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Home My WebLink AboutBUSINESS PLAN ;~~~: ~,~7 ~ ~ I i' KERN RADIOLOGY SAN DIMAS ~ ~ .i~ ii 3535 SAN DIMAS #2 $fP11 ern I~did~, Sui~ ~ &~O 3535 San Dimas 34th Street · Fire Hydrant 0.05 0 0.05 0.1 Miles Kem Radiology San Dimas Site Diagram 3535 San Dimas, Suites #2 & #10 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE Permit ID#:: 015-000-001922 KERN RADIOLOGY SAN LOCATION: 3535 SAN DIMAS 2 This _~ermit is issued for the followin_=: I~ Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661)326-3979 FAX (661) 326-0576 Approved by: . Exptratmn Date: OfficeofEvironm~tt~Sgrvices ~' :June 30. 2003, Issue Date KERN RADIOLOGY Manager JOYCE AYERS Location: 3535 SAN DIMAS ST 2 City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: ~ BusPhone: Map 103 Grid: 19B SIC Code: DunnB SiteID: 015-021-001922 32.G, ~G,O6 (661) tip' CommHaz Minimal FacUnits: 1 AOV: 1 Emergency Contact / Title Eme ency Contact / Title JOYCE AYERS S MANAGER - J RY STURZ / CEO Business Phone: (661) 3 6454x Business Phone: (661) 326-9600x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone (661) 342-6212 Pager Phone (661) 619-7275x Hazmat Hazards: React Contact JERRY STURZ Phone: (661) 326-9600x MailAddr: PO BOX 2388 State: CA City BAKERSFIELD 93303 Owner KERN OLOGY MEDICAL GROUP INC Phone: 61) 396-9600x Address 2301 S DR State: CA City BAK SFIELD Zip 93309 Period to TotalASTs: _ ~~1 Prepare TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ENTD F E B ~ 6 2007 Based on my inq~lrti Af ttioaa individuals responsible for obt i i a n ng tl~e in~r-~~}tipn, I certify under penalty of qaw that t h~vq personally examined and am farnlll€~r with thg information submitted and bell cavQ the infarmatian is true, accurate, and comps te. ~ Si n t °'~°°°--- ° g a ure Date ~'° -1- 02/02/2007 F KERN RADIOLOGY SitelD: 015-021-001922 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE F~ R L 5.00 GAL Min -a- oa/oa/aoo~ -3- 02/02/2007 i4 . F KERN RADIOLOGY SiteID: 015-021-001922 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMO NAME / CHEMICAL NAME WASTE FIX Days On Site 365 Loca n wi hin this Facility Unit Map: Grid• DAR OM CAS# STATE TYPE PRESSURE TEMPERAT CONTAINER TYPE Liquid Waste A ient Ambient PLASTIC CONTAINER OUNTS AT TH LOCATION Largest Container Daily ximum Daily Average 5.00 GAL 5.00 GAL 3.00 GAL rltiGriRLV V .7 1. "1 1V A1V 1 A oWt. RS CAS# Silver No 7440224 lltiGtiLCL ti. 7.7 L~.7 J1"1 V 1.7 TSecret RS BioHaz Radios tive/Amount EPA Ha rds NFPA USDOT# MCP No No No No/ Curies R / / / Min Iti~~- -4- 02/02/2007 ;~ ,. F KERN RADIOLOGY SiteID: 015-021-001922 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/18/2006 ~ PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY RESPONSE COORDINATOR. NOTIFY THE FOLLOWING NEIGHBORS: CHP, OFFICE OF EMERGENCY SERVICES, AND THE NATIONAL RESPONSE CENTER, CALL 911, GENERAL ELECTRIC, CALIFORNIA IMAGING SOLUTIONS. USE PUBLIC ADDRESS AND FIRE ALARMS. Employee Notif./Evacuation 02/19/1999 ALL EMPLOYEES ARE TO EVACUATE THE. EXIT NEAREST THEIR LOCATION. Public Notif./Evacuation 02/19/1999 ALL EMPLOYEES UPON EVACUATION ARE TO MEET AT THE NE CORNER OF THE PARKING LOT. Emergency Medical Plan 05/18/2006 ~y ~~7~/S/Ci (Jvw ~.~" ~~S ~Cc~~l~• P~~Y,€ I~I~li~''-R ~~Sr' '-'r rm sP~= -~-~`a~-H@~R~ HALL AMBULANCE , GOLDEN EMPIRE AMBULANCE, MEMORIAL HOSPITAL, AND/OR EMERGENCY ROOM, MERCY HOSPITAL AND/OR EMERGENCY ROOM. -5- 02/02/2007 F KERN RADIOLOGY SiteID: 015-021-001922 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention- 05/18/2006 ~ WASTE IS STORED IN RED AIRTIGHT HAZARDOUS WASTE CONTAINERS. PROCESSING CHEMICALS ARE STORED IN PLASTIC CONTAINERS. Release Containment 05/18/2006 50 POUNDS OF KITTY LITTER ON PREMISES AT ALL TIMES. HAZARDOUS WASTE CONTAINMENT KIT AND CLEAN-UP KIT. Clean Up 05/18/2006 SPREAD KITTY LITTER, USE SQUEEGEE AND DUST PAN. INSERT INTO HAZARDOUS WASTE CONTAINER, WE HAVE CONTRACT WITH BFI HAZARDOUS WASTE DISPOSAL CO. v1.11C1 L<CAVLL1 l~C ril~l.lVQl.l V11 -6- a2/o2/2007 .. ,. F KERN RADIOLOGY SiteID: 015-021-001922 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, v~c~.iai aza~aiu~ Utility Shut-Offs 07/14/2006 A) GAS - OUTSIDE N BACK DOOR B) ELECTRICAL - CENTRAL HALLWAY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 07/14/2006 PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS: MAIN PATIENT WAITING AREA AND MAIN HALLWAY. NEAREST FIRE HYDRANT - 34TH ST & SAN DIMAS S SIDE OF 34TH ST. Building Occupancy Level 07/14/2006 ~~ 5 EMPLOYEES -7- 02/02/2007 _ /V ~ KERN RADIOLOGY SiteID: 015-021-001922 ~ Fast Format ~ ~~Training Overall Site ~ ~ Employee Training 05/18/2006 ~ MSDS SHEETS ON FILE IN A COMPLIANCE BINDER. BRIEF SiJNINIARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED ON CHEMICALS ON SITE AND ON ALL MACHINES. THE EMPLOYEES ARE AWARE OF FIRE AND EVACUATION PLAN AND HOW TO RESPOND TO ANY EMERGENCY. rayc ~ Held for Future Use Held for Future Use -s- 02/02/200 ~~ --== ~s atgo~ + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + Manager DEBBIE THOMPSON Location: 3535 SAN DIMAS ST 2 City BAKERSFIELD CommCode: BFD.STA 04 EPA Numb: BusPhone: (661) 633-5740 Map 103 CommHaz Minimal Grid: 19B FacUnits: 1 AOV: SIC Code:8011 DunnBrad: -*______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title DEBBIE THOMPSON / SATELITE MGR LOIS ELDRIDGE-LEE / OPS MANAGER Business Phone: (661).633-5740x Business Phone: (661) 852-2440x 24-Hour Phone ( ) - x 24-Hour Phone (661) 587-5799x Pager Phone (661) 201-2379x Pager Phone (661) 201-9611x Hazmat Hazards: React ~~ Contact LOIS ELDRIDGE-LEE Phone: (661) 852-2440x MailAddr: PO BOX 2388 State: CA City BAKERSFIELD Zip 93303 Owner KERN RADIOLOGY MEDICAL GROUP INC Phone: (661) 322-1981x . Address 2301 BAHAMAS DR State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: STE GEN ~~ EN~'~ BAR ~ 2007 ~r~, c~~o r -1- 05/18/2006 _'~'~- :~ t ~- ~. ~~ + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + += Hazmat Inventory _________________________________________ By Facility Unit + +_= MCP+DailyMax-Order ______________________________ Fixed Containers at Site + Hazmat Common Name... ~SpecHaz~EPA Hazards Frm ~ DailyMax ~Unit~MCP~ ~ WASTE FIXER R L 5.00 GAL Mini -2- 05/18/2006 -3- 05/18/2006 n + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + += Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WASTE FIXER Days On Site 365 Location within this Facility. Unit Map: Grid: +----------------+ DARKROOM I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Waste ~ Ambient ~~ Ambient ~ PLASTIC CONTAINER ------ ------- - --------------- -------------- --------- +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 3.00 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+_=_+_______________+ %Wt. ISilver INoSI CAS#74402241 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No l No/ .Curies l R I / / / I I Min -4- 05/18/2006 + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + +_________________________________________________________________ Fast Format + += Notif./Evacuation/Medical ____________________________________ Overall Site + +_= Agency Notification ___________________________________________ 05/18/2006 + i PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY RESPONSE COORDINATOR. NOTIFY THE FOLLOWING NEIGHBORS: CHP, OFFICE OF EMERGENCY SERVICES, AND THE NATIONAL RESPONSE CENTER, CALL 911, GENERAL ELECTRIC, CALIFORNIA IMAGING SOLUTIONS. USE PUBLIC ADDRESS AND FIRE ALARMS. +__= Employee Notif./Evacuation ___________________________________ 02/19/1999 + ALL EMPLOYEES ARE TO EVACUATE THE EXIT NEAREST THEIR LOCATION. +___= Public Notif./Evacuation ____________________________________ 02/19/1999 + ALL EMPLOYEES UPON EVACUATION ARE TO MEET AT THE NE CORNER OF THE PARKING LOT. +____= Emergency Medical Plan _____________________________________ 05/18/2006 + PHYSICIAN ON PREMISES DURING ALL BUSINESS HOURS. HALL AMBULANCE, GOLDEN EMPIRE AMBULANCE, MEMORIAL HOSPITAL, AND/OR EMERGENCY ROOM, MERCY HOSPITAL AND/OR EMERGENCY ROOM. -5- 05/18/2006 + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + +_________________________________________________________________ Fast Format + += Mitigation/Prevent/Abatemt ___________________________________ Overall Site + +_= Release Prevention ____________________________________________ 05/18/2006 + WASTE ~IS STORED IN RED AIRTIGHT HAZARDOUS WASTE CONTAINERS. PROCESSING CHEMICALS ARE STORED IN PLASTIC CONTAINERS. +__= Release Containment __________________________________________ 05/18/2006 + 50 POUNDS OF KITTY LITTER ON PREMISES AT ALL TIMES. HAZARDOUS WASTE CONTAINMENT KIT AND CLEAN-UP KIT. +___= Clean Up ____________________________________________________ 05/18/2006 + SPREAD KITTY LITTER, USE SQUEEGEE AND DUST PAN. INSERT INTO HAZARDOUS WASTE CONTAINER, WE HAVE CONTRACT WITH BFI HAZARDOUS WASTE DISPOSAL CO. +____= Other Resource Activation ______________________________________________+ -6- 05/18/2006 z + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + +_________________________________________________________________ Fast Format + += Site Emergency Factors _______________________________________ Overall .Site + +_= Special Hazards ___________________________________________________________+ +__= Utility Shut-Offs ____________________________________________ 02/19/1999 + A) GAS - OUTSIDE N BACK DOOR B) ELECTRICAL - CENTRAL HALLWAY C ) WATER - D) SPECIAL - NONE E) LOCK BOX - NO +___= Fire Protec./Avail. Water ___________________________________ 05/18/2006 + PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS; 1 - MAIN PATIENT WAITING AREA, 2 - MAIN HALLWAY. NEAREST FIRE HYDRANT - 34TH ST & SAN DIMAS S SIDE OF 34TH ST. +____= Building Occupancy Level ___________________________________ 05/18/2006 + 10 EMPLOYEES -7= 05/18/2006 ~~ _ :~ + KERN RADIOLOGY ______________________________________ SiteID: 015-021-001922 + +_________________________________________________________________ Fast Format + += Training _____________________________________________________ Overall Site + +_= Employee Training _____________________________________________ 05/18/2006 + MSDS SHEETS ON FILE IN A COMPLIANCE BINDER. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED ON CHEMICALS ON SITE AND ON ALL MACHINES. THE EMPLOYEES ARE AWARE OF FIRE AND EVACUATION PLAN AND HOW TO RESPOND TO ANY EMERGENCY. ±__= Page 2 ___________________________________________________________________± +___= Held for Future Use _________________________~____________________________+ +____= Held for Future Use ____________________________________________________+ -------------- --------------------------------- -8- 05/18/2006 D DO IMPORTANT NOT DISCARD FIRE CHIEF RON FRAZE ADMINISTRATWE SERVICES 2101 'H' Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 1715 Chester Ave. Bakersfield, CA 93301 ~,~ VOICE (661) 326-3979 J TRAINING DWISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Dear Business Owner: California Law requires that all Businesses, which at any time during the year handle reportable quantities of hazardous materials, file a Hazardous Materials Business Plan, including inventory of hazardous materials with the local administering agency. Your business has filed such a plan. This same regulation requires businesses to review the business plan submitted to determine if revisions are needed, and to certify to the administering agencies that the review was made and that any necessary changes were made to the plan. As a reminder you are required to notify your administering agency within 30 days of any changes including: increase of a hazardous material, handling of a new hazardous material, change in business ownership, business address or business name. Your business hasn't revised their plan since 199~. To facilitate this review we have enclosed a computer print-out of the plan you last submitted. Please review this plan in its entirety and make any necessary revisions on the print-out. When the review and revisions are completed sign the first page of the plan in the appropriate space certifying that the plan is complete and correct. Return the business plan along with any revisions to this office within 3.0 da.rs of receivimz these forms. Please note that one of the conditions of your Permit to Operate is that you review your business plan annually. If you have any questions or if we can be of any assistance please do not hesitate to call 326-3979. Sincerely, Esther Duran Office of Environmental Services FACILITY NAME ADDRESS ...... ~ ~.~ FACILITY CONT.~Y INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave, 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. BUSINESS IDNO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C Vi COMMENTS Appropriate permit on hand Business plan contact informatibn accurate ./ Visible address Correct occupancy ~,,~'~ Verification of inventory materials verificatiOnof 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: [] Yes [] No 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: MSDS Product Name: KODAK RI? X-OMAT Developer Replenisher Working Solution MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 1 of 6 200000418/F/USA Approval Date: 04/29/1998 Print Date: 08/26/2000 Page 1 MATERIAL SAFETY DATA SHEET 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Catalog Number(s): 124 9259 - To Make 10 gallons (U.S.) 125 5835 - To Make 10 gallons (JAPAN) 171 6828 - To Make 20 gallons (U.S.) 131 8989 - To Make 200 gallons (U.S.) - Part A 162 0509 - To'Make 200 gallons (U.S.) - Part B & C 851 2295 - To Make 2400 gallons (U.S.) 859 7494 - To Make 2400 gallons (U.S.) 831 7018 - To Make 5400 gallons (U.S.) - Part B 841 4161 - To Make 5400 gallons (U.S.) - Part C Manufacturer/Supplier: EASTMAN KODAK COMPANY, Rochester, New York 14650 For Emergency Health, Safety & Environmental Information, call (716) 722-5151 For other information or to request an MSDS, call (800) 242-2424. Synonym(s): KAN 441665, C-0133.500, Contains: PCD 6159 - Part A, PCD 5228 - Part B, PCD 5250 - Part C 2. COMPOSITION/INFORMATION ON INGREDIENTS Weight % - Component - (CAS Registry No.) 85-90 5-10 3 1-5 1-5 <1 Water (007732-18-5) Potassium sulfite (010117-38-1) Hydroquinone (000123-31-9) Potassium acetate (000127-08-2) Glutaraldehyde bis(potassium bisulfite) (068310-08-7) Glutaraldehyd? (000111-30-8) 3. HAZARDS IDENTIFICATION WARNING! CONTAINS: Hydroquinone (000123-31-9), glutaraldehyde (000111-30-8), potassium sulfite (010117-38-1) HARMFUL IF SWALLOWED CAUSES EYE IRRITATION MAY CAUSE ALLERGIC SKIN REACTION .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+Wo9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 2 of 6 HMIS Hazard Ratings: Health - 2 , Flammability - 0, Reactivity - 0, Personal Protection - C NFPA Hazard Ratings: Health - 1, Flammability - 0, Reactivity (Stability) - 0 NOTE: HMIS and NFPA hazard indexes involve data review and interpretation that may vary among companies. They are intended only for rapid, general identification of the magnitude of the potential hazards. The personal protection index is only intended for general guidance on personal protection equipment (PPE) that is suitable for the potential hazards of the material. PPE (e.g., respirators) may not be needed if engineering controls (e.g., local ventilation) are adequate. An asterisk (*), in the HMIS health field, designates potential chronic or target organ hazards. To adequately address safe handling, ALL information in this MSDS must be considered. 4. FIRST-AID MEASURES Inhalation: If symptomatic, move to fresh air. Treat symptomatically. Get medical attention if symptoms persist. Eyes: Immediately flush with plenty of water for at least 15 minutes. Get medical attention if symptoms occur. Skin: Immediately flush with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. If skin irritation or an allergic skin reaction develops, get medical attention. Wash contaminated clothing before reuse. Destroy or thoroughly clean contaminated shoes. Ingestion: Only induce vomiting at the instruction of medical personnel. Call a physician or poison control center immediately. Never give anything by mouth to an unconscious person. 5. FIRE FIGHTING MEASURES Extinguishing Media: Use appropriate agent for adjacent fire. Special Fire-Fighting Procedures: Wear self-contained breathing apparatus and protective clothing. Fire or excessive heat may produce hazardous decomposition products. Hazardous Combustion Products: None (noncombustible), (see also Hazardous Decomposition Products section) Unusual Fire and Explosion Hazards: None 6. ACCIDENTAL RELEASE MEASURES Flush to sewer with large amounts of water. Otherwise, absorb spill with vermiculite or other inert material, then place in a container for chemical waste. Clean surface thoroughly to remove residual contamination. 7. HAaNDLING AND STORAGE Personal Precautionary Measures: Avoid breathing mist or vapor. Avoid contact with eyes, skin, and clothing. Use with adequate ventilation. Wash thoroughly after handling. The routine use of a nonalkaline (acid) type of hand cleaner and regular cleaning of working surfaces, gloves, etc. will help minimize the possibility of a skin reaction. .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 3 of 6 Prevention of Fire and Explosion: No special precautionary measures should be needed under anticipated conditions of use. Storage: Keep container closed. Keep away from incompatible substances (see Incompatibility section). 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Exposure Limits: ACGIH Threshold Limit Value (TLV): Hydroquinone: 2 mg/m3 TWA Glutaraldehyde: 0.05 ppm Ceiling OSHA (USA) Permissible Exposure Limit (PEL - 1971 Table Z-1 Values): Hydroquinone: 2 mg/m3 TWA Ventilation: Good general ventilation (typically 10 air changes per hour) should be used. Ventilation.rates should be matched to conditions. Use process enclosures, local exhaust ventilation, or other engineering controls to maintain airborne levels below recommended exposure limits. Respiratory Protection: None should be needed. A respirator should be worn if hazardous decomposition products are likely to be or have been released. Respirator type: Acid gas. See Stability and Reactivity Section. If respirators are used, a program should be instituted to assure compliance with OSHA Standard 29 CFR 1910.134. Eye Protection: Wear safety glasses with side shields (or goggles). Skin Protection: Wear impervious gloves and protective clothing appropriate for the risk of exposure. Recommended Decontamination Facilities: Eye bath, washing facilities, safety shower 9. PHYSICAL AND CHEMICAL PROPERTIES Physical Form: Liquid Color: Yellow Odor: Slight Specific Gravity water = 1): 1.082 Vapor Pressure at 20°C (68°F): 24 mbar (18 mm Hg) Vapor Density (Air = 1) : 0.6 Volatile Fraction by Weight: 85-90 % Boiling Point: >100°C (>212°F) Solubility in Water: Complete pH: 10..3 Flash Point: None, noncombustible liquid 10. STABILITY AND REACTIVITY Stability: Stable Incompatibility: Strong acids Hazardous Decomposition Products: Carbon dioxide, carbon monoxide, sulfur .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 4 of 6 dioxide Hazardous Polymerization: Will not occur. 11. TOXICOLOGICAL INFORMATION Effects of Exposure: General: Contains: Hydroquinone. In F-344 rats, chronic oral administration of hydroquinone has resulted in the formation of benign kidney tumors thought to be secondary to nephropathy. Hydroquinone-induced nephropathy following oral administration has been noted in the male F-344 rat, but not in other species or rat strains tested. Although an increase in mononuclear cell leukemia in F-344 female rats has been reported following chronic oral administration of hydroquinone, this finding was not reproduced in a subsequent study. There was no evidence of carcinogenicity in male mice following chronic oral administration of hydroquinone; some evidence of carcinogenic activity was shown in female mice by an increase in hepatocellular neoplasms which were primarily benign adenomas, although this finding was not reproduced in a subsequent study. No skin tumors were reported in mice following long-term dermal application of hydroquinone. Therefore, neoplastic responses have not been consistent across route of exposure, species, or sex. Hydroquinone is generally negative in bacterial mu~agenicity tests; there is evidence for the clastogenicity (chromosome breakage) of hydroquinone in vivo and in vitro. The relevance of the chromosomal effects in test animals in predicting human risk is unclear. Inhalation: Expected to be a low hazard for usual industrial or commercial handling by trained personnel. In contact with strong acids or if heated, sutfites may liberate sulfur dioxide gas. Sulfur dioxide gas is irritating to the respiratory tract. Some asthmatics or hypersensitive individuals may experience difficult breathing. Eyes: Causes irritation. Skin: May cause allergic skin reaction based on human experience. May cause skin depigmentation. Prolonged or repeated contact with aqueous solutions may cause irritation. Ingestion: Harmful if swallowed. Some asthmatics or sulfite-sensitive individuals may experience wheezing, chest tightness, stomach upset, hives, faintness, weakness and diarrhea. May cause irritation of the gastrointestinal tract. 12. ECOLOGICAL INFORMATION Introduction: This environmental effects summary is written to assist in addressing emergencies created by an accidental spill which might occur during the shipment of this material, and, in general, it is not meant to address discharges to sanitary sewers or publically owned treatment works. Summary: Data for the major components of this material have been used to estimate the environmental impact of this material. This material is a moderately alkaline aqueous solution, and this property may cause adverse environmental effects. However, this material, itself, has not been tested for environmental effects. It is expected to have the following properties: A low biochemical oxygen demand and little potential to cause oxygen depletion in aqueous systems, a .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 5 of 6 high potential to affect some aquatic organisms, a moderate potential to affect secondary waste treatment microbial metabolism, a low potential to affect the germination and/or early growth of some plants, a low potential to persist in the environment, a low potential to bioconcentrate. After dilution with a large amount of water, followed by secondary waste treatment, this material is not expected to cause adverse environmental effects. 13. DISPOSAL CONSIDERATIONS Discharge, treatment, or disposal may be subject to national, state, or local laws. Flush to sewer with large amounts of water. Since emptied containers retain product residue, follow label warnings even after container is emptied. 14. TRANSPORT INFORMATION - For transportation information regarding this product call the Kodak Worldwide Transportation Hazmat Hot Line: (716) 722-2400 between 8 a.m. and 5 p.m. (Eastern Standard Time), Monday through Friday. 15. REGULATORY INFORMATION - Material(s) known to the State of California to cause cancer: None - Material(s) known to the State of California to cause adverse reproductive effects: None - Carcinogenicity Classification (components present at 0.1% or more): - International Agency for Research on Cancer (IARC): hydroquinone - not classifiable, Group 3 - American Conference of Governmental Industrial Hygienists (ACGIH): hydroquinone - animal carcinogen (A3) - National Toxicology Program (NTP): None - Occupational Safety and Health Administration (OSHA): None - Chemical(s) subject to the reporting requirements of Section 313 or Title III of the Superfund Amendments and Reauthorization Act (SARA) of 1986 and 40 CFR Part 372: Hydroquinone 16. OTHER INFORMATION US/Canadian Label Statements: CONTAINS: Hydroquinone (000123-31-9), glutaraldehyde (000111-30-8), potassium sulfite (010117-38-1) WARNING! HARMFUL IF SWALLOWED CAUSES EYE IRRITATION MAY CAUSE ALLERGIC SKIN REACTION Avoid breathing mist or vapor. Avoid contact with eyes, skin, and clothing. Use with adequate ventilation. Wash thoroughly after handling. FIRST AID: If swallowed, only induce vomiting as directed by medical personnel. Never give anything by mouth to an unconscious person. Call a physician or poison control center immediately. In case of contact, immediately flush eyes and skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Get medical attention if symptoms occur. Wash contaminated clothing before reuse. Destroy or .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Replenisher Working Solution Page 6 of 6 thoroughly clean contaminated shoes. Keep out of reach of children. For additional information, see Material Safety Data Sheet (MSDS) for this material. Additional hazard precautions for containers greater than 1 gallon of liquid or 5 pounds of solid: Since emptied containers retain product residue, follow label warnings even after container is emptied. The information contained herein is furnished without warranty of any kind. Users should consider these data only as a supplement to other information gathered by them and must make independent determinations of suitability and completeness of information from all sources to assure proper use and disposal of these materials and the safety and health of employees and customers and the protection of the environment. R-l, S-2, F-0, C-0 H ome I Search I Service & Support Visit shop(~3kodak, the online store Copyright © Eastman Kodak Company, 1994-2000 and Privacy Practices. . ../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Replenisher+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Starter Page 1 of 5 MSDS Product Name: KODAK RP X-OMAT Developer Starter MATERIAL SAFETY DATA SHEET 200000420/F/USA Approval Date: 02/04/1998 Print Date: 08/26/2000 Page 1 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Product Name: KODAK RP X-OMAT Developer Starter Catalog Number(s): 133 2642 - To Make 8 gallon (U.S.) 835 7931 - To Make 8 gallon (U.S.) Manufacturer/Supplier: EASTMAN KODAK COMPANY, Rochester, New York 14650 For Emergency Health, Safety & Environmental Information, call (716) 722-5151 For other information or to request an MSDS, call (800) 242-2424. Synonym(s): KAN 449513, PCD 5607, C-0134.100 2. COMPOSITION/INFORMATION ON INGREDIENTS Weight % - Component - (CAS Registry No.) 85-90 10-15 < 1 < 1 Water (007732-18-5) Sodium bromide (007647-15-6) Polymeric glycol (025322-68-3) Cationic surfactant (000121-54-0) 3. HAZARDS IDENTIFICATION LOW HAZARD FOR RECOMMENDED HANDLING Eastman Kodak Hazard Ratings: R-i, S-i, F-0, C-0 HMIS Hazard Ratings: Health - 0 , Flammability - 0, Reactivity - 0, Personal Protection - A NFPA Hazard Ratings: Health - 0, Flammability - 0, Reactivity (Stability) - 0 NOTE: HMIS and NFPA hazard indexes involve data review and interpretation that may vary among companies. They are intended only for rapid, general identification of the magnitude of the potential hazards. The personal protection index is only intended for general guidance on personal protection equipment (PPE) that is suitable for the potential hazards of the material. http ://w.../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Starte 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Starter Page 2 of 5 PPE (e.g., respirators) may not be needed if engineering controls (e.g., local ventilation) are adequate. A/1 asterisk (*), in the HMIS health field, designates potential chronic or target organ hazards. To adequately address safe handling, ALL information in this MSDS must be considered. 4. FIRST-AID MEASURES Inhalation: If symptomatic, move to fresh air. Treat symptomatically. Get medical attention if symptoms persist. Eyes: Any material that contacts the eye should be washed out immediately with water. Get medical attention if symptoms occur. Skin: Wash with soap and water. Get medical attention if symptoms occur. Ingestion: Drink 1-2 glasses of water. Seek medical attention. Never give anything by mouth to an unconscious person. 5. FIRE FIGHTING MEASURES Extinguishing Media: Use appropriate agent for adjacent fire. Special Fire-Fighting Procedures: Wear self-contained breathing apparatus and protective clothing. Fire or excessive heat may produce hazardous decomposition products. Hazardous Combustion Products: None (noncombustible), (see also Hazardous Decomposition Products section) Unusual Fire and Explosion Hazards: None 6. ACCIDENTAL RELEASE MEASURES Flush to sewer with large amounts of water. Otherwise, absorb spill with vermiculite or other inert material, then place in a container for chemical waste. Clean surface thoroughly to remove residual contamination. 7. HANDLING AND STORAGE Personal Precautionary Measures: Use with adequate ventilation. Wash thoroughly after handling. Prevention of Fire and Explosion: No special precautionary measures should be needed under anticipated conditions of use. Storage: Keep container closed. 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Exposure Limits: Ventilation: Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates should be matched to conditions. Respiratory Protection: None should be needed. Eye Protection: It is a good industrial hygiene practice to minimize eye contact. Wear safety glasses with side shields (or goggles). http://w.../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Starte 9/15/00 % MSDS Product Name: KODAK RP X-OMAT Developer Starter Page 3 of 5 Skin Protection: It is a good industrial hygiene practice to minimize skin contact. For operations where prolonged or repeated skin contact may occur, impervious gloves should be worn. Recommended Decontamination Facilities: Eye bath, washing facilities, safety shower 9. PHYSICAL AND CHEMICAL PROPERTIES Physical Form: Liquid Color: Colorless Odor: Odorless Specific Gravity (water = 1) : 1.106 Vapor Pressure at 20°C (68°F) : 24 mbar (18 mm Hg) Vapor Density (Air = 1): 0.6 Volatile Fraction by Weight: 85-90 % Boiling Point: >100°C (>212°F) Solubility in Water: Complete pH: 6.6 Flash Point: None, noncombustible liquid 10. STABILITY AND REACTIVITY Stability: Stable Incompatibility: None with common materials and contaminants with which the material may reasonably come into contact. Hazardous Decomposition Products: Hydrogen bromide Hazardous Polymerization: Will not occur. 11. TOXICOLOGICAL INFORMATION Effects of Exposure: Inhalation: Expected to be a low hazard for recommended handling. Eyes: No specific hazard known. May cause transient irritation. Skin: Low hazard for recommended handling. Ingestion: Expected to be a low ingestion hazard. 12. ECOLOGICAL INFORMATION Introduction: This environmental effects summary is written to assist in addressing emergencies created by an accidental spill which might occur during the shipment of this material, and, in general, it is not meant to address discharges to sanitary sewers or publically owned treatment works. Summary: Data for the major components of this material have been used to estimate the environmental impact of this material. However, this material, itself, has not been tested for environmental effects. It is expected to have the following properties: No biochemical oxygen demand and no potential to cause oxygen depletion in aqueous systems, a low potential to affect aquatic organisms, a low potential to affect secondary waste treatment microbial metabolism, a low potential to affect the germination and/or early growth of some plants, a low potential to bioconcentrate. After http://w.../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Starte 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Starter Page 4 of 5 dilution with a large amount of water, followed by secondary waste treatment, this material is not expected to cause adverse environmental effects. 13. DISPOSAL CONSIDERATIONS Discharge, treatment, or disposal may be subject to national, state, or local laws. Flush to sewer with large amounts of water. 14. TRANSPORT INFORMATION - For transportation information regarding this product call the Kodak Worldwide Transportation Hazmat Hot Line: (716) 722-2400 between 8 a.m. and 5 p.m. (Eastern Standard Time), Monday through Friday. United Nations UN Number: 15. REGULATORY INFORMATION - Material(s) known to the State of California to cause cancer: None - Material(s) known to the State of California to cause adverse reproductive effects: None - Carcinogenicity Classification (components present at 0.1% or more): - International Agency for Research on Cancer (IARC): None - American Conference of Governmental Industrial Hygienists (ACGIH): None - National Toxicology Program (NTP): None - Occupational Safety and Health Administration (OSHA): None - Chemical(s) subject to the reporting requirements of Section 313 or Title III of the Superfund Amendments and Reauthorization Act (SARA) of 1986 and 40 CFR Part 372: None 16. OTHER INFORMATION US/Canadian Label Statements: LOW HAZARD FOR RECOMMENDED HANDLING Keep out of reach of children. For additional information, see Material Safety Data Sheet (MSDS) for this material. The information contained herein is furnished without warranty of any kind. Users should consider these data only as a supplement to other information gathered by them and must make independent determinations of suitability and completeness of information from all sources to assure proper use and disposal of these materials and the safety and health of employees and customers and the protection of the environment. R-l, $-1, F-0, C-0 http://w.../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Starte 9/15/00 MSDS Product Name: KODAK RP X-OMAT Developer Starter Page 5 of 5 "ii~i Home I Search I Service & Support Visit shop~tkodak, the online store Copyrigh! © Eastman Kodak Company, 1994-2000 and Privacy Practices. http://w.../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Developer+Starte 9/15/00 White Mountain Imaging M. S.D.S. #40 ~ 0D-WS Page 1 of 4 MATERIAL SAFETY DATA SHEET #4010D-WS WHITE MOUNTAIN IMAGING P.O. Box 216 Salisbury, NH 032'68 (603) 648-2124 Section I: General Information Product Name: T2, T2AG, T2LA, T2MR, T2MV, T2UM Developer(s) Working Catalog #'s: 4010D, 4010D-AG, 4010D-LA, 4010D-MR, 4010D-MV, 4010D-UM 6200D, 6200D-LA Formula: Aqueous Mixture Chemical Family: PhotgraP~ic solution Emergency Situation Call: Chemtrec (800) 424-9300 Date Prepared: 1/19/98 Section II: Product and Hazardous Ingredients Information A. Principal Components: Water Potassium Sulfite Hydroquinone Sodium Sulfite Potassium Hydroxide Potassium /Sodium Metaborates CAS # Percent Approx 7732-18-5 85-95 10117-38-1 3 123-31-9 2 7757-83-7 3 1310-58-3 2 Unknown 1 Section III: Hazards Identification Appearance and Odor: Clear -Pale yellow liquid Effects of over exposure: Eyes - May cause burning or irritation of eyes and mucous membranes Skin: May cause mild irritation and/or allergic reaction. Ingestion -Seek immediate medical advise giving full details of amou swallowed and toxicity. Inhalation: Prolonged inhalation of fumes may be irritating and may headaches. Section IV: First Aid Measures Eyes: Wash eyes immediately if contact occurs. Flush eyes with stead of fresh water for 15 minutes, lifting upper and lower eyelids freq Seek medical attention if symptoms develop. Inhalation: Remove to fresh air, If breathing is difficult, give oxy call a physician. Skin: Rinse with water and wash thoroughly after contact with warm soap and water. Remove contaminated clothing and shower if app If irritation persists, seek medical attention. Ingestion: Do not induce vomiting. Seek medical attention immediatel http://www.wmi-t2.com/m4010dws.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010D-WS Page 2 of 4 Section V: Fire Fighting Measures Flammability: Low Hazard. Not controlled within WHIMIS Division Clas Not flammable at ambient temperature Flash Point: None. Flammability Methods: Not applicable Auto Ignition: Not applicable Extinguishing Media: As neeeded to extinguish fire source. CO2. Foam, Dry chemical. Keep containers cool with water spray. Section VI: Accidental Release Measures: Spill Response: Small spill: Wear protective clothing as specified i Neutralize with Sodium Bicarbonate or Sodium Sulfite. Wipe or absorb with sand, clay or other absorbent materials. Section VII: Handling and Storage: Do not consume food, drink or tobacco in area where contact with product may occur. Provide general exhaust in the storage area. Keep container tightly sealed. Avoid incompatible substances. Avoid unnecessary personal contact. Wash thoroughly after handling. Section VIII: Exposure Control Measures: Respiratory: None should be needed. Ventilation: Good general ventilation. Eye Protection: Safety Glasses or Goggles recommended for handling chemicals in industrial application. Skin Protection: Chemical resistant Gloves should be worn. Other Protective Equipmentt: As necessary to prevent eye and skin c Section IX: Physical and Chemical Properties:. Specific Gravity (Water=l): approx. 1.075 (T2LA) 1.082 pH: 10.45 Boiling Point: +212°F (+100°C).Freeze Point: Odor Threshold: n/a Vapor Density: (Air=l): 0.6 mm Hg Vapor Pressure: < 17 mm Hg @ 20°C Water Solubility: Complete Coefficient of Water/Oil: n/a Percent Volatile: by Volume: 90% Evaporation Rate: (Water=l): n/a (T2) 32°F (0°C) http ://www.wmi-t2. com/m4010dws.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010D-WS Page 3 of 4 Section X: Stability and Reactivity Data Stability: Stable Incompatibility: Strong Reducing Agents None with the materials and products which product is designed for use with. Hazardous Decomposition Products: Sulfur dioxide. Hazardous Polymerization: Will not occur. Reactivity: No Reactivity Hazardous Decomposition: Carbon Dioxide, Carbon Monoxide Section XI: Toxicological Information Toxicity: No data available Carcinogenicity - NTP: No Carcinogenicity - IAt~C: No Carcinogenicity - OSHA: No Acute Systemic Effects: Data not Available. Minimal Toxicity Chronic Systems Effects: No evidence of adverse effects from available informations. Exposure Limits: ACGIH:TLV: Hydroquinone - 2mg/M3 OSHA- PEL: Hydroquinone - 2mg/M3 Teterogenicity: n/a Reproductive Toxicity: n/a Mutagenicity: n/a Synergistic Products: n/a LD50: Hydroquinone - 400mg/Kg LC50: Unknown Section XII: Ecological Information : No Data Available Section XIII: Disposal Considerations Dispose of in accord with Federal, State, and/or Local laws. Section XIV: Transport Information Dept. of Transportation: Shipping Name- n/a Hazard Class- Not a WHMIS controlled Product Section XV: Regulatory Information; State- International SAiRA: Threshold Planning Quantity (TPQ) - Hydroquinone: 500lbs Reportable Quantity (RQ) - Hydroquinone: 1 lb SARA Section 304, CERCLA Hazardous Components http ://www.wmi-t2. com/m4010dws.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010D-WS Page 4 of 4 Hydroquinone SA/~A Sections 302, 304, 313 Hazardous Components Potassium Hydroxide WHMIS: Hydroquinone - >1% (OSHA Sub-part Z) Section XVI: Other Information: HMIS Hazard Rating - Health - 1, Fire - 0, Reactivity - 0 The information contained in this Material Safety Data Sheet is furn without warranty of any kind. The user should consider this data a s to other information gathered and must make independent determinatio suitability and completeness of information from this and other sour assure proper use and disposal of this material and the health and s employees and customers. This statement is incorporated as part of this Material Safety Data The Hazard Rating listing is intended solely for the use of individu trained in the particular system This MSDS format conforms with U.S. OSHA Hazard Communication Standard (29 CFR 1910.1200) and is based on ANSI Standard Z400.1-1993 MSDS I.dex Hollle upduicd http ://www. wmi-t2, com/m4010dws, htm 9/15/00 White Mountain Imaging M. S.D.S. #4902EC Page 1 of 4 MATERIAL SAFETY DATA SHEET #4902EC WHITE MOUNTAIN IMAGING P.O. Box 216 Salisbury, NH 03268 (603) 648-2124 Section I: General Information Product Name: T2 ESC DEVELOPER SYSTEM CLEA/~ER 2 Part with Neutralizer/Rinse Catalog #: 4902 EC Formula: Aqueous Mixture Chemical Family: Photgraphic solution Emergency Situation Call: Chemtrec (800) 424-9300 Date Prepared: 1/19/98 Section II: Product and Hazardous Ingredients Information A. Principal Components: Part 1 Water Potassium Permanganate Part 2 Wa.ter Sulfuric Acid Neutralizer/Rinse Water Sodium Sufite CAS # Percent 7732-18-5 95-99 7722-64-7 7732-18-5 95-99 7664-93-9 2-4 7732-18-5 76-88 7757-83-7 12-24 2-4 Section III: Hazards Identification Appearance and Odor: Pt 1; Deep blue liquid. Pt2: Clear white Liqui Neutralizer/Rinse: Clear white liquid. Effects of over exposure: Eyes - May cause burning or irritation of eyes and mucous membranes Skin: May cause mild irritation and/or allergic reaction. Ingestion -Seek immediate medical advise giving full details of amou swallowed and toxicity. Inhalation: Prolonged inhalation of fumes may be irritating and may headaches. Section IV: First Aid Measures Eyes: Wash eyes immediately if contact occurs. Flush eyes with stead of fresh water for 15 minutes, lifting upper and lower eyelids frequ Seek medical attention if symptoms develop. Inhalation: Remove to fresh air, If breathing is difficult, give oxy call a physician. Skin: Rinse with ESC Neutralizer and Wash thoroughly after contact w file://C:\WlNDOWS~Desktop...