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Home My WebLink AboutBUSINESS PLAN 2/2/2003Hazardous MaterialS/HazardoUs Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE Permit ID #:: 015-000-000153 HOTSY CLEANING LOCATION: 2601 M ST ELD This _~ermit is issued for the followin_=: I;! Hazardous Materials Plan - [] Underground Storage of Hazardous Materbds [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issuc Date Expiration Date: · June 30; 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021.000153 HOTSY CLEANING LOCATION 2601 M Issued by: ,,~v~v??i?~ ,~ This permit is issued for the following: ~,.. '"...~ ~.~ ..:..~22..;::*~ ,e:.' ~ '* '. 3~.~ , ~ ' , , . . i ; ~. ~ F% ~ ~ ~ .. '~:~ ~T---...~. ~'% ~ ..4 ',. ~ ~. ~ > *, ~$ Bakersfield Fire Department OFFICE OF ENV1R 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 M~M P sITE DIAGRAM PLA_N~ MAP F---q FACILITY DIAGRAM Business Address: ................ For Office Use Only .................. First In Station: I Area Map #' lO ~ of ~(:::;)/~ Inspection Station: L'¢~, NORTH Z~ M~M P PLA~~ MAP SITE DIAGRAM Business Name: FACILITY DIAGRAM Business Address: ~Z;o / For Office Use Only First In Station: Inspection Station: Area Map # /oD NORTH F HOTSY CLEANING SiteID: 015-021-000153 Fast Format Training -- Employee Training Overall Site 03/14/2001 WE HAVE 4 EMPLOYESS AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES HAVE BEEN PROPERLY TRAINED IN MIXING METHODS USING SAFETY GUIDES, INSTRUCTIONS ON HANDLING, INCLUDING DOT LAWS AND REGULATIONS, INFORMATION ON MSDS SHEETS AND PRODUCT CHANGES OR NEW PRODUCTS, GENERAL SAFETY PROCEDURES, IIPP IN ACCORDANCE WITH CAL/OSHA. Page 2 --Held for Future Use Held for Future Use -13- 01/30/2003 HOTSY CLEANING Manager : Location: 2601 M ST City : BAKERSFIELD °, ! BY: . . ......... _J CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 015-021-000153 BusPhone: (805) 322-3188 Map : 103 CommHaz : Moderate Grid: 30A FacUnits: 1 AOV: SIC Code:5087 DunnBrad: Emergency Contact / Title NORMAN CHURCH / PRESIDENT Business Phone: (805) 322-3188x 24-Hour Phone : (805) 325-6749x Pager Phone : ( ) - x Emergency Contact / Title PATRICK SHANLEY / MANAGER Business Phone: (805) 322-3188x 24-Hour Phone : (805) 832-4519x Pager Phone : ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact : MailAddr: 2601 M ST City : BAKERSFIELD Phone: ( ) State: CA Zip : 93301 X Owner NORMAN CHURCH Address : 2601 M ST City : BAKERSFIELD Phone: (805) 322-3188x State: CA Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directiv. es: ~[. ~2~_~c~ ~_ C~3T~ ~ C~oC~o~-~~ ~ ~U/ ~ = Hazmat Inventory One WJnified List -- As Designated Order Hazmat Common Name... ]SpeoHazIEPA HazardsI GASOLINE (UNLEADED) KEROSENE F IH DH F DH Ail Materials at Site Frm I DailyMax Iunit MCP L 55 00 GAL Mod L 110 00 GAL Low WASTE OIL ~ >1 ,i0 ID SODI ~I~ BRIGHTNER -~b~ G8~1~ ' R IH ~ L ~T~ SHINE n . ~O ~I~ '~ ,S ~B~ n T~TE IRON ~~ I / J %~.~ _.~%~n' L RIPPER I ~$~% ~~ _ ie~d°°"f~ DH L MI~CLE WIZZ .~r _.00~S%%%~ IH DH L HOT ~ITE _0~$0%~Ou~ ,,~, F .. IH DH L .~e~e~''~ !1' ~.,I I1' ~ ~. LI_~ ~ 100 400 55 300 300 100 110 110 500 110 200 55.00 GAL Hi 00 GAL Low 00 GAL Hi 00 GAL Ext 00 GAL Mod 00 GAL Mod 00 LBS Mod 00 GAL Mod 00 GAL Mod 00 GAL Low 00 GAL Low 00 GAL Mod 02/27/2001 HOTSY CLEANING = Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME GASOLINE (UNLEADED) Location within this Facility Unit WEST YARD SHED SiteID: 015-021-000153 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8006-61-9 STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Conta~n~Dr AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 25.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS HAZARD ASSESSMENTS I Radi°active/Am°unt I EPA Hazards INo/ Curies F IH DH NFPA /// USDOT# [ MCP Mod ~ Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME KEROSENE Location within this Facility Unit WEST YARD SHED Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8008-20-6 FSTATE ~ TYPE Liquid [Pure PRESSURE Ambient TEMPEP~ATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Contain~ AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 30.00 GAL %Wt. 100.00 Kerosene HAZARDOUS COMPONENTS RS[ CAS# No 70892103 HAZARD ASSESSMENTS I Radioactive/Am°unt I EPA HazardsINo/ Curies F DH NFPA /// USDOT# MCP Low -2- 02/27/2001 HOTSY CLEANING ~ Inventory Item 0003 -- COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit WEST YARD SHED SiteID: 015-021-000153 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 221 STATE I TYPE PRESSURE Ambient Waste Liquid -- TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Contain~Dr AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average I 30.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Waste Oil, Petroleum Based ITSecretI RSIBi°Haz No No No HAZARD ASSESSMENTS Radioactive/AmountNo/ Curies I EPAF HazardsDH / / / Low = Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME LIQUID CHLORINE (SODIUM HYPOCHLORITE) Location within this Facility Unit SOUTH CENTRAL SIDE OF SHOP Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7681529 rSTATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container AMOUNTS AT THIS LOCATION Daily Maximum I 400.00 GAL Daily Average 200.00 GAL I%Wt. 100.00 HAZARDOUS COMPONENTS Sodium Hypochlorite N 7681529 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH DH ! NFPA I OSDOT# MCP / / /I Hi -3- 02/27/2001 HOTSY CLEANING SiteID: 015-021-000153 Inventory Item 0005 Facility Unit: Fixed Containers on Site ~lVUVl~N N~Vl~ / ~l~J-~ ~Vl~ ALUMINUM BRIGHTNER Days On Site 365 Location within this Facility Unit Map: Grid: COVERED SHED N YARD CAS# 111-76-2 FSTATE ~ TYPE Liquid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average ~"- GALI 55. oo GALI 55.00 GAL _I'/~./-~%~UU~ ~U~U~'I'~ %Wt. RS CAS# 10.00 Hydrofluoric Acid Yes 7664393 8.00 Sulfuric Acid (EPA) No 7664939 4.00 Ammonium Chloride No 12125029 TSecret ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F R IH DH NFPA /// USDOT# IMcPExt Inventory Item 0006 Facility Unit: Fixed Containers on Site ULTRA SHINE Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SHOP, SOUTH WA~ CAS# STATE T TYPE PRESSURE / Ambient Mixture Liquid TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average ~-'- GAL 300.00 GALI 200.00 GAL %Wt. 12.00 4.00 HAZARDOUS COMPONENTS Sodium Metasilicate Furfural Alcohol Sodium Dodecylbenzene Sulfonate RSI CAS# No 6834920 No 98000 No 25155300 TSecret No I o Sl °Uaz N No HAZARD ASSESSMENTS Radi°active/Am°unt I EPA HazardsINo/ Curies DH NFPA /// USDOT# MCP Mod -4- 02/27/2001 HOTSY CLEANING ~~6~6~6~~ S iteID: 015-021-000153 Invento~ Item 0007 ~~~ Facility Unit: Fixed Comainers on Site i~ COMMON NAME / CHEMICAL NAME TW-2 o Days On Site o o 365 o Location wi~in ~is Facility U~t Map: Grid: INSIDE SHOP SOUTH WALL o CASg o STATE ~i6 TYPE g~i~ P~SSURE ~6i TEMPE~TURE ~i~6 CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BA~L-METALLIC f~~~~ AMOUNTS AT THIS LOCATION Larges~tainer o Daily Maximum o Daily Average o ~ GAL o 300.00 GAL o 55.00 GAL o i~i~~ HAZA~OUS COMPONENTS %Wt. o o RSo CAS~ o 12.00oSodium Metasilicate ONo o 6834920° 4.00OFur~l Alcohol ONo o 98000° i~i~i~i~~ ~ZARD ASSESSMENTS ~i~~i~~i~ °TSecret° RS°BioHaz° Radioactive/Amoum o EPA H~ards o NFPA o USDOTff o MCP o No ONoONo o No/ Curies°F DH° /// o OModO Inventory Item 0008 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME TUBMATE - ALL PURPOSE o Days On Site ° o 365 o Location within this Facility Unit Map: Grid: SHOP - SOUTH SIDE o CAS// ° 0 0 STATE ~i6 TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Solid o Mixture ° Ambient o Ambient o BOX ° i~i~i~~~i AMOUNTS AT THIS LOCATION Largest ~ontainer ° Daily Maximum ° Daily Average ° /~ LBS ° 100.00 LBS o 40.00 LBS ° i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 16.00°Sodium