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Home My WebLink AboutBUSINESS PLAN 9/26/2003 Per l, it Operftte to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit 10 #:: 015-000-000974 JACK FROST ICE lOCATION: 4701 STINE RD I ~. Issued by: I II Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issue Date 'June. 30, 2003 '-..-..;;; t~, :-:-~..~ -- ",7 'f , " .. ,,:5,i;'Ù?//~k~:<f: ,.~ . '::'; >,- /):~:@ I' ::SoT'>Ò';'~ ~Þ"-¡i~~: ~':¿~'I ~¿~~,w7 '. '-' ~ " I ;:~rr"~ :~~ ~ ;-- . -, '~~ .' r¿;s.,T": .. .. ~ ,..~ - '- '-- '-..-- ~,'::> - :-.;:-' " - , ~ ,'. .;..~ .. , - .-".'_ ....._.- ~-;'_=-...~. 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'''-,:.: .. -,--7 ?:!!' - "I U~IFIED P~OGRAM IN,'ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. ' Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 -------- INSPECTION DATE INSPECTION TIME qr~_ è;)t!J ,_!!:!/"h¿_ PHc!NE No. No, of Employees EØ/~7J ~ Business ID Number ,..,___u,..,__'" 15-021- C}r¡ FACILITY NAME ..,..- '::J Ac. K Eq..m=~_:\.c- E-,..,_ ADDRESS ~'~ ' ~ e--__,______..___,, ~ t 7h &ov -----~-- - ------ ------ ,:,:\:;,~~çtiph1:BÙ~inèsS Plån,ªnd' Învè'rìtofyPrograrn, " ;. :: i.';~ , o Joint Agency o Multi-Agency o Complaint ORe-inspection ( C=Compliance ) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND -~-;USINE~~LAN CONT:CT -INFOR~:~~;:~~~~~------ _.._____~-~~~'.-_"--..---,..,-'---'---n--'---'--' ---,-.....-.--,--",-,-..,.-. '-.~~'t--~--- .___..,___~__.,u......__,_,_,__._,..·___,_·_·__·__·_'__m'. o VISIBLE ADDRESS _._______.______________~__.___..,__. _ _.._.__"______.~~~_.______________________._.__._._____n____._____·__ .-....--------- ._-<----------._'- 4ø/.l-C4u--1:M2:.--f;;-ífJf:-j;; ,,________u,..,__'______ '?'_ ~ ~ d J / ,€i---~---, CORRECT OCCUPANCY ------~-~--~--------_.._--_."-- o VERIFICATION OF INVENTORY MATERIALS o VERIFICATION OF QUANTITIES /;//~," ~ )/ /ì) <0<02... '1 Dn--~ERIFICATION OF"LOC~~~~ _-=~--'--,_---'m'-.~ -~===__~~~_7Y/i)~~,~==~~=__~~__,:___,_,_ o PROPER SEGREGATION OF MATERIAL ------_.._----~- ..---------..----.------- ~----~-----~~-~---~ -----.---.---.----. ----.. ..---- o VERIFICATION OF MSDS AVAILABILlTYE ---~---~---------_.._--~--_._---_.. .-------.-- ----.--.-.--.-----------------.-.----.--------.--------------_.__._--_._----~--- VERIFICATION OF HAT MAT TRAINING ----.-----.----...-------- -------+-~-_._---_._-------_._-----_._------_._--- --.--------.-.------.------ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .----------.------- .----..-------.--.----..-.---.-----------.----.-.-------.------------.--- - -~ ~ :::::::: :::::~::::.:u^-~m--t---- ----- -- -- --; :::S:~:::au~~-& O~H;~-~- >I~- --~-_º~-_ __~_~~_-_-_v ANY HAZARDOUS WASTE ON SITE?: aJ4ES 0 No EXPLAIN: Wa,?,,:te.- ð \' , QUES~jtGARDI~G THIS ~NSPECT:N?:;:~":~(661) 3226._3979 _.! ~~/ .. ~ ,__ _' , ~ ~ BodgeN, ~~, "R~ I) (j White· Environmental SelViœs Yellow". alian Copy Pink, Business Copy \ Û ,,~ \~ Ioò.i f#!ìT,~ t, CIT}T of BAKERSFIELD , ;J ------ - .< ~~ ,,/',' ,,' J ;/ /-~~~--/'.';'- I.".:Í' v'" Far~ and Aqriculture L.....J Standard Business A HAZARDOUS MATERIAL::; INVENTORY ~g~¡~i;~, ~M~ ~~{:;!rtæ;e.- CITY, ZIP:'lA-~S .-et, 33(3 PHONE II: ~~/- r¿:?Lf-'f,)..,9:2.. OWNER NAME: WIA-jNf>_ (+eNrJ.- Sr. ADDRESS: 3~ ~1:'¿:. (.JI"('¡,¡~ CITY. ZIP :_"_ _ Cf.?:':!5""ij PHONE ,: ;;o'1-~-/?- (P/S'?' RUBR TO INSTRUCTIONS FOR PROPBR CODES Page -1-- of _L_ NAME OF Tfi1š FACILITY: J'tKJ( FV"CA+ ;:¡:¿e.... STANDARD IND. -èiÄsSCODE '7~::<" DUN AND BRADSTREET NUMBER~ Jl;t-2:2$-L.~L9 ¡q , 3 ~ð~ lilt C Averaqe bt 5 Annual Est & Measure Units 1 . Oys on Site , 10 II Cont Cont Un Press T..ø Code IZ Lo<:at ion Where Stored In facility 13 , by Wt 1& HalM!s of Mixture/C01I!oonents See Instruct ions i .1 II \1 II II I ----- - I ~ ¡r~ns Type Code Code Physical ~nd Health Hazard COIIponent.I H.-.' C.A.S. Hu.ber .' k all that apply) r -, r-' r-" I"-=::.>r COIIlIOIIent 12 Na.., C.A.S. Huaber L _.J fire Hazard '- _.J Reactivity '- _.J Delayed '- _.J Sudden Relene ~llMedfate I' Hulth of Pressure Hwlth . COIIponent 11 Haa.' C...S. Hu.ber I ;;;;;;;;-;;d-;;;;;;-;;;;;!--------------I-------------~!l;:-;-':~;;~--';--;;;;-;:;:;-:-S-:-~;;;;:---- (Check all that apply) !J2. _ s.Q'-cL__Ú-L/q_QL-£____!JLÆéLçJ~-f--m--n ------- ______ ________________~~J::~~i-~~--------------- ----- ----------------------------------------------- .._---~- ---- ------------------------------------------- -----.. r-" r-" r-' r-, r-' L _J fire Haurd L_J Reactivity L_J 0e1ayf<! L_J Sudden Release '--.I I..tdlatl . Health ,of Pressure HNlth COIIøonent 12 lIa..' C.".S. lIulber --- --------------- ------- COIIoonent U Na.., C.A.S. lIueber - ----------------- ----- --------------------------------- ------ Physical and Health Haurd . (Check al1 that apply) ..C.".S. lIu.ber n COIIøonent 11 lIa..' C.".S. lIu.ber - --------------------- ------ ,..-, r-' r-, ,..-.., r-, L _.J Fire Hazard L_.J Reactivity L_J Oe1ayf<! L_J Sudd~ Relnse '-_.I l...alat' Hea I th of Pressur, Heal th COIIøonent 12 lIaM' C.".S. lIu.ber ------------------------------------ -----.. , COIIøonent 13 lIa..' C.A.S. Nu.ber --- .... ,. ---. .___l______l____________j______________i___________l__--'___L-1~L__L___ ----------- ---- --------------------------- ------ Physical and Health Hazard (Check al1 that apøly) C.A.S.llu.ber______ COIIøonent II lIa..' C.A.S. lIu.ber --- ---------------------------------------- --_......- r-, r-" r-., r-' ,..-, '--J,Flre Haurd L_.J Reactivity L_J Oelayed L_.I Sudden Release '--.I 1~lat' Hea I th of Pressure Heal th CÓlløonent 12 lIa..' C.A.S. lIùllber ---- ----------------------------------~-_._------------- -_..--- - .-.-..~__:7---...........--...-......--. ...- mGEN~Y éOHTACTS '1~~__ ~c!£PA:.L.____~_______ ~_~:::____ t~;~Zž:-.i- . 12~~-L~...f.~----m------ JrriTfL~-~£Cm-- if'--p~fL£:.. .:' COIIponent 13 lIa.. ~ C.A.S. NUlllber ---- Certification (Read and slf{n after completing all sections) , I certlfv under penalty of 'a. that I have personally e~alllined and a. fa.fliar with the Infor.ation subllitted lor obtaini~e fnforlNtfon. I belley:~~the sub.ltted Inforllatlon It true, accurate, and coeøle . llr-ta-õr1?c'*4i1-~1~¡¡;iõii;:~?~Ø_~~¡ütñõ¡:iiënëP¡:ëšëñt¡tiÿi - ¡¡;:¡-------------------------------------- this and anettachld do<:ullents. and that based on IV Inquiry of those Individuals respoosible 9-;;( cr-d3 O¡t(-Si qñi!a-------------------- -- ---l I 1: , " .,,:~:,~~~:\; - ~1t .;~~:\.~::~~~~._j:2. . , CITY OF' BAKERSFIELD HAZARDOUS MATERIALS INVENTORY \..t ...,...' .. '-~-'- . ::.·.·-·····r <0 _ co'. ',' - CJ Fa.~~~'thà, Ag~icult~re'!8I standard Business ":;.:~ :?"v~·~ ,., " _ _ . . :. page--Lof~ cr~3 \ 3 NON - TRADE SECRET OWNER NAME: W,q y'N t: /feAt r b! ,<; r ADDRESS: 30n )C PAlu" , ¡Jr. CITY, 'ZIP:fY1(')cfp.c..+O 9S~cs-'I' PHONE ,,#: :A()Cf - ,~'7 '7 - (,., I S- 5? ' , I BUSÌNESS NAME: ..JAd« \=('o,+- LOCATION: 'i 70 I . 'S+.~ N & Roü~ , CITY, ZIP,: ~A-\(P~~ '~ PHONE #: (Q ',I"· - ? t - _ , c.c2- NAME OF THIS·FACILITY:YA<..K Fr~ He I STANDARD IND. CLASS CODE: ':Jï:J...:J...';).. , DUN AND BRADSTREET'NUMBER FEDERAL ID # <:l '1, - 2:. 'Z. ~ - L 2,. ¡J? INSTRUCTIONS FOR 9 10 11 14 Names of Mixture/components' See Instructions pt~ ,Physical and Health Hazard (Check all that apply) C.A.S. Number Component # 1 Name & C.A.S. Component # 2 Name & C.A.S. 'Component #.3 Name & C.A.S. .~ .' Fire Hazard ~ Sudden Release , of Pressure o Reactivity 1Kl lnimediateO Delayed Healtn Health Physical and Health Hazard :. , (Check alL that apply) C.A.S. Number N/A . Component' 1 Name & C.A.S. o Sudden Release '0 Reactivity 0 Immediate .ß..Delayed of Pressure Health Health Component # 2 Name & C.A.S. Number Component # 3 Name & C.A.S. Number C.A.S. Number / 4 e. I :J~o c¡q- 09 - 0)... VComponeht # 1 Name & C.A.S. 'J..'ifo9 - ~) .. '"4, ' , Component # 2 Name & C.A.S. 3797/- 31&, - I ,Component # 3 Name & C.A.S. Number Fire Hazard 0 Sudden Release 0 Reactivity t8l Innnedia~e 0 Delayed of Pressure Health Health . 'i:. EMERGENCY CONTACTS u If! dAl J4 if ¡or Title , i~' ;\1., ;-Co C"rtitication , ,,(READ AND SIGN AFTER COMPLETING ALL SECTIONS) , \;:'\'¡ certify under peanlty of law that I haver personally exanìined and am familiar with the information submitted in thi.s and all attached documents and that based'on my inquiry of thosB W individualB responsible for obtaining the information. ¡ believe that the submitted information is true, fl~'~:&'~ ~~l/oIoí/;/ -- 174/1/J/Æ!le~' ',.,' , ,j'1::',>11: lI~m OFFICIAL TITLE OF OWNER/OP1"UITOR O't U;..Ci'H/Ol"'="N!.'OR'S A!.r.rnORIZED FEl'm:SENTATIVE accur,":"' "~ Of .,' SIGNATURE Oll~~( 03 ' DATE SIGNED .. -: 'u.p~~+.e:i , ,: . I~ J<l- D..3, ' Ò CITY - OF BAKER.SFIELD·, - " HA_ZARDOUS MATERIALS INVENTORY .. Farm and AgriculturèŒ(standard' Busines~ , " " _, BUSINESS, NAME:, :r~c.~ ~~¿!6~ ~;e,_ LOCATION: ~ 7'0 \, '+¡ 0 CITY, ZIP:, ß~\(F'-f,.s~e,Lof PHONE #: b~ I-~ ~ 1.(- "1,d-<.'1:2 ~~~ 1.3 NON - TRADE SECRET , OWNER NAME: uJ~I.JNe. /'/eN"J Sr,,' ADDRESS: .30(") (j :s~eN'c:. Or. CITY, ZIP: mnr.JPr:..~ 9S-~.ç-7' PHONE ,#:' -a. 0 9 - 5-7'7- 1/1/,~-J?' PROPER NAME OF THISFACILITY:J,.,.c..-}< f.-r-0.5T ,::;:::-ée.. STANDARr!IND . ,CLASS CODE: ...¡ ;;.~ ;t DUN AND BRADSTREET NUMBER/FEDERAL ID* q~-2.Z.2-2~lg' 1 Physical and Health Hazard (Check all that apply) C.A.S. Number Ct:Y'-/7'fd. - 5Y-7 Component It 1 Name & C.A.S. Number Component It 2 Name & C.A.S. NUmber Component It 3 Name & C.A.S. Number Fire Hazard [J o Reactivity 0 Immediate'~ Delayed Health Health Sudden Release of Pressure Physical and ,Health Hazard , (Check ail that apply) C.A.S. Number 'ì? X":J.. -i;L¡-? Component It 1 Name & C.A.S. Number component It 2 Name & C.A.S. Number Component It 3 Name & C.A.S. Number ill ,Fire Hazard 181 Sudden ReleaseD Reactivity ~ IlIUllediate 0 Delayed of Pressure Health Health Physical and Health Hazard , (Check all that apply) ,J~. Fire Hazard 0 SU~d~~ ~el~~~~ 0 of Pressure s- C.A.S. Number (P Lf Î'i;¿ .., ~~ -? C.A.S. Number C.A.S. Number C.A.S. Number €. Number Component It 1 Name' & Component It 2 Name & C.A.S. Number Reactivity ¡g I~ediate 0 Delayed Health Health Component It 3 Name & C.A.S. Number '", ~~> EMERGENCY CONTACTS #1 Name 3 # 2 IJ~ í?lJt0<4S€¡j .', ,'. I ~'I page';<' '6f~' .' 13 % by wt øl. Ø4A/~ pF' Title -::.-'-, ~jt Ct.:rtification . (READ AND SIGN, AFTER COMPLETING ALL SECTIONS) , {;':':: I certify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all' attached documcnta and that based on my inquiry of those' \,: .individuals responsible for obtaining the infor¡nation. I believe that the submitted information is true, accurate, and complete. 'i.:"',·,."i,,,::,2Ilr-f:5;,NdotJ~(" ,'- "f7ÎJ4NI4Cle;^- ,~{}+-~ ", "H'-\.({F. MID O)"FICIAL TITLE OF OWNER/OP~R OR OWNER/OPER1,TO;Vß AUTHOJn7.ED REPRES!'::;'J'M.'IVE SIGNATURE o 1/:2.2/n.? DATE,SIGNED ,.:?~ ..,.~ CITY OF BAKER.SFIELD :'1 HAZARDOUS MATERIALS INVENTORY Farm and Agriculture~standard BUBineBB~'~ .' ~ NON - TRADE SECRET BUSINESS NAME, ~ ~ ~ OWNER NAME' U)"'It"'e. H-eN,¥ LOCATION: '-f7l? . /~ 04' . ADDRESS:3o~~ ~i DI'· CITY, ZIP: 0>"..lZe~'¡::;·e.( cI' 93. ·:V_~ CITY, ZIP: __01__ . PHONE it: (;,'ð/ - 'X .3'1- '.29.;:z PHONE ,# :;)09 - ,5"''1'/ - ~ / .5-í? page..L0f Âr , i Sr. NAME OF THIS FACILITY:¡tlQc.k F1"\o..J1- Zc...e. I STANDARD IND. CLASS CO E: ~~ ~ ~ ' 9.:Ç3 "Ç-~ DUN AND BRADSTREET NUMBER FEDERAL ID # Ii ~ Ij - ø !2 ~- 2 2:, L " . PROPER 14 Names of Mixture/Components See Instructions Fire Hazard E:J Budden Release of Pressure .D .. Physical and Health Hazard C.A.S. Number 7 7 7FJ-~-.3 (Check all that apply) D Fire Hazard 0 Budden ReleaseD Reactivity j~ Innnediate 0 Delayed of Pressure Health Health Component " 1 Name & C.A.S. Component" 2 Name & C.A.S. Component # 3 Name & C.A.S. C.A.S.· Number Component # 1 Name & C.A.S. Component # 2 Name & C.A.S. compone,nt " 3 Name & C.A.S. Number Fire Hazard f:8:1 Sudden Release 0 Reactivity ~ I~ediate 0 D~layed of Pressure Heal th Health CONTACTS #1 ~;;lj ~ 24 Hr. Phone #2 ;{" ,.' .:~ t: ';" p\Cm:tification '.' (READ AND SIGN. AFTER COMPLETING ALL SECTIONS) " ., \;1'::,-1 C:èrtHy underpean1ty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those 11;'-- il1<tividuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. i\il~:c5ß We5T- - ~~~l15Ler. ",,_.... . ,tJ ~,,~TW~ 0-~5"-O/ ¡~> J~',:1B AND OFFICIAL TITLE OF CMNER/OP~R OR CWNER/OPERATO:'P!J ,"'-','FOJI.T7.ED REPRESENTATIVE ~RF. DATE SIGNED .~,~."'~ ~ "~"'" .-... r "-"1",:. ---- . , ' . :"':C:'I-:rY OF BAKE R.,SF:rELD ..l I .- " , , Cí ,Farm and Ägri~ultur~.3I standard: BusineB~ HAZARDOUS~MATERIALS' INVENToRY " ',BUSINESS _NAÑÊ:~A<.. 'F~+r('12- LO~ATION: '-/ 7ð., ''''t'''.. ~~_ CITY',' ZIP: bA-~ :-p (d C'f ~31 ~ PHONE 4t: roCol-' 9f3t..f--Lf:J..Cf;J.. , ÒWNER NAME' w~;~ ~; ~IDT~'SS,Z'~~~: . ~~L~' r - PHONE ..'It. ;7..0, , , , ' , ~gs<ý ~ageÂof(:1 NAME OF THIS'FACILÚ'y:;TR<..k' Frc..s+ .::rc~: STANDARD J:ND.. CLASS CODE: 4Á:;¿ =^. ' I . DuN 'AND BRADSTREET NUMBER7FEDERAL ID if , <1':i-~ 2s-- 2:2L 0 ..;' " - NON - TRADE SECRET .. , 14 Names of Mixture/Components See Instructions ':>7';-:"~ ¡ I C.A.S.' Number Component # 1 Name & Sudden Release 0 Reactivity')'2$. Innnediate 0 Delayed 'of Pressure Health Health Component # 2 Name & C.A.S. Component # 3 Name & C.A.S. Number CONTACTS U· r ,.. Title lCertHication '(READ AND SIGN, AFTER COMPLETING ALL SECTIONS) _ '- ~ certify underpeanlty of law,that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based 'on my inquiry of ',those individuals-responsible for obtaining the information. I believe that the submitted information 'is true, accurate, and complete. " ;,' £~171~~ R/OPERM'OR I S þ.1T'J'!JORI7.ED fœ"RES»"~r" Vi:~ ' SIGNATURE ;. d \:;,,~,:s .1.)11) OVFICJAL TJTJ.E OF OWNER/OP"RATOR ,OR ~ - ;;l..S--CJ / ,,' DATE SIGHED -=-'~;;--"-~ ~....r--- CITY OF BAKER.S'FIELD "'- HAZARDOUS MATERIALS 'INVENTORY o Farm ~nd Agriculture œf. Stand Business NON - TRADE SECRET ~'~~"~:,"~~J Page /_~f / ' I . # ~ I BUSINESS NAME: I.OCATION: L..{ CITY, ZIP:, y;¡. PHONE #: (P G::> I - NAME OF THISF1\CILITY:...lß.c:.k' Fr()s~ Zé.e STANDARD IND. CLASS CODE: ,-/;;Æ^^ DUN AND BRADSTREET NUMBER/FEDERAL ID # 2 !i - 2-.2 ~ - 2 ;g L ~' , C0I:tification, ,( READ AND . A TER COMPLETING ALL SECTIONS) , :t còrtify under peanltyof law that :t haver rsonally examined and am familiar with the information submitted in this and all attached documents ,~~diVidU~lS responsible for;obtaining the information. I believe that the submitted information is true, ~ura~, and ,~e.. . ~ :i?o6err ú.Jf='~C;+ - I11kIUrtC¡V' ~ Lt:)~~ j , .", ." omo"" Tm.E 0' Ow",W"''''''''' o. r'¡"''''''''''''' ""sam"" =,,;c,'''.'''''' . .,,""""', OWNER NAME: WA-lH/e.. ¡-I-eNt"¡j Sr. ADDRESS: 3 00 Sé!e./v t'e-." 0 r-. CITY, ZIP: n?ðole.s70 ' 9S-3.c;-V' PHONE ,f: ' :? 0 9- ~ "7 ? - Co I .s-l? ". PROPER CODES 12 Location Where' Stored in Facility J crP '6. s- Number (;Y 7 Y ~ ~ ð' 'i'" - ') Component # 1 Name & C.A.S. Number Component # 2 Name & C.A.S. NUmber Component /I J Name & C.A.S. Number Immediate .r=J Delayed Health Health Physical and Health Hazard Number Component # 1 Name & C.A.S. Number (Check all that apply) 0 0 ' Component /I 2 Name & C.A.S. Number Fire Hazard Sudden Release Immediate Delayed of Pressure Health Health Component # 3 Name & C.A.S. Number Component 1/ 1 Name & C.A.S. Number Component # 2 Name & C.A.S. Number Component 1/ 3 Name & C.A.S. Number Physical and Health Hazard Component # 1 Name & C.A.S. Number (Check all that apply) b " .. 0 Component 1/ 2 Name & C.A.S. Number Fire Hazard D Sudden Release o Delayed , ~ . of Pressure Health Component /I 3 Name & C.A.S. Number EMERGENCY CONTACTS U 3~S -;;2..1.;2.3 #2 Name ' Title 24 Hr. Phone 13 % by wt e 6'1fP-/'("'50r , T tle and that based on my inquiry·of those /0- 1/'':' 00 DATE SIGNED _ "i:_~g ... "'_..."i'- - "1 J .:r A,,\(. Fros+ , ..,--~ :Z:c;..~ -- SiteID: 215-000-000974 Manager : Location: 4701 STINE RD City BAKERSFIELD APR GQ 7 2000 BusPhone: (805) 834-2371 Map : 123 CommHaz : Minimal Grid: 14C FacUnits: 1 AOV: ¡:ecJ.~141 :CD 9'T-~'}S"- ');1...10 SIC Code: R:lu,·-...., A.:¡: 1,::50-1:fëS - ~ CommCode: BAKERSFIELD STATION 13 EPA Numb: Emergency Contact / Title Emergency Contact / Title ROBERT WEST føírÞ' / MANAGER KIRK THOMPSON lÞírÞ / SUPERVISOR Business Phone: (~) 834-2371x Business Phone: (.s.o.& ) 834-2371x 24-Hour Phone : (~) 325-2123x 24-Hour Phone : (~) 664-0277x Pager Phone (~) .. ' -- .. - ---. Pager Phone (~) 632-8648x : : ' , -' ,~ " : Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : .:rl\c.K F't"eI~-t ;rc..e..... Phone: (805) 834-2371x MailAddr: PO BOX 1228 State: CA City : BAKERSFIELD Zip : 93302 " 04i4VN €.f.' ',H e);¡t',[1 -S~,- ~ " - . , " Phone: ~ç.9) 5?il',- (0 I-:S-â' Owner . ~." - - ,.'\. - '. ,"'.-: . . -- -- --"~.- --' ~ .' d- .' j Address : 3ò 0' $Òi!/v/¿ , Dr, '- -~->. J State: CA ' '1' City : inðdes-k~c~~ .. Zip : '}5'3 S~ - - ¡- Period . to TotalASTs: = Gal on Prepa.rer: TotalUSTs: = Gal Certif'd: RSs: No ,.' , Emergency Directives: Hazmat Common Name... SpecHaz EPA Hazards One Unified List ì All Materials at Site ì DailyMax MCP G 4464.00 FT3 Low G 747.00 FT3 Low L 110.00 GAL Min L 110.00 GAL Low L 80.00 GAL Mod S 150.00 LBS Mod G 390.00 FT3 Hi F Hazmat Inventory p== As Designated Order .->' FREON OXYGEN MOTOR OIL WASTE OIL NALCO 2896 NALCO 2590 ACETYLENE F P IH F IH DH F DH F DH IH IH I, K¡·,.K THOWJæ50N Do hereby cerfi'fyl1ha1 H~ave (Type or pri¡¡¡¡¡¡me) reviewed the attached hazardous materials manage- ment plan forJ"AJ{ rrq~f j;- e. .and that it along with (~Slf_) any corrections constitute a complete and correct man- agement pfan ~or my facility. ~~~ ~s--= 03/29/2000 'I"~ .:r v;- c..K F't"OS ...-A" F 1:~TT~F!:O .$n.O;P'R~ ~ 5.'f':'~".ã: ::CI p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME FREON FREON 22 Location within this Facility Unit N END BLDG ON RQOF1 e SiteID: 215-000-000974 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Map: Grid: CAS # 75-45-6 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Cryogenic CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 892.80 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 4464.00 FT3 Daily Average 1785.60 FT3 HAZARDOUS COMPONENTS ~ CAS # 75'4561 I l~~~óoIFreon 22 HAZARD AS E TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low S SSMEN p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit IN GARAGE Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE ' PORT. PRESS. CYLINDER Largest Container 249.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 747.00 FT3 Daily Average 249.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZ T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH I / / Low ARD ASSESSMEN S -2- 03/29/2000 ..:JAc.K ':-"'0.5+ rA- F WIY~ ';~I:~ ==- S"PIÎ]il:B.f-¡P. %a' . F Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME MOTOR OIL e SiteID: 215-000-000974 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SOUTH END OF GARAGE Map: Grid: CAS # 64742-54-7 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 55.00 GAL %Wt . RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS F Inventory Item 0005 = COMMON NAME / CHEMICAL NAME WASTE OIL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE GARAGE Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 20.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS I ~ HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -3- 03/29/2000 .:r~ ~K- Fro~~ ~e.. F aUT~D SYj(l'g~ ~ $1'O:'.~ aGE 1::C& p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME NALCO 2896 e SiteID: 215-000-000974 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NE CORNER OF BLDG Map: Grid: CAS # 1310-73-2 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 80.00 GAL Daily Average 60.00 GAL %Wt. RS CAS # 5.00 Sodium Hydroxide No 1310732 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod HAZARD ASSESSMENTS p= Inventory Item 0009 = COMMON NAME / CHEMICAL NAME NALCO 2590 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NORTH OF PLATFORM - STORAGE ROOM Map: Grid: CAS # 7778-54-3 STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 300.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 150.00 LBS Daily Average 100.00 LBS %Wt. RS CAS # 65.00 Calcium Hypochlorite No 7778543 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod HAZARD ASSESSMENTS -4- 03/29/2000 ,;r A ~ K F'ro.s + .!...e...... F mU'LI[P S'IÃrÆ~ ~ .sY':::""~í~ %0- p= Inventory Item 0013 = COMMON NAME / CHEMICAL NAME ACETYLENE e SiteID: 215-000-000974 ì Facility Unit: Fixed Containers on Site ì . Days On Site 365 Location within this Facility Unit IN GARAGE Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 130.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 390.00 FT3 Daily Average 130.00 FT3 %Wt. I 100.00 Acetylene HAZARDOUS COMPONENTS G;] CAS # 748621 TSecret RS BioHaz Radioactive/~mount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -5- 03/29/2000 ;:r A-c, t<.. F' ~-t 4t- c...e..- F IJlUTJ&D ITi'oI'fi:S ~ .sT:R.-~~ ~ I p= Notif./Evacuation/Medical r=: Agency Notification LCALL 911 e SiteID: 215-000-000974 ì Fast Format =t Overall Site ì 09/17/19921 09/17/1992 Employee Notif./Evacuation RING BELL 3 LONG RINGS CONTINUALLY THE PERSONNEL ARE TO LEAVE AND MEET IN YARD BY WEST FENCE Public Notif./Evacuation 09/17/1992 DOES NOT APPLY SMALL AMOUNT OF CHEMICAL, IF FIRE CALL 911 Emergency Medical Plan 09/17/1992 TAKE PEOPLE TO MERCY HOSPITAL. MERCY HOSPITAL SOUTHWEST 400 OLD RIVER RD (805) 663-6000 MERCY HOSPITAL 2215 TRUXTUN AV (805) 327-3371 -6- 03/29/2000 ., ;:fAc..K. iTos+ L e F UNI1'nr $:ïS. ~Rli .=e= ~TnB ~'6r ~ I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000974 ì Fast Format ì Overall Site ì 01/22/1991 SHUT DOWN PUMP AND WASH DOWN WITH WATER GAS CYLINDERS CHAINED TO CART Release Containment 01/22/1991 PAN UNDER VALVE ASSEMBLY TO CATCH LEAKS OR DRIPPAGE TANK INSTALLED ON CONCRETE/BLACKTOP SURFACE. Clean Up 01/22/1991 1 I ABSORB WITH RAGS Other Resource Activation I I. \ -7- 03/29/2000 ð ~. ~ ,. . r. .:r~c..K F~~r ~e...- ~ S~ÇR~9K ~ e F """J'T~J:D S"l\""~ I f= Site Emergency Factors r== Special Hazards SiteID: 215-000~000974 ì Fast Format ì Overall Site ì I Utility Shut-Offs 09/17/1992 A) GAS - NORTH END OF BUILDING B) ELECTRICAL - NORTH END BUILDING C) WATER - NORTH END BY CURB D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 09/17/1992 PRIVATE FIRE PROTECTION - WE HAVE FIRE EXTINGUISHERS FIRE HYDRANT - NORTH END OF BUILDING BY CURB Building Occupancy Level -8- 03/29/2000 "- ¡. . . . /~ A-c.. f<. fro:>1- 9c e.... e í ~rHÚID 35f~'f1ïS COlð SlfORAGE a-ëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-0Ó0974 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee TraUllng ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/19/1991 ¡ o 0 o WE HAVE 18 EMPLOYEES AT THIS FACILITY -' I~ G;\MpID~e.e.:.s o 0 ye"'\ r-o'-tA.£d o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o 30 E.....pl0d-.e~.s ! . se'Ast>¡../14-/ - Af"d io Oc.+Ober- o o o o HAVE SAFETY MEETINGS TWICE A YEAR ON SAFETY AND HANDLING OF CHEMICALS ON o PREMISES AND ALSO OVERALL SAFETY. 0 . o ø åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future lJse ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf