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Home My WebLink AboutBUSINESS PLAN 9/26/2003Hazardous Materials/HaZardoUs Waste-Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID #:: 015-000-000161 PENSINGER MOTOR HOMES. LOCATION: 1770 GOLDEN STATE 1ELD · ' This 0ermit is Issued forthe follow-in_e: [] Hazardous Materials Plan. [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: June 30; 2003 issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ~:~,~,~,,~,~,~,~,~,,~,,~,,,,~, ........ This permit is issued for the following: ..... ~i~?:~i?!':' ,,~i~.!:ii;'?'~I''''~'''~I: iiii!ill i! !ii~ iiiili iii:,:;~: iii!i~ii!i~e[ground Storage of Hazardous Materials PERMIT ID# 015-021000161 .d~[?~i. ~,.~:~,~J~:~:%~:~ ~.~?~:~,fi~'~;.:;~:? ~.=~ ~ ~k~M~nagement Program LOCATION 1770 Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SERVICES 1715 Ghester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 . .D.~A~E '~ . ADD~.RESS . , ZIP CODE FEE BUSINESS NAME BUSINESS OWNER BUSINESS MGR./RESPONSIBLE "0S~HO~E HO~E NO. OF FLOORS SQUARE FOOTAGE ViOLATiON NOTICE ISSUED? OCCUPANT LOAD DATE OF REINSPECTION (1) (2) (3) INSPECTOR STATION/SHIFT/STaTION PHONE ~ PENSINGER MOTOR HOME~ Manager : Location: 1770 GOLDEN STATE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: SiteID: 0~00161 BusPhone: (661) 325-5055 Map : 102 CommHaz : Moderate Grid: 24D FacUnits: 1 AOV: SIC Code:5561 DunnBrad: Emergency Contact / Title JAMES PENSINGER / PRESIDENT Business Phone: (661) 325-5055x 24-Hour Phone : (661) 834-2852x Pager Phone : ( ) - x Emergency Contact / Title L~ ..... _ .... ~-.N / MANAGER Business Phone: (661) 325-5055x 24-Hour Phone : (661) -~-7~88_1 Pager Phone : (661)706-e394 x Hazmat Hazards: RSs Fire Press ImmHlth DelHlth Contact : MailAddr: 1770 GOLDEN STATE City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93301 Owner JAMES PENSINGER Address : 8000 CORTE REY City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93309 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: Yes Gal Gal Emergency Directives: I, James Pensinger_ Do hereby certify that I have rev{ewed the attached hazardous materials manage- ment plan forPensinger M°t°~'n~({iS~it along with (Name of Suslne~) any corrections constitute a complete and correct man- agement ~.._.___ 9/26/200.3 1 09/16/2003 FACILITY NAMEO~.~9 ADDRESS /3770 FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. G0/-' BUSINESS IDNO. 15-210- 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 Visible address Correct occupancy Verification of inventory materials Verification of quantities 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 I Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: ~_~,c-~-~. ,57.[ [~Yes [] No,Z~ C~ i~ Questions regarding this inspection? Please call us at (805) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy / ' B~sine~s Site Responsible Party / + PENSINGER MOTOR HOMES INC Manager : Location: 1770 GOLDEN STATE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: SiteID: 015-021-000161 + BusPhone: (661) 325-5055 Map : 102 CommHaz : Moderate Grid: 24D FacUnits: 1 AOV: SIC Code:5561 DunnBrad: Emergency Contact JAMES PENSINGER Business Phone: 24-Hour Phone : Pager Phone : / Title / PRESIDENT (661) 325-5055x (661) 834-2852x ( ) - x Emergency Contact ~ERRY FRANKLIN Business Phone: 24-Hour Phone : P~ne : / Title / MANAGER I Hazmat Hazards: RSs Fire Press ImmHlth DelHlthI Contact : MailAddr: 1770 GOLDEN STATE City : BAKERSFIELD Owner JAMES PENSINGER Address : 8000 CORTE REY City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93301 -+ Phone: (661) 325-5055x State: CA Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: += Hazmat Inventory - +== Alphabetical Order + One Unified List + Ail Materials at Site + + ~ .... +- - -+ Hazmat Common Name... ACETYLENE DRY TOILET CHEMICAL LIQUID TOILET CHEMICAL OXYGEN PROPANE WASTE OIL ISpecHazlEPA HazardsI FrmI DailyMax IUnitlMCPI + + ........... + ..... + .......... + .... +- - -+ F P IH G IH S IH L F P IH G F P IH G F DH L E 130 00 FT3 680 00 LBS 60 00 GAL 249 00 FT3 850 00 GAL 110 00 GAL Hi Mod Hi Low Hi Low -1- 03/07/2002 FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 PHONE NO. - BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business .Plan and Inventory Program 'ffRoutine [~ Combined [~ 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 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 Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any haza.rdous~waste~p..~ite?: ~'es {~ No Explain: /~?a 0~]"~.~ '~_.~} / Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy §usiness Site Resl~onsible Pa"ffy"~ Inspector~/~,~,! j0 PENSINGER MOTOR HOMES INC Manager : Location: 1770 GOLDEN STATE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: SiteID: 015-021-000161 BusPhone: (661) 325-5055 Map : 102 CommHaz : Moderate Grid: 24D FacUnits: 1 AOV: SIC Code:5561 DunnBrad: Emergency Contact / Title JAMES PENSINGER / PRESIDENT Business Phone: (661) 325-5055x 24-Hour Phone : (661) 834-2852x Pager Phone : ( ) - x Emergency Contact / Title TERRY FR3kNKLIN / MANAGER Business Phone: (661) 325-5055x 24-Hour Phone : (661) 706-0394x Pager Phone : (661) 827-3849x Hazmat Hazards: RSs Fire Press ImmHlth DelHlth Contact : MailAddr: 1770 GOLDEN STATE City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93301 Owner JAMES PENSINGER Address : 8000 CORTE REY City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: ~ Hazmat Inventory --Alphabetical Order Hazmat Common Name... ACETYLENE DRY TOILET CHEMICAL LIQUID TOILET CHEMICAL OXYGEN PROPANE WASTE OIL ISpecHazI EPA HazardsI Frm E F P IH G IH S IH L F P IH G F P IH G F DH L !, _~tv,-t~_.,._~,~_~_~ Do hereby certify that ~ have (Type or print name) reviewed the attached hazardous materials manage- ment plan for'['~'='-~'-U=E-~"4,~TW-~hat it along with any corrections constitute a complete and correct man- One Unified List All Materials at Site DailyMax UnitlMCP 130 00 FT3 Hi 680 00 LBS Mod 60 00 GAL Hi 249 00 FT3 Low 850 00 GAL Hi 110 00 GAL Low agement plan for my facility. 10/26/2001 PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Inventory Item 0003 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER INSIDE BLDG CAS# 74-86-2 F STATE TYPE Gas Pure PRESSURE TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 130.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 130.00 FT3 Daily Average 100.00 FT3 I %Wt. Acetylene 100.00 HAZARDOUS COMPONENTS RsI Yes CAS# 74862I HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// I USDOT# Inventory Item 0005 Facility Unit: Fixed Containers on Site ~U~U~ ~Vl~ / ~~ ~vl~ DRY TOILET CHEMICAL Days On Site 365 Location within this Facility Unit Map: Grid: W WALL CAS# 30525-89-4 rSTATE TYPE PRESSURE , TEMPERATURE CONTAINER TYPE Solid Mixture Ambient I Ambient BAG Largest ContainerLBS AMOUNTS AT THIS LOCATION Daily Maximum 680.00 LBS Daily Average 500.00 LBS HAZARDOUS COMPONENTS %Wt. I 78.00 Paraformaldehyde N 30525894 ITSecretI ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA/// I USDOT# Mod -2- 10/26/2001 PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Inventory Item 0006 Facility Unit: Fixed Containers on Site LIQUID TOILET CHEMICAL Days On Site 365 Location within this Facility Unit Map: Grid: W WALL CAS# 50-00-0 STATE TYPE PRESSURE Liquid I Mixture I Ambient -- TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 60.00 GAL I 50.00 GAL %Wt. RS CAS# 35.00 Formaldehyde (EPA) Yes 50000 11.00 Methanol No 67561 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI IH NFPA /// USDOT# IMcPHi ---- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~vl~ ~vl~ / ~vl~~ ~vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER INSIDE BLDG CAS# 7782-44-7 STATE TYPE Gas Pure PRE S SURE TEMPERATURE I Above Ambient [ Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container I 249.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 249.00 FT3 Daily Average 200.00 FT3 %Wt. 100.00 HAZARDOUS COMPONENTS Oxygen, Compressed N 7782447 TSecret No I ~S BioHaz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# I MCP Low 3 10/26/2001 PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~U~ ~Vl~ / ~£~ ~Vl~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: S END OF PROPERTY CAS# 74-98-6 F STATE TYPE Gas I Pure PRESSURE TEMPERATURE Above Ambient I Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 850.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 850.00 GAL Daily Average 550.00 GAL %Wt. 100.00 Propane HAZARDOUS COMPONENTS RSI CAS# Yes 74986 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# Inventory Item 0007 Facility Unit: Fixed Containers on Site ~U~ ~Vl~ / ~£~ ~Vl~ WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: NE OF BLDG 50FT CAS# 221 STATE -- TYPE PRESSURE Ambient Waste Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 55.00 GAL ] HAZARDOUS COMPONENTS %Wt I lO0.80'Waste Oil, Petroleum Based I No S CAS# TSecret No HAZARD ASSESSMENTS NoRS Bi°HazI No Radioactive/Amount No/ Curies EPA HazardsI F DH NFPA/// I USDOT# Low -4- 10/26/2001 F PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Fast Format Notif./Evacuation/Medical Agency Notification CALL 911. Overall Site 10/20/1999 -- Employee Notif./Evacuation 05/04/1990 IN THE CASE OF RELEASED OR SPILLED MATERIALS, MANAGEMENT PERSONNEL WILL IMMEDIATELY CONTACT BAKERSFIELD CITY FIRE DEPARTMENT. -- Public Notif./Evacuation 10/20/1999 IN THE EVENT OF THE RELEASE OR THREATENED RELEASE OF A HAZARDOUS MATERIAL, IT WILL BE OUR INTENTION TO NOTIFY AND INFORM ALL PERSONS AND BUSINESSES IN THE IMMEDIATE AREA OF THE PROBLEM. WE WILL NOTIFY BY PHONE THE PERSON OR PERSONS IN CHARGE AT EACH OF THESE BUSINESSES AND REQUEST THAT THEY TAKE THE NECESSARY ACTIONS TO INSURE THE SAFETY OF ALL OCCUPANTS. IN ADDITION TO A PHONE ALERT, ONE PERSON WILL BE DISPATCHED TO INFORM ANYONE IN THE IMMEDIATE AREA OF THE