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Home My WebLink AboutBUSINESS PLAN 12/3/2003 Hazardous Materials/Hazardous~Waste Unified ~ Permit CONDITIONS .OF PERMIT~ ON REVERSE:SIDE · ' : ThiS,~nit i uedfo ~' s isa r the followino: · . [] Hazardous Materials Plan .., ' 13 Uhderground Storage of Hazardous Materials Permit ID #:: 015-000-000039 ' EY~RiskManagementProgmm " · . STOCKDALE CERAMIC' TILE D,~rdo., W..m On-S,e T,,am~t LOCATION: 6301 DISTRICT BLVD. · OFFICE OF ENVIRONMENTAL SER VICES.' Approved by: ' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Omceof£v~Services Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE " ........ ,,,,,,;,¢e?'?".;?;?,'.?~:E?!?~,~ ~,, ........ This permit is issued for the following: i ..... ??"??" ¢,~!~!'.i~?:2:~::;i?:,':;ii~d~:~iiii ?:55::~!~Hazardous Materials Plan ~. '"'. i~ . . .~ ........... :!~ ~ ~ ~ ~ .~ ~= , .~ ~?.=~ ..= .~= ~? .~.~ ./. ~ ~]'~ ~"!=~ ~..........L ".~'=~.~ ~c....'-~ ~: ~:i ~ .... -'~' Issu~ by: 0 B~,rsfi,ld Fb, D,pa,m,,t Approv,d by: OFFICE OF E~ ON~AL S~ ~CES 1715 Chewer Ave.. 3rd Floor B~e~fiel& CA 93301 Voice (805) 32~3979 F~ (805)326~576 Expiration Date: ~un~ ~0~ ITE DI~I~GRAM (~ I TY DIAGRAM F'"'] "" Ar~a --- Nc r-~.h :lame ITE DiaGRAM ' FAC~!,.LITY DIAGRAM SIT E DIAGRAM -['-~ DIAGRAM _ Ncr-~b. Name :f Ar~a: KARl EBERT Administrative Assistant 6301 District Blvd. 805 398-6000 Bal~br~fi~ld;'CA 93313 - FAX -805 398-0749 STOCKDALE CERAMIC TILE CENTER INC ~ SiteID: 015-021-000039 Manager : BusPhone: (661) 398-6000 Location: 6301 DISTRICT BLVD Map : 123 CommHaz : Minimal ~L~a~ Grid: 15C FacUnits: 1 AOV: City : BAKERSFIELD ~' CommCode: BAKERSFIELD STATION 09 SIC Code:5211 EPA Numb: DunnBrad:77-014-5848 Emergency Contact / Title Emergency Contact / Title WILLIAM L RAY / PRESIDENT ANTHONY F MARION / VICE PRESIDENT Business Phone: (661) 398-6000x Business Phone: (661) 398-6000x 24-Hour Phone : (661) 664-0000x 24-Hour Phone : (661) 587-1466x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: ImmHlth DelHlth Contact : Phone: (661) 398-6000x MailAddr: 6301 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Owner WILLIAM L RAY Phone: (661) 398-6000x Address : 6301 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I,//.~/~'~- ~'.,~,,~, DO hereby certify ,hat ~ have reviewed the attached hazardous materials manage- ment p~n for~~~~nd that it along with any co~ections constitute a complete and corr~ man- agement plan for my facility. -1- 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 = Hazmat Inventory By Facility Unit -- ~cp+D~ilyMax Order Fixed Containers on Site Hazmat Common Name... ISpeoHazlEPA HazardsI Frm DailyMax lUnitlMCP ACRYLIC 4000 MASTIC IH S 4800 00 LBS Low PLASTIC PORTLAND CEMENT IH DH S 2000 00 LBS Low FLEXBOND THINSET IH DH S 50000 00 LBS Min POLYBLEND GROUT IH DH S 25000 00 LBS Min DRY WHITE TILE GROUT IH DH S 3000 00 LBS Min TYPE S HYDRATED LIME IH S 2500 00 LBS Min -2- 12/01/2003 -3- 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ACRYLIC 4000 MASTIC Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER OF WAREHOUSE & SE CAS# 107-21-1 Solid Mixture Ambient Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 4800.00 LBS 2800.00 LBS %Wt. RS CAS# 2.10 Ethylene Glycol No 107211 50.00 Calcium Carbonate No 471341 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies I IH / / / Low Inventory Item 0006 Facility Unit: Fixed Containers on Site 9 PLASTIC PORTLAND CEMENT Days On Site 365 Location within this Facility Unit Map: Grid: NE SIDE OF WAREHOUSE CAS# 1480-86-7 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid I Mixture I Ambient I Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average LBS 2000.00 LBSI 1000.00 LBS .L'1.~UU~ ~U~U~'I'~ %Wt. RS CAS# 21.70 Silicon Dioxide No 7631869 62.90 Calcium Oxide No 1305788 HAZARD ASSESSMENTS TSecret[ ~SIBioHazl Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies IH DH / / / Low 4 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 I~ventpry Item 0005 Facility Unit: Fixed Containers on Site ~ ~UIV~U~ ~.~'-~Vl~ / ~1~ ~Vl~ FLEXBOND THINSET Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER OF WAREHOUSE CAS# 1480-86-7 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid /Mixture Ambient I Ambient I BAG OONTS AT THIS OCAT ON Largest Container [ Daily Maximum I Daily Average LBSI 50000.00 LBSI 30000.00 LBS %Wt. RS CAS# 45.00 Silicon Dioxide No 7631869 45.00 Portland Cement No 65997151 HAZARD ASSESSMENTS iTSecretI ~SIBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No N No No/ Curies IH DH / / / Min ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site 9 POLYBLEND GROUT Days On Site 365 Location within this Facility Unit Map: Grid: NW SIDE OF WAREHOUSE CAS# 1480-86-7 F STATE TYPE PRESSURE [TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient BAG I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 25000.00 LBS 25000.00 LBS 1'"1~ ~',.~.I. JU U ~ ~;UlVl i'"Ui~l I"*;~l '1' ~ %Wt. RS CAS# 65.00 Silicon Dioxide No 7631869 35.00 Portland Cement No 65997151 I TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies IH DH / / / Min -5- 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 = Ipventpry Item 0003 Facility Unit: Fixed Containers on Site ~lv~ ~vl~ / ~1~ ~vl~ DRY WHITE TILE GROUT Days On Site 365 Location within this Facility Unit Map: Grid: NE CORNER OF WAREHOUSE CAS# 1317-65-3 Solid ~Mixture Ambient Ambient BAG AMOUNTS AT THIS' LOCATION Largest Container I Daily Maximum I Daily Average LBSI 3000.00 LBSI 2500.00 LBS _t"l./.,k~UU~ ~U~U~I~ %Wt. RS CAS# 65.00 Portland Cement No 65997151 30.00 Calcium Carbonate No 471341 HAZARD ASSESSMENTS TSecret ~SlBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N No No/ Curies IH DH / / / Min = Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 TYPE S HYDRATED LIME Days On Site 365 Location within this Facility Unit Map: Grid: NEAR DOOR NE CORNER OF WAREHOUSE CAS# 1305-62-0 F STATE -q-- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid /Mixture Ambient I Ambient I BAG AMOUNTS AT THIS LOCATION Largest Container { Daily Maximum I Daily Average LBSI 2500 . 