Metasilicate °No ° 6834920° 10.00OButyl Cellosolve ONo o 111762° i~i~i~i~g~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# ° MCP o No °No°No o No/ Curies°F DH ° /// o OModO -5- 02/27/2001 HOTSY CLEANING EEE~EEEEEE~EEEEEEEEEEEEEEEEEEEE~EEEE SiteID: 015-021-000153 Invemo~ Item 0009 EEEE~EEEEEEEEE Facility U~t: Fixed Comainers on Site i~ COMMON NAME / CHEMICAL NAME PHOSP~TIZER 2 o Days On Ske o 365 ~cation wi~in ~is Facili~ Uffit Map: Grid: INSIDE SHOP - SOUTH WALL o CAS~ o O O STATE EiE TYPE EEEiEE P~SSURE EEEi TEMPE~TURE EEiEEEE CONTAINER TYPE Liquid o Mixture O-Ambient o Ambient o DRUM/BA~EL-METALLIC . o iEEEE~EEEE~EEEE~EEE~EEEEEi AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o ~GAL o 110.00 GAL o 55.00 GAL o i~i~~ HAZA~OUS COMPONENTS %Wt. o o RSo CAS~ o 10.00OBuW1 Cellosolve ONo o 111762° i~i~i~i~~ ~ZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amo~t o EPA Hazards o NFPA No ONoONo o No/ Curies° DH° /// o Inventory Item 0010 EEEE~EEEE~EEE Facility Unit: Fixed Containers on Site i~E COMMON NAME / CHEMICAL NAME TUB~TE IRON AND STEEL o Days On Site o o 365 o Location with~ this Facility Unit Map: Grid: INSIDE SHOP - NORTHWEST CO~ER o CAS~ o O o aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeee STATE ~i~ TYPE ~i~ P~SSU~ ~¢~i TEMPE~TU~ ~i~ CONTAINER TYPE ~i Liquid o Mixture o Ambient o Ambient o DRUM/BA~L-METALLIC. o i~EEEg~EEE~g~EEE~EEEE~i AMOUNTS AT THIS LOCATION EEE~EEEEEE~EEE~E~EEEi Largest C9~iner o Daily Maximum o Daily Average o ~ GAL o 110.00 GAL o 55.00 GAL i~i~~ ~ZA~OUS COMPONENTS ~~i~i~~~i %Wt. o o RSo CAS~ o 18.00oSodium Metasilicate ONo o 6834920° 6.00OFur~u1 Alcohol ONo o 98000° i~EE~g~iEE~ig~EEE~i~EE~g~EE HAZA~ ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOTg o MCP o No ONoONo o No/ Curies° IHDH° /// o OMod -6- 02/27/2001 HOTSY CLEANING 8888888888888888888~~~ SiteID: 015-021-000153 Inventory Item 0011 ~8~88~E8~ Facility Unit: Fixed Containers on Site i~8 COMMON NAME / CHEMICAL NAME RIPPER I o Days On Site o o 365 o Location within this Facility Unit Map: Grid: INSIDE SHOP - NORTHWEST CORNER o CAS# o O O i8 STATE ~8 TYPE ~8~8~ PRESSURE 8~ TEMPERATURE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-METALLIC o Largest Cont_!ainer o Daily Maximum o Daily Average o ~GAL o 500.00 GAL o 200.00 GAL o i~8~SiE~8~SEE~8~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 16.00°Sodium Metasilicate . ONo o 6834920° i~88i~i~8~i~/~8~8 HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No °No °No ° No/ Curies° IH DH° /// o OLowO Inventory Item 0012 ~8~8~8~ Facility Unit: Fixed Containers on Site i i~8 COMMON NAME / CHEMICAL NAME NYTRO o Days On Site o o 365 o Location within this Facility Unit Map: Grid: INSIDE SHOP - SOUTH WALL o CAS# o o 0 STATE ~8 TYPE 888~8 PRESSURE ~ TEMPERATURE ~8~888~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o DRUM/BARREL-METALLIC o i~6~8~6~6~8~8~85~ AMOUNTS AT THIS LOCATION Largest Co~ainer o Daily Maximum ° Daily Average o ~--%GAL o 110.00 GAL o 55.00 GAL o i8888888i88888888888888 HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 16.00oSodium Metasilicate ONo o 6834920° i~888~88~i888888[~8888~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH DH° /// o OLowO 02/27/2001 HOTSY CLEANING EEE~E~E~E~EEEEEE~EEEE~EEEE~E~ SiteID: 015-021-000153 Inventory Item 0013 ~EEE~E~EEE~E Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME MIRACLE WlZZ o Days On Site ° o 365 o Location within this Facility Unit Map: Grid: SOUTH CENTRAL SHOP ° CAS# ° o o f~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid ° Mixture ° Ambient ° Ambient ° DRUM/BARREL-METALLIC ° i~~/~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o ~--~ GAL ° 200.00 GAL o 55.00 GAL ° i~/~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 16.00OSodium Metasilicate ONo o 6834920° 6.00OFurfuryl Alcohol ONo o 98000° i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA o USDOT# ° MCP ° No °No °No o No/ Curies° IH DH° /// o OMod ° Inventory Item 0014 EEEEEE~EEEEEEEE Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME HOT WHITE o Days On Site o 365 o Location within this Facility Unit Map: Grid: SHED - WEST YARD o CAS# o O O i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE ~i Liquid o Mixture ° Ambient ° Ambient ° DRUM/BARREL-METALLIC ° i~E~E~EE~EE~EEEg~Ei AMOUNTS AT THIS LOCATION Largest ~Container o Daily Maximum o Daily Average ° ~ GAL o 55.00 GAL o 55.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o °RS° CAS# o 6.00°Formaldehyde (EPA) °Yes° 50000° iEE~g~i~i~g~i~g~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F IH DH ° /// o °Hi o -8- 02/27/2001 HOTSY CLEANING 6/~/~/5/5~/~/~5~5~5~6~~ SitelD: 015-021-000153 i~ Notif./Evacuatio~Medical ~~~~6~~ Overall Site i~ Agency Notification ~~~~~~~ 07/24/1991 O CALL'911 - OWNER - ~DIO, MANAGER - PHONE - ~DIO o CHEMTREE 1-800-424-9300 EMERGENCY SPILLAGE CONTROL (D.O.T. LAW), ROCKY MOUNTAIN POISON CONTROL CENTER (303)623-5716 o i~ Employee'Notif./Evacuation 88~888~88888~888888~88~8~88~88~8888 07/24/1991 o P.A. SYSTE~ o O o ALL EMPLOYEES AND OTHER TO MEETIN IN YA~ TO NORTH OF BUILDING O O i~ ~blic Notif./Evacuation ~~~~~~ 07/24/1991 O O o VENALLY NOTIFY ALL ~SIDENCES AND BUISINESS IN THE IMMEDIATE A~A. o O i~E~ Emergency Medical Plan ~~~~~~ 07/24/1991 o O o MEMO~AL HOSPITAL o O o -9- 02/27/2001 HOTSY CLEANING EEEEEEEEEE~EEEEEEEEEEEEEEE~EE SiteID: 015-021-000153 iE Mitigation/Prevem/Abatemt ~E~E~~EEE~~~ Overall Site i~ Release Prevention ~/~~~~~~ 07/24/1991 BERM AND CONTAIN. DAILY INSPECT FOR SAFETY LEAKS O ii~i~ Release Containment ~i~/~i~/~~~g~~ 07/24/1991 BERM AND CONTAIN o o i~ Clean Up ~i~i~~i~~~~~~ 07/24/1991 o CLEANUP WITH KITTY LITTER/OIL ABSORBANTS o o iEE~ Other Resource Activation o o - 10- 02/27/2001 HOTSY CLEANING/~/~/5/~/~~~/~E~6~ SiteID: 015-021-000153 Site Emergency Factors ~~~/56~~~ Overall Site i i~ Special Hazards o O ii~ Utility Shut-Offs ~5i~/~/~/5~/5/~i~i~/~~~6~ 07/24/1991 O A) GAS - AGAINST BUILDING INSIDE WALL OF EAST YARD GATES ° B) ELECTRICAL - INSIDE SOUTHWEST CORNER SHOP AREA ° C) WATER - SOUTH OF EAST ENTRANCE GATES o D) SPECIAL - NONE E) LOCK BOX - NO ° O i~ Fire Protec./Avail. Water ~ee~ee~e~e~ee~e~e~ 07/24/1991 o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED THROUGHOUT THE BUILDING ° O o O O FIRE HYDRANT - ACROSS STREET PARKING LOT ENTRANCE TO COUNTY BUILDING ° ACROSS STREET FROM SLIDING METAL DOOR EAST ENTRANCE TO YARD o O i~ Building Occupancy Level o o - 11- 02/27/2001 HOTSY CLEANING ~i~i~i~iSi~iSiSi~i~i~/~iSi~g~~~ SitelD: 015-021-000153 i~ Tra~ng ~~~~~~~~ Overall Site i~ Employee Trai~ng ~~~~~~~ 07/24/1991 O WE ~VE 4 ~EMPLOYESS AT THIS FACILITY- o o WE ~VE MATE~AL SAFETY DATA SHEETS ON FILE, o O B~EF SUMMARY OF T~INING: o ..... :4~n~ EAC~MGNDAY friGhtiNG,-PROPER MIXING METHODS USING SAFETY GUIDES. INSTRUCTIONS ON HANDLING INCLUDING DOT LAWS AND ~GULATIONS. REPEATEDLY; INFORMATION ON MSDS SHEETS AND PRODUCT C~NGES OR NOW PRODUCTS. GENE~L SAFETY PROCEDURES; I.I.P.P. IN ACCORDANCE WITH CAL/OSHA IN PLANNING. o o o iaaaa Held for Fumre Use O O iaeeaa Held for Fumre Use o O ~---AS Desl~-~cr uz~ ~~L.'/~----~-~ ....... Hazmat Common Name... ISpecHaz]EPA Hazard8I Frm (UNLEADED) ~ F IH DH L KEROSENE ~--- F DH L OIL -- F DH L (SODIUM HYPOCHL F IH DH L F R IH DH L ULTR3k SHINE ~0~ DH L TW- 2 ~0~ ~ffu- DH L TUBMATE - ALL PURPOSE PHOSPHATIZER 2 ~ TUBMATE IRON AND STEEL RIPPER I m0~ NYTRO MIRACLE WIZZ HOT WHITE ~ 55 GAL Mod 110 GAL LOW 100 GAL Low 400 GAL Hi 55 GAL Ext 300 GAL Mod F 300 GAL Mod DH S 100 LBS Mod DH L 110 GAL Mod IH DH L 110 GAL Mod IH DH L 500 GAL LOW IH DH L 110 GAL Low IH DH L 200 GAL Mod IH DH L 55 GAL Hi FACILITY NAME ~ ADDRESS '2_~>o ~ FACILITY CONTACT INSPECTION TIME Section 1: fi Routine CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. '~'Z Z BUSINESS IDNO. 15-210- I ~_ NUMBER OF EMPLOYEES q Business Plan and Inventory Program [21 Combined [2i Joint Agency [] Multi-Agency [~1 Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location .Proper segregation of material Verification of MSDS availability Verification of Haz Mat training ~ Verification of abatement supplies and procedures ~4 Emergency procedures adequate Containers properly labeled ~/ Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation a , on site?: Yes [] No Any hazardously'ustc . Explain: bO q,'~4 ~ ~( ( Questions regarding this inspection? Please call us at (805) 326-3979 Yellow - Station Copy Pink - Business Copy White - Env. Svcs. A '''// o Butspess '~[te R[sponsible Party Inspector: ,fYx~) ~ ,..