PROBLEM WHO MAY NOT HAVE BEEN ALERTED OTHERWISE. Emergency Medical Plan SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711. lO/2O/19 9 -5- 10/26/2001 F PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Fast Format Mitigation/Prevent/Abatemt Release Prevention Overall Site 10/16/2000 KEEP CONTAINERS AWAY FROM HEAT SOURCES AND STORE IN AN UPRIGHT POSITION. CONTAINERS SHOULD NOT BE DROPPED. KEEP CONTAINER VALVES CLOSED WHEN NOT IN USE. KEEP PUBLIC AWAY. SHUT OFF SUPPLY OF GAS. ELIMINATE ANY SOURCE OF IGNITION. VENTILATE THE AREA. DISPERSE WITH WATER. AVOID CONTACT WITH SKIN. Release Containment lO/2O/1999 PROPANE - SHOULD AN ACCIDENTAL RELEASE OF PROPANE OCCUR, THE SAFETY SHUT-OFF VALVE WILL BE ACTIVATED AND ALL OTHER PARTS CLOSED UNTIL THE PROBLEM IS CORRECTED. OXYGEN IN CASE OF AN ACCIDENTAL RELEASE OF OXYGEN, THE PORT VALVE WILL BE CLOSED IF POSSIBLE. ACETYLENE - IN THE CASE OF AN ACCIDENTAL RELEASE OF ACETYLENE, THE PORT VALVE WILL BE CLOSED IF POSSIBLE. DRY TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL BREAKAGE OF THE PACKAGE OF DRY CHEMICAL, WHICH ARE PACKAGED IN 2 OUNCE QUANTITIES, THE CONTAINMENT WILL REQUIRE THE COLLECTION BY SWEEPING WITH PROTECTIVE CLOTHING, OF THE SPILLED MATERIAL AND PLACING IT IN A PLASTIC BAG, LABELED AND PLACED IN OUR WASTE CONTAINMENT AREA FOR PROPER DISPOSAL. LIQUID TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL SPILLAGE OF LIQUID TOILET CHEMICAL, PACKAGED IN 8 OUNCE, 32 OUNCE AND 128 OUNCE PLASTIC CONTAINERS, MOPPING UP OF THE SPILLED MATERIAL USING PROPER PROTECTIVE CLOTHING, AND PLACING THE MATERIAL IN A LABELED CONTAINER. -- Clean Up 03/13/1992 PROPANE - THE MATERIAL BEING A PRESSURIZED GAS WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. OXYGEN - THE RELEASED MATERIAL, BEING A LIMITED AMOUNT, CANNOT BE CONTAINED AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. ACETYLENE - THE RELEASED MATERIAL, BEING A PRESSURIZED GAS, WILL NOT BE ABLE TO BE CONTAINED AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. DRY TOILET CHEMICAL - CLEAN UP WILL REQUIRE THOROUGH SWEEPING, THEN VACUUMING THE IMMEDIATE AREA. LIQUID TOILET CHEMICAL CLEAN UP WILL REQUIRE MOPPING AND DRYING OF THE -6- 10/26/2001 F PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Fast Format Mitigation/Prevent/Abatemt Other Resource Activation Overall Site -7- 10/26/2001 f PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs A) GAS - SE CORNER OF PROPERTY NEXT TO ST B) ELECTRICAL - INSIDE NW CORNER C) WATER SE CORNER OF PROPERTY NEXT TO ST D) SWPCIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/16/2000 PRIVATE FIRE PROTECTION - FIRE PROTECTION AVAILABLE AT THIS FACILITY CONSISTS OF ONE FIRE HYDRANT LOCATED AT ST ON SE CORNER OF PROPERTY AND FIVE APPROVED EXTINGUISHERS LOCATED IN APPROPRIATE POSITIONS WITHIN THE FACILITY. FIRE HYDRANT - LOCATED ON THE ST CURB OF GOLDEN STATE ACCESS RD ON THE SE CORNER OF THE PROPERTY. Building Occupancy Level 8 10/26/2001 F PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Fast Format ~ Training -- Employee Training WE HAVE 15 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: AS WAS REQUIRED BY AB 2185 & 2187, WE HAVE INCORPORATED THE DISTRIBUTION AND EXPLANATION OF INFORMATION CONCERNING HAZARDOUS MATERIALS WHICH CAN BE FOUND AT OUR BUSINESS. Overall Site 10/16/2o00 -- Page 2 Held for Future Use Held for Future Use -9- 10/26/2001 INC PENSINGER MOTOR HOMES Manager-: Location: 1770 GOLDEN STAT~ ' ' City : BAKERSFIELD .~! CommCode: BAKERSFIELD STATION 01 EPA Numb: SiteID: 015-021-000161 BusPhone: (661) 325-5055 Map : 102 CommHaz : Moderate Grid: 24D FacUnits: 1 AOV: SIC Code:5561 DunnBrad: Emergency Contact JAMES PENSINGER Business Phone: 24-Hour Phone : Pager Phone : / Title / PRESIDENT (661) 325-5055x (661) 834-2852x ( ) - x Emergency Contact TERRY FRANKLIN Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 325-5055x (661) 706-0394x (661) 827-3849x Hazmat Hazards: RSs Fire Press ImmHlth DelHlth Contact : MailAddr: 1770 GOLDEN STATE City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93301 Owner JAMES PENSINGER Address : 8000 CORTE REY City : BAKERSFIELD Phone: (661) 325-5055x State: CA Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: = Hazmat Inventory --As Designated Order One Unified List Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm PROPANE OXYGEN ACETYLENE DRY TOILET CHEMICAL LIQUID TOILET CHEMICAL MOTOR OIL F P IH G F P IH G F P IH G IH S IH L F DH L I, ,-J,,~-~,~~ ~w¢~-- Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manager ment plan for~--~~--~- ~' ['~%and that it along with (Name of Businass) any corrections conStitute a complete and correct man- DailyMax Unit MCP 850 00 GAL 249 00 FT3 130 00 FT3 680 00 LBS 60 00 GAL 200 00 GAL Hi Low Hi Mod Hi Min agement plan for -1- 09/22/2000 PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UiV~VlUN N~Vl~ / ~H~l~h N~Vl~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: S END OF PROPERTY CAS# 74-98-6 FSTATE ~ TYPE Gas {Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 850.00 GAL Daily Average 550.00 GAL %Wt. 100.00 Propane HAZARDOUS COMPONENTS Yes CAS# 74986 TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// { USDOT# Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVlU~ ~Vl~ / ~ · ~_/-.-~J.j N~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER INSIDE BLDG CAS# 7782-44-7 FSTATE ~ TYPE Gas {Pure PRESSURE TEMPERATURE { Above Ambient I Ambient { CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 249.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 249.00 FT3 Daily Average 200.00 FT3 HAZARDOUS COMPONENTS I%Wt. I 100.00 Oxygen, Compressed S CAS# N 7782447 ITSecret No HAZARD ASSESSMENTS NoRS BioHazl Radi°active/Am°unt I EPA HazardsNo No/ Curies F P IH NFPA /// USDOT# MCP Low -2- 09/22/2000 PENSINGER MOTOR HOMES INC SiteID: 015-021-000161 Inventory Item 0003 Facility Unit: Fixed Containers on Site ~tvuvl~ ~Vl~ / ~1~-/'"~ ~Vl~ ACETYLENE. Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER INSIDE BLDG CAS# 74-86-2 FSTATE ~ TYPE Gas /Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE ~ I PORT' PRESS' CYLINDER I Largest Container 130.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 130.00 FT3 Daily Average 100.00 FT3 %Wt. 100.00 Acetylene HAZARDOUS COMPONENTS Yes CAS# 74862 TSecret ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// I USDOT# Inventory Item 0005 Facility Unit: Fixed Containers on Site DRY TOILET CHEMICAL Days On Site 365 Location within this Facility Unit Map: Grid: W WALL CAS# 30525-89-4 FSTATE ~ TYPE Solid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE BAG Largest ContainerLBS AMOUNTS AT THIS LOCATION Daily Maximum 680.00 LBS Daily Average 500.00 LBS HAZARDOUS COMPONENTS %Wt. I 78.00 Paraformaldehyde s CAS# N 30525894 TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# Mod 3 09/22/2000 PENSINGER MOTOR HOMES INC ~~~~ SiteID: 015-021-000161 Inventory Item 0006 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME LIQUID TOILET CHEMICAL o Days On Site o o 365 o Location within this Facility Unit Map: Grid: W WALL o CAS// o ° 50-00-0 STATE ~ TYPE/~/~/~ PRESSURE ~ TEMPERATURE 5/~555~ CONTAINER TYPE Liquid o Mixture o Ambient ° Ambient ° PLASTIC CONTAINER ° ~/~/~~~a~a~ AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum ° Daily Average ° GAL o 60.00 GAL o 50.00 GAL ° i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS// o 35.00°Formaldehyde (EPA) °Yes° 50000° 11.00°Methanol ONo o 67561 o i~]~~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards ° NFPA o USDOT//o MCP o No °Yes° No ° No/ Curies° IH o /// o OHio Inventory Item 0007 ~6~fi~6 Facility Unit: Fixed Containers on Site i~ COMMON NAME'/CHEMICAL NAME o_Mi3_T_OR.43t~ ~~ ~ [-~ o Days On Site o o 365 o Location within this Facility U~t Map: Grid: o CAS o o 8020835 o STATE ~ TYPE ~ PRESSURE ~5~ TEMPE~TURE Liquid o Pure o Ambient o Ambient o AB~-F~ '~5~5~5~~ AMOUNTS AT THIS LOCATION ~st~ Daily Maximum I~ ~ Daily Average o d~ ~~"~ ~GAL o- 200.00 GAL o i~EEEiEE~E~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS~ o 100.00OMotor Oil, Petroleum Based ONo o 8020835° i~i~i~¢~i~a~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards No ONoONo o No/ Curies°F DH° /// -4- 09/22/2000 i PENSINGER MOTOR HOMES INC ~~~~ SiteID: 015-021-000161 i i~ Notif./Evacuation/Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 10/20/1999 i o o ° CALL 911. ° O O i~ Employee Notif./Evacuation ~~~~~ 05/04/1990 i o o ° IN THE CASE OF RELEASED OR SPILLED MATERIALS, MANAGEMENT PERSONNEL WILL ° ° IMMEDIATELY CONTACT BAKERSFIELD CITY FIRE DEPARTMENT. o o o ~ Public Notif./Evacuation ~~~~~~ 10/20/1999 i o O o IN THE EVENT OF THE RELEASE OR THREATENED RELEASE OF A HAZARDOUS MATERIAL, ° ° IT WILL BE OUR INTENTION TO NOTIFY AND INFORM ALL PERSONS AND BUSINESSES IN o ° THE IMMEDIATE AREA OF THE PROBLEM. o o o o WE WILL NOTIFY BY PHONE THE PERSON OR PERSONS IN CHARGE AT EACH OF THESE o o BUSINESSES AND REQUEST THAT THEY TAKE THE NECESSARY ACTIONS TO INSURE THE o ° SAFETY OF ALL OCCUPANTS. IN ADDITION TO A PHONE ALERT, ONE PERSON WILL BE ° ° DISPATCHED TO INFORM ANYONE IN THE IMMEDIATE AREA OF THE PROBLEM WHO MAY NOT ° ° HAVE BEEN ALERTED OTHERWISE. ° o O i~ Emergency Medical Plan ~~~~g~~ 10/20/1999 i o O ° SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711. ° o o -5- 09/22/2000 i PENSINGER MOTOR HOMES INC ~~~~ SiteID: 015-021-000161 i i~ Mitigation/Prevent/Abatemt/~/~/~/~/~i~/~/~~~ Overall Site i i~5/5 Release Prevention ~/~~~/~/~/~/~5~/~/~/~~ 10/20/1999 i o o o KEEP CONTAINERS AWAY FROM HEAT SOURCES AND STORE IN AN UPRIGHT POSITION. ° ° CONTAINERS SHOULD NOT BE DROPPED. KEEP CONTAINER VALVES CLOSED WHEN NOT IN ° ° USE. KEEP PUBLIC AWAY. SHUT OFF SUPPLY OF GAS. ELIMINATE ANY SOURCE OF ° ° IGNITION. VENTILATE THE AREA. DISPERSE WITH WATER. AVOID CONTACT WITH ° o O i~ Release Containment ~~~~~~ 10/20/1999 i o o ° PROPANE - SHOULD AN ACCIDENTAL RELEASE OF PROPANE OCCUR, THE SAFETY SHUT-OFF ° o VALVE WILL BE ACTIVATED AND ALL OTHER PARTS CLOSED UNTIL THE PROBLEM IS ° o CORRECTED. ° o O o OXYGEN - IN CASE OF AN ACCIDENTAL RELEASE OF OXYGEN, THE PORT VALVE WILL BE ° ° CLOSED IF POSSIBLE. ° O O ° ACETYLENE - IN THE CASE OF AN ACCIDENTAL RELEASE OF ACETYLENE, THE PORT ° ° VALVE WILL BE CLOSED IF POSSIBLE. ° o o ° DRY TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL BREAKAGE OF THE PACKAGE ° o OF DRY CHEMICAL, WHICH ARE PACKAGED IN 2 OUNCE QUANTITIES, THE CONTAINMENT o ° WILL REQUIRE THE COLLECTION BY SWEEPING WITH PROTECTIVE CLOTHING, OF THE ° ° SPILLED MATERIAL AND PLACING IT IN A PLASTIC BAG, LABELED AND PLACED IN OUR ° o WASTE CONTAINMENT AREA FOR PROPER DISPOSAL. o o O o LIQUID TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL SPILLAGE OF LIQUID o ° TOILET CHEMICAL, PACKAGED IN 8 OUNCE, 32 OUNCE AND 128 OUNCE PLASTIC ° o CONTAINERS, MOPPING UP OF THE SPILLED MATERIAL USING PROPER PROTECTIVE ° ° CLOTHING, AND PLACING THE MATERIAL IN A LABELED CONTAINER. ° O o ii~/5~i~ Clean Up ~5~~/~/~/~~/~/~~~~ 03/13/1992 i o O o PROPANE - THE MATERIAL BEING A PRESSURIZED GAS WILL DISPERSE INTO THE AIR. o o NO CLEAN UP WILL BE NECESSARY. o o o o OXYGEN - THE RELEASED MATERIAL, BEING A LIMITED AMOUNT, CANNOT BE CONTAINED ° ° AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. ° o o o ACETYLENE - THE RELEASED MATERIAL, BEING A PRESSURIZED GAS, WILL NOT BE ABLE ° ° TO BE CONTAINED AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE ° ° NECESSARY. ° o o ° DRY TOILET CHEMICAL - CLEAN UP WILL REQUIRE THOROUGH SWEEPING, THEN ° ° VACUUMING THE IMMEDIATE AREA. ° O o ° LIQUID TOILET CHEMICAL - CLEAN UP WILL REQUIRE MOPPING AND DRYING OF THE o O o -6- 09/22/2000 i PENSINGER MOTOR HOMES INC ~~~~ SiteID: 015-021-000161 i~ Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i i~ O~er Resource Activation 0 0 o o -7- 09/22/2000 PENSINGER MOTOR HOMES INC EE~E~E~E~EE~~ SitelD: 015-021-000161 Site Emergency Factors ~~~~~~ Overall Site i i~ Special Hazards o O i~¢~ Utility Shut-Offs ~~~6~~6~~ 10/20/1999 o A) GAS - SE CORNER OF PROPERTY NEXT TO ST o B) ELECTRICAL - INSIDE NW CORNER o C) WATER - SE CORNER OF PROPERTY NEXT TO ST o D) SWPCIAL - NONE ° E) LOCK BOX - NO O i~ Fire Protec./Avail. Water ~~~~~ 10/20/1999 O PRIVATE FIRE PROTECTION - FIRE PROTECTION AVAILABLE AT THIS FACILITY o CONSISTS OF ONE FIRE HYDRANT LOCATED AT STREET ON SE CORNER OF PROPERTY o AND FIVE APPROVED EXTINGUISHERS LOCATED IN APPROPRIATE POSITIONS WITHIN THE FACILITY. ° O O O FIRE HYDRANT - LOCATED ON THE STREET CURB OF GOLDEN STP~TE ACCESS RD ON THE SE CORNER OF THE PROPERTY. o O o o -8- 09/22/2000 PENSINGER MOTOR HOMES INC Training ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 10/20/1999 o WE HAVE 15 EMPLOYEES AT THIS FACILITY. o O WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o BRIEF SUMMARY OF TRAINING: AS WAS REQUIRED BY AB 2185 & 2187, WE HAVE o INCORPORATED THE DISTRIBUTION AND EXPLANATION OF INFORMATION CONCERNING HAZARDOUS MATERIALS WHICH CAN BE FOUND AT OUR BUSINESS. ° O O 0 i~ Held for Future Use 0 O i~ Held for Future Use 0 o -9- 09/22/2000 FACILITY NAME FACILITY CONTACT ~SPECTION TIME~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE Oq/2-O PHONE NO. 3 2. ~'- S O 5'5"- BUSINESS ID NO. lS-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine Combined Joint Agency Multi-Agency [21 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 / 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 / Fire Protection / Site Diagram Adequate & On Hand C=Compliance V=Violation $ Any Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Site Responsib.~TParty Inspector: ~~.~'~O~t~ ~ Manager : ~ 0C1-19~999 I Location: 1770 GOLDEN ST TE/ i City : BAKERSFIELD 'JB~':' l CommCode: BAKERSFIELD STATION 01 EPA Numb: SiteID: 215-000-000161 BusPhone: (805) 325-5055 Map : 102 Comm}{az : Moderate Grid: 24D FacUnits: 1 AOV: SIC Code:5561 DunnBrad: Emergency Contact / Title JAMES PENSINGER / PRESIDENT Business Phone: (805) 325-5055x 24-Hour Phone : (805) 834-2852x Pager Phone : ( ) - x Emergency Contact / Title Business Phone: (g~.) 325-5055x 24-Hour Phone : Pager Phone : (~:) Hazmat Hazards: Fire Press ImmHlth Contact : MailAddr: 1770 GOLDEN STATE City : BAKERSFIELD Phone: ( ) State: CA Zip : 93301 x Owner JAMES PENSINGER Address : 8000 CORTE REY City : BAKERSFIELD Phone: (805) 325-5055x State: CA Zip : 93309 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: Do hereby cer fy that ave reviewed the attached hazardous materials manage- merit plan for~<~-r~ ~<~=--~ and that it along with any corrections constitute a complete and correct man- agement plan ~or my ~c~lity. -1- 10/12/1999 F PENSINGER MOTOR HOMES INC ~ Hazmat Inventory -- As DesiHnated Order Hazmat Common Name... PROPANE OXYGEN ACETYLENE DRY TOILET CHEMICAL LIQUID TOILET CHEMICAL ISpecHazI SiteID: 215-000-000161 By Facility Unit Fixed Containers on Site EPA HazardsI Frm F P IH F P IH F P IH IH IH DailyMax IUnit MCP ~-=x~8~GAL Hi 249 FT3 Low 130 FT3 Hi 680 LBS Mod 60 GAL Hi -2- 10/12/1999 PENSINGER MOTOR HOMES INC SiteID: 215-000-000161 Inventory Item 0001 Facility Unit: Fixed Containers on Site ~tV~Vl~ ~Vl~ / ~EI± ~/--LL~ ~Vl~ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SOUTH END OF PROPERTY CAS# 74-98-6 STATE TYPE Gas I Pure PRESSURE r TEMPERATURE Above Ambient ~ Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum ~ ~ GAL Daily Average ~5~ ~ GAL %Wt. I 100.00 Propane HAZARDOUS COMPONENTS I CAS# N 74986 HAZARD ASSESSMENTS Radi°active/Am°unt I EPA HazardsINO/ Curies F P IH NFPA /// USDOT# [ MCPHi Inventory Item 0002 Facility Unit: Fixed Containers on Site UUIVUVI~N ~Vl~ / U~ 1 U/--kb N~Vl~ OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: N-W CORNER INSIDE BLDG CAS# 7782-44-7 FSTATE ~ TYPE Gas [Pure PRE S SURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest ContainerFT3 I AMOUNTS AT THIS LOCATION Daily Maximum 249.00 FT3 Daily Average 200.00 FT3 HAZARDOUS COMPONENTS %Wt. [ 100.00 Oxygen, Compressed 7782447 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA /// USDOT# MCP · Low 3 10/12/1999 PENSINGER MOTOR HOMES INC SiteID: 215-000-000161 Inventory Item 0003 Facility Unit: Fixed Containers on Site ~UlVHVIU~ ~Vl~ / ~ ~ ~./.-~J_s ~Vl~ ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NW CORNER INSIDE BLDG CAS# 74-86-2 FSTATE ~ TYPE Gas /Pure PRESSURE TEMPERATURE I Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 130.00 FT3 Daily Average 100.00 FT3 %Wt. ( 100.00 Acetylene HAZARDOUS COMPONENTS TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH I N FPA I USDOT# /// Inventory Item 0005 Facility Unit: Fixed Containers on Site UUlVUVlU~ ~vl~ / U~ 1 UZ'-'U_m ~Vl~ DRY TOILET CHEMICAL Days On Site 365 Location within this Facility Unit Map: Grid: WEST WALL CAS# 30525-89-4 STATE -- TYPE PRESSURE --7 TEMPERATURE CONTAINER TYPE Ambient BAG Ambient Solid Mixture Largest ContainerLBS AMOUNTS AT THIS LOCATION Daily Maximum 680.00 LBS Daily Average 500.00 LBS %Wt. 78.00 HAZARDOUS COMPONENTS Paraformaldehyde I ~S CAS# N 30525894 TSecretNo N~SIBi°HaZNo HAZARD ASSESSMENTS I Radi°active/Amount ] EPA Hazards INo/ Curies IH NFPA /// USDOT# MCP Mod -4- 10/12/1999 PENSINGER MOTOR HOMES INC ~~88888888~88~8888~ SiteID: 215-000-000161 i8 Inventory Item 0006 88888888888~8~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME LIQUID TOILET CHEMICAL o Days On Site o 365 Location within this Facility Unit Map: Grid: WEST WALL o CAS# o 50-00-0 STATE &~& TYPE &~&~ PRESSURE &&&~ TEMPERATURE &&~&&&& CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 60.00 GAL o 50.00 GAL %Wt. o o RSo CAS# 35.00°Formaldehyde (EPA) °Yes° 50000 ll.00OMethanol ONo o 67561 °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o IH o / / / o o Hi -5- 10/12/1999 PENSINGER MOTOR HOMES INC ~&~~&~&~~~ SiteID: 215-000-000161 Notif./Evacuation/Medical ~~~~~~~~ Overall Site i~ A~ency Notification ~~~~~~~~~ 05/04/1990 CALL 911 i~ Employee Notif./Evacuation ~~~~~~~ 05/04/1990 IN THE CASE OF RELEASED OR SPILLED MATERIALS, MANAGEMENT PERSONNEL WILL IMMEDIATELY CONTACT BAKERSFIELD CITY FIRE DEPARTMENT. ~ Public Notif./Evacuation ~~~~~~~~ 05/04/1990 IN THE EVENT OF THE RELEASE OR THREATENED RELEASE OF A H~ARDOUS MATERI~ IT WILL BE OUR INTENTION TO NOTIFY ~lqD INFORM ~L PERSON ~ BUSINESSES IN THE IMMEDIATE ~EA OF THE PROBLEM. W~ WILL NOTIFY BY PHONE THE PERSON OR PERSONS IN CI4_~RGE AT ~ACH OF THESE BUSINESSES ~d~D REQUEST THaT THEY TAKE THE NECESSARY ACTIONS TO INSURE THE SAFETY OF ALL OCCU~NTS. IN ~DDITION TO A PHONE ALERT~ ONE ~RSON ~ B~ D~SP~TCH~D ~O ~NFO~ ~ON~ ~N TH~ ~D~T~ ~ 0~ TH~ PROB~ ~0 ~Y NO~ ~V~ B~N ~R~D O~H~R~S~. ~~ ~mer~ency ~ed~cal ~lan ~~~~~~~~ 05/04/1990 ~ ~O~QUXN HOS~XT~ 2615 ~Y~ ST 327-17~1 .. -6- 10/12/1999 PENSINGER MOTOR HOMES INC ~&~~~&&&~~ SiteID: 215-000-000161 i& Mitigation/Prevent/Abatemt ~&~~~~~~ Overall Site i~ Release Prevention ~&~~&~~&~~~~~ 03/13/1992 KEEP CONTAINERS AWAY FROM HEAT SOURCES AND STORE IN AN UPRIGHT POSITION. CONTAINERS SHOULD NOT BE DROPPED. KEEP CONTAINER VALVES CLOSED WHEN NOT IN USE. KEEP PUBLIC AWAY. SHUT OFF SUPPLY OF GAS. ELIMINATE ANY SOURCE OF IGNITION. VENTILATE THE AREA. DISPERSE WITH WATER. AVOID CONTACT WITH PROPANE - SHOULD AN ACCIDENTAL RELEASE OF PROPANE OCCUR, THE SAFETY SHUT-OFF VALVE WILL BE ACTIVATED AND ALL OTHER PARTS CLOSED UNTIL THE PROBLEM IS CORRECTED. OXYGEN - IN THE CASE OF AN ACCIDENTAL RELEASE OF OXYGEN OCCUR, THE PORT VALVE WILL BE CLOSED IF POSSIBLE. ACETYLENE - IN THE CASE OF AN ACCIDENTAL RELEASE OF ACETYLENE OCCUR, THE PORT VALVE WILL BE CLOSED IF POSSIBLE. DRY TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL BREAKAGE OF THE PACKAGE OF DRY CHEMICAL, WHICH ARE PACKAGED IN 2 OUNCE QUANTITIES, THE CONTAINMENT WILL REQUIRE THE COLLECTION BY SWEEPING WITH PROTECTIVE CLOTHING, OF THE SPILLED MATERIAL AND PLACING IT IN A