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BUSINESS PLAN
Hazardous Materials/HaZardOus Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE ' i ~' ' ~ This _hermit is !__~,~Lmd_ for the followirm: ;;t Hazardous Materials Plan ' E] Underground Storage of Hazardous Mateflals [3 Risk Management Program Permit ID #:: 015-000-000630 [3 Hazardous Waste On-SRe Treatment BIX FURNITURE~ R! LocATIoN: 1109 W coLuMBUs ST". OFFICE OF ENVIRONMENTAL SER VICES' ' '~ 1715'Chester Ave., 3rd Floor .. APP,rovedby: . (...Ralpl/Huey, Eh~i Issue Date Bakersfield, CA 93301 . :~' ~, .OmeeofEvironmm~Serviees - 'Voice (661) 326-3979 : ~ ~ FAX (661) 326-0576 :-': .Exl~ibationDate: ' "JUYle 30;. 2003 * "'; :"-':'~'i'.' Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE IJ~ ;,~?~,,,,~,~, ~ ............... This permit is issued for the following: ,,~*~?:~i: ?~ ?;~:'~'~;i i ii~ iii?:~'::I i~ii:,:~::'~O~e!~ground Storage of Hazardous Materials ~,..:'".::~ ~ Ir'~ .~ .'..,.~ ?.~I~ ...~'. ~ ........ ~t;~.u~:~,. g ... ...... . di~,], ~ ~ ;~i'.:=~' .~, ' '~-'~ ...... ~ .-'77 - "~ ~ ,~.,_......~ '~' ~ ~. ':~ Bakersfield Fire Department Approved by: 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805)32~-3979 Expiration Date: Jun~ 30. ~000 FAX (805) 326-0576 ' .-.~- BIX EURNITURE REFI] SiteID: 015-0~1-000630 Manager : BusPhone: (661) 323-9378 Map : 103 CommHaz : Moderate Location: 1109 W COLUMBUS ST J~Lg~~ City : BAKERSFIELD 20~ Grid: 18C FacUnits: 1 AOV: CommCode: COUNTY STATION 64 SIC Code:7641 EPA Numb: DunnBrad:548-56-0554 Emergency Contact / Title Emergency Contact / Title RON SHERIN / OWNER CLAYTON MIDDLETON / Business Phone: (661) 323-9378x Business Phone: 661) 872-3092x 24-Hour Phone : (661) 399-7997x 24-Hour Phone : 661) 872-3092x Pager Phone : ( ) - x Pager Phone : ) - x Hanmar Hazards: Fire Press ImmHlth DelHlth Contact : Phone: 661) 323-9378x MailAddr: 1109 W COLUMBUS ST State:' CA City : BAKERSFIELD Zip : 93301 Owner RON SHERIN Phone: (661) 323-9378x Address : 7001 KIMBERLY State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA Hazards[ Frm I Daily~ IUnitlMCP ACETYLENE E F P IH G /90.00 FT3 Hi BENCO B-4 F IH DH L~/ 6.00 GAL Hi BENCO B-7 F IH DH L ~ . ' OXYGEN _ F P IH G 90.00 FT3 Low I, Do hereby certify that I have ~'~'¥pe ~,r p~in~ name) re¥iewecl the attached hazardous materials manage- ment plan for (N..,* o,,~,~,,,) __and that it along with any corrections constitute a complete and correct man- agement plan for my facility. -1- 07/18/2003 ~n.~ure D~e " ~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enlronmenta] Set,rices J,',, ,, ,,,,,,, , ,, ,, ' 1715 ChesterAve SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 L FACILITY NAME · I INSPECTION DATE I INSPECTION TIME DRESS / IPHONE o. ~ NO. of Employees I FACIL~TYCONTACT j~siness ID Num~ Section 1' Business Plan and Inven~ P~mm ~ Routine ~Combin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V /c=co=p~.~e~ OPE~TION COMMENTS ~ V= ~'iolation ~ ~ APPROPRIATE PERMIT ON HAND ~ VISIBLE ADDRESS CORRECT ~CUPANCY ~ VERIFICATION OF INVENTORY ~RIALS ~ VERIFICATION OF QUANTITIES ~ VERIFICATION OF LOCATION VERIFICATION OF MSDS AVAILABILIWE VERIFICATION OF ABA~MENT SUPPLIES AND PR~EDURES EMERGENCY PROCEDURES ADEQUATE ~ HOUSEKEEPING ~ ~ S~TE D~AGRAN ADEOUATE& ON HAN~ ANY HAZARDOUS WASTE ON SITE?: J'l YES (~ NO EXPLAIN: QUESTION/~EGARDIN/~r, ~,~ INSPECTION? PLEASE CALL US AT (t~61) 326-3979 White · Environmental Services Yellow. Sla/ion Copy Pink. Business Copy BIX EURNITURE REFINIS G SiteID: 015-021L000630 Manager : ~ BusPhone: (661) 323-9378 Location: 1109 W COLUMBUS ST ~%w~ Map : 103 CommHaz : Moderate City : BAKERSFIELD~'. Grid: 18C FacUnits: 1 AOV: CommCode: COUNTY STATION 64 SIC Code:7641 EPA Numb: DunnBrad:548-56'-0554 Emergency Contact / Title Emergency Contact / Title RON SHERIN / OWNER CLAYTON MIDDLETON / Business Phone: (661) 323-9378x Business Phone: (661) 872-3092x 24-Hour Phone : (661) 399-7997x .24-Hour Phone : (661) 872-3092x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 323-9378x MailAddr: 1109 W COLUMBUS ST State: CA City : BAKERSFIELD Zip : 93301 Owner RON SHERIN Phone: (661) 323-9378x Address : 7001 KIMBERLY State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif 'd: RSs: No ParcelNo: Emergency Direct ire s_,:~, ~ ~'Tyoe o: Drint~ name) reviewed the mtacnea n~ardous materials manage- m~nt plan fo nd that it alon~ with any ~ections ~nstitute a compile and corr~ man- ~ement plan for my facility. I S~ture - -1- 07/15/2003 BIX Fg3RNITURE REFINI SiteID: 015-021-000630 ~ ~azmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers on Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm I DailyMax IUnitlMCP BENCO B-7 F IH DH L ~.~-~GAL Hi ACETYLENE E F P IH G 90.00 FT3 Hi BENCO B-4 F IH DH L 6.00 GAL Hi OXYGEN F P IH G 90.00 FT3 LOW 2 07/15/2003 BIX ~RNITURE REFINIS~G SiteID: 015-021-000630 =~n~entory Item 0001 Facility Unit: Fixed Containers on Site BENCO B-7 Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER SE CORNER // CAS# /75 -09-2 /~ONTAINER TYPE ~ STATE TYPE PRESSURE TEMPERATURE I ~VE GROUND TANK /Liquid I Mixture Ambient I Ambient AMOUNTS AT THIS LOCATIOf Largest C~ntainer I Dail~oMaximum / Dail~ Average //~. ~..~..~o GA~ 2~ g~~ GAL //~?~'~0 GAL %Wt. RS CAS~ 75.00 Dichloromethane No 75092 15.00 Methanol No 67561 HAZARD ASSESSMENTS TSecretINO N~S I Bi°HasINo Radioactive/AmountNo/ Curies EPAF HazardsIIH DH NFPA/// IUSDOT# HiMCP MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined5: Ag. Defined6: Ag.Defined7: Ag.DefinedS: Ag.Definedg: Ag.Definel0: -- Ag.Definell -3- 07/15/2003 BIX ~URNITLTRE REFINISHING / ~' SiteID: 215-000-000630 Manager : ~ ~ BusPhone: (805) 323-9378 Location: 1109 W COLUMBUS ~.ST./' ~ Map : 103 CommHaz': Moderate City : BAKERSFIELD <l Grid: 18C FacUnits: 1 AOV: CommCode: COUNTY STATION 64 SIC Code:7641 EPA Numb: DunnBrad:548-56-0554 Emergency Contact / Title Emergency Contact / Title RON SHERIN / OWNER CLAYTON MIDDLETON / Business Phone: (805) 323-9378x Business Phone: (805) 872-3092x 24-Hour Phone : (805) 399-7997x 24-Hour Phone : (805) 872-3092x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 1109 W COLUMBUS ST State: CA City : BAKERSFIELD Zip : 93301 Owner RON SHERIN Phone: (805) 323-9378x Address : 7001 KIMBERLY State: CA City : BAKERSFIELD Zip : 93308 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP ACETYLENE F P IH G 90.00 FT3 Hi ~CC E - I-5 F-- IH 4DIi BENCO B-4 F IH DH L 20.00 GAL Hi BENCO B-7 F IH DH L 440.00 GAL Hi !, n ~,~. Do hereby co~i~ thru ~ have ~y~ or p~m ~) reviewed the afl--bed h~a~ous materials manage- ment plan ~or ~/~ and tha~ ~t along any corrections ~nsfi~ute a ~mplete and ~ffe~ man- agement plan for my facili~. ' ~ ~ 04/10/2000 BIX FURNITURE REFINISHING ~~~~ SitelD: 215-000-000630 i6 Inventory Item 0001 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME BENCO B-7 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: SE CORNER SE CORNER o CAS# o o 75-09-2 o i~ STATE ~i~ TYPE ~EEig~ PRESSURE E~i TEMPERATURE ~i~EE CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o ABOVE GROUND TANK o iE~EE~g~EEE~EEEE~ggEEi AMOUNTS AT THIS LOC _" .................. Largest Container o Daily Maximum ~ Daily Average [~ GAL o 440.00 GAL o ] ........ 