Loading...
HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE Thi~ permit is issued for the followin_.: ;I Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID#:: 015-000-001116 [] Risk Management Program ' BA K E RS F I E L D B L U E P RI N T [3 Hazardous Waste On-Site Treatment LOCATION: 3700 EASTON DR 12 ~IELD "~. ; i: 'OFFICE OF ENWRONMENTAL SER WCES 1715 Chester Ave., 3rd Floor Approved by: ~lp~Huey, D~~ Issue ~te Bakersfield, CA 93301 om~orE~o~i~~' r Voice (661) 326-3979 F~ (661) 326-0576 Expiation Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ..... ~,~,,,~,,~,~,~,~,,~,~,,, .............. This permit is issued for the following: · ~,??'?'??~?:;i?,ii::i;i;ii::i~:~:i:::i'~:i::;ili;:i~:ii ?i!i::~!~Hazardous Materials Plan ' .?*~ii!??:~,,i:.:!?,?~:~'~':'~'i i!}i:,,~ ~: iiL iiiill iii:;::::iii!iii~ i~Be[ground Storage of Hazardous Materials BAKE RS F I E L D B L U E P RI N T C O,,."~?:i, ..... ~'%?..~':"' =~?,',.....' ................. '--."-:.~.t':,,.:.,;?::?.;,;~,,..~:~,~::::::.::~, ~ji~ :. '~ ~.. -iili~ .:,~::.~::' sl ..... ..~,%1~" ~li~:' i!~: :~=.~.~ ...-,,: ..~; ' L ~::,. OCATION 3700 EASTON ~:""'"',,,. '~ %:::'"'-:~. · ~:'----.... :~. · ~.., j~r,,.-,,, ~. ~,,.-, .... Issu~ by: OFFICE OF EN~R O~AL S~ ~CEX ~ ~ph Huey~ 1715 Chewer Ave., 3rd Floor ~ Office of ~en~l S~i~ B~e~fiel~ CA 93301 Voice (805) F~ (80S)~26~s76 Expiration Date: ~~ ~O~ ~OOO MISCELLANEOUS RECEIVABLES ADJUSTMENT ADDRESS CHANGE CLOSE ACCT j · FINANCE CHARGE · OTHER ADJ MAILING ADDRESS ~'-~0(~) ~__~%~© ~ ~)('- ~"~~ ~ ~ SITE ADDRESS PARCEL NUMBER OF,APPLICABLE) ADJUSTMENT ~ CHG DATE CHAR~I= CODE ADJUSTMENT AMOUNT APPROVED BY Bakersfield Blueprint and Copy Jim Rascoe (805) 325-8155 3700 Easton Drive, Suite 12 (805) 325-8167 F~x Bakersfield, CA 93309 · [-~--~ Bakersfield ~ Blueprint [__~_,J~ and Copy Ed Armistead (805) 325-8155 3700 Easton Drive, Suite 12 (805) 325-8167 Fax Bakersfield, CA 93309 + BAKERSFIELD BLUEPRINTCT = SiteID: 015-02i-001116 + Manager : BusPhone: (661) 325-8155 Location: 3700 EASTON DR 12 Map : 102 CommHaz : Low City, : BAKERSFIELD Grid: 35A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:7334 EPA Numb: DunnBrad: ~-__--= Emergen'6y Contact / Title Emergency Contact / Title ED ARMISTEAD / OWNER JIM RASCOE / REPRO MANAGER Business Phone: (661) 325-8155x Business Phone: (661) 325-8155x 24-Hour Phone : (661) 665-2120x 24-Hour Phone : (661) 393-3631x Pager Phone : ( ) - x Pager Phone : ( ) - x I Hazmat Hazards: 'Fire Press ImmHlth I -' ]' -~6~f~~ .~ .... ~ .... ~ .................. '- ......................... Phone-:~(,661)~- -325-8155x ....... I · I MailAddr: 3700 EASTON DR 12 State: CA City : BAKERSFIELD Zip : 93309 Owner ED ARMISTEAD Phone: (661) 665-2120x Address : 9100 BROAD OAK State: CA City : BAKERSFIELD Zip : 93311 Period : to TotalASTs: -- Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No + + I Emergency Directives: += Hazmat Inventory - One Unified' List + +== Alphabetical Order Ail Materials at Site + + -+ ....... + ........... + ..... + .......... + .... +- - -+ I Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCPI + ................................ + ....... + ........... + ..... + .......... + .... +-- -+ AMMONIA E F P IH ' G 3360.00 FT3 Ext reviewed the ~j:;..?.,..:-:hed hazardous materials manage- ment w,~..:~,~ f'~'~ no mat it along ~ith any corrections constitute a complete and correct man- agement plan for. my facility. + - - ~onmture / + BA~RSFIELD BLUEPRINT C~ SiteID: 015-021-001116 + += Inventory Item 0001 Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME .... 4 + AMMONIA____ ~ ~ ~~ Days365 On Site Location within ~his Facility Unit Map: Grid: + -+ NEXT TO BLUEPRINT MACHINE CAS# += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE + IGas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER ~ ~ AMOUNTS AT THIS LOCATION == Larg~2t...3J~U~00c°nta~FT3 I DailY' ~T~--~T3Maximum-- I , Daily Average ~ t HAZARDOUS COMPONENTS -~===4 --- --~ -~00':60 ~mm0nia= -~ ............... Yes- , . 7664-41-7,- 4 t ...... : ............ +===4 -2- 02/20/2002 + BAKERSFIELD BLUEPRINT C~ SiteID: 015-021-001116 Fast Format + += Notif./Evacuation/Medicai - Overall Site +== Agency Notification 04/07/2000 CALL 911.' +=== Employee Notif./Evacuation 04/07/2000 I VERBAL AND CALL 911. 4 ..... Public Notif./Evacuation 04/07/2000 OUR BUSINESS IS LOCATED AT THE END OF A ROW OF OFFICES. IN THE EVENT OF A AMMONIA LEAK WE WOULD WALK DOWN ROW AND INFORM OFFICES OF LEAK. ALSO THE PUBLIC INSIDE AND EMPLOYEES WOULD BE INSTRUCTED TO EVACUATE THROUGH FRONT DO~R~OF BLDG.- ......... ~ .............. - ..... - ........... Emergency Medical Plan 04/07/2000 + IN CASE OF AN AMMONIA LEAK, ALL EMPLOYEES SHALL EXIT BLDG THROUGH EITHER OF 2 FRONT DOORS. OWNER OR REPRO MANAGER SHALL SHUT OFF ALL VALVES TO AMMONIA BOTTLE AND THEN ALSO LEAVE BLDG. IF ANY MEDICAL ASSISTANCE IS NECESSARY THE EMPLOYEE WOULD BE TAKEN TO MERCY HOSPITAL AT 2215 TRUXTUN AVE 327-3371. 3 02/20/2002 + BAKERSFIELD BLUEPRINT C~ SiteID: 015-021-001116 + Fast Format += Mitigation/Prevent/Abatemt Overall Site +== Release Prevention - 04/07/2000 ANHYDROUS AMMONIA CONTAINED IN A PRESURIZED SAFETY'CONTAINER (CYLINDER) AND PROPERLY USED WITH THE RIGHT VALVES AND FITTINGS. FOR MITIGATION WE WOULD TIGHTEN VALVE ON THE TOP OF AMMONIA CYLINDER. RELEASE VALVES HAVE BEEN ~INSTALLED AND NEW VALVING SYSTEM AS OF 5/1/95. +=== Release Containment 03/07/1996 WE WOULD KEEP ALL DOORS CLOSED AND FANS ON. NEW FAN UNITS HAVE BEEN + .... Clean Up -- 04/07/2000 wE~Wou~b CAL~-cLEANuP'~REW~ Other Resource Activation I 4 02/20/2002 + BAKERSFIELD BLUEPRINT C~ SiteID: 015-021-001116 + -- Fast Format += Site Emergency Factors -- Overall Site +== Special Hazards +=== Utility Shut-Offs 01/22/1990 A) GAS - NONE B) ELECTRICAL - BREAKER BOX BATHROOM BACK WALL OF OFFICE C) WATER - SHUTOFF UNDER SINK IN BATHROOM D) SPECIAL - AMMONIA AT TOP OF TANK E) LOCK BOX - NO + .... Fire Protec./Avail. Water 04/07/2000 PRIVATE FIRE-P~TkcTION-'i'FIRE EXTINGUISHER LOCATED'ON BOOKSHELF NEXT TO' - AMMONIA TANK FIRE HYDRANT - ON EASTON DR. Building Occupancy Level -5- 02/20/2002 + BAKERSFIELD BLUEPRINT ~ SiteID: 015-021-001116 + Fast Format += Training Overall Site +== Employee Training == 03/07/1996 WE HAVE 10 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE INDIVIDUALLY TRAINED ON WHAT ANHYDROUS AMMONIA IS AND WHAT TO DO IF AND WHEN WE HAVE AN EMERGENCY. +=== Page 2 +==~_Held for ~Fu~u~_.~Use ....... . . . . ~. __ + q Held for Future Use += 6 02/20/2002 BAKERSFIELD BLUEPRINT CO ~ SiteID: 215-000-001116 Manager : I ~APR 52000 ~usPhone: (805) 325-8155 Location: 3700 EASTON DR 12 I~ ' Nap : 102 CommHaz : Low City : BAKERSFIELD ~.¥~.'~ __ ~rid: 35A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: 7334 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ED ARMISTEAD ~// OWNER JIM RASCOE / REPRO MANAGER Business Phone: (~5~ 325-8155x Business Phone: (805) 325-8155x 24-Hour Phone : (.8~ 665-2120x 24-Hour Phone : (805) 393-3631x Pager Phone : (~/) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: ( ) - x MailAddr: 3700 EASTON #12 DR State: CA City : BAKERSFIELD Zip : 93309 Owner ED ARMISTEAD Phone: (805) 665-2120x Address : ~2!~ T~BERSPIRE ~T ~/~ ~O~r~ ~/n~ State: CA City : BAKERSFIELD Zip : 93311 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: I, ~'~ ,'Z~//-%~,'ZgDo hereby certify tha~ ~ have (l'ypa of I~int nmme) reviewed the attached hazardous materials manage- ment plan for ~,~AaZ~/~-~/9 ,,,and ~hm it alom3 with (Name of Businesa) any corrections constitute a complete and correct man- agement plan for my facility. 1 02~28/2000 F BAKERSFIELD BLUEPRINT CO SiteID: 215-000-001116 ~ Hazmat Inventory By Facility Unit --Alphabetical Order Fixed Containers on Site Hazmat COmmon Name... ISpooHazlEPA HazardsI Frm DailyMax Iunit MCP AMMONIA F P IH G 3360.00 FT3 Ext 2 02/28/2000 BAKERSFIELD BLUEPRINT CO SiteID: 215-000-001116 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME AMMONIA Days On Site 365 Location within this Facility Unit Map: Grid: CAS# NEXT TO BLUEPRINT MACHINE /' 7664-41-7 ~ STATE TYPE PRESSURE I TEMPERATURE I CONTAINER TYPE Pure I Above Ambient, Ambient , PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 3360.00 FT3 1680.00 FT3 HAZARDOUS COMPONENTS 100.00 Ammonia (EPA) Yes 7664417 HAZARD ASSESSMENTS I TSecret INo NoRS I BioHazINo Radi°active/Amount I EPANo/ Curies F P HazardsiH NFPA/// USDOT# MCPExt -3- 02/28/2000 F BAKERSFIELD BLUEPRINT CO SiteID: 215-000-001116 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 03/07/1996 CALL 911 -- Employee Notif./Evacuation 03/07/1996 VERBAL AND CALL 911 -- Public Notif./Evacuation 03/07/1996 OUR BUSINESS IS LOCATED AT THE END OF A ROW OF OFFICES. IN THE EVENT OF A AMMONIA LEAK WE WOULD WALK DOWN ROW AND INFORM OFFICES OF LEAK. ALSO THE PUBLIC INSIDE AND EMPLOYEES WOULD BE INSTRUCTED TO EVACUATE THROUGH FRONT DOOR OF BUILDING. Emergency Medical Plan 03/07/1996 IN CASE OF AN AMMONIA LEAK, ALL EMPLOYEES SHALL EXIT BUILDING THROUGH EITHER OF 2 FRONT DOORS. OWNER OR REPRO MANAGER SHA~L SHUT OFF ALL VALVES TO AMMONIA BOTTLE AND THEN ALSO LEAVE BUILDING. IF ANY MEDICAL ASSISTANCE IS NECESSARY THE EMPLOYEE WOULD BE TAKEN TO MERCY HOSPITAL AT 2215 TRUXTUN AVE -4- 02/28/2000 BAKERSFIELD BLUEPRINT CO ~~~~ SiteID: 215-000-001116 i i~ Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i i~ Release Prevention ~~~~~~~ 03/07/1996 i O ANHYDROUS AMONIA CONTAINED IN A P~SU~ZED SAFETY CONTAINER (CYLINDER) AND PROPE~Y USED WITH THE ~GHT VALVES AND FITTINGS. FOR MITIGATION WE WOULD TIGHTEN VALVE ON THE TOP OF AMMONIA CYLINDER. ~LEASE VALVES HAVE BEEN INSTALLED AND NEW VALVING SYSTEM AS OF 5/1/95. o 0 i~ Release Contaiment ~~~~~~ 03/07/1996 i o o o WE WOULD ~EP ALL DOORS CLOSED AND FANS ON. NEW FAN UNITS ~VE BEEN O O i~ Clean Up ~~~~~~~~ 03/07/1996 i O O o WE WOULD CALL A CLEAN-UP CREW. o O o i~ O~er Resource Activation O O o o -5- 02/28/2000 BAKERSFIELD BLUEPRINT CO ~5~5~/5~/5~5~/5/5~/~5~/~/~ SiteID: 215-000-001116 i~ Site Emergency Factors ~~~~~~ Overall Site i~ Special Hazards o i~ UtiliW Shut-Offs ~~~~g~~~ 01/22/1990 o A) GAS - NONE o B) ELECT~CAL - BREA~R BOX BATHROOM BACK WALL OF OFFICE o C) WATER - SHUTOFF UNDER SINK IN BATHROOM D) SPECIAL - AMMONIA AT TOP OF TANK o E) LOCK BOX - NO o i~ Fire Protec./Avail. Water ~e~e~oe~o~oo~oooo~o~ooo~ 01/22/1990 o o P~VATE FI~ PROTECTION - FIRE EXTINGUISHER LOCATED ON BOOKSHELF NEXT TO o AMMONIA TANK o o o o o FIRE HYD~NT- ??????? ~ ~5~ ~lo~ o o ~8~8~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~f i~ Building Occupancy Level o O -6- 02/28/2000 BAKERSFIELD BLUEPRINT CO ~~~~ SiteID: 215-000-001116 i i~ Tra~ng ~~~~~~~~ Overall Site i i~ Employee Training ~~~~~~~ 03/07/1996 i o WE ~VE 10 EMPLOYEES AT THIS FACILITY. o o WE ~VE ~TE~AL SAFETY DATA SHEETS ON FILE. o o B~EF SUM~RY OF T~INING PROG~M: EACH EMPLOYEE INDIVIDUALLY T~INED ON o W~T ANHYDROUS AMMONIA IS AND WHAT TO DO IF AND WHEN WE ~VE AN EMERGENCY. o O o o f~ Held for Fumre Use ~~~~~~~~i o o i~ Held for Fumre Use ~~~~~~~~i O o -7- 02/28/2000 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-0011/16 Ie' 1 Overall Site with 1 Fac. Unit ~ General Information ~'~ Location: 3700 EASTON DR 12 Map:102 Haz.2 Type: 3 I City : BAKERSFIELD Grid: 35A F/U: 1 AOV: 0.0 E~ ~9~/m,sr.E~ o~e~ ~/~o~Aa~c~°~ame ~ 'tls . uon~ac~ Name ~ TODD AND~SO~ / ~!O~aL ~_}IA~E KEATI: LAUDE~A~ / ~NAGER Business Phone: (805) 325-8155x Business Phone: (805) 325-8155x 24-Hour Phone : (~ 2~ 6{2~:: 24-Hour Phone : (~ ~ (~o~) ~r-.a~x~) 39~ -~x Pager Phone : - Pager Phone : ( - Administrative Data Mail Addrs: 3700 EASTON DR 912 D&B Nu~er: City: BAKERSFIELD State: CA Zip: 93309- ' ~ Co~ Code: 215-~003-BAKERSFIELD-STATION 03 SIC C~de: 7334 -~ ~ner: UNITED RETnOGP~.PH!CS ~C F~ ~Nm~3r~mm Phone: (~ ~ Address: ~,~,~ LA~C'=v AVE 3~& rrmSE~&e~ ~m State: CA City: ~~ ~~I~D Zip: ~~ ~ ~ Sugary I, E~) ~rn/_~-~,q.,o Do hereby certify that I have reviewed the attached'hazardous materials mar~age- ment Plan for.~F/~-,z) g)Lu'~r~at it along with ' (Name of Business) -- any corrections constitute a complete and correct man- agement plan for my facility. 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed COntainers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 AMMONIA Gas 3360 Extreme ~ Fire, Pressure, Immed Hlth FT3 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 AMMONIA Gas 3360 Extreme ~ Fire, Pressure, Immed Hlth FT3 CAS #: 7664-41-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 Daily Average FT3 Annual Amount FT3 -- Storage ~ Press T Temp~ Location PORT. PRESS. CYLINDER Iabove IAmbientlNEXT TO BLUEPRINT MACHINE -- Conc ......... Components MCP --~Guide 100.0% IAmmonia (EPA) IExtreme I 15 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical '<1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911 <3> Public Notif./Evacuation OUR BUSINESS IS LOCATED AT THE END OF A ROW OF OFFICES. IN THE EVENT OF A AMMONIA LEAK WE WOULD WALK DOWN ROW AND INFORM OFFICES OF LEAK. ALSO THE PUBLIC INSIDE AND EMPLOYEES WOULD BE INSTRUCTED TO EVACUATE THROUGH FRONT DOOR OF BUILDING. <4> Emergency Medi~ Plan . ~~ IN CASE OF AN/AMMONIA LEAK, ALL EMPLOYEES SHALL EXIT BUILDING THROUGH~FRONT DOOR~ OWNER'SHALL SHUT OFF ALL VALVES TO AMMONIA BOTTLE AND THEN ALSO LEAVE BUILDING. IF ANY MEDICAL ASSISTANCE IS NECESSARY THE EMPLOYEE WOULD BE TAKEN TO MERCY HOSPITAL AT 2215 TRUXTUN AVE 327-3371. 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 5 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ANHYDROUS AMONIA CONTAINED IN A PRESURIZED SAFETY CONTAINER (CYLINDER) AND PROPERLY USED WITH THE RIGHT VALVES AND FITTINGS. FOR MITIGATION WE WOULD TIGHTEN VALVE ON THE TOP OF AMMONIA CYLINDER. ~ ~ J~ ~ <2> Release Containment WE WOULD KEEP ALL DOORS CLOSED AND FANS ON. ~ ~ ~ ~~ <3> Clean Up' ,WE WOULD CALL A CLEAN-UP CREW. <4> Other Resource Activation 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - BREAKER BOX BATHROOM BACK WALL OF OFFICE C) WATER - SHUTOFF UNDER SINK IN'BATHROOM D) SPECIAL - AMMONIA AT TOP OF TANK E)~LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED ON BOOKSHELF NEXT TO AMMONIA TANK FIRE HYDRANT - ??????? <4~ Building OccuPancy Level 02/07/96 BAKERSFIELD BLUEPRINT CO 215-000-001116 Page 7 00 - Overall Site <G> Training <1> Employee Training , WE HAVE ~EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE INDIVIDUALLY TRAINED ON WHAT ANHYDROUS AMMONIA IS AND WHAT TO DO IF AND WHEN WE HAVE AN EMERGENCY. <2> Page 2 <3> Held for Future Use <4> Held for Future Use ~ ~ . ,~-'. '-'a'-e rs':e'-~ -~ 370o EastonDrive,Suite 12 Bakersfield, CA 93309 (805) 325-8155 andBlueprintc ~v F^x (80s> 32s-8~ 67 February 20, 1996 Fire Department - M. 1L Kelly 1715 Chester Ave Bakersfield, CA 93301 Re: 1996 Hazardous Materials Business Plan Dear Sks, Attached please find our updated plan for Hazardous Materials. I have made the changes applicable to our operation. Ammonia storage andusage has dropped significantly as we are now using a new process to produce prints. If you.have any~questions:please call. Very truly yours, Ed Armistead Owner HAZ296 Blueprinting : "- Color Copy ~ Oversize Copy - ~ High Speed CoPy Color Reproduction Drafting Supplies · Mounting/Laminating. FUll Bindery ·, . Industrial Camera "A reprographics company where quality of product and service' is Ct tradition" 09/01/93 ~ BAKERSFIELD BLUEPRINT CO 215:000-001116 ' Overall Site with 1 Fac. Unit ~ SEP 8 1993. General Information B~....!.!. ~,,, Location: 3700 EASTON DR 12 Map: 5H~z~rd'A/~/u: 102 · LOw Community: BAKERSFI~.~ . STATION 03 Grid: 3 1 AOV: 0 0 Contact Name ~Title Busines~one 24-Hour Phone- OWNE~ (.805) 32/5~8155 'x (805) 832-5317 TAMI L. MOOSIOS BOOKKEB~R JUNE LEUANDOSKI (805)/3~5-8155 x (805) 871-2263 - Adm~istrativ~/~ata . ' Mail Addrs: '3700 EASTON DR #12 ~ / D&B NumberI' City: BAKERSFIELD ~ State: CA. Zip: 93309- Comm Code: 215-003 BAKERSFIELD S T N 03 ', SIC Code. Owner: TAMI L MOOSIOS / ~" Phone: (805) 325-8155 Address: 2904 ESTERO ST// . ~ State~ CA City: BAKERSFIELD Zip. 93309- Summary ~/ ~~. . reviewed the attached hazardous rnatedals manage- ment plsn for~~~¢nd that it aiong With any corre~ions constitute a compJgto and c0r~s~ man- agement plan for my fao~))~. 9-7-93 BAKERSFIELD BLUEPRINT CO '215-000-,001116' -"* . Page 1 ', .. '~ :-~-~,Overall Site with i Fac. Unit .'.-~./.,'....,-.., ~,...;,.-..~.. ~. · ./ General Information · I Location 3700 EASTON DR 12 -~ MAP:'102 ~Hazard: ,Low CommUnity_'~ '"1 AOV: 0 0 · BAKERSFIELD STATION 03 Grid:'35A ~:'-F/U: . ' . --,Contact Name Title Business Phone'~24-Hour Phon~ 'TODD .ANDERSON ~EGIONAL MANAGER [ : (805) 325~8155 x'""'.." [.818-249-6426 ~ ' [ 714-.. 831-9733. KEATH LAUDERDALE GENERAL MANAGER (805) 325-8155 x .[ Administrative Data Mail Addrs: 3700 EASTON DR #12 D&B Number: City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: Owner: UNITED REPROGRAPHICS, INC. ' .Phone: 7.14-= 756-1155 Address: 1752B Langley Ave. -.~State:-CA City: Irvine, Ca. 92714 .Zip: 927~4 Summary ERSFI . Hazmat ~,'nVento~ List In MCP Order ~ . 02 - Fixed Containers on Site Pln-Ref N~e/Hazards / ' ' "Fo~ ~Max Qty MCP 02-001 ~YDROHS ~ONIA Gas -.: ~--':~ ~-3360 Extreme ~ Fire, Pressure, I ed Hlth ..... FT3 / ./ l " BAKERSFIELD BLUEPRINT CO 215-000-001116 '" Page ~ 02 --Fixed Containers on Site ._. Hazmat Inventory Detail In MOP Order 02-001 'ANHyDROUS AMMONIA Gas ''47':':"':''':'3360 Extreme · Fire, Pressure, Immed Hlth FT3 CAS #~ 7664-41-? Trade Secret~ No Form= Gas 'Type= Pure Days= 365 Use= OTHER Dally Max FT3 Daily Average FT3 I Annual Amount FT3 3,360 I 2,200.00 10,080.00 Storage I Press T Temp Location PORT. PRESS. CYLINDER I~bove I~hmbtentlNEXT TO BLUEPRINT I~d[CHINE -- Conc Components "'~''MCP---~lutde 100.0~ [Ammonia (EPA) 9-7'03 ' *BAKERSFIELD BLUEPRINT CO 215-000-001116 ... Page 4 ' ' .'00 -',Overall SAte ".:~-'.