PLASTIC BAG, LABELED AND PLACED IN OUR WASTE CONTAINMENT AREA FOR PROPER DISPOSAL. LIQUID TOILET CHEMICAL - IN THE CASE OF AN ACCIDENTAL SPILLAGE OF LIQUID TOILET CHEMICAL, PACKAGED IN 8 OUNCE, 32 OUNCE AND 128 OUNCE PLASTIC CONTAINERS, MOPPING UP OF THE SPILLED MATERIAL USING PROPER PROTECTIVE CLOTHING, AND PLACING THE MATERIAL IN A LABELED CONTAINER. PROPANE - THE MATERIAL BEING A PRESSURIZED GAS WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. OXYGEN - THE RELEASED MATERIAL, BEING A LIMITED AMOUNT, CANNOT BE CONTAINED AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. ACETYLENE - THE RELEASED MATERIAL, BEING A PRESSURIZED GAS, WILL NOT BE ABLE TO BE CONTAINED AND WILL DISPERSE INTO THE AIR. NO CLEAN UP WILL BE NECESSARY. DRY TOILET CHEMICAL - CLEAN UP WILL REQUIRE THOROUGH SWEEPING, THEN VACUUMING THE IMMEDIATE AREA. LIQUID TOILET CHEMICAL - CLEAN UP WILL REQUIRE MOPPING AND DRYING OF THE -7- 10/12/1999 PENSINGER MOTOR HOMES INC ~888~888888888~8~~88888 SiteID: 215-000-000161 Mitigation/Prevent/Abatemt 8888~8~8~88888888~~888888 Overall Site Other Resource Activation ~~~~~~~~~~i 8 10/12/1999 PENSINGER MOTOR HOMES INC ~~~~~~ SiteID: 215-000-000161 i~ Site Emergency Factors ~~~&~&~~~~~ Overall Site i~ Special Hazards ~~~~~~~~~~~~i i~ Utility Shut-Offs ~~~~~~~~~ 05/04/1990 A) GAS - SOUTHEAST CORNER OF PROPERTY NEXT TO STREET B) ELECTRICAL - INSIDE NORTHWEST CORNER C) WATER - SOUTHEAST CORNER OF PROPERTY NEXT TO STREET D) SWPCIAL - NONE E) LOCK BOX - NO i&&&& Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE PROTECTION AVAILABLE AT THIS FACILITY CONSISTS OF ONE FIRE HYDRANT LOCATED AT STREET ON SE CORNER OF PROPERTY AND FIVE APPROVED EXTINGUISHERS LOCATED IN APPROPRIATE POSITIONS WITHIN THE FACILITY. FIRE HYDRANT - STREET CURB OF GOLDEN STATE ACCESS ROAD ON THE SOUTHEAST CORNER OF THE PROPERTY. i&&&&& Building Occupancy Level -9- 10/12/1999 i PENSINGER MOTOR HOMES INC ~&~&~&~~~&~~ SiteID: 215-000-000161 i& Training ~~~&~~~&~~~&~~&~ Overall Site i~ Employee Training ~~&~~&~~~&~~~&~ 09/10/1992 O o WE HAVE 15 EMPLOYEES AT THIS FACILITY O o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE O o BRIEF SUMMARY OF TRAINING: AS WAS REQUIRED BY AB 2185 & 2187, WE HAVE o INCORPORATED THE DISTRIBUTION AND EXPLANITION OF INFORMATION CONCERNING o HAZARDOUS MATERIALS WHICH CAN BE FOUND AT OUR BUSINESS. O 0 0 O O O O -10- 10/12/1999 MISCELLANEOUS RECEIVABLES ADJUSTMENT CUSTOMER NAME MAILING ADDRESS CITY / ~0 Coo Ict~ i NEWACCOUNT ADDRESS CHANGE CLOSE ACCT j FINANCE CHARGE I ii OTHER ADJ t "'~X/' 1 ZIP CODE SITE ADDRESS PARCEL NUMBER (IF APPUCABLE) ADJUSTMENT irCHG DATE /-/s-~ CHARGE CODEI ADJUSTMENT AMOUNT REMARKS: '~'-~o ~e / APPROVED 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 Overall Site with 1 Fac. Unit General Information RECEIVED lIAR 1 3 1992 Page Aos'd ............ Location: 1770 GOLDEN STATE Map: 102 Hazard: Moderate Community: BAKERSFIELD STATION 01 Grid: 24D F/U: 1AOV: 0.0 Contact Name Title Business Phone ,., 24-Hour Phone- JAMES PENSINGER PRESIDENT (805) 325-5055 x (805) 834-2852 - ,-~ .... = .... OFFICE MANAGER (805) 325-5055 x (805) Administrative Data Mail Addrs: 1770 GOLDEN STATE D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 2.15-001 BAKERSFIELD STATION 01 SIC Code: Owner: JAMES PENSINGER Phone: (805) 325-5055 Address: 1-664 KAVALiEKqET ~~_o~-~ ~--~ State: CA City: BAKERSFIELD Zip: ~3mJ~-~c~ Summary PROPANE OPEN TO PUBLIC (TN o, p~m ~am~)-'""-' I have reviewed the attached hazardous mater/als rnana e merit plan f°r~and~ that it along with any corrections constitute a complete and correct man- ageme~t plan ~or~. 02/27/92 PENSINGER MOTOR HOMES~INC 215-000-000161 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 2 02-001 PROPANE Gas · Fire, Pressure, Immed Hlth 600 High GAL CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL --Daily Max GAL 600 I Daily Average GAL 400.00 Annual Amount GAL 12,000.00 Storage FIXED PRESS. CYLINDER Press T Temp Location IAbove IAmbientlSOUTH END OF PROPERTY -- Conc- 100.0% IPropane Components MCP List IExtreme I -- Notes 02-002 OXYGEN Gas 249 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max FT3 249 Daily Average FT3 I Annual Amount FT3 200.00 747.00 Storage PORT. PRESS. CYLINDER Press T Temp Location IAbove ~AmbientlNW CORNER INSIDE BLDG -- Conc 100.0% IOxygen, Compressed Components ~ MCP List {Low -- Notes 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 Page 02 - Fixed Containers on Site Hazmat Inventory Detail in Re~erence Number Order 3 02-003 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 130 High FT3 CAS. #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: FUEL Daily Max FT3130 I Daily Average100.00FT3 I Annual Amount390.00FT3 Storage PORT. PRESS. CYLINDER Press T Temp Location IAbove ~AmbientlNW CORNER INSIDE BLDG -- Conc 100.0% Acetylene Components MCP --~List IHigh -- Notes 02-004 HELIUM Gas 130 Minimal ~ Fire, Pressure, Immed Hlth FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 130 Daily Average FT3 100.00 Annual Amount FT3 390.00 Storage PORT. PRESS. CYLINDER Press I Temp Location Iabove ~AmbientlOFFICE SOUTHEAST OF BLDG -- Conc 100.0% IHelium Components MCP List IMinimal I _tes 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-005 DRY TOILET CHEMICAL · Immed Hlth Solid 680 Moderate LBS CAS #: 30525-89-4 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBS680 I Daily Average500.00LBS Annual Amount LBS 2,700.00 BAG Storage Press T Temp IAmbientlAmbient IWEST WALL Location' -- Conc 78.0% IParaformaldehyde Components MCP List IModerate I 02-006 LIQUID TOILET CHEMICAL · Immed Hlth Liquid 60 High GAL CAS #: 50-00-0 Trade Secret: No F6rm: Liquid Type: Mixture Days: 365 Use: WATER TREATMENT DailY Max GAL60 I Daily Average50.00GAL Annual Amount GAL 1,600.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient IWEST WALL Location -- Conc 35.0% Formaldehyde (EPA) 11.0% Methanol Components MCP IHigh High List IEPA 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 00 - Overall Site <D> Notif./Evacuation/Medical Page <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation IN THE CASE OF RELEASED OR SPILLED MATERIALS, MANAGEMENT PERSONNEL WILL IMMEDIATELY CONTACT BAKERSFIELD CITY FIRE DEPARTMENT. <3> Public Notif./Evacuation IN THE EVENT OF THE RELEASE OR THREATENED RELEASE OF A HAZARDOUS MATERIAL, IT WILL BE OUR INTENTION TO NOTIFY AND INFORM ALL PERSON AND BUSINESSES IN THE IMMEDIATE AREA OF THE PROBLEM. WE WILL NOTIFY BY PHONE THE PERSON OR PERSONS IN CHARGE AT EACH OF THESE BUSINESSES AND REQUEST THAT THEY TAKE THE NECESSARY ACTIONS TO INSURE THE SAFETY OF ALL OCCUPANTS. IN ADDITION TO A PHONE ALERT, ONE PERSON WILL BE DISPATCHED TO INFORM ANYONE IN THE IMMEDIATE AREA OF THE PROBLEM WHO MAY NOT HAVE BEEN ALERTED OTHERWISE. <4> Emergency Medical Plan SAN JOAQUIN HOSPITAL 2615 EYE ST 327-1711 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention KEEP CONTAINERS AWAY FROM HEAT SOURCES AND STORE IN AN UPRIGHT POSITION. CONTAINERS SHOULD NOT BE DROPPED. KEEP CONTAINER VALVES CLOSED WHEN NOT IN USE. KEEP PUBLIC AWAY. SHUT OFF SUPPLY OF GAS. ELIMINATE ANY SOURCE OF IGNITION. VENTILATE THE AREA. DISPERSE WITH WATER. AVOID CONTACT WITH SKIN <2> Release Containment PLEASE SEE ATTACHMENT <3> Clean Up PLEASE SEE ATTACHMENT <4> Other Resource ActivatiOn 02/27/92 PENSINGER MOTOR HOMES INC 215-000-000161 00 - Overall Site <F> Site Emergency Factors Page 7 <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST CORNER OF PROPERTY NEXT TO STREET B) ELECTRICAL - INSIDE NORTHWEST CORNER C) WATER - SOUTHEAST CORNER OF PROPERTY NEXT TO STREET D) SWPCIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE PROTECTION AVAILABLE AT THIS FACILITY CONSISTS OF ONE FIRE HYDRANT LOCATED AT STREET ON SE CORNER OF PROPERTY AND FIVE APPROVED EXTINGUISHERS LOCATED IN APPROPRIATE POSIT~ONS WITHIN THE FACILITY. FIRE HYDRANT - STREET CURB OF GOLDEN STATE ACCESS ROAD ON THE SOUTHEAST CORNER OF THE PROPERTY. <4> Building Occupancy Level 02/27/92 PENSINGER MOTOR HOMES I~C 215-000-000161 00 - Overall Site <G> Training Page <1> Page 1 WE HAVE 20 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: AS WAS REQUIRED BY AB 2185 & 2187, WE HAVE INCORPORATED THE DISTRIBUTION AND, EXPLANITION OF INFORMATION CONCERNING HAZARDOUS MATERIALS WHICH CAN BE FOUND AT OUR BUSINESS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use PENSINGER MOTOR HOMES INC. PROPANE - Should an accidental release of propane occure, the safety shut-off valve will be activated and all other ports closed until the problem is corrected. The material being a pressurized gas will disperse into the air. No clean up will be necessary. OXYGEN - In the case of an accidental release of oxygen occure, the port valve will be closed if possible. The released material, being a limited amount, cannot be contained and will disperse into the air. No clean up will be necessary. In the case of an accidental release of acetylene occure, the port valve will be closed if possible. The released material, being a pressurized gas, will not be able to be contained and will disperse into the air. No clean up will be necessary. DRY TOILET CHEMICAL - In the case of an accidental breakage of the packages of dry chemical, which are packaged in 2 ounce quanties, the containment will require the collection by sweeping with protective clothing, of the spilled material and placing it in a plastic ba~, labeled, and placed in our waste containment area for proper disposal. Clean up will require thorough sweeping, then vacuuming the immediate area. LIQUID TOILET CH~4ICAL - In the case of an accidental spillage of liquid toilet chemical, packaged~in 8 ounce, 32 ounce and 128 ounce plastic containers, mopping up of the spilledmaterial using proper protective clothing, and placing the material in a labledcontained. The container will then be placed in our waste containment area for proper disposal. Clean up will require mopping and drying of the in~ediate area. RISK RBNKING - PENSINGER MOTOR HOME F&CiLITY RISK INDEX INSPECTION HISTORY POPULSTION EXPOSED MOP TOX FRCTOR 6S GAL/55 GAL (.37)= .44 4 GSL/SS G6L ,e2)=.002 37% FORMALDEHYDE - AQUA KEM t .4 X 2; = 4.2 0 X 5 = 0 4 X 1 = 4 0.4 X ~ = 0,4 TOT,IlL = 14,8 ~aOILiTY RtS~< INDEX ReTINa activities or conditions that increase rise likelihood of a release. I x .5 = 0.5, (NO. OF YES aNSWERS ON THE QUESTIONNAIRE !