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HomeMy WebLinkAboutBUSINESS PLAN 7/9/2007FACILITY NAME INSPECTION DATE INSPECTION TIME V =Violation; 1,11 Minor Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS 1D NUMBER Consent to Inspect Name/Title .,.,. k. ..:. < .. �. :e' S ..: f. \ x ... ., w..... i. : ..,.,a ,K. . � . � l , i..: . < -.,.. 4> _... n a :m Y :✓.'. 4 � ,<. Ni ,l.,. ,.. , } k .. C. %. .. , s. .r:... +'S: n...: t .:m< :.v .wc'. ... ,.'x. ..- `..: -:� ,.,art S.,,.',,.f t .: , «.� < «. . w,� -�. 7x. ..a<,: ,. <.. ' .. :.. � ':: .< .�. � -:: .:,�...: .....,✓ krs�4 � S..r. , ''�.��. ,. ..a.... : c. .. .,. .. .... . •x...a:Y' xx "M..� ' 'k ..f ".iY Y ...v, "�i {S"Y' � ..:: ti � S.ectron �1..�, „Bus. N*a OUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION = omp lance C V OPERATION C E R S V =Violation; 1,11 Minor Violation COMMENT ko APPROPRIATE PERMIT ON HAND ,, (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ifs CORRECT OCCUPANCY - (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) r r+ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) y VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR`. 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) ” FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE.& ON HAND (CCR: 2729.2) 1010005 , ANY HAZARDOUS.; WASTE. ON SITE? ❑ YES ANC) au i nature of Receive All Explain: Inspector: 4!f POST INSPECTION INSTRUCTIONS: 0 Correct the violation(s) noted above by • Within 5 days of correcting. all of the violations, sign and return a copy of;this page to Signature (that all:violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, Califortia °;93301'` ,",' Date White— Business. Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev, 8/114) FACILITY NAME INSVECTIO DATE INSPECTION TIME APPROPRIATE PERMIT ON HAND (BMC:15.65.080) ADDRESS 46 -So C a 1 PHONE NO. -NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER consent to Inspect Name/Title w A i ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gornpliance OPERATION V= Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 f VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 a 4 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) y VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)} VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007 fr HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON. SITE? ❑ YES NO jignature ofRecei t xplain: Inspector• POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8//14) FACILITY NAME :, CERS INSPECTION }DATE INSPECTION TIME Violation COMMENT $.s a,,..sy ' ..writ - APPROPRIATE PERMIT ON HAND (BMC:15.65.080) ADDRESS ,� is PHONE NO. NO OF EMPLOYEES ."� CO V FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) BUSINESS ID NUMBER Consent to Inspect Name/Title me, .. .. .. .. „f .�:: 5... a ,. F, .:�. � .. .. �.� � .x.,.'3�s *'., n.g '` "�a � 'V'"4 •E, � .�e``f . ... .. , .....s c ,.. �ri3, ,'i .. s: z4 ....:� si' �,. .. .:� � a,u \ ,. ..� i� ,.. J ., 1:..,...,,.. - , o. , z��$ ,'3 ,..�..� z'�,K,; ... r .c..� 1.xw �. 3.. tk ., •S.i 1. R .. ?�t. xx�. � ..� -, .. x� '1 ar�.:x. .... .. yx �+> '.?h ,,...e � ,. ,. ...,r. .i. . �. . .., .a .. ♦..t '.+.�"t r .,,. .: �.. �g'i 2� .`rt. .. G. ,rr�.k \� :) c�.'. i� A�n> :%,.. hx ♦a;,'M'f ..:t. .ryYx 9 ? ,�. /52 �D s..y 'i::r`.i �C,' Y:.: nom.. .z1 :5..: � 1 �. )+�, Ga; /S."' �n ,you �•^ >} U- 3 Ui . C .ROUTINE ❑COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION = omp lance C V OPERATION.. CERS V= Violation; 1,l1 Minor Violation COMMENT ' APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) 4 " VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002;, .r w VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 101.0005 ANY HAZARDOUS WASTE ON SITE? ❑ YES n "N O Sig nature of Recei t r! , [AVlain: a� Inspector• POST INSPECTION INSTRUCTIONS: + Correct the violation(s) noted above by + Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White— Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 81/14) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inanat%finn BAKERSFIELD FIRE DEPT. I aRTPrevention Services ....... ..... �R� f P. L P 2101 H Street FIRE A I? M T Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 FACILITY NAME INSPEqTION DATE INSPECTION TIME T', ADDRESS e", " e PHONE NO. NO OF EMPLOYEES 4, FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title sell IN 18 MR iaw-"" ,lp g 13) ROUTINE El COMBINED El JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION '�"e C V C=Compliance OPERATION CERS V=Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) LVERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? 