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Home My WebLink AboutBUSINESS PLAN ITE DIAGRAM Business Name' '~_L~_,., '-7--~ ,~ ~ -" Business ACclre~: II For Office Use Only First In Stc~tion: Area McD# of Inspection Station: NORTH ITE DIAGRAM ( ~ FACILITY DIAGRAM Business Nome: '~t/~cu~ i~co .. 8usine~ ACdress: ii99 'Id. '~_.~LU~?~d-~''~. ~"'_ ~_~c:,.1 ~t:l. "9.~'.~01-1'/~.~'''- FOr Office Use Only First In Station: Area MoD # of Inmection Station: NORTH ~,-x~ , ~,-,",' ~'"~' SITE/FACILITY D I AG R.~'v[ NORTH SCALE: BUSINESS NAME: FLOOR: OF ~ freehand VALLEY TREATMENT SERVICE! INC. DATE: / / FACILITY NAME: · UNIT #: OF 10-15-87 Main 1 ' 1 (CHECK ONE) SITE DIAGR~ X FACILITY DIAGR.%%{ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME kJ',~C/-~'xc'/ T'/k~cx:3 INSPECTION DATE ADDRESS PHONE NO. FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~(-.Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand /%/0 (.C,,.dS~o,~ ,&5'- Business plan contact information accurate {d/'~/x-/ Visible address Correct occupancy Verification of inventow materials Verification of location (~0-~' Proper segregation of material ( "-,~. ' /,O,.f__,O~ Verification of MSDS availability Verification of H az Mat training Verification of abatement supplies and procedures .~.~<~ Emergency procedures adequate ~ Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand - [ C=Compliance V=Violation Any hazardous waste on site?: [] Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party / ! White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: I Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... ~,~,,~,~¥~?,;~,~:~,~. .......... This permit is issued for the following: ]ssu~ by: OFFICE OFE~RO~AL S~ raCES ~p H~ey ~~ I 1715 Chewer Ave., 3rd Floor ~ce B~ersfiel~ CA 93301 Voice (805) 326-3979 F~ (80S) ~26-0S76 Expiration Date: VALL~EY TAMCO ' ' ' ,, , SiteID: 215-000-000850 Manager : AUG 7 ]~7 !~,BusPhone: (805) 322-0754 Location: 1149 W COLUMBUS ST ~ ~ap : 103 CommHaz : Low City : BAKERSFIELD 8y~ !' ~rid: 30B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code: EPA Numb: DunnBrad: 95-356-4939 Emergency Contact / Title Emergency Contact / Title PETER T. BOSS / PRESIDENT ~EDWAKD H. FRANCE' / ~~ ,~n Business Phone: (805) 322-0754x Busi~ Phone- (805) 322-075~ 24-Hour Phone : (805) 834-2212x ~24 flour ~hone ~ (805)u~ 24~-7-x Pager Phone : ( ) - x ~§cr ~-~ ' Hazmat Hazards: React ImmHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax UnitlMcP TAMCO FORMULA #70 R IH S 6500 LBS Hi -1- 07/18/1997 VALLEY TAMCO SiteID: 215-000-000850 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site TAMCO FORMULA #70 Days On Site 365 Location within this Facility Unit REAR CENTER CAS# 7757-83-7 Solid Mixture Ambient Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 6500.00 LBS 3200.00 LBS Maximum Stored Maximum Open Use Maximum Closed Use LBS LBS LBS ~L~UU~ ~U~U~'I'~ %Wt. EHS CAS# 70.00 Sodium Sulfite No 7757837 20.00 Disodium Phosphate No 2558794 -2- 07/18/1997 VALLEY TAMCO SiteiD: 215-000-000850 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 12/16/1993 CALL 911 -- Employee Notif./Evacuation 12/16/1993 LARGE DOORS ON NORTH AND SOUTH ENDS OF BUILDING. -- Public Notif./Evacuation 12/16/1993 LOCATION NOT OPEN TO PUBLIC OR CUSTOMERS. Emergency