HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
.~ CONDITIONS, OF .PERMIT ON. REVERSE. SIDE
.. ~' ' ' This _~ermit is issued for the followin_a:
[] Hazardous Materials Plan
D underground Storage of Hs.-=rdOus Materials
Permit ID #:: 015-000-002019 : 13 Risk Management Program
TERRY PETRIS a Hazardous Waste On-Site Treatment
LOCATION: 2315 EYE ST
OFFICE OF ENVIRONMENTAL SER VICES' Appmvedby:
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301 .. .OmceofEv~Services
Voice (661) 326-3979
FAX(661) 326-0576 :ExpimtionDate: 'June 30; 2003
TERRY PETRIS SiteID:· 015-021-002019
Manager : BusPhone: (661) 861-0592
Location: 2315 EYE ST Map : 103 CommHaz : Low
City : BAKERSFIELD ~%%%~ Grid: 30A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:5521
EPA Numb: DunnBrad:77-051-8619
Emergency Contact / Title Emergency Contact / Title
JOHN PETRIS / OWNER /
Business Phone: 661) 861-0592x Business Phone: ( ) - x
24-Hour Phone : 661) 393-5677x 24-Hour Phone : ( ) - 'x
Pager Phone : ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : 1% ~T t~ Ph°ne:r (661) 861-0592x
MailAddr: 2315 EY State:/CA
City : BAKERSF~E~ /~i~~Zip : 93301
Owner JOHN D P~TRI ' (661) 632-3333x
Address : PO BOX 5411 ~Da%e: CA
City : BAKERSFIELD ~p : 93389
Period : to ~ ~ ) TotalASTs:~ = Gal
Preparer: ~ ~~ TotalUSTs :/~ = Gal
Certif'd: ~ ~ RSs:
Emergency ~irecti~ -~ ~
= Hazmat Inv~n~ X 'X-' '~ ' One Unified List ,
-- Alphabeti~ O~er (" ~ [ All Materials at Site ~
azma ommon I I
ACETYLENE ~~ ~E F P IH G
HELI~ '~~ F P IH 'G 438.00
FT3
Hi
FT3 Min
MOTOR OIL ~ / F DH L 100.00 GAL Min
OXYGEN
F IH DH G 249.00 FT3 Low
WASTE OIL F DH L 110.00 GAL Low
-1- 01/06/2003
TERRY PETRIS SiteID: 015-021-002019 9
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
-- COMMON NAME / CHEMICAL NAME
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
WHERE IS IT LOCATED??????? CAS#
HOW MUCH DO YOU HAVE???????? 74-86-2
STATE TYPE PRESSURE , TEMPERATURE CONTAINER TYPE
F Gas Pure Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
FT3 FT3 FT3
HAZARDOUS COMPONENTS
100.00 Acetylene Yes 74862
HAZARD ASSESSMENTS
TSecretINO N~S I BioHaz[NO Radioactive/AmountNo/ Curies EPAF P HazardsIIH NFPA/// USDOT# MCPHi
---- Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
-- COMMON NAME / CHEMICAL NAME
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE TIRE SHOP AREA CAS#
7440-59-7
FSTATE TYPE PRESSURE. i TEMPERATURE CONTAINER TYPE I
Gas Pure. Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
219.00 FT3 438.00 FT3 219.00 FT3
HAZARDOUS COMPONENTS
io SI
i00.00 Helium N 7440597
HAZARD ASSESSMENTS
TSecretl oRS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F P IH / / / Min
-2- 01/06/2003
TERRY PETRIS SiteID: 015-021-002019
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE AGAINST N WALL OF SHOP CAS#
8020835
STATE i TYPE PRESSURE -- TEMPERATUREI CONTAINER TYPE
Liquid Pure Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
100.00 GALI 100.00 GALI 65.00 GAL
HAZARDOUS COMPONENTS
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
TSecret RS BioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# MCP
No No No No/ ~ Curies F DH / / / Min
---- Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
IJt31vllvl~,31~4 l%{Y'~lVl~ / I.;i"l~lVl.L tJAI, l~.&k_.iVlH;
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SE CORNER OF SHOP CAS#
7782 -44 -7
F STATE ~ TYPE PRESSURE~ TEMPERATURE CONTAINER TYPE
Pure Above Ambient I Ambient PORT PRESS CYLINDER
Gas . .
AMOUNTS AT THIS LOCATION
Largest Container · Daily Maximum Daily Average
249.00 FT3 249.00 FT3 249.00 FT3
HAZARDOUS COMPONENTS
io SI
100.00 Oxygen, Compressed N 7782447
TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N No No/ Curies F IH DH / / / Low
-3- 01/06/2003
TERRY PETRIS. SiteID: 015-021-002019
= Inventory Item 0002 Facility Unit Fixed Containers at Site
~I~IU~ ~vl~ / ~£~ ~vl~
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE AGAINST N WALL OF SHOP CAS#
221
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Waste I Ambient J Ambient J DRUM/BARREL-METALLIC
AMOUNTS AT THIS LOCATION
l Largest Container I Daily Maximum I Daily Average
55.00 GAL 110.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
%Wt. RN~oRS CAS#
100.00 Waste Oil, Petroleum Based
HAZARD ASSESSMENTS
TSecretl ~SlBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F DH / / / Low
-4- 01/06/2003
F TERRY PETRIS SiteID: 015-021-002019
Fast. Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 04/04/2001
911 FOR FIRE DEPT, POLICE DEPT AND CALL CAL OSHA.
-- Employee Notif./Evacuation 04/04/2001
MANAGEMENT WILL MEET WITH ALL EMPLOYEES.
~ Public Notif./Evacuation 04/04/2001
POLICE, NEWS.
Emergency Medical Plan 04/04/2001
SAN JOAQUIN HOSPITAL.
-5- 01/06/2003
TERRY PETRIS SiteID: 015-021-002019
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
-- Release Prevention 04/04/2001
KEEP CONTAINERS WITH LIDS ON.
-- Release Containment 04/04/2001
MOTOR OIL IS ALL WE HAVE.
-- Clean Up 04/14/2000
HOW WOULD YOU CLEAN UP THAT RELEASE ONCE YOU HAVE CONTAINED IT??????
