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Home My WebLink AboutBUSINESS PLAN 11/12/2003~N CHECKLIST SECTION 1. Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME (~ ~_ -~,~ ~o v ~c~__~_~ ...................................... I(- ! ~w3 ADDRESS =~ONE No. No. o~ployees FACILITYCONTACT Business ID Number '": ' '~ ' : ' .:':' ' -Sectionl:BUsinessPlan.andlnventoryProgmm · ~'~;~outine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (' C=Compliance ~ OPERATION ~. v=violation ~ [] APPROPRIATE PERMIT ON HAND ;~"[] BUSINESS PLAN CONTACT INFORMATION ACCURATE ~[] VISIBLE ADDRESS ~'~' CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION /[] SEGREGATION OF MATERIAL PROPER ~-~[] VERIFICATION OF MSDS AVAILABILITYE ~-[] VERIFICATION OF HAT MAT TRAINING ~ [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ [] EMERGENCY PROCEDURES ADEQUATE ,~ [] CONTAINERS PROPERLY LABELED ~ [] HOUSEKEEPING J~ [] FIRE PROTECTION ~ ~ SITE DIAGRAM ADEQUATE & ON HAND COMMENTS ............ ................................................................................... ...................................................................... ................................. ~~ z ANY HAZARDOUS WASTE ON SITE?: EXPLAIN: [] YES QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Badge No. White - Environmental Services Yellow - S~ation Copy Business Site Responsible Party Pink - Business Copy Hazardous Materials/Hazard°us Waste Unified Permit CONDITIONS 'OF ,PERMIT-ON REVERSE SIDE Permit ID #:: 0~5-000-000476 b'~(/~f This oermit la issued for the followin_o: [] Hazardous Materials Plan [] Underground Storage of Hm,-rdous Materials [] Risk Management Program [] Hazardous Waste On-Site Trea;x,-,ent LOCATION: 6881 DISTRICT BLVD F IELD Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approvedby: ·. ~ ' Expiration Date: 'June 30. 2003 Issue Date Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........... ,~,~, ,~,~,;,~,~.~,~ .......... This permit is issued for the following: .... ,?~il~i'~'' ~!:'' ~:'~:"~:~'~:::~iiiiiil;i:~ii!i;~ .,/'"!ii~ il;iii;i;;::., iiPi ~demround Storage of HazardoUs Materials PERMIT ID# 015-0214)00476 dli?i'~i~' i;~! ;i;;;ili;',i!ii!iiiiiii:'' ....,,?i!!!ii':i!"!ii!!!:i !~:!i!!~::!!!!!!::::~!!!!i!iiiiiii~!?,~klManagement Program /ilV~. ? ~iiii~.. ':~!ili~ "!!i::~.?;::?;::i'[ii:::;;i:~'[::i! i::~~,, "';i i;'~=;:" :~:.!!i~[i~a~db~S Waste SIMPSON JANITORIAL & PAPER;SUpp:Ey:,.:~.::~,'',,.. .............. ~"'"'~-'~':;!~¥::%::!!~e:,,,~i!i~C~,,,iii:.:;:.::~,~,~. LOCATION Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 ITE/FACILITY FORM NORTH SCALE :! "~ ~ / BUS INESS NAME: JT,~/~fo,~ ~/,~,~,' ?~,~,',~ / FLOOR: ~ OF ! DATE: / / FACILITY NAME: UNIT #: OF /~ .3' (CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM nspeetor's Comments): -OFFICIAL USE ONLY- - 5A ~ I TE/FAC ILI TY FORM NORTH SCALE:/''~= 70~' BUSINESS NAME: J'/,~/~o~ .g.~.~,'~-'o,v~-, FLOOR: / OF / DATE:?// /~TFACILITY N~E: ~ ~" 0-~ UNIT ~: OF (CHECK ONE) SITE DIAGRAM · FACILITY DIAGR.%~ c"') J 7- k ~spector's Comments): -OFFICIAL USE ONLY- - 5A - ORTH SCALE:i,oX .7~,! BUSINESS NAME: FLOOR: OF DATE: ~'/li/~ FACILITY NAaME: ~'O/ ~, ~-I ~7'. UNIT" OF (C~ECK OWE) S~TE DIAO~A~ W/ FACILITY DIAGR.~ '% Inspector's C~ments): -OFFICIAL USE 0NLY- ~IT£ DIAGRAM (RequJ items) 1. Address: Identify the principle buildings by the Street numbers. 2. Street(8), Alleys, Driveways, and Park/ag Areas adjacent to the property. Include the street names. 3. Store DraLns, Culverts, Yard Drmlns 4. Drainage Canals, Ditches, Creeks. a. Frame construction b. Masonry construction c. Metal construction d. Access Door 6. Utility Controls h. Electricity c. water ?. Fire Suppression Systems: a. Fire Hydrants b. Fire Sprinkler Connections c. Fire Standpipe Connections d, Water Control Valves for protection systems 9. Lock (key) Box 10. MSDS Storage Box Il, Railroad Tracks 12. Fence or Barrier a. Wire b, Masonry c. Wood d. Gates 13. Po~erlines 14. Guard Station 15. Storage Tanks: Identify the capacity tn gal. a. Above ground b. Underground 16. Diking or Berm 17. Evacuation Route 18. Evacuation Area: Identify the location mhere employees will meet. 19, Outside Hazardous Waste Storage 20. Outside Hazardous #atarial Sto~aga 21. Outside Hazardous Malaria! Use/Bandling e. Fire Pump 8. Fire Department Access Type of Hazardous Material/Waste Stored or Used (See aelow) ~YPE OF HAZARDOUS MATERIAG F - Flammable g - llxploslve L - Liquid R - Radlologlcal C o Corrosive 0 - Oxidizer G - Gas W - Water Reactive T - Toxic S - Solid D - Waste B -'.Etiological [xanple= Flannable Liquid - FACILITY DIAORAN (Required liens In addition to the above) 1. R/sera tot Sprinklers 8. 2, Pmrttttonm 3. Stairways: Indicate the lO. levels served ~rom highest to lowest. 4. Escalator: Indicate the levels served from 12. highest ~o lowest. 5. Elevator 13. 6. Attic Access 14. 7, Skylights P - POlSO~ H - Cryogenic Fire Escapes Air Conditioning Units Wlndm~ Inside Hazardous Waste Storage Inside Hazardous Materials 3torage Inside Hazardous Naterlals Uae/Handling Se~er Dreln Inlets FACILITY NAME CZ (...~,,,../ ~O~--~C~ ADDRESS{.9,~ \ IDl~w~ ~T ~- ~ FACILITY CONTACT_,?-~D ~ {'~u ~C ~ ~ ~SPECTIONTIME . [ ~ ~,~, CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. ...~% - BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ~ Combined l~ Joint Agency I~ Multi-Agency ~ Complaint [~l 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 C=Compliance V=Violation Any hazardous waste on site?: Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business Site Responsible Party Inspector: ~2CoT7' ADDRESS t~,~-.~"-~fe,-¢C._-T~ '~' ~--, PHONE NO. ~--g'~ t_~ FACILITY CONTACT_ INSPECTION TIME I CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program 'Routine [2] Combined I~ Joint Agency [2] Multi-Agency ~ Complaint [2] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Co=ect occupancy Verification of invento~ 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 C=Compliance V=Violation iAExnpYla~a:zardouswasteonsite?: [~l Yes Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party \ White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: BUSINESS NAME SITE LOCATION OLD OWNERS.NAME NEW OWNERS NAME NEW OWNERS ADDRESS ACCOUNT NUMBERS BULK TRANSFER DATE OF TRANSFER ESCROW NUMBER THIS'INFORMATION IS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES BEING MADE. DISTRIBUTION: Sanitation Hazardous Materials P. D. - Alarms ]9/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-~ ~0476 Phi ~jo &~--)Overall Site with 1 Fac. Unit ~ 00T l~ ~992 General Information Location: 6881 DISTRICT BLVD F Map: 123 Hazard: Unrated Co.unity: BAKERSFIELD STATION 09 Grid: 16D F/U: 1 AOV: 0.0 Contact Name Title Business Phone 24LHour PhoneS PHIL SIMPSON GENE~L MANAGER (805) 833-4322 x LARRY SIMPSON PURCHASING ~NAGER (805) 833-4322 x (805) 589-2255 Administrative Data Mail Addrs: 6881.DISTRICT BLVD F D&B Number: 11-502-988~' City: BAKERSFIELD State: CA Zip: 93313- Co~ Code: 215'-009 BAKERSFIELD STATION 09 SIC Code: 5399 Owner: SIMPSON JANITORIAL & PAPER sUPPLY Phone: (805) 833-4322 Address: 6881 DISTRICT BLVD F State: CA City: BAKERSFIELD Zip: 93313- sugary /~ ~~. ~ / 7// ~_ / / - a~.~.~~uo hereby ~i~ tha~ ~ have reviewed the a~aChed h~ardcus materials manage7 men( plan for~~ ~ and ~ha~ any ~rmcUons ~nsU~ute a complete and cerrs~ man- agement plan ~or my 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-024 NO RISNE. ~ ~l~S,5 ~~ · Fire, Immed Hlth, Delay Hlth Liquid 60 GAL Moderate 02-025 CAS #: 34590948 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 240.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient~AmbientlCENTER WAREHOUSE -- Conc 0.0% 0.0% 0.0% 0.0% IDipropylene Glycol Ethylene Glycol Ammonium Hydroxide Isopropanol Components Methyl Ether MCP LOw Moderate Moderate List BIG '~O" · Fir~i~ Immed Hlth, Delay Hlth 50 Moderate Liquid GAL CAS #: 141786 Trade Secret:, No Form: Liquid ,Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 300.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient~AmbientlWEST WALL NORTH SIDE - Conc 35.0% 2.9% 8.3% 4.3% 1.7% .Components Dipropylene Glycol Methyl Ether Ethyl Acetate n-Amyl Acetate Petroleum Distillate Diethylphthalate MCP iList Low '' Moderate Moderate Moderate Minimal 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 3 02-026 GERMICIDAL DETERGENT QX202, QX204, QX205 ~ Immed Hlth Liquid 50 High GAL CAS #: 141435 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL50 I Daily Average50.00GAL T Annual Amount GAL 200.00 BAG Storage Press T Temp Location I Ambient[AmbientlCENTRAL WAREHOUSE -- Conc ; Components 7.9%Ibeta-Amin°ethyl Alcohol 2.0% Butyl Cellosolve MCP Moderate List 02-027 NORPAC 2, 702 & MOPPAC 4, 704 ~ Immed Hlth Liquid 50 High GAL CAS #: 141435 Trade Secret: No Form: Liquid Type: Mixture DayS: 365 Use: CLEANING Daily Max GAL 5o I Daily Average GAL 50.00 -- Annual Amount GAL ~ 200.00 BAG Storage Press I Temp Location I Ambient~Ambient I CENTRAL WAREHOUSE -- Conc 14.9% 12.3% 8.2% 1.8% · Components beta-Aminoethyl Alcohol Butyl Cellosolve Dipropylene Glycol Methyl Ether Ethyl Alcohol MCP Moderate Low Moderate List 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 4 02-028 #1705 DEPOT PAC/5 AIR FRESHENER · Immed Hlth Liquid 50 Moderate GAL CAS #: 67630 Trade Secret: No .Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 50 Daily Average GAL I Annual Amount GAL -- I 50.00 200.00 Press T Temp Location Ambient~AmbientlCENTRAL WAREHOUSE Components MCP 'lList Moderate Storage BAG -- Conc 7.6% IIsopropanol 02-029 1432 GLASS PAC & 1405 DEPOT PAC · Immed Hlth Liquid 50 Moderate GAL CAS #: 67630 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL I Daily Average GAL I Annual Amount GAL -- 50 I 50.00 200.00 / BAG Storage Press T Temp Location I Ambient~ambient NORTHWEST OFFICE RESTR BETWEEN & -- Conc 12.5% IIsopropanol Components MCP ---TList IModerateI 02-030 EXCALIBER Solid · Immed Hlth 500 Moderate LBS CAS #: 1310732 Form: Solid Trade Secret:' No Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 500 Daily Average LBS 200.00 Annual Amount LBS -- 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location Iambient~AmbientlSOUTHWEST WALL NORTH END -- Conc 50.0% ISodium Hydroxide Components MCP ---[List IModerateI 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 5 02-031 SOLID POWER · Immed Hlth Solid 500 Moderate LBS CAS #: 1310732 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS Daily Average LBS 500 I 200.00 Annual Amount LBS 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient~AmbientlSOUTHWEST WALL NORTH END -- Conc 50.0% ISodium Hydroxide Components MCP ---/Li IModerateI st 02-032 ECO SAN · Immed Hlth Liquid 500 High GAL CAS #: 7681829 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 500 { 60.00 Annual'Amount GAL -- 600.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient~AmbientlSOUTHWEST WALL NORTH END -- Conc 8.4% {Sodium Hypochlorite ComPonents MCP iList .{High 02-033 STER BAc BLIC · Immed Hlth Liquid 500 Low GAL CAS #: Form: ~iquid Daily Max GAL 500 Storage PLASTIC CONTAINER -- Conc Components 10.0% IAlkyl Dimethylbenzylammonium Chloride Trade Secret: No Type: Mixture Days: 365 Use: CLEANING I Daily Average GAL [ Annual Amount GAL -- I 60.00I 600.00 Press T Temp Location AmbientlAmbient 'SOUTHWEST WALL NORTH END Low 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 6 02-034 ULTRA BRITE · Fire, Immed Hlth Liquid 100 GAL Low CAS #: 9016459 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL100 I Daily Average100.00GAL Annual AmOunt GAL -- 1,000.00 Storage PLASTIC CONTAINER Press T Temp ' Location .IAmbient~Ambient CENTER WAREHOUSE -- Conc 6.0% INonylphenol MCP Components iList 02-035 CEASE · Fire, Immed Hlth, Delay Hlth Liquid 100 GAL Moderate CAS #: 67630 Trade Secret: No Form: Liquid Type: Mixture Days: 365 use: NEUTRALIZER Daily Max GAL100 I Daily Average100.00GAL Annual Amount GAL 1,000.00 Storage GLASS CONTAINER Press T Temp Location I Ambient~Ambient I CENTER WAREHOUSE -- Conc' 25.0% 1.0% 3.0% Isopropyl Alcohol Ethyl Alcohol Nonylphenol Components MCP ---TLiSt ModerateI ModerateI Low 02-036 ULTRA GLOSS · Fire, Immed Hlth, Delay Hlth Liquid 100 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: SEALER -- Daily Max GAL100 I Daily Average 100.00 GAL Annual Amount GAL 3,000.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient~AmbientlCENTER WAREHOUSE -- Conc~ Components 5.0% IDiethylamine Glycol Monobutyl Ether MCP --~List 09~08~92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-037 ULTRA CARE · Fire, Immed Hlth, Delay Hlth Liquid 100 GAL High CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 100 I 100.00 I Annual Amount GAL -- 1,000.00 Storage PLASTIC CONTAINER LOcation 'Press T Temp Ambient~AmbientlCENTER WAREHOUSE -- Conc 38.0% 0.5% 0.1% IAcrylic Polymer Aqua Ammonia Formaldehyde (EPA) oComponents MCP List Minimal Moderate High EPA 02-'038 CLEAN SWEEP · Fire, Delay Hlth Solid 1000 Minimal LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 1,000 Daily Average LBS 1,000.00 Annual Amount LBS -- 4,000.00 BAG Storage Press ·T Temp IAmbient~Ambient I SOUTH WALL Location -- Conc 20.0%80.0% IParaffinsand Solids Components iMCP ---TList Minimal Minimal 09/08./92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 8 02-039 ULTRA GLOSS (PREMIER) ~ Immed Hlth, Delay Hlth Liquid 100 High GAL CAS #: 111-77-3 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: SEALER Daily Max GAL100 I Daily Average100.00GAL Annual Amount GAL 1,000.00 Storage PLASTIC CONTAINER Press T Temp Location Iambient~AmbientlCENTRaL WAREHOUSE -- Conc Components 1.0% Ethylene Glycol Dimethyl Ether 1.0% Glycol Ether PM Acetate iMCP ~List ModerateI Unrated I 02-040 ULTRA CARE (PREMIER) ~ Immed Hlth Liquid 100 High, GAL CAS #: 6440580 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL100 I Daily Average100.00GAL Annual Amount GAL 1,000.00 Storage PLASTIC CONTAINER Press T Temp. Location Ambient~AmbientlCENTRAL WAREHOUSE - Conc, Components 2.0% IEthylene Glycol Dimethyl Ether MCP iList Moderate 02-041 ECO-STAR DETERGENT I ~ Delay Hlth Liquid 300 Moderate GAL CAS #: 9016-45-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANINGf Daily Max GAL Daily Average GAL 300 I 200.00 Annual Amount GAL 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location Iambient~AmbientlSOUTHWEST CENTER WaLL -- Conc 90.0% Nonylphenol 5.0% ISopropyl Acetate Components MCP iList Low Moderate 09~08~92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-042 ECO-STAR DESTAINER V · Reactive, Immed Hlth Liquid 400 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 400 I 200.00 Annual Amount GAL -- 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientJAmbientlSOUTHWEST CENTER WALL -- Conc 10.0% ISodium Hypochlorite Components MCP List 02-043 ECO-STAR BREAK III XTRA · Immed Hlth Liquid 200 Moderate GAL CAS #: 68424851 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL200 I Daily Average100.00GAL Annual Amount GAL 1,200.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbientlAmbientlSOUTHWEST CENTER WALL -- Conc 45.0% ISodium Hydroxide Components MCP iList IModerate 02-044 ~BACSTAT LIQ SOFT · Immed Hlth Liquid 150 Moderate GAL CAS #: 68424851 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL150 I Daily Average75.00GAL Annual Amount GAL .... 1,000.00 Storage PLASTIC CONTAINER Press T Temp Location I AmbientlAmbient I SOUTHWEST CENTER WALL - Conc i Components 6.0%IAlkyl Dimethylbenzylammonium Chloride 2.0% Ethanol MCP ----[List Low IModerateI 09~08~92. SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fi~ed Containers on Site Hazma~ Inventory Detail in Reference Number Order Page 10 02-045 RIG SPARKLE · Immed Hlth Solid 1000 Low LBS CAS #: .Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS Daily Average LBS I 1,000 500.00 Annual Amount LBS 3,000.00 Storage PLASTIC CONTAINER Press T Temp Ambient~AmbientlSOUTH WALL Location -- Conc 20.0% 2.0% Components Sodium Metasilicate Sodium Dodecylbenzene Sulfonate MCP ILow Minimal List 02-046 PROTABLE TOILET ADDITIVE · Reactive, Immed Hlth Liquid 55 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I 55 55.00 Annual Amount GAL 275.00 Storage DRUM/BARREL-NONMETAL Press T Temp I Ambient~Ambient I SOUTH WALL Location -- Conc I Components 5.0% Dimethyl 'Benzyl Ammonium Chloride 1.0%I Nonylphenoxypolyethyleneoxyethanol MCP --TLiSt Minimal Minimal 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in,Reference Number Order Page 11 02-047 STOP ODOR · Fire, Immed Hlth Liquid 75 GAL Moderate CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: NEUTRALIZER Daily Max GAL Daily Average GAL Annual A~ount GAL 200.00 Storage PLASTIC CONTAINER Press T Temp IAmbient IAmbient I SOUTH WALL Location -- Conc 25.0% 1.0% 3.0% IIsopropyl Alcohol Ethyl Alcohol Nonylphenol Components MCP IModerate Moderate Low List 02-048 ECO-STAR SOFT VI · Immed Hlth Liquid 180 Moderate GAL CAS #: 67630 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL 180 I 90.00 I Annual Amount GAL 1,080.00 Storage PLASTIC CONTAINER Press T Temp ambientlam~ientlsouTH WaLL Location -- Conc 7.0% IPropanal 21.0% Hexylene Glycol 30.0% DIAMIDOAMINE Components MCP IM°derate ILow Unrated List 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 12 02-049 ECO-STAR CONDITIONER IV ~ Immed Hlth, Delay Hlth · Liquid 45 Unrated GAL CAS #: 68915311 Trade Secret: No Form: Liquid Type: Mixture Daily Max GAL 45 Storage PLASTIC CONTAINER -- Conc Components 30.0% ISODIUM POLYPHOSPHATE Days: 365 Use: WATER TREATMENT Daily Average GAL T Annual Amount GAL 15.00 ! 530.00 Press T Temp Location IAmbiont/AmbiontlSOUTHWEST WALL MCP List IUnrated ~ 02-050 ECO-STAR SOUR VII ~ Fire, Immed Hlth Liquid 45 High GAL · CAS #: 16961834 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 45 15.00 Annual Amount GAL 530.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient[AmbientlSOUTHWEST WALL -- Conc Components 20.0% [Hydrofluorosilicic Acid MCP IHigh List 02-051 A 456-N ~ Immed Hlth, Delay Hlth Liquid 500 Low GAL CAS #: 8001545 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 500 200.00 Annual Amount GAL 1,200.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient[Ambient I CENTER WAREHOUSE -- Conc I Components 6.0%IAlkyl Dimethyl~enzylammonium Chloride 9.0% Didecyl Dimethylammonium Chloride 3.0% OCTYLD~METHYL AMINE OXIDE MCP ~List Low ~ Unrated I Unrated I 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 -~Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 13 02-052 STAT III Liquid 500 · Immed Hlth, Delay Hlth GAL Moderate' CAS #: 67630 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 500 I 200.00 Annual Amount GAL 1,200.00 Storage PLASTIC CONTAINER Press I Temp Location I AmbientlAmbient{CENTER wAREHOUSE -- Conc Components 10.0% In-Propanol ~ . 2.0% Sodium Dodecylbenzene Sulfonate 5.0% POTASSIUM O BENZYLPCHLOROPHENATE MCP iList Moderate Minimal Unrated 02-053 EXTRACTION TEX · Immed Hlth, Delay Hlth Liquid 500 Moderate GAL CAS #: 67630 Trade Secret: No FOrm: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL500 { Daily Average200.00GAL I Annual Amount1,200.00GAL Storage PLASTIC CONTAINER Press T Temp Location I Ambient~Ambient I CENTER WAREHOUSE -- Conc 3.0% In-Propanol Components MCP ~List IModerate{ 02-054 LOW & BEHOLD · Immed Hlth Liquid 500 Moderate GAL CAS #: 64742489 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL .Daily Average GAL I 0.00 [ Annual Amount GAL 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient~Ambient I CENTER WAREHOUSE -- Conc 30.0% INaphtha Components I MCP i. List IModerate 09~08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference NUmber Order Page 14 02-055 LIBERTY · Immed Hlth, Delay Hlth Liquid 500 High GAL CAS #: 6834920 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL500 I Daily Average 320.00 GAL Annual Amount GAL 2,400.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient/AmbientICENTER WAREHOUSE -- Conc 5.0% 5.0% 14.0% Components Isodium Metasilicate beta-Aminoethyl Alcohol n-Butoxyethanol MCP High Moderate List 02-056 LIFT OFF STIPPER · Immed Hlth Liquid 500 High GAL CAS #: 1310732 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL500 I Daily Average320.00GAL Annual Amount GAL 2,400.00 Storage Press T Temp Location PLASTIC CONTAINER IAmbientlAmbientICENTER WAREHOUSE -- Conc I Components [ MCP 4.0% Sodium Hydride High 13.0% beta-Aminoeth¥1 Alcohol High iList 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 15 02-057 A 428 N · Fire, Immed Hlth, Delay Hlth Liquid 1250 Low GAL CAS #: 8001545 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL 1,250 600.00 Annual Amount GAL -- 7,200.00 Storage PLASTIC CONTAINER Press T Temp 'Location Ambient~AmbientlCENTER WAREHOUSE -- Conc 3.0% 5.0% 2.0% Components Benzene DIDECYLDIMETHYL AMMONIUM CHLORIDE OCTYLDIMETHYL AMINE OXIDE MCP IM°derate I Unrated Unrated List 02-058 COMET CLEANSER · Delay Hlth Solid 500 Low LBS CAS #: 7722-88-5 Trade Secret: No Form: Solid Type: Pure Days: 565 Use: CLEANING Daily Max LBS 500 Storage PLASTIC CONTAINER Daily Average LBS 1 Annual Amount LBS 200.00 I 3,000.00 Press T Temp Location Iambient/AmbientlCENTER WAREHOUSE -- Conc Components 5.0% ITetrasodium Pyrophosphate MCP ~--FList IMinimal I 02-059 ALL PRO GLASS CLEANER · Immed Hlth, Delay Hlth Liquid 60 Moderate GAL CAS #: 67630 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL r Annual Amount GAL -- 60 I 30.00I 300.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient~AmbientlCENTER WAREHOUSE -- Conc 3.0% Isopropyl Alcohol 1.0% IAqua .Ammonia Components MCP iList Moderate Moderate 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 16 02-060 LIQUID BLEACH · Reactive, Immed Hlth, Delay Hlth Liquid 500 High GAL CAS #: 7681529 Form: Liquid Daily Max GAL 500 Storage PLASTIC CONTAINER Trade Secret: No Type: Mixture Days: 365 use: CLEANING . Daily Average GAL T Annual Amount GAL -- I 500.00~ 5,000.00 Press T Temp Location AmbientJAmbientlSOUTH WALL/CENTER WAREHOUSE - Conc Comp6nents 5.2% ISodium Hypochlorite MCP IList High 02-061 CHEM-TAB ORANGE POWER · Fire, Immed Hlth, Delay Hlth Liquid 200 Moderate GAL CAS #: 5989275 Trade Secret: .No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL200 I Daily Average100.00GAL Annual Amount GAL 2,000.00 Storage PLASTIC CONTAINER Press T Temp I Ambient~Ambient I SOUTH WALL Location -- Conc 0.0% D-Limonene 0.0% Kerosene Components MCP List IModerate I Moderate 02-062 CHEM-TAB DISH BRITE · Immed Hlth, Delay Hlth Solid 1500 Minimal LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 1,500 Daily Average LBS 1,000.00 Annual Amount LBS -- 10,000.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient I SOUTH WALL Location - Conc 0.0% ISodium Sulfate 0.0% Sodium SesquiCarbonate Components MCP IMinimal Minimal List 09/08/92 SIMPSON ~ANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 17 · 02-063 CHEM TAB LOW SUDS DETERGENT · Solid 1000 Low LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS Daily Average LBS 1,000 I 500.00 Annual Amount LBS 7,500.00 BOX Storage Press T Temp ' IAmbientIAmbientlSOUTH WALL Location -- Conc 0.0% 0.0% 0.0% 0.0% Sodium Carbonate Sodium Sesquicarbonate Sodium Sulfate Sodium Metasilicate Components MCP ILow Minimal Minimal Low iList 02-064 CHEM TAB POWER CLEAN · Liquid 180 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL180 I Daily Average110.00GAL Annual Amount GAL 2,690.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient/AmbientlCENTER WAREHOUSE -- Conc 0.0% 0.0% 0.0% Components IOctylphenoxypolyothoxyethanol Nonyl Phenoxy Polyethoxyethanol Monoethylamine MCP Minimal Minimal High iList 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 18 02-065· GO JO #9192 HEAVY DUTY HAND SOAP · Reactive Solid 250 LBS Moderate CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS250 I Daily Average 100.00 LBS Annual Amount LBS 500.00 Storage PLASTIc CONTAINER Press T Temp Ambient~AmbientlNORTH WALL Location -- Conc 10.0% INonoxynol 45.0% Petroleum Distillate Components MCP Minimal Moderate List 02-066 GO JO #9112 Solid · 450 Low LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS450' I Daily Average 300.00 LBS Annual Amount LBS 1,750.