HomeMy WebLinkAboutHAZ-WASTE REPORT 8/25/2003i
CAL-AIR, INC.
I`~ 7201 SCHIRRA COURT ~D
i
KEN WONDERLY
BUSINESS DEVELOPMENT
MANAGER
661/201-9904
Since 1953
CAL-AIR, INC.
7201 Schirra Court #D
Bakersfield, CA 93313
Lic. No. 137195
h ttp://ur~v.calair.com
661/398-4310
FAX: 661/834-6433
E-mail: k'xvon d erly~cal air.corn
crrv a^ < aSrL LO
swao sv s av c s
1715 Chester Ave., CA 93301 (661) 326-3979
H~RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
r-1 REVISE 200
I. FACILITY INFORMATION
(one form per materiel per bu~l(ling or area)
Page __ ~ ~
201 CHEMICAL LOCATION -
' CONFIDENTIAL (EPCRA) ~ r-1 Yes [] No 202
II. CREMICAL INFORMATION
CHEMICAL NAME
205
207
CAS # 209
~IRE CODE HAZARD CLA~ES (C~mplete if request~l ~¥ I~cal fire c~ie0 '~
~PE ~K, PURE [] ~. ~<TURE
TRADE SECRET [] Yes [] No 206
if ~uBjecl to EPCRA. refa~ to instructions
EHS' [] Yes [].o ~os i
210
C] w WASTE 2:: R~DIOACTIVE [] Yes [] No 212 i CURIES 213
PHYSICAL STATE O' SOLID r'], LIQUID /~g GAS 214 ; LARGEST CONTAINER / Z~ 215
FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE ~ PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
(C~ec~ all that apply)
ANNUAL WASTE 2t7 , ,V~XIIVlUM 218 i AVERAGE 219 i STATE WASTE CODE 220
UN,rS* [] g~ GAL [] ct CU FT [] Ih LBS [] ~ TONS 22~ ! DAYS ON SFFE 222
* If EHS, amount must be in lbs. J
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRuM [] m GLASS Bo'n'LE [] 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 ,fi~..CYLINDER [] p TANK WA~N
STORAGE PRESSURE [] a AMBIENT ~"aa ABOVE AMBIENT [] ba 8ELOWAMBIENT 224
STORAGE TEMPERATURE ~. ~'a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC
1 ~7 ~Y~ ~No 228
2
231 []Yes []No 232
235 [] Yes [] No 236
239 []Yes []No 240 1
243
3 234
$ 242
PRINT ~ & TI~ OF A~OR~D ~ REPRESE~AT~E
233
237
241
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DATE 246 :
'
I
245
[]Yes []No 244 J
~FFlCE OF ENVIRONMENTI~ SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
H~RDOU$ MATERIAL$ INVENTORY ~
CHEMICAL DESCRIPTION
'J~EW r'l ADO 1"t DELETE
· ...~,',',..;?-..
· · .. "..~'-, ..~.~,:.:',':. I. FACILITY INFORMATION
BUSINESS HAME (SI~I II'FACILITY N;~d'~'~--~T3~-~'~-.~.~"~
C~EMICAL LOCATION
.. ~-~ ,,?~.: .... .
'.. ''. .-':'..~72 ~.:~.~'~
/"1 REVISE
(one fom~ per materMI pM* bu~tir~ M' ama)
Page __ of
201 CHEMICAL LOCATION -
' CONFIDENT~L (~) ~ [-1 yes r-I No 2o2
II. CHEMICAL IHFORMATION
CHEMICAL NAME
! If ,~ Io EPCRA,, r~ tO In~'ucltc~s
~ EHS' I-lyes I"INo 20e
................................ ! ' "~""'"::~-:":' ~'~: -.. ' ' -':'-'~':~:'i
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2'10
TYPE r'l la PURE [] m MIXTURE [] w WASTE
PHYSICAL STATE [] s SOUD Eli LIQUID .[] g GAS
2~: ~ R~OIOACTIVE [] Yes [] No 212 j CURIES 213
-*~
~,, .: LARGESTCONTAIRER le S"-
FED HAZARDCATECI3RIE$ 011~ []2 REACTIVE
D 3 PRESSURE RELEASE
[]4 AG'UTE HEALTH Ds CHRONIC HEALTH 216
ANNUAL WASTE 217
AMOUNT
UNITS*
2'19 i STATE WASTE COOE
221 i DAYS ON SITE
STORAGE CONTAINER
(Check al~ ~at a,op/y)
0 a A~OVEGROUND TAMI<
[] ~ UNDERGROUND TANX
[] c TANK INSIDE BUILDING
[] d STEEL DRUM
STORAGE PRES,.~JRE [] · AMBIENT
[] · Pt.,ASTI~NMETALUC DRUM [] i FIBER DRUM [] m ~S BOTTLE [] q RAIL CAR 223
[] f CAN ~'~ j BAG [] n PLASTIC BOTTLE' [] r OTHER
[] g ~Y [] k BOX [] o TOTE BIN
[] ~ S~LO ~.LCYL~DER [] p T~ WAC, ON
4~ ,,~ ABOVE AMBIENT l'-] b~ SELOWAMBIENT 224
STORAGE T~TURE J
· .'~:'..'~;t.~ .,-:..~e.~;~~ ~.~.~':.%:~ ~:~¥,*:.~., .:.. ::~ .~?: ~.~i~?:~:.'~."~:"~'~ ...... ; -.;:' ¥':.: :- .~J ~; ...... : .'..~'~-" ' ·
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t
235 ' []yesl'"']No 23~ I 237
I
239 []Yes []No 240 J 241Ii
243 []Ye~ []NO 244 I 245 I
-- ' C '. .... ~ .... · ~,i.~ , ~ · :;~;":' ' '
"" DATE 248 :
5 J 242
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PRINT NAME & TITLE OF /
~:,*;,.::;~ g-..:-.':..: ': .'*. '%' '.'. *-':','- 5 .. '~:i."~' ;. ~'~ Iq; .81GNATURE
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.,.:~,,l~..i~-,,i,,~.,.~,~r.,,~.¥*, ......... ..... ,,~.......,..: ......... . : .
JTHORtZED COMPAHY flEPRESENTATNE
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