HomeMy WebLinkAboutMITIGATION (2)
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UNIFIED PROGRAM CONSOLIDATED FORM
BUSINESS ACTIVITIES
FACILITY ID #
BUSINESS NAME (Same as Facility Name of DBA,Doing Business As)
United Parcel Service
FACILITY INFORMATION
II. ACTMTIES DECLARATION
NOTE: If you check YES to any part of this list, ,...,:_
lease submit the Business Owner/O erator Identification a e'(OES Form-mD):-- ::;",'
Does your facility... If Yes, please complete these pages of the UPCF....
A. HAZARDOUS MATERIALS
Have on site (for any purpose) hazardous materials at or above 55 gallons
for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases
(include liquids in ASTs and USTs); or the applicable Federal threshold
quantity for an extremely hazardous substance specified in 40 CFR Part
355, Appendix A or B; or handle radiological materials in quantities for
which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or
70?
B. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate underground storage tanks?
2. Intend to upgrade existing or install new USTs?
I:?:š:I YES D NO 4
I:?:š:I YES D NO 5
DYES I:?:š:I NO 6
3. Need to report closing a UST?
C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs)
Own or operate ASTs above these thresholds:
---any tank capacity is greater than 660 gallons, or
---the total capacity for the facility is greater than 1,320 gallons?
D. HAZARDOUS WASTE
1 . Generate hazardous waste?
DYES I:?:š:I NO 7
DYES I:?:š:I NO 8
I:?:š:I YES D NO 9
2.
Recycle more than 100 kg/month of excluded or exempted
recyclable materials (per HSC 25143.2)?
Treat hazardous waste on site?
DYES I:?:š:I NO 10
DYES I:?:š:I NO 11
3.
4. Treatment subject to financial assurance requirements (for DYES I:?:š:I
Permit by Rule and Conditional Authorization)? NO 12
5. Consolidate hazardous waste generated at a remote site?
DYES I:?:š:I NO 13
6. Need to report the closure/removal of a tank that was classified as DYES I:?:š:I NO 14
hazardous waste and cleaned onsite?
E. LOCAL REQUIREMENTS
(You may also be required to provide additional infonnation by your CUPA or local agency.)
UPCF (1199)
2
HAZARDOUS MATERIALS INVENTORY
- CHEMICAL DESCRIPTION (OES 2731)
UST FACILITY (Formerly SWRCB Fonn A)
UST TANK (one page per tank) (Formerly Form B)
UST FACILITY
UST TANK (one per tank)
UST INSTALLATION, CERTIFICATE OF
COMPLIANCE (one page per tank) (Formerly Fonn
C)
UST TANK (closure portion -one page per tank)
NO FORM REQUIRED TO CUPAs
EPA ID NUMBER - provide at the top of
this page
RECYCLABLE MATERIALS REPORT (one
per recycler)
ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY (Fonnerly DTSC
Fonns 1772)
ONSITE HAZARDOUS WASTE
TREATMENT - UNIT (one page per unit)
(Fonnerly DTSC Forms 1772 A,B.C,D and L)
CERTIFICATION OF FINANCIAL
ASSURANCE (Fonnerly DTSC Fonn 1232)
REMOTE WASTE / CONSOLIDATION
SITE ANNUAL NOTIFICATION (Fonnerly
DTSC Form 1196)
HAZARDOUS WASTE TANK CLOSURE
CERTIFICATION (Fonnerly DTSC Fonn 1249)
15
~
D PROGRAM CONSOLIDATED FO
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Page iJ:. of
FACILITY ID#
I. IDENTIFICATION
BEGINNING DATE
01/01/01
100 ENDING DATE
101
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service, Inc
BUSINESS SITE ADDRESS
3800 N Sillect Ave.
CITY
Bakersfield
DUN & BRADSTREET
00-699-1681
COUNTY
Kern
BUSINESS OPERATOR NAME
Charlie Jackson
102
510-633-4035
103
CA
ZIP CODE
105
104
93308
106 SIC CODE (4 digit #)
4215
107
108
109 BUSINESS OPERATOR PHONE
661-326-1595
110
II. BUSINESS OWNER
OWNER NAME
BT of Ohio
OWNER MAILING ADDRESS
55 Glen1ake Parkwa , NE
CITY
Atlanta
111
OWNER PHONE
112
113
114 STATE
GA
III. ENVIRONMENTAL CONTACT
115 ZIP CODE
30328
116
CONTACT NAME
Stace B rem
CONTACT MAILING ADDRESS
8400 Pardee Dr
CITY
Oakland
117 CONTACT PHONE
510-633-4035
118
119
-PRIMARY -
120 STATE
CA
IV. EMERGENCY CONTACTS
J2I ZIP CODE
94621
-SECONDARY -
122
123 NAME
Stace B rem
124 TITLE
District Environmental Coordinator
125 BUSINESS PHONE
510-633-4035
126 24-HOUR PHONE
510-448-7633
127 PAGER #
510-448-7633
128
NAME
Rick Garcia
TITLE
Plant En ineerin
BUSINESS PHONE
559-442-2925
24,HOUR PHONE
559-263-0954
PAGER #
559-263-0954
ADDITIONAL LOCALLY COLLECTED INFORMATION:
129
130
131
132
133
I:
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 and believe the information is true, accurate, and complete.
SIGNA TURE OF OWNER/OPERA TOR OR DESIGNATED REPRESENTATIVE
DATE
134 NAME OF DOCUMENT PREPARER
135
NAME OF SIGNER (print)
DOli Ra
"-QI-(J I
136 TITLE OF SIGNER
137
UPCF ( 1/99 revised)
4
OES FORM 2730 (1/99)
'"
T
UN
D PROGRAM CONSOLIDATED FO
TANKS
UNDERGROUND STORAGE TANKS - FACILITY
(one page per site)
Page -ª-- of Jí
TYPE OF ACTION 0 I. NEW SITE PERMIT 0 3. RENEWAL PERMIT
(Check one item only) 0 4. AMENDED PERMIT
~ 5.CHANGE OF INFORMATION
specifY change local use only
o 6.TEMPORARY SITE CLOSURE
o 7.PERMANENTL Y CLOSED SITE
o 8. TANK REMOVED
400
I. FACILITY / SITE INFORMATION
United Parcel Service
NEAREST CROSS STREET
Buck Owens Blvd.
BUSINESS 01. GAS STATION
TYPE 0 2. DISTRIBUTOR
TOTAL NUMBER OF TANKS
REMAINING AT SITE
2
401
402
BUSINESS NAME (Same as F AC[LITY NAME or DBA - Doing Business As)
FACILITY ID#
03. FARM 05. COMMERCIAL
o 4. PROCESSOR 181 6. OTHER 403
Is facility on Indian Reservation or
trustlands?
404 0 Yes 181 No 405
-If owner ofUST is 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
BT of Ohio
MAILING OR STREET ADDRESS
55 Glenlake Parkwa , NE
CITY
Atlanta
PROPERTY OWNER TYPE 1811. CORPORATION
407 PHONE
408
409
410
STATE
411
ZIP CODE
4[2
o 2, INDIVIDUAL
03. PARTNERSHIP
GA 30328
o 4. LOCAL AGENCY / DISTRICT
o 5. COUNTY AGENCY
06. STATE AGENCY
o 7, FEDERAL AGENCY
413
III. TANK OWNER INFORMATION
TANK OWNER NAME
United Parcel Service
MAILING OR STREET ADDRESS
Arm
PHONE
510-633-4035
4[5
4[6
8400 Pardee Dr.
CITY
GalffiIttd ~A/~ fJltJ ~
TANK OWNER TYPE
417
STATE 418 ZIP CODE
Ca 94621
o 4. LOCAL AGENCY / DISTRICT
o 5. COUNTY AGENCY
4[9
1811. CORPORATION
o 2. INDIVIDUAL
03. PARTNERSHIP
o 6. STATE AGENCY
o 7. FEDERAL AGENCY
420
TY (TK) H
IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER
Call (916) 322-9669 if uestions arise
V. PETROLEUM UST FINANCIAL RESPONSffiILITY
421
INDICATE METHOD(s) 1811. SELF-INSURED
o 2. GUARANTEE
o 3, INSURANCE
04, SURETY BOND 07. STATE FUND
05, LETTER OF CREDIT D 8. STATE FUND & CFO LETTER
06, EXEMPTION 09. STATE FUND & CD
o 10. LOCAL GOVT MECHANISM
o 99. OTHER:
422
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
Check one box to indicate which address should be used for legal notifications and mailing.
Legal notifications and mailings will be sent to the tank owner unless box I or 2 is checked.
o I. FACILITY 0 2. PROPERTY OWNER 0 3. TANK OWNER
423
VII. APPLICANT SIGNATURE
Certification - I certifY that the information provided herein is true and accurate to the best of my knowledge.
SIGNATURE OF APPLICANT
426
DATE
l-I-~I
TITLE OF APPLICANT
District Plant Engineering Manager
424
PHONE
510-633-4037
425
NAME OF APPLICANT (print)
Doug Ray
427
STATE UST FACILITY NUMBER (For local use only)
428
1998 UPGRADE CERTIFICATE NUMBER (For local use only)
429
UPCF (1/99 revised)
8
Formerly SWRCB Form A
'J
U D PROGRAM CONSOLIDATED FO
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 1
(two pages per tank)
Page
TYPE OF ACTION 0 1 NEW SITE PERMIT 0 4 AMENDED PERMIT 0 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE
(Check one item only) 0 7 PERMANENTLY CLOSED ON SITE
181 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) 0 8 TANK REMOVED 430
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) FACILITY ID:
United Parcel Service
LOCATION WITHIN SITE (Optional) 431
Fuel Island
I. TANK DESCRIPTION (A scaled plot plan with the location ofthe UST system including buildings and landmarks shall be submitted to the local agency,)
TANK ID # 432 TANK MANUFACTURER 433 COMP ARTMENT ALIZED TANK 0 Yes 181 No 434
o I Owens Cornin If"Yes", complete one page for each compartment
DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMP ARTMENTS 437
11/87 10,000
ADDITION AL DESCRIPTION (For local use only) 438
II. TANK CONTENTS
TANK USE 439
181 1. MOTOR VEHICLE FUEL
(If marked complete Petroleum Type)
o 2. NON,FUEL PETROLEUM
o 3. CHEMICAL PRODUCT
o 4, HAZARDOUS WASTE
(Includes Used Oil)
o 95. UNKNOWN
PETROLEUM TYPE
181 Ia. REGULAR UNLEADED
o I b. PREMIUM UNLEADED
o Ic. MIDGRADE UNLEADED
440
o 2. LEADED
o 3. DIESEL
o 4. GASOHOL
o 5. JET FUEL
06. AVIATION FUEL
o 99. OTHER
441 CAS# (from Hazardous Materials Inventory page)
442
COMMON NAME (from Hazardous Materials Inventory page)
unleaded gasoline
8006619
III. TANK CONSTRUCTION
TYPE OF TANK 0 1. SINGLE WALL 03. SINGLE WALL WITH 05. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443
(Check one item only) EXTERIOR MEMBRANE LINER 0 95. UNKNOWN
181 2. DOUBLE WALL 0 4. SIGNLE WALL IN V AUL T 0 99. OTHER
TANK MATERIAL-primary tank 01. BARE STEEL 1813. FIBERGLASS/PLASTIC 05, CONCRETE 095 UNKNOWN 444
(Check one item only) 02. STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS 08. FRP COMPTIBLE W/IOO% METHANOL 099, OTIffiR
REINFORCED PLASTIC (FRP)
TANK MATERIAL-secondary tank 01. BARE STEEL 1813. FIBERGLASS/PLASTIC 05. CONCRETE 095. UNKNOWN 445
(Check one item only) 02. STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS 08. FRP COMPTIBLE W/IOO% METHANOL 099. OTHER
REINFORCED PLASTIC (FRP) 0 10. COATED STEEL
o 5. CONCRETE
TANK INTERIOR LINING 0 I. RUBBER LINED 03. EPOXY LINING 05. GLASS LINING 095. UNKNOWN 446 DATE INSTALLED 447
OR COATING
(Check one item only)
o 2 ALKYD LINING
o 4 PHENOLIC LINING 181 6 UNLINED
o 99 OTHER
(For local use only)
OTHER CORROSION 0 1 MANUFACTURED CATHODIC
PROTECTION IF APPLICABLE PROTECTION
(Check one item only) 0 2 SACRIFICIAL ANODE
SPILL AND OVERFILL YEAR INSTALLED 450
(Check all that apply) 1811 SPILL CONTAINMENT
o 2 DROP TUBE
o 3 STRIKER PLATE
IV. TANK LEAK DETECTION (A description of the monitoring progn¡m shall be submitted to the local agency.)
IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE W ALL TANK OR TANK WITH BLADDER 454
(Check one item only)
o 1 VISUAL (EXPOSED PORTION ONL Y) 0 5 MANUAL TANK GAUGING (MTG) 0 1 VISUAL (SINGLE WALL IN V AUL T ONL Y)
o 2 AUTOMATIC TANK GAUGING (ATG) 0 6 VADOSE ZONE 181 2 CONTINUOUS INTERSTITIAL MONITORING
03 CONTINUOUS ATG 07 GROUNDWATER 03 MANUAL MONITORING
04 STATISTICAL INVENTORY RECONCILIATION 08 TANK TESTING
(SIR) BIENNIAL TANK TESTING 0 99 OTHER
IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE
o 3 FIBERGLASS REINFORCED PLASTIC
o 4 IMPRESSED CURRENT
o 95 UNKNOWN
o 99 OTHER
448
DATE INSTALLED
449
(For local use only)
TYPE (local use only) 451
OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED
452
1811 ALARM
02 BALL FLOAT
181 3 FILL TUBE SHUT OFF VALVE
o 4 EXEMPT
ESTIMATED DATE LAST USED (YR/MO/DA Y)
455
ESTIMATED QUANTITY OF SUBSTANCE REMAINING
gallons
456
TANK FILLED WITH INERT MATERIAL?
DYes 0 No
457
UPCF (12/99 revised)
10
Formerly SWRCB FormB
.
"
. -
UN! D PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 2
VI. PIPING CONSTRUCTION (Check all that apply) Page ~ of L'7
UNDERGROUND PIPING ABOVEGROUND PIPING
SYSTEM TYPE ~ 1. PRESSURE o 2. SUCTION 03. GRAVITY 458 o 1. PRESSURE o 2 SUCTION o 3. GRAVITY 459
CONSTRUCTION 01. SINGLE WALL o 3. LINED TRENCH o 99. OTHER 460 o 1. SINGLE WALL o 95. UNKNOWN 462
MANUFACTURER ~ 2 DOUBLE WALL o 95. UNKNOWN o 2. DOUBLE WALL o 99. OTHER
MANUFACTURER 461 MANUFACTURER 463
o 1. BARE STEEL 06. FRP COMPATIBLE w/lOO% METHANOL o 1. BARE STEEL o 6. FRP COMPATIBLE WII 00% METHANOL
o 2. STAINLESS STEEL o 7. GAL V ANI ZED STEEL o Unknown 02. STAINLESS STEEL o 7. GAL V ANIZED STEEL
03. PLASTIC COMPATIBLE W/ CONTENTS 099. Other 03 PLASTIC COMPATIBLE W/ CONTENTS o 8. FLEXIBLE (HDPE) 099. OTHER
~ 4. FIBERGLASS o 8. FLEXIBLE (HDPE) 04 FIBERGLASS 09. CATHODIC PROTECTION
05. STEEL W/COATING o 9. CATHODIC PROTECTION 464 05 STEEL W/COATING o 95. UNKNOWN 465
VII. PIPING LEAK DETECTION (Check all that apply) (A description of the monitoring program shall be submitted to the local agency.)
UNDERGROUND PIPING ABOVEGROUND PIPING
SINGLE WALL PIPING 466 SINGLE WALL PIPING 467
PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply):
~ 1. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP
OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION +
AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS.
~ 2. MONTHLY 0.2 GPH TEST o 2. MONTHLY 0.2 GPH TEST
o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 3. ANNUAL INTEGRITY TEST (0.1 GPH)
o 4. DAILY VISUAL CHECK
CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply)
o 5. DAIL Y VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING 05 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
INTEGRITY TEST (0.1 GPH)
SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): 06 TRIENNIAL INTEGRITY TEST (0.1 GPH)
o 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
GRAVITY FLOW o 7. SELF MONITORING
o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply):
o 8. DAILY VISUAL MONITORING
o 9. BIENNIAL INTEGRITY TEST (0.1 GPH)
SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING
PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply):
10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL lO. CONTINUOUS TIJRBINE SUMP SENSOR WITH AUDIBLE AND VISUAL
ALARMS AND (Check one) ALARMS AND (Check one)
o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS
~ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM
DISCONNECTION DISCONNECTION
OC NO AUTO PUMP SHUT OFF OC NO AUTO PUMP SHUT OFF
o 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT 011. AUTOMATIC LEAK DETECTOR
OFF OR RESTRICTION
012. ANNUAL INTEGRITY TEST (0.1 GPH) 012 ANNUAL INTEGRITY TEST (0.1 GPH)
SUCTION/GRA VITY SYSTEM SUCTION/GRAVITY SYSTEM
013. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS 013. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS
EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply)
014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF · 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF ·
AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS
015. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW 015. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST)
SHUT OFF OR RESTRICTION
o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 16. ANNUAL INTEGRITY TEST (0.1 GPH)
o 17 DAILY VISUAL CHECK 017 DAILY VISUAL CHECK
VIII. DISPENSER CONT AlNMENT
DISPENSER CONTAINMENT ~ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 4. DAILY VISUAL CHECK
DATE INSTALLED 468 o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS o 5. TRENCH LINER / MONITORING
o 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR o 6. NONE 469
DISPENSER + AUDIBLE AND VISUAL ALARMS
IX. OWNER/OPERATOR SIGNATURE
I certi.ty that the information provided herein is true and accurate to the best of my knowledge.
SIGNATURE OF OWNER/OPERATÆ. DATE 470
~/I 1-/-0/
NAME OF OWNER/OPRATOR (print)/ ø 471 TITLE OF OWNER/OPERATOR 472
Doug Ray District Plant Engineering Manager
Pennit Ntunber (For local use o!Ùy) 473 Permit Approved (For local use o!Ùy) 474 Pennit Expiration Date (For local use o!Ùy) 475
UPCF (12/99 revised)
12
Formerly SWRCB Form B
...
U D PROGRAM CONSOLIDATED FO
TANKS
UNDERGROUND STORAGE TANKS-TANK PAGE 1
(two pages per tank)
TYPE OF ACTION 0 I NEW SITE PERMIT 0 4 AMENDED PERMIT 0 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE
(Check one item 01ÙY) 0 7 PERMANENTLY CLOSED ON SITE
181 3 RENEWAL PERMIT (SpecifY reason - for local use olÙY) (SpecifY reason - for local use olÙY) 0 8 TANK REMOVED
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) F ACIL1TY ID:
United Parcel Service
LOCATION WITHIN SITE (Optional)
Fuel Island
I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency,)
TANK 1D # 432 TANK MANUFACTURER 433 COMP ARTMENT ALIZED TANK DYes 1:8:1 No
02 Owens Cornin If "Yes", complete one page for each compartment
DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS
11/87 10,000
ADDITIONAL DESCRIPTION (For local use olÙY)
430
1
431
434
437
438
II. TANK CONTENTS
TANK USE 439
1811, MOTOR VEHICLE FUEL
(If marked complete Pe1roleW11 Type)
o 2. NON-FUEL PETROLEUM
o 3. CHEMICAL PRODUCT
o 4. HAZARDOUS WASTE
PETROLEUM TYPE
I8Ila. REGULAR UNLEADED
o I b. PREMIUM UNLEADED
o Ic. MIDGRADE UNLEADED
440
o 2. LEADED
o 3. DIESEL
o 4. GASOHOL
05. JET FUEL
06, AVIATION FUEL
o 99. OTHER
441 CAS# (from Hazardous Materials Inventory page)
442
COMMON NAME (from Hazardous Materials Inventory page)
unleaded gasoline
8006619
(Includes Used Oil)
o 95. UNKNOWN
III. TANK CONSTRUCTION
TYPE OF TANK 0 1 SINGLE WALL 0 3. SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443
(Check one item olÙY) EXTERIOR MEMBRANE LINER 0 95. UNKNOWN
181 2, DOUBLE WALL 0 4. SIGNLE WALL IN V AUL T 0 99. OTHER
TANK MATERIAL-primary tank 01 BARE STEEL 1813. FIBERGLASS/PLASTIC 05. CONCRETE 095. UNKNOWN 444
(Check one item olÙY) 02. STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS 0 8. FRP COMPTIBLE W/lOO% METHANOL 099. OTIffiR
REINFORCED PLASTIC (FRP)
TANK MATERIAL - secondary tank 0 1 BARE STEEL 1813. FIBERGLASS / PLASTIC 0 5. CONCRETE 095. UNKNOWN 445
(Check one item olÙY) 0 2. STAINLESS STEEL 0 4, STEEL CLAD W/FIBERGLASS 0 8. FRP COMPTIBLE W/lOO% METHANOL 0 99. OTHER
REINFORCED PLASTIC (FRP) 0 10. COATED STEEL
o 5. CONCRETE
TANK INTERIOR LINING 01 RUBBER LINED 03. EPOXY LINING 05, GLASS LINING 095. UNKNOWN 446 DATE INSTALLED 447
OR COATING
(Check one item olÙY)
o 2 ALKYD LINING
o 4 PHENOLIC LINING 181 6 UNLINED
o 99 OTHER
(For local use olÙY)
OTHER CORROSION 0 I MANUFACTURED CATHODIC
PROTECTION IF APPLICABLE PROTECTION
(Check one item olÙY) 0 2 SACRIFICIAL ANODE
SPILL AND OVERFILL YEAR INSTALLED 450
(Check all that apply) 1811 SPILL CONTAINMENT
D 2 DROP TUBE
D 3 STRIKER PLATE
IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.)
IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE W ALL TANK OR TANK WITH BLADDER 454
(Check one item olÙY)
01 VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) 0 I VISUAL (SINGLE WALL IN VAULT ONLY)
02 AUTOMATIC TANK GAUGING (ATG) 06 VADOSE ZONE 1812 CONTINUOUS INTERSTITIAL MONITORING
03 CONTINUOUS ATG 07 GROUNDWATER 03 MANUAL MONITORING
o 4 STATISTICAL INVENTOR Y RECONCILIATION 0 8 TANK TESTING
(SIR) BIENNIAL TANK TESTING 0 99 OTHER
IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE
o 3 FIBERGLASS REINFORCED PLASTIC
o 4 IMPRESSED CURRENT
o 95 UNKNOWN
o 99 OTHER
448
DATE INSTALLED
449
(For local use olÙY)
TYPE (local use olÙY) 451
OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED
452
1211 ALARM
02 BALL FLOAT
181 3 FILL TUBE SHUT OFF VALVE
o 4 EXEMPT
ESTIMATED DATE LAST USED (YR/MO/DA Y)
455
ESTIMATED QUANTITY OF SUBSTANCE REMAINING
gallons
456
TANK FILLED WITH INERT MATERIAL?
DYes DNo
457
UPCF (12/99 revised)
10
Formerly SWRCB Form B
i'
j
-
D PROGRAM CONSOLIDATED FO
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 2
VI. PIPING CONSTRUCTION (Check all thaI at",lv) Page '1 of 1_'1
UNDERGROUND PIPING ABOVEGROUND PIPING
SYSTEM TYPE 181 ]. PRESSURE o 2. SUCTION o 3. GRAVITY 458 o I. PRESSURE o 2. SUCTION o 3. GRA V]TY 459
CONSTRUCTION o I. SINGLE WALL o 3. LINED TRENCH 099. OTHER 460 o ], SINGLE WALL o 95. UNKNOWN 462
MANUFACTURER 1812. DOUBLE WALL o 95. UNKNOWN o 2, DOUBLE WALL o 99. OTHER
MANUF ACTIJRER 461 MANUF ACTIJRER 463
o I. BARE STEEL 06. FRP COMPATIBLE w/IOO% METHANOL o I. BARE STEEL 06. FRP COMPATIBLE WIlOO% METHANOL
02. STAINLESS STEEL o 7. GAL V ANIZED STEEL o Unknown o 2. STAINLESS STEEL o 7. GAL V ANIZED STEEL
o 3. PLASTIC COMPATIBLE WI CONTENTS 099. Other o 3. PLASTIC COMPATIBLE WI CONTENTS o 8. FLEXIBLE (HOPE) 099. OTHER
181 4. FIBERGLASS o 8. FLEXIBLE (HOPE) 04 FIBERGLASS 09. CATHODIC PROTECTION
o 5. STEEL W/COATlNG 09. CATHODIC PROTECTION 464 05 STEEL W/COATlNG o 95, UNKNOWN 465
VII. PIPING LEAK DETECTION (Check all that apply) (A description of the monitoring program shall be submitted 10 the local agency.)
UNDERGROUND PIPING ABOVEGROUND PIPING
SINGLE WALL PIPING 466 SINGLE WALL PIPING 467
PRESSURIZED PIPING (Check all thaI apply): PRESSURIZED PIPING (Check all that apply):
181 I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT o ], ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP
OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION +
AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS.
1812, MONTHL Y 0.2 GPH TEST o 2. MONTHLY 0,2 GPH TEST
o 3. ANNUAL INTEGRITY TEST (0.] GPH) o 3. ANNUAL INTEGRITY TEST (0.] GPH)
o 4. DAILY VISUAL CHECK
CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply)
o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING 05 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
INTEGRITY TEST (0.] GPH)
SAFE SUCTION SYSTEMS (NO V ALVES IN BELOW GROUNDPIPING): 06 TRIENNIAL INTEGRITY TEST (0. I GPH)
o 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
GRAVITY FLOW o 7. SELF MONITORING
o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply):
o 8. DAILY VISUAL MONITORING
o 9. BIENNIAL INTEGRITY TEST (0.] GPH)
SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING
PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply):
]0. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ]0. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL
ALARMS AND (Check one) ALARMS AND (Check one)
o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS
181 b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEMFA]LURE AND SYSTEM Db AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM
DISCONNECTION DISCONNECTION
DC. NO AUTO PUMP SHUT OFF DC NO AUTO PUMP SHUT OFF
o I I. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OIL AUTOMATIC LEAK DETECTOR
OFF OR RESTRICTION
o ]2. ANNUALINTEGRITY TEST (0.1 GPH) 0]2. ANNUAL INTEGRITY TEST (0.] GPH)
SUCTlON/GRA VITY SYSTEM SUCTlON/GRA VITY SYSTEM
0]3. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS 0]3. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS
EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply)
014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * 014, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF *
AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS
015, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW 0]5. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST)
SHUT OFF OR RESTRICTION
o 16. ANNUAL INTEGRITY TEST (0.] GPH) o ]6. ANNUALINTEGRITY TEST (0.] GPH)
o 17. DAILY VISUAL CHECK o ] 7. DAILY VISUAL CHECK
VIII. DISPENSER CONT AINMENT
DISPENSER CONTAINMENT 181 I. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 4. DAILY VISUAL CHECK
DATE INSTALLED 468 o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS o 5, TRENCH LINER I MONITORING
o 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR o 6. NONE 469
DISPENSER + AUDIBLE AND VISUAL ALARMS
IX. OWNER/OPERATOR SIGNATURE
I certify that the infonnation provided herein is true and accurate to the best ofrny knowledge.
SIGNATIJRE OF OWNELRATOR DATE 470
¿, 3-¡-c)'
NAME OF OWNER/OPRA}'OR(¡:Ifint) 471 TITLE OF OWNER/OPERATOR 472
Doug Ray District Plant Engineering Manager
PeImit Nwnber (For local use only) 473 PeImit Approved (For local use only) 474 PeImit Expiration Date (For local use only) 475
UPCF (12/99 revised)
12
Formerly SWRCB FormB
'i'"
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
DDELETE
DREVISE
200
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
Automotive Shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
[8J YES D NO
MAP# (optional) 203 GRID# (optional)
202
204
II. CHEMICAL INFORMATION
CHEMICAL NAME
205 TRADE SECRET
DYes [8J No
206
If Subject to EPCRA, refer to instructions
COMMON NAME
Waste Motor Oil
CASU
N/A
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
Class 3B combustible
HAZARDOUS MATERIAL
TYPE (Check one ilem only)
W7
208
EHS*
[8J Yes D No
209
*If EHS is "Yes". all amounts below must be in lbs.
210
213
o a. PURE 0 b, MIXTURE ~ c. WASTE
211 RADIOACTIVE 0 Yes ~ No
212
CURIES
PHYSICAL STATE
(Check one item only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
215
o a. SOLID ~ b, LIQUID
o c. GAS
214 LARGEST CONTAINER 1500
216
~ a, FIRE 0 b. REACTIVE 0 c, PRESSURE RELEASE 0 d. ACUTE HEALTH ~ e, CHRONIC HEALTH
221
222
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
4
1 500
6000
UNITS*
(Check one item onl )
STORAGE
CONTAINER
o a. GALLONS 0 b, CUBIC FEET ~ c, POUNDS 0 d, TONS
* If EHS, amount must be in ounds.
~ a. ABOVE GROUND TANK
o b, UNDERGROUND TANK
o c. TANK INSIDE BUILDING
o d, STEEL DRUM
o e. PLASTIC/NONMETALLIC DRUM
Of.CAN
o g. CARBOY
o h. SILO
o L FIBER DRUM
o J BAG
o k. BOX
o 1. CYLINDER
o m. GLASS BOTTLE 0 q. RAIL CAR
o n. PLASTIC BOTTLE 0 r. OTHER
o 0, TOTE BIN
o p, TANK WAGON
223
STORAGE PRESSURE
~ a, AMBIENT
o b, ABOVE AMBIENT
o c, BELOW AMBIENT
224
STORAGE TEMPERATURE
~ a. AMBIENT
o b, ABOVE AMBIENT
o c. BELOW AMBIENT
o d. CRYOGENIC
225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
100 226 waste oil 227 [8J Yes D No 228 N/A 229
2 230 231 DYes D No 232 233
3 234 23S DYes D No 236 237
4 238 239 DYes D No 240 241
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required infonnation.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
If E~.-t:e Si n Here
UPCF (1/99)
6
OES Form 2731
~
.r
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
DDELETE
DREVISE
200
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
Automotive Shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
I2?J YES D NO
MAP# (optional) 203 GRlD# (optional)
202
204
II. CHEMICAL INFORMATION
CHEMICAL NAME
205 TRADE SECRET
DYes I2?J No
206
If Subject to EPCRA. refer to instructions
COMMON NAME
Waste Anti-freeze
CASU
N/A
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
200
208
EHS*
I2?J Yes D No
209
*If EHS is "Yes", all amounts below must be in Ibs.
210
213
HAZARDOUS MATERIAL
TYPE (Check one item only)
D a, PURE Db. MIXTURE ~ c, WASTE
2tt RADIOACTIVE D Yes ~ No
212
CURIES
215
PHYSICAL STATE
(Check one item only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
D a, SOLID ~ b. LIQUID
D c, GAS
214 LARGEST CONTAINER 968
216
~ a, FIRE Db, REACTIVE D c, PRESSURE RELEASE D d. ACUTE HEALTH ~ e. CHRONIC HEALTH
221
222
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
3
968
3872
UNITS*
Check one item onl )
STORAGE
CONTAINER
D a. GALLONS D b. CUBIC FEET ~ c. POUNDS D d, TONS
* If EHS. amount must be in ounds,
D a, ABOVE GROUND TANK
D b, UNDERGROUND TANK
Dc. TANK INSIDE BUILDING
D d, STEEL DRUM
De, PLASTICINONMETALLIC DRUM
D f, CAN
D g, CARBOY
D h, SILO
D i. FIBER DRUM
D j, BAG
D k,BOX
D L CYLINDER
D m, GLASS BOTTLE D q, RAIL CAR
D n, PLASTIC BOTTLE D r. OTHER
D o. TOTE BIN
D p. TANK WAGON
223
STORAGE PRESSURE
~ a, AMBIENT
D b. ABOVE AMBIENT
D c, BELOW AMBIENT
224
STORAGE TEMPERATURE
~ a. AMBIENT
D b, ABOVE AMBIENT
D c. BELOW AMBIENT
D d. CRYOGENIC
225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
50 226 ethylene 227 I2?J Yes D No 228 75-85-1 229
2 230 231 DYes D No 232 233
3 234 235 DYes D No 236 237
4 238 239 DYes D No 240 241
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight ü non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required infonnation.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
If 6-l;lease Si n Here
UPCF (1/99)
6
OES Form 2731
'¡
UNIFIED PROGRAM CONSOLIDATED FORM
I
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
o DELETE
200
r buildi n or area)
DADD
DREVISE
Page If) of
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
Automotive Shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
~ YES 0 NO
MAP# (optional) 203 GRID# (optional)
202
204
ll. CHEMICAL INFORMATION
CHEMICAL NAME
205 TRADE SECRET
o Yes ~ No
206
If Subject to EPCRA, refer to instructions
COMMON NAME
Deleo lead acid batteries
CASU
N/A
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
207
208
EHS*
~ Yes 0 No
209
*If EHS is "Yes", all amounts below must be in Ibs.