\White Mountain Imaging M S D S SYSTEM CLEANER. ht 9/15/00 White Mountain Imaging M. S.D.S. #4902EC Page 2 of 4 warm soap and water. Remove contaminated clothing and shower if appr If irritation persists, seek medical attention. Ingestion: Do not induce vomiting. Seek medical attention immediatel Section V: Fire Fighting Measures Flammability: Low Hazard. Not controlled within WHIMIS Division Clas Not flammable at ambient temperature Flash Point: None. Flammability Methods: Not applicable Auto Ignition: Not applicable Extinguishing Media: C02. Foam, Dry chemical. Keep containers cool with water spray. Section VI: Accidental Release Measures: Spill Response: Small spill: Wear protective clothing as specified i Neutralize with ESC Neutralizer/Rinse or Sodium Sulfite. Complete neutralization causes solution to become water white. Wipe or absorb with sand, clay or other absorbent materials. Section VII: Handling and Storage: Do not consume food, drink or tobacco in area where contact with product may occur. Provide general exhaust in the storage area. Keep container tightly sealed. Avoid incompatible substances. Avoid unnecessary personal contact. Wash thoroughly after handling. Section VIII: Exposure Control Measures: Respiratory: None should be needed. Ventilation: Good general ventilation. Eye Protection: Safety Glasses or Goggles recommended for handling chemicals in industrial application. Skin Protection: Chemical resistant Gloves should be worn. Other Protective Equipmentt: As necessary to prevent eye and skin c Section IX: Physical and Chemical Properties:. Specific Gravity Water=l): Pt 1: 1.020, Pt 2: 1.055, Neutralizer; pH: Pt 1: 9.50. Pt 2: 1.00. Approx 2.50 as working strength Neutralizer : 7.00 Boiling Point: >212°F (>100°C).Freeze Point: < 32°F 0°C) Odor Threshold: n/a Vapor Density: (Air=l): .6 mm Hg Vapor Pressure: < 17 mm Hg @ 200°C Water Solubility: Complete Coefficient of Water/Oil: n/a file://C:\WlNDOWS~Desktop...\White Mountain Imaging M S D S SYSTEM CLEANER. ht 9/15/00 White Mountain Imaging M. S.D.S. #4902EC Page 3 of 4 Percent Volatile: by Volume: 85% Evaporation Rate: (Water=l): n/a Section X: Stability and Reactivity Data Stability: Stable Incompatibility: Strong Reducing Agents strong Bases. None with the and products which product is designed for use with. Hazardous Decomposition Products: Sulfur dioxide. Hazardous Polymerization: Will not occur. Reactivity: No Reactivity Hazardous Decomposition: Carbon Dioxide, Carbon Monoxide Section XI: Toxicological Information Toxicity: No data available Carcinogenicity: Not Available Acute Systemic Effects: Data not Available. Minimal Toxicity Chronic Systems Effects: No evidence of adverse effects from available informations. Exposure Limits: Refer to section II Teterogenicity: n/a Reproductive Toxicity: n/a Mutagenicity: n/a Synergistic Products: n/a LD50 LC50: refer to Section II Section XII: Ecological Information : No Data Available Section XIII: Disposal Considerations Dispose of in accord with Federal, State, and/or Local laws. Section XIV: Transport Information Dept. of Transportation: Shipping Name- n/a Hazard Class- Not A WHMIS controlled Product Section XV: Regulatory Information; State- International A. Principal Components: Part 1 Water Potassium Permanganate Part 2 Water Sulfuric Acid ACGIH OSHA S.A.R.A. Teterogenicity TLV PEL TPQ RQ LD50 LC50 n/a(Not Applicable) n/a n/a n/a n/ n/a n/a n/a 100 lb. Unk Un n/a n/a n/a n/a n/a n/a 1.0 'mg/M3 1.0 mg/M3 n/a n/a 21 file://C:\WlNDOWS~2)esktop...\White Mountain Imaging M S D S SYSTEM CLEANER. ht 9/15/00 White Mountain Imaging M. S.D.S. #4902EC Page 4 of 4 Neutralizer/Rinse Water n/a Sodium Sufite n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a SARA Section 304 CERCLA Hazardous Component: Potasium Permangenate SARA Sections 302, 304, 313 Hazardous Component (OSHA Sub-part Z) Sulfuric Acid Section XVI: Other Information: HMIS Hazard Rating - Health - 1, Fire - 0, Reactivity - 0 The information contained in this Material Safety Data Sheet is furn without warranty of any kind. The user should consider this data a s to other information gathered and must make independent determinatio suitability and completeness of information from this and other sour assure proper use and disposal of this material and the health and s employees and customers. This statement is incorporated as part of this Material Safety Data The Hazard Rating listing is intended solely for the use of individu trained in the particular system This MSDS format conforms with U.S. OSHA Hazard Communication Standard (29 CFR 1910.1200) and is based on ANSI Standard Z400.1-1993 MSDS Index Home ~ Iptiated 521 2/9? file://C:\WlNDOWSX~Desktop...\White Mountain Imaging M S D S SYSTEM CLEANER. ht 9/15/00 White Mountain Imaging M.S.D.S. #4010F-WS 5 Page 1 of 4 MATERIAL SAFETY DATA SHEET #4010F-WS WHITE MOUNTAIN IMAGING P.O. Box 216 Salisbury, NH 03268 (603) 648-2124 Section I: General Information Product Name: T2 FIXER; WMI FIXER Working Strength Catalog #'s: 4010F, 4300F, 3303 Formula: Aqueous Mixture Chemical Family: Photgraphic solution Emergency Situation Call: Chemtrec (800) 424-9300 Date Prepared: 1/19/98 Section II: A. Principal Components: Water Ammonium Thiosulfate Sodium Sulfite Aluminum Sulfate CAS # Percent 7732-18-5 90-95 7783=18=8 7757-83-7 10043-01-3 1-2 Product and Hazardous Ingredients Information Approx 8-12 1-2 Section III: Hazards Identification Appearance and Odor: Clear colorless liquid , moderate ammonia odo Effects of over exposure: Eyes - May cause burning or irritation of eyes and mucous membranes Skin: May cause mild irritation and/or allergic reaction. Ingestion -Seek immediate medical advise giving full details of amou swallowed and toxicity. Inhalation: Prolonged inhalation of fumes may be irritating and may headaches. Section IV: First Aid Measures Eyes: Wash eyes immediately if contact occurs. Flush eyes with stead of fresh water for 15 minutes, lifting upper and lower eyelids freq Seek medical attention if symptoms develop. Inhalation: Remove to fresh air, If breathing is difficult, give oxy call a physician. Skin: Rinse with water and wash thoroughly after contact with warm soap and water. Remove contaminated clothing and shower if app If irritation persists, seek medical attention. Ingestion: Do not induce vomiting. Seek medical attention immediatel Section V: Fire Fighting Measures file://C:\WlNDOWS~Desktop\CIS~MSDS\White Mountain Imaging M S D S #4010F-WS.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010F-WS Page 2 of 4 Flammability: Low Hazard. Not controlled within WHIMIS Division Clas Not flammable at ambient temperature Flash Point: None. Flammability Methods: Not applicable Auto Ignition: Not applicable Extinguishing Media: As neeeded to extinguish fire source. C02. Foam, Dry chemical. Keep containers cool with water spray. Section VI: Accidental Release Measures: Spill Response: Small spill: Wear protective clothing as specified i Wipe or absorb with sand, clay or other absorbent materials. Section VII: Handling and Storage: Do not consume food, drink or tobacco in area where contact with product may occur. Provide general exhaust in the storage area. Keep container tightly sealed. Avoid incompatible substances. Avoid unnecessary personal contact. Wash thoroughly after handling. Section VIII: Exposure Control Measures: Respiratory: None should be needed. Ventilation: Good general ventilation. Eye Protection: Safety Glasses or Goggles recommended for handling chemicals in industrial application. Skin Protection: Chemical resistant Gloves should be worn. Other Protective Equipmentt: As necessary to prevent eye and skin c Section IX: Physical and Chemical Properties:. Specific Gravity (Water=l): approx. 1.080 pH: 4.25 Boiling Point: +212°F (+100°C).Freeze Point: Odor Threshold: n/a Vapor Density: (Air=l): 0.6 mm Hg Vapor Pressure: < 17 mm Hg @ 20°C Water Solubility: Complete Coefficient of Water/Oil: n/a Percent Volatile: by Volume: 50% Evaporation Rate: (Water=l): n/a 32°F (0°C) Section X: Stability and Reactivity Data file://C:\W1NDOWS~Desktop\CISLMSDS\White Mountain Imaging M S D S #4010F-WS.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010F-WS Page 3 of 4 Stability: Stable Incompatibility: Strong Reducing Agents , Bleaching Agents None with the materials and products which product is designed fo Hazardous Decomposition Products: Ammonia Hazardous Polymerization: Will not occur. Reactivity: No Reactivity Hazardous Decomposition: Carbon Dioxide, Carbon Monoxide Section XI: Toxicological Information Toxicity: No data available Carcinogenicity - NTP: No Carcinogenicity - IAi~C: No Carcinogenicity - OSHA: No Acute Systemic Effects: Data not Available. Minimal Toxicity Chronic Systems Effects: No evidence of adverse effects from available informations. Exposure Limits: ACGIH:TLV: n/a OSHA- PEL: n/a Teterogenicity: n/a Reproductive Toxicity: n/a Mutagenicity: n/a Synergistic Products: n/a LD50: Unknown LC50: Unknown Section XII: Ecological Information : No Data Available Section XIII: Disposal Considerations Dispose of in accord with Federal, State, and/or Local laws. Section XIV: Transport Information Dept. of Transportation: Shipping Name- Ammonium Compounds Hazard Class- Not a WHMIS controlled Product Section XV: Regulatory Information; State- International SARA: Threshold Planning Quantity (TPQ) - none Reportable Quantity (RQ) - Aluminum Sulfate 5000 lbs Ammonium Thiosulfate 5000 lbs SARA Section 304 Hazardous component: (OSHA sub-part Z), CERCLA Haza Ammonium Thiosulfate file://C:\WlNDOWS~Desktop\CISXMSDS\White Mountain Imaging M S D S #4010F-WS.htm 9/15/00 White Mountain Imaging M. S.D.S. #4010F-WS Page 4 of 4 Section XVI: Other Information: }{MIS Hazard Rating - Health - 1, Fire - 0, Reactivity - 0 The information contained in this Material Safety Data Sheet is furn without warranty of any kind. The user should consider this data a s to other information gathered and must make independent determinatio suitability and completeness of information from this and other sour assure proper use and disposal of this material and the health and s employees and customers. This statement is incorporated as part of this Material Safety Data The Hazard Rating listing is intended solely for the use of individu trained in the particular system This MSDS format conforms with U.S. OSHA Hazard Communication Standard (29 CFR 1910.1200) and is based on ANSI Standard Z400.1-1993 MSDS Index Home file://C:\WlNDOWS~Desktop\CISXaMSDS\White Mountain Imaging M S D S #4010F-WS.htm 9/15/00 'MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Page 1 of'5 MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution 000003204/F/USA Approval Date: 05/06/1998 Print Date: 08/26/2000 Page 1 MATERIAL SAFETY DATA SHEET 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Catalog Number(s): 180 5076 - To Make 4 gallon (U.S.) 180 5332 - To Make 10 gallon (U.S.) 180 5118 - To Make 20 gallon {U.S.) 180 5134 - To Make 200 gallon (U.S.) 804 4083 - To Make 200 gallon (U.S.) 899 9625 - To Make 2400 gallon (U.S.) 820 6112 - To Make 5500 gallon (U.S.) Manufacturer/Supplier: EASTMAN KODAK COMPANY, Rochester, New York 14650 For Emergency Health, Safety & Environmental Information, call (716) 722-5151 For other information or to request an MSDS, call (800) 242-2424. Synonym(s): KAN 965743; Contains: PCD 5538 - Part A, PCD 5597 - Part B; D-0026.100 2. COMPOSITION/INFORMATION ON INGREDIENTS Weight % - Component - (CAS Registry No.) 80-85 10-15 1-5 1-5 < 1 < 1 Water (007732-18-5) Ammonium thiosulfate (007783-18-8) Sodium thiosulfate (007772-98-7) Acetic acid (000064-19-7) Ammonium bisulfite (010192-30-0) Sodium bisulfite (007631-90-5) 3. HAZARDS IDENTIFICATION CONTAINS: Ammonium bisulfite (010192-30-0), sodium bisulfite (007631-90-5) WARNING! MAY BE HARMFUL IF SWALLOWED HMIS Hazard Ratings: Health - 0, Flammability - 0, Reactivity - 0, Personal Protection - B .../webCata~g.p~?cc=US&~c=en&pr~duct=K~DAK+RP+X-~MAT+Fixer+and+Rep~enisher~+W(9/~ 5/00 MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Page 2 of 5 NFPA Hazard Ratings: Health - 1, Flammability - 0, Reactivity (Stability) - 0 NOTE: HMIS and NFPA hazard indexes involve data review and interpretation that may vary among companies. They are intended only for rapid, general identification of the magnitude of the potential hazards. The personal protection index is only intended for general guidance on personal protection equipment (PPE) that is suitable for the potential hazards of the material. PPE (e.g., respirators) may not be needed if engineering controls (e.g., local ventilation) are adequate. An asterisk (*), in the HMIS health field, designates potential chronic or target organ hazards. To adequately address safe handling, ALL information in this MSDS must be considered. 4. FIRST-AID MEASURES Inhalation: If symptomatic, move to fresh air. Treat symptomatically. Get medical attention if symptoms persist. Eyes: Any material that contacts the eye should be washed out immediately with water. Get medical attention if symptoms occur. Skin: Wash with soap and water. Get medical attention if symptoms occur. Ingestion: Drink 1-2 glasses of water. Seek medical attention. Never'give anything by mouth to an unconscious person. 5. FIRE FIGHTING MEASURES Extinguishing Media: Use appropriate agent for adjacent fire. Special Fire-Fighting Procedures: Wear self-contained breathing apparatus and protective clothing. Fire or excessive heat may produce hazardous decomposition products. Hazardous Combustion Products: None (noncombustible), (see also Hazardous Decomposition Products section). Unusual Fire and Explosion Hazards: None 6. ACCIDENTAL RELEASE MEASURES Flush to sewer with large amounts of water. 7. HANDLING AND STORAGE Personal Precautionary Measures: Avoid breathing mist or vapor. Avoid contact with eyes and prolonged or repeated contact with skin. Use with adequate ventilation. Wash thoroughly after handling. Prevention of Fire and Explosion: Keep from contact with oxidizing materials. Storage: Keep container tightly closed. Keep away from incompatible substances (see Incompatibility section). 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Exposure Limits: ACGIH Threshold Limit Value (TLV): .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Fixer+and+Replenisher,+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Page 3 of 5 Acetic acid: 10 ppm TWA, 15 ppm STEL Sodium bisulfite: 5 mg/m3 TWA OSHA (USA) Permissible Exposure Limit (PEL - 1971 Table Z-1 Values): Acetic acid: 10 ppm TWA Ventilation: Good general ventilation (typically 10 air changes per hour) should be used. Ventilation rates should be matched to conditions. Respiratory Protection: None should be needed. A respirator should be worn if hazardous decomposition products are likely to be or have been released. Respirator type: Acid gas. See Stability and Reactivity Section. If respirators are used, a program should be instituted to assure compliance with OSHA Standard 29 CFR 1910.134. Eye Protection: It is a good industrial hygiene practice to minimize eye contact. Wear safety glasses with side shields (or goggles). Skin Protection: It is a good industrial hygiene practice to minimize skin contact. For operations where prolonged or repeated skin contact may occur, impervious gloves should be worn. Recommended Decontamination Facilities: Eye bath, washing facilities, safety shower 9. PHYSICAL AND CHEMICAL PROPERTIES Physical Form: Liquid Color: Colorless Odor: Slight ammonia Specific Gravity (water = 1): 1.097 Vapor Pressure at 20°C (68°F): 24 mbar (18 mm Hg) Vapor Density (Air = 1): 0.6 Volatile Fraction by Weight: 81.5 % Boiling Point: >100°C (>212°F) Solubility in Water: Complete pH: 4.0-4.2 Flash Point: None, noncombustible liquid 10. STABILITY AND REACTIVITY Stability: Stable Incompatibility: Strong oxidizing agents, strong acids, bases, sodium hypochlorite (bleach). Contact with base liberates flammable material. Hazardous Decomposition Products: Ammonia, sulfur dioxide, nitrogen oxides (NOx), chloramine Hazardous Polymerization: Will not occur. 11. TOXICOLOGICAL INFORMATION Effects of Exposure: Inhalation: Expected to be a low hazard for usual industrial or commercial handling by trained personnel. In contact with strong acids or if heated, sulfites may liberate sulfur dioxide gas. Sulfur dioxide gas is irritating .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Fixer+and+Replenisher,+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Page 4 of 5 to the respiratory tract. Some asthmatics or hypersensitive individuals may experience difficult breathing. Eyes: No specific hazard known. May cause transient irritation. Skin: This material has a low potential to cause allergic skin reactions; however, cases of human skin sensitization have been reported. Ingestion: May be harmful if swallowed. Some asthmatics or sulfite-sensitive individuals may experience wheezing, chest tightness, stomach upset, hives, faintness, weakness and diarrhea. 12. ECOLOGICAL INFORMATION Introduction: This environmental effects summary is written to assist in addressing emergencies created by an accidental spill which might occur during the shipment of this material, and, in general, it is not meant to address discharges to sanitary sewers or publically owned treatment works. Summary: Data for the major components of this material have been used to estimate the environmental impact of this material. This material is a moderately acidic aqueous solution, and this property may cause adverse environmental effects. However, this material, itself, has not been tested for environmental effects. It is expected to have the following properties: a moderate biochemical oxygen demand and may cause oxygen depletion in aqueous systems, a low potential to affect aquatic organisms, a low potential to affect secondary waste treatment microbial metabolism, a low potential to affect the germination and/or early growth of some plants, a low potential to persist in the environment, a low potential to bioconcentrate. After dilution with a large amount of water, followed by secondary waste treatment, this material is not expected to cause adverse environmental effects. 13. DISPOSAL CONSIDERATIONS Discharge, treatment, or disposal may be subject to national, state, or local laws. Flush to sewer with large amounts of water. 14. TRANSPORT INFORMATION - For transportation information regarding this product call the Kodak Worldwide Transportation Hazmat Hot Line: (716) 722-2400 between 8 a.m. and 5 p.m. (Eastern Standard Time), Monday through Friday. 15. REGULATORY INFORMATION - Material(s) known to the State of California to cause cancer: None - Material(s) known to the State of California to cause adverse reproductive effects: None - Carcinogenicity Classification (components present at 0.1% or more): - International Agency for Research on Cancer (IARC) : None - American Conference of Governmental Industrial Hygienists (ACGIH) : None - National Toxicology Program (NTP) : None - Occupational Safety and Health Administration (OSHA): None - Chemical(s) subject to the reporting requirements of Section 313 or Title III of the Superfund Amendments and Reauthorization Act (SARA) of 1986 and .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Fixer+and+Replenisher,+W 9/15/00 MSDS Product Name: KODAK RP X-OMAT Fixer and Replenisher, Working Solution Page 5 of 5 40 CFR Part 372: None 16. OTHER INFORMATION US/Canadian Label Statements: CONTAINS: Ammonium bisulfite (010192-30-0), sodium bisulfite (007631-90-5) WARNING! MAY BE HARMFUL IF SWALLOWED Avoid breathing mist or vapor. Avoid contact with eyes and prolonged or repeated contact with skin. Use with adequate ventilation. Wash thoroughly after handling. FIRST AID: If swallowed, seek medical advice. Never give anything by mouth to an unconscious person. Keep out of reach of children. For additional information, see Material Safety Data Sheet (MSDS) for this material. IN CASE OF SPILL: Absorb spill with inert material, then place in a chemical waste container. Flush residual spill or area with water. For large spills, dike for later disposal. Prevent runoff from entering drains, sewers, and streams. The information contained herein is furnished without warranty of any kind. Users should consider these data only as a supplement to other information gathered by them and must make independent determinations of suitability and completeness of information from all sources to assure proper use and disposal of these materials and the safety and health of employees and customers and the protection of the environment. R-i, S-i, F-0, C-0 ~i Home[ Search I Service & Supl)ort Visit shop,.~q}kodak, the online store Copyright © Eastman Kodak Company, 1994-2000 and Privacy Practices. .../webCatalog.pl?cc=US&lc=en&product=KODAK+RP+X-OMAT+Fixer+and+Replenisher,+W 9/15/00 White Mountain Imaging M. S.D.S. #3507 Page 1 of 5 This MSDS is abbreviated for WMI customers. For complete MSDS information contact the manufacturer at 1-800-600 ~iATERIAL SAFETY DATA SHEET #3507 WHITE MOUNTAIN IMAGING P.O. Box 216 Salisbury, NH 03268 (603) 648-2124 Section I: General Information Product Name: PHOTOBROME TABLETS, PHOTOBROME LAB PAKS, Manufactured by Bio-Lab, Inc, Inc WMI Catalog #'s: 3507, 3508, 3509, 3510 General Use: Control of microbiological growth in photoprocessing wa Chemical Family: Halogenated hydaritoin Emergency Situation Call: Chemtrec (800) 424-9300 Rocky Mountain Medical (303) 623-5716 Date Prepared: 12/19/97 Section II: A. Principal Components: CAS # 1-bromo-3-chloro-5,5-dimethylhydartoin Product and Hazardous Ingredients Information Percent 16079-88-2 96 Section III: Hazards Identification Appearance and Odor: Clear - White tablets with halogen odor Immediate Concerns: DANGER: Highly Corrosive; Causes skin and eye damage. May be fa Do not get in eyes, on skin, or on clothing. Wear goggles or safety glasses and rubber gloves when handling thi Irritating to nose and throat Avoid breathing dust and fumes. Remove contaminated clothing and wash before reuse. Potential Health Effects: Eyes DA/~GER: Causes eye damage. Do not get in eyes. Skin: DANGER: Causes skin damage. Do not get on .skin. Ingestion: -May be fatal if swallowed Inhalation: Irritating to nose and throat. Avoid breathing dust or f Medical Conditions Aggravated : Existing dermatitis may be aggravated by exposure. file://C:\WlNDOWS~Desktop\CIS...\White Mountain Imaging M S D S PHOTOBROME.ht 9/15/00 White Mountain Imaging M. S.D.S. #3507 Page 2 of 5 Comments There are no known cronic hazards. Section IV: First Aid Measures Eyes: Wash eyes immediately if contact occurs. Immediately flush eye of fresh water for 15 minutes, Then get immediate medical attenti Skin: Brush off all excess chemical and flush skin with cold water f If irritation persists, get medical attention. Ingestion: -If swallowed: drink large amonts of water. Do not induc Never give anything by mouth to an unconscious person. Call a physician or control center immediately. Inhalation: If inhaled, remove to fresh air. If breathing is difficult, have trained person administer oxygen. Call a physician immediately. Note to physician: Probable mucosal damage may contraindicate the use of gastric lavag Section V: Fire Fighting Measures General Hazard: In large fires fueled by other materials, this product may smold prolonged periods emitting a dense black smoke. Flammability Methods: Not applicable Auto Ignition: Not applicable Extinguishing Media:. Incase of fire or smoke, call fire department Do not let the fire burn. Flood with large amounts of water. Do NOT use ABC or other dry chemical extinguishers since there is for a violent reaction. Explosion Hazards: A dust explosion severity determination was perf using the Hartmann Dust Explosibility Bomb designed at the U.S> B This material was determined not to be ignitible. Fire Fighting Procedures: Fires fueled by other materials may relea bromine, hydrogen chloride or chlorine. Wear self-contained breathing apparatus. Ammonium phosphate (ABC) fire extinguisher should NOT be used, Section VI: Accidental Release Measures: General Procedures: Steps to be taken in case material is released or spilled: Using appropriate protective clothing and safety equipment, contain Do not add water to spilled material. Using clean dedicated equipme all spilled material, contaminated soil, and other contaminated mate Do not use floor sweeping compounds to clean up spills. Do not close containers contianing wet or damp material. They shou Do not transport wet or damp material. Keep out of sewers, watershe Do not contaminate water, food, or feed by storage, disposal or clea Dispose of according to local, state, and federal regulations file://C:\WlNDOWS~Desktop\ClS...\White Mountain Imaging M S D S PHOTOBROME.ht 9/15/00 White Mountain Imaging M. S.D.S. #3507 Page 3 of 5 Section VII: Handling and Storage: Handling: STRONG OXIDIZING AGENT! Do not mix with other chemicals. Mix only with water. DO NOT ALLOW TO CONTACT FIXER Never add water to product. Always add product to large quanties of Use clean utensils. Do not add this product to any dispensing devic Contamination with moisture, organic matter, or other chemicals will In case of contamination or decomposition, do not reseal container. Flood area with large volumes of water. Storage: Keep this product in original container when not in use. Store in a Do not store above 125°F (52°C). Do not consume food, drink or tobacco in area where contact with produc[ may occur. Provide general exhaust in the storage area. Keep container tightly sealed. Avoid incompatible substances. Avoid unnecessary personal contact. Wash thoroughly after handling. Section VIII: Exposure Control Measures: OSHA HAZARDOUS COMPONENTS: None established per 29 CFR 1910.1200 Respiratory: A respiratory protection program that meets OSHA 1910.1 Ventilation: Good general ventilation.plus local exhaust. Eye Protection: Safety Glasses with side shields or Goggles recomme chemicals in industrial application. Skin Protection: Chemical resistant Gloves should be worn. Other Protective Equipmentt: As necessary to prevent eye and skin c Section IX: Physical and Chemical Properties:. Physical state: Solid Appearance: Tablet Odor: Faint halogen odor Color: White pH: 3.5 , diluted in 1% solution DI water. Thermal Decomposition: 293°C to 302°C Density: 60.1 lb/ft3 Vapor Pressure: < 17 mm Hg @ 200C Water Solubility: 0,15g/100g water Section X: Stability and Reactivity Data Stability: Stable under normal conditions. Incompatibility: Avoid contact with Fixer. file://C:\WlNDOWS~Desktop\CIS...\White Mountain Imaging M S D S PHOTOBROME.ht 9/15/00 White Mountain Imaging M. S.D.S. #3507 Page 4 of 5 Avoid contact with water on concentrated material in the container. Avoid contact with easily oxidizable material; ammonia, urea, or sim nitrogen containing compounds; inorganic reducing compounds; floor s calcium hypochlorite; other swimming pool/spa chemicals in their concentrated form; alkalies. Avoid contact with all other chemicals. Hazardous Decomposition Products: Hydrogen bromide, bromine, hydrogen chloride, chlorine Hazardous Polymerization: Will not occur inder normal conditions. Reactivity: OXIDIZER Section XI: Toxicological Information Toxicity: No data available Carcinogenicity - NTP: No - IARC: No - OSHA: No Acute : Eyes; Toxicological studies indicate this product to be corrosive to Dermal LD50: Greater than 2g/kg (rabbit) Primary skin irritation is 6.1 and the product is corrosive to skin. Oral LD50: 578 mg/kg Teterogenicity: unknown Reproductive Toxicity: unknown Mutagenicity: unknown Synergistic Products: unknown Section XII: Ecological Information : This pestcide is toxic to fish and aquatic organisms. Do not discharge effluent containing this product into lakes, strams oceans, or other waters unless in accordance with the requirements o National Polluntant Discharge Elimination System (NPDES) permit and the permitting authority has been notified in writing prior to disch Do not discharge effluent containing this product to sewer systems w previously notifying the local sewage treatment authority. For guidance contact your State Water Board or Regional Office of th Section XIII: Disposal Considerations Disposal Methods Pesticides are toxic. Improper disposal of excess pesticide or rinsa is a violation of Federal Law. If these wastes cannot be disposed of to label instructions, contact your State Pesticide or Environmental Hazardous Waste Representative at the nearest EPA Regional Office fo Do not contaminate wate, food, or feed by storage or disposal of cle Do not put product, spilled product, or filled or partially filled c Contact with incompatible materials could cause a reaction or fire. file://C:\WlNDOWS\Desktop\CIS...\White Mountain Imaging M S D S PHOTOBROME.ht 9/15/00 White Mountain Imaging M. S.D.S. #3507 Page 5 of 5 Empty Container Do not reuse container. Rinse throughly before discarding in trash. Section XIV: Transport Information Dept. of Transportation: Oxidizing Solid, N.O.S (Bromo-chloro-dimeth Hazard Class- Division 5.1 UN/NA NUMBER: 1479 Packaging Group II Section XV: Regulatory Information; State- International SA/~A: Title III, Section 313: Reportable Quantity (RQ) Not listed CERCLA: Not listed TSCA (Toxic Substane Control Act) TSCA Regulatory: Not subject to export notification TSCA Status: This product or components are listed on TSCA invent OSHA: Hazardous by definition of Hazardous Communication Act Clean Water Act: Not Listed FIFP~A (Federal Insecticide Fungicide and Rodenticide Act): This prod is a regestered pesticide SWSA (Safe water Drinking Act: Not listed Clean Air Act: 40 CFR Part 68: Not listed Calif. Prop 65: Not listed Section XVI: Other Information: HMIS Hazard Rating - Health - 3, Fire - 1, Reactivity - 1 The information contained in this Material Safety Data Sheet is furn without warranty of any kind. The user should consider this data a s to other information gathered and must make independent determinatio suitability and completeness of information from this and other sour assure proper use and disposal of this material and the health and s employees and customers. This statement is incorporated as part of this Material Safety Data The Hazard Rating listing is intended solely for the use of individu trained in the particular system This MSDS format conforms with U.S. OSN_A Hazard Communication Standard (29 CFR 1910.1200) and is based on ANSI Standard Z400.1-1993 MSDS Index Home U~d~cd £;23/98 file://C:\WlNDOWS\Desktop\CIS...\White Mountain Imaging M S D S PHOTOBROME.ht 9/15/00 MATERIAL SAFETY DATA SHEET II SECTION 1..RODUCT DE.TIF CATIO. ' . PRODUCT NAME: Helium, refrigerated liquid CHEMICAL NAME: Helium FORMULA: He SYNONYMS: Cryogenic Liquid Helium, Liquid Helium, LHe MANUFACTURER: Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 (800) 752-1597 PRODUCT INFORMATION: MSDS NUMBER: 1139 REVIEW DATE: June 1998 REVISION: 2 REVISION DATE: June 1998 Liquid helium is sold as pure product >99%. CAS NUMBER: 7440-59-7 EXPOSURE LIMITS: OSHA: None ACGIH: Simple asphyxiant NIOSH: None II EMERGENCY OVERVIEW Liquid helium is an extremely cold, colorless, odorless, non-toxic, non-flammable liquid and gas packaged in liquid cylinders under pressure. It can cause rapid suffocation when concentrations are sufficient to reduce oxygen levels below 19.5%. Self Contained Breathing Apparatus (SCBA) may be required for rescue workers. Contact with liquid or cold vapors can cause severe frostbite. EMERGENCY TELEPHONE NUMBERS 800-523-9374 Continental U.S., Canada, and Puerto Rico 610-48t-7711 other locations ACUTE POTENTIAL HEALTH EFFECTS: ROUTES OF EXPOSURE! EYE CONTACT: Tissue freezing and severe cryogenic bums on contact with liquid. No adverse effects expected from vapors. INGESTION: Not applicable INHALATION: Helium is a simple asphyxiant. It may cause suffocation by displacin~ the oxygen in air. Exposure to an oxygen deficient atmosphere (less than 19.5%) may cause dizziness, drowsiness, nausea, vomiting, excess salivation, diminished mental alertness, loss of consciousness and death. Exposure to atmospheres containing less than 12% oxygen will bring about unconsciousness without warning and so quickly that the individuals cannot help themselves. SKIN CONTACT: Tissue freezing and severe cryogenic bums on contact with liquid. No adverse effects expected from vapors. POTENTIAL HEALTH EFFECTS OF REPEATED EXPOSURE: ROUTE OF ENTRY: Inhalation TARGET ORGANS: None SYMPTOMS: None MEDICAL CONDITIONS AGGRAVATED BY OVEREXPOSURE: None CARClNOGENIClTY: Helium is not listed as a carcinogen or potential carcinogen by NTP, IARC, or OSHA Subpart Z. II SECTION 4. FIRST AID MEASURES EYE CONTACT: Flush with plenty of lukewarm water for minimum of fifteen minutes. Hold eyelids open to assure complete flushing. Seek medical attention immediately. INGESTION: Not applicable INHALATION: Remove person to fresh air. If not breathing, administer artificial respiration. If breathing is difficult, administer oxygen. Obtain prompt medical attention. SKIN CONTACT: Remove any clothing that may restrict circulation to frozen area. Do not rub frozen parts as tissue damage may result. As soon as practical place the affected area in a warm water bath which has a temperature not to exceed 105 °F (40 °C). Never use dry heat. In case of massive exposure, remove clothing while showering with warm water. Seek medical attention immediately. Frozen tissue is painless and appears waxy with a possible yellow color. It will become swollen, painful, and prone to infection when thawed. If the frozen part of the body has been thawed before medical attention has been obtained, cover the area with dry sterile dressing with a large bulky protective covering NOTES TO PHYSICIAN: None SECTION 5. FIRE FIGHTING MEASURES FLASH POINT: AUTOIGNITION: FLAMMABLE RANGE: Not applicable Not applicable Not applicable EXTINGUISHING MEDIA: This product is nonflammable and does not support combustion. Use extinguishing media appropriate for surrounding fire. SPECIAL FIRE FIGHTING INSTRUCTIONS: Evacuate all personnel from area. If possible, remove cylinders from fire area or cool with water. Do not direct water spray at the container vent. This product is a simple asphyxiant. Self Contained Breathing Apparatus (SCBA) may be required. UNUSUAL FIRE AND EXPLOSION HAZARDS: When spilled, liquid helium will vaporize rapidly forming an oxygen deficient vapor cloud. Visibility may be obscured in its vapor cloud. Contact with liquid -or cold vapors may cause frostbite. Upon exposure to intense heat or flame, cylinder will vent rapidly and/or rupture violently. Most cylinders are designed to vent contents when exposed to elevated temperatures. Pressure in a cylinder can build up due to heat and it may rupture if pressure relief devices should fail to function. HAZARDOUS COMBUSTION PRODUCTS: None 'SECTION 6. ACCIDENTAL RELEASE MEASURES ' , Il STEPS TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: Evacuate immediate area. Increase ventilation to release area and monitor oxygen level. Use appropriate protective equipment (SCBA). Shut off source of leak if possible. Isolate any leaking cylinder. To increase rate of vaporization, spray large amounts of water onto spill from an upwind position. Do NOT spray water directly at leak. Avoid contact with liquid or cold vapors. If leaking from container or its valve, contact your supplier. II" ,, . . SECTION 7. HANDLING AND'STORAGE . Ii STORAGE: Store liquid cylinders in a well-ventilated, secure area, protected from the weather. Do not store in a confined space. Cryogenic containers are equipped with pressure relief devices to control internal pressure. Undernormal ~conditions these containers will periodically vent product. Do 'not plug, remove, or tamper with pressure relief device. Do not allow storage temperature to exceed 125 °F (52°C). Storage should be away from heavily traveled areas and emergency exits. HANDLING: Never allow any unprotected part of the body to touch uninsulated pipes or vessels which contain cryogenic fluids. The extremely cold metal will cause the flesh to stick fast and tear when one attempts -to withdraw from it. Use a -suitable hand truck-designed for cylinder movement. Do ~not drop, tip or roll containers on their side. If user experiences any difficulty operating cylinder valve, discontinue use and contact supplier. Use proper connections. DO NOT USE ADAPTORS. Use a check valve to prevent reverse flow into liquid cylinder or tanks. Use piping and equipment adequately designed to withstand pressures and extreme Iow temperatures to be encountered. Some metals such as carbon steel may become bdttle at Iow temperatures and will easily fracture. Prevent entrapment of liquid in closed system-or piping without pressure relief, ttis recommended that all vents be piped to-the-exterior of the building. SPECIAL PRECAUTIONS: Liquid helium in exposed piping can cause air to condense and liquefy. The nitrogen in this liquid can evaporate more rapidly, leaving an enriched oxygen liquid behind. Utilize oxygen-compatible insulating materials and minimize exposed piping surface areas. Always store and handle cryogenic liquids in accordance with Compressed Gas Association, Inc. (telephone 703-412-0900) pamphlet CGA P-t2, Safe Handling of Cryogenic Liquids. Local regulations may require specific equipment for storage or use. CAUTION: Users of this product must be aware of the hazards caused by the accumulation of high concentrations, especially in confined spaces. Compliance with OSHA regulations, especially 29 CFR 1910.146 (confined space entry), is essential. , , SECTION 8. 'EXPOSURE CONTROLS/PERSONAL PROTECTION , I ENGINEERING CONTROLS: VENTILATION: Provide adequate ventilation and/or local exhaust to prevent accumulation of gas concentrations. Oxygen levels in work area should be monitored to ensure they do not fall below 19.5%. RESPIRATORY PROTECTION: Emergency Use: Check for oxygen deficient atmospheres before entering area. Air supplied respirators are required in areas where oxygen concentration is less than 19.5%. Air purifying respirators will not provide protection. EYE PROTECTION: Full face shield and safety glasses are recommended. SKIN PROTECTION: Loose fitting thermal insulated or leather gloves. OTHER PROTECTIVE EQUIPMENT: Safety shoes are recommended when handling cylinders. Long sleeve shirts and trousers without cuffs. SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE, ODOR AND STATE: Colorless, odorless cryogenic liquid. MOLECULAR WEIGHT: 4.003 BOILING POINT-(1 atm): -452.1 °F (-268.9 °C) SPECIFIC GRAVITY (also *called vapor density) (Air =1): 0.138 FREEZING POINT / MELTING POINT: -459.7 °F (-273.2 °C) VAPOR PRESSURE (At 70 °F (21.1 °C)): Not applicable GAS DENSITY(At 70 °F (21.1 °C) and 1 atm): O.0t03 tb/ft3 SOLUBILITY IN WATER (Vol./Vol. at 68 °F (20 °C) and 1 atto): 0.0086% EVAPORATION RATE (Butyl Acetate -- 1): High EXPANSION RATIO (liquid to gas): 1 to 749 SECTION 10. STABILITY AND REACTIVITY CHEMICAL STABILITY: Stable CONDITIONS TO AVOID: Heat INCOMPATIBILITY (Materials to Avoid): None REACTIVITY: A) HAZARDOUS DECOMPOSITION PRODUCTS: None B) HAZARDOUS-POLYMERIZATION: Will-not occur II SECTION 11. TOXICOLOGICAL INFORMATION II LCso (Inhalation): Not applicable LDso (Oral): Not applicable LDso (Dermal): Not applicable CARCINOGENICITY: Helium is not listed as a carcinogen or potential carcinogen by NTP, IARC, or OSHA Subpart Z. SKIN CORROSlVlTY: Not applicable ADDITIONAL NOTES: Helium is a simple asphyxiant. SECTION 12. ECOLOGICAL INFORMATION . AQUATIC TOXICITY: Helium is not listed as a marine pollutant by DOT (49 CFR 171). MOBILITY: Not applicable PERSISTENCE AND BIODEGRADABILITY: Not applicable *POTENTIAL TO BIOACCUMULATE: Not applicable REMARKS: No adverse ecological effects are expected. Helium does not contain any Class I or Class II ozone depleting chemicals. II SECTION 13. DISPOSAL CONSIDERATIONS II UNUSED PRODUCT / EMPTY CONTAINER: Retum container and unused product to supplier. Do not attempt to dispose of residual or unused quantities. DISPOSAL INFORMATION: For emergency disposal, secure the liquid cylinder and slowly discharge gas to the atmosphere in a well ventilated area or outdoors. SECTION t4. TRANSPORT INFORMATION DOT SHIPPING NAME: Helium, refrigerated liquid HAZARD CLASS: 2.2 IDENTIFICATION NUMBER: UN1963 SHIPPING LABEL(s): Nonflammable Gas PLACARD-(When required): Nonflammable Gas SPECIAL SHIPPING INFORMATION: Liquid cylinders should be transported in a secure upright position in a well-ventilated truck. Never transport in passenger compartment of a vehicle. CAUTION: Shipment of a liquid cylinder which has not been filled by the owner or with the owner's written consent is a violation of federal law (49 CFR 173.301). NAERG #: 1'20 SECTION 15. REGULATORY INFORMATION II U.S. FEDERAL REGULATIONS: EPA -ENVIRONMENTAL PROTECTION AGENCY CERCLA: Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (40 CFR Parts 117 and 302) Reportable Quantity (RQ): None SARA TITLE II1: Superfund Amendment and Reauthorization Act SECTIONS 302/304: Emergency Planning and Notification (40 CFR Part 355) Extremely Hazardous Substances: Helium is not listed. Threshold Planning Quantity (TPQ): None Reportable Quantity (RQ): None SECTIONS 3111312: Hazardous Chemical Reporting (40 CFR Part 370) IMMEDIATE HEALTH: No PRESSURE: Yes DELAYED HEALTH: No REACTIVITY: No FIRE: No SECTION 313: Toxic Chemical Release Reporting (40 CFR Part 372) Helium does not require reporting under Section 313. CLEAN AIR ACT: TSCA: SECTION 112 (r): Risk Management Programs for Chemical Accidental Release. (40 CFR PART 68) Helium is not listed as a regulated substance. Threshold Planning Quantity (TPQ): None Toxic Substance Control Act Helium is listed on the TSCA inventory. OSHA - OCCUPATIONAL, SAFETY AND HEALTH ADMINISTRATION: 29 CFR Part 1910.119: Process Safety Management of Highly Hazardous Chemicals. Helium is not listed in Appendix A as a highly hazardous chemical. Threshold Planning Quantity ('rPQ): None STATE REGULATIONS: CALIFORNIA: Proposition 65: This product is not a listed substance which the State of California requires warning under this statute. II , ' is. OTHER INFORMATION , NFPA RATINGS: HMIS RATINGS: HEALTH: = 3 HEALTH: = 3 FLAMMABILITY: = 0 FLAMMABILITY: = 0 REACTIVITY: = 0 REACTIVITY: = 0 SPECIAL: SA* *Compressed Gas Association recommendation to designate simple asphyxiant, MATERIAL SAFETY DATA SHEET PRODUCT NAME: CHEMICAL NAME: FORMULA: SYNONYMS: MANUFACTURER: Helium, compressed Helium He Helium gas, Gaseous helium, Balloon gas Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 PRODUCT INFORMATION: t-800-752-1597 MSDS NUMBER: 1008 REVISION: 4 REVISION DATE: March 1994 REVIEW DATE: August 1997 I ' "sEcTio. 