-.'13~ add I yes to each facility for storage arid rnin.t¢,al This factor ref].ects a company's claim (safety) history. 0,87 (WORKER COMP FACTOR, MaXImUM EXPECTED Self repor"~ed accident / safety record. (RE~SONaBLE=O, INaDEO. Uc~TE=O,.25, 8ROSSLY INaOEQUaTE=O.5) a discretionary category used to account for factors not directly addressed in the questionnaire. (OTHER COMPLICaTtN6 F~(]TORS MINIHaL.=O, CONStOER~BLE=O.5, SUBSTaNTIaL~I.~) FACILITY RISK INOEX = t.37 RAT!N6 ' FZ = W + X + Y + Z RATING RaTIONaLE: Risk increases with increasing process complexity and potential for 'human error. POPULATION EXPOSED- RATING 1. IS TOXIC MATE~,iAL. APT TO BECOME AtRSORN RAPIDLY ? i.e~ A 6AS, FINE DUST, HIOHLY VOLATILE LIQUID NO= t YES= 2 tF ANSWER TO ¢1 IS NO, PROCEED TO ¢6 IF ANSWER TO ~1 ZS YES, ESTIMATE THE EVACUATION RADIUS, USING TtiE Br~KER..FIELD FIRE D_P~. GRAPH MODEL AND ANSWER QUESTIONS 2-5 THERE 6 SCHOOL WITH IN THE EUACUATION RADIUS ? NO=~, YES=] IS THERE A NURSIN~ HOME OR HOSPITAL WITH IN THE EVACUATION RADIUS ? NO=8, YES=I lis THERE RESIDENTIAL HOUSING W~THIN THE EVACUATIJN RADIUS ? NO=O YES=I IS THE: POPULATION DENSITY OF' THIS AREA HIGHER THAN THE hVERAGE DUE TO ALOT OF MULTISTORY BUILDINGS ? · NO=~, YES=,I ' WHAT iS THE OCCUPANCY O.F THE BUILDING THAT AHM IS STORED OR HANDLED IN ? LESS THAN S PEOPLE=i ~ - 25 PEOPLE =2 28 .... 5~ PEOPLE =3 MORE THAN 50 PEOPLE =4 TOTAl_ POPUL. A'TION EXPOSED RATING =: RATING RATIONALE:: Rel'eases thai are limiied f,o onaite consequences will limit i;he exposed popui, ation. As '~he number' of pePsons onsite increases, evacuation and and response ef'¢or{a become more co~plicated, and ~he poien'[.i, al for' injury ~ ncmease5 ~ Briefly describe the equipment being used in the processes involving AHMs. 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 MSDS for pure substances. DEMOGRAPHIC DATA: State the straight line distance in feet between the business property line and each of. the following. 1. Nearest school. 2. Nearest daycare center, hospital, nursing home or similar facility. 3. Nearest reSidence/motel etc. 4. Nearest occupied building. + 5c~x~ Business Name' Address: is true an,/ -3- 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 '~ Y 2. Is any other flammable gas, flammable liquid or explosive material manufactured or used in a c~emical reaction ~ · Is any reaction- in question 1 or 2 a moderately or highly exothermic reaction ( e.g. alkylation esterfication, oxidation, nitration, polymerization or condensation) or one involving electrolysis '~ 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 ~ Y /~J Does any physical or chemical process in which an AHM is produced or used involve a batch process Does any physical or chemical process involve the .production or use of any AHM at a pressure in excess of 15 psig o 7. In excess of 275 psig ? Does any physical or chemical process involve the production or use of an AHM at a temperature above 125 degrees F ~ 9. In excess of 250 degrees i0. 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 AHM '~' 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 firewaii providing protection * 12. Is any lined or non-metallic pipe used in the transfer of any AHM 0 13. Is any equipment 'or piping handling any AHM more 10 years old ~ PLEASE PROVIDE THE FOLLOWING INFOR~IATION ( Attach additional pages it' necessary) 1. Your company's current workers compensation ..... - ' experience.modification factor. How many people occupy the building in which AHM's are used or stored ~ Give details of all accidents which involved any hazardous material and all other instances when the fire department has been summoned in an emergency. Briefly described the operations process at your plant and the specific processes utilizing AH~l's, including storage proceedures. -2- Material Safety Data Sheet iDENTITY: AQUA KEM Form Number: 103 Manufacturer's Name Emergency Telephone Number The~fordCorporation (313) 769-6000; (313) 769-6003 (24 hrs) Address · · Telephone Number for Information 7101 Jackson Road (313) 769-6000 Date Prepared Ann Arbor, Michigan 48103 26-0ct-S0 Other' J Hazardous Components OSHA PEL ACGIH TLV ' Limits J Formaldehyde CAS # 50-00-0 lppm lppm STEL 2ppm Methanol CAS #' 67-'56-1 (Skin) 200ppm 200ppm STEL 250ppm Boiling Point Specific Gravity (H20 = 1) 210 degrees F 1.08 Melting Point Vapor Pressure (rom Hg) Approximately 17-20 ~ 25 degrees C Vapor Density (AIR = 1) 1.03 Not applicable Evaporation Rate (Butyl Acetate = 1) Similar to water > 1 Solubility in Water Complete Appearance and Odor Blue liquid with pungent odor Flash Point (Method used) Flammable Limits LEL UEL 163 degrees F (TOC) Not available N/A N/A Extinguishing Media Water, dry chemical, carbon dioxide or foam approved for use with alcohol Special Fire fighting Procedures Wear self-contained breathing apparatus Unusual Fire and Explosion Hazards None ================================== :'":i'":::: :'""':::::: ::::: ::::::':"':: ::"':'::::i:::i: '"'"':::::::':: ::::::::: :::::: ::: ::::::: :: ::::::i:::i:i: :i:i: :: :: :: ::::::::::::::::::::::: :i:i:i:i::: :!: :!: :i: :i:i:~: :i: :i:!: :i:~:i:i:i:i:!: :!: :i:!: :i:i: :i:i:::::!:::i: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::: Stability Conditions to Avoid X Stable Elevated temperatures Unstable Incomparability (Meteriall to Avoid) Phenols, inorganic acids, strong oxidizing agents, strong alkalies Hazardous Decomposition or Byproductl Thermal decomposition may produce carbon monoxide and carbon dioxide Hazardous Polymerization JConditiona to Avoid May OccurI Not applicable X Will Not Occur Route(a) of Entry: Inhalation? Skin? Ingestion? Yes-irritant Yes-irritant Toxic Health Hazards (Acute and Chronic) Can produce eye damage and skin sensitization. Muta~lenic activity in bacterial & mamalian cell culture test symptoms-but not muta~lenic in whole animal Systems. Not teratogenic. High inhalation exposure may cause bronchopneumonia and adema. Carcinogenicit¥: NTP? Reasonably anticipated to be carcinogenic Carcinogenic potential is' based on animal evidence. IARC Monographs? OSHA Regulated? Probably carcinogenic Potential carcinogen Human evidence shows no increased risk of cancer. Signs and Symptoms of Exposure: Inhalation produces irritation to upper respiratory tract & eye irritation. May include discomfort such as nausea, headache or weakness. Skin contact produces irritation with discomfort or rash. Eye contact caused irritation or severe burns. Medical Conditicna Generatly Aggravated by Exposure: Persons having preexisting diseases- of the lung~, eyes Or skin may have increased susceptability to the hazards of excessive exposure. Emergency and First Aid Procedures: Flush contacted area with large amounts of water. Irrigate eyes for a minimum of 1§ minutes. If swallowed, induce Vomiting by giving 2 glasses of water and sticking finger down the throat. For eye contact or ingestion, call a physician. Steps to be Taken in Cale Materi?.! i~l Released or Spilled Clean up small spills with water. Soak up larger spills with earth, sand or other noncombustible absorbent material. Neutralize remaining odor with diluted amonia solution. Flush area with plenty of water. Waste Disposal Method Incineration or biological treatment in Federal/State approved treatment facility. Precautions to be Taken in Handling and Storing Do not store above 1 10~degrees F. Do not freeze. Other Precautions Do not get liquid in eyes or on skin. Do not inhale vapors. Wash thoroughly after handling. Respiratory Protection Self-contained breathing apparatus for larger spills. Ventilation -- Local Exhaust .-- Special Maintain adequate ventilation Not necessary Mechanical (General) Other Not recommended Not applicable Protective Gloves Eye Protection Recommended Recommended Other Protective Clothing or Equipment Protective clothing to avoid skin contact. Eyewash station and safety shower. Work/Hygenic Practices Avoid unnecessary and prolonged exposure. Avoid breathing vapors. i::: :~i~!~!:!!!:::~!~:~!~:i!~!:':'::~::': i i~i i!~::':'::::~!~ ~:H i:i ~ i:i!i~!:!!~ i :':!! ~!:': ~:~ ~ ~:i ~ !:i~iiii!!i!i~i!~!~!~!~!i~i~i~:i:iii~i:i:i:iii:!:!:i:~:~:~:~!:~:!~!~!~i~i~i~ii~!:i:!ii:ii~:i:i:i:i:~i!:iii:i:!:i:~:i:i:!:i:!:!:!:!:i:i:i:!:!:~:i:[~!~!:i:[:!:!:~:~: :~: :~:::::::::i:!:!: :~:~:~:!::::: :: ::::::: ::;: :;::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::: :: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Any transportation questions can be answered by That-ford Corporation's Traffic Department. '.'MaterialSafetyData Sheet" May be used to comply with OSHA's'Hazard Communication Standard, · 29 CFR19!0.!200. Standard must be consulted for specific requirements., U.S. Department of Labor· Occupational Safety and Health Administration (Non-Mandatory Form) Form Approved OMB No. 1218-0072 Note: Blank spaces are not permitted. If any item is not applicable, or no · .'. information is available, the space must be marked to indicate that. = . ID£NTITY (As. Used on/_abe./, and UsO · DEODORANT/SANITIZER //1600 :~ SectiOn I · Manufacturer's Name UNITED STATES MOVIDYN : Address (Number, Street, City, State, and ZIP Code) re63 NORTH ORLEANS STREET · CHICAG0,~'''ILLINOIS 60610 'Section II --Hazardous.Ingredients/Identity InformatiOn Emergency Telephone Number (312) 943-1530 Telephone Number for Information : . =... (342) 943- s 0 Date Prepared Signature of Preparer (optional)MpR .Hazardous compOnents (Specific Chemical Identity; Common Name(s)) Other Limits Recommended OSHA PEL ACGIH TLV % (optional) CAS NO.~' 67-56~1 - · 2[30' ppm' 2 · CAS. NO. 513-130-0 2 ppm 9.5 Section ill .-- Physical/Chemical Characteristics 'Boiling Point , Specific Gravity (H20 = 1) .............. "~ '- i, :". "' 21'2OF - 1.03 ' ' 'Vapor p[~ssure. (mm Hg.) , Melting Point "- ~3mm $ 102°F· NOT APPLICABLE .='.' ..' '.~ ......... . ..... 'Vapor Density (AIR = 1) · ' EvapOration Rate >1 (Butyl Acetate = 1) . <1 Solubility in Water COMPLETE .. .Appearance and Odor DARK BLUE' COLOR WITH FRAGRANT ODOR . Section IV ~-- Fire and Explosion Hazard Data ' Flash Point (Method Used) I Flammable Limits ILEL ......... · - 180°F PMCC · ' % VOLUME IN AIR 7 .Extinguishing Media DRY CHEMICAL, WATER FOG, CO~, FOAM. UEL ?0 Special Fire Fighting ProceduresCOMBUSTIBLE.. KEEP AWAY FROM HEAT AND FLAME. PLAN FIRE PROTECTION AND RESPONSE STRATEGY THEOI CONSULTATION WITH FIRE PROTECTION' AUTHORITIES. COO[ FIRE ExpoSED CONTAINERS WITH WATER SPRAY.. WEAR MSHA/NIOSH APPROVED SELF CONTAINED BREATHING APPARATUS. 'Unusual Fire and Explosion Hazards COMBUSTION PRODUCTS CAN BE TOXIC. EXPLOSIVE MIXTURES CAN FORM WITH AIR. · ' (Repr~oduce locally) OSHA 174, Sept. 1985 Section V --.Reactivity Data Stability ' I Unstable Conditions to Avoid Stable X NOT APPLICABLE Incompatibility (Materials to Avoid) Hazardous Decompo~on or ~yproc~ucts DECOMPOSITION PRODUCTS INCLUDE CARBON DIOXIDE, CARBON MONOXIDE AND FORMALDEHYDE GAS. Hazardous May Occur Conditions to Avoid Polymerization Will Not Occur X NOT APPLICABLE Section VI -- Health Hazard Data Route(s) of Entry: Inhalation? YES Skin? YES ingestion? Health Hazards (Acute and Chronic) MAY CAUSE BURNS TO EYES. Carcinogenicity; NTP? NOT DETERMINED IARC Monographs? OSHA R. egulated? ' NOT DETERMINED 2 ppm/B Hour period Signs and Symptoms of Exposure PROLONGED EXPOSURE OF EYES AND SKIN CAN RESULT IN IRRITATION. Medical Conditions Generally Aggravated by Exposure PRE-EXISTING RESPIRATORY AND SKIN DISORDERS MAY BE AGGRAt/ATED BY EXPOSURE. MUCOUS MEMBRANE IRRITATION UPON PROLONGED EXPOSURE TO PRODUCT. Eme~encyand FireAid Procedures INHALATION--MAY ~E HAHM~UL ~U FUCUU5 FILIq~ANLS. HEfflUV~ PL~SUN IU ~H ~£~. IF BREA~HING HAS STOPPED GIVE ARTIFICIAL RESPIRATION. CALL PHYSICIAN. SKIN--WASH WITH'LARGE AMOUNTS OF WATER. WASH CLOTHE5 BEFORE REUSE. EYES--FLUSH WITH WATER FOR Al LEAST 15 MINUTES. CALL PYYSICIAN. Section VII--Precautions for Safe Handling and Use Ste~sto Be Takenin Case Materialls Released or Spilled REMOVE IGNITION SOURCES. SMALL SPILLS/SOAK UP WITH ABSORBENT MATERIAL AND REMOVE TO A CI-IJ~.MICAL D~SPOSAL AREA. LARGE SPILLS/SHOULD BE CONTAINED THEN MOVED TO SUITABLE TANKS AND DISPOSED OF BY APPROVED METHODS. Waste Disposal Method DETERMINE THAT ALL FEDERAL, STATE AND LOCAL REGULATIONS ARE OBSERVED FO~ APPROVED DISPOSAL PROCEDURES. DO NOT CUT, PUNCTURE OR WELD EMPTY CONTAINER. _ . DRY PLACE WI;TH ADEQUATE VENTILATION AND APART FROM OTHER CO[~USTIBLES. REMOVE PLUG SLOWLY TO RELEIVE PRESSURE. Other Precautions KEEP AWAY FROM HEAT, SPARKS AND FLAMES. FREEZING MAY PRECIPITATE PARAFORMALDEHYDE~ FREEZING POINT NOT DETERI~1INED.. AVOID BREATHING VAPORS AND FUMES AND PROLONGED CONTACT WITH SKIN. Section VIII -- Control Measures Respiratory Protection (Spec~/Type) Ventilation I Protective Gloves NON REQUIRED IF GOOD VENTILATION IS MAINTAINED. ~ Special IR~E~J~]i~)~D WHEN APPROPRIATE TO CONTROL EMPLOYEEI E~E~RE. Mechanical (General) RECOFFIENDED I Other NOT APPLICABLE OR RUBBER '1 Eye ProtectiOn sAFETY GOGGLES OR FACE SHIELD. NEOPRENE I Other'Protective Clothing or Equipment FOR OPERATIONS WHERE SPILLS OR SPLASHING MAY OCCUR. WEAR TMPERVTOIJS APRRN ~n nnnTR. Wor~Hygienic Practices WASH EXPOSED SKIN AFTER HANDLING PRODUCT. MINIMIZE BREATHING V~PORS AND. F~MES. Page 2 ,, u.sGP.o; ~986-49~-$29/45775 ACUTELY HA3 IRDOUS MATERIALS REGI RATION FORM THIS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA V~-IICH AT ANY TIME HANDLES ANY ACWrELY HAZARDOUS MATERIAL IN QUAN'ITFIES GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP. 1 THIS FORM SHALL BE COMPLETED AND SUBMI'ITED TO YOUR LOCAL ADMINISTERING AGENCY. (§25533 & 25536 Health & Safety Code) Note Instructions on revers9 Business Name ~'~----~<~--~,~- Business Site Address V-T-tO ~.-.-.-.-.-.-.-.-.-=OL.-~-,,,~ '~'-r:,~,~'F_. Business Mailing Address (if different) Business Phone (~Y.D~'~ ~7_.~- Process Designation3 Business Plan Submission Date2 ACUTELY H,~,ZARDOUS MATERIALS HANDLED4 -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME QUANTITY GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMENTS: TITLE DATE California Office of Emergency Sen/ices FORM HM 3777 (1-15-88) INSTRUCTIONS: Superscripts: 1. Quantifies for RMPP compliance are "equal to or greater than" the minimum criteria and apply to chemicals handled "at any one time". 2. Businesses handling reportable quantifies of Acutely Hazardous 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 fde. This will also immediately identify businesses that have not submitted business plans. "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 improve future emergency response. Refer to the EPA list of Extremely Hazardous Substances from the Federal Register (Volume 52, No. 77, p. 13397 et. sea_., April 22, 1987). Each chemical has a threshold planning quantity. This list may be changed by EPA on an annual basis. Updates of ~ list may be available early in 1988. To comply wi~ this element, you may attach a copy of the inventory submiued to your Administering Agency from your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list all extremely hazardous chemicals handled in quantifies equal to or in excess of 1) 500 pounds, and 2) any EPA threshold planning quantity less 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 operating pressure range? c. What operating temperature range? d. Batch capacity rating? e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? 2. Continuous process: ('similar infommtion as above.) ~ursuant to §25534, Ihe Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administering Agency detemlines that the handler's operation may present an acutely hazardous materials accident risk. The handler shall ~ the RMPP in accordance with subdivision (c) [of §25534]. The RMPP shall be prepared within 12 months following the request ~ by the Administering Agency pursuant to this section.~ (§ 25534 (a) Health and Safety Code) An amendment to the RMPP must be submiued to the Administering Agency within 30 days of: 1. Any additional handling of acutely hazardous materials. 3. Change of address, business ownership, or busine~ name. (§ 25533 (c) Health & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP · Califomia Office of Emergency Sewices FORM HM 3777 (1-15-88) FIRE DEPARTMENT D. S. NEEDHAM FIRE CHIEF CITY of BAKERSFIELD "WE CARE" April 25, 1991 2101H STREET BAKERSFIELD,_93301 ........ 326-3911 Mr. James Pensinger President Pensinger Motor Homes 1770 6olden State Hwy. Bakersfield, CA 93301 ........... De - Mrl pensi g v, 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 has reported handling the following Acutely Hazardous Material~: 60 GALLONS, 35% FORMALDEHYDE - LIQUID TOILET CH£MICAL 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 24, 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 Bakersfield Fire Dept. ACUTELY HAZARDOUS MATERIALS REGISTRATION AND RISKMANAGEMENT AND PREVENTION PROGRAM CHECK LIST 1. A. H.M. REQUESTED 2. A.H.M. RECEIVED 3 . R.M. P. P. REQUESTED 4. R.M.P.P. REVIEWED 5. R.M.P.P. APPROVED 6. R.M.P.P. INSPECTION COMMENTS: BUSTNESS N~AME ~) T.D]~/MBER Do hereb~~ CITY of BAKERSFIELD "WE C,4RE" (tyue or Drin% name) RECEIVED JAN [) 9 19it9 certifM that I have reviewed the Ans'd ............ attached for and Hazardous Materials business Dlan (name of business) that it alon~ with the attached additions or corrections constitute a comDlete and correct Bus ines s~~r~or my slgna~ur-e facility. date '-~ '-~ HAZARDOUS MATERI ALS I,NVENTO RY' f~r~ MKI igric~lture · , St~dord B.us'~ss ~ " N O N--'I:RAD E" SECRETS BUSINESS "aP ~ENSINGER 'MOTOR HOMEs '~OWNE, ,AM£: JAMES PENSINGER" ' .. HAME oF;-.i~ ~AcZLITY: LOCATION:__ ]770 Gol~en State 9H~3y5 ADDRZSS: 1804 Kavalier Ct, STANDA"ff~=JiND..CLASS CODE CITY, zi~:_Ba~ers~el~, Ca. 1 ~ 'CITy, zI~: Bakersfield~ Ca. 93304 DUN AND~:BRAD~R~T ~UMBER.. PHONE ~: ( 5Ob ) '32b-bOb5 P~0NZ ~: ( 805 ) 834-2853 ,, .. -' - - (~ ~ ~t ~ Est ~*ts m $R~ I~ ~ I~ ~ -. $t~ tn ~tltty ~ ~ I~t~ti~ .~_L~.._~.0 i ~0 J..,~0' ~q ~1~° I~ 14 !~o. ~d of ~zd,~.[ ..... ~o~o~ oXX . ., ~lth of P~ ~lth ~t l] ~ & C.i.S. ~ 1 pour point depressant ~--~--] ..... ~P-.._J...~_~. ...... l. 60 ].~.~..~]~ I I ~ 4 ~_.40 ~ou~side NE c0~r~er __._ Waste MOtor Oil ~' aC~, P~icoJ ~ ~lth Hiro~ C.A.S. ~ 000302 ~t It ~ & C.A.S. ~ ~t ~ ~ i C.A.S. ~ ~lth of ~ Mlth ............ / ~__~_1 ~o! ~oo ~oo I~ ~1~1 ~ I~ 1.4] [~ ~e~ ......... ~ ~o~ ~~ ~ ....... P~Jc, l ~ ~lth ~z,~ C.A.S. ~ ,. ~t I~ ~ i C.i.S. ~ 7;8 Paraformaldehyde K~k oil t~t ,~ly) 30525_89_4 ........ ~-~ c--- c--- c--- " ,--, .. ~t~ ~ & C.~.S. ~ ~ ~t 13 h&C.A.S. ~ / ~_~1~_[___~.-] 5o LA~A_..]_~ ,39~1!~_J. ~ I~ ~3~ west. wa~ ~iquXd toX~et ,ch'emfc~i/ V k ,1~ trot re)y) ' . -. 50-00-0- 35 ~ ~hyde .................. - - ~- ~ C~t t2 ~ i C.A.S. ~ [ ~Fi~eHirerd [ ~ttvtty u--a~10~ [~hl~e [~l~lit* 11 Methanol ..~r:~ ~1~ . of.~,~, ~, -- 67-56-1 ............... :-. ~t I] ~&C.A.S.~ N[,G[KY~t~TS ~t 'james Pen~n~er. Pres~den~ 325-5055 ,~ E~abe~h ~asen~e O~ce Cortlficattm (Read and sign after C'ompJetln£ all 'sections) . · · // ! ce. iffy u.~.' ~en~lty of 1~ t~t I ~ve ~rs~Jlye.~ ~ N fMiltir .tth t~ tnf~tim subi~ Iff thls~ oll OttKb ~ts, ~ tbt ~s~ m ~ i~t~ of t~e JMlvlhil ~stblo ' ,~ obt.ini~ t~ ,nf~tlm. I-.li--e t~, t. sunlit, interim ,, t~..c~,t,. ~~ ~ / James Pensinger President ~~ ~ ~-- ~ -' 1/4~89 NON--'J:RADE sECRETS "..'- ":' ' P'9, ..Z.. of ..4.. BUSINESS HAe "ENSINGER 'MOTOR HOMEs '.OWHER HAME: JAMES PENSINGER · HAME OFT~T~ 'FACILITY: STANDARD';: IND .... CLASS CODE CITY, Zlp:_BaKersIiel(~, Ca. 93301 'CITY, ZIP: Bakersfield~ Ca. 93304 DUN AND:BRADS~...'REET NUMBER.. ,- PHONE I: (SUb) 3lb-bOb5 PNONP- #: (805) 834-2853 ,, ", _ - _ _ _ - .... .[.~[~,~s ~,:James Pen'~.in~er. President 325-5055 ,2 Elizabeth Masenqale Office Manager. (Read and sign after 6oaple. tJng ali 'sections) . '" · James Pensinqer President /~. ~ ~1~ N O N--'I? RA'D E" s'ECRETS BusiNEss ~ "ENSINGER 'MOTOR HOMES "ow~ ~: JAMES PEN$INGER"" :~:8~I:'''''1'.7v~) GoZ~g:°'S~:g"H 'ADDRESS: 1804 Kavalier. Cie STANDARD' IND., CLASS CODE CITY. ztp:_Ba~ers~iela, Ca. 93301 CITY, zip: Bakersfield~ Ca. 93304 DU~ AND .BRAD~REET NUMBER ...... P.ONE I:~~0b) 32b-b05b PHONE ~: (805) 834-2853 ., ',_-___- (~ C~e ~t ~ Est ~ttl m Site T~ ~ IW ~ .. $t~ In FKtllty ~ ~ Iqt~tt~ ~lth ol P~ ~lth I~ .................. P~Jcal ~ ~lth HII~ C.A.S. ~ ~t II ~ i C.A.S. ~ (C~k .11 t~t a~ly) _ ~~ -- -- ~ ......... ~lth of ~ ~lth ,: ~t ts ~ & c.~.s. ~ ~e~one ?8-93-3 ~,c,~ ~ ~1,~ ~,,~ C.A.S. ~ ~t I~ ~ & C.A.S. ~ Aromatic - - r-] ~-~ - .. ~t~ ~&C.A.S.~ _._l__t ...... _! ......... 1 J ~__L_,]. ! i~ .. ' ". ...... ~. . P~ic.I ~ blth hz~ C.A.S.'~ ~t II ~ & C.A.S. ~ " (C~k si1 t~t rely) ' ~- r--~ ~--~ ~--~ r--~ C~tl2 ~&C.A.S. ~ ' '..~1~;; ~Ith - of. Pc~sure ~lth NERGEKYCmT~TS II 'james Pen~.inger. President 325-5055 12 Elizabeth Masenqale Office Manager. ~ ................ ~'~':~ .......... n~]a ...... ' ............ ;i'Ra-P~ ~: : 325'~ 5055 - 'ntw ............ ~-~ ..... (Read and sign after ..goJpJetJng ali 'sections; . ' '" James Pensinger President / ~ ~ ~ ~ 1/4/89 ~ NON---tRADE' s'ECRETS " ~' BUSZN£$S Na~ ~ENSINGER MOTOR HOMES '.OWNER NAME: JAMES pENSI~GER ' -- -.~HZ Or~l~ '~cI~I~Y: ~-~: ..... ~'77~-~i~"S~"H~:'~ 'ADDRESS: 1804 Kavalier. Ct. '" STANDARDLIND..CT-ASS CODE C~TY. ESPY. BaKersr~elQ, Ca. 93301 . 'CITy. ZIP: Bakersfield, Ca, .93304 DU~ AND :. .BRAD~REET NUMBER ..... PHONE I: { SUb ) 32b-bO55 PHONE ~: { ~2853 · ~- ;-_ _ - - _ _ _ _ ~ ~ X~U~XO~ ~ ~OP~ COD~ .~;: ... .Z~: ..... (~ C~ ~t ~ Est ~its m Site' l~ ~ l~. ~ .. St~ la F~lllty ~ ., ', ~ I~t~ti~ .u..I_~.J.._ZL_i~ s ~_J. so'I GAt, 36~ I 3 I. I I 4 ! 2~1 .......... EQamal Reducer' . _. 4~c,I ~ ~t~ ~,,~ C.A.S. ~ ~ ~t ~t ~ & C.A.a. ~ Butyl acetate 123-86-4 ,-= [~] ,-= ~t ~ ~ ~c.i.s. ~ ..~ .(. ,.. Toluene 1 08-88-3 ~t~ ~;c.~.L~ Diethylene glycol 112-34-5 ..... .... L' ........ ] .............. 1 ] ..... I .I I J. i ' eto e · ~ . , ....... . P~c,~lthH,~,~ C.A.S.~ ~St ~&C.A.S.~ Dimethyl adipate 627~93-0 ' ~1 Acetate "~'4-1578~26 ,-~l,~,,¢d [ ]~t~,~,y [ ]~1~ ~-~mi~ ~-J I~,~o I Methoxy propanol 108-65-5__ ~lth 0~ ~1,~ " Ethok'y butyl act 112-07- ~' VM&P Naphth~ 64742-8~-~ . .... 1 [ ~ k ......... J ~, ~ ] ] ~ ~ ~ Mineral spirits 64742-88-5 ...... Aromatic Hydr~6arb0'n 6'474 P~tc~l ~ ~lth ~z~ C.i.t. ~ ~t I1 ~ & C.i.~. ~ lC~ ,u ,m, ,rely) .... n-butyl alcohol 71~3~-3 .... -= ~-= ~t ~ ~c.i.s.~ xylene 1330-20-70 [ ~ FI, ~z,~ [ ] ~tivtty [ ] hl,~ ~,..~ ~ blm, ~ a i~,t, lead drver ~lth of P~I;'~ , ~lth ' y ~tf3 ~&C.A.S.~ Manganese dr er 1336-93-2 .... I'_L ~ ......... ~.~ .......... ]. I..~ I I ~ . L_~ .~ ..... - "-' [-: [- 3 ~-. c~, ,~ ~ ~ C.A.a. ~ :,.,'. ~lth - of Prfl~ ~lth ........ .(.~E~*CmT~T~ ~:James Pen~in~er. President 325-5055 ~2 Elizabeth Masenq~le Office Manager. -6 James Pensinger President documnts, end tKat based on ay .inQuiry of theee Indtviduale respoflstble -o 1/4/89 BUSINESS NAME PENSINGER MOTOR HOMES INC LOCATION 1770 GOLDEN STATE ID NUMBER 215-000-000161 HIGH HAZARD RATING 3 1 . OVERVIEW LAST CHANGE 02/23/88 BY EVAMC JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 102 GRID 24D FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) JAMES PENSINGER PRES. 325-5055 834-2852 LIZ MASENGALE OFF. MGR. 325-5055 835-1023 UTILITY SHUTOFFS 2A SEC 3) A) GAS - SE CORNER OF PROPERTY NEXT TO STREET B) ELECTRICAL - INSIDE NW CORNER C) WATER - SE CORNER OF PROPERTY NEXT TO STREET D) SWPCIAL - NONE E) LOCK BOX - NO NOTIFICATION / PUBLIC EVACUAT ION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > In the event of the release or threatened release of a hazardous material, it will be our intention %o notify and inform all persons and businesses in the immediate area of the problem. Those businesses adjacent to us include: Rancho Bakersfield Restaurant & Motel 1700 Golden State, Bakersfield. (805) 324-9812 Airport Bus of Bakersfield 1800 Golden State, Bakersfield. (805) 395-0635 Golden Empire Transit 1960 Golden State, Bakersfield. (805) 324-9874 We will notify by phone the person or persons in charge at each of these businesses and request that they take the necessary actions to insure the safety of all occupants. In addition to a phone alert, one person will be dispatched to inform anyone in the immediate area PAGE ~f the problem who may not have been alerted other wise. 12/13/88 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PENSINGER MOTOR HOMES INC LOCATION 1770 GOLDEN STATE 3 · HAZ MAT TRAINING ID NUMBER 215-000-000161 HIGH HAZARD RATING 3 SUMMARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > As was required by Assembly Bills 2185 & 2187, we have incorporated the distribution and explanition of information concerning hazardous materials which can be found at our business. This program was initiated in June 1, 1987 and is periodically reviewed. Copies of this material is on file at our office for your inspection. e LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 02/23/88 BY EVAMC 2A SEC 5) SAN JOAQUIN HOSPITAL 2615 EYE ST 327-1711 PAGE 2 12/13/88 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PENSINGER MOTOR HOMES INC LOCATION 1770 GOLDEN STATE FACILITY UNIT 01 ID NUMBER 215-000-000161 HIGH HAZARD RATING 3 A e OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 06/01/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE PROPANE SOUTH END OF PROPERTY ID PERCENT COMPONENTS 1155.02 100.0 PROPANE FIXED PRESS.TANKS FUEL 600 GAL EXTREME HAZARD LISTS EXTREME PURE OXYGEN NW CORNER INSIDE BLDG PORTABLE PRESS. CYL. ID PERCENT COMPONENTS 2359.00 100.0 OXYGEN, COMPRESSED FUEL 249 FT3 HIGH HAZARD LISTS HIGH PURE ACETYLENE NW CORNER INSIDE BLDG ID PERCENT COMPONENTS 1241.00 100.0 ACETYLENE PORTABLE PRESS. CYL. FUEL 130 FT3 EXTREME HAZARD LISTS EXTREME PURE MOTOR OIL INSIDE SHOP ID PERCENT COMPONENTS 2808.00 100.0 MOTOR OIL PLASTIC CONTAINER[S] 15 GAL LUBRICANT UNKNOWN HAZARD LISTS UNKNOWN WASTE WASTE OIL OUTSIDE NE SIDE FENCE ID PERCENT COMPONENTS 1598.00 100.0 WASTE OIL 30 GAL DRUMS OR BARRELS MET.. LUBRICANT UNKNOWN HAZARD LISTS UNKNOWN 6 PURE HELIUM 4 - FOR BALLOONS OFFICE SOUTHEAST OF BLDG PORTABLE PRESS. CYL. ID PERCENT COMPONENTS 2027.00 100.0 HELIUM 100 FT3 UNKNOWN OTHER HAZARD LISTS UNKNOWN PAGE 3 12/13/88 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PENSINGER MOTOR HOMES INC LOCATION 1770 GOLDEN STATE B . FIRE PROTECTION / ID NUMBER 215-000-000161 HIGH HAZARD RATING 3 WATER SUPPLIES LAST CHANGE 02/23/88 BY EVAMC 3A SEC 4) FIRE PROTECTION AVAILABLE AT THIS FACILITY CONSISTS OF ONE FIRE HYDRANT LOCATED AT STREET ON SE CORNER OF PROPERTY AND FIVE APPROVED EXTINGUISHERS LOCATED IN APPROPRIATE POSITIONS WITHIN THE FACILITY. 3A SEC 5) THE FIRE DEPT. WATER SUPPLY, A FIRE HYDRANT, IS LOCATED AT THE STREET CURB OF GOLDEN STATE ACCESS ROAD ON THE SE CORNER OF THE PROPERTY. n e EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 02/23/88 BY EVAMC 3A SEC 2) IN THE CASE OF RELEASED OR SPILLED MATERIALS, MANAGEMENT PERSONNEL WILL IMMEDIATELY CONTACT BAKERSFIELD CITY FIRE DEPT. PAGE 4 12/13/88 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PENSINGER MOTOR HOMES INC LOCATION 1770 GOLDEN STATE ID NUMBER 215-000-000161 HIGH HAZARD RATING 3 MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 02/23/88 BY EVAMC 3A SEC 1) KEEP CONTAINERS AWAY FROM HEAT SOURCES AND STORE IN AN UPRIGHT POSITION. CONTAINERS SHOULD NOT BE DROPPED. KEEP CONTAINER VALVES CLOSED WHEN NOT IN USE. KEEP PUBLIC AWAY. SHUT OFF SUPPLY OF GAS. ELIMINATE ANY SOURCE OF IGNITION. VENTILATE THE AREA. DISPERSE WITH WATER. AVOID CONTACT WITH SKIN PAGE 5 12/13/88 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BAKERSFIELD CITY FIRE DEPARTMENT 2130 "S" STREET BAKERSFIELD, CA 93301 (805) 326-3979 INESS N~ME OFFICIAL USE ONLY ID~ HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCT I 0NS: 1. To avoid further action, return this form by 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. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: ~~---~--- ~~ ~c>'~A~-----~-~ '~, B. LOCATION / STREET ADDRESS: %--I-%CD ~_~CDu-Z~K~ ~SV~x.-~__ CITY: ~-~~lgD, O ZIP: q~2)% BUS.PHONE: (~ SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITL_~ DURING BUS. HRS. '~L~ -~=<m~-~ AFTER BUS. HRS. Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: ~%~c'~__ ~. C. WATER: .~ -~_~.~- D. SPECIAL: E. LOCK BOX: YES / .'~Y~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES / NO YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS .MATERIALS:.... .................................... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES(~ YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. (~ NO YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. -(~ NO YES NO E DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... (~ NO YES NO SECTION 7: HAZARDOUS MATERIAL REFRESHER CIRCLE YES OR(~ DOES YOUR BUSI~SS HANDLE HAZARDOUS ~4TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, ~ ~-~~f~--~___- , certify that the above information is accurate. I understand that this information will.be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25g00 Et Al.~~naccurate information constitutes perjury. S~,.-I"'~----~~TITLE~'z-~fD~'rF- DATE/~/~. 