00 LBSI 2000.00 LBS %Wt. RS CAS# 50.00 Hydrated Lime No 1305620 5.00 Limestone No 471341 TSecret RS BioHazl HAZARD ASSESSMENTS I I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min -6- 12/01/2003 F STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 Fast Format ~ N~tif.~/Evacuation/Medical Overall Site --Agency Notification 08/03/2000 IN MOST CASES, BECAUSE MOST OF OUR MATERIALS ARE IN 1 GALLON BUCKETS, A SPILL WOULD BE CLEANED UP BY THE WAREHOUSE MANAGEMENT AND THE OWNERS NOTIFIED. IF A LARGER SPILL SHOULD OCCUR, THE FIRE DEPT WILL BE CALLED, AND EVERYONE IN THE BLDG NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. -- Employee Notif./Evacuation 08/03/2000 ALL THE PEOPLE IN THE BLDG ARE NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. THE WAREHOUSE AND SHOWROOM DOORS ARE UNLOCKED CLEARLY MARKED AND OPEN DURING BUSINESS HOURS FOR THE SAFE EVACUATION OF ALL PEOPLE IN THE BLDG. Public Notif./Evacuation 08/03/2000 BECAUSE OF THE SMALL QUANTITIES WE CARRY, AND THE LARGE PROPERTY WE ARE ON, WE DO NOT HAVE A PLAN FOR THE SURROUNDING PUBLIC. ~ Emergency Medical Plan 03/28/1991 WE ARE APPROXIMATELY 1 MILE AWAY FROM MEMORIAL URGENT CARE CENTER. WE ARE ALSO 3 BLOCKS AWAY FROM AN AMBULANCE DISPATCH CENTER. ANY INJURY WOULD BE TAKEN DIRECTLY TO THE URGENT CARE CENTER OR THE AMBULANCE CALLED. -7- 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 Fast Format ~ Mitigatlon/Prevent/ADatemt Overall Site -- Release Prevention 08/03/2000 ALL EMPLOYEES HAVE BEEN TRAINED TO HANDLE THESE 1 GAL CONTAINERS WITH CAUTION AND KNOW WHAT TO DO WHEN AND IF A SPILL OCCURS. THEY ALSO KNOW HOW AND WHERE TO STORE THESE DIFFERENT MATERIALS. -- Release Containment 08/03/2000 EACH MATERIAL HAS THERE OWN SAFE SPOT IN THE WAREHOUSE AND ARE IN SMALL CONTAINERS AND QUANTITIES. THERE ARE NEVER ANY OPEN CONTAINERS ALL ARE FACTORY SEALED. -- Clean Up 08/03/2000 THERE IS A MOP AND BUCKET WITHIN A 20 YD RADIUS FROM EACH MATERIAL THAT IS READY TO USE AT ALL TIMES. Other Resource Activation -8- 12/01/2003 F STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 Fast Format F Site E?nergency Factors Overall Site Special Hazards --Utility Shut-Offs 08/03/2000 A) GAS - NE CORNER OF BLDG B) ELECTRICAL - NE CORNER OF WAREHOUSE C) WATER - NE CORNER OF LOT - BY MAILBOX D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 08/03/2000 PRIVATE FIRE PROTECTION - ENTIRE BLDG HAS A SPRINKLER SYSTEM PER FIRE & CITY CODES. THERE ARE ALSO FIRE EXTINGUISHERS THROUGHOUT THE BLDG THAT ARE CLEARLY MARKED PER THE FIRE DEPT. NEAREST FIRE HYDRANT - NE CORNER OF PROPERTY, RIGHT IN FRONT OF OUR BLDG. Building Occupancy Level 07/18/1991 B-2 -9- 12/01/2003 STOCKDALE CERAMIC TILE CENTER INC SiteID: 015-021-000039 Fast Format ~ T~&ini~g Overall Site -- Employee Training 08/03/2000 WE HAVE 9 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: EVERY EMPLOYEE KNOWS WHERE THE MATERIAL SAFETY DATA SHEETS ARE. WE ALL KNOW WHAT TO DO IN THE EVENT OF A SPILL, WHICH HAS NEVER HAPPENED. THE SPILL IS TO BE CLEANED UP IMMEDIATELY, AND BY USING THE PROPER METHODS. THE ACCIDENT IS TO BE REPORTED AND EVERYONE IN THE BLDG -- Page 2 --Held for Future Use Held for Future Use -10- 12/01/2003 Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 ~.-. PHONE No. qo. of[~.~ees FACtLITYCONTACT ~usiness ID Number ~ '? '~ '~'" · .... · Section 1: BUsiness Plan and InVentory progmm Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (C=Comp,ance~ OPERATION COMMENTS ~. V=Violation ~ APPROPRIATE PERMIT ON HAND [] BUSINESS PLAN CONTACT INFORMATION ACCURATE [] VISIBLE ADDRESS [~ [] CORRECT OCCUPANCY ]~ [~ VERIFICATION OF INVENTORY MATERIALS ~ [] VERIFICATION OF QUANTITIES .__[~, [~ VERIFICATION OF LOCATION [~ [~ PROPER SEGREGATION OF MATERIAL ~ [~ VERIFICATION OF MSDS AVAtLABILITYE ~' {~ VERIFICATION OF HAT MAT TRAINING [~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [~ ~ EMERGENCY PROCEDURES ADEQUATE ~- ~ CONTAINERS PROPERLY LABELED ~- [] HOUSEKEEPING ~.~ ~ F~RE PROTECTION (~ ~ SITE DIAGRAM ADEQUATE & ON HAND HAZARDOUS WASTE ON SITE?: [] YES %No ANY EXPLAIN: QUESTIONS REGARDING THIS INSPECTION~_PL.E~SE CALL US AT (661)326-3979 Badge No. Business Site Responsible Party '~)P ',~ ~0'~ White - Environmental Services Yellow - ~tion ~py Pink - Business Copy STOCKDALE CERAMIC TILE CE5 SRc~INC~-~'~'~-- ~ ~'~ SiteID: 015-021-000039- Manager : ~, BusPhone: (805) 398-6000 Location: 6301 DISTRICT BI City : BAKERSFIELD ~ i ~o , Map : 123 CommHaz : Minimal ~ ~ Grid: 15C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATI~,~9 ................. .T .. SIC Code:5211 EPA Numb: /~ -r m; ............ DunnBrad:77-014-5848 Emergency Contact / Title Emergency Contact / Title WILLIAM L. RAY ; / PRESIDENT ANTHONY F. MARION / VICE PRESIDENT .Business Phonei~}~! 398-6000x~,~ Business Phone:~$~) 398-6000x 24-Hour Phone .~o/ 5~x~ 24-Hour Phone ~~) W~x~~ Pager Phone : ( . ) - x~~ Pager Phone : ( ) - x Hazmat Hazards: ~m~Hlth DelHlth Contact : Phone: (~l)~ MailAddr: 6301 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Owner WILLIAM L. RAY Phone:L/~[~ 398-6000x Address : 6301 DISTRICT BLVD State: CA City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: .. ~ Hazmat Inventory One Unified List ~ -- As Designated Order Ail Materials at Site ~ Hazmat Common Name... SpecHaz I EPA Hazards Frm DailyMax Unit MCP TYPE S HYDRATED LIME IH S 2500.00 LBS MinI LBS Low ACRYLIC 4000 MASTIC IH S 4800 00 I DRY WHITE TILE GROUT IH DH S 3000 00 LBS Min POLYBLEND GROUT IH DH S 25000.00 LBS Min FLEXBOND THINSET IH DH S 50000:00 LBS Min PLASTIC PORTLAND CEMENT IH DH S 2000.00 LBS Low I, ,~,z,'?,~' /'~'2~2~ Do hereby certify thru I have (TyPe dr prin[name) reviswed the a~ached hazardous materials mana~e- rnen~ plan ?or ;~2"~5~'~__,~h.,~r"2~'~-'nd that i~ along with (Name of Business) any corrections consti~u~s a cornple~e and correct man- R~RrTlP. n? plan for m.v faciliW.. -1- 07/24/2000 i STOCKDALE CERAMIC TILE CENTER INC ~~~ SiteID: 015-021-000039 i~ Inventory Item 0001 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME o TYPE S HYDRATED LIME ° Days On Site ° o o 365 o o Location within this Facility Unit Map: Grid: o NEAR DOOR NE CORNER OF WAREHOUSE o CAS# ° o o 1305-62-0 ° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE °.Solid o Mixture ° Ambient o Ambient o BAG ° i~~i~/~/~/5~~i AMOUNTS AT THIS LOCATION o Largest Container ° Daily Maximum ° Daily Average o o LBS ° 2500.00 LBS ° 2000.00 LBS o o %Wt. o oRSo CAS# o o 50.00OHydrated Lime °No o 1305620° o 5.00OLimestone ONo o 471341° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# ° MCP o o No °No °No ° No/ Curies ° IH o /// o OMin ° Inventory Item 0002 ~EEEEEEEE6EEE Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ACRYLIC 4000 MASTIC ° Days On Site o ° 365 o Location within this Facility Unit Map: Grid: NW CORNER OF WAREHOUSE & SE o CAS# o o 107-21-1 o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o LBS ° 4800.00 LBS ° 2800.00 LBS o i~i~~ HAZP~RDOUS COMPO~IENTS %Wt. o o RSo CAS# o 2.10°Ethylene Glycol ONo o 107211° 50.00°Calcium Carbonate ONo o 471341° i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA ° USDOT# o MCP o No ONoONo ° No/ Curies° IH o /// o °Low° -2- 07/24/2000 i STOCKDALE CERAMIC TILE CENTER INC ~~~e SiteID: 015-021-000039 i~ Inventory Item 0003 e~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~e~~~e~e~i~e~e~ o DRY WHITE TILE GROUT o Days On Site ° o~ o 365 o o Location within this Facility Unit Map: Grid: o NE CORNER OF WAREHOUSE o CAS# o o o 1317-65-3 o i8 STATE cie TYPE 888i88 PRESSURE 888i TEMPERATURE esi888e CONTAINER TYPE o Solid o Mixture o Ambient o Ambient o BAG o i~~e~~e~i AMOUNTS AT THIS LOCATION ~e~/~e~/~is~e~e~/~/~/~i o Largest Container o Daily Maximum o Daily Average o o LBS o 3000.00 LBS o 2500.00 LBS o ie~888~is~88888~e~888 HAZAP~IjOUS COMPO~IENTS 88~e888888~i~esis~888~e888~8~8i o %Wt. o °RS° CAS# o o 65.00Oportland Cement ONo o 65997151° o 30.00oCalcium Carbonate °No ° 471341° i88~888~ie~si888888i~88~ses~88~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies° IH DH° /// o OMinO ie Inventory Item 0004 ~~e~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME POLYBLEND GROUT o Days On Site o o 365 o Location within this Facility Unit Map: Grid: NW SIDE OF WAREHOUSE ,o CAS# o o 1480-86-7 o STATE ei~ TYPE 55~i~ PRESSURE 55ei TEMPERATURE ~5i5555 CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BAG ° ie~~e~5~ei AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o LBS o 25000.00 LBS o 25000.00 LBS o i~e~6i~¢~e¢~¢~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 65.00oSilicon Dioxide ONo o 7631869° 35.00Oportland Cement ONo o 65997151° i~i55~i~i~e~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o. No/ Curies° IH DH° /// o OMinO -3- 07/24/2000 STOCKDALE CERAMIC TILE CENTER INC ~~~ SiteID: 015-021-000039 Inventory Item 0005 ~E~E~E~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME FLEXBOND THINSET o Days On Site ° o 365 o Location within this Facility Unit Map: Grid: SE CORNER OF WAREHOUSE o CAS# o o 1480-86-7 o STATE ~i~ TYPE ~i~ PRESSURE fififii TEMPERATURE eeieeee CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BAG o i~~~~i AMOUNTS AT THIS LOCATION eeeeeeeeeeeeeeeeeeeeeeeeei Largest Container o Daily Maximum o Daily Average o LBS o 50000.00 LBS o 30000.00 LBS o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 45.00oSilicon Dioxide ONo o 7631869° 45 . 00 O portland Cement °No'° 65997151° i~5~i55~5i~55~5~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH DH° /// o OMinO Inventory Item 0006 ~a~555~ Facility Unit: Fixed Containers on Site i55 COMMON NAME / CHEMICAL NAME PLASTIC PORTLAND CEMENT o Days On Site o o 365 o Location within this Facility Unit Map: Grid: NE SIDE OF WAREHOUSE o CAS# o o 1480-86-7 o STATE 5i5 TYPE 55~i55 PRESSURE ~i TEMPERATURE ~i~5~5 CONTAINER TYPE Solid o Mixture ° Ambient o Ambient o BAG o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o LBS o 2000.00 LBS o 1000.00 LBS o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 21.70oSilicon Dioxide ONo o 7631869° 62.90oCalcium Oxide ONo o 1305788° i~5~5~i~i~i~a55~a~¢~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH DH° /// o -4- 07/24/2000 STOCKDALE CERAMIC TILE CENTER INC/5~/~~ SitelD: 015-021-000039 i Notif./Evacuation/Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 03/28/1991 i o IN MOST CASES, BECAUSE MOST OF OUR MATERIALS ARE IN 1 GALLON BUCKETS, A o SPILL WOULD BE CLEANED UP BY THE WAREHOUSEMENT AND THE OWNERS NOTIFIED. IF o A LARGER SPILL SHOULD OCCUR, THE FIRE DEPARTMENT WILL BE CALLED, AND o EVERYONE IN THE BUILDING NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. o o i~ Employee Notif./Evacuation/~/~/~~/~/~/~5~/~/~/5~/~/~/~ 03/28/1991 i o ALL THE PEOPLE IN THE BUILDING ARE NOTIFIED THROUGH OUR PUBLIC ADDRESS o SYSTEM. THE WAREHOUSE AND SHOWROOM DOORS ARE UNLOCKED CLEARLY MARKED AND OPEN DURING BUSINESS HOURS FOR THE SAFE EVACUATION OF ALL PEOPLE IN THE o i~/~i~ Public Notif./Evacuation ~~/~/~/~~/~/~/~/5~5 03/28/1991 i BECAUSE OF THE SMALL QUANTITIES WE CARRY, AND THE LARGE PROPERTY WE'RE ON, o WE DO NOT HAVE A PLAN FOR THE SURROUNDING. PUBLIC. o i~/Si~i~ Emergency Medical Plan/~/~~/~~/~/~~ 03/28/1991 i WE ARE APPROXIMATELY 1 MILE AWAY FROM MEMORIAL URGENT CARE CENTER. WE ARE o ALSO 3 BLOCKS AWAY FROM AN AMBULANCE DISPATCH CENTER. ANY INJURY WOULD BE o TAKEN DIRECTLY TO THE URGENT CARE CENTER OR THE AMBULANCE CALLED. o -5- 07/24/2000 STOCKDALE CERAMIC TILE CENTER