171 YES 0- NO Signature of Receipt Explain: Inspector: POST INSPECTION INSTRUCTIONS: rs • Correct the violation(s) noted above by. • Within 5 days of correcting all of the violations, sip and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature (that all violations have been corrected as noted) Date White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14) TODAY CLEANERS #1'L ~"cj~~~&OFFEE ROAD ~ ~I~ +~- ___ -- I Hazardous' Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PI=lIMIT ON REVERSE SIDE This i~ermJt is issued for the following: [] Hazardous Materials Plan. [] Undersround Storage of H~ardOus I~terlals Permit ID #:: 015-000-001887 [] Risk Management Program TODAY CLEANERS #12 [] Hazardous Waste On-SiteTreatment LOCATION: 4550 COFFEE RD 1D Issued by: Bakersfield Fire Department ~0~~~~ OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: · Bakersfield, CA 93301 .. OfficeofEvimnmemlff$crvices" Voice (661) 326-3979 -'-.- !../. : FAX(661) 326-0576 .;'EXp'.trationDate: 'June 30; 2003 ITE DIAGRAM ~ FACILITY DIAGRAM Business Name: / Business Address: t• - TODAY CLEANERS 12 Manager C • ~« ' Loca~.ion: 4550 COFFEE RD D City BAKERSFIELD SiteID: 015-021-001887 BusPho_ne: (661) 634-1212 Map 102 CommHaz Moderate Grid: 16C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: CAL000178450 SIC Code:7216 DunnBrad:02-788-0566 Emergency Contact / Title ~ Emergency Contact / Title ~ MIKE DANIEL / JEFF NEWMAN JR / PRESIDENT Business Phone: (661) 634-1130x Business Phone: (661) 634-1130x 24-Hour Phone (661) ___ __ ____~et-o~/ 24-Hour Phone (661) x33a-3 Pager Phone ( 661) ~ Pager Phone ( 661) ??-~-----"~'--6x Hazmat Hazards: React ImmHlth DelHlth Contact MAKE 1.7Ru~~- - Phone: (661) 634-1130x MailAddr: 121 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Owner RICHARD K NEWMAN & ASSOCIATES INC Phone: (661) 634-1130x Address 121 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~~ ~ ~ ~ ~ ~ ~ i?~a~ed on my inquiry of those individuals " "~~"`~ respc>naible, f~rr obtaining the information, I certify unr.~ar penalty of law that I have personally er..amined and am familiar with the information submitted and believe the information is true, aoourate, and complete. -~~~~ ~ 7~ 8fgnature Date '3 ) I -1- 05/17/2007 F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE ~~-. R L 5.00 GAL Mod IH DH L 200.00 GAL Low ~~ i~~~ R~ E~~ -2- 05/17/2007 -3- 05/17/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient Dll~.cm - RRR~- Nc~.--rn~T~4t~ic. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 15.00 GAL 5.00 GAL t1AY,L-1tCLVUJ 1:V1~lYV1VL"1V15 ~Wt. RS CAS# 100.00 Cleaning Solvent No ~~Oz riHGHKL A~51"~JJ1~1tS1V 1_a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Mod ~ Inventory Item b~ Facility Unit: Fixed' ontainers at Site ~ COMMON NAME / C ICAL NAME PERCHLORETHYLENE / Days On Site \ 365 Location within this •ac~lity Unit Map: rid: BASE TANK OF CLEANING MAC INE CAS# 127-18-4 STATE TYPE PRESS ~ TEMP ~ TURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ A, ~ nt IN MACHINE/EQUIP AMOUNT THIS LOCATION Largest Container M~ imum Daily Average 130.00 GAL 00.00 GAL 160.00 GAL ~ ~ nsic~ vu~ ~.vl~lrvivnty t $Wt. RS CAS# 100.00 Perchloroethyj No 127184 ~~~ i _` ~ rlr~~ratcl~ ti55r•551wi1~;lv~..~ TSecret RS Bio Radioactive/Amount EPA Haz rds NFPA USDOT# MCP No No / ~ No/ Curies IH ~ ~/ / Low / ~ I °~o'~r~ ~~.,~ %©~D~1-y ~ 11 ~~RKS~ ~~ `~~K- ~~ FoiZrn ~ o .J i -4- 05/17/2007 F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ ,.,,.,.,,,~t ~t,,,,r ~ ,„„r.,.,.r~„r ~tr.~~ __ F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/17/1998 ~ CALL 911, C~c~ O~ ~~ ~~ ~~ gm - 8~a - -7~5 D Le~~- ~4 - 39 ~9 Employee Notif./Evacuation 07/17/1998 ©~Sl~R.~E ~2 u,. ~~ nn~'1- Y®P~~°r1 ~~ S/t~T ~Otv ~ ~qp0 dZT -rte ~ o~ A"6b+~,t~vT _ / Y ~-c/7p~ dR /~~-~"~Z~'C.7'7a~.S S~T~~ OJ ~~/~tA~S E U 31~v~"S ~ ~.S~c.R~ ~R~~~'''~ ~~ . ~L8'ZT ~ 'fl~/2KE~~t 7"~ ~.U H-ecc,t~z= E.7u ~ c-p /a6 ~'tJ 77f~ a c'~''`'T ~~~j(,~~rr. (S NAT ~DO'7f'!"iN~ ~~T L/E~5 /SUE ~ ~D[..c..owt,~~ a/ ~jE~ A~2A~- Y~1 A~ ~~ Public Notif./Evacuation 07/17/1998 VERBAL. P~IIICLC~. CilC:y rieuic:al rlan 3S"~~s Se~-~ ~,m,~ ~~' ~ 131 Do -5- 05/17/2007 F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/23/2006 ~ W t)-57 ~ r~~ rz~~ 7~err-a~~ rr~~-n*~y ~ y ~- ~s~ ,l.Jis~'as~ ~~~~y. Release Containment 07/17/1998 cv7~- ~bNT~'~~ m ~r 13115 iN G~N ~~W ~`~"H Cc.t~ iNL in A{N"~6 ~i~~ ~K Clean Up 05/23/2006 UbuT~ ~ 6~ ~ w~~ ~aoRS ~~~ ~~ ~ ~ cis ~-~ ~chm~sr- r~s v®J ff1G~l . ~~rc reP ¢}~ y ~'~; ~.~.