¥ '- "-~. cD> Notlf./EVacUatl0n/Medtcal .. " Agency Notification . ~,-.- ..... ~..?~:.,/" 9'11 c2~ Employee Notif./Evacuation ' - VERBAL AND CALL 911 -~3~ Public Notif./Evacuation OUR. BUSINESS IS LOCATED AT THE END OF A ROW OF OFFICES. IN THE EVENT OF A AMMONIA LEAK WE WOULD WALK DOWN ROW AND INFORM OFFICES OF LEAK. ALSO THE PUBLIC INSIDE AND EMPLOYEES WOULD BE INSTRUCTED TO EVACUATE THROUGH FRONT DOOR OF BUILDING. ,4~ Emergency Medical Plan .. IN CASE OF AN AMMONIA LEAK, ALL EMPLOYEES SHALL EXIT BUILDING THROUGH FRONT DOOR.. OWNER SHALL SHUT OFF ALL VALVES TO AMMONIA BOTTLE ANDTHEN ALSO LEAVE BUILDING. IF ANY MEDICAL ASSISTANCE IS NECESSARY THE '/EMPLOYEE WOULD BE TAKEN TO MERCY HOSPITAL AT 2215 TRUXTUN AVE 327-3371. . .. .::-:~,BAKERSFXELD BLUEPRINT cO ~215-i00c 111.1.6 - . :. Page 5 ' "" ' /00 '- "overall Site ' .... . ',..'/i.; ' ..." : "- . ":,..~' .' ' .~,'.,..-'.- ~...,...:,.'.:~ :!!'~..'; :' !i .:,-'..!i .,,. ~'.- . : :~ . : ~:<E> MXtXgatXon/Prevent/Abatemt <1> Release Prevention . ~.... ~ ANHYDROUS AMONIA CONTAINED XN A PRESURIZED SAFETY cONTAINER (CYLINDER) AND. PROPERLY USED WITH THE RIGHT VALVES AND FITTINGS. FOR MITIGATION WE WOULD TIGHTEN VALVE ON THE TOP OF AMMONIA CYLINDER. . .~,'...:., ~2> Release Containment ... WE WOULD'KEEP ALL DOORS CLOSED AND FANs ON -' ~3> Clean'Up ' WE WOULD CALL A CLEAN-UP CREW Other Resource Activation' 9-7-93 .BAKERSFIELD .BLUEPRINT CO '-215-000-001116 ': '.-.' '.Page 6 .. ,:' '~:..00 - ,,Overall Site - -. ,. ....... ,.., ,: · .. '. · ,<F> Site Emergency Factors "~..'' ' Specia1 Hazards : <2>'Ut~lity Shut-Offs ' A) GAS - HONE B) ELECTRICAL - BREAKER BOX BATHROOM BACK WALL OF OFFICE C) WATER - SHUTOFF UNDER SINK IN BATHROOM D) SPECIAL - AMMONIA AT TOP OF TANK E) LOCK.BOX - NO <3>'Flre'Protec./Avail. Water PRIVATE FIRE PROTECTION -.FIRE EXTINGUISHER LOCATED ON BOOKSHELF NEXT TO AMMONIA TANK FIRE HYDRANT - ??????? <4> Building'Occupancy LeVel ~* :9-*-93 t"i ..,'. "BAKERSF'i'EId) BLuEPRII~ CO ':'215-000-0011i6 '-".'.,:. : ,.'. i, .'Page ? A^uu --------''~ern~ Site .- . ...~, . / '*" <G> ~ralnlng ' ~'- . 'WE ~/3 ~pLoYEES AT THIS FACILITY [ at tines-3"extra:.'~:~:t~me employees. ~~ ~TERI~ SAFE~Y DA~A SHEE~S ON FILE "' :'~:~'~-~'::~-.".:::'. '~ ' EACH [~mYEE I~IVIDU~LY T~INED'.ON ~T ~DROUS ~ONIA IS ~ ~T TO TO'~~~ ~EN WE ~VE ~ EMERGENCY. > ed t> Held for Future Use <4> Held for Future Use ~ ~ Bakersfield Fire Dept.~ ~ HAZARDOUS MATERIALS DIVISION Date Completed Business ldentification No. 21~000 ~/// ~ ' ¢opof Business Plan) Station No. ~ Shift ~ Inspe~or ~. ~ ~ ~ By~ Adequate Inadequate Verification of Invento~ Materials Verification of Qu~tities ~ ~ .~. Ver~ication of Locaion Proper Segregation of Material Comments: Verification of MSDS Availabli~ Number of Employees Verification of H~ Mat Training Comm~: ~ ~~n;fAb~ementSupplies&Pr°cedures~ ~, , · . ,~ ,, . Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special H~ards Associated withthis Facility: 'Violations: All Items O.K. I~ · ~/.,,~;;~ ~.~/er~.,~~'~ .~'/ C°rrection Needed ~ ~[s~s-s Owner/Ma~'f~g ..... · . FD 1652 (Rev/.1-90) White-Haz Mat Div.. Yellow-Station Copy Pink-Business Copy ~: ~ RECEIVED 08/15/9i BAKERSFIELD BLUEPRINT CO 215-00'0~001116 Page .1 Overall Site with 1 Fac. Unit NOV 1 ~ 1991 General Information A~$'d ....... : .... Location: 3700 EASTON DR 12-' Map: 102 Hazard: Low Ident Number: 215'000-001116 Grid: 35A Area of, Vul: 0.0 contact Name Title Business Phone 24 Hour Phone~,, TAMI L. MOOSIOS OWNER 1(805) 325-8155 x 1(805) 832¥g~-~i J~~~'~~ ~ ~__~ : BOOKKEEPER' (805) 325-8155 x (805) 871~2~5' Administrative Data Mail Addrs: 3700 EASTON DR #12 / D&B Number: City: BAKERSFIELD ' State: CA ZiP: 93309- Comm Code: 215'003 BAKERSFIELD STATION SIC Code: Owner: TAMI L MOOSIOS Phone: (805) 325-8155 .... Address :' ,'~~/~3'-~-~~ State: CA City: BAKERSFIELD . Zip: 93309- Summary I'~d~5 Do hereby cerUfy'that J hay® ' (Type ~, Pdnt~llle) ---' reviewed the attached ........... -~ materials men, plan ,or~~%~~and ,ha, ,, along any corrections con~~~L~. · . ..... ,,u~ a complain ano Corr~ agemeni plan (or my 0~/15~91 BAKEeIELD BLUEPRINT CO 215-0 01116 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 ANHYDROUS AMMONIA Gas 3360 Extreme Fire, Pressure, Immed Hlth FT3 CAS #: 7664-41-7 Trade Secret: No Form: Gas Type:' Pure Days: 365 Use: OTHER Daily Max FT3 ~ Daily Average FT3 ! Annual Amount FT3 3,360 I 2,200.oo I lO,OeO.OO Storage Press T Temp. Location PORT. PRESS. CYLINDER Iabove IAmbientlNEXT TO BLUEPRINT MACHINE -- Conc Components MCP ----~List 100.0% IAmmonia (EPA) IEXtreme IEPA O8/15/91 BAKE IELD BLUEPRINT CO 215-0 01116 Page 3 ~ ~ 00 - Overall Site <D> Notif./Evacuation/MediCal <1> Agency NotifiCation CALL 911 <2> Employee Notif./Evacuation VERBAL AND CALL 911 <3> Public Notif./Evacuation OUR BUSINESS IS LOCATED AT THE END OF A ROW OF OFFICES. IN THE EVENT OF A AMMONIA LEAK WE WOULD WALK DOWN ROW AND INFORM OFFICES OF LEAK. ALSO THE PUBLIC INSIDE AND EMPLOYEES WOULD BE INSTRUCTED TO EVACUATE THROUGH FRONT DOOR OF BUILDING. <4> Emergency Medical Plan IN CASE OF AN AMMONIA LEAK, ALL EMPLOYEES SHALL EXIT BUILDING THROUGH FRONT DOOR. OWNER SHALL SHUT OFF ALL VALVES TO AMMONIA BOTTLE AND THEN ALSO LEAVE .BUILDING. IF ANY MEDICAL ASSISTANCE IS NECESSARY THE EMPLOYEE WOULD BE TAKEN TO MERCY HOSPITAL AT 2215 TRUXTUN AVE. 327-3371. 0~/~5~91 BAKE~IELD BLUEPRINT CO 215-0 01'116 Page 4 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ANHYDROUS AMONIA CONTAINED IN A PRESURIZED SAFETY CONTAINER (CYLINDER) AND PROPERLY USED WITH THE RIGHT VALVES AND FITTINGS. FOR MITIGATION WE WOULD TIGHTEN VALVE ON THE TOP OF AMMONIA CYLINDER. <2> Release Containment WE WOULD KEEP ALL DOORS CLOSED AND FANS ON <3> Clean Up WE WOULD CALL A CLEAN-UP CREW <4> Other Resource Activation 08/15~91~ ,. ~ BAKE~IELD BLUEPRINT CO 215-0 01116 Page 5 O0 - Overall Site ~ -- <F> Site Emergency Factors <1> Special HaZards <2> Utility. Shut-Offs A) GAS - NONE' B) ELECTRICAL - BREAKER BOX BATHROOM BACK WALL OF OFFICE C) WATER - SHUTOFF UNDER SINK IN' BATHROOM D) SPECIAL - AMMONIA AT TOP OF TANK E) LOCK BOX - NO' <3> Fire Prote¢./Avail. Water pRIVATE FIRE PROTECTION - FIRE EXTINGUISHER LOCATED ON,BOOKSHELF NEXT TO AMMONIA TANK FIRE HYDRANT - ??????? <4> Building Occupancy Level Q8/~,/91 BAK~- IELD BLUEPRINT CO 215-0 01116 Page 6 00 - Overall Site <G> Training <1> Page 1 WE HAVE3~.'~,MPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE EACH EMPLOYEE INDIVIDUALLY TRAINED ON WHAT ANHYDROUS AMMONIA IS AND WHAT TO TO IF AND WHEN .WE HAVE AN EMERGENCY' .<2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY OF BAKERSFIELD HAZARDOUS I~TERIALS INVENTORY ~ Farm and Agriculture ~ Standard Business Page.__of__ NON - TRADE SECRET ~Rer~m~;_/~,=, LOCATION: '3UOO ~-~&7~ ~>rTY(. ! ~C+~. /~/_ ADDRESS: 2~ j [S ~rm 5~' ST~D~ IND.. CLASS CODE: · ~ ~ INS~g~IONS ~ PROPER ~DES i 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane ~e ~ Average ~nual Meas~e ~ Days Cont / Cont Co~t Use Location ~ere % by Na~s of Mixture/Com~nents Code C~e ~t ~t ~t Units on Site ~ ~ ~ Code Stored ~n Facility wt See Instructions C°mponent ' 2 "~' C'A'S' Nu~er ~ i ) ' ~ Fire Hazard ~ Sudden ~lease ~ Raetivity ~ Im~iate ~ DeZa~ of Preesure , Health H~lth Compon~t ~ 3 N~ & C.A.S. N~er ' Physiual and H~lth Hazard C.A.S. N~er Component ~ I N~ & C.A[S. N~er (Check all that apply) Component ~ 2 N~ & C.A.S. Nu~er ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ I~iate ~ Delay~ of Pressure Health H~lth Component 9 3 N~ & C.A.S. N~er Physical and Health Hazard C.A.S. Nu~er Component ~ I Na~ & C.A.S. N~er (Check all that apply) Component ~ 2 N~ & C.A.S. Nu~er ~ F~re Hazed ~ Sudden Release ~ R~ct~vity ~ I~ate ~ Delay~ of Preesure H~lth H~lth Component ~ 3 Na~ & C.A.S. Nu~er ' Physical and Health Hazard C.A.S. 'Nu~er Component ~ I Na~ & C.AiS. Nu~er (Check all that apply) Componen= 9 2 N~ ~ C.A.S. Nu~er of Pressure H~lth H~lth Compon~ 9 3 N~ & C.A.S. Nu~er E~RGENCY CONTACTS ~1 $2 Na~ Title 24 Hr. Phone N~e Title 24 ~ Phone Certification '(~ ~D SIGN AFTER COMPLETING ~L SECTIONS) submitted ~n th~s ~d all attached d~en~s '~d that Tami Moosios Bakersfield Blueprint Co. 3700 Easton Drive, Suite 12 Bakersfield, CA 93309 Ms. Moosios: Enclosed is a copy of'the Hazardous Materials Management Plan for Bakersfield Blueprint Co. It appears that the reduction of the anhydrous ammonia quantity has already been taken care of, 150 lbs = 3360 cubic feet. The anhydrous ammonia inventory is correct at this time. You do need to use the inventory form to report the 55 gallons of kerosene. Please review the information contained in your plan, mark any corrections directly on the print out, sign the certification on the first_page and~return the forms to 2130 G St., Bakersfield 93301 by~eptember 16,' ~991.~ If I can be of any assistance, please call me at 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician Cc: Ralph Huey FIRE OEP'ARTMENT 2101 H STREET S D JOHNSON August 15, 1991 BAKERSFIELD, 93301 FIRE CHIEF .. 326-3911 Tami Moosios Bakersfield Blueprint Co. 3700 Easton Drive, Suite 12 Bakersfield, CA 93309 Ms. Moosios: Enclosed is a copy of the Hazardous Materials Management Plan for Bakersfield Blueprint Co. It appears that the reduction of the anhydrous ammonia quantity has already been taken care of, 150 lbs = 3360 cubic feet. The.anhydrous ammonia inventory is correct at this time. You do need to use the inventory form to report.the 55 gallons of kerosene. Please review the information contained in your plan, mark any corrections directly on the print out, sign the certification on the first page and return the forms to 2130 G St., Bakersfield, 93301 by September 16, 1991. If I can be of any assistance, please call me at 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey '" ?- ' ' Bakersfield Fire Dep~ O ~ HAZARDOUS MATERIALS DIVISI '~ ' '-' ' Date Completed. ' Business Name:' :~A/~("~f-%,~"~'~' "'~")(i~. ' '" '~ Location: ' 3700 ' ) '' ~ : 'BusineSs'Identification'No. 215-000 i [-( ~~· . ~o~ Business Plan) Statio" No. ~~Shi"' t. Inspector ~ ~ ~" Adequate "Inadequate Verification of Inventor-Materials ~ Verification d Quantities ~ ' · - ': - ';'-- Verification.of Loc~ion .. . ' Proper Segregation'of Materi~ Comments: ' Verification of MSDS Availabli~ "~ Number. of Employees . Verification of H~ Mat Training ~ .Commen~s: .' verification of Ab~ement Supplies & Procedures ~- 'COmments: .- ' Emergency Procedures Posted ~ Containers Properly Labeled ~' Comments~ ' Verifiqation of Facility Diagram ~ "~ Special H~ards Associated with thiSFacility: . Correciion' Needed Business Owner/Manager -' 'i ' .. -.-. FD.1652 (Rev, 1:90) . ~' - ' ' ~' :": . White-HazMat Div. Yellow. StatiOn Copy .Pink-Business Copy ,'~ ~_ ! CITY oJ' B,.-I^r. 3$F/ELD ~... ~~~,/ .... ~'E C'.-~RE" .,.~ "~' ' ' ' .... (:v:e or erin: name) . :.: ~ECEIVED Do hereby certify that I have rev~e~ed · ~ attached Hazardous Mate.rials business olan ~or (n~me o~ business) and that it along ~'ith the attached additi e~ corrections .constitute a complete and correct ?~"" Business Plan for my facil.ity. signature ~ate ! - ,/ .-~'q~' ' BI ............... NFiHE 1. OVERVIE~ LIqS¥ CHANGE' i TXZS'/8'T'BY ESTER' .I'.URIS CODE Z15~-0~3 '. 'JURIS' B~KERSFtELD 'STATION 03 · MAP-PAGE 10Z GRZD SBA FfiCt'LITY UNITS 1 HAZARD RATING Z RESPONSE- SUHHP~RY Zf~ SEC 4) THIS BUSINESS IS Cf-/PftBLE OF' HRNOLiN6' R MINOR"F_.HERGENCY BY ALL - EMPLOYEES EVACUATING CORKING PiRE'A AND'OgNER SHALL SHUT OFF AMMONIA VALVE. EMERGENCY CONTACTS 2A SEC ~) 'TAMI L..MOOSIOS r OWNER ~ 3ZS-81SS OR 837-7323 DONNR HOLDEN - BOOKKEEPER::': ."3'ZS":-GI"S!S" OR 8~[':OSZ-Z' UTILITY SHUTOFFS ZA-SEC ~) FI) GPiS -- Nh B) ELECTRICAL - BRE'AKE'R BOX BFtTFII~O'OI~"B'Ft'CI< WALL OF OFFICE C) W~TER - SHUTOFF UN~R 'SI~ I~ B~ROOM .... 