210
HAZARDOUS MATERIAL
TYPE (Check one item only)
213
181 a, PURE 0 b, MIXTURE 0 c. WASTE
2ll RADIOACTIVE 0 Yes 181 No
212
CURIES
PHYSICAL STATE
(Check one item only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
215
181 a. SOLID 0 b, LIQUID
o c, GAS
214 LARGEST CONTAINER 50
216
181 a, FIRE 181 b, REACTIVE 0 c, PRESSURE RELEASE 181 d, ACUTE HEALTH 0 e. CHRONIC HEALTH
221
222
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
. 100
500
1000
UNITS'
Check one item onl
STORAGE
CONTAINER
o a, GALLONS 0 b. CUBIC FEET 181 c. POUNDS 0 d. TONS
· If EHS, amount must be in ounds,
o a, ABOVE GROUND TANK
o b, UNDERGROUND TANK
o c. TANK INSIDE BUILDING
o d, STEEL DRUM
o e, PLASTIC/NONMETALLIC DRUM
Of.CAN
o g, CARBOY
o h. SILO
o i. FIBER DRUM
o j. BAG
o k. BOX
o L CYLINDER
o m, GLASS BOTTLE 0 q. RAIL CAR
o n, PLASTIC BOTTLE 181 r. OTHER
o 0, TOTE BIN
o p. TANK WAGON
223
STORAGE PRESSURE
181 a, AMBIENT
o b, ABOVE AMBIENT
o c. BELOW AMBIENT
224
STORAGE TEMPERATURE
181 a. AMBIENT
o b, ABOVE AMBIENT
o c, BELOW AMBIENT
o d, CRYOGENIC
225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
226 liquid content-acid 227 ~ Yes 0 No 228 7664939 229
2 230 plate content-lead 231 ~ Yes 0 No 232 7439921 233
3 234 235 DYes 0 No 236 237
4 238 239 DYes 0 No 240 241
5 242 243 DYes 0 No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
UPCF (1/99)
6
4p
If EPCRA Please Si n Here
OES Form 2731
'C
-
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
DADD DDELETE DREVISE 200 I Page 1L of 1:1
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
fuel island EPCRA
[g YES D NO
I I II I I I I I I I I 1 I MAP# (optional) 2031 GRID# (optional) 204
FACILITY ID #
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes [g No 206
Blend of Hydrocarbon If Subject to EPCRA, refer to instructions
COMMON NAME 207 208
EHS* [g Yes D No
gasoline
CAS# 209
8006619 *If EHS is "Yes", all amounts below must be in lbs,
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
HAZARDOUS MATERIAL 2121 213
TYPE (Check one item only) o a. PURE ~ b. MIXTURE DC. WASTE 211 RADIOACTIVE DYes ~ No CURIES
PHYSICAL STATE 215
(Check one item only) o a, SOLID ~ b, LIQUID o c, GAS 214 LARGEST CONTAINER 60,000
FED HAZARD CATEGORIES 216
(Check all that apply) ~ a. FIRE ~ b, REACTIVE o c, PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e, CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219\ STATE WASTE CODE 220
165 60,000
221 I DAYS ON SITE: 222
UNITS' o a, GALLONS o b, CUBIC FEET ~ c, POUNDS o d. TONS 365
(Check one item only) · If EHS, amount must be in pounds,
STORAGE
CONTAINER o a. ABOVE GROUND TANK De, PLASTIC/NONMETALLlC DRUM o i. FIBER DRUM o m, GLASS BOTTLE o q, RAIL CAR
~ b. UNDERGROUND TANK Or.CAN o j. BAG On, PLASTIC BOTTLE 0 L OTHER
DC, TANK INSIDE BUILDING o g, CARBOY o k. BOX DO. TOTE BIN
o d, STEEL DRUM o h. SILO o L CYLINDER o p, TANK WAGON 223
STORAGE PRESSURE ~ a. AMBIENT Db. ABOVE AMBIENT o c, BELOW AMBIENT 224
STORAGE TEMPERATURE ~ a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 226 blend of hydrocarbon/gasoline 227 [g Yes D No 228 8006619 229
2 230 benzene 231 [g Yes D No 232 71432 233
3 234 toluene 235 [g Yes D No 236 108883 237
4 238 xylene 239 [g Yes D No 240 241
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required infonnatÎon.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If E6r.~se Si!!n Here
UPCF (1199)
6
OES Form 2731
· '
"-
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
DDELETE
DREVISE
200
r buildin or area)
Page Qof
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
automotive shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
~ YES D NO
MAP# (optional) 203 GRID# (optional)
202
204
II. CHEMICAL INFORMATION
CHEMICAL NAME
blend of h drocarbon
COMMON NAME
Motor oil Chevron Delo 15-40
CASU
mixture
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
205
TRADE SECRET
D Yes ~ No
206
If Subject to EPCRA, refer to instructions
207
208
EHS*
D Yes ~ No
209
*If EHS is "Yes". all amounts below must be in Ibs.
210
213
HAZARDOUS MA TERlAL
TYPE (Check one item only)
o a. PURE ~ b. MIXTURE 0 c. WASTE
2ll RADIOACTIVE 0 Yes ~ No
212
CURIES
215
PHYSICAL STATE
(Check one item only)
FED HAZARD CA TEGORlES
(Check all that apply)
AVERAGE DAILY AMOUNT
o a, SOLID ~ b, LIQUID
o c, GAS
214 LARGEST CONTAINER 200
216
~ a. FIRE 0 b. REACTIVE 0 c. PRESSURE RELEASE 0 d. ACUTE HEALTH 0 e. CHRONIC HEALTH
221
212
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
2
200
UNITS*
Check one item onl )
STORAGE
CONTAINER
~ a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d, TONS
* If EHS, amount must be in ounds.
~ a, ABOVE GROUND TANK
Db, UNDERGROUND TANK
o c, TANK INSIDE BUILDING
o d, STEEL DRUM
De. PLASTICINONMETALLIC DRUM
o f. CAN
o g. CARBOY
o h, SILO
o i. FIBER DRUM
o j, BAG
o k. BOX
o l. CYLINDER
o m. GLASS BOTTLE 0 q, RAIL CAR
o n. PLASTIC BOTTLE 0 r. OTHER
o o. TOTE BIN
o p, TANK WAGON
223
STORAGE PRESSURE
~ a, AMBIENT
o b. ABOVE AMBIENT
o c, BELOW AMBIENT
224
STORAGE TEMPERATURE
~ a, AMBIENT
o b. ABOVE AMBIENT
o c. BELOW AMBIENT
o d, CRYOGENIC
225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
226 refined petroleum distillates 227 D Yes ~ No 228 mixture 229
2 230 base oil/ additives 231 DYes ~ No 232 64741884 233
3 234 zinc alkyl dithrophosphate 235 DYes ~ No 236 68649423 237
4 238 hexane 239 DYes ~ No 240 110543 24\
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 % by weight ü carcinogenic, attach additional sheets of paper capturing the required infonnation.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
~þ
If EPCRA Please Si n Here
UPCF (1/99)
6
OES Form 2731
J.. r:'
'"
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
o DELETE
o REVISE
200
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
Automotive Shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
~ YES 0 NO
MAP# (optional) 203 GRID# (optional)
202
204
II. CHEMICAL INFORMATION
205 TRADE SECRET
DYes I:8J No
206
If Subject to EPCRA, refer to instructions
207
208
EHS*
D Yes ~ No
209
*If EHS is "Yes", all amounts below must be in Ibs.
210
HAZARDOUS MATERIAL
TYPE (Check one item only)
213
o a. PURE IðI b. MIXTURE 0 c, WASTE
211 RADIOACTIVE 0 Yes IðI No
212
CURIES
PHYSICAL STATE
(Check one item only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
215
o a. SOLID IðI b, LIQUID
o c. GAS
214 LARGEST CONTAINER 110
216
o a. FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE IðI d, ACUTE HEALTH IðI e. CHRONIC HEALTH
221
222
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
1
110
UNITS*
(Check one item onl
STORAGE
CONTAINER
IðI a. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d, TONS
* If EHS, amount must be in ounds,
o a. ABOVE GROUND TANK.
Db. UNDERGROUND TANK
Dc. TANK INSIDE BUILDING
o d, STEEL DRUM
IðI e, PLASTICINONMETALLIC DRUM
o f, CAN
o g, CARBOY
o h, SILO
o L FIBER DRUM
o j, BAG
o k, BOX
o I. CYLINDER
o m. GLASS BOTTLE 0 q, RAIL CAR
On. PLASTIC BOTTLE 0 r, OTHER
o o. TOTE BIN
o p, TANK WAGON
223
STORAGE PRESSURE
IðI a, AMBIENT
o b, ABOVE AMBIENT
o c, BELOW AMBIENT
224
STORAGE TEMPERATURE
IðI a, AMBIENT
o b, ABOVE AMBIENT
o c, BELOW AMBIENT
o d. CRYOGENIC
225
%WT
HAZARDOUS COMPONENT (For mixture or waste only)
EHS
CAS #
85-95 226 Ethylene Glycol 727 DYes I:8J No 228 107211
2 <5 230 diethylene glycol 231 DYes ~ No 232 111466
3 <5 234 hydrated inorganic acid, sodium salt 235 DYes I:8J No 236 proprietary
4 <5 238 water 239 DYes ~ No 240 7732185
5 242 243 DYes D No 244
229
233
237
241
245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
~þ
If EPCRA Please Si n Here
UPCF (1/99)
6
OES Form 2731
i ',I
;¡
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
DDELETE
DREVISE
200
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
automotive shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
[g YES D NO
MAP# (optional) 203 GRID# (optional)
202
204
ll. CHEMICAL INFORMATION
CHEMICAL NAME
acet lene
COMMON NAME
acet lene
CASH
74862
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
205
TRADE SECRET
DYes [g No
206
If Subject to EPCRA, refer w instructions
207
208
EHS*
[g Yes D No
209
*If EHS is "Yes", all amounts below must be in Ibs.
210
HAZARDOUS MATERIAL
TYPE (Check one item only)
213
PHYSICAL STATE
(Check one item only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
i:8I a. PURE 0 b. MIXTURE Dc, WASTE 211 RADIOACTIVE DYes i:8I No 212 CURIES
0 a, SOLID 0 b. LIQUID i:8I c. GAS 214 LARGEST CONTAINER 8,76
181 a. FIRE o b, REACTIVE 181 c. PRESSURE RELEASE i:8I d. ACUTE HEALTH o e, CHRONIC HEALTH
217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE
215
216
220
221
222
< 1
17.52
UNITS'
(Check one item onl
STORAGE
CONTAINER
o a, GALLONS 0 b, CUBIC FEET i:8I c. POUNDS 0 d, TONS
· If EHS, amount must be in ounds.
, ' a. AMBIENT
De, PLASTIC/NONMETALLIC DRUM
o f, CAN
o g, CARBOY
o h. SILO
.. b, ABOVE AMBIENT
o i. FIBER DRUM
o j.BAG
o k, BOX
i:8I L CYLINDER
o m, GLASS BOTTLE 0 q. RAIL CAR
o n, PLASTIC BOTTLE 0 r. OTHER
o 0, TOTE BIN
o p, TANK WAGON
223
o a. ABOVE GROUND TANK
Db. UNDERGROUND TANK
Dc, TANK INSIDE BUILDING
o d. STEEL DRUM
STORAGE PRESSURE
o c. BELOW AMBIENT
224
STORAGE TEMPERATURE
, a. AMBIENT
'~b. ABOVE AMBIENT
o c, BELOW AMBIENT
o d. CRYOGENIC
225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
95-99 226 acetylene 227 [g Yes D No 228 74862 229
2 230 acetone 231 [g Yes D No 232 67641 233
3 234 235 DYes D No 236 237
4 238 239 DYes D No 240 241
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight if non·carcinogenic, or 0.1% by 'Yo'eight if carcinogenic, attach additional sheets of paper capturing the required infonnation.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
~þ
If EPCRA Please Si n Here
UPCF (1/99)
6
OES Fonn 2731
J_ r '
~
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one oaee Der materìal per buì1dìne or area)
DADD DDELETE o REVISE 200 Page 16 of B
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
automotive shop EPCRA
~ YES 0 NO
FACILITY ID # 1 I . I 1 . I I 1 1 I I 1 I MAP# (optional) 2031 GRID# (optional) 204
ll. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
oxygen If Subject to EPCRA, refer to instructions
COMMON NAME 200 208
EHS* DYes ~ No
Oxvgen
CASU 209
7782447 *If EHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
HAZARDOUS MATERIAL 212 1 CURIES 213
TYPE (Check one item only) ~ a. PURE 0 b. MIXTURE o c. WASTE 211 RADIOACTIVE DYes ~ No
PHYSICAL STATE 215
(Check one item only) 0 a, SOLID 0 b. LIQUID ~ c, GAS 214 LARGEST CONTAINER 125
FED HAZARD CATEGORIES 216
(Check all that apply) ~ a, FIRE 0 b. REACTIVE ~ c. PRESSURE RELEASE o d. ACUTE HEALTH ~ e, CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
1 250
221 I DAYS ON SITE: 222
UNITS· o a. GALLONS ~ b, CUBIC FEET o c, POUNDS o d, TONS 365
(Check one item only) · If EHS, amount must be in pounds.
STORAGE
CONTAINER o a. ABOVE GROUND TANK De. PLASTIC/NONMETALLIC DRUM o L FIBER DRUM o m. GLASS BOTTLE o q, RAIL CAR
Db, UNDERGROUND TANK o f. CAN o J BAG On. PLASTIC BOTTLE 0 r. OTHER
DC. TANK INSIDE BUILDING o g. CARBOY o k, BOX DO, TOTE BIN
o d, STEEL DRUM o h, SILO ~ 1. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE ~li a. AMBIENT ¢ b. ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATURE ~t)i\ a, AMBIENT ¢ b, ABOVE AMBIENT o c, BELOW AMBIENT o d, CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASU
1 226 227 DYes 0 No 228 229
2 239 231 DYes 0 No 232 233
3 234 235 DYes 0 No 236 237
4 238 239 DYes 0 No 240 241
5 242 243 DYes 0 No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
f?
If E CRA Please Sign Here
UPCF (1/99)
6
OES Form 2731
f_ ~ç~. á
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one page per material per building or area)
DADD o DELETE DREVISE 200 Page 112 of f"
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
carwash tunnel EPCRA
~ YES 0 NO
FACILITY ID # I I I I I I I I 1 11 I MAP# (optional) 2031 GRlD# (optional) 204
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
surface blend If Subject to EPCRA, refer to instructions
COMMON NAME 207 208
EHS* DYes ~ No
Blast A wav Detergent
CASU 209
N/A *If EHS is "Yes", all amounts below must be in lbs,
FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) 210
1 flammable
HAZARDOUS MATERIAL 2121 213
TYPE (Check one item only) o a, PURE 181 b, MIXTURE DC. WASTE 211 RADIOACTIVE DYes 181 No CURIES
PHYSICAL STATE 215
(Check one item only) 0 a. SOLID 181 b. LIQUID o c. GAS 214 LARGEST CONTAINER '- ,,·300
FED HAZARD CATEGORIES 216
(Check all that apply) o a, FIRE 0 b, REACTIVE o c. PRESSURE RELEASE 181 d, ACUTE HEALTH 181 e, CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
4 ." " qOQ
221 I DAYS ON SITE: 222
UNITS' IX a, GALLONS o b, CUBIC FEET :.:.:' c, POUNDS o d. TONS 365
(Check one item only) · If EHS, amount must be in DoundS.
STORAGE
CONTAINER o a, ABOVE GROUND TANK De, PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM o m, GLASS BOTTLE o q. RAIL CAR
Db, UNDERGROUND TANK o f, CAN o j.BAG On, PLASTIC BOTTLE 0 r. OTHER
181 c, TANK INSIDE BUILDING o g. CARBOY o k, BOX DO. TOTE BIN
o d, STEEL DRUM o h. SILO o L CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE 181 a, AMBIENT Db. ABOVE AMBIENT o c, BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a, AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT o d, CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 <5 226 nony Iphenoxypol y( ethy leneoxy )ethanol 227 DYes 0 No 228 9016-45-9 229
2 5-10 230 tetrasodium ethylenediamine tetraacetate 231 DYes 0 No 232 64-02-8 233
3 234 235 DYes 0 No 236 237
4 238 239 DYes 0 No 240 241
5 242 243 DYes 0 No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
4?'
If EPCRA Please SÜm Here
UPCF (1/99)
6
OES Form 2731
t~ ".' ~ (~
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one oa.e per material oer buildin. or area)
DADD DDELETE DREVISE 200 Page Dof d
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
carwash area EPCRA
. [8J YES D NO
I I I I . 1 I I I I I 1 I MAP# (optional) 2031 GRID# (optional) 204
FACILITY ID #
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes [8J No 206
surface blend If Subject to EPCRA, refer to instructions
COMMON NAME 2ff7 208
EHS* DYes [8J No
Blue Magic Deter!!ent
CASH 209
N/A *If EHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
1, flammable
HAZARDOUS MATERIAL 212 I 213
TYPE (Check one item only) o a. PURE ~ b, MIXTURE DC. WASTE 211 RADIOACTIVE DYes ~ No CURIES
PHYSICAL STATE 215
(Check one item only) 0 a, SOLID ~ b, LIQUID o c, GAS 214 LARGEST CONTAINER 55
FED HAZARD CATEGORIES 216
(Check all that apply) 0 a, FIRE o b, REACTIVE o c. PRESSURE RELEASE o d, ACUTE HEALTH ~ e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
< 1 55
221 I DAYS ON SITE: 222
rø a, GALLONS o b, CUBIC FEET ' ' o d, TONS
UNITS* '-_ c. POUNDS 365
(Check one item onlv) * If EHS. amount must be in pounds,
STORAGE
CONTAINER o a, ABOVE GROUND TANK ~ e. PLASTICINONMETALLIC DRUM o i. FIBER DRUM o m, GLASS BOTTLE o q, RAIL CAR
Db, UNDERGROUND TANK Dr CAN o j, BAG On, PLASTIC BOTTLE 0 r, OTHER
DC, TANK INSIDE BUILDING o g, CARBOY o k, BOX DO, TOTE BIN
o d. STEEL DRUM o h, SILO o L CYLINDER o p, TANK WAGON 223
STORAGE PRESSURE ~ a, AMBIENT Db. ABOVE AMBIENT o c, BELOW AMBIENT 224
STORAGE TEMPERATURE ~ a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 20-30 226 sodium dodecylbenzene sulfonate 227 DYes [8J No 228 21516-30-0 229
2 230 231 DYes D No 232 233
3 234 235 DYes D No 236 237
4 238 239 DYes D No 240 241
5 242 243 DYes D No 244 245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPŽle S¡"n Here
UPCF (1/99)
6
OES Form 2731
~ ~,;ì :;¡
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
DADD
DDELETE
DREVISE
200
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service
CHEMICAL LOCATION
automotive shop
FACILITY ID #
201 CHEMICAL LOCATION CONFIDENTIAL
EPCRA
~ YES D NO
MAP# (optional) 203 GRID# (optional)
202
204
II. CHEMICAL INFORMATION
CHEMICAL NAME
205 TRADE SECRET
D Yes ~ No
206
If Subject to EPCRA, refer to instructions
COMMON NAME
Chevron Dura-Lith Grease EP NLGI 00
CASU
N/A
FIRE CODE HAZARD CLASSES (Complete if required by CUPA)
207
208
EHS*
D Yes ~ No
209
*If EHS is "Yes", all amounts below must be in lbs.
210
HAZARDOUS MATERIAL
TYPE (Check one item only)
213
o a, PURE ~ b, MIXTURE 0 c. WASTE
2ll RADIOACTIVE 0 Yes ~ No
212
CURIES
PHYSICAL STATE
(Check one i1em only)
FED HAZARD CATEGORIES
(Check all that apply)
A VERAGE DAILY AMOUNT
215
o a, SOLID ~ b. LIQUID
o c, GAS
214 LARGEST CONTAINER 55
216
o a. FIRE 0 b. REACTIVE 0 c. PRESSURE RELEASE 0 d, ACUTE HEALTH ~ e. CHRONIC HEALTH
221
222
217 MAXIMUM DAILY AMOUNT
218 ANNUAL WASTE AMOUNT
STATE WASTE CODE
220
< 1
55
UNITS·
(Check one item onl )
STORAGE
CONTAINER
~ a, GALLONS 0 b, CUBIC FEET 0 c. POUNDS 0 d. TONS
· If EHS, amount must be in ounds.
o a. ABOVE GROUND TANK
Db, UNDERGROUND TANK
Dc. TANK INSIDE BUILDING
~ d, STEEL DRUM
STORAGE PRESSURE
~ a. AMBIENT
De, PLASTIC/NONMETALLIC DRUM
o f, CAN
o g. CARBOY
o h, SILO
o b, ABOVE AMBIENT
o i. FIBER DRUM
OJ. BAG
o k, BOX
o L CYLINDER
o m. GLASS BOTTLE 0 q. RAIL CAR
o n, PLASTIC BOTTLE 0 r. OTHER
o 0, TOTE BIN
o p. TANK WAGON
223
o c, BELOW AMBIENT
224
STORAGE TEMPERATURE
~ a, AMBIENT
o b, ABOVE AMBIENT
o c, BELOW AMBIENT
o d. CRYOGENIC
225
%WT
HAZARDOUS COMPONENT (For mixture or waste only)
EHS
CAS #
> 90 226 lubricating base oil 227 DYes D No 228
2 230 hydrotreated Dist., Lt. Naphth 231 DYes D No 232 64742525
3 <4 234 lithium base thickeners 235 DYes D No 236
4 < 6 238 additives 239 DYes D No 240
5 242 243 DYes D No 244
229
233
237
241
245
If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION
246
UPCF (1/99)
6
If E7Lase Si n Here
OES Fonn 2731
t;'I;- .~- ~
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one Daoe Der material ocr buildino or area)
DADD o DELETE o REVISE 200 Page 1!1 of J!1
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
automotive shop EPCRA
i:8:I YES 0 NO
FACiLITY ID # I I I I II I I I I I I 1 I MAP# (optional) 2031 GRID# (optional) 204
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes i:8:I No 206
lubricating base oil If Subject to EPCRA, refer to instructions
COMMON NAME 207 208
EHS* :::: Yes I8J No
Mobile SHC 50 svnthetic
CAS# 209
N/A *If EHS is "Yes", all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) 210
HAZARDOUS MATERIAL 212 I CURIES 213
TYPE (Check one item only) o a, PURE 181 b, MIXTURE DC, WASTE 211 RADIOACTIVE DYes 181 No
PHYSICAL STATE 215
(Check one item only) 0 a. SOLID 181 b, LIQUID o c. GAS 214 LARGEST CONTAINER 55
FED HAZARD CATEGORIES 216
(Check all that apply) o a. FIRE o b. REACTIVE o c, PRESSURE RELEASE o d, ACUTE HEALTH o e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
< 1 55
221 I DAYS ON SITE: 222
UNITS' 181 a, GALLONS o b. CUBIC FEET [;, c. POUNDS o d, TONS 365
(Check one item onlY) · If EHS, amount must be in Dounds,
STORAGE
CONTAINER o a, ABOVE GROUND TANK De. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM o m. GLASS BOTTLE o q, RAIL CAR
Db, UNDERGROUND TANK o f. CAN o J BAG On, PLASTIC BOTTLE 0 r. OTHER
o c, TANK INSIDE BUILDING o g. CARBOY o k. BOX DO. TOTE BIN
181 d. STEEL DRUM o h, SILO o I. CYLINDER o p, TANK WAGON 223
STORAGE PRESSURE 181 a, AMBIENT Db. ABOVE AMBIENT o c, BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 < 15 226 hydro treated distillate 227 DYes i:8:I No 228 64742547 229
2 < 15 230 solvent 231 DYes i:8:I No 232 64742650 233
3 > 85 234 lubricating base oil 235 DYes i:8:I No 236 mixture 237
4 238 239 DYes 0 No 240 241
..
.. DYes D
5 242 243 No 244 245
If more hazardous components are present at greater than 1% by weight if nOllwcarcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required infonnaûon.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
JfE~~' Sirn H,,,
UPCF (1/99)
6
OES Form 2731
---~ \ -.
¡¡ -_.> - ~:r
e
UNITED PARCEL SERVICE
Manager :
Location: 3800 N SILLECT
City BAKERSFIELD
MAR \ 2 2000
AVE
J;3Y:
CommCode: COUNTY STATION 66
EPA Numb:
Emergency Contact
CHARLE JACKSON
Business Phone:
24-Hour Phone :
Pager Phone :
Hazmat Hazards:
/ Title
/ MANAGER
(661) 326-1595x
~661~ 588=~
RSs
Contact : mATT $u.TT!(L
MailAddr: 8400 PARDEE DR
Ci ty : OAKLAND
Owner
Address
City
UNITED PARCEL SERVICE
: 8400 PARDEE DR
: OAKLAND
Period :
Preparer:
Certif'd:
to
Emergency Directives:
e
SiteID: 215-000-001168
BusPhone:
Map : 102
Grid: 24A
(661) 326-1595
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:4215
DunnBrad:00-699-1681
Emergency Contact
TERRY RUSSELL
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ MANAGER
(661) 326-8195x
(661) 392-0124x
( ) - x
Fire Press React ImmHlth DelHlth
Phone: (510) 633-4034x
State: CA
Zip : 94621
Phone: (510) 633-4034x
State: CA
Zip : 94621
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: Yes
I C, ~(\..(. JAL."-SOrJ Do hereby certify that ! have
, (Type or print name)
reviewed the attached hazardous materials manage-
and that it along with
ment plan for \~ 'PS ,
( ame of Business)
any corrections constitute a complete and correct man-
agement plan for rAY facility.
~re
"
"
~
-1-
02/29/2000
e e
F UNITED PARCEL SERVICE SiteID: 215-000-001168 ì
p= Hazmat Inventory By Facility Unit ì
p== Alphabetical Order Fixed Containers on Site ì
Hazmat Common Name. . . specHazEPA Hazards Frm I DailyMax UnitMCP
ACETYLENE F P IH G 300.00 FT3 Hi
ANTIFREEZE F DH L 55.00 GAL UnR
BLAST AWAY F DH L 500.00 GAL Mod
BLUE MAGIC L 55.00 GAL UnR
GREASE F DH L 55.00 GAL Min
LUBRICANT F L 30.00 GAL Min
MINERAL SPIRITS F DH L 30.00 GAL Mod
MOTOR OIL F DH L 500.00 GAL Min
OXYGEN F DH G 300.00 FT3 Low
SULFURIC ACID (BATTERIES) F R IH S 8.00 GAL Hi
UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod
UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod
WASTE OIL F DH L 500.00 GAL Low
-2-
02/29/2000
..
e
e
F UNITED PARCEL SERVICE
f= Inventory Item 0005
= COMMON NAME / CHEMICAL NAME
ACETYLENE
SiteID: 215-000-001168 ì
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
AUTO SHOP
Map:
Grid:
CAS #
74862
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
FIXED PRESS. CYLINDER
Largest Container
150.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 FT3
Daily Average
70.00 FT3
HAZARDOUS C MPONENTS
%Wt. RS CAS #
100.00 Acetylene Yes 74862
o
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
HAZARD ASSESSMENTS
f= Inventory Item 0007
F== COMMON NAME / CHEMI CAL NAME
ANTIFREEZE
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
AUTO SHOP
Map:
Grid:
CAS #
o
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
25.00 GAL
T
%Wt. RS CAS #
100.00 Ethylene Glycol No 107211
HAZARDOUS COMPONEN S
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
-3-
02/29/2000
e
e
í UNITED PARCEL SERVICE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001168 ¡
íë Inventory Item 0014 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j
íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡
o BLAST AWAY 0 Days On Site 0
o SURFACE BLEND - DETERGENT 0 365
o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ
o CAR WASH TUNNEL 0 CAS# 0
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf
íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡
o Liquid 0 Mixture 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0
åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡
o Largest Container 0 Daily Maximum 0 Daily Average 0
o 500.00 GAL 0 500.00 GAL 0 250.00 GAL 0
åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
o %Wt. 0 0 RSo CAS# 0
o 5.000Nonylphenoxypolyethyleneoxyethanol 0No 0 260273830
o 1O.000Tetrasodium Ethylenediamine Tetraacetate °No 0 674015070
åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
°TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
o No °No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Mod 0
åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf
e
e
íë Inventory Item 0015 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡
íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj
o BLUE MAGIC ° Days On Site °
o SURFACE BLEND - DETERGENT 0 365
o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ
° CAR WASH TUNNEL 0 CASH °
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj
íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡
° Liquid 0 Mixture 0 Ambient 0 Ambient 0 DRUM/BARREL-NONMETAL 0
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íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj
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íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj
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02/2912000
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íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj
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íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
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åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
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íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡
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åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
o %Wt. 0 0 RSo CASU 0
o 100. 00 o Lubricating Oil (Petroleum-Based) °No 0 80208350
åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡
°TSecretO RsoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf
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02/29/2000
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o MINERAL SPIRITS 0 Days On Site 0
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf
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åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡
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íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
o %Wt. 0 0 RSo CAS# 0
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åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf
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íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡
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åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj
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åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡
0TSecretO RsoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf
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02/29/2000
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf
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íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëiëëëîëëëëëëëëëëëëëëëj
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åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
°TSecretO RsoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj
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åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj
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åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
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o 26.000Su1furic Acid (EPA) °No 0 76649390
åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
°TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
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åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf
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02/29/2000
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äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
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åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj
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åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
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o Largest Container 0 Daily Maximum 0 Daily Average °
° 10000.00 GAL ° 10000.00 GAL ° 5000.00 GAL 0
åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj
o %Wt. 0 0 RSo CASH 0
o 100.00oGasoline 0No 0 80066190
åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
°TSecretO RSoBioHazo Radioactive/Amount ° EPA Hazards ° NFPA 0 USDOT# ° MCP °
° No °No 0 No 0 No/ Curies ° F IH DH ° / / / ° 0 Mod 0
åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj
-8-
02/29/2000
e
-
í UNITED PARCEL SERVICE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001168 i
íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j
íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡
o WASTE OIL 0 Days On Site 0
o 0 365 0
o Location within this Facility Unit Map: Grid: ûâââááááâáááâááááÇ
o E SIDE OF BLDG 0 CASH 0
o 0 2210
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj
íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj
o Liquid 0 Waste 0 Ambient 0 Ambient 0 ABOVE GROUND TANK 0
åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡
o Largest Container 0 Daily Maximum 0 Daily Average 0
o 500.00 GAL 0 500.00 GAL 0 250.00 GAL 0
åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡
o %Wt. 0 0 RSo CASH 0
o 100.000Waste Oil, Petroleum Based °No 0 00
åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj
íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j
°TSecretO RsoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0
o No °No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Low 0
äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj
-9-
02/29/2000
1
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í UNITED PARCEL SERVICE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001168 j
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j
íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i
íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/0111996 j
o 0
o CALL 911
o
o
o
o IN CASE OF A SPILL UPS WILL NOTIFY:
o 1) BAKERSFIELD FIRE & HAZMAT DIVISION - 326-3979
o 2) OFFICE OF EMERGENCY SERVICE - 1-800-852-7550
o 3) CHEVRON - 1-209-268-4369
o 0
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/16/1999 j
o 0
o CALMLY EXIT BY FOLLOWING THE PATH TO THE EMERGENCY EXIT DOOR INDICATED 0
o ABOVE. ASSEMBLE AT THE FENCE OR PROPERTY PERIMETER DIRECTLY IN FRONT OF THE 0
o EXIT DOOR. IMMEDIATE SUPERVISOR WILL TAKE ATTENDANCE OF ALL EVACUEES AND 0
o PROVIDE FURTHER INSTRUCTION ON HOW TO PROCEED. 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/0111996 j
o 0
o IN CASE OF EMERGENCY PUBLIC WILL BE NOTIFIED BY WORD OF MOUTH, TO EV ACUA TE 0
o BUILDING. 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/0111996 j
o 0
o HAVE AN EMERGENCY PHONE LISTING FOR LOCAL POLICE, FIRE, AMBULANCE, HOSPITAL 0
o 0
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02/29/2000
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í UNITED PARCEL SERVICE ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001168 i
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i
íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡
íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/12/1991 j
o 0
o DOUBLE WALL TANK, DOUBLE WALL PIPING IN WHICH EACH ARE MONITORED BY A LEAK 0
o DETECTOR. EMERGENCY SHUT OFF SWITCH IS ALSO LOCATED AT THE FUEL PUMPS. 0
o
o
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íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/12/199.1 i
o 0
o OUR FUEL SYSTEM CONSISTS OF A DOUBLE WALL TANK, DOUBLE WALL PIPING IN WHICH 0
o EACH ARE MONITORED BY A LEAK DETECTOR. EMERGENCY SHUT OFF SWITCH IS ALSO 0
o LOCATED AT THE FUEL PUMPS. 0
o
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íëëëë Clean lJp ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
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íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
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-11-
02/29/2000
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íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j
íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i
íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
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åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/03/1998 ¡
o 0
o A) GAS - SIDE OF MAIN BLDG ACROSS FROM FUEL PUMPS
o B) ELECTRICAL - TO TIlE R INSIDE DOOR
o C) WATER - AT ST, L DRIVEWAY AT ENTRANCE
o D) SPECIAL - FUEL DISPENSERS EMERGENCY SIIUTOFF
o E) LOCK BOX - NO
o
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o
o
o
o
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íëëëë Fire Protec.l Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/03/1998 ¡
o 0
o PRIVATE FIRE PROTECTION - FACILITY IS FULLY SPRINKLERED, lIAS MONITORED FLOW 0
o ALARMS, HAND AND 1I0SE EXTINGUISIIERS. 0
o 0
o
o
o
o
o FIRE IIYDRANT - 3 WAY PUMPER CONNECTION AT L DRIVEWAY ENTRANCE.
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íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
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02/29/2000
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íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j
íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/10/1997 i
o 0
o WE HAVE 185 EMPLOYEES AT THIS FACILITY.
o
o
o
o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
o
o
o
o BRIEF SUMMARY OF TRAINING: EMPLOYEE'S ARE TRAINED ON MSDS BY READING THE
o MSDS FOLDER WHICH IS LOCATED ON SITE IN THE AUTO SHOP. 0
o
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íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
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-13-
02/29/2000
UNIFIED PROGRAM CONSOLIDATED FORM
BUSINESS ACTIVITIES
FACILITY ID#
United Parcel Service
FACILITY INFORMATION
EPA ID # (Hazardous Waste Only)
(..1'\ Cjf J. if 0 .3D (p§
2
3
Have on site (for any purpose) hazardous m~terials at or above 55 gallons
for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases
(include liquids in ASTs and USTs); or the applicable Federal threshold
quantity for an extremely hazardous substance specified in 40 CFR Part
355, Appendix A or B; or handle radiological materials in quantities for
which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or
70?
B. UNDERGROUND STORAGE TANKS (USTs)
1. Own or operate underground storage tanks?
2. Intend to upgrade existing or install new USTs?
1:8:1 YES D NO 4
1:8:1 YES D NO 5
D YES 181 NO 6
3. Need to report closing a UST?
C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs)
Own or operate ASTs above these thresholds:
--any tank capacity is greater than 660 gallons, or
--the total capacity for the facility is greater than 1,320 gallons?
D. HAZARDOUS WASTE
1. Generate hazardous waste?
D YES 181 NO 7
D YES 181 NO 8
1:8:1 YES D NO 9
2. Recycle more than 100 kg/month of excluded or exempted
recyclable materials (per HSC 25143.2)?
3. Treat hazardous waste on site?
D YES 181 NO 10
D YES 181 NO 11
4. Treatment subject to financial assurance requirements (for DYES 181 NO
Permit by Rule and Conditional Authorization)? 12
5. Consolidate hazardous waste generated at a remote site?
DYES 181 NO 13
6. Need to report the closure/removal of a tank that was classified as DYES 181 NO 14
hazardous waste and cleaned oDSite?