2. coMposI'TiO./ "FoRMATIO. O. I"ORED E.TS Ii Helium is sold as pure product > 99%. CAS NUMBER: 7440-59-7 EXPOSURE LIMITS: OSHA: Not established ACGIH: Simple asphyxiant NIOSH: Not established I ' SECTION 3 HAZARD IDENTIFICATION '1 EMERGENCY OVERVIEW Helium is a nontoxic, odorless, colorless, nonflammable gas stored in cylinders at high pressure. It can cause rapid suffocation when concentrations are sufficient to reduce oxygen levels below 19.5%. It is lighter than air and may collect in high points or along ceilings. Self-Contained Breathing Apparatus (SCBA) may be required by rescue workers. EMERGENCY TELEPHONE NUMBERS 800 - 523 - 9374 Continental U.S., Canada and Puerto Rico 610 - 481 - 7711 other locations POTENTIAL HEALTH EFFECTS: INHALATION: Simple asphyxiant. Helium is nontoxic, but may cause suffocation by displacing the oxygen in air. Lack of sufficient oxygen can cause serious injury or death. EYE CONTACT: No adverse effect. SKIN CONTACT: No adverse effect. MSDS~ 1008 HELIUM Page 1 of 5 EXPOSURE INFORMATION: ROUTE'OF ENTRY: Inhalation TARGET ORGANS: None EFFECT: Asphyxiation (suffocation) SYMPTOMS: Exposure to an oxygen deficient atmosphere (less than 19.5%) may cause dizziness, drowsiness, nausea, vomiting, excess salivation, diminished mental alertness, loss of consciousness and death. Exposure to atmospheres containing 8-10% or less oxygen will bring about unconsciousness without waming and so quickly that the individuals cannot help or protect themselves. MEDICAL CONDITIONS AGGRAVATED BY OVEREXPOSURE: None CARCINOGENIC POTENTIAL: Helium is not listed as a carcinogen or potential carcinogen by NTP, IARC, or.OSHA Subpart Z. WARNING The practice of intentionally inhaling helium for a voice altering effect is extremely dangerous and may result in serious injury or deathl SECTION 4. FIRST AID INHALATION: Persons suffering from lack of oxygen should be moved to fresh air. If victim is not breathing, administer artificial respiration. If breathing is difficult, administer oxygen. Obtain prompt medical attention. EYE I SKIN CONTACT: Not applicable SECTION 5. FIRE AND EXPLOSION FLASH POINT: AUTOIGNITION: FLAMMABLE LIMITS: Not applicable Nonflammable Nonflammable EXTINGUISHING MEDIA: Helium is nonflammable and does not support combustion. Use extinguishing media appropriate for the surrounding fire. HAZARDOUS COMBUSTION PRODUCTS: None SPECIAL FIRE FIGHTING INSTRUCTIONS: Helium is a simple asphyxiant. If possible, remove helium cylinders from fire area or cool with water. Self contained breathing apparatus may be required for rescue workers. UNUSUAL FIRE AND EXPLOSION HAZARDS: Upon exposure to intense heat or flame cylinder will vent rapidly and or rupture violently. Most cylinders are designed to vent contents when exposed to elevated temperatures. Pressure in a container can build up due to heat and it may rupture if pressure relief devices should fail to function. ..... . . SECTION 6. ACCIDENTAL RELEASE MEASURES. . Evacuate all personnel from affected area. Increase ventilation to release area and monitor oxygen level. Use appropriate protective equipment (SCBA). If leak is from container or it's valve, call the Air Products'*emergency telephone number. If leak is in user's system close cylinder valve and vent pressure before attempting repairs. STORAGE: Cylinders should be stored upright in a well-ventilated, secure area, protected from the weather. Storage area temperatures should not exceed 125 °F (52 °C) and area should be free of NISDSf~ 1008 HELIUM Page 2 of 5 combustible materials. Storage should be away from heavily traveled areas and emergency exits. Avoid areas where salt or other corrosive materials are present. Valve protection caps and valve outlet seals should-remain on cylinders not connected for use. Separate full from empty cylinders. Avoid excessive inventory and storage time. Use a first-in first-out system. Keep good inventory records. HANDLING: Do not drag, roll, or slide cylinder. Use a suitable handtruck designed for cylinder movement. Never attempt to lift a cylinder by its cap. Secure cylinders at all times while in use. Use a pressure reducing regulator or separate control valve to safely discharge gas from cylinder. Use a check valve to prevent reverse flow into cylinder. Do not overheat cylinder to increase pressure or discharge rate. If user experiences any difficulty operating cylinder valve, discontinue use and contact supplier. Never insert an object (e.g., wrench, screwdriver, pry bar, etc.) into valve cap openings. Doing so may damage valve causing a leak to occur. Use an adjustable strap-wrench to remove over-tight or rusted caps. Helium is compatible with all common materials of construction. Pressure requirements should be considered when selecting materials and designing systems. SPECIAL REQUIREMENTS: Always store and handle compressed gases in accordance with Compressed Gas Association, Inc. (ph. 703-412-0900) pamphlet CGA P-l, Safe Handling of Compressed Gases in Containers. Local regulations may require specific equipment for storage or use. CAUTION: Compressed gas cylinders shall not be refilled except by qualified producers of compressed gases. Shipment of a cylinder which has not been filled by the owner or with the owner's written consent is a violation of federal law. ENGINEERING CONTROLS: Provide good ventilation and/or local exhaust to prevent accumulation of high concentrations of gas. Oxygen levels in work area should be monitored to ensure they do not fall below 19.5%. RESPIRATORY PROTECTION: GENERAL USE: None required. EMERGENCY: Use SCBA or positive pressure air line with mask and escape pack in areas where oxygen concentration is less than 19.5%. Air purifying respirators will not provide protection. OTHER PROTECTIVE EQUIPMENT: Safety shoes are recommended when handling cylinders. SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE: Colorless gas ODOR: Odorless MOLECULAR WEIGHT: 4.00 BOILING-POINT (1 arm): -452.1 °F (-268.9 °C) SPECIFIC GRAVITY (Air =1): 0.138 SPECIFIC VOLUME (at 70 °F (21.1 °C) and 1 atm): 96.71 ft3/Ib (6.037 m3/kg) FREEZING POINT/MELTING POINT: None VAPOR.PRESSURE (AT 70°F): Not applicable GAS DENSITY (at 70 °F (21.1 °C) and 1 atm): 0.0103 Ib/ft3 (0.165 kg/m3) SOLUBILITY IN WATER (Vol./Vol. at 32 °F (0 °C)): 0.0094 MSD$# 1008 HELIUM Page 3'of5 SECTION 10. REACTIVITY I STABILITY CHEMICAL STABILITY: Stable CONDITIONS TO AVOID: None INCOMPATIBILITY: None H.~ZARDOUS DECOMPOSITION PRODUCTS: None HAZARDOUS POLYMERIZATION: Will not occur. SECTION Il. TOXICOLOGICAL INFORMATION Helium is a simple asphyxiant. SECTION 12. ECOLOGICAL INFORMATION I Helium is not toxic. No adverse ecological effects are expected. Helium does not contain any Class I or Class II ozone depleting chemicals. Helium is not listed as a madne pollutant by DOT (49 CFR 171). UNUSED PRODUCT / EMPTY CONTAINER: Return container and unused product to supplier. Do not attempt to dispose of residual or unused quantities. DISPOSAL: For emergency disposal, secure the cylinder and slowly discharge gas to the atmosphere in a well ventilated area or outdoors. ' SECTION 14. TRANSPORTATION DOT HAZARD CLASS: 2.2 DOT SHIPPING LABEL: Nonflammable Gas DOT SHIPPING NAME: Helium, Compressed IDENTIFICATION NUMBER: UN1046 REPORTABLE QUANTITY (RQ): None SPECIAL SHIPPING INFORMATION: Cylinders should be transported in a secure upright position in a well ventilated truck. Never transport in passenger compartment of a vehicle. SECTION 15. REGULATORY INFORMATION U.S. FEDERAL REGULATIONS: EPA - ENVIRONMENTAL PROTECTION AGENCY CERCLA: Comprehensive Environmental Response, Compensation, and Liability Act of 1980 requires notification to the National Response Center of a release of quantities of hazardous substances equal to or greater than the reportable quantities (RQ) in 40 CFR 302.4. CERCLA Reportable Quantity: None SARA TITLE II1: SUPERFUND AMENDMENT AND REAUTHORIZATION ACT OF 1986 SECTION 302: Requires emergency planning based on threshold planning quantities (TPQ) and release reporting based on reportable quantities (RQ) of EPA's extremely hazardous substances (40 CFR 355). Helium is not listed as an Extremely Hazardous Substance. MSDS# 1008 HELIUM Page 4 of 5 PUB # 310-409 SECTIONS 3t1/3~2: Require submission of matedal safety data sheets (MSDSs) and chemical inventory reporting with identification of EPA defined hazard classes. The hazard classes for this product are: IMMEDIATE HEALTH: No PRESSURE: Yes DELAYED HEALTH: No REACTIVITY: No FIRE: No SECTION 313: Requires submission of annual'reports of release of toxic chemicals that appear in 40 CFR 372. This information should be included in all MSDSs that are copied and distributed for this material. Helium is not listed as a toxic chemical. 40 CFR PART 68: Risk Management for Chemical Accident Release Prevention. Requires the development and implementation of dsk management programs at facilities that manufacture, use, store, orothe~vise handle regulated substances in quantities that exceed specified thresholds. Helium is not listed as a regulated substance. TSCA - TOXIC SUBSTANCE CONTROL ACT: Helium is listed on the TSCA inventory. OSHA - OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 29 CFR 1910.~ 19: Process Safety Management of Highly Hazardous Chemicals. Requires facilities to develop a process safety management program based on Threshold Quantities (TO) of highly hazardous chemicals. Helium is not listed as a Highly Hazardous Chemical. STATE REGULATIONS: CALIFORNIA: Proposition 65: This product does NOT contain any listed substances which the State of California requires warning under this statute. SCAQMD Rule: VOC = Not applicable SECTION 16. SUPPLEMENTAL INFORMATION HAZARD RATINGS: NFPA RATINGS: HEALTH: 0 FLAMMABILITY: 0 REACTIVITY: 0 SPECIAL: SA* HMIS RATINGS: HEALTH: 0 FLAMMABILITY: 0 REACTIVITY: 0 *Compressed Gas/~ssoci~tion re(;~)rqlTlel!dation to designate simple asphyxiant. **Documents with Effective Date of March 1994 and August 1997 are identical in content and either may be used. MSDS~ 1008 HELIUM Page 5 of 5 PUB # 310-409 THE ENCLOSED ARE PROCEDURES FOR REAL FIRE EMERGENCIES AS WELL AS FOR PRACTICE DRILLS FIRE DRILL PROCEDURES, RESPONSIBILITIES ~ - discoverer must determine whether to extinguish or to close off area.and, call operatorl WHO TO NOTIFY FIRST: decision to be based on situation and severity of fire. If coworkers are present- call out for help and give specific instructions. If alone- fight fire or call operator and give specific location and type of fire. HOW TO NOTIFY: Say "wastebasket fire in xray room 4", or "electrical fire in Mammo room B". This will give operator terminology for calling 911. PUBLIC ADDRESS ANNOUNCEMENT WORDING: "CODE RED IN XRAY ROOM 4" When danger has passed, announce: "Code Red Clear" RESPONSIBILITIES - use team approach - call those in immediate area D~ One person ~alls operator, one gets fire extinguisher or starts patient evacuation. OPERATORS,SCHEDULERS - Announce over PA, "CODE RED IN XRAY ROOM 4" Operators/schedulers use team approach and verbally designate duties to each other. Additionally, you will assist in evacuating patients. Close conference,library, and scheduling office doors after checking for occupants. NURSE/TECHNOLOGISTS - Evacuate your areas of patients, visitors, and assist others. Turn off 02 and machine consoles, shut down CRT terminals, close doors after checking xray rooms, dressing and restrooms. 02 must be turned off in: NucMed. stress room Specials Room · Nurse's Station CT,MRI DOCTORS - Assist in evacuation of immediate area, assist in pt handling and assessments, shut down CRT terminals and view boxes. CLERKS - second floor - Shut down CRT.s, close doors after checking kitchen, restrooms, offices, etc.. Assist patients and visitors. CLERKs -.first floor - Assist in immediate areas and-with front lobby evacuation, check restrooms, close doors, shut down CRT.s. TRANSCRIPTIONIST~37...~3--Shutldown'-'machines,CRT.s, patients, visitors, coworkers in immediate area. printers etc.. Assist EXPEDITERS -. Assist in patient, visitor evacuation, check dressing areas, close doors. Wheelchairs may be needed from nurse's station. FILEROOM PERSONNEL - Check with and help in immediate area, assist in nurse's station, close area doors. ESCAPE ROUTES, OUTSIDE MEETING AREA - meet at WEST END OF PROPERTY near dumpsters. USE SAFEST, NEAREST EXIT. 'GENkRAL GUIDELINES: LEARN LOCATIONS OF FIRE EXTINGUISHERS Do not use elevator. Do not stop to take valuables. Stay calm, do not rush. BEFORE Ai~D AFTER HOURS Call front desk to report type and location'of fire. Front.desk personnel can then alert others AND call 911. Personnel who do not have patients in their areas must respond by going to aid those in fire area with fire extinguishers. REMEMBER -'these are guidelines for a real'fire too. For a fire drill simply mentally check off the responsibilities and duties. KERN RADIOLOGY SAN Manager : DEBBIE THOMPSON Location: 3535 SAN DIMAS 2 City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 015-021-0 BusPhone: (661) 633-5740 Map : 103 CommHaz : Minimal Grid: 19B FacUnits: 1 AOV: SIC Code:801i DunnBrad: Emergency Contact / Title DEBBIE THOMPSON / SATELITE MGR Business Phone: (661) 633-5740x 24-Hour Phone : (661) ~=_r Phone : Hazmat Hazards: Emergency Contact / Title LOIS ELDRIDGE LEE / OPERATIONS MGR Business Phone: (661) 852-2440x 24-Hour Phone : (661) 587-5799x React Contact : LOIS ELDRIDGE-LEE MailAddr: PO BOX 2388 City : BAKERSFIELD Phone: (661) 852-2440x State: CA Zip : 93303 Owner KERN RADIOLOGY MEDICAL GROUP INC Address : PO BOX 2301 BAHAMAS DR City : BAKERSFIELD Phone: (661) 322-1981x State: CA Zip : 93309 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: ' = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, ~)E~l,~"i3~[~~o hereby certify that I have reviewed the attached hazardous materials manage- ment plan for~P~l~ t~([[010~ ~ and t~t it along with any ~e~ions ~nstit~e a ~mpl~e and corr~ man- agement plan for my facility. -1- 08/22/2003 KERN RADIOLOGY SAN DIMAS SiteID: 015-021-001922 Manager : ~9~-~m%~-B~DW~ ~_~D~ --~Orv%~O~-] Location: 3535 SAN DIMAS 2 City : BAKERSFIELD BusPhone: Map : 103 Grid: 19B (805) 633-5740 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 EPA Numb: Emergency Contact Business Phone: 24-Hour Phone : Pager Phone : / Title / ~MINISTP~ATOR (805) 322 ~x6~l (805) ~90 .... ~= SIC Code:8011 DunnBrad: Emergency Contact / Title LOIS ~gdM~95M~L~'~df6~_~ OPERATIONS MGR ~)Business Phone: (805) ~4-Hour Phone : (805)--397-469-7x Pager Phone : (~1) ~2-~ - ~x Hazmat Hazards: Contact : D'.~,,~ MailAddr: PO BOX 2388 City :. BAKERSFIELD React Phone: -322 I~ State: CA Zip : 93303 Owner KERN RADIOLOGY MEDICAL GROUP INC Address City : BAKERSFIELD Phone: (805) 322-1981x State: CA Zip :~ Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: ~ Hazmat Inventory --As Designated Order Hazmat Common Name... WASTE FIXER ISpecHazI One Unified List Ail Materials at Site EPA Hazards Frm R I, loL~ E'/dr;~/~ic~-/_~.e Do hereby ce~ify that ! have ~y~ or pd~ name) - ~ reviewed the a~achad h~a~ous mmedals manage- . ~ ment plan ~or~e4?~l 6~p_,.~nd that i~ along with tma~ of any corre~ions constitute a compile and correct man- age~ent plan for ~y facili~. q-23'o6 ~ona~e-- .~2 - L DailyMax Unit MCP 5.00 GAL Min 1 08/29/2000 ~ KERN RADIOLOGY SAN DIMAS SiteID: 015-021-001922 Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lvRvl~ ~Vl~ / ~£ ~_[~ N~vt~ WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: NEXT TO THE FILE RM, IN THE DARKROOM CAS# STATE -- TYPE PRESSURE Ambient mLiquid Waste TEMPERATURE IAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 3.00 GAL %Wt. Isilver HAZARDOUS COMPONENTS S. CAS# N 7440224 TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies R NFPA /// IUSDOT# I MCP Min 2 08/29/2000 KERN RADIOLOGY SAN DIMAS SiteID: 015-021-001922 Fast Format = Notif./Evacuation/Medical --Agency Notification Overall Site 02/19/1999 PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY RESPONSE COORDINATOR. NOTIFY THE FOLLOWING NEIGHBORS, CHP, OFFICE OF EMERGENCY SERVICES AND THE NATIONAL RESPONSE CENTER, CALL 911, GENERAL ELECTRIC, CALIFORNIA IMAGING SOLUTIONS. USE PUBLIC ADDRESS AND FIRE ALARMS. -- Employee Notif./Evacuation ALL EMPLOYEES ARE TO EVACUATE THE EXIT NEAREST THEIR LOCATION. 02/19/1999 Public Notif./Evacuation 02/19/1999 ALL EMPLOYEES UPON EVACUATION ARE TO MEET AT THE NE CORNER OF THE PARKING Emergency Medical Plan 02/19/1999 PHYSICIAN ON PREMISES DURING ALL BUSINESS HOURS. HALL AMBULANCE, GOLDEN EMPIRE AMBULANCE, MEMORIAL HOSPITAL AND/OR EMERGENCY ROOM, MERCY HOSPITAL AND/OR EMERGENCY ROOM. 3 08/29/2000 KERN RADIOLOGY SAN DIMAS i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release Prevention ~~~~~~~ 02/19/1999 o WASTE IS STORED IN RED AIR TIGHT HAZARDOUS WASTE CONTAINERS. PROCESSING o CHEMICALS ARE STORED IN PLASTIC CONTAINERS. o o i~ Release Containment ~~~~~~ 02/19/1999 O 50 POUNDS OF KITTY LITTER ON PREMISES AT ALL TIMES. HAZARDOUS WASTE o CONTAINMENT KIT AND CLEAN-UP KIT. o o ii~i~ Clean Up ~~~~~~~~ 02/19/1999 ~) SPREA~ KITTY LITTER, USE SQUEEGEE AND DUST PAN. INSERT INTO HAZARDOUS WASTE ° CONTAINER, WE HAVE CONTRACT WITH BFI HAZARDOUS WASTE DISPOSAL CO. ° o i~/~ Other Resource Activation O O -4- 08/29/2000 KERN RADIOLOGY SAN DIMAS i~ Site Emergency Factors i~ Special Hazards o o i~ Utility Shut-Offs o A) GAS - OUTSIDE N BACK DOOR ° B) ELECTRICAL - CENTRAL HALLWAY ° C) WATER - ° D) SPECIAL - NONE ° E) LOCK BOX - NO ° o i~ Fire Protec./Avail. Water o PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS; 1 - LOCATED IN MAIN PATIENT WAITING AREA, 2 - LOCATED IN MAIN HALLWAY. o o o o NEAREST FIRE HYDRANT - 34TH ST AND SAN DIMAS S SIDE OF 34TH ST. o O O -5- 08/29/2000 lq~ERN RADIOLOGY SAN DIMAS ~~~~ SiteID: 015-021-001922 Trai~ng ~~~~~~~~ Overall Site i~ Employee Trai~ng ~~~~~~~ 02/19/1999 o WE HAVE 10 EMPLOYEES AT THIS FACILITY. o WE DO HAVE MSDS SHEETS ON FILE IN A COMPLIANCE BINDER. o O B~EF SUMMARY OF T~INING PROG~M: ALL EMPLOYEES A~ T~INED ON CHEMICALS ON SITE AND ON ALL MACHINES. THE EMPLOYEES ARE AWARE OF FIRE AND EVACUATION PLAN AND HOW TO RESPOND TO ANY EMERGENCY. o o o i¢~ Held for Fumre Use O o i~ Held for Future Use O o -6- 08/29/2000 San Dimas Fire Drill Procedures, Responsibilities Discovery-discoverer must determine whether to extinguish or to close off area and call Debbie. Who to notify first:. Call DEBBIE-to notify that there is a fire,-give specific details, location and'type'of fire, decisions are'to be made on the-situation and the seveaity of the fire.. If.coworkersare present-call out BY NAME, ask for help in extinguishing the fire 'otto close 'off-room. Debbie will call 911: Give specific details, location and type 'of fire. If the situation has cleared or-been deemed ok to'rettrm to building announce over the phonesyst~n "co. de-Red clear". Responsibilities: use team approach, call those in the immediate areaby NAME. Debbie .will delegate jobs: · Notify other suite · Start patient evacuation · Use of fire extinguisher .to-extinguish fire. (if applicable) · Notify all :departments (Code RED ie: mammography room) over phone system. · Assign someone to mm off 02 tank in ultrasotmd room. Debbie will be the last to exit after the call to 911 has been made. In order to assure complete evacuation of the area. '(Make sure all fire doors are closed) Technologist: Evacuate your areas of patients, visitors, and assist others. Turn off 02 tank and machine consoles; shut down CRT terminals, close doors after checking x-ray rooms, dressing and restrooms. 