----g~O~/ 02/27/92 HOTSY CLEANING 215-000-000153 Overall Site with 1 Fac. Unit General Information NOV ? 1993 By ~age 1 Location: 2601 M ST Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1AOV: 0.0 Contact Name Title - ' Business Phone -~ 24-Hour Phone- NORMAN CHURCH IPRESIDENT i805) 322-3188 x (805) 325-6749 PATRICK SHANLEY IMANAGER (805) 322-3188 x/(805) 832-4519 Administrative Data Mail Addrs: 2601M ST D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: ~ NORMAN C HURC/~ Phone: (805) 322-3188 Address: 2601M ST State: CA City: BAKERSFIELD Zip: 93301- Summary ~ bo hereby certify that ! have the at~ached hazardous,materials manage- ~¢re~ions ~nstitute a ~mp~ete a~ ~rr~ man- 02/27/92 HOTSY CLEANING 215-000-000153 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 GASOLINE (UNLEADED) · Fire, Immed Hlth, Delay Hlth Liquid 55 Moderate GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL Daily Average GAL 25.00 Storage DRUM/BARREL-METALLIC -- Conc 100.0% IGasoline Annual Amount GAL -- 300.00 Location Press T Temp IAmbient{AmbientlWEST YARD SHED MCP List Components iModeratel 02-002 KEROSENE · Fire, Delay Hlth Liquid 110 Low GAL CAS #: 8008-20-6 Trade Secret: No Form: Liquid Type: Pure Daily Max GAL 110 I Days: 365 Use: FUEL Daily Average GAL ~ Annual Amount GAL 30.00~ 300.00 Storage DRUM/BARREL-METALLIC Location Press T Temp IAmbientlAmbient IWEST YARD SHED -- Conc 100.0% IKerosene - MCP List Components iLow [ · 02-003 WASTE OIL · Fire, Delay Hlth Liquid 100 Low GAL CAS #: 221 Trade Secret: No Form: Liquid Type: Waste -- Daily Max GAL 100 { Days: 365 Use: WASTE Daily Average GAL --~--- Annual Amount GAL 30.00~ 300.00 Storage DRUM/BARREL-METALLIC Location Press T Temp Ambient{AmbientlWEST YARD SHED -- Conc, Components ~100.0% IWaste Oil, Petroleum Based MCP --~List 02/27/92 HOTSY CLEANING 215-000-000153 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-004 LIQUID CHLORINE (SODIUM HYPOCHLORITE) · Immed Hlth, Delay Hlth Liquid 400 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: BACTERICIDE Daily Max GAL 400 I Daily Average GAL 200'..00 Annual Amount GAL -- 1,500.00 Storage DRUM/BARREL-NONMETAL Press T Temp Location IAmbient~AmbientlSOUTH CENTRAL SIDE OF SHOP -- Conc 100.0% ISodium Hypochlorite MCP List Components IHigh I 02-005 ALUMINUM BRIGHTNER Liquid · Fire, Reactive, Immed Hlth, Delay Hlth 120 Extreme GAL CAS-#: 111-76-2 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WASHING Daily Max GAL Daily Average GAL Annual Amount GAL 150.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbientJAmbientlSTORAGE SHED NORTH YARD -- Conc 0.0% 10.0% 8.0% 4.0% 2-Butoxyethanol Hydrofluoric Acid Sulfuric Acid (EPA) Ammonium Chloride Components MCP List Moderate Extreme [EF. Pp~ High Low 02/27/92 HOTSY CLEANING 215-000-000153 02 - FiXed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 4 02-006 ULTRA SHINE · Delay Hlth Liquid 300 Moderate GAL CAS #: Trade Secret: No, Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL300 I Daily Average200.00GAL I Annual Amount1,000.00GAL Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient~AmbientlINSIDE SHOP, SOUTH WASS -- Conc Components 12.0% Isodium Metasilicate 4.0% Furfural Alcohol 0.0% Sodium Dodec¥1benzene Sulfonate MCP , List Moderate Minimal 02-007 TW-2 · Fire, Delay Hlth Liquid 300 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL300 I Daily Average55.00GAL Annual Amount GAL 600.00 Storage DRUM/BARREL-METALLIC Press T Temp Location .Ambient~AmbientlINSIDE SHOP SOUTH WALL -- Conc 12.0% Isodium Metasilicate 4.0% Furfuryl Alcohol Components MCP List Moderate 02/27/92 HOTSY CLEANING 215-000-000153 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 5 02-008 TUBMATE - ALL PURPOSE · Fire, Delay Hlth Solid 100 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 100 I Daily Average LBS ~ Annual Amount LBS 40.00~ 200.00 BOX Storage Location ,~Press T Temp ,Ambient--Ambient,SHOP - SOUTH SIDE -- Conc 16.0% ISodium Metasilicate 10.0% Butyl CellosolVe Components MCP Moderate List 02-009 PHOSPHATIZER 2 · Delay Hlth Liquid 110 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GALl10 I Daily Average55.00GAL Annual Amount GAL 275.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient~AmbientlINSIDE SHOP - SOUTH WALL -- Conc 10.0% IButyl Cellosolve MCP List Components iModerate [ 02-010 TUBMATE IRON AND STEEL · Immed Hlth, Delay Hlth Liquid 110 Moderate GAL CAS #: Trade Secret: No Form: Liquid TYpe: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I Annual Amount GAL 200.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient~AmbientlINSIDE SHOP - NORTHWEST CORNER -- Conc 18.0% ISodium Metasilicate 6.0% Furfuryl Alcohol Components MCP . List Moderate 02/27/92 HOTSY CLEANING 215-000-000153 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-011 RIPPER I · Immed Hlth, Delay Hlth Liquid 500 Low GAL CAS #: Trade Secret:.No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL500' I Daily Average200.00GAL Annual Amount GAL-- 3,000.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient~AmbientlINSIDE SHOP - NORTHWEST CORNER -- Conc 16.0% ISodium Metasilicate MCP List Components ILow I 02-012 NYTRO · Immed Hlth, Delay Hlth Liquid 110 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 110 I 55.00 Annual Amount GAL -- 800.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IambientlAmbientlINSIDE SHOP - SOUTH WALL -- Conc 16.0% ISodium Metasilicate Components MCP List 02-013 MIRACLE WIZZ · Immed Hlth, Delay Hlth Liquid 200 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 200 Storage DRUM/BARREL-METALLIC -- Conc 16.0% ISodium Metasilicate 6.0% Furfur¥1 Alcohol Daily Average GAL I Annual Amount GAL 55.00 300.00 Press T Temp .Location IAmbient/AmbientlSOUTH CENTRAL SHOP Components ~ MCP ~List ~Moderate 02/27/92 HOTSY CLEANING 215-000-000153 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 7 02-014 HOT WHITE ~ Fire, Immed Hlth, Delay Hlth Liquid 55 High GAL CAS #: Trade secret: No Form: Liquid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL Annual Amount GAL -- 55.00 Storage DRUM/BARREL-METALLIC Location ~~Press T Temp IAmh~ent.Amb~entlSHED - WEST YARD -- Conc 6.0% IFOrmaldehyde (EPA) Components MCP IHigh List IEPA 02/27~92 HOTSY CLEANING 215-000-000153 00 - Overall Site <D> Notif./Evacuation/Medical Page <1> Agency Notification CALL 911 - OWNER - RADIO, MANAGER - PHONE - RADIO CHEMTREE 1-800-424-9300 EMERGENCY SPILLAGE CONTROL (D.O.T. LAW), ROCKY MOUNTAIN POISON CONTROL CENTER (303)623-5716 <2> Employee Notif./Evacuation P.A. SYSTEM ALL EMPLOYkES AND OTHER TO MEETIN IN YARD TO NORTH OF BUILDING <3> Public Notif./Evacuation VERBALLY NOTIFY ALL RESIDENCES AND BUISINESS IN THE IMMEDIATE AREA. <4> Emergency Medical Plan MEMORIAL HOSPITAL 02/27/92 HOTSY CLEANING 215-000-000153 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention BERM AND CONTAIN. DAILY INSPECT FOR SAFETY LEAKS <2> Release Containment BERM AND CONTAIN <3> Clean Up CLEANUP WITH KITTY LITTER/OIL ABSORBANTS <4> Other Resource Activation 02/27~92 HOTSY CLEANING 215-000-000153 00 - Overall Site <F> Site Emergency Factors Page 10 <1> Special Hazards <2> Utility Shut-Offs