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BUSINESS PLAN
Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE This ~,rmit is issued for the follQwin_~: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001301 [] Risk Management Program K C FIRE DEPARTMENT [].a-~rdousWamOn-S.o LOCATION: 2731 O ST OFFICE OF EN~R ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor ApPr°vedby: Bakersfield, CA 93301 L.~2[~?:~~~: Issue rote O~ce of Evim~S~ic~ r Voice (661) 326-3979 F~ (661) 326-0576 Expiation Date: auto maintenance shop office 8ox~jgen orgon cordon aioxiae fabrication shop /,~00 Dextron ATF ~ Hydraulic Oil covered parking 000000000 propane cy linders I}r, IRI];.il~-'.{] C,O, UO'§T",' ?I][RIE D, IEIP~]RTO~[EHT Detail: Autoshop Facility ~North e o°o I ,, (--) motor oil lube room WAREHOUSE / AUTOSHOP 2731 '0' Street U T '0 'S H 0 P Lube Room W A R E H 0 U S E hose ~North D-,.E~:.O.t] C,O, rLPD'-§'IT'"o" S liE DIAGRAM ~North , County Parks & Recreation County Personnel Dept. Private Storage Yard .( WAREHOUSE / AUTOSHOP 2731 '0' Street ~aNorth R E (~A H :~O~s s 0 ~l~ - Room ~ < tower hose auto (~) maintenance shop office I, oce?vlene. ~0 argon c:a~'~om aioxiae fabrication shop De×tron ~IF Hydraulic Oil cover-ed parking o00000000 propane cylinders ~c ! Detail: Autoshop FaCility INorth ~0000 motor.oil 1 ube room Underground Storage Detail: Warehouse office misc. supplies motor oil fertilizer ~ I misc. supplies compressed air misc. supplies AFFF fire camp supplies fertilizer misc. storage fi re e ngi ne ti res & oil ti re storage cleaner germicide ammonia Ajax bleach CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME £ i°d2F~f 40 ~ FACILITY CONTACT ~ ~ ~ ~4~ ~ ~ ~f ~SPECTION TIME I ~ ~ ~ INSPECTION DATE c~ _ II- o ~ PHONE NO. ~G ( - 2.3_~/ BUSINESS IDNO. 15-210- '7 0"7 NUMBER OF EMPLOYEES t'J-~r< <... Section 1: Business Plan and Inventory Program Routine l~ Combined [~ Joint Agency [~ Multi-Agency ~.~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand y 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 bE Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Explain:Any hazardous waste on site?: OYes Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE NEW ACCOUNT ; ADDRE~8 CHANGES CLO~E ACCT j : FINANCE CHARGEI., vi . OTHE,,'e,~ I'~ I CUSTOMER NAME MAILING ADDRESS SITE ADDRESS PARCEL NUMBER ADJUSTMENT I ; CHG DATE CHARGE CODE ADJUSTMENT AMOUNT I ! . = I ; i APPRO~D BY Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ,~,~,,¢i~" ii~7.f';~?!;ii~:i*~!~;~~ >~ ~;, This permit is issued for the following: ~,~ ~"¢!i~'i~"' ?~'' ::~'~:~'~'":~'~:~;iiiil;ili!iiii~,~ .,~il i~ i i?~::'"i!i~ii~e~ground Storage of Hazardous Mateflals PERMIT ID# 015-021001301 ~¢~"!~i~~ ii,~ iiiiiiii~iiii!ii!iiiiiill''' ..?!! i! !!~:!!!!!!:?iiii:~iiii,,,~!ii~kli~nagement Program LOCATION 2731 O Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONME NTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30; 2000 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 Overall Site with 1 Fac. Unit General Information Page Location: 27310 ST Co.unity: BAKERSFIELD STATION 04 Contact~Na~e , Title Administrative Data Mail Addrs: -~ .... ~.~' ............. · '~i'>' f64Z V, cTo~ ST City: BAKERSFIELD Comm Code: 215-004 BAKERSFIELD STATION 04 Map: 103 Hazard: Moderate /Grid: 30A F/U: 1 AOV: 0.0 ~B~siness Phone i 24-Hour (~) 861-2577 x Z~ (805) 861-25~'~ D&B Number: State: CA SIC Code: 9224 Owner: COUNTY OF KERN-~ G~pA~zV, MC-mJ'r' Phone: (805) Address: ~.~ .... .,v,,,,,~ ........... ~AV 3~6~t ~cTo,~ ~ State: CA City: BAKERSFIELD Zip: Sugary reviewed th~ attached hazardous materials manage- ment plan for <azo u,J~4~E', and thru it along with any ~rre~ons ~nsti~ut~ a complete and ~rr~ man-' .egement plan for my facili~. Date RECEIVED SEP I 5 1992, HAZ. MAT. DIV. 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-011 SOLVENT ~k955 ud,~,C-~m ~Ui-~C-e.- · Fire, Delay Hlth CAS #: 8030-30-6 Trade Secret: No FOrm: Liquid Type: Pure' Days: 365 Daily Max GAL Liquid Daily Average GAL 76.00 76 Moderate GAL Annual Amount GAL 76.00 Storage Press T Temp METAL CONTaXNR-NONDRUMIAmbient[AmbientlBaX #2 Location -- Conc 100.0% IStoddard 'Solvent Components MCP List IModerate I ' -- Notes 02-012 PROPANE Gas 150 High · Fire, Pressure, Immed Hlth GAL CAS #: 74-98-6 'Trade Secret:.No Form: Gas Type: Pure Days: 365 Use: HEATING Daily Max GAL150 I Daily Average150.00GAL Storage Press T Temp .PORT. PRESS. CYLINDER IAbove ~AmbientlBAY #1 Annual Amount GAL 150.00 Location -- Conc 100.0% {Propane Components MCp IExtreme I List 02-013 SULFURIC ACID Liquid 45 High · Reactive, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: BATTERY/ELECTROLYTE Daily Max GAL Daily Average GAL Annual Amount GAL -- 45.00 Storage PLASTIC CONTAINER Press T Temp' Ambient~AmbientlBAY #2 Location -- Conc I 38.0% ISulfuric Acid (EPA) Components MCP IHigh iList EPA 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215'000-001301 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 3 02-014 MOTOR OIL · Fire, Delay Hlth Liquid 3460 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL 3,460 Daily Average GAL ---q---- Annual Amount GAL -- 3,460.00~ 3,460.00 Storage Press. METAL CONTAINR-NONDRUM Ambient DRUM/BARREL-METALLIC Ambient · Temp /~nbientlBAY #2 Ambient BAY #3 Location -- Conc~ Components 100.0% IMotor Oi'1, Petroleum Based MCP iList Minimal 02-015 DISINFECTANT · Fire, Delay Hlth Liquid 55 Unrated GAL CAS #: Form: Liquid Daily Max GAL 55 Storage DRUM/BARREL-METALLIC -- Conc ~ Daily Average GAL 55.00 Press T Temp Ambient~AmbientlBAY #3 Components Trade Secret: No TyPe: Mixture Days: 365 Use: CLEANING. i Annual Amount GAL -- 55.00 Location ~ MCP ~List 02-016 AJAX · Reactive, Delay Hlth Solid 5670 Moderate LBS CAS #: Trade Secret: No Formi Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 5,670 Daily Average LBS 5,670.00 Annual Amount LBS -- 5,670.00 BOX Storage Press T Temp Location' Ambient~AmbientlINSIDE W END OF OLD WAREHOUSE -- Conc 100.0% ICalcium Hypochlorite Components MCP iList' Moderate ~ 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 4 02-017 OIL~NT~ a ..- b ~{~ Tmm~H ~l~h Delay Hlth CAS #: Form: Liquid Type: Days: Trade Secret: No Mixture Liquid Moderate GAL Daily Max GAL 937 Use: PAINTIN~~ I Dai ge GAL ~ ~nual Amount GAL -- 937.00 937.00 Press Temp go/ Location )NDRUM Ambi%nt Ambient Storage METAL CONTAINR-NO] METAL CONTAINR. -- Conc 0 0.0% 0.0%' Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol Components MCP iList Moderate Moderate IModerate 02-018 ISOPROPYL ALCOHOL · Fire, Delay Hlth Liquid 110 Moderate GAL CAS #: 67630 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL / 110 I Daily Average GAL 110.00 Annual Amount GAL 110.00 Storage DRUM/BARREL-METALLIC Press T Temp IAmbient~AmbientlBAY #2 Location - Conc 100.0% Ilsopropyl Alcohol Components MCP List IModeratel 08/18/92 K C FIRE DEPARTMENT WAREHOUSE- 215-000-001301 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 5 02-019 LIGHT MACHINE OIL · Fire, Delay Hlth Liquid 95 Low GAL CAS #: Form: Liquid Type: Pure Daily Max GAL Storage Press T Temp METAL CONTAINR-NONDRUMIAmDiont/AmbiontlBAY #2 -- Conc~ Components 100.0% ILight Machine Oil 8020835 Trade Secret: No Days: 365 Use: LUBRICANT Daily Average GAL I Annual Amount GAL 95.00I 95.00 Location ~ MCP List IMinimal I 02-020 AUTOMOTIVE GREASE · Fire, Delay Hlth Liquid 60 Minimal GAL CAS #: 0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL60 I Daily Average60.00GAL Annual Amount.GAL 60.00 Storage Press T Temp METAL