) COrltainec
Average Daily Amount: ~ curies [ ] b) Pressure:
0~j''~' Annuai Am°unt:Largest Size'Containe~.
~ c) Temperature:
# Days On Site (/,~/, ~:"'. Circle Which Months: AJI Year. J. F. M. A. M. J. J. A, S. O. Ni D
COMPONENT
CAS
9) MIXTURE: Ust .
....... P~ol ~'~ ¢ tc~-~- ~o~
_ []
chemical componer~ or -. ~
U ~./. ·
3) [ ]
14 L;cation WI-IRSr:;S SHOWRS'OM .... : ...... '
..... .... CHEMICAL DE$CR
FTION
1) INVENTORYSTATU$: New~] Addition[.] Revision[ ] Deletion[ ] Check if chemicaJ is a,NON TRADE SECRET [ ] TRADESEORET [ ]
2) Co~mo. Namo:~O'r'C.,'[S4Or,J Cleon{ C_.c,¢~c.6r,'.i'r~:,d6. 3) ooT,(o¢o~
,
Chemic~d Name: AHM [ ] CAS
4) PHYSICAL & HEALTI'~ PHYSICAL * HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFiCATION .(3-digit code f~om DHS Form 8022) USE CODE
6) PHYSICAL STATE So,d [ ] U~u~d ~G-- [ ] Pu~e {] ~r. ~d,/Wa~e [! ~,dk.,c~ [ ]
7) AMOUNT ~D ~ME AT ~AC~UTY ' . U.,TS OF U. EAp~'RE ~) s~:OP~GE CODES
MaXimum Daily Amount: //~. lbs [ ] gaJ,[~tv' ft3 [~ ] a) Container:.
0 ./ A~e Daily Amount: curies [ ] b) Pressure;
AnnuaJ Amount: ,5==~) ; . i c) Temperatm~:.
Lm'gest Size Container:. ~
#DeysOn Site Circle Which Months: AilYea~, J, F, M, A, M, J, J, A, S, O, N,'D
9) MIXTURE: IJst COMPONENT. / CAS # %~,~..~ AHM
chemical components or
3) ~ [
10) Location WHRS & SHO ROOM-;
cer~Ty under.penaJty,,~,.:law<mat I h.,ay.,e ,.
~ubmitted informaUon is ~e, accurate, a/~d complete. '
5/1/95
'RIh'T Name & Title of Authon~ed Company Represen~aUve Signature ............. Date
BAKER i[:iELD CITY FIRE DEPARTMENT..
HA~I~RDOUS MATERIALS INVEI~I'ORY Page~o'~
~usinessName.CLEANWA¥ 'SANITARY SUPPLY ·Address 900 CHESTER AVENUE, BAKERS['IELD, CA 93301
CHEMICAL DESCRIPTION
1) INVENTOflYSTATUS: New(XJ Addition[ ]="Revision[ ] D~letJon( ] Checkifcl~emicaliseNONTRAOE~ [ J TRADE SECRET [ J
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH , PH'~SICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive ( ] Sudden Release of Pressure [ ] immediate Health (Acute) [~ ! Delayed Hea~l~ (Chronic) i//]'/..
5) WASTE CLASSIFICATION ~(3~digit code ffomDHS Form 8022) USE CODE
7) AMou~ ..~D TI~E A'r ,'AClU"ri'. ' u,rrs'o~ M,F_~SU~E e) STOOGE CODES:~
Ma~dmum~NAmoum: .... Ib~ [ | g~J ~3 [J
PreSSUl'O: . ~J' ,::
Average Daily Amount: '::~ cudes [ ] b)
AnnuaJ Amount: '/~. c) Temperatum~ i'.i
I.~gest Size Container:. . ,' ' ""~ '..~: ,.'. I.
# ow On Sit° .'~x Ci~, which Mo,U~: ~ Yo~. J. F. ~. ~ M. J. J. ~,'~?0. N. O
9) MIXTURE: List COMPONENT CAS ~ % WI' AHM
the three most hazardous 1) [ ]
chemicaJ coml3onents or
3) [ ]
10) Loca~on B[d~ #1 S show~oom.
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [~ Addition [ ] Revision [~ .] Deletion { ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET
2) Common Name: t.)i~I(~ [~ 3) DOT,~;(o~}!,
Chemical Name: " ~ AHM [ ] CAS ~..: .=' ~', '.
4) PHYSICAL & HEALTH '; PHYSICAL HF_.~.TH'
HAZARD CATEGORIES Fire [ ] Reactive[.] Sudden Release of Pressure [ I Immediate HeaJth (Acute),. [{?] -Dela~HeaJth(Chronic) ['
· , ~ ,, ,
5) WASTE CLASSIFICATION (3-di~it code from D~S Form 8022) USE CODE "'~%
6) PHYSICAL STATE Solid [ I Liquid GaS[ I Pure [ I Mixture [~ aste [ I RadioaCtive [ ]
7'} AMOUNT AND TIME AT FAClUTY UNITS OF M~EA;~JRE 6) STORAGE CODES .' ' ·
Maximum Daily Amount: /0 lbs [ ] gaJ ~ ft3 { ] a) Container. t,'O
Average Daily Amount: ~ ~ cudes [ ] b) Pressure: t
~ AnnuaJ Amount: ,_~ ~ c) Teml3eretum:
Largest Size ContaUner:
# Days On Site ~' ~, ,~", Circle Which Months: Ali Ye~, J. F. M, A, M, J, J. A. S. O. N. D
9) MIXTURE: List COMPONENT - CAS # % WT AHM
chemicaJ components or
any AHM component~ 2) "~' [ ]
!
3) , .r..' Il
10) Loc~on WHRS ~ SH0WROON
familiar with the infomation submitt ~ ' and ail .documents. I believe
,bmitted information is O"ue, accurate, and complete.
GENE SPINOZZI GEN MGR 5/1/95
;INT Nam~ & 77tie of Authonzed Company Represanta~ve Date
HAZARDOUS
MATERIALS INVENTORY Page '.o-i
3usinessName CLEANWAY :SANITARY .Address 900 CHESTER AVENUE~, BAKERSFIELD, CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New(XJ Addition( ] Revision[ ] Deletion(] . Check if chemical is a NON TRADE SEC,qET [ ] TRADE SECRET [ ]
2) Common Name: S[*")C, LY~/-'~pO0. ~ -- 3) DOT' (op~onal)
Chemicad Name: AHM [ ] CA~
4) PHYSICAL a HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire { ] Reacave { ] Sudden Release of Pressure [. j Immedle~e Hea~th (Acute) [ } Delayed HeNth (Chronic)
5) WASTE CLASSIFICATION . .: (3-digit code from OHS Form 8022) USE CODE
. _6) PHYSlCALSTATE Solid [ ] liquid as [ ] Pur~ ~[: ] Mixture ta [ ] Red~ [ ]
7) AMouNT'AND TIME AT FAClUTY UNITS 'oF M_EA~,',~RE: ~':i.{ 8) STORAGE CODES
:M~mum C~h/Amoun~: ~ lbs [ ] ga IM' ~3 ["i~i.. a) CorOner:.
...~Verage Daly Amount: ~ cudes [ ] b) Pressure:
i ;~-tlnual Amount: .~ .z~w .?" c) Temperature:
."tamest Size Con~iner:. ~ i;~:'
...~ Days On Site ~' ~'&, ~ cir~Je Which Months: ::'Ail:Year. J. F, M, A, M, J. J, A, $, O, N, D
9) :MIXTURE: list COMPONENT CAS ~ % WT AHM
chemicaJ comr)onents or
a~y AHM components 2} " [ ]
3), [ I
10) Loca~on. ~ldg #1 S shos~.oom.
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS1 New k:~ Addition [ ] Revision [ ] Deletion [ ] Check if chemical is ,, NON TI:lADE SECRET [
Chemical Name: :' N-IM [ ] CA~
4) PHYSIC~& HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [ ] :.- .lmmediataHeaJth(Acute) [ ] Delayed HeaJth (Chronic) [;]~
5) WASTE'CLAsSIFICATION .(3-digit code from DHS Form 8022} ' USE CODE
6) PHYSICAL STATE'" Solid [ 1. Liquid ~'Gas [ I Pure i ] Mixture Waste [ ] Radioactive [ ]
UN~TS OF ~.E~S/~E .; S) STORAGE CODES
7) AMOUNT ANDT]ME'AT FAClUTYMaximum Da/h/Amount: ~3~* .... lbs [ ] gaJ ~ ft3 [ ] : a) Container.
Average OaiN Amount: &/ cudes [ ] b) Pressure:
Largest Size Contmner: ~Lg~,~'"'~ '
# Days On Site V :~ ~-- Circle Which Months: Ail Yea~. J. F, M. A. M. J, J. A. $. O. N. D
9) MIXTURE: list COMPONENT CAS # % WT AHM
the three most hazm'clous 1 )' ~- ~ [ I
chemicaJ components or
3) ~ .~-~' [ ]
10) Loca~on WI-IRS g SHOWROOM
~e.~'~/under penm~ ot/aw, ~ha~ / have ~er~ona/ly examined and am ~am~//ez w/Oh ~ge mtoma~on ~u~mi~ on ~/$ and a//
/~ed/nlorma~o~ is 0-ue, accurate, ~nd comp/em.
GENE S~INOZZI GEN MGR ' ~V 5/1/95
· ~NT Name & r~#e ~ ~o~ze~ Compa/~Hepmse~m~e $/g~a~m
BAKERS_FI,ELD CITY FIRE.DEP/%RTMENT
....
RDOUS MAT. ER!ALS,.INV ..:Y Page of
Business Name:.: .... .... CLEANWAY-.SANITARY... SUPPLY. ' Address 90.0 CHESTER AVENUE,..-BAKERSFIELD.,. CA 93301
' '- CHEMICAL DESCRII~TiON:
11) INVENTO~.S~'A.TU. S: New [~ ~ [. J R..e~sion [ ] .D?l..elJon [ ]. · C ..h~ if ch~. mica~ is e. NON TRADE SECRET [ ] TRADE SECRET' [ ]
2) ' ........................................................... 3) "
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH ; :: .. PHYSICAL HEALTH
HAZARDCA.TEGORIE~S' Fire ['] 'Reective[ ] .Su~de..n. Release of Pressure[ ] I.mmediat.~'H~jth(Acute) [:] Delay~lHealth'(chronic)
5) S T~ON : (3-digit code from DHS Form 8022) USE CODE
6i' PHYsIcAL STATE Solid [ J LJquid [ [ ] RadioaclJve [ ]
7) AMOUNT AND T}ME AT FAClUTY '~ UNITS. OF' ~F_~URE ..... 8) sTORAGE CODES
· Maximum Oa]ly Amount: '"(~' lbs [ ]:' gaJ 'IV] ~t3 [ ] a) Container:.
Average Daily Amount: 4~" 'cudes [ ] " b) Pressure:
Annum Amount:. ~ c) Temperature:
Largest Size'Container. ' *
# Days On Site Y ~ ,~ ~ Cimle Which Months: . ..AJI Year. J, F, M, A, M, J, J, A, S, O, N, D'
9) MIXTURE: Mst,. ~ COMPONEN~ CAS · · % WT AHM
chemica] components or
any AHM components 2) ' ' [
3) [
~o~y~
1 ) IN STATUS: New ~: } Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is · NON TRADE SECRET [
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH- PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ ] Immediate Heaith (Acute) [ ] Delayed HeaJl:h (Chro~ic)
5) WASTE CLASSIFICATION (3-digit code tom DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid ~]F"'Gas i ] Pure [ ] Mixture /Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF M. EA,,~URE 8) sTORAGE coDEs
MaXimum Daily Amount: Z// lbs [ ] ga] ~ ft3 ["] a) Containe~ '
Average Daily Amount: ~ curies [ ] b) Pressure:
/,~...._. Annual Amount:. / ~ c) Temperaturei.
~) . Largest Size Contmnec ~
# Days On Site Circle Which Months: Ail Year, J, F, M, A, M, J, J, A,
3) : [ ]
' ' ' ~ : :'" 'i ' '-: '"' ~ : ' ": '*' "' "'
10) Loca~on WHRS S SHOWRO'OM' '
:~e.,'t/Ty. under P ena/~.~. . : /aw,' :that I h .ay. e pe .r~-on~Jy exam/ned eno am/ami//ar w/~ the
,h_.mitted informa#on is flue, accurate, and complete.
GENE SPINOZZI I GEN MGR ' ~----- ~ -, '5/1/95
:INT Name &' TiUe of Au~on~ed Company RepresentaUve . -. .
- - BAKERSFIELD CiTY FIRE DEPARTMENT'
., H ..AZA OUS MATERIALS. INVEN I:IY Page_of_
Business Name..., CLEANWAY S ,A~..!TA~_Y SUPPLY. Address90.0 CHESTER AVENUE BAKERSFIELD, . CA 93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[~ Ad~, [.] Revision[ ] Deletion[ ] · Check if chemical is aNON TRADE SECRET [ ] TP, ADESECRET [ ]
2) Common Name:/' --~--C:L~_~_~~' 3) DOT ~ (Ol:WOne0
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [] :'Reactive[ ] Sudden_ReleeseofPressure [ ] Immedlate Health (Acute) [] DelayedHeaJ~'(Chronic) [ ]
5) 'WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FACIUTY UNITS OF M.EA;~I~RE 8) STORAGE CODES
· Maximum Daily Amount: /~/' lbs [ ]" gN. [~r fi3 [ ] i N Container. 14)
Average Dally Amount: 7 ~ curie, [ ] . b) Pressure: '
Annual Amount:. ~ ~ c) Temperature:
Largest Size'Container:
#.Days On Site ~. ~'- Circle W~ich Months: .NI. Year. J. F. M. A. M. J. J.. A, S. O. N. D
9) MIXTURE: Ust ~ COMPONENT
C
NlM
chemical components or - -
any AHM components a) [ ]
~) [ ]
10) ko'carlo..WHRSG8 SHOWROOM
· CHEMICAL DESCR}PTION
1) INVENTORY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is ~ NON TRADE SECRET [ ] TRADE SECRET [ ]
2) co.mo..am.: 3) DOT # (op o )
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heart (Chlottic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ } Liquid Gas [ ] Pure [ i Mixture te .[ i Radioactive
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS~RE. 8) STORAGE CODES
Maximum Oaily Amount: /O lbs [ ] gal ~t~'ft3 [ ] a) container:
Average Daily Amount: ~ curies [ ] b) Pressure;
Annual Amount: ~O c) Te.m~:.
· largest Size Container:.
# Days On Site .~ ~ ~ Circle Which Months: All Year. J. F, M. A. M. J, J, .A,: S, O. N, D
9) MIXTURE: Ust COMPONENT CAS ~ % WT AHM
chemic~ components or - ~ . /
3) ." [ ]
10) Loca~on WHRS S SHOWROOM
:e~/ under penalty pr. law, .,lhat I h~..e pe .r~on~ .ly examined an~ am
-'_,mi~-,~ informa#on is ~n~e, accurate, and complete.
GENE SPINOZZI'IGEN MGR. . 5/1/95
:INT N,,me & ritlo of Au~hon[led Com~ ~epre~,,ta~ve Sigr~,.,r.
