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Home My WebLink AboutBUSINESS PLAN 4/28/2004 AGRIGATOR INC SitelD: 015-021-002085 Manager : BusPhone: (661) 834-9176 Location: 5501 DISTRICT BLVD Map : 123 CommHaz : Moderate City : BAKERSFIELD ; Grid: 15D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code:5191 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM ANSON / VP OPERATIONS TIM ALDERSON / PRESIDENT, CEO Business Phone: (661) 834-9176x Business Phone: (626) 351-4319x 24-Hour Phone : (661) B~3~=-84~3~~7~W?~ 24-Hour Phone : (805) 701-0823x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : TIM ANSON Phone: (661) 834-9176x MailAddr: 5501 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Owner TIM ALDERSON Phone: (661) 83~-9176x Address : 5501 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 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... ISpooHazlEPA HazardsI Frm I DailyMax IUnit MCP. PROPANE E F P IH G 404.00 FT3 Hi I, /_._~ v¥~ /~q~o ~ Do hereby certify that ! have l'l"~'i.~e or ~,in~ name) reviewed the attached hazardous materials manage- ment plan for A~F~' ~m,,~,~,u,,,~ arlci that it along with any corrections constitute a complete and correc~ man- agement plan for my facility. _ i1 04/15/2004 Si~,ur~ Date AGRIGATOR INC SiteID: 015-021-002085 = Inventory Item 0001 Facility Unit: Fixed Containers at Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP ON FORKLIFT CAS# 74-98-6 r STATE i TYPE PRESSURE ~ TEMPERATUREI CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 202.00 FT3 404.00 FT3 404.00 FT3 HAZARDOUS COMPONENTS %Wt. I RSI CAS# 100.00 Propane Yes 74986 HAZARD ASSESSMENTS TSecretINO N~S I Bi°HasINO Radioactive/AmountNo/ Curies EPAF P HazardsIIH NFPA/// USDOT# I MCPHi -2- 04/15/2004 F AGRIGATOR INC SiteID: 015-021-002085~9 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ --Agency Notification 02/04/2002 FIRST AID KIT ON SITE CAN CALL 911 FOR SEVERE INJURY NEAREST HOSPITAL IS MERCY SOUTHWEST. -- Employee Notif./Evacuation 02/04/2002 ALL EMPLOYEES USE CELL PHONES CAN WALK INTO OFFICE TO NOTIFY OTHERS. WE CAN SEE THROUGH OFFICE WINDOWS INTO SHOP ALSO. CALL 911 AND OFFICE OF ER SERVICES IN EVENT OF ACCIDENT. Public Notif./Evacuation Emergency Medical Plan 3 04/15/2004 F AGRIGATOR INC SiteID: 015-021-002085 ~ Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention --Release Containment 02/04/2002 AS STATED ABOVE TANKS ARE LOCATED IN LARGE CONTAINMENT AREA WHICH HAVE NO DRAINS. IN THE EVENT OF A SPILL MATERIAL WOULD BE RECLAIMED , Clean Up 02/04/2002 CONTAINMENT AREA TO BE CLEANED ON REGULAR BASIS WHICH WILL ALLOW THE RECOVERY OF ANY SPILLED MATERIAL TO BE RESTORED AND USED. Other Resource Activation -4- 04/15/2004 F AGRIGATOR INC SiteID: 015-021-002085 f Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level -5- 04/15/2004 AGRIGATOR INC SiteID: 015-021-002085 Fast Format Training Overall Site -- Employee Training ~:___ 02/04/2002 ~ Held for Future Use Held for Future Use -6- 04/15/2004 AGRIGATOR /NC SiteID: 015-021-002085 Manager : BusPhone: (661).834-9176 Location: 5501 DISTRICT BLVD Map : 123 CommHaz : Moderate City : BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 SIC Code:5191 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TIM ANSON / VP OPERATIONS TIM ALDERSON / PRESIDENT, CEO Business Phone: (661) 834-9176x Business Phone: 626) 351-4319x 24-Hour Phone : (661) 332-8473x 24-Hour Phone : 805) 701-0823x Pager Phone : ( ) - x Pager Phone : ) - x Hazmat Hazards: Fire Press ImmHlth Contact : TIM ANSON Phone: 661) 834-9176x MailAddr: 5501 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Owner TIM ALDERSON Phone: (661) 834-9176x Address : 5501 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: MATERIAL ON SITE NO CONSIDERED HAZARDOUS, PER MSDS SHEET, VERIFIED BY HHW. ~'i'~w'~. ,~.