CONTaXNR-NONDRUMIAmbientlAmbientlSaY #2 Location -- Conc 100.0% Automotive Grease Components MCP List IMinimal I 02-021 UNLEADED GASOLINE Liquid 0 Moderate GAL CAS #: Form: Liquid Daily Max GAL 0 'Storage UNDER GROUND TANK -- Conc 100.0% IGasoline Trade Secret: No Type: Unknown Days: Use: Daily Average GAL 0.00 Annual Amount GAL -- 0.00 Press T Temp Location I . G~ ~,~ ~A Components iMCP ---[List .Moderate~ 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 6 02-022 REGULAR GAS Liquid 0 Moderate GAL CAS #: Trade Secret: ~o Form: Liquid Type: Unknown Days: Use: Daily Max GAL 0 Daily Average GAL :'--I---- 0.00 / Annual Amount GAL 0.00 Storage UNDER GROUND TANK Press TTemp j ~i'- Location - Conc 100.0% IGasoline Components MCP List IModerate I 02-023 GASOLINE Liquid 0 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Unknown Days: Use: Daily Max GAL 0 I Daily Average GAL 0.00 Annual Amount GAL 0.00 Storage UNDER GROUND TANK Press T Temp Location - Conc 100.0% IGasoline Components MCP List IModerate I 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 00 - Overall Site <D> Notif./Evacuation/Medical Page 7 <1> Agency Notification CALL 911. <2> Employee Notif./Evacuation ALL PERSONNEL ARE TO BE NOTIFIED VERBALLY IMMEDIATELY OF ANY HAZARDOUS MATERIAL SPILLS, AND THE BLDG EVACUATED IMMEDIATELY BY EXITING THE NEAREST DOOR. THE DOORS ARE LOCATED ACROSS THE ENTIRE NORTH SIDE OF THE BUILDING, AND YOU WILL NEVER BE MORE THAN 50FT FROM THE NEARES~ ONE. <3> Public Notif./Evacuation ALL PERSONNEL ARE TO BE NOTIFIED VERBALLY IMMEDIATELY OF ANY HAZARDOUS MATERIAL SPILLS, AND THE BUILDING EVACUATED IMMEDIATELY BY EXITING THE NEAREST DOOR. THE DOORS ARE LOCATED ACROSS THE ENTIRE NORTH SIDE OF THE BUILDING, AND YOU WILL NEVER BE MORE THAN 50 FEET FROM THE NEAREST ONE. <4> Emergency Medical Plan NEAREST HOSPITAL 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 Page 00 - Overall Site <E> Mitigation/Prevent/Abatemt 8 <1> Release Prevention ALL LIQUIDS STORED IN THE WAREHOUSE ARE STORED IN 5 GAL OR SMALLER CONTAINERS. THIS. MINIMIZES THE RISK OF A LARGE SPILL IN CASE ONE CONTAINER IS RUPTURED. THESE LIQUIDS AND THE DRY CHEMICALS ARE STACKED ONLY IN SOUND CONTAINERS (CASES) TO A HEIGHT NOT TO EXCEED 6 FEET. IN THE EVENT OF.A SPILL, THE BUILDING IS TO BE EVACUATED (IF NECESSARY), THE SITUATION ANALYZED, AND ANY CLEAN UP OPERATIONS ARE TO BE DONE ONLY WITH THE PROPER PROTECTIVE GEAR (IE: NEOPRENE GLOVES RUBBER BOOTS, GOGGLES, AND A CHEMICAL RESISTANT SUIT AND RESPIRATOR, IF NEEDED). <2> Release Containment <3> Clean Up R~re.,v~0 <4> Other Resource Activation 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 00 - Overall Site <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs ~) ~s - so~s~ ~~o~ ~.o~s~ ~~.~ B) ELECTRICAL -~'.'..~.-... ,%J~-~-~C~sw ~z,v~_~tor~ C) ~ATER - NORTHEAST CORNER O~ ~AREHOUSE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO . <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BUILDING AND ON THE OUTSIDE AT VARIOUS LOCATIONS ACROSS THE NORTHERN SIDE. FIRE HYDRANT '- THERE IS A 1 1/2" FIRE HOSE HOOKUP WITH A SHUT-OFF VALVE ON THE NORTHEAST CORNER OF THE MAIN WAREHOUSE BUILDING. <4> Building Occupancy Level 08/18/92 K C FIRE DEPARTMENT WAREHOUSE 215-000-001301 Page 00 - Overall Site <G> Training 10 <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON.FILE MATERIAL SAFETY DATA SHEETS KEPT ON FILE IN SUPPLY OFFICE ~R REFERENCE ON HEALTH, FIRE AND CLEAN-UP INFORMATION, <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use Suary27, 1992 MEMORANDUM TO: FROM: SUBJECT: Fire Dept., Hazardous Materials Division - Valerie Finance - Nina HM468401 No bill for the Underground Tank fees was sent as this account was closed prior to the billing. Please prepare a bill for the tanks and reopen the account for billings in the future. You must also send over an adjustment in order to debit the account for the correct amount of the missed billing. When you reopen the account~ will you please delete the F98 EXEMPT code from the Miscellaneous Service field, as it will cause errors in the billing process on an open account. You may use the "Comments" field to notate that this account is exempt from the Hazardous Materials Handling fees. A mailing address change has been keyed to~5642 Victor St., 93308. Bills should not be sent directly to the Auditor- Controller at 1415 Truxtun Ave., as they must be processed by the division incurring the charge. ! .... =~y Agriculture ~- ~ BUSINESS NAME:, HAZARDOUS MATERIALS I NVENTORY LOCATION: CITY, ZIP: PHONE #: STANDARD IND. CLASS CODE: .... ~____ ~FE~ TO I 2 3 ~ 5 6 7 ~ 9 Trans [ype Max Average Annua] Measure Cant C~t C~t C~e C~e Amt Amt Est Units lype Press lamp ADDRESS: ?._~. ~-/,~.- ~flC.~_j~._~C_ ................... CITY, ZIP: ~,~ (~¢s~<~t</.._~ ~~ ..... PHONE ~: .... ~2_~__ ~_~ ~ .................. Pao¢ L.. NAME OF THIS FACILITY:__. O(~<.J_~;e .... I~sTRuc~Io~s FOR PROPER CODSS Immediate j Location ~v' sFT~ / Health .................. ,r ................................................ Fire '--- 'J Oelayed Health C.A.S. Number ........................... Reactivity [~-' Sudden Release of Pressure on Site Lector f on ..... ~ z~.~__ __s~__..~_ .................................. ' ............. '~' Oelayed Hea I t h C.A.S. Number ............................. 13) I Days ~l L. '~ Sudden Release o{ Pressure on Site ~ Immediate Health ~ - ~ Fire Reactivity Delayed Health C.A.S. Number ............................. Sudden Release of Pressuce ~ Site Immediate Health Fire L--~ Reactivity I0 11 Use % by Code ~t ot ~. 17 Names of Mixture/Components See instruct Component&C.A.S. v C~m~t&C.A.S. Com~t&C.A.S. CompoeeRt&C.A.S. Cmpoeeet&C.A.S. ~ EMERGENCY CON1ACTS "1 ~ ~--_--- __ _~_~<_~'../:/~?-,~_-~-.~_.~- ....................... ~pF~--<-z-/~ ..... - N~me ................................................ llt:le ~ ~ Mr e ....................... ~ .................................................................................................................................................... Certification (Read a/id siEn at'Lrq' ~omplr~tJn~ ail s~rct/ons) I certify under penalty of la~ that I have personally examined and am fami'liar ~th the infoemation submitted in this~all atta~d documents, and that based on inauiry of those individuals responsible for obJaJn~nq the ~nformat~on, I believe that the submitted informat~n isle, accuea~and complete. N~ie a6o-6~l~T~T-~-dT'own~F/6p~rat6r OR owner/operator s authorhzed ~esentatl~ ~gnaru e H / and Agriculture S~andard Business HAZARDOUS MATERIALS INVENTORY BUSINESS NAME: ~-_~ ~L~_ ..... C.?~.___~-/~.~c ...... Trans Type Max Average Annual Measure ¢ont ¢ont Cont Use Code Gode Amt Amt Est Units Type Press Temp Code Location ~ ~/ -~ ~ ~Y~ Innediate [ ................ ~ .... , ................................ Health ~-%~ Fire L~'\%, Delayed Health C.A.S. Humber ............................ ,- -- s r '"~ 13) I Days i'~'2~-I ~- ~ Reactivity ~ -- ~ Sudden Release of Pressure on Site ~--~-'--~ 11 % by hames of Mixture./Com~on~nr,; ~ee ~nstru¢~ ions Component A C.A.S. Ce~ponent & C.A.S. 4 Health ~ - Fire ~-J Delayed Health C.A.S. Number r--, r" , 13) I OaTs ~- -' Reactivity L_- , Sudden Release of Pressure on S~te ................... ................ Cra#portent & C.A.S. ................. ~,-.., .... 1_ ~,' ~.,'i _ ..C,rr/,,..:'. ............... Component & C.A.S. - Immediate Health l~,~' '-, Fire o ~ /_~ L°cation ,o ~ ' _ ................................... ................. __~:__--~ ...... ~ ............ L~/'~ Oelayed Health C.A..S. Number r --~ l]) $1 Days 13~.~ I L ....' Sudden Release of Pressure on Site ....... Immediate Health Fire Reactivity Lr~' Oe] ayed Hea I t h C.A.S. Number f ' I 13) I~ Days ~ .... ~ Sudden Release of P~essure on Site ...... Immediate Health . _2-.__9_ .... ,2-.. o / ..... ~.g ..... Location '~ _yr.."~,~L. .... J Reactivity u__ ~ Oelayed Health ~ ~ Sudden Release of Pressure C.A.S. Number 13) ~ Days , on Site ~ ---u Component & C.A.S. _.x_'_%,., ......... i Comlmne~t I C.A.S. o Ceeq~onent & C.A.S. ~ .~.~t #_..~__ .... ~/~.._x.?~ ~./~.~ .~.,:/ .... & C.A.S. ~ Component & C.A.S. Co~ponent & £.A.S. farm and Agriculture ~----~ Sta,ndard Business ~ 2 3 4 5 6 ? 8 § ~0 Trans Type Max Average Annual Measure Cont Cont Com- Use Code Gode Amt Amt Est Units Type Press Temp Code .... ...... .... l .... .9. _s_ ....... .... Health ............... ',_-/x_--~..'. Fire ~-' ?' Delayed Health C.A.S: Number ,' '- '~ ,- ' ' ~ 13 ) II Days i'"~._.~- I ~ - -J Reactivity ~ -- ~ Sudden Release of Pressure on Site ~-~--'±-- J '~ CmO Immediate Health Fire React(vi~y '¥~D~layed Health C.A.S. Number 13) ~ Days L~- I Sudden Release of Pressure on Site .... o~ 11 % by ~t 12 Names oi Mixture/ComoonentF See [nstruct ions Co~pommt & C.A.S. Cemponemt ~ C.A.S. Component & C.A.S. · P_~t...,.._~_...~,y_, ~ ~ c~,~ c ~ C~t ~ C.A.S. C~t & C.A.S. c~--~ Immediate Health ~/~--~' Fire i Io ]1o ) l© _..! ..... Q..~ .... Location ~__~:Q L ~;~- ~ Delayed Health C.A.S. Number ~ --, l~) ~ o~ ~, ~---' Sudden Release of Pressure on Site ....... Immediate Health Fire .L~::_to_.. ....... ~._~_~_..~_ ............................................. '~v~?~J Delayed Health C.A.S. Number L "Sudden Release of Pressure on Site [L--cT~'r-l%~'diate [ ............. Location -z~_SqL/ ~L Health .............................................. 'K~vA/'~Fire ~XOelayed Health C.~.S. Number '- J Reactivity ~'-'~ Sudden Release of Pressure on Site~'-- J---- and Agriculture ~-- J Standard Business HAZARDOUS MATERI ALS I 2 Trans Type Code Gode Immediate Health --~-Fire 3 4 5 § ? 8 9 lO Max Average Annual Measure Cont Cont Cont Use Amt Amt Est Units Type Press Temp Code ~__, ............... l ......... ......... J.- .... J ..... 'L__I .......................... L~atton ~i~ ~ [ .................. _~____/._~_~ ................... {%}RI?* Delayed Health C.A.S. Number ,-'-~ 13) ~ Days ~ I ~ ~ Sudden Release of Pressure on Site ~ II % by Wt INVENTORY ,n q~.. Names of Mixture./[omoone,~[; See instruct iuns ~nent ~ C.A.'~i .......................................... .diate Health ~'~2LFire ~ .... Re4ctivity Location Sudden Release of Pressure C.A.S. Number I]) ~ Days on Site Immediate Location Health Ll~--Fire Oe]ayed Health 13) I Days Reactivity u .... ' Sudden Re)ease of Pressure C.A.S. Number Health ~ --u Fire ~--J Reactivity Loc.tion -~ ~ ~ ...................... -~-- - , ........................ ~'. ...................... [~J~'-Z"~Oelayed Health C.A.S. Number ~ - , I J) ~ Days T~ I k .... ' Sudden Release of Pressure on Site ..... J ~)mm~diate Health [tJL~'- F ir e ..... J Re4,:t ivity. ..L__~..:?_._. _. _..%. ~:y_ ~..b.._ ................................................ ~-L]'~'Oelayed Health C.A.S. Number ,3), D ay~ Sudden Release o[ Pressure on Site Co~aponemt & C.A.S. ........ __sls-_~..L.__..~.~.~./_..?_~_.,_:~_ .... ' - Ce~omemt ~J £.A.S. Coapo~nt & C.A.S. -' HAZARDOUS MATERIALS I NVENTORY lar,,~ and Agriculture Sta.ndard Business BUSINESS 1 2 Trane Type Code Gode ~ Immediate Health ~A._"~%', ~ire Reactivity 3 4 S 6 ? 8 9 10 Max Average Annual Measure Cont Cont Cont Use Amt Amt Est Units lype Press Temp Code ..... .................. ~'~ Delayed Health C.A.S, Number ~ --~ Sudden Release of Pressure on Site --- II % by Wt Names of Mixture./ComoonentF See instruct ions Cea~onemt & C.A.S. Component & C.A.S. Component & C.A.S. Immediate Health ~ '~' :'~ fire ~ .... Reactivity Health L--, Fire Loc,rio: ~-~.. _L~_ ;~?__~.- zv_ ~ Delayed Health C.A.S. Number r · ' , I ] ) ~ Days l'~C-~.~., I ~-- ' Sudden Release of Pressure on Site~--- .... ~'x~-~-~'-Reactivity L--.' Delayed Health L ....~ Sudden Release of Pressure C.A.S. Number on Site ...... Componemt & C.A.S. .............. _T4._~_-. ?_,.': ~...~_~.~. _~ ............... ...... ~.~.~.c__ .C?~,,.~ ~' ) ......... Component & C.A.S. _..~,. ~ .... .~-__.( -.~.~ ..... '.~...~-/,~_. ~..~ ..... Component ~ C.A.S. immediate Health Fire ~--J Reactivity ~ ....' Sudden Release of Pressure ~ -- J lmm~'diate Location Health ~ J Fire k -' Oelayed Health = ~ Sudden Release of Pressure ..... J Reactivity Location ~q~'~Oelayed Health C.A.S. Number 13) : Days i I on Site ..... ~ C.A.S. Number 13) : Days , I on Site L ----3 Component & C.A.S. 'i~-~t-i 'c.~. s. ............................ ~c~_ ~ ............ ' ......... Component § C.A.S. Component & C.A.S. · Sta.ndard Business BUSINESS NAME: I - I 2 3 Trans Type Max Code Gode Amt .... : ....~ Immediate Health '- "Fire 4 S 6 ? 8 9 Average Annual Measure Cont Coat Cont' Amt Est Units Type Press Temp l..&_~ .... 1.__/.._~_~ ...... J.%:._tJ___Lo____[ .... 10 Use Code Reactivity Locatton L__., 0elayed Health C.A.S. Number ,-"~ 13) I Days ; --~ Sudden Release of Pressure on Site ~--- )mmediate Health Fire Locat1 on ~- .... Reactivity :- ] Delayed Health L-.. ~ Sudden Re]ease of Pressure C.A.S. Number 13) I Days on Site u _ _, Immediate Location Health :. - -' Fire u a Delayed Healtl~ Reactivity L -~ Sudden Release of Pressure C.A.S. Number 13) I Days ~ I on Site ....... ~ a Immediate Health ~ --P Fire Reactivity Location L - ~ 0elayed Health C.A.S. Number ~ - ~ 13) I~ Days i I ~""'~ Sudden Release of Pressure on Site ..... J L__~ Immediate Health ~ - J Fire ..... J Reactivity Location L-. _, 0elayed Health t---J Sudden Release of Pressure C.A.S. Number t3) I Days , on Site ~ ----J I % by Wt ~ames of MJxture./Comoone~t.F See instruct ions P.._,?~..._L_"~ .... ~_~.,,~.c~ ....... '__v'(~ ........ Coepone. t a C.A.S. Co~ponent & C.A.S. Co~ponent ~ £.A.S. Co~ponent & C.A.S. Co~pe.e.t & C.A.S. Product ~ame ~Z o ........ .............. o.4 ~.~ __..0_:._( Coeq~onent & £.A.S. Co~ne~t & C.A.S. Co~ponent & C.A.S. Component & C.A.S. Product )ta~ ~ Ce~q~onemt & C.A.S. ~ Component & £.A.S. Component & C.A.S. o7/25/9o K C FIRI TMENT WAREHOUSE 21 Overall Site with 1 Fao. Uni~ General Information 301 Page 1 Location: 2731 0 ST Map: 105 Hazard: Moderate Ident Number: 215-000-001501 Grid: 50A Area of Vul: 0.0 ........ Contact Name KCFD DISPATCH Title ....... Busines~ Phone 24 Hour Phone- (805) 861-Z521 x (805) 861-2547 ( ) - x ( ) - Administrative Data Mail Addrs: 1415 TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION O1 D&B Number: State: CA Zip: 95501- SIC Code: 9224 Owner: COUNTY OF KERN Phone: (8051) 861-2974 Address: 1415 TRUXTUN AV State: CA City: BAKERSFIELD Zip: 95501- Summary 07/2~/90 K C FIRE DEPARTMENT WAREHOUSE 215-000-001501 Hazmat'Inventory List in MCP Order Page 2 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP 02-006 BLEACH Reactive, Immed Hlth Liquid GAL High 02-001 UNLEADED GASOLINE Fire, Immed Hlth, Delay Hlth Liquid 2,000 GAL Moderate 02-002 REGULAR GASOLINE Fire, Immed Hlth, Delay Htth Liquid 1,000 GAL Moderate 02-005 AQUEOUS FILM FORMING FORM Delay Hlth Liquid 500 GAL Moderate 02-007 AMMONIA Reactive, Immed Hlth Liquid 60 GAL Moderate 02-012 SOLVENT Fire Liquid 165 GAL Moderate 02-005 DIESEL Fire, Immed Hlth, Delay Hlth Liquid 100 GAL Low 02-008 ANTIFREEZE Immed Hlth Liquid 220 GAL Low 02-009 MOTOR OIL Fire, Delay Hlth Liquid 400 GAL Minimal 02-010 COMPRESSED AIR Fire, Pressure, Immed Hlth Gas 950 FT5 Minimal 02-011 AMMONIA PHOSPHATE Delay Hlth Solid 500 LBS Minimal o7/2~/9o K C FIRi !PARTMENT WAREHOUSE 02 - Fixed Containers on site 5Ol page 5 Hazmat Inventory Detail in MOP Order 02-006 BLEACH Reactive, Immed Hlth Liquid 60 High GAL OAS ~: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: OLEANING Daily Max GAL .... Daily Average GAL 60 I 40 Annual Amount GAL -- 70 Storage PLASTIO OONTAINER ,, Press T Temp Looatlon AmbientlAmbient S WALL NEAR WAREHOUSE -- Cono-, Oomponents MOP .........