BAKERSFIELD CITY FIRE DEPARTMENT'
., 'H/ RDOUS MATERIALS INVI FOR¥ Page_ of
gusiness Name.., CLEANWAY SA. NITARY. SUPPLY . Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
1 ) IN'~r. gT~ ORY STATUS: New [~ Additioq [. i ae,,'ision [ ] Deletion [ I Check if chemical is & NON TRAD~ SECRET [ ] TRADE SECRET [ ]
2) Common Name: I~:z::~JL/~..--' : ........ 3)
Chemical Name: AHM ( ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ? Reactive [ ] Sudden. Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed HeeJUl'(Chronic)
: 5) WASTE CLASSIFICATION ,(3-digit code Eom DHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ I liquid , [ 1' Pure [ I 'Mixture ~/ Waste [ ] Radioectiv~
7) AMOUNT AND TIME AT FACIIJTY UNITS OF M. EA.~RE 8) STORAGE CODES
· Maximum Daily Amount: 7 lbs [ ]" ga ~ ti3 [ ] ~) Container:. tO
Average OaJly Amoum: ~ cudes [ ] b) Pressure:
~--..` Annual Amount: ~ c) TemPerature: 7
(~ Largest Size*Container. ~.
# Days On Site .~ ~ Circle Which Months: .All Year, J, F, M, A, M, J, J, A, S, O, N, D
.... COMPONENT CAS ,~ · % w'r AHM
9) MIXTURE: Ust ~-')~ c _~ ~ _ """- ' '
the three most hazardous I) r~T~l ~1~_~---, .t_,/V'~"llJ~-[- -~"~ ~3C30~'Z:C>-C~b~'DO
chemical components or ,~], ~ - -
/
3), [
10) Location [~'HRS{-;S SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ]' TRADE SECRET [ ]
2) Common Name: (.~:'~:i~C.)S:---~(~)..~.,?.{~- ~7 3) DOT, (optional)
Chemical Name: NlM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ i Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ]. Pure [ ] Mixture ~v~Waste [ ] Radioac~.e
7) AMOUNT AND TIME AT FAClUTY UNITS OF M. EA~I~RE ~) sTORAGE CODES
Maximum Dmly Amount: / 'Z~ lbs [ ] gaJ [%,r tt3 [ ] a) Container."
Average Daily Amount: /~ cunes[ ] b) Pressure:,
Annual Amount: '7 ~ c) Temperature:.
Largest Size Container:.
# Days On Site ~' '¢'~,4'"' Circle Which Months: Ail Year. J. F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS · % WT AHM
the three most hazardous 1) ' /"---' [ ]
chemical components or
10) Location ~HRS ~ SHOWROOM ~
:e.~/Yy under penalty:pi:law, '~hat / haye pe .l~o~. ..ly exam/n, end am ,am~I~, Wl~h ~he infornagon ,u~mi~~urnefl~.
'Smitted information is true. accurate, and complete.
GENE SPINOZZI /GE.N MGR ~5/1/95
~INT Name & Title of AuthoriZed Company Represente~ve Date
.- BAKERSF. LELD CITY FIRE DEPAJ TMEN,'i"
.., ':'HAZA 0us MATER!ALS'INVENI RY Page. of
Business Na~e:.,. CLEANWA.Y,.~.S ,A~..ITA~,Y SUPPLY. . Address90.0 CHESTER AVENUE BAKERSFIELD, CA 93301
1) RYSTATUS: New[~ Addi~on[.] R.evision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS it
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARDCATEGORIE$ Fire ['] ::Reactive[ ].SUdden. Release of Pressure. [ ] Imrned'~e Health (Acute) ['] DelayedHea~'(Chmnic)
5) 'WASTE cLAssiFICATION (3-digit code ~m DHS Form S022) USE CODE
6~ PHYSICAL STATE~'"" ..'S°lid [J ' Liquid ~//GaS"[ ] . Pure [] Mixl'ure [~'CWas;& [] Radioactive
7) AMOUNT AND TI~E AT FAC~UTY uNrrs OF .M. EA;~ORE 8) S~ORAGE COOES
· Maximum Daily Amount: "* .L~, lbs [ ']~ gal' ~ ~3 [ ]. N Container.
_... Average Oally Amount: ~ curies [ ] . b) Pressure:
Annual Amount:. " c) Temperature:
Largest Size'Containe~. -.
# Days On Site Circle Which Months: .AJI Year. J. F. M, A. M, J. J, A, S, O, N. D
9) MIXT!JRE: Mst COMPONENT CA~ it - % Wl' AHM
chemical components or ......
any AHM components 2) [ ]
3) [ ]
1(~) Loce~on WHASG$' SH0WR00H
...... ' CHEMICAL DESCRiPTIoN '
1 ) INVENTORY STATUS; New ~: ] Addition [ ] .Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) co'mr.o. Name.~-~ 3) DOT it (op~.~)
ChemicaJ Name: NlM [ ] CAS it
4) PHYSICAL &HEALTH' PHYSICAL .. HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] . . Immediate Health (Acute) [ ] Delayed HeMth (Chronic)
II
5) WASTE CLASSIFICATION .(3-digit code fi'om DHS Form 8022i USE CODE
6) PHYSICAL STATE Solid [ ] Liquid '~"/'Gas [ ] Pure [ ] Mixture ~/Waste ['] Radioactive [ ]
7) AMOU.T AND AT U.,TS OF ST0. E CO S
MaXimum Daily Amount: f lbs [ ] gai'[r~ ft3 ['] a) Container. I 0
Average Daily Amount: ~ curies [ ] b) Pressure:, I
Annual Amount: / ~ c) Temperature:.
· Largest Size Container:.
/
# Deys On Site ~/ ~ ~0'~' Circ~eWhich Months: AJI Year. J. F, M. A. M, J, J, A, S, O, N. D
9) MIXTURE: llst coMPONENT CAS # % ~ AHM
the mree most hazardous 1)~[~5,opr"c~p~,/f. /'~1C-O/'70 I (p-7 (.o "~O ~l°/u "cie)% []
chemical components or
any AHM components ~) r' [ ]
3) ~ ( ]
10) Loca~on WHRS g SHOWROOM ~
-- e.,mPj~ under pena/~;..O! : law, :~at I hm/. e pet~..ly exam. m,e(~ eu~ am/am//ia~ wfth the mtomago~ submitted on ti'ds and ~J/ I~lched document~ /be//eve the
,hmitted informa#on is Due, accurate, and complete.
GENE SPINOZZI/GEN MGR'. 5/1/95
BAKERSFIELD CITY FIRE DEPARTMEN,T'
.. H/ I RDOUS MATERIALS INVlE rORY Page_of___
Business Name., CLEANWA¥ SANITARY SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
AL
CH lC DE$C
1) INVENTORYSTATU$: New[X] Addition[ ] Revision[ ] Deletion[ ] Check ff chemical i~ ,, NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ' Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeaJth ~:::;hronic)
5) WASTE CLASSIFICATION (3-digi~ code from OHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ I Liquid a.~. [ I Pure [ ] Mixture te[ ] Radioactive
7) AMOUNT AND TIME AT FACILiTY..~. UNITS OF .MEAj~/~RE 8) STORAGE CODES
, Maximum Daily Amount: ~ lbs [ ] g~ ~,~ It3 [ ] ~) Container:. tO
Average Dally Amount: ~ curies [ ] b) Pressure:
Annual Amount: ~ c) Temperature:
Largest Size'Container:
# Days On Site Circle Which Months: All Yea~. J, F, M, A, M, J, J, A. S, O, N. D
9) MIXTURE: List COMPONENT . CAS tie % ~ AHM
chemicaJ components or
any AHM components 2) [ ]
3)
10) Location WHRSGS SHOWROOH
1) IN~]"'~RY STATUS: New E ] Addition [ ] Revision [ J Deletion [ J ' Check if chemical is a NON TRADE SECRE-r [ ] TRADE SECRET [
2) commo. Nama: ~. C). G', 3) DOT # (op~n~) . :. ....
Chemical Name: NlM [ ] CA~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire { 1 Reactive ( ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ! Delayed Health (Chronic)
5) WASTE CLASSIFICATION ,(3-digit code from DHS Fon'n 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~'~as [.]. Pure [ ] Mixture '~aste [ I Rad~
7) .MOU.T ^.o TIME*r ¥ U., S .EAS. S)
Maximum Daiy Amount: t lbs [ ] gal I~'ff3 [ ] a) Container.
Average Oaily Amount: ~ curies { ] b) Pressure: I I
Annual Amount: ~ c) Temperature:
Largest Size ContaJnel':.
· Days On Site (/*~G, ~''''~ Circle Which Months: NI Ye~'. J. F, M, A, M, J, J, A, S, O, N, O
9) MIXTURE: List COMPONENT CAS #
10) Location !dHRS & SHOWROOM
Ce~ under penajty of law, ~hat i have personallyeXamined eno am familiar w~h ~he mtomabon submitted on this and all attached documet~m I believs lh
,Omitted information is b-ua, accurate, and complete.
GENE SpINOZZI IGEN MGR 5/1/95
:iNT Name & Title of Authon~Ied Company /~epresentabve ' ' Signature Date
.... ' BAKERSFIELD CITY FIRE DEPARTMENT'
.~.., H~ .AZA...~.OUS MATERIALSINVEN]~I¥ Page___oL
Business Na~e:.,- CLEANWAY. S ,A~..I.TAg, Y. sUpPLY . Address90.0 CHESTER AVENUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION.
~1) INVENTORY STATUS: New iX] ~ [. ] R ~evis~n [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
Chem/caJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ '] r'Reactive[ ].Sudden. Release of Pressure [ ] Immed'mteHeaJth(Acute) ['] DelayedHeaJth"(Chmnic) [
5) WASTE CLASSIFICATION .(3-digit code from OHS Form 8022) USE CODE
6~ P,~,cAL sTA~ .So,, [ ] ' ,,~u~ ~,/':~.~ ]. P.re [ ] M~re~ ~L,~"' [ ]
e ouNT AND TIME AT FAC,U UNITS OF sTORAGE CO°ES
. Max/mum D~ly Amount: ~ lbs [ J geJ '[~ev it3 [ ] N Container.
Average Daily Amount: "~ cudes [ ] . b) Pressure:
Annu~d Amount. 3 C~ c) Tempomiure:
Lm'gest Size'Container:.
# Deys On Site . . Circle Which Months: ~1 Year. J, F, M, A, M, J, .I, ,~ S, O, N. D
9) MIXTURE: Ust COMPONENT CAs # % ~ AHM
chemicaJ components or" ' - -
any AHM components 2) [ ]
3/ [ )
lO) LocmJon WFIRSG~ SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~( ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
2) Common Nmne: '~;-~---~ 0~-~ 3) DOTe (option~) '-
Chemicai Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ! Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code f~om OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid'~k~ Gas [] Pure [ ] Mixture ~N~Waste ['] Radioactive [ ]
7~ AMOUNT AND TIME AT FAClUTY UNITS OF M~EAS~tRE 8) sTORAGE CODES
Maximum Daily Amount: 'y lbs [ ] gaJ '[~ ItS [ ] a) CorttaJner.
Average Daily Amount: ~ cunes[ ] b) Pressure:'
Annu-' Amount: ! ~, c) Tempermu~:
· Largest Size Containe~
# Days On S/re ~ ~,, ,~'""-. Circ/eWhich Months: All Year, J, F, M, A, U, J, J, A, S, O, N, D
9) MIXTURE: List ~ .coMPONENT CAS # % WT AHM
the three most hazardous 1) , ~ [ ]
chemical components or
any AHM components ~) -"- ,:. '"-- ~ [ ]
10) Locaxion WHRS & SHO~ROOH :
:e.,~ under penajty ~f:law,.Ihat i h~..epe ~r~ma~y.. examin, e~ ar~ am familiar w,~umen~ i believe
~_,mi'Ee~ informa#on is true, accurate, and complete.
GENE SPINOZZI *1 GEN MGR' 5/1/95
- -' BAKERSFIELD CITY FIRE DEP RTMENT'
., HAIIIRDOUS MATERIALS. INVIORY Page_of__
Business Na~e.... CLEANWAY SA. NI.TARY SUPPLY Add[ess90.0 CHESTER AVENUE BAKERSFIELD,. CA 93301
1) INVENTORY STATUS: New(X] Add/tioni.] Revision[ ] De~etion[ ] ' ChecRifchemica/isaNONTRADESECREr [ ] 'FRADESECRET [ ]
2) CommonNarne: All DL)f'~J:~o',~-~' -~--~t;f~--f'"' ....... 3) DOT, (OlCXioAaJ)
Chemical Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :' Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed HeaJIh-(Chronic)
5) 'WASTE CLASSIFICATION .(3-cligit code from DHS Form 8022)' USE CODE
6)' pHYSIcAL STATE Solid [ ] Liquid "~v'/'Gas [ ] Pure [ ]' Mixture' ~l//W-<te []" 'Radioactive[]
7) AMOUNT AND TIME AT FACILJTY UNITS OF MEASURE 8) STORAGE CODES
· Maximum Daily Amount: ~'/ lbs [ ] gal [ ] R3 [ ] a) CorttaJner:.
~ ,/ Avemg. D.ly Amount:~ ~ ~ curie.[] . b) Pressure: ,
Annual Amount: ~..,f'- ' c) Temperature:
. Largest Size'Container:
# Days On Site [/ ~6 0'" Circle Which Months: Ail Year, J, F, M, A. M, J. J. A. S. O, N. D
9) MIXTURE: List COMPONENT CAS ~ · % WT AHM
chemical components or / -
any AHM components 2) [ ]
3) [
10) Location WHRSC:~S SHOWROOM
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New Ix: ] Addition [ ! Revision { ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] ~ SECRET [ ]
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chrol~c)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~ Gas [ ] Pure [ ] Mixture ~Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF M?A~I~E 8) STORAGE CODES
Maximum Daily Amount: ~,"~ lbs [ ] gal ~ ft~ [ ] a) Con~aJner:
Average Daily Amount: ! ~) curies [ ] t~) Pressure;
Annual Amount: J O 0 c) Temperature:
Laxgest Size Container:.
# Oeys On Site ¢' =J& ~" Circle Which Months: All Year. J, F, M, A, M, J, J. A. $. O, N, O
9) MIXTURE: Ust . COMPONENT CAS # % WT NlM
chemicaJ components or / ~.~
any AHM components ~) .: [ ]
3) ./ ( ]
10) Local. ion W~RS g SHOWROOM ~'~
hm/tted /nformaSon /s t/?./e, accurate, and comp/em.
':NT Name & T/t/e of AuthoriZed Company Representat/ve Date
--' BAKERSFIELD CITY FIRE DEPARTMENT'
. , .. 'HAZA OUS MATERIALS INVEN _'i iY Page_of_
Business Name., CLEANWAY SANITARY SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
DESCRIPTION
1) INVENTORY STATUS: New[~ Addition[ I Revision[ ] Deletion[ ] Check if chemicai is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common,.r. , ..." 3) DOT,
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] :'Reactive[ ] Sudden Release of Pressure [ ] ImrnecrlateHeaith(Acute) ['] Delayed HeaJUl* (Chronic) [~]"~.
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE . Sol~ [ ! Liqu~ ~"C~.[ ] Pure [ ~ 'M~, h~W;;te"'[ ]' ' P~ak.,a~ I !
AMOUNT AND TIME AT FACILJTY ~ UNITS OF M. EAS~E 8) STORAGE CODES
· Maximum Daily Amount: ~' lbs [ ] gal ~ fi3 [ ] ~) Container. lo
Average Daily Amo.unt: ~ curies [ ] . b) Pressure:
Annual Amount: ~o~ c) Temperature:
I..m'gest Size'Container:
# Days On Site . Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N. D
9) MIX'rURE: List COMPONENT CAS ,~ % WT AHM
me three most haz~rdo'us 1 ) ~ ~ [ ]
chemical components or , ~
any AHM components 2). [ ]
3) [ ]
10) Location WHRSG& SHOWROOM
CHEMICAL DESCRIPTION "~--~'
1) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH"
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immedia/e Health (Acute) [ ] Delayed Heailft (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid Gas [1 Pure [ ] Mixture te[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF M,F_A/~dRE a) sTORAGE COOES
Maximum Daily Amount: V lbs [ ] gal [~J' fi3 [ ] a) Container:. t (5
Average Daily Amount: , ~f cunes[ ] b) Pressure:
Annual Amount: "~~ c) Temperetta~:,
Largest Size Container. ~
# Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, O
9) MIXTURE: Ust COMPONENT ~. CAS# ~ AHM
the three most hazardous 1 ) . '~ '~' [
chemical components or ,------
any AHM components ~). ~ ~ ~ [ ]
10) Location WHRS & SHOWROOM "
--erflTy un~ar penally of/aw, that I hav_ e pe~onally exanwne~ eno am familiar wTfll the in~submitted ~n thi~ and aJi ached doc~ I believe the
,hmitted information is b-ue, accurate, and complete.
GENE SpINOZZI I~EN MGR 5/1/95
:i~,"r Name & Title of Authon~led Company Representative ' Signature Date
- BAKERSFIELD. CITY FIRE DEPARTMENT'
., H DOUS.-MATERIALS .INVE IrOR¥ Page_of__
Business Na~e:.,. CLEANWAy SANITA~.Y. SUPPLY. Address900 CHESTER AVENUE BAKERSFIELD., . CA 93301
'*" ~' ' ~- CHEMICAL DESCRIPTION,
1) INVENT, ORY~S.T_..A.~S: New[~ ~i.] Revision[ ] Deletion[ ] ' ChecklfchemicaJtsaNON TRADE SECRET [ ] TRADE SECRET [ J
Chemical Name: AHM [ i CAS #
4) PHYSICAL & HEALT~ ' PHYSICAL HEALTH
HAZARD CATEGORIES, Fire [] ~Reactive[ ] ~Sudden. Release of Pressure [ ImmecrlateHeNth(Acute) ['] DelayedHeaJth"(Chmnic)
5) WASTE LAss":,CA ON OHS Fo.. 022)' 6SE CODE
6) PHYSICAL STATE . Solid [ ] Liquid [ ] Gas Pure [ ] Mixture~ te[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY '~ UN. ITS .O?E.MEASUBE 8) STORAGE CODES
· MIucimum Daily Amount: '~- lbs '~v~gaJ [ ] ~3 [ ] a~ Cocttair~r:
Q rage DeJly Amount: / cude, [ ] . b) Pressure:
nuaJ Amount ~-'"~"~-~ ~ ~ c) Tempera{ute:
est Size'Container,
# Days On Site ~o ~ ."' Circle Which Months: ..All Year, J, F, M, A, M, J, J, A. S, O. N, D
9) MIXTURI=' Ust COMPONENT -' CAs · · % WT AHM
chemicaJ components or - - - -
anyAHMcomponent~ 2) ~;)t-op~...Y-~.~.. --)~_ c~./~:, Woo/c) [ ]
3) ! ]
lO) Loc~Jon WHiSkaS SHOWROOM
CHEMICAL DESCRIpTION
1) INVENTORY STATUS: New E ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
ChemicaJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeMth (Chronic)
5) WASTE CLASSIFICATION ,(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid { ! Uquid ~"/Gas [ ] Pure [ ] Mixture ~'~aste [ ! P, aclicacave [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) sTORAGE CODES
MaXJmum Daily Amount: ~ lbs [ ] gad ~,]/ft3 [ ] a) Container., % 0
Average Daily Amount: ~) curies [ ] b) Pressure:
AnnuaJ Amount: ~ ~ c) Temperature:
Lmgest Size Container.
# Days On Site v~/~ ~..- Circle Which Months: Ail Year, J, F, M, A, M, J, J, A, $, O, N, D
9) MIXTURE: List coMPONENT CAS # % WT AHM
chemicaJ components or
any AHM components ~) ,: [ ]
3) ./ [ ]
10) Location WHRS & SHOWROOM
~.,-o~ under Penalty of.law, 'that I hay. e pe .rF~na~./y exammeo eno am fam~liez w~th th~e~umer~. 1 ~;elieve th6
~5mitMd inforrna#on ;s ~ue, accurate, mwl complete.
GENE SPINOZZI IGEN MGR 5/1/95
:iNT Name & Title of AuthoriZed Company Represente~ve
.... .... BAKERSFIELD CITY FIRE DEPARTMENT'
., H OUS MATERIALS INVEN'ii RY Page__oL
Business Name-,. CLEANWAY. S .ANITARY. SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
DESCRIPTION
1) INVENTORYSTATU$: New[~ Adcli~on[ ] Revision[ ] Deletion[ ] Check if chemicaJ is a NON TP, ADESECRET [ ] TRADE SECRET [
Chemic~ Name: AHM [ ] CA~ ~'
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] · Reactive [ ] Sudden Release of Pressure [ ] Immed~e Heath (Acute) [ ] Delayed Heath (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6)' PHYSICAL STATE . Solid [ ] L~quid lw~/"~Gas [ ] Pure [ ] Mixture,., .. te[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF M. EASy,gE B) STORAGE CODES
· Maximum Dmly Amount: / tb~ [ ] gaJ ~ R3 [ ] a) Conf~inec
Average Da~ly Amount: ~" curies [ ] b) Pressure:
Annual Amount: ~ c) Temperature:
Lm'gest Size'Contmnec ~ ~"J
# Days On Site Circle Which Months: All Yea~. J, F, M, A, M. J, J. A,'S. O, N. D
9) MIXTURE: Ust CAS ~ % WT AHM
mo mr~o mo;t h--~,do'u~ ~)~¢.C)~e_C~%~,.CO~PON~.T ·
chemical components or
10) Location ~VH~SGS
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New Ix: ] Addition [ ] Revision [ ] Deletion ( ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [
Che'micaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive ( ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic) [
7) AMOUNT AND TIME AT FAClUTY UNITS OF M~EAS~,E~ 8) STORAGE CODES
Ma=mum Daily Amount: /(~) lbs [ ] gal ~ It3 [ ] ~) Containec '
Average Daily Amount: ~"' curies [ ] b) Pressunl:
Annual Amount: / O~. c) TemPerature: ~'1
Largest Size Container:
#DaysOn Site ;6,~ CircleWl~ich Months: AJlYem', J. F. M. A. M, J, J. A..S.O. N, D
9) MIXTURE: List COMPONENT CAS # % WT AHM
the three most hazardous 1) ~ ~ "--' [ ]
chemicaJ components or
any AHM components ~). '"' ~ [ ]
~e..~fy under P enal~y o//aw, ~hat I ha~e per=*onally examineo eno am tam/i/ar with {he infomalfon submitted on this and-e]/agached documen~ / believe
~_hmitted information is Zn~e, accurate, and complete. '
GENZ S?T~10%ZT IGZN HG~ 5/:[/95
::f,"r Name & Title Of Authon~ed Company RepresentaUve Signature Date
-- BAKER. SFIELD CITY FIRE DEPARTMENT'
"" "HA RDous MATER!ALS,INVE . ORY Page. of
Business Na~e;.,-CLEANWA. Y..S ,A~/.ITAJ~,y. sUPPLY . Address 900 CHESTER AVENUE BA~RSFIELD.,. CA 93301
1) IN~R~ STA~S: New [~ ~ i. ] R~n [ ] ~le~n [ ] C~, ~ b a NON ~ 5~ [ ] ~ 6~ [ ]
C~m~ N~e: ~M [ ] C~
4) PH~IC~ & H~ PH~ICAL / H~
H~D CA~GORIES Fire [' '] ~ Re~ [ ] Sudden. Rele~e of Pressure Im~e He~ ~e) [' ] ~ H~"~hm~)
5) 'WAS~ C~SSiFICA~ON .(~ig~..~e ~m DHS ~ 8022) USE CODE
D ~OUNT ~D ~ME AT FAClU~ , / O UNITS OF M~ 8) STOOGE CODES
. M~mum DaN~unt: I~ [ ]
~est S~e'Con~nec 0 ~
9) MITRE: Ust . .,. COMPONENT % ~ ~M
chemi~ ~m~ne~ or
10) Logo. WH~SG& SHO~O0~
CHEMICAL DESCRimlON
1) IN TA~S: New[] Add,ion[ ] Re~ion[ ] ~letion[ J Ch~k~mi~aaNON~ES~R~ [ ] ~S~R~ [ ]
Chemi~ N~e:
4) PHYSIC~ & H~ PH~ICAL ~ H~
H~D CA~GORIES Rm [ ] Rea~e [ ] Sudden Rele~e of Pressure [ Im~e He~ (~e) [ ] ~ He~ ~hm~)
5) WAS~ C~SSIFICA~ON (~igA code from DHS Fo~ 8022) USE CODE
6) PHYSICAL STA~
~ AMOUNT AND ~ME AT FAClUW UNITS OF ~RE 8) sTOoGE CODES
/ M~mumOalyAmount: /0 lbs [ ] g~
~est S~e ~nec
· DA~ On S~e ~ ~ ~ Cirde~ich Months: NIYe~, J, F, M, k M, J, J, A, S, O, N, O
9) MITRE: ~st COMPONENT C~ · % ~ ~M
the three most h~ous 1) ~50~~ . ~5~'~ t% [ ]
chemi~ ~m~ne~ or
10) Lo~n WHRS ~ SH0WR00N . ~'~
L,m~ info~aSon is ~e, accu~, ~ comple~
GENE SPINOZZI ~ GEN MGR 5/~/95
;~ N~e & ~ffe of ~n~ Com~ Rep~s~e
--' BAKERSFJ,,ELD CITY FIRE DEPAI LTMENT
.. HAzA OUS MATERIALS INVEN'i RY Page_of_
Business Name., CLEANWAY. S .ANITARY. SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: New [~ Addition [. ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS
4) .PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] : Reactive [ ] Sudden Relee. se of Pressure [ ] Immediate HeNth (Acute) '[' ] Delayed HeaJth"(Chmnic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ ] Liquid "~'~Gas [ ] Pure [ ] 'Mixture~a~te [ ] ~ [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES
· Maximum Daily Amount: ~ lbs [ ] gaJ ~ fi3 [ ] ~) Container:.
Average Daily Amount: / ~ cudes [ ] b) Pressure:
AnnueJ Amount: / 0 0 c) Temporetum: ~-~
Largest Size'Container:
# Days On Site Circle Which Months: All Year, J, F, M, A. M, J, J, A. S. O, N. D
9) MIXTURE: Ust. COMPONENT CAS ~ · % WT AHM
chemicaJ components or
any AHa components 2) n- A\~:y[_ ¢~<A-~y I --'~o'~ -5~t- -5' t .5~ °/o [ ]
10) Location WHRSCg SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
i! 4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION ,(3-digit code trom OHS Form 8022) USE COOE
6) PHYSICALSTATE Solid[] Liquid[] Gas ~'"'o,~cx~ r~.r--~Pure[] Mixture ~/]~aste [ ] Radioactive[]
7) AMOUNT AND TIME AT FACIETY
UN T,f r,' ES UR 8) sTORAgE CODES
Maximum OaJb/Amount: ~ ~) lbs [~=~ IV] ft3 [ ] a) Contmner.=
Average Daily Amount- I '~) ~ 'cudes [ ] b) Pressure;.
Annual Amount: :~_.~.. c) Temperetum: '-.-.t
Largest Size Container:
# O&ys On Site :~,~' Circle Which Months: All Yea.'. J, F, M, A. M, J, J, A. S, O. N, D
9) MIXTURE: List COMPONENT CAS # % WT AHM
chemiceJ components or -
10) Location WHRS & SHOWROOM
perOTf under penalty of/aw, that I h~..e personally examineO e/~ am famll/a~ w/th the infomatfon submitted on thLs and al/~gaclled documer4~
,hmitted information is true, accurate, and complete.
:if,'F Name & r/He of AUth°n~ed Comp~ Repre~enta~ve' Signature Date
' BAKERSFIELD CITY FIRE DEP4 R.TMEN,T
.., "" ' H RDouSiMAT R!ALS'.INV ORY Page_of__
8u~ness Na~e:.!-, CLEANWAy-,.SANITARY SUPPLY. Address 90.0 CHESTER AVENUE -BAKERSFIELD,. CA 93301
" ' CHEMIC,M. DESCRIPTION. ' ...... ':* ...... ~ ' ........
1) INVENTORY STATUS: NewlXJ ~(.1 R,evision[ ] ~O?[etion[ ] Check if chemical is e NON TRADE SECRET [ ] TRADE SECRET
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH : .. PHYSICAL HEALTH
HAZARD CATEGORIE~S. . Fire [ 'J ' Reactive [ ] Sudde. n. Release of Pressure. [ J Immediate'He~th (Acute) [' ] Delayed HeaJt~'(chronic)
5) 'WASTE CLASSIFICATION .(3-digit code from OHS Form 8o22) USE CODE
7) AMOUNT AND TIME AT FAClUTY '"'~ UNITS OF MEAS/URE 8) sTORAGE CODES
· Maximum Daily Amount: '" ~) lbs [ ]'ga ~ ~t3 [ ]. a) Contmnec
Average Daily Amount: ~ cudes [ ] b) Pressure:
AnnuaJ Amount. ~;' c) Temperature:
Lm'gest Size'Co ntaJner, i'~
~ Days On Site Circle Which Months: ..A]I Year, J, F, M, A, M, J, J, A, S, O, N. D
9) MIXT~.~RI=' Ust .... COMPONENT CAS tie - % WT AHM
chemical components or
3) [ ]
ld) Location WHRSG& SHO~R60M ..... ' "'"
CHEMICAL DESCRIPTION
1 ) IN'~SNTORY STATUS: New ~: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemioal is a NON TRADE SECRET [ } TRADE SECRET [ ]
2) Common Name: ~'vt~ Oc-~O,'" ~.~OC~V1.~,F' ~ [:)~o~.R~'l"'r~' v'"" 3) DOT~ (optional)
ChemicaJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Heatth (Chronic)
5) WASTE CLASSIFICATION (3-digit code f~om OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid [ ] Gas ~ Pure [] Mixture [l~W-~,te [] Radioactive [ ]
7) AMOUNT AND TtME AT FAClUTY UNITS O.~F/MEASURE 8) sToRAGE CODES
x ) /. Maximum Daily Amount: ~ C) lbs [U/gal [ ] ft3 [' ] a) Containec
//-~" Average Daily Amount: I 0 curies [ ] b) Pressure;
~' AnnuaJ Amount: /~ c) Temperature:
Largest Size Containe~.