~~ ~D c.u ~T (~,'7"H ~wt`t-S ~v ~~ Other Resource Activation -6- 05/17/2007 F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special riazaras Utility Shut-Offs 01/22/2007 A) GAS - E OF REAR DOOR L WALL B) ELECTRICAL - E OF REAR DOOR L WALL C) WATER - E OF REAR DOOR L WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 05/23/2006 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - E OF REAR DOOR. Building Occupancy Level 6 EMPLOYEES 05/23/2006 -7- 05/17/2007 F TODAY CLEANERS 12 SiteID: 015-021-001887 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/22/2007 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM : fz-L~~fhf~7~6'rfi?CN ®F f ~~t-l~2~~ ~J~CLc-tD~+v6 ~T~"~~~ C.DSnrnuiu1(.~1-3'ibn~ `~r~OG~m rctyC G raciu ivt r u~.utc vac Held for Future Use -8- 05/17/2007 ~~~~ TODAY CLEANERS 12 SiteID: 015-021-001887 Manager E HICKS Location: 4550 COFFEE RD D City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: CAL000178450 BusPhone: (661) 634-1212 Map 102 CommHaz Moderate Grid: 16C FacUnits: 1 AOV: SIC Code:7216 DunnBrad:02-788-0566 Emergency Contact / Title Emergency Contact / Title MIKE DANIEL / GENERAL MANAGER JEFF NEWMAN JR / PRESIDENT Business Phone: (661) 634-1130x Business Phone: (661) 634-1130x 24-Hour Phone (661) 332-0712x 24-Hour Phone (661) 332-3831x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth Contact MIKE DANIEL Phone: {661) 634-1130x MailAddr: 121 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Owner RICHARD K NEWMAN & ASSOCIATES INC Phone: (661) 634-1130x Address 121 MONTEREY ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN s"-~=c' an my irauiry of those indivirua?s respc~n;ih~e .or abtainin~ the inforrnatoon, I c€rtify unt:F:r penalty of laws that I have personally exami^ed and :zm familiar with the information sut7mitted anc+ be?ieve the information is true , accurate, anti complete. Si riature d t a e ~'~ ~ ~ -1- 07/16/2007 TODAY CLEANERS #12 ; .... 3-~ 'n ~'~'~]~'// SiteID: 215-000-001887 Manager : / 3UN'~ 0~000 BusPhone: ~ 634-1212 Location: 4550 COFFEE RD ~r Map : 102 CommHaz : City : BAKERSFIELD?~-:~ Grid: 16C FacUnits: 1AOV: CommCode: COUNTY STATION 65 SIC Code:7216 EPA Numb: ~A~ 000~%~ DunnBrad:02-788-0566 Emergency Contact~ Title Emergency Contact / Title MIKE DANIEL / VICE PRESIDENT JEFF NEWMAN JR / VICE PRESIDENT Business Phone: (805) 634-1130x Business Phone: (805) 634-1130x 24-Hour Phone ': (805) 589-2805x 24-Hour Phone : (805) 872-8047x Pager Phone : (805) 329-6774x Pager Phone : (805) 329-4346x Hazmat Hazards: ImmHlth DelHlth //_~ / Contact : Phone: ~) 634-1130x MailAddr: 121 MONTEREY ST State: CA City : BAKERSFIELD Zip : 92~0~ Owner RICHARD K NEWMAN & ASSOCIATES INC Phone: ~) 634-1130x Address : 121 MONTEREY ST State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List --As Designated Order All Materials at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax Unit MCP I I I O W -1- 05/09/2000 TODAY CLE~ERS #12 SiteID: 215-000-001887 Inventory Item 0001 Facility Unit: Fixed Containers at Site PERCHLORETHYLENE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE -- TYPE PRESS~E~ TEMPE~T~E CONTAINER TYPE A~ient I A~ient IN ~CHINE/EQUIP Pure Liqui'd ~O~TS AT THIS LOCATION Largest Container I Daily Maximum Daily Average I ~Z~DOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Perchloroet'hylene 127184 ~Z~D ASSESSMENTS TSecret ~S BioHazl Radioactive/Amount I EPA Hazards I NFPA USDOT# I MCP No N No No/ Curies IH DH / / / Low 2 05/09/2000 F TODAY CLEANERS #12 SiteID: 215-000-001887 Fast Format ~ Notif./Evacuation/Medical Overall,Site --Agency Notification 07/17/1998 CALL 911. -- Employee Notif./Evacuation 07/17/1998 CALL 911 AND VERBALLY EVACUATE. -- Public Notif./Evacuation 07/17/1998 VERBAL. Emergency Medical Plan 07/17/1998 DR. WILLARD CHRISTENSEN - 2021 22ND ST - 327-9617. -3- 05/09/2000 F TODAY CLEANERS #12 SiteID: 215-000-001887 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 07/17/1998 WE STORE IN PROPER CANS, BARRELS, ALL HAZARDOUS MATEIRALS. HAZARDOUS WASTE IS PICKED UP MONTHLY BY A LICENSED DISPOSAL COMPANY. -- Release Containment 07/17/1998 STEEL CONTAINMENT BASIN UNDERNEATH CLEANING MACHINE BASE TANK. -- Clean Up 07/17/1998 USE RESPIRATOR AND OPEN DOORS. TURN ON EXHAUST FANS FOR GOOD VENTILATION. SOAK UP SPILLED PERC WITH TOWELS, AND RECLAIM IN DRYCLEANING MACHINE. Other Resource Activation -4- 05/09/2000 F TODAY ~CLEANERS #12 SiteID: 215-000-001887 f Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 07/17/1998 B) ELECTRICAL - ??????~ C) WATER- ?????? ,,/ /'~'1.~ L~,~ ~.'