~_ist icc.cA IBieaoh High I - Notes 02-001 UNLEADED GASOLINE Liquid 2000 Moderate Fire, Immed Hith, Delay Hlth GAL CAS ~: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: FUEL --Daily Max GAL 2,000 Daily Average GAL 1,200 Annual Amount GAL 15,500 Storage UNDER GROUND TANK Press T Temp Location AmbienttAmbientlUNDERGROUND AT ENTRANCE -- Cono loc.cA IGasoline Components - MCP ---TList ModerateI -- Notes 07/25/90 K C FIRE DEPARTMENT WAREHOUSE 215-000-001501 Page 4 02 - Fixed Oontainers on Site Hazmat Inventory Detail in MOP Order 02-002 REGULAR GASOLINE Liquid 1000 Moderate Fire, Immed Hith, Delay Hith GAL CAS ~: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: FUEL Daily Max GAL 1,000 ........... Daily Average700 GAL Annual Amount GAL -- 4,000 Storage UNDER GROUND TANK Press T Temp Location Ambient~Ambient UNDERGROUND AT ENTRANCE -Cono lOO.O~ tGasoline Components MOP ---FList ModerateI - Notes 02-005 AQUEOUS FILM FORMING FORM Liquid 500 Moderate Delay Hlth GAL CAS ~: 112-54-5 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: OTHER --Daily Max GAL Daily Average GAL 500 I 200 Annual Amount GAL - 500 Storage PLASTIC CONTAINER Press T Temp Location Ambient~Ambient COVERED AREA AT W END -- Cone 15.0~ 4.0~ 1.0% Components Butyl Carbitol Diethylene Glycol Urea 1,2,5-Benzotriazole MOP -----rL.i Low / Moderate Minimal st -- Notes o7/23/9o K O FIR! WAREHOUSE 21 02 - Fixed Containers on Site Hazmat Inventory Detail in MOP Order Page 5 02-007 AMMONIA Reactive, Immed Hlth Liquid 60 Moderate GAL CAS ~: 7664-41-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL 60 Daily Average GAL 20 ---F-- Annual Amount GAL -- 160 Storage PLASTIC CONTAINER Press T Temp'"'l Location AmbientlAmbient"lS WALL NEAR WAREHOUSE -- Cone --- iO0.OA Ammonia Solution Components MOP ,, List Moderate -- Notes 02-012 SOLVENT Liquid 165 Moderabe Fire GAL CAS ~: 8050-50-6 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: CLEANING Daily Max GAL 165 ....... Daily Average50 GAL Annual Amount GAL ...... 165 Storage DRUM/BARREL-METALLIC 1' Press T Temp .... ~Ambient~Ambient FUEL SHED Location - Cone , 100.0~ INaphtha Components , MOP ---TList Moderate -- Notes 07/23/90 K C FIRE DEPARTMENT WAREHOUSE 215-000-001501 02 - Fixed Containers on Site Hazmat Inventory Detail in MOP Order Page 6 02-005 DIESEL Fire, Immed Hlth, Delay Hlth Liquid 100 Low GAL OAS ~: 68554-50-5 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: FUEL -- Daily Max GAL 100 I Daily Average GAL Annual Amount GAL -- 100 Storage DRUM/BARREL-METALLIO Press T Temp Location AmbientlAmbient UNDERGROUND AT ENTRANCE - Coho 100.04 IDiesel Fuel No.2 Components MOP ........ i-List Low I - Notes 02-008 ANTIFREEZE Liquid 220 Low Immed Hith GAL CAS ~: i07-21-i Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: COOLANT/ANTIFREEZE Daily Max GAL I Daily Average GAL Annual Amount GAL-- 220 t 200 400 Storage PLASTIC CONTAINER Press T Temp , Location AmbientlAmbientlOENTER OF WAREHOUSE -- Cono 100.04 Ethylene Glycol Components --MOP ist Low ~ -- Notes 07/2~/90 K C FIR~ PARTMENT WAREHOUSE 21 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 7 02-009 MOTOR OIL Fire, Delay Hlth Liquid 400 Minimal GAL CAS ~: 8002-05-9 Trade Secret: No Form: Liquid Type: Pure Days: 565 Use: LUBRICANT ~ Daily Max GAL ...... Daily Average GAL 400 I 250 Annual Amount GAL 1,500 Storage j Press T Temp -] Location METAL OONTAINR-NONDRUM AmbientlAmbientIOENTER OF WAREHOUSE -- Oono ...... Components - MOP ..... ,List 100.0~ Motor 0il Minimal I - Notes 02-010 COMPRESSED AIR Gas 950 Minimal Fire, Pressure, lmmed Hlth FT5 CAS ~: 7727-57-9 Trade Secret: No Form: Gas Type: Pure Days: 565 Use: STORAGE/IN STORAGE Daily Max FT5 Daily Average FT5 950 J 500 Annual Amount FT5 5,580 Storage Press T Temp. Location PORT. PRESS. CYLINDER Above IAmbient W WALL OF OFFICE -- Cono I Components iO0.OAlAir MOP--- j:List JMinimal I -- Notes 0'7/25/90 K C FIRE DEPARTMENT WAREHOUSE 215-000-001501 Page 8 02 - Fixed Containers on Site Hazmat Inventory Detail in MOP Order 02-011 AMMONIA PHOSPHATE Delay Hlth Solid 2500 LBS Minimal CAS ~: 7785-28-0 Trade Secret: No Form: Solid Type: Pure Days: 565 Use: FERTILIZER ~ Daily Max LBS 2,500 Daily Average LBS 2,000 Annual Amount LBS 4,000 BAG Storage Press T TempI Location AmbientlAmbientlS WALL OF WAREHOUSE / I -- Cone ..... Ammon Components iO0.OA ium Phosphate, Dibasic MOP --~ist IMinimal -- Notes 07/25/90 !PARTMENT WAREHOUSE 21! O0 - Overall Site <D> Notif./Evacuation/Medical 301 Page g <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL PERSONNEL ARE TO 8E NOTIFIED VERBALLY IMMEDIATELY OF ANY HAZARDOUS MATERIAL SPILLS, AND THE 8LDG EVAOUATED IMMEDIATELY BY EXITING THE NEAREST DOOR. THE DOORS ARE LOOATED AOROSS THE ENTIRE NORTH SIDE OF THE BUILDING, AND YOU WILL NEVER BE MORE THAN 5OFT FROM THE NEAREST ONE. <3> Public Notif./Evacuation ALL PERSONNEL ARE TO BE NOTIFIED VERBALLY IMMEDIATELY OF ANY HAZARDOUS MATERIAL SPILLS, AND THE BUILDING EVAOUATED IMMEDIATELY BY EXITING THE NEAREST DOOR. THE DOORS ARE LOOATED AOROSS THE ENTIRE NORTH SIDE OF THE BUILDING, AND YOU WILL NEVER 8E MORE THAN 50 FEET FROM THE NEAREST ONE. <4> Emergency Medical Plan NEAREST HOSPITAL 07/25/90 K C FIRE DEPARTMENT WAREHOUSE 215-000-001501 Page 10 O0 - Overall Site <E> Mitigation/Prevent/Abatemt <i> Release Prevention ALL LIQUIDS STORED IN THE WAREHOUSE ARE STORED IN 5 GAL OR SMALLER OONTAINERS. THIS MINIMIZES THE RISK OF A LARGE SPILL IN OASE ONE CONTAINER IS RUPTURED. THESE LIQUIDS AND THE DRY OHEMIOALS ARE STAOKED ONLY IN SOUND OONTAINERS (CASES) TO A HEIGHT NOT TO EXOEED 6 FEET. IN THE EVENT OF A SPILL, THE BUILDING IS TO 8E EVAOUATED (IF NEOESSARY), THE SITUATION ANALYZED, AND ANY CLEAN UP OPERATIONS ARE TO BE DONE ONLY WITH THE PROPER PROTEOTIVE GEAR (IE:~ NEOPRENE GLOVES RUBBER 800TS, GOGGLES, AND A OHEMICAL RESISTANT SUIT AND RESPIRATOR, IF NEEDED). <2> Release Containment <5> Clean Up <4> Other Resource Activation 07/23/90 K C FI ~PARTMENT WAREHOUSE 215~001501 O0 - Overall Site <F> Site Emergency Factors 11 <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHEAST CORNER OF WAREHOUSE BUILDING B) ELECTRICAL - ???????????? C) WATER - NORTHEAST CORNER OF WAREHOUSE BUILDING D) SPECIAL - NONE E) LOCK 80X - NO <S> Fire Proteo./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BUILDING AND ON THE OUTSIDE AT VARIOUS LOCATIONS ACROSS THE NORTHERN SIDE. FIRE HYDRANT - THERE IS A 1 1/2" FIRE HOSE HOOKUP WITH A SHUT-OFF VALVE ON THE NORTHEAST CORNER OF THE MAIN WAREHOUSE BUILDING. <4> Held for Future use 07/25/90 K O FIRE DEPARTMENT WAREHOUSE 215-000-001501 Page O0 - Overall Site <G> Training 12 <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE MATERIAL SAFETY DATA SHEETS KEPT ON FILE IN SUPPLY OFFICE FOR REFERENCE ON HEALTH, FIRE AND CLEAN-UP INFORMATION. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use T CJTY of BAA~£.RS?I£LD "If"E C.