02 must be turned offin: Suite 10 I.V.P./Fluro room Ultrasound room Radiologist: Assist in evacuation of immediate area, assist in patient handling and assessment, shut down CRT terminals and view boxes. Front Office: Assist in immediate areas and with front lobby evacuation, check restrooms, close doors when rooms are clear, and shut down CRT's. Transcription: Shut down machines, CRT's, printers' etc. assist patients, visitors, and coworkers in lobby. Expeditor: Assist patients, visitor evacuation, check dressing areas' and close doors. File Room Personnel: Check with and help in the immediate area, close area doors when rooms are clear. Escape route, outside meeting area: meet at the NORTH/EAST CORNER OF THE NORTH PARKING LOT. Use safest, nearest exit. Debbie will account for all personnel and patients. General Guidelines: Personnel who do not have patients in 'their areas must respond by going to aid those in fire area with fire extinguishers. Learn locations of nearest fire extinguishers Do not stop to take valuables. Stay calm, do not rush. Before and after hours: Call front desk to report type and location of fire. Front desk personnel can then alert others and call 911. Personnel who do not have patients in their areas must respond by going to aid those in fire area with fire extinguishers. Remember: These are guidelines used for a real fire and/or fire drill. By knowing this procedure all parties involved can feel confident in responding to a fire and insuring the safety of others. Bomb Threat Procedures, Responsibility Discover~: Operators/Scheduling: Upon receipt.of mail notification.bring immediately to your Manager the manager will then notify the main~office and administration. If not'rfication is by-phone follow these steps: · Prolong the conversation be pleasant. Immediately notify someone to inform administration. · Try to fred out the location of the bomb. · Time of detonation~ Listen for details, i.e. Accent, male or female, background noises any identifying noise that can help with the location of the caller. · Immediately notify the manager of all information received. The manager will then call the main office and receive instructions. The administrator wffi notify the departments as to the threat~ One designated person fi.om each department should look:over area no one knows the department better than the employees who. work in it. If an employee finds a weird.box or something out of the normal notify the manager immediately.. If:the' administration feels evacuation is necessary you will be notified. When announcing .say "Code Black, please evacuate the building" repeat-again. Wait 30seconds and repeat again. Responsibilities: use a team approach-call those in immediate area by name. Turn off 02 in ultrasound and machine consoles; shut down CRT terminals,_dose-outer doors atter checking x-ray rooms, dressing rooms and restrooms. Radiologist-Assist in evacuation, of immediate area, assist in patients handling and assessment, shut down-CRT terminals and view boxes. Front office- assist in immediate areas and with front lobby evacuation, check restrooms, close-doors, :shut down CRT terminals. Transcription, shut down machines, CRT terminals. Assist in patient evacuation, visitors and assist coworkers in immediate area. Expeditor- assist in patient, visitor evacuation, check dressing areas, close doors. Wheelchairs .may be needed from lobby. Fileroom personnel- shut down CRT terminals and all machines. Check with and help in immediate area, close area doors. ESCAPE ROUTES~ OUTSIDE MEETING AREA- meet in Yokuts Park at the restroom area. USE SAFEST NEAREST EXIT. Team Leaders remember you are responsible for your patients and accountability of all employees in your department. Be aware of employees who are off, so that they are not reported unaccounted for. Stay calm. You will be instructed by administration when it is safe to return to the building. " FE~I 8 ~999 Manager : Debbie Thompson Location: 3535 SAN DIMAS 2~ City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 215-000-001922 BusPhone: (805) 633-5740 Map : 103 CommHaz : Minimal Grid: 19B FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title LYNN REID-BRENNEN / ADMINISTRATOR Business Phone: (805) 322-1981x 210 24-Hour Phone : (805) 398-3225x Pager Phone : ( ) - x Emergency Contact LOIS CAMPBELL Business Phone: 24~Hour Phone : Pager Phone : / Title / OPERATIONS MGR (805) 322-1981x 2~3 (805) 397-4697x ( ) - x Hazmat Hazards: React Contact : D'Ln Brown MailAddr: PO BOX 2388 City : BAKERSFIELD Phone: (805) State: CA Zip : 93303 322-1981 x 212 Owner KERN RADIOLOGY MEDICAL GROUP INC Address : PO BOX 2388 City : BAKERSFIELD Phone: (805) 322-1981 State: CA Zip : 93303-2388 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: = Hazmat Inventory --As Designated Order Hazmat Common Name... WASTE FIXER ~, ~Lynn Reid-Brennan mviewe~ ~b~ attached hazardous materials manage- Kern Radiology ~ ~ ~7 San Dimas a~ ~ ~ a~ ~i~b any ~r¢~ co~st~tut~ a ~mplet~ a~d ~ man- ISpecHazlEPA HazardsI Frm R L Do hereby certify that ! have One Unified List Ail Materials at Site DailyMax Unit MCP 5 GAL Min -1- 01/15/1999 KERN RADIOLOGY SAN DIMAS SiteID: 215-000-001922 = Inventory Item 0001 Facility Unit: Fixed Containers at Site ~lVUVl~N N~Vl~ / ~1 ~./A_..b N~Vl~ WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: next to the file room, in the darkroom CAS# F STATE ~ TYPE Liquid I Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 3.00 GAL %Wt. ISilver HAZARDOUS COMPONENTS I CAS# N 7440224 [TSecret RS BioHazI HAZARD AiSESSMENTS Radioactive/Amount EPA Hazards No No No No/ Curies R NFPA /// USDOT# MCP Min -2- 01/15/1999 KERN RADIOLOGY SAN DIMAS SiteID: 215-000-001922 Fast Format ~ Notif./Evacuation/Medical --Agency Notification Overall Site 01/14/1999 UPON DISCOVERY OF A SPILL OR ACCIDENTAL DISCHARGE OF HAZARDOUS WASTE, FACILITIES PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY RESPONSE COORDINATOR. NOTIFY THE FOLLOWING NEIGHBORS, CHP, OFFICE OF EMERGENCY SERVICES AND THE NATIONAL RESPONSE CENTER. See section 1. below -- Employee Notif./Evacuation All employees are to evacuate the exit nearest their location -- Public Notif./Evacuation All employees upon evacuation are to meet at the North East corner of the parking lot Emergency. Medical Plan Physician on premises during all business hours. Hall Ambulance Golden Empire Ambulance MemorialHospital or Emergency Room Mercy Hospital or Emergency Room Section 1. Cont. Call 911 General electric California Imaging Soloutions Public Address System Fire Alarm 3 01/15/1999 KERN RADIOLOGY SAN DIMAS SiteID: 215-000-001922 Fast Format F Mit igat ion/Prevent/Abatemt Release Prevention lWaste is stored in REd air tight hazardous waste containers Processing Chemicals are stored in plastic containers Overall Site -- Release Containment 50 pounds os kitty litter on premises at all times Hazardous waste containment kit and clean up kit. -- Clean Up spread kitty litter, use squeegee and dust pan insert into hazardous waste container, we have contract with BFI hazardous waste disposal co. Other Resource Activation -4- 01/15/1999 KERN RADIOLOGY SAN DIMAS SiteID: 215-000-001922 Fast Format Site Emergency Factors Special Hazards. Overall Site --Utility Shut-Offs A) GAS - OUTSIDE NORTH BACK DOOR B) ELECTRICAL - CENTRAL HALLWAY C) WATER- D) SPECIAL- E) LOCK BOX - 01/14/1999 -- Fire Protec./Avail. Water 01/14/1999 PRIVATE FIRE PROTECTION - two fire extinguishers 1. located in main patient waiting area, 2. located in main hallway NEAREST FIRE HYDRANT - 34TH STREET AND SAN DIM_AS SOUTH SIDE OF 34TH STREET Building Occupancy Level 5 01/15/1999 KERN RADIOLOGY SAN DIMAS SiteID: 215-000-001922 Fast Format ---- Training -- Employee Training 10 WE HAVE ~ EMPLOYEES AT THIS FACILITY. Overall Site 01/14/1999 WE DO HAVE MSDS SHEETS ON FILE IN A COMPLIANCE BINDER. BRIEF SUMMARY OF TP. AINING PROGRAM: ALL EMPLOYEES ARE TRAINED ON CHEMICALS ON SITE AND ON ALL MACHINES. THE EMPLOYEES ARE AWARE OF FIRE AND EVACUATION PLAN AND HOW TO RESPOND TO ANY EMERGENCY. Evacuation splans are attached. Page 2 Held for Future Use Held for Future Use -6- 01/15/1999 INSTRUCTIONS: 2. 3. 4. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 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 as brief and concise as possible. - SECTION 1' BUSINESS IDENTIFICATION DATA RADIOLOGY D'Ln Brown Compliance Manager & Librarian BUSINESS NAMB: KERN RADIOLOGY SAN DIMAS LOCATION: 3535 SAN DIMAS STE. 2 IV[AIl.lNG ADDRESS: P.O. BOX 2388 "Imaging for Life" 2301 Bahamas Drive Bakersfield, CA 93309 (805) 322-1981 Fax (805) 324-1298 CITY: BAKERSFIELD STATE: CA ZI~: 93303 PHONE: 805-633-5740 DUN & BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: RADIOLOGY CLINIC OV~NER: KERN RADIOLOGY MEDICAL GROUP, INC. MAILING ADDRESS: P.O. BOX 2388, BAKERSFIELD, CA 93303-2388 SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1 LYNN REID-BRENNAN ADMINISTRATOR 805-322-1981 80~-398-3225 2. LOIS CAMPBELL 'OPERATIONS MANAGER 805-322-1981 805-397-4697 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 9 MATERIAL SAFETY DATA SHEETS ON FILE: YES-COMPLIANCE BINDER BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES AREA TRAINED ON CHEMICALS ON SITE AND ON ALL MACHINES. THE EMPLOYEES ARE AWARE OF FIRE AND EVACUATION PLAN AND HOW TO RESPOND TO ANY EMERGENCY. 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 TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, LOIS CAMPBELL CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. t TITLE DATE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS .(LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDe): 4 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7; MITIGATION, PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: SPECIAL: LOCK BOX: YES/NO W YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 4 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 FACILITY INFORMATION Page __ Of BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As)": ' . too Year Ending 3 BUSINESS PHONE 102 103 SITE ADDRESS ~..7 ~ ~ ~/~ ~-~/./vl A_% ' ~ ~ CITY ~ , . DUN & BRADSTREET CA lO6 ZiP ~o5 sic COOE I I (4 Digit #) COUNTY : 108 OPERATOR NAME 109 I OPERATOR PHONE 110 f OWNER NAME 111 OWNER PHONE ~2 OWNER MAILING ADDRESS 113 CITY ' 114 STATE 1~5 ZIP ~6 CONTACT NAME ~ /'~/',,,j ~'~~ '1'17 ] CONTACT PHONE "~'~'2-t~;'g/ CONTACT MAILING 119 ADDRESS CITY ~20 STATE 121 ZiP ~22I NAME 123 NAME TITLE 125 TITLE BUSINESS PHONE 126 BUSINESS PHONE 131 24-HOUR PHONE 127 24-HOUR PHONE 132 PAGER # ~2e PAGER # 133 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 NAMES OF OWNER/OPERATOR (pdnt) 136 TITLE OF OWNER/OPERATOR 137 OE5 FOEM 2730 (7/9g,} P:\OES2730.TV4.wpd TYPE OF ACTION [] 1 NEW SITE PERMIT (Check one item only) .~IliFFiCE CITY OF BAKERSFIFti~D OF ENVIRONMENTA~SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 [] 3 RENEWAL PERMIT [] 4 AMENDED PERMIT UNDERGROUND STORAGE TANK FACILITY Page __ of ~ [] 5 CHANGE OF INFORMATION (State type of change) [] 7 PERMANENTLY CLOSED SITE [] 8 TANK REMOVED 400 [] 6 TEMPORARY SITE CLOSURE I. FACILITY I SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # NEAREST CROSS STREET 401 BUSINESS [] I GAS STATION [] 3 FARM [] 5 OTHER 403 TYPE [] 2 DISTRIBUTOR [] 4 PROCESSOR [] 6 COMMERCIAL FACILITY OWNER TYPE [] I CORPORATION [] 2 INDIVIDUAL [] 3 PARTNERSHIP [] 4 LOCAL AGENCY/DISTRICT' [] 5 COUNTY AGENCY' [] 6 STATE AGENCY' [] 7 FEDERAL AGENCY' 402 TOTAL NUMBER OF TANKS REMAINING AT SITE Is facility on Indian Reservation or trustlands? [] Yes [] No 405 *If owner of UST a public agency: name of supervisor of division, section or office which operates the UST, (This is the contact person for the tank records.) 406 II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME MAILING OR STREET ADDRESS 407 PHONE 408 409 CITY 410 STATE 411 ZIP 412 PROPERTY OWNER TYPE [] 2 INDIVIDUAL [] 4 LOCAL AGENCY/DISTRICT [] 6 STATE AGENCY 413 [] I CORPORATION [] 3 PARTNERSHIP [] 5 COUNTY AGENCY [] 7 FEDERAL AGENCY · ill ~ANK oWNER INFORMATION ' "'~"' TANK OVVNER NAME 41~ PHONE 415 MAILING OR STREET ADDRESS 416 CITY 417 STATE 418 ZIP TANK OWNER TYPE [] 2 INDIVIDUAL [] 4 LOCAL AGENCY / DISTRICT [] 1 CORPORATION [] 3 PARTNERSHIP [] 5 COUNTY AGENCY [] 6 STATE AGENCY [] 7 FEDERAL AGENCY 419 420 IV. BOARD OF I~QUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY (TK) HQ 4 4 - Call (916) 322-9669 if questions arise 421 V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) [] 10 LOCAL GOV'T MECHANISM [] 99 OTHER: [] 1 SELF-INSURED [] 4 SURETY BOND [] 7 STATE FUND [] 2 GUARANTEE [] 5 LETTER OF CREDIT [] 8 STATE FUND & CFO LETTER [] 3 INSURANCE [] 8 EXEMPTION [] 9 STATE FUND & CD 422 VI, LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. [] 1 FACILITY [] 2 PROPERTY OWNER [] 3 TANK OWNER 423 Legal notification and mailing will be sent to the tank owner unless box 1 or 2 is checked. VII, APPLICANT SIGNATURE Certification: I certify that the information provided herein is true & accurate to the best of my knowledge SIGNATURE OF APPLICANT DATE NAME OF APPLICANT (print) 426 TITLE OF APPLICANT PHONE 425 427 STATE UST FACILITY NUMBER (For local use only) 1998 UPGRADE CERTIFICATE NUMBER (For local use only) (Formerly SWRCB Form A) July 1, 1998 P:\USTFAC-A.FM4.wpd CITY OF BAKEIRS ! ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per materfal per building or area) [] ADD [] DELETE [] REVISE 200 Page __ of __ CHEMiCAL LOCATION ~'-~ ~'~ ~ ~'~ t,/¥~/3¢~ ~ ~ ~1 CHEMICAL LOCATION CONFIDENTIAL (EPC~) FACILI~ ID ~ ~ ~ ~]:~ 1 ~P ~ (opt~naO 203 GRID 8 (opt~naO []Yes []No 202 I 204 ~ CHEMICAL NAME COMMON NAME 205 207 CAS # 209 TRADE SECRET [] Yes [] No 206 If Subject to EPCRA, refer to iinstructJons EHS' []Yes []No 208 I :. ' · .': :'". J:: ' ':' '?: i 'If EHs is"Yes', all amounts below' must be in : .i.~i lbs. ' · ' ' 'i" '. ' '! FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief~ 210 TYPE [] p PURE [] m MIXTURE ~'w WASTE 211 RADIOACTIVE [] Yes ~,~No 212 CURIES 213 PHYSICAL STATE [] s SOLID ~1 LIQUID [] g GAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES [] I FIRE [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all that apply) ANNUAL WASTE 217' MAXIMUM ~ D ~)t/~ AMOUNT / 0 (~..~ 3 2'8 AVERAGE 219 STATE WASTE CODE 220 DAILY AMOUNT DAILY AMOUNT UNITS* ~ ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 DAYS ON SITE 222 *If EHS, amount must be in lbs. ~ 6 ~ STORAGE CONTAINER [] a ABOVEGROUND TANK ~'e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~l~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC 225 :i>?;:,, .:~; .J. ;.~- ::~ :,,: :!i:ili!~!:!:!.i:ii:EHS~!??.;.:i:i: ,. ':? :: '::" cAS #: i.: I 226 227 229 ~1. C.- tJ'~/7-- [] Yes [] No 228 i 230 231 [] Yes [] NO 232 233 234 235 [] Yes [] NO 236 237 238 239 [] Yes [] NO 240 241 242 243 [] Yes [] NO 244 245 ·: ~: ,, ,: .,~',i, t: '~:::: :? ':F?". ~: :::.';';" ~?~,':.~??~::-:; ':~'.~ '~ ,',::'::?: :' ~':. ~ :-":?: ~.;'.:~:-,'::::~::,~:'%.:Y:~S'¥F ': ::'.,:,, .~ =?,.:.k :: ~., ," · ,~ ,.: . .:. . , · · PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 OES FORM 2731 (7~98) P:\OES2731 .TV4.wpd ~e I of ONS~ ~~OUS W~ ~A~ NO~CA~ON FO~ FACI~ 5PE~IC NO~CA~ON ~ ~ For U~ b~ H~o~ W~ ~on ~o~i-E T~t ~ ~~ U~ ~i~o~ ~~ ~ ~~ Auto--on, ~ by ~t By R~c P~a~e r~r :o ::~e axtached In~:ruc:ion~ b~fore ~~ ~ ~. You ~ ~ ~r ~ :~ one p~ng ~ ~ ~ ~ ~fi~ion fo~. D~C 1 ~. You ~t ~ a ~e ~t ~e~fc ~fi~on~ for ~ ~t m t~ ~. ~e ~ diff~ ~t ~e~fic ~dfi~on fo~ for fw of ~e ~eg~ ~ ~ ~o~ ~~n fo~ for ~n~le ~ ~ ~'~). You o~ ~ to $~t fo~ for ~ ~)/~ego~5~) t~ ~ ~ ~). D~ or ~cle ~e o~ ~ fo~. N~er ~ page of your ~l~ ~flfl~on ~ge ~ ~e the t~ ~ of p~ ~ ~ top ~ ~ ~e ~ t~ 'Page ~ of ~'. ~ your ~A ~ N~ on ~ ~ge. P~e ~ ~ of ~ info--ion r~t~;.~ f~ ~ ~ co. laM ~t t~$e ~ $t~e '~ d~' or '~ ~'. P~e ~ ~ ~o~on pm~ on t~ fo~ ~ ~ ~a~. 7'ne notification fee~ are a.~e~ed on the ba~ of the highest der the nodfier will operate under and will be collected by the $tate Board of Equalization. DO NOT SEb~.¥OOR FEE PAYMENT W177I THIS NO7737CAT~QIV FQRM. I. NOTIFICATION CATFAT~RIF~ Indicme the number of unit: you open~e in each tier. ~ will alto be the number of trait specific notifw, aflon fotmr yott rn~t attach. Conditionally E. rem~t Small ~htantity Tmat:ntnt opwaton may not operate unit$ under any other tiff. Number of units.and a.ttag~ed unit ~ific no~lficatiom for~ each tier reported. rt. GENE31ATOR ID]~NTIFICATION EPA IDNUMBI~CAL 0 0 0 1 7 0 0 4 9 FACILITY NAME PHYSICAL LOCATION KERN RADIOLOGY SAN DIMAS 3535 SAN DIMAS STE. 2 CrrY BAKERSFIELD CA Z~P 93301 -, COUNTY KERN CONTACT PERSON D ' LN BRQ~r~ (Fire Name) (Last Nitro) PHONE NUMBER( 805 ). 322 - 1981 MAn.lNG ADDRF-gS, ~F DIFFERE., .NT: COMPANY NAM~ KERN RADIOLOGY MEDICAL GROUP. INC. 2301 BAHAMAS DRIVE BAKERSFIELD CITY STATE CA ZIP 93309 - COUNTRY CONTACT PERSON DTSC 1772 (1196) (o~y complc~ d not USA) D'LN Name) BROWN {Last Nan.) PHONE NUMBER(~0% )__~']~ Past ' RADIOAC'TI'VE MATERIALS OR WASTE NO [-~ Do~ thc facility use, SZOre or tr~ r~:Li~ve mazeri~ or r'ad/oac~ive w~e? IV. TYPE OF COMPANY: STANDARD llql)U~ ~IFICATION (SIC) CODE: Use either one or nvo SIC code. v (a four digit number) that be. vt describe your comparry'$ producu, $ervicez. or industrial activity. f. ra~e: 7~ l't, oto~nirhinr 'l~ 7~IIf In~tu~iat taunde,v,~ First: 8011 MEDICAL OFFICE CLINIC S~comi: 7384 PHOTOFINISHING LAB V. I'RIOR PERMIT S'rATUS: C~e.k yes or YE~ NO Did you file a PBR Notice of ~ ~o Opcr~ (DTSC Form 8462) in 1992 for ~ location? Do you now have or have you evu' held a sine or federal b,~,dous waste facility full permit or inmim stares for ~ny of these uemm~ Do you now haw or hav~ you ~ held a siam or federal full permit or interim smms for any othm' H~ve y°u-eTve~-~l-d ~ vzriz~-issu~i'~y ~h-~ ~t Of Toxic ~ Com~l for'/he'u~ttme~ you are now ~ for ~ figs loc~ion? ............ ._ . Has this loc ion ever b cn me or an,/lou , ee '.as a'hennious.wu C VI. PRIOR IgNFOR~ m.~I'ORY: YES NO Not required from ronditionally exempt generator~ or ~omm~cial Within the last fllree yeltl3. ]3~s thi~ ~ I~ the subject of any ~,or. vicxion,s, judgments, se~l~, o~. final enforcement ~enoy? (For ~e purposes of thi, fol'lll, a l~i~ of violition do~ not constittue ~m order ,rd need mt be reported unless it was not corr~___~ ~ became a final E] If you azz-wm~xi Yes. check this box ~ ~ a listiag of convimioms, judgments, senlememts, or orde~ and a · of thc cover she~ from each docume~. (~c the Ins~uc~io~ for more ATTAC~: AZtackn~m~ are ~u~t requ/r~d.from conunerc/a//aundr/e~. 1. A plot plan/rasp, dcr,~ling the location(s) of the covm~d unit(s) in relation w the facility bOundaries. 2. A unit specific notification form for etch unit to be covered ~, flLis location. DTSC 1772 (1/96) Page 2 EPA I'D NUMBE. R CAL00~170049 Page 3 of CERTIFICATIONS: T/ti~ fo~ ~ be xl~n~d by an authorized corporate o.~icer or any other per~on in the company ha~ operatioru~l control and performs decision-malting futu:dont that goverrt opermion of the facility (per Title 22. California Code of Regulation~ (CC~} Se~ion 66270.11). All thr~e copies mtttt ha~e original xignamres. Waste Minimization I certify that I have a program ia place to reduce the volume, quantity, and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the pr'aaicable method of treatment, storage, or disposa~ currendy available to mc which mi,~imi.,-* thc present and futtu'e ~ to human health and the environment. Tiered Permittin~ Certification I certify that the unit or units described in these docttmcnu meet the eligibility and Ol~rating reqtarcments of state stap,t_-__, and reg-lafious for the indicated pcrtn~n~ tier. including generator and secondary containment requirements. I unders',and that if any of the units operate under Permit by Rule or Conditional Authorization, I will also provide thc required f'mancial assurancc for closure of thc treanncnt unit bytOctober 1. 1996. I certify under penalty of hw m,, ,hi, document and all attachments were inepated trader my direction or supervision in accordance with a system designed to assu~ that qualified pea~mnel properly gathtr and crab,taro the inforn~ioa stlb~itted. Based esl ~ inquiry of the person or persons who manage the systmn, or those directly resgoan"ole for ~athering the infonns~i.'on, fl~ information ia. to the be~t of my knowledge and be.~id, true, accm'ate, rout complete. I nm aware that there ate substantial penalties for st~_-nlt,~g false infotnagon, including the possibility of fines and .i~ for knowing violations. DAVID P. SCHALE,M.D. Nam~ (Pr~ut or Type) Signature ~ IX. PRESIDENT Tklc REQ~G A SHORTENED REVIEW PERIOD:.- Cnmeraton ot~rating under CA and/or C~ are leg-tally au~Hi~ ~'- to operate 60 days after submitting a complete notification. D~SC may xhonen the time period lnm~een noti~catitm and ..... authorization when the awner or operator extablishes good ca~e. If you need to be authorized s~oner than the ~tandartl ....... 60-day period, please check the box below and state the rea, son.' Your mttho~n will be out--tally effective on the - date your completed notific~ion form i~ received by D~SC. (Use additional shee~, if necessary.) OPERATING REQ~: Please note that generators treating hazardo~ waste tmdte are required to comply with a number of operating requirements which differ depending on the tier(x). 2~ese aperating rexlui~ are set forth in the statute~ and regulations, some of which referenced in the Tier-Specific Fact ~ available from D~3C'$ regional and heodquttners SUBlVIISSION PROCEDURES: All three fornu mutt have orit, inal dgturture~, not photocopier. You must submit two copies of this completed notification by certified m~il, r~tum rece/pt requested, w: Department of Toxic Substances Control Program Data Management Section, HQ-10 Ann: TI:* Notifications- Form 1772 400 P Street, 4th Floor. Room 4453 (walk in only) P.O. Box g06 Sacramento. CA 95812-0806 You must also subm. It one cgpv of the notification and at~..hmeats to thc local r~gulatory agency in your jurisdiction as listed ~endix 2 of the instruction materials. You must also r~tain a copy as pan of your opa'at~g record. PI;EASE, DO NOT SEND YOUR FEE FAYMEKI' WITH THIS FORM. DTSC 1772 (t/96) Page 3 EPA 1~ NUMBER CONDITIONALLY EXEM/'T-SMALL QUANTITY TREATMENT UNIT SPECIFIC NOTIFICATION (pur~uam to Heal~ and .~fety Cod~ S~tion 2~201.$(a)) The Tier-Specific Fact Sheets contain a smnmary of the operating re~ for this category. review those requirements carefully before completing or submitting this notification package. UNIT NAME NUMBER OF TREA~ DE~ICES: Tank(s) ~s)/~Treza~t~s)' Please Note: Generators operating units under Conditionally Exempt Small Quantity Treatment tony not operate any other units under other pexanitting tiers or hold any other state or federal hazardous wnste permit or authorization for ~h;~ fn,-mty. , Each unit must be clearly identified and labeled on the plot plan ~ w Form 1772. A~ign your own unique number to each unit. l'ne number can be sequential (1, 2, $) or you may ate arty xy~tetn you choose. · ~ category is only available to generator~ that treat l.e~ than 55 gallotar or 500poundr ofhazardou~ watte in any cn_!_n~larrnonth in A ri. unit~ at this facility and thai are not other~e required to obtain a hatardous matte faciliti~ t)~r,nit. J'his ~olume ~ applies to the TOTAL hazardous waste treated onsite in arty a~lendar month, and.is NOT a limit for each wart~ o.r ~ separately. Iht waztestreams'treated must be limited to those lifted in ~'ttle 22, CC~, Section 67450.21, which are also lgtted below. treated in any month. Indicate in the narrative (~ection II) if your operation5 have seatonal mriatio~.' ............... Estimated Monthly Total Volmne Treated: pounds mid/or' pilots YES NO the waste treated in tl~ u~it radioactive.* [3 [-] the waste treated in tiffs trait a bio-hazardous/infectious/medical wa~? remotely gcncmmd h,o-nlou~ ~ ('dSC 25110.10) treated in this trait? J'ne following are the eligible wastestreams and treatmtnt processes. Please check all applicable boxy: I. Aqueous wastes containing hexavaleat chromium may be tRated by the following process: Reduction of hcxavahmt chromium to triv~lcm ch..-omium with sodium bistflfite, sodium metabisulfite, sodium thiosulfa~, ferrous sulfate, ferrous sulfide or sulfur dioxide provided both pH ~ addition of rise reducing agent are automatically controUcat. DTSC 1772A (1/96) Page 4 EPA ID NUMBF-R Page..._ of CONDITIONA!~LY EXEMPT-SM~I.L QUANTYrY TREATMENT UNTr SP£CIFIC NOTIFICATION (pursuant to Haalth and Sa/my Code .~ction 2~201.5(a)) The Tier-Specific Fact Sheets contain a summary of the Olm'ating r~iuit'~um~ for this cat~ory. FLaYieW thOSe z~q~elitS ~ befoFe COfll~ _]q~n~ OF $llb~ this notification packag ~ NAB~E METALLIC REPLACEMENT TRICKLE DOWN UNIT ]]) ~ER OF TREATMENT DEVICF.3: 0. Tank(s) , 1 Conr,~u~s)/C.~n~ Tream~m Ar~s)' Please Note: Generators operating units under Conditionally Exempt Small Q-~nfity Treatment may not operate any other units under other permitting tiers or hold any other ~ate or federal hazardous waste permit or authorization for tl~ facility. F. ach unit mart be clearly identified and labelfd on the plot plan attached to Form 1772. A~sign your own unique number to tach unit. 77te number can be ~equential (I, 2, 3) or you may ute any ~j~tem you choote. ' ~ category is only available to generators that trtat l.e~ than 55 gallont or 500pounds of ~u.v waste in any ~alendar month in ALL ~ at tlti~ facility and that are not otherw~e rex~dred to obtain a hatardous waxte f~ permit. ~ volume limit applie~ to the TOTAl. Aazardou.r warte treated on. rite in arty caltndar month, and.ix ~rOT a limit for z~h wast~ o.r unit separately. 7'he wastestream~ treat~cl tnuxt be limited to those lixte~l in 7'ttle 22, CCIt, Sex,ion 67450.11, which art al~ listed below. ,F2uer the e. Ftinuued monthly total volu~-of harlTJ'dous waste treated by thi~ unit. This ~ru2uld be the rorer, mum or_ _ht.'.g.. .~. . t. amount treated in arty month. Indicate in the narra~ve ($_~__'_on ll) ~ your operarion~ have seasonal variatio~ ................. Estimated Monthly To~al Volume Tr~at~: pounds and/or 60 gallons YES NO lq thc waste trcat~ in this u~i! radioa~ive? [--] ~] la the waate ~ in tl~ trait a bio-lmzar6oua/inf~iom/m~dical Vrd~? [--1 ~ I~ remotely g,.~m-amd hazazdm~ wa~e (HSC 25110.10) lz~ted ia this unit?. 7'he following are the eligible wasr~treams and treatm~ proce~$~. Please check all applicable I. Aqueous wastes containing hexavalent chromium may be treated by the following process: . Reduction of hcxavaleat chromium to trivalem chromium with sodium bimdfite, sodium m~abis~fite, sodium thiosulfate, ferrous sulfate, fermu~ sulfide or sulfur dioxide provided both pH m~d addition of the reducing ageat ar~ automatically controlled. DTSC 1772A (1/96) Page £~A ID NUMBER CAL000170049 Pqe ~ of 10. 11. CONDITIONA~.LY ~. SI~~ WASTESTREA=~tS UNTr SPECIFIC No'rI~XCATION - ~t m H~ ~ ~e~ C~ ~ou ~201.5(c)) G~ty se~on ot ~e foilo~, ~u~ ~e ~ of fl~ ~d dm~ ~: a. ~c ~mg of ~li~ ~m ~e w~te wh~ ~e ~g ~iquid s~ ~ not ~m. b. ~e ~on ofO~/w~ ~ ~ ~ ~g~, ~ ~ av~e oU ~ ~ ~ ~ ~ ,h,, ~ ~ls (42 g~lom ~ ~). ~: ~ ~ (~ 6~. J~) ~ c~ ~ ~ z~on ~er n~ t~ ~ ~ego~.. See Fo~ ]~ ~ ~ Fa~ ~e~.) Neu~ ad~c or ~ ~c) ~ ~ a ~ ~ ~mto~, a ~nto~ o~ by ~ ~u~Uo~ ~t~on, or a ~m~ w~ ~ I~ ~ one g~loa of o~te 8~l~ ~~ ~e ' add or b~ by w~bC) ~om ~e ~mt b ~ ~ ~ ~ m~i or q~ ~~ ~mm~ at a ~ ~ b not ~ ~te ~ ~e ~. ~.1~ of ~ ~ ~d ~ ~e ~ ap~~ for ~o~oa ~d~ ~. 12. The'treatment of formnldebyde or ~lutaraldebYde by a healt~ care facility using a tedmology _ -. .... eom..binati~n c~ed by.the. .Delm~entpursuant. to s~,S200.1.S.of tl~.l]~alth-and ........ Safety Code. Plense enter eerUficntion nmnber: ............ -' - .NARRATIV~ DE. SCRII'rlON& .~ a.i:,riey descripSon o/ #te O,e~c v.~'t~ ~ a,d th~ ~ proc~ v.~ed.--~ i~- 1. SPECIFIC WASTE TYPF..S 'I'R.EATED: SPENT RADIOGRAPHIC FIXER SOLOUTION CONTAINING SILVER 2. TI~BATMBNTPROC~) USED: SILVER RECLAIMER CARTRIDGE USING IONIC EXCHANGE ~,SIDUAL ~tNAG~: C~c~ Ye~ or No to e~_~_ qugrtion ar it apph'~ to all rezidual$ from *~ ~ Imit. I. Do you disc. ba~e non-I,~,,dous aqueous waste to a publicly owned trmnnent works (POTW)ism, gt? 2. Do you discharge non-baza~lous aqueous wastg trader an NPDES permit? 3. Do you have your residttai hazazdous waste b_~,,!ed offsitc by a ~cgistcr~ b~--,'dous waste hauler?. If you do, where is the waste ['~ a. Offsitc recycling [-'] b. Thermal treatment [-'] c. Vispo~ to land 4. Do you d/SlX)Se of non-ha.urdous solid w~te residu~ at an offsite locazion? 5. Other method of dLsposa.I. Specify:, DTSC IT'/2B (1/96) PMe 11 EPA ID NUMBER GAL 00(~)049 CONDITION,~r.~.Y EXEMI~- SPECIFIED W.4.STESTRE.~'~ UNIT $P£C1~C NOTIFICATION (pursumr to H~al~ and Ltfev/Cod~ S~tion-2~201.~(¢)) BASIS FOR NOT NEEDING A FEDERAL PERMIT: In order to demonxrrate eligibility for one of the ondte treatment tiers, fadiitiet are required to provide the basis for determining that a hatardou$ waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal regulation$ adopted under R~A frill, 40. Code of Federal Regulatiort$ (~7~)). Choose tha rearon(~) that darcribe the optration Of your onsite tr~tmment units: · The hazardous waste being treated is not a hazardous waste ~der federal law although it is r~gulated as a h,--~dous wazte under California sta~ law. The waste is treated in wasww~ treanmnt units (tanks), as defined in 40 CFR Part 260.10, and discharged ~o a publicly owned tr~annent works (POTW)/~ a~ency or under an NPDES permit. 40 Cl~ 264.1(gX6) and 40 CFR 270.2. The waste is trea~ in elmmuazy maamlim~on units, as defined in 40 CFR Pan 260.10. and discharged to a POT'~/sewaring agra,, or trader an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2. The is as in 40 oao; 40 2 n l is). The company g~.r'a~ no mor~ than 100 kg (appw,i,~,,ly 27 gallom) of b=--ntom waste in a cakmdar mouth The wa~ is ~ in an ~annnl~on ~ ~r ~ ~h~ 90 day~ for ov,r 1000 i~/month gm~-'rato~'and 180 or 270 da7~ for ~ma~ato~ of I00 to 1000 i~momh. 40 CFR 2~2.~4, 40 ~ 270.1(¢)(2)(i), and tl~ P~hi~ to the March 24, 1986 F~__~al Register. .. Recyclable ~ ar~ _r~l,lm~ to recover wouomicallY si?ificam amounts of silver or other precious metals. 40 CFR 261.6(a)(2Xiv), 40 CFR 264.1(2,)(2), ancl 40 CFR 266.70. n '8. [-'] 9. TRANSPORTABLE TREATMENT UNIT: NO ~ Is ~h~ unit a Transport~le Treatment Unit? Chedc Ye~ or No. Pltase refer to the Instructions for more information. If you shivered yes, you must also complete and attach Form 1772E to thlc pl~e. DTSC 1772B (1/96) Page 12 PLEASE FILL IN ALL BLANKS IN THE ATTACHED CONTINGENCY/BUSINESS PLAN COMPANY NAME ADDRESS TELEPHONE: (805) FAX: (805) ._. CONTINGENCY/BUSINESS PLAN HAZARDOUS WASTE GENERAL: The containment of any hazardous waste or hazardous constituents to ~air, soil, or surface'water at Kern ~o]n~v MpH ~:due to fire, explosions, unplanned releases due to accidents or equipment failures will be the responsibility of the Emergency Response Coordinator (or his/her alternate) (i.e.: STORE MANAGER). II. DISCOVERY AND NOTIFICATION PROCEDURES: Upon discovery of a spill or accidental discharge of hazardous waste, Facilities personnel must immediately notify the Emergency Response Coordinator. Be The person or persons making the discovery should proceed with preliminary containment or abatement activities only if he/she has knowledge of. the physical or chemical characteristics'of the waste and/or sufficient technical knowledge to take appropriate action. EMERGENCY RESPONSE COORDINATOR'S RESPONSIBILITY (FACILITY ENVIRONMENTAL SPECIALIST): The Emergency Response Coordinator, upon being notified of a spill or release of hazardous waste, will assure the procedure in CFR No. 40 264.56 (Exhibit A) are implemented to ensure the safety of personnel and the environment. Contingency Plan Hazardous Waste Page -2- III. SPILLS: In the event of a hazardous waste spill, the person or persons making the discovery should contact the appropriate Emergency Facilities Coordinators. He will have the proper Material Safety Data Sheet (MSDS) ready when the cleanup team arrives. The Emergency Response Coordinator is responsible for the cleanup. If the spill is acute, the response team should notify the Emergency Response Coordinator and facility manager. After authorization by the facility manager and if any EPA regulations require it, the Emergency Response Coordinator will notify the following external authorities: 1. Neighbors 2. California Highway Patrol 3. Office of Emergency Services 4. National Response Center - (800) 424-8802 Contingency Plan Hazardous Waste Page -3- IV. VI. SPILL CLASSIFICATIONS: Acute if one pound or more of hazardous waste constituent is released to the air, soil or surface water. Minor· if less than one pound is released and the spill is indoors. DEFINITION OF A HAZARDOUS WASTE: A hazardous waste is any solid or liquid waste that is either corrosive, or toxic. A material is corrosive if it is either highly acid or highly al. kaline. Toxic wastes are poisonous to human beings and animals. WORKING WITH HAZARDOUS WASTES: Be on the lookout for unusual occurrences. alert to these common warning signals: Be 1. Unusual buildup of heat· Unusual bubbling, gurgling, or other noises. 3. Unusual vapor or odors· Use separate containers for refuse. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -4- Keep leaks and spills isolated from one another. Clean them up promptly. Cleaning equipment and water or chemicals used for cleanup must be treated as hazardous waste. Keep containers sealed to prevent release of fumes and gases· VII. VIII. IX. EMPTY CONTAINERS: A. Containers are considered empty when they contain less than 2.5 centimeters' of waste. Only containers holding chemicals identified as acutely hazardous waste (CFR Vol. 45, November 25, 1980, 261.33(3)) need to be triple rinsed before they can be disposed of in a trash barrel. California Regulation 66530 requires all containers of hazardous waste be treated as hazardous waste. CLASSIFICATION OF HAZARDOUS WASTE EMERGENCIES: A minor emergency is an incident which occurs in a relatively small area of the facility which does not seriously affect the overall operation of the facility and does not pose a safety or health hazard, to employees. Minor emergencies will normally be controlled by an Emergency Facilities Coordinator and supervisory personnel. B. ..A major emergency is an incident which occurs to ~major portions of the facility which seriously ..... disrupts the overall operation of an area of the facility or poses a .safety or health hazard to ~...emp~loyees. In addition~ to the above responsible ..... · personnel, company management will be involved and outside' emergency services may be required. Any -~hazardous~waste spill ~outdoors of one pound or more ~is.classified as a major spill· HOW TO REPORT A MAJOR EMERGENCY: If the Emergency Facilities. Coordinator or the Emergency Response Coordinators cannot be contacted, call any person on the Management Contact List. PERSONNEL TRAINING Page 3 DEVELOPING YOUR TRAINING PROGRAM The following is a discussion on how to develop your training program. Responsibility of Facility Personnel - 66265.16 (a) (1). "Facility Personnel," is defined in ~66265.10, as: "Ail persons who work at, or oversee the operations of a hazardous waste facility, and whose actions or failure to act may result in noncompliance with the requirements of this division." In other words, all personnel (supervisors and nonsupervisory personnel) who are actively engaged in the operation of the facility require the type of training which is described in this section of the manual. Under the guidelines of the regulation, all personnel associated with the handling of hazardous wastes are required to "successfully" complete a program of classroom instruction or on- the-~ob training that teaches them to perform their duties in a way that ensures the facility's compliance with the requirements of this part. It should be noted that Section 66265.16 does not 'specify the length and type of the training sessions. The training standards are all performance driven and depend on the duties of the personnel. However, other agencies, such as California Occupational Safety and Health (Cal OSHA), do have regulations that specify the length and type of'training required for personnel handling hazardous waste. For further information on Cal OSHA requirements please call (916) 703-4050. It is required that the training programs be specific to the various positions performed at your facility. Training should be structured so that it parallels as realistically as possible the actual job in order that the "real world" activities are approximated as much'as possible. Any training program must also take into account the educational level of the class. Training may be'acquired in any one of three ways: a formal .training program (which refers to a training program offered outside of the facility such as the Hazardous Material Management course offered'by the University of California at Riverside ~ _~ExteQsion,~in-hous~'. . · training programs, or on-the-job training .. ~programs. A combination~ of these three is also feasible. The decision lies with the owners and operators of the facility to determine'whiCh option is the most beneficial to operation of their facility. It is not necessary for all facility personnel to be trained by attending a formal program. One approach would be to send only your supervisory personnel to formal, off-site training programs. In this way, they can acquire the appropriate training PERSONNEL TRAINING Page 4 skills and then relay those skills to the remaining facility personnel by conduct'ing more focused on-the-job training sessions. Choosing on-the-job or in-house training'program options, as opposed to a formal training program, allows for more flexibility in your training programs. They can be designed to closely fit the individual needs of the employees' job requirements. A formal training program will be more general than a set of training programs designed for each of the positions at your facility, and thus may not cover all of the various job positions in the level of detail which is required by the regulation. Ail facility personnel, regardless of their position, must be familiarized with your facility's contingency plan so they will all be able to respond effectively in an emergency situation (i.e., an evacuation due to the volatilization of spilled toxic wastes). In this case, the majority of employees will be responsible for vacating the premises in a predetermined manner, while other facility personnel (those who have been properly t~a~ned) will have higher levels of responsibility. Some may be responsible for containing the spill, informing local officials (i.e., police and fireman), or bringing out firefighting equipment. Proqram Instructors - 66275.16 (a) (2) The training program must be instructed by persons who are trained in hazardous waste management procedures and can familiarize facility Personnel with those same management procedures. Facility personnel are only responsible for learning those procedures which are relevant to the positions in which they are employed. Program instructors, especially those conducting formal programs,should preferably be experts in the field of hazardous waste management, since answers to questions that could arise during the class may require a background of considerable. experience and expertise. For performance type training programs ~- (.on-the-~ob training), the instructor should be a supervisor who is skilled in the current methods of facility operation.. Supervisors 'are~recommended since they are the ones who must · ultimately, make the determination of. whether or not the trainees have mastered the skills necessary to perform the tasks called for in their job descriptions. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -5- Xe DUTIES OF EMERGENCY RESPONSE COORDINATORS: Activate internal and emergency response personnel. Notify the facility manager. Identify character, exact source, amount and extent of any released materials. Act immediately to determine if a portion of or the entire store should be evacuated (follow directions in Emergency Response Book). Assess possible hazards to human health or environment that may result (both direct and indirect). Take all reasonable measures necessary to ensure that fires, explosions and rel-eases do not occur, recur, or spread to other hazardous waste at the facility (i.e., stopping operations, collecting and containing released waste and removing or isolating containers). Monitor for leaks from containers. Provide for treating, storing or disposing of recovered waste, contaminated soil or surface water. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -6- Before operations are resumed in affected area: See that no more waste is treated until cleanup procedures are completed. See that all emergency equipment listed in contingency plan is cleaned and fit for its intended use. Notify facility manager that facility is in compliance with 1 and 2. DUTIES OF EMERGENCY RESPONSE COORDINATORS: It will be the responsibility of the Emergency Response Coordinators to act immediately in any hazardous chemical emergency situation to protect the people in the area. They will evacuate people by assigned route exits, protect machinery and stand by to assist the Emergency Facilities Coordinators as directed. Safety is the first concern when facing a .spill that may involve hazardous wastes. C. Follow these rules: Keep people away from the scene. Avoid contact with the spilled substance - don't touch it or walk into it. Don't inhale any gases, fumes, or smoke. Be on your guard against gases or vapors. Don't assume that they are harmless just because you cannot smell them. Stop the source, if possible. Transfer materials, if feasible. Contain the spill. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -7- XII. NOTIFICATION OF AUTHORITIES: In the event of a transmission of one pound or more of a hazardous waste constituent into the air, land subsurface strata or ground water, the following authorities must be notified by the hazardous waste manager or a designee. A. LOCAL: California Highway patrol - 327-1069 Local Police Dept. - 911 Local Hospital'- 805 /327-1792 B. STATE: C., FEDERAL: California Department of Health Services Office of Emergency Services 800/852-7500 U.S. Coast Guard National Response Center 800/424-8802 EPA (Environmental Protection Agency) 800/974-8131 Person reporting the transmission must give: 2. 3. 4. Name and telephone number of reporter. Name and address of facility. Time and type of incident. Names and quantity of materials involved, to the extent known. The extent of injuries, if any. The possible hazards to human health, or the environment, outside the facility. NOTE: FEDERAL cALLS ARE RECORDED. PERSON PLACING THESE CALLS SHOULD HAVE FULL KNOWLEDGE OF INCIDENT. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -8- XIII. HANDLING HAZARDOUS. SPILLS: The following information is of a general nature and should only be used as a guideline. Material Safety Data Sheets (MSDS) for specific materials should be consulted. Material Safety Data Sheets for hazardous materials in the facility have been compiled into books available to all personnel. Health hazard information; spill, leak, and disposal procedures; and special protection and precaution information are listed. MSDS sheets are located in Section 8 of this document. Acids: (ie: Fixer Baths) Acids are oxidizing agents and will react with many substance such as oil, grease, paper, alcohol, etc"~',, enough to ignite them. Inhalation of mists will irritate the respiratory tract. Skin contact will cause burns; eyes may be permanently damaged. First Aid - always get medical attention. Ingestion - dilute acid immediately with large amounts of milk or water, then give Milk of Magnesia to neutralize. Do not induce vomiting. Eye Contact - immediately flush eyes with plenty of running water for at least 15 minutes. Skin Contact - immediately flush affected area with water, removing contaminated clothing. CONTINGENCY PLAN HAZARDOUS WASTES PAGE -9- Inhalation - remove to fresh air. Restore breathing. Call a physician immediately. In case of spills, provide adequate ventilation. Neutralize with soda ash. Cleanup crew should wear chemical safety goggles and rubber gloves. Caustic Chemicals (De Developer) Caustic soda can react violently with strong acids' and many organic chemicals (it will react with trichl or ethylene to form fl ammabl e dichloroacetylene). It generates heat and splattering when it dissolves in water. Caustic soda is a strong alkali and is destructive to all human tissue it contacts, producing severe burns. Use general first-aid procedures and spill clean up as with acids, except neutralization should be done with diluted acid. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -10- EMERGENCY COORDINATOR Name: Home Address: PR I MARY Lou Stewart 399 Balsam~Avenue Bakersfield, CA 93305 (805) 324-2723 230i Bahamas Dmive Bakersfield, CA 93309 Phone: 'Of lice Address: Phone: [805) 322-1981 ext. 26] ALTERNATES Name: Home Address Phone: LYNN REID~BRENNAN 2004 GLENCLIFFE LANE Bakersfield, CA 93309 (805) 398-3225 Office Address: 2301 Bahamas Drive Bakersfield, CA 93309 Phone: (805) 322-1981 CONTINGENCY PLAN HAZARDOUS WASTE PAGE -11- EMERGENCY RESPONSE EQUIPMENT 2. 3. 4. 5. Goggles Rubber gloves Spill Kit Containment Tank Fire Extinguisher CONTINGENCY PLAN HAZARDOUS WASTE PAGE -12- MANAGEMENT CONTACT LIST NAME PHONE LYNN REID-BRENNAN WORK# (805) 322-1981 HOME # (805) 398-3225 LOIS CAMPBELL WORK#(805)322-1981 HOME # (8~5) 397-4697 (n) Whel.:vt:r LI,ere in nn ilnmh.:ld. ,)r n,'l.lml e111eJ'l;ency nil. unl. iml, I. he e111(.'ce1~(:y c..rdilml~.' (, tle~ill~l~ whm~ tl,~ ~:m~l:e.cy c...li,mL~r~m~ ct~Jl) munL (I) Acl. ivnh~ i.l.ernnl fi~cilil.~ nlnrmn (,' c,.,msunlcntion ~yRLemn, wi,ere nl,l,licnlde, ~.dil:y nil IhciliLy i~e¥som~el; nmi 1~) N~)Lil) nlq.'.l.'inte ~tnLe or Iocnl nlfe~scie~ wiLh denlgnnLed renponm~ r.len (h) Wh~new~r Lhere is n relenne, llre, or exl,l,~ni.n, the emerfl~nc~ c.m'dinnh.' musL im..:dintely id~,~Lil~ Lhe clml'ncl, t~r, exncL source, mnounl., luLd orenl e~l.e~sL .f nny reh'n~;ed mnl.erinln, lie mn~ do Lhln b~ obm~j'vnLim~ or review oF fro:lilLy Fecord9 or ~nn.ilbntn, nnd, iF necesRnr~, hy cht~mlcnl nnnl~sis. (ct (;o~cur]'md.l~, Lhe emergmwy co.rdinnler munl. nnseo~ ponnible hnz.rdn humnn henlLh m' Lhe e.~ir~mmm~t Ihnl. nmy remdL I'r.m t.he relense, fire, m' eHd.ni.n. 'l'hi~ nnm:nnmeuL mtssL connid~r ImLh direcl, nl~d imlirecL ~dFectn nf Lhn relen.~, fire, m' exld.ni.n h~.ff., Lhe ellbcl, n oFnn~ to~ic, hril..ti.g, .r nnph~isLing gnsen LhnL nfo ~.'.L~d, .r tl.~ ~dlbctn .r m~y Im~n~'dmm nurli~ce wnLur run-off fi'om writer 6r chemic. I nl~:ld.S u~ed I,o C.l~C~'ol tiro nnd he,t-i.duc~d expIonionn). (d) I I'l.he emerl~ent:~ cm.'dinhtf.' detnrmlnen thnL Lhe Fncilil.y hn9 hnd fL reh:nne, Ih'~e, ~ld.ni.n which could Lhrenten humm~ henlLh, m' Lhe envlronme~d., ouLnide the fi~cilil.y, he .~.nt rel.~rL his Iindinffn (m Ibll.wn: (11 I1' hln nRnenm.enL imlienten thnL ~vnc.nli.n .~ I.cnl nrt~ns tony b~ ndvinnhle, he re.nC im.~edlnLel~ n~d. iF~ nPl.'f~pri. Le I.cnl nul. horil.ien, lie munL be nvnilnble L. help nl~l...i.'inle .flh:i~dn decide whelher I.cnl nj'cnn nh.uhl be evncunLed; mid I~) lh~ munl. immedlntd~ nol,ir5 ~ither the g.vur.me.L of]icinl denillmd.ed nn the .n-ncene c..rdlnnl..r fi~r lhnL lle.~rnphicnl nren, (in Ihe npplicnlde rellionnl conl. in- l~:m.y ld.n m~dm' pnrL ! fi t0 of Lhin Lil.le) t~r I.he Nnl.lonnl ilenl.mne ~ent~r (usi.g their ~d-ls.ur I..11 Frm~ numl~m' B00/d2d-881121, The repm'L munL include: (it Nl~m~ nnd I.eh'ld.me .umher of (ii) Nm.e nnd nddresn ol'flseiliLy: (iii) 'l'i.~e nnd I.ype .f' incidmd. (e.l{., rden~, Ih'e); (iv) Nmt.~ nnd q.nnl.il,y oF mnLerinl(~) i.volved, L. Lhe exLenC know.; Iv) The ~.xl.e.L .Fh~urien, finny; nntl (vl) The I.~n~ible hn~nrtl~ L, htmmn henll, h, or the e.vir.]..~.t, ouLnld~ the fiscilil.F (el I)~.'i.lf nn emergency, Lhe emerll~.ry co.rdim~Lor s.u~C Lnke nil renn.~mhle men- ~ll'(en i~t't't?~g~lr~ [o ell~lll'e LhnL Ih'eh, e~ph~sionn, nnd reh~nmm do m~L .tour, recur, or ~l.'~:nd If~ .Iher hn~nrdou9 w,~Le ,I. Ihe Ihcilil.y. 'l'hene menmu'en mull inch.h,, where w.nl.~, fu.I fern.yin8 or jn.lnl.lng (I) If' Lh~e fi~cility nl.~Um Ol~ernLi~mn in t'~l.mne to n Iirn, eXldO~ion, m' ~'~.le~n~, Use I'~Ud. urt:~ in vnlvun, pipeR, or ol. her eqtdpmenL, wherever Lhln js npI.'Oprlnl.~, ~fl) Ims.edi~del5 niter nn emm'genc~, I.he em~ri~enc~ c..rdlnnLor muRL provide Lrenl. lnl~, ~L.rh~ff, m' disl.~sinff .F ret.wired wnnte, c.ntnmin.t~d soll .r m~rfi~c~ writer, nny .Iher n.d,erinl Lh.C renulLs fi'om n relennn, Ih'e, or exphmim~ nL I.he IhciliI.F IC,'","~: tJnh.nn Lb(: owner m' ,jpersd.,,' ,::iii ,h,n.ilunl rnte. iii nccordnnce wilh §~.l; I .il(el m' (ii) id' LItin ci.qiler, I.li:lL Lite rt, c. Vel'ed I,iiil.,~l-h,I ii, ii(iL fl hllT,:lrllllli.~ s. Vll.qll), Lhl! fl'.%,llf.l' iir Ol..rnh,r I.,c.ln,'n n i,/,,.'i'llb,r oF lulxiir(I.ul~ SVll.~Le nT,d illll::L mnnnl.'e iL iii ncc.rdlmcO wil.h Iiii npldlcphle lequir,,In,'nln id' pnl'l.'~ 21~2, 21;:1, nmi 2114 itl' thin rhnld~:r.I 1111 'l'h(: (:nl,.'rl:en('.y ClmrdilmLil,' mur. t (.tlmlre thnL, iii the flfl'ect('d nre. n(fl) or Lhe I'ncilily: (I) Nit wllnl.e.I, hnl; tony b~ itlc(mll)nLilde wil.h I.h(: rch~n.~l:(I mnteri.I in fih.'ed, m' (liH~lT,~cd oF unLil cle. nuup I)r.cedul'en nrc. c,mq)le.l.~d; mid (:~) All e,l.:rl~(:,~cy equipmmd, linted in 1.11,: contingency plnn is cle. nn(~d mid IiL fi~r lin ilillt. Tl,ll~,l tl~e heft'ire iq~ernl.ion~ nro. reotinl(~(I. (1) '1'1,., O~Vll(H' o1' oj)erntc)r i,ll~( n(~tll~ Lira l{t't~i.nnl A(h~dni~t.r:d.()r, nnd nlU)r,)l~rhtl.(~ ~l~ll.(~ nnd I,cnl ntll.ll.l'illen, thnL tile fi,:ilil..T, is ~11 CUliU)lhmc~ ~vith i)llrnl~rnph (h) of (.iT 'l'hl~ (llVlli~l' 01' I)IIIH'IILI)I' Illll~l~ Il(TLc ill Lllt~ ()i)i~l'liLill~ i'~cor(I Llle I.[nle, d;ll.(~, nnd (hdftlhl (TI' lilly [ilcid(~llL tht~l: I'elitlli(~ inil~l(~tii~lllifll~ Lh~ cllllLhl~ell(~y I)lnn. Wil.hhl ! ~ Ih'ill.md Adllljlli~l.l'Ill.()i: 'l'h~ I'{~lll)l'C lilllfil, inclu(l~: (~) ~l'l.. (,xh.nl. (d'iJl.jtti'ien, il'ira.V: (ill An n~nennlnent oFnctuol .r l.,teldinl hnznrd~ t~ humnn henRh m' tl~e envh'on- menl., where I.hi~ in npldicnl,lo; mid 17} I~ti,..ted (lunn~it~ nnd (llnlmsiti.,I (,F ruc. w.'ed mnturinl I. hl~L renulted fi-mn Lho E×IIIBIT (n) POTINTIAL HAZARDS FIRI OR IXPLOSION Some of Ihose materials may burn, but none of Ihem Ignilos readily· HEALTH HAZARDS Conlacl may cause burns lo skin and eyes. Fire may produce. Irrilaling or polsohous gases. Runoll from Iire conlrol or dilulion waler may cause pollution. IMIRGINC¥ ACTION Keep unnecessary people away; isolale hazard area and deny enlry. Posilive pressure seJf-conlalned brealhing apparalus (SCBA) and slructurol fireflghlers' proleclive clolhing will provide limiled proleclion. CALL CHEMTRE¢ AT !-~00-424-9300 FOR EMERGENCY ASSISTANCE. I~ waler poJlullon occurs, notify Ihe approprlale aulhorilJe~. FIRI Small Flre,l Dry chemical, C02, waler.spray or regular foam. . Large Fire~ Waler spray, fog or regular foam. ;Move conlainer from fire area if you can do il wilhoul risk. De .et ~¢aller ~FIIl.d malerl. I wilh high-pressure waler slreams. Dike fire-control waler for Jaler disposal. SPILL OR LEAK Slop leak if/you can do il wilhoul risk. Small Dry $~i1111 Wilh clean shovel place malerial inlo clean, dry conlainer and cover loosely; move conlainers from spill area. Small Spill~l Take up wilh sand or other noncombustible aL~sorbent malerial and place into conlainers for laler disposal. Large $1,1111~ Dike far ahead of liquid spill for laler disposal. Cover powder .spill wilh plaslic sheel et larp to minimize spreading. FIRST AID In case of conlacl wilh material, immedialely flush eyes willi .running waler for al leasl 15 minutes. Wash skin wilh soap and waler. Remove and isolale conlaminaled clolhing and shoes at lhe silo. PERSONNEL TRAINING The intent of the personnel training requirements is '~o reduce the potential.for mistakes which might threaten human. health or the environment by insuring that facility personnel working in jobs where they handle hazardous waste will be thoroughly familiar with their duties and responsibilities. Further, the intent of the training requirements is not only to train personnel in the mechanics of their job function. Rather, and especially in the stress of safety and emergency response, employees should be made cognizant of why they must perform certain tasks in a prescribed manner. Providing employees with a thorough explanation of why certain operations are performed as they are, and not in a seemingly easier fashion, should reduce the use of "short-cut" procedures that may be dangerous to plant personnel or the surrounding population. Re~lator¥ Citations The regulatory requirements regarding employee training are contained in Title 22, Section 66265.16. They are: 66265.16 Pers6nnel Training (a) (1) Facility personnel must successfully complete a program of classroom instruction or on-the-job training that teaches them to perform their duties in a way that ensures the facility's compliance with the requirements of this chapter. The owner or opergtor must ensure that this program includes all the elements described in the document required under paragraph (d) (3) of this Section. (2) This program must be directed by a person trained in hazardous waste management procedures and must include instruction which teaches facility personnel hazardous waste management procedures (including contingency plan implementation) relevant to the positions in which they are employed. (3) At a minimum, the training program must be designed to ensure that facility personnel are able to respond effectively to emergencies by familiarizing them with emergency procedures, emergency equipment, and emergency systems, including, where applicable: (A) Procedures for using, inspecting, repairing,, and replacing facility emergency and monitoring equipment; (B) Key parameters for automatic waste feed cut=off systems; (C) Communications or alarm systems; (D) Response to fires or explosions; PERSONNEL TRAINING Page 2 (E) Response to ground water contamination incidents; (F) Shutdown of operations. (b) Facility personnel must successfully complete the program required in paragraph (a) of this Section within six months after the date of their employment or assignment to a facility or to a new position at a facility. Employees hired after the effective date.of these regUlations must not work in unsupervised positions until they have completed the training requirements of paragraph (a) of this Section. (c) Facility personnel must take part in an aDnual review of the initial training required in paragraph (a) of this Section. (d) The owner or operator must maintain the following documents and records at the facility: (1) The job title for each position at the facility related to hazardous waste management, and the name of the employee fitting the job; ('2) A written job description for each position listed under paragraph (d) (1) of this Section. This description may be consistent in its.degree of specificity with descriptions of other similar positions in the same company location or bargaining unit, but must include the requisite skill, education, or other qualifications, and duties of employees assigned to each Position; (3) A written description of the type and amount of both introductory and continuing training that will be given to each person filling a position listed under .paragraph (d) (1) of this Section; (:4) Records that document that the training or job ..~.~experien.ce required under paragraphs (a), (b), and (c) 'o.f this Section has been given to, and completed by, _facility'personnel. -(e).~ Training; records on current personnel must be kept until · closure iof .the. facility; (2) Training records on former employees' must'~be, kept for at least three years from the date the employee last worked at the'facility.. Personnel training records may accompany personnel transferred within the same company. PERSONNEL TRAINING Page 5 Response to Emergencies - 66265.16 (a)(3) At a minimum, your training program must familiarize facility personnel with emergency procedures, emergency equipment, and emergency systems which are applicable to their positions. Emergency response procedures which should be taught to selected facility personnel, as required by the regulations, are: Procedures for using, inspecting, repairing, and replacing facility emergency and monitoring equipment, key perimeters for automatic waste feed cut-off systems, communications or alarm systems, response to fires or explosions, response to ground water contamination incidents, and shutdown of operations. Additionally, employees who are in charge of managing wastes must have certain knowledge which will help them perform their jobs adequately. For example, their training program might include the following instructions; the chemical characteristics of the wastes which they are assigned to manage (i.e., reactivity and incompatibility with other types of wastes), knowledge of what to do in the event of a spill or leak, the types of protective equipment (such as respirators or self contained breathing equipment) or clothing to be worn, proper operation of trucks, forklifts, or any other machinery to be used in waste disposal, ~ knowledge of basic first ~id, and who to inform in the event of an emergency (such as the foreman). ._. ~ It-is your responsibility to define the scope of the tr~aining, programs. The training programs should assure t~e Agency that your employees have or will have acquired the necessary training and management skills needed to perform their jobs in a competent manner that will protect human health and the environment. Thus, the more d~tailed the training program documentation; the more apparent it will be to the Agency that your facility is providing its personnel With proper training. PERSONNEL TRAINING. Page 6 Time Requirements - 66265.16 (b) To comply with the 66265.16 regulations, the training program must be successfully completed by facility personnel at existing facility's within 6 months after the effective date of their employment or assignment to a facility, or to a new position at a facility. Employees who are hired after the effective date of the regulations must not work in unsupervised positions requiring them to handle hazardous wastes until they have completed their training programs. New employees may handle hazardous wastes but only under the supervision of trained employees. It is beneficial to your facility to meet this requirement, as it will help avoid accidents and may help to keep insurance premiums at a minimum. Annual· Review - 66275.16 (c) The emergency procedures taught in the original training pro~fam must be reviewed on an annual basis to keep personnel up to date with any changes, such as the characteristics of new wastes managed at your facility. With new and more sophisticated technologies being developed for hazardous waste, management facilities may have to periodically change certain procedures to remain current~with these new technologies. ~. Also, due to changes in facility processes or emergency equipment, or with the types of wastes being accepted at your facility, your facility's contingency plan may need to be modified. Therefore, the contingency plan Should also be included in the annual review process. Recordkeepinq- 66265.16 (d) & (e) Records must be kept at your facility for examination by the Regional Administrator'upon request. Maintenance of facility personnel training records acts as a certification program. The ~following~.must be included on your records: (1) "A job title for each position at your facil, ity that is related to, hazardous, waste management-(i.e., excluding cl'erica! ~or-.janitorial positions) and the names.of the employees, filling those positions, (2) a job description for each of those positions, and a description of the type and amount of introductory and continuing training that will be'given to each employee. PERSONNEL TRAINING Page 7 The job description (for each position) must include: skill, education, or other qualifications needed by employees to fill each position at your facility, duties of employees assigned to each position. It should not be too difficult to comply with the first or second recordkeeping requirements, since many facilities may have this information already in.a written format. If not, job titles and job descriptions must be defined for each position. The third recordkeeping requirement relates directly to the training program. For each job description, you must include the type of training to be given and the length of the program. For instance, if you are sending employees to a formal training program you must keep a written document stating the types of hazardous waste, management practices being taught and the length of ~me involved. Similarly, if you have designed your own training programs to be conducted in-house or on-the-job, you must keep a detailed written account of the material to be presented for each position. You must also include the techniques to be .used and a schedule to be followed by the instructors. The..training records must also contain the type and amount of trai~ng that will be given to fulfill the annual review requirement. The records must be documented to prove that the proper training has been given to, and completed by facility personnel. Therefore, you must keep a record of the dates on which employees received their initial training and schedule the annual review. The training records for current personnel must be kept on file at your facility until your facility'closes. The training records of former employees must be kept for at least 3 years from their last date of employment at your facility. If a person is transferred within the same company, their training records remain the same. The training records are needed by the Agency in order to judge whether facility personnel have the appropriate skills called for by their job descriptions and their specific duties in handling hazardous wastes. Thus, the more detail used in your training records, the more apparent it will be that your personnel are receiving the appropriate training. PERSONNEL TRAINING Page 8 hist of Major Points 1. Does your company have a written training program? Have both.the original and annual training programs been given to your employees? Does your company keep descriptions on how the training. programs is specific to the various job tasks performed at the facility? Does your training program demonstrate that facility personnel have acquired the ability to respond effectively to emergency situati6ns' which are related to their tasks and that they are familiar with the contingency plan? Does your company have documentatiOn that the instructor is a person trained in hazardous waste management? Does your ,company have records demonstrating that all employees have been trained within a 6-month time period from the date of their employment or transfer? Does your company ~aintain the train~hg records for all facility personnel at the facility? EMPLOYEE TRAINING RECORD TRAIN lNG EMPLOYEE SUPERV I SOR EMPLOYEE DATE S I GNATURE S I GNATURE (See Injury Illness Prevention Plan Si~fety binder) THESE RECORDS MUST BE MAINTAINED UNTIL CLOSURE. INSERT YOUR EMPLOYEE TRAINING PROGRAH HERE INJURY SEE ILLNESS PREVENTION PLAN SAFETY BINDER