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient INORTH WALL Location -- Conc 10.0% INonoxynol Components MCP ----~List IMinimal I 02-067'~ GO JO #1117 HEAVY DUTY HAND CLEANER · Solid 330 Moderate LBS CAS #: 9016459 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS 330 I Daily Average LBS 150.00 Annual Amount LBS 650.00 Storage 'PLASTIC CONTAINER Press T Temp Iambient~ambientlNOmTH WALL Location -- Conc 10.0% Nonoxynol 45.0% Petroleum Distillate Components MCP iList Minimal Moderate 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 19 02-068 GO JO 99121 FOOD SERVICE SOAP · Immed Hlth Solid 125 Moderate LBS CAS 9:00151213 Trade Secret: No · Form: Solid Type: Mixture Days: 365 Use: CLEANING -- Daily Max LBS125 I Daily Average 75.00 LBS Annual Amount LBS 250.00 Storage PLASTIC CONTAINER Press T Temp Ambient/AmbientlNORTH WALL Location -- Conc 10.0% Iisopropyl Alcohol Components MCP List I ModerateI 02-069 GO JO 99152 SPA BATH · Immed Hlth Solid 300 Unrated LBS CAS 9:00151213 Trade Secret: No Form: Solid Type: Mixture Days: 365 Daily Max LBS 300 I Storage PLASTIC CONTAINER -- Conc Daily Average LBS 200.00 Use: CLEANING Annual Amount'LBS 2,000.00 Location Press T Temp IAmbient IAmbient INORTH WALL Components ~ MCP ~List 02-070 GO JO 91135 HAND CLEANER W/PUMICE ·. Solid 660 Moderate LBS CAS 9:9016459 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS Daily Average LBS 660 I 300.00 Annual Amount LBS 2,000.00 Storage PLASTIC CONTAINER Press T Temp Ambient/AmbientlNORTH WALL Location -- Conc 10.0% INonoxynol 55.0% Petroleum Distillate Components MCP iList Minimal Moderate 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215'000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 20 02-071 GO JO #1115 HAND CLEANER ORIGINAL Solid 380 LBS Moderate CAS #: 9016459 Trade Secret: No Form: Solid Type: Mixture DaYs: 365 Use: CLEANING Daily Max' LBS380 I Daily Average250.00LBS Annual Amount LBS -- 1,000.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~AmbientlNORTH WALL Location -- Conc 10.0% IN°noxynol 55.0% Petroleum Distillate Components MCP List IMinimal I Moderate 02-072 CHEM TAB PEARL LOTION SOAP · Liquid 60 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture' Days: 365 Use: CLEANING Daily Max GAL60 '1 Daily Average36.00GAL Annual ~mount GAL 240.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient~Ambient I CHENTER WAREHOUSE -- Conc~ Components 0.0% ISodium Lauryl Ether Sulfate MCP iList 02-073 CHEM TAB PINE-10 Liquid 60 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 60 I Daily Average GAL 60.00 Annual Amount GAL 300.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient~AmbientlCENTER WAREHOUSE -- Conc 0.0% 0.0% 0.0% Components IAlkyl Dimethylbenzylammonium Chloride Nonyl 'Phenoxy Polyethoxyethanol Tetrapotassium Pyrophosphat~ MCP ILow Minimal Minimal '1List 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 21 02-074 CHEM TAB SUPER STRIPPER · Reactive, Immed Hlth Liquid 60 Moderate GAL CAS #: .Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily .Average GAL Annual Amount GAL -- 456.00 Storage PLASTIC CONTAINER LOcation Press T Temp Ambient~AmbientlCENTER WAREHOUSE -- Conc 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% Components Sodium Hydroxide Tetrapotassium Pyrophosphate Ethylene Glycol Ammonia Solution Nonylphenoxypolyethyleneoxyethanol ALKYL PHENOL ETHOXYLATE MCP Moderate Minimal Low Moderate Minimal Unrated List 02-075 CHEM TAB BOWL CLEANER · Immed Hlth, Delay Hlth Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL50 I Daily Average48.00GAL Annual Amount GAL 338.00 Storage PLASTIC CONTAINER Press I Temp Location Ambient~AmbientlCENTER WAREHOUSE -- Conc Components' 0.0% IHydrochloric Acid 0.0% ALKYL PHENOL ETHOXYLATE MCP List High I Unrated 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 22 02-076 ULTRA SEAL -~ Liquid 90 · GAL High CAS #: 111900 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL90 I Daily Average30.00GAL Annual Amount GAL 720.00 Storage PLASTIC CONTAINER Press T Temp Location I AmbientjAmbientlCENTER WAREHOUSE -- Conc, Components 0.0% IEthylene Glycol Dimethyl Ether. MCP List IModeratel 02-077 BRAVO. · Immed Hlth, Delay Hlth Liquid 55 High GAL CAS #: 1344098 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL Storage DRUM/BARREL-METALL I C -- Conc 5.0% 6.0% 6.0% Daily Average GAL 55.00 Annual Amount GAL 220.00 Press T Temp Location Ambient/AmbientlCENTER'WAREHOUSE Components ISodium Hydroxide Ethanolamine (Family Name - see also 1465, 2636) Sodium Metasilicate MCP List M°derateIHigh Low 02-078 OVER & UNDER · . Immed Hlth, Delay Hlth Liquid 55 Moderate GAL CAS #: 111900 Trade Secret: No ~.~Form: Liquid Type: Mixture Days: 365 Use: ~ Daily Max GAL , Daily Average GAL 55 I 55.00 SEALER Annual Amount GAL T 220.00 Storage DRUM/BARREL-METALLIC Press I Temp Location AmbientJAmbientlCENTER WAREHOUSE -- Conc 2.0% [Ammonium Hydroxide 5.0% Diethylene Glycol Components MCP ---iList ModerateI Low / 09~08~92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 23 02-079 POWER CLEAN II Liquid · Fire, Pressure, Reactive, Immed Hlth, Delay Hlth 300 Low GAL CAS #: 6834920 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I 300 150.00 Annual Amount GAL 1,000.00 Storage PLASTIC CONTAINER Press T Temp ~ Location I~mbientlAmbientl.SOUTH WALL AND CENTER WAREHOUSE -- Conc 0.0% ISodium Metasilicate Components Low MCP iList 02-080 BACTI-CHLOR · Immed Hlth Liquid 55 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 275.00 Storage DRUM/BARREL-METALLIC Press T Temp IAmbientlAmbient I SOUTH WALL Location -- Conc 11.0% Sodium Hypochlorite 1.0% Sodium Hydroxide Components MCP List Moderate 02-081 CHEM TAB WINDOW CLEANER 60-1 · Liquid 60 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 60 I 36,00 I 240.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientlAmbientlCENTER WAREHOUSE -- Conc 10.0% IIsopropanol Components MCP iList Moderate 09/O8/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 24 02-082 CHEM TAB ULTRA CLEAN · Immed Hlth Liquid 60 Moderate GAL CAS #: Form: Liquid Daily Max GAL 60 Storage PLASTIC CONTAINER -- Conc~ Components 3.0% IEthylene Glycol Monobutyl Ether Trade Secret: No Type: Mixture Days.: 365 Use: CLEANING i Daily Average GAL ~ Annual Amount GAL -- 36.00 ~ 730.00 Press T Temp Location Ambientl3anbientlCENTER WAREHOUSE MCP List I ModerateI 02-083 CHEM TAB PINE 30 · Immed Hlth, Delay Hlth Liquid 60 Moderate GAL CAS #: 1310732 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 60.00 Storage PLASTIC CONTAINER Press T Temp Location I AmbientJAmbient I CENTER WAREHOUSE -- Conc 1.5% ISodium Hydroxide .Components MCP iList Moderate 02-084 CHEM TAB POWER SCRUB · Immed Hlth, Delay Hlth Solid 300 Minimal LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: CLEANING Daily Max LBS300 I Daily Average 200.00 LBS Annual Amount LBS -- 5,600.00 Storage PLAsTIc CONTAINER Press I Temp Location Ambient~AmbientlCENTER WAREHOUSE -- Conc 0.0% ISilicic Acid Components ~ MCP iList Minimal 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 25 02-085 CHEM-TAB BORAX HANDSOAP · Solid 400 Low LBS CAS #: 1330434 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: DRILLING Daily Max LBS 400 I Daily Average LBS 250.00 Annual Amount LBS 2,100.00 BOX Storage Press T Temp Location I Ambient~AmbientlCENTER WAREHOUSE -- Conc 100.0% ISodium Borate Components MCP List 02-086 CHEM TAB ULTRA CARE · Immed Hlth, Delay Hlth Liquid 50 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 338.00 Storage PLASTIC CONTAINER Press I Temp I Location Ambient~AmbientlCENTER WAREHOUSE -- Conc 38.0% IAcrylic Polymer 0.5% Aqua Ammonia. Components MCP iList Minimal IModerate 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 00 - Overall Site 215-000-000476 <D> Notif./Evacuation/Medical Page 26 <1> Agency Notification EMPLOYEES ARE TO NOTIFY MANAGEMENT OF ALL SPILLS IMMEDIATELY FIRE DEPARTMENT TO BE NOTIFIED IF ANY HAZARDOUS MATERIAL IS SPILLED CALL 911 ALL PERSONNEL ARE TO'EVACUATE THE BUILDING IN THE EVENT OF LARGE SPILL <2> Employee Notif /Evacuation IN THE EVENT OF LARGE SPILL EMPLOYEES. ARE TO IMMEDIATELY EVACUATE THE BUILDING TO DESIGNATED EVACUATION AREA LOCATED DIRECTLY ACROSS PARKING LOT IN FRONT OF BUILDING AT 6901 DISTRICT BLVD. <3> Public Notif./Evacuation IN THE EVENT THAT THERE IS A CUSTOMER PRESENT AT TIME OF SPILL CUSTOMER WILL BE NOTIFIED AND PROCEED WITH EMPLOYEES TO DESIGNATED EVACUATION AREA AT 6901 DISTRICT BLVD., FRONT OF BUILDING DIRECTED ACROSS PARKING LOT. <4> Emergency Medical Plan SOUTHWEST URGEN CARE CENTER 5397 TRUXTUN AVE BAKERSFIELD, CA. (805) NEAREST EMERGENCY HOSPITAL 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 00 - Overall Site 215-00'0-000476 <E> Mitigation/Prevent/Abatemt Page. 27 <1> Release Prevention ALL PRODUCTS, WHERE PRACTICAL, ARE KEPT IN ORIGINAL CARBOARD SHIPPING CONTAINERS. PAILS AND DRUMS OF PRODUCTS ARE KEPT PALLETIZED IF POSSIBLE. SfMPSON DOES NOT REPACKAGE OR REBOTTLE OR MANUFACTURE ANY CHEMICAL AT OUR WAREHOUSE FACILITY. <2> Release Containment SACKS OF ABSORBENT MATERIAL ARE MAINTAINED ON PREMISES~ AT ALL TIMES TO SOAK UP. ANY SPILLS. SIMPSONS ALSO MAINTAINS ON PREMISES AT ALL TIMES EMPTY PLASTIC CONTAINERS TO HOLD MATERIAL THAT HAS BEEN SOAKED UP. <3> Clean Up CLEANUP PERSONNEL WILL BE PROVIDED WITH ALL. NECESSARY CLOTHING AND EQUIPMENT FOR THEIR PERSONAL PROTECTION. ABSORBENT MATERIAL WILL BE SPREAD ON SPILL MATERIAL WILL BE SHOVELED INTO PLASTIC CONTAINERS MATERIAL TO BE TAKEN TO HAZARDOUS MATERIAL DISPOSAL SITE <4> Other Resource Activation 09/08/92 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 Page 00 - Overall Site <F> Site Emergency Factors 28 <1> Special Hazards <2> Utility ShUt-Offs A) GAS - NONE B) ELECTRICAL - NEXT TO FRONT DOOR OF SIMPSON SHOWROOM C) WATER - MASTER SHUT OFF AT PARKWAY IN FRONT OF COMPLEX. NO SHUT OFF FOR WATER IN SIMPSON PORTION OF BUILDING D) SPECIAL - FIRE ALARM AND SPRINKLER SHUT OFF LOCATED IN CENTER PORTION OF BUILDING E) LOCK BOX -:~I~7~'.LOc~C ~OX ~t~O ~r~' ~0~ (_O~q <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SIMPSON FACILITY IS FULLY SPRINKLERED WITH FIRE DEPARTMENT CONNECTION FOR PUMPER HOOK UP. THIS FACILITY HAS AUTOMATIC FIRE FANS FOR SMOKE EVACUATION. FIRE EXTINGUISHERS . FIRE HYDRANT- DISTRICT BLVD IN FRONT OF COMPLEX <4> Building Occupancy Level B-2 09/08192 SIMPSON JANITORIAL & PAPER SUPPLY 00 - Overall Site <G> Training 215-000-000476 Page 29 <1> Page 1 WE HAVE 6 EMPLOYEES AT .THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE / BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE INSTRUCTED TO USE PROTECTIVE GLOVES, MASKS AND CLOTHING AROUND ANY~HAZARDOUS MATERIAL ACCIDENTALLY OPENED CONTAINER. EMPLOYEES ARE MADE AWARE OF EVACUATION AREA IN THE EVENT OF LARGE SPILL, ETC. SAFETY MEETINGS HELD AT REGULAR INTERVALS, WRITTEN MATERIAL DISPENSED AS NECESSARY, WRITTEN SAFETY PRECAUTIONS ON WEEKLY BASIS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD '~ ~/ HAZARDOUS MATERIALS INVENTORY' ~, a~d Aq~icult~e Stendsrd Rusiness ~ NON--'I.'I~AI.)E SECRETS ~,~,~ 4~,~c ~ ~ , ~ ~.. .... of .... LOCATION: & ~f ,~/J~/C--~'-~'.~ .... ' ADDRESS: STANDARD IND. CLASS; CODE ~ ~__~ ~.~_~9-9 '-~ CITY, ZIP: /~,~r~, C~l, ~ CITY, ZIP: DUN AND BRADSTREET ~ ~ I~U~XO~ ~R ~OP~ COD~ C~ C~e ~ ~t Est ~its m Site 1~ ~s I~ ~ .. St~ In FKtllty / r--~ r--~ r--~ r--~ ~t 12 ~ iC.A.S. ~ ~lth of P~re ~lth - ~" of ~ ~lth ~t I] ~iC.A.S. ~ ~/ P~I ~ ~lth ~ C.A.S. ~ /~/~ -- ~-~ ~t 11 ~ & C.A.S. ~ -- ~ r -- r ~t U ~&C.A.S. ~ ~lth of P~su~ ~lth * ~ " ' z L Zj ................ ~.~ ~ ~th ~ C.A.S. ~ ~%~- ~:~_. ~t ,~ ~ ~ c.A.S. ~ - ~- -- -- r--. C~t 12 . . ~ ~lth of Prflsu~e ~4 Ith .....~ CertffiCatlm (Read l/nd SiKh after compJetJng als sectJons] tt~n~ls ~ ' CITY of BAKERSFIELD NON---'I.'RAI) E SECRETS ~u~a j zu, :~ ~j/J/J?/~/cT /~, ADDRESS: STANDARD IND. CLASS. CODE ~ - .'~ CITY. ZIP: ~4~ ~ ~?/~ CITY. ZI~: DUN AND BRADSTREET ~UMBER -- ~lth of ~ ~lth .......... CITY of BAKERSFIELD NON--'I.'I'~AD E SECRETS ' PMle of . ~. - ....... LOCATION:./~ ~'~/ ~/~'~-/~/c~- ¥~(, ' ' ADDRESS: STANDARD IND. CLASS~ CODE ,;:~-- '-~ CITY, ZIP: ~ ~4~ CITY. ZIP: DUN AND BRADSTREET <MUMBER.-- (~ C~e ~ ~t [st ~tts ~ Site l~ ~s I~ ~ .. St~ tn F~titty /'~ ~.b:l~t~tt~ ~.~._J.._~.~ _[~._J.~__l~d~l/~l./ I V I~l ........ ~ _ ~,~/ .~q~ ~~.. ~ Fire Huord [--n r--~ r--~ ~t 12 ~ & C.A.S. ~ ~lth of ~ ~lth .... · ~,.~ ~ ~th ~ c.A.s. ~ //I -7~ ~ ~, ,, ~ ~ c.A.s. ~ ~lth of P~su~ ~lth , , .... l____l .... I L .......... 1__2___ t__l. ! 1__ 1 il ~ ~lth ~ C.l.S. ~ ~t I1 ~ & C.l.S. ~ -- r--q -- -- r--~ C~t 12 i & C.A.S. ~ ~t I] ~C.A.S. ~. CITY of BAKERSFIELD HAZARDOUS MATERI ALS. INVENTORY' NON--'I.'RAI.)E S ECRE'I'S miqf .... of nUSlNESS NAME :_~.~/~?.-~.- Jt/~qt/~',,.,. -J'~///;///-~:2'. OWNER NAME= /fl ,/,~//~'.~'r ~/,/~t/'7" NAME OF ~,Jl~$ P~CJCITY: ~/ . CITY, ,ZIP: ~"3.~'.'_~ CITY, ZIP: DUN AND BRADSTREET NUMBER ~ - · PHONE I:., ,C~:~"- ~'~.,~"~_~:~j. PHONE #: _ _ ~ ~o z~s~'~ac~zo~s ~ ~oP~ co~ ..... J ~ 2 3 I S I t I I' ' 11 II 11 13 II ,~, ,.,~) ...... ~ ~z~FZ~-~z~/~//~''',~-'~'L'' -- ~t ~ ~1~.4.~.~ ~ L 'g . ' k eli t~{ J~lv) " - J ~ ' _ . ,_, _ ._. ~, ~=~'-'-,. ~ ~ ..~ . ~lth of ~ ~lth - '' · - .... :-':T/~~ ~,~:- 0 ,, · .... ~,c,, ~ ~,,. ~,.~ c.,.s. ~ ~ ~ ~. ~, ~ ~, ,, ~., c.,.,. ~ ~, . _ - . [/~ ~ ,, --. ~lJh ~ P~su~ ~lJ~ ' ," ....... ' .... ~ ~ ~'& C.i.S. ~ ~__L I . L i J'- ~ ! ~ ~ .~ .d ~lth of ~r~ure ~lth k~ ~J~~ ........ , ?I'RF'}~ ..... : · ~ - ~! - :._ .... ,~, ~ ~..~,' c., ~.,.., ... · -:.-- : ~~~- F~rt I~1 kFicvlturl -:~ ~ CITY.of BAKERSFIELD st,,~,.d ,~,s,.ss '-- IiAZARI:)OUS MAIi'I~-RT At-$ ! ,. NON--TRADE SECRETS . ' · I)t(le of LOCATION .............. z,-/-~/.~/~?- /~.z*//~ ~.~. /~- ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP:_. ~3:~/3 CITY, ZIP: DUN AND.BRADSTREET NUMBER PHONE ~: ~- /?~ - ~"7~ ~ PHONE ·: -- ---' - ,-. ' ~,, -, .:s. ~ F~/~77/~ 7~ M ~7'"~ 0,,-- - ..... ..~tll ~'~.c.l.l.~ ~;~_1 .... ~.J .... ~_~_1 ~o A~I.~z.SI~~~J~A~: '.. ~ ~ / ~ ..... .I ~k ~11 t~t Inly) ' / at II h i C.A.S. ~ .~,,h o,~ ~,. I~/~- 7~ - ~ . ~, ,,., c.,.,. -- '~~f .t ~ t ~ ~ - ~ ~ % 4 ~"~ / ~ ,ill ~~_~~-~_ ~o ~ I ! I I~~ ~ ""'""*"" "" .... . ~q. ~ ~ o .~ I. , ~ . .3.~ ~ ~v~ ~ . .~ ~~ /'/1'~-° _. d .., ~.__ __ ..... ' ~"- c~t ~ ~ ~ c.~.s. ~. ~lth of Pr~sure ~lth ~ .......... ~.~,o~, C~,~CTS ,,, ~<~:~2. ' ' ': - ~- 2//~ . . _~,~,~z~,-~ ~.:_ ~-~, ........ . -' nT]{:&~{d:~'~; ...... n-,rp~ ....... . ---- nt~r-- ~/~- z ~ :' ~-- ' (Read and SiKh after completing all sections) ~ . , . .BUSINESS NAME: .~j~?./~.~-~// ,J//,(/ rz,,C., ,... -~/,~[",~'/,i'; OWNER NAME; __~'~" #~,/.'O,~r/: ~--,,,,',3'[7- NAME oF TI~IS FAclLXTY: v-U~AT!ON:. ~.YF/ Z~/z~,*.rr g'/rO, -'4~ ,~ ADDRESS: STANDARD IND. CLASS CODE CTTY' Z~P:-~ ~.:,~ C~TY, Z~P: DUN AND BRADSTREET * ~lth of Pwm Mlth ........ ....... .... ~ -., .... .. _._.. ..... ... ...... ,, , .......... ~N[~GEKY (Read and' sign after coapletlng ali Jeer!ohs/ ': .:~,,""· ..-;-,, ~' "~,~~,,,~~,~,, "'-' "'" ,, "' '"" .,... '""' "'-' "~.." ,,,~,~ '"-'"' ..-'"". ~z:: ~ ,~. : ,,.~ : ' .. '. OWNERS Maurice & LaVerne Warwick 1424 Via Arroyo Ventura CA 93303 Phil & Linda Simpson 3609 Ginelli Way Bakersfield CA, 93309 Larry Simpson 12915 Brimhall Rd Bakersfield, CA 93312 Vernie & Leo Dixon 5100 Sedwick Bakersfield, CA 93308 Josephine Wagner 2091 Hendrix Ave Thousand Oaks, CA 91360 FIRE DEPARTMENT SD. JOHNSON FIRE CHIEF CITY of BAKERSFIELD "WE CARE" August 12, 1991 2101H STREET BAKERSFIELD. 93301 326-3911 Mr. Phil Simpson Simpson Janitorial & Paper Supply 501 E. 21st Street Bakersfield, CA 93305 Mr. Simpson: Please complete the enclosed acutely hazardous material registration form and the facility information form regarding the use and storage of the following material. 180 GAL, 30% hydrazine (Eco-Star Soft VI) This information is necessary due to the acutely hazardous nature of hydrazine solutions. Please return it to 2130 G St. Bakersfield 93301 by September 13, 1991. Call me at 326-3~7~ if you have any questions. cc: Ralph Huey Sincerely, Barbara Brenner Hazardous Materials Planning Technician ~~ro~uct: ECO-STAR SOFT VI ECOLAB %NC Ecolab Cen~er MEDICAL EMERGENCY ONLY, 24 HOUR SERVICE: 1-800-328-0026 P. 13 Page 2 of 2 961854 7,0 HEALTH HAZARD DATA / CAUTION E~ves_: Causes irritated?no ,,,. ] Skin: May cause irrit~-fi-on~ depena~g upon degree of sxposure. %f Swallowed: Can cause irritation, nausea, stomach distress. 8.0 FIRST AID / g.1 Eye~: Flush immediately with plenty of cool running water. Remove contact lenses° Continue flushing for !5 minutes, 8,2 Skin: Flush skin with plenty of ¢ool running wa[er. Wash thoroughly with soap and water. 8.3 If $wallowed: Rinse mouth; then drlnk 1 or 2 large glasses of water, DO NOT induce vomiting, ~ev~r give anything by mouth to an unc0~scio~s pe~so~o IF IRRITATION OR DISCOMFORT PERSISTS, CALL A PHYSICIAN. SPECIAL PROTECTION t~WO~MATION 9,1 E_!ve__S: Splashpz~oef slag, ses~ goggle~ or face shield. 9 2 Skin: Rubber %loves ~p~'~ ~ ~lve~,~c~f o~~ ~,~n ~e~ ~ype pwafarred !0 · 0 ADDITIONAL i;,WO~iT!O'~/? ~CAL'TIO~ ,,' t0,1 DOT: No~ DC'~' Regulated,,, 10o2 Store in a c.~:~)~A place a.w~,y from hea~, sparks or open flame. KEEP O':!T OF R~C~.~ OF CHILDREN' The above infoznnat~cn is batieved to bo correct with respect to the formula used to ~}r~ufacture the produ¢~. As d~:a, s~andards and regulations cl~a~,, gi~d condi~iong of u~e and handling are beyond our control, NO WA~RA~T~ ~iXP~S$ OR %~PL%~D, ~S bADE AS TO THE COMPLETENESS OR (i{}W~iiii~[~2~ ACCURACY OF THIS INFORMATION° AUG 2? '91 09:2~ SIM g~%854 *MATERIAL SAFETY DATA Page 1 of 2 MEDICAL EMERGENCY ONLY, 24 HOUR SERVICE: 1-800-328=0026 gCOLAB tNC Ecolab Center Product Information: t~612-293-2233 Paul MN 55102 Date of Issue: January 29 1991 Product Name: ~C~O-$TAR SOFT VI Produc~ Type: Fabric Softener for ~he laundry cone. 2ol 2~Propanol (lsopropyl alcohol, IPA) 67-63~0 2.2 ~exylene glycol 107-41-5 +* Section 2 Provides SARA Section 313 Reporting InformaEion ** 2.0 HAZARDOUS COMPONENT__S / :.~ Air Limits (mE/m3) % TWA Other 7 98-- 6 *STEL = 1225 21 125 C 121 C ~2o3 Diamidoamine based Quaternary 30 None- UN)~ This product contains no o~her component considered hazardous according to the criteria of 29 CFR 1910.1200. 3,0 i?~:YSiCAL DATA / 3,1 Appearance: Light green, clear to hazy !i~uid with a light floral 3,.2 Solubility in Water: Compi~ S~3 pH: !00% ~ ~.5 3.4 Boiling Point: 212 d~g F Specific Gravity: 0.988 g/cc ~.0 FIRE AND ~XPLCSIOM DATA Fighting Methods: Product doe~ not support combustion,. Point: 110 dee F~ T.C.C.. ~ue ~o alcohol content. REACTIVITY ~A,:4_./ 5~1 Stabil~ty: StabI~ under normal condition~ of handling° 5~2 Condiuions ~o Avoid: Do not m~m w~h anything but water. 6.0 SPILL OR LE,~I ,:~.~u~,,~-~D~.g$ / USZ ?lOPER PROTECTIVE EQUIPMENT on iner~ abso~be~ Flush re@~duo to sanitary sewer. 6.2 Waste Di~posal,~ Consut~ s~a~e and local authorities for restrictions on disposal of ch~s~cal was~eo UNK = U~known at thi~ tzme ~L = P~ Exposure Li~it TWA = 05~% 8 Hou~ Average STOL = t5 Minute Averase ~ = C~i%ing Limit, Not To Be Excmeded LS~ Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION Business 'Name: ~ [ ~OSow Location: 901 E.., ?-t ~ Business Identification No. 215-000 - ~300 q-"/~ Station No. ~ Shift '~ Date Completed I~ I (Top of Business Plan) Inspector Verification of Inventory Materials RECEIVED J U L 1 I., 1991 Verification of Quantities Verification of Location Proper Segregation of Material Adequate Inadequate Comments: Number of Employees Comments: Verification of MSDS Availablity Verification of Haz Mat Training Verification of Abatement Supplies & Procedures Comments: Comments: Emergency Procedures Posted Containers Properly Labeled Verification of Facility Diagram Special Hazards Associated with this Facility: Business Owner/Manager FD 1652 (Rev. 1-90) All Items O.K. Correction Needed White. Haz Mat Div. Yellow-Station Copy Pink-Business Copy 04/25/91 SIMPSO~'ANITORIAL & PAPER SUPPLY ,-000-000476 Over-all Site with. i Fao. Unit Page General Information Location: 501E 21ST ST Map: 105 Hazard: Moderate Ident Number: 215-000-000476 Grid: 29A Area of Vul: 0.0 Contact Name PHIL'SIMPSON LARRY .SIMPSON · Mail Addrs: 501E 2iST ST Clty: BAKERSFIELD Comm Code: 215-002 BAKERSFIELD STATION 02 Title Business Phone , 24 Hour Phone- (805) 325-1767 x (805) 852-8126 · (805) 525-1767 x (805) 589-2255 Administrative Data D&B Number: 11-502-9886 State: CA Zip: 95505- SIC Code: 5599 Owner: SIMPSON JANITORIAL & PAPER SUPPLY Phone: (805) 525-176'7 Address: 501E 21ST ST State: CA City: BAKERSFIELD Zip: 93505- Summary 04/25/gl SIMPSON JANITORIAL & PAPER SUPPLY. 215-000-000476 Hazmat Inventory List in MOP Order 02 - Fixed Containers on Site Pln-Ref. Name/Hazards Form Quantity Page MOP 02-014 OHEM TAB BLEAOH Immed Hlth, Delay Hlth Liquid 560 GAL High 02-019 CRYOSAN - 11 Immed Hlth, Delay Hlth Liquid 60 GAL High 02-017 EXOEL immed Hlth Liquid 60 GAL High 02-003 PUREX ONCE OVER Immed H. lth, Delay Hlth Liquid 85 GAL High 02-016 PUREX OUT STRIP Immed Hlth, Delay Hlth Liquid 55 GAL High 02-01¥ OHEM TAB PERMA GLOSS 250 Immed Hlth Liquid 120 GAL Moderate 02-012 OHEM TAB PINE 50 Immed Hlth~ Delay Hlth Liquid 60 GAL Moderate 02-008 CHEM TAB POWER CLEAN Fire, Immed Hlth, Delay Hlth Liquid 200 GAL Moderate 02-015 CHEM TAB ULTRA CARE Immed Hlth Liquid 120 GAL Moderate 02-011 CHEM TAB ULTRA CLEAN Immed Hi'th, Delay Hlth Liquid 60 GAL Moderate 02-009 CHEM TAB WINDOW CLEANER CONCENTRATE Immed Hlth Liquid 60 GAL Moderate 02-002 PUREX - GRAND PRIX Immed Hlth~ Deiay'Hlth Liquid 138 GAL Moderate 022006 PUREX BRILLO WINDOW· CLEANER Immed Hltl~ . Liquid 75 GAL Moderate 02-007 PUREX SUPER GUARD Immed Hlth Liquid 75 GAL Moderate 02-001 ROYAL SOAP ~1028 (HAND CLEANER W/PUMICE) Delay Hlth Sol~d 66O LBS Moderate 02-022 SCALE GON Immed Hlth, Delay Hlth Liquid 120 GAL Moderate 02-021 STRIP TEE Reaotive~ Immed Hlth Liquid 60 GAL Moderate 04/25/91 Pln-Ref SIMPSO ANITORIAL & PAPER SUPPLY' )-000476 Hazmat Inventory List in MOP Order 02 - Fixed Oontainers on Site Name/Hazards Form Quantity Page MOP 02-020 HEL OAT Immed Hlth, Delay Hlth Liquid 60 GAL Low 02-018 PW-5 Delay Hlth Liquid 60 GAL Low 02-025 SYN OlDE PLUS Immed Hlth Liquid 60 GAL Low 02-010 CHEId TAB DISH WASH Immed Hlth, Delay Hlth Liquid 1,600 GAL Minimal 02-005 PUREX LIQUID FOAM Immed Hlth Liquid 75 GAL Minimal 02-004 PUREX SEVENTY SEVEN Immed Hlth Liquid 75 GAL Minimal 041'25/91 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Oontainers on Site Hazmat Inventory Detail in MOP Order Page 02-014 CHEM TAB BLEACH Immed Hlth, Delay Hlth Liquid 560 High GAL CAS ~: Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL ,.. Daily Average GAL 560.00 240.00 Annual Amount GAL 1,920.00 Storage PLASTIC CONTAINER Press T Temp --T Looatlon AmbienttAmbientlOENTER AISLE UNIT 2 -- Coho 5.5~]Sodium Hypoohlorite Components ,, MCP IHigh ---~i --Notes 02-019 CRYOSAN - 11 Liquid 60 High Immed Hlth, Delay Hith GAL CAS ~: 7681-52-9 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL 60.00 ~~-- Daily Average12.00 GAL Annual Amount GAL 60.00 Storage .PLASTIC CONTAINER -] Press T Temp .. Location /AmbientJAmbient RACK BETWEEN BAY 1 - COhO 15.0~ Sodium Hypochlorite Components -- MCP High ~ist 04/25/91 I SIIdPSON'UANITORIAL & PAPER SUPPLY 300-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-017 EXCEL Liquid 60 High. Immed Hlth GAL CAS ~: 111-90-0 'Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL 60.00 Storage PLASTIC CONTAINER -- Cono 0.0~o 0.0~ Daily Average GAL --Annual Amount GAL Press T Temp .... I Location 1 I. AmbientlAmbientlNORTF~ WALL BAY 1 Components Die'thylene Glycol Monoethyl Ether Formaldehyde (EPA) ]-- IdOP --~ist Low High IEPA 02-005 PUREX ONCE OVER Immed Hlth, Delay Hlth Liquid 85 Hlgh GAL CAS ~: 11-76-2 Form: Liquid Trade Secret: No Type: Mixture Days: 565 Use: CLEANING Daily Max GAL --- Daily Average GAL 7 85.00 60.00 / Annual Amount GAL 900.00 Storage' PLASTIC CONTAINER Press T 'Temp ,,, Location IAmbientiAmbient'NORTH WALL UNIT 1 -- Cone 20.0~ 10. 5.0~ Components 2-Butoxyethanol Dipropylene Glycol Methyl Ether beta-Aminoethyl Alcohol iMOP --mL ModerateI Low High ist SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MOP Order Page 02-016 PUREX OUT STRIP Immed Hlth, Delay Hith Liquid 55 High GAL OAS ~: 141-45-5 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: OLEANING Daily Max GAL 55.00 Storage PLASTIC CONTAINER ~~-- Daily Average GAL .55.00 Press T 'Temp -q Location Ambier, t~AmbientlNORTH WALL BAY 1 -- Cono - Componerlts 5.0~ beta-Aminoethyl Alcohol ,iO.O~ ISodium Metasilioate Annual Amount GAL 360.00 -- Notes 02-015 CHEM TAB PERMA GLOSS 250 Liquid 120 Moderate Immed Hlth GAL CAS ~: Trade Secret: No Form: Liquid Txpe: Mixture Days: 565 Use: CLEANING -- Daily Max GAL 120.00 --~Daily Average GAL 96.00 Annual Aqount GAL 1,676.00 Storage PLASTIC. CONTAINER Press T Temp--T Location ,----IA.mbientlAmbientISOUTH WALL BAY i -- Cone 0.1'~ Ammonia Solution Components FoMCP ....... Li derate -- Notes o4,t25/9i SIMPSON--JANITORIAl_ & PAPER SUPPLY ,5-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-012 CHEM TAB PINE 50 Immed Hlth, ,Delay Hlth Liquid 60 Moderate GAL CAS ~: 131.0-73-2 'Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 60.00 Storage PLAS'TIC CONTAINER -- Oono- i Oomponents i.5~ ISodium Hydroxide, Solution -- . , -Daily Average GAL ---c---Annual Amount GAL --- I 24.00/ 60.00 ' -Press T Temp , Location I I - MCP ---TLiSt I Moderate I 02-008 CHEM TAB POWER CLEAN Fire, Immed Hlth, Delay Hlth Liquid 200 Moderate GAL CAS ~: 5989-27-5 Trade Secret: 1'4o Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 200.00 Daily Average GAL ---T---Annual Amount GAL 100.00[ 2,000.00 Storage PLASTIC CONTAINER Press T Temp ...... Location AmbientlAmbient SOUTH WALL BAY 1 - Coho 0.0~ D-Limonene 0.0% Kerosene Components ,~ MOP Moderate Low 02-015 CHEM TAB ULTRA CARE Immed Hlth Liquid 120 Moderate GAL CAS ~: Trade Secret: No Form: -Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 120.00 .... i .... Daily Average GAL 60.00 Annual Amount GAL -- 480.