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Home My WebLink AboutBUSINESS PLAN ooK$ HoR, IZoN I l o ^ccE'5c~ E 'x "t i ,'4 G L, ~ 'Sit tZ Il. NEW HOR, IZOhl W,,I AT B ¢.,. ,~ ACK L_oT t : , 14o ~ACK LoT · 'HM387301 Ar, count Number- ACCOUNTS RECEIVABLE ADJUSTMENT January 13, 1995 Date Esther Duran From Fire Department- Hazardous Material8 Division Department/Division PAPER PLUS New Am=ount · New Addmu Close Account Service Change Other Ad~u~tn~ X Billing Name 4704 NEW HORIZON BLVD Billing Address Site Addmu Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 160.00 0 <160.00> 1-11-95 Remarke: THIS BUSINESS CLOSED THIS FACIUTY IN JULY OF 1994. "CITY-OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303-2057 · ADDRESS CORRECTION REQUESTED DO NOT FORWARD .. 06/12/90 I PAPER PLUS 215-000-0001 ~erall Site with 1 Fac. Gerferal Irfformat iorJ Page Location: 4704 NEW HORIZON BLVD Ident Nurnber: Map: 123 Hazard: Moderate Grid: 14C Area of Vul: 0.0 Cnr~tact Name ~ Title Business Phone ~ 24 Hour Phone- LOUELLA GAINES i ( ) 831-8646 x ~ ( ) 834-8074 JOHN JOLLEY (209) I ( > 529-2114 x I ( ) 527-1£)46 Administrative Data Mail Addrs: 47(I)4 NEW HORIZON BLVD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- Comrn Code: 215-007 BAKERSFIELD STAT,ION 07 SIC Code: Owr, er: UNISOURCE PAPER 'Phone:' (~)~/_~Z/~' Address: PO BX State: CA City: FRESNO Zip: ~/_~ Summary reviewed ~h~ attached h~';.::rd,)-,,~ m~erials manage- ~en~ plan for . ,. ~ ~ (:~,:';;=J't;~:':":;; ....... :.~r~d !ha, ~t ~long with ~sment plan for my facility. 06/1~/90 P 1 n- Re f PAPER PLUS 215-000-000188 Hazmat Ir, ventory List in Reference Number Order 02 - Fixed Cor~tainers or~ Site Nar~e/Hazards Form Quant ity Page MCP 2 02- 001 #104 QUICK WASH Moderate 06 / 12 / 90 .PAPER PLUS 215-000-0001 O0 - Overall Site <D> Notif. /Evacuation/Medical Page <1> Agency Notificatior~ CALL 911 <2> Employee Notif./Evacuatior~ NEAREST EXIT DOORS - ONE IN BACK ONE IN FRONT - CALL 911. <3> Public Notif./Evacuation ~~ <4> Emerger~cy Medical Plar~ THE ONLY HAZARDOUS MATERIALS WE CARRY-ARE PRINTING CHEMICALS FOR CLEANING- AND PLATE MAKING. IF SWALLOWED, EYE CONTACT, SHOULD ONE CATCH ON FIRE AND COME IN CONTACT WITH SOMEONE, OUR PEOPLE HAVE KNOWLEDGE OF IMMEDIATE CORRECTIVE STEPS. THEN PHONE NUMBER OF LOCAL FACILITIES FOR MEDICAL HELP. MERCH HOSPITAL - 2215 TRUXTUN - 327-3371, URGENT CARE CENTER - 5397 TRUXTUN - 322-2273, OR AMBULANCE - 327-9000 OR 327-4111. 06/12/90 PAPER PLUS 215-000-000188 Page 4 00 - Overall Site <E> Mit igat ion/Prevent/Abater~t <1> Release Prever~tiorl OUR MATERIAL IS SOLD IN 5 GAL DRUMS AND i GAL CANS OR BOTTLES. OPENED. IF A SPILL OCCURS WE WILL MOP UP. 7'HEY ARE NO'[' <2> Release Cor~tair~mer;t <3> Clear, Up /~,~, ~ ~- <4> Other Resource Activation 06/12/90 O PAPE RPLUS 215-000-00018~ 00 - Overall Site <F> Site Emerger, cy Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST CORNER FRONT OF BUILDING B) ELECTRICAL - PANEL SHUT-OFF IN STORAGE ROOM WEST WALL C) WATER - SOUTHEAST CORNER FRONT OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NOT FOR OUR PURPOSE <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - 2 FIRE EXTINGUISHERS, ONE IN FRONT OF STORE BY COUNTER AND ONE IN BACK OF STORE BY BACK DOOR. FIRE HYDRANT -,IN FRONT OF STORE. <4> Held fc, r Future use 06/1~/90 PAPER PLUS 215-000-000188 O0 - Overall Site <G> TrainirJg Page 6 <1> Page 1 WE HAVE ?? EMPLOYEES AT '[HIS FACILITY~ WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use cz'rY of' BAKERSFIELD HAZARDOUS MATERTALS TNVENTORY Farm and Agticutture Fi Standard Business ~' NQ_I31--T RAD E SECRETS Page of__ PAPER PLUS STORE #365 BUSINESS NAMET!APER PLUS STORE #365 OWNER NAME: 4-~,-,~ ~ ..... NAHE OF THIS FACIEITY: LOCATION: 47n,~ r,j,~,, Horizon ~' ADDRESS; ~:.-,- ~,~w ~tonzon t~l STANDARD IND. CLASS CODE: CITY, ZIP: ..--2,-" ......... CITY. ZIP'.---~Kersfi~lrt C~. o~,~ DUN AND BRADSTREE~ NUMBER PHONE #: ..... ~ ..... [; REFER TO--ZAI$7~Rb'~TdJS~~R-PROPER CODES -- Trans !y~e Hax Avfrage Annual Hea'S~e._ I t~e Cent Cent Cent Us Location. WheRe. &~)' Ha,es of ~ixture/CoeDonents Code code Amt Amt Est Un]ts on Type Press Temo coleStored ~n ~aclmtty See Instructions Physical and Health Hazard C.A.S. Number ~?