A) GAS - AGAINST BUILDING INSIDE WALL OF EAST YARD GATES B) ELECTRICAL - INSIDE SOUTHWEST CORNER SHOP AREA C) WATER - SOUTH OF.EAST ENTRANCE GATES D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED THROUGHOUT THE BUILDING FIRE HYDRANT - ACROSS STREET PARKING LOT ENTRANCE TO,COUNTY BUILDING ACROSS STREET FROM SLIDING METAL DOOR EAST ENTRANCE TO YARD <4> Building Occupancy Level 02/27/92 HOTSY CLEANING 215-000-000153 Page 00 - Overall Site <G> Training 11 <1> Page 1 WE'HAVE 4 TO 8 EMPLOYESS AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: SAFETY MEETING EACH MONDAY MORNING, PROPER MIXING METHODS USING SAFETY GUIDES. INSTRUCTIONS ON HANDLING INCLUDING DOT LAWS AND REGULATIONS. REPEATEDLY; INFORMATION ON MSDS SHEETS AND PRODUCT CHANGES OR NOW PRODUCTS. GENERAL SAFETY PROCEDURES; I.I.P.P. IN ACCORDANCE WITH CAL/OSHA IN PLANNING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use · ~,~- ~: - CITY OF BAKERSFIELD , ~ Farm and Agriculture ~ Standard Business I i ~ 3 4 5 6 7 Trans Type Max Average Annual Measure # Days Cunt Cunt Cunt Use Amt Amt Amt Units on Site Press Temp Code Iical and Health Hazard C.A.S. Number ~heck all that'apply) ~] Fire Hazard ~ Sudden Release ~ Reactivity ~ I~ediate ~-~ Delayed ~ Health _ Health NON - TRADE. SECRET / ADDRESS: CITY, Z P: PHONE ,%: ~R ~ INs~u~IONS ~R PROPER ~DES' 8 9 10 11 12 Physical and Health Hazard C.A.S. Number (Check all that apply) . ~ Fire Hazard ~ Sudden Release 'L.-~ Reactivity [] Immediate [] Delayed of Pressure Health Health Physical and Health Hazard (Check all that apply) Fire Hazard [] Sudden Release of Pressure C.A.S. Number Reactivity [] Immediate ~ Delayed Health Health Physical and Health Hazard (Check all that apply) ~ Fire Hazard ~ Sudden Release of Pressure C.A.S. Number Reactivity ~ Immediate ~ Delayed Health Health EMERGENCY CONTACTS Location Where Stored in Facilit Page ( .,.o~_~_~ Component # 1 Name & C.~.S. Number Componeni; # 2 Name & C.A.S. Number Component # 3'Name & C'.A.S. Number · Component # 1 Name & C.A.S. Number Component # 2 Name & C.~.S. Number Component # 3 Name & C A~ S Number Component # 1 Name & C.A).S. Number Component # 2 Name & C.A!S. Number Component # 3 Name & C.A.S. Number #2 Na~ Title 24 Hr. Phone Name -~ 14 % by Names of Mixture/COmponents See Instructions ' /L, f , O AI30 B > Title 24 ~ Phone, (READ AND SIGN AFTER COMPLETING ALL SECTIONS) ',ertification ..... d am familiar with the information submitted in this and all attached ~c. uments and that based on my inquiry ~of those I certify tmder peanlty of law that I hayer, p~.rson.afly ex.am~l~e that the submitted information is true, accurat~e, and cOm~,}e~e~,~ // ,,divid,l, re,pon~ibl,.foro,t,inin, th''n'°--''°n ....... ~ ~E ~D OFFICIAL TITLE OF OWNER/OPERATOR OR Component # I Name ~ C., .S. Number omponent # 2 Hame & C.A.S. Component # 3 Name & STANDARD IND · CLASS CODE: / DUN AND BRADSTREET NUMBER/FEDERAL ID '~' MATERIAL WFETY SECTION I . · Manufacturer's PRODUCT NAME page I of 3 Name ~HE HOTSY f~:ORATIOW, D~'z'~a~T DMSIC~ Phone Address 2621 7THAVI~TOE SOUTH Number 712-362-7737 City, State & Zip ~ ]~x~r IOWA 51334 Emergency Telephone No. RDckyMoun~a~nPoisca~ C~ntrol Center 303-623-5716 FOR(I{~I~ICAL~ERG~I~CY: Spill, Leak, Fire, iXposure or Accident call CH~ITREC - DAy ORNIGHT 1-800-424-9300 Person Responsible for preparation Dean F. Fernholz Date Effective JUne 18, 1992 PreparedSuDercedes M~y 27, 1992 0 = Least 2 = Moderate 4 = Extreme ,1 = Slight ) = High HEALTH 3 FLAMMABILITY 0 REACTIVITY I D.0.T. Shipping (kxapound, Cleaning, Liquid Classification (Oontaininq Hydrofluoric Acid) SECTION 2 - HAZARDOUS INGREDIENTS/IDENTITY · Hazardous Component Corrosive Material NA1790 CAS -, OSHA ACGIH -ORAL LDSO % NO. PEL TLV Rat Hydrofluoric Acid ** ...... Sulfuric Acid ** 7664-39-3 2.5 mg/m, ..... TWA NE NE 5-10% 1 m~/m$ I mg/m3 7664-93-9 TWA TWA NE 15-40% ch 1 ~ri H= 68187-69-9 NE. l~ ~ 1-5% ** subject to 'reporting under 40CFR355, SARA section 302; 40CFR372, "SARA section 313; C~RC~40CFR302 '' NA = Not applicable NE = None established SECTION ~ PHYSICAL & CHEMICAL CHARACIERISTICS · Boiling Specific Vapor . Point 212° F. Gravity 1.14 Pressure (mm Hg)' : 23 Vapor Solubility Reactivity Density (Air=l) 1.2 in water Soluble in water Strong acid pH 5% solution Melting ........... 1 Point 10 Appearance.& Odor Light tan liquid, strong acid odor .' SECTION 4 - FIRE & EXPLOSION DATA Flash Point Method ' '- NA Used NA Flammable Limits ' LEL UEL in air % by volume Lower ~ Upper Auto-Ignition Temperature None Special Fire Flqhtinq Procedures Extinguisher Media Water, Carbon Dioxide, Alcohol, Foam, & D~7 Avoid cc~tactwithAluminumBrightener, prevent Unusual Fire & Explosion Hazards Avoid con~ac~C~v-itha]Jcal?te SECTION 5 - PHYSICAL HAZARDS (REACTIVITY DATA) Stability: Conditions Unstable __ Stable ~Cx to avoid Incompatablllty .... (Materials to avoid) ALkaline cha~dr~l~r oxidizi~-'s Hazardous . Decomposition Products [%% Hazardous Polymerization Con0itlons May Occur Will not occur ~ to avoid While the information and recommendations set forth herein are believed to be accurate as of the datehereof, THE HOTSY CORPORATION, DETERGENT DIVISION, MAKES'NO WARRANTY ~ITH RESPECT THERETO AND DISCLAIMS ALL LIABILITY FROM RELIANCE THEREON. ' .... SECTION 6 - HEALTH HAZARDS page 2 of 3 Acute: SEE AT~A(~D~) Chronic: SEE Signs &.Symptoms of Exposure Si~A~TA(~IED . Medical Conditions Generally r Aggravated by Exposure SEE AT2A(~ED Chemical Listed as Carcinogen Nat'l Toxicology or Potential Carcinogen ~ Program NO I~A.R.C~ OSHA Monographs NO NO Emergency & First Aid Procedures SEE AT~Af~{ED ROUTES 1. Inhalation: SEE AT~ACHED '-2. Eyes: '-- SEE ATrAC~IED OF .... ~.' Skin: ' -SEEA/-TAE/4ED ENTRY' a. Ingestion: SEEA_q'~A(~ED SECTION 7 - SPECIAL PRECAUTIONS AND SPILL/LEAK PROCEI~ Precautions to be taken in handlin~ & storage Store in a cool, dry area. Keep conea!ner closed when not in use. -. Other -. Precautions: Always add acid to water and never the rev~_rse. Steps to be taken in case material is released or spilled: Flush withwater and neutralize with baking soda, · soda ash or l~e. ~.. Waste 0isposal Methods (Consult Federal, state & local regulations) In a manner in accordance with a.ll federal, state and local pollution control regulations. · SECTION 8 -.SPECIAL PROTECTION INFORMATION/CONTROL ~:ASLRES Respiratory Protection .(Specify Type) Respirator for acid mists my be worn Ventilation Adequate to Local__ Mechanical Special ...... prevent a~id mists Exhaust -~ (General)NA NA Protective Eye Gloves ReJ:be~ Frotectton Goggles/Face ~hield Other NA Other Protective When handling, wear chemical splash goggles, face shield, rubber 'Clothing/Equipment· 91OYes and protective clothing. Work/Hygenic Practices Wash thoroughly after handling SECTION 9 - COhi4UNI~ RI[~HT-TO-KhDW INGREDIE~FF LIST CHEMICAL NAME CAS NO. Water 7732-18-5 Sulfuric Acid 7664-93-9 Hydrofluoric Acid 7664-39-3 Quaternary Anmonium (~uloride .... 