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Home My WebLink AboutBUSINESS PLAN 1 0 1992 Q2/27/92 LO CAR ENTERPRISES 215-000-00065 ~ge Overall Site with 1 Fac. Unit General Information By Location: 2900 M ST D Map: 103 Hazard: Low Community: BAKERSFIELD STATION 01 Grid: 30A F/U: 1AOV: 0.0, Contact Name Title Business Phone 24-Hour Phone- BRUNO CARRASCO ROUTE MANAGER (805) 325-1842 x ( ) - WILLIAM J. BEEMAN GENERAL MANAGER (805) 884-9153 x (805) 493-1481 Administrative Data Mail Addrs: 8015 DEERING AV D&B Number: 07-229-0075 City: CANOGA PARK State: CA Zip: 91304- Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: Owner: LAWRENCE D. LOBACH Phone: (805) 325-1842 Address: 8015 DEERING AV State: CA City: CANOGA PARK Zip: 91304-- Summary ~ .k~i~.L,k?-,-J'~.~,~N DO hereby certify that i have ~v~d ~he a~ached h~ardous mate~als ®r~ pO~r~ l~or L~-(~,~. E- ~ ~c and that with ~ ~rr~ons ~n~i~u~e a comp~ and ~rr~ man- e~ p~n ~r my 02/27/92 LO CAR. ENTERPRISES 215-000-000655 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02- 001 ULTRA CHEM D · Reactive Liquid 350 Moderate GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 350 Storage PLASTIC CONTAINER -- Conc 11.5% Days: 365 Use: CLEANING i Daily Average GAL ----~'Annual Amount GAL 90.00 4,200.00 Press T Temp Location IAmbientlAmbientlMAIN WAREHOUSE Components MCP iList ISodium Hydroxide Moderate 02-002 ULTRA CHEM D (PREMIUM) · Reactive Liquid 300 Moderate GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL 300 I Daily Average GAL 75.00 I. Annual Amount GAL 600.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient IAmbient IMAIN WAREHOUSE -- Conc 17.5% ISodium Hydroxide Components MCP List IModerate I 02-003 DEGREASER · Reactive Liquid 120 Moderate GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 120 I Storage PLASTIC CONTAINER -- Conc Components 0.4% ISodium Hydroxide Days: 365 Use: CLEANING Daily Average GAL 30.00 Annual Amount GAL 1,440.00 Press T Temp Location AmbientlAmbientlMAIN WAREHOUSE MCP ---[List ModerateI 02/27/92 LO CAR ENTERPRISES 215-000-000655 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 3 02-004 CLEAN-N-BRITE · Reactive' Liquid 80 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 80 Storage PLASTIC CONTAINER -- Conc Components 12.5% ISodium Hypochlorite Days: 365 Use: CLEANING Daily Average GAL 1 Annual Amount GAL 20.00 I 960.00 Press T Temp Location IAmbientlAmbientlMAIN WAREHOUSE MCP -~-List IHigh 02-005LAUNDRY BREAK ·'Reactive Liquid 80 Moderate GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 8o I Storage PLASTIC CONTAINER -- Conc I Components 46.0%ISodium Hydroxide Days: 365 Use: CLEANING Daily Average GAL 20.00 Annual Amount GAL 960.00 Press T Temp Location I Ambient~Ambient IMAIN WAREHOUSE MCP IModerate I List -- Notes 02-006 WHITE-N-LITE Liquid 80 Low · Reactive GAL CAS #: 7758-29-4 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 960.