~r~ _ Do hereby certify that i hav~. mview~ the ~ached h~ardous materials manage- mere p~n for ~ (;~~ and that it along wi~h ~ ~r~ns ~nstitut~ a ~mplete and ~rre~ man- ~s~ p~n for ~ ~lit~. 1 06/16/2003 AGRIGATOR INC SiteID: 015-021-002085 ---- Hazmat Inventory By Facility Unit -- MCP+DailyMax Order Fixed Containers at Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax IUnitlMCP PROPANE E F P IH G 404.00 FT3 Hi -2- 06/16/2003 AGRIGATOR INC SiteID: 015-021-002085 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~1~ ~Vl~ / ~~ ~Vl~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP ON FORKLIFT CAS# 74-98-6 Gas Pure Above Ambient Ambient ' PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 202.00 FT3I 404.00 FT3I 404.00 FT3 HAZARDOUS COMPONENTS 100.00 Propane 74986 HAZARD ASSESSMENTS TSecretNo N~SIBi°HaZNo Radi°active/Am°unt I EPA HazardsNo/ Curies F P IH NFPA/// I USDOT# MCPHi MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8: Ag.Defined9: Ag. Def.inel0: -- Ag.Definell -3- 06/16/2003 f AGRIGATOR INC SiteID: 015-021-002085 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 02/04/2002 FIRST AID KIT ON SITE CAN CALL 911 FOR SEVERE INJURY NEAREST HOSPITAL IS MERCY SOUTHWEST. -- Employee Notif./Evacuation 02/04/2002 ALL EMPLOYEES USE CELL PHONES CAN WALK INTO OFFICE TO NOTIFY OTHERS. WE CAN SEE THROUGH OFFICE WINDOWS INTO SHOP ALSO. CALL 911 AND OFFICE OF ER SERVICES IN EVENT OF ACCIDENT. -- Public Notif./Evacuation Emergency Medical Plan -4- 06/16/2003 F AGRIGATOR INC SiteID: 015-021-002085 I Fast Format ~ Mitigation/Prevent/Abatemt Overall Site i R elease Prevention -- Release Containment 02/04/2002 AS STATED ABOVE TANKS ARE LOCATED IN LARGE CONTAINMENT AREA WHICH HAVE NO DP~AINS. IN THE EVENT OF A SPILL MATERIAL WOULD BE RECLAIMED -- Clean Up 02/04/2002 CONTAINMENT AREA TO BE CLEANED ON REGULAR BASIS WHICH WILL ALLOW THE RECOVERY OF ANY SPILLED MATERIAL TO BE RESTORED AND USED. Other Resource Activation -5- 06/16/200 AGRIGATOR INC SiteID: 015-021-002085 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs -- Fire Protec./Avail. Water Building Occupancy Level -6- 06/16/2003 AGRIGATOR INC SiteID: 015-021-002085 Fast Format ~ Training Overall Site -- Employee Training 02/04/2002 THIS IS A NEWLY ESTABLISHED BUSINESS WHICH PLANS TO SETUP TRAINING PROGRAMS THROUGH WESTERN GROWERS LAW GROUP Page 2 Held for Future Use Held for Future Use -7- 06/16/2003 MATERIAL SAFETY DATA SHEET 11/18/95 EMERGENCY PHONE NUMBER: 661 ) 834-9176 · IDENTIFICATION OF PRODUCT: "AgriGator Soil Conditioner" · PRODUCT DESCRIPTION: Anionic acrylamide copolymer liquid. · Note: not considered hazardous under Federal Regulation 29 CFR 1910.1200* · HAZARDS IDENTIFICATION' Aqueous solutions render surfaces extremely slippery. HMIS & NFPA Ratings: HMIS NFPA Health 1 1 Flammability 0 0 Reactivity 0 0 Special to be determined by user. · FIRSTAID MEASURES: Skin Contact: Wash with water and soap as a precaution. In case of skin irritation, consult a physician. Eye contact: Rinse thoroughly with plenty of water. In case of persistent eye irritation consult a physician. Ingestion No hazards which require first aid measures. · FIRE-FIGHTING METHODS: Suitable extinguishing media: water, water spray, foam, carbon dioxide (CO2) dry powder Special fire fighting precautions: Aqueous solutions render surfaces extremely slippery. Special protective equipment: none. · ACCIDENTAL RELEASE MEASURES: Personal precautions: none Environmental precautions Wash down with water, or apply sand/dirt to the spill Clean up method: FLUSH WITH WATER. Until surface