# Days On Site ~;j~,f.v Circle Which Months: AllYeet, J. F, M, A, M, J,J, A, $, 0, N,'D
9) MIXTURE: list coMPONENT CAS # % WT AHM
the three most hazm'dous 1) '~:'c.,C~c~r'- c, ph I ~;~C~ohC I (~'-/ -~'~--0 /~l~) [ ]
chemical components or ~ ---
any AHM components ~) r: ~ [ ]
3) / [
10) Loca~on WHRS S SHOWROOH ~
~ 2_-..~ under penal~ ,.q( ; law,':~hat ~- h .a~.?e. pe . =~. . ..ly ~n, ed an(I am ~am~liar w~lh lhe in~ submitted on ~ and all a~ac,/led documents.. I believe ~l& ·
~mi'~d information is flue, accurate, and complete. ' ' ...... '
GENE S~TNOZZI tC~N NCR' 5/1/95
;;N'I' Name & Title of AuthoriZed Company Representelive ' - Signature ...... Date
- --' BAKERSFJ .LD CITY FIRE DEPAI TMENT'
,. ., ' 'HAZAIous MATERIALS INVENI R¥ Page_of__
8usinessNa171e.. CLEANWAY S ,A~.ITA~..Y SUPPLY Address g0.0 CHESTER AVENUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New(~ Addition[.] Revision[ ] Deletio,[ ] Check lf chemical i~ a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chem~,aJ Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] ~Reactive[ ].Sudden. Release of Pressure [ ] Immed'mteHeNth(Acute) ['] DelayedHeaJ~'(Chmnic)
5) 'WASTE ~LASSIFICATION (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FACIMTY -,~3 UNITS 0F~VlEASURE 8) STORAGE CODES
Average Daily Amount: ..... ~ cudes [ ] b) Pressure:
Annual Amount: / 0 0 c) Temperature:
Lm'gest Size'Container. ' ~
# Days On Site ,~ ~j"F Circle Which Months: All Year. J. F. bi. A. bi. J. J. A. $. O. N. D
9) MIX'rURE: List. COMPONENT CAS ~ - % WT' AHM
thethmemosthazard~'us 1) %sop,..op~.~a ( 6-;'60~-a
chemical components or
any AHM components 2). [ ]
3) [ ]
10) Location [~THRSG~ SHOWROO[V[
· I CHEMICAL DESCRIPTION
I
l ) INVENTORY STATUS: New [~ ] Addition [ ] Revision [ ] Deletion [ ] if chemiceJ a NON SECRET [ ] TRADE SECRET [ ]
I
Check
TRADE
I '
'50
j 2) CommonNarne: '3) DOT# (optional)
i Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH' PHYSICAL HEALTH
HAZAROCATEGORIES Fire [ ] Reactive( ] Sudden Release of Pressure [ } Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ~,~ Pure [ ] Mixture ~{,,,,~te [ ] Radioactive [ ]
7) AMOUNT AND 'rIME AT FAClUTY UNIT$OF~EASURE 8) sTORAGE CODES
Maximum Daily Amount: lb,: ~"ga] [ ] ft3 [ ] a) Coll~Jrter:
Average Daily Amount: curies [ ] b) Pressure: .
Annual Amount: c) TemPerature: ~-~
Largest Size Container.
# Days On Site Circ, Je Which Months: Ail Year. J. F. M. A. M. J. J. A. S. O. N. D
9) MIXTURE: Ust COMPONENT CAS # % WT AHM
the three most haza~ous 1 ) ~" [
chemical components or
any AHM components ~) ~- -- , ~ ~ [ ]
10) Location WHRS Fo SH0~R00~ .
:e.,~fy under pe~/ .o.~l~w, '.~..~.. e pet~at, ly exammed eno am tamJli~r wit the ~ed documents.
D;-fiitted informa~fon is flue, accurate, and complete.
GENE SPINOZZI I GEN MGR' 5/1/95
:INT Name & ~/~e of AuthoriZed C~mpany Representative Date
' BAKERSFIELD CITY FIRE DEP RTMENT'
, :.~:~ , "" '~H.~ .*~, RDous:· MATER!AL~,INV~OR¥ ' Page_of__
Business Na.me.,-CLEANWA~., S ,A~.,!TAR~Y S~,PpLY. . Address 90.0 CHESTER AVE,NUE BAKERSFIELD.,. CA .93301
~ ' '"'~"~L~ CHEMICAL DESCRII~TION. * ..... ''- ~ ' ............... : ...........
1) ~N~, OR.Y. STATUS: New[X] ~[.1 R.,.e~sion[ ] Oe~etion[ ] Chec~fc~emi~d~aNONTRADESECREr [ ] TRN3E~ [.]
2) commo."''°. G't~.~'~ 'C't~;.::'' ~,T,"O, ........................... 3i ~.(omo~) *' '
Chemical Name: AHM [ ] CAS ,#
HAZARDCA.TEGORIE$ Fire ['~'~'~Reactive[ J Su.~de~.ReleaseofPressure [ ] Immediate'Health(Acute) l'] DelayedHeaJ~**(Chronic)
5)'WASTE ~S~i"~CA~ON (~.. ~e ~o~ OHS Fo.. 8022) ........ US~-COD~ .......... .' '
6~ P.~s.CALsT^~ ..sol~ I~' ...~ ~'~ [J Pure ~] ,~. ~"~W.;i,' ~ ]
7) AMOUNT AND TIME AT FAClUTY ~" UNITS OF MEAS~JRE '~ ' 8) STORAGE CODES
· Maximum Daly Amount: ' i ~ {bs [ ] 'ga ~ ~3 [ ]. a) Container. ..I ~
~r~ Average D-ily Amount: ,7~y.~ curies [ ] . b) Pressure: ., l
1 ~.Annuai Amount c) Temperature:
Largest Size'Container:.
# Days On Site Circle Which Months:. · .AJI Year, J, F, U, A, U, J, J, A, $, O, N, D
~) M~X~?.~ u~,. , COMPONE~ .......... CAS · "' ~ wr NlM
chemicad components or ' ·
anyAHM components 2) | So,~r-ot~J J ~t¢Oh~ I L~-/-G,% - ~ L7% [ ]
3). [ ]
16) Location ~HRSG& SHOWRbOM "'
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~[ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTM . ~ PHYSICAL HEALTH
HAZARD CATEGORIES Fire ~ Reactive | ! Sudden Release of Pressure [ ]. Immediate Health (Acute) [ } Delayed Health (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid [ ] Gas ~ Pure [ ] Mixttlre ~Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNI~T~F MEAS~JRE 8) sTORAGE CODES
a.~mum O-'ly Amount: ~ ~ ~b, ~=' [~r ~3 ['] ~) con~r~. [ '5
v dunes [ ]
~ I~/ Average D"ih/Amount: ~ b) Pressure:
I ~?Lnrma~ Amount: c) Temperature: h
. Largest Size Container.
# Days On Site , Circle Which Months: AJ! Year, J, F, M, A, M, J, J, A, S, O, N, 'O
9) MIXTURE: List COMPONENT CAS # ~ NlM
the three most hazardous 1) '~Opv'~ i"~. r'-~ C.~ l (.~ ~ - (,~ '~ ' 0 []
chemical components or ..... -
· ~ AH, co~.ponen~ ~)T~o b~+~.~ c .:. -7~-~? %-- /7-- - [ ]
10) Loc°mo. WHRS ~ SHOW~OOH ~
?_.~ty u. nder,perm/t~,..:,.o, l:law, .~hat I h~e pe ./~on~.,Iy examin, e(J eno am/amd/ar Wl~h
,~_m_ itted info/maUon is ~"ue, accurate, and complete. ...1 believe
GENE S?INOZZI I GEN MGR - ~ 5/1/95
:INT Name & ' Ti#e of Authon~ed Company Represenm6ve · - Date
BAKERSFIELD4 i FIRE DEPARTMENri''
,~ ,, ?' 'HAZARDOU~!MATERIALSINVENTORY Page of
~ Name-.,, CLEANWAY. S .AN. ITAg, Y SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
._:,.,;.:.. :; ...... ..,~,~.~,,?.,,: ........ .,= ..... .... ~HE'MicAL
~,~ORY STATUS: New [~ Addition [. ] Revision [ ] Deletion [ ] · Check If chemical is a NON TRADE SECRET [ ] TRADE SECRET [
%k;~:_' Name: AHM [ ] CAS
;iCAL & HEALTH / PHYSICAL HEALTH
cID CATEGORIES Fire [%;,],~Reac~[ J .Sudden. Release of Pressure { ] Immediate HeaJth (Acute) ['] DelayedHeaJ~'(Chmnic) [~.
I= CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
_~CALSTATE . Solid [ ] ' Liquid ~,,~v" Gas [ ] Pure [] Mixture [XJ,"~Waste [ ] Radioactive [ ]
JNT AND TIME AT FAClUTY ~ UNITS OF MEAS~E 8) STORAGE COl)ES
n:ramUm Daily Amount:
· Daily Amount: ~ curies [ ] . b) Pressure:
Amount:. - 7,5'" c) Temperature: c1 .
Largest Size'Container:
# Days On Site Circle Which Months: All Year. J, F, M, A, M, J, J, A, S, O. N, O
_[c-,... Ust COMPONENT CAS ~ - % WT AHM
::-:-mo~th,~'d~'u~ ~) E+/~V/~¢. 6-1y~ I N- 8c,~/I E+/~,,'- I I/- -7(0--4 -
~ components or
· ~om,o...~ 2) Isoo,o~l ~lcel~l ¢'~;~,,~-(~
3) [ ]
~ WHRSi:~S' SHOWROOM
· 'CHEMICAL DESCRIPTI°N
- rA"TUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if ¢hemicai is a NON TRADE SECRET [ ] TRADE SECRET [
.~& & HEALTH PHYSICAL HEALTH IL'
~ CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed Health (Chronic) [
CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
AL STATE Solid [ ] IJquid ~'/Gas [ ] Pure [] Mixture [~te [] Radioactive [ ]
¥ AND TIME AT FAClUTY UNITS OF MEASURE 8) sTORAGE CODES
MaXimum Daily Amount: L~ lbs [ ] gal [~,,~3 [ ] -, a) Container:.
Average Daily Amount: ~, cudes [ ] b) Pressure:
Annu~d Amou,c. !.;~, c) Temper~ure:
Largest Size Container:
# Days On Site ~/~, 5'~ Circle Which Months: Al! Year, J, F, M, A, M, J, J, A, S, O, N, D
; Ust COMPONENT CAS ~ % WT AHM
components or.i
n WHRS S SHOWROOM '" ....
p~nally .Of ~ law, 3lhat f h .~.. e pe~onal~y exam~ne~ ano am familiar wi~ lhe intor, am~ ~ub.~ted on ~ and all aimc. he~l ~locumem~
.-maEon is ~ue, accurate, and complet~
SPINOZZI 'IGEN MGR' -, 5/1/95
- -- BAKERSFIELD CITY FIRE D'EP RTMEN T
, ? '"'HI I R.D,0US;:MATER!ALS:INV OR¥ Page_of__
Business Na~e:.,, CLEANWA.¥~i'S ,A~.-I;TA~,-Y SU.PPL¥. . Addr~ 90.0 CHESTER AVENUE · .-BAKERSFIELD,. CA 9330~
4) PH~IC~ & H~ P~ICAL ~ H~
H~D CA~RIES Fire [']' Re~.[ ] Su~degRele~eofPressure [__ Im~eHe~e) [~ ] ~H~'~h~) [~.
5) WAs~ ~SSiFICA~ON (~ig~ ~e ~m DHS Fo~ 8o22)' USE CODE
6j' PHYSIC~ STA~ . Sol~ [
A~e O~N ~u~:
~nu~ A~
~est Size'~n~ne~ '
9) MITRE: Est ,, ~ COMPONE~ C~ · ' ' % ~ ~M
10) Lo~n WHRSCS SHOWROOM
CHEMICAL DESCRi~ION
1) 1 ORYSTA~S: New~] AddRion[ ] Re~ion[ J Deletion[ ] Ch~kEchem~baNON~ES~R~ [ ] ~S~ [ ]
Chemi~ N~e: ~M [ ] C~
4) PHYSICAL & H~TM PH~ICAL
H~D CA~GORIES Rre [ ] Rea~e [ ] Sudden Rele~e of Pressure [ ] Im~e He~ (~e) [ ] ~ He~ ~) [ ]
5) WAS~ C~SSIFICA~ON .(~ig~ code ~m DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Sofid [
~ AMOUNT AND ~ME AT FACIU~ UNICEF ~RE 8) STOOGE CODES
M~mum Oaly Amount:
Ave~e O~N ~unt:
~ Annu, Amount:
~est Size Cont~
· Da~ On S~e
9) MITRE: Ust COM~NENT C~
,hm~ info.eBon is ~e, accu~, ~ complet~ ~ ~ . '
.... BAKERSF, U .LD CiTY FIRE DEPARTMENT'
.,.., *H ." u A!I!BOUS MATER!ALS INVENT W Page__oL
Business Na~e.,. CLEANWAY. .S .A~!..ITA.R.Y SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, . CA 93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[X] Add/tio, i.] Revision[ ] Deletion[ ] ' Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
2) Common Nam.: Owe¢ OJ~V-:-"i ......... 3) DoT#(olXiorm) '
Chemical Name: AHM [ ] CAS it
4) PHYSICAL & HEALTH PHYSICAL HF-_.AL,TI~;~ .
HAZARD CATEGORIES Fire [ ] ~ReactiveJ ] Sudden Release of Pressure [ ] ImrnediateHeNth(Acute) [~y' DelayedHeaJal"(Chronic) [~.
5) CLAssIFICATION ,(3-digit code from DHS Form 8022) USE CODE
O)' PH ,O, STATE [, [1 Pure 'M ure[ ]
7) AMOUNT AND TIME AT FACIUTY f.'"~,.~ UNITS QF M,EAS~,URE 8) sTORAGE CODES
· Maximum Daily Amount: lbs [ ] ga ['-T fl;3 [ ] a) Container:.
Average D-ily Amount: ,~ -' curies [ ] . b) Pressure:
Annual Amount: · ~ C) c) Temporatum:
Largest Size'Container: ~.~
# Deys On Site Cimle Which Months: AJI Year. J. F, M, A, M, J, J, A, S, O, N. D
9) MIX'TURF' List : /,~ COMPONENT , CAS it - % vvr AHM
the thr~e most hazard<~us
chemicaJ components or
arty AHM components 2), , , [ ]
3) = [ ]
10) Loc~on WHRSGS SH0~R00H
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
i2) Common Name: Cv~.~%'~c%l elect-' ~.~O 3) DOTit (olXional)
Chemical Name: NlM [ ] CAS it
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~.//Gas [ ]. Pure [ ] Mixture %.~Waste [ ] Radioactive [
7) AMOUNT AND TIME AT FACILiTY ~ UNITS OF MEASU. U.U.U.U.U.U.U.U.U~E 8) STORAGE CODES
Maximum Daily Amount: -/~. -~ lbs [ ] ga] [~,~"ft3 [ ] a) Container:.
Average Daily Amount: ~...~ 'x~ curies [ ] b) Pressu,l:
Annual Amount: / ?.~ c) Temperature:
Largest Size Container.
# Days On Site .;;]~,J'~ Circle Which Months: NI Year. J. F, M. A. M. J, J, A. $. O. N. D
9) MIXTURE: List COMPONENT CAS it % WT NlM
the three most hazardous 1) H .Vdl~'O O~'tLOV'l'~. /~C[~J[ -TG(--~'~-C_.~('-C~ <3°/~ [ ]
chemicaJ components or -
3) ,/ [ ]
10) Loca~n WHRS S SHOWROOH .
:e-~'fy under penafly of law, .that I ha~.. e personal!y examineo eno am familiar with the inlomabon submitted on this and all eZalche¢l
~_,.~.,i~e~ information is ~rue, accurate, and complet~
IGEN MGR' . 5/1/95
SI~INOZZI
;~,'T Name & Ti#e of Authon~ed~ Company RepresentaUve Signature Date
I AKERSFIELD CITY FIRE DEPAi RTMENT'
H/ ,RDOUS MATERIALS INVLaAq'ORY Page of
Business Name CLEANWAY SANITARY SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1)'IN¥~FI'ORYSTATUS: New[X] Addition[ ] Revision[ ] Deletion[ ] Check if chemioal i~ ,, NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemiceJ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeNth (Acute) [ ] Delayed HeaJth (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~'~as, [ ] Pure [ ] Mb~ure~""Waste [ ] 'Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF M. EAS/J, JRE 8) STORAGE CODES
I . Mjudmum Daily Amount: /~. lbs [ ] gai, ~ fl:3 [ ] e,) Cor~ainer: I C:)
.z.~ ,~,/'~verage Daily Amount: /?~ cudes [ ] b) Pressure:
~ '~ I ~ Annual Amount: ,,Z// c) Temperature:
'-~ # Days On Site , ~]~, 3'~ Circle Which Months: All Yea/'. J, F, M, A, M, J, J. A, S, O. N. D
9) MIXTURE: list ~ COMPONENT CAS · % Wl' AHM
chemical components or
any AHM components 2) [
3) [
10) Location WHRSQF~ SHOWR00H
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ix: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is · NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEAL/TH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immed~e HeaJth (Acute) [~J Delayed Hea#h (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Fo~m 8022) USE CODE
6) PHYSlCAL STATE Solid [ ] liquid '~'~Gas [ ] Pure [] Mixture [~Waste [ ] Radioactive []
7) AMOUNT AND TIME AT FACILITY UNITS OF MEAS/I~C~E 8) STORAGE CODES
Mmcimum Omly Amount: ./~ lbs [ ] gal' [~,/ft3 [ ] e.) Confiner: [ O
Average Daily Amount: -~ curies [ ] b) Pre,~sum:
Annual Amount: 2.. C) c) Temperature:
Largest Size Container:
# Days On Site ~ ~" Circle Which Months: All Yea/. J, F. M. A. M, J. J. A. S, O, N, D
9) MIXTURE: Dst _ COMPONE~L CAS # % WT AHM
the three most haza/dous1)t ,5 - Dic¼lc, v'-a -E. 5 ( H¥cl0,w 'n ,-----
chemJcaJ components or -/ '
any AHM components (2) [ }
3) ;
10) LocaZion WHYS &
c~fy under penalty of law, that I have personally exam/nec1 eno am fam/iiar wi~h. Zhe infomat/(~ su/~mitted on 8tis and ail atlached documents.
/bmitted information is ZTUe. accurate, and complete.
GENE SPINOZZI ~GEN MGR 5/1/95
~.(t(T Name & T/tie of Authon[led Company Representa~ve Signature Date
--' BAKERSF411 LD CITY FIRE DEPARTMENT'
, .., HAZA [ OUS MATERIALS INVEN'I IY Page__of._
Business Name., CLEANWAY SANITARY SUPPLY . Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVF. NTORYSTATUS; New[~ Addition[ ] Revision[ ] Deletion[ ] Check if chemioal is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH ~ PHYSICAL HEALTH
'HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeaJth (Chronic) [
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CQDE
6) PHYSICAL STATE Solid [ ] liquid Gas [ ] Pure [ ] Mixture te [ ] Radioactive [ ]
UNITS OF MF_A.~RE 8) STORAGE CODES
7) AMOUNT AND TIME AT FACIUTY
· Maximum Daily Amount: / lbs [ ] gal~t3 [ ] a) Co.ntainec
Average Daily Amount: / curies [ ] . b) Pressure:
Annual Amount: ~ c) Temperature:
Largest Size'Container: /
# Days On Site //~.d~ Circle Which Months: All Year. J. F. M. A, M. J. J. A. S. O. N. D
9) MIXTURE: List ~ COMPONENT CAS ,~ - % WT AHM
any AHM components 2) ~_.~___'~-~
10) Location ~TH~$(~F~ SHOWROOH
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [~ ] Addition { ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
(op~on~)
Chemical Name: NlM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] ImmediateHea~th (Acute) [ ] Delayed Heailh(Chro,"tic) {'
5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE $oJid [ ~ Liquid ~ Gas { ] Pure [ ] Mixture '~ Waste [ ] Redioectiv~
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEAS/URE 8) STORAGE CODES
Maximum Dmly Amount: ~ lbs [ ] gal [NJ/ft3 [ ] a) Container:.
Average Daily Amount: / cunes [ ] b) Pressuro:
Annual Amount: /- c) Temperature:
Largest Size Container:. ~ '
/
# Days On Site ~'~" Circle Which Months: Ail Year. J, F. M, A. M, J, J, A, $, 0. N, D
;
9) MIXTURE: Ust coMPONENT CAS # % Wi' AHM
the three most hazardous 1) . ~ -- - [ ]
chemical components or ....___
any AHM components ~) ~ [ ]
3) - [ ]
10) Loca~on WHRS 8 SHOWROOM ,,...~.---) .
-~bmitted informatfon is flue, accurate, and complete .....
BAI ERSFIELD CITY FIRE DEP ARTMEN,I"
H/ ,RDOUS MATERIALS INVE I'ORY Page_of__
8usinessName., CLEANWAY S~NITARY SUPPLY Address900 CHESTER AVENUE BAKERSFIELD, CA 93301
"" ........ '~' .......... ': ':":~'~'~ ........C E L'-H-MICA- DESCR"- O-'PT N '" ..... ' " '
1) IN~'~FrORYSTATUS: New[X] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is a NON TRADE SECRET ['] TRADE,~-CRET [ ]
ChemicaJ Name: AHM [ ] CAS ,~
4) PHYSICAL & HEALTH PHYSICAL / HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure {pr Immediate Health (Acute) [ ] Delayed HeeJ~ (Chronic)
5) WASTE CLASSIFICATION . .(3-digit code from OHScForm 8022) USE CODE
6) PHYSICAL STATE . Solid [ I Liquid [ ] Gas Pure { ] Mixture te[ ] Radioactive { ]
7) AMOUNT AND TIME AT FACIUTY UN[TS~MEASURE 8) STORAGE COOES
· MaXJmum Dally Amount: ,5 lbs IV] gal [ ] it3 [ ] ~) Container.
AveregeOalty Amount: / curies [ ] . b)Pressure;
Annual Amount: / c) Temperature:
Largest Size'Container:
# Days On Site Circle Which Months: All Year. 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
any AHM components 2) ~ '"----- [ ]
3) ~ ~ [ ]
10) Location WHRSGS SHOWROOM
N~TO CHEMICAL DESCRIPTION
1 ) I RY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion { ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [
2) Common Name: J~'.~'%,L Ll'c/.L)i6J ~.~,,")~_~jl,-wh~ 3) DOT#(op~onal)
/- ~. /
Chemic~ Name: ~ AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL / HEALTH
HAZABO CATEGORIES Fire [ ] Reactive[ ] Sudden Release of Pressure [t~ Immediate Health (Acute) [ ] Delayed Healttl (Chronic) [
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid ~/'~*Sas [ ] Pure [] Mixture ~[~j'//Waste [] Radioactive []
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 1 ~ lbs [ ] ga] ~1t3 [ ] a) Container. [(.3
, Average Daily Amount: ~ curies [ ] b) Pressure:
/.-~,V.--~nnual Amount: I 0/~ c) Temperature:
~/' Largest Size Container.
# Days On Site '~ '~'- Circle Which Months: Ail Year. J, F, M, A. M, J, J, A, S, O, N, D
9) MIXTURE: Ust -.- -- COMPONENT CAS ~ % WT' AHM
chemical components or
'/0~ Location W~RS ~ $~OWROON
C~rtify under penal~y of law, ~hat i ha~.. e pe/~ally examine¢l eno am faT~ilar wi~h ~he infomagon submflted on this and a~i attached documerd& i be~'eve ~h~
· _,bmitted information is e~e, accurate, and complete.
GENE SPINOZZI IGEN MGR , 5/1/95
.RINT Name & Title of Authon~ed Com~5, ~epresenm~e Signature
BAKERSFIELD CITY FIRE DEPARTMENT'
.. 'HAZ/~OUS MATERIALS INVEN~Y Page _or_
Business Name ~, CLEANWAY. SANITARY. SUPPLY Address g00 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: New[~ Addition[ ] Revision[ ] Deletion[ ] Check if chemioai is a NON TRADE SECRET [ ] TRADE SECRET
ChemicaJ Name: AHM [ ] CAS ~e
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed HeaJl~ (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
7) AMOUNT AND TIME AT FACIUTY UNITS OF ~MEAS/URE 8) STORAGE CODES
· Maximum Daily Amount; ~--~. - ~\ lbs [.] gal'V~,/~ fl:3 [ ] ~) Container:. LC)
Average Daily Amount: /' curies [ ] . b) Pressure:
Annual Amount: / c) Temperature:
Largest Size'Container: ~ 0 o~
Days On Site .~,~}~'~ Circle Which Months; All Ye~, J, F, M. A, M, J, J. A, S. O. N, D
9) MIXTURE: {Jst , -- ~__COMPONENT CAS ~ - % WT AHM
the three most hazardous I) ~({)t'Y~ ~} V(~ I"'O~I'C_,,~--.~ ~ ~ []
chemic.~ components or '
any AHa components 2) ~,OV'XO~"~c,~ O[~Y'~v(~r'~,~ ~ ~ [ ]
~O) Loce~on WHRS~S SHO~RO0~
CHEMICAL DESCRIPTION
~ ) INVENTORY STATUS: New ~ ] Add~on I ] Revision [ I Deletion [ ] Check i~ chemic~ is - NON TRADE SECRET [ ] TRADE SECRET
ChemicaJ Name: AHM [ ] CAS #
4) ·PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARO CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Healt~ (Chronic)
5) WASTE CLASSIFICATION .(3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE So,id [ I Uqua ~-< [ ] Pure [] M~ure ~r/W--te [ ]
7) AMOUNT AND TIME AT FAClUTY ~.~.-- i.~_ UNITS OF M, EA/,~I£1RE a) STORAGE CODES
I Me.ximum OaJly Amount; ~-. lbs [] gal ~. 1t3 [ ] ~) Containec
Average Daily Amount: ~'~ cunes[ ] b) Pressure:
Annual
Amount:
i Largest Size Container?
# Days On Site ~ ~ Circle Which Months: Ail Ye~, J. F, M, A. M, J. J, A, S. O. N. D
· 9) M~XTURE: Ust ~coMP({NENT CAS # % wr AI~M
chemicaJ components or
any AHM components ~) [ ]
3) .. [ ]
10) LockeD. ~HRS S SHOWROOH
ubmitted /nformatJon /s true, accurate, and comp/ete.
RINT Name & T/tie of Authon~ted Company Representative ~.~-----~SS/gnatu~e"~ ~ ~ Date
I AKERSFIELD CITY FIRE DEP RTMENT'
· H/ RDOUS MATERIALS INVER'rORY Page. of
8usine~ Name .. CLEANWAY SANITARY. SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) IN ORY STA~S: New [~ ~ [ ] Rein [ ] ~le~fl [ ] C~ ~ ~m~ ~ a NON ~ S~ [ ] ~ S~R~ [ J
Chem~ N~e:
4) PH~IC~ & H~ PH~ICAL H~
H~RD CA~GORIES Fire [ ] Reac~[ ] Sudden Rele~e of Pressure [ ] Im~eHe~ ~e) [ ] ~H~ ~hm~)
5) WAS~ C~SSIFICA~ON (3~ig~ c~e ~m DHS Fo~ 8022) USE CODE
'
6) PHYSICAL STA~ . Solid [ ] ~quffi G~ [ ] Pure [ ]
~ AMOUNT AND ~ME AT FACIU~ UNITS OF M~E 8) STOOGE CO~S
~ A~mge D~N ~um: ~ cudes [ ] . b) Pre.urn: i
~ J ~nu~ Amount: / ~ c) Tem~r~:
~~est Size'Con,nec
· ~OnS~e ~ Ci~le~ichMonths: ~lYe~. J. F. M. A. M. J. J. ~ S. O. N. D
9) MITRE: Mst ~ . COMPONENT . C~ ~ % ~ ~M
chemi~ com~ne~ or .
3) [
10) Lo~ion WH~SCS SHO~ROOH
CHEMICAL DESCRI~ION
1) IN~NTORYSTA~S; New[] Add,ion[ ] Re~ion[ ] Deletion[ ] CheckEchemJ~NON~ES~R~ [ ] ~S~R~ [ ]
Chemi~ N~e: ~M
4) PHYSICAL & H~L~ PH~ICAL H~
H~RD CA~GORIES Rte [ ] Rea~Ne [ ] Sudden Rele~eof Pressure [ ] Imm~eHe~ (A~e) [ ]
5) WAS~ C~SSlFICA~ON .(~ig~ code ~om DHS Form 8022) USE CODE
~ AMOUNT ANO ~ME AT FAClU~ UNITS OF M~ 8) STOOGE COOES
M~imum D~ly Amount: ~ lbs [ ]
Ave~e ~ Amount: / cunes
Annu~ Amount: ~ c) Tem~:
~gest Size Cofltmner:
· Oa~OnS~e ~ ~ Cir~e~ich Months: ~lYe~. J. F. M, A. M, J, J, A, S, O, N, D
9) MITRE: ~st ~_.. COMPONENT ~~-- % ~ ~M
the three most h~ous 1)
chemi~ com~nen~ or
~y ~M ~m~nen~ ~)
3) ~ [ ]
10) Lo~ion WHRS & SHOWROOM
c~bmi~ info,etlon is ~e. accum~. ~ complete.