295.00 GAL i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o 75.000Dichloromethane ONo o 75092© 15.00OMethanol ONo o 67561 o i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F IH DH° /// o OHio Inventory Item 0002 Facility Unit: Fixed Containers on Site i i~ COMMON NAME / NAME BENCO B-15 o Days On Site o o 365 o Location within this Facility Unit Map: Grid: SE CORNER o CAS# o o 75-09-2 o STATE ~i~ TYPE ~i~ PRESSURE TEMPERATURE ~i~8~ CONTAINER TYPE Liquid o Mixture o Ambient o Amb o DRUM/BARREL-NONMETAL o i~~i~~8~i AMOUNTS AT LOCATION 8~i~8~~i~i~i Largest Container o Daily Maximum ° Daily Average o GAL o 20.00 GAL o 20.00 GAL o %Wt. o o RSo o 51.00°Dichloromethane ONo 75092 o 17.00ophenol (EPA) ONo o 108952° 14.00OFormic Acid °No o 64186° f8888888i888i888888i88888888888 HAZARD ASSESSMENTS i " °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o :PA o USDOT# o MCP o No ONoONo o No/ Curies°F IH DH ° /// ° OHio BIX FURNITURE REFINISHING ~6~~~~ SitelD: 215-000-000630 ig Inventory Item 0004 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME BENCO B-4 o Days On Site o o 365 o Location within this Facility Map: Grid: SE CORNER o CAS# o o 75-09-2 o i~ STATE ~i~ TYPE ~i~ PRESSURE TEMPERATURE ~i/~ CONTAINER TYPE Liquid ° Mixture o Ambient o o PLASTIC CONTAINER o i~~~~i AMOUNTS LOCATION Largest Container o Daily o Daily Average o GAL o 20.00 GAL 10.00 GAL o %Wt. o o RSo CAS# o 80.00 o Dichloromethane o- o 75092° 11.00°Methanol ONo o 67561 o i~i~i~i~~ HAZARD ASSES °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards \NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F IH DH° /// o~ OHio Inventory Item 0005 ggggggggggggggg Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME OXYGEN o Days On Site o o 365 Location within this Facility Unit Map: Grid: SW CORNER o CAS// o o 7782-44-7 o STATE gig TYPE gggi~ PRESSURE gggi TEMPERATURE ggigggg CONTAINER TYPE Gas ° Pure o Above Ambient o Below Ambient o PORT. PRESS. CYLINDER o i~gg~gggggg~gg~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o FT3 o 90.00 FT3 o 90.00 FT3 o igggggggigggggggggggggg HAZARDOUS COMPONENTS %Wt. o o RSo CAS// o 100.00OOxygen, Compressed ONo o 7782447° igggggggigggiggggggiggggggggggg HAZARD ASSESSMENTS gggigggggggggiggggggggigggggi °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT//o MCP o No ONoONo o No/ Curies°FP IH o /// o OLowO -3- 04/11/2000 BIX FURNITURE REFINISHING ~~~~ SiteID: 215-000-000630 i~ Inventory Item 0006 ~~~ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE o Days On Site ° o 365 o Location within this Facility Unit Map: Grid: SW CORNER o CAS# o 74-86-2 o i~ STATE ~i~ TYPE ~i~ PRESSURE ~ TEMPERATURE ~i~ CONTAINER TYPE Gas o Pure o Above Ambiem o Below Ambient o PORT. PRESS. CYLINDER o ~a~~a~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum o Daily Average ° FT3 o 90.00 FT3 o 90.00 FT3 o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i %Wt. o o RSo CAS# o 100.00OAcetylene Oyeso 74862° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards ° NFPA o USDOT# o MCP o No °No°No o No/ Curies°FP IH o /// o °Hi o -4- 04/1 !/2000 ~ BIX FURNITURE REFINISHING SiteID: 215-000-000630 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 04/28/1992 CALL 911 -- Employee Notif./Evacuation 04/28/1992 CALL FIRE DEPT IF POSSIBLE FROM SHOP OR GO NEXT DOOR TO C & L COATING AND FIRE DEPARTMENT. -- Public Notif./Evacuation 04/28/1992 EVACUATION SIGNS POSTED. Emergency Medical Plan 04/28/1992 MEMORIAL HOSPITAL - 420 34TH ST - 327-1792. -2- 04/10/2000 F BIX FURNITURE REFINISHING SiteID: 215-000-000630 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 05/07/1992 OWNER IS EXPERIENCED IN THE HANDLING OF STRIPPERS, VARNISHES, STAINS, ETC. CARE IS TAKEN IN THE TRANSFERRING OF MATERIALS FROM CONTAINERS. --Release Containment 05/07/1992 ANY RELEASE OF MATERIALS IS CLEANED UP WITH RAGS AND MOPPED. tHE RAGS ARE THEN PICKED UP AND PROFESSIONALLY CLEANED. iF A LARGE LEAK OCCURS, THE MATERIAL WOULD BE PUMPED INTO A 1 X 4 X 8 RESERVIOR THAT I HAVE FOR ANY LARGER RELEASED AND ALSO A PLASTIC 55 GALLON DRUM ON HAND. -- Clean Up 05/07/1992 SPILLS ARE IMMEDIATELY SOAKED UP WITH RAGS OR TOWELS OR MOPPED UP. Other Resource Activation -3- 04/10/2000 5 BIX FURNITURE REFINISHING SiteID: 215-000-000630 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/28/1992 A) GAS - REAR OF BUILDING, SOUTHEAST CORNER B) ELECTRICAL - SOUTH WALL, MIDDLE INSIDE C) WATER - FRONT OUTSIDE NORTHWEST CORNER D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 04/28/1992 PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS, ONE IN FRONT OF SHOP ONE IN REAR OF SHOP. FIRE HYDRANT - FRONT NORTHWEST APPROXIMATELY 150 FEET FROM BUILDING. Buildin9 Occupancy Level -4- 04/10/2000 BIX FURNITURE REFINISHING SiteID: 215-000-000630 Fast Format -- Training Overall Site -- Employee Training 01/07/1990 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE I REVIEW THE MATERIAL SAFETY DATA SHEET INFORMATION REGARDING THE HAZARDOUS MATERIALS I WORK WITH. -- Page 2 ~ Held for Future Use Held for Future Use -5- 04/10/2000 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~P4 ~"t~'~ INSPECTIONDA~TE ADDRESS ( ~o~ t.J, ~_3.o~ PHONENO. -~-Z-~ FACILITY CONTACT ~O~ ~'~(.~,~,J BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ~) Section 1: Business Plan and Inventory Program Routinc[~l Combined [~l Joint Agency [~l Multi-Agency ~l Complaint [~l Re-inspection OPERATION C V COMMENTS Appropriate permit on hand t/ / ..4~ (e~_X ~t~...~ 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 b Verification of Haz Mat training q ~/~ 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?: ~1 Yes ~[No Questions regarding this inspection? Please call us at (661) 326-3979 mess Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink- Business Copy Inspector: 1501Truxton Ave. ~akers{~etd~ ©a-033-6~ Dear Sirs: Enclosed is our check for invoices submitted to The Southland Corporation. Please submit any future invoices to the following address: The Southland Corporation P.O. Box 711 Dallas, TX 75204 Attention: Kathleen Baldwin Sincerely, Angla Everett ~ ge 04129/92 BIX FURNITUREoverall REFINISHINGsite with 1Fac.215-000-00CUnit General Information By_, Location: 1109 W COLUMBUS ST Map: 103 Hazard: Moderate Community: COUNTY STATION 64 Grid: 18C F/U: 1 AOV: 0.0 Contact Name Title Business Phone '24-Hour Phone- .ON SHERIN OWNER (805) 323-9378 x (805) 399-7997 CLAYTON MIDDLETON (805) 872-3092 I I Administrative Data i Mail Addrs: 1109 W COLUMBUS ST D&B Number:d-~-~;-~k~-~', ! City: BAKERSFIELD state: CA zip: 93301= Comm Code: 215-064 COUNTY STATION 64 SIC Code: Owner: RON SHERIN Phone: (805) 323-9378 Address: 7001KIMBERLY State: CA City: BAKERSFIELD Zip: 93308- Summary 04/29/92 BIX FURNITURE REFINISHING 215-000-000630 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-~06 ACETYLENE Gas 90 High · Fire, Pressure, Immed Hlth FT3 02-002 ~~ Liquid 20 High ire, lmmed Hlth, Delay Hlth GAL 02-004 BENC~ B-4 Liquid 20 ~ High · Fire, Immed Hlth, Delay Hlth GAL 02-001 BENCO B-7 Liquid 440 High · Fire, Immed Hlth, Delay Hlth GAL 02-005 OXYGEN Gas 90 Low · Fire, Pressure, Immed Hlth FT3 04/29/92 BIX FURNITURE REFINISHING 215-000-000630 Page 3 00 - Overall Site <D> Notif./Evacuati0n/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation CALL FIRE DEPT IF POSSIBLE FROM SHOP OR GO NEXT DOOR TO C & L COATING AND FIRE DEPARTMENT. <3> Public Notif./Evacuation EVACUATION SIGNS POSTED. <4> Emergency Medical Plan ~MEMORIAL HOSPITAL - 420 34TH ST - 327-1792. 