Other Resource Activation
-6- 0.1/06/2003
F TERRY PETRIS SiteID: 015-021-002019
Fast Format
~ Site Emergency Factors Overall Site
iSpecial Hazards
--Utility Shut-Offs 04/04/2001
A) GAS - ALLEY
B) ELECTRICAL - SHOP
C) WATER - ALLEY
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 04/04/2001
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN ALL LOCATIONS.
NEAREST FIRE HYDRANT - ON CHESTER AND 24TH ST.
Building Occupancy Level
-7- 01/06/2003
TERRY PETRIS SiteID: 015-021-002019
Fast Format
~ Training Overall Site
-- Employee Training 04/04/2001
WE HAVE 12 EMPLOYEES AT THIS FACILITY.
WE ARE GETTING MSDS SHEETS FOR OUR FILES.
BRIEF SUMMARY OF YOUR TRAINING PROGRAM: SAFETY CLASS OF USE OF SAFETY
EQUIPMENT.
Page 2
--Held for Future Use
Held for Future Use
8 01/06/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME -[.~. ~-~../ ~0,,~ v. $ INSPECTION DATE ~-.0.
ADDRESS .~ ~ ~ ~" ~.---,,, e '!,~- PHONE NO.
FACILITY CONTACT :~,k~- ~'r-~, -~; BUSINESS ID NO. 15-210-
INSPECTION TIME ~o NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[~Routine {~l Combine~:... {~l Joint Agency [~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy :,
Verification of inventory materials
Verification of quantities
Verification of location 1/
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Fire Protection .,/
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~Yes [~'No
Questions regarding this inspection? Please call us at (661) 326-3979 Business site R~spon(s~ble Party,
White- Env. Svcs. Yellow-Station Copy Pink-Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME "l'e-G-'~ ~6'"X'v-',~ INSPECTION DATE '7-'9
ADDRESS ~Z~'- ~,oe $-r PHONENO. ~t~ o,5-°/21
FACILITY CONTACT :a~k,. '~,,.':V,~.a BUSINESS ID NO. 15-210- ots-oO-i
INSPECTION TIME tgi> NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V; COMMENTS
Appropriate permit on hand
Business plan contact information accurate v/
Visible address
Correct occupancy v
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability v
Verification of Haz Mat training v
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~['Yes [] No
Explain: eOo.,.~-~ o ~ ~ .
Questions regarding this inspection? Please call us at (661) 326-3979 Business 'Sit~ l~spon~ble Partyt
W hi re- Env. Svcs. Yell ow- S tail on Copy Pink- B Iisi .ess Copy Ins p e ct or: ~?/~'~--~/i~a.g~/"
TERRY PETRIS SiteID: 015-021-002019
Manager : BusPhone: (661) 861-9887
Location: 2315 EYE ST Ma~ : 103 CommHaz : Low
City· : BAKERSFIELD Grid: 30A FacUnits: 1 AOV:
EPAC°mmC°de:Numb.:-/ BAKERSFIELD STATION 01 DunnBrad:SIC Code:
ff~ergency Contact / Title Emergency Contact / Title
I JOHN PETRIS /
/
Business Phone: (661)'861~ Business_Pn~: ) - x
k24-Hour Phone : (66i)~ 2.4~-Hou~one"-~: ) - x
~ager Phone ( ) ~~ ~ p~Phone : ) - x
Ha~-~azards: ~ Fire Press Im~lth DelHlth
Contact : Phone: 661) 861-9887x
MailAddr: 2315 EYE ST State: CA
City : B~ERSFIELD Zip : 93301
Owner JO~ PETRIS Phone: (661) 861-9887x
Address : 2315 EYE S? State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:.
~ Hazmat Inventory One Unified List
A~_phabetJ.cal Order Ail Materials at Site
Hazmat Common Name... ISpocHazIEPA Hazards Frm I DailyMax IUnitlMCP
HELIUM '/~ F TM IH G 438.00 FT3 Min
k"OTOR ~L ~ F DH L 100.00 GAL Min
OXYGEN ~ F ~t".4 DH G 249.00 FT3 Low
~3~S-TE--O~L~ ~ F DH L 110.00 GAL Low
-1- 03/14/2001
/ .._~o OFFICE. OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS NT PLAN
· ' 'qn, ' -i' ' 3 ys e'pt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION h BUSINESS IDENTIFICATION DATA
~IL~G ADDRESS:
CITY: i~ .k~4~::3~. ,~ d
P~~Y ACTIVITY:
OWNER: ~ C~(h b 'f')k~ ~'f ] -'3 PHONE:
MAILING ADDRESS: '() ./~-~'C',X '~-~-)~'~[I ~--~!r.O~4.'%zvk'M/~'~'~
EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1
, CE OF ENVIRONMENTAL ~ERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
"~'~'"~~"'~'"*'"*' BUSINESS OWNER I OPERATOR IDENTIFICATION
FACILITY INFORMATION
Page Of __
FACILITMIo~ ~ ; ~ , ~ ' ~. ~' ,1'( I .1 Yearaeginni'ng .~'~ ,oo Year Ending ,Ol
BUSINESS NAME (Same as FACILI~ ~E or DBA- Doi~ B~iness ~) 3 BUSINESS PHONE ~02
SITE ADDRESS 103
' SIC CODE ~o7
DUN& ~&~ 1~ (4 Dig t g)
B~DSTREET Q~ --O 5)-
COUN~ ~I ~
OWNER NAME ~ ~ ~W{~ ,,1 OWNER PHONE ~[~
OWNER ~ILING
CIW ~' ,,4 STATE ~ ,,s ZIP
CONTACT ~ILING ~ 19
~ME
TITLE ~]~ 125 TITLE ~30
BUSINESS PHONE ~ ~1~ ~ ~26 BUSINESS PHONE ~31
24-HOUR PHONE ~b~ -- *~5 ~ ~ 127 24-HOUR PHONE
PAGER ~ ~ ~ ~ ~~ 128 PAGER ~ ~33
Ce~on: Ba~d on my inqui~ of ~ose individuals responsible for ob~ining ~e info~aaon, I ~ under penal~ of law ~at I have pemonally examined
and am ~miliar with the Info~aaon subml~d in ~is in~nto~ and believe ~e info~ation is t~e, a~u~te, and ~mplete,