E. LOCAL REQUIREMENTS
HAZARDOUS MATERUUB INVENTORY
- CHEMICAL DESCRIPTION (OES 2731)
UST FACILITY (Formerly SWRCB Fonn A)
UST TANK (one page per t2nk) (Fonœrly Fonn B)
UST FACILITY
UST TANK (one per t2nk)
UST INST ALLA TION - CERTIFICATE OF
COMPLIANCE (one page per Wlk) (Fonœrly Fonn
C)
UST T ANI( (closure portion -one page per t2nk)
NO FORM REQUIRED TO CUPAs
EPA ID NUMBER - provide at the top of
this page
RECYCLABLE MATERIALS REPORT (one
per recycler)
ONSITE HAZARDOUS WASTE
TREATMENT - FACILITY (Fonnerly DTSC
Forms 1m)
ONSITE HAZARDOUS WASTE
TREATMENT - UNIT (one page per unit)
(Formerly DTSC Forms 1m A,B,C.D and L)
CERTIFICATION OF FINANCIAL
ASSURANCE (Formerly DTSC Fonn 1232)
REMOTE WASTE I CONSOLIDATION
SITE ANNUAL NOTIFICATION (Formerly
DTSC Fonn 1196)
HAZARDOUS WASTE TANK CLOSURE
CERTIFICATION (Fonœrly DTSCFonn 1249)
(You may also be required 10 provide additional information by yourCUPA or local agency,)
IS
UPCF (1199)
2
UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION
Page ¿ of
I. IDENTIFICATION
FACILITY ID#
\ BEGINNING DATE
01/01/01
12/31/01
3 BUSINESS PHONE
510-633-4035
\00 ENDING DATE
101
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
United Parcel Service, IDe
BUSINESS SITE ADDRESS
3800 N Sillect Ave.
CITY
Bakersfield
DUN & BRADSTREET
00-699-168]
COUNTY
Kern
BUSINESS OPERATOR NAME
Charlie Jackson
102
\æ
CA
ZIP CODE
93308
106 SIC CODE (4 digit #)
4215
105
\04
\07
\08
109 BUSINESS OPERATOR PHONE
661-326-1595
110
n.. BUSINESS OWNER
OWNER NAME
BT of Ohio
OWNER MAILING ADDRESS
55 Glenlake Parkwa , NE
CITY
Atlanta
11\ OWNER PHONE
112
113
CONTACT NAME
Stace B rem
CONTACT MAILING ADDRESS
8400 Pardee Dr
CITY
Oakland
114 STATE
GA
Ill. ENVIRONMENTAL CONTACT
117 CONTACT PHONE
510-633-4035
115 ZIP CODE
30328
116
118
119
-PRIMARY -
\20 STATE
CA
IV. EMERGENCY CONTACTS
\2\ ZIP CODE
94621
-SECONDARY-
\22
123 NAME
Stace B rem
\24 TITLE
District Environmental Coordinator
125 BUSINESS PHONE
510-633-4035
126 24-HOUR PHONE
510-448-7633
127 PAGER #
510-448-7633
128
NAME
Rick Garcia
TITLE
Plant En . eerin
BUSINESS PHONE
559-442-2925
24-HOUR PHONE
559-263-0954
PAGER #
559-263-0954
ADDITIONAL LOCALLY COLLECfED INFORMATION:
\29
\30
131
132
133
Certificaûon: Based on my inquiry of those individuals responsible for obtaining the informaûon, I certify under penalty of law that I have personally examined and
am familiar with the infoI1lláûon submitted and believe the informaûon is true, accurate, and complete.
136
\34 NAME OF DOCUMENT PREPARER
135
SIGNA TIJRE OF OWNER/OPERA TOR OR DESIGNATED REPRESENTATIVE
NAME OF SIGNER (prim)
Dou Ra
137
UPCF ( 1/99 revised)
4
OES FORM 2730 (1/99)
UNIFIED PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUND STORAGE TANKS - FACILITY
(one page per site) Page -ª- of Jí
TYPE OF ACTION 0 I, NEW SITE PERMIT 0 3. RENEW AI. PERMIT
(Check one item only) 04, AMENDED PERMIT
I8IS,CHANGE OF INFORMATION
specify change local use only
o 6,1EMPORARY SJ1E CLOSURE
o 7.PERMANENIL Y CLOSED SITE
o 8. TANK REMOVED
400
I. FACILITY I SITE INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID#
United Parcel ServiCe
NEAREST CROSS STREET ~I
Buck Owens Blvd.
BUSINESS 01. GAS STATION 03. FARM 05. COMMERCIAL
TYPE 0 2. DISTRlBUTOR 0 4, PROCESSOR ~ 6. OTHER ~3 402
TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner ofUST is a public agency: name of supervisor of division, section or office which
REMAINING AT SITE trustlands? operates the UST (11ùs is the contact peISon for the tank records.)
2 404 0 Yes ~ No ~5 406
II. PROPERTY OWNER INFORMATION
pROPERTY OWNER NAME
BT of Ohio
MAILING OR STREET ADDRESS
55 Glenlake Parkwa , NE
CITY
Atlanta
PROPERTY OWNER TYPE [8 1. CORPORATION
407 PHONE
408
409
410 STATE 411 ZIP CODE
GA 30328
o 2, INDIVIDUAL 0 4, LOCAL AGENCY / DISTRlCT
03. PARTNERSHIP 05. COUNTY AGENCY
412
o 6. STATE AGENCY
o 7, FEDERAL AGENCY
413
ill. TANK OWNER INFORMATION
TANK OWNER NAME
United Parcel SeIVÍce
MAILING OR STREET ADDRESS
8400 Pardee Dr.
CITY
QaIœIftd ~A/~ ("#Ii)
TANK OWNER TYPE
(Htn
P J~Y\.\- ~~ ; (\(.(y' r\t
PHONE
510-633-4035
415
416
[8 1. CORPORATION
417 STATE 418 ZIP CODE
ca 94621
o 2. INDIVIDUAL 0 4. LOCAL AGENCY / DISTRICT
03. PARTNERSHIP 05. COUNTY AGENCY
419
06. STATE AGENCY
07. FEDERAL AGENCY
420
TY
IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER
Call 916) 322-9669 if uestions arise
V. PETROLEUM UST FINANCIAL RESPONSffiILITY
421
INDICATE METHOD(s) ~ 1. SELF-INSURED
02. GUARANTEE
o 3. INSURANCE
04. SURETY BOND 07. STATE FUND
05. LEITER OF CREDIT 08. STATE FUND & CFO LEITER
06. EXEMPTION 09. STATE FUND & CD
o 10. LOCAL GOVT MECHANISM
o 99. 01l:lER:
422
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
Check one box to indicate which address should be used for legal notifications and mailing.
Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked,
o I, FACILITY 02, PROPERTY OWNER 03. T ANI< OWNER
423
VII. APPLICANT SIGNATURE
Certilication -I certify that the ÍIlfonnation provided herein is true and accurate to the best of my knowledge.
SIGNATURE OF APPLICANT
DATE 424 PHONE 415
l-I-~I 510-633-4037
426 TITLE OF APPLICANT 427
District Plant Engineering Manager
428 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 429
NAME OF APPLICANT (print)
Doug Ray
STATE UST FACILITY NUMBER (For local use only)
UPCF (1199 revised)
8
FonnerIy SWRCB Fonn A
UNIFIED PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 1
(two pages per tank)
Page
TYPE OF ACTION 0 I NEW SITE PERMIT' 0 4 AMENDED PERMIT 0 5 CHANGE OF INFORMATION 0 6 TElvIPORARY SITE CLOSURE
(Check one item only) 0 1 PERMANENfL Y CLOSED ON SITE
~ 3 RENEWAL PERMIT (speçif¡ reoson - for 10<0l use only) (Specif¡ reoson - for 10<0l use only) 0 8 TANK REMOVED 430
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) FACILITY ID: I
3
United Parcel Service
LOCATION WITIIIN SITE (Optional) 431
Fuel Island
I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency,)
TANK ID # 432 TANK MANUF ACTIJRER 433 COMPARTMENT ALIZED TANK 0 Y es ~ No 434
01 Owens Comin If"Yes",oompleteonepagefotc=hcotnpalbnt:nt
DATE INSTALLED (YEAR/MO) 435 TANKCAPACITYINGALWNS 436 NUMBER OF COMPARTMENTS 437
11/87 10,000
ADDITIONAL DESCRIPTION (For tocal use only) 438
ß. TANK CONTENTS
TANK USE 439
~ L MOTOR VEIDCLE FUEL
(lfmarked complete Pe1roIeum Type)
02, NON-FUEL PElROLEUM
o 3, CHEMICAL PRODUCT
04, HAZARDOUS WASTE
(Includes Used Oil)
095. UNKNOWN
PETROLEUM TYPE
~ la, REGULAR UNLEADED 02. LEADED
o Ib, PREMIUM UNLEADED 0 3, DIESEL
Ole, MIDGRADE UNLEADED 04, GASOHOL
COMMON NAME (from Hazardoœ Materials hM:n1oly page)
unleaded gasoline
'440
o 5. JET FUEL
06, AVIATION FUEL
o 99. OTHER
441 CAS# (from Hazardous Materials InventOIy page)
8006619
442
III. TANK CONSTRUCfION
TYPE OF TANK L SINGLE WALL 03, SINGLE WALL WITH 5, SINGLE WALL WITH INfERNAL BLADDER SYSTEM 443
(Check one item only) EXTERIOR MEMBRANE LINER 0 95, UNKNOWN
~2. DOUBLE WALL 04, SIGNLEWALLIN VAULT 099, OTHER
TANKMATERIAL-prittwytank L BARE STEEL 3, FffiERGLASS/PLASTIC 5. CONCRETE 95, UNKNOWN 444
(Check one item only) 02. STAINLESS STEEL 04, STEEL CLADWIFIBERGLASS 08, FRPCOMPTIBLE W/IOOOÆ,METHANOL 099. OTIffiR
REINFORCED PLASTIC (FRP)
TANKMA1ERIAL-secondalytank L BARE STEEL 3, FIBERGLASS/PLASTIC 5, CONCRETE 95, UNKNOWN 445
(Check one item only) 02. STAINLESS STEEL 04, STEEL CLAD WIFIBERGLASS 0 8, FRP COMPTIBLE W/IOOOÆ, METHANOL 0 99, OTHER
REINFORCED PLASTIC (FRP) 0 10. COATED STEEL
05, CONCRETE
TANK INTERIOR LINING OLRUBBERLINED o 3. EPOXY LINING 05,GLASSLINING 095,UNKNOWN 446 DATE INSTALLED 447
OR COATING
(Check one item only)
02 ALKYD LINING
04 PHENOUC LINING ~ 6 UNLINED
o 99 OTHER
(For local use only)
OTHER CORROSION 0 I MANUFACTURED CATHODIC
PROTECTION IF APPLICABLE PROTECTION
(Check one item only) 0 2 SACRIF1CIAL ANODE
SPll-L AND OVERFILL YEAR INSTALLED
(Check all that apply) ~ I SPILL CONT AINMENf
o 3 FIBERGLASS REINFORCED PLASTIC
04 IMPRESSED CURRENT
095 UNKNOWN
099 OTHER
448
DA TE INSTALLED
449
450
TYPE (l0<0l use only)
451
OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED
(For local use only)
452
o ) VISUAL (EXPOSED PORTION ONL Y) 05 MANUAL TANK GAUGING (MTG)
02 AUTOMATIC TANK GAUGING (ATG) 0 6 VADOSE ZONE
03 CONTINUOUS ATG 01 GROUNDWATER
04 STATISTICAL INVENTORY RECONCILIATION 08 TANK TESTING
(SIR) BIENNIAL TANK TESTING 0 99 OTIIER
IV. TANK CWSURE INFORMATION I PERMANENT CLOSURE IN PLACE
ESTIMATEDDATELASTUSED(YRlMOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK Fll..LED WITH INERTMATERlAL7
gallons 0 Yes 0 No
02 DROP TUBE
o 3 STRIKER PLATE
IV. T ANI( LEAK DETECfION (A description oCthe monitoring progmn sbaIJ be submítted to the tocalagency,)
IF SINGLE WALL TANK (Check all that apply) 453 IF OOUBLE W ALL TANK OR TANK WITH BLADDER
(Check <me item only)
o I VISUAL (SINGLE WALL IN VAULT ONLY)
~ 2 CONTINUOUS INTERSTITIAL MONITORING
o 3 MANUAL MONITORlNG
~ I ALARM
02 BALL FLOAT
~ 3 Fll..L TIJBE SHUT OFF VALVE
o 4 EXEMPT
454
457
UPCF (12/99 revised)
10
Formerly SWRCB Form B
UNIFIED PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 2
VI. PIPING CONSTRUCTION (Check all that apply) Page ~ of L~
UNDERGROUND PIPING ABOVEGROUND PIPING
SYSTEM TYPE ~ 1. PRESSURE D 2. SUCTION D 3, GRAVITY 458 D 1. PRESSURE D 2, SUCTION D 3, GRAVITY 459
CONSTRUCTION D 1. SINGLE WALL D 3. LINED 1RENCH D 99, OTHER 460 D 1. SINGLE WALL D 95, UNKNOWN 462
MANUFACTIJRER ~ 2. DOUBLE WALL D 95. UNKNOWN D 2. DOUBLE WALL D 99, OTHER
MANUFACTURER 461 MANUFACTURER 463
D 1. BARE STEEL D 6, FRP COMPATIBLE w/lOOO/o METIiANOL D 1. BARE STEEL D 6, FRP COMPATIBLE W/lOO'YoMETHANOL
D 2. STAINLESS STEEL D 7, GAL V ANIZED STEEL D Unknown D 2, STAINLESS STEEL D 7. GAL V ANIZED STEEL
D 3, PLASTIC COMPATIBLE WI CONTENTS D 99, Other D 3, PLASTIC COMPATIBLE WI CONTENTS D 8. FLEXIBLE (HOPE) D 99. OTHER
~ 4, FIBERGLASS D 8, FLEXIBLE (HOPE) D 4, F1BERGLASS D 9, CATHODIC PROTECTION
D 5. STEEL W/COATING D 9, CATHODIC PROTECTION 464 D 5, STEEL W/COATING D 95, UNKNOWN 465
VII. PIPING LEAK DETECTION (Check all thatawlv) (A description of the monito ' shall be submitted to the locaI8I<CßCV.)
UNDERGROUND PIPING ABOVEGROUND PIPING
SINGLE WALL PIPING 466 SINGLE WALL PIPING 467
PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check an that apply):
~ I, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WIlli AurO PUMP SHUT D I, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AurO PUMP
OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION +
AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS,
~ 2. MONTHLY 0,2 GPH TEST D 2. MONTHLY 0,2 GPH TEST
D 3, ANNUAL INTEGRITY TEST (0,] GPH) D 3, ANNUAL INTEGRITY TEST (O,tGPH)
D 4, DAILY VISUAL CHECK
CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply)
D 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING D 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
INTEGRITY TEST (0,) GPH)
SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): D 6. TRIENNIAL INTEGRITY TEST (0.] GPH)
D 7, SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
GRAVITY FLOW D 7, SELF MONITORING
D 9. BIENNIAL INTEGRITY TEST (0.) GPH) GRAVITY FLOW (Check all that apply):
D 8. DAILY VISUAL MONITORING
D 9. BIENNIAL INTEGRITY TEST (0. I GPH)
SECONDARILY CONTAINED PIPING SECONDAFrrLYCONTAlNEDPIPING
PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply):
]0, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL
ALARMS AND (Check one) ALARMS AND (Check one)
D a. AurO PUMP SHUT OFF WHEN A LEAK OCCURS D a AurO PUMP SHUT OFF WHEN A LEAK OCCURS
r2SI b, AurO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM Db AurO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM
DISCONNECTION DISCONNECTION
Dc, NO AurO PUMP SHUT OFF Dc NO AUTO PUMP SHUT OFF
D]I. AurOMATICLINE LEAK DETECTOR (3,OGPH TEST) WITH FLOW SHUT D 11. AurOMATlCLEAKDETECTOR
OFF OR RESlRICTION
D]2, ANNUAL INTEGRI!Y TEST (0,] GPH) D 12, ANNUAL INTEGRITY TEST (0,1 GPH)
SUCTION/GRA VITY SYSTEM SUCTION/GRAVITY SYSTEM
D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS
EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check aD that apply)
D ]4, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF· D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF·
AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS
D 15, AurOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW D 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPHTEST)
SHUT OFF OR RESTRICTION
D 16, ANNUAL INTEGRITY TEST (0.] GPH) D 16, ANNUAL INTEGRITY TEST (0,] GPH)
D ]7, DAILY VISUAL CHECK D 17, DAILY VISUAL CHECK
VIII. DISPENSER CONTAINMENT
DISPENSER CONTAINMENT ~ ], FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE D 4. DAILY VISUAL CHECK
DATE INSTALLED 468 D 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS D 5. TRENCH LINER I MONITORING
D 3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR D 6. NONE 469
DISPENSER + AUDIBLE AND VISUAL ALARMS
IX. OWNER/OPERATOR SIGNATURE
1 œrti!ÿ that the infonna1Ïon provided bemn is troe and a«:mate to the best of my~, .
SIGNATURE OF OWNERlOPERATL A DATE 470
1-/-0/
NAME OF OWNER/OPRATOR (print) / ø 471 TIlLE OF OWNER/OPERATOR 4n
Doug Ray District Plant Encineerin~ Mana~er
Permit Nmnber (For local use only) 473 Permit Approved (For local use only) 474 Pennit Expiration Date (For local use only) 475
UPCF (12/99 revised)
12
Fonnerly SWRCB Fonn B
UNIFIED PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUND STORAGE TANKS - TANK PAGE 1
TYPE OF ACTION 0 I NEW SITE PERMIT . 04 AMENDED PERMIT o 5 CHANGE OF INFORMATION 06 TEMPORARY SITE CLOSURE
(Check one item only) 0 7 PERMANENTLY CLOSED ON SITE
181 3 RENEWAL PERMIT (Specifÿ n:ason - for local use only) (Specifÿ reason - for local use only) 0 8 TANK REMOVED 430
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) FACILITY ID:
3
United Parcel Service
LOCATION WITHIN SITE (Optional) 431
Fuel Island
I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be subDÙtted to the local agency.)
TANKID# 432 TANK MANUFACTURER 433 COMPARTMENTAUZEDTANK DYes 181 No 434
02 Owens Comin If"Yes", compIete one page for each compartment
DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437
11/87 10,000
ADDITIONAL DESCRIPTION (For local use only) 438
II. TANK CONTENTS
TANK USE 439
1811. MOTOR VEHICLE FUEL
Of marked complete Petrolemn Type)
o 2, NON-FlÆL PE1ROLEUM
o 3. CHEMICAL PRODUCT
04, HAZARDOUS WASTE
(Includes Used Oil)
o 95, UNKNOWN
PETROLEUM TYPE
1811a, REGULAR UNLEADED 0 2, LEADED
o Ib, PREMIUM UNLEADED 03. DIESEL
Ole, MIDGRADE UNLEADED 04, GASOHOL
COMMON NAME (úom Hazardous Materials Invmtory page)
unleaded gasoline
440
o 5, JET FlÆL
o 6. AVIATION FlÆL
o 99, OTHER
441 CAS# (from Hazardous Materials Inventory page)
8006619
442
III. TANK CONSTRUCTION
TYPE OF TANK 1. SINGLE WALL 03, SINGLE WALL WITH 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443
(Check one item only) EXTERIOR MEMBRANE LINER 0 95, UNKNOWN
1812, DOUBLE WALL 04, SIGNLE WALL IN VAULT 0 99, OTHER
TANK MATERIAL -prirmlIYtanIc 0 1. BARE STEEL 1813. FIBERGLASS I PLASTIC 5, CONCRETE 95. UNKNOWN 444
(Check one item only) 02, STAINLESS STEEL 04, STEEL CLADWIFIBERGLASS 08, FRPCOMPTIBLE WIlOO"/oMETHANOL 0 99. OTHER
REINFORCED PLASTIC (FRP)
TANKMATERIAL-secondarytanlc 01. BARE STEEL 3, FIBERGLASS/PLASTIC 5, CONCRETE 95. UNKNOWN 445
(Check one item only) 02, STAINLESS STEEL 04, STEELCLADWIFIBERGLASS 08, FRPCOMPTffiLEW/IOO%METHANOL 099,OTJlER
REINFORCED PLASTIC (FRP) 0 10. COATED STEEL
o 5, CONCRETE
TANK IN1ERIOR LINING 0 1. RUBBER LINED 03. EPOXY LINING 05. GLASS LINING 095, UNKNOWN 446 DATE INSTALLED 447
OTHER CORROSION 0 I MANUFACIURED CATHODIC 03 FIBERGLASS REINFORCED PLASTIC
PROTECTION IF APPI.ICABLE PROTECTION 0 4 IMPRESSED CURRENT
(Checl< one item only) 0 2 SACRIFICIAL ANODE
SPll.L AND OVERFIlL YEAR INSTALLED
(Check all that apply) 1811 SPIlL CONTAINMENT
D 2 DROP 1UBE
D 3 STRIKER PLATE
IV. TANK LEAK DETECTION (A description oflhe monitoring progmn sha1I be submitted to the local agency,)
IF SINGLE WAIL TANK (Check all that apply) 453 IF DOUBLE W ALL TANK OR TANK WITH BLADDER
(Checl< one item only)
01 VISUAL (SINGLE WALL IN VAULT ONLY)
1812 CONTINUOUS INTERSTITIAL MONITORING
03 MANUAL MONITORING
OR COATING
(Checl< one item only)
02 ALKYD LINING
1816 UNLINED
o 4 PHENOLIC LINING
450
TYPE Oocal use only)
451
o 99 OTHER
095 UNKNOWN
o 99 OTHER
448
(For local use only)
DATE INSTALLED 449
OVERFll.L PROTECTION EQUIPMENT: YEAR INSTALLED
(For local use only)
452
1811 ALARM
o 2 BALL FLOAT
181 3 Fll.L TIJBE SHUT OFF VALVE
04 EXEMPT
454
o I VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MfG)
02 AUTOMATIC TANK GAUGING (ATG) 0 6 VADOSE ZONE
o 3 CONTINUOUS ATG 0 7 GROUNDWATER
04 STATISTICAL INVENTORY RECONCll.IATION 08 TANK TESTING
(SIR) BIENNIAL TANK TESTING 0 99 OTHER
IV. TANK CWSURE INFORMATION I PERMANENT CLOSURE IN PLACE
ESTIMATED DATE LAST USED (YRJMOIDA Y)
455
ESTIMATED QUANTITY OF SUBSTANCE REMAINING
gallons
TANK Fll.LED WITH INERT MATERIAL?
Dyes D No
UPCF (12/99 revised)
10
456
457
Fonuerly SWRCB Fonu B
UNIFIED PROGRAM CONSOLIDATED FORM
TANKS
UNDERGROUNDSTORAGETANKS-TANKPAGE2
VI. PIPING CONSTRUCTION (Check aD that apply) Page '1 of IC,
UNDERGROUND PIPING ABOVEGROUND PIPING
SYSTEM TYPE 1811. PRESSURE 02, SUCTION o 3, GRAVITY 458 o I. PRESSURE o 2, SUCTION 03. GRAVITY 459
CONSTRUCTION 0 I. SINGLE WALL o 3, LINED TRENCH o 99, OTHER 460 o I. SINGLE WALL o 95, UNKNOWN 462
MANUFACTIJRER 1812, DOUBLE WALL o 95. UNKNOWN o 2. DOUBLE WALL o 99, OTHER
MANUFACTURER 461 MANUFACTURER 463
o I. BARE STEEL 06, FRP COMPATIBLE w/IOa-" ME1HANOL o I. BARE STEEL D"FF.J>COMPATlBLE WIlOO%ME1HANOL
o 2, STAINLESS STEEL o 7, GALVANIZED STEEL o Unknown o 2 STAINLESS STEEL o 7, GALVANIZED STEEL
03, PLASTIC COMPATIBLE WI CONTENTS 099. Other 03, PLASTIC COMPATIBLE WI CONTENTS o 8, FLEXIBLE (HDPE) o 99, OTHER
1814, FIBERGLASS o 8, FLEXIBLE (HDPE) o 4, FIBERGLASS 09. CA11l0DICPROTECTION
D 5. STEEL W/COATlNG o 9. CATHODIC PROTECTION 464 05, STEEL W/COATlNG D 95, UNKNOWN 465
VII. PIPING LEAK DETECTION (Check aD that aooly) (A description orlb. m shall be 5Ubmitted to 1b.1ocaI8I<1'ßCY,)
UNDERGROUND PIPING ABOVEGROUND PIPING
SINGLE WALL PIPING 466 SINGLE WALL PIPING 467
PRESSURIZED PIPING (Check aD that apply): PRESSURIZED PIPING (Check aD that apply):
1811, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST MIH AlITO PUMP SHUT o 1, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WI11l AlITO PUMP
OFF FOR LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION +
AUDIBLE AND VISUAL ALARMS, AUDIBLE AND VISUAL ALARMS,
1812, MONTIIL Y 0,2 GPH TEST o 2, MONTIIL Y 0,2 GPH TEST
D 3, ANNUAL INfEGRITY TEST (0.1 GPH) 03, ANNUAL INfEGRITY TEST (0.1 GPH)
04, DAILY VISUAL CHECK
CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check aD that apply)
D 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING o 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM
INfEGRITY TEST (0, I GPH)
SAFE SUCTION SYSTEMS (NO V ALVES IN BELOW GROUNDPIPING): o 6. TRIENNIAL INfEGRITY TEST (0, I GPH)
D 7, SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
GRAVITY FLOW o 7, SELF MONITORING
D 9, BIENNIAL INfEGRITY TEST (0,1 GPH) GRAVITY FLOW (Check aD that apply):
o 8, DAILY VISUAL MONITORING
o 9, BIENNIAL INfEGRITY TEST (0,1 GPH)
SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING
PRESSURIZED PIPING (Check aD that apply): PRESSURIZED PIPING (Check aD that apply):
10, CONTINUOUS TIJRBINE SUMP SENSOR WITII AUDIBLE AND VISUAL 1o, CONTINUOUS TIJRBINE SUMP SENSOR MIH AUDIBLE AND .vISUAL
ALARMS AND (Check on.) ALARMS AND (Check one)
D a. AlITO PUMP SHUT OFF WHEN A LEAK OCCURS o a AlITO PUMP SHUT OFF WHEN A LEAK OCCURS
181 b, AlITO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM o b AlITO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM
DISCONNECTION DISCONNECTION
Dc, NO AlITO PUMP SHUT OFF Dc NO AlITO PUMP SHUT OFF
D 11. AlITOMATICLINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUT 0\1, AlITOMATICLEAKDETECTOR
OFF OR RESlRICTION
D 12, ANNUALINfEGRITYTEST(O.1 GPH) 012. ANNUAL INfEGRITY TEST (0,1 GPH)
SUCTION/GRA VITY SYSTEM SUCTION/GRA V1TY SYSTEM
D 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS
EMERGENCY GENERATORS ONLY (Check aD that apply) EMERGENCY GENERA TORS ONLY (Check aD that apply)
D 14, CONTINUOUS SUMP SENSOR WITIIOUT AlITO PUMP SHUT OFF· o 14. CONTINUOUS SUMP SENSOR WITHOlIT AlITO PUMP SHUT OFF·
AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS
D 15. AlITOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITIIOlIT FLOW 015. AlITOMATIC LINE LEAK DETECTOR (3,0 GPH TEST)
SHUT OFF OR RESlRICTION
o 16, ANNUAL INfEGRITY TEST (0,1 GPH) o 16, ANNUAL INfEGRITY TEST (0,1 GPH)
0\7, DAILY VISUAL CHECK 017, DAILY VISUAL CHECK
VDI. DISPENSER CONTAINMENT
DISPENSER CONTAINMENT 1811, FLOAT MECHANISM TIIAT SHUTS OFF SHEAR VALVE 04, DAILY VISUAL CHECK
DATE INSTALLED 468 o 2, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS o 5. TRENCH LINER I MONITORING
o 3, CONTINUOUS DISPENSER PAN SENSOR JMTIj AUTO SHUT OFF FOR 06, NONE 469
DISPENSER + AUDIBLE AND VISUAL ALARMS
IX. OWNER/OPERATOR SIGNATURE
1 certi1Y that the information provided herein is true and accunte to the best of my 1cnowIedge,
SIGNA11JRE OF OWNERJ.LRATOR DATE 470
. L J-/-cJ ,
NAME OF OWNER/OPRA}'ORlilínt) 471 TITLE OF OWNER/OPERATOR 472
Dou~ Ray District Plant Engineering Manager
Pennit Number (For local use only) 473 Pennit Approved (For local use only) 414 Pennit Expiration Date (For local use only) 415
UPCF (12/99 revised)
12
Former1y SWRCB Form B
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS-
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one pa2e per mareñal per building or area)
DADD DDELETE JŒVISE 2001 Page 1.!1 of J!f
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United. Parcel Service . .'
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
automotive shop EPCRA
1:81 YES D NO
FACiLITY!D# I I I I I I I I I I I I MAP# (optional) 2031 GRID# (optional) 204
ll. CHENUCALThœORMATION
CHEMICAL NAME 205 TRADE SECRET D Yes 1:81 No 206
-~
lubricating base oil If Subject 10 EPCRA, ~fer 10 inslrUClions
COMMON NAME '1iJ7 208
EHS* = Yes I8J No
Mobile SHC 50 svnthetic
CASH 209
NfA *IfEHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
HAZARDOUS MATERIAL 212 I 213
TYPE (Checlc one item only) D a. PURE 181 b. MIXTURE Dc. WASTE 211 RADlOACfIVE Dyes 181 No CURIES
PHYSICAL STATE 21S
(ChecJc one item only) D a, SOLID 181 b. LIQUID D c. GAS 214 LARGEST CONTAINER 55
FED HAZARD CA TEGORIES 216
(ChecJc all mal apply) D a. FIRE D b. REACfIVE D c. PRESSURE RELEASE D d, ACUTE HEALTH D e. CHRONIC HEALTII
AVERAGE DAILY AMOUNT 217 t MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219/ STATE WASTE CODE 220
< I - 55
221 I DAYS ON SITE: m
UNITS' 181 a. GALLONS D b. CUBIC FEET C c. POUNDS D d. TONS 365
(OecJc one item onlv) * If EHS, amount must be in DoundS.
STORAGE
CONTAINER D a, ABOVE GROUND TANK D e. PLASTlClNONMETALLlC DRUM D i. FIBER DRUM D m. GLASS BOTTLE D q. RAIL CAR
D b, UNDERGROUND TANK D f. CAN D j. BAG D n. PLASTIC BOTILE D r. OTHER
D c. TANK INSIDE BUILDING D g. CARBOY D k. BOX D o. TOTE BIN
181 d, STEEL DRUM D h. SILO o L CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE 181 a. AMBIENT D b. ABOVE AMBIENT D c. BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT D b. ABOVE AMBIENT D c. BELOW AMBIENT D d. CRYOGENIC 22S
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 < 15 226 hydrotreated distillate 2ZT DYes 1:81 No 228 64742547 229
2 < 15 230 solvent 231 DYes 1:81 No 232 64742650 233
3 > 85 234 lubricating base oil 23S D Yes 181 No 236 mixture m
4 238 239 DYes D No 240 241
"
. .
5 242 243 DYes D No 244 24S
U mon bazardous compooeDls lITe present al groater thaD 1 ~ by weigbt if ~gmie, or 0.1 ~ by weigbt if cardDogeuic, attach acIdiIiona1 sheets of paper capturiDc the nqulred lnformatioD.
ADDITIONAL LOCALLY COLLECfED INFORMATION 246
If 2""", S;m If~
UPCF (1/99)
6
OES Form 273 I
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one "'''''' "'" maleriaJ per buildillJ! or :uea)
OADD ODELETE o REVISE 2001 Page 1:1 of 1!1
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
Unite~ P~!œ~ ,~~rvke, ..... '. . .._._-~
CHEMICAL LOCÃTì'óN 201 CHEMICAL LOCATION CONFIDENTIAL 202
Automotive Shop EPCRA
~ YES 0 NO
FACILITY ID H I I I I I I I I I I 1 I MAPH (optional) 203/ GRID# (optional) 204
ll. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
Ethylene Glycol " If SubjecllO EPCRA, rerer 10 insuuctions
COMMON NAME 2fJI 208
EHS* DYes 181 No
Anti-freeze
CASH 209
107211 *IfEHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Cou.,lete ir r"",ired by CUPA) 210
HAZARDOUS MA TERJAL 2121 213
TYPE (Check one item only) o a. PURE 181 b. MIXTIJRE Dc. WASTE 211 RADIOACTIVE DYes 181 No CURIES
PHYSICAL STATE 215
(Check one item only) o a, SOLID 181 b. LIQUID o c, GAS 214 LARGEST CONTAINER 110
FED HAZARD CA TEGORJES 216
(Check all mal apply) o a, FIRE 0 b, REACfIVE 0 c. PRESSURE RELEASE 181 d. ACUTE HEALTH 181 e, CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
1 110
221 I DAYS ON SITE: 222
UNITS· 181 a. GALLONS o b. QJBIC FEET o c, POUNDS o d. TONS 365
(Check one item only) · If EHS, amounl must be in pounds.
STORAGE
CONTAINER o a. ABOVE GROUND TANK. 181 e. PLASTICINONMETALLIC DRUM o i. FIBER DRUM o m. GLASS BOTfLE o q. RAIL CAR
o b. UNDERGROUND TANK o f. CAN o j. BAG o n. PLASTIC BOTfLE 0 r, OTHER
Dc. TANK INSIDE BUIlDING o g. CARBOY o k. BOX o o. TOTE BIN
o d. STEEL DRUM o b. SILO o I. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATIJRE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 85-95 226 Ethylene Glycol 1I1 o Yes ~ No 228 107211 229
2 <5 230 diethylene glycol 231 o Yes 181 No 232 111466 233
3 <5 234 hydrated inorganic acid, sodium salt 235 o Yes 181 No 236 proprietary 2J7
4 <5 238 water 239 DYes 181 No 240 7732185 241
5 242 243 o Yes 0 No 244 245
If IDÐI'e bazardous eompoaeuls ""' preseut at greater than 1'310 by weight if ~ or 0.1'310 by weight if can:ù>ogeuic, attacb additional sheets 01 paper upturiDg !be required iDformatioa.
ADDITIONAL LOCALLY COLLECrED INFORMATION 246
~þ
If EPCRA Please Si21l Here
UPCF (1/99)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUSMATFJUALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one I>a£e Der material Der buildißl! or area)
DADD '"MPELETE DREVISE 2001 Page l!l of ~
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service . ' ". _.
CHEMICAL LOéATÎÕÑ'- " . '.. 201 CHEMICAL LOCATION CONFIDENTIAL '-'--"'-:52
automotive shop EPCRA
181 YES 0 NO
FACILITY ID # I I I I I I I I I I I I MAP# (optional) 2031 GRID# (optional) 204
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes 181 No 206
acetylene ., If Subject to EPCRA, refer to instructions
COMMON NAME 2íJT 208
acetvlene EHS* 181 Yes 0 No
CASt 209
74862 *If EHS is "Yes". all amounts below must be in 100.
FIRE CODE HAZARD CLASSES (eon.,lete if required by CUPA) 210
HAZARDOUSMATE~AL 212 I CU~ES 213
TYPE (Check one item only) 181 a. PURE D b. MIXTIlRE Dc. WASTE 211 RADIOACTIVE DYes 181 No
PHYSICAL STATE 215
(Check one item only) D a, SOUD D b. UQUID 181 c. GAS 214 LARGEST CONTAINER 8.76
FED HAZARD CA TEGO~ES 216
(Check allma! apply) r:81 a. ARE D b. REACfIVE r:81 c, PRESSURE RELEASE r:81 d. ACUTE HEALTH D e. CHRONIC HEALTII
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219/ STATE WASTE CODE 220
< 1 17.52
221 I DAYS ON SITE: Z22
UNITS· D a. GALLONS D b. CUBIC FEET r:81 c, POUNDS D d, TONS 365
(Check one item only) · If EHS, amount nmst be in pounds.