04/29/92 BIX FURNITURE REFINISHING 215-000-000630 Page 4 00~- Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention OWNER IS EXPERIENCED IN THE HANDLING OF STRIPPERS, VARNISHES, STAINS, ETC. CARE IS TAKEN IN THE TRANSFERRING OF MATERIALS FROM CONTAINERS. <2> Release Containment Any release of materials is cleaned up with rags and mopped. The rags are then picked up and professionally cleaned. If a large leak occures, the material would be pumped into a 1' x 4' x 8' reservior that I have for any larger releases and also a plastic.55 gallon drums on hand. <3> Clean Up SPILLS ARE IMMEDIATELY SOAKED UP WITH RAGS OR TOWELS OR MOPPED UP. <4> Other Resource Activation 04/29/92 BIX FURNITURE REFINISHING 215-000-000630 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF BUILDING, SOUTHEAST CORNER B) ELECTRICAL - SOUTH WALL, MIDDLE INSIDE C) WATER - FRONT OUTSIDE NORTHWEST CORNER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS, ONE IN FRONT OF SHOP ONE IN REAR OF SHOP. FIRE HYDRANT - FRONT NORTHWEST APPROXIMATELY 150 FEET FROM BUILDING. <4> Building Occupancy Level 04/29/92 BIX FURNITURE REFINISHING 215-000~000630 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE ONLY 1 EMPLOYEE AT THIS FACILITY 'WE. HAVE MATERIAL SAFETY DATA SHEETS ON FILE I REVIEW THE MATERIAL SAFETY DATA SHEET INFORMATION REGARDING THE HAZARDOUS MATERIALS I WORK WITH. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT April 28, 1992 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Ron Sherin Bix Furniture Refinishing 1109 W. CoIlumbus Street Bakersfield, CA 93301 Dear Mr. Sherin: Enclosed please find the computer copy of your Hazardous Materials Business Plan that you certified as complete on April 2, 1992. This plan is not complete. You have failed to complete the highlighted section E2 on page 4 of your plan and the 24 hour number for Clayton Middleton. Please complete and return these sections by May 15, 1992. If you have any difficulties- please do not hesitate to call our office at 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator 02/24/92 BIX FURNITURE REFINISHING 215-000-000630 Page 1 Overall Site with 1 Fac. Unit General Information Location: 1109 W COLUMBUS ST Map: 103 Hazard: Moderate Community: COUNTY STATION 64 Grid: 18C F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone- RON SHERIN OWNER 1(805) 323-9378 x [(805) ~399-7997 CLAYTON MIDDLETON (805) 872-3092 x ( ) - Administrative Data Mail Addrs: 1109 W cOLUMBUS ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-064 COUNTY STATION 64 SIC Code: Owner: RON SHERIN ~ Phone: (805) 323-9378 Address: 7001 KIMBERLY State: CA City: BAKERSFIELD Zip: 93308- Summary 'RECEIVED 0 1992 i, /~-~ Do hereby certtfy that I have reviewed the a~ched h~ ......... d(,...~ materials manage- agemenl plan for my facility, 02/24/9~ BIX FURNITURE REFINISHING 215-000-000630 Page 2 '02 -. Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 BENCO B-7 Liquid 440 High ~ Fire, Immed Hlth, Delay Hlth GAL CAS #: 75-09-2 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL44~ I Daily Average295,00GAL ] Annual Amount400.00GAL Storage ~ Press T Temp ~ ~ Location ABOVE-GROUND TANK AmbientlAmbientI SE CORNER DRUM/BARREL-NONMETAL AmbientlAmbient SE CORNER -- Conc Components MCP List 75.0% Dichloromethane IHigh I 15.0% Methanol High 02-002 BENCO B-15 Liquid 20 High ~ Fire, Immed Hlth, Delay Hlth GAL CAS #: 75-09-2 Trade Secret: No / ~ / Form: Liquid Type: Mixture Days: 365 Use:~RIPPER Daily Max GALI Daily AVera~ Annual Amount GAL 20 ! . 20.00 Storage Press T Temp Location DRUM/BARREL-NONMETAL IAmbient/AmbientlsE CORNER -- Conc Components MCP .. List 51.0% Dichloromethane IHigh I 17.0% Phenol (EPA) Moderate EPA 14.0% Formic Acid High 02/24/92 BIX FURNITURE REFINISHING 215-000-000630 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-003 BENCO B-6 · LiqUid 20 .Hi~/ · Fire, Immed Hlth, Delay Hlth GAL CAS ~ .'~q~- 09 ' 2 Trade S sc ret: No ~ ~ ~O~7--~ -- Daily Max GAL ~ ~e~ge GAL ~ Annual Amount GAL -- DRUM/BARREL-NONME~/~bientlAmbientlSE CORNER -- ~ 13.0%~4~thanol High /~0~lAmmonium Hydroxide IModeratel 02-004 BENCO B-4 Liquid 20 High' · Fire, Immed Hlth, Delay Hlth GAL CAS #: 75-09-2 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL I Daily Average GAL I Annual Amount GAL 20 I 10.00 75.00 Storage $~Press I Temp Location PLASTIC CONTAINER Iambient~AmbientlSE CORNER --Cons [ Components MCP iList 80.0% Dichloromethane High 11.0% Methanol High 02-005 OXYGEN Gas 90 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING. Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 -- 90 ~ 90.00 630.00 Storage Press I Temp Location PORT. PRESS. CYLINDER IAbove /Below. ISW CORNER -- Conc Components MCP List 100.0% IOxygen, Compressed IL°w I 02/24/92 BIX FURNITURE REFINISHING 215-000-000630 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number~Order 02-006 ACETYLENE~ Gas 90 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type:Pure Days: 365 Use: WELDING SOLDERING Daily Max FT390 I Daily Average 90.00FT3 I Annual Amount 630.00FT3 Storage I Press T Temp I Location PORT. PRESS. CYLINDER Above ~Below SW CORNER -- Conc Components MCP List 100.0% IAcetylene IHigh I 02/24/92 BIX FURNITURE REFINISHING 215-000-006630 Page 5 ~. 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation CALL FIRE DEPT IF POSSIBLE FRoM SHOP OR GO NEXT DOOR TO C & L COATING AND FIRE DEPARTMENT <3> Public Notif./Evacuation NONE LISTED <4> Emergency Medical Plan' MEMORIAL HOSPITAL 420 34TH ST 327-1792 02/24/92 BIX FURNITURE REFINISHING 215-000-000630 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention OWNER IS ~EXPERIENCED IN THE HANDLING OF STRIPPERS, VARNISHES, STAINS, ETC. CARE IS TAKEN IN THE TRANSFERRING OF MATERIALS FROM CONTAINERS. <2> Release Containment <3> Clean Up SPILLS ARE IMMEDIATELY SOAKED UP WITH RAGS OR TOWELS OR MOPPED UP. <4> other Resource Activation 02/24/92 BIX FURNITURE REFINISHING 215-000-000630 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF BUILDING, SOUTHEAST CORNER B) ELECTRICAL - SOUTH WALL, MIDDLE INSIDE C) WATER - FRONT OUTSIDE NORTHWEST CORNER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS, ONE IN FRONT OF SHOP ONE IN REAR OF SHOP FIRE HYDRANT - FRONT NORTHWEST APPROXIMATELY 150 FEET FROM BUILDING <4> Building Occupancy Level 02/24/92 BIX FURNITURE REFINISHING 215-000-.000630 Page 8 00 '- Overali Site <G> Training <1> Page 1 WE HAVE ONLY 1 EMPLOYEE ~T THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE I REVIEW THE MATERIAL SAFETY DATA SHEET INFORMATION REGARDING THE HAZARDOUS MATERIALS I WORK WITH. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD "WE CARE" April 28, 1992 FIRE DEPARTMENT 2101 H STREET S. D. JOHNSQN BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Ron Sherin Bix Furniture Refinishing 1109 W. Collumbus Street Bakersfield, CA 93301 Dear Mr. Sherin: Enclosed please find the computer copy of your Hazardous Materials Business Plan that you certified as complete on April 2, 1992. This plan is not complete. You have failed to complete the highlighted section E2 on page 4 of your plan and the 24 hour'number for Clayton Middleton. Please complete and return these sections by May 15, 1992. If you have any difficulties please do not hesitate to call our office at 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator [)413£)/91 BIX FURNITURE REFINISHING 21o-0oo-o00630 Page Overall Site with 1 Fac. Ur~it General Informatior~ Location: 1109 W COLUMBUS ST Map: 103 Hazard: Moderate · Ident Number:, 215-000-000630 Grid: 18C Area of Vul: 0.0 [. . Contact Name ; ..... ~ Title ~ Business Phone ~ 24 Hour.Phor~e- ~RON SHERIN ~OWNER ~ (805) 323-9378 x (805) 399-7997 !CLAYTON MIDDLETON ~ I(805) 872-3092 x ( ) - Administrative Data 'Mail A~drs: 1109 W COLUMBUS, ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Corem Code 21~-J64 COUNTY STATION 64 SIC Code: Owner: RON SHERIN Phone: ( ) - Address: 7001 KIMBERLY State: CA City: BAKERSFIELD Zip: 93308- S k~nw~ar y ' {Type Or print r'~me) reviewed the a~tached hazardous materials m~nage- ment plan Io nd th~ it along with any ~rm~ions constitute a complete and ~rr~ man- agement plan for m~ f~ility~ -- 04/30/,91 BIX FURNITURE REFINISHING 215-000-000630 Page 'Hazmat Inver~tory List in MCP Order (I)2- Fixed Cor~tainers on Site Pln-Ref Nar~e/Hazards Forr~ Quant ity MCP 02-006 ACETYLENE Gas 90 H i gh Fire, Pressure, Ir~r~led Hlth FT3 .02-,002 BENCO B-15 Liquid 165 ' High Fire, I~l~,~ed Hlth, Delay Hlth GAL 02-004 BENCO` B-4 Liquid 20 High Fire, I~,~r~ed Hlth, Delay Hlth GAL , 02-003 BENCO B-6 Liquid 60 High Fire, I~led Hlth, Delay Hlth GAL 02-001 BENCO B-7 Liquid 440 High Fire, Im~,~ed Hlth, Delay Hlth GAL 02-005 OXYGEN Gas 90 Low Fire, Pressure, I~ed Hlth FT3 04/30/91 BIX FURNITURE REFINISHING 2i5-000-000630 Page 3~ 02 - Fixed Co~tainer~ o~ Site Haz~at Inve~torY Detail in MCP ~Order 02-006 ACETYLENE Gas 90 High Fire, Pressure, Iron, ed Hlth FT3 CAS ~: 74-86-2 Trade Secret: No Form: Gas. Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FI'3 ~ Dail'y Average FT3 T Ar~nual An~ount FT3 ~ 90.00 ~ ' 90.00 ~ 630.00 Storage ~ Press.T ]'en~p~ Lc, cat ion ' POR]'. PRESS. CYLINDER ~Above ~Below ~SW CORNER -- Conc~ 'Con~por, er~ts r- MCP 7~ist 100.0% ~Acetyle~e ~High 02-002 BENCO B-15 Liquid 165 High Fire, Imrned Hlth, Delay Hlth GAL CAS #: '75-09-2 Trade Secret: Nc. Fc, rm: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily 'Max GAL i Daily Average GAL Ar~r~ual An]our~t GAL ~ ~ ~ 10 0.0 0 ~) 0 Storage i~ Press T ]'emp ~ , Locatior~ DRUM/BARREL-NONMETAL ~ An~bier~t~Ambient ~SE CORNER -- Corec I Compor~er~ts ~ MCP ~ist 51.0% ~Methylene Chic, ride ~High ~ ~ 17.0%~Phenol (EPA) ~Moderate~EPA 14.0% Formic Acid ~High ~ 02-004 BENCO B-4 Liquid 20 High Fire, Ir~med Hlth, Delay .Hlth GAL CAS #: 75-09-2 'Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL | Daily, Average GAL T Ar, nual An~our, t GAL 20.00 I 10.00 - I '75.00 Storage '1 Press T 'Ten~p I Lc, cat ion PLASTIC CONTAINER IAn~bier'tlAmbier~tlSE CORNER 80.0% IMethylene Chloride 11.0% IHigh 04/30/91 BIX FURNITURE REFINISHING 215-000-000630 Page 4 (.')2 - Fixed Containers ors Site ,Hazmat Ir~ver~tory Detail irs MCP Order 02-003 BENCO B-6 Liquid 60 High Fire, Immed Hlth, Delay Hlth GAL CAS ~: 75-09-2 Trade Secret: No Form: Liquid Type.: Mixture Days: 365 Use: STRIppER Daily Max GAL Daily Average GAL A~rsual A~nourst GAL ,, 60.00 ~ ='" ~ ~t. 00 ~ Storage I Press T Temp i Lc, cat ion ' DRUM/BARREL-NONMETAL ~ Ambier~tlAmbient ~ SE CORNER -- Corec I Compor~er, ts ~ MCP ~ist 73.0~~Methyler~e Chloride ~ii,~ , ~ , 13.0% lMethanol 6.0% lAmmonium .Hydroxide Moderate 02-001 BENCO 'B-v Liquid 440 High Fire, Ir,~med Hlth, Delay Hlth GAL CAS ~: ?u-cg-.- Trade Secret: Nc, Forr~: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL Daily Average GAL ~ Anr~ual Amour~t ~A . . 440.0C, ~" 295.00 I ~, Storage Press -- Temp ,~ Location ABOVE GROUND TANK Ambient AmbientlSE CORNER DRUM/BARREL-NONMETAL Ambier~t Ambient~ SE CORNER -- Corec Compor~er~t s MCP ~ist ~ 75.0% ~Methyler, e Chic, ride ~High / 15.0% Methanol ~ High ~ 04/30/91 BIX FORNITURE REFINISHING 215-000-000630 Page 5 02 - Fixed Cor~tainers on Site Hazrnat Ir~ver~tory Detail ir~ MCP Order 0;~-005 OXYGEN Gas 90 Low Fire, Pressure, Immed Hlth FT3 ~CAS ~$: 7'782-44-7' Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 I Daily Average FT3 ---T--.Annual Amour~t FT3 --- 90.00 I 90.00-- 630.00 Storage I Press T Temp Lc, cat ion PORT. PRESS. CYLINDER lAb°ye ~Below ISW CORNER -- ConcI Cc, mponer~t s "1" MCP ---FList 100.0% IOxyger'~ Compressed IL':'w / 04/30/91 BIX FURNITURE REFINISHING 215-000-000630 Page -6 O0 - Overall Site <D> Not if. /Evac~.lat ior~/Medical <1> Ager~cy Notificatior~ CALL 911 <2> Er~ployee Notif. /Evacuatior~ CALL FIRE DEPT IF POSSIBLE FROM SHOP' OR GO NEXT DOOR TO C & L COATING AND FI RE DEPARTMENT '~ <3> Public Notif. /Evacuation NONE LISTED <4> Emergency Medical Plar, MEMORIAL HOSPITAL 420 34TH ST 327-1792 04/30/91 BIX FURNITURE REFINISHI.NG 215-000-000630 Page 7 00 - Overall si, re <E> Mit igat ior;/Prevent/Abater~t <1> Release Preventior~ OWNER IS EXPERIENCED IN THE HANDLING OF STRIPPERS, VARNISHES, STAINS, ETC. CARE IS TAKEN IN ]'HE ]'RANSFERRING OF MATERIALS FROM CONTAINERS. <2> Release CorstainrNer~t <3> Clears Up SPILLS ARE IMMEDIATELY SOAKED UP WITH RAGS OR TOWELS OR MOPPED UP. <4> Other'.Resource Activatiorl BIX FURNITURE REFINISHING 215-[)[)[)-[)[)[)63[) Page 8 O0 - Overall Site <F> Site Er~ergerlcy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - REAR OF BUILDING, SOUTHEAST CORNER B) ELECTRICAL - SOUTH WALL, MIDDLE INSIDE C) WA'rER , FRONT OUTSIDE NORTHWEST CORNER D) SPECIAL - NONE - E) LOCK BOX - NO <3> Fire. Prot'ec. /Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS, ONE IN FRONT OF SHOP ONE IN REAR OF SHOP FIRE HYDRANT - FRONT NORTHWEST APPROXIMATELY 15[) FEET FROM BUILDING <4> Buildirlg Occupar~cy Level 04/30/91 BIX FURNITURE REFINISHING 215-000-000630 Page 9 00 - Overall Site <G> Trair~ing (1) Page 1 WE HAVE ONLY 1 EMPLOYEE AT THIS FACILITY WE HAVE MA]'ERIAL SAFETY DATA SHEETS ON FILE I REVIEW THE MATERIAL SAFETY DATA SHEET INFORMATION REGARDING '['HE HAZARDOUS MATERIALS I WORK WITH. Page 2 as needed <3> Held for Future Use <4> Held for Future Use .. CITY of BAKERSFIELD FIRE DEPARTMENT April 25, 1991 2101 H STREET D. S. NEEDHAM BAKERSFIELD, 9330~ FIRE CHIEF . ...... . 3.26-3911 Mr. Ron Sherin Owner BIX Furniture Refinishing 1109 W. Columbus St. Bakersfield, CA 93301 Dear 'Mr. Sherin, · , The enclosed "Acutely Hazardous Materials Registration Form" must be Completed by any business, handling above the minimum reporting quantity of any material on the EPA list of Extremely Hazardous Substances. (Fed. Register Vol. 52, No 77, P. 13397). Your company as reported handling the following.Acutely Hazardous' Materials: 165 GALLONS, 17% PHENOL (BENCO B-15) The attached Facility Risk Index must also be completed. Please return the completed Acutely Hazardous Materials Registration Form and the Facility Risk Index by May 27, 1991 to: Bakersfield City Fire Department Hazardous Materials Division 2130 G Street Bakersfield, Ca. 93301 The Facility Risk Index is designed to distinguish those facilities that use acutely hazardous materials in chemical processes from those who are involved in limited processes or storage. If you have any questions, please call Barbara Brenner at 326-3979. S~ncerely Yours, Barbara Brenner Hazardous Material Planning Technician Bakersfield :Fire Dept. ..'z ',' ACUTELY HAZARDOUS MATERIALS REGISTRATION AND 'RISKMANAGEMENT AND PREVENTION