Medical Plan 12/16/1993 OUR BUSINESS LOCATION IS ABOUT 1/4 MILE NORTH WEST OF BAKERSFIELD MEMORIAL HOSPITAL AND SEVERAL OTHER MEDICAL EMERGENCY CENTERS. -3- 07/18/1997 f VALLEY TAMCO SiteID: 215-000-000850 Fast Format = Mitigation/Prevent/Abatemt Overall Site , Release Prevention 04/24/1992 DRY SOLIDS IN 50LB BOXES. SHOVEL INTO NEW CONTAINER. -- Release Containment 04/24/1992 SHOVEL INTO NEW CONTAINERS - USE AT LOCAL ACCOUNT - SOLID MATERIAL. -- Clean Up 04/24/1992 SHOVEL, WHICK BROOM AND DUST PAN. Other Resource Activation -4- 07/18/1997 VALLEY TAMCO SiteID: 215-000-000850 Fast Format ~ Site Emergency Factors Overall Site --- Special Hazards -- Utility Shut-Offs 12/16/1993 A) GAS - NONE B) ELECTRICAL - NORTH WEST CORNER OF BUILDING. C) WATER - 15 FEET NORTH OF NORTHWEST CORNER OF BUILDING. D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/16/1993 PRIVATE FIRE PROTECTION - TWO EACH GENERAL MODEL TCP-5J 9 LB FIRE EXTINGUISHERS FOR CLASS A, B & C FIRES, LOCATED IN WAREHOUSE FIRE HYDRANT - DIRECTLY ACROSS ALLEY 150 FEET NORTHEAST OF NORHTEAST CORNER OF BUILDING Building Occupancy Level -5- 07/18/1997 VALLEY TAMCO SiteID: 215-000-000850 Fast Format ~ Training Overall Site -- Employee Training 04/24/1992 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINED BY BUSINESS OWNER, 1 ON 1, AT TIME OF EMPLOYMENT AS TO HANDLING AND DISPOSITION PROCEDURES. AT THAT TIME EMPLOYEES ARE GIVEN MSDS AND Page 2 Held for Future Use Hold for Future Use -6- 07/18/1997 12/01/~3 VALLEY TAMCO 215-000-000850 Page 1 Overall Site with 1 Fac. Unit General Information Location: 23~i P ST 1l 9 ~.~O&e~~,. W/' Map: 103 Hazard: Low I Community: BAKERSFIELD STATION 01 Grid: 30B F/U: 1 AOV: 0.0 Contact Name Title Business Phone/----T124-H°ur Phone] PETER T. BOSS PRESIDENT (805). 322-0754 x 805) 834-2212! EDWARD H. FRANCE SERVICE REP (805) 322-0754 x 805) 834-3417/ · Administrative Data Mail Addrs: ~ ;149 &3.~u~ ~.~-' D&B Number: 95-356-4939 City: BAKERSFIELD State: CA Zip: 93301-;~a~-v' Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: PETER T BOSS Phone: (805) 322'0754 Address: 2212 ELLEN WY State: CA ~ City: BAKERSFIELD Zip: 93304- Summary ~OVED TO 1149 W coLUMBus ST PER PETE BOSS 12-01-93. RECEIVED 12/01/93 VALLEY TAMCO 215-000-000850 Page 2 Hazmat Inventory List,in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty McP 02-001 TAMCO FORMULA #70 Solid 6500 High · Reactive, Immed Hlth LBS 12/01/93 VALLEY TAMCO 215-000-000850 ~Page 3 02 - Fixed Coptainers on Site Hazmat Inventory Detail in MCP Order 02-001 TAMCO FORMULA #70 Solid 6500 High ~ Reactive, Immed Hlth LBS CAS #: 7757-83-7 Trade Secret: No Form: Solid .Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBSI Daily Average LBS I Annual Amount LBS 6,500 ~ 3,200.00 80,000.00 Storage Press T Temp Location BOX IAmbient~Ambientl_~~_ OF ~LDG -- ConcI Components I MCP ---~ide 70.0% iSodium Sulfite High 60 20.0% Disodium Phosphate Low 31 -- Notes 12/01/93 VALLEY,TAMCO 215-000-000850 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ~ LARGE DOORS ON ~ AND ~ ENDS OF BUILDING. <3> Public Notif./Evacuation LOCATION NOT OPEN TO PUBLIC OR CUSTOMERS. <4> Emergency Medical Plan // N.t~. ~' OUT BUSINESS LOCATION IS ABOUT 1/4 MILE ~ BAKERSFIELD MEMORIAL HOSPITAL AND SEVERAL OTHER MEDICAL EMERGENCY CENTERS. 12/01/93 VALLEY TAMCO 215-000-000850 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention DRY SOLIDS IN 50LB BOXES. SHOVEL INTo NEW CONTAINER. <2> Release Containment SHOVEL.INTO NEW CONTAINERS - USE AT LOCAL ACCOUNT - SOLID MATERIAL. <3> Clean Up SHOVEL, WHICK BROOM AND DUST PAN. <4> Other Resource Activation 12/01/93 VALLEY TAMCO 215-000-000850 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utilit~ Shut-Offs .., ~ ~: OU~u~. B~iL-61N~ UND,:R SHED B) ELECTRICAL - ~ILDIN~NORTH C) WATER - 552~ ~*EST O~ COUT:D:~ST CO~;~ D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - TWO EACH GENERAL MODEL TCP-5J 9 LB FIRE EXTINGUISHERS FOR CLASS A, B & C FIRES, LOCATED IN WAREHOUSE FIRE HYDRANT - DIRECTLY ACROSS ~" .... C/~SGUTHEAST~CORNER OU :3RD & F ST <4> Building Occupancy Level 12/01/93 VALLEY TAMCO 215-000-000850 Page 7 00 - Overall Site <G> Training <1> Page 1 WE HAVE 2 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINED BY BUSINESS OWNER, 1 ON 1, AT TIME OF EMPLOYMENT AS TO HANDLING AND DISPOSITION PROCEDURES. AT THAT TIME EMPLOYEES ARE GIVEN MSDS AND EXPLANATION. '~ <2> Page 2 as needed <3> Held .for Future Use <4> Held for Future Use 03/17/92 VALLEY TAMCO 215-000-000850 Page 1 Overall Site with 1 Fac. Unit General Information Location: 2301 P ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30B F/U: 1 AOV: 0.0 Contact Name Title ~ Business Phone ~ 24-Hour Phone PETER T. BOSS PRES. 1(805) 322-0754 x ~(805) 834-2212~ Administrative Data Mail Addrs: 2301 P ST' FEDJ~ Number: 95-3564939 City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: ? Owner: PETER T BOSS phone: (805) 322-0754 Address: 2212 ELLEN WY State: CA 'City: BAKERSFIELD Zip: 93304- Summary RECEIVED 4PR 2 ~ 1992 HAZ. M4T. DIV. ~..........._...._~.._ 1~_ PETER T. BOSS hav~ '~.: ,, ~: ~1992 03/17/92 VALLEY TAMCO 215-000-000850 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 TAMCO FORMULA %70 Solid 6500 .High · Reactive, Immed Hlth LBS CAS #: 7757-83-7 Trade Secret: No Form: Solid Type: Mixture Days: 365 use: WATER TREATMENT Daily Max LBS Daily Average LBS Annual Amount LBS -- 6,500 I 3,200.00 ] 80,000.00 Storage IIPress T Temp Location BOX IAmbient]AmbientlSW CORNER OF BLDG -- Conc Components MCP ---~List 70.0% lSodium Sulfite IHigh ! 20.0% Disodium Phosphate Low ' -- Notes 03/17/92 VALLEY TAMCO 215-000-000850 Page 3 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 ~2> Employee Notif./Evacuation LARGE DOORS ON EAST AND WEST ENDS OF BUILDING. <3> Public Notif./Evacuation 'LOCATION NOT OPEN TO PUBLIC OR CUSTOMERS <4> Emergency Medical Plan OUT BUSINESS LOCATION IS ABOUT 1/4 MILE S OF BAKERSFIELD MEMORIAL HOSPITAL AND SEVERAL OTHER MEDICAL EMERGENCY CENTERS. 03/17/92 VALLEY TAMCO 215-000-000850 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention DRY SOLIDS IN 50LB BOXES. SHOVEL INTO NEW CONTAINER. <2> Release Containment SHOVEL INTO NEW CONTAINER - USE AT LOCAL ACCOUNT <3> Clean Up SHOVEL! WHISK BROOM AND DUST PAN <4> Other Resource Activation 03/17/92 VALLEY TAMCO 215-000-000850 Page 5 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE BUILDING UNDER SHED SOUTHWEST CORNER B) ELECTRICAL - INSIDE BUILDING NORTH OF DRIVE THRU DOOR WEST END OF BUILDING C) WATER - 55FT WEST OF SOUTHWEST CORNER OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - TWO EACH GENERAL MODEL TCP-5J 9 LB FIRE EXTINGUISHERS FOR CLASS A, B & C FIRES, LOCATED IN WAREHOUSE FIRE HYDRANT - DIRECTLY ACROSS STREET ON SOUTHEAST CORNER OF 23RD & P ST. <4> Building OccupanCy Level 03/17/92 VALLEY TAMCO 215-000-000850 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE ~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINED BY BUSINESS OWNER, 1 ON 1, AT TIME OF EMPLOYMENT AS TO HANDLING AND DISPOSITION PROCEDURES. AT THAT TIME EMPLOYEES ARE GIVEN MSDS AND EXPLANATION. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future use HAZARDOUS NATERTALS TNVENTORY ~ Farm and Agricul,ture [] Standard Business !~ Page 1 ,,of~_~ ' NON - TRADE SECRET VALLEY TREATMENT SERVICE~ INC. .. ': BUSINESS NAME: dba VALLEY TAMC0 OWNER NAME: PETER T. BOSS: PRES_ ~ NAME OF THIS",FACILITY: ONLY LOCATION= 230] "P" St.. ADDRESS: ?717 FJJ.EN Wv. '.' ~, STANDARD IND..CLASS CODE: CITY, ZIP: BAKERSFIELD# CA. 93301 CITY, ZIP: BAKERSFIELDt'CA. 93305 ~N-i%N~BRkD6T~E~T-~/FEDERAL ID # PHONE #: 805 322-0754 PHONE,#:" 805 834-2212 , 9-- 5-- - 3564939 REFER TO INSTRUCTIONS FOR PROPER CODES! i 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane Type Max Average Annual Measure # Days Cunt Cunt Cunt Use Location Wh~re % by Names of Mixture/Cc~ponents Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility wt See Instructions ,., u I I I I '1 ISlE I$ t NA 14il SAI _ Physical and Health Hazard C.A.S. Number Component # 1 Name '& C.A.S. Number (Check all that apply) Component # 2 Name & C.A.S. Niunber [~ Fire Hazard ~ Sudden Release ~ Reactivity [~ Innnediate '[~] Delayed. .:". of Pressure ,,~ Health . Health ,:: .2 Component # $ Name & C.A.S. Number Physical and Health Hazard C.A.S. Number . Component # 1 Name i& C.A.S. Number (Check all that apply) . · - : , Component # 2 Name & C.A.S. Number [] Fire Hazard [] Sudden Release ']-~ Reactivity [] Imediate [] Deiayed . "" ( of Pressure ' Health Health Component # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number " Component # 1 Name & C.A.S. Number [Check all that apply) ,'.. ~ ~ Fi~e Hazard [] Sudden Release ]~ aeactivity [] I~ediate ~ Delayed '"' Component # 2 Name t C.A.S. Number of Pressure Health Health Component. # 3 Name & C.A.S. Number Physical and Health Hazard C.A.S. Number Component # 1 Name & C.A.S. Number [Check all that apply) .. · Component # 2 Name & C.A.S. NUmber ~ Fire Hazard ~ Sudd.n Release ~ ~eactivity : i~ediate [] Delayed " of Pressure Health Health Component # 3 Name & C.A.S. Number EMERGENCY CONTACTS #1 PETER T, BOSS PRES# 805 322-075~ #2 EDWARD H. FRANCE SERVICE REP. Na~e Title 24 Hr. Phone Name . ~ Titls Z¢ Hr Phone Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under peanlty of law that I hayer personally exami.ned and am familiar with the information submitted in this ~11 atta/~ed/~uments and that baaed on my inquiry Of those individuals ,responsible for obtaining the information. I believe that'the submitted information is l:rue, accurate, ' plet ' VALLEY TREATMENT SERVICE; INC. dba VALLE~ TAMC0 by PETER T. BOSS; PRES :. APRIL 20t 1992 N~/~E'AND OFFICIAL TITLE OF OWNER/OPERItTOR~ OR OWNER/OPERATOR'S AUTHORIZI~D REPRESENTATIVE SIGNATURE <,,, DATE SI~NED ~:,,.