RI~ N~e & T/fie of A~n~ Com~ Represenm~e D~
BAKERSF4 i LD CITY FIRE DEPARTMEN,'r'
.. HAZA OUS MATERIALS INVEN'I Y Page_of__
Business Name ~, CLEANWAY SANITARY SUPPLY Address900 CHESTER ^VENUE BAKERSFIELD, CA 9330~
:. ....... . ...... -: ~..:.~==~..- .... CHEMICAL DE$CRiI~TIoN ' ... ....
1) INVENTORY STATUS: New[~ Addition( ] Revision[ ] Deletion[ ] Check if chemioal is a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS t~
4) PHYSICAL & HEALTH PHYSICAL v~ HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ Immed'mte HeaJth (Acute) [~,~ Delayed HeaJth (Chronic)
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ I liquid ~' Gas [ ] Pure [ ] Mixture te[ ] Radioactive [ ]
7) AMOUNT.AND TIME AT FACILITY UNITS OF M. EA/~.URE 8) STORAGE CODES
· Maximum Dally Amount: ~ lbs [ ] gal [V~ ft3 ( ] ~) Contalnee.
Average Dally Amount: ¥ cudes [ ] b) Pressure:
Annual Amount:. :~ c) Temperature:
Largest Size'Container: ~ ~ \
# DaysOn Site ~/5~0 CircleW~Jch Months: AJlYea~, J, F, M, A, M, J, J~ A. $. O. N, D
9) MIXTURE: Ust , ..~ ,~a _./ i COMPONENT CAS ~ · % W'I' AHM
chemicaJ components or
10) Location W[-[~$(:;S
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision { ] Deletion [ ] Check if chemic, a] is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemica~ Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL .HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION .(3-digit code fi'om DHS Form 8022) USE CODE
6) pHysiCAL STATE Solid [ ] liquid ~'/"~Gas [ ] Pure [ ] Mixture ~'""'Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: ~,~ lbs [ ] gaJ~d/"ft3 [ ] a) Container:. JO
Aver-ge Daily Amount: "~ curies [ ,] b) Pressure;,
AnnuaJ Amount: Z ~,- c) TemPerature: /.--~
Lm'gest Size Contmner: ~c~Z.,
# Days On Site ~ Circle Which Months: Ail Year, J, F, M, A. M, J, J, A. S, 0, N, D
9) MIXTURE: List _~ COMPONENT CAS # % ~ AHM
the three most hazardous 1). ' [ ]
chemical components or
a~y AHM components ~) ,-'--- [ ]
3) ~
.' []
10) Location ~$ S S~O~O0~
cerOTy Under penaJty of/aw, that / have persona//y exam/neO eno am fam///ar w/rh ~he /nfoma~on submitted on ~ ar~ all a~ached (focumer~. /bel/eve
'~h_m/t~ed /nforma~on /s tr~e, accurate, and comP/ete.
RINT Name &T/tfe of AuthoriZed Company Representa~ve Signature Date
BAKERSFIELD CITY FIRE DEPm RTMENT'
· H.a ,RDOUS MATERIALS INVEIIFrORY Page_of__
9usiness Name. CLEANWAY SANIT~Y SUPPLY Address g00 CHESTER AVENUE BAKERSFIELD, CA 93301
1) IN~ORYSTA~S: New[~ ~J ] R~n[ ] ~le~n[ ] C~em~aNON~8~ [ ] ~S~
C~m~ N~e:
4) PH~IC~ & H~L~ PH~ICAL H~
H~D CA~GORIES Fire [ ] Reac~ J ] Sudden Rele~e of Pressure [ ] Im~e He~ ~e) [ ] ~ H~ ~hm~) [ J
5) WAS~ C~SSlFICA~ON .(3~igR c~e ~m DHS Fo~ 8022) ' USE CODE
6) PHYSICALSTA~ Solid [ ] ~quid ~G~ [ ] Pure [ ] M~ ~te '[ ] '~ [ ]
~ AMOUNT AND ~ME AT FACIU~ UNITS OF M~S~E 8) STOOGE CODES
, M~mum ga~ Amount: ~ I~
~ A..eD~NA~um: ~,. cudes [ ] . b) Pre~um:
~nu~ Amount: ~ ~ c) Tem~r~:
~est Size'Cont~ner:
· Da~OnSite Circle ~ich Months: NIYe~. J, F, M, A, M, J, J, ~ 8. O, N, D
9) MITRE: gst COMPONENT C~ · · % ~ ~M
chemi~ com~ne~ or I
[ l
10) Lo~ion WH~SL~S
CHEMICAL DESCRI~ION
1) IN~NTORYSTA~S: New~] AddRion[ ] Re,sion[ ] Deletion[ ] Ch~kEchemi~aNON~ES~R~ [ ] ~S~R~ [ ]
2) Common N~.: ~:~-~'~ _L J'c LJ~iC~" 3) ~T · (o~
Chemi~ N~e: ~M [
4) PHYSICAL & H~L~ PHYSICAL H~
H~RD CA~GORIES Fire [ ] Rea~e[ ] Sudden Rele~e of Pressure [ ] Imm~e He~ (A~e) [ ] ~ He~ (Chm~) [ ]
5) WAS~ C~SSIFICA~ON (~ig~ code ~om OHS Fo~ 8022) USE CODE
~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~E 8) STOOGE CODES
M~mum Daly Amount: ~ lbs
Ave~e DaN A~unt: ~ curies
Anna Amount / ~ c) Tempera:
~est Size Contane~
I
· Oe~OnSite ~ ~' ~ ~ Cir~e~ichMea~s: NIYe~. J. F. M. A. M. J. J. A. S. Q. N. D
9) MITRE: ~st COMPONENT C~ · % ~ ~M
chemi~ ~m~nen~ or
~y ~M ~m~nenm ~) [ ]
3) .. [ ]
10) L~mn WHRS & SHOWROOM
~,~ in~o~a~on ~ ~e, a~cu~, ~ ~om~l.~.
GEN~ SPINOZZI ~GEN MGR
5/1/95
RI~ N~e & Utie of A~n~ Com~ Repre~en~e Sig~ D~
BAKERSF4 LD CITY FIRE DEPARTMENT'
HAZAII[IDOUS MATERIALS INVEN'I RY Page_of__
~usiness Name- CLEANWAY SANITARY SUPPLY Address 900 CHESTER AVENUE BAKERSFIELD, CA 93301
1) INVENTORY STATUS: New[~ Addition[ ] Re~.ion[ ] Deletion{ ] Check if chemical i~ a NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [ ] Delayed HeaJth (Chronic) [ ]
5) WASTE CLASSIFICATION . (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE . Solid [ ] Liquid as [ ] Pure [ ] Mixture [ te [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS~ F MF_..4~E 8) STORAGE CODES
· MayJmum Daily Amount: ~ O Ib~ IV[ gaJ [L-~r.,~t3 [ J a) Container. IO
Average Daily Amount: I 5' cudes [ ] . b) Pressure:
AnnuaJ Amount: '74D c) Temperature:
Largest Size'Container: 2 00t.
# Days On Site , ~b~"~' Circle Which Months: All Yea& J, F, M, A, M, J, J. A, S, O, N. D
9) MIXTURE: list COMPONENT CAS # % WT AHM
chemicaJ components or
any AHM components 2)Pvropho s 0¼c1 ' -eo [ ]
10) LocaZion WHRSG& SHOWROOM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical N~me: AHM [ ] CAS ~'
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] S'udden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [' ]
5) WASTE CLASSIFICATION (3-digit code f~om DHS Form 8022) USE CODE
6) PHYSICAL STA~E So,d [ ] Uq~d'~"~=. [ ] Puro {] M~u~*'M""~"to [] R~c~ve { ].
7) AMOUNT AND TIME AT FACiLiTY UNITS OF M. EA~J.RE 8) STORAGE CODES
Average Daily Amount: ~] cunes[ ] b) Pressure:
Annual Amount: ~.. I~ c) TemPerate. Ye:
IJJ-gest Size Container:. ~
# Days On Site Circie Which Months: Ail Year. J, F, M. A. M, J. J, A. $, O, N, D
9) MIXTURE: List COMPONENT CAS # % WT 'AHM
the three most hazardous 1) ------'---- ~ '- [ ]
chemicaJ components or
any AHM components ~) ~ ' [ ]
10) Location WHR$ ~ SHOWROOH
cer~Ty Under penaJ~y of law, filet i have pe~sona/Iy examine(i and am familiar w~h ~h~documen~.
~_hmitted inforrnatJon is ~ue, accurate, and complete.
GENE SPINOZZI IGEN MCR 5/1/95
RINT Name & Title of Authon~ed Coml:~.~y Representa~ve ~ ~ Date
.-' BAKERSFIELD CITY FIRE DEP, ARTMENT'
~'HAI~RDous MATERIALS INVE'IR!I~. ~OFW Page of
Business Na~e:.,, CLEANW.A.y...S ',;B~._ITARY SU,,PPLY. Address 90.0 CHESTER AVENUE BAKERSFIELD, ., CA 93301
.............. ............... ......... c.E ic
1) INVENTo-~S.TATUS: New iX] ~ [, ] Revision [ ] Deletion [ ] · Check ff chemicai is a NON TRADE SECRET [ ] TTMIZ)E SECRET [
ChemiceJ Name: AHM [ ] CAS ~
4) PHYSICAL & HEALT~ PHYSICAL HEALTH
HAZARD CATEGORIES Fire [] ~Resctive[ ] Su~den. Release of Pressure [ ] ImrnedlateHeNth(Acute) ['] DelayedHeaJth'(Chronic) [-]
5) 'wAs~ ~sSi;=,cA~oN (~<~ co.. ~ol ohs Fo.. ~o~) ~s~ CODE ....
7) ~OUN: AND ~ME AT F^ClU~ UNrrS OF M~ ,) SmRASE CODES
ii ' MaxJmumOaJlyAmoun,: ,~"0 lbs ~ gal.~ []. s) Container.
/~:~-~y~-AvemgeOaJlyAmount ~ curies [ ] . b) Pressure:
~{ J ) Annual Amount ~- ~ O c) Temperature:
%~/ Largest Size'Container. .5' ~ t
# Days On Site ~ (~ .5'~ Circle Which Months: ,,All Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIxTuRE: Ust COMPONENT. " CAS~ ,,.~L~-3~-' AHM[ ]
chemical components or" ·
any NlM components 2) [ ]
3) [ ]
10) Location W[-[~S~;F~ SH0~00~
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New {~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS tl~
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ I Immediate HeaJfll (Acute) [ ] Delayed Health (Chronic)
6) PHYSICAL STATE Solid"~Uquid [] Gas [ ] Pure [] Mixture ~]~/'Waste [] Radioactive [ ]
7) AMOUNT AND TIME AT FAC~UTY U.N~TS~; MEASURE 8) sTORAGE CODES
MaXamumOailyAmoun,: ~' IbsW~gaJ [ ] ,3 ['] a) Contmner, I ~
Average Daily Amount: ~, .5~ curies [ ] b) Pressure: ,
Annual Amount: ~..~ ~.. c) Temperature: t-[
· Largest Size ContaJneK .
# Days On Site ,~ ~ ~ CircJeWhich Months: NI Year. J, F, M. A, M. J, J, A, S, O, N, D
9) MIXTURE: List COMPONENT _ CAS · % WT NlM
~ []
3)
10) Loca~on WHRS S SHOWR00H
~e..-O~K under pen~ty qf law, .that I h .av. e pe~on~ly examlqeo end am familiar with ~e inforna~on submitted on this and ali altached docamema. I believe
~_,mi~-~ information is true, accurate, and complete.
GENE SPINOZZI IGEN MGR · 5/1/95
'--'-NT Name & 77rte of Authon~Ied Company Representa~ve Signature Date
' BAKERSF, .LD CITY FIRE DEPARTMENT'
.... ., ' 'HAZAP oUS MATER!ALS INVEN'I iYPage_of__
Business Name:.,. CLEANWAY-'-S .A~..I*TARY. SUPPLY. Address90.0 CHESTER AVENUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New iX] Add~ [ ] Revision [ ] Dp. letion [ ] Check ff chemical is ,. NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ '] :'Reactive[ ]Sudden. Release of Pressure [ ] Imrned'mte Health (Acute) [{~ OelayedHeaJlh'(Chronic) [1~.
5) 'WASTE CLASSIFICATION ,(3-digit code from OHS Form 8022) USE CODE
i'"H S'C STATE .So,,,, I ' ,,qu []'. Par. ' ast. []'
7) AMOUNT AND TIME AT FAClUTY ~/ UNITS OF MEAS, J.I,RE' 8) STORAGE CODES
· Maximum Daily Amount:~ lbs ( ] gaJX~J" fl:3 [ ]. a) Container:.
Average Daily Amount: curies [ ] b) Pressure: ~ ",
Annual Amount. /~1 c) Temperature: ~'/
Large. Size*Container.
# Days On Site ~ Circle Which Months: All Year. J. F. M. A. M. J. J. A. S. O. N. D
S) M~x'ru..a ust ...- COMPO"E~_ . ' ' CAS · ·
chemical components or · ~ -. I . .
10) Loca~on WHRSGa SHowRo0~
CHEMICAL DE$CRiFrrlON '
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check i~ chemical is a NON TRADE sECP, l:-r [ ] ~ SECRET [ ]
Chemicai Name: AHM [ ] CAS ·
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ } Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic)
5) WASTE CLASSIFICATION (3-digit code from OHS Form ~022) USE CODE
6) PHYSiCAL STATE Solid [ ] Liquid'as [~] Pure [] Mixture ~Waste [] Radioac~e [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS~RE 8) sTORAGE CODES
Maximum Daily Amount: ~ (~ lbs [ 1 gal ~ fi3 [ ] a) Container.
Average Dally Amount: ~/~ cuhe$ [ ] b) Presell:
Annual Amount: =~/~./~/D c) Temperature: ~1~
Largest Size Container.