2B - BAKERSFIELD CITY FIRE DEPARTMENT 2~30 "G" STREET BAKERSFIELD, CA 9~301 BUSINESS NAME: OFFICIAL USE ONLY BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. Tq avoid further action, this form must be returned by: 2 .... T~PE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions be].o~ for THE YACI!,ITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. ' FACILITY UNIT# 1 FACILITY O~IT NAME: PENSINGER MOTOR HOMES SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES Please see attached sheets for the follwoing information, SECTION 2: NOTIFICATION AN~ EVACUATION PROCEDURES AT THIS b%'IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Haz'ardous Materials? ...... YES NO If YES, see B. If NO, continue with SECTION B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS./PROPAN~] B. ELECTRICAL: C. WATER: D. SPECIAL:' E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES / NO YES / NO - 3B - BUSINESS PLAN SINGLE FACILITY UNIT F¢)RM 3A SECTION 1: MITIGATION, PREVENTION, ABATMENT PROCEDURES Propane Handling and Storage Conditions: Keep containers away from heat sources and st~re in an upright position. Containers should not be dropped. Keep container valves closed when not in use. Proceedures in case material is released: Keep public away. Shut off supply of gas. Eliminate any source of ignition. Ventfiate the area. Oisperse with water. Avoid contact with skin as freezing of tissue may occure. Waste Disposal Method: ~emove all flammable materials and sources of ignition. Controlled burning perm~sable. Acetylene Handling and Storage Conditions: Heat and sparks during use could be the source of ignition of combustible materials. Prevent fires. Use tanks and equipment adequately designed to withstand pressures to be encount- ered. Store and use with adaquate ventilation. Close valve when not in use and when empty. Never work on a pressurized system. Proceedures in Case Material is Released Or Spilled: Material can form explosive mixture with air. Immediately evacuate all personnel from danger area. Use self-contained breathing apparatus where needed. Remove all sources of ignition if without risk° Reduce vapors with fine water spray. Shut off leak if without risk. Ventilate area of leak or move leaking container to well-ventilated area. Before entering area, especially confined areas, check atmosphere with appropriate device. Waste Disposal Method: Prevent waste from contaminating surrounding environment. Keep personnel away. Discard any product, residue, disposable container or liner in an environmentally acceptable manner, in full compliance with Federal, ~tate and Local regulations. In our particular case, all waste material and containers will be re- turned to our supplier, Baker's Welding Supply for disposal. Oxygen Handling and Storage Conditions: Never work on a pressurized system. If there is a leak, close off cylinder valve, blow down the system by venting to a safe place, then repair leak. Never lubricate oxyge~ valves, regulators etc., with any combustible substance. Proceedures In Case Material Is Released or Spilled: Shut off leak if without risk. Ventilate area of leak or move leaking container to well ventilated area. Remove all flammable mater- ials from vicinity. Oxygen must never be per- mitted to strike an~oily surface, greasy clothes, or other combustible material. Waste Disposal Method: Slowly release into atmosphere, in an open outdoors area. REmove all flammable material from vicinity~ Toilet Chemicals Handling and Storage Conditions: Do not store above llO~F. Do not freeze. Do not get in eyes or on skin. Do not inhale vapors. Wash thoroughly after handling. % Proceedures In Case ~laterial Is Released or Spilled: Clean up small spills with water. Soak up larger spills with earth sand or other non- combustible absorbant materials. Neutralize remaining odors with dilute ammonia solution. Flush area with plenty of water. Use'protect~ ire clothing to avoid skin contact. Waste Dispoal ~iethod: Incinerate or biologically treat in Federal, State approved Facility. Helium Handling and Storage Conditions: Use piping and equipment adaquately designed to withstand pressures to be encountered%' Store and use with adaquate ventilation. Close valve when not in use and when empty. Do not strike arc on cylinder'. Do not ground ~ylinder. Never work on a pressurized system. If there is a leak, close the cylinder valve, blow down the system by venting to a safe place, then repair leak. Proceedures In Case Material Is Released of Spilled: Evacuate all personnel from danger area° Use self-contained breathing apparatus where needed. Shut off leak if without risk° Vent- ilate area of leak or move leaking container to well-ventilated area. Test area, especially confined areas, for sufficient oxygen'content prior to permitting re-entry of personnel. Waste Disposal Method: Slowly release into atmosphere outdoors. Discard any product, residue, dispdsable con- tainer or liner in an environmentally acceptable manner in full compliance with Federal, State and Local regulations. In such a case, containers will be returned to our supplier, Baker's ~ Welding Supply. Paints and Paint Reducers Handling and Storage Conditions: Do not breath vapors or mists. When this product is used with an isocyanate hardener, wear a positive pressure supplied air respir-. ator. When mixing the isocyanate hardener with the paint, during application and until all vapor and spray mists are exhausted wear an appropriate respirator. Do not Permit anyone without respiratory protection in the painting area. Provide sufficient ventilation in ~olume and pattern to keep contaminants below applicable OSHA requirements. Keep away-from heat, sparks and flame. Close container after each use. Ground container when pouring. Wash thoroughly after handling and before e'~ting or smoking. Do not store above 120~F Do no% sand, flame cut, braze or weld dry coating without an approved respirator'o~ appropriated ventilation. Proceedures In Case Material Is Released or Spilled: Ventilate area. Remove sources.of ignition° Prevent skin contact and breathing vapors. Wear properly fitte~ vapor/particulate respir- ator. Confine and remove with inert absorbant. Deactivate isocyanate containging spills with: 207~I surfactant and 80% water or 0-10%'ammonia, 2-5% detergent, and balance water. Waste Disposal Method: Do not allow material to contaminate ground water systems. Incinerate absorbed material in accordance with Federal, State and Local requirements. Do not incinerate in closed ~' containers. Motor Oil and Waste Oil Handling and Storage Conditions: Material should be stored in an area'away from any open flame and other combustable materials. StoDe below 120~F. Use appropriat, e protective clothing to avoid extensive skin contact. Proceedures In Case Material Is Spilled: t~emove any source of ignition or open flame. Confine and remove with inert absorbant. Deactivate with 0-10% ammonia, 2-5% detergent, balance water. Waste Disposal Method: Do not allow material to contaminate ground water system. Incinerate absorded material in accordance with Federal, State and Local m~quirements. Do not incinerate in closed containers. SECTION 2: NOTIFICATION AMD EVACUATION: In the case of released or spilled materials, management personnel will immediately contact Bakersfield City Fire Department~ Hazardous Materials Division, 2].30 G Street, Bakersfield, (805) 326-3911 SECTION 3: Hazardous Materials: Yes Trade Secret Materials: No S~CTION 4: P]2IVATE FIRE PROTECTION Fire protection available at this facility consists of one fire hydrant located at street on south east corner of property and five (5) approved extinguishers located in appropriate positions within the facility. SECTION 5: LOCATION OF ~{ATER The fire department water supply, a fire hydrant, is located at the street curb of Golden State access road on the.south east corner of the property. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT A. Natural Gas{ South east corner of property along fence line. Propane: Gas valve shut-off device is located at the tank and electrical to tank is at electrical curcuit panel inside building at the north west corner. B. Electrical: Ail electrical curcuit~breakers and master swithes are located inside shop building at the north west corner. C. Water: California ~fater Service meter and valve is located at the curb side next to fire hy~riant at the s~-~uth east corner of the property. D. Special: N/A E. Lock Box: No BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME?'~-~::,~-~E-t~c:~::~--~ov~~::~--~-~ OWNER NAME: ~""-~~-~,~--,--'-'~--- FACILITY UNIT #: ADDRESS: ~o ~r,.~K ~-'T~"F~- ADDRESS: \t~::~- ~Le~~__ ~ FACILITY UNIT NA~E: CITY, ZIP: ~~~~ ~ CITY,ZIP: ~~~t~ ~%~ P~ONE ~: ~-~~ PHONE ~: ~.~-~~ [OFFICIAL USE CFIRS COOE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T .CODE AMOUNT AMouNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE 6UIDE NAME: ~v~ ~----k_~%{~-,~___ TITLE: ¢'¢/o..?-~0~F' ' SlONATURE:~------.~.~~'-~- ~ ,.. DATE: E~ERGENCY CONTACT: 4~~ ~S~d~ TITLE: d~~ (- ~fPHONE ~ BUS HOURS: ~ ~ AFTER BUS HRS: EMERGENCy cONTACT: ~ ~~~ TITLE: ~ ~. PHONE ~ BUS HOURS: ~-~~ 'PRINCIPAL BUSINESS ACTIVITY: ~,~. ~~~~ ~ ~~ AFTER BUS HRS: - 4A-1 - OILFIEL & EQUIPI ield Fire Department 2101 H Street Bakersfield, California RENTAL August 5, 1987 Dear Mr. Needham, As requested ~ your office in our phone conversation Wednesday August 5, 1987, I am return- ing these forms and making mention that Pensinger Oilfield Trailer and Equipment Rentals is the same company as Pensinger Motor Homes, who has already conformed with your requirements. I hope this letter will be sufficient, but should you require any add~ion~l infor~ please contact me. [,Pensinger 1770 Golden State Avenue · Bakersfield, CA 93301 Office 325-_5055 ?_ Mobile,327,~44~?~' :#5122 #1152