PROGRAM CHECK LIST 2. A.H.M. RECEIVED 3 . R.M. P. P . REQUESTED 4. R.M.P.P. REVIEWED 5. R.M.P.P. APPROVED 6. R.M.P.P. INSPECTION COMMENTS: AUGUST 1st 1988 DEAR NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS BIX FURNITURE REFINISHING LOCATED AT 1109 W. COLUMBUS AVE. STREET, BAKERSFIELD, CA 93301 ON 7/28/88 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) DIP TANK NEEDS TO BE PROPERLY LABELED. VIOLATION OF OSHA 1910.1200 (1) The chemical manufacturer, importer, or distributor shall ensure that each container of hazardous chemicals leaving the workplace is labeled, tagged or marked with the following information: (i)Identity of the hazardous chemical(s). (ii)Appropriate hazard warnings; and .. (iii)Name and address of the chemical manufacturer, importer, .or other responsible party. ... (4) Except as provided in paragraphs (3) and (4) the employer shall ensure that each container of hazardous chemicals in the workplace is labeled, tagged, or marked with the following information: (i)Identity of the hazardous chemical(s) contained therein; and (ii)Appropriate hazard warnings. (5) The'employer may use signs, placards, process sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it is applicable and conveys the information required by Paragraph (2) of this section to be on label. The written materials shall be readill~ accessible to'~ ~,~.h_ employees in their work area throughout each work shift. (7) The employer shall not remove of deface existing labels on incoming containers of hazardous chemicals, unless the container is immediately marked with the required information. (8) The employer shall ensure that labels or other forms of warnings are legible, in English, and prominently displayed on the container, or readily available in the work area throughout each work shift. Employers having employees who speak other languages may add the information in their language to .thle material "presented, as long as the information is presented in English as well. ~ ' ~- 2) BUSINESS PLAN INVENTORY NEEDS TO BE UPDATED.'~ VIOLATION OF CH. 6.96 CALIFORNIA HEALTH & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on ali of the following which are handled in quantities equal to or greater than · ~ the ~uantities s~ecified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical Droduct handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste lis~ed by Drobable maximum and minimum concentrations, of every hazardous waste handled by the business. (3) A listing of the chemical name and common names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed ~ursuant to ~aragra~h (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at 'any one time by the business over the course of the year. 3) MATERIAL SAFETY DATA SHEETS NOT AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The employer shall maintain cOpies of the required material safety data sheets for each hazardous chemical in the workplace, and shall ensure tl~at the>~ are readily accessible during each ~ork shift to employees when they are in thei~ ~vork area{s) (h){1) INFOR~ATION. Employees shall be informed of: (i)The requirements of this section ~ (ii)Any operations in their ~ork area where hazardous chemicals are present; and, (iii)The location and availability of the written hazard communication program, including the required list(s) of hazardous chemicals, and material safety data sheets required by this section. The above violations must be corrected by AUGUST 15, 1988 The department will schedule a re-inspection of your facility ~o verify compliance. If you have any ~uestions regarding this notice, please contact Ralph Huey at 32~-3979. Sincerely, Ralph E.Huey Hazardous Materials Coordinator ;~.. ~_.. ~,~ CIT~ of BAKERSFIELD ~,, . ,.S.~.~,. ,. ~'~,~ ~~:"~~: .t ,'/ "I,f"E CARE" 'k'",.~'-3t .... '5 /' (isms or zrinz name Do herebs, certify th~t I h~ve reviewed the , (name o~ busine'~'~:~)''~,~'': and that it along with the attached additions or corrections oonstitute a complete and correot Business Plan for my facilit.v. signature - KY- dat'$ BUSINESS NAME BIX FURNITURE REFINISHING ID NUMBER 215-000-000630 LOC~TION 1109 W COLUMBUS ST HIGH HAZARD RATING 3 1 . OVERVIEW LAST CHANGE 01/21/88 BY EVAMC JURIS CODE 215-064 JURIS COUNTY STATION 64 MAP PAGE 103 GRID 18C FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) RON SHERIN OWNER 323-9378 399-7997 CLAYTON MIDDLETON 872-3092 UTILITY SHUTOFFS 2A SEC 3) A) GAS - REAR OF BUILDING,SE CORNER B) ELECTRICAL - SOUTH WALL,MIDDLE INSIDE C) WATER - FRONT OUTSIDE NW CORNER D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/27/88 17:26 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME BIX FURNITURE REFINISHING ID NUMBER 215-000-000630 LOCATION 1109 W COLUMBUS ST HIGH HAZARD RATING 3 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 01/21/88 BY EVAMC 2A SEC 5) MEMORIAL HOSPITAL 420 34TH ST 327-1792 PAGE 2 12/27/88 17:26 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 B~SINESS NAME BIX FURNITURE REFINISHING ID NUMBER 215-000-000630 LOCATION 1109 W COLUMBUS ST HIGH HAZARD RATING 3 FACILITY UNIT 01 A . OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 10/20/88 BY VAL ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 MIXTURE STRIPPER (PAINT REMOVER) 330 GAL HIGH SOUTHEAST CORNER DRUMS OR BARR NON MET. STRIPPER ID PERCENT COMPONENTS HAZARD LISTS 2234.00 78r0 METHYLENE CHLORIDE MODERATE 1145.00 15.0 METHANOL HIGH 2 MIXTURE BENCO #BT 330 GAL HIGH SE CORNER ABOVE GROUND TANKS STRIPPER ID PERCENT COMPONENTS HAZARD LISTS 2234.00 75.0 METHYLENE CHLORIDE MODERATE 1145.00 15.0 METHANOL HIGH B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 01/21/88 BY EVAMC 3A SEC 4) 2 FIRE EXTINGUISHERS, ONE IN FRONT OF SHOP, ONE IN REAR OF SHOP 3A SEC 5) FRONT NW APPROXIMATELY 150 FT FROM BUILDING PAGE 3 12/27/88 17:26 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME BIX FURNITURE REFINISHING ID NUMBER 215-000-000630 LOCATION 1109 W COLUMBUS ST HIGH HAZARD RATING 3 D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 01/21/88 BY EVAMC 3A SEC 2) CALL FIRE DEPT IF POSSIBLE FROM SHOP OR GO NEXT DOOR TO C & L COATING AND CALL FIRE DEPT E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/21/88 BY EVAMC 3A SEC 1) OWNER IS EXPERIENCED IN THE HANDLING OF STRIPPERS, VARNISHES, STAINS ETC. CARE IS TAKEN IN THE TRANSFERRING OF MATERIALS FROM CONTAINERS. SPILLS ARE IMMEDIATELY SOAKED UP WITH RAGS OR TOWELS OR MOPPED UP. PAGE 4 12/27/88 17:26 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of BAKERSFIELD' NON--TRADE SECRETS 0 I ~ ' 3 I S I T I ! 1t 11 I~ 13 C~ C~e ~ ~ ht ~ts m Site r~ ~ Tm ~ .. St~ tn FKtIt~ ~ ~ I~c~ti~ --~ ~i~ ,,,,~ --~ ~,~,~ ~~ ~~ ~ ~~,,, / 7 ' ~ ~ ..... ~lth ot ~ ~ ~Jth ....... ~lth of ~ ~lth ..q.l m I ~ ! /o I .~ l~z~o I/ol / I ¢ lax l~~ e~x'. .. ~ ~-~ " , .'.' : ~t fl ~ iC.i.S. ~ . C~ttficattm (Read and $i~ after colplet~n~ ali sections) I c~tify ~ ~lty O t I w ~s~l y e.~in~ ~ m fmililr ~tth t~ telettra ~tt~ tn th'~ S11 Itta att. ~ tnt ~ m CITY of BAKERSFIELD' NON--TRADE SECRETS , ,,q, .(,~_ of .... for obtoinl~ t~ inf~ttm. [ ~liwe t~t t~ suNitt~ interim is t~. K~rote. ~ c~letl/ ~ CITY of BAKERSFIELD' NON--TRADE SECRETS ~ '" HHtth of Pe~ ~Ith ...... CITY of BAKERSFIELD' NON--TRADE SECRETS , pq, of .... BUSINESS NANE: 3/_.~- OWNER NAN&, ~Ith ot ~ ~lth _.1 I ! 