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Home My WebLink AboutBUSINESS PLAN 8/9/2003 Per It to···· Operil.te Hazardous Materials/Hazardous Waste' Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID #:: 015-000-000527 CON CAST CO LOCATION: 4808 STINE RD D Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 This pennlt is issued for the following: :'" ,lfJ I íj'l:.~~<:'?'~",>< ItJ Hazardous Materials Plan Aftl1/1 I , t~<¿?~~.~ o Underground Storage of Hazardous Materlais , ,./(1 c, ,9 ¡l",,?<'- ~,~~' <0 _ 0 Risk Management Program ,rtf1~:1f ! I ~~~ ßi~4~~;f'LV~J '~~-:~ ~ 0 Hazardous Waste On-S1te Treatment ' II: ',! IF":;''- '(> or"1.:;:r:.::¡U, 1:iJ:.t.~'-/·qtfj ,.-~ I.{y<:~\:~" ~ti~~Ë,~;~~?~I}OR,"l i):~~~~~q ~Ä~~~'~ C1: "ñ" I oJ, ,\>-~'i¡2'" ::~.:~~ f' 'fI \. P It ,,¡ Y ¥ ..,._ .-_.. t",,~ ..A~ >f /" .,. ¡. 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It to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This pfJrrnit is issued for the following: "tI~~ardous Materials Plan ·'tÎa~rs¡lround Storage of Hazardous Materials ªQ~gement Program u', Waste 4808 STINE PERMIT ID# 015-021.Q00527 CON CAST CO LOCATION Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 4f~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: ..-----~ ~ CON CAST CO GENERAL ENGINEERING CONTRACTORS California State Uœnse #334963 ROSS KALLENBERGER Pipeline Construction Hot - Taps Horizontal Boring (805) 832-4546 Fax: 832-4567 Cellular: 331-3535 ~ ! ,---f- It. ,. , -- I! ,,~) i).Ÿ >-.. f'+"'U!P.. :11 ¡ I' 'I¿/I-'V - V_"~::. '-- ,--' a£)efb);v;:,A.Æij; ''7-'' /) (~ ,,'--Q9 (! " 1'~-' ¡; \';..A'- ",';"7 , c - ,.1-r--:~ (J fJ. J ' ,f: "f'xl{;ß! FROM : CONCASTCO Dec. 05 2000 11:55AM P2 . '1 ell 2 . -- ,~ :':'I ,.~",j' ~ I :i · w.~æoe. ~·((~FP. ¡;-"òI.¡j"-;I\t- I. i~~ß~: ' ~ 'Jlh H l\lMì~>O' 6pLÅl\' MAP SITE DIAGRAM c:P FACILITY DIAGRAM [ Business NQme: Cc,,,:'('o.c;-.)-\-C'o lbi.1IS--D66 - c,:)../ Business Address: ~l9:& c,:;+ ;\\Q. {?~ .c...,) ~k, ÌJ For Office U$e Only Filst In Stotlon: Area Map 1# of NORTH 0'· Inspection Station: ~f~t Pro~.. . P....IJUI YARD lall,I......1 WI '_.1 ,. .il .-orE. )i air CIIINd t ... _It .-... 1/II.O"t' C) æ.. 0 t L. , C>?<'t¡'-" f J4 Cl;"rýé€,¡v{: .. ,.... ..... 1:1.'.11 U'aW .~ .{L ~ .1.. , ~ \it.>.L..t..~<;) ~ '...'" S+\~ S..~~ )) ('_c.~ Co , ~ ;,. ~ a ~u' 8tcl~ t . q/n!'1( C~(~è- wf cq¡- ~í. t{.Q ~~c..Ot-\:Lf) ~~ umr~or l.-toÎCL't-' ~ ~~ ;[Y\øC1lÁ;oJt ~ ~fK~ssblL. j)~~~!"'Cx lð D·\"- at 'S - 'lü?~' CAr~j^,.,._ ~ \JV'tJLQ. I Le,SS '-1V \\.MV ~d-~~t( D~ not 6r-0 ~j¿Ú)(¿ d\ CL~ Q+kr ~~(1J Jì '-\N ~oN ~'(¡. - ,..-) [ , ) '\ .., '.... //~ ). \ ' ~. ~f.) -,' f -\ ,/ t' " Ii' '" - i~ _ : ;\.~ ~ ' l; \. I\...-~_,,#...., ,,:,'\\¡,\........~,t J ¡ 0"'~~....¿{ß-l-''-.').,'~; '''1 . "( \ . y;) c\~'; \,>~t;,-;<>..:.Jf' V Go)n CCc~\- CD. =- 0{ol0 * ¡uG ~~~;Y\LT ßlvd E - d Dc£opan,G'ð' ðrr.'p ~-=~~ LAJcæho,v0Æ~ U/1;spr; n K (¡¿re. d lVto...~, 0¡hp./~ J+ore.- UD 1\) (j tr I- I G 5 D¡fh" ~ Ut~ 5sJJT-ð ÛJn1bvÌ;on~ L~clviVÚ)" Uti, (~; 41Sc t:)( C~~}..DU)~nG¡ , í c... lJ ()n~ J ùt\£ ,-)Q(~ Y\COfYL,: IO(r(.r~dJ.f; GJu hl¿cl (tVII~d.! 9(.í ;f ¡'-{t)"i?; f (t;~ ï f. ¢ ;; (IDc)"' F p. e... '-I(cf],' "1 " CON CAST CO . . SiteID: 015-021-000527 Manager : Location: 4808 STINE RD D City BAKERSFIELD 'L,ø ~~~~ BusPhone: Map : 123 Grid: 14C (661) 832-4546 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code: DunnBrad:02-107-6252 Emergency Contact / Title Emergency Contact / Title ROSS KALLENBERGER / PRESIDENT JENNI BLACKMON / DAUGHTER Business Phone: (661) 832-4546x Business Phone: (661) - x 24-Hour Phone : (661) 664-0952x 24-Hour Phone : (661) 398-9528x Pager Phone : (661) 394-4710x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 9405 HEMINGWAY PL City : BAKERSFIELD Period : Preparer: Certif'd: parcelNo: to Phone: (661) 832-4546x State: CA Zip : 93311 Phone: (661) 832-4546x State: CA Zip : 93311 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address City ROSS KALLENBERGER : 9405 HEMINGWAY PL : BAKERSFIELD Emergency Directives: ~I ~<S5 KO\c(~i4'~ []© ~®~®1g1f ©®úÎ¡~ ~~&',~ ~ ifùß1f® rrVP3 ISj tmni nm'I<'J) f~viewed ~i'û® ~~(ÇU1®©1 i"ù~cm[j'©1©tß§ m@1~®[j'~tID~§ mcmfJí\®@®o m~lùî ¡\!J~ú1 ~@U' Cc, N c: U\- S T Cð ®~ ~DìJ®~ G~ êillg;([ù® ~ß~~ ~~<i1!?}oo~) ~y OOIT®©li(Q)rJ~ OO:ru@¡G~~\1® ® ©@mlQJ~@Í(® ®~@ OOU'V~ m®rJ~ ~®m®fJí\\llQJ~®rJ ~©[j' my ~ooijWv 0 ~~'f~ t)'f(-f!)Q---o3 "'== !:Db -1- 08/04/2003 -------, - . þ - - CON CAST CO SiteID: 215-000-000527 Manager : Location: 4808 STINE RD D City BAKERSFIELD Jß:(I~ 1 ~ 2000 BY: BusPhone: Map : 123 Grid: 14C (805) 832 -4546 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code: DunnBrad:02-107-6252 Emergency Contact / Title Emergency Contact / Title ROSS KALLENBERGER '-6 ìI PRES IDENT JENNI BLACKMON / DAUGHTER ovA Business Phone: ~) 832-4546x Business Phone: ~8ØS) 327' <lL11 ''I. 178' 24-Hour Phone : (~) 664-0952x 24-Hour Phone : (805 ) 398-9528x Pager Phone : (-&&5-1 3-98 7'¡;16x Pager Phone : ( ) - X ?:,ct4. - C-( to Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (805) 832-4546x MailAddr: 9405 HEMINGWAY PL State: CA City : BAKERSFIELD Zip : 93311 Owner ROSS KALLENBERGER Phone: (805) 832-4546x Address : 9405 HEMINGWAY PL State: CA City : BAKERSFIELD Zip : 93311 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P IH G 120.00 FT3 Hi F P IH G 124.00 FT3 Low F DH L 110.00 GAL Min p= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... ACETYLENE OXYGEN MOTOR OIL ~, t..o~--dl....-e.\<o..ll~IA-<O'¿i-tJe¡r [i)(Q) h®fi'®K»þ' ©®Uîi{h, ~~êJ~ ~ b1alV3 crv~ or ¡>fini iWfitð) U JJ rr®~i®w®d ~h® êJ11'itêJtCÜ'TI®(QJ Ü'TIê&êJf©100~ m@1~®V'Ö~i$) WDf~1J1ªgiÐ~ m~m~ ¡gil§1fi1 ~(Q)rr Cö~~~~~œ) âlú'](QJ ß~ál~ i~ êJ~(Q)ViJ@ ~'(Yß~¡'D ~fù1f oorrrr®©(i(Q)ViJ~ ©(Q)UîJ~i~~~® âl œm[QJ!