INC ~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Fast Format Mitigation/Prevent/Abatemt i~ Release Prevention ~~~~~~~ 03/28/1991 ALL EMPLOYEES HAVE BEEN T~INED TO HANDLE THESE 1 GALLON CONTAINERS WITH CAUTIN AND KNOW WHAT TO DO WHEN AND IF A SPILL OCCURS. THEY ALSO KNOW HOW AND WHERE TO STORE THESE DIFFERENT MATE~ALS. o i~ Release Contaiment EACH MATE~AL HAS THEIR OWN SAFE SPOT IN THE WAREHOUSE AND ARE IN SMALL CONTAINERS AND QUANTITIES. THERE ARE NEVER ANY OPEN CONTAINERS AND ARE FACTORY SEALED. i~ Clean Up ~fi~~~O~~¢~~fi~ 03/28/1991 O THERE IS A MOP AND BUC~T WITHIN A 20 YARD ~DIUS FROM EACH MATE~AL THAT IS READY TO USE AT ALL TIMES. o O i~e~ Other Resource Activation -6- 07/24/2000 STOCKDALE CERAMIC TILE CENTER INC ~/~/~/~/~/~/~ SiteID: 015-021-000039 i Site Emergency Factors ~~~~~~ Overall Site i i~ Special Hazards o O i~ Utility Shut-Offs ~~~~~~~ 07/18/1991 o A) GAS - NORTHEAST CORNER OF BUILDING B) ELECT~CAL - NORTHEAST CORNER OF WAREHOUSE o C) WATER - NORTHEAST CORNER OF LOT - BY MAILBOX D) SPECIAL - NONE o E) LOCK BOX - NO o O i~ Fire Protec./Avail :-Water-~~~-~'~'~~'~- 07718/199'1- i o P~VATE FIRE PROTECTION - ENTIRE BUILDING HAS A SP~N~ER SYSTEM PER FIRE & o CITY CODES. THERE ARE ALSO FIRE EXTINGUISHERS THROUGHOUT THE BUILDING THAT ARE CLEARLY MA~D PER THE FIRE DEPARTMENT. o O o o FI~ HYD~NT - NORTHEAST CORNER OF PROPERTY - ~GHT IN FRONT OF OUR BUILDING o i~ Building Occupancy Level ~~~~~ 07/18/1991 o o 07/24/2000 STOCKDALE CERAMIC TILE CENTER INC Trai~ng ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 03/28/1991 o WE HAVE 9 EMPLOYEES AT THIS FACILITY o o WE HAVE MATE~AL SAFETY DATA SHEETS ON FILE o o BRIEF SUMMARY OF T~INING: EVERY EMPLOYEE KNOWS WHERE THE MATE~AL SAFETY o DATA SHEETS ARE. WE ALL ~OW WHAT TO DO IN THE EVENT OF A SPILL, WHICH HAS o NEVER HAPPENED. THE SPILL IS TO BE CLEANED UP IMMEDIATELY, AND BY USING THE o PROPER METHODS. THE ACCIDENT IS TO BE REPORTED AND EVERYONE IN THE BUILDING o o i~e Held for Fumre Use O O ie~ Held for Fumre Use -8- 07/24/2000 General Information [By_ Location: 6301 DISTRICT BLVD Map:123 Haz:l Type: 3 City : BAKERSFIELD Grid: 15C F/U: 1 AOV: 0.0 Contact Name Title --Contact Name Title WILLIAM L. RAY / PRESIDENT ANTHONY F. MARION / VICE PRESIDENT Business Phone: (805) 398-6000x Business Phone: (805) 398-6000x 24-Hour Phone : (805) 588-9120x 24-Hour Phone : (805) 589-3704x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 6301 DISTRICT BLVD D&B Number: 77-014-5848 City: BAKERSFIELD State: CA Zip: 93313- Comm. Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 5211 Owner: W~LLIAM L. RAY Phone: (805) 398-6000 Address: 6301 DISTRICT BLVD State: CA City: BAKERSFIELD Zip: 93313- Summary 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref ~Name/Hazards Form Max Qty MCP 02-002 ACRYLIC~4000 MASTIC Solid 4800 Low · Immed Hlth LBS 02-006 PLASTIC PORTLAND CEMENT Solid 2000 Low · Immed Hlth, Delay Hlth LBS 02-001 TYPE S HYDRATED LIME Solid 2500 Minimal · Immed Hlth LBS 02-003 DRY WHITE TILE GROUT Solid 3000 Minimal · Immed Hlth, Delay Hlth LBS 02-004 POLYBLEND GROUT Solid 25000 Minimal · Immed Hlth, Delay Hlth LBS 02-005 FLEXBOND THINSET Solid 50000 Minimal · Immed Hlth, Delay Hlth LBS 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-002 ACRYLIC 4000 MASTIC Solid 4800 Low · Immed Hlth LBS CAS #: 107-21-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADHESIVE Daily Max LBS I Daily Average LBS I Annual Amount LBS 4,800 ~ 2,800.00 29,000.00 Storage Press T Temp~ Location PLASTIC CONTAINER Ambient~AmbientlNW CORNER OF WAREHOUSE & SE -- Conc ~ Components MCP ---~uide 2.1%IEthylene Glycol Low ! 27 50.0% Calcium Carbonate Minimal I 7 02-006 ~PLASTIC PORTLAND CEMENT Solid 2000 Low · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBSI Daily Average LBS I Annual Amount LBS 2,000 ~ 1,000.00 25,000.00 StorageIIPress T Temp Location BAG IAmbientlAmbientlNE SIDE OF WAREHOUSE -- Conc I Components I MCP ---~uide 21.7%ISilic°n Dioxide IMinimal I 7 62.9% Calcium Oxide ILow ! 60 02-001 TYPE S HYDRATED LIME Solid 2500 Minimal · Immed Hlth LBS CAS #: 1305-62-0 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: FORMULATION/MANUFACTURING Daily Max LBS I Daily Average LBS [ Annual Amount LBS m 2,500 ~ 2,000.00 20,000.00 Storage Press T TempI Location BAG Ambient IAmbient I NEAR DOOR NE CORNER OF WAREHOUSE -- Conc ~ Components I MCP ---~uide 50.0%~ Hydrated Lime I Low ~ 7 5.0%~Limestone Minimal I 7 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 DRY WHITE TILE GROUT Solid 3000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1317-65-3 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS I Daily Average LBS I Annual Amount LBS ~, 3,000 ~ 2,500.00 40,000.00 Storage~~Press T Temp Location BAG IAmbientlAmbientlNE CORNER OF WAREHOUSE -- ConcI Components I MCP ---FGuide 65.0% iPortland Cement Low ~ 26 30.0%ICalcium Carbonate IMinimal I 7 02-004 POLYBLEND GROUT Solid 25000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBSI Daily Average LBS [ Annual Amount LBS 25,000 i 25,000.00 300,000.00 StorageIIPress T Temp Location BAG IAmbientlAmbientlNW SIDE OF WAREHOUSE -- ConcI Components I MCP ---~uide 65.0% iSilicon DioxideIMinimal I 7 35.0%IPortland Cement Low ! 