STORAGE
CONTAINER D a. ABOVE GROUND TANK D e. PLASTICtNONMETALLIC DRUM o i. ABER DRUM o m. GLASS BOTILÈ o q. RAIL CAR
Db. UNDERGROUND TANK D f. CAN D j. BAG D n. PLASTIC BOTfLE D r. OTHER
D c. TANK INSIDE BUIWING D g. CARBOY o k. BOX o o. TOTE BIN
o d. STEEL DRUM o h. SILO r:81 I. CYUNDER o p. TANK WAGON 223
STORAGE PRESSURE a. AMBIENT .. b. ABOVE AMBIENT o c. BEWW AMBIENT 224
STORAGE TEMPERATURE a. AMBIENT ~ b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 22S
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASU
1 95-99 226 acetylene 'JZ1 181 Yes 0 No 228 74862 229
2 230 acetone 231 181 Yes 0 No 232 67641 233
3 234 235 DYes 0 No 236 - m
4 238 239 o Yes 0 No 240 241
5 242 243 DYes 0 No 244 245
II JDOJ'1! hazardous ampoaeals are pnseut al puler tbaa 1~ b, weight if~. Or 0.1 ~ b, weigbt if cardDogaùc, attac:b additional sbeets or paper capturing !be RCuind lDformatioo.
ADDmONAL LOCALLY COLLECTED INFORMATION 246
~þ
If EPCRA Please Sil!ß Here
UPCF (1199)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one """" per material DCr bujdj"" or area)
DADD ODELETE o REVISE 2001 Page 16 of B
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel_ Serviœ ----2õ2
CHEMItÀL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL
automotive shop EPCRA
t81YES D NO
FACILITY ID # I I I I I I I I I I I I MAP# (optional) 2031 GRID# (optional) 204
ß. CHEl\ßCAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes t8I No 206
oxy~en .~ If Subject to EPCRA, ",fer to instructions
COMMON NAME 'NT 208
EHS* DYes t8I No
oxv£!en
CASH 209
7782447 *If EHS is "Yes", all amounts below must be in Ills.
FIRE CODE HAZARD CLASSES (Complete ifrequirro by CUPA) 210
HAZARDOUSMATEffiAL 212 I CURIES 213
TYPE (Check one item only) ~ a. PURE 0 b, MIXTIJRE DC, WASTE 211 RADlOACflVE DYes ~No
PHYSICAL STATE 215
(Check one item only) o a. SOLID 0 b, LIQUID ~ c, GAS 214 LARGEST CONTAINER 125
FED HAZARD CA TEGOffiES 216
(Check all that apply) ~ a. ARE 0 b. REACfIVE ~ c, PRESSURE RELEASE o d, ACUTE HEALTH ~ e. CHRONIC HEALTII
AVERAGE DAILY AMOUNT 211 I MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219/ STATE WASTE CODE 220
1 250
221 I DAYS ON SITE: 222
UNITS· o a. GALWNS ~ b. ruBlC FEET o c. POUNDS o d. TONS 365
(Check one item only) · If EHS, amount must be in powxIs.
STORAGE
CONTAINER o a. ABOVE GROUND TANK o e. PLASTICINONMETALLIC DRUM o i. ABER DRUM o m. GLASS B01TLE o q. RAIL CAR
o b. UNDERGROUND TANK o f. CAN o j. BAG o n. PLASTIC BOITLE 0 r. OTHER
o c. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN
o d. STEEL DRUM Dh,SIW ~ J. CYUNDER o p. TANK WAGON 223
STORAGE PRESSURE iI a. AMBIENT ø b. ABOVE AMBIENT o c. BEWW AMBIENT 224
STORAGE TEMPERA TIJRE ~ a. AMBIENT ¢ b. ABOVE AMBIENT o c. BEWW AMBIENT o d. CRYOGENIC 22S
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
1 226 1I1 DYes D No 228 229
2 230 231 o Yes D No 232 233
3 234 235 DYes 0 No 236 m
4 238 239 D Yes 0 No 240 241
5 242 243 o Yes 0 No 244 245
II man bazard_ compoueals ore pre5eld al greater tIwo 1 ~ by weighl if aoa-ardDor;eulc:, or 0.1 ~ b1 weighllf cllJ'cløo:eDlc, attach additloDaJ sbects 01 paper capturiøg !be rcquind lDfoomatioo.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
f~
If E RA Please SÏ!>n Here
UPCF (1/99)
6
OES Form 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one m.e per material Der buildill2 or area)
DADD o DELETE o REVISE 2001 Page lit. of f)
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Pm:cel Sçrvice
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENfIAL 1l1l
carwash tunnel EPCRA
181 YES 0 NO
FACILITY ID # I I I I I I I I ì I 1 I MAP# (optional) 2031 GRID# (optional) 204
ll. CHEMICAL INFORMATION
CHEMICAL NAME 20S TRADE SECRET o Yes 181 No 206
surface blend ...
If Subject to EPCRA. refer to instructions
COMMON NAME 2fJ1 208
Blast A way Deterl!ent EHS* DYes 181 No
CASU 209
N/A *If EHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (~Iete if required by CUPA) 210
I flammable
HAZARDOUS MATERIAL 212 I 213
TYPE (Checlc: one item only) o a. PURE !81 b, MIXTURE DC. WASTE 211 RADIOACflVE DYes !81 No CURIES
PHYSICAL STATE 215
(Checlc: one item only) o a. SOLID !81 b. LIQUID o c. GAS 214 LARGEST CONTAINER 300
FED HAZARD CATEGORIES 216
(Check all that apply) o a. ARE 0 b. REACTIVE o c, PRESSURE RELEASE !81 d, ACUTE HEALTH !81 e. ŒRONIC HEALTII
AVERAGE DAILY AMOUNT 2171 ~X~MUM DAI:fôöOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
4
221 I DAYS ON SITE: 222
UNITS· IX a, GALLONS o b, CUBIC FEET := c. POUNDS o d, TONS 365
(Checlc: one item onJv) · If EHS, amount must be in nounds.
STORAGE
CONTAINER D a, ABOVE GROUND TANK o e. PLASTICINONMETALLIC DRUM D i. FIBER DRUM D m. GLASS BOTfLE D q. RAIL CAR
Db. UNDERGROUND TANK o f. CAN o j. BAG o n. PLASTIC BOTILE 0 r. OTHER
!81 c. TANK INSIDE BUILDING o g, CARBOY o k. BOX o o. TOTE BIN
D d. STEEL DRUM D h. SILO o I. CYliNDER o p. TANK WAGON 223
STORAGE PREssURE !81 a. AMBIENT o b. ABOVE AMBIENT D c, BELOW AMBIENT 224
STORAGE TEMPERATURE !81 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT D d. CRYOGENIC 22S
,
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASH
.
I <5 226 nonylphenoxypoly( ethyleneoxy)ethanol m Dyes 0 No 228 9016-45-9 229
2 5-10 2JO tetrasodium ethylenediamine tetraacetate 23t DYes 0 No 232 64-02-8 233
3 234 235 o Yes 0 No 236 237
4 238 239 Dyes D No 240 241
5 242 243 o Yes 0 No 244 245
Jl JDOI'e hazardous am.........ts are pnseøt .« paCer than I~ "1 weight iI aoo-cardDogeDk. or 0.1 ~ '" welcJ¡t iI elll'dnogmk:, .Uac:h addítJcmaJ ,beets 01 paper eaphlrÎD£ the required iDlonwtIioD.
ADDmONAL LOCALLY COLLEcrED INFORMATION 246
4~
If EPCRA Please Siøn Here
UPCF (1/99)
6
OES Form 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one oa~e per material oer buildil12 or area)
OADD ODELETE o REVISE 2001 Page £!of ð
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
Unite<), ParœJ. $ervice . .~. .
. - "
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
carwash area EPCRA
181 YES 0 NO
FACILITY ID# I I I I I I I I I I I I MAP# (OJÙonaI) 2031 GRID# (optional) 204
n. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes 181 No 2IJ6
'.
surface blend If Subject to EPCRA, refer to inst/UCtiollS
COMMON NAME ']f.J/ 208
EHS" o Yes 181 No
Blue Ma!!ic Deterl!ent
CASU 209
N/A "If EHS is "Yes", aU amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
1, flanunable
HAZARDOUSMATEIDAL 212 I 213
TYPE (Check one item only) o a. PURE 181 b. MIXTURE Dc. WASTE 211 RADIOACfIVE Dyes 181 No CUIDFS
PHYSICAL STATE 21S
(Check one item only) o a. SOLID 181 b. LIQUID o c. GAS 214 LARGEST CONTAINER 55
FED HAZARD CA TEGOIDES 216
(Check all that apply) o a. ARE 0 b, REACfIVE o c. PRESSURE RELFASE o d. ACUTE HFALTH 181 e. ŒRONIC HEALTII
AVERAGE DAILY AMOUNT 217\ MAXIMUM DAILY AMOUNT 2t8 ANNUAL WASTE AMOUNT 219\ STATE WASTE CODE 220
< 1 55
221 I DAYS ON SITE: 222
UNITS" øa.GALLONS o b. CUBIC FEET ;_~ c. POUNDS o d. TONS 365
(OIeck one item onlY) .. If EHS, amount must be in DOI1IIds.
STORAGE
CONTAINER o a, ABOVE GROUND TANK ~ e. PLASTICINONMETALLIC DRUM D i. FIBER DRUM D m. GLASS B01TLE D q. RAIL CAR
o b. UNDERGROUND TANK o f, CAN o j. BAG o n. PLASTIC B01TLE 0 r. OTHER
Dc. TANK INSIDE BUIlDING o g. CARBOY o Ie. BOX o 0, TOTE BIN
o d. STEEL DRUM o h. SIW o L CYUNDER Op. TANKWAGON 223
STORAGE PRESSURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BEWW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 22S
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 20-30 226 sodium dodecylbenzene sulfonate 2Il o Yes 181 No 228 21516-30-0 229
2 230 231 o Yes 0 No 232 233
3 234 23S o Yes 0 No 236 237
4 238 239 DYes 0 No 240 241
5 242 243 o Yes 0 No 244 24S
II DIOI'e hazardous com_Is are pnseut at puter than 1'J(, by weight if~, or 0.1'J(, by weight if eardDogenic, attach additional sheds 01 paper capturing the required iDrarmatloa.
ADDITIONAL LOCALLY COLLECfED INFORMATION 246
If Ežlse Sil!:n Here
UPCF (1/99)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIAM ,
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one oaee De' material De' bÚildine 0' area)
OADD o DELETE o REVISE 2001 Page!%. of J!¡
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United ParcelSt<f'li.~, - ., , .,'
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
automotive shop EPCRA
~ YES 0 NO
FACILITY ID # I I I I I I I I I I 1 I MAP# (optional) 203 I GRID# (optional) 204
II. CHEMICAL INFORMA nON
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
- If Subject to EPCRA, refer to insllUCtions
COMMON NAME 1ff1 208
EHS* DYes ~ No
Chevron Dura-Lith Grease EP NLGI 00
CASH 2ffl
N/A *If EHS is "Yes». all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Co"1'lete if 'equired by CUPA) 210
HAZARDOUSMATE~L 212 I CURIES 213
TYPE (OIeck one item only) o a, PURE 181 b. MIXTURE Dc. WASTE 211 RADIOACfIVE DYes 181 No
PHYSICAL STATE 215
(OIecIc one item only) o a. SOLID 181 b, LIQUID o c. GAS 214 LARGEST CONTAINER 55
FED HAZARD CATEGORIES 216
(OIecIc alllhat apply) o a, ARE 0 b, REACfIVE o c, PRESSURE RELEASE o d, ACUTE HEALTH 181 e, CHRONIC HEALTII
AVERAGE DAILY AMOUNT 217\ MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219\ STATE WASTE CODE 220
<-I 55
221 I DAYS ON SITE: 222
UNITS· 181 a. GALLONS o b. CUBIC FEET o c, POUNDS o d, TONS 365
(OIecIc one item only) * If EHS. amount must be in pounds,
STORAGE
CONTAINER o a, ABOVE GROUND TANK De. PLASTIClNONMETALLIC DRUM o i. ABER DRUM o m. GLASS BOITLE 0 q. RAIL CAR
o b, UNDERGROUND TANK o f. CAN o j. BAG o n. PLASTIC BOITLE 0 r. OTHER
o c, TANK INSIDE BUIWING o g, CARBOY o k. BOX o o. TOTE BIN
181 d. STEEL DRUM o h. SIW o I. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOOENIC 225
%WT HAZARDOUS COMPONENT (For míxture or waste only) EHS CASH
1 > 90 226 lubricating base oil 227 DYes 0 No 228 229
2 230 hydrotreated Dist., Lt. Naphth 231 DYes 0 No 232 64742525 233
3 <4 234 lithium base thickeners 235 DYes 0 No 236 237
4 <6 238 additives 239 o Yes 0 No 240 241
5 242 243 DYes 0 No 244 245
II more hazardous amlODelllS are present at greater tbau 1 <¡L by weicbt if ~ or 0.1 <¡L by weicbt if can:lJ1oceulc. attach additional sheets 01 paper captariDc the ft<uInd iDformatioa.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If E7'¿ease Sim Here
UPCF (1/99)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one Da.. per material ner build;n. or area)
~ADD DDELETE DREVISE 200 Page _ of
-
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
automotive shop EPCRA
~ YES D NO
FACILITY ID # I I I I I I I I 1 I I I MAP# (optional) 203 I GRID# (optional) 204
ll. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
blend of hvdrocarbon If Subject to EPCRA, refer to instructions
COMMON NAME 7JJI 208
EHS* DYes ~ No
Motor oil Chevron Delo 15-40
CASH 209
*If EHS is "Yes", all amounts below must be in lbs.
mixture
FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) 210
HAZARDOUS MA TERlAL 212 I CURlES 213
TYPE (Check one item only) D a. PURE ~ b. MIXTURE Dc. WASTE 211 RADIOACTIVE DYes ~No
PHYSICAL STATE 215
(Check one item only) D a. SOLID ~ b. LIQUID D c, GAS 214 LARGEST CONTAINER 450
FED HAZARD CA TEGORlES 216
(Check aU that apply) ~ a. FIRE Db. REACTIVE D c. PRESSURE RELEASE D d, ACUTE HEALTH D e. CHRONIC HEALTII
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
20 450
221 Î DAYS ON SITE: 222
UNITS· ~ a. GALLONS D b. CUBIC FEET D c. POUNDS D d. TONS 365
(Check one item onlv) · If ERS, amount must be in nounds,
STORAGE
CONTAINER ~ a. ABOVE GROUND TANK o e. PLASTICINONMETALLIC DRUM o i. FillER DRUM o m, GLASS BOTILE o q. RAIL CAR
D b. UNDERGROUND TANK o f, CAN D j. BAG o n. PLASTIC BOTILE 0 r, OTHER
o c. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN
o d. STEEL DRUM o h. SILO o 1. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE ~ a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT 224
STORAGE TEMPERATURE ~ a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASU
1 226 refmed petroleum distillates 227 D Yes ~ No 228 mixture 229
2 230 base oil! additives 231 D Yes ~ No 232 64741884 233
3 234 zinc alkyl dithrophosphate 235 D Yes ~ No 236 68649423 237
4 238 hexane 239 DYes ~ No 240 110543 241
5 242 243 DYes D No 244 245
If more hazardous eomponents are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper captnring the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA Please Sirn Here
UPCF (1199)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
. (one na_e ner material ner buildin2 or area)
18IADD DDELETE DREVISE 200 Page_of_
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
Automotive Shop EPCRA
181 YES D NO
FACILITY ID # I I I I I I I I I I I I MAP# (optional) 203 ì GRID# (optional) 204
ll. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes 181 No 206
If Subject to EPCRA, refer to instructions
COMMON NAME '1JJ1 208
EHS* 181 Yes D No
Waste Anti-freeze
CASU 209
N/A *If EHS is "Yes". all amounts below must be in lbs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
HAZARDOUS MATERIAL 212 ì CURIFS 213
TYPE (Check one item only) o a. PURE 0 b. MIXTURE 181 c, WASTE 2t! RADIOACTIVE DYes 181 No
PHYSICAL STATE 215
(Check one item only) o a, SOLID 181 b. LIQUID o c, GAS 214 LARGFST CONTAINER 968
FED HAZARD CA TEGORIFS 216
(Check all that apply) 181 a. FIRE 0 b. REACTIVE 0 c. PRESSURE RELEASE o d. ACUTE HEALTH 181 e. CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
3 968 1760 342
221 I DAYS ON SITE: 222
UNITS· o a. GALLONS o b. CUBIC FEET 181 c. POUNDS o d, TONS 365
(Check one item only) · If EHS. amount must be in DOunds.
STORAGE
CONTAINER o a. ABOVE GROUND TANK 181 e. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM o m, GLASS BOITLE o q. RAIL CAR
o b. UNDERGROUND TANK o f. CAN o j. BAG o n. PLASTIC BOITLE 0 r. OTHER
o c. TANK INSIDE BUILDING o g. CARBOY o k.BOX o 0, TOTE BIN
o d. STEEL DRUM o h, SILO o \. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE 181 a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASU
1 50 226 ethylene 227 181 Yes D No 228 75-85-1 229
2 230 23t DYes D No 232 233
3 234 235 DYes D No 236 237
4 238 239 DYes D No 240 241
5 242 243 DYes D No 244 245
H more hazardous components are present at greater than 1% by weight if øon-carclnogenic, or 0.1% by weight if carcinogenic, attach additional sheets 01 paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION MAXIMUM DAILY AMOUNT CONVERTED TO POUNDS: 968 246
If EPCRA Please Sit'll Here
UPCF (1199)
6
OES Fonn 2731
UNIFIED PROGRAM CONSOLIDATED FORM
HAZARDOUS MATERIALS
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION
(one Da.e per material Der buildio. or area)
~DD o DELETE DREVISE 2001 Page _ of -
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
United Parcel Service
CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202
Automotive Shop EPCRA
~ YES 0 NO
FACILITY ID # I I I I I I I I I I 1 I MAP# (optional) 2031 GRID# (optional) 204
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206
If Subject to EPCRA, refer to iostructioos
COMMON NAME 2fJ7 208
EHS* ~ Yes 0 No
Waste Motor Oil
CASH 209
N/A *If EHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Complete ifrequired by CUPA) 210
Class 3B combustible
HAZARDOUS MATERIAL 212 \ CURIES 213
TYPE (Check one item only) o a. PURE 0 b. MIXTURE 181 c. WASTE 211 RADIOACTIVE DYes 181 No
PHYSICAL STATE 215
(Check one item only) o a, SOLID 181 b. LIQUID o c, GAS 214 LARGEST CONTAINER 1875
FED HAZARD CATEGORIES 216
(Check all that apply) 181 a. FIRE 0 b. REACfIVE 0 c, PRESSURE RELEASE o d, ACUTE HEALTH 181 e. ŒRONIC HEAL TII
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219, STATE WASTE CODE 220
4 1875 8250 221
221 I DAYS ON SITE: 222
UNITS' o a. GALLONS o b. CUBIC FEET 181 c. POUNDS o d. TONS 365
(Check one item onlv) · If EHS, amount DUlst be in pounds.
STORAGE
CONTAINER 181 a. ABOVE GROUND TANK o e. PLASTICINONMETALLlC DRUM o i. FIBER DRUM o m. GLASS BOTTLE o q. RAIL CAR
o b. UNDERGROUND TANK o f. CAN o j, BAG o n. PLASTIC BOTTLE 0 r, OTHER
o c. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN
o d. STEEL DRUM o h. SILO o 1. CYLINDER Dp, TANK WAGON 223
STORAGE PRESSURE 181 a. AMBIENT Db. ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CASU
1 100 226 waste oil 227 ~ Yes 0 No 228 N/A 229
2 230 231 DYes 0 No 232 233
3 234 235 DYes 0 No 236 237
4 238 239 DYes 0 No 240 24t
5 242 243 DYes 0 No 244 245
IT more hazardous components are preseot at greater than 1% by weight if non-can:inogenic, or 0.1% by weight if carcinogenic, attath additional sheets of paper capturing the nquind information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA Please Si!!ß Here
UPCF (1/99)
6
OES Fonn 2731
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'-
EMERGENCY ACTION PLAN
,-,
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FACILITY MAP
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Revised 1 f25195
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UPS EMERGENCY RESPONSE PLAN
DAMAGED PACKAGE PROCEDURE
DESIGNATED RESPONDERS ANNUAL CERTIFICATION
EAST BAY DISTRICT
Bakersfield
BUilDING
0186/0191
EHP CODE
M. Bruckner
INSTRUCTOR
01/24/02
ANNUAL CURRENT
INITIAL DATE DATE OF DATE OF . RESPIRATOR
;OCIAL SECURITY EMPLOYEE OF TRAINING TRAINING MEDICAL TÁAINING
NUMBER NAME (12 HOUR) (4 HOUR) EV ALUA TION TYPElMODEl
546-37-1576 Craig Hill 10/29/92 06/15/2001 12/04/2000 SCBAlUltralite MMR
549-82-4983 Lester Sprague 10/29/92 06/1512001 11/27/2000 SCBAlUltralite MMR
. ,
613-01-1573 David Palmer 03101/2001 02128/2001 SCBAlUltralite MMR
Jt ùv.s ___
---- - 1_10._ 11'__" "'~ ,"'.. '1\"'''''' "" "" . .----
. OJ I ,-, , '. .VIIVI n
559-93-2149 Ryan Lansing 03101/2001 04/06/2001 SCBAlUltralite MMR
.
Codes for EHP:
Respiratory Protection
186 Initial 12 Hour
191 4 Hour Recertification
in Section II of the center's UPS Emergency Response Plan
;afety Manual Vo. XIV.
....
UPS EMERGENCY RESPONSE PLAN
CHAIN OF COMMAND
01/24102
AUTHORIZED TO EVACUATE THE FACILITY AND
AUTHOJNOTIFY THE OUTSIDE RESPONDER
¡:¡::::¡:¡:¡¡¡:¡¡:¡¡:¡¡:¡¡:::¡¡:¡¡:¡::::I¡::f::'::¡¡:¡:¡¡¡:¡¡¡:¡¡¡¡:¡::::::::::¡::::::f¡:¡¡¡:::::¡::::::¡:::¡:::¡:::¡¡:Iil:t:r:::t::::¡::¡:¡:::::::::::::¡:::::::::::::¡¡::::::::¡:¡::¡¡:¡¡::::¡:::I~i.~~~¡¡¡¡:¡:¡::¡:¡:¡:::::::::::::::::::::¡::;¡¡¡¡:¡:¡:¡:¡::::¡:::¡:::¡1¡:::~M~:::¡¡¡¡¡¡:¡¡¡:::1¡:::1:¡::::::::::::::¡
1 Te Russell Buildin Mana er 326-8195 661 92-0124
2 Cral Hill Su ervisor Stockdale 661 872-6403
3 John Gretleln SU ervlsor Bakersfield 661 92-m4
4 Kell Duncan Su ervlsor Bakersfield 661 328-0805
5 Bob Zaben ,su ervisor Bakersfield 661326-1595
6 Mike LaBare SU 'Isor Bakersfield 661 26-8195
DESIGNATED RESPONDERS
(MANAGEMENTI
:,:,:,},,:,:,:,:,:::;::::::}:,:,:,NAMË}:,:,:,:,:,}}:,f,:,:;:::,: ,:,:,:,:,:,:;:::,:,}:,:,}',F.QŠi;¡iñ¡¡¡:':':':""::;::":::'::":':':: }}:':::;::,:,:C··,·,·,' ......... ,:Ë¡:¡:ii.T.it.W'::':;:::':':':'f::::::::"::":"":;::'::::::::':"':::'::::'::"':';:"':':":"":':':'}'::':'"
1
2
3 Crain Hill Sunervlsor Stockdale
4 David Palmer Suoervisor Stockdale
5
6
7
8
9
10
DESIGNATED RESPONDERS
(HOURLY ENPLOYEES)
:"::;:"':::':",:,:;::}:;::}:,::ÏiiiWË':":':':"':':':::':::::':;::}}, :":::,:,:,:,:,:;::,,,::,','::;:,~inöi!f',:,:,:,:,:,:;::':"':}:;:: }}}":':;::CEiiiŒRläP.j:;:a=ii.tiö!l':':::':""':':':':':':'}}::;::::""::":':"':':""""':':':"'::":':':;:':':':':':::;:"':':"
1 Lester Soraaue A.M. Clerk BakersfleldloreJoad
2 John Kent Preloader Bakersfieldloreload
3 Rvan Lanslna P.M. Loader Bakersfieldllocal sort
4
5 .
6
7
8
9
10
'.
REV.6!99
NAME OF FIRE DEPARTMENT:
FIRE DEPARTMENT CONTACT:
FIRE DEPARTMENT PHONE # :
OUTSIDE RESPONDER:
CONTACT PERSON:
PHONE NUMBER:
"
EVACUATION PLAN
BAKERSFIELD BUILDING
PRELOAD AND LOCAL SORT
x = EXIT DOOR
MEET POINT
(X)
r····_·-·························i··~~···-············.........._.................-.-~
: I '7~ ~~TE
·
·
·
I -
LOAD I
I
I
MODULE XI
SHOP I HAZMATCAOE I
-------------------------
B B R
L R E
U 0 D
E W
N
B B B
E E E
L L L
T T T
x
.X
¡--::::ï-------------,--::-::=--I-:::::r::::--I
X X
PERIMETER
FENCE
CAR WASH
1 CALMLY EXIT BY FOLLOWING THE PATH TO THE EMERGENCY DOOR INDICATED ABOVE
2 ASSEMBLE AT THE FENCE OR PROPERTY PERIMETER DIRECTLY IN FRONT OFTHE EXIT DOOR.
3 YOUR IMMEDIATE SUPERVISOR WILL TAKE ATTENDANCE OF ALL EVACUEES AND PROVIDE
FURTHER tNSTUCTIONS ON HOW TO PROCEED.
("
....
1\,
E (----'?- "~
"-¥
~J
EVACUATION PLAN
BAKERSFIELD BUILDING
AUTOMOTIVE SHOP
CAR WASH
".- TME1ER
f E
x
x
x
'.
x
X--> ->
I HAZMATCAOB I SHOP I
I
I
I
X I
\DAD I
)( = Exit Door MOD. I
SðtmwF,r I
~~ I
M ------------------------------------------------------
MEET
POINT
EMERGENCY EVACUATION PROCEDURE
1 . . Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit doo".
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
EVACUATION PLAN
BAKERSFIELD BUILDING
STOCKDALE CENTER
CAR WASH
'P"'~ME1ER
E
x
->-> ->(X)
I MEET NØ'
70
X POINT C?Atl.W/.1!H
X
'.
x
X
IIIAZMATCAGB I
SHOP
X
WAD
MOD.
X = EXIT DOORS
-..
EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
EVACUATION PLAN
BAKERSFIELD BUILDING
BAKERSFIELD CENTER
CAR WA H
IY\ <_<_<__<_<__
CUSTOMER OOUNTBR I
x
11
POINT
PERIME1ER
FENCE
STOCKDALE
x
x
"
x
x
II1AZMATCAGB I
SHOP
x
!DAD
MOD.
(X) = Exit Door
"
EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by fOllowing the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
Employee Emergency Action Steps
for an
Oil Spill Response Plan
for
Bakersfield Facility
Location:
Fuel Island
1. STOP THE SOURCE
Emergency Fuel Shut-off Switch Located: On the exterior wall at the car wash tunnel.
2. CONTAIN THE SPILL
Prevent Spill from Entering Storm Drain System or leaving UPS Premises by Placing
Containment Equipment:
Place containment booms around spill. Do not allow product to leave UPS property. Do not
allow product to enter storm drain.
Place absorbent sheets or clay absorbent to absorb spilled product.
Place used absorbents in plastic bags and process through DMP. (See Diagram on Back)
Spill Kit Located: In yellow barrel at fuel island
Additional Containment Equipment located: HazMat compliance center
3. CALL FOR HELP
Contact:
Operations Manager-
Terry Russell
Office Telephone: 661-326-1595
Home Telephone: 661-392-0124
Alternate -
Rick Garcia
Office Telephone: 559-442-2925
Home Telephone: 559-263-0954(p)
District Spill Coordinator - Stacey Byrem
Office Telephone: 510-663-4035
Home Telephone: 510-448-7633
Oil Spill Response Contact List
FACILITY NAME:
BAKERSFIELD
Facility Spill Coordinator
Name: Terry Russell
Office: 661-326-1595
Home: 661-392-0124
Pgr/Cell 661-634-2548
Alternate Facility Spill Coordinator
Name: RICK GARCIA
Office: 559-442-2925
Home: N/A
Pgr/Cell 559-263-0954
District Spill Coordinator
Name: Stacey Byrem
Office: 510-633-4035
Home: 51C>-434-9593
Pgr/CeIl 510- 448-7633
Alternate District Spill Coordinator
Name:
Office: ( ) -
Home: ( ) -
Pgr/Cell ( ) -
Local Fire Department
Name:
Office: 911
Home:
Pgr/Cell
Facility Engineer
Name: David Hallett
Office: 510-633-3974
Home: 925-803-9961
Pgr/Cell 510-4483134
District Plant Engineering Manager
Name: Doug Ray
Office: 510-633-4037
Home:
Pgr/Cell 510-448-2623
Region Environmental Coordinator
Name: Joe Kehrt
Office: 925-277-2680
Home:
Pgr/CeIl 925-833-4678
Corporate Reporting
Name: Corporate Environmental Group
Office: 404-432-4699
Home: ( ) -
Pgr/CeIl
Alternate Corporate Spill Coordinator
Name: Corporate Environmental Group
Office: 727-460-5742
Home: ( ) -
Pgr/CeIl
DA TE REVISED: 10101
Local Spill Cleanup Contractor
Name: MP Environmental Services
Office: 1-800- 458-3036
Home: N/A
Pgr/Cell NIA
Alternate Local Spill Cleanup Contractor
Name: Universal Environmental
Office: 707-747-6699
Home: NIA
Pgr/Cell NIA
Fuel Facility Repair Contractor
Name: Franzen Hill
Office: 800-655-3436
Home: 559-688-2977
Pgr/Cell NIA
Alternate Fuel Facility Repair Contractor
Name: Champion Tank Testing
Office: 800-660-9443
Home: NIA
Pgr/Cell N/A
Tank Draining Contractor
Name: Franzen Hill
Office: 800-655-3436
Home: 559-688-2977
Pgr/CeIl N/A
Tank Testing Contractor
Name: Champion Tank Testing
Office: 800-660-9443
Home: NIA
Pgr/Cell N/A
Electrical Contractor
Name: Levinar
Office: 661-323-7044
Home:
Pgr/Cell
Alternate Electrical Contractor
Name: AC
Office: 661-633-5368
Home: N/A
Pgr/CeIl N/A
state Water Pollution Agency
Name:
Office:
Home:
Pgr/CeIl
Local Water Pollution Agency
Name:
Office:
Home:
Pgr/CeIl
Oil Spill/Hazardous Substance Release Incident Report
Follow-Up
(To be filled out by the District Spill Coordinator)
Date and Time Agency Notified:
To:
To:
/ /
AM/PM
of:
of:
Name
Agency
Estimated Cost of Incident:
$
How and why did this incident occur? (State the facts accurately and carefully. Do not
speculate about events about which you are not certain. Do not give your opinion.)
What steps should be taken in the future to prevent this from occurring again?
Have recommendations been implemented? Yes 0 No 0 Date: / /
Reviewed By:
District Automotive Mgr.
District P. E. Mgr.
District Mgr.
Division Mgr.
pc: Region Automotive Mgr.
Region P. E. Mgr.
(also, when pertinent)
Facility Environmental File
Fuel Facility Equipment History
Oil Spill/Hazardous Substance Release Incident Report
(This form is to be faxed to the Corporate Spill Coordinator @ (404) 828-6347 (atlas 490-6347) as soon as practical
after the initial response activities are complete. Complete as much information as possible but do not delay
submission due to lack of information.) .
Incident Time:
Date:
District:
Address:
Reported by:
UPS Mgr. in charge at
scene:
AM/PM Facility
Name:
Mnemonic:
Region:
Dept:
Dept:
Phone:
Phone:
Product Type: 0 PETROLEUM BASED
If product is a Hazardous Substance, Indicate Reportable
Quantity:
Product involved:
Source: Fuel Delivery Vehicle 0 UPS Vehicle
Type of surface where spill occurred: Paved
Was product contained on UPS premises? Yes
Did product enter sewers, pipes or ditches
or a body of water?
o HAZARDOUS SUBSTANCE
Quantity Released:
OUST andlor Piping 0
o Unpaved 0
D NoD
o No 0 Unknown 0
(approx. gallons or pounds)
AST andlor Piping 0 Package 0
(If no, describe below).
Yes
(If yes or unknown, describe below).
R A h T N 'fi d
egu ato y ut on les otlle .
.
Local Person's Phone Time:
Aaencv: name: No: AMlPM
State Person's Phone Time:
Agency: name: No: AM/PM
Federal Person's Phone Time:
Aaencv: name: No: AMlPM
Will clean up be Contractor
completed within 24 hrs? Yes 0 No 0 Contacted:
Contractor Representative Phone
Describe Incident, Hazard Abatement, and Remedial Activities. Use back if necessary: (State the facts accurately and
carefully. Do not speculate about events which you are not certain. Do not give your opinion.)
Re ort Follow-u
(To be filled out by the District Spill Coordinator and sent to the Corporate Spill Coordinator within one week after initial
clean activities have been completed or a remediation project has begun).
Clean up activities completion date: If not complete, anticipated completion date:
How and why did this incident occur? (State the facts accurately and carefully. Do not speculate about events about
which you are not certain. Do not give your opinion.)
What steps should be taken in the future to prevent this from occurring again?
Have recommendations been im lemented?
Yes
NoD
Date:
Damaged Materials Program
Contingency Plan
Bakersfield Facility
Bakersfield, CA
United Parcel Service
3800 N. Sillect Ave.
Bakersfield, CA. 93308
Day (661) 326-1595
Evening (661) 326-1595
Company name:
Facility address:
Phone nwnber:
EMERGENCY COORDINATORS
Primary emergency Coordinator:
Coordinators Home address:
Coordinators work phone nwnber:
Coordinators emergency phone nwnber:
Secondary emergency Coordinator:
Coordinators home address:
Coordinators work phone nwnber:
Coordinators emergency phone number:
LOCAL EMERGENCY CONTACTS
Fire Department
Police Department
Hospital
Electric Co.
Gas Co
EP A Region 9
Chemtrec Emergency Response
MP Environmenta1( emergency contact)
Poison Control Center
Terry Russell
(661) 326-1595
(661) 634-2548(P)
Rick Garcia
(559) 442-2929
(559) 263-0954(P)
911/(661) 324-4542
911/(661) 327-7111
911/(661)-632-5000
(800) 611-1911
(800) 611-1911
(415) 972-3671
(800) 424-9300
(800) 458-3036
(800) 876-4766
Facility hazardous materials business plan is on file with county agency.
~ United Parcel SerYIce
EMERGENCY RESPONSE PLAN
PRE-EMERGENCY PLANNING
and
COORDINATION WITH OUTSIDE PARTIES
Revised 1uly 1995 ,
SECTION I
EMERGENCY RESPONSE PLAN
PRE-EMERGENCY PLANNING AND COORDINATION
WITH OUTSIDE PARTIES
Outside parties include fire departments and other outside responders (qualified HazMat
contractors).
UPS facilities with UPS Designated Responders
There may be hazardous material spills which are beyond the capabilities of the UPS
Designated Responders. In those situations, the responders should follow the
Decision Tree found in Section V of this plan. The services of an outside responder
or fire department will be utilized to handle spills or accidents that:
· Are producing fumes or vapors that irritate the skin.
· Are either a fuming corrosive, or an irritant producing visible fumes or vapors.
· Are too large to be effectively absorbed or neutralized with available supplies.
· Have the Potential to cause an emergency.
· Have resulted in a release of a regulated substance under the Risk Management
Planning Emergency Response provisions.
UPS facilities without Designated Responders
In those facilities, no one is authorized to clean up spills involving hazardous or
flammable materials. Such work will be performed by qualified outside
responders or local fire departments.
Facilities with Risk Management Programs
Facility employees will not respond to accidental releases of flammable
substances. The Risk Management Program emergency response plan for these
UPS facilities is to have the local fire department respond when needed. The
local fire department will be requested to visit these UPS facilities related to their
"risk management emergency response needs and to conduct fire prevention
inspections and pre-planning activities.
Facility management responsibilities
The center or hub manager with the district health and safety manager shall be
. responsible for identifying and prearranging emergency planninf and
coordination with outside responders.
SEC110N I -Prc-Emcrgency Planning/Coordination
Rev. 4199
Page I
EMERGENCY RESPONSE PLAN
An operations manager is responsible for meeting with the outside responder to
discuss the facility's Emergency Action Plan procedures. In addition, an
operations manager is responsible for making an annual follow-up contact by
telephone for any procedural updates. If conditions warrant, a physical meeting
may be required. Documentation of the most current contact must be made on the
"Outside Emergency Response Plan" contact form and maintained in this section
of the plan. In the event a spill incident or accidental release requires an outside
responder, the chain of command shall be followed in determining the person who
will contact the outside responder (Section VII).
SECTION I -PJe..Emcrgcncy Planning/Coordination
Rev .4/99
Page 2
~ United Parcel Semce
EMERGENCY RESPONSE PLAN
UPS DAMAGED PACKAGE
RESPONSE PROCEDURE,
SITE SECURITY and CONTROL
SECTION n
Revised July 1995
EMERGENCY RESPONSE PLAN
UPS DAMAGED PACKAGE RESPONSE
TABLE OF CONTENTS
I. IN'fR.ODUCTION........................... ............ .-............................... ....1
ll. OVERVIEW OF THE PROCEDURE... . . ..............................................1
ill. RESPONSE PROCEDURES ........................................................ 2 - 4
Procedures for Non-Responders ......................................2
Procedures for Package Drivers on Area ............................3
Procedures for Designated Responders.......................... ....3
Site Security and Control......................................... .3-4
IV. MANAGEMENT RESPONSIBILITIES ................................................5
Facility Management Responsibilities ..............................5
V. TRAINING ...... ..................... .......... ............. .... ............. ........... ....6
NOIl-ResJPonder1l~g ..............................................6
Designated ResJPonder 1lraining ................................... ...7
VI. MEDICAL 'fREA'fMENTIHEALTH SURVEILLANCE ...........................8
Vll. FOLLOW-UP AND RE-EV ALUATION ..............................................8
Revised 4J99
SECTION n
UPS DAMAGED PACKAGE RESPONSE
L INTRODUCTION
The following response and spill cleanup procedure is to be used whenever a leaking
damaged package is discovered. Leaking damaged packages may contain hazardous
materials which may be harmful to UPS employees. This procedure outlines the
appropriate steps to be taken by both responding and non-responding employees if they
encounter any leaking damaged packages. The type of material leaking from the
package, as well ~ the role the employee will play in the response and cleanup of the
spilled material, determines the actions employees will take and the training they will
receive.
This procedure is designed to supplement, but not replace, any other UPS procedures.
The objective of this procedure is to provide uniform procedures for responding to
leaking damaged package situations using standardized materials, equipment and
methods.
IT. OVERVIEW OF THE PROCEDURE
The recommended course of action for most UPS employees when they encounter a
leaking hazardous package is: do not touch, leave the area, and notify your supervisor.
Only specially trained and equipped employees will follow response procedures to
properly respond to, clean up, and dispose of, leaking hazardous packages. Outside
responders and/or fire departments may be called in to deal with specific situations
outside the capabilities of UPS Designated Responders. These specific situations are
described in both the Decision Tree and the outside responders' section of the UPS
Emergency Response Plan. In UPS facilities without UPS Designated Responders, only
a qualified outside responder can respond to, and clean up a leaking hazardous package.
A package should be treated as leaking if its contents are escaping from within, but not if
it merely became wet from external sources such as rain or drink spills.
A leaking package should be treated as hazardous if:
1. It canies a D.G.T. label or any other hazard warning, and does not contain a
consumer product offered to the general public for household use (such as paint,
solvents or other paint-related products, foodstuffs, and household cleaners);
2. It does not have any hazard warnings, but it does not contain a consumer product
offered to the general public for household use and the package should have carried a
D.G.T. label, or Hazardous MaterialslDangerous Goods Shipping Paper, or other
hazard warnings.
3. It is generating smoke, visible fumes, or giving off an odor that is irritating the skin,
eyes, nose, or throat.
Revised 4199
1
4. It contains material you cannot identify through means such as shipping records,
calls to the shipper, labels exposed through holes in the package, or knowledge of the
shipper's business.
Employees involved in this procedure are:
Non-responders - most UPS operational employees who receive general training.
Employees in this group include package handlers and drivers who perform the
loading/unloading, sorting and delivery work, as well as other operations employees.
Designated Responders (employee) - operational employees who receive special
training to respond to, clean up, and dispose of, leaking damaged packages.
Designated Responders (management) - management employees who receive special
training to supervise the employee Designated Responders. In addition to supervising,
these management Designated Responders will be certified to assist in the actual
response, as well.
Designated Responder Training (management) - management employees who receive
additional training beyond that offered to other responder groups. This will be the only
group authorized to train/certify employees to become Designated Responders.
m RESPONSE PROCEDURES
Procedures for non-responders
Non-responding employees who discover a leaking package - not including a package
that is wet from external sources such as rain or drink spills rather than contents escaping
from within - should take the following steps:
1. Do NOT touch the package.
2. Determine whether the leaking package is hazardous applying the criteria set forth
above (paragraph n, page 1).
3. If the package is hazardous, the non-responding employees should stop the belt (if
the package is on a moving belt), leave the area, and notify their supervisor.
4. If the package is not hazardous, the non-responding employees should carefully
move the package to a spill tub and set it aside for regular pick-up by a Designated
Responder, who will transfer the leaking package to UPS personnel trained to rewrap
non-hazardous damaged packages.
5. Once the supervisor is notified of a leaking hazardous package, he/she should:
A. NOT touch the package or spilled material,
B. clear all employees from the immediate area, and
C. contact a Designated Responder.
The Designated Responder will clean up and dispose of the spilled material.
Revised 4/99
2
Procedures for package drivers on area
1. Do NOT touch the package.
2. Determine whether the leaking package is hazardous applying the criteria set forth
above (paragraph ß, page 1).
If the package is hazardous, then perform steps 3 through 6.
3. Close the bulkhead and/or the rear door.
4. Park the vehicle in a safe location which does not pose a threat to the public.
5. Secure the vehicle.
6. Notify your supervisor.
If the package is detennined to be non-hazardous, isolate the package to prevent other
damages, then notify your supervisor.
Procedures for Designated Responders
UPS Designated Responders receive specialized training to handle hazardous material
spills. They are trained to respond to, clean up, and dispose of, leaking hazardous
packages using the Decision Tree and Response Sheets (see Section V of the UPS
Emergency Response Plan).
When called upon to respond to a leaking hazardous package, the Designated Responder
should:
1. Gather spill cart which may include SCBA.
2. Don the required minimum personal protective equipment (PPE) (goggles, gloves,
apron, and boots).
Site Security and Control
Restrict access to the immediate area by:
A. Cordoning off the area using restrictive tape or safety cones.
B. Placing supervisors in key locations to prevent employee access to the scene.
C. Notifying a management Designated Responder to coordinate additional
assistance as needed.
3. Read the label
A. Does the outside of the package identify its contents?
B. Is there a D.O.T. diamond label or any other hazard warning?
C. Is there an MSDS?
D. Is there a packing slip?
Revised 4/99
3
4. If identifiable, use the Decision Tree and appropriate Response Sheet to clean up the
spill.
5. If unable to identify the spilled material, use the Decision Tree and Response Sheet for
unlabeled/unknown packages to determine the proper spill cleanup procedures.
6. Based on the instruction in the Response Sheets, don SCBA, if necessary. Based on the
Decision Tree, if the hazardous material spilled is appropriate for cleanup, the UPS
Designated Responder must always wear the required PPE designated in the guidelines
of the Response Sheets or the MSDS.
7. Contain the spill in a spill tub and transport the spilled material to the Package Service
Center or DMP area for further processing.
8. Separate the salvageable portion of the package. Re-containerize any spilled liquid, and
return it to the shipper using the proper damage processing procedures and D.O.T.
packaging and labeling guidelines.
9. If unknown, call the shipper.
A. Is there an emergency contact number on the Hazardous MaterialslDangerous
.Goods Shipping Paper?
B. Is the number on the label or packing slip? If it is possible, contact the shipper,
request an MSDS.
10. Review the MSDS or consult the UPS Guide for Shipping Ground and Air Hazardous
Materials.
11. Process the damaged material according to proper DMP Procedures.
12. Decontaminate Personal Protective Equipment (PPE) and wash any exposed parts of the
body (Section VI of the UPS Emergency Response Plan).
13. Complete appropriate paperwork which may include an HMIRR, DIR, DMN, HM-IO,
D.O.T. 5800 (Section X of the UPS Emergency Response Plan).
14. Based on the Decision Tree, the Designated Responder must follow the facility's chain
of command and explain the situation to hislher immediate supervisor if a hazardous
material spill falls into any of the follow categories:
A. is producing fumes that irritate the skin, or
B. is a fuming corrosive, or
C. is too large to be effectively absorbed or neutralized with available supplies, or
D. has the potential to cause an emergency, or
E. is prohibited from shipment in the UPS system.
Revised 4199
4
Based on the chain of command, management will be authorized to notify the outside
responder to handle any of the situations listed in step No. 14. Once the outside
responder is called in, the immediate area surrounding the leaking damaged hazardous
package must be evacuated.
In facilities that do not possess SCBA, Designated Responders will not be authorized to
respond to any hazardous material spills that require the use of SCBA.
IV. MANAGEMENT RESPONSmILITIES
Facility management responsibilities
Operations management is ultimately responsible for ensuring compliance with all
aspects of the UPS Emergency Response Plan which include, but are not limited to, the
following areas:
Operations management must ensure that each sort has the appropriate number of
Designated Responders at all times. Two factors which help the manager determine the
appropriate number include the size of an operation and the experience rate of the
damages.
There must be management employees included as Designated Responders in each
facility. This will enable the management to supervise and assist in both the response
decision making process and the chain of command procedure. The facility's chain of
command procedure must be maintained in the UPS Emergency Response Plan (Section
VII).
Each UPS Emergency Response Plan shall contain in Section ill, a list of active
Designated Responders which includes:
· facility name,
· employee name,
· social security number,
· work shift ( sort),
· date of initial 12-hour training,
· date of current recertification training, and
· date of current medical evaluation.
All Designated Responders should also be listed on the Chain of Command in Section
VII.
Operations management is responsible for contacting by phone/visiting the outside
responder at least every 12 months to discuss the conditions and emergency evacuation
procedures at the facility. This contact must be documented and maintained in Section I
of the UPS Emergency Response Plan. If an incident occurs which requires the presence
of an outside responder, the operations manager or most senior designated management
employee in the chain of command, on site, will be responsible for ordering an
evacuation and contacting the outside responder.
Revised 4/99
5
v. TRAINING
NON-RESPONDER TRAINING
This training is for employees who load, unload, sort, handle, deliver or are involved in
the direct distribution of packages.
Objective:
To train non-responder employees that their primary responsibilities are:
· Do NOT touch,
· LEA VB the area, and
· NOTIFY their supervisor.
They are not trained to respond, but should be able to visually identify whether the
spilled material is hazardous and report this information to their supervisor.
The key areas of their training are:
1. Overview of hazardous materials marking and labeling.
2. Job specific hazardous materials training for package, feeder, pre-load and hub/local
sort employees.
3. Their role in the damaged package response procedure.
4. The properties of hazardous materials. The difference between leakers and wet
packages.
5. How to evacuate during an emergency and where to assemble.
6. How and where to get emergency medical assistance.
.7. Their r~le in the Hazard Communication program and how to get information if they
request it.
Length of Training
Each year a minimum of one hour of training will be provided to demonstrate
competency in the above described areas, along with a pocket-size reminder card
emphasizing their responsibilities. Each employee will be given a proficiency
certification. Documentation of the most cmrent proficiency certification will be
maintained in his/her center. Each operation will maintain the most current compliance
training roster in their UPS Emergency Response Plan, Section IV.
DESIGNATED RESPONDER TRAINING
This training will be given to employees who will be designated to respond to, clean up,
and dispose of, leaking hazardous packages.
Areas of Training
UPS Emergency Response Plan
Common Physical Hazards
Potential Health Hazards
Biological Hazards
Hazard CommunicationlMSDS
Revised 4/99
6
Hazardous Material Labeling
Health Surveillance
PPE (don-doff, hands on, and decontamination)
Hypothetical Spill Response Scenarios
Reporting
DMP Certification
Length of training
UPS has designed a 12-hour workshop for Designated Responders. Recertification
training will be provided on an annual basis. Training will consist of hands-on and
proficiency certification. Documentation of the initial 12-hour proficiency certification
will be maintained in the center. The compliance roster will be maintained in Section ill
of the UPS Emergency Response Plan.
Documentation of the most current recertification training will replace any previous
training documentation in Section ill of this plan. Only the most current recertification
training will be entered into the EHP. The initial 12-hour proficiency certification must
be maintained in the center. The proper documentation to be used in Section ill is the
"UPS Compliance Training Student Roster" (016279-8/94).
Management Designated Responders will receive the same training described above, but
in addition, they will receive training in:
A. Their role in managing the Designated Responders.
B.
C.
How to follow the chain of command and contact the outside responder.
,
Their responsibilities in the emergency evacuation and restricting the access to
immediate area.
D. Proper inventory control ofPPE which includes the spill cart inventory and SCBA
monthly inspection.
Designated Responders trainers
Special training will be provided to UPS management employees who will be certified to
conduct 12-hour workshops for the Designated Responders.
Areas of training
Management trainers will be trained in accordance with the hazardous material response
training instructor manual developed by UPS. Upon completion of the training, the
trainers will be competent in all areas of the UPS damaged package response procedures,
as well as legal and regulatory, hazardous materials labeling, properties of hazardous
materials, potential health hazards, hypothetical response scenarios and how to train in
12-hour workshops and recertification workshops.
Revised 4199
7
Length of training
The trainer workshops will be 24 hours as indicated in the Hazardous Material Response
Training instructor manual.
VI. MEDICAL TREATMENTIHEALm SURVEILLANCE
After any spill, medical assistance will be made available immediately to all employees
who suffer any symptoms or other reactions.
All Designated Responders will be required to undergo a baseline physical examination
before assuming the duties of this program. The health status of all Designated
Responders will be reviewed annually thereafter, and within six 'months of separation or
reassignment to a position that does not require health swveillance.
VIT. FOLLOW-UP AND RE-EV ALUATION
UPS will monitor the effectiveness of the damaged package response procedure to ensure
that the expectations for it are met. Any injuries, symptoms of discomfort, or illness
experienced by employees as a result of a damaged package or spill will be reported
directly to the district Health and Safety manager who, upon consulting Occupational
Health and the employee's manager, will evaluate procedures in order to identify
problem areas. Ifnecessary, corrective action will be taken. In addition, at least
annually, procedures will be reviewed by Health and Safety in order to detennine the
need for any revisions in the program.
Revised 4199
8
~ United Parcel SeMce
EMERGENCY RESPONSE PLAN
pESIGNATED RESPONDER
TRAINING
Revised July 1995
SECTION ill
~ United PaIœI Semce
EMERGENCY RESPONSE PLAN
NON-RESPONDER
TRAINING
Revised July 1995
SECTION IV
~ Unned Parcel Semce
EMERGENCY RESPONSE PLAN
NON-RESPONDER TRAINING
This training is for operations employees who load, unload, sort, handle, deliver or are involved in
the direct distribution of packages.
Objective:
To train non-responder employees that their primary responsibilities are: Do NOT touch, LEAVE
the area and NOTIFY their supervisor. While they are not trained to respond, they should be able
to visually identify whether the spilled material is hazardous, and report this information to their
supervisor.
The key areas of their trainiDg are:
1. Overview of hazardous materials marking and labeling.
2. Job specific hazardous materials training for package, feeder, pre-load and hubllocal sort
employees .
3. Their role in the damaged package response procedure.
4. The properties of hazardous materials.
5. How to evacuate during an emergency and where to assemble.
6. How and where to get emergency medical assistance.
7. Their role in the Hazard Communication program and how to get information if they
request it.
Length of TraiDing
A minimum of one hour of training to demonstrate competency in the key areas described above is
required. Annual refresher training will be provided. Each employee will be given a proficiency
certification at both the original and refresher training sessions. Documentation of the most current
proficiency certification will be mainœined in the center. Each operation will maintain the most
current compliance training roster in this section of the UPS Emergency Response Plan.
SECTION IV - Non-Responder Training
Rev. 711$/95
Page 1
EMERGENCY RESPONSE PLAN
RISK MANAGEMENT PROGRAM TRAINING
This training is for facility employees who are involved in the operation of processes
using flammable substances at UPS facilities subject to the US EP A Risk Management
Program requirements.
Objective:
Since UPS employees will not respond to accidental releases of flammable substances,
the objective of this training is to ensure that all applicable employees are aware that their
primary responsibilities as non-responders are: Do Not touch, Leave the area and
Notify their supervisor. While they are not trained to respond, they should be able to
visually identify whether the accidental release is hazardous or flammable, and report this
information to their supervisor.
The key are~ of their training are:
1. Overview of flammable materials marking and labeling.
2. Job specific flammable materials training for employees who are involved in the
operation of Risk Management Program covered processes.
3. Their role in the emergency response procedure.
4. The properties of flammable materials.
5. How to evacuate during an emergency and where to assemble.
6. How and where to get emergency medical assistance.
7. Their role in the Risk Management Program and how to get information if they
request it.
Length of Training
A minimum of one hour of training to demonstrate competency in the key areas described
above is appropriate. Annual refresher training will be provided. Each employee will be
given a proficiency certification at both the original and refresher training sessions.
Documentation of the most current proficiency certification will be maintained in the
center. Each operation will maintain the most current compliance training roster in this
section of the UPS Emergency Response Plan.
SEcnON IV - Non-Responder Training
Rev. 4/99
Page 2
~ United Parcel SerYIce
EMERGENCY RESPONSE PLAN
DECISION TREE
and
RESPONSE SHEETS
Decision Tree and Response Sheets
019100130202(4;o1)2~
SECTION V
---------
. '. Revised - April 2001
LEAKING PACKAGE DECISION TREE
FOR DESIGNATED RESPONDERS
~YES
YES
NO
Refer to appropriate Response
Sheet. Is SCBA required, or is
I the material producing an
YES irritating odor, smoke, or
visible fumes?
Is SCBA
available?
Refer to appropriate Response
Sheet to clean up spill. Package
and related spill must be
handled by UPS designated
responders, using SCBA and
PPE as necessary.
.'''' "
:.:... '_ .:¡ .', . '--'¡, ~." .~.- '. '.. _.~. ._'t. .
, fire department
must be contacted.
í.~~e~~ .~,~ ,.;·,,~J~~tij~tïr~fi~i~'t~~:'~~1~!~it~'it~~rflmt~
éforþo~rCtisþósitiôri'öf,UNSAlV AGEABLE. þortlol1)ôfthe'~:;'<"
package and contaminated packaging/debris.' SAL V ÁGEABLE
portion of any package with shipping papers must be repacked
in a SALVAGE DRUM and returned to the shipper.
NO
. ..
"othèréhèziì~d wérl1ihg;,òFare'
the contents unknown?
NO
NO
f~~~ijtf~HiJ!~i;f!Þ!º']lr:,~. /J"" ".'·'Æ'~~~'
~(I¡¡bëls;'šhlppil1g'r~ôrC:ls;' ~t~;,..., atftiê/?:~'"
package contahís a household' product
such as paint, personal care products or
common household chemicals?
YES
~:,~~~Wãij~!~~"'~""A'i"'~"~"" .'
':lsólatedJ''faspl~I]i:Jb(ß '. .',.
direction òf u·pSs.ûpervìsórs),· '.
Including those whò have not received
special training on hazardous
materials until the designated
responder arrives at the spill site.
:r~~~~è~~~~fti,~]~ä~~'~~~~I~~~;
processed by UPS personnel," .
Including those who have not
received sp.ecial training on
hazardous materials.
. Does not Include packages that are wet from external sources such as rain or drink spills.
T Unless carton Is marked with applicable exemption number.
Revised 4/01
f:Ìlt~'~W~~~¡ - YES
:<i~fãciliWl~ofdids "illèd;,}',
;*¡[9fit§ºf,~~~~~é(,~:~r~itiì,~'
I
NO
Spilled or leaking
package
contents
Waste Disposal
for a
Full DMP Facility
Only Designated Responders can
process liquid or chemical package
generated waste
-.
Notify PE
(District Spill
Coordinator)
immediately
NO
I
-NO
:,":~. y-'
~~1.~ N
~.:~{,i~L~~i~t.~:~~;~~?-~;~,:)\s::;..., :.,< :~,'~'
I
YES
Notify PE
(District Spill
Coordinator)
immediately
- YES -.
.
NO
I
Solidify all liquid
YES-' . waste, bag, and
I " place in the trash
~~~i~t1,if-YES ~
I
NO
.
Solidify'allliquid
waste, bag, and
place in the trash
-:~:,.f.;-.:',';'..:: .,
.. .... .,,<",,'. '--',~~ <..~
NO
Solidify all
liquid waste,
bag, and place
in the trash,
YES
:"-.;,-;.:,.,.,;.,"
I
NO
YES
I
, . Continue f()1I9wingDMP
'. ',.procedures ånd '.
,'FAXcom~le~edI?MNto waste '
. 'vendor .
DMP = Damaged Materials Program
DMN = Damaged Material Notification form
CESQG= Conditionally Exempt Small Quantity Generator
RQ = Reportable Quantity as indicated on the UPS shipping paper
Revised 4/01
Spilled or leaking
package
contents
.
,!tIDIII ~
I
YES
I
NO
Notify PE
(District Spill
Coordinator)
immediately
Waste Disposal
for a
CESQG DMP Facility
Only Designated Responders
can process liquid or
chemical package-
generated waste
"')
" "'
ll~'1t~tf- YES
I
NO
Notify PE
(District Spill
Coordinator)
immediately
NO
"':,I#,.ånýjrlgt~di~nt'i~the;"(
prôducflìstêd'irfTàble:j6;"
~fli.~i
I
YES
~~~III
YES
Notify
(District Spill
Coordinator)
immediately
(~ ...~ ~_. - Jr'>.~...~~
:\r,J,,;íl\!w,'nt":JJ.lCof:J :"~
'~}¡' \i1r.-f·:P, >" - "
". '!\!..~ \.- , :
... -" .
'> !~:rí'f~:~l~I{~': :,":
YES -.
NO-'
Solidify all liquid
waste, bag, and
place in the trash
NO-'
Solidify all liquid
waste, bag, 'and
place in the trash, '.
- AND -.
· Place solidified liquid waste and empty
containers in plastic bag .
· Attach label to bag identifying contents
· Store in safe location until further
directions from PE
CESOG = Conditionally Exempt Small Quantity Generator
DMP = Damaged Materials Program
RO = Reportable Quantity as indicated on the UPS shipping paper
'\
.J I
Revised 4/01
HAZARD CLASS RESPONSE SHEET
PROHIBITED HAZARDOUS MA TERIALS
PROHIBITED HAZARDOUS MATERIALS
Hazards
1. Contact may cause burns to the eyes or skin.
2. Skin contact may be poisonous.
3. Fire may produce irritating or poisonous gases.
4. May be poisonous if inhaled, swallowed, or absorbed through the skin.
5. Material may be flammable or may ignite if exposed to air. "Dangerous When Wet" may ignite when
exposed to moisture.
6. The material may be toxic as well as flammable.
Personal Protective EauiDment Reauired
=[!rlEI
1. Wear goggles, boots, apron, and gloves while
isolating the area.
ResDonse Action SteDs
1. KEEP ALL PEOPLE AWAY.
a. ISOLATE AREA USING CONES ANDI OR TAPE. DENY ENTRY.
b. DO NOT ATTEMPT TO CLEAN UP.
2. Keep all sources of ignition away from substance.
3. Avoid creating friction or sparks.
4. * Move persons exposed to spill to fresh air. Call for medical assistance jf needed.
5. FOLLOW CHAIN OF COMMAND AND CALL AN OUTSIDE RESPONDER IMMEDIATELY FOR CLEAN UP
a. ONLY AN OUTSIDE RESPONDER MAY CLEAN UP THIS TYPE OF SPILL.
b. Instruct the outside responder to containerize the absorbed material into one or more DMP plastic
, bags then place the DMP bags into a 55 gallon 17H disposal drum, then seal drum for disposal
shipment.
c. Follow your facility's Damaged Materials Program disposal procedures. A Damaged Materials
Notification (DMN) form must be submitted to the hazardous waste contractor for identification and
disposal.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
FLAMMABLE SOLID or LIQUIDS
CLASS 9
Hazards
1. Contact may irritate or bum skin or eyes.
2. Fire may produce irritating or poisonous gases.
3. May be poisonous if inhaled, swallowed, or absorbed through the skin.
4. Heat, sparks, or flames may ignite material.
5. Vapors may travel to a source of ignition and flash back.
6. The material may be toxic as well as flammable.
Personal Protective EauiDment Reauired
=[!rllJ
1. Wear goggles, boots, apron, and
gloves.
a
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be
used.
ResDonse Action SteDs
1. Keep all sources of ignition away from substance.
2. Avoid any activity that will cause the material to become airborne.
3. Liquids - Sprinkle clay based absorbent until all liquids are absorbed, stir with wooden stirring
sticks until mixture appears dry. '
Solids - Clean-up all spilled solid material. No absorbent is required for solids.
. Spills with noxious odors or fumes - Spread activated carbon (not clay based absorbent) over
I~ spilled material. Use wooden stir sticks to rotate the carbon until all liquids are solidified.
4. Do not add any neutralizer to this material.
5. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
6. Ensure all spill residue is removed from spill location.
7. Transport package to package service center for further processing.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist. '
Revised 4/01
HAZARD CLASS RESPONSE SHEET
CORROSIVE SOLIDS OR LIQUIDS
Hazards
1 . Contact may cause bums to the eyes or skin.
2. Fire may produce irritating or poisonous gases.
3. May be poisonous if inhaled, swallowed, or absorbed through the skin.
4. Skin contact may be poisonous.
& 5. If producing visible fumes, follow Chain of Command and call for an outside responder.
, 6. If there is noticeable skin irritation due to fumes or vapors, do not attempt to continue to
· clean-up, follow the Chain of Command and call for an outside responder.
Personal Protective EauiDment Reauired
a:I[!rlEI
a
1. Wear goggles, boots, apron, and
gloves using the Silver Shield inner
liner.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
ReSDonse Action SteDs
1. Solids - Clean-up all spilled solid material. No absorbent is required for solids.
Liquids - a. Tear off approximately 5 inches of pH indicator tape and immerse in the spilled liquid.
b. Match the pH tape color to closest color on the pH tape dispenser.
c. If the test indicates that the spilled material is an alkaline or an acid (not in the 6-9 pH
range), carefully apply sodium bicarbonate. Sodium bicarbonate mixed with acids
produces a fizzing reaction; however, when mixed with alkalines there is no fizzing
reaction.
d. Retest the spilled material with the pH tape to ensure that the pH is within the neutral
range of 6 to 9.
e. Using wooden stirring sticks, mix clay absorbent with the spilled material to
completely absorb all liquids.
2. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
3. Ensure all spill residue is removed from spill location.
4. Transport package to package service center for further processing.
Decontamination.
v
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
UNLABELED PACKAGES OR UNKNOWN CONTENTS
NO LABEL ON BOX
OR UNKNOWNS
'.
Hazards (Anv or all of the followinQ may aDDIy)
1. Contact may cause burns to the eyes or skin.
2. Skin contact may be poisonous.
3. Fire may produce irritating or poisonous gases.
4. May be poisonous if inhaled or swallowed.
5. Material may be flammable or toxic.
it 6. If there is noticeable skin irritation due to fumes or vapors, do not attempt to continue to
, clean-up, follow the Chain of Command and call for an outside responder.
. ,
Personal Protective EQuiDment ReQuired
=l!IrllJ
a
1. Wear goggles, boots, apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
ResDonse Action SteDs
1. Keep all sources of ignition away from substance.
2. Avoid creating friction or sparks.
3. Solids - Clean-up all spilled solid material. No absorbent is required for solids.
Liquids - a. Check the pH by tearing off approximately 5 inches of pH indicator tape and immerse in
the spilled liquid.
b. Match the pH tape color to closest color on the pH tape dispenser.
i. If the pH of the material is above or below the 6-9 pH ranoe, use the CORROSIVE
LIQUID response sheet.
ii. If the pH of the material is within the 6-9 DH range, use the FLAMMABLE LIQUID
response sheet.
4. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
5. Ensure all spill residue is removed from spill location.
6. Transport package to package service center for further processing.
Decontamination
CJ
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
)
Revised 4/01
HAZARD CLASS RESPONSE SHEET
ORM-D
CONSUMER COMMODITY
.1' . . .. "
iORM-D~ÄIR¡
ORM-D (other regulated material) - consists of a material which although otherwise subject to
regulations, presents a limited hazard during transportation due to its form, quantity and
packaging (consumer commodities).
Hazards (Anv or all of the followinQ mav apply)
1. Contact may irritate or burn skin or eyes.
2. Fire may produce irritating or poisonous gases.
3. May be poisonous if inhaled, swallowed, or absorbed through the skin.
4. Heat, sparks, or flames may ignite material.
5. Vapors may travel to source of ignition and flash back.
6. The material may be toxic as well as flammable.
Personal Protective Equipment Required
=[!rllJ
a
1. Wear goggles, boots, apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
Response Action Steps
1. Keep all sources of ignition away from substance.
2. Avoid any activity that will cause the material to become airborne.
3. Liquids - a. Check the pH by tearing off approximately five inches of pH indicator tape from the
dispenser and immerse in the spilled liquid.
b. Match the pH tape color to closest color on the pH tape dispenser.
i. If the pH of the material is above or below the 6-9 pH ranae, use the CORROSIVE
LIQUID response sheet.
ii. If the pH of the material is within the 6-9 pH ranae, use the FLAMMABLE LIQUID
response sheet.
Solids - Clean-up all spilled solid material. No absorbent is required for solids.
Spills with noxious odors or fumes - Spread activated carbon (not clay based absorbent) over
spilled matedal. Use wooden stir sticks to rotate the carbon until all liquids are solidified. DO
NOT USE activated carbon if the material is an organic peroxide or oxidizer.
5. Do not add neutralizer to this material.
6. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
7. Ensure all spill residue is removed from spill location.
8. Transport package to package service center for further processing.
~.
4.
Decontamination
()
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist. .
Revised 4/01
HAZARD CLASS RESPONSE SHEET
FLAMMABLE GAS 2.1
OXYGEN 2.2
Hazards
1. ' Extremely flammable, may be ignited by heat, sparks, or flame (Oxygen is not flammable, but will
support and accelerate combustion).
2. Vapors may travel to a source of ignition and flash back.
3. Container may explode if exposed to heat or fire.
4. Fire may produce irritating or poisonous gases.
5. May be poisonous if inhaled.
6. Vapor may be extremely irritating.
7. Contact may cause bums to skin and eyes.
Personal Protective EauiDment Reauired
=[!nEl
m
1. Wear goggles, boots, apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
&
3. If there is noticeable skin irritation due to fumes or vapors, do not attempt to
continue to clean-up. Follow the Chain of Command and call for an outside
responder.
ResDonse Action SteDs
1. Keep all sources of ignition away.
2. Attempt to close the valve.
3. Remove leaking cylinder outdoors to a well-ventilated area.
a. Place a warning sign in area to warn of flammable hazards and to keep employees away.
4. Follow supplier instructions as to the return or disposition of the cylinder.
5. If the supplier cannot be contacted, seal the non-leaking cylinder in a DMP bag and process through
the DMP.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
j
Revised 4/01
OXIDIZERS
HAZARD CLASS RESPONSE SHEET
Prohibited in the Air ORGANIC PEROXIDES
System Only
Hazards
1. Contact may cause irritation or burns to the skin or eyes.
2. May be poisonous if inhaled, or swallowed.
3. Oxidizers or Organic Peroxides are not flammable, but may cause other materials to burn.
4. The material may be toxic as well as an oxidizer.
5. Fire may produce irritating or poisonous gases.
6. ~ DO NOT ABSORB OXIDIZERS OR ORGANIC PEROXIDES WITH ACTIVATED
~ CARBON. USE CLAY BASED ABSORBENT ONLY.
Personal Protective Eauipment Reauired
=[!rla
a
1. Wear goggles, boots, apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
Response Action Steps
1. Keep all sources of ignition away from substance.
2. Prevent liquid from coming into contact with other boxes or flammable materials.
3. Liquids - Sprinkle clay based absorbent until all liquids are absorbed, stir with wooden stirring
sticks until mixture appears dry.
Solids - Clean-up all spilled solid material. No absorbent is required for solids.
4. Because this material may cause the packing box to ignite, move the material and packing box to an
area that will be safe if it were to catch fire.
5. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
6. Ensure all spill residue is removed from spill location.
7. Transport package to package service center for further processing.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
NON-FLAMMABLE GAS 2.2
... ~ I
Hazards
1. May be poisonous if inhaled.
2. Vapor may be extremely irritating.
3. Contact may cause burns to skin and eyes.
4. Material may burn, but will not ignite readily.
5. Cylinder may explode if exposed to heat or fire.
6. Some liquid cryogenics, such as liquid nitrogen, may be extremely cold when first released.
Lt 7. If there is noticeable skin irritation due to fumes or vapors, do not attempt to continue to
, clean-up, follow the Chain of Command and call for an outside responder.
.
Personal Protective Eauipment Reauired
=[!nlJ
a
1 . Wear goggles, boots, apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be
used.
Response Action Steps
1. Attempt to close the valve.
2. Remove leaking cylinder outdoors to a well-ventilated area away from heat or fire.
a. Place a warning sign in area to warn other employees to keep away.
3. Follow supplier instructions as to the return or disposition of the cylinder.
4. If the supplier cannot be contacted, seal the non-leaking cylinder in a DMP bag and process through
the DMP.
Decontamination
(D
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
HARMFUL - Stow Away from Foodstuffs - Prohibited in the Air System Only
OR
The "Keep Away from Food" label used for materials in Division 6.1, Packing Group 1/1, is being phased
out. During the transition period, the labels are interchangeable. Shipping papers will continue to show
"Keep Away from Food" in the "Label(s) Required" field, even when this new label is used.
Hazards
1. Fire may produce irritating or poisonous gases.
2. May be poisonous if inhaled, swallowed, or absorbed through skin.
3. Material may bum, but will not ignite readily.
4. The material may be toxic. as well as flammable.
Personal Protective Equipment Required
=[!IrlEI
a
1. Wear goggles, boots,apron, and
gloves.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be
used.
Response Action Steps
1. Keep all sources of ignition away from substance.
2. Avoid any activity that will cause the material to become airborne.
3. Liquids· Sprinkle clay based absorbent until all liquids are absorbed, stir with wooden stirring
sticks until mixture appears dry.
a. Do not add any neutralizer to this material.
Solids· Clean-up all spilled solid material. No absorbent is required for solids.
4. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
5. Ensure all spill residue is removed from spill location.
6. Transport package to package service center for further processing.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
BIOHAZARD
~
Hazards
1. Inhalation of airborne living organisms or contact through cuts or broken skin may result in
transmission of disease.
2. Preservative fluids may be irritating (i.e. formaldehyde).
3. Improper handling of broken glass fragments, needles, or contaminated debris can result in punctures
in personal protective equipment.
4. Eating or smoking, after responding to spills, without first washing hands may result in
transmission of disease.
Lt... 5. If there is noticeable skin irritation due to fumes or vapors, do not attempt to continue to
, clean-up, follow the Chain of Command and call for an outside responder.
.'. .
Personal Protective EauiDment Reauired
=[!nlJ a
1. Wear goggles, boots, apron, and
gloves.
ResDonse Action Stees
1. Cordon off the area within 15 feet of the spill.
2. Do not touch sharps or broken glass without the proper protective equipment.
3. Apply bleach solution (1 part bleach, 10 parts water) to the spilled material and any equipment in contact
with the spilled material.
4. Apply clay-based absorbent. Completely solidify the spill.
5. Retrieve BIOHAZARD SPILL KIT.
a. Containerize all broken glass fragments, needles, contaminated debris, etc., into BIOHAZARD SPILL
KIT. .
b. Decontamination of property and equipment should be performed utilizing a chlorine bleach solution
(1 part bleach, 10 parts water) and disposable towels. Place all contaminated materials used to clean
up the spill into the BIOHAZARD SPILL KIT.
6. Seal BIOHAZARD SPILL KIT container.
7. Management must then contact medical waste disposal contractor for pickup.
Any spilled material generated from biohazard package cannot be disposed of within the Damaged Materials
Program. Notify the Plant Engineering Department, who will arrange for the disposal of the- material.
Decontamination
~ 1. Decontaminate any areas of the body or equipment that may have been exposed by
utilizing the decontamination checklist.
2. All responders, and any other employees that had contact with the spilled material, must
thoroughly wash their hands using soap and water.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
1
.....f
Revised 4/01
HAZARD CLASS RESPONSE SHEET
MERCURY ( METALLIC or INORGANIC MERCURY)
MERCURY
Hazards
1. Contact may cause bums to skin and eyes.
2. May enter the body through the skin.
3. May be poisonous if inhaled, swallowed, or absorbed through the skin.
4. Fire may produce irritating or poisonous gases.
Lta 5. If producing visible fumes, follow Chain of Command and call for an outside responder.
, .,. , 6. If there is noticeable ski~ irritation due to fumes or vapors, ~o not attempt to continue to
,.e clean-up, follow the Cham of Command and call for an outsIde responder.
Personal Protective EauiDment Reauired
=[!r:lEI a
1. Wear goggles, boots, apr0!l, and
gloves.
ResDonse Action SteDs
1. Cordon off the area within 15 feet of the spill.
2. Use clay-based absorbent to build a barrier to prevent liquid mercury from coming into contact with
other boxes or materials, from entering cracks or hard to reach places, or entering the drainage
system.
3. Clean u 0 tions: 0 tion A - Outside Res onder
For any spill: a. laraer than a thermometer OR
b. package source cannot be identified
c. the mercury spill kit is not available,
Option B - Internal Response If Mercury Spill Kit is available:
Small spills (one oral thermometer) may be cleaned UP usinQ the Mercury Spill Kit.
4. Clean up instructions for using the Mercury Spill Kit.
a. Do not attempt to clean up spill using clay, carbon, or mopping.
b. Retrieve Mercury Spill Kit and apply sufficient "Mercury Absorb Powder" to amalgamate mercury residue.
c. Clean up all contaminated debris using plastic dustpan or shovel.
d. Decontaminate area using "Mercury Absorb Sponges".
e. Check area for mercury residue using "Mercury Check Swabs" .
f. Apply additional powder or sponges as required to ensure all residue is removed from spill location.
5. Containerize all materials into a lined spill tray using a plastic shovel, fiber broom, and/or plastic dustpan.
6. Do not attempt to segregate spilled material or contaminated debris. Process all residue or waste within the
DMP program.
7. Transport package to package service center for further processing.
Decontamination
~ Do not attempt to decontaminate personal protective equipment or clean up equipment.
Dispose of any contaminated c,lean up equipment through the DMP. Decontaminate floor
surfaces or equipment using "Mercury Absorb Sponges". After decontamination, use "Mercury
Check Swabs" to detect any remaining residue. Apply "Mercury Absorb Sponges" and "Mercury
Absorb Powder" until no mercury is detected using check swabs. Dispose of all contaminated
personal protective equipment with waste debris. Employees who handle mercury must wash
their hands thoroughly with soap, or mild detergent and water before eating, smoking, or
using toilet facilities.
2. If there is an irritating odor that affects the
eyes, nose or throat, an SCBA must be used.
Outside Responder must be used for
clean UP.
Revised 4/01
HAZARD CLASS RESPONSE SHEET
RADIOACTIVE I
#"
~, t
Hazards
1. Radioactive I materials emit less than 0.5 millirems per hour:
2. Radiation at these levels are encountered in many activities and poses minimal risk to health and
safety .
3. Released materials from damaged packages can cause low levels of external radiation exposure.
4. Released materials entering or contaminating the body can cause internal radiation exposure.
5. Some radioactive materials cannot be detected by commonly available instruments.
Personal Protective EaulDment Reauired
l:I[!naa
1. Wear goggles, boots, apron, gloves and SCBA. SCBA must be worn to protect against the possibility
of airborne radioactive particles. Radioactive materials may also be corrosive or an oxidizer.
2. Lead aprons used to protect against higher doses of radiation are not necessary for Radioactive I
materials.
ResDonse Action SteDs
1. Minimize radiation exposure using the following practices:
a. Identify and stage spill response materials prior to actual cleanup to reduce time necessary to
perform required tasks.
b. Maximize distance from spill when not directly handling or cleaning up the spill.
2. Keep all sources of ignition away from the leaking package.
3. Solids - Clean-up all spilled solid material. No absorbent is required for solids.
Liquids - Solidify material, following the CORROSIVE or OXIDIZER response sheet to the extent
applicable.
4. Containerize the absorbed material into a lined spill tray using a plastic shovel, fiber broom, and/or
plastic dustpan.
5. Ensure all spill residue is removed from spill location.
a. Waste from Radioactive I spills may not be disposed of through the DMP program.
b. Contact Plant Engineering for an alternative disposal option.
6. Transport package to package service center for further processing.
Decontamination
~
Decontaminate any areas of the body or equipment that may have been exposed by utilizing
the decontamination checklist.
* PACKAGES BEARING YELLOW AND WHITE RADIOACTIVE" OR RADIOACTIVE III LABELS, WHICH EMIT
HIGHER LEVELS OF RADIATION, ARE PROHIBITED IN THE UPS SYSTEM. IF SUCH PACKAGES ARE LEAKING,
FOLLOW THE CHAIN OF COMMAND AND CALL FOR AN OUTSIDE RESPONDER TO CLEAN UP THE SPILL.
,)
Revised 4/01
~ United Parcel SelVlce
EMERGENCY RESPONSE PLAN
DECONTAMINATION CHECKLIST
Revised July 1995
SECTION VI
~ United P8JceI Semce
EMERGENCY RESPONSE PLAN
Respirator Cleaninø and Disinfectinf
Each Designated Responder who uses a SCBA shall be responsible for decontaminating hislher
equipment. Those SCBAs used exclusively by one Designated Responder shall be cleaned after each
day's use, or more often if necessary. Those SCBAs used by more than one Designated Responder shall
be cleaned and disinfected AFl'ER EACH USE.
Daily cleaning and disinfecting shall include:
1. Wipe interior and exterior of the facepiece thoroughly with a clean, damp cloth. Heavy soil
may require use of a small hand brush and the manufacturer's recommended detergent &olution
ncl~er-sanitizer #2. n (For disinfecting, use the manufacturer's recommended procedure of
dipping the facepiece into a cleaner-sanitizer #2, warm water solution.)
2. Rinse completely in clean, warm water.
3. Air dry in a clean, protected location.
4. Clean the other respirator parts as recommended by the manufacturer.
5. Inspect and replace valves, headstraps and other parts, if defective.
6. Place the respirator in a plastic bag or in its storage case.
All respirators should be stored in a clean, convenient, and sanitary location, accessible at all times.
Cleanup of residue remaining on equipment depends on the type of material spilled. Use the following
guidelines for removing residue from floors, equipment, or cleanup tools. All heavily contaminated
equipment must be wiped clean with a disposable towel before rinsing with warm water.
Equimnent
1. Use a non-sparking scraper to loosen solid spill residue. This includes spill residue on the floor
or plant equipment, and spill "residue on cleanup supplies or equipment.
2. Use a disposable towel to wipe clean any remaining spill residue.
3. Place the disposable towel into the DMP bag with the cOntaminated debris from the spill
cleanup.
SECTION VI . Decontamination Checklist
hv. 7115/95
Page 1
~ UnJted Pan:eI Semce
EMERGENCY RESPONSE PLAN
Personal Drotective eauioment
1. While wearing protective gloves, rinse them with warm tap water and soap. Do not remove
gloves at this point.
2. Remove boots. Clean with warm tap water and soap. Rinse with additional warm tap water.
3. Remove apron. Clean with warm tap water and soap. Rinse with additional warm tap water.
4. Remove gloves by pulling ,down on the cuff, turning glove inside-out. Roll down cuff to pop
fingers out. Clean the exposed inside of the glove with warm tap water and soap. Thoroughly
rinse with additional warm tap water.
5. Remove goggles. Clean with warm tap water and soap. Rinse with additional warm tap water.
(Note: Goggles are not worn ü SCBA is used.)
6. Wash hands with warm tap water and soap.
7. Place protective wear in clean area and allow to air dry before returning to spill cart. (Note:
Protective gloves must be turned right-side-out before returning to the spill cart.)
8. Always thoroughly wash any exposed parts of the body with warm tap water and soap.
Other decontamination Drocedures
Refer to the "UPS Plant Engineering Housekeeping Manual, Volume X" for additional guidance and
products available to clean up spill residues or stains that may remain on floor surfaces.
SECTION VI - Decontamination Checklist
Rev. 7125195
Page 2
~ United Parcel Semce
EMERGENCY RESPONSE PLAN
CHAIN OF COMMAND
Revised July 1995
SECTION vn
EMERGENCY RESPONSE PLAN
CHAIN OF COMMAND
Non-responding employees who encounter a leaking damaged package or an accidental
release of a flammable substance shall notify their immediate supervisor. Non-responder
supervisors shall notify a Designated Responder of the spill occurrence. The Designated
Responder :first notifies his supervisor of the spill incident, then, using the Decision Tree
and Response Sheets, follows the guidelines in the UPS Damaged Package Response
Procedure.
If the spill incident is beyond hislher capabilities or if the release is from a flammable
substance storage tank, the Designated Responder notifies hislher supervisor who
assesses the situation and decides if an outside responder is necessary. The supervisor
follows the chain of command and notifies hislher manager, or the most senior
management person who is both on site and listed on the facility chain of command. The
most senior management person becomes the facility coordinator.
The facility coordinator, who assumes management control of the situation, shall be
responsible for notifying the outside responder and/or the fire department. The facility
coordinator 'may request or designate another management person to initiate the call to
the outside responder. Until the arrival of the outside responder at the UPS facility, the
facility coordinator shall direct and coordinate all emergency evacuation and/or response
activities.
Once the outside responder arrives, the senior emergency response official shall become
the incident commander in charge of the Incident Command System (ICS). The central
command post of the ICS shall be located at the guard shack for the facility, or a
prearranged location agreed upon by the facility coordinator and the outside responder.
The facility coordinator shall promptly brief the incident commander concerning the spill
incident circumstances and current status (including the identity of the chemical spilled,
the results of the head count of employees at the assembly point; any injuries, or need for
emergency medical assistance). The incident commander shall thereafter be responsible
for directing and coordinating all emergency response and/or cleanup activities. The
facility coordinator shall assist and cooperate with the incident commander.
The ICS shall remain in effect until the incident commander orders it discontinued and
determines that it is safe for our employees to return to the building.
)
Each facility must maintain a chain of command form which identifies: Designated
Responders (employees), Designated Responder management, and management
authorized to evacuate the facility and notify the outside responder. Each management
employee and all Designated Responders must be trained thoroughly concerning the
chain of command.
SECTION Vß - Chain of Command
Rev. 4199
Page 1
~ United Parcel SeMce
EMERGENCY RESPONSE PLAN
EMERGENCY
ACTION PLAN
Revised July 1995
SECTION IX
\
~ UnJted Parcel Semce
EMERGENCY ACTION PLAN
APPENDIX A
EMERGENCY EVACUATION PLAN
Revised 712S195
SECTION IX
~ Unned Parcel Semc:e
EMERGENCY ACTION PLAN
TABLE OF CONTENTS
I. PURPOSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
ll. INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . 1
ill. WRITIEN PLAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
IV. FACILITY MANAGEMENT PRE-EMERGENCY
PLANNING AND PREPAREDNESS .............................. 3
V. NOTIFICATION OF AN EMERGENCY. . . . . . . . . . . . . . . . . . . . . . . . . . . .4
VI. SAFE DISTANCES AND ASSEMBLY POINTS . . . . . . . . . . . . . . . . . . . . . . . 4
Vll. CHAIN OF COMMAND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
vm. GENERAL EMERGENCY EVACUATION PROCEDURES. . . . . . . . . . . . . . . . 5
IX. NATURAL DISASTERS AND MAN-MADE EMERGENCIES . . . . . . . . . . . . . . 7
A. Fire ................................................. 7
B. Tornadoes.............................................. 8
C. Hurricanes ............................................. 9
D. Bomb Threats ........................................... 10
E. Explosions ............................................. 10
F. Earthquakes............................................. 11
G. Floods And Flash Floods .................................... 12
H. Gas Leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
I. Transportation Accidents .................................... 13
I. Toxic VaporslFumes and/or Hazardous Chemical Releases .. . . . . . . . . . . . . . . 13
X. EMERGENCY ACTION PLAN TRAINING . . . . . . . . . . . . . . . . . . . . . . . .. 13
XI. PARTIAL EVACUATIONS ................................... 14
Xll. SPECIAL CONSIDERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 15
APPENDICES
A. Emergency Evacuation Plan
B. Emergency Evacuation Plan Pre-work Communication Meeting (pCM)
C. UPS Compliance Training Student Roster
Revised 7115t95 SECTION IX
EMERGENCY RESPONSE PLAN
I. PURPOSE
This Emergency Action Plan has been developed to protect lives, reduce injury,
and minimi7.e property damage during emergencies and/or natural disasters at
United Parcel Service facilities. Examples of such situations are fires,
earthquakes, tornadoes, floods, explosions, hunicanes, natmal gas leaks, smoke
(without fire), toxic vapors, any hazardous substance release within the facility or
externally (fuel tank spill, railroad car spill, etc.), transportation accidents (plane
crash, train derailment, etc.), bomb threats, or other unanticipated emergency
situations.
This plan is in accordance with OSHA Standard 1910.38 and US EPA 68
Subpart E Emergency Response provisions.
ll. INTRODUcnON
The complexity of a given emergency action plan depends on the complexity of
the operation for which it is written. The emergency action plan should be kept as
streamlined and practical as possible.
This document is designed to provide useful information for program
development for UPS facilities of all sizes. Therefore, it may contain procedures
or responsibilities not applicable to smaller operations. Likewise, some facilities
have unique emergency safety issues that are found only at that facility or very
few others. Those facilities have special considerations which are not treated in
this document. A section is provided at the' end of this plan for those facilities to
write down their special situations and plan for them accordingly.
Emergency events, and issues that arise during an emergency, can never be fully,
anticipated, and emergencies can never be completely planned for, since each
situation is unique. The procedures provided here will address most anticipated
events. However, all emergencies, anticipated and unanticipated, will require
good judgement and pmdent response by UPS facility management, who are
ultimately responsible for making emergency decisions.
An Emergency Action Plan can be summarized as follows:
1. Provides a written record and means of communicating decisions, direction
and information throughout the organization.
2. Forces clear and thorough planning of the facility emergency program.
3. Assures that all procedures fit into an integrated plan.
4. Promotes uniformity, consistency, and integration of emergency actions.
SECTION IX - Emergency Action Plan
Rev. 4199
Page 1
~ United Parcel ServIce
EMERGENCY ACTION PLAN
I. PURPOSE
This Emergency Action Plan has been developed to protect lives, reduce injury, and rninimi7.e
property damage during emergencies and/or natural disasters at United Parcel Service
facilities. Examples of such situations are fires, earthquakes, tornadoes, floods, explosions,
hurricanes, natural gas leaks, smoke (without fire), toxic vapors, any hazardous substance
release within the facility or externally (fuel tank spill, railroad car spill, etc.), transportation
accidents (plane crash, train derailment, etc.), bomb threats, or other unanticipated emergency
situations.
This plan is in accordance with OSHA Standard 1910.38.
ß. INTRODUCTION
The complexity of a given emergency action plan depends on the complexity of the operation
for which it is written. The emergency action plan should be kept as streamlined and practical
as possible.
This document is designed to provide useful information for program development for UPS
facilities of all sizes. Therefore, it may contain procedures or responsibilities not applicable
to smaller operations. Likewise, some facilities have unique emergency safety issues that are
found oniy at that facility or very few others. Those facilities have special considerations
which are not treated in this document. A section is provided at the end of this plan for those
facilities to write down their special situations and plan for them accordingly.
Emergency events, and issues that arise during an emergency, can never be fully anticipated,
and emergencies can never be completely planned for, since each situation is unique. The
procedures provided here will address most anticipated events. However, all emergencies,
anticipated and unanticipated, will require good judgement and prudent response by UPS
facility management, who are ultimately responsible for making emergency decisions.
An Emergency Action Plan can be summarized as follows:c
1. Provides a written recOrd and means of communicating decisions, direction and
information throughout the organization.
2. Forces clear and thorough planning of the facility emergency program.
3. Assures that all procedures fit into an integrated plan.
4. Promotes uniformity, consistency, and integration of emergency actions.
SECTION IX - Emergency Aaion Plan
Rev. 7n5m
Page 1
~ United Paft:el SeMce
EMERGENCY ACTION PLAN
5. Assures a record of decisions, thus eliminating dependence on individuals who may later
change assignments or employment.
6. Provides a means for the orientation of all employees concerning emergency
responsibilities .
7. Permits management to delegate specific authorities, and assures understanding by all
individuals regarding assignments.
8. Provides UPS facility management the opportunity to anticipate potential emergencies and
develop emergency action plans to contend with such situations.
9. Provides for safe evacuation and/or other actions of employees. Other actions could
include supervisors checking their areas to ensure all employees have evacuated, and
PEIMaintenance personnel responsibilities for emergency shut down.
m. WRI'ITEN PLAN
This emergency action plan includes an explanation of how each of the following elements
should be handled for a specific emergency or disaster:
· Emergency notification,
· Chain of Command,
· Géneral emergency evacuation procedures,
· Accounting for all employees after evacuation has been completed,
· Means of emergency egress, and
· Employee training in the emergency evacuation/action plan and documentation
of that training.
In addition to the written plan, each facility must have a written evacuation notice posted in
each work area. This notice must include:
· Facility name and address,
· Designated work area,
· An explanation of the exit routes and safe assembly point(s),
· Emergency contact phone numbers for the police, fire, hospital and emergency
medical responders, and
· Instructions for post-evacuation procedures.
k.--'·;
SECTION IX - Emergency Action Plan
Rev. 7125195
Page 2
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EMERGENCY ACTION PLAN
This written notice must be accompanied by a directional-specific diagram for each work area,
illustrating the evacuation route and the designated assembly point for the work area. See
Appendix A for a sample written notice and diagram for this facility.
The written notice and diagram should be displayed on an "Emergency Evacuation Plan
Board" (142746-Red) in each work area in the facility. A copy of both the written plan and
the diagram for each work area must be maintained in this section of the Emergency Response
Plan.
IV. FACILITY MANAGEMENT PRE-EMERGENCY PLANNING AND PREPAREDNESS
Determining what action needs to be taken in the event of an emergency, and staying
prepared, greatly enhances a proper and safe response in the event the emergency does arise.
The division manager is responsible for ensuring that all full- and part-time management
employees conduct pre-emergency planning. Supervisors and management personnel must
ensure that:
1. Written plans with diagrams are kept current and posted in each work area.
2. Employee evacuation training is conducted for all employees based on the training
guidelines in this section.
3. Documentation of all emergency evacuation training is completed on the UPS Compliance
Training Student Roster (0162798/94).
4. All physically challenged employees are pre-assigned "buddies."
5. The equipment and utilities which must be shut down before leaving a work area are
identified.
6. Equipment/utility shut-down is assigned to dependable personnel.
7. Adequate means of egress from the facility are maintained at all times.
8. Exits are periodically inspected and kept unobstructed at all times.
SECTION IX - EmergtnCy Action Plan
Rev. 711519S
Page 3
~ United Pan:el Semce
EMERGENCY ACTION PLAN
v. NOTIFICATION OF AN EMERGENCY
Any employee who observes an emergency situation must immediately notify the nearest
supervisor of:
· the exact location of the emergency,
· any missing or involved people,
· any details that might be helpful.
The supervisor is then responsible for verifying the emergency and then, following the Chain
of Command (see the Chain of Command section in the UPS Emergency Response Plan for
this facility), notifying the most senior management person on site (the "Facility
Coordinator"). The Facility Coordinator makes the decision to fully or partially evacuate the
facility based upon each individual situation.
The Facility Coordinator is responsible for calling and directing an evacuation.
· If evacuation of the facility is required, the Facility Coordinator must activate, or
immediately have activated, the emergency evacuation alarm.
· The alarm must be audible in all parts of the building and recognizable as the
alarm to evacuate.
· If an announcement is required, the person designated to make the announcement
should use the public address system.
· Management should shut down all moving belts and machinery to reduce building
noise.
· Should the public address system fail, instructions should be communicated
verbally by supervisors and managers.
Local police or appropriate emergency services should be notified if necessary (they may be
automatically notified in case of fire). Finally, division, district and region management
should be notified in accordance with established reporting procedures.
VI. SAFE DISTANCES AND.ASSEMBLY POINTS
When there is an emergency, such as.a hazardous material package spill, the immediate area
shall be cleared. Designated Responders, individuals trained to respond to hazardous material
leaking packages, are responsible, along with the area supervisor, for making sure the
immediate area remains clear.
When an outside responder is called in to handle the emergency, the immediate area
surrounding the emergency situation such as a leaking package, must be evacuated.
SECTION IX - Emergency Action PÜ1n
Rev. 7f15/95
Page 4
~ United Parcel Serw:e
EMERGENCY ACTION PLAN
If a full evacuation is ordered by the Facility Coordinator, all affected employees must
respond as outlined in this plan and proceed to their safe assembly point(s).
The assembly point(s) for this facility is (are):
Work Area
Assembly Point
AH ASSfJ'Aß'~ ro\ tJ T$
t--ot;. \),::>:S ï<:P \ t-.) {. 1'( H
~, Q.. fA
The Facility Coordinator designates himself /herself or another management person as the
outside responder contact person. After contacting the outside responder, this employee is
responsible for meeting them at the guard shack or a designated area outside of the facility.
This area becomes the incident comrnanrl station (ICS) for the outside responder.
YD. CHAIN OF COMMAND
Facility management is responsible for implementing and maintaining this plan. Once notified
of an emergency, the order to evacuate the building will come from the management person
designated by the Chain of Command as the Facility Coordinator, who is authorized to
evacuate the facility.
The Chain of Command for this facility is located in Section vn, page 2 of this manual.
VIll. GENERAL EMERGENCY EVACUATION PROCEDURES
A. Once notified of an emergency, the order to evacuate the building will come from
management.
B. Once the alarm is sounded, all affected employees must quickly leave the building
using the nearest exit, and proceed directly to their designated assembly area (review
location-specific emergency evacuation plan).
SECTION IX - Emergency Action PÚUI
Rev. 705/95
Page 5
~ Unrted Parcel ServICe
EMERGENCY ACTION PLAN
C. Management shall:
1. Shut off all machinery and systems in an emergency (equipment shut-down may
be assigned to dependable employees).
2. Assign two individuals as "buddies" for any physically challenged employee.
3. Know how to activate and recognize the emergency alarm.
4. Know what equipment and utilities must be shut down.
5. Make a quick sweep of their work areas to notify employees and ensure that all
employees are accounted for. However, DO NOT PLACE YOURSELF IN
DANGER.
6. Stress the importance of a calm, orderly exit. Be sure that each employee knows
where the assembly point is located.
7. Direct all of hislher employees to their designated safe assembly points using the
prescribed routes.
8. Account for all assigned employees after evacuation (taking a head count).
Account for employees who are temporarily assigned to another department/area.
9. Provide hislher immediate manager with a status report once the accounting is
complete.
10. Inform Facility Coordinator, police, fire or emergency personnel of hazardous
materials present in hislher work area.
11. Stay calm. Employees look to management for direction and reassurance in an
emergency .
12. Do not place yourself or your employees at risk.
Each manager, in turn, shall report such information to the Facility Coordinator, who
will be responsible for providing the outside responder with pertinent information
concerning the accounting of all employees and the need for any emergency medical
assistance.
D. Employees must follow these rules during an emergency evacuation:
1. Remain calm and listen for instructions.
2. Do not attempt to retrieve personal belongings unless they are immediately at
hand.
3. Do not re-enter the building until told to do so by UPS management.
SECTION IX - Emergou:y Action Plan
Rev. 7/15/95
Page 6
~ United Parcel SeMce
EMERGENCY ACTION PLAN
The order to re-enter the building will come from the Facility Coordinator.
It is important to remember that during an emergency evacuation employee panic and
confusion can sometimes create a scenario worse than the emergency itself.
IX. NATURAL DISASTERS AND MAN-MADE EMERGENCIES
A. Fire
Discovery Party
1. Notify the nearest supervisor of the fire. It is the supervisor's responsibility to
initiate the chain of command. Follow any instructions given to you by the
supervisor.
2. If possible, close all doors leading to the fire area to isolate the area ånd prevent
the spread of fire.
All Employees
1. Do not panic - remain calm, listen to instructions.
2. Do not open hot doors. Before opening any door, touch it near the top to see if
it is hot. Do not break windows. OXYGEN FEEDS FIRES.
3. Evacuate the work area using your primary exit route. If your primary route is
not usable, use your secondary route. DO NOT USE ELEVATORS.
4. Ifusing a stairway, keep to the right, grasp the handrail, walk, keep silent, and
follow your supervisor's instructions.
5. Do not assist fire fighting personnel unless asked to do so.
6. Do not leave the assembly area or return to the building until instructed to do so
by UPS management.
7. DO NOT attempt to salvage items; this could cause a delay resulting in injury to
yourselves and others.
8. DO NOT RISK YOUR OR OTHER EMPLOYEES' SAFETY WITH
ATIEMPTS TO PUT OUT A FIRE.
9. Do not be a spectator - move away from the problem area.
SECTION IX - Emergency Action PlDn
Rev. 7f15f95
Page 7
~ United Parcel Semce
B. Tornadoes
EMERGENCY ACTION PLAN
Tornadoes are among nature's most violent and destructive storms. No part of our
country is safe from them. When these air columns come in contact with the ground,
they can cause much destruction. Tornadoes bring down buildings, roll mobile homes,
and hurl people and animals through the air. Wind-borne debris can become deadly
projectiles.
In order to prepare for and lessen the damage of a tornado, the National Weather
Service issues forecasts. The National Severe Storms Forecast Center is constantly
evaluating weather conditions across the nation in order to keep people informed.
Through radio stations, two forms of warnings may be issued:
1. TORNADO WATCH means that conditions are right for a tornado, and you
should stay informed and be ready to take shelter immediately if a tornado
warning is issued. Bring loose objects inside or secure them.
2. TORNADO WARNING means that a tornado has been sighted, and requires
immediate action. Seek shelter if you are in the threatened area and follow the
established safety rules below. Avoid being near windows.
a. In office areas or building perimeter areas, "move to an interior hallway on
a lower floor or go to a designated shelter area. The district Health and
Safety manager should work in conjunction with district Plant Engineering
to identify the locations best suited for this purpose.
The shelter area(s) in this facility is (are):
Work Area
Refuge Area
b. If you are with your package car in open country, move away from the
tornado's path at right angles. If there is not enough time to move into a
shelter or avoid the storm, pull your vehicle to the side of the road, get out
and away from the vehicle as far as possible, and lie flat in a ditch, ravine,
culvert or under a bridge. DO NOT STAY WITH YOUR VEHICLE.
SECTION IX - Emergency A.aion Pion
Rev. 7115/95
Page 8
~ United Parcel Semce
EMERGENCY ACTION PLAN
~-¥,.
3. If you observe a tornado, report it promptly to the nearest law enforcement
agency or National Weather Service office. Give its location and direction of
movement.
C. Hurricanes
Striking mainly along the Atlantic and Gulf coasts, hurricane season is between June 1
and November 30. The National Weather Service can usually provide twelve to
twenty-four hours advance warning. Since an incredible amount of destruction can
result to people and property from a hurricane, it is important to keep informed by
listening to a radio.
A HURRICANE WARNING means that hurricane winds of 74 miles an hours or
greater, or a combination of dangerously high water and very rough seas, are expected
in a specific coastal area within the next 24 hours. If this warning is imminent, and
applies to an area in which a UPS facility is located, the following precautionary
actions should be taken immediately by facility management and employees.
1. Monitor the storm's position by listening to weather advisories on
the radio.
2. If time permits, board over windows or protect them with storm
shutters or tape.
3. Secure any outdoor objects that might be blown away (garbage
containers, tools, signs).
4. H local authorities have not ordered an evacuation from the area,
stay indoors on the downwind side and away from windows.
Communities in hurricane-prone areas have hurricane preparedness plans in place for
the community. The plans are an excellent source of information in order to determine
which areas are to be, evacuated during an emergency.
If an evacuation has been ordered for your facility, return should not occur until an "all
clear" has been issued. Upon returning, it is important to check for gas leaks, and that
water has not become contaminated.
SECTION IX . Emergency Aaion Pion
Rev. 7175t95
Page 9
~ United Parcel SeMce
EMERGENCY ACTION PLAN
D. Bomb Threats
A facility-specific plan to address bomb threats should be developed in accordance with
Section 33 of the Loss Prevention Manual. The district Loss Prevention manager
should be consulted in the development of the plan, which should include training for
key personnel most likely to receive a threat at each facility (i.e. hub simulators or
switchboard operators). The following procedures should be followed according to the
site-specific plan.
1. Employees shpuld:
. Notify the nearest management person of the threat.
· Follow UPS management instructions.
· If an evacuation is ordered, evacuate the building using the prescribed
exit routes, and proceed to the safe points of assembly.
· If using a stairway, keep to the right, grasp the handrail, walk, keep
silent and follow instructions.
· Do not return to the building until told to do so by UPS management.
2. Supervisors and management should:
· If the threat is perceived as serious and immediate, evacuate the
building.
· Notify the district Loss Prevention manager as soon as possible.
· Follow instructions by Loss Prevention manager, or if not available,
contact local law enforcement.
· Proceed in accordance with local law enforcement instructions.
E. Explosions
Chemical accidents, leaking gas or faulty boilers could be the cause of life-endangering
explosions on,or near the premises. .
,
1. If there is a THREAT of an explosion, management will activate the
emergency evacuation plan or other appropriate measures to assure employee
safety .
2. If time does not allow:
A. Follow instructions to take cover under sturdy furniture or leave the
building and proceed to designated assembly point.
B. Stay away from windows and glass.
C. DO NOT light matches.
D. Stop any activity that could generate sparks.
SECTION IX - Emergency Action PIœa
Rev. 7125/95 Page 10
-- -" -', ~ United Parcel SeMce
EMERGENCY AC110N PLAN
"
3.
In case of EXPLOSION in the building:
A. . Follow instructions to leave the building.
B. Move crosswind, NEVER up or downwind. AVOID toxic fumes
and/or vapors.
C. Do not take time to gather personal belongings.
D. If possible, call the Fire Department.
E. DO NOT return to the building until told to do so by UPS
management.
F. Earthquakes
The main concern during an earthquake is taking cover from falling objects. The
actual movement of the earth is rarely the cause of death or injury.
If you are inside the building - stay inside.
1.
2.
3.
4.
5.
-'" 6.
7.
Sit or stand against an inside wall, stand in a doorway, or take cover under
a desk or strong table.
Stay away from windows, glass and outside doors.
Do not use elevators.
Do not use telephones.
If the earthquake should be followed by fire, follow pröcedures included in
fire section.
Avoid lighting a cigarette or striking a match for any reason until gas lines are
checked. Extinguish any lit smoking materials or ignition sources.
Evacuate the building upon instruction from UPS management. Remain
outside until otherwise insttucted.
If yc;>u are outside or have left the building - stay outside.
<
1. Move away from buildings and utility wires.
2. Watch for falling glass, electrical wires, poles or other debris.
3'. Go to your designated refuge area and remain there until otherwise instructed.
The district Health and Safety manager . should work in conjunction with
district Plant Engineering to identify the locations best suited for this pmpose.
The designated refuge area(s) for this facility is (are):
Work Area
Refuge Area
.d·__._
- ._ _.. __u_
". -- ----..---. - ..- " .-..----.-------......
In the event of an earthquake, all employees should DUCK, CO VER,
and HOLD. Upon instruction 1Ì"om management through word of
mouth, employe~ are to evacuate the building and assemble at a
designated area.
SECTION IX - Emergency Action Pltm
Rev. 71251'JS
Page 11
. -~J>~.'
. ,- , . , , ~ United Parcel Service
EMERGENCY ACTION PLAN
I
I
,..,
G. Floods And Flash Floods
Floods are a natural and inevitable part of life along the rivers of our COuntry. Some floods
occur seasonally as a result of spring rains and melting snows. Other floods are sudden,
resulting from heavy localized rainfall. Although no area is immune to floods, certain
areas are. more likely to experience flooding than others.