-t R E" i ,, ~3'oe or n'% name Do herebT, c 'c=~t~fv~ _ , that I ha'ce reviewed the attached for Hazardous ~laterials business ~lan (name of business) and that it along with the attached additions ~ ~u~e a comDlete and correct o~ corrections consti~ ~ - Business Plan for mM facility. slEnanure date Farm and ~griculture " CITY of BAKERSFIELD Standard Business NESS NAM1 ~.C~. ~-,¢.~' D~OT. ~A~-~44o0~ OWNER NAME ~ ~AJT~/} ~r~ b~/~r~. NAME OF T[I~ FACILITY: LOCATION: ~E_--/:~$ (~ ~Te~=-T- S Jo2_ V~C'FO~. ~~ STANDARD IND.~S~ODE CITY, ZIP:XA~C~, C~ %~0~ CITY, ZIP: ~A.~~t,~t ~ ~30~ DUN AND BRADSTREET NUMBER PHONE 8: ~Oa--/ ~&[ - ~7~ PHONE 8: ~0~/ ~6~ ~ ~77 "_ _ _ _ ~ TO INS~UCTXOHS FOR PROP~ COO~ I ~ 3 4 5 S ~ S ] 10 11 1~ 13 I~ons Type Hax Average ~nual Measure I ~s C~t C~t C~t Use L~att~ N~Pe ~N~y Na~s of Nixture/C~ts Code Code ~C hC Est Un~Cs m Site Ty~ Presl TNp C~e .. StoP~ in FactHty See Inscructi~s Physical and Health Hazard - C.A.S. Num~r ~OO~ - ~ ~ - ~ C~ent 81 Naq & C.A.S. Number (C~k aB t~ apply) ................................................................ r-- n ~ r-- n Cm~mt 12 Nam & C.A.S. NumbeP ~ Fire Hazard u--J Reactivity ~ay~ u--J ~ddm Release ~ i~ace ....... Health of Pressure Hmlth ,ooo ...... 1 ....................... ! ........ ?E ...... Ph~ical end Health Hazird C,A,S, Numar ~O~ .~ ~( - ~ ~mt Il NaN i CA,S, Numar (~heck a11 t~t apply) ~ , - ...... r--~ ~ r--~ ~ Cm~mt 12 NaN & C.A.S. Numar ~ Fire Hazard u--J Reactivity hley~ u--~ ~ddm Release Imitate ......... · Health . of Pr~sure HHIth .... Ph~Jcal and Health Hazard C.A.S. Nu~P ~ ~ ~ ~ ~-~O-~ b~t Il NaN i C.A.S. NuahP (C~k all t~t apply) ~mt 82 NaN A C.A.S. ~ Flee Hazard u~ ReactivJcy Oelay~ ~--J ~dd~ Release l~Jate Health of Pr~sure Health Ph~ical ond Health Hazard C.l.S. Numar 7~ ~ ~-~ Cm~t Il NaN & C.A.S. Numar (Ch~k all t~t apply) -- r--~ -- C~t 12 NaN & C.A.S. Ndmhr ~ ~ Fire Hazard ~ Reactivity ~--~ Oelayed [-~ ~dd~ Release ~ i~tate Health of Pressure Health ~t 13 Na~ & CA.S. Certification (Read and sJgn after compJetJnE al1 sect:ions) I certtfy under ~enalty of law that I have personally examined and am famtltar with the information syb~ttted t,/this~end al1 a~tached documents, and that based o. inquiry of those individuals responsible the tqfor~tton, [ believe that the submitted information t~2~e, accurate, end coej)l~e. / /J/ 2 I ~-~ . ay ~'~'oTTiEi$1'T]Tl~-~T'~76~rator ux ~F~JTor ~'~GE~Fi~FT~F~[Jc]]J St~G~J .......... ] ....... ~ ...... . O~T~'Si~a ......................... Fare and Agriculture ~ Standard Business CITY of BAKERSFIELD HAZARDOUS MATERI ALS HAME OF T~ FACILITY: LOCATION: X73( 0 S~a86T ADDRESS: ~ ~=TO~ ~~ STANDARD IND. CLASS CODE CITY, ZIP~ ~A~~L~ .~ q~Ot CITY, ZIP: ~~(~0 , ~ ~E~08 DUN AND BRADSTREET NUMBER ~0~ ~ ~o z~s~uc~o~s ~o~ ~o~ coszs !Trane Type ~ax Average Annual ~easure I ~s Cmt C~t C~t Use L~ati~ Nhere %N~y Na~s of Nixture/C~ts l Code Code Art Art Est Units m Site Ty~ Press T~p :~e .. 5tor~ in FaciHty See Instructt~s 76Q4- 4t-7 C~nent ~1 Na. & C.A.S. Number Physical ~n~ Health Hazard C.A.S. Numar (C~k all t~t ao~)y) ........................ J ....................... : .................. C~t 12 Na~ & C.A.S. Number r--, ~ ri. r--q ~dd~ Release ~ i~iate ~ d Hre Hazard Reactivity ~ d .................................................... Hea~th of Pressure ~lth Ca~t 13 Name & C.A.S. Number Ph~ical and Health Hazard C.A.S. Numar f 0 7--~1 -- ~ Ca.mt II Na~ & C.l.S. Numar (Check all t~t ap~ly) ......................................................... Cm~mt 12 Nam & C.A.S. Numar ~--~ Fire Hazard ~ Reactivity ~--~ ~lay~ ~ ~ddm Release ~ im~late ...... - ...... Health . of Pr~suPe HNIth ~omet 13 Na~ & C.A.S. Number Ph~ical and Health Hazard C.A.S. Fiee Hazard ~--~ Reactivity ~--a Delayed ~--~ ~dd~ Release ~--J J~iate ..... 'I Health of PrKsure Health C~t 13 Nam & C.A.S. Numar (Ch~k ~11 that apply) .... ' ....... [ ] Fire Hazard =--d Reactivity u--J Delayed ~dd~ Release i~tate ........................................................................ Health of Pressure Health Ca.et 13 Nam & C.A.S. Number Certification (Read and sign after completing all sections) certify under ~alty of.la. have, oars. ,onal]~ e.?fl:ne.d.and_a.~_faa..~_l~a_.r_vtth.thettnformat~onlsub~tted._ ufa e and comp etd. in t~La~,~ell a~teched/ documents and that based on ~/ inquiry of those individuals responsible for obtaining the information, I oelleve that cna suomlcceo 1/1TOrl~atl~n 4t .............. ........................... R~m$'~R]-6T'F{~i$1-~i'Ele'ST o.~er7operStor u~ owner/oo . Fare and Agriculture CITY of Standard Business W I-~.A.Z,AI~D 0 U S BAKERSFIELD MATERI ALS I NVENT.O RY . . J Page BUSINESS NAME: [d~,~.. %'5~. ~T. ~OAe~oc/£~ OWNER NAME: g~'~a~: Co'-/~T'~ ~"~f'~' .~P.~'~'T't'"-~"~'~' NAME OF T~ FACILITY: LOCATION: ~73( 0 .~T~-C-~7- ADDRESS: ~-~4)- V~c~-O~ S~-~- STANDARD IND.--C-~S~'~ODE CITY, ZIP:~Sc~D ( ~ ~01 CITY, ZIP: ~A~~=~( ~ ~0~ DUN AND BRADSTREET NUMBER PHONE ~: ~0-~/ ~ - ~7~ PHONE ~: ~O~W ~ - ~77 _ _ _ _ ~o~ ~ TO IHS~U~TIONS FUR PROP~ I 2 3 4 S 6 ? 8 g 10 I1 12 ' . 13 II Trnns Type Hex Average Annual Measure I ~ Cmt Cmt OmC Use LKaflm N~re tNbyt Na~s of Mixture/C~ts Code Code ~t ~ Est Units m Site Ty~ Press ;.p C~e Stor~ in Facility See In;~ructi~s Physical and Health Hazard C.A.S. Nul~r W 7 ~ ~ ~0 CM~ent Il Na, i C.A.S. Number (C~k ~11 ~c appTy) r-- ~ r-- ~ -- -- b~Kt 12 NaN & C.A.S. Number ~ J Fire Hazard ~ J Reactivity ~' r ~ r -- -- ~layK ~--J ~dd~ Release ~--J Health of Pressure HMIth bGKt l] Nail & C.A.S. Number 0 ~ ,~ ro 1~.~1.¢~1_~_ x I z i~o~ ~ ~~ ~m, s~~ ..... .... L ..... ] ............ J .............. 1 ~oo 15 '.: ! .~ .~ _ Physical and Health Hazard C.A.S. Numar ~/~ ~mt II NaN & C.A.S. Numhr {Check ~} t~t a.~y) lop ~~ ~0~0 ~lay~ ~ddm Release u a imitate ~ Fire Hazard ~--J Reactivity -- ~ealth .0f ~e~ture ~]th ......... ~m~t fl ~am ~ Cl.S. (C~k ell c~c apply) Oelayed ~_a ~dd~ Release u--a l~ate . ~ ~rl Y~ Health of Prusure Health ,~ .... ~t .... , .... L, ......... ~ t .... ~_ ~ ~ !" ~ ~2 .... ~...' = i..'~ Ph~ical and Health Hazard C.A.a. Num~r C~t II la~ I C.A.S. Numar (Ch~k all that apply) ~--~ Ftre Hazard u--~ Reactivity ~ Oelayed ~--~ ~dd~ Release ~--J [~late . Health of Pressurl Health ..... - ...... .. ~t 13 Na~ & C.A.S. Numar R~ ............................... Tl~]i 2I'RF'~i'-- ,i~ T~[lt ...................... ~I-~-~ ......... Cerdfication (Read and s]Rn after cosplet~lnE all sectJons) I certify under penalty of law that 1 have Ders.onally examined and am faettiar with the information sub~i~ed in thf~ and al1 atteqhad documents, and that based o~ ,y inquiry of those tndtvidua'.' responsible for. obtaining the infor~tton. I believe that the submitted Information is true. accurate, ~nd complete./ /,/ / ~ / ~ ' "'" CITY of BAKERSFIELD BUSINESS NAME: ~,<. ~ ~ ~AR~US~ OWNER NAME: ~E~ ~OJT~ ~E~ ~E~EW< NAME C) ~¥(~-~--~-- ADDREsS=-'~'-~2~ VIC'TO~.. ~~ STANDARD IND. CLASS CODE LOCATION: CITY, ZIP: ~S~C~ ~ ~ ~0~ C~TY, ZIP: ~A~~b, ~ ~0~ DUN AND BRADSTR~ETNUMBER...O~.__, / PHO~ ~: ~/~&~- ~7~ ~HO~ *: ~0~/~4~-- ~77 __ - ...... - ~ ~ I~U~IO~ ~R ~OP~ COD~ C~e C~e ~t ~t Est Units m Site I~ P~s l~ ~ .. St~ tn F~tlity ~ ~ Inst~ti~ (K~k all tMt apply) ~ ~,~-~,~ ~?~ ~ ~ -7 ~ Fire Hazard ~-J Reactivity ~ ~14~ =--; ~ hlNSe ~ N~lth of P~. ~lth ~t. ~ i c.~.s. ~ ~ .... L.]] ........... 1 .............. 1 ........... 1 ..... 1 ...... L_-,~_~2..--I ,~ ' ' (C~k all t~t a~ply) ........... - - ~-] ~-. [-] ~t mt ~ ~ c.A.s. ~ [ ] Fire Hazard [ ] ~Ctlvlty ~-- ~la~ ~--J ~ bl~ I~lltl HNIth of P~ ~lth .... 1--_L 1 ........... l I I I.__l~h,. 1 ................... ~ic~l ~ ..lth .al~ C.1.S. ~ ~t II ~ i C.1.S. ~ (C~k il1 t~t a}~ly) -- ~i~ F~. ,..