SIGNATURE OF O~NE~OP~TO~ DATE ~ NAME OF DOCUMENT PREPARER ~35
~S OF OWNE~OPE~TOR (print) ~3e TITLE OF OWNE~OPE~TOR
UPCF (7/gg) S:~CUPAFORMS\OES2730'TV4'wpd
TERRY PETRIS SiteID: 215-000-002019
Manager : BusPhone: (661) 861-9887
Location: 2315 EYE ST Map : 103 CommHaz : Low
City : BAKERSFIELD Grid: 30A FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JOHN PETRIS / ~ O~q~ /
Business Phone: (661) J~l~9~7x Business Phone: ( ) - x
24-Hour Phone : (661) ~zt=z~-~3~00x 24-Hour Phone : ( ) - x
~DSq~ v Pager Phone : ( ) - x
Pager Phone : (~) ~ ~5~
Hazmat Hazards: Fire Press ImmHlth DelHlth
Cont~ct-~:- Phone: (661) 861-9~7x
MailAddr: 2315 EYE ST State: CA
City : BAKERSFIELD Zip : 93301
Owner JOHN PETRIS Phone: (661) 861-D0~7x
Address : 2315 EYE ST State: CA
City : BAKERSFIELD Zip : 93301
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... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMCP
MOTOR OIL F DH L 100.00 GAL Min
WASTE OIL F DH L 110.00 GAL Low
OXYGEN F IH DH G 249.00 FT3 Low
HELIUM I, db%~ ~=%,,~ Do hereby ce~i~Fthat ~ h~e G 438.00 FT3 Min
reviewed the a~ached h~ard0us ma~e~als ma~age-
(~ 0f ~e~)
any corrections constitute a complete and corre~ man-
agemem plan for my facili~
o4/i~/2ooo
TERRY PETRIS SiteID: 215-000-002019 ~
= Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
-- COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE AGAINST N WALL OF SHOP CAS#
8020835
F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Ii Ambient Ambient ABOVE GROUND TANK
Liquid /Pure
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
100.00 GAL 100.00 GAL 65.00 GAL
HAZARDOUS COMPONENTS
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
TSecret' RS,BioHaz' Radioactive/Amount EPA Hazards NFPA USDOT# MCP
NoIN° I NoI No/ Curies F DH / / / Min
-- InVentory Item 0002 Facility Unit: Fixed Containers at Site
-- COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE AGAINST N WALL OF SHOP CAS#
221
~ STATE ~ TYPE I PRESSURE TEMPERATURE CONTAINER TYPE
Liquid /Waste Ambient I Ambient I DRUM/BARREL- METALL I C
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
55.00 GAL 110.00 GALI 55.00 GAL
HAZARDOUS COMPONENTS
I
100.00 Waste Oil, Petroleum Based N
HAZARD ASSESSMENTS
TSecretl RS[BioHaz[ Radioactive/Amount [ EPA Hazards[ NFPA USDOT# I MCP
No No No No/ Curies F DH / / / Low
-2- 04/14/2000
TERRY PETRIS SiteID: 215-000-002019
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SE CORNER OF SHOP CAS#
7782-44-7
F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas /Pure I Above Ambient I Ambient PORT. PRESS. CYLINDER
HAZARDOUS COMPONENTS
%Wt. RNo~ CAS#
100.00 Oxygen, Compressed 7782447
HAZARD ASSESSMENTS
TSooretl ~SIBi°Haz Radi°active/Am°untNo N No No/ Curies FEPA HazardsIH DH NFPA/// I USDOT# I MCP
= Inventory Item 0004 Facility Unit: Fixed Containers at Site 9
~t~lV~tVl~,~J.~l /%lZ-~l.VJ.~ / ~jrJ.~Slv[ / ~ /~4Z-~LV~J~
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE TIRE SHOP AREA CAS#
7440-59-7
r STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas /Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
I Largest Container I Daily MaximumI Daily Average
219.00 FT3 438.00 FT3 219.00 FT3
HAZARDOUS COMPONENTS
100.00 Helium N 7440597
HAZARD ASSESSMENTS
ITSecretl oRSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP
No N No No/ Curies F P IH / / / Min
-3- 04/14/2000
TERRY PETRIS SiteID: 215-000-002019
Fast Format
= Notif./Evacuation/Medical Overall Site
-- Agency Notification 04/14/2000
WHAT AGENCIES ARE YOU GOING TO NOTIFY IN CASE OF AN EMERGENCY?????
Employee Notif./Evacuation 04/14/2000
HOW ARE YOU GOING TO NOTIFY YOUR EMPLOYEES OF AN EMERGENCY???????
~ Public Notif./Evacuation 04/14/2000
HOW ARE YOU GOING TO NOTIFY THE PUBLIC OF AN EMERGENCY????????
Emergency Medical Plan 04/14/2000
WHAT MEDICAL FACILITY ARE YOU GOING 77 ~SE IN CASE OF AN EMERGENCY????????
-4- 04/14/2000
p TERRY PETRIS SiteID: 215-000-002019
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 04/14/2000
How DO YOU PREVENT FROH HAVING A RE%E~SE OF HAZ~DOUS ~TERI~S??????
--Release Containment 04/14/2000
HOW DO YOU CONTAIN A RELEASE ONCE IT HAS HAPPENED???????
-- Clean Up 04/14/2000
HOW WOULD YOU CLEAN UP THAT RELEASE ONCE YOU HAVE CONTAINED IT??????
Other Resource Activation
-5- 04/14/2000
TERRY PETRIS SiteID: 215-000-002019
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
-- Utility Shut-Offs 04/14/2000
LIST THE LOCATION OF YOUR UTILITY SHUTOFFS???????????
A) GAS - ~1~
B) ELECTRICAL - 5%,o~
C) WATER- ~\~
D) SPECIAL-
E) LOCK BOX -
-- Fire Protec./Avail. Water ~_ 04/14/2000
PRIVATE FIRE PROTECTION EXTINGUI S~R-~NK~-~TU~STEM????????
