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Home My WebLink AboutBUSINESS PLAN 2/15/1996RECEIVABLE ADJUSTMENT HTE3456 A~oount Number February 15~ 1996 Date Esther Duren Frem Fire Department - Hazardous Materials Division Department/Division HYDROTEX New Account New Address Close Ar. count Sewlce Change Other AdJustmente X Billing Name 6881-A DISTRICT BLVD Billing Address Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 342.00 0 < 342.00 > 01-01-96 Appro~.e~-"-~ Remarka: THIS BUSINESS CLOSED THEIR FACILITY IN JULY OF 1995. WE WILL ADJUST OFF THESE CHARGES. STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 TO: HYDROTEX 6881-A DISTRICT BLVD BAKERSFIELD, CA 93313 (805) 326-3979 DATE: 1/01/96 CUSTOMER NO: 3456 CUSTOMER TYPE: ES/ 3456 ~H~RG'E D~TE--DES'C~R~PT'I~N - ~ ~-~NUMB'ER-DUE--D~TE- TOT~L--~OU'NT 12/01/95 BEGINNING BALANCE .00 HM010 1/01/96 HAZ MAT HANDLING FEE J 292.00 HM017 1/01/96 HAZ MAT ANNUAL INSPECTION 50.00 Please call 326-3979 if you have question or changes regarding your account. CURRENT 342.00 DUE--DAT-~: 1-/-~1-/-9-6 OVER 30 OVER 60 OVER 90 TOTAL DUE: $342.00 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 1/01/96 DUE DATE: 1/01/96 AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O, BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3456 CUSTOMER TYPE: ES/ TOTAL DUE: 3456 $342.00 CITY Fa~ and Agriculture~Standard Business 'BusINESS NAME: HYDROTEX, INC. LOCATION: CITY, ZIP: n~WmD~T.~!.~" CA 933]3 OF BiqKERS F I ELD HAZ~J~DOUS ~TERI~LS I~ENTORY NON - TRADE SECRET OWNER NAME: ADDRESS: CITY, ZIP: PHONE.#:' P.O. BOX' 560707 REFER TO INSTRUCTIONS FOR PROPER CODES Page 1 of 2 NAME OF THIS" FACILITY:_%~ki~{QUS~_~R~n STANDARD IND. CLASS CODE: 29 DUN AND BRADSTREET NUMBER/FEDERAL ID 75 -177 -3040 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trane Type Max Average Annual Measure # Days Coat Coat Coat Use Location Where % by Hames of Mixture/Components Code Code Amt Ami Ami Units on Site Type Press Temp Code Stored in Facilit]~ w~ See Instructions u I M I~-,0001 1,500 I 6,0001 GAL I 16~:1~ I I i I1 ICONTAIN~NT ROOM ESSENTIALUBE PETROLEUM MINERAL OIL Phi and Health Hazard C.A.S. Number Component # I Name & C.A.S. Humber 86 ' 64742--52--5 all that apply) Component # 2 Name & C.A.S. N~mber ~ Fire Hazard ~ Sudden Release ~ Reactivity ~ I~mmediate [~ Delayed 15 0 0 0 7 8- 8 3-1 of Pressure 'Health Health ; Component # 3 Name & C.A.S. Number PO~ER KLEEN PETROLEUM DISTILLATE Physical and Health Hazard C .A.S. Number Component # 1 ... ~ C.A.S.N.mber n n ~ n ~ - ~ n- ~ (Cheek all that apply) PETROLEUM DISTILLATE . Component # 2 Name & C.A.S. Number ~ Fire Hazard ~] Sudden Release [] Reactivity [] In~ediate [~ Delayed 00067--6-3--0 of Pressure Health Health Component # ~ .ams ~ C.A.S..umber (COMBINED 70%) u I M I 5001 ~001 ~,5001 GAL I 16:1q I I I I ~ I CONTAINMBNT ROOM HTX-200 PETROLEUM MINERAL OIL Physical and Health Hazard C.A..~. Humber Component # i Hame & C.A.S. Number j~.: (Check all that apply) : 73 64742-52-5 '. PETROLEUM DISTILLATE · ' Component # 2 ,ems a C.~.S..~er 1'5 00067--63--0 ~ Fire Hazard [] Sudden Release ~ Reactivity [] Imediate ~ Delayed } of Pressure Health Health Component # 3 Name & C.A.S. Number IN~ECTOR ~LEEN .................. p, ETROLEUM H~DROCAR~ON Physical and Health Rezerd C.A.S. ,umbar Component # I .ame& C.A.S. Humber 42 6474'2--8],--0 (Check all that apply) Component # ~ .ams t C.A.S..,,~er PETROLEUM DISTILLATE ~1 Fire Hazard ~ Sudden Raieasa ~ Heactivtty ~ I~edlate ~] Delayed -3~ 00108--88--3 of Pressure Health Health Component # 3 Name /~ C.A.S. Number EMERGENCY CONTACTS #1 BILl, PAT~TC.I{ Mh~hC_~D (SARI ~o~l~2T .M_ C-TT.MORE C~ (8~i~l ARR-7~ Name T~t~& ....... ' ~2~ ~. -PLo~ -- ' ~ Name Titl~ - f4 h~ ~ho~e' ............................................ Certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) ' / I certify under peanlty of law that !haver personally examined and am familiar with the information submitted in this and all att~dhad documents and that baaed on my inquiry of those J individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and comRlo_~. --~ 'i:, , ' i ,iT. M. GILMORE, CHIEF FINANCIAL OFF~CER & TREASURER 10-20-92 NAME AND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNER/OPeRATOR S AUTHORIZED REPRESENTATIVE 'B~4~JD~~ DATE SIGRED Farm and Agriculture~ Standard Business 'BUSINESS NAME: HYDROTEX, INC. LOCATION: 6881 DISTRICT BLVD CITY, ZIP: BAKERSFIE?]D: C.A 9~qlq PHONE #: (805) R36-R~74 CITY OF BAKERSFIELD I~ZARDOUS ~A~ERIAL-~ I~VE~TOR¥ NON - TRADE SECRET OWNER NAME: HYDROTEX, INC. NAME OF THIS"FACILITY: WAREHOUSE %50~0 ADDRESS: P.O. BOX 560707 ~ STANDARD IND. CLASS CODE: 29 92 CITY ZIP: D~?.?.~ ~y ~lq~_a~A7 DUN AND BRADSTREET NUMBER/FEDERAL ID ~ _ , ........ - ........... 7 ~1 7 7-3 0 4 0 PHONE.#: (214) 638-7400 ..... REFER TO INSTRUCTIONS FOR PROPER CODES I 2 3 4 § 6 ? 8 9 10 11 12 Trane ~h/pe Hex Average Code Code Amt Amt LUBRAKLEEN Pt =al and uealth Hazard all that apply) Annual Measure ~ Days Cent Cent Cent Use Location Where Stored in Factllt_L Am__t UAl t__~s on Site Press Tem Code C.A.S. Number Component ~ I Nau~ & C.A.S. Number Component ~ 2 Ham~ & C.A.S. N~ber Hazard ~ Sudden Release ~ H~cttvlty [~ I~dtate ~ Delayed Of Proauuru U 86 50 64 200 1 3 99 (Cartridges) G~ASES Component ~ I am · C.A.a. auger Physloal and H~lth Hazard of Pressure ii~lth llealth Component I 3 Ha~ i C.A.B. Numar ::: (Check all t~t apply) Component I 2 Na~ & C.A.8. Nu~or of pressure llealth ll~alth Component ~ 3 Na~ & C.A.