68187-69-9 Ethylene glycol monobutyl ether '1~1-76-2 EFFECTS OF OVEREXPOSURE: ~age 3 of 3 Hydrofluoric Acid is extremely irritating and corrosive to the skin and mcous membranes. Inhalation of the vapor may cause ulcers of the upper respiratory tract..Ooncentrations at 50 to 200 p~m are dangerous. Hydrofluoric Acid produces severe skin burns which are slow. in healing. The subcutaneous tissue may be affected, beccmLng blar~hed and bloodless.. Gangrene of the affected ar~ may follow. Oonjunctivitis, coro~al burns, sever~ skin burns with ulceraticx~, pain behind the breastbone, cough, spitting blood, dyspnea, difficult breathing, bronchopneumonia, cyanosis, shock, muscle spasms, ocrmulsions, jaundice, oliguria, albuminuria, hematuria, nausea, vc~iting, ~ ~n, diarrhea, burns and corrosion of mouth, esophagus, stcmach and small bowel. Inhalation over exposure may cause lung damage and pulmonary edema. Toxicity frc~ pulmonary absorption of fluoride ion may develop in the liver and kidneys. EMERGENCY FIRST AID PROCEDURES: ~ (I~TEACT: If even minute quantities of Hydrofluoric Acid enter the eyes, ~hey should be immediately irrigated with running water for at least 15 minutes. The eyelids should be held apart during the irrigation to insure contact of · water with all accessible tissue of the eyes and lids. A 1% Calcium Glucc~ate solution should be used to wash the eyes thoroughly for 5-10 minutes and then instilled every 2-3 hours as drops. A physician, preferably an eye specialist,. should be called at once. No oils or 0ily ointment should be used unless ordered by the physician. ~ -' ~ SKiN (]CNE~T: Workers who have had contact with Hydrofluoric Acid should be · subjected immediately to a drenching shower of water. The clothing should be removed as rapidly as possible, even while the victim is i~ the shower, and medical assistance obtained inm~uliately. It is essential that the exposed area be washed with copious amounts of. water for a sufficient peried of t/me to remove Hydrofluoric Acid from the skin (5-10 minutes). Calcium Gluconate Gel (2.5%) should be rubbed in continuously until pain has ctmpletely subsided. Perscnnei who apply the Gel should be sure to wear rubber gloves to prevent skin contamination with the Hydrofluoric Acid. As an alternate to the Gel treatment, an iced aqueous or alcoholic solution, 0.13% (1:750) of Benzalkonium (3~loride ("Zephiran" Chloride) and iced 7.0% Alcohol Solution; or an Ice-Cold saturated s~lution of Magnesium Sulfate (Epscm Salt) should be applied for at least 30 minutes. If the burn is in such an area that it is impractical to immerse the part, then the iced solution should be applied with saturated ccmpresses which should be changed at least every two minutes. The physician' should be available by then to administer further treatment before the · cc~pletion of the iced solution treatment. However, if a physician is not available by that time, the treatment with c~e of the iced solutions should be continued for two to four hours. In cases of overexposure due to Hydrofluoric' -Acid, as in skin burns of greater than approximately 25 square inches in area, Hypocalcemia may be. present. Therefore systemic administration of calcium' Gluconate may be necessary. Frequent monitoring of ,S~um Calcium~ 'Renal and '~ Hepatic functions is necessary. .- · ~TI(I~S: Swallowing of Hydrofluoric' .Acid causes severe barns o.f.th.e m~,o~~ membrane of the mouth, throat, esopha..gus and the stcmach. The .l~.~le~.t~sn~ _ Milk of Magnesia. ' DO NOT induce %~m~ting. Call a pnyslc~an ~amec~a~ y..~ ~ ~ atmosphere. Even in the absence of symptoms, a worker must not be permitted to return to work at least 24 hours. 'A physician should be called i~mediately. If breathing has stopped, begin artificial respiration. If inhalation equipment and trained attendant are available, oxygen administration should be.started .. at once. Patient should z~main quiet -preferably lying down and kept warm and comfortable. As soon as possible patient should be given 2.3% to 3% Calcium Gluconate Solution by inhalation, preferably by intermittent positive pressure breathing (IPPB) using a nebulizer or by nebulizer alone. The patient should be watched carefully for edema of the upper airway with respiratory obstruction. Delayed puln~nax~ edema is likely in patients with burns of the skin on the face or neck. If pulmonary edema develops, the patient should be placed in IPPB with positive End-Expiratory Pressure (PEEP). The administration of respiratory car~ should be closely supervised and performed by qualified personnel only. Stimulants should not'be given unless ordered by physician. Under no circumstances should a patient be permitted to return hc~e or hack to work until thoroughly examined and discharged by a physician who is aware of the nature of his exposure. This form MUST be completed by the own~ or operator of EACH business in California which, at any time, handles' :Acutely Hazardous Material in quantifies, or in a mixture, equal to or greater than thc Federal Threshold Planning Quantifies for-Extremely H,z~rdous Substances. Submit this completed form to your local Administering Agency.. (§2~533 & 2~536 Health & Safety Cod~) RECEIVED ' .~" i ' Note instructions on rever~e BUSINESSSITEADDRESS ~6fi! M Street', bakersfield, ca. 93301 ·" 'ACUTI~.LY HAZARDOUS MATERIALS HANDLED~ ' '. ' -USE ADDITIONAL PAGES IF NECESSARY- CHEMICAL NAME · · '~' :' .' ' ;-.i'.'. -' .... ', ' · .-, 5E GALS GENERAL DESCRIFrION OF PROCERSES AND PRINCIPAL EOUIPMEN~: SIGNATURE /.-- PRINTED NAME PATRICK D. SHANLEY' ......... TITLE C E N/MC ? DATE ,,1-24-91 California. Office ot Emergency Services FORM HM 3777 (11 - 12 - 89)' 1-3 INSTRUCTIONS; Superscripts: .'. 1. Please contact your local Administering Agency ff you handle quantities of Acutely Ha?~rdous Materials above sram thr~holds and have not submitted a business plan (Remember that California Acutely I4a?nrdous Materials'am identical to EPA Extremely H~7~rdous Substances). 2. "Process Designation" is provided for facilities that, with Administering Agency approval, would most easily be .... rgport~, by proce.s~_For a business that repons the business plan data by. proce.ss, this will allow subdivision of -. ' · facility RMPP registration data in similar format to the business plans.' This format could simplify facility imIxmtions and future emergency response. 3. Use the EPA list of Extremely I-Ia~,ardous Substances from the Federal Register,.40 CFR 355 (Sections 302 and 304) (Note: This list may change on a yearly basis. Be sum the list used for compliance is the updated list. An updated list c~ be obtained from EPA or the Stare of California Environmental Affairs Agency.) If appropriate, at~h a copy of the inventory (submilxed to your Administering Agency in your business plan) with all Acutely __ ~...~ ..... :.:. H~rdous. Mat~'ials highlighted. ..... ' ..... . ..... :-- ?-'~..~'-~' r~ ............ :~'~: .. : - - .:.. 4. Do-n~'in~h~ Trade Secret information in-~e~ ak~-ipfionS; .... General: For emergency response purposes, if these elements am appropriate, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: " a. What raw mat~-ials? b. Wha operaiag ~ssur~ rage? c. What operating temperature range? d. Bamh capacity, rating? e. Product characteristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics? 2. Continuous process: (shnihr information as above.) NOTE: "Pursuant to §25534, the Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the Administexing Agency determines that the handler's' operation may present an acutely hazardous materials accident riak. The handler shall prepare the RMPP in accordance with §25534 (c) of the Health and Safety Code.' The RMPP. shall be prepared within 12 months following the request made by the Administering Agency pursuant to this section." (§ 25534 (c) Health and Safety Code) An.amendment to the RMPP must be submitted to the Administering Agency within 30 days of: 1. Any.additional .handling of acutely i~-arth:ms materials. 2. Any material or. substantial alterations to business activities. ............................. 32 Change~of x/dress, business ownership,..or.business name. _(§_25533_(c).Health & Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL' IMPLEMENT THE APPROVED RMPP · 89 80373 RISK RANKING - FACILITY RISK INDEX INSPECTION HISTORY POPULATION EXPOSED MCP TOX FACTOR Hotsy of San Joaquin Valley, Inc. 1 X 3 = ? X 3 = 3 X 2 = 4 X 1 = 1.2 X 1 = 3 0 6 4 1.2 TOTAL = FACILITY RISK INDEX RATING Hotsy of San Joaquin Valley, Inc. Activities or conditions that increase the likelihood of a release. 