is no longer slippery. Sprinkle sand/dirt over remaining product and flush away with water until no longer slippery. · HANDLING AND STORAGE: Handling: As good industrial hygiene dictates, avoid contact with skin and eyes. Wash hands thoroughly before breaks and at the end of the day. Storage: Keep in a cool (0-35°C) place. · EXPOSURE CONTROLS: Occupational Exposure limits: Nuisance value only in concentrated form Engineering methods to reduce exposure: Wash down areas regularly with water Natural ventilation is adequate. · PERSONAL PROTECTION EQUIPMENT: Respiratory protection: Not applicable Hand protection: rubber gloves Eye protection: Safety glasses with side shields. Do not wear contact lenses. Skin and body protection: Chemical resistant apron or thick clothing/protective suit if splashing or repeated contact with solution is likely. Hygiene measures: Wash hands before breaks, and at the end of workday. Handle in accordance with good industrial hygiene. · PHYSICAL AND CHEMICAL PROPERTIES: Form: Viscous liquid. Color: Clear Odor: None pH: 4-9 @ 5g/I for the product series. See technical data for specific value. Melting point (°C): Not applicable. Flash point (°C): Not applicable. Auto ignition temperature (°C): Not applicable Vapor pressure (mm Hg): Not applicable. · STABILITY AND REACTIVITY: Stability: Product is stable, no hazardous polymerization will occur. Materials to avoid: Oxidizing agents may cause exothermic reactions (reactions which release heat) Hazardous decomposition products: Thermal decomposition may produce: nitrogen oxides (NOx), carbon dioxides. · TOXICOLOGICAL INFORMATION: Acute toxicity: a) Oral: LD50/oral/rat> 5000 mg/kg b) Dermal: The results of testing on rabbits showed this material to be non-toxic even at high dose levels. c) Inhalation: The product is not expected to be toxic by inhalation. Irritation: a) Skin: The results of testing on rabbits showed this material to be non-irritating to the skin. b) Eyes: Testing conducted according to the Draize technique showed the material produces no corneal or iridial effects, and only slightly transitory conjunctival effects similar to those which all viscous liquids have on conjunctivae. c) Sensitization: The results of testing on Guinea Pigs showed this material to be nonsensitizing. d) Chronic toxicity: A two year feeding study on rats did not reveal adverse health effects. A one- year feeding study on dogs did not reveal adverse health effects. · ECOLOGICAL INFORMATION: Ecotoxicity: The product is not considered to be toxic to aquatic organisms, or harmful to the aquatic environment. However, as with all chemical products, do not introduce directly into the environment. a) Fish: LC50/Fathead minnows/96 hfs > 1000mg/I b) Algae: EC50/Selenastrum capricornutum/72 hrs > 500mg/I Bioaccumulation: This product is not expected to bioaccumulate. Persistence/degradability: Not readily biodegradable. · DISPOSAL CONSIDERATIONS: Waste from residues or unused products: Bury in landfill in accordance with all applicable regulations. Contaminated Packaging: Any disposal practice must be in compliance with all applicable regulations. · TRANSPORT INFORMATION: Not regulated by the Department of Transportation. · REGULATORY INFORMATION · The product is not considered hazardous under Federal Regulation 29 CFR 1910.1200. All components of this product are on TSCA and DSL inventories. RCRA status: not a hazardous waste. Hazardous waste number: Not applicable. Reportable quantity (40CFR 302) · Not applicable. Threshold planning quantity (40CFR 355) · Not applicable. Toxic chemical release reporting (40 CFR 302) · Not applicable. The information provided in this Safety Data Sheet is correct to the best of our knowledge, information and belief at the date of its publication. The information given is designed only as a guide for the safe handling, use, processing, storage, transportation disposal, and release, and is not to be considered a warranty or quality specification. The information relates only to the specific material designated and may not be valid for such material used in combination with any other materials, or processes unless specified in the text. 6 · 260 S. Lake'Ave, #111 Pam~clen~ CA 91101 USA t~l: (626) 683-2663/f~_x (626) 351-4389 MATERIAL SAFETY DATA SHEET 11118195 · EME~Y PHONE NUMgER: 81 8) 683-2661 · IDENTIFICATION OF PRODUCT: "AgriGator Soil Conditione~" · PRODUCT DEBCRIPTION~ Anionic acrylamicle COpol3rmer powder. ~lo~..-._n°t considered.. ... ~ hazardou~ under Pederal Re,halation 29 CFR 1910.1200' Aqueoua solutiotm o~ powdem that bet~me wet render surfaces t, xla'ma~l? all_ _opine. HMIS & Nlra Rat~tgs: HM~ NFPA Health 1 1 Flammab~ty 0 0 Reactivity 0 0 Special to be determined by user- Inhalation: Move to freah air if ~ubject is overcome by exce~ive duat. Comult a ph}~ician in case of irritation or other ,syml~oms. Skin Contact: ~A~h with water and soap a~ a precaution. In caae of akin irritation, consult a phyaician. Eve contact: Rinse thoroughly with plenty of water. In case of persistent eye irritation consult a phyaicia~ Ingmtion: No hazards which require first aid measures. Suitable extinguishin41; meclia: water, waist spray, 'foam, 'cad. on dioxide (CO2) dry. powder Spedai f~ fighting Aqueoua ~lutiom or powder~ that become w~t ~n~ler precautiom: ~-~man~ly Auto isnition teml~atm-e (°C): Not applicable Vapor pressure (mm Hg): Not applicable. - $~IBLITY AllO REACTIVI~: b~ability: ~ Product is stable, no hazardous polymerization will occur. lvlaterials to avoid: Oxidizing agents may cause exothermic reactions (reactions which release heat) Hazardous decomposition Thermal decomposition may produce:, nitrogen oxides produ~: : carbon dioxides. · V0~LOOICAL Acute toxicity:. a) Oral: LDS0/oral/rat> 5000 rog/kg b) Dermal: The results of testinl~ on rabbits showed this material to be non-toxic even at hil~h dose levels. c) Inha~tiorc The product is not expected to be toxic by inhalation. a) Skin: ~" ',The results of testing on rabbits showed this material to be non- irritating to the skin. b) Eyes: Testing conducted according to the Draize technique showed the material produces no corneal or iti;'l!~l effects, and only ali~htly transitory c~njunct/val effects similar to those which all granular materials have on conjunctivae. c) S~nsitization: The result~ of testing on Guinea Pigs showed this material to be non- sensitizin~ d) Chronic toxicit ,: A two year feeding study on rats did not reveal adverse health effects. A one year feedin~ study on doss did not tvveal adverse ;; health effects. · E~OLO~CAL INFORNAI~OII: Hcotoxicity: The product is not considered to be toxic to aquatic orsamsms, or harmful to the aquatic environment. However~ as with all dwmi 'cai products, do not introduce directly into the environmenL a) Fish: LC50/Fathead minnows/96 hfs > 100Omg/l b) A1Kae: i .EC50/Selenastrum capricornutum/72 hrs > 5(K)mg/1 Bioaccumulation: i This product is not expected to bioaccumulate. Persistence / degradability: IxTot readily biodegradable. Waste from residues! or Bum in adequate incinerator or bury in landfill in a~:ordant~ tmust~ products: with -all applicable resulatlons. Special protective equipment:. None. · A~IDENTAL flELEASE MF. ASURE8: Pemonal precaution~: None Environmental precautions: Avoid mixing with water Clean up method: DO NOT FLUSH lqffrH W~kTER. ~eep or vacuum dry po~der and place in clo~ed con -taints for disposal. ~ flush axvay remaining dust only with wa~er until surface ia no longer slippery. If product gets wet, scoop up as much as po~le with a shovel, place /n sealed L~rttainers for disposal, sprinkle sand/dirt over remaining product and flush away with water until no lonl~.r slippery. ~ng: , As good industrial hygiene dictates, avoid contact with skin and eye~ Avoid forming du~t..Wa~h hand~ thoroughly before b£eak~ and at the end of the day. S'l~age: ~. Keep in a cool (0-35°C), and dry place. Ck'cupational Expo~Lre limits: Nuisance dus~ 15rog/m3 Engineering method~ to U~e local exhaust if dusting occura. Natural ventilation i~ adequate in reduce expoaure: the absence of dust. · PERSOllAL FIIOTECTION EQUIPIENT: ~atory ]~)tect~on: ~st safety mas~ a~e l~commended wheze concentration of tot~ Hand protection: rubber glove~ Eye proration: Safety glmmes with side shielda~ Do not wear contact lense. Skin and body protection: Chemical resistant apron or thick clothing/protective suit ff splashing ~ or repeated contact with solution ia likely. Hygiene measures: Wash han~ before breal~, and at the end of workda~ Handle in ~ accordance with good industrial hygiene. Form: Granular solid. Color: White Odor: None pi-l: 4-9 ~ 5g/1 for the product serie~ See technical data for specific value. Melting point (uC): Not applicable. ~ point CC): Not applicable. Contaminated Packaging: An~ dispoaal practice mu~t be in compliance with all applb:able regulations. · TK4WSFORT IIEFOIII~TIOII: lqot regulated by the Dep~rtment of Transportation. · REGULATORY INFORMATION: ~e p~N~.ct i$ not ¢o~Jdered AH ¢oml:~nents c)~ ~ p~cx:luct m on ~ ~ ~ ~nYento~es. RC']~A s~tua: , Not ~ ha~ous waste. I-~zardou~ waste number. Not applicable. Reportable quantity Not applicable. (~ 302): Threshold planning Not applicable. quantity (40C~ 3~5): Toxic chemical ~elease ~Tot applicable. reportm~ (40 CFR302): The information p~o-¢tded in this Safety Data Sheet is correct to the best of ou~ knowledge, information and belief at the date of its publlcatiOr~ The information siren ts deaisned only aa a 8uicle for the sa~e hand]m~ uae, proce~m~ ato:ase, ttatmpOrtation di~poxai, ~ re~ea~e, and ia not to be ~.~on~dered a warranty o~ quatit7 apecificatkm. The ir~ormat~on relate~ cmly to the ~ material desisnated and may not be valid for auch material uaed in combination w~th arty other materials, or processe~ un]ess specified ~n the text. O I CE OF ENVIRONMENTAL RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per building or area) '~EW [] ADD [] DELETE [] REVISE . 200 Page __ of __ BUSINESS ~ME (Shine ~ FAOILI~ NAME or DBA - O~ng Busings ~) 3 CHEMI~LLO~TION /~'O~ ~ C~ ~ ~O~ 201,CONFIDENTIALCHEMICALLO~TION(EPC~) ~Y~ ~No 202 ~ 205 T~DE SECR~ ~ Y~ ~ No 206 CHEMICAL ~ME ~-~~ If S~bj~ to EPC~, refer to inst~i~s 207 COM~N ~ EHS* ~ Y~ ~ No 208 FIRE CODE H~RD C~ES (~plete if r~u~t~ by I~1 fire 210 ~ ' i CURIES 213 ~PE PURE ~ m MIX.RE ~ w WASTE 2:; RADIOACTIVE ~ Y~ ~ No 212 ' ' ~ ~RGEST CONTAINER ~ 215 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~S 214 ~ FED H~RD ~TE~RIES ~ 1 FIRE ~ 2 REACTIVE ~ PRESSURE RELEASE ~ 4 A~UTE HEALTH ~ 5 CHRONIC H~LTH 216 (Ch~ all ~at apply) A~u~ANNUAL WASTE 217 ~ DAILYM~IMUMA~u~ ~ 218 ~ AVE~GEDAiLY A~UNT 219~ STATE WASTE CODE 2~ UNITS* ~ ~ GAL ~ CU~ ~ lb LBS ~ tn TONS ~1~ DAYSONSITE If EHS, am~nt must be in lbs. STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ · P~STI~NONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR (Check all that apply) ~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r OTHER ~ c TANK INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~CYLINDER ~ p TANK WA~N STOOGE PRESSURE a AMBIENT ~aa ABOVE AMBIENT ba 8ELOWAMBIENT ~4 STOOGE TEMPE~TURE ~ a AMBIENT ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT ~ c CRYOGENIC 226 227 I ~ Y~ ~ No 228 230 231 J ~y~ ~No 232 233 234 235 ~ DY~QNo 236 237 238 239 ~ ~Yes ~No 240 241 5 242 ................................................................................ ~ 243 ~ Y~ ~ NO 244 245 PRINT NAME & TI%E OF AU~ORIZED COMPANY REPRESENTATIVE SIG~TURE DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731 .'rV4,wpd CITY OF BAKERSFIEI CE OF ENVIRONMENTAL RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 "~"~"~'~~'~-" HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~ per matedal per building or ama) ~NEW D ADD D DELETE ~ REVISE 200 Page __ ~ __ , ~.:~ :~: ~.~.~?~.~;~.~ ? · . ... . ......................... ............. ~._.~._ ~. ~ ,:.~ ;~ · : I. FACILI~ INFORMATION C.~M~O~O. I~ 'O~ ~ ~ ~L'C~ ~0~CO,~,~C'~U~C~O~O"(E,C~ D~ D.o ~0~ FAC~U~D~.I I ~ I~ ~ ~ [ ~ ~P~(op~o~O 203 ~R~O~(op~o,a0 2~ ~' ' '11 C~EMICAL INFORMATION 205 T~DE SECR~ ~ Y~ ~ NO 206 If Su~j~ to EPC~, refer to instm~ions 207 COM~N ~ EHS* ~ Y~ ~ No 208 ~S ~ 209 FIRE COOE H~RD C~SSES (~Dlete if r~t~ by I~l fire ~ie~ 210 ~PE ~ p PURE ~ m MIX. RE ~ w WAST~ [~: J RADIOACTIVE ~ Y~ ~ No 212 CURIES 213 PHYSI~L STA~ D s SOLID ~1 LIQUID ~ g ~S 214 ~ FED H~RD ~TE~RIES ~ I FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC H~LTH 216 (Ch~ all ~at apply) ANNUAL WASTE 217 ~IMUM ~..~ 218 ~ AVENGE 219 STATEWAS~DE 2~ A~U~ DAILYA~U~ ~ r DALLY AMOUNT UNITS' ~ ga GAL ~d CU ~ ~ lb LBS ~ tn TONS ~1 ~ DAYS ON Sl~ ~2 ' If EHS, amount must be in lbs, STOOGE CONTAINER ~ a ABOVEGROUND T~K ~ e P~STIONONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R 223 (Check afl ~at apply) ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c T~K INSIDE BUILDING ~ g ~RBOY ~ k BOX ~ o TOTE BIN ~ d S~EL DRUM ~ h SILO ~1 CYLINDER ~ p TANK WAGON STOOGE PRESSURE ~ a AMBIENT ~aa ABOVE AMBIENT ~ ba BELOWAMBIENT ~4 STO~GETEMPE~TURE ~aAMBIE~ ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT ~ c CRYOGENIC 22~ 226 227 ~ Y~ ~ No 228 229 230 231 ~ Y~ ~ No 232 ~ 233 2~ 235 ~ Yes ~ No 236 237 ............................................. 238 239 ~ Yes ~ No 240 241 242 243 ~ Y~ ~ No 244 245 UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd 0/31/01 17:43 r~661 32'6 0576 BFD HAZ MAT DIV ~003 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 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. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTIONI: BUSINESS IDENTIFICATION DATA BUSINESS NAME: LOCATION: CITY: ~~ ~Sr}~ ~ i~ PRIMARY ACTIVITY: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE t3o.5'. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: Ilk/~-0 5 H'O t0 Iq L 5'0, C ,r4- L L. ,al / I /F t,.d p C. ENVIRONMENTAL RESPONSE MANAGEMENT: T'U /~or'l ~.y' fO,cPM ?Z)OL[ AdB> T"/m / H cn-5~ o~: y?l Lt_ . D. EMERGENCY MEDICAL PLAN: 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A., HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTENT A~/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: MoM~ 0/~' ELECTRICAL: /T~r~ ~>Fe. a3, f.~' o,-x d~--o~T WATER: ~5~ d&t d~ ~~ Og -~ 1~' SPEC~: LOCK BOX: O~g" IF YES, LOCATION: ~~, A. PRIVATEFIREPROTECTION: Ft ~ E'gT'tlqOo-'r~.ff FO 03 0~. B. WATER AVAILABILITY (FIRE HYDRANT): HAZARDOUS MATERIALS MANAGEMENT PLAN . SECTION III: TRAINING NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I,"~FFr~ Av~Or~ 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 PERTURY. ~bb~bb660ddd~do' Tim Alderson ~~'~o, I President 260 S. Lake Ave., Suite 111 Pasadena, CA 91101 U.S.A. ~ _ _ . _ (626) 351-4319 tel. (626) 351-4389 fax :: ':-- = -' ~ ~x~ i e-mail T_Alderson@AgriGator.com