~;~' ~-~-,~-'~ ~, ' ~'1~ ~ ',37~ ~-~ ,.,, ~_ ~'.,'~.:,) ' ~rc c,-~" -~D~ $~ $5 ~/~ .... ~ ~"'"~i~ Z , ~ [ ~ ~' RECEIVED (ty~e or ~rin~ name) Do herebi cert~ c__ , -zz that I have reviewea the attached Hazardous Haterials business olan o f o r '-,r , · , (name of business) and that it along with the attached additions or corrections consti~ ~ ~u~e a complete and correct Busines~ for my facility. '7~/,,C~,__,,,.//__c¢-C~.~ / - ~/- o°9 ' si~na~ur-e date CITY of BAKERSFIELD '7___~ / HAZARDOUS MATERI ALS INVENTORY' Ferm end &oeicvltuve Stendard IIusines$ NON--TRADE SECRETS ' ~q, .~_ of ../. I . ~V'""-- ADD"ESS: 22tZ mcc~''~W STANDARD IND. CLASS CODE LOCATION: CrTY, ZIP: ~~, ~ CITY, ZIP: ,,~6~ 9~,~ DUN AND BRADSTREET NUMBER PHONE ~: ~d~ ~2~-07~q PHONE ~: ~0~ ~q-2l/~ __ - --__ - [~e C~e ~t ~ [s~ ~its m Site T~ I~k all t~t a~ly) .... of P~ ~lth ~t ..... [ .... 1 ............ L.L ..... 1 1 ..... 1 ...... 1_,~~ .... I ......... ' P~icll ~ ~Ith Hazi~ C.A.S. ~ (C~k ~11 t~t a~ly) ~-~ - ~lth of ~ ~lth __LLA ......... L ......... L I I ( .... ! . I ,, 1 I ~Ic~l ~ ~lth ~I~H C.~.$. ~ IC~k ill t~t ~ly) ~ ] ~t~t N414~ ~--~ RNetivity --~ ~1~ ~_a ~ ~tim~ ~--~ Imtltl . N~lth of ~su~ ~lth . ................. HNIth of PP~s,fl, Health ~ ............ CerIlfi~ati~ (Reed and sJ~ after co.plating all sections) cmrttf,y ~der ~lty of 1~ t~t I ~ve ~rsmmllyexmIin~ ~ mm f.ilimr f~b~ainin9 t~ inf~tim. I ~)ieve t~ t~ ,u~itt~ info~im is t~, e¢cur~te, ~d ~- ~5~-5TliEi~l'llIl~'Gi'~G-~')i6"OR-~-76~-)t6; ~')GE~Fii~-;Gb~li)l;i Si)~)ture ............................... ~ti'SI))~ .......................... BUSINESS NAME VALL JAMCO I0 21S-000-0008S0 LOCATION ,2301 P ST HIGH HAZARD RATING 1. OVERVIEW LAST CHANGE 08/02/88 BY ESTER JURIS CODE Z15-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 103 GRID 308 FACILITY UNITS I HAZARD RATING Z RESPONSE SUMMARY 2A SEC 4) MINOR EMERGENCIES EASILY HANDLED BY ANYONE ON PREMISES. SHOVEL MATERIAL INTO NEW CONTAINER. EMERGENCY CONTACTS ZA SEC Z) PETER T. BOSS - 32Z-.07S4 OR 8~4-Z21'Z GARY E. MOON - 322-0754 OR 834-928! UTILITY SHUTOFFS 2A SEC ~) A) GAS - OUTSIDE BLOG UNDER 'SHED SW CORNER B) ELECTRICAL - INSIDE BLDG N OF ORIVE THRU O00R W END OF BLOG C) WATER - SSFT W OF SW CORNER OF 8LDG O) SPECIAL - NONE E) LOCK BOX - NO NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE ! 1Z/1S/88 OB:SB MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-68'84) BUSINESS NRME VRLLEY TRMCO ID NUMBER Z15-000-000850 LOCRTION Z301 P ST HIGH HRZRRD R~TING Z 3. HAZ. MRf TRAINING SUMM~RY L~ST CHRNGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4. LOCRL EMERGENCY MEDICflL RSSISTRNCE LRST CHRNGE 08102/88 BY ESTER 3R SEC S) OUT BUSINESS LOCRTION IS flBOUT 1/4 MILE S OF BflKERSFIELD MEMORIRL HOSPITRL RND SEVERRL OTHER MEDICRL EMERGENCY CENTERS. PRGE Z 12/15/BB 09:59 MRTERI~L S~FETY ORTR SYSTEMS. INC, (805) 648-6800 BUSINESS NAME VRLL AMCO ID ZIS-OOO-<~OBSO LOCATION Z301 P ST HIGH HAZARD RATING Z FACILITY UNIT 01 R. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 08/0Z/88 BY ESTER ID TYPE NAME MA)( AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 HIXTURE TAMCO FORMULA ~70 6500 LBS MODERATE SW AREA OF WAREHOUSE 'BOX[ES] WATER TREATMENT ID. PERCENT COMPONENTS HAZARD LIST BOSZ.OO ?0,0 SODIUM SULFITE MODERATE 2545.01 Z0.0 DISODIUM PHOSPHATE LOW FIRE PROTECTION / WATER SUPPLIES LAST CHANGE O8/OZ/88 BY ESTER 3R SEC 4> TWO EACH GENERAL MODEL TCP-SJ 9 LB FIRE EXTINGUISHERS FOR CLASS B & C FIRES, LOCATED IN gRREHOUSE FOR FIRE PROTECTION. 