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient IAmbient IMAIN WAREHOUSE -- Conc Components 0.4% ITetrapotassium Pyrophosphate MCP --~List 02/27/92 LO CAR ENTERPRISES 215-000-000655 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 4 02-007 NEUTRA SOFT · Reactive Liquid '80 Low GAL CAS #: 79-14-1 Form: Liquid Daily Max GAL 80 Storage PLASTIC CONTAINER Trade Secret: No Type: Mixture Days: 365 Use: NEUTRALIZER i Daily Average GAL Annual Amount GAL 20.00 1' 960.00 Press T Temp Location IAmbient~AmbientlMAIN WAREHOUSE MCP List -- Conc ~ Components 3.5%IHydroxyacetic Acid 02-008 SILVER SOAK · Reactive Liquid 100 Moderate GAL CAS #: 1310-72-3 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 100 Storage PLASTIC CONTAINER -- Conc 0.8% ISodium Hydroxide Days: 365 Use: CLEANING Daily Average GAL I Annual Amount GAL 25.00 1,200.00 Press T Temp Location IAmbientlAmbient I~IN WAREHOUSE MCP ~List Components iModeratel 02-009 LIME REMOVER · Reactive Liquid 60 Moderate GAL CAS #: 526-95-4 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max., GAL60 I Daily Average15.00GAL Annual Amount GAL 720.00 Storage PLASTIC CONTAINER Press I Temp Location IAmbient~ambientlMAXN WAREHOUSE -- Conc 0.5% ID-Gluconic Acid 2'1.0% Phosphoric Acid Components MCP ~List Minimal Moderate 02/27/92 LO CAR ENTERPRISES 215-000-000655 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 5 02-010 OVEN CLEANER · Reactive Liquid 60 Moderate GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I i Annual Amount GAL 720.00 Storage PLASTIC CONTAINER Press T Temp Location I AmbientlAmbientlMAIN WAREHOUSE -- Conc 0.4% ISodium Hydroxide 0.4% Potassium Hydroxide Components MCP iList Moderate Moderate 02-011 SELECT FORCE · Reactive Solid 40 Moderate LBS CAS #: 1310-73-2 Form: Solid Trade Secret: No Type: Mixture Days: 365 Use: CLEANING Daily Average LBS 10.00 Daily Max LBS 40 Storage Annual Amount LBS 480.00 Press T Temp Location IAmbient IAmbient IMAIN WAREHOUSE BOX -- Conc 30.0% ISodium Hydroxide Components MCP IModerateI List 02/27/92 LO CAR ENTERPRISES 215-000-000655 Page 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation SINCE WE ONLY HAVE ONE EMPLOYEE AT THIS LOCATION, HE WOULD TAKE STEPS NECESSARY FOR HIS OWN SAFE EVACUATION. THIS PESON IS ONLY AT THIS FACILITY FOR ONE OR TWO HOURS PER DAY. <3> Public Notif./Evacuation <4> Emergency Medical Plan MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD, CA. (805) 327-1792 93301 02/27/92 LO CAR ENTERPRISES 215-000-000655 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 7 <1> Release Prevention THE EMERGENCY COODINATOR WILL PROVIDE FOR SPILL PREVENTION INSPECTIONS. THESE ARE TO BE CONDUCTED ON A REGULAR BASIS BY THE COORDINATOR, CHECKING SUCH THINGS AS IMPROPER CONTAINERS STORAGE. HE WILL ALSO BE CHECKING ALL SAFETY EQUIPMENT WHICH WOULD INCLUDE FIRE HOSES, FIRE EXTINGUISHERS, BROOMS, SHOVELS, NEUTRALIZATION ABSORBENT CHEMICALS, EXIT SIGNS. <2> Release Containment IT IS ESSENTIAL THAT, IF POSSIBLE, THE SOURCE OF THE SPILL BE STOPPED AND SECONDLY, THAT IT BE CONTAINED. IF THE SPILL IS NOT WITHIN A DIKE, ONE SHOULD BE ESTABLISHED. THIS WILL REDUCE THE CHANCE FOR REACTION WITH ANY OTHER CHEMICALS IN STORAGE. <3> Clean Up SMALL SPILLS, A DRUM OR LESS, CAN BE NEUTRALIZED OR ABSORBED FOR REMOVAL. NON-CORROSIVE LIQUIDS CAN BE ABSORBED ON A DRY MEDIA AND PLACED IN DRUMS FOR DISPOSAL IN A CLASS I DUMP. IN THE EVENT THAT HAZARDOUS MATERIALS HAS' ESCAPED' FROM THE FACILITY BY ENTERING THE STORM DRAINS OR CONTAMINATING THE SOIL, THIS MUST BE REPORTED TO THE PROPER AUTHORITIES. <4> Other Resource Activation 02/27/92 LO CAR ENTERPRISES 215-000-000655 00 - Overall Site <F> Site Emergency Factors Page <1~ Special Hazards <2> Utility