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Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This ~ermit is issued for the followinq: I~ Hazardous Materials Plan I~ Underground Storage of Hazardous Materials Permit ID #:: 015-000-001095 D Risk Management Program I~ Hazardous Waste On-Site Treatment MONTGOMERY WARDS #147 LOCATION: 3201 F ST ?.:. ., OFFICE OF EN~RONMENTAL SER VIC~S 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 F~ (661) 326-0576 Exp~tion Date: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following. Materials Plan PERMIT ID# 015-021001095 round Storage of Hazardous Materials -~' Program MONTGOMERY WARDS #1471 LOCATION 3201 F :~i!:~:)' .,.... ' ~::i' ".'::::'"~i~ i?:i:::!i · ~i~ ............. ~ ~jr '~ ;'~"~i=.~%": ' ~. ,r _,. · ,~ ...... % ,v~~= ] ,.,.,, ...~ ,...~...~ ~;~.~.,...~, ~,.~., '-..~..~:, ~,. ,,~[;...:.-::::~=~/,~ ~,' ~,. ~,;;;;;~ ,~,..,;::'~2:3Z;~;,~=~.~;~~" ~,. [ssu~ by: Bakersfield F~e Depa~ment OFFICE OF E~RO~AL S~ ~CES Approv~ by: W . 1715 Chewer Ave., 3rd Floor B~enfiel~ CA 93301 Voice (805) 32~3979 F~ (805) 32~576 Expiration Date: L9ss revention '- ~onfi~bntial Subject~ Name Case File Number [ Date [ BAKERSFtEEI~ FIRE DEPT, INSPECTION 2/29/98 I I I I I [ Page of [] Narrative [] Supplemental Report [] Investigative Notes [~ Policy Failure Memo [] Weekly Activity Report j~Memo [] Inspections MemoTo:BAKERSFIELD FIRE DEPT. MemoFrom: MARTY SILVA LOSS PREV. MGR Date/Time 3/3/92 PER YOUR INSPECTION OF 2/29/98 THE FOLLOWING FLOOR PLANS OF THE LOCATIONS OF ANY AND ALL HA[,ARD MATERIALS LOCATED IN THIS FACILITY IS SUBMITTED. COPIES OF THESE DIAGRAMS HAVE BEEN INCORPORATED IN THE STORES HAZARD MATERIALS PROGRAM AND SAFETY BINDERS. MARTY SILVA ..~_~, LOSSSPREVENTION SAFETY MANAGER MONTGOMERY WARD MARl01998 3201 F. ST. ~. BAKERSFIELD, CA 93301 -- 805-328-5100 CC ROBIN WYNNE DISTRICT LOSS PREVENTION SAFETY MANAGER~ CC: X Signature Date Montgomery Ward 35967-2 II · ' '.- ~"; ~i '. ':, '"' - . "HAZARD ~ATERIALS AREAS" -- .~ X ' ' ' BAKERSFIELD, CA 93301 ~,--:~.-~ _ .. '~'' '": ? /'/..7 "~o -J u') ~>_ ... ~[;'~TO~ ~: . ,'~...... RESTROOMS OPTOM. OFFICE ~-- "' BATH SHOP '" "" ~ CUSTOMER AUTO MAIN CENTER STORE r"--I I I CONCRETE 500 GAL. WASTE OIL TANK.-./ ASPHALT PARKING LOT DR:PDA " 0 ~ LOCATION MAP MONTGOMERY WARDS I ~--AA T E .----~9/2 6/86 '1NTrRNAT I OHAL 37~ OYSIER POIH1 BLVD., SU]1E ]9 3201 F STREET J~~ SOU1H SRHFRflHCISCO, Cfi. 94080 BAKERSFIELD MONTGOMERY WARD & CO. ........... '~ ....... ~.~, ~,;-~,-~, ' ~--~---"'.----'-~ ,' / .._..:x:-:.' ~._., ' ·.' .~..' ~scr~ion ,~ of Facility Using ce Frovided Below; 2'~' Include Ail the Followin~nfo~ma~ion: ~ Location of TanK(s), Piping & Dispenser(s) ~ Proposed Sapling Locations Indicating Approximate Depth of Samples _ Nearest Street or Intersection Surface Waters Within 100'.. Radius of Wells or Any Water Facility ELIZALDE JEWELRY SiteID: 015-021-002430 Manager : ~f~l~[~O.I Ui~'"~-,~(J~,f'~ BusPhone: (661) 631-0885 Location: 3201 F ST 132 Map : 102 CommHaz : City : BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ARMANDO ELIZALDE / OWNER A~,~ / Business Phone: (661) 631-0885x Business Phone: ( ) 24-Hour Phone : ( ) ~-o~otx 24-Hour Phone : ( )~f~ -o~o~x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : ARMANDA ELIZALDE Phone: (661) 631-0885x MailAddr: 3201 F ST 132 State: CA City : BAKERSFIELD Zip : 93301 Owner ARMANDA ELIZALDE Phone: (661) 631-0885x Address : 3201 F ST 132 State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat COmmon Name... ISpocHazlEPA HazardsI Frm DailyMax IunitlMCP OXYGEN F IH DH G 249.00 FT3 Low PROPANE E F P IH G 180.00 FT3 Hi WASTE CYANIDE SOLUTION DH L 55.00 GAL Min I, ~. ,,-,~,.,~,/- ,-~"/~ ;.~_~/~0 hereby ce~i~ tha~ ~ h~e revie~ the attaohed h~ardous mmeri~ls merit plan for~/~/~' . ~ _ ~nd that it ~,,'~ - ~' " 0~/~8/2003 ELIZALDE JEWELRY SiteID: 015~021-002430 ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site HELIUM Days'On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP CAS# 7440-59-7 i= STATE --~ TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Gas Pure~ Above 'Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 217.00 FT3I 217.00 FT3 217.00 FT3 100.00 Helium ' N 7440597 I HAZARD ASSESSMENTS I TSecret RS BioHaz 'Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~Ulvllvl~ ~Vl~ / ~lVl~ ~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP CAS# 7782-44-7 F STATE I TYPEPure Above PRESSURE I TEMPERATUREI Ambient Ambient . PORT CONTAINER TYPE PRESS CYLINDER Gas . . Largest Container Daily Maximum Daily Average 249.00 FT3 249.00 FT3 249.00' FT3 %Wt. S CAS# 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS TSecretl ~SIBi0Hazl Radioactive/Amount EPA HazardsI NFPA USDOT# I MOP No N No No/ Curies F IH DH / / / Low 2 04/18/2003 ELIZALDE JEWELRY SiteID:. 015-021-002430 = Inventory Item 0003 Facility Unit: Fixed Containers at Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP CAS# 74-98-6 F 'STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 180.00 FT3 180.00 FT3 I 1%Wt. HAZARDOUS COMPONENTS I I RS CAS# 100.00 Propane Yes 74986 HAZARD ASSESSMENTS TSecretl~SlBi°HaZNo N No Radioactive/AmountNo/ Curies EPAHazardsF P .IH NFPA/// IuSDOT# HiMCP = Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ .WASTE CYANIDE SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE REPAIR ROOM CAS# ~ STATE TYPE PRESSURE I TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-NONMETAL Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL %Wt. I HAZARDOUS COMPONENTS I RSI CAS# TSecret BioHaz Radioactive/Amount EPA ·Hazards NFPA USDOT# MCP No N No No/ Curies DH / / / Min 3 04/18/2003 F ELIZALDE JEWELRY SiteID: 015-021-002430 Fast Format F Notif./Evacuation/Medical Overall Site Agency Notification --Employee~/~z6~ Notif./Evacuation Public Notif./EVacuation Emergency Medical Plan -4- 04/18/2003 ELIZALDE JEWELRY SiteID: 015-021-002430 Fast Format Mit igat ion/Prevent/Abat emt Overall Site Release Prevention Release Containment -- Clean Up Other Resource Activation 5 04/18/2003 ELIZALDE JEWELRY SiteID: 015-021-002430 FaSt Format Site Emergency Factors Overall Site Special Hazards Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level 6 04/18/2003 ELIZALDE JEWELRY SiteID: 015-021-002430 Fast Format Training Overall Site Employee Training -- Page 2 --Held for Future Use Held for Future Use I 7 04/18/2003 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Manager : ~!0~/>~A~#~ BusPhone: (805) 328-5100 Location: 3201 F ST /'~/'~ ~g0~ Map : 102 CommHaz : Moderate City : BAKERSFIELD ~;~/k "'~ Grid: 24D FacUnits: 1 AOV: CommCode: BAKERSFIELD--~--STATION 01 ~/CS~ SIC Code:5311 EPA Numb: DunnBrad: Emergency Contaq~n ,/ Title I Emergency Contact / Title Business Pho~'~': (661) 328-5100x ~ Business Phone: (661) 32~-5100x 24-Hour Phone : (661) ~~3Z~&~I 24-Hour Phone : ~ )~ -]~6~x Pager Phone : ( ) - ~ Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 3201 F ST State: CA City : BAKERSFIELD Zip : 93302 Owner MONTGOMERY WARDS Phone: (805) 328-5100x Address : 3201 F ST State: CA City : BAKERSFIELD Zip : 93302 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: reviewed tho a~ch®~ ment plan ~or~~ ~h~ it a~o~ ~ith any corre~o~s ~ns~u[s s ~pls~s s~d ~ m~- agement plan ~r ~y ~li~. 1 11/01/1999 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ ~ Hazmat Inventory By Facility Unit ~ -- MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... {SpooHazlEPA HazardsI Frm DailyMax IUnitlMCP SULFURIC ACID F IH DH L 130.00 GAL Hi FREON 22 F P IH G 3568.00 FT3 Low ANTIFREEZE F DH L 700.00 GAL Low TRANSMISSION OIL F DH L 100.00 GAL Low WASTE OIL F DH L 75.00 GAL Low' MOTOR OIL F DH .L 165.00 GAL Min! 2 11/01/1999 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site S~FURIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: BATTERY ROOM CAS# 7664-93-9 F STATE TYPE PRESS~E TEMPE~T~E CONTAINER TYPE Mixture I Ambient IAmbient OTHER - SPECIFY [Liquid AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GMI 130.00 GMI 80.00 GM HAZARDOUS COMPONENTS 30.00 Sulfuric Acid (EPA) N 7664939 HAZED ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount EPA HazardsNo N No No/ Curies F IH DH NFPA I USDOT# I MCP/// Hi Inventory Item 0002 Facility Unit: Fixed Containers on Site ~[V~Vl~ ~Vl~ / ~ ~.,~,__1~ ~Vl~ FREON 22 Days On Site .365 Location within this Facility Unit Map: Grid: IN AIR CONDITIONING SYSTEM CAS~ F STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Pure Above Ambient Ambient IN MACHINE/EQUIP Gas Below AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum -Daily Average 3568.00 FT3 I 3568.00 FT3 3568.00 FT3 HAZARDOUS COMPONENTS 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS I I',TSecretl RSIBioHaz, Radi°active/Am°unt ,EPA HazardsI I NFPA USDOT~ MCP No ~No I No No/ Curies F P IH / / / Low -3- 11/01/1999 F MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~I~N N_YAlVl~ / ~~/AJu N~Vl~ ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SHOP CAS# 107-21-1 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER.TYPE mMixture I Ambient [Liquid I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 700.00 GALI 700.00 GAL HAZARDOUS COMPONENTS I 100.