26 02-005 ~FLEXBOND THINSET Solid 50000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADHESIVE Daily Max LBS I Daily Average LBS I Annual Amount LBS 50,000 i 30,000.00 375,000.00 Storage Press T Temp Location BAG IAmbient IAmbientlSE CORNER OF WAREHOUSE --Conc] Components I MCP ---~uide 45.0% Silicon Dioxide Minimal I 7 45.0% Portland Cement Low ~ 26 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification IN MOST CASES, BECAUSE MOST OF OUR MATERIALS ARE IN 1 GALLON BUCKETS, A SPILL WOULD BE CLEANED UP BY THE WAREHOUSEMENT AND THE OWNERS NOTIFIED. IF A LARGER SPILL SHOULD OCCUR, THE FIRE DEPARTMENT WILL BE CALLED, AND EVERYONE IN THE BUILDING NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. <2> Employee Notif./Evacuation ALL THE PEOPLE IN THE BUILDING ARE NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. THE WAREHOUSE AND SHOWROOM DOORS ARE UNLOCKED CLEARLY MARKED AND OPEN DURING BUSINESS HOURS FOR THE SAFE EVACUATION OF ALL PEOPLE IN THE BUILDING. <3> Public Notif./Evacuation BECAUSE OF THE SMALL QUANTITIES WE CARRY, AND THE LARGE PROPERTY WE'RE ON, WE DO NOT HAVE A PLAN FOR THE SURROUNDING PUBLIC. <4> Emergency Medical Plan WE ARE APPROXIMATELY 1 MILE AWAY FROM MEMORIAL URGENT CARE CENTER. WE ARE ALSO 3 BLOCKS AWAY FROM AN AMBULANCE DISPATCH CENTER. ANY INJURY WOULD BE TAKEN DIRECTLY TO THE URGENT CARE CENTER OR THE AMBULANCE CALLED. 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL EMPLOYEES HAVE BEEN TRAINED TO HANDLE THESE 1 GALLON CONTAINERS WITH CAUTIN AND KNOW WHAT TO DO WHEN AND IF A SPILL OCCURS. THEY ALSO KNOW HOW AND WHERE TO STORE THESE DIFFERENT MATERIALS. <2> Release Cont~inment EACH MATERIAL HAS THEIR OWN SAFE SPOT IN THE WAREHOUSE AND ARE IN SMALL CONTAINERS AND QUANTITIES. THERE ARE NEVER ANY OPEN CONTAINERS AND ARE FACTORY SEALED. <3> Clean Up THERE IS A MOP AND BUCKET WITHIN A 20 YARD RADIUS FROM EACH MATERIAL THAT IS READY TO USE AT ALL TIMES. <4> Other Resource Activation 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF WAREHOUSE C) WATER - NORTHEAST CORNER OF LOT - BY MAILBOX D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ENTIRE BUILDING HAS A SPRINKLER SYSTEM PER FIRE & CITY CODES. THERE ARE ALSO FIRE EXTINGUISHERS THROUGHOUT THE BUILDING THAT ARE CLEARLY MARKED PER THE FIRE DEPARTMENT. FIRE HYDRANT - NORTHEAST CORNER OF PROPERTY-- RIGHT IN FRONT OF OUR BUILDING <4> Building Occupancy Level B-2 01/11/96 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 00 - Overall Site <G> Training <1> Employee Training WE HAVE 9 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EVERY EMPLOYEE KNOWS WHERE THE MATERIAL SAFETY DATA SHEETS ARE. WE ALL KNOW WHAT TO DO IN THE EVENT OF A SPILL, WHICH HAS NEVER HAPPENED. THE SPILL IS TO BE CLEANED UP IMMEDIATELY, AND BY USING THE PROPER METHODS. THE ACCIDENT IS TO BE REPORTED AND EVERYONE IN THE BUILDING NOTIFIED. <2> Page 2 <3> Held for Future Use <4> Held for Future Use 08/18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 1 Overall Site with 1 Fac~ Unit General Information LoCation: 6301 DISTRICT BLVD Map: 123 Hazard: Minimal Community: BAKERSFIELD STATION 09 Grid: 15C F/U: 1 AOV: 0.0 24 -Ho~~- Contact Name Title Business Phone ~ WILLIAM L. RAY PRESIDENT (805) 398-6000 x (805) ~ ANTHONY F ' MARION VICE PRESIDENT (805) 398-6000 x (805) ~ ~-~ Administrative Data 7'L~ ~ Mail Addrs:' 6301 DISTRICT BLVD D&B Number: 77-014-5848 City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 2'15-009 BAKERSFIELD STATION 09 SIC Code: 5211 Owner: WILLIAM L. RAY Phone: (805) 398-6000 Address: 6301 DISTRICT BLVD State: CA City: BAKERSFIELD Zip: 93313- Summary RECEIVED SEP 2 2 1992 HA7.. 1~4a.T. DIV. 08~18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 TYPE S HYDRATED LIME Solid 2500 Minimal · Immed Hlth LBS CAS #: 1305-62-0 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: FORMULATION/MANUFACTURING Daily Max LBS I Daily Average LBS I Annual Amount LBS -- 2,500 I 2,000.00 20,000.00 Storage IIPress T Temp Location BAG Iambient]AmbientlNEaR DOOR NE CORNER OF WAREHOUSE - Conc Components MCP List 50'0% IHydrated Lime IL°w I 5.0% Limestone Minimal 02-002 ACRYLIC 4000 MASTIC Solid 4800 Low · Immed Hlth LBS CAS #: 107-21-1 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADHESIVE Daily Max LBS I Daily Average LBS I Annual Amount LBS 4,800 i 2,800.00 29,000.00 Storage Press T Temp I "Location PLASTIC CONTAINER AmbientlAmbientINW CORNER OF WAREHOUSE & SE -- ConcI Components MCP iList 2.1% iEthylene Glycol Low I 50.0%ICalcium Carbonate Minimal 02-003 DRY WHITE TILE GROUT Solid 3000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1317-65-3 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBSI Daily Average LBS I Annual Amount LBS 3,000 i 2,500.00 40,000.00 StorageIIPress T Temp Location BAG IambientlAmbientlNE CORNER OF WAREHOUSE - ConcI Components I MCP ---~List 65.0% IPortland Cement ILow ~ 30.0%ICalcium Carbonate IMinimal I 08/18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-004 POLYBLEND GROUT Solid 25000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form: Solid Type: Mixture Days: 365, Use: OTHER Daily Max LBS Daily Average LBS Annual Amount LBS 25,000 I 25,000.00 I 300,000.00 Storage Press T TempI Location BAG Ambient|AmbientlNW SIDE OF WAREHOUSE --ConsI Components i MCP iList 65.0% Silicon Dioxide IMinimal 35.0% Portland Cement 02-005 FLEXBOND THINSET Solid 50000 Minimal · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: ADHESIVE Daily Max LBSI Daily Average LBS ----~ Annual Amount LBS -- 50,000 ~ 30,000.00 375,000.00 Storage Press T TempI Location BAG Ambient~AmbientlSE CORNER OF WAREHOUSE -- ConcI Components I MCP -~List 45.0% iSilicon DioxideIMinimal I 45.0%IPortland Cement Low ~ 02-006' PLASTIC PORTLAND CEMENT Solid 2000 Low · Immed Hlth, Delay Hlth LBS CAS #: 1480-86-7 Trade Secret: No Form:Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS Daily Average LBS I Annual Amount LBS 2,000 I 1,000.00 25,000.00 Storage[[Press T Temp Location BAG IAmbientlAmbientlNE SIDE OF WAREHOUSE -- Conc~ Components I MCP ---/List 21.7% ISilicon Dioxide 62.9%ICalcium Oxide 08½18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 4 O0 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification IN MOST CASES, BECAUSE MOST OF OUR MATERIALS ARE IN 1 GALLON BUCKETSl A SPILL WOULD BE CLEANED UP BY THE WAREHOUSEMENT AND THE OWNERS NOTIFIED. IF A LARGER SPILL SHOULD OCCUR, THE FIRE DEPARTMENT WILL BE CALLED, AND EVERYONE IN THE BUILDING NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. <2> Employee Notif./Evacuation ALL THE PEOPLE IN THE BUILDING ARE NOTIFIED THROUGH OUR PUBLIC ADDRESS SYSTEM. THE WAREHOUSE AND SHOWROOM.DOORS ARE UNLOCKED CLEARLY MARKED AND OPEN DURING BUSINESS HOURS FOR THE SAFE EVACUATION OF ALL PEOPLE IN THE BUILDING. <3> Public Notif./Evacuation BECAUSE OF THE.SMALL QUANTITIES WE CARRY, AND THE LARGE PROPERTY WE'RE oN, WE DO NOT HAVE A PLAN FOR THE SURROUNDING PUBLIC. <4> Emergency Medical Plan WE ARE APPROXIMATELY 1 MILE AWAY FROM MEMORIAL URGENT CARE CENTER. WE ARE ALSO 3 BLOCKS AWAY FROM AN AMBULANCE DISPATCH CENTER. ANY INJURY WOULD BE TAKEN DIRECTLY TO THE URGENT CARE CENTER OR THE AMBULANCE CALLED. 