1, I,, I I I ! I,, ! "' . ! _[ ;_1 .[_ I I,. !.. I 1, I ! ......... · CITY of BAKERSFIELD' NON--TRADE SECRETS ~i6,:i-'>~ -~., ~v~a~ ~F~ ................ " ......... ' '" C~ C~e ~t ~ ~t ~ts m Site ~ ~ r~ ~ St~ In F~I~ ~ ~ I~t~ , I[~k ~il t~t ~iy) } ....... ,- ~lth of P~ ~lth .... ._k_l. I L I I : i I I -t I._. . , ..... -~ [--~ ~--~ ~--~ ~--~ ~t ~ ~&C~.S. ~ · ~7~ ~ ,,, ~ ........ ...! I_ __ L .1 I I.. , ! I, ! ! t ~Ith of P~ ~)th ~ ' .... ~t 13 ~ &C.I.S. C~tificatt~ (Re~d and s~ after co~pJetJng aJJ sectJonsJ I c~t~fy ~ ~ity e{ ~ t~t I ~ve ~elly e~aem~ ~ m f~tliae ~tth t~ lnf~tim su~tt~ In th'~ ell ett~ ~t~. ~ t~t ~ m ~ i~ of't~e t~lv~i, m~ible for obtainl~ t~ in/~Ctm. I Mlie CMo tM sumitt~ interim is t~. K~rICe. ~ ~letl~ }~ ~ CITY of BAKERSFIELD' N O N-- T RAD E S E C R ET S ' ~,gelof .... '~ / NAME OF T~2~ FAC]2LIT¥: BUS[NESS NAME: ~.~-- OWNER NAME: .'/ :__ ., ADDRESS: ~o~f ~[~~/F~ , STANDARD IND. CLASS CODE crrY. zlP:~~,g~o ~/~/ c:~. ZIP: ~M~?~'-~,~ ~/3s.f ouM aaO BRADSTREET NUMBER PHONE ~: ~r~-~3~ PHONE e: ' ~g~- ~ -- -- - -- -- -- - C~ C~e ~t ~t Est ~ts m Site 1~ ~ Tm ~ .. St~ Sn F~ltty ~ ~ I~t~t{~ P~cal ~ ~lth ~za~ C.A.S. ~ ~t II ~ A C.A.S. ~ '~" ~lth ot P~ ~Ith I zo ~kdo~ .... L_J. I I. L_I i i I I I l,~ I . P~ical ~ ~lth Nizl~ C.A.S. Mlth of ~ Mtth u 1~ I/~ ._ 1 ~ I z~ ~1 ........ ~_ j P~icli ~ ~lth ~zIH C.A.S2 ~lth of ~,,, ~=~.~ ,o. .... L__L I .J __.J.. ~ ! ! I !, I ..... (C~k ~11 t~t ely) , .... , - H~Jth of PP~sure N~Jth ' ' ~ .. . . ~~~)~.; ....... ~i~ ............................... n~% C~tifiCltiffi (Read and si~ after compJetinE all sectionsl I certify ~ee ~lty of 1~ t~t I ~ve ~rsmilly e~n~ ~ al fmiHae ~1th t~ ~nt~t~m suM*tt~ tn th~ ~ iii attK~ ~ts. ~ t~t ~s~ m W ~W of t~e tMtv~li ~s~ble ~e tMc t~ sumttt~ info.tim ~s t~. K~eate. ~ c~letl.) for obcainmq t~ interim. I MI /~' ,,.~ ,,.j . CITY of BAKERSFIELD N O N-- TROD E S E C R ETS " ~,e.Zo~ .... r" "/ NAME OF T}~"~ FACILITY: BUSINESS ....... NAME: '~f~/--, OWNER NAME: M.~2".'.r LOCATION:__ //O~ ~. gg~d~ ~ ADDRESS: ~O~[ //~g~-/~ . STANDARD IND. CLASS CODE CITY. ZIP:~~,~n ~0/ CZ~. ZZP: ~~-~.~'~ ~.~ DUN AND BRADSTREET NUMBER PHONE ;: ~ Y~- ~ ~ PHONE e: ~ ~g- TF~ ~ _ _ - _ _ _ - ~ ~ ~U~ZO~ ~R ~OP~ COD~ C~ C~e Mt ~ Est ~its m Site .... L_J J. _L__ ~ .1~, , l 1. I I I (C~k ~11 t~t o. ly) ~Ith of ~ ~ith ~. ~ ~ c.~.s. ~ I-~ I~O -Zo-7 g~Lo& _._~__1 _1 .1, I I I,, H~lth of Pr~svrl R;~'. ................. ~T~i Certificat~ (Re~d and s~ after' com~let~nK a~] I c~t*fv ~dee ~lty of 1~ ~t I ~ve ~vsmelly e.amn~ ~ ii f~iliar .lth t~ Jnf~tim sumttt~ tn th~ ~ ail Itt~ ~cs. ~ t~t ~s~ ~ ~ i~i~ of t~e l~lvi~ll ~sible foe obtainm~ t~ inf~tJ~. I ~li~e t~c c~ su~tt~ info~ti~ is t~. ~rate, ~ c~ietf..' ,,:~ .( . CITY of BAKERSFIELD' " NON--TRADE SECRETS ' p~,.._of .... CrTY, ZZP:~/~,g~ ~O/ CZ~, ZIP: ~~'/~,Pr ~:f DUN AND BRADSTRE~T NUMBER ~lCh of ~ ~lth ~_1 .__1 .I I ,.,~ ~ ! I 1 C~ttfic~ttm (Read and s~ after completing all sections) , CITZ of BAKERSFIELD' NON--TRADE SECRETS ' p,~, of ~lth of ~ ~lth ...... ({~k all t~t relY) Cerctficatt~ (Read and si~ after compJetJn~ aZ] sections) for obta,nm~ t~ inf~tt~. I ~lieve t~c t~ su~ttt~ info~ti~ is t~. accurate. ~ c~tetl~~ ."~ I CITY of BAKERSFIELD' NON--TRADE SECRETS BUSINESS NAME: Ct,~. OWNER NAME: ~.~'; / NAME OF T~S FACILITY: (C~k ail t~t .~ly) H~ith of P~su~ NMith * ' ~t 13 ~ & C.A.S. ~ (C~k all t~t ~Ftre HeZa~ ~--a ~t~vity .. H~tth of PP~SUrl H~ith ........ Ceer~fic.ti~ [Read and sign after completing all sectJonsl I certify ~dee ~lty of 1~ tMt I ~ve wrs~mlly e, amin~ ~ am fmililr vith t~ inf~Mtim sum?tt~ in th~ ~ lil IttKM acs. ~ t~t ~ m for o0tainmq t~ inf~ti~. [ ~ii~e t~c t~ SU~lC~ lnfo~ti~ is t~. accurate. ~ c~oiete.. .'x ~~/.-~ o~,~ ,~..~.~ ...' ' ' ' CITY of BAKERSFIELD NO N-- ~l; RAD E S E C RE TS CITY, ZIP': ~~~a flJffO/ CITY, ZIP: ~J~l~l ~0~ DUN AND BRADSTREET NUMBER ~ ~ z~u~ro~ ~n ~oP~ coo~ ~ ~ ] 4 5 S T I { 10 11 12 13 14 C~ C~e Mt Mt Est Units m Site T~ ~1 l~ ~ .. St~ tn F~tllcy~' ~ i~t~ti~ blth of P~PI blth (C~k all t~t ~lth of P~ ~{th ......... {C~k Ill t~t aOply) -- ~-~ - -- - r--~ ~t l~ N~&C.A.S. ~ fl~lth of P~su~ HNIth (C~k mll t~t ~ly) ..................... c_j F{ee Hazaed c--J ~tivity c_J ~la~ c_J ~dd~ Reline u_a ~t 13 ~ & C.i.S. MP Cercfficatf~ (Read and sJKn after co=pJetJnR aJJ sections) I ~vrttfy ~dor ~lty of 1~ t~t I ~ve mrsmallye, amin~ ~d am fmilimr with t~ tnfor~ti~ su~tt~ tn th~ ~)1 .tt~ ~ts, ~ tMt ~s~ m W i~i~ of t~m t~tvi~ls m~sible for. obtainin~ t~ inf~Mtim. [ ~iieve tMt t~ su~itt~ info~ti~ is tr~. accurate. ~d cmoiet~ ~ ~ CITY of BAKERSFIELD' NO N-- TRADE S E (2: R E ~ith of ~ ~lth ~lth of P~re ~lt~ .... ' ~N{RGENCY ~TACTS C~ttficattm (Read and sJ~ after colpJet~nE ali sections) "' --~='-V~';~ ~~ BAKERSFIELD CITY FIRE DEPARTMENT B~ERSFIELD, CA 93301 (805) 326-3979 ' [ 0FF[C[AL USE 0N~ USINESS N~E ~:. BUSINESS PL~ AS A ~OLE INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME .AND TITLF~ DD~RING BUS. HRS. ,AFTER BUS. h~RS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A W~OLE D. SPECIAL: E. LOCK BOX: YES .,' N~ IF YES, LOCATION: IF YES, DOES IT CONTArN SrTE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS7 YES / NO KEYS7 YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION $: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRArNING E~P~OYERS ARE REQUIRE~ TO ~AV~ A PROG~ WH~Ca PROVIDES mP~0~ES ~T~ I~¢ZA~ REFRESaE~ TRA~ING I~ THE FOLLO.rNG AREAS. DO"C~- Oug~F-J9. .~oa~ CIRCLE YES OR ~0 I~ITIAL REFRESHER A. METHODS FOR SAFE RANDLING OF HAZARDOUS .MATERIALS:... .................................... YES NO ~S NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO YES NO C. PROPER USE OF SAFETY EQUIPMES~: .................. YES NO ~S NO D. EMERGENCY EVACUATION PROCEDURES: ................. YES NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES NO YES NO SECTION 7: EAZARDOUS ~ATERIAL CIRCL~0R, NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN ~00 POUNDS 0F A SOLID, 55 GALLONS OF A LIQUIp, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO I, ~..~ ~-~.&3 , certify that the above information is accurate' I understand that this information will be used to fulfill my firm's obliMations under the new California Health and Safety code on Hazardous Materials (Div. Z0 Chapter 6.95 Sec. Z5500 Et Al.) and that inaccurate information constitutes perjury. - 2B - ,~' IIAKI~RSFIEI, U CiTY FIRE DEi~ARTMENT ~I.D. ~ FORH 4A-1 '" Page ~ of_...---"' ' NON--TRADE SECRETS HAZARDOUS MATERI ALS" INVENTORY · , : ~ '' R NAN :' ' ' FACILITY UNiT CITY, ZiP: '~~FJ~ ~3~0/' CITY,ZIP.~~~I.~ .~0~ '' I ONLY ~-I 2 3 4 5 8 7 8 - 9' · 10. · ~'I'YPE NAX ANNUAL CONT USE LocATION IN Tills · BY " ilAZARD :CODE AHOUNT AHOUNT UNIT CODE CODE FACIDITY ONIT ~ ~T. CIIE~IqA~ OR CO~ON NA~E CODE GUIDE gNERGENCY CONTACT: TITI, E: '~p~ ' PIION~ t ~05 llOU~5: ~Y~. ~, EHE~'r;ENCY CONTACT: ~L~~ ~~-- TITLE: ~Z~F~'~YcJ/~;~''' PIIONE I BUS HOURS: PRINCIPAL BUSIHESS ACTIVITY: AFTER BUS. HRS: .- ~ ~ ._ ~o ~ . ~ 33 I / 8~ 3~3 q378 .t I. I / f/ l~ .o,., LICENSE NUMBER ~ I SERIAL NUMBER ' . -MILEAGE / / · Replace ReDalr DETAILS; ReDlace/ReDalr · Allowed Parts Sublet ~bor . :, THII EITIMAT[ I! BASED ON OUR INSPECTION AND DOES NOT LABOR HRS. ~ $ ~UIRED AFTER THg WORK HAS ~EEN OPENED UP OCCAgIONAEL~_ P~RT~ $ __ LE~ % DISCOVERED WHICH ARE NOT EVIDENT ON THE FIRgT INSPECTION. SUBLET AND NET " " TAX " ~ :~ WORK AUTHOR)Z~D BY ; '> ' '-% " ; TOTAL $ NORTH &SCALE: BUS-~NES$ N~FIE: FL~OR: D~TE: / / FACILITY N~ME: UNIT ~: OF ? .. (C~ECK ONE) SrTE ~rAGR.