NEAREST FIRE HYDRANT - ??????????? · ~ O~ ~k~ ~%0ck~ Che-~ %~A~
~Building Occupancy Level
-6- 04/14/2000
TERRY PETRIS SiteID: 215-000-002019
Fast Format
~ Training Overall Site
-- Employee Training 04/14/2000
HOW MANY EMPLOYEES DO YOU HAVE AT THIS FACILITY??????? l~
DO YOU HAVE MSDS SHEETS ON FILE???????? ~o~ ~~ c~ t~~
-- Page 2
Held for Future Use
Held for Future Use
-7- 04/14/2000
9EMT BY: PETRO LOCK; 8~t 945 3247~] ~R-~8-Ot 9:0tAM; PAGE t/5
P,nnzoll Products Company MATERIAL SAFETY DATA SHEET
PRODUCT ENTIFICATION
NSDD CODE: 012978
ADDRESS= P.O. BOX 2967
HOUSTON, ~X 7~252-296~
DEB~E OF HAZED HAZARD R~TZNB~
EHERGENCY TELEPHO~ NO.: (800) 546-~0q0 O-LEAST
HEAL~= [ [-~L~GHT
F[~: [ 2-NODER~TE
REACTIVITY: 0
4-EXTREHE
TRION NAME: PENNZOIL HULTI-GR~DE HOTOR OIL - RLL BR~E~
BY: HEaltH ~ERVIOE5 ~FF[OT[V[ O~TE: DEOEHBEH ~.
LB00] 54~-6~27 ~UFER~EDE~ O~TE~ 0RI~IN~L VERSION
[2. ING DIENIS
H~ZA~0U5
C~PONENT N~E IN PgRCENTAG[ COMPONENT
BA~ N~BER BLEND MiN MAX EXPOSURE LIMIT UNIT
BA~E LUBRI~TINB OIL~
MIXTUflE
ACGIH TLr NO LIMIT
DETERGENT/I~IBITOR ~Y~TEM
MIXTURE NO
ACGIH TLv NO LIM)T
vIS:DB~TY INDEX
N~XTURE NO 5 T0 15 0~HA PEL N0 LIMIT
ACG]H TLV NO LIMIT
POUR POINT DEPRESSANT
MIXTURE NO < 1 OOHA PEL NO LIMIT
R~H TLV NO LIMIT
ANTIFO~ ADDITIVE
MIXTURE NO < 1 O~HA F~L NO LIMIT
R~G~H TLV NO LIMIT
3. HEALTH INFORmaTION AND PROTECTION
EYE CONTACT~ [HiS PRODUCT 15 PRACTICALLY NON-IRRiIMT1NG TO T~ EYE5 UP~ DIRECI
C~TACT, B~SED ON TESTING OF ~IMIIAR PRODU~T~ A~/OR
3KIN CONTACT= AVOID ~KIN CONTACT, THIS PRODUOT ]$ MINIMALLY IRRITATING TO THE SKIN UPON
DIRECT CONTACT. BASED ON TE~TINO OF $INXL~R PRODUCTS AND/OR COMPONENTS,
PROLONGED OR ~EPEATED CONTACT MAY RESULT IN CONTACT DERMATITIS WHICH IS
CHARACTERIZED BY DRYNESS, CHAPPING, AND REDD~NI~. THiS CONDITION MAY MAKE
THE SAIN MORE 5~5CEPIIBLE TO OTHER IRR]TANT~, SENSITIZERS, AND DISEASE.
?EOLONGED OR REPEATED CONTACT MAY RESULT tN OIL ACNE WI'iICH IS
~H4RA~TE~IZ~ BY §LAOKMEAD$ WITH POSSIBLE SECOhDARY INFECTION. SEE HEALTH
DATA SECTION BGLOW.
~V: PETRO LO~K; ~t 9~ ~47~ ~AR-~-9~ 9:O~AM~ PASE
CODE: 0Z2978 NAME, PENNZOIL MULTI-GRADE MOTOR 0IL - ALL GRADES PAOE 02
INHALATION, THI~ PRODUCT HAS A LOW YAPOR PREb-'~URE AND I$ NOT EXPECTED TO PRESENT AN
INHALATION HAZARD AT AMBIENT CONDITION~. CAUTION SHOULD BE TAKEN TO
PREVENT AEROSOLI~ATION OR MISTING OF THIS PRODUCT. THE PERMI$$ABLE
EXPOSURE LIMIT {P[L} AND THRESHOLD LIMIT VALUE (TLVI FOE THIS PRODUCT A~
OIL MIST I~ 5 MC/M3. EXPOSURES BELOW 5 M~/M3 APPEAR TO BE WITHOUT
SIGNIFICANT HEALTH RISE. THE ~MORT-TERM EXPOSURE LIMIT FOR THI~ PRODUCT AB
AN OIL MIST IS 10 MC/M3,
IN,ES?ION: DO NOT INGEST. THIS ~ODUOT IS RELATIVELY NON-TOXIC 8Y IN, EST!ON. THIS
~RODUGT MAS LAXATIVE ~RO~£RTIES AND MAY RESULT IN ABDOMINAL CRAMPS AND
DIARRHEA. SEE HEALTH DATA SECTION ~{LOW.
HEA~TH DhTA~ ON RARE OCCASIONS, PROLONGED AND RE~EATED EXPOSURE TO OIL MIST POTE~ A
RISK OF PULMONARY DISEASE ~UCH AS CHRONIC LUNO INFLAMMATION. THIS
CONDITION IS USUALLY ATYM~TOMATIC AS A RESULT O~ REPEATED SMALL
A~PIRATIONS. SHORTNESS OF BREATH AND COUGH ARE THE MOST COMMON SYMPTOMS.
THE INTERNATIONAL AGENCY FOR RESEARCH ON CANCER HAS CONCLUDED THERE A~E
~NADEQUAT£ DATA TO EVALUATE THE CARCINOGEN!CITY TO EXPERIMENTAL ANIMALS OF
THIS CLASS OF PRODUCTS. TMUS THiS ~RODUCT BELONGS TO IARC CLASSIFICATION
GROUP 3, "NOT CLASSIFIABLE AT TO !TS CAR¢INO~ENIOITY TO MUMAN~.,' THIS
~RODUCT IS NOT CARCINOGENIC ACCORDING TO THE O~HA HAZARD COMMUNICATION
STANDARD.