- ~-0 Componenb II Name S C.A.S. Number (Check ail that appl~) Component 12 Name S C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~]maediaLe Health of Pressure Health Componenb 13 Name S C.A.S. Number Physical a~d Health Hazard C,A.S, Humber 7~- 0~-~ Componen~ I1 Na~e I C,~,S, Number (Check al1 that Component 12 Hame.~ C,A.S, Number U Fire Hazard U Reactivity U Delayed U Sudden Release Health of Pressure Componen~ 13 Name I C.A.S. Number Physical ~nd Health Hazard C.A.S. Number Component II ~a,e t C.A.S. Number (Check alt that Component 12 Hame S C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release Health of Pressure Component I3 Name S C.A.S. Number , Physical 8nd Health Hazard C,A.S, Humber Component II Hame I C,A,S, Number (Check ali that apply) Component 12 Name & C.A.S. Humber U Fire Hazard ~ Reactivity ~ Oelayed ~ Sudden Release ~ Immediate Health of Pressure Health Component 13 Hame & C,A.S. Humber E~ER~EHCY COHTACTS fll ferti¢i¢atioq .(Re, ti a..nd.~i¢n af~,em complcti.ng.all secti.ons.) this ~nd all certify under penalty, gl!aW cnqt J nave per. sonavy, examlne, oaqo ~m tamillar.~/it~ the jntormatlon sul~mitt.ed in .attached.doc,merit.s, anO t,t oaseo on.my ,nqu,ry gr.,nose ,now]oua,s responsio,e for obta,nin, the ,nrorma,]on. I bel]eve thatp/ "su. bmltteo information is true, accurate, and complete, ~¥L ?I''?£R PLUS STORE #365 Iq"~if-~f~~""M o~.r;looe'r~t, or u~ owner/operator s author]zed representative '; "'%g~ge~osfie!d, CA 93313 CITYof BAKERSFIELD i~HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: P~R~US~ORE~5 OWNER NAME' ~'~ _ ~ '~' NAR~ OF THIS FACILIT~ LOCATION; '-' ~~.H~zon.~L ADDRESS' ' ~ ~ ~V q~l~ "STANDARD IND. CLASS CODE~' I 2 3 4.5 $ I 8 9 10 11 12 [l~y Names of Wixture/~oeoonents Tr~ns !y~e Max Average Annual Measure ~ ~yp Cont Cont Cont Us Location where. ~ode code Amt mm~ Est Units on 51re.Type Press Temp Cole Stored In Facl/~tyWt See Instructions Physical and Health Hazard C,k.S, Number .... Component I1. Name I C,A,S. Number (Check al1 that 'aPMy) 13~ o- 5 ~-~ ~ Component 12 Name I C.A.S. Number ~ Fire Hazard ~ Reactivity;) ~ Delayed ~ Sudden Release ~ Immediate 13 Health of Pressure Health Component 13 Name ~ C.A.S, Number Physical add Health ~a)ard .) C,A,S. Number Component 11 Name ~ C,A.S, Number (Check al/ that app/yl ~i / 07~ I '/ ~ Component 12 Name & C.A.S, Number ~ Fire Hazard ~ Reactivity'~ ~ Delayed ~ Sudden Release ~ Im~i~ Health of Pressure 'i Component 13 Name I C.A,S, Number Physical and Health Hazard ,j C,A.S, Number Component I1 Name & C,A.S, Number (Check ali that apg)y) )~ .~ Component 12 Name & C,A,S, Number Health of Pressure ~ 7-~/~/ , Component 13 Name I C.A.S. Number Ph~sicm') mhd Health UHmrd :(Check all.that app~y; ~ Component ~2 Name ~ C,A.S, Number ~ Fire flazard ~ Reactivitv ~ Delayed ~ Sudden Release ~ Im~i~ Health of Pressure Component ~3 Name ~ C,A,S. Number Na~e 24 Hr Phone ~e erti[i~atioq .(Re, cf p.n.d.~ign after comp leti.ng.all sectipns.) cer~ty under penalty o))a~ tnqc ~navepersonaj~y. examlnqoeqoQm tamim~ar with the intormauon ~u~mittgd in this ~nd all it~acned.dgcgmenc~, an0 that oase, on.my .Inquiry 9r.cnose lnalvloua/s responsible for obta,nin9 the ,hrormac,on. ! bel,eve that,~e /.._ ,uomltteo lnlormatlon IS true, accurate, ano compmete, ~~~e of ouner/opers~0r u~ b~nerfoDerstor's authorized reuCesen~Jve -~ure ' Farm and Agriculture r} Standard Business BUSINESS NAME~APER PLUS STORE #365 LOCATION; ~7P,4 ~ Hnriynn J~ll tIT Y, ZIP: ,-,_,:__L,:_,-,' -A ,--,;.;A*; ;, ,PHONE #: ~.,~ ~,.~,u, ~ ~eozo IrOns [y~e Average CoUe ~ooe A~t Act ESt 2 3 4 ~lax lull, I ~ I~ PhYsical and Health Hazard (Check all that apply) Annual Measure Un,ts C.A.S. Humber t,.,.L I I ui D/-~I\I.~I~Ul .t. LL_U _/HAZARDOUS MAT ER-rALS TNVENTORY " NON--TRADE SECRETS THE o,,.~..,~E UNiSOURCE CORPORA~k~OF T.~S FACZLZ~Y: .... ~S~' '~ ~ STANDARD IND CLASS. CO~[[~'-~ U ~OX ~]~T'-~- ~ 7fp -'- DUN AND BRAD~TREET NUMBER ~p~' at-:yO~N[~~F"U' DUA 3WU~8~ CODES --, ~ Brach, CA 90801 , 8 9 10. 