08/18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 5 00 - Overall Site <E> Mitigati°n/Prevent/Abatemt <1> Release Prevention ALL EMPLOYEES HAVE BEEN TRAINED TO HANDLE THESE 1 GALLON CONTAINERS WITH CAUTIN AND KNOW WHAT TO DO WHEN AND IF A SPILL OCCURS.. THEY ALSO KNOW HOW AND WHERE TO STORE THESE DIFFERENT MATERIALS. <2> Release Containment EACH MATERIAL HAS THEIR OWN SAFE SPOT IN THE WAREHOUSE AND ARE IN SMALL CONTAINERS ANDQUANTITIES. THERE ARE NEVER ANY OPEN CONTAINERS AND ARE FACTORY SEALED. <3> Clean Up THERE IS A MOP'AND BUCKET WITHIN A 20 YARD RADIUS FROM EACH MATERIAL THAT IS READY TO USE AT ALL TIMES. <4> Other Resource Activation 08/18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 6 00 - Overall Site ' <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHEAST CORNER OF BUILDING B) ELECTRICAL - NORTHEAST CORNER OF WAREHOUSE C) WATER - NORTHEAST CORNER OF LOT - BY MAILBOX D) sPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ENTIRE BUILDING HAS A SPRINKLER SYSTEM PER FIRE & CITY CODES. THERE ARE ALSO FIRE EXTINGUISHERS THROUGHOUT THE BUILDING THAT ARE CLEARLY MARKED PER THEjFIRE DEPARTMENT. FIRE HYDRANT - NORTHEAST CORNER OF PROPERTY - RIGHT IN FRONT OF OUR BUILDING <4> Building Occupancy Level B-2 08/18/92 STOCKDALE CERAMIC TILE CENTER INC 215-000-000039 Page 7 ~ 00 - Overall Site <G> Training <1> Page 1 WE HAVE 9 EMPLOYEEs AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE - BRI-EF--suMMARy OF TRAINING: EVERY--EMPLOYEE KNOWS--WHERE'THE MATERfAL'SAFE~Y DATA SHEETS ARE. WE ALL KNOW WHAT TO DO IN THE EVENT OF A SPILL, WHICH HAS NEVER HAPPENED. THE SPILL IS TO BE CLEANED UP IMMEDIATELY, AND BY USING THE PROPER METHODS. 'THE ACCIDENT IS TO BE REPORTED AND EVERYONE IN THE BUILDING NOTIFIED. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~' ~ Bakersfield Fire Dept. Hazardous Materials Division RECEIVED 2130 "G" Street - B~kersfield, CA. 93301 HAZ. MAT. DIV. HAZARDOUS MATERIALS MANAGEMENT PLA~/.~ ~ ~_. 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. (k,~.4~~ . 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1' BUSINESS IDENTIFICATION DATA MAILING ADDRESS: DUN · BRADSTREET NUMBER: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE FD15o, Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ~5~¢TJON 3: TRAINING: NUMBER OF fiMPLOYESS: ~ MATERIAL SAFETY DATA SHEETS ON FILE: ~ BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE 'DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. · OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: CERTIFY THAT THE ABOVE INFOR- MATION 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 CONSTITUT/~~PERJURY. L./ I~ -~,.~, -~ ,, ~ 'f lV~ ~ ~ SlGNATUR~ TITLE DATE 2. FD150,' Bakersfield Fire Dept.~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. PREVENTIO STEPS: .... B. RELEASE CONTAINMENT AND/OR MINIMI~TION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' SPECIAL: LOCK BOX: YES~--------~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION:~.4~,,~.__ CITY of BAKERSFIELD Farm and,A, gt-i~lture' [-] Standard Business I~iHAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS PaDe ___j C~) .... .;. ;~ . ~:~'-~r'~_,+ -m---~ ~ S: ~ "'~ ~ ~ STANDARD IND. CLASS CODEr ................. ~,~ ~P:~~¢~ ~.~ CITY. ZIP:~~-~ I~ .~ ~o~ DUN AND BRADSTREET NUMBER ................... frans lyre Hax Average Annual H~a~re I ~ont ~ont ~ont ~e tocltion. Uhere. Code coae Aat Xac Est un,cs on e ype ress Storeo In faCility ~e~,[q~tructtons ~hysical(check allandtha[~ealthapplyj~azard C,A,~. Humber . ~ ,.~~ Coeponent II Name I C.A.S. Number ~ ~--O~ ~~ ~ Fire Hazard ~ Reactivity ~ 0elayedHealth ~ Suddenof PressureRelease ~mediateHealth Component 12 Name I C.A,S. Number ~ Component f3 Name I C.k.S. Number ~ /~ Physical 8~d Health Palard C.A.S. Number Component II Nlme ~ C.A,S. Num~~ ¢~5 . - (Check 4/l ~h~t Apply) IO7 ~/ / D Fire Hazard ~ ReacLivity ~ Delayed D Sudden Release ~m[?~)~C°mp°n°nt Nlme I C.A.S, Number Health of Pressure,,~,,,,, -~ ~'~ Component 13 Name I C.A.S. Number Physical 8nd ~ealth ~8Iard C,A,S. Number Componen[ II Name I C,A,S. Number ~l)ph~ ~re Hazard ~ Reactivi,y,,,o ,,,~'~ ~ Suddeno, PressureRelease ~¢~ Component ,2 Name I C,A.S, Number __~._.. ' Componeng 13 Name I C,A,S, Number ~.1~/~ Physicallcheck a/ilPdthat'Healthapp/ylUai8rd C.A.S. Number. ~~ - ~-~ Component II Name. I C.A,S. Number ~/~--~ ...... ... EMERGENCY CONTACTS ~1 ~2 ~me T~[le ~i fir Phone" ~e Ti['Te 2~T~--' erCi[i~[ioq (Re~ ~.n~. ~ fgn after comp 7~C iDg .~ 1 1 sec~ ipn~) a[~aqpf~.o~q~men[~,, an0,cp~ cased on.my inqu~ry~.cnose lnalvl~ua/s responsible tor obLalnin9 [he Information, ] believe that the, > CITY of BAKERSFIELD _ _HAZARDOUS MATERIALS INVENTORY Farm a~i, culture U Standard Business ~[' NON TRADE SECRETS __. t 2 3 4 5 6~ [~[ 8 ~ I0 II I; Tr~ns ~y~e ,ax Average ~nnual Heasure I ~oflL ~ont ~onL Us Loc{tiofl.vhece; l~y Hames of ~i~Lure/C~ponenL~ Code ~ooe ~BL Am~ Est Units Off e /ype Pres5 /emp Co~eStored Iff ~aC~l~L~ ' See instructions ;Physical an~ ~eo]Lh Hazard C.A.S. Humber Component II Hame & C.~.S. Humber ~~~ ' (Chec~ ail that apply) 0 Fire Hazard 0 Reactivitr 0 Delayed ~ Sudden Release ~ediate Component 12 Name I C.A.S, Number Health of Pressure Health Componen: 13 Name ~ C.A.S. Number Physical and Health Hazard C.A.S. Number CEmponenL II Name & C.A.S. Number (Check ali that apply} ~ Fire Hazard 0 Reactivity 0 Delayed ~ Sudden Release ~i~c°mpgn'nt t~ Name I c'A'S' Humber Health of Pressure ' Component 13 Name I C,A.S. Number " Physical and Health ~8Tard C.A.S. Humber Component II Name i C.A.S, Humber (Check all that applyJ ///~ Hem [th of Pressure HeaIcn Physical end Health Hazard C.A.S. Humber. ComponenL~e i C.A,S. Number ~Check 411 that apply) ~ Fire Hazard ~ Reactivity ~ Sudden Release ,~ EHERGENCY CONTACTS aLLa~ned.d0cgments, 8no ~Ba~ based on.my lnqulr~ Qr. Lnose IflolYIOU8/S responsible Tot obL8lfl~n9 the iflTorBa~lofl, I believe Lha~ the ~~ttle of o~ner/oOer~tor u~ o~ner/operator's authorized reoresentaLive ~ture CITY of BAKERSFIELD I:arB and A,~icuiture I1 Standard Business''~HAZARDoUS HAT'ER TA L-S TNVENTORY -- NON--TRADE SECRETS BUSINESS NAME: OWNER NAME: NAME OF THIS FACILITY: LOCATION; ADDRESS; STANDARD IND. CLASS CODE: CITY. ZIPi CITY. ZIP: DUN AND BRADSTREEI NUMBER ~ PO ~' - - .. RHONE fl: R~ ~O~TRUCnDNS kUH 'PRDP~ CODES ---- -- Physical an~,ealth Hazard C.A.S. Number Component Ii Name I C.A.a. Number {Chec~ all ~hat applyl ~ ~ ~~ ~ FireHazard ~Reac~ivi~, ~:~ ~ SuddenEeleaseo, Pressure ~i~°'P°nent'2 ,,,,i¢.A.S.,umber Component 13 Name I C.A.a. Number i ~CheckPhysicala/landchatHealthapp/llUa~ard C.A.a. Number C~mponen~ II Name I C.A.a. Number ~ ~ire Hazard ~ Reactivitl ~ Sudden Release Component I~ Name I C.A.a, Number ~ - of Pressure Component 13 Name I C,A.S. Number Physical and Health Hazard C.A.S. Number Component Il ~~~ ICheck HI that apply) ' Componen[ 13 Name I C.A.S. Number PhysicallCheck ~ll~ndchatHeHChapplHUalard C,A,S, HuLber. Component II N~I I C,A,S, Number ~, . of Pressure Component I~ Naae I C,A,S, Nuaber ~ I~ ...... ~:i EMERGENCY CONTACTS fl l~e Tl[le ~4 hr Phone Name TILT~ t ~ Cer~ifi~tioq ,(Re~ ~.n~.~ign after compl~ti~g,all sec~i~n~) I certify under penalt~ o~a~ tnqt lnavepe[sonqly, examlfl~Hqole tamilta[vitb the Into[marion ~ubaittfd in this and ali at~ached.d~cvment~, lnO t~a: oaseo on.my Inquiry ~r. cnose lnolvlouafs responsible tot obtAlfl~fi9 the IArOreaClOn. I believe tha: the ' suomltteo 1AiormaClOfl lS true, Accurate, eno comp/eLm. ~~ltle of C~ner/oo~tat0r Ue 'owner/o0erstor's authorized reoresentative Signature CITY of BAKERSFIELD HAZARDOUS HATERTALS INVENTORY ICar~ and,.~;A¢iculture [-] Standard Business r] NON--TRADE SECRETS BUSINESS NAME: OWNER NAME: NAME OF THIS FACILIIY: LOCATION; ClTY~ ZIP: DUN AND BRADSTREE~ NUMBER CITY. ~P: ADDRESS: STANDARD IND. CLASS CODE: PO ~' - - - - PHONE R~ ~O~STRU~ON3 koH 'HROP~ CODES lrans tyre ~ax Average Annual Heas~re I ~on[ ~ont ~ontColeUs toc~tion.~he[e? ~hysic~llcheck allSn~thaL~ealthapplylHazard C.A.S. Number Componen[ II NAm~ I C.LS. Number' i~ Component 13 ~aaa I C.A.S, ~uaber }~ ~ Physical and Health Hazard C,A.S. Number C~mponent II Name I C.l,S. ~.ber ICheck all that apply) Hazard '0 Reactivity 0 Delayed 0 Sudden Release diate CompoAent I~ Name i C.A.S, Number Hem/th of Pressur~ Hem Component 13 Name I C.A.S, Number -~/ Physical and Heal[h Hazard C.X.5. Number Component II Name I C.A,S. Number (Check ali that appl~) O Fire Hazard 0 Reactivity ~t~ 0 Suddeno, Pressure Release ~i~ Component 12 Name, C.A.S. Number (Check ali that app/yl ! I EHERGENCY CONTACTS ~1 ~e Title 24 Hr P~oAe Name TItTe erli[igtioq ,(Re~ ~,n~.~ign af~pr comp1~ti(tg.a11 sec~on~) cerclTy under penalc~ ol~a~ cnqc I navepeEsonallY, exaaln~oeqolm tamillaf. 1it~ the Inloreatlon ~u~mitted in this tad all at~a;hed.dOcveent~, Ami tpAc oasee on.my inquiry ~Ltnose InDIviDuals responsible Tot obtaining the In~ormatlOn. I believe that the submitted inlorea:lofl Is true, accurate, and g~~la) title of o'¢ner/o~erator u, o~ner/ooerator's authorized reoresen[ative CITY of BAKERSFIELD HAZARDOUS MAT ER'~ALS INVENTORY car~iculture I1 Standard Business [] NON--TRADE SECRETS PaDe.._~__._ of~_._ BUSINESS NAME: OWNER NAME: NAME OF THIS FACILITY: LOCATION; ADDRESS; STANDARD IND. CLASS CODE~ ............. __, CITY. ZIPT CITY. ZIP: DUN AND BRADSTREE] NUMBER ...... - ...... . lrans [yqe ~ax Average Annual ~eas~re I ~onL ~ont ~onL ~e toqtjon.~he[e. Code CBOe Aa~ A~ ESL Units on e ~ype ~ress /emp Stereo In tacHl~y See Instructions Physical an~Hellth Hazard C.A.a. ~umber Coaponen~ II ~l~~ ~ Health of Pressure Health : - ' Componen~ 13 Name I C.A.S. Number Physictl lpd Health Ualard C.l.5. Number C~mponent II Nlme I C,l.S. Number (Check 4// Chat app/~l ComponenL It NI,e I C.A.5. Number D Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lmqpdi~e Health of Pressure Health Component 13 Nlml I C.A.S. Number Physical and Health Hazard C.A.S. Number Compon~n~ II Name I C.A,S, Number (Check 811 ~ha& apply) Componenk 12 Name I C.A.S. Number ~ Fire Hazard ~ ReacCiyi&~ ~ Delayed ~ Sudeen Release ~ Immediate Health of Pressure Health Componen~ 13 Name I C.A.S, Number Physical and Health Hazard C,A.S. Humber. Component II Name I C.A,S, Number ICheck Ali Cha~ appl~) Componen~ I~ NAme i C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Deiayed ~ Sudden Release ~ Hem/Ch - of Pressure C?p°nen~.l~-.Na~e ! C.A.S. Number EMERGENCY CONTACTS Certifi~atioq ,(Re~d an¢.~ign ar¢ r comm7 ci(]g..77 sec ipn ) ' I certify under pena~tv ol~a~ thqt J navepe[sonalty, examlnq~Qqo lB Tami llaf. Vitb the/ntormation ~u~eitt~d ia this.end all at~ached.dOc~mentF, eno t~a: oaseo OA.my Inquiry 9r.cnose iflolvioua/s responsible tor obtaining the Information. I believe that the suomltCeo information IS true, accurate, eno complete. ~~fi~iaJ citie of ~vner/o~erator u~ o~fler/operAtor's Authorized representative 5~9naCur'e P~T~ .... .