Shut-Offs A) GAS - NoNE B) ELECTRICAL - EAST SIDE OF BUILDING C) WATER - WEST SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND GARDEN HOSE FIRE HYDRANT - CORNER OF M AND 29TH STREET ACROSS FROM BUILDING <4> Building Occupancy Level 02/27/92 LO CAR ENTERPRISES 215-000-000655 Page 00 - Overall Site <G> Training <1> Page ! wE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE THE PURPOSE OF THIS PLAN IS TO PROTECT THE PERSONNEL AND ENVIRONMENT. IT IS NECESSARY THAT ALL PERSONNEL WORKING IN AREAS WHERE HAZARDOUS MATERIALS ARE HANDLED HAVE FORMAL TRAINING. THIS SHOULD INCLUDE THE TYPE OF HAZARDS PRESENTED AND HOW THEY MIGHT BE SAFELY HANDLED. A TRAINING PROGRAM IS TO BE GIVEN TO EACH EMPLOYEE WITHIN ONE MONTH OF THEIR EMPLOYMENT AND AS FREQUENT THEREAFTER AS DEEMED NECESSARY. RECORD WILL BE MADE SHOWING THE TRAINING DATE AND INDICATE THE TYPES OF TRAINING. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ']'Farm and Agriculture~ Standard Business : . ;'!i~!':... '.'' -- ;':.:!:: "i...~..'..il.;'!{;~';..!..i:'.~:ffI ' .:,'i,..,~/~.. ~: Page 1 of 1' · ' . ' . 'NON '.' ~ADE SECI~ET ' ':.' '.:.': .-"..'i'-'i"i.!!ii!:?..(~';:' .,. '";'.:.... ?. , · : ' · . . ~ .: ' . ', .:. :.:' ',~. . : .'.' ~:~..:~i 'k'.' '~, .. i..'.-~)Z~ · ' ' · ' ' · . '..' :' ' ':':'?I~:' . N~ :O~'"THIS'~;'FACILITY- ' Lo Car En[erp lses,r' Inc. O~ER N~--Lawrence D Lobs.ch. ',:' . - . ' _ ~'~gl~g~,~o -M- St.unit D ~D~SS:801b Deering Ave . .:~.. CODE: ][TY, ZIP: Bakersfield, 'Ca. 93301 CITY,~ZIP~ Canoga Par-k.~ CA_QIq~Ai -'DUN ~tONE %: ('805) 325=1842 PHONE'~::i(818)884-9253 '~'"! ':.. ' Q Z - 2 2 9 - 0 0 7 5 ... [NS~U~IONS ~R PROPER ~DES 1 2 3 4 5 6 7 8 9 .10 11 12 .... 13 14 Tans Type Max Average Annual Measure ~ Days Cunt ' .Cunt ' Cunt Use Location Where' . ''~i: % by Ha~es of Mixture/Com~0nents ode Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility : '.:~ ;. wt See Instructions A! M ~00gal[ 75gallY2'00gaI] gal [36% ilo I 1 ] 1 [ 8[ Main' Warahm,~'~ ..- LC¥10 h~ica~ and ~lth ,a'zard C.~'.S. ~sr 1-3 1 0-- 7 3-- 2 ? . Component # i N~&..: :C:A'S' Nu~'' 117:5 ~~ (Check all that apply) ;]. · . :- ,' .. ;- -'.'.;~;'-. · .' {'-'7': , , :.~ ' Coml~onsnt # 2 Na~e :& C.AiS. N~mber' ::'~i'.~ · : ,'.9~i Co.orient ~ 3 N~ & C.A.S.'N~er. ...~.. ~ ... of Pressure :. H~lth - H~lth : .~,?.~ ', . . ·: '. 7 aa [ ooa d [ [ [. [8 · .. 1310-73-2 768-52. L9 '"..-~?iL.; ~-."?' "~'; 1;7'L5 SodiUm Hydroxide - '. , 8 .~ie~z ~d ~Zth ~,~ e.~.s. ~,r' 1310-73-2 - . co~o.~n~ J Z ~i"el~.s. ~e~ ' '76 1-52-9 ~/ -- · · .: . · '5o.'alum nyaroxl'ae ~' Fire Hazed ~ Sudden ~lease '~ R~ctlvtty ~ I~iate' ~ D'olay~'~ -. - ~';~)". ';'. · · ~ of Pressure ~- H~lth H~lth : '. · Co.orient. ~ 3 N~"&'C.A.S. H~er' .-..-..'> .~: . :.; '-' ~- .,:~;~;~'.-: .:'..' . .;.-::'n.j :';'~ -..' · ; -i.'-' Co.orient ~ I'N~ '~:C.A.S. H~er J' ,h~ical'and H~lth Haza~ C.A.S. H~er ." ', · . ~ . ,;';..........:..~; :. . ::. ~ ~. , iCheck all t~t apply).- ; . . .,~t.!. Co~onent [ 2"'~'~:6.A:.S. H~ . ~ Ft~ Hazed ~ Sudden ~lease ~ R~c~ivi~y ~ I~iate ~ Dolay~ · '~..~,i .... '..,....~.~,~.::-~, ;: ' , : ':'~ ~ of Pressure H~lth Hoalth Co~onent ~ 3 Na~'-l; C.A.~. N~a. .. ~ .. . Co~onent ~ 1 N~ & CJA.S. N~er ,h~ical and H~lth ~za~ C.A.S. H~er .. (Check all t~t apply) Component ~ 2 N~ & C.A.S. H~er 'j' .- of Pressure H~lth Health . ~ -;.. :.~. ., .', '. '.. . . ' ' 'k~'" ":: '"'"" "~ E~RGENCY CONTACTS ~1~~ ~~ ~We ~~z ~ ~2 ~'~Lti~ ~ ~~ ~ ~ ~-~-~ Na~ Title 24 ~. Phone N~e. · : .. ..... .; Title 24 ~ Phone · .- ~ ...'/;.:.~ ....';'.~'?3-'f~ .....':.~'..- .~ ·. · ~=tification . (READ AND SIGN AFTER COMPLETING ALL SECTIONS) , . ........ ' .... ..- - .' .... certify under peanlt¥ of law that I hayer personally examined and am familiar with the information submitted in 'this"'~d all attached 'd0c~ents and that baaed on my Inquiry of thosa ~dividuals rea~onaible for obtaining the information. I believe that the submitted infor~a~ion ia true, accurate, and.. co~plete. . ~...-.,'.,.j~ -.."~ ...... i~4E AND OFFICIAL TITLE OF C~RER/OPERATOR OR C~NEI~/OPER/tTOR'S AUTHOR/ZED REPR~ENTA~TIVE SIGN/ETURE . :.: .<.',' DATE April 26, 1990 William J. Beeman General Manager Lo-Car Enterprises 2900 M Street, Unit D Bakersfield, Ca. 93301 Dear Mr. Beeman: In reviewing your Hazardous Materials Business Plan, Section 7 C it is apparent that your company is under the misconception that chemical releases are only reportable if the material escapes from the facility. Pursuant to the regulations adopted under Chapter 6.95 of the California Health and Safety Code. All handlers of hazardous materials are required to notify the Local Administering Agency (Hazardous Materials Division of the Bakersfield Fire Department 326-3979} and the State Office of Emergency Services (OES 800-852-7550) in the event of a release or threatened release of a hazardous material. A reportable release is considered to be any release that poses a threat to life, health or the environment (any release resulting in a injury or sny release contaminating soil or water, whether on your property or not) or, any release of a reportable quantity. Reportable quantities for acutely hazardous materials are list in volume 52 number 77 of the Federal Register. All other hazardous materials follow the California guidelines of 55 gallons for liquids, 500 pounds for solids or 200 cubic feet at standard temperature and pressure for gasses. This notification should include your name, the exact location of the release, the identification of the material, the quantity released, the media into which the release was made and any perceived danger to health or the environment. Of course if an emergency exists the immediate action would be to handle the emergency (call 911). The specific details can be forwarded after the emergency phase is handled. Sincerely, Ralph E. Huey Hazardous Materials Coordinator Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED MAR 3 0 1990 AnB'd ............ HAZARDO. US MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2, 3. 4. SECTION 1' To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH, /~. Answer the questions below for the business as a whole.,~ Be brief and concise os possible, BUSINESS IDENTIFICATION DATA BUSINESS NAME: Lo-Car Enterprises. Inc.dba Lo-Car LOCATION' 2900 "M" Street~ Unit #D, Bakersfield, MAILING ADDRESS: ~/,~0~ ~l~,.~ ~ ~0~ CITY: Bakers£ield STATE: CA ZIP: 93301PHONE: 933D1 (805)325-1842 DUN & BRADSTREET NUMBER' 07229-0075 SIC CODE: PRIMARY ACTIVITY: Sale & Service of Commercial OWNER: Lawrence D. Lobach MAILING ADDRESS: 8015 Deering Ave. , Cano8a Park. C¢. 91 ~n/, SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE 'Bruno Carrasco~_ ~cUL~_Mgr, William J. Beeman, Gen. M§~, BUS. PHONE (805) 325'-1842 (8.18)884-9153 24 HR. PHONE (805)493-1481 F01590 Bakersfield F~r~ Dept.~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: 1' MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: The purpose of this plan is to protect the personnel and environment. It is necessary that all personnel working in a~eas wb~re hazardous materials are handled have formal training. This should include the type of hazards presented and how they might be safely handled. A training program is to be given to each employee within one'(l) month of their employment and as fre- quent thereafter as deemed necessary. Record will be made showing the training date and indicate the types of training. 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: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, William J. Beeman CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT 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. ~ SIG~RE General Manager TITLE DATE FDI590 Bakersfield Fire Dept. ~ Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: Lo-Car Enterprises, Inc. SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, AGENCY NOTIFICATION PROCEDURES: Bakersfield Police Dept. 1601 Truxtun Ave. Bakersfield, Ca. (805) 327-1111 Fire Dept. 2101 "H" Street Bakersfield, Ca. (805) 326-3911 or 93301 911 EMPLOYEE NOTIFICATION AND EVACUATION: Since we only have one employee at this location, he would take steps necessary for his own safe evacuation. This person is only at this facility for one or two hours per day. PUBLIC EVACUATION: Bakersfield'Po-lice dept. 1601 Truxtun Ave. Bakersfield, Ca. (805) 327-1111 or 911 Fire Dept. 2101 "H" Street Bakersfield, Ca. 93301 (905) 326-3911 or 911 EMERGENCY MEDICAL PLAN: Memorial Hospital 420 34th Street Bakersfield, Ca. (805) 327-1792 93301 l~aXerstzeld Fire Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: The emergency coordinator will provide for spill prevention inspections. These are to be conducted on a regular basis by the coordinator, checking such things as improper container storage. He will also be checking all safety equipment which would include fire hoses, fire extinguishers,.brooms , shovels, neutralization absorbent chemicals, exit signs. B0 RELEASE CONTAINMENT AND/OR MINIMIZATION:It is essential that, if pos- sible, the source of the spill be stopped and secondly, that it be con- tained. If the spill is not within a dike, one should be established. This will reduce the chance for reaction with any other chemicals in storage. CLEAN-UP PROCEDURES: Small spills, a drum or less, can be neutralized or absorbed for removal'. Non-corrosive liquids can be absorbed on a dry media and placed in drums for disposal in a Class I dump. In the event that haz- ardous material has escaped from the facility by entering the storm drains or contaminating the soil, this must be reported to the proper authorities. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: None East Side of Building West Side of Building LOCK BOX: YESN~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: Fire extinguishers and garden hos~e B0 WATER AVAILABILITY (FIRE HYDRANT)' Nearest fire hydrant Corner of "M" Street and 29~ Street (across from building) I:D15~0 CITY .of BAKERSFI ELD- ~HAZA~DOUS MATERIALS INVENTORY Farm and Agriculture ri Standard Rusiness ...:,.' .- ' ::' NON--TRADE SECRETS BUSINESS NAME: Lo-Cp,~ ~u~-_~:~c_. OWNER NAME: L~2.e:~ ~, L~N NAME OF THIS FACILITY: LOCATION; ~9o~"~ ~ ~ ~ ADDRESS; ~ox~~ ~ STANDARD IND. CLASS COUE CITY. ZIP:~K~s~teL~,~A ~'' CITY. ZIP' C~ P~z~ ~A'~ DUN AND BRADSTREE[ HUHBE~ PttONE ~: (~o~ ~.~ P ONE fl' '" .... ~- ~ - ~' ~ ~ O~-~ - " R~ER YO~R~~}~ROP~ CODES .... I 2 3 4 5 6 [ 8 9 I0 II 12 13 Trans !y~e ~ax Average Annual Hea~ure It ~ont gont ~ont Us tocation.~he(e. ?~t Names of ~ixturelCo~onents. Code come met Amc Est Un~ts on lie /ype Press ~emp Cote _ . ., , ~toreQ In ~acH~ty 5em lnstru:t~ons ~h~sical(check a/landthatHealthapply)Hazard ¢,A.S. Number Component Il' Name I C.A,S, Number ~:~t~-~-~ I1~ %~b~ ~-,-, ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Componen: 12 Name I C,X,S, Number Health 'of Pressure Health ~ -, Component 13 Name I C.A.S. Humber PhysicailCheck 4//IPdthatHeaithApply)UAllrd C,A,S, Number ~Componen~ II Hame t C.A,S, Humber ~l~s-z 175 J~))~ ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ImmediateCoAp°nent 12 Hame I C,A,S, Humber Health of Pressure Health .. Component 13 Hame I C,A,S, Number Physi'cal(check allandthatHeAIthapply)Hazard C,A,S, Number [. Component II Name I C,A,S, Number I~lb-73-z ~.~ B Fire Hazard ~ ReacCiviLy ~ Delayed ~ Sudden Release ~ lm~i~ Co~ponen~ IE Hame t C.A.S. Nu,ber Hem/Ch of Pressure CoAponeflk 13 Name I C.A.S. Number ' Physical and Health ~alard C,A,S, Number Component II NA~e I C.i,5, Humber T~¢-? ~Check 411 that apply) ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ lm~i~ Component 12 Hame t C.A.S. Number Hearth of Pressure Component 13 Name i C.A.S. Humber ~ame It~le 24. Hr ~e Ra~e 2~r ynone erti[igatioq .(Relief and sign afCpr compl~tiog,al? sec~i, ons.) certify un,er penalt~ ol~a~ th{t l havepersona~v examlnq(~aqa la ~ami~at. lit~ the ~nlofmauon ~u~mitt~ in this and all . C*~ached.d~cgeent~ anl t~at base~ on.my Inquiry gf. those ~no~vloua/s r'espons~o~e Tot obtaining the ~ntormauofl, I believe thac the uomltteo Intorma?on IS true, accurate, and complete. ~-~.~f~¢~ai tid~ of ouner/operator uH o~ner/operatoP s authorizeo're~resentatwe CITY. of BAKERSFIELD-' ,HA Z A ~:~ DO U S .MATERIALS INVENTORY Farm andAgticulture [] Standard Business ":-":'!i~'NON--TRADE SECRETS Page __~__.. of~_ BUSINESS NAHE:l~-~t~. ~ ~ OWNER NAHE:L~~ ~ ~ ~ OFDT~ LOCATION;~.~ ~ ~T ~ ~ ADDRESS; ~,%~,~ ~u~ .... ~ ~ ...~o~. NUHBE~ ................ ClIY. ZIP: ~~;~.~ ~) CITY. ZIP: ~,~ ~ ~~ uun ~.u PHONE ~: (~ ~_~.~ P ONE ~' ~ - ~- I~ ' -~ - ~ - ~~ · Trans ]yl~e Hex Average Annual Hea~ure I ~ont ~ont Gent Us locqtion.Whece. Code code . Ami Ami Est Un,ts on e lype Press lamp Coue Stored In kactlity Physical Ipd Health Hazard C,A,S. Humber Component II Name (Check al/ that applyj Component ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure . Health Component 13 Name I C,A,a, Humber Physical tod Health 6alard C,A.5, Number ' Component I1 Hame ~Check al/ that aPP/yl ~ Fire Hazard ~Reactivity ~ Delayed ~ SuddenRelease Health of Pressure Health Component 13 Name I C.A.S. Number Phyli'cal and Health ~azard ¢.A.S. Hu~ber ICheck all that a~lyl ~' Coeponen: I~ Na~e I C.A.a. Humber ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release Health of Pressure Health Component Physical and ~e~lth ~aZsrd C,A,~, Number Component II ~Check all that Component 12 Hame I C.A.~. Humber U Fire Hazard ~ Reactivity U Delayed D Sudden Release Health of Pressure Component 13 NAme I C.A.a. Humber E~EROEHCY COHTACTS fll~* dA~%r.' llt~e~ ~ ~~ fl2~ame.~/~~,~~ ferti[i;atioq,(Re~d and sign after compl~Cipg.~11 sec~i.ons.) cer.~.y under penaltX of!aW thqt l havepersonal~y, examinejdQqo la iamillaLvitb the Inioceaupn ~u~mittpd in this.lnd all at'~aCn~d.docveent~, Inl t~at based on.my inquiry Qr.tnose inDiviDualS responsIDme tot obtalfling cna lnrorea:lon, ] believe that the suo~ltceo inter,allen IS true, accurate, AnD complete. ~- an~.6l~ciaJ title Of owner/operator OH owner/operator authorized representative - ~ signature CITY ..of BAKERSFI ELD-' ~HAZARDOUS MATERIALS INVENTORY Farm andAgticulture F1 Standard Business /- ":'::-?'NON--TRADE SECRETS Page ~___._ BUSINESS NAME: Lzb-Q~ ~j-r ~ OWNER NAME:L~~ ~ ~g~ NAME OF THIS FACILITY: LOCATION; ~qo~ ~ %~ ~ ~. ADDRESS; ~l%~~mue STANDARD IND. CLASS CODE: .... ~.~ ~IP:~m~;~ e~ ~ CITY, ZIP: ~~ P~ '~ ~ DUN AND BRADSTREE~ NUHBER .......... !y~e Av~rHe HRaspre gent ~ont LocqtionoYheEe. ~w[y Nares Pixture/Co~ponents- Code code AmC AmC Est Units on e mype Press Temp CoueStored In eacllity See Instru:ttons Physical ood ~eelth Hazard C.A,S, Number Component II Hame I C.A,S. Numberf:,~-q~-H ~ C?L~f~ ,~;~} ~/ , (Check ali that apply) , Fl Fire Hazard ~ Reactivity FI Delayed F1 Sudden Release FI Immediate Component 12 Name & C.A.S. NumberTbb~-~t-~ Health 'of Pressure Health Component 13 Name ~ C.A,S. Number Physical 10d Bealth ~alard C.~.S. Number ~ Component II ~a~e I C.A.S. Nueber'131~-7~z ICheck al/ that B Fire Hazard ~ Reactivity B DelayedHealth B SuddenofPressureRelease B Component 13 Name I C.A.S. Number PhysiCal and ~ealth ~azard C.A.S. Humber : . Component II ~a~e I C.A.S. Number ~3~-7~-~ (Check ali that apply) Component U Name S C.A,S. Number ~ Fire Hazard ~Reactivity ~ Oelayed ~ Sudden Release ~ Immediate Health of Pressure ~ealth Component 13 Name I C,A.S. Number Physical and Health Ualard C.A.S. Number Component II Name I C.A.S. Number (Check 411 that mpp/yl Component 12 Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of Pressure Health Component 13 Name I C.A.S. Number EHERGEHCY CONTACTS Pl ~u ~Hame ~ A ~e~ II(cme~Y~ ~Zq. Hr~'~5'/~Pnone fl2Name~,ZL, -~ ~ ' ~~ TI~tle ~ ~-~S-[~2i~ ~honer :erti[i~atioq ,(Re, FY and sign af~pr cornpl~:i(~g,all sections.) certify under penalty ollap thqt l havepe(sonally, examlnqotqolm Tamillar. Vitb the Inlormatlofl ~ubmittpd in this.lnd all . ~t'~acned.dQcumencF, anl t~at base~ on.my Inquiry 9r.tnose )nolvlouals responsible tom obtaln~ng the lnTormatlon. ! be~meve thac the ;uomltteo IAlOrma:lo~ IS true, accurate, and complete. ~ ~,o, oticiai title of ouner/o~erator u~ o~ner/operator's authorized representative ~ ~lgnl:u~ - FEB--20--92 ~;!'Jg) 578-1539 GAKERSFIELD (G05) 325-1842 T H I_1 1766 N. Hi~I.M AVENUE ~ 110. FRESNO, CA 93727 PHONE (209) 252-1,5~5 ADMiNiSTRATiVE OFFICES TELECOPY TRANSMITTAL COVER SHEET DATE: FAX PHONE TO: //~? ~4~ p/u.. COZPANY NAME: ' TOTAL NO. OF PAGES SENT (INCLUDING COVER SHEET~ IF YOU DO NOT RECEIVE ALL PACES~. PLEASE CALL F' = BAC~, FEB--20--92 THY i' L 0 -- C A F.'. ,Fee F ~. W~ ~ ¥ ?.'lc" [. Lo -~