11 12 ,l~y Ha,es of ,ixtur,/~,~onents I gy~ Cont Cont Cont Use .location. Whe[e. on 51ce Stored in Pacl/1ty Wt See Instructions ~ Fire' Hazard i-I Reactivity t1 Delayed Health Physical and Health Hazard : C,A,S. Humber (Check a11 that apply) ~ C Fire Hazard ~ Reactivity~ [-] Delayed Health ~ Iml '-/ I '/ I /~' Physical and Health Hazard :~ C,A.S. Humber (Check all that apply) "/ I / ~ Ix~,~l : C.A.S. Humber IPhysica'l ahd Health Hazard (Check all'that apply) l~-Fire Hazard ~ Reactivity I~ Oelayed [~ Sudden Release Health ' of Pressure Type Press Temo Code ~,/ I/~1 / I',/ I z I Component Il Hame I CJA.S. Humber Component 12 Hame ~ C.A.S, Number FI Sudden Release FI of Pressure component 13 Name t C.A.S. Number of Pressure Component 13 Na~e ~ C.~.S. Number x~ /~l/l,ljl Componen[ I1 [~e I C.~.S. Number Componen[ 12 Hame I C.~.S.-Hu~ber ,e:lLh ~x I/~1 / Ig Ix I ~lmm,dimComponent 12 Ha~e i C.A.S. Number Component ~3 N~me S C.A.S. Humber EMERGENCY cONTACTS 111 . tt2 aame Title 24 Hr Phone R~e TTtle Certifi atio . Repd an.d.oign af~pr cornp letipg.all sect f.ons.) . Icer If un3er enal~ o la th c inavepersonaily, examlnq~aqoQm ramillaLyitb the information ~ugmitted iff this and al1 ",,c~.aYd,,.-..~..n~ tlat ~ase~ on mv llflOuiry ot.cnose inDiviDuals responsible [QCobtalning t~tormat}on. I believe that~he ,~., ~,:,,:,, ., ~. :,. , .' · - . -. : . :' .',,,~ , .:.- .... ... . - -.... .... . · . . . . Nike e~d oflclli HUe of o~net/op~r/cor OH O~ner/operJcor's au~hortied represen~Ative ~iture Farm an~ Agriculture BUSINESS NAME: LOCATION; CITY. ZIP: ~PHONE #' MATERIALS INVENTORY Standard Business ~HAZARDOUS NON--TRADE SECRETS OWNER NAME: NAME OF THIS FACILITY: STANOARD IND CLASS CODE: ADORESS: _ rTTV DUN AND BRAD§TREE! NUMBER of _ I 2 3 4 Irans !yqe Hax Average Code cooe kmt Amt PhYsical and Health Hazard (C~eck ali that apply) ,~"Fire Hazard D Reactivity Annual Neasure I @y.s Est Un~ts on C.A,S, Number ~ Delayed ~ Sudden Release Health of Pressure ~1 , .~-.~ 8 9 10 11 12 Cont Cont Cont Us locqtion.Whe[e. Type Press lemp cole Stored in Facility I ol/ I Component I1 Name & C,.A,S. Number Component 12 Name & C,A,$, Number ~' Immediate /.//_~g .~ Heal[h Componen[ 13 Name S C.A.S. Nu~ber /o,-/' ', .--- Physical and.hu31th Hazard (Check all that apply) Fl Fire Hazard ~ Reactivity C,A,S, Number [] Delayed [] Sudden Release F1 Im~i~ Health of Pressure Component I1 Name & C,A,S, Humber Component 12 Name & C,A.S, Humber Component 13 Name & C,A.S, Humber I I I I Physical and Health Hazard C,A,S, Number Component I1 Name & C,A.S, Number (Check ail thmt apply) · . ' 7 ~' 0 ~' ~ ~ Component 12 Name & C,A,S, Number ~omponent ~3 Name ~ U,A,~. Number Physica'l mhd Health ~ajard (Check a/I-that apHYl ~-Fire Hazard [:] Reactivity C,A,S, Number Component I1 Name & C,A,S, Number Component 12 Name ~ C.A,S. Number [] Delayed Fl Sudden Release Health of Pressure . component 13 Name I C.A.S. Number 14 ~ixture/Components HameSS~ Instrutt~ons EMERGENCY cONTACTS #1 t12 Name Title 24 Hr Phone I~e TTTle Certifj atio .Rep~Y a..n.d.~ign af~pr compl~tipg,all secti.ons.)~o u mt in hts nd all rtm~ enter enal~ o la l;nqc lnavepersonalmy, examln(loaqoQm tamim~a['.litb the. inlo.rmaH.n ~ 1;) ' t.ed ' ~ i .~ 'h '" [,c,e..~.aYa,,,,oJ), ,,~ t. ta~ )~asea on my .tnouirv Bt those tnotvlouams responsible for ooca~ntng [ne lntormacton,...~ believe [ .~-ubm'tted~ in~ormltlOfl'ls' true; accurate, and co~,,eC,. ~ .... :~ . ...... , · , ~ '. . . .~ ..:.'.:.-. :~ · . :.::~:.. :~.;?,.:.:: -- . ,., ;.. . ~ and oJiciaJ tide of owner/opera,or ua owner/operator's authorized repr. esen~adve ~ure L/.L i | UI D/ll\l.:l'ku)i AL.I--L/ Farm andAgtic,lture FI Standard Business I~HAZARDOUS hlATERI'ALS TNVENTORY NON--TRADE SECRETS Pate of ... BUSINESS NAHE: 0WNER NAME: ' NAME 0F THZS FACILITY: LOCATION; ADDRESS: STANDARD IND. CLASS COBE,; .... CITY. ZIP' NY. ~IP: _ DUN AND BRADSTREE! NUMBER I 2 3 4 5 6 7 8 ~ I0 11~ 12 %l~Ywt Names of ~ixture/Cc~ponents lrans TyQe Pax Avgrage Annual Measure I ~Y) Cont Cont Cont Us Location Whe(e. See Instruttlons Code code nat nat Est Units on 51ce Type Press leap Coue Stored ]n Facility 'Il O-~Z-? Component II Hame & C,A,S. Humber /~)'~ve~ Physical(check a/landthatHeAlthapply)Hazard