/%'CC', D) SPECIAL - ?????? E) LOCK BOX - ??????? -- Fire Protec./Avail. Water 07/17/1998 PRIVATE FIRE PROTECTION - ? ? ? ? ? ? ? ? ? ? ~. I~~%~ NEAREST FIRE HYDRANT - ?????????? ~T-~ ~ ~' Building OccuPancy Level -5- 05/09/2000 TODAY CLEANERS #12 ee~eee~eeeee~/~ee/~/~e/~ee/~/~ SitelD: 215-000-001887 i~ Training ~~~~~~~~ Overall Site i~ Employee Trai~ng ~~~~~~~ 07/17/1998 o WE HAVE 6 EMPLOYEES AT THIS FACILITY. o O WE DO HAVE MSDS SHEETS ON FILE. o B~EF SUMMARY OF T~INING PROG~M: REVIEW OF MSDS'S AND SAFE USE AND o ~NDLING OR PERC. USE OF RESPI~TOR. PRESENTATION OF SPILL CLEAN-UP VIDEO. o o o O i~¢~ Held for Fumre Use o O i~6~ Held for Fumre Use o o CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 [ JULY3?998 ] 1. To avoid ~her actio~ remm tbs fora Mthn 30 days of receipt. 3. ~swer the questions below for the business as a whole. 4. Be as bdef ~d concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA . ~~G ~D~SS: v~ a ~ST~ET ~E~: ~- ~ ¢~ s~c co~: ~1 ~ P~Y ACTI~TY: SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERLS~S MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: (~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: B. ~LEASE CO~~~ ~/0~ ~~TION; C. CLE~-~ PROCED~S: SECTION 8: ~ITY S~-O~S ~OCATION OF S~-O~S AT YO~ FAC~IT~ NA~ GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAIl,ABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM[ ] FAC~ITY N~ s~c co~ ~¢1 ~ ~ & ~ms~ ~~ EMERGENCY CONTACTS BUSINESS PHONE (p~q -- ~, t:~ 24 HOUR PHONE BUSINESS PHONE 6t~"Zoq-t['~ 24 HOUR. PHONE 1 ~RDOU$ MATERIALS INVENT~Y CI~EMICAL DESCRIIq'ION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret 2) Common Name: ~'~V~0,i'~)t~L[ ~-~1~ ' 3)DOT# (optional) 4) Physi~l & He~th PHYSICAL HF_~LTH H~d Cat~§ories Fire [ ] Reactive [ ] Suddan Rel~se o£pressure [ ] Immediate Health (Acute) [ ] D~layed Health (Chronic) 5) WASTE CLASSI~CATION (3~li~it ~ ~ DHS Fo~ $022) USE CODE S) PHYSICAL STATE Solid [ ] Liquid [ ] C~ [ ] l~e [ ] Mix~e [ ] Waste [ ] R,~tio~:tive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASUl~ $) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] R3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Annual Amount ¢) Temperature Largest Size Container # Days on Site ¢in:le Which Months: All Year, J, F, M, A, IVl, $, $, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WY AHM the three most hazardous 1) [ chemical components or 2) [ any AHM components 3)- [ 10)LOCATION 1) INVENTORY STATUS: New [ ]Addition[ ]Revision[ ]Deletion[ ] Check ff chemical is a NON Trade Sccret [ ]TradeSecret[ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire[ ]Reactive[ ]Su_r~_¢nReleaseofPressure[ ] rmmediateHealth(Acute)[ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code firom DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid[ ] Liquid[ ] Gas[ ] Pure[ ] Mixture[ ] Waste[ ] Radioactive[ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF ~URE 8) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] fi3 [ ] a) Cuntame~z. 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, lyf, $, $, A, S, O, N, D 9) MIXTUR.E: List COMPONENT CAS# % WY AHM the three most hazardous 1) [ ] chemical components or 2) [ any AHM components 3) [ 10)LOCATION ! cem~y under penal~y o£1aw, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date . ?'~.z:lz..: :,, M~iF,'tAL E;AFETY DATA SHEET : F'(':; :I . m-" C-'-'- , x ~- REVI'.E;{ON OF: Eff]W.F'ER F E,"', ...HI...t,.d.tF. TH (I..,"]'..~,". V T.A BI .K 'f'K~ -.; REQI.tE':::;'f'FFt ~--t" ..... rt.R, 58.176549 ORDER NO: '.E;PARKL..E E:I_NRS & I..~R'Y F'REtO NO: 121 MONTF. REY ST 6'AKER:BF [EI,,.D F;A 93:305 VAN WATER:.:..; & ROGERL:; INC., .:,I. IT...::,]IiI-~R\, ElF UN)VAR t ,::,00 NORTON B. '[ G, :"];~AT TI...E, WA '~}:--.: t 04... 1. hi(:,4 ( 40 E ) 4 3.%..-::'!:7('~0 ........................................... -:--' ....... EM'.FRGENCY AF;SIL:.;TANL'7:E ............................................... FI]IR E¢],.:.,.s :,,."NL. ¢ AE;'.B T. E;TANCE I NVO[ .V ( NG CI' IF:M r. ii:A! ..... .., ..... '-,. .... ( 800 ) 4'2.4--'2:'?00 ................................ FOR PRODUCT AND F:AL.E'.F; INFORHATiOi',I ........................................ CI')N'['AF.:'[' Y" i;,' I._I]CRI_. VAN ...... - · . l,,l~ ] ,:. ,,., R ': F F-.i:<::: '" ~' .... 0 F' F ): Cji-: ............................................ F'RODI..ICT T DF_NT ,'r F .T CAI' I ON ............................................................. r.,r:-, r:, ".,m .ORi.')F. TI 'iYI..I<NiF. CAFE; NtT:, = .i. '27' ' 1. 8" '4 F'ROE FT NAMF'_': , ,.,*, .,,, COMHON NGME'.::;/L:;YNONYM'.:-;= F'FR-:I'H_ _AROETH\";_ Fr"4F..; TF.'TF<ACFil. OF<O .... MF.;;('I'S '~= F'l:7:'l:F'. ,._.r_. T ,"'t' "'~'I..,:.N :.," F" ;'::'ERi-.:,~ ~'PERCHI..Li,...~.' ' ' '-Irl',/I .... ";~4,'.'- SVEi FOF,'HLII. R= C2 Ci.4 ii)ATE i'...:;'.:-';I. IFD. '"-1_,'7. F . .AR NE'[. GHT = 1.