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HomeMy WebLinkAboutBUSINESS PLAN (2)HAZARDOUS MATERIALS BUSINESS PLAN NESTLI~ ICE CREAM COMPANY - BAKERSFIELD 7301 District Boulevard Bakersfield, CA 93313 Hazardous Materials Business Plan Sections I II III IV V VI VII Appendix A Contents Business Identification Data Emergency Response Plans and Procedures A. External Emergency Notification Procedures B. Local Emergency Medical Assistance Appropriate for Potential Accident Scenarios C. Emergency Action Plan Inventory Site and Building Maps A. Site/Building Map B. Locations of Stored Chemicals Map Responding to Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves Spill Notification Certification Hazardous Materials Spill/Clean-up Contractors SECTION I Business Identification Data CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION (one form per material per building or area) ~F~CIEI~:!D'~t::: 1 5 :~:::: 0 2 1 ;;;::L 0 0 1 4 0 7 :::1 Year Beginning :::::::: ::::::::::: :: : ::::::: ~ :;:::; January 1, 2002 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) Nestl6 Ice Cream Company - Bakersfield ' Year Ending 100 December 31, 2002 BUSINESS PHONE iOl 661-398-3500 102 SITE ADDRESS 7301 District Blvd. 103 CITY Bakersfield 104 CA DUN & N/A lO6 BRADSTREET ZIP 93313 105 SIC CODE 2024 lO7 (4 Digit #) COUNTY Kern lo8 OPERATOR NAME 109 OPERATOR PHONE 11o OWNER NAME ~qest!6 Ij$~x ~ ~, OWNER MAILING ADDRESS 800 North Brand Boulevard 113 CITY Glendale I OWNER PHON~ STATE CA 115 IZIP 91203 116 :: !!l~'nVI ~N M EN~AL C~N~A~ ::: :: : ::;::::::: : ~/:~L.:;;;; ~~;~'~ ::~? CONTACT NAME John Gilmore 117 I CONTACT PHONE (661) 398-3590 11s CONTACT MAILING 7301 District Blvd. 119 ADDRESS CITY Bakersfield ~2o STATE CA ZiP 93313 122 121 :::::::::::::::::::::::::::::::::::::::::::: :: :::::::::::::::::::::::::::::: NAME Joh- Gi!more TITLE EHS Manager BUSINESS PHONE (661) 398-3590 24-HOUR PHONE (661) 664-7222 PAGER # (661) 978-7243 ext. (661) 978-1736 ~23 NAME 125 TITLE 126 BUSINESS PHONE 127 24-HOUR PHONE PAGER # )en,,i~er~ . ~:riebel 129 EHS Coordinator 130 (661) 398-4859 131 (6.61) 827-0674 132 (661) 978-7243 ext, (661) 978-2537 133 Certification: Based on my inquiry of those individuals responsib e for obtaining the information, I certify under penalty of law that I have personally examined ~p~ ~'~ f~mili~r t~ifh fh~ infr~rm~fJ~n ~Hhmiff~l in fhi~.. _ in~nf~ ~ h~li~t~ ..... fh~ infnrm~finn i~ frH~ ~Hr~f~ ~nd ~nmnl~f~ ~~SIGNAYOR'~ ~F. ~W~E'~0P~'~T~-~~~ .................. /I ~YE~~ ............ ~ ~4- l- -~A-M E Jennifer Friebel0~' b~UMENT PREPARER 135 NAMES OF OWNE~OPE~TOR (print) 136 TITLE OF OWNE~OPE~TOR 137 Buttons Coleman Plant Manager SECTION I1 Emergency Response Plans and Procedures A. External Emergency Notification Procedures B. Local Emergency Medical Assistance Appropriate For Potential Accident Scenarios C. Emergency Action Plan Section II: Emergency Response Plans and Procedures A. External Emergency Notification Procedures Chapter 6.95 of the California Health and Safety Code requires a business to immediately notify, or within no more than 15 minutes, the emergency response agencies listed below if a release or threatened release of a hazardous material occurs. Emergency Response Agencies 1. Local Emergency Response Personnel Fire Agency/Police Agency: Phone: 911 2. National Response Center Phone: (800) 424-8802 or (202) 426-2675 o Administering Agency: Agency: City of Bakersfield Office of Environmental Services Phone: (661) 326-3979 4. State Office of Emergency Services: Phone: (800) 852-7550 or (916) 427-4341 Agencies Providing Emergency Chemical Information 1. Chemtrec - Emergency Response Information Service Phone: (800) 424-9300 2. Toxic Information Hotline Phone: (800) 233-3360 An Immediate Verbal Report Shall Be Provided As Soon As: 1. A person has knowledge of the release or threatened release. 2. Notification can be provided without impeding immediate control of the release or threatened release. 3. Notification can be provided without impeding immediate emergency medical measures. The Immediate Verbal Report Shall Include The Following: 1. The exact location and time of the release or threatened release. 2. The name of the person reporting ihe release or threatened release. 3. The hazardous materials involved in the release or threatened release. 4. An estimate of the quantity of hazardous materials involved. 5. If known, the potential hazards presented by the hazardous material involved in the release or threatened release. The immediate reporting shall not be required if there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety, property, or the environment. B. Local Emergency Medical Assistance Appropriate For Potential Accident Scenarios In Our Business Facility: Central Valley Occupational Medical Group Address: 4100 Truxtun Avenue, Suite 200 City: Bakersfield, CA Zip Code: 93309 Phone: (661) 632-1540 Facility: San Joaquin Valley Community Hospital Address: 2615 Eye Street City: Bakersfield, CA Zip Code: 93301 Phone: (661) 395-3000 3. Emergency Medical Agency (Ambulance): Local Paramedics Phone: 911 C. Emergency Action Plan Forward A basic system of emergency preparedness has been established to meet requirements of state and local codes and Company policy. The Nestl~ Ice Cream Company - Bakersfield Plant makes every effort to meet these requirements and provides for the protection of personnel and property. The effectiveness of any "Emergency Response Plan" is dependent on the participation of employees at all levels in the planning and training activities, which occur prior to an emergency or disaster. The Emergency Response Plan is designed as a ready reference tool for use when an actual emergency occurs. It will enable personnel to know what their responsibility is and what can be expected from other team members. In an actual emergency, the safety of personnel and the protection of property may depend on the action taken by those in the area of the emergency. Therefore, all personnel should familiarize themselves with the Emergency Response Plan and be aware of the proper steps to take during an emergency. In this facility, specific personnel are assigned to an Emergency Response Team. This team assists in implementation of the Emergency Response Plan. The team provides guidance during practice evacuations of the facility and during an actual emergency. For their own safety, all personnel must follow the instructions of these individuals. In order to critique the efficiency and effectiveness of the Emergency Response Plan, all plant evacuations will be reviewed and discussed by management within 48 hours of the evacuation. General Evacuation Procedures The following procedures apply to the Team Coordinators/Group Leaders/Lead Operators when it is necessary to evacuate the plant. Team Coordinators are responsible to assure personnel are safely evacuated and assembled in their designated locations. Team Coordinators shall visually inspect their work areas in pairs' (buddy system) on their way out of the plant to ensure all employees have evacuated. Team Coordinators shall report to the central assembly area, east of the Security Guard Office, immediately upon exit from the building. Group Leaders/Lead Operators shall lead employees on their specific line out of the plant through the closest, safe exit and shall proceed directly to the assembly area east of the Security Guard Office at the appropriate team sign. All personnel are to remain at this location until the "all clear" signal has been given by the Incident Commander. Upon assembly of personnel at their designated location, within the assembly area, the Team Coordinator, Group Leader, or Lead Operator shall determine if all personnel are accounted for by making a roll .call. The Control Center shall be notified by the Team Coordinator, Group Leader, or Lead Operator of the head count immediately. The Control Center shall immediately notify the Incident Commander if any employee is missing. The Incident Commander will notify the Emergency Response Team or Fire Department. Nestl6 Ice Cream Company personnel may be assigned to assist the Fire Department. Ammonia Release Procedures A. Purpose The purpose of these procedures is to outline the responsibilities of the management team who will be directing activities in the event of an ammonia release. The protection of employees and Company assets is of the utmost importance. B. Procedures 1. If there is a visible cloud of ammonia present or heavy odor, employees in that local area are to be moved to another area and the Utilities/Facilities Team Coordinator is to be notified immediately. The evacuation alarm should not be activated unless a potentially life threatening situation exists. The decision to totally, or partially, evacuate the plant is to be made by the Incident Commander and/or the refrigeration team, as appropriate. Except in the case of a life-threatening situation, the message to evacuate should be verbally communicated by Management Personnel from all areas as to avoid employee panic. If it is deemed necessary to evacuate and can be done safely without pulling the alarm box, Senior Management members must consider wind direction. If the Central Employee Assembly Area is upwind of the release, employees are to assemble in the designated location as called for in our evacuation procedures. However, if the wind is blowing in the direction of the Assembly area, the most senior management member must decide on an alternate safe assembly location. If an alternate assembly location is necessary, respective Team Coordinators must communicate this. If the fire alarm pull box is activated and the wind is in the direction of the Visitor Parking LOt, employees are to be directed to an alternate location as they evacuate to the visitor parking lot by Team Coordinators, or any member of management available. The person pulling the fire alarm pull box must contact the Security Office immediately by calling extension 599. o Employees must evacuate the plant immediately if the alarm is activated or if instructed to do so by Management or any Utilities/Facilities Technician. Upon evacuation to the Central Employee Assembly Area each employee must stay with his or her specific production line, or department, in order to have an accurate head count conducted. All employees must evacuate except those trained and authorized personnel (with proper protective clothing and breathing equipment). Each Department Manager, or Team Coordinator, in charge must account for each person under his or her responsibility. Team Coordinators must account for the people on the production lines, and then report to the Incident Commander. They must give the Incident Commander a list of the missing employees and location of where they were last seen, if possible. 5. If necessary, the Incident Commander will assign a squad to conduct a search. C. Responsibilities of Utilities/Facilities Personnel The Maintenance Manager is responsible for the ammonia release procedures in the plant. In his/her absence a properly trained, Group Leader on duty is in charge of the ammonia release activities. o After arriving at the scene of the ammonia release (with proper personal protective equipment), the Utilities/Facilities personnel must assess the situation as quickly as possible, and confer with the Incident Commander. 3. Turn on the fans, blowers, and ventilators as deemed appropriate by the Incident Commander. 10 4. Utilities/Facilities personnel must not enter a high ammonia concentration (300 ppm or greater) area without an approved ammonia SCBA and Level A protective equipment. The Utilities/Facilities personnel must use the "buddy system." Each person must have a "buddy" and is responsible for staying within sight of their "buddy." Each "buddy" must be dressed out at the same level of protection as the entry person. It is the responsibility of the Utilities/Facilities Team Coordinator or Group Leader on duty to contact EHS personnel to report the status of the ammonia release immediately. He/she is also to report as soon as possible if it is safe for the Production Supervisors to re-enter the plant to get the food ingredients off the lines and have them properly stored. D. Responsibilities of the Senior Member of Management 1. On first shift, the Plant Manager is the Senior Member of Management. His alternate shall be a Business Unit Manager. 2. On second shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be a designated Team Coordinator. 3. On third shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be the designated. EPSU Team Coordinator. The Senior Member of Management will set up a Control Center in the Administrative Conference Room assisted by the Director of Human Resources, Plant Operations or his/her designee. The ammonia release activities will be monitored from this location via telephone and two-way radio. If evacuation is necessary this group will follow-up to be sure all employees have evacuated. 5. Corporate Notifications: Name Title Phone Number To Be Notified By A1 Briggs VP, Operations (925) 327-8206 Plant Manager Jim Jorgenson Director of Loss Control (440) 349-5757 EHS Manager & Environmental Celeste Miller Director Environmental/ (818) 549-6337 EHS Manager Safety Ellen Snook Public Relations (415) 445-2290 Director of Human Resources, Plant Operations 11 6. Other Notifications: Agency Phone Number To Be Notified By Department of Health (661) 868-0554 EHS Personnel Environmental Protection Agency (202) 514-1489 EHS Personnel (EPA) Public Utilities Commission (800) 649-7570 Maintenance Manager National Response Center (EPA) (800) 424-8802 or EHS Personnel * Required only if discharge is (202) 426-2675 over 100 lbs. Fire Department 911 Incident Commander State Office of Emergency (800) 852-7550 or EHS Personnel Services (916) 427-4341 Office of Environmental Services (661) 326-3979 EHS Personnel Emergency Medical Service 911 EHS Personnel Contractor Involved Engineering Manager If the media arrives at the plan, the Director of Human Resources, or his/her designee, will give the news media the appropriate corporate contact. Should the media arrive at the plant at an hour when the Director of Human Resources, or his/her designee, is not present, their names(s), station identification, and phone number will be taken and someone will get back to them. o Members of management near the location of the ammonia release are to keep all person not directly involved with facilities in the discovery and repair of the release away from the scene. Only those employees who are properly trained and equipped to handle an ammonia emergency should be allowed in the immediate area (this includes non-facilities management). The Emergency Medical Service (EMS), or any other outside assistance should be instructed by management to remain at a location several hundred yards from the scene until their services are needed. o When the release has been stopped, the most senior member of management will make the decision to allow employees to re-enter the plant and resume production operations, or to terminate the current shift operations for the day. E. Responsibilities of Production When the Incident Commander has given the permission to allow Production Management to re-enter the plant, the Plant Manager and Business Unit Managers shall appoint a team to properly take care of the ice cream on the production lines. This team should consist of Lead Operator, QA Personnel and Production Maintenance Technicians. 12 F. Responsibilities of The Emergency Response Team All Emergency Response Team Members not involved in the repair of the ammonia release shall be on stand-by at the Central Assembly Area. The Emergency Response Team may be asked to assist in the employee search efforts. Emergency Response Team Members shall also be on stand-by to spray water at the ammonia release area. (Only if directed to do so by the Utilities/Facilities Team Coordinator or Utilities/Facilities Group Leader.) G. Authorization to Re-Enter Plant The authorization for employees to re-enter the plant to resume production can only be given by the Incident Commander after he/she consults with the Utilities/Facilities personnel on duty and after the Utilities/Facilities Team Coordinator and EHS personnel have accessed that the work area is safe for re-entry. Air samples will be taken with the Manning Systems Inc., monitors which are located in the Utilities/Facilities office, and/or the ammonia detectors which are located throughout the Production Floor. H. Medical Treatment For Exposure to Ammonia In the event an employee is exposed to ammonia the following steps are to be followed in order to properly care for the individual: Ingestion: If ammonia is swallowed in liquid form, keep victim warm and immediately obtain medical attention. If signs of respiratory obstruction develop, immediately transport to the nearest medical facility. Do not induce vomiting. Inhalation: Remove victim to fresh air. Give oxygen if breathing is difficult. If breathing has stopped, perform artificial respiration and obtain immediate medical attention. Contact with Skin: Apply water immediately to exposed areas of skin and continue for at least 30 minutes. Remove contaminated clothing, shoes, and constrictive clothing while continuing to apply water, being careful not to tear the skin. If skin surface is damaged, apply a clean dressing. If skin surface is not damaged, cleanse the affected area thoroughly with mild soap and water. Do not apply salves or ointment to affected areas and obtain immediate medical attention. Contact with Eyes: Remove victim to fresh air and immediately flush with flowing water for at least 30 minutes with the eyelids held apart. Obtain immediate medical attention. Ammonia Spills/Releases Procedures Quick Reference The following procedure should be followed in the event of an ammonia spill or release: 1. Investigate the cause (Maintenance with protective equipment). 13 2. Evacuate affected area. 3. Shut down broken lines or system. 4. Contact Fire Department if any vapors go to outside. 5. Contact the wastewater POTW if any ammonia has gone into the sewer drains. 6. Vent the affected areas. 7. Control and contain the spill and neutralize the ammonia. 8. If more than 100 pounds (18 gallons) was spilled, EHS personnel or if they are not available, the Business Unit Manager or his/her designee should contact the following immediately (within 15 minutes of the incident): a) National Response Center (get report number and name of person) (800) 424-8802 or (202) 426-2675. b) Local Emergency Response Commission (661) 326-3979 c) State Office of Emergency Services (800) 852-7550 or (916) 427-4341. d) Jim Jorgenson (440) 349-5757 or (216) 956-2226. 9. A written report should be completed by the shift Utilities/Facilities Group Leader stating dates, times, who, what, where, how, and corrective action taken. This should be given to the EHS Manager. 10. EHS personnel should be contacted to monitor employee exposure and limits. Chemical/Hazardous Material Release and Notification A. Responsibility of Plan Personnel If you discover a chemical/hazardous material spill or threatened spill notify the security office (ext. 599) and the proper response group will be notified of the situation. B. Responsibilities of Facilities Management 1. After receiving a report of a spill, first identify the spill location and determine what resources are necessary to properly respond to the incident. 2. If additional resources are needed contact the appropriate agency for the additional help (i.e. Fire Department or outside contractor service). 14 3. EHS personnel will be responsible for notifying the following agencies of the release or threatened release immediately (within 15 minutes of the incident): City of Bakersfield, Office of Environmental Services State Office of Emergency Services National Response Center (661) 326-3979 (800) 852-7550 or (916) 427-4341 (800) 424-8802 or (202) 426-2675 C. Responsibilities of the Emergency Response Team The Emergency Response Team, which consists of a group of specially trained employees on all three shifts, will handle specifically assigned duties delegated by the Incident Commander on that shift. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of Chemical/Hazardous Materials Release Procedures The Incident Commander shall terminate the Chemical/Hazardous Materials Release Procedures on duty. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the Chemical/Hazardous Materials Release Procedures. Fire Plan A. Responsibility of Plant Personnel If you discover a fire (regardless of the size), pull the nearest fire alarm immediately. After leaving the fire area, report the nature and location of the fire to the security office (ext. 599) and evacuate the building. B. Responsibilities of Facilities Management After receiving the report of a fire when the alarm is pulled, first identify the fire location on the alarm zone panel, then check out fire area to ensure the fire exists. If there is a fire, call the fire department to confirm they were alerted by the fire alarm system. If the internal telephone system is out of order, use a pay telephone. After calling the Fire Department, the Utilities/Facilities Team Coordinator or Group Leader must meet the Emergency Response Team at the designated gathering area. The ' Emergency Response Team should respond to the alarm and meet at the designated area 15 awaiting instruction from the Incident Commander, unless obvious actions should be taken. The group call for the Emergency Response Team is activated by use of radios and/or alarm. '~ After verifying the Fire Department has been contacted the Utilities/Facilities Team Coordinator or Group Leader must notify the Plant Manager, Business Unit Managers, and EHS personnel. If the fire alarm is pulled, the Security Guard at the main entrance shall stop all incoming traffic with the exception of emergency vehicles (fire truck, ambulance, etc.). The Security Guard will also be responsible for clearing all non-emergency vehicles from in front of the entrance gates. The Security Guard must be prepared to tell the Fire Department personnel the following: a) Location of the fire. b) The name of the Nestl6 Ice Cream Company employee to contact in the plant. C. Responsibilities of the Emergency Response Team The Emergency Response Team, which consists of a group of specially trained employees on all three shifts, will handle specifically assigned duties delegated by the Incident Commander on that shift. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of Fire Plan Procedures The Incident Commander shall terminate the Fire Plan Procedures on duty. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the Fire Plan Procedures. 16 SECTION III Inventory 17 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per malerial per building or ared [] NEW [] ADD []DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company .... CHEMiCAL LOCATION 201 [ CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area [ CONFIDENTIAL (EPCRA) 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME ] If Subject to EPCRA, refer to instructions I 207 cor, e~ONNX~m AC-55-5 EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] p PURE [] m MIXTURE [] w WASTE 211 RADIOA_.CTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons 215 213 [] s SOLID [] I LIQUID [] g GAS 214 [] i FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218IAVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 2,327.27 ]DAILY AMOUNT 1,163.63 5 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBERDRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apldy)[]c TANK INSIDE BUILDING " []fCAN []j BAG []n PLAST1C BOTTLE l-Ir OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ alXWg~T~NIT ['~ .. An,q~,l~ ~,~,,~I~xTT ~ ~ ~Cl ~lX! A~,al~I~XI? ??A sTORAGE TEMPERATURE [] a AIvIBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Phosphoric Acid 227 [] yes [] No 228 7664-38-2 229 4% 2 37% 230 Nitric Acid 231 [] Yes [] No 232 7697-37-2 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 DATE 246 P~T N~ & TITLE OF AUTHO~ZED CO~Y ~P~SENTATI~ SIGNATU~ . ~ ~ A R TM~JI~ i' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area} BUSINESS NAME (Stone as FACILIT~<'~I~ or DBA- Doing Business As) 3 { N estl6 Ice Cream Company CHEMICAL LOCATION [ ',IP Room 3 & 4 CHEMICAL LOCATION [] Yes [] No 202 201 CONFIDENTIAL (LYCRA) ~A~i~i~::ii35¢ 1 5 ~ 0 2 I ~ 0 0 i 4 0 7 ::::::Ail MAP # (optiona0 203 GRID # (optional) 204 'T~. ................. ~C ':: ~,~,.,.A 0. ~..: 73~~'~ .0.0:::~.,.'.'"'~::..'*~35;;V~<~..0 205 T~E SEC~T ~ Yes ~ No 206 C~MIC~ N~ [ If Subject to EPC~ refer to i~tmctions 207 CO~ON N~ EHS* ~ Yes ~ No 208 AC-55-5 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ' [] p PURE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] s SOLID [] 1 FIRE UNITS* [] m MIXTURE [] w WASTE 211 I ~IOACTIW [] Yes []No 2~21 CURIES 213 [] I LIQUID [] g GAS 214 I LARGEST CONTAINER 55 gallons 2IS [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH . 216 MAXIMUM 218 ] AVERAGE 219 I STATE WASTE CODE D~dLY AMOUNT 1,163.635 ' DtdLY AMOUNT 581.8175 220 DAYS ON SITE [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that t~ply) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] g CARBOY [] k BOX [] o TOTEBIN [] h S1LO [] I CYLINDER [] p TANK WAGON STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 37% 226 Nitric Acid 227 [] Yes [] No 228 7697-37-2 229 2 4% 230 Phosphoric Acid 231 [] Yes [] No 232 7664-38-2 233 237 3 234 235 [] Yes [] No 236 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 : ~.>.~ ~,, ::~, :~:~. ......................... ~,~.~/.~.~, :::::;:' '""'":7~ : ~?::::::':: :Lq; ~ : ::: :;;;:~: :::::::: ~?;~g~5~?~: ':~: ..... :::::::',~.7~,<<.~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per bnilding or aretO ':~ ~' :?'! : ~ ':"i~ ::: .... ::::::::::::::::::::: ::::::: :::~ '~'~, ::::: :::::::: ,,~ ?~ ~2::: ~ :::: : ~:::~:::::'~ : :~ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION [ CHEMICAL LOCATION I~l ~ [~1 .... ! CONFIDENTIAL (EPCRA) ~ ~es ~ 1'~o zvz CIP Room 3 & 4 201 [ CHEMICAL NAME COMMON NAME AC-55-5 Red (High Acid CIP Cleaner) 205 207 EHS* CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions [] Yes [] No 208 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] p PURE [] m MIXTURE [] w WASTE 211 [] Yes [] No 212 ] CURIES RADIOACTIVE LARGEST CONTAINER 55 gallons 2is [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE I STATE WASTECODE ,~MOtmT D;dLV ,~X4OtmT 12,003.20 I DAILY AMOtr~T 1,058.20 ] 220 DAYS ON SITE UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * lfEHS, amount must be in lbs. 365 222 213 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSUKE ~ a &~,~II:ITGNIT ~1 oo AI~.~XF~' AI~I:tlGNIT I~l ~,o nl:'lth~,ll A},lnIGIX~T ~?A STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Nitric Acid 227 [] yes [] No 228 7697-37-2 229 37% 2 230 Phosphoric Acid 231 [] Yes [] No 232 7664-38-2 233 4% 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 .~...:.. ....... :: :::..: ~,~... ¢~:: : :~-2 ,, :::::;,?~~-~ ..;.~:' ,: '""~:: : P~T N~ & TITLE OF AUTHOmZED COMPLY ~P~SENTATIVE / / bIGNAT~ ~ ~ t -- ~ DAT~ 246 .]enn~'fer L. Friebel, EHS C~rdinator ~_. ~:~~ ~~ ~/~ 7 / ~ ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materictl per building or area) Page of [] ADD [] DELETE [] REVISE 200 ~ .............................. ~ ::/i [] NEW BUS.SS N~ (Same as FACILITY N~ or DBA - ~ing Business As) 3 Nestl~ Ice Cream Company CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL (EPCKA) Outside Chemical Storage Area ~Ol :~ILi~Y ID ~i MAP # (optional) 203 GRID # (optional) 204 [] Yes [] No 202 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME I I 207 COMMONNAME AC-55-5 Red (High Acid CIP Cleaner) EHS* [] Yes [] No 208 2O9 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 213 [] Yes [] No 212 I CURIES 215 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 I RADIOACTIVE PHYSICAL STATE [] s SOLID [~]1 LIQUID [] g GAS 214 I LARGEST CONTAINER 55 gallons FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 ] AVERAGE AMOUNT D;aLY AMOUNT 12,003.20 [ D~LY AMOUNT 1,058.20 216 STATE WASTE CODE 22O DAYS ON SITE UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 365 222 * IfEHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that al,ply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGEPKESSUKE ~., axsmnxrv [--I aa anc~xm a~,;~r~raxl'r ~1 b~ ~nw ~,~m~x~T ??~' STORAGE TEMPERATUKE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 37% 2 4% 226 Nitric Acid 23o Phosphoric Acid 234 227 [] Yes [] No 228 7697-37-2 229 231 [] Yes [] No 232 7664-38-2 233 237 235 [] Yes [] No 236 / 239 [] Yes [] No240 / 241 4 238 245 243 [] Yes [] No244 5 242 .Iennffer t. Frmbe;, ~3 C,~,rdinat ~ ~ ff ~,~ ~ ~ ~ Y ~ 54 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materkd per building or area) [] NEW [] ADD [--]DELETE [] REVISE 200 Page -- of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 CHEMICAL LOCATION [] Yes [] No 202 Maintenance Shop and Compressed Gas Storage Area CONFIDENTIAL (EPCRA) i~]~]~iD# I 5 ?~ 0 2 1 0 0 1 4 0 7 ::: i mAP#(optiona0 203 GRiD#(optiona0 204 2O5 T1L&DE SECRET I ~ Yes I~l NO 206 CHEMICAL NAME Acetylene If Subject to EPCRA, refer to instructions 207 COMMONNAME EHS* [] Yes [] No 208 CAS # 209 74-86-2 F1RE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 103 CU FT [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 AMOUNT 0 DALLY AMOUNT 1 0 DAILY AMOUNT 5 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] [] e PLASTIC/NONMETALLIC DRUM FIBER DRUM m GLASS BOTTLE q (Check all that apply) a ABOVEGROUND TANK [] i [] [] RAIL CAR 223 [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTEBIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ ^xant~*,.t'r ~ ~ an©ira ^~,ant~*,rr I'--I ho nv:t cm~ axantv:xt-r ?~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 ~ 100% 226 Acetylene 227 [] Yes [] No 228 74-86-2 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE DATE 24~ .]enniferLFriebeI, EHSCoordinator ~~~ ~/e-~ '~ /{~e~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page __ of __ ~ ": : :::' ::~ :: ~3~ .... ::::::::::::::::::::: :: -,~.<., ~!::::'~'~:::: :: :': z i:::::: .,g.~..-;C ' ~ .~:~:::...: ::: .... ~..:::: ....... '~' . ::::':: ~'~ i i: :i~ BUS,SS N~ (Same ~ FACILITY N~ or DBA - Doing Business As) 3 Nestl6 Ice Cream Comply C~MIC~ LOCATION 201 ~ Yes ~ No 202 Throughout Facility Refrigeration System CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 1 5 g~;(~l 0 I 2 I 1 [~1 0 I 0 I 1 I 4 I 0 I 7 I~iii~ii~iJ M~ # (ot, tiona0 203 GRID # (optional) 204 ............................ :::::::::::::::::::::::::::::::::::::::::::: ......... ::::::::::::: .......................... : [ CHEMIC~E:i EORMATIO~ : ~? ~¢~ ~ ~::: .... ~ 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME [ If Subject to EPCRA, refer to instructions Anhydrous Ammonia I 207 CO~4ON NA~m Ammonia EHS* [] Yes [] No 208 CAS # 7664 -41-7 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE PHYSICAL STATE [] s SOLID FED HAZAKD CATEGORIES [] I FIRE (Check all that apply) ANNUAL WASTE 217 AIvlOUNT 0 [] m MIXTURE [] w WASTE 211 [~]1 LIQUID [] g GAS 214 LARGEST CONTAINER 4,800 lbs. [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] S CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 [ STATE WASTE CODE DAILY AMOUNT 101,607 DAILY ~VtO~T 101,607 220 DAYS ON SITE UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 RADIOACTIVE [] Yes [] No 212 I CURIES 213 215 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN Throughout Facility [] h SiLO [] I CYLINDER [] p TANK WAGON Refrigeration System STORAGE PRESSURE n .............. 2 /I~A~IIRh?T ~ ~ A""'~ ~--"'"~'T n k~ n~t~ ^xsm~x~T 22:1 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 100% 226 Ammonia 227 [] Yes [] No 22S 7664-41-7 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 .,enniferLFriebel. E lqSCoordinator ~~ ~..t~ ~.~/~-~ "~ /0 ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of ~:~ ~(i;~ :i:~i i::':::.~ :~.~ : *:~ ::::::::::::::::::::::::::::::::::::::: BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 [ CHEMICAL LOCATION [] Yes [] No 202 Maintenance Shop and Outside Gas Storage ] CONFIDENTIAL (EPCP. A) iiFA~]~JT~iD~ 1 5 ~0 2 [~i']0 0 4 0 7 ~&~i[MAP#(optiotal) 203 GR1D#(optiotal) 204 CHEMICAL NAME Argon COMMON NAME 205 207 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 CAS # 7440-37-1 209 :~I f EHS is"Yes;~ all~i~t's 1~61~(v' ~ ~ :i~:/l~ :::::'4 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 336 CU FT FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM =l~ I A~RAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 1 50 DAILY AMOUNT 75 220 LTNI~S* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 · IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] aABOVEGROUND TANK [] ePLASTIC/NONMETALLIC DRUM [] iFIBER DRUM [] m GLASS BOTTLE [] qRAIL CAK (Check all that apldy) 223 [] bUNDERGROUND TANK [] f CAN [] jBAG [] n PLASTIC BOTTLE [] rOTHER [] cTANK TNSI6E BUILDING [] g CARBOY [] kBOX [] o TOTE BIN [] dSTEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~] ~ a~ant~:~,t'r I~l .. an©xm axne~mntT F-] ~,~ n~ Oxx~ a~,,mm'nrv ??4 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Argon 227 [] Yes [] No 228 7440-37-1 229 1 Clflo/~ 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~? :. .... ..... : !J,.,,I~!~A~I3R~ :: ::.::::::::::::: ! i::~ <~,~:~ .......... ............................................. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ DATE 246 Jen:dferL, Friehel, EH3'CoordinatorJ /~ ~ '~~~~~ ~/e~ '~ /Oh CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area} [] Mw [] ~mD [] t)ELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestlfi Ice Cream Company CHEMICAL LOCATION I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area 20l I CO~IDENTIAL FX~iEiSg~i~fi 1 s ~ 0 2 1 ¢?~1 0 I 0 I ' I 4 I 0 I 7 I :: I M~(°tJti°'rO 203 GmD~(optiona0 204 CHEMICAL NAME Calcium Chloride COMMON NAME Brine 205 207 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 CAS # 7664-41-7 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 212ICURIES 213 I RADIOACTIVE [] Yes [] No LARGEST CONTAINER 330 gallons PHYSICAL STATE [] s SOLID I~l LIQUID [] g GAS 214 215 (CheckFED HAZARDall that apply)CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 AMOUNT DALLY AMOUNT 990 DAILY AMotnxrr 330 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] q RAIL CAR (Check all that al)ply) [] m GLASS BOTTLE [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK iNSIDE BUILDING [] g CAKBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON Plastic Tote 223 STORAGE PRESSURE ~ ~ ~al:Ill~NIT ['~ ~ ~l~Oxm ^waglg'~.tT [~ b2 nELQnr ^MBIENT STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 22rl 225 I Ozlo/^ 226 Calcium Chloride 227 [] Yes [] No 228 7664-41-7 229 2 230 231 ['-lyes []No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 P~mT ~am & T~TkE OF AUTnOmEO CO~Y ~P~SENTaTIVE / "J ii~N~g~-'~'~'~'~~ ; .,enn~erLFrtebel,~fCoor~nator ~ .~ ~~ ~/W V /O~ f' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fi~rm per material per building or area} [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ /':I~' FACILIT~ !~FOR~AT!ON ~~3~:.~.~-. : ::: ......... BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 Rollo Mold Tables EACILIT~ID~ :l I MAP # (opao.~l) I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) 203 GRID # (optiona0 204 205 TRADE SECRET I I Yes I~J No 206 CHEMICAL NAME I Calcium Chloride If Subject to EPCKA, refer to instractions 207 COMMONNAME Brine EHS* [] Yes [] No 208 CAS # 7664-41-7 209 F1KE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 1,400 gallons [] s SOLID [] I LIQUID [] g GAS 214 [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219[STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 7,000 DALLY AMOUNT 990 [ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * lfEHS, amount must be in lbs, 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] ePLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE I~] ~ AI~f[I~T~I%TT ~ ~ AI~CI*~[C ^Xgqt~&Tq' ~ !?. ~I~I~ll! A~gI~II~XTW 22d STORAGE TEMPERATURE [] a AIvIBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 ! 226 Calcium Chloride 227 [] Yes [] No 228 7664-41-7 229 94% 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~ ......... III. SIGNATURE ~,~< ~ ~ ........... ~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SiGNATUi~ ~ __ -- ~ j D3TE ..246 .]enniferL. Friebel, EHSCoordinator ~ ~~~'~~~~ ~. ~ '7/0 e~ A I~ · CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD ~ [] DELETE [] REVISE 200 ~ ~ Page __ of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Nestl6 Ice Cream Company CHEMICAL LOCATION Engine Room - Ammonia Compressors ~11i 0 2 0 201 CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) MAP # (optional) 203 GRID # (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I If Subject to EPCRA, refer to instructions I 207 COMMON NAME EHS* [] Yes [] No 208 Camco 717 Series (Semi-Synthetic Hydrocarbon) CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] p PURE [] in MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I c~s LARGEST CONTAINER 182 gallons 215 213 [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 ] STATE WASTE CODE AMOUNT DAILY AMOUNT 3,460 DAILY AMOUNT 3,460 [ 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN Compressors [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 227 [] Yes [] No 228 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE Jennifer L. Friebel, EHS Coordinator ~J~_~ DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] ~w [] MD [] DELETE [] P~VlSE 200 P~ge of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area 201[ CONFIDENTIAL (EPCRA) F~i~i~:ID#:: I S }~!:[ 0 2 1 I~j 0 0 1 4 0 7 [MAP#(ol, tio, al) 203 aRiD#(opliotal) 204 205 TRADE SECRET I I Yes i,xl No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMONNAME EHS* [] Yes [] No 208 Camco 717 Series (Semi-Synthetic Hydrocarbon) CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ' [] p PURE [] m MIXTUKE PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAX1MUM AMOUNT DAILY AMOUNT UNITS* [] ga GAL [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES [] g GAS 214 LARGEST CONTAINER 55 gallons [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 / AVERAGE 219 ! STATE WASTE CODE 440 I DAILY AMOUNT 440 I 220 [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 213 STORAGE CONTAINER (Check all that at)ply) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] ra GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANKWAGON STORAGE PRESSURE ~ o a~m~n~xrr I'--I oo anr~xm s~,~nm~rr ['-[ .o nn~ rmr anam~xrv ~'~n STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 227 [] Yes [] No 228 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 [ CHEMICAL LOCATION [] Yes [] No 202 CIP 5, 6, & 7 [ CONFIDENTIAL (EPCRA) F~i~ITYi~ I 5 ~ 0 2 1 [~ 0 0 14 0 7 MAP # (optional) 203 GRiD#(optio~a0 204 CHEMICAL NAME 205 [ TKADE SECRET [] Yes [] No 206 Citric Acid If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS* [] Yes [] No 208 CAS # 77-92-9 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 213 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 1,500 gallons FED(checkHAZARDall that apply)CATEGOKIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 AMOUNT 0 DAILY AMOUNT 1,500 I DAILY AMOtmT 220 212 I CURIES 215 216 STATE WASTE CODE 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 (CheckSTORAGEall thatCONTAINERapldy) [] a ABOVEGROUND TANK [] ePLASTIC/NONMETALLIC DRUM [] iFIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] jBAG [] n PLASTIC BOTTLE ['-Ir OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] kBOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] ICYLINDER [] p TANK WAGON STORAGE PRESSURE [~ ~ a~m~r~.r'v ['-[ .. ^r~nxm ^x~t~r~xr~ ['~ b~- n~'~XY~ ^MBIENT 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] ¢ CRYOGENIC 225 1 226 Citric Acid 227 [] Yes [] No 228 50% 77-92-9 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 .................. ~' ................ ~ ,i,~III SIG ~URE~ ............. :; d4~~ ~ ........ ,*~::::::~ ................ ,,~ ...... P~NT N~ & TITLE OF AUTHO~ZED CO~Y ~P~SEN~ SIGNAT~ DATE 246 31 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 BUSINESS NAME (Same as FACILITY NAME or DBA ~ Doing Business As) 3 (one form per materiaI per building or area) Page of NestM Ice Cream Company CHEMICAL LOCATION Warehouse MAP # (optiona0 203 I CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) [] Yes [] No 202 GRID # (optional) 204 CHEMICAL NAME COMMON NAME Coconut Oil CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 205 207 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 [] pPURE F-I m MIXTURE [--] wWASTE 211 [RADIOACTIVE I-lyes []No 212 I CURIES [] s SOLID [] I LIQUID [] g GAS 214 I LARGEST CONTAINER 5 gallons 215 [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 213 PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT MAXIMUM DAILY AMOUNT 1,048 218 AVERAGE DAILy AMOUNT 760 219 I STATE WASTE CODE220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 Steel Pail 223 STOIL~GE PRESSURE ~1 a AI~,~I'I~I!C'~IT r-I na AIJ~FI'[Fg' AI~/I![III:~IT ~] ho nr:~ Cml a~,tqIEbiT ??~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 227 2 230 231 [] Yes [] No 228 J 229 233 [] Yes [] No232 3 234 235 [] Yes [] No236 237 4 238 239 [] Yes [] No240 241 5 242 243 [] Yes [] No244 245 PRINT NAME & TITLE OF AUTHOKIZED COMPANY REPRESENTATIVE ~ SION,~TUR. E ~,~ ~ Jennifer £. Friebe], £HS Coordinator ~ ~ ' ~,~ ~ '~ J~ ~_ ~)46 DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] ~w [] ~OD [] DELETE [] REVISE 200 (one form per material per building or areaJ Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 Outside Chemical Storage Area iF~ci~i~ifi*~ 1 5 71~ 0 2 I ~ 0 0 4 0 7 MAP#(optio, ai) 203 GRID#(optiota0 C~MIC~ N~ 205 COMIvlON NAME Desiccant 207 CAS # I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) 204 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE I [] Yes [] No ~l~ ] C~ES [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons [] 2 REACT1VE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 0 DA~LY AMOU~qT 1,200 OnILY AMOUNT 1,200 I UNITS*' [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 213 ." PHYSICAL STATE ~ s SOLID FED HAZARD CATEGORIES I'--I I FIRE (Check all that apply) ANNUAL WASTE 217 AMOUNT STATE WASTE CODE 220 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOtE BIN [] d STEEL DKUM [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 1 00% 226 Alumina 227 [] Yes [] No 228 1344281 22.c 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No 236 235 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRaT N~ & TITLE OF AUTHO~ZED CO~Y ~P~SENTATI~ Jenn~er L. FriebeL ~S Coordinator CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per btdlding or area) Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 Outside - West End of Engine Room (Generator) MAP # (optiomtl) 203 CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) GRID # (optional) 204 CHEMICAL NAME COMMON NAME Diesel Fuel #2 CAS # 68476-34-6 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 205 207 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instractions EHS* [] Yes [] No 208 210 TYPE PHYSICAL STATE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 2,500 gallons 215 213 [] s SOLID [] I LIQUID [] g OAS 214 FED(checkHAZARDall that apply)CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 2,500 DAILY AMOUNT 0 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 (CheckSTORAGEall thatCONTA1NERapldy) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q P.AIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ ~ ^x,mmx~v 1-'1 ~ snnxm ^~anmxvr I'-I u~ n~:lOXS~ ^X{BiENT 228 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 1 nt~o./o 226Diesel Fuel #2 227 [] Yes [] No 228 68476-34-6 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 .lem,,fer L Friehel. Ed-IXCo~,rdim,tor ~ ~-- ~, m /~ ~? /O ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or aretO Page of ISE 200 -- ['-I xmxx~ [] ADD [] DELETE [] REV BUS.SS N~ (Same ~ FACILITY N~ or DBA - ~ing Business As) 3 Nestl6 Ice Cream Compmy ~ C~mC~ LOCATION ~ Yes ~ No 202 C~MIC~ LOCATION 201 ICO~IDENTI~ (EPC~) W~tewater Building GraD ~ (°pti°naOI ' 204 ~iEITY;iD:~ 1 ~ 5 ~[ 0 2 1 ~:1 0 0 1 4 0 ] 7 M~(optionaO 203 ~;:: ~;: ~'~:< ::~:< ............ ~ 205 I T~E SEC~ ~ Yes ~ No 206 C~C~ N~ I If Subject to EPC~, refer to instructions I Diesel Fuel g2 2O7 EHS* ~ Yes ~ No 208 CO~ON N~ CAS # 68476-34-6 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] p PURE [] m MIXTURE [] s SOLID []l LIQUID [] 1 FIRE [] 2 REACTIVE MAXIMUM DAILY AMOUNT 213 UNITS* [] w WASTE 211 [RADIOACTIVE []Yes []No 212 I c~s [] g GAS 214 I LARGEST CONTAINER 300 gallons [] 3 pRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 I AVERAGE 219 I STATE WASTECODE 300 DAILY AMOUNT 250 220 DAYS ON SITE [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 22l 365 * lfEHS, amount must be in lbs. 222 STORAGE CONTAINER (Check all that aPldy) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BU1LDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE I-Ir OTHER [] g CARBOY [] k BOX [] o TOTEBIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE pRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 227 []Yes []No 228 [ 231 [] Yes [] No 232 235 [] Yes [] No 236 239 [] Yes [] No 240 226 Diesel Fuel #2 !0n% 2 230 3 234 4 238 243 [] Yes [] No 244 5 242 ~orditator ~ ~ r~ I Jem,~er L. Friebe;, ~S Ct ' ~ ~ ~~ 68476-34-6 229 233 237 241 245 DAT/E 246 v Ic, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) IBUS.SS N~ (Same ~ FACILITY N~ or DBA - Doing Business As) 3 [Nestl6 Ice Cream Comply ] C~MICAL LOCATION 201 ~ Yes ~ No 202 Outside - West End lCHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (optiona0 204 CHEMICAL NAME COMMON NAME Diesel Fuel #2 205 207 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 CAS # 68476-34-6 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 213 [] p PURE [] m MIXTURE [] w WASTE 211 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] Yes [] No 212 [ CURIES RADIOACTIVE LARGEST CONTAINER 500 gallons 215 [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PKESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 500 DAILY AMOUNT l 0 I 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINEK [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBEK DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CAKBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ ^~,mm~;'r 1'-'[ ~ anr~xm n~nmxrr [~ ~.~ m:, OU~ a~nhxxrr 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Diesel Fuel #2 227 [] Yes [] No 22s 68476-34-6 220 1 00% 2 230 231 [--]Yes I'-INo 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 :::: : : ,,:: ,,,,,,..,-,-~ ::::~,o...:::::: ~.::: ::::::::::::::::::::: ~ :: .; ~:::: :~ ~ .... PRI-NT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ / SIGN, ATUP~ ~ ~ t - ~ / ~,~.lr. Tau J¢,,,t~fer L Friebz,, EHS Coordinator t~.~ _ .~.?~.. ~_~.~~~ ~ ~.1~' ~r ~ '~ / 0 r~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fi~rm per material per building or area) IBUS.SS N~ (Salne ~ FAC1LITY ~ or DBA - Doing Business As) 3 [Nestl6 Ice Cream Comply C~MIC~ LOCATION 201 Outside Chemical Storage ~ea I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) ~::: :'~'"::::::: =':: ~ = ii :: :: ,~;~ :: :: ==::':' :: :::: :: ii~ ~HEMiC~ORM~TiON=::: ~5~: ~:' =: ="~:=~==~:::;~,~ ....... 7::::::: === ===== ======= == ============= =: 7 ~===~::::::: ~ ........ ::::77::::::::::::: ========================================= ..:~>.~:~. "r~: :::::::::::::::::::::::::::::::::: ~ ................................ 205 T~E SEC ~ Yes ~ No 206 C~MIC~ N~ ' If Subject to EPC~, refer to instructions ' 207 I, CO~ONN~ Evaposhine- Aqueous Acid Cleaner I EHS ~ Yes ~ No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [-1 p PURE [] m MIXTURE ~l w WASTE 211 [RADIOACTIVE [--]Yes []No 212 ICURIES PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) 213 ANNUAL WASTE 217 MAXIMUM 218 ]AVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1,054.3 5 IDAILY AMouNT 527.175 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR (Check all that apply)[] c TANK INSIDE BUILDING [] f CAN []j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTEBIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE ~ ~ ^t/rm~:xvr [-'1 ~ snnx~ ~tam~:xrr I"-I b-nrtlox~ nxsm~:xrr STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 9% 226 Phosphoric Acid 227 [] Yes [] No 228 7664-38-2 229 2 30% 230 Nitric Acid 231 [] Yes [] No 232 7697-37-2 233 237 3 234235 [] Yes [] No 236 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME 8,: TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Do ng Bus ness As) 3 ' Nestl6 Ice Cream Company CHEMICAL LOCATION iI ' CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area 201 CONFIDENTIAL (EPCRA) ~'~iEtT~,]b~ ~ 5 ~] 0 2 I~ 0 0 I I 4 [ 0 7 MAP#(optiota0 203 GRID# o lion CHEMICAL NAME I 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions COMMON NAME Foam Shine (High Foaming Acid Cleaner) 207 EHS* [] Yes [] No 208 FI~ CODE ~ CLASSES (Complete if requested by local fire chieo :7::::::::::::::::::: ;;;::::: ~ 210 TWE ~ p P~ ~ m MIXT~ ~ w WASTE 211 213 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons. 215 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 FED HAZARD CATEGOKIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 5 CHRONIC HEALTH 216 (Check all that apply) [] 4 ACUTE HEALTH ANNUAL WASTE 217 MAXI~ 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAILY AMOUNT 55 220 I [ UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] [] e PLASTIC/NONMETALLIC DRUM i FIBER DRUM [] q (Check all that apply) a ABOVEGROUND TANK [] [] m GLASS BOTTLE RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE I'~ o a~,~lr;qx;w 1'~ ~ arlf~xrr: a~a'l:tlGhlT ~] },o nr:t char a~,,~qlFNT ??~I STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] ¢ CRYOGENIC 225 I 226 Phosphoric Acid 7664-38-2 229 410~ 227 []Yes /-~No 228 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No236 237 4 238 239 [] Yes [] No240 241 5 242 243 [] Yes [] No244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANy REPRESENTATIVE SIGNATURE DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] ~w [] ADD [] DELETE [] ~VISE 200 Page of ..... i~> ::: ~ 7:::: :: :::: ::::: BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION [ CHEMICAL LOCATION [] Yes [] No 202 CIP Room 5, 6, & 7 2Ol ICONFIDENTIAL (EPCRA) ~'~IEiT~]~5~ 5 ~ 0 2 I [~ 0 0 4 0 7 :::: ::: MAP#(optiota0 203 GRiD#(optiota0 204 205 TRADE SECRET t--I Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMONNAME Foam Shine (High Foaming Acid Cleaner) E~S* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE FED HAZAKD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons 215 [] s SOLID [] I LIQUID [] g GAS 214 [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE[] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAX1MUM 218 AVERAGE 219 I STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAILY AMOUNT 5 5 [ 220 . UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS. amount must be in lbs. 365 222 STORAGE CONTAINER [] [] e PLASTIC/NONMETALLIC DRUM i FIBER DRUM m GLASS BOTTLE q ((Vleck all that apply) a ABOVEGROUND TANK [] [] [] RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ ~ t.~a~ll::NlT ['~ o~ av*r~xnr: A~,a~tr~x~,TTI'-I 5.~ n~T tqw A~aIII!~'NTT O'~d STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 41% 226 Phosphoric Acid 227 [] Yes [] No 228 7664-38-2 229 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No236 237 4 238 239 [] Yes [] No24O 241 5 242 243 [] Yes [] No244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE .len,ifer L. Friebel. EH5' Coordinator ~- , SIGNAT__ , DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or arecO [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION GlycoICHEMICALsystemLOCATION 201 CONFIDENTIAL (EPCRA) [] Yes [] No 202 ~i~i~!~'i I 5]~ 0 2 1 ~ 0 0 1 4 0 7 !ii!ii!ii!!i MAP# (optional) 203 GRID# (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Glycol If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* [] Yes [] No 208 Propylene Glycol - Industrial CAS # 209 ~IfEHg::i~"Y~'-all~mou~f~§~10~mustb~? n 57-55-6 FI~ CODE H~ CLASSES (Complete if requested by local fire chie0 210 ~ p P~ ~ m MIXTU~ ~ w WASTE 211 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 2121 c~s LARGEST CONTAINER 1,100 gallons 215 [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 2IS I AVERAGE 219 I STATE WASTE CODE AMOUNT DAILY AMOUNT 1,100 ] DAILY AMOUNT 1,100 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] r CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN Piping [] d STEEL DR~ [] ~ SILO [] ~ CWn~OER [] p TAN~: WAGON STORAGE PRESSURE ~ o ax~m~u~,5'r [-I ~ sn©xm axaglrXT'r ~'1 b~ r~l cml ^~n~rr ?ga STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 1, 2 - Propanediol 227 [] Yes [] No 228 57-55-6 229 100% 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGINATUI~ '' ~, -- - ] / DATE 246 denniferL. Friebel. EHSCoordinator ~ /.~..~~~~ c~/~ 7 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per bttildittg or area) Page of __ ~ 200 ~ .. ~; ~ ........... !~: : ............... ~:: ::::::: :: .......... ; :::::::::: ::::: ::;, ~ ,:,:::::: ::/~:::: :::::::::::::::::::::::: Busi~ss N~a~mCs - ' ' Nestl6 Ice Cream Company i~~ [~Xei~i~:iD~::l 1 Is i~] o I 2 I~ 1~71o I° I~ I4 I° Iv 1~:::~5 i I MAV~(°pti°naO 203 ....... ~,~ .... :c.~::::~: 7~::::: ;: ::,¢ '?:~ :::: :::::; ::::::: ::::::: 205 T~e ~ec~t ~ Yes ~ No zv~ C~C~ N~ ' I If Subject to EPC~ refer to imtmctiom I Glycol I 207  EHS* ~Yes ~No 208 co~o~ ~ Propylene Glycol - Industrial I::::: If~H~:is~Yes~al ~ht~el :~ CAS ~ 57-55-6 ~::::~: :: ~:: :~: :::~ :: ::: ;~ ::; ~::~ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 I [] Yes [] No 212 CURIES TYPE [] p pURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE I PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST co~rr~NER 55 gallons 215 FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) I ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY ,XMOU~T 170 DAILY AMOUNT 170 220 213 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 365 * IfEHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q ILML CAR (Check all that aptdy)[]b UNDERGROUND TANK []FCAN []j BAG []n 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 STORAGEP~SSt*~ fin , A ....... [] ~ A ............. ~ .................. STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 4~ ~ ........ . 227 [] Yes [] No 228 I 57-55-6 229 I 1 tiC, o/ zzo 1, z-t'ropaneolOl 2 --- ': 230 231 []Yes []No 232 [ 233 237 235 [] Yes [] No236 3 234 241 239 [] Yes [] No240 4 238 245 243 [] Yes [] No244 5 242 PraT N~ & TITLE OF AUTHORIZED COmfY ~P~SENTATIVE 25 DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fi~rm per material per building or area) BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Nestl~ Ice Cream Company CHEMICAL LOCATION Materials Requisition Off]ce ICHEMICAL LOCATION CONFiDENTIAL (EPCKA) 201 MAP # (optional) 203 GRID # (optional) 204 [] Yes [] No 202 CHEMICAL NAME COMMON NAME CAS # JAX Cryog,,ard Plus ISO 68 F1KE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 205 TYPE [] p PURE [] m MIXTURE 207 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 [] w WASTE 211 I RADIOACTIV~ []Yes []No 212 I CURIES [] g GAS 214 I LARGEST CONTAINER 55 gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 AVERAGE 219 ] STATEWASTECODE 5 5 DAILY AMOUNT 5 5 [ 220 213 PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] 1FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 DAYS ON SITE 365 222 * IfEHS, amount must be in lbs. STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~l a ^xamu*,rr [-] aa ApOxm ~amv:xrr I'-I ha BF~ tvuu /XI'!clI!C'lXIT ??fl STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 100% 2 230 Hydrotreated Petroleum Paraffinic Mineral Lubricating Oil 227 [] Yes [] No 228 8042-47-5 229 231 []Yes []No 232 233 3 234 235 [] Yes [] No236 237 4 238 239 [] Yes [] No240 241 5 242 243 [] Yes [] No244 245 :::::::::::::::::::::: :::~ .,:: : ~ :: :::::::~..~L~:~::~::i~:~;,'"~::;~':::;~;~',/~: P~T N~ & TITLE OF AUTHO~ZED CO~Y ~P~SENTATI~ ~ S~NAT~ ~ ~ de,n~er L. Friehe,, ~S Coordit,ator ~~~ ~ Z /O ~ - s8 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or aret0 [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of . __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION I CHEMICAL LOCATION [] Yes [] No 202 CONFmENTIAL (EPCRA) Materials Requisition Office 201 ~XCiLiT¥ ID#:I 1 I 5 1~13 0 1 2 I 1 l~'l 0 I 0 1 4 0 7 MAP It (optional) 203 GRID It (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* [] Yes [] No 208 JAX Magna-Plate 64 (Petroleum Lubricating Oil) FIRE CODE HAZAKD CLASSES (Complete if requested by local fire chie0 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 ] RADIOACTIVE [] Yes [] No 212 I CURIES PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 [ LARGEST CONTAINER 58 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) 213 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 [ STATE WASTE CODE AMOUNT DAILY AMOUNT 5 8 [ DAILY AMOUNT 5 ~ [ 220 UN1TS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * lfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DKUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apldy)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE [-~ . a~mT~:xrr I-~ ~ anoxm ax~nT~:*,rr [--] h~ ~c~t~xx~ a*,~n~,rr ?74 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 White Mineral Lubricating Oils 227 [] Yes [] No 228 229 100% 2 230 231 []Yes I'--[No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~,~. ,~.,..~SIGNATURE detm!ferL. Friebel, EHSCoordinator f DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area} BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 INestl6 Ice Cream Company CHEMICAL LOCATION ICHEMICAL LOCATION [] Yes [] No 202 Materials Requisition Office 201[ CONFIDENTIAL (EPCRA) ~i~i~¢i~:i~!! I 5 ~ 0 2 1 I~ 0 0 1 4 0 7 MAP# (optional) 203 GRID# (optional) 204 ~:s .......... i I 5~ ~ I I I~1 I I I I I ::::::1 ....... .~¢m~,,::: ........ ................... ::.- : :::m~/~//<::~, ...... :::.:~:? ~**~ :::: <~:: :::;: ~ :: :~:r¢~ : : : :::::: :: ~ :: ::::: ....... ....... ~ '::;::~, ~ vt; ............. '~;.:~,~-.~'~'~ Il. CHEMI~A~INFORM~ION~,:~ : ;:¢~<~ ~: ::::ii: } :::.¢~: [ii:: : .:~ ......... : ;(~¢~ :' :::::::::::::::::::::::::::: 205 T~E SEC~T ~ Yes ~ No 206 If~ubject to EPC~, refer m instructions C~MIC~ N~ 207 CO~ON N~ EHS* ~ Yes ~ No 208 J~ Magna-Plate 76 (Petroleum Lubricating Oil) CAS # 2O9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 213 TYPE [] p PURE [] m MIXTURE PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT [--I wWASTE 211 I RADIOACTIVE []Yes []No 212 I CURIES [] g GAS 214 [ LARGEST CONTAINER 58 gallons [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 AVERAGE 219 I STATE WASTE CODE 5 8 DAILY AMOUNT 5 8 I 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[]b UNDERGROUND TANK []fCAN []j BAG []n 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 STORAGEPRESSUKE ~ a ~,ant~:*.rr ~1 ~ al~r~xm annnt~:x~w I'--I h. nm rm~ a~,nr~t~tT 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 White Mineral Lubricating Oils 227 [] Yes [] No 228 229 1 00% 2 230 231 [] Yes [] No 232 233 237 3 234 235 [] Yes [] No 236 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE denn~ferL. FriebeI, EHSCoordinator DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or arecO BUS.SS N~ (Same as FACILITY N~ or DBA - Doing Business As) 3 Nestl6 Ice Cream Comply C~MIC~ LOC 0 ~ Yes ~ No 202 ATI N C~MIC~ LOCATION CO~mE~l~ (EPC~) ASRS - Cr~es MAP # (optional) 203 GRID # (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME ] If Subject to EPCRA, refer to instructions I 207 COMMONNAME EHS* [] Yes [] No 208 JAX Magna-Plate 80, 86, 88 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE I~l p PURE PHYSICAL STATE [] s SOLID FED HAZARD CATEGORIES [--I I FIRE (Check all that apply) ANNUAL WASTE 217 AMOUNT UNITS* [] m MIXTURE [] w WASTE 211 [RADIOACTIVE OYes []No 2121 C~ES [] I LIQUID [] g GAS 214 I LARGEST CONTAINER 15 gallons 215 [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH MAXIMUM 218 I AVERAGE DAILY AMOUNT 70 [ DALLY AMOUNT 60 [] ga GAL [] cf CUFT [] lb LBS [] tn TONS * IfEHS, amount must be in lbs. [] 5 CHRONIC HEALTH 216 219 STATE WASTE CODE 220 DAYS ON SITE 221 365 222 213 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] b UNDERGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ o a~anmxrr [--/ oo anc~xrr a~ant~xn' ~1 ~,o n~tnxxr ^~antm, n' 27~. STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 synthetic Lubricating Oil 227 [] Yes [] No 228 229 100% 2 230 231 ~l~es ['-~No 232 233 237 3 234 235 [] Yes [] No 236 4 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 5 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE __ SIGNATURE f ~9 60 DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area} Page __ of __ BUS.SS N~ (Sine as FACILITY N~ or DBA - ~lng Business As) ~ Nestl6 Ice Cream Comply [ ] [ CmMIC~ LOCATION ~ Yes ~ NO 202 ] C~MIC~ LOCATION 201 I CO~IDENTI~ (EPC~) uisition Office M~ ~ (optionaO 203 G~D ~ (optionaO 204 CHEMICAL NAME COM/vlON NAME JAX Magna-Plate 220 FG, 460 FG 205 ,ECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 209 I ?*g EHS i'~Y~,¢{~ll aiii6i~ints °~[6w~g!t }0~m Ps4~ ;~ CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 I RADIOACTIVE [] Yes [] NO 212 [ CURIES PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 213 FED HAZARD CATEGORIES [] ! FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) [ ANNUAL WASTE 217 MAXIMUM 218IAVERAGE 219 STATE WASTE CODE AMOUNT DALLY AMOUNT 55 DAILY AMOUNT 55 220 DAYS ON SITE UNITS* [] ga GAL [] ct CUFT [] lb LBS [] tn TONS 221 365 ~2~ * If EHS. amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBERDRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] h UNDERGROUND TANK [] f CAN []j BAG [] n 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 STORAGE PRESSURE ['~ . ^*,m~xrr ~ ~ ^nc~xm s*,am~:~.rr [--] b~ nm rmr a~sn~:x? 224, STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 1 2 230 3 234 4 238 White Mineral Lubricating Oils 5 242 227 231 235 239 243 [] Yes [] No 228 [] Yes [] No 232 []Yes[]No 236 [] Yes [] No 240 [] Yes [] No 244 220 233 237 241 245 DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or aret0 [] NEW [] ADD [] DELETE [] REVISE 200 :"~:~ ........... Page of Nestl~ Ice Cream Comply Materials Requisition Office 2o ~ FA~IEIT~ ID~: 1 5 0 2 ~;:: : .... ~ ~ 0 0 4 0 7 ~:~ ~M~g(optio'aO 203 ...... [ C~MICAL N~ I 205 T~E SEC~T ~ Yes ~ No 206 If Subject to EPC~, refer to instructions COMMON NAME JAX Syncomp - FG ISO Grade 32 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 2O7 2O9 [] p PURE [] in MIXTURE EHS* [] Yes [] No 208 :.:,~:,~ EHS ~;:i4tI1 amount®ovc:;must:be m :lUs: ~: t ['-] wWASTE 211 I RADIOACTIVE I--lyes []No 212 I CURIES PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES (Check all that apply) [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM I J AMOUNT 218 AVERAGE 219 STATE WASTE CODE DAILY AMOUNT 5 5 DAILY AMOUNT S 5 220 UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS DAYS ON SITE * IfEHS, amount must be in lbs, 221 365 222 STORAGE CONTAINER [] a [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) ABOVEGROUND TANK [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 213 STORAGE PKESSURE ~ ~ a~,m~:xrr [--I .~ anc~xm a~m~hTT ~1 h. nn~ cmt a~aqlFhlT 22d STORAGE TEMPERATURE [] a AIvlBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 - !00% 2 230 3 234 4 238 5 242 Synthetic Lubricating Oil 227 []Yes []No 228 231 I--lyes []No 232 235 [] Yes [] No236 239 [] Yes [] No240 243 [] Yes [] No244 229 233 237 241 245 ....... ~.. :::::: m=== =:m-,, .~:======.**,:= :::::::::::::::::::::::::::::::: --~': ::== :=~IIIT:~Ib~NA~TIJRE =: :,~ '~3 ~,'~: : ==='~: -~: '~i~==-A~' =:~ PRINT NAME & TITLE OF AUTHORIZED COMPANy REPRESENTATIVE SIGNATURE DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ~ ~ ~ 200 Page __ of __ I~l NEW I lADD [--I DELETE I,Xl REVISE ,,,~ ~ ~- ,~ ........ ;:~:::;~ .~:: .,.,~,,~-: ,~"::,. ::~': : '"'"~:iii ,,~: >:~; '*~' ::~i: "::::/~ ~:::::i~~'' : :: ::'"~' :~q ' ,: ,,,:~¢': ;;" BUS--SS N~ (S~me ~ FAC~ITY N~ or DBA - Doing Business As) 3 Nestle Ice Cream Comply [ .... C~MIC~ LOCATION ~ ~p~A(~) m Yes m No 202 ~ Outside Chemical Storage Mca 2ol GRID # (optionaO 204 203 205 CHEMICAL NAME CO~'mON N~viE Mandate (Acid Sanitizer) 2O7 209 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] w WASTE 211 RADIOACTIVE [] Yes [] No TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] p PURE [] m MIXTURE LARGEST CONTAINER 5 5 gallons TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 :,,*IfEHS m~,Yes;: all 212 [ CURIES 215 213 [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIKE [] 2 REACTIVE [] 3 pRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 [ STATE WASTE CODE DALLY AMOUNT 220 DALLY ~MOUNT 110 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 365 222 * IfEHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE [-~ ? A~,mli~lklT [~ ?? Alrl~qx,/~ AlXlI:II[;IqTI'~ ha [tl~It~'l! Al~'Sn~[g~lT ??~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 504 230 Phosphoric Acid 7664-38-2 229 227 [] Yes [] No 228 231 [--]Yes []No 232 235 [] Yes [] No236 239 [] Yes [] No240 243 [] Yes [] No244 233 237 3 234 241 4 238 245 5 242 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 ',~,/'~ v,/o_~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Nestl6 Ice Cream Company CHEMICAL LOCATION 201 CIP Room 3 & 4 I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTI~L (EPCRA) MAP # (optiomtl) 203 GRID # (optiona0 204 CHEMICAL NAME COMMON NAME CAS # Mandate (Acid Sanitizer) FIRE CODE HAZARD CLASSES (Complete if requested by local fire chie0 210 2O5 207 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 TYPE [] p PURE [] m MIXTURE [] w WASTE PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 211 214 RADIOACTIVE [] Ye~ [] No 2121 c~s LARGEST CONTAINER 3,000 gallons 215 213 FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 / AVERAGE 219 [ STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 3,000 I DAILY AMOUNT 1,500 [ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [~r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] ~ STEEL D~V~ [] h S~LO [] ~ CVrn,~ER [] p TAN~ WACON STORAGE PRESSURE ~ ~ A~n~;'r [~ oo anr~xm s~,sn~z~xrr [~ n~ n~ c~xt s~aBiFNiT 22d STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid 227 [] Yes [] No 228 7664382 229 22.5% 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATU~E · ~ ~¥O~',~RE ~ ~AT~ ~ / 2 30 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 2OO (one form per material per building or aretO Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Nestl6 Ice Cream Company CHEMICAL LOCATION 201 Outside Chemical Storage Area ~X~i~:iD~ I s ~ 0 2 I 7ZI01oll Inl01 CHEMICAL NAME COMMON NAME Mikroklene DF (Idophor Detergent Disinfectant) CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) [] Yes [] No 202 1: MAP # (optional) 203 GRID # (optiona0 204 ,:":;;~ii~'~ : :: ::::: ::~.~: :: :",~*: ::::%~.::: ii:: ::~:: : i :::::::::::: :i ::~'- ::::::::::::::::::::::::: :::::::::::::::::::::::: i:::¢:~::: :::~ g:::::::: ~,::~:' ::::' ~': :: : :::: :: 205 T~E SEC~T ~ Yes ~ No 206 If Subject to EPC~ refer to imtmctiom 207 EHS* ~ Yes ~ No 208 TYPE [] p PURE [] m MIXTURE PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] I FIRE [] 2 KEACT1VE (Check ail that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DAILY AMOUNT RADIOACTIVE [] Yes [] No 212 I CURIES [] g GAS 214 LARGEST CONTAINER 55 gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 ] AVERAGE 219 I STATE WASTE CODE 1 10 DAILY AMOUNT 55 220 UNITS* [] w WASTE 211 [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 22] DAYS ON SITE * IfEHS, amount must be in lbs. 365 213 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] r CAN [] j BAG [] n 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 STORAGE PRESSURE ~ o snnmcxrr ~] oo annxm ^nanwxr* I-'l ~-~ nr:Tnut sx~nw?,rr ??~. STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Iodine 227 [] Yes [] No 228 7553562 229 175% 2 6.5% 230 Phosphoric Acid 231 [] Yes [] No 232 7664382 233 3 2% 234 2-Butoxyethanol 235 [] Yes [] No 236 1 1 1762 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one.fi~rm per material per building or are~O ]Nestl~ Ice Cream Company CHEUIC~LOCATION [] Ye~ [] ~o 202 Air Compressor Room CHEMICAL LOCATION 201 CONFIDENTIAL (EPCKA) ~L!'r~:]~i I 5 ~'~ 0 2 1 ~ 0 0 I 4 0 7 MAP # (optional) 203 GRiD#(opt,onal) 204 C~MIC~ N~ , I 207 COMMON NAME Mobil Multipurpose ATF (Dextron 3) CAS # 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons 215 216 FED HAZARD CATEGORIES [] 1FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOLrNT 213 UNITS* [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5CHRONIC HEALTH 218 [ AVERAGE 165 DAILY nMOU~T 55 DAYS ON SITE [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 219 [ STATE WASTE CODE220 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEELDRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ['~ o axmn:xrr I'~ ~ ^nnxr~ a~,an~xrr [-] ha BF~ nu~A~,anmx*T ?74 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ha BELOW AMBIENT [] c CRYOGENIC 225 I 226 Diphenylamine 227 [] Yes [] No 228 122-39-4 229 I% 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No236 237 4 238 239 [] Yes [] No240 241 5 242 243 [] Yes [] No244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE~ SIGNA,TURE. x~~ ,Je,miferLFriehel, EHSCoordi,,ator ~ ~,,'~~j~ DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or arecO Page __ of -- ' P [ OtElmCAL LOCATION I--I. r'~ .... CHEMICAL LOCATION 201 ( [CONFIDENTIAL (EPCRA) t--I Ices ~ lNG zuz Boiler Room GRID # (optional) ~ l:,¢i¢,~,;-i~.:~;il 1 I 5 t7 ~/fl 0 I 2 I 1 i:~>~1 0 I 0 I I [ 4 I 0 I 7 I ~: ;ii~l MAP#(oplionaO 203 fi~IBIT'I ~IH:~ ~ ~ ~ .~.~::: ~:::~: :'::::.z:::::g~:: ~ ...... -~ ............ T~E SEC~ ~ Yes ~ No 206 205[ C~MICAL N~ If Subject to EPC~. refer to imtmctions COMMON N~,m Nalco 2800 (Transport-Plus) CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE 207 I EHS* [] Yes []No 208 i~ i~,~HS~is"y~': all ~ra0ont~ be o~ mu ~'~ PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DALLY AMOUNT [] g GAS 214 [] 3 PRESSURE RELEASE 218 110 213 [] Yes [] No 212 [ CURIES UNITS* [] ga GAL [] cf CU FT [] lb LBS * IfEHS, amount must be in lbs. LARGEST CONTAINER 55 gallons [] 4 ACUTE HEALTH 215 55 AVERAGE DALLY AMOUNT [] 5CHRONIC HEALTH 216 219 [STATE WASTE CODE 22O DAYS ON SITE 221 365 [] tn TONS 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] c TANK INSIDE BUILDING [] d. STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC ??~ 225 227 [] Yes [] No 228 1 226 231 []Yes []No 232 2 230 235 [] Yes [] No 236 3 234 239 [] Yes [] No 240 4 238 5 242 243 [] Yes [] No 244 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE -- SIGNATURE Jennifer L. Friebel. EllS Coordinator / 3(; 229 233 237 241 245 DATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or arecO 200 Page of [] NEW [] ADD [] DELETE [] REVISE BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company Engine Room - Water Treatment l CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCKA) 201 ~i~ITY~]I)~: I 5 ~[ 0 ] 2 ~ 0 0 1 4 0 7 : :::~i~ii [ MAP # (optional) 203 GRID # (optionaO 204 .. ...i:'::::::~:: ;~ 205II TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I If Subject to EPCRA. refer to instructions 207 COMMONNAME Nalco 2536 Plus ] EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief} 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 [ RADIOACTIVE [] Yes [] No 212 [ CURIES PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214[ LARGEST CONTAINER 55 gallons 215 [] 1 FIRE [] 2 REACTIVE 213 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT DAILY AMOUNT []3 pRESSURE RELEASE []4 ACUTE HEALTH []5 CHRONIC HEALTH 216 218 I AVERAGE 219 I STATE WASTE CODE 5 5 DALLY AMOUNT 5 5 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn ToNs 221 DAYS ON SITE 365 222 * IfEHS, amount must be in lbs. STORAGE CONTAINER (Check all that apldy) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CAP. BOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 1% 226 Sodium Mercaptobenzothiazole 227 [] Yes [] No 228 2492-26-4 229 2 5% 230 Sodium Nitrite 231 [] Yes [] No 232 7632-00-0 233 3 5% 234 Sodium Tetraborate 235 [] Yes [] No 236 1330-43-4 237 4 238 239 [] Yes [] No 240 241 5 242243 [] Yes [] No 244 245 p~Y'~ & YiYLE OF AUTHOmZED COMP~Y ~P E / / ' -- ~ ~ ' / / ~]~ ~ ~ O ~ de,m~r L rriebel, EHS Coordi,ator ~ ~ ~ ~~~~ ~/ ~ t ~65 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fi)rm per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUS.SS N~ (Same ~ FACILITY N~ or DBA - Doing Business As) 3 Nestl6 Ice Crem Comply C~MIC~ LOCATION C~C~ LOCATION . ~ Yes ~ No 202 I Engine Room - Water Treatment 20~ CHEMICAL NAME 2O5 207 TKADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions COMMON~Vm Nalco 2548 EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] p PURE [] m MIXTURE [] w WASTE 211 [] Yes [] No 2121 CURIES RADIOACTIVE LARGEST CONTAINER 55 gallons 215 [] s SOLID [] I LIQUID [] g GAS 214 [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE ~vlOUNT DALLY AMOUNT 1 10 [ DALLY AMOUNT 5 5 I 220 DAYS ON SITE UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * IfEHS, amount must be in lbs. 365 222 213 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBERDRUM [] m GLASS BOTTLE [] q RAILCAR 223 (Check all that cq~ply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 40% 226 Sodium Bisulfite 227 [] Yes [] No 228 7631-90-5 229 5% 230 Potassium Bisulfite 231 [] Yes [] No 232 7773-03-7 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 243 [] Yes [] No 244 245 P~T N~ & TITLE OF AUTHORED CO~Y ~PRESENTAT1VE ~ ~IGN~T~ t ~ DATE 246 detm~ferLFriebel,~SCoordinator ~ ~~2~~ ~ ~/0 ~ ~')66 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION time form per material per building or area) BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 [Nestl~ Ice Cream Company ~ ____~ -- [ CHEMICAL LOCATION I cCo%MII~%A~NTLICALC(5TPICONRA) [] Yes [] No 202 ] Outside Chemical Storage Area 2Ol [ MAP # (optional) 203 GRID # (optionaO 204 CHEMICAL NAME 205 2O7 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions TYPE PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) COMMON NAME Oxonia Active ( Acid Sanitizer) EUS* [] Ve~ [] No 208 2O9 CAS # F1RE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes []No 212 [ CURIES 213 [] g GAS 214 LARGEST CONTAINER 55 gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 2 l 6 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 [ STATE WASTECODE AMOUNT DALLY AMOUNT l 00 DALLY AMOUNT 50 ~ 220 I DAYS ON SITE UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 365 222 * IfEHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGKOUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE [~ a ~ ....... F'] ................. ~ ha BFI O'X ......... ??al STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Acetic Acid 227 [] Yes [] No 228 64-19-7 229 R% 2 27.5% 230 Hydrogen Peroxide 231 [] Yes [] No 232 7722-84-1 233 3 234 Peroxyacetic Acid 23s [] Yes [] No 236 79-21-0 237 5.8% 4 238 239 [] Yes [] No 240 241 5 242 '243 [] Yes [] No 244 245 detnt~er L. Friebel, ~S Coordinat ~ ~ ~ ~ ~ -~ ~ c ,/ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) Page D [] DELETE [] REVISE 200 ~: .... :::: :::~ ;:;; :: [BUS,ESS N~ (Same ~ FACILITY N~ or DBA - Doing Bus~ness As) I Nestl6 Ice Cream Comply C~MICAL LOCATION ] c~u~c~oc~x~o~ 2o~ [ co~eezI~ ] CIP Room 3 & 4 I M~ ~ (optiona~ 203 G~D ~ (optiona~ 204 CHEMICAL NAME 205 207 I'RADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to insWactions COtVnV~ON N~ Oxonia Active ( Acid Sanitizer) 209 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 EHS* [] Yes [] No 208 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 [] p PURE [] m MIXTURE 213 [] w WASTE 211 RADIOACTIVE [] Yes [-~No 212 I CURIES [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons [] 1 FIRE [] 2 REACTIVE [] 3 pRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT DAILY AMOUNT 1 00 DAILY AMOUNT 50 220 DAYS ON SITE LrNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 365 222 · IfEHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply)[] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK FNSIDE BUILDI2qG [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h S1LO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [-~ STORAGE TEMPERATURE [] a AMBFENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Acetic Acid a% 2 27.5% 230 Hydrogen Peroxide 3 234 Peroxyacetic Acid 5.8% 4 238 227 [] Yes [] No 228 231 [] Yes []No 232 235 [] Yes [] No 236 239 [] Yes [] No 240 64-19-7 229 7722-84-1 233 79-21-0 237 241 245 243 [] Yes [] No 244 5 242 I Je,mfferLFriebel.~SCoordinator ~ /~~~ ~/~ Y ' , ' / CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ' (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ .. :: ::%:: ::::::::::::::::::::::::::::::::::::::::: ~,~ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 I CO~mESTInL (EPCP-~) Maintenance Shop and Outside Gas Storage Area 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME IOxygen 207 COMMON NAME EHS* [] Yes [] No 208 CAS ~ 7782-44-7 2o9 210 213 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 PHYSICAL STATE [] s SOLID [] I LIQUID RADIOACTIVE [] Yes [] No 212 [ CURIES LARGEST CONTAINER 249 CU FT 215 [] g GAS 214 FED HAZARD CATEGORIES [] IFIRE [] 2 REACTIVE [] 3PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 [ AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 0 DAILY AMOUNT 5 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * IfEHS, amount must he in lbs. 365 STORAGE CONTAINER []a ABOVEGROUND TANK [--le PLASTIC/NONMETALLIC DRUM [] i FIBERDRUM []m GLASS BOTTLE []q KAIL CAR 223 (Check tdl that apply) [] bUNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] cTANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] dSTEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ['--I 2 axml~lT ~ ~ AU,~,/'~ A~nIF~?T ~ ~ ~1 ~! AI~aI~I~XIT 22~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Oxygen, Compressed 227 [] Yes [] No 228 7782-44-7 229 100% 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ....... ::::::::::::::::::::: P~T N~ & TITLE OF AUTHORED CO~Y ~P~SENTATI~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (o.e form per materkd per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl~ Ice Cream Company CHEMICAL LOCATION 201 ] CHEMICAL LOCATION [] Yes [] No 202 Chemical Storage Area I CONFIDENTIAL (EPCRA) !~XCILITYiID# 1 5 17:~: 0 2 1 ~: 0 0 1 4 0 7 ~!:i! MAP#(optiona0 203 GRiD#(optionai) 204 ~ ::~ ::::: :: :::::::::: ............. :~ : ;?3~~ ~, :,,~.~,.; :':::: ........ : ~ ~,~ : .................. :,~' ~',*~,': ¢:::: :::: :c. :, :.:::~ rG, ,~ ' ~: .............. :~'~ ::::::::::::::::::::::::::::::: ~: ............ ~:g~ .................. ~'~ .......................................... ::::::::::::::::::::::::: 205 TRADE SECRET I...J Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA. refer to instructions 207 COMMON NAME Quorum Clear (Quaternary Ammonium Sanitizer) EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons 2is [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] S CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 [ STATE WASTECODE AMOUNT 0 DALLY AMOUNT 1 1 0 l DAILY AMOUNT 55 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONlvlETALLIC DRUM [] i FIBERDRUqM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND rANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE [-~ ~ ~[l~lll~klT ~ ~ l!~t.~.tm S]~i~]l~.~lT ~] ~ i:llTI flXl[ al~/i:ii!GiMT 99/1 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Alkyl Dimethybenzylammonium Chloride 227 [] Yes [] No 228 8001545 229 5% 2 230 231 []Yes []No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PR/-NT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 24~ .]ennifer L FriebeI, EHS Coordi.ator '~~__ ~,.~.~ '~~'~~ o~e~ '~ ]J ~ ~ A It I'M~q~T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per bttilding or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ ' BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area 2OlI CONFmENTIAL (EPCRA) ~×~iLi~¥~iDg I ~ I s l~l 0 I 2 I ~ I: 4(~I 0 I 0 I ~ I 4 I 0 I 7 Ii ::i:::i I MAP # (optional) 203 GRID#(optio, al) 204 2O5 TRADE SECRET L--I Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMONNAME Quorum Yellow II (Alkaline CIP Cleaner) EHS* [] Yes [] No CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PURE [] m MIXTURE [] w WASTE 211 212 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No I c~s LARGEST CONTAINER 55 gallons 215 [] s SOLID ~ll LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 I STATE WASTE CODE AMOUNT DALLY AMOUNT 1 10 DALLY AMOUNT 5 5 [ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] r CAN [] j BAG [] n PLASTIC BOTTLE I--Ir OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUU [] h SleO [] ~ CWn'~ER [] p TANI< WAGON STORAGE PRESSURE [~1 o a~m~:x;w I~l ~ ^nt~xr~ axanT~xrr I~ ha Bl~l Clll/ &MBIFNT STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Sodium Hydroxide 227 [] Yes [] No 228 13 10-73-2 229 1 ~o/^ 2 23O Sodium Hypochlorite 23I [] Yes []No 232 7681-52-9 233 3% 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~ N~ & TITLE' ' ........... OF AUTHOmZED ................................. COm~Y~ ............. ~P~SENTATI~/ ] ::'~ SIGNA~E ~ . -- /t~DATE. ::246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (o.e form per material per btdldit]g or area) ] ~ ~ ~ 200 Page __ of __ NEW I I ADD t_IDELETE ~ REVISE ~' BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 CHEMICAL LOCATION CIP Room 5, 6, & 7 CONFIDENTIAL (EPCRA) FACI~i~¥qD # 1 5 ,?~l 0 2 I~i~[ 00 4 [ 0 [ 7 MAP # (ot, tional) 203 GRID # (optional) 204 : ~!:!:!i '~ TM ::5 : : :: ::: '~ ::::: ::::::::~::~ ~: * 205 CHEMICAL NAME [ 207 COMMON NAM~ Quorum Yellow II (Alkaline CIP Cleaner) 209 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] Yes [] No 202 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 TYPE [] p PURE [] m MIXTUKE [] w WASTE 211 PHYSICAL STATE [] s SOLID /"~1 LIQUID [] g GAS 214 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE (Check all that apply) RADIOACTIVE [] Yes [] No L~aEST CONTAn'~R 3,000 gallons 212 [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH CUPdE S 213 215 216 STATE WASTE CODE 220 ANNUAL WASTE 217 MAXIMUM 218 ,MvlOUNT 0 DALLY AMOUNT 3,000 AVERAGE DALLY AMOUNT 1,500 219 UNITS* [] ga GAL [] cf CU FT [] lb LBS * IfEHS, amount must be in lbs. [] tn TONS DAYS ON SITE 221 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGKOUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BFN [] h SILO [] I CYLINDER [] p TANKWAGON []q RAIL CAR [] r OTHER 223 STORAGE PRESSURE STORAGE TEMPERATU1LE [] a AMB1ENT [] aa ABovE AMBIENT [] ba BELOW AMBIENT 224 [] c CRYOGENIC 225 I 15% 226 Sodium Hydroxide 2 3% 230 Sodium Hypochlorite 3 234 4 238 5 242 ~?-: 17 ::i i: ::ii:::: :~:: :: ,,,:: i:::::: PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE .lemdfer L. Friebel, EHS Coordinator 227 [] Yes [] No 228 231 []Yes []No 232 235 [] Yes [] No 236 239 [] Yes [] No 240 243 [] Yes [] No 244 SIGNATURE 1310732 229 7681529 233 237 241 34 DATE '7i/o .2 245 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) Page __ of __ BUS--SS N~ (Same ~ FAC~ITY N~ or DBA - Doing Business As) 3 Nestl6 Ice Cream Company / CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) Outside Chemical Storage Area 203 GRID # (optional) 204 ECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME ~ EHS* [] Yes [] No 208 COMMON N~v~E Quorum Yellow LP CAS # ~lete if req~ 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] p PURE [] m MIXTURE [] s SOLID [] I LIQUID [] I FIRE [] 2 KEACTIVE MAXIMUM DALLY AMOUNT 2O9 [] xvWASTE 211 VRADIOACTIVE []Yes []No 212]TM [] g GAS 214 I LARGEST CONTAINER 55 gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 AVERAGE 219 ISTATEWASTE CODE 110 DALlY AMOUNT 55 220 DAYS ON SITE [] lb LBS [] tn TONS 221 365 213 UNITS* [] ga GAL [] cf CU FT * lfEHS, amount must be in lbs. 222 STORAGE CONTAINER (Check all that apldy) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON [] q RAIL CAR 223 [] r OTHER sSTORAGE pRESSURE TORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 2 230 3% 3 234 4 238 5 242 227 Sodium Hydroxide 231 Sodium Hypochlorite 235 239 243 pRINT NAME & TITLE OF AUTHORIZED COMPANY l dennifer L. Friebel, E J-IS Coordinator 64 [] Yes [] No 228 [] Yes []No 232 '~ Yes [] No 236 [] Yes [] NO 240 [] Yes [] No 244 1310-73-2 229 7681-52-9 233 237 241 245 Et)ATE 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ["INEw [] ADD [--]DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Nestl6 Ice Cream Company CHEMICAL LOCATION 201 CIP Room 3 & 4 fX~i~i~:iiS¢/~{ I s ~ 0 2 I ~ 0 0 4 0 CHEMICAL NAME CHEMICAL LOCATION CONFIDENTIAL (EPCRA) MAP # (optional) 203 GRID # (optiona0 [] Yes [] No 202 205 204 :i,: : '"' "~:~::::: : ........................ TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions 207 COMMONNAME Quorum Yellow LP EI~S* [] Yes [] No 208 CAS # 209 ~ If:EHSfi~,~.Y~g :al ~m6untsb~ 6 n lbg.i~ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] p PURE [] In MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 [ CURIES LARGEST CONTAINER 3,000 gallons 215 213 [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAX1MUM 218 I AVERAGE 219 [ STATEWASTE CODE AMOUNT 0 DALLY AMOUNT 3,000 [ DAILY AMOUNT 2,000 [ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE I--Ir OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTEBIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ u AIilIlI~XlT I'--I a~ Ant'll/!r;' A~,I!rlI[~NIT I~ h, nm cm~ atanT~:~,rr 224 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBrENT [] c CRYOGENIC 225 1 226 Sodium Hydroxide 227 [] Yes [] No 228 1310-73-2 229 10% 2 3% 230 Sodium Hypochlorite 231 [] Yes [] No 232 7681-52-9 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 =~ ............... ~'~ .......... ~ ~ :::::::: : iii = ~= ii 17111=i..7:,.~.~5. ~.:::: ~,~. ~='' ,== : PRINT N~ & TITLE OF AUTHO~ZED CO'ANY ~P~SENTATI~ ~ SIGNAT~ ~ ~ DATE 246 *m,~rL. Friebel,~SCoor~nator ~ ~~ ~ ~ ~/~ > /0 = CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or aretO Page of IBUS.ESS N~ (Same ~ FACILITY N~ or DBA - Doing Business As) ~ Nestl6 Ice Cream Comply 201 ~ C~M1C~ LOCATION [ Chemical CO~ENTI~ (EPC~) C~CAL LOCATIONstorage Me a G~D ~ (optionaO 204 ................................ 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME I 2O7 :OMMON NAIVE Quorum Brown (Heavy Duty Alkaline Cleaner) EHS* [] Yes [] No 208 209 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 211 214 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 5 5 gallons TYPE [] p PURE [] m MIXTURE [] w WASTE PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE AMOUNT 0 DAILY AMOUNT 1 10 DAILY AMOUNT 5 5 213 215 [] 5 CHRONIC HEALTH 216 219 I STATE WASTECODE 220 UNITS* DAYS ON SITE [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 365 * IfEHS, amount must be in lbs. 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] b UNDEKOROUND TANK [] f CAN [] j BAG [] n 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 [-~ ~ ^*,an?*,rr .,~ ~l STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT []c CRYOGENIC ~:~ ~ ~ ::::::: :::: :~ ~: 227 1 226 Sodium Hydroxide ~tq% 231 2 230 235 3 234 238 242 239 243 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ ~,~ I.JemdferL. FriebeI, EHSCoordimttor I []Yes []No 228 I 1310732 220 233 [] Yes [] No 232 Yes [] No 236 [ 237 I [] Yes [] No 240 / 241 [] Yes [] No 244 / 245 29 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Cone form p .... terial per building ..... a) Page -- of __ ' Nestl6 Ice Cream Company CI-~M1CAL LOCATION 201 [ CONFIDENTIAL (EPCRA) Outside Wastewater Neutralization Area 203 GraD # (opti'onal) 204 CHEMICAL NAME ISodium Hydroxide, Solution COMMON NAME 2O9 CAS # 1310-73-2 FIRE CODE HAZARD CLASSES (Complete if req~f) 210 I TYPE [] p pURE [] m MIXTUKE [] w WASTE 211 RADIOACTIVE [] Yes [] No , SECRET Yes [] No 206 If Subject to EPCRA, refer to instructions [] Yes [] No 208 212 [ CURIES 213 PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DAILY AMOUNT [] g GAS 214 LARGEST CONTAINER 1,400 gallons [] 3 pRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 218 ~ AVERAGE 219 20 DALLY AMOUNT 10 [] tn TONS 221 UNITS* [] ga GAL [] cf CU FT [] lb LBS * IfEHS, amount must be in lbs. 215 216 STATE WASTE CODE 220 DAYS ON SITE 222 365 STORAGE CONTAINEK [] a ABOVEGKOUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM (Check all that apt'ly) []b UNDERGROUND TANK []SCAN E]j BAG [] c TANK INSIDE BU1LDING [] g CARBOY [] k BOX [] d STEEL DRUM [] h SILO [] I CYLINDER ~'lm GLASS BOTTLE ~ln PLASTIC BOTTLE []o TOTE BIN r"]p TANK WAGON [] q RAIL CAR 223 [] r OTHER STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 226 Sodium Hydroxide, Solution 227 2 23O 3 234 4 238 231 235 239 243 242 *RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ,lenn!fer L. Friebel, EHS Coordinator [] Yes [] No 228 [] Yes [] No 232 [] Yes [] No236 []Yes []No 240 Yes [] No 244 1310-73-2 229 233 237 241 245 18 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (o,,~/orm p .... terial per building ..... a) Page __ of __ ~ ,;;;; ::~- ;;; ::::::::::::::::::::::::: %;; ;;; ;' .j ;;; ~i: ;i:; i,;;: ;:;: :;; ;;;~::::~:;;/ ~.~:<;;; ;; ~ Nestl6 Ice Cream Comply W~ehouse ' 2o3 G~D ~ (opti~naO 204 ; SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CI-~M1CAL NAME [ EHS* [] Yes [] No 20~ Soybean Oil / Vegetable Oil COMIvlON NAME CAS # ~lete if requested by local fire ch~e~ 210 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] p pURE [] m MIXTURE [] s SOLID [] I LIQUID [] I FIRE [] 2 REACTIVE UNITS* 209 MAXIMUM DAILY AMOUNT [] w WASTE 211 KADIOACTIVE [] Yes [] No [] g GAS 214 LARGEST CONTAINER 5 gallons [] 3 PRES SURE RELEASE [] 4 ACUTE HEALTH 218 ]_ AVERAGE 1,048 DAILY AMOUNT 720 [] ga GAL [] cf CU FT [] lb LBS [] tn TONS * IfEHS, amount must be in lbs. 212 I CURIES 215 [] 5 CHRONIC HEALTH 216 219 I STATE WASTE CODE 220 DAYS ON SITE 221 365 213 222 .STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE []r OTHER [] c TANK INS1DE BUILDING [] g CAKBOY [] k BOX [] o TOTE BIN Steel Pail [] d STEEL DRUM [] h SILO [] ~ CYLINDER [] p TANK WAGON 223 STOKAGE pRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 2 230 3 234 4 238 5 242 227 [] Yes [] No 231 [] Yes [] No 232 235 [] Yes [] No 236 239 [] Yes [] No 240 243 [] Yes [] No 244 229 233 237 241 245 Jennifer L. Friebel, EHS Coordinator REPRESENT~ · ~/ 47 246 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW []ADD [] DELETE [] KEVISE 200 Page of ~:d: ~"'T~:~ :: :: ~.'~".~ : ~: .,. ~:: -~---.---~ ,~% :::::-.: ~: ::::~ ::::::::: .: :: :::::~ · BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) [] Yes [] No 202 Wastewater Neutralization Plant *^CiEi~SiD'~ ~ s ~&~lo I2 Il Id3]o Io Ii In Io 17 I::::::::i I MAP#(optiola0 203 GRID#(optio, a0 204 ~, ~, ::[:: ~,: ~ :: ::::::% :::::::::::::::::::::: , ::::: ::: :1:~<¢ ~, : ::::~:~: : ~:~ : ~,: : ........ ..................:-;,~,,: :~,,,,,, .................. ~:~,~,,, ..... ~,~ _ .................... ~ .............. ~::::: ........ : ~:~, :: :::::::::::::::::::::::: ~ :,~;~,~>~ .~,~ :~: ::~ :: 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions CHEMICAL NAME I 207 COMMONNAME Sulfuric Acid EHS* [] Yes [] No 2os CAS # 209 7664-93 -9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chie0 210 [] p PURE [] m MIXTURE [] w WASTE 211 213 TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 1,000 gallons [] s SOLID [] I LIQUID [] g GAS 214 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 I STATE WASTE CODE AMOUNT DAILY AMOUNT 10,600 DAILY AMOUNT 7,420 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * lfEHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] ePLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CAP, BOX/ [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ o anmt,~xt't- ['-I ~ ar~c~xm at~,mTm, rr ~ ~.. n~:~rmr a~,,mtv:xt'r 22d STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 36°./, 226 Sulfuric Acid 227 [] Yes [] No 228 7664-93-9 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 :::::: :~,:::::::::: Y3~:::: ~¢::~;,,. ::: '~;~,: :: :: : , ~:,,: ! ![ ;~S,,,l.,..~~ ~,,,~,; ;'~ ~ :: :::i :: :::~:::::::: :::*~ :::::::::::::::::::::::::::::: ::::: PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTAT1VE~ ] SIGN~,TURE_ ~ . ] DATE 246 de,miferL. Friebel,,EHSCoordi.ator ~ ~-- 6~'~~~ ~2-/.-~ '~ ]l 0 a { ~) 40 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD []DELETE [] REVISE 200 (one form p .... terial per building ..... ad i~::~-~, ~i :~:::~':~ ~:~: ::: ......... ~ ~ ~ ~ ........ Page of g ) 3 Nestl~ Ice Cream Comply Boiler Room ( ) ~] I 1~:0 0 I 4 0 7 ~!:i~i! MAP#(optional) 203 G~Dg(opti .: e:::-'~ :::~::~::: ~,:::: ~, ~, ~ ~ .~, ~.:~:l ~: :¢ I naO 204 ~ :: : ::~:: : ::~::::g:: <2:52 : :::>::::~: ~ '~:¢~:: : e~: ~ :v;: :~: r::: %, ::> I Sul~r,cAc,d [ IfSubjecttoEPC~refer~;;c~r 206 co~o~ N~ I 207 ~ EHS* Yes ~ No 208 209 CAS # 7664-93-9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [~-'] p PURE [~ mMIXTURE [] wWASTE 21l t RADIOACTIVE []Yes ['~No 212 I CURIES 213 PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 2~s FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT ! 0 DAILY ,UV~OUNT 7.7 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS * lfEHS, amount must be in lbs. 221 DAYS ON SITE 365 222 STOP.AGE CONTAINER (Check ali that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE F']r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 93~ 226 I Sulfuric Acid 227I []Yes []mo ~2' I 7664-93-9 229 I 231 [ []Yes []No 232 ] 233 3 234 235 [] Yes [] No236 4 238 239 [] Yes [] No240 242 243 [] Yes [] No 244 PRINT N~ & TITLE OF AU~0~ZED CO~y ~P~SENTATI~ ~ SIGNAT~E .'emt~erLFriebeI, EHSCoordinator ~ ~_ o:~'~Z~ ' -- 237 241 245 DATE 246 33 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY · CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page -- of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Nestl6 Ice Cream Company CHEMICAL LOCATION 201 [] Yes [] No 202 Maintenance Shop MAP # (Ol,,lio.,tal)203 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) GRID ii (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I If Subject to EPCRA, refer to instructions I 207 COMMON NAME Tri-Mix Welding Gas EHS* [] Yes [] No 208 CAS # 209 ~If,EH~!~', ~ ~ou~2~ ~'~h~ :: FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 [] p PU~ [] m nlXTURE [] w WASTE 2l~ rADIOACTIVe [] Ve~ [] No TYPE PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT 212 [ CURIES 215 [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 336 CU FT [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE 0 DALLY AMOUNT 100 DAILY AMOUNT 5 0 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * IfEHS, amount must be in lbs. 365 222 STOrAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STOrAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 227 [] Yes [] No 228 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ S1GIq. ATUI~E~ ~ DATE 246 ,]em#ferL. Friebel, EHSCoordlnator ~- ~~ ~/~ / / CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or aret0 [] NEW [] ADD [] DELETE [] REVISE 200 Page of USINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ~ ~'~ ............................. · Nestl~ Ice Cream Company CHEMICAL LOCATION 201 I CHEMICAL LOCATION Chemical Storage Area [ CONFIDENTIAL (EPCRA) ::: ::i ~¢~ MAP # (optiot,a0 203 GKID # (opliotta0 204 [] Yes [] No 202 CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions I COMMON NAIvlE Waste Oil 207 EHS* [] Yes [] No 208 CAS FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 ] RADIOACTIVE [] Yes [] No 212 ] CURIES 213 [] g GAS 214 [ LARGEST CONTnn, mR 1,100 gallons []3 PRESSURE RELEASE []4 ACUTE HEALTH []5 CHRONIC HEALTH 216 PHYSICAL STATE [] s SOLID [] I LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT 3,800 DALLY AMOUNT 1, l 00 DAILY AMOUNT 50 220 221 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON S1TE 222 * IfEHS, amount must be in lbs. 365 STORAGE CONTAINER [] ABOVEGROUND TANK [] i FIBER DRUM [] q (Check all that apldy) a [] e PLASTIC/NONMETALLIC DRUM [] m GLASS BOTTLE RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE [~1 o ~'~[FNT ~1 ~ anc~xrr* a~,an~rr ~ h~ n~ Ox!r a~{BiFNT 224 STOOGE TE~E~T~ ~ a ~IENT ~ aa ~O~ ~BIENT ~ ba BELOW ~IENT ~ c CRYOGE~C 225 ~:::~ ::6~ ,'~:~<~..; ::~h~, ~ :::: ~,,~.....~. ,::::;:'.>~....~ c® :: .l~;.,..: ~: :::: :~;;~.~; ;~.,,,::: ::: '::' ?~.~.?.~...:~ :: : ::: ......... *:;:::::: :::: ~ ~ aa% 226 W~te Oil, Petroleum Based 227 ~ Yes ~ No 228 225 2 230 231 ~ Yes ~ No 232 233 3 234 235 ~ Yes ~ No 236 237 4 238 239 ~ Yes ~ No 240 241 5 242 243 ~ Yes ~ No 244 245 ~mT ~ p TITLE OF AUTH0mZED CO~Y ~P~gENTATi~ ....... ~" SI6~Y~¥ '~: .................. ......................... ................ *~'~ >: SECTION IV Site and Building Maps A. Site/Building Map B. Locations of Stored Chemicals Map 68 SECTION V Responding To Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves 69 A. Abatement and Mitigation Guide #116 · Acetylene Potential Hazards Fire or Explosion · Extremely flammable. · Will be easily ignited by heat, sparks or flames. · Will form explosive mixtures with air. · Silane will ignite spontaneously in air. · Some may polymerize (P) explosively when heated or involved in a fire. · Vapors from liquefied gas are initially heavier than air and spread along ground. · Vapors may travel to source of ignition and flash back. · Containers may explode when heated. · Ruptured cylinders may rocket. Health · Vapors may cause dizziness or asphyxiation without warning. · Some may be toxic if inhaled at high concentrations. · Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. · Fire may produce irritating and/or toxic gases. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at least 100 meters (330 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements, tanks). · Keep out of low areas. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill · Consider initial downwind evacuation for at least 800 meters (1/2 mile). 70 Fire · If tank, rail car or tank truck is involved in a fire, isolate for 1600 meters (1 mile) in all directions; also, consider initial evacuation for 1600 meters (1 mile) in all directions. Emergency Response Fire · Do not extinguish a leaking gas fire unless leak can be stopped. Small Fire · Dry chemical or C02. Large Fire · Water spray, fog or regular foam. · Move containers from fire area if you can do it without risk. Fire Involving Tanks · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Cool containers with flooding quantities of water until well after fire is out. · Do not direct water at source of leak or safety devices; icing may occur. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. · For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. Spill or Leak · Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). · All equipment used when handling the product must be grounded. · Stop leak if you can do it without risk. · Do not touch or walk through spilled material. · Do not direct water at spill or source of leak. · Use water spray to reduce vapors or divert vapor cloud drift. · If possible, turn leaking containers so that gas escapes rather than liquid. · Prevent entry into waterways, sewers, basements or confined areas. · Isolate area until gas has dispersed. First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respiration if victim is not breathing. · Administer oxygen if breathing is difficult. · ,Remove and isolate contaminated clothing and shoes. · In case of contact with liquefied gas, thaw frosted parts with lukewarm water. · Keep victim warm and quiet. · Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 71 Guide #121 · Argon Potential Hazards Health · Vapors may cause dizziness or asphyxiation without warning. · Vapors from liquefied gas are initially heavier than air and spread along ground. · Contact with liquefied gas may cause frostbite. Fire or Explosion · Non-flammable gases. · Containers may explode when heated. · Ruptured cylinders may rocket. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at least 10 to 25 meters (30 to 80 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements, tanks). ' · Keep out of low areas. · Ventilate closed spaces before entering. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill · Consider initial downwind evacuation for at least 100 meters (330 feet). Fire · If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response Fire · Use extinguishing agent suitable for type of surrounding fire. 72 · Move containers from fire area if you can do it without risk. · Damaged cylinders should be handled only by specialists. Fire Involving Tanks · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Cool Containers with flooding quantities of water until well after fire is out. · Do not direct water at source of leak or safety devices; icing may occur. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. Spill or Leak · Do not touch or walk through spilled material. · Stop leak if you can do it without risk. · Use water spray to reduce vapors or divert vapor cloud drift. · Do not direct water at spill or source of leak. · If possible, turn leaking containers so that gas escapes rather than liquid. · Prevent entry into waterways, sewers, basements or confined areas. · Allow substance to evaporate. · Ventilate the area. First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respirator if victim is not breathing. · Administer oxygen if breathing is difficult. · Clothing frozen to the skin should be thawed before being removed. · In case of contact with liquefied gas, thaw frosted parts with lukewarm water. · Keep victim warm and quiet. · Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 73 Guide #122 · Oxygen Potential Hazards Fire or Explosion · Substance does not burn but will support combustion. · Some may react explosively with fuels. · May ignite combustibles (wood, paper, oil, clothing, etc.). · Vapors from liquefied gas are initially heavier than air and spread along ground. · Runoff may create fire or explosion hazard. · Containers may explode when heated. · Ruptured cylinders may rocket. Health · Vapors may cause dizziness or asphyxiation without warning. · Contact with gas or liquefied gas may cause bums, severe injury ad/or frostbite. · Fire may product irritating and/or toxic gases. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements, tanks). · Keep out of low areas. · Ventilate closed spaces before entering. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Wear chemical protective clothing which is specifically recommended by the manufacturer. · Structural firefighters' protective clothing is recommended for fir situations only; it is not effective in spill situations. · Always wear thermal protective clothing when handling refrigerated/cryogenic liquids. Evacuation Large Spill · Consider initial downwind evacuation for at least 500 meters (1/3 mile). 74 Fire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response Fire · Use extinguishing agent suitable for type of surrounding fire. Small Fires · Dry chemical or C02. Large Fires · Water spray, fog or regular foam. · Move containers from fire area if you can do it without risk. · Damaged cylinders should be handled only by specialists. Fire Involving Tanks · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Cool containers with flooding quantities of water until well after fire is out. · Do not direct water at source of leak or safety devices; icing may occur. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. · For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. Spill or Leak · Keep combustibles (wood, paper, oil, etc.) away from spilled material. · Do not touch or walk through spilled material. · Stop leak if you can do it without risk. · If possible, turn leaking containers so that gas escapes rather than liquid. · Do not direct water at spill or source of leak. · Use water spray to reduce vapors or diver vapor cloud drift. · Prevent entry into waterways, sewers, basements or confined, areas. · Allow substance to evaporate. · Isolate area until gas has dispersed. · Caution: When in contact with refrigerated/cryogenic liquids, many materials become brittle and are likely to break without warning. First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respiration if victim is not breathing. · Administer oxygen if breathing is difficult. · Remove and isolate contaminated clothing and shoes. · Clothing frozen to the skin should be thawed before being removed. · In case of contact with liquefied gas, thaw frosted parts with lukewarm water. 75 Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 76 Guide #125 · Anhydrous Ammonia Potential Hazards Health · Toxic; may be fatal if inhaled. · Vapors are extremely irritating and corrosive. · Contact with gas or liquefied gas may cause bums, severe injury and/or frostbite. · Fire will produce irritating, corrosive and/or toxic gases. · Runoff from fire control may cause pollution. Fire or Explosion · Some may burn, but none ignite readily. · Vapors from liquefied gas are initially heavier than air and spread along ground. · Some of these materials may react violently with water. · Containers may explode when heated. · Ruptured cylinders may rocket. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover. · Isolate spill or leak area immediately for at least 100 to 200 meters (330 o 660 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements, tanks). · Keep out of low areas. · Ventilate closed spaces before entering. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Wear chemical protective clothing which is specifically recommended by the manufacturer. It may provide little or no thermal protection. · Structural firefighters' protective clothing is recommended for fire situations only; it is not effective in spill situations. Evacuation Spill · See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." 77 Fire · If tank, rail car or tank truck is involved in a fire, isolate for 1600 meters (1 mile) in all directions; also, consider initial evacuation for 1600 meters (1 mile) in all directions. Emergency Response Fire Small Fires · Dry chemical or CO2. Large Fires · Water spray, fog or regular foam. · Move containers from fire area if you can do it without risk. · Do not get water inside containers. · Damaged cylinders should be handled only by specialists. Fire Involving Tanks · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Cool containers with flooding quantities of water until well after fire is out. · Do not direct water at source of leak or safety devices; icing may occur. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. Spill or Leak · Fully encapsulating, vapor protective clothing should be worn for spills and leaks with no fire. · Do not touch or walk through spilled material. · Stop leak if you can do it without risk. · If possible, turn leaking containers to that gas escapes rather than liquid. · Prevent entry into waterways, sewers, basements or confined areas. · Do not direct water at spill or source of leak. · Use water spray to reduce vapors or divert vapor cloud drift. · Isolate area until gas has dispersed. First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respiration if victim is not breathing. · Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. · Administer oxygen if breathing is difficult. · Remove and isolate contaminated clothing and shoes. · In case of contact with liquefied gas, thaw frosted parts with lukewarm water. · In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. 78 · Keep victim warm and quiet. · Keep victim under observation. · Effects of contact or inhalation may be delayed. · Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 79 Guide #128 · Diesel Fuel #2 · Waste Oil · Camco Oil Potential Hazards Fire or Explosion · Highly flammable: Will be easily ignited by heat, sparks or flames. · Vapors may form explosive mixtures with air. · Vapors may travel to source of ignition and flash back. · Most vapors are heavier than air. They will spread along ground and collect in low or confined areas (sewers, basements, tanks). · Vapor explosion hazard indoors, outdoors or in sewers. · Some may polymerize (P) explosively when heated or involved in a fire. · Runoff to sewer may create fire or explosion hazard. Containers may explode when heated. · Many liquids are lighter than water. · Substance may be transported hot. Health · Inhalation or contact with material may irritate or bum skin and eyes. · Fire may produce irritating, corrosive and/or toxic gases. · Vapors may cause dizziness or suffocation. · Runoff from fire control or dilution water may cause pollution. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Keep out of low areas. · Ventilate closed spaces before entering. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill · Consider initial downwind evacuation for at least 300 meters (1,000 feet). 80 Fire · If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response Fire · Caution: All these products have a very low flash point: Use of water spray when fighting fire may be inefficient. Small Fires · Dry chemical, CO:, water spray or regular foam. Large Fires · Water spray, fog or regular foam. · Do not use straight streams. · Move containers from fire area if you can do it without risk. Fire Involving Tanks or Car/Trailer Loads · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Cool containers with flooding quantities of water until well after fire is out. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. · For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire bum. Spill or Leak · Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). · All equipment used when handling the product must be grounded. · Do not touch or walk through spilled material. · Stop leak if you can do it without risk. · Prevent entry into waterways, sewers, basements or confined areas. · A vapor suppressing foam may be used to reduce vapors. · Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. · Use clean non-sparking tools to collect absorbed material. Large Spills · Dike far ahead of liquid spill for later disposal. · Water spray may reduce vapor; but may not prevent ignition in closed spaces. First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respiration if victim is not breathing. · Administer oxygen if breathing is difficult. · Remove and isolate contaminated clothing and shoes. 81 · In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. · Wash skin with soap and water. · Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 82 Guide #154 · Phosphoric Acid · Sodium Hydroxide, Solution · Solvent Cleaner · Mikroklene DF · Quorum Brown · Mandate · Quorum Yellow Sulfuric Acid · Quorum Yellow II · Quorum Yellow LP · Nalco 2896 Liquid · Oxonia Active · Quorum Clear Potential Hazards Health · Toxic: inhalation, ingestion, or skin contact with material may cause sever injury or death. · Contact with molten substance may cause sever bums to skin and eyes. · Avoid any skin contact · Effects of Contact or inhalation may be delayed. · Fire may produce irritating, corrosive, and/or toxic gases. · Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. Fire or Explosion · Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. · Some are oxidizers and may ignite combustibles (wood, paper, oil, clothing, etc.). · Containers may explode when heated. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Keep out of low areas. · Ventilate enclosed areas. 83 Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Wear chemical protective clothing which is specifically recommended by the manufacturer. · Structural firefighters' protective clothing is recommended for fire situations ONLY; it is not effective in spill situations. Evacuation Large Spill · See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." Fire · If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response Fire Small Fires · Dry chemical, CO2 or water spray Large Fires · Dry chemical, CO2, alcohol-resistant foam or water spray. · Move containers from fire area if you can do it without risk. · Dike fire control water for later disposal; do not scatter the material. Fire Involving Tanks or Car/Trailer Loads · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. Spill or Leak · Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). · Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. · Stop leak if you can do it without risk. · Prevent entry into waterways, sewers, basements or confined areas. · Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Do not get water inside containers. First Aid · Move victim to fresh air. · Call emergency medical care. 84 Apply artificial respiration if victim is not breathing. Do no use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. · Administer oxygen if breathing is difficult. · Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. · For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. · Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 85 Guide #157 · Hydrochloric Acid · Foam Shine · AC-55-5 Red AC-55-5 Potential Hazards Health · Toxic: inhalation, ingestion or contact (skin, eyes) with vapors, dusts or substance may cause sever injury, burns, or death. · Reaction with water or moist air will release toxic, corrosive or flammable gases. · Reaction with water may generate much heat which will increase the concentration of fumes in the air. · Fire will produce irritating, corrosive and/or toxic gases. · Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. Fire or Explosion · Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. · Vapors may accumulate in confined areas (basement, tanks, hopper/tank cars etc.). · Substance will react with water (some violently), releasing corrosive and/or toxic gases. · Reaction with water may generate much heat which will increase the concentration of fumes in the air. · Contact with metals may evolve flammable hydrogen gas. · Containers may explode when heated or if contaminated with water. Public Safety · Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. · Isolate spill or leak area immediately for at lest 50 to 100 meters (160 to 330 feet) in all directions. · Keep unauthorized personnel away. · Stay upwind. · Keep out of low areas. · Ventilate enclosed areas. Protective Clothing · Wear positive pressure self-contained breathing apparatus (SCBA). · Wear chemical protective clothing which is specifically recommended by the manufacturer. · Structural firefighters' protective clothing is recommended for fire situations only; it is not effective in spill situations. 86 Evacuation Large Spill · See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance show under "Public Safety." Fire · If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters ( 1/2 mile) in all directions. Emergency Response Fire · Note: Most foams will react with the material and release corrosive/toxic gases. Small Fires · CO2 (except for Cyanides), dry chemical, dry sand, alcohol-resistant foam. Large Fires · Water spray, fog or alcohol-resistant foam. · Move containers from fire area if you can do it without risk. · Do not use straight streams. · Dike fire control water from later disposal; do not scatter the material. Fire Involving Tanks or Car/Trailer Loads · Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. · Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. · Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. · Always stay away from the ends of tanks. Spill or Leak · Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). · All equipment used when handling the product must be grounded. · Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. · Stop leak if you can do it without risk. · A vapor suppressing foam may be used to reduce vapors. · Do not get water inside containers. · Use water spray to reduce vapors or divert vapor cloud drift. · Prevent entry into waterways, sewers, basements or confined areas. Small Spills · Cover with dry earth, dry sand, or other non-combustible material followed with plastic sheet to minimize spreading or contact with rain. · Use clean non-sparking tools to collect material and place it into loosely covered plastic containers for later disposal. 87 First Aid · Move victim to fresh air. · Call emergency medical care. · Apply artificial respiration if victim is not breathing. · Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. · Administer oxygen if breathing is difficult. · Remove and isolate contaminated.clothing and shoes. · In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 88 B. Spill Response Personnel Duty 1. Notifies The Plant Manager 2. Notifies The Owner o o o o Initiates Evacuation and Head Count Ensures The Correct Abatement Procedures Are Initiated Initiates External Notification Procedures Ensures Correct Mitigation Procedures Are Followed Out. Decides To Send Employees Home Decides If Outside Clean-up Company Should Be Called In Name* Jennie Friebel John Gilmore Buttons Coleman Jim Eddleman John Reinwald Janice Gardner Buttons Coleman Jim Eddleman John Reinwald Janice Gardner Buttons Coleman Jim Eddleman John Reinwald Janice Gardner Buttons Coleman Jennie Friebel John Gilmore John Blacksill Buttons Coleman Jim Eddleman John Reinwald Janice Gardner Jennie Friebel John Gilmore Title EHS Coordinator EHS Manager Plant Manager Business Unit Manager Business Unit Manager Business Unit Manager Plant Manager Business Unit Manager Business Unit Manager Business Unit Manager Plant Manager Business Unit Manager Business Unit Manager Business Unit Manager Plant Manager EHS Coordinator EHS Manager Utilities/Facilities Team Coordinator Plant Manager Business Unit Manager Business Unit Manager Business Unit Manager EHS Coordinator EHS Manager 9. Notifies The Insurance Buttons Coleman Plant Manager Company * If the listed personnel are not on-site at the time of the spill, the senior management or lead person will take the specified action. 89 C. Location of Utility Shut-Off Valves 1. Natural Gas: 2. Electrical: 3. Water: 4. Fire Sprinkler Water: 5. Locked Key Box: One manual shut-off valve is located outside between the West end of the Engine Room and the Wet Waste Handling Room. The main switch is located at the Main Distribution Panel located on the South West end of the plant West of the Raw Receiving Island. One manual shut-off valve is located at the water meter. The water meter is located in front of the building between the Cafeteria and District Blvd. A second manual shut-off valve is located behind the Drumstick Line 16 tunnel on the North side of the plant. One open stem and yoke shut-off valve is located just North of the Fire Pump Room adjacent to District Blvd. One locked key box is located on the outside North wall of the Fire Pump Room. 90 SECTION VI Spill Notification 91 Environment Policy - Guidance on Spill Reporting Reporting of spills is required under the following Federal legislation: · Comprehensive Environmental Response Compensation and Liability Act (CERCLA) Emergency Planning and Community Right to Know Act (EPCRA) (often referred to as the Superfund Amendments and Reauthorization Act, SARA Title - III). Requirements for reporting under these acts are similar in that listed substances are assigned reportable quantities whose exceeding during a spill event triggers reporting. Unfortunately, the reportable quantities are not always the same between lists, and certain States require reporting of all spill events regardless of size of locations. Compliance with these spill reporting provisions is mandatory, and it shall be the policy 'of Nestl6 Ice Cream Company, operating companies to notify the appropriate agencies (listed below) in the event of a reportable spill in a timely manner (this should be as soon as possible after discovery of the spill). If questions arise, you should contact one of the individuals listed below using your best judgment. It is safer to report a non-reportable spill than to not report a spill that is later deemed reportable. The list of reportable substances is extremely lengthy, and most of the substances are of no concern to our operations, however you need to be aware of the entire listing. Reporting Information Local Emergency Bakersfield Fire Department City of Bakersfield Office of Environmental Services State Environmental Agency National Response Center (Coast Guard personnel usually answer) Jim Jorgenson (Nestl6 USA, Prepared Foods) Celeste Miller (Nestl~ USA) 911 911 661-326-3979 916-323-9723 800-424-8802 440-349-5757 818-549-6000 92 SECTION VII Certification Certification I, Buttons Coleman, certify the above information will be used to fulfill my business' obligations under the law and inaccurate information constitutes perjury under the law. bignature Plant Manager Title Date 94 APPENDIX A Hazardous Material Spill/Clean-up Contractors 95 Advanced Clean-Up Technologies Inc. 4548 Wesley Lane Bakersfield, CA 93308 661-392-7765 (24-Hour/Emergency Number) Response time less than 1 hour 96 FACILITY NAME~~I~I'~1~ ~.~ ADDRESS r/'~O! 9~lg, a~' l~0,, FACILITY CONTACT_(~J~_ ~'M~i INSPECTION TIME 1~ ciTy OF BAKERSFIELD FIRE DEPARTMENT OFFICE' OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION/DATE I~-~ I?-.o PHONE NO.(~0(O I) o~Y~ BUSINESS ID~O. 15-21b- NUMBER OF EMPLOYEES Section 1: "'"~ Routine Business Plan and Inventory Program [] Combined [] Joint Agency [] Multi-Agency [] 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 Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand At C--Compliance V=Violation Any hazardous waste on site?: x~ Yes 1-11 No Explain: ~;~-~ ~uestions reg~ding ~is inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~H" Street Bakersfield, CA 93301 . VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakerstield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 May 3,2001 Ice Cream Partners, USA-LLC 7301 District Boulevard Bakersfield, CA 93313 Dear Business Owner: ~ Enclosed, please find the Site and Facility Diagram Instructions packet. When your 'Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram(s) of your facility by June 8, 2001. The diagram should include the fOllowing: 1) 2) 3) 4) 5) 6) 7) 8) 9) name of your bUsiness; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). If you have any questions, please feel free to call me at (661) 326-3658. Thank you for your assistance. Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ROLLING POWER OUTAGE . 'SURVEY "/3ol Name of Business' Address L---.- Doe&yo.ur-facility=l~m_v_e_a_bacle UlXpoveer_sappky? Yes ]~l No ~ e If yes, does back up generator supply power to all critical systems, valves, vents, alarms, monitor, phones? Yes [~l No Could electrical power loss cause a fire, explosion, or unplanned release ora chemical? Yes O No'[~ Would electric power, or telecommunication loss prevent the business t~om contacting. emergency responders? Yes [~l No ]50 5. H~S your business prepared a contingency plan in the event of a rolling power outage7 Yes~ No I~l 6. What percentage of your business is electrical dependant?. ~ less than 5% ~l 5% to 10% ~126% to 50% ~~.75%-.[~lo,,er. 75oA..'~)~lO0%.. ....... Aut~Rep~esentative Date'./ Please complete and remm this survey no later thaa February 12, 2001, to the following address or fax number. Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue, Suite 300 Bakersfield, Ca 93301 'Fax: 661-326-0576. . g00~ . . Sa3N£~Vd Nva~a ~DI ~g~gS6gI99 Xvd ~g:9I I6'26~/~0 January 23,2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Chuck Dries Ice Cream Partners 7301 District Blvd Bakersfield Ca 93313 Dear Mr. Dries: Within Califomia,~approximately 130,000 businesses are involved in the manufacturing, use, storage and/or transport of hazardous materials. In the event of a rolling power outage, a hazardous materials facility or handler may exPerience an operational event that could potentially result in the accidental release of a hazardous substance. Such a release c6uld cause or contribute to the loss of life, serious injury, environmental pollution or property damage. To assess the potential for a accidental release, the Bakersfield Fire Department Office of Environmental Services is requesting your assistance in completing the enclosed survey and returning the survey no later than February 12, 2001. Sincerely, alplgE. Hu6y, Director Office of Environmental Services REH/dm enclosure CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ROLLING POWER OUTAGE S URVE·Y Name of Business Address e o Does your facility have a back up power supply?. Yes El No El If yes, does back up generator supply power to all critical systems, valves, vents, alarms, monitor, phones? ..,,. Yes El No El Other,,explain Could electrical power loss cause a fire, explosion, or unplanned release of a chemical? Yes El No El Would electric power, or telecommunication loss prevent.the business from ContaCting. emergency responders? ' Yes El No Has your business prepared a contingency plan in.the event of a rolling power outage? Yes El No El What.percentage of your business is electrical dependant? .. El less than 5% El 5% to 10% El 26% to 50%· .~ El 51% to 75% El over 75% ' El 100% : .~. - -...:. ,-~ - AuthoriZed Representative · Date Please complete and remm this survey no later than February 12, 2001, to the folloWing address or fax number. Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue, Suite 300 Bakersfield, Ca 93301 'Fax: 661-326-0576 N0U 13 '00 12:49 Nestl6 USA A¢COOhmNG SE]~Vm~s 30003 Bainbridge Road SoJon, Ohio 44139-1880 ?hone: (440) 349~$757 Fax: (440) 24114996 FR NESTLES FROZEN FOODS 216 248 4996.T0 916613260576 P.01×04 FAX TRANSMISSION TO: TOTAL PAGES INCLUDING COVER: ACCOUNTING SERVICES MESSAGE IS: , , ,RexlUeat For Information Per Your Requ~t ~5~FFor Your Information Other If you do st receive all pages referenced or have problems with this'trans~aission, please contact me at (440) 349-5757 ext. # ~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF. PERMIT-ON REVERSE SIDE Permit ID#:: 015-000-001407 ICE CREAM PARTNERS USA LOCATION: 7301 DISTRICT BLVD. '~ This hermit is Issued for the followinq: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [3 Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENV1R ONMENTAL SER VICES'  171-5 Chester Ave., 3rdFloor Bakersfield, CA 93301 Voice (661) 326-3979 · FAX' (661)? 326-0576 · " ' ,,%' ':~',~:~:;,.~-'~?':~,~'~T'J'; ':' .~ ~- · ._3'~,.,. . '.:~Expmat,dd~',Date:?.' ,... .... June 30. 2003 Issue Date MR430107 CITY OF BAKERSFIELD Miscellaneous 19518 9/01/0o 0/oo/0o 1.68 .00 Customer ID : Last statement : Last invoice : 'Current balance : : Pending .... Type options, press Enter. 5=Display Opt TranS Date code Description 9/01/00 stmrn Statements Processed - 8/18/00 pAYMENT -- 8/01/00 stmrn Statements Processed -- 6/01/00 stmrn Statements Processed - 6/01/00 SS006 CAL ARP STATE sURCHA -- 6/01/00 SS001 CA STATE SURCHARGE -- 6/01/00 HM016 }{AZ MAT HANDLING FEE -- 5/01/00 stmrn Statements Processed -- 4/01/00 stmrn Statements Processed F3=Exit F12=Cancel * = Pending Receivables inquiry Name: ICE CREAM pARTNERS USA LLC Addr: 7301 DISTRICT BLVD BAKERSFIELD, CA 93313 9/o7/oo 08:12:20 A ACTIVE ENVIRONMENTAL SERVICES combined Detail Amount .00 497.07- .00 .00 66.75 10.00 422.00 .00 .00 Chg Bnk G Balance Typ Cd L 1 68 N 1 68 00 Y 498 75 N 498 75 N 498 75 A N 432 00 A N 422 00 A N 00 N .00 + AUG iS '00 19:40 FR NESTLES FROZEN'FOODS 216 248 4996 TO 9166132605?6 P.01/04 Nestl6 USA ACCOUNTING SERViCEs 30003 Bainbdd~e Road Solon, Ohio 44139-1880 ?hone: (440) 349-5757 F~: (~0) 248~996 . F,4X TR,4NSJlIZ$$ION TOTAL PAGES INCLUDING: COVER: MESSAGE IS:' .. Request For Information ____. Per Your Request For Your Information Other If you do~txeleive all pages referenced or have problems with this transmission, please contact me a~ (440) 349-S7S7 AUG 1S '00 19:41FR NESTLES FROZEN FOODS 216 248 4996 TO 9166132605?6 P.02/04 STATEMENT GF ACCOUNT CITY OF BAKERSFIELD TO: (~61~ 326-3~7~ ~CE CREAM PARTNERS USA LLC 7301 DISTRICT BLVD BAKERSFIELD, CA ~3313 DATE: &/01/O0 CUSTOMER NO: .-.CU~TOHER TYPE:-E~/ ' 34902'- CHARQ~ DATE DESCRIPTION REF*-NU~BER DUE DATE TOTAL AMOUNT HMO16 SSO0~ $S00~ ~*,~,~*,.~ BALANCE ~/0'/00 HAZ MAT H~NDLING FEE ~/0!/00 CA ~T~TE ~URCHARGE 8/01/00 CAL ARP STATE SURCHARGE THiS FEE IS A STATE SURCHARGE FOR CAL ARP SITE6. JUN 0 ? [000 .00 422.00 ~0.00 FOR GUESTIONS O~ CNANQA~ TD YoUR ACCOUNT PLEASE CALL THE NUH~ER AT THE TOP OF THI~ STATEMENT. CURRENT OVER @0 OVER ~ OVER 90 DUE DATE: 7/03/00 S~,? ~.~$'- PnYMENT DUE; .... TOTAL DUE: 4~8.75 $498.75 AUG iS '00 19:42 FR NESTLES FROZEN FOODS 216 248 4996 TO 9166132605?6 Remit this portfon with your check made payable to; Cily of Bakersfield, P.O, Box 2057, Bakersfield, CA 93303-2057 'DRESS 7301 DISTRicT BLVD ACCOUNT NUMBER CYCLE BILL DATE 7~I 7-1 I3~.8 6101 Balance Fo.-ma~d TS~-ai Amount: Due DUE DATE 6/30/~ P. 83/84 NESTLE 7301 DISTRICT BLUD DiST~ICT BLVD ACCOUNT NUMBER ~ ' · ':~7-II3-58 _Last Bill Amou~. - P~ments ' ~-lass ': SOLID WASTE Adjustments pagm~n~ amount/date: ~&.34 ~/1~/00 Balaqce 96,34 .00 .00 96.34 I ~_YD BIN 1D~v/w~ Se~¥ice Pe~io~ ~ i COUNTY ~AT~ ~ ' 5/~1/00 &/~O/O~ Ch~ge ~,, 5/~i/00 . 79.0~ 'OT~L GARBAGE FEE - ~/30/00 i7.3~ Total Cue~en~ Balance To~el Amoun~ Due To~aI ~6.34 ~&.34 ~ GUESTiON~ ON YOUR ~RBAQE BILL CALL ~ QU~TZON~ ON YOUR ~WER BILL CALL PAYMENT I~ ,NOT RECEIVED BY THE LAST DAY OF THE WTH A 1% · ~)OUNT. FINANCE CHARGE W~L BE APPLIED TO AUG lS '00 19:42 FR NESTLES FROZEN FOODS 216 248 4996 TO 9166132605?6 P.04/04 "P/NN ' INVOICE INQUIRY BY C~EC~ CORP: AP 560 CHECk#: 146908 VENDOR~: 01530 INVOICE#: CREC~ NAME1 : CITY OF BAKERSFIELD NAME2 : * CHECt< fN~'O * AMT': INVOICE/S~Q 721711348 05 060100 01 2 INV TOTALS 691.43 DATE: 061500 DATE CASHED: 062100 GROSS AMT DISC kqT DATE: 08115/00 PAGE: i 'TYPE: V PAY: 000 BANK: C1 STATUS: p BANK SEQ NO: 20000721 PO NUM3ER ETA TRM ERROR 192.68 .00 P NOW 498.75 .00 19518 P NOW 691.43 .00 691.43 MESG - LAST PAGE - PLEASE HiT -ENTER- TO CONTINUE PFS=BROWSE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page 1 Of BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) Ice Cream Partners USA, LLC., - Bakersfield 100 December 31, 2000 BUSINESS PHONE 661-398-3500 102 SITE ADDRESS 7301 District Blvd. CITY Bakersfield DUN & N/A BRADSTREET 103 104 J CA lO6 ZIP 93313 105 SiC CODE 2024 107 (4 Digit #) COUNTY Kern lO8 OPERATOR NAME Robert C. Dries · 109 [ OPERATOR PHONE 661-398-3540 ll0 I~, ~r~m Pmrfn~r,~ I IRA. I I C':. iii I OWNImR PHONF R77-gRI-l.~7R 117 OWNER NAME OWNER MAILING ADDRESS 12647 AIcosta Blvd., Suite 300 CITY San Ramon 113 STATE CA 115 ZIP 94583 116 CONTACT NAME Sean Gillespie ' 1~7 ~ CONTACT PHONE 661-398-3597 CONTACT MAILING 7301 District Blvd. 119 ADDRESS CITY Bakersfield ~2o ~ STATE CA ~ ZIP 93313 ~22 I 121 NAME Enh~rf P. Firi~s 17~ TITLE Plant Manager ~ 125 BUSINESS PHONE 661-398-3540 126 24-HOUR PHONE 661-588-7254 (home) 127 PAGER # 1-888-320-1193 128 NAME .~¢,~n ~illpA,ni¢~ 1 ?R TITLE Maintenance Manager ~3o BUSINESS PHONE 661-398-3597 131 24-HOUR PHONE 661-588-7321 (home) 132 PAGER # 661-337-1309 133 UPCF (7/99) \\BFL1NB01\FRIEBEJ$\FILES\ENVIRON\PLANS\BUSINESS PLAN~000~2000 IDENTIFICATION.DOC Certification: Based on {~y inquiry of those individuals responsible for obtaining the nformat on I certi under enal of / nnrt ~m f:al"~Jinr with fh~nfnrmntinn ql~hm tt~rt in fhiq inv~nfnn/ ........... ' ~ P ~ law that I have personally examined ~ ~ 0 Jennifer Friebel NAMES OF OWNE~OPE~TOR (print) ~3s TITLE OF OWNE~OPE~TOR 137 Robe~ C. Dries Plant Manager UPCF (7/99) \\BFL1NBOI\FRIEBEJ$\FiLES\ENViRON\PLANS\BUSiNESS PLAN~2000~O00 IDENTIFICATION.DOC CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area [] NEW . [] ADD [] DELETE [] REVISE 200 Page .......... BUSINESS ..................... NAME (Same as FACILITY~ NAME or DBA-~: ~Doing Business As)= 3 .... *?'~ :::::~ I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION ~ Yes ~ No 202 inside CIP Chemical Storage Room CONFIDENTIAL (EPC~) ~'~A~:~ 1 5 ~;~ 0 2 1 ~ 0 0 I 4 0 7~::~= I~ ~ MAP~(optiona0 203 GRIDg(opttona0 204 CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 2O6 Benefit if Subje~ to EPC~, refer to instructions COMMON NAME 207 Alkaline Chlorinate EHS* ~ Yes CAS ~ :~ ~==-,~ ~',~ ~ '= FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chief) ~';::~ ~ : :::::~: 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 J CURI~S 213 PHYSICAL STATE ~ s SOUb ~1 LIQUID D g GAS 214 ~RGESTCONTAINER 215 3,000 gal. FED H~ARD CATEGORIES (Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELISH ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 ' M~IMUM 218 AVENGE 219 ~ STATEWASTE CODE : AMOUNT 0 DAILY AMOUNT 3,000 DAILY AMOUNT 1,500 220 I ,UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE SIN [] d .STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ a~,~mC~UT r-~ ~ a~n~/c a~,~BiFhlT [-] h~ R~ c~^/a~,m~C~,~T '>'~a / STORAGE TEMPERATURE [] a AMBIENT' [] aa ABOVE AMBIENT [] I~a BELOWAMBIENT [] c CRYOGENIC 225 1 18% Sodium 226 myaroxlae 227 [] Yes [] No228 1310732 2 5O/o 230 S6dium Chloride 231 [] Yes [] No232 7641745 233 3 3% Sodium 234 Hypochlorite 235 [] Yes [] No 236 7681529 237 4 Sodium 238 Metasilicate ~% ' 239 [] Yes [] No240 6834920 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AU/Hu~ ZED COMPANY REPRESENTATIVE ........ ~i~A+ii~~ ~ J ::, ~/' :~ ~:~; :: : ~::::::~[~,, ~' 1 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) Outside Waste Water Neutralization Area I E~i[-i~: D~f 1 5 ~!II;~] 0 2 1 I~ 0 0 I 4 0 7 MAP#(optional) 203 GRID#(optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions Hydrochloric Acid 207 COMMON NAME EHS* [] Yes [] No 208 Hydrochloric Acid CAS # 209 7647-Ol-O FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 215 3,000 gal. FED HAZARD CATEGORIES ' [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 300 DAILY AMOUNT 600 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-FLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG / [] n 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 STORAGE PRESSURE ~ ~ a~,~RIr:klT ~r~ a~ aR(IX/F: A[JIRIF:MT I~ h3 PI~1 t"tt^l Al~RIg:l~lT ')9~I STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 31.4% 226 Hydrochloric Acid 227 [] Yes [] No 228 764701 0 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~ DATE 246 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTAT VE S GNATURE UPCF (7/99) 2 o~63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES · 1715 Chester Ave., CA 93301 .(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CH.E. MIOAL LOCA_TION 201 I cC~i~FM:DC;NLTLiOALC.~ETpIOc~j~, [] Yes [] No 202 Boiler Room Southwest 203 GRID # (optional) 204 CHEMICAL NAME J .... 205 [] Yes [] No 206 Phosphoric Acid If Subject to EPCRA. refer to instructions COMMON NAME Polymer/Caustic 207 EHS* [] Yes [] No 208 CAS # 1310-58-3 ' 209 ~uested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No [] g GAS 214 LARGEST CONTAINER 55 gallons [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH 212 I CURIES 215 [] 5 CHRONIC HEALT.bl 216 [] s SOLID []1 LIQUID [] 1 FIRE [] 2 REACTIVE 213 PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 110 DAILY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply). ' [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTrLE [] q RAIL CAR 223 / · [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTrLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ o ~,~,IRICI~IT ~ == ann,,/c at,,InlClklT ~ h= n=~ nwa~nmc~T ~a l STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 I 226 Sodium Hydroxide · ~o/~ 227 [] Yes [] No228 1310732 229 2 230 Potassium Hydroxide 7.3% 231 [] Yes [] No232 1310583 233 3 234 ~ 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~,: ::~;~;:,, ....... ~, .......... ~ ~,~ · :, ~ ~: :~2~:: :. ~ ~,:~ ::::~ :~, :~ , :::::::~ ............ ..... ::~ NAME & T TLE OF AUTHORIZED COMPANY RE~RES~NT~I~ ~"~ .DAT~ 246 "UPCF (7/99) 3 of 63 - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per building orarea) ===============================%' ........ ~:~A~::::~:I,:;~CI~i~::IN~OR~ION::~ . ~ ......... .-: :::: BUSINESS NAME (Same as FAC L ~ NAME r ' ' %~'~: .......... O DBA - Doing Business As) 3 ~ Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 J CHEMICAL LOCATION Outside Waste Water Neutralization Area J CONFIDENTIAL (EPC~) ~ Yes ~ No 202 ~e~:~:~ i 5 1;;~ 0 2 ~:~ 0 0 1r 4 0 7 MAP~(o~t~o,~0 203 ~R~D~(o~t~o,~0 204 . ....... ............. ~ ........................ :::: ...... :: ~: :::::j ~::~::::: :~ ...... ~. ::~ ~:~:::~ :::?~ ~: ::~ ~ ~ ~.~ ,,, , ............ ~ ~ ,,::::: ~::::::~ :::::::, :::~:: ::: ~:~-~.:~.:~ :: ~::~:~:::~.:~ ~:~ :~::~ :~.: :~:~ CHEMICAL NAME "205 J Sodium Hydroxide, Solution ~ Yes ~ No 206 If Subje~ to EPC~, refer to instru~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 CAS ~ 1310-73-2 : 209 ~ ~ ::E~S ts~e~ ~uested ~ 210 D p PURE ~ m MIXTURE ~ w WASTE211 ~DIOACTIVE ~ Yes ~ No ~ 213 PHYSICAL STATE D s SOUD ~ UQU~D D g GAS 2~4 · ~=~E~d~,~ ~=~ 1,100 gallons 215 FED H~ARD CATEGORIES Check all that apply) ~ 1 FIRE ~ 2 REACTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTECODE AMOUNT 0 DALLY AMOUNT 2,555 DAILY AMOUNT 1,855 220 ga GAL cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ ~ af~nm~P'~T [~] aRno/r: ar.~l~:k,T ~ ~ IA~ r',~A/ ar, a~ll::klT J STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 J '226 Sodium Hydroxide, Solution 227 [] Yes [] No228 1310732 229 230 231 [] Yes [] No232 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 ' ~ 243 [] ~ Yes I INo 244 245 ,,. DAT~ 246 ' ---_ UPCF (7/99) 4 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661)326-3979. HAZARDOUS MATI:RIAL$ INYENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA ~. Doing Business As) 3 ~ ....... ~ Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION Boiler Room I CONFIDENTIAL (EPCRA) [] Yes [] No 202 203 GRID # (optional) 204 CHEMICAL NAME 205 I Surfactant COMMON NAME Phosphate/Caustic 207 CAS # 111-76-2 2O9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p I~URE [] m MIXTURE []Yes []No 206 If Subject to EPCRA. refer to instructions EHS* ,~ [] Yes [] No 208 213 PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] w WASTE 211 I RADIOACTIVE [] Yes [] No 212 I CURIES [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIc HEALTH 216 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE 0 DALLY AMOUNT 55 DALLY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. DAYS ON SITE 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 / I--]'b"UNDERGROUNDTANK' []f CAN []j BAG [--In PLASTIC BOTTLE Y'lr OTHER · [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 2-Butoxyethanol :~ ao/. 227 []Yes [] No228 111762 229 2 230 Sodium Hydroxide 2.5% 231 [] Yes [] No232 1310732 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 _ ~243 [] Yes [] No 244 · 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REP~ES~TA~iV~ ~OBERT C. DRIES, PLANT MANAGER . ,, 5 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business As) 3 I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION ~ Yes ~ No CIP 5/6 and Outside CONFIDENTIAL (EPC~) 2O2 ~A~l~t~l~I 1 5 ~ 02 1 ~100 1 407 :,~ MAP~(optiona~ 203 GR D~(optiona01 204 ~:..- :::::::::::::::::::::::::: ~ , ,,>:~.::::::::z:~ "¥~r :::: :: : :: ::: ~:: :::¥~r: "~;'~ ~ : ~ ~ ~: ~?~ ~2' ;: ::: ~ . : ..................................... : ~ :~ :::::::~ ....... -~ ~ -. ~ ~ ~ ......... ,~ ::::::~:~ ...... ~ ~¢ ~ ~ ~::::::: ~ :~ , :: ........................ ::~ ~<::::::~::~ : :::::::::::::::::::::::::::::::::::: CHEMICAL NAME 205 T~DE SECRET D Yes ~ No 206 J Quaterna~ Detergent i~ 8ubje~ to EPC~, refer to instm~ions COMMON NAME Disinfectant 207 EHS* ~ Yes ~ No 208 CAS~ 64-17-5 2O9 FIRE CODE H~RD C~SSES (Complete Jf requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE D w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE ~ s 8OLID ~1 LIQUID ~ g GAS 214 ~RGEST CONTAINER 55 gallons FED H~RD CATEGORIES ~ 1 FIRE D 2 R~CTIVE ~ 3 PRESSURE REL~SE ACUTE H~LTH (Check all that apply) D 4 ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 I AVENGE 219 I 8TATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 5 DAILY AMOUNT 8 220 I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Ethyl Alcohol 64175 ~.o/^ 227 [] Yes [] No 228 229 2 . 10% 230 AIkyl Dimethylbenzylammonium Chloride 231 [] Yes [] No232 8001545 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~l ~,~; :" ?~ :: ,,,;~ :, :: '~ %, ~ :::::::::::::: :::::::::::: ::: ..... :::::::--~:: ::: ............. .. · : ........... ~ P'KIN/NAME &/mILE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE :, :::::: ::::::::::::::::::::::::::: ~.. ~Z:: ::~;:: · ~ ./. DA/TE 246 6 of 63 % UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per building or area) --- Page of BUSINESS NAME (Same as FAC L TY NAME or DBA Doi~ B ~: .~ ~ ....... Ice Cream Padners USA, LLC. CHEMICAL LOCATION 201 ] CHEMICAL LOCATION ClP 5/6 and Outside J CONFIDENTIAL (EPC~) ~ Yes ~ No 202 ~ACIEI~ D~ 1 5 ~ 0 2 1 r:~ 0 0 1 4 0 7 ~:: ]: MAP : ~ r~::::;:.~J ~ :~ ( p onaO 204 ~ (opfionaO 203 GRID~ o ~: ~::~, :~:? :~ ::: :::::::::::::::::::::: : CHEMICAL NAM ........... ............ , , :~:~:: :~::~:~,:~:::~:~:::;~ :~ >~:: ~>~ ~ ::::: ~'::~.::~.: ............... : :~:: : e ~ 205 T~DE SECRET ~ .... ~ ...... IDemand If Subject to EPC~, refe~ t~st~ct~o~ 206 COMMON NAME Anionic Acid Sanitizer 207 EHS* ~ Yes ~ No 208 CAS ~ 1300-72-7 209 FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 [ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 3,000 gallons 215 FED H~ARD CATEGORIES Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~'4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 6,400 DAILY AMOUNT 960 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 Eib UNDERGROUND TANK [] f CAN- [] j BAG [] n 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 STORAGE PRESSURE ~ ~ '~"~mmNT r-~ ~ a~n~/m ab~m~,mNT [--) h~ nc, nw a~mmhlT STO~GE'TEMPE~TURE ~ a AMBIENT ~ aa ABOVE AMBIENT Dba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid ' §Cl°./o 227 [] Yes [] No228 7664382 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ROBERT C. DRIES, PLANT MANAGER DATE 246 UPCF (7/99) 7 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INYENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per building or area) Page of Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I'CHEMICAL LOCATION CIP 5/6 and Outside I CONFIDENTIAL (EPCRA) [] Yes [] No 202 !FACi'."~:D:#~ 1 5 I~l 0 2 1 i~l0 0 ' - - ~ ~- ] ~ U 7 ~ ~ MAP ~ (o tiona ~:~:::~ ~ ': ' P O 203 GR D ~ ' CHEMICAL NAME 205 T~DE SECRET ......... J Supersheen ~ Yes ~ No 206 If Subject to EPC~, refer to instructions COMMON NAME Liquid Acid Cleaner 2o7 EHS* ~ Yes ~ No 208 cas ¢ 915_67_3 209 210 D p PURE ~ m MIXTURE B w WASTE211 [ ~DIOACTIVE D Yes ~ No 212 ~ 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM TA%~ASTE CODE UNITR* ~ ~ ~ ~ ...... ga cf CU FT [] lb LBS [] tn TONS DAYS ON SITE 222 * If EHS, amount must be in lbs. · 221 365 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 1 [] b UNDERGROUND'TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMSIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid ¢,:::~, 11% 227 [] Yes [] No 228 7664382 229 2 230 Nitric Acid 20% 231 [] Yes [] No232 7697372 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ 243 [] ~-, /~ Yes I I No 244 245 ROBERTCDRIESP~NTMANAGER ------ : '': .......... ~~24~ UPCF (7/99) 8 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business As) 3 I~ Cream Pa~nem USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION ~ Yes ~ No 202 CONFIDENTIAL (EPC~) Boiler Room I EAC,~I~IDg 1 51~0 2 11~10 0 114 0 7 ~[~[~[~ MAP g(optionaO 203 GRlD~(opfionaO 204 205 T~DE SECRET ~ Yes ~ No 206 CHEMICAL NAME / ' If Subject to EPC~, refer to instructions I W8-112 207 COMMON NAME Industrial Water Treatment EHS* D Yes ~ No 208 [ ~S:t~ 1 ~m~b~ts bel0W mu~t: ~i~: CAS~ 23783-26-8 209 i~ ~;~: :: : ~ ~ FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE D s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE D 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 60~ DAILY AMOUNT 30~ 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR . ~223 · (Check all that apply) · [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE r~ a AMRIFNT [--~ .~ annwc a~..Inl[c:klT n hn Ri::i nw A~,.~l~lCklT 99~. STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Sodium Hydroxide 227 [] Yes [] No 228 1310732 229 1~% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /I ~,..~1 - DATE 246 ROBERT C. DRIES, PLANT MANAGER UPCF (7/99) 9 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326,3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 BUS NESS NAME (Same as FAC L TY NAME or D Doina RH~ino~e Ac{ ~ ' ~:: ~ .... ~ '~: ;~ '~::: ~ I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION Outside - West End ] CONFIDENTIAL (EPC~) ~ Yes ~ No 202 F~Ci~I~JD~ 1 5 ~]0 2 1 [~:; 0 0 1 4 0 7 MAP~(optionaO 203 I I J ~Yes ~No 206 CHEMICAL NAME J Diesel Fuel ~2 If Subject to EPC~, refer to instructions COMMON NAME 207 EHS* ~ Yes ~ No 208 CAS ~ 68476-34-6 209 FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 500 gallons 215 FED H~RD CATEGORIES (Check all that apply) ~ 1 'FIRE ~ 2 REACTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTECODE AMOUNT 0 DAILY AMOUNT 500 DAILY AMOUNT 1 0 220 UNITS* ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Diesel Fuel ~2 ~nno/. 227 ~ Yes ~ No228 68476346 229 2 230 231 ~ Yes ~ No 232 233 3 234 235 D Yes D No 236 237 4 238 239 D Yes ~ No 240 241 5 242 243 D Yes ~ No 244 245 ~OaE~T C. DR/ES, ~NT MANAGEe ' ATC ~ UPCF (7/99) 10 of 63 CITY OF BAKERSFIELD OFFICE ~OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building er area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ice Cream Partners USA, LLC. CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) CIP 5/6 and Outside 203 GRID # (optional) 204 F,~C~ITYiD:#1 1 5 ~?:~'~ 0 2 ~IE~I o o ~ 4 0 7 ::!iliI MAP # (optional) ........ ; .......... ?i::: ,~ .................. i ........ ~ ~ , ' ' ........... 205 TRADE SECRET [] Yes [] No 206 ~ If Subject to EPCRA, refer to instructions CHEMICAL NAME I Diverfoam Plus 207 EHS* [] Yes [] No 208 COMMON NAME Liquid Chlorinate 209 CAS # 1300-72-7 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 I CURIES 213 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 LARGEST CONTAINER 215 PHYSICAL ~TATE [] s SOLID []1 LIQUID [] g GAS 214 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 [ AVERAGE 219{ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 2,100I DAILY AMOUNT 642 220 ..... DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 365 * If EHS. amo~Jnt must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e pLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE' [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO []1 CYLINDER I--lip TANKWAGON STORAGE PRESSURE ~ = al~nl~l~:kIT I~ aa AR.~/~: ~,~,IRI~:I~IT ~--~ hP n~ nw ~,~,~nlI:IUT 99zt STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 131O583 227 [] 229 1 226 Potassium Hydroxide Yes No228 ,I ~ o/,, 2 230 Potassium Chloride 231 [] Yes [] No232 7447407 233 6% 3 234 Potassium Hypochlorite 235 [] Yes [] No 236 7778677 237 2% : 241 239 [] Yes [] No 240 4 238 243 [] Yes [] No 244 245 5 242 - ~ :: :~ :~":~ ::PRINT NAME & :: '7~:::: ~:: ~ :::::::TITLE OF AUTHORIZED COMPANY REPRESE~'YA~IVE SIGNATUR~ ~~ ~ ~ ~ 11 of 6: UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ' CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doin9 Business As) 3 Ice Cream Pa~ners U$A, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION ~ Yes ~ No Outside Chemi~l Storage Area CONFIDENTIAL (EPC~) 202 I :,~EACIEI~iD~ ~ 1 5 [~?~l o I 2 I 1 F~f~l 0 I 0 I 1 4 0 7 MAP~(optionaO 203 GRD~(optiona~ 204 ~ ~:::: ~ ~ ~ '~ CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 206  Solvent Cleaner If Subject to EPC~, refer to instructions COMMON NAME 207 EHS* D Yes ~ No 208 CAS ~ 6934-92-0 209 FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 55 gallons 2~5 FED H~RD CATEGORIES D 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH (Check all that apply) ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILYAMOUNT 275~ DAILYAMOUNT 84 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS ' [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] q RAIL CAR 223 (Check all that apply) [] m GLASS BOTTLE ' [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Sodium Metasilicate 227 [] Yes [] No 228 6834920 Roi^ 229 ~ 23o Dipropylene Glycol Methyl Ether 23'1 [] Yes [] No252 34590948 4% 233 3 234 ' 235 [] Yes [] No 236 237 4 238 239 []Yes []No 240 241 5 242 2(~ a Yes [] No 244 245 :::::::::::::::::::::::::::::: ::::::-::~-~,~ ::: ........ ~.,,~,~. :::::::,::: :,,:~:---,,,~ ......... PRINT NAME & TITLE OF AUTHORIZED COMPAN~'"~B~SRES~T,~yi~ ...................... ~I~,~:TO~ ...... "~; ...................... ~' DATE 246 ROBERT C. DRIES, PLANT MANAGER ..... , : ~ . 12 of 63' UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [-] ~=w,o= 200 lone form per maten'al pe; building or area Page __ of __ ) USINESS NAME (Same as FAClLI~ . . NAMEorDBA Don Bus~es ~~ ~ ~ ~'~: CHEMICAL LOCATION 201 CHEMICA~) ~ Yes ~ No 202 Inside ClP ' ~CONFIDE 203 GRID ~ (optionaO 204 CHEMICAL NAME COMMON NAME 205 []Yes []No 206 FAC Foaming Liquid if Subject to EPCRA, refer to instructions Alkaline cleaner 207 EHS* []Yes []No 208 CAS # PHYSICAL STATE 210 FED HAZARD CATEGORIES (Checkallthatapply) ANNUAL WASTE 217 AMOUNT STORAGE CONTAINER 6408-80-6 [] p PURE [] m MIXTURE [] s SOLID [~]1 LIQUID [] 1 FIRE [] 2 REACTIVE MAXIMUM 0 DAILY AMOUNT UNITS* [] ga GAL 209 [] w WASTE 211 t RADIOACTIVE [] Yes [] No [] g GAS 214 LARGEST CONTAINER 55 gallons [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH 218 I AVERAGE . 575 DALLY AMOUNT 337 [] cf CU FT [] lb LBS [] tn TONS * If EHS, amount must be in lbs. 215 [] 5 CHRONIC HEALTH 216 219 STATE WASTE CODE 22O 221 DAYS ON SITE 365 213 222 (Check all that apply) r~a ABOVEGROUNDTANK []b UNDERGROUNDTANK []c TANKINSIDE BUILDING []d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] f CAN [] j BAG [] n PLASTIC BOTTLE [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON [] q RAIL CAR [] r OTHER 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 226 2 230 5% 3 234 4 ~5 ROBERT C. DRIES, PLANT MANAGER Sodium Metasilicate Dipropylene Glycol Methyl Ether 227 [] Yes [] No 228 231 [] Yes [] No232 235 [] Yes [] No 236 239 [] Yes [] No 240 []Yes []No 244 6834920 34590948 229 233 237 241 UPCF (7/99) 13 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per building orarea) BUS NESS NAME (Same as FAC LI~ NAME or DBA - Do ng Business As) 3 I~ Cream Padners USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION Maintenan~ Shop and Outside Gas Storage Area CONFIDENTIAL (EPC~)  Oxygen If Subject to EPC~ refer to instm~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 CAS ~ 778244-7 FIRE CODE H~RD O~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE D s SOLID ~1 LIQUID ~ g GAS 214 - LARGEST CONTAINER 249 CU FT 2~5 FED H~RD CATEGORIES Check all that apply} ' ' ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 M~IMUM 218 AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 2,200 DAILY AMOUNT 2,1 00 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 1 .... Eib UNDERGROUND TANK []fCAN Dj BAG []n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Oxygen, Compressed ~ nn% 227 [] Yes [] No 228 7782447 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 COMPANY REPRESENTATIVE ~,~-~AT~R~:~ f~ ~ ' ~?J~ 24~ ROBERT C. DRIES, P~NT MANAGER ' UPCF (7/99) of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION D Yes [] No 202 CONFIDENTIAL (EPCRA) I Chemical Storage Area I, 15 0 12 I, MAP#(o tional, 2°3 GRID#(o tiona0 2°. I~il I I I I ~;: := ~ '~'; ===i=;=' h:~, ,, ,:,, ,, ;;;::= '~'~ ~ ::~:, ,,;;;,=;=i==== =~"~ ..... ~+~= ...................... ~: ~ ................................. ~ .............. ............... "~"~' ........ ~,~"~ 205 T~DE SECRET D Yes ~ No 206 CHEMICAL NAME I If Subject to EPC~, refer to instructions I Waste Oil 207 COMMON NAME EHS* ~ Yes ~ No 208 CAS ~ 209 ~ItEHS~ig~e~al FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chie~ 210 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~DIOACTIVE D Yes ~ No 212 I CURIES 213 PHYSICAL STATE D s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 500 gallons 2~5 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH D 5 CHRONIC H~LTH 216 (Check atl that apply) ANNUAL WASTE 217 M~IMUM 218 AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 500 DAILY AMOUNT 250~ 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE r~] ~ ~,I~,tRI~klT r~ ~ AR,"'I~,I~: ~,I~/IRIFNT [--~ h~ ~1::1 r'~w ~,I~,IRIr:MT 99-'l STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Waste Oil, Petroleum Based 227 [] Yes [] No228 229 lf)0% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 .z~,.~,,:: ::: :, :~!~U..RE ~''': ~~~' ~'~;: ::::: ::: ~: : ;~': ........... :/~ ~'~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE . ,DATE~ 246 UPCF (7/99) 15 of 63 ~-% CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 Chemical Storage Area and Relic Tanks CONFIDENTIAL (EPCRA) t !!FA~C'iLI~ ID~ iJ 1 I 5 ~] 0 I 2 I 1 [!i~ ] 0 I 0 I 1 I 4 I 0 I 7 I ~1 I MAP # (optional) 203 GRID # (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Calcium Chloride If Subject to EPCRA, refer to instructions 207 COMMON NAME Brine EHS* [] Yes [] No 208 CAS# 7664-41-7 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 I PHYSICAL STATE [] s SOLID []l LIQUID [] g GAS 214 LARGEST CONTAINER 330 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH - [] 5 CHRONIC HEALTH 216 (Check all that appty) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 2~9 [ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 4,000 DAILY AMOUNT 1,800 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) · [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE ' [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [~1 CYLINDER [] p TANKWAGON STORAGE PRESSURE ~ ~ At, nRII:AIT [~ aa bRr',\/¢: ~.talRll:klT [~ h~ ~Cl r~w AMRIFNT ??4 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Calcium Chloride 227 [] Yes [] No228 7664417 229 qA% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243. [] Yes [] No 244 245 PRINT NAME a TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~_.~74~ 246 ROBERT C. DRIES, PLANT MANAGER ' ' 16 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per bullding orarea) ME (Same as FACILITY NAME u, DBA- Do, nc uus,ness AS) 3 I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 ~' CHEMICAL LOCATION Maintenan~ Shop and Outside Gas Storage CONFIDENTIAL (EPC~) ~ Yes ~ No 202 CHEMICAL NAME 205 T~DE SECRET ......... ' '"' "~ ~': :  Argon ~Yes ~ No 206 If Subject to EPC~, refer to inst~ctions COMMON NAME 207 EHS* ~ Yes ~ No 208 CAS ~ 7440-37-1 ~uested ~ 210 PHYSICAL STATE D s SOLID ~l LIQUID ~ g GAS 214 ~RGEST CONTAINER 336 GU FT 2~5 FED H~RD CATEGORIES (Check all that apply) ~ I FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE HEALTH D 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ( STATE WASTECODE AMOUNT 0 DALLY AMOUNT 5,700 DALLY AMOUNT 5,350 220 ga cf CU FT [] lb LBS [] tn TONS DAYS ON SITE 222 * If EHS, amount must be in lbs. 221 365 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK. - [] f CAN [] j BAG - [] n PLASTIC BOTTLE r~'r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba SELOWAMBIENT [] c CRYOGENIC 225 1 226 Argon 1Fin% 227 [] Yes [] No228 7440371 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 :: ::::~: :: ................... ~ ~ [] Yes [] No 244 245243 ~. (,/¢:,,;:, : :,,'!: ~.~. :: :~, I :: ~Hv: SIGNATURE ROBERT C. DRIES, PLANT MANAGER UPCF (7/99) [~NEW r~ADD ["~DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326;3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] REVISE 20O (one form per material per building or area) Page of Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 Maintenance Shop 2O3 J CHEMICAL LOCATION J CONFIDENTIAL (EPCRA) GRID # (optional) 204 [] Yes [] No CHEMICAL NAME COMMON NAME Tri-Mix Welding Gas 205 207 []Yes []No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No CAS # 210 PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE 217 AMOUNT [] p PURE [] s SOLID [] 1 FIRE [] m MIXTURE [] I LIQUID [] 2 REACTIVE MAXIMUM DAILY AMOUNT 209 [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 ~ [] g GAS 214 LARGEST CONTAINER 336 CU FT 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 AVERAGE 200 219 STATE WASTE CODE DAILY AMOUNT 100 220 213 STORAGE CONTAINER UNITS* [] ga GAL [] cf CU FT * If EHS, amount must be in lbs. [] lb LBS [] tn TONS 221 DAYS ON SITE 365 222 (Check all that apply) []a ABOVEGROUNDTANK []b UNDERGROUND TANK []c TANKINSIDE BUILDING Eld STEEL DRUM []e PLASTIC~ONMETALLIC DRUM []f CAN. []g CARBOY []h SILO Eli FIBER DRUM []j BAG []k BOX []1 CYLINDER [] m GLASS BOTTLE [] n PLASTIC BOTTLE [] o TOTE BIN [] p TANK WAGON [] q RAIL CAR [] r OTHER. - 223 STORAGE PRESSURE STORAGE TEMPERATURE ["] ~ aanm=hlT [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 1 226 2 3 234 4 238 5 242 ROBERT C. DRIES, PLANT MANAGER 227 231 235 239 []Yes []No 228 DYes [] []Yes[]No 236 []Yes []No 240 [] Yes [] No 244 229 233 237 241 245 UPCF (7/99) 18 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] [] [] REVISE 200 Page --~ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business As) 3 Ice Cream Pa~ners USA, LLC.  CHEMICAL LOCATION ~ Yes ~ No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPC~) Ou~ide Chemi~l Storage Area FACI~I~I~ I 5 I~] 0 2 I I~ 0 0 1 4 0 7 MAP~(optiona~ 203 GRID~(optiona~ 204 ~,,:,::7~:~: ~ ........ '"'~" ~ ....... ........... ................... 205 T~DE SECRET ~ Yes ~ No 206 CHEMICAL NAME If Subject to EPC~, refer to inst~ions . Refrigeration Oil, Capella 68 207 ~ EHS* ~ Yes ~ No 208 COMMON NAME ========================= ~ ~ ::~ ..... FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 tim chief) 210 [ CURIES 213 ~PE ~ p PURE D m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 55 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE D 3 PRESSURE REL~SE D 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 300I DAILY AMOUNT 250~ 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CUFT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN Inside Equipment [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE CONTAINER (Check ail that apply) STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 ~ 226 Heavy Naphthenic Petroleum 227 [] Yes [] No 228 229 2 230 Light Petroleum Distillate 23~ [] Yes [] No232 68476302 233 6% 3 234 235 [] Yea [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 245 ~? ............ '~ ~:~ -::.'~:~:: ~"': ,'~:': ::: ~:~"~:: ~'~:: :::: ~111 ::$1GN~UI; ~,? ~: :::: pRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ROBERT C. DRIES, P~NT MANAGER ~ ~ --~ ~ q UPCF (7/99) 19 of 63 ..~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES. 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] [] [] DELETE [] REVISE 200 ' Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION [] No 202 CHEMICAL LOCATION, 201 CONF DENTAL (EPCRA) [] Yes Outside Chemical Storage Area FACI[i~ilD~iI1 51~0 2 1l~]0 O 1~II ~ 40 203 G~lD#(optional) 204 ..... ~:~:::::* ............. ', 205 T~DE SECRET ~ Yes ~ No 206 CHEMICAL NAME If Subject to EPC~, refer to instm~ions Acid Clener ~3 207 COMMON NAME EHS* D Yes ~ No 208 CAS ~ 7664-38-2 209 FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chief) 210 ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 CURIES 213 ~PE PHYSICAL STATE ~ s SOLID ~l LIQUID ~ g GAS 214 ~RGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE D 2 R~CTIVE D 3 PRESSURE REL~SE D 4 ACUTE H~LTH D 5 CHRONIC H~LTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 2~e I AVENGE 2~9 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 1 0I DAILY AMOUNT 1 10I 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs, 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid 227 [] Yes [] No 228 7664382 ' 229 R1% 2 230 231 [] Ye~ [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ 243 [] Yes [] No 244 245 ::::~ ~,:: : ;/,'~ ,'~:::: :: :::;:*,4 ' ~S :::::::~::' ~'*~>~*:%;:~: .......... ~*~*~"~ ............... ~': ::~'~: ::: :: ::"'::** I~RI~¥ NAME & TITLE OF AUTHORIZED COMPANy REPRESENTATIVE Si~I~AT~N.~X'I-/ ?A~_..DAT 246 ROBERT C. DRIES, PLANT MANAGER 2( "of" 6 3 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW. [] ADD [] DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Busines~ ~) Ice Cream Partners USA, LLC. ~Hu~iI~ L~)eC~'~3~ S ~(~a g e Are a G ~ cC~ FMIDCEA~ ~ LC~ET~'~A) [] Yes []N0 202 RID # (optional) 204 ~ACE~iD#? I 5 [i!'~!~1 0 2 1 ~1 0 0 1 4 0 7 I I AG 453 [ If Subject to EPC~, refer to inst~ctions COMMON NAME 207  EHS* Yes No 208 2o~ FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MI~URE D w WASTE211 J ~DIOACTIVE ~ Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES (Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE D 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 J AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 100 ~ DALLY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check a~l that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ o ~,~r~NT [--~ ~ z,r~r¥./~: ~,~m~k~T [--~ h~ r~ n~^/~,~,,~m~NT -~'~,~ / STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 Glutaraldehyde '1Ro/. 227 [] Yes [] No 228 1 10308 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~'~ 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHOR ZED COMPANY REPRESENTAT VE ~ .......... ;;; ~: ~ ===== == ==== =~ ~ ===~[ == ..... =============: =========~==; =~:~: ~ Y~ · ~ I DATE 246 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF'ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No Boiler Room and Outside Chemical Storage Area CONFIDENTIAL (EPCRA) 202 I MAP # (optional) 203 GRID # (optional) 204 CHEMICAL NAME ,,COMMON NAME IMeasure Up 205 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions 2O7 EHS* [] Yes [] No 208 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2O9 210 TYPE [] p PURE [] m MIXTURE PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE (Check all that apply) [] w WASTE211 RADIOACTIVE E]Yes []No 212 I CURIES [] g GAS 214 LARGEST CONTAINER 55 gallons 245 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 213 ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DALLY AMOUNT 218 AVERAGE 219 J STATE WASTE CODE 170 DAILY AMOUNT 1 00 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] [] e PLASTIC/NONMETALLIC DRUM [] m GLASS BOTTLE (Check all that apply) a ABOVEGROUND TANK [] i FIBER DRUM [] q RAIL CAR '223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE ~l a a~,nRl~:NIT r~ ~a aRc,x/c: At,,~RII=KIT [~ h~ ~1 n~^l A~n~IFNT 994 [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 2-Butoxyethanol 227 [] Yes [] No 228 1 1 1762 1 4% 229 2 5% 23o Trisodium Phosphate 231 []Yes [] No232 7601549 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ (~ 243 [] Yes [] No 244 245 :~::~ ..... :~: !II~,SIGN ~1 ..... ~ ~-::: '% : ~:::: · ~::,? ::,:, ,,:~::: :~::~,~:;,:-,~,,~,::::~: ~::,:~, PR NT NAME & T TLE OF AUTHORIZED COMPANY REPRESE~TATIVi~ ROBERT C. DRIES, PLANT MANAGER 22 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area CONFIDENTIAL (EPCRA) ~AbJ£i~:ID!~J 1 5 J~;~J 0 2 1 J~;~J 0 J o J I I 4 J 0 J 7 J ~ ~1 J UAP#(optional) 203 GRID # (optional) 204 205 TRADE SECRET CHEMICAL NAME [] Yes [] No 206 I Hydraulic Oil If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* [] Yes [] No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 2~5 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 · (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 10 DAILY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS. amount must be in lbs. 365 222 (CheckSTORAGEall thatCONTAINERapply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j SAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 i 226 Hydraulic Brak Fluid (Diethylene Glycol Monobutenol) 22z [] Yes [] No228 112345 229 1 FIBO/~ 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~,,%. , (~ 243 [] Yes [] No 244 245 ROBERTPRINT NAMEc. DRIES, & TITLEpLANTOF AUTHORIZEDMANAGER COMPANY REPRESENTATIVE , SIGNATURE ~~//r ~ D/~.,~DA~ -~ 246 UPCF (7/99) 23 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form pet~ material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page of Ice Cream Partners USA, LLC.. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] Outside Chemical Storage Area CONFIDENTIAL (EPCRA) No 202 I =F~.C~LI~'iD#.[ l I I 5 I~ 0 I 2 I 1 I;5;?¢1 0 I 0 I 1 4 0 7 MAP # (optional) ~== :: ~ :: ~ ¢.: 203 GRID Ct (optional) CHEMICAL NAME 205 'T~E S'~CR~T .......................... ~Yes ~No 206  Propylene Glyml If Subje~ to EPC~, to instm~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 210 WPE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE ~ s SOLID ~l LIQUID ~ g GAS 214 ~RGEST CONTAINER 55 gallons 2~5 FED H~RD CATEGORIES (Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 2~7 M~,MUM 218 J AVENGE 219 I STATE WASTE CODE. AMOUNT 0 DAILY AMOUNT 170 DALLY AMOUNT 170 220 I I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] b UNDERGROUND TANK [] f CAN ' [] j BAG [] n 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 ['~ o aMm~hlT [-I ~ tmn\/~ aMmmNT FI h~ n~nw~Mm~t4T '>~a I STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC ' 225 J I 226 1, 2-Propanediol .~nno/. 227 [] Yes [] No228 57556. 229 2 23O 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 ~ ~ ~ ~,, ...... 242 ::~v:: .~' :* ::~',,.~ ~:~',~ .-~ :::~_,~.~... --.--_._.._ ~ ¢ 243 DYes []No244 245 ~,~ ~AMU &/ITLE OF AUTHORIZED COMPAN~ AEPRA~EN~TIVE ~*: ~:~:~:i~Af~:~ ~ ~:' '~'''' ~ ~..~: :: ~ :'~ ::~< :'~'~' ~' '~;' : ~:~ 24 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 'CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per materialper building or area) USINESS NAME (S FAC L ,~ . · ~ ~ =~ ~ ~::¢~ ......... ==== ........ ~::~ :: ~ == === :~;~: ....... ;~: ~;~ ~ ~= Outside Chemic, Storage Area ~ ~~ ~ 203 GRID ~ (optionaO 204 CHEMICAL NAME COMMON NAME 205 CAS # 210 Optim Glycerine luested ~ 56-81-5 [] p PURE [] m MIXTURE [] w WASTE 211 PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES (Check all that apply) [] I FIRE [] 2 REACTIVE ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DALLY AMOUNT 80 2O7 EHS* 209 UNITS* [] ga GAL [] cf CUFT * If EHS, amount must be in lbs. []Yes []No 206 If Subject to EPCRA, refer to instructions STORAGE CONTAINER []Yes []No 208 222 I RADIOACTIVE [] Yes [] No 212 [] g GAS 214 LARGEST CONTA NER 55 gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 ~ AVERAGE 219 [ STATE WASTE CODE DALLY AMOUNT 55 220 [] lb LBS [] tn TONS 221 DAYS ON SITE 365 (Check all that apply) STORAGE PRESSURE []a ABOVEGROUND TANK I-lb UNDERGROUND TANK [~]c TANKINSIDE BUILDING []d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG [] n PLASTIC BOTTLE , [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 3 234 4 238 5 242 226 Glycerine 227 [] Yes [] No228 56815 229 231 []Yes []No232 233 []Yes[]No. 236 237 239 []Yes []No 240 241 []Yes []No 244 245 ROBERT C. DR/ES. PLANT MANAGER UPCF (7/99) 25 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [] DELETE [] REVISE 200 (one form per material per building or area) Page of Ice Cream Padners USA, LLC. CHEMICAL LOCATION 201 ] CHEMICAL LOCATION Outside Chemi~l Storage Area J CONFIDENTIAL (EPC~) ~ Yes ~ No 202 ~: : ::::; ( ~ onaO 203 GR D ~ CHEMICAL NAME 205 T~DE SECRET J Dessi~nt ~ Yes ~ No 206 If Subject to EPC~, refer to instru~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by local fire chie~ ~PE ~ p PURE ~ m MIXTURE ~ w WASTE211 ~DIOACTIVE []Yes ~No 212 J CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 - LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES (Check all that apply} ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM AMOUNT 0 DAILY AMOUNT 1,2 218 ~ AVENGE UNT 1,2 219 STATE WASTE CODE ga cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply) r-la ABOVEGROUNDTANK J--Ih UNDERGROUNDTANK J--lc TANKINSIDEBUILDING []d STEELDRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR Df CAN ['~j BAG r'ln PLASTICBOTTLE []r OTHER []g CARBOY ['~k BOX E]o TOTE BIN E]h SILO []1 CYLINDER Lip TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT r-~c CRYOGENIC 225 1 226 2 230 3 234 4 238 5 242 Alumina 227 [] Yes [] No228 1344281 229 231 [] Yes [] No232 233 235 [] Yes [] No 236 239 [] Yes [] No 241 [] Yes [] No 245 ROBERT C. DRIES, PLANT MANAGER UPCF (7/99) 26 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area CONFIDENTIAL (EPCRA) I iFACi~i~lD# 1 5 ~0 2 I ~ 0 0 1 4 0 7 iiiiii:',~i[UAP#(optional) 203 eRID#(optional) 204 205 T~DE SECRET ~ Yes ~ No 20~ CHEMICAL NAME  Setr~pot~ssiu~ Pyrophosph~te If8ubjecttoEPO~,refertoinstructions COMMON NAME ~ 207 EHS* ~ Yes ~ No 208 CAS ~ 7320345 209 FIRE CODE H~RD C~SSES (Complete if requested by Io~l fire chief) 210 ~PE ~ p PURE D m MIXTURE D w WASTE211 ~DIOACTIVE D Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES D 1 FIRE D 2 R~CTIVE ~ 3 PRESSURE RELISH ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Check all that .apply) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 55~ DAILY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR (Check afl that apply) 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ ~ aMm~T [--~ ,~ annv~ AMnl~:krr r'l h~ n~l nWaMRiFNT ??a STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 I 226 Tetrapotassium Pyrophosphate 227 [] Yes [] No228 7320345 229 1~3~o/.. 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No · 236 237 4 238 239 [] Yes [] No 240 241 5 242 43 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED CO~PXN'~' RE'~RESEN~AI'i9'~ §i~0RE -. / n , x i DATE 246 UPCF (7/99) 27 of 63 . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL sERVICES · 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION Materials Requisition Office CONFIDENTIAL (EPC~) ~ Yes ~ No 202 gA~i~i~i~ I 1 15i~0121n ~01011 1410171 ~ UAPg(optionaO 203 GRDg(obona 204 CHEMICAL NAME 205 T~DE SECRET ~ Yes ~ No 206  S-400 Pa~ A - Diglycidyl Ether of Bispheonol tf Subject to EPC~, refer to instm~ions COMMON NAME Epoxy Resin 207 EHS* ~ Yes ~ No 208 CAS ~ 209 :;~ EHS S~es ~a ~o~be o~ast:~ ~: ~ FIRE CODE H~RD C~SSES (Complete if requested by local fire chief) ...... ......................... 210 WPE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID D g GAS 214 ~RGEST CONTAINER 5 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 5 CHRONIC H~LTH 216 (Check all that apply) ~ 4 ACUTE H~LTH · ANNUAL WASTE 217 M~IMUM 218' AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 30 DALLY AMOUNT 5 220 I I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE(check all thatCONTAINERapply)[] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ ~ ~nm~NT [--I ~ ~,R,,3',ii: ~,~,nr~l~:NT I~1 h~ R~ r~^t a~r~l~NT ')34 ] STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 4, 4 - Isopropylidenediphenyl Rno/~ 227 [] Yes [] No228 80057 229 2 20o/o 230 Epichlorohydrin 231 [] Yes [] No232 106898 233 3 234 235 [] Yes [] NO 236 237 4 238 239 [] Yes [] NO 240 241 5 242 . . ['~ 243 [] Yes [] No 244 245 28 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION [] Yes [] No 202 Materials Requisition Office CONFIDENTIAL (EPCRA) ~Ci[.i~ 1 5 ~0 2 I i~ 0 0 1 4 0 7 ~ i~ [UAP#(optional) 203 GRID # (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I S-5000 Part.B - Polyamine Adduct/Cycloalephatic Amine If Subject to EPCRA, refer to instructions 207 COMMON NAME Catalyst EHS* [] Yes [] No 208 CAS # 209 ,~!~ ~ E~S s~Yes.~a :amounts be ow must be FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID I'~]1 LIQUID [] g GAS 214 LARGEST CONTAINER 5 gallons 2~5 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 30I DAILY AMOUNT 5I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 ISTORAGE CONTAINER Da ABOVEGROUNDTANK De PLASTIC/NONMETALLIC DRUM •i FIBERDRUM Elm GLASS BOTTLE E]q RAILCAR (Check all that apply) [] b UNDERGROUND.TANK [] f CAN [] j BAG [] n PLASTIC BO'I-rLE [] 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 A~t~l~l~ldT ~ ~ aR~'~\/C Air,II, II:kIT r-I ~ i~1 nlAI 6~l~:klT ~'2,~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 Benzyl Alcohol 227 [] Yes [] No 228 100516 229 40% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~1~3 [] Yes [] No 244 ' 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ROBERT C. DRIES, PLANT MANAGER UPCF (7/99) 29 of 63 CITY OF BAKERSFIELD ; ' OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ? HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ' (one form per material per building or area) [] NEW [] ADD [] DELETE [] REVISE 200 Page __ of __ Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION Outside Chemical Storage Area CONFIDENTIAL (EPCRA) [] Yes [] No 202 CHEMICAL NAME .205 T~DE SECRET D Yes ~ No 206 I Mikroklene DF If Subject to EPC~, refer to instructions coMMoN NAME Idophor Detergent Disinfectant 207 EHS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by to~l fire chief) ..... '¢/~" ~¢/' :: ~ 210 ~PE D p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 J CURIES 213 PHYSICAL STATE D .s SOLID · ~ I LIQUID D g GAS 214 ~RGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE ' ~ 2 R~CTIVE D 3 PRESSURE REL~SE ~ 5 CHRONIC H~LTH 216 (Check all that apply) ~ 4 ACUTE H~LTH ANNUAL WASTE 217 M~IMUM 218 AVENGE 219 STATE WASTE CODE AMOUNT 0' DAILY AMOUNT 2 DAILY AMOUNT 1 220 I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply) - 223 []a ABOVEGROUNDTANK [--~b. UNDERGROUNDTANK []c TANKINSIDEBUILDING I--Id STEELDRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG [] n PLASTIC BOTTLE [] f: OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 1 226 Iodine I 7Ro/. ~ 227 [] Yes [] No 228 7553562 229 2 6.50/o 230 Phosphoric Acid 231 [] Yes [] No232 7664382 233 3 2% 234 2-Butoxyethanol 235 [] Yes [] No 236 1 1 1762 237 4 238 239 [] Yes [] No 240 241 5 242 · ~.~ (~r~3 [] Yes [] No 244 245 ILl:: UI- AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE' · ~tt ~ DATE. ~46 30 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (66!) 326-3979 HAZARDOUS MATI=RIAL$ IN¥1:NTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD ~]DELETE [] REVISE 200 Page __ of __ BUS NESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ' ' ' I Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area CONFIDENTIAL (EPCRA) Is Ho 121 Io I 14 Io l? 203 ORD#(opt,o.ar 204 CHEMICAL NAME 205 TRADE SECRET [] Yes [] No 206 IOxygen Solution If Subject to EPCRA, refer to instructions 207 COMMON NAME Active Oxygen Solution - Matrixx EHS* [] Yes [] No 208 CAS# FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID [-~]1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE ACUTE HEALTH (Checkall that apply) ' [] 4 ' [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 J STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 3 DAILY AMOUNT , 2 220 I I I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 (CheckSTORAGEall thatCONTAINERapply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE ' [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] aAMBIENT [] aa ABOVE AMBIENT [] ba BELOW~,MBIENT [] c CRYOGENIC 225 1 226 Acetic Acid, Pure 9Ro/^ 227 [] Yes [] No228 64197 229 2 7% 230 Hydrogen Peroxide 231 [] Yes [] No232 7722841 233 3 5% 234 Peroxyacetic Acid 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ K43 [] Yes [] No 244 245 LE OF AUTHORIZED COMPANY R~PRESEN~iVE ~'GN~T~ ...... ~( ~ ~T~ 246 31 'of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD []DELETE [] REVISE 200 (°ne form per material per bullding or area) USINESS NAME (Same as FACI~TY NAME or DBA . ". ~ ..............~E~G=!~!~!N~RMATION~: ~ CHEMICAL LOCATION 201 r CHEMICAL LOCATION Outside Chemi~l Storage Area [ CONFIDENTIAL (EPC~) ~ Yes ~ No 202 203 GRID ~ (opt~naO 204 CHEMICAL NAME COMMON NAME IStainless Steel Cleaner & Polish Aerosol Spray Cleaner & Polish 207 [] Yes [] No 20 If Subject to EPCRA, refer to instructions EHS* CAS# []Yes []No 208 210 [] P PURE [] m MIXTURE [] w WASTE211 t RADIOACTIVE []Yes []No 213 PHYSICAL STATE [] s SOLID []l LIQUID [] g GAS . 214 LARGEST CONTAiNER 17 OUl3Ces 215 FED HAZARD CATEGORIES (Check all that apply) [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DAILYAMOUNT 3 OZ. 218 ~ ~E CODE [ DAILY AMOUNT 2 oz. ._[ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS * If EHS, amount must be in lbs. ~ 221 DAYS ON SITE STORAGE CONTAINER 365 (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLiC DRUM [] i FIBER DRUM - [] m GLASS BOTTLE [] q RAIL CAR [].b.UNDERGROUND.TANK [] f CAN . [] j BAG [] n 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 222 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBiENT [] ba BELOWAMBIENT \ [] c CRYOGENIC 1 2 3 4 5 226 Aliphatic Naphtha 10% 230 Alkane Distillate 238 242 ROBERT C. DRIES, PLANT MANAGER 227 231 235 [] Yes' [] No 228 [] Yes [] No232 []Yes[]No 236 [] Yes [] No []Yes []No 244 8030306 68476302 229 233 237 241 245 UPCF (7/99) 32 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION · (one form per material per building or area) [] NEW [] ADD r~IDELETE [] REVISE 200 : ::J~ F~C!~!T¥~N EO RMA~ION~¥:,,, BUS NESS NAME ' · (Same as FACILI~ NAME or DBA - Do~ng Business As) 3 ' ' "" ,, ~:::::::~;: Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION Outside Chemical Storage Area CONFIDENTIAL (EPC~) ~ Yes ~ No 202 PACiEi~:i~: I 5 ';:~ 0 2 1 ~;'~ 0 0 1 4 0 7 MAP~ o tiona CHEMICAL NAME ~ 205 T~DE SECRET ~ Yes ~ No 206 Ultrasil 76 If Subject to EPC~, refer to instructions COMMON NAME Aqueous Acid 207 EHS* ~ Yes ~ No 208 FIRE CODE H~RD CLASSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes' ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES Check all that apply) ~ 1 FIRE ~ 2 R~CTIvE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 AVENGE 219 J STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1.5 DAILY AMOUNT 1 ' 220 UNITS* ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] m GLAss BOTTLE [] q RAIL CAR (Check all that apply) [] i. FIBER DRUM [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE TEMPERATURE [~]'a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 226 Nitric Acid Ac~ Ro/~ 227 [] Yes [] N0228 7697372 229 0.4% 230 Phosphoric Acid 231 [] Yes [] No232 7664382 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 :: ",.: :::' ~ 2~ •Yes ~ No 244 245 ,A~ A/l/Lb Ut AU/HOR ZED COMPANY REPRESENTATIVE ' ~TE 246 UPCF (7/99) 33 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INYENTORY CHEMICAL DESCRIPTION [] NEW [] ADD r'~IDELETE [] REVISE 200 (one form per material per bui/dlng or area) BUSINESS NAME (S ....... FAC ..... r~ or DBA- Doin ' ' '~'~ :~<: ==== = === := = :: ~:~*= : ~::: =~;~ ~ :::~ :~*:::~:::=====~::: g Busrness As) 3 . ~ .............. Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION ~01 -- ' [ CHEMICAL LOCATION Outside Chemi~l ~[orage Area . ~ CONFIDENTIAL (EPC~) ~ Yes ~ No 202 CHEMICAL NAME ~ 205 T~DE SECRET ~ Yes ~ No 206 Quorum Pink II If Subject to EPC~, refer to inst~ctions COMMON NAME Liquid General Cleaner 207 EHS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by ~o~ fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE211 ~DIOACTIVE ~Yes ~No 212 ] CURIES 213 PHYSICAL STATE ~ s SOLID ~ LIQUID ~ g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES (Check a~l lhat apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 5 DALLY AMOUNT 3 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs, 365 222 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 1 [] b UNDERGROUND TANK,. [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 226 Sodium Dodecylbenzene Sulfonate 227 [] Yes [] No228 25155300 229 2 3% 230 3 3% 234 4 238 5 242 Propylene Glycol Monoethyl Ether Dipropylene Glycol Methyl Ether 231 [] Yes [] No232 107982 233 235 239 []Yes[]No 236 34590948 237 I--lyes I-'lNo 240 []Yes []No 244 245 .ROBERT C. DRIES, PLANT MANAGER .~ATE UPCF (7/99) 34 of 63 : CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW ~- [] ADD [~]DELETE [] REVISE 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ~ ............. -~::::::i' ~'~::: ~::::i?,~ ~'~- ' ~:~, Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 CHEM CAL LOCATION [] Yes ~ Outside Chemical Storage Area I CONFIDENTIAL (EPCRA) L~J No 202 I 203 GRID # (optional) 204 CHEMICAL NAME Foam Shine - High Foaming Acid Cleaner []Yes []No 206 If Subject to EPCRA, refer to instructions COMMON NAME Acid Cleaner 207 EHS* 2O9 [] w WASTE 211 J RADIOACTIVE, [] Yes [] No 212 I CURIES [] s SOLID [~]1 LIQUID [] g GAS 214J LARGEST CONTAINER 55 gallons 215 CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE []Yes []No 208 213 PHYSICAL STATE FED HAZARD CATEGORIES (Check all that apply) [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 J STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 1 0 DAILY AMOUNT 0.75 220 I I UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER (Check all that apply) [] q RAIL CAR 223 [] r OTHER ' [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] b UNDERGROUND TANK [] f CAN. [] j BAG, [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] d STEEL DRUM [] h SILO [] I CYLINDER [] m GLASS BOTTLE [] n PLASTIC BOTTLE [] o TOTE BIN [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [-I ~ a~n~/c a~IFNT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid ,4 '1 o/^ 227 [] Yes [] NO 228 7664382 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~'~.~ '~ 243 [] Yes [] No 244 245 uH"IUi-,(I/_I:U L;(JMPANY REPRESENTATIVE ~i~N~UR~' ' ' ',~TE/'246 35 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OFiENVIRONMENTAL SERVICES 1715.Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page of BUS'I'NESS NAME (Same as FACILITY NAME' or DBA - Doing' "uus~ness' As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION [] Yes [] No 202 Chemical Storage Area CONFIDENTIAL (EPCRA) !~ACJ~ITY JD[~i: 203 GRID # (optional) 204 I CHEMICAL NAME COMMONNAME IQuorum Clear Quaternary Ammonium Sanitizer 2O5 PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) 207 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions EHS* CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No' 212 I CURIES [] g GAS 214 LARGEST CONTAINER 55gallons 215 [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 []Yes []No 208 213 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 10 ] DAILYAMOUNT 6 I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 (CheckSTORAGEall thatCONTAINERapply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 5% 226 Alkyl Dimethybenzylammonium Chloride 227 [] Yes [] No228 8001545 229 2 230 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~43 [] Yes [] No 244 245 ~IS~iNT NAME & T TLE OF AUTHORIZED~ .............. COMPANY REPRESENTATIVE ........ ~""?~:"':::: :::: '"~"~'~'"'"'"~!~ ~SIGNATURI: I~:?~ : ::: "~'~[~ ~;~ '~ ~?~'~ ROBERT C. DRIES. PLANT MANAGERr%'~._ - ~' ""l~''~~'~&. ,,,, ~/r~..~,'DATE 246 36 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE ' 200 Page __ of __ ~'U§i~'Ess' NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 Ice Cream Partners USA. LLC. CHEMIC~,L LOCATION [] Yes [] No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) Chemical Storage Area 111 BI° 1211 °1°11 141°1' I: i!i [il"AP#(°P"°'a0 203 204 ili:' [[[:=[ i::,1 ~i~ I .~J I~l ~. I~...~!~!::?~i. :::::J ........................................ .~,> .......... ,", ..... :~,:::: : === ::: : ::s:: = ::: ~::'/~:: :::::::: :::::~::::::::::::: ................ .......... ~ 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions I Quorum Brown 2O7 COMMON NAME Heavy Duty Alkaline Cleaner EHS* [] Yes [] No 208 209 ~ ~$ ~,al ~a ~el~ust be n ~ CAS # :~: ~!::: :::~ : :::::::::: ::,:: ::: :::,~, .: 4~, :{ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212. I cuRIEs 213 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 21g I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 6 DAILY AMOUNT 3 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 365 * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR ' 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTEE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE I'~ a ~l.,ll:[ll:l~.,T I""] ~a ~,[~Ci\/[: AR,IRI[::KIT [--I ha RI:I FV[AI A~,IRII::I~,IT ')'~A STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226' Sodium Hydroxide 227 [] Yes [] No 228 1310732 229 ARoI^ 2 230 231 [] Yes [] No 232 .233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~,243 [] Yes [] No 244 245 PRINT NAME a TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~TE 246 UPCF (7/99) 37 'of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD DDELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 Chemical Storage Area and CIP Room 3 & 4I CONFIDENTIAL (EPCRA) 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Mandate If Subject to EPCRA, refer to instructions 207 COMMON NAME Acid Sanitizer EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE211 RADIOACTIVE []Yes I'-~'l No 212 ] CURIES 213 PHYSICAL STATE [] s SOLID ~-II LIQUID [] g GAS 214 LARGEST CONTAINER 3,000 gallons 2n5 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5' CHRONIC HEALTH 216 (Check all that apply) ANNUALWASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 40 DALLY AMOUNT 26 220 UNITS* [] ga GAL [] cf CU FT [] lb LBs [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR · 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG. [] n PLASTIC BOTTLE [] r OTHER- [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO I-II CYLINDER [] p TANKWAGON STORAGE PRESSURE ~ a Al~ng~l~:klT r~ a~ &gt,~,/c ALf~II::M'r ~l h~ RFI C~WAhARII::~T 99~t STORAGE TEMPERATURE [] a AMBIENT ' [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Phosphoric Acid 227 [] Yes [] No228 7664382 229 ?? 5% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~ 243 [] Yes [] No 244 245 ~:~' ~ ::: ......... :,::::~:,z,:~::::~ ................... :,,,: :,:,~ .,,~r~ ::::::::::::::::::::::::::::: PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ u %. . DATE 246 UPCF (7/99) 38 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD •DELETE [] REVISE 200 Page __ of __ BUS NESS NAME (Same as FAC L TY NAME or DBA - Do ng Bus ness As) 3 Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 CHEMICAL LOCATION ' ~ ~ Yes No 202 Chemi~l Storage Area and ClP Room 5, 6 & 7 CONFIDENTIAL (EPC~) ~ ~A~iCi~ID'g~ 1 5 t~.] 0 2 1 ~1 0 I 0 I 1 I 4 I 0 I 7 i i rMAP~(optionaO 203 GRD~(optional) 204 205 T~DE SECRET CHEMICAL NAME ~ Yes ~ No 200 I Ouorum Yollow If 8u~iect to fi~c~, refer to instru~ions 207 COMMON NAME Chlorinated Alkaline Cleaner EHS* ~ Yes ~ No 208 CAS 209 : tf:EHS~jA~eS ~ alt:amoun~ b~o~mu~ be i~ :~ FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE D s SOLID ~1 LIQUID ~ g GAS 214 ~RGEST CONTAINER 1,000 gallons 215 (CheckFED H~RDall that CATEGORIESapply) D 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILYAMOUNT 30~ DAILY AMOUNT 16J 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 (CheckSTORAGEall thatCONTAINERapply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE. [] q RAIL CAR 223 [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BO'I-rLE_ [] r OTHER. [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX ' [] o TOTE BIN, [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 ?% 226 Potassium Hypochlorite 227 [] Yes [] No228 7778677 229 2 10% 230 Potassium Hydroxide 231 [] Yes [] No232 1310583 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 - :~3 ;~,~i~'~' ''':' I~1!i;~ S!~N~A~RE ~~ [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPreSENTATIVE ~ ~ ~ [ j~~ --DAT~ 246 ROBERT C. DRIES, P~NT MANAGER UPCF (7/99) 39 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 .Chester Ave., CA 93301 (661) 326-3979 . HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [~]DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) I Chemical Storage Area 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Liquid 90 If Subject to EPCRA. refer to instructions 207 COMMON NAME Alkaline Cleaner With Active Chlorine EHS* [] Yes [] No 208 CAS # 209 ~lf~EhS~::~all,a ~i:~: ~/' FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE211 RADIOACTIVE []Yes []No 212 I CURIES 213 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 1 00 DALLY AMOUNT 51 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK_ [] f CAN [] j BAG [] n 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 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Sodium Hydroxide 227 [] Yes [] No228 1310732 229 10% 2 2% 230 Sodium Hypochlorite ~ 231 [] ~es [] No232 7681529 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 -~ 243 [] Yes [] No 244 245 ROBERTPRINT NAME & TITLE OF AUTHORIZED COMPANYc. DR/ES, PLANT MANAGER REPRESENTATIVE SIGNATI. ~'~- !--~ ' ' ~//f'~-~ ~(~L,~-13ATE 246 UPCF (7/99) 40 of 63 CITY OF BAI~O?~RSFIELD OFFICE OF 'ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-397'9 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [~DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business As) 3 Ice Cream Pa~nem USA, LLC.  CHEMICAL LOCATION D Yes ~ No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPC~) Chemi~l Storage Area ~A~Li~i'O~~1 1 15 ~t 0 [2 I I ~10 10 I 4 10 I 7 MAP~(optionaO 203 GRID~(optena0 204 ~;::~ :" ;'~'~ "::: ::: ~::: ::":~ :: :~2~ ......... ...... ~ ................... %~ ..................................................... ~5 ~[ ~ECRET ~ Yes ~ No 206 CHEMICAL NAME If Subject to EPC~. refer to instructions I ~C-30-E 207 COMMON NAME Aqueous Acid EHS* ~ Yes ~ No 208 CAS ~ 209 ~I~E~S FIRE CODE H~RD C~SSES (Complete if requested by Io~1 tim chief) 2,0 I CURIES 213 ~PE ~ p'PURE ~ m MIXTURE D w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 PHYSICAL STaTE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONIAINER 55 gallons 2~5 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CIIVE ~ 3 PRESSURE REL~SE D 4 ACUIE H~LTH ~ 5 CHRONIC HEALTH 216 (Check a(l that apply) ANNUAL WASTE 217 M~IMUM 218 I AVEraGE 219 ) STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 10 DAILY AMOUNT 4 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO']-rLE [] q RAIL CAR 223 (Check al~ that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BO'FFLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ ,~,lmF:klT ~ ~ ~,n~',/~: a~ll~l~:klT [~ h~ nl::l ~^1 e,t,,~l:tlr:klT 9~a STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 PhosphOric Acid 227 [] Yes [] No228 7664382 229 Ro/. 2 17% 230 Nitric Acid 231 [] Yes [] No232 7697372 233 3 9o/o 234 Sulfuric Acid 235 [] Yes [] No 236 7664939 237 4 238 239 [] Yes [] No 240 241 5 242 , 24~,~ [] Yes [] No 244 245 :: %~:?,:: ': ~'~ ......... : ~ :,.~,~ ........ :~ ~: ;111 SIG~URE~ ;i,~ ,,;~ii; ~, i~ ::::: ~::::::::"'~"~"~=='~= '~ 1~ I' ~,5 DATE 246 ~lqT N,~ME & TITLE OF AUTHOR ZED COMPANY REPRESENTAT VE S GNATURE ' ~ ROBERT C. DRIES, PLANT MANAGER 41 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [~]DELETE [] REVISE 200 Page of USlNESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ' ' Ice Cream Partners USA' LLC' CHEMICAL NAME IAccord 2 2O5 SECRET [] Yes [] No 206 If Subject to EPCRA, refer to instructions COMMONNAME 207 EHS* []Yes []No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 PHYSICAL STATE [] s SOLID FED HAZARD CATEGORIES r-t 1 FIRE (Check all that apply) ANNUAL WASTE 217 AMOUNT 0 UNITS* []1 LIQUID [] g GAS 214 RADIOACTIVE [] Yes [] No 212 I CURIES LARGEST CONTAINER 55 gallons 215 [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE DAILY AMOUNT 55 I DAILYAMOUNT 55 I 220 [] ga GAL [] cf CU ET [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 213 222 STORAGE CONTAINER (Check all that apply) []a ABOVEGROUNDTANK Db UNDERGROUNDTANK Dc TANKINSIDEBUILDING I--Id STEELDRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 '1Ro/. 226 Alkylpolyoxyethylene Polyoxyproplene " 227 [] Yes [] No 228 229 2 230 ' 231 [] Yes [] No 232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~3 []Yes [] No 244 245 ~:~'~"~ ":::""~::::: '::::::~;~ ::::"~'~,::::: '% ::::::~,i ::"~:'~ :::::::::::::~:~,, ::::::: ..... :~t~ ~ ,~ , 42 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FAClLI~ NAME or DBA - Doing Business As) 3 I~ Cream Padners USA, LLC. CHEMICAL ~OCATION CHEMICAL LOCATION 201 CONFIDENTIAL (EPC~) ~ Yes ~ No 202 Outside Chemi~l Storage Area 205 T~DE SECRET CHEMICAL NAME ~ Yes ~ No 206 I Automatic Transmission Fluid If Subject to EPC~, refer to instructions 207 COMMON NAME EHS* ~ Yes ~ No 208 FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE D m MIXTURE D w WASTE 211 ~DIOACTIVE D Yes ~ No 212 J CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 LARGEST CONTAINER 5G gallons 215 FED H~RD CATEGORIES ~ I FIRE D 2 R~CTiVE D 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH D 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTECODE AMOUNT 0 DALLY AMOUNT ~ 10~ DAILY AMOUNT 55~ 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 (CheckSTORAGEall thatCONTAINERapply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q .RAIL CAR [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 r~l = a~,,inlr:klT ~--~ == an~,ll: ~,l~,Ir~ll=klT r~ h~ n~tnwa~m~NT o'~a J STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Transmission fluid (Petroleum Based) 227 [] Yes [] No228 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ j~43 [] Yes [] No 244 245 U ORIZED COMPANY REPRESENTATIVE SIGNATU'E ~~-,~ '/QA_;~ ATE 246 43 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATI:RIAL$ INYENTORY CHEMICAL DESCRIPTION [] NEW [] ADD []DELETE [] REVISE 200 (one form per matedal per building or area) Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business ~} 3 Ice Cream Pa~ners USA, LLC, CHEMICAL LOCATION CHEMICALcip 5, 6, & 7LOCATION 201 CONF DENT AL (EPC~) ~ Yes ~ No 202 ~A~'i~i~l~ 1 5 t~l 0 2 1 I~1 0 0 1 4 0 7 ~ MAP ~ (optionaO 203 GR D ~ (optionaO 204 ~;~ ,,,,, ~ ::: ~,~ ~::::::: ~:: ::: ~ :: ~-: ~::::: :, ,:~, ~ ::::::~ ~,¢~: ~ ======================= ~ ~ ::~' ===================== ~: ::::::::~ ~ ~::~ ::::::::: ::: ~:~: ~/~ ~::,::::::~ :~: ::~ ..... ::::::: : :%:::::: ::::::: - ::: ,:r: .................. :::::::::::::::::::::::::: . ..... ::::::::: :: :: ::: : ~ ~*:::::::: ~ ~-~: 205 T~DESECRET ~ Yes ~ No 206 CHEMICAL NAME ICitric Acid If Subje~ to EPC~, refer to instructions I 2O7 COMMON NAME EHS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE D w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID D g GAS 214 LARGEST CONTAINER 1,500 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE D 3 PRESSURE REL~SE D 4 ACUTE HEALTH ~ 5 CHRONIC H~LTH 216 (Check all that apply) ANNUAL WASTE' 217 M~IMUM 218 AVENGE 219 ~ STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1,500 DAILY AMOUNT 220~ 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS Bo3-rLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n 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 STORAGE PRESSURE ~ a ~,~,nnll::klT [--~ ~ /,n~/r: AMRII:NT [--~ h~ nl::~ ~f,/~,Llnll::klT 994 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 226 Citric Acid 227 [] Yes [] No 228 77-92-9 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 /,.'-.,,~ ~243 [] Yes ~ No 244 245 ::~ ?~:~: ~, ........... ~;~ ;.:::;;~.,: ..... ~,~, '~UR E'~;',~ .......... ~::~., ::: ~:: .......................... : ::,~ ::: :::::::::: :::: ................... .,:~,~ ::~ ........................................ ~;~, ~,~,:::~ · ................... ~ ~NA,',3,, ......... PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE I(~l-7G~J . /DATE 246 44 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS ·INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [~"~DELETE [] REVISE 200 (one form per material per building or area) Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 Outside Chemical Storage Area CONFIDENTIAL (EPCRA) FA~iLI~i~!I 1 5 ~lo 2 I [~0 0 I 4 0 7 ~ [UAP#(optional) 203 GRID # (optional) 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Liquid Floor Score If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* [] Yes [] No 208 CAS# 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID [~]1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 55I DAILY AMOUNT 55I 220 UNITS* [] ga GAL [] ~f CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q. RAIL CAR 223 (Check all that apply) •.c TANK INSIDE BUILDING []f CAN []j BAG •n PLASTIC BOTTLE E]r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Potassium Hydroxide 227 [] Yes [] No228 1310583 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ 2~1~ DYes []No244 245 '~:,,,....~-~. :::::::::::::::::::::::::: : ~//~ ~'; ..... ~ ~: PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE . SIGNATURE ~.I/P. ~ ~/ BATE 246 · UPCF (7/99) 45 of 63 · CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 'one form per material per building or area) 200 . Page __ of . __ [] NEW [] ADO [~]DELETE [] REVISE Ice Cream Pa~ners USA, LLC.  CHEMICAL LOCATION ~ Yes ~ No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPC~) Outside Chemi~l Storage Area :~i~i~iD~ ~ I 5~ell~ 0 2I 1 ~:~lt~ 0 0I ~ 4I 0 7I I~ MAP~(optionaO 203 GRID~(optionaO 204 205 T~DE SECRET D Yes ~ No 206 CHEMICAL NAME If Subject to EPC~, refer to instructions [ Frick Oil 3 207 EHS* ~ Yes ~ No 208 COMMON NAME 209 CAS ~ FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~ CURIES 213 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE211 ~DIOACTIVE ~ Yes ~ No 212 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ 9 GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES ~ 1 FIRE · ~ 2 REACTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE HEALTH ~ 5 CHRONIC H~LTH 216 (Check all that appty) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 660I DAILY AMOUNT 220 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i' FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] c TANK INSIDE BUILDING . [] f CAN [] j BAG . [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX · [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ~ ~s~m~UT ~--] P0 aRn~/~ ~m~'~ r'~ h~ ~l r~w a~m~T 3~'~ STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 99% 226 Heavy Naphthenic Petrolum 227 [] Yes [] No2~8 229 1% 23o Light Petroleum Distillate 231 [] Yes [] No232 68476302 233 234 235 [] Yes [] No 236 237 238 239 [] Yes [] No 240 241 242 ~ 24~ [] Yes [] No 244 245 ::~:::,~ :~::: :~ ......... ~ ................. ~ T~~ ":~ uPCF (7/99) 46 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUs MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD [~]DELETE [] REVISE 200 (one form per matedal per building or area) Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) CIP Room i~;Nci~i~i'i~ I ~ I 5 t~l o I 2 { 1 [~] 0 0 I 4 0 7 ? 1::I MAP # (optional) 203 GRID # (optional) 204 · 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME IQuat 256 If Subject to EPCRA, refer to instructions I 2O7 COMMON NAME EHS* [] Yes [] No 208 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE coDE AMOUNT 0 DAILY AMOUNT 300 DAILY AMOUNT 250 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 STORAGE CONTAINER (Check all that apply) []a ABOVEGROUNDTANK I--lc TANKINSIDE BUILDING r--~d STEEL DRUM [] f CAN [] j BAG [] n PLASTIC BOTTLE [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON r~.r OTHER [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 STORAGE PRESSURE STORAGE TEMPERATURE 1 226 Ammonium Chloride 227 [] Yes [] No228 12125029 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 . []Yes []No 240 241 ~f~43 [] Yes [] No 244 245 5 . 242 ~ ~ ....................................... . ::~'~°~:: : :: :: ~ ~'";':'~":~:~: ::~:::' :::::::: ::::::::::?:::::::::~ : ::::: ~.~,,,: :::: :::::::::::::::::::::::::::::::::::: .................. ~i~ .......... PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE _~ ~ I QATE 246 UPCF (7/99) 47 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [--~DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 CONFIDENTIAL (EPCRA) Maintenance Shop and Compressed Gas Storage Area I ~ACi~J~iD~:i~I 1 I 5 [?:;' ] 0 12 I1 i':~i!?i!1 o Io Il 14 Io 17 I,!~ i:::;: ~: I UAP#(opflo,a~ 203 GR,D#(opflo,a~ 204 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME I Acetylene if Subject to EPCRA, refer to instructions I 207 COMMON NAME EHS* [] Yes [] No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 I CURIES 213 PHYSICAL STATE [] s SOLID [] I LIQUID [] g GAS 214 LARGEST CONTAINER 103 CU FT 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT ' 1,000 DALLY AMOUNT 1,000 ' 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [~]1 CYLINDER [] p TANK WAGON STORAGE PRESSURE [--~ = a~,nnl~:kIT ~l ** an,,3',/[:: .~,~,~nll:klT ~1 hn RF~ nt^t t,~nnl~k~T ~3a STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 ~ 100% 226 Acetylene 227 [] Yes [] No 228 74862 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~"~ [] Yes [] No 244 245 ROBERT C. DRIES, PLANT MANAGER UPCF (7)99) 48 of 63 · CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page __ of __ ' ~U~i~F~'SS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 , Ice Cream Partners USA, LLC, I CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION 201 CONFIDENTIAL (EPCRA) Boiler Room and Waste Water Area 0 7 I!!iiili:~ ~:: MAP # (optional) 203 ~AC"~i~'"(~# 11 15~1012111~01011 14~,;: !i :iI GRID # (optional) 204 ~/~'i ::,, ~'~<' ~-;~P~;,,~' h:::: ~/~%~:~: ~;;::::: ::::: 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions I Sulfuric Acid 207 COMMON NAME EHS* [] Yes [] No 208 .... CAS # 209 ' FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 I CURIES 213 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 55 gallons FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Check all that apply) ANNLJAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DALLY AMOUNT 10 DAILY AMOUNT 7.7 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS. amount must be in lbs. 365 222 STORAGE CONTAINER [] ia ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] c TANK'INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BO'I-rLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE [=~] ~ At.,~nl~:klT [-~ == ~,P. f3\/~: AI. ARI[:klT r'~ h~ n¢:l (~w At,~IRI~kIT '~z STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 100% 226 Sulfuric Acid 227 [] Yes [] No228 7664939 229 230 231 [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 ' 241 238 239 [] Yes [] No 240 242 ~ ff [] Yes [] No 244 245 ........... ::::::: ...... :~·? :: .... ::: ::::: :: ':? :~·~ :: ~.,:~ ~111: ::SIGN ~URE---------------.--....... ,.., :~ ~r,.'~ P"INT NAME & TITLE OF AUTHOR ZED COMPANY REP"ESENTAT VE UPCF (7/99) 49 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION · (one form per material per building or area) [] NEW [] ADD r~]DELETE [] REVISE 200 ouo'n=c'o r~A~ t~ame as FAC L TY NAME or DBA. Doing Business A~{ 3 Ice Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 CIP Room CHEMICAL LOCATION ~ Yes ~ No 202 CONFIDENTIAL (EPC~) CHEMICAL NAME ] 205 T~DE SECRET ~ Yes ~ No 206 EG-5680 If Subject to EPC~, refer to instm~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 CAS ~ : :~::: ~::::~. :::::, FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) :::::~: ::::: 210 "" " ~" ':::: "~ ~*~:~::~ ~::: ~:~:~ ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 J CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 .~RGESTCONTAINER 55 gallons 2~5 " FED H~RD CATEGORIES (Check all that apply) ~ 1 FIRE- ~ 2 REACTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 1 0 DAILY AMOUNT 55 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check all that apply) []~ ABOVEGROUNDTANK -[]c~TANKINSIDE BUILDING. []d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR · []f CAN Dj BAG. [] n.PLASTIC BOTTLE []r OTHER~ [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 I ................ ,,,,,, , .~:~:~.~ ~:~ ::,::~:.~ ~ ~ ~ 1 5% 226 Sodium Hydroxide 227 [] Yes [] No228 1310732 229 2 5% 230 Hydroxyethylidene Disphosphonic Acid 231 [] Yes [] No232 2809214 233 3 10% 234 Sodium Polyarcrylate 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 UPCF (7/99) 50 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD r~'IDELETE [] REVISE .200 I~ Cream Padnem USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION ~ Yes ~ No 202 Outside Chemi~l Storage Area CONFIDENTIAL (EPC~) llllllt:,::t <o,,,o,,o GRlDg,optionaO 204 CHEMICAL NAME 205 T~DE SECRET  Domino/Amjet ~ Yes ~ No 206 If Subject to EPC~, refer to instructions COMMON NAME 207 ERS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by Io~l fire chief) Fs~z~E;~,;;;; ,,; (: ;<~<¢:~' 210 .......... ~PE ~ p PURE ~ m MI~URE ~ w WASTE211 ~DIOACTIVE ~Yes ~No 212 ] CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 10 gallons 215 FED H~RD CATEGORIES (Check afl that apply) . ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE RELEASE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 200 BALLY AMOUNT 55 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 I * If EHS, amount must be in lbs. 365 STORAGE CONTAINER Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 1 ' · []c TANK INSIDE BUILDING [] f CAN. [] j BAG · [] n.PLASTIC BOTTLE · [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Methyl Ethyl Ketone 227 [] Yes [] No228 78933 229 2 230 n-Propyl Alcohol 231 [] Yes [] No232 71238 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~ ~243 r-lYes []No 244 245 PRINT NAME & TiTL~ ~ ~ ~ ~18 ~A~0'~ ....... ::~' ~: ~ ;-~ ~ :~%? ~'::~";;;;:~'~ ~;~' ~'~¢ :~ ~ TE _ 246 ROBERT C. DRIES, P~NT MANAGER ~ __ UPCF (7/99) 51 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) Page of __ ~'~:: ~: ~ ~' : ~' ::::::: :::: ......... ~ r DBA - Doing Business As) 3 BUSINESS NAME (Same as FAC LI~ NAME o I~ Cream PaAners USA, LLC. " ~CHEMICAL LOCATION ~ Yes ~ No 202 CHEMICAL LOCATION 201 [ CONFIDENTIAL (EPC~) ClP Room and Outside Chemi~l Storage Area 203 GRID g (optiona~ 204 CHEMICAL NAME IQuorum Yellow I.I COMMON NAME Alkaline ClP Cleaner 2O9 []Yes []No 206 If Subject to EPCRA, refer to instructions EHS* [] Yes [] No 208 --TYPE [] p PURE [] m MIXTURE' PHYSICAL STATE [] s SOLID ['~]1 LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DAILY AMOUNT CAS # chief) 210 [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 ~'~'0RIES [] g GAS 214 LARGEST CONTAINER 3,000 gallons 215 []3 PRESSURE RELEASE r-~4 ACUTE HEALTH r'~5 CHRONIC HEALTH 216 218 I AVERAGE 219 I STATE WASTE CODE 100 DAILY AMOUNT 52 . 220 DAYS ON SITE 222 [~ [] lb LBS [] tn TONS 221 UNITS* [] ga GAL [] cf CU FT 365 * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check allthat apply) r~].c TANK,INSlDEBUILDING []f CAN. Dj BAG []n pLASTIC BO'I-fLE ~ []r OTHER- ' [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON SL'ORAGE PRESSURE ,~]_a_J~-.N~ ~ .[~&~L~J~ ~ STORAGE TEMPERATURE [] a'AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 227 [] Yes [] No22S 1310732 229 1 15% 226 Sodium Hydroxide 2 3% 230 Sodium Hypochlorite 231 [] Yes [] No232- 7681529 233 237 235 [] Yes [] No 236 3 234 241 239 [] Yes [] No 240 4 238 245 __ 1~3 [] Yes [] No 244 '""iOATE 246 52 of 63 UPCF (7/99) ' CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 171S Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 200 [] REVISE []NEW []ADD r~DELETE (one Arm permaterialperbu#ding orarea) Page of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Bus~ness asl o Ice Cream Partners USA, LLC. I CHEMICAL LOCATION [] Yes [] No 202 CHEMICAL LOCATION 20t I CONFIDENTIAL (EPCRA) Outside Chemical Storage Area .... 203 GRID ~ (optionaO 204 E~Ci'[i~i~;~[:~[{ 1 5[~<1 0 2 I i~1 o I o 1 I 4 I o 1.7 ::~ ~1 aAP~(optional)  ~:~: :: :::::::~. ~:~: ,:? ::::: ~,~ : ........ : ..... :::::::::::::::::::::: ................... ~::.:~: :::::~:~:,,,: :~ ........................ ~.. 205 T~DE SEC"eT D Yes ~ No 206 CHEMICAL NAME If Subject to EPC~, refer to instructions ~ AG-480 207 EHS* D Yes ~ No 208 COMMON NAME FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 2~0 ~ CURIES 2~3 TYPE ~ p PURE ~ m MIXTURE ~ w WASTE 2~ ~DIOACTIVE ~ Yes ~ No 2~2 ~RGEST CONTAINER 55 gallons 215 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 FED H~RD CATEGORIES ~ I FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE D 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 .. (Check all that apply) ~ ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 1 0 DAILY AMOUNT 55 220 DAYS ON SITE 222 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 365 * If EHS, amount must be in tbs. I STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR (Check all that apply) [] j BAG - [] n PLASTIC BOTTLE [] r OTHER . ' [] c- TANK INSIDE BUILDING [] f CAN [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE ~ ~ b~,~lnl~:klT [--~ ~ Annx/l: b~,~nl[::klT [--~ ho ncl n~^; g,~,,~P, II::AIT '~9~. STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 1.1% 226 5-Chloro-2-methyl-4-isothioazoline 227 [] Yes [] No228 231 [] Yes [] No232 233 2 230 235 [] Yes [] No 236 237 3 234 239 [] Yes [] No 240 241 4 238 245 5 242 ~ (-~ [] Yes [] No 244 : ~: .............. · ............................. DATE 246 T,TLE OF A,T. OR ZED COMPA"Y REPRESENTAT VE S GNATURE . ROBERT C. DRIES, PLANT MANAGER 53 of 63 UPCF (7~99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 2OO [] NEW [] ADD [~]DELETE [] REVISE ~ (one form per material per building or area) Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION [] No 202 CHEMICAL LocATION 201 CONF DENT AL (EPCRA) [] Yes Outside Chemical Storage Area FA~ii~i~ 03 I ~ 5 ~ 0 2 1 r~l 0 I 0 I ~ I 4 I 0 I z I :i ~:1 MAP # (optional) 203 GRID # (optional) 204 205 T~DE SECRET ~ Yes ~ No 206 CHEMICAL NAME ~ If Subje~ to EPC~, refer to instructions I 0W~355 . 207 COMMON NAME EHS* D Yes ~ No 208 ~i ;~;;~;;,,;,,,;,,,,,,,~,,:.,;::: ": :: .......... FIRE CODE H~RD C~SSES (Complete if requested by Io~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 [ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~g GAS 214 LARGEST CONTAINER 55 gallons 215 FED H~RD CATEGORIES D 1 FIRE ~ 2 R~CTIVE D 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ~ STATE WASTECODE AMOUNT 0 DAILY AMOUNT ~ 1 0~ DAILY AMOUNT 55[ 220 DAYS ON SITE UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) .... [] c TANK INSIDE BUILDING [] f CAN. [] j BAG [] n PLASTIC BO'I-]'LE. [] r OTHER. [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ = AMnlr:klT [--~ n~ an,'h,,/¢: AL~gtlg:klT r-I h~ n~:l t3',^l AI~,IRII=I~IT 994 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 I 15% 226 Potassium Hydroxide 227 [] Yes [] No228 1310583 229 2 4% 230 Sodium Tolyltriazole 231 [] Yes [] No232 64665572 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No'240 241 5 242 243 [] Yes [] No 244 245 ~,,~ : .... : ~:::::: :~:~::: :,:~ III;S!GNA PRINT NAME & TITLE Of AUTHORIZED COMPANY~REPRESENTATIVE ....................................................... Si" '~I'X¥ 'G [ :{E ./ , ~ ~/ DATE 246 ROBERT C. DRIES, PLANT MANAGER UPCF (7!99) 54 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INYENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [~IDELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 ClP Room CONFIDENTIAL (EPCRA) I ~¢ii~!~i~ =1 ~ I 5 I~ o 1 2 I ~ i~ o I o I ~ 1 4 I o 1 7 I!'!'i ~ I UAP#(optional) 203 GRID # (optional) 204 I I Y~ I I I I : ,~ ....... · ...... ~:, ~,::: :~ ~ ~-~. ::::::~ ::Ih:CHEMIC E INE~RMA~ION~,, :',:,~ ~ .... ,~, 205 TRADE SECRET CHEMICAL NAME [] Yes [] No 206 I Demand If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* [] Yes [] No 208 CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE211 RADIOACTIVE []Yes []No 212 I CURIES 213 PHYSICAL STATE [] s SOLID r~ll LIQUID [] g GAS 214 . LARGEST CONTAINER 3,000 gallons 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH · 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 3,200I DAILYAMOUNT 1,500I 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs, 365 STORAGE(check all thatCONTAINERapply)[] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 I-~l'c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK'WAGON STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 ~ 16% 226 Oleic Acid 227 [] Yes [] No 228 1 12801 229 2 59% 230 Phosphoric Acid 231 [] Yes [] No232 7664382 233 3 2% 234 Sodium Xylene Sulfonate 235 [] Yes [] No 236 1 300727 237 4 238 239 [] Yes [] No 240 241 5 . 242 2_43 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATORE 55 of 63 UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area [] NEW [] ADD [~]DELETE [] REVISE 200 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 I~ Cream Padners USA, LLC. CHEMICAL LOCATION 201 ~ CHEMICAL LOCATION Outside Chemi~l Storage Area CONFIDENTIAL (EPC~) ~ Yes ~ No 202 ~ ~:~ 1 5 ~ 0 2 1 ~ 0 0 1 4 0 7 UAP~(optionaO 203 CHEMICAL NAME J 205 T~DE SECRET ~ Yes ~ No 206 Divedoam RF If Subje~ 1o EPC~, refer to instm~ions COMMON NAME 207 EHS* ~ Yes ~ No 208 FIRE CODE H~RD C~SSES (Complete if requested by Io~J fire chief) 210 ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~DIOACTIVE D Yes ~ No 212 I CURIES 213 PHYSICAL STATE D s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 5S gallons 2~5 FED H~RD CATEGORIES (Check all that apply) ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 ANNUAL WASTE 217 U~iMUM 2~e ~ AVENGE 219 J STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 51 0 DAILY AMOUNT 200 220 · UNITS* ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] m GLASS BOTTLE [] q RAIL CAR (Check all that apply). [] i FIBER DRUM · ' [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE- [] r OTHER ' [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STOP'GE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT - [] ba BELOW AMBIENT [] c CRYOGENIC 225 ~ 2% 226 Potassium Hydroxide 227 [] Yes [] No228 1310583 229 2 3% 230 Sodium Hypochlorite 23~ [] Yes [] No232 7681529 233 3 10O,/o 234 Sodium Hydroxide 235 [] Yes [] No 236 1310732 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 245 ~:::~:~.::~:,::~.~,i~:::::~ ::~::~(,~:::~:' :: '~ ::::::::::::: : ::::::: ~,: ~ ......... ~ ~ 244 E & TITLE OF AUTHORIZED COMPANy REPRESENTATIVE S~'~XTO'~' ::: g~:; ' ~;~ ROBERT C. DRIES, P~NT MANAGER . ~ ..... . ~E" ' '~ ' UPCF (7/99) 56 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) 200 Page __ of __ Cream Padners USA, LLG. · CHEMICAL LOCATION m. m .... : 5 "~ 0 2 1 0 0 I 4 0 7 ~ MAP~(opdonai) HEMICAL NAME , . If Subject to EPC~, refer to instructions Evaposhine - Aqueous Acid Cleaner EHS* ~ Yes ~ No 208 COMMON NAME Acid Cleaner CAS # 7664-38-2 210 '~PE [] p PURE [] m MIXTURE PHYSICAL STATE [] s SOLID []1 LIQUID FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Check all that apply) 2O9 [] w WASTE 211 RADIOACTIVE [] Yes [] No [] g GAS 214 LARGEST CONTAINER 55 gallons [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 218 [ AVERAGE 219 [ STATE WASTECODE DALLY AMOUNT 51.90 220 DAYS ON SITE 221 365 ANNUAL WASTE 217 MAXIMUM AMOUNT 0 DALLY AMOUNT 62.28 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS * If EHS, amount must be in lbs. STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM STORAGE PRESSURE STORAGE TEMPERATURE 215 222 [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTrLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 /;~'"~*:'~'~ ::'::::'~"~ '>~" ~':::~::' ............................... 227 [] Yes [] No 228 7664382 229 ~ 9% 226 Phosphoric Acid 2 30% 230 Nitric Acid 231 [] Yes [] No232 7697372 233 237 235 [] Yes [] No 236 3 234 241 239 [] Yes [] No 240 4 238 245 5 242 ~ ~,243 [] Yes [] No 244 ~' :Y~:~; D~E 246 ~RiNT NAME & TITLE OF AUIHUNI~U ~ ROBERT C. DRIES, P~NT MANAGER ~ ~ ~ ~ UPCF (7/99) 57 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per building or area) [] NEW [] ADD []DELETE [] REVISE 200 Page of A UoIng Uus~nessAs) 3 ......... , BUSINESS NAME (S ....... FAC L W NAM~ or uu - ' ' , I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATI~ 201 . Throughout Facd~ty Refngerabon System ,:ACIEI~ D#:: I 5 ~; 0 2 I ~ 0 0 1 4 0 7 ' · I ' ~1 t~ :: ~: MAP~,optlonaO 203 GRID~,optionaO 204 ..... L I I I I~ ~ :::::::::::::::::::::::::::::: :: ~, ~ ~,~ : ............................................ :::;::~ ;;: ~,,,~ ~ ;: ~ ~ J CHEMICAL NAME 205 T~DE S~E~ ............. ~ ............ ~:~/:~': ::::~t J Anhydrous Ammonia COMMON NAME Ammonia 207 CAS ~ 7664-41-7 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE [] p PURE [] m MIXTURE [] w WASTE 211 I RADIOACTIVE [] Yes [] No 212 I CURIES PHYSICAL STATE [] s SOLID [-~'~1 LIQUID [] g GAS 214 LARGEST CONTAINER 4,800 lbs. 215 FED HAZARD CATEGORIES (Check all that apply) [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 I AVERAGE 219 I STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 101,607 DAILY AMOUNT 1 01,607 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 EHS* [] Yes [] No 208 213 222 STORAGE CONTAINER (Check all that apply) Da ABOVEGROUNDTANK []c TANKINSIDE BUILDING []d STEEL DRUM [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG · [] n PLASTIC BOTTLE [] r- OTHER [] g ,CARBOY [] k BOX [] o TOTE BIN Throughout Facility System [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 100% 226 Ammonia ' ........ ..... '" 227 [] Yes [] No 228 7664417 229 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~, ~ 2& [] Yes [] No 244 245 & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ROBERT C. DRIES, PLANT MANAGER ~ DA~TI~'' ~' ~:~6 :: UPCF (7/99) 58 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1.715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per matedal per building or area) [] NEW [] ADD [~]~ELETE [] REVISE 200 USINESS NAME (Same as FAC L Ty NAME or DBA : , ...... ~ :~ I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 201 I CHEMICAL LOCATION CONFIDENTIAL (EPC~) ~ Yes ~ No 202 4 J 0 I 7 I;~? : ::~; MAP ~ (optionaO 203 CHEMICAL NAME ~ 205 T~DE SECRET ~ Yes ~ No 206 Uelybdate,Nitrae/Borate/Polymer If Subject to EPC~, refer to inst~ctions COMMON NAME Ammonia 207 EHS* ~ Yes ~ No 208 CAS ~ 7637-00-0 209 FIRE CODE H~RD C~SSES (Complete,if requested by Io~1 fire chief) ~PE ~ p PURE ~ m MI~URE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 ~ CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 55gallons 215 FED H~RD CATEGORIES (Check all that apply) ~ I FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE ~ 4 ACUTE HEALTH ~ 5 CHRONIC H~LTH ' 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 55 DAILY AMOUNT 55 220 ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs, 365 STORAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE - [] r OTHER [] d STEEL DRUM [] ~ CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ ° A~'AmCNT F"l ma anr~\/~: a~,nRIl::klT [--~ ha I:t~:l ntAI a~nnlC~,mT ')'x~ t STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 9% 226 Sodium Nitrate ,, , 227 [] Yes [] No228 7631994 229 2 1.2% 230 Potassium Hydroxide 231 [] Yes [] No232 1310583 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 ~'~*, ~'::: :~'::'~ ......... ~'~ :::: : ..... ~ ~43 [] Yes [] No 244 ' 245 o:~Hv: SIGNATURE ~/ ~ I ~ DATE 246 UPCF (7/99) 59 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD ~]DELETE [] REVISE - 200 (one form per rnaterial per building or area) Ice Cream Partners USA, LLC. CHEMICAL LOCATION 201 [CHEMICAL LOCATION Boiler Room and Outside Chemical Storage Area ~CONFIDENTIAL (EPCRA) [] Yes [] No 202 ::~il:i~iiS~,~ I 5 0 2 1 0 0 I 4 0 7 [ ~ MAP# ~ [~ : ===[ (optional) 203 GRID # (optional) 204 CHEMICAL NAME ~ 205 T~DE $ECRET ~ Yes ~ No 206 Halco 2800 If Subject to EPC~, refer to instructions COMMON NAME Transpo~ - Plus 2800 2o~ EHS* ~ Yes ~ No 208 209 FIRE CODE ~RD C~SSES (Complete if requested by ~o~1 fire chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 CURIES 213 I · PHYSICAL STATE ~ s SOLID ~1 LIQUID ~ g GAS 214 ~RGESTCONTAINER 55 gallons 215 FED H~RD CATEGORIES (CheckalJthatappJy) ~1 FIRE ~2 R~CTIVE ~3 PRESSUREREL~SE ~4 ACU+EH~LTH ~5 CHRONICH~LTH 216 ANNUAL WASTE 217 M~IMUM 218 ~ AVENGE 219 ( STATE WASTECODE AMOUNT 0 ' DAIEYAMOUNT 55 DAILYAMOuNT~ 55 220 ga . cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 sToRAGE CONTAINER (Check all that apply) [] a ABOVEGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLIC CRUM [] i FIBER DRUM [] m GLASS BO'I-rLE [] q RAIL CAR 223 [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE STORAGE TEMPERATURE [~]a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT [] c CRYOGENIC 225 1 226 2 230 3 234 4 238 5 242 227 231 235 239 243 []Yes []No 228 229 []Yes []No232 []~es[]No 236 []Yes []No 240 []Yes []No 244 233 237 241 ROBERT C. DRIES, PLANT MANAGER 60 of 63 UPCF (7/99) ,.. CITY OF BAKERSFIELD ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979. HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADD ~]DELETE [] REVISE 200 (one form per material per building or area) ( me as FAC L 'FY NAME DBA- Doi, i~ ,~,,,-: '= ........ :' .......... ~ =====::~:' ;'~i:~:~:': ==*=" ~'~ .......... ~,' I_ce Cream Partners USA, LLC. ' ' CHEMICAL LOCATION 201 . Ch ............. u- ~a I CONFIDENTIAL (EPCRA) [] Yes [] No 202 203 GRID # (optional) 204 CHEMICAL NAME COMMONNAME 205 CAS # 210 []Yes []No 206 If Subject to EPCRArr, efer to nstructions .Quorum Yellow LP 207 EHS* 2O9 requested b~ [] p PURE [] m MIXTURE [] w WASTE211 t RADIOACTIVE []Yes []No ~ PHYSICAL STATE [] s SOLID []1 LIQUID [] g GAS 214 LARGEST CONTAINER 3,000 gallons 2~5 FED HAZARD CATEGORIES (Check all that apply) [] 1 FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 MAXIMUM 218 [ AVERAGE AMOUNT 0 DALLY AMOUNT 2,1 00 DALLY AMOUNT 642 STORAGE CONTAINER []Yes []No 208 213 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS * If EHS. amount must be in lbs. 219 ..~ STATE WASTE CODE 220 221 DAYS ON SITE 365 222 (Check all that apply) STORAGE PRESSURE [] a ABOVEGROUND TANK [] c TANK INSIDE BUILDING [] d STEEL DRUM [] e PLASTIC/NONMETALLiC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] g CARBOY [] k BOX [] 0 TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON 223 STORAGE TEMPERATURE [] a AMBIENT ??d [] aa ABOVE AMBIENT [] ba BELOW AMBIENT ["], c CRYOGENIC 225 1 226 2 3% 230 3 234 4 238 5 242 Sodium Hydroxide Sodium Hypochlorite SIGJ~ ROBERT C. DRIES, PLANT MANAGER 227 [] Yes [] No228 1310732 229 231 [] Yes [] No232 7681529 233 235 [] Yes [] No 236 239 [] Yes [] No 240 241 '[] Yes [] No 244 245 UPCF (7/99) 61 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (66!) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD •DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILI~ NAME or DBA - Doing Business As) 3 I~ Cream Pa~ners USA, LLC. CHEMICAL LOCATION 20~ ~ CHEMICAL LOCATION ~ Yes ~ No 202 Boiler Room~ CONFIDENTIAL (EPC~) ~A~iEi~;~i 1 5 f~}~1 0 2 1[~ 0 0 1 4 0 7 ~[MAP~(optionag 203 GRID~(optionaO 204 205 T~DESECRET '~Yes ~No 206 CHEMICAL NAME I Nalco 2896 Liquid If Subject to EPC~, refer to instrudions 207 COMMON NAME EHS* ~ Yes ~ No 208 c~s, ~o~ FIRE CODE H~RD C~SSES (Complete if requested by Io~1 tim chief) 210 ~PE ~ p PURE ~ m MIXTURE ~ w WASTE 211 ~DIOACTIVE ~ Yes ~ No 212 I CURIES 213 PHYSICAL STATE ~ s SOLID ~1 LIQUID D g GAS 214 ~RGEST CONTAINER 55 gallons 2~5 FED H~RD CATEGORIES ~ 1 FIRE ~2 R~CTIVE ~3 PRESSUREREL~SE D4 ACUTEH~LTH D5 CHRONICH~LTH 216 (Check all that apply) ANNUAL WASTE 217 M~IMUM 218 I AVENGE 219 . STATE WASTE CODE AMOUNT 0 DAILY AMOUNT 1 1 0I DAILY AMOUNT 55 220 UNITS* [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM ~ GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] c TANK INSIDE BUILDING.. - [] f CAN ~ [] j BAG [] n PLASTIC BOTTLE · . [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ = al~i~i~it I~ == an~',/~: a~l~i~it I~l ~= n~l nw a~nl~l~t ??4 STORAGE TEMPERATURE [] a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 1 226 Sodium Hydroxide 227 [] Yes [] No228 1310732 229 1 - 5% 2 230 231 [] Yes [] No232 233 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 . "~ 2~, [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 UPCF (7/99) 62 of 63 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 w-,. HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) [] NEW [] ADD [~DELETE [] REVISE 200 Page __ of __ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Ice Cream Partners USA, LLC., CHEMICAL LOCATION 201 I CHEMICAL LOCATION [] Yes [] No 202 ' CIP Room and Outside Chemical Storage Area CONFIDENTIAL (EPCRA) I ~;~c ~ ~: ~:~:'1 ~ I ~ i~ o 12 1 1 F~;I~I o Io I ~ 14 Io17 MAP #(optional)203 GRID #(optional)204 ~:::~$.~:: :: ": :~:~:'~:: ::::: ~.~' ::::::::: ::i ::: ;~;~::.'; ~ : :::~:~ ~ ::::::: : ~.;;~. ~-::: ::::::: ::: :~:% ~:~:: :::::: ::::~ ~'~'"~' ::::::: :11 CHEMi~i~RMATiON :~~ ~;' 205 T~DE SECRET ~ Yes ~ NO 206 CHEMICAL NAME  AC - 55 - S If Subje~ to EPC~, refer to instru~ions 207 COMMON NAME EHS* ~ Yes ~ No 208 CAS ~ 209 FIRE CODE H~ARD C~SSES (Complete if requested by Io~1 fire chi~) 210 ~PE ~ p PURE ~ m M~XTURE ~ w WASTE211 ~D~OACT~VE D Yes ~ No 2~2 ~ CURIES 213 PHYSICAL STATE ~ s SOUD ~ LIQUID D g GAS 214 ~RGESTCONTA~NER 55 gallons 2~5 FED H~RD CATEGORIES ~ 1 FIRE ~ 2 R~CTIVE ~ 3 PRESSURE REL~SE D 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 216 (Check all that apply) ANNUAL WASTE 217 M~MUM 21S ~ ~VE~GE 2m ~ STATE WASTE CODE ~UOUNT 0 DA~LY ~UOUNT 104~ DA~LY AMOUNT 62.58~ 22O UNITS* ' [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 * It EHS, amount must be in lbs. 365 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) . . · [] c TANK INSIDE BUILDING [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] d STEEL DRUM [] g CARBOY [] k BOX [] o TOTE BIN [] h SILO []1 CYLINDER [] p TANK WAGON STORAGE PRESSURE [~1 STORAGE TEMPERATURE [] a AMBIENT ' [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 ...... :: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~ :::::::::::::::::::::::::: :~-~: :::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::: .,~ ~ ~::::::::::: ................ :: ~===/ ~ 226 Phosphoric Acid 227 ~ Yes ~ No228 7664382 229 4% 37% 230 Nitric Acid 231 ~ Yes D No232 7697372 233 2~ 235 ~ Yes ~ No 236 237 238 239 D Yes ~ No 240 241 242 243 ~ Yes ~ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ 246 UPCF (7/99) 63 of 63 ICE CREAM PARTNERS USA 7301 District Boulevard Bakersfield CA 93313 Tel (661) 398-3500 Fax (661) 398-4860 Janua~ 26,2000 RALPH HUEY Office of Environmental Services 1715 Chester Avenue, 3rd Floor -' · Bakersfield, CA 93301 Dear Mr. Huey: Enclosed please find the "hand changes" to the Business Plan for the Bakersfield facility, per your request: A final version of this plan will still be sent to you prior to the March 1, 2000, deadline for all Business Plans. If you should have any questions or concerns do not hesitate to contact me at (661) 398-4859. Sincerely, Safety/Environmental Technician Enclosures BAKERSFIELD CITY FIRE DEPARTMENT ,OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 (805) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 1: BUSINESS IDENTIFICATION DATA: BUSINESS NAME: Ice Cream Partners USA, LLC. - Bakersfield LOCATION: 7301 District Blvd. MAILING ADDRESS: 7301 District Blvd. CITY: Bakersfield STATE: CA ZIP: 93313 PHONE: (661) 398-3500 DUN & BRADSTREET NUMBER: N/A SIC CODE: 2024 PRIMARY ACTIVITY: Manufacturer of Ice Cream OWNER: Ice Cream Partners USA, LLC. MAILING ADDRESS: 30003 Bainbridge Road, Solon, OH 44139 (800)595-8338 SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. Chuck Dries 2. Sean Gillespie 3. Jennie Friebel TITLE Plant Manager Maintenance Manager Safety/Environmental Technician BUSINESS PHONE (661)398-3540 (661)398-3597 (661)398-4859 24 HOUR PHONE (888) 320-1193 pager (661) 588-7254 home (661) 337-1309 pager (661) 588-7321 home (661) 337-1330 pager (661) 827-0674 home SECTION 3: TRAINING: NUMBER OF EMPLOYEES: Approximately 405 permanent employees MATERIAL SAFETY DATA SHEETS ON FILE: The facility maintains a file for Material Safety Data sheets Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FACILITY UNIT NAME: Ice Cream Partners USA, LLC. - Bakersfield SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: In caSe of an emergency involving the release, or threatened release, of a hazardous material 'call 911 'and (800) 852-7550 or (916) 262-1621. For Ammonia, fuel oil, and acid/caustic releases contact Bakersfield Public Works Department (661) 326-3258. B. EMPLOYEE NOTIFICATION AND EVACUATION: The alarm will sound and employees are instructed to evacuate the building upon hearing the alarm. They will evacuate out the closest and safest exit and report to the designated assembly area east of the security gate where a headcount will be taken. C. PUBLIC EVACUATION: All appropriate notifications will be made to local agencies and the determination will be made to notify neighbors if an evacuation is necessary. See RMPP off-site consequence data section H2. D. EMERGENCY MEDICAL PLAN Business Health Network is the designated medical consultant that we are utilizing for all work-related injuries. Injuries that occur Monday thru Friday from 8:00 am to 5:00 PM will be treated at 2811 "H" Street. For injuries occurring after 5:00 PM to 7:30 am, or on weekends, will be treated at San Joaquin Community Hospital and Business Health Network will be notified of the situation. The Human Resources Department will follow all injuries until the case is closed. SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: RELEASE PREVENTION STEPS: 1. All equipment used to pump or transfer oils or chemical is inspected regularly. 2. Under no circumstance is any product covered in this order to be transferred from tanker to storage or from storage to equipment without a responsible person in attendance at all times. 3. Personnel involved with handling oils or chemicals are instructed as to the proper procedures necessary to prevent, as well as how to perform, in the event of an emergency. 4. Both underground storage tanks have secondary containment. 5. Acid and caustic tanks for wastewater treatment have secondary containment. 6. Chemicals in drums/barrels that are not in use are stored in a chemical containment area. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN' FACILITY UNIT NAME: Ice C'ream Business Unit - Bakersfield SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: In case of an emergency involving the release, or threatened release, of a hazardous material call 911 and (800) 852-7550 or (916) 262-1621. For Ammonia, fuel oil, and acid/caustic releases contact Bakersfield Public Works Department (661)326-3258. B. EMPLOYEE NOTIFICATION AND EVACUATION: The alarm will sound and employees are instructed to evacuate the building upon hearing the alarm. They will evacuate out the closest and safest exit and report to the designated assembly area east of the security gate where a headcount will be taken. C. PUBLIC EVACUATION: All appropriate notifications will be made to local agencies and the determination will be made to notify neighbors if an evacuation is necessary. See RMPP off-site consequence data section H2. D. EMERGENCY MEDICAL PLAN Business Health Network is the designated medical consultant that we are utilizing for all work-related injuries. Injuries that occur Monday thru Friday from 8:00 am to 5:00 PM will be treated at 2811 "H" Street. For injuries occurring after 5:00 PM to 7:30 am, or on weekends, will be treated at San Joaquin Community Hospital and Business Health Network will be notified of the situation. The Human Resources Department Will follow all injuries until the case is closed. SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: a. RELEASE PREVENTION STEPS: 1. All equipment used to pump or transfer oils or chemical is inspected regularly. 2. Under no circumstance is any product covered in this order to be transferred from tanker to storageor from storage to equipment without a responsible person in attendance at all times. 3. Personnel involved with handling oils or chemicals are instructed as to the proper procedures necessary to prevent, as well as how to perform, in the event of an emergency. 4. Both underground storage tanks have secondary containment. 5. Acid and caustic tanks for wastewater treatment have secondary containment. 6. Chemicals in drums/barrels that are not in use are stored in a chemical containment area. Bo RELEASE CONTAINMENT AND/OR MINIMIZATION: If a spill should occur, the facility has a Spill Prevention Control & Countermeasure Plan in place along with Material Safety Data Sheets covering the proper procedures for clean-up and disposal. Diking materials are als° available to prevent materials from entering the drain system. Nestlb also has available the services of ACTI 24 hours per day in the event of a release or spill. CLEAN-UP PROCEDURES: In the event of a spill, the Spill Prevention Control & Countermeasure Plan and Material Safety Data sheets will be reviewed to insure that proper spill and leak procedures are followed. ACTI is also available to assist with any spill that may occur. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: Exterior West End of building between engine room and break room ELECTRICAL: Exterior SouthWest end of property WATER: Exterior front of building, North SPECIAL: Ammonia compressor shut-off switch location West wall outside of engine room LOCK BOX: No SPECIAL HAZARDS: Large quantity of Anhydrous Ammonia. Anhydrous Ammonia is explosive at concentrations in air between 16 - 25%. Consider disconnecting electrical service prior to making entry into Ammonia laden atmosphere. SECTION 9: PRIVATE FIRE PROTECTIONNVATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Sprinkler System with 6 - 8 zone monitoring with wet and dry systems' · Fire extinguishers throughout the facility that are checked monthly · Kern Security monitors the building B. WATER AVAILABILITY (FIRE HYDRANT): There are several fire hydrants located on District Blvd., as well as several being located on company property. The facility also has its own fire pump house. HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .. CHEMICAL DEScRIPTiON (one form per material per building or area) ["l ADD [] DELETE REVISE' 200 "' I. FACILITY INFORMATION... BUSINESS N~_ME ISame a~/.F_* .~--TY NAME or DBA-Doing Bu~;,~eaa As} . · * ' FACILITY ID ~' ~ ..... · ~ ~"':-. _ J . '.':.Q MAP # CHEMICAL NAME II. CHEMICAL INFORMATION 203 3 201 I CHEMICAL LOCATION 202 J CONFIDENTIAL- r'l YES ~ NO IGRID # (optional} 204 C/~M 0 N N/IdVI-E' · - - ' CAS # FIRE CODE HAZARD CLASSES IComplete ff mquired by CUPAI: 205 207 2O9 TRADE SECRET EHS' [] 'YES '~NO '208 "If EHS is "Ye~," all amounts below must be in lbs. 210 HAZARDOUS MATERIAL TYPE ICheck one item only/ PHYSICAL STATE ¢('a~.~,f,,~m~vO~ ~ a. SOLID [] b. LIQUID '~a.' PURE [] b. 'MIXTURE [] c. WASTE 211 RADIOACTIVE [] YEs kNO 272 CURIES "~c. GAS 274 213 FED HAZARD CATEGORIES I~a. FIRE '~ b. REAC'TIVE AVERAGE DAILY I 21 Il IMAXIMUM AMOUNT e~ ~)5 ~=~ O0 ~ 'l fDAILY AMOUNT (~ ~e item ~y) STORAGE CONTAINER LARGEST CONTAINER []' C PRESSURE RELEASE [] d. ACUTE HEALTH [] c..CHRONIC HEALTH I: ~AMOUNT O . CODE : [] c. LBS [] d. TONS ...... 215 2,,I I_ 22o / (Check all lira apply) []. i. FIBER DRUM r-] m. GLASS BOTTLE [] j. BAG [] .. ~L~S~C eOT'n.e D ~ sox · D o. ~ S~ ~. ~me~ D',. ~nnn wagON ~ a. ABOVEGROUND TANK [] e. PLASTIC/NCiNMETALUC DRUM [] b. uNDE~GEO~ TANK [] £ CAN ~"c. TANK i~. SIDE BuILDING [] O. CARBOY ' ' .ri d. STEEL DRUM [] h. S]LO _ [] q. gL CAR STORAGE PRESSURE [] a. AMBIEN~r :.:: ; :: : x~ b. ABOVE AMBIENT .[] c.. BELOW AMBIENT. 224 ' ....- -'. :'::~: · ' ." STORAGE TEMPERATURE'' ~k~a. AMBIENT" ~' [] b. ABOVE AMBIENT: '::' CFc. ]~'E~:Ow AMB~EN~:' [] d. CRYOGENIC 225 HAZARDOus COMPONENT o~m~,,,,,,-"'~''~') EHS. CAS # 21 30 . 238234 ) .. "- 242 231 235 235 228 '~YES D NO [] YES [] NO 236 [] YES [] NO 24o [] YES [:] NO 229 233 · 237 241 I 243 244 245 ' [] YES [] NO I/mare 14u..rdal&~ co~ii£~,items ure prt~elll at greater than I% by tt~ig/tt i.[tlOtt.carcltloggttl~ or 0. I~ by weight ~[carcinoge,i~ altaclt adrift/total $1teet.~ of paler capturitlg lite r~quired ittformatiot[ ADDITIONAL LOCALLY COLLECT~.~ ' INFORMATION: 246 13 /' OES FORM 2731 {1/99) HAZARDOUS MATERIALS 'HAZARDOUS MATERIALS INVENTORY. CHEMICAL DESCRIPTION (one form per material per building o~ area) ADD [] DELETE REVISE 200 Page I. FACILITY INFORMATION . B~SINESS N.Z~E {Same as F~.~,~,~Y NAME or DBA-Doing Business Asl 3 CHEMICAL LOCATION ~ ~ 201 CHEMICAL LOCATION 202 .... It Subj~l to EPC~, refer Io instructions COMMON NAME 207 EHs- ~ YES CAS g 209 ~ ' I E CODE HA~RD CLASSES IComplete it ~equi~ by CUPAI 210 TypEHAZARDOUS/Chec* o.eMATERIALitemo.lyl ~ a. PURE ~b. MIXTURE U c. WASTE 2~1 ] RADIOACTIVE D YES ~NO 2~2 CURIES '- PHYSICAL STATE ~ 214 ~RGEST CONTAINER a'l,.,'z',,,i,,.,,,,~,6~ ~ a. SOLID b. LIQUID ~ c. GAS 215 FED HAZARD CATEGORIES ' 215 (cl~,.,./l~l,,/W,l,l~) ~ a., FIRE ~ b. EEACTIVE g' c PEESSU~ EELEASE gd. AcuTE HEALTH ~ c. CHRONIC HEALTH -AVERAGE DAIL~ _ j 21 J MAXIMUM ' AMOUNT ' DALY AMOUNT AMOUNT ...... COD .' UNITS ' I n. (Ch*ck on* it .... ly) ~. GAL ~ b. CU ~ g/c: ~BS g g d. TONS J J 'JDAYS ON {Ch~k that apply) ..... 223 ~a. ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ~ L FIBE~ DK~ ~ m. GLASS BO~LE ~ q. ~IL CAR ~ b. UNDERGRO~ TA~ ~ [ CAN ~ j. BAG ~ n. PLASTIC BO~LE ~ r. OTHEK ~ c. TANK INSIDE BUILDING ~ G CA~OY ~ K. BOX '~ o. TO. BIN ~ d. STEEL D~t ~ h. SILO ~ I. C~DER ~ p. TANK WAGON .... ~ToRAGE PRESSURE ~. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT · ~ b. ABOVE AMBIENT g c. BELOW AMBIENT ~ d. CRYOGENIC ~25 %WT . HAZA~OUS COMPONENT ~,~ ..... ,,~,~)~ EHS CAS ff '; 226% ~ 22, 228 229 230 [ I ~ ~ 231 232 -- 233 ~ ~ ~ YES ~ NO ~ 234 3 ~ · 23~ 236 237 I ~ YES D NO ~ 238 235 240 241 4 ~ : ~ YES ~ NO ' Ifnlore Jut2ttrdott~' Collt~Olteltl.~' are presettt tit greater Iltatt I% by weight ~tton~arci. ogettic, or fi. I% by *svight ~ctt~'hlogelt]c, attach additio.al .~heets ~paper captttrJltg rite requi~'d il~rlltalittlt.. ADDITIONAL LOCALLY COLLECTED 296 INFORMATION: 13 ORS FORM 2731 (l/gg) / HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per material per building or area) ADD [] DELETE X REVISE 200 Page ~ of~ I. FACILITY INFORMATION· CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 ~ CONFIDENTIAL. []YEs/No 2oo LL -q o o E.CRA II. CHEMICAL INFORMATION CHEMICAL NAME 20s [ TRADE SECRET / 206 _._ If Subject Io EPCR.A, ret'er Io instructions CAS # 209 ..... .-'~ . FIRE CODE HAZARD CLASSES IComplete if required by CUPAi' 210 HAZARDOUS MATERIAL [] a. PURE b. MIXTURE [] c. WASTE 211 RADIOACTIVE 212 CURIES '-- 213 TYPE/Check one item only) [] YES NO PHYSICAL STATE 214 · 215 ~'CA...X-,,,,, ......... 69 [] a. SOLID j~b. LIOUID ID c. GAS LARGEST CONTAINER ~ ~ ~..-P.~ 1 FED HAZARD CATEGORIES 215 (Ci,,,c~ .// ti, o,,/,/,/y) [] a. FIRE F] b. REACTIVE [] c PRESSURE RELEASE [] d. ACUTE HEALTH [] Ge. CHRONIC HEALTH UNITS' . GAL P, b. CU FT ~l c. ~B5(j [] d. TONS i (Checkone,temon,y) -- J ! iSITEDAYS ON I "'~TORAGE CONTAINER I ..... 223 (Check all that apply) [] a. ABOVEGROUND TANK [] ¢ PLASTIC/NONMETALLIC DRUM [] i. FIBER. DR.UM [] m. GLASS BOTTLE [] q. MIL CAE [] b. UNDERGROUND TANg. [] £ CAN [] j. BAG [] n. PLASTIC BOTTLE 71 r. OTHER. x~[. T^~K I~SIDE SUILO~G [] G. C^R~O¥ [] ~. SOX , [] ,o. TO~ SIN · STEEL DR-UM [] h. SILO [] I. CYLINDER 'f-] p. TANK WAGON .... ~TORI(GE PRESSURE ,/~r~. AMB!ENT [] b. ABOVE AMBIENT [] C. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT 0~,.i.t ..... '~,.,/~ EHS CA S # ', 226 227 228 ' 229 230 ~ ~ ~.~ j~(. 231 232 233 31 23s 2=e ~37 I [] YES [] NO i 238 235 240 241 4; ..... i__ [] YES [] NO i 242 5 ~ I 243 I 244 245 i I ·! [] YES [] NO !~emro ha=anlmz, v companc.~l.~' arc prosent al ~rc. al~r Ihmt i% hy u'ci~hl if .on-ca~cim~¢.ic, or ().]% by weight if carci.n~=.ic, allach uddilimud shuels ~pupc*r capluri.~ Ibc required ht~rmalimz. ADDITIONAL LOCALLY COLLECTED, 246 INFORMATION: 13 OES FORM 2731 (1/99} HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION '(one form per material per building or area) ~oo ' P~ge I..~-- [] ADD [] DELETE REVISE I, FACILITy INFORMATION ...... 3 B~ISINESS ~AME ($ame_ae-FA, ClLITY NAME or DBA-Doing Business As} ,~. cONFIDENTIAL- ~NO CHEMICAL LOCATION ~ ~PCRA ~ YES :. MAP ~ (optiona~ FA~II, CHEMICAL INFORMATION 2o5 TRADE SECRET ~ YES ~NO 2o6 CHEMICAL NAME Ir Subjecl to EPC~, refer to instructions ,07 COMMON NAME 209 .... eI~ERS is"Y~," all ~moun~ below must be in lbs, CAS ~ ' FIR~- CO~ZARO C~Comp/e~e if re~uire~ ~ CUPAi HAZARDOUS MATERIAL PURE ~ b, MIXTURE ~ c. WASTE ~ RADIOACTIVE ~ YES ~NO 2~2 ~CURIES 2~3 ~' 215 TYPE {Check one ilem only] 214 ~RGEST CONTAINER pHYSICAL STATE ~ a. SOLID~. LIQUID ~ c. GAS ~O~ ~ ~~ 2,5 FED HA~RD CATEGORIES~ FIRE ~ b. EEACTIVE ~ c PEESSU~ ~LEASE ~ d..ACUTE HEALT~ ~ c. CHRONIC HEALTH A ..... ~E DAILY ~MAXIMUM ~NUAL WASTE ~ STATE WASTE AMOUNT ~~~ ~ ~ c. ~BS O ~ d. TONS ~ ~~ O ~AL ~ b. CU~ . (Check one item only) ~ - ~ '$'I:0RAGE CONTAINER [] GLASS BOTI'LE r~; q. PAIL CAR (Check all that apply) ~.~.~a. ABOVEGROUND TANK ~ ¢ PLASTIC/NONMETALLIC DRUM [] i. FIBEKDR,UM m. 71 b. UNDERGROUND TANK [] f. CAN ' ~1 j. BAG [] n. PLASTIC BOTTLE ~1 r. OTHEK [] c. TANK INSIDE BUILDING [] G. CARBOY [] K. BOX [] ?.'TOTEB1N r~, d. STEELDRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223 224 STORAG'I~'PRESSURE ,,,,,~. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 225 'STORAGE TEMPERATURE AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT 0~o~ =~, ....... le o,,ty) . EHS' CAS # 22~' 228 229 [] YES/NO 226 !00 ' 230 2 .... ";' 234 3 238 4 242 5 }flt~ore it~t=~trdott.~' cottl 231 · - 235 235 243 232 [] YES [] NO 236 [] YES [] NO 240 YES [] NO 244 237 241 24.5 [] YES [] NO OOtt£'ttl,~' ure presc'nt ltl greater than 1% by weight ~ .tm.carcittogeltic, ar O. 1% by weight if caraitmgel#c, attach addititmal .sheet.~ of pal~'r capturi.g lite required iHformatimt. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OES FORM 2731 (1199) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per material per building or area) ADD DELETE ~ REVISE 200 Page L_~ of~e~ h FACILITY INFORMATION:'. CHEMICAL LOCATION ~ 201 CHEMICAL LOCATION 202 II. CHEMICAL INFORMATION ~ 0 206 N CHEMICAL NAME 205 ] TRADE SECRET YES -~ 207 LES' '208 CAS g 209 FiRE CODE HAZARD CLASSES IComplete ff requked by CUPAI 210 HAZARDOUS MATERIAL--~-~a" PURE ~ b. MIXTURE D c. WASTE 211 RADIOACTIVE ~ YES ~0 2~2 CURIES 213 TYPE fCheck one item only)~ ' PHYSICAL STATE ~c 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES ~a. FIRE D b. REACTIVE ~' c PEESSU~ ~LEASE D d. ACUTE HEALTH ~ e. CHRONIC HEALTH 215 (Ct~cck one item only) ' STORAGE CONTAJNER ..... 223 (Ch~k all that apply) ~ a. ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ~ i. FIDEKDR~ ~ m. GLASS BO~LE ~ q. ~]L CAR ~ c. TANK INSIDE BUILDING ~ O. CA~OY ~ K. BOX ~ o. TOTEBIN ~ d. STEEL DR~ ~ h. SILO C~DER ~ p. TANK WAGON .... STORAGE PRESSURE ~ a. AMBIENT ~b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~=4 STORAGE TEMPERATURE ~. AMBIENT E b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT HAZA~OUS COMPONENT a~,~,, ...... .,, o,,~ EHS CAS ~: 226 227 228 ~, 229 ! 230 ~ O I [ · 231 232 ' 233 ' " ~ YES D NO t 234 -- 235 236 23~ ] ~ YES ~ NO ~ 238 235 240 241 4 ~ D YES D NO : 242 j 243 , 2~ 245 ~ ] D YES D NO ~tm~ Itt~ar~ou.~' ca.tpone~tt.~' are p~.se~tl aZ greater II, an I~ by ~t'eight ~tum~a~'inogenic, or 0.1~ ~ weight ~i.oget~c, allach addilio.al sheets t~puper capturi, g lite require~l i~rtnatitm. ADDITIONAL LOCALLY ~OLLECTED ~ 246 INFORMATION: 13 OES FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per m~tterial per building or area) [] ADD [] DELETE ~ REVISE 200 ' Page L~ of{~___ · I. FACiLITy INFORMATION · B~SINESS NAME {$ame~3A~ACILITY NAME or DBA-Doing Business Asl . 3 CHEMICAL LOCATION ~I ~ 201 CHEMICAL LOCATION 202 II.CHEMICAL INFORMATION CHEMICAL NAME 20S I TRADE SECRET ' [] YES '~N0 2oe COMMON NAME 207 EHSo __ 208 [] YES ~NO' CAS # 20g ~, ....... ·If EHS is "¥~s," all amouu~ below must be in lbs. FIRE CODE HAZARD CLASSES IComp/ete #required by CUPAI' 210 HAZARDOUS MATERIAL [] a. PURE "~b. MIXTURE [] c. WASTE 21~ RADIOACTIVE [] YES '~NO 2~ CURIES 213 TYPE IOheak one item oolFI --~ ,,., · PHYSICAL STATE 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES ~ FIRE [] b, REACTIVE [] c PRESSURE RELEASE [] d. ACUTE HEALTH [] ¢.UCHRONIC HEALTH 215 -'AVERAGE DALLY i 211 MAXIMUM ~)g~ ANNUAL WASTE I 211 ISTATE WASTE ~ 2L---~ AMOUNT .-~"~O O~L~. DA LY AMOUNT ~ AMOUNT ~ CODE ' ,Che~ko,~itemou,y) ~a. GAL ~ b. CU Fl' ,mi c. I'-BSg [] d. TONS j i iSITE ~ ' tL'-~ ~TDRAGE CONTAINER .... 223 (Cheek all that apply) '~a. ABOVEGROUND TANK ~ ¢ PLASTIC/NONMETALLIC DRUM [] i. FINER` DP-.UM [] m. GLASS BOTTLE [] q. PAIL CAP, ~ b. UNDEP,O~OLn~m TANK [] r. CAN ' I~ j. BAG [] n. PLASTIC BOTTLE '.--I r. OTHEP, ?' ¢, TANK INSIDE BUILDING [] G. CARBOY [] K. BOX [] o. TOTE BIN [] d. STEEL DR`UM [] h. SILO [] I. CYLINDER, ~ p. TANK WA60N .... ~ToRAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 ~rEMPERATURE STORAGE ~ a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT HAZA]~DOUS COMPONENT ~ ~,l ..... .I, ,,,,~ EHS'. CAS # ': 226 227 228 229 ' ' ! .... 230 ~. -- 231 232 233 2 i " , CI YES [] NO i 234 235 236 237 31 j [] YES [] NO i 238 235 240 241 4 [ : [] YES [] NO 5il 242 j 243 , 244 245 j [] YES [] NO [f ltlOte Jttl:tlrdtttI.~' COItlpOIteltl.~' ~lr~, pte.*eltl rtl gtetllel' lllttll I ~ ]~y Il'eight if ltolt-¢ttl'c#tOgel#¢, Or O. 1~,~o I}.}' tl'eigltl if carci.ogenic, tltlttch addilio.al sheets t~paper ctlpturitlg lite required i~[ormatiun. ADDi~ONAL LOCALLY COLLECTED 246 INFORMATION: 13 ODS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per m~terial per building or area) ADD [] DELETE. ~ REVISE 200 ' Pagel~_l ofl'~3 I. FACiLITy INFORMATION 3 B~JSlNESS NAME {Same as~r.~C~.lTY NAME or DBA-Doing Business As) CHEMICAL LOCATION t 201 CHEMICAl. LOCATION 202 II, CHERICAL INFORMATION TRADE SECRET E YES ~ 0 206 CHE~CAL NAME 205 J N I~ Subject to EPC~. re,er [o i~stmctio~ ..... 208 COMMON NAME 207 EHS* ~ YES ~NO' CAS g · · *ffEHS is "Yin," all amoun~ below must bc in lbs. HAZARDOUS MATERIALTYPE tCheck oneitem onNi ~. PURE ~ b. MIXTURE ~ c. WASTE 211 RADIOACTIVE ~ YES ~NO 212 CURIES 213 -'-P~IC~L STATE ~b 214 ~RGEST CONTAINER 215 215 FED HA~RD CATEGORIES (cn,.,.*a///hu~¢/,/,/y) ~ a. FIRE ~ b. REACTIVE ~' c PRESSU~ ~LEASE ~ d. ACUTE HEALTH ~ c. CHRONIC HEALTH AVERAGEAMOUNT [DAILY A'~OUNT ~~~ ANNUAL WASTE AMOUNT , O · '-~ITS' - ~a GAL ~ b. CU~ ~ c. ~BS U ~ d. TONS ~ [ ~DAYSON ~ ~ (Check one item only) ' -- ] iSITE - "'~ORAGE CONTAINER .... 223 (Ch~k all that apply) ~ a. ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ~ i. FIBRE DE~ ~ m. GLASS BO~LE ~ q. ~lg CAR ~ b. UNDEAGAO~ TAN~ ~ [ CAN ~ j. BAG ~ n. PLASTIC BO~LE ~ r. OTHEA ~ d. STEEL DE~ ~ h. SILO ~ I. C~DER D ~. TANK WAGON .... $TORA~[-~'~-E'~O~ ..... ~a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC ~25 %WT HAZA~OUS COMPONENT ~.~ ...... ,~,,,,~ EHS CAS ~ ~ 226 227 228 229 ":~ ' 230. ' 231~ 232 233 2 ..... ~ 234 235 236 237 ~ ~ YeS U NO ~ 238 235 240 241 4 ~ ~ YES ~ NO ~ ~ u YES ~ NO ff ntoru /tt~t~ott.~' Cotttpotteltl.~' tire p~.~'e.I tit greater I/lair ]~ by we~g/ti ff lum-carcim~genic, or ().l~ by weight ff co~Jltogeltic, attach addititmal .~'/igel.x ~ff puper capturittg lite required Jl~rtttttliotl. ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 ORS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per material per building or area) REVISE 200 Page J"~ of~)._ I. FACILITY INFORMATION' 3 Bt~SINESS NAME (Same as F~ITY NAME or DBA-Doing Business As) [ ~ b C~b, .~ , 201 C,EMICALLOCATION '~ ~02 II, CHEmiCAL I~FOR~ATIO~ 205 [ TRADE SECRET ~ 0 206 CHEMICAL NAME ~ ~ YES N ff subj~t to EPC~, re[er m inspections ~~ ~o~ ~Hs' ...... ~o~' '~OMMON N~E Q YES ~NO' 209 CAS g *If EHS is ~Y~." ail amoun~ below must be in lbs. ~['C~b-~ H~RD CLASSES tComplete if required by CUPAI' 213 HAZARDOUS MATERIAL ~a.' PURE ~ b. 'MIXTURE ~ c. WASTE 211 [ RADIOACTIVE ~ YES NO 212 CURIES TYPE (Check one item only) 215 -'-P~IC~L STATE ~c. GAS 214 ~RGEST CONTAINER (O,.c~,,,,e,,,~)~ ~ a. SOLID ~ b. LIQUID ~ 215 FED HA~RD CATEGORIES ~ (o,o,,,//m,/¢/,/,/y) . FIRE ~ b. REACTIVE P~SSU~ RELEASE ~ d. ACUTE HEALTH ~ c. CHRONIC HEALTH A~OUNT ~O ~: ' ,DALLY A,OUNT 5~O~ AMOUNT ~ CODE . , ~ ._ , I t~AVS ON" ~ {'~-';. GAL ~b. CU ~ ~ c. LBS ~ d. TONS i i [SIT~ ~ (Ch~ck on~ ilem only) ..... ~ i L=- ...... 223 STO~A~E CO~TAI~E~ ~ ~IL CAR (Chcck aH Iha~apply) ~ a. ABOVE~OU~O TA~K ~ ~ PkAST G/N0~MET~kkI.C ~UM ~ [. FIBER DR~ ~ m. OLASS BO~LE ~ b. UNDER~RO~ TAN~ ~ [ CAN ~ ~. BA~ ~ .. PLASTIC BO~kE ~ r. OTHER ~ c. TANK INSIDEBUILDINO ~ ~. CA~OY ~. BOX ~ ~. TOTEBIN ~ d. STEEL DR~ ~ h. SILO , C~DER ~ p. TANK WAGON 224 .... ~TORAGE PRESSURE ~ a. AMBIENT ~. ABOVE AMBIENT ~ c. BELOW AMBIENT ' 225 STORAGE TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMB[ENT ~ d. CRYOGENIC %WT HAZA~OUS COMPONENT ~ ~,, ....... ~.,.,a~ EHS CAS 227 229 228 ~ . ~ l.OO ~ ~ ~- ' ' ~ 230 ~ . 231 232 " ~ XES ~ ~0 ...... 235 236 ~ 234 3 i ~ YES Q NO ~ 235 24O 241 i 238 4 ', ~ YES D NO .... j-- 243 ~ 2~ 245 ~ 242 5 ~ ~' ~ ~ YES ~ NO /f morc lurargous compon¢nL¥ ur~ ~resenl at gre¢ler lh~n /~ by weight ~non.co~inngenic, or O./~ by weighl ~ co~inngeni~; atlach oddidmud .¥/wet.~ ~oper capturing lhe rcqui~'d 2~6 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OHS FORM 2731 (1199) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY. CHEMICAL DESCRIPTION (one form per m~terial per building or area) ADD Fi DELETE REVISE 200 · ~ Page I~' of[a.~ I. FACILITy INFORMATION~ BL~SINESS NAME {Same as FACJLITY NAME or DBA-Doing Business As} . ~' . _ c LLC ~CHEMICAL LOCATION ' CONFIDENTIAL - ~ O EPCRA D YES NO I1. CHEMICAL INFORMATION - CHEMICAL NAME · ~ YES COMMON NAME ..................... 207 EHS' 208 D YES ~ 'NO' CAS ~ 209 : *IFEHS is "Y~." all amoun= below must be in lbs. FIRE CODE HA~RD CLASSES (Complete ff required by CUPAI 210 HAZARDOUS MATERIAL ~ a. PURE b. MIXTURE ~ c. WASTE 211 RKDIOACTIVE 212 CURIES 213 TYPE /Check one item onlyI ~ YES ~NO PHYSICAL STATE 214 av,,.~,,~,.,,,,,~y) ~ a. SOLID ~ b. LIQUID ~. GAS LARGEST CONTAINER FED HAZARD CATEGORIES ~a. FIRE ~ b. REACHVE ~ PRESSU~ RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH 2~5 AVERAGE DAILY~ ~S ~ 21 ~ MAXIMUM I 218~ ANNUAL WASTE 2~ J JSTATE WASTE ~'-- AMOUNT UNITS' ['~-'~ GAL ~ ~DAYS ON' ~ 220! (C',~k one item only) [ ...... .. ~b, CU ~ ~ C. L~S ~ d. TONS ~ [ iSITE STORAGE CONTAINER ~ ~ ............ .... 223 (Check all that appiy) ~ a. ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ~ i. FIBEA Dg~ ~ m, GLASS BO~LE ~ q. ~IL ~ b. UNDERGRO~ TAN~ ~ [ CAN ~ j. ~AG ~ n. PLASTIC BO~LE ~ r. OTHER ~ c. TANK INSIDE BUILDING ~ G CA~OY ~ K. BOX ~ o. TOTEBIN ~ d. STEEL DR~ ~ h. SILO I. C~DER ~ p. TANK WAGON STORAGE PRESSURE ~ a. AMBIENT ~. ABOVE AMBIENT ~ c. BELOW AMBIENT STORAGE TEMPERATURE ~. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT HAZA~OUS COMPONENT a~=~,, ..... ~'~""'/~) EHS CAS ': 226 1 ~ 227 228 J 229 ' 230 : D YES D N0 ~:' ,2 j ..' 231 232 233 .... 4 ~ ~ YES ~ NO ~ 234 3 ~ 23S 2~6 ~ D YES ~ NO ~ 238 4 ~ 235 240 241 ..... ~ ~ YES ~ NO ~ 242 .... 5 : ~ 243. . 2~ ~ 245 ,-, ~ ~ ~YES ~ NO ADDITIONAL LOCALLY COLLECTED iNFORMATION: 246 OES FORM 2731 (1/99! ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENT°RY" CHEMICAL DESCRIPTION ' (One form per materialper building or area) [] DELETE 1EVISE I.. FACILITY INFORMATION" TStNESS N,,.AME ISame ss F~LITY NAME or DBA-Doing Business CHEMICAL LOCATION FACILITY ID # CHEMICAL NAME coMMON CAS # 201 CHEMICAL LOCATION ~ONFIDENTIALo J~ YES '~No EPCRA 202 MAP # (optional) 203 ] GRID # (optional) 2o4 I!. CHEMICAl. INFORMATION 2O6 205 207 209 TRADE SECRET [] YES ~ NO If Subject to EPCRA. refer to instructions EHS' I'1 YES '~NO' 208 *If ERS is "Yes," all amounts below must bo In lbs. 210 FIRE CODE HAZARD CLASSES tComplete ff required by CUPA[ ' , .... =11 I RADIOACTIVE - [] yEs ~NO . 212 '[ CURIES .... · .... 213 [i)OUS I~ATERIAL "~a~ PURE [] b. 'MIXTURE [] cl w^~'~ I " -~ ' ' TYPE IChec* o.e ire. o.*1 ~ -- -- ~ ~ ~ ~RGEST CONT~IN~ ~ ~ .. ~7~,cl~lltl~.~pply) ' 21 I ' MAXIMUM ~ L 2181 i IANNUALWASTE [ · UNITS' ~ 0 ~. GAL ~ b. CU , ~ u ...... j (~ one it~ only) 21 I I IsTATE WASTE li~ 223 STORAGE CONTAINER (Check all that apply) [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM C b. UNDERGRounD T^~ [] r. CAN O j. BAG [] c. TANK IN. SIDE BUILDING [] G. CARBOY [] K. BOx [] I. CYLINDER · . STEEL DRUM [] h, StLO . [] m. GLASS BOTTLE r'~ q. RAIL CAR. [] n. PLASTIC BOTTLE ~.~~ [] ?. TOT~ BIN ~] p. TANK WAGON 224 - . [] b. ABOVE AMBIENT, [] c. BELOW AMBIENT:. .' .... ~""~TORAGE PRESSURE - '~a. AMBIENT.. -.. -: 'S~RAGE TEMPERATURE ' %a. AMBIENT ~ [] b. ABOVE'AMBIENT ~' [] c. BEi~-ow AMI~iEN:Ii Eid. CRYOGENIC . cxs 225 HAZARDOUS COMPONENT 4 i 2aa ' ' ...... ~ 242 .[ OYES 0 NO ~ ' ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 /, DES FORM 2731 (1/99) HAZARDOUS MATERIALS' HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION '(°n e form per mttterlal per building or area) 'ADD [] DELETE ~ REVISE 200 ' pagec~__~of~)._. ' '1 202 I BUFINESS NA,~E {Same esFA~ NAME or DBA-Doing Sustness As) FACILITY INFORMATION 'l lc_,. L c. --' i-~hEM,cacLOCATION - - -~ 201 CHEMICAL LOCATION EPCRA -- YES ~ NO I!, CHEMICAL INFORMATION 2O4 CHEMICAL NAME 205 TRADE SECRET [] YES ~kNO 206 d~ IJ It` Subject to EPCRA. refer to instmct,ons'\ 207 EHs*  208 COMMON NAME (- [] YES 'NO' 209 CAS # ' : *It' ERS is "Yes." all amount~ below mast be in lbs. 210 FIRE CODE HAZARD CLASSES IComl31ete ff required by CUPAI' ~ a. PURE '~b. MIXTURE HAZARDOUS MATERIAL TYPE/Check one item only/ PHYSICAL STATE (( '1=~./~ tm item FED HAZARD CATEGORIES (¢7~ all that Q/y) AVERAGE DAILY AMOU.T UNITS' (O~ec~ one it~ only) STORAGE CONTAINER [] C. WASTE 2mm RADIOACTIVE:: [] YEs. [~O 212 CUR!ES ~-.- , ,, 213 215 ~ a. SOLID ~ b. LIQUID [] c. GAS 214 LARGEST CONTAINER~. ~ ~_~ :" 215 [] a. FIRE [] b.R. EACT[VE 0' c PRESSURE RELEASE' 0 d. ACUTE HEALTH ~ c. CHRONIC HEALTH IDA LY AMOUNT I ~ IAMOUNT O . CODE _ iXa. GAL ~ b. CU ~ = c. LBS ~ d. TONS I I ~SITE 223 (Check all that apply) E a. ABOVEGROUND TANK~'--'~e. PLASTICINdNMETALLIC DRUM i--] b. UNDERGROUND TANY, [] £ CAN ~.' ¢. TANK IN. SIDE BUiLDINO [] O. CARBOY [] d. STEEL DRUM [] h. $1LO [] i. FIBER. DRUM [] m. GLASS BOTTLE ~'~ q. RAIL CAR [] j. BAG [] e. PLASTIC BOTTLE [] r. •'triER [] K. BOX [] o. TOTE BIN [] I. CYLINDER [] p. TANK WAGON 224 'STORAGE'PRESSURE '~a. AMBIENT ...... [] b. ABOVE AMBIENT [] c.. BELOW AMB! _E~.. ~..: ....... ~:.~ STORAGE TEMPERATURE %a. AM'BlENT [] b. ABOVE AMBIENT [] c. BE~OW AMI~iEN;~' [] d. CRYOGENIC 225 %WT- HAZARDOUS COMPONENT o~,.~,,,.,~ ,~,,,,,/~,) EHS'. CAS # 226 231 228 r-i YES '~N0 232 [] YEs ~NO 235 ~- 236 [] YES ~ NO 235 240 D YES [] NO 243 244 [] YES [] NO 229 233 237 241 245 nmettts are pre. vent at greater Ihmt 1% by weight if nott-carcittogettic, er O. 1% by ~ight if carcinogettic, attach additio.al dteets of pup~ capturi.g the req tired it~rtnttthm. ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 •ES FORM 2731 (1/99) HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ' (One form per m~tterlal per building or area) CHEMICAL LOCATION pCHEMICAL LOCATION OcNRFIOENTIAL' FI YES ~NO 201 I!. CHEMICAL INFORMATION 205 ~HEMICAL NAME '~:OMI~ION NAME 203 GRID # lOpED°ah 3 202 2O4 TRADE SECRET [] YES I~.NO 205 If Subject to EPCR.A., refer to instructions' EHS' [] YES '~'NO' 208 207 209 : *If EHS is"Y~s," all amounts below must be in lbs. CAS # 210 CODE HAZARD CLASSES )Complete if required by CUPAI · ~ ' : - 211 [ RADIOACTIVE ' [] YES ~,,N0 212 I CURIES ..... 213 HAZARDOUS MATERIAL '~ a7 PURE [] b. MIXTURE [] c WASTE t - ' ...... --- ~ '~ | LARGEST CONTAINER ~.- ~ 'I~IY-'~IC"-'~L STATE-----------:---~ '~ a. SOLID '~ b. LIQUID ,~ c. GAS ~ ~'~ -::' ' AVERAGE DALLY '~--~'~MAXIMUM . 218, [ ANNUAL WASTE AMOUNT 5 .... .... ~ .... m c LBS 0 . 223 ~TORAGE CONTAINER [] GLASS BOTTLE F~, q. RAIL CAR (Check all fha, apply) [] a. ABOVEGROUND TANK '~k~ ;' PLASTIC/NdNMETALUC DRUM [] i. FIBER DRUM m. · [] b. UNDERGROUND TANK . CAN' [] j' BAG [-~ n. PLASTIC BOTTLE [] r. OTHEK ' [] K. BOX r-I o. TOTE BIN . ~ c. TANK IN. SIDE BUILDING [] G. CM~BOY · ~ d. STEEL DRUM [] h. SIL0 [] L CYt'[HDER. [:~ p. TANK WAGON 224 )RAGE PRESSURE -' STORAGE TEMPERATURE . .: . n.b. ABOVE AMBIENT [] c.. BELOW AMBIENT:: " ...... a. AMBIENT. -, . ~.a. AMBIENT [] b. ABOVE AMBIENT Fl c. BEE-ow AMi~EN~r' [] d. CRYOGENIC " EHS'. CAS HAZARDOUS COMPONENT ~o~...o~ 225 226 234 i 238 4; 242 232 [] YES [] NO 229 23'/ 236 [] YES [] NO. 241 240 [] YES [] NO 245 244 B ¥~s [] NO 'i . ' '% by ~s~igh/ if aon.carcbtog~ttlc, or O. 1% by weight if carcinogenic attach additimtal sheets of paper capturittg the required it~rmotiot,. l/more ha=ardous COlltpOltgltl.¥ arg pl"e.settl crt greater Ill. It 17o Y' 246 ADDITIONAL. LOCALLY COLLECTED 13 DES FORM 2731 (1199) /' .... HAZARDOUS MATERIALS · ' ' '(one form per m~tterialper building or area) [] ADD. [] DELETE REVISE· 200 I. FACILITy INFORMATION .. ByINESS N.Z~E (Same as FA~UTY NAME or DBA-Doing Business As) ucc, uc. · - CHEMICAL LOCATION I!. CHEMICAL INFORMATION CHEMICAL NAME 2O3 Page~ L~ of CONFIDENTIAL. EPCRA [] YES O JGRID # (optional) 204 CAS # FIRE CODE HAZARD CLASSES/Complete ffrequire~ by CUP,4I' 207 209 TRADE SECRET ?, YES~ NO If Subject to EPCPJL ret'er to im~ctiom 206 EHS' [] YES ~[~'NO *IfEHS is"Yea," all amounts below must be in lbs. 210 HAZARDOUS MATERIAL '~ a. PURE [] b. MIXTURE D c. WASTE 211jRADIOACTIVE I ' TYPE lCheck ene item only/ : [] YEs ~NO 212 CURIES 213 PHYSICAL STATE ~'='- ' '~"' (('/~.'/~ tm i1~. ~,/y) ~ a. SOLID ~ b. LIQUID g c. GAS 214 ~RGEST CONTAINER ~ ~ ~ .:: FED HA~RD CATEGORIES ~ · ' ' ' ~/~'~/~/~/~ a. FIRE ~ b. REACI'IVE ~' c P~SSU~ ~LEASE' ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH 215 AVERAGE DAILY J 21J ~ MAXIMUM ~ L 218j ANNUAL WASTE J J, 2! ] STATEWASTE Jj 22J · MOUN~ I W O , O . I IC°DE -:' I' ' DAILY AMOUNT [ ~ O AMOUNT UNITS' ~a. GAL ~ b. CU~ ~c. LBS ~ d. TONS ~ ! ~DAYSON - H 220~ (O~ one it~ only) -- S~ORAGE CONTAINER I ~ ........~ (Check all that apply) STORAGEPRESSURE [] a. ABOVEGROUND TANK ~*~e. PLASTICIN~NMETALLIC DRUM J--] b. UNDERGROUND TANK [] £. CAN ~ ¢. TANK IN. SIDE BUILDING [] G. CARBOY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE [-] q. I~ML CAR J-J j. BAG [] .. PLASTIC BOTTLE [] r. OTHER [] K. BOX J-I o. TOTE BIN [] I. CYlinDER [] 'p. TANK WAGON "~ a. AMBIENT 223 224 STORAGE TEMPERATURE" [] b. ABOVE AMBIENT [] c. BELOW AMBIENT. · "~, a. AMBIENT [] b. ABOVE AMBIENT [] ¢. 'BEL~)w AMBiENt' ~ d. CRYOGENIc 225 %WT- 226 HAZARDOUS COMPONENT ~,.,..,,~ 23O 234 238 242 227 231 235 235 . 243 [] YES · EHS'. CAS # ~. 228 [ 229 [] YES L~N0 232 D NO ' 236 [] YES [] NO 240 241 [] YES [] NO 244 245 r~ YES. H NO 233 237 If mere ha=ardous comlnmems are presettt a! greater #Jan I% by meight if non-carcinogettic, or O. 1% by weight if carcbtoge~tic, a/tach addi/ie.al sheet.~' of paper capturi.g the required ht. fermathm. ADDITIONAL LOCALLY COLLECTF--D INFORMATION: ' . 246 13 'OES FORM 2731 '(1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- cHEMICAL DESCRIPTION ' (o~e form per m~terial per buEding or area) [::] ADD DELETE ,EVISE I. FACIUTY INFORMATION.:.· SUtSINESS N~ME {Same as ~ NAME or DBA.Doing. Business Asl r: 't L _c. - JCHEMICAL LOCATION , ' . '1 il. 0HEMICAL INFORMATION J CHEMICAL NAME COMMON NAME . , CAS # . .. q ,. FIRE CODE HAZARD CLASSES IComl31ete if /'equired bt; CUP~J' HAZARDOUS MATERIAL ~,~. PURE [] b. ·MIXTURE 3 201 CHEMICAL LOCATION 202 CONFIDENTIAL* ~-I ~ NO EPCRA ' -- YES 203 J GRID # (optional) , 204 I 2O5 207 209 TRADE. SECRET. - ',~. YES ~[~N° IrSubje~ m EPCR'a~ rd'erie instructions 206 EHS* [] YES ~,NO' 208 *IfEHS is "Y~s," all amounts below must be in lbs. · " 210 TYPE ICheck one item onlyI PHYSICAL STATE FED HAZARD CATEGORIES AVERAGE DAILY AMOUNT UNITS" (~heck a~a itm~ only) [] C. WAST~"~ 211 I R~DIOACTIVE~ []YES ~NO 212 I CURIES "~-:--": ....... 213 j 215 ~ a. SOLID ~k.b. LIQUID. [] c. ~ 214.. ~RGESTCONTAINER ~ ~ ~ ~~ "::: ~ a. FIRE Q b. ~IVE ~ c P~SU~ ~LEASE ~ d. ACUTE H~LTH- ~e. CHRONIC HEALTH 215 I 2,IlMAXIMUM J 21~ ANNU~WASTE. J I 21'[ iiSTATEWASTE J~ . D~,LY ~OU.T ~~ ~OU.T O . I Ic°DE -:--. I GAL n b.~ ~ a c. LBS O d. TONS I ' I IDAYS~N:-: i1 ~ IlS 5U5 ',, J- 223 "'~T~RAGE CONTAINER , -- ' (~ ~1 ~t apply) ~ ~ ABOVEGROUND TANK ~a. P~STIClN~NM~A~C DRUM ~ i. FIB~ DR~ ~ m. Q~S BO~ ~ q, ~L CAR gb.U~E~O~VA~ ~c ~ Oj.~o Dn.P~CBO~ ~r.o~-. ~m TA~I~SIDEBUI~G ~a. C~OY ~ BOX ' ~o.~B~ ~ d. ~ DR~ ~ ~ SiLO ~ I. ~D~ ~'p. TANK WAGON 224 --STOP'GE PRESSURE ~a AMBIENT· -: : [] b. ABOVE AMBIENT .~ c. BELOW AMBIENT.. .. · _ ~ .: : ,...- - -. :~:>: ' :: :;~:~:~ STORAGETEMPERATUflE'-'~a. AM'BlENT· ~ [] b. ABOVEAMBIENT: ::" []-c.'B'E~OWAMB-[E~' ' [] d. CRYOGENIC 225 · %W'I'~ HAZARDOUS COMPONENT o~-~,~-~''~x~ · EHS'. CAS # 22~ 229 ' I00 · lftmJr~ Ita=art~)tL~ ctm~ 235 235 228 232 [] YES [] NO 236 [] YES [] NO 240 [3 YES [:] NO 244 [] YES [] NO 233 23'/ 241 245 ~ottents ar~ pre. vent'at greater thatt I% by ~s~/glt! tf ffon-can:ittog~t;i~ or O. 1~ by weight if carcitmge, ni~ attacit additJmmi sheets of paper captuHttg the ruquired htft~rmathtt[ ADDITIONAL LOCALLY COLLECTED INFORMATION.' 13 " ' ~, OHS FORM 2731 {llgg) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTIgN ' (one form per rn~teHalper buildtng or area) r'3 ADD Ci DELETE REVISE 200 . Pr :' I.- FACIUTY INFORMATI°N:.. ' . ...... ' .... 3 IBUSINESS NAME ISama as F~3LLTY NAME or DBA-Doing Business t 201 CHEMICAL LOCATION 202 CHEMICAL LOCATION , ' ' · . I CON~DEr~nA,- [~ YES "~NO · 204 CHEMICAL NAME COMMON NAMEf I!.CHEMICAL INFORMATION 20S TRADE SECRET ?, YES I~NO 2os , . If Subject lo ~PCRA, r~fer to instmcfio~ · . ao? EHS' D YES %{~]'NO' 20a 209 °If'EHS is"¥~" ;ill amounts below must be in lbs. 210 CAS # : FIRE CODE HAZARD CLASSES tComptete if flMuired by CUPAI' 212 CURIES 213 HAZARDOUS MATERIAL TYPE ICheck one item o~yl PHYSICAL STATE ' (( 'l~J~ tm ll=m on/y) FED HA~RD CATEGORIES ~ ~1 tl~'~y) AMOUNT } ~O 0 UNIT5® (~ me k~ '~a. PURE [] b. ·MIXTURE I"I c. WASTE 211 I R~DIOACTIVE~. I"1 YES '~NO. ~ a. SOLID [] b. LIQUID· "~c. GAS 214. I ~RGEST CONTAINER ~a. FIRE. ~ b.~VE ~c P~SU~L~SE ~ d. ACUTEH~LTH I =~J I MAXIMUM I 2~ ~..U~ WAS~ ~ , DA, Y AMOU Il I IAM°U" [:: a. GAL ~b. CU~ ~c. L~S ~ d. TONS I 215 215 [] c. CHRONIC HEALTH '1 21 I I IsTATE WASTE ~J'" · I ICODE : STORAGE CONTAINER (Chec~ all thru apply) ~ a. ABOVEGROUND TANK [] e. PLASTIC/N(JNMETALUC DRUM ~ c. TANK U!I. SIDE BraIDING [] G, CARBOY ~ d. s*n~. D~U*M n h. s~.o I-I i. FIBER, DIUJM [] m. GLASS BOTTL~ ,K. aOX [] e. TOTEBIN I. Ct~,IHDER. []' p. TANK WAGON / [] q. RAILCAR [] r. OTHER 223 224 PRESSURE [] a. AMBIENT. . ....... ~ b. ABOVE AMBIENT .[] c. BELOW AMBIENt: ::: ..:. . :: .. -' ~)RAGE TEMPERATURE' '~a. AMBIENT' = [] b. ABOVEAIvlBIENT: ::" D--c. BE~OWAMB~IEN~' ' [] d. CRYOGENIC 225 %WT: '. HAZARDOus COMPONENT ~,,,a~,#."~,'~'~'J £HS'. CAS # 227 228 229 · "' []YES'~ Nb 226 234 ~ 238 4; ~ 242 5i 235 235 243 232 YES [] NO 236 [] YES F1 NO 24O [] YES [] NO 244 YES [] NO 241 are pm~ettt at greater tlMtt i% by u~eight If ttott-carcfnog~tti~ or 0.1% Ay weight ~[ carcim)ggni~ altach additimtal shcgt.~ of paper captttrittg the required btftmnatiot[ ADDITIONAL LOCALLY COLLECTED INFORMATION= 13 DES FORM 2731 (1199) ADD HAZARDOUS MATERIALS. HAZARDOUS MATERIALS INVENTORY .-CHEMICAL DESCRIPTION · (one form per mbterial per building or area) [] ELETE X REVISE I. FACILITY INFORMATION, IUSINESS NAM~ ISame as FACIU_~f,~ or D .B~-Doing. Business Asl . CHEMICAL LOCATION I!. CHEMICAL INFORMATION 201 CHEMICAL LOCATION C0NFIDEN'nAL - [] YES EPCRA No 202 203 I GRID # (optional} ., 2o4 CHEMICAL NAME COMMON NAME .. CAS # FIRE CODE HAZARD CLASSES IComp/ete if ~equired by CUPAI' HAZARDOUS MATERIAL '~a. PURE [] b. 'MIXTURE I't c. WASTE TYPE fCheck one item onlyl PHYSICAL STATE ' F; a. SOLID ~ b. UQUID 205 207 209 TRADE SECRET [] YES'~ NO If Subj~'t m EPCRA, r~far m in~m~ion~ 206 EHS* 208 [] YES [~'NO' *If'PHS is"Yes," all amounts below must be in lbs. 210 211 [ RADIOACTIVE [] YES ~;INO 2~2 CURIES ~_ '-~ :~-: · ...... 215 c. OAS 2,,, LAR ESTCO"TA'"E" . a.c,J 215 ~ c P~SU~ ~L~SE ~ d. ACUTE H~LTH ~ e. CHRONIC HEALTH FED HAZARD CATEGORIES ~a. FIRE [] b. ILEACTIVE g ~ ~//~=r ,q~/y) · AVERAGE DALLY I 2, Il MAXIMUM AMOUNT ' DA LY AMOUNT UNITS* L.~_~.a. GAL ~, b. CU FT (CI~J~ o~e item "'~T'ORAGE CONTAINER (Cha:k all rial apply) ~ L ABOVEGROUND TANK '~. e. PLASTICIN(~NMETALMC DRUM D b. U.DE~OL~O T^NK [] r., c/~ [] C. TANK IN. SIDE BUILDING [-] G, CAP, BOY :'~d.~. STEEL DRUM [] h. SILO [] i. FIBEK DRUM [] m. GLASS BOTTLE [] q. RAIL CAR-. [] j. s~o [] .. P~rnc novae [] r. [] K. SOX · []o. TOTEBIN [] I. CYLINDER []' ~, TANK WAGON 224 STORAGE TEMPERATURE '~. AMBIEN'I;' ~' I-1 b. ABOVE~MBIENT ::' []-C. B'E~OWAMB~EN~: '" [] d. CRYOGENIC 22~ %WT: HAZARDOUS COMPONENT ~,,,a~,,,-"''~''~:'J EHS'. CAS # '7' I' *'I 230 i ! ! ADDITIONAl. LOCALLY COLLECTED IINFORMATION: 231 235 235 243 [] yes '~N0 · 232 [] YES [] NO 236 [] YES ~ NO 240 [] YES [] NO 244 [] YES' [] NO 229 233 237 241 2.15 ~onent.~ a~ pre.~ent at greater than I~ by ~;~igbt if nmt.carcinogetdc, or O. !% by treight if carcinogenic~ at/ac& additional sheets of paper capturing the required btformatim[ 13 OHS FORM 2731 (1/99) ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- CHEMICAL DESCRIPTION {one form per m~tterial per building or area) . [] DELETE ~ REVISE :zoo BUSII~ESS NAME~ISame as FAC~J~[~AME ol' D~-~g ~ ~1 . ' ' .' CHEMICAL LOCATION ~ '..:' - ~'? . ~ ..,.~.~,, M~ ~ (op~a~ 203 I!. CHEMICAL INFOrmATION CONFIDENTIAL- D YES NO EPCRA · IGRID # (optional) 2O4 CHEMICAL NAME COMMON NAME CAS # FIRE CODE HAZARD CLASSES IComplete If required bV CUPAI' HAZARDOUS MATERIAL TYPE fCheck one item onlvl PHYSICAL STATE ' FED HAZARD CATEGORIES AVERAGEAMoUNT DALLY C~ ~ O I 21 } JDAILyMAXIMUMAMoUNT UNITS' ,&a. GAL ~ b. CU FT (o,=ck one imm only) - [, a. PURE '~b. ·MIXTURE [] c. WASTE :z~l u .. SOLl~",q b. UOU~D [] c. O~S :z". [] a. FIRE · [] b. REACTIVE ~ c PEESSUI~E KELEASE [] d. ACUTE HEALTH STORAGE CONTAINER 205 207 209 TRADE SEC"ET [] YES ~ NO 2os If Subject to EPCRA. refer m insm~ctlo~ . 20~ EHS' D YES NO' *IfF. HS is "Yes," all amounts below must be in lb~. 210 ~ [] yES 0 . :~.5 ...... · ~ 215 LARGEST CO.TA,.E. !,5 co a. J lo · ..... [] cJ~HRONIC HEALTH l 6 b .~.~ ANNUAL WASTE AMOUNT lC) [] c. 'tBS [] d. TONS :z' I STATEWASTE I~_~J · ! !~!s~"~*5c°D~ ~:._ *1I-~ ~ 223 (Chcck afl tha~ a~ply) [] q. RAIL CAR ABOVEGROUND TANK [] e. PLASTIC/N(~NMETALLIC DRUM TANK II~,SIDE BUILDING [] G. CARBOY s~ D~UM r-I h. SiLO [] i. FIBEK DRUM [] j..^o [] ~c BOX [] t Cn.~O~ [] m. GLASS BO'Frt. E [] n. PLASTIC BOTTLE []'p. TANK WAGON --~TOP~GE PRESSURE %a AMBIENT.. nb. ABOVE AMBIENT .n c. BELOW AMBIENT.. 224 STORAGE TEMPERATURE' ~a. AMBIENT' =' ['"} b. ABOVE AMBIENT: '::' E]-C. B-E[.;rOW AMB~EN~:'' [] d. CRYOGENIC 22~ %WT: HAZARDOus COMPONENT O~.~,,re.."~.,..~ EHS. CAS # 1 4 226 230 234 !. 238 242 231 235 D YES ~NO 232 [] YES [] NO 236 0 YES [] NO 235 [] YES 229 233 237 241 24O [] NO 244 245 if more hacanlotL~ contpmteat.~ are pr,'~ettl at greater tltatt 1% by ~s~igltt tf #atJ-carcinogettic, or O. 1% by weight ~[carcinogettig at/ach additiottaI.Meets of paper captttring lite required fltft)rmation. ADDITIONAL LOCALLY COLLECTED 246 INFORMATION.' 13 DES FORM*2731 (1199! ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ' ' ' (°ne form per m~terial per building or area) [] DELE I I= REVISE ' 2oo. pagoda/' I. FACILITY INFORMATION-.. B~SINESS I~AME (Same asJ=.~ClLIT¥ NAME of DBA-Doing Business As) . CHEMICAL LOCATION ~ FACILITY ID # CHEMICAL NAME COMMON NAME CAS # CODE HAZARD CLASSES IComl31ete if required by CUPAI' (optional) I!. CHEMICAL INFORMATION HAZARDOUS MATERIAL '~ a. PURE [] b. MIXTURE [] c. WASTE 211 RADIOACTIVE = [] YES 201 CHEMICAL LOCATION ' 202 CONFIDENTIAL- I"i ~No EeCRA ~ YES .203 J GRID # (optional) 204 TYPE [Check one item onlyl PHYSICAL STATE 205 207 209 TRADE SECRET _ &_ ' ' . [-] YES L~NO 2os. l£ Subject lo EPCR~, refer to insm~cdo= EHSo 208 [] YES 'NO ' *If EHS is "Yes," all amounts below must be in lbs. 2~o SOLID [] b. LIQUID 214 LARGEST CONTAINER ~ NO 212 I CURIES 213 FED HAZARD CATEGORIES (C~.*,~//#=,W~,O,) [] a. FlEE [] b. REACTIVE Cl'c P~SSU~ ~LEASE ~ d. ACUTE HEALTH ~ e. CHRO~IC HEALTH AMOUNTuNiTs.AVERAGE DAILY/~ O O i'; a. ' ~GAL' 2, J [J ~DAILyMAXIMUMAMoUNT~1' ~- IO1 L~o I IAMOUNTANNUAL WASTE ~ ~ L..- 21 r ~STATEcoDE _:WASTE.. (Cl~ on, it= only) {~ b. CU ~ ~. LBS ~ d. TONS [ , L ~DAYS ON STORAGE CONTAINER { ~=----.~ (Check all that apply) 223 : L,~ a. ABOVEGROUND TANK I~. e. PLASTIC/N{~NMETALLIC DRUM [] b. UNDERGROUND TANK [] £ CAN ~ ¢. TANK IN. SIDE BUILDING [] 0. CARBOY , ~. STEEL DRUM r-I h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE [] ;j. BAG [] n. PLASTIC BOTTLE [] K. BOX [] o. TOTE Bm [] I. CY/.,fNDER [] p. TANK WAGON {~ q, RAIL CAR [] r. o'mER STORAGE PRESSURE ~,a. AMBIENT [] b. ABOVE AMBIENT [] c.. BELOW AMBIENT= -'~:-~- . - ' 224 STORAGE TEMPERATURE '~ a. AMBIENT '- [] b. ABOVE AMBIENT .... [] c. BE~,~)W AMi~iEN~' [] d. CRYOGENIc 225 %WT' ': HAZARDOUS COMPONENT 0~.~,,re.-.,~.,.i/~j EHS. CAS # ~ 226 229 : 230 2i 234 238 242 22~ 231 [] YES 235 [] YES 235 [] YES 243 228 [] YES ~ NO 232 [] NO 236 D NO 24O [] NO 244 [] YES' [] NO 233 237 241 If more htcanlot~ comlnmcnts are present at greater than I% Ay t~=ight if ,ott-carehtogettic. or 0.1% by weight if carchtogenic, attach addilio,al sheet.*' of paper capturi,g Ihe required fl~rmathm. ADDITIONAL LOCALLY COLLECTED ' INFORMATION: 246 13 DES FORM 2731 (1/991 ADD HAZARDOUS· MATERIALS HAZARDOUS MATERIALS INVENTORy- CHEMICAL DESCRIPTION · ' {one form per m~tterial per building or area) [] DELETE REVISE , 200 Pt _ ~ z~ o ' " I. FACILITY INFORMATION.:..· · BUSINESS NAME ISame as FACILITY NAME or DBA-Doing Business As! . . . CHEMICAL LOCATION · Ii. CHEMICAL INFORMATION 203 3 EPCRACONRDENTIAL' [] yES NO IGRID # (opEonal} 204 CHEMICAL NAME COMMON NAME /, · CAS # "I~[ CODE HAZARD CLASSES IComplete ff requlred fl¥ CUPAI~ 205 207 TRADE SECRET [] YES ~NO If Subject to EPCRA, refer to 206 [] .YES'~'NO ' 2oa 209 210 HAZARDOUS MATERIAL [] a. PURE ~, b. 'MIXTURE [] c. WASTE 211 RADIOACTIVE [] YES ~NO 212 I CUR,ES TYPE fC~eck one item ofllyI 214, ' ~ '~ ' ~'&'~'f"=m"IY)FED HAZARD CATEGORIES [] a. SOLID ~b. LIQUID [] c. OAS , ..I LARGEST CONTAINER ~-.~5 ~___(~r}~) . ~. 215 (c~,=/h~.~y) [] a.' FIRE ~ b. REA~IVE ~ c P~SU~ ~L~SE' D d. ACUTE H~LTH ~ c. CHRONIC HEALTH STORAGE CONTAINER --- ,' (Ch~l~apply) 5, ABOVEGROUNDTANK ~0. "~S=C/NdNM~A~C DRUM O l FIB~D"~ Om. G~SB~ ~c. TA~SlDEBUI~O ~ O. C~OY ~ ~ SOX ~o. "IfEHS is'Yes," ali amounts below must be in lbs. STORAGE PRESSURE '~,a. AMBIENT.. [] b. ABOVE AMBIENT .ri c. BELOW AMBIENT. 224 , , . '-- STORAGE TEMPERATURE- ~,e. AM'BIENT '. HA~Ous COMPONE~ 230 To bss'Lu m ,'[r°xi .. " 238 · x_ [] YES ~ NO 232 [] YES '~[ NO 236 [] YES [] NO 229 237 235 241 24O [] YES [] NO 244 [] YES · E] NO 243 242 245 lf mor~ iut=ardot&v contlnmeats are presettt at greater tltatt I% by treight if ttott-cttrcinog~#ic, or O. 1~ by weight if carcbtog~ti~ atlacit addltimtal.dteets of paper cttptttrittg the required ittfortnathn[ ADDITIONAL LOCALLY COLLECTED . .. 246 INFORMATION: ' 13 OES FORM 2731 (1199} · . ' (One form per mater/alper building or area) ADD .... INESS NAME {Same'as FAClIJ]:f,~AME or OaA. Ooiag. Busi,ne~ ~Asl l' · ~ ,~14 ",u,~ ~ -. · 2oo ' Pr DELETE· REVISE . . I. FACILITY INFORMATION':"' " '" 3 ;' '; . 201 T CHEMICAL LocATION ~ C0NROEICnAL- ~ YES~{~, No HEMICAL LOCATION ~ EPCRA ~w~!~ CHEMICAL INFORMATION CHEMICAL NAME ~O~M~N NAM~ '.- 202 2O4 '"~ADE SECRET ~ YES'~ NO 206 Ir Sabj~ct t~ EPCIL~ rd'er to i.s~'u~io.s 208 EHS* Q YES,'NO ' -' ' ' ~:: ' 210 . ; ~ :: : ~CTiVE ~ i:.!¥ES ~ CURIES .... , ...... 213 ~'~'~USI~IATERIAL ~ a. PURE [~,b.'MIXTURE [::]c. WASTE -" I '1 ' ~- _ _~ --~"-- . ....... TYPE ~Check one item only/ _.._____._ '~ys,cAL STATE' :-- ---::' '~ ~ L,~uID -~;, ~ cO.TA,.S. · ; ' a =3L/~.t~ ~ · ~' ~~ ':'-:' " ' 215 g'/~.* ~:~r~ ~dy) -- ' · ' ' ~ ' :: '" l'-~-'.AZ~"O .C~,ES '~.~. F~RE ~E nc ~SU~ P. ELEASE U d, ACUTE !_ ~ ~.~ o/I zl~' ~R~.V; · · · ' ' / . ----~ ~--~--~-~"-'---~ ~- ~ .' , .. 223 ~-.-~;o~x~~,~ =, A,OVEO"O'"'O?A"K ~'. ,~,¢~.M~A"'¢O"~M [],.,,,-,.~ []-. apply) [] j. BAG ~ ,. pt.xs'nc eo'rrce [] r,. BOX r'1 o. TOm nm '~ L CYLHflDER (3 p. TANK WAGON 224 )RAGE PRESSURE ~l~a. AMBIENT.. :~:: : :: : Ct b. ABOYE AMBIENT .[] c. BELOW AMBIEI~ ;. ;TORAGE TEMPERATURE'- '"~,a. AM'BlENT= [] b. ABOVE~BI~: -: ~--c. ~OW AMB~E~: ' ~ d. CRYOGENIC HAZA~OUS COMPONE~ ~'~'~'~) EHS'. CAS =e . ' a YES ~N0 '~' 234 238 ?. 31TIONAL LOCALLY COLLECTED NFORMATION: 225 229 235 233 YES [] NO 236 [] YES [] NO ~ [] YES [] NO ~ 2.45 244 [] YES [] NO __...._ I% by u~ighl i.f ,mf.~arvinog~ni¢. or 0.1% by ~ighl if carcinogezn~ attach addilim,al.sheelz of paper capmnng lhe r~qmr~d ,~m.a,o~r 13' OES FORM 2731 (11991 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY .- CHEMICAL DESCRIPTIgN ' (one form per m~tterlal per building or area) I'1 ADD [] DELETE. REVISE· 200 BUSINESS NAME {Same as FACJU._'Pf-~AME o.r OBA. Oolng. Bu~.lna. ss Asl., FACILITY INFORMATION :"" ' ! l&c'Crtc) I1-$Y4, '' '· ':'-- ('~I~EMICAL LOCATION ' ' Ii. CHEMICAL INFORMATION 203 CHEMICAL NAME -EAS # "I~[ CODE HAZARD CLASSES IComplate ff requ/red bt, CUPAI' HAZARDOUS MATERIAL [] a. PURE ~. 'MIXTURE TYPE [Check one item only/ PHYSICAL STATE ~ a. SOLID '~ b. LIQUID 201 CHEMICAL LOCATION I CONROENTIAL - [] i EPCRA _ YES I GRID fl (o~'~afl. , 206 207 209 202 2O4 TRADE SECRET [] YES L~N0 It' Subject tn EPCRA, ~fer m imtmctlom EHS' [] YES "~NO ' 208 206 *If*EHS is"Y~," all amoun~ below mu~t be in lbs. 210 212 CURIES 211 I R~DIOACTIVE ..... ~ NO I 213 WASTE 2 - U 'r== ~ I ............. r~ c. (~AS 14 [ LARGEST CONTAINER__ . --. : ..... 215 ri' c PR.ESSUR~ EELEASE' 0 d. ACUTE H~LTH ~ c. CHRONIC HEALTH 2~5 FED HAZARD CATEGORIES· Cia. FIRE [] b. REACTIVE AVERAGE DAILY I 21 J MAXIMUM AMouNT ' L · DAILY AMOUNT UNITS* %a. GAL [] b. CU FT (Oleck mia item only) I 21 ~ ANNUAL WASTE ,ri c. LBS [] d. TONS '1 2~ I I ISTATE WASTE i = t I}c°DE : 223 STORAGE CONTAINER (Check ail that apply) [] a. ABOVEGROUND TANK'~ e. PLASTICIN(~NMETAU.IC DRUM [] b. tmDERUROUN~T^~ [] c CAN ~ c. TANK i~.SIDE BUILDING [] G. CARBOY 0 d. STEI~ DRUM [] k SILO [] L FIBER DRUM [] la. GLASS BOl'FLE [] q. IMdb CAR [] j. aaa [] .. Pt.ASTIC ao'rn.s [] r. o'msR [] r,. BOX · [] o. TCrmBnq [] L CYL~DER [:]' p. TANK WAGON 224 TOI~,GEPRESSURE i-! a. AMBIENT.. ~: ~:: : [] b. ABOVE AMBIENT · ~c. BELOW AMBIENT.. :. .... -; ~RAGE TEMPERATURE'. I"i a. AM'BIEN'I; ~ [] b. ABOVE AMBIENT: '::" []'c' B'E~'OW AMB~EN~;' [] d. CRYOGENIC 225 %WT: HAZARDOus COMPONENT ow 230 2 234 238 242 EH$'. ' CAS # 2:32 [] YES [] NO 235 236 [] YES [] NO 235 240 [] YES '[:] NO 243 244. 229 233 '/37 241 ?45 [] YES · [] NO _ If re.re lut=ardot&y ¢ot.pmtent. t ttr~ present at greater t/tan I% by 3,~igltt If tMn-can:inogetdc, or 0.194 Ay w~ight ~f carcinogetd~ attach addltiottal slicers of paper capluri, g the required .tfortnattott. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION.' 13 OHS FORM 2731 {1199) ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION ' (one form per materialper building or area) DELETE REVISE. 2oo Pr_ _~-~ ."'" I. FACILITY INFORMATION. BUSINESS NAME (Same as F~;;U.L[Y NAME Or DBA.Doing. Business A~! . CHEMICAL LOCATION , 201 CHEMICAL LOCATION 202 CONFIDENTIAL- [] YES ~ NO EPCR~ I GRID # IopEonal} . 204 II. CHEMICAL INFORMATION CHEMICAL NAME C MpON NME . FIRE CODE HA~RD C~SSES IComplete ~ ~uir~ ~ CUPAI' 205 207 209 TRADE SECRET ?., YES *~ NO If Subjact to EPC~ refer m instmctlon~ 206 EH$* · [] YES ~,'NO' 208 · IfEHS is"Y~s," all amounts below ~ust b~ in lbs. HAZARDOUS MATERIAL [] a. PURE 7'~ b. 'MIXTURE [] c. WASTE TYPE ICheck one item only/ f(~.k~,/~manly)PHYSlCAL STATE ' ..%_ a. SOLID ~l~b. LIQUID. [] c. GAS FED HAZARD CATEGORIES (~'.1~ all AVERAGE DALLY AMOUNT UNITS* [] a. FIRE [] b. REACTIVE El' c PRESSUEE RELEASE [] d. ACUTE HEALTH I 21 I I MAXIMUM GI 214 ANNUAL WASTE i DALLY AMOUNT ' AMOUNT ' ~'~ %.a. GAL ' [] b. CU ET ,~ c. LBS [] d. TONS I 2111 RADiOACTIVE, : i_!YES .~NO 212 I CURIES. :%:* ....... 213 [~ c. CHRONIC HEALTH 215 '1 21 I ISTATE WASTE · CODE : I IS,TE ~/~'- STORAGE CONTAINER ~ ' (Cheek all Ihal appty) r~ ~ AROVEGROUND TANK ~a. PLAb-rlC/N~NMETALLIC DRUM F-I i. FI~EII. DKUM [] m. GLA~S BOTTLE {'~ q. R,ML CAK E c. TANK L~.SIDE BUILDING [] G. C~OY ~ ~ BOX · ~ o. ~ B~ ~ d. ~ DK~ ~ h, SILO ~ I. ~D~ ~'p. TANK WAGON 223 224 STOI~,GE PRESSURE [] a. AMBIENT.. ;::. ~ ::.: I-I b. ABOVE AMBIENT .I-I c. BELOW AMBIENT.. .- , - -. :': ~..: : · : STORAGE TEMPERATURE I~ a. AMBIENT' =' [] b. ABOVE ~MvlBIENT: ~:' E~'-c: B'E~'ow AMB=iEN~:'' [] d. CRYoGENIc .225 %WT: HAZARDOus COMPONENT ¢~.~..~'~'~/x) EHS'. CAS # 3 230 2~4 238 242 231 E] YES 2~8 [] YES D YES 243 , E] YES . .228 [] YES 2~2 D NO If mont ha=artlot~v 238 [] NO 240 [] NO 244 i-I NO oonent, v are pre. vent at greater t/tan 1% by ~ight If tton. carcinogcnlc, or 0.1~ by weight ~f carcinogenic, attach addltiouai diners of paper capturing the required it¢~rtnatiot~ 229 233 237 241 245 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 DES FORM 2731 (1199) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION · '(one form per material per building or area) ADD [] DELETE REVISE 200 I. 'FACILITY INFORMATION'' ' BUSINESS_NAME ISamej.~.E~CILITY NAME or DBA-Doing Business CHEMICAL LOCATION II. 201 CHEMICAL NAME CHEMICAl. LOCATION CONFIDENTIAL- [] YES '"[]No EPCRA 202 203 I GRID # (optiona~ 204 CHEMICAL INFORMATION* 205 207 TRADE SECRET ,~, YES'~ NO If Sub[ecl to EPCP. A, refer to imtmctiom 206 EHs* [] YES '~'NO 208 209 *IfEHS is "Yes," all mounts below ~ust be in lbs. 210 "I~i~' CODE HAZARD CLASSES tComplete it required by CUPAI HAZARDOUS MATERIAL [] a. PURE '~ b. MIXTURE t'] c. WASTE 211 t RADIOACTIVE:: [] YES '~ NO 212 CURIES . ~=.-- ~.. . 213 TYPE ICheck one item onl~l I 215 ICAL STATE 214 LARGEST CONTAINER ~ (('~,..~,.,, ..... fy) ~ a. SOLID ~b. LIQUID. ~ c. GAS · ~ ~~ -::-, 215 FED HA~RD CATEGORIES ~**/.~,~) ~a. FIRE ~ b. ~A~IVE ~ c P~SSU~ ~LEASE ~ d. ACUTE HEALT~ ~ c. CHRONIC HEALTH AMOUNT ' .~ I ! IOAYS ON ' · ~__ 2~i~~ ' DAILY AMOUNT ~ AMOUNT 0 I Ic°D~ -;.. I uNITs* ~a. GAL a b. CU ~ ~ c. LBS a d. TONS J I [SITE ~/~-- (Ch~ ~e it~ only) j ~=.___.~ ~ . 223 STORAGE CONTAINER (Check all that apply) [] a. ABOVEGROUND TANK ~ e. PLASTICIN(~NMETALLIC DRUM [] i. FiBF..EDR. UM [] m. GLASS BOTTLE ~, q. KAILCAR [] b. UNDERGROUND TAN~ _'~. CAN' {'-i j. BAG [] o. PLASTIC BOTTLE [] r. OTHER r'l c TANK INSIDE BUll. DINa [] g. CARBOY [] K. aOX [] o. TOTE BIN ~ d. STEEL, DRUM [] h. SILO' [] I. CYLINDER r'~'p. TANK WAGON 224 ;TORAGE PRESSURE ,~a. AMBIENT_· .... J-] b. ABOVE,.,AMBIENT . [] c.. BELOW AMBIENT: ...... ~:.~ -' S~RAGE TEMPERATURE ~k,a. AMBIENT " [] b. ABOVE AMBIENT [] c. BELow AMBiEN'~' [] d. CRYOGENIC 225 %WT '- HAZARDOUS COMPONENT 0'o~ -~=.,.,~ -~, ~,~) EHS. 227 228 229 CI YES J~N0 226 ~o ~lttorehtt=ttMOtL~'COtt 232 ~k, YEs [] NO 231 236 [] NO 235 [] YES 235 [] YES [] NO 243 244 [] YES D NO CAS # 233 237 241 245 umcttts are presettt rtl greater than I% by weight if tmtt.carchtogettic, er O. I% by weight if carcinogcttic, attach additiotml sheets of puper caprurittg the required it~rmathm. 246 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OESFORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy. CHEMICAL DESCRIPTION (one form/)er material per building or area) CHEMICAL LOCATION FACILITY ID #t,~1, t'.~t/ ~J~=~ . 1 ~ I..l__l ~ 'J:l".~ MAP # II. CHEMICAL INFORMATION CHEMICAL NAME 201 CHEMICAL LOCATION CONFIDENTIAL - 202 ADD t~ DELETE REVISE 2oo " I. FACILITY INFORMATION· B¥SINESS~[AME ISame as FACILITY' NAME or DBA-Doing Business AsI . LLC. EPCRA 203 I GRID # (optional) 205 HAZARDOUS MATERIAL- TYPE fCheck one item PHYSICAL STATE 2O4 FED HAZARD CATEGORIES [¢ Ywdr dl I1~1 apply) AVERAGE DALLY AMOUNT UNITS ' {Check nne Jlcm only) YES ~NO TRADE SECRET [] YES '~N° 206 If Subject lo EPCIb~. refer to instructions EHS * r~ YES '~*NO' · IfEHS is "Yes," all amounts below must be in lbs. 213 215 215 [] a. PURE Nb. MIXTURE [] c. WASTi~ 211 RA'DIOACTIVE :: ~ YES ~NO 212 I CURIES ~ a. SOLID ~ b. LIQUID CI c. GAS 214 LARGEST CONTAINER ~ ~:~ ~. ~ L~%::-: ~ a. FIRE ~ b. REAciiVE ~'c P~SU~ ~LEASE' ~ d. ACUTE HEALT~ ~ c. CHRONIC HEALTH ~a.I 21J I MAXIMUM ~ L~.~ ANNUAL WASTE L.. 211 STATEWASTE Ii' 22I · I DALLY AMOUNT ~ AMouNT I ~'~ , CODE GAL ~ b. CU FT [] c. LBS [] d. TONS I ' IDAYs ~' iL, 220~ STORAGE CONTAINER I ~=-------~ u (Ch~ all ~at apply) 223 STORAGE PRESSURE ~ a. ABOVEGROUND TANK [] e, PLASTIC/N(~NMETALLiC DRUM ~ b. UNDERGROUND TA~ ~ CAN ' ?' ¢. TANK IN. SIDE BUILDING ~ O. CARBOY [] i. FIBER DRUIvl [] m. GLASS BOTTLE r-[ q, RAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] K. BOX [] o. TOTE BIN [] I. CYLINDER [] P. TANK WAGON .. "~a. AMBIENT .... STORAGE TEMPERATURE %a. AMBIENT D b. ABOVE AMBIENT ~ C. BELOW AMBIENT.. 224 .... ~ ~.~- []b. ABOVE AMBIENT F3 d. CRYOGENIC 225 %WT' HAZARDOUS COMPONENT 0~,.~.,~-..~ ~. o,~) EHS'. 22~ 228 229 [] YES%~ NO 2 { 230 I 234 31 4 242 { 231 235 235 243 232 FI YES [] NO 236 [] YES [] NO 240 D YES [] NO CAS # 233 237 [f mcJre ht=ardmts COmlnme.t.¥ are pre. vent at greater tha/t I% by .'eight if no/t-carci/togetfic, or O. 1~ by weight ~ carcittoge/tic, a/tacit addifitmal sheets of paper cap/uri.g rite ADDITIONAL LOCALLY COLLECTED 241 244 245 []YES [] NO required INFORMATION: 246 13 ORS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY '- CHEMICAL DESCm mN '(one form per material per building or area) [] ADD [] DELETE. ~.REVISE 200 I. FACILITY INFERMATION:'' iI~SINESSt[~AME {Same?~i~ClLITY NAME er DBA-Doing Business CHEMICAL LOCATION I!, CHEMICAL INFOFIMATION i CHEMICAL NAME COMMON NAME 203 201 CHEMICAL LOCATION CONRDENTIAL' [] YES ~ No EPCRA IGRID # (optional) 205 207 202 TRADE SECRET [] YESES, NO 2os If Subject to EPCR. A, refer to instmctiom [] YES ~ NO~ 20a 209 · IfEHS is"Yes." all amounts below must be in lbs, 210 "~i~[ CODE HAZARD CLASSES tComplete if required bv CUPAI HAZARDOUS MATERIAL TYPE fCheck one item only) PHYSICAL STATE (( 'h~k ,r#s itvm tm/y) FED HAZARD CATEGORIES (¢'J~*k al~ ~1~ AVERAGE DAILY AMOUNT UNITS* (C~k one item only) [] a, PURE '~b. MIXTURE [] c. WASTE 2~ I ~ a, SOLID '~b, L QUID· [] c, GAS 214. [] a, FIRE [] b, REACTIVE ~ c PRESSURE RELEASE [] d, ACUTE HEALTH I=',] MAXIMUM' f.~[ 218i ANNUAL WASTE DAILY AMOUNT AMOUNT ' I ~',~a. GAL ' ~ b. CUFT []c, LBS ~ d, TONS RADIOACTIVE ~ YES '~NO 212 I CURIES 213 215 LARGEST CO.TA'"ER [~c. CHRONIC HEALTH ~ 21 I I ~STATEWASTE . I ICODE : STORAGE CONTAINER (Check ail that apply) ~ a. ABOVEGROUND TANK ~,~e. PLASTICINdNMETALUC DRUM ~ b. UNDERGROUND TANK L.J £ CAN [] c. TANK IN. SlDE BUILDING [] G. CAIU~OY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE ~ q. RAIL CAR [] j. BAG [] n. PLASTIC BOTTLE ~ r. OTHER. [~ K. BOX [] o. TOTE BIN [] I. CYLINDER [] p. TANK WAGON 224 "-STORAG-~'PRESSURE -'S~RAGE TEMPERATURE' '~a, AMBIENT· ..- .. [] b. ABOVEAMBIENT [~ c. BELOW AMBIENT;: ~, a. AMBIENT [] b. ABOVE AMBIENT [] c. BE~.~W AMi~iEN'~' ' [] d. CRYOGENIC 225 %WT' 2 it, .S- 3 235 HAZARDOUS COMPONENT OFurmix~r~or v.,mV..,~) EHS. 228 235 243 230 I 234 238 .242 CAS # 229 233 237 236 [] YES '~ NO I I I -/& 240 [] YES [] NO 244 [] YES [] NO ' 241 245 wment, v are present at greater than I% by weight if tton.carcblogettic, or 0.1% by ~,eight if carcbmgenic, at/ach addititmal sheets tff paper capturi.g the reqnired btformation. ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 ~, '~ DES FORM 2731 (1/9g} HAZARDOUS MATERIALS INVENTORY- CHEMICAL [] ADD [] DF_LFTE REVISE HAZARDOUS MATERIALS DESCRIPTION ' ~oneform per mttterial per building, or area) ' ' "' .' I. FACILITY INFORMATION'.. BUSINESS NAME ISame as FA~.~LUT~ NAME or DBA-Doing Business As) · IZI A, 'LJ c_: '- -Ei~EMIC~L LOCATION 202 201 CHEMICAL LOCATION CONFIDENTIAL- [] YES )5~No EPCR& 203 I GRID # IopEonal} . 204 II. CHEMICAL INFORMATION 2O5 TRADE sEC.ET [] YES ~"0 =°6 CHEMICAL NAME COMMON~NAME . D - - 207 EH5' ~ YES ~NO' 20s : 209 'I~ is "Y~" ~1 mmnU bcl~ m~ be in ' .. ,. ' [' ~E ~E HA~RD C~SSES /Com~/~M · ~ui~ ~y t ' 211 { RADIOACTIVE ~ YES ~NO 212 [ CURIES 213 NA~RDOUS MATm%~L a a. PURE ~ b. M~XTURE a c. W~ ~ .... ~ TYPE ~Ch~k one it~ · 214 ~ ~RGEST CONTAINER---- I t . : 215 PHysicAL S~T~ '~ =. SOUD ~ b. LmU~D ~ =. ~S. ..[ ~ ~LJ~n% ' :: ((~ml~m~dy) ( I - 215 FED HA~RD CATEGORIES ~ a. FIRE ~ b. ~[VE ~ c P~SU~ ~LEASE ~ d. ACUTE H~LTH ~ =. CHRONIC HEALTH ~GE DALLY 21 MAXIMUM , 21~ ANNUAL WASTE . ~ '~ 21 I ~E WASTE ~ 22 ] AMouNT ~ ~ DAILY AMOUNT [ ~' "I IAMOUNT ~' . I ~= -:.. ~ UNITS' ~a. GAL ~ b.~ . ' I .... ~ (Che~k~ll that apply) ~.~ L ABOVEGROUND TANK . PLASTIC/N~NMETALUC DRUM [] i FIBERDRUM [] m. GLASS BOTTLE r~, q. RAILCAR [] b. U~D~O~OU~ TA~~k~. c~ [] j. BAa [] .. ~,s~c BO'mm. [] ~. OT~. ~'- c. TANK I~.SIOE BUILOIN~ [] G. CARBOY r-I K. BOX [] o. TOTE BIN 'ri d. ST]~ DRUM [] h. SiLO [-I L CYLI'NDEK [] p. TANK WAGON 22.3 224 .... PRESSURE ~a. AMBIENT ._ ~ - . [] b. ABOYE AMBIENT ' .Il c. BELOW AMBIENT.. IRAGE TEMPERATURE' '~ a. AMBIENT ~ I"] b. ABOVE AMBIENT: "::' Ii'-¢. ]~-E~'OW AMB~EN~: Ii d. CRYOGENIC 225_ EHS'. 227~ 22B · ' []YES ~,Nb i3o I %WT: HAZARDOUS COMPONENT ~ 234 235 235 4. ! 238 243 ~, YES ' NO 236 YES ~ NO 240 YES [] NO 244 CAS # [] YES. [] NO ' _ ~r~;ent at &,tearer t/tan I% by weigh/Iftton-carcittog=td~ or 0.1% Ay weight i.[carcittogetdc, attaclt addltimtai.dteets of tn~£,~ cupi,iiiig th~ r~qtnred utfortttatmtt ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 ~ OES FORM 2731 {1199) ' ,/ [] ADD HAZARDOUs MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION '(one form per material per bu!lding or area) [] DELETE REVISE 2OD ~ Pag e~4~ I. FACILITY INFORMATION:**' ' BUSINESS NAME {Same as FACILITY NAME or DBA-Doing Business As) · LL . CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL- [] YESN[[ No IEPCRA .-- . 201 II, CHEMICAL INFORMATION bi~["~:-~E HAZARD CLASSES (Complete if required by CUPAI' ~'~'R~Su s MATERIAL TYPE ICheck one item only) 203 GRID # (optional) 205 207 209 TRADE SECRET ~ C._ ' , ~ YES ~.~NO If Subject to EPCRA, refer to Jnstmctio~ns EHS° 202 2O4 2O6 [] YES ~'NO' 2os *IFEHS is "Ye~," all amounts below muat be in ihs. 210 213 rq YES '~.NO 212 t CURIES ........ 215 ~_ a. PURE '~. MIXTURE Ct c. WASTE 211 J RADIOACTIVE 214 LARGEST CONTAINER ...... FED HA~RD CATEGORIES ~ a. FIRE ~ b. REA~IVE ~ c PEESSU~LEASE D d. ACUTE HEALTH ~. CHRONIC HEALTH DALLY I 21 ] MAXIMUM I ]CODE : DAILY AMOUNT ~ . 21~ ~NNUAL WASTE I t t ISTATE WASTE [AMouNT UNITg'. a. GAL ~ b. CU ~ ~ c. LB~ D d, TONS ~ IglTE ' 223 STORAGE CONTAINER [] m. GLASS BOTTLE ~ q. PAIL CAR (Ch~ck ali that apply) ~ a. ABOVEGROUND TANK ~ · PLASTIC/N~NMETALLIC DRUM [] i. FIBER. DRUM [] b u~E~0~ou~ T^~ '~: cAH [] j. BAG [] ,. ~,t.,s'nc BOTTLE [] ,. o~E~ [] c. TANK IN. SIDE BUILDING [] G. CARBOY [] K. BOX [] ,o. TOTE BIN · ~ d. STEEL DRUM [] h. SILO [] I. CYLINDER [] P-TANK WAGON 224 , ... [] b. ABOVE AMBIENT [] c. BELOW AMBIENT:: )RAGE PRESSURE '~a. AMBIENT -' 'S~ORAGE TEMPERATURE ~xa. AM'BlENT -=: [] b. ABOVE AMBIENT .... [] c. BE~'OW AMI~EN~' [] d. CRYOGENIC 225 HAZARDOUS COMPONENT o~'""'-~"~' ~'~) EHS. CAS # %WT 226 230 234 · i 238 4', 242 5 [f /ttOl'e. htt=at'dott.~' coe, 231 227 228 CI YES ~. NO 232 [] yES ~ NO 235 236 [] YES [] NO 235 240 [] YES [] NO 244 243 [] YES [] NO off>o[. 229 233 ~37 2~1 ;,45 ,merits are presettt at greater tlu~n I% by weight if ttott-carcittogettic, or 0.1% I~y ts~eight if carc#togettic, att;ch additiotud sheets of paper capturi.g the required htformatiott. ?' 2n6 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 · ~, DES FORM 2731 (1199) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENT°RY - CHEMICAL DESCRIPTIO~N ' (one form per matertalper building or area) "* I. FACILITY INFORMATION:" BUSINESS NAt~ {Same as FAF..ItJ.I~ NAME ar DBA-Doing Business Asl . ' · ' '' U5 ·'. -' ~'I:tEMICAL LOCATION ' ' [ ~HEMICAL NA~E ' CAS # · ~[ CODE HAZARD CLASSES tComp/ete fft~ulred by CUPAI' tCHEMICAL LOCATION CONFIDENTIAL ' [] YEs~No EPCRA -- 201 203 I GRID # (optional} 202 2O4 HAZARDOUS MATERIAL TYPE ICheck one item onlyI =HYSICAL STATE ' (('heclt tm item only) FED HAZARD CATEGORIES (('~.~, at/ t/~ w~/y) AMouNT ~ UNITS* (Check one item oflJy) TRADE SECRET [] .YES"N~ NO 206 205 If Subject to EPCRA. rear m lnstm~iom 207 EHSe [] YES ~[.'NO ' 208 209 ,if EHS is .Yes,. alt amounl~ bdow must bo in lbs. I 2~o · 21~ RADIOACTIVE [] YES NO 212 I CURIES 2~3 []a. PURE ~[~b.'MIXTURE []c.W~.~ . ~_ ~k ' h~::. ....... ~ ~ - ~ :_ - 215 ~ a. FIRE ~ b. R~VE D c P~SU~ ~L~SE ~ d. ~ ~LTH~ =~C~NIC HEALTH I 21 J I MAXIMUM [ 21~ ~NNUAL WASTE '1 21 I I ~STATE WASTE Il ~22 l DAILY AMOU~ J ~ ~AMOUNT ~ O ~ ~CODE : ~ 2~ STORAGE CONTAINER (Check all ~ apply) [] a, ABOVEGROUND TANK '~'N~- PLASTIC/N~JNMETALLIC DRUM '""~. TANK II~I~SIDE BUILDING ~ G. CARBOY . [] d. ~ D~UM [] h. smo [] i. Fm~ DRUM [] m: GLASS aoTtt~ [] .j. ~o D .. P~c no~ D r. o~. ~ ~ Box ~ o. ~ mN ~ L ~D~ ~ p. ~ANK WAGON 224 ,RAGE PRESSURE '~ a. AMBIENT [] b. ABOVE AMBIENT .Cf C. BELow AMBIENT... [] b. ABOVE'~'aB~Esrr'' [] ~. BELOW AMB~:' ~ d. c~¥ooEN]c 225 "~)~GE TEMPERATURE ~a. AMBIENT' HAZARDOUS COMPONENT EHS'. CAS # ~ 226'1 230 4 !' 238 242 5~ 231 228 YES'~ Nb · 232 [] YES ~ NO 235 236 [] YES l'l NO 235 240 [] YES [] NO 243 244 , [] YES [] NO 229 233 245 , ittt:anlm&~ cot~ ~mtettt. y ar~ present at greater lhm, I% ~ u~i~tt ~t~inogeni~ or 0.1% by ~i~ht ~ittogeni~ ~~t ~dltiat~ .dteetz ofpa~r ~pturing the ~qui~d/t~;~tath;t~ ADDITIONAL LOCA~Y C0~CTED INFORMATION: : 13 ' ~, OES FORM 2731 (1199} HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per material per building or area) ~ ADD ~DELETE. I-i REVISE 200 Page I of~3 I. FACILITy INFORMATION B~SINESS N~.ME ISame as F~TY NAME or DBA-Doing Business As) 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 II, CHEMICAL INFORMATION CHEMICALNAME 205 ] TRADESECRET / 0 206  ~ YES N . COMMON NAME 207 EHs'~ ~NO' 208 CAS ~ 209 .......... FIRE CODE HAZARD CLASSES fComplete if required by CUPA) 210 HAZARDOUS MATERIAL ~ a. PURE ~ b. MIXTURE ~ c. WASTE 2~ ~ YES ~NO RADIOACTIVE 212 CURIES 213 TYPE /Check one item on/y) PHYSICAL STATE__~b 214 LARGEST CONTAINER~O~ 215 a'/'"~'"'i' ....... 6~ ; a. SOLID . LIQUID ~ c. GAS ~ ~ ~ . (Cl~,,.lalltl~t,pl,ly~ ~ a. FIBfi ~ b. REACTIVE ~'c PRESSU~ RELEASE . ~CHI[ H~[IH ~ e. CH ~IC -AVERAGE DAILY {~ MAXIMUM / ! 218~ ANNUAL wASTE -- I 21 ~ ~STATEWAS~E CODE . AMOUNT /~ OD e-~ ~DAILY AMOUNT ~O~O'~, AMOUNT~' ~DAYS ~-- ~ ~AL ~ b. CU~ Uc. LBS O 0 d. TONS j i ~SlTE ON 220~ (Check one item only) ~ ' ~ ' t-~ - '~T~RAGE CONTAINER ..... 223 (Ch~k all that apply) ~. ABOVEGROUND TANK ~ e. PLASTIC/NONMETALLIC DRUM ~ i. FIBER DE~ ~ m. GLASS BO~LE ~ q. ~IL CAE U b. U~DE~O~O~ TA~ Q [ CAN ~ j. SAG B ,. PLASTm ~O~LS ~ ~. OT.~ ~ c. TANK INSIDE BUILDING ~ O CA~OY ~ K. BOX ~ o. TOTEBIN ~ d. STEEL DK~ ~ h. SILO ~ I. C~DER ~ p. TANK WAGON .... STO~['F'~-g~[ ..... ~a . . AMBIENT ~ b, ABOVE AMBIENT ~ c. BELOW AMBIENT 224 TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMBI~T ~ c. BELOW AMBIENT ~ d. CRYOGENIC 22~ %WT HAZA~OUS COMPONENT aG, m~ ...... ~, o,,~) EHS CAS '; 226 · 227 228 229 ~ .... 230 - ~31 232 - 233 j 234 O~'' ' ' 235 236 237 ~ 238 ~ ~ 235 240 241 5 ~ 242 243 2~ 245 ~ ' B YES S NO ~lltore Jttt=tl~ot[~' ~'Otlt~Ollelll.r tire pre.~'elll fit grealer Illel ]% ~y wcighl euotl-carcJltngellic, tip 0.}% ~ weight ¢ca~inogeltic allaclt addilimutl sheet.~ fepuper coplllritlg the retlui~d ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OHS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per materialper building or area) [-] ADD t~DELETE [] REVISE 2oo Page ~ o~.~._ " I. FACILITy INFORMATION' BIt~SINESS NAv~IE [Same as F_.EAF,,~..~Y NAME or DBA-Doing Business As) 3 CHEMICAL LOCATION ~ CHEMICAL LOCATION ~ YES-- ~ No CONFIDENTIAL- I1. CHEMICAL INFORMATION CHEMICAL NAME 205 ] TRADE SECRET n YES m~,n 206  208 ' "- 207 EHS' ' NO COMr~N N E ~ YES ' ' FIRE CODE HA~RD CLASSES t~omplete if required by CUPAI' 210 :TYPE [Check one item onlyI ' '~' ' '"~'~IC~L STATE D ~ 214 LARGEST CONTAINER 215 ((,i~cgaHthutapply) ~ a. FIRE D b. REACTIVE D' c PRESSU~ ~LEASE . ACUTE HEALTH D c. RON C HEALTH AVERAGE DAILY CODE DAILY AMOUNT ~ O~ ~ ANNUAL WASTE (Check one item only) ~ "'STORAGE CONTAINER~ ..... 223 (Ch~k all that apply) ~a. ABOVEGROUND TANK ~ e. PLASTIC/NONMETALLIC DRUM ~ L FIBER DK~ ~ m. GLASS BO~LE ~ q. ~IL CAR . UNDERGRO~ TAN~ ~ ~. CAN ~ j. BAG ~ n, PLASTIC BO~LE ~ r. OTHE~ ~ c, TANK I~SIDE BUILDING ~ G. CA~OY ~ K. ~OX ~ o. TOTE ~IN ~ d STEEL DR~ ~ h. SILO ~ I, C~DER ~ p. TANK WAGON .... STORAG[-PRESSURE ~a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 .... STORAGE TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC 225 %WT HAZA~OUS COMPONENT a~ =~,~ ...... ,,,,,,~ EHS' CAS ' ~ 230 ~. 231 232 233 ~ 234 235 236 ,237 3 [ ~ YES ~ NO ~ 238 235 240 241 4 ; .~ YES ~ NO ~ 242 ~ 243 , 2~ 245 ,5 ~ ~ YES ~ NO ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OES FORM 2731 (1/99) HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTI°N ' (one form per m~terial per building or area) 200 ' Page '~ of t~ ADD ~__~ELETE II REVl~ . I. FACILITY INFORMATION ..... · B~SINESS NAJ~IE {Same as~r.~.l~'Y NAME or DBA-Doing Business As) ... :~ ~ CHEMICAL LOCATION CONFIDENTIAL- ~ YES NO EPCRA ' i!. CHEMICAL INFORMATION  206 205 ~ TRADE SECRET ~ YES NO ~HEMICAL NAME ~ i~ Subj~ m EpC~, refer to instmctlons ...... ~' . ~ YES O* _ 209 FIRE CODE HAZARD CLASSES (Complete if required by CUPAi HAZARDOUS MATERIAL ~ a, PURE ~b. 'MIXTURE ~ c. WASTE 2~1 ~ RADIOACTIVE ~ YES NO 2~2 CURIES 213 TYPE/Cheek one item onlyI 215 =HYSICAL STATE ~ a, SOLID b. LIOUID ~ c, GAS FED HAZARD CATEGORIES ~ a, FIRE ~ b. REACTIVE ~' c PEESSU~ ~LEASE ~ d. ACUTE HEALTH ~ ~ CHRONIC HEALTH . AMOUNT Check one item only) ~_L==- ..... ' ~ 223 ' '~ORAGE CONTAINER ~. ~ ~lb CAR (Check all that apply) ~ a. ABOVEGROUND TANK PLASTIC/NONMETALLIC DRUM ~ i. FI~E~DE~ ~ m. GLASS BO~LE q, ~ b. UNDERGEO~ TAN~ CAN ~ j. ~A6 ~ ~. PLASTIC BO~LE ~ r. OTHER ~ c, TANK INSIDE BUILDING ~ O. C~Oy ~ K. BOX ~ ~. TO'BIN ~ d. STEEL DR~ ~ h. SILO ~ I. C~DER ~ p. TANK WAGON ~ 224 .... STORA~[-PRESSURE ~. AMBIENT C b. ABOVE AMBIEN~ ~ c. BELOW AMBIENT 225 .... STORAGE TEMPERATURE ~a. AMBIENT D b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CRYOGENIC %WT HAZA~OUS COMPONENT ~ ~.~ ...... ~,.,/~) EHS CAS ~ : 227 229 . 228 . ....~ 234 ~ 235 236 3 t ~ YES ~ NO ~ 235 240 241 i 238 4 i ~ YES D NO .... ;__ 243 244 /45 5 ~ 242 '~ ~ YES D NO 246 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OES FORM 2731 (1/99) HAZARDOUS MATERIALS· HAZARDOUS MATERIALS INVENTORY-CHEMICALDESCmPT ON '(one form per m~terial per building or area) ADD ~' DELETE [] REVISE o~_.~__ I. FACILITY INFORMATION . .... .' 3 IS_SNAME {Same as F~ILITY NAME or DBA-Doing Business - 201 202 CHEMICAL LOCATION ~ CHEMICAL LOCATION CONFIDENTIAL- [] YES ENo II. CHEMICAL INFORMATION CHEMICAL NAME 20s ] TRADE SECRET ~ 206 t ~ YES~ NO COMMON NAME O 207 EHS* Q YES NO' CAS t *IrEHS is "Y~? all amounS below must be in FIRE CODE HAZARD CLASSES /Complete ffrequired by CUPA) 210 HAZARDOUS MATERIAL RADIOACTIVE 212 CURIES 213 ~ a. PURE ~b. MIXTURE Q c. WASTE ~ YES ~NO TYPE/Cheek one item only) ~ ' FED HAZARD CATEGORIES ' ~ 215 (c/~,'*,//~/,,~w,/,/y) ~ a. FIRE ~ b. REACT[VE ~ c PRESSU~ RELEASE ~ d. ACUTE HEALTH c. CHRONIC HEALTH UNITS' . GAL ~ b. CU~ ~c. L~ Dd. TONS ] j jStTE~5 [ (Ch~k one item only) 'STORAGE CONTAINER/ .... 223 (Ch~k all ~at apply) ~ a. ABOVEGROUND TANK ~e PLASTIC/NONMETALLIC DRUM ~ i. FIBER DRUM ~ m, GLASS BO~LE ~ q, ~IL CAR ~ b. UNDERG~O~ TA~~-- ~ r. CAN' ~ j. BAG ~ n. PLASTIC BOWLE ~ r. OTHER ~ c. TANK INSIDE BUILDING ~ G. CA~OY ~ K, BOX ~,o. TOTE BIN ~ d. STEEL DK~ ~ h. SILO ~ I. C~DER ~ p. TANK WAGON .... ~TORA~[-~'~'E-~-' . AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT ~ d. CEYOGENIC %WT HAZA~OUS COMPONENT a~ m~, ...... ~ ~,/~) EHS CAS ~ ~, 226 227 ' 228 229 ]*~ 230 ~ 231 . 232 233 j 234 . I -- ~ ' 235 236 3 I D YES D NO i 238 23s 2~ 24~ 4 ~ ~ YES ~ NO = 242 243 , 2~ 245 5 ~ I ' ~ YES ~ NO ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OES FORM 2731 (1/99) /" HAZARDOUS MATERIALSq HAZARDOUS MATERIALS INVENTORy. CHEMICAL DESCRIPTION . / (one form per material per building or area) I ~ ADD DELETE [] REVISE 200 ' ' Page -7 of~ I. FACILITy INFORMATION 'B~JSINESS NAME {Same a~,~TY NAME or DBA-Doing. Business As! " ' CHEMICAL LOCAf~ ', * 201 ~ CHEMICAL LOCATION 202  EPCRA ~ YES II, CHEMICAL INFORMATION ~HEMICAL NAME ~ YES N© 206 COMMON NAME If Subj~t to EPC~, refer m instructions ..... ~ YES CAS ~ ' *I~EHS is "Y~" all amoun~ below must be in lbs. FIRE CODE HAZARD CLASSES /Complete ff requk~ by CUPA) ' ' 210 HAZARDOUS MATERIAL ~ a. PURE /b. MJXTURE : c. W~,.~ 211 ~ RADiOACTiVE ~ 212 ~ CURIES 213 TYPE fChec~ one item onlyI ~ YES 0 PHYSICAL STATE ~ 214 ~RGEST CONTAINER FED HA~RD CATEGORIES · fC~,'~o////,~W,/,/y) ~ a. FIRE ~ b. REACTIVE ~c PEESSU~ ~LEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH 2~5 AVERAGE DAILY_ ~ 21 ~ ~ MAXIMUM ~ ] 218i ANNUAL WASTE AMOUNT - .... CODE '1 'STORAGE CONTAINER ~ [ ....... ~ ~ - 223 (Check all thai appl~) ABOVE'GROUND TANK ~ e PLASTIC/N~NMETALLIC DRUM ~ i. FIBEE DE~ ~ m. GLASS BO~LE ~ ~. ~IL CAR ~ b. UNDEEGEO~ TA~ ~ ~. CAN ~ ~. BAG ~ n. PLASTIC BO~LE ~ r. OTHEE ~ c. TANK I~SIDEBUILD NG ~ G, CA~OY ~ K, BOX ~ o. TOTEBIN ...... ~ d, STEEL DE~ ~ h, SILO ~ I. C~DEE ~ p. TANK WAGON .... STORAGE PRESSURE ~. AMBIENT ~ b. ABOVE AMBIENT ,g c. BELOW AMBIENT STORAGE TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMBI~T ~ c. BELOW AMBIENT ~ d. CRYOGENIC %WT HAZA~OUS COMPONENT ~ ~.,,,~ ~ ~.,.,/~) ~ EHS CAS ~ 226 2 ~ I · 231 232 233  ' ~ YES C NO 234 3j 235 236 237 ~ D YES D NO ~ 238 4 ~ 235 240 241 ..... ~-- ~ YES ~ NO J J g YES ~ NO Irt. ore hazardou.~ contpone.ts ure pre,~ent rtl greif/er/hart I ~ by ~'eig/~t ff tto.-carci~togetdc, or O. I~ ~y weight ff ca~'im~get#c, a/tach additio~utl .~heets tff puper c~tpturi, g dte required ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 OES FORM 2731 (1/99) ............ L,., ,~ v r'lv I Ul'i ¥ - CHEMICAL DESCRIPTION ........ ~ ,_ ' ~ nejorm per materialper buildin or ADD DELETE' [] ~ ~ · : g . ~a,) Page ITY NAME or DBA-Do{rig Business Asl . .~,.. CHEMICAL LOCATION  MAP # (optional) II. CHEMICAL NAME / FIRE CODE HAZARD C~ --- {Complete if required by CUPA) CHEMICAL INFORMATION 203 201 . · C~C~MICAL LOCATION 202 J CONFIDENTIAL. ~.~ ./~RID # (optional) 204 205 207 209 TRADE SECRET ~ YES ~'NO 206 ffSubjecl tO EPCRA, refer to instructions EH S * ' ' [] YES ~L'NO' 208 · IfEHS is ~y~... all'amounts below must be in lbs. HAZARDOUS MATERIAL TYPE/Chec~ ene item only) ~ a. PURE X b. 'MIXTURE [] c. WASTE PHYSICAL STATE (c~,.,.~,,,~,.,,,,,,,ly) [] a. SOLID / b. LIQUID [] c. GAS FED HAZARD CATEGORIES (C/,,','~ll~l~,/,/V~) [] a. FIRE [] b. REACTIVE AVERAGE DAILY AMOUNT UNITS* JNT (Check one hem only) GAL ~ b. CU FT ~ c. LBS-- 211 214 RADIOACTI~ r'-! YES LARGEST CONTAINER PRESSURE RELEASE ~ N~'"~ 2~_~'0RIES -- .... 213 215 STORAGE CONTAINER (Check all that apply) [] d. ACUTE HEALTH TE [] d. TONS [] e. CHRONIC HEALTH ;ODE ~ ON ! ISITE rE 215 STORAGE PRESSURE STORAGE TEMPERATORE %WT 226 230 234 4 238 5 242 ~ a. ABOVEGROUND TANK '~e PLASTIC/NONMETALLiC DRUM L~ b. UNDERGROUND TAN~K [] £ CAN c. TANK INSIDEBUILDING [] G. CARBOY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] j. BAG [] K. BOX [] I. CYLINDER __/.~. AMBIENT [] b. ABOVE AMBiENT /,,~.,~a. AMBIENT [] b. ABOVE AMBIENT HAZARDOUS COMPONENT o'~,.~., ADDITIONAL LOCALLY COLLECTED [] m. GLASS BOTTLE [] n. PLASTIC BOTTLE [] o. TOTE BIN [] 'P. TANK WAGON [] c. BELOW AMBIENT [] c. BELOW AMBIENT EHS 227 231 [] YES 235 236 [] YES [] NO 235 240 D YES [] NO 243 244 L_[= [] q. RAIL CAR [] r. OTHER ~ d. CRYOGENIC CAS # ~,. 224 225 229 233 237 241 [] YES [] NO 245 I% by sreighl if /u~n-carci/mgenic, or O./% by weigh/ifcttrcinogenic, alla~h ttddi/iotud .s'heet. s' t~f pupcr ctqmtring /itc, required il?fortnalicm. INFORMATION: 13 OES FORM 2731 (1/g9) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy. CHEMICAL DESCRIPTION (one form per mttterial per building or area) ADD DELETE [] REVISE 200 Page ~ I. FACILITY INFORMATION'. I~SINESS~iAME ($am~CILITY NAME or DBA-Doing Business Asl .... CHEMICAL LOCATION ~ 201 CHEMiCAl. LOCATION 202 f~O~(~ CONFIDENTIAL. [] YES ~No II, CHEMICAL INFORMATION CHEMICAL NAME 205 I TRADE SECRET S~N~ 206 ......... -J __ IfSubjm to EPC~, refer to instructions COMMON NAME 207 E~S' 208 CAS g 209 FlflE CODE HAZARD CLASSES IComp~ete if required by CUPA) 210 HAZARDOUS MATERIAL ~ a. PURE b. MIXTURE ~ c. WASTE 2~ RADIOACTIVE 212 CURIES 213 TYPE /Check one item on/y) ~ YES NO ~Ch,.~.*,,,# ....... 6~ ~ a. SOLID~. LIQUID ~ c. GAS 2~s FED HAZARD CATEGORIES 215 ¢(v~*,.*,///~/,/,/,/y) ~ a. FIRE ~ b. REACTIVE ~ c PEESSU~ RELEASE ~ d. ACUTE HEALTH ~ c. CHRONIC HEALTH AMOUNT ~O~~ ~ } ~ ~ 0 CODE '. ' AMOUNT UNITS' ~ ~ ~SITEI ~DAYS ON (O,~c,o,~it .... ly) ~a. GAL ~ b. CU~ ~ c. ~S ~ d. TONS .... ~ORAGE CONTAINER ~ [=  p ...... 223 (Ch~k all tha~ apply) ~ a. ABOVEGROUND TANK LASTIC/NONMETALLIC DRUM ~ i. FIBER DE~ ~ m. GLASS BO~LE ~ q. ~1~ CAE ~ b. UNDEEGEO~ TAN~ ~ ¢. CAN ~ j. BAG ~ n. PLASTIC BO~LE ~ r. OTHER ~ c. TAN~ ~NS[DE ~U~LD~N~ ~ G. CA~OY ' ~ Z. SOX ~ o. TO~ mN ~ d. STE~L D~{ ~ h. roLO ~ L C~mDE~ ~ p. TANK WAGON .... STORAGE PRESSURE. ~. AMBIENT ~ b. ABOVE AMB[ENT ~ c. BELOW AMBIENT 224 .... STORAGE TEMPERATURE ~ AMBIENT ~ b. ABOVE AMBIENT ~ c. BELOW A~BIENT ~ d. CRYOGENIC 225 %WT ,. HAZA~OUS COMPONENT ~ ~,~ ...... ~, o,,/~) EHS CAS ~ ~ 226 2 ~ 230 ~ ~- -, 231 232 233 ...... 2 ~ YES ~ NO [ 234 3 ! 235 ~ 236 23~ ~ E YES E NO i 238 4 ; 235 240 241 ' D YES ~ NO 5 ~ 242 243 , 2~ 245 ~ D YES D NO If nlo~ Iutza~ou.v cotuptme.t.~' ore pre.*'ettt at greater than I% by weigh/~11ett-ca~'itlagettic, or O. I~ by weight ~ca~iltogettic. al/ach addilio.al.s*lleets t~paper copluritlg tile required ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 13 OHS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy - CHEMICAL DESCRIPTION (one form per material per building or area) ADD [] REVISE 2o0 Page l J I. FACILITy INFORMATION ' . BL[SINESS NAJ~IE [Same asF~Y NAME or DBA-Doing Business Asl 3 CHEMICAL LOCATION ~ 7 201 CHEMICAL LOCATION 202 II. CHEMICAL INFORMATION CHEMICAL NAME 205 ~ TRADE SECRET . ~ ~ ........... ~ If Subj~ lo EPC~, refer to instructions COMMON NAME 207 EHS' . 209 ........ .. !_.~DD ' ~' ~_ , 'ltEHSis'Y,."a[lamoun, below must be in lbs. FIRE CODE HA~RD CLASSES IComplete if required by CUPAI 2~ 0 HAZARDOUS MATERIAL ~ a. PURE~ ~b. MIXTURE ~ c. WASTE 2~ i RADIOACTIVE ~ YES ~NO 2~2 CURIES 2~3 TYPE lCheck one item onlyI I~ I PHYSICAL STATE ~ 214 LARGEST CONTAINER 215 ~C~.~.~,,,~,.~,,,I~ ~ a. SOLID b. LIQUID ~ c. GAS FED HAZARD CATEGORIES 215 (c~,,.**//#~,/,/y) ~ a. FIRE ~ b. REACTIVE ~' c PRESSU~ RELEASE ~ d. ACUTE HEALTH ~ c. CHRONIC HEALTH AVERAGE DAILY _ { 21 MAXIMUM ~ 218~ I ANNUAL WASTE AMOUNT ~4~ q~. I I 21 ) }STATE WASTE CODE iDAILY AMOUNT ~ I O D ~, IAMOUNT _ ~ !! iSITEDAYS ON ~-~NITS' ~ ~a GAL ~ b. CU ~ ~ ~. LBS U ~ d. TONS (Check o~c item only) ' -- ' S~ORAGE CONTAINER ..... 223 (Ctmck all thai apply) ~. ABOVEGROUND TANK ~ · PLASTIC/NONMETALLIC DRUM ~ i. FIBEE DE~ ~ m. GLASS BO~LE ~ q. ~IL CAE ~ c. TANK I~SIDEBUILDING ~ O, CA~OY ~ K. BOX 0 o. TO. BIN ~ ' -.-~ ~ d. STEEL DE~ ~ h. S[LO ~ I. C~DEE ~ p. TANK WAGON ~TORAGE PRESSURE ~a. AMBIENT ~ b. ABOVE A~BIENT ~ c. BELOW AMBIENT. 224 STORAGE TEMPERATURE ~a. AMBIENT ~ b. ABOVE AMB]~T ~ c. BELOW AMBIENT ~ d. CEYOGEN]C 225 %WT .~ HAZA~OUS COMPONENT ~,, ..... ,,~,,,/~ EHS CAS '. 226 227 228 229 230 ~. ~ . ~ 238 ~ I 235 .240 241 4; : D YES 0 NO 5': 242I 243. 2~ 245 ~ I 0 YES ~ NO l~marc ha=ardm~s core. mc. Is ~re pre.~'e~l al ~r~ler Ih~. 1% ~ ~rei~hl ~n~.-c~rcim~.ic, or O. i% ~ weighl ~c~i.e~ic, ~ll~ch ~ddilio.al .~'h~ls ~pupur copluri.~ thc rcqui~d ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OHS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per m~tterial per building or area) ADD DELETE REVISE 200 Page ~ of~.._ I. FACILITy INFORMATION. . 3 BIiJSINESS NAI~ (Same as F~..,~.,,~AME or DBA-Doing Business As) -- ~ t 201 202 --C'HEMICAL LOC'"~'ION ~ . . CHEMICAL LOCATION II. CHEMICAL INFORMATION N 206 CHEMICAL NAME 205 ! TRADE SECRET ~j YES ' ~ 0 v . .2o7 EHs· COMMON NAME [] YES NO ' 209 '" ~' ' ...." CAS # *If EHS is "Yes," all ~,moun~ below must be in lbs. FIRE CODE HAZARD CLASSES tComplete if required by CUP,41 · RADIOACTIVE 212 CURIES 213 -~,Z--A-~US MATERIAL [-i a. PURE ~-b."MIXTURE [] c. WASTE 21~ [] YES,,"~NO TYPE/Check one item on/y) 215 (Cl,,.,.~,,,,~t,.,,,¢,,,/r) [] a. SOLID '~b. LIQUID [] c. GAS .. ............ 215 FED HAZARD CATEGORIES IQ HEALTH (ci,,,,*,~//ti,,~w,/,O,) [] a. FIRE [] b. REACTIVE .,'-I c PRESSURE RELEASE [] d. ACUTE HEALTH AMOUNT , DAILY AMOUNT AMOUNT CODE , · DAYS ON' UNITS' 0 ";~-a. GAL ~ b. CU FT [] c. LBSu [] d. TONS ] i iSITE (Check one item only) i ' CONTAINER (Chcck ail that apply) ~ a. ABOVEGROUND TANK ~ PLASTIC/NONMETALLIC DRUM [] i. FIBER. DR.UM [] m. GLASS BOTTLE ~ q. PAIL CAR ~ b. UNDERGROUND TANK [] £ CAN" [] j. BAG [] n. PLASTIC BOTTLE ~ r. OTHER [] c. TANK I~SIDE BUILDING [] G. CAR.BOY \ [] K. BOX []~°' TOTE BIN r~, d. STEEL DRUM [] h. SILO [] I. CYLINDER . [] p. TANK WAGON 224 SToRA~[*PRESSURE ~'~a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 225 .... STORAGE TEMPERATURE %a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT rto-~t,,r.,,~-.~,~,/)'~ EHS CAS # - ~ 230 231 232 233 ..... ~ 234 i' ~' 235 236 237 3 I [] YES [] NO i 235 240 241 i 238 4 ~ [] YES [] NO ..... ~-- 243 : 244 I 245 5 i 242 ] [] YES [] NO If more ha=ardott.~' ¢¢..po.e.ts are pre.~'ettt at greater than 1% by weight ~ .o..earcinoge.ic, ~ O. 1% by weight if carci.oge~ic, attach additio.al sheets ~p~pcr capturi, g the required 245 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OES FORM 2731 {1199) ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one form per mttterial per building or area) DELETE [] REVISE 200 Page I_~ of~L- I. FACILITy INFORMATION · , B SINESS NAME [Same as F~.JI. IT¥ NAME or DBA-Doing Business As) 3 CHEMICAL LOCATION~ t 201 CHEMICAL LOCATION 202 L~_' ~'CtlT~' EPcRACONFIDENTIAL' DYES ~k~NO II. CHEMICAL INFORMATION CHEMICAL NAME 205 ] TRADE SECRET ~ YES ~N~ 206 8d~t~N NAME ~ D 207 ~ EHS' B YES ~NO' 208 CA~ 209 FIRE CODE HAZARD CLASSES )Complete ff required by CUPA) 210 213 HAZARDOUS MATERIAL ~ a. PURE ~b. MIXTURE ~ c. WASTE 2~ RADIOACTIVE ~ YES ~NO 212 CURIES TYPE (Check one item only)~ ~ PHYSICAL STATE 214 LARGEST CONTAINER ~ ~ ~ C~ '' a'/wc~,,,iw,,,o,,/~) ~ a. SOLID ~b. LIQUID ~ c. GAS 2~s FED HAZARD CATEGORIES ~ 215 (cl,,,,.~. ,// o, at~,/,/~) ~ a. FIRE ~ b. REACTIVE ~' c PRESSU~ ~LEASE ~ d. ACUTE HEALTH c. CHRONIC HEALTH . CODE AMOUNT ~. [DAILY ~.~OUNT AMOUNT O [ ~DAYS ON UNITS' U ~. GAL ~ b. CU ~ ~ c. LB~ ' ~ d. TONS I j ~SITE (Check one item only) "'~ORAGE CONTAINER ..... 223 (Ch~k all that apply) ~a. ABOVEGROUND TANK~e PLASTIC/NONMETALLIC DRUM ~ i. FIBERDR~ ~ m. GLASSBO~LE ~ q. ~ILCAR ~ b. UNDEEGEO~ TAN~ CAN ~,j. BAG ~ n. PLASTIC BO~LE ~ r. OTHER ~ c. TANK INSIDE BUILDING ~ G. CA~OY ~ K. BOX ~ o. TO. BIN ~ d, STEEL DR~ ~ h. SILO ~ I. C~DER ~ p. TANK WAGON STORA~'6~-'-~a. AMBIENT D b. ABOVE AMBIENT E c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AM'BlENT ~ b. ABOVE AMBIENT ~ c. BELOW AMBIENT E d. CRYOGENIC 225 %WT HAZA~OUS COMPONENT ~or mlxt ...... '~'"'0~ EHS. CAS " ' ~ ...... 230 231 232 233 ~ 234 I ~ I ~ ~ J 235 236 237 I D YES D NO ~ 238 235 240 241 4 ~ : ~ YES D NO J~ 242 243 ~ 244 245 5: I ~ C YES ~ NO ~/uore ha~a~m~' com~onenlx are presen/ al ~realer /lum /~ ~ wci~hl ~mm-c~'im~nic, or O. I~ ~ w~i~hl ~ca~ino~¢nic, all.ch ~E~iliona/.vh~¢ls ~pup¢r capluri.~ thc r¢quir~ ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OES FORM 2731 (1/99) ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy. CHEMICAL DESCRIPTION (one form per m=terial per building or area} DELETE CI REVISE 200 ' Pagano of ' I. FACILITY INFORMATION.. · B~SINESS _.i NA, J(1E (Same a$~...~-u_~lTy NAME or DBA-Doing. Business CHEMICAL LOCATION , ACILITY ID #1;,I. 1'~12 ff,_l"~!.~l .I _ 1_1 · .~ '~il~JMAP # (optional) ,~-!/I,':'looiqcl q / I'/I o ~ .:..:::: :..;:-:::'r " I!, CHEMICAL INFORMATION CHEMICAL NAME 203 201 CHEMICAL LOCATION CONFIDENTIAL. '~ EPCRA [] YES NO GRID # (optional) 202 2O4 COMMON NAME CAS # FIRE CODE HAZARD CLASSES IComl31ete if required by CUPA] 205 207 209 TRADE SECRET [] YES '~ NO Ir Subjec~ to EPCR~, refer to instmctlons 206 EHS' [] YES'~NO' 2Ge 'It' EHS is"Y~s," all amoun~ below must be in lbs. 210 HAZARDOUS MATERIAL [] a. PURE '~b. MIXTURE [] ¢. WASI'E 211 I RADIOACTIVE ~ 212 TYPE/Check one item onlyI :: ~ YES . NO PHYSICAL STATE 214 ~RGEST CONTAINER (('~,.~,~,~,.=,~,/y) ~ a. SOLID ~b. LIQUID ~ c. GAS. FED HA~RD CATEGORIES ~:/~.~=t/~=~,t~) ~ a. FIRE ~ b. REACTIVE ~'c PRESSU~ ~LEASE ~ d. ACUTE HEALTH . DAILY AMOUNT Il ~ ~. I IAMOUNT UNITS" , O (O~oneit~enly) GAL ~ b. CU~ D c. LBS~ D d. TONS ~ "'~ORAGE CONTAINER CURIES 213 215 [] c. CHRONIC HEALTH 215 I ISTATE WASTE Ii = l C°DE :' r ' DAYsON . i[ 22°I ISlTE~.i~ ~,~' l- '~ (Check all that apply) STORAGE PRESSURE L.~ a. ABOVEGROUND TANK '~e. PLASTIC/NCiNMETALLIC DRUM [] b. UNDEROROUNDTAN~ U £ 'CAN' ~ c. TANK IN. SIDE BUILDING [] O. CARBOY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. PAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] .. OTHER [] K. BOX [] o. TOTE BIN [] I. CYLiNDER [] p. TANK WAGON '~a. AMBIENT ....... i-]. b. ABOVE AMBIENT .. [] c.. BELOW AMBIENT.. 223 224 -' STORAGE TEMPERATURE ~ a. AMBIENT [] b. ABOVE AMBIENT ..... [] c. B-Ei:~W AMbiEN'~' [] d. CRYOGENIC 225 %WT~ 226 · 230 234 HAZARDOUS COMPONENT ~ EHS. CAS # [] YES ~N0 5~Lq~ 232 I ' [] YES [] NO 238 ~] YES [] NO 235 / 238 235 240 [] YES [] NO 242 243 . 244 [] YES. [] NO If mare hacardott.~' contpo~,tt/.v are pre.~'et:/ tit greater titbit I ~ by weight if tte/t-carcittogettiCo or O, I% by ~eight if carcittoge~tic, a/tacit add/t/cma/ .dteets of paper captttrittg the ret#tired iltfor#ltttitm. T' 229 233 237 241 245 ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 13 ~' ' OES FORM 2731 (1/99} HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy -.CHEMICAL DESCRIPTION '(one.form per material per building or area) ADD DELETE. [] REVISE 200 I. FACILITY INFORMATION' IBySINESS N,~ME {Same as FACIUTY NAME or DBA-Doing Business Asl . ICHEMICAL LOCATION ~ II. CHEMICAL INFORMATION 203 201 CHEMICAl. LOCATION CONFIDENTIAL. [] YES '~No EPCRA 3 202 tGRID # Ioptional) 204 CHEMICAL NAME 205 COMMON NAME 207 CAS # 209 "I~i~ CODE HAZARD CLASSES fComplete if required by CUPAJ TRADE SECRET. [] YES '~ N© 206 If Subject m EPCR. A, refer to instructions EHs*, 208 [] YES 'It'PHS is "Yes," all amounts below must be in lbs. 210  211 RADIOACTIVE TYpEHAZARDOUS(check oneMATERIALitem onlyI [] a. PURE b. MIXTURE [] c. WASTE 214. PHYSICAL STATE ~' a. SOLID '~b. LIQUID [] c. GAS . LARGEST CONTAINER [] YES ~,NO 212 I CURIES 213 FED HAZARD CATEGORIES fl:t=,*=ll,t=l~/~ty) · [] a. FIRE [] b. REACTIVE [~ c PRESSURE RELEASE [] d. ACUTE HEALTH AVERAGE DAILY ~.. ~_ I 21 I MAXIMUM L 218] L~NNUAL WASTE AMOUNT ~ '~ ~=.~.. t ~(~ . f DAILY AMOUNT J ~--~--~' t I~MOUNT UNITS' (J ~a. GAL ~ b. CU ~ ~ c."LBS U ~ d. TONS 215 [] ¢. CHRONIC HEALTH 215 STATE WASTE ' 22 C°DE I IDAYSON i 220~ lSaTE STORAGE CONTAINER (Check ali that apply) ~ a. ABOVEGROUND TANK ~"~e. PLASTIC/N(~NMETALLIC DRUM i-l'b. UNDERGRoUNDTANI([]~. CAN ~' c. TANK IN. SIDE BUILDING [] G. CARBOY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE ~ q. PAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER. [] K. BOX [] o. TOTE B~ [] I. CYLINDER []'p. TANK WAGON 223 STORAGE PRESSURE ;~a. AMBIENT ........ [] b. ABOVE AMBIENT [] c. BELOW AMBIENT.. 224 STORAGE TEMPERATURE' ~':a. AM'BlENT ~- .r~ b. ABOVE AMBiENT .... [] c. BEi~-OWAMB-~EN~' [] d. CRYOGENIC 225 %WT- .. HAZAKDOUS COMPONENT ~f~=t=,,~,~.=,~,/~) EHS'. CAS # ! 226 227 229 . 230 2i 234 231 228 [] YES [] YES [] NO 233 235 236 237 [] YES [] NO 238 235 241 242 240 [] YES [] NO 243 244 [] YES [] NO If more/tt~ardot~' cot.patteat.~' are present al greater 1t/all 1% 5y weight if ltoa-carcitmgeltic, or O.I ~ by ~ight ~ carc/nogeaic, a/tach add//Jo.al.~heel.~ t~puper capluritlg lite required it/form/trial/. 245 ADDiTiONAL LOCALLY COLLECTED INFORMATION: 246 13 DES FORM 2731 (1/99} HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY ·- CHEMICAL DESCRIPTION (one form Per material per building or area} [] ADD DELETE [] REVISE =oo ' e.ge,35 I· ' . ' '- · I. FACiLITy INFORMATION~ '.' B, USINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) · '~'~EMICAI. LOCATIbN ' 3 201 CHEMICAL LOCATION ~ 202 ICONFIDENTIAL- [] . I EPCRA _ YES No YAc LW lO ~1,.,I, I%:1 I- f.-, I~¥:1. I. I,,I _l-,] I' .~'~;il MAP # (~pi';ona,I F~-] t 1~ OlOtOlOlOl! fi-ti Ol/I I.:.:'; :.';~:::il Ii. CHEMICAL INFORMATION CHEMICAL NAME GRiD # {optional) 205 207 TRADE SECRET ,~, yEs ~.:NO If Subject to EPCRA, refer to instructions EHs* r~ YES ~'NO' 2o4 2o6 208 CAS # : *It' F..HS is"Yu," all amonn~ below must be in lbs. ' '~ 210 ' FIRE CODE HAZARD CLASSES [Complete ff required by CUPAJ' HAZARDOUS MATERIAL '~ a. PURE I"1 b. ·MIXTURE [] c. WASTE 211 [ RADIOACTIVE [] YES ~3,,..NO 212 CURIES 213 TYPE [Check one item onlyJ ' 215 ~ a. SOLID ~ b. LIQUID [] c. GAS 214 LARGEST CONTAINER ~ ~4.-~ ~ '-~ '215 b. REACTIVE ~ c PRESSURE RELEASE [] d, ACUTE HEALTH ('~ ¢, CHRONIC HEALTH PHYSICAL STATE (('l~cl~ t#m idem cmly) FED HAZARD CATEGORIES ((Tteck all that AVERAGE DALLY AMouNT UNITS' (Cl~ck one irma only) [] a. FIRE '~ I 21j MAXIMUM D^,LY AMOUNT a. GAL 7!, b, CU FT ~)[ ,,.j ANNUAL WASTE AMOUNT ~ c. LBS D d, TONS 211 "'~T'ORAGE CONTAINER ~ a. ABOVEGROUND TANK % e. PLASTICINC~NMETALLIC DRUM [] ~. UNDE~0ROU,~ T^~ [] r. CAN [].c. TANK I~SIDE BUILDING ~ G. C~OY ~ d. STEEL DR~ ~ h. SILO liSTATE WAS'~ IcODE : /DAYS &"' i _~' 223 [] i. FIBER DRUM [] m. GLASS BOTTLE ~ q, RAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] rl OTHER [] K. BOX [] o. TOTE BIN [] I. CYT~IHDER [] p. TANK WAGON 224 ~RAGE PRESSURE '~a. AMBIENT -.. [] b. ABOVE AMBIENT . [] c.. BELOW AMBIENT:: .,' .....~: -' 'S~RAGE TEMPERATURE "~a. AMBIENT [] b. ABOVE AMBIENT [] c. BEi~'OW AMI~iEN~~ C~ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT 0~=l,*.,~.~,eo,,~) EHS. CAS # 227 228 229 226 ~30 2 238 ~j~ ltlore htt~lrdolL%' Coil 231 [] YES' NN0 232 [] YES [] NO' 233 235 236 237 [] YES [] NO 235 240 241 . [] YES [] NO ?45 243 244 [] YES [] NO ument.~' are present at greater than I% by weight if tton-carcinogenic, or 0.1% by weight if carcinogenic, a/lach additi~ttal sheet.~' of paper capturi,g the requtred tt~rmatum. 2~s ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 DES FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION (o~e form per mOterial per building or area) [] ADD OELETE [] REV,SE 200 C ' . ) Page ' :' I. FACILITY INFORMATION ~ ':.' ......... BL~SINESS NAME {Same as F_~;;IUTY HAME or DBA-Doing Business As) :HEMICAL LOCATION .. 201 ·CHEMICAL LOCATION ~'~ 202 CONFIDENTIAL- [] YES NO EPCRA 203 GRID # Ioptional) ' ., 204 : il. CHEMICAL INFORMATION CHEMICAL NAME 205 207 TRADE SECRET [] YES'~ NO 20E Il'Subject to EPCRA, refer to insmactions EHS° [] YES''NO' 2o8 CAS # : 209 *If EHS is"Yes," all amounts below must be in FIRE CODE HAZARD CLASSES fComplete If required ay CUPAI . 2'10 HAZARDOUS MATERIAL %a. PURE [] bl MIXTURE I-I c. WASTE 211 RADIOACTIVE [] YES '~NO 212 CURIES 213 TYPE ICheck one item only) :- .... ' ....... ~ 214 R~ ~ a, SOLID b. LIQUID [] c. GAS . LARGEST CONTAINE ~,l.~_~V,3_~,.~ .-:_" ". [] a, FIRE [] b, REACTIVE ~ c PRESSURE RELEASE ' [] d, ACUTE HEALTH {~ ¢. CHRONIC HEALTH PHYSICAL STATE (~ 'latck tm ~:~m ~mly) FED HAZARD CATEGORIES (~ 7~,'ck dl tidal ~ply) AVERAGEDAILYAMoUNT ~ -~ [21[ I MAXIMUM ~ L 2181 ANNUAL WASTE ' I DAILY AMOUNT AMOUNT UNITS' ~.a. GAL [] b. CU FT [] c. LBS [] d. TONS (Cl~-w.k one i~em only) I =l I I ISTATEWASTE · ! CODE _;.. IDAYS ON ' i !SITE .., .,L 220 STORAGE CONTAINER (Ch~ck ~11 ~at apply) [] a. ABOVEGROUND TANK ~. PLASTIC/NONMETALLIC DRUM [] i. FIBER. DRUM [] m. GLASS BOTTLE ~ q. RAIL CAR [] b. UHD£~O~OU~ TA~ [] r. c^~ [] j. BAG [] .. ~L~STIC BO~L£ [] .. OT.E~ ~ c. TANK I~SIDE BUILDING ~ O. C~OY ~ K. aOX ~ o, TO~ BIN ~ d. STE~ DR~ ~ h. SILO D I. C~DER ~ p. TANK WAGON 223 : PRESSURE ~ a, AMBIENT .... [] b, ABOVE AMBIENT [] c,.·BELOW AMBIENT.:: 224 STORAGE TEMPERATURE '~ a. AMBIENT [] b. ABOVE AIVlBIENT [] c. BElow AMB'iEN~' [] d. CRYOGENIC 225 %WT' HAZARDOUS COMPONENT 0~.~,.~.~,,. ~. o,,/~1 CA S # 226 230 I 234 238 242 EHS'. 227. ir-lYES '~N(?s 231 232 [] YES [] NO 235 236 [] YES [] NO 235 24O 'f-] YES [] NO 243 244 [] YES* [] NO 229 233 237 241 245 nmentx are presettt at greater than I% by weight if non-carcb~ogenic, or 0.1% b.v u~ight if carcinogenic, a/tach additiottttl sheets t~paper capturiag the required itt. forntation. ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 13 · ; DES FORM 2731 (1/99! [] ADD HAZARDOUS MATERIALS HAZARDOUS -MATERIALS INVENTORY .- cHEMICAL DF$CRIl rION (one form per material per building or area) XDELETE' [] REVISE :200 Page~ I of~_ I. FACILITy INFORMATION,' IUSINESS blAME (Same as__E~CILITY NAME or DBA-Doing Business Asl . ..} t...z.... O'Lc, I',J. SA,-LL CHEMICAL LOCATION ' '..' i ':% , .'J~l,~' MAP # ~ptional) II. CHEMICAL INFORMATION 201 CHEMICAL LOCATION 202 CONFIDENTIAL- ~-i YES%No EPCRA -- 203 I GRiD # (optional) 204 CHEMICAL NAME ._ ' COMMON 205 207 209 TRADE SECRET. ?, YESh' NO 206 If Subject to EPCRA, refer to instructions EHS* [] YES I[~,'NO' 208 'IFENS is "Ym," all amounts below muat be in ib~. FIRE CODE HAZARD CLASSES IComplete if required by CUPAi [] a. PURE '~,,b. MIXTURE [] c. WASTE HAZARDOUS MATERIAL TYPE ICheck one/tam anlFI ' 214 210 PHYSICAL STATE FED HAZARD CATEGORIES AVERAGE DAILY AMOUNT UNITS* (Check one itam only) ~ a. SOLID ~b. LIQUID [] c. GAS [] a. FIRE % b. REACTIVE ~ c PRESSURE RELEASE [] d. ACUTE HEALTH l2,11.MAXIMUM %L 2181 ANNUAL WASTE I DALY AMOUNT AMOUNT I O Ua. GAL [] b. CUFT []c. LBS [] d. TONS I RADIOACTIVE [] YEs 0 212 CURIES 213 LARGEST CO,TA, NE, -:: . 2,, (~ c. CHRONIC HEALTH. ' 2~5 I 2, I STA EWAS · CODE _!. DAYS ON .. i :220} I ISITE '21 _.,~"'"" - STORAGE CONTAINER (Check all that apply) ~ n. ABOVEGROUND TANK I~e. PLASTICIN~NMETALLIC DRUM ' [] i. FIBERDRUM [] b. UNDERGRO~ TANK [] f. CAN' [] j. BAG ~' c. TANK IN. SlOE BUILDING [] 'O. CARBOY [] K. BOX ~ d. STEEL DRUM [] h. SILO [] L CYLI~IDER [] m. GLASS BOTTLE [] n. PI..ASTIC BOTTLE [~ o, TOTE BIN [] p. TANK WAGON ~-~ q, RAIL CAR [] r. OTHER a 224 -'~;TORAGE PRESSURF . AMBIENT [] b. ABOVE AMBIENT [] c.. BELOW AMBIENT: ..... STORAGE TEMPERATURE· ~'~a. AMBIENT -'- [] b. ABOVE AMBIENT [] c. BE~W AMi~iEN~' ~ d. CRYOGE~iC 225 ' %WT HAZARDOUS COMPONENT o~=~.,,,~ .~e ~,,/~) EHS'. CAS # ': 22~ 229 223 : 1 226 :25O 234 231 235 _ 228 [] YES '~ NO 232 ~[~YEs i-INO 236 '~'YES [] NO 233 241 238 235 240 4 . [] YES [] NO 242 . 243 244 245 5 [] YES- [] NO If mare Itt~:ardo~&' contpo,ettL~' are preseltt al greater Illtm I% by ll'eighl if ttoo.carcinogettic, or 0.1% by ~ight if carcitmge~ti~ a//ach add#/alta/sheet.~, o/paper capturi, g lite required ittfttrmatiott. ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 DES FORM 2731 (1/99) ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy- CHEMICAL DESCRIPTION · , (one form per materialper building or area) DELETE [] REVISE 2o0 Page,~?3 of{ I. FACILITy INFORMATION B~ISINESS NAME {Same aj.E&~ILITY NAME or DBA-Doing Business As) . CHEMICAL LOCATION ~ FACILITY ID #l~l".'.'f-,' ?::i '1 , '.:~¥J ~AP # (op~o.on · l~z. / I;%':1OlO!OlOl ot / IL/.I o1~.1 I:.:':;: ,.;:~::iJ II. CHEMICAL INFORMATION CHEMICAL NAME 203 201 CHEMICAL LOCATION CONFIDENTIAL- [] YES ~ ~0 E~C~A IGRID # (optional} 2o2 2o4 _~ ~'~.~ 20S TRADE SECRET [] YES '~ NO 20S COMMON NAME 207 EHS' ~ YES 'NO ' . 209 ., "~ CODE HA~RD C~SSES /Complete if ~uired by CUPAI 210 213 215 215 STATE WASTE CODE _!. / DAYS ON 220 ~ t. HAZARDOUS MATERIAL ~, PURE [] b. MIXTURE ~ c. WASTE 211 RADIOACTIVE 212 CURIES TYPE IChec~ one item o~1}0 _' [] YES NO PHYSICAL STATE 214 I LARGEST CONTAINER ¢C~,-,,,,,,..,~,1~,~ ~ a. SOLID ~ b. LIQUID ~ c. GAS . ,~ ~~ FED HA~RD CATEGORIES ~b ~r/~.,~/t~/~/y) ~ a. FIRE .REA~IVE ~'c P~SSU~LEASE D d. ACUTE HEALTH ~ c. CHRONIC HEALTH AVERAGE DAILY I 21 I ~ MAXIMUM ~ ~ 218~ ANNUAL WASTE . AMouNT ~ I DALLY AMOUNT I- AMOUNT . O UNITS' (~oaeltem 0nly) i~' GAL ~ b. CU ~ ~ c, LBS ~d, TONS I STORAGE CONTAINER (Check all that apply) ABOVEGROUND a. TANK ~. PLASTIClNdNMETALLIC DaUM ~ b. UNDErGrOUND TAN~ [] r. CAN ~ c. TANK I~SIDE BulLDoG ~ G. C~OY ~ d: STE~ DR~ D h. SILO [] i. FIBER. DRUM [] m. GLASS BOI"TLE ~ q. RAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER. [] K. BOX [] o. TOTE BiN [] I. CYLINDER [] 'p. TANK WAGON 223 .... ~;ToRAG-~'PRESSURE ~'k,a. AMBIENT ...... [] b. ABOVE AMBIENT f-[ c. BELOW AMBIENT. .224 · . STORAGE TEMPERATURE '~a. AM'BlENT "- [] b. ABOVE AMBIENT .... [] c. BE~0w A~iEN~' S d. CRYOGENIc 225 %WT HAZA~OUS COMPONE~ ~=~ ~,..,/~) EHS I CAS fl ~ 226 227. 229 238 4; 242 5~ 231 235 235 243 228 'YES[] NO 232 F'] yES '~ NO 236 [] YES [] NO 240 [] YES [] NO 244 [] YES D NO 233 237 241 245 If mare ha:,ardot~v comtnment, v are presem at greater #tan 1% Ay ~reigh/ if ttott-carcittogettic, or O. 1% by meight if carcittoge~tic, attach addttiottal Mtegts of paper cctpturittg the required #tformatimt. ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 13 - ' ; OHS FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENT°RY - CHEMICAL DESCRIPTION (one form per m~terial per building or area) ADD DELETE [] REVISE· 200 .. Pf CHEMICAL LOCATION I1. CHEMICAL INFORMATION 201 CHEMICAL LOCATION I CONFIDENTIAL- [] ~NO I EPCRA . _ YES 203 ~_GRID # (optional} CHEMICAL NAME COMMON NAME 205 TRADE SECRET [] YES ~ NO 202 2o4 206 It' Subject to EPCP. A, refer to iustructlous 207 EHS' ['] YES '~'NO' 208 209 *If EHS is'Y~s." alt maounts below must be in lbs. 210 FIRE CODE HAZARD CLASSES tComplete ff required by CUPAf 213 HAZARDOUS MATERIAL [] a. PURE '~ b. 'MIXTURE [] c. WASTE 2~1 I RADIOACTIVE [] YES 0 212 CURIES 215 214 LARGEST CONTAINER [] C. (]AS . ~5 ~/f'~.(~ ' :- ~"' 215 [~ c p~su~ ~LEASE ~ d. ACUTE H~LTH ~ c. CHRONIC HEALTH  [ ~S~A~E WA~ Ii ~" AMOUNT 0 22~ TYPE ICheck one item onl~ PHYSICAL STATE (( 'l~ck (~ item Mdy) ~ a. SOLID "~ b. LIQUID FED HAZARD CATEGORIES [] a. FIRE 1'3 b. REACTIVE ([ 7~'k all tlwr apply) I 21J MAXIMUM AVERAGE DAILY ' .. DAILY AMOUNT UNITS' %a. GAL m_. b. CU FT (C3~eck one item only) STORAGE CONTAINER (Check all that apply) [] a. ABOVEGROUND TANK '~. PLASTIClN(~NMETALLIC DRUM [] b. UNDEROROU~'~ T^~ [] r. CA~ ~ c. TA~ I~SIDE BUILDING ~ G, C~OY ~ d. STE~ DE~ ~ h. SILO [] i. FIBER DRUM ~ m. GLASS BOTTLE ~ q. RAIL CAR [] j. BAG r'~ o. PLASTIC BOTTLE ~ r. OTHER [] ~c. BOX [] o. TOTE [] L CYL,INDF~ [] p. TANK WAGON 224 , _ . ~ b. ABOVE AMBIENT .[] c. BELOW AMBIENT-:: =~=-= PRESSURE ~. AMBIENT -* STORAGE TEMPERATURE' %a. AM'BlENT [] b. ABOVE AMBIENT [] c. BE~'ow AMBiEN¥ [] d. CRYOGENIC 225 EHS'. CAS # ~ ~ 229 %WT~ 228 .~. 226 230 234 i 238 4; : ~ . HAZARX)OU~S COMPONENT o~ m~,,,-,,' .~,"~'~) 227 235 235 243 232 lq YES ~,,NO 236 [] YES '~NO 240 [] YES [] NO 244 237 241 ?45 242 , [] YES [] NO 0. by weight if no,.carcbmg¢~tic, or 0.1% I~y .YHght if carci)Jogemc, att=ch addittottal .dteets of paper capturing the r~qmr~d tttfhrmat,m IK~a~otts COllt~)ttgttls u~ p~settl at g~ater #~tt I~ %' 246 ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 DES FORM-2731 (1/99) '. HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- CHEMICAL DESCRIPTIO~N · (one form per mttterial per building or area) ADD DELETE [] REVISE· 200 · P~ ~ " .. I. FACiUTY INFORMATION:.. . ...... "..- CHEMICAL LOCATION II. CHEMICAL INFORMATION CHEMICAL NAME ~0-MMON NAME CAS # · ~[ CODE HAZARD CLASSES tComplete if/equired by CUPAI' HAZARDOUS MATERIAL TYPE ~Check one item onlvl PHYS!CALSTATE' FED HAZARD CATEGORIES AVERAGE DALLY AMOUNT · UNITS' ¢C:1~-~ o~o i~m only) 203 201 ICHEMlCALLOCA13ON * ~ 202 C0NF~0EN~AL* · Fl YES NO EPCRA IGRID # (opH~a~ 204 205 207 209 TRADE SECRET [] YES ~ N© =0, If Subject to EPCP-JL re¢~ tn ins~iom EHS' I-] YES ~.*NO' 20s *It'EH$ i~ ~f~.. all aaouat~ bd~w i"1 a. PURE I"1'~. 'MIXTURE I'1 c. WASTE 211 RADIOACTIVE [] YEs ~.~NO · ......... U~ [] a. FIRE [] b. KEA~IVE ~ c PRESSUI~ R~LEASE' [] d. ACUTE HEALTH NIC HEALTH 210 213 215 215 O '"~ E I 21 I'I MAXIMUM I I 21~I ~{kNNUAL WASTE I 21 I I IsTATE WASTE · DALY AMOUNT I I ~AMOUNT I O . I /cODE : ~.~. GAL D b. CU ~ D c. LBS D d. TONS ~ , iSlTE, __~ 223 sT"ORAGE CONTAINER (Check all tim apply) DRuM [] a. ABOVEGROUND TANK ,',~e. PLASTICIN~NMETALUC [] b. U~E~0~OU~T^~ [] r. c~ ~.' c. TANK I~I. SlDE BUILDING [] G. CARBOY [] d. ,,~LDRUM [] k S~LO [] i. REEK DRUM [] m. o[.~ss sorrL~ [] q. P,A~L c,~ [] j. BAG D .. P~C BO~E D r. 0~ 0 ~ BOX · ~o.~BIN ~ L ~D~ ~ p. TANK WAGON PRESSURE '~. AMBIENT.: ;:: ~:: :. [] b. ABOYEAMBIENT .Fl c. BELOW AMBIEWL · -. · : ~ .,~: [] b. ABOVE ~advlBl~: .... f-FC' B'E~OW AMB-~E~: ' [] d.' CRYOGENIC 224 225 STORAGE TEMPERATURE' '%8o AM'BlENT' %WT: 226~ 21 238 242 If#tore htcartJott.~ Cotz HAZARDOUS COMPONENT EHS'. [] YES 231 232 O YES D NO 235 236 CI YES [] NO 235 240 [] YES [] NO 243 244 F3 YES [] NO CAS # 229 233 237 745 oonents are pre~ent at greater than I~ by ~reight if non-carcinogenic, or O. !~ by weight if carctnogentc, attach additimml sheet.~ of paler ~.u/.,,,r,.,g the r. qutred .~rtnatton. ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 ~, . OES FORM 2731 {1/99). - HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY. CHEMICAL DESCRIPTION {one form Per materialper building or area) C] ADD DELETE [] REVISE 200 · I BI.[SINESS NA, LME {Same as FACI~sJ]~ME or DBA-Doing. Business Asl . CHEMICAL LOCATION I. FAClUTY INFORMATION... II. CHEMICAL INFORMATION 203 3 CONFIDENTIAL- [] YES NO · . EPCRA IGRID # (optional) 204 CHEMICAL NAME FIRE CODE HAZARD CLASSES IComplete ff /~luired by CUPAJ* · ' 205 TRADE SECRET [] YES ~ N© 206- · ' It*Subject to EPCRA' r~'er m inslmctions k 208 207 EHS* [] YES 'NO' 209 *IfEHS is 'Y~" ail amounts below must be in lb~, 210 i HAZARDOUS MATERIAL ' ~ a. PURE '~b *MIXTURE [] c. WASTE all TYPE fCheck one item onlyl ' 214. PHYSICAL STATE FED HAZARD CATEGORIES ((7~c~ ell dmr~v~y~ly) AVERAGE DAILY ^MOU.T UNITS ° "'"1 a. SOLID'~..~b. LIQUID· []c. GAS [] a. FIRE [] b. REACTIVE []' c PRESSU~ RELEASE [] d. ACUTE HEALTH I ~111 MAXIMUM I :218{i ANNUAL WASTE DAILY AMouNT t ~ O ' i AMOUNT ' O ~. a. GAL ~ b. CU FT [] c. LBS [] d. TONS { RADIOACTIVE '~E~N 212 I CURIES 213 :_ [] YES 0 :~: , ...... LARGEST CONTAINER 215 ~) e. CHRONIC HEALTH 215 :211 STATE WASTE I~ 22' ~ I · CODE :!"_ STORAGE CONTAINER (Check all that apply) ~ a. ABOVEGROUND TANK '~e. PLASTICiNdNMETAU.IC DRUM [] L FIBER DRUM [] m. GLASS BOTI"LE ' ~ q. RJdb CAK · [] b. UNDER~?,OU],m TA~ [] r. ~ [] j. a~o [] .. PL~S~C ~O~'L~ ~ r. o~ ~ c. TANK I~I. SIDE BUILDING [] G. CARBOY [] K. BOX J'~ o. TOl1~ BIN ~ d. STEEL DRUM [] It. SILO [] L CYLINDER I-]' p. TANK WAGON 223 : STORAGE PRESSURE ~l~a. AMBIENTs: [] b. ABOVE AMBIENT .[] c. BELOW AMBIENT. 224 STORAGE TEMPERATURE' '~. AMBIENT ~ [] b. ABC~VE AN[BlENT: ::" ~--C. BElow AMB~E~: ~ d. cKYOGENIC 225 %~: HAZA~OUS COMPONE~ ~.~.~) EHS'. CAS g : 230 21 . i 238 ~ 242 5i 228 [] YES%N0 231 232 : [] YES k NO 235 235 236 [] YES [] NO 24O [] YES [] NO YES [] NO 229 241 245 /fmore/~:~rdor&y componettts are preset# at greater than I% by I~ight If tMn-carcinogcttlc, or 0.1% by weight ~carcinoge;ti~ attacit add#iimal sheets of paper capturing gte required it~rmath~tL ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 OES FORM 2731 (1/99) [] ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY ·--.cHEMICAL DE$CRIPTIO~N ' (one form per material per building or area). DELETE [] REVISE' 200 p~_L~ ! I. FACiUTY INFORMATION... ' BUS.ESS NAM~ ISame as FACILITY NAME. or DBA-Doing Business Asl · _. Icc' LL~A_-, LLC.I l CHEMICAL LOCATION ~ 201 CHEMICAL LOCATION CONRO~rnAL-. [] YES EPCRA ICO~iMON NAME "I~[ CODE HAZARD CLASSES tComplete ff /equired by CUPAI' HAZARDOUS MATERIAL TYPE fCheck one item onlvl PHYSICAL STATE ' FED HAZARD CATEGORIES AVERAGE DAILY AMOUNT UNITS* (Cited[ o~e item only) 203 I GRID # (opEonal) [] a. PURE ~b. IMIXTURE [] c. WASTE. 211 / ~ 214 '/ LARGEST CONTAINER ~ a. SOLID ~1. b. LIQUID· [] c. GAS . [] a. FIRE [] b. REACTIVE D c PEESSUI~ RELEASE' [] d. ACUTE H~LTH I ='II mx,mum ~tO~ ...u~w~s.~ , OA]LY A~OUNT AMOUNT ~. ~ ~ b. CO ~ D ~. ~ss 0 ~. ~o.s 206 207 209 202 2O4 RADIOACTIVE [] YES '~,NO TRADE SECRET 206 [] YES ~NO If Subject to EPCRA, refer to imtm~tiom ,~ 20S EHS* [] YES NO' *ir F. HS is'yes," ell amoum~ below inust be in roL 212 CURIES 21o 213 STORAGE CONTAINER (Checg all d~ apply) ~ L ABOVEGROUND TANK PLASTICIN~NMETALLIC DRUM [] b. u~ERORou~a~ T^~x . C~ [] c. TANK II~.SIDE BUILDING ~'] O. CARBOY ~ d. ~ DRUM [] ~ SiLO 215 ~e. CHRONIC HEALTH 2~5 [] L FIBER DRUM [] m. GLASS BOTTLE r'~ q. RAIL CAR ~ L ~D~ ~ p. TANK WAGON 224 .... ;SURE .~.~.a AMBIENT. ;: : :: : [] b. ABOVE AMBIENT .I-I c. BELOWI AMBILmN"r.-:,: ,,:. I ' "A~E TEMPERATUR~I ' ~. AMBIENT [l ' U bI ABOVE ~B'~: '::" u'-:. ~E~bW AMB~:" [] d. CRYOGENIC 225 226' 230 234 4 { 2~ 242 5 231 235 235 243 [] YES ~N0 232 ~ YES [] NO 236 ~ES [] NO 24O [] YES [] NO 244 [] YES D NO 229 233 ,' 37 ?45 u, nent.~' are prexet, t at greater than I.% Ay ,~ight If no,-carcinog?dc, or O. 194 by weight ~[ carcburgenig attaclt addlt/mtal .dwetz of paper capt#rmg the reqtnred utfo~tatton. ADDITIONAL LOCALLY COLLECTED 13 OES FORM 2731 {1199) ADD DELETE .. {Same as · HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy CHEMICAL DESCRIPTION (o~e form per m~teH=lper building or area) 1'3 REVISE' 200 ' I. FACILITY INFORMATION:.. or DBA-Doing Business CHEMICAL LOCATION I!. CHEMICAL iNFORMATiON. CHEMICAL NAME 201~CA~ON ; 202 JCONRDENT1AL; 2o3 G.ID COMMON NAME FIRE CODE HAZARD CLASSES fCemplete ff~equiredbv CUPAI' 20S TYPE/Check one item only/ PHYSICAL STATE ' FED HAZARD CATEGORIES 207 209 TRADE SECRET [] YESX~NO 206 Ir subj~ to £PC~ refer to EHs * [] YES ~%'NO ' 20e · IfEHS is '"Y~s," ell amounts below must be in HAZARDOUS MATERIAL [] a. PURE ~ b. 'MIXTURE [] c. WASTE 211 R~DIOACTI~------~ ~ [] YES ~NO 272 ~ a. SOLID ~ b. LIQUID ~ ~. ~ 214 ~RGEST CONTAINER · ~/~) D a. FIRE ~ b. ~IVE D' c P~SU~ ~L~SE ~ d. ACUTE H~LTH D e. CHRONIC HEALTH 210 215 AVERAGE DALLY {O~..k on, item ~y) CODE .' (Check ~11 tl~ apply) STOR~GE PRESSURE ~ a. ABOVEGROUND TANK ~e. PLA~rlC/N{~NMETALUC DRUM [] i. FreER DRUM [] m. GLA~S BOTTLE Db. UNDEITOROONDTANK [] r. CAN' Dj. aAa ~.. PLAS'nCeOTTLE C~ c. 'rA~ ~NSme au~LOmo [] o. c~o¥ [] ~. aox ~ o. t~ am ~d. ~DR~ ~ h, SILO ~ L ~O~' ~'P. TANK WAGON :.. ~a. AMBIENT ~:-: :: : ~ b. ABOVE~Bi~T · ~ c. BELOW AMBI~. ["] q. RAIL CAR [] r. o'rH~R 223 : 224 %WT~ HAZARDOUS COMPONENT o~=~...=,~x) EHS '. 225 230 234 238 235 235 [] YES 232 [] YES ~'kNO 236 [] YES r~ NO CAS # 229 233 237 241 5 242 --'-'----~-' [] YES [] NO 2~-- ~ ------------- ~ [] YES 244 246 , · · I.J YES 1'3 NO ~ . If/note i~ar~tt~ coetpt~tettl.¥ are progeill at greater Iltatt i~ Ay ~igltl /f tton-carchtogcttl~ or O. IN by weigltt if carclttoge/ti~ a/tacit additMttal siteel$ of paper capluHitg rite required ittformatim, ADDITIONAL LOCALLY COLLECTED ~ INFORMATION: 2a6 ". DES FORM 2731 '(1/99) ADD CHEMICAL LOCATION · -. "AZARDO US' MATERIALS INVENTORy" CHE"'CAL ;"''' ' ' ' ' ' ' ' ' '(one form per mbterlalper building or area) DELETE [] REVISE. 2oo · I. FACILITY INFORMATiON:..- INESS or Asl . " FACILITY ID # CHEMICAL NAME 202 203 I GRID 201 I CHEMICAl. LOCATION ] ~ONRDENTIAL. [] . J E.CRA YES ~ NO # (optional) I!. CHEMICAL INFORMATION COMMON~:~IAME CAS # FIRE CODE HAZARD CLASSES tComplete ff mquired by CUPAI: 205 207 209 TRADE SEOR [] YES N° If Subjegt te EPCRA, ret'er te instmgtio~ 2O4 FED HAZARD CATEGORIES title* a//tl~-w~ply) HAZARDOUS MATERIAL [] a, PURE ~l~ b. MIXTURE '[] c. WA~-I-t~ 211 RADIOACTIVE 212 CURIES TYPE Ic*.=,* ..e i, em=.IVl '.:_ [] YES "[~NO I :~::' ....... PHYSICAL STATE ' '~ a, SOLID ~ b, LIQUID [] ¢. G,a~ 214 LARGELY CONTAINER [] a. FIRE ~ b. REACi'IVE []' c PRE$$1JPJ~ RELEASE [] d. ACUTE HEALT{-I [~e. CHRONIC HEALTH 215 EHS' k 208 [] YES 'NO' *It' E~IS is"Y~," ail amount~ below mu~ be ia 210 STORAGE CONTAINER (Chac~ ail ~ apply) ' DA,LY AMOUNT ~ IAMOUNT ' ~ ' I ~CODE : UNITS- I ~ a. ABOVEGROUND TANK . PLASTIC/N~NMETALUC DRUM [] L FIBER, DRUM [] m. GLASS BOTTLE [] b. U~DEg0~OU~D TA~ C~ [] j. ~O [] ,. ~L~S~C BOTTLE ~ c. TANK I~.SIDE BUILDING [] G. CARBOy ' [] K. BOX r-I o. TOTE BIN [] d. STEF~ DRUM [] h. SILO [] L C~LINDEE r-I p. TANK WAGON .. :. ~ a, AMBIENT: ~:: ~ :: : D.b. ABOVE AMBIENT. .[] c, BELOW AMBIENT. STORAGE.TEMPERATURE '~,a. AMBIENT~ ~' " ::' ...... [] q. RAIL CAR D~. o~.~ 213 215 STORAGE PRESSURE 223 224- %WT~ 4 i' 23a [] b. ABOVE AMBIENT"'::" []-C. gE~w AMB;iEN~: - [] d. CRYOGEN]c' 230 225 HAZARDOUS COMPONENT . EHS'. [] YES L~ NO - 231 232 [] YEs [] NO 235 235 243 236 YES [] NO If more h~.~.~!,_~,.,_~ coa~£,onents are pr~ent at greater than 194 by ~ight If tton-carcinogcnl~ ar O. i~ ~y ,~ight ~f ~inoge~ti~ at/a~t addititmal .dtuets of paper capturing the ADDITIONAL LOCALLY COLLECTED ' INFORMATION,, CAS # 229 233 237 241 [] YES [3 NO 244 245 E] YES D NO r~quired ittfonnatio~ 246 13 DES FORM 2731 (1199) HAZARDOUS MATERIALS INVENTORy J~ ADD DELETE [] REVISE · 200 · . " I. FACILITY INFORMAT ' ~'. 31NESS NAME {Same as FA~J3:~NAME.or DBA-Doing. Business As! .~ ~ '. ION CHEMICAL LOCATION .' * HAZARDOUS MATERIALS - CHEMICAL DESCRiPTiON '(one.form per m~tertal per buildingor ~ree) P! --------- ii. CHEMICAL INFORMATION CHEMICAL NAME ' ' ' I Co,~oE~m~c.. ~ -- ~ LJ Yl::5 ~ No 203' l 2o4 2o~' 207 CAS # *. 209 FIRE CODE HAZARD CLASSES [COml~lete ff~equiredby CUPAJ' HAZARDOUS MATERIAL [-I a. PURE ~%b. 'MIXTURE 211 TYPE (Check one item only) PHYSICAL STATE ~'/~ ,?, /=m *,,0,) ~ a. SOLID ~ b. LIQUID FED HAZARD CATEGORIES ~.a. FIRE K'~'~ ~II #mtfpply) · [] C. WASTE D YES LARGEST CONTAINER TRADE SECRET [] YES ~, NO =os Ir Subjec~ to EPCRA, ret'er to EH S *  208 [] YES *NO* fEES as "Y'e~ ali amounts below must be in lbs, 210 212 CURIES 213 [] b. REACTIVE C]' c PR.E.S~UPJ~ EELEASE [] d. ACUTE LTH 215 AVERAGE DAILY _ . . . . . U TATE WASTE ~M 0 UN~ ~ 0 l · '~i°~'G~?"-~ ' ~ .L.~ ._ ~ a. ABOVEGROUND TANK ~ e. PLASTIC/NCiNMETALLiC DRUM [] i. FIBER DRUM r-~ m. GLASs BOTTLE D ~. u,o~ORouao TA~ [] r. C,.~' [] j. a,O E] .. eL*mc ,~: ~^~S:D~aU~.~O [] o. c~oy [] ~ aox Do. I ~ DR~ [] k SILO [] L CYLINDER r'"I'P. TANKWAGON STORAGE PRESSURE %~ a AMBIENT r-I : = . ~ · [] q. R~UL CAR []r. o'mER · 224 [] d. CRYOGENIC 22s EHS'. CAS # : ~.¢ 228 J ' " 231 232 234 ' ' ' I ' C1YES ~,NO 233 235 236 237 4 238 [:~ YES [] NO 235 240 241 5 I 242 [] YES H NO 243 244 245 ' ' I [::] YES. [] NO T* ADDITIONAL LOCALLY COLLECTED ~ INFORMATION: 246 13 ; DES FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy- CHEMICAL DESCRiPTiON '(one form per m~tertal per building or area) [] ADD DELETE r-I REVISE· 200 p~_ "' · I. FACILITY INFORMATION:'.· · i .. " . .....' ..... _]e_LCFC mt-hh, /JbA, LLc,.-..- . "- CHEMICALLOCATIONi 201 203 I GRID # (opl/onall I CHEMICAL LOCATION 202 CONRDENTIAL- F'l YES ~No I EPCRA ~-~ II. CHEMICAL INFORMATION CHEMICAL NAME · - ' ' ' 20S [] YES X~' N0 2o5 TRADE SECRET ..... Ir Subj./to EPCRA. tefra- to instmctlo~ COMMON NAME · · '. ' 207 EHS · \ ; [] YES.[~NO' ' CAS # 209 ~r . . *IfEH$ h "Yes," all amount~ below mast bo ia lbs. FIRE CODE HAZARD CLASSES IComplate /f mquked by CUPA/' '. :. 210 2O4 HAZARDOUS MATERIAL [] a. PURE -"[~. ·MIXTURE r"l c. WASTE 211 R~DIOACTIVE TYPE/Check one item an/y/ PHYSICAL STATE ' (¢ '/;~c~ tm t=m FED HAZARD CATEGORIES AVERAGE DAILYc~ AMOUNT UNITS* (O~-.ck one item:only) STORAGE CONTAINER I NO 212 I CURIES 213 ~ a. SOLID ~ b. UQUID [] c. GAS 214 LARGEST CONTAINER..., ~ 215 FI a. FIRE. [] b. REACTIVE []' c PRESSURE RELEASE [] d. ACUTE HEALTH IDA~LY AMOUNT ~a. GAL ~ b. CU ~ g c. ~S a d. TONS J . I DAYS ON-: J 2201 (CherJ; ;dl that apply) STORAGE PRESSURE ~ s. ABOVEGROUND TANK '~,,,~e. PLASTIC/N(~NMETAUJC DRUM [] b. U.Da~OU~D TA~O~.' c~' [] c. TANK I~.SinE BUILDING L-J G. CARBOY ,r'1 d. STEEL DRIJ~ [] K SILO [] i. FIBER. DRUM [] m. GLASS BOTTLE ~] q. RAIL CAR [] j. nAG r-I .. P~s~c norris [] r. o~ [] ~. nox I-I o. ~ nm ~ L ~mD~' D 'p. TANK WAGON '~. AMBIENT ._ :.. [] b. ABOVE AMBIENT .I-I C.. BELOW AMBIENT. .. .... :: ..: 223 STORAGE TEMPERATURE' '~a. AMBIENT" 224 [] b. ABOVE A/VIB]ENT: ::' [:]-C. BE~:oW AMBiEN~:'' f~ d. CRYOGENIC 225 23O 238 242 HAZARDOUS COMPONENT EHS'. CAS # 2~8 YES '~N0 232 [] NO 231 " 0 YES 235 [] YES 235 I-I YES 243 229 233 236 237 [] NO " 241 240 D NO 244 245 ' [] YES. [] NO ' If nmr¢ /.u..rdot&~ comlnmettt.~ are p,~..~,,I m greater tltatt i% by ~t~igitt tf tton-carchtogenlc, or 0.1% by weight ~f ..arcinoi..eni~ a/tach additlo.al sAcets of paper capturing the r~qaired btf. rmati,,t~ T' ADDITIONAL LOCALLY COLLECTF-O ' 246 INFORMATION: - 13 OES FORM 2731 (i/99) [] ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- CHEMICAL DESCRIPTION '(one form per m~tterlal per building or area) DELETE· FI REVISE' 200 " P' _~..~._ of~.~. BUSINESS NA~E {Same as F_6I;IJ, L~Y NAME or DBA.Doing Business Asl . ~hEMICAL LOCATIOI~ ~ ' II. CHEMICALINFORMATION CONFIDENTIAL- [] YES 0 EPCRA 203 ] GRID # {opEonal) 204 CHEMICAL NAME 205 TRADE SECRET 206 , ,, YES 't~ NO COMMON NAME ' · 207 EHs' [] YES ~'~lO' 20, 209 .... , : *II'EllS is "Yes," all moan~s belmv must be in lbs. CAS # · ~[ CODE HAZARD CLASSES iComplete ifrequirecl by CUPA/ 210 HAZARDOUS MATERIAL C a. PURE "~b.'MIXTURE I-lc. '~ O WAST~ 211 R~DIOACTIVE j'-I YES N 212 CURIES 213 TYPE (Check one item onlyI 4 ' ~- . . . : ~7~ ' ' '~' PHYSICAL STATE ' 21 LARGEST CONTAINER . . ' 215 ,. sou, uou,o. [] OAS "l [] a. FIRE [] b. REACTIVE ~ c PRESSURE RELEASE' I-1 d. ACUTE HEALTH ~ e. CHRONIC HEALTH FED HAZARD CATEGORIES (C ~.~* ~ ~ '.,Way) STORAGE CONTAINER ~ ,' 223 : (Check all tbat apply) ~ s. ABOVEGROUND TANK '~e. PLASTICINC~NMETALLIC DRUM I-I i. FIBEKDRUM J~ m. GLASS BOTTL~ ['~ q. RAILCAR [] b. UNDERGROUND TANI(. ~ f. CAN ' [] j. BAa r"l n. PLASTIC nOTTLE ['~ r. OTHER. ~,'c. TANKIN. SIDE BUILDING [] O. CARBOY []lC BOX I-Io. TOTEBIN ~ d. ~ DRUM [] h, SILO r-'] i. CYMNDEK [] p. TANK WAGON STORAGE PRESSURE '~a AMBIENT [] b. ABOVE AMBIENT · J~ c. BELOW AMBIENT. 224 z. " : ' · ' - ~::' ::: : ' ." " ' '- ':':"": ': STORAGE TEMPERATURE' "~L,a. AM'BlENT = [] b. ABOVEAMBIENT 7- c(-C. B-E~)W AMB~EN~: ' ~ d. CRYOGENIC %WT*- HAZARDOUS COMPONENT ~.u~-"~.,.,t),~ EHS'. CAS # ,. .-.... ._, , . =, $ 229 233 * 237 241 245 [] YES [] NO 242 243 244 ' ' [] YES [] NO l/more htt~rdotL~ coetponent, v aru present at greater than I% by t~ight If itOh-Carcinogenic, or O. !~ by w~ight ~carcinogwdq attach additioltal zlteets of PaPer capatrbtg the required ittforntatiot[ · ~ ADDITIONAL LOCALLY COLLECTED 248 , INFORMATION: '* DES FoRM 2731 (1/99) I'~ ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- cHEMICAL DESCRI~rlgN · (one form per m~tertal Per building or area) DELETE 1'3 REVISE' 2oo P~ I. FACILITY INFORMATION:''' ;USINESS NAME ISa*ne as FA~U.IZ~ NAME o~ DBA. Doing. Business Asl . ...l C,r .LI A', - CHEMICAL LOCATION , '.-LL~ 201 202 CHEMICAl. LOCATION CONFIDENTIAL- [] YES '~qO EPCRA ii. CHEMICAL INFORMATION CHEMICAL NAME COMMONNAME CAS # 203 I GRID # (optional} 204 205 207 TRADE S.C.ET [] YES N© 206 FIRE CODE HAZARD CLASSES (Complete ff required by CUPAI' 209 210 HAZARDOUS MATERIAL O a. PURE '~b. 'MIXTURE I'1 c. WAS'T~ 211 I RADIOACTIVE i-! YES '~NO 212 CURIES TYPE (c~.e,~ one item only) , ~ ; L~-- -':. PHYSICAL STATE 21~,I LARGEST CONTAINER r'; a. SOLID '~ b. UQUID 0 c.: GAS FED HAZARD CATEGORIES '~.a. FIRE [] b. REACTIVE O' c PRESSUKE RELEAS£ i"t d. ACUTE HEALTH [] ¢. CHRONIC HEALTH (( 7~*k ell d~ ' ~l, ly) * AVERAGEAMoUNT. DALLY '<~5 I 21 J Ii MAXIMUMDAiLY AMOUNT e--~~t 21~ ANNUALAMouNTWASTE UNITS' ~ I-!, ,ri LEIS [] d. TONS (o=~ o~. i~m o~y) ~. GAL _ b. CU ~ c. STORAGE CONTAINER 213 215 215 '1 :11 I ISTATE WASTE IL~J' · IIc°DE : I IS~TE J ~ , ~ , 223 (Check ~11 that ~pply) · '~ a. ABOVEGROUND TANK ~'~e. pLASTIC/NdNMETALLIC DRUM [] b. ONDE~G~OUNDTA~I-]~,. ~ ~ c. TANK I~I. SIDE BO]mING [] O. C~OY [] L FIBEK DRUM I-I m. GLASS llO'l'rl~ ~ q. RAIL CAR [] ~ aox ~ L ~D~ ~'p. TANK WAGON 224 i PRESSURE . AMBIENT.. STORAGE TEMPERATURE- i.%. AMBIENT. :.:_: : ~ : L-'] b. ABOVE AMBIENT .0 c. BELOW AMBIENT.. .. ' _.. :::.:,: ' :' :'t?;~ [] b. ABOVE AMBIENT' '::' HAZARDOUS COMMONENT o5-=a=,~-=%'*J CAS # 229 21 EHS'. 227 228 231 I 232 235 236 [] YES rq NO 235 240 [] YES "O NO 243 244 .' [] YES [] NO 233 241 245 ~re.~e;tt at greater t/tan I% by u=igltt If tton.carchfogenic, or 0.1% ~y weight ~f carcino&'eni~ attach additi~tal sheets of paper capturing the required i.formatio;~ ADDITIONAL LOCALLY COLLECTED INFORMATION: 13 OES FORM 2731 (1199) ADD HAZARDOUS MATERIALS INVENTORy HAZARDOUS MATERIALS - CHEMICAL DESCRIPTION ' (one form per m~tertal per building or area) DELETE [] REVISE ' 2oo p~ _<,~ ~ I. FAClETY INFORMATION BUSINESS NAME {Sams as FACU.i3~ NAME or DBA. Doing CHEMICAL LOCATION , II. CHEMICAL INFORMATION CHEMICAL NAME 203 COMMON NAME EPCRA ~ YES GRID # (opEonal} 204, CAS # CODE HAZARD CLASSES fComplete ff required by CUPA/: TYpEHAZARDOUS/chec/~ =neMATERIALitem on/yl [] a. PURE '~ b. 'MIXTURE [] c. WASTE =11 l PHYSICAL STATE ' -~ 214 FED HAZARD CATEGORIES ~ oil tlwtqpply) 205 207 209 TRADE SECRET '~' YES ~kN0 If Subje=t m EPCRA, ~J'ar m imtmctlon~ EHS· 206 208 [] YES'~'NO' ' *I~'EHS is "¥~," all ~oua*. below mu~t be in lb=. 210 213 215 R~DIOACTIVE ~,~ 212 I CURIES ~ [] YES NO ~.: ....... · LARGEST CONTAINER AVERAGE DAILY .AMOUNT UNITS' (~ one item only) STORAGE CONTAINER r-i a. FIRE [] b. REACT[VE D c PRESSUI~E R,ELEASE [] d. ACUTE HEALTH ~ ¢. CHRONIC HEALTH 21s I "11OA, yMAX'MUMAMo .T I IAMOU"T "NUA'WASTE j o · I ['~,.. ~^L ~ ~. cu ~ o c. ~s ~ d. TONS (Check all that apply) STORAGE PRESSURE ABovEGROUND [] ~ c. TANK i~.SIDE BUILDING [] G. CARBOY [] d..~T~ DRU~ [] ~. S[LO [] i. FInE~ O~,UM [] m. Gt,~SS aol'n~ ~ q. ~L CAr[ ~[ Box · ~o.T~nm ~ I. ~D~' O' p. TANK WAGON ~,a. AMBIENT :~ .... [] b. ABOVE AMBIENT .FI c. BELOW AMBIENT. 224 STORAGE TEMPERATURE-- ,~ a. AM'BIENT~' [] b. ABOVE'~MBIENT: ~::' •"-c. BE~w AMB~EN~~'' [] d. CRYOGENIC 225 %WT'-, 226 230 234 238 HAZARDOus COMPONENT ~,~.~,~.~=*'on/~) - =' · ~/ ~'-- 231 EHS'. 228 [] YES '~N0 232 [] YES [:] NO CAS # 235 236 ~ YES [] NO 235 240 241 D YES O NO 242 243 244 245 I F'IYES [] NO ~f more ht~ardot~ compmtenl.~ ar~ p~set, t~ g~ater /l~t I~ by ~i~t/ ~ttm~t]te~tti~ or 0.1~ ~ ~i~tt ~ittog~8~ atilt ~ltietml.~tuetz of ~=r captu~t~ the ~tlui~d b~)~tathm. ADDITIONAL LOCA~Y CO~t=u ' .-. 248 INFOR~TION: 13 OES FORM 2731 (1/99) [] ADD ' HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- CHEMICAL DESCRiPTiON . . . '(one form per material per building or area) DELETE r3 REVISE 2oo Pt of~ I. FACILITY INFORMATION:'.'· BUSINESS NAME (Same as EAClUTY NAME or DBA-Doing B~;,~ Asl . CHEMICAL LOCATION I!. CHEMICAL INFORMATION CHEMICAL NAME 203 201 I CHEMICAL LOCATION I CONFIDENTIAl.. i-1 l a'C~A - ~ YES IGRID # (optionall ., '~No' 3 202 COMMON NAME CAS # FIRE CODE HAZARD CLASSES tComplete ff /aTuire~ by CUPAI' HAZARDOUS MATERIAL [] a. PURE '~ b. ·MIXTURE [] c. WASTE 211 RADIOACTIVE 206 207 209 TRADE SECRET [] YES ~, NO It' Subj~ m F~CRA. ref=r m 206 EHS* YES k'NO' 20s 210 I ! [] YES '~NO 212 I CURIES 213 ~c P~SU~L~SE ~ d. ACUTEH~LTH. ~ e. CHRONIC HEALTH 2,5 ~ ANNUAL WASTE D c. LBS D d. TONS J '. . J JDAYS~N:- . jJ 22~ t I SITE - TYPE fCheck one item only/ PHYSICAL STATE 'FED HAZARD CATEGORIES AVERAGE DAILY AMOUNT · ~..~) .~ UNITS' (CLack one item only) STORAGE CONTAINER ~ a. SOLID ~b. LIQUID F3 a. FIRE [] b. REACTIVE I 2,1i MAXIMUM DAILY AMOUNT "~a. GAL ~ b. CU FT (Check all that apply) STORAGE PRESSURE ~ a. ABoVEOROUND TANK ~ e. PLASTICmdNMETALLIC DRUM [] c TANK ~JSIDE BUILI:)mO [] G. CAI~OY I. STEE~ DRUM [] h. SILO [] L FIBER DRUM [] m. GL.{,~S BOTrLE ~-~ q. RAIL CAR [] j. tiAO [] n. PLASTIC IIOTTL$ [] r. OTla~ [] ~C DOX · [] ~. TO~ mn ~ L ~D~ ~ 'p. TANK WAGON .:. .. : "~a. AMBIENT: :.:: : :: : [] b. ABOVE AMBIENT .I-I c. BELOW AMBIENT. 2z4 ..... . .-. STORAGE TEMPERATURE'" [] b. ABOVE AMBIENT: ':' [:]'¢. BE~w AMBiENt: [] d.' CRYOGEN'lc 225 %WT:. ';. · HAZARDOUS COMPONENT o~=a~,,,,-~,~,u~ EHS. CAS # 226 230 234 242 235 228 Fl YES ~N0 DYES '~N2~2 236 [] YES [] NO 24o ['3 YES [] NO 244 bq &&G 22.9 233 237 241 245 ' [] YES [] NO ' · ~f mc re ,,...~ot&v contflottettt~ are resell/ot rearer tltatt 1~ 6 P g ~ ~i~tl ~ltOtt~htO m~ or 0 l~ b ~t fit · .' · a' · ' ' ~ ' · ~ fg ~Jttt~ti~ ~lach ~it/ottM Mteelz of~per ~p/ttHttg lite ~tlui~d ADDITIONAL LOCA~Y CO~C~D INFOR~TION: 246 13 -, .f OES FORM 2731 (1/99) ADD . HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY' CHEMICAL DESCRIPTIO, N ' ~one form per m~terlal per building or area) [] REVISE 200 FACILITY iNFORMATION... · DELETE . IB.USINESS NAME {Same~'-,~M~lTY NAME or DBA. Doing. Business I-~hEMICAL LOCATION ' __ FIRE CODE HAZAR[~ CLASSES tComplete if required by CUPAI' HAZARDOUS MATERtAL O~ ~ b. ·MIXTURE TYPE (Check one item bnlyl CHEMICAL INFORMATION PHYSICAL STATE ' ~ a. SOLID ~ b. LIQUID· ((Tr~.k ~ Item only) FED HAZARD CATEGORIES [] a, FIRE '~b. KEACTIVE MUM AVERAGE DAILY AMOU~ AMOUNT UNiXS' a. GAL ~ b. CU ~ (O~ ~o itm ~ly) P; · 2o, TD.EM,CAL'OC O" · ! CONFIDENTIAL- [] YES ~~____~ EPCRA · 203 ~ GRID' (opE~ ~ 2~ 206 202 207 TRADE SECRET [] YES '~N° =°' If Subject te EPCRA, tel'er to instmctlon~ ENS* r'l YES %~,'NO ' 20, *If GY;IS is"¥e~" ~il amounts bcl, must be in lbs. a .... ~ACTIVE. [] YES ~,· NO. C. W~'~tl;~ ~ = ' = LARGEST CONTAINE, 0 c P~SU~ ~L~SE 0 d. ACUTE H~LTH ~ WASTE. ~OUNT 0 c. LBS 0 d. TONS CURIES 213 215 215 HEALTH WASTE ON:' STORAGE CONTAINER (Ch~.~ ail tim apply) [] ~. ABOVEGROUND TANK [] e. PLASTIC/N(~NMETAU-IC DRUM F'} L FIBE~ DKUM [] m. GLASS BOTTLE . [] ~,. sox 0 o. TOmBIN _'c. TANK IN. SIDE BI.~U)[NG [] O.C.~Boy r'l L C~i'NDI[K O p. TANK WAGON .md. ~ D~UM [] ~ SiLO ~ q. RAiL CAK []r. OT~r~ 224 TORAGEPRESSURE ~f~,a. AMBIENT.: [] b. ABOVE AMBIE3qT '-' a~O. B-E~~OW AMBiENt: [] b. ABOVE AMBIENT .[] c. BELOW AMBIENT... ':~TORAGE TEMPERATURE.`· ~,a. AM'BlENT' EHS'. [] d. CRYOGENIC ' o/.WT-' . HAZARDoUs COMPONENT ADDITIONAL LC INFORMATION: Fi YES '~NO C[ YES ~ 24o [] YES [] NO [] YES [] NO CAS # 229 '~ O / z33 245 ADDITIONAL LOCALLY COLLECTED DES FORM 2731 (1199) [] ADD HAZARDOUS MATERIALS HAZARDOUS MATERIALS.INVENTORY - CHEMICAL OESCmP'nO~N ' (one form per m~tertal per building Or area) DELETE [] REVISE' 200 I. FACILITY INFORMATION/''. ' BUSINESS NAME ISame as FACILITY NAME or DBA-Doing. Businecs Asl · 3 CHEMICAL LOCATION CHEMICAL INFORMATION ,MICAL NAME i vc oamq F COMMON NAME CAS It FIRE CODE HAZARD CLAS~ES IComplete ff required by CUPAf ' 2O2 201 CHEMICAL LOCATION [] YES~-'~NO CONFIDENTIAL- EPCRA 2O4 203 I GRID It (opEn, aA 205 207 209 TRADE SECRET [] YES ~'N0 206 \ ii'Subject to ;PCi~ ~fa. to in~mctk~ FNS, 206 [] YES '~ 'NO' *Ifl~HS is'Y~s," all am= below must be in fo[ r"! YES "'~ NO 232 I CURIES . .~ 213 HAZARDOUS MATERIAL TYPE (Check one item onl,/! 215 ~ a. PURE '~ b. 'MIXTURE [] c. WASTE 211 / RADIOACTIVE! 214. LARGEST CONTAINER PHYS CAL STATE ~ a. SOLID ~ b. LIQUID [] c. OAS ((Tnn:ltcmlt~monly) ' ' ' ";~ "' 215 FED HAZARD CATEGORIES [] a. FIRE ~ b. REACTIVE [3* c PKESSUILE IU~LEASE [] d, ACUTE HEALTH [] ¢. CHRONIC HEALTH AMOUNT ~- 0 0 ' 211 ! MAXIMUMDAiLY AMOUNT l~ Il t~)21'·AMOuNTANNUAL WASTE I 'l · '=IlI/CODEi 'STATE WASTE '-: I . 22, (Check oae |tam 223 STORAGE CONTAINER (Check all dm apply) [] L ABOVEGROUNO TANK [] e. PLASTICINCJNMETALLIC DRUM r'] i. FIBER DRUM [] m. GL3.~S BOTTL~ r~ q. RAIL CAR ·" [] b. u~am~ou~ TA'z,.'r. [] r. C~ [] j. ~0 [] ,. PL.~S"nC,~OT'n..S [] n ,. T^~ ==D~ ~U,U~ hSL,G. C^RaO~ [] ~ .OX [] o. TOT~ [] d. ' [] h, SiLO [] I. CYLINDER {-I' p. TANK WAGON : STF-EL DRUM 224 [ PRESSURE ~a. AMBIENT.· ;:. : .: : r'l b. ABOVE AMBIENT .[] c. BELOW AMBIENT.. ........ _ .- . .-. · :: :,~; ~ -.-- -' $~RAGE TEMPERATURE' '~'a. AM'BlENT' ~" ~ b. ABOVE ~BI~: '::" ~'C:'B~:OW AMB~E~: ~ d.' CRYoGENIc 226 ~" 230 234 238 242 HAZARDOus COMPONENT 231 235 235 243 EHS'. 228 YES '~ NO 232 [] YES "~NO 236 [] YES ~NNO 24O [] YES [] NO 244 [] YES D NO CAS # 229-- nmettt, v are prexettt at greater than 1~4 by ,wight If non.carcinogenic, or 0.1~ by weight ~f carcittogettic~ at/ach additiottal slicers of paper capt,,r;iig the required ittforatatiu;~ ADDITIONAL LOCALLY COLLECTED . INFORMATION: 13 DES FORM 2731 {1199) HAZARDOUS MATERIALS INVENTORY" CHEMICAL BESCmPTION ' ' (One form per matertalper building or area) ADD '.. .~ 200 r'J REVISE or DBA-Doing Business Asl · ' MAP # {optional) {Same CHEMICAL LOCATION 202 CHEMICAL LOCATION CONnDEN~AL- [] YES Ii. CHEMICAL INFORMATIoN-~~ FACILITY ID # ~ 0-~ ~-E~N-~ E .~ " : ' · CAS # 207 209 TRADE SECRET ~ YES "~N0 205 EHs' [] YES ~NO' *If l~S is 'Yes," ali amoun~ below must be in lbs. 210 FIRE CODE HAZARD CLASSES tCo~plete ff ~qulred by CUPAI; HAZARDOUS MATERIAL [], a. PURE EiNb. MIXTURE U c. ~NT~INF~ · '- . ~- - 2~5 ~PE ~heck one It~ o~1 PHYSICAL STATE' ~ a. SOLID FED HA~RD CATEGORIES O a. FIRE O b ~[VE U c r~=u~ ....... . AVERAGE DAILY ~MAXIMUM AMOUNT . DALLY AMOUNT UNITS' ~a. GAL STORAGE C0NTAINER ' ~,,~; all tlat apply) ~ ~. AEOVEGROUND TANK PLASTIC~I{~NMETAIJ-IC DRUM [] L F~ DK~ ~ m. G~S B~ ~ q. ~L CAK C ~. u~o~ TA~ ~ O.j. ~o ~ .. p~c ~e ~ r. O~ ' O ~ Box O o. T~em ~ ~. TA~ ~SIDE B~~mG ~ G. C~OY ~ I. ~mD~ ~' p. TAN~ WAGON .~d.~D~ ~SmO 224 --STORAGE PRESSUR---'~ ~l~a. AMBIENT :RAGE TEMPERATURE' "'~a. AMBIENT 234 238 242 5~ HAZARDOUS cOMPONENT O~.U~,,-~,~l . .......... ~ . . . ~ . 231 [] b. ABOVE AMBIENT .O c. BELOW AMBI~;i - :': !. ;~:-:~ _------ ~ [~ b. ABOVE AMBIENT: -''-'O-o' B- '" [] d. CRYOGEN-lC EHS'. CAS 229 0 YES 0 NO D YEs g NO . ~ YES · D NO by weight ~ tmn~bmgetd~ or O. 1~ by ~ight ~ ~ln~tti~ att~t ~itlotml ~teets offer ~pttm.g lite ~Clut~d ADDITIONAL LOCALLY COLLECTED INFORMATION! --'----13 DES FORM 2731 {1199~. HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORy .- CHEMICAL DESCRIPTION ADD [] DELETE [] REVISE 2oo I I~SINESS J}~AME {Same as~7~UTY NAME or DBA-Doing Busines~ Asl . I C~EMICALEO~TI~ - , ' (one form per m~zterial per building or area) I. FACILITY INFORMATION:'.' · "- .. -- 3 FACILITY ID # MAP # (optional} il. CHEMICAL INFORMATION 203 201 CHEMICAL LOCATION CONFIDENTIAL. [] 'YES EPCRA IGRID # (optional} ~No 202 2O4 CHEMICAL NAME COMMON NAME CAS # 205 TRADE SECRET ?, YES ~ N° If Subja= to EPCRA, r~e-m in~actiom 206 207 EHS' ~[~ 208 [] YES NO' 209 *if ~'iS is "Y~," all amounts below mira be in lbs. FIRE CODE HAZARD CLASSES [Comptete ff /mTuired by CUPAI* 210 HAZARDOUS MATERIAL TYPE IChect one item on/v/ PNYSICALSTATE D a. PURE ~b.'MIXTURE [] c. WASTE 211.. RA~DIOACTIVE 212 I CURIES 213 ~ [] YES '~NO .----*- .: _ ........ SOL, O ,,ou,o [] ,,, LA,OESTCD,TA,NE, E a. FIRE E b. ~IVE ~ c P~SU~ ~L~SE ~ d. ACUTE H~LTH ~ ~NNU~ WASTE I IAMOUNT . coDE I . ~. ~L ~ b. CUm D ~. ~S D d. TONS I FED HAZARD CATEGORIES (C~ ~/I dmr.epply) AVERAGE DAILY AMOUNT · ~ ~) UNITS ' (O~J[ oeo item oaly) STORAGE CONTAINER (L'l~ck all real apply) ~ ~ AEOVEGROUND TANK be. PLASTIC/N~NMETALLIC DRUM [] b. UHDE~OAOU~3 TA~~'t. CAN ' ~ c. TA~ re. SlOE BUZL~mO I-1 G. C.~SOY . .ri d. STEF~ DKUM [] It. SILO ~ j. nrta ~ .. ~c s~ ~ r. o~ D ~ sox O ~. ~ m~ ~ I. ~mD~ ~ p. TANK WAGON STORAGE PRESSURE ~ ~a. AMBIENT.· [] b. ABOVE AMBIENT .[] c.. BELOW AMBIENT.. [] b. ABOVE :~vIBIENT::' [] -¢. B-E~:OW AMBiEN~: 224 [] d. CRYOGENIC 22s STORAGE TEMPERATURE'- '~a. AMBIEN~ m 1 4 5 230 · HAZARDOUS COMPONENT ~,~',,,' ~==,-,0,; EHS'. CAS # 235 228 [] YES [] NO 232 YES [] NO 236 [] YES [] NO 229 233 237 , 238 235 240 241 .. [] YES [] NO 242 243 244 245 · []YES [:::] NO if re,re Ita:anlo,~f compo,eats are pra~e,,t at greater than i% by ,re/ght /f ,an-atrcinogeni~ ar 0.1% ~y weight ~f carcinoge4tig a/tach additl~nal.dteets of paper capt,trittg the required/,f, rmath,~ t ADDITIONAL LOCALLY COLLECTED 246 INFORMATION: 13 DES FORM 2731 (1199) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION '(one form per m~terial per building or area) ADD [] DELETE. [] REVISE' 200 . P~ __ ofZa~_' · ' :' · I. FACILITY INFORMATION.:.. ''. .......... ' 3 iB,SINESS NA~IE ISame as FACI~.L~ NAME or DBA-Do~ng Business ~, . II. CHEMICAL INFORMATION CHEMICAL NAME COMMON NAME ] 205 207 TRADE SECRET [] YES ~N© If Subjec~ to EPCRA, rd'a~ to ia~uctle~ 2O4 206 EHS° [] YES ~NO' 208 *IfEHS is"Yes." all amounts bctow must bo in lb~. 210 209 CAS # : FIRE CODE HAZARD CLASSES (Complete if required b¥ CUPAI: ' WASTE 2' IR~DIOACT'VE [] YES ~.NO Z12 CURIES HAZARDOUS MATERIAL [] a. PURE 'bb. MIXTURE [] c. [ ~- x ' : ~': · ....... TYPE/Check one item 214 I LARGEST CONTAINER ' PHYSICAl. STATE ~ a. FIRE ~b.~A~[VE ~ c P~SU~LEASE ~ d. ACUTE H~LTH ~ c. C~ONIC HEALTH 213 FED HAZARD CATEGORIES (('~c~ =11 t~arql,/,tj,) AVERAGE DALLY AMOUNT UNITS* (Ctmck aaa item only) STORAGE CONTAINER (Check ~1 that apply) 215 215 I DAILY AMOUNT _..a. GAL [] b. CU FT ,ri c. LBS [] d. TONS [] a. ABOVEGROUND TANK be. PLASTICINdNMETALUC DRUM [] ~. u~a~0~ou~ T^N~ [] r. C~N' ~' c. TANK IN. SIDE BUILDING [] G. CARBOY [] L FIB~ Di~JM [] j. [] ~ sox I (~ '1 2~111STATEWASTE IL~ J ~ IDAYS ON:-: · j JSITE.~J..~'" I [:~ m. GLASS BOTII~ ~ q. ~IL CAR ~ ,. P~C a~E ~ r. 0~. ~o. ~BIN ~' p. TANK WAGON --sToR~GI~ PRESSURE 'l~a. AMBIENt= :_:: ~ :: : [] b. ABOVE AMBIENT ' .~ c., BELOW AMBIENT.. 224 8TO.~GE TEMPERATURE.'- ~a. AMBIENT'~ ~" g b. ABOVE ~BI~: ::" ~-o:'B~W AMBiENt: ' ~ d. CKYOG~IC 225 · , ~ZA~OUS COMPON~ ~-~~) EHS'. CAS ~ 234 238 242 · 228 ' ' r']YES ~N0 232 [] YES ~,~NO [] YES [] NO 235 240 D YES [] NO 243 244 ' [3 YES [] NO 231 235 If more lut=ardot~ co#i ~%ents are present at greater t/tan i% by w~ight If nm~..carci~ogenic, or O. T' ADDITIONAL LOCALLY COLLECTED INFORMATION: 229 t 'o 233 237 241 ~r ~pluring the ~qni~d it~atiot~ 13 OES FORM 2731 {1199} HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ' (one form per m~tterial per building or area) ADD [] DELETE [] REVISE 200 Pagele~ of[a~ " I. FACILITy INFORMATION..` ........ BUSINESS NAME (Same as FACILITY NAME or DBA-Doing. Busines$'AsI · 3 -~EMICAL LOCATION - t - 201 CHEMICAL LOCATION 202 EPcRACONFIDENTIAL o [] YES ~'NO 203 I GRID # (optional) 2o4 I'F'ACiLI MAP · . II. CHEMICAL INFORMATION I CHEMICAL NAME CAS # FIRE CODE HAZARD CLASSES fComplete ff required by CUPAI' 2O5 207 2O9 TRADE SECRET [] YES ~.~ NO Ir Subject to EPCRA, refer to instruct(om ' 206 EHs° [] YES ~[~'NO'20s 'IfF_.~S is "Yes," ali amounts below must be in lbs. 210 HAZARDOUS MATERIAL [] a. PURE ~$xb. MIXTURE [] c. WASTE 211 { RADIOACTIVE [] YES ~]x, NO 212 . CURIES 213 TYPE (Check one item only/ :: ~, -' ~--'- ...... PHYSICAL STATE 214I LARGEST CONTAINER 215 (c*~.,~,..,,~m..,~,) ~ a. SOLID '~b. LIQUID. mc. (:]AS 5'~ ~,t CL.~OY'~ '-:-'-: ' FED HAZARD CATEGORIES 215 (c/~.k,,//~/~,W~,/y) [] a. FIRE [] b. REACTIVE ~ c PEESSUR~ RELEASE [] d. ACUTE HEALTH ~ ¢. CHRONIC HEALTH AMouNT 5~) , {DAILY AMOUNT I I O { ICODE : / U.,TS' [] [] TONS t j {s,TE (Check one item only) ...... STORAGE CONTAINER (Ch~ck all that apply) ~ a. ABOVEGROUND TANK . PLASTICIN(~NMETALLIC DRUM [] b. UNDERGROUND TANK . CAN [] ¢. TANK IN. SIDE BUILDING [] G. CARBOY ~ d. STEEL DRUM [] h. SILO [] i. FIBER DRUM [] m. GLASS BOTTLE ~, q. RAIL CAR [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER. [] K. BOX [] o. TOTE BIN [] I. 'CYLINDER [] 'p. TANK WAGON STORAGE PRESSURE '~a. AMBIENT ..... [] b. ABOVE AMBIENT [] c.. BELOW AMBIENT,: ........ ,_-.~: 224 STORAGE TEMPERATURE.' ~a. AMBIENT [] b. ABOVE AMBIENT [] c. ~EL~ow AMBiEN'~' imd. C~Y~ENIC 225 %WT' HAZA~OUS COMPONE~ ~ m~=.~ ~ ~, .,~) EHS'. CAS ~ ': 227 226 231 229 233 '" '" 235 237 I 234 i 238 235 241 4; i 242 243 245 5 : ~. 228 [] YES ~xNO 232 [] YES [] NO 236 [] YES [] NO 240 [] YES [] NO 244 · [] YES' [] NO portents are pre. s'ettt ttt greater t/tan 1% by ~reigh! if ttott-carchtogcttic, or O. 1% by weight if carchmgettic, allaclt atldi/iottal .¥heets of paper capturittg the required htformal imt. ADDITIONAL LOCALLY COLLECTED INFORMATION: 246 13 . OES FORM 2731 (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION · (one form per mttterial per building or area) ADD [] DELETE [] REVISE 2oo Page ~. ~ · "' I. FACILITy INFORMATION:' ' ........ 3 g. Business As) . (Same CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL- r'~ YES ~[~No EPCRA FACILITY ID # (optional) 203 I GRID # {optional) CHEMICAL NAME 2O2 2O4 I!. CHEMICAL INFORMATION 2O5 TRADE SECRET [] YES .~NO 2o6 If Subject m EPCP, A. r~.fer to instmctlor~ EHS* [] YES''NO' 2O8 207 COMMON NAME . . 209 ' CAS # *IfF. ItS is"Y~s," all amounts below must be in lbs. ~: 210 FIRE CODE HAZARD CLASSES IComplete ff required by CUPAi HAZARDOUS MATERIAL TYPE [Check one item onlyi PHYSICAL STATE ' (¢ 'beck ~#, item only) FED HAZARD CATEGORIES (( V~'ck ali that ~lydy) AMOUNT UNITS ' (O~=ck one it~ only) 211 i RADIOACTIVE: [], YES ~,,xNO 212 I CURIES 214I LARGEST CONTAINER . 213 [] a. PURE "~b. MIXTURE [] c. WASTE ........... 215 ~ a. SOLID '~b. LIQUID [] c. GAS [] a. FIRE '~b. REACTIVE [~ c PRESSUI~ RELEASE D d. ACUTE HEALTH ~ c. CHRONIC HEALTH 215 { 21i{ MAXIMUM I ~la~ ~ ~NNUAL WA$TE{ ~ [ 21 [ STATEcoDE WASTE I ' ~ IDAYS~' jj 220~ '~ ~a. GAL ~_ b. CU ~ g c. LBS ' ~ d. TONS J JSlTE, ....... ~J .... 223 : STORAGE CONTAINER (Ch~k all ~ appl~) ' ~ a, ABOVEGROUND TANK ~m. P~STIClNONM~ALLIC DRUM ~ i, FIB~ DE~ ~ m, GLASS BO~LE ~ q, ~IL CAE ' ' C b. uNos~O~o~ TA~g~. CAN ~ J. aaa ~ "- ~STIC aOWCS g ,. O~SZ ~ c. TANK INSIDE BUILDING ~ G. CA~OY ~ K. BOX ~,°' TO~ B~ ~ d. STEEL DE~ ~ h, SILO g I, C~DE~ ~ p, TANK WAGON, 224 ;TORAGE PRESSURE ~,~. AMBIENT_ - .... [] b. ABOVE AMBIENT r-i c. BELOW AMBIENT. -' S~'R-~[ TEMPERATURE' '~.,a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMI~iEN{' [] d. CRYOGENIC 225 %WT- HAZARDOUS COMPONENT (/'~-=~,e. ~ ~-,,. ~..[y) EHS'. CAS # 227 228 229 · [] YES ~N0 · 226 ~o 238 4 231 232 [] YES ~NO 234 235 236 [] YES [] NO 235 242 5 240 YES [] NO ff ittore Ittt;;ardott.~' cottt 233 237 241 745 243 244 [] YES [] NO wment, v are present at greater than I% by ~retghl if ttmt-careinogemc, orO. 1~ by ~ight ~ careinogenic, attach additional sheets of paper capturi.g lite required it~trttuttion. 246 ADDITIONAL LOCALLY COLLECTED · INFORMATION: 13 DES FORM 2731 (1/99) 12.547 ACRES ~ 2 '- ! BUILDINO DATA 27~, 2~, LOT AEEA 1,507,14~.~ SQ. 50.008 ACRES PARKING AREAS ICP PARKING LOT 118,547 SQ. CONTRACTOR PARKING LOT 8,190 SQ. ~. EVACUATION AREA 56,874 SQ. TOTAL 165,411 SQ. ~. BUILDING AREAS PRODUCTION FLOOR 60,985 SQ. ~. HARDENING TUNNELS 14,587 SQ. ~. PALLETIZING/SHIPPING 16.684 SQ. ~. AS/RS 27,702 SQ. ~. SUPPORT AREAS 55,618 SQ. ~. WAREHOUSE 52,710 SQ. ~. MRO 9,509 SQ. ~. WASTE WATER 4,481 SQ. ~. OFFICE AND EMPLOYEE FACILITIES 25,276 SQ. ~. TOTAL 247,350 SQ. ~. BUILDING VOLUME 8,555,882 CU. ~. NUMBER OF EMPLOYEES (~RGEST SHI~) OFFICE 7 MEN 8 WOMEN P~NT 55 MEN 50 WOMEN TOTAL 62 MEN 58 WOMEN REVISIONS H~D{C~ TOTAL 502 .... NUMBER OF TRUCK LOADING SPACES 11 lee C~ea~ Partaers USA. B~RS~E~, CA 93313 J .................... ' PARCEL 2 .--lP 547 ACRES I BUILDING DATA LOT AR~ 1,307,148.5 SQ. 30.008 ACRES PARKING AR~S ICP PARKING LOT 118,347 SQ. CONTRACTOR PARKING LOT 8,190 SQ. ~ACUATION AR~ 36,874 SQ. TOTAL 163,411 SQ. BUILDING AR~S HARDENING TUNNELS 14,387 SQ. PALL~IZlNG/SHIPPING 16.684 SQ. AS/RS 27,702 SQ. SUPPORT AR~S 55,618 SQ. WAREHOUSE 32,710 SQ. MRO 9,509 SQ. WASTE WATER 4,481 SQ. OFFICE AND EMPLOYEE F~CILITIES 25,276 SQ. TOTAL 247,350 SQ. BUILDING VOLUME 8,533,882 CU. NUMBER OF EMPLOYEES (~RGEST SHI~) OFFICE 7 MEN 8 WOMEN P~NT 55 MEN 50 WOMEN TOTAL 62 MEN 58 WOMEN NUMBER OF PARKING SPACES EMPLOYEE - VISITOR 296 HANDICAP 6 lOl~k 302 NUMBER OF TRUCK LOADING SPACES 11 CONSTRUCTION II N (NON-COMBUsTIBLE) c~ 0 0 o 0 o DISTRICT BOULEVARD DISTRICT BOULEVARD ~ .......... '-,, ~ , ,, , .................. ' ....... ~ .... / .... ) . \ / . ........... ~ .............. ,~. . ..... ....,, '.,,~.~ ._~.~ ............ / - ~ I ~. ~ '~ I>', ...... ' ' ~--END OF J J ~A~N SHUT-OFF ~' ~-"~ ~ ~ , ~..,~ .~,~ ~ ~~/~. ~,/ / / ~~~~~-,,~ ~ . ~ ~/h -- ..~ 1'~'~-~ .~~ ,~, : - ....... ~ .... . . .,.. ~ 5 , . ./' ." .' AREA ~ ~ ~ ~ / ', ' ~ ~ ~ /' /" ~ i ~ t~ , ', ' . -- i~L '., '. _.~j , __ ,. _ ~ ~ ~ , _~ ..... . --.. ..,... .... . ,.,.,.- , - ..,,,, :-..,. , , , , / k, xN ~ -' r. . ~ r~ ~ ~ ' ~ ~ i ~ ~ ~ - -.7 / ,/ . ~ ~ ..... ~ /'~. , ; . , ,, ,. .,, . ~ -~ .. ~ ~ / / , '.. ~- ', ,, ~ .... ..-,~ -- ~ ~ .~ ~ . ~ ~ ', ~ ~ / i ~ / / ' 'h :~v ~, NI~ ACID : ~..... ~. ~ ~ .,. ,.,..,<_..~. ~C~SL~.~ / ~-' su~mc ~,~ '.'- .... -' . ...... ~~/ '~ / ~----.,~ ~ ..-~ <,,. ...... .,- ........... · ' ' ~I ' ' m ~N", ~ ~"'/ "',. ~ _--"' ..-" ROOM tEGEND: 100 DRY STOOGE 126 PRODUCTION SUPERVISOR 150 TRUCKERS TOIt~ 176 PATHOGEN ROOM 101 TRUCKERS LOUNGE 127 QUAtI~ CONTROt MANAGER 151 TRUCKERS tOUNGE 177 APPUCATION ~BO~TORY 102 ~UCKERS TOIt~ 128 QUAtlN CONTROt ~BO~TORY 152 SHIPPING OFFICE 178 OFFICE 103 RECEIVING OFFICE 128A TESTING ~BO~TORY 15~ WARM-UP ROOM 179 OFFICE · FIRE H~D~NT 104 TANK CORRIDOR/CIP 1,2 129 TESTING ROOM 154 SHIPPING DOCK (+50' F) 180 OFFICE 105 BAKERY CHARGING 150 FREEZER (-10' F) 155 PAtt~IZlNG (+20' F) 18~ PRODUCT TESTING ROOM 106 T~SH ROOM 151 COOtER (+40' F) 156 HARDENING TUNNEt NO. 1 (-25' F) 182 OFFICE 107 MAINTEN~CE SHOP 132 SYRUP AND FRUIT PREPA~TION 157 HARDENING TUNNEt NO. 2 (-25' F) 183 OFFICE 107A RECORDS AND CONTROt OFFICE 1~3 CAN WASHING 158 CONTROt ROOM 184 O~ICE 108 BOItER ROOM 1~4 BtENDING ROOM 159 TEMPE~TURE CONTROt AR~ (O'F) 185 HR OFFICE 109 AIR COMPRESSOR ROOM 1~5 VAtVE MAINTE~NCE 110 EtECTRICAt ROOM 136 CENT~t C.I.P. SYSTEM (CIP 3,4) 160 HARDENING TUNNEt NO. 5 (-25' F) 186 T~INING CONFERENCE ROOM A/B ~ ~ ~ 161 STAGING AND EQUIPMENT AR~ 187 SUPPMES ROOM 111 ENGINE ROOM 137 CONTROt ROOM 162 EtECTRICAt EQUIPMENT ROOM NO. 1 188 WOMEN'S rOCKER ROOMR E v ~ s ~ o N S 112 HOT ROOM (+105' F) 158 MIX PREPA~TION AND PASTEURIZATION 163 DRY VAtVE ENCtOSURE NO. 1 189 MEN'S tOCKER ROOM 113 CORRIDOR 139 MIX TANKS 164 DRY VAtVE ENCtOSURE NO. 2 190 BR~K ROOM 114 WOMENS TOIt~ 140 MRO/PARTS STORAGE 165 CONTROt ROOM 191 STOOGE 115 MENS TOIt~ 141 STAIR NO. I 166 U.P.S. ROOM 192 VENDING AR~ 116 ENERGY MANAGER 142 WOMENS TOIL~ 167 COMPUTER ROOM 195 COMPANY STORES~P~ 1 17 SHI~ ENGINEER 1~ VESTIBULE 120 TANK CORRIDOR 144 MAIN AISLE 170 EQUIPMENT STORAGE ROOM 196 OFFICES '2'2'2 '2 '2 ? 121 STAIR NO. 2 145 OFFICES 171 CHOCO~TE ROOM 197 CONFERENCE ROOM G~PHIC SC~ ~ ~22 Dice ~ ~A,~ P~ODUC~IO~ ~00~ ~2 C,~ ROOM (C,~ ~,~,~) ~a OmCES ~2~ OFFICE ~47 AS/RS (-20' F) HI~HRISE FREEZER ~73 OFFICE I~ Ice Oream Pa~ne~ ~ ow, ce ~ VES~.UL~ ( o' 0 ~ ~EDI~-~EP ~00~I~ S~SFtEL~,C~ oo. ~ I" = ~ D S~ No. ~ D~G. No. /~N DIS"I'RICT BOULEVARD DISTRICT . . ........ .. . , .. .-.:., R~M ~GEND: ~ ,. 1~ D~ ~O~E 126 ~C~ SUP~SOR 1~ TRUCKE~ TOI~ 176 PA~OG~ ~M [ " 101 ~UCK~ LOUNGE 127 ~ C~L ~G~ 151 ~UCKE~ LOUNGE 1~ ~PU~ON ~O~TORY ~ ~ 102 ~UCK~ TOI~ 128 ~ C~ ~TO~ 152 SHINING O~CE 178 O~CE ,~ 103 REC~NG O~CE 12~ ~NG ~TO~ 1~ W~M-UP R~M 179 O~CE 104 T~K CORRI~R/CIP 1,2 129 ~ ~M 1~ SHIPPING ~K (+~ ~ 1~ O~CE 105 ~RY C~GING 1~ ~ER (-1~ F) 155 P~ZlNG (+2~ F) 181 PRODU~ ~NG ~OM {/ 106 ~H R~M 131 C~R (+~ F) 1~ ~DENING ~NN~ NO. I (-2~ F) 182 O~CE 107 ~~CE SHOP 132 ~UP ~D ~Uff PREP~ON 157 ~DENING ~NN~ NO. 2 (-25' F) 1~ O~CE J } 107A ~CO~S ~D COBOL O~CE 133 ~ W~HING 1~ COBOL ROOM 1~ O~CE 1~ ~I~R R~M 1~ B~N~ ~ 159 ~MP~RE COBOL ~ (~F) 1~ HR O~E 1~ NR COMPR~S~ R~M 135 V~ ~~CE 110 E~C~I~ ~M 136 C~ C.I.P. ~ (ClP 3,4) 1~ ~DENING ~NN~ NO. 3 (-2~ F) 186 ~NI~ CON~R~CE ROOM A/B 161 ~ING ~D EQUIPME~ ~ 187 SUPPERS R~M 111 ENGINE ~M 137 C~L ~M 162 E~C~I~ EQUIPM~ R~M NO. 1 1~ WOM~'S L~K~ ROOM · : 112 ~T ~M (+105' F) 1~ M~ PR~~ ~D P~RI~N 163 D~ V~ ~CLOSURE NO. 1 189 M~'S L~KER ROOM 113 CORRI~R 139 MIX T~KS 1~ D~ V~ ~CLOSURE NO. 2 190 BR~ ROOM J 114 W~ENS TOI~ 1~ M~/P~ ~O~E 165 COBOL R~M 191 ~O~GE 115 M~S T~ 141 ~NR NO. I 166 U.P.S. R~M 192 ~NDING 116 ~E~Y ~R 142 ~MENS TOI~ 167 COMP~R R~M 193 COMP~ ~ORE 120 T~K CORRI~R 1~ ~N NS~ 170 EQUlPME~ STO~E ROOM 196 O~CES 121 ~NR NO. 2 1~5 ~CES 171 CH~O~ ROOM 122 OmCE 1~ ~N PRODUC~ON ~ 172 CIP ROOM (ClP 5,6,7) 197 CON~RENCE ROOM ~7~ GraCE ~9e OmCES~ GraCE =/.s .) EEZE.