C,A,S, Number i ~- ~ /0~- ~ ~'~ ~ ~e~ Component I~ Ha~e & C.A.S. ~umber ~ ~Fire Hazard U Reactivity ~ Delayed U Sudden ~e~se / ~ Immediate /~ ~. ~7-Z Health of Pressure Health ~ ~07-~0'~ Component 13 Name & C.A.S, Humber Physical apd He:lth Hazard : C.A,S, ~mber (Check al1 that e~ply) ~ Fire Hazard [-) Reactivity [-) DelAyed Health Physical And HeAlth Hazard (Check all that apply) ul l × I x all 'that apply) Fire Hazard ~ Reactivity Component I1 ),ame& C,A,S, Humber j Component 12 Hame & C.A.a. Humber I-) Sudden Release ~ Imqedi.ate of Pressure Health Component 13 Name & C.A,S, Humber C,AlS, Humber Component Il Name i C,A.S. Humber -o Health - -'-~f"?~sOFe' Health Component 13 Hame & C,A~S, Humber Im C,A.S. Number Component II Name & C.A,S. Humber ~.~ ~.~ Oelmyed U Sudden Release ~lm~i~ Component 12yNameo~ o~& C,A,S, Number Health of Pressure. Component 13 Name & C,A,S, Humber EMERGENCY CONTACTS #1 #2 Name TITle 24 Hr Phone IT~e Tltle 2T-RK~ Fare endear(culture I-I Standard Business ~HAZARDOUS MATERTALS -FNVENTORY NON--TRADE SECRETS Page of ' BUSINESS NAHE: ' OWNER NAHE: NAH£ OF THIS FACILITY: LOCATION; AODRESS: STANOARD ]:ND. CLASS CODE:- CITY. ZIP: ~NY. ~IP: DUN AND BRADSTREET NUHBER PHONE #' -- ,~/~, ~;O-~J'NSTRUCTIO~TS--F'OR--PROPER CODES - - - - - .... I 2 3 4 5 ' 6 ; 8 9 lO 11 12 13 Trans !yqe Vax Avfr~ge Annual Heasure I gy~ Cont Con( Cont Us Location Hhece. ~N~y Names of ~ixture/Cce~onents Code cope AeC AeC Est Units on 51ce Type Press lamp cole Stored in Facl/1cy See Instructions Physical and Health Hazard C.A,S. Humber Component 11 Name I C,A,S. Humber (Check ali that apply) 7/-~-"'~ ~ Fir~az~r~ ~ Reactivity~ ~ Delayed ~ Sudden Release ~ ImmediateC°mp°nen~ 12 Name & C.A.S. Number : Health of Pressure Health 7~ Component 13 Name ~ C.A.S. Number ' . /-~ '/~ "~6 .... Physical and Health Nazaro ' C.A.S, Humber Component II Hame &C.A.S, Humber (Check all that ~pply) Component 12 Name & C,A,S, Humber ~ Fire Hazard I-1 Reactivity ~aaI~hd [] Sudden Release [] Immediate ~ of Pressure Health Component 13 Name & C.A,S, Number ~1~1 ~- I ~- I/?-- I~,~/le~x lx~l x l ~ I~ I Physical and Health Hazard :: C.A,S. Number Component I1 Hame I C,A.S, Number (Check all that apply) ~ ~ -7~-~ Component 12 Name & C,A,S. Humber_ ~-':':,~':' Hm"~e~"~ ~ fl~,~t=i.i.rT-. ~--~,~4-:-:~ ,~l)~ ~ Oe~:~' ' -~:-]m~ed-iAt;~:-. -~- ........ .......... =' ";::~< -- ' df Pressure Co~ponen~ 13 ~a~e ~ C,~,S, ~u~ber ~ I~1~ I* /~' I~1 ~,~1/~ Ix 1~ I~ I Phrsica'l ahd ~eal[h ~alard C.~,S, ~u~ber ~ ~./7 ~ Colponen[ II ~all t C,~,S, ~ulber ~ ~ire ,mr~ ~ Re~c[ivi~r ~ Oel~red ~ Suede, ~elease~.~i~c°~°nen~ C,A,S, ~u~ber Health of Pressure 7//' g Component 13 ~aae I C,LS, ~uaber EHERGENCY coNTACTS ~1 ~2 Name T~le z4 Hr Phone /o TTLle Farm and Agticulture [-1 BUSINESS NAME: LOCATION; CITY. ZIP: ~PHONE #: Standard Business g/I I HAZARDOUS NON--TRADE WNER NAME: DDRESS: U I D/-~I\CI~dl ~ L L U MATERIALS INVENTORY SEcR ETS NAME OF THIS FACILITY: STANDARD /ND CLASS CODE( DUN AND BRAD§TREET NUMBER ..... ~u~ PROPER CODES - - I 2 3 4 Trans !yqe' Hex Average Code cooe AmC ^mt q~ic~l and Health Hazard gnecK ali that apply) 1] Fire Hazard 1-1 Reactivity'; 5 Annual Est C.A.a. Humber ~/, Zo-3 t t I -B~ [] Delayed [] Sudden R'e~ease [] ]mmHeedailatthe Health of Pressure PhYsical apd Health Hazard (Check al1 that apply) Fire Hazard ~ Reactivity Physical and Health HaZard (Check all that apply) 6 1 8 9 10 Il 12 Heasure I .Oy.s Cont Cont Cont Us Locatjon.Xhel:e. Un,ts on 5lee Type Press Temp Cole SLored ~n~act~cy Component II Hame ~ C,A,5. Humber Component 12 Name i C.A.S. Number /~ ~-~o-~ Component 13 ~a~e I C.A.S. Nuaber ///- ~ - ~ CA.S. Humber ~05o-,,?,~-~ Component II Hame & (,..~.S. Humber 6t4 ?¥2.~5' I 330-zo-7 Component 12 Hame & C,A.S, Humber ~ Delayed ~ Sudden Release ~Im~i~ Health of Pressure Component 13 Hame & C.A.S. Humber Component I1 Hame & C.A.S. Number :, C,A.S, Number 13 14 ~ixture/C~m~onents 'w~y HameSs~[ Instruct lens ~ . ~ ~ ............. ,,~alth Component I3 Hame & C,k,S, Humber ~ Physical mhd Health Ua[ard ~: C.A.S. Humber ~ q- 17-~ Component II .Hame I C.A.S. Number (Check a/lmthmt apply) ' " ~ ~- qT6-g;-7 ~7.