FOR SASOLINE-ENBIN~ MOTOR OIL~ ONLY. AVOID ~KIN CONTACT WITH USED MOTOR
OILS. TME IARC HAS CONCLUDED THERE IS SUFFICIENT EVIDENCE THAT USED
GASOLINE-ENGINE MOTOR 0IL$ PRODUCE SK]N TUMORS IN EXPERIMENTAL ANiMAtS.
4. EMERGENCY & FIRST AID PROCEDURES
EYE CONTACT: IMMEDIATELY FLUSH EYES WITH LARGE AMOUNTS OF WATER AND CONTINUE FLUSHING
UNTIL IRRITATION ~U8$[DE~. IF MATERIAL IS HOT, TREAT FOR THERMAL BURNS AND
TAKE VICTIM TO HOSPITAL IMMEDIATELY.
SKIN CONTACT: REMOVE CONTAMINATED CLOTHINg. WASH CONTAMINATED AREA IHQROUGHL~ WITH 90AP
AND WATER. IF MATERIAL IS HOT~ SUBMERBE INJURED ~REA JN COLD WATER. IF
VICTIM I9 ~EVERELY BURNED, REMOVE TO A HOSPITAL IMMEDIATELY.
INHALATION: THIS MATERIAL HAS A LOW VAPOR PRESSURE AND IS NOT EXPECTED TO PRESENT AN
INHALATION EXPOSURE AT AMBIENT CONDITIONS.
INGESTION: DO NOT INDUCE VOMITING. SEEK MEDICAL ATTENTION.
5. PERSONAL HEALTH PROTI CTION INFOR_MATION
EYE PROTECTION: EYE PROT£~TION I8 NOT RE~UIRED UNDER ~ONDJTIONS OF NORMAL U~E, IF MATERIAL
IS HANDLED SUCM IHAl Il COULD )E SPLASHED INTO EYES, WEAR PLASTIC ~AGE
SHIELD OR SPLA~-PROOF SAFETY GOGGLES.
SKIN PROTECTION~ NO SKIN PROTECTION IS REQUIRED FgR SINGLE, SHORT DURAl!ON EXPOSURES. FOR
PROLONGED OR REPEATED EXPOSURES, USE IMPERVIOUS CLOTHING (800T$, ~LOVE9,
APRON~, ~TC.) OVER PARTS OF THE BODY SUBJECT tO EXPOSURE. I~ HANDLZN~ HOT
MATERIAL, USE INSULATED PROTECTIVE CLOTHING (BOOTS, $IOVES, APRONS, ETC.).
LAUNDER SOILED CCOTME$. PROPERLY DISPOSE OF CONTAMINATED LEATHER ARTICLE8
INCLUDINO SMOE~, WHICH CANNOT ~E DECONTAMINA?[D.
CODE= 012~78 NAME~ PENN2OIL MULTI-OR, DE MOTOR OIL ~ AL~ ~RADE$ PAGE 03
RESPIRATORY RESPIRATORY PROTECTION IS NOT ~QU[RED UNDER CONDITIONS OF NORMAL L~E. IF
PROTECTION: VAPOR OR MIST [~ GESTATED WHEN ~E MATER[AL [S HERT~D OR H~LED, USE
ORgANiC VAPOR ~SP[RATOR WITH A DUST AN~ MIST FIL'[[~, ALL RE~PIRATOR~ MU~T
8E NIOSH CERTIFIED. DO NOT USE COMPRESSED ~XYGEN ~N MYDROCARBON
ATMOSPHERES.
VENTILAT[~: LF VA~OR OR MIST IS GENERATED ~EN THE M~TER~AL 15 HEATED OR ~NDLED,
ADEQUAT~ VENIILATIQN IN AC~ORD~CE WITH GOOD ENBINEERING PRACTICE MUgT BE
PROVID{D TO MAINIAIN C~:ENIRATI~ B~LOW THE SPECIFIED
FLAMMABLE LIMII'~.
C~UMPIZQN OF FOOD AND BEVERAGE SHOULD BE AVOIDED XN WORK A~EAS ~ERE
HYDEOCARBO~ A~E PEE~NT. ALWA~ WASH HAND~ AND FACE WI~ SOAP AND WATER
BEFORE EATING, DRINKING, O~ SMOKING.
FLASH POINT: q32 F TEST METHOD~ C.O.C.
AUTOIGNZTI~ TEMPERATURE: ) BOO F TEST METHOD) NO DATA
FLAMMABLE LIMITS IN AI~ % BY VOLUME LO.R: NO DAlA UPPER, NO gAlA
[XTI~UISHINB U~E DRY CHEM)CAL, FOAM, OR CARB~ DIOXIDE,
MEDIA:
~PEOIAL FIRE WAIE~ MAY BE [NEFFECTIV~ BUT C~ BE USED TO COOL CONTA;N~R~ ~XPOSED TO
FIGHTING HEAT O~ FL~E. QAUTIgN SHOULD BE EXERCISED ~N USlN~ WATEg
PROOEDURES: FROTHING MAY OCCUR, ESP~OiAtLY ~F 5P~AYED INTO OQNT~IN~R~
LIQUID.
UNUSUAL FI~E DE,i[ SMOKE MAY BE BENERATED ~ILE BUAN~NG. ~ARBgN MONOXIDE, OARBON
CONDITIONS:
STABILITY (THERMAL, LIBHT, ElL.l, STABLE
CONDIIlO~ lO AVOID: NONE
HAZARDOU~ POL~ERIZATIDN: WILL NOT OCCUR
IN~OMPATIBIL!~ MATERIAL~ TO AVOID: MAY ~EAOT ~ITH 9TRONO QXIDIZIN~ AOENT~.