3R SEC 5) FIRE HYDRANT DIRECTLY ACROSS STREET ON SE CORNER OF 23RD & P ST. PAGE ~ 12/15/88 09:59 MATERI~L SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME VALLEY TAMCO ID NUMBER ZlS-OOO-O~N~8SO LocATION Z~O! P ST HIGH HAZARD RATING Z D. EMPLOYEE NOTIFICATION / EVACUATION L~ST CHANGE 08/0Z/88 BY ESTER SEC Z) LARGE DOORS ON E AND W ENDS OF BLDG. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 08/02188 BY ESTER SEC 1) DRY SOLIDS IN 50L8 80XES~ SHOVEL INTO NEW CONTAINER. PAGE 4 1Z/t5/08 09:59 MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-GB~X~ ~ ~ -'~3r{ ~// BAKERSFIELD CITY' FIRE DEPART){ENT ~ECEI rED ' ~{~F"-i// 2130 "G" STREET BAKERSFIELD, CA 93301 OCT 19 1987 (805) 326-3979 I~-~~ Afl$0d. OFFICIAL USE ONLY ID~ H~ZARDOUS gWERI ALS ~~ C ~SI~~ P~ ~ ~ ~HO~ I~S~CTIO~S: 1. To avoid further action, return this for~ by Q-~-¢7. 2. TYPE/PRIST ASS~ERS I~ ESGLISH. 3. Answer the questions belo~ ~oe the business as a ~hole. 4. Be as brief and concise as possible. SECTIO~ 1: B~SI~SS IDE~I~IC~TIO~ D~T~ A. BUSISESS S~E: VALLEY TREAT~T SER~ICE~ I~C~ dba VALLEY T~CO 2301 "P" St, B. BOCATIO~ / STREET ADDRESS: CITY: Bakersf~eld~ CA, glP: 93301 BUS.PHOSE: { 805) 322-0756 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 TITLE DURING BUS. HRS. AFTER BUS. HRS. A. Peter To Bossy Pres, Ph# (805) 322-0754 Ph# (805) 834-2212 B. Gary E. Moon~ Service Rep. Ph# <805) 322-0754 Ph# <805) 834-9281 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NA~. GkS~PROPANE: Outside building under shed S.W. corner See Sched. m B. ELECTRICAL: Inside building N. of drive thru door W, end of bldz. " " A C. WATER: 55' W. of S,W. corner of building " " A [-~ D. SPECIAL~. _ E. LOCK BOX: YES /~ IF YES, LOCATfON: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION'4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A ~ItOLE ~- Minor emergencies easily handled by anyone on premises, Shovel material into new container. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE Our business location is about k mile south of Bakersfield Memorial Hospital and several other Medical emergenc~centers. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS..: CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:...- .................................... ~ NO ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:. ~__NO ~__NO C. PROPER USE OF SAFETY EQUi~;]]i]]]]i]]]]]]]]]] NO NO D. EMER6ENCY EVACUATION PROCEDURES: ................. NO NO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES ~ E. DO SECTION ?: HAZARDOUS ~4ATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS. MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPI~ESSED GAS ' YES ~ I, Peter T, Boss , certify that the above informatio~ is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATURE TITLE Pres. DATE 10-15-87 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT ' FORM 3A 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. FACILITY Lq~IT#" M~in ':~cILITY 'UNIT N~E: Valley Tamco SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDb~RES Dry solids in 50 lb. boxes. Shovel into new container. SECTION 2: NOTIFICATION AND EVACUATION PROCEDP~ES AT THIS L~IT ONLY Large doors on E. and W. ends of building. - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS bqNiT ONLY · A. Does this. Facility Unit contain Hazardous Materials? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret Y, ES ~ 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. List only the trade secrets on form 4A-2, SECTION 4: PRIVATE FIRE PROTECTION Two each General model TCP-5J 9lb. fire extinguishers for class A, B & C fires, located in warehouse. SECTION 5: LOCATION OF WATER SUPPL~ FOR ~USE BY~ E~,IERGENCY RES~OND~S Fire hydrant directly across street on S.E. 'corner of 23rd & "P" Sts. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. :~AT. Per schedule A location ~ B. ELECTRICAL: Per schedule A location ~ C. WATER: ?er schedule A location ~] O. SPECIAL: none E. LOCK BOX: YES /~ IF YE~, LOCATION: IF YES, SITE PLANS? YES / NO MSDSs9 YES /' FLOOR PLANS? YES /' NO KEYS? YES / NO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT I.D. ~ FORM 4A-1 Page 1 o,f 1 NON--TRADE SECRETS .. HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: VAT.LEY TREATMENT SERVICE: INC. OWNER NAME: Peter T, Boss, Pres. FACILITY UNIT #: 1 ADDRESS: 2301 "p" St. , , : ADDRESS: 2212 Ellen Wy FACILITY UNIT NAME: Main CITY, ZIP-:. gakev.~f~m]d; CA, 9330] CITY,ZIP: BakersfieLd.. CA. 93304 PHONE ~: (805) 322-0754 PHONE #: (805) 834-2212 )FFICIAL USE CFIRS CODE ONLY 1 2 3 4 $ 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT A~OUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE, GUIDE, M - _ .... ~ 11 41 S.W. 'area of whse. TAMCO FORMULA # 70 7 0 SODIUM SULFITE 0RMA 20 DISODIUM PHOSPHATE~-/]Sf~, ORMA 15 QUEBRACHO TANNIN (il) ORMA NAME: Peter T. Boss TITLE: Pres. S-ONATURE: ; ~.. , ~ DATE: EMERGENCY CONTACT: Peter T. Boss TITLE: Pres. PHONE ~ BUS HOURS: (805) 322-0754 AFTER BUS HRS: (805) 834-2212 EMERGENCY CONTACT: Gary E. Moon TITLE: Service Rep. . . PHONE # BUS HOURS: (805) 322-0754 PRINCIPAL BUSINESS ACTIVITY: Boiler, condenser & cooling tower water treatment. AFTER BUS HRS: (805) 834-9281 - 4A-1 - December 25, ~ I~ .~ Ai~ A DATA SHEET TN'ICOCHEIIlCAL INC. 2044 PL TI AVE. COSTA I~SA 24Nour emerg~cy TeleghoM (714) 642-gl60 IX]ILER TREATIIENT FD~IIJLA · 9~: 70 L~fi~L~F'/E~L/~ ~'~'O~') ~ ~--OT~-~f SECTION · I PR(X)~T IDENTIFICATION · GeMeel ID. Alkali ~ Cl~slflc~Uon (99) . Nol' Al~llrJble SECTI~ · 2 ~C~TS Sodium Cm'beMto cas#6497-19-8 I Ethylenedl~nlnelatr~ceUcKId (NA) ca$#1310-731r2 Der, odium Phoe, pMLe Anhyd~m~ Tech. cas#7558-79-l~ NeL eeL~lir~ed fac U~#e Chemicala. au~r~Jm Tmmn n/a I Sedi~n Sulllla cas#7757-83-7 I SF. CTI(~I · 3 PHYSICAL DATA IniUal belling Ix)tnL Not. Applicable V~or I~eSsure polnL Not Applicable V~oe densiLy -NoL Al~lic~bla sl~cl.qc ge~4ty ' - ........ ere~tm'.Umn WeLee . .. ~ of VolaLiles NoL Applic~ble Ev~mreUon reta .. Not Apl)llc~le SECTION · 4 FIRE AND EXPLOSION DATA Exploslv~ Ilmll' Nol' Appllc~le FI~ peinL NoL Al~lic~le ExUn~lshll~g medll Watm' fo~ H~zardeu~ Mcomlxmttlon preducL~ I'lay form-.To~ic rnnLerJals.Carben Dioxl4e. Ca~lx~ fqonoxlde.Hydrocm-bens md Sulftm Dioxide. ~Clll FireflghLtn9 IMm'~es Wene self --cmLnined beea~ing el)l~eaLus wilA e full I'Keplece opernLad on Ix'essure demmd or oLher · imsiLJve I~e~r,u~e mode. (WHEN FIGHTIN~ FIRES)~ SECTION · ~5 HEALTH HAZARD DATA . EYES Cm c.m~se eye IrrlL~Lion SKIN Cra, m~y ~ IrrlL~Uon BI~r. ATHING Du~L cnn cJuse irflL~Uon or nn~l nmi eesi)ireLory Impinges. S~/ALLO~/IN6 ~n cluse M~LroinLesUMI ir~'ltaUon, Muse~, ~mniting md dim'rhea. FIRST AID IF ON SKIN ThOroughly wash exposed re'el with soN) md wllar, remove contomin~tod clothing md w~h bet'ore rm. IF IN EYES Flush with I~rge ~mounl~ ot' welar, Iill Ul)Por ~1 lower lids occasi~lly, gel. medlcll IUanUon. IF Sg/ALL(~e'r.D Immedi~Lely drink two gllsse~ of wllae, Induco vomlUng by Ipecac syrup by piking ~lnge~ IL ~ of thraeL. ( Nev~ give ~nythlng by mouth to In mconKious peer, m) H~m pelymerlaUon Cmt STMILITY 'Sial)Il SECTION · ? SPILL (~ LEAK PI~X:E~S SHALL OR LAI~E SPILL Sl~wel m~tael~l ~ Into contalMe md thae~__,,~hly w~ with w~Lm' .. 'dASTE DISP~AL tIETI40D Sewage dlSlX)s~l Is In Kcord~nce with 111 knowll Iocll, sl~la md Federll Reg~. SECTION · 8 PROTI~CTIVE EGUIPlIENT TO 8E USED If II#dsd u~l I NIOSH/rlSHA ~ d~t respirator VENTILATION Normal room V~UleUo~ PROTECTIVE 6LOVES Neol~me EYE PROTECTION Any eggeowd sefet¥ OTHER Pla3TECTIVE [0UIPtlENT ' Norn~l work ¢lol~s cov~'ing ,- SECTION · g SPECIAL PI~CAIJTIONS OR C(TtlENTS Nme PRO[~I' IS U $ O A APPR(A'ED SITE/FACILITY DIAGRAM FORM 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF ~ ~ = 7.5' VALLEY TREATMENT SERVICEt INC. DATE: / / FACILITY NAME: UNIT ~: OF 10-15-87 Main 1, 1 (CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM X Per attached schedule A l(Inspector's Comments): -OFFICIAL USE ONLY- - SITE D[AGRAH (Required 1. Address: Identify the 9. Lock (key) ;ox principle buildings by the Street numbers, lO. HSDS Storage Box 2. Street(s), Alleys. II. Railroad Tracks Driveways. end Parking Areas adjacent to the 12, Fence or Barrier property. Include the a. Wire street names. ' b. Hason~y 3. Stors~Orains~ Culverts. Yard Drains c. Wood 4. Oralnage Cans]s, Oltches, d. Gates Creeks, 13. Powerlines 5. Buildings a. Frame construction 14. Guard Station b. Nasonry construction 15. Storage Tanks: Identify the c. Metal construction capacity In gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Berm b. Electricity 17. Evacuation Route c. Water 18. Evacuation Area: - Identify the ?. Fire Suppression Systems: location where a. Eire Hydrants employees mill b. Fire Sprinkler 19. Outside Hazardous Connections Waste Storage c. Fire Standpipe ~0. Outside Hazardous Connections #ateriel Storage d. Water Control Valves 21. Outside Hazardous for protection systems Naterial Use/Handling e. ~trs Pump ~2. T~pe of Hazardous #atsrial/#aste Stored 8. Pire Department Access or Used (See melds) 'lryp~ OF HA~ROOUS NAT£R~A~ P - ~la~Mable E - E~ploslve L · Liquid R - RadJologicnl Corrosive 0 - Ozidizer O - Gas P - Poison Water Reactlve T - Toxic S - Solid 'B - Cryogenic O - Waste B - Etiological Example: glsmmble Liquid - ~L FACILITY DIAGRA~ (Required limas in addltion to the. Partitions 9. Air Condit/oning Units 3. Stairways: Indicate tbs 10. Wind.s levels served tree highest to lamest. 1Z. Inside Huardous Waste Storage 4. Escalator: Indicate the levels served from 13. Inside Hazardous highest to lo~eot. I~terlale 3tora~ $. Elevator 13. Inside Hazardous Naterlals Use/Handling 6. Attic Access 14. Sewer Dra/n Inlets 7. Skylights . I 2GO ,~ ' I