0) SPECIAL - AMMONIA AT TOP OF TANK NOTIFICATION / PUBLIC'EVACUATION · - LAST CHANGE / / BY < NO 'INFORMaTI~ "~EO '~R THIS SECTION PAGE 1 ........ 1Z/19/88 1Z:IS MATERIAL ,SAFETY DATA SYSTEMS~ INC. (805) 648-GA,;Fg ' Ii BIJUEPRINT CO ID n-.~...-,. ,4,__ I -- ~-cq .. . ' ' BbSINc:~.., NAME 8RKERSFI NUHF}s~,iF~-O(~O--~.,OtllG ~, HRZ HRT TRRININ6 SUMMRRY '. L~5'F CHRNGE. / / BY < NO INFORMRTION RECORDED FOR THIS SECTION > LaSt CHANGE 11/Z3/87 BY EATER 2R SEC S) IN'CASE OF fiN AMMONIA. L~RK, "RE[ EMPLOYEES SHALL EXIT BUILOI~ ' THROUGH FRONT' OO~: ...... O~"-'~REE ~UT"~"R'LL' 9REVES TO RMMONIR BOTTLE R~ '::.~:...::::? .." THEN ALSO LEAVE ~IL~.'' ~"'RNY 'MEO~'flE R'SS'ISTflNCE IS NECESSRRY THE :'~?"" EHPLOYEE ~OULD BE TAKEN YO' ~Y"H~F~T'~ R~ ZZI5 TRUXTUN AVE 3Z7-3371 '' · ....' .8US:~NES'S NAME B~3KERS'FIi BLUEPRI-NT CO I0 ZIS-000-001 ':'~"~" ' ~"~ LOCATION ' 37~)fb-]Z TON DR [RRI] RRTIN(i½ Z · R. OVERRLL HRzRRDous MRTERIRLS iNVENTORY ..... - ' LRST CHflNGE' I ~/~/'8'7' BY' ESTER ID TYPE. NAME ' MAX AMT UNIT HAZARD L OCRTI ON CONT~I'NME~ ' USE 1 PURE ~NHYOROUS-RMMONIR ~337S FT3 MOOERSTE N WSLL BEHINO'BEO~RI~, FTXEO FRES~TR~S" CRTRLYST I0~ PERCENT COMP'~NTS HRZRRO LIST '~ ;0~4.,~ 1~0.8 ~MMONIR ~'C~R~X MOOERRTE EP . .... B. FIRE PROTECTION / WATER S~PPLIES . ... . .... ' ' ( NO INFORH~TION REgORBEO FOR TH~S SECTION -" .BUSINESS NAME B~KERSFIEIBLUEPRINT'"'I co ID Ndr~EilS-e~-~et 1 lS ~'~' '~LOCRTION ~212 E~FON DR H~GH~RDG RATING Z D. EMPLOYEE NOTIFICATION / EVACUATION 'L~S'[ CFtR~E 11/Z3/87 BY ESTER SEC Z) VERBAL RNO CALL 9 I ON / ~REVENTION /' aB~HE~/ -'F " 3R SEC 1) ANHYDROUS flMONIR CONTAINED IN 'fl PRESURIZED SAFETY CONTAINER ' P~GE 4 ' · 1Z/19~88 Z:lS S~ DaTR"SYS~S~ 'rNC; (,8e5:~ 648-~ CITY of BAKERSFIELD NO N-- T RAD E S E C RE TS ' ' CITY, ZIP:~ ~0~ C%TY, Z%P: ~, 7~ DUN AND BRADSTRg~T NUmBeR J I 2 3 4 5 6 I I 9 10 11 ~ 12 Trens Ty~ ~x AvePage ~nual ~, ~asuPe I ~ Cat ~t ~t ~e ~J,Z~ ~ L~etim W~e % ~' Nam of N{xtuq/~tl C~e C~e bt ~t ,Est--~4. Units m S~te TyN Pr~s Imp C~/ ~Sto~ in Facility Nt ~ [nst~ctims (C~k all t~t apply/ Health of Pr~sure HNI~h ........... P~ical end H~lth Hazard C.l.S. ~ ~t II Nm i C.A.S. ~ (~k ell t~t apply) ~ ] Fire Hazard L_~ ~activity L_J hle~ ~--J ~dm RelH~ ~--J H~ith of P~su~ ~lth ..... P~ical md HHlth Hazard C.l.S. ~ ~t II h i C.l.S. ~ (C~k e11 t~t eppJy) ~ ~ FJ~e Hazard c_~ Reactivity c--~ ~lay~ ~--~ ~ddm RelHse c_~ I~Jate Health of Pr~sure Health ' P~ical ~ H~lth ~zard C.l.S. Numgr Cm~mt II Nm & C.A.S. N~ (C~k oll r~t apply) ....................... ~ ~ C~t 12 Nm & C.A.S. c_J Fire Hazard g ] R~ctivity ~--J ~lay~ ~--~ ~ddm ReTeese ~--J ]~tete Health of P~su.e Neelth ............... ~t ~3 N~ & C.A.S. Num~P Certificati~ (Read and sign after completing al] sections) I certify ~der ~atty of law t~t I ~ve ~rs~elly.examin~ and am familiar .ith t~ infor~tim su~itt~ tn this a~ ell lttlc~ d~u~ts, and t~t ~s~ m W inqui~ of t~e i~tviduais r~sible for obtaining t~ inforMti~. I ~)ieveJ~t t~ su~itt~ infor~ti~ is true accurate and c~pie~ . uou o ALPHAG ~ Specialty Gas Material Safety Data Sheet I~mnonta H~LTH H~RD DATA 2S ~lar PPM; STEL = 35 ~lar PPM (RCG]H,.~9~-SS) ; SO HoZa: ~ (OS~, ~985} Corrosive and irritating ~o the sktn, eyes, upper respirator~ s~st~ and all ~cosal tissue. Depending on the concentration tnhaled, it ma~ c-ause burning sensations, coughing, wheezing, shortness of breath, headache, nausea, with eventual collapse. :-' Mild concentrations of vapor will cause de~atitis or conjunctivitis. Higher concentrations of vapor or liquid contact will cause caustic-like de~al bu~s and tnfl~ation and swelling of the eyes with possible loss of vision. Rapidly evaporating liquid contac:ing de~al tissue or the eyes will cause cryogenic "burns." TO~ ~0~ In~: Aff~ ~e u~r ~y ~x ~d bronchi} by ~using ~ic4i~ burning resulting in ~ema ~d PR~PT MEDICAL A~T]ON IS ~DATORY ]N ~L C~ES OF OVEREXPOSURE TO ~ON]A. RESCUE PE~NEL SHOULD BE EQUIPPED ~]~ SELF-CONTAINED BR~TH[NG 'APPA~TUS ~D BE ~]~ OF ~TR~E F]RE ~D ~PLOS~ON ~. [nhalatton: Conscious persons should be asstst~ to an uncont~inat~ area and inhale fresh att. Unconscious persons should be ~v~ to an uncont~inated area and given ~uth-to-~uth ~suscttatton and suppl~ental oxygen. Keep the vtcttm wa~ and quiet. ~sure that mucus or v~tted ~terial does not obst~ct the at,ay b~ ~stttonal' drainage. (Continued on last page.). ~nta ts fi~ble over~lattvel~ nar~ range tn at~ it ~acts vtgo~usl~ ~th fluorine, chlorine, hyd~en ch~rtde, h~d~gen b~tde, ntt~s~l chloride, _~h~l chloride, trtox~gen dt~uortde, nlt~gen dtoxtde and ntt~gen trtchlortde. PHYSICAL DATA ~ ~ ~~A~~. _ , .==~-=:~28.14°F (-33.41°C) 42.6 lb/ft° (~2 kg/m3) =.,,~ ~ 70°F. (21.10C)'- ~~ATN'FIM ~28 psta (~3 kPa') .~42 lb/ft3 (.708 kq/m3) .... ~er~ soluble, liberattna heat -107.g°F {-77.74~C) .......... goloFless 9as with a punoent odor. S?cific gravity ¢70°F {Air - 1,Q) t~ .59. FIRE AND gPLOSIOH H~RD DATA ~as 1274°F (690°C) LEL = 15 UEL = 27 If possible, stop the flo~ of gas. S~nce a~onia ~s soluble in ~ater, ~t ~s the ~,est extinguishing med~a -- not onl~ extinguishing the f~, but also.absorbing (Continued on last page_) The minimum ignition energy for ~onia is very high. It.is app~ximately 500 times greater than the ener~m required for igniting hYd~carbons and 1000 to 1D,OOO tim~ gr~t~r th~n that r~u(r~d fnr hydrogen_ ~D~S ~ AV~ il PA~ ~ M ~ ~ ~COM~ ~OD~ I SPI~ OR L~K PROCEDURES ....... ~vacuate all personnel f~ affected area. Use app~priate p~tecttve equi~ent. ~f leak is tn user's equt~ent, ~ certain to purge piping wtth an inert gas prior go att~pting repai~. Zf leak is in container or container valve, contact the ~losest Liquid Air Cor~ratlon location. · ~ not att~pt" to dispose of waste or unus~ quantities. Retu~ in the shippin~ ~ontainer p~perly labeled, with any valve outlet plugs or caps secured and valve ~tection cap in place to Liquid Air Corporation for pro~r dis~sal. For ~ency dis~sal, .contact the closest Liquid Air Corporation location. EMERGENCY RESPONSE INFORMATION IN CASE OF EMERGENCY INVOLVING THIS MATERIAL, CALL DAY OR NIGHT (800) 231-1366 . OR CALL CHEMTREC AT (800) 424-9300 ! ........... ,-,,:.:--~ .F'.