Flood warnings are issued as an advance notice that a flood is imminent or is in progress
at a certain location. The National-Weather Service ISSUes flood forecasts and warnings
. when the rain that has fallen is enough to cause rivers to overflow their banks. These
forecasts and warnings can be issued hours to days in advance of the flood peak. These
warnings provide time for people in threatened areas to prepare for, and thereby lessen
damage from the flood. However, flash floods can occur so quickly that little or no notice
may be given.
Ata UPSfacílity:
1. If a facilio/ is located in a flood-prone area, and conditions indicate the probability of
flooding, a local radio station should be monitored for flood warnings.
2. Management should be prepared to move all facility personnel away from flood waters
upon short notice
,.....
(
3. After the flood J;1as passed, do not handle electrical equipment. Notify Plant
Engineering.
Drivers on the road:
1. If on the road with a package car or feeder, watch for fl~g at highway dips,
bridges and low areas. 1;)0 not attempt to drive through flood waters of unknown
depth.
,.
2. Seek alternative routes to rapidly flooding roads.
3. If your vehicle stalls in water that is rising rapidly, abandon the vehicle and
immediately seek:higher ground.
H. Gas Leaks
Plant Engineering should be consulted regarding the location of the facility gas supply to
the main, in the event that the gas supply' must be cut off to the building. The
responsibility of ~g off the gas supply in a gas leak emergency should be coordinated
with Plant Enginee~ as part of the facility emergency planning.
SECTION IX - Emergency Aaion Pltm
Rev. 7/1$/95
Page 12
EMERGENCY RESPONSE PLAN
If the odor associated with natural gas is detected, act fast. The odor will be
strongest closest to the origin. Since there is an immediate danger of fire,
explosion, or in an enclosed area, asphyxiation, do not try to discover the source
of the gas.
1. Employees should notify UPS management if the odor of gas is detected.
2. The gas company should be notified immediately.
3. If possible, open windows.
4. Extinguish all ignition sources.
5. Turn off the gas at the main.
6. In the event of strong gas odor, or if a gas main breaks in your area,
evacuate the area and notify the fire department.
1. Transportation Accidents
Many UPS facilities are located near airports, railroad lines or major highways.
While transportation accidents are rare, such accidents do occur. Should a plane,
train, truck, or fuel tanker accident occur that requires emergency action, follow
the General Emergency Evacuation Plans found in Section VIII.
J. Toxic Vapors/Fumes and/or Hazardous Chemical Releases
A toxic vapor, fume or other hazardous substance would be released in a UPS
facility under very rare circumstances. If the hUJU'dous substance is leaking from
a damaged package, follow the UPS Damaged Package Response Procedure.
Should a toxic vapor, fume or other hazardous substance be released by an outside
agent in the vicinity of the facility, all facility personnel should follow the orders
given by the responding fire department or local HazMat response team.
K. Flammable Substance Accidental Release
A flammable substance (such as propane, compressed or liquified natural gas,
etc.) would be accidentally released from a UPS facility under only very abnormal
and rare circumstances. If a flammable substance is accidentally released from a
process at a UPS facility the emergency response actions as defined in this plan
should be followed. These actions would include evacuation of the immediate
area, notification of the appropriate supervisor, and contacting of the applicable
outside emergency response organization in the event of a fire or serious hazard.
UPS employees will not respond to a flammable substance accidental release
which has resulted in a fire, explosion or serious hazard.
SECTION IX - Emergency Action Plan
Rev. 4/99
Page 13
EMERGENCY RESPONSE PLAN
-"-
If flammable substance leak is detected, the following steps should be taken by
employees who have been fully trained on these steps, and who have been
provided refresher training annually.
Hyou notice a flammable substance leak:
1. Immediately close all valves.
2. Inform your supervisor.
3. Supervisor, determine if leak has been controlled.
3A. If leak is controlled, assess whether to call Fire Department. If significant
amounts offJammable substance are present - Dial 911.
3B. If leak is not controlled, dial 911 on the nearest telephone and inform them of
the situation.
3C. If a fire ensues, go to 4B.
4. If3B, then evacuate the surrounding areas of the building.
4A. Facility Coordinator activates the emergency evacuation alarm. All
employees are aware that this means that they must evacuate to the designated
assembly points and wait for head count and further instructions. The Facility
Coordinator is responsible for the head count and the return to the building
once clearance is given by the Incident Commander.
4B. The Facility Coordii1ator must pull the nearest fire alarm (nearest to him on
his way out of the facility), which directly informs the Fire Department of the
emergency. AIl employees must immediately evacuate to the designated
assembly point. They will await a head count and further instruction. The
Facility Coordinator is responsible for the head count, and the return to the
building upon clearance.
5. After the threat of leak or fire has subsided, the Facility Coordinator in conjunction
with the Incident Commander will assess the situation and assign responsibilities for
clean-up, and return of equipment to the original condition.
X. EMERGENCY ACflON PLAN TRAINING
The Division manager is responsible for ensuring that all full- and part-time
management people are trained in the emergency evacuation plan.
SECI10N IX - Emergency Action Plan
Rev. 4/99
Page 14
EMERGENCY RESPONSE PLAN
Each supervisor is responsible for training his/her employees in the Emergency
Evacuation! Action Plan at the following times:
a. When the plan is initially introduced,
b. On the employee's first day of employment,
c. Whenever an employee's job assignment or job location is changed
d. Whenever the plan is changed, and/or
e. Annually.
How to Train:
1. Present the PCM enclosed in this section of the plan, pointing out the written plan and
diagram. Cover the building-specific Emergency Action Plans for other types of
emergencies such as hurricanes, tornadoes, etc.
2. Read the written description and demonstrate exit routes from the diagram.
3. Activate or simulate the emergency evacuation alarm.
4. Escort the employees out of the building following the exit routes on the diagram.
Use the buddy system where applicable (see Section IX, IV, 4).
5. Go to the designated safe assembly point.
6. Account for all employees (take a head count).
7. Ensure that all employees understand that they are not to re-enter the building until
instructed to do so by UPS management.
8. Answer any questions about this procedure.
Documentation of this training must be recorded on the UPS Student Compliance
Training Roster (016279-8/94). The most current original roster must be maintained in
this section of the UPS Emergency Response Plan. The two-sided carbon copy should be
sent to Human Resources for input into the Employee History Profile (EHP).
XI. P ARTIAL EVACUATIONS
At larger UPS facilities there may be occasion, such as during a chemical release,
to evacuate employees from only part of a building. In these situations, the UPS
management person in charge of the area to be evacuated must use his/her best
SECTION IX - Emergency Action Plan
Rev. 4199
Page IS
EMERGENCY RESPONSE PLAN
judgement regarcfing how many employees to remove from the area. UPS
management must be notified of the emergency and the decision to evacuate
before action is taken.
Since the evacuation is only partial, the evacuation alarm shall not be used. The
decision to evacuate should be communicated by word of mouth to all employees
in the area. Employees should be removed to a safe area an adequate distance
away. All other measures for emergency evacuation, such as using a buddy
system, shutting down machinery (if necessary), and taking a head count once in
the safe area, should all be implemented for partial evacuations.
If the partial evacuation is called because of a hazardous material spill, the
decision to re-enter the area must be made based on the advice of the Designated
Responders, or outside responder if outside help was needed to respond to the
spill. As with any evacuation, employees may only re-enter the area upon
instruction from UPS m~1)agement.
XII. SPECIAL CONSIDERATIONS
Not all emergencies can be anticipated and planned for. Some facilities may have
unique emergency or safety issues that are not addressed in this Emergency
Action Plan. In any emergency, all employees, and especially those named on the
Chain of Command, must exercise good judgement and common sense. .
Planning ahead of time for emergencies makes decision-making in an. emergency
easier. If your facility has a unique emergency issue not discussed in this plan,
use this section to plan for it. Write down any special issues that your facility has,
and what actions may be necessary in an emergency. Clear your plans with both
your district and region Health and Safety managers.
SECTION IX - Emergency Action Plan
Rev. 4199
Page 16
~ United Parcel Semce
EMERGENCY RESPONSE PLAN
PERSONAL PROTECTIVE EQUIPMENT (PPE)
AND
RESPONSE SUPPLIES
Revised July 1995
SECTION XI
~ UnIIed Parcel Semce
EMERGENCY RESPONSE PLAN
TABLE OF CONTENTS
I. SPILL CART WITH PPE
ll. SCBA HYDROSTATIC TESTING PROCEDURE
ID. FACILITY SUPPLY UST
Revised July 1995 SECTION XI
0'
//
~--,.
~ United Parcel Semce
EMERGENCY RESPONSE PLAN
PERSONAL PROTECTIVE EQUIPMENT (PPE)
,
and
RESPONSE SUPPLIES
SPILL CART INVENTORY CHECKLIST
To effectively clean up and process hazardous material spills, the following spill cart items must be
available and in good repair. All deficient items can be ordered through region supply.
1. One plastic' shovel
2. One plastic dustpan
3. One fiber broom
4. Two rubber-coated chemical-resistant aprons
5. Two pair of chemical-resistant boots (size "L" and "XL")
6. Two pair of chemical splash goggles
7. Two pair of chemical-resistant gloves (hazardous chemical resistant Silver Shield and nitrile
gloves)
8. One pH indicator tape
9. UPS Guide For Shipping Ground and Air Hazardous Materials
10. One Prohibited Hazardous Materials Poster (011112 rev. 8/93)
.,' .
11. One rewrap knife
12. One I-gallon container with water (labeled)
13. One gall?n of bleach in its original container (hibeled)
J~.,-Qnesþîíl tub which includes a spill-tub liner
15. Clay-based absorbent
16. Sodium bicarbonate
17. Activated carbon
18. UPS Decision TreelResponse Sheets (Designated Responder Reference Guide)
19. D.O. T. Emergency Response Guide Book
20. One box disposable gloves
21. Six wooden stirring sticks
~
SPILL CART LOCATION(S):
/~- ìJJ R6J.,ùQAP
/",.
SCBA LOCATION(S):
Tt.vD t .AJ 0~Ð;J~::'j\;":
A C CÁ
ÄQ,EA
,~.,
a/oj£. \ ¡J )...)tVT DA) A \:¿ Aí.2EA
SECTION XI - PPE/Equipmm/ - S1lppli~s
Rev.7f25/95
Page 1
--0
~ Umted Parcel Semce
'EMERGENCY RESPONSE PLAN
SCBA HYDROSTATIC TEST PROCEDURE
During the monthly inspection, all hydrostatic test dates should be checked. The date stamp will be
located either on the cylinder label or the neck. D.O.T. regulations require that all composite
cylinders be tested every three years. Hyou experience any problems with the SCBA during use or
the monthly inspection, call:
MSA Customer Service Center
1-800 672-2222
H you have a cylinder which requires hydrostatic testing, allow 90 days for MSA to exchange, test
and return the cylinder. UPS has contracted with MSA to have a limited supply of SCBAs dedicated
as loaners to be used while repair work is completed. As an alternative, if your outside vendor who
refills your cylinders is a D.O.T. certified test facility, you may choose to allow them to hydrostatic
test your cylinders. We recommend calling MSA to verify a facility closest to your location.
IMPORTANT - Only an MSA certified repair center is qualified to work on any other SCBA
equipment such as air mask. Only MSA parts, designed for a particular piece of equipment, may be
used on MSA equipment. Never attempt to interchange parts from one manufacturer to another, or
from one model of equipment to another from the same manufacturer. Doing so will invalidate the
manufacturer's warrantee and the NIOSH certification. Contact the MSA Customer Service Center
for further details.
SECTION XI - PPE/Equipment - Suppliu
Rev. 7f151'15
Page 2
United Parcel Service
8400 Pardee Dr.
Oakland, CA. 94621
Phone: (510) 633-3974 '
~~~
c5) I 10
LETTER OF TRANSMITTAL ~
DATE
02/29/2000
Environmental Health Services Division
1Z950X110110163858
~
ATIENTION
TO:
"/
Kern County Dept. of Environmental Health
2700 M Street /'
Bakersfield, CA 93301
RE-
D Change Orders
D Plans
. Other:
D Samples
s
DShop Drawings
o Copy of Letter
DAttached
Dprints
Under separate cover via UPS
WE ARE SENDING YOU:
Buisness Plan 2000
COPIES DATE NO. DESCRIPTION
2 Feb24 Buisness Plan 2000 Bakersfield
THESE ARE TRANSMITTED as checked below:
o For Approval
DApproved as submitted
o Resubmit _copies for approval
DFor your use
DApproved as noted
o Remove yellow copy - Return remaining copies
.AS requested
o Returned for correction
o Remove white copy - Return remaining copies
o For review and comment
o For your signature
* IF ENCLOSURES ARE NOT AS NOTED. KINDLY NOTIFY US AT ONCE
REMARKS
COPY TO:
FILE
SIGNED:
~ -m....
Matt Morris
'OJ
]",
~
KERN COUNTY DEPARTMENT OF ENVIRONMENT AL HEALTH
ENVIRONMENTAL HEALTH SERVICES DIVISION
2700 M STREET, BAKERFIELD, CA 93301
BUISNESS PLAN 2000
---------------- ---.-
__n__·____~·~___.._.
California Hazardous Materials Inventory Reporting Form - Business Owner/Operator Identification Page
CALENDAR YEAR BEGINNING (1) I D ( 101 loci
BUSINESS NAME (4) I Un/in) PtJ~l 5ÚV/Ul
SITE ADDRESS (6) I 39CD IJ, 'Silled
CITY (7) I ßck.~sJ:"J.¿/
DUN & BRADSTREET (10) I 00 - fo99- Ires I
OPERATOR NAME (12) I Chev/d Jc.dcso>1
ENDING
(2) I 0 I I 0 I I Of I
I BUSINESS PHONE
(3) PAGE 1 OF 13
(5) I~/- 3.;20- 1595'
STATE (8) I CA
SIC CODE (4 DIGIT #)
OPERATOR PHONE
ZIP (9) I 9'3308
(11)1 4;)/5"
(13) I C:J&I- 3.u,- (1/95
OWNER INFORMATION
OWNER NAME (14) I f)nt-kL1 Pwml Se,·VlC.Q.
OWNER MAILING ADDRESS (16) I 'ii400 4r-k fJr,~e.
CITY (17) I ocJcfu,i
OWNER PHONE
(15) I 57o-(ò33·· 4034
I STATE (18) I CA
ZIP (19) I 94&')..1
ENVIRONMENTAL CONTACT
CONTACT NAME (20) I M~w ~tc.rn5
MAILING ADDRESS (22) I ~4lX' Pc.rCt?il {)r'/V~
CITY (23) I OcJduvl
CONTACT PHONE (21) I 5'10 - ,,-J3- 4035
I STATE (24)
leA ZIP (25) I 91.{" ).,/
Primary
EMERGENCY CONTACTS
. Secondary
NAME (26) I é'hc..rl.e5 JC.clC.fO;1
TITlE (27) I úvdPr ~L'~r-
BUSINESS PHONE (28) I . - 3:J.fo-/595
24-HOUR PHONE (29) I {¡;(Pí - 5Sf7J- c¡f~95
PAGER (30) I Ñ /A
~~
(33) I -: =- '8195
(34) I &1;,/- 392- 0 I :J./I
IV/A
NAME (31)
TITlE (32)
BUSINESS PHONE
24-HOUR PHONE
PAGER (35)
ACUTELY HAZARDOUS MATERIALS
ON SITE AHM (36)
YES
@
If yes. and above Threshold Quantities, atIac:h a sheet 01 paper with a general description 01
the process and principal equipment
ADDITIONAL LOCALLY COLLECTED INFORMATION
TYPE OF BUSINESS (37A) tlcc.:s~ l1dlVPlt I DATEOFOVVNERSHIP (378) 11987
NUMBER OF EMPLOYEES (37C) TOTAL POUNDS OF HAZARDOUS MATERIALS (370) I
INVOICE CONTACT (37E) I PM ~g~:~¡~~ ~ INVOICE PHONE (37F) I 5;o-~33',4034
INVOICE CONTACT ADDRESS (37G) __ __ _0 Pc..nlðl1. OrlV,
CITY (37H) I &JefL..rv1 I STATE (371) I (,4 I ZIP (37J) I 94"-:1-/
PURPOSE OF 5UBMm AL - CHECK ONE (371<):
FIRST ~ILlNG OF BUSINESS PLAN C:=J
YEARLY CHEMICAL INVENTORY C:=J
UPDATE OR REVISION OF OWNER INFO OR INVENTORY
NO CHANGE - INVE~ORY SAME AS PREVIOUS FILING
c=:J
U2f
CHANGE OF ADDRESS
CHANGE OF OWNER
CHANGE OF NAME
CJ
c=J
c=J
OTHER (EXPLAIN): I I
[¡¡;:¡I:I;:~:~~:¡~~:~t:II:I~I~:I~I:~I~I:tttHllll:~:~~~~I~i~i¡:~:t:t~~:~:~~:~t::i:1~~:~~!:~~~~~~¡:¡~:~:~~~¡:I:II~r~~~~:~~:~::~rt~~:~1~111~~II~::~fl
...................................................................................................................................................................................................................
;¡'ffi:~¡ljltffflrnl#lJ{¡?nnffHJjW¡¡f¥i¡¡Hi¥.&fM11i¥H@tWltj¡ttttj~fl¡¡mWtftlt:t:tJtnft\:W::t:~:~:H:
CERTIF1CA TION: I CERTIFY UNDER PENAL TV OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM FAMILIAR WITH THE
INFORMATION SUBMITTED IN THIS INVENTORY AND BEUEVE THE INFORMATION IS TRUE, ACCURATE, AND COMPlETE.
PRINT NAME OF DOCUMENT PREPARER
(38) I J.//alhw ~rrú'
(39) I ~ ~I/ 4-e ?/.¡;', I DATE (40) I :L 1:I4 I 00
SIGNATURE OF OVVNERlOPERA TOR
~
fÞ
OIL SPILL RESPONSE CONTACT
TELEPHONE LISTING
BAKERSFIELD & LAKE ISABELLA
Last Update: (02- J 5-00)
FACILITY SPILL COORDINATOR
CHARLES JACKSON (Primary)
TERRY RUSSELL(f4/ternate)
RICK GARCIA (p.E)
WORK NUMBER
(661) 326-1595
(661) 326-8195
(559)442-2925
24 HOUR #
(661) 558-8295
(661) 392-0124
(559) 263-0954p
DISTRICT SPILL COORDINATOR
MATT MORRIS
DAVID HALLETT
(510) 633-4035
(510) 633-3974
(510) 448-5105p
(510) 448-3134P
DISTRICT MANAGER
KENNY BOLTON
(510) 633-4040
REGION SPILL COORDINATOR
JOE KERHT
JON BRUGMAN
(925) 833-4678p
(415) 474-7622
(925) 277-2860
(925) 277-2229
NA TIONAL SPILL COORDINATOR
GARY WILLIS
ALTERNATE
AL TERNA TE
(404) 828-4254
(888) 394-3475P
(888) 614-2693P
(888) 394-3476P
LOCAL EMERGENCY RESPONSE AGENCIES
Note: Immediately notify the emergency response agencies listed below if there is reasonable belief
that a release or threatened release of hazardous material poses significant and potential hazard to
human health, safety, or the environment. Refer to the Facility's Business Plan for further
instructions (notification procedure).
FIRE DEPARTMENT............... ......... ......... ............ ............... ....(661) 324-4542...911
POLICE DEPARTMENT................................. ..................... ... ...(661) 327-7111...911
BAKERSFIELD FIRE & HAZARDOUS MATERIALS DIVISION...... ......... ...(661) 326-3979
CALIFORNIA OFFICE OF EMERGENCY SERVICE........................ ...... ...(800) 852-7550
If spills equal or exceed federal reportable quantities, notify:(25 gallons or more)
U.S. NATIONAL RESPONSE CENTER......... ............ ...... ......... ... ..... ...(800) 424-8802
LOCAL EMERGENCY NUMBERS
FUEL EQUIPMENT REPAIR
FRANZEN HILL..................... ......... ...... ... ............ ...... ... ...(559) 688-2977
(800) 655-3436
ELECTRIC REPAIR
LEVINAR... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ...... ... ... ... ... ... (661) 323-7044
AC ELECTRIC..,......... ......... ......... ......... .................. ...... ...(661) 633-5368
SPILL CLEAN UP
MP ENVIRONMENTAL SERVICE...................................... ..(661) 393-1151
(800) 245-9518
UNIVERSAL ENVIRONMENTAL... ... ... ... ... ... ... ...... ... ... ... .....(707) 747-6699
NOTE: THE FIRE DEPARTMENT IS NOT TO BE CALLED UNLESS THERE IS A CLEAR
DANGER OF FIRE.
f<
~
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD 0 DELETE
BUSINESS NAME
CHEMICAL LDCATION
DREVISE I
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5) I FUEL ISLAND
PAGE (2)
o (3)
l
13
MAP #
(6)
(11) 0 yGJ N
'EHS (12) GJ yO N
GRID # (7)
CHEMICAL NAME
COMMON NAME
ITRADE SECRET
(S) I BLEND OF HYDROCARBONS
(9)! GASOLINE
CAS #
(10)
(13)
8006619
. IF EHS BOX IS "Y" All AMOUNTS MUST BE IN LBS.
FIRE CODE HAZARD
CLASSES
(Check all boxes thaI apply
to this chemical and write
in the appropriate Class.)
Physical Characteristtcs
~ Explosives/Blasting Agents ~ Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Ciass_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§ Sensitizer
Carcinogen
Radioactive
TYPE
(14) I
I PURE
RADIOACTIVE (15) I 0 Y ŒJ N
(16) ¡
(CURIES)
ŒJ MIXTURE 0 WASTE
PHYSICAL
STATE
(17)
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
o SOLID
ŒJ LIQUID
o GAS
(18) [J] FIRE o REACTIVE DPRESSURE RELEASE ~ACUTE HEALTH !x I CHRONIC HEALTH
UNITS' (22) o GAL o CU FT MAX DAILY AMOUNT (23) I 20.000 GALLONS
365 DLBS o TONS AVERAGE DAILY AMOUNT (24) 5.000 GALLONS
10,000 GALLONS . ~ EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ _'G~"""~' ~'~ ~~' § TANK WAGON
X UNDER GROUND TANK CARBOY CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE ------
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27) ŒJAMBIENT o ABOVE AMBIENT o BELOW AMBIENT
(28) ŒJ AMBIENT o ABOVE AMBIENT o BELOW AMBIENT DCRYOGENIC
(30) HAZARDOUS COMPONENT (31)EHS
HYDROCARBQNIGASOLlNE ~'~' 8006619
BENZENE X Y N 71432
BLEND OF HYDROCARBONS X Y N MIXTURE
TOLUENE X Y N 108883
XYLENE X Y N
STORAGE
TEMPERATURE
(29) %WT (32) CAS #
85,95
2 <5
3
4 <25
5
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: h..,ooo LBS
i"
,\"
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADO 0 DELETE
OREVISE I
PAGE (2)
1¡
o (3)
1.3
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOS HOP
MAP #
(6)
(8)1 PETROLEUM LUBRICANT
(9)1 LUBRICANT
GRID # (7)
ITRADE SECRET
CHEMICAL NAME
COMMON NAME
CAS #
(10)
(13)
. IF EHS BOX IS -., All AMOUNTS MUST BE IN lBS.
64741884
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
TYPE
(14) I
Physical Characteristics
~ ExplosiveslBlasting Agents ~ Flammable Solid
Class_F lammable liquid Class_ Water Reactive
Class_Combustible Liquid Class_Unstable Reactive
Class Oxidizer Class Organic PeroXide
Flammable Gas Class= Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
I PURE !TI MIXTURE o WASTE RADIOACTIVE (15) I OY!TIN (16) I
o SOUD !TI UQUID o GAS
(18) !TI FIRE o REACTIVE o PRESSURE RELEASE OACUTE HEALTH Ix
(11) 0 yGJ N
'EHS (12) DY~N
§sensitizer
Carcinogen
Radioactive
PHYSICAL (17)
STATE
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
:ËTI
(CURIES)
UNITS' (22) o GAL o CU FT MAX DAILY AMOUNT
365 DLBS o TONS AVERAGE DAILY AMOUNT
30 GALLONS . If EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT
(26) ~ """" '"0","'" ~C" ~~'
UNDER GROUND TANK CARBOY CYUNDER
TANK INSIDE BUILDING SILO GLASS BOTTLE
X STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
I CHRONIC HEALTH
(23) I
64741884
30 GALLONS
(24)
20 GALLONS
(25)
§ TANK WAGON
RAIL CAR
------
(27)
~AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(33) ADDIT10NAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: I219LBS
(28)
!TI AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
OCRYOGENIC
(30) HAZARDOUS COMPONENT
(31) EHS
(32) CAS #
LUBRCANT BASE OIL
ADDITIVES
~~m I
'"
"
California Hazardous Materials Inventory Reporting Form· Chemical Description Page
(1) DADO 0 DELETE
DREVISE I
PAGE (2)
o (3)
Ii
/3
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 CAR WASH TUNNEL
MAP#
(6)
~yON
OY~N
GRID # (7)
CHEMICAL NAME
COMMON NAME
ITRADE SECRET
(8)1
(9)1
SURFACE BLEND
(11)
BLUE MAGIC DETERGENT
. EHS (12)
CAS #
(10)
(13)
N/A
. IF EHS BOX IS -yo All AMOUNTS MUST BE IN lBS.
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
Physical Characteristics
~ Explosives/Blasting Agents § Flammable Solid
Class_F lammable liquid Class_ Water Reactive
Class_ Combustible liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class = Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
§TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§ Sensitizer
Carcinogen
Radioactive
RADIOACTIVE (15) I 0 Y ŒJ N I
TYPE
(14) I
(16) I
I PURE
ŒJ MIXTURE 0 WASTE
(CURIES)
PHYSICAL
STATE
(17)
ŒJ LIQUID
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
o SOLID
o GAS
(18) o FIRE o REACTIVE DPRESSURE RELEASE DACUTE HEALTH I CHRONIC HEALTH
UNITS· (22) o GAL o CU FT MAX DAILY AMOUNT (23) I 55 GALLONS
365 OLBS o TONS AVERAGE DAILY AMOUNT (24) 30 GALLONS
55 GALLONS . ~ EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ ~G'O"'''''' ~~' ~'O' § TANK WAGON
UNDER GROUND TANK CARBOY CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE ------
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
X PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
STORAGE (27) ŒJAMBIENT o ABOVE AMBIENT DBELOW AMBIENT
PRESSURE
STORAGE (28) ŒJ AMBIENT o ABOVE AMBIENT o BELOW AMBIENT
TEMPERATURE
;§ I
(29) %WT
DCRYOGENIC
(30) HAZARDOUS COMPONENT
(31) EHS
(32) CAS #
I ~m~
PROPRIETORY
CHEMICAL BLEND
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT, CONVERSION TO POUNDS: 1400 LBS
t\
"
,
,
!
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD 0 DELETE
BUSINESS NAME
CHEMICAL LOCATION
OREVISE I
(4)1 UNITED PARCEL SERVICE FRESNO
(5)1 CAR WASH TUNNEL
PAGE (2)
o (3)
~
f3
MAP #
(6)
DvGJN
GJVGJN
GRID # (7)
CHEMICAL NAME
COMMON NAME
(8)1
(9)1
ITRADE SECRET
SURFACE BLEND
(11)
BLAST AWAY DETERGENT
. EHS (12)
CAS#
(10)
(13)
9016459
. IF EHS BOX IS "Y' ALL AMOUNTS MUST BE IN las
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
TYPE
(14) I
Physical Characteristics
~ Explo'siveslBlasting Agents ~Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammãble Gas Class= Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§ Sensitizer
Carcinogen
Radioactive
RADIOACTIVE (15) I DY[RJN
(16) I
I PURE
[RJ MIXTURE 0 WASTE
(CURIES)
PHYSICAL
STATE
(17)
o GAS
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAtNER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
J~ª
o SOLID
[RJ LIQUID
(18) o FIRE o REACTIVE DPRESSURE RELEASE DACUTE HEALTH I CHRONIC HEALTH
UNITS' (22) o GAL o CU FT MAX DAILY AMOUNT (23) I 500 GALLONS
365 DLBS o TONS AVERAGE DAILY AMOUNT (24) 250 GALLONS
500 GALLONS . " EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ ""''' """'.. ""' §~" §OO, B TANK WAGON
UNDER GROUND TANK CARBOY CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE -- ----
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
X PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27)
[RJAMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(28)
~ AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
OCRYOGENIC
(30) HAZARDOUS COMPONENT
NONYLPHENOXYPOLY(ETHYLENEOXY) ETHANOL
TETRASODIUM ETHYLENE DIAMINE TETRAACETATE
(32) CAS #
(31)EHS
~Y~N
Y X N
Y N
Y N
Y N
9016459
64028
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT· CONVERSION TO POUNDS: 1>000 LBS
~
~
.,.
California Hazardous Materials Inventory Reporting Form· Chemical Description Page
(1)1 DADO 0 DELETE
BUSINESS NAME
CHEMICAL LOCATION
DREVISE I
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOS HOP
PAGE (2)
o (3)
(p
{.3
MAP #
(6)
OyGJN
G::h 0 N
GRID # (7)
CHEMICAL NAME
COMMON NAME
(8)1
(9)1
I TRADE SE~RET
(11)
WASTE OIL
WASTE OIL
. EHS (12)
CAS #
(10)
(13)
N/A
. IF EHS BOX IS 'Y' ALL AMOUNTS MUST BE IN LBS
FIRE CODE HAZARD
CLASSES
(Check aU boxes that apply
to this chemical and write
in the appropriate Class.)
Physical Characteristics
~ ExplosiveslBlasting Agents ~Flammable Solid
Class_F lammable liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Ctass Oxidizer Class Organic Peroxide
Flamm¡;ï,le Gas Class - Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTEO BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§sensitizer
Carcinogen
Radioactive
1YPE
(14) I
I PURE
RADIOACTIVE (15) I DY~NI
(16) I
o MIXTURE ~ WASTE
(CURIES)
PHYSICAL
STATE
(17)
o GAS
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
o SOLID
IKJ LIQUID
(18) GJ FIRE o REACTIVE DPRESSURE RELEASE ~ACUTE HEALTH Ix I CHRONIC HEALTH
UNITS' (22) o GAL o CU FT MAX DAILY AMOUNT (23) I 500 GALLONS
365 OLBS o TONS AVERAGE DAILY AMOUNT (24) 250 GALLONS
500 GALLONS . ij EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ .,"", G"'"""''' ~'" ~GG' § TANK WAGON
UNDER GROUND TANK CARBOY CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE ------
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27)
IKJAMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(28)
~ AMBIENT 0 ABOVE AMBIENT
DCRYOGENIC
o BELOW AMBIENT
(30) HAZARDOUS COMPONENT
(31) EHS
(32) CAS #
~§ I
I m~~ I
N/A
WASTE OIL
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT, CONVERSION TO POUNDS: 13750 LBS
~
'~
)
California Hazardous Materials Inventory Reporting Form· Chemical Description Page
PAGE (2)
(1)1 DADD 0 DELETE
DREVISE I
7
o (3)
)3
MOTOR OIL
GRID II (7)
MAP II
(6)
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOSHOP
I TRADE SECRET
DY~N
DY~N
CHEMICAL NAME
COMMON NAME
(8)1
(9)1
LUBRCA TlNG BASE OIL
MIX
CAS II
(10)
(11)
. EHS (12)
(13)
. IF EHS BOX IS '"'(" All AMOUNTS MUST BE IN lBS.
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
Physical Characleristics
~ Explosives/Blasting Agents § Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class= Pyrophoric
Non,Flammable Gas
~ COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS
Heallh Characlerisllcs
§TOXiC
Highly Toxic
Corrosive
lnitant
Other Health Hazard
§sensitizer
Carcinogen
Radioactive
!K] MIXTURE 0 WASTE
RADIOACTIVE (15) I 0 y!K] N I
TYPE
(14) I
I PURE
PHYSICAL
STATE
(17)
(18)
!K] FIRE
DPRESSURE RELEASE
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SlTE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
>70
2 <3
3 <1.5
4 <.1
5
o SOLID
!K] LIQUID
!K]ACUTE HEALTH
MAX DAILY AMOUNT
AVERAGE DAILY AMOUNT
ANNUAL WASTE AMOUNT
~BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
. TOTE BIN
DCRYOGENIC
(31) EHS
~Y~N
Y X N
Y X N
Y X N
Y N
(16) I
o GAS
o REACTIVE
D CU FT
o GAL
DLBS
D TONS
(CURIES)
Ix
I CHRONIC HEALTH
UNITS' (22)
(23) I 500 GALLONS
(24)
250 GALLONS
365
500 GALLONS
. If EHS, amounts musl be in Ibs.
(25)
(26)
~ ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
STEEL DRUM
PLASTIC/NONMETALLIC DRUM
~CAN
CARBOY
SILO
FIBER DRUM
BAG
B TANK WAGON
RAIL CAR
------
(27)
!K]AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: 13750 LBS
(28)
!K] AMBIENT D ABOVE AMBIENT
o BELOW AMBIENT
(30) HAZARDOUS COMPONENT
LUBRICATING BASE OIUREFINED PETROLEUM DISTILLATES
BASE OIUADDITIVES
ZINC ALKYL DITHROPHOSPHA TE
HEXANE
(32) CAS II
MIXTURE
64741884
68649423
110543
.~
,
.~
)
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD 0 DELETE
BUSINESS NAME
CHEMICAL LOCATION
DREVISE I
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOS HOP
MAP#
(6)
ITRADE SECRET
PAGE (2)
c¿
o (3)
13
CAS #
(10)
(8) I EHYLENE GLYCOL
(9) 1 ANTIFREEZE
107211
GRID # (7)
CHEMICAL NAME
COMMON NAME
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
(11) Dy~:h
'EHS (12) DyGJN
(13)
. IF EHS BOX IS ~Y' AlL AMOUNTS MUST BE IN LBS.
Physical Characteristics
~ Explosives/Blasting Agents ~ Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class _ Oxidizer Class_Organic Peroxide
Flammable Gas Class_ Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§sensitizer
Carcinogen
Radioactive
TYPE
(14) I
I PURE
!KJ MIXTURE 0 WASTE
RADIOACTIVE (15) I 0 Y Œ] N I
PHYSICAL
STATE
(17)
Œ] LIQUID
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
85,95
2 <5
3 <5
4 <5
5
o SOLID
o GAS
Œ]ACUTE HEALTH
MAX DAILY AMOUNT
AVERAGE DAILY AMOUNT
ANNUAL WASTE AMOUNT
§BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
DCRYOGENIC
(31)EHS
~Y~N
Y X N
Y X N
Y X N
Y N
(16) I
(CURIES)
(18)
o FIRE
o REACTIVE
DPRESSURE RELEASE
Ix
I CHRONIC HEALTH
o CU FT
(23) 1 55 GALLONS
UNITS' (22)
o GAL
(24)
25 GALLONS
DLBS
o TONS
(25)
330 GALLONS
365
55 GALLONS
. If EHS, amounts must be in Ibs.