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME TRANSMISSION OIL Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SHOP CAS# 64742-65-0 Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 100.00 GAL I 100.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Transmission Fluid (Petroleum-Based) N HAZARD ASSESSMENTS TSecretl ~S BioHazl Radioactive/Amount I EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Low -4- 11/01/1999 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SERVICE BAY CAS# 221 Liquid Waste Ambient Ambient ABOVE GROUND TANK I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 75.00 GAL 37.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N 0 RS Bi°Has I HAZARD AiSESSMENTS I TSecret Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -- Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit .Map: Grid: AUTO REPAIR SHOP CAS# Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL[ 165.00 GAL[ 100.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS TSecretl oRSIBioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F DH / / / Min -5- 11/01/1999 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 -- Fast Format ---- Notif./Evacuation/Medical Overall Site -- Agency Notification 10/21/1992 CALL 911 -- Employee Notif./Evacuation 04/15/1998 2ND FLOOR LEVEL MUST USE STAIR WAYS & EXIT AT F STREET ENTRANCE OR SOUTH ENTRANCE. ONCE EVERYONE HAS EXITED OUT OF BUILDING STORE MGR, OPERATING MGR, LP MGR, OR STORE ENGINEER CALL 911 OR FIRE STATION. Public Notif./Eva~uation 04/15/1998 STORE OPERATOR ANNOUNCES EVACUATION WHEN INSTRUCTED TO DO SO, BY SENIOR STORE STAFF, POLICE OR FIRE OFFICIALS. ALL STORE EMPLOYEES WILL THEN REMOVE CUSTOMERS FROM THE STORE, NOT ALLOWING CUSTOMERS TO USE THE STORE ELEVATORS. Emergency Medical Plan 10/21/1992 MERCY MEDI CENTER - 325-6334 911 FIRE STATION #1 6 11/01/1999 F MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 10/21/1992 ALL MATERIALS ARE SHIPPED & STACKED IN CONTAINERS FOR SPILL & FIRE RESISTANT. IN CASE OF SPILL, EVACUATE NEARBY PERSONNEL, HAVE FIRE EXTINGUISHER NEARBY. , Release Containment 10/21/1992 DETERMINE NATURE OF SPILL, CLEAN UP ACCORDINGLY. IN CASE OF A HARMFUL CHEMICAL, CALL LOCAL FIRE DEPT & 911. -- Clean Up 10/21/1992 MOP & BUCKET OF CLEAR WATER. Other Resource Activation -7- 11/01/1999 F MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/15/1998 A) GAS - END CORNER OF PARCEL PICK UP B) ELECTRICAL - OLD GENERATOR RM BACK OF DISPLAY RM C) WATER - BETWEEN MAIN ENTRANCE AND END OF BLDG D) SPECIAL - SPRINKLER CONTROLS LOCATED ON E SIDE OF MAIN BLDG E) LOCK BOX - NO -- Fire Protec./Avail. Water 04/15/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS & OVERHEAD SPRINKLERS. FIRE HYDRANT - NE OF BLDG, N OF BLDG, S OF BLDG - ALL LOCATED NEXT TO BLDG. Building Occupancy Level 8 11/01/1999 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format ~ Training Overall Site -- Employe~ Training 04/15/1998 WE HAVE.~EMPLOYEES AT THIS FACILITY. WE HAVE MATERIALS SAFETY DATA SHEETS AVAILABLE IN SEVERAL DIFFERENT AREAS OF THE STORE. AUTO SHOP OFFICE & THE BUSINESS OFFICE 2ND FLOOR. BRIEF SUMMARY OF TRAINING PROGRAM: WE PROVIDE TRAINING TO ALL OUR EMPLOYEES UPON EMPLOYMENT. WE ALSO RETRAIN ALL ASSOCIATES EACH YEAR ON A MONTHLY Page 2 Held for Future Use Held for Future Use OFFICE OF ENVIRONMENTAL SERVICES . UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME /~O~'OD?~-tr2/'F' (,~/,.~ INSPECTION DATE.,/O ' ADDRESS ~2, OJ j~ 5"/" PHONE NO. ,32~>'- gl FACILITY CONTACT -'~..~ ~L~.OihC,O(' BUSINESS ID NO. 15-210- OOD- INSPECTION TIME ~O DO/.aJ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [21 Routine ~ombined ~ Joint Agency [21 Multi-Agency {~l Complaint [~1 Re-inspection OPERATION CIV COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled . , Housekeeping Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~tYes Questions regarding this inspection? Please call us at (805) 326-3979 Business ~;ite Responsible Party White- Env. Svcs. Yellow - Station Copy Pink - Business C0py Inspector: ,~ MONTGOMERY WARDS ~1473 SiteID: 215-000-001095 Manager : BusPhone: (805) 328-5100 Location: 3201 F ST Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:5311 EPA Numb: DunnBrad: Emergency Contact / Title 'E~ncy Contact- / Title// M TIN SILVA-/ LOSS PREY. I LEROY A o /. AGER Business Phone: (805) 328-5100x I Business P~~.- (80~53~~-5100x 24-Hour Phone : (805) ~x I 24-Hour Phone~m~) 324-8238x Pager Phone : ((~/)6~_~19~ I Pager P - x Hazmat Hazards: Fire ~ress ImmHlth~D~th Contact : Phone: ( ) - x MailAddr: 3201 F ST State: CA City : BAKERSFIELD Zip : 93302 Owner MONTGOMERY WARDS Phone: (805) 328-5100x Address : 3201 F ST State: CA City : BAKERSFIELD Zip : 93302 Per~od : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List -- Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI Frm DailyMax IUnitlMCP ANTIFREEZE F DH L 700 GAL Low FREON 22 F P IH G 3568 FT3 Low MOTOR OIL F DH L 165 GAL Min SULFURIC ACID F IH DH L 130 GAL Hi TRANSMISSION OIL F DH L 100 GAL Low _~LA_~T~ r'"%TT., F DH L 75 GAL LOW RECEIVED APR 1 3 1998 MONTGOMERY WARDS #1473 SitelD: 215-000-001095 Manager : ~--~ BusPhone: (805) 328-5100 Location: 3201 F ST ~?~ Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:5311 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title MARTIN SILVA / LOSS PREV. MANA I£RR¥ GLAD'lEU× / SI.0RE ~tANAGER Business Phone: (805) 328-5100x Business Phone: (805) 328-5100x 24-Hour Phone : (805) 399-37f7. x 24-Hour Phone : (805) ~65_196~x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Emergency Directives: AVAILABLE IN THE BUSINESS'OFFICE : Hazmat Inventory One Unified List ~ MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHaz]EPA Hazardsl Frm DailyMax lUnitlMCp SULFURIC ACID F IH DH L 130 GAL Hi FREON 22 F P IH G 3568 FT3 Low ANTIFREEZE F DH L 700 GAL Low TRANSMISSION OIL F DH L 100 GAL Low WASTE OIL F DH L 75 GAL Low MOTOR OIL F DH L 165 GAL Min 1 03/24/1998 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME SULFURIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: BATTERY ROOM CAS# 7664-93-9 = STATE TYPE PRESSURE ''I TEMPERATURE I CONTAINER TYPE Liquid Mixture Ambient I Ambient I OTHER - SPECIFY AMO~TS AT THIS LOCATION Largest C°ntainer I Daily Maximum I Daily Average GAL HAZARDOUS COMPONENTS 30.00 Sulfuric Acid (EPA) Yes 7664939 HAZARD ASSESSMENTS ITSecret INo N~S I Bi°HasINO Radioactive/AmountNo/ Curies FEPA HazardSiH DH NFPA/// USDOT# I MCPHi ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site FREON 22 Days On Site 365 Location within this Facility Unit Map: Grid: IN AIR CONDITIONING SYSTEM CAS# Gas Pure Above Ambient Below Ambient IN MltCHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average FT3I 3568.00 FT3I 3568.00 FT3 HAZARDOUS COMPONENTS 100.00 Chlorodifluoromethane N 75456 HAZARD ASSESSMENTS TSecretI ~SlBioHazI Radioactive/Amount I EPA HazardsI NFPA I OSDOT# MCP No N No No/ Curies F P IH / / / Low 03/24/1998 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SHOP CAS# 107-21-1 Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 700.00 GALI 700.00 GAL 100.001Ethylene Glycol N~S CAS# 107211 HAZARD ASSESSMENTS TSecretI ~SIBioHaz] Radioactive/Amount EPA Hazards NFPA ] USDOT# I MCP No N No No/ Curies F DH / / / Low = Inventory Item 0006 Facility Unit: Fixed Containers on Site TRANSMISSION OIL Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SHOP CAS# 64742-65-0 Liquid / Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container { Daily Maximum Daily Average GALL loo.oo GAL 100.00 GAL ~l%Wt i HAZARDOUS COMPONENTS 00.60 Transmission Fluid (Petroleum-Based) N~S CAS# 0 HAZARD ASSESSMENTS TSecretI ~SIBioHazI Radioactive/Amount I EPA HazardsI NFPA I USDOT# MCP No N No No/ Curies F DH / / / Low MONTGOMERY WARDS #1473 SiteID: 215-000-001095 = InVentory Item 0001 Facility Unit: Fixed Containers on Site .WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: AUTO SERVICE BAY CAS# 221 Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GAL[ 75.00 GAL 37.00 GAL HAZARDOUS COMPONENTS 100.00 Waste Oil, Petroleum Based N 0 . HAZARD ASSESSMENTS TSecret[ ~SIBioHaz Radioactive~Amount I EPA HazardsI NFPA I USDOT# ] MCP No N No No/ Curies F DH / / / Low -- Inventory Item 0003 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: ...... AUTO REPAIR SHOP CAS# LiqUid Pure Ambient Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 165.00 GAL 100.00 GAL 100.00 Motor Oil, Petroleum Based N 8020835 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F DH / / / Min -4- 03/24/1998 F MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 10/21/1992 CALL 911 ~ Employee Notif./Evacuation 10/21/1992 2ND FLOOR LEVEL MUST USE STAIR WAYS & EXIT AT F STREET ENTRANCE OR SOUTH ENTRANCE. ONCE EVERYONE HAS EXITED OUT OF BUILDING STOR MGR, OPERATING MGR, LP MGR, OR STORE ENGINEER CALL 911 OR FIRE STATION. Public Notif./Evacuation 10/21/1992 STORE OPERATOR ANNOUNCES EVACUATION WHEN INSTRUCTED TO DO SO, BY SENIOR STORE STAFF, POLICE OR FIRE OFFICIALS. aLL STORE EMPLOYEES WILL THEN REMOVE CUSTOMERS FROM THE STORE, NOT ALLOWING CUSTOMERS TO USE THE STORE ELEVATORS. Emergency Medical Plan 10/21/1992 MERCY MEDI CENTER - 325-6334 911 FIRE STATION #1 03/24/1998 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 10/21/1992 ALL MATERIALS ARE SHIPPED & STACKED IN CONTAINERS FOR SPILL & FIRE RESISTANT. IN CASE OF SPILL, EVACUATE NEARBY PERSONNEL, HAVE FIRE EXTINGUISHER NEARBY. ~ Release Containment 10/21/1992 DETERMINE NATURE OF SPILL, CLEAN UP ACCORDINGLY. IN CASE OF A HARMFUL CHEMICAL, CALL LOCAL FIRE DEPT & 911. -- Clean Up 10/21/1992 MOP & BUCKET OF CLEAR WATER. Other Resource Activation 03/24/1998 F MONTGOMERY WARDS #1473 SitelD: 215-000-001095 Fast Format ~ Site Emergency Factors Overall Site ' Special Hazards --Utility Shut-Offs 05/29/1990 A) GAS - END CORNER OF PARCE PICK UP B) ELECTRICAL - OLD GENERATOR ROOM BACK OF DISPLAY ROOM C) WATER - BETWEEN MAIN ENTRANCE AND END OF BUILDING D) SPECIAL - SPRINKLER CONTROLS LOCATED ON EAST SIDE OF MAIN BUILDING E) LOCK BOX - NO -- Fire Protec./Avail. Water 05/29/1990 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. OVERHEAD SPRINKLERS FIRE HYDRANT - NORTHEAST OF BUILDING, NORTH OF BUILDING, SOUTH OF BUILDING - ALL LOCATED NEXT TO BUILDING Building Occupancy Level -7- 03/24/1998 MONTGOMERY WARDS #1473 SiteID: 215-000-001095 Fast Format = Training Overall Site -- Employee Training 10/21/1992 WE HAVE 18 EMPLOYEES AT THIS FACILITY WE HAVE MATERIALS SAFETY DATA SHEETS AVAILABLE IN SEVERAL DIFFERENT AREAS OF THE STORE. AUTO SHOP OFFICE & SHE B,U~NESS~b~FICE 2ND BRIEF SUMMARY OF TRAINING PROGRAM: WE PROVIDE TRAINING TO ALL OUR EMPLOYEES UPON EMPLOYMENT. AND RETRAIN ALL ASSOCIATES EACH YEAR ON A MONTHLY BASIS. Page 2 Held for Future Use Held for Future Use -~- 03/24/1998 Overall Site with 1 Fac. Unit General Information~~J,,,~ Location: 3201FST Map:102 Haz:3 Type: 3 City : BAKERSFIELD Grid: 24D F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title MARTIN SILVA / LOSS PREV. MANA LEROY OROZCO / MAINT. MANAGER Business Phone: (805) 328-5100x Business 'Phone: (805) 328-5100x 24-Hour Phone : (805) 397-3021x 24-Hour Phone : (805) 324-8238x Pager Phone : ( ) - x Pager Phone : ( ) - x Administrative Data Mail Addrs: 3201 F ST D&B Number: City: BAKERSFIELD State: CA Zip: 93302- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5311 Owner: MONTGOMERY WARDS Phone: (805) 328-5100 Address: 3201 F ST State: CA City: BAKERSFIELD Zip: 93302- Summary I, ~r/51!/~_ // Do hereby certify that I have ' fl'~e Or ~.~ n.r~) reviewed the attached hazardous materials manage- J,~i" ~- ~[//~ ~..~ meat plan for////P,~/f~?~.¥ and that it along with .(Natn~ ol B,,mifeu) ' ~ any corrections constitute a complete and correct man- agement plan for my facility. /'1 08/15/96 MONTGOMERY WARDS #1473 215-000-001095 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-004 SULFURIC ACID Liquid 130 High · Fire, Immed Hlth, Delay Hlth GAL 02-002 FREON 22 Gas 3568 Low · Fire, Pressure, Immed Hlth FT3 02-001 WASTE OIL Liquid 75 Low · Fire, Delay Hlth GAL 02-005 ANTIFREEZE Liquid 700 Low ~ Fire, Delay Hlth GAL 02-006 TRANSMISSION OIL Liquid 100 Low · Fire, Delay Hlth GAL 02-003 MOTOR OIL Liquid' 165 Minimal · Fire, Delay Hlth GAL 08/15/96 MONTGOMERY WARDS 91473 215-000-001095 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 SULFURIC ACID Liquid 130 High · Fire, Immed Hlth, Delay Hlth GAL CAS #: 7664-93-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL130 I~ Daily Average80.00GAL I Annual Amount1,300.00GAL Storage Press I Temp~ Location OTHER - SPECIFY AmbientlAmbientlBATTERY ROOM -- Conc Components MCP ---TGuide 30.0% ISulfuric Acid (EPA) I"igh ~ 39 -- Notes 02-002 FREON 22 Gas 3568 Low · Fire, Pressure, Immed Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 I Daily Average FT3 ] Annual Amount FT3 -- 3,568 ~ 3,568.00 3,568.00 Storage ~ Press T Temp~ Location IN MACHINE/EQUIP IAbove |Below lin AIR CONDITIONING SYSTEM -Conc Components · MCP ---TGuide 100.0% IChlorodifluoromethane IL°w - I 12 02-001 WASTE OIL Liquid 75 Low · Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: OIL TREATMENT Daily Max GAL75I~ Daily Average37.00GAL I Annual Amount350.00GAL .. Storage~ Press T Temp . Location ABOVE GROUND TANK IAmbient]Ambient AUTO SERVICE BAY -- ConcI Components ~ MCP ---TGuide 100.0% IWaste Oil, Petroleum Based ILow ~ 27 08/15/96 MONTGOMERY WARDS #1473 215-000-001095 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-005 ANTIFREEZE Liquid 700 Low · Fire, Delay Hlth GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL I Daily Average GAL I Annual Amount GAL 700 ~ 700.00 700.00 Storage ~lPress T Temp Location PLASTIC CONTAINER IAmbientlAmbientlAUTO SHOP -- Conc Components MCP ---~uide 100.0% IEthylene Glycol ILow ~ 27 02-006 TRANSMISSION OIL Liquid 100 Low · Fire, Delay Hlth GAL CAS #: 64742-65-0 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL [ Annual Amount GAL 100 i 100.00 100.00 Storage{~Press T Temp Location PLASTIC CONTAINER Iambient{AmbientlaUTO SHOP -- Conc Components MCP ---TGuide 100.0% }Transmission Fluid (Petroleum-Based) ILow ~ 27 02-003 MOTOR OIL Liquid 165 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL [ Annual Amount GAL 165 ~ 100.00 1,650.00 StorageI~Press T Temp . Location PLASTIC CONTAINER Iambient}AmbientlaUTO REPAIR SHOP -- Conc~ Components { MCP ---TGuide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 08/15/96 MONTGOMERY WARDS #1473 215-000-001095 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 2ND FLOOR LEVEL MUST USE STAIR WAYS & EXIT AT F STREET ENTRANCE OR SOUTH ENTRANCE. ONCE EVERYONE HAS EXITED OUT OF BUILDING STOR MGR, OPERATING MGR, LP MGR, OR STORE ENGINEER CALL 911 OR FIRE STATION. <3> Public Notif./Evacuation STORE OPERATOR ANNOUNCES EVACUATION WHEN INSTRUCTED TO DO SO, BY SENIOR STORE STAFF, POLICE OR FIRE OFFICIALS. aLL STORE EMPLOYEES WILL THEN REMOVE CUSTOMERS FROM THE STORE, NOT ALLOWING CUSTOMERS TO USE THE STORE ELEVATORS. <4> Emergency Medical Plan MERCY MEDI CENTER - 325-6334 911 FIRE STATION #1 08/15/96 MONTGOMERY WARDS #1473 215-000-001095 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL MATERIALS ARE SHIPPED & STACKED IN CONTAINERS FOR SPILL & FIRE RESISTANT. IN CASE OF SPILL, EVACUATE NEARBY PERSONNEL, HAVE FIRE EXTINGUISHER NEARBY. <2> Release Containment DETERMINE NATURE OF SPILL, CLEAN UP ACCORDINGLY. IN CASE OF A HARMFUL. CHEMICAL, CALL LOCAL FIRE DEPT & 911. <3> Clean Up MOP & BUCKET OF CLEAR WATER. <4> Other Resource Activation 08/15/96 MONTGOMERY WARDS %1473 215-000-001095 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - END CORNER OF PARCE PICK UP B) ELECTRICAL - OLD GENERATOR ROOM BACK OF DISPLAY ROOM C) WATER - BETWEEN MAIN ENTRANCE AND END OF BUILDING D) SPECIAL - SPRINKLER CONTROLS LOCATED ON EAST SIDE OF MAIN BUILDING E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. OVERHEAD SPRINKLERS FIRE HYDRANT - NORTHEAST OF BUILDING, NORTH OF BUILDING, SOUTH OF BUILDING - ALL LOCATED NEXT TO BUILDING <4> Building Occupancy Level 08/15/96 MONTGOMERY WARDS #1473 215-000-001095 Page 8 00 - Overall Site <G> Training <1> Employee Training WE HAVE 18 EMPLOYEES AT THIS FACILITY WE HAVE MATERIALS SAFETY DATA SHEETS AVAILABLE IN SEVERAL DIFFERENT AREAS OF THE STORE. AUTO SHOP OFFICE & LOSS PREVENTION OFFICE 2ND FLOOR. BRIEF SUMMARY OF TRAINING PROGRAM: WE PROVIDE TRAINING TO ALL OUR EMPLOYEES UPON EMPLOYMENT. <2> Page 2 <3> Held for Future Use <4> Held for Future Use 11/29/93 MONTGOMERy WARDS #1473 215-000-001095 Page 1 Overall Site with 1 'Fac. Unit General Information ! Location: 3201F ST Map: 102 Hazard: Moderate Community: BAKERSFIELD STATION 01 - Grid: 24D F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-Hour Phone] MARTIN SILVA ILOSS PREV. MANAGER (805) 328-5100 x (805) 397-3021! . , ( 805 ) x ) ~-~23~ :_ t~J~Y' ~0Z~0 I MAINT. MANAGER 328-5100 (805 ' Administrative Data Mail Addrs: 3201F ST D&B Number: City: BAKERSFIELD State: CA Zip: 93302- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: MONTGOMERY WARDS Phone: (805) 328-5100 Address: 3201F ST State: CA City: BAKERSFIELD Zip: 93302' Summary · Do hereby certify that I have I, _~ar~n Si_,{vo __ (Type or print name) 'reviewed the attached hazardous materials manage- ment plan fo~o,~,~p~/~_~and that it along with any correctiOns cons'~imte ~ complete and correct man- agement plan for my facility. ~ ,~ 11/29/93 MONTGOMERY WARDS #1473 215-000-001095 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-004 SULFURIC ACID Liquid 130 High ~ Fire, Immed Hlth, Delay' Hlth GAL 02-002 FREON 22 Gas 3568 Low ~ Fire, Pressure, Immed Hlth FT3 02-001 WASTE OIL Liquid 75 Low ~ Fire, Delay Hlth ~ GAL 02-003 MOTOR OIL Liquid 165 Minimal ~ Fire, Delay Hlth GAL .£ 11/29/93 MONTGOMERY WARDS #1473 215-000-001095 Page 3 02 - Fixed Containers on Site Hazmat Inventory~.Detail.in MCP Order 02-004 SULFURIC ACID Liquid 130 High · Fire, Immed Hlth, Delay Hlth GAL CAS #: 7664-93-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use:' ADDITIVE · Daily Max GAL I Daily Average GAL I Annual Amount GAL 130 ~ 80.00 1,300.00 Storage ~~Press T Temp Location OTHER - SPECIFY IAmbient~AmbientlSaTTERY ROOM -- Conc Components MCP ---TGuide 30.0% ISulfuric Acid (EPA) ' High ! 39 -- Notes 02-002 FREON 22 Gas 3568 Low · Fire, Pressure, Immed Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 Daily Average FT3 I Annual Amount FT3 -- 3,568 I '~' 3,568.00_ 3,568.00 Storage Press I Temp~ Location IN MACHINE/EQUIP Above ~Below liN AIR CONDITIONING SYSTEM -- Conc Components ·. MCP ---TGuide 100.0% IChlorodifluoromethane ILow ! 12 02-001 WASTE OIL Liquid 75 Low ~ Fire, Delay Hlth GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: OIL TREATMENT Daily Max GALI Daily Average GAL ] Annual Amount GAL 75 ~ 37.00 350.00 Storage ~ Press T Temp~ Location ABOVE GROUND TANK I AmbientlAmbientlAUTO SERVICE BAY -- Conc~ Components~ MCP ---/Guide 100.0% IWaste Oil, Petroleum Based IL0w ~ 27 11/29/93 MONTGOMERY WARDS %1473 215-000-001095 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 MOTOR OIL Liquid 165 Minimal · Fire, Delay Hlth GAL CAS %: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL165 I Daily Average100.00GAL I Annual Amount1,650.00GAL Storage II-Press T Temp Location PLASTIC CONTAINER IAmbientlAmbientlAUTO REPAIR SHOP -- Conc Components MCP ---~uide 100.0% IMotor .Oil, Petroleum Based IMinimal I 27 11/29/93 MONTGOMERY WARDS #1473 215-000-001095 Page 5 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 2ND FLOOR LEVEL MUST USE STAIR WAYS & EXIT AT .F STREET ENTRANCE OR sOUTH ENTRANCE. ONCE EVERYONE HAS EXITED OUT OF BUILDING STOR MGR, OPERATING MGR, LP MGR, OR STORE ENGINEER CALL 911 OR FIRE STATION. <3> Public Notif./Evacuation STORE OPERATOR ANNOUNCES EVACUATION WHEN INSTRUCTED TO DO SO,.BY SENIOR STORE STAFF, POLICE OR FIRE OFFICIALS. aLL STORE EMPLOYEES WILL THEN REMOVE CUSTOMERS FROM THE STORE, NOT ALLOWING CUSTOMERS TO USE THE STORE ELEVATORS. <4> Emergency Medical'Plan MERCY MEDI CENTER - 325-6334 911 FIRE STATION #1 11/29/93 MONTGOMERY WARDS #1473 215-000-001095 Page 6 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL MATERIALS ARE SHIPPED & STACKED'IN CONTAINERS FOR SPILL & FIRE RESISTANT. IN CASE OF SPILL, EVACUATE NEARBY PERSONNEL, HAVE FIRE~ EXTINGUISHER NEARBY. <2> Release Containment DETERMINE NATURE OF SPILL, CLEAN UP ACCORDINGLY. IN CASE OF A HARMFUL CHEMICAL, CALL LOCAL FIRE DEPT & 911. <3> Clean Up MOP & BUCKET OF CLEAR WATER. <4> Other Resource Activation 11/29/93 MONTGOMERy WARDS #1473 215-000-001095 Page 7 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - END CORNER OF PARCE PICK UP B) ELECTRICAL - OLD GENERATOR ROOM BACK OF DISPLAY ROOM C) WATER - BETWEEN MAIN ENTRANCE AND END OF BUILDING D) SPECIAL - SPRINKLER CONTROLS LOCATED ON EAST SIDE OF MAIN BUILDING E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE.PROTECTION - FIRE EXTINGUISHERS. OVERHEAD SPRINKLERS FIRE HYDRANT - NORTHEAST OF BUILDING, NORTH OF BUILDING, SOUTH OF BUILDING - ALL LOCATED NEXT TO BUILDING <4> Building Occupancy Level 11/29/93 MONTGOMERY WARDS #1473 215-000-001095 Page 8 00 - Overall Site <G> Training <1> Page 1 WE HAVE 18 EMPLOYEES AT THIS FACILITY WE HAVE MATERIALS~SAFETY DATA SHEETS AVAILABLE IN SEVERAL DIFFERENT AREAS OF THE STORE. AUTO SHOP OFFICE & LOSS PREVENTION OFFICE 2ND FLOOR. BRIEF SUMMARY OF TRAINING PROGRAM: WE PROVIDE TRAINING TO ALL OUR EMPLOYEES UPON EMPLOYMENT. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use '" BAKE FIELD 'CITY FIRE D RTMENT 2130 "G" STREET · BAKERSFIELD, CA. 93301 ".'.'.'.'.'.'.'.'.'~,'-. ',--~ -, (805) 326-3979 ~,;7.-~.~ c~ ..-....' 'HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM BUSINESS NAME FACILITY NAME SITE ADDRESS CITY STATE ZIP NATURE OF BUSINESS SIC CODE DUN & BRADSTREET NUMBER' OWNER/OPERATOR · PHONE MAILING ADDRESS C;TY STATE ZiP EMERGENCY CONTACTS NAME TITLE BUSINESS PHONE 24-HOUR PHONE NAME TITLE BUSINESS PHONE 24-HOUR PHONE 'BAI F_IISFIELD 'CITY FIRE DIEIARTMENT HAZARDOUS MATERIALS DIVISIOt', 2130 "G" STREET BAKERSFIELD,(805) 326-3979CA' 93301 H.~.ARDOUS MATERIALS INVENTO 'f !' FACILITY DESCRIPTION CHECK IF BUSINESS IS AFARM BUSINESS NAME ~O/~'7(~O~E_/?., FACILI"FY NAME ///J7'O-3//OP SITE ADDRESS' 320/ £. .,ft CITY /~¢.~¢,,.~/L~,:z" STATE ("// ZIP ¢990/ NATURE OF BUSINESS 2E.7'//.[Z. SIC CODE DUN & BRADSTREET NUMBER' OWNER/OPERATOR PHONE MAILING ADDRESS CITY STATE ZIP EMERGENCY CONTACTS NAME 262( SIRS TITLE 3702E IM#//GEIR BUSINESS PHONE 805- 926 5lO0 24-HOUR PHONE 20~-78/-zt90I-t NAME ¢//4' 0 '/¢F__Z./-"-E TITLE ,4fl70 .r;/-/pf) BUSINESS PHONE ~05-~28-5/00 24-HOUR PHONE Se~emo~' 33, 1~ REGION¥ LE:PC HAZARDOUS MATERIALS INSPECTION B;~ersfield Fire Dept. Hazardous Materials Division Business Iden~fica~on No. 215-000- ~o~ o~ (Top of Business Plan) , Sta~on No. [ Shift ~ Ihs~ector Arrival Time: Depa~ure Time: Inspec~on Time: Adequate Inadequate Verification of Invento~ Materials Verifica~on of Quan~fles Verification of Location Proper Segregation of Material Verifica~on of MSDS Availabili~ 0 ~. Number of Employees: Verification of Haz Mat Training Commen~: Verifica~on of Abatement Supplies & Procedures Commen~: Emergency Procedures Posted Containers Properly Labeled Commen~: Verifica~on of Facili~ Diagram Special Hazards Associated wi~ ~is Facili~:. Violations: -B~sln'e~s Own~/Mana~]er,.P[~lNT NAME E Correction Needed White-Haz Mat Div Yellow-Station Copy Pink-Business Copy BAKERSFIF D CITY FIRE DEPAR VIENT HAZAR )US MATERIALS INVENTOt~! Business Name ' Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ ] Deletion[ ] Check ifchemicel is aNON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Hee~th (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ 7) AMOUNT AND TIME AT FACILiTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: lbs [ ] gel [ ] 1t3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year. J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT' AHM the three most hazardous 1) [ ] chemical components or ar',y AHM components 2). . [ ] 3) [ l 10)- Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ]' Addition [ ] Revision [ .] Deletion [ ] Check if chemical is 2) Common Name: 3) DOT # (optional) Chemical-Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION ~(3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE . 8) STORAGE COOES Maximum Daily Amount: lbs [ ] gel [ ] ~t3 [ ] a) Container; Average Daily Amount: cudes [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS # % WT AHM the three most hazardous 1). [ ] chemical components or any AHM components 2) ~ [ ] 10) Location per~onaily examine~ and am familiar with the infomatJon submitted on this and ail attached documents. I believe submitted information is ~-ue, accurate, and complete. PRINT Name & Title of Authodzed Company RepresentaO've Signature Date ,.-" BAKERSiELD Ci'O¢ FIRE DEP TMENT HAZ/ RDOUS MATERIALS, INVEN [ ORY Page_L_of_j_ Business Name/~0/~-GO/~-,/r~ ~/¢~D Address . _~20 / ~ ¢ R~ ~ ~ / ~ ~ ~ ~ E (~ CHEMICAL DESORI~ION 1) IN~NTORY STA~S: New [ ] Addition [~ Revision [ ] Deletion [ ] ' - Check ~ chemic~ is ~ NON ~DE SECR~ X ] 2) Common N~e: ~F[-F~/7~ 3) DOT ¢ (option~) 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire [ ] Reactive [ ] Sudden Rele~e of Pressure [ ~ Immediate Heath (Acute) 5) WAS~ C~SSIFICA~ON (3-digit code ~om DHS Form 8022) USE CODE 6) PHYSlCAL STATE Solid [ ] Uquid [~ G~ [ ] Pure [ ] M~ure [~ W~te [ ] RadioactNe [ 7) AMOUNT AND ~ME AT FACIU~ . UNITS OF M~SURE 8) STOOGE CODES M~imum D~ly Amount: I~ [ ] g~ ~ ] ~3 [ ] ~ Cont~ner: Average Daily Amount:. curies [ ] b) Pressure: Annu~ Amount: ~ rz ~ c) Temperature: ~gest Size'Container: ¢ Days On Site Circle~ich Months: ~ AllYe=,~, F, M, A, M, J, J, A, S, O, N, D 9) MI~URE: Mst COMPONENT CAS ¢ % ~ AHM chemic~ com~nents or anyAHMcom~nents 2) ~~6~6 ~CO~ ///-~-~ 0-~ [ ] 3). [ ] 10) Loc~ion ~IO CHEmiCaL 1) IN~NTORY 8TA~8: New [ ] Addition ~] Revision ~] Deletion[ ] Oheck ~ chemi~ is ~ NON T~O[ 4) PHYSICAL & H~L~ PHYSICAL . "~L~ H~RD CATEGORIES Fire [~ Rea~ive [ ] Sudden Rele~e of Pressure [ ] Immedi~e Re,th (Ac~e) [ ] Del~yedHe~th {Chronic) 5} WASTE C~SSIFICATION ~ / (3-digit code from DHS Form 8022) USE CODE 6) PN~SiCALSTA~ Solid [ ] Liquid [~ G~ [ ] Pure [ ] Minute ~] W~te [ ] Radioa~ive [ ] · 7) AMOUNT AND TIME AT FACIM~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: I~ [ ] g~ [ ] ~3 [ ] a) Cont~ner: Annu~ Amount: / 0¢(~]~ [~.~__ c) TemperCure: , ~gest Size Container: · DeysOnSite Circle ~ich Months: [NIYe~ J, F,'M, A, M, J, J, A. S, O, N, D the three most h~dous 1) REFZ~E~ ~Z ZZ~ d~7~2-d¢-O chemi~ com~oen~ or ' ' sub.i~ info~a,bn is ~., accu=te,.d complete. //// ~_. {/_// ". PRIm Name l ~Oe of A~ooz~ Comply Represen~Ove' ' ~a~re v ' ' ' / Oa~ ~s ~e ~ ,.. Average'-. ~..'~nual '~ ,'Roasts. ~ Da~ .'Cent Cant Cent' Use Lo~ti0n ~re % ~ N~s of M~e/C~nents Cads C~e .~t ~ "" :"~ ': ~t UMts ' 'on Sits" ~ Press ~ Cede S~red ~ Facility ' ~ '. See'I, nstm~i°ns n ~ M [ 130 [ 80 [ i',300 (Gal' ~'365 '~99-} 1'" [ 1 ~01[ Battery Room .... ''" 30 Sulfuric, Acid : t I I I I I I I I I I Ph~cal and H~ith ~za~ C.A.S. N~er Co~on~t ~ 1 ~ & C.A.S. N~er (Check all Co~onent ~ 2 N~ & C.A.S. N~er I I I I I ! I I I I I .. ,, (Check all't~t apply) ' .. .. : : . ~ ' ,. ... ., · ~.-...' I ,I ' I I 09/24/92~:;' ' :': : MONTGOMERY WARDS #1473 215-000-001095 :,.i,.: ~;~,,.'.'i.'.-~.;. ',"~?~¥'.j.:~., · Overall¥'Site with l'Fac. Unit :.'-/-:,'~.,'('i~ :'::~:" ~.. ;::;': ,}.}!~i;~'?..!;~ ~.'.. ;"."-:.'".... General Information ' ' 'n06ati.on '" .. :..,i'3201 F'ST · ' · 'Map: 102 IcommunitY:~';BAKERSFIELD STATION 01 ·Grid: '24D ,F/U contact.. Name ' Title , BUsiness 'Phone '" I "(805) 328-5100 'x '328-5100 Martin silva?::~ Loss Prey. Mgr '(805) Anthony F'~'~'-.', Maint. Mgr Administrative Data Mail Addrs":i.:3201 F ST ' ' D&B Number:.' '~ City:" BAKERSFIELD State: CA Zip: "~ Comm Code':'.C215-001 BAKERSFIELD STATION 01 SIC Code .~': ...... owne~;'i'? MONTGOMERY WARDS Phone: '(805,) AddresS'~!~:!320i F ST State: ,:? C itY.:i.h' BAKE RS F I ELD Z i p: .9 ::'Summary., iiii",'i!: . : ;' ..'/:~:{'L". ~::~:::~'t~Vi~w~d:. !he ~t~eh,d h~z~'dou~ materials manage- ~': a~y eorroetiono constitute a complete and correct man- plan' for my facility ..... .- ~ 09/24'/92- ' .'' ' ~' 02 - Fixed Containers on Site ~ /~' Hazmat Inventory Detail in MCP order '02-004.:~SULFURIC ACiD Liquid '. ~: ~ Fire, ~I~ed Hlth, Delay Hlth ................. .~:~.. ~CAS,.~17664_93=9 Trade Secret: No ~'~ F0rm~;~Liquid Type: Mixture Days: 365 Use: OTHER ?: :' '~'~"~ i y MaX GAL Daily Average GAL Annua'l~,, · :'y.:~:,>.:~ ~ 130 80.00 · ~'" ~ ...... '~'/St--orage~., Press T Temp Locat'j :"~'~'? IAmbient~Ambient I,AUTO REPAIR SHOP .... 2~atte -.... .... Co~c..... Components ] ': <~ ::' "3'O;38~'%'~: J~:'-.I Sulfuric Auld .(EPA) --. Notes · 02e002 '~:FREON 22 .:, -.....~. Gas 3568~ }':'Firb'.,~.'~ PreSsure, I~ed Hlth '-"-' F' ?['~:...~.'[' Trade Secret: No · '~'~:."'~,~"-'. ,::'."'"'~'""; ....... ...... :~:"' ..." ' '."..'4 ,,Type: Pure Days: 365 Use: COOLING,,' '.~Max FT3 Daily Average FT3 1 Ann~al':"~'fit~}:FT3~':": ''~: ~'~;-'~ 3,568 I 3,568.00 I ' ,~:~' .:'3,568.00 ge .... Press T Temp Location '' '' M~eH~/EQUIP IAbove /Below liN AIR CONDITIONING SYSTEM: Components ' MCP ~Li~t Chlorodi fluoromethane ~O'IT:'' ~" Liquid 75 Low ~.'.i:iFire.;..!?Delay Hlth GAL :'221 Trade secret: No ~uid Type: Waste Days: 365 Use: OIL 'TREATMENT .... ly Max.'.GA~. Daily Average GAL Annual Amount GAL 75 I ' 37.00 '--~ ' 350.00 ge I Press T Temp Location 'GROUND TANK I Ambient~Ambient I AUTO SERVICE BAY Components I MCP I List .i,ast.el,.~ 'Oil, Petroleum Based ILow I . "., ..%::.. :~ ',../ ~:.., .'~ :~¥~ .:. ' 09/.24/92 MONTGOMERY WARDS #1473 215-000-001095 '....~' '-~:,:_~ 02 - Fixed Containers on Site ' i'.-' ."-'"':(' Hazmat Inventory Detail_ in MCP 'order~ 02-003 MOTOR OIL Liquid: CAS~,#: Trade Secret: No Form:.~,Liquid Type: Pure Days: 365 .'Use: LUBRICANT:,';,, Daily Max GAL Daily Average GAL Annual "': Stora~o I Press T Tomp PLASTIC CONTAINER I Ambient/Ambient~AUTO REPAIR SHOP<~~ -- Conc Components 100.0% }Motor Oil, Petroleum Based ~09/24/92 ~" '~ ' MONTGOMERY WARDS #1473 215'000-001095 ~ ~?/'~':?~.~ ~ 00 · Overall. Site,' -.~.~.~?,/.-~. <D> Notif /Evacuation/Medical Agency/ . CALL ! 9,11-:' ~:'.~:,~.~.-: .'. ":'~'.;'~ ' . ,' .: , .r .... ,:',~.',?~,?. '.,, , ' ; ;. ( ': ,. . ; ..... .,.. ..., ;.' : <2> Empl0Yee"-N°~if,/EvaCuation '2~p FnOO~'~nZVEL MUST USE STAIR ~AXS a EXiT aT ~ STREET ~'ENT~NCE.~?'~J~oNcE. EVERYONE HAS EXITED OUT OF BUILDING STOR LP~MGRj~.~ORJSTORE'ENGINEER CALL 911 OR FIRE STATION. ~:'~ 3>7:~,PuD] tEvacuatlon "'"'::"~ 3~;~h)¢;~ANNouNCES- EVnCUnTION WHEN INSTRUCTED TO ')LICE OR FIRE-OFFICIALS. aLL sTORE E~pLoYEEs STORE, NOT ALLOWING CUSTOMERS TO.USE THE'STORE:%LELEVATORS~',~?~ mer~enc~,,.4(,-,~ical~ J~ ..' Plan'..' .. · ' ~. =, ~.,;,~ , '~ ~':'=?..,'~:7,?~ ~.'"':,i.." "~ · . ": ' - ~'.~' .~?". , . . ,. . 0~9/24/92'~:~i'~:?~/~ii77'i'.~'~ ~- MONTGOMERY WARDS #1473 215-000-001095 · .". '..~'-'~.'.>~.,~'.-~'~;~,~> 00 - Overall Site .,..!,./;.':,:".~i"~: <E> Mitigation/Prevent/Abatemt .:. < 1>' Release ~Prevention ~ ' .:' ALL MATERIALS .ARE SHIppED & STACKED IN CONTAINERS FOR SPILL &'FIRE.~-~ SPILL'<CLEAN',UR ACCORDINGLY IF BY CHANCE, HARMFUL CHEMICAL, CALL LOCAL FIRE'.~= '.DEPT" &~ 911 '~:. ;'~,:~.: ~ . ,>.; .:' '>;."4 ' ,~ ':: <2> Release..Containment ..-->~' 02'2004';~?}?,.:" ~':~f~m bicarbonate ..... ium Carbonate .... · i~ . ~ "~ · ~:~ '. ,~ '~ :,, :.'. :~..: ?~:~ ~ . ' .. ~ation .'..,...' ,. , ~ ..:,:-.~:-~ . .:"~ .. . ' . - . ,., 1095 "09/24/9z .::;",~:'i!:>t?,i.:~;,,.. MONTGOMERY WARDS #1473 215-000-00 .... ; ....~, .,.,,.~,: ~s?,t,.. ~ / " <F> Site Emergency Factors <1> Special Hazards : .' · '". <2> U['ility:~;Shut-Offs' .'.'. A) GAS - END CORNER OF PARCE PICK UP' B) ELECTRICAL OLD GENE~TOR ROOM BACK OF DISPLAY ROOM C) WATER .t ~.~ BETWEEN MAIN ENT~NCE AND END OF BUILDING :..D) SPECIAL[~?.. SPRINKLER CONTROLS LOCATED ON'EAST SIDE OF '~IN'.BUILDING') Avail Water ON~:w.. FIRE EXTINGUISHERS; OVERHEAD SPRINKLERS: . NORTHEAST OF BUILDING, NORTH OF BUILDING, -SOUTH OF;~BUILDING ';' "' TO BUILDING :~:Level'. ,.: .; ... ."~" ~"..' ~ .'", ",.,' ~:~: .,'~, ~.' "..7 '. ' i~9,/;2.4/92 .':~,:"!:,:';?i,r~'??'~'../'/, "MONTGOMERY WARDS #1473 215-000-001095 ,'/ ,. ?'<~, ~,~-,",%',', ."~.~?,i~'," ,' ' . ' - 00 - Overall Site . . ...... . .,,, ....... ,.,.,,. <G> Trainin9 . ... , "~ ~,', ,:,..'.' ~t~,',.~:?:~l''., .<1> Page,, 1 ~-',;.', !~ ~.?,,:~; WE. HAVE'~i. 18'~.EMPLOYEES AT THIS FACILITY WE HAVE :'~TERIALS SAFETY DATA SHEETS AVAILABLE IN SEVERAL DIFFERENT~ AREAS OF THE ..STORE .... .,..,~.~ , . WE PROVIDE. T~INING TO ALL OUR EMPLOYEES, upon employment. . , ":' ,."~' ' ?~&C" "~ ?';'~:'.'" ~ ' ~ aSq:E:~:needed .: MSDS'~";,.,/ ons ('1)~; Auto shop office " (2)'.. Loss Prevention Office 2nd ..... ' .:~C',/.~ .-, :"? ..-~ ..- ' . . . ,, ~ .,L7 :' "':' :' ' ' . - , '.~, ,' ,.. ,' . 'L".'~ ' ~ ;' .}"~ , .....~,'": ' ' CITY of BAKERSFIELD "WE CARE" FIRE CHIEF v,~ 326-3911 September 24, 1992 Mr. Jerry Barnes: NOTICE OF VIOLATION AND SCHEDULE FQR COMPLIANCE In the inspection of Montgomery Ward Auto Express located at 3201 F St., Bakersfield, CA 93301 on 9-24-92 the following hazardous materials regulation violations were identified: 1. The hazardous materials business plan is not current. VIOLATION 'OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 (b) In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a modification of its business plan, the handler shall submit a copy of the plan revision to the administering agency within 30 days of the operational change. (c) The handler shall, in any case, review the ~ business plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once every two years thereafter, to determine if a revision is needed and shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall be submitted to.the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of the county or city in which the business is located. NOtwithstanding any other provisions of the law, an inventory form shall be filed on or before January l, 1988, for the 1988 calendar year, and annually thereafter. This inventory shall be filed annually, notwithstanding the review requirements of subdivision (c). 2. Materials necessary to neutralize a battery acid spill were not available. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504 Business plans shall' include all of the following: (b)Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including, but not limited to, all of the following: (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures.for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3)Evacuation plans and procedures, including immediate notice, for the business site. 3. Material safety data sheets were not available in the work area. VIOLATION OF UFC 80.104 (d) Material Safety Data Sheets (MSDS) shall be readily available on the premises for hazardOus materials regulated by this article. ~ , The above violations must be corrected by OCtober 9, 1992. Failure to.correct these violations will result in " enforcement action. The department will schedule a re- inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact me.at 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey, Hazardous Materials Coordinator Michael Allford, Deputy City Attorney ,~. B~lrersfield Fire Dept.~ HAZARDOUS MATERIALS DIVISION Date Completed Location: ~0,-F ~'T/~?-f - Business Identification No. 215-000 /~c./~ (Top of Business Plan) Adequate Inadequate Verification of Inventory Materials ~ Verification of Quantities I~ Verification of Location I~ Proper Segregation of MaterialI~ Comments: Verification of MSDS Availablity I~ Number of Employees Verification of Haz Mat Training ~ Comments: Verification of Abatement Supplies & Procedures I~ Comments: Emergency Procedures Posted I~ Containers Properly Labeled ~ Comments: Verification of Facility Diagram I~ Special Hazards Associated with this Facility: ~HM .~_,q~clTO,~ ~' All Items O.K. ~ Correction Needed ~ Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. O. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Septembe. r 24, 1992 Mr. Jerry Barnes: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE In' the inspection of Montgomery Ward Auto Express located at 3201 F St., Bakersfield, CA 93301 on 9-24-92 the following hazardous materials regulation violations were identified: 1. The hazardous materials business plan is not cur-rent. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25505 (b) In addition to the requirements of Section 25510, whenever a substantial change in the handler's operations occurs which requires a modification of its business plan, the .handler shall submit a copy of the plan revision to the administering agency within 30 days of the operational change. (c) The handler shall, in any case, review the .... business plan, submitted pursuant to subdivisions (a) and (b), on or before January 1, 1988, and at least once every two years thereafter, to determine if a revision is needed and shall certify to the administering agency that the review was made and that any necessary changes were made to the plan, A copy of these changes shall be submitted to the administering agency as part of this certification. (d) Unless exempted from the business plan requirements under this chapter, any business which handles a hazardous material shall annually submit a completed inventory form to the administering agency of the county or city in which the business is located. Notwithstanding any other provisions of the law, an inventory form shall be filed on or before January 1, 1988, for the 1988 calendar year, and annually thereafter. This inventory shall be filed annually, notwithstanding the review requirements of subdivision (c). 2. Materials necessary to neutralize a battery acid spill were not available. VIOLATION OF CALIFORNIA HEALTH AND SAFETY CODE CHAPTER 6.95, 25504 Business plans shall ihclude all of the following: (b)Emergency response plans and procedures in the event of a reportable or threatened release of a hazardous material, including., but nOt limited to, all of the following: (1) Immediate notification to the administering agency and to appropriate local emergency rescue personnel and the office. (2) Procedures.for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment. (3) Evacuation plans and procedures, including immediate notice, for the business site. 3. Material safety data sheets were not available in the· work area. VIOLATION OF UFC 80.104 (d) Material Safety Data Sheets (MSDS) shall be readily available on the premises for hazardous materials regulated by this article. The above violations must be corrected by October 9, 1992. Failure to correct these violations will result.in enforcement action. The department will schedule a re- inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact me at 326-3979. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey, Hazardous Materials Coordinator Michael Allford, Deputy City Attorney ' O, ' RISK R~NKIN6 - MONTBOMERY W~RDS B~TTERY ~CID F~OILITY RISK INDEX t,S X 3 iNSPECTION HISTORY 8 X ~ POPULATION EXPOSED 2 X 2 MOP '4 X t TOX F~cToR 8.8 X i 50 G~L / 65 6~L(.4). =,8 TOTAL FSCIL:tTY RISK -INDEX RATING ~ = ~ctivi'~ie$ or condii:i'c, ns tha't increase (NO. OF YES ANSNERS '~N THE QUESTIONNAIRE X = This factom reflects a co¢~pany's cIaim safety) hts~or'y. (UwRk. EK COMP F~u~OR M~XIMUM EXPECTED IS 1.5 Y = Se].f repot%ed accident / sa,fe+,y r'ecc, r'd,, ( REA..SON~BLE=O , INADEQUPFFE=O, 25 ,, 8ROSSLY iNF~DEQUaTE i = ~ discme!ionar'y cata~ory used ~o account for' factor8 not d2rectiy addressed in '~he questionnaire, < OTHER UOHPLZC~ ~ INu F~CTORS MINIMAL=g, CONStDER~BLE=g,.5, SUBSTANTIAL=I.0) F~C¢ = iL=TY RISK INDEX = RATING Fi = ~ + X + Y + Z. - RRTING R6T!ON6L. E: Risk increases (~],~h increasing process complexity and po~en~iai fo ~Iu.~art ePhOr,, ¢ ~ R~TI POPULATIONF...XPOtEO - !. IS TOXIC MATERIAL APT TO BECOME AIRBORN RAPIDLY i,,e. A 6AS, ¢!NE DUST, HISHLY VOL, hTtLE LIQUID NO=~ YES= 2 IF ANSWER TO ~tl IS NO, PROCEED TO ¢8 IF f~NSWER TO ~tl. IS YES, ESTIMATE THE EVaCUaTION R,~DIUS, US!NE, THE BCI<ERSF!ELD FIRE DEPT. GRhPH MODEL, ~NO ANSWER QUESTIONS 2-5, 2. IS THERE A SCHOOL WITH IN 'THE EUhCUFITION RADIUS.? NO=O, YES=I IS THERE Fi NURSING HOME OR HO,SPiTAL WITH IN THE EVaCUaTION R6DIUS ? NO=8, .YES='i ~'. 4'iS THERE RESIDENTIBL HOUSING WITHIN THE EVAOUa'TION R~DIUS ? NO=~, YES=t 5. IS THE PoPuL¢~TiON DENSITY OF' THIS BREh HIGHER THBN THE 6VER~GE DUE TO. RLDT OF MULTZSTORY BUILDINGS NO=~, YES='~ 8. WH~T IS THE OCOUP~NCY OF THE BLILDIN8 THAT AHM IS STORED OR dhNu~ED iN '~ LESS THAN 5 PEOPLE=~ 8 - 25 PEOPLE __o 26 - 5~ PEOPLE =3 f/ORr: TH~N 5~ PEOPLE =4 'TOTAL. POPULATION EXPOSED RATINO = ' 2 Briefly describe the equipment being used in the processes involving AHMs. ~ 6. Report quantity of AHM(s),~referenced in the cover letter, that this business~handles. a) Maximum amount on hand at any one time. b) Please attach a Material. Safety Data Sheet for any material that is a mixture. Do not include MSD8 for pure substances. DEMOGRAPHIC DATAi State the straight line distance in feet between the business property line and each of the following. 1. Nearest school. 3 2. Nearest daycare center, hospital, nursing home or similar facility. / 3. Nearest residence/motel etc. /~ ~7~. Business Name: ~//~O~Te.~ I certify that the foregoing information is true and Signature: ~ ~~~ Title :~ ~ ~ ' Date:. ... "" HAY 2 1991 FACILITY INFORMATION FORM Please answer each of the following questions by circling Y (yes) or N (no). 1. Is any acutely hazardous material (AHM) manufactured or used in a chemical reaction ? ~--/ N · 2. Is any other flammable gas, flammable .liqui~ or explosive material manufactured or used in a chemical reaction '~ ~ / N .... 3.. .Is any-reaction in- question 1 or 2 a moderately .... or-~h~ghly ex-othermic reaction .( e.-g. al.ky!ation ......... es-te'rfication, oxidationr n~trat-ion,--polymerization or condensation) or one involving electrolysis ? ~P~/ N 4. Can any unplanned release of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the discharge of a pressure relief system ~ ~ / N 5. Does any physical or chemical, process in which an AHM is produced o'r used involve a batch process ? ~ / N 6. Does any physical or chemical process involve the , production or use of any AHM a't a pressure in excess of 15 psig ~ ~ / N 7. In excess of 27~ psig ~ '~./ 8. Does any physical or chemical process involve the Production or Use of an AHM at a temperature above 125 degrees F ~ ~ / N 9. In excess of 250 degrees ',' ~ / N 10. Can any explosive dust be present in any closed container within 100 feet of an AHM or otherwise be present in the same building as an ~HM '~ ~' / 11. Is there any ignition source or open flame within 100 ft. of any process, storage or transfer area where a flammable or explosive AHM is present , except where there is a firewall providing protection ? ~ / N 12.Is any lined or non-metallic pipe used in the transfer of any AHM 9 13. Is any equipment or piping handling any AHM more 10 years old '.' PLEASE PROVIDE THE FOLLOWING INFOR?.iATION ' ( Attach additional pages if necessaryt 1, Your company's current workers compensation " - -experience modification factor, 2, How many people occupy the building in ~hich AHM's are used or stor~ed ? .A/~-- 3,. Give details of all accidents which involved any hazardous material and all other instances when the fire department'has been. summoned in an emergency, 4. Briefly described the operations process at your plant and' the specific processes utilizin.g AH~i's, including ,~, sto'rage proceedures, -2- ~S FO~ ~ST BE ~LE~D BY ~ O~R OR OPE~TOR OF EACH BUS,SS ~ C~O~ ~CH AT ~ ~ ~LES ~ AC~LY ~~OUS ~~ ~ QUOS G~A~R ~ 5~ POU~S, 55 GALLONS OR 2~ CUBIC ~ET OF GAS AT S~.~t ~e~S FO~ S~ BE CO~LE~D ~ S~~D TO YO~ L~ ~~S~G AGENCY. (~25533 & 25536 He~ & S~e~ ~e) Note Instructions o~ rever~e Busies Mailing Addr~s (if different) Busi~ss Pho. ~ ~ :/~ O Business Plan Submission Date2 ~- ~ - Press ~g~ti0n3 -_ AC~ELY H~ARDOUS MATERIA~ HAND~ED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANT~ GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMENTS: 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 reIx3rtable quantities of Acutely ~ous Materials that have not submitted a business plan 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. "Process 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 .im~prgve futu~_~ ~eme~rgmcy 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. Ulxtates of this list may be available early in 1988. To comply wi~ this element, you may auach 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 extremely ba?~rdous chemicals handled in quantifies equal to or in excess of 1) 500 pounds, and 2) any EPA threshold planning quantity leas than 500 pounds. 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. What raw materials? b. What ognmiting pressure range? c. What ol~afing temlX~m~ range? d. Batch capacity rating? e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical grocess points and charac~s? 2. Continuous Orocess: ('.similar information as above,) NOTE: ......................................................... "Pursuant to §25534, I~ Administering Agency ma), require the sutnnission of a Risk Management Prevention Program (RMS'P), if the Adminiam9~ Agency de, mmines that the handler's operation may present an acutely hazardous materials accident risk. The handler shall prepare tl~ RMPP in accordance with subdivision (c) [of §25534]. The RlVIPP shall be grepared within 12 m~nths following the request made by the Admini.~fing Agency pursuant to this section." (§ 25534 (a) I-I~th 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. 3. Change of ad~-ess, busine~ ownership, or Imsine~ name. (§ 25533 (c) Health & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP · California Office of Eme~ency Services FORM HM 3777 (1-15-88) .. CITY BAKERSFIELD · "WE CARE" April 25, 1991 FIRE DEPARTMENT 2101 H STREET D. S. NEEDHAM BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Mr. Dale Ray LossPrevention Ma~nager Montgomery Ward Co. 3201. F Street Bakersfield, CA 93302 .......... ~Dear Mr~-~"RaY, .... ; ............... ... ................................................ . ......... The enclosed "Acutely Hazardous Materials Registration Form" must be completed by any business, handling above the minimum reporting quantity of any material on the EPA list of Extremely Hazardous Substances. (Fed. Register Vol. 52, No 77, P. 13397). Your company as reported handling the following Acutely Hazardous Materials: 130 GALLONS, 68% SULFURIC ACID (BATTERY ELECTROLYTE) The attached Facility Risk Index must also be completed. Please return the completed Acutely Hazardous Materials Registration Form and the Facility Risk Index by May 27, 1991 to: Bakersfield City Fire Department Hazardous Materials Division 2130 G Street Bakersfield, Ca. 93301 The Facility RiSk Index is designed to distinguish those facilities that use acutely hazardous materials in chemical processes from those who are involved in limited processes or storage. If you have any questions, please call Barbara Brenner at 326-3979. , Sincerely Yours, Barbara Brenner Hazardous Material Planning Technician ACUTELY HAZARDOUS MATERIALS REGISTRATION CHECK LIST 1. A.H.M. REQUESTED ~- ~- q } ~'7-9 / 2. a.H.M. RECEIVED $~&-9~ ~. ~... ~. P. REQUEST~.~ 5. R.M. P. P. APPROVED 6. R.M.P.P. INSPECTION COMMENTS: attached Hazardous ~laterials business Dian Montgomery' Ward for (name of business and that it along with the attached additions or ,corrections constitute a complete and correct Business Plan for my facility. BUSINESS NAME MONTGOMERY WARDS #1473 ID N ER 215-000-001095 LOCATION 3201 F ST HIGH HAZARD RATING 3 1 . OVEtlVIEW LAST CHANGE 02/09/89 BY VAL JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 102 GRID. 24D FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) B&B BEHRENS DICK VAN MULLEN JACKY MURPHY JACX ¥~L~Y. D.4L£ A. ~A~ DEAN SCOTT EMERGENCY CONTACTS 2A SEC 2) " C" 9g--12~ ~ .... =~~ .... o-~-o~ OR ~o°~5-9°=n'~ DALE A. ~A~ ~2~-~10o o~ (zo9)'759-7~5~ UTILITY SHUTOFFS 2A SEC 3) A} GAS - END CORNER OF PARCEL PICK UP B) ELECTRICAL - OLD GEN RM BACK OF DISP RM C) WATER BETWEEN MAIN ENTRANCE & END OF BLDG. D) SPECIAL - NONE E) LOCK BOX - NO 2 . NOT I F I CAT I ON / PUBL I C EVACUAT I ON LAST CHANGE / / BY Store operator announces evacuation when instructed to do so, by senior store staff, police or fire officials.~ ~kll store employees will then remove customers from the store, no5 allowin9 customers to use the store elevators. < NO iNFORMATiON RECORDED F©R--THiS--SEC-TiON PAGE 1 02/09/89 16:14 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MONTGOMERY WARDS #1473 ID NUMBER 215-000-001095 LOCATION 3201F ST HIGH HAZARD RATING 3 3 . HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY Training provided to the following employees: Automotive Service Technicians Product Service Technicians Paint Department Employees Food Service Employees Maintenance Crew Loss Prevention Personnel Material Safety Data Sheets available in the following areas: Auto Express - Automotive related materials. Paint Department- Painting related materials. Food Service - Food related materials. Maintenance Area - Maintenance related materials. Business Office - Complete list of materials. 4 . ~ _L_Q_C:_AL~__~E,,M_ERGENCY MEDICAL ASS I STANCE ............ LAST-CHANGE 0'2/09/89 'BY-VAL ........... 2A SEC 5) WILLARD CHRISTANSEN - 327-9617 911 FIRE STATION #1 PAGE 2 02/09/89 16:14 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MONTGOMERY NARDS #1473 ID N -- ER 215-000-001095 ~LOCATION 3201 F ST HIGH HAZARD RATING 3 FACILITY UNIT 01 A . OVERALL HAZARDO~JS MATERIALS INVENTORY LAST CHANGE / / BY ID TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE B . FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 02/09/89 BY VAL 3A SEC 4) FIRE EXTINGUISHERS 3A SEC 5) FIRE HYDRANT - NE OF BLDG, N OF BLDG, S OF BLDG - ALL LOCATED NEXT TO BLDG. Sprinkler Controls - Three (3) located on East side of main building. PAGE 3 02/09/89 16:14 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME MONTGOMERY WARDS #1473 ID NUMBER 215-000-001095 LOCATION 3201 F ST HIGH HAZARD RATING 3 D . EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 02/09/89 BY VAL 3A SEC 2) 2ND FLOOR LEVEL MUST USE STAIR WAYS & EXIT AT F STREET ENTRANCE OR SOUTH ENTRANCE. ONCE EVERYONE HAS EXITED OUT OF BUILDING STOR MGR, OPERATING MGR, LP MGR, OR STORE. ENGINEER CALL 911 OR FIRE STATION. E . MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 02/09/89 BY VAL 3A SEC 1) ALL MATERIALS ARE SHIPPED & STACKED IN CONTAINERS FOR SPILL & FIRE RESISTANT. IN CASE OF SPILL, EVACUATE NEARBY PERSONNEL, HAVE FIRE EXTINGUISHER NEARBY. MOP & BUCKET OF CLEAR WATER, OR DETERMINE NATURE OF SPILL CLEAN UP ACCORDINGLY IF BY CHANCE, HARMFUL CHEMICAL, CALL LOCAL FIRE DEPT & 911 PAGE 4 02/09/89 16:14 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 CITY of BAKERSFIELD' NON--TRADE SECRETS ,. BUSINESS #AN£: Montgomery Ward OWN£R #&Ng: #AN~- o~ T~ LOCATION: 3201 "F" S,%. .~DRESS: STANDARD I~. C~$S CODE C~TY, z~P:Bakersfield 93291 cI~, ziP: · DUN AND B~DSTREET :~.o.z ~: (~ 0'~ ) 3 2 8- 5 f'O'O ~o~ .: _ _ - _ _ _ - (~ C~ ~ ~ ~t ~its m Site l~ ~ le ~ St~ ia F~tltty ~ ~ I~t~t~ .Al.~..l*s I~'7 .... J~sO ,,. I*~t},~s ! 2 I ~ l 4 144 I~-to so~i~o ~,_ ~p.~S~"o~ .... ' .,. 1~il t~t e~ly) ~-~ r--~ r--~ r--~ r--~ ~ ~ ~iC.l.S.~ of ~ ~lth ~t ~ ~ & C.~.S. ~ ic41 ~ Mlth ~feH ' C.A.S. M Wt II ~ & C.A,S. M k ell tbt ~ly) - r--~ r--~ ~--~ r--~ *'~t ~ ~&C.A.S.~ With ~ ~ MIth " ~t 13 M&C.LS.i k 411 ~t ~ly) [_~ -- r--~ r--~ r--~ ~t ~ ~&C.A.S.~ ~lth of ~ ~lth ~ ~t ~ ~ & C.a.S. ~ .~-, ~ ~,,. ~,~ c.,.s. ~ ~e,~ e~e~~~, ~ ~ c',.s. ~ ~,~Y~TKTS ,~Dan 'O,'Keefe ~uto"Mgr 399-1019 .Ron Marsh Auto Shop Mgr .397-3408 ~, ~,, r~-: ........... -~----'" .T~---- ~ ............ ' ~, ........................ uaze'~gA, gay boss ~even%1on Mgr ~~~ ....... 3-1-89 s~s~ss~.nn. CA 9s~o~ R E C E I V E 13 (805) 326-39?9 I~-~%~ OCT30 1987 ............ OFF~CLAL USE ONLY HAZARDOUS ~TERI .a~L$ INSTRUCTIONS: -' I. To avoid furthe~ ~ctio~, ~t~ this fo~m h~ ~ 3. ~swe~ the ~estions below for the business as a whole. . 4. Be as brief ~d concise as possible. .-. ........ ~ ~:;~ ..... ,..L,; SE~ION {~':BUS~SS ~~ICA~ DATA ~n case of an emersency involvin~ the ~elease or threatened ~elease hazardous ~acerial, call 91I and 1-800-852-7550 o~ 1-916-427-4341. ~is will you~ local fi~e department and the State Office of Emergency Services as ~equired law. '- ~PLOYEES TO XOTIR IN CASE OF N~E .~ T2TLE Db~ING BUS. ~S. SECTION 3: LOCATION OF ~TILITY SHUT-OFFS FOR BUSINESS AS A W~OLE A. ~AT. GAS/PROPAnE: B .... ELECTRICAL: ~/~,t: D. SPECIAL: E. LOCK BOX: YES ./~ [F YES, 50CATION: [F YES, DOES rT CON'TArN SrTE PLANS3 YES / NO MSDSS? YES FLOOR PLANS? YES / NO KEYS? YES / 2A SECTION 4: PRIVATE RF. SPONS~ TEAM FOR BUSINESS AS A WHOLE ~ ~Hy SECTION $: LOCAL ~MERGENCY MEDICAL ASSISTA~CE FOR YOUR BUSI~%TESS AS A ~OLE ~PLO~S .~E REQUIRe. TO ~ A PROG~ ~ICH PROV~ES ~t~S WI~. ~T~ ~ .... ~ · RE~ES~ ~[~rS'G IN ~E FOLLOWTNG ~S. . . -,.. 'A. ~T~ODS FOR SAFE ~L=NG 0F ~DO~S ...'~.. .. "~~~__ ~rans:.... ................................. .... '.-. WI~ RESPONSE AG:NCIEs: ................. i ........ ~ ~. ~~ .~vac~ar~on ~oc~ou~s: ................. ~n~ _~~ E. Do YoU ~I~AIN EMPLOYEE ~AINING r~cor~s: ....... - "'~ SEXTON ~: ~Z~DOUS ~I~ cTRCLz ~s 0r NO DOES YOU~ BUSINESS ~n~LZ ~ZARDOL'S ~ATER~AL T~ QL'A~ITIES [ES~ ~&5' SO0 POL~OF A SOLID, ~S GALLONS OF A LIQUID, OR ~00 CUBIC FEET OF A COMPRESS:D GAS: ...... I,~~-~ , certify that the above information is accurate · I understand tha~ this information will be used to fulfill my firm's obli~tions under the new California Health and Safe~y code on ~az~rdous ~eDi~is (Div. ~0 Ch~DteD 6.95 Sec. Z5500 Et Ai.) and that inaccurste infoDma~ion constitutes - 2B - BAKERSFIELD CITY FIRE OEPARTM~XT 21S0 "G" STREET BAKERSFIELD, CA 95S01 'OFFiCiAL USE ONLY ~" BUS INESS NAXE:/)S~F~,,~/ /~,/~,~' / BUS I NESS PLAN SINGLE FAC ILI T'f UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. S. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. ' -. FACILITY UNIT~ /~/~ FACILITY UNIT NAME:/~//,'JZ~'~/;,/F~,' SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION ARq] EVACUATION PROCEDURES AT THIS L%'IT ONLY SECTION 3: HAZARDO~-~ MATERIALS FOR TWIS U'.(IT ONlY A. Boes this Facility Unit contain Hazaudous }[ater~a!s? ...... YES If YES, see B. If NO, continue with SECTi6N 4. B. Are ally of the hazardous materials a bona fide Trade Secret YES If No, comPt"ete":a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form 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: PRIVA~ FIRE PROTECTION SE~ION 5: LOCATIOn' OF WA~R Sb~PLY FOR USE BY ~G~ RESPOndS SECTION 6: LOCATION OF %~TILITY SHk~r-OFFS AT THIS b~?IT ONLY. A. NAT' GAS,"PROPANE~ ~T ~ ~F~T ~t/ ~ /~~ O. SPECIAL: E. LOCK BOX: YES ."~,OJ IF YES, LOC.kT!ON: ~F YES, S''~,.~E ~aM~~ "E3~*. / :,:r~ MSD~s'? v~q ,'~ FLOOR PL.-%XS? YES .,' BAK£RSF]EI, D CITY F]R£ D£PARTN£NT to.. ,~A-~ p,,..,, ?,. or /_ NON--TRADE SECRETS HAZA-RDOUS NATERI ALS I NVENTORY 'AODRESS:~/ ~ ~ ADDRESS:~~~/~~ FACILITY UNIT NAME:~~~, PHONE ~: ~- ~/~ P~ONE ~: ~/~-+B~-.~ iO~CiAL USE CFIRS CODE ,, I o.~ , ] 2 3 4 5 6 ~ 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION I~ THIS · BY HAZARD D.O.T CODE A~OUNT AMOUNT'- UNIT CODE CODE FACILITY UEIT NT. CHEMICAL OR COH~ON NAME ,CODE GUID~ . . ......... G~ .... Z~ DATE :' ~ERGEWCY CONTACT: J~~~ - TITLE:.~ PHONE S BUS HouRs: ~-~/b~ AFTER eUS'.~S~ -~- ~E~OEaCV CONTACT.~Y~ ~/~ TITLE:~<~Y~~ ~, .' 'PHO.E ~ BUS {INCI~AL ~USINES$ ACTIVITY:' ~ '- - AFTER BO8 HRS: BAKERSFIELD CITY FIRE DEPARTMENT .NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY ~ . _ [ O~LV ..... CODE ANOBN~ AMOUNT'. UNIT CODE CODE FACILITY UNIT ~T. CHEMICAL OR COMMON NAME CODE 6UID~ EMERGENCY COKTAET: ~~ TITLE: ~ PHONE · BUS HOURS:~ ' AFTER BUS'~RS ~INCIPAL BUSINESS ACTIVITY: / - AFTER BUS HRS: '-~' BAKERSFIELD CITY FIRE DEPARTNENT · L FORN 4A-! Page _/' of · {.D. ~t ~:li~ ~ ~ NON--T~ADE SECRETS ~z~RDo~s ~T~ ~S ~ ~V~TO~ BUSINESS NANE:~~~ /~/ /~ OWNER NANE:~~~~~ FACILITY UNIT '~RESS:_ ~/ ' ~ ~/ --A~D~ESS:~~~~ F~C~TY U~ ~A~:~ ~ C~TV Z~: ~ ~. ~, ~/ C~TV.Z~:~>~'~ ~/ ' 'PHONE ~: ff/~-~- ~}~ OFFICIAL USE CFIRS CODE PHONE ~:~ ~ ONLY__ i 2 3 4 5 6 ~ 8 9 10 TYPE ~AX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE ANOUNT AHOUNT"' UNIT~ CODE CODE FACILITY U~!T ~T. CHEMICAL, OR COMMON ~A~E CODE GUIDE a~ ' s~/.~ ~/~-/~'z~.~' ... .... . qEROEWCY COHTACT: ~ ~~ - TITLE:/~, PHONE { BUS HOURS: , AFTER BUS HRS: tINCIPAL ~USINESS ACTiVItY: f ' ' ' AFTER BUS HRS: