Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BUSINESS PLAN
j ,~ j ~. ' HOf+IEBASE a.-- ~~ /~~~~ ., ~~ ~~ 51~ ~~ ,~~ ~J i `~~ o~ .~ .a ~~i Hazardous Materials/Hazardous Waste'Unified Permit CONDITIONS 'OF.PERMIT ON REVERSE SIDE Permit ID #:: 015-000-000517 HOME BASE #90 This _hermit is Issued for the followin_=: El Hazardous Materials Plan [] Underground Storage of Hazardous Materials 13 Risk Management Program El Hazardous Waste On-Site Treatment LOCATION: 2125 PANAMA LN Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: June 30. 2003 Issue Date ITE DIAGRAM Busine~ N~:me: Home Base· #90 FACILITY DIAGRAM 5usine~ ACdre~: 2125 Panama Lane For Office Use Only First In Station: Inspection StaTion: Area Map # NORTH of OUTSIDE GARDEN FL~[ COu~Lt?',~.£, FLAU~4~.:LE [):if r--"n r--mF DRIVE THRU LUMBER PICKUP D~ SH~OFF ~" HOMEBASE ¢90 iOFF r~ Pu~ ~iA 2125 'PANAIvlA LANE BAKERSFIELD,CA 93307 M P IAP SITE DIAGRAM I xx ] Business Nome' Home Base //90 BusiRess ACoress: 21 25 Panama Lane For Office Use Only FACILVTY DIAGRAM First In Stction: lnsDection Stc;ion: Area McD # of NORTH ........................................................................... PAN,&MA LANE ................................................................................... HOTEL PARKING LOT iOUTSIDE GARDEN LUMBER ENTRANCE AND EXIT f~ PARKING LOT HOMEBASE '~90 2125 PANAMA LANE BAKERSFIELD, CA 93507 DRIVE THRU LUMBER PICKUP EXIT ~S SK~¢F -1- F~RE ~ STORU Dm IN HomeBase; nc. AMERIOA ~S BEST HOME IMPROVEMENT WAFIEHOUSE ® March 16, 2001 Ralph E. Huey Director, Office of Environmental Services Bakersfield Fire Department 1715 Chester Ave. Bakersfield, CA 93301 Re: HomeBase change from retail home improvement to home d6cor and furnishings HomeBase locations #16 and #90. Dear Mr. Ralph Huey; HomeBase, Inc. will not be changing our store HomeBase #16 to our new format of House2Home. This location at 3200 Buck Owens Blvd., Bakersfield has been closed for business and is in the process of being vacated by HomeBase. The other location, HomeBase #90, is in p. rocess of being remodeled to re-open April 26, 2001 as House2Home # 1601. ~.~.i'~.b t~a.~r~a ~ As our format has changed from home improvement to home d6cor and furnishings, there has been a substantial change in our hazardous materials inventory. I have enclosed an updated inventory list for the House2Home format. Per the request made in your letter, changes in the contact information have also been updated. Please feel free to contact me at (949) 442-5589 or Linda Edelman, the HomeBase Loss Prevention/Safety Manager at (949) 442-5457, should you have any questions regarding the hazardous materials. Since~rely, an Tax Dept. Support Center Offices -- 3345 Michelson Drive, Irvine, California 92612 (949) 442-5000 Haza us Materials Inventory Totals bn. mmary House2Home 2 Printed: February 22, 2001 PHYSICAL STATE HAZARD CLASS HAZARD DESCRIPTIOI'~ TOTAL Aerosol CORRJl Corrosive 15.00 Lbs', Aerosol IRRI Irritant 1,779.22 Lbsl Aerosol LEVELI[ Aerosol Level - 1 1,310.86 Lbs! Aerosol LEVEL21 Aerosol Level - 2 281.95 Lbs! Aerosol LEVEL31 Aerosol Level - 3 238.91 Lbs] Aerosol OHIt Other Health Hazard 1,109.38 Lbs! Liquid CLIlJ Combustible Liquid - Class II 62.16 Ga~ Liquid CLIIIAI Combustible Liquid - Class IliA 51.06 Gal! Liquid CLIIIB! Combustible Liquid - Class IIIB 436.61 Gall Liquid CORRJ Corrosive 162.75 Gall Liquid FLIBI Flammable Liquid - Class IB 7.69 Gall Liquid FLICI Flammable Liquid - Class IC 2.27 Gall Liquid IRRJ Irritant 2,314.42 Gall Liquid OHI~ Other Health Hazard 917.77 Ga! Liquid OXYll Oxidizer - Class 1 12.00 Gall Liquid UNSI] Unstable - Class I 25.50 Gall Liquid WRI1} Water Reactive - Class II 9.75 Gal! Solid CORRJ Corrosive 6.00 Lbs! Solid FS! Flammable Solid 0.94 Lbs! Solid IRR[ Irritant 14,562.02 Lbs! Solid OHIt Other Health Hazard 6,348.16 Lbs! Solid OXYII Oxidizer- Class 1 181.00 Lbs! Solid OXY21 Oxidizer - Class 2 4.50 Lbs! Solid OXY3I Oxidizer - Class 3 1.50 Lbs! Solid UNSI] Unstable - Class I 100.00 Lbs] Solid WRII Water Reactive - Class I 100.00 Lbs! Prepared by 3E Company Copyright © 2000 Page 1 of 1 HOME BASE #90 SiteID: 015-021-000517 Manager : DARRYL KINSLEY Location: 2125 PANAMA LN City : BAKERSFIELD BusPhone: Map : 123 Grid: 24D (661) 396-0121 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code:5211 DunnBrad:10-651-4441 Emergency Contact MANAGER ON DUTY Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 396-.O-1~z?'Z~ ~5 (714) 447-5239X ( ) - x Hazmat Hazards: Emergency Contact 3E COMANY Business Phone: 24-Hour Phone : Pager Phone : / Title / HAZ-MAT CONSULT (760) 602-8820x (800) 451-8346x ( ) - x Fire Press React ImmHlth DelHlth Contact : LIN-DA EDELMAN MailAddr: 3'345 MICHELSON DR 100 City : IRVINE Owner HOME BASE//~3&- Address : 3345 MICHELSON DR 100 City : IRVINE Period : Preparer: Certif'd: to Emergency Directives: = Hazmat Invento: -- As Designat Hazmat MOTOR OIL KEROSENE PH DECREASER POOL CHLORINATING LI( PAINTS AND PAINT AEROSOLS LIQUID POOL ACID 3 INCH TABLETS AND GRANULAR CHL PAINT THINNER INSECTICIDES DIAZINON, DURSBAN ROUND UP, WEED BE GONE, KLEEN U FERTILIZERS ROOF AND PIPE ADHESIVES E Phone: (949) 442-5457x State: CA Zip : 9~-7-~ ~ / ~- Phone: ( - 'x State: CA Zip : ~ 9~Z~/3-- : = Gal italUSTs: = Gal RSs: No tzards One Unified List Ail Materials at Site Frm DailyMax Unit MCP IH IH IH IH IH IH R IH IH IH DH IH DH IH IH L L S L L L S L L S L S L 119.00 GAL 700.00 GAL 454.75 LBS 564.00 GAL 15076.13 GAL 531 95 GAL 7975 00 GAL 3822 23 GAL 3803 54 GAL 6825 25 GAL 976 06 GAL 2340 00 LBS 26352 44 GAL UnR Mod Min Hi UnR Hi Mod Mod Hi Hi Hi Hi Mod PROPANE E F P IH 500 00 GAL Hi 1 01/04/2001 HOME BASE #90 SiteID: 015-021-000517 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~UlVHVl~ ~Vl~ / ~ ~_-q_l_~ N~vI~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# FSTATE ~ TYPE Liquid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 119 , 00 GAL I 119 . 00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based No CAS#802083 I TSecret ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA'Hazards No/ Curies IH NFPA/// I USDOT# UnR ---- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~A ~f-kL~ ~Vl~ KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: GARDEN DEPT, SEASONAL CAS# 64742-47-08 FSTATE TYPE Liquid Mixture PRESSURE TEMPERATURE Ambient --~ Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 700.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL Daily Average 700.00 GAL %Wt. HAZARDOUS COMPONENTS Mineral Spirits s CAS# N 8030306 N S BioHaz No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# MCP Mod -2- 01/04/2001 HOME BASE #90 ~ Inventory Item 0003 -- COMMON NAME / CHEMICAL NAME PH DECREASER Location within this Facility Unit GARDEN DEPT SiteID: 015-021-000517 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7681-38-01 FSTATE ~ TYPE Solid /Mixture PRESSURE Ambient TEMPER3~TURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 35.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum I 454.75 LBS Daily Average 454.75 LBS HAZARDOUS COMPONENTS %Wt. Sodium Bisulfate HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH 10034845 NFPA/// I USDOT# Min ---- Inventory Item 0004 Facility Unit: Fixed Containers on Site ~tvuvl~ ~Vl~ / ~± ~.~..L.I_~ ~Vl~ POOL CHLORINATING LIQUIDS Days On Site 365 Location within this Facility Unit Map: Grid: GARDEN CAS# 10022-70-5 F STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 564.00 GAL Daily Average 564.00 GAL %Wt. HAZARDOUS COMPONENTS Sodium Hypochlorite S CAS# N 7681529 N S BioHaz No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# 3 01/04/2001 HOME BASE #90 SiteID: 015-021-000517 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~UIVUVlU~ ~Vl~ / ~I~./A_.L~ ~vl~ PAINTS AND PAINT AEROSOLS Days On Site 365 Location within this Facility~Unit Map: Grid: PAINT DEPT CAS# F STATE I TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 0.14 GAL AMOUNTS AT THIS LOCATION Daily Maximum 15076.13 GAL Daily Average 15076.13 GAL HAZARDOUS COMPONENTS RS CAS# TSecretNo N~S BioHazNo HAZARD ASSESSMENTS I Radi°active/Am°unt EPA Hazards INo/ Curies P IH NFPA /// USDOT# I MCP UnR = Inventory Item 0006 -- COMMON NAME / CHEMICAL NAME LIQUID POOL ACID Location within this Facility Unit GARDEN DEPT Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7647-1-0 STATE T TYPE PRESSURE Ambient Mixture Liquid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 531.95 GAL Daily Average 531.95 GAL %Wt. HAZARDOUS COMPONENTS Hydrochloric Acid yeRsS CAS#7647010 ITSecret RS BioHaz No No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# MCP Hi -4- 01/04/2001 HOME BASE #90 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE SitelD: 015-021-000517 iE Inventory Item 0007 E~E~E~ Facility Unit: Fixed Containers on Site lEE COMMON NAME / CHEMICAL NAME 3 INCH TABLETS AND GRANULAR CHLORINE o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPT o CAS# o o o ~ STATE 5]~ TYPE ~5 PRESSURE 555i TEMPERATURE ~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~5~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 5.00 GAL o 7975.00 GAL o 7975.00 GAL o i~5~i~5~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o °Trichloroisocyanuric Acid ONo o 87901 o °Calcium Hypochlorite ONo o .7778543° i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~ °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° RIH o /// o OModO Inventory Item 0008 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PAINT THINNER o Days On Site o 365 o Location wi~in this Facility U~t Map: Grid: PAINT DEPT o CASg o 64742-47-8 STATE EiE TYPE EEEiEE PRESSURE EEEi TEMPE~TU~ Liquid o Mixture o Ambient o Ambient o METAL CONTAINR-NONDRUM Largest Container o Daily Maximum o Daily Average o 1.00 GAL o 3822.23 GAL o 3822.23 GAL o i~a~fifii~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS~ o °Mineral Spirits ONo o 8030306° °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards No ONoONo o No/ Curies° IH o /// o -5- 01/04/2001 HOME BASE #90 EEEE~EEEEEEEEEEEEEE~EE~EEEEEEEEEE SitelD: 015-021-000517 iE Invento~ Item 0009 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME INSECTICIDES o Days On Site o o 365 o Location within this Facility U~t Map: Grid: GARDEN DEPT o CAS~ o o i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPE~TURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average 1.00 GAL o 3803.54 GAL o 3803.54 GAL i~i~~ HAZARDOUS COMPONENTS ~Wt. o o RSo CASg o oDiazinon ONo o 33341~o i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTg o MCP o No ONoONo o No/ Curies° IHDH° /// o OHio Inventory Item 0010 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME DIAZINON, DURSBAN ° Days On Site ° o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPT ° CAS# ° o o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~t~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BAG o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average ° 5.00 GAL ° 6825.25 GAL ° 6825.25 GAL ° iEEEEEEEiEEEEEEEEEEEEEE HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o OChlorpyrifos ONo o 2921882° i~8~i~i~8~i~8~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# ° MCP ° No °No°No o No/ Curies° IH DH ° /// o -6- 01/04/2001 HOME BASE #90 ~~~~~~ SitelD: 015-021-000517 i i~ Invento~ Item 0011 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ROUND UP, WEED BE GONE, ~EEN UP o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPT o CASg o o o iE STATE EiE TYPE EEEiEE PRESSURE EEEi TEMPE~TURE EEiEEEE CONTAINER TYPE Liquid o Mix,re o Ambient o Ambient o PLASTIC CONTAINER o Largest Container o DailY Maximum o Daily Average 1.00 GAL o 976.06 GAL o 976.06 GAL %wt. o o RSo · CA~ o ODiquat ONo o 85007 o °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTf o MCP o No ONoONo o No/ Curies° IH o /// o OHio Inventory Item 0012 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site iEE COMMON NAME / CHEMICAL NAME FERTILIZERS ° Days On Site ° o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPT ° CAS# ° ° 6484-52-02 STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Solid ° Mixture o Ambient o Ambient o BAG ° i~~55~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 30.00 LBS ° 2340.00 LBS ° 2340.00 LBS ° i~88~888i~888888888 HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o °Ammonium Nitrate ONo o 6484522° i~8~8~i~8~i~i~88~8~8~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# ° MCP ° No °No°No ° No/ Curies° IH o /// o °Hi ° -7- 01/04/2001 HOME BASE #90 ~~~~~~ SitelD: 015-021-000517 i i~ Inventory Item 0013 ~fi~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ROOF AND PIPE ADHESIVES o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN, BLDG MATERIALS, PAINT, FLOOR AND WALL, PLUMBING o CAS# o 108-88-03 ~/~ STATE ~/~ TYPE ~/~ PRESSURE 55~i~ TEMPERATURE ~/~/~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o ~55~5~5~/~5~/~5~5~ AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 5.00 GAL o 26352.44 GAL o 26352.44 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o OToluene ONo o 108883 o iEEE~EE~iEEEiEEE~EEi~EEE~EEE~EE HAZARD ASSESSMENTS EEEiEEEEE~EEEiEEEESEEEiEEEEEi °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# ° MCP o No ONoONo o No/ Curies° o /// o OModO Inventory Item 0014 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site iEE COMMON NAME / CHEMICAL NAME PROPANE o Days On Site ° o 365 o Location within this Facility Unit Map: Grid: REAR OF BLDG o CAS# o o 74-98-6 o STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas ° Pure o Above Ambient o Ambient ° PORT. PRESS. CYLINDER o i~~~5~5~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum o Daily Average ° 500.00 GAL ° 500.00 GAL ° 350.00 GAL o %Wt. o o RSo CAS# o 100.00Opropane OyesO 74986° i8~i~i~8i~8~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°FP IH o /// o OHi -8- 01/04/2001 HOME BASE #90 ~~~fi~~~ SiteID: 015-021-000517 i i~ Notif./Evacuation/Medical ~~fi~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 11/06/2000 i o 3E COMPANY WILL REVIEW ALL CHEMICAL SPILLS TO DETERMINE FEDERAL, STATE, AND o LOCAL SPILL RELEASE REPORTING REQUIREMENTS IN CONJUNCTION TO,LAWS SUCH AS o CERCLA AND SARA. LOCAL REPORTING WILL BE IN CONJUNCTION WITH FIRE DEPT o REQUIREMENTS AND REGULATIONS. ° o o o o i~ Employee Notif./Evacuation ~~~~~ 01/25/1994 i O MANAGER ON DUTY OR APPLICABLE STAFF MEMBER TO NOTIFY PERSONNEL AND CUSTOMERS ° BY PUBLIC ADDRESS SYSTEM THROUGHOUT STORE, VOCAL RESPONSE OR FIRE ALARM. o o ~ Public Notif./Evacuation ~~~~~~ 01/25/1994 i o AFTER INITIAL NOTIFICATION, PERSONNEL AND CUSTOMERS ARE ESCORTED THROUGH ° EMERGENCY EXITS LOCATED THROUGHOUT STORE. EXITS ARE CONSPICUOUS AND ° ILLUMINATED. o o ~ Emergency Medical Plan ~~~~~~ ! 1/06/2000 i o IN THE EVENT OF A MEDICAL EMERGENCY, THE CUSTOMER OR EMPLOYEE WILL BE TAKEN ° VIA PARAMEDICS OR AMBULANCE TO THE NEAREST MEDICAL FACILITY. THE ADDRESS OF ° THIS FACILITY IS LISTED BELOW. ° BAKERSFIELD OCCUPATIONAL MEDICAL GROUP, 4580 CALIFORNIA AVE, 327-4527. ° o 01/04/2001 HOME BASE #90/~/~/~~~/J~~~ SitelD: 015-021-000517 i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release Prevention ~~~~~~~ 01/25/1994 o PRODUCTS MERCHANDISED IN A MANNER TO PRECLUDE ACCIDENTAL DAMAGE AND TO o PREVENT SPILLS OR ACCIDENTAL MIXTURES. o O i~ Release Containment ~~~~~~ 11/06/2000 i o IF A RELEASE DOES OCCUR, MATERIAL IS IMMEDIATELY DIKED OR ABSORBED WITH IN o HOUSE SPILL PAK OR BULK ABSORBENT SOLD AS A CONSUMER PRODUCTS (DIATOMACEOUS o EARTH, SODA ASH, OR LIME). o O i~ Clean Up ~~~~~~~~ 11/06/2000 O SMALL SPILLS ARE MANAGED BY SAFETY COMMITTEE AND APPLICABLE STAFF MEMBERS ° THAT HAVE BEEN PROPERLY TRAINED. STORE PERSONNEL WILL CONTACT 3E COMPANY, ° HAZARDOUS MATERIALS CONSULTANTS, WHO IF NECESSARY WILL CONTACT THE PROPER ° EMERGENCY RESPONDERS. ° o ieeeee Other Resource Activation 0 o 10- 01/04/2001 HOME BASE #90/~/~~/~/~/~/~~~ SitelD: 015-021-000517 i~ Site Emergency Factors ~~~~~~ Overall Site i~ Special Hazards o o i~/~i~ Utility Shut-Offs ~6~~/~/~/~/~~~ee~ 11/06/2000 o A) GAS - SW CORNER OF FACILITY ° B) ELECTRICAL - S WALL OF RECEIVING DEPT ° C) WATER - PARKING LOT TO EAST BLDG o D) SPECIAL - NONE o E) LOCK BOX - NO o O i~ Fire Protec./Avail. Water ~~e~~e~~e 11/06/2000 o PRIVATE FIRE PROTECTION - INTERIOR SPRINKLER SYSTEM THROUGHOUT BLDG. o o o NEAREST FIRE HYDRANT - SURROUND ALL FOUR SIDES OF FACILITY. o i/~/~/~ Building Occupancy Level o o -11- 01/04/2001 HOME BASE #90 E/5/~EEE/~EEEEEE~EEEEEEE~EEEEEEE~EEEE SitelD: 015-021-000517 i~ Training ~~~~~~~~ Overall Site i i~/~ Employee Training ~~~/~/~~/~/~/~/~/~/~ 11/06/2000 O WE HAVE APPROXIMATELY 100 EMPLOYEES AT THIS FACILITY. o O WE HAVE MSDS SHEETS AVAILABLE FROM 3E COMPANY 24HRS VIA FAX (800)451-8346. o o BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES RIGHT TO KNOW BOOKLET AND VIDEO TAPE ARE PRESENTED TO EACH EMPLOYEE AT THE TIME OF ORIENTATION. 3E ° COMPANY, HAZARDOUS MATERIALS CONSULTANTS, CONDUCT SEMIANNUAL REFRESHER TRAINING CLASSES ON HAZARDOUS MATERIAL MANAGEMENT. o O o o .i~ Held for Fumre Use O o i/~/~ Held for Fumre Use o o -12- 01/04/2001 COMPANY October126, 2000 Bakersfield Fire Department Environmental Services 1715 Chester Ave. Bakersfield, CA 93001 RE: HomeBase#90- Bakersfield, CA Hazardous Materials Business Plan To Whom It May Concern, Enclosed is the Hazardous Materials Business Plan, as you requested for the facility noted above. This information is being provided by 3E Company, hazardous materials consultants for HomeBase. A copy of this disclosure has been forwarded to the facility and will be maintained on site. If you have any questions, or require any further information, please contact me at (760) 602-8821. 1905 Aston Avenue Carlsbad, CA 92008 1.800.360.3220 www.3ecompany.com Best Regards, 3E COMPANY Brian Davies Regulatory Disclosures Hazardous Materials Services encl. cc: Boyd Lypka, Corporate Safety Coordinator THE LEADER IN HAZARDOUS MATERIAL INFORMATION MANAGEMENT HOME BASE # 90 ~..~,~-'~, . · NOt! 0 000 CommCode: BAKERSFIELD STATION 13 EPA Numb :CAL0001 ]7662 Manager :DamylKinsley Location: 2125 PANAMA LN City : BAKERSFIELD SiteID: 015-021-000517 661 BusPhone: ~) 396-0121 Map : 123 CommHaz : Low Grid: 24D FacUnits: 1 AOV: SIC Code: 5211 DunnBrad: 10-651-4441 Emergency Contact MANAGER ON DUTY Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (805) 396-0121x (714) 447-5239x ( ) - x Emergency Contact 3E COMANY Business Phone: 24-Hour Phone : Pager Phone : / Title / HAZ-MAT CONSULT (760) 602-8820 x (800) 451-8346x ( ) - x Hazmat Hazards: Press React ImmHlth DelHlth Contact :L~daEdclman MailAddr: 3345 MICHELSON DR 100 City : IRVINE Phone: ~49 )442 State: CA Zip : 92715 _ 5457 x Owner HOME BASE Address : 3345 MICHELSON DR 100 City : IRVINE Phone: (714) 441-0171x State: CA Zip : 92715 Period : 10/27/00 to 10/27/01 Preps re r: Brian Davies, Regulatory Specialist, 3E Company Certif ' d: TotalASTs: ] = 500 Gal TotalUSTs: = Gal RSs: No Emergency Directives: = Hazmat Inventory --As Designated Order Hazmat Common Name... One Unified List All Materials at Site IspecHaz EPA HazardsI Frm IH L IH L IH S IH L IH L IH L R IH S DailyMax Ionit MCP 119 00 GAL UnR 700 00 GAL Mod 454 75 LBS Min 564 00 GAL Hi 15076 13 GAL UnR 531 95 GAL Hi 7975 00 GAL Mod P 23 GAL Mod 54 GAL Hi 25 GAL Hi 06 GAL Hi 00 LBS Hi 44 GAL Mod Do herebyi~lAedi~ thaLI have 3822 IH DH L 3803 MOTOR OIL KEROSENE PH DECREASER POOL CHLORINATING LIQUIDS PAINTS AND PAINT AEROSOLS LIQUID POOL ACID 3 INCH TABLETS AND GRANULAR CHL PAINT THINNER }, BrianDavies INSECTICIDES ~y~orp~nt~me) DIAZlNON, DURSBAN reviewed the attached hazardous [rlgt~ls ~a;;age- 6825 ROUND UP, WEED BE GONE, KLEEN U IH L 976 FERTILIZERS ment plan forHome Base#90 anllthat it aleng with 2340 ROOF AND PIPE ADHESIVES (Name°lBusiness) L 26352 any corrections constitute a complete and correct man- agement plan for my facility. 10/25/00 Date 09/05/2000 HOME BASE #90 = Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SiteID: 015-021-000517 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# Mixture STATE ~ TYPE Liquid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 119.00 GAL Daily Average 119.00 GAL %Wt. I Mixture HAZARDOUS COMPONENTS IRS CAS# HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI IH NFPA /// USDOT# MCP UnR Inventory Item 0002 Facility Unit: Fixed Containers on Site KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: GARDEN DEPARTMENT, SEASONAL CAS# 64742-47-08 VSTATE ~ TYPE Liquid [ Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL $ AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL Daily Average 700.00 GAL %Wt. HAZARDOUS COMPONENTS Mineral Spirits 8030306 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# Mod I -2- 09/05/2000 HOME BASE #9O ~ Inventory Item 0003 -- COMMON NAME / CHEMICAL NAME PH DECREASER Location within this Facility Unit GARDEN DEPARTMENT SiteID: 015-021-000517 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7681-38-01 STATE I TYPE PRESSI/RE Solid Mixture Ambient TEMPERATIYRE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 35 LBS AMOUNTS AT THIS LOCATION Daily Maximum 454.75 LBS Daily Average I 454.75 LBS %Wt. HAZARDOUS COMPONENTS Sodium Bisulfate RNRo~ CAS# 10034845 I ' I PIAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards INo No No No/ Curies IH NFPA/// I USDOT# MCP Min Inventory Item 0004 Facility Unit: Fixed Containers on Site POOL CHLORINATING LIQUIDS Days On Site 365 Location within this Facility Unit Map: Grid: GARDEN CAS# 10022-70-5 STATE ~ TYPE Liquid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container! GAL AMOIINTS AT THIS LOCATION Daily Maximum 564.00 GAL Daily Average 564.00 GAL %Wt. HAZARDOUS COMPONENTS ISodium Hypochlorite S CAS# N 7681529 TSecret No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# IMCP -3- 09/05/2000 HOME BASE #90 = Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME PAINTS AND PAINT AEROSOLS Location within this Facility Unit PAINT DEPARTMENT SiteID: 015-021-000517 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# rSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient -- TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL .141 AMOUNTS AT THIS LOCATION Daily Maximum 15076.13 GAL Daily Average 15076.13 GAL %Wt. HAZARDOUS COMPONENTS RS CAS# HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies P IH NFPA /// USDOT# IunRMCP Inventory Item 0006 Facility Unit: Fixed Containers on Site ~lV~ ~vl~ / ~£ ~ ~vl~ LIQUID POOL ACID Days On Site 365 Location within this Facility Unit Map: Grid: GARDEN DEPARTMENT CAS# 7647-1-0 r STATE TYPE PRESSURE Liquid Mixture I Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 1 GAL I 531 . 95 GAL I 531 . 95 GAL %Wt. HAZARDOUS COMPONENTS IHydrochloric Acid RSI CAS# Yes 7647010 i TSecret No I oRSIBi°Haz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA/// I USDOT# MCP Hi -4- 09/05/2000 i HOME BASE//90 ~~E~E~EE~/~/~/~/~/~EE~E~EE~E~ SitelD: 015-021-000517 i i/~ Inventory Item 0007 ~~/~ Facility Unit: Fixed Containers on Site lEE COMMON NAME / CHEMICAL NAME ° 3 INCH TABLETS AND GRANULAR CHLORINE ° Days On Site o o o 365 o o Location within this Facility Unit Map: Grid: ° GARDEN DEPARTMENT o CAS// O o o f~ STATE ~i~ TYPE ~i~ PRESSURE 5~5i TEMPERATURE ~i~ CONTAINER TYPE ° Solid o Mixture ° Ambient o Ambient ° PLASTIC CONTAINER o ~5~/~/~i~i~/~~ AMOUNTS AT THIS LOCATION ° Largest Container o Daily Maximum ° Daily Average o o 5 GAL ° 7975.00 GAL o 7975.00 GAL ° o %Wt. o o RSo CAS// o o °Trichloroisocyanuric Acid ONo o 87901° o °Calcium Hypochlorite °No o 7778543o ie~i~ii~i~i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA ° USDOT# ° MCP o o No ONoONo o No/ Curies° RIH o /// o OMod ° Inventory Item 0008 ~~~ Facility Unit: Fixed Containers on Site ii~i~ COMMON NAME / CHEMICAL NAME PAINT THINNER ° Days On Site ° ° 365 o Location within this Facility Unit Map: Grid: PAINT DEPARTMENT ° CAS# ° °64742-47-8 ° STATE/~iE TYPE/5/~i/~/~ PRESSURE/~EEi TEMPERATURE Liquid ° Mixture ° Ambient ° Ambient o METAL CONTAINR-NONDRUM ° Largest Container ° Daily Maximum o Daily Average ° 1 GAL ° 3822.23 GAL o 3822.23 GAL o i~ii~/Si~/5~i~/~/~i~¢~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o °Mineral Spirits °No ° 8030306° i/~/~/~i~/~i~/~/~/~i/~i~/~/~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# ° MCP ° No ONo ONo o No/ Curies ° IH o /// o OMod -5- 09/05/2000 HOME BASE #90/~/~/~/~/~/~/~8~fifi/~/~/~/~/~fi~fi~fi~ SitelD: 015-021~000517 i i~ Inventory Item 0009 ~i/~ Facility Unit: Fixed Containers on Site i i~fi COMMON NAME / CHEMICAL NAME/~/~/~fi/~/5~/~/~/~/~/~/~/~/~/~fi~fi/~i~~fi~ INSECTICIDES ° Days On Site ° o 365 o Location within this Facility Unit Map: Grid: fifififififififi~ifififi:ifififitiq/ GARDEN DEPARTMENT o CAS# o O o i~ STATE ~i/~ TYPE/~i~ PRESSURE ~ TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o f~~~~i AMOUNTS AT THIS LOCATION ~5~5~5~~ai Largest Container o Daily Maximum ° Daily Average o ! GAL o 3803.54 GAL o 3803.54 GAL o iiS~ii~~/~ HAZARDOUS COMPONENTS ~/~/5~/~/~/~/~i~/~i~~/~ %Wt. o o RSo CAS# o ODiazinon ONo o 333415° i~i~i~i~i~/~/~i~i88~i~i~ HAZARD ASSESSMENTS 8~i~8~i~8888~~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards ° NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH DH° /// o OHio Inventory Item 0010 ~fifi~~ Facility Unit: Fixed Containers on Site ii~ COMMON NAME / CHEMICAL NAME DIAZINON, DURSBAN o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPARTMENT o CAS# ° o O STATE ~i8 TYPE 888i88 PRESSURE ~8~i TEMPERATURE 88i~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BAG ° i~~5~/~/~/~8~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average ° 5 GAL ° 6825.25 GAL ° 6825.25 GAL o i~/~/5~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS// o oChlorpyrifos ONo o 2921882° °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA ° USDOT# o MCP ° No ONo ONo o No/ Curies° IH DH° /// o OHio -6- 09/05/2000 HOME BASE//90/~/~/~i566~/~/5/~/~/~/~/~~ SitelD: 015-021-000517 i/~ Inventory Item 0011/~/5~~ Facility Unit: Fixed Containers on Site i~/~ COMMON NAME / CHEMICAL NAME ROUND UP, WEED BE GONE, KLEEN UP o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPARTMENT o CAS# o O o f~ STATE ~i~ TYPE ~i~ PRESSURE ~/~/~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~/~i~~i~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o ~ GAL ° 976.06 GAL o 976.06 GAL o i~i~/~/~~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS// ° ODiquat ONo o 85007° iS~8~i~i~Si~i~i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# ° MCP ° No ONoONo o No/ Curies° IH o /// o Inventory Item 0012 EE~EE~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME FERTILIZERS ° Days On Site o 365 o Location within this Facility Unit Map: Grid: GARDEN DEPARTMENT ° CAS// ° ° 6484-52-02 ° STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~ifie~ CONTAINER TYPE Solid o Mixture o Ambient o Ambient o BAG o ii~i~/~i~/~~i~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum ° Daily Average ° 30 LBS ° 2340.00 LBS ° 2340.00 LBS ° i~i~~/~ HAZARDOUS COMPONENTS %Wt. ° o RS° CAS// o °Ammonium Nitrate ONo o 6484522° i~i~i~/~i~/~/~/~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# ° MCP o No ONoONo ° No/ Curies° IH o /// o OHi° -7- 09/05/2000 HOME BASE P90 ~/~/~/~/~/~/~/~/~/~~/~/~/~/~/~~ SitelD: 015-021-000517 i i~ Inventory Item 0013 ~/~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~/~/~i~/~~i~~~ ROOF AND PIPE ADHESIVES o Days On Site o o 365 o Location within this Facility Unit Map: Grid: GARDEN, BUILDING MATERIALS, PAINT, FLOOR AND WALL, PLUMBING o CAS# o 108-88-03 o i~ STATE ~ifi TYPE ~i~ PRESSURE fififii TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture ° Ambient ° Ambient ° PLASTIC CONTAINER o i~/~i~i~i~/~i~i~i~/~/~i~/~i~i AMOUNTS AT THIS LOCATION ~/~/5/5~/~~5/~5~i Largest Container ° Daily Maximum ° Daily Average o 5 GAL ° 26352.44 GAL ° 26352.44 GAL ° i~i~~ HAZARDOUS COMPONENTS ~EE~i~iiS~~i %Wt. o o RSo CAS# o OToluene ONo o 1088830 i~i~i~i8~8~8~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA ° USDOT# o MCP o No O NoONo o No/ Curies o o /// o OMod ° -8- 09/05/2000 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION t--lADD [--]DELETE tX]REVISE 2ooI Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 tome Base # 90 CHEMICAL LOCATION 2ot [ CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 Rear of BuidingI [] YES [] NO FACILITY 1D # [ ~!~:~l 1 203 204 II. CHEMICAL INFORMATION CHEMICAL NAME 2os TRADE SECRET [] Yes [] No 206 Liquified Petroleum Gas IfSubjecl tO EPCR. A, refer to insumctions COMMON NAM E 207 208 Propane EHS* [] Yes [] No cAS# 2o~ 74-98-6 *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (comol*te if required by CUPA) 210 FG, IRR HAZARDOUS MATERIAL 213 TYPE (Check one item only) [] a. PURE [] b. M/XTURE r"] c. WASTE 211RADIOACTIVE [] Yea [~ No 212 CUR. lES 215 PHYSICAL STATE (Check one item only) [] a. SOLID [] b. LIQUID [] e. GAS 214 LARGEST CONTAINER 500 FED HAZARD CATEGORIES 216 (Check all tlmt apply) [] a. FIRE [] b. REACTIVE ,[~ c. PRESSURE RELEASE ~1~ cl. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2,7 MAXIMUM DAILY AMOUNT 21sI ANNUAL WASTE AMOUNT 2,9 I STATE WASTE CODE 220 350 500 221 DAYS ON SITE: 222 UNITS* ~l a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 3 65 STORAGE CONTAINER [~a. ABOVE GROUNDTANK [-le. PLASTICdNONMETALLICDRUM [] LFIBERDRUM [-Im. GLASS BOTTLE [] q. RAILCAR []b. UNDERGROUND TANK []£CAN [] j. BAG I--Irk PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # ~00 226 Liquified Petroleum Gas 227 [] Yes [] No 22s 74-98-6 229 2 230 23! [] Yes [] No 232 2a3 3 234 235 [] Yes [] No 236 237 4 23s 239 [] Yes [] No 240 24, 5 242 243 [] Yes [] No 2~4 24s If more haz~rdoua componcatl are preSent at greater than 1% by weight If non-carcinogenic, or O. 1% by weight If carcinogenic, attach additional sheets of paper capturing the r~quir~d Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2,16 If EPCRA, Please Si~n Here UPCF (1/99) 6 OES Form 2731 Notif./Evacuation/Medical ~/~/~/~/~/~/~/~/~/~~ Overall Site i ~ Agency Notification ~/~~/~/~~~~ 01/25/1994 O 3E COMPANY WILL REVIEW ALL CHEMICAL SPILLS TO DETERMINE FEDERAL, STATE, AND ° LOCAL SPILL RELEASE REPORTING REQUIREMENTS IN CONJUNCTION TO LAWS SUCH AS o CERCLA AND SARA. LOCAL REPORTING WILL BE IN CONJUNCTION WITH FIRE o DEPARTMENT REQUIREMENTS AND REGULATIONS. o o o O O ii~i~i~ Employee Notif./Evacuation ~EEE~E~/~E/~¢~/~EE~EEE/~/~/~ 01/25/1994 O MANAGER ON DUTY OR APPLICABLE STAFF MEMBER TO NOTIFY PERSONNEL AND CUSTOMERS BY PUBLIC ADDRESS SYSTEM THROUGHOUT STORE, VOCAL RESPONSE OR FIRE ALARM. ° o iEEEE Public Notif./Evacuation Ei~/~E~i~/~E~EEE~E~E/~i~EE~/~EE~EE 01/25/1994 i O AFTER INITIAL NOTIFICATION, PERSONNEL AND CUSTOMERS ARE ESCORTED THROUGH° EMERGENCY EXITS LOCATED THROUGHOUT STORE. EXITS ARE CONSPICUOUS AND ° ILLUMINATED. ° O o IN THE EVENT OF A MEDICAL EMERGENCY, THE CUSTOMER OR EMPLOYEE WILL BE TAKEN o VIA PARAMEDICS OR AMBULANCE TO THE NEAREST MEDICAL FACILITY. THE ADDRESS OF ° THIS FACILITY IS LISTED BELOW. ° BAKERSFIELD OCCUPATIONAL MEDICAL GROUP ° 4580 CALIFORNIA AVENUE ° BAKERSFIELD, CA 93309 (805) 327-4527 o -9- 09/0512000 i HOME BASE//90 EE/~E/SEEEEEE/~E/~/~/~/~/~EEE/~EEEEE~EEEEEEE~E SitelD: 015-021-000517 i i~ Mitigation/Prevent/Abatemt/~EEE/~/~E~i~E/~/~EEEE~E~E~ Overall Site i i~ Release Prevention EE~EE~EEEEEE~EEE~E~EE~EE~EEE~/5~EEE~E~ 01/25/1994 i o o o PRODUCTS MERCHANDISED IN A MANNER TO PRECLUDE ACCIDENTAL DAMAGE AND TO ° o PREVENT SPILLS OR ACCIDENTAL MIXTURES. ° o o iEEE Release Containment EEEEEE/SE/~EEE/~EEEEEEEEEEEEEEEEEEEEEEE/~EEEEE 01/25/1994 i o o o IF A RELEASE DOES OCCUR, MATERIAL IS IMMEDIATELY DIKED OR ABSORBED WITH o ° IN-HOUSE SPILL PAK OR BULK ABSORBENT SOLD AS A CONSUMER PRODUCTS ° ° (DIATOMACEOUS EARTH, SODA ASH, OR LIME) ° o O iEi~EE Clean Up E~i~Ei~i~i~i~EEEE/~/SEi~i~E~EE~E~EEEEEEEEEE 01/25/1994 o o ° SMALL SPILLS ARE MANAGEDBY SAFETY COMMITTEE AND APPLICABLE STAFF MEMBERS ° o THAT HAVE BEEN PROPERLY'TRAINED. STORE PERSONNEL CONTACT 3E COMPANY, ° ° HAZARDOUS MATERIALS CONSULTANTS, WHO WILL IF NECESSARY WILL CONTACT THE ° o PROPER EMERGENCY RESPONDERS. ° o o i~EE Other Resource Activation O O o o -10- 09/05/2000 HOME BASE #90/~/~/~i~fi~~/~/5~5~fi~/~fiE/~ SitelD: 015-021-000517 i/~ Site Emergency Factors/5/~/~/~/~/~/~/~/5/5/~/~~~~ Overall Site i i/~t5 Special Hazards o o i~ Utility Shut-Offs ~/~/5/~i~/~/~/~/~/~/~/~/~5~~ 03/03/1994 o A) GAS - SOUTHWEST CORNER OF FACILITY o B) ELECTRICAL - SOUTH WALL OF RECEIVING DEPARTMENT ° C) WATER - PARKING LOT TO EAST BUILDING. ° D) SPECIAL - NONE o E) LOCK BOX - NO ° o i~ Fire Protec./Avail. Water/~/~i5~i5~i~i~/~/~/5i~i5i5/~~ 03/03/1994 o PRIVATE FIRE PROTECTION - INTERIOR SPRINKLER SYSTEM THROUGHOUT BUILDING. o o o o o NEAREST FIRE HYDRANT - SURROUND ALL FOUR SIDES OF FACILITY. o o o i~/5~ Building Occupancy Level o o o - 11- 09/05/2000 HOME BASE//90 e/~e/~eeee~/~e/~/~eei~/~eeeeeeeeeeeeeeeee~ SiteID: 015-021-000517 i~ Training/~/~/~/~/~/~/~/~~/~/~/~~e~ Overall Site i i/~/5 Employee Training/~/~/~/~fi/~/5/~ee/~e/~/~/~eeeeeb~eee~e~ee6~e~ee6e6e Ol/24/1994 o NUMBER OF EMPLOYEES' WE HAVE APPROXIMATELY 100 EMPLOYEES. o o M.S.D.S.' AVAILABLE FROM 3E COMPANY 24HRS. VIA FACSIMILE (800) 451-8346. ° o BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE'S RIGHT-TO-KNOW BOOKLET AND ° VIDEO TAPE ARE PRESENTED TO EACH EMPLOYEE AT THE TIME OF ORIENTATION. ° 3E COMPANY, HAZARDOUS MATERIALS CONSULTANTS, CONDUCT SEMI-ANNUAL REFRESHER TRAINING CLASSES ON HAZARDOUS MATERIAL MANAGEMENT. ° o i/~fi/Si~ Held for Future Use o o ii~/~/~/~i~ Held for Future Use O o - 12- 09/05/2000 I Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021000517 HOME BASE #90 LOCATION 2125 PANAMA Issued by: This permit is issued for the following: ,~!~!i,i,!!!ii;;:::iiiili!!!ili~;i::~;ground Storage of Hazardous Matenals Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL 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 BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To ovoid fudher action, return 1his form wilhin 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business os a whole. 4. Be brief and concise cs po~ible. SECTION 1' BUSINESS IDENTIFICATION DATA RECEIVED 0EC 1 5 1995 HAZ. MAT. DiV, BUSINESS NAME' Home Base /190 LOCATION' 2125 Panama Lane % MAILING ADDRESS: 3345 Michelson Drive //100 C!TY: Irvine DUN & BRAOSTRE'ET NUMBER: PRIMARY ACTIVITY: Reta±l OWNER' ~m~ ~'-~e MAltiNG ADDRESS: 3345 Michelson Drive //100 Irvine~ 31'ATE. C_.~_.A ZIp:92715 PHONE: (714) 441-0171 SIC CODE: 5211 home improvement center. CA 9271 5 SECTION 2: EMERGENCY NOTIFICATION: duty CONTACT 1. _,Manager on 2.._.3E Company TITLE Hazardous Material BUS. PHONE (805). 396-01.21 24 HR. PHONE (714) 447-52~9 Consultant 24hr. (800)451.8346 .1. SECTION 3: .. r3a~el-stle/d f~e 13ep~. ~ardgus ~'ateria~s Di~dsi0n HAZARDOUS MAIERIALS MANAGEMENT PLAN TRAINING: NUMBER OF EMPLOYEES: Approximately 100 MATERIAL SAFETY DATA SHEETS ON FILE: Available from 3E Company 24hrs. via facsimile (800) 451-8346. BRIEF SUMMARY OFTRAINING PROGRAM: Employee's Right-To-Know booklet and video tape are presented to each employee at the time of orientation. 3E Companyi hazardous materials consultants, conduct semi- annual refresher training classes on hazardous material management. ~ SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT' MY BUSINESS iS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALtFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT. HANDLE HAZARDOUS MATERIALS. WE 00 H,~NDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED 'THE MINIMUM REPORTING QUANTF['IES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, /~b/,~/_~,~3~;~ CERTIFY THAT THE ABOVE iNFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS. UNDER THE "CALIFORN,A HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV.. 20 CHAPTER 6.95 SEC. 255.,00 ET AL.) AND TH,.~T INACCURATE iNFORMATION.CONSTITUTES PERJURY. SIGNATURE TITLE DATE. B akersr~..e, ld Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Fc:ciliI7 Unit Name: HomeBase #90 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROC"cOURES.' 3E Company will review all chemical spills to determine Federal, State, and Local spill release reporting requirements in conjuction to laws such as CERCLA and SARA. Local reporting, will be in conjuction with fire department requirements and regulations. EMPLOYEE NOTIFICATION AND EVACUATION: Manager on duty or applicable staff member to notify.personnel and customers by public address system throughout store, vocal response or Fire Alarm. C0 PUBLIC EVACUATION: After initial notification, 'personnel and customers are escorted through emergency exits located throughout store. Exits are conspicuous and illuminated. EMERGENCY MEDICAL PLAN' In the event of a medical emergency, the customer or employee will be taken via paramedics or ambulance to the nearest medical facility. The address of this facility is listed below. · Bakersfield Occupational. Medical Group 4580 California Avenue Bakersfiel.d, CA 93.309- (805) 327-4527 ',° Hazardous HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: Products merchandised in a manner to preclude accidental damage and to prevent spills or accidental mixtures. RELEASE-CONTAINMENT AND/OR MINIMIZATION: If a release does occur, material is immediately diked or absorbed with in-house Spill Pak or bulk absorbent sold as consumer products (diatomaceous earth, soda ash, or lime). CLEAN-UP PROCEDURES: Small spils are managed by safety committee and applicable staff members that have been properly trained. Store personnel contact 3E Company, hazardous materials consultants, who will if necessary will contact the proper emergency responders. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY}__!: NATURAL GAS/PROPANE: South' ELECTRICAL: South w~]l nf receiving WAiER: parki ' ' .,, ,_CIAL. LOCK BOX: YES/~ IF YES. LOCATION: SECTION 9: PRIVATE FiRE PROTECTiON/WATER AVAILABILITY: PRIVATEFiREPROTECTION: Interior. sprinkler.system throughout building WATER AVAILABiLtTY (FIRE HYDRANt' : Fire hydrants surround all four sides of facility BAI .RSFIELD'CITY FIRE i, EPA RTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM BUSINESS NAME Home FACILITY NAME Home SITE ADDRESS 21 25 CiTY Bakersfield [] g~.~ #qO B~se Panama f,a nc, NATURE OF BUSINESS' SIC CODE 5211 Retail STATE 'CA ZIP 93307 Home C~n~r DUN & BRADSTREET NUMBER- OWNER/OPERATOR Unm~ MAILING ADDRESS 3345 CiTY Irvine Michelson Drive #1oo STATE CA PHONE ( 7t 4) 44'1-0171 ZiP 9271 5 NAME Manaqer on duty BUSINESS PHONE (805) EMERGENCY CONTACTS TITLE 396-0121 24-HOUR PHONE (80o) 451-8346 NAME Asst. ManagP_r on d,~y BUSINESS PHONE (805) 396-0121 TITLE 24-HOUR PHONE (8o0) 451'8346 BAKERSFir D CI'FY FIRE DEPAFJ IENT HAZARETOUS MA:I'ERIALS INVENTORY Page l__of_~8 :sinessName Home Base Address 2125 Panama T,an~ CHEMICAL DESCRIPTION !) INM~_NTORY STATUS: New []x~ Addition [ ] Revision [ J Oeletion { ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ] Household, cleaners 3) DOT ¢ (option-~) 2) Common Nam,e~/ · . Chemical Name:V(Chl°rine Solutions AHM [ ] CAS # ~,) PHYSICAL & HEALTH PHYSICAL HEALTH . HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immedia/e HeaJth (Acute) [~>~ Delayed HeaAh (Chronic) 5) WASTE CLASSIFICATION (3-digit code from OHS Fon'n 8022) USE CODE 0 8 B) PHYSICAL STATE Solid [ ] Liquic~ ~] Ga~ [ ] Pure [ ] Mixture [~j Waste [ ] Radioactive [ ] AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Ma~amum Daily Amount: 2 0 lbs [ ] gaJ X ] ~3 [ ] a) Container: 1 0 Average Daily Amount: cunes[ ] b) Pressure: -I Annual Amount: c) Tempera/ute: 4 L~gest Size Container: ~ # Days On Site ~ C[rcte Which Months: All Ye~, J. F. M. A, M. J, J, A, S, O. N, D 9) MIXTURE: Mst the three most h~za~dous chemical components or · ny AHM components onMPD~JENLT.. CAS # % WI' AHM S O d i um HYpochlori-te 5 % [ ] 1). 2) [ ] [] 3) 10) Location Garden and Paint CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ X Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) CommonN~rne: Motor Oils 3) DOT# (optional) ChemicaJ Name: NlM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure { ] immediate Hem'th (Acute) [~ Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit Code from DHS Form 8022) USE CODE 2 6 _ 6) PHYSICAL STATE Solid [ ] Liquid [~ Ga~ [ ] Pure [ ] Mixture Ix] Waste [ ] RadioactJve [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE COOES Ma~ximumOailyAmount: 119.38 I~ [ ] gal [~ ~3 [ ] a) Contaner: 10 Average Oa~iy Amount: curies [ ] b) Pressure: '~ Annual Amount: c) Temperature: 4 L~tgest Size Comalner. ~ # Dew on s~e 365 Circle Which Months: All Year, J. F, M, A. M, J, J, A. S, O. N, O 9) MIXTURE: List the three most ha,z&rdous chemical components or a~y NlM components 11 2) 3) COMPONENT CAS # % w'r AHM .[] [] 1 0) Location cera/y unOer pena~y ot law, ~hat I have aha em submitted informa~fon is ~ue, accurate, and complete. PRII~' Name & 77tie of Authorized Company Fiepres§ntadve Signature c~ocumen~ BAKER ii IELD CITY FIRE. DEP RTMENT HAZARDOUS MA:FERIALS INVE-- ORY Page__~f :__8 3usinessName Home Base #90 Address 212.5 Panama Lane CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ I Addition [ ] Revision [ ] Deletion ( ] Check if chemicaJ is a NON TRADE SECRET [ ] ~:~ADE SECRET [ ] 2) Common Name: Fuels Kerosene Chemica] Name: AHM [ ] 3) DOT..# (option-;) CAS# 64742-47-8 PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ } Immediate He~ttl (Acute) { ~ Delayed heaAh (Chronic) { ] WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 PHYSICAL STATE Solid [ ] Liquid ~] Gas [ ] Pure [ ] Mixture [Z Waste [ ] Rax:iioactive [ ] 7) AMOUNT AND TIME AT FACIUTY Ma~Jmum Oadly Amount: 7 0 0 Average Daily Amount: Annua. I Amount: Lm'gest Size Container: # Days On Site 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal [~] 1t3 [] a) Container: 1 0.'1 3 cunes[ ] b) Pressure: c) Temperature: Circle Which Months: All Year. J. F. M. A. M. J. J. A. S, O. N. O COMPONENT CAS ~* Mineral Spirits 64742-47-8 9) MIXTURE: Mst % WT AHM the three most ha~a:'dous 10- 50 [ ] chemicaJ components or any AHM components 2) [ ] 3) [ ] 10) Location Garden Department, Seasonal CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New DO' Addition [ ] Revision [ ] Deletion [ ] Check if chemica] is a NON TRADE SECRET [ ] TRADE SECRET 2) Common Name: Propane~/~ Chemical N~me: Propane 3) DOT # (opdon~) UN 1075 AHM [ ] CAS# 74-98-6 PHYSICAL & HEALTH HAZARD CATEGORIES Fire PHYSICAL Reactive [ ] Sudden Release of Pressure IX] HEALTH Immediate Health (Acme) ~] Delayed Hemth (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 1 9 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [~X Pure [ ] Mixture ~ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 37.93 lbs [ ] gal [ ] ft3 ~ a) Container:. 0 4 Average Daily Amount: curies [ ] b) Pressure: t Annu~J Amount: c) Temper~ure: Largest Size Container, # Days On Site ~ Circle Which Months: NI Year. J. F, M. A. M. J. J. A. S. O. N. O 9) MIXTURE: LJat the three most hazardous chemical components or any AHM components COMPONENT CAS # % WT AHM Propane 74-OR- F; 9.6 [ ] [ ] [] 3) 10) Lo.mo. Garden and Hardware D~artments cernfy un, er penam/ of /aw, ;hat I ha,~,~ per=onally examined ~ ~ t~iti~ wire me infom~on suDm~ ~ mis ~a ~J ~¢~ O~cumen~ 1. believe PRI~ N~e & ~ffe of ~ofiz~ Comfy Represen~e- Sig~ D~ ~usiness Name BAKERSF],ELD CITY FIRE DEPAiTMENT HAZARDOUS MATERIALS INVENT1DlqY Home Base #90 Address 2125 Panama Lane Page 3of8 CHEMICAL DESCRIPTION '~) INVENTORY STATUS: New [X~] Addition/1 Revision[ ] [Deletion[ ] 2) Common Name: Propane ~/ Chemicat Name: Propane Check if chemicat is a NON TRADE SECRET [ ] TRADE SECRET [ ] 3) DOT ¢ (optional) 1075 AHM{ ] CAS,' 74-98-6 PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire IX] Reactive [ ] Sudden Release of Pressure [ ] HEALTH Immediate Hea~th (Acute) [~X D~layed Heatth (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 1 9 6) PHYSICAL STATE Solid { ] Liquid [ ] Gas ~] Pure [ ] Mkture Ix] Waste [ ] Radioactive 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: 4 0 Average Da. ih/ Amount: Annual Amount: Largest Size Container: # Days On Site 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbS [ ] gm [] ~t3 [~ a) Container: .02 cunes[ ] b) Pressure: Z c) Temperature: 4 Circle Which Months: AllYe~r. J, F. M, A, M, J, J, A, S, O, N, D MIXTURE: List the three most ha.za~dous chemic..aJ components or any AHM components COMPONENT CAS # % WT AHM ~) Propane 74-98-6 9.6 [l 2) [ ] 3) [ ] 10) LocaZion Outside rear of building CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New](]' Addition[ ] Revision[ ] Deletion[ ] Check if chemicaJis a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: pm Decreaser 3) DOT # (optional) ChemicatName: Sodium Bisulfate · AHM [ ] CAS# 7681-38-1 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) IX] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) U$E COOE 99 Pool Product 6) PHYSICAL STATE Solid ~ LiQuid [ ] Ga~ [ ] Pure ['] Mixture ~] Waste [ ] Radioactive [ ] 7) AMOUNT ANO TIME AT FACIUTY Maximum Daily Amount: 454. 75 Average Oaiiy Amount: AnnuaJ Amount: Lstgest Size Container: # Dsys On Site 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbs [2 gaJ [ ] It3 [ ] a) Container, I 0 cudes [ ] b) Pressure: 1 c) Temperature: 4 Circle Which Months: All Year, J. F, M, A. M. J, J, A, S, O. N, D 9) MIXTURE: List - cOMPONENT CAS # % WT AHM the three most haza.,dous 1) Sodium Bisu.L:l:ate 7681-38-1 [] chemicaJ componen~ or ,. any AHM components 2) [ ] '[] 3) 10) Loc~. Garden Department certify unOer peneJ~/ or law, a?a~ I have personally exammea aha am familiar wll~l [De inforna~On suDrnirtec~ on D~iS ~nc~ all ana_cl3e~ aocumen~. J J;efieve In~. ,subrni~tedinf°rmafi°ni$~'e'accura~e'andc°mpiete'.. ,, ~,~/-~'.~A~,.-~'~/'/~ . . *~~__~ /~ p./2..~ ____ ' PRI~r Name & 77~fe of Au~hodzed Company l~epres6ntadve Signature Date BAKER i :iELD CI'L-Y FIRE. DEP._ARTMENT HA, IERDOUS MA:i'ERIALS INVL: rORY 9usiness Name Home Base //90 Address 2125 Panama Lane P a § e_5.o f_8_ CHEMICAL DESCRIP'rlON 1) INVENTORY STA'}"US: New~ ] Addition [ ] Revision [ ] Deletion ( ] Check if chemic, si is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) CommonN~e:Poo1 Chlorinating 5iquids Chemical Name: Sodium Hypochlorite 3) DOT # (op[ionaJ) AHM [ ] CAS#1 0022--70--5 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ J Reactive [ ] Sudden Release of Pressure [ J lmmedia/e Health (Acute) [~ Delayed HeeAh (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 9 9 Pools 6) PHYSICAL STATE Solid [ ] Liquid iX G~s [ ] Pure [ ] Mixture [~ Waste [ ]' Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY Maximum O~ily Amount: 5 6 4 Average Dally Amount: Annual Amount: Largest Size Container: # Days On Site 3 6 -~ UNITS OF MEASURE 8) STORAGE CODES ~bs [ ] gaJ [k ~3 [] a) Cont~ner: 1 0 curies [ ] b) Pressure: ] c) Tempera/ure: 4 Circle Which Months: AllYesr. J. F, M. A, M. J. J. A. S. O. N, D 9) MIXTURE: Ust coMpONENT CAS # % WT AHM the three most he. z~dous 1) Sodium Hypochlorite 10022-70-5 I 0 [ 1 chemical components or a~y AHM components 2), [ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ~ Addition [ ] Revision [ ] Deletion [ ] Check ~f chemical is a NON TRADE SECRET [ ] TRADE SECRET 2) Common Name: Paints and pain~ aerosols 3) DOT # (optional) UN !263 Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [ I Reactive ( ] Sudden Release of Pressure ~ ] HEALTH Immediate HeaJth (Acute) [~ Delayed HeeJth (Chronic) 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022} USE CODE 29 6) PHYSICAL STATE Solid { ] Liquid iX Ga~ [ J Pure [ ] Mixture [~ Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount: Average Dally Amount: Annual Amount: LaJ'gest Size Container:. # Days On Site UNITS OF MEASURE 8) STORAGE COOES I 5,076.13 [~ [ ] gal ['~ ~3 [ ] a) Container. I 3 curies [ ] b) Pressure: c) Temperature: ~ 6~ Circle Which Months: AllYem'. J. F. M. A. M. J. J, A. S, O. N. 0 9) M~XTURE: List · the three most h~z~rdous chemic~fl components or any AHM components COMPONENT CAS # % WI' AHM [] [] 10) Location Paint Department J cer~ty un, er penaJty oi law, tha~ I have per=ona~ly examined ~ ~ l~lli~ wl~ ~e iniom~on~~/~suom~ on ~i~ ~a ~1 a~ ~cumen~ . s ubmi~ info~afion i' ~e, accumte,~d complete. ~~~~ ' ' PRI~ N~e & ~e of A~onzed Comfy RepresentS. ~ig~m r D~ BAKERSFi .D CI'[:Y FIRE DEPAP MENT HAZARd)US MA:I'ERIALS INVENT( 'Y ,$inessName Home Base #90 Address 2125 Panama Lane Page4 of 8 CHEMICAL DESCRIPTION .. INVENTORY STATUS: New [~ Addition [ ] Revision [ ] Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [ I TRADE SECRET Common Name: ~iquid Pool Acid 3) OOT· (options0 UN' 1789 C.~emic-'Name: Muriatic Acid-Hyd. rochl~ic Acid AHM[)~ CAS#7647-1-0 PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediaze heaJth (Acute) XX Del;yed HeeJth (Chronic) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 9 9-Pools PHYSICAL STATE Solid [ ] Liquid f,X] G~s [ ] Pure [ ] Mixture [~ Wa.~te [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY Maximum Da~ly Amount: 5 3 I . 9 5 Average Oaily Amount: Annual Amount: Largest Size Container: # Days On Site 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gaJ [~] 1t3 [ ] a) Container:. curies [ ] b) Pressure: c) Temp~erature: Circle Which Months: All Yew, J, F, M, A, M, J, J, A. S, O, N, D 9) MIXTURE: List the three most hazm'dous chemicaJ components or any AHM components Hydrochloric Acid CAS # %W1' AHM 2). [ ] 3) { ] 10) Location Garden Department . CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ~ Addition [ ] Revision [ ] Deletion [ ] Checkif chemical is a NON TRADE SECRET [ I TRADE SECRET [ ] 2) Common Name: 3in. Tablets and Granular chlorine 3) DOT # (optional) ChemicaJ Name: CAS # Isocyanuric Acid, Calcium Hypochlorite AHM,I~] 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ 1 Reactive [ ~ Sudden Release of Pressure [ ] Immediate HeeAh (Acute) [~] Delayed HeaJth (Chronic) 5) WASTE CLASSIFICATION .(3-digit code from DHS Form 8022) USE CODE 9 9 Pc)c)] .~ PHYSICAL STATE Solid ~] Liquid [ ] Ga.~ [ ] Pure [ ] Mixture k] Waste [ I Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: 7 9 7 5 Average Daily Amount: AnnueJ Amount: I-~gest Size Container: # Oay~ On S~e 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbs [~ gaJ [ ] It3 [ ] a) Container:. I curies [ ] b) Pressure: c) Temperature: Circle Which Months: AllYea~, J, F, M, A, M, J, J, A, S, O, N, O 9) MIXTURE: Ust - the thre~ most haz~dous chemical componen[s or any AHM components 1) 3) COMPONENT Tr±chloro±socyanuric Ac±d~ Calciu~ Hy~°chl~rite CAS # % WI' .OHM dry 87-90-1 }(] 777R-Ka-q K] II · 10) Logan Garden Department o~ an~cned d.ocumencs. I.beiieve me ce~fy under panal~y o[ law, ~hat I have personally examined and am larnilia~ wifll ~he inioma~on sui3rnitted n ~hi$ ;ubmitted information is tnfle, accurate, and complete. /7 ~,.~ .~ ~ ~,~ ~ ~ ~RINT Name & 77#e of Authorfzed Company Representa~ve~ ' ' Signature ' Dam BAKER :IELD CI"[:Y FIRE. DEP, RTMENT H RDOUS MA':I-ERIALS INVEI!I ORY 3usiness'Name Home Base #90 Address 2125- Panama Lane P ag e--,6._o f:.~.8 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New.~] Addition( ] Revision[ I [3eletion{ ] Checkffchemicatis a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: Paint Thinners ,_ AcetDne.,. 3~inseed Oil 3) DOT # (optionai) UN 1263' ChemicalName: Mineral Spirits AHU [ 1 CAS# 64742-4~7--8 PHYSICAL & HEALTH HA2.ARO CATEGORIES PHYSICAL Fire [ ] Reactive ( ] Sudden Release of Pressure ( ] HEALTH Immediete Heelth (Acute) [~x~' Delayed Hea~th (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code Eom DHS Form 8022) USE CO[3E 2 9 6) PHYSICAL STATE Solid [ ] liquid [)~ Ga~ [ ] Pure [ ] Mixture [~x~ Waste [ ]. Radioactive [ ] 7) AMOUNT AND TiME AT FACILITY Maximum Da~ly Amount: 3 8 2 2. 2 3 Average D-ily Amount: AnnuaJ Amount: Largest Size Container: # Days On Site 365 UNITS OF MEASURE 8) STORAGE COOES lbs [l ga~ [~ ft3 [] a) Container: 1 3 cunes I. ] b) Pressure: ] c) Temperature: 4 Circle Which Months: AllYee. r. J. F. M. A. M. J. J. A. S. O. N. [3 9) MIXTURE: Ust · the three most h~za~dous chemical components or any AHM components ..COI~PO,N ,ENT CAS # % WT AHM 7) Mineral ~pzrz~s 64742-47-8 2) [ ] 3) 10) Location Paint Department CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New~ 1' Addition ( ] Revision [ I Deletion [ ] Check if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: Insecticides Chemi~ N~e: 'Diazinon, Malathion 3) DOT # (option,,9 AHM ( ] CAS # 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [ ] Reactive( ] Sudden Rele&se of Pressure [ ] HEALTH Immediate Health (Acute) [.~ Delayed Health (Chronic) ~ ] 5) WASTE CLASSIFICATION (3-digit code from OHS Form 8022) USE CODE 2 4 6) PHYSICAL STATE Solid [ ] liquid [~ G~s [ ] Pure [ ] Mixture [~ Waste [ ] RadioaC*aVe [ ] 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: .3803.54 Average {3ally Amount: Annual Amount: Lsrgest Size Container, # Days On site 3 6 5 UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal [~ fi3 [ ] a) Container, 10 cudes [ ] b) Pressure: c) Temperature: 4 CircleW~ich Months: AllYe~. J. F. M. A. M. J. J. A. S. O. N. D 9) MIXTURE: List the three most hazardous chemical components or a~y AHM componen~ COMPONENT CAS# % ~) Pvrethins [1 2) Chlor~yrifos [1 · 3) Diazinon 10) L~ion Garden Department PRINT Name & 'tilde of A~o~Jze~ Company RepresentaUve/ Signature BAKERSFIFi D CITY. FIRE. DEPAPi ENT HAZARI gUS MATERIALS INVENTO'M%' sinessName Home Base #90 Address 2125 Panama Lane Page 7of8 CHEMICAL DESCRIPTION .. INVENTORY STATUS: New [ I Addition [ I Revision [ I Deletion [ ] Chec~ if chemicaJ is a NON TRADE SECRET [ ] TRADE SECRET Common Name: Dia2~non, Dursban ChemicaJName: Insecticides, solid 3) DOT #(optiona]) AHM [ ] CAS # PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [ } Reactive [ ] Sudden Release of Pressure [ ] HEALTH Immedi~e HeaJth (Acute) ~ ] Del;yeti He~th (Chronic) ~ ] 5) WASTE CLASSIFICATION (3-digit code from DH$ Form 8022) USE CODE ;) 4 5) PHYSICAL STATE Solid ~] Uquid [ ] G~s [ I Pure [ ] Mixture [~ Waste [ ] Radioective [ I 7) AMOUNT AND T1ME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum ga~ly Amount: 6 8 2 5.2 5 lbs [~ g~l [ ] 1t3 [ ] a) Container. 1 2 Average Da~ly Amount: curies [ ] b) Pressure: 1 Annual Amount: c) Temperature: 4 I_~gest Size Container: # Days On Site 3 t~ Circle Which Months: All Yea/. J. F. M. A. M. J. J. A. S. O. N. D 9) MIXTURE: List the three most he. za~dous chemic, a] components or any AHM components COMPONENT CAS# %~rr AHM ~) Pyrethins 008003-34-7 2) Chlorpyrifos 002921-88-2 [] 3) Diazinon 000333-41-5 [] 10) Location Garden Department CHEMICAL DESCRIPTION INVENTORY STATUS: New [ ~ Addition [ ] Revision [ ] Deletion ( ] Check if chemic~ is a NON TRADE SECRET [ ] TP, ADE SECRET [ ] 2) Common Name:~ Round Up_, Weed Be Gone, Kleen Up 3) DOT#(optionah Chemical Name: Herbicides, Liquids AHM [ I CAS # '4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Releaseof Pressure [ ] Immediate HeaJth (Acute) [~1 Delayed HeaJth (Chronic) 5) WASTE CLASSIFICATION [3-digit code from OHS Form 8022) USE CODE 2 4 6) PHYSICAL STATE Solid [ ] liquid~ Gas [ ] Pure [] M~=ure kl wast, [ ] Rad~oact~e [] 7) AMOUNT AND TIME AT FAC1UTY Maximum Daily Amount: 976.06 Average O~ily Amount: Annu~J Amount: L~gest Size Container: # Days On Site UNITS OF MEASURE 8) STORAGE CODES lbs [] ga [){ ft3 [] a) Container. 1 0 curies [ ] b) Pressure: 1 C) Temperature: 4 Circle Which Months: AJIYea~. J. F. M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS # % WT AHM the thre ~ most hsza.rdous 1) Diquat 85-00-7 [ ] chemic~ components or a.nyAHM components 2) Dimeth¥1en~' Salts [ I 10) Loc.~ion Garden Department , cen3fy unOer penal~/oi law, ~hatl have personally ex~r~ined ~a ~/~,liu w,m me iniomauon su~min~ on mi~a ~~ dscumen~ ,al, eve ~o =ubmi~ info~a6on is ~e, accu~te, ~d complete. __ ~/ · ~ ~/ / · PRI~ N~e & ~e of A~ofized Comp~y Bepresenm~ve / ~ Signa~m Dam Jslness N~me BAKERSFIELD CITY FIRE DEPARTMENT HAZIDOUS MA 'ERIALS INVEI ORY Home Base #90 Address 2125 Panama Lane P ag e_.~.8 o f._.~_8 CHEMICAL DESCRIPTION iNVENTORY STATUS: New [~x~ Addition [ ] Revision [ ] Deletion [ ] Check if chemicel is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) CommonNa~'ne: Fertilizers Chemicad Name: Ammonium Nitrate 3) DOT # (optionad) AHM[ ] CAS #6484-52-2 ~,) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate HeaJth (Acute) [~ Delayed HeaJth (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code Eom OHS Form 8022) USE CODE 2 3 PHYSICAL STATE Solid ~] Uquid [ ] Gas { ] Pure [ ] Mixture [~ Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Oa~ly Amount: 2 3 4 0 lB tX] gel [ ] R3 [ ] a) Contadner: 1 2 AverageOadly Amount: curies [ ] b) Pressure: I AnnueJ Amount: c) Tempera,ture: 4 Largest Size Container: # Days On Site Circle Which Months: All Yea/, J, F, M, A, M, J, J, A, S, O, N, D 9) M, IXTURE: List the three most hazardous chemicel components or any AHM components COMPONENT CAS # % WT AHM Ammonium Nitrate 6484-52-2 [] [ ] { ] 10) Location Garden Department CHEMICAL DESCRIPTION 1} INVENTORY STATUS: New [~ Addition [ ] Revision[ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: Roof and pipe. adhesives 3) DOT # (optionad) ChemicaJ Name: CAS # 1 0 8- 8 8- 3 AHM[] PhYSiCAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Headth (Acute) ~X Delayed HeeJth (Chronic) WASTE CLASSIFICATION (3-digit code fi.om OHS Form 8022) USE CODE 0 2 6) PHYSICAL STATE Solid [ ] Liquid L30 Gas [ ] Pure [ ] Mixture Z]~ Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE COOES Maximum Daily Amount: 2 6,3 5 2.4 4 I~ [ ] gad tX] Average O~Jiy Amount: curies [ Annue. I Amount: c) Temperature: 4 L~gest Size ContaJner: 365 # Days On Site Circle W~ich Months: AJI Year, J. F, M. A, M. J, J, A. S. O. N, O lq 9) htlXTURE: Ust COMPONENT CAS # % WT AHM the ,hre~ most ha.zsrdous 1) Toluene t 0 8- 8 8- 3 [ l chemicsJ components or any AHM componen-= 2) { I 3) [ I 10) Location Garden, Building Materials, Paint, Floor and Wall, Plumbing Departments ! cer~fy under penaay or law. [hat I have per=onally exam,moO ~d ~ t~ili~ w;~ ~e in/omafion suDmi~ on ~is ~d ~l a~c~ocumen~ J .believe submifl~ info~a~on is ~e, accurate, ~d complete. ~ r ' ' ' PRI~N~e & ~e of A~odzed Comply Bepresen~e / Sig~ Dam BAKERSFieLD CI'[:Y FIRE. DEPA! HAZARDOUS MA:I"ERIALS INVENT 'MENTIY 3usiness Name Address Page_of_ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ I Addition [ ] Revision [ ] Deletion[ ] Check if chemic~ is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) COT # (optionaJ) Chemical Name: AHM [ ] CAS # PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [ } Reactive [ ] Sudden Release of Pressure HEALTH Immediate Health (Acute) [ ] Delayed Health (Chronic) [ J .5) WASTE CLASSIFICATION (3.digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] G~s [ ] Pure [ ] Mixture [ ] Waste [ ]. Radioactive 7) AMOUNT AND TIME AT FAClUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container, # Days On Site UNITS OF MEASURE 8) STORAGE CODES [br. [ ] gaJ [ ] ft3 [ ] a) Container: cubes [ ] b) Pressure: c) Temperature: Circle Which Months: All Year. J. F. M. A. M. J. J. A. S. O. N. 0 9) MIXTURE: List the three most hazardous chemic, a/components or any AHM components COMPONENT CAS # % W1' NlM ~) [] 2) [ l 3) [ ] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[ ]' Addition [ ] Revision[ ] Deletion[ ] Check if chemicaJ is a NON TRADE SECRET [ ] 'IRADE SECRET [ ] Common Name: 3) COT # (optional) Chemical Name: NlM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive J ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ I Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-~igit code from DH$ Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] I 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: 1 Annual Amount: Largest Size Container: # Days On Site UNITS OF MEASURE 8) STORAGE CODES lbs [ ] gal [ ] ft3 [ ] a) Container, Curies [ ] b) Pressure: c) Temperature: Circle Which Months: AJlYeat. J. F. M. A. M. J. J. A. S. O. N. O 9) MIXTURE: List - the three most he.z~rdous chemical components or · ny NlM components COMPONENT CAS # % WT AHM [] ~) [] 2) 3) 10) Location 'i cer~fy un<let penalty of law, that I have personally exarnmed and am tarntliar wi~h the intomat~on suDmtrted on thts aha ail al~actled documents. I believe submi~ inh~rmal~on is In, e, accurate, ~.~d complete. PRINT Name & TTtie of Au/hon'zed Cornpany l~epresenta~ve. Signature Date