HAZARDOUS DEC.POSITION PRODUDTB~ NONE
............ ~ ~l ~4~ aZ~/; UAR-28-O1 g:OIAM; PAGE 4/5
CODE= 012978 NAME= PENNZOIL MULTI-~RADE MOTOR OIL - ALL GRADES PAGE 04
[8. ENVIRONMENTAL PltECAUTIONS .
STEP~ TO ~E ~ONSULT HEALTH EFFECT INFORMATION iN ~ECTION III, P~RSONAL H£ALTH
TAKEN Ir PR~IECTION ZflFORMAT[.ON [N ~ECTION V, F~RE PROTE~TIOfl INFORMATION
MATERIAL Ia SECT)ON Vi, AND REACTIVITY DATA 1N ~[CT[ON VII, NOTIFY APPROPRIATE
RELEASED OR AUTHORItiES OF SPILL, CONTAIN ~PILL IMMEDIATELY. DO NOT ALlO~ SPILL TO
SPtLLED~ ENTER S[~ERS OR WATERCOURSES, REMOVE ALL SOURCES OF IGNITION. ABSORB WITH
A~PROPRtATE INERT MATERIAL SUCH AS SAND, CLAY, ETC. LARGE SPILLS MAY BE
PICKED UP U~JING VACLrUM PUMPS, ~HQVELS, BU~EET~, OR OTHER MEANS AND PLA~ED
IN DRUM5 OR OTHER SUiTAbLE CONTAINER~,
WASTE DISPOSAL ALL DISPOSALS MUST ¢OMPL~ WITH FEDERAl, ~TAT[, A~D LOCAL REGULATIONS. THE
METHOD: MATERIAL, IF ~PILLED OR DISCARDED, HAY BE A REGULATED WASTE. REFER TO
~TAT[ AND LOCAL REGULATIONS. CAUI[ON~ IF REGULATED SOLVENI~ ARE USED TO
CLEAN UP SPILLED MATER~AL, THE REBULiING WASTE MIXTURE MAY 8E REGULATED.
DEPARTMENT OF TRANSPOR?AT[ON (DOLT REGUlATiONS MAY APPLY FOR TRANSPORIING
THIS MATERIAL WHEN SPILL[~, WASTE MATERIAL MAY BE LANDFiLLED OR
INCINERATED AT AN APPROVED FACILITY. MATERIALS ~HOULD BE RECYCLED IF
POSSIBLE.
!9. MISCELLANEOUS
HANDLING AND DO NOT TRANSFER TO UNMARKED CONTAINERS. STORE IN CLOSED CONTAINERS AWAY
STORAGE FROM HEAT, ~P&RK~, OFEN FLAME, OR OXID[IINO MATERIALS. THI~ ~ROOUCT IS
R~QUIR[MENT$: CLASSIFIED AS HAZARDOUS UNDER DOT REGULATIONS. FIRE EXTINGUISHERS ~HOULD
BE KEP1 READILY AVAILABLE. SEE NFPA ~0 BND OSHA ~9~0.10B--FLAMMAS~[
COMBUSTIBLE LIOUIB~. THI~ PRODUCT I~ NOT A CONTROLLED SUB~TANC~ UNDER THE
CANADIAN WI~NIS REGULATIONS.
ADDITIOh~AL THIS MIXTURE MAY BE FORMULATED IN PART WITH COMPONENT~ PURCHASED FROM
INFORMATION: OTHER COMPANIES. [N MANY INSTANCE~, ESPECIALLY WHEN PROPRIETARY OR TRADE
~EORET MATERIALS ARE UgED, PENNZOIL COMPANY MU~T RELY UPON THE HAZARD
~VALUAIION OF ~UCH COMPONENT5 ~UBMITTED TO PENNZOil ~Y THAT PROOUCT'~
MANUFACTURER OR IMPORTER.
THIS PRODUCT CONTAINS THE FOLLOWING SARA TITLE llI, SECTION 3!3
ZINC [OM?OUND5 CAS# NONE ~IT.
ALL INGREDIENT5 OF 1HI5 ?EODU~T A~E LISTED ON THE TOXIC SUBBTANCES CONIROL
ACT (T$OA) INVENTORY.
DOT: NOT ~EGULATED.
o~ o~,i
CODE: 0[2978 NAME: PENNZOIL MULTI-GRADE MOTOR OIL - ALL GRA~E$ PAGE
[10. PHYSICAL PROPERTIES
BOILINO POINT: > 800 F PERCENT VOLATILE: NO OATA
MELTING POINT: POUR POINT - 30 F VAPOR DENSITY
(AIR=E)= NO OATA
APPEARANCE: CLEAR AND BRIGHT EVAPORATION RATE
(ER=l): NO DATA
ODOR, ODORLESS SPECIFIC GRAVITY:
VAPOR PRESSURE: NO DATA AVAILABLE MOLECULAR WEIGHT: VARIES
~OLUBILIIY: NIL IN WATER
DISCLAIMER OF WARRANTY~
l~E INFORMATION CONTAI~[~ HEREIN I$ B^S[D UPO~ DATA AYA[[ABLE TO US, AND REFLECTS OUR
BEST PROFESSIONAL JUDGEMENT. HOWEVER, ~0 WARRANTY OF MCRCHANTA~ILITY, FITNESB FO~ ANY
USE, OR ANY OTHER WARRANTY [$ EXPRE$$[~ OR IMPLIED R£GAR~[NG THE ACCURACY OF SUCH DATA,
IME RESULTS TO BE O~IA[NED F~ON TH[ USE IHER[OF, OR THAl ANY SUCH USE DOES ~OT IMFRIN~[
ANY PATENl. SINCE THE INFORMATION CONTAINED HEREIN MAY BE APPLIE~ UNDER CONOITIONS OF
USE 8[YOND OUR DONT~OL AND WII~ ~lCH WE MAY BE UNFAMILIAR, WI[ DO NOT ASSL~E ANY
RESPONSIBILITY FOR TH[ RESULTS OF ~UCH APPLICATION. THIS [NFORI~qT[ON 15 FURNIBHED UPON
'THE CONDITION THAT IHE P£R~ON RE~EI¥ING ET SHALL MAKE HIS OWN DEIE~HI~AltON OF lME
)UIIABI[IIY OF THE MATERIAL FO~ HIS PARTICULAR PURPOSE.