~Y ~aCrZr~ ~rAGR.~ J(rnspector's Comments): -OFFrCIAL USE ONLY- 1. AOdresa: ldefltl~y t~e 9. LocR (k~¥} gox principle buildings by ~e Street numoer~. 10. ~SDS S~uruge Box O~tvewnys. ~nd ParKlnR property, IncLude the a. Wire b. Nesonr¥ 2.Storm Drains. Culverts. Yard Drains c. Wood 4. DraineRs Canals. Ditches, d. Gates 13. Powerllnes a. Frame construction 14. Guard Station b. ~asonr¥ consCructioa i~. Storage Tan~s: Identl~¥ c. ~etal construction caoeclty tn ~ni. &. Almve ground b. Onder~uad a. ~m 18. Ditek or b. ElectricXC¥ IT. gva~cion Route c. Firs Sta~,~l~ 7.0. Outside 8a~.ar~oua F - ~lassaole I - L~ploaive L - L/quid R - Radlolo~lcal G - :orroaive O - Oxidizer G - Gan P - PQ/aon O - Waste B - !tialo~ic~l ~auOle: Flamm01e Liquid - FL FACILITY 0[AGRAW (Required items In addition to the anova) 3. Stairways: Indicate t~e 10. Wlndmm levels ss~ve~t Cram ~lgflasc to lo.sC. 11. Inside HalcnrUous WemCs Storage 4. ~acalaCor: Indicate the levels served ~rom 12. Inside Hazardous higOesc co low. sc. Wacsrtals ~torag~ Eleva¢or 13. Inside Hazardous Wacsrtala Use/H~olin~ Access 14. Se~r Drain [nJec~ Skylights BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS NAME: BUSINESS. PLAN SINGLE FACILITY UNIT FORM SA ~. INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. -. SECTION l: MITIGATION, PREVENTION, ABATEMEN~F PROCEDURES uK SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS b.~.'IT ONLY - 3-%. - SECTION 3: HAZARDOUS MATERIALS FOR THIS IniT ONLY A. Does this Facilits? Unit contain H~zardous MaterJa!s? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secret form. L~st only the trade ~ _ secr_~s on form gA-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER Sb~PLY FOR USE BY E~RGENCY RESPO~ERS SECT,%I]~ LOCATIoON OF UTILI_VT_ SH%'T-OFFS AT THIS b~/'IT ONL..Y. . 'A .~PROPAN~': B. ELECTRICAL: C WATER: , . "ES ' :,ir~ ~l~D.~s'7 IF YES SiTE PLANS? : . ,. ........ FLOOR PLAX'S? YES .;' - 3B - Benco Smles, Inc., 8632 Beech Avenue, Fontmnm, CA 92335 Emergency Phone: 714-829-1497 PRODUCT NAME: BENCO #B? INDUSTRIAL PAINT REMOVER 1. PRODUCT INFORMATION: General or Generic iD: Chlorinated Hydrocarbon Alcohol Blend Trade Name: Benco Hazard Classification: Corrosive Liquid DOT Shipping Name: Paint Related Material, Corrosive Liquid, NA1760 2. HAZARDOUS COMPONENTS: INGREDIENT ~dr' PEL (ACGiH) Methylene Chloride -- ~' ~Jl 100 pp~ .. Methanol - l~ I/~-~ -~2~8 PP~ Biodegradable Wetting Agents & Wax N/A 3. PHYSICAL DATA: Boiling Point: 104 Degrees Vapor Pressure: J40 mm Hg Vapor Density: 2.93 (air = 1) Solubility in Water: Emulsifies Specific Gravity: 1.290 Percent Volatile by Voluble: 95% Appearance: Colorless liquid Odor: Z~picat Methylene Chloride 4.FIRE AND EXPLOSION HAZARD DATA: Flash Point: None Flammable Limits: LFL: 13% @ 25C UFL: 2S% 8 25C · Extinguishing Media: Water fog Fire & Explosion Hazards: May form f!a~mabie vapor-air mixtu?es at te~peratures above ambient. Lo,er te~peratures increase ~he difficult~ of ignition. Fire-fighting Equipment: Wear positive pressuire self contained respiratory equipment. 5. HEALTH HAZARD DATA: EFFECTS OF OVEREXPOSORE: E~es: Can cause severe irritation and slight corneal injury. Vapors mag also irritate eses. Skin: Prolonged or repeated exposure ~ili cause a burn. The burn ~ill intensify mith repeated contact. Skin Absorption: A single prolonsed exposure is not the material being absorbed through skin in har.~ful amounts, ingestion: Can cause gastrointestinal irritation,nausea, vomiting, diarrhea, blindness, and even death, i~ aspirated (liquid enters the lung), may be rapidly absorbed through the lungs and result in injury to other body s~stems. Inhalation: Minimal anesthetic or narcotic effects may be seen in levels of 508-1800 ppm ~;,ethylene chloride. Progressively higher levels over 1008 ppm can cause dizziness or drunkenness. Concentrations as lou~ as i0,000 ppm can cause unconsciousness and death. These high levels maw also cause cardiac arrythmias. Excessive iow level exposures may cause irritation to upper respiratory tract and carboxghe~ogiober~e~ia, thereby impairing the blood~s ability to transport oxygen. in confined or poorly ventilated ar.e~s: vapors can r. eadi!g accu~,_~ate and cause unconsciousness or death. FIRST AiD: Eyes: Flush ~ith large amounts of'~ater, lifting upper and lo,er lids occasionally. Get medical attention. Skin: Wash off in flo~ing mater or sho~er. Re~,ove contaminated clothing and ~ash before reuse. Ingestion:- Call physician, poison contro~ center, or hospital emergency room IMMEDIATELY. Inhalation: Remove to fresh air. if not breathing, give artifici~i respiration. If breathing is difficult, give oxygen. Call a physician. (continued on page 2) Benco Sales, Inc., 8632 Beech Avenue, Fontana, CA 92335 Emergencw Phone: 714-829-1497 PRODUCT NAME: BENCO #B7 INDUSTRIAL PAINT REMOVER-Page 2 TOXICITY: Chronic Toxicity: Chronic overexposures to methylene chloride have caused liver and kidney disease in experimental animals. Carcinogenicity: Methylene Chloride has been evaluated for possible cancer causing effects in laboratory animals. Inhalation studies at concentra~tions of 1,808, 2,888, and 4,000 ppm increased the incidence of malignant liver and lung tumors in mice. Three inhalation studies of rats have shown increased incidence of benign mammary gland tumors in female rats in concentrations of 500 pp~, and above, and increases in benign mammarw gland tumors in males at concentrations of 1,500 ppm and above. Rats exposed to 50 and 200 ppm via inhalation showed no increased incidence of tumors. Mice and rats.exposmd by ingestion at levels up to 258 mg/kg/day lifetime and hamsters exposed via inhalation to concentrations up to 3,588 ppm lifetime did not show an increased incidence of tumors. The International Agenc~ for Cancer Research considers liver and lung tumors in mice as limited evidence of animal carcinogenicity. The significance of benign mammar~ gland tumors is unknown. Epidemlology studies of 751 humans chronically exposed to methylene chloride in the workplace for a min~mu~ of 20 wears did not demonstrate any increase in deaths caused by cancer or cardiac problems. ~ A second study of 2,227 workers confirmed these results. Methylene chloride has been identified as an animal carcinogen bw NTP, but is not on the IARC or OSHA lists, as of August 31, 1985. Reproductive Toxicitw: Reproductive toxicity tests have been conducted to evaluate the adverse effects methylene chloride may have on repro- duction and offspring of laboratory animals. The results indicate that methylene ~chloride does not cause birth defects in laboratory animals. 6. REACTIVITY DATA: Hazardous Polymerization: Can not occur. Stability: Stable incompatibilitw: Avoid contact with strong oxidizing agents. Hazardous Decomposition Products: Open ~lames or welding arcs can cause thermal degradation with the evolution of hwdrogen chloride and very small amounts of phosgene and chlorine. ?. SPILL OR LEAK PROCEDURES: Action to Take for Spills or Leaks: Small Spills: mop up, wipe up, or soak up immediately~ Remove to out of doors. Large Spills: evacuate area. Contain liquid and transfer to closed metal or high density polwethylene containers. Keep out of water supplw. Disposal Method: Evaporate small ~uantities in compliance with local, state, and federal regulations. Large ~uantities ma~ be sent to a licensed reclaimer. Contaminated absorbent material or any contaminated solids are considered hazardous waste and must be disposed of at an approved landfill or incinerator in compliance with local, state and federal regulations. 