0x .5 = 0 (NO. OF YES ANSWERS 0N THE QUESTIONNAIRE 1-13. Add 1 yes to each facility for storage and minimal This factor reflects a company's claim (safety) history. 1 (WORKER COMP FACTOR, MAXIMUM EXPECTED IS 1.5) Self reported accident / safety record. 0 (REASONABLE=0, INADEQUATE--0.25, GROSSLY INADEQUATE=0.5) Not directly addressed in the questionnaire. 0 (OTHER COMPLICATING FACTORS MINIMAL=O, CONSIDERABLE=0.5, SUBSTANTIAL=i.0) FACILITY RISK INDEX RATING 1 FI = W + X + Y + Z RATING RATIONALE: Risk increases with increasing process complexity and potential for human error. POPULATION EXPOSED - RATING 1. IS TOXIC MATERIAL APT TO BECOME AIRBORN RAPIDLY ? i.e. A GAS, FINE DUST, HIGHLY VOLATILE LIQUID NO=i YES= 2 IF ANSWER TO #1 IS NO, PROCEED TO #6 IF ANSWER TO #1 IS YES, ESTIMATE THE EVACUATION RADIUS, USING THE BAKERSFIELD FIRE DEPT. GRAPH MODEL, AND ANSWER QUESTIONS 2-5. 2. IS THERE A SCHOOL WITH IN THE EVACUATION RADIUS ? NO=O, YES=i 3. IS THERE A NURSING HOME OR HOSPITAL WITH IN THE EVACUATION RADIUS ? NO=O, YES=i 4. IS THERE RESIDENTIAL HOUSING WITHIN THE EVACUATION RADIUS ? NO=0, YES=i 5. IS THE POPULATION DENSITY OF THIS AREA HIGHER THAN THE AVERAGE DUE TO ALOT OF MULTISTORY BUILDINGS ? NO=0, YES=i 6. WHAT IS THE OCCUPANCY OF THE BUILDING THAT AHM IS STORED OR HANDLED IN ? LESS THAN 5 PEOPLE=i 6 - 25 PEOPLE =2 26 - 50 PEOPLE =3 MORE THAN 50 PEOPLE =4 0 0 2 TOTAL.POPULATION EXPOSED RATING = 3 RATING RATIONALE: Releases that are limited to onsite consequences will limit the exposed population. As the number of persons onsite increases, evacuation and FACILITY INFORMATION FORM Please answer each of the following questions by circling Y (yes) or ~N (no). 1. Is any acutely hazardous material (AHM) manufactured or used in a chemical reaction ? 2. Is.any other flammable gas, flammable liquid or explosive material manufactured or used in. a chemical.reaction ? Is any reaction in 'question 1 or 2 a moderately or highly exothermic reaction ( e.g. alkylation esterfication, oxidation, nitration,~polymerization or condensation) or one involving electrolysis ? 4. Can any unplanned release of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the discharge of a pressure relief system ? Y /~ 5. Does any physicaI or 'chemical process in which an AHM is produced or used involve a batch process ? Y /~ Does any physical or chemical proCess involve the production or use of any AHM at a pressure in excess of 15~psig ? 7. In excess of 275 psig ? y Does any physical or chemical process involve the production or use of an AHM at a temperature above 125 degrees F ? In excess of. 250 degrees ? 10. Can any explosive dust be present in any closed container within 100 feet of an AHM or otherwise be present in the same building as an. AHM ? 11. Is there any ignition source or open flame within 100 ft.. of any process, storage or transfer area where a flammable or explosive AHM is present , except where there is a firewall providing protection ? '12. Is any lined or non-metallic pipe used in the transfer, of any AHM ? 13. Is any equipment or piping handling any AHM more 10 years old ? PLEASE PROVIDE THE FOLLOWING INFORMATION : ( Attach additional pages if necessary) Your.company's current workers compensation experience modification factor. How many people occupy the building in which AHM's are used or stored ? Gi~e details of'all aCcidents which involved any hazardous material and all'other instances when the fire department has been summoned in an emergency. WE ARE GLADLY,,,,,ACCIDENT FREE!! Briefly described the operations process at your plant and'the specific processes utilizing AHM's, including storage proceedures. WE RECIEVE PRODUCT(ALUMINUM BRIGHTNER)_ IN 5 GALLON AND '55 GALLON CONTAINERS IN A LIQUID PREMIXED STATE. WE USE NO PROCESS WITH THIS PRODUCT ON OUR PREMISES. ALL STORAGE OF THIS PRODUCT IS OUTDOORS. -2- Briefly describe the equipment being used in the processes'involving AHMs. NO PROCESS ..... ONLY STORAGE FOR SALES. Report quantity of AHM(s), referenced in the cover letter, that this business handles. a) Maximum amount on hand at any one time. Please refer to MSDS ...... ~z¢~ b) Please' attach a Material Safety Data Sheet' for any material that is a mixture. Do not include MSDS for pure substances. DEMOGRAPHIC DATA: State the straight line distance in feet between the business property line and each of the following. NOTE:All'distances are approximate. · 1. Nearest school. LONGFELLOW SCHOOL 2. Nearest daycare center, hospital, nursing home or similar facility. SAN JOAQUIN HOSPITAL 3. Nearest residence/motel etc. ~ L street 4. Nearest occupied building. 2700 M Street 0.5 Milcs Block 200 Ft Business Name: AddreSs HOTSY OF SAN JOAQUIN VALLEY, INC'. 2601 H Street Bakersfield, .Ca 93301 I certify that the foregoing information is true and correct to the best of my knowledge. Signature: Title: GEN'/MGR Date: 1_2~_92 -3- RECEIVED JAN 2 .q 1.q~2 Ans'd ............ 'H A ER I AL SAFETY DATA SHEET PRODUCT NAME. SECTION 1 , page 1 of 3 Manufacturer's Name- 'I~ HC~ CORPORATION, DE~G~ DMSION Phone Address 2621 7~5I AV~ltVLTE S~ Number 712-362-7737 City, State & Zip ~'SI{ERV-FT,LE, IC~A 51334 Emergency Telephone No. Rocky Motuntain Poison Control Center 303-623-5716 FOR C~C~L ~:<ERG~CY: Spill? !~nk~ Fire, ~<posure or Accident call C~ - DAY ORNIGHT 1-800-424-9300 0 = Person Responsible Date for p~eparation Dean F. Ferruholz Prepared Least 2 = Moderate 4 = Extreme HEALTH Slight ~ = High April 22, 1991 3 FLAMMABILITY 0 REACTIVITY O.O:T. Shipping c~und-C, le~g, LiqnJid Classification ~n~in4ng ~?-t~flT~ni~ A~d SECTION 2 - HAZARDOUS IN~DIENTS/IDENTITY Corrosive- blaterial. NA1790 Hazardous CAS OSHA ACOIH ORAL LDSO Component NO. PEL TLV Rat 2.5 mg/m~ Hydrofluoric Acid ** 7664-39-3 ~I~A N~E NE 5-1 0% 1 ag/m, 1 ag/m3 Sulfuric Acid ** 7664-93-9 WA ~5~A NE 15-40% Chloride 68187-69-9 NE NE NE 1-5% subject to reportinq under 40CFR355t SAIWA section 302; 40CFR372, SARA section 313; CERCLA 40C~02 NA = Not applicable NE = None established SECTION ~ - RHYSICAL & CHEMICAL CHARACTERISTICS Boiling Specific Vapor Point 2120 F. Gravit~ 1.14 Pressure (mm Hg) 23 vapor m Solubility Reactivity 0ensit7 (Air=l) 1.2 in water Soluble in water Strong Acid pH 5% solution Melting O0 1 Point 1 F. Appearance & Odor Light ~ liquid, strc~g acid odor SECTION 4 - FIRE & EXRLOSION DATA Flash Point Method .... NA Used Flammable L~mits LEL UEL in air % by volume Lower Auto-Ignition T~mpera~ur~ b~e Special Fire Fiqhttn9 Procedures Extinguisher Water, (~rkxDn Dioxide, kloDhol, F~ Media (~rtd [~ ~e~i,cai Avoid contact with Alunttnt~, Brightener, prevent damage to Unusual Fire & Explosion Hazards Avoid contact with alkaline ch~mlicals. SECTION 5 - PHYSICAL HAZARDS (REACTIVITY DATA) Stability: Conditions Unstable Stable XX to avoid Incomparability (Materials to avoid) A3_kaline che~0icaJLs, co(idizers Hazardous ' ~ Decomposition Products ~ Hazardous Polymerization Conditions May Occur will not occur XX to avoid While the information and recommendations set forth herein are believed to be accurate as of the date hereof~ THE HOTSY CORPORATION, DETERGENT DIVISI~ MAKES NO WARRANTY WITH RESPECT THERETO AND DISCLAIMS ALL LIABiLITY'FROM RELIANCE THEREON. E~ECTION 6 - HE;E_TH H~S page 2 of 3 Acute: S~3~ A~AC]{ED Chr0nic: SEE A~TAC~IED Signs & Symptoms of Exposure SEE ATI~AO{ED .. -- ..... Medical Conditions Generally Aggravated by Exposure SEE A~[TAC~ED Chemical Listed as Carcinogen Nat'l Toxicology or Potential Carcinogen NA Program I~A.R.C. OSHA Monographs NO NO Emergency & First Aid Procedures SE~ A~AC~ ROUTES 1. Inhalation: SEE ATTAC/-IED 2. Eyes: ~ A~'TA(J{ED OF 3. Skin: SEE A~TAC~ ENTRY 4. Ingestion: S~ A~TA(/{ED SECTION 7 - SPECIAL PRECAUTIONS AND SPILL/LEAK PROCEDURES Precautions to be taken tn handlln9 & storage Store in a cool, dry area. Keep container closed when not in t~se. Other