*- J~'c ~/A~5 Component I2 Name & C,A,S. Number ~ Fire Hazard ~ Reactivity S,de of Component 13 Name & C.A.S. Humber EMERGENCY CONTACTS ~1 ' ~2 Name Title 24 Hr Phone ~e 'TTCle 2T~F~ :ertifi arid ,(Re~d an.d.~ign af~pr complqti,ng,all secti.ons.)° u'm~tt ~n h~s nd all 'cert)) un9er'oenamtY olmaw that lnavepersonal~y, examlnq~eqolm Tamim~aE. vitb the. jnlormat),n ~ 9 ' Cd ' ~ j !Q .. *~=eh,d~dncm,,*, ann that bmsea on my ~nauiry ot Chose Ina~xlCutms respons~ome tor ootm_~n~n9 cneknT_~rmac[oQ.~)~e .[e? cna~ the_. :--., ~ . . . . · ,,'? ' :--, ', -- - . ':.' ~-'~ ~:.- · ~. .-, ?' . .. ~gna~ure . Na~e' apd oficiai title' of owner/op(ratOr ult owner/operator's authorized re.Presenter!va I,.~.L I I UI D/'-~.i\rI-\OI-.LrglJ Farm andAgticulture I-I SLaridard Business I~HAZARDOUS MATERTALS TNVENTORY - NON--TRADE SECRETS BUSINESS NAME: OWNER NAME: NAME OF' THIS FACILITY: LOCATION; ADDRESS: - STANDARD IND CLASS CODE:' CITY, ZIP: J~NY ~IP: : DUN AND BRAO~TREET NUMBER' I 2 ) 4 S $ I 8 9 lO 11 12 ~i!y Hames of ~ixture/Com~onents irans !yl~e I~ax Av.erage Annual ~easure I ~e Con: Con: Con: Us LocaQon?e[e. Code ~oae Am: Am: Es~ Units on lype Press Tem~ Co~eStored ~n ~ac~y S~e lnsLru:t~ans Physical and ~ealth~azard C.A.S. Humber Component II Name ~ C.A.S. Number ~ (Check 8/I that apply) ~ OO/- ~& '/ ~~'~ ~ ~ ~ F~re Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~mmediateC°mp°nenL 12 Name & C.A.S, Number ~j Health of Pressure Health ~ Component 13 Na~e ~ C,A.S. Number Physical and Health Hazard ' C.A.S. Number ~ 7-&,~/-/ t'emponent I1 Name & C.A.S, Number ~'.~:'. (Check all that apply) ~ Component 12 Hame & C.A.S Humber ~Fire Hazard ~ Reactivity U Delayed U Sudden Release ~l,~i~ ' ' Health of Pressure /4 ~d- Component 13 Name & C.A.S, Number Phys i ca 1(Check s/land thatHea It happly)Hazard ~; C.A.S. Humber ~ 07 ~ ~' ~ ~/~2-~/-~ Component~_ Ilo ~-Hame~ I C, A.S. Humber . . Component 12 Name ~ C.A.S. Humber nea~,, cf Pressure Component 13 Hame S C.A.S. Humber Physica'l ahd Health Hazard C,A,S, Hueber /i~-?&-~ Component l1 Hame & C,A,S, Humber ICheck all.that apply) ' /~ T-~/- / ~ Fire Hazard ~ Reactivity ~elayed ~ Sudden Release ~ Im~i~ Component 12 Hame t C,A,S, Number Health of Pressure Component 13 Hame & C,A,S, Humber E~EROEHCY coNTACTS ~1 Name Title Z4 Hr Phone ~e Tl'tle Fare and Agriculture BUSINESS NAHE: LOCATION: CITY. ZIP: :PHONE #: F1 Standard Business I,~/ I I~ U I D/-II\EI\,JI' J- LLIJ HAZARDOUS MATERIALS INVENTORY NON--TRADE SECRETS WNER NAME: NAME OF THIS FACILITY: ODRESS: STANDARD ;[ND CLASS CODE,~ ~NY. ~IPT-- DUN AND BRAD§TREET NUMBER .... F~-'~g'~ F~O'~J';STRUC7-ION$ /-(JR PROPER CODES --- - Page of ~ I 2 3 4 lrans !yqe Max Ay?rage Code coae Act Amt Physical and Health ~Hard (Check ail that apply) Annual Measure Est Units C.A.S. Number Fire Hazard n Reactivity; I~'qelayed I'-I Sudden Release I-1 Immediate : Health of Pressure Health I 8 9 I0 11 · ! gy.s Cont Cont Cont Us on 5]te Type Press Tamp Cole /Iv //]- ?~- ~ Component I1 Name Component 12 Name I1 I~ %/~y Hames of Wixture/Com~onents Location.WheRe. Stored in ~aClllty wt' See InstructIons I C,A,S. Number .A,S, Number Component 13 Hame & C.A.S, Number Physical a,;~ Health Hazard ' C,A,S. Number ///-7~-2-- Component I1 Hame & C.A,S, Nu~r (Check all that apply) Component 12 Hame & C.A.S. Number FI Fire Hazard ~ Reactivity: I~r'qelayed I-I Sudden Release I-1 Im~i~ Health of Pressure Component 13 Name I C,A,S, Number Physical and Health Hazard C,A.S. Humber (Check ali that app)y) / I:z.. ~'?/-y/~'~/~-~ Component I1 Name & C,A.S, Number Component 12 Name I C,A,S. Number L]?:.Fi.r.,.~,~,~.,~::= ,FI Oo,~iv,itv.~=~-~,!:~ed~FJ--Sudden~ae~)ease-=~.~.. r:l, :~d?ia.te.-=~. :-~...~_ ,~ ~'~:-~-= ..... ,~-~ ................. ' -- '~ealth of Pressuro - ' Hea)th Component 13 Name & C,A,S. Humber Name & C,A.S, Number Hame & C,A,S. Number Name & C,A,S. Number PhysJcall mhd Health Hazard ~ C,A.S, Humber (Check all.that apply) Component II Component 12 Fl Fire Hazard· Fi Reactivity I-1 Delayed [] Sudden Release [] ImmHeedailatthe Health of Pressure Component 13 EMERGENCY cONTACTS t11 112 Name Title z4 Hr Phone ertl.fi arid .