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientlAmbient SOUTH WALL BAY 1 -- Oono -- 58.0% lAorylio Polymer 0.5~ Aqua Ammonia Components I' MOP iList Minimal 'Moderate -- Notes 04/25/91 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order -- Notes Continued Page 02-011 CHEM TAB ULTRA CLEAN Immed Hlth, Delay Hlth Liquld 60 Moderate GAL CAS ~: Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max60.ooGAL I Daily Average36.00GAL ] Annual Amount GAL 730.00 Storage PLASTIC CONTAINER Press T Temp '1 Location Ambient~AmbientISOUTH WALL BAY I -- Coho ,, Components 3.0% Ethylene Glycol Monobutyl Ether , MCP ---yList ModerateI 02-009 CHEM TAB WINDOW CLEANER CONCENTRATE Immed Hlth Liquid 60 Moderate GAL OAS ~: Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max60.ooGAL I Daily Average 56.00 GAL Annual Amount GAL 240.00 Storage PLASTIC CONTAINER Press T Temp I Location Ambient~AmbientISOUTH WALL.BAY -Cono -7 lO.0%Ilsopropanol Components -- MCP i~ist ModerateI 04/2s/9i S IMPSOI%~JANITORIAL & PA PER SUPPLY 5-000.000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-002 PUREX - GRAND PRIX Immed Hlth, Delay Hlth Liquid 158 GAL Moderate CAS ~: 111-90-0 Trade Secret: No Form: Liquid Daily Max GAL 158.00 Storage PLASTIC CONTAINER 'Type: Mixture Days: 565' Use: CLEANING Daily Average60.00 GAL -- Annual Amoun~o~?~O-- Press T Temp I Location ,1 IAmbientlA. mbientlNORTH WALL, UNIT I -- Coho --~ : Components 5.0%lDiethylene Glycol Monoethyl Etlner i. 0~ Isopropanol 1.Omo I. Ammonlum Hydroxide i.O~lEth¥iene Glycol --MOP ---]4_ Low I Moderate Moderate Low . ~ 02-006 PUREX BRILLO WINDOW CLEANER Immed Hlth Liquid 75 GAL Moderate CAS ~: 1556-21-6 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use:P~LLANING-' Daily Max GAL 75.00 Daily Average GAL 60.00 Annual Amount GAL 75.00 Storage PLASTIC CONTAINER A Pr-ess T Temp i Location mbien'tlAmbientlNORTH WALL BAY 1 -- Coho 1 .Omo 1 .0-°6 10. O~ Ammonia Solution 2-Butoxyethanol Isopropanol Components MCP ~ ~ist IModerate~ IModerate~ Moderate ~ 04/25/91 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Oontainers on Site Haz'mat Inventory Detail in MOP Order- Page 02-007 PUREX SUPER GUARD Immed Hlth Liquid 75 Moderate GAL OAS ~: 1556-21-6 , 'T~ade Secret: No <) Form: Liquid Type: Mixture Days: 565 Use: OLEANING Daily Max75.00 GAL I Daily Average 60.00 GAL Annual Amount GAL 400.00 Storage PLASTIC CONTAINER press T ]"emp --1 Location AmbientlAmbientlNORTH WALL BAY 1 - Cone -7 0.4~IAmmonia Solution 4.0%IDiethyiene Glycol 6.0~IEthylene Glycol 0.9%/Isopcopyl Alcohol Components Monoethyl Ether- MOP ---FL i s t ModerateI Low Low Modera'teI -- Notes 02-001 ROYAL SOAP ~1028 (HAND OLEANER W/PUMIOE) Delay Hlth Solid 660 Moderate LBS OAS ~: Trade Secret: No Form: Solid Type: Mixture Days: 565 Use: OLEANING Daily Max LBS 660.00 ........... .Daily Average LBS ---j--Annual Amount LBS 500.00[ 2,000.00 Storage PLASTIC CONTAINER Press T Temp Location Ambient/Ambient~ NORTH WALL BAY 1 -- Cono 0.0~ ]Nonoxynol 0.0~ Petroleum Distillate Components MOP ---mList Low I ModerateI o4/2s/~1 SIMPSOI~ANITORIAL & PAPER SUPPLY 02 - Fixed Oontainers on Site 000-000476 Hazmat Inventory Detail in IdCP Order Page 02-022 SCALE GON Immed Hlth, Delay Hlth Liquid 120 GAL Moderate OAS ~: 7664-38-2 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL '120.00 ~N Daily Average GAL 60.00 Annual Amount GAL -- 85.00 Storage PLASTIO CONTAINER Press T Temp --] Looatlon JAmbientlAmbientINW CORNER BAY 1 -Cono -i 40.0~ IPhosphorio Aold Components MCP ~.-List Moderate 02-021 STRIP TEE Reactive, Immed Hlth Liquid 60 Ifioderate GAL CAS ~: 1310-73-2 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL' 60.00 i Daily Average GAL 50.00 Annual Amount GAL 60.00 Storage PLASTIC CONTAINER Press T 'Temp .... Looatlon Ambient]Ambient NW CORNER BAY 1 -- Coho 5.0% 5.0% 2.0~o Components Sodium Hydroxide, Solution Sodium Carbonate 2-Butoxyethanol -- MOP ---mLis M°deFate ILoW ModerateI 02-020 HEL CAT Immed Hlth, Delay Hlth Liquid 60 Low GAL CAS ~: 6854192-0 Trade Secret: No Form: Liqui, d Type: Mixture Days: 565 Use: CLEANING Daily Max GAL 60.00 Daily Average~GAL 1' Annual Amount GAL 12.00 60.00 Storage PLASTIC CONTAINER FPress T Temp -~ Location mbientlAmbientlRAOK BETWEEN BAY 1 -- Cono 5.0% ISodi. um Metasilicate Components 04/25/91 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 Page 02 - Fixed Containers on c, ite Hazmat Inventory Detail in MOP Order 02-018 PW-5 Liquid 60 Low Delay Hlth GAL OAS ~: 7601-54-9 Trade Secret: No Form: Liquid Type= Idixture Days= 365 Use: OLEANING -- Daily Max GAL 60.00 ~~ Daily Average GAL ---~ Annual Amount GAL 12.00 60.00 Storage PLASTIC CONTAINER Press T Temp --f Location Ambient/AmbientlNW CORNER BAY 1 -- Cone, 25.0~ 15.0~ 50.0~ ITrisodium Phosphate Sodium Carbonate Sodium Metasilioate Components Pentahydrate i-i MOP ,-~ist 02-025 SYN OlDE PLUS Immed Hlth Liquid 60 Low GAL CAS ~: 68424-85-1 Trade Secret: No Form: Liquid 'Type: Mixture 'Days: 565 Use: CLEANING Daily Max GAL Daily Average GAL --~ Annual Amount GAL 60.00 I 50.00I 60.00 Storage PLASTIC CONTAINER Press T Temp -] Ambient[AmbientlNW CORNER BAY 1 -- Cono~ Components 5.0~ IAlkyl Dimethyl Benzyl Ammonium Chloride 1.1~IDi~e°yl Dimethylammonium Chloride Location UMOP --TList ow nrated I 04/2s/91 I SIidPSON~JANITORZAL & PAPER SUPPLY 5-000-000476 02 -Fixed Containers on Site Hazmat Inventory Detail in MC.P Order Page 02-010 CHEM TAB DISH WASH immed Hlth, Delay Hith Liquid 1600 Minimal GAL CAS ~: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 1,600.00 --~ Daily .Averagel,O60.ooGAL --~ Annual Amountlo,236.00GAL -- , Storage PLASTIC CONTAINER PLASTIC CONTAINER Press T,'Temp --I AmbientlAmbientI AmbientlAmbientI Location WEST WALL BAY 1 SOUTH WALL BAY 1 -Oono '-~ O.O~[Sodium Sulfate o.o /S°dium Sesquioarbonate Components MOP ---TList inimal I inimaiI -Notes 02-005 PUREX LIQUID FOAM Liquid 75 Minimal Immed Hlth GAL OAS ~: 25155-50~0 Trade Secret: No Form: Liquid Type: Mixture Days: 565 Use: CLEANING Daily Max GAL '75.00 Daily Average GAL 60.00 Annual Amount GAL __1 4aa.co I Storage PLASTIC CONTAINER Press T Temp -~ Location AmbientlAmbientlNORTH WALL BAY 1 -- Cono -q Components ,15.0~Sodium Laurylbenzenesulfonate Fi MCP ---qq_ist nimal I 04/25/91 SIIdPSON JANITORIAL & PAPER SUPPLY 215-000-000476 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-004 PUREX SEVENTY SEVEN Immed Hlth Liquid 75 GAL Minimal CAS ~: 2515-53-00 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING -- Daily Max GAL 75.00 Daily Average GAL 60.00 Annual Amount GAL 234.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientJAmbient NORTH WALL UNIT 1 -- Coho ~'i Components 10.0~jSodium Dodeoylbenzene Sulfonate FMCP .... i-List inimal J o4/2s/91 SIMPSON~-JANITORIAL & PAPER SUPPLY O0 - Overall Site 5-000-000476 <D> Notit./Evaouation/Medical Page <1> Agency Notification OALL 911 <2> Employee Notif./Evaouation EMPLOYEES ARE TO NOTIFY MANAGER/OWNERS OF ALL SPILLS. MANAGER/OWNERS WILL NOTIFY THE FIRE DEPT. ALL PERSONNEL ARE TO EVACUATE THE BUILDING IN THE EVENT OF A LARGE SPILL. ~' <3> Public Notif./Evaouatioc <4> Emergenoy Medical Plan OLOSEST HOSPITAL , o4/2S/9i SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 O0 - Overall Site <E> Mitigation/Prevent~Abatemt Page <1> Release Prevention SPILL PREVENTION ~ ALL PRODUCTS WHERE PRACTICAL, ARE KEPT IN ORIGINAL CONTAINERS INSIDE OF CARDBOARD SHIPPING BOXES <2> Release Containment <5> Clean Up SACKS OF ABOSRBSIT ARE MAINTAINED ON HAND TO SOAK UP ANY LARGE SPILLS. SMALL SPILLS WILL BE.MOPPED UP WITH EQUIPMENT ON HAND. <4> Other Resource Activation 04/25/~1 SIMPSON~JANITORIAL & PAPER SUPPLY O0 - Overall Site .5-000-000476 <F> Site Emergency Factors Page <1> Special Hazards <2> Utility Shut-Offs A) GAS - FRONT OF BUILDING BY MAIN ENTRANCE B) ELECTRICAL - INSIDE BUILDING SOUTHEAST CORNER C) WATER - FRONT OF BUILDING @ CURB D) SPECIAL - NONE E) LOCK BOX - NO <3> Fime Proteo./Avail. Water PRIVATE FIRE PROTECTION - NO FIRE PROTECTION. FIRE'HYDRANT- ??????????????? <4> Held 1=or Future use 04/25/91 SIMPSON JANITORIAL & PAPER SUPPLY 215-000-000476 Page O0 -.Overall Site <G> Training <1> Page 1 WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON,FILE BRIEF SUMMARY OF 'TRAINING: ALL EMPLOYEES TO NOTIFY MANAGEMENT OF ALL OCCURENCES. ALL CHEMICAL TO BE WASHED OFF WITH WATER IF SPILLED. NO CHEMICALS TO BE TANKEN FROM ORIGINAL CONTAINERS. ANY SPILL TO TO SOAKED BY ABSORBENT MATERIALS. <2> Page 2 as needed <5> Held for Future Use <4> Held for Future Use 919~£00-01 Page· 1 of Z 1- 800-' 3~2~- 0026 Product Informatio~:'.Contact .. your local Airkem distributor. ' For local distributor telephone number: Call 1-800-444o4410. SAFETY DATA SHEET* MEDICAL EMERGENCY ONLY, 24 HOUR SERVICE: AIRKEM PROFESSIONAL PRODUCTS DIVISION OF ECOLAB INC. Ecolab Center, ST. PAUL, ..WN 55102 Date of Issue: September !8, 1989 1.0 IDENTIFICATION / 1.1 Product Name: .1.2 Product Type: STAT III Phenolic Detergent Disinfectant *+ Section 2' Provides SARA Section ~13 RepOrting information';+ 2.0 HAZARDOUS COMPONENTS / 2.1 2-Propanol (Isopropyl alcohol', IPA) 67-63-0 Air Limits.(mg/m3) 2.2 Potassium o-phenylphenate 13707-65-8 5 2.3 Potassium o-benzyl-p-chlorophenate .35471-49-9 5 2.4 Sodium dodecylbenzenesulfonate 25155-30-0 2 2.5 Potassium p-t-amylphenate 53404-18-5 This product contains no other component considered hazardous : according to the criteria of 29 CFR 1910..1100. % PEL Other l'0' 980 980* *STEL = 1225 None UNK None UNK None UNK None .UNK 3.0 PHYSICAL DATA / · 3.1 Appearance and Odor: Clear yellow liquid; phenolic odor. 3.2 Solubility in Water: Dispersable 3.3 phc 100~ : 12.0-12.5; 1% : 10.2-10.6 3.4 Boiling Point: 212 des F Specific Gravity: 1.036-1.040 4.0 FIRE AND EXPLOSION DATA / 4.1 Special Fire Hazards: None 4.2 Fire Fighting Methods: Product does not support combustion 4.3. Flash Point: 100 dee F (TCC) due to alcohol content. 5.0 REACTIVITY DATA / 5.1 Stability: Stable under normal conditions of handling. 5.2, Conditions to Avoid: Do not mix with anything but water. 6.0 SPILL OR LEAK PROCEDURES / USE PROPER PROTECTIVE EQUIPMENT 6.i,Cleanup: Dike or dam large spills. Pump to containers or soak up on inert absorbent. Flush residue to sanitary sewer. 6.2 Waste Disposal:· consult sta~e and local'au~horities for restrictions on disposal of chemical waste.. Rinse empty container thoroughly with water before discarding. UNK = Unknown at this time PEL= Permissible Exposure Limit TLV = Threshold Limit Value STEL = Short Term Exposure Level ~ = Ceiling Limit, Not To Be Exceeded Produce: STAT III AIKKEM PROFESSIONAL PRODUCTS MEDICAL EMERGENCY ONLY, 24 HOUR SERVICE: 919100-01' 1-800-'328-0026 7.0 HEALTH HAZARD DATA / ,DANGER 7.1 Effects of Overexposure: EYES': Causes eye damage. SKIN: Causes skin irrztation, possible loss of skin pigmentation. IF SWALLOWED: Harmful. May damage mucosal tissue. Large doses may cause circulatory shock, respiratory depression, convulsion. IF INHALED: Vapor or mist cause irritation. Persons with asthma or ocher lung problems may be more ~usceptible. 8.0 FIRST AID / EYES: Immediately flush' with plenty of cool running water. Remove contact lenses. Continue flushing for at least 15 minutes, holding eyelids apart to ensure rinsing of the entire eye. SKIN: Immediately flush skin with plenty of cool running water for ac least 15 minutes while removing contaminated clothing and shoes. Wash clothing before reuse-. IF SWALLOWED: If swallowed, drink promptly a large quantity o~ milk,.egg whites,.gelatin solution or if these are not available, drink large quantities of water. Avoid alcohol. IF INHALED: Move immediacely to fresh air. CALL A POISON CONTROL CENTER OK PHYSICIAN IMMEDIATELY 9.0 SPECIAL PROTECTION INFORMATION / 9.1'Eyes: Splashproof glasses, goggles or face shield. 9.2. Skin: Rubber gloves protective cuff or gauntlet type preferred. 10.0 ADDITIONAL INFORMATION/PRECAUTIONS / 10.1DOT Class: Not DOT Regulated. 10.2 Avoid con=aminacion of food or food products. food products. 10.3 EPA KEG.No. 1677-39-42964 Do hOC score with. KEEP OUT OF KEACH OF CHILDKEN The above information is believed to be correct with respect =o =he formula used to manufacture the product. As data, standards an~ regulations change, and conditions of use and handling are beyond our control, NO WARRANTY, EXPRESS OR IMPLIED, IS MADE AS TO THE COMPLETENESS OR CONTINUING ACCUI~ACY OF THIS INFOILMATION. 984229 428-N ~'~MATERIAL SAFETY DATA SHEETe~ ' Page 1 of 2 MEDICAL EMERGENCY ONLY, 24 HOU~ SERVICE: 1-800-328-0026 AIRKEM pROFESSIONAL PRODUCTS .Product Information: Contact DIVISION OF ECOLAB INC. your local Airkem distributor. Ecolab Center, ST. PAUL, MN 55102 For local distributor telephone Date of Issue: March 7, 1990 number: Call 1-800-444-4410. 1.0 IDENTIFICATION /' 1.1 Product.Name: 1.2 Product Type: A-428-N Quaternary Detergent Oisinfectant +* Section 2 Provides SARA Section 313 Reporting Information +* --...--.--.......--...----...--...--.....----.--. 2.0 HAZARDOUS COMPONENTS / Air Limits (ms/m3) % TWA Other 2.1 Alkylbenzyldimethylammonium chloride 8001-54-5 3 None UNK 2.2 Didecyl dimethyl ammonium chloride 7173-51-55 5 None UNK 2.30ctyl dimethyl amine oxide' 2605-78-9 2 None UNK ,- This product contains no other component considered hazardous according to the criteria of 29 CF~ 1910.1200. 3.0 PHYSICAL DATA / 3~1 Appearance: Fluorescent Yellow liquid; non-descript odor 3.2 Solubility in Water:- Complete 3.3 pH: 7.5-8.5 (100%) 3.4 Boiling Point: > 212 deg F Specific Gravity: 0.98-1.01 4.0 FIRE AND EXPLOSION DATA / 4.1 Special Fire Hazards: None 4.2 Fire Fightin~ Methods: Product does not support combustion. 5.0 REACTIVITY DATA / 5.1 Stability: Stable under normal conditions of handlin$. 5.2 Conditions to Avoid: Do not mix with anythin~ but water. 6.0 SPILL OR LEAK PROCEDURES / USE PROPER PROTECTIVE EQUIPMENT 6.1 Cleanup: Dike or dam large spills. Pump to containers or soak up on inert absorbent. Flush residue to sanitary sewer. 6.2 Waste Disposal: Consult state and local authorities for restrictions on disposal of chemical waste. Rinse empty container thoroughly with water before discarding. UNK : Unknown at this time PEL= Permissible Exposure Limit TWA = OSHA 8 Hour 'Average STEL = 15 Minute Average ~ = Ceiling Limit, Not To Be Exceeded Product: A-428-N AIRKEM PROFESSIONAL PRODUCTS ~ase ~ of 2 984229 MEDICAL EMERGENCY ONLY, 24 HOUI~ SERVICE: 1-800-328-0026 ==~ ....................... ~--~ .......... -- ............. 7.0 HEALTH HAZARD DATA / DAi~GER " ' 7.1'Effects of Overexposure": Skin and Eyes: Can cause severe irritation, possible chemical burns. If SWallowed: Harmful. Can cause chemical burns of mouth, throat. and stomach. 7.2 Eyes: Flush immediately with plent~ of cool running water. Remove contact lenses. Continue flushing for 15 minutes. 7.3 Skin: Flush skin with plenty of cool running water. .Wash thoroughly with soap and water. 7.4 If Swallowed:. Rinse mouth; then drink 1 or 2 large glasses of water.' DO NOT induce vomiting. Never give anything by'mouth to.an unconscious person. CALL A POISON CONTROL CENTER OR PHYSICIAN IMMEDIATELY 9.0 SPECIAL PROTECTION INFORMATION / 9'.1 Eyes: .Splashpr°of glasses, goggles or face shield. 9.2 Skin: Rubber gloves - protective cuff °r gauntlet type preferred. 10.0 ADDITIONAL INFORMATION/PRECAUTIONS / 10.1 DOT Class': Not DOT regulated. 10.~2 Avoid contamination of food or food products. food products. 10.3 EPA REG. #47371-130-42964 Do not store wi~h KEEP OUT OF REACH OF CHILDREN The above information is believed to be correct with respect to the formula used to' manufacture the product. As data, standards and regulations change, and conditions of use. and handling are beyond our' control, NO WARRANTY, EXPRESS OR IMPLIED, IS MADE AS TO THE COMPLETENESS OR CONTINUING ACCURACY OF THIS INFOBRATION. 98~237,~ *MATERIAL SAFETY DATA SHEET* Page 1 of.2" MEDICAL ZtIERGENCY ONLY, 24 HOUR SERVICE: 1-800-328-0026 AIRKEM PROFESSIONAL PRODUCTS DIVISION OF ECOLAB INC. ~Ecolab Center, ST. PAUL, MN 55102 Date of Issue: April 10, 1990 Product Information: Contact your local Airkem distributor. For local distributor telephone number: Call 1-800-444-4410. 1.0 IDENTIFICATION / 1.1 Product Name: 1.2 Product Type: A-456-N Quaternary Detergent Disinfectant ++ Section 2 Provides SARA Section 31% Reporting Information ++ 2.0 HAZARDOUS COMPONENTS / 2.1 Alkylbenzyldimethylammonium chlorides 800,1-54-5 2.2 Didecyl dimethyl ammonium chlorides 7'173-51-5 2.30ctyl dimethyl amine oxide 2605-78-9 This product contains no other component considered hazardous according to the criteria of 29 CFR 1910.1200. Air Limits (ma/m3) % TWA Other 6 None UNK 9 None UNK 3 None UNK 3.0 PHYSICAL DATA / 3.1 Appearance: Red liquid; non-descript odor 3.2 Solubility in Water: Complete 3.3 pH: 7.5-8.8 (100%) 3.4 Boiling Point: > 2.12 deg F Specific Gravity: 0.98-1.01 4.0 FIRE AND EXPLOSION DATA / 4.1 Special Fire Hazards: None 4.2 Fire Fighting Methods: Product does not support combustion. 5 b REACTIVITY DATA / 5.1 Stability: Stable under normal conditions of handling. 5.2 Conditions to Avoid: Do not mix with anything but water. 6.0 SPILL OR LEAK PROCEDURES / USE PROPER PROTECTIVE EQUIPMENT 6.1 Cleanup: Dike or dam 'large spills. Pump to Containers or Soak up on inert absorbent. Flush residue to sanitary sewer. 6.2, Was'te Disposal: Consult state and local authorities for restrictions on disposal of chemical waste. Rinse empty container thoroughly with water before discarding. UNK = Unknown at this time PEL = Permissible Exposure Limit TWA = OSHA 8 Hour Average STEL = 15 Minute Average ~ = Ceiling Limit, Not To Be Exceeded "Product: A-456-N '~IRKEM PROFESSIONAL PRODUCTS MEDICAL EMERGENCY ONLY, 24 ~0URSERVICE: '· .Page 2 of:~2~.~ '}?!?-·' "~" 98/+237 1- 800- 328 - 002'6 ·.~.~._ __ _ -.. 7.0 HEALTH HAZARD DATA / DANGER 7.1 Effects of Overexposure: Skin and Eyes: Can cause severe irritation, possible chemical burns. If Swallowed:· Harmful. Can cause Chemidal burns of mouth, throat and stomach. 7.2 Eyes: Flush immediately with plenty of cool running, water. Remog~e. contact lenses. COntinue flushing for 15 minutes. 7.3 Skin: Flush skin with plenty of cool running water. Wash thoroughly with soap and water. · 7.4 If Swallowed: Rinse mouth; then drink 1 or 2 large glasses of water. DO NOT induce vomiting. Never give anything by mouth to an unconsciousperson. CALL A POISON· CONTROL CENTER OR PHYSICIAN IMMEDIATELY 9.0 SPECIAL PROTECTION INFORMATION / , 9.1 Eyes: SplaShproof.glasses, goggles or face shield. 9.2'Skin: Rubber gloves - protective cuff or gauntlet type·preferred. .10.0 ADDITIONAL INFORMATION/PRECAUTIONS / 10.1 DOT Class:. Not DOT regulated 10.2 Avoid contamination of food or food products. food products. 10.3 EPA REG. #47371-129-42964 Do not store with . KEEP OUT OF REACH OF. CHILDREN The above informatiOn is believed to be correct with respect to the .formula used to manufacture the product. As data,, standards and · regulations change, and conditions of use and handling are beyond our. 'control, NO WARRANTY, EXPRESS OR IMPLIED, IS MADE AS TO THE .COMPLETENESS OR CONTINUING ACCURACY OF THIS INFORMATION. 6. REAC, TIVITY DATA HATARDC~us POLYMERIZATION: . May Occur ( ) Will Not Occur ( X ) STABILIY: Unstable ( ) Stable ( X ) CONDITIONS TO AVOID: High temperatures ( ) Poor Ventilation ( ) Contamination ( ) Moisture/High Humidity ( Other ( ) 7. SPILL OR LEAK PROCEDURES Steps to be taken .in case material is released or spilled: Absorb onto inert absorbent and place in'plastic container for disposal. INCOMPATIBILITY (MATERIALS TO AVOID): Strong Oxidants ( ) Alkali(X ) .... ." ' Moisture ( ) Acids ( ) Solvents( ) Other ( ) ' Waste Disposal Method: RCRA Hazardous Waste - Yes ( X ) Type Corrosive , . No ( Landfill or incinerate. Follow all federal~ state and local waste disposal regulations. ~':" g. SPECIAL PROTECTION INFORMATION .. RESPIRATORY PROTECTION: Required: Yes ( ); No ( X ) Type: Dust Mask ( ); Cannister ( VENTILATION: Required: Yes(X ); No( ) . Type: Local Exhaust ( X ); Forced Mechanical ( ) EYE PROTECTION: Required: Yes(X ); No( ) Type: Safety Glasses ( X ); .Face Shield ( ) SKIN PROTECTION: Required: Yes ( X ); No ( Gloves (X) Type: Rubber Apron ( ) Type: OTHER EQUIPMENT:Apron recommended 9. SPECIAL PRECAUTIONS PRECAUTIONS ~10 BE TAKEN IN HANDLING AND STORING: Keep away..~rom alkalis KEEP OUT OF REACH CHILDREN' 10. EFFECTS OF LONG TERM EXPOSURE None Known 11. DOT Proper Shipping Name/Hazard Class Oxidizer ( ); Flammable ( ); Combustible ( Not a DOT Hazard ( ) ~ Sign~a. ture: ~,~--- ' Date.~/~/~' ~ Z~~ ); Poison ( ); Corrosive ( X ); Other ( ) Title: Compliance Specialist gllillill* Chem-Tab Chemical Corporation Safety & Governmental Affalra . 1253 E. Artesla Blvd. Carson, CA 90746 (800) 241-5176 1. IDENTIFICATION PRODUCT NAME:Emulsion Bowl Clean 23% CHEMICAL NAME:NA-Mixture Listed on TSCA Inventory? Yes ( ); No ( ); N/A* ( X ) I roduct Spfety Data Sheet FORMULA: NA-Mixture .... ; CHEMICAL FAMIL Y:NA-Mixtur, e :~. CAS No.,NA-Mixture - ., c *Not applicable 'for any chemical mixtures or for substances regulated.. , totally by FIFRATLv .or FD 2. HAZARDOUS INGREDIENTS - % .... ~(Units)' : ' 5 ppm ....... Hydrochloric Acid ,- Alkyl Phenol Ethoxylate ........ .. . :.. 3. EMERGENCY AND FIRST AID ACUTE HEALTH HAZARDS Corrosive to skin and eyes. May be fatal if swallowed. Vapors may be harmful. If in-eyes or skin~ wash thoroughly with water for 15 minutes. Contact a physician if in eyes or of skin irritation.develops. If swallowed drink large quantities of water, followed by milk of magnesia, beaten egg or vegetable '0il. Contact a physician immediately. CARCINOGENICITY: Yes ( ) Source: No (x) t~. DESCRIPTION AND PHYSICAL DATA PHYSICAL FORM: Solid ( ); Liquid (X); Gas ( APPEARANCE (color and odor):Red, cherry odor 5. FIRE AND EXPLOSION HAZARD DATA SOLUBILITY IN WATER: insoluble ( ); moderate ( );.c9mp, le.~e ,( . S,.pECIFIC GRAVITY: (H20=I) 1.105 FLASH POINT (Method Used): NA EXTINGUISHING MEDIA: Water ( ); Carbon dioxide ( SPECIAL FIRE FIGHTING PROCEDURES: NA UNUSUAL FIRE AND EXPLOSION HAZARDS: NA ); Dry chemical ( ); Not applicable ( X ) HAZARDOUS THERMAL DECOMPOSITION PRODUCTS: HCI This form complies with OSHA's Hazard Communication Standard, 29CFR 1910-1200. Equivalent to OSHA Form 170. This information is given without a warranty' or representation. We. do not. assume any.legal responsibility for same, nor do'we give permission, inducement, or recommendation to' l~ractice 'any patented invention without a license. It is offered solely for your consideration, investigation and verification. Before using any product, read its label. ,, ,,' (2011) · Chem-Tal~hemical Corporation Safety & Governmental Affairs 1253 E. Artesia Blvd. Carson, CA 90746 (800) 241-5176 rOduct Safety Data Sheet 1. IDENTIFICATION PRODUCT NAME: Super Strip· FORMULA:NA-Mixture. CHEMICAL NAME:NA-Mixture CHEMICAL FAMILY:NA-Mixture: Listed on TSCA InventorY? Yes ( ); No ( ); N/A* (X) CAS No. NA-Mixture *Not applicable Ior any chemical mixtures or for substances regulated totally by FIFRA or FDA. TL~ 2. HAZARDOUS INGREDIENTS · %(optional) (Units) Tetrapotasium P yrophosphate Sodium Hydorixide Alkyl Phenol Ethoxylate 2 mg]m3 Glycol Ether EB Nonylphenoxypolyethoxyethanol Ammonia 225 ppm Monoethanolamine 3. EMERGENCY AND FIRST AID ACUTE HEALTH HAZARDS (Route(s) of entry, signs and symptoms and medical conditions aggravated by exposure) Skin and'eye irritant. May be harmful if swallowed. 'If ingested, give several glasses· of water.and contact a physician immediately. If in eyes o? skin, wash thoroughly with water for 125 min. Contact a physician if irritation occurs. CARCINOGENICITY: Yes ( ) Source: No (.X) DESCRIPTION AND PHYSICAL DATA PHYSICAL FORM: Solid ( ); Liquid ( X ); APPEARANCE (color and odor): Yellow color ammonia odor OTHER (list): 5. FIRE AHD EXPLOSION HAZARD DATA Gas ( ) SOLUBILITY IN WATER: insoluble ( ); moderate ( ); complete ( X SPECIFIC GRAVITY: (H20=1)1.02 FLASH POINT (Method Used):NA EXTINGUISHING MEDIA: Water ( ); Carbon dioxide ( ); Dry chemical ( ); Not applicable ( X ) SPECIAL FIRE FI.GHTING PROCEDURES:NA UNUSUAL FIRE AND EXPLOSION HAZARDS:NA HAZARDOUS THERMAL DECOMPOSITION PRODUCTS:CO, CO2 This lorm complies with OSHA's Hazard Communication Standard, 29CFR 1910-1200. Equivalent to OSHA Form l?t~, This information is given without a warranty or representation. We do not assume any legal responsibility for same, nor do we give permission, inducement, or recommendation to practice any patented invention without a license, It is olfered solely for your consideration, investigation and verification. Before using any product, read its label. (5003 6. REACTIVITY' DATA HAZARDOUS POLYMERIZATION: May Occur ( ) Will Not Occur ( X ) STABILITY: Unstable ( ) Stable (X) CONDITIONS TO AVOID: High temperatures ( ) Poor Ventilation ( ) Contamination ( ) Moisture/High Humidity ( Other ( ) 7. SPILL OR LEAK PROCEDURES Steps to be taken in case material is.released or spilled: Absorb onto inert absorbant, INCOMpATIBILITy:./ (MATE.RIALS TO ~VOID):' Strong Oxi~l~ntS ( ),. Alkali (.) Moisture' (.5 :) ,.-. ' ': Acids ( X :) ".. ~ Solvents: ( .. ) Other (~.) Waste Disposal Method: RCRA'Hazardous Waste - Yes ( ) Type ; No ( X ) Landiill or incinerate. Follow all federal, state and local waste disposal regulations. RESPIRATORY PROTECTION: VENTILATION: 8. SPECIAL PROTECTION INFORMATION Required: Yes ( ); 'Type: Dust Mask ( Required: Yes ( X Type: Local Exhaust ( X No(X ) : ); Cannister ( ) ); No ( ) ); Forced Mechanical ( EYE PROTECTION: Required: Yes(X ); No( ) Type: Safety Glasses ( X ); Face Shield ( ) SKIN PROTECTION: Required: Yes ( X ); No ( Gloves (X) Type: Rubber Apron ( ) Type: OTHER EQUIPMENT:None 9. SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Store. in a cool area away from sunlight. Avoid temperature extremes. 10. EFFECTS OF LONG TERM EXPOSURE Glycol ether EB has been found to Cause kidney, liver, and fetal damage in laboratory animalSL 11. DOT Proper Shipping Name/Hazard Class Oxidizer ( ); Flammable ( ); .Combustible ( Not a DOT Hazard ( X ) Signature: ~ Date: 6/8/87 ); Poison ( ); Corrosive ( ); Other ( ) Title:Compliance Specialist Bakersfield Fire_Dept. Hazardous Materials Division \ 2130 "G" Street Bakersfield, CA. 93301 HAZARD IALS MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. RECEIVED SECTION 1" BUSINESS IDENTIFICATION DATA f'JYll 1 7 1991 HAZi, U~T. DIV. BUSINESS NAME: SIMPSON JANITORIAL & PAPER SUPPLY CO.INC. LOCATION: 6881 DISTRICT BLVD., SUITE F SAME MAILING ADDRESS: CITY: BAKERSFI~T,D STATE: cA ZIP: 93313 PHONE: 833-4322 DUN & BRADSTREET NUMBER' 11-502-9886 SIC CODE: PRIMARY ACTIVITY: SAT,V. OF JDZqITORIAL & Y~-N~CE SUPPLIES .Verna & Leo Dixon, 5100 Sedwick, Bks, CA 93308 OWNER'. Larry Simpson, 12915 Brimhall, Bks, CA 93312 . Phil Simpson, 3609 Ginel.li Way, Bks, CA 93309 MAILING ADDRESS: r~a.r~_~ ~ T~V~-n~ W~^~I~_ l/l?fl V~n _~'r'¥'nlzn; Ve~tv_~_~ ~_~_ 93303 Josephine Wagner, 2091 Hendrix Av-, Thousand Oaks, CA 91360 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Phil Simpson General t,~r. 833-4322~ 321-5899 Larry Simpson Purchasing ~r. 833-4322 589-2255 2, '\ FD1590 Bakersfield Fire Dept. azardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN NUMBER OF EMPLOYEES: 16 MATERIAL SAFETY DATA SHEETS ON FILE: YF_.S ~'~I~':I~i~I~'":S~:~MARY OF TRAINING PROGRAM' :~:,r,l "]~IPID~ ARE INSTRUCTED TO USE PROTeCtIVE GLOVES, MASKS AND CLOTHING AROUND ANY HAZARDOUS MATERIAL ACCIDENTALLY OPENED CONTAINER. .\f~(] Tl~l~L6)~.q ARE MADE AWARE OF EVACUATION AREA IN THE EVENT OF LARGE SPILL', ETC. ~ Mm~rINGS I-~T,D ~ ~ INTERVALS. WRI~q SAFETY PRF_F_.AUTTONS ON ~¥ BASTS. SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS~ WE DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. SECTION' 5: OTHER (SPECIFY REASON) CERTIFICATION: I, JOSEPHINE T~,.GNER CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL' MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV, 20 CHAPTER 6.95 .SEC. 2550'0 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE DATE FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SIMPSON JANITORIAL & PAPER SUPPLY O0.INC. SEcTION'6i-' NOTIFICATION AND EVACUATION PROCEDURES:' AGENCY NOTIFICATION PROCEDURES: ' 1. ]~]PLOYi~V.~ ARE TO I~/i'iFY ~WLAi~AG]~EN~f OF ~T,I',.SPIT,T.q I~IEDiA~Y. 2. FIRE DEPARI~ TO BE NOTIFIED IF ANY HAZARDOUS [~A~ IS SPIT,T,~. 3. ALL PERSO~ ARE TO EVACUATE THE BUTT,DING IN THE EVE5~ OF LARGE SPTT,T,. EMPLOYEE NOTIFICATION AND EVACUATION: IN THE EVENT OF ~ SPILL ~/JPLOYRV. q ARE TO II~'JEDIATELY EVACUATE THE BUILDING TO DESIGNATED EVACUATION AREA LOCATED DIRI~--TLY ACSqOSS PARKING LOT IN ~--~tDNT OF BUTLDII~ AT 6901 DISTRICT BLVD. PUBLIC EVACUATION: IN THE EVENT THAT THERE IS A CUSTOlVJER PRF_~EN~ AT T//~E OF SI~TT,T, CUSTOMER WIT,T, BE NOTIFI]~D AND PROCRRD WITH ]~4PLOYI~-q TO DESIGNA_mED EVACUATION AREA AT .6901 DISTRICT BL¥I)., FRONT OF BUILDING DIR1~ZUED A~S PARKl%IG LOT. EMERGENCY MEDICAL PLAN: MINOR ~¥]ERG~: SOUTH WEST ~]~f CARE CENTER 5397 TR[PXTON AVENUE; BAKERSFI~r"D MAJOR ]K~KS~CY: NEAREST ]~4ERG]KNCY HOSPITAL Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: :" ~:~ --:' ....... ALL PRODUC~S, WHERE PRACTICAL, ARE KEPT IN ORIGINAL CARDBOARD SHIPPING O057~AINERS? ' PAILS A SD DRUMS OF PRODUCTS ARE KEPT PbT,T,~IZED IF POSSIBLE. SI~SON DOES NOT REPACKAGE OR REBOTIT~ OR MANUFACiTTRE ANY CHE~rCALS AT OUR ~fl{EHOUSE FACILITY. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: SACKS OF ABSORBenT ~TERIAL ARE MAINTAZN[D ON pR~vffsES AT ALL TIMES TO SOAK UP ANY SPTT,T.q. SIMPSONS ALSO MAINTAINS ON PR~4ISES AT i~T,T. TIMES ~ PLASTIC OON~AINERS TO HOLD MATERIAL THAT HAS B~N SOAKED UP. CLEAN-UP PROCEDURES: cr,FANUP PERSONNEL WILL BE PROVIDED W~~-] AT.Z, ~3CES~LRY CLOTHING AND ~QUIPMElV~ FOR THEIR PEP~qONAL PRfTE[LTION. ABSORBENT MATERIAL WILL BE SPREAD ON SPTT,T,. MATERIAL WTT,T, BE SHOVELRD /NTO PLASTIC OONTAIATERS. M3LmERIAL TO BE TAKEN TO HAZARDOUS MATERIAL DISPOSABLE SITE. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~O~TJ3 ELECTRICAL: NEXT TO FRONT DOOR OF SIlviPSON SHOWROOM. WATER: MASTER.. SHUNT OFF AT PAR~fAY IN FRONT OF COMPLEX. NO SHUN~ OFF 'FOR WATER IN SIMPSON PORITON OF BUILDING. SPECIAL: FIRE ALAi~I & SPRINFT,RR SHUT OFF IJDCATED IN ~ PORTION OF BUILDING. LOCK BOX: :~e~/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: PRIVATE FIRE PROTECTION: S//VLPSON FACILITY IS FULLY SPRINFT.RRED WITH FIRE DEP~ OON/kqDC~ION FOR PUMPER HOOK UP. THIS FACILITY HAS AUTO~IC FIRE FANS FOR SMOKE EVACUATION. WATER AVAILABILITY (FIRE HYDRANT): 5~HERE ARE 2 FIRE HYDRANTS LOCATED ON DISTRICT BLVD. IN FRONT OF COMET,1:~. ' A FIRE HYDRANT IS T. DCATED NEAR THE OFFICE ENTRANCE TO SIMPSONS. 4. FD1590 oT- lY,~ c ~ ,v 7- LoT ( ~Ins~eCtars ~mmmn~..m); ;i " B~PKER ~- CITY of '.SFIELD .-~ e~ HAZARDOUS MATERI ALS Far~ and Aoric~lture Standard Busings ~ LOCATION:~'~] ~d~z~ ~]~. ~ ~ ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: .~. O~. ~~Y~ CITY, ZIP: - DUN AND BRADSTREET NUMBER " ~-~o z.s~uc~o~ van v. ov~ coD~ 'Code Code ~t ~t Est Units m Site Ty~ Pr~s T~D C~e -. Stor~ In Facility ~e Inst~ctims p~l and Hea]th Hazard:" C.A.S. ~ C~t Health of Pr~$ur~ H~lth _.,[ ..... 1 ............ 1 .............. 1 l .... h__..~J ~ ! ~._J_ "~ ...... - ..... P~sical and Health Hazard c.l.s. ~m~ (~heck oll t~t apply) .... ' - r--n r--n r--n r--~ ~t 12 NaN & C.A.S. Numar u ~ Fire Hazard ~ J Reactivity u--J ~lay~ ~--J ~d~ Release ~--J ' Health ~ of Pr~rl H~lth Ph~ical and Health Hazard C.l.S. ~m~ b~mt II Nam & C.A.S. Nu~P (C~k all t~t apply) ........... r -- ~ r Fire Hazard ~ ~ Reactivity u_ Oelay~ ~dd~ Release ~--J ]~tate Health of Pr~sure Health C~t l) Na~ & C.A.S. Numar Ph~ical and Health Hazard C.l.S. ~a~ (Ch~k oll that apply) ..... ' ...... r--n r--n [--] r--n -- Cm~mt 12 NaN & C.A.S. NUmar u J Fire Hazard ~--J Reactivity ~lay~ ~--J ~dd~ Release ' Health of Pressure Health ~MERGENCY CONTACTS I NVE NT.O RY' NAME OF T~ ~ACILITY: %'JY~ )Sc~3 Certification (Read and sign after completing al] sections) · -CITY of BAKERSFIELD HAZARDOUS MAT ERI ALS Farl and Agriculture ~ Standard Busings ' Page ..L of _!._ 0b'(~¢' ~ (+~--O NAME OF T~'k~ FACILITY: CITY, ZIP: ~&~c-~6E/e~ d%~ ~30%-- CITY, ZIP: - DUN AND BRADSTREET NUMBER ~ TO IHS~UCTIO~S ~OH PROP~ COD~ lran~ Type ~x Average ~nual ~a~ I ~. 'C~t ~t C~t Use L~at~ N~re ~N~ Na~ of N~xture/C~ts Cede Code ~t ~t Est Units m Stte TV~ Pral 1~ :~e .. Stor~ tn Facfl$ty ~e Inst~cti~s :--~ Fire Hazard =--a Reactivity u_J ~lay. u_J ~dd. Release U--d i~tltl ~ --~ ~ -- 7 / 'r ........ Health of Pr~lure H~lth~ ' ~--] Fire Hazard =_a Reactivity - Health Ph~cal and Health Hazard C.A.S. (t~k all t~t aaoly) F~re Hazard =--d Reactivity Oela~ =--u ~dd~ Release =--u l~ate .... Health of Pr~sure Health C~t 13 ~a~ ~ C.~.5. Hue~r Ph~cal a~d Health Hazard C.A.S. (Ch~k all that apply) - ~ ..... ' ............ r--. [ ~ r ~ ~lay~ u-- a ~dd~ Release u a I~ate ...... - ...... u--a Fire Hazard -- Reactivity =-- -- ' Health of Pr.sure Health ~t I] Ham & C.~.S. NumMr , ., .... ..... -.: .............. ___. Certification (Read and sign after completing all sections) , certi'v ~<der ,alty of la. that !have. pers.onany ?xami. ne.d.and ?,. fa,.,lt.a,_,t~_h__.t.~t:?f~;rtcL%l:~t_t~tttlKI in this and all ,ttlchll d?unont,, and that based on .y for, obtainfng the information. [ believe tMt t~e suoittte~ lnTormaclOll 1S True, 4uuu , '/ '/ ~- / .zw' / -----._m_~'~ ~p~.~, ~'~-~_. .... .... ~_Z~/~'-- . ............. ingut~ of those ?ndtviduals responsible ~i~i'$~ .......................... $ CITY O f'~ KERSFIELD CITY, ZIP~~'.~LO ('A6. .:, .~:.~,'~ CITY, ZZP: . DUN AND BRADSTREET NUMBER ' ~ rO Z~S~UCrZOffS' fOR PROP~ CONES Code Code Mt ~t Est Units m Site Ty~ PrOS TNp C~I *. Stor~ tn Factltty ,, ~e [nst~cti~s , PS. itel and Heslth ~ ~ Fire Hazard [ ~ Reactivity [ ~. Health Health ...... qertificetim (Read and sign after compJeting al,/ sections) tmJ~ ' i certify under penalty of la, that I have(~oersonelly/.k_j examined end el faltltlr ,tth the tnfor .~attm.submttte~t]tn this and allot ts, ami that' based on W inquiry of those tndtvtduell responsible · foe obtaining the info~Mtton, I believe that the subBitted..jnfonl~tian ii title, iCCUrItl, eno COIpletl. ~' ' / / )(/ _:&.d..~/~ _, ~'_/.~z2..~ ........... , ....................... ~_~ ...... ~"~"'-'~/~-~ - '-~/ Fan and Agri~lture ' ' Standard Businffs CITY of -- KERSFIELD ~__~ HAZARDOUS MATERI ALS I NVENT.O RY' BUSINESS NAME' OWNER NAME: ~'r"-c~_ ~I~-"~'l'~-~¥~ .,~,~--~-f, NAME OF T~ FACTLTTY:.,(~'~'//'~(]~'~/ ~ TO INS~UCTIO~S FON PROP~ CODES Trans Type ~x Averaqe Annual ~asu~ I ~ Cmt ~t Cmt Use L~attm N~re INbYt No~ of Nixture/C~ts Code Code ~t bt Est Units m Site TyN Pr~s Tmp C~e $tor~ tn Facility ~ Instmctims P~cal and Health ffazard' , C.A.$. ' r ' u--a Fire Hazard u--a Reactivity -- Health of Pr~sura~M I~ T ....... ~t I~ NaN & C.A.S. ~mbeP ' ' [ / ~mt 13 Nam & C.A.a. NUB~ Ph~ical and H.lth Hazard C.A.S. ~ ~t I N I C..S. Ph~ical and Health Hazard C.A~m~m~ I1 Nam A C.A~. Nue~ ' Health of Pmsu~~ . ~et 13 NaM & C.A.S. Numar Ce~rtificati~ (Read and s~ after ¢ompJet~rne ali sections) / C~ ! certify under malty of law t~t I ~ve ~rs~ally examin~ end am famtltar ,tth t~ tnfor~tim.s~t~ tn thts~ I11~tic~ ~umts. ~d t~t ~s~ m ~ t~ui~ of tme J~?vi~als res~sible foe abtainJng t~ infor~tt~. I ~lieve t~t t~ su~ i~or~tJ~ ~l t~, accurate. ~ c~pie~/ / ~ '~ Far. and Agriculture ~ Standard Business ~' ~]:A~L~ J~l~'~']~)O T"~ ~ ~r~" 1:~' I::~"J' AI~JLT" ~ NAHE OF T[~ FACILITY: ~, LOCATION:~'-~.~/ Z~~ ~L~, ~~ ADDRESS: STANDARD IND. CLASS CODE /~",..~ CITY, ZIP'~~,~t~LO ~. ~ 3_3~ ' .CITY, ZIP: · DUN AND BRADSTREBT NUMBER ~ rO I~S~UCrIO~S rO~ PROP~ COD~ 1 2 ] 4 S* 6 I I ~ 10 11 12 1] I1 Tnans Type Max Average Annual ~a~ ' I ~ Cat ~t C~t Use l~atl~ W~re TW~ Nam of Mtxture/C~GKts Code Code ~t Alt Est Units m Site TyM Pr~l TNp C~e .. Stor~ tn Facility ~ Ifistmctims P~I and Health Hazard:' · C.A.S. ~ Health ' of Pr .lth C~ ' ,, ' , .. .... ..... ..... ....... (~heck ell t~t apply) 1~3 ~ ~1~ .. ~ .~~~~~.[T~,~. .... · lit --- ~-- ~ ~ ~-- ~ r ~~. .: ~&~ ~ ,,., c.A.s. ,..~ ~. ~--~ Fire Hazard ~--~ Reactivity ~ ~lay~ ~--J ~dm Re~se ~t~? '' ' Health of P~ ~lth ' ' ~ / ~t 13 Nam & C.A.S. num~ _ ~ -- ~ ' r -- ~ r -- ~ r -- ~~~r~ b~t 12 NaN & C.A.S. NuI~ Fire Hazard ~--~ Reactivity ~--~ Oelay~ u_~ ~dd~ Rele / Health o~r~ Health C~t 13 Na~ & C.I.S. Nua~r ~ ?d ~. ' /~ /~P~P~~ ....................................... ~_i_~_.t .... _ZS.) .... ~.~ .... L_~.e.~_.~d~x ~,~ !'~ .... !~~ .... ~ ~:~z ...... ~ __~,~ ~ ........ ~--~ Fire Hazard ~--~ ~eactivi~y ~--J Oelay~ ~--~ ~dd~ Rele~ ' HealTh Qf Press~ Health ~ame / IITi9 ~ -- ~ ~ ................. TT{]{ 2l'flP'P~9 ......... Ce.~tfication (Read and SiKh after compJetJnE all sections) I certify under ~alty of lev that I have personally examin~ and am famtliar with t~ tnfor~tt~ su~itt~in this a~ allot ts. a~ t~t ~s~ m ~ inquiry of t~se indivi~als res~sible f~ obtaining t~ infor~tim, I believe t~t t~ submitt~jnfor~tim ig tee, accurate, and cmplete. Farm and A§ricultUre Standard Business CITY 6f B ] ERSFIELD HAZARDOUS MATERI ALS C~TY, ZI~:?,%~e~S~O ~6, ~.3~ . CXTY, ZXP: · DUN AND BRADSTREST NU.BER ~ - .... ' ~' TO ZNS~UCTZO~S FOR PROP~ COD~S Code Code ~t A~t Est Units m Site TyN PrHl Tmp C~t ,. Stor~ tn Facility ~ Inst~ctims :P~I and Health Hazard:' C.A.~. ~m~ C~t I! Naw & C.A.~. ~m~P u--J Fire Hazard u--J Reactivity [ ] ~ay~ ~--J..~dd~ Rel.se ~ / .... T ........ Hr.,th ~f Pr~ ~ Ph~al and Health Hazard ~ G.A.S. ~n~ ~t I1 HaN & G.A.S. [--] Fire Hazard u Reactivity [~ r--1 ~ ~ C.i.S. Numar ~t 13 Nam & C.A.S. Ph~ical and Health Hazard G.A.S. Nu~ ~et It Mae i :.A.S. ~ C~t I~ Na~ & C.A.S. Nue~e Health Ph~ical and Hca)th Hazard C.A.S. ~m~ ~t I$ Health ~ H. Ith Cer.~ification (Read and si~n after completing all sections) / [ certify under oenahy of law that I have personally examined and am familiar with the information subleted in thts,aqcl ail \a)~tached documents, and that based o~ my inquiry of those individuals responsible CITY of BAKERSFIELD HAZARDOUS MATERI ALS Page of '/ ; BUSINESS NAMI o~0~,,, CD, lade, OWNER NAME' ~ff~ ~~/'//~'~-~ NAME OF TI~ FACILITY: CITY, ZIP: ~)dA-~'t.::~.g ~c=/~--L0 C/~ ~3~1~_. CITY, ZIP: . DUN AND BRADSTRSET NUMBER~ Trans Type ~x Average ~flual ~a~ I ~ Cat ~t Cat Use L~et~ ~re ~N~ Nam of Nixture/C~tS. Code (:ode ~C bt Est Units m Site Ty~ Pr,~ T~p C~e Stor~ In Facility ~e Inscructi~s :Physical and Health Hazard C.A.S. lum~ ~mt II NaN & C.A.S. Health · of Pre,ri HHIth Ph~tcai and Health Hazard C.A.S. Num~ ~m~ II Naa i C.A.S. Nu.~ ~ . ire Hazard ~ ~ Reactivity ~--a Oelay~ ~_a ~dd~ Release ~_a ~ Health ot Presume Health Ca~t 13 Na~ & C.A.S. Numar Ph~ical ~nd Health Hazard C.A.S. Numar ~ ~ ~ -~ C~t I! Na~ & C.A.S. Num~ ~ ~ Fine Hazard ~ ~ Reactivity ~--~.Oeloyed u--J ~dm Release -- Health of Pressure Health ,, ~t 83 Na~ & Cer~tification (Reed and sSgn after compJettng all sectJons) I certify under penalty of lan that I have personally examined and am famtllar vtth the tnformattm subel~'t~tn this and oll attached documents, and that based on my inquiry of those individuals resp~sible fe~ obt~ the information. I believe that the submitted informatim is true, accurate, and coeplete.~ / . . ~ CITY. of BAKERSFIELD Farm and lpricu)ture ~ Standard Business HAZARDOUS' MATERI ALS FACir. iTY: .~ A~/{.~/..-'- LOCATION: ~--0~ STANDARD IND. Or. ASS ADDRESS: Irons Type Max AveraQe Annual ~a~ I ~ Cml ~t Cml Use L~mttm W~ne ~N~t' Nam of Nixture/C~mtl Code C~e bt bt Est Units- m Site Ty~ Pr~l Imp C~e Stor~ In Facility ~ [nst~ctims apply) [-] [-] ~ ' ~t m2 bN & C.A.S. Number~ / ~--~ Fire Hazard ~--J Reactivity -- ~lay~ -- ~dd~ Release ~--~ i~tatl , Hma Jth of Pre)ute H~ I th .... T ....... ' CM~t II NaN & C.A.S. Number (Check ~11 t~t a~lv) r--~ r--~ r--~ r--~ r--a Ca~t 82 lin & C.l.S. Numhr ~--~ Fire Hazard"~--J Reactivity ~- J ~lay~ ~--J ~d~ Release ~-J IKtaCe Hem)th of Pru~ ' H~lth ' ~t tS NaN & C.A.S. Num~ Ph~ical and Health Hazard C.A.S. ~ ~mt 81 ~m & C.l.S. lum~ (C~k a11 t~t apply) Fire Hazard ~ ~ Reactivity ~--~ Oelay~ ~ ~ ~dd~ Release ~--~ [~tate Health of ~r~sure Health ........... Cm~t l) Ma~ & C.A.S. Numar Ph~ical and Health Hazard C.l.S. hm~ Ca.mt I1 Ma~ & C.A.S. lum~ (Ch~k all tha~ a~oly) -- u--J Fi~e Hazard ~--J Reactivity ~--J.~ley~ [ ~ ~dd~ Release ~--J i~iate Health of Pr~sure Health '--' - ...... C~ffit 8~ Na~ & C.A.S. Numar ZZ3-3~ £er,t. ification (Read and SiKh after cospJettnE all sections) certify under ~alty of lam that I have oersonatly examined and ae familiar mtth the information submitt~ tn this a~ mt) mttm=~ d~u~ts, en~ t~ ~sed ~ ~ inquiw of t~se individuals'res~sible fo~:~°btainin~[lJ~.v,t~ infor~ti~,~.~l believe~t~c~~?t~ submitt~ infor~t i~ ii t~, accurate, and cMp~~__ T ~~~-- / ~ ~~/~/ ' ~ *..-~, t,l,e oT o.ner/~lor O~'~;~F7o~eF~T~ ~'~GE~Fii~'Fi~F~i~I~Ei;i Si)fi~T ............................... O~li'Si)~a .......................... CITY of BAKERSFIELD NON-- T RAI) E S ECRE"I'S LOCATION :_ ~/'~/~z~/F~ ~Z~p~ ~m ~ ~DDRESS: ~TANDARD IND. CL~5S CODE CITY. ZIP:__ f$.~?~} CITY. ZIP: DUN AND BRADSTREET NUHBER -~- CITY of BAKERSFIELD BUSINESS NAME: <.~C//~>"/.-t} CO /~Jc OWNEN NAME: ~.~-~ /~7-~"/'~C~-~ MANE OF T~ FACILITY: CrZY, ZiP: ~fV<~SS~/e~O (~ ~/~ CITY. ZIP: DUN AND BRADSTR~ET NUMBZR . -- Of P~ ~lth (C~k ~11 t~t apply) .... L_I_~L-] "~[" I~ I ~[;I I I I ' H~lth of P~su~ ~lrh ' ' .... ~__l ...... " ............ , .... l t L I 1__~ H~ltb of Pr~surg Health ............ ~ME~GENCY CffiTACTS l1 ' m -- ' CerttficatJo~ (Read and sign after compJetSn£ aJJ sections) { ce.ttfy under p~lty of 1~ t~t I ~ve ~rs~illy e.mmin~ ~ am f~ilier vlth t~ tflfCmtim su~itt~ tn this ~ all itt~ ~ts. ~ t~t ~.~ ~ ~ i~t~ of t~e l~tvt~le r~stble for ~btainin~ t~ inf~ti~. I ~lieve t~t t~ su~it~ info~ti~ is t~, ~ccurate, ~ c~ ~ __ . q~'.~' a' ~T~Ei~I~i~;'BT ~ ~TBF'O}-~7~B~~e~[ itl;; S]~ ....... ~ ........................ ~Ti'Si~R~ ........................ CITY of BAKERSFIELD NON--TRADE SECRETS ' %~ .... of .... CITY, ZIP: ~c-~'/&-~O ~ ~.3,~g~ CITY, ZI~ DUN AND BRADSTREET NUMBER~. ~ ~ ~~0~ ~R ~OP~ COD~ / ~lth of P~ ~lth Certtficatio~ (Read and sJEn after compJeting all sections) · tflfor~mt3m~su itted t~ t~hts ~ oll IttKi ~ts, I ce.tlfy ~d~ ~Ity of I~ t~t I ~ve ~rsmillye~aein~ ~ 4e failiar .tth t~ CITY of BAKERSFIELD. NON--TRADE SECRETS ' LOCATION: ff~&/ ~/~z,~.,~T dJy~. ~ F ADDRESS: STANDARD IND. CLASS CODE CITY, Z.I~P: ~/~ CITY, ZIP: DUN AND BRADSTRgET NUHBER ~t 13 kiC.l.S, i ~ (C~k ell t~c apply) .. r--~ r--~ r--~ r--~ ~t ~ ~&C.i.S. ~ ~lth ' of P~su~ ~lth : ~lth of P~sure helth Certttic,tien (Read and aJKn after completing al] sections] . '. " . CITY of BAKERSFIELD · , .... Z X NVENTO RY' NON--TRADE SECRETS BUS~'NESS NAME: ~z./ ~W~ W~{?OW~ ~K[~ NAME OF T~S FACILITY: LOCATION: ~$k/ P/~A67rr ~R. ~ ~ ADDRESS: STANDARD XND. :LASS CODE CITY. ZIP: ~.~/~ CITY, ZIP: DU~ AND BRADSTREET NUMBER Mlth of ~ Mlth ...... ~lth of P~lure -- ~lth ' £erttfic,tien (Read and sikh after compJetinR all sections) %/~. ~ ¢~ :)~q~ . ~- ~/~~ '.~z~_ ¢/ Farm and Aqricu|tur! u_.J Standard Business CITY of BAKERSFIELD HAZARDOUS MATERIALS 'INVENT'ORY' NON--TRADE SECRETS Page .... of .... NAME OF T~S FACILITY: ,.~;~'! ~,..~, LOCATION:~'~'/ ~:)/~'/~ ~?'- ~y~, ~ ~ ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP:~A~f~f/E.~} CA, ~%~/ ~ CITY, ZIP: - DUN AND BRADSTREET NUMBER PHONE ~: ~ %~ q ~ ~ P.0NZ {: _ _ - - ~ ~ ~U~O~ ~R ~OP~ COD~ t ~ 3 I S t I I " ! 10 11 1~ 13 II frans Ty~ ~x A~i~ ~1 ~ I ~ Cmt C~e C~e ~t ~t Est ~*ts m Site T~ _Al~._l.z~ee2A] ~ ;~. J.~._J //kl~J ; ,..,., ~ ..,,, ~..~ c.,.s. ~ ~,,, ~ ~c.,.s. ~ ,~,c., ~ ~,,,,...~ ~.,.s. ~ ~,,, ,,~.,.s. ~ ~ ~i~r~v/~~y) ~,~~'~ -.,.- --,.,,-,,.,.,. _ _ ~,. ,.,,.,.,. ~ ~,.~ . .... l_t ........... L' ........... i .......... l ~ __1 .... I.~1 (C~k Ill t~t ~ly) ..................... ~,, _ --. , ........ ~-~ r--- r--~ -- r--. Cat ~ d F~re Hazard =--a ~tivity ~--d ~la~ [ ~ ~ddm Relme =--d H~ith of Pr~sure Health ~ ........... ~t I3 ~&C.a.S. ~r ,,,~,,c, ~.,,c,, ,,~aL ~o~ ~. ~. ~*-~~ ,,~.P~L~~~.." ~~~ ...... ~,.~.~. · ii-: ............................... ~1i ...................... ~r~'~ii" ' Certtficatim (Read and siKn after coapJetJn£ all sections) I c~.:ttfy under penalty of lan that I have oersenallyaxaiined end aa familiar .lth the tnformati~n--subqitted in this end all ettmehad dotu~nts, end t~t ~s~ m ~ i~t~ of t~e t~tvt~ls r~sible for;bbtaining t~ inf~tt~. I ~lieve t~t t~ su~tt~ info. tim is t~, accurate, end ~plete.) ~ . ~. j .~:~g~,-~.~-~,-~~-~,-~ ,~-~.~.~,. , ......... ~.-,,,~ .......................... ~ar~ ~d ~iculture CITY. of BAKERSFIELD ' N-O N -- T RAD E S E C R E TS ' ,,~, .... of ~.. BUSINESS NAME: ~/~; /z~'/~,~- ~z ~44 OWNER NAME: ~ ~7/~W~ ~[~ NAME OF T~S FACILITY: LOCATION: ~/ ~/~al:k[r fz,-a. ~ / ADDRESS: STANDARD IND. CLASS CODE ff ~ ~ . ' [ CITY, ZIP: f~/~ CITY, ZI~: DUN AND BRADSTREET NUNBER I ~ ~'0 ZI~S2'RUCT,~OKS ,~'OR PROPB:~ COD~ (Read ani:~ JllrT) after ¢oepletln£ all sectlonsl · ' ......... . ..: ,.::.. - ~ ,,.:.:' ', - . .. ... '?. CITY of BAKERSFIELD LOCATION£. ~f'Ff'P/a~:>/r'./~'~z~, ~r~i ' ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: ~fS/~ CITY, ZIP: DUN AND BRADSTREET NUMBER - ,. ~'~ Z~U~ZO~ ~R ~OP~ COD~ C~f [~e Mt ~t Est ~ts ~ Site l~ ~f TW, ~ . $t~ in F~tllty~' ~ I~t~ti~ P~c, 1 ~lth~z,~ ' CAS ~ ~T~--O ~t II ~&CAS ~ ;. : ' ~ ~/~- -~- o · ' · ' ~lth of P~su~ ~lth , ' ~ -- ~t 13 ~$C.i.S. ~ .-. ..m__t t ........ ~ .... ,__..].~ ~ __L~ :2. ~ ~~.~ (C~k iii tMt ~ly) ':., - -- -- r--~ r--~ C~t 12 ~&C.A.S. ~ ~lth of Prflsure ~lth ~--- ~[~:'~ ............... Ii-~'t~ ......... ~o~' ~ ~ , 'l~'~ ',"' , ' ~ ,n ~t~ ~,.. ~ ~t ~,~. ~ ~. ~ t~. ~.,~' .~,~, ' ~. ~ i' ' ' "' " ~ ~ ' -~'~ , CITY of BAKERSFIELD o '-- ~ HAZARDOUS MATI~RI ALS INVENTORY F~r. ~nd Aqricvltu~e ~ Stend~d ~usm~ss NON--'I'RAI_)E S ECRE~?S ' Pl~f .... of .... CITY, ZIP: ~4,~ CITY, ZIP: DU~ AND BRADSTRE~T NUMBER ~ . (Read and sign after coBpletin£ ali sections/ .. ~ ' ' ':'"' ; CITY of BAKERSFIELD NON--']?RADE SECRETS ' P~ge .... of LOCATION: ~'~/ /'~/~*7-~/ffr ~--~'~, ,--~,, ~ ADDRESS: STANDARD Z~. CLASS CODE: CITY, ZIP: ~3/~ CITY, Z~P: DUN AND BRADSTRg~T NUHBER PHONE I: ~-~- ~--~ PHONE (~ C~e bt ~t Est ~its . m Site · 1~ ~, l~ ~ .. St~ in P~tltty ~ .. ~ I~t~ti~ AI~_I .......... l :""/~,l2~°~ ,, , ~c,1 ~ ,,~t~ ~z,~ C.A.S. ~_~Z Z- ~-~ Fi, H,z,~ ~--~ ~tivtty u--~ hl,~ ~--a ~ him [~t~te ~t ~t~ ~ & C.A.S. ~ g ................ L' I }__J, ........... 1 ........... LI" ...... ' 'l__~_~J'" .:" I ............... ' :.' .......... .~_..... ~P~icll ~ ~lth NItlN C.l.S. ~ IC~k 411 t~t a~ly) .... ~ . r~ ~t ~lth of ~ ~lth ........ ~t ~lth of P~su~ blth '~"'.(c~_ "" ~ ,~,~"~,y)._.~'~ , _ ._. c'A's' ~._~ / - ~z:.~.. ' ;; ........ " ...................... Certific.tim (Resd and sign after completing ali sections) ~ HAZARDOUS :'MATERIALS Standard Business I 141FE NT.O RY' LOCATION: ~::~'~i~,'..],~~.~j./_..t~, .~O~?.~.5 ADDRESS: .STANDARD IND. CLASS CODE CITY, ZIP:~k~i~Lo O~. '~/'~' CITY, ZIP: · .' ~ '- 'DUN ~D B~DSTREET NUMBER PHONE O.i · ~0.5~-~3~~' ~ PHONE 1: " / ....... - . .'" -/ / -- ~:~-Z- ~ 8 ~ ~ - 1 '~ ~ '~3 .... 4 ~.~' 'S' ': ' ~-i " · ? I t II ' ~! ; .. -.- , . I~ ~ ' -' II tooe t~e .. ~Mt .. .'~t ; [st' .- ~itS '.m Site ly~ ~l l~ ~e .. - St~ In F~titty /~' - : :~ Ihst~tims .' _ ' ' ' ' '. ' ' - ~ '~ ' ' h ~ ', ~ I . ~- : · ,~ .. __ . ".- : . .~ ' ~ t '-of P~ ~lth '* " - ' ' ' ' ' " "* ~ d } ':'- · - ' .... ~-' .5_LL~:-L:.:: :: '.t ,'::.::.':-:.- '1 ::'1-:.. I ! ," 1 ": -'t,~.'-t/-'-.: :'-.~ ' ' - --:- ". ~-~ "::'::'~'~ ~1.-.::. :.-:'-.'~:'-.*,':.":-:'" '~f~i~e-~z~ed ~:ReKttv,tti:,~la~ ~--~,~dm:~lease ~--~ i~tite ':.. >.~", :'~" :': t.: :~, ' ," '. ''- :'~ :-.-"- ..... ,-V~7', :,., '-.'.t?:~J"~'-~.-"'::7 I', "~t". ,~ · '.~L ..: .::,-' '.~.:.': ,~.-~!th ',:-,/ ~'P~ ~ith _' ~ :.~.,:~-,t.- 'A.. '.:' ' "~: ' "" ',,: :~ ',4-:. ,-' .= ' : ~" ,- ': .::U:.' .' ,~ ..... ~-: : ........... , ~ - ~1 . ' .- -,. :-:,,- ?..- ...... '- .... ,~,.- ......... - ....... .--- -,-~.- - -. · ~i~.l..~:,~t~-.~ . _ t_ ,..- :.? ' -':-,,:-.,:-: -:? . -- c:~:i.'..~ , , -~-.-..~::.-:~ _ t~:.:,,.:t~ ii:.:~'~C ~ s .~-':'="-~:~ .,[~z.? ?.~ 5' J =,-. ~?,~4 :~;~,~.?.,',:,:· ./~--'C' ::' '.- Sm-:t~'~za~.:~5~:-..~etivjty -tm~,~la~ 't--'~g~;~l~ '.t--'~.l~tt 5:' ' -.' '~' . .... -=:-::.'. ~ · ' * .. · '5. '*. 5. :~5-*f-.i ~.'.: -::" ".':;';E~ . g "." '. .*' ..' '5- ::.",=..t:- ;5'~-.~5%.- ~ .'.' . "...' 7 .;p~lth ..' :~:~ ' ." :~lth ; ~.~..--.?-'.'.~ ..... '.'. . ' '=' i ' ' ~-'..':5 .' 7L5 '~.. · .' .... '.50 ':'..:~"-" ', ' ~.~ ' - ' ~ ' , ' ' ~ , - ** * '- ...... :' ',,' ' < -.:'L'~?.. .'__.'