®ft® êJúíJ(QJ OOrrfi'®~ WDtâ}úl- tEl@®m~n~ ~~ú1 ~(Q)rr rnJþ' ~©ö~iRþ', J//~/¡;() åtG 12/20/1999 e e SiteID: 215-000~000527 9 Facility Unit: Mobile Containers on Site 9 F CON CAST CO p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit MOBILE Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 120.00 FT3 Daily Average 60.00 FT3 HAZARD US COMP NENTS %Wt. RS CAS # 100.00 Acetylene Yes 74862 o 0 HAZARD SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi A p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME OXYGEN Facility Unit: Mobile Containers on Site 9 Days On Site 365 Location within this Facility Unit MOBILE Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 124.00 FT3 Daily Average 62.00 FT3 HAZARD US COMP NENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 o 0 HAZARD SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low A -2- 12/20/1999 e e SiteID: 215-000-000527 ì Facility Unit: Fixed Containers on Site ì F CON CAST CO p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit WAREHOUSE IN NW CORNER Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 110.00 GAL Daily Average 40.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DR / / / Min -3- 12/20/1999 e e SiteID: 215-000-000527 9 Fast Format '1 Overall Site 9 07/02/1992 F CON CAST CO I p= Notif./Evacuation/Medical Agency Notification CALL 911 EMERGENCY. RELEASES WHICH THREATEN LIFE HEALTH OR THE ENVIRONMENT OR WHICH EXCEED 42 GALLONS MUST BE REPORTED TO: BAKERSFIELD FIRE 326-3979 CA OFFICE OF EMERGENCY SERVICES 1-800-852-7550 Emergency Medical Plan M.t¿t¡-~y ,oo.naýJ:(~IAL IIODPI:FAL SOUTHWEST URGENT CARE 07/02/1992 Employee Notif./Evacuation 07/02/1992 VERBAL NOTIFICATION Public Notif./Evacuation 07/02/1992 WILL EVACUATE PUBLIC WITH EMPLOYEES. -4- 12/20/1999 e e F CON CAST CO I p= Mitigation/Prevent/Abatemt r=: Release Prevention ~IL BARREL(S) ON STAND WITH DRIP PANtS) r=:: Release Containment LIP PANS. SiteID: 215-000-000527 9 Fast Format ì Overall Site ì 07/02/1992 ] 1 07/02/1992 Clean Up 07/02/1992 TOP WITH ABSORBING MATERIALS & SCOOP UP WITH SHOVEL. Other Resource Activation -5- 12/20/1999 · e e F CON CAST CO I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-000527 ì Fast Format ì Overall Site ì I 10/19/1992 A) GAS - NORTHWEST CORNER OF BUILDING B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING IN UTILITY ROOM C) WATER - NORTHWEST CORNER OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 10/19/1992 PRIVATE FIRE PROTECTION - ON SITE FIRE EXTINGUISHERS, FIRE SPRINKLERS AND FIRE HYDRANT ON PROPERTY FIRE HYDRANT - WOUTHWEST CORNER OF PROPERTY Buildirig Occupancy Level -6- 12/20/1999 ~ . e e SiteID: 215-000-000527 ì Fast Format ì Overall Site ì 07/02/1992 F CON CAST CO I F Training Employee Training WE HAVE ~EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: BI-WEEKLY SAFETY TRAINING MEETINGS. Page 2 [ I I Held for Future Use Held for Future Use -7- 12/20/1999 CON CAST CO 215-000-000527 Overall Site with 1 Fac. Uni ~(C~'~~~~l , ' Page ,. . ~ \ (" j I', \, - Il. l 1 II , ... . "" U I ~ 09/19/96 - 1 General Information , , - - -- Location: 4808 SrfINE RD D Map: 123 Haz:2 Type: 3 City : BAKERSFIELD Grid: 14C F/U: 1 AOV: 0.0 r-- Contact Name Title - Contact Name Title ROSS KALLENBERGER / PRESIDENT JENNI :.I!!:l - IZ:Kl!ffiN / DAUGHTER Business Phone: (80S) 832-4546x Business Phone: (805) 327-4411x178 24-Hour Phone : (805) 664-0952x 24-Hour Phone · (805 t -32:1 09 1ST · Pager Phom~ : (~c.5" ) 3q<6 - ìll {¡, x Pager Phone · ( ) - x · Administrative Data Mail Addrs: 9405 HEMINGWAY PL D&B Number: 02-107-6252 City: BAKERSFIELD State: CA Zip: 93311- Corom Code: 215-013 BAKERSFIELD STATION 13 SIC Code: Owner: ROSS KALLENBERGER Phone: (805) 832-4546 Addres s :: 9405 HEMINGWAY PL State: CA City~ BAKERSFIELD Zip: 93311- - Summary LOCATED ON A VACANT LOT BEHIND THE 4500 BLOCK OF DISTRICT BLVD BETWEEN DISTRICT BLVD AND THE CANAL. MOVED CHEMICALS FROM VACANT LOT INTO WAREHOUSE AT hBO\E LUCAïION PER LORAINE KALLENEERGER 10/19/92. - ßv !-o1ft\;M ~,M¡i'""fo.€~\!1( [D@ 1h®U"®!Q)3f OOli11iiXtn ~Iì'ù~ ~ 1fï¡~<¡p® ~~wp I~) 'V 0 rsviewed ~hø a~ªChi®d k1aß~m©q,a$ m~~®U'itã1~~ mSllf'fi~@®'" men~ p!~!1 ~())f Ü~III.CCl.b+Cö ®1iîß21 ~~SJ~ oQ ®~@Iiîfñ1 w8~!hì (~ma Of lBusmw) ~ ~B1J1 ©Ofú"æions oonmituts a rom~!¡g¡~~ ~lí1d OO~g'®©i( m~úîJo ag@ment plar¡ fOfT my ~~d!øW. , , ~~ /I/~~ e e 09/19/96 CON CAST CO 215-000-000527 Hazmat Inventory List in MCP Order Page 2 01 - Mobile Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 120 High FT3 124 Low FT3 ------ 01-002 ACETYLENE Gas ~ Fire, Pressure, Immed Hlth 01-001 OXYGEN Gas ~ Fire, Pressure, Immed Hlth 02 - Fixed Containers on Site 02-001 MOTOR OIL ~ Fire, Delay Hlth Liquid 110 Minimal GAL C. ð \r \['-€- e.. + \'óV\ S I . f>D..€1~ 'V :tt Rc~ ~\t~,^~If-~:r~;D~' '6l\'6 - ìì l Co I c.:JACN'^-je- ð ~ t- Ñ CWV\ ~ : ~v-.d CD\!\:, ~ ~o..~K V'ACV\ ..\-~V\II\\ -'15.)..8 I. ,Q 6S' - "-5 q <6 J.-I..\. '^ r p v\.OV\.L.. I) c...~Q.V\Ð e... "" .5u IMMD..rý -\- lt~ð~ ~ wet v-e.1Ac\,..~: ~ & . 0 \ V\ --^-+I=1:) '8t':lV\.L ~OCLQ''''''~~r <> 0' " e e 09/19/96 CON CAST CO 215-000-000527 01 - Mobile Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 01-002 ACETYLENE ~ Fire, Pressure, Imrned Hlth Gas 120 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 -~ Daily Average FT3 --r-- Annual Amount FT3 -- 120 I 60.00 240.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientMOBILE Location - Cone ~ 100.0% ¡Acetylene Components MCP ----re;uide ~lgh I 17 01-001 OXYGEN ~ Fire, Pressure, Imrned Hlth Gas 124 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 124 I 62.00 I 248.00 Storage t'ORT. PRESS. CYLINDER r Press T Temp -:ì Above AmbientMOBILE Location - Cone: -¡- 100.0% ¡Oxygen, Compressed Components ~ MCP ----re;uide Low I 14 e e 09/19/96 CON CAST CO 215-000-000527 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-001 MOTOR OIL ~ Fire, DelEY Hlth Liquid 110 Minimal GAL CAS =It: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----~ Daily Average GAL --r-- Annual Amount GAL -- 110 I 40.00 I 275.00 --- Storage DRmI/ BAREEL - r-.1ET ALL I C r Press T Temp -:ì Location Ambient AmbientWAREHOUSE IN NW CORNER - Conc I Components 100.0% ¡Motor Oil, Petroleum Based ~ MCP ----rGuide Minimal I 27 e e 09/19/96 CON CAST CO 215-000-000527 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 EMERGENCY. RELEASES WHICH THREATEN LIFE HEALTH OR THE ENVIRONMENT OR WHICH EXCEED 42 GALLONS MUST BE REPORTED TO: BAKERSFIELD FIRE 326-3979 CA OFFICE OF EMERGENCY SERVICES 1-800-852-7550 <2> Employee Notif./Evacuation VERBAL NOTIFICATION <3> Public Notif./Evacuation WILL EVACUATE PUBLIC WITH EMPLOYEES. <4> Emergency Medical Plan MEMORIAL HOSPITAL SOUTHWEST URGENT CARE e e 09/19/96 CON CAST CO 215-000-000527 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention OIL BARREL(S) ON STAND WITH DRIP PANeS) <2> Release Containment --- DRIP PANS. <3> Clean Up TOP WITH ABSORBING MATERIALS & SCOOP UP WITH SHOVEL. <4> Other Resource Activation e e 09/19/96 CON CAST CO 215-000-000527 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER OF BUILDING B) ELECTRICAL - SOUTHWEST CORNER OF BUILDING IN UTILITY ROOM C) WATER - NORTHWEST CORNER OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ON SITE FIRE EXTINGUISHERS, FIRE SPRINKLERS AND FIRE HYDRANT ON PROPERTY FIRE HYDRANT - WOUTHWEST CORNER OF PROPERTY <4> Building Occupancy Level I .. , . It:. e e 09/19/96 CON CAST CO 215-000-000527 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SU~~ARY OF TRAINING PROGRAM: BI-WEEKLY SAFETY TRAINING MEETINGS. <2> Page 2 <3> Held for Future Use <4> Held for Future Use i . . . Bakersfield Fire Dept. ~~.'i:"~\I~.~ ~8',~1'Vl992~~/! Hazardous Materials Division ~ ù, ,r (.,J ~ 2130 "G" Street Bakersfield, CA. 9330 1 By"", ~g~4ol ~~ L- ) HAZARDOUS MATERI MANAGEMENT PLAN ~ . 15d1 rØ2 Q j , INSTRUCTIONS: 1. To avoid further action, retu is form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. I, r ....., '2 _I {/ (1 4. Be brief and concise as possible. c;><.0 T"- SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Co \1\. rr\.. ~ +C' (:) ~ID- 6"bCS-2ì LOCATION: tt~ò~ ~+\-~ kµ ~]) - ð{?;¡~13 MAILING ADDRESS: allfoç - CITY: .Røj::Q~~~~Jd tk-\¡II\\~WQd ~(",-~ ( STATE: ft ZIP: qs~l L PHONE: ~3)--4f;L{ l, DUN & BRADSTREET NUMBER: 62 ~ It) 1- ":l..S2- SIC CODE: PRIMARY ACTIVITY: ~ ö"'-~Ird ~_~V) I.J.~~\I-C? ~rJ\~ I ~\.~ I OWNER: R('f:,p:> tLJJ~\.¡. ~~~ MAILING ADDRESS: OíLlëS' ~\(\I: l\Ív:JL\'~t ~l~~ &hJ~~& 13 ~(I SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. f~ k~ti,(>"^ b.pVÇ1(1 y- Pr-e..~ ; ~¡;J...-4Sl{,b ~&,<{.- 0q/~L 2. .. )e/¡Ül.¡ ß [ Q1' k: vvV'l'V\ Jb\~~~Ir, 7JJ-ì-t{t(tl #-£715 3.;2.:2 - '2;q l[;\.c;' . 1. FC . Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: L--\ MATERIAL SAFETY DATA SHEETS ON FILE: Y,.¡¿ S . ~. BRIEF SUMMARY OF TRAINING PROGRAM: B( - w~/-eJdvY SC~ :t-l{'et,lVl,,~ VV\-e...-e....~~ <) '+ oföV\ L'\\~. 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 "CALlFORNIA HEALTH & . SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED,THE MINIMUM REPORTING QUANTITIES. ' OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: \, L~V'Q~V'-.IL k:ð \I~~~e~e-ÅI CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~w. aflßhJJtð1 SIGNA TURE ~ee..~~ - T r--e.MU,lî,€f¡- TITLE . 9/.:J-~jq)... tDATE 2. FDI590 , ,-. ' . Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PILAN Facility Unit Name: c.~,^--~~f-èQ) q Yt:f6 <Ó-tlV-.o it)) .2 rç~()()O YJ- 7 SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: C.~l\ C\.ll f3v'Y\~Y~l..'~ B. EMPLOYEE NOTIFICATION AND EVACUATION: UQ.~-t.( V\ð{.\ç\~(0VI C. PUBLIC EVACUATION: w\.ll el)~C\....~ ~\.>lckl~ 'L\J( ~1gsy-ee_s D, . <::Z:..l., I llÌl-'/)D"'+~ EMERGENCY MEDICAL PLAN: ~~løJ.J'->-J '(J'-N~ 3. R:>I$O · Bakersfield Fire De~1 Hazardous Materials Divi n HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: ð t\ bð..~s) ðv\.. ~~--d w( d.r:P ~V('S) 0~-~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: Ù r.r ¡ p {.)QAA..S C. CLEAN-UP PROCEDURES: \6~ 00/ a....lJJSð~¡ ~ vv~13 . ~':;'C.~ð~ u~ w~\ S'~W--} SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: _~~~e_~+ C'.1~V\O\f crG. &Jl~, ELECTRICAL: S('~~ \\~+ C.6Ú~ ð~ ~~ (~t"+\(~ ~^ J WATER: ~ð~~+ eJl)~ e&- ~\á6' SPECIAL: V\..-ðï¡\..JL LOCK BOX: YES@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIV ATE FIRE PROTECTION: 'Oí/\ 73'~ -Ç'lr¡~ e.X~V~ \j lS{,\Q r!;) ~\\L ~h~'v~lJ.=$, C\JVui ~dJl'dvvr ðV\ ~~p~v4t/ B. WATER AVAILABILITY (FIRE HYDRANT): SðU~V\, uu<?.!IS+ ~6rV\.J2.,r ~ ~'~~~~'/ 4. ;...,.. . . September 16, 1992 Mr. Ross Kallenberger Con Cast Co 9405 Hemingway Place Bakersfield, Ca. 93311 Dear Mr. Kallenberger: We have received your request for exemption certifying that you do handle hazardous materials, but the quantities at not time exceed the minimum reporting quantities. We also understand that you still have all of the material that was previously stored at 4808 Stine Road, but that they are now mobile. If hazardous materials are kept at your facility, whether they are portable, mobile or fixed they must be included in your chemical inventory. The only exception for materials in transit include materials which are in transit or which are temporarily maintained in a fixed facility for a period of less than 30 days during the course of transportation, Section 25501.2 of Chapter 6.95 of the California Health and Safety Code. . I I I encourage you to reevaluate your inventory reporting requirements. If you have any further questions please do not hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator ENCLOSURE - (For your convenience, Chapter 6.95 of the California Health & Safety Code) -----' , íQoÚJ{J AJ -- ,21.W ,IJ;I.JJ Jovv ~tJ I t1W¡( ,Juv-J i , . U I 1~ ¡(ì(LtJ1rVL ~- ~ ~0Aj fJrJl~ b~ueJ¿ oJL uü Aj~~ ~?Jkf f ~" .~ )(JiJlJl , . -f" ~ "JI_ ') vJlØi,.vt. u) Ö .J tL F¿.fA' ; -V;¿v~ , .jhu{ f!;'{jL ~J( .JW{JÆ.-;;!_ d!trltÁ cali¡) cvI 0 ¡ ,jf) r;a£uTit . . .~. . . Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 PJlCfF...Iro SfP 1 5 )992, HAZ. MAT. OIV. /~ 3C}() J/ HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH, 3, Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Co \j, C~~ S+ ~c:) LOCATION: 4q;0~ '2:4-ì (¡~ f2~o..d ~r"h ÌJ MAILING ADDRESS: q L¡DS ~--V\i\ ~U\5U,X,LI fJ(~, CITY: .fJQb!,~{2(~(A STATE: ~ZIP: cq ~< q PHONE: %S '6<;2 l(S~~ DUN & BRADSTREET NUMBER: SIC CODE: ~((,cl. ~ PRIMARY ACTIVITY: c ~ '^ c..,+-'{~-k~V1 OWNER: P~0cß k~ll~,,\ \¡Je\¡1::::ie \ MAILING ADDRESS: ~DS 4 WI {¿':.y U"ct ,{ (J(ct~ ßk~~~ C( s~ {I SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. _4Je ~\ \;~\S ~ t!ov\LwlryY ~Q)GS '\ì <¿"s/- ;;Ll{ ~ 2- %~/- 2,\...t~ 2, 2. (>r-,ss- ~l~~ ()( ù CA.QX- '6sl-45~ h k, hlf-OqÇ L . 1. " "".::; (¡... .." "" . Bakersfield Fire Dept. . Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 9- MATERIAL SAFETY DATA SHEETS ON FILE: Y-Q~7 . , , BRIEF SUMMARY OF TRAINING PROGRAM: ß \ ~ W e.J::kt Y CS~-0e..l-y. ~ l í1( it 9 trv,,-e..€- -\-1.. \/:J 5 . SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & . SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, ~ WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. ' OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, 1.6~i I'\.JL.. kC\ (li2.-V~le."-~l)'V- CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. rß~~,~ ~~(t'1 SIGNA TURE S e~ ~'Ç ~"\(J ~ \ r-eúCJ1f\e { TITLE q{t,,¿92- DATE 2. FD1 &90 09/16/92 . . CON CAST CO 215-000-000527 01 - Mobile Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 01-001 OXYGEN ~ Fire, Pressure, Immed H1th Gas 124 Low FT3 t// CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 124 I 62.00 I 248.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientMOBILE Location - Conc _I 100.0% Oxygen, Compressed Components fi MCP --,-List Low I 01-002 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 120 FT3 High V CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 120 I 60.00 I 240.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Above AmbientMOBILE Location - Conc l 100.0% Acetylene Components r:: MCP --,-List High I 09/16/92 . . Page 3 CON CAST CO 215-000-000527 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order 02-001 MOTOR OIL ~ Fire, Delay Hlth Liquid 110 GAL Minima~ CAS #: Trade Secret: No 8020835 Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 110 I . 40.00 I 275.00 r Press T Temp ~ Location Ambient AmbientWAREHOUSE IN NW CORNER Storage DRUM/BARREL-METALLIC - Cone ~ Components 100.0% Motor Oil, Petroleum Based r; MCP :-rList Minimal I .:;;¡iJ ). . . CITY of BAKERSFIELD "WE CARE" FIRE ==Pti,RTMENT S 8 ~OHNSON FiRE CHIEF SEPTEMBER 9, 1991 2101 H STREET BAKERSFIELD, 93301 326,3911 MR. KALLENBERGER: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS CON CAST CO., LOCATED AT 5610 #110 DISTRICT BLVD., BAKERSFIELD, CA 93313 ON 9-5-91 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1. Oil had been spilled in the north west corner of the complex parking area. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm drain, ditch, drainage canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the 'atmosphere. 2. Con Cast Co. does not have a hazardous materials business plan on file for this location. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at anyone time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. ~h~ -.L 9.tì ~ MS\Y) -to \/t-Af1 --\~ fY\txllr:vJ C(ûfV\(OS~~'IÛ.-" t C,\ú.S~*cöl:\CJ"\. t":t w-\\ ~~¥-v +0 lþ'L, GccclCrt( -\or c:kG~ \2-..1.:~ ·U'h.í~O ( ~ (~ .,--;:;., ¡. . . 3. The storage of hazardous materials in the parking area is not adequately secure. VIOLATION OF UFC 80.301 (e) Security. The storage of hazardous materials shall be safeguarded with such protective facilities as public safety requires. It will be necessary to submit material safety data sheets to Bakersfield Fire for the motor and hydraulic oils which you would like to store inside your present location. We need the proper classification for these combustible liquids to determine the amount which you may store inside. The material safety data sheets can be obtained from the supplier of the material. Use the enclosed forms to complete a hazardous materials management plan for the facility at 5610 District. The plan currently on file is for your storage lot at the end of District. The above violations must be corrected by October 9, 1991. The material safety data sheets must be submitted at 2130 G Street Bakersfield by September 19, 1991. The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Barbara Brenner at 326-3979. Sincerely, 3(\A~~í~ ~~ r Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Captain Perry Captain Goatcher ~ ::- '--~ .--- . O~\Y . Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 RECEIVED OfC 1 7 1991 Hit? M iÀT. DIV. '¡~d V D f &Ín~AAbO Þ Gt- '.- '1 If/'-IV'-er W ' ¿;? HAZARDOUS MATERIALS MANAGEMENT PLAN ,------ I I . INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ConCastCo (ID# 215-000-527) ~ LOCATION: 5610 District Blvd. Suite #110 Bakersfield 93313 MAILING ADDRESS: 9405 Hemingway Place CITY: Bakersfield STATE: ~ ZIP: 93311 PHONE: (805)832-4546 DUN & BRADSTREET NUMBER: 02-107-6252 SIC CODE: PRIMARY ACTIVITY: Construction Company OWNER: Ross A. Kallenberger MAILING ADDRESS: 9405 Hemingway Place, Bakersfield CA 93311 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR. PHONE 1 . Ross Kallenberger owner 832-4546 832-4546 2. I ' I 1 . FD1590 · .---- - .w-r - . "'....:1 , Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT !PLAN .... SECTION 3: TRAINING: NUMBER OF EMPLOYEES: 4 MATERIAL SAFETY DATA SHEETS ON FILE: yes ,> BRIEF SUMMARY OF TRAINING PROGRAM: Bi-weekly safety training meetings. ~ 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 TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, Ross Kallennprp;pr CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION Will BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON RDOUS MATERIALS (DIV. 20 CHAPTER 6,95 SEC. 25500 ET AL,) AND THAT IN URATE INF RMATION CONSTITUTES PERJURY. owner TITLE 12/13 91 DATE 2, i ; '-..,... ~ I - i ... . B!IJœ~ Fire Dept. . H~N'do~s',¥~~~~ Di~on ~;~. þ'- ...lJI..tJJ:,... _;.LJ........ .. .. HAZARDOUS MATERIALS MANAGEMENT PLAN . -.-' SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTlOf\.! STEPS: .... Oil barre~~ on stand with drip panes) . . 8. RELEASE CONTAINMENT AND/OR MINIMIZATION: Drip pans . , , C. CLEAN-UP PROCEDURES: . , Top with absorbing materials & scoop up with phovel I , , '- SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: North side of building in North-West corner ELECTR ICAl: North side of building in center WATER: North side of building in North-West corner SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: center North side of building SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAilABILITY: A. PRIVATE FIRE PROTECTION: On-site extinguisher and fire-hydrants placed in complex 8. WATER AVAILABILITY (FIRE HYDRANT): North-West corner of complex. 4. F01691. . - ,.. -'-.. , , -~~ersfi~ld Fire Dept. . ¡ Hazardous 'Materials Division - HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ConCastCo SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A.. AGENCY NOTIFICATION PROCEDURES: . .. ,. ~í16 ~ ___ ql/ - ~re¡;;&, ¡.-G¡ f¡{«-fh ðr- ýf¡f f/¡iI/rY'l17erTt 1)~ CíO I~J1iÐ¡1 ,~tÚQU5 ~'. )~. . /;k /1 r-h! -H> f . ;µ¡l.ß{(.¡rJIt ~ Dr W'h.cA awe!- '/J. 3tJlj.Æ)1I5 tpilg e¡» .' ~erJf~ê "Ç¡rf/ - ~Co ~39 7~ .- . _ 7550 CIf of CJ 1J Í/neICft~ Ae-t1I(ßS- / 6lJO ,6 <6~ B.' EMPLOYEE NOTIFICATION AND EVACUATION: , 4M: verbcJJ (Jof¡"1'C1)17 ()/'v i 1 , I I C. PUBLIC EVACUATION: _. -Nå-, W¡'w ~tf()¡úJa-& pub/;(; vJj tmf/()(f/dJ, D. EMERGENCY MEDICAL PLAN: -*k- (YJf/V1OflttP Hosp¡'fctf tý;Jfh WeS7 UI<t¡trri C4«- i ' i 1 k4' 3. fDlfo;o CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Page-L.0f~ I [] Farm and Agriculture ~ Standard Business NON - TRADE SECRET OWNER NAME: Ross Kallenberger NAME OF THIS FACILITY: ADDRESS: 9405 Hemingway Place STANDARD IND. CLASS CODE: CITY, ZIP: Bakersfield. CA 93311 DUN AND BRADSTREET NUMBER/FEDERAL ID # PHONE #: 805-664-0952 .1)2.. -'L Q. L - 6.. 2... 5.. 2- INSTRUCTIONS FOR PROPER CODES Fed. ID 95-3094555 9 10 11 12 13 14 Cont Cont Cont Use Location Where , by Names of Mixture/Components Press Code Stored in Faci1it wt See Instructions warehouse in N W corner 100 Oil BUSINESS NAME: ConCastCo (ID# 215-000-527) LOCATION: 5610 District Blvd. Suite #110 CITY, ZIP: Bakersfield. CA 93313 PHONE #: 805-832-4546 1 Trans Code N Physical and Health Hazard ~~~~C.A.S' Number Component It 1 Nam1I & C.A.S. Number (Check all that apply) '/...t::f1'ú' ;;l-' 7- ~J ~ Component It 2 Nams & C.A.S. Number ø Fire Hazard 0 Sudden Release o Reactivity 0 Immediate 0 Delayed of Pressure Health Health Component It 3 Nams & C.A.S. Number Physical and Health Hazard C.A.S. Number Component It 1 Name & C.A·S· Number (Check all that apply) 0 0 0 0 0 Component It 2 Name & C.A.S. Number Fire Hazard Sudden Release Reactivity Immediate Delayed of Pressure Health Health Component It 3 Name & C.A.S. Number Physical and Health Hazard (Check all that apply) C.A.S. Number component It 1 Name & C.A.S. Number Component It 2 Name & C.A.S. Number Component It 3 Name & C.A.S. Number 0 Fire Hazard 0 Sudden Release 0 Reactivity 0 Immediate 0 Delayed - of Pressure Health Health Physical and Health Hazard C.A.S. Number (Check all that apply) 0 Fire Hazard 0 Sudden Release 0 Reactivity 0 Immediate 0 Delayed of Pressure Health Health EMERGENCY CONTACTS #1 Ross Kallenberger Name onwer Title Component It 1 Name & C.A.S. Number component It 2 Name & C.A.S. Number Component /I 3 Name & C.A.S. Number 832-4546 #2 24 Hr. Phone Name Title 24 Hr Phone ~ hed documents and that based on my inquiry of those certification (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I òþrtify under pean1ty of law that I haver personally examined and am familiar with the information submitt individuals responsible for obtaining the information. I believe that the submitted information is true, c Ross Kallenberger, owner NAME AND OFFICIAL TITLE OF CMNER/OPERATOR OR OWNER/OPERATOR' S AUTHORIZED REPRESENTATIVE 12/13/91 DATE SIGNED ~ HII-M P -------- ---------- p~- MAP SITE DIAGRAM x FACIUTV DIAGRAM BusJness Nome: ConCastCo (ID# 215-000-527) Business Address: 5610 District Blvd. Suite 11110 For Office Use Only First In Station: Inspection Station: Area Map /# of NOIìITH 0- . . fl~ H'fdlr"''''':+ ~. , .( >'.r" + ' ..ft'..¡., '5{,.,?>D 1);¿-... n(!f-' . "'~~ " '3~5.~ y :> . +--- ~ 55 ~..! 1),u.N\ 0 í I ])ÇQ,,,-'1-. c ~+e ~I'O J.J oç.ç;e~ lo."c.""l,'ov.t.. ~ fl...k.., e. ;~;,:..:-----'- ···----1 I wetf¡¡!..wu'~ I Id..~t ,) ""ct.~; >\, \ C;¡....J:.~\('" ðpe.V\ .c:~d I,.. i I I ¡ I ! i \j" L5{¿, l Q_-I..!...:~+r \.c L.________......'" "., _,.....",,_, ..,,'...... i I I I I ---J --------- Lv ~ '1>;~+,~ + ß \ vd..:.._.---.....:..-,-7> ~ -.---~- IE M 0 RAN DUM · "WE CARE" September 19, 1991 TO: Captain Perry Station 13-B FROM: Barbara Brenner Hazardous Materials Division REGARDING: Con Cast Co., 5610 District Blvd. #110 Con Cast Co. is located in the area of Bakersfield which Captain Goatcher is responsible for within the Fire Safety Control Division. The Fire Safety Control Division is responsible for interpretation of Article 79 of the UFC. I consulted with Captain Goatcher regarding the indoor storage of motor and hydraulic oils at Con Cast Co. 's present location. He indicates that the proposed storage of 165 gallons of a Class III-B liquid is allowable in this unsprinklered, B-2 occupancy. Dispensing of these oils is also allowable. This decision is based on Table No. 80.402-A of the UFC and Table 9-A of the UBC which allow up to 3,300 gallons of a Class III-B liquid used in an open system before a H occupancy is required. Copies of the material safety data sheets for these products are attached. Notice that the flash points for both exceed 400 degrees F. I reviewed the hazardous materials business plan data base and did not find any reports of other hazardous material handlers in this building. If you determine via inspections that other handlers are located in this building, they will have to file business plans. The cumulative haz mat quanti ties must remain below the exempt quanti ties unless area separations are installed. Captain Goatcher indicates that unless the landlord takes the responsibility to regulate each tenant's allotment of the exempt quanti ties of flammable/combustible liquids,-the first to declare their storage will be allowed to claim any percentage of the total exempt amount for the building. Once the exempt quanti ties have been reached wi thin a building, new handlers will be required to create a separate control area by installing the required area separations. When you notify Con Cast Co. that they may store the oil inside, please make it clear that this permission does not automatically apply to storage or use of any other hazardous materials. They must check with us for approval to increase the quantities of these oils or for the addition of any other hazardous materials. I will follow up on collection of an up to date business plan and the Notice of Violation. Call me if,I can be of any further assistance. cc: Ralph Huey .:~.f' ,,' ''t-".. - ---------- . FIRE DEP",-RTMENT S D. JOHNSON FIRE CHIEF CITY of BAKERSFIELD "WE CARE" JJJM-~ OJ- ~ ¡qq ( SEPTEMBER 9, 1991 (\ 'II \^,/~ \ \jY\),\ ~ 2101 H STREET BAKERSRELD, 93301 326,3911 MR. KALLENBERGER: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS CON CAST CO., LOCATED AT 5610 #110 DISTRICT BLVD., BAKERSFIELD, CA 93313 ON 9-5-91 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1. Oil had been spilled in the north west corner of the complex parking area. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm drain, ditch, drainage canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the atmosphere. 2. Con Cast Co. does not have a hazardous materials business plan on file for this location. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at anyone time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. P1C¡!0;l Vpr1Cìl-te¿ yLw^- ~ ~5A? q~ " b:.)J¡v.. if\!fez ~¿'. 'Vb~ CM¡ f:)v'j, f7c 55 íYJortc! -----. f7òíY7 pí (,l/r orJ5 /DCPf'T/t)/J -. Va(;JJVf- lof wi ¡lV¿cu'/ addí6S ~ ]DD / ~ C fJ1bi2¡¡;/-ff-. ~ /) "/7-1/ C?, í1Q((V\ --Iü ft\OW "AY\ " ¿) .t(/I'J ~~ ~\)~ 11~ Nù\Î. /~ ~ , .1. DY ìì1 -- C~;9'\"" N~ 0\1' JV " í ,-'- ¡~c:; ~ \1') r,:tv V {' "'QI, '-1.. . \.{... ..¡\,.jl \~ \..... \ )I" .a Cjf\~~ - Û1f (v\IS"G.'tf' 10 Uì1l I.lV\t OC.C).L. \,)f 3--tc¿ \ \2Jb - ..; '>", .AI -- . 3. The storage of hazardous materials in the parking area is not adequately secure. VIOLATION OF UFC 80.301 (e) Security. The storage of hazardous materials shall be safeguarded with such protective facilities as public safety requires. It will be necessary to submit material safety data sheets to Bakersfield Fire for the motor and hydraulic oils which you would like to store inside your present location. We need the proper classification for these combustible liquids to determine the amount which you may store inside. The material safety data sheets can be obtained from the supplier of the material. Use the enclosed forms to complete a hazardous materials management plan for the facility at 5610 District. The plan currently on file is for your storage lot at the end of District. The above violations must be corrected by October 9, 1991. The material safety data sheets must be submitted at 2130 G Street Bakersfield by September 19, 1991. The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Barbara Brenner at 326-3979. Sincerely, ¡--I ÖC.1rS~ío- ~~ r' Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Captain Perry Captain Goatcher ·~--~ It . CITY of BAKERSFIELD "WE CARE" FIRE DEP~RTìv1ENT S. D. JOHNSON FIRE CHIEF SEPTEMBER 9, 1991 2î01 H STREET 3AKERSFIELD, 93301 326,3911 MR. KALLENBERGER: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS CON CAST CO., LOCATED AT 5610 #110 DISTRICT BLVD., BAKERSFIELD, CA 93313 ON 9-5-91 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1. Oil had been spilled in the north west corner of the complex parking area. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm drain, ditch, drainage canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the atmosphere. 2. Con Cast Co. does not have a hazardous materials business plan on file for this location. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at anyone time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish' and implement a business plan for emergency response to a release or threatened release 'of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. " , \0 - . 3. The storage of hazardous materials in the parking area is not adequately secure. VIOLATION OF UFC 80.301 (e) Security. The storage of hazardous materials shall be safeguarded with such protective facilities as public safety requires. It will be necessary to submit material safety data sheets to Bakersfield Fire for the motor and hydraulic oils which you would like to store inside your present location. We need the proper classification for these combustible liquids to determine the amount which you may store inside. The material safety data sheets can be obtained from the supplier of the material. Use the enclosed forms to complete a hazardous materials management plan for the facility at 5610 District. The plan currently on file is for your storage lot at the end of District. The above violations must be corrected by October 9, 1991. The material safety data sheets must be submitted at 2130 G Street Bakersfield by September 19, 1991. The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Barbara Brenner at 326-3979. Sincerely, r-'¡ 0. ÖCArGCY\ í <I...- '\..:)r'e.Å"~'-L r' Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Captain Perry Captain Goatcher ;; ~ e . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S D JOHNSON FIRE CHIEF SEPTEMBER 9, 1991 2101 H ST'1EET Bl-lKERSFIELD, 93301 326,3911 MR. KALLENBERGER: NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE ----------------------------------------------- ----------------------------------------------- IN THE INSPECTION OF YOUR BUSINESS CON CAST CO., LOCATED AT 5610 #110 DISTRICT BLVD., BAKERSFIELD, CA 93313 ON 9-5-91 THE FOLLOWING HAZARDOUS MATERIALS REGULATION VIOLATIONS WERE IDENTIFIED: 1. Oil had been spilled in the north west corner of the complex parking area. VIOLATION OF UFC 80.104 (b) Release of Hazardous Materials. Hazardous materials shall not be released into a sewer, storm drain, ditch, drainage canal, lake, river or tidal waterway, or upon the ground, sidewalk, street, highway or into the atmosphere. 2. Con Cast Co. does not have a hazardous materials business plan on file for this location. VIOLATION OF CH. 6.95 CALIFORNIA HEALTH AND SAFETY CODE SEC.25503.5 (a) Any business, except as provided in subdivision (b), which handles a hazardous material or mixture containing a hazardous material which has a quantity at anyone time during the reporting year equal to, or greater than, a total weight of 500 pounds, or a total volume of 55 gallons, or 200 cubic feet at standard temperature and pressure for a compressed gas, shall establish and implement a business plan for emergency response to a release or threatened release of a hazardous material in accordance with the standards in the regulations adopted pursuant to Section 25503. .. . \~ e . 3. The storage of hazardous materials in the parking area is not adequately secure. VIOLATION OF UFC 80.301 (e) Security. The storage of hazardous materials shall be safeguarded with such protective facilities as public safety requires. It will be necessary to submit material safety data sheets to Bakersfield Fire for the motor and hydraulic oils which you would like to store inside your present location. We need the proper classification for these combustible liquids to determine the amount which you may store inside. The material safety data sheets can be obtained from the supplier of the material. Use the enclosed forms to complete a hazardous materials management plan for the facility at 5610 District. The plan currently on file is for your storage lot at the end of District. The above violations must be corrected by October 9, 1991. The material safety data sheets must be submitted at 2130 G Street Bakersfield by September 19, 1991. The department will schedule a re-inspection of your facility to verify compliance. If you have any questions regarding this notice, please contact Barbara Brenner at 326-3979. Sincerely, r--¡ Q <:)QArSC'\.í<1.- '\)~ ~ Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey Captain Perry Captain Goatcher 01/19/90 eN CAST CO 215-000-00052-_ Ovet~all Site with 1 Faca Units \ '6 ß Page 1 General Information Lc.cat i .:,rl ~ DISTRICT BLVD VACANT LOT Map~ 123 M.::.det~ate I derlt Number: 215-000-000527 Gt~ i d : 17D At~ea clf Vul~ 000 - Corltact Name Title Bus i rless Phclrle ---r 24 HClut~ Phclr.e ROSS KALLENBERGER OWNER (805) 832-4546 x I (~~S- ) ~ ~ ~ - ðQS2.. J>6HNIS J(A«F~J fWlUzE fl- . ( ~(") 'if3> P -7.. Y f?- x ([pj) ) g-)I - V'¡fl2., ("0 It.-\ 'Sf \..or, I AdmirlÍstrat ive Data Mai 1 Addt~s ~ 7001-C MCDIVITT DR D&B Nl.tmbel"~ ~ 02-107-6252 City~ BAKERSFIELD State: CA Zip: 93313- Gec.S 1.1 bD i v ~ 215-009 BAKERSFIELD STATION 09 SIC CClde: Owrlet~ ~ ROSS KALLENBERGER Phc,rle: (805) 832-4546 Addt~ess ~ 9405 HEMINGWAY PL State~ CA City~ BAKERSFIELD Zip~ 93311- Summary LOCATED ON A VACANT LOT BEHIND THE ~tOCK OF DISTRI(:T BETWEEN DISTRICT AND CANAL at. JID t {j6/.5 ~ #'l\Q ~""£"J .1/ Mrik p!.,e. ...-¡,) .',', :..-, . J ~ , ,~ ,) - (ì " ., '" ' '...... - ,~' 1- .: ....... , 01/19/90 CON CAST CO 215-000-000527 Hazmat Inventory List in Reference Number Order Page 2 01 - Mobile Containers on Site 01-001 OXYGEN Gas 124 LClw F i t~e 9 Pt~essl.'t~e9 I filmed Hlth FT3 01-002 ACETYLENE Gas 120 High F i t~e9 Pt~eSSl.n~e9 Immed Hlth FT3 02 - Fixed Containers on Site 02-001 OIL Fire9 Delay Hlth Liq'.\Íd 55 Mir'JÌmal GAL e . 01/1'3/'30 eN CAST CO 215-000-00052_ 00 - Overall Site Page -~ ~ <Ð} Notif./Evacuation/Medical <1} Agency Notification CALL '311 <2} EMployee Notif./Evacuation NO EMPLOYEES <3} Public Notif./Evacuation NONE LISTED <4} EMergency Medical Plan 01/1'3/'30 CON CAST CO 215-000-000527 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention s 4Ú\ 1 ðfÇ' Vo..J~ {)v 1~p L~ vt..-e ( >+~~\~~ Uf/ <2> Release Containment w,~ CAf .. I~ U ð ""1 V'q, f)Y f(c:.~ J;tvt ~~~J Jt.-1.4~ <3> Clearl Up +ð '" f 1",..ovJL J Wqç-k ~..( .-j~ <4> Other Resource Activation e . 01/1':3/90 aN CAST CO 215-000-00052. 00 - Overall Site Page 5 <F} Site Emergency Factors <1} Special Hazards <2} Utility Shut-Offs VACANT LOT NO UTILITIES THERE (3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????? AIU31J ~ FIRE HYDRANT - 4500 BLOCK OF DISTRICT BLVD (4) Held for Future use 01/1'3/'30 CON CAST CO 215-000-000527 00 - Overall Site Page 6 (G) n'~aining (1) Page 1 WE HAVE NO EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE (2) Page 2 as needed (3) Held for Future Use (4) Held for Future Use - . e - CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D, S. NEEDHAM FIRE CHIEF January 19, 1990 ~EC£\\JEO ft~ '5 ~S9ß ~ ,~ .., Ð\\\ß U..······· 2101 H STREET BAKERSFIELD, 93301 326,3911 Mr. Ross Kallenberger ConCastCo 9405 Hemingway Place Bakers£ield, Ca. 93311 RE~ Hazardous Materials Management Plan Mr. Kallenberger~ Please £ind enclosed a computer copy o£ the Hazardous Materials Management Plan. Please £ill in all the areas highlighted in yellow. These are £ields are necessary and vital to us and to you in case o£ an emergency. This £orm must be returned to this office 15 days from the date of this letter. If you have any questions or problems in filling this £orm out please do not hesitate to contact us. REH:vp '" e ~-o¡-q~ C ðNCASTCO January 19, 1990 Mr. Ross Kallenberger ConCastCo 9405 Hemingway Place Bakers£ield, Ca. 93311 RE: Hazardous Materials Management Plan Mr. Kallenberger: Please £ind enclosed a computer copy o£ the Hezardous Materials Management Plan. Please £ill in all the areas highlighted in yellow. These are £ields are necessary and vital to us and to you in case of an emergency. This form must be returned to this office 15 days £rom the date o£ this letter. If you have any questions or problems in £illing this £ol'm out please do not hesitate to contact us. Sincerely, Ralph E. Huey, Hazardous Materials Coordinator REH:vp TO: FROM: SUBJECT: e . March B, 1990 Nina Mayer, Accounts Receivable Ralph E. Huey, Hazardous Materials Coordinator Previous memo mess ups [!lina, on--account #HM4B2401 the mailing address shoald be 94ù5 ) :Hemingway Place, Bakers:field, Ca. 93311 and a new bill; g~nerated. Account #HM424501 should have a mailing address o:f 2001 Corporate Center Dr., Neubury Park, Ca. 91302 with a new invoice. Sorry :for this mess up and any inconvenience have caused you. Thanks, Valerie e ø March 6, 1990 TO: Nina Mayer, Accounts Receivable FROM: Ralph Huey, Ha2ardous Hateriala Coordinator SUBJECT: Concastco Nina, account # 482401 should have the spelling in the name changed to read Concastco. I have no idea where the computer got the address £or this company, but it should be 7001 McDivitt Dr., Suite C, Bakers£ield, Ca. 93313. Please make these changes and generate a new invoice. Thanks ~ ~, e . Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 ~1l. M 3> 7J!d fr'Ø2 Gt- I ~t:Cf~WIE[JJ £1ll1~ 3J ~ ~~ ~fjß'ðooo.ooo D 0 0 00 0 HAZARDOUS MATERIALS MANAGEME~PLAN INSTRUCTIONS: DCJ:l¿';;:J- \ 1. To avoid further action, return this form within 30 days of receipt. J\ù9.. 311 t ~ 1> 9 2. TYPE/PRINT ANSWERS IN ENGLISH. ~J 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. ~ dÙ-\~ Ô ÐqfJ· lS SECTION 1: BUSINESS IDENTIFICATION DATA i BUSINESS NAME: (. C\~, Ca,<;" +C~ 1)1~T Þ hid (ê? cJ '\! '!' (' ~: ..:' : :.!. ,) .a . , LOCATION: ~=~""FF=~~,.~,~-ÇS"lS~ke-'-~{\e~dQ{~~ 1'3 IJ.:;';? IJ V/ ~),~ MAILING ADDRESS: <V1L QII.c.gct~.. L:o!"l': ,~,('. :, r'"fc~fl., ':'/}," ^ _\A'" Q....... . u , ,'""" I { ", ,I' I ' ' "1 J CITY: £a~e,W . STATE: t.1A..- ZIP: cfs~' '3 PHONE: <l.6'!;-<¡?3J.--45Vb ' DUN & BRADSTREET NUMBER: (\";)- -\67- ~')....S 2..... SIC CODE: PRIMARY ACTIVITY: r~~+rl>C':h "1/\ CoV\/\.-pa\A\.1 I OWNER: ~5kãtleí^Ja€~-e~ MAILING ADDRESS: CfY:DS" t-lwuÌl\.~w~~ Plcw.e. J JSQ~'àÁd CA- ct3.s '-1.. SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS, PHONE 24 HR, PHONE 1. f?o~;ô ~ \ \€n b('f3er owner "t,~'à-'-\S-L\ b 1í~-ljS46 2. 1 , FD1590 I It Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYESS: ~ MATERIAL SAFETY DATA SHEETS ON FILE: ~e~ BRIEF SUMMARY OF TRAINING PROGRAM: () D ~ Dffi\c>. \ -\-f cÙ ('II ';J . SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJ URY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS, WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, e O~'" to \ \ e" oer~ e ,.. CERTIFYTHA TTH E ABO V E INFO R· MATION IS ACCURATE. I UNDER AND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON ZARDOUS M ERIALS DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT IN U ATE INF' ATI QNSTITUTES PERJURY, 1) -3\-<69 DATE TITLE 2, Iv " )1 I I FDt590 BUSIYf8S NAME:~'~~ ~~b~~ ~fÞ:~~\- ~~;)._.. ~ {~ q~~(3 CITY of BAKERSFIELD ~AZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS Page OWNER NAME:Btr~e}ir NAME OF THIS FACILITYÒ' ADDRESS' ~4:ð~ 'lA:> !~(!.Q _ STANDARD IND. CLASS C DE: CITY zip: ;¡.t¡¡, q DUN AND BRADSTREET NUMBER---'--------' ¡tR~~ #tu --~1JrIS~fðR-fJH~~t=R CODES ð;).- j {;J~ - ~02S 'J- 1 8 9 10 11 12 13 14 . Oys Cont Cont Cont USQ locat ion ~here 'by Nues of Mi ~ture{ço 'onents on SIte Type Press Temp Code Stored In FacIlIty Wt See Instrut I ns n I ' E. ~ Ç){ . c: \ i Farm and Agticulture [] Standard Business of I -I 3 4 Max Average Amt Amt 1\) 5 Physical fod Health Ha~ard (Check a I that apply) 1 Trans CMe EMERGENCY CONTACTS #1 #2 HUle Iltle 24 Hr pnone a e Certifiçatio~ fRer:d and $ign af1ør c9mp7~ting {:l77. sections} . I ~ertlfy under penaltx 0 Ja~ that I have pe(sona Iy examlnQQ O~a om familla( wIth the informatIon çubnitte~ In this end all ¡(åttached dQcuments. ano t at based on my InQuIry 0 those IndIVIduals responsIble for obtaIning the InformatIon, I belIeve that submItted InformatIon IS true. accurate, and complete, 24 H r Phone Physical lod Health Ua¡ard (Check all that apply) C.A.S. Number Component .1 Name & C,A,S. Number [] ,Component .2 Name & C.A.S. Number ImmedIate Health Component f3 Name & C.A.S. Number meb', \ Name & C.A.S. Number [] . Component.2 Name & C.A.S. Number ImmedIate Health Component .3 Name & C,A.S, Number \.....! /iJC Component f1 [] . Component'2 Name & C.A.S. Number ImmedIate Health Name & C.A.S. Number Component .3 Component .1 Name & C.A.S. Number [] ,Component .2 Name & C.A.S. Number I mmed 18 te Health Component t3 Name & C.A.S. Number C.A.S. Number [] Fire Hazard [] Reactivity [] De layed [] Sudden Re I ease Health of Pressure f\J PhY$Îcal 'od Health Ualard (Check a I that apply) o Fire Hazard o Reactivity [] De I ayed [] Sudden Re I ease Health of Pressure I\J PhYSical 'nd Health Ha¡ard (Check a I that apply) , C.A.S. Number o Fire Hazard [] Reactivity [] De I ayed [] SUddfn Re I ease Health 0 Pressure o Fire Hazard [] Reactivity [] De layed [] suddfn Re I ease Health 0 Pressure I' , r-~~3~e a~a oflcial rirle Of ownêr/opera~or UR owner/operator's autnorlzed representatIve t.·} 1-89 U8n~\qneo