§ TANK WAGON
RAIL CAR
------
(27)
Œ]AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: I... LBS
(26)
~ ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
STEEL DRUM
X PLASTIClNONMETALUC DRUM
§CAN
CARBOY
SILO
FIBER DRUM
BAG
(28)
Œ] AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(32) CAS #
107211
111466
PROPRIETY
7732185
....;~,
'~
(30) HAZARDOUS COMPONENT
ETHYLENE GLYCOL
DIETHYLENE GLYCOL
HYDRATED INORGANIC ACID, SODIUM SALT
WATER
~~
,
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADO 0 DELETE
BUSINESS NAME
CHEMICAL LOCATION
DREVISE I
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOS HOP
PAGE (2)
o (3)
13
9
MAP#
(6)
CHEMICAL NAME
COMMON NAME
(8) I BATTERY
(9) I BATTERY
GRID # (7)
ITRADE SECRET
(11) D yGJ N
. EHS (12) GJ Y D N
CAS #
(10)
(13)
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
7664939
. IF EHS BOX IS 'Y' All AMOUNTS MUST BE IN LBS.
Health Characteristics
§TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
Physical Characteristics
~EXPIOSiveS/Blasting Agents §Flammable Solid
Class_F lammabie liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class _ Oxidizer Class_ Organic Peroxide
Flammable Gas Class_ Pyrophoric
Non-Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
§sensitizer
Carcinogen
Radioactive
TYPE (14) I Ix
PHYSICAL (17)
STATE
RADIOACTIVE (15) 1 0 Y Œ] N I
(16) I
I PURE
o MIXTURE 0 WASTE
(CURIES)
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
;êl!
Œ] SOLID 0 LIQUID
o GAS
(18) Œ] FtRE Œ] REACTIVE OPRESSURE RELEASE Œ]ACUTE HEALTH 1 CHRONIC HEALTH
UNITS' (22) o GAL D CU FT MAX DAILY AMOUNT (23) I 8 BATTERIES
365 DlBS D TONS AVERAGE DAILY AMOUNT (24) 5 BATTERIES
1 BATTERY . If EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25) 20 BATTERIES
(26) ~ M~'G'O","'" ~~ ~OO, § TANK WAGON
UNDER GROUND TANK CARBOY CYLINDER RAil CAR
TANK INSIDE BUilDING SilO GLASS BOTTLE X BA______
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27)
Œ]AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(28)
Œ] AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
DCRYOGENIC
(30) HAZARDOUS COMPONENT
(31) EHS
(32) CAS #
LIQUID CONTENT ,ACID
PLATE CONTENT ,LEAD
HYDRATED INORGANIC ACID, SODIUM SALT
WATER
~Y~N
X Y N
Y N
Y N
Y N
7664939
7439921
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT, CONVERSION TO POUNDS: 1,000 LB"
~
~
'\
j
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD 0 DELETE
OREVISE I
PAGE (2)
o (3)
LJ
ID
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOS HOP
MAP#
(6)
(11) 0 yGJ N
. EHS (12) D Y GJ N
GRID # (7)
CHEMICAL NAME
COMMON NAME
¡TRADE SECRET
(8)1 PETROLEUM LUBRICANT
(9) I DURA LITH GREASE
CAS #
(10)
(13)
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
64741884
. IF EHS BOX IS ~'î' ALL AMOUNTS MUST BE IN LBS.
Health Characteristics
~TOXiC
Hi9hly Toxic
Corrosive
Irritant
Other Health Hazard
Physical Characteristics
~EXPIOSiveSlBlaSting Agents ~Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class _ Oxidizer Class_ Organic Peroxide
Flammable Gas Class_ Pyrophoric
Non-Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAl FIRE CHIEF, REFER TO INSTRUCTIONS
§sensitizer
Carcinogen
Radioactive
TYPE (14) I
I PURE ~ MIXTURE o WASTE RADIOACTIVE (15) I DY~NI (16) I (CURIES)
o SOLID ~ LIQUID o GAS
PHYSICAL (17)
STATE
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
~~
(18) ~FIRE o REACTIVE DPRESSURE RELEASE ~ACUTE HEALTH I CHRONIC HEALTH
UNITS' (22) I o GAL o CU FT MAX DAILY AMOUNT (23) 55 GALLONS
365 DLBS o TONS AVERAGE DAILY AMOUNT (24) 25 GALLONS
I
55 GALLONS . If EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ ."",..,OO'''AA' ~~' ~.o, § TANK WAGON
UNDER GROUND TANK . CARBOY CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE ------
X STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27)
~AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(28)
~ AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
DCRYOGENIC
(30) HAZARDOUS COMPONENT
LUBRICATING BASE OIL (MIXTURE)
HYDROGENATED CASTOR OIL
ADDITIVES
(31) EHS
(32) CAS #
~Y~N
Y X N
Y X N
Y N
Y N
68476346
64742809
8008206
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: 330 LBS
~
.
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)\ DADO 0 DELETE
DREVISE I
o (3)
PAGE (2)
11
(-3
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOSHOP
MAP#
(6)
(11) 0 yGJ N
'EHS (12) GJ yON
GRID # (7)
CHEMICAL NAME
COMMON NAME
I TRADE SECRET
(8) I ACETYLENE
(9) I ACETYLENE
CAS #
(10)
(13)
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
74862
. IF EHS BOX IS ....,.. AlL AMOUNTS MUST BE IN LBS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
Physical Characteristics
~EXPIOSivesJBlasting Agents ~ Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class= Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE lOCAL FIRE CHIEF· REFER TO INSTRUCTIONS
§SenSitiZer
Carcinogen
Radioactive
TYPE (14) I Ix
PHYSICAL (17)
STATE
RADIOACTIVE (15) I 0 Y ~ N I
(16) I
o MIXTURE 0 WASTE
I PURE
(CURIES)
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
:~
o SOLID
~GAS
o LIQUID
(18) ~FIRE o REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH I CHRONIC HEALTH
UNITS' (22) o GAL GJ CU FT MAX DAILY AMOUNT (23) I 300 CF
365 DLBS o TONS AVERAGE DAILY AMOUNT (24) 70CF
150CF . If EHS, amounts must be in Ibs. ANNUAL WASTE AMOUNT (25)
(26) ~ M'," OM",' ""' ~~ ~." § TANK WAGON
UNDER GROUND TANK CARBOY X CYLINDER RAIL CAR
TANK INSIDE BUILDING SILO GLASS BOTTLE -- ----
STEEL DRUM FIBER DRUM PLASTIC BOTTLE
PLASTIC/NONMETALLIC DRUM BAG TOTE BIN
(27)
DAMBIENT ~ ABOVE AMBIENT
o BELOW AMBIENT
(28)
~ AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
DCRYOGENIC
(30) HAZARDOUS COMPONENT
(31) EHS
(32) CAS #
ACETYLENE
ACETONE
~¡~~ I
74862
67641
(33) ADDITIONAL LOCALLY COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: 12u LBS
*
,
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD 0 DELETE
OREVISE I
PAGE (2)
11.
o (3)
13
MAP #
(6)
GRID # (7)
I TRADE SECRET
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOSHOP
CHEMICAL NAME
COMMON NAME:
(6)1 OXYGEN
(9)1 OXYGEN
CAS #
(10)
7782447
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write . .
in the appropriate Class.)
(11)Dy~h
. EHS (12) 0 Y GJ N
(13) I
. IF EHS BOX IS ....,.. All AMOUNTS MUST BE IN les.
Physical Characteristics
~ Explosives/Blasting Agents ~ Flammable Solid
Class_F lammable liquid Class_ Water Reactive
Class_ Combustible liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class= Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS
Health Characteristics
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§ Sensitizer
Carcinogen
Radioactive
TYPE (14) I Ix
PHYSICAL (17)
STATE
o MIXTURE 0 WASTE
RADIOACTNE (15) I 0 Y~ N
(16) I
I PURE
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
C~~~·tAli";ER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
o SOUD
~GAS
OACUTE HEALTH
MAX DAilY AMOUNT
AVERAGE DAilY AMOUNT
ANNUAL WASTE AMOUNT
~BOX
X CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
o CRYOGENIC
(31) EHS
I m~~ I
(CURIES)
(18)
~FIRE
~PRESSURE RELEASE
I CHRONIC HEALTH
(33) ADDITIONAL lOCAllY COLLECTED INFORMATION
MAXIMUM DAilY AMOUNT - CONVERSION TO POUNDS: 1,..9 LBS
o UQUID
o REACTIVE
Ix
GJ CU FT
o GAL
UNITS' (22)
DlBS
o TONS
(23) I 300 CF
(24)
150CF
365
150CF
. If EHS. amounts must be in Ibs.
(25)
(26)
~ ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUilDING
STEEL DRUM
PLASTIC/NONMETALUC DRUM
~CAN
CARBOY
SilO
FIBER DRUM
BAG
§ TANK WAGON
RAil CAR
------
(27)
OAMBIENT ~ ABOVE AMBIENT
o BELOW AMBIENT
(32) CAS #
776447
~§ I
., '
(26)
~ AMBIENT 0 ABOVE AMBIENT
o BELOW AMBIENT
(30) HAZARDOUS COMPONENT
OXYGEN
~
..
California Hazardous Materials Inventory Reporting Form - Chemical Description Page
(1)1 DADD D DELETE
DREVlSE I
PAGE (2)
o (3)
t~
13
BUSINESS NAME
CHEMICAL LOCATION
(4)1 UNITED PARCEL SERVICE BAKERSFIELD
(5)1 AUTOSHOP
MAP #
(6)
GRID# (7)
CHEMICAL NAME
COMMON NAME
(8)1 MINERAL SPIRITS
(9)1 PARTS CLEANER, RECYCLED (CYCLONE SINK)
ITRADE SECRET
(11) OVILJN
. EHS (12) 0 v ILJ N
CAS #
(10)
. IF EHS BOX IS T AlL AMOUNTS MUST BE IN LBS.
8052413
FIRE CODE HAZARD
CLASSES
(Check all boxes that apply
to this chemical and write
in the appropriate Class.)
TYPE
(14) I
(13)
Physlca' Characteñstics
~ Explosives/Blasting Agents ~ Flammable Solid
Class_F lammable Liquid Class_ Water Reactive
Class_ Combustible Liquid Class_ Unstable Reactive
Class Oxidizer Class Organic Peroxide
Flammable Gas Class= Pyrophoric
Non,Flammable Gas
. COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF, REFER TO INSTRUCTIONS
Ej MIXTURE D WASTE
RADIOACTIVE (15) I D v Ej N I
1 PURE
PHYSICAL
STATE
(17)
(18)
Ej FIRE
D REACTIVE
DPRESSURE RELEASE
FEDERAL
HAZARD CATEGORIES
STATE WASTE (19)
CODE
DAYS ON SITE (20)
LARGEST (21)
CONTAINER
STORAGE
CONTAINER
STORAGE
PRESSURE
STORAGE
TEMPERATURE
(29) %WT
99
2 0
3 1 PPM
4 0,100
5 0-100
D SOLID
DGAS
Health Characteñstlcs
~TOXiC
Highly Toxic
Corrosive
Irritant
Other Health Hazard
§ Sensitizer
Carcinogen
Radioactive
(16) I
Ej LIQUID
G]GAL
o CU FT
D TONS
(CURIES)
DACUTE HEALTH
Ix
1 CHRONIC HEALTH
UNITS' (22)
MAX DAILY AMOUNT
(23) I 3D GALLONS
OLBS
AVERAGE DAILY AMOUNT
20 GALLONS
365
3D GALLONS
. If EHS, amounts must be in Ibs.
(24)
(26)
§ ABOVE GROUND TANK
UNDER GROUND TANK
TANK INSIDE BUILDING
X STEEL DRUM
PLASTIC/NONMETALLIC DRUM
~CAN
CARBOY
SILO
FIBER DRUM
BAG
ANNUAL WASTE AMOUNT
(25)
~BOX
CYLINDER
GLASS BOTTLE
PLASTIC BOTTLE
TOTE BIN
§ TANK WAGON
RAIL CAR
------
(27)
EjAMBIENT D ABOVE AMBIENT
DBELOW AMBIENT
DCRYOGENIC
(31) EHS
(32) CAS #
(28)
Ej AMBIENT D ABOVE AMBIENT
D BELOW AMBIENT
~Y~N
V X N
Y X N
Y X N
V X N
8052413
8052413
64742478
(30) HAZARDOUS COMPONENT
MINERAL SPIRITS
DYE
ANTISTATIC AGENT
.
NAPHTA SOLVENT
PETROLEUM DISTILLATES
(33) ADDITIONAL LOCALL V COLLECTED INFORMATION
MAXIMUM DAILY AMOUNT - CONVERSION TO POUNDS: 1,80 LBS
·
..
~.,:",~.
~,
Oil Spill Procedures for Above Ground SpÍlls for
the District Spill Coordinator or J~lternate
Action Procedures
A. IF THE OIL SPILL INCIDENT MEETS ONE OR MORE OF THE STATE
REPORTING CRITERIA. the Facility or District Spill Coordinator or one of their
alternates immediately notifies:
1. The Corporate Spill Coordinator (with infonnation fÌ"om the: Oil Spill Incident
Report).
2. The District Manager.
3. The Region Spi1l Coordinator.
4. The State spill reporting office.
5. The UPS Public Relations Manager, through Corporate Spill Coordinator, of any
request for infonnation rrom the media. Obtains name, publication or station and
phone number of any reporter requesting information.
a) Do not invite the media onto our premises or allow photographers to
photograph or film the incident without prior approval of Public Relations
Manager. .
b) Do not permit any press conferences to be held on our premises.
B. The Corporate Spill Coordinator or alternate notifies:
1. Corporate Plant Engineering Manager.
2. The U.S. Coast Guard (if the oil spill has discharged or may discharge into the
waters of the United States or adjoining shores).
Investigation Procedures
A. Ensures cleanup and removal operations are initiated in accordance with the
Emergency Action Steps.
B. Ensures excavated or exposed impacted soils do not pose a hazard.
C. Ensures all fÌ"ee product (oil not dissolved in water) is removed as soon as practical.
D. Conducts investigation of the spill, the spill site, and the surrounding area possibly
affected by the spill in order to determine the full extent and location of soils impacted
by the spill and the presence and concentrations of dissolved product in the
groundwater, if any of the following conditions exists:
A-rT r
1. There is evidence that groundwater wells have been' affected by the spilL
2. Recovery of free product is required.,;
3. There is evidence that impacted soils may be in contact with groundwater.
4. The State Underground Storage Tank (UST) Program Office requests an
investigation, based on the potential effects of impacted soil or groundwater on
nearby surface water and groundwater resources.
'"~'
Regulatory Pro<:edures
A. Should the State spill reporting office request an investigation, submits the
information collected during the investigation to the office, as soon as practical.
B. Completes and submits any required follow-up reports.
_.",:,~'.
Follow-up Procedures
A. Review the incident with respect to the following:
1. How could the incident have been prevented?
2. Were the Emergency Action Steps followed properly?
3. Was the Oil Spill Response Plan followed properly?
4. Were proper notices/reports given in a timely manner?
5 _ Were personnel trained to adequately respond to the incident?
6. Was the Oil Spill Response Plan for containment and cleanup adequate?
~)
B. Complete the Oil Spill Incident Report Follow-up:
1. Review the incident with the applicable District and Regional personneL
2. Forward a copy of the completed Follow-up Report to the Corporate Spill
Coordinator. .
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Oil Spill Procedures for Underground Releases
The UPS :Manager at the scene:
A. Determines the cause or source of the spill or leak and. stops it.
B. Initiates oil containment action with the required manpower, equipment and materials
in accordance with prepared Oil SI?ill Response Plan for containment of an oil spill.
1. If the spill is rrom a leaking underground storage tank or piping, remove as much
of the product rrom the system as is necessary to prevent further release to the
environment.
C. Identifies and mitigates fire, explosion and vapor hazards.
D. Ensures that there is "no smoking" in the area of the spill.
E. Notifies the fire department (in the event of a fire or th~.likelihood of a fire or
explosion). .
F. As soon as practicable, records the infonnation on Oil Spill Incident Report and
notifies the Facility Spill Coordinator or alternative and the District Spill Coordinator
or alternate.
G. Visually inspects any aboveground spills or exposed belowground spills and prevents
further migration of the spill into surrounding soils and groundwater.
H. Alerts neighbors if personal danger is possible or if spill is not being totally contained
on UPS premises.
1. Initiates cleanup and removal operations in accordance with prepared Oil Spill
Response Plan for cleanup of an oil spill.
J. Remedies hazards posed by contaminated soils that are excavated or exposed.
K. Investigates to determine the possible presence of oil that is not dissolved in water
(£Tee product), and begins rree product removal as soon as practicable, if applicable.
L. Notifies UPS Press Relations Manager, through Corporate Spill Coordinator, of any
request for infonnation rrom the press so that he can respond to the request. Obtains
name, publication or station and phone number of any reporter requesting
infonnation.
1. Do not invite the press onto our premises or allow press photographers to
photograph or film the incidents without prior approval of Press Relations
Man~~. .
2. Do not permit any press conferences to be held on our premises.
M. Maintains a chronological log of events and communications during the spill incident,
containment and cleanup. Records times, names, conversations, instructions given
and instructions received.
N. Has photographs taken of the oil spill and the containment and cleanup activities.
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If the Oil Spill Incident meets one or more of the following criteria:
t
.I
1. The oil spill is ITom or suspected ITom a leaking underground storage tank or
plpmg.
2. The spill exceeds 25 gallons.
3. The spill is not contained on UPS premises or the spill has entered a body of
water.
4. The spill cleanup will not be accomplished within 24 hours.
A. The Facility or District Spill Coordinator or one of their alternates immediately
notifies:
+-.":':~"
1. The Corporate Spill C09rdinator (with infonnation ITom Oil Spill Incident
Report).
2. The District lVIanager.
3. The Region Spill Coordinator.
4. The State Underground Storage Tank Program Office.
5. The National Response Center (if the oil spill has discharged or may discharge
into the waters of the United States or adjoining shores), after contacting the
Corporate Spill Coordinator.
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B. The Corporate Spill Coordinator or alternate notifies:
1. Corporç.te Plant Engineering Manager.
The District Spill Coordinator or Alternate:
A. Conducts investigations of the spill, the spill site, and the surrounding area possibly
affected by the spill in order to detennine the full extent and location of soils
contaminated by the spill and presence and concentrations of dissolved product
contamination in the groundwater, if any of the following conditions exist:
1. There is evidence that groundwater wells have been affected by the spill.
2. Free product is found to need recovery.
3. There is evidence that contaminated soils may be in contact with groundwater.
4. The State Underground Storage Tanks (UST) Program Office requests an
investigation, based on the potential effects of contaminated soil or groundwater
on nearby surface water and groundwater resources.
a. As soon as practicable, submit the infonnation collected during the
investigations to the UST Office.
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B. Within 20 days after an oil spill incident, submits a report to the State UST Program
Office summarizing the action (initial abatement) steps taken in response to the
incident, and any resulting infonnation or data.
C. Within 30 days after an oil spill incident, submits a letter :!Tom the chief financial
officer and certification documenting current evidence of fin'ancial responsibility to the
Director of the State UST Program Office_ (letter and certification available from
National Insurance Group)
D. Unless directed to do otherwise by the State UST Program Office, assembles
information about the site and the nature of the spill, including:
1. Data on the nature and estimated quantity of spill.
2. Data concerning surrounding populations, water quality, use and approximate
locations of wells potentially affected by the spill, subsurface soil conditions,
locations of subsurface sewers, climatological conditions and land use.
3. Results of measuring for the presence of product 4! an UST excavation zone, if'~'
applicable. '
4. Results of :!Tee product investigations.
a. Within 45 days after an oil spill incident, submit the infonnation assembled to
the State UST Program Office.
E. At sites where :!Tee product is present, removes free product to the maximum extent
practicable as determined by the State UST Program Office.
1. Conduct free product removal in a manner that minimizes the spread of
contamination into previously uncontaminated zones by using recovery and
disposaJ. techniques appropriate to the hydrogeologic conditions at the site, and-
that properly treats, discharges or disposes of recovery byproducts in compliance
with applicable regulations.
2. Use abatement offree product migration as a minimum objective for the design of
.the :!Tee "product removal system.
3. Handle any flammable products in a safe and competent manner to prevent fires or
explosions.
4. Unless directed to do otherwise by the State UST Program Office, prepare and
submit to the UST Office, within 45 days after an oil spill incident, a free product
removal report that provides at least the following infonnation:
a. The name of the person(s) responsible for implementing the :!Tee product
removal measures.
b. The estimated quantity, type, and thickness of :!Tee product observed or
measured in wells, boreholes and excavations.
c. The type of :!Tee product recovery system used.
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d. Whether any discharge will take place on-site Qf off-site during the recovery
operation and where this discharge will be located. '.I
e. The type of treatment applied to, and the effluent quality expected rrom, any
discharge.
r. The steps that have been or are being taken to obtain necessary permits for
any discharge.
g. The disposition of the recovered free product.
t, :;
F. If required by the State UST Program Office, submit additional information or
develop and submit a corrective action plan for responding to contaminated soils and
groundwater.
Follow-up:
....~:~.
A Review the incident with respect to the following:
(
1. How could the incident have been prevented?
2. Were the Action Steps For An Oil Spill Incident followed properly?
3. Was the Oil Spill Response Plan for containment and cleanup followed properly?
4. Were proper notices/reports given in a timely manner?
5 . Were personnel trained to adequately respond to the incident?
6. Was the Oil Spill Contingency Plan for containment and cleanup adequate?
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':';::'1
Oil Spill Procedures for Above Ground SpiUs for
the UPS Manager at the Scene
Action Procedures
A. Ensures the cause or source of the spill or leak is stopped in accor9ance with
prepMed facility specific Emergency Action Steps.
B. Ensures spill containment and control action are initiated with the personnel,
equipment and containment materials in accordance with prepared facility specific
Emergency Action Steps.
C. Determines iffire, explosion or vapor hazards exist.
D. Ensures that there is no smoking in the area of the spill.
~"~' E. Alerts neighbors if personal danger is possible or if spill.is not being totally contained
on UPS premises.
Notification Procedures
A. Notifiesthe fire department (ONLY in the event of a fire or the likelihood of a fire or
explosion).
B. Maintains a chronological log of events and communications during the spill incident,
containment and cleanup. Lists times, names, conversations, instructions given and
instructions received. Takes photographs of the oil spill and the containment and
cleanup activities. Maintains this log until the spill incident is closed.
C. As soon as practical, records the infonnation on the Oil Spill Incident Report and
notifies the Facility Spill Coordinator or alternate.
D. IF THE OIL SPILL INCIDENT NIEETS ONE OR MORE OF THE STATE
REPORTING CRITERIA contacts the Facility or District Spill Coordinator or one of
their alternates immediately.
Follow-up Procedures
A. Perfonns Follow-Up with Facility and District Spill Coordinators or their alternates.
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EMERGENCY ACTION PLAN'
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FACILITY MAP
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SECTION IX
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United Parcel Service
3800 N. Sillect Avenue
Bakersfield, CA 93308
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OIL SPILL CONTINGENCY PLAN
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LOCAL~ttERpttfCR~s~~§~¡C~LAN
FOR
BAKERSFIELD
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Note: All containment and cleanup materials are in the spill control
container (YELLOW BARREL) located at the FUEL ISLAND.
STOP THE SOURCE:
1) TURN OFF SYSTEM AT THE EMÉRGENCY SHUT-OFF SWITCH.
CONTAIN THE SPILL
2) OPEN FUEL SPILL KIT CONTAINER (YELLOW DRUM) LOCATED AT FUEL
ISLAND FOR ABSORBENT BOOMS & SHEETS, PLASTIC BAGS, & ANY
OTHER CLEAN UP MATERIALS.
3) POSITION BOOMS & SHEETS IN FRONT OF THE SPILL AND THE
STORM DRAIN TO PREVENT FUEL FROM ENTERING STORM DRAIN
SYSTEM OR LEAVING UPS PAVED PROPERTY.
4) ABSORB SPILLED PRODUCT USING ABSORBENT BOOM & SHEETS, &
ANY OTHER CLEAN UP MATERIAL (IE. KITTY LITTER).
5) PLACE USED ABSORBENTS & ANY OTHER SPENT ABSORBENTS IN
PLASTIC BAGS OR IN AN EMPTY HAZARDOUS WASTE DRUM (DMP DRUM).
CALL FOR HELP:
6) NOTIFY FACILITY SPILL COORDINATOR USING TELEPHONE LISTING
FOR PROPER DISPOSAL PROCEDURES.
7) MANAGEMENT MUST COMPLETE A TELEPHONE INCIDENT REPORT FOR
SURFACE FUEL SPILL OF 5 GALLONS OR GREATER.
8) IF THE SPILL EXCEEDS FACILITY MANPOWER FOR CLEANUP, NOTIFY
SPILL CLEANUP CONTRACTOR USING THE TELEPHONE LISTING.
IF THE FUEL OR OIL SPILL MEETS ONE OF THE FOLLOWING CRITERIA:
* The spill is from a suspected leaking or a leaking underground
storage tank or piping.
* The spill exceeds 25 gallons
* The spill is not contained on UPS paved property OR a spill
has entered a body of water (ie. storm drain)
* The spill cleanup will not be accomplished within 24 hours
The Facility or District Spill Coordinators or Alternate must follow
the notification chain of command procedure. Refer to the OIL SPILL
RESPONSE CONTACT TELEPHONE LISTING and ACTION STEPS FOR AN OIL SPILL
INCIDENT for reporting and clean up measures.
IN CASE OF LEAK ALARM ON FUEL TANKS:
1. Notify Automotive Supervisor, or;
2. Notify Maintenance Supervisor, or;
3. Notify Spill Coordinator from Telephone Listing
...
"
rynited Parcel service
J800 N. Sillect Avenue
~--qakersfield, CA 93308
..1
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NOTIFrCATION
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UNITED PAR:~L S~RVIC~
'.
EMERGENcY NOTIFiCATION PROCEDURES
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EMERGENCY RES?ONSE AGENCI~S ARE TO BE IMMEDIATELY NOTIFIED IN THE EVENT OF A
RELEASE OR A THREATENED RELEASE OF HAZARDOUS MATERIALS. A HAZARDOUS MATERIAL
INCLUDES ANY MATERIAL THAT, BECAUSE OF ITS QUANTITY, CONCENTRATION,~OR PHYSICAL OR
CHEMICAL CHARACTERISTICS, POSES A SIGNIFICANT PRESENT OR POTENTIAL HAZARD TO THE
HEALTH AND SAFETY OF EMPLOYEES, THE COMMUNITY, OR THE ENVIRONMENT IF RELEASED. THERE
IS NO MINIMUM RE?ORTABLE QUANTITY ESTABLISHED FOR A RELEASE. FACILITY OPERATORS MUST
USE THEIR BEST PERSONAL JUDGHENT IN DETEP.MINING 1fH!3HER A RELEASE OR THREATENED
RELEASE IS REPORTABLE.
NOTIFY THE FOLLOWING WHEN REPORTING A HAZARDOUS MATERIAL RELEASE:
1. FIRE/POLICE/AMBULANCE
9-1-1 E.'1ERGENCY
2. COUNTY OFFI CE OF EMERGENCY SERVI CES
.. 'rJ.~L Or &Kt.£5~J¿l..Þ
AGENCY: _ A/t-L .lJb1r.
ADDRESS: ~.s (!.;Æsíi/( #~L-
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-PHONE NO: ~ÔJ - :3 2-6 . 3?::¡.r
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(aDO) 852-7550
(915) ZI,Z·/,z./
(800) 424-8802
3. STATE OFFICE OF EMERGENCY SERVICES - CALIFORNIA
.......
4. NATIONAL RESPONSE CENTER
"nEN REPORTING A HAZAP~US MATERIAL RELEASE" USE THE FOLLOWING PROCEDURE:
1. IDENTIFY YOURSELF, ,GIVING YOUR NAME
2. LOCATION OF THE INCIDENT
A. BUILDING ADDRESS t INCLù'DING BUILDING AND/OR SUITE NUMBER
B. NA."iE OF NEAREST' CROSS STREET
,
3. !DENTIFY THE HAZARDOUS MATERIAL INVOLVED
A. ESTIMATE THE QUANTITY OF HAZARDOUS MATERIAL RELEASED
¡
B. ESTIMATE THE POTENTIAL HAZARDS PRESENTED BY THE RELEASE
4. NATURE OF THE INCIDENT (SPILL, EXPLOSION, FIRE, ETC.)
A. ESTIMATE THE NUMBER OF'INJ~IES, CAUSE OF INJURIES, OR
NUMBER OF-INDIVIDUALS CONTAMINATED BY THE RELEASE
B. IS THE FACILITY BEING ~ACUATED?
1
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United Parcel Service
3800 N. Sillect Avenue
( Bakersfield, CA 93308
f
REPORTING
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Oil Spill Incident Report
'\
Incident Date:
Report Date:
Facility Name:
District:
Address:
Time:
Time:
(T 0 Corporate)
Mnemonic:
Region:
S1REET
CITY
COUNTY
Phone:
Phone:
ST ATE
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Reported By:
UPS Mgr In Charge:
Type of Product Involved:
From: Fuel Delivery Vehicle
UPS Vehicle
Underground Storage Tank and/or Piping - Capacity
f
Aboveground Storage Tank and/or Piping - Capacity
Does Quantity Exceed Reporting Requirements? .................. ...... ........ ..... ........................
State Regulatory Authorities Notified? ....... ..............",. ......... ....... ....... ... ... ... ....................
Approximate Volume Involved? ....... ........................... .......... ......... ...... ........ ......... ...........
When Will Cleanup Be Completed? .............. ....... ............ ...... ....... ...... ........ ... ...................
Product Contained On UPS Premises? ..... .... ...... ........,.... ........... ............ ........ .............,....
Ifnot, did product enter Sewers, Pipes or Ditches? ...............................................
Ifnot, did product enter a Body of Water?..........,............................................. ...
Describe Body of Water and Distance From Incident:
Contractors Contacted/Agencies Aware of Incident:
CONTRACTOR/AGENCY REPRESENTATIVE PHONE
Describe Incident, Hazard Abatement, and Remedial Activities:
(State the facts accurately and carefully. Do not speculate about events about which you are not certain. Do not give
your opinion.)
F
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Oil Spill Incident Report Follow-Up
To be filled out by the District Spill Coordinator:
Date and Time agency notified:
To:
To:
Of
Of
(NAME)
(AGENCY)
Est. Cost ofIncident:
How and why did tliis incident occur? (State the facts accurately and carefully. Do not speculate
about events about which you are not certain. Do not give your opinion.)
....;,~.
What steps should be taken in the future to prevent this from occurring again?
Have recommendations been implemented?
y
N
DATE:
Reviewed By:
District Automotive Mgr
])istrict P.E. Mgr
District Mgr
Division Mgr
PC: Region Automotive Mgr
Region P .E. Mgr
(also, when pertinent)
Facility Environmental File
Fuel Facility Equipment History
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United Parcel Service
3800 N. Sillect Avenue
3akersfield, CA 93308
\
EMERGENCY RESPONSE EQUIPMENT
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I. Protective Wear AvaJlable on Each Spill Cart
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*
Chemical- resistant boots (2 pairs, size "L" and "XL")
* Chemical-resistant gloves (1 pair)
* Chemi.cal-resistant apron
* Chemical-splash goggles (1 pair)
II. Respirator
*
MSA Ultralite MMR self-contained breathing apparatus
* Refer to UPS Respiratory Protection Program and manufacture's
literature.
The location of the spill cart(s) in this facility is/are:
Unload
Damaged Package Service Center
The location of the MSA Ultralite MMR self-contained breathing
apparatus is/are:
Damaged Package Service Center
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United Parcel Service
SUBJECT
ENVIRONME..~A.L SAFETI PROGRAM
I'NUMBER
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I ~.UPS¡ PROCEDURE
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INCIDENT RESPONSE AND 'DISPOSAL
Are
08/01/39
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I. SUPPLY AND EQUIPMENT RE UIREMENTSI
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23 'JF 6?
Location
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EMERGENCY RESPONSE PLAN
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PERSONAL PROTECTIVE EQUIPMENT (PPE)
and
RESPONSE SUPPLIES
,-
SPIU CART INVENTORY CHECKLIST
To effectively clean up and process hazardous material spills, the following spill cart items must be
available and in good repair. All deficient items can be ordered through region supply.
".
1_ One plastic shovel
, 2. One plastic dustpan
3. One fiber broom
4. Two rubber-coated chemical-resistant aprons
5: Two pair of chemical-re~istant boots (size "L" and "XL")
6. Two pair of chemical splash goggles
7 . Two pair of chemical-resistant gloves (hazardous chemical resistant Silver Shield and nitrile
gloves)
8. One pH indicator tape
9. UPS Guide For Shipping Ground and Air Hazardous Materials
10. One Prohibited Hazardous Materials Poster (011112 rev. 8/93)
11. One rewrap knife
12. One I-gallon container with water (labeled)
13. One gallon of bleach in its original container (labeled)
14. One spill tub which includes a spill-tub liner
15. Clay-based absorbent
16. Sodium bicarbonate
17 _ Activated carbon
18. UPS Decision Tree/Response Sheets (Designated Responder Reference Guide)
19. D.O.T. Emergency Response Guide Book
20. One box disposable gloves
21. Six wooden stirring sticks
SPILL CART LOCATION(S):
SCBA LOCA TION(S):
-
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SECTION XI - PPEiEquipmmt - Supplies
Re'f, 7!~5!95
Page 1
"<I
United Parcel Service
3800 N. Sillect Avenue
1kersfield, CA 93308
EVACUATION ROUTES'AND
PROCEDURES
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EVACUATION PLAN
BAKERSFIELD BUILDING
RIO BRAVO CENTER
~ 0"
IT
Pþ, ' .METER
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CUSTCMER CQtJNI'ER
STOCKDALE
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x
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SHOP
x
LOAD
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(X) = Exit Door
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EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
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··EVACUATION PLAN
BAKERSFIELD BUILDING
BAKERSFIELD CENTER
~
CAR WASH
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CtJSTOMER COUNTER I
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srOCKDALE
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X
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X
I HAZ MAT CAOB I
SHOP
X
LOAD
MOD.
(X) = Exit Door
EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
/t, ¡;f 4-,
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EVACUATION PLAN
BAKERSFIELD BUILDING
STOCKDALE CENTER
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x
x
I HAZ MAT CAGB I
SHOP
x
WAD
MOD,
X = EXIT DOORS
EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
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EVACUATION PLAN
BAKERSFIELD BUILDING
AUTOMOTIVE SHOP
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x
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MEET
POINT
EMERGENCY EVACUATION PROCEDURE
1. Calmly exit by following the path to the Emergency Exit Door indicated above.
2. Assemble at the fence or property perimeter directly in front of the exit door.
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed.
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EVACUATION PLAN
BAKERSFIELD BUILDING
¡
PRELOAD AND LOCAL SORT
P. ,- ,l\fETER
F E
CAR WASH I
ClJSTOMER COUNTER
x
STOCKDALE
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1. Calmly exit by following the path to the Emergency Exit Door indicated above. I
2. Assemble at the fence or property perimeter directly in front of the exit door. I
3. Your immediate supervisor will take attendance of all evacuees and provide
further instruction on how to proceed. ~
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