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT N° 947
Sub Div. Blk. Lot.
You are hereby required to make Uae following cor~ctions
at the above l~ation:
Inspector
326-39?9
CORRECTION NOTICE
BAKERSFIELD FIRE· DEPARTMENT ~"!:?, ~.7
Location
Sub Div. Blk.' Lot
You are hereby required to make the following corrections
at the above location:
Cot. No
Completion Date for Corrections
o~, ~/~7//~ ~,~
'Inspector
326-3979
TERRY
PETRIS
Financing Available
JOHN PETRIS
1624 24th St.
B~kersfield, '~A
322-38OO
BAKERSFIELD DELANO
2315 Eye St. 1420 High St.
861-9687 725-8815
EAST TRUXTUN AUTO MALL
1201 E. Truxtun 3001 Harris Rd.
327-5131 832-3800
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301
FA C l L ITY NAM E ~'-C-"rz-~trJ ~-5 INSPECTION DATE
Section 4: Hazardous Waste Generator Program EPA ID # ,,R~///~
[] Routine j~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
OPERATION C V COMMENTS
Hazardous xvaste determination has been made g./ /
EPAlDNumbcr (Phone: 916-324-1781 to obtain EPA1D #) I~{ ~
Authorized for waste treatment and/or storage
Reported release, fire. or explosion within 15 days ofoccurance
Established or maintains a contingency plan and training
Hazardous waste accumulation time fi'ames
Containers in good condition and not leaking
Containers are compatible ~vith the hazardous waste
are kept closed ,,,hen not in use-~~) ?/..C_~<~ {~--F:::~-~° /~J CO>5~t'~ Dt'&.J~5
Containers
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
/
Secondary containment provided ~ ~
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of' used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years (/" (-,/x./v~~ 6~
Retains hazardous waste analysis fi)r 3 years
Retains copies of used oil receipts tbr 3 years [//
Determines if waste is restricted fi'om land disposal
C=Compliance V=Violation
Inspector: /.~k) '/x/~--'-~
Office of Environmental Services (805) 326-3979 Business Site Responsible Party
\Vhite - Env. Svcs. Pink - Business Copy
CITY OF BAI RSFI] I
8 O~CE OF EN~RO~NT~ SER~CES
1715 Chester Ave., CA 93301 (661) 326-- 3979
H~RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one ~ per ma~l ~r ~ or a~)
BUSINESS ~E (~e ~ FACIL~ ~ ~ O~ - ~g 8~n~ ~) 3
FIRE ~DE ~ ~ES (~e ~ ~ by ~ ~ ~
~O
~PE ~ D m ~ ~ w W~ 2tl I ~A~ DY. ~ 212 ~CURIES ~3
P~SI~L STA~ D s ~D ~U~ D g ~ ~4[ ~ST ~N~R
FED ~ ~RIES ~IE ~ 2 ~ ~ 3 ~E E~E ~ 4
STOOGE ~NNER ~~UND T~K ~ · ~~ ~UM D i FIBER ~M
(~eck a8 ~at
~ b UN~R~UND TANK ~ f ~ ~ j ~G ~ n ~C BO~LE ~ r O~ER
~ C T~K INSI~ ~I~ING ~ g ~Y ~ k ~X ~ o TO~ B~N
~d ~UM ~h SILO ~1 C~R ~p T~KWA~N
STO~ ~S~ ~ · ~IE~ ~ ~ ~1~ ~ ~ BELOW~I~
S~GE~~ ~ I~l~ ~ ~ ~1~ D ~ ~OW~l~
2 ~ ~
242 2~
UPCF (719~) S:~CUPAFORM$\OES2731.TV4.wI:M
" r CITY OF BAKERSFIEi
O(~CE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fon~ per mate~fal per building or ama)
I-I NEW I-I ADO f-I OELETE I-I REVISE 200 Page --
BUSINESS NAME (Same as FACILITY NAME o~ DBA - Ooing 9u~ A~) .. 3
CHEMICAL LOCATION 201CONFIOENTIAL(EPCRA)CHEMICAL LOCATION [] Yes [] No 202
CHEMI~g ~E
j ~ Subj~ to EP~ ~ to i~s
~M~N ~ EHS' ~
~PE O ~ ~ O m ~ O wW~ 211 I ~D~A~ ~Y~ D~ 212 CURIES
PHYSI~STA~ ~ s ~D DI L~ID O g ~ 214[ ~T~N~R
FED ~ ~ES ~ t FI~ . O 2 ~ O 3 ~ ~E O 4 A~ H~ O 6 ~NIC H~
~U..NU~ WA~ ~7 I --.M ~.Y~. 218 I A~ ~ILY ~. 219 ~A. W~ ~DE
~YS ~ S~
*~~m~.