Precautions: A1w-ays add acid to water a~ never the reverse. Steps to be taken in case material is released or spilled: Flush with water and neutralize with baking soda, sc<la ash or lime. Waste Disposal Methods (Consult Federai, state & local regulations) In a manner in accordance with all federal, state and iocai poilution controi regulations. SECTION 8 - SPECIAL PROTECTION INFORMATION/CONTROL ~_ASURES Respiratory Protection (Specify Type) Respirator for acidmists my be worn V~nttlation A~.e~ate to Local Mechanical Special Other pr~v~ acid mi~ " Exhaus't .... ~ (Ge'ner'al) NA -NA - - NA Protective Eye Gloves RLlbber Protection C~les/Face Shield Other Protective ~nen ~a~lling, ~ che~cal splash goggles, face shield, rub~ Clothing/Equipment qloves and protective clothing. Work/Hygemlo Practices Wash thoroughly after handling SECTION 9 - O]~NITY RIG~-T0-KNOW INGREDIENT LIST CHEMICAL NAME CAS NO. Water 7732-18-5 s%~lfuric Acid 7664-93-9 Hydrofluoric Acid 7664-39-3 ~X~ate~Ar~orLiumf~uloride 68187-69-9 Ethylene glycol mono~tyl ether 111-76-2 page 3 of 3 EFFECTS OF OVEREXPOSURE: Hydroflouric Acid is extremely irritating and corrosive to the skin and mucous membranes. Inhalation of the vapor may cause ulcers of the upper respiratory tract. Concentrations at 50 to 200 ppm are dangerous. Hydroflouric Acid produces severe skin burns which are slow in healing. The subcutaneous tissue may be affected, becoming blanched and bloodless. Gangrene of the affected area may follow. SYhPTOHS: Conjunctivitis, corneal burns, severe skin burns with ulceration, pain behind the breastbone, cough, spitting blood, dyspnea, difficult breathing, bronchopneumonia, cyanosis, shock, muscle spasms, convulsions, jaundice, oliguria, albuminuria, hematuria, nausea, vomiting, abdominal pain, diarrhea, burns and corrosion of mouth, esophagus, stomach and small bowel. EHERGENCY FIRST AIO PROCEDURES: EYE CONTACT: If even minute quantities of hydroflou~ic acid enter the eyes, they should be immediately irrigated with running water for at least 15 minutes. The eyelids should be held apart during the irrigation to insure contact of water with all accessible tissue of the eyes and lids. a 1% Calcium Gluconate solution should be used to wash the eyes thoroughly_ ...... ~ ...... -for-~10 ~minut~s-an-d-th~n-in-s't-i-l-l~d e~y-2~3--hoOr~ as drops. A physician, preferably an eye specialist, should be called in at once. No oils or oily ointment should be used unless ordered by the physician. SKIN CONTACT: 'Workers who have had contact with Hydroflouric Acid should be subjected immedia'teIy to a drenching shower of water. The clothing should be removed as rapidly as possible, even while the victim is in the shower, and medical assistance obtained immediately. It is essential that the exposed area be washed with copious quantities of water for a sufficient period of time to remove all Hydroflouric Acid from the skin. Calcium Gluconate Gel (2:5%) should be rubbed in continously until pain has completely subsided. As an alternate to the gel treatment, an iced aqueous or alcoholic solution, 0.13% (1:750) of benzalkonium chloride ("Zephiran" Chloride), an iced ?0% alcohol solution, or an ice-cold saturated solution of Magnesium Sulfate (Epsom Salt) should be applied for at least 30 minutes. If the burn is in such an area that it. is impractical to immerse the part, then the-iced solution should be applied with saturated compresses which should be changed'at le~}t every two minutes. The physician should be available by then to administer further treatment before the completion of the iced solution treatment. If, however, a physician is not available by that time, the treatment with one of the iced solutions should be continued for two to-four hours. It is then permissible to apply a generous quantity of paste made from powdered Hagnesium Oxide and glycerine, freshly prepared. This is prepared by the addition of U.S.P. Glycerine to U.S.P. Hagnesium ~xide to form a thick paste. 0ils and greases should not be applied except under instructions from a physician. INHALATION: Exposed individual should be carried at once into an uncontam- inated atmosphere. Even in the absence bE symptoms, a worker must not be perm,-t-ted-to -return-~o-work' at-~east-24-hou~s. called.immediately. If breathing has stopped, begin artificial respiration. If inhalation equipment and trained attendant are available, oxygen admini- 'stration should be started at once. Patient should remain quiet--preferably lying down and kept warm and'comfortable. Stimulants should not be given unless ordered by a physician. Under no circumstances should a patient be permitted to return home or back to work until examined and discharge by a physician who is aware of th'e nature of his exposure. INGESTION: Swallowing of Hydroflouric Acid causes severe burns of the mucous membrane'of the.mouth, throat, esophagus and the stomach, The patient should be encouraged to drink a large amount of water without delay. After the Hydroflouric Acid has been diluted with water, milk or 2 oz. of milk of magnesia may be administered. SRECIAL INFORNATION: Hove the affected person from the hazardous area if. the person has been overcome, notify someone else and put into effec~ the established emergency rescue' procedures. Do not become a casualty. Under- stand the facility's emergency rescue procedures and know the locations of rescue equipment before the need arises. FIRE DEPARTMENT S. D, JOHNSON FIRE CHIEF CITY of BAKERSFIELD "WE CARE" September 14, 1992 2101 H STREET BAKERSFIELD, 93301 326-3911 Mr. Patrick Shanley Hotsy of San Joaquin Valley, Inc. 2601 M Street Bakersfield, CA 93301 Mr. Sllanley: Thank. you for returning the acutely hazardous materials registration form that I requested regarding the aluminum brightener. I noticed that you reported the quantity as 55 gallons. Previously you had reported an average quantity of only 15 gallons, but indicated that the maximum quantity could reach 120 gallons. Because this material contains two acutely hazardous chemical, sulfuric and hydrofluoric acids, it is especially important that the inventory reporting is accurate. Please use the attached inventory form to report the correct quantities of aluminum brightener stored or in use at Hotsy. Submit this inventory update to Bakersfield Fire Hazardous Materials Division by October 15, 1992. Call me at 326-3979 if I can be of any assistance. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S.D. JOHNSON FIRE CHIEF January 16, 1992 2101 H STREET BAKERSFIELD, 93301 326-3911 Mr. Patrick Shanley Hotsy of the San Joaquin Valley, Inc. 2601 M Street Bakersfield, CA 93301 Mr. Shanley: Please complete the enclosed acutely hazardous material (AHM) registration form and the facility information form regarding the use and/or storage of the products listed below which contain the acutely hazardous materials noted. Please include percentage composition of the acutely hazardous ingredient next to the quantity on the AHM registration. Instructions for completing the rest of the AHM registration are on the back of the form. 120 GAL ALUMINUM BRIGHTENER ( 10% HYDROFLUORIC ACID & '8% SULFURIC ACID) This information is necessary due to the acutely hazardous nature of hydrofluoric and sulfuric acid solutions. Please return these forms to 2130 G St. Bakersfield 93301 by February 20, 1992. Call me at 326-3979 if you have any questions. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN RECEIVED JUL 1 1 lggl Ans'8 ............ INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible.. SECTION 1: BUSINESS IDENTIFICATION DATA ~ U ...... ' ' /f " LOCATION' o~. ~ 0'1 ,/VI _~ 7'/~ £ £ 7' MAILING ADDRESS: CITY: STATE' CA ZIP: ~z'~',.~O ~/ PHONE' DUN & BRADSTREET NUMBER' SIC CODE: MAILING ADDRESS: ~/~zg/ /~. SECTION 2." EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE FD1590 Bakersfield Fire Dept.-- --~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: .TRAINING: NUMBER OF EMPLOYEES: ~'~ ~u~ 70 MATERIAL SAFETY DATA SHEETS ON FILE: yES BRIEF SUMMARY OF TRAINING PROGRAM: .~A~'F-7 ~ /v~E~7i4/e .~c/~ ×¢¢v,,'/m~'~' 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 "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: SECTION 5: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) CERTIFICATION: I, PA'TP-..i C ~" ~, ,~',~ J~/,U J..~ U CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. i U~'DERSTAND (HAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SlG~IA~ DATE FD1590 Bakersfield Fire Dept. Hazardous Materials Division' HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ............. ~EcTION 6: NOTIFICATION'AND EVACUATION PROCEDURES: "- AGENCY NOTIFICATION PROCEDURES: EMPLOYEE ~TIFICATION AND EVACUATION', PUBLIC EVACUATION: EMERGENCY MEDICAL PLAN: FDIS~ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: - ' CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): SPECIAL; · LOCK BOX: ¥Es IF YES, LOCATION' SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: Bo PRIVATE FIRE ~PROTECTION:. ., WATER AVAILABILITY (FIRE HYDRANT): FD1590 - C['i'Y of BAKERSFIELD F ECEtVED JUL INVENTORY 2 Care and Agticull:ure B' Stuidard Business ~HAZARDOUS HATERIALS 199! NON--TRADE SECRETS i~ A/I$'I~... Pac], ~ of i._~ cIlY. zIP~~~'z~ ~x~/ CIT~ ~IP:~A~.~ ~ ~2~a~ DUN AND BRADSTREET NUMBER PHONE ~: ~,; ~/~ PHONE: ~:-~:G-7'~¢ -'~ ...... ' - REFER T~STRUC~ONS ~OR HROP~ CODES ~.- ~-" - Cj Annual Neas.ure I t)~e Cant Coflt Cant Us tocatjon. Whe'(e. ~ %w~y )lares of ~ixture/Comoonents ~ooe ARt AmC ~ , ESL Units on Type Press Temp Co~e,, Stored Iff kacl/icy ~, See Instructions . (Check all thmt ap~ly) { C,A.S. Number 7~gq~?-3 ~ Fire Hazard ~ Reactivity ~ Delayed U Sudden Release ~ ].~%%i~coAPofleflL I~ Name t C.A.S. Number of ~ressure Component 13 Haae t C.A.S. Nuaber~/~o~ Physical and Health Hazard : C.A.S. Number Component Il Name A C,A.S. Nu.berg~)M~qz-o B Fire Hazard ~'~ ReactMty~ ~ Oelayed ~ Sudden Release ~ ImmediateCgmp°nent 12 Name I C,A.S. Number ~ff- , Hea ICh of Pressure Health ' ,' HeaiCh of Pressure CoApoAe~[ 13 NAme t C.A.S. Number ferti.fi{;atioq i.(ReBfl a..n.d,~ign after cornpl¢ti(~g..~ll.,.s~.cCi,ons,) cer!tuy unoer penalt~ al.lap tnqt lneveper, sonaJly, examlnqOtqoJm ramllla.r, yltl)the Inlormauon )ubmitt.ed in this Ind ail i _ attaced.docvmentL,'anq t.hat oeseo on.my Inquiry or.chose lnolvlOUa/S responsible Tar obtalnin9 the lntormauon. I believe that the _ ~¢[~ Otl~lll [I le at'owner/operator uH o~erloperator's authorized represen~ . CI':i'Y of BAKERSFIELU HAZARDOUS MATERIALS INVENTORY Farm andAgticulture 1-]' Standard Business F1 . NON--TRADE SECRETS gCATION; ~/i ~ [~~ ' ADDRESS; IIY. ZIP: ~ ~ 7~,.~ ~Z~ ~ ~ p~.~. ~p~~~/~ ~z]~' DUN AND BRADSTR~E) NUMBER 'HONE .: ~ ~C%_?,~¢. ,' ' ' ~f~ YO~R~f~bNS~~ROPER COOES ~,- '. I 2 3! 4 5 6 1 8 9 10 II 12 Stored See instruct~ons ., . I~ ~Cl/tt~ ~ · Physical and Health'Hazard ~ C'A'S' Humber Co~poflent II Hale I C,A.S. Humber Itl -[7*-2 (Check all that apply) .. ~ - 0 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure .~ Health j .......... / Component 13 Hame I C.A.S, Number ~,. _ ,0, ,,,,,d C.A.S. ,u,b, Co,mt ,,-- . (Check all that applyJ .......... '~ ~ ..... O Fire Hazard.~D Reactivity O Oelayed O Sudden Release O ],~i~ Coeponent ~2 Ha~e I C.A.S. Hu,ber Fg-~ -o~' Health -, of Pressure Co~ponent 13 Naee ~ C.A.S. Hueber ]:. Phvsical"and Health~Uaiard ' ': C.A.S. ~umber Component II Na,el C.A.S. ~umber (Check ali that applyl .. .~ ,, aad/];:e:ct;~' ~Delayed ~ Sudden Release .,,,edi~LeC°mp°nentl2 HamelC,A,S. Numb ~~~--,.~ , 'h,SiCal'lOd Healt~ Ua,ard" ) -C.A..S. Number Component II Hame & C.A.S. Number ~*Xy~Z-~ ~~ (Check ~1/ ~h~ ~ppl?) [ ~ Component 12 Ha=e I C.A.S. Numbe~./ ~ Fire H~zard ~ Reactivit~ ~ 0elayed ~ Sudden Release ~ Immediate~~ ' . ~ Hearth o[ Pressure Health .... j : Component 13 Ne'me t C.A.S. Number ~-Z~ , ,. , ~ . ~ , ~ ~ ,. ,. ~. ~ ,~ _ , rtifkation !(Read and si.qn after cpmpl~tipg..~ll..,s~,c~l;ons.) :er[~f~' under @enllt~ ofJal~ thqt I hav~peKsonaJlLexamln~qQqota [em~l~ar.11cO the ~n~ormat~on cached .dQcveenc,,.' an~ tpat .oasea on. my Inquiry 9r. those In~lvlaua/s responsio/e for obca in ing ~,, tteo~~,njor,at,~n lS~.~.,r~, accurate, ano co,p,ete. ...... ,~ ..... ~f~ltle o~ ownef/op~racof u~ owner/operator~ aucnor~zeo reo ese tat~ve i I CI,1'¥. of BAKER$ I ELO Farm and Xgticulture []' Standard Business [.]HAZARDOUS HATER'rALS INVENTORy~ ' ' ~.~~j,~..~ NON--TRADE. 8EORET8 !. Page __~__.. o, ~ 'USINESS NAHE:~/~ OWNER NAME: ~~ ~~ NAME OF IHIS FACILIIY: ~[~ ~IP: ~_:.~.~~ ~;..~ ~o* ~ES~i_ '~, 2 /~~ . STANDARD IND CLASS CODE'~ k?,~ ~z~:_ ~~~ ~ ~o~ DUN A~D BRAD~IREEI NUgBE~ 2 3! 4 'Code code Act Ret ~ EsL 'Un,ts on e lype Press lemo Co~ e Stored In (Check all that ap,ply} U Fire Hazard,"a,eactivity. · Component Ualard C.A.5. Number Component II Name (Check ~!1 L~]~ app/~l ': Component 12 Name ~ Fire Hazard .~ Reactivity ~ Oelayed ~ Sudden Release ~ Immediate Hearth 'hysicai and Health'Hazard C,A.S. Number Comoonank {Check all that ap'plyJ ~' Component 12 Name I C,A.S. N ber~ ~ Fire Hazard ~ Reacti i y~ ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure Health Component 13 Name I C.A.S. Humber (Check all that apply) I i J ~ Fire Hazard ~ Reactivit~ ~ Delayed ~ Sudden Release ~ Immediate Component Name C,A.S. Number , ~tifjgatioq ~.(Ref~ an~.~ign af~pr compl~tipg,all sectLon~) :er[~ry under pen!lt~ ol~a~ thqt i navepersonal~Lexamln~glqolm ~amil]ar. vit~ the inlorAatlOn fu~mittp~ in this.lnd all ~m,tteo:aCned'd~cveenc~'' an~~n,ormat~ ~n ~s tpattru~,Oaseo, ea. mYaccurate, ano~nquirlcomp,ece,qr' chose ~no~y~eua~s respons idle ~or obta~nin9 the i C]'I'Y ot' BAKERSFIELD ' HAZARDOUS MATERIALS INVENTORY Farm and Agriculture 1-]' Standard Business je NON--TRADE SECRETS , Pacje of LOCATION; 2¢e'i ~~L~ _. ADDRESS; _ ~/~ ~g~ STANDARD IND. CLASS CODE: CI]Y. ZIP: ~k~~ ~ ~ I CITY. ZIP: ~~~. ~ ~ DUN AND BRADSTREE7 NUHBER ....... PHONE ~: -~_ ~z~-3] ~ PHONE REFER TO~N~R~TJO~~ROP~ CODES ~ - -- Trans !y,, Max Avgra. ge'; Annual Measure. lille Cont Cont Cont Us Loc,~jon.Whece , ~,~y flames of ,ixture/Coeoonencs :Code ~oae.AeC Aec ~ EsL Un]ts on Type Press lemo Co~e Stored ~n racH~Cy See Instructions ~hySical '8fid ~eAlth HAzard C.A,S. Number CoAponent II Name I C.A.S Humber (C~eck al) &hal apply) f ' ~ Component I~ Name I C.A,S, Number ~Fire Haz4rd ~ ReacCivi&Y ~ Oelayed ~ Sudden Release ~ ]mmedia~e Hem/~h or Pressure Health ~ - Component 13 Name I C,A.S, Humber ~hy~ica) Ipd ~e~'l&h ~8zard ~. C,A.S, Number ComponenC Il Hame I C.A.S, Number ICheck Al] LhAC Apply) ~ Fire Haz4rd,' ~ Re~c~JvlCYl, ~ Delayed ~ Su~en Release ~ ]m~i~ Component I~ Name I C,A.S, Number HeAl&h of Pressure Component 13 Neme I C.A.S. Number Physical 8nd ~e81th Hazard ~ C,A.S. Humber CoAponent Il Name I C,k.S, Number ICheckali kh~t~ App]y). . .~ D Fire H4zar~ ~ ReactivJty~ ~ Oelayed. ~ Sudeen Release ~ ]m~i~ Component I~ Name I C.A.S, Number Hem ICh of Pressure ......... ,, / Component 13 Name I C,k,S, Number ;~ ~.. Physical'~ HeAl&h ~azard i C.A,S. 'Humber Component II Hame I C.A,S, Humber {Check 411 that app]~) } ~ Fire Haza~d~ ~ Reactivity ~ OelayedHe4/Ch ~ Sudden'Releaseof Pressure ~ ]m~i¢~ Component 12 Hame I C.A.S. Number ~:s . ~~._ _ Ierti!j;atioq ': .(Re, cf a..n.d.~i~Tn afCpr cqmpl~ti~.tg.all secCi.on~.) ' cer~uy unaer :pena~ oT]ap ~nqt lnavepeEsonal~,examln~q~qo~m famil~ar, vit~ the jnlormat~on lu~mitt~ in this,Qnd a'll . atca;hed.docvme~c~, 8nJ t~ac oaseJ off.my ~nqu~ry ~r. Lnose ]nalylouaJs responsible for obca~nin9 the Information, [ believe ,ChaC~e ~q~rJCja.~ [i~l~ of o~ner/o~era&~ 'UH o~nerloperator's aut~or~zeo reoresencac~ve ~ ~ s~gna&ur¢