~[,.x[e. ~als wlV1SIOll BUSINESS NAME LOCATION O~/ STATUS CF HAZ MAT REOULATIONS I. ~ Required to comclete c Hazardous Materials ~'/'8usine~ Plan ' ~ Hczcrdous Mctericls 8usine~ Plcn Compiete II, ~ Ris~ Mcncgemem ~Risk Mcncgement & ?revention ProDrcm ReGuiremems cre being met - OK to ;,~ue Cermit ~ Risk Mcncgemem cnc Preventicn Progrcm ~cs been cpproved. OK to i%ue Certificcte of Cccupcncy, 111. l--] No Hazardous Material Requirements. IV. ['-1 All Hazardous Moteric!s Reporting Requirements Complete, Comments: Hazardous Materials DivisOR Date FD 1655 Rev 1/90 Bakersfield Fire t. Hazardous Materials D ion RECEIVED HAZARDOUS MATERIALS COMPLIANCE STATEMENT JAN ! 2 1990 (To be completed by Building Permit Applicant and/or Site Plan Review Applicant) ~ HA7_. MAT. DIV, PLEASE READ ALL OF THE INF(:)~I~AT-"-"-ON CAREFULLY. FAILURE TO COMPLY WITH THE HAZARDOUS MATERIALS REGULATIONS MAY RESULT IN CIVIL LIABILITIES OF UP TO $2000,00 FOR EACH DAY IN WHICH THE VIOLATION OCCURS. YES NO Will the Applicant or future building occupant be required to complete a Hazardous Materials Business Plan? (NOTE) If you handle, store, use or dispose of, reportable quantities of any hazardous substance, you are required by California Law to complete a Hazardous Materials Business Plan. Forms can be obtained from the Bakersfield Fire Department, Hazardous Materials Division, 2130 G' Street. Typical every day hazardous materials you may find in your facilities may include, but not limited to: compressed gases; fuels - all types; solvents; oils (new and waste)j thinners; caustic or corrosive materials; poisonous or toxic materials; and radioactive materials. Will the applicant or future building occupant be required to complete a Risk Manage- YES NO ment and Prevention Program? r'-I [--I (NOTE) If you handle, store, use or dispose of reportable quantities of any extremely hazardous substance you must develop a Risk Management and Prevention Program. THiS PLAN MUST BE APPROVED BY THE LOCAL ADMINISTERING AGENCY BEFORE YOU COMMENCE OPERATIONS AT THIS FACILITY. The list ofregulated chemicals is contained in Appendix A of part 355 of Subchapter J of Chapter I of Title 40 of the Code of Federal Regulations. This list of chemicals isavailable at the Bakersfield Fire Department, Hazardous Materials Division, 2130 G Street. Will the applicant or furture building occupant be required to obtain a permit from the YES NO Kern County Air Polution Control District? [~1 r-] Location within 1,000 feet of outer boundry of the following: YES NO School -(any school, public or private used for the purposes of education of I-~ r'-] children Kindergarten or any of grade 1 to 12, inclusive) Hospital- Long Term Care Facility - Check here if none of the above apply to this project. I'-'1 Sig (O~l~le or Ofhcer of Bus~ness) Date: FD 1654 ' akersfield Fire Dep ardous Materials Division HAZARDOUS MATERIALS INFORMATION GUIDE The following are guidelines to help the building permit applicant determine whether they will need to comply with the hazardous materials reporting requirements of Chapter 6.95 of the California Health and Safety Code. Chapter 6.95 requires businesses that handle hazardous materials, at the California Threshold Reporting Quantities, file a "Hazardous Materials Response Business Plan and Inventory" with the Local Administering Agency, which is the City of Bakersfield Fire Department, Hazardous Materials Division, 2130 G Street, (805) 326-3979. Businesses that handle "Acutely Hazardous Materials" must also file an "Acutely Hazardous Materials Registration Form" and complete a "Risk Management and Prevention Program".. The California Government Code Section 65850.2 prohibits a city or county from issuing a final certificate of occupancy unless these reporting requirements are being or have been met. Please read the statement below to determine if any of the materials handled by your business or by a future occupant of your site, fall under the hazardous materials reporting requirements. PLEASE INDICATE WITH A CHECK IN THE "YES" BOX ON THE BUILDING PERMIT APPLICATION IF THE APPLICANT OR FUTURE BUILDING OCCUPANT WILL HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL: A. In a quantity at any one time equal to or greater thon a total weight of 500 pounds or a total volume of 55 gallon~, or 200 cubic feet at standard temperature and pressure for compressed gas. (See Appendix I for Hazardous Material definitions.) B. Or any quantity of the Acutely Hazordous Materials listed in Vol 52 No. 77 of the Federal Register (List available at the Hazardous Materials Division Office, 2130 G Street.) *NOTE: A mixture that contains one percent (1%) or more of a hazardous ingredient is a hazardous material. A mixture that contains one tenth of one percent (0.1%) or more of a carcinogen is a hazardous material. If your proposed business is going to handle any acutely hazardous material or will be within 1000 feet of the outer boundary of a school, you may be required to complete and implement a Risk Management and Prevention Program as per Section 65850.2 of the California State Government Code. A school is defined in the Health and Safety Code, Section 42301.9(a), as any school used for the purposes of education of children in kindergarten or any of grades I to 12 inclusive. IF FUTURE OCCUPANT I$ UNKNOWN AT THIS TIME THE FACT THAT THE BUILDING FOR WHICH THIS PERMIT IS BEING APPLIED DOES NOT HAVE A TENANT AT THIS TIME, DOES NOT RELIEVE THE OWNER OR HIS AUTHORIZED AGENT FROM THE RESPONSIBILITY UNDER CALIFORNIA LAW TO INDICATE WHETHER FUTURE OCCUPANTS WILL NEED TO COMPLY WITH THE REPORTING REQUIREMENTS FOR THE HANDLING OF ANY HAZARDOUS MATERIALS. IF AT A LATER DATE YOU DETERMINE THAT A TENANT WILL BE HANDLING HAZARDOUS MATERIALS AS DESCRIBED IN THIS GUIDE SHEET YOU MUST INFORM THE CITY OF BAKERSFIELD, HAZARDOUS MATERIALS DIVISION AT (805) 326-3979. FD 1653