STOOGE ~NNER ~ a ~UND T~K ~ · ~N~C ~UM ~ i FlOR D~M ~ m ~S ~ ~ q ~IL
(~eck aa ~t ~)
~ ~ U~UNO T~K ~ f ~ ~ ~ ~e ~ ~ ~ ~E ~ r O~ER
~ c T~ ~ eU~NO ~ ~ ~Y ' ~ k ~X ~ o TO~
~ d ~ ~M ~ h SILO ~ I ~NDER D p T~K WA~N
STOOGE P~U~ ~ a ~1~ ~ ~ ~ ~IE~ ~ ~ BELOW ~1~ ~4
STOOGE ~~ ~ a ~1~ ~ ~ ~ ~1~ ~ ~ B~OW A~I~ D ¢ ~Y~lC
s 242 243 Oy~ 2~
PRI~ ~ & T~E OF A~O~ ~ ~A~ ~ ~SE~A~E ;1~ J~
UPCF (7199) S:\CUPAFORMS~OES2731.TV4.wfld
~ CITY OF BAKERSFIEO
s OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326;-'3979
HAZARDOUS MATI::RIAL$ IN¥1::NTOR¥
CHI::MICAL DI::$CRIPTION
(oae ~otm Mr meterizl Der tm#dia9 or
EW I"l ADO [-I DELETE [] REVISE ~ 200 ~ Page -- of __
BUSINESS NAME (S~me a~ FACILITY HAME m' DBA o O~ing Business Al) ** 3
20~ C~£~C~L LOC~T~ON [] Yes [] ~o 202
~PE O p ~ O m ~ ~A~ ~ ~A~ D Y. ~ 2~2 CURIES
FED~~RIES ~.FI~ · D2 ~ ~3 P~S~~ ~4 A~H~L~ ~NICH~
STOOGE ~AINER ~'a ~U~ T~ ~ · ~N~iC ~UM D i FIBER D~M D m ~ ~ D q ~iL ~
(Check a8 ~at a~)
Db UNDER~UNDT~K ~f ~ ~J ~G Dn ~C~ ~r O~ER
~ ¢ T~ I~IDE BUI~I~ ~ g ~y ~ k BOX ~ o TO~ BIN
~UM ~ h SILO ~ I ~UNDER ~ p T~K WA~N
4 ~8 ~9 ~ Y~ ~ ~ 2~
UPCF (7199) S:~CUPAFORMS\OES2731.TV4.wlxl
OYFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
H~RDOUS MATERIALS INVENTORY
~ I ~ ~ ~ ~ CHEMICAL DESCRIPTION
(0~ ~ ~r ma~l per ~u~l~ or a~)
~ ~W ~ ADO ~ DE~ ~ ~I~E ~ Page
~1 ~E~LL~TION ~Ya ~ No ~2
' CHE~LL~TION t~51 ~ ~-- ~~ ~ ~ ~ ~"FIDE~(E~)
~. ::~.~',,,,~ ~'~ ~ ~:~. ~'~: ~'~ ~m~': % ~' .... %, .~;:"Y~'~ ~i~:~(~.~',:~ ~'~:::",:~ ~i,,?: ~,:~1:"~?,,~ ~ :~-c~, k~:,,:~ :'::;::,, .... ~.~, '
~ T~E SE~
CHEMI~L
~E
~7
~M~N ~ EHS'
FmRE ~DE ~ ~ES (~ ff ~ ~ ~ ~ ~
'. ~0
i
~ ~ WA~ 2~ 1 ~A~
i
FED~~RIES ~1 FI~ · ~~ ~P~S~ ~ ~4 A~H~ ~5 ~N~H~
(~ ~ ~ ~)
~.~WA~ ~7 I ~M 218 ~ A~ 219 ~A~W~DE
( ~U~ ~ILY ~U~ ~Y~
UN~S' ~ ~ ~ ~ ~ CU ~ ~ m ~S ~ m TO~ =~ ~
· ff ~S, ~t ~n I~.
STOOGE ~NER ~ m ~O~U~ T~K ~ · ~N~IC ~UM ~ i FIBER DRUM ~ m G~ ~ ~ q ~IL
(C~eck a~ ~t a~)
~ b U~E~UND T~K ~ f ~N ~ J ~O ~ n ~C ~ ~ r O~ER
~ C T~K I~1~ ~I~ING ~ g ~Y ~ k ~X ~ o TO~ BIN
~ d ~ DRUM ~ h SILO ~UNDER ~ p T~K WA~N
STO~ ~S~ ~ I ~1~ ~ ~VE~IE~ ~ ba BELOWA~I~
STO~GE~~ ~1~ ~ ~ ~1~ ~ ~ B~OWA~IE~ ~ c ~lC
~7 ~y~ ~ ~
I
2 ~ ~1 ~ Y~ ~ ~ ~2
3 ~ ~ ~y~ ~
5 242 243 ~ Y~ ~ ~ 2~
UPCF (7199) S:tCUPAFORMS~OES2731.TV4.wpd
. ~ CITY OF BAKERSFIII~
s r OFFICE OF ENVIRONMENTAL SERUCES
.: 1715 Chester Ave., CA 93301 (661) 326 3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fo~rn per material per bui/dln9 or ama)
,.~EW [] ADO [] DELETE [] REVISE 200 Page of
BUSINESS NAME (Same ~ FACILITY NAME ~ DBA - D~ing Zu~ln~ Al) : 3
20'1 CHEMICAL LOCATION [] Yes [] No 202
CHEMICAL LOCATION t~..~ ~ ~ ['~ eT-~ f~ ~1~ ~ CONFIDENTIAL (EPCRA)
FACILITY ID # I I I 1 MAP # (opgone/) 203 GRID # (OpUOnal) 204
205 TRADE SECRET [] Yes [] No 206
CHEMICAL NAME
..~-~"~..A ~JI~/L If Sut)jec~ ~o EPCRA, ~e~ to inamc~e~s
207
COMMON NAME EHS* r-] Yes [] No 208
; FIRE CODE HAZARD CLASSES (Compline tf requested by Ioc;d fire cNet)
210
~PE 'gLO. RE [] m M~'ruRE [] ~, WASTE 2. I RAD~3ACmE[] ~es E] No 212 t CURIES 213
FED
CATEGORIES
I FIRE [] 2 REACTIVE ,~[.3--PRESSURE RELEASE [] 4 AC..~FrE HEALTH [] 5 CHRONIC HEALTH 216
(C~ack aU mat ~/)
AMOUNT DA;LY AMOUNT DA;LY AMOUNT
uNrrS* I-1 ga GAL /~of CU FT n a) LBS [] tn TONS 221 DAYS ON Sn'E 222
* If EHS, amount mu~t beq'~lbs.
STORAGE CONTAINER r-I a ABOVEGROUND TANK [] · PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS DOTTLE [] q RAIL CAR 223
(Check all that apply)
[] b UNDERGROUND TANK I"1 f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER
[] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN
[]
d ~rEEL DRUM [] h SILO ,,,~.J.~UNDER [] p TANK WAGON
STORAGE PRESSURE [] · AMBIENT ~a ABOVE AMBIENT [] ba BELOW AMBIENT 224
STORAGE
I 226 7// []Yes []No 228
= 234 235 r-Ives[]No 23~ 2371
4 238 ! 235 , [] Yes [] No 240 241
$ 242 243 [] Yea [] No 244 245
UPCF (7/99) S:\CUPAFORMS~OES2731.TV4.wpd