~ [--3 ,.=~i.i~y C-] ~,~ [--3 ~ ,.~.. [--] Health of P~su~ HNlth ' ' ...... ..... ~ ..... t ........ ]) ............. r .......... l ~_t__~ ~ i ..... ~ ..... P~*cll ~ HNIth htlrd C.l.S. ~ at II h & C.l.S. ~ (C~k all t~t a~ly) r--~ r--~ ~--~ r--~ -- C~t 12 h&C.A.S. ~ Health of Pr~sure Nmaith MERGENCY C~TACTS I1 R~a': ................................... ~li ....................... )I'RF'P~i ........ Mi~ ............................ Tllli ...................... ~-Mp-)~) ........ Cartificatio~ (Read and sJKn after coapJetinE all sections) I certify under ~en~lty of law that ! have oersonally examined end am familiar with the information submitted in thia and e11 attKhed doc~ma~ts, and that based on my inquiry of the.a individuals repressible for obtaining the information. I believe that the submitted information is true, accurate, and complete. N~;a',~Ra-~TTiEi21-tlll~-~! o~ner7ooerator 011 owner7opera{or's au[F~Fi]~'F~F~iRi~{iG~ Si~[GF~ ............................................. -. ........ ~'$l~ ............................ ~'"~US'INESS NAME K C FIRE ARTMENT WAREHOUSE LOCATION 2731 O ST ID ~BER 215-000-001301 HIGH HAZARD RATING 3 1 . OVERVIEW LAST CHANGE 01/04/89 BY ESTER JURIS CODE 215-001 JURIS BAKERSFIELD STATION 01 MAP PAGE 103 GRID 30A FACILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 2) A~R-~VATE ~ESFONSE TEAi4~ EMERGENCY CONTACTS 2A SEC 2) UTILITY SHUTOFFS 2A SEC 3) ~ ~ ~STED . NOTIFICATION / PUBLIC EVACUATION ['-~'3)¢~ C~a/% LAST CHANGE / / BY SECTION 2: NOTIFICATION AND EVACUATION 'PROCEDURES' FOR THE" ENPLOY~_.F.$ :TO USE 4, TNAT~OI~ IN Tills FACILITY' All personnel are to be notified verbally immediately of any hazardous material spills, and the blilding evacuated immediately by exiting the nearest door. The · doors are located across the entire north side of the building, and you will never be more than 50 feet from the nearest one. BUSINESS NAME K C FIRE DEPARTMENT WAREHOUSE LOCATION 2731 O ST ID NUMBER 215-000-001301 HIGH HAZARD RATING 3 HAg ~IAT TI{A I N I NG SUMMARY LAST CHANGE +~l;G ii~FGR;,iAY~.L~N ~LC, ORD,.D ~OR ?Lt-~-~ SECTIO,~' > 2A SEC 5) NOT LISTED. ~IEDI CAL ASSISTANCE LAST CHANGE 01/04/89 BY ESTER PAGE 2 01/04/89 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ~BUS{NESS NAME K C FIRB D~ARTMBNT WAREHOUSE LOCATION 27310 ST FACILITY UNIT 01 ID ~BER 215-000-001301 HIGH HAZARD RATING 3 OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 01/04/89 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE UNLEADED GASOLINE UNDERGROUND AT ENTRANCE UNDERGROUND TANKS ID PERCENT COMPONENTS 1182.00 100.0 GASOLINE 2000 GAL HIGH FUEL HAZARD LISTS HIGH 2 PURE REGULAR GASOLINE UNDERGROUND AT ENTRANCE ID PERCENT COMPONENTS 1182.00 100.0 GASOLINE UNDERGROUND TANKS FUEL 1000 GAL HIGH HAZARD LISTS HIGH PURE DIESEL F~I£&~ b~r.c~_.~?~_..j_,'.'.~ AT Ek.'TP. AL'~3E DRUMS OR BARRELS MET.. FUEL ID PERCENT COMPONENTS 1179.01 100.0 DIESEL FUEL NO.2 ID PERCENT COMPONE_N~_' ~ ~C4~ ~X~ ' AQUEOUS FIL FO IUG COVERED AREA AT W END PLASTIC CONTAINER[8] ID PERCENT COMPONENT8 2818.00 15.0 BUTYL CARBITOL DIETHYLENE GLYCOL -1075.00 4.0 UREA 3312.00 1.0 BENZOTRIAZOLE 100 GAL ~GAL 500 GAL OTHER MODERATE HAZARD LISTS MODERATE UNKNOWN HAZARD LISTS UNKNOWN HAZARD LISTS UNKNOWN UNKNOWN UNKNOWN 6 PURE BLEACH S WALL NEAR WAREHOUSE ID PERCENT COMPONENTS 1165.03 100.0 BLEACH PLASTIC CONTAINER[S] 60 GAL CLEANING UNKNOWN HAZARD LISTS UNKNOWN PURE AMMONIA S WALL NEAR WAREHOUSE PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 1024.01 100.0 AMMONIA GAS 60 GAL CLEANING MODERATE HAZARD LISTS MODERATE EPA PURE ANTIFREEZE CENTER OF WAREHOUSE PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 2802.00 100.0 ETHYLENE GLYCOL 220 GAL UNKNOWN COOLANT HAZARD LISTS UNKNOWN ; PAGE 3 01/04/89 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME K C FIRE DEPARTMENT WAREHOUSE LOCATION 2731 O ST FACILITY UNIT 01 ID NUMBER 215-000-001301 HIGH HAZARD RATING 3 OVERALL HAZARDOUS ( * CONTINUED * ) MATERIALS INVENTORY LAST CHANGE 01/04/89 BY ESTER ID TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE MOTOR OIL CENTER OF WAREHOUSE ID PERCENT COMPONENTS 2808.00 100.0 MOTOR OIL METAL CONTAINERS 400 GAL LUBRICANT UNKNOWN HAZARD LISTS UNKNOWN 10 PURE COMPRESSED AIR W WALL OF OFFICE ID PERCENT COMPONENTS 3313.00 100.0 AIR PORTABLE PRESS. CYL. 930 FT3 STORAGE UNKNOWN HAZARD LISTS UNKNOWN 11 PURE AMMONIA PHOSPHATE S WALL OF WAREHOUSE BAG[S] ID PERCENT COMPONENTS 3009.00 100.0 AMMONIUM PHOSPHATE, DIBASIC 1500 LBS FERTILIZER UNKNOWN HAZARD LISTS UNKNOWN 12 PURE SOLVENT FUEL SHED ID PERCENT COMPONENTS 1203.00 100.0 NAPHTHA 165 GAL DRUMS OR BARRELS MET.. CLEANING EXTREME HAZARD LISTS EXTREME PROTE C T I ON / WATER SUPPLIES LAST CHANGE 01/04/89 BY ESTER 3A SEC 4) FIRE EXTINGUISHERS ARE LOCATED THROUGHOUT THE BLDG AND ON THE OUTSIDE AT VARIOUS LOCATIONS ACROSS THE NORTHERN SIDE. 3A SEC 5) THERE IS A 1 1/2" FIRE HOSE HOOKUP WITH A SHUT-OFF VALVE ON THE NE CORNER OF THE MAIN WAREHOUSE BLDG. PAGE 4 01/04/89 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUS~NESS NAME K C FIRE LOCATION 2731 O ST D . EMPLOYEE ~RTMENT WAREHOUSE ID BER 215-000-001301 HIGH HAZARD RATING 3 NOTI FICAT ION / EVACUATION LAST CHANGE 01/04/89 BY ESTER 3A SEC 2) ALL PERSONNEL ARE TO BE NOTIFIED VERBALLY IMMEDIATELY OF ANY HAZARDOUS'MATERIAL SPILLS, AND THE BLDG EVACUATED IMMEDIATELY BY EXITING THE NEAREST DOOR. THE DOORS ARE 'LOCATED ACROSS THE ENTIRE N SIDE OF THE BLDG, AND YOU WILL NEVER BE MORE THAN 50FT FROM THE NEAREST ONE. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 01/04/89 BY ESTER 3A SEC 1) ALL LIQUIDS STORED IN THE WAREHOUSE ARE STORED IN § GAL OR SMALLER CONTAINERS. THIS MINIMIZES THE RISK OF A LARGE SPILL IN CASE ONE CONTAINER IS RUPTURED. THESE LIQUIDS AND THE DRY CHEMICALS ARE STACKED ONLY IN SOUND CONTAINERS (CASES) TO A HEIGHT NOT TO EXCEED 6 FEET. IN THE EVENT OF A SPILL, THE BLDG IS TO BE EVACUATED (IF NECESSARY), THE SITUATION ANALYZED, AND ANY CLEAN UP OPERATIONS ARE TO BE DONE ONLY WITH THE PROPER PROTECTIVE GEAR (IE: NEOPRENE GLOVES RUBBER BOOTS, GOGGLES, AND A CHEMICAL RESISTANT SUIT AND RESPIRATOR, IF NEEDED). PAGE 5 01/04/89 14:40 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 MATERIAL SAFETY DATA SHEET' SECTION V-- SPECIAL PROTECTION INFORMATION VENTILATION TYPE REQUIRED (LO~AL, MECHANICAL, SPECIAL) Provide sufficient mechanical (general and/or local ventilation to maintai'n exposure below TLV(s). exhaust) PRODUCT CITRA CUT-135 PROTECTIVE GLOVES Wear resistan! gloves such as Nitrile EYE~R~T~il0N Chemical Splash Goggles in ~-'~lCompliance with OSHA RESPIRATORY PROTECTION (SPECIFY TYPE) 1~' I'LV OIr THE ImR~OL~UCT RO~ ~]N~Rm, TCoO~P/O~g'~RV[~E~X~C~S~N~: Or )THER PROTECTIVE EQUIPMENT PNO~[N ~:NV~[RoN.fEN1......... O5H4.~ ........... .o .~ , - . .~..~.%.,To prevent repeated or pro- 3~;i'='°'~"'""° °" ^°"'"'"'""~' =°"'"°~' '"°~° "' '"'~'"'""°' '° "'°~"14°1'-~ longed~,,,~,.,..~..^.., ~ ~.,~. ,.,~skin~ ,,, ~,,, ~§ _~ ^. ~-.c°ntact wear.,,~ SECTION VI -- HANDLING OF SPILLS OR LEAKS boots. PROCEDURES FOR CLEAN-UP , WASTE DISPOSAL Small' and Large Spills: Dispose of in Accordance with All Local, State ~nd Federal ' Regulations. ;ECTION VII -- SPECIAL PRECAUTIONS ECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE SECTION VIII -- TRANSPOHiAIIUN UA~A U.S.D.O.T. PROPER SHIPPING NAME UNREGULATED [-~ q BY D.O.~. _ ~71 COMBUSTIBLE 173.115 REGULATED U.S.D.O.T. HA~RD CLASS I.D. NUMBER q ,,YD.O.T. [--].4.! NA ~-~ NA TRANSPORTATIO'N RQ L.