8. HANDLING PRECAUTIONS: Exposure Guideline: ACGIH TLV is 100 ppm. OSHA PEL is 500 ppm. ACGiH PEL is 100 ppm. CAL OSHA PEL is 100 ppm Ventilation: Controlling airborne concentrations below the ACGiH TLV exposure guideline is recommended. Use only with adequate ventilation. Local exhaust ventilation is nmcessary for most operations. Lethal concentrations maw exist in areas with, poor ventilation. Respiratory Protection: Atmospheric levelsShiould be maintained below the mxposure guideline. If this level is exceeded, use an approved air purifying respirator. For eme~-gency and other conditions where the exposure guideline may be greatlw exceeded, use an approved positive pressure self-contained breathing apparatus. Skin Protection: Wear chemical resistant rubber gloves, apron, boots, and plastic arm sleeves. Eye Protection: Use safety glasses. Where contact is likely use chemical splash goggles. (Continued on Page 3) Benco Smles, Inc.,. 8632 Beech Avenue, Fontmna, CA 92335 Emergency Phone: 714-829-1497 PRODUCT NAME: BENCO #B? INDUSTRIAL PAINT REMOVER~-Page 3 9. ADDITIONAL INFORMATION: Special precautions to be taken in Handling and Storage: Exercise reasonable care and caution. Avoid breathi'ng vapors. Store in a cool place out of direct sunlight. Concentrated vapors of this product are heavier than air and ~,ill collect in lo,~, areas such as pits and degreasers, storage tanks, and other confined areas. Do not enter those areas where vapors of this product are suspected unless special breathir, g apparatus is used and an observer is present for assistance. Do not pressure product out of container ~ith air. W~en opening drum, open bung partiallg and vent any accumula-ted pressure before removing bung completelg. ~ Overexposure to this product can raise the level of carbon n, onoxide in the blood causing cardiovascular stress. This Material Safet~ Data Sheet supercedes anw previous Material Safet~u Data Sheet on this product. Effe~;tive date: April 25, 1986 The infor~,ation accu~,ulated herein is given in good ~aith and beiie'~.-~.d to be accurate, but no ~arrantg, expressed_or i~,plied is ~,ade. Consult ~enco Sales, Inc., for further infor-~,ation. BAKERSFIELD CITY FIRE DEPARTMENT [ .D. # FORM 4A-I NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ~( OWNER NAME:-~¢.,'~ _~qe,-~.,~ FACILITY UNIT ADDRESS: //0~ (C,J ~/~3 ~'e. ADDRESS: ~CC/ ~.~cp/~ t~u~ FACILITY UNIT NAME: PHONE ~: 3~-~37~ :' ' PHONE *: 3~9'~F7' ' -' [OFFICIAL' USE CFIRS ONLY I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE I, OCATION IN THIS % BY HAZARU (~ODE A~OUNT AMOUNT UNIT CODE CODE FACILITYr~UNIT WT. CHEMICAL OR COMMON NAME CODE EMERGENCY CONTACT:_'Ec,~ ~;~ TITLE: O~,n.~ . . ' PHONE ~ BUS ~OURS:. AFTER BUS HRS: PRINCIPAL BUSINESS,ACTiVITY: AFTER BUS AUGUST let 1988 DEAR MR. SHERIN NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE IN THE INSPECTION OF YOUR BUSINESS BIX FURNITURE REFINISHING LOCATED AT 1109 W. COLUMBUS AVE. STREET, BAKERSFIELD, CA 93301 ON 7/28/88 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1) DIP TANK NEEDS TO BE PROPERLY LABELED. VIOLATION OF OSHA 1910.1200 distributor shall ensure .that each container of hazardous chemicals 'leaving the workplace is labeled, tagged or marked with the following information: ~ (i)Identity of the hazardous chemical(s). ~j'~ (ii)Appropriate hazard warnings; and (iii)Name and address of the chemical manufacturer, importer, or other responsible ~ party. (4) Except as provided in paragraphs (3) and (4) the employer shall ensure that each container of hazardous chemicals in the workplace is labeled, tagged, or marked with the following information: (ilIdentity of the hazardous chemical(s) contained therein; and (ii)Appropriate hazard warnings. (5) The employer may use signs, placards, process sheets, batch tickets, operating procedures, or other such written materials in lieu of affixing labels to individual stationary process containers, as long as the alternative method identifies the containers to which it is applicable and conveys the information required by paragraph (2) of this section to be on label. The written materials shall be readily accessible to 'the emDloyees in their work area throughout each work shift. (7) The employer shall not remove of deface existing labels on incoming containers of hazardous chemicals, unless the container is immediately marked with the required information. {8) The employer shall ensure that labels or other forms of warnings are legible, in English, and Drominently disDiayed on the container, or readily available in the work area throughout each work shift. Employers having employees who sQeak other languages may add the information in their language to the material "presented, as long as the information is Dresented in English as well. -. 2) BUSINESS PLAN INVENTORY NEEDS TO BE UPDATED.. VIOLATION OF CH. 6.96 CALIFORNIA HEALTH' & SAFETY CODE 25509(A)(1-4) The annual inventory form shall include, but shall not be limited to, information on all of the following which are handled in quantities equal to or greater than the quantities specified in subdivision (a) of Section 25503.5: (1) A listing of the chemical name and common names of every hazardous substance or chemical Droduct handled by the business. (2) The category of waste, including the general chemical and mineral composition of the waste lis%ed by probable maximum and minimum concentrations, of every hazardous waste handled by' the business. (3) A listing of the chemical name andcommon names of every other hazardous material or mixture containing a hazardous material handled by the business which is not otherwise listed pursuant to paragraph (1) or (2). (4) The maximum amount of each hazardous material or mixture containing a hazardous material disclosed in paragraphs (1), (2), and (3) which is handled at any one time by the business over the course of the year. 3) MATERIAL SAFETY DATA SHEETS NOT AVAILABLE. VIOLATION OF OSHA 1910.1200 (g) The emDloyer shall maintain coDies of the required material safety data sheets for each hazardous chemical in the workDlace, and shall ensure that they are readily accessible during each work shift to employees when they are in their work area(s) (h)(1) INFORMATION. EmDloyees shall be informed of: (i)The requirements of this section - (ii)Any oDerations in their work area where hazardous chemicals are Dresent; and, (iii)The location and availability of the written hazard communication program, including the required list(s) of-hazardous chemicals, and material safety data sheets required by this section. · The above violations must be corrected by AUGUST 15, 1988 The department will schedule a re-inspection of your facility t'o verify compliance. If you have any questions regarding this notice, please Contact Ralph Huey at 326-39?9. Sincerely, RalDh E.Huey Hazardous Materials Coordinator