(Re~d and.~ign afCpr complgti.ng.all secti.ons.) ..... f.cer m!y.unger enalc) ok~e)f thqt I nave personml~y, exmmlnqqlqo Im tamimla[ iitb the )nlormmc~on ~ugmitteo in this.lno ali :~ ttRac~eo.oOcumen~s.,xanl t~t omseo on.my -~nqu?[ Qt.tno[j~n?~[~on?me for obca~nin9 the:jnt~[~jonL~emleve chat the .......... :.:::~ '~,JbAltt~d-.iAt~t~tl'~L~-lS:~:,, ~a,-, iccura~oi::~?o~.ogp/ecei~.~'~, ~m~..~F:* ~'~.'-*-.-x~>- :~ ....... ~-'?;-~fl' .~-?::..~";~'~ ..~';~-~t(~r:~:-¢*7 ................... ~:~'~ .......... ~;":~ .................... ~ ' :,,~-~, ~x~J-X'~,.-, ~ . ..''- ~;:-;t~/'~ 'J ',,'-~;~i~;-4'-",'-.,*. /-''-;,~*~'; ' ':,-;,-~,~t.'-. '- ."?~<-'.'-' *'..' ,.r:-,' :,' 'L '" : - ,':'.}, '' '~'2-;,F'~:'%,L:-'!~;'' '" ' ' ,: -"t"-~.::';,?[ {,~,~??~%~': ": ' "" '~T~{ Na~e apd oficili title: of ow~eriopermtorU) Owner/operator's authorized representative ; s~gnature . .-: .'~ .:- -..;.: :"Dlt~lq~e~ :- · ~J~ · :'./'.-" -..- . :~ . ::.::~..t-:... ;.: .... ~. ::.-{ ,,'~S~,<.~ ...... ~ "~ ; :,;'j? ~.' .-.:.;: ..?;.. :~.~'..' . , ..... . ~ , . ..... . . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT O.S. NEEDHAM FIRE CHIEF March 25, 1991 2101H STREET BAKERSFIELD, 93301 326-3911 Don Disney Paper Plus 4704 New Horizon Blvd. Bakersfield, CA 93313 Dear Mr. Disney: Per our conversation enclosed please find a copy of the City Hazardous Materials Inventory Reporting Forms and Instructions. Please complete the necessary revisions and return to this office by 4-$-91. If you have any questions or if we can be of any assistance please do not hesitate to call. Sincerely yours, Hazardous Materials Coordinator REH/ed Bakersfield Fire Dept.~ ~S~S DIVISION. Date Completed BusinessN e' ~"~)~ (Top of Business Plan) Inspector (d~o t~~'J~ Business Identification No. 215-000 Station No. (r'~ Shift Comments:/~'~ Adequate Verification of Inventory Materials ~ Verification of Quantities ]~ Verification of Location ~ Proper Segregation of Material~ Verification of MSDS Availablity ~ Verification of Haz Mat Training Number of Employees PE~vED FEB 2 5 1991 Ans'd._ . Inadequate Comments: Verification of Abatement Supplies & Procedures Comments: Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards Associated with this Facility: A,/~ ~.~_.~__. All Items O.K. Correction Needed Bus~ness Owner/Manager FD 1652 (Rev. 1-90) Whita-Haz Mat Div. Yellow-Station Copy Pink-Business Copy ~SOURCE CORP. I ~ ALCO STANDARD COMPANY ~ DON. DiSNEY - _ Msnsge~ . ~ - - 4704 N~w. Horizon Bakersfield, CA 93313 Lcuella Gaines~ Manager Paper Plus 4704 New Horizon Blvd. Bskersfield~ Ca, 93313 Une 12~ 1990 SUBJECT: HAZARDOUS MATERIALS MANAGEMENT PLAN Please fill in all the areas highlighted in yellow~ as well as the new invetory sheets enclosed. These are fields are necessary and vital to us and to you in case of an emergency. This form must be returned to this office 15 days from the date of this letter~ failure to comply with this request may ~esult in Civil Liabilities of up to ~2~000,00 for each day in which the violation occurs. If you have any questions or problems in filling this form out please do not hesitate to contact us at 326-3979. Sincerely~ Ralph E. Huey~ Hazardous Materials Coordinator REH:vp enclosure CITY 'T (tyoe or Drint name) Do hereby c=-t~f? that I have reviewed the attached ,Hazardous Materials business Dian for name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. ~ 'slEna%ure date BUSINESS NAME PAPER PLUS LOCATION 4704 NEW HORIZON BLVD ID NUMBER 215-000-000188 HIGH HAZARD RATING 3 LAST CHANGE 07/01/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STATION 07 MAP PAGE 123 GRID 14C FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4i PEPER PLUS IN COMPLIANCE WITH OSHA REGULATION REPORT HAS PROVIDED MSDS SHEETS FOR ALL OF OUR HAZARDOUS CHEMICALS. ALONG WITH THAT MATERIAL IT GIVES INFORMATION ON IMMEDIATE MEDICAL TREATMENT IN CASE OF ANY EMERGENCIES CAUSED BY CHEMICALS COMING IN CONTACT WITH EYES. THIS INFORMATION IS COVERED WITH ALL EMPLOYEES. ALSO, THE WHERE ABOUTS OF NEAREST HOSPITAL AND PROMPT CARE LOCATION AND THEIR PHONE NUMBERS. EMERGENCY CONTACTS 2A SEC 2) LOUELLA GAINES - 831-8646 OR 