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l " , ~ ~'. ..., ~ " , Per Issued by: . . ,~':~" :~ -' i ~ -. ,: _. ': ..:. . ~:' - ' This' permit Is Issued for the following: ". '" It! Hazardous Materials' Plan ,'. : ' .' ,0, Underground 'Storage of Hazardous Materials" ;:, ~ORiskManagementProgram:;, ' , 0' Hazardous Waste O~~'teTreatment ' ,..-,-' , , .0. .... .: . ~ .' '," "-,'. 1" " " , " .. , '" ,'.,.. . , ..' ..:' Bakersfield'Fire Department . OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 9'3301 Voice (661) 326-3979 FAX (661) 326-0576 ~ '. . "Approved by: Issue Date Expiration Date: 'June 30, 2003 PerDl.it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: '!¡Hazardous Materials Plan , round Storage of Hazardous Materials agement Program Waste 5241 PERMIT ID# 01S-02HJO0230 HALLIBURTON ENERGY SER LOCATION <, Issued by: STINE Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: G_.--J'~' '9¥-r!:~- ~ ~- --- , HM~P SITE PLAN -MAP o lAG RAM HAlliBURTON ENERGY SERVICES 5241 STINE ROAD BAKERSFIELD, CA 9331 3 BUSINESS TELEPHONE: (805) 837-9831 WOOOMERE DRIVE ) FIRE -0 HYDRANT HALLIBURTON DRILLING SYSTEMS PARKING LOT (/) ~ Z fTl :::0 §2 POWER---f'\ 0 POLE ~ GAS SHUT-OFF ELEC. SHUT-OFF PAl NT BOOTH FLAM MABLE LIQUID PARKING LOT OFFICE HALLIBURTON ENERGY SERVICES AUTOMATIC SPRINKLERS AUTOMATIC SPRINKLER I 5241 STINE RD. WATER SHUT -OFF SPRINKLER WATER SHUT -OFF EMPTY CYLINDERS FOUNTAIN SPRINGS TRAILER PARK /0 III U) o III Z ---1 » I EV~CTUATIO~ PLAN EMERGENCY #911 5241 STINE ROAD BAKERSFIELD, CA 9331 3 G··/·"- ;"-~. -' BUSINESS TELEPHONE: (805) 837-9831 WOODMERE DRIVE ) FIRE -0 HYDRANT HALLIBURTON DRILLING SYSTEMS PARKING LOT PAINT BOOTH FLAMMABLE LIQUID OFFICE HALLIBURTON ENERGY SERVICES AUTOMATIC SPRINKLERS AUTOMATIC SPRINKLER SPRINKLER WATER SHUT -OFF FOUNTAIN SPRINGS TRAILER PARK (f) -I Z fTl IN CASE OF AN :;:0 EMERGENCY 52 YOU WILL BE o NOTIFIED TO EVACUATE THE BUILDING AND MEET AT THE POWER POLE SHOWN TO LEFT. 1_ ....~ .,~ oc1 2, ~ 1.U\\~ . :JB1,Ù/I!!1'f,;J SiteID: HALLIBURTON ENERGY . SERVICES ff 015-021-000230 -rl\(J'J~ '( a~<)" V BusPhone: (661) 837-9831 '\ \ x-O èZ. ~ lD .JI!.å"f:: 123 CommHaz: Moderate r \ ~ q)'~l Grid: 23A FacUnits: 1 AOV: STATION 13 ~€~ SIC Code: 1389 ~\O . DunnBrad:00-193-6327 Manager : Location·' City Emergency Contact / Title Emergency,Contact / Title BRIAN ISOM / SR SALES REP PAUL SMITH / SHARED SERVICES Business Phone: (661) 833-2060x Business Phone: (661 ) 391-5385x 24-Hour Phone : (661) x 24-Hour Phone (661) 939-8111x Pager Phone (661) 636-2964x Pager Phone (661) 303-0201x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 5241 STINE RD City BAKERSFIELD Phone: (661) 837-9831x State: CA Zip 93313 Phone: (661) 837-9831x State: OK Zip 735360100 Owner Address City HALLIBURTON MEASUREMENT SYSTEMS PO BOX 1431 DUNCAN Period Preparer: Certif'd: TotalASTs: TotalUSTs: RSs: No to <, Emergency Directives: "': ;;," ~ - '.. '_._. -..---- "---."-'.- . -; -_. "'- ",' ~.-:. ~ :-.'...... , , Gal Gal , One Unified List 9 All Materials at Site 9 f= Hazmat Inventory p== Alphabetical Order DailyMax Hazmat Common Name... SpecHaz EPA Hazards ACETYLENE E OXYGEN SAFETY-KLEEN 105 PARTS WASHING G 390.00 FT3 G 747.00 FT3 DH L 250.00 GAL ,) \O-~Ð-C~ j f-'4 ¡ ~ r- -+)./\ \' ~ \:)v ð I' /ì e..55 I hc,S mð...,<2dL +-0 ¡ ~y ,(02. L en(! ì D(\~ A-v~, ) ì "'- -t-\r)~ C0<':>í\--t"-j Qíec--. I I~~S ( þ. ~ 6r';c9-~ \ .~ L--- F P F P IH IH ~,~ ~~ /";7 E- / -LJ¿uJ vfJ~ V-- ~~/~ ~~ '\ -1- "~-- , MCP Hi Low Mod 7/2003 e e @ HALLIBURTON ENERGY SERVICES SiteID: 015-021-000230 Manager : Location: 5241 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 23A (661) 837-9831 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code:1389 DunnBrad:00-193-6327 Emergency Contact / Title Emergency Contact / Title -D!UMI I fJeM ~ C;fc~6 / SR SALES REP PAUL SMITH / SHARED SERVICES Business Phçme : (661) 833-2060x Business Phone: (661) 391-5385x 24..,Hour Phone : (661) 711~-BIK1x 24-Hour Phone : (661) 939 011bc 39J-R/)~ Pager Phone : (661) 636 2~C4<-)[ Pager Phone : (661) 303-0201x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 837-9831x MailAddr: 5241 STINE RD State: CA City : BAKERSFIELD Zip : 93313 Phone: ~~fÞ..D Owner HALLIBURTON MEASUREMENT SYSTEMS (661) ~~ Address : PO BOX 14'3' 1 4k/OO C¿p.; JD,J 2;æ State: --6*- TeJ<,?$ City : :9UNCAN /lwsmrJ Zip : ~7-3,53.6.0-1-0.o 77oZt:;¡ Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: One Unified List 9 All Materials at Site 9 f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP ACETYLENE OXYGEN SAFETY-KLEEN 105 PARTS WASHING E F P F P IH IH G G L 390.00 FT3 Hi 747.00 FT3 Low 250.00 GAL Mod DH I, , V~f;f Of :¡f::me~E. Do her&b}? ~rtl~ t~&t I hiW@ reviewed the attachsoj halardous materia's m~Iî~®= ment plan for ¡j,./IibvYTON ,~n@ ~h~~ ,~ ffil(;)n~ wí~~ (~ofBuo~)' ß 1M}! OO~@IñJ$ oo~~~L!~e at oompl~@ ~u'©J rorr@©(¡ M(§jfì;;; ~(?J~~ ~rr üïi'ßl1 ~~~o ...' 3/SI/ò3 . ~ 03/25/2003 . VUJ¡;¡.ª~(¡¡Jf~. e e F HALLIBURTON ENERGY SERVICES f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-000230 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE BLDG ON SW CORNER Map: Grid: CAS# 74-86-2 STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 390.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 390.00 FT3 Daily Average 390.00 FT3 %wt. I 100.00 Acetylene HAZARDOUS COMPONENTS ~ CAS# 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / I Hi HAZARD ASSESSMENTS f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE OF BLDG ON S WALL Map: Grid: { CAS# 7782-44-7 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 747.