~.:' ..... ~'; 80 '..'E:;I I :g:.:' ;:':,' F: F: I] :-':::.; ~. 0:::;/":];'(-.~ i'..~'FF'A RATING (4'..T,') Hf'i:f:--'; r,..~lI~,4-, HEAI..TH: 2 HAZAREI RATT. NI} E-;CAi.F: ,.,f..AI.I~.~: F:' 1 RE: 0 · 0 = M I I',.t ,.,,h.A .] i ,/IT ¢: () t.=?.];I :.:.;PECIAI.: NON~ 2=M'FERATE .................................................................... [-[AZAROCII..I'.E; 1: N "..iF'F-F. '[ ':-~,J]" ] .................................................................... E × r I. ::,I..IR h. L i M :1 I t--;, F' F'H L-.I'.~i;i.-.',A AF.:G r. ',--t E:I.-.~HF'ONENT CAS r,,IO, % F't'..'.L. 'Tl..V i.. r. ri ~. T NAZ AI'~O F'EFd.-.:HI OROETHYI..ENF. 1 27-.. 18-4 :::-':}9 '.?.00 F'F'Ht-' =.. ,.:.. ( I . 'NE AC ; ( H :B('x} F'F'M, MA×Ii'ILM FOR I ..... :,T 200 F' F' M :.:;'f I-_' I NOFE: .,x.-ITNTA'(.NE 0,.=.i% TERT--[dJTYI.. GI.YCtOYI. E'FI. IER (E:~:':.; NO, " '=-7'2.-.7) / r),":,, .......................... F'I-tYS I C~I.. F'ROF'F RT BOIl.lNG F'OINT., E~G F: ';::hq(;) MELT ]' NL'.' '- ' : FI. lINT, TIEG F -10 · '='or-',, ,.. ~.-' I F I I.-.: GRAV .[ TY ( WATER= 1 ) ,' 1 ,. /-,. 1 VAI='OR PREL:;'.BI..IF::E, MM Hi;}: 1:3 ¢i'~: I',10 i-.IATA FOi..IND F"t".2I~' · MA'~:IAI_ SAFETY DATA '.=-~I.~EE'~° PG 2 DO~PER F'i'.'iRCHLt]F;,'OETHYI..ENE V'i:A OI.K TI-::; R;:.:ViSII)i',I I')l::O'.-.-;'-.O/:, VAPOR DEN'.=;ITY (AIR=:L): 5,8 WATER Sl']l..t.ji~.il'L'[ CY %: i".l r.L EVAPORATION RATE (BI. ITYI._ AC:E]A]E = i): .::.'..i VOL..A1" II..E ( i;~Y VOI..I.tME ): NCI DATA FOI.IND APPEARANCE ANB O1]OR: CLEAR, CO[.ORI.FSS L I¢.!I..IiD~ MIL.DJ Y SWEET ODOR, .............................................. - .......... F .T. RST A I 0 MEA.'=.;i .~RE.']; .................................................................. IF INHAI.ED: RFMOVE TO FR~.:SH AIR, GIVE ARTIFICIAL RESF'IRATIO,% IF NOT BREATHINO, GET ~.MMEi]]:ATE M~'_'BICAI_ A'i'T::';NTi:ON, I N CA.'.=;F OF EY.F CONTACT: I MMED I ATEI..Y' FL. USH EYE'..--.; W I TH [. 0"1 '..:;; OF RI..I,~'4N I WATER FOR 1.5 MT. NI...ITE~'];, t...I:FT.i;NG 'T~.IE I.IPPER ANO [.OWf::R EYEI_;;DS r')CCAS~:~)~'JAI.I.Y, GET IMM..F:D.TATE MEDICAl ATTENTION. IN CASE OF '.7-;KIN CON]'ACT: IMMEDIATE[.Y WA'..--;H SK)'N WI'fH ~.0"~"..=.; OF '..=.;OAF-' ANB WATER. REMOVE E:ONTAMT. NAi'EO CI.OTHT. NG AN~] SHOE'.~;~ WASH BEFORE Rf<L.I'.~;E, GET MEDICAL ATTENTION IF IRRITATION PERSISTS AFTER WASHING. IF '.'~;WAI.LOWED: IlO NOT -(NOUE:I.". VOM~.TING, GRT J:PIMEO.(A]'E Mf.]')(CA[. A'I'i-f.-;NT(ON, IF VOMITING OCCI. IRS '.-=;F'ON]"ANFOU'.i..;LY, KEEP VICTIM"S HEAD BEI. OW ~IIS HIPS TO ~. ,- i::-i. ?-,,~,-r- { .,- o - ,' '-. .. ,. ,- ~'4~ H'['..=; ER,'.A]'rlf. NG TI'IE VI'iMf. TI.IS 'INTO H'(.:.=.; NOTE TO PI-IYSIE:IAr4: B.F:CAI. ISE RAF'ID AB:7.-;ORF']'ION MAY OCCLIR THROUGU 'IF ASF'I;RATEB ANt.) C: A I .I :-']; ,-'-<. SY'.~;]",:::I'4'[C EFFECTS, TI--.I,rZ i]EC ( '..=.; .[ ON OF W~IE'TI.t:~R ]'O INDI..ICE VL-iI~IITING OR NOT SHOI..II.F.i BE MADE BY A PHYSIC!AN. IF LAVAGE I PER,"'-'ORI'.IEB, SI_IGEiEST EN00'TRACIIr'::Ai... ANO/OR E'.-];OPI. iAI']EAI. CI)Iq¢'RO1.., DANGER FROM I...I. ING A'.~;F'IRATION MI. IST BE WEIGP,'ED AGAINST TOXICITY WHEN E:ONSII']ERING EMPTYT. NR %.1-: '.=.;TOMACH ~.F r]d.IRN '[L.-]; Ff,,,:...:,~:-.NT TRLZ. AT A'.:~; ANY "f'l-lf!]i'MAi.. 'F.d.IRN, AFTER DECONTAMINATION, EXPOSURE MAY INE:RF:ASE' "MYOCARDIAl IRRITAB.'t[ '00 NOT ADM '[ N I STER '.:~;YMPATI-IOM '1:. ["lET I C 'ORI JG:'-]; t Ji"Jt .ESL-7:.; AB:::i;I')I..Ii t"2] .Y i'qO SPECIFIC ANTIi]OTIF, SI. IF'PORTIVE CARE, TREATMENT BASED ON ,..IUDGEr4F. NT E!F '"' ~ ~"F-'r-' -~']-'"" " t,-,,'-_ F'ATiiTN F, · ~,--h:. F:'HYSII":T. AN 'r.N ,,,:..:,~-..,,~.- .... TO REAC'¢IOI"-I:~; ~-- ' '- " .................................. HEALTH HAZARi] INFORMATION .......................................... :'[i"IARY F", .... T,~:'= .-.iF ~.r. XPi- ?':-" . ...P,?:,.. INI-.IAi..AT'[ON, ..:-' ..... 'Ti'.4 OR ~:.'Y:?. CI::NTAF I' '.BIGN¢'-; AND :-;YMF'TOMS OF EXF:'O'.=;URE ! NHAL AT l ON: I"~ l Z Z ]' N'.FSt=.; MAY OCCi..IR Al" 200 F'F'M, PROGREL--;S I VEt..Y H)' GH~]R I..EVEL..S IDA'/ ALSO CAI.ISF.. NASAl... .( RR I TAT .[ ON , NAUL--;i'..]A, .[ NE:OOREi l' NAT .I; ON , DRI..II",IKENHESS, CENTRAL NERVOUL=.; SYSTEM DEF'RE:~';SION ANB, OVER .1. OOO PF'M '.7.;C'[OUSNE'.~;~.:.; AND t]EATH, A '.=.;f. NGI..E BRIEF (MINI..I'I"E."-];) T.I"JI-tAI.AT'[ON EXPO'...];I.~RE TO L. EVF...'I.S ABOV..F 6000 PF'M MAY BE IMi"IEDIATEI...Y DANGFROI. I'.F; TO /.IFE, VAI:"OR'.F; ARE i'-'II.ICH HEAV't:ER Ti-.IAN AT.R AND CAN ACCI..IMI..tl..A]"E IN CONFINE';r) OR F'OOii'I..Y V:}'_'NT]:i.A'ir.:D AREAS AND C_.'Ai',l CAI..ISt-7. UNCOI'4'.F;CIOLI:F..;NESS AND DEATH, Al C~']i.h]l.. CON'..:;t..IMFO BEFORF.' OR AFTER EXPO'.~;I.tRE [,lAY T. NCI-';,'EA'.:.;E AOVF..R~.-];E EYE CONTACT: L .T i..3U .'f D AN[I I't .T ST W .'f L[. l RR I TATE THE EYE S BI..IT C'OI--.;I',It'~'AL '[ N, .II .IRY 'IS UNI...~.KELY, VAPOR::.; MAY T. RRITATE ~"14E ~!-.-.'~'(::S A'F AE~.','U'T .1. OO ,'":'1':'i"1, '.i-;KIN CONTACT: BRIEF CONTACT MAY DRY THE SKIN. PROLONGEF~ OR RE'F'EATETI CONTACT MAY T. RR;;TAf'E ]"hie SKI;N, CAIJS.(NG 'OEI';,'MAI-(]"'I]L=; I)R EVEN A BI.II";:N, A PROLONGEI-i SKIN E XF'O:.=..;URE IS NOT LII-':iELY TO ABSORP, HARI'4FI. II. AMOUNT::-.-;. '.F.;WAI..LOWEE~: ~:i;WAI...I...()W I I",!G 'f'P,'E I... T. QI .I T. O MAY RE'SI .~1..T ~. I'.,I NAI...IG?.A, VOM DIARRHEA, AND BI.OODY STOOl_:=;, CHRONIC EFFECTS OF EXF'OSI..IRE: F'ROI..Oi'.4(~E'F~ OR REPEATE};.~ OVEREXF'OSURE MAY RESUI..T T.N BE.I..AYEO I.IVER AND/OR K'I:.I)NEY BAMAGr-;, CAN CAI.I::!;I:-.-. O!.--.A'rH MUE:H IS BREATHED, MEDICAl.. CON~.~ITION'..7.; GENERALI Y AGGRAVATED BY EXPOSURE: PFRSONS W!"IH PRE.--EX'i:.ST[NG L.T. VER OR KT. ONEY '[MF'A(Ri',Ii'E. NT OR :'%':;'IN 13f.?.];ORf:..~L-:]R'.']; MAY BE MORE SI.I'..~;CEF-'TIF..-d_E TO THE EFFECTS OF P..FRCHI..OR('~ETHYI..FNF, ..................................................................... TI.-.IXT. C (TY [iATA ....................................................................... 15: 33:.18 :B('~ ,JAN i':.-.".T,".I CLIST: 5:.~:; 76547./ INVOICE: ',E'!.:?!1.':~ ~ MAT~I~II~T. AL ~:AFF.'['Y [:ARA :."..;NEET PG :3 [~WF'ER PERC:HI..OROETHYI. ENFr V l A BI. K TK REV I'.:; I ON OF: 0'.-}- ORAL: RAT LB50 = 8,:.:,'50 M~.-..;/KG t"~ERi'IA~.: RABBJ:¥' L[~.=J,O ]::- 1.0 G/KG ,HAI..ATION: HI. IMAN TCI 0 = '.--W_-, PPM / 7HR~ RAT LCLO = 4~000 PF'M / CARL-.:]:NOGt~NIC:ITY: FOR ~IAZARD COMMI .IN I: CAT I ON F'I..IRF'O'..'i;E'.-] !.INI.)[-~R O:~!;HA :-]TAN'OARB CFR F'ART :I.'.~:1.0, 1200~ PERCH/OROIYTHYI..ENE I'..=; L I'.F.;TED A:F; A POTENTIAl CAi:~CIi',I():]FN BY T. ARC: ANB NTP, P:-.-.RCHI..OROET'HYI. :ENF. ,'--IA.".!; BEEN :];I-t~)WN TO r. NCI'(EA:'~;E l'l.l',::: RA I'E OF '.:--;POI'qTANEOUS;I.Y OCCI..IRRIN('.; MAI...IGNANT TUMOR'.F.; IN CERTAIN LABORA]'ORY RATR ANB MICE, OTHER I..ONG-.TERM INHAI.A]'T. ON STI,IB.t:E:~.; ~:N DA"[".~; fi'AT.I.i:£J TO '.-'.;HOW A TUMORIC~I]NIC RES;F'ON'.F.;E, EPIDF. MIOLOGY '.];-I'I.J[i]'.F:S.; ARI:.'. LIMITEi:~ AND HAVE NOT E!..:.;'I"A'F.~I.tF:;HET.~ AN A'.E;L:.;OCIATT. ON BETWEEN [:',?~RC:I-tI_OF(OETHYL. I--]'~i.T. EXPO:];i.IRE Ai'.]TJ PERCHI OROFTHYI..ENE I'.F.; NO]' BEI..IEVEB TO F'OSE A MEAL=;I. IRABL E CARCINOGIENI~.-: R.'t SK Ti] MAN W. HEN HANBf.F.-'D A'.:; RF:C:OMMF. I'..I.T.;EO, OTFII'~R DATA: TIF:T(ATOI..OGY (BIRTFI DEFECT'..-.-;) - BIRTH DEFECT:.=.; ARE UNt IKF.:I...Y, EXPO:.:.;I.IRE'..=.'; HAV(NG NO CFFI::CT ON 'Till.:. MOT'HER SI-IOI.II.D [lAVE NO :}:r:FI.-".C~- ON '['HE FETI. IS.;, DID NOT CAI..IS.;E BIRTH DEFECT'._=; IN AN .'I MAI .'..=; ~ OTHER EFFECTS WE. RE '..=.;EI:..:.N IN THE FETI..I'.:-..; ONI.Y AT [)O'.E;EE; WHT. CH CAI.I.'--.-;?)] TOX I:.C: F,'"-' I'.'[EC: I"'.--.; TO I-fiE MOl'HER., P'iU-['AGEN ICl ]"Y (FZFFFCTS ON GFNFTIC MATERI Al.. ) - RE'._=;I..II. T'...-.; OF II'q V i ] RO (TEST TI.I.SE ) MI.ITAGEN I C'I."FY TESTS.; HAVE '8[:t:]'-] NEGAT i VE, ............................................... ECOl.. OG)' CAI. I NFORMAT l ON ~_--.;E~'.':T I ON .................................... NO [~ATA FOI.INTJ ........................................... PER'..-.-;L-~NAI.. PROTFC]' I ON ..................................................... V[.:NTILAT.'[ON: L.OCAI.. MEF.:HAN~CAI_ F-:XI~AIJ'.'-]T VEN'i'II.A'I'~.ON C:APAT.~I.E OI-- EM I'..-:;S;IONS AT THE PO IN]" OF' IJ'..:.:;E BEI..OW THF' F'LL., REfi;P~:RATORY F'RO'I"ECTT. ON: W['i:AR A N.(Ofi;H--AF'F'ROVFO fi;i-!'.-L.F-CONFATf-]CT.~ BREA-I'I-Ii:t'qG A','.'PARATI..IS IN THE F'RITS..;SI. IRE DEMAND MODF, OR A S.;I..1PF'I IETJ-AiR RESPIRATOR IF i..IL--;E CON?:~I:T~:ON?..; I]FNERA'I"I.--. VAI':'I')R~; OR NT.'.--.;TS, ..... YE F'ROTECTION: CHEMICAl OOG(]I.E:.--.; LIN[ E'.:;S A FI. iLl... FACEPIECE RF'..--.;F'iRA]'OR .T'...--.; .'..?.;i.-j WORN, I. T ]: :.-.-~ :,,-_NF:.,-~I .[ .Y R~F::OGN i. Z EB I]. IAI" CON ]"AC'i' I.. EN'.ii;L-]'...--.; '.'?,1 .IOi.t .0 N IT t:,,.~ WORN WHEN WORKINC-.; WI"rH CHI"-.M~.CAI :.=; BFi.=.:AI..IS.;[ CONTACT LEi'qS~F..'.'~:; t"iAY CONTR.~BUTE TO I-liE fi;EVE:Ri:'T'¥ 01--- AN [:£YE T.N,.IlJRY, F:'ROTP.-C]"]'VE C:i..O'I-HING~ LONG-SI..EEVFD '.=_;I-',IRT, TI.:,:OI./'...:-.;ER'..:.;, SAFETY '._--;HOFS;~ I]I...i;]VE!E;~ AN~.i RI.IBSER APRON, OTHER F'ROTEC:'['IVE MIFASI. IRE:.:;: AN EYEWAS;H Al'qB SAFETY C-;HOWER SHO~.ILD BE ~,~-,'~R~.~TM ANB ~"F. ....... I r~e m~.. ¥ FI]fi,' I ..... ::., .................................... FIRE ANi] EXF'I. OSION INFORMATIOI",I ........................................... FLA'.'.'];H F'OINT~ i:~F..G F: NOb]':. FL.AMP'iABI_',:'] I.T.,~'ii:.]':E; (N A(R, % ME]"HO]] U'.E;EB: N/A LOWER: N/A I..IF"PER: N/A Al .ITO '( GN T. T :£ ON 'I"EP, PERAT!.IRE, [u..:G, F: NOT AF'F'I. 't: CA:i]~L_E FX'IINGI.~]SHING MF..DIA: THIS; MATERIAl._ IS NOT COMBi.~STIBI..E, USE EXFIN(';i. IISH]N~]; MEBIA AF'PROPRIATE FOR SIJRROI.INO~:NG Fi '.E;F'ECIAL FIRE FI~]HTING F'R(~CEI'~I..IRE:_:.;: FIRE FIGHTERS '.]-;I'IOUL.B WEAR SELF-CONTAINFD 'f:],REATHING APPARAT P.:.:; AND FI.II..I.. F'RO'I'EF.:TT. VE Cl...~"I]'IT.N~'.~, :i:' WAT[-:R '.'-.';PRAY ]'O NEARBY CONTAIN.FR'.B ANI] STRUCTI. IRES EXF'OSED TO FIRE, I.JNi..ISIjAI_ FI. RE Al'qB EXPI..OST. ON HAZAR[]'.:.;: VAPORS FORME[) [:ROM ]'i'll::.; PROBI.IC'[' ARE HEAVIER THAN AIR AND MAY TRAVEl. Al ONG TI-{[:: SI. IRFACF TO A I]].S;TANT ~F;Oi. iRCE'.B OF ]: GN I T l ON AN[~ FI_A'.E;HBACK, ........................................ HAZARDOU'.']; REACT I V)' T~ ................... STAB!.I..ITY: STABI..E POI.YI~]ERi:ZATT. ON: W£L.I.. NOF OCCt.IR F'.I.'.~'["):.' MA' :T. Al_. SAFETY DATA :~kI~iET PG 4 []O~,4P~R PERCH~ OROETHYL E~ V I A I..]~ K TK RF/V I S) ON OF: 0'.-}-06-?;0 CONDITIONS TO AVOID: OPEN FLAMES, WELBING ARCS~ OR OTHFR HIGH TEh~PERATURL' SOURCES WHICH MAY ([...IF. ii.ICE THERMAt. DEC:OMi':'OSI:TT. ON, "*ATERIAI.S TO AVOIIT;: AL.KAl. IS, OXIDIZING MATERIAl. S, WATER, MOIST AIR AN}:; iDS, HAT. ARDOLIS DEL-:OMPO'.F;IT!ON PRO}"~UCT'..--;: MAY LIBERATE CARBON MONOXIBE, C:ARBON DIOXIDE, HYOROGEN CI~i...C~RI'F. IE, CHI..ORiN,'--., r;iR PI.IO'.:..;GENE, ............ - ......... SPILL, I_EAK, AND BI'.E;F'O'..=.;AL PROE:E]FiL.IRES ACTT. ON TO TAKE FOR .'-..-;P I I. .L .S OR L.EAK'..];: W:-EAR PROTECTIVE EqIJ~:PWEN]' RUTi{BER BOOTS, Ri. IBBER GI..OVES, RUBBER APRON, AND A '..=;ELF...COi'4TAINED BREATH)NG APPARATI..IS ~N THE F'RES'.:.;I.IRE OEMAN[~ MO[~:?. r)R A '..];I..IP?I.~;EB--AIR F.'ESPIRAT'OR, Al.WAYS WEAR EYE PROTECTION, FOR SMAI.L SI'"II. LS OR BRIPS, M(~P OR WIPE LIP AND DISPO'..:.;F OF IN [~OT--APF'ROVEF.~ WASTE C:ONTAT. NFRS, FOR t...ARG~:..; '. i;P '( i .I .S , CON I'A~:N BY DT. KI,NG WITH SOIL OR OTHER NON---COMBI. ISTIF41.E SORI'?,EN]' MATERIAl. AI'4F~ THFN F'IJ,~,*,F' IN'iO [~OT-APPROVEE~ WASTE E:f')NTAINERS~ C:R ABSORB W'(TH NON-f".:O,~.1;:{UST r. SLiZ '.--..;ORBENT MATERIAL, PLACE RESIBt. IE IN DOT-..AF'.PROVED WASTE L-.:ONTAiNERS, KEt~_P OLI]' OF SEWERS, STORM i)RAINS, '.E;IJRFACE WATER'.=.;, ANO COMPL. Y WITH AI.L APPI.ICABLE GOVFRNI'.IENTAI. REGI..II. ATIONS ON SF'IIJ. REPORTING, AND HANOI.T. NG AN.F.~ E~;SPO:-];AI.. OF' WASTE, DISF'Fu.F;AI METHOD'?-;: DISPOSE OF CONTAMINATE]Fi PRODUCT AND MA'I'ERIAi_S USEFi ~.N CIEANT. NG I.IF' ~E',PII..L'.-]; OR I.EAK'.E; IN A MANNER APPROVP:O FOR TH.('.-]; MAt"FR'[AI... CONSI. IL.T APF'ROPRIATE FEDERAL , STATE AND LO(:AI.. RI.--.GUI. ATORY AGENCIES TO or.',-o~.',-, E~T. SPO~"];A[ F'R .... A'.E; C E R T A I N , ~, .... ~, . 1'4OTE: EMF'TY (.":ONTAINERS CAN HAVF RESIBI. IFS, GASES AND MISTS AN[~ ARE .=,lJ,.~,h=_.T T¢~ F'ROF'P_'R WA.=,T,: OT.'.~;F'OSAI .... A'.-]; AE ..................................... SPEI.T:I Al F'RFCAI..IT IONS .............................................. STORAGE ANI-.I HAWT. d.T. NG PR:i'EF.:AIJTICN=: STORE I;N A COOl., F. IRY, W'c .... -.Vi!.:NTII A'~'iZD PI.ACF AWA'¥ FROM I NCOMPAT IBI.E MATERIAL'..=.;, VENT CONTA l ['4ER' CARE'Fi_II.I..Y, A'..=; ~ . ," I:~.," .'--,.]:1. I'1~,].. I<::".EP 73hlTA :( NER T II'i " I .lEE[ ," FJ, ]"i~ Rf;I I F3,'E ""'"'- ....... :, ~ TL. ~ E:L ": E}' Wi' tf]:N N'r)T '( N '"=;E, )')0 1'40T U:F.;E F'RIFSSURL'-. TO EMPTY L-:ON]'AINER, WASH TI-.]OROI. IGI-H.Y AF'TF'R ~NDL. T. NG, [lO NOT GET T.N EY',7."'!;., ON :-:;K(N-, I.-JR E,'N Ci..OTH'(NG,~ F;:EPAtlR ANf] MAINTENANCE PREC:ALITIOI',IS: Fei N']T I.-.:I..Fi', )I,IND, WF'I..D., OR EI:,iL.L Oi'..I OR f'4:].-':.AR TH 1:'.:.; CONTA I N,..'Z-.R, OTHER PRE'L-.:AI. TI' iN '~: VAF'ORS OF THIS F'RODI. ICT ARE HEAVIER THAN A COi..i..F...;CT (N LOW F'I..ACr:.-]'.--.;, E;I.ICH AS F'];'f'..-..; OR ~')~.::O;:;:~'-:Ar.~;FER::i;, OR O'f'i.I[:.'R POOF;:L..Y VF:NTII.ATED AREAS, DO NOT ENTER F'LACES WI.IERE VAF'ORS ARF SI.I:.:.;F'ECTED UNL. ES:F.; '.'~;PEC:T. At.. RE'.ri;F'1:RATORY F'RI]TECTr. ON I'..-]; WORt4 ANF..i AN OF.u.:!;[ERV',?,-i: T.S PI;:ESC:'I"4'i', OTHER PFL'E'CAI.~TIO?qS: CONTAINERS, EVEN THOSE THAT HAVE BFEN EMPTIED, W)LI.. RETA1:N PRODtJC:T I-';,'F~;:--.;.T.f)I..I~] AI"..IO VAF'OR'3., Al_WAYS 09EY I.IAZARO HANDI_E EMPTY C:ONTAINFRS AS IF THEY WI:RE FI..li.L. ............................................................ OT,~.t;.:::R ',..;,',.~GI..II..ATORY '[ N?ORMA '1' [ lin ............................................ :BEC'l- l ON :_--: ~ 3: SEE BF[ .OW F:'ROF'OS T. T 1: ON 65: SEE fi:El SECTION :'::.1.3 ~,: PROP, 65: '..=;FE BEI. OW SE(":TION :F:i:F: (WITH CHEi'q)'CAL.S LI:E;T'.F.O): TI-liS PROi')I..I(':T C'ONTA!NS THE: FOii OWING 'l"C X I C C:HEM T. CAL. ( '..E; ) E; I '~,J[::c'r TO 'Fi-.h% REF'ORT '( NE Rl-:](..".¢.l [ F,:Et"~F.-:NT:a; ~::F' SEC [' .1: ON' 3_i. 3 OF TITL..E III OF THE SI. IF'ERFUI'4D AMIENf]MENTS AND REALITHORIZATiON ACT OF i'?¢L--:,':-, AND 40 CFR PART 37:.2: C:HEblICALS C:AS NO, % WT F'ROPOSITION ./.-.5 (WITH CHFMICAL..'..:.; LISTED): THI'..=.; PR('IDUCT CONTAIN:.=; THE FOLI_OWING CI-IEMT. C'Ai..('.B) CON'.:i;T. Oi:'I~EE~ BY TI-IF_' :STATE OF CAI.T. FL]RNT. A"'.]; A;AFE OR'(f~K"(NG , ,'lO) I: 0234:]-:4:.::2 15: 3:.-.-:: 18 :BO ,_lAN 19'.? J I.]:I..I'.E;T: 5 E: 17654'? 11',4',/- I .- E: WATER AN[i '['OX.T.I]: ENFORCEMENT ACT OF i'.:.~86 (PROF'O:E;ITION 6..=;) AS CALJSING CAt'~Ii.-.:ER E:R REF'RO[~I.ICT[VIF TOXT. C:T. FY AND FOR WHICH WARNT. NG:::.; ARE NOW [::;£1.-~lJ'l:.l'~[:.'.F.l: ;/.::.LIEM .T CAL S CAS NO, % WT HAS'.F.;AL-.:HI.~SFTT'.F.;: UNDER TH.F. VIASSA('.:HI. ISETTS RIL-~HT-TO..-KNOW LAW, HAZARDOI. I:_:; THI'.T:; F'RODUCT WF,. L..H RE~?LIIRE:.T-: REF'ORTINC.; ARE: CHF. M I CAI. S CAS NO. COIq(::ENTRAT iON ( }.0,000 .1% CARl}ON TETRACHI .OR I ]OE .=.,z::,--.23-.5 .:'.':'~Z PF:'M F:'ENN'..::;YI. VANIA: UNDER THE F'ENNSYI..VANIA RIGHT--TO'-KNOW LAW, i-IAZARDOLIS PRODUCT WHICH RFLT. fl..IIRE REPORTI. N(); ARE: CHITMICAI..::; CAS NO, CONCEN]'RAT] L-.IN (}.C), 01%) HA Z ART..IOUS SUBSTANCE'.:.; CH .F.M I CAI '.--~ C.:A'..:: NO~ CONCENTRAT I ON ( }..1% ) C:AI..I FORN I A SCAL:.!HI]: RULE 44:.:.:. 1 VOC'" s VOC: NO DATA FOI.iN~') VAPOR F'RESS~.Ii::~: 'NO DATA ,~"OI.INT..~ ~'c:E'.A: THE INGRE~:~iENTS OF TH.~'S PRODI. IC¥ ARE ON THE TSCA INVRNfORY. ............................................................. RE:VT..:. T. 'IN ...................................................................................... 07/?~': EXPAN/IED OTHER REG_I.A]CIRY INFORMATION 0:3/89: CHANGED HF.'AO]:NG AND C:ONTAC:T .[NF'ORMAT(ON. C.):3/'F'0: AD;'~EB SYNONYH~ MO!.ECI. ILAR WE IGHT~ HMIS RATING~ NO"I'E TO C.:OHPONI'LNTS~ AI.rToI~N~TION TF}IPF:.RAFI.IRE~ I.INI...ISL,'At_ [::'~:RE ANY) L"XPL.O.C.:.[ON HAZARD~ ~'FI~ % VOl_ AT'.rL F~ OTHFR DATA~ EC:OL.OGICAI INFORHATION~ OTHER REGI. IL.A"i"ORY INFORMAT (::AL I FORN T. A SCAE]HD ?.'.,. 'f".-]:CA. 03/9'0: RFVISED CAF(CINOGFNICITY~ OT[IER RE'GULATORY INFORHATION - SECTION 313. ~ PROF'OF.', I T l ON t:,5 & PROPOS I T I ON /:.~ ( W ( TH CI ~F..M T. CAL'..7: I. 1:7: FEO ). O:F/'-}O: REVI.:,~.F.. F'FI_ ............................................. FOR ADDI'T)ONAI. INFORMATION ................................................... CONTAC:T H'.::i DS C~)ORt-) T. NATOR ~ 'v'A~q i,.~;A'["I~_R'.']; ,~'.,: l:;,'l-.ll'!i[.:..l:('.:!; ( Ni'::, DI. IRIN~]; DI.I'.--;INE'.F.;S HOURS., F'ACIFIC: TIHE. (4('):F[)435..87(')0 ...................................................................... NOT T. L'.:~F. ........................................................ ' ................................ .~.~VAN WATERS & ROGER'.:]; INC. ("VW&R") EXPRFS'._:;[.Y F.~ISCL.AIPiS Al..[.. EXF'RESS OR ):~'I[::'I..I. ET.~ WARR,~NT[C'.'.:.; OF t.~?RC:FIANTAF~(~.t'FY AND F'( H'4L.:.Ci;'.E; FOR A PART ( C:I .IL .AR F'URPOSF, WITH RF.:~.:..:PEi.-.:T TO THE F'RODI.]C:T OR INFORMATION PROVIDF"D HERE ): N, .~.~ ALI. INFORMATION AF'PEART. NG FIERET. N IF.i; L'~A'.i;F:O UPON [[ATA OFYTAT. NF.-]:O FRr::M THE MANUFAC:TURE'R AND/OR RECOGNIZED TECHNICAL SOURCE'..:.:. WHiL..EE THE TNFORMA... TION I'.F; BEL[EVCT. i TO 8~ ACC:L.IRAT~, VW~,..R MAKE'.:]; NO rb?Pr;.'E:.];EN'l"Arl:.l)lq~:i; A'.~; 't"[] ITS ACCLIRAL.-:Y J..-~l-.] '.:;I..IFF.TCIFTNCY, CONBITIONS OF' I..I'..:..;tE ARE BF.'YONTI VW&R"S CON .... ~d::;l"~t'[~:-2 t'~A ;.riAl 'SAFETY DATA SHI--.E]' F'C:; ~.:, .t'X];~F".m.-R PERE:HI..OROF~]ThI'/L.Ebl VIA ~;~[.K TK F~tEVi'.-!:(¢:I,~4 TRQI.. ANT. I T~IER,-'EFORiE I.ISI2RS ARE F,'r.'?.-:;PONSI}'~[.,'Z Ti] VI::R'[FY 't'HI:::!; F. iA]-A 'THEIR O~4N OPER£~TING CONI'~ITIONS TO DETERf'IINE ~41.-~FTHFR THE. PRODUCT IS SIJ~TAii:I.E FOR TI4~!E~R PARTT. C~J[..AR PURPOSES ANO 'fI~EY ¢4SS~.IME AI.J. I"~T. fi;KS OF .""'4~."IR USE, HAN131.ING, AND I'~ISPOSAI.. OF THE F'RODI. ICT, OR FRC~M TFIF pI. ISI.~CA.-. ON QR I.I'.-3E 13f'", F.'IR RI--.I_ 1: ~NC:E I_IF.'ON, I NFO',-';,'M~T T. ON q:t'lNT~ T. NEF..I HER.F.r.N, 'l'I t I S ~.NFORP1K~T.'fON RELATES ONI.Y TO TH[. F'RODI. IC:T DESIGNP~TF.D HEREIN, ~ND lqC~E.'.:: NQT R~I_ATE TO ITS IJ'.E;,.'E IN E:OMir.~T. NC~TT. ON MT. TI.I ¢~NY ~:ITI..IER M~T,'F.R'(~-'~[. OIR '[N ¢~NY F.~TI. IrSR F. ROCESL=;. E N D O F M :_=; D S. -~-~-