-..,-~:;,-.~o,:--'~-'.'~-',~.-',"~'."~"~"'"'"'-"'~'~ ,- .. ~':~'~':----'.~'"""""""""~' ~-' "':~j-~ ~~~~~ ~ pressure a r new . Plasttc or ~bber ~fet~ goggles or glasses Safet~ shoes, safet~ sh~r, e~ash 'fountain~ 8PE~AL PRECA~ONSe ~T ShJpplng N~e: ~on~a, ~hyd~u~ (RQ 100/45.4) I.D. No.: UN 1005 ~T Shtopln~ Label: Non~a~able Gas ~T Haza~ Class: Nonfl~able g~s Use onl~ tn ~ell-vent~lated areas. Valve p~otectton caps must r~a~n' tn place unless container ~s secu~d ~th valve outlet p~ped to use '~nt. ~ not drag, s~ide or ~11 cylinder. Use a suitable hand t~ck fo~ cylinder ~vement. Use a pressure ~ductng ~ulator ~hen connecting cylinder to l~er pressure ((500 psig) or syst~s. Do not heat cy]tnder b~ an~ ~ans to tncrease the d~scharge rate of p~duct fr~ the c~11nder. Use a check valve or trap tn the d~scharge line to prevent haza~ous back flo~ tnto the cylinder. For ecldi~onal handling recommendations' co~ult LAir Uquide'$ Encyclopedia de Gaz or Compresaed Gu Asaocialio~ P~phlet P-1. Protect cylinders from physical damage. Store in cool, dry, well-ventilated area of non-combustible construction away from heavily trafficked areas and ~nercjency exits. Do not allow the temperature where cylinders are stored to exceed 130F (54C). Cylinders should be stored upright and firmly secured to .prevent falling or being -knocked over. Full and empty cylinders should be segregated. Use a "first in-first out" inventory system to prevent full cylinders being stored for excessive periods of ttme. Post "No Smoking or Open Flames" signs in the storage or use area. There should be no sources of tgnition in the storage or use area, For. m:lditiorml ~orage recommendatio~s consult L'/Ur Uquide's Encyclopedia de Gaz or Compres~d Gas Associatio~ P~mphiet P-1. ~ PACKAGING R~GOMMENDAI'iOM~ Gaseous or liquid anhydrous an~nonia corrodes certain metals at ambient temperatures. Oxygen presence enhances the corrosion of ordinary or semi-alloy steels. The addition of water inhibits this enhancement. Keep anhydrous mTrnonia systems scrupulously dry. Earth-ground and bond all lines and equipment associated with the an~nonia system. Electrical equipment should be non-sparking or explosion proof. Compressed gas cylinders should not be refilled except by qualified producers of compressed gases. Shipment of a compressed gas cylinder which has not been filled by the owner or with his (written) consent is a violation of Federal Law (4gCFR). " UQUID AIR OORPORAI N V RECOI~IENDED FIRST AID TREATMENT: (Continued) Eye Contact: PERSONS' WITH POTENTIAL EXPOSURE TO AI~NIA SHOULD NOT WEAR CONTACT LENSES. Flush contaminated eye(s).with copious quantities of water. Part eyelids to assure complete flushing. -Continue for a minimum of 15 minutes. Skin contact: Flush affected area with copious quantities of water. Remove affected clothing as rapidly as possible. Dermal Contact or Frostbite: Remove contaminated clothing and flush affected areas with lukewarm water. O0 NOT USE HOT WATER. A physician should see the patient promptly if the cryogenic "burn" has resulted in blistering of the dermal surface or deep tissue freezing. SPECIAL FIRE FIGHTING PROCEDURES: (Continued) the escaped an~nonia .gas. Use water spray to cool surrounding containers. 2130. "G" STREET BAKERSFIELD, CA 9330]. NOV"{ ,.~ 1987 ', (805) 326-3979 1. To avoid ~urther action, return this foe~ by 2. TYPE/PRIST ASS~ERS IS ESGLISH.. a. Answer the qUestions belo~ for the business as a ~hole. 4. Be as brie~ and concise as possible. A. BUSINESS SA~E: CITY: ~~ ZIP: ~ BUS.PHONE: (Y~)~3 SECTION 2: E~RGENCY NOTIFICATIONS ' In case of an emergency involving the ~elease ov threatened ~elease of a hazaPdous matePial, call 911 and 1-800-852-7550 oF 1-916-427-4341. This'will notify youP local fi~e department and the State Office of EmeFgency SeFvices as PequiFed EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. SECTION ~: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~OLE A. NAT'. GAS/PROPANE: ~ E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT'CONTAIN SITE PLANS? YES / NO MSDSS? YES / FLOOR PLANS2 YES / NO KEYS2 YES / NO SECTION 4: PRIVA~ RESPONSE TEAM FOR BUSINESS AS A WHOLE , SECTION 5:' LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: E~PLOYEE T~INING E~PLOYERS ARE REQUIRED TO HAVE A PROGRA~ WHICH PROVIDES E~PLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES 0R NO INITIAL REFRESHER' ~. ~.o~ ~o~ ~ .~~ o~ .~z~o~s~ ~~:.... .................................... ~s ~ ws B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES ~' YES C. PROPER USE OF SAFETY EQUIPMENT:... ................ YES ~ YES D. E~ERGENCY EVACUATION PROCEDURES: ................. ~ NO YES NO E. DO YOU ~AINTAIN E~PLOYEE TRAINING RECORDS: ....... N0 ~- SECTION 7: ~Z~DOUS ~TERI~ CIRCLE YES 0R N0. DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POUNDS 0F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET 0F A C0~PRESSED GAS: ...... YES'~ I, ~, ~. ~/of , certify that the above information is accurate. I understand that this information will be used to fulfiil m~ fi~m's obligations unde~ the new California Health and Safety code on Hazardous ~aterials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes~perjuvY· - 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS NAME: BUSINESS 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 UNIT~ FACILITY b~NIT N~hME: SECTION 1: MITIGATION~ PREVENTION, ABATEMEN-r PROCEDURES SECTION 2: NOTIFICATION AS'D EVACUATION PROCEDURES AT THIS D~IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS IniT ONLY A. Doe's this Facility Unit contain Hazardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION 4. B. Are anyof the hazardous materials a bona fide Trade Secret YES NO 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 SECTION 5: LOCATION OF WATER SUPPLY FOR USk BY EMERGENCY RESPONDERS . SECTION 6: LOCATION OF UTILI.V? SHbW-OFFS AT THIS b~'IT ONLY. A' NAT. GAS/PROPANE~ B. ELECTRICAL: C. WATER: D SPECIAL: E LOCK BOX: YES ." NO IF YES, LOCATION IF YES SrTE PLANS.'? .... / :!~ MqD,~;9 V2S ""~ ~ ~. IL.') ..... . , FLOOR PLANS? YES .," · BAKERSFIELD CITY FIRE· DEPARTMENT '~-~' i.D. # 'qf' ~8'/"/:~d~ FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERIAL'S INVENTORY AODRESS= ~7oo ~~ ~. ADDRESS: ~ ~ ~ ~ FACILITY UNIT CITY, ZI~:~y,~ ~ ~ CITY,ZIP: ~ ~ PHONE ~:~o$.)}~ St:/ PHONE m: <~) ~z-7~ ,. mOFFICIAL USE CFIRS CODE { ONLY 1 2 3 4 5 6 7 8 9 '>10 TYPE MAX ANNUAL COST ~USE LOCATION IN THIS ~ BY HAZARD D.O.T - / .~ .~ ,. '. , NAME: ...... TIT~E= 0<~:' SIONATURE ~~ '~~~ DATE: EMEROENCV CONTACT: ~ ~, ~/~5 TITLE: ~/ ( PHONE ~ BUS HOURS: . AFTER SUS HRS: ~- PRINC~PAL BUS~NESS ACT~V~TV: ~/~~ ' AFTHR BUS, HRS: - 4A-1 - ACUTELY HAZARDOUS MATERIALS REGISTRATION FORM - .THIS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA WHICH AT ANY TIME HANDLES ANY ACUTELY HAZARDOUS MATERIAL IN QU .ANTITIES GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP. I THIS FORM SHALL BE COMPLETED AND SUBMTITED TO YOUR LOCAL ADMINISTERING AGENCY, (§25533 & 25536 Health & Safety Code) Note instructions on revers{~ Business Name B~qk~ ~-~/~ ~L ~=/~'~/~7~ ~--~. Business Site Address Business Mailing Address (if different) Business Phone ~.~"- ~:~-/~_~ Business Plan submission Date2 · *--- ..... Process Designation3 ACUTELY HAZARDOI,I~ MATERIAL~ HANDLED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL, EQUIPMENTS: ./ S IGNATURE~~~'~~-~ TITLE ' ~Y-~/,~-,~ PRINTED NAME .~'-,"~,~'7/ ~/, H~.-~'/,~_.~ DATE California Office of Emergency Services FORM HM 3777 (1-15-88) ,INSTRUCTIONS: Superscripts: 1. Quantities for RMPP compliance are "equal to or greater than" the minimum criteria and apply to chemicals handled "at ..any one time". 2. Businesses handling reportable quantities of Acutely Hazardous Materials that have not submitted a business phn MUST contact local Administering AgencieS. The business plan submission date will assure the Administering Agency that a business plan has been submitted and is on file. This will also immediately identify businesses that have not submitted business plans. 3. "~ Designation" is provided as a reporting option (with the approval of the Administering Agency) for facilities that can most easily report by process. Thus, facility RMPP registration data could be submitted in a similar format to a business plan that is divided by process. 'By process" data can initiate an emergency response to a process incident rather than a general emergency response to a major facility. Process designation can simplify inspections for major facilities and improve future emergency response. 4. Refer to the EPA list of Extremely Hazardous Substances from the Federal Register (Volume 52, No. 77, p. 13397 et. sea_,, April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Updates of this list may be available early in ]988. To comply with this element, you may attach a copy of the inventory submitted to your Administering Agency from your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list all exu'emely l~rdous chemicals handled in quan. tities equal to or in'excess of 1) 500 pounds, and 2) any EPA threshold planning quantity less than 500 pound. '. 5. - DO. not include Trade Secret information in these descriptions. General: For emergency response purposes, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: a. Whatmw materials? b. What operating pressure range? c. What operating temperature range? cl. Batch capacity rating? ¢. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? 2. Continuous process: (similar information as above.) "Pursuant to §25534, the Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administering Agency determines that the handler's operatiOn may present an acutely hazardous materials accident risk. The handler shall prepare the RMPP in accordance with subdivision (c) [of §25534]. The RMPP shall be prepared within 12 months following the request made by the Administering Agency pursuant to this section." (§ 25534 (a) Health and Safety Code) An amendment to the RMPP must be submitted to the Administering Agency within 30 days of: 1. Any additional handling of acutely hazardous materials. 2. Any material or substantial alterations to business activities. 3. Change of address, b.usiness ownership, or business name. (§ 25533 (c) Health & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP sHALL'IMPLEMENT THE APPROVED RMPP · California Office Of Emergency Services FORM HM 3777 (1-15-88) ,.,. MARCH 8, 1988 BAKERSFFIELD BLUEPRINT 3700 EASTON DR #12 BAKERSFIELD, CA 93309 DEAR SIR: THE ENCLOSED "ACUTELY HAZARDOUS MATERIALS REGISTRATION FORM" MUST BE COMPLETED BY ANY BUSINESS, HANDLING ABOVE THE MINIMUM REPORTING QUANTITY ANY MATERIAL ON THE EPA LIST OF EXTREMELY HAZARDOUS SUBSTANCES. (FED. REGISTER VOL. 52, NO. 77, P. 13397). YOUR COMPANY HAS REPORTED HANDLING THE FOLLOWING ACUTELY HAZARDOUS MATERIALS: ANHYDROUS AMMONIA PLEASE RETURN THE COMPLETED ACUTELY HAZARDOUS MATERIALS REGISTRATION FORM TO: HAZARDOUS MATERIALS DIVISION 2130 G STREET BAKERSFIELD, CA 93301 IF YOU HAVE ANY QUESTIONS REGARDING THIS FORM PLEASE CALL RALPH HUEY AT 326-3979. SINCERELY YOURS, RALPH E HUEY HAZARDOUS MATERIALS COORDINATOR '. REH:em ENCLOSURE'