# Days On Site ~f2~'7 Circle Which Months: All YeaL J. F, M, A. M. J, J, A, $, O. N, O
9) MIXTURE: List COMPONENT CAS # % ~ AHM
the ,hree most hazardous 1) BU'~\/I ~.(~] IC~Olk/c t/ %- 7[o- Z ~....~o~ []
chemicai components or . / -
3) / [ ]
10) LocaIion WHRS a SHOWROOM ·
~e..~i'y' under penalty pt./aw, :that I h~.~e, pe _rsonat~ examin?O eno am tam/i/ar wtth the infomation submi~e¢l documer~, I believe th(
,l%m. itted information ~$ true, accurat~ ~ complete. ~
GEHE S?[NO~ZT I GEN HGR' 5/1/95
;iNT Name & 77tie of Authon[led Company Representa~ve Date ..,
.-' BAKERSFIELD CITY FIRE DEP RTMENT
.. RDOUS MATER!ALS'.INV. FrORY Page. of
Business Name..,- CLEANWA¥- S ,A~N.?TAR. Y. SUPPLY . Address 900 CHESTER AVENUE BAKERSFIELD,.. CA 93301
C~m~ N~e:
4) PH~iC~ & H~~ PH~ICAL H~
H~D CA~RIE$ Fire [ ] ? Re~ [ ]Sudden. Rele~eof Pressure
5) 'WAS~ ~ssJFIcA~ON ', (3~ig. c~e ~m DHS Fo~ 8022) USE CODE
6~ PHYsIc~ STA~ . Sol~ [ J Uqu~ ~ [ ] Pure
~ ~OUNT AND ~ME AT FACIM~ UNITS OF M~S~E 8) sT0~GE CO~S
A~e ~N ~um: ~ cudes [
~est S~e'Co~nec
· ~OnS~e . Circle~ichMon~s: NIYe~. J. F. M. A. M. J. J. ~ S. O. N. D
9) MITRE: Ust o _ ,COMPON~T C~ ~ · ~ ~ ~M
chemi~ ~m~ne~ or
~ ~M ~m~ 2) [ ]
3) [ ]
10) Lo.on WH~S~;S SHOWROOM
CHEMICAL DESCRI~ION
1) IN~TORYSTA~S: New~] Add~on[ ] Re~ion[ ] Deletion[ ] Ch~em~baNON~ES~R~ [ ] ~S~R~ [ ]
Chemi~ N~e: ~M [ ] C~
4) PHYSICAL & H~~' PHYSICAL H~
H~O CA~GORIES ~m [ ] Ree~e [ ] Sudden Rele~eof Pressure [ ] Imm~eHe~ (~e) [ ]
5) WAS~ C~SSIFICA~ON .(~ig~ code ~m DHS Fo~ 8022) USE CODE
6) PHYSICALSTA~ Solid [ ] ~quid [~ G~ [ ] Pure [ ]
~ AMOUNT AND ~ME AT FAClU~ UNITS OF M~SURE 8) sTOoGE CODES
M~mum Daly A~unt: ~ 0 lbs [
Ave~e D~ ~um: ~ ~ ~des [ ] b)
~est Size Co~~
/
· Da~ On S~e Cir~e~ich Monks: NIYe~. J. F. M. A. M. J. J. A. S. 0.' N. D
9) MITRE: Ust COMPONENT C~
chemi~ ~m~ne~ or .
10} L~n WHRS & HOWROOM .
,bmi~ info~afion is ~e, accu~, ~ compleX.
GENE SPINOZZI ~ GEN MGR 5/1/95
BAKERSFIELD CiTY FIRE DEPARTMENT'
,. ., HAZA., i 0us. MATERIALS'.IINVENT I¥Page__oL
Business Name. "CLEANWAy SANITARY. SUPPLy . Address 90.0 CHESTER AVENUE BAKERSFIELD, - CA .93301
CHEMICAL DESCRIPTION.
1) INVENTORY STATUS: New[~] 1Addition f.] Revision[ ] .D~..letion[ ] ChecklfchemioaJbaNONTRADESECRET [ ] TRADE SECRET
Chemicai Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES, Fire [ '] ~Reactive[ ] Sudde.n. Release ot Pressure [ ] Immed'mteHeeJth(Acute) ['] DelayedHeaith'(Chronic)
5) 'WASTE ~'L,AsSi~ICATION ,(3-digit code from OHS Form 8022) USE CODE
6)~ PHYsIcALSTA'~E .Solid [ ] ' Liquid [ t]."/'~as [ 1, Pure [ ] 'Mixture H.~waste' [ ] ..... Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEAS/URE 8) sTORAGE CODES
· Maximum Daily Amount: "" ~ lbs [ ] 'gal [--]" ~3 [ ]. a) Container.
Average Daily Amount: curies [ ] . b) Pressure:
Annual Amount:. 44 ~ c) Temperature:
Largest Size'Container. ~~.
# [~YS On Site , , Circle ~hich Month~: NI ¥~r. J. F. M. ~. M. J. J. A. $. O. N. D
g) MIXTURE: list ,. ,,. : COMPONENT CAS # ' % WT AHM
the three most hazardous 1) c'~ ~. I' t'"'~v*-~-- ~cl ~'~- '7_'1-"5" ~-"/~ [
chemicaJ components or -.
any AHM components 2) L.~C.,.J~'~v'' "7-/'~'"L --I.~-~ ' ~ [ ]
1O) Location .WHRSGg SHOWR~OM
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New ~ ] /~u:ldifion [ ] Revision [ ] ~letion [ ] Ch~ ~ chemi~d i~ a NON TI:t,~E SECRET [ ] ~ S~q~RET
2) Common Name:
Chemical Name: I~IM [ ] C,~ #
4) PHYSICAL & HEALTH` PHYSICAL HEALm
H.~,.~D CATEGORIES Fire [ ] Rea~ [ ] Sudden Rele~e of Pressure [ ] Imm~d~te Health (~ute) [ ]
5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Uquid ~ Gas [ ] Pure [ ] Mixture [...~aste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) sTORAGE CODES
Maximum Daily Amount: ~ lbs [ ] gal [,,.~ft3 [ ] a) Container.
curies [ ] b) Pre.urn:
Average Daily Amount: , ~ c) Temperature:
Annual Amount:
Largest Size Container.
# Days On Site CircJe W~ich Months: AJI Year. J, F, M, A. M, J, J, A, S. O. N, 'D
9) MIXTURE: List COMPONENT % WI' AHM
chemiceJ components or ..... . ·
any AHM components ~) Di~,]~j //Ct F(~.~ ~ ,: [ ]
3) ./ [1
· . ... ..~ -. ~ -..: .. . .. ..
10) ~ea~on WHRS ~ SHOWROOM · ~'~
--e.,lffy under penalty .Of:law, :iLar I h,.m(.,e pe ~monal. ly examin, e~ ancl am familiar wi~ ~he infomabon submiged on ~ and all a~ached documents, i I~alieve
~Omiff~ information i~ true, accurate, ~ complain.
GENE SPINOZZI IGEN MGR' 5/1/95
:iNT Name & Title of Authon'~ed Company Representative Signature Date
- --" BAKERSFIELD CITY FIRE DEP RTMENT"
,...., ' ""HT RDDu. s: MATERIAESINV OR¥ Page_of__
Business Na,r/1. e...,, CLEANWAy,..S .~..ITAR. Y suPPLy Address 90.0 CHESTER ^VENUE -BAKERSFIELD.,. CA 93301
1) INVF_NTORySTATUS: New[X] Addmon[.] Revision[ ] ~.[ ] ' C~~aNON~S~ [ ] ~~R~ [ ]
C~m~ N~e: ~M [ ] CAS ·
4) PH~IC~ & H~ PH~[CAL H~
H~DCA~RIES Rre ['] ~Rea~.[ ] SuddegRele~e of Pressure [ ] Im~eHe~e) ['] ~H~"~hm~) [ J
5) 'WAS~ C~ssiFICA~ON .(~ig~ ~e ~m DHS Fo~ 8022) USE CODE
S) PHYsIc~STA~ .Sol~ [ ] Uqu~~__ [ ~'. Pure [ ] M~m ~t; [ ] ~ [ ]
~ AMOUNT AND ~ME AT FACI~ ';~ UNITS OF M~E 8) STO~GE CO~S
. M~mumD~ount: ~ I~ [ ] g~ ~3 [ ]. NCo~c tO
A~mge O~N ~u~: /'0 cudes [ ] . b) Pm~um: t
i ~nu~ A~ ~ ~~ c) Tem~:
~ ~est S~e'Co~nen ..
chemi~ ~m~ne~ or·
10) Lo~n WHRS(~ SH0WRO~M
'CHEMICAL DESCRi~ION
1) I Y STA~S: New ~ ] Add,ion [ ] .Re~ion [ ] ~letion [ ] Ch~ ~ ~em~ b a NON ~E S~ [ ] ~ S~R~ [ ]
2) Co=~nN~.: G~I ~,3~ ~1~~ 3) ~T~(o~
Chemi~ N~e: ~M [ ] C~ ·
4) PHYSICAL & H~L~ PHYSICAL H~
H~RO CA~GORIES Rm [ I Rede [ ] Sudden Rele~e of Pressure [ ] Im~e He~ (~e) [ ] ~ He~ ~) [ ]
5) WAS~ C~SSIFICA~ON (~ig~ code from OHS Fo~ 8022) USE COOL
6) PHYSICALSTAm Solid [ ] Uqu~ ~ G~ { ] Pure [ ] M~re {~W~te [ ! ~ [ i
~ AMOUNT AND ~ME AT FACIU~ UNITS OF M~S~ 8) sTOoGE CODES
M~mum DaN Amount: ~ lbs [ ] gN ~3 [ ] N Co~ [ ~
Average D~N ~unt: ~ O cudes [ ] b) Pre~:
~gest Size Con~ne~
· Da~ On S~e Cirde~ich Months: ~lYe~. J. F, ~, A. M, J. J. A, S. O, N, D
g) MITRE: Ust COMPONENT C~ · ~ ~, ~M
chemi~ ~mm~ or -
10) L~. WHRS S SHOWROOM [ ' ' ' ~
,~ Jnfo~a~on is ~e. accu~. ~ comple~~~
GENE SPZNOZZZ ~ ~EN ZGR · _ /~~.. ~ 5/~/95
.... ' BAKERSF4 .LD CITY FIRE DEPAPm.TMEN?i"
· "HAzAI'I )OUS MATERIALSINVEN31RY Page of
Business Na.m.e: .... CLEANWAy~ .S ,A~.I.TAR, Y sUPPLY- Address 90.0 CHESTER AVENUE BAKERSFIELD, · CA 93301
CHEMICAL DESCRIPTION.
1) INVENT. ORY.$TATUS: New[X] Addition[ ] Revision[ ] D?.letion[ ] ' Check if chemical i~ " NON TRADE SECRET [ ] TRADE SECRET [ ]
ChemicaJ Name: AHM ( J CAS ~
4) PHYSICAL & HEAL'I'll PHYSICAL HEALTH
HAZARDCATEGORIE$ Fire [ '] :Reactive( ].Sudden. Release of Pressure [ ] Imrnediate Health (Acute) ['] DelayedHeal~'(Chronic)
5) 'WASTE ~LAssi~ICATION (3-digit code from DHS Form 8022) USE CODE
6~ PHYSICALsTA'~E ..Solid []'' Liquid [~//~as [1. Pure [] 'Mixture ~Wast" [ ]' ' RadioectNe []
7) AMOUNT AND TIME AT FAClUTY UNITS OF M_EASU/RE 8) STORAGE CODES
· Maximum Daily Amount: /--//~;7 lbs [ ]-gal [r~},~t3 [ ]. a) Container. ~ (~)
Average Oalty Amount: curies [ ] . b) Pressure:
Annual Amount:. c) Temperature:
Largest Size'Contain~c
# Days On Site Circle Which Months: ...AJI Year, J, F, M, A, M, J, J, A, S, O, N, D
e) Mik'~u"F: ust..... : COMPONENT CAS #. %WT AHM
the three most hazeJ'dous 1) [ ]
chemicaJ components or .~.,, -' -
3) ' [ ]
lO) Loca~o. W~RS~.':;S SHO~ROON
CHEMICAL DE$CRiI:q'ION
1) INVENTORY STATUS: New ~: ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH- PHYSICAL HEALTH '
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid"'~' Gas [ ! Pure [ J Mixture [ '1.~V~aste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) sTORAGE CODES
Maximum Daily Amount: ~ lbs [ ] ga]'~],~3 [' ] a) Container:.
Average Daily Amount: _~ curies [ ] b) Pressure:
Annual Amount: ~ 0 _ c) Te~peretum:
· Largest Size Container. ~==~";'~--0'~
# Days On Site Circle Which Months: Ail Year, J, F, M, A, M, J, J, A, S, O, N, D
9) MIXTURE: Ust COMPONENT / CAS # % WT AHM
the threemost hazardous 1)Ibo~vlpl~,oA/ b,~lL,~l hc_,x~J.~l.h~r,~/ ~&,o % 7 -'5~-) 4 5'°~ [ ]
chemical components or . ' / - / / ' - / · · . .
ar~/AHM components ~) ~:, [ ]
3) ; - [ ]
10) Locaaon WHRS S SHOWROOM ' ~ "~
-~,."07); under perm/ty:.o.f :law, :that i h.~..e, pe .r~onally examineo~and am familiar w/th ~he in~ submiited on
~mi~ed infoi'ma~fon is true, accurate, and complete.
'GENE SPINOZZI 'IGEN MGR 5/1/95
:;NT Name & Ti#e of Au~on~ed Company RePresenm~ve S/gn~ure Date
.... BAKERSFIELD... ,-; _.__ CITY____.___ .FIRE DEP i R.-TM EN.,'F'.
~.., 'H .-=1~. HuuuS MA i hH!AL6 lEV, .Et~'T. OH¥Page__oL
Business Na~e.,. CLE-At~A.~--.S .A~.-ITAI~.~Y SUPPLY. . Address900 CHESTER AVENUE BAKERSFIELD,- CA .93301
CHEMICAL DESCRI~ON
C~m~ N~e: ~M
4) PH~IC~ & H~ P~IC~ H~
- H~DCA~RIES Fire [] ~Rea~[ ] Su~den. Re~e of Pressure [
6~ PHYSIC~sTA~ SO~'[ ] Uqu~ ~:~ [ ]. Pure [ ]
~ ~OUNT AND ~ME AT FAClU~ '~ UNITS OF
~est Size'Con~ne~ ~ ~ ~ -- .
~ ~W On S~e ~ ~ Ci~e~ich Momhs: .~lYe~, J, F, M, A, M, J, J, ~ S, O, N, D
9) MITRE: Ust_ COMPONENT
CHEMICAL DESCRi~ION
1) IN--DRY STA~S: New ~ ] Add,on [ ] Re~ion [ ] ~lefion [ ] Ch~k ~ chem~ b a NON ~E S~R~ [ ] ~ S~R~ [ ]
Chemi~ N~e: ~M [ ] C~
4) PHYSICAL & H~L~ PH~ICAL H~
H~O CA~GORIES Rm [ ] Rea~ [ ] Sudden Rele~eof Pressure
5) WAS~ C~SSlFICA~ON .(~ig~ code ~m OHS Fo~ 8022) USE CODE
6) PHYSICAL STA~ Solid [ ] Uquid ~ G~ [ ] Pure [ ] M~re ~te [ ] ~ [ ]
~ AMOUNT AND ~ME AT FAClUW
UNITS OF M~RE 8) ST0~GE CODES
M~mum Duly Amount: ~ I~ [ ] ga ~ ~3 ['] N ~ I O
l/ A~e DaN ~um: / ~ curies
~ ~~ ~ount: ~~ c) Tempera:. ~
· ~gest Size Con~
· DawOnS~e Ci~e~i~ Monffis: NIYe~. J. F. M. A. M. J, J. A.
9) MITRE: ~st COM~N~T C~ · % ~ ~M
chemi~ ~m~nen~ or I
· hm~ info--aEon is ~e, aCCU~, ~ complet~ ~~" .
GENE S~INOZZI ~GEN MGR ~ 5/%/95
..... 'BAKERSF4 .LD CiTY FIRE DEPAi TMENT'
., HAZAFI OUS MATERIALS INVEN'i RY Page_of_
Business Na~.e··,, CLEANWAY. SANITARY· SUPPLY · Address900 CHESTER AVENUE BAKERSFIELD,. CA 93301
.1) INVENTORY STATUS: New [~ Addition [. ] Revision [ ] Deletion [ ] Check if chemical i~ a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Nam.: 5; p k, ....... 3) DOT,
Chemical Name: AHM [ ] CAS
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] : Reactive [ ] Sudden· Release of Pressure [ ] Immediate Health (Acute) [' ] Delayed HealU1"(Chronic)
5) 'WASTE ~LAssiFICATION (3-digit code from DHS Form 8022) USE CODE
6)' PHYSICAL STATE . So~d [ ! Uqu~ k.]/ Gas [ ], Pure [ ] 'M~ure l.~'/Waste [ ]'
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES
· Maximum Dally Amount: ~ lbs [ ] gal [,.~3 [ ]. ~) Container:.
Average Dally Amount: ~ cudas [ ] . b) Pressure:
Annual Amount: . ~j/ c) Temperature:
Largest Size'Container:
# Days On Site . Circle Which Months: All Yea~, J, F, M, A, M, J, J. A, S, O, N. D
9) MIXTURE: Mst . ' - COMPONENT
chemical components or . - ~ i . ,
3). [ ]
10) Location WHRS~.S SHOWROOM
CHEMICAL DEscRIPTION
· 1 ) INVENTORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Commo. Nam.: ~,,.e~¥,o,JC,,-~-or-- 3) DOT,.
ChemicaJ Name: AHM [ ] CA~ #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health t~Chmnic)
5) WASTE CLASSIFICATION .(3-digit code fi-om DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] liquid ~/' Gas [ ] Pure [ ] Mixture~""/Waste '[ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS~.URE 8) sTORAGE CODES
Maximum O=ilyAmount: ~-~:' lbs { ] gaJ F-1v' tt3 [ ] a) Container:.
Average Daily Amount: j ~ cunes [ ] b) Pressure:
Annual Amour: ~ c) Temperettlre:.
. Largest Size Container:. ~ ~
# O,~ys On Site .'~ t~ ~' Circla Which Months: All Yea~, J, F, M, A, M. J, J, A, S, O. N, O
9) MIXTURE: List COMPONENT CAS t~ % WT NlM
chemical components or . -
10) Loc~ion ~HRS S SI-IO~ROON ",
:e.,~'fy under penalty, of law, :.~hat I ha~..e personally examine~ eno am/ami/mr with the infornagon submitted on ~ and all a~ached ~locumem~
~mitted information is true, accurate, and complete.
'GENE SPIN07,7, I '1 GEN HGR 5/1/95
-:_-NT Name & Title of AuthoriZed Compar~yFlepresentatlve Signature Date
?
.... ' BAKERSFIELD CITY FIRE DEP, RTMENT'-
. . .... . '"' H/l~k. RDO.USi. MATERIALS'.INV~OR¥ ' Page_of__
Business Name ..... CLEANWAY..SANITARY SUPPLY. .- Address 90.0. CHESTER AVENUE .-BAKERSFIELD -CA .93301
~1) II~/V~ORYSTATU$: New[~ ~[.) R,e~skm[ ] ~l~.letion[ ] · Check if chemic~ is ~ NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemicad Name: AHM [ ] CAS ~
HAZARDCATEGORIE~S. Fire [] ' Re~.[~]' Sudden. Eel°as°of Pressure [] Immedlat. eHeaJth(Acute) [~V' DelayedHeaJUt'(Chronic) ~,~r.
5)'wASTE ~ssli=,c^Tio.~ ' .(~,git me hi HHS ro.~ .022) ~}SE COD~ ................. .
7) AMOUNT AND TIME AT FACILITY '~ UNr[S DF MEASURE "0) STORAGE CODES'
~ . Maximum Oaly Amount: ' ,,~'~) lbs [ ] gaJ [~,.,,'It3 [ ]. ~) Colltainer: %
t,/ Average Dally Amourff: cudes [ ] b) Pressure:
'-' ~ Hays On Site , ~' Circle Which Months: ,AIIYea~. J, F. M. /%. M. J. J. A. S. O. N. D
9) MIXTURe Mst. : COMPoNEnT CAs, AHM
chemicaJ components or ·
any AHM components 2). [ ]
3) ( ]
1 t.oo~on WHRSG~ SHOWRO0~
1) IN~ORY STATUS: New ~ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
Chemical Name: ~ AHM [ ] CAS it
4) PHYSICAL & HEALTH. PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Imm°diet° Health (Acute) [ ] Delayed Heall~ (Chronic)
~'-II
s) wASTE c~ss,Fic^Tio'. (~,~it co.o ~o~ H.s ~o...0~) use COOE
6) PHYSICAL STATE Solid [ I Liquid [vr"/Gas [ ] Pure [ ] Mixture [~v'/waste [ ] Radk:mctive [
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEAS/URE · 8) STORAGE CODES
Mammum HaiN Amount: J '~, lbs [ ] gal ~ It3 [ ] a) Container:
O~ Average Daily Amount: ~ curies [ ] b) Pressum:
Annual Amount: ~/ c) Temperature:
Lm'gest Size Container:.~
%
# Days On Site CircJe Which Months: AJI Year. J, F, M, A, M, J, J, A, $, O, N,
9) MIXTURE: I. Jst COMPONENT CAS it % WT NlM
chemical components or ....
? _
any AHM components ~) "Z, -- ~k-o~( ~ ~-t-bq o, ~ol ~, ttl --") [o'"--.- 'b.<~"/o [ ]
· ~ 'i [
3)
10) Locamon WHRS 6, SHOWROOM t
-~-bty under, penaltY. O.t:law,':~hat I h.mze pe .~. ~ .ty examin, e~ en~ am famitiar with (he i~ched document., i be~eve
,h~_~tted information is true, accurate, and complete.
GENE SPINOZZI IGEN MGR 5/1/95
:ii,'T Name & Ti#e of Aufl~n[ted Company Representative " Date
..... ' BAKERSF, U LD CITY FIRE DEPARTMENT'
.,~ ., 'HAZARI~OUS...· MATERIALS·. ~. . INVEN.T~Y. Page_of_
Business Na~e:.,, CLEANWAY. S ,A~N..ITARY, SUPPLY. Address900 CHESTER AVENUE BAKERSFIELD,. CA 93301
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [XI Addition [ i Re~ision [ ] Deletion [ ] Check ff chemical is & NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Commo, Name: [~C._'* Li'~-~-'''~: ': ............. . ...... 3) Dm' ~, (o~,~ '
Chemicai Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEAL'~I
HAZARD CATEGORIES Fire ['] ?Reactive[ ]Sudden. Release of Pressure { ] ImmedlateHeaith(Acute) [,~' DelayedHea~Jl"(Chmnic) [~.
5) *WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6)' PHYSICAL STATE . Solid [ ] Liquid ~ Gas [ ] Pure [ ] 'Mix[ure 'H'~aste [ ]'
7) AMOUNT AND TIME AT FACILITY / UNITS OF MEASURE 8) STORAGE CODES
· Maximum Daily Amount: '~ lbs [ ] gal ~.--~3 [ ]. ~) Container:.
Average Daily Amount: ..~ curies [ ] . b) Pressure: ,,
Annuai Amount: .=J~:) c) TemperaaJm:
Largest Size*Container.
# Days On Site Circle Which Months: .All Yea~. J, F, M, A, M, J. J. A. $. O. N. D
9) MIXTURE: Ust ,~ COMPONENT CAS ~ - % Wq' AHM
the three most haz~doUs
chemicaJ componergs or
3) [ !
10) Location .['~HRS~.'~S
CHEMICAL DESCRIPTION
1 ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) C0mmon,am.: ~[~.,:'~' "P~,-~ 3) ~OT ~ (o~
ChemicaJ Name: AHM [ ] CA~ #
4) PHYSICAL & HEALTH PHYSICAl_ HEALTH
HAZARD CATEGORIES Fire [ ] Reactive { ] Sudden Release of Pressure [ ] ImmerSe Health (Acute) [ ] Delayed Hea~l (Chronic) [']
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [%~ Gas [ ] Pure [ ] MLxture [~'/Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FAClUTY UNITS OF MEASURE 8) STORAGE CODES
MaXimum Daily Amount: lbs [ ] gal [~/ft3 [ ] a) Container.
Average Daily Amount: curies [ ] b) Pressure: I
Annual Amount: c) Temperature:
· Largest Size Container.
V/' Days On Site Circle Which Months: AJI Yea~. J. F. M. A. M. J, J, A, $, O, N, D
9) MIXTURE: List , COMPONENT CAS ,~ % w"r AHM
the three most hazardous 1) , ----- ~ [ ]
chemical components o~
any AHM componen[s '2) ------- ,:. "-'" ~ [ ]
31 '---'-- ~ '-' -" [
i0) Loca~on 1~HRS ~ SH0~R00H '"
-__-0~, under pena/ty O.f /aw, .'that / h~.. e perc<~na//y exam/n, ed eno am fami//ar w/~h the/nfoma~ subrm'lted on ~ and all a~ache~ c/ocumenZ& /be//eve
· mica'ed/nforme#on/s ~rue, accurate, and comp/ete.
GI~.N~ S~:]:N07.7,:]: I GEN H~R 5/1/95
· -~rr Name & T/tte of Authon[led CompanyRepresentaffve S/gnamre Date
BAKER., IELD CITY FIRE DEP iRTMENT'
MATERIALs INvEI I'ORY Page_ of
Business Name ('Y~ / ~.,_~/ 'Address
~ ~3 ~ e ~ ~ ~ DESCRI~ON
CHEMICAL
1) IN~TORYSTA~S: New dd~n[ ] Re,sion[ ] ~letion[ ] CheckEchem~aNON~S~R~ [ ] ~S~R~ [ ]
4) PHYSICAL & H~L~ PHYSICAL H~
H~RD CA~GORIES Fire [ ] React~e [~ Sudden Rele~e of Pre'ssure [ ] Immedi~e He~h (Ac~e) [ ]
6) PHYSICAL STA~ Solid [ ] ~quid G~ [ ] Pure [ ] M~ure ~ W~te [ ] R~
7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~RE 8) STOOGE CODES
,M~imum D~lyAmount: I~ [ ] ga '[~ ~3 [ ] a) Con. nan
Average D~N Amount: curies [ ] ~ ~¢A~ b) Pressure:
Annu~ Amount: ~/¢&~$~ c) Tem~r~um:
~gest Size Cont~ner:
¢ Days On Site ~ Circle ~ich Months: All Ye~, J, F, M, A, M, J. J,'A, 'S. O, N, D
9) MITRE: Ust . - . COM~O~EN] CAS ¢ % ~ _, ~M
chemi~ com~nenm or
~y AHM com~nen~ 2). [ ]
3) [ ]
~ ~PS ~,...~ CHEMICAL DESCRImlON
1) INVENTORY STA~S: New ~ddition [ ] Revision [ ] Deletion [ ] Check ~ chemi~ is a NON ~DE S~R~ [ ] ~E SECR~ [ ]
Chemic~ Name: AHM [ ] CAS ¢
4) PHYSICAL & H~L~ PHYSICAL . .¢/_ H~
H~RD CATEGORIES Fire [ ] Rea~ive [ ] Sudden Rele~eof Pressure [ ]~ Immedi~e He~h (Ac~e) [ ] ~1~ He~ (Chmnm) [ ]
5) WASTE C~SSIFICA~ON (~digit code Eom DHS Form 8022) ' ~ USE CODE
6) PHYSICAL STA~ Solid [ ] Liquid [ ] G~' {;~] Pure [ ] M~ure [ ] W~te*[ ] Radio~ [ ]
7) AMOUNT AND ~ME AT FACIU~ UNITS OF M~URE 8) STOOGE CODES
M~imum Daily Amount: lbs [ ] g~ [~ff3 [ ] a) Contaner:
Average DaW Amount: curies [ ] b) Pressure:
Annu~ Amount: c) Tem~r~ure:
~gest Size Cont~ner:
C Days On Site ~ ~ Circle ~ich Months: ~lYe~. J, F, M, A. M, J, J, A, S: O, N, D
9) MITRE: Mst: , ~OMPONENT % ~ ~M
chemi~ com~nen~ or
,
Ce~'~ under pen~ oFlaw. ~at I have pe~onatly ex~ln~ ~a am f~/ii~ wi~ ~e infoma~on
~ubmi~ mfo~a~on is ~e, accu~m, ~d complete.
~RINT N~e & T/tie of A~onz~ Company Represenm~ve D~
BAKERSFIELD CITY FIRE DEPARTMENT-
HAZA US MATERIALS INVENTt ! Page/of
CHEMICAL DESCRI~ON
1) IN~NTORYSTA~S: New[~Add~on[ ] Remsion[ ] ~lefion[ ] Check~chem~=aNON~S~R~ [ ] ~S~R~ [ ]
Chemi~ N~e: ... AHM [ ] CAS ¢
4) PHYSICAL & H~L~ PHYSICAL / H~
H~RD CA~GORIES Fire [ ] ReactNe [ ] Sudden Rele~e of Pressure [ ] ~ Immedi~e He~h (A~e) [ ] ~ He~ (Chron.) [ ]
5) WAS~ C~SSIFICA~ON (3-digit code from DHS FO~ 8022) ~ USE CODE
6) PHYSICALSTA~ Solid [ ] Uquid ~G~. [ ] Pure [ ] M~ure ~W~te [ ] R~m~ [ ]
7) AMOUNT AND TIME AT FACIlITy UNITS OF MEA/S4JRE 8) STORAGE CODES
.Maximum Daily Amount: lbs [ ] gaJ. ~[VJ ft3 [ ] a) Container. ..,
Average Daily Amount: cunes[ ] b) Pressure:
AnnuaJ Amount: c) Temperature:
Largest Size'Container:
# Days On Site ~'~.~ Circle Which Months: All Yew, J, F, M, A, M. J, J, A, S, O, N, D
MIXTURE: list / COMPONENT % WT AHM
t., thre, mos, h*- dous
chemical components or
any AHM components 2)
CHEMICAL DESCRIPTION
INVENTORY STATUS: New [ ] Addition [. ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL ~///~ . HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION .(3-digit code from OHS Form 8022) ~/~ USE COOE
6) PHYSICAL STATE Solid [] Liquid [~/ Gas [ ] Pure [ ] Mixture [v~Waste [] Radioactive [ ]
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: lbs [ ] gal [~f ft3 [ ] a) Container:
Average Dai)y Amount: curies' [ ] b) Pressure:
Annual Amount: c) Temperature:
Largest Size Container:
# DaysOn Site '.-~(o.~"- CircteWhich Months: AllYea~, J, F, M, A, M, J, J, A, S, O, N, D
9) MIX'iqJRE: list COMPONENT ~//~.~/A2~,~.~ % WT AHM.
the three most haz~dous 1) ~['~ ~['~ ' ,,,. / -~ '/ [ ]
ch~i~ com~nen~ or
ce~ under pen~ OT~w, ~at I have pemonaily examin~ ~ ~ f~fii~ w~ ~e infoma~on submi~ on ~is ~ ~1 a~ch~ docum~ I believe
ubmi~ /nfo~eO~n is ~e, accumte; ~d complete.
'~INT Nome & Title ot A~o~zed ComDony ~epteson~ve ~