_-_.' R *~'*'-. ' r ' ' · ~ .' . ' . . . ' g - . . -: . - -.. . . ~ . - ., . I I~T~FE NT.O RY' Farl and Agriculture ~ Standard Busings ~ · -' CITY of ]T'AKERSFIELD HAZARDOUS MATERI ALS LOCAT]ON:~L~~~~, ~ ~ '4~ aOORgSS: STANDARD IND. CLASS COD~ CITY, - ro z s ucrzo s COD S lranS Ty~e ~x Average Annual ~asu~ I ~ Cmt ~t Cmt Use L~attm N~re . ~ ~ Nam of Hixture/C~mt* Code C~e ~ Ant Est Units m Site Ty~ Pr~s T~p C~e Stor~ in Facility Nt See Instmctiml Phy~ and Health Hazard'" C.A.S. ~ Cm~t II Nam A C.A.S. u--~ Fire Hazard [:~ Reactivity u-- ~lay~. u_J ~ddm Release ~--J i~tate ..... -? ....... Health of PP~Url HNICh Cm~mt 13 NaN & C.A.S. Numb~ Phwical and Health Hazard c.l.s, l~ Cm~mt II Nam & C.A.S. (Check al~ t~t a,.ly) ..... -- Fire Hazard ~--J Reactivity u--d hlay~ ~--J ~d~ flmlease u--d ]mKlatl ............ Health · of Pr~rl HHlth Ph~ical and Health Hazard C.l.S. i ~mt II Nam & C.A.S. Num~ (C~k oll t~t apply) .......... ' U~Fire Hazard u--J Reactivity Oelay~ u--J ~dd~ Release ~--J I~late . .._ - ...... Health of Pr~surl Health Cm~mt I~ Nam & C.A.S. Num~ Ph~ical end Health Hazard C.l.S. ~m~r Cm~mt I1 Nam & C.A.S. Num~ (Ch~k all that apply) ........... ~ ~ Fire Hazard ~ Reactivity ~--J ~layed ~--J ~dd~ Release ~--J i~tate ' Health of Pr~surl Health ~t I~ No~ & C.A.S. Numar R~i~ ........ V ~lrSe ma~ ~ / e Certification (Read and SiKh after compietJnE all sections) [ certify under penalty of law that [ have oersonally examined and aa familiar vtth t~ information su~tt~ tn th~ 811 Ittac~ d~um~ts, and t~t ~sed ~ W inqutw of t~se tndtvi~als res~sible CITY.of I KERSFIEL.D . ' " ~ Page .._ of LOCATION: t t"-JADDRESS: STANDARD IND. CLASS CODE Trans Type Max AveraQe ~nual ~asu~ I ~ Cms ~t C~t Use L~attm N~re Thy Na~ of Mtxture/C~ts Code Code ~t ~t Est UniEs m StEe Ty~ Prig T~ C~e .. Stor~ In Facility~ ~e ins~cti~ Ph~ and Health Hazard:' C.A.S. ~ C~t l! Na~ & C.l.S. Nua~ ~ ~ Fire Hazard ~--J Reactivity [ ~ ~lay~ ~--J ~ddm Release ~--J i~tace Health of Pr~urt fl~lth .... ~ ............ C~t t~ Na~ & C.A.S. Numb~ Physical and Health Hazard C.A.S. ~ ~mt II la~ i C.l.S. Num~ (Check all t~t apply) ~ ~ Fire Hazard ' -- -- ~ ~ Riactivity ~ ~ ~lay~ ~--J ~d~ Release ~_a i~late Health of Pr~re H~lth ................. Ph~ical and Health Hazard C.A.S. Nu~ ~mt II Nam & C.A.S. Nu~ (~k atl ~t apply) Health of Pr~sure Health ..... - ....... C~t 83 Na~ & C.A.S. Numar Ph~ical and Health Hazard C.A.S. Num~ Cmmffit 11 Ma. & C.J.S. Num~ (Ch~k all that ap~ly) L-J Fine Hazard ~ ~ Reactivity ~ ~ Oetay~ ~--J ~dd~ Release ~ ~ i~late . ' Health of Pr~surl Health ...... ~t 13 Na~ & C.A.S. Nua~r ~ERGENCY CONTACTS Certification (Read and sign after coepJetJng all sections) , [ certify under ~enelty of law that [ have oersonally examined and am familiar with the information su~ittmd in thie an~..all at_.tlgbm=L4:Locuments, and that based m my inquiry of those individuals responsible fo~, obtaining the information, i believe that~), submitted informatio~ ia true, accurate, and coeplp. X~. / \ ~- ~ -. CITY off' B .~ERSFIELD ( Page ~ of _.~. CITY, ZIP:~o~&~i~h ~ '~'3y_~, CZTY, ZI~: . DUN AND BRADSTREET NUHBER ~' rO ZNS~CrZO~S ~0~ PROP~ CO~ES lrans Ty~e Max Average ~nual ~a~m I ~ Cmt ~t Cmt Use L~attm N~re tN~t' Nam of Mixture/C~ts Code Code ~t Aat Est Units m Site Ty~ Pr~l' T~p C~e .. Stor~ tn Facility ~e Instructims ~ ~ Fire Hazard ~--u Reactivity ~--J ~lay~ ~--u ~dd~ Release ~--= [~tate . v Health of Pru~re H~lCh .............. C~t I~ Na~ ~ C.A.S. Nu.beP Physical and He4lth Hazard ' C.A.S. lum~ Cmmt II Nam i C.l.S. ~t 13 NaN & C.A.S. Ph~ical and Health Hazard C.l.S. lul~ ~t Il Nm & C.l.S. (C~k all t~t apply) r--~ r--n r--n r--~ r--n b~Kt 12 NaN & C.A.S. NUI~ ~--~e Hazard c--J Reactivity ~--J Oelay~ ~--J ~dd~ ~elease u--J Health of Pr~sure Health ' ' ............. C~t 13 Na~ & C.A.S. Nutone __L .... t ............ ............. L ........ !." ................... ____ -' I ph~ical and Hmalth Hazard C.l.S. NulNp Ca.mt 11 NaN i C.l.S. Num~ (~k ali that apply) [ ~ Fire Hazard ~ ~ Reactivity ~ .Oelay~ ~dd~ Release ~--J Health of Pressure Health ..... ....... ~mt I~ Ni~ & C.A.S. Nua~e Certification (Read and siKn after coaplettnE all sectJons) I certify under ~enalty of la, that I have personally examined and aa faetltar vtth the information submitted t~/~ts and all'tracheal docuaent$, and that based on for. obtaining the infor.~/~, I believe that the submitted information is true, accurate, and co~plete..,~' ~ · y inquiry of those indtvi a Is~esponsible o~,rs~'~-~~ , -~-- ..................... CITY of t KERSFIELD Faa and Agricutture Stand,rd Busings MATERIALS CITY, ZIP: ~'~L,~-~C. ~/~ CITY, ZI~ ~ T DUN AND BRADSTR~gT NUMBER Trans Type ~x Averaqe ~nual ~a~m I ~ Cat ~t Cat Use L~attm N~re /t ~ Na~ of)Ntxture/C~mtS Code Code ~t ~t Est Units m Site Tyro Health of Pr.lurl H~lth ~ .... ) ~~~~7~~ ........... Ph~ical and Health Hazard C.A.S. Num~ ~mt 13 Nam & C.A.S. Mum~ Ph~ical and flmalth Hazard C.A.S. Nu~ ~mt I! Mm F -- r--~ r--~ r--~ ~ ire Hazard [ ~ Reactivity u--J Oelay~ ~--J ~dd~ Release u--J Hca)th of Pr6sure He4ith C~t 13 NaN & C.A.S. Num~ Ph~ical and Health Hazard C.A.S. hm~ Cm~mt I1 Certification (Read and sign after completing all sectJons) I certify under ~alty of law that I have. pars.anally ?xamined and am. familiar ,ith the tnfor~ttm,sub(mttt~ in this m~l lttmc~ d~u~cs, and t~c ~sed m W inqut~ of t~e tndivi~a)s res~sible f~- obtaining t~ infor~ti~. [ believe t~t t~ su~l~t~ informa~lm il true, accurate, ano C~ple~ _ ~ ..' i CITY o f t ERSFIELD Standard 6usines, ~ HAzARDoUS MATERI ALS I NVE NT.O RY r.C)CATTON::._~}~_/ ,~C2;~>-~___.~/,~X" ~/~,..,~;'_~ jrt ;' ~DRESS: ...... STANDARD IND. CLASS CODE CITY, Z~P: ~A~.~~ ~, ~_/'~. -CZTY, ZIP: . DUN AND BRADS~REET NUmBeR Trans TyDe flax Average Annual ~a~ I ~ Cmt ~& Cmt Use L~atlm Code Code ~t ~t Est Units m Site Ty~ Pr~l Tm~ C~e .. Stor~ tn Facility ~ ' ~e In~t~ctims , Ph~ ~nd flealth Hazaed~' C.A.S. ~ · C~t II h~ i C.i.S. ~a~r / ' ' ' ._~ =om~.~__~.~._~_~=_~ ........... ~--~ Fire Hazard =--J R~activi~y ~--~ ~laY~Health~--J ~dd~of Pr~urefleleose u=J. J~JateH~lth '~W~-~-- 0 . , L~,,~~~ ............ ~ ....... · Cm~t l~ Na~ & C.A.S. Numoer ...... ' ..... ~ .. /c~- ~,~-~ .... ~/~ L~,,~P~-,.~m~. - , . . ,. P~ys~cal afld ~e4l~h H~z~ C.A.S. ~ C~mt 81 Nam & C.A.S. (~heck all t~t apply) Gm.mt 12 Nam & ~.~.5. ~ua~ _ _ _ ~-~ [~ ~ ] ~re ~azard ~ ] Reac~vSty ~ ~ hlay~ ~-~ ~dm Release -- Health . . of Pr~re H~lth ~ .... ,_. .... Ph~ical and Heehh Hazard C.A.S. ~ ~mt II Nam & C.A.S. Num~ / ~ -. r--~ r--. r-- ~ ~mt 12 NaN & C A S Num~ ~ -- Health of P~su~ H~lt~ ' Ig~& C.A.S. Numar Ph~icai end Health Hazard C.A.S. Nu,~ Cm~mt I1 Nam A C.A.S. Nu,~ / l-/d r--~ C~me 12 MM & C.A.S. Ndm~e ~ ' ~ 3 ~, ,,,,,~ ~ ~ ,,,~,,~ ._~ >;.y~ :_3 ~,~. ,.~,.. ,_~ ~,t. ~ -~)~ ( y~_~ .~~__;~.~.~ ................. Certification (Read and sign after completing all sections) [ certify unFler ~e~alty of ~w that ! have oersonally examined and am familiar with t~ tnfar~tt~ su~i~ tn thfl ~ a~tlc~ dmumts, and t~t ~sed m ~ inquiry of t~se indivi~als res~sible f~ ob~aini~ t~ infor~ti~. I believe t~t t~ submitt~ infor~tim il t=', accurate, and c~plet~ V CITY of B~CERSFIEI.,D LOCATION: =~'/F/ ~2~_~.,~7':,~./~'~,~/~2. ~-~. ~ a~RESS: STANDARD IND. CITY. Z]P:~p~i ~ ~ ~ ~ -~IYY, ZIP: · DUN AND BR4D~TREET NUMBER ~e Ma~ ~verage ~nuai ~asu~ I ~ C~t ~t C~t Us~ L~at~ N~re ~ Na~ of Mixture/C~ts 'C?e ~de ~c ~ ~sC Units m S$~l Ty~ Pr~l TH~ C~e Stor~ ~n Factltty ~e InsC~cti~s ~hv~and Health Hazard" C.A.S. ~l~ Ca.et I! NaN & C.A.S. ~.. ~..,,~,) . . .~/ ::~:~--~-~--~-~:~ ~___:_ . c-~ ~t ~Z ~a. & C.I.L ~u.~xV:~ . lu--J Fire Hazard ~--J Reactivity ~--J ~lay~ ~--J ~dd~ Release ~--J i~ate ~ Health of PresSure H~l~h ............ Physical ~ealth C.A.S. ~IW Ca.mt II Na-- & C.A.S. Num~ r--~ r--. r--. r--~ r--~ Ca.et 12 NaN AC.A.S. Nu.~./ ~--J Fire Hazard ~ J Reacttvlty ~--J ~lay~ ~_a ~dm Relea~ ~--a H~lth · of Pr~ H~lth .......... ~ ~t I1 Na~ & C.A.S. Num~ , /,........ ;~_~__L~~ ..... L ...... 1 ~ .... ;<~~~:-~ ........ Phc*ca1 and Health Hazard C.A.$. ~e~ ~et II Na~ & C.A.5. N~ " (C~k all t~t apply) ~ ~ ~~ ~~~ ,_~ [:~ireHazard [-~ Reactivity ~--~ Oelay~ [-~ ~dd~ Release ~--J I~ate Health of Pr~sure Health· i Ph~tcal and Health Hazard C.A.~. Numar . C~t I1 Na~ A C.A.S. Num~ ~ (Ch~k all that a~oly) - Health of Pressur~ Health ....... ~et I1 Nmi i C.A.S. Numar ........... :: ....... , ~.~~~~~~ ~ .... :2:: ................ · a~ 7' ' -T- - T~II~ Certification (Read and si~n after completing all sectJons) certify under p~alty of law that [ have oersonaDy examined and ae famtltar .tth the inforaattm submitted tn thls~ all e~ac~ d~um~ts, and t~t ~sed m W inquiry of t~e tndivi~als res~sible obtaining t~ infor~t~l believe t~t t~ su~tt~or~ti~ il tr~, accurate, and c3ple~. // ~} ~__;/ - . osJi-s;~a ............................ CITY of B~PKERSFIELD Fare and Agri~lture ~ Standard Business ~ HAZA~::~]:~:)OUS MATI:~'~I/::~.I Ar-ms -r NV,~_NT.ORy' CITY, ZTP:.~., ~_.~,~:~(,.~..--_~'i ' "~-~'2,/ ~ CITY, ZIP: DUN AND BRADSTREET NUMBER p ' 4 S' 6 ? I ! 16 11 12 13 eU~x Average Annual ~asu~ I ~ Cmt ~t C~t Use L~att~ N~re Nam of Nixture/C~ts C?de C~e ~t ~t Est Units m Site Ty~ Pruf TNp C~e .. Stor~ in Facility See inst~ctims ~1 ~ ]'~. 1._~ I~sl~ I ~1 ~ I~i~ I~~ ~__/-"~~~-~~-~~~ ~ ........................ ' .......... d ,,,~t, ,,,~ C.A.S. N~,~ C~t mt NM & C.A.S. ~,~, ~~__. ~.~~ ~all t~t apply) . --- ~et t2 NaN & C.A.S. Numbe~ ...... ~&!C/~ ~]~ ~ , ...... ~ire Hazard ~--~ Reactivity ~--~ ~lay~ ~--~ ~dd~ Release ~ ~ - ~ealth ct Pralure HNlth C~t I~ NaN i C.A.S. Nuabev ~i., ,,~ ,.,u, ,,,,,d ' C.A.S. ~ C~.t ,, N. ~ C.A.S. ,..~ / .~~ - - - r--~ r--q ' C~t 12 NaN & C.l.S. NUl ~--~ Firs Hazard ~--~ Reactivity ~--~.~l~y~ ~--~ ~d~ Release ~--J l~tace · Health of Pr~re H~lth .... J 2 ! , t v I v .... ......... ~Cal and Health Hazard C.A.S. NuiW ~ut 11 NaM & C.A.a. Num~ / D ~ ~eO~/~ ~k a11 t~t apply) ...... / ~ ..__ .. . ~mt 12 NaN & C.A.S~ Num~ - ~-' [- ~ [~ ~_ :.~:~~o .......................... [ ire Hazard [ ~ Rsactivity ~--a Oelay~ ~dd~ Release l~tate Health of Pr6surl Health (Ch~k all that apply) ~ . V .~ .... ~~~LC ~CI]~ ~-- ~_, ~-, ~ ~-, ~ c.~.~,2 ,. ~ c.A.s.,.., k/~' * ..... ~' .... ~' ' -'~ ' Health of Pressure Health ~ "' -~'~ .............................. ~ ........ ' ~et 13 Na~ i C.A.S. Numar I~ ~ ' Certification (Read and sign after completing all sections) ~ . [ certify under penalty of la. that I have personally examined.and aa familiar ,1th the tnfor .aattm.subm~t~T~d tn tht~ all attic~ d~u~ts, a~ t~t based ~ W inqui~ of t~e in,vitals res~sible CITY of BAKERSFIELD HAZARDOUS MATERI ALS I NvENT-ORY' NON--'rRA£-)E SECRETS J Psgs .... of BUSINESS NAME: -~/~/~-fa.,v ~/7~lv/r.~#//~d ~/.~" ...f'lg~, OWNER NAME: ('~ #~#~£~ 5//££7'- NAME OF T~ FACILITy: LOCATION: ... ~Y~/ z~/~/gr ~z/z~,' ~ /=r ADDRESS: STANDARD IND. CLASS CODE C~TY, ZIP: ~3/J CITY, ZIP: DUN AND 'BRADSTREET NUMBER C~e C~e bt ~t Est Units ~ Site T~ ~m T~. ~ .: St~ In F~ltty ~ / .. ~ I~t~ti~ Cer;tficat~aa (Read and siKn after coapJetJnE a]] sections/ To ~ t~ int~Jm,. I m~e t~t t~ su~Jt~ info. tim is t~, ~rete, ~ ~lltl. ~ , ~ 1' ~ ~75 ........... " ....... - ~-K~a~ CITY of BAKERSFIELD NON--'J?RA.I_)E SEC RE~?S ~egf .... Of ~USINESS LOCATION: ~F/ CITY. ZIP:_ /~jj>:} CITY. ZIP: DUN AND BRADSTREET NUMBER v PHONE ·: ~'~= f~J- ,~2 ~-~. PHONE ~: ~ - [~ C~e ~t ~t Est ~ics ~ Site I~ ~s l~ ~ St~ in F~tllty ~ ~ I~t~ti~ c.,.,._ .,,. .,p..,. __.,,~ /~/o~7~-~ :I Z~ooiu~ By~&o~,./.oc~ ~[...[ .... 1_. 1 ............ l I 1 .... .... .1 .... l I I., I ~,, ,,. , .. P~icel ~ ~lth Haz~ C.I.S. ~ --- ~- r--~ r--~ r--~ -- ~t ~ ~&C.i.S.~ blth of ~ ~lth ~ [ I I ~..,L !, '1 1.,, ! .. · ' (C~k ell t~t ipply) ~t I1 h i C.A.S. ~ ~ ~ .. ' , ,~ ~lth of Pmsun blth ' ~ ....... i ' (1 ........ --~_~l ..... I~ .................. 1 ~12, ! .... ] · k iii t~t --~ r--~ r--~ C~t 12 ~&C.A.S. ~ . ~t I1 ~C.~.5.~ · -- .............................. n~- ........... : ..... n-~;-p~ ....... "~ ~/~ ~ · ~- 2 ? ~ ~-- __ . ~ ,,,~-----~. ~, .... end diiKn after 'coapJetln£ dill .diections/ : .~i-S~ ', B ERSFIELD Fare and Agriculture '~-u Standard Business ~'~J~L~--~PA'!=~']~)(:~)T'~S [q~J~LTI:~'~=~'I ~~ ~USINE$S NAME:.. ~ ~, ~( ~C~ OWNER NAME: ~wg ~e~ ~g~W NAME OF T~ FACI~ITY:~/vD~o~ LOCATION: , ~8/ D;.z~,e)%g sJ.;~--' ' / / / -- ADDRESS.. STANDARD IND. CLASS CODE CITY, ZIP: ~ ~-~, ,~'~", CITY, ZIP: , DUN AND BRADSTREET NUMBER~ ', ~ ~ "; ~ ~ r ' ~ '~' ' ' , '0" ,, ' Frans Ty~ ~x Average Annual ~a~re I ~ Cmt ~t C~t Use L~atl~ ~e Phy~and He~th Hazard:" . C.l.S. ~m~ C~et II hq & C.A.S. ,C--11 t~ ,~ply)., ,. - ,--~ ~~ ......................... ,.__~__.~ F,~ ~ . . . C~t 13 Na~ & C.A.S. ~mber ~al ~ ~,lth Hazard ' C.l.S. Mu~ ~mt I1 MaN E C.l.S. r--~ ' ~mt 12 I~m & C.l.S. Nua~ ' Health - of Pr~rl HHIth ' ~ .................. ' ~mt Il Nam & C.A.S. ~ ~ u_a Reactivity ~_a ~lay~ u_a ~dd~ Release g~a I~fste . . Health ~( Ar~fue~ Hen)th C~t I) Nam $ C.k.~. Num~ .... ..... Ph~ical end Health Hazard C.A.S. Mutate ' C~mt I1 Nam ~ (Ch~k mil that a~ly) ~~ ~ ~--a Fine Hazard u_a Reactivity =_a ~lay~ =--a ~dd~ Re)ease u=a I~iate ' Health of Pressure Health . .. ~.t 13 NaM & C.A.S. Nu..~ Certificati~ (Reed and SiKh after completing all sections) I I certify under ~enahy of law that [ have oersonaltyexamined and em familiar with the tnfornmtion_s~ttted in this a~ ~11)Ittlc~ d~u~ts, and CMO ~sed m W inquiry of t~se tndtvi~als res~sible CITY of B'. ERSFIELD LOCATION:, /: ; ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP:--~,~-,. ~{_._ ~.~$/~ CITY, ZIP: - DUN AND BRADSTREET NUMBER' ~' ~0 Z~S~UC~ZO~ FO~ ~0~ COD~S Trane Ty~e ~x Average Annual ~asu~ I ~ g~t ~t g~t Use L~atl~ N~ne IN~t Nam of Mixture/~tg Code Code ~t ~t [st Units m Site Ty~ Prest T~ ~e -. Stor~ ?n Faoillty See P~I and Health Hazard" , C.A.S. ~ C~t II la~ & C.l.5. Num~ 4[ Fire Hazard u_d Reactivity ~ ~ ~lay~ u--J ~ Release L--J i~Jate ~ Health of Pr~re HNIth H~lth of PP~ HHith ~t ~ Na~ & C.A.5. Num~ ~-~ ~ire aazavd ~ Reactivity ~0etay~ ~--~ ~dd~ release ~~ate ~t 12 NaN & C.A.S. Num~/ Health of Pr~surl Health Carnet I1 NaN ~ C.l.S. Nue~P V , . flealth of Pressure Health ........... Certification (Read and siKn after coapJet~nE ali sections) · Ice, rtify under penalty of law that I have oersonally exaeined and ae familiar =tth the ~nformatlon sutmitte~ $n thfe and ~) attached documents, and that based e/ inquiry on of those indtv/fduals responsible for'~btainin0~, the info~dmat~on._ I believe that t~submitted informatim is true, accurate, and complete. ~ y ~.~/~.~~/~ -~-~' ~r '~f~ "; .............. -r-;---~ - ~i s~-aa~ ................. R~e-~ ..... ~ ..... ~"~ ato~' s au~r~z~ ep ese ~a~ JANITORIAL & PAPER SUPPLY CO., INC. May 2, 1991 RECEIVED H,~,~. M,~'r. DIV. Ms. Barbara Brenner Hazardous Material Planning Technician City of Bakersfield 2101 H street Bakersfield, California 93301 DearMs. Brenner, This letter is to notify you that we:.have relocated our business. Our newaddress is 6881 District Blvd., Bakersfield, 93313. We have closed the warehouse at 501 East 2ist Street in Bakersfield. We would also like to let you know that we no longer carry the product, Franklin Excel, that has in it the component formaldehyde referenced£in your letter of April 25, 1991. We are nc~ in the process of preparing our report to the Bakersfield Fire Department on chemical location. Thank you, gner, Office Manager 6881 District Blvd., Suite F 2316 Channel Drive, Suite D Bakersfield, California 93313 Ventura, California 93003 (805) 833-4322 (805) 656-3403 · FIRE DEPARTMENT D. S. NEEDHAM FiRE CHIEF ..... :2_.L '- i -: ----7:_- CITY of BAKERSFIELD "WE CARE" 2101H STREET BAKERSFIELD, 93301 326-3911 Dear Business Owner: Th~s notice is meant to act as a reminder that the'California Health and Safety Code, Chapter ~.9§, requires any handler of hazardous.materials to revise their hazardous materials business plan'within 30 days of any one of the.following events: (1) A 100 per cent or more increase in the quantity of a previously-disclosed material. (2) Any handling of.' a previously-undisclosed hazardous material, subject to the inventory requirements of Chapter 6.95. (3) Change in business ownership. (4) Change in business address. (5) Change of business name. Any questions regarding these required revisions, please call the Hazardous Materials Division at (805) 326-3979. Sincerely yours, Crdo~s Materials Coordinator Bakersfield Fire Dept. ACUTELY HAZARDOUS MATERIALS REGISTRATION AND RISKMANAGEMENT AND PREVENTION PROGRAM CHECK LIST 1. A.H.M. REQUESTED 3. R.M.P. P. REQUESTED 4. R.M.P.P. REVIEWED 5. R.M.P.P. APPROVED 6. R.M.P.P. INSPECTION COMMENTS: BUSINESS NAME CITY of BAKERS?[£LD "II'E C.4RE" ( tyee or Dr~,nn name Do hereb3' cert~ =-- ~ _~.., that I have .evie~ced the RECEIVED FEB 2 319~9 attached Hazardous Materials business for ~ - (name of business) plan and that it along with the attached additions or corrections constitute a comolete and correct Busin~ Plax: facility. date BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 BUSINESS NAME: OFFICIAL USE ONLY ID# BUSI NESS PLAN SINGLE FACILITY UNIT INSTRUCTIONS 1. To avoid further action, this form mus~ be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNiT LISTED BELOW 4. Be'as BRIEF and CONCISE as possible. FACILITY UNIT~ One FACILITY ~IT NA~: gimn~nn ,7~-itnrial Supply Co., Inc. SECTION 1: MITIGATION~ PREVENTION, %?ATEMEN~ PROCEDURES ~ D~per 1. Spill: ~revention Ail products where practical, are kept in original containers inside of cardboard shipping boxes. 2. Spill Cleanup Sacks of abSorbsit are maintained on hand to soak up any large spills. Small spills will be mopped up with equipment on hand. SECTION 2: NOTIFICATION kND EVACUATION PROCEDLq{ES AT THIS ~.~.'IT ONLY 1. Employees are to notify manager/owners of all spills. 2. Manager/owners will notify the Fire Department. 3. All'personnel are to evacuate the building in. the event' of'a large spill. TE/FACI LI TY D 1~3 RkM FORM 5 NORTH SCALE:~,~Tg/ BUSINESS NAME: DATE: f./i~,ls'P FACILITY NAME: ~¢1 ~, Z; ~'~. FLOOR: OF UNIT ~: OF (C~ECK ONE) SITE DIAGRAM FACILITY D IAGR~M 5,'~ f., ', CF' I('~'nsgecto~"$ Co'~ments): -OFFICIAL USE ONLY- ~[T~ OiAG_.___~R.i~..luired items) 1. Address: ']de~"tlfy the principle buildings by the Street numbers. Street(m). Alieyl, Orivewaye, and Parking Areas adjacent to the property, include the strpet manes. 3. Storm Drains, Culverts, Yard Drains Drainage Canals, Ditches, Creeks, Buildings a, Frame construction b. Masonry construction c. Metal construction d. ACCelS Door 6. Utility Controls a. Gas 9. Lock (key) Box 10. MSDS Storage Box Il, Railroad Tracks 12. Fence or Barrier a. Wire b. Masonry c. Wood d. Gates 13. Pomerllnea 14. Guard Station IS. Storage Tanks: Identify the capacity in gal. .a. Above ground b. Underground 18. Olklng or Berm b. Electricity 17. Evacuation Route c. water ?. Fire Suppression Syetems: e. Fire Hydrm~ts 18. Evacuation Area: 'Identify the location ehere employees rill b. Fire Sprinkler Connectloni 19. Outside Hazardous t~aste Storage c. Fire Standpipe Connections 20. Outside Hazardous Material Storage d. Water Control Vmlvea for protection ayatell 21. Outside Hazardous Material Use/Sandllng e. Fire Puap 8. Pire Department Access Type of Hazardous Material/Waste Stored or Used (See a~lov) F = Flmmmable ~'(?E'OF HAZARDOUS HATERIAq g = Explosive L · Liquid R = Radlologlcal C - Corrosive 0 · Oxidizer O - Gas P - Poison Water Reactive T - Toxic S - Solid ] - Cryogenic O · Waste B · Etiological ~xanple: Flammable Liquid · FL FACILITY OIAGR.~ (Required Items la addition to the above) I. Risers for Sprinklers 8. Fire Escapes 2. Pgrtitions O. Air Conditioning UffiZI Stalrmaya: Indicate tbs levels served from highest to lamest. Escalator: Indicate the levels served from highest ~o lomeat. Elevator Attic Access Skylights I0. #lndmm 11. Inside H~ardous Waste Storage 13. Inside ~zardcum Natarlmla Stnrsge 13. Inside ~ezardous Materials Use/H~ndlin~ 14, Se~er Drain Inlets BtJSINESS NAME SIMPSON JANITORIAL & PAPER SUPPLY 'ID Zt5.-000-0¢)0476 LOCATION 501 E Z1ST ST HIGH HAZt~RO RATING 3 l,, OVERVIEW JURIS CODE MAP PAGE 103 LAST CHANGE 11103;.:~8 BY VRI._ 215-002 JURIS BAKERpF.[ELD S-rATION 02 GRID ZBA I:ACII_ITY UNITS 't FtRZRRD RATING 3 RESPONSE SUMMARY LARRY SIMPSON PHIL SIMPSON SEC 4) EMERGENCY CONTACTS ZR SEC PHIL SIMPSON .- 325-1'767 OR 83Z-~.81ZB LARRY SIMPSON -- 3ZS-I?G? OR 589-ZZSS UTILII'Y SHUTOFFS ZR SEC A) GAS - FRONT OF BLDG BY MAIN ENTRANCE. 8) ELECTRICAL -- INSIDE BLDG SE CORNER C) WATER - FRONT OF BLDG ~ CURB. O) SPECIAL .- NONE. E) LOCK BOX - NO Z. NOTIFICATION / PUBL. IC EVACUATION LAST CHANGE / / BY < NC) INFORMATION RECORDED FOR THIS SECTION > PAGE 1 MATERIAL SAFETY DATA !SYSTEMS, INC, (80S) E;48-GB00 1Z!Z3/88 16:18 BtJSINESS NAME SIMPSON JANITORIAL & PAPER SUPPLY ID NU Z IS-'O~-~OO4?G LOCFtTION 501 E 21ST ST HIGH HAZARD REtTiNG ~ 3. Hi~Z MAT TRAINING SUMMARY LAST CHANGE / / < NO ~NFOR~T~ON REgORBEB FOR TH~S SEgT~ON ~. ~o/~ ,'~ 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 11103188 BY VAL SEC S) CLOSEST HOSPITAL PAGE Z lZ/Z~/88 1G:18 MA'TERI~L SAFETY DATA SYSTEMS, INC. (8¢S) G48-G800 I BUSINESS NAME SIMPSON JANITORIAL & PAPER SUPPLY ID NL Z1S.-OOO-~4?B LOCATION SOl E Z1ST ST HIGH HAZARD RATING 3 FACILITY UNIT 0! OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 11/03/88 BY VAL IO TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 MIXTURE ROYAL SOAP ~10Z8 <HAND CLEANER W/PUMICE) 1S0 GAL ZNO RACK FRONT BOTTOM ~l PLASTIC CONTAINER[S] STORAGE ID PERCENT COMPONENTS UNKNOWN HAZARD LIST Z MIXTURE MISSION PINE-O-LAV 60 GAL SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] STORAGE ID PERCENT COMPONENTS UNKNOWN HAZARO LIST MIXTURE COMPAX ALL PURPOSE CLEANER 450 GAL NE CORNER UNIT Z PLASTIC CONTAINER[SI STORAGE ID PERCENT COMPONENTS UNKNOWN HAZARD LIST 4 MIXTURE COMPAX MEOIPRX 270 GAL NE CORNER UNIT Z PLASTIC CONTAINER[S] STORAGE ID PERCENT COMPONENTS UNKNOWN HAZARD LIST S MIXTURE PUREX -. GRAND PRIX 138 GAL NORTH WALL UNI'F i PLASTIC CONTAINER[S] STORAGE ID PERCENT COMPONENTS UNKNOWN HAZARD LIST G MIXTURE PUREX OLD DUTCH CLEANSER RACK ~3 UNIT I BOX[ES] ID PERCENT COMPONENTS 780 LBS UNKNOWN STORAGE HAZARD LIST 7 MIXTURE PUREX ONCE OVER NORTH WALL UNIT 1 I0 PERCENT COMPONENTS PLASTIC CONTAINER[S] 8S GAL UNKNOWN STORAGE HAZARD LIS]' 8 MIXTURE PUREX SEVEN'FY SEVEN NORTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS ?S GAL UNKNOWN STORAGE HRZARO LIST MIXTURE PUREX LIQUID FOAM NORTH WALL UNIT I PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 7S GAL UNKNOWN STORAGE HAZARD LIST 10 ll MIXTURE PUTEX BRILLO WINDOW CLEANER NORTH WALL UNIT I PLASTIC CONTAINER[S] ID PERCENT COMPONENTS MIXTURE PUREX EXCEL. NORTH WALL UNIT 1 ID PERCENT COMPONENTS PLASTIC CONTAINER[S] 75 GAL UNKNOWN STORAGE HAZARD LIST 100 GAL UNKNOWN STORAGE FtRZARD LIST PAGE 3 1Z/Z3/88 16:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-.6800 BUSINESS NAME S~MPSON JANITORIAL & PAPER SUPPLY ID LOCATION SO1E ZtST ST FACILITY UNIT 0t A. OVERALL HAZARDOUS MATERIALS INVENTORY ( .* CONTINUED * ) LAST CHANGE 11/03/88 BY VAL ID TYPE NAME LOCATION CONTAINMENT 1Z MIXTURE PUREX XUPER GUARD NORTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 13 MIXTURE PUREX OUTSTRIP NORTH WALL UNIT 1 ID PERCENT COMPONENTS PLASTIC CONTAINER[S] 14 MIXTURE UNBELIEVABLE EAST WALL UNIT Z ID PERCENT COMPONENTS PLASTIC CONTAINER[S] 1S MIXTURE CHEM TAB POWER CLEAN SOUTH WALL UNIT 1 pLASTIC CONTAINER[S] IO PERCENT COMPONENTS 16 MIXTURE CHEM TAB WINDOW CLERNER CONCENTRATE SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS MIXTURE CHEM TAB LOW SUDS OETERGENT WEST WALL UNIT I BOX[ES] I0 PERCENT COMPONENTS 18 MIXTURE CHEM TAB DISH WASH SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS MIXTURE CHEM 'rRB UNTRA CLEAN SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] I0 PERCENT COMPONENTS MIXTURE CHEM TAB PINE 30 SOUTH WALL UNIT 1 ID PERCENT COMPONENTS PLASTIC CONTAINER[S] Z1 MIXTURE CHEM TAB SUPER STRIPPER SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] I0 PERCENT COMPONENTS ZZ MIXTURE CHEM TAB PERMR GLOSS ZSO SOUTH WALL UNIT t PLASTIC CONTAINER[SI ID PERCENT COMPONENTS Z15-000-000476 HIGH HAZARD RATING 3 MAX AMT UNIT HAZARD USE 75 GAL UNKNOWN STORAGE HAZARD LIST SS GAL UNKNOWN STORAGE HAZARD LIST ?Z GAL UNKNOWN STORAGE HAZARD LIST 180 GAL UNKNOWN STORAGE HAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST 100~ LBS UNKNOWN STORAGE HAZARD LIST 100 GAL UNKNOWN STORAGE HAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST GO GAL UNKNOWN STORAGE HAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST PAGE 4 1Z/Z3/88 1G:18 MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-G800 BUSINESS NAME SIMPS tNITORIAL & PAPER SUPPL:F ID LOCATION 501 E ZIBT ST FACILITY UNIT (~1 OVERALL HAZARDOUS MATERIALS INVENTORY ( * CONTINUED * ) LAST CHANGE 11/03/88 8Y VAL ID TYPE NAME LOCATION CONTAINMENT MIXTURE CHEM TAB LEMON SAN SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS Z4 MIXTURE CHEM TAB PINE 1¢ SOUTH WALL UNIT 1 ID PERCENT COMPONENTS PLASTIC CONTAINER[S] ZS MIXTURE CHEM TAB BLEACH CENTER AISLE UNIT Z ID PERCENT COMPONENTS PLASTIC CONTAINER[S] Z6 MIXTURE CHEM TAB PEARL LOTION SOAP SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] I0 PERCENT COMPONENTS 27 MIXTURE CHEM TAB DUEL CAR WASH SOUTH WALL UNIT 1 PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 28 MIXTURE CHEM TAB ULTRA CARE SOUTH WALL PLASTIC CONTAINER[S] ID PERCENT COMPONENTS Z9 MIXTURE LURON LOTION HANDSOAP ? PLASTIC CONTAINER[S] ID PERCENT COMPONENTS 21S-(~0-0(~4'76 HIGH HAZARD RATING 3 MAX AMT UNIT HAZARD USE 90 GAL' UNKNOWN STORAGE BAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST 180 GAL UNKNOWN STORAGE HAZARD LIST GO GAL UNKNOWN STORAGE HAZARD LIST 80 GAL UNKNOWN STORAGE HAZARD LIST 60 GAL UNKNOWN STORAGE HAZARD LIST BO GAL. UNKNOWN STORAGE HRZRRO LIST PAGE S 12/23/88 16:18 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) G48-G800 BUSINESS NAME SIMPSON'"f~.ANITORIAL & PAPER SUPPLY I0 Z15-(ZX~O-000476 LOCATION 501 E 2iST ST HIGH HAZARD RATING FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 11103188 BY VA[. SEC 4) NO FIRE PROTECTION. SEC 5) FIRE HYDRANT? D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 11103/88 BY VAL 3A SEC Z> EMPLOYEES ARE TO NOTIFY MANAGER/OWNERS OF ALL SPILLS. MANAGER/ OWNERS WILL NOTIFY THE FIRE DEPT. ALL. PERSONNEL ARE 1'0 EVACUATE THE BLDG IN THE EVENT OF' Pi LARGE SPILL. PAGE 6 1Z/Z3/88 tG:t8 MATERIAL SAFETY DATA SYSTEMS~ INC. (805) G48-G8~ I BUSINESS NAME SIMPSON ,"'J"ANITORIAL iR P¢4PER SUPPLY ID LOCA'rlON 501 E 71ST ST HIGH HAZARD RATING E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE i t/0~/88 BY VfqL SEC I ) SPILL PREVENTION - ALL. PRODUCTS WHERE PRRC'f'ICAL, ARE KEPT IN ORIGINi~L CONTAINERS INSIDE OF' CCtRDAOARD SHIPPING 80XES SPILL CLEANUP - SACKS OF ABSORBSIT ARE MAINTAINED ON HAND TO SOAK t)P ANY LARGE SPII_LS. SMAt_L SPILLS WILL. 8E MOPPED UP WITH EQUIPMENT ON HAND. PAGE ? 1Z/ZS/88 16:18 MATER~AL SAFETY DATA SYSTEMS, INC. <805) 648-6800 CITY of 4KERSFIEL,D- '--'= HAZAp..DOUS MATERI ALS BUSINESS NAME: 5~p5o,~ ~,~. ~ oa(-' OWNER NAME: Seeg-<l-~ ~0 ~Oe~'~- NAME OF ?{~i~ FACILITY: LOCATION: ,'~'~f) I cc'~, ~L.I S.._~ ! ~ '-~ ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: ~~o ~. g~ CITY, ZIP: . DUN AND BRADSTREET NUMBER ~' ~o X~S~UCTXO~S ~0~ ~0~ CO~ZS Trans ..Type Max Average Anfluai ~a~ I ~ C~t Code Code bt bt Est Units m Site Ty~ Pr~ T~p C~e .. Stor~ tn Facility Physical and Health Hazard*' C.A.S. ~ ~- ' r--~ ~t 12 NaN & C.A.S. Number ~ :~Fire Hazard u -- d Reactivity Health of Pressure HNIth ~t I] Na~ E C.A.S. Number ~-~ Fire Hazard ~ Reactivity ~layd ~ ~dm Release ~~ate ~mt 12 Nam ~ C.l.S. Num~ Ph~ical and Health Hazard C.A.$. Nu~ ~t II la~ ~ C.l.5. lum~ (C~k all t~t apply) ................ 'r--~ -- r--n r--i r--i ))et 12 NaN & C.A.S. Num~ L--J Fire Hazard [ ~ Reactivity u_d Oelay~ =--~ ~dd~ Release Health of Pr.sure Health Ph~ical and Health Hazard C.A.S. Num~ Cm~mt I1 Nam & C.A.S. Num~ (Ch~k all that apoly) -- -- r--q r--1 r--I el)et 12 MaN & C.A.S. Ndm~ ~ ~ Fire Hazard ~ ~ Reactivity ~--d.Oetay~ u--J ~dd~ Release =--J I~iate . - Health of Pressure Health ~t 13 Nm~ S C.A.S. Numar Certification (Read and siRn after complettnE ail sections) I certify under ~enalty of law that I have personally examined and am familiar with the tnfor .mattonlsub./Ittnd in th_is and a)4 attached ~,~ 4 ~, 9~'~ ~ ~.-o ~ _/2, A.. ' ~e__x~/_. _X4_ ~__~:_- documents, and that based on my inquiry of those individuals responsible O~li-$1)~al) .............................. $ ~-'~~~oANITORIAL & PAPER SUPPLY CO., INC. I East 21st Street · Bakersfield, California 93305 (805) 325~1767 Ventura (805) 656-3403 CORPORATE OFFICERS Maurice Warwick 1524 Via, Arroyo Ventura,~ CA (805) 656 - 3403 93003 Phil Simpson 3609 Ginnelli Way Bakersfield, CA (805) 832 - 8126 93309 Larry Simpson 12925 Brimhall Road Bakersfield, CA (805) 589 - 2255 93312 Leo Dixon 5100 Sedwick Bakersfield, CA (805) 392 - 0215 93308 Josephine Wagner 2093 Hendrix Thousand Oaks, CA (805) 497 - 4076 91360 ...... _ . ~ .... -_ ~£ ~...*~ )~.' ~ ;.~ ~.. , ~ . DUll. AND: ~ . - ' ' .". '~ ~': ':':':'" "" '-':"'~ :~'%'"~:'<'"'<'?~ '~' "'~ ::-' " - ? "- '' ' -' '- '" ' -' '"' ' ' '? ~ - ' :~i-:: t::.--: ..... '..: 1:":::. ::: :-":'-~.:-.::~-'. :~," L-::::< F,:.-~.:. F:.:","t,'' t'" ./t-::.-:-:'~-:::': ':: :.::'::,,..':. ,,,,,:;~.~-;~,,~,;;;~:.:~: .... .:::.:.: ::..:.:::::::::::::::::::::::: .::.:. -.::.... - .<: . . - .-:.. · -::.~ .:-:< .., . ? .:-. ... [-~ .. .. [=.4~.~.-~ ': -'._'i~.-'-'- "- ~--.' '-' ?"-":-?'.? ~.-,- ":' .'.- .' :.:' ~~. ~.~c.~.S. ' ' ',:---".' '..-' :' " :: .,'.-: .~::.'~.-:.:.::'":"."- . ?: -' ~ta " Hea'lth , of Pr~" H~lth ' ~ ' - - : C~t ~ N~&C.A.S. NuB~ - Heal th of Pr~su~ Health "- ... ~t I] N~ t C.A.S. NuB~ CercJf~c~t~m (Read and sJRn after compJeCSng all sectJonm) I certify under penalty of law that I have oersonallyexamined ~nd am famjlter uJth t~ tnfor~tJm su~tt~ tfl th~ ell Ittlc~ t~t ~s~ m ~ for obtaining t~ infor~tt~. ! ~lieve t~C t~ su~t~t~ tnfor~tJ~ il t~, accurate, md C~. ~/ ~u~tl, ~ .in~j~ of t~l t~tvibll r~sibll ~CITY of ~AKERSFIELD.' '~ ~ HAZARDOUS MATERI ALS I NVENT.O RY' Farm a~ Agriculture ~ Standard Busings Page ./_ of LOCATION: ,SF'M ~., '~2~[~__~_~ '' ' ! I --) ADDRESS: - STANDARD IND.'--C~s~"~OD'E '/,'¢'~fi~ CITY, ZIP: ~, ~qC, ~,~ CITY, ZIP: · DUN AND BRADSTREET NUMBER I ~ 3 4 5' $ 7 I I l0 !1 Code Code ~C Amt Est Units m Site TyM Pr~l TNp C~e Stor~ in Facility ~e [nsc~ctims ~hysical a,d ,ealth Hazard' ' C.A.S. ~ It la~ & C.A.S. ~m~ (C~k ail c~t apply) . . ' ..... --~ ..... ~--n r--n r--n r--n r--n b~t 12 NaN & C.A.S. Nuabe~ =--J Fire Hazard =--J Rea=tiv~ty =--J ~]ay~ =--J ~dd~ Release =--J'l~ia~e Health of Procure HNIth .... ~ ....... G~t 13 NaN & G.A.S. Number _,l.,J_} .......... 1 .............. 1 l .... h .... 1 I I t'_~ I ........ -- r--n r--~ r-~ r--~ C~mt 12 NaN A C.A.S. Num~ ~ ] Fire Hazard u_J Reactivtt~ u_J ~iay~ u_J ~d~ Rmiea~e u_J Halth of ~rl Halth ................. ~t I~ Na~ & C.J.~. Num~ ,_-h._t ........... L, ..... 1 l, I, I I l 12 ~ ! Ph~ical and Health Hazard C.A.B. ~ ~mt I1 Na~ A C.A.B. Num~ (C~k all t~t apply) -- r--n r--n -- r--~ ~t 12 NaN &C.A.S. Num~ ~ ~ Fire Hazard u--~ Reactivity u--J 0elay~ ~ ~ ~ddm Release ~--J i~iate J Health of Pr~surl Health C~t I~ NaN & C.A.S. Numar .... ~ .... t ............ l .............. ~ ................... Ph~ical and Health Hazard C.l..S. ~m~r C~t Il NaN i C.A.S. Num~ (Ch~k aU ~hat apply) ~ - ~ r- ~ ~ -- ~ - ~- ~ C~t B2 NaN & C.A.S. Fire Hazard ~-J Reactivity ~--J.Oeiay~ ~ ~ ~ddm Release ~--J I~iate Health of Pr~sure Health ...... - ....... .: ~t I~ NaN & C.A.S. Num~P .......................... li~' ~--~'--?~ ........... T~ 21-~-~ ......... Certification (Read and SiKh after completinE aJ] sections) [ certify under ~enalty of law that ! have personally examined and am familiar rich t~ Information su~;tttd tn thfs for obtaining t~ infor~t~ I believe t~t t~ submitted infon~tiffi is tme accurate, and c~pie~ By inquiry of those individuals responsible O~-Si~;~ ........................ CITY of KERSFIELD Fara and lgrteulture Sta.d.d eosi.m ~ MATERI ALS I NVE NT.O RY '-UMA'L'XUN: ~ ~. ~lm--r '' ~DRESS.' STANDARD IND. CLASS CODE Trans Type ~x Average ~nual ~a~q I ~ Cmt bt ~t Use L~ltl~ N~re t~ Nam of (:ode C~e bt bt Est ~tts m Sitl TyN Pr~l T~ CMl -. St~ in Fictltty ~ inst~ctfms Physical and Health Hazard C.A.S. ~ ~mt II Gq & C.A.S. ~a~ Health of Pr~ ~lth ~-0 -- ~ Ph~ical and Health Hazard ' C.A.S. ~ ~mt II Nm & C.l.S. haw HeMth of P~ HNith ~ - ...... bGKt 13 Nam & C.A.S. Fh~ical and Haalth Hazard C.A.S. ~ C~mt II ~ & C.i.S. Nua~ Certification (Read and sign after cospJetlnE alJ sect JoaB) Icertify un, er penalty of ;~. that I have personallyexamined and am faaililr ,tth the information subsided tn this and ii'tithed documents, end thor b~sed on ay inquiry of those Individuals respoflsible or obCainir~g the informeti(J~, i believe that the suoeitted information il true, accurate, Mid ca~piet~' ~/ ..-sql. ........................... CITY of I~KERSFIELD LOCATION: .~c%[ P__',~_~ ~ ' '"'-J~DDRE:$$: STANDARD IND. CLASS CODE CITY, ZIP: ~&A.V~.'~,~,~£,.~ (~,~. ~ CITY, ZIP: · DUN AND BRADSTREET NUMBER ~ ro x~s~ucr~oJs ran ~.oP~ coD~ I 2 3 4 S ; ? I ! 11 11 Code C~e ~t ~t Est ~its m Site Ty~ Prfll l~ C~I .. St~ in Facility ~e Inst~cti~s -/g (C~k ali t~t a~ly) /~ ~_ ~. ~ ....... ~--a Fire Hazard [ ] Reactivity [~] ~ Release ~--J h of Pr~re N~lth ...... F ........ P~ic~i and Health Hazard ' C.A.S. ~ ~mt II M~ & C.A.S. ...__ ................. (C~ck i11 t~t apply) ~ - ~ r--~ r~ r-- ~ir_ ' ~t l~ Nam A C.A.a. Nu.~ ..... ~___~:~__ _~=~_._ ~_?:~ ~1~;~1 ;~ I ~ I~1~ ...~. PN~icil and Health Hazard C.A.S. ~ ~mt II h i C.A.S. r--~ r--~ -- r--q r--n ~mt 12 Nam&C.A.S. L--J Fire Hazard u--J Reactivity [ ] ~lay~ ~--~ ~dd~ Release ~--~ I~iate Health of Pr~sure Health ' ' .... Cm~t 13 Nam i C.A.S. Ph~icli(ChKk ml1 end that Health apply) Hazard C.l.S. hm~ Cm~mt ~/~ 81 --Nm ~ i C.l.S. · ,..,,h of ,..,,.., ,.,,,, , A~¢,r ,~,~.(s. ,.. .......... Certificatio~ (Read and sign after compJetJnE all sectJons) Icertify under ;onalty of law th,at,I have oers.onelly examined,and am. faelliar ,tth the tnfor.mattm,su~itted tn this a~l~! attached documents, and that based inquiry of those individuals res;onsible obtaining the information. I oetieve that t~e submitted information ie true, accurate, aha co~pte~ ',~ . on my $ CITY of B~KERSFIELD LOCATION: ~ ~, ' ................ ~'- ~i i i~.J ADDRESS: ~'LT_ .......... - STANDARD IND.'~C~s~'-~OD~:'' ~']~ CITY, 7-IP: -: e- ~-' ~ ~ CITY, ZIP: - DUN AND BRADSTREET NUMBER PHONE ~:~ PHON~ ~: ~ode Code ~t ~t Est Units m Site Ty~ Prfll T~ C~e .. Stor~ Ih Facility ~ ~e inst~cti~ d Fire Hazard ~--J Reactivity ~lay~ ~--d ~dd~ Release ~--u I~tate Health of Pr.~ure HNIth C~et 13 NaN i C.A.S. Nui~ .... t ..... L .......... 1 .... ~ ........ 1. 1 .... 1 ..... ~...1~ I I ~ I ........... Physical and Health Hazard C.A.S. ~ C~mt II NIN & C.A.S. ~1~ (ChKk ill t~t apply) ............ - ~-~ ~-] ~-] r-~ ~mt 12 N,N & C.A.S. Nu,~ ~ ] Fire Hazard ~ d Reacttvt.ty hlay~ ~dm Release ~_a Health of Pru~re HNJth .......... ~mt 13 NaN & C.A.S. Nua~ ..... L._i L ........... ] ~1 I, ,,I,,. ! I I ! ......... (C~k all t~t apply) r--~ a~et I1 NoN ~-~ Fi~e Hazard [ ~ Reactivity [ ] ~laV~ [ ~ ~dd~ riel.se ~--~ Health of Pr.surl H~ilth C.aet I1 .... L,[Z,.,,_._~ ............. r .......... L.t .... ~ i~ i~ Ph~tcal and Health Hazaed C.A.S. ~l~ (Ch~k all that apply) - - - ~-~ ~-~ C~t 12 NaN ~ C.A.S. N~,~ ~ ~ Fire Hazard [ ~ Reactivity ~ ~ .~lay~ L ~dd~ Release -- I~late . Health of Prflsurl Health ~t J Certification (Read and s~Kn after coapJetJnE ali sections) I certify under ~elty of lee that I have oersonally examined and an familiar vtth the tnfor~ttOnlSU.~ttted ~n this a~Lxe11 m~lclmL~cuNnts, and that based on By inquiry of those individuals responsible for obtaining the information. I believe that~the subeitted inforaation is true, accurate, ina compll~qe. / \ \ ~--*~'~ .5~.R~ R~,~'~aa-~TT~E-~I-~i'(I~ ~T-&;~7~[~F-1)II-~'-[°7~) ...... V" r~ ....... ~"{--JiEi;i $'§~/bTl~.~i~~ .................. oi[i ~ · -- ....................... CITY of I~KERSFIELD '--' '-'-' HAZARDOUS MATERI ALS I NVENT.ORY' Fam and Agri~JIture ' ' Standard I~usinese ~ LOCATION: ,.-~56'3l ~:'. ~)~L '~J---~ ADDRESS; C~TY, Z~P:.~A~p~&~L~cp ~A~- ~,~ C~TY. ZIP: . DUN AND BRADSTR~ET NUMBER PHONE $: ~3~ ZT&7, PHONE ~ ro ~s~uer:o~ vo~ ~ov~ eOD~ - Trant Type ~x Avera~ ~ull ~ I ~ Cmt (:ode C~e MC ~t- Est ~tts m Site lyM Physical and Health Hazard' C.A.S. ~ ~t Il r--~ r--a r--~ ~lay~ ~:~ ~dd~ Release -- IKIItl =--~ Fire Hazard =--~ Reactivity u-- Health of Pr~ HNIth .... ~ ....... ~Kt 13 NiN & C.A.S. Num~ ..v..L~di~_~. .... L.Z.o_ .... l_.qm.m~h~-~_~~~~-v* L_'.~ - ' · _ ~ ~ Fire Hazard ~ a Reactivity [~ r--~ ~latl Hmalth · of Pru~q HHlth Ph~cll and Hfllth Hazard C.A.S. ~ bGmt II h & C.A.S. ~ .......... ~ ....... (~k all t~t apply) /~//~ ~ ~ ~ ~ ~/~ · ~ ~7 ~ .............. r--~ ~ ~--] ~:~Kiatl bWt 12 NaN & C.A.S. N~ ' ~--~ Fire Hazard =--J Reactivity -- ~}ay~ ~d~ Release Health of P~sure Hfllth ...... CN~t . Ph~ical and Health Hazard C.l.S. ~i~ (ChKk oll that apply) CM~t 12 NaN & C.l.S. Nd.~ '~ ' ,..~ ~ ~.~u~. ,.l~ 5~O ...... ~J&~ ............................. " . , ~ ~t .... Certification (Read and_sign after completing all sections/ I certify under oe~alty of law that I have oersonally examined and am fa,lltar ,1th the information subleted tn thtl.m~d all ached docu,onts, and that based on ,y inquiry of those Individuals responsible for obtaining the information, I believe that the sulaitt_~ed in_formation il trul, accurate, and colpll.~l../ / CITY of I~KERSFIELD LOCATION: ?--Y~ t ~ HI ~r aDDRESS: STANDARD IND. CLASS CODE /~'~ ~'~ CITY, ZIP~.~A/~,~/~-~-~/_O /'~. ~ ~_~ CZTY, ZIP: · DUN AND BRADSTREET NUMBER PHON~ ~: ~ '~.~ /~67 PHON~ ~: ~ ~o ~s~uc~o~ ~o~ ~o~ CODO I ~ 3 i S i 1 I ! Il II 12 13 11 Tranl Type ~x Avera91 ~ual ~a~ I ~ Cmt ~t ~t Use L~at tm Code C~e ~t ~t Est ~its m Site Ty~ Prfll T~ CMl ,. St~ in F~lltty ~ inst~cti~ ~] l~re Hazard u_~ reactivity -- -- ot p~ ff~l~h .:d.~.l .... z~_,]._..~-~ .... IL?~__~~_~~~-~ I~k ~11 t~t apply) -~ ~~~~~*[~ ~- .... ~-~._t ~ ~ L_~ .... L ~ ~,~,~- '~ ' ~ ~ (C~k ail t~t epply) /~ Health of P~suq H. lth ~t / _v_L~Z__L__A~.._J__.~_~ ..... 1 ~ L~I~ I,L~ ! / 1~ 1~1~'~ ~ ~,~'/ ..... P~~~~e'~. ./ ..... Ph~ical and Health Hazard C.A.S. ~ CW~t II ~ ~ Fire Hazard ~_u Reactivity ~--J ~lay~ ~--J ~dd~ Release ~ late - Health of Pr~sure H~lth HE~GENCY CONTACTS Certification (Read and sign after compJetJng all sectJons) itM~'~xoc~~en , I certify under penalty of law t~t ! have pers~allyexam~nK,and ap famtlt.r ,1th t~ tnfor~tt~is~ttt~tn thts ~ .11~c ts. ~ t~t ~s~ ~ ~ ~nqut~ of t~m i~tvi~als res~sible .............. . _~._..~: ............... , .................. ; .... ;- .: ~ ~ - ...... ~e an~ oTT~c~a [1 .nerTooeracor ~ ownerToper rlze~ repres~[a[Ivl ~ gna[ ~ .................. CITY of B KERSFIELD -~ ~ HAZARDOUS MATERI ALS I NVENT.ORY Farm and Agriculture ~ Standard Busings ~ LOCATION:_~L .,~". ,~L~.'~'r' ADDRESS: '--'' ' STANDARD IND. CLASS CODe CITY, ZIP: ~. Om~, ~~ CITY. ZIP: . DUN AND BRADSTREET ~Iranl Type ~x Average ~ual ~a~ I ~ Cmt ~t Cmt ~e L~ltlm ~e %~ Nam of Nixture/Ca~tl Code Code ~t ~t Est ~ttl m Site Ty~ Prffl T~p C~I .. Stor~ In Facility~ ~ Inst~cttml Physical and Health Hazard C.A.S. ~ ~mt It ~ i C.A.S. ~ ~ O/~0 ~C~ Health Ot Pem~ aNIth C~mt l] Nlm & C.A.S. Number P~sical and Health Hazard C.l.S. i ~mt Il NaN i C.A.S. (C~k oll t~t apply) [--~ Fire Hazard u--J Reactivity ~--J ~lay~ ~--a ~dm Release ~--J i~tate HHIth of P~m N~lth P~icai and Health Hazard C.l.S. ~ ~mt I1 ~ i C.A.S, ~ (C~k all t~t apply) ~--J Fire Hazard ~ ~ Reactivity [ ] ~lay~ [ ~ ~ddm Release ~--J I~tate Health of Pr~sure Heilth '---- , Cm~mt I] Nam & C.A.S. Nutone (C~ ~11 tat appl~) ~-" Fire Hazard ~ ~ Reactivity ~-- ~lay~ -- ~ddm Release ~--~ ' Health of Pr'usurl Health ~t Il Nm & C.A.S. Num~ Certification (Read and siRn after completin£ all sections) for obtaioing t~ info~tl~, I ~lieve tMt t~u~itt~ infor~ttffi il ta, accurate, ~a Caplltl. 7~ / . _= ..... ..................... CITY of ,,. tKERSFIELD Farm and Agriculture Standard Business MATERI ALS BUSINESS NAME: PHONE ~: ~o5 ~g t76'7 ADDRESS CITY, ZIP:- PHONE #: J~EFER TO IHST~UCTZOWS FOR PROPER CODES ' page _/__ of 5.. NAME OF TI~'~ FACILITY: DUN AND BRADST~EET NUMBE~ I 2 ] 4 S S 7 8 9 l0 II I~ 11 lrans Type Max Average Annual Measure I Oys (:mt Cant Cant Usa Location Where %N~y Names of flixture/Comoanents Code Code Ami Ant Est Units m Site Type Press T~mp Cede .. Stored in Facility See Instructions ~dmmm .~_l~._l .... 4_a___i__~.~ I [~. ~_ad~'~2/~1 / I~ I (.J~.~~_~c~_~a~ .... L ......... Pw-y [ ....... .~v.i=a~ and ,aa'th ,az.r~ C.A.S.R..~.r c..~..t mt #.me ~ C.A.S. Number {Check all that apply) 7~0/-- ~¥' ~1' -~---~-- Z"~Y-~-~I~--~J .......... ~-~ - r--'~ r--n ~ml~m~t I~ Weme & C.A.$. Number L__J Fire Hazard [--] Reactivity [2J/~J I)elay~ ~---J Sudde~ Release ~---J Immediate [/.~' . _.;z~'_~/,._~,~)l ./~_:,~[~(j[c~.~Ar/~=~ Health of Pressure H#mth ~/~'- /~J;~--~ .................................................. C~pon~nt ll Name & C.~.S. Numbm~ : ........... .... ........ ..................................... Physical and Health Hazard C.A.S. N~r ~lt II Nmi i C.A.S. Numar ' Hma Ith of Pn~;ure HHIth ..... - ~t I~ NaN & C.A.5. Numar .~LI~___[___~.~ .... l .... ;__a ..... 1___6.:~ .... ~J-~cLd~lLk~~~2 ,.~=-~-~-~ Ph~ica) and Health Hazard C.l.S. N~r b~t BI NaM A C.A.S. Nu~r ~/ ...... (C~k all t~t apply) ~F -~ - 0 ~ ~'~ ~Z~ r~, ~ ?~ .... .................. ! -- r--n -- r-- ~ffit I) Ma~ & C.A.S. [ ] Fire Hazard u_J Reactivity [~'Oelav~ [ ] ~dd~ Release ~ I~iate ¢~V~-qJ -/ - ~ Health of Pr~sure Health ..... CN~t 13 NaN A C.A.S. Numar ~ ~ ~/z/~ ~ ~= ~/~~ .... .... ...... ..... ............... Physical(ChKk allandthatHealthapply)Haza~d C.A.S. Numar CmGmt ~/~1~ NaN & C.A.S. Num~ ~. ................. ~ ................................. ~--~ Fi~e Hazard [--~ Reactivity [--] Delayed [--~ ~d~ Release [--~ I~iate ....................... E ..... C~Gmt 12 NaN t C.A.S. Ndmhr ~ Health of Pressure Health ................... J ....................... ~t 13 NaM & C,A.S. Num~P ....... EMERGENCY CONTACTS )l ~ ~ ~/~ ~~ ................... RaGe,' ........ ~ ..................... ~ElG-- ~' ................... m~ ~ ............... tl) ......................... Certification (Read and siRn after completinE all sections) I certify under penalty of law that [ have personallyexamined and am familiar with the information sub(matted in_this and all Ittlched documents, and that based for obtaininc:,idi~ information, I believe that the submitted information is true, accurate, and cmpljW~. (~ my inquiry of those individuals responsible CITY of ,... tKERSFIELD ~_~ HAZARDOUS Fane and Agriculture Standard Business BUSINESS NAME: LOCATION: 50[ ~., ~C~ s 1- · PHONE {: ~<--lTd7 '-- OWNER NAME: ADDRESS: CITY, ZIP:. PHONE #: RF~FF, R TO Z~STRUCTIOM$ FOR PROPER CODK$ STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER I 2 ] 4 S 6 7 8 g I0 I1 1:~ 13 14 )rahs Type Max Average Annual ~asure I Oys Cont Co~t Cont Use L~att~ W~re %N? Na~s of Mixture/C~ts Code Code Art Aat Est Units ~ S~te Ty~ Peesl ~ C~e .. Stoe~ tn FaciHty See Instructive ...... ZZ ....... ~.~ ............... ~ ~_~_g._~AZ.~ ,._L~~.~~~ ............................. ~--. ~ r--] [--] r--q Carnet 12 NaNiC.A.S. Number ~ d Fire ~azar4 [- eacttv}ty u-- ~)ay~ -- ~dd~ Release u_a Health of Pressure H~lth C~t 13 Na~ & C.A.5. Number Physical and Health Hazard C.A.S. Numar__ b~t II Na~ & C.A.S. Nue~e [ 3 Fire Hazard [~e~ct~v~ty [~lay~ [ ] ~dd~ ee]ea,e [ 3 i~ate f ~/~F_ /~_ ~ ...... Health of P~sure ~Hlth / Ph~ical and Health Hazard C.A.S. Wu~ ~mt I1 Nam & C.A.S. Numar (C~k all t~t apply) ~:~- 3 ~- z ~- -~a-~9-~~ ........................ Fire Hazard [ ] Reactivity ~-- ~ Oe)ay~ ~dd~ Release u ~tate · Health of Pr~sure Nealth Ph~ica] and ~eaith ~azard C~t II Na~ & C.A.S. Numar ~ .............. Health of Pr~sure Health Certification (Read and siKn after coapletJng all sections) I certify under penalty of law that [ have oersonally examined and em familiar .lth the tnfornmtioe sub~t~ked in tht~ a~ ell I~ec~ d~umts, and t~t based for obtainin~e infor~t~, i believe t~t t~ sub~tte~informati~ is true, accurate, and c~alete~ /I ~ inquiry of t~se individuals responsible ........... : ...... Ctrr of i~KERSFIELD LOCATION: ~>k ~ ~ ~ . ~ It --J ADDRESS: STANDARD IND. CLASS CO~ CITY, ZIP: ~I~P&~I~ ih ~,~ (- CITY, ZIP: DUN AND BRADSTREET Use L~ltlm ~e lrans Type ~x Averaqe ~nual ~a~ I ~ Cat ~t C~t ~ Nam of Code C~e ~t ~C Est ~tts m Site Ty~ Pr~s l~p C~e St~ in F~tllcy~ ~ Ins~ctims m ; ........... Physical ~d Health Ha/ord C.A.S. ~ C~ffit Il hm L C.A.S. ~ ~--~ r--n r--~ r--n r--n ~mt IZ ~&C.A.S. Nu~r ---~ Fire Hazard ~--u Reactivity ~--~ ~lay~ ~--~ ~ddm Release ~--u i~t~tl__ ~ Health of PPm~u~ ~lth ...... · Ph~ical and Health Hazard C.A.S. ~ ~mt II NaN i C.A.S. -- r--n r--n r--n r--n ~t I~ NI~ & C.A.S. Nua~ ~ ~ Fire Hazard ~--~ Reactivity ~--~ hlay~ ~--~ ~dm Rlleafl ~--u , He, Ich of P~su~ HNIth ............... ........ .... L_L ..................... ~ 12/~1/~ ~ 5 I~ I~ J.~,~ ~ .~z .... ~< ~ ~ .~.~- ~ ........ - ~ - - ~-, ~-, ~mt 12 Na~ J C.A.S. Nu,~ , ~ ~ ~ / Heilth of Pr, lurl Hllith C~J 13 NM i C.l.S. NuiJ / .~ , / I ~'" ICh( ~K aH c~t ~pp~y) ~ /~/~e~ ~ ~, ~~,/ ' ~--J Fire Hazard ~--J Reactivity ~--~ ~)ay~ ~--~ ~ddm Release ~--~ i~tatl . ~~ ~1~ (~J)'~Z ' Health of Pr~surl Health '~'~ .., --~' :~ ........... *~-"~ ....... ~ ........ ~ ...... F ................... .Hi-- ~ ...... JI'~F'P~i .... .ii ............... Tllli ..................... Ji'~-~! ......... Certificati~ (Read and siEn after compJetlng~ ail sections) ,or o..~i.~/_ _/_/_~' ,.,or.,~.,~ ~ ;~'~'"~'~'~'~'~ ,~.,.~0~,~~.4~. """' Farm and Agriculture ~ Standard IJusiness CITY of KERSFIELD HAZARDOUS MATERI ALS LOCATION: PHONE #: OWNER NAME: ADDRESS: CITY, ZIP:- PHONE #: REFER ~0 ZNSTRUCTXONS FOR PROPER CODES NAME OF T~'~ FACILITY:. ~',U/\~O~b C~. STANDARD IND. ~S~ ~OD~ ,~-~97 DUN AND BRADSTREET NUMBER Trans Type Hex Average Annual Neasurl I Oy1 Cml ~t C~t Use L~atlm W~re ~W~t Nam of N{xture/Cm~tl Code Code ~t ~t Est 'Units m Site Ty~ Prfls 1~ C~e .. St~ in Factlity ~e Inst~cti~ ~hysica] and Health Hazard C.A.S. ~ C~t {I ~ & C.l.5. ~BW q Health o{ Pt~su~ HMi~h 'Physical and Health Hazard ' C.A.S. bW C~mt 11 NlM i C.A.S. ~W ~ ~ ~ , ~--~ Fire Hazard ~--u Reactivity ~--~ ~)ay~ ~--u ~dm Release ~--~ I~tacl ~mt Il Nam & C.A.S. N~ Ph~$cll and Health Hazard C.l.S. ~ Wt II h i C.A.S. Health of Pr~sure Health '/q ~-'- Cm~mt 83 Nam C.A.S. Numar Ph~ical and Heilth Hazard C.A.S. ~m~ C~mt il am i C.A.S. Nu~ ' Health of Pr~sure Health Certificati~ (Read and s~gn after cosplet~nE all sectJons) /~ I certify under ~alty of lam that I have oersonally examined and am familiar mtth t~ tnforMttm su~ tn thi~ all Ittlc~ d~ti. a~ t~t ~s~ ~ fon obtaining t~ infor~Ctm. I believe CMl t~ suomitt~ inforMti~ il t~e, accurate, ~d cMpiIC~ ~/ W inqui~ of tho~e individuals resp~sible ..... . ............ Farm and Agric~hure s_..J Standard Business ~.OCA~ION: ~/~, ~ .~lS"',- /'j~,, CITY, ZIP: //~-~.~, .c~.~<~-~', ~, ~5 P~OSE .: F~3c,f - CITY of t~KERSFIELD HAZARDOUS MATERI ALS OWNER NAME: ADDRESS: CITY, ZIP:- PHONE #: REFER TO ZNSTRUCTZON$ FOR PROPER CODE~ NAME OF T~ FACILITY:~/~/~ STANDARD IND. DUN AND BRADSTREET NUMBER I 2 3 4 frans Type Hax Average Code Code Amt AmC Physical and Health Hazard I£heck all that apply) S i I I ! 11 II 12 Annual Ika~Jr. I I)yl Cat C~t Cat Usa L~mttm W~re Est Units m Site Ty~ Prfll l~p C~e -. St~ in Facility C.A.S. ~ c~t mi b. L C.i.5. ~ Phylical and Health Hazard (Check all that apply) r--n r--~ r--~ r--q CoKcnent 12 Nile & C.A.S. "'---~ Fire Hazard ~--J Reactivity =--J ~lay~ =--J ~dd~ Release ~--J Health of Pr~u~ H~lth (~i ~11 t~t apply) Fira Hazard [ ] Reactivity [--] ~lay~ ~--J ~dm hi.se -- i~latl Hfl I th · of P~ H~ I th Fire Hazard [ ] Reactivity [-;;~ OelayLKI [ '~ Suddefl Release [~ ]mledtata Health of Pressure Health C.A.S. and Health Hazard all that apply) ~----' Fire Hazard ~----' Reactivity .Oelayed [-] Suddefl Release [--/~ Health of Pressure Health 13 14 Nilem of #ixture/Comx~entl See Instructions Ccm~lnt 12 Nile & C.A.S. N~mbe' Component 13 Name & C.A.S. NumbeP ~.--, ,, ,. ~.,.s. Ni.~ /--/ ................... ~ ' / " -- '::- .... - ...... Carttficatio~ (Read and sJKn after comp Jet,nE all sectJons) certify under ~alty of lam that , have.,ersonally ~xami.n.d.and ~(31J'I'E (Fh' iffl?~-y l~ok~i(.z of Expostl. i-(~) EYES, Test in{~ of the p¥'oduct oYt rabbit~ I'~:=i~z s~lo~n -that i'{' is ol3[y ~[igln'tLy fo ~nodei"a'te[y il-r'iiafing ~o the eye~.SKIN:<l='r ima~-y I:~oute of Expo~ul"(~)'l'he produc't is not a primary ski~ i¥'~-i'ta~. The prima~"y skin i~"ri'ta'tio~ i~dex (rabbit,s) T'ou. nd 'to b(e onLy 1,35/~3, ~UBCHRONIC~CHRONIC~O'[HIZR$ ~o avaiLabLe info, marion wa~ found. VII - EMEIR(31:"NCY AND FIRST A:[D PRC)CEDUI~E,S - i::M; i=::::.'f ".i:' ~ '-~ ~:~' ~.2 ~- '4i'~:" '"'~ ~:~i: '"'E ';3'-~:i '.'f~ i:;!'{: T-:F]~ ';2~ii i:i'- ~T :~'i~ '"~ 'i"~ '~'~ :~"' '43' ~' '"'~ ~:~"{: i:':.; F '"'~' '~'F '"~ '{-"i.'4~ >~'~ '"i .................... 15 miilutes. If i'r'i"il'..'~tioYi (Je¥~Lopst caLL a physician. v<['r I .-. 5FILL. OF{ Lli[Al~ 5piti Plan..3~21emenT; F'[usr~ wi'tgi plenty or waTel- To 1'ne 5anl'tal'y.' sewel-, Wa<.ate Di~:3posa[ M(.:.:.Ti'~o(.Is; l.]l<..~pose o1' {~t accel-dane with LocaL, state a~d federal ',-eguLatio'ns, I X *.