~BE L(S) REQUIRED NA EMERGENCY 501 INFORMATION FREIGHT CLASSIFICATION NA CHEM TREC ~ . SPECIAL TRANSPORTATION NOTES ' NA 1-(800)424-9300 SECTION IX -- COMMENTS KEEP OUT OF REACH OF CHILDRENI! REV,S ON DATE 5-16,88 ~ . SENTTO AT'N: 10-29-R7 SUPERSEDES TITLE DATE We believe the statements, technical information and recommendation~ contained herein are reliable, but they are giv 'without warranty or guarantee of any kind, express or implied, and we assume no responsibility tor any toss, damage, ~.. expense, direct or consequential, arising out ol their use. SECTION I MAI-I- HIAI PRODUCT ] F r~llll~ HIGH IPI 2- MODERATE IAI I - SLIGHT [ I O-INSIGNIFICANT iAI" I; I ir CITRA CUT-i35 ·: 1 .AMco & C.EM,C*.? ,.ODUC._______T_S: 5956 STATE ROAD, BAI{Lp, sFIELD, CA 93308 .~EMICAL NAME OR FAMILY NA V Special SECTION II- CHEMICAL AND PHYSICe,..PROPERTIES HAZARDOUSDECOMPOSITION PRODUCTS May .form toxic materials: Carbon dioxide ~ various hydrocarbons, etc. INCOMPATIBILITY (KEEP AWAY FROM) Oxidizing agents', acids, peroxides, ~-~ iodine pentafluoride~. and LIST ALL TOXIC AND HAZARDOUS INGREDIENTS IM MERGE NCY TELEPHONE ANUFACTURER 805) 393-6581 CNEM TR-'~ 1 '(COOl 424-g300 ..~RMULA Proprietary Mixture CHEMICAL Carbon monoxide, halogens, vinyl ..~L O R Co ra 1 chloride, PRINCIPLE HAZARDOUS COMPONENT(S) CHEMICAL NAME(S) Aliphatic Petroleum Distillates D-Limonene Terpene Distillates opropylamine DodecYl Benzene Sulfonate PHYSICAL FORM ~-~ Liquid ODOR o] Citrus Scent APPEARANCE. ~ Creamy Coral SPECIFY GRAVITY l"~l (WATER = 1) 64742.-96-7 500 ° ) 5989-27-5 NDA ) 26264-05-1 .NDA ) BOLLING PT. MELTING PT, SOLUBILITY IN WATER AT , 'C % VOLATILE (BY WT %) SECTION III -- FIRE AND EXPLOSION DATA IAL FIRE FIGHTING PROCEDURES ' ;LASH POINT (METHOD USEDI Never use welding or cutting torch on or 261 -c 152 "F' ,ear drum (even empty) because product -- '(even just residue) can ignite explosively. FLAMMABLEUM~TS% ~ qLOWER'9 uPPER'- UNUSUAL FIRE'AND EXPLOSION HAZARDS ~.XTINGUISHING AGENTS Dense black smoke produced. ~nRYCHEM~CAL x~CO~ F1WATERSPRAY )~[FOAM ~WATERFOG Fl SAND/EARTH ~ 2BI neTHER-- ,,. EVAP. RATE LVAPOR DENSITY I pH AS IS 2--'~1 pH{ ) STRONG ACID STRONG BASE STABLE 2'~1 UNSTABLE 340 F SECTION IV- HEALTH HAZARD DATA PERMISSIBLE CONCENTRATIONS {AIR) ~ 500 PPM EFFECTS OF OVEREXPOSURE 30] ~ ~ ;~ ~ ~ EMERGENCY FIRST AID PROCEDURES Flush with large amounts of water, lifting upper and 3-"~EYES lower lids occasionally. Get Medical Attention. NA c NA F Thoroughly wash exposed area with soap and 3--~ SKIN CONTACT water. Remove contaminated clothing. Launder before reuse. "--~INHALATION Remove individual to fresh air. If breathing is " .... difficult, administer oxygen. Get Medical ~']IF SWALLOWED Attention. - .... Do not induce" vomii~ing. Get' Immediate Medical,., Attention. " :.NA.= N~T .A.p. PLi~AB.,L~,.NDA = NO DATA AVAILABLE. ,4 =~ L£S$ lHAhr' · ~' MORE THAN ' ' Page I~1' 0f ....': :';C,,~~ ,, .............. . .......... Water E~ul sifiable 5-10 200 100°F. 5.9 NA NA VISCOSITY <100 Fl SUS 100 OR > n AT IoomF Hazardous Pol_vm~riTat ~n~ Will Not Occur FORM O.'~HA20- 1741043086 KERN COUNTY FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 BUSINESS NAME: ~LJ~2~~ ID# DO NOT WRITE ABOVE THIS LINE BUS I NESS PLAN FORM gA INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. But explain fully FACILITY UNIT NAJ/E: Kern County Fire Dept. Warehouse SECTION 1: PREVENTION, MINIMIZATION, AND CLEAN-UP PROCEDURES All liquids stOred in the warehouse are stored in 5 gallon or smaller containers. This minimiz&s the ri'ak'Of a"large spill in case one container ia ruptured. These. liquids and the dry chemicals are stacked only ia sound containers (cases) to a height'no: to exceed 6 feet. In the event of a spill, the building is to be evacuated (if necessary), the situation analyzed, and any clean up operations are to be done 'only with the proper protective gear (i.e., neoprene gloves, rubber boots, $o$81es, and a chemical resistant suit and respirator, if needed). SECTION 2: NOTIFI~kTION ~ EVACUATION PROCEDURES' FOR THE EMPLOYEES TO USE THAT ~ IN TI[IS FACILITY ..;..~-~..; .. ,.. .. spills, and the b~ilding evacuated immediately by exiting the nearest door. The doors are located across the entire north side of the building, and you will never be more than 50 feet from the nearest one. SECTION 3: IIAZARDOUS NATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... ~NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous-materials a bona fide Trade Secret as defined by Section 6254.7 of the Government Code? ......... 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 SYSTENS. ~ Fire extinguishers are located throughout the buildings, and on the outside at various locations across the northern side. SECTION 5: LOCATION OF NATER SUPPLY FOR USE BY ENERGENCY RESPONDERS There is an 1~" fire hose hookup with a shut-off valve on the northeast corner of the main warehouse building. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT Tills UNIT ONLY. A. NAT. GAS/PROPANE: Located at the gas meter at the southeast corner of the main warehouse building, B. ELECTRICAL: There i8 a 8ubpanel located by the seasonal clothes storage area (near the'SRO office) and the main panel t8 located in the Auto Shop building. C. WATER: The main water shut-off is located on the northeast corner of the building. D. SPECIAL: None E. LOCK BOX: YES~ IF YES, LOCATION: There is a key safe located in the Warehouse Supervisor's office. This is i_~n the northeast corner of the building, and in the southwest corner of this room, IF YES, SITE PLANS? YES i'~ MSDSs? YES / ~'0'0~ '. FLOOR PLANS? YES KEYS? (~/ NO HMCU-6 BUSINESS NAME OFFICIAL USE ONLY ID= HAZARDOUS 1WLITERIALS BUSINESS PLAN AS A WHOLE .FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by ~. 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: B. LOCATION / STREET ADDRESS: CITY: SECTION 2: E~ERGENCY NOTIFICATIONS ZIP: 0/"3'~0/ BUS.PHONE: (~/) A-ye zltl, 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 TITLE A. Ph# DURING BUS. HRS. PhS AFTER BUS. HRS. B. PhS Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES ,/ NO tF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO YES ,/ NO MSDSS? YES ./ NO KEYS? YES ,/ NO 2A - SECTION 4: PRIVATE RESPONSE TE2kM FOR BUSIXESS AS A WHOLE SECTION 3: 50CAL EMERGENCY MEDICAL ASSISTANCE FOR YO5~ BUSINESS AS A WHOLE SECTION 6: EMPLO~FEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EXPLOYEES WITH iNITIAL AND REFRESHER TRAiXiNG IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:... .................................... YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... YES NO C. PROPER USE OF SAFETY EQUIPMENT: .................. YES NO D. EMERGENCY EVACUATION PROCEDURES: ................. · YES >lO E. DO YOU MAINTAIN EMPLOYEE TRAINING .RECORDS: ....... YES NO REFRESHER YES' NO YES XO YES NO YES XO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES - NO - NOBLE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL 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, , certify that the above information is accurate. I understa~ld 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. 'SIGNATURE TITLE DATE Dear Bus/ness Owner: FIRE CHIEF THOMAS P. McCAR,rHy ADMINISTRATIVE DEPUTY C~t'IEF SCHUYLER 'r, WALLACE OPERATIONS DEPUTY. 6~IEFS .DANIEL G. CLARK t : CHARLES E. DOWDY CHARLES A. VALENZUELA ADMINISTRATIVE SERVICES OFFICER NORMAN R. BRIGGS Checked Sent Due The business plan you filed ~ith the Rem County Fire Department is being 'returned to you for the following reasons: ~ Form 2A'not returned Form 2A not complete Facility Diagram: missing .. incomplete Form 3A not returned Form 3A not complete Site Diagram: __missing incomplete Inventory Sheet(s) not returned ~ Inventory Sheet(s) not complete Comments %A { ! PLEASE RETURN THIS FORM ALONG WITH TIkE CORRECTED BUSINESS PLAN BY ( ~!- 5% ~,,~ Very truly yours, Oeoff Wilford, Captain Hazardous Materials Control Unit ~D. 2 5-7 7 Protoc/in~7 The Go/don Cmplr# .,,--'-' KERN COUNTY FIRE DEPARTMENT INSTRUCTIONS FOR BUSINESS PLAN SINGLE FACILITY UNIT ( FORM 3A) GENERAL INFOR)(ATION Businesses completing a form 2A must complete sections 1 thru $ of this form, (3A). If your buslness is divided into separate facilities or Is complex, a completed form 3A (sections 1-6) must be submitted for each facility or sub-unit of a large facility. If you need help separating your business into facility units, contact our department for additional guidance prior to proceeding with this form. Please type or print in each facility/sub-unit name and number, giving each facility a common name and a one or two digit number. EXAMPLE: South #2 NOTE: An inventory form (4A-l, 4A-2, or 4A-3 as appropriate) and a facility map should be submitted for each facility/sub-unit on the apPropriate colored paper (white, goldenrod, or green). SECTION 1: MITIGATION, PREVENTION, ABATEMENT Explain procedures to prevent the release or spill of hazardous materials in this facility unit. Describe plan to contain and clean up if a spill should occur. SECTION 2: NOTIFICATION AND EVACUATION Describe procedures for Immediate notification and evacuation of this facility unit. SECTION 3: HAZARDOUS HATERIAL Circle Yes or No SECTION 4: PRIVATE PIRE PROTECTION Describe on-site fire protection for this facility unit, including sptnklers, extinguishers, alarm systems and private response teams. SECTION 5: LOCATION OF WATER Give the location of the closest fire department water supply. KERN COUNTy FIRE DEPARTMENT 5642 VICTOR STREET BAKERSFIELD, CA 93308 BUSINESS X,\31E: DO NOT WRITE ABOVE THIS I,f×E BUSI NESS PLAN FORM 3A INSTRUCT I 0NS - !. To ,'Iv,.,!'d ['ill'thor action, this l'ol'm musts b,~ i'.~.tt.ll-ll(?d by: 2. TYPE PRINT YOUR ANSWERS iN ENGLISH. 3. Answer' the questions below for THE FACILITY IjXIT LISTED BELOW .1. Be as BRIEF and CONCISE as possible. But: explain fully FACILITY UNIT NAME: Kern County Fire Dept. Warehouse SECTION 1: PREVENTION, MINIMIZATION, AND CLEAN-UP PROCEDURES All liquids stored in the warehouse are stored in 5. gallon or smaller containers. This minimizes the rink of a large spill in case one container t.s ruptured. These liquids and the dry chemicals are stacked only in sound containers (cases) to a height not to exceed 6 feet. In the event of a Spill, the bull. ding t8 to be evacuated (if necessary), the situ~tion analyzed, and any clean up operations are to be done only with the proper protective gear (i.e., neoprene gloves, rubber boots, goggles, and a chemical resistant suit and respirator, if needed). SECTION 'Z: NOTIFICATION AND EVACUATION PROCEDURES'FOR THE EMPLOyEES TO USE TIIAT WORK IN THIS FACILITY All personnel are to be notified verbally immediately of any hazardous material spills, and the b~ilding evacuated immediately by exiting the nearest door. The doors are located across the entire north side of the building, and you will never be more than 50 feet from the nearest one. SECTION 3: [~ZARDOUS .~[ATERIALS FOR TltIS UNIT ONLY ,\.. Does tills Facility Unit contain Itazardous Materials? ...... ~NO If YES. see B. If NO. continue with SECTION 4. B. Are any of tile hazardous materials a bona fide Trade Secret as deli,md by Section 6254.7 of the 6overnment Code? ......... YES NO It' ×o. complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) if '~.'es. complete a hazardous materials inventory form marked: TR..\DE SECRETS ONLY {yellow form =4,\-2) in addition to tile non-trade secret form. List only the tracle secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SYSTEMS Fire extinguishers are located throughout the buildings, and on the outside at various locations across the northern side. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY LMERGENCY RESPONDERS There is an 1%" fire hose hookup with a shut-off valve on the northeast corner of the main warehouse building. SECTION 6: LOCATION OF UTILITY SHb~-OFFS AT THIS b~IT ONLY. A. NAT. GAS. PROPANE: Located at tile gas meter at the southeast corner of the main warehouse building. B. ELECTRICAL: There is a subpanel located by the seasonal clothes storage area (near the SRO office). and the main panel is located in the Auto Shop bu£1ding. C. WATER: The main Water shut-off is located on the northeast corner of the building. D. SPECIAL: None LOCK BOX: YES ~ N O~/ IF YES. LOCATION: There is a key safe located in the Warehouse Supervtsor's office. This is in the northeast corner of the building, and in the southwest corner of this room. IF YES. SITE PLANS? YES (~ FLOOR PLANS? YES . MSDSs? YES /0 ×EYS? (~,,' NO HMCU-6 I.D. KERN COUNTY FIRE DEPARTMENT · -i FORM 4A~l .... NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME:~.~"~I{/ C.,~L...~/~.~-' ~z~.h-~.- ~/7 OWNER NA~E: ~O~Y ~ ~~ FACILITY UNIT ,: ADDRESS: ~ ~ ,~ ADDRESS: ~ ~~ _~ FACILITY UNIT NA~E:~~ CITY, ZIP: ,~~~f~ . ~_~ ~q~j. CITY,ZIP: ~~/~Z~ ,. f~. ~/ OFFICIAL USE CFIRS CODE 1 2 3 4 5 6 ? 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN .THIS ~; BY HAZARD D.~).T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT {VT. CHEMICAL OR COMMON NAME CODE GUIDE -107 : TITLE~IGNATURE: DATE: EMEROENCY CONTACT: ~/~..,~ ~ TITLE: ;y'~/~,,o~z,~' # BUS.HOURS:.__,,_~/? AFTER BUS HRS: ,~// EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: ~-~'J;~-.~,z'. _~'~'-.~L~.~-- AF'TER BUS HRS: I.D. BUSINESS ADDRESS: ~7.~'/ Q .~'7, C I T Y, Z I P: ~,~x~-.,~.~,~,,~. KERN COUNTY FIRE DEPARTMENT '~ ' FORM 4A-1 NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ADDRESS: /..~/~ j~'~_,~?~/~(~-,~_~,,~' /j~$-~-~:FACILITY CITY,ZIP: p a g e__~._ of~.. FACILITY UNIT #: OFFICIAL USE CFIRS CODE ONLY i NAME: TITLE: SIGNATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT: TITLE: PHONE'# BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: I 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN -THIS ~; BY HAZARD D.O.' CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT {~T. CHEMICAL OR COMMON NAME CODE GUID{ ~ x~n~ ~-,~' ....... g~3 1~ IT ~z,~ ,,,.,',~ x*.<~'>:~"/~O ///~/~ · 'j~ .>:' ~:'f' ~..x.::'- .: .... '. · ~:~ .~ .~ Underground ~ :: Storage ~ Del:ail.' Warehouse / / / office misc. supplies motor oil fertilizer -~ misc. supplies compressed air misc. supplies AFFF fi re camp supplies fertilizer misc. storage fi re engi ne tires & oil !,! ti re storage I AFFF algaecide North cleaner germicide ammonia Ajax bleach I.D. pa~e~ KERN COUNTY FIRE DEPARTMENT- '' '" ' : ' FORM 4A-I NON--TRADE SECRETS HAZARDOUS MATERT ALS~ INVENTORY ~ ' ADDRESS: /.4//.5" ~.,,OZ.~yT"':./.~'/ .~¢~/~. FACILITY Z I P :,Y:~:~"- ~- .%.~-'.~Z ~ ~.~ '~,.~ q~/ CITY,ZIP: ,,,5%~,.~. ~- -~,~S~/~-:z ~ BUSINESS NAME: FACILITY UNIT #: ADDRESS: ~7~! UNIT NAME:_~j~ CITY, PHONE #: PHONE #: /~) ~/--2'/// ]OFFICIAL USE CFIRS CODE { ONLY 1 2 3 4 5 6 7 .8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN .THIS ~; BY HAZARD D.O. CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT ~T. CHEMICAL OR COMMON NAME CODE GUID NAME TITLE: SIGNATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: i' AFTER BUS .HRS: EMERGENCY CONTACT: "TITLE: PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: ..