834-8074 JOHN JOLLEY - 529-2114 OR 527-1046 (BOTH 209 AREA CODE) UTILITY SHUTOFFS 2A SEC 3) A) GAS - SE CORNER FRONT OF BLDG B) ELECTRICAL - PANEL SHUT-OFF IN STORAGE ROOM W WALL C) WATER - SE CORNER FRONT OF BLDG D) SPECIAL - NONE E) LOCK BOX - NOT FOR OUR PURPOSE e NOTIFICATION / PUBL I C EVACUAT ION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 12/13/88 16:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PAPER PLUS LOCATION 4704 NEW HORIZON BLVD 3 . HAZ MAT TRA]-NING ID NUMBER 215-000-000188 HIGH HAZARD RATING 3 S UMi~ARY LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > 4 . LOCAL EMEtlGENCY MEDICAL ASSISTANCE LAST CHANGE 07/01/88 BY ESTER 2A SEC 5) THE ONLY HAZARDOUS MATERIALS WE CARRY ARE PRINTING CHEMICALS FOR CLEANING AND PLATE MAKING. IF SWALLOWED, EYE CONTACT, SHOULD ONE CATCH ON FIRE AND COME IN CONTACT WITH SOMEONE, OUR PEOPLE HAVE KNOWLEDGE OF IMMEDIATE CORRECTIVE STEPS. THEN PHONE NUMBER OF LOCAL FACILITIES FOR MEDICAL HELP. MERCH HOSPITAL - 2215 TRUXTUN - 327-3371, URGENT CARE CENTER - 5397 TRUXTUN - 322-2273, OR AMBULANCE - 327-9000 OR 327-4111. PAGE 2 12/13/88 16:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 °BUSINESS NAME PAPER PLUS LOCATION 4704 NEW HORIZON BLVD FACILITY UNIT 01 ID NUMBER 215-000-000188 HIGH HAZARD RATING 3 A o OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 07/01/88 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE MIXTURE #104 QUICK WASH MAIN AISLE CENTER STORE METAL CONTAINERS ID PERCENT COMPONENTS 2293.00 0.0 NAPHTHALENE, MOLTEN 2348.01 0.0 NONANE 1203.00 0.0 NAPHTHA 1118.00 0.0 XYLENE, MIXED OTHER 62 GAL EXTREME HAZARD LISTS MODERATE HIGH EXTREME HIGH PROTECTION / WATER SUPPLIES LAST CHANGE 07/01/88 BY ESTER 3A SEC 4) 2 FIRE EXTINGUISHERS, ONE IN FRONT OF STORE BY COUNTER AND ONE IN BACK OF STORE BY BACK DOOR. 3A SEC 5) FIRE HYDRANT IN FRONT OF STORE. PAGE 3 12/13/88 16:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME PAPER PLUS LOCATION 4704 NEW HORIZON BLVD ID NUMBER 215-000-000188 HIGH HAZARD RATING 3 EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 07/01/88 BY ESTER 3A SEC 2) NEAREST EXIT DOORS - ONE IN BACK ONE IN FRONT - CALL 911. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 07/01/88 BY ESTER 3A SEC 1) OUR MATERIAL IS SOLD IN 5 GAL DRUMS AND 1 GAL CANS OR BOTTLES. THEY ARE NOT OPENED. IF A SPILL OCCURS WE WILL MOP UP. PAGE 4 12/13/88 16:07 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 NAME BAKERSFIELD CITY FIRE DEPARTMENT 2130 "O" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY ' RECEIVED JUN 1 1 1987 ~llS'(I ............ ID# HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A ', 'INSTRUCTIONS: .. 1. To avoid further action, return t~is fbrm by 2. TYPE/PRINT ANSWERS IN ENGLISH. · 3.'Answer the 'qhestidJs below for the business as a whqle,'. 4. 'Be 'as brief and concise as possible SECTION 1: BUSINESS IDENTIFICATION DATA 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 ygur local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE . / DURING BUS. HRS. AFTER BUS. HRS. A.,/.,CZ¥_~Z'/~,~ ~_-~A//U~//'Y~,'M/L6'z/~zE/~ Ph# ~3/-~/~o~- Ph~ ~3f ' SECTION 3: LOCATION 0F UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: 5dg~-~'~-C_~tw~ ,~' ~/-/3~/'~/~)/A~,~ B'. ELECTRICAL: /~/9~-Y, a,¥ffT~o~-'M'- /~ ~'o~ ~0o~ ~o6'$T Ifo~/~Z D. SPECIAL: E. LOCK BOX: YES / NO IF YES LOCATiON:~~ IF YES, DOES IT CONTAIN SITE PLANS? YES FLOOR PLANS? ~S /~ KEYS? YES 2A - SECTION '4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ~,5 ~, ..'. ~ 5YO' · ' ' ' ' ' ' ~ ' SECTION ~: ~OCAL E~ERGENCY ~EDICAL ASSIST~CE FOR YO~ BUSINESS AS ~ ~O~E EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES'EMPLOyEEs WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS, CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.... .................................... ~ NO (~NO C. PROPER USE OF SAFETY EQUIPMENT: .................. NO NO D. EMERGENCY EVACUATION PROCEDURES: ................. NO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES ~ YES SECTION 7: HAZARDOUS NATERIAL ~ K.LP.~~IRCLEr~OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS T-HAN 500 POUNDS OF A SOLID, $8 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES NO I, 22~-O/Z//L; ~T~~'~q'~ , 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. 25500 Et Al.) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY BUSINESS NAME :~~ ID# BUSINESS PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. $. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as ~possible. FACILITY UNIT# FACILITY UNIT NAMe: SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES, SECTION 2: NOTIFICATION AND EVACUATION~PROCEDURES 'AT THIS UNIT ONLY - 3A - SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materia!s? ...... If YES, see B, If NO, continue with SECTION 4. B. Are any .of the hazardous materials a bona fide Trade Secret YES If No, complete a separate hazardous materials inventory . form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, .complete a hazardous materials invento?y 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. L;AS/PROPANE: WATER: D SPECIAL: E LOCK BOX: YES ,~ IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLANS9 YES / NO MSDSs? YES /' NO YES / NO KEYS? YES / NO - 3B - I.D. # · BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A- 1 NON--TRADE SECRETS MATERI ALS I NVENTORY Page HAZARDOUS BUSINESS NAME~e.~.~ ~~2~ , / ' ADDRESS:~O-,~M /2~&f / FACILITY UNIT NAME: PSONE ~: ~-'-f -' ~ /f~-/~/~ PHONE ,: ./'~0-3~2-~7~7 C~L USE CF~RS COOt [ ONLY 1 2 3/OX 4 5 6 7 8 9 lO TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY /~.~7" HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT . WT. CHEMICAL O~R COMMON NAME CODE !GUIDP; : __ SIGNATURE: DATE TITL PHONE # BUS HOURS:...~3_/2~m~/~ AFTER Bus .RS: TITLE: EfiEROE T: EMERGENCY CONTACT: PRIN'CIPAL BUSINESS ACTIVITY: PHONE # BUS HOURS: AFTER BUS HRS: - 4A-1 - I.D. ~t HAZARDOUS ADDRESS: _ .k.,' // C~7~) ~ ~ ~ CITY, ZIP:~.~ /'~.,e~' ' ' ~ FORM 4A-1 NON--TRADE SECRETS MATERI ALS I NVENTORY ADDRESS: PHONE #: Page · FACILITY UNIT #: FACILITY UNIT NAME: of OFFICIAL USE CFIRS CODE ONLY 1 2 3/X/O 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 I~T. CHEbIICAL OR COMbION NAbIE CODE GUIDE NAME: TITLE: S 0NATURE: ·DATE: EMERGENCY C( : TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT: TITLE: .. PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: - 4A-1 - I TE/FAC ILI TY FORM DIAGRAM NORTH 'S I NESS~ N~[E: FLOOR: ! UNIT OF OF (CHECK ONE) SITE D IAGR~ FACILITY DIAGR.~M t( Inspector's Comments): -OFFICIAL USE 0NLY- - 5A - SITE DIAGRAM rems) 1. Address: Identify the principle buildings by the Street numbers. 2. Street(a), Alleys, Driveways, and Parking Areas adjacent to the property. Include the street names. 3. Storm Drains, Culverts, Yard Drains 4. Drainage Canals, Ditches, Creeks, 5. Buildings a. Frame construct[on b. Masonry construction c. Metal construction d. Access Door 6. utility Controls a, Gas b. Electricity c. Mater ?. Fire Suppression Systems: a. Fire Hydrants b. Fire Sprinkler Connections c. Fire Standpipe Connections d, Water Control Valves for protection systems e. Fire Pump 8. Fire Department Access 9. Lock (key) Box 10. MSDS Storage Box 11. Railroad Tracks 12. Fence or Barrier a. Wire b. Masonry c. Wood d. Gates 13. Powerllnes 14. Guard Station 15. Storage Tanks: Identify the capacity in gal. a. Above ground b. Underground 16. Diking or Berm 17. Evacuation Route 18. Evacuation Area: Identify the location where employees will meet, 19. Outside Hazardous Masts Storage 20. Outside Hazardous Material Storage 21. Outside Hazardous Material Use/Handling Type of Hazardous Material/Waste Stored or Used (See Below) TyPE OF aAZARDOUS MATERIAL F - Flammable E - Explosive L m Liquid R - Radlological C - Corrosive 0 - Oxidizer O - Gas P - Poison W - Water Reactive T - Toxic S - Solid H · Cryogenic O · Waste B - Etiological Example: Fla-mnble Liquid - FL FACILITY DIAGRAM (Required Items in addition to the abo~e) I. Rtaere for Sprinklers 8. Fire gscspea 2. Partitions 9. Air Conditioning Units 3. Stairways: Indicate the 10. #lndows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. #atsrials Storage S. Elevator 13. Inside Hazardous Materials Uae/Handling 6. Attic Access 14. Se#er Drain Inlets 7. Skylights