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 747.00 FT3 Daily Average 747.00 FT3 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS -2- 03/25/2003 e e F HALLIBURTON ENERGY SERVICES p= Inventory Item 0003 ~ COMMON NAME / CHEMICAL NAME SAFETY-KLEEN 105 PARTS WASHING SiteID: 015-021-0002~0 9 Facility Unit: Fixed Containers on Site 9 SOLVENT Days On Site 365 Location within this Facility Unit AGAINST W WALL INSIDE SHOP Map: Grid: CAS# 64741-41-9 STATE Liquid TYPE Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 135.00 GAL %Wt. RS CAS# 85.00 Mineral Spirits No 8030306 1. 00 Xylene, Mixed No 1330207 HAZARDOUS COMPONENTS HAZARD ASSESSMEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod TS -3- 03/25/2003 , I I e e F HALLIBURTON ENERGY SERVICES I F Notif./Evacuation/Medical r=: Agency Notification CALL 911. SiteID: 015-021-000230 9 Fast Format =¡ Overall Site =¡ 10/20/2000 ] 10/20/2000 Employee Notif./Evacuation EMPLOYEE NOTIFICATION: . A. NOTIFY ALL PERSONNEL OVER PA SYSTEM B. PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFTER HOURS. EMPLOYEE EVACUATION: A. EMPLOYEES ARE NOTIFIED OVER PA SYSTEM. B. EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. C. EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (NE CORNER) . Public Notif./Evacuati6n Emergency Medical Plan 10/20/2000 VALLEY INDUSTRIAL MEDICAL GROUP, 2501 G ST, 327-2225 OR MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. -4- 03/25/2003 e e F HALLIBURTON ENERGY SERVICES I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000230 ì Fast Format 9 Overall Site ì 10/20/2000 WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES OR ELIMINATE COMPLETELY. Release Containment 10/20/2000 WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORE TO REDUCE QUANTITIES OR ELIMINATE COMPLETELY. PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, EPA, AND OTHER GOVERNING BODIES PROCEDURES. Clean Up 10/20/2000 PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM (IF AFTER HOURS). PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. ALL EMPLOYEES ARE NOTIFIED OVER THE PA SYSTEM IF DURING WORKING HOURS. NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. Other Resource Activation -5- 03/25/2003 e e F HALLIBURTON ENERGY SERVICES I f= Site Emer.gency Factors' r== Special Hazards Utility Shut-Offs A) NATURAL GAS/PROPANE - OUTSIDE OF BLDG, ON N WALL B) ELECTRICAL - LOCATED OUTSIDE OF BLDG ON N WALL C) WATER - LOCATED ON SE FRONT OF BLDG (OUTSIDE) D) SPECIAL - NONE E) LOCK BOX - NO SiteID: 015-021-000230 9 Fast Format 9 Overall Site 9 . I 10/20/2000 Fire Protec./Avail. Water 10/20/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS STRATEGICALLY PLACED THRUGHOUT SHOP AREAl WITH MONTHLY WALK THRU BY EXTINGUISHER COMPANY. ENTIRE BLDG PROTECTED BY AUTOMATIC SPRINKLER SYSTEM. FINEAREST FIRE HYDRANT - ON ST APPROXIMATELY 60 YDS NE OF OFFICE. Building Occupancy Level -6- 03/25/2003 e e F HALLIBURTON ENERGY SERVICES I F Training Employee Training SiteID: 015-021-000230 1 Fast Format 'ì Overall Site 1 10/20/2000 WE HAVE 10 EMPLOYEES AT THIS FACILITY. MSDS SHEETS ARE LOCATED ON THE E WALL IN SHOP, NEXT TO CHANGE ROOM. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED WITH HAZCOM COURSE. [ Page 2 I I Held for Future Use I I Held for Future Use I -7- 03/25/2003 ;'I *~.. . ~ ,Ii e -- / ¡HALLIBURTON ENERGY SERVICES , i, SiteID: 215-000-000230 CommCode: BAKERSFIELD STATION EPA Numb: R~~/::I. BusPhonè : /""'''YE'mrap : 123 c::oer j)/O Grid: 23A .~' 2000 13 ENVIRON SIC Code: 1389 , '~ERVIC nnBrad: 00-193-6327 (805) 837-9831 CommHaz : Moderate FacUnits: 1 AOV: Manager : Location: 5241 STINE RD City BAKERSFIELD Emergency Contact / Title Sf. ~"'(t'S . Emergency Contact / Title BRIAN FLINK 8'-~rJ T:-SOtvl/ ~~n:5bv",1-¡ e, Y' c.: \Al S. ,"'''''' ,\... '" / ç;.f¡¡;,,,~cP Si?,I.I:c -'J' SERVICE Ð4A AGER Business Phone: (8-Q..5)U/837 98~ 'i1'~3.~D6 Business Phone: ( t(>( ) 311 -~-s t(~ 24-Hour Phone : (&6-5')'':/634 -7277x 'is'1],20 r.c 24-Hour Phone : (' (, I ) 3?) - 8"11f x Pager Phone : ((.(:>/ ) "3&; - 2.. 'i '" t.¡ x Pager Phone : ("-') 303 -O'W' x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 5241 STINE RD State: CA City : BAKERSFIELD Zip : 93313 l~~Cls Vo."'~ """'^,1- ::::'7 5 t-~I""'1.J Phone: (805) 837-9831x Owner HALLIBURTON ENERGY SERvICES Address : P.O. BOX DRAWER 1431 State: OK City : DUNCAN Zip : 735360100 Period : to TotalASTs: ::;: Gal Preparer: TotalUSTs: ::;: Gal Certif'd: RSs: No Emergency Directives: p= Hazmat Inventory f== MCP+DailyMax Order One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P IH G 390.00 FT3 Hi DH L 250.00 GAL Mod F P IH G 747.00 FT3 Low Hazmat Common Name... ACETYLENE SAFETY-KLEEN 105 PARTS WASHING OXYGEN I I I I -1- 04/20/2000 i~ '0 e I, F HALLIBURTON ENERGY SERVICES ~ Inventory Item 0002 i== COMMON NAME / CHEMICAL NAME ACETYLENE e SiteID: 215-000-000230 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG ON SW CORNER Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 390.00 FT3 Daily Average 390.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 748621 I l~~~öoIAcetYlene TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0003 Facility Unit: Fixed Containers on Site ì i== COMMON NAME / CHEMICAL NAME SAFETY-KLEEN 105 PARTS WASHING SOLVENT Days On Site 365 Location within this Facility Unit AGAINST W WALL INSIDE SHOP Map: Grid: CAS # 64741-41-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 135.00 GAL HAZ US E %Wt. RS CAS # 85.00 Mineral Spirits ' No 8030306 1.00 Xylene, Mixed No 1330207 ARDO COMPON NTS HAZ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ARD ASSESSMENTS -2- 04/20/2000 'Ô e e F HALLIBURTON ENERGY SERVICES fT Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME OXYGEN SiteID: 215-000-000230 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE OF BLDG ON S WALL Map: Grid: CAS # 7782-44-7 . STATE - TYPE Gas Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 747.00 FT3 Daily Average 747.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -3- 04/20/2000 .'; :- e e F HALLIBURTON ENERGY SERVICES I . f= Notif./Evacuation/Medical r==~:e::: Notification Employee Notif./Evacuation SiteID: 215-000-000230 ì Fast Format ì Overall Site ì 01/26/1994 ] 01/26/1994 EMPLOYEE NOTIFICATION: A. NOTIFY ALL PERSONNEL OVER P.A. SYSTEM B. PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFTER HOURS. EMPLOYEE EVACUATION: A. EMPLOYEES ARE NOTIFIED OVER P.A. SYSTEM. B. EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. C. EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (N.E. CORNER). Public Notif./Evacuation Emergency Medical Plan Î1J E:." VhhcrEY INDUSTRIAL MEDICAL GROUP 2501 G STREET BAKERSFIELD, CA 93301 (805)327-2225 01/26/1994 MERCY HOSPITAL 2215 TRUXTUN AVENUE BAKERSFIELD, CA 93301 (805) 632-5000 I I -4- 04/20/2000 ~ .. e e F HALLIBURTON ENERGY SERVICES I . p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000230 ì Fast Format ì Overall Site ì 09/16/1996 WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES OR ELIMINATE COMPLETELY. Release Containment 09/16/1996 WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORE TO REDUCE QUANTITIES OR ELIMINATE COMPLETELY. PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, EPA, AND OTHER GOVERNING BODIES PROCEDURES. Clean Up 09/16/1996 PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM? (IF AFTER HOURS) . PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. ALL EMPLOYEES ARE NOTIFIED OVER THE P.A. SYSTEM IF DURING WORKING HOURS. NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. Other Resource Activation I -5- 04/20/2000 ~ e e I' F HALLIBURTON ENERGY SERVICES I . , p=Site Emergency Factors r== Special Hazards Utility Shut-Offs A) NATURAL GAS/PROPANE - OUTSIDE OF BUILDING, ON NORTH WALL B) ELECTRICAL - LOCATED OUTSIDE OF BUILDING ON NORTH WALL C) WATER - LOCATED ON SOUTH EAST FRONT OF BUILDING (OUTSIDE). D) SPECIAL - NONE E) LOCK BOX - NO SiteID: 215-000-000230 ì Fast Format ì Overall Site ì I 09/16/1996 l I . I ' I Fire Protec./Avail. Water 09/16/1996 FIRE EXTINGUISHERS STRATEGICALLY PLACED THRU OUT SHOP AREA, WITH MONTHLY WALK THRU BY EXTINGUISHER COMPANY. ENTIRE BUILDING PROTECTED BY AUTOMATIC SPRINKLER SYSTEM. FIRE HYDRANT ON STREET, APPROXIMATELY 60 YARDS N.E. OF OFFICE. Building Occupancy Level I I ' -6- 04/20/2000 ;.... ~, e - F,HALLIBURTON ENERGY SERVICES I c F Training Employee Training SiteID: 215-000-000230 ì Fast Format ì Overall Site ì 09/16/1996 WE HAVE 10 EMPLOYEES AT THIS FACILITY. MSDS SHEETS ARE LOCATED ON THE EAST WALL IN SHOP, NEXT TO CHANGE ROOM. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED WITH HAZCOM COURSE. Page 2 I I I Held for Future Use Held for Future Use , -7- 04/20/2000 Fa.¡ %:' <653-~£.f ikp / 0 ¿;){)O Ò ! Dear Business Owner: ~cJ J! ~UA) ô-'l- (Y\-e~ ~~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 ' This notice is meant to act as a~min~at the California Health and Safety Code, Chapter 6.95, requires any handler of hazardous materials to ~their hazardous materials business plan V{itlilii 30 da~ anyone of the f~vents: SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 32eµQ576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAJ( (805) 32eµQ576 A 100 per cent or more increase In the quantity of a previously -disclosed material. Any handling of a previously-undisclosed hazardous material, subject to the inventory requirements of Chapter 6.95. Change in business ownership. (4) Change in business address. (5) Change of busine~ TRAINING ,DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAJ( (805) 399-5763 Any questions regarding these required revisions, please call the Hazar.Øous Materials Division at (805) 326-3979. ~ U~;,· LJb (j&U'v.R.. C~~cA ~ /IVJ ~ \ ð-L.- 'ô<!K<. COA-- tJ'--i. 6~ ~ ~b-DS7~ ----clø-JC'tß<J¡ E~ Sincerely yours, ~'7~~ W~ ~.A~.r~ A W~" 08/16/00 11: 33 '5'661 326 0576 BFD HAZ MAT DIV ~001 *************************** *** ACTIVITY REPORT *** *************************** TRANSMISSION OK TXlRX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 6928 8332064 08/16 11:28 04'08 9 OK . , HALLIBURTON ENERGY SERVICES SiteID: 015-021-000230 Manager : Location: 5241 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 23A (805) 837-9831 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA'Numb: SIC Code:1389 DunnBrad:00-193-6327 Emergency Contact / Title Emergency Contact / Title BRIAN FLINK / SERVICE MANAGER / Business Phone: (805) 837-9831x Business Phone: ( ) - x 24-Hour Phone : (805) 634-7277x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 5241 STINE RD State: CA City : BAKERSFIELD Zip : 93313 Owner HALLIBURTON ENERGY SERVICES Phone: (805) 837-9831x Address : P.O. BOX DRAWER 1431 State: OK City : DUNCAN Zip : 735360100 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì f= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards OXYGEN ACETYLENE SAFETY-KLEEN 105 PARTS WASHING F P F P IH IH G G L DailyMax MCP 747.00 FT3 Low 390.00 FT3 Hi 250.00 GAL Mod DH I, Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials ma.nage- ment plan for and that it along with (Name of BusinGss) any corrections constitute a complete and correct man- agement plan for my facility. ~ ,-' "':" ''-.. " -1- Signature Dato 08/16/2000 F HALLIBURTON ENERGY SERVICES p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-000230 l Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit INSIDE OF BLDG ON S WALL Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 747.00 FT3 Daily Average 747.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME ACETYLENE Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit INSIDE BLDG ON SW CORNER Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER / Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 390.00 FT3 Daily Average 390.00 FT3 I l~~~ôoIAcetYlene HAZARDOUS COMPONENTS G;] CAS # 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -2- 08/16/2000 í HALLIBURTON ENERGY SERVICES ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000230 ¡ íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o SAFETY-KLEEN 105 PARTS WASHING SOLVENT 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o AGAINST W WALL INSIDE SHOP 0 CAS# o o 0 64741-41-9 0 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 GAL 0 250.00 GAL 0 135.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 85.000Mineral Spirits °No 0 80303060 o 1.000Xylene, Mixed °No 0 13302070 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -3- 08/1612000 í HALLIBURTON ENERGY SERVICES ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000230 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë N otif. /Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency N otification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1994 j o 0 a CALL 911 a a a äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee N otif. /Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1994 j a 0 a EMPLOYEE NOTIFICATION: o a o o A. NOTIFY ALL PERSONNEL OVER P .A. SYSTEM a o B. . PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFTER HOURS. o a o EMPLOYEE EVACUATION: o o o a A. EMPLOYEES ARE NOTIFIED OVER P .A. SYSTEM. 0 °B. EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. a C. EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (N.E. CORNER). o 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public N otif. /Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o a o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/26/1994 j o a a VALLEY INDUSTRIAL MEDICAL GROUP o 2501 G STREET o BAKERSFIELD, CA 93301 (805) 327-2225 o 0 0 a 0 a 0 0 0 a MERCY HOSPITAL o 2215 TRUXTUN AVENUE o BAKERSFIELD, CA 93301 (805) 632-5000 o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -4- 08/16/2000 a o a \... í HALLIBURTON ENERGY SERVICES ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000230 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 i o 0 o WEEKLY INSPECTION OF ALL CONTAINERS. o o o o o o ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES 0 o OR ELIMINATE COMPLETELY. 0 o o o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 i o 0 o WEEKLY INSPECTION OF ALL CONTAINERS. o o o o o o ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORE TO REDUCE QUANTITIES 0 o OR ELIMINATE COMPLETELY. 0 o PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, 0 o EPA, AND OTHER GOVERNING BODIES PROCEDURES. 0 o 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 j o 0 o PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM? (IF AFTER HOURS). 0 o PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. o ALL EMPLOYEES ARE NOTIFIED OVER THE P.A. SYSTEM IF DURING WORKING HOURS. o NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -5- 08/16/2000 o· o í HALLIBURTON ENERGY SERVICES ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000230 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special lIazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 i o 0 o A) NATURAL GAS/PROPANE - OUTSIDE OF BUILDING, ON NORTlI WALL o B) ELECTRICAL - LOCATED OUTSIDE OF BUILDING ON NORTlI WALL o C) WATER - LOCATED ON SOUTlI EAST FRONT OF BUILDING (OUTSIDE). o D) SPECIAL _ NONE 0 o E) LOCK BOX - NO 0 o ·0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 i o 0 o o o o FIRE EXTINGUISlIERS STRA TEGICALL Y PLACED TlIRU OUT SlIOP AREA, WITlI MONTlIL Y 0 o WALK TIIRU BY EXTINGUISlIER COMPANY. ENTIRE BUILDING PROTECTED BY AUTOMATIC 0 o SPRINKLER SYSTEM. 0 o o o FIRE lIYDRANT ON STREET, APPROXIMATELY 60 YARDS N.E. OF OFFICE. o 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 08/16/2000 o ... ! í HALLIBURTON ENERGY SERVICES ëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000230 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/16/1996 j o 0 o WE HAVE 10 EMPLOYEES AT THIS FACILITY. o o o o MSDS SHEETS ARE LOCATED ON THE EAST WALL IN SHOP, NEXT TO CHANGE ROOM. o 0 o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED WITH HAZCOM o COURSE. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf o o I ¡:i. -~. ~ 08/21/96 ,-e e, DL£~iSUW~~ HALLIBURTON ENERGY SERVICES 215-000-000 0 P . ' Overall Site with 1 Fac. Unit AUG 29 1996 " General Information 9 ',' 1 Location: 5241 STINE RD Map:123 Haz:3 Type: 3 City . BAKERSFIELD Grid: 23A FlU: 1 AOV: 0.0 . - Contact Name Title r-- Contact Name Title BRIAN FLINK I SERVICE MANAGER I SERVICE MANAGER Business Phone: (805) 837-9831x Business Phone: (805) 837-9831x 24-Hour Phone · (805) 634-7277x 24-Hour Phone · ( ) - x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 5241 STINE RD D&B Number: 00-193-6327 City: BAKERSFIELD State: CA Zip: 93313- Comm Code: 215-013 BAKERSFIELD STATION 13 SIC Code: 1389 Owner: HALLIBURTON ENERGY SERVICES Phone: (805) 837-9831 Address: P.O. BOX DRAWER 1431 State: OK City: DUNCAN Zip: 73536-0100 Summary l,iRIAN £,.Jk. Do herebu certify that I have (Type or print name) J reviewed the attached hazardous materials manage- ment plan for ~~j"lk..e)õ;Jand that it along with (Name Of Business) any corrections constitute a complete and correct man- agement plan for my facility. ~ 2£ ~j0c, " '. e e 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site Pin-Ref Name/Hazards Form Max Qty MCP 02-002 ACETYLENE Gas 390 High ~ Fire, Pressure, Immed Hlth FT3 02-003 SAFETY-KLEEN 105 PARTS WASHING SOLVENT Liquid -:2 50 ~ Moderate ~ Delay Hlth GAL 02-001 OXYGEN Gas 747 Low ~ Fire, Pressure, Immed Hlth FT3 '. e e I 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE ~ Fire, Pressure, Irnmed Hlth Gas 390 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3-- 390 I 390.00 390.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient Ambient I INSIDE BLDG ON SW CORNER - Cone -I 100.0% Acetylene Components ~ MCP ---,-Guide High I 17 02-003 SAFETY-KLEEN 105 PARTS WASHING SOLVENT ~ Delay Hlth Liquid :l~O -lJ~ Moderate GAL CAS #: 64741-41-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 135 135.00 I 135.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient AmbientAGAINST W WALL INSIDE SHOP Cone Components 85.0% Mineral Spirits 1.0% Xylene, Mixed 02-001 OXYGEN Gas ~ Fire, Pressure, Irnmed Hlth ~ MCP ~uide Moderate 27 Moderate 27 747 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 747 747.00 747.00 storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient AmbientINSIDE OF BLDG ON S WALL - Cone -, ' 100.0% Oxygen, Compressed Components \~ MCP ---¡Guide Low I 14 e e 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 4 <D> Notif./Evacuation/Medica1 <1> Agency Notification CALL 911 I <2> Employee Notif./Evacuation EMPLOYEE NOTIFICATION: A. NOTIFY ALL PERSONNEL OVER P.A. SYSTEM B. PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFTER HOURS. EMPLOYEE EVACUATION: A. EMPLOYEES ARE NOTIFIED OVER P.A. SYSTEM. B. EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. C. EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (N.E. CORNER). I <3> Public Notif./Evacuation <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL GROUP 2501 G STREET BAKERSFIELD, CA 93301 (805) 327-2225 MERCY HOSPITAL 2215 TRUXTUN AVENUE BAKERSFIELD, CA 93301 (805) 632-5000 .. ~ - .... e e 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES OR ELIMINATE COMPLETELY. <2> Release Containment WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORE TO REDUCE QUANTITIES OR ELIMINATE COMPLETELY. PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, EPA, AND OTHER GOVERNING BODIES PROCEDURES. <3> Clean Up PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM? (IF AFTER HOURS). PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. ALL EMPLOYEES ARE NOTIFIED OVER THE P.A. SYSTEM IF DURING WORKING HOURS. NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. <4> Other Resource Activation ~~. ~~ e e 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs NATURAL GAS/PROPANE LOCATED OUTSIDE OF BUILDING, ON NORTH WALL. ELECTRICAL IS LOCATED OUTSIDE OF BUILDING ON NORTH WALL. WATER IS LOCATED ON SOUTH EAST FRONT OF BUILDING (OUTSIDE). <3> Fire Protec./Avail. Water FIRE EXTINGUISHERS STRATEGICALLY PLACED THRU OUT SHOP AREA, WITH MONTHLY WALK THRU BY EXTINGUISHER COMPANY. ENTIRE BUILDING PROTECTED BY AUTOMATIC SPRINKLER SYSTEM. FIRE HYDRANT ON STREET, APPROXIMATELY 60 YARDS N.E. OF OFFICE. <4> Building Occupancy Level ') (.. ¡~ e - 08/21/96 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 7 <G> Training <1> Employee Training THERE ARE 10 EMPLOYEES AT THIS FACILITY. M.S.D.S. SHEETS ARE LOCATED ON THE EAST WALL IN SHOP, NEXT TO CHANGE ROOM. ALL EMPLOYEES ARE TRAINED WITH HAZCOM COURSE. <2> Page 2 <3> Held for Future Use <4> Held for Future Use ~ 08/24/95, e - o ~~~l~~~ SEP 6 19~Jag1Jl 1 'j,.~~. HALLIBURTON ENERGY SERVICES 215-000-00023 Overall Site with 1 Fac. Unit .....-' General Information By . E.~~L_ 1 ,1._____ 24 Hour Phone Pager Phone Map:123 Grid: Type: 3 AOV: 0.0 Location: 5241 STINE RD City : BAKERSFIELD Contact Name Title BRIAN FLINK / SERVICE MANAGER Business Phone~805) 837-9831x 24-Hour Phone: (805) III TJIMt Pager Phone : (Bt>5) ('""$t.I- 7177X No Title o '3 .., ^ ,.. J . at J"", ...I.e............: X Administrative Data Mail Addrs: 5241 STINE RD City: BAKERSFIELD Comm Code: 215-013 BAKERSFIELD STATION 13 D&B Number: 00-193-6327 State: CA Zip: 93313- SIC Code: 1389 Owner: HALLIBURTON ENERGY SERVICES Address: P.O. BOX DRAWER 1431 City: DUNCAN Phone: (805) 837-9831 State: OK Zip: 73536-0100 Summary AJd'b To.Jé ~f:/i ~ -. I, 61:.IAN F/"J,J" Do hereby certify that I hav~ (Type or prim OMIO) reviewed the attached hazartfous materials Mai :age- ment plan for 1I1IJ./..IßaÆTtJN and that it along with (Name of BUainesa) any corrections constitute a complete and correct man- agement plan for my facility. . . g~k --an 9j/f~ Daut '. e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 ACETYLENE Gas 390 High ~ Fire, Pressure, Immed Hlth FT3 02-003 SAFETY-KLEEN 105 PARTS WASHING SOLVENT Liquid 135 Moderate ~ Delay Hlth GAL 02-001 OXYGEN Gas 747 Low ~ Fire, Pressure, Immed Hlth FT3 ...., _It ~, ------ .. e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 ACETYLENE , ~ Fire, Pressure, Immed Hlth Gas 390 High FT3 CAS #: 74-86-2 ~, Form: Gas Trade Secret: No Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 390 390.00 I 390.00 Storage r Press T Temp ~ Locatiqn PORT. ,PRESS. CYLINDER Ambient AmbientINSIDE BLDG ON SW CORNER - Cone -I 100.0% Acetylene Components ~ MCP -----p;uide High I 17 02-003 SAFETY-KLEEN 105 PARTS WASHING SOLVENT ~ Delay Hlth Liquid 135 Moderate GAL CAS #: 64741-41-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 135 I 135.00 I 135.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient AmbientlAGAINST W WALL INSIDE SHOP Components ~ MCP ~uide Moderate 27 Moderate 27 Cone 85.0% 1.0% Mineral Spirits Xylene, Mixed , 02-001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas 747 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 747 I 747.00 I 747.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Ambient AmbientINSIDE OF BLDG ON S WALL - Cone l 100.0% Oxygen, Compressed Components I~ MCP -----p;uide Low I 14 ¡, '. '-... e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Nbtif./Evacuation EMPLOYEE NOTIFICATION: A. NOTIFY ALL PERSONNEL OVER P.A. SYSTEM B. PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFTER HOURS. EMPLOYEE EVACUATION: ~. A. EMPLOYEES ARE NOTIFIED OVER P.A. SYSTEM. B. EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. C. EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (N.E. CORNER). <3> Public Notif./Evacuation <4> Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL GROUP 2501 G STREET BAKERSFIELD, CA 93301 (805) 327-2225 MERCY HOSPITAL 2215 TRUXTUN AVENUE BAKERSFIELD, CA 93301 (805) 632-5000 "¡, '. e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES OR ELIMINATE COMPLETELY. ." "', <2> Release Containment WEEKLY INSPECTION OF ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORE TO REDUCE QUANTITIES OR ELIMINATE COMPLETELY. PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, EPA, AND OTHER GOVERNING BODIES PROCEDURES. <3> Clean Up PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM? (IF AFTER HOURS). PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. ALL EMPLOYEES ARE NOTIFIED OVER THE P.A. SYSTEM IF DURING WORKING HOURS. NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. ~¡ <4> Other Resource Activation ":> /;... ... e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 6 ~.. <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs NATURAL GAS/PROPANE LOCATED OUTSIDE OF BUILDING, ON NORTH WALL. ELECTRICAL IS LOCATED OUTSIDE OF BUILDING ON NORTH WALL. WATER IS LOCATED ON SOUTH EAST FRONT OF BUILDING (OUTSIDE). " <3> Fire protec.~vail. Water FIRE EXTINGUISHERS STRATEGICALLY PLACED THRU OUT SHOP AREA, WITH MONTHLY WALK THRU BY EXTINGUISHER COMPANY. ENTIRE BUILDING PROTECTED BY AUTOMATIC SPRINKLER SYSTEM. FIRE HYDRANT ON STREET, APPROXIMATELY 60 YARDS N.E. OF OFFICE. <4> Building Occupancy Level ~' ~\ ~ ~ e e 08/24/95 HALLIBURTON ENERGY SERVICES 215-000-000230 00 - Overall Site Page 7 <G> Training <1> Employee Training THERE ARE 10 EMPLOYEES AT THIS FACILITY. M.S.D.S. SHEETS ARE LOCATED ON THE EAST WALL IN SHOP, NEXT TO CHANGE ROOM. ALL EMPLOYEES ARE TRAINED WITH HAZCOM COURSE. ( , <2> Page 2 ~. <3> Held for Future Use <4> Held for Future Use ~i.> fl'0fo.,lJ~ -r~i1k ,'s I,.~ t~ 01\ S:J.d. J HA'Z.vY\at L.v~r\ tðl',/ . Th~ t ö-t\k. ,'~ IOGa,+~d bu¿ +w~<A.f\ fa.c.¡ I J;.a.s. 'Woodl'îere Dr, Ul r\) Ul ~ w w w BUILDING 50' X 255' EQUIPMENT REPAIR AREA OFFICE SQ. FT, 2,155 SHOP SQ. FT, 14,548 w W '-I , EQUIPMENT STORAGE AREA EI1UIPÞ£N1 REPAIR AREA BUILDING 50' X 100' , ' 573' ________ F ounto.in Springs Tro.iler Po.rk \ ----------------------------------ë:~-ÿ~t-~l--Š-p;:i~g-~.--D-;¡~~----------------------'-----------------------\ "------,--, '"__n i -u e J> Ul ;u ^ r\) z r\) C1 .... r 0 ~ WIU"'~'" ~ Ii I I I I I 75' I¡ Ii ~ -u J> ;u ^ z C1 \ ~ ~QJ 2 (f) ffi I: ~ 0 ~ fITFO --" = ¿g ~ Uì m ~ --~~ - U1 r\) ..,. ...... 55 !i1 ~ Î z I :;;" ' ',< 0-"., '; r-:" . .~~ .' #-.~ . ./ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN 01 INSTRUCTIONS: 1 . 2. 3. 4. - To avoid further action, return this form within 30 days of recèipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. JJ~ óìO jqqS r < ' ~ Gr ~;O {d-3'-d3~ SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: HALLIBURTON ENERGY SERVICES )3t LOCATION: 5241 Stine Road MAILING ADDRESS: Same CITY: BAKERSFIELD STATE:'~ ZIP: 93313 PHONE: (805) 837-9831 DUN & BRADSTREET NUMBER: 00-193-6327 SIC CODE: /315, PRIMARY ACTIVITY: OILFIELD EQUIPMENT / SERVICE OWNER: HALLIBURTON ENERGY SERVICES MAILING ADDRESS: P.O. BOX DRAWER 1431 DUNCAN. O~ 73536..,0100 SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. BRIAN FLINK SERVICE MANAGER (805) 837-9831 (805) 324-7965 2. GEORGE CROCKER SERVICE MANAGER (805) 837-9831 (805) 397-5244 .1. ~ ":. " , Bakersfield Fire Dept. tþzardous Materials Division _ HAZARDOUS M~TERIALS MANAGEMENT PLAN ii" -!-.'. .( 'i !~ ..., I '" , SECTION 3: TRAIN1NG: NUMBER OF EMPLOYEES: 10 (Ten) MATERIAL SAFETY DATA SHEETS ON FIL~: EAST WALL IN SHOP, NEXLTO~'CHANGE ,ROOM. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED WITH HAZcqM COURSE. " SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES .AT NO TIMEEXCEEO THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. ! UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS, UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (D!V. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THÄT INACCURATE ¡NFORMAnON.CONSTlTUTE~ PERJURY. SIGNA TURE TITLE DATE, ~'":~..._. 2. : ". _ '-._.:'.>">~ '::~':.-;-;. :_:.:..;.-::., ~_:"·"k".:": _....;.:,. _ -;;,. . FOIS90 ,;' ./1 ',)' . ,..," \. ------- ---- ------- -'\' ,~. \'~"'. :._~: e Bakersfi~ld Fire Dèpt. .. Hazardous Materials Division e' HAZARDOUS. MATERIALS MANAGEMENT PLAN Facility Unit Name: HALLIBURTON ENERGY SERVICES SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES: A; AGENCY NOTIF¡CATION PROCEDURES: CALL 911 BAKERSFIELD FIRE DEPARTMENT (805) 324-4542 B. EMPLOYEE NOTIFICATION AND EVACUAilON: EMPLOYEE NOTIFICAT~ON A. NOTIFY ALL PERSONNEL OVER P.A. SYSTEM B. PERSON ON CALL WILL NOTIFY EMPLOYEES BY PHONE IF AFtER HOURS. EMPLOYEE EVACUATION A.EMPLOYEES ARE NOTIFIED OVER P.A. SYSTEM. B.EMPLOYEES WILL BE TOLD TO FOLLOW THE POSTED EVACUATION PLAN. C.EMPLOYEES WILL MEET AT POWER POLE IN FRONT OF BUILDING (N.E. CORNER). C. PUBLIC EV ACUATlON: D. EMERGENCY MEDICAL PLAN: VALLEY INDUSTRIAL MEDICAL GROUP 2501 G Street BAKERSFIELD, CA 93301 ,(805) 327-2225 MERCY HOSPITAL 2215 Truxton Avenue BAKERSFIELD, CA 93301 (805) 632-5000 " - 3. fO'~ .~. . . ·e ' Bakersfield Fire Dept. e Hazardous Materials Division " I~-.< :'é-;"-" r. !' ~~ ......... HAZARDO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: A. WEEKLY INSPECTION OF ALL CONTAINERS. B. ON 'HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REMOVE QUANTITIES OR ELIMINATE COMPLETELY. B. A. B. RELEASE-CONTAINMENT AND/OR MINIMIZATION: WEEKLY INSPECTION OE ALL CONTAINERS. ON HAND CHEMICALS ARE CONTINUALLY REVIEWED IN AN EFFORT TO REDUCE QUANTITIES OR ELIMINATE COMPLETELY. C. PRESSURE VESSELS ARE TESTED PERIODICALLY ACCORDING TO COMPANY POLICY, OSHA, EPA, AND OTHER GOVERNING BOD~ES PROCEDURES. C. CLEAN-UP PROCEDURES: A. PERSON ON CALL NOTIFIES PRIVATE RESPONSE TEAM? (IF AFTER HOURS) B, PERSON ON CALL NOTIFIES LOCAL AUTHORITIES AS PER BAKERSFIELD FIRE DEPT. C. ALL EMPLOYEES ARE NOTIFIED OVER THE P.A. SYSTEM IF DURING WORKING HOURS. D. NOTIFY CORPORATE OFFICE WITHIN 24 HOURS. SECTION 8: UTILITY SHUT-OFFS (lOCATION OF SHUT-OFF'S AT YOUR FACIUTY): NATURAL GAS/PROPANE: OUTSIDE OF BUILDING ON NORTH WALL ELECTRICAL: OUTSIDE OF BUILDING ON NORTH WALL WATER: ON SOUTH EAST FRONT OF BUILDING (OUTSIDE) SPECIAL: LOCK BOX: Y~S/NO IF YES, LOCATION:' ---' SECTION 9: PRIVATE 'FIRE PROTECTION/WATER A V AILABllITY: A. PRIVATE FIRE PROTECTION: FIRE EXTENGUISHERS STRATEGICALLY PLACED THRU OUT SHOP AREA, WITH MONTH WALK THRU BY EXTINGUISHER COMPANY. ENTIRE BUILDING PROTECTED BY AUTOMATIC SPRINKLER SYSTEM. WATER AVAILABILITY (FIRE HYDRANT): HYDRANT ON STREET, APPROX. 60 YARD N.E. OF OFFICE. - . B. 4" t ; - -. '. ~- . ~ ~~ BA}(t:RSFIELD'CITY FIRE.EPARTMENT ji I \i ¡ HAZARDOUS MATERIALS DIVISIÔ ~~~~~W~. ~ i, 2130 "G" STREET ~ ' , BAKERSFIELD, CA. 93301' DEC 14 1993 . I (805) 326-3979 ' By HAZARDOUS MATERIALS INVENTOR FACILITY DESCRIPTION CHECK IF BUS!NESS IS A FARM [ BUSINESS NAME HALLIBURTON ENERGY SERVICES FACILITY NAME SITE ADDRESS 5241 STINE ROAD 'CITY BAKERSFIELD STATE CA ZIP 93313 , NATURE OF BUSINESS OILFIELD EQUIPMENT /SERVICE SIC CODE, DUN & BRADSTREET NUMBER '007193~~327 OWNER/OPERATOR HALLIBURTON ENERGY SERVICES PHONE (405)251~3760 \ MAILING ADDRESS P.O. DRAWER 1431 \ CITY . DUNCAN STATE \ OK ZIP 73536-0100 EMERGENCY CONTACTS NAME BRIAN FLINK TITLE SERVICE MANAGER BUSINESS PHONE (805) 837-9831 24-HOUR PHONE (805) 324-7965 NAME GEORGE CROCKER TITLE SERVICE MANAGER BUSINESS PHONE (805), 837-9831 2.4-HOUR PHONE (805) 397-5244 Seø_:xJ.1S1ZZ RS3ION V I..EPC STANOAAC ·~ ¡.. ... BAKERSFIiï-D CITY FIRE DEPA~MENT HAZARDOUS MATERIALSINVENTOHY " '""--.;. Pagelof-I. -v' Business Name Address J CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New {X} Addition I I Revision ( I Deletion I] Check if chemical is a NON TRADE SECRET [ I TRADE SECRET [ ] 2) comnîèJñ 'Ñãñiê:' OXYGEN 3) DOT # (optional) Chemical Name: AHM [I CAS # 77:82-44-] 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire KJ Reactive [ I Sudden Release of Pressure [I Immediate Health (Acute) [ I Delayed Health (Chronic) II 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ], Gas LXI Pure K] Mixture [ I Waste [ ] Radioactive [ ] CHEC:X AU. THAT APPt." 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: 747 Ibs [ I gal [ ] fi3 ~] a) Container. 04X3 Average Daily Amount: J~7 curies ( I b) Pressure: Annual Amount: c) Temperature: Largest Size Container: 249 ~J, # Days On 'Site 365 Circle Which Months: F, M, A. M, J. J, A. S, 0, N, D 9) MIXTURE: Ust COMPONENT CAS # %wr AHM the three most hazardous 1) [ I , chemical components or any AHM components 2) . ( ] 3) j [ I 10) Location INSIDE OF BUILDING O,rSOUTH WALL l CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New~] Addition ( I Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET I ] 2) Common Name: ACETYLENE - 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 74-86-2 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] Delayed Health (Chronic) ( ] 5) WASTE CLASSIFICATION (3-digit code from DH,S Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [X] Pure [Jí Mixture ( ] Waste [ ] Radioactive ( I CI-IEOCAlL THAT M'Pty 7) AMOUNT AND TIME AT FACIUTY 390 UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: I~ ( I gal [ I fi3 ( I a) Container: Average Daily Amount: 390 curies [ ] b) Pressure: Annual Amount: -T1&- c) Temperature: Largest Size Container: éíÍÝ~)J, F, M, # Days On Site 365 Circle Which Months: A. M, J, J, A, S, 0, N, D 9) MIXTURE: Ust COMPONENT CAS # %wr AHM the three most hazardous 1) [ I chemical comPonents or any AHM components 2) ,. ( ] 3) ( I 10) Location INSIDE BUILDING ON SOUTH WEST CORNER. certify uncier penalty of law, that I have personally exarntnad and am tamlllar with the mromabon suom,tted on thiS and ail attacned documents. I, be1ìeve the submitted information is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative' Signature ' Data ~... \,ØICsr~1=OUd -- .... '¿,-ot ~ ~~"" ~ -~ . BAKER~IELD CITY FIRE DEPARTMENT H~DOUS MATERIALS INVE"ORY - Page~of~ 3usiness Name Address , / CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition ( J Revision ( ] Deletion ( J . Check if chemical i! a NON TRADE SECRET ( ] TRADE SECRET [ J 2) Common Name: SAFETY-KLEEN 105 PARTS WASHING SOLVENT 3) DOT # (optional) UN 1255 HYDROCARBON SOLVENT Chemical Name: AHM ( ] CAS # 4) PHYSICAL &: HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire KI Reactive [ ] Sudden Release of Pressure ( ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION 213 (3-digit code from DHS Form 8022) USE CODE OR 6) PHYSICAL STATE Solid ( ] Liquid [X¡ Gas ( ] Pure ( ] Mixture [X] Waste [ ] Radioactive [ ] . 04EOC.AU. TUAT APPl 'f 7) AMOUNT AND TIME At FACIUTY UNITS OF MEASURE 8) STORAGE CODeS Maximum Daily Amount: 135 Ibs [ I gal [ I ft3 [ I a) Container: Average Daily Amount: ]1') curies ( 1. b) Pressure: Annual Amount: qS c) Temperature: largest Size Container: 327 G!t Ye~. F, # Days On Site 365 Circle Which Months: M, A, M, J, J, A. S, O. N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) MINERAL SPIRITS 64741-td-9 85 ( I chemical components or 2)C8 + AROMATICS MIXTURE 12 any AHM components [ ] 3) XYLENE - 1330-20-7 1 ( ] 10) Location AGAINST WEST WALL INSIDE SHOP CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( 1 Addition ( ] Revision ( ] Deletion ( I Check if chemical is a NON TRADE SECRET [ I TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) " Chemical Name: AHM[ I CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( J Liquid ( ] Gas ( ] Pure [ ] Mixture ( ] Waste ( ] Radioactive ( I (>lEeK ALl. THA T .APPl Y 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs ( ] gal ( I ft3 [ ] a) Container. Average Daily Amount: curies ( I b) Pressure: Annual Amount: c) Temperature: . largestSize Container: # Days On Site Circle Which Months: All Year, J, F, M. A. M, J, J, A,S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %WT AHM the three most hazardous 1) ( I chemical components or ; , any AHM components 2) ,. ( I i 3) [ ] 10) Location ce(t/ty under penalty ot law, that I have personally exarmned ancI am familiar WIth the mfomat1On suomrtted on thIS and all attacned documents. I belIeve the submitted information is true, accurate, and complete. PRINT Name & Title of Authorized Company Representative: Signature Date --- AEœC'N" \.EPC~IWON'OFOW \ BAKERSFiiLD CITY FIRE DEPAWMENT HAZA~OUS MATERIALS INVENT~RY ,.7 ~ ;"- ,~,..- ~.... '.........., Page_of~ !I" : 3usiness Name. Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ 1 Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET '[ 1 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ I Reactive [ ] Sudden Release of Pressure [ 1 Immediate Health (Acute) [ 1 Delayed Health (Chronic) [ ] " 5) WASTE CLASSIFICAT10N (3-digìt code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Uquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] CHECX AU. THAT APPlY . , 7) AMOUNT AND T1ME AT FACIUìY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [,I gal [ I it3 [ I a) Container: Average Daily Amount: curies [ I b) Pressure: Annual Amount: c) Temperature: Largest Size Container: . # Days On Site , Circle Which Months: All Year, J. F, M, A. M, J, J, A. S, 0, N, D 9) MIXTURE: Ust COMPONENT CAS# %Wf AHM the three most hazardous 1 ) [ I chemical components or any AHM components 2) , [ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ 1 Addition [ I Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES ' Fire [ 1 Reactive [ 1 Sudden Release of Pressure [ 1 Immediate Health (Acute) [ 1 Delayed Health (Chronic) [ 1 5) WASTE CLASSIFICAT10N (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( I Uquid [ 1 Gas [ ] Pure [ ] Mixture [ ] Waste [ I Radioactive [ I CHEC1<AJ.J. THAT APPlY 7) AMOUNT AND TIME AT FACIUìY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ I gaJ [ I ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: 11 Days On Site Circle Which Months: All Year, J, F, M, A. M. J, J. A. S, 0, N, D . . 9) MIXTURE: Ust COMPONENT CAS # %Wf AHM the three most hazardous 1) [ I I chemical components or ! any AHM components 2) . [ I I I I 3) [ ] 1 0) Lo9Uion certify uno.er penalty ot law, that I have personally exammed and am lamlllar WIth the mtomat1On sUDmltfSCI on -thIS and aJl,attached aocuments.. I believe the submitted irlformation is true, accurate, and complete. PRINT Name &. Title of Authorized Company Aepresentaâve , Signature Date ,......0-311 11l8a iIIØIOt" \,ØCsr~ FQiW