~. Humor ph~aloal and H~lth Hazard · · · ,%by Nasa of Mlxture/C~nente ~ See Instructions ?ETROLEUM MINERAL OIL 35 64742-52-5 PETROLEUM DISTILLATE 51 00078-83-1 5~-P--~AFFINIC MINERAL OIL 70% 64742-54-1 (~SXTTJRES 5-0':PETROLEUM MINERAL OIL 70% _ -. - ~ ~.ETROL~UM MINERAL OI~-~--j ~n~ 64742~52-5 (MIXTURES Title 24 (Ir Phone (Check all that apply) Component { 2 Ha~ & C.A.S. uumber ' ~-[ Fire Bar*rd ~ Sudden Release [] Reactivity ~ I.edlata ~ Delayed of pressure Health Health Component II 3 Ha~ i C.A.8. Humor E~ROENCY CONTACTS ~LL PATRICK ~~%~~2~ Na~ Title 24 Hr. Phone Namo ;" ' ; INANCIAL OFFICER & TREASURER ~'T. M. GILMORE, CHIEF F OFFICIAL TITLI/ OF OWHBR/OPEHATOR OR OWNER/OPERF'14)R'S AUTUORIZED BI/pRESENTATIV~ and that based on my 'inquiry o: those 10-20-92 DA~/ SIGNED /08/18/92 HYDROTEX 215-000-001435 Overall Site with 1 Fac. Unit General Information L_BY -- Page Location: 6881 DISTRICT BLVD A Map: 123 Hazard: Moderate Community: BAKERSFIELD STATION-09 Grid: 16D F/U: 1 AOV: 0.0 Contact Name Title Business Phone ~ 24-Hour Phone] BILL PATRICK WAREHOUSE MANAGER (805) 836-8474 x }(805) 393-6610! ..... - ' ~4~1~- Administrative Data Mail Addrs: 6881-A DISTRICT BLVD D&B NUmber: 75-177-3040 City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-009 BAKERSFIELD STATION 09 SIC Code: 5172 Owner: HYDROTEX Phone: ~1~ )~5~ -7~0~ Address: P O BOX 560707 State: TX City: DALLAS Zip: 75356-0707 Summary ewed the attached hazardous materia~ manage- ment p~an for/~YJ~/~ ~'--' _snd that it ~!o~ w~th - ~(~ ~ ~) ~y ~ons ~n~itute a ~mp~st~ and ~ ~n- 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 2 02-001 /ESSENTIALUBE (· Fire Liquid 2000 Moderate GAL CAS #: Trade Secret: No Form: Liquid 'Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL 2,000 Daily Average GAL 1,500.00 Annual Amount GAL 6,0O0.00 Storage DRUM/BARREL-METALLIC Press T Temp Location Ambient~AmbientlCONTAINMENT ROOM -- Conc 86..0% IPetroleum Crude Oil 15.0%IPetr°leum Distillate Components MCP List Moderate 02-002 /POWERKLEEN ~ · Fire Liquid 1200 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL ~ Daily Average GAL T 'Annual Amount GAL 1,200 I 1,000.00! 4,000.00 Storage DRUM/BARREL-METALLIC Press T Temp Location Ambient|AmbientlCONTAINMENT ROOM -- Conc 70.0% IPetroleum Distillate' Components iMCP List ModerateI 02-003/HTX-200· Fire VALUE SAVER Liquid 500 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL Daily Average GAL 500 I 300.00 Annual Amount GAL -- 1,500.00 Storage DRUM/BARREL-METALLIC Press T Temp IAmDiont/AmDiont}CONTAINMENTRooMLocation -- Conc ! ~3.0% I Petroleum Crude Oil ,~% IPetroleum Distillate Components MCP ~List Low ' ~ ModerateI 08118/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory'Detail in Reference Number Order Page 3 02-004 /INJECTORKLEEN· Fire Liquid 300 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL Daily' Average GAL Annual'Amount GA~. 300 I 150.00 I ~600.00 Storage DRUM/BARREL-METALLIC Press T Temp Location IAmbient|AmDientlCONTAINMENT ROOM -- Conc ! 42.0% IPetroleum Crude Oil 33.0%IPetroleum Distillate Components MCP List Moderate 02-005 /LUBRAKLEEN /· Fi~e LiqUid 300 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL300 I Daily Average150.00GAL Storage ~ Press I Temp Location DRUM/BARREL-METALLIC IAmbient/AmbientlCONTAINMENT ROOM Annual Amount GAL 600.00 -- Conc 51.0% 12.0% Components Petroleum Crude Oil Petroleum Distillate Petroleum Unrefined Hydrocarbons MCP Moderate Low List 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 4 02-006 SYS 5K COMPRESSOR OIL · Fire, Delay Hlth Liquid 2000 Moderate GAL CAS #: 'Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily M~x GAL /2,000 Daily Ave/'~ge GAL /1,500.00 [ Annual Amount GAL /5,000.00 Storage DRUM/BARREL-.METALLIC Press T Temp I Ambient~Ambientl -- Conc ! 5.0% IPetroleum Crude Oil 95.0%IPetroleum Distillate Components Location MCP Moderate List 02-007 SYS I HYDRAULIC OIL · Fire, Delay Hlth Liquid 1800 Low GAL CAS #: Trade Secret: No Form: Liquid Type:-Pure Days: 365 Use: LUBRICANT Daily Max GAL. 1,800 Daily Ave~Dage GAL / , 00.00 Storage DRUM/BARREL-METALLIC Press T Temp AmbientlAmbientI Annual Amount GAL 4,000.00 Location Conc ~l'Hydraulic Brake Oil 100.0% Components MCP iList 02-008 SYN AIR COMPRESSOR OIL · Fire, Delay Hlth Liquid 55 Low GAL CAS #: Trade Secret: No Form: Liquid Daily MaxtAL /55 Storage DRIJM/BARR~L-METALL 112 Daily Avera/~e GAL 55'. 00 Press T Temp I Ambient IAmbient l Type: Mixture Days: 365 Use: LUBRICANT Annual Amount GAL -- 110.00 Location -- Conc 100.0% ICompressor Oil MCP List Components ILow I 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-009 #204 HYDROCUT · Delay Hlth Liquid 80 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 use: DRILLING Daily MaximAL80 Storage DRUM/BARREL-METALLIC Daily Avera~% GAL 55.00 Press T Temp AmbientlAmbientI Annual Amount GAL -- /200.00 Location -- Conc 90.0% 10.0% IPetroleum Crude Oil Petroleum Distillate Components MCP ILow Moderate List 02-010 #850 SYN HIGH TEMP LUBE · Fire, Delay Hlth Liquid 75 Minimal GAL CAS #:' Trade Secret': No Form:Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max ,GAL / 75 Storage DRUM / BARRE L- ME TALL I C Daily Average GAL j55.00 Press T Temp I Ambient~Ambient I Annual Amou~ GAL 200.00 Location -- Conc Components 100.0% ILubricating Oil (Petroleum-Based) MCP List IMinimal - 02-011 #520 SYN CHAIN LUBE · Fire, Delay. Hlth Liquid 200 Minimal GAL CAS #: Trade Secret: No Form: Liquid Daily Max/GAL 200 Storage DRUM/BARREL-METALLIC Type: Mixture Days: 365 Use: LUBRICANT I I Annual Amount GAL '600.00 Location Daily Average GAL /150.00 Press I Temp AmbientlAmbientI -- ConcI comp°nents 100.0% ILubricating Oil (Petroleum-Based) MCP iList Minimal 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 6 02-012 #528 CHAIN LUBE · Fire, Delay Hlth Liquid 300 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture. Days: 365 Use: LUBRICANT Daily Ma2/GAL 300 I Daily Average GAL /200.00 Annual Amount GAL -- /800.00 Storage Press T Temp. DRUM/BARREL-METALLIC' I Ambient]Ambientl Location -- Conc~ Components 100.0% ILubricating Oil (Petroleum-Based) MCP ---/List Minimal I 02-013 PARA SYN 2000 ENGINE OIL · Fire, Delay Hlth Liquid 1500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Dai~ Max GAL 1,500 Daily Average GAL /lOO.OO Annual Amo/nt GAL- ,/3,500. oo Storage DRUM/BARREL-METALLIC Press T Temp I Ambient[Ambient I Location -- Conc ~ . Components 100.0%IMotor Oil, Petroleum Based MCP [List Minimal 02=014 HYFILM ULTRA I · Fire, Delay Hlth Liquid 1500 Low GAL CAS #: Trade Secret: No Form: Liquid / ~ Daily~ax GAL Daily Average GAL /1,500 I /1,200.00 Storage Press T Temp DRUM/BARREL-METALLIC IAmbient~Ambientl Type: Mixture Days: 365 Use: LUBRICANT Annual AmoUnt GAL , /3,500.00 Location -- Conc 0.0% IPetroleum Crude Oil MCP ]List Components 08/18/92 HYDROTEX 215-.000-001435 02 - Fixed Containers on Site Hazmat Inventory ,Detail in Reference Number Order Page 7 02-015 HYFILM PLUS ENGINE'OIL · Fire, Delay Hlth Liquid 9500 GAL Minimal CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT x GAL Daily 9,500 Daily Ave~rage GAL /7,ooo.oo [ Annual A~unt GAL /23,000.00 Storage DRUM/BARREL-METALLIC DRUM/BARREL-METALLIC Press T Temp I Ambient/Ambient I Ambient}Ambient Location -- Conc~ Components 1'00.0% IMotor Oil, Petroleum Based MCP iList Minimal 02-016 HYTORQUE · Fire, Delay Hlth 'Liquid 2500 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily ~M~9.x GAL . .,/~2,500 Daily Ave/age GAL /1,5oo.oo Annual Amount GAL -- 3,000.00 Storage DRUM/BARREL-METALLIC Press T Temp Ambient}Ambient Location -- Conc; Components 100.0% ITorque Fluid (Petroleum-Based) MCP ..iList Low 02-017 SYN GEAR LUBE · Fire, Delay Hlth Liquid 500 Minimal GAL CAS #: Trade Secret: No Form.: Liquid Type: Pure Days: 365 Use: LUBRICANT. Daily MyGAL 500 I Daily Avera,.ge GAL Annual Amount GAL /~50.00 Storage DRUM/BARREL-METALLIC Press T Temp Ambient}AmbientI Location" - Conc{ Components 100.0% ILubricating Oil (Petroleum-Based) Minimal 08/18/92 HYDROTEX .215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 02-018 PARA-SYN EP GEAR LUBE · Fire, Delay Hlth Liquid 1000 Minimal GAL CAS #: Trade secret: No Form: Liquid Daily Mgx GAL il,000 Storage DRUM/BARREL-METALLIC Type: Pure , Daily Avenge GAL I /. oo Press T Temp I Ambient~Ambient I Days: 365 Use: LUBRICANT i Annual Amount GAL ~2,000.00 Location -- C°nc CompOnents 100.0% ILubricating OiI (Petroleum-Based) MCP ---TList IMinimal I 02-019 MULTI-FILM GEAR OIL · Fire, Delay Hlth Liquid 2000 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: pUre Days: 365 Use: LUBRICANT Daily M, ax GAL / 2,000 Daily Av~'~age GAL /1,500.00' Annual Am/%nt GAL . ~' 4,000.00 Storage DRUM/BARREL-METALLIC Press T Temp I Ambient~Ambient I. Location -- Conc Components 100.0% ILubricating Oil (Petroleum-Based) MCP List IMinimal I o '-o2o MOLY-PLUS GEAR LUBE · Fire, Delay Hlth Liquid 500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Daily ~~ GAL500 Storage DRUM/BARREL-METALLIC Type: Pure Days: 365 Use: LUBRICANT I I Annual Am})~nt GAL /1,000.00 Location Daily Avergge GAL v/300.00 Press T Temp Ambient~AmbientI - Conc 100.0% Components ILubricating Oil (Petroleum-Based) MCP iList Minimal t 08/18/92 HYDROTEX 215-000-001435 02 'Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 9 02-021 GEAR OIL #711, 712, 713 · Fire, Delay Hlth Liquid 2500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily ~ GAL ~ ,500 I Daily Average GAL / 2,000.00 Annual AmOunt GAL ./ 5,000.00 Storage Press'T Temp DRUM/BARREL-METALLIC. Ambient]AmbientI Location -- Conc~ Components 100.0% ILubricating Oil (Petroleum-Based) MCP iList Minimal 02-022 GEAR LUBE #721, 722, 723 · Fire, Delay Hlth Liquid 2000 Minimal GAL CAS #: Trade secret: No Form: Liquid Daily~X GAL 2,000 Type: Pure Days: 365 Use: LUBRICANT I Daily av~age GAL Annual AmOunt GAL / 1,2oo.oo I /3,000.00 Press I Temp Location I Ambient]Ambient I Storage DRUM/BARREL-METALLIC -- Conc~ Components 100.0% ILubricating Oil (Petroleum-Based) MCP List I Minimal ~ 02-023 GEAR LUBE #724, 725, 726, 727 · Fire, Delay Hlth Liquid 2500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily ~ GAL ,500 Daily Average GAL /1,500.00 Storage DRUM/BARREL-METALLIC Press T Temp Ambient/AmbientI Annual Amount GAL 3,000.00 Location -- Conc~ Components 100.0% ILubricating Oil (Petroleum-Based) MCP iList Minimal 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 10 02-024 FULL LUBE 80W & 90W · Fire, Delay Hlth Liquid 1000 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL Storage DRUM/BARREL'METALLIC Daily Av}~rage GAL Press T Temp I Ambient~Ambient I Annual Amo/nt GAL ~1,500.00 Location -- Conc~ Components 100.0% ILubricating Oil (Petroleum-Based) MCP List IMinimal I 02-025 DEXRON II · Fire, Delay Hlth Liquid 55 Minimal GAL CAS #: · Trade. Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Max GAL Daily / 55 Storage DRUM/BARREL-METALLIC Daily Average GAL /20.00 Press T Temp I Ambient~Ambient I Annual Amount GAL 55.00 Location -- Conci Components 100.0% IMotor Oil, Petroleum Based MCP List iMinimal I 02-026 UNIV GEAR & HYDRAULIC FLUID · Fire, Delay Hlth Liquid 3500 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily ~3 ,GAL 500 Daily Avgrage GAL /2,500.00 Storage DRUM/BARREL-METALLIC Press T Temp AmbientlAmbientI Annual Amount GAL -- 6,000.00 Location - Conc~ Components 100.0% IHydraulic Brake Fluid MCP iList 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 11 02-027 PARA-SYN 70 GREASE · Fire, Delay Hlth Liquid 10000 LBS Low ./ 'CAS #: Trade Secret: No Form: Liquid Type: Pure ,000 I Storage DRUM / BARRE L- ME TALL I C Daily Ave/age LBS /8,000.00 Days: 365 Use: LUBRICANT · I Annual A~unt LBS /30,000.00 Location Press T Temp Ambient|AmbientI - Conc ! 1.00.0% ILight Machine Oil Components MCP iList Minimal 02-028 LC-65 HYPLEX GREASE · Fire, Delay Hlth Liquid 7500 Low LBS CAS #: Trade Secret: No ~Form: Liquid ,500 / \ Daily Average LBS /6,ooo.oo Press T Temp I Ambient~Ambient I Storage DRUM/BARREL-METALLIC Type: Pure Days: 365 Use: LUBRICANT i Annual A~ount LBS ,/2o,ooo.oo Location -- Conc ! 100.0% ILight Machine Oil Components MCP iList Minimal 02-029 MTP-60 GREASE · Fire, Delay Hlth Liquid 20000 Low LBS CAS #: Trade Secret: No Form: Liquid Daily M LBS .~0,000 Days: 365 Type: Pure Press T Temp IAmbient~Ambientl· Storage DRUM/BARREL-METALLIC Daily Av~age LBS /15,000.00 Use: LUBRICANT iAnnual unt LBS 0,000.00 Location - Conc 100.0% ILight Machine Oil Components MCP , List IMinimal I 08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 12 02-,030 MT-55 ACCULUBE GREASE · Fire, Delay Hlth Liquid 20000 Low LBS CAS #: Trade Secret: No Form: Liquid Type: Pure Daily ~ LBS Storage DRUM/BARREL-METALLIC Days: 365 Use: LUBRICANT Daily Av~"age LBSI Annual ~unt LBS ~15,000.00 | [ 50,000.00 Press T Temp AmbientlAmbientI Location -- Conc I 100.0% ILight Machine Oil Components MCP List IMi'nima 1 I 02-031 M-50 GREASE · Fire, Delay Hlth Liquid 7000 Low LBS CAS #: Trade Secret: No Form: Liquid Type: Pure Storage DRUM/BARREL-METALLIC Use: LUBRICANT / Annual Am~t LBS -- s 1,500.00 Location Days: 365 Daily Av/rage. LBS / 5,000.00 Press T Temp IAmbient/Ambient I -- Conc I 100.0% ILight Machine Oil Components MCP iList Minimal 02-032 #400 SEMI-FLUID GREASE · .Fire, Delay Hlth Liquid 5000 Low LBS CAS #: Trade Secret: No Form: Liquid Daily Ma.~LBS /5,000 ~/. Storage · DRUM/BARREL-METALLIC Type: Pure Days: 365/ Use: LUBRICANT Daily Ave'~a~e LBS---I' Annual /~no~/nt LBS · / ,ooo.oo .I / ,ooo.oo Press 7 Temp AmbientlAmbientI' Location -- Conc ! 100.0% ILight Machine Oil Components MCP iList Minimal '08/18/92 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in. Reference Number Order Page 13 02-033 550 & 555 FOOD GREASE · Fire, Delay Hlth Liquid 6000 Minimal LBS CAS #: Trade Secret: No Form: Liquid Type: Pure Daily LBS ,000 I Days: 365 Use: LUBRICANT Daily Av~age LBS Annual AmOng LBS -- /4,000.00 [ /5,000.00 Storage DRUM/BARREL-METALLIC Press T Temp IAmbient{Ambient I Location -- Conc 100.0% {Mineral Oil Components MCP ----[List Minimal 02-034 #670 COPPER GEAR COAT GREASE · Fire, Delay Hlth Liquid 10000 Minimal LBS CAS #: Trade Secret: No Form: Liquid Type: Pure Daily.~l'x LBS 0,000 { Days: 365 Use: LUBRICANT Daily Ave/a'ge LBS Annual Am~6nt LBS /7,500.00 I /30,000.00 Storage DRUM/BARREL-METALLIC Press T Temp {Ambient{Ambient Location -- Conc I i00.0% IHeavy Machine Oil Components MCP {List Minimal 02-035 #675 OPEN GEAR GREASE · Fire, Delay Hlth Liquid 1000 .Minimal LBS CAS #: Trade Secret: No brm: Li,quid Daily Ma/LBS /1,000 Storage DRUM/BARREL-METALLIC Type: 'Pure Days: 365 Use:' LUBRICANT { [ Annual Amount LBS- 2,000.00 Location Daily AverSe LBS /?oo.oo Press T Temp {Ambient{Ambient -- Conc 100.0% {Heavy Machine Oil Components MCP ---[List Minimal { 08/18192 HYDROTEX 215-000-001435 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order Page 14 02-036 HYDRO COOL · Fire, Delay Hlth Liquid 60 High GAL CAS #: Trade Secret: No Form: Liquid Type:. Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max/GAL Daily Average/GAL / o.oo [ Annual Amou~,t GAL -, ,/100.00 Storage PLASTIC.CONTAINER Press T Temp IAmbient~Ambient I 'Location -- Conc 8.0% ISodium Nitrate Components MCP List 02-037 %1060 GEL SOLVENT CLEANER · Fire, Delay Hlth Liquid 55 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max/GAL Daily Average GAL / .o.oo Annual Amount GAL 55.00 Storage DRUM/BARREL-METALLIC Press T Temp I Ambient~Ambient I Location -- Conc 100.0% INaphtha .Solvent Components · MCP iList Moderate 08/18/92 HYDROTEX 215-000-001435 00 - Overall Site <D> Notif./Evacuation/Medical Page 15 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation EVACUATE ANY INDIVIDUALS INSIDE THE FACILITY CONTACT FIRE DEPARTMENT CONTACT PERSONNEL AT ADJACENT FACILITIES <3> Public Notif./Evacuation EVACUATE ANY INDIVIDUAL INSIDE THE FACILITY CONTACT FIRE DEPARTMENT CONTACT PERSONNEL AT ADJACENT FACILITIES <4> Emergency Medical Plan MEDICAL EMERGENCIES SHOULD BE REFERRED TO THE NEAREST MEDICAL FACILITY. SINCE BILL PATRICK IS THE ONLY EMPLOYEE, HE IS RESPONSIBLE FOR PROPER AND ~NECESSARY MEDICAL'TREATMENT. 08/18/92 HYDROTEX 215-000-001435 Page 00 -Overall Site <E> Mitigation/Prevent/Abatemt 16 <1> Release Prevention FLAMMABLE PRODUCTS ARE STORED IN A FLAMMABLE CONTAINMENT ROOM WHICH WILL CONTAIN THE RELEASE OF PRODUCT IF SPILL SHOULD OCCUR. FACILITY IS SPRINKLED AND EQUIPPED WITH EXPOSION PROOF LIGHTS. ANY SPILL OCCURING OUTSIDE THE CONTAINMENT ROOM DURING TRANSIT WILL BE CONTAINED AND MOPPED UP WITH ABSORBENT MATERIAL AND PROPERLY DISPOSED TO PREVENT FIRES. <2> Release Containment Any spill occurring outside the contaminant room will be diked with absorbant material, with the spilled material being recovered with absorbant. Large amounts of absorbed material will be disposed of through a waste management firm. <3> Clean Up Large amounts of absorbed material will be disposed of through a waste management firm. Small amounts of absorbed material will be disposed of according to local and state regulations. <4> Other Resource Activation 08/18/92 Page HYDROTEX 215-000-001435 00 - Overall Site <F> Site Emergency Factors 17 <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - MAIN BREAKER OUTSIDE WAREHOUSE OFFICE NEXT TO GROUND LEVEL ROLL UP DOOR C) WATER - NORTHWEST SIDE OF BUILDING, OUTSIDE THE SALES OFFICE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - USE ON-SITE FIRE EXTINGUISHERS TO CONTROL MINOR EMERGENCY. CLOSE DOORS TO CONTAINMENT ROOM. EVACUATE.. FIRE HYDRANT - 150 FEET WEST OF FRONT ENTRANCE <4> Building Occupancy Level 08/18/92 HYDROTEX 215-000-001435 00 - Overall Site <G> Training Page 18 <1> Page 1 WE HAVE 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. TRAINING FOLLOWS REQUIREMENTS OF 29 CFR 1910.1200 "RIGHT-TO-KNOW" <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use BAKERHI-I~_LD (jify I-IHt:: IJI-FAI'~IMI:;N1 2130 'G' STREET j~'~ ~ BAKERSFIELD, CA. 93301 ~___~v~V (805) 326-3979 ~~, OFFICIAL USE ONLY ' ID# BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this from within 30 days of receipt. 2. 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 A, BUSINESS NAME: Be LOCATION / STREET ADDRESS: C I TY:. '~V-E~.~,,F ~ ~.-Li~ ZIP: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, ~_~ and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the Sta~e Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. SECTION 3: LOCATZON OF UTZLITY SHUT-OFFS FOR BUSINESS AS A WHOLE Ae B. C. D. E. NATURAL GAS/PROPANE: ELECTRICAL: /~/~AJ /~--E~. WATER: g.l~. 5;~c ~ g~.,~J,~ SPECIAL: ~/J~ ' LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SEcTZON 5: LOCAL EMERGENCY MEDICAL A~sZsTANcE FOR YOuR B0~ZNEs~ As A..~HOLE SECTION 6: EMPLOYEE TRAININ~ EMPLOYERS ARE REQUIRED TO HAVE A TRAINING PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE SAFE HANDLING OF HAZARDOUS MATERIALS. A. NUMBER OF EMPLOYEES AT THIS FACILITY, B. -DO YOU HAVE MSDS (MATERIAL SAFETY DATA SHEETS) FOR EACH HAZARDOUS MATERIAL YOU HANDLE ? C. GIVE A BRIEF SUMMARY OF YOUR HAZARDOUS MATERIALS TRAINING PROGRAM: 7T4~1~ 6o~oco5 ~iReJ~JTS G~: ~L.9 ~ ~qlO.~oo ~ECTION 7: EXEMPTION REQUEST I CERTIFY UNDER PENALTY OF PERJURY THAT NY BUS[NESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE CALIFORNIA HEALTH AND SAFETY CODE FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 8: CERTIFICATION accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapi;er 6.95 Sec. SIGNATUR __TITLE ~- f'O 25500 Et Al.) and that BAKERSFIELD CITY FIRE DEPARTMENT 2130 'G' STREET BAKERSFIELD. CA. 93301 (805) 326-3979 BUSINESS NAME OFFICIAL USE ONLY ID# HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 3A INSTRUCTIONS To avoid further action, this form must be returned by: TYPE/PRINT YOUR ANSWERS IN ENGLISH. Answer the ~ues~ions below for THE FACILITY UNIT LISTED BELOW Be as BRIEF and CONCISE as FACILITY UNIT · ~- ...... FACILITY UNIT NANE: SECT[ON 1; MITIGATION, PREVENTION. ABATENENT PROCEDURES SECTION NOTIFICATION AND EVACUATION PROCEDURES AT THE UNIT ONLY /~ Eu~,-<~-~ /my 1,,_,~,;,~,;~,~-~ ,,,~s/~ ~'~ SECTION 3: A. HAZAROOUS MATERIALS FOR THIS UNIT ONLY " Does this Facility Unit contain Hazardous Materials? ...... If Yes, see B. If NO, continue with SECTION 4 Are any of the hazardous materials a bona fide Trade Secret? If NO, complete a separate Hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If YES, complete a hazardous materials inventory form marked: NO YES ~ TRADE SECRETS ONLY (Yellow form #4a-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECT[ON 5: LOCATION OF WATER SUPPLY FOR USE BY ENERGENCY RESPONDERS (Fire Hydrant) SECTION 6: ~Q(;AT[ON OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NATURAL GAS/PROPANE: Be ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? KEYS? YES / NO YES / NO - 3B - I T£/FAC'f LI TY FORM NORTH SCALE: BUSINESS NAm{E: /~/-y~R,Ow~_K FLOOR: dF · ~ DATE:~/ //~/FACIL[TY ~Am{E: UNIT ~: OF (CHECK ONE) SITE DIAGRAm{ FACILITY DIAGRAM PAVED LOT WAREHOUSE.~; i~l ! VACANT LOT ASH ROAD WEST. ( Inspector's Comments): -OFFICIAL USE ONLY- - 5A - I TE/FAC I L l TY ~' O 1~1~[ I~ DI NORTH SCALE: BUSINESS N~'4E: DATE: / / FACILI25' ~E: ~ YD~.D 7E X FLOOR: UNIT t: OF OF (CHECK ONE) SITE DIAGP~%W FACILITY DIAGRAM I( Inspector's Comments): ............ .59 FZ'~T ............ S. LUBES -OFFICIAL USE ONLY- - SA - t,u~:n-l]un:... ~,~1-,~ J2r~;r~lC~F BLV~) ADDRESS: PO ~ 5~o7o~ STANDARD IND. CLASS CODE ~/~ CITY, ZIP: ~A~l~b ~33t ~ CITY, ZIP: ~A~&~ ~ ~ ~ ~$~=~,-~ DUN AND BRADSTREET NUMBER ~ ~ ~U~ZO~ ~W ~OP~ COD~ ~lth of P~m ~lth ....... : ~lth of P~ ~lth H~lth of P~s~ ~lth '-- - .... Hfllth of Pr~sure Hellth .......... . ...... Cerllficatten (Read and siRn after coeplet~Jn£ all sections) .... ~li'ST~;~ ............................. CITY of BAKERSFIELD HAZARDOUS MATERI ALS INVENTORY LOCATION: (e"~(~(--~ ~F'~'CT~t;I_~J~ ADDRESS: ~'~.~-- ,/~ .S-(o07~97 STANDARD IND, CLASS COD~ CITY, ZIP:F~Aff~Ft~.~ qJJt..~ CITY, ZIP: ))~lZ~. ~, ~-~ DUN AND BRADSTR~ET (~e [~e ~t ~t [It ~itl m Site I~ ~1 I~ ~ .. St~ In F~lltty ~ ~ I~t~tiw of Pm~ hlth ~ u ~ t c.i.s. ~ I~% ~~[ ::~L~J...~_...J....~.~. .... J_.~. .... J.~.~.~..L~_~_~..~/I/~~~ ~' ~4~ ~. ~lth of P~ ~lth ' : ...... P~tc.I ~ ~lth ~t.~ C.A.S. ~ ~t II h i C.I.S. ~ .aI.~_I.~._LL~S.~_..L~:~..J~S. s~,i~_L/ ~_1~ ..... a/: ~ ~,.~'< ,,-,.,,,-,..,,, . .................... ... - , Nfllth of Prfllurl Health .............................................. ~t I~ ~tC.t.5. li~'~ .............................. 7 .... ,.~i ..................... H'R~'P~ ........ ~ .......................... 11t11' "~ Certlficltio~ (Reed and si£n aftcr completinK all sections) I certify uflder penelty of 1~ t~t I ~ve ~re~ellye.~in~ ~ ~ f~tlilr .iCh for obtiining t~ tnl~ti~. I ~lieve t~t t~ lu~ltt~ inf~ti~ il t~ ~curltl Ni~' i~a'SUlEl]l'fl11i'SV'~i;~;;TS;'On'~;75~iTS~ i'~[~;ii~';i~[iil;i 51~~-~'* ............................ ,,,.~.~z:ff_Z .................. P: ~E~l~Cb ~/& . _ CITY, Zl~l .~C~5 ~ 753~-O7~7 DUH AHD BRADSTREET HUHBER ~r~ ro jnsr~vcrJo~s ton r~oe~ co.~s H,ehh of Pre.ore. · . H~lth : ..................... & .................... r~'s Jell II'heel ,11 · 'J f Ire ICheck ~11 f -~ Fire · I1tll ................ II'ltr~! ................................................ Irn~ l~! ......... I ?fitly ,lnder omeJty Of lam lLhat J h~ve gtrS~slly t~omlnld and ii hmlil, vlth t~ Inlora~tl~ lU~lttd In this I~ ill IttlclM d~ui~tl, Ind Iht hosed m ~ Inquiry of t~le Indlvldulll rel~slbll Io( obtMni~9 the IMotmetl~. J believe t~t the submitted Jflforiltl~ JO true, Iccurltl, ~d emplote. f~rm and ~9ricuhure · '~ -:~ CI~TY, of BAKER3FIELD ~ }{AZARDOUS MATERIALS /"~,K~.P'-ig'F'~-"K OWtI£R N&HE,.tc~.O' d IILtJ$ I IIt$~ IIAH£: .......... nr.,o,., ,r-.c,,. o~x. ,-5a}o7o? 8IAHDflRD IIID. ~l~S9 CODE $/?,2.. Code Ant AmC Est Unite m Site ly~ Frill ,.~ tM, .. St~,' lo IlcllltF tN~ NoNI of NlKturl/C~om~t~ / .,,..,...,... ,.,, .................................................................... El,~ /~o ~-- ~ 1~.1"' · , t; I1¥ PIIOll I ode Ifheck r)i'sicol (£1~ect rl)sic6l (Check wEKGINC~ CONIACIS Il .... -- '-- .............. Illll --' .......... t. ertilicltlon (Rend and SIRs nitcr COAl)Jet I.~ III sectIonsl :,,lily ,ifl~er eeqllt¥ of Jew this I hive personally e,esinsd lnd Ia leallllr ,ICh tho Infornetlo, I luhlttod lA thll omi Ill IttlChOd docunmtl, lnd that kneed m ~ Inquiry of those Indlvlduele responsibl lo, obtaining the Ifllornatlon. I believe that the lubnltted Iflforsltlm Il true. e¢curltI0 l~d cenpllte. CI, TY, 0.[ IIAKEI 'SFIELD · '~--, IIAZARDOUS MATERI ALS I NVENT.OPTY ;; i:" ''''~ ' '~,' :..... I .... , , · s Page ...~. of .... /¢ · P: ~AKE~FIACb ~1,~ CITY, zl~i .~C~5 ~ 7S~-O7~7 DUH AHD BRADSTREET HUHBER hat Ipply) Health al trailers. · . H~lth ....................................... Cm~t tl N,~ i C.I.S. Nuebor ' Health · el fr~lurg ,illth I hat Ipply) / ' . : azerd c--J Reactivity c--J OelAYtdHealthC--J ~dd~of Prlllurltlllll/ t--J I~dlJtlHlilth CM~t II h. I C.l.I. ,u.hr .............. .... -- ~ ...................... ~ .... I.[)[:AT 1OII: (: ITY, Zi PIIOIIE #: Ir S'11 lyDe r, o4e Code - ' ! ire (Check iii k J f Ire ICheck all lllli-''='- ''''='' ''-' ........ I!'flF'FE~t ..... lilt ......................... ittli ................... I~'nF'H~I ......... Lertillcition (Read and sJF. naltcr coaplethllf Ill sections) I :ertlly ,jn:~er o~altr of Jo. that I hs~e oersonellV emoeinla end Iq fusilier .lib t~ Informatl~ luhlttd In thll IM Ill Ittlc~ dKu.~tl, end the baaed ~ W Inquiry el t~ll Individuals resp~slbtl Io, obtaining tho Inlor,atJ~. I believe t~t the submitted Ifllorlltl~ l! true, lCcuIIIt, Nd e~plltl. ' ! t ; I I $ I I ;:';' I ' t Il II II ~o~e Code Asr ht Est Units m Slit ly~ Prell t.p C~e .. Stored In ficlllt/ ~/~J._L~.I..z~__.I~_m_~.:I~M.~I~ J~. I~ I~:%.J. ..... ~ .......... ,_,..,..., .... - ' fi,, .~t,,d L_J Re.ctlvlty c ] ~ddfn IIIllll [:] I~lptI of Frflsutl. · . H~lth :" resident I~1 PeN & C.A.S. Number t~,po~t I1 NiH S C.t.S. Number rl~)sical i.d HeAlth #alerd ICbtck ~ll t~t Ipp)y) . .: ;:. r - ~ firm Halud [ -] ~lmctJvlty [ r-- ' .... [ ...... I .... ....... r)).stcil lad Heolth Hat.d C.l.S. ktbr b~mt II lin I C.l.S. lus~r I~heck ill that apply) / : ~ J Fire Haloed L--J Reoctlvl~) L--J Oeloyrd L--J ~d~ I~lf.e L_J I~lltl H. hh of Pr.furl hllth to, p~flmt I1 lin t C.l.S.h.l~r Co, lx~t Il limn I ¢.A.S. Mu.hr ~..t Il Ha,, I t.A.S. #umhr II , It No,,i of #lxture/Co~oo~entl Set InstruCt tent I .................................................. - ..... ~--- - ...................... a ...... ~: ........ J ...... ,,~,,:.,,~,..,~..,.d c.x.:.,,.~ · c~,,~ ,,.&C.A.S.,.~. 1~; ~)1 ; ~ ~ //-.- I I(heck oil that mpply) I ~. ....... .... , ...... - ~ r - ~ r ~.. r - · r - · impel ti Ii. I C.l.I. Wdm~r 1- o /$) / / ~ ~ ' ] ' -- a fire Hafard c--a Reactivity c--J Oeloytd C--a ~dd~ Malaise L--J I~dl,t. ~'/. I1~ ~ ~,, ~_ F) _ _ /(N'i I Hfllth of Pressure Health f~< :-~ ..... % ~-% ~- ~ ~--~Y~ .... ~-~ .... ~.~.c ~ ........ I.~ .... .. ' ON.mt Il h. I C.l.S. Munbr / I ' .i;; . ' ......... lltll ........... /I'RP'P~I ..... II~ ......................... lllll .................. ~' Irlrt~! ......... Lertiiicotion (Read and sIR. elect camph~tl.ff all sections) fo' obt6inlnq the IflforaatJ~, I believe t~t t~ tubnlttld IflforlltJ~ ti tru,, ICCUrltl, ~d emplltl. SI~MIG;t .................................... ~ ......... Dill'Sinai! ............................... Hfllth . al ~r~ure Pe~lth ~ r--a r--3 C~I Il h~ IC.A.I. Health of Pr.sure Hlllth ....................................................... , ..... CITY, Z l)ll[)ll£ I: Ir ~,~ r. o4e Code rlisical smd I(htck Ri;; IIili ............ II'IIF'K~I ..... lr,r'P~l ......... ?riley under omalty of lo, that I ho,e personally I~llJflld lad Iq liillllr vlth t~ Inlorm~tl~ luhlTtd Iff thll I~ Ill IttlC~ d~ummtl, Ind the bllld ~ ~ Inquiry of t~ll Individuals rll~llbll obtaining tho Inlorsatlm. I believe t~t the submitted Ifllormltl~ Il true, Iccorltt, ~d cmPlltl. Oitl'Sq;H ...................... ' ........ PUY$ I IIE.q.q ilAHE: I.OChT CITY, Z PIIOII£ m I r ~.o4e Code ~ ro ~.r~vc.o. ro~ VRoV~ co.s ,,..,,~ ,,,,~d C.~.~. ,,,~ . · · · ,:...~ ..~~.f~~.~..~ HsN~d L_3 ~llctlvity -- that .ply) . · ' ! ire ica I ] Ir Itl r)).sicll a F Ire rl)sicol ICheck al r - ] ~lre f. ertilication (ReAd and siRn sftcr co~plnti.g ail section$~ ?rtily ,jn~er Oeqelly Of II. that I hive elrsonIIl¥ I.~Inld end Ii fiellllr Elth the Inloraslloq lul~lttld la thlI eM II1 lttlchl(I doeuimtl, In~ that bllld o~ ~/ Inquiry of INII IMIvldulh rllpmllbll obtaining the Inloriati~, I believe tnt the luSnlttld Inlorlltl~ II true, ICCUrltt, ~d emplltl. ' ' R;;;;N-~IIi~iiFIiIli'~F~;~T;i~i;iTFOF~;~i;I~;FiI~FTi;IU;IIiFii~;IiiUiII;I SqRitO;j .............................................. lill'Sq~il ............................... ·" "' '~-, }tAZARDOUS MAT~RI ALS I NV~NT.O RY' la,~, ~.4 loricul~ur~ Stand, cd Business i.i': '~: '~,' :.....I .... ' ' , · ' ~ ~ .~..I .... ~r~ '~ " I.or;~T 1011 ~JP:__~f~FIELb ~3~/5 CITY, Zl~ ,~5 ~ 75~$~-°70'7' DUH AND BRADSIREET HUHBE~ ' ! . , . , SIs Iflst~.~ttmt ' ,. I~:~-~I/_~_~.~_j.~P~_pJ~l.~.~l~J_~ I '~ l.~-J..:2 ........... :'. .................. ~_~:.~.~~/~.~~_, ~.. .,_ . , ,~,~~~ ~ ~/~ ~ ~/~ ~o~~?.t ~. .I.Zp.q~.I..~E~I2Z_~.I~DI~Z~_I~_~~2~I ................................. ' ...&=_~P__.~,~ ........................... ,,.,.,, ,.,,~ ~ ~.,,, ,..,,.,.,.,.~. r~ A~~/~~~ ........ ]~l?~_...[:~.~..l_~t~-I_~! / ' [~ l~ [ ....... .._ ~ ~ ~. ~..~~ .......... I t~at epply) : ' r that apply) _ ..... .. C~mt Il NiN't C.A.9. nuahr PIIOIIF I Jr ri,) s ica I ICl~eck al} t 'J f '~I:~l ICheck all c -- j~ f Iff rll$icll ICheck all -~ f Ira ' . II111 ......- ..... II'IIF'Pt~N! .... .,u ,,,,, ..........7 ....... ;T'm".dm! ......... I :,,lily un,er pmslty of I,. that I h~ve personally sKemtfltd lad lq leqllllr .Irk the Inlmmqtloq lubeltted I. thl, and Ill Ittlyhed docummtl, lsd that blspd on ny Inquiry af thOSl Individuals responsible Io~ obtaining the Inloreetl~. J believe tl~{ the subaltt.d IMorJltlon II true. IccUrltO. Ind tonMlte. n;;;.~;a~i~.~i.U.~;~i~i~i~.M~;~U~B~i~i.i~iF~H~H.~i~M~iM~;~ $1jMI~i .............................................. Jili'$1jNtl ............................... f~r~ ~.d Igrlculture ' ' Stendard ~uel~ell CITY, Z i P: ~SA ~E~3._ Fi£Lb ~_~!.~ of BAKERSFIELD flfllth of fretiure · . K~lth :" I(~eck ~ll t~t Ipply) :: (CI,eck ill that opply) / : tMpe~ant 11 lin | C.l.I. lumber · Co, no, at Il la# I C.LI. #usher Cpp~.~t II NiH I C.A.S. Number Il It See Inltructlonl Lertilication (Read and siRfl after completinR full sections) I :ertliy un:let D.~alty of low thfl I hs~e oersonolly I,Imlnld end 1¢ familiar with t~ Infarmqtl~ lu~ltt~ la Ihll Id Ill IttlC~ d~um~tl, end tht bllld m ~ Inquiry of t~ll Indlvlduoll rllp~llbll lo, obtoini,9 tho Inlormatl~. I believe t~t the lubmltted Inlorlltlm II true, lcCUrltl, Md emplitl. ~;;;.;~a~;;;;~.~.~;;~;~;;;~;~R~6;;;;~;;~i;T~G~;~i~;i~;iii;~;~ SIi~iIG;j .............................................. OHi'SliMa ............................... '~ ~ t{AZARDOUS MAT]~RT ALS ~1~ NVENT.ORY' ;;1"* ' ':': -'~,' ::....I .... ...... · ~ Fqe ~ ol -. ~ Code let l.t [St Units e ly~ Prell ~P C~e .. ]tared la lecllltl See Inltructlml ' HII Jib 'OJ Pr.lure Health ~eck iii that apply) : ......... · ...... ~ }ire Hazard L--J Reactivity ~ --J ~dd~ itel.se L--J I~dl;tt Of Prlllurl Health Cp~mt II R~;~ ........ ' .......................................... IT'ItP'Fr, I~I ......... I. trtilication (Re~d a,d sIR. aflcr coapJetinR all sections) I ?rally ,jrt)er peqalty of law that I bays personally a,aeinad and aa laelllar ~lth tl~ Inlataqtlo, I lubelttd In thlt I~ all ettache6 do~uJlntl, ina that balld o~! ~ Inqulrl of t~ll Indlvldulil rel~slble lo. obtatni.g the Inloreatl~. I believe t~t the lubalttld Jnlorllt{~ Il t/vi, lccUraJl, ~J cmplltl. ' '~., ~ tlAZARDOU~ MATER:]: ALS :E NVI~-NT.ORY' i:I.',. -:: .'~.':.....I .... .......... .' hg~ ~ · . ZIP: ~A~FI~Lb ~/~ CITY, Zl~t .~Ac~5 ~ 7~-o7o7 DuN AND BRADSTREET HUMBER ~R [0 IHSFRUCFIONS FOR ~ROP~ CO~S ; ! I 5 t 1 '~:';" I ; t Il "'11 ' "11 Il I Ksq Ay roe A~.uoI ~easurt I I :'~ C~t C~t ~t UII t~itl~ Nhtrq ~ by NaN. of NIKIvrII~G~tl ~J..~ .... A._.~__I__~.~....~.I~.~:~L ~. J~ l~J. .................................... ~~.~.~.~~.~ ..... - ............. ~ o o .~.~.~. .~ ,~,, ,~ly) / : /~ ...... ~ .... ~:.~.~---. ............... . ............ ,,.. ,.,.., ~_~ ,...,,.,,, ._~ ~,.., ._~,.~,,,,,., [_~ ,~,,,,,., ~: ~._.~~.~.~.~~~.. ~ ....... ' C=~Kt ,I ,~ I C.I.L ,u.b~r ~_~/' ~ /~ · _ ~ / / / .~:..! ............. J .............. I ............. ~~--~--l~--~ ........................................ :"~----~ ...................... : ............. :,,,~,,,,.,,,,,,.,, c.,.,.,.., --.,,, ,-,,.,.,.,-.. ~ ~~~~.~:/ :k all that apply) : *'*~"1 Fire Ho~ard L--J ~eactlvlty L--J Ofl~yfd L--J ~dd~-~ehlse L-J I~l~l ...... ~ ..... ,..,,, o,,._. ,,,,,, '--'" "-".'.'-'-_ _. 11 ~het ap~lv} '- ...... ~: ................. ~lre Hazard L--J Inactivity L--J Oelev~d L--J ~d~ I~1~1 L--J Iw~l~tl ... Healt~ e~ lrlllUrl ~llllb ....................... PIIolIE I Ir 1'iS r~,} S ICheck r)l. sical (Check I. er~iftcatlon (Read and si~,. a~tcr conplntilaf~ ..11 I ?retry ,jilter o~alty of lo" that I ha~e personally Ifoqiflld Ifld Iq filllllr .Ith t~ Inl0reqtl~ luNIttd Iff thll I~ ill lttlC~ d~ua~tl, and the bssed M ~ Inquiry 01 t~ll Individuals retpmslblo Io. obloifliflg tho Inlor.etJ~. I believe t~t the sub, ltt,~ Ifllorlitl~ I1 true, ICCUrllt, " 0.[ BAKERSFIELD ' ... ' c?r¥ : "' }tAZARDOUS MATE~I ALS I NVENT.ORY' i;i':z "~ "~" ::....1 .... , . '~ ~q~.of .... I,OCAT ] 011 ~3R ~0 ZHS~R~CTZO~S ~OR ~ROP~ COMBS Ret Ant Est Unite ~ ~l :.' Cmt C~t mt NiNe of NlxturelC~om~t~ Site ly~ Frill 51l Inltruct Imt ~erd [--J Reictlvlt~ c--J ~layr~ [--J ~ddfn ~elee~l I~dtptl . ~. Health el Preffure. · . ~Mllh .... Heallh Haiard C.A.S. bhr bGmt II NoN I C.A.I. luuhr ~,~ ozard c--J Reactivity L layrd L--J ~dd~ lelelse L--J Hflhh ol tr~ssurl Heelth C~K~ II N~N I C.A.I. Nu~hr ' CITY, Z i'IIOlIE I: Ir $,ls lyPe r. ode Code f' /~l*.al 1,id f I,.~ ~11 rl,}s ical ind ICfisck all · -- 'J lire ri).sical ICheck all J F Ire rllsicaJ ICheck -- a f Ire nS:; ........ lilt ........................ lltll ............... lrnrtml ......... f. ertilicltion freed and sl£, a/tcr compJetlnlf aJ/ sections) I :ertil¥ ,jilter Deqelty of lo. that I hl~e olrsonally e.ealnld lad la fiillhr .lib th Infora~tl~ Ivhltt~ In Ihll I~ Ill IltlC~ dxue~tl, Ind Iht blSld ~ q Inquiry of t~!l Individuals rll~slbll Ior obtaining the infor,ati~. I believe t~t the lUbnlttld Infor'lltlm h true, llcurltl, ~d capllll. " IL, tKEI~SFIELD ... ' c/ .r of and Ag, icuitur, . , Standard 8usinea, ~XAZARDOU~ ~AT~R~ ALS ~ NV~NT.O RY i;i',: -:~ '~,' ::....I .... ZIP:~~t~Lb q~l.~ CITY, ZlPI ~c~ ~ 7~3~&-~7o7 DUH AHD BRADSTREET HUHBER ~ TO IHSFRUCFJON~ FOR ~ROP~ CODB$ -- -- -- ~ J I 5 I I ;:':" I ; I II II I! 11 ~ Aat Ant [st Units ~ Site ly~ Frill I~ C~ .. Stored In ~ecllltl Nt~ See Inltructlml .I...~_~:_...l.._~_~_ .... J_.~I~l ~1 ~j'~l ~/~ ~~ ,~,,.,,,,,,,,,, ....... ~-;;---: ........................................ : ...... ~ ...... ; ........... ~.__~ ................... , ..-. , , · · , N ~r ............. ~ont II I,. lC.l.S, hub. ~_0/ - - - ~ ' // , , .,, ,. ,,, /. ,: ~[e .~:Z:.&.. [~(~.q_~ ......... [- n r ~ . r- · - r' ' ' Cm~Mt !l hN I C.A.S. Nuihr o ' .eolth . of ,fi,re HOillh j ....... ~0~~ ....................................................... ~.. ............................ ~ ...... ~~ e.~:¢~ '"""~'~"',"~ - c.~.~.,..~,~ ~-~, ,,.~.~L,..~, ~oy '~ / ~ / '~ ~'-~'-:7 ......... .,~., ,,,, ~ / .: . ~.~ .~~~~/~~_~_ ...... Health OI Proslure Plllth ' ' ~;% "~"~ '----~'----? C~t II lin I C.A.~. Nua~r i~/~~~l// //t / . c IT'/, I'IIOIIE ~.o4e · -' f ire ri'is ica I IChtck all r~).s ica I (Check · ~ F Ire ~J..~ rl)sicai a~4 ICheck all · -- F Ire n(;GENCY Ler~ilicatio~ (Rend and sJRn after complr, tlnR ail lectlonsl :ertllv ,jn~fr penalty of lev that I ha.e personally e,oainld efta Iq faellhr ~lth t~ Iflforsqtl~ lo. Ired Iff thll l~ oil Ittic~ d~un~tl, and the baaed m ~ Inquiry off t~ll Individuals rllpmllbll obtaining thl IflformatJ~, I believe t~t the submitted Ifllornltl~ II true, lccurltl, Md ImPlore. fare and 19ricultur! L._J Standard Business mt(mE ,: ~_~-~7q "' of, BAKERSFIELD · : .: c/r.,r (/ }tAZARDO US MA'~' P'- R T ALS i;i": ':'~ '.'~.' ::....I .... ~ ro s~sr~crsons ton r~or~n con~s r. ode Code [I /1~:11 t,ld I ( la,,:. J, 411 - -' I its INV~NT.ORY S1'AHDAnD Illn. CLASS CoDE ~'/ DUH AHD BR&DSTREET tlUHBER her 4pply) ,: _ . Ifard c _J Reactivity L--J Oeleyrd L--J ~dd~ lelelll L--J I~tpfl . ~~.~_ Health of Prosier.. '-. H~lth ." . ....... ' He. Jib ' Of frfllUrl RHIIR i ' '-- n -- ........ hat apply) .... . : .... He,lOb of Pm,ur, h, lth C~t II I~N I C.A.]. ,u.hr ..................................... [ ..... Hellth Halard C.A.S. hat .poly) · ' ~6;d L_J aeocllvltr L--J De14yrd L--J ~dd~ Relfls. L--J I~dlpt, Health el. PrlllUrt glllth CM~mt II NlM i C.A.a. Numar ........................................................... rl,ysical I~heck all · J fire rl),$lcel end (Check all t J F Ire ICheck all ~' -- '~ f Ire Iii;i lllli' ............ II'RF'Fr~I ..... Irnr"ir~AI ......... (.ertilicalion (Rend and siRn aftcr cotapletlelA all ascii,ne) I :ertlly ,enter Oeqalty Of II. that I have airs.Holly I.oainld end la Jiillllr Milk th Inforintl~ luhlttd In thll OM ill Ittlc~ d~u.~t,, and th~ bud ~ M Inquiry of t~ll Individuals rls~slbll Io,-obtaining the Inlormatl~. I believe t~t the submitted IflJorlltl~ Il true, lCCUrltl. Md tmplltl.