- F:'R et EC T I ON I NF OR MA T l ON/C; ON*rR OL M EA SU RE S ~p Irat or y$ Not R(a,I {t I )'e (:l {EyelRo q.U No'ti 'F ed {G [o ve l, No 'tRe,tu i r ed ....... = ............................. ......................................... .. ............ [ ......... ~ ................. J. ....................... Other C[oth lng and E,{u Ipment ~ No 1' F:eq.u ired Vent i£'at ion~ Norma[ X-' SPECIAL I='RECAU'T[ONS P~-ecautio~ 'to be '[al.(e~ in HandLing .~:~r~d Sto~-ing: S'tore in a (:oo[ place to ma in'tm in p~-oduc't i nteg¥'i t~, Keep out et reach of chi Addi tionaL Informa'[i on: I~:ead aY~d observe a LL Label precaut ions. Prepared by =R ,C o,Je~'te I~:evi:si on Date,'07/00/S8 SeLLer- mal.,'e'.~ no war¥'anty~ [.)xp¥'e~sed o'~- iml:)tied~ con(:e~'~ing '~he use of this p~-odu(:t o'th(.~t" tl'~a~ ir~dica'ted on the Lab(~t, [~uye~- assume~ and/or I~a~d Li n9 o'f 'th i~ mater ia L ~hen such use and/or hand[ ing is con'trary to tabeL ir,~tru,::t ~l'~i Le S~+[Le)" be[i(.?v(e<~ tha't 'the in'fo~"mat ion (;ontained I'~e~-eiT~ i~; information i$ of'feb-ed ~oLeLy for ii~ <usto,'ne~-s* (:onside~ation and veri'ficalion uY~de~' tl3ei~' speci'fic use coY~dit ions. This i nfo~-mation i~ not 'to be deemed a ~-anty o~ rep¥'e<~entatior, of any kind 'fo~- ~hich SeLLer a~sumes Legal responsi- i ry, PAGE 2 V ....F~EACTI VITY ;'~AT A / I F;'~O~ U~,T I E;ENT.[F.[~,AT I0,~ ~'~"~'~i::. t~~ ~ '"""r'~ ()(J i~" '~'~,,~" .:. ~. 'i '::>":"'::> ...... ~,..,~..~.. e..z .............. .....................................':~.'~ II '- H~Z~DOUS INBREDIENTS OF MIXTURES I]:I'- PHYSICAL DATA k,-a'i:' ~. i r.'i (.E,~.ci~.U.'i'~(.':, e ~'itf{] ~..,q ~ (, 'qc, .':.~'{' (-?i' :i', ~ ........ ~ ~::, ,..~' { kJ.:~lp Oi" "".L,,..:~'" ",i'::> .... j 'l;'/ ~.. t<?i } Y':::: ~{. ) (~>O"--~OF ~ UIi(]¢) '~:~¥'~ri . E: v .~'~ P o r ~':~ 't' i ,:~ 'n R'..'~, -!-,,,-. ~ ~.,, ' ' :::: :{. ) ',:: 'J ,' '.~ ' ........': ~'~ ,:':~ ¥' ~ .... ,, ¢,,~ ,:) i..:'~ '~' ~ t. (.:-:, I:) y ~ 't' :~:~o LuI:~ i I. i' '~y i'n ...... 4,:,..~ m,:)~rd::. ~.,....,.~.,...;,,,, ...... i pH. ...~'~ :I.X ,.~:'() I. Lt'f i 0 n., ~l;¢:~.z,::: i f i c G'ravi 't'y H2[:):::::l. '.';(" ::'):: ~" :; !. "" ...... i (]~:t~:~ 'r'. ..... ~ ... ZU - FIRE ~ND EXF~LOSION ....... I::'0 i Yi'l' ~'" ' · ' i, .:~ ;:~ I I , I" ¢ :"' "" ,"~'~ ! ' ~ ~"'~ ......... ~.. ~ ':::, ~ .......... ,. , .......... :. , ,:)-~:~ ~'!~ ,:) Y' (~ !" ~ C: ~'~,? f~ ~ C:.~ I..:. CITY of B,, KERSFIELD HAZARDOUS MATERI ALS I NVENT.ORY CITY, ZIP:~JWk, ~ CITY, ZIP: . DUN AND BRADSTREET NUMBER / ~icol end ,eelth ~ozard C.A.S. ~ C~mt I1 b i C.A.S. ht~ . fleel~h of Pr~ H~J~h ...... C~t I] NaM & C.A.S, Number P~sicol and Health Hazard C.A.S. Hflith of P~ HMJth ~ ~" / Ph~icol and Health Hazard C.l.S. ~ ~C Il ~ l C.l.5. Nu~ (C~k ail c~C apply) ~ Fi~eHazard u--J Reactivity flemish of P~sure Health .......... CmGmt 13 NaN & C.A.S, Numar Ph~icol ofld Health Hazard C.A.S. ~ ~mt I1 Nm L C.A.S. lum~ . of Pr.surl HeMth £erttficatio~ (Read and sign after campier:lng aJJ sect:ions) certify under llll~ty of law t~t I have pers~aHy examin~ and am familiar .t~h t~ tnfor~tfm.su~tt~ tn this ~ ~ IttlC~ ~tS, ~ t~t hsd m · y inqut~ of those tndiv/*duals res~sibla .................. ~.ANITORIAL & PAPER SUPPLY CO., INC. 501 East 21st Street · Bakersfield, California 93305 (805) 325-1767 Ventura (805) 656-3403 CORPORATE OFFICERS Uaurtce Warwick 1524 Via Arroyo Ventura, CA (805) 656 - 3403 93003 Phil Simpson 3609 Ginnelli Way Bakersfield, CA '(805) 832 - 8126 Larry Simpson 12925 Brimhall Road Bakersfield, CA (805) 589 - 2255 93312 93309 Leo Dixon 5100 Sedwick Bakersfield, CA (805) 392 - 0215 93308 Josephine Wagner 2091Hendrix Thousand Oaks, CA (805) 497 - 4076 91360 Farm a~d Agric~lturt ~ Standard Business CITY of B.~KERSFIELD HAZARDOUS MATERI ALS I NVE NT.O RY' LOCATION: ~6>~ ~_ ~"~1~'-' '' t it --~ ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP: ~~i ~h O~- CITY. Z~P: · DUN AND B~DSTREET NUMBER ~ ~ XHS~UCTZO~ PO~ PROP~ COD~ Tran~ Ty~ ~ Average ~nuai ~ I ~ Cml ~t Cml Use L~ttm ~ ~ Nam of N~xture/C~ts C~e C~e bt ~t Est ~its m Sill TyN Prat Tup C~e .. St~ in F~tHty ~ Inst~ctims Health of Prfl~ ~lth ....... P~lcal and Health Hazard C.A.S. h~ _ J Fiee Hazard ReactSvity ~lay~ ~dd~ Release Health of Prflsure H~ith Cm~t (ChKk all t~t apply) Car;tficatim (Read and siRn after completinE all sectJons) t~t I certify under,dilB~lty of law that I have pers~allyexamin~ and al faitttar wRh t~ tnforMtImlSU~ttt~ tn thts~ a11 c~ Mci. a~ tMt ~s~ m W inqut~ of c~e t~tvt~als ~sible foe Qbteininq /~or~tt~l ~lt,ve CMl t~ su~tCt~ ~on~Cim il tr~. ,ccur, t,. ~d cMpl,~?] // ~, ~/ ,~ ~ · z ~~ ~ ;:~~ E/~. .~~/~ ~ ~,,,-,~ ....................... CITY of B;~KERSFIELD Farm and Agriculture Standard Business ~ I'IA:~-AJ~']:)OLT$ MA'Z']C1RI A1'-$ LOCATION: ~)~" ~ /~LI ST- ~' / ' ' ADDRESS: STANDARD IND. CLASS CODE CITY, ZIP~'~. C~(_ CITY, ZIP: · DUff AND BRADSTREET NU~B~R ~ ~0 ff~S~UC~ZO~ ~0~ PROP~ COD~ ?ran~ Ty~ ~x Average ~nual ~a~ I ~ Cmt ~t ~t hi t~lttm ~re ~N~t Nam of Nixture/C~ts Code C~e Mt ~ Est ~ttl m Sire TyM ~m l~ C~e ~. St~ ~n Facility ~e Insc~cti~ (C~k ~11 t~ a~ly) .... ~ ................... ~--~ Fire Hazard ~ Reactivity ~ hlay~ ~ ~dd~ Release ~ I~lat, ~t I$ ~N&C.A.S. Num~ .... ~~ -~ ~ Health at Pr~ ~lth ._~ ......... ..... .... ~.~_ P~ical and Health Hazard C.A.S. ~ ~t II NaN & C.A.S. ~ (C~k ill t~t apply) ~ ~~~~.~ ....... ~ ~ Fire Hazard ~ J Reactivity ~lay~ ~-J ~d~ Release ~--J I~tatl Hfllth of Pm~ ~lth '% ,_e~_i ~ I ~ I ~ ~ .... c.~-~ ~ ~~ .............. P~tcll Ind Health Hazard C.A.S. ~ ~t II ~ E C.A.S. ~ (C~k all t~C apply) ~ ~ ~Z, ~ --~ -- -- r--~ b~t 12 N4~&c.A.S. N~ Health of Pr~surl Health ' = ' ..... ~ ....... ~t 13 Nlm & C.A.S. .... ~,/ ~/~ ~- -.,-,.,~~.,. . ,.u_~:~__L_.~ ..... ]._.'~z___~_.~l~ I /~ I / I ~ I ~ I~~ ~, ,a~*~ ...... ~,,~_~~~ ~~ ........ P~ical and Hfllth Hazard C.A.S. ~ ~mt II h i C.A.S. ~ ~/~ (C~k all t~t apply) ~.. [ ] Fire Hazard ~ ~ Reactivity ~lay~. ~--Jr ~ ~dd~ Release ~-- I~tatl Health of Pr~surl Health ~t Il ~&C.A.S. ~ Certification (Read and sJRn after completinE all sectJons) 4 [ certify under~k~alty of la. that I have oersonally examined and aa fantliar .tth t~ tnfor~ttm su~t~ tn tht~ ell attac~ ~ts, ~ t~t ~s~ m W inqutw of t~e l~i~als r~sible . ~~~_~ ~..~...~ ....... , .. .,_.~~-, -- ............... ::~ CITY of B. KERSFIELD T~ ~ HAZARDOUS MATERIALS I ~ENT.ORY Farm wi &grtc~lture Stenclard Business ~ ~ Z~S~UCTIO~ ~R PROP~ COD~ C~e Mt ~t Est ~ttl m Site - Ty~ ~m T~ ~e .. SC~ in F~lltcy ~ Inst~tt~ ~'hysfcal ~d Health Xazo~' ' C.A.S. ~ C~mt II b i C.l.S. ~t 13 NaN L C.A.S. P~icaJ ofld ~e, Jth Hazard C.A.S. ~ ~mt il lin i C.A.S. ~t 12 Nm i C.A.S. Fire ~za~ [ ~ R,cttvt~y ~--J ~lay~ ~--J ~dm Rolwe -- I~lato : . .... H~lth of P~ HMith P~cal a~ Health Hazard C.A.S. ~ ~t II h i C.A.S. Fire Hazard ~--J Reactivity -- ~lay~ ~dd~ Release IKtate .... ~ ....... Health of Pr~sure H~ith C~t 13 Nm & C.A.S. Nua~r Ph~*cll and Health Hazard C.A.~. ~ ~t II h i C.A,S. ~ __ ; ~ . (C~k all thac apply) ~ ~, ....... Fire Hazard ~- u Reactivity ,~lay~ ~-- J ~ddm Release -- Health of Pr~sure Helith ~t 13 Nm & C.A.S. CertJficattm /Read and sJRn after co~pJetlnE all sectJons) I certify unde~dmi~alty of law that I have personallyexamined and am faetltar vtth t~ tn/or,tim s~itt~ in this ~ ~lttlc~ ~umtt. I~ t~t ~s~ ~ W in~i~ of t~e tndtvi~als rK~sible Farm a~d Agriculture Standard Business CITY of B/iKERSFIELD HAZARDOUS MATERI ALS I NVE NT.O RY LOCATION: ,_~[-~_; ~i s_? '' ! ' ( "~ ADDRESS: STANDARD IND.--C~S~'-'C~ODE CITY, ZlP:~'~,O,l"Cere&~(.,~/~"~ ~ '~3~ CITY, ZIP: - DUN AND BRADSTREET NUHBER PHONE ~: ~7_~ /~ PHONE ~: -- -- - - - ~ ~ ZHS~UCTZO~ FO~ PROP~ COD~ Trails Type ~x Average ~uai ~a~ I ~ Cmt ~t Cmt Uti L~ttm g~re ~ Nam of Ntxture/C~ts Code C~e ~C bt Est ~t~ m Sltl Ty~ Prat T.p C~e 5t~ tn FicHIty ~ Inscruccimt Health of Pr~ture H~lth C~t I~ Nam & C.A.S. Nuabl~ . (~h~k ali t~t apply) Firl Hazard · H~lth~-J of Pr~ H~lth / / - ~mt l] Ne~ & C.A.S. Nuu~ Ph~Jcal and Health Hazard C.A.S. ~ ~mt II ~ i C.A.a. Nun~ (C~k oll t~t apply) _ -- ~t 12 NaM & C.A.S. Nus~ ~ Fire Hazard ~--J Reactivity ~lay~ ~dd~ Release ~--J Health of Pr~surl Health ' ~'---- - ...... C~t 13 Na~ & C.A.S. Nun~r Ph~ical sad Health Hazard C.A.a. Num~ C~mt Il h & C.A.S. lul~ (ChKk all that apply) - ~_J Fire Hazard Reactivity ~lay~ -- ~dd~ Release ~--J . Heahh of Pr~surl Health Certificatiee (Read and sign after completing all sections) - I ce Y · ~ Y .... late ' for obta~flTflg t~rMCt~ I believe t~c t~ su~mltt~ tnfor~tl~ ti true accurate, ~d C~P · ~,~ A .................................................. inquiry of those indtvi~d'alr~/~e~ponsible .................. BAKERSFIELD CI~/ FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY · iUSiNESs NAME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by Z. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: ~ ~O I ~-~-]- ~l ~? CI~: ZIP: ~: ~0$ Bus.PHONE: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. · EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. __3 ~ / AFTER BUS. HRS. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: ~-~o~-[ c~g ~50%~.D[~q B. ELECTRICAL: ~').Sl~P %o%LDI~ ~onTd C. WATER: ~~ ~ ~c~,'~ ~ c~ D. SPECIAL: E. LOCK BOX: YES / IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? YES / NO MSDSS? YES ,/ NO KEYS? YES ,/ NO YES / NO 2A - SECTION 4: PRIVATE RESPONSE TE.~M FOR BUSINESS AS A wHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOb~ BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING ,~I~H INITIAL AND EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES "~' ~RA~.,~NG IN THE FOLLOWING AREAS REFRESHER ~ 'v'' . CIRCLE YES OR NO INITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: ....................................... ~ NO ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... ~. NO ~i-~.~ NO C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO ~ NO · ~AC~T~0~ PROCauURaS: ................. 3 E>tERGE>TCY ~ ~' t'~ · ,? ..... XO NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... NO NO REFRESHER SECTION 7: HAZARDOUS MATERIAL CIRCLE YES -.[NO5- NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN ~00 POUNDS OF A I, ~l/%Ll~_ '~~ , certify that the above information is accurate. I understand that t--his ~information will.be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. 'SIGNATURE TITLE BUSINESS NAME: BAKERSFIELD CITY FIRE DEPARTMENT 2130 "0" STREET BAKERSFIELD, CA 93301 OFFICIAL U,pE ONLY ID# . { BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS l. To avoid further action, this form must be returned by: . 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. ,3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be'as BRIEF and CONCISE as .pOssible. FACILITY UNIT# One FACILITY UNIT NAME: ~qJmpmnn ,Tmni~nr~m] ~ Proper Supply Co., Inc. SECTION l: MITIGAT.ION, PREVENTION, ,,~?ATEMEN~r PROCEDURES Spill Prevention All products where practical, are kept in original containers inside of cardboard shipping boxes. 2. ~pill Cleanup Sacks of absorbsit are maintained on hand to soak up any large spills. Small spills will be mopped up with .equipment on hand. SECTION 2: NOTIFICATION AND EVACUATION PROCEDLq{ES AT THIS L.~IT ONLY 1. Employees are to notify manager/owners of all spills. 2. Manager/owners will notify the Fire Department. 3. All~'personnel are to evacuate ~the buildin9 in the event of'a large spill. I.D. BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 'NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY BUSINESS NAME: j~,,/~P$~; ~;/?',~/F/,Sz OWNER NAME ADDRESS:..~ ,,,~ Z/'f &W- ADDRESS: C I TV, Z I P: ~g~/~Z~., ~, ~ C I TV, Z I P: PHONE {: ~' Y~- /~7 Page of FACILITY UNIT #: FACILITY UNIT NAME: PHONE #: a [OFFICIAL USE ~FIRS CODE [ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS 94 BY HAZARD D.0.T .,CODE AMOUNT AMOUNT UNIT CODE CODE,, FACILITY UNIT . W.T. CHEMIC,AL OR COMMON NAME CODE GUIDE m 70 ~b I~ ~7 ..... Fo-'az 5~/~ ~Z/7/,,, /t~vo rzr~ NAME: TITLE: SIONATURE: DATE: EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: EMERGENCY CONTACT: TITLE:__ ,, PHONE # BUS HOURS: PRINCIPAL iINESS ACTIVITY: AFTER BUS HRS: .BAKERSFIELD TY I.D.~ e' RM NON--TRADE HAZARDOUS HATER] ALS SIMPSON JANITORIAL & PAPER '~USINESS NAME: SUPPLY CO., INC. OWNER NAME: SA/VIE '.~DDRESS: ~/"~ ~/~-~ .- '-_-.~.~ ADDRESS: S/LWlE .:;CITY, ZIP:_ BAKERSFIELD, CA 933'01 CITY,ZIP: S/LNIE FIRE DEPARTMENT AA-1 SECRETS ! NVENTORY Page _ FACILITY UNIT FACILITY UNIT NAME: ONE 10 TYTrE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD !D.O:'T 'COD~E AMOUNT AMOUNT UNI..__..__~_T CODE CODE ~ACILITV UNIT WT. C.__~AL OR COMMON NAME CODE GUIDE ' ~/~ MISSION PINE-O-LAV 6 0 3 0 0 GAL 10 3 7 ,-~,z,,- ~':~t ~ /. ~ - ' -- NAME:~ TITLE: OFFICE MANAGER SIONATURE: EMERGENCY CONTACT: PHILLIP SIMPSON TITLE:GENERAL MANAGER PHONE · BUS HOURS: ~05 3~b-±'/b/ -- AFTER BUS HRS: 832-8126 -~ -- EMERGENCY CONTACT: LARRY SIMPSON TITLE.PURCHASING FLANAGER PHONE # BUS HOURS:. ~5 °~!-!795 PRINCIPAL BUSINESS ACTIVITY:_ ~T~TT,.gAT.~ AFTER BUS HRS: .... - 4A-1 - -?P~ONE *: 805 -325-17~7 PHONE #: SA/VIE [OFFICIAL USE CFIRS CODE I.D. SIMPSON BUSINESS NAME: SUPPLY CO., INC. ADDRESS: 900 24TH .STREET, · :CITY, ZIP: BAKERSFIELD, CA, ~PRONE t: 805 325-1767 '2 MAX AMOUN1 12 3 ANNUAL AMOUNT 25 'No'N--TRADE SECRETS - HAZARDOUS MATERI ALS INVENTORY ' E JANITORIAL &~ PAPER #'~ON OWNER NAME: SAME FACILITY U~ #105 ADDRESS: ~A~ FACILITY UNIT NAME: CITY,ZIP: PHONE #: 7 LOCATION IN THIS FACILITY UNIT ..~{~z~'~ ~7 /~ / 9 OFFICIAL USE CFIRS CODE ONLY CHEMICAL OR COMMON NAME LONG CHEMICAL CO. T, R. R. Toilet Rin~ Remover) SIGNATURE: TITLE: G~m~RAL MANAGE~ NAME: -TITLE: EMERGENCY CONTACT: PHILLIP 51MFSON TITLE: pURCHASING MANAGER. RETAIL SALES - 4A-1 - PHONE · BUS HOURS: AFTER BUS HRS: PHONE · BUS HOURS:. AFTER BUS HRS: EMERGENCY CONTACT,: r.~V PRINCIPAL BUSINESS ACTIVITY: 93301 ,°! HAZARD D.O;;T. CODE IGUIDE DATE: 7-3-87 80~-325-1767 805-325-I75~ 805-831-4b~b BUSINESS NAME: ,ADDRESS: :'~ClTY, ZIP: ~HONE ·: BAKERSFIELD 'N O'N-- TRADE HAZARDOUS SIMPSON JANITORIAL & PAPER SUPPLY CO., INC. 900 24TH~STREET, #105 BAKERSFIELD-, CA, 93301 805 325-1767 FIRE DEPARTMENT 4A-I SECRETS MATERI ALS OWNER NAME: ADDRESS: CITY,ZIP: PHONE ·: :Page ! NVENTORY FACILITY V ~)~q~ FACILITY UNIT NAME: 2' MAX ANNUAL AMOUNT AMOUNT 450 2700 270 1350 7 8 LOCATION IN THIS · BY FACILITY UNIT WT. 9 CREMIqAL OR COMPAk ALL · 'ONE'k NAME: EMERGENCY CONTACT: EMERGENCY CONTACT: PRINCIPAL BUSINESS .TITLE: PfllLLIP 5I~SON TITLE: I '1 SIGNATURE: G~ .R~L MANAGER ACTIVITY: TITLE: PURCHASING MANAGER~ RETAIL SALES PURPOSE CLEANER CRMT COMMON NAME COMPAX MEDIPAX 10 ID. O..T,~.' HAZARDcoDE [o~[n,,:' CRMT PHONE · BUS HOURS: AFTER BUS HRS: PHONE · BUS HOURS: AFTER BUS HRS: DATE: 7-3-87 80~-325-1767 ~05-325-I757 805-83£-4b~D OFFICIAL USE CFIRS CODE SIMPSON · BAKERSFIELD TY FIRE DEPART~£NT ! 4A-1 NON--TRADe: SECRETS HAZARDOUS MATERI ALS INVENTORY J~ITORIAL & P.~ER Page BUSINESS NAME SUPPLY CO. INC. '.ADDRESS: 900 24TH .STREET, #105 ADDRESS: 5Al',l~J FACILITY UNIT NAME: ':CITY, ZIP: BAKERSFIELD, CA,. 93301 CITY,ZIP: "PHONE ~: 805 325-17~7 PRONE it: $.~d~J [OFFICIAL ONLY USE CFIRS CODE I 2 3 4 5 6 7 8 9 10 ~Pg ~AX A~UAL CO~T USg ~OCATIO~ IN TRIS · B~ RAZARD CODE AMOUNT AMOUNT UNIT CODE CODE ,FACI%ITY UN~ WT. CHENIQAL OR COMMON NAME CODE M 25 300 GAL ".13 37 ~ C~W/W - SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: PHILL±P 51MPSON TITLE: ~EN~RAL MANAGE~ PRONE · BUS HOURS:. 805-325-1767 AFTER BUS HRS: RaR-RI~_~ ,EMERGENCY CONTACT: r.~v ~TMP~N TITLE: PURCHASING MANAGER. PHONE · BUS HOURS:_ 805-325-I75~ PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-831-469D -.. .... 4A-I NON--TRADE SECRETS ' HAZARDOUS lVIAT ER I ALS INVENTORY SIMPSON JANITORIAL & PAPER ~ONE* BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ' ' FACILITY U~ #: ADDRESS:... 900 '24TH .STREET, #105 ADDRESS: ..... S~I~ F~CIL~'TY UNIT NAME: 'i~lT¥, ZIP: BAKERSF'IELD, CA, 93301 CITY,ZIP: S~vl~ ' --~P=RONE ~: 805 325-1767 PHONE ~: S~ ['OFFICIAL USE CFIRS CODE .,[ ONLY ~ ~ 3 4 s -~ 7 8 9 ~o T~PE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD~D.~T CODE A~OU,NT A~OUNT UNIT CODE COUE FAC~LI~V.U,,NI~ W{. C.EMI~AL OR CO~ON NAM~ CO~ ,, . ~ ~M/'~ / ENRICHED ~ 450 3250 LBS .10 37 /~/~r~ ~L~ NA GO JO ~9102 ' LOTION SOAP M 450 1750 LBS 10 37 ~f,~;~.~ ~W.~&~ ~/~/~ LOTION SKIN -- ~~ '..~ NA GO JO ~9112 CLEANER O~ ~ 300 2000 LBS 10 37 ~/~M_ ~L~~ · ~ NA GO JO ~9152 SPA BATH O~ M 250 500 nBS 10 37 ~f/2f~-~-]~LZ ~._ .~ NA GO JO 99192 HEAV~Y DUTY ~ 5o zso ~B zo 3~ /~~~ --~ ~ ~o ~o f~2 zso~o~ ~ MOI S TURI ZING HEAVY 'bUTY M 330 650 LBS 13 37 ~ff~.r/~"~]~'LL'~ _~/ NA GO JO ~1117 H~D CLEANER O~ N : 125 250 ~BS 10 37 /~~, ~ N~ GO 50 ~9Z2Z FOOD S~RVZC~ SO~ O~ M 150 250 LBS 10 37 ~f~r/q ~.~LMI~3r~/~ NA GO JO ~1104 HAND CLEANER O~ ~'~/ NA GO JO 99212 HEALTH CA~ SOAP M 75 150 'LBS 10 37 ~P~ ~'Z'~ ' ~ .. NAME: -TITLE: SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: PHILLIF S£~SON TITLE: G~N~RAL MANAGE~ PHONE · BUS HOURS: 805-32~,-1767 AFTER BUS HRS: ~q_~q?_~o~ EMERGENCY CONTACT: L~v ~T~ON TITLE: pURCHASING MANAGER. PHONE · BUS HOURS:_ 805-325-~75¥ PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-83±-4~D 4A-~ . BAKERSFIELD',~TY FIRE DEPARTMENT NON--TRADE SECRETS ' HAZARDOUS MATERX ALS INVENTORY BUSINESS NAME: SUPPLY CO., INC. OWNER NA~E: S~ FACILITY U~ N :~DDRESS: '900 24TH .STREET, ~105 ADDRESS: ' S~ FACILITY UNIT NAME: . ~'P.ONE .: 80~ 325-1767 PHONE .: SM~ [OFFICIAL USE CFIRS COOZ · NATIONAL LABO~TORIES M 5 27 GAL ' 13 37 ~' ~ ~/~ ~ 'NATIONAL LABO~TORIES M 10 110 GAL 10 37 ~f~:"~/r ] OS WASHROOM CLEANER NATIONAL LABO~TORIES : NATIONAL LABO~TORIES -- ~ (/~/ NATIONAL LA~TORIES M 1 10 GAL:' 13 37 ~ ~ ~ f ~ ~ FOGGER INSECT ~ NATIONAL LABO~TORIES M 40 160 GAL 10 37 ~~. . ~/~ / ~ ~TALIST 20 M 6 18 GAL 13 37 ~~ ~~/~ / ~O LYSOL -TITLE: SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: PH1LL±P 5±M~SON TITLE: G~N~RAL MANAGEK PHONE · BUS HOURS: 805-325-17.~7. AFTER BUS HRS: R~-~qo_fl~ EMERGENCY CONTACT: T.~v gTMP~N TITLE: PURCHASING MANAGER. PHONE · BUS HOURS:'. 805-325-I75¥ PRINCIPAL BUSINESS ACTIVITY: RETA'IL SALES AFTER BUS HRS: 80'5-~31-~b9~ BAKERSFIELD · TY FIRE DEPARTMENT RN 4A-1 'NO'N-- TRADE SECRETS HAZARDOUS SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME -ADDRESS: 900 24TH .STREET, #105 ADDRESS: ~CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: ~P'HONE ~: 805 325-1767 PHONE #: MATERI ALS INVENTORY PaEe FACILITY U~ #: FACILITY UNIT NAME: OFFICIAL USE CFIR$ COOE ' I I 2 3 4 5 6 7 8 9 10 TTPE MAX ANNUAL CONT USE LOCATION ~N THIS · BY HAZARD D.O.TVL CODE AMOUNT AMOUNT UNIT CODE CODE \ FACILITy' UNIT WT. CHEMICAL OR COMMON NAME CODE GUID~ M 30 180 GAL.-, 13 37 .~ ~LL -'.3~'~}~'~/.~ 98 PUREX' VANGUA~ O~ ~M 138 208 GAL 10 37 ~*~g ~b6 ~J ~80 PUREX G~ND PRIX O~ M 36 220 GAL . 10 37 Ng~ ~L~ ~]T~ 90 · PU~X ~STORIT O~ 5000 LB Om .DU C M ' 30 120 GAL 10 37 ~5~[ WD~[."~ ~.~'~7~ / NA PU~X VINYL BRITE O~ M S5 ~00 GAIn ~0 ~7 ~7'~ ~$~ ~Y~ ~ ~U~X ONC~ OW~ O~ .$ 60 570 ~ 10 37 ~b7 ~L6 ~ N)'~ ~ 98 PUREX HYGENIC 75 234 GAL 10 : 37 ~ ~. ~" I~ } 89 PUREX SEVENTY SEVEN . ~ PUREX LIQUI FOCi 75 400 GAL 10 37 ~ ~ ~-6' ~T~ 75 75 60 GAL' 10 37 ~ ~bL '~ ~ J 99 PUREX BRILLO WINDOW CLE~ ? 12 12 GAL 10 37 ~'~-.~&~OC ~'~'7 I 81 PU~X CROSS ~INK II 100 1060 GAL 10 37 ,~ ~ ~N]~ ) 80 PUREX EXCEL M ~0 ~00 sam ~ ~7 ~'_~ ' ~~; NA ~UREX BLU~ S~ O~ ~ 75 ~0 GA~ ~0 ~7 N0~¥~ ~ ~!) 7S ~UREX SU~ GUARD OR~ NAME: JO WAGNER .TITLE : U~'~'I~ ~N~ SIGNATIIR~ : 7-3-87 EMERGENCY CONTACT: PH±LLiF S±~SON TITLE: G~N~RAL MANAG~ PHONE · BUS HOURS:, 80~-325-1767 AFTER BUS HRS: EMERGENCY CONTACT: r.~n~V ~TMP~ TITLE: pURCHASING MANAGER. PHONE · BUS HOURS:. ~05-325-I75¥ PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-~3±-4b~ - 4A. 1 - I.U. · ' ' BAKERSFIELD'i' IM 4A-1FIRE DEPARTMENT ' . Page ~' 'NO'N--TRADE SECRETS - ' HAZARDOUS MATERIALS 'I N VENTORY ~ SIMPSON JANITORIAL & PAPER .-'NEt BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: Si~ ' FACILITY U~ #._ .ADDRESS: 900 24TH .STREET, #105 ADDRESS: SA_~ FACILITY UNIT NAME: ~:~CITY, ZIP: Bi~KERSFIELD, CA, 93301 CITY,ZIP: S~vl~ ~:P~ONE ~: 805 325-1767 PHONE #: sAz~ OFFICIAL USE CFIRS CODE: ! ONLY ] 2 3 4 5 6 7 8 9 10 ....... TTPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD CODE AMOUNT AMOUNT UNIT CODE ,CODE FACILITY UNIT WT. CHEMI(~AL OR COMMON NAME CODE GIIID~. M 30 130 GAL · 10 37 ~.' t7.'i'pr ,4 bt..,', WNIT ] 96 PURE~ DISAPPEAR' CLEANER OP3~ ~a~. JO WAGNER ~.,,~ ~P'~'l[:~: ~aNa¢4~:~ ............. TITLE: SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: PH~LLiP ~£MPSON TITLE: G~RAL MANAGE~ PHONE · BUS HOURS:. 805-325-1767 AFTER BUS HRS: EMERGENCY CONTACT: L~nnv .~TMP~N TITLE: PURCHASING MANAGER. PHONE · BUS HOURS: 805-325-I75~ PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-831-4b~D - 4A-1 - SIMPSON JANITORIAL & PAPER #.'ON BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ' FACILITY U~ . .ADDRESS: 900 24TH .STREET, ~105 ADDRESS: ~A~ FACILITY UNIT NAME: "PI{ONE ,: 805 325-1767 PHONE #: 'SAt~_~ [OFFICIAL ONLY USE CFIRS COOE I 2 ~ 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T"~ CO, DE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIgAL OR coMMON NAME CODE · 72 144 GAL .10 37 ~'~,~ 'WALL A"x/~ NA UNBELIEVABLE ORMA TITLE: 'SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: FH~LL±F S±~SON TITLE: G~N~RAL MANAGEA PHONE · BUS HOURS:.. 805-325-1767 AFTER BUS HRS: R~-R~9_~o~ EMERGENCY CONTACT: ~.~v ~T~QN TITLE: PURCHASING MANAGER. PHONE · BUS 'HOURS:. ~05-325-I7~¥ PRINCIPAL BUSINESS ACTIVITY: RETAIL SAL~S AFTER BUS HRS: 805-8~1-4~9D I.~. · ' BAKERSFIELD, ii , · M 4A-1 p~ 'NO'N--TRADE SECRETS ' HAZARDOUS MATERI ALS INVENTORY SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. O,NER NAME: FAC,LITY 6NE' .ADDRESS: 900 24TH STREET, #105 ADDRESS: ~ FACILITY UNIT NAME: :CITY, ZIP: BAKERSFIELD, CA, 93~01 CITY,ZIP: ~AFI~ "PHONE ·: 805 325-1767 ~ PHONE ·: ~ OFFICIAL USE CFIRS CODE I 2 3 4 5 6 7' 8 9 10 T¥*PE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD CODE AMOUNT AMOUNT UNIT CODE CODE FACILIT~ UNIT WT. CHEMI(~AL OR COMMON NAME CODE GU'IDE · CHEM 'CAP SAFETY SOLVENT M 15 ~. 255 GAL . 13 37 ¢~--'~)~-~* ~'E~i' {d3d3 ~' M 15 30 GAL' 13 37 ~F~F~ /~ ~ % CHEM CAP:-. PEN LUBE M 15 180 GAL 13 37 C~'-~ '/~'~ ~ 0 CHEM CAP FOOD G~DE. LUBE M 15 90 GAL 13 37 C~~ ~3Z~' CHEM caP ISLAND BREEZE .- 10o M 15 75 GAL 13 37 C~"~[~ /~ "~3 CHEM CAP CHOKE & CARBURETO:~ M 15 60 GAL 13 37 ~g~T~'/3LZ ~ 3 CHEM CAP ~L PURPOSE CLEAN ~R M 15 90 GAL 13 37 CF~rF~ "/3~ ' ~'~ CHEM CAP EMULSION DEGREASE M 15 26 GAL 13 37 CF~'~ /JZ~ ~ CHEM CAP SPOT REMOVER M 3 6 GAL 13 37 ~f~f~ /~AC,~: CHEM CAP ANTI STATIC M 15 90 GAL 13 37 C~f~* /Sz~* CHEM CAP LEMON SHINE ~ ~5 39 GAL ~3 37 C~~ ~g ~ CHEM CAP ANTI SIEZE M 15 26 GAL 13 37. ~f~f~' //~ ~ CHEM CAP GE~ICIDAL CLEANE: DAT8 :. 7-3-87 ~MEROENCV CONTACT: ~SON TiTLE:~~L ~NAGE~ PRONE · BUS HOURS:_ 805-325-~767 AFTER BUS HRS: Rfl~-R;9_~ ~MERGENCY CONTACT: $.n~V ~TMPSON TITLE: PURCHASING ~NAGER. PHONE 8 BUS NOURS: 805-325-175~ ~RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-83i-469D -.' .' - 4A-I - BAKERSFIELi 'TY FIRE DEPARTMENT fORM 4A-1 NON--TRADE SECRETS HAZ ARD'OUS HATERI ALS INVENTORY SIMPSON JANITORIAL & PAPER ~?B.USINESS NAME: SUPPLY CO,, INC. OWNER NAME:. SAME '~DDRESS: ~':~J:"3~'~'~-~';:"Z"?-' .... ':;~=~' ADDRESS: SA..~ ZIP: BAKERSFIELD, CA, 93301 CITY.ZIP: SAME FACILITY Page FACILITY U~ #: UN I T NAME: ~BONE ~: 805 325-1767 PHONE #: 5A~ [OFFICIAL USE CFIRS CODE ! ONLY .1 2 3 4 5 6 7 8 9 10 TTPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T _CDDE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE OUIDE, ]5~ 180 2860" GAL '10 37 ~' ~bU'T}4 ~,I~LL [,'JI3JT'I NA CHEM TAB POWER CLEAN O~ M 300 1300 LB 11 37 ~T..~'.~': ~DiT J 100 CHEM TAB KLEEN ALL M 18 24 GAL 10 37 $L'~Y,'[[~ ~I CHEM TAB SPIN CLEAN ~ 50 338 GAL 10 37 ~: ~'~. '~ ~ 'CHEM TAB BOWL CLEANER C~T M 48 210 GAL 10 37 ~~ ~ ~[~ ~ MA CHEM TAB CARPET SH~PO0 M 12 24 GAL 10 37 ~r~ ~}, ~ CHEM TAB T~FFIC LANE CONTR(L M 48 96 GAL 10 37 ~oaTt%-U~~ ~lr J NA CHEM TAB WINDOW CLEANER O~ WINDOW CLEANER 60 240 GAL~ 10 37 ~T~' '~[ ~JT ~ CHEM TAB CONCENT~TE 50-1 M 50 204 GAL:' 10 37 50~'~ ~'~ ~Jr ] CHEM TAB ALCOHOL M 20 178 GAL 10 37 '"~'[ '~ I/~l~ } MA CHEM TAB LIFT OFF 1000 7500 LB 11. '37 '~ '~L~ ~ SHEM TAB LOW SUDS DETERGENT M 6 12 GAL 10 37 -~'~ST }~. ~1~ } NA SHEM TAB VINYL SHEEN M 18 104 iGAL 10 37 ' ~T~ ~ALL ~}~ 2HEM TAB FRESH BOUQUET . 100 236 GAL 10 37 ~0~T~ ~ % ~1 100 ~HEM T~ DISH WASH ' WANE: JO WA(HER -TITLE: SIGNATURE: DATE: 7-~-87 'ZMERGENC~ CONTACT: FHiLLIF ~I~SON T]TLE: G~[~m~L ~NAGEK P~ONE · BUS ~OURS: 805-325-1767 AFTER BUS HRS: 805-325-1757 EMERGENCY CONTACT: I.A~V ~M~N TITLE: pURCHASING ~NAGER. F~ONE 9 BUS · PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER-BUS HRS: 805-~31-469D I.D. SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ADDRESS: 900 24TH STREET, #105 ADDRESS: ~A/v~ =CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: ~A/vl~ J~,HONE ~: 805 325-1767 PHONE #: SA~ BAKERSFIEL] 'TY FIRE DEPARTMENT )RM 4A-1 'NO'N-- TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY ' OFFICIAL USE CFIRS CODE I 2 3 4 5 6 ? 8 9 10 'I~P~ MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T Ci)])E AMOUNT AMOUNT UNIT CODE CODE FACILITY, UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 24 212 GAL 10 37 ~uT~ WALL ~ ~ NA CHEM TAB CLING BRITE C~T ~ 12 12 GAL 10 37 ~T~ ~W~L ~iT ~ NA ~HEM TAB TINCTURE GREEN M 6~,, 60 GAL 10 37 '~T~ ,WALL ~r j 90 ~HEM TAB' PINE 30 ~,., 60 456 GAL 10 37 '~' WALL H~)T } 80 ~HEM TAB SUPER STRIPPER M__ 300 1400 LBS 11 37 ~ST.' WALL ~IT ] ~HEM TAB AUTO DISH ~) 90 924 G~ 10 37 ~.3~"~'WALL '~IT) NA tHEM TAB LEMON SAN M 18 72 GAL 10 37 '.~O~T~, WALL ~g~ ~ NA CHEM TAB ~ONIA 60 300 GAL 10 37 _'~D~' WALL M~T / CHEM TAB PINE 10 D~'3 180 960 GAL 10 37 "Gt~R. ~. ~{T ~ NA ~HEM TAB BLEACH 3~T M 50 50 GAL [0 37 ~0-ar{% WALL ,NIT { NA 3HEM TAB ~?~ DETERGENT O~ M !8 24 GAL , [0 37 5~g~ WALL ~MIT ; ~HEM TAB SCALE REMOVER · TITLE: SIGNATURE: DATE: 7-3-87 EMERGENCY CONTACT: PHILLiP ~£b~SON TITLE: ~N~RAL MANAGE~ PHONE · BUS HOURS: 805-325-1767 AFTER BUS HRS: . Ra~-~$_o~o~ EMERGENCY CONTACT: T.~¥ ~T~SON TITLE: PURCHASING MANAGER. PHONE · BUS HOURS:. U05-325-I75¥ PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-831-4b~ I'.D. BARERSFIELD FIRE DEPARTMENT ! 4A-1 NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY' JANITORIAL & PAPER SIMPSON BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ' FACILITY U #:ONE ADDRESS: 900 24TH STREET, #105 ADDRESS: :LA_~,].b; FACILITY UNIT NAME: ,* %;ITY, ZIP:_ ]~AI~:R~]:'iEJ.,D, CA, 933UJ. CITY,ZIP: 5Ab~ "~P'RONE ·: 805 325~'176.7 PHONE ,: S~.,~: IOFF,C,^,.ONLY USE CFIRS CODE T~IPE 2 3 4 5 "~ 7 ' 8 9 10 MAX ANNUAL CUNT USE LOCATION IN THIS · BY HAZARD {CqDE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEM. I~AL OR.COMMON NAME, C.ODE GUIOE~ !~ 80 426 GAL 10 37 ~T, WALL i,(H,'r' { 100 CHEM TAB DUEL CAR WASH' ORMA M 300 5600 LBS 11 37 VO~-f~ ..WR_~ ,t4~l~' ) 100' CHEM TAB POWER SCRUB O~ { M 400 2100 LBS. 11 37 '.'.~¢u.Ti4 WALL NA CHEM TAB BORAX .ORMA ' M 18 48 GAL 10 37 "go~T[~ :WALL CHEM TAB NEUTRALI Z ER $ 12 60 GAL 10 37 '~D~'.. WALL NA CHEM TAB PERMA SEAL 1 ORMA ~ 60 '240 GAL 10 37 i~g~-TI~.~WALL ..'84 CHEM TAB ULTRA CARE GReta · TITLE: SIGNATURE: DATE:.,, 7,$-87 " EMERGENCY CONTACT: PHILL'iP ~iblPSON TITLE: GEN~:RAL MANAGER PHONE · BUS HOURS: 80~-325-1767 AFTER BUS HRS: EMERGENCY CONTACT: r.A~V RTMP~O~ TITLE: PURCHASING ~NAGER. PHONE ~ BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HAS: 805-~3~%4 -.' -' - 4A-,1 - I.D. at BAKERSFIELD C! FIRE DEPARTMENT F( 4A-1 NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY BUSINESS NAME: ADDRESS: ._';'~/ Page 0 f ~ ~ OWNER NAME: FACILITY UNIT #: ADDRESS: FACILITY UNIT NAME: ' CITY,ZIP: PHONE #: [OFFICIAL USE CFi'RS CODE { ONLY 1 2 3 4 5 6 7 8 9 1 TYPE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.T CODE AMOUNT AMOUN.T UNIT CODE CODE FACILITY UNIT WT. CHEMII~AL OR COMMON NAME CODE GUIDE {AME: TITLE: SIGNATURE: DATE: ~MERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER BUS HRS: ~MERGENCY CONTACT: TITLE: PHONE # BUS HOURS: 'RINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: - 4A-I - BAKERSFIELD CITY FIRE DEPA] 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 INESS OFFICIAL USE ONLY HAZARDOUS MATERI ALS BUS I NESS PL.~2%I AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid .~r~action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questio~s~;obelow for the business as a whoie./~ SECTION ~: BUSI~SS IDE~IFIC~TION DATA B. LOCATION / STREET ADDRESS: SECTION 2: E~RGENCY NOTIFICATIONS In case 'of an emergency involvin~ th~release or threatened release of a hazardous material, call 911 and 1-800-852~50 or 1-91~-427-4341. This will notify locnl fire depa~ ~nd the State 0ff~e of Emergency Services as required by your law. ' EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING'BUS. HRS. AFTER BUS, HRS. SECTION 3: LOCATION OF ~ILI~ S~-OFFS FOR BUSI~SS AS A ~0LE A. NAT. GAS/PROPANE: ~ ~.~':-~ ~ B. ELECTRICAL: ~_~m C~,~T~/;~ C. WATER: ~ ~o~ D. SPECIAL: E. LOCK BOX: YES / N~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? FLOOR PLANS? NO NO MSDSS? KEYS? YES / - 2A - SECTION 4: PRIVATE RESPONSE TE~W FOR BUS~NESS AS A WHOLE SECTION S: LOCAL EMERGENCY MEDICAL ASSISTanCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLO~E TRAINING EMPSOYERS ARE REQUIRED TO HA%~ A PROGR~ WHICH PROVIDES EMPLOYEES WITH INITIAL REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITI~tL A. METHODS F0R SAFE HANDLING OF HAZARDOUS .MATERIALS:.... .................................... ~ES~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: .......................... C. PROPER USE OF SAFETY EQUIPMENT: .................. ~S~ N0 D. EMERGENCY EVACUATION PROCEDURES: ................. E DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... ~ NO REFRESHER SECTION 7: F~Z~d{DOUS .~ATERIAL CIRCLE YES 0R~ I Un'~erst~ that %h~i-s-~'i~ormation will be used to fulfill my firm's obli$~tions under the new California Health and Safety code on Hazardous M~terials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. S IGNATbqRE ~/~ (~ TITLE ~ (~ 5 ;~ ~-_ ~ DATE BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY BUSINESS NAME: ID# BUSI'NESS PLAN SINGLE FACILITY UNIT FORM SA INSTRUCTIONS 1. To avoid further ~ction, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be'as BRIEF and CONCISE as possible. FACILITY UNIT# One FACILITY UNIT NAME: g~mp~qon ~Tmn~mr~S] &Pmper ~ Supply Co. , Inc. SECTION 1: MITIGATION, PREVENTION, ABATEMEN"r PROCEDURES Spill Prevention All products where practical, are kept in original containers inside of cardboard shipping boxes. 2. Spill Cleanup Sacks of absorbsit are maintained on hand to soak up any large spills. Small spills will be mopped up with equipment on hand. SECTION 2: NOTIFICATION AND EVACUATION PROCEDLq{ES AT THIS P,~/IT ONLY 1. Employees are to notify manager/owners of all spills. 2. Manager/owners will notify the Fire Department. 3. All personnel are to evacuate .the buildinG in. the event of'a large spill. Simpson Janitorial & Paper BUSINESS NAME:Supply Co., Inc. ADDRESS: 900 24th Street #105 CITY, ZIP: Bakersfield, CA 93301 BAKERSFIE FIRE DEPARTMENT 4A-1 'NON--TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY OWNER NAME: Same ADDRESS: Same CITY,ZIP: Same Pa FACILITY UNIT #: One FACILITY UNIT NAME: Same PHONE ~: 805 325-1767 PHONE [: Sa~e OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 ? 8 9 10 T~PE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.O.?T, C~DE AMOUNT AMOUNT ,UNIT CODE CODE FAClLIT~ UNIT WT. CHEMICAL OR.COMMON NAME CODE GUIDE M 150 482 GAL -10 37 NORTH WALL /~F ROYAL SOAp #1028 HAND CLEANER M 12 18 GAL 10 37 NORTH WALL ~ ROYAL SOAP #4600 HAIRnNhMpoo & BODY M 36 40 GAL 10 37 NORTH WALL ~ ROYAL SOAP #1091 PUMICE GEL M 36 48 GAL 10 37 NORTH WALL ROYAL SOAP #].095 LOYAL GEL M 20 56 GAL 10 37 NORTH WALL ( ROYAL SOAP #1086 PUMICE PASTE M 20 ' 56 GAL 10 37 NORTH WALL " ROYAL SOAP #1011 SUPER WATER- ,,, LESS M 20 56 GAL 10 37 NORTH WALL ROYAL SOAP #1181 PUMICE SOAP NAME Jo Wagner TITLE: r. SIGNATURE: DATE: EMERGENCY CONTACT: PHILLIP SIMPSON TiTLE:GENERAL MANAGER PHONE # BUS HOURS: 805 325-±-/b-/ -- AFTER BUS HR$: ~05 932-~126 _ EMERGENCY CONTACT: LARRY SI~SON T,ITLE:PURCHASING MANA~ . PHONE # BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES " AFTER BUS HRS: ~ ~-~9~ - I.D. BAKERSF FIRE DEPARTMENT 4A-1 SECRETS MATERI ALS NON--TRADE HAZARDOUS I NVENTORY SIMPSON JANITORIAL & PAPER 'BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ONE FACILITY U~ #: '~DDRESS: 900 24TH STREET, #105 ADDRESS: SAI~ FACILITY UNIT NAME: -- · 'CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: ~ONE ~: 805 325-1767 PHONE #: $~ IOFFICIALONLY USE CFIRS CODE I 2 3 4 5 6 7 8 9 10 ' TYPE' MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD D.0.'T,, ~0DE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CREMIQAL OR COMMON NAME CODE GUIDE M 180 2860 GAL 10 37 NO~TH WALL NA CHEM TAB POWER CLEAN ORMA__~ M 300 1300 LB 11 37. NORTH WALL 100 CHEM TAB KLEEN ALL M 18 24 GAL 10 37 NORTH WALL CHEM TAB SPIN CLEAN M 50 ~ 338 GAL 10 37 NORTH WALL CHEM TAB BOWL CLEANER ' CRMT M 48 210 GAL 10 37 NORTH WAIJ. NA CHEM TAB CARPET SHAMPOO ORMA M 12 24 GAL 10 37 NORTH WALL CHEM TAB TRAFFIC LANE CONTR(L M 48 96 GAL 10 37 NORTH WALL NA CHEM TAB WINDOW CLEANER ORMA WINDOW CLEANER -- M 60 240 GAL 10 37 NORTH WALL CHEM TAB CONCENTRATE 50-1 M 50 204 GAL !10 37 NORTH WALL ChEM TAB ALCOHOL M 20 178 GAL 10 37 NORTH WALL NA CHEM TAB LIFT OFF ORMA M 1000 7500 LB 11. 37 NORTH WALL CHEM TAB LOW SUDS DETERGENT M 6 12 GAL 10 37 NORTH WALL NA 3HEM TAB VINYL SHEEN DRI~ M 18 104 GAL 10 37 NORTH WALL ~HEM TAB FRESH BOUQUET M 100 236 GAL, 10 37 NORTH WALL 100 ~HEM TAB DISH WASH ]RMA M 60 730 GAL 10 37 NORTH WALL NA ~HEM TAB ULTRA CLEAN )R~ NAME: JO WAGNER ~T~. 0~'~'~ l~l~n~ ZMERGENCY CONTACT: FH1LLIF ~±~SON EMERGENCY CONTACT: ?.~v ~TMP~N PRINCIPAL BUSINESS ACTIVITY: · SIGNATURE: DATE: 7-3-87 TITLE: ~n~RAL MANAGER PHONE · BUS HOURS:_ 805-325-1767 AFTER BUS HR$: a~5-~_~ TITLE: PURCHASING MANAGER. PHONE # BUS ~OUR$:. 805-325-I757 RETAIL SALES AFTER BUS HRS: 805-83±-469D · BAKERSF FIRE DEPARTMENT 4A-1 'NO'N-- TRADE SECRETS HAZARDOUS MATERI ALS INVENTORY Pa- SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME FACILITY U%~ #: ADDRESS: 900 24TH STREET, #105 ADDRESS: SA~ FACILITY UNIT NAME: :CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: ~'~ONE *: 805 325-1767 PHONE #: SA~ [OFFICIAL USE CFIRS CODE ONLY ONE k, 2 3 4 5 6 7 8 9 10 MAX ANNUAL C0NT USE LOCATION IN THIS % BY HAZARD D.O.'T,, AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE. 24 212 GAL '10 37 NORTH WALL NA CHEM TAB CLING BRITE SRMT 12 '12 GAL 10 37 NORTH WALL NA CHEM. TAB TINCTURE GREEN · ~OAP DRMA 6Q §0 GAL 10 37 NORTH WAT,T, 90 SHEM TAB PINE 30 DRMA , , 60 456 GAL 10 37 NORTH WALL 80 SHEM TAB SUPER STRIPPER 9P~A 300 1400 LBS 11 37 NORTH WALL 2HEM TAB AUTO DISH 60 838 GAL 10 37 NORTH WALL NA SHEM TAB PER/ViA GLOSS 250 )RMA 90 924 GAL 10 37 NORTH WALL NA SHEM TAB LEMON SAN )RMA 18 72 .!GAL 10 37 NORTH WALL NA SHEM TAB A~MONIA ~P~'IA 60 300 GAL 10 37 NORTH WALL :HEM TAB PINE 10 180 960 GAL 10 37 NORTH WALL NA ~HEM TAB BLEACH ~RMT 36 1536 GAL l0 37 NORTH WALL 2HEM TAB 15% SOAP 50 140 GAL 10 ~7 NORTH WALL ~HEM TAB HY TEMP 50 50 GAL l0 ~7 NORTH WALL NA 2HEM TAB ~?~ DETERGENT ORMA 18 24 GAL 10 37 NORTH WaLL IHEM TAB SCALE REMOVER NAME: -TITLE: S GNATURE: DATE: ?-~-$7 = EMERGENCY CONTACT: PH1LLIF S£~SON TITLE: UnNERAL MANAGER PHONE · BUS ROURS: 8Q~-325-1767 . AFTER BUS HR$: EMERGENCY CONTACT: L~R~¥ ~TMP~ TITLE: ~URCHASING MANAGER. PHONE · BUS HOURS: PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-325-I75V 805-S31-469D t'.O. ~ BUSINESS NAME: ADDRESS: CITY, ZIP: ~'PHONE ~: HAZARDOUS SIMPSON JANITORIAL & PAPER SUPPLY CO., INC. 900 24TH STREET, #105 BAKERSFIELD, CA, 93301 805 325-1767 BAKERSFIELD FIRE DEPARTMENT 4A-! NON--TR SECRETS MATERI ALS T NVENTORY OWNER NAME: SAME ADDRESS: CITY.ZIP: SAIvI~ PHONE #: Pag~ ONE · FACILITY UI~,T~ #: FACILITY UNIT NAME: OFFICIAL USE CFIRS CODE ONLY I 2 3 4 5 6 7 8 9 10" ~PE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O."r~. :ODE AMOUNT AMOUNT U. NIT CODE !.CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 80 426 GAL 10 37 NORTH WA~L 100 CHEM TAB DUEL CAR WASH ORMA M 300 5600 LBS 11 37 NORTH WALL 100 CHEM. TAB POWER SCRUB ORlVl~ M 400 2100 LBS 11 37 NORTH WALL NA CHEM TAB BORAX .ORMA M 18 48 GAL 10 37 NORTH WALL CHEM TAB NEuTRALI'~.ER M 12 60 GAL 10 37 NORTH WALL NA CHEM TAB PERMA SEAL 1 ORMA -- M 60 '240 GAL 10 37 NORTH WALL · '84 CHEM TAB ULTRA cARE .., ., / ~AME: TITLE: SIGNATURE: DATE:.7_~_87 EMERGENCY CONTACT: PHILLIF' SI~iFSON TITLE: ~N~RAL MANAGER PHONE · BUS HOURS: 805-325-1767 - AFTER BUS HRS: EMERGENCY CONTACT:~.Appv ~TMD~ON " TITLE: PURCHASING MANAGER. PHONE · BUS HOURS: 805-325-I75~ -- PRINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-83£-469~ ..'., - 4A-! - -.-L, ' U { ~ . BAKERSFIELD FIRE DEPARTMENT · ' ' · 4A-1 Pa 'NO'N-- T RAi S E C RE TS HAZARDOUS MATERI ALS INVENTORY SIMPSON JANITORIAL &'PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: S/LM_E ' FACILITY U~ #: ADDRESS: 900 24TH STREET, #105 ADDRESS: SA~ FACILITY UNIT NAME: CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: · PHONE ~: 805 325-1767 'PHONE #: ~A~ OFFICIAL USE CFIRS CODE [ ONLY 1 ~ 2 3 4 5 6 7' 8 9 10 'YPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.~.T~, :DDE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 15 255 GAL .13 37 SOUTH END ISLE CHEM'CAP SAFETY SOLVENT M 15 90 GAL 13 37 SOUTH END ISLE CHEM CAP SILICONE O M 15 30 GAL 13 37 SOUTH END ISLE CHEM CAP.. PEN LUBE M 15 180 GAL 13 37 SOUTH END ISLE CHEM CAP FOOD GRADE LUBE 5I 15 90 GAL 13 37 SOUTH END 'ISLE CHEM CAP ISLAND BREEZE M 15 75 GAL 13 37 SOUTH END ISLE '~ ~ CHEM CAP CHOKE & CARBURETOi~ M 15 60 GAL 13 37 SOUTH END kSLE ~ ~ CHEM CAP ALL PURPOSE CLEANigR M 15 90 [ GAL 13 SOUTH END ISLE 95 CHEM CAP E ULSION DEGREASE M 15 26 GAL 13 37 SOUTH END ISLE ~ CHEM CAP SPOT REMOVER M 3 6 GAL 13 37 SOUTH END ISLE CHEM CAP ANTI STATIC ~ M 15 90 GAL 13 37 SOUTH END ISLE CHEM CAP~ LEMON SHINE M 15 39 GAL 13 37 SOUTH END ISLE CHEM CAP ANTI SIEZE M 15 26 GAL 13 37 SOUTH END'ISLE CHEM CAP GERMICIDAL 'CLEANE, · TITLE. SIGNATURE: DATE: 7-3-87 ;MEROENCV CONTACT: PHILLiF SIMPSON TITLE: GaN~RAL MANAGER PHONE · BUS HOURS: 805-325-1767 - AFTER BUS HRS: ;MERGENCY CONTACT: T.~V ~TMPaON TITLE: PURCHASING MANAGER. PHONE # Bug HOURS:. 805-325-1757 'RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-~31-4b~ BUSINESS NAME: ADDRESS: :'CITY, ZIP: ~.PNONE ~: HAZARDOUS SIMPSON JANITORIAL & PAPER SUPPLY CO., INC. 900 24TH STREET, ~105 BAKERSFIELD, CA, 93301 805 325-1767 · BAKERSFIELD TV FIRE DEPARTMENT 4A-1 'NON--TRA SECRETS MATERX ALS X NVENTORY OWNER NAME: SA/VIE ADDRESS: S~ CITY,ZIP: SAIV~ PRONE ~: 5AJ~ FACILITY UNIT NAME: OFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 I'WPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T'~,' ?,ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUID~-' M 72 144 GAL {".10 37 NORTH WALL NA UNBELIEVABLE ORMA A NAME: TITLE: SIGNATURE: : 7-3' ~ EMERGENCY CONTACT: PHILLiP 5±~iPSON TITLE: G~ERAL MANAGE5 PHONE · BUS HOURS: 805-325-1767 ... EMERGENCY CONTACT: T,ARPV ~TMP~N PRINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: TITLE: PURCHASING MANAGER. PHONE · BUS HOURS:, RETAIL SALES AFTER BUS HRS: 8Oq--RqT-OlO~ 805--325-I75~ 805-831-4hSD BAKERSFIELD~FIRE DEPARTMENT HAZARDOUS SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME FACILITY ADDRESS: 900 24TH STREET, #105 ADDRESS: 5~ FACILITY UNIT NAME:ONE CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: PHONE ~: 805 325=1767 PHONE ,~ S~ [OFFICIAL USE CFIRS CODE MATER! ALS I NVENTORY I 2 3 4 5 6 7 8 9 10 YPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T.~ O~E AMOUNT AMOUNT UNIT CODE CODE FACILITY.UNIT WT. CHEMICAL OR COMMON NAME CODE GU[DE M 30 180 GAL 13 37 N.~.CORNER 98 PUREX' VANGUARD ORMA M 138 208 GAL 10 37 N.W.CORNER 80 PUREX GRAND PRIX ORMA M 36 220 GAL' 10 37 N.W.~CORNER 90 PYREX RESTORIT ORMA -'- M 780 5000 LB 11 37 N.W.CORNER NA' PUREX OLD DUTCH CLEANSE16RMA' M 30 120 GAL 10 37 N.W.CORNER NA PUREX VINYL BRITE ORMA M 85 900 GAL 10 37 N.W.CORNER 94 PUREX ONCE OVER ORMA M 60 570 GAL 10 37 N.W.CORNER 98 PUREX HYGENIC ~RMA M 75 234 GAL 10 37 N.W.CORNER 89 PUREX SEVENTY SEVEN DRMA M 75 400 GAL 10 37 N.W.CORNER 75 PUREX LIQUI FOAM DRMA ' "~ .... M 75 30 GAL 10 37 N.W.CORNER 79 PUREX BLUELITE M' 12 12 GAL 10 37 N.W.CORNER 81 PUREX CROSS ~INK II )RMA M 100 1060 GAL 10 37 N.W.CORNER . 80 PUREX EXCEL )~-iA M 30 300 GAL 13 37 N.W.CORNER NA PUREX BLUE SKY ORi~tA. M 75 320 GAL 10 37 'N.W.CORNER 75 PUREX SUPER GUARD ORMA lAME: TITLE: SIGNATURE: DATE:.7-3_87 ~MERGENCY CONTACT: PH1LL£F ~±~SON TITLE: GENERAL MANAGE~ PHONE · BUS HOURS:~. 80~-325r1767 AFTER BUS HRS: 805-325-I757 , PHONE # BUS HOUR$: AFTER BUS HRS: 805-831-4hSD TITL..E: PURCHASING MANAGER. RETAIL SALES ~MEROENCY CONTACT: T.AR~v STMPgON )RINCIPAL BUSINESS ACTIVITY: 'U' · .' 4A-1 p 'NON--TRADE SECRETS HAZARDOUS MATERIALS INVENTORY SIMPSON JANITORIAL & PA.PER BUSINESS NAME: _SUPPLY CO., INC. OWNER NAME: SAME FACILITY U~ #: ADDRESS: .. 900 24TH STREET, ~105 ADDRESS:_. 5A~ FACILIT~ UNIT NAME: CITY, ZIP:_ Bg~KERSFIELD, CA, 93301 CITY,ZIP: SAlVl.l~ - PHONE ,: 805 325-1767 PHONE #: SA~ [OFFICI~LoNLY U~E CFIRS'CODE.. I 2 3 4 5 6 ? 8 9' .- '- 10 · PE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY HAZARD OPE AMOUNT AMOUNT UNIT ~ODE CODE FACILITY,UNIT WT. CHEMICAL OR C, SMMON NAME CODE GUIDE ~M 30 130 GAL .10 37 N.'W.CORNER 96 PUREX DISAPPEAR O~,tA M 55 360 GAL 10 3.7 N.W.CORNER 85 ,PUREX OUTSTRIP ORI~- M 36 105 GAL 10 37 N.W..'CORNER 82 PUREX. DEFENCE 'ORMA M 24 18 GAL 10 37 N.W.CORNER 85 PUREX HACK-IT ORMA M 50 20 GAL' 10 37 N.W.CORNER 75 PUREX RUNWAY ORMA M 36 60 GAL 10 37 N.W.CORNER 72 PUREX SANITURG 256 ORMA M 9 44 GAL 10 37 N.W.CORNER 85 PUREX LEMON SPEEDWAX ORMA M 12 20 GAL 10 37 N.W.CORNER 80 PUREX WATER EXTRACTION M 12 20 GAL 10 37 N.W.CORNER 85 PUREX HEEL MARK REMOVER ORMA ~'u~. ,~ WA~N~R "' -- .... ~'~'~t'~: ~m~'~:~ ....... TITLE: SIONATURE: DATE: 7-3-87 MERGENCY CONTACT: PMIbLIP 5INPSON TITLE: ~EN~RAL MANAGER PHONE · BUS HOURS:... 80~-~25-1~67 AFTER BUS HRS: MEROENC¥ CONTACT: r.~v ~TMP~ON TITLE: PURCHASING MANAGER. PHONE # BUS HOURS:... 805-325-175¥ RINCIPAL BUSINESS A~TIVITY: RETAIL SALES AFTER BUS HRS: 80~-831=4~9b BAKERSFIELD~V FIRE DEPARTMENT X~4A-1 'N O'N-- TR SEC RE T S S GNATUR[: DATE: 7-3-87 ;MEROENCY CONTACT: PH±LLIP 5±~IPSON TITLE: G~N~RAL MANAGER PHONE · BUS HOURS: 802-325,-1767 AFTER BUS HRS: _ RO5-R~?_o~oq :MERGENCY CONTACT: LA~¥ gTMPAON TITLE: PURCHASING MANAGER. PHONE · BUS HOURS:. 'RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-831-4b~ -.'., - ~-1 - HAZARDOUS MATERIALS INVENTORY SIMPSON JANITORIAL & PAPER BUSINESS NAME: SUPPLY CO., INC. OWNER NAME: SAME ' FACILITY U~ #: ADDRESS: 900 24TH STREET, #105 ADDRESS: CITY, ZIP: BAKERSFIELD, CA, 93301 CITY,ZIP: · PHONE ~: 805 325-1767 PHONE #: 5A~ [OFFICIAL USE CFIRS CODE I ! ONLY 1 2 3 4 5 6 ,? 8 9 10 'YPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD :D.O.T. :ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUID~' M 12 390 GAL 10 37 NORTH END ~ NATIONAL LABORATORIES _ c M 12 96 GAL 10 37 NORTH END ~ VANISOL BOWL CLEAN M 5 2? GAL 13 37 SOUTH WALL 'NATIONAL LABORATORIES M 2 9 GAL 13 37 sOUTH WALL NATIONAL LABORATORIEs scENE M Z0 1Z0 GAL 10 37 NORTH END ~'~'~ ~z~tz-~.~ ~ ~ WASHROOM CLEANER M 4 35 GAL 13 37 SOUTH WALL g~ NATIONAL LABORATORIES TT~AN TN~ECT SpRAy NATIONAL LABOP~TORIES · M 15 210 GAL 10 37 NORTH WALL ~'~ N.L_CONCENTRATE CLEANE~ NATIONAL LABORATORIES M 7 57 GAL 13 37 SOUTH WALL /~'- aHTMM~ M 12 48 GAL 10 37 NORTH WALL NATIONAL LABORATORIES M i 10 SAL 37 SOUTH WALL NATIONAL LABORATORIES M 40 160 GAL 10 37 NORTH END NATIONAL LABORATORIES ~ METALiS~ 20 M 6 18 GAL 13 37 SOUTH WALL NATIONAL LABORATORIES ,_. .... ~ n~son !.D. · BUSINESS NAME: ADDRESS: CITY, ZIP: · BAKERSFIELD FIRE DEPARTMENT 4A-1 'N O'N-- TRA'. S E C RE TS - HAZARDOUS MATERI ALS INVENTORY SIMPSON JANITORIAL & PAPER SUPPLY CO., INC. OWNER NAIVE: SAME FACILITY U~)~]~I #: 900 24TH STREET, ~105 ADDRESS: ;EA~i~; FACILITY UNIT NAME: BAKERSFIELD, CA, 93301 CITY, ZIP: · PHONE ~: 805 325-1767 PHONE #: SA~: [OFFICIAL USE CFIRS CODE ! ONLY 1 2 3 4 5 6 7 8 ~ 9 10 'YPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.OYT'. :ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE · ENRICHED M--__450 3250 LBS '10 37 NO'.END CENTER ISLI NA GO JO #9102 LOTION SOAP ORM_A LOTION SKIN M 450 1750 LBS 10 37 NO.END CENTER ISLt NA GO JO #9112 CLEANER ORMA M 300 2000 LBS 10 37 NO.END CENTER ISL! NA GO JO #9152 SPA BATH ORI~ HAND SOAP M 250 500 LBS 10 37 NO.END CENTER ISLt NA GO JO #9192 HEAVY DUTY ORMA M 50 150 LBS 10 37 NO.END CENTER ISL~ NA GO JO #9222 ISOPROPYL GEL ORMA HAND CLEANER WIT~ M 660 2000 LBS 10 37 NO,END CENTER ISLE 'NA GO JO #1135 PUMICE ORi~ HAND CLEANER - M 380 1000 LBS 10 37 NO.END CENTER ISLE NA GO JO #1115 ORIGINAL FO~4ULA ORlt~ MOISTURiZiNG M 100 300 LBS 10 37 NO.END CENTER ISL~ NA GO JO #9141 HAND CREAM ORlt~ HEAVY DUTY M 330 650 LBS 13 37 NO.END CENTER' ISLE NA GO JO #1117 HAND CLEANER ORMA M~ 125 250 LBS 10 37 NO.END CENTER ISLE NA GO JO #9121 FOOD SERVICE SOAP ORMA ORiGiNAL .M 150 250 LBS 10 37 NO.END CENTER ISLE NA GO JO #1104 HAND CLEANER ORMA M 75 150 LBS 10 37 NO.END CENTER ISLE NA GO JO #9212 HEALT~ CARE SOAP ORMA SIGNATURE: DA~E:...7-3-87 iMERGENCY CONTACT: PH±Lb±F S±NPSON TITLE: ~n~RAL MANAGER PHONE · BUS HOURS:_ 805-325-1767 AFTER BUS HRS: R~-R~9_~ EMERGENCY CONTACT: LAP~¥ gTMPgON TITLE: PURCHASING MANAGER, PHONE · BUS HOURS:. 805-325-I757 'RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-~3±-469~ BUSINESS NAME: ADDRESS: CITY, ZIP: · BAKERSFIEL FIRE DEPARTMENT r 4A-1 'NO'N-- TRADE SECRETS HAZARDOUS IVlATE R I ALS INVENTORY SIMPSON JANITORIAL & PAPER SUPPLY CO., INC. OWNER NAME: SAME 900 24TH STREET, #105 ADDRESS: "' BAKERSFIELD, CA, 93301 CITY,ZIP: Pag , FACI'.ITY ,: FACILITY UNIT NAME: ONE 'PHONE J: 805 325-1767 PHONE #: SA~: [OFFICIAL U~E CFIR$ CODE [ ONLY ~ ~ '3 4 5 S ? s 9 ID "YPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T.' :O~DE AMOUNT AMOUN,,T UNIT CODE CODE FACILITY, UNIT WT. CHEMIqAL OR COMMON NAME CODE GU.IDK. M 25 300 GAL '.13 37 N.' W. CORNER 89 INTERQEM #7422+ 3MQ · TITLE: S ONATURE: DATE:,7_3_87 iMERGENCY CONTACT: PH±LLI~ 5±MPSON TITLE: G~n~RAL MANAGER PHONE · BUS HOURS:. 805-325-1767 AFTER BUS HRS: _. iMERGENCY CONTACT: ~.A~v gTMDSON TITLE: pURCHASING MANAGER. PHONE · BUS HOURS:. 805-325-I75V - 'RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS MRS: 805-831-4hSD HAZARDOUS SIMPSON JA/~ITORIAL & PAI~ER BUSINESS NAME: SUPPLY CO., INC. ADDRESS: 900 24TH STREET, #105 CITY, ZIP: Bi~ERSFIELD, CA, 93301 · . · BAKERSFIELD FIRE DEPARTMENT ., · ' r ~4A-1 Pa 'NON--TRADE SECRETS MATERI ALS INVENTORY ~. FACILITY U~ #.ONE..,, UNIT NAME: OWNER NAME: SAME ADDRESS: ~Alv~ FACILITY CITY,ZIP: PHONE ~: 805 325-1767 PHONE ~: S~ OFFICIAL USE CFIRS CODE I 2 3 4 5 6 7 8 9 '~ 10 YPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.'T.', ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY ..UNIT WT. CHEMI~ OR COMMON NAME CODE Iq 450 2700 GAL .10 37 N.%;. 'CORNER 100 COMPAk ALL PURPOSE CLEANER CRMT M 270 1350 GAL 10 37 N.W. CORNER 100 COMPAX MEDIPAX CRMT SIONATURE: DATE: 7-3-87 iMEROENCV CONTACT: ]P/]/-L~SON TITLE: b--EN~RAL MANAGEA PHONE · BUS HOURS: 805-325-1767 AFTER BUS HRS: ~OS-R~?_~ ;MERGENCY CONTACT: r.~v ~T~P~N TITLE: PURCHASING MANAGER. PHONE ·BU$ HOURS:. 805-325-I7~ 'RINC~PAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-83±-4b~D f'-~' . BAKERSFIELO FIRE DEPARTMENT k~ ,, '.D. · *r 4A-1 Pa 'No'N--TRADE SECRETS~ - HAZARDOUS I~ATERIALS INVENTORY BUSINE'S NAME: SUPPLY CO., INC. OWNER NAME: SAME FACILITY U~ #:ONE ADDRESS: 900 24TH STREET, #105 ADDRESS: SA~ FACILITY UNIT NAME: --' CITY. ZIP: BAKERSFIELD, CA, 93301 CITY.Z/P: 5A/vl~ · P~ONE ~: 805 325'17'67 PHONE [: S~ OFFICIAL USE CFIRS CODE i' 2 3 4 $ 6 ? 8 9 10 'TPE MAX ANNUAL CONT USE LOCATION IN THIS ~ BY NAZARD D.O;:To :ODE AMOUN. T AMO. UNT UNIT CODE CODE FA. CILITY*.UNIT WT. ,CHEMI(~AL OR COMMON NAME CODE 'OUID~ M 12 25 GAL .· 10 37 EAST WALL 79 LONG CHEMICAL CO. T,R.R. ...... (Toilet Rinq Remover) ORMA · TITLE: SIGNATURE: DATE:, 7-3-87. :MERGENCY CONTACT: PHiL~i~ 5151FSON TITLE: G£~RAL MANAGE~ PHONE '~ BUS HOURS:_ 805-325-1767 AFTER BUS HRS: :MERGENC¥ CONTACT: r. APPv RT~IP~,i TITLE: PURCHASING MANAGER. PHONE # BUS HOURS:.. 805-325-I757 'RINCIPAL BUSINESS ACTIVITY: RETAIL SALES AFTER BUS HRS: 805-8~1-4~9D BAKERSFIEL 'NON--TRADE BAZAR D O U S SIMPSON JANITORIAL & PAPER · USINESS NAME: SUPPLY CO.. INC. OWNER NAME: ADDRESS: 900 24TH STREET ~105 ADDRESS: CITY, Z{P:_ BAKERSFIELD...CA 93301 CITY,ZIP: FIRE DEPARTMENT 4A-1 SECRETS MATERI ALS I NVENTORY SAME SAME SAME P8 FACILITY UNIT FACILITY UNIT NAME: ONE ONE ~ ~MEROENCY CONTACT: LARRY SIMPSON TiT~E:PURCHASING MANAGER ~RINCIPAL BUSINESS ACTIVITY: p~TA!r. ~AT.R~ ,, ."... -- Aw--{ -- AFTER BUS HRS: 832-8126 .... PHONE # BUS HOURS: 005 23!-d795 AFTER BUS HRS: ZMEROENcY CONTACT:..pHILLIP SIMPSON TITLE:GENERAL 5~NAGE~ PHONE · BUS HOURS: '805 3~b-1/b/ - ] 2 3 4 5 6 '7 8 9 10 ,,'YP'E MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.'T, ;ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY, UNIT WI,. CHEMICAL OR COMMON NAME CODE GUIDE M ~ 60 300 GAL 10 37 NORTH WALL ~ MISSION - PINE-O-LAV ~_,~/_~ qAME: .7o WAC. NER TITLE: O~FICE MANAGER .q~nNa'TUn~.? ,PHONE ~: 805 -325-~7~3 PHONE #: SA~ [OFFICIAL USE CFIRS CODE ONLY