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Home My WebLink AboutHAZ-BUISNESS PLAN 7/13/1987 " , c, . -....- . a BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY ID# BUS INESS NA.'iE HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA Mercy Hospital (east winq) (27 buildinq) , A. BUSINESS NAME: B. LOCATION / STREET ADDRESS: 2215 Truxtun Avenue CITY: Bakersfield, CA ZIP:93301 BUS. PHONE: (805 ) 327 - 3 3 71 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. ' EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER ses. HRS. A. Jack Resendez Dir.Security/Safe~ 327-3371 Ph# 327-3371 /323-9751 B. Administrator/Engineer on Call Ph# 327-3371 Ph# 327-3371 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: south wall, exte:r:ior, adjacent to boiler room on 16th Street ELECTRICAL: south wall, interior, . boiler B. ln room C. WATER: South-of south, exterior, wall adJacent to boiler room on 16th Street , D. SPECIAL: YES /'® IF E. LOCK BOX: YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / :-JO KEYS? YES / ~O - 2A - . . j ;" SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE Emergency response by engineering anQ security Qepartment employees on duty. SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTkVCE FOR YOUR BUSINESS AS A WHOLE , Mercy hospital emergency department. SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL A~D REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO I~ITIAL A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.. .'....0...............0..0..0.. .'0..... NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:......... 0......0.......00 NO C. PROPER USE OF SAFETY EQUIPMENT: 0..... 0... .....0.. NO D. EMERGENCY EVACUATION PROCEDURES:. . . 0 . . . . . . . . . . . . . ~O E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:...o '0 NO REFRESHER @,NO I, NO ES- NO - NO , NO SECTION 7: ,HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~F A SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:.. 0 . . 0 ~ NO I, Jack Resendez , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. Director TITLE Security/Safety DATE ./- /3 -t;/' - 2B - ¡ . .' .. e e I~ BAKERSFIELD CITY FIRE DEPARTME~T 2130 lOG" STREET BAKERSFIELD. CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NA\Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A " INSTRUCTIONS 1. To avoid further action. this form must be returned by: 2. TYPE/PRIXT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# 02 FACILITY UNIT NA~: First Floor SECTION 1: MITIGATION. PREVENTION. ABATEME~l PROCEDL~ES Housekeeping agents isolated in d~signated room, except for small amounts used by personnel in housekeeping duties. Paints and flammables kept in concrete constructed locker in paint shop. ' . Formalin kept in· special containers in Ambulatory Services. Spill kit available for control of spills. Infectiou~waste cont~ined in utility closet, picked up daily, taken to, hazardous storage area. SECTION 2: NOTIFICATION k\~ EVACUATION PROCEDURES AT THIS UNIT ONLY Notification and evacuation procedures initiated by activating Fire Alarm system and the use of overhead pager. - 3A - · e .. SECTION 3: HAZARDOUS MATERIALS FOR THIS UXIT ONLY A. Does this Facili ty Unit contain Hazardous Materials'?.., .. ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous muterials a bona fide Trade Secret YES~ If No, complete a separate hazardous materials inventory form ma~ked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION First floor protected with fire aprinklers/FD connection on Truxtun front of hospital. All floors have fire alarm system/smoke detectors. Exterior dry stand pipe. Fire extinguishers on all floors. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS City fire hydrant corner Truxtun & B Streets City firehydrant 16th Street~at C. SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS l~IT O~LY. A. XAT. GAS/PROPANE: South wall, exterior, adjacent to boiler room on 16th Street B. ELECTRICAL: South wall, interior, in boiler room. C. WATER: South of south exterior wall adjacent to boiler room on 16th Street D. SPECiAL: E. LOCK BOX, YES '~[F YES, LOCATlON, IF YES, SITE PLANS? FLOOR PLA~S? YES ! NO YES / ~O ~SDSs? i\EYS? Yê.S ~o YES / :\0 - 3B - OAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page ~ of ·'2 1. D. # ~ BUSINESS NAME: Mercy Hospital OWNER NAME: Catholic Healthcare West FACILITY UNIT #: 02 -I ADDRESS: 2215 Truxtun Ave ADDRESS: 2300 AdeLine Drive FACILITY UNIT NAME: East w1.ng CITY, ZIP: Bakersfield, CA 93301 CITY,ZIP: Burlingame, CA 94010 PHONE #: (805) 327-3371 PHONE # : (415) 340-7410 IOFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAIJ CONT USE LOCATION, IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE 1st floor liquid M 5 50 gal 10 08 storaqe room 15 Virex n; c::; r - , (,RM'T' 1st floor liquid M 20 200 gal 10 08 storaqe room 25 seDti-soft sol11tion r'RM'T' I 1st floor liquid M 4 20 gal 10 08, storage room 5.25 C1orox bleach CRMl' 1st floor liquid M 10 100 gal 10 08 storage room , Imaqe V CRMl' 1st floor liquid M 2 24 gal 10 08 storage room SDin-brite (,RM'T' MÂ) 1st floor liquid 59 550 gal 07 34 storage room Liquid Malqon l'R!Vn' M 5) 1st floor 11.quid " I Ot(P""'~' ¡-aD3¡ol/'50 \ Ig:;P 55 550 gal 07 08 storage room Coat 1- undercoater and sealer '~~ ORMA M ~) 1st floor liquid 55 550 gal 07 08 storage room SnrJY'cmat ORMA M~ 80 800 gal 13 29 ,Paint locker 80-90 Oil Base Enamel Qlli) M 25 250 gal 13 01 Paint locker 80-90 Lacquer Thinner FLLO MCf») , 50 500 gal 13 01 Paint locker 80-90 Paint thinner FLLQ M - 5 75 gal 13 29 Paint locker 80-90 Oil base varnish ŒLQ M 144 1440 120z 04 29 Paint locker 47 Misc. spray paint cans EXPL , 1/// ú.-, NAME: Jack Resendez TITLE:Dir_SP~11rit-t/SrJfPSIGN~lURE: t~/,/ ð_"::J ~ -- DATE: ;/-/5 -/ / EMERGENCY CONTACT: Jack Resendez TITI,E ir.Securi :v/Saf,etv" -P1fONE T~ HOURS :327-3371 7: 30-4 :00 , , . \....--" AFT BUS HRS: 327-3371/323-9751 ~MERGENCY CONTACT: Administrator or Enginee~ITLE: On Duty PHONE' BUS HOURS:327-3371 7:30-4:00 , PRINCIPAL nUSINESS ACTIVITY: Healthcare AFTER BUS HRS: 3:¿7-3371 - iln_1 _ OAKERSFIEtD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page 2- of '2 1. D. # -, <' BUSINESS NAME: Mercy Hospital OWNER NAME: Catholic Healthcare West FACILITY UNIT , : 02 ADDRESS: 2215 Truxtun Ave ADDRESS: 2300 Ade~ine Drive FACILITY UNIT NAME: east wing CITY, ZIP: Bakersfield, CA 93301 CITY,ZIP: Burlinqame, CA 94010 PHONE # : (80S) 327-3371 PHONE # : (415) 340-:-7410 10FFICIAL USE CFIRS CODE , ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAT~ CONT USE LOCATION, IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE 1st :tl.oor l.J.qUl.d. M 1 12 gal 10 08 storage room ¡uime-A-way CRMI' M~ gal 1st :tl.oor 1.J.quJ.d. 55 550 06 08 storage room Spartan CRMI' Mt5) gal 1st I:.Loor l.J.quJ.a, 55 550 07 08. storage room Restorit CRMI' M 1 10 gal 10 08 1st floor liquid CRMI' rnnm -='-1 ~~~ ,,~, M 1 100 gal 07 08 1st floor liquid li1 purpose cleaner storaqe room CRMI' M p) 55 550 gal 07 08 1st floor liquid I:mage 1 CRMI' Y'rY'ITTI M 2 24 gal 10 08 1st floor liquid CRMI' r()()m ')1; ::",nt-; C::rll . ',,~ M 1 10 gal 10 08 1st floor liquid 70 licohol FLIQ r()()m M 24 240 gal 13 29 Paint locker 24 Latex base paint FLLQ P ft3 Auxiliary storage 100 Helium non-flammable I I ----- all .---. NAME: Jack Resendez TITLE:Dir.SPC!l1rit13/S;:¡fPSIGNA;Ut:: ~:~"'" A ./ DATE: EMERGENCY CONTACT: Jack Resendez TITLE ir.SecuritSaf~ \. PßÓN-ýt,..I!lJ:8> HOURS:327-3371 7:30-4:00 --- - -ArnR BUSHRS: 327-3371 /~'n-q7C;' &MERGENCY CONTACT: Administrator or EngineerrITLE: On Duty PHONE' BUS HOURS:327-3371 7:30-4:00 I , PRINCIPAL nUSINESS ACTIVITY: Healthcare AFTER BUS HRS: 3L7-3371 _ AJ\_t _ '1'~NUP.l ,U1.;.J.: I';, ' ; . J .." iii . NV>.IN ELEC.TRIC~L' SHUT OFF 6UIL.DINGS S~-7b-ell"2~-SN ¡:: N\....'N G~~ TURN Or ç: I ¡~ . I. I ..."'.......,. · c"'...... ,..-. :J ,_ ~ì, E,ITS . ... .. . , . . . .. I. 0.... .. . . .. ~. . . . . ~... . 'TT~~~~~ ¡. ;ro . ~'____~~."~~"'RT_ '{ -f' -,_... · . ". '. . . . ' ..-'--' ..-..... --'- SPRI"I ~,-E R TuRN OFF 15" FLOOR .1.--:- . . I . - -' ~. ,- i AIR HANOLëR TURN OFF 'j¡ F=OR J~'t ~NOa".¡ "i=lOOR5 ~ NUAL. PV\..\..~ . ! OKYGE:.NJ""URN OFF . ~. "':~'p '."...,.. . ..... ...¡,. .'.'~.."1'''' .....~.......,...,......~.-ft'W.;.. . I I - I; rtr."lleNc f r... ~.." "'. _.... - --. --.- i'. I I ¡ 1 , M~O~\. PU\..L . 'I (---... ..,.,...' ='.'.::-" r::#'···' I r . . 1 'i. e . : . ,.. "If. .... .......-'-....... .,........ OXYGEN TU~N OrP . ... ..~.. . Eft> \. , '55l~)On:D) N'G . . ,...1 ,~ r' ;' ~7 f>~JLQJ.N.~ _~...::..:.;. EAST WING___ . " \=.\"~1' F\- 'PL~J l·~'~~e.~¡ëùT ~ve.~ '. . . "*, --- .-. ~ J.f. . . e e '>IÍ \'" ; /. l' ¡ WI =1 ~I j CD' III, . , itA.... LOT'" ~. ..,¡ f I I c:0....".1I<:. ,.- ca..,... PA"'" ~ Lorv t ...... il I I : I 1 I ...JI j 1 ~~~~I ~I ! '_:---1 \. I ~I :1 1=1 ~ CD! .,: . i G ~' , . ::! ;1 '! J ~A".~ LOT J II II Ii 1 .' i ~; ! : ~ tit t" ,~ :1 MERCY HOSPITAL itA.." LOT -.- ~'~ 'A...tItQ We.OtCAI,. AEco"oa W .It, Þ+OUS. n Melltc.,. "'Dlc:AL P\.AU ~A"._ LOt 'A' 1 8 1 " S T R E, E T ... 1 DATA "'oc:I!$_ ~A":~ .'Na. III, :~,' ;1 .1 - . I ;CI TRUXTUN '}-- -' ~ \.. AVENUE , "-- ./ '\.. .--. -$ N - SITE PLAN r\- . 01020 to KID . ~ j. ~ " Co . . ~. '.: ..::: . . NORTH SCALE: DATE: / / , (CHECR ONE) '..~ ....... ~~,"'~".¡j~........>·,.._~.,·...¡;~··_·_~~~-..·I e -',-~- '\.'..... SITE/FACILITY DIAGRAM FORM 5 - FLOOR: / OF t5 UNIT :!: () SITE DIAGRA-'f / (Inspecto~ls Comments): -OFFICIAL rrSE ONLY- - SA - ~y'p ~~:;~,;:~;ú ff:~¥~~·-~.~-:~ '~;f1}.'_':~ I~ f1~'i< !t~..,},... : ~~)fL( lh'''!':'; it" '~J .. ;.ó '.,' I~':;' ~ ':. II~;"\~ 4~~~< ""," ~~"~~ . .', t· ". ¡~¡:;~".' ~~\'. ~lt (~~,;,¡ ~t.\" , . "', !1t~T: f.'J.'V" . .~~v· .¡; to, ,,'. , ""-'~'::'~~~~~n~'ir7:~"" ..,,~.. '~:~~:.:> :,~,~.Æir.:!:~·: JJ;MÇ;B_Gf:N C Y EXI f,5--il}-+: :hY'¡d.n,~.~¡n: -c - - - - - - - - - - ---------- ---- - , :., ,-- I I I I I 'I I :' I , 1.;'1 t ,I e-¡ II 'Patient I I C,4veway I IE!U~ L _ _ _ _ _' ra r \ - '~ Vending Area -'I 211-217 "" 51 == g Dletition .~. ). .~ ,- (' '> ':9,.. ~ "' . ) 4t -.. ""'r"""::"'._- .,..... ..-.:< ~. ~.,..,...- .. ":1' L ~ '.:! .' ,<,,; --------- 16th STREET ~)~:Mi[WATffi..5H\J.T O~r: -, ~ ,- - - - - - - - - - - - - I ------------- - - -- ¡o-.... ..... I Emergency Entrance , .... L - - - - - - - - - ._ - '" I I Emergency Drive , ! £Ul\L. PUlL- : Ra '~y , Oulpa nl·\RadiOI09Y. Ii! II I' " Board Room Waiting Visitors Courlyard -- " \. ,. ,",' -.--." " t Wit [j'~t:J ~ Gí t Shop .-J/~ßUILDJNG 81 --I --~ Convent -'-1 -~. , I = I I r -- -, ,. ,- - - -, ,-I ':'ECONQJlOOR , . I ' TREATMENT AND DIAGNOSTIC BUILDING .\ -----'- -- I I I I I / '" Outpatient Entranc,e ,- I I I I Business Office 1- - - - - - ~ ) Publ" R.I.II.n. I / I I Outpatient I Parking ! --ì I - :!; ,i t~, " 'i'~I:C: -..........-:- ""'7""--r~--r" ..,..:'.. '·'7~N·'··?;;g7~·~:'·'·T·J:~:T:r~:~~fî?:rCJ~;:~~~1~:",,~~"",,~:," - -, ì I I I I I I , I I I I I I r-, , , , I I I I I I I ,_ _.J 71 I ' . ¡ .: " :1 ·e ;~' \ 1 1'1 e ! 't . " . ! $:; ~;~ ", _~. ........- ..:--~_. 7~..'~----···· I ì Lecture -: I ¡ i U .- -Inservice I 3rd MAIN '. I 302-315 1"', ENTE.R~P,t..,.CE ~ll Mf\CJiINERY"$ ,t..,.IR'HI\ND\..~R. VOR Ä.U... FLOORS . .-' ""JOIN VAl.. ·PUl..l..-' I" '.... TREATMENT AND DIAGNOSTIC BUILDING 3rd Floor (SECOND LEVel) 8EMERGENCY EXITS / f ::': ~~ ~.:~r:·:--, -~:',-:'.,. . ...,:)....:. ~ ·~.~j.:~~i!,~:/- , -, "- -...... III ..~... .--.._.. .','þ_,~:'_'" ·,":J....~4·-~~··_..-·_-~-....~· 0:;---.' . . ..-----_. ..-' ~;\~~..(~: ;, , >1 ' 1/: ~ ·~:k ;~·:J~T'}~~·\-;:~X~~t{~{i~l,;·~..~···,. ...~I·~,·~i .~ :. ·¡\~~:f.,~.~·r~1! ~.~_.:.. " . ' ..... - -' '·::t . ·~I'" ':: U!I" ~ Ii ' !T .':: II'; :.' !Ì f.:, 1,11 f;' I r ~I { 1.<,' ~t:' I',' I': 1:,1, S ,I ',;. ¡:.~" . ~(,.: ':l ~.. . I ¡~; .; I' : ': r~'. .' 'I I· , ¡ , ¡ , i \ ! i r ¡ I, ¡'"', .. ' \, ,', f·' , ; !,' '" ,. t-;. l' 1,1 " ' 'l:~':' I v. I I I ',~, ':' I,:' F!'; I! r;,:'~: j . ! i ~ ~,.:..:; ~ \1': h'! (1\ ):S', ¡" ,., " \ '¡ t~~S: :¡,: ,ù\: I" \ "..' ::f\: :~;» },"'., :: 1 ~~..~.t~~.. "--" k.:, ;":" ;. ....~ '. 'i~ ',,,. , .' 1,'" ::~ ¡.:. ;,.~'" ..:.~." .- ,,,. e . :\ .. , II,' 'ì '" ,(. '.".,..,.,,"'. .. ..'- Environmental Services . . Eye Room 1SU1t.C\NG e.. T ¡;'< (f "', ? ....".~ ~~,._...... - . .. ..~..""'!t....., ",'1' .. " :~. : , . E){fL . ' Boiler Engineering Hemodialysis + Pharmacy EX\T + / f:' '~,"i' f' }'"'" . ~~;' . ,.; f.r.,::' F !Il , ' ."-, :i" "1' I :'" ~ J:: ::. í ~;; , t' ¡,' Mt>JN 5"PR\N't'.'i..tR F>.NO·\NI"-T~R ¡URN L OFF ' : ¡"" I.:',. 1(,' ~ ;.: " '. ; ¡:',' i ~r . t···· j ~: ¡' ¡;.- , ¡ tN\Nur>.L ~"\..L : ¡ ; t· -WIlD\NG 7fD Central Supply " Outpatient Information & Waiting Respiratory i Therapy/Biofeedback I I I '- ( .71~. (' _~ r ..EJRST FLOOR .\Treatment and Diagnostic Building , , ,.., w.., , ,;,t~¡.;~ç;:'; . . I I (' Purchasing '" C I l' . f.' I ¡ i ¡ " j r I ' L " .';;' . ~ r ·f· ( ~'~ . !' " ~'\ r L k',. . . .._,........_~... , :;'>:}:, ""':--.'..- ~ . II I I' I I I, I I ! e I~ I , , ,~ ¡;. " "\ '. I' IÞa_.. LOT-r ~. :.., ..., ~I ~, , .. .... ~_._~_....( -" -if I I : I II ..JI j r" ~: '[' ~ \! : J. .:; Ii; ..&..~ LOT-c-i t"__ II 1\ Ii JL ft....... Lor..,. ,. I~¡ ~ III ... 1=1 ~ .! -I: . ¡ r¡ I ~....- !II 01 I~'T fi ,I -~~ , TRUXTUN '~-' , , ......... LOT -,- I . I " wtOICAL IIIrco_ø. _AIIIIÞtOu.1 ........0 LOf .... STRE.ET MERCY HOSPITAL - SITE PLAN n U ,.......0 I n ) IJ~ ~10 :; .~. =1 I .1 I ;c¡ AVENUE \....,-- j , -$ N ,..- . o CUD 10 IØD ":'~" .-_. ('., ~ e e SITE/FACILITY DIAGRAM FORM 5 .. (CHECK ONE) FLOOR:! OF UNIT :: / ZF I. NORTH SCALE: DATE: / / FACILITY DIAGRAM 16 ~ -;;;-rfLeer- OFPfc.6 OF¡:"rLE: ~ V1 ~ Ceør'~a.. C!\J LÙ U(fYL p.llfŸ Ð Ft:1c.£ ~ oFFfUZ (A(l.¥.11J1r 9Vvrll F¡; !?,4/¿120,4 ð ~ / II I / / / / / / / / / / / / / // / /1 /1 I / / / / / / / / / / / /, / // " / ' / / '" if' (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - ';" , ........;. "¡' , q ".-' e e SITE/FACILITY DIAGRAM FORM 5 (CHECK ONE) FLOOR :/ OF / UNIT OF NORTH SCALE: DATE: FACILITY DIAGRA'It 1+- S7f'(;e.í I b rÆ srlLee.-r ..,., Se.c..¿L2.Iry o p¡:: I c..¡¿ fJ'E~Y fL-Az4- ~ld6-. ~ /' fill AI L. (2.oo~ I?~~{ t\\ (¡- rr 1 J,..o-(-A E: Lø- AP F;1"I-rE es '5Â.OP . I ~ e..L-l>.e..~S W A-KE~ME ßLOc..)C VJ 4-tI tJ t SAlilr¡:¡ ¡Cé ~L..,e~j) / // /~,/ </ // ,,/ /// /~-</~/a~~--Ý;/:////,~/:/~~/' /', ,,'/ / , ,./ (Inspector's Comments): -OFFICIAL GSE ONLY- - 5A - .. - ~''''-~- . ~ ,.'-". ._-- - ~ --- -'.-"'- . ..~ ..-. ---'-~ . ~ ~.. .- v '___.'~"____""'~ .,.. ~_. . I' e r .... I u,¡ "'1 IZ:I ..., .. .... e .:; :, \ ¡: 'a".... LOT"" CO......II..c:I..- ca.,." .."..- . L.or ~ .~ Vi ,ill . '---._..__._._-_...~ - .---.-....-.' ---...- -iI , , ¡ I II ~I ) ... ... ... 1=1 ~ -! .,: . i t """-!II 01 l&.OrT tt. : ¡~ ¡ _:~ .., \... -~ ...~. '~"'''-'''''-'''''-'' ... - ..- I' I r: ' ~! jl J :~, ..m~ LOI ~ ~ '-= II 1\ Ii 1 L..___ MERCY HOSPITAL "...... ..or .,. n wtþlCAl IIIItto"oe ·...tHOU.. n U P"...... Lot .,. (Ja.."O , r' 1 . !~,_____. S T R E, E T f-:: .=-.::::-- I I I I I I I I I ~ r ) -! IJ"TO ...ocaa_ ...-. ....... ~... 10 :¡ ~. =1 I .,1 .r- I ~i I I I I Ii I I. i i !I I I i --I I' ~ . - . ' .--. -I. -$- i N ' TRUXTUN ------'" -.. f- ---' , \.. AVENUE , >--- , ' - SITE PLAN ,.- ' o.no tD 1Q -., , . . -. NORTH .. ."_ ""_......, . ,.' ~..-.-.; ._.·_·.....__·_4_~·..... I e . -, -- '\ SITE/FACILITY DIAGR~~ FORM 5 SCALE: rk/ FLOOR: / OF DATE: ! / (CHECK ONE) SITE DIAGR.~~ ,FACILITY DIAGRA.'{ . /II t ~ ~ ~ W ~. ....... ~ .~ / ~ ~ i· ~ ~ß'/¿ ðr#~~~ .~ (Inspector's Comments): ~ -OFFICIAL GSE ONLY- - 5A - 13'-0" \ f ¡' +2 '--- - g'-O" ~'""~c. :N, o . 5 GAUSS nold 3 ~.::;:--=-~ ,--=-J'==- / r 5'-]" Calumet yon plan F1gure 4 . 48' -0· Powor and phono recep tacl 0 n 6 15 GJ 8'-0" I I '\ e 9 \ 5 &. 13 I L Tech ,tal" e 1 RF Front End 7 RF IsolatIon Transformer (not shown) 13 Magnot Powor Supply , \~ - , , 2 Magnet 8 Lase Generator (not shown) 14 Dedicated HVAC UnIt 3 Patient Bed 9 Computer 15 Dedicated Power Condltroner h':i 4 GradIent Power Supply 10 Operator's Console 16 RF Shielding (six sides) '-;' ,. 1 1 PhysicIan's Console Magnetic ShieldIng (both sides) 5 RF Transmitter ! 17 6 RF ReceIver 12 Mùltl-format Camera \ \ ----..--.--.---"---..-- --..------------------- -- ------. ...---.----.------.-- .---------." ---------"--------- -~-' ---- .-- -.---- .--. .:i - ..-- ------ -- .".- ._---------_..~---- ------ n__ _____. ._._. ___ ___ - - -. .. -- - ~ J . " . ....:' ..' . . , .- 'ITE/FACILITY DIIGRAM FORM 5 (CHECK ONE) SITE DIAGRÆ~~~ FACILITY DIAGRAM FLOOR: ¡OF, / NORTH SCALE:" DATE: / ¡ fIlf/51l/-f ~¡p1¡1 fð' !kf'(7lf( w ~ @ 6VlAS5 ~fl.£1I t1u.r;f oFf(C-~ 7 ß/v-1l /1 I'J~S5 ~, V- oU"" Lotl-~''''~ ~ /1P~ v~ O(Ft£.( ~ N If- I b 7A .s 7eecr (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - -·'t;,r..~W-:-- ., . .- t> I I I I .- f ~ \;. i' CD at GCOtO . -.,¡ NY'd iI~I:~ 'l,rJ,hJ~fJH A:)UilW ...,.",:! ~ e , , - ---. , ',.-- ~ , 1.__. 1- , I I~I W 3nN3^'t N n J. x n II J. ¡ (0:'=_ '_'~ ! r--'--- I' ·1'1'; .... ,-0' i o :.......,..'1:'.._ "T I' , ,. ii !I II If .-' ..I 1m I-C'· ~: : im '., !11 ¡i ¡P 'U I' ·m ~ . 1&. , , I- fµ 1-4 I ::II IGI , ,.. !:II '''' ! '" m -4 I'" ,.. 4.. ...... JO, ......4 e J. 3 '.. II J. S II I . I ( ir II II I I - Ii - u .'1. 10' ........ .'1. 10' ....... ..... .101 ........ ! I "".."4 ,I ~ u IlnOMa..,. ea.O:)I. 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Lor.,.. --.i , I ¡ I I I ..J! CO....II.IOCE ..- """" ft'.".... ~ Lor"N"' ' , ~--- !II QI !~T ri _:---f , ! t- III III 1:1 ~ CD! ." . . . . u ,~ :, ........... Lor ·A- ~e~ MERCY HOSPITAL wfDtCAl "ECO"O. "....(NOV.. I , I \ \ I 'I \ , ~AII"_ LOT 'A' n WEIIC'" U "'OCA~ ~AZA I ~...,,- ~\' t e t 1\ S T R E. E T ~:',,',:. ;1 J ::. " I :~j ~__~ LOT ~ t" 1\ I( Ii Ii 1 ... O1IUnaun A_ ;JMAQØ06I1C .-. \. TRUXTUN '¡-- ~ ~ \... AVENUE i1 ----- 1 DU- ~.oca._ "'_OJ ""..... ~' t-' III: III' :~,' :1 .,1 .e:, I ~¡ i '--- '---.- - .I ..... .--. - SITE PLAN -$- N ,... J 010:10 10 ICII e e ~. .. , li .... ..,J "'I G:I ..., I CIJf "', IIÞ"__ LOT-r -iI I I ¡ ¡ I I ...J j I , Ù¡ ...1 :,! "ARIt.. ¡ ~; LOf .... " III' ;:¡ "'I Ii; :, too I ~ ./ , .,: . ; '....--!l1 ClI ¡LOfT t. : i~ ¡ !I Ii ...-..:. &..OT-c-i ,~ /I 'I Ii Ii 1 " :1 "A_".. LOT -..- 'I n II U .-.- ·1· I n I ) I' ! weOfCAL "(COttOI "'''-'MOual ..A........ LOt -... 14 1t11" STREET I' , IJ~" ':"''=-1 ~~- ! ~:! I I i , I I i i I 0...-.-..:. 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I, ,. ; --7 MA E.c..e.oA-TÞ"$' LOt' I' .,';' , Ii :¡ I ; 11:; ¡ i: ' ~:I I : " ;11 " j:; ¡ I: I . ,. :'1 II '~ ¡ r' 1 I! . , ! " ¡ . ..' , ~ , .' ! ¡ \ : ~ ; , " : . , " . I ,'\ FI1="TH FLOOR i 'I' i¡i \:,' l_ ~ ~ " /" 'FIRE" ...s ...~h\()'<. ~ RrS£T .....eST .~ ~ t-.... ~ - . "\.. ;, t l' "TRUXTU~ "\IE À MÞJNNR HP\NO,-~R. TUICtN 0 F ,,"-6 1:X'"1=AN qF8 [J b, '~UL..J]' " IRE ' ~UØP~f~t --~~.::'-'- r "ROOF PENT HOUSE ".. '''\ r » ......F ;>:: ..~, ^ I -, ' , , ~ .'" .t . . oj, . ¡.. '. . ~ (0 \.jC!ctL ~Q~.('.,-~~jCf C)1 (¿~""Cc. J. J<ï ¡J,t'l,j ({1) /'-VI<, ' I cÞAf t,\/' - '¡...I ' t. ~ ' , j0 y ,(\( (al} 05- ¿, ì, /&8 'J. V û 'h (!Crt I (d ¡¿¡Cr/I TQcfMq... kr r 0 -/ ./'." "J' ;/111(1,<..,' (¡;') :lij (1,(,('> ..I' . . , I ~,1. . {' -J \... L_' + ,. 11- I / I ( ."-.; 6':\ ~fr7l1r 6/0: I/l{} !¡:(-1, \ .-) ~)"i '. {/\ A .1I:'1Sff'7)6kd It ,'J.-( -fr...,J {..~~¡;,~ 30 (~)Q t CCCu¡Æ:x'. (~ Ue dM.¿ :;;)CU\ ·/n -f(".r L1- j)Ýr-;LI L ~ f "I. f £1'10 /¡1ofC''"'.,1 /!J"'(\~ /:'\(";':",..f¡',-'",~ t,í\,'¡r:-fl()'"A" ;rlJl I~ VA r/'¿T' '''F .., " l/L{'. 11/bý{fi ( \ ""_ I íJ ( C . C/ ,')~ ' i.. ')/\\Q;Ô ""-:1 . L- ,\ .,-JI " /-'-:J \Y ;7' ',' ,..' - BSSR, Inc. . 6630 RosedaJe Hwy., # B, Bakersfield, CA 93308 Phone (661) 588-2777 Fax (661) 588-2786 '- MONITOIDNG SYSTEM CERTIFICATION ~~~, . , Thi~ {orm must be used to document testing and s~rvicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work A copy of this fonn must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: 01 ERe '/ 'H (') ~p, TA , Site Address: :2. -:l' 5 T R U X T CJ N A\J E: _ FacWtyContactPerson: ~~A!2~~i ~~~~ . Make!Model ofMonítoring System: L....(-1 1 L~ T / LA - OL{ ,.' , I B. Inventory of EquipmeÌ1erested/Certified Check the a ro riate boxes toinditate s ecifi~ e ui ment Ins e~tedl8erví~eìl: City: BAllI- R"'5"f I E L D Contact Phone No.: ( 6b \ Bldg. No.: Zip: O¡~~() ) 6~1- 591;t Date ofTestíng/Seivicing: ~/ '2,1 /...Q3 Tank ID: o In-Tank Gauging Probe. ' Model: o Annular Space or Vault Sensor. Model: '(it15"iping Sump lTrench Sensor(s). Model: o FiII'Sump Sensor(s). Model: D'Mechanical Line Leak Detector. Model: o Electronic/Line Leak Detector. Model: o Tank Overfin I High-Level Sensor. Model: o Others" eèjf' e uf ment 'e and model in Section Eon Pa e 2 . Tank ID: o In~T¡¡nk Gauging Probe. Model: o Annular Space or Vault Sensor. Model: o ~iping Sump I Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector. Model: o Tank Overfilll High-Level Sensor. Model: o Other s ecif e ui ment e and model in Section E on Pa 2. Tank ID: o In-Tank Gauging Probe. Model:, o Annular Space or Vault Sensor. Model: o Piping Sump lTrench Sensor(s). Model: o Fill SumpSensor(s). 'Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector, Model: o Tank Overfill I High-Level Sensor. Model: o Other ecif e uiment e and model in Section E on Pa e 2 . Tank ID: o In-Tank Gauging Probe. Model: o Annular Space or Vault Sensor. Model: o Piping Sump / Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector. Model; o Tank Overfill I High-Level Sensor. Model: o Other s ecjr ui ment e and model in Section E on P e 2 . Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: o Shear Valve(s), 0 Shear Valve(s). o Dis enser Containment Float s and Chain s . 0 Dis enser Containment Float s and Chain s . Dispenser ID: Dispenser ID: , a Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: o Shear Valve{s). 0 Shear Valve(s). o Dis enser Containment Float s and Chain s . 0 Dis nser Containment Float s and Chain s . Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: o Shear Valve(s). 0 Shear Valve{s). DDìs enser Containment Float s and Chain s . 0 Dis enser Containment Float s and Chain s . *Ifthe facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that tbe equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have alS, 0 attached a copy of the report; (chedc aU that apply): a System set-u\, 0 Alarm history report Teclmician Name (print): t IDE I C r-=\r2 ~<., L LO Signature: ~d..~ (' G\. ~ ~ 1. .J:\ Certification No.: License. No.: b 1 2 ~ \;;L Testin~ Company Name: _ß'S :5 R I rJC.. . ~ Phone No.:( b6 I ) 58J8 - ;;¿,-:¡ -:¡-;¡. Site Address: 6 h 30 J< a SE DA L E H w'i ~ 5 Date of TestinglServicing: -=t:~j -:ll I Ci?::J Page 1 of3 03/01 Monitoring System Certification e e ~. Rèsults of Testing/Servicing Software Version Installed: ~). 1>~ , ',. 4:, Com Jete the followinchecklist: DYes' CJ No· Is the audible alann 0 erational? ,Q No· Is the visual alann 0' erational? o No· Were all sensors visùall ins ected, functionall tested, and confinned 0 erational? o No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er 0 eration? ... If·'alanns are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operationa!? J For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment moriitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) 0 Sumprrrench Sensors; 0 Dispenser Containment Sensors. I -Did ou conf1xm ositive shut-down due toJeaks and sensor failure/disconnection? a Yes' 0 No. D No· For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no üit NI A mechanical overfiUprevention valve is installed), is the overfill warning alann visible and audible at the tank fill oin s and 0 eratin ro ed ? If so, at what ercent of tank Ca: aci does the alann tri er? - % Was any monitoring equipment replaced?' If yes, identify specific sensors, probes, ox: other equipment replaced , and list the manufacturer name and model for all r laçement ar.ts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) o Product; 0 Water. If es descnõe causes in Section E below. ,ŒrYes a No* Was monitorin stem set-u reviewed to ensure rQ er settin s? Attach set u c¡;r Yes a No* Is a1I monitorin e ui ment 0 er.ational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected. DYes o No* IZt Nt A a No* qa' Nt A a Yes a Yes o Yes* ijl No a Yes* ~ No E. Comments: Page 2 of3 03/01 .'.. In; Tank Gauging I SIR Eqlment: e o Check this box if tank gauging is used only for inventory control. u.;r-Check this box ¡fno tarik gauging or SIR equipment is ins taIled. . ~ ~" This section ínûst be completed ifin-~~3:ugingequipment is usedto perform leak detection monitoring. "~",, , c ompfete the followin2: checklist: ( , , ',. DYes CJ No'" Has all input wiring been inspected for proper entry and termination, including testing for ground faults? a Yes t:J No'" Were all tank gauging probes visually inspected for damage and residue buildup? DYes o No'" Was accuracy of system product level readings tested? DYes o No* Was accuracy of system water level readings..tested? DYes o No* Were all probes reiristalled,properly? o Yes o No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak De~ctors (LLD): C th f; I:it"'Check this box ifLLDs are not installed. omDJete e OllOWIß2 cþecklist: ,,' CJ Yes o No'" For equipment start-up or annual equipment certification, was a leak simulated to verifY LLD performance? CJ NIA (Check all that apply) Simulated,leakrate: 0 3 g.p.h.; 0 0.1 g.p.h; P 0.2 g.p.h. oO' DYes o No* Were all LLDs confirmed operational and accurate within regulatory requirementS? , DYes' CJ No'" Was the testing apparatus'properly cahõrated? o Yes a No'" For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Q N/A .... Q Yes o No'" For electronic LLDs, does the turbine automatically shut off if the LLDdetects a leak? o N/A , a Yes a No'" For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled Q N/A Or disconnected? a Yes a No'" 'For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system a N/A malfunctions or fails a test? Q Yes a No'" For electronic LLDs, have all accessible wiring connections been visually inspected? o MIA Q Yes o No· Were all items.onthe equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe bow and when these deficiencies were or will be corrected. H. Comments: Page 3 of3 . 03/01 - ,- ; Monitoring System Certification :. :\ e UvST Monitoring Site Plan Site Address: :2-2 5 ' If< UXTUN . A,JE . . ' .' .., H O:SP:\:TffL: .. .. .. .. . . .. .. .. .. .. .. .. ..... ~~'~Ñ~~R~,J!"t : t>~~ : .. .. .. .. .. .. : ,,':: i.1Ì\o,..¡1'Ó~' , . ,'. . . :0 '0' .r\LL. :,0, . . .~",,^p. , .t'\t'I~~ . , , .. " '. , . :¡J : I : : : : . . . . . . .:..-;, t' .w.~· ¡ . S· Date map was drawn: ï/2..L! 03. Instructions If you already have a diagram that. shows an requited information, you may include it, rather than this page, with your Monitoring System' Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equípment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line teak detectors; and in~tank liquid level probes (ifuseël for leak detecnon). In the space provided, note the date this Site Plan was prepared. Page _of_ 05/00 · ~cP~ Bakersfield Fire Dept6~ HAZARDOUS MATERIALS DIVISIOF Date Completed / q-P -q j Business.Name: m~o/ J.j¡)>rII11-L Location: d ~ I 5' 1k'w:knv /~(/"! Business Identification No. 215-000 QeO (0 ~ R (Top of Business Plan) Station No. I Shift e Inspector S ~T Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Ad~ ~ ~ ß'" Comments: #0 LtM/f~ /.!n,.,,(1"I.r5 P X Y l..é;up; Verification of MSDS Availablity ~ Number of Employees Verification of Haz Mat Training Comments: ~ Inadequate D D D D &~~)~~ iMP 0 RECEIVED SfP 0 9 1993 HA7 1\/1 ' AT.lìlV D D Verification of Abatement Supplies & Procedures Comments: ~ Emergency Procedures Posted Containers Properly Labeled Comments: ~ ~ D D D Verification of Facility Diagram Special Hazards Associated with this Facility: ~ Violations: ~ FD 1652 (Rev. 1·90) ------- ( / A~I'ltems O.K. I Corr~étion Needed ~ D White·Haz Mat Div. Yellow·Station Copy Pink· Business Copy ~ \ /\ f . "d' '~. ,,-,* r I ' '\\5/24/9 1 i· RECEIVED JUN 1 0 1991page Ans'd. ........... ~RCY HOSPITAL 215-000-000~ Overall Site with 30 Fac. Units 1 General Information Location: 2215 TRUXTUN AV Ident Number: 215-000-000628 Contact Name JACK RESENDEZ PAT JACOBS Title SECURITY DIRECTOR MANAGER Map: 102 Hazard: Moderate Grid: 25D Area of Vul: 0.0 Business Phone (805) 327-3371 x (805) 327-3371 x 24 Hour Phone (805) 323-9751 (805) 392-0607 Administrative Data Mail Addrs: 2215 TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 Owner: CATHOLIC HEALTHCARE WEST Address: 2300 ADELINE DR City: BURLINGAME Summary :l \ ~ ), ' I /{ 1\ ( , f), " i", '. ''-.-> .. <'J 0. f-. J /' '- J , 1../0 ~ /1 ¡, I; i \J ~ ' . { \! ,,',. -,'J '\ . r~"t J ,~ L::)'v, \ , v \..'1 /\ I ~\, If 1, D&B Number: fit. State: CA Zip: 93301- SIC Code: W',,~ Phone: (805) 327-3371 State: CA Zip: 94010- (p- n -4¡, \ r> f 'r ~\~ " " '! ,..;:- '- -} ~'\ t Û -i, i, \ \.) {'. (\' \..,..: ' . d~ \, . , \ . \ ;'\........... U ¡: ',,/ ~ "~)'-.:, , " r ) ','fJ:Jr ,I '. \,.1 ~ (, 1,-" / . -. \. ~ I.,. -~~ ", ,.-" I, ,~t,,- - I ,,' '\ .' ì ( t '< }.J ;' / ~ 0~/24/§1 ~CY HOSPITAL 215-000-000~ Hazmat Inventory List in MCP Order Page 2 ". r 02 - ENTIRE CAMPUS PIn-Ref Name/Hazards Form Quantity MCP ~3 Dl~S~L TÂMK - ? 1,::>UO - ~ pL ~ 02-001 / DIESEL TANKS ~. ~ OXYGEN TANK ~ I:¥~~~ ? ~,se6 Low ~ I1dO GAL '00 Low ~ ¿)"ç) GAL .,g2-002 ? ~ Q] ¡;O"â'I' WInS it3T~8R ~:r~~~ d"" , ? 55 High GAL 03-002 COAT 1 UNDERCOATER AND SEALER 03-005 PAINT THINNER ? 50 High GAL 03-004 OIL BASE ENAMEL ? 80 Moderate GAL 03-008 IMAGE 1 ? 55 Unrated GAL 03-001 LIQUID MALGON ? 59 Unrated GAL 03-007 RESTORIT ? 55 Unrated GAL 03-003 SPARQUAT ? 55 Unrated GAL 03-006 SPARTAN ? 55 Unrated GAL 06 - "¡;AO'F UiN3 4TH F'LöðK.. Q.é r eel -ALeeWOI... ? ..- (; Mod9rilt9' ~t. - ~ Og/24/~1 ~CY HOSPITAL 215-000-000~ Hazmat Inventory List in MCP ~er .. r 08 - MAIN BLDG 1ST FLOOR PIn-Ref Name/Hazards Form 08 - MAIN BLDG 1ST FLOOR 08-007 ACETYLENE 130 ? 808 ... Q () 8 FORHA1- I ISL.- L ~ a6~ FORMALin-- ? 08-010 ALCOHOL ? 08-011 CARBON DIOXIDE USP, OXYGEN USP ? 08-004 CHLORODIFLOUROMETHANE ? 08-003 FREON 22 ? 08-006 OXYGEN 281 ? 08-001 DICHLORODIFLOROMETHANE ? 08-005 NITROGEN 304 ? 08-002 TRICHLOROMONOFLUOROMETHANE ? Quantity 1,300 FT3 45 4S I/' 160 GAL GAL GAL GAL 1,116 FT3 670 FT3 5,620 FT3 635 FT3 6,080 FT3 274 FT3 Page 3 MCP High ~ High High.- Moderate Low Low Low Low Minimal Minimal Minimal 09 - MAIN BLDG 2ND FLOOR 09-001 XENON, XE 133 GAS ? Minimal 250 FT3 10 - MAIN BLDG 3RD FLOOR 10-001 OXYGEN ? Low 46 FT3 ~ 0~/24/~1 4IJRCY HOSPITAL 215-000-000;~ Hazmat Inventory List in MCP Order Page 4 ... 12 - MAIN BLDG 5TH FLOOR Pin-Ref Name/Hazards Form 12 - MAIN BLDG 5TH FLOOR Quantity MCP 12-001 OXYGEN ? 46 Low FT3 13-001 SUN GLOH < ~ 13 - WEST TOWER 1ST FLOOR ? 48 Unrated GAL 14 - WEST TOWER 2ND FLOOR 14-001 OXYGEN ? 46 Low FT3 15 - WEST TOWER 3RD FLOOR 15-001 OXYGEN ? 23 Low FT3 16 - WEST TOWER 4TH FLOOR 16-001 OXYGEN ? 92 ,Low FT3 17 - WEST TOWER 5TH FLOOR 17-001 OXYGEN ? 23 Low FT3 18 - PATHOLOGY LAB/RADIOLOGY 18-001 ALCOHOL, ISOPROPYL ? 10 Moderate GAL ',it /&-A/£ , ßûWJ,¿Q ,\ .¿,':.: ; .,~~.2. 0 (btt¡ / (",\ \ " --<-- / '--'.'.' -- ,~ 5 c ¿) ~ ~·C ¡¥/'?I #1"?1 " -.......;' ~ , \ ., '" - ~ \, J ~.:' \" ' ~, . '~:;~,' ~ ~ t. !\~~c/r,-.."~'~~V· bi.->'...'';:'V- \,..)..... 0D~ :,'~J ~ l v·\ '. \. .; "\ 1,,'¡¡O' , 1,1 '\' 0~/24/!91 tlRCY HOSPITAL 215-000-000~ Hazmat Inventory List in MCP Order ~ 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 5 PIn-Ref Name/Hazards Form Quantity MCP 19 - TREATMENT/DIAGNOSTIC 1ST FLO 19-006 /i /D~ 19-009 THYLEN/ HYDROGEN/CARBON DIOXIDE/NITROGEN 19-013 NITROUS OXIDE 19-004 ALCOHOL 19-005 ALCOHOL 19-010 OXYGEN COMPRESSED 250 CF 19-012 COMPRESSED AIR 250CF 19-007 HELIUM NON-FLAMMABLE 19-008 NITROGEN NON-FLAMMABLE 19 863 -<:II5EX PLtJ'S /~ 19-011 COMPRESSED GAS NON-FLAMMABLE 250CF / d9 OðoQ- ~ILMA8~ / oio!I 001 SOb*' POWr;ft- //. ? ? ? ? ? ? ? ? ? ..... ? .;r-. ~ ./ 1 ,JHrO LBS Extreme . 270 100 FT3 200 FT3 32 GAL 48 GAL 2,500 FT3 2,000 FT3 1,250 FT3 500 LBS 61 ~ 1,500 FT3 ~:!ð ....,. ~L- Extreme High Moderate Moderate Low Minimal Minimal Minimal Y'R5â'åefii- Unrated Uflrat.eðl 'ØH£ð.L¿t! 20 - TREATMENT/DIAGNOSTIC 2ND FLO 314 - -eAL ~ 20-004 C02/H2/N2 Extreme ---..., / ijJ~ /f16 \0 13~ ø ? 209 FT3 '" .RCY HOSPITAL 215-000-000_ 0~/24/Ð1 Page 6 Hazmat Inventory List in MCP Order 20 - TREATMENT/DIAGNOSTIC 2ND FLO PIn-Ref Name/Hazards Form Quantity MCP 20-001 COMPRESSED GAS CYLINDERS ? 209 Extreme FT3 20-002 C02/02/N2 ? 209 Low FT3 20-003 CO2 ? 437 Minimal FT3 20-005 C02/N2 ? 209 Minimal FT3 , 22 - TREATMENT/DIAGNOSTIC 4TH FLO 22-001 NITROUS OXIDE ? 700 High LBS 22-002 OXYGEN COMPRESSED ? , 0 Low FT3 27 - CARDIAC REHAB CENTER 27-001 ALCOHOL, ISOPROPYL ? 1 Moderate GAL 31 - MRI 31-002 HELIUM Fire, Pressure, Immed Hlth, Delay Hlth Gas 22,407 FT3 Minimal 31-001 NITROGEN Pressure, Reactive, Immed Hlth Gas 6,312 FT3 Minimal - ~ OS/24/91 ~RCY HOSPITAL 215-000-000~ 02 - ENTIRE CAMPUS ' Page 7 Hazmat Inventory Detail in MCP Order ~ 603 DIESEL TANH ? J.&6 0 Le1w CAL CAS 41=: Trade Secret: No Pure Days: Use: Annual Amount GAL -- 2,000.00 Storage UNDER GROUND TA T Temp Components Fuel No.1 ? ~ ~ðt!i a:;()Ð1 Low '1 GAL Trade Secret: No Form: Unknown Type: Pure Days: Use: FUEL ---- Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- ~/ð~&>~,500.6a-" I 0.00 I 4,500.00 Storage UNDER GROUND TANK r Press T Temp l Location SOUTH OF BOILER ROOM - Conc l 100.0% Diesel Fuel No.l- Components I-:=- MCP -¡-List Low I 02-0001 OXYGEN TANK - ,:J ~AVK.$ CAS 41=: 7' 'l'Z- LfI- -¡rrade Form: Unknown Type: Pure ? ..31 "t1ð + boo Low GAL Secret: No Days: Use: MEDICAL AID OR PROCESS ---- Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL ~~O.OO I 0.00 I 150,000.00 Storage ABOVE GROUND TANK r Press T Temp -, A STREET Location - Conc l 100.0% Oxygen, Compressed Components C MCP ---rList \ Low I - ~ . , 0!5/24/91 ~RCY HOSPITAL 215-000-0004IÞ 03 - ~ ~1.!JftG 1ST FLOOR'- ~()/~P'S~¡c. Hazmat Inveñt~ry DKtail in MCP Order Page 8 (J{é 55 High GAL 03-002 COAT 1 UNDERCOATER AND SEALER ? CAs #: Trade Secret: No Form:~known Type: Mixture Days: .~ CLEA1'1.Ll'1ê ---- Daily Max GAL - 55.00 ~aily Average GAL ~ Annual Amount GAL -- 0.00 I 550.00 sto~ DRUM/BA~-NONMETAL '''''--.. r Press T Temp~l- Location lS~ ~OR LIQUID STOR RM , e6nc 50.0% 30.0% 20.0% Components MCP qList 'nimal Mo te High --~.- Asphalt Mineral Spirits Propane 03-005 PAINT THINNER ? 50 High GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: ADDITIVE ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50.00 I 0.00 I 500.00 Storage r Press T Temp l METAL CONTAINR-NONDRUM PAINT LOCKER Location Conc 30.0% 20.0% 10.0% 10.0% 5.0% 5.0% \ e~? 'K '1 l) @- ,~1~ ~}v qv -- Components , MCP List Moderate Moderate Moderate Moderate Moderate High Acetone Toluene n-Propanol n-Butyl Acetate Xylene, Mixed Methanol " OS/24/91 eRCY HOSPITAL 215-000-000. 03 - EAST W·ING 1ST FLOOR Page 9 Hazmat Inventory Detail in MCP Order 03-004 OIL BASE ENAMEL ? CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: PAINTING ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 80.00 I 0.00 I 800.00 , Storage r Press T Temp l ·METAL CONTAINR-NONDRUM PAINT LOCKER Location Components œ MCP EiList Moderate Moderate Moderate Low Cone 25.0% 15.0% 5.0% 3.0% Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene G¡'ycol 03-008 IMAGE 1 ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55.00 I 0.00 I 550.00 Storage r Press ·T Temp l Location DRUM/BARREL-NONMETAL 1ST FLOOR LIQUID STOR RM - Cone Components MCP -.-List 03-001 LIQUID MALGON ? 59 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: SEALER Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 59.00 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Cone Components MCP -.-List -- .. 4ItRCY HOSPITAL 215-000-000~ 03 - EAST WING 1ST FLOOR Page 10 OS/24/~1 ~ Hazmat Inventory Detail in MCP Order 03-007 RESTORIT ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55.00 I 0.00 I 550.00 Storage r Press T Temp lIST Location DRUM/BARREL-NONMETAL FLOOR LIQUID STOR RM - Conc Components MCP -¡List 03-003 SPARQUAT ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55.00 I 0.00 I 550.00 Storage DRUM/BARREL-NONMETAL r Press T Temp l Location 1ST FLOOR LIQUID STOR RM - Conc Components MCP -¡List 03-006 SPARTAN ? 55 Unrated GAL CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55.00 I 0.00 I 550.00 Storage r Press T Temp _I Location DRUM/BARREL-METALLIC 1ST FLOOR LIQUID STOR RM - Conc Components MCP -¡List ... tlRCY HOSPITAL 215-000-000~ 06 - EAST WING 4TH FLOOR ~ Page 11 05/24/~1 Hazmat Inventory Detail in MCP Order 06-001 ? 6 Moderate GAL Trade Secret: No Pure Days: Daily Max GAL 6.00 --r-- Annual Amount GAL -- I 240.00 Storage PLASTIC CONTAINER Location ROOM Components ~ tlnCY HOSPITAL 215-000-000~ 08 - MAIN BLDG 1ST FLOOR Page 12 OS/24/91 08-007 ACETYLENE 130 ntory Detail in MCP Order ? 1300 High FT3 CAS =It: 7¿¡- ~,,- 1- Trade Secret: No Form: Unknown Type: Pure Days: Use: WELDING SOLDERING ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,300.00 I' 0.00 I 1,300.00 Storage r Press T Temp l PORT. PRESS. CYLINDER BOILER ROOM Location 08-008 - Conc l 100.0% AcetYle~ FORMALIN ~ CAS Components r; MCP --rList High I ? 45 High GAL Form: Trade Secret: No Days: CAL AID OR PROCESS Daily Max Storage PLASTIC CON Press T Temp _I HEMODIALYSIS - Co l 8.0% Formalin / FORMALIN ~ Components List EPA 08-009 ? 45 GAL High Trade Secret: No Mixture Days: Storage PLASTIC CONTAINE Temp l HEMODIALYSIS Components '~ 4II~CY HOSPITAL 215-000-000~ 08 - MAIN BLDG 1ST FLOOR Page 13 OS/24/91 08-010 ALCOHOL ? 10 Moderate GAL t Inventory Detail in MCP Order CAS :#: "7.. ,~- 0 Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 10.00 I 0.00 I 100.00 Storage PLASTIC CONTAINER r Press T Temp l Location RESPIRATORY THERAPY - Cone _I 70.0% Isopropyl Alcohol Components I~ MCP ~List Moderate 08-011 CARBON DIOXIDE USP, OXYGEN USP ? 160 Low GAL CAS :#: /2. "1- a r- f Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 160.00 I 0.00 I 760.00 Storage PLASTIC CONTAINER r Press T Temp l Location RESPIRATORY THERAPY Components ~ MCP llList Minimal LOw Cone 5.0% 95.0% Carbon Dioxide Oxygen, Compressed 08-004 CHLORODIFLOUROMETHANE ? 1116 Low FT3 CAS :#: 7'~ 'S'.,- '" Trade Secret: No Form: Unknown Type: Pure Days: Use: COOLANT/ANTIFREEZE ---- Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 1,116.00 I 0.00 I 1,116.00 Storage r Press T Temp _I PORT. PRESS. CYLINDER BOILER ROOM Location - Cone l 100.0% Chlorodifluoromethane Components I~ MCP ~List Low I '~ 4ItRCY HOSPITAL 215-000-000~ 08 - MAIN BLDG 1ST FLOOR Page 14 I' OS/24/91 08-003 FREON 22 Inventory Detail in MCP Order ? 670 Low FT3 CAS #: 1 ~.. t.j ç.,. "Trade Secret: No Form: Unknown Type: Pure Days: Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 670.00 I 0.00 I 3,571.00 Storage r Press T Temp l PORT. PRESS. CYLINDER BOILER ROOM Location 08-006 - Conc l 100.0% Chlorodifluoromethane / OXYGEN 281 ~ Components ~ MCP --rList Low I ? 5620 Low FT3 CAS #: ., 7 rz.. -Ir't' -7 Trade Secret: No Form: Unknown Type: Pure Days: Use: WELDING SOLDERING ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 5,620.00 I 0.00 I 5,626.00 Storage f, Press T Temp _I PORT. PRESS. CYLINDER BOILER ROOM Location - Conc -, 100.0% Oxygen, Compressed Components ~ MCP --rList Low I 08-001 DICHLORODIFLOROMETHANE ? 635 Minimal FT3 CAS #: /)" -7/--r Trade Secret: No Form: Unknown Type: Pure Days: Use: ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 635.00 I 0.00 I 857.00 Storage r Press T Temp l INSUL.TANK / CRYOGENIC BOILER ROOM Location - Conc -, Components 100.0% Dichlorodifluoromethane 1-; MCP :-¡List Minimal \ ~ . ~CY HOSPITAL 215-000-000~ 08 - MAIN BLDG 1ST FLOOR Page 15 OS/24/~1 Hazmat Inventory Detail in MCP Order 08-005 NITROGEN 304 // ? CAS #: 77Z1- 37 -1 Trade Secret: No 6080 Minimal FT3 Form: Unknown Type: Pure Days: Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 6,080.00 I 0.00 I 6,080.00 Storage r Press T Temp l PORT. PRESS. CYLINDER BOILER ROOM Location - Conc l Components r; MCP îlList 100.0% Nitrogen Minimal 08-002 TRICHLOROMONOFLUOROMETHANE ? 274 Minimal FT3 CAS #: 75"'"-~ , - r Trade Secret: No Form: Unknown Type: Pure Days: Use: COOLANT/ANTIFREEZE Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 274.00 I 0.00 I 549.00 Storage r Press T Temp -, PORT. PRESS. CYLINDER BOILER ROOM Location - Conc l Components 100.0% Trichlorotrifluoroethane r; MCP :-¡List Minimal I 09-001 XENON, XE 133 GAS , . OS/24/[91 4ItRCY HOSPITAL 215-000-000~ 09 - MAIN BLDG 2ND FLOOR Page 16 Hazmat Inventory Detail in MCP Order ? 250 Minimal FT3 CAS #: Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- . 250.00 I 0.00 I 8,000.00 Storage GLASS CONTAINER - Conc l 100.0% Xenon r Press T Temp _I Location HOT LAB NUCLEAR MEDICINE Components r; MCP :-TList Minimal I 10-001 OXYGEN ;. OS/24/91 ~ tltRCY HOSPITAL 215-000-000~ 10 - MAIN BLDG 3RD FLOOR Page 17 zmat Inventory Detail in MCP Order ? 46 Low FT3 CAS #: 11 ~ z- '1'1-7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 46.00 I 0.00 I 120.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER MED STORAGE ROOM - Conc l 100.0% Oxygen, Compressed ~ MCP -¡List Low I Components :, OS/24/91 12-001 ~RCY HOSPITAL 215-000-00~ 12 - MAIN BLDG 5TH FLOOR Page 18 Hazmat Invento~y Detail in MCP Order /' / ? Low 46 FT3 OXYGEN CAS #: 71i'Z, -tt,!- 7 Trade Secret: No Form: Unknown Type: Pure Use: MEDICAL AID OR PROCESS Days: Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 46.00 I 0.00 I 100.00 Storage ABOVE GROUND TANK r Press T Temp l Location SUPPLY CLOSET - Conc l 100.0% Oxygen, Compressed I~ MCP -¡List Low I Components 13-001 SUN GLOH , OS/24191 ~RCY HOSPITAL 215-000-QOO~ 13 - WEST TOWER 1ST FLOOR Page 19 t Inventory Detail in MCP Order ? 48 Unrated GAL CAS #: Trade Secret: No Form: Unk~own Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 48.00 I 0.00 -I 96.00 Storage PLASTIC CONTAINER r Press T Temp l Location DIETARY CLEANING SUPPLY - Conc MCP --rList Components 14-001 OXYGEN ~ OS/24/'91 " ~RCY HOSPITAL 215-000-00~ 14 - WEST TOWER 2ND FLOOR Page 20 Inventory Detail in MCP Order ? 46 Low FT3 CAS #: 77r2-- '1'1....7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 46.00 I 0.00 I 120.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER NURSES STATION SUPPLY RM - Conc -I 100.0% Oxygen, Compressed I-=- MCP ---rList ¡Low I Components ,~ 051'24/'91 ~RCY HOSPITAL 21S-000-00dIÞa 15 - WEST TOWER 3RD FLOOR Page 21 Hazmat Inventory Detail in MCP Order ~/ ? 15-001 OXYGEN 23 Low FT3 CAS #: 17f'L"'t.¡f-7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 . 23.00 I 0.00 I 100.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER SUPPLY RM BY NURSING STA - Conc l 100.0% Oxygen, Compressed c- MCP -¡List I Low I Components \ OS/24/91 " ~RCY HOSPITAL 215~000-00~8 16 - WEST TOWER 4TH FLOOR Page 22 Hazmat Inventory Detail in MCP Order ~/ ? 16-001 OXYGEN 92 Low FT3 CAS :It: 771 Z -I/Y - 7 Trade Secret: No Form: Unknown Type: Pure Days: Use: STRIPPER ---- Daily Max FT3 ~ Daily Average FT3 ~ Annual ~mount FT3 -- 92.00 I 0.00 I 120.00 Storage r Press T Temp l Location INSUL.TANK / CRYOGENIC EQUIPMENT RM W HALLWAY - Conc -, 100.0% Oxygen, Compressed Components I-=- MCP -¡List ¡Low I ~ OS /24 /'91 " ~RCY HOSPITAL 215-000-00~8 17 - WEST TOWER 5TH FLOOR Page 23 Hazmat Inventory Detail in MCP Order ~/ ? 17-001 OXYGEN 23 Low FT3 CAS #: ng¡. - '1'1-7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 23.00 I 0.00 I 100.00 Storage r Press T Temp _I Location PORT. PRESS. CYLINDER NURSES STATION SUPPLY RM - Conc l 100.0% Oxygen, Compressed r=- MCP ---rList I Low I Components . " . ¡ OS /'2'4 /'9 1 I, 'lbRCY HOSPITAL 2l5-000-00~8 18 - PATHOLOGY LAB/RADIOLOGY Page 24 Hazmat Inventory Detail in MCP Order 18-001 ALCOHOL, ISOPROPYL ? 10 Moderate GAL CAS it: "7-" 3 _ 0 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ~ Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 10.00 I 0.00 I 450.00 Storage PLASTIC CONTAINER r Press T Temp l Location S WALL STORAGE CLOSET - Conc l Components 99.0% Isopropyl AlCOh~ X7/i&A..I£ . ~/lf5l!ztt33ð -7/)- 'J.¡.Y,P£:- .r'f. MCP -:--rList r;oderate I . #-' l' .( V$€: IJ+lUe~1 G/:1{ VII-if m¡A1( /~ @~/ (/) /f" 'f ~v Æ... Þ /I,IV'tAI' / 22. ð ~;I/ / . Fe:> /¿J'H 4-" ~ ¡IC) t'~"51 # :J(!)- <:Jð - 0 / J ~o ~~¿."'- f/,4-~ ~ ~ r'/~,t¡'G ð~"";~4 ~ - HI?" J . -t 11'1£ - /)?t/K U j Ii: /Wl ¿,d't ¿". / f/A?J::;C¡:' s-s J»/ I,? 1'»111- X. ~fkrI-- ÞR/ '4 /tvn ... r ................ IC, Â'~,vPþ'/ .. soo ~4-/ . -" . 05/'24/'91 i ~ ~RCY HOSPITAL 215-000~00~å 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 25 Hazmat Inventory Detail in MCP Order / 19-006 ETHYLENE OXIDE ~ ? CAS #: 1) - ~ I - r Trade Secret: No ""/~-f(JA£ Form: 'Unknown Type: ~ Days: 1080 Extreme LBS Use: MEDICAL AID OR PROCESS Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS 1,080.00 I ,0.00 I 10,800.00 Storage r Press T Temp _I Location . PRESS. CYLINDER STORAGE RM NSIDE DECONTA Components r; MCP -¡List Extreme EPA Oxide (EPA) 19-014 ETHYLENE OXIDE ? 270 Extreme FT3 CAS #: 7 () .. Z 1- [( ,';~ Trade Secret: No 'df;4 Form: Unknown Type:~1 Days: Use: CLEANING ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 270.00 I 0.00 I 2,700.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STERILIZATION AREA /2°/ pç:conc l ~ 100.0% Ethylene Oxide (EPA) 8eø¡¡~ Jlt1hl"~~AJ 19-009 HYDROGEN/CARBON DIOXIDE/NITROGEN Components I~ MCP -¡List Extreme IEPA / ? 100 Extreme FT3 CAS #: Trade Secret: No Form: Unknown Type: Mixture Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 100.00 I 0.00 I' 10,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY Components ~ MCP flList Extreme Minimal Minimal Conc 4.7% 10.3% 84.9% Hydrogen Carbon Dioxide Nitrogen >' . OS /2'4/'91 ~CY HOSPITAL 215-000-000~ 19 - TREATMENT/DIAGNOSTIC 1ST~O Page 26 " Hazmat Inventory Detail in MCP Order 19-013 NITROUS OXIDE / ? 200 High FT3 CAS =It: 10ð2. r... '7 - 2, Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 200.00' I 0.00 I 2,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc l 100.0% Nitrous Oxide Components r= MCP -----rList High I 19-004 ALCOHOL // ? 32 Moderate GAL CAS =It: t, 1-" 'J - tJ Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 32.00 I 0.00 I 320.00 Storage PLASTIC CONTAINER r Press T Temp l Location PURCHASING WAREHOUSE C - Conc _I 99.0% Isopropyl Alcohol Components r; MCP -:-¡List Moderate 19-005 ALCOHOL * /< ? 48 GAL Moderate CAS =It: t, '1-' 3--- 0 Trade Secret: No 11 Form: Unknown Type: Mixture Days: Use: CLEANING ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 48.00 I 0.00 480.00 Storage PLASTIC CONTAINER r Press T Temp l Location PURCHASING WAREHOUSE C - Conc l 70.0% Isopropyl Alcohol Components r; MCP -:-¡List Moderate! )-{t 051'2'4/-91 ~CY HOSPITAL 215-000-0004IÞ 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 27 Hazmat Inventory Detail in MCP Order 19-010 OXYGEN COMPRESSED 250 CF / ? 2500 Low FT3 CAS #:..., '7 r2 - '1'1-7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 2,500.00 I 0.00 I 25,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc -I 100.0% Oxygen, Compressed Components r=- MCP ----rList I Low I 19-012 COMPRESSED AIR 250CF ? 2000 Minimal FT3 CAS #: Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- , 2,000.00 I 0.00 I 20,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc l 100.0% Air Components r; MCP -=-rList Minimal I 19-007 HELIUM NON-FLAMMABLE // ? 1250 Minimal FT3 CAS #: 7 '11/0 - 5'1- ìrrade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,250.00 I 0.00 I 12,500.00 Storage r Press T Temp _I Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc l 100.0% Helium Components \-; MCP -=-rList Minimal , · ,," - 0'5l2'4/-91 , 4ItRCY HOSPITAL 215-000-000~ 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 28 Hazmat Inventory Detail in MCP Order 19-008 NITROGEN NON-FLAMMABLE ? 500 Minimal LBS CAS #: 77),7-37-1 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS -- 500.00 I 0.00 1 5,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc l 100.0% Nitrogen Components I~ MCP :-rList Minimal 1 CIDEX PLUS ? 61 Unrated GAL Trade Secret: No CLEANING ---- Daily Max ~ 61.001 Average GAL --r-- Annual Amount GAL -- 0.00 1 610.00 Location WA USE C Storage PLASTIC CONTAINER r Press T Temp - Conc Components 19-011 COMPRESSED GAS N~AMMABLE 250CF ? 1500 Unrated FT3 CAS #: Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 1,500.00 I 0.00 I 15,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER STORAGE RM NSIDE HALLWAY - Conc ~ <-~, , , 't ' Components MCP ---,-List ,"" 4ItRCY HOSPITAL 215-000-000~ 19 - TREATMENT/DIAGNOSTIC 1ST FLO Page 29 05 /'2 '4 19 1 , Hazmat Inventory Detail in MCP Order 19-002 SOILMASTER ? 120 Unrated GAL ':\ Trade Secret: No Mixture Days: Daily e GAL --r-- Annual Amount GAL -- 0.00 I 1,200.00 Storage PLASTIC CONTAI Temp Location WAR E C Components 19-001 SOLID POWER ? 324 Unrated GAL #: Trade Secret: No Mixture Days: Annual Amount GAL -- 3,240.00 r Press T Temp Location' OUSE Components - OS/2'4r91 4ItRCY HOSPITAL 215-000-000~ 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 30 20-004 C02/H2/N2 MCP Order ? 209 Extreme FT3 CAS =It: Trade Secret: No Form: Unknown Type: Mixture Days: Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 209.00 I 0.00 I 627.00 Storage r Press T Temp _I PORT. PRESS. CYLINDER LAB-MAIN Location Components ffi MCP nList Minimal Extreme Minimal Conc 5.0% 10.0% 80.0% Carbon Dioxide Hydrogen Nitrogen 20-001 COMPRESSED GAS CYLINDERS ? 209 Extreme FT3 CAS =It: Trade Secret: No Form: Unknown Type: Mixture Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 209.00 I 0.00 I 627.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER LAB CENTER RM MICRO RM Components I~ MCP flList Extreme Minimal Minimal Conc 72.0% 10.3% 17.7% Hydrogen Carbon Dioxide Nitrogen " , 4ItRCY HOSPITAL 215-000-000~ 20 - TREATMENT/DIAGNOSTIC 2ND FLO Page 31 - OS/2'4,-491 Hazmat Inventory Detail in MCP Order 20-002 C02/02/N2 / I~ ~- ., r-~ CAS #: 711 Z. -1('1-7 - Trade Secret: No _"7" z.. ? -1-1 -, Form: Un~ndwn Type: Mixture Days: ? 209 Low FT3 Use: MEDICAL AID OR PROCESS Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 209.00 I 0.00 I 836.00 Storage PORT. PRESS. CYLINDER r Press T Temp l LAB MICRO Location Components œ MCP :lList Minimal Low Minimal Conc 5.0% 20.0% 75.0% Carbon Dioxide Oxygen, Compressed Nitrogen 20-003 C02 ;1 ? 437 Minimal FT3 CAS #: I 2y _ 6 t -1 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 437.00 I 0.00 I 4,370.00 Storage r Press T Temp l PORT. PRESS. CYLINDER LAB Location - Conc l 100.0% Carbon Dioxide Components r; MCP -=--rList Minimal I 20-005 I CAS #: I 2. '-"~-? ~ ?1?.;J?"" 1 Form: Unknown Type: ? 209 Minimal FT3 C02/N2 Trade Secret: No Mixture Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 209.00 I 0.00 I 836.00 Storage r Press T Temp l PORT. PRESS. CYLINDER LAB-MAIN Location - Cone l 10.0% Carbon Dioxide 90.0% Nitrogen Components r= MCP IlList Minimal Minimal , " ~~ 4ItRCY HOSPITAL 215-000-000~ 22 - TREATMENT/DIAGNOSTIC 4TH FLO Page 32 05/'24/·91 Hazmat tôry Detail in MCP Order 22-001 NITROUS OXIDE ? 700 High LBS CAS =It: ¡ð ðf..'I-97 - "ZTrade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS 700.00 0.00 I 1,250.00 Storage r Press T Temp _I PORT. PRESS. CYLINDER STORAGE RM Location - Conc l 100.0% Nitrous Oxide Components r= MCP --¡List High I 22-002 OXYGEN COMPRESSED v ? o Low FT3 CAS =It: 7782 - Yf-7 Trade Secret: No Form: Unknown Type: Pure Days: Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ;¡- Daily Average FT3 I Annual Amount FT3 '1..~'1.~ 0.00 0.00 0.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER THRU OUT SURGERY AREA - Conc -, 100.0% Oxygen, Compressed Components 1-:- MCP --¡List /Low I '> 4IkRCY HOSPITAL 215~000-000~ 27 - CARDIAC REHAB CENTER Page 33 05/'2'41>91 Hazmat y Detail in MCP Order 27-001 ALCOHOL, ISOPROPYL ? 1 Moderate GAL CAS #: ~7-'" - 0 Trade Secret: No Form: Unknown Type: Mixture Days: Use: CLEANING ---- Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 1.00 I 0.00 I 60.00 Storage PLASTIC CONTAINER r Press T Temp l Location NWALL COUNTER & CLOSET Conc _I 70.0% Isopropyl Alcohol Components MCP ~List I-;oderate I , -) . 05/'241'91 4IkRCY HOSPITAL 215-000-000~ 31 - MRI Page 34 31-002 HELIUM Gas Fire, Pressure, Immed Hlth, Delay Hlth Inventory Detail in MCP Order 22407 Minimal FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 22,407.00 I 22,407.00 I, 766,800.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER Below Below MRI UNIT TRUXTUN & A ST - Conc l 100.0% Helium Components r; MCP-=-rList Minimal I 31-001 NITROGEN Pressure, / / Reactive, Immed Hlth Gas 6312 Minimal FT3 CAS #: ï, If I 37-9 C Trade Secret: No .,7'Z - .,"1- ( Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 6,312.00 I 9,468.00 I 227,232.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientMRI UNIT TRUXTUN & A ST - Conc l 100.0% Nitrogen Components r; MCP -=-rList Minimal I xy /£#c ¿f~ la3()-.20-1;v/.e:~~'Ž- 4 ~,t,7 ~ (;Jð~ o· AHdtòÞ/ I.I~~ j) /Y'í I" hH,i:}- K ~ 5-0 (?,r/ -- /h't-,,!,by/ ~/¿A¿/ ~ð/tÞ'l/r'4;'; ~H.s ~.:)CJ_ðO - <::J_ 't~¡l/é.· W~ . /;.( ~/;/.f hI/£:. J;R"//1 ~ ' 'c- A~J :...----r - ::r v ~/ SS-~/ ~/ j1q~ , ?»J!t, 'f'v €- _ / .ø ;2¿; /J,¿J¿I?//f// - ~ .,220 ~/ ¿()/A-I7;)~ / w~~ , ,sbL4:?'¡; ~;1' (' (.,/$4: µJ¢ø./¡40~ AA/,vv"'/ _ // - :J2ð ~ ¿c~~ . W,,~~ t~~. . c , 0~/24¡91 . ~RCY HOSPITAL 215-000-000~ 00 - Overall Site Page 35 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFICATION AND EVACUATION PROCEDURES IN ALL UNITS INITIATED BY FIRE ALARM SYSTEMS AND OVERHEAD PAGING SYSTEM. AREAS NOT REACHED BY OVERHEAD PAGING ARE NOTIFIED OF ALL ALERTS VIA LAND OR MESSENGER FROM COMMAND CENTER IN EVENT OF INTERNAL DISASTER DECLARATION. <3> Public Notif./Evacuation .... <4> Emergency Medical Plan MERCY HOSPITAL EMERGENCY DEPARTMENT --~ ~RCY HOSPITAL 215-000-00~8 00 - Overall Site Page 36 0'5/'24 i91 ~ <E> Mitigation/Prevent/Abatemt <1> Release Prevention ON GOING FIRE SAFETY PROGRAM FOR ENTIRE FACILITY WHICH INCLUDES MONTHLY FIRE DRILLS - FIRE EXTINGUISHER INSPECTIONS MONTHLY INSPECTIONS OF FIRE SPRINKLERS AND STANDPIPES. INSPECTIONS FOR OPERATIONS OF ALL FIRE AND SMOKE BARRIER DOORS. PREVENTIVE MAINTENANCE ON ALL FIRE PROTECTION RELATED EQUIPMENT. FIRE PLANS, DISASTER PLANS, ETC. AVAILABLE 24 HOURS TO ALL EMPLOYEES. 0 HOUSEKEEPING AGENTS ISOLATED IN DESIGNATED ROOM, EXCEPT FOR SMALL AMOUNTS USED BY PERSONNEL IN HOUSEKEEPING DUTIES. PAINTS AND FLAMMABLES KEPT IN LOCKER IN PAINT SHOP. FORMALIN KEPT IN SPECIAL CONTAINERS IN AMBULATORY SERVICES. SPILL KIT AVAILABLE FOR CONTROL OF SPILLS. INFECTIOUS WASTE CONTAINED IN UTILITY CLOSET, PICKED UP DAILY, TAKEN TO HAZARDOUS STORAGE AREA. -:S~~ -S#~£ e,p6;~~7 <2> Release Containment <3> Clean Up <4> Other Resource Activation ., OJV'24t91 ? ~RCY HOSPITAL 2l5-000-00~8 00 - Overall Site Page 37 <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) , '. . -,=- 0'!1"24 19 1 ? ~RCY HOSPITAL 215-000-00~8 00 - Overall Site Page 38 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTH WALL EXTERIOR BOILER ROOM B) ELECTRICAL - SOUTH WALL INTERIOR BOILER ROOM C) WATER - SOUTH OF SOUTH EXTERIOR WALL ADJACENT TO BOILER ROOM D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS THROUGHOUT ENTlER FACILITY. WEST TOWER AND TREATMENT DIAGNOSTIC BUILDING FULLY SPRINKLERED. ..E:.JT ";HNSI ~ MAIN BUILDING PARTIAL SPRINKLERED. DRY STAND PIPES IN MAIN BUILDING - WEST TOWER, EAST WING AND TREATMENT/DIAGNOSTIC BUILDINGS IN HOUSE RESPONSE . . TEAM TO ALL AREAS. W£.+ s--r-"'"~I'~¡,40S ;iv $Jtt¡i/..ô ;(I",.u~~ ,ç~¿? FIRE HYDRANT - CITY FIRE HYDRANTS SURROUND ENTlER FACILITY. FIRE DEPARTMENT CONNECTIONS ON SOUTH~LL ON ~R RAMP FOR WEST TOWER FD _ _./ . , /' /_ _. L r:/)C rQt1€. /»1#/# aV/¥~ AI~4- ~-'P/~ ~~&7'/T ~ ') <#¡:¡ld~~1[u(f;tÇ Le~~- ~/)C ~"/l 8pSIÅI"-f ~è.. ¡'&Þ~ ()~ A S. "'" / '_ J ~ - / ' ¡;~ìtf ¡."".. ¿~M:4. 0"7(;, fJ~-r/'¿-T O~S - ¡"'de) eIUjÞ7~s- -- ~~ ~~ " - ' t ~..... J>'5;i2.4l91 P' ~RCY HOSPITAL 215-000-00~8 00 - Overall Site Page 39 <G> Training <1> Page 1 00 WE HAVE ??'~MPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING:. EACH EMPL~~GHT TO USE MSDS ~~;Þ~TY /. 1111 ~#4f!~I6,S MtfV/A4;() ;;-;-1'- a-ðjVU#( O,uw. IoV ¿vRv¿.( I!Þ//IUU -rIU:i!j /?Í1~ ð?""'AHV~""7/ ~~ ~ /»I S-~J,. "f// ~ ~ ~&S'A7/ø:-/ ~~~ c!I#¡~"''' ,ø// ~N1 '<'~v/4t) ~~ ,þi/¿/p,.,../ ~~~ M)/'(:J H4S) , <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use . i i I I o R.eactivity o De Jared o Suddf" Re lease ~ Component 12 Name I C.A.S. Number - mllediate '\ Hea th o Pressure - Health COllponent '3 Name I C.A.S. Number Ú/A--5~ /&M~ÞÞ1 Phs i C I ,nd ~ea Ilh Hi f ard f 'hec a I l at apply I COllponent It Halle I C.A.S. NUllber I fire Hazard ,[] Reactivity [] De hred [] Suddfn Re lease IlImediate Hea th o Pressure Health Name I C.A.S. Number Component t3 CITY of BAKEHSflELIJ I ! f I!, . HAZARDOUS MATERIALS INVENTORY larll and Agtlculture [] Standard Buslne~s [] , I i . ~ NON-TRADE SECRETS Paqc.____ U, :, JI~ESS N~E:_ . ~ OWNER NAME: ~NAME OF THIS FACILITY- ~~ ~~ ) 'ATlON' 'E- ADDRESS' STANDARD IND CLASS còfJË':~_"7~-,ø.~~ n____·__·. !" ~È HP'. _ . ~ ~j~~ ~'~;V ~ ~!t'?J 'D DUN Atm BRADSTR5El UUHB5R9~.t~/ ð8(~'-- ¡ .-. S"t'~ 32.7 8:S~-- RÊF~R to-INSTRUCTIONS-'FVR-PROPER CODES - - - - - - - - ~ ó-11 :1 2 J . 5 6 1 8' 9 10 II 12 I J Ii Ir,~ns IYQe ~ax heraqe Annual Hea$ure . Dys Cont Cont Cont Use loc~tion Vhere 'by Ilues of IIixture{Cofconents ' C de Code Allt hit Est Units on Site Jype Press lemp Code Stored In facility Wt See Instru: Ions -I -[@] 10 I C, 122.0 ~ 3(.,rl/o II I ,'1 1211 ..¡?A'4 4& rh sic I ond Health Ha¡ard C.A.S. Number /330 - 20 ~ 7 COllponent 1\ H!IIe I C.A.S. NUllber ( nee. all that applYI '}.Y/£.AJl- r.n~ Component 12 [] Reactivity [] Delayed [] Suddfn Release ~ IlImediate Health 0 Pressure Health Component tJ , of L_ ----- --.--- >5ý'/&#¿;: Halle I C.A.S. Number øiylb~ Nalle I C.A.S. NUllber u I ~ :' ~. '/. ' <0 C- '-t 'Ll.{ '-- ()~~ \..:, !\ <, ~ l· v:uL r.R._ ß/l.MA; ~µ ~Q\'J~(it 10 Yo( ~~.&~\t/; ¿K, v D1 a.~vJ2OJS VhV:)Vj~1'~i:. ·~,~..}r-~;~r v ¡ ,Û/~£ I I EM RGEtlCY CONTACTS "1 112 [ Rille Htla rnrnfion~ Rãfie ~rl'fiç3liOij fReed and $i9n afjßr C9n'f'etin9 (!jll sect;ions) , . t~ll'fy under penallx 0 la_ th~t I have persona I~l exalllne Oqd 01 fallillae ~itb the Inforllatlon ~ubllitte4 in this end all lla~~d" dQ, cU,Mnts, anQ t at Þased on my Inquiry 0 hose IndIviduals responsible for obtaining the Inforllatlon. J believe that the ub~, ,eó....l.olorllstlon IS true, accurate, and co~plete. ' I ~ - - I. iiÕi~"10_fiëTJnme 01 ollnerfoPéfitOr UI/ oltnerrõPëmõ7Tãüthorlled represenfitlve S1gñãture nne 1nlftM~ OHr'5iir.H- i , CITY of HAKEH~~lELlJ ) . : . I . HAZARDOUS MATERIALS INVENTJRY Farll and Agtlculture 0 Standard BusIness 'Ÿ1' 'I ,1- I J I r ,NON-TRADE SECRETS I Page ~_.. of_ I,' BUSINESS NAME: ; cY1reIt1./j I +-io.s;)+t:¡ ~ ' OWNER NAME: NAME OF TlÙS FACIlITYö" ' ,LOCATION' -..- (f!" -,-- - ADDRESS' STANDARD IND. CLASS C OE";-·---- -------- CITY ZIP: ' - ! CITY zip: DUN AND BRADSTREET NUMBER-'-" --------------- I IPHON~ M: PHON~ It· ---- REFER T01NSTRUCTIONS ¡-uti fJROPER CODES - - - - 1 8 9 10 11 ,12 I Dys Cont Cont Cont Us~ loc~t Ion Vhere on SIte Type Press Temp Cooe Storeo In FacIlity 04- ?- 4 3lt ~~ ~ ~~, COllponent II Nalle a C.A.S. Number , , , [] Component '2 I Nalle I C.A.S. Number II o Fire Hazard ; [] Reactivity [] Delared [] SUddf" Re lease I Immediate Hea th o Pressure Health Component f3 Name I C.A.S. Number Ph~~ic~I ,~d ~ealth:~afard C.A.Sò Humber Component II Nalle & C.A.S. NUllber I ec a t at app y o fire Hazard ;0 Reactivity [] Delared [] SUddfn Re lease [] Component 12 Nalle a C.A.S. Number IIImediate I Hea th o Pressure Health > Component 13 Name & C.A.S. NUllber r I ! Ph~~ical ,nd ~ealthiHafard ; C.A.S. Number Component II Nalle & C.A.S. Number I eck all at aPI~IY ''/ [] Component 12 Nallè & C.A.S. NUllber I' [] Fire Hazard I 0 React hit,: o Delaled o SUddf" Re I ease Immediate ¡' ¡::3/Jfo , Hea th o Pressure Health I 3.8 Component 13 Name a C.A.S. NUllber I " I I , ¡ ¡ Ph~~ìctl"1d ~ealth ~afard C.A.S. NUllber COlllponen t " Nalle & C.A.S. Nu~ber ( ec a t at app y ~ ì [] . Component 12 Na~e & C.A.S. Number [] Fire Hazard ¡ [] ..' [] O~Iared o Suddf" Re 1 ease Î. :¡ ReactIVIty Immediate ¡ , ea th o Pressure Health ! COlllponent 13 Nalle I C.A.S. NUllber I EMERGENCY CO~TACTS "2 ntle ! I . I 1 Tr~ns CoOe C.A.S. Number ~ zrl!fTIi~- I ~-/~·Z~~j . UHe-Sfqr:eã I' !J ---.--" -- '\ ,~,c. (9t- / ~¥ e I e IO~-~t)() ø :r-A.Yùp\ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICIAL USE ONLY } ,'-/ \ll)S ID# BUS INESS NA.\l:E HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 000628 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business 4. Be as brief and concise as possible. as a whole. . SECTION 1: BUSINESS IDENTIFICATION DATA Mercy Hospital (ENTIRE CAMPUS) A. BUSINESS NAME: B. LOCATION / STREET ADDRESS: 221~ Truxtun Avenue CITY: Bakersfield, CA ZIP:93301 BUS. PHONE: (805 ) 327 - 3371 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. ' EMPLOYEES TO NOTIFV IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER Bt:S. HRS. A. Jack Resendez Dir.Security/Safe~ 327-3371 PhI 327-3371/ 323-9751 B. Administrator/Engineer on Call Ph# 327-3371 Ph# 327-3371 SECTION 3: LOCATION OF tITILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Söuthwall, exterior, adjacent to boiler room on 16 Street B, ELECTRICAL: Southwall, interior, in boiler roam C. WATER: Soutb of south exterior wall ad-;acent to boiler roam on 16tn SJcreet D. SPECIAL: ~ E. LOCK BOX: YES / ~o IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? YES / NO FLOaR PLANS? YES / ~O MSDSS? YES! NO KEYS? YES I ~O ~- .......... - 2A - e e SECTION 4: PRIVATE RESPONSE TE~~ FOR BUSINESS AS A WHOLE .~., - i' Emergency response by engineeJ:;'ing and security departn1ent employees on duty all areas of this campus. SECTION 5: LOCAL EMERGENCV MEDICAL ASSISTk~CE FOR YOUR BUSINESS AS A WHOLE Mercy Hospital Emergency Department ,,'~ '7; ': ~ .' 'a;,~; SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE VES OR NO INITIAL A. :~~~~¡L~~~. ~~~~. ~~~~~~~~. ~~. ~~~~~~~~~.... .'..... ~ NO B. PROCEDURES FOR COORDINATING ACTIVITIES ~ WITH RESPONSE AGENCIES:. ..... ......... ........... ~ NO C. PROPER USE OF SAFETY EQUIPMENT:.................. ~ NO D. EMERGENCY EVACUATION PROCEDURES:... ........ ...... ~~O E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: .... .. ~NO SECTION 7: HAZARDOUS MATERIAL REFRESHER @NO NO NO NO NO CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 PO~~F A SOLID. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:......~ NO I, Jack Resendez . certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. s Director ecuri ty /S~fety .,' 2B - DATE '1/8. .,t7 I . e e i_- BAKERSFIELD CITY FIRE DEPARTME~T 2130 "G" STREET BAKERSFIELD. CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NMIE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returneà by: 2. TYPE/PRIXT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY U~IT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# FACILITY UNIT NA.\fE: Mercy Hospital SECTION 1: MITIGATION. PREVENTION, ABATEMEN~ PROCEDt~ES Ongoing fire safety program for entire facility which includes monthly fire drills - fire extinguisher inspections monthly - inspections of fire sprinklers and standpipes. Inspections for operations of all fire and srroke barrier doors. Preventive maintenance on all equipment. Disaster'Drills semi-annually. Regular maintenance on all fire protection related equipment. Fire plans, disaster plans, etc available 24 hours to all employees. SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT œ~LY Notification and evacuation procedures in all unites initiated by fire alarm systems and overhead paging system. Areas not reached by overhead paging are notified ~ all alerts via Land Land or messenger 'from conmand center in event of internal disaster declaration. - 3,\ - e e .....- ~'" SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facil ity Unit contain Hazardous Materials'?. . . . . @ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #,4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #,4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Fire extinguishers throughout entire facility. West tower and treatment diagnostic building fullysprinklered. East wing and main building partial sprinklered. Dry stand pipes in main building - west tower, east wing and treatment/diagnostic buildings - inhouse response team to all areas. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS City fire hydrants surround entire facility. Fire department connections on . Truxtun Ave for sprinkler system in east wing. Fire dept. connections on south wall on ER ramp for west tower-FD connect southwall off 16th for laundry /roiler SECTION 6: LOCATIO~ OF UTILITY SHUT-OFFS AT THIS u~IT O~LY, A. XAT. GAS/PROPANÊ: 'IWo main gas shut-offs - 16th Street covers all major buildings "A" Street covers Marian Building and MCRC only. room. B. ELECTRICAL: 'IWo main electrical all major. buildings. Ma'rian builð.ing. - electrical in southwall of boiler roam shuts dawn Electrical north of MCRC shuts down MCRC and C. WATER: Main water shut off boiler room. Main water shut off on "A" Street D. SPEC:;:AL: for all major buildings on 16th Street adjacent to for MCRC and Marian buildings located north of MCRC E. LOCK BOX: YES;' ê) IF YES, LCCATIO~: IF YES, SITE PLANS? FLOOR PLANS? YES ,I NO YES ;' XO ~SDSs? i\EYS? Y2S ;-:0 YES / :'\0 - 3B - e ~"._- . '." ~..-~..: .,;,~'-'--~-'--'- \-.-'- "'~. SITE/FACILITY DIAGR~~ FORM 5 NORTH SCALE: BUS DiESS NA.\[E: FLOOR: OF Mercv Hospital Entire carnous DATE: .I / ~CIr.I1ï6 ~A.lEi ~"NIT ::: OF rcy Spl a En lre campus , '(CHECK ONE) SITE DIAGRA.\[ Attached FACILITY DIAGRAM // /~_. , . (Inspector's Comments): -OFFICIAL GSE ONLY- - 5A - # 'F-:¡ ~ -...o-~.JIIÎ - e RECEIVED FACILITY INFORMATION FORM AUS 2 0 1991 HAl. MAT. D'V. Please answer each of the following questions by circling Y (yes) or N (no). 1. Is any acutely hazardous material (AHM) manufactured or used in a chemical reaction? Y /~ 2 . Is any other flammable gas, flammable liquid or explosive material manufactured or used in Y / ~ a,chemical reaction ? ~ 3 . -Is any reaction in question 1 or 2 a moderately or highly exothermic reaction ( e.g. alkylation esterfication, oxidation, nitration, polymerization or condensation) or one involving electrolysis? Y / ~ 4. Can any unplanned release ,of a AHM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the disc~arge of a pressure relief system ? Y / g¡ 5. Does any physical or chemical process in which an AHM is produced or used involve a batch process ? Y / df) 6 . Does any physical or chemical process involve the production or use of any AHM at a pressure in excess of 15 psig ? Y / t; Y / ~ 7. In excess of 275 psig ? 8 . Does any physical or chemical process involve the production or use of an AHM at a temperature above 125 degrees F ? Y fí$t Y / t? 9. In excess of 250 qegrees ? 10. Can any explosive dust be present in any closed container within 100 feet of an AHM or otherwise be present in the same building as an AHM ? Y / ( 11. Is there any ignition source or open flame within 100 ft. of any process, storage or transfer area where a flammable or explosive AHM is present , except where there is a firewall providing protection ? Y / Ii 12. Is any lined or non-metallic pipe used in the transfer of any AHM ? Y / iN 13. Is any equipment or piping handling any AHM more 10 years old ? Y / ~ ;.._ I' ~ ,~ \ø~~ e e PLEASE PROVIDE THE FOLLOWING INFORMATION ( Attach additional pages if necessary) 1. Your company's current workers compensation experience modification factor. ~ø I~ /to 2. How many people occupy the building in which AHM's are used or stored? 3. Give details of all accidents which involved any - hazardous material and all other instances when the fire department has been summoned in an emergency. .- /I ?/LðÞ' ~¿ /~ ~ ::>//~ ~¿)Ø/;";r;!-/".-K;/~ j)/'/ ",v,wC- ~e;¿//~ ,Gt/,Net/øÞ-, d~ /7 /.d7#£- 4. Briefly described the operations process at your plant and the specific processes utilizing AHM's, including storage proceedures. næ/#.~4';"; ¿;~Æð /~ :?~~/ étPY~~~J ;# /~ z:S~I"i"e-/~~. C7~/AV.6'"~ ~ :f~~/ :_' ~ õ...1Rþ.Æ5 ' ¿#;~ '¿'¡'~r~/~ ~ ~t? ~/#.RÆ£,þ¿p ~¿f~ zS¡1,¡q?~ 75'¡:df:~/Æð;'~~ /,/M... ~¿/~ ~ì#Y/ I ~/;e/~ ('/Vt ~4 ~-5 V~4Æ- #- þ~é- /kz,¿ ~~j rõ~~A/ ~ ß -6y~/G# dtV~/ ~/;4/~. :>¡í?~//W~ /J/l¿, ~/;.r~ /,41 ~¡I?4ß~/ ¿¿}~H ß/L þ/~~~~/ '0/ t:Y~) ; ~~-f.- J3f' J~~4æ-~t:J~ -2- ..-i ~~:.:....~ e e ~~ ¿ --rP.=ì ~ I( 5. Briefly describe the equipment being used in the proc~sses invol v~ng AHMs.' c~· ¡;;/' ~,v~/)Ø¿:r:6-- ?!I"t-*)/I'e- ~~//~/ /#?íf~ ~~ ,~ 6. Report quantity of AHM(s), referenced in the cover letter, that this business handles. a) Maximum amount on hand at anyone time. ~O ~~~AV~ ~("U,-.,.\ co.........?06~o,.... ¿It!? C:11 . Please attach a Material Safety Data Sheet for any material that is a mixture. Do root include MSDS for pure substances. b) DEMOGRAPHIC DATA: State the straight line distance in feet between the ~usiness property line and each of the following. 1- Nearest school. ~()O # - 2 . Nearest daycare center¡ hospital, ~f nursing home or similar facility. 506=> 3 . Nearest residence/motel etc. 3"00 U 4. Nearest occupied building. 5Ð0~ Business Name: ~~ ~~ Address: cP~/~ 7/¿vW",e) ~E ~P?~iI(~ ç:S3ð¿ I certify th is true and correct to the es Titl : ~ø -1- -' '~,'~ '~/ ......... ~ .....-...~:<.....-.... .~ ~..' MALLINCKRODT Material Safety Data Sheet Mallinckrodt, Inc. Science Products Division, P.O. Box M FORMALDEHYDE SOLUTION, BUFFERED 10% PRODUcr IDENTIFICATION: a Synonyms: Formaldehyde solution, buffered, 10% (v/v) in _ aqueous phosphate buffer Formula CAS No.: Not applicable to mixtures. Molecular Weight: Not applicable. Chemical Formula: Not applicable. Hazardous Ingredients: . CAS # 67-56-1 Methanol (1.0-1.5%) so.oo.o Formaldehyde (ca. 4%) PRECAUTIONARY MEASURES POTEN11AL CANCER IIA1ARD. DANGER! MAY BE FATAL IF SWAUDWED. HARMFUL IF INHALED OR ABSORBEP nlROUGH SKIN. CAUSES IRltlTA.110N TO SKIN, EYlS AND RESPIRATORY TRAct. SENSrnZER. MAY CAUSE BUNDNE8S. COMBUS11BLE. Keep away from heat, sparks and flame. Avoid breathing vapor. .. Keep container closed. . Use only with adequate ventilation. Wash thoroughly after handling. EMERGENCY ¡FIRST AID In all cases call a physician. If swallowed, induce vomiting immediately by giving two glasses of water and sticking finger down throat. Never give anything by mouth to an unconscious person. If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. In case of contact, immediately flush skin or eyu with plenty of water for at least 15 minutes. SEE SECI10N S. DOT Hazard Class: ORM-A Mallinckrodt provides the information contained herein in gooo Caith but makes no represepWipn 8$ to its comprebensiveness or accuracy. Individuals receiving tM inCQ~,tion must exercise tbeir independent judgment in determining i,ts _ilílìPÞriateness Cor a particular purpose. MALUNCKRODT MAKES-fro REPRESBNrA110NS, OR WARRANTIES, EITH8R EXPRESS OR IMPUED, OF Paris, KY 40361 ~' SEcnON 1 Phvslc:af1lîB Appearance: Cur, colòì1ess solution. Odor: Slightly pungent odor. Solubility. Soluble in water. Boiling Point: ca. l00"C (212"F) Melting Point: ca. O"C (32"F) Specific Gravity: ca. 1.0 Vapor Density (Air-I): Essentially like water. Vapor Pressure (mm Hg): Essentially like water. Evaporation Rate: Essentially like water. SEcnON % Fire and Exolosfon Inrormatlon Fire: Gas vaporizes Crom solution and is flammable in air. F1ashpoint: ssoC (lSS°F). Explosion: Above tbe Dash point, explosive vapor-air mixtures may be formed. Fire Eølnaulshlng Media: Water, dry chemical, foam or carbon dioxide. Speclallnrormatlon: In the event of a rlre, wear Cull protective clothing and NIOSH-approved selC-contained breathing apparatus with Cull facepiece operated in the pressure demand or other positive pressure mode. Water spray may be used to keep fire exposed containers cool. Use water spray to blanket fire, cool fire exposed containers, and to flush non-ignited spills or vapors away Crom fire. MERCHANrABlLITY, ATNESS FOR A PARTICULAR PURPOSE wrrn RESPEcrTO 11IE INFORMATION SET FOR11I HEREIN OR TO 11IE PRODUcr TO WHICH 11IE INFORMA110N REFERS. ACCORDINGLY, MALUNCKRODT WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM USE OF OR RELIANCE UPON 11I~S INFORMA110N. Emergency Telephone Number: 314·982·5000 SECl10N 3 Reactivity bata Stability: , Stable under ordinary conditions of use and ctorage. Hazardous Decomposition Products: If involved in a rlre, irritating gueous Connaldehyde and toxic carbon monoxide may be released. Hazardous Polymerization: Will not occur. Incompatibilities: Incompatible witb oxidizing agents and alkalies. Reacts explosively with nitrogen dioxide at ca. 18O"C (3S60F). Reacts violently with perc:hloric acid, perc:bloric add-aniline mixtures, and nitromethane. Reaction with hydrochloric add may fonn biHhloromethyl ether, an OSHA regulated carcinogen. SECI10N 4 Leak/SDIII DISlJOS8llnformatloD Ventilate area of leak or spill. Remove all sources oC ignition. Cean-up personnel require protective clothing and respiratory protection from vapors. Only specially trained or qualified personnel should handle the emergency. Do not flush to sewer or suñace waters. Can be absorbed on inert material and disposed as hazardous waste in a RCRA approved facility or dissolved in an appropriate combustible solvent and atomized in a RCRA approved chemical incinerator equipped with an afterburner. Reportable Quantity (RQ) (CW A¡CERClA): 1000 Ibs. Formaldehyde 5000 Ibs. Methanol Ensure compliance with local, state and federal regulations. AD r.rr~ ...:..~ n~,~. O,f n.<: pi) ~.........,.."..<: 01_ ?(I_~l FORMALDEHYDE SOLUTION, BUFFERED 100/0 Effective Date: 04-06-89 Supersedes 01-2()..88 '~ - , FORMALDEHYDE SOLUTION, BUFFERED 10o/ó':1\' ., Inhalation: Remove to fresh air. If not breathing, give artificial respiration. If breathing Is difficult, give oxygen. Calla physician. Ingestion: If swallowed, induce vomiting immediately by giving two glasses of water, or milk if available and sticking finger down throat. Call a physician Immediately. Never give anything by mouth to an unconscious person. Skin Exposure: In case of contact, immediately ßush ..kin with plenty of water for at least IS minutes wbile removing contaminated clothing Ingestion: and shoes. Wash clothing before reuse:. Thoroughly clean shoes Can cause severe abðominal pain, violent vomiting, headache, and before reuse. Oet medical attention immediately. di~~ea. La~r ~oses may produce de~~sed body.temperature, Eye Exposure: pain In the digestIVe tract, shallow respiration, weak Irregular , / . . . . pulse, unconsciousness and death. Methanol component affects the ~h eyes wtth plen~ of wate.r Cor at least IS ~lßutes, IIC~lßg Optic nerve and ma cause blindness. ,~ ~ower a.nd upper eyelids occasionally. Get medical attention y , ,//~ Immediately. Skin Contact: ~~ Toxic. May cause irritation to skin with redness, pain, and " C. TOXICITY DATA (RTECS, 1986) possibly bums. Skin absorption may occur with symptoms ~ormaldehyde: Oral rat LD50: 800 mg/kg. Skin paralleling those from ingestion. formaldehyde is a severe skin rabbit LD50: 270 mg/kg. Inhalation rat LC50: 590 irritant and sensitizer. Contact causes white discoloration m3 Mutation references cited. Reproductive smarting, cracking and scaling. e ects cited. Tumorigenic efCects cited. Carcinogenic determination (Formaldehyde gas): Sufficient evidence in animals - Inadequate evidence in humans (tARC Supplement 4, 1982 Category 2D) Usted in the NTP 4th Annual Reoort on Carcino2ens: May reasonably be anticipated to be a carcinogen. An OSHA regulated carcinogen Methanol: Mutation and reproductive effects cited ,. SECI10N 5 Health Hazard Information A. EXPOSURE I HEALTH BFFECI'S , The pen:eption of fonnaldehyde by odor and eye irritation becomes lea sensitive with time 81 one adapts to formaldehyde. This can lead to overexposure if a worter Is relying on formaldehyde's warning properties to alert him or her to the potential for exposure. Inhalation: May cause sore throat, coughing, and shortness of breath. Causes irritation to the resPiratory tract. Concentrations of 2S to 30 ppm cause severe respiratory tract Injury leading to pulmonary edema and pneumonitis.. May be fatal In high concentrations. Eye Contad: Vapors cause Irritation to the eyes with redness, pain, and blurred vision. Higher concentrations or splashes may cause irreversible eye damage. Chronic Exposure: Frequent or prolonged exposure to formaldehyde may cause hypersensitivity leading to contact dermititis. Repeated or prolonged skin contact with formaldehyde may cause an allergic reaction in some people. Vision impairment and enlargement of liver may occur from methanol component. formaldehyde is a suspected carcinogen (positive animal inhalation studies). Aggrevatlon ot Pre-exlsUng Conditions: Persons with pre-existing skin disorders or eye problems, or impaired liver, kidney or respiratory function may be more susceptible to the effects of the substance. Previously exposed persons may have an allergic reaction to future exposures. r-', , I B. FIRST AID SECflON 6 Occupational Control Measures AIrborne Exposure Umlts: -OSHA Permissible Exposure Limit (PEL): 1 ppm (IWA), 2 ppm (STEL) fOrmaldehyde 200 ppm (IWA), 150 ppm (SI'EL) skin Cor methanol -ACGlH Threshold Umit V~V): 1 ppm (IWA) 2 ppm (STQtì) formaldehyde tisted in Appendix A2 IS Industrial Substances Suspect of Carcinogenic Potential for Man. 200 ppm (IWA) 250 ppm (STEL) skin for methanol ,.--\ Ventilation System: A system of Iocaland/or general exhaust is recommended to keep employee exposures below the Airborne Bxposure Umits. Local exhaust ventilation Is generally preferred because it can control the emissIons of the contaminant It Its source, preventing dispersion of it into the pnem wort area. Please refer to the ACGIH document, ·Industrial Ventilation, A Manual of Rccommende Practices·, most recent edition, for details. Penonal Respirators: (NIOSH Approved) If the PEL Is exteeded, . full-faceplece respirator with cartridges or canisters spedlically approved for protection against formaldehyde may be worn up to concentrations of 10 ppm (lOX PEL) See OSHA Standard fot additional information. e Skin ProtectIon: Wear Impervious protedive clothing, induding boots, gloves, lab coat, apron or coveralls .0 prevent skin contact. Eye Protection: Use chemical safety goggles and/or a full face shield where splashing Is possible. Cóntact lenses should not be worn when working with this material. Maintain eye wash fountain and quick-drench facilities in wort area. See OSHA Standard Cor more information on personal protective equipment, engineering and wort practice controls, medical surveillance, record keeping, and reporting requirements. (29 CFR 1910.1048) SECflON 7 Storøl!e and SoeclallntormaUon Keep in a tightly closed tontalner. Protect against physical damage. Outside or detached storage is preferred, I..: i. storage should be In a s'-ndard ßammable liquids storage n.;oh' or cabinet. Separate from bxidizing materials. Storage and use areas should be No Smoking areas. Wear special protective equipment_ (Sec. 6) for maintalnenct break-in or where exposures may excee~ established exposure levels. Wash hands, face, forearms and neck when exiting restricted areas. Shower, dispose of outer clothing, change to dean garmen" at the end of the day. Avoid cross-<ontamlnatlon of stre~t clothes. Wash hands before eating and do not eat, drink, or smóke in workplace. Protect from Creezing. ............................................................ DUFfY .~ ! /" ,~~ - . -~. MALLINCKRODT This Addendum Must Not Be Detached from the MSDS MaJlinckrodt pl'OllÎdes the information contained herein In good faith but makes no representation as to ils comprehensiveness or accuracy. Individuals receiving the information must exercise their Independent judgment in determining its Ipprop.rilteness for I particular purpose. MALLlNCKRODT MAKES NO RBPRESENfATIONS, OR WARRANI1ES, EITHER EXPRESS OR IMPLIED, OF Paris, KY 40361 Addendum t~erial Safety Data Sheet REGULATORY STATUS MERCHANfABILfIY, ATNESS FOR A PARTICUlAR PURPOSE WITH RESPEcrTO mE INFORMATION SET FOR11I HEREIN OR TO 11IB PRODUCfTO WHICH mB INFORMATION REFERS. ACCORDINGLY, MALLlNCKRODT WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM USE OF OR RELIANCE UPON mls INFORMATION. Emergency Telepbone Number: 314-982-5000 Material Safety Data Sheet Mallinckrodt, Inc. Science Products Division, P.O. Box M e Identifies SARA 313 substance(s) Anv cODVÍn2 or redistribution of the MSDS must include a CODY of this addendum (Chern. Key: BUFFY) Hazard Categories for SARA Section 311/312 Reporting Acute Chronic Fire Pressure Reactive x x x Product or Components of Product: SARA EHS Sect. 302 RQ (Ibs.) TPQ (Ibs.) SARA Section 313 Chemicals Name List Chemical Category CERClA Sec.103 RQ (Ibs.) . RCRA Sec. 26133 FORMALDEHYDE SOLUTION, BUFFERED 10% Methyl alcohol (67-56-1) 1-1.5% Formaldehyde (50-00-0) 4% No 1000 No 500 Yes Yes No No 5000 1000 U154 UI22 e SARA Section 302 ERS RQ: Reportable Quantity of Extremely Hazardous Substance, listed at 40 CFR 355. SARA Section 302 ERS TPQ: Threshold Planning Quantity of Extremely Hazardous Substance. An asterisk (.) following a Threshold Planning. Quantity , signifies that if the material is a solid and has a particle size equal to or larger than 100 micrometers, the Threshold Planning Quantity = 10,000 LBS. SARA Section 313 Chemicals: Toxic Substances subject to annual release reporting requirements listed at 40 CFR 372.65. CERClA Sec. 103: Comprehensive Enviromental Response, Compensation and Liability Act (Superfund). Releases to air, land or water of these hazardous substances which exceed the Reportable Quantity (RQ) must be reported to the National Response Center, (800-424-8802); Listed at 40 CFR 302.4 ,. RCRA: Resource Conservation and Reclamation Act. Commercial chemical product wastes designated as acute hazards and toxic under 40 CFR 26133 .- p.rr,.rtÎvr, D;tlc: 04-0ó-R9 Supersedes 01-20-88 FORMALDEHYDE SOLUTION, BUFFERED 100/0 " e- Of e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S D JOHNSON FIRE CHIEF July 23, 1991 2101 H STREET BAKERSFIELD, 93301 326-3911 Mr. Jack Resendez Mercy Hospital P.O., Box 119 Bakersfield, CA 93302 Mr. Resendez: Please complete the enclosed facility information form regarding the use and storage of the following materials. 20 gallons formalin 55 gallons waste formalin This information is necessary due to the acutely hazardous nature of formaldehyde solutions. Please return it to 2130 G St. Bakersfield 93301 by August 26, 1991. Call me at 326-3979 if you have any questions. Sincerely, ~~~o-c~ ~('~~,- Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey , .... · CITY of BAKERSFIE~ "WE CARE" FIRE DEPARTMENT 0, S, NEEDHAM FIRE CHiEF May 23, 1991 2101 H STREET BAKERSFIELD, 93301 326-3911 Mr. Jack Resendez Mercy Hospital P.O~ Box 119 Bakersfield, CA 93302 While reviewing Mercy Hospi tal's hazardous materials inventory several questions arose. The inventory update of 2/89 indicates that 1080 cubic feet of 100% ethylene oxide is in storage. I question the accuracy of this percentage concentration for the product commonly used in hospital sterilizers. Our records also indicate another 270 cubic feet of 100% ethylene oxide which was not specifically included on the inventory of 2/89. I wonder if this item lingers from prior reporting because it was not specifically deleted in 2/89 ? Two years have passed since revision of Mercy's Hazardous Materials Inventory and Emergency Response Plan. I have included a computer print out for you to use to complete a revision which will also answer my questions. Make corrections directly on the printout and use the enclosed form for any inventory deletions or additions. Keep in mind that only materials in quantities equal to 55 gallons, 500 pounds or 200 cubic feet must be reported. Please complete and return the revised plan to 2130 G St., 93301 by June 24, 1991. Call me at 326-3979 if I can be of any assistance. Thank you for your cooperation. Sincerely, \~.P~~-LÎ~ 'B~ ( Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey .'iÞ. ~ ~~ e BAKERSFIELD FIRE DEPARTMENT BUREAU OF FIRE PREVENTION APPLICATION e .. ~ La-r~__i.f¿1 ~ 3 II =:-/91 , Dote )(-3/3 Application No. In conformity with provisions of pertinent ordinances, codes and/or regulations, applicati~n is made by: <Jl J t ') . ()() H?s'i?401 /3"7) OF} ~. 15~-.1/.2-J ome of Compan Address to display, store, install, use, operate, sell or handle materials or processes involving or creating con- ditiOF}s deemed hazardous to life or property as follows: / .k7I-~e. (,) ~'~ cF b~ Z'- (¡ ).:l)5~ -(),.J7 &0~ ~. ,¥-u~Aa-d ~ ~Ò r ')<:,) '~/~-~'lJ iovau~ ~ ~--------------------- Authorized Representative ..... }!t.:[.1. î 1. ...................... Date L£~ By................. ....... ............................................... ....... C ~ Fi.. MaBhaI __.-a "" ~ e _ RESOURCE MANAGEMENT AGENCY RANDALL L. ABBOTI DIRECTOR DAVID PRICE III ASSIST ANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Services Department TED JAMES, AlCP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY PERMIT NUMBER 280039 FACILITY Mercy Hospital Southwest 400 Old River Road Bakersfield, CA OWNER(S) NAME/ADDRESS: Mercy Hospital 2215 Truxtun Avenue Bakersfield, CA 93301 CONTRACTOR: HPS Incorporated P. O. Box 6386 Bakersfield, CA 93386 License # 477948 Phone No. (805) 324-2121 Phone No. (805) 327-3371 -L NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES April 9. 1991 APPROVAL DATE January 9. 1991 'ftt - ~' /;f ~/ ,% ,~db Wesley . Ni ks, ~ Haza, ous Materials Specialist APPROVED BY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POST ON PREMI SES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONDITIONS AS FOLLOW: Standard Instructions 1. All construction to be as per facility plans approved by this depanment and verified by inspection by Permitting Authority. 2. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. 3. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers' specifications. 5. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. 6. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. . 2700 "M" STREET, SUITE 300 BAKERSFIELD. CALIFORNIA 93301 (805) 861·3636 FAX: (805) 861-3429 .~-<- ~ e e Standard Instructions Permit No. 280039 7. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. S. Primary and secondary containment of both tank(s) and underground piping must not be subject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. 9. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. 10. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. 11.' Monitoring requirements for this facility will be described on final "Permit to Operate." 12. Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. DATE: 1'- 2 -:¿ -q ( ~ ACCEPTED BY:~· WGN:cas \2S0039.ptc : ~\~\~~~~ _~ ,I ,.\v .., _~ :::: Ie;...,. ~..... .iÊ/~' ~' /j .",\ :==~~ '~>(([if ~~ _Ii...:. .... 'TI"::3 ._\~ -- :J~~ ~\ ". ~ .' .:f/ ~~}Ÿ'T: '" ~~ ¡i' ~", -~-;:.;.~~~~~:~ ...qJ'J~ e .---. 1 ..... ~ ........... . --... b2~{è:-31:è':'C. .;.-1 ~ê ~e'Y'I-. Haz:::rrQOUS ~Vra[e~ials Divis!. n TO: BUILDING DEPT. ~I1A d../. - . ..¡-, BUSINESS NAME ! r U./I_¿O .'!-J.!-f5Y.2Kl¿LtX r / I LOCATION ÓÌó2/5 ~Du.JJx-~ STATUS OF HAZ MAT REGULATIONS I. ~ReqUired to compiete a Hazarcous Materials Business Plan o Hazardous Materials Business Plan Complete II. 0 Risk Managemenr & ?revemion Program Requirec D Risk Management & Prevemion prcgram Requiremenrs ere being met - OK to issue permit D Risk Management and Prevention Program has been approved. OK to issue Cerrificare of Occupancy. III. 0 No Hazardous Material Requirements. IV. 0 All Hazardous Materials Reporting Requirements Complete. Comments: .... /-/~--tto Date ¡:o ¡ 655 Rev 1 /9C 0..-~ ---" . ' . \ ~ UGlß'-'..I. ð..l..l\AU. ..I.'..lJ. C a1J l. RECEIVED ~ Hazardous Materials ~sion HAZARDOUS MATERIALS COMPLIANCE STATEM~~ 1 2 1990 (To be completed by Building Permit Applicant and/or Site Plan Review ~!:.<MAT. DIV. 'I r BUSINESS NAME MERCY HOSPITAL LOCATION 2215 TRUXTUN AVENUE, BAKERSFIELD, CALIFORNIA 93301 PLEASE READ ALL OF THE INFORMATON CAREFUllY, FAILURE TO COMPLY WITH THE HAZARDOUS MATERIALS REGULATIONS MAY RESULT IN CIVIL LIABILITIES OF UP TO $2000.00 FOR EACH DAY IN WHICH THE VIOLATION OCCURS. Will the Applicant or future building occupant be required to complete a Hazardous Materials Business Plan? - D YES NO (NOTE) If you handle, store. use or dispose of, reportable quantities of any hazardous substance, you are required by California Law to complete a Hazardous Materials Business Plan. Forms can be obtained from the Bakersfield Fire Department, Hazardous Materials Division. 2130 G Street. Typical every day hazardous materials you may find in your facilities may include, but not limited to: compressed gases; fuels· all types; solvents; oils (new and waste); thinners; caustic or corrosive materials; poisonous or toxic materials; and radioactive materials. Will the applicant or future building occupant be required to complete a Risk Manage- ment and Prevention Program? YES D (NOTE) If you handle. store, use or dispose of reportable quantities of any extremely hazardous substance you must develop a Risk Management and Prevention Program. THIS PLAN MUST BE APPROVED BY THE LOCAL ADMINISTERING AGENCY BEFORE YOU COMMENCE OPERATIONS AT THIS FACILITY. The list of regulated chemicals is contained in Appendix A of part 355 of Subchapter J of Chapter I of Title 40 of the Code of Federal Regulations. This list of chemicals isavailable at the Bakersfield Fire Department. Hazardous Materials Division. 2130 G Street. Will the applicant or f~e building occupant be required to obtain a permit from the Kern County Air Polution Control District? . YES D Location within 1,000 feet of outer boundry of the following: School -(any school. public or private used for the purposes of education of children Kindergarten or any of grade 1 to 12, inclusive) D Hospital - Œ] D Long Term Care Facility - Check here if none of the above apply to this project. Signed: Date: SEPTEMBER 20, 1989 þ{J NO ~ NO ~ YES NO B D ~ D D FD 1654 I", ~,' i.~'.:" " . tiaKerstield ~'ire .pt. ~ Hazardous Materials DiVision .,.(!" HAZARDOUS MATERIALS INFORMATION GUIDE The following are guidelines to help the building permit applicant determine whether they will need to comply with the hazardous materials reporting requirements of Chapter 6.95 of the California Health and Safety Code. Chapter 6.95 requires businesses that handle hazardous materials, at the California Threshold Reporting Quantities, file a "Hazardous Materials Response Business Plan and Inventory· with the Local Administering Agency, which is the City of Bakersfield Fire Department, Hazardous Materials Division. 2130 G Street, (805) 326-3979. Businesses that handle" Acutely Hazardous Materials· must also file an "Acutely Hazardous Materials Registration Form" and complete a "Risk Management and Prevention Program·. The California Government Code Section 65850.2 prohibits a city or county from issuing a final certificate of occupancy unless these reporting requirements are being or have been met. Please read the statement below to determine if any of the materials handled by your business or by a future occupant of your site, fall under the hazardous materials reporting requirements. PLEASE INDICATE WITH A CHECK IN THE "YES" BOX ON THE BUILDING PERMIT APPLICATION IF THE APPLICANT OR FUTURE BUILDING OCCUPANT WILL HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL: A. In a quantity at anyone time equal to or greater than a total weight of 500 pounds or a total volume of 55 gallons. or 200 cubic feet at standard temperature and pressure for compressed gas. (See Appendix I for Hazardous Material definitions.) B. Or any quantity of the Acutely Hazardous Materials listed in Vol 52 No. 77 of the Federal Register (list available at the Hazardous Materials Division Office, 2130 G Street.) *NOTE: A mixture that contains one percent (l %) or more of a hazardous ingredient is a hazardous material. A mixture that contains one tenth of one percent (0.1 %) or more of a carcinogen is a hazardous material. If your proposed business is going to handle any acutely hazardous material or will be within 1000 feet of the outer boundary of a school, you may be required to complete and implement a Risk Management and Prevention Program as per Section 65850.2 of the California State Government Code. A school is defined in the Health and Safety Code. Section 42301.9(a), as any school used for the purposes of education of children in kindergarten or any of grades 1 to 12 inclusive. IF FUTURE OCCUPANT IS UNKNOWN AT THIS TIME THE FACT THAT THE BUILDING FOR WHICH THIS PERMIT IS BEING APPLIED DOES NOT HAVE A TENANT AT THIS TIME, DOES NOT RELIEVE THE OWNER OR HIS AUTHORIZED AGENT FROM THE RESPONSIBILITY UNDER CALIFORNIA LAW TO INDICATE WHETHER FUTURE OCCUPANTS WILL NEED TO COMPLY WITH THE REPORTING REQUIREMENTS FOR THE HANDLING OF ANY HAZARDOUS MATERIALS. IF AT A LATER DATE YOU DETERMINE THAT A TENANT Will BE HANDLING HAZARDOUS MATERIALS AS DESCRIBED IN THIS GUIDE SHEET YOU MUST INFORM THE CITY OF BAKERSFIELD. HAZARDOUS MATERIALS DIVISION AT (805) 326-3979. FD 1653 I ~ e BAKER.SFIELD FIRE DEPARTAT BUREAU OF FIRE PREVENTION APPLICATION Application No. 7!i) /90 Date X-;¿9", In conformity with provisions of pertinent ordinances, codes and/or regulations, application is made by: I)j~ ì ~~ Address r"),- \") . 'i1 . I 'I. t", Nome of Company '. to display, store, install, use, operate, sell or handle materials or processes involving or creating con- ditions deemed hazardous to life or property as follows: Þ~L ¡;) I, (J7J1J - {j Œ h /(,t...(.. l"'C' I ò..2.a.o J . P$ ~ ~~ {'þ~k, -t~.t-O .. ~j-:~-!.J. h-~/ÝL,~ , . .:JlsL~· i.:. ~u..J ~ ,) /~I ,,-\ ~~1o..R_'1'''J'ff1 "./ ~()~6' \~_ ' _ .,! . : f f ,{ ~ j ; : ' L/ ! I ..----- 4_~_i[~ _' _. _.:_~ ì__________ r- Authorized Representative By ..... .....~. Ë.K..o.. ... ........ ... ........ ........ ................' ....... (lj) Fi~ Monha' Cissue%J "..,L'·- {'''""", ;-- , 101-;0 Permit denle ............ .~................................. Date RECEIVED JUl 1 1 1990 Ans'd..~ ' ........... 'V-' ..... ., ".::' ~.. . ~ .;, ~o~· ""' ~ .~ \ . ¡. I).S 'J -/ \J X AJJ ~'\ø 'VJ ?If - ; ~C.-C:4l~ i,t) <= Of i ~ ~ TQ~ e V0~ ~lS \~~ Dr 5. ~ 13'Õ\\:) ~\;~ FACILITY INFORMATION FORM Please answer each of the following questions by circling Y (yes) or N (no). ¡ RECEIVED MAY 2 2 1990 HAZ. MAT. DIV. Is any acutely hazardous material (ARM) manufactured or used in a chemical reaction ? (Z)/ N Is any other flammable gas, flammable liquid or explosive material manufactured or used in ~) a chemical reaction? Y I~ 1. 2 . Is any reaction in question 1 or 2_a moderately or highly exothermic reacti¿~-( e.i.-alkylation esterfication, oxidation, nitration, polymerization (.;J or condensation) or one involving electrolysis? y /~ 3 . Can any unplanned release of a ARM to the atmosphere result from the malfunction of any scrubbing, treatment or neutralization system or the discharge of a pressure relief system ? 4 . 5 . Does any physical or chemical, process in which an ARM is produced or used involve a batch process ? 6 . Does any physical or chemical process involve the production or use of any ARM at a pressure in excess of 15 psig ? 7. In excess of 275 psig ? 8 . Does any physical or chemical process involve the production or use of an ARM at a temperature above 125 degrees F ? 9. In excess of 250 degrees? 10. Can any explosive dust be present in any closed container within 100 feet of an ARM or otherwise be present in the same building as an ARM ? 11. Is there any ignition source or open flame within 100 ft. of any process, storage or transfer area where a flammable or explosive ARM is present , except where there is a firewall providing protection ? 12. Is any lined or non-metallic pipe used in the transfer of any ARM ? 13. Is any equipment or piping handling any ARM more 10 years old ? @I N Y /GJ @I N Y /0 y I@ Y IV Y /(9 Y 10 Y 16 Y /0 '... T~ . ~ "'- '-' ,,v'.) 'J e (ì I ( I' ~ ,.~(, ¡c. ,^' (',0,(,' \. (Ì \ \ì ~\:J C, ' i\ ()..¡' / ,I§. ,~f>0 «V 'í,i '7 "tI ./ 1\')" ,-....rf't. V-~" v ni" J SllJ _,0. . \_ 'It C . ;,: '.J(.n 41{r~.: I . f- 5. Briefly describe the equipment being used ln the processes involving AHMs. Equipment sterilizing unit - - --6'. Repò·rt-quãiltJ.l:Y of AHMTs)--;--referenced '-ín -the cover letter, that this business handles. '-- a) Maximum amount on hand at anyone time. 270 Ibs b) Please attach a Material Safety Data Sheet for any material that is a mixture. Do not include MSDS for pure substances. DEMOGRAPHIC DATA: State the straight line distance in feet between the business property line and each of the following. 1- Nearest school. 500 feet 2. Nearest daycare center, ..h..El.Jìi tA.I, nursing home or similar facility. SOO feet 3 . Nearest residence/motel etc. "500 feet 4 . Nearest occupied building. ,- - ---- -- -- 500 feet Business Name: Mercy Hospital Address: 2215 Truxtun Avenue I certify correct to the is true and Ti tIe' . Date: ó'.í1t?~t' /4) -3- ! ." e e ¿--.: > ':. >\ ., PLEASE PROVIDE THE FOLLOWING INFORMATION ( Attach additional pages if necessary) 1. Your company's current workers compensa~ion experience modification factor. Company self insured;information not available 2. How many people occupy the building in which AHM's are used or stored? 200 3. Give details of all accidents which involved any hazardous material and all other instances when the fire department has been summoned in an emergency. __~"c_ _ _ Small glass container of picric acid was discovered under sink in pathology lab. Fire department Haz Mat Division, Bomb Squad and IT Corporation on scene. IT Corporation removed and transported for disposal. 4. Briefly described the operations process at your plant and the specific processes utilizing AHM's, including storage proceedures. ETO is used in the sterilization of various medical instruments. Unit is located in the Central Services Department on the first floor. Normal operation of this equipment is once per day. Time of operation is usually 3:00p.m. Complete cycle extends for approximately 12 hours. -2- --. / ACUTELY HIARDOUS MATERIALS REG!TRATION FORM 7- TIllS FORM MUST BE COMPLETED BY THE OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA wmCH AT ANY TIME HANDLES ANY AClITEL Y HAZARDOUS MATERIAL IN QUAN 11 l11::S GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP.l TInS FORM SHALL BE COMPLETED AND SUBMITTED TO YOUR LQ£AL ADMINISTERING AGENCY. (§25533 & 25536 Health & Safety Code) RECEiVED Note Instructions on reverse APR 2 5 1969 HAZ. MAT. DIV. Business Name MERCY HOSPITAL Business Site Address 2215 TRUXTUN AVENUE BAKERSFIELD, 93301 Business Mailing Address (If dlf.ferent) - t Business Phone 'Ç ? 7 - ~ ~ 7 1 P.O. BOX 119, BAKERSFIELD 93302 Business Plan Submission Date2 4 / 1 8 / 8 q .' "_',_~. ~.' .' ... ._.~_.__..,:,i ..""',..,...... _ ._ . ".' ._.... Process Designatlon3 ~,":~..'_ . .,'.,;" ·~',_:Y.7'~' ~:...L··" ,'""T'"''::'~'.''''' .-..,.,~~\~;'f·~,;..t:· ACUTELY HAZARDOUS MATERIALS HANDLED4 '.; ,'~ '::~USE ADDITIONÀL PAGES IF NECESSARY- ,c" .-'.~ '.'. .,. i .' ~'.-' -,...~'. -'.~ ' '.- . t;i'...~'J·'.·,i."t··': '.. . ,',~ '(~'~'" <.. ",:./ ,":0 H:',CHEMICAL NAME ,::';~,~' ,,', ' " ,:" , .:~,,' ê¡i: :r:': "..~:' ,':: " ::.."" \, QUANTITY,.:~": , :""ET~-fYLE~'E'òx I~È:' ,:,~. -; ,..:' ,', .' ." ", ,. ';'~ .~, - -:'< .,,;,,;:~.., .' é 3., ?Sfi'~')-~~· i.;B;~"'<;::· .." , ~ J~" T -:- :r.- '. >. ·;i-f' ".. .. .:" " : ..'.'-;·1':'~-;5.:;\.~::~':~_;,<:,,:-;::¿':~.'·':'; , . '38 GAL~- . FORMALDEHYDE .' ,", . ;',/' ·~·~·~·-:t~::·;t:·:i~;:'::·;··; . , .' GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMEN,.s: ETHYLENE OXIDE USED FOR STERILIZATION IN CENTRAL SERVICES DEPARTMENT ..~ ~ ,it'. FORMALDEHYDE USED FOR VARIOUS MEDICAL PROCESSES IN THE PATHOLOGY LABORATORY, HEMODIALYSIS UNIT AND ENDOSCOPY AREA ~LE DIRECTOR OF SECURITY/SAFETY DATE -'1/ 1 9 / 8 q California Office of Emergency Services FORM HM 3m (1-15-88) e e It'" , .', ,---- ¿íD í,\. S-r¿t ( CcJo>VeT Oû 1-1<. c +0 v.;',JiG '-' f\k~¿ ') LD¡,bJ¿ -- lio ppu- /.) ó -±L L{ DêT L- __~¿C"qt. 1i r &.Æt o--UM,;,.t(J. 'ir'''ð"/)¿uùlif /t¿¡J f'-G"L d· l~,1c, 1.1 :tf~f; (: 7J r' {v' '1 n,-1\ ê)-¿>;¿',,,L cJ:i' '-flu lA.(J GkÞL/J +Á( {c:J( y -) ~~ ~W/~tC ~ CVíV ~OT¿t-L- ¿III JlD~ ~" út({CZ- CÆ(>vf'~.¿ bt~5 f( C,t.>û ,r é {;'^--- ; 7'?' e e ~"" May 1, 1 '3'30 Dear Business Manager: The following questionnaire is a supplement to the acutely Hazardous Materials Registration Form previously submitted by your business as required under Section 25534 of the California Health & Safety Code. This registration indicates that~Mercy- Hospital ~andles ethylene 6xide~ an acutely hazardous material ( RHM >, in an amount greater than the planning quantity for this chemical. Additional information is necessary in order to complete the risk management planning functions of this agency. This questionnaire should be completed by an office~ of the company or other person having substantial management control over all operations at the facility. If there is any doubt as to whether or not the answer to a question is yes c,r YII:', the aYlswe1"~ "yes" shall be giveYI. With in two weeks of receipt, complete and return the questionnaire to: The Bakersfield Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA '33301 If you need additional information, please call 326-3'37'3. Si ncet~ely, Bat~bat~a Bt~eYlYle\'~ Hazardous Materials Planning Technician e 'aß.e-r5fie1d fire "De~t. .....14'_G1.Søct1.o}t øct"ß1t1.ÞJß tv-' ,,~1.o'l øp.¢>Ous - 1 ¡,j "'1:S~ø"Gøø ". \\.}(. ¢'.Qø'f£P 1.. .,. ..a..~. ~Cßøt> 2· p -0 1'. ~Q'\Jßs«tßt> '3. 1t.~. J; . 4. ....}(.1'.1'. Ø1-øP on 1'. 1>J?1'1tO~t> '5. 1t.~. J; . ....}(.1'.1'.~S1'ß~1:0~ 6· øt> ~...a~ct1.0}t -PROGØ øt> -pttß'J 1" ci\"ßC\<. 1.J1.sct COø~s : \ ~ 1.. t>~~ ., -~ 'i" ~' . \ .. e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D, S, NEEDHAM FIRE CHIEF 2101 H STREET BAKERSFIELD, 93301 326·3911 April 12, 1989 Mercy Hospital 2215 Truxtun Ave. Bakersfield, Ca. 93301 Dear Jack Rosendez: The enclosed "Acutely Hazardous Materials Registration Form" must be completed by any business, handling above the minimum reporting quantity of any material on the EPA list of Extremely Hazardous Substances. (Fed. Register Vol. 52, No 77, P. 13397). Your company has reported handling the following Acutely Hazardous Materials: ETHYLENE OXIDE, FORMALDEHYDE Please return the completed Acutely Hazardous Materials Registration Form to: Bakersfield City Fire Department Hazardous Materials Division 2130 G STreet Bakersfield, Ca. 93301 If you have any questions regarding this form please call Duane Meadows or Ralph Huey at 326-3979. Planning Technician DJM/ed AHMREG.FOR r- / / ACUTELY .lzARDOUS MATERIALS RElsTRATION FORM 'Ì-- '. /~ / TIllS FORM MUST BE COMPLETED BY TIŒ OWNER OR OPERATOR OF EACH BUSINESS IN CALIFORNIA WIDCH AT ANY TIME HANDLES ANY ACUTELY HAZARDOUS MATERIAL IN QUANTITlliS GREATER THAN 500 POUNDS, 55 GALLONS OR 200 CUBIC FEET OF GAS AT STP.l TIllS FORM SHALL BE COMPLETED AND SUBMITfED TO YOUR LOCAL ADMINISTERING AGENCY. (§25533 & 25536 Health & Safety Code) RECEiVED / Note Instructions on reverse APR 2 5 1969 HAZ. MAT. DIV. Business Name MERCY HOSP IT AL Business Site Address 2215 TRUXTUN AVENUE BAKERSF I ELD, 93301 Business Mailing Address (if different) P.O. BOX 119, BAKERSFIELD 93302 Business Phone ~ 2 7 - ~ ~ 7 1 Process Designation3 ACUTELY HAZARDOUS MATERIALS HANDLED4 Business Plan Submission Date2 4 11 8 1 8 9 -USE ADDITIONAL PAGES IF NECESSARY- ETHYLENE OXIDE QUANTITY ( ~ ¿ 7Sft.g) 420 LBS .A CHEMICAL NAME FORMALDEHYDE 38 GALS GENERAL DESCRIPTION OF PROCESSES AND PRINCIPAL EQUIPMENr5: ETHYLENE OXIDE USED FOR STERILIZATION IN CENTRAL SERVICES DEPARTMENT FORMALDEHYDE USED FOR VARIOUS MEDICAL PROCESSES IN THE PATHOLOGY LABORATORY, HEMODIALYSIS UNIT AND ENDOSCOPY AREA ~LE DIRECTOR OF SECURITY/SAFETY PRINT DATE-!/18/8q California Office of Emergency Services FORM HM 3777 (1-15-88) '; e . ~ INSTRUCTIONS: Superscripts: 1. Quantities for RMPP compliance are "equal to or greater than" the minimwn criteria and apply to chemicals handled "at anyone time". 2. Businesses handling reportable quantities of Acutely Hazardous Materials that have not submitted a business plan MUST contact local Administering Agencies. The business plan submission date will assure the Administering Agency that a business plan bas been submitted and is on ftle. This will also immediately identify businesses that have not submitted business plans. 3. "Process Designation" is provided as a reporting option (with the approval of the Administering Agency) for facilities that can most easily repon by process. Thus, facility RMPP registration data could be submitted in a similar fonnat to a business plan that is divided by process. "By process" data can initiate an emergency response to a process incident rather than a general emergency response to 8 major facility. Process designation can simplify inspections for major fadlities and improve fuwre emergency-respon~. - - --- \\ 4. Refer to the EPA list of Exttemely Hazardous Substances &om the Federal Register (Volwne 52, No. 77, p. 13397 ~,Apri122, 1987). Each chemical has a threshold planning quantity. This list may be changed by BPA on an annual basis. Updates of this list may be available early in 1988. To comply witl1 this element, you may attach 8 copy of the inventory submitted to your Administering Agency &om your business plan and highlight all Acutely Hazardous Materials. It is recommended that facilities list ill extremely hazardous chemicals handled in quantities equal to or in excess of 1) 500 pounds, and 2) any EP A threshold planning quantity less than 500 pounds. 5. Do not include Trade Secret infonnation in these descriptions. General: For emergency response purposes, it would be desirable to describe the following to the Administering Agency: 1. Batch Process: 8. What raw materials? b. What operating pressure range? c. What opezating temperature mnge? d. Batch capacity rating? e. Product characteristics? (e.g., chemical stare, flammability, toxicity, etc.) f. Critical process points and cbatacterisûcs? 2. Continuous process: (similar infonnation as above.) MQIE: "Pursuant to 125534,1be Administering Agency may require the submission of a Risk Management Prevention Program (RMPP), if the ,6.dminiswing Agency determines that the band1er's opezatìon may present an acutely hazardous materials accident risk. The baDdler sball prepare the RMPP in accordance with subdivision (c) [of §25534]. The RMPP shall be prepared within 12 mooths following the request made by the Administering Agency pursuant to this section." (125534 (a) Health and Safety Code) An amendment to the RMPP must be submitted to the Administering Agency within 30 days of: 1. Any additional handling of acutely hazardous materials. 2. Any material or substantial alterations to business activities. 3. Change of address, business ownezship, or business name. (125533 (c) Health &. Safety Code) · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP . California Office of Emergency Services FOAM HM 3m (1-15-88) . .. .- -- w çJv8:t F'~- ¡V¡..<80:>. "WE C.-iRE" , 11T'TI" ~\\\liliIIhh... .;)\,'·~'~"<'T/l ~", -'- --'-~ .§/_:;- '~' . J S~. = \ ~ '." ~ -"'- ~ -::::: :\; :. ~ :}-: ~~.. :...:;. /§' :';'._._:': \.~. ,I ~ LolllliÍÍ~ --, "'./~~ /\. j' ~' ~¡\~~.~ ---- at, ", -s'.....'\ t -~' ~\ . :>: ::...,."'- -, , .... ::'--"-"/ --......, ... \ -~:'J .... \" C''''f ", - '", / · ".!!JOR'(;;/ ~ r;'~ ð= ~~ è.L.RE~EUDEZ .rJ Xl I' to '.-......e or - - ' ~" _ \.J µrln" name! CJ;j? Do he "e b:, c e" t if:,' t ha t I ha ,'e "e" i e,,'ed CITY of B~KERSFIELD RECEIVED fEB 2 4 1989 +-h;::> ". - HAZ. MAT. DIV. attached Hazardous Materials business plan for l',fI:;'prv ~n~'PT'rAT (name of business) and that it along with the attached additions or correcti9ns constitute a complete and correct Business Plan for my facility. ,/ì, /~ } cYi#~~§/ FEBRUAP.:~~~939 Ø/£ ~#" þh7- /q;a #Æ~ ~ ;Ø?5;.tJ.5'.fffi;/ to'E/M ß~¿I4ó~ ðy ð,uØ ð..{ ~ q,¿u,v-S: ~Ø'U Oþl ,;2-/6-87', f ,Ør,y~ 4'ßt:I f,¿.b£~ Ø?~/~:>dft ~~ 5~ /?}Æ /1// cuin?/O'f'A- tJ,d/ ðtM.- þu¿I~~____. tf}j/i #-f' ~~~ "r.e:..uUJ ~. d? UJ/// .:;b~~/.r Ø15 Þ.5 45 ~;tP7 #5 1r ~~ #.?'fI¿.4;>/~ #,,&'}. /.5 9tJ/-7/!//i¿ 7i~/¿' ~ ~ #-' /ßß;::f~ /)) CÞzp4Þ7 ~ h,p;~ ;¡;:4/l'v /;?ø4 ßtj' 4't/¿~þ.J ;P~.4 CY/lpn¿. 1'/7" 371~337Ý/ ~.¡d,{/5/(}N 12~/ ¥~J CITY oj BAKERSFIELD , ,r. ",d Iqd cu It ur. '--' St ende,d 8"t I "'n ~ HAZARDOUS MATERXALS XNVENTORY NON-THADE SECRETS 9'9' .L of J.G_ u OHNER "AME: ADDRESS: ~~ CITY, ZIP: PHONE .: RUD NAME OF TinS E.AfIL!.TI: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER '/~ ""5IH£55 ~~/ LOCATION: / (/. í£ CITY, ZIP: 93.30/ rHONE ':(!ÿð5) -1.2~- ~~71 CODØ I 1 r '"" (0If, n loeattllll """', tend In fectllt, 1) ,by lit II ...... of IIhturt/c:o.or..nu s.. Inttl'Ul:t ,_ Ph.,. ice I IItd ....Ith 11.,.,-4 ,r.III'C~ ell that .",,1,) ,a rt'" r-, r~' r'<T' .fl" 1I...rd I...I.J.. RlICtlylty 1..-" OII.yetI I..~" SuIIHn hINI. ~.. 1-.lI,t. He,lth of ,....tvr. ....Ith _____ 19-º- to.paMnt" .... C.A.S. ....... NitLQ.gen____ ---------.----- ---- -- to.Qønent If .... C.A.S. ....... --- -- to.paMnt IJ ..., C.U. ....... JL Boiler Room _____ 10Q __t'Jitrog,en tc.panent II ..... C.U. ....... ___a.-- ____ -------- ,.-, ,..-.., ,.-, r--, ,..-:t .. -.. fir. 1Ia..r' I.. $.. RMctlvlty I.. -.. 0.1..,.4 .. X.. s..w.. hI.... ..-Xi 1-.lI.t. ....lth .f ,...."'" ....lth ~t IZ ..... U.S. ...... ---- i , I I c-t II .... C.A.5. ...... u ---------- ----- '!lywlc.11Itd ....""IIa..N CU.. ,II that 'II,) C.A.S. ....... Cylinder Room tc.ponent II ..... C.U. ...... 100 Helium ---.. ,.-, r-~ r-, r-., r-' .. ·X:" ftr, H...r. ..s.... AlICttyltJ ...x... OIl.," I..~... SuIIftft A,I..,. ~.. '-.lI't. "" Ith .f ,....."'" IIH Ith c-t If 1_' C.A.S. IÞIIIr -------- ---- ..E.._L}jZ(L__L!2~p________LHt,1lQQ.__L~__L1G5 l-º.L1L.J..Ll?.I. '!lywlul .... "Nltll ....n C.A.S. ~ 7440-59-7 COIIIIDIItIIt" .... C.A.S. ~ I[htc. ,II that ."." ------------------ 100, Helium -------- ----- I I' I I ,..-, r-' r-, r-", r<r' .. .x.. fir, H".r4 ..~... IINcttYhr .. -Xi o.).~ ..X... SuU... II.'N" ~... 1-.11.1. H"lth 0' 'r".ur. H"lth C.....t 12 1_' t.A.S. Iübw -----..--------------..--------- -----... c-t IJ .... C.A.S. .......r ~/'GfIlC' t\)lllACIS . .¡~_'liff~ÆIá 5%,;--.a-~~.5~~~ÁtW~¡:~NIn.-~--, It iii ~~-:--~-~~~2~Æ~4Zf-:~-f!? ,- hr"llc~lan IRf!!lJd.nd sign 1I(t(!r co.pJ,.tJne all sf!!ctJomJ/ t urt H, ~..r """It, of I.. that I ha". Dtr'lIII,l1y ....íntd end ,. f..lli'r with the Infor..tillll' Itt 'ó' tlbl',;Y,I", the In'or..,IIIII. , Mil.... ,ha, tllP .u.'tled Inf_tlan Is true, .c:cur.tI, end co.ø t.. -~ . .... .11 'Ueehed dot_t.. lflii ,hilt band l1li ., inquiry of th".. Indlvldu.1s r"ponllbl. ¡¡~~ ïña' é1iTìë~¡rf lI1nn..¡¡:ro¡¡¡:¡tör-Oa-õ;ñ'¡:7õõmtör'¡-¡¡¡IF1öriiin.ör¡¡iñlilm _, I! -------~-- ~~-~~-------------------- CITY of BAKERSfìELD r... .nd .qr icu hurt '--' .--. St.nd..., Bu,.ntn <-- HAZARDOUS MATERIALS INVENTORY NON--TH^DE SECRETS Ptqt 2.._ 01 .1fi 8USINESS NAHE: LOCATION: CITY, ZIP: (,HONE ,: OWNER NAHE: ADDRESS: CITY, ZIP: PHONE ,: RKrD ro IlrSrRUCTIOIfS rrJlt PitaI'D CODa NAHE OF Tft1S ~fIL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUHBER , , Irwnf "De ( od. Codt J "u "t . Aver. Mt S AnnNI £It , .....v.... Units , IOys CII Sit. t Cant PreI, It " Cant Ut. I..", CoØ n loeat tCII 1Ihtr, Stored In factllt, 1) 'by lit It __ of "txt.....teo.oc.-t. SIt 'Mtruet 1- , ! :' """1'lc.I IIIð "..Itll "-rani f(htc. .11 tNt .",,1,) ,.... r-' r-, r-' r-' ..w,lr,II.llrd L_.I INttl,lt, L_.I ø.I.fIII L_.I ~ ..I.... L_.I '-.dl.tt lfetlth .f ,,...,.. .... Ith 07 C.A.!. ....... __ 67 -63-Q__ eo.øø-tll -..-------------- ---- -- CGeølMnt It __. C.u. ....... ---- --- eo.øø-t II .... u.s. ..... JL S-.._._ -il _JsopJ:np;:mnl te.poneftt II ..., C.A.S. ....... .--~ ---.... -------- ~:z~ fire KIIulrd []3.; RHctt.,lt, [:] OII.fIII D!] ~ ..,.... Dr] l-.dl.t. ""Ith .f ,,..._ ....,th ea.on.nt II __. C.A.S. ...... --- eo.øn.nt II __. c.a.S. ..... u 99 Jsopropanol ------- ----.. '...,.11:.1 IIIð ""It II KIIranl ((I." .11 tlllt .",I,J C.A.S. ....._ ~t" ..., C.A.S. ..... ---- -..... ,. - ., r s:: ., r - ., rx ., !X" ., '-X.J ftrt Muard L .I RNCt',h, L_.I ø.I.fIII L_.I WIItn ..1",. ~_.I l-.dl.tt "..I tll of ,,.IV.. "" Itlt CeIIoantnt n ..., t.a.s. ..... ----------- ---- CøIponent IJ __. C.A.S. ...... .E__LJ.Q.____L___1CL____L___.fj!L_.J0JJlt-3illil.J2Ll-LL..LlZ:1..-1..s.urgety Depé\dJpen t ''''''lc.1 IIIð "..ltll "'In c.a.s. IIuIIbtr r.Z-r.3.'_o ta.øontnt 11 11_' C.A.S. IIuIibtt' ({I-.:" .11 tlllt ."I,J --~ -~ ~---.---. ~ Isoprop~nDI ----- -------- ----- r r:-, ,..-, ,.-, ,.-, r-, ,X-.J FIr. "liard L$...I IlNetly'tr L_'" DtI.yft LX.I Sudden ..1.... i,X... l-.df.t. "tilth 0' 'r",Vt'. ""It It t.,.....t 12 11_' C.A.S. IIùIIbtr ---.--------------------------- ------ ~t II __. C.U. "-btr 111 AGIlity COIII.CIS II It , II¡¡¡-~----- -------.---------------------- n(1;-------·--·------------ '.-R;:-'r.¡¡¡;¡------ I'¡¡-------------------------- 11t1.-·----------------- 71,.p-PNI/I'------- C"'''IC'~on (Rf!ltd and sil!n Itft~r co."/~tJnl! .11 ."cllon., I c.rtfly uncltr """It, of I.. thet I hev. ",r,on.I1, ....in" end '1 f..lIl.r .lth thl infor.."CII ,u"'ttld in thl. Iftd .n .ttllChId __t., Iftd thlt "',ed on ., Inquiry of thos. Indl,lcIu.1s r"I'OII,IIII. fÒr r'I"'IIJj."9 the '"for..ttCII. I MIi.v. thlt thl 'u....IU" Int_tlCIIIs tl'Vt. .Cl:ur.t., and cOllOltt.. ...,. - ¡ña- õ1'rië i ¡,- (1"'- õ1' ö;ñ;. 7õDi' åtõ. -Dlr ö;ñ.. 7òD;' ¡ t òrTiV(r.òrmn;¡¡:iiiñ( itm Si9ñitii.i--------·-----·-------------------------------------. Oi( ¡-S1iñH----------------------------- '"" ¿ CITY of BAKERSFIELD hr. .nd Acr;cu hurt l.-J S'.nd,rd Bu..n." L- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRgTS '.q. .3__ 01 lfi_ BUSINESS NAME: I LOCATION: I C ITV, ZIP: "HONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE .: ønDf TO IIISrRUcrIOIfS TOil PIIOPIIR CODU NAME OF Tft1S ~fJL!1!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , Irll'" (od. 1 Iy" tod. J lit" Mt . a""", Mt S -.-.1 Est , lit,,,,,, Units 1 IOrt CIt SH. , Cant ",.. " II Cant Us. I.." Code n 1) II locat1C1t """'. \ by "-' of IIt"t.",¡c-tI Stored In faclllt, lit 5M InlttVCttCIII Warehouse 70 Isopropanol --..------ --- ----------------- tc.poMnt 1\ ..., C.I.S. ...... 'hy.;cal erMf H..hh llellrd Ir.t.c. ,If thlt 'IIPI,) ..6 "1"" ,.-, ,.'V, ,.v-' "Wlr. HII.r4 L.::J.I leacttytt, L_" Del.yed LA.. Su4Mn hi.... LL~.. I....t.t. He,lth 0' 'rtI.. ....lth U.s. bbtr __.fi1-5íi;1.__ ---------------- ----- -- CoIIaøntnt II ..., C.I.S. ...... --- ..- --- tc.poMnt.J ...., C.I.S. .... uU ,"" Ie:. I erMf "" hh H.rerd ICt.ck .11 thlt .",,1,) __~ropanol rx' ,.~, ,.-, "X' ,.)t, .. .I FIr. lIe..r4 L~.I IINctt"It, L_.I Del.yed ,"_.I Su4Mn hi.... ,"_.I I...,.t. "" Ith of Prø..", ....Ith tc.poMnt II ...., C.I.S. ..... c-..t II ...., C.I.S. ...... Endosco Unit 2Q. -1sopropanol ''''''e.1 tnd ""hh ller.rd ClNt. .11 thlt 'IIPI,) tc.panent 1\ .... C.U. ....... ---- "X' ":5" ,.-, "X' ,.x:-' .. .. FIr, Har.r' L .. l..etIYlt, L_.I Otl.yed L_" SuIt... 11.1"'1 ~_.. IMIII,.t. ....Ith of 'I'II'V" ""ltll to.øontnt II ...., C. 1.5. ....... -~-------- ---- eo.øanont IJ ...., C. I. S. ........ .M-_LJiti_____L___Qli____L____~O(L_l~_ªl~l_ 071..LL!..1.P.ê..l-É_ast wing _ '''''le.1 tnð M..1th "'rtr4 C.I.S. IhIIIbtr to.tIantnt" "-. t.a.s. ItuIIbtr ,Chic. .11 thlt ...,1,) ------------------ ---- Sodium tripolyphosphate ----- trichlorethane -------- ___e. ..-, "'5' r-, ,.-., ,.'" ~ - J Fir. H.llr' L -.. IIttc:tlylt, L _.I 1It1.," '" -.. $uIId... 11,1.... L..i\I IMIIII.t. H..lth of 'r".vr. H"lth Cu.lClllllt 12 "-, C.I.S. IMfItr ..-------------------------------- ------ eo.øanont IJ ..... t.I.S. .....r II(RG(!lCy COlI' aC1S II It II¡¡¡·~----------------------------------- "n¡----------------------- '.-Af-Plíiiñi------ ..¡¡------------------------- T1!1.------·------------ ,.,.~-""""'------- (In" ica~on (Rf!lJd ."d II il!" "ftrr co.plr.fJ"l! IJIl IIf!CtJO"II , nrtll~ ""d.r """h, of ,.. 'hit' hI.1 ",rsClt.11, ,...ined and .. f..lli.r with the 'nfor..tton su.ttttd In thl. erMf .11 .ttached doc_fl. tnd thlt bI..d CIt ., lnoutry of tho.. 1nc/'"fdu.If r"""".IIII. ,~ IIbll''\£''9 the tnfDf'tllttClt. , .,.11,., thlt tilt ....Itted Inf_tlClt I. trut. .cc..ratl, tnð COIDI.tl. \14_' ¡;;¡r õYfìë ì¡rt 11 li"õ'-ö;ñ.r7õ¡¡råiör-Olrö;ñ,r7õDmtörT¡¡¡too;:mn,ör¡iiñtitm Sìqñitü;:,--------·.----------------------------------------.--- I I , \)it'- S1ijñ¡a------- ---------------------- ? CITY of BAKERSFIELD ',r. ,nd Aqrlcultur. .-, St.nd.rd Bu,'"", ~ HAZARDOUS NON '--' 8tJSIHESS NAME: LOCATION: C I TV, ZI P : PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: RD1Øf TO MATERIALS INVENTORY THADE SECRE'rs XlfSrRUcrXOIrS ra/f P/fOPD CODa n loeat 1an 1Itttr, Stored In hc I lit, "",lul tIIð H..lth 1Ie..rll C.A.S. ...... _______u If.hK. .11 tlllt ."1,) .¡ ~.. '/"'r. Hmrll ~s:~ hletf.ft, r:~ hl'red r:] SuIWIn "IH" r~J I....f.t. ....lth .f ,...._. fIN It" P.q. .t_ 01 _l.Q NAME OF Tft1S ~ÇILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER I I 'I ¡, I \ , 1] ,by lit It "- of .'-tvrt/~t. Set IMtrvctionl East Wing.J~fj22!_._ _!.Q.. I;:I.Y..<!!"Es:arbo~ SolveI1l..____ tc.ponInt II ..... C.U. ...... to.øJMnt 12 ..... C.U. ...... ,. -., "'S-' ,..-, ,..-, ,.x' .. - J fir. llellrll .. -.. hletly't, .. -.. hl.red .. -.. SuddIII ..1_ .. -.. l-.df.t. ....Ith of PraM't flNlth '...,.Ie.' .... ....It.. "'re~ Itheell .11 thlt ."1,) C.A.S. ......._ \~X ~ '1,., Hlrlrd r:l J AH<:tfytt, Dr J hl'red r~; Su\fdtft ."IIf' ~.[] l-.df.tt I ""Ith ,f 'rtSJ1II't "Hltll ---- -- East Win __._ ____ .... . u.s. ...... 7 ec..onent n ..... C.A.!. IueMr 5 c-.t IJ ..... C.-.s. ...., 27 Laborator tc.panenhð'-d'ð'!cf u.s. ...... ec..onent n .... I C.A.S. ...... G7-5G-1 to.panInt.J .... I C. A. 5. ....... C.A.5. ..... __.__________ ~---__l_____.._.__JL.__.___._.__.JL._..._______J_.____t________l__J_~Jl_____L_____. i I ""'Ie.' .... "..hit "'In 1(1Ite. .11 thlt .",,) I -, r-, r-, r-, r-, i - .J FIr. M."r. .. - J hlethh, .. - J h'."" .. -.. Sutlðf\l "'HIf .. -... l-.dl.t' H..lth of 'r".ur. "..lth ta.Þontnt II .... I C.A.S. ...... 127-09-03 c....t 11 ...., t.A.5. IIûIIbtr ec.s.ønent IJ .... I C.A.S. .....r 4 - -L 1 ---------------- ---- -- ----- ___a.-- __e. Potassium Hydroxide Mono Ethanolamine --.--- --. 2 Glycol Ether EB ---------- ----- Formaldehyde ----- :\4etlumol ---------- ---- Sodium Phos hate Diabasic c t te Odor .Mask -------- ---..- ------------------------------.- ------ 11 11 II;..·~-·--·-------·-··-----·--------..--· "ni--·"·---·---·--··--- 7I-R¡:-'rø;¡---- 11111-·-------·--·----·--- nt,.·--------·------.. 71"'·""""·------- { 'Hllutlan IIfftad and sign ,,(((Or co.pl,.tJng "II s~ctlons ! - I '..rtHv vndrr """It, 0' ,.. thet I hlv, ",,,an.lI, ,...i"'" lfIð .. ,..flf.r .Uh tilt tnfor..tfan ,u.ftttel fn tilt, end .11 tnIChed doc-tl. end thet ",.teI an ., IlICUfry 0' thot. IneI",..I. '"IOII,IIII. '0, pbUin'", tilt I,,'or..tlan. I bell,v. thet tilt .v.ln.. In'_thln I. trut, .ccur.tt, end cOltølttt. i ~ , -. '.. ~¡r òf'fiè i¡ 1"1 mnn.ñir 7õDi¡'åiò;:-Olr¡,;;;mõDmtiiP¡-;¡;tTWmniørišiñt itiŸ, ~ Siijñitü;:.-··-·----·····--·-----·--·---------------------·..·-- Din ·St¡ñ¡a--····---·---------------·-- CITY oj BAKERSFIELD J,r. ...d Aqrlcuhur, .--. St.nd,rd Øu~ 'nn~ L- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS P'9' .5__ oll(L '--' 8\JSINESS NAME: LOCATION: CITY. ZIP: "HONE .: OWNER HAME: ADDRESS: CITY, ZIP: PHONE II: UTlDf ro IlrsrRUCTIOIfS rolt PItOPlfR CODIlS NAME OF Tft1S ~fIL!TJ: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , ,.,..,. Cod. 1 I," (od, J .... AIIt I Cont fYII' I CoIIt Pr". . ......q, ut 5 Annue I £It , "'..- Units J IOyt an Sit, '''Y~ltI' end ...."" .......4 C...S. ...._ I(htt" .n thlt .,,1,) ..A r-, ,.-, r-, r-' L~lr. ".....41 .. -.. .tlCtl.,,,, .. -.. o.,.pI! .. -.. Suddtn ..,.... .. -.I 1-.4I.t, lletltll " 'res... \lulth " n CoIIt u., I.." CocIt n loeettan !hr, Slorld In f.c:lI\l, 1) 'by lit ,. __ of IUxturt/eo.oar-u SIt Innruct 1_ 1- emodi~________ ___ c.-nt 1\ ..., C...S. ...... 50-00-0 eo.nent IZ ..., c.~S. ...... 67-5u-l .... '.C.I.S. .... Phrt le.1 end ""It II He«er4 ((htt. ell thll e""ly) u.s. ....... ___ ,.-, ,.-, r-, r-, r-' L -.. fir. "',er' .. _.I IIttc:tlylty .. _.I o.le"'" I. _.I Suddtn ..,_ .. _.I 1-.4I.t. HIt Itll of Prnnrt .... Ith '''" Ic.1 end HIt Ith /lerer4 ((,*=. .11 thlt .""Iy) 74-R(ì-2 ~' ,.C'., ,.-, rx, !X'" L .. 'Irt H...r4 "~.I .lICtl.,", 1.-" o.1.yId 1.-.1 SutldM ..1,", ~_.. l...tl.t. H..llh 0' 'resIV'" H..llh ---------------- __!1. ~ OI:JIIi.llrlc.b..)ldf'___ -1-_ :h1ethanol 1 Sodium Phos hate Dibasic --t-- --- ----- -- eo.,anent" .... C.A.S. ..... 127-09-03 CGIIoonInt IZ ..., C.A.!. ..... c..an.nt IJ ..., C.A.S. ..... ee.n.nt" ..., u.s. ..... CGIIoonInt n ...., C .1. S. ....... CoIIpontnt IJ ..., t.I.S. ...... ,-~_L_~~_q___L__?_~Q_____L_!Q~.2..__J_!!__.t2.~l~_L2.J.~_1_£!.l_.^ux Supply Room 'hrtiClI end H..ltll /Ie.n C...S. IhIIIIItr .1A A n_r;O_7 eo.øanenl" """ C.I.S. ..... ((hie. .11 thlt ."1,, ----- _'13.:.'~'¿;_J-__ ,..-, ,..-, r-., r-., ,.-., LX.. FI,.. H...rtl "~J IIHctlvlt, LX.. OrI.yId ..x... SutldM 1t.1"" ..x.; 1-.41et. HNlth 0' 'r"sur. H..lth C..-ent n ...., C...S. ....,.,. ~t IJ .... t.A.S. 1Mbe,. 2- Soòj'lw_l\cetate Odor Mask ------- l.Qü --L\Çetylene ------.....--- -.--. ---- ---- ----------- ---- IPR~ lI#tfV/»L ----- -------- ----- ----------------------------...---- ----..- "' RGEIIC' COIII.CIS " n lIi¡¡-~---------------------------·------- nr1.----------------------- 7.-A;:-Pr.õñ¡------- II.U-----------------------·-- J1tJ'------------------- n-..'-PIIð/I'·------ :.rrlflcttlon (R~ød ønd sign "ftc-r co.pJp.tJnf! "II sf!cUons ~ .... c.rt"y 11/td... .,....It, 0' I,. thlt I hav. ør"'on.", ,...Inld inti .. ,..fll.r with the tnfor..tlan ,u.lttld In thll II1II .11 lUte'" __tl. II1II that b"III on ., ¡,"",Iry 0' thol. I""I.,I..1t r"porIllb'" lOt Slbll,nl"9 .he In'orNtlan. I _",vI! that tilt lu.lttlll inloI'Ntlan II trvr. .ccuret.. anti cOlloI.t.. I .. I ... ¡;;a' òViéii1-r n 1Pól-ö;ñ';: ro¡;;:¡för-Olrö;.;';:7õø;;:¡rör'¡-iiirfiõrma"riø;:¡¡¡¡¡(¡m. Siijñi(ü;:¡--------------------------------------------------- Dit,Slijñ¡a---------------·------------- ~ CITY oj BAKERSFIELD "1'. .nd Iql'lcuhun '-' ,-, St.nd.rd Bu. .n".. '-- HAZARDOUS MATERIALS INVENTORY NO N-,T H ^ DES E eRE T S P",,,~___ 01 L~_ BIJSINESS NAHE: LOCATION: 'I ç ITY. ZI P : ¡ ¡PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: RDD ro IIISr7lucrIOIrS nJlf PROPIUr CODU NAHE OF Tn1s ~fJLl~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUHBER Il location """"' Stlll"Ø In hcHlty 1] ,by lit u "- of IIhtvre/c:o.oon.nu s.. l"'tr\ICt IOnt ...Eluo.r....G.e.n1raL__ ..1 _Eith¥leJJc-Qxide....----- Phy.IUI ""' H..lth ....."' C.A.S. ....... _-Z~-2J.:a..___ to.ponent II .... C.A.S. ..... 1f.11«. .11 thet '1IPIy) .. ,. ::s' ,. ~, ,. ~1'1 ,.~, te.aDnlnt 12 .... C.A.S. ..... ""fir. HII.r' L .. aNCth,lty L A.. OIl.,.. L -Ñ SuIWIn "I.... L ~ 1...11\. flNlth of P....IUI'. ""It II ---------------- --- -- ~t II ..., C.A.S. ..... Snil11Jélstpr --~ ---- ...L Enz~roe (protP.RSP.) ____e. "X, ,.S' ,.-, ,.-, !X'"' .. -.I Fir. "'r.rll L_'" hactt.,'ty L_'" OIl"'" '--'" SuIkIen ..1.... ~_... I....".ft ....Itll of P......,. ""It II ec.on.nt 12 ..., C.I.S. ...... 497-19-8 to.ponent II ..., C.A.S. ....,. s.s.... u ''''''lc.1 .... IIMltll ....."' It'-ell .11 thlt 'lIPly) U.S, ..... _. First Floor RT area ec.on.nt" ..., C.A.S. ....,. ---------- ----- "X' ,.~., "X" ,.-., "X" .. - .I fir, Here", .. -... INcel.,lty '- -... 0.1,-,..1 '- -... SuIIdtn a, I,", L _.I I...,." H..lth of P......,. 11M It II to.ponent 12 ...., C.A.S. ..... .1JL 30 IsoDroDyl Alcohol Water ---- ---- ---------- ---- tc.paMnt IJ ....., C.A.S. ..... _ML__Q~___L__!i~~____LJ_@o __-1.11...1 ,365 LillLJ_JLlLl..QJL1_ßoilcr Room ''''''Iul .... H..ltll "",", C.I.S. ....... to.ponent II 1Ieet' C.A.S. ..... I('-e. ,II thlt .,,1,) ---------------. Dkh I oro{;l iUmU:'QDlc.thane Halocarbon - 12 -------- ----- ..-., ~.. ..~, r-" ,.u., .. _.I FI,,, Hirer' v-l..... hect'vhy ..A... 0.,.yt4 L_" Su4Qn ..1.." '-A.. \-.II.t. IIH Ith of Pr".ur. H"ltlt C~t 12 II..., C.A.S. IIIiebtr .-...-----------...--------------- ------ to.ponent II ...., C.A.S. ....., IIUGENty C..If At, 5 II lIi"-~---- --------- ---------------------- "t1¡----------.------------ 7I-R¡:-Pfiãñi----...,- 12 .111-------------------------- T1t,.------------------- 21-wr-PIIII/I'------- I i ¡hrlfICl~on IRf!lfd .nd !lien .ftC'r co.plp.tJne .11 !If!ctlons 'I c,rtHy \Ind" .-why of 1... thet I he", W'SOIII\1y ....intlS tmf .. f..ni.r wIth t.... 'nfor..tlOII '''_Intel 'n thl. ..,. .11 .UK'*' __t.. tmf thlt ""111 011 ., il'Qll'ry of tl'Ole indlv'''''I'' '"IOII.'''I. før lIbt'i~"9 tilt 'n'_\lOII. I .11.". thlt tilt .u..IUtd 'n'_tlon ,. tMII, .ccuret., end co-,IIt.. I .... - iña- õ"iè ii 1-1 n 1i-õ'-ö;ñ.r7õÞPriiòr-OR-ö;ñ.r7ÒõPri(òrTiü(r.örmn.òriiiñlifiVP Si¡ñifü;:,---------------------------------------------------- Dm-S19ñ;a----------------------------· ~ e ~~ I ..C.... ,', ...~ I ~ , !;J~ ':.." '~\ \. t'$¿; ì \ . I ,J,_, ,$ 1>. /' ~",..-' ~'~:¡ ~-( ~ ~ . ~ I ,""" \,j j (' I, \" \_" "- ,",' If' . "" 'l J" r",.) :1. ~I 't-: ~;I t):' ,",\,., "". . 1 'I I tIJl...> " ! ,\. .....\.: 4·~· ---- - -~- --- ~ e :C' ~ì ~ "- "1 I CITY of BAKERSFIELD r... .nll lorlcuhurt .---. St.nd.rd Bu, .ntn '-- HAZARDOUS MATERIALS INVENTORY NON .- 'J~ I~ ^ tJ r=: SEe r~ I~~ rl~ S P.9t L_ 01 J_Q þoratoŒ-...______ 190 __l!Ygrogen_________ to.pøwnt" ..... t.a.5. .... '--' 8\JSINESS NAME: LOCATION: C ITV. ZIP: "HONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: RUllR ro IIrSTlfUcrIOIrS nJlf PROPIlIt CODa I , r 11ft' (odt 1 Iy" Codt 1 IDyl CII Sit. J .... Mt , Cont Prttl " JI Cont Un I..", CoIft n leat tCII ..... Stored In fac: tilt, S hila I £It . ".nq. Mt , .....U" UnHI PI.y.lul n K..hh ...,.... If.I,,d _II tlllt .",,1,) . ,.-., ,.-., ,.-, ,.~, ... Fire HIl.rd L ~.. atICtl"lt, L -.. Del.ytd LX... Sudden hI.... L.A... IMedI.t. ....lth ot ,...... lilt Ith ~t 12 ..... U.S. .... ec.,on.nt II ..... c. a. s. """'" u Warehouse ----- - ----- '''''ic.1 end ""lth HIl.... I(htcll ,II tlllt ,"I,t ~ };II"r. "'..rd :S:~ hactl"lt, rx:] Del.yed [1] Suddtn hl_ Dr] l-.dl.t. "" Ith ot ,....tvrt lilt Ith to.pøwnt" ..... c.u. """'" 1310-73-2 C-O-t 12 ..... c.u. ..... 7758-19-2 to.oøn.nt II ...., c.a.s. ...... c.a.s. JIutW___ pt.,,, let' 1M .... hh "'"'" I(heell ,JI tlllt .",,1,) Cylinder Room 1st ~t'I ..... t.a.s. ....... 100?1.l 97 ? Cœoonent 12 1_' t.a.s. ....... r-, rc-., r-, ,.~, r-v-" ... -XJ FI,.. H...... Où.... atlCtl"lt, L -.. Del.ytd L~"!MIdtn ..1"" &."4,.. IMedI.t. lletlt" ot 'reslu", H..lth CoIIponInt II ...., c. a. 5. ....... ___ _1!_L_Q.L___L__9L_____L.29-º___J99-1J. 365 12.QJ_~1 08 ..l_!1arehouse C.A.S. ....... _________________ '''''lul end HNIt" ",..1'4 \(heell .11 tlllt ."I,t ec.øonent" 11_' C.A.S. IIuIIbtr 111-30-8 c......,t 12 ..... t.A.S. IhÌIIIIII' rx..-" ,.C""' ,.-, ,.-., ,.".., , .J Fir, H".rd IN.... IINctfvltr L -.. Drl.yfII L -.. Suddtn .,1.... L~ ~ IMedI.t. H..ltll of 'rtllur. H"lth ea...-t II .... c.a.s. IIuØtr NAME OF Tft1S ~~JL~1X: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1) Uy lit II "- of ItI.turt/c:-..ntl SIt Inttrvct I ant --------------- -- -- ---- Solid Power Det ___a.-- ____ ~ ~Oò;1Jm Hy(hy\y;np ..J... Nitrous Oxide ------ -.--- ---- ---------- ---- ----- 3- 97 Inert --------. ----- ------------------------------- ------ IIfIIGf/ICY tOIl' At 1$ II 12 lIi..·~-----------------------------·----· ntli----------------------- 7I-Af-PIiãñ¡------ Ull------------------------- nt1l------------------- 71",,.-PfII/\'------- hnUIC!¡lon (Reed end sign ,,(t~r co.pl"tlnl! ell sectlons I c..tlly und,r penalt, of ,.. thet I he", ",rSCIfI.I1, ....In'" ""' .. t..tll.r _Ith the fntor..UCII ,ubenttel fn thtl end ,n .UIChed doc_tl. tncI thet beltel CII ., Inqul,., of thol. Indhdclu.1I rtlponlfbl. lðr :¡bUif.¡'" tilt fnfor..tCIfI. I ...",,,, tlllt tM ,u'-Itted Inl_tlCII I' trut. tccur.tt. ""' cOllII".. . a... . ¡ña- õ'f ië ii ,- t 1 t 1 ¡- õ1-õ;ñ.¡: Toõi¡: ãtör-OA- õ;ñ.¡: 7õõmt ör~i -iiif liöï=iiièl-¡'.¡¡:iiiñf itm ,. ... Siijñitü¡:,---------------------------------- ----------------- Oit i ·Slijñièl----------------------------- CITY oj BAKERSFIELD r.r. .nel .qrieuhur, '--' ~ HAZARDOUS MATERIALS INVENTORY 51.nel.rel 8u' '".n L- N () N- T H ^ DES E eRE T S P..,. .8.. 01 16_ BUSINESS NAME: LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE .: taTD ro IIfS7.7lUCTIOIrS 7'01f PIfOPIUl CODD NAME OF Tft1S ~AfJL!1!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , I",", ("". 1 I yilt t"", , 'Op III Sit. . tlllt J 'PI ---------------- J "-- AIIt . Aver..,e "t s ....... , ,£It . .....- Units , Cont PrIt. 11 louttlll """'. Stored In Fee IUt, It __ of .bt"""c-t. Set InltnICtl_ " " tont 0.. J.,,, toft IJ ,by lit '''",ie.1 end H..hh Ka"rd C.A.S. ..... ______ 1 r.,,"=. .11 fllllt ."" I,) .... r ~., r..r ., r-(r" ftr""., L.lr. H."rel LwJ INCth,U, -.h.... OII.yecI LÃ..J SucIðen hI.... ICI..... IMldlat. tte.lth .1 ,...._. ....Ith 9 llS.e.-.._______ ___ ta.pøntnt 11 __. C.A",S. ..... 1310-73-c _~ ~t II .... u.s. ...... 7758-19-2 ea...-t II __. C.u. ......... ---- I I r-., r-" r-" r-" L_" heetlYlt, L_J 0111.'" &._J ~ hI.... L_J 1..llte 11M Ith of ,....... ....lth r-., r-" r-, r-, r;.;-, L NA FIr, ""I'" &. ~J RHettYlt, &. - J OII.peI L - J Suddtn 1.1..., '^- J 1-.lI.t. ""Ith 01 ,......,. "..It" SQQilJID...llYsl£Q~j.de ---... -- _-3._ :_(;11 1 nT'i Ill" ------ - ---- __A..- ___... ~t 11 __. C.A.S. ..... c.oan-t 12 .... C.U. ...... , Cylinder Room ... . C.u. ...... Compressed Air ----------- ----- ---- CcieoaMnt 12 ...., t.A.S. .... --- ta.pøntnt IJ .... c. A. S. ......... '''rt leal and "..lth lit..,.. 1(,,"=11 all tllllt .".,) _!1L__~º2__L___?_92____L__~200 __J~__.t3.6.5_L.Q~_2...L1Ll.nJ.__ LaboratoJ;.'L C.A.S. ........_________________ ta.pontnt 11 "'-, C.A.S. ..... v' ~, r-, rx.. r1{' -Ò..J FIr, "II.rd ....-.. IHctlvhy L_J /lt1.peI L_.I Wet"" 1.1."e L_:.I l.edl.,. "tilth 01 'rn,vre ",11th Blood Gas Mixture C.....t II II.... C.A.S. IIIÌIIIIOI' ------- ----- Ox.ygeIL-_____________________________ ______ ta.panent I. ..... C.A.S. IIuIIIIor IIG((T CDII1ACIS II " lIi¡¡-:-----·----------------------------- ntli---------u------------ 7.-R¡:-'fíãñï----- q¡¡------------------------- ,,(,,------------------- 7f'1l,-PllM.------- , I (:rtlflCltlon (Reed end sit!n lifter co.plr.tJnl! ell sf!ctJonsl '"" I inrtUy "'"'~ """It, .f I.. ,lIIIt I hey, PlPr.on.I1, ....intcf end I' f..IH.r .Ith thl Infor..tllll .v.tn.. In thll and .11 'UeehICI doe_tl. and tllllt bI"d 11ft ., i"""lry of thot. Indlyldu... rnpon,lbl. I I c l1bttl'!,l'" ,hi Inlor..tllII. I bell.y. ,l1li, tilt .vbltlUtcI Inl_111II I. trut. .ccvr"., IfIcI cOll.,let.. i II .. - ¡ña' õ"¡mn mnn.ñ;;:7õØi;:¡fõ;:-on;ñ;;:7õDmtÕ;:~ï¡¡;(liõriiin;¡;i¡iñ(ifiÿi I, r . 5iqñitü;:,--------:----------------------------------------.-- Dit¡-Sl¡ñ¡a-------------------------- -- CITY oj BAKERSFIELU , ar. and Aqdcu hurt <-.J Standerd Bu, ,n.n '-- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS Þa". .9-- 0116_ BUSINESS NAME: LOCATION: CITY. ZIP: rHONE .: OHNER NAME: ADDRESS: CITY. ZIP: PHONE ,: RDIUl TO IIfSTRUcrIOIfS Fait PItOPD CODD NAME OF Tft1S ~fJL1tx: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER I 1 r tIn' Cod. 1 1"" Cod, ) "-- Mt . ben", Mt S annue I Est , ".""," UnIts , 10,. an Sit' I Cant Pm. " 11 Cant Un I..", Codt tl locat 1an """', Stored In hciltt, 1) 'by 1ft .. __ of IIh,tvre/eo.eon.nt. See Inttrvct 1_ Phy,tctl ""' H..lth "..,1'4 If.htc. ,11 thet .,,1,) ..A "'7-0' ,.-, "T"' ,.-, LWrlr' HII.r' L"':>of .lICtlylty L_of Del,yed "'-of SudHn ..,.... LX... l-.dl.t. ...Ith ., Pres_, ....ltll ~_____ L~f) to.panent'll ..... U.S. ...... ~rogen ---- ---------------- ---- --- c-aønent II ..... U.S. ...... ---- , l ¡ eo.,an.nt II ..... c.u. ...... JL Phy,ic.1 ""' IIMlth HII'''' IChtc. .11 thet ,,,,I,) ---- ---~PObic atmoophcrc fflix~-- ---- Hydrogen ----- u ~tll .... . c.U. ...... 80 to-oønInt II .... . t.U. ....... 10 ea.c.n.ntlJ .... . e.A. 5. ....... 5 lOO. Nitro en .. -, r-c::-, ,.-" ,.~, ,.-;r, L _.J fir. HlI,r' L"'L... hecttyUy L -.. Del.yed &..Q..I SudIIen ..,_ u...I I....'.t. 11M It h ., Pres"", 11M I th Carbon dioxide Carhon r1;()xjr1P --------- ----- Phy,fc.1 ""' lIMit" HlI.... ,theel! ,II thet ,,,,I,) c .u. ....... ~t II .... c.U. ....... ---. ---- r--., rc:, ,.-, r~" ~, L _.J 'Ir, H'I,r' L'2-.. ...cflYlt, L_.I Del.," &.A.. Sudd... 11,1"'1 ~.J l-.dl't. Hlllth 0' ,.....u... ""Itll CaIIoanInt II ..... C.A.5. ...... --------- ---- \:øItICIIItnt I) ..... C. A. 5. ....,. '''rw Ice I ""' K..ltlt "'..... tUlWCI! ,II thlt ,,,I,. _I!_L_?g2___L__~Q2._____L~Q.~___J[Ll 365 Lg!±_LLLLl 2Il Lé!b groundfloor u.s. ...,.__~!~__________ to.pCll\tl\t 11 ..... u.s. ....... - Blood ~aR mj~t~s _ Nitrogen --------- ....-..-- ..-, ~, ,.-, ,.v' ~.. L - .J 'Ir, KII.r' \: _.I IIHCt Iyhy L. _.J 0.18," L. A.I Sudd... 11.1.... L,i)...I l-.dl.t, K..ltll of Pr",vr. ""Ith C.....-t 12 ..... C.A.5. IIùeber Carbon Dioxide ------.----------------------- ------ CaaIIontnt II ..... C.A.S. ..... "UG(lIty tCMIAtlS It n II¡¡¡-~----------------------------------- "(1¡----------------------- n-R¡:-'r.äñ¡------ 1'.------------------------ 1tt1l------------------- n'"JIr-PIIII/I'------- (entliclflon (Røed end silm "rtf."r co_piP-ting ell sf!ctJonsJ .~ , c.rtlly unll." ,*"hy of 1.. thet , he", ~"'OI\.l1, ,...;ntd "'" .. '.."iar .lth thl 1nfor..Uanlvbllltted In tM, ... ,n ,uKhelllIoc_tl. "'" thet IIlIed on ., il'qUlry 0' thol. 'nclly,..1a r"ponalb1, ¡'or pb"i~~n, the In'or..tlan. I 1It1l.", thet tilt ,u.ltted In'_tlcln I. tMlt. 'CWrlt.. end cOll,I.tI. ~... - ¡,;a' iM1t 1.1- (U1n,-ö;ñ.r 7õMmör-oa-ö;ñ.r7õ~mörT¡¡¡tflörmn.¡r.jiñt '(1Ÿi I S1ijiii(ür.---------------------------------------------------- Oiti - 519*-------------- - -------------- I . :- CITY of BAKERSFIELD ~ HAZARDOUS MATERIALS INVENTORY SI.nd.rd Bu,.ntH L_ NON-THADE SECRETS P 10 1 16 "Jt _._. 0 ___. hr. 1m! 'Qr ieu \tu,. '--' NAME OF Tft1S E-AfIL!.U: STANDARD IND. CLASS COPE DUN AND BRADSTREET NUMBER fWS I NESS NAME: (.OCATION: CITY, ZIP: , (,HONE II: OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: RUB TO IlISr7IUC'l'IOIIS TOIf PIfOPIfIf CODas It __ of ""turt/e-tl SH 'n'tructf_ II locattan """". Stored In facti It, IJ ,by lit , 1 'ftnt I," (001. Cod. J .... "t " II COIIt .,.. T.., , ' CocIt I Cont Prell . .......". "t 5 .......1 £It I .....u... Units f IOrt on $It. I Cant '''' u RoDIIL________ ..1 to.panInt 11 ..... C.I.S. ..... _...carmn rjioxirle Phy,iul "'"' M..hh lit,.,.. C.I.S. ....,.________ lr.hK~ .11 that 'lIPlr) .. "-co' r-, ,.~, ,.."..., "FI,., Nil". L oW.I RNCth.lt, L _.I Del.". L.4.1 SudHn biN" ~.I '-.fl.t' ....lth .f ,....... ....Ith ----- -- --------------- t.aøMnt 12 ..... U.S. ..... ---- --.-- ---- -- I i, '" An;:¡pT'ooj c mj vtllre --~ ---- ------ - ~t il .... U.S. ...... P"vt it:. I ""' .... 1th H".,-4 I(htc. .11 that 'PIIlr) C...s. ....,. ___ 85 10 N_i trogen Carbon Dioxide c.o.oon.nt 12 .... C.U. ....... r: -., r.-, r-" r-., ,.,-, 'X-.I flrt 1It",.1f i&..I Itotctt.lt, L_.I 1It1."" ~X.l SvddtIIhl_ L~.I '-.fIn, ....'th ., "......... IIM'th ---- to.DonInt IJ ..... C.I.S. ....,. u Cylinder room c.o.oon.nt" .... C.U. ...... mixtur~_________ _____ '''vt le.1 ""' ....lth 1It..~ ,(h.d .11 tlllt ,"," C.A.!. ..... ByrlT'oge.o ---- ---- c.o.oon.nt IZ ..... C.I.S. ...... r-, r-" r-, r-, r-, · - J '1,. H.",.. L_.I lI..cU.tty L_.I Del.". L_.I Suddtft .,1.." ~_.I '-.fi.t, H,.lth of ........,.. ....ltll Nitr~------------- ---- Carbon Dioxide 10 c:a.øor-t I) __. t.I.S. ...... -M..-L--~Q9___L__~Q9______L15_Q.Q..__JfL.t_3.Q5l.Q.ll_L2_J.JLl~I 1 ~lj nder rQQID C.I.S. ......._________________ eo..onent II ..... c...s. ..... Ao:aeT'ohi r. mi ~tJ rre. _ - -80. ..1.Q. ----B¥dr~-------------------------- ____e. 5 Carbon dioxide -------- ---..- Co.panont 12 .... C.I.S. Ih;.btr ,..-, r--' r-., r-, ,..-, · - J Fir. """. L _.I IlNetl.h, L _.I 0.1.,.., L - J Sudð", ..INIf \. _.I '-.fl.t. M..lth .f "".ur, H..lth ec.øn.nt ,I) .... t.I.S. .......,. II " .¡¡.~---------------------------------- "11¡---------------------- 7I-RF-'r.¡¡¡¡¡------ .,.------------------------- nftf------·------------ 71,.~-PllM.------- ibrtlticatlon IRt!lId IInd sign IIftf!r co.p/r.tlng all st!ctlons " cwrr"r~d., """It" 0' I.. r"'r , "'v. ~",on.l1y ....intel end " f..tll.,. with thl inforNtlon .ublltt" In thl. end .11 lUte'*' doc_II. end that b.... on ., tlllllllry of thosl Indl.lcIv.h ,"pon.tbl, 'O! :¡bllínl", the Inlor..tlon. , MII.v. that tllP .ublltt" inl.....ttan i. tl'Vt. .eeu,..t.. tnd cOllIII.t.. . I ' , ; .... . iña"õJfièiir f if n-õ'-ö;ñ.;: Toõi;:¡¡ór-DII-ö;ñ';:7óõmtòr'¡-¡¡¡lliöriiia·mmiñl¡m. SiijrõitüW--------------------------------------------------- Dili"SlijñH----------------------------- . ~ CITY of BAKERSFIELD r ar. and Aqd tu II ur. .--. Standard øu~'n.n ~ HAZARDOUS NON MATERIALS INVENTORY .J' H ^ DES E eRE T S Þa". _n 01 ~§_ '---' 8IJSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: tanaf ro IIrsrRucrZOIl$ rDlf PIfOPIl1I CODa I Irom. (od. 1 Iyoe Cod. I C\IIIt IJIII J "'. "t , Cont ...... II n Cont v.. I...., Code 11 locat t\lll """". Stored In f ac: It I ty 4 -.....It "t 5 --..1 Est , ....,"'" Units 1 IOyt \III SIt. ''''ø;ul '"" H..lth KlI''''' t.a.s. .....,.________ I(h.d .n tlllt .",,1,) .. f't1""" r-., r~' ~., JW'lrt HII.rd Woo" RHCtlwfty L_J hi.," L~J Sudden ..1.... 44..... '....IIt. ....lth 0' ,,..._. ....lth _~t..__ ~t" ..., t.a.S. ...... 75092 ~t IZ .... c.u. ...... 75285/74986 eo.,on.nt II ..., c.u. ...... NAME OF Tft1S ~f~L~t!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , \ IJ ,by lit Ie "- of _ht_/c-..nu Set 'nttMICttons W~l gon_________ t.b,.11e.œ_..Gb..1nri riP ------ -- ____:_Isobutane/PrODane -....--- JL 'hrtie.1 end IIHlth H."rd I{~k .n tlltt .""Iy) t.a.s. .....,. ___ First Fl r ~asL__ _ _~Darauat2i:)6 c:c.,an.nt" ..., t.U. ...... _3- Isopr_opanol ~x:] 'Ir. Hmrd Qr] RHcttwU, r:] hleyed r:x] SudderI..I_ [:[] '....I.to ....lth 0' Prftevrt "" Ith ~t II .... C.A.S. IIIIIIW c:c.øan.nt IJ ..., c.a. S. ........ '''''leel end ,,"lth III,,", Itheck .n thlt .",,1,) r a ... . c.a.s. ..... C.u. ..... ,..-~ ,..-, ,.X' r--'1 r-' -x,. J fir. HII.r. .....s¡ ...ethh," .I Dtl.vtd ...)(" SuHtft ..t",. ..x..I I......'. Nt.lth of ,.....ure Htllth ~t II 1_' t.a.s. ..... ~t I) ..., C.A.S. ....... .JLcl___5.5_____L_.55_______1_.1-Q9____1GªlL..3Q5....LJ.3J_.1..-.LLl_3tl_Pirst Floor east c.a.s. ...... ___________________. eo.oan.nt II .... C...s. .... 'hrtte.I end H..lth "".1'4 I ,thle..1I thet '"'r' ,.-, '--1 - X. J fir. HII.r. ..:::i... IlNet I"lty r-, r.-' rx., .. -" OIt'r" \X...I SuUtn ..1.... I. "1....I.t. "..It h 0' "'ft.vr. H..1t h Cø.øantllt II ..., c. A.S. Ih;.btr ~t IJ ..., c.a.s. ......r ___a...- ____ Seal r --------- .---- 40 Mineral spirits ---- ---- 1 Methyl .Ethyl ~~~~______ ____ - Undercoater and galeE As halt 50 30 --------- ----- Minera¡ spirits ------------------------....---- ----..- 20 Pro ane ItfAGfHty tOIl I At 15 " II lIi¡¡-~---·------------------------------- nt1i----------------------- 7.-RF-Prø¡¡----- 1..-------------------------- 11tll·------------------ ,.-wr-Pt\/\'------- I .n If lcatl\lll (Reed and sil!n "ftf:Or co.plr.Unl! aU sectlonsJ "" c.rtHy""d.r f*I4Ihy of 1.. tlltt I lit... Rfs\III.l1y ,...inwd end .. f..tHer wIth 'hi 'nfor..'lon s..balet" In thlt end .n .UK'" __tl, end thet "n" \III ., fllClUfry 0' thotl tndlvldu.I. rftPIIII.lbl. ,or flbtli~", tilt Infor..tlon. , bill..." thlt tilt ,..baUtad Inf.,....t Ion I. tMM, .«uritl, end cOlloI,t.. I _ I ' \",... ;nil' õ'ritë ti1- rtfln'-ö;ñ.;: Toøm¡õ;:.·OJnj;¡¡.;:7õ~;:¡rör~i-;¡;rr.örii;n;ø;:iiiñ(;m; Siqmü;:,---------------------------------------------------- Dm-Siijñ;a--------------------------··- . CITY of BAKERSFIELD ftr. ...d &odcullur. ...-. St...".." 8uJ ''',n '-- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS "9'12.. 01 _.16 '-' 8\JSINESS NAME: i LOCATION: CITY, ZIP: PHONE ,: OWNER NAME: ADDRESS: CITY. ZIP: PHONE II: UTDI ro IIfSJ7fUcr:rOIfS "JI' P"OPD CODD n lOClt1un hr. StorM In FacilIty Phy,ic.1 ""' H..lth lIa..rd 'f.I'I'C~ .11 thllt .""Iy) . "(1"' ,.'V' "~T' ,.~, Ir. H...rd LYo" I_U,tty L~" De1.yetI L -A.I Sudden ..,.... I.~.I l.edl.t. ....Itll of ,...... ....Ith c:o.nent, II ..... U.S. ....... u ,by lit NAME OF Tft1Š ~~~L~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER It ..... of "hturt/c-u See Inlt MlCt \1m __º-il.ß-ª2~_là@rrlel_____ __!1J:~~r:~L_~trits ---- - eo..-nt II ...., t.I.S. ...... .1.5.._ :_ 5 _____ l f.1ethyl Ethyl Ketone __-Ethvlene Glvcol '''''Ie.' ""' ,,"lth M...rd \Clift¡ .11 thet ,.,1" t.I.S. ...... ___ ~t" ..... t.U. ....... r-, r--.. ,..-... r-" ,.-, ~ -.. fir. llal,rd I. _.I "'cUylt, I. _.I \III..,.. I. _.I Su\WII\ ..,.... I. _.I 1.ed1.t. ....1 th of Prnllvrt ....lth ~t ,12 ..... t.A.!. ..... Naptha .---- -------- --- ----- ---.. Exterior Ma' c.,on.nt" ..... t.I.S. "'*"" ,.x ., :s:., ,. - , ,. -yo rv-" ~ .J FIr. ""Ird .I __tl,tty I. -.. OIl,," L..IY s...Idfft ..1_. I!"- of 1-.dll1t. ""Ith of ,....nrt "..Ith C-t 12 ..... t.I.S. ....... ec.ø-nt II ...., t.I.S. ....... -M..L...1fL-_L__1Q______L_2.0_Q..___laa.1l_..3.65_J..1J....LL1_Ll.?..7...l__ Path lab u.s. ........ __l.33.0dO=..'L___ ta.Dontnt 11 ...., u.s. ....... ,"" le,1 ""' "..Itll lIIur4 I(htek .11 tlltt ,,,,I,, ..X" ,.~, ..-., ,.x., "'X' ~ .J FI,., "lI,rd L::JJ IIHc:t1Ytty 1._" IItI.ytd I._of Sudden ..1.." '--.I l.ed,.ta "..Ith of "'".ur. ""lth tlJlllCJltllt'2 ...., t.A.S. Ih;.btr C-t II ...., U.S. ..... "' IIGflltT tOIl' At'S If II¡..- ~--- - --------- --------------. -----..- T1t1¡---.------------------- 7.-RF..Pfiõñ¡------ 80 ----..----- ----- 20E hylbenzene ------------ ---- Metapara/Ortho Xylenes ____ ____ ---- .80- 20 Xylene ----- ---- ----- Ethy,lbenzene -----------------.---..--------- ----.... u U¡¡----------------------- "t,.·..----------------- 71,.'-PflM'------· I : I hrll' Ic.tlon (Rt!lId end sign IIftrr co_p}p-ting "ll sf!ctJons} "" I c.rflly Und.r """It, of ,.. tlltt I he". Dfrsun.n, ....in" IIId .. f..tll.r .lth the Infor..t1on su".tt" In tilt. end .11 .uached doc_u. end thllt beS" un ., IlICIIlry of thol. lnell,'.," r"pon.III'. 'Or.Pbf'in~; the Infor..tlan, I 1It11.", tlltt t'" su..lnad InlortNtlun Is trve, ICCUrtt., end CIIIIIII.t.. II.... . iña' õ'~ìë m - f 1 (Wõf - õWíi;: Toõi;: ¡ iör-DR- ö;¡;i;: 7õõi;:¡(ör~i -;¡¡I liõrì;iør,ør;¡iñ( ;n;, .. _:. 5ì ijÑlü;:¡------------------------------------- ---- ------------- Diti-S1¡ñ¡a----------------------------- CITY of BAKERSFIELD ,... ",d aqr ;cv It vr, l.-J .----. St.nd.rd Øv"n,,~ L- HAZARDOUS MATERIALS INVENTORY NON-TH^DE SECRETS Pen, 1':'> 0' 16 . -:y- -- 8USINESS NAME: LOCATION: CITY, ZIP: rHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: 1ŒTllIl ro IKS7.7tUcrIOKS TOil PIlOPIlR CODD NAME OF TitS ~fJLÅ~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER u J hoe tod, 1 ...~ Mt . AYff'9' Mt S Annu. I ht , .....v... Un I.. t IOrt III Site , Cont Pres. " " tant Ut, 1.." Code n loc.ettlll ",-, Stor" In hc"It, Warehouse 11 'by lit .. "- of III~t...../~t. Set In.trvct 1- I , r 11ft' ( od, ------- --- -~~~--------- Metapara/Ortho-Xylene "'y,;cel end "..lth Illrer4 If,hK. .n thlt .",1,) .a r--, r--, r--, r--, ".Flre H".rd 1._.1 .l8Cth,U, 1._.1 hI.," 1.-.1 SudHn ..1.... 1.-.1 l-.dl.t. ",.lth of ,...... ""Ith CoIIpaMnt II ...., u.s. ...,. 80 ---..----------- ---- - eo.ønnt 11 ..., u.s. ...,. 20 Ethylbenzene ---- ---- CoIIpaMnt II ..., C.A.S. ...,. u C.A.S. .....__ ______ 1.Q0 __ Xenon ~t II ..., C.A.S. ...,. __a...- ____ '",",le.I ""' ....lth H".rd Ilhte. .11 thlt .",IrI -------- ~x::; Flrelllrerd [S] "'ctlyU, [j[~ hIe'" []a SudHn ..1_ [X] 1.....let. ....Ith .f '"'''" ....Ith ~t n ..., C.U. ..... --- eo..on.nt II ...., C.U. ...... 'I I .1L '""le.1 ""' ....It" III.... Ilhte. .11 thlt 'l1li1" Exterior A- eo...on.nt 11 .... C.A.!. ....... .1.00 Oxyg~)1 ----------- ----- ---- ---- r-, ,.-, ,.-, ,.-, ,..-., L - J FIr. H.I..d I. _J ...ctIY", 1._.1 hlev" L_J SutIdtn ..1..,. 1.-.1 l-.dlet. H..lth of ,....u.. ""It" tc.oantnt II 1_' C.A.S. ....... -------------- ---- CoIIpaMnt II ..., C.A.S. ...,. '''rt lee I ""' ".. It" "'.... Ilhte. .11 thlt ."1,, _~_l___5.5_____L_5.5_______1__~Q9___Jg~UJ..~l_º1__LL_J.Ll_º.{Ll__First floQ£... east C.A.S. "'-bIr________________ C.....t 11 ..... C.A.S. ....... - RestQrit -----. r,r ., r-c-- , r - ., rv- ., r--(T' ., LA.. J FIr, MII..d \.~.I IINc:tlyltr 1._.1 IItI.v" V\-.I 5uddØ\ ..1..,. I.~" l-.dl.t. H..lth of 'rn.u.. "..Ith C___t 12 ..... C.A.S. IMber q~~----- ----- TriclùQr.Q§t1J._~___________________ ______ tc.oantnt II ..., C.A.S. lUbeI' ""'G(IIU COllI AC IS " II .¡¡¡-~----------------------------------- T1(1¡----------------------- 7.-R¡r:-'fiõñi------- 1111-------------------------- 11(1.------·------------ 21,.'-'I\I1II'------- hrtlfle..flon IRt!.d .nd !lil(n .(fer co.plr.Unl( .11 !It!CtlOÐ!I "" I c.rtlly und.r I*\Ih, .1 '.w thlt 1 he". fr~O'I.llr ....,Md end .. 1..l1ier with the inforNtfon ,v.in'" In thl. end.n ,ntehed doe_tl. end thet """ on ~ IlIqIIlry of thol. IndiyI"".h rnpon.fbl, 'or flb"i~"9 the Inlor..lion. 1 _If.". thlt tilt 'V.lltH 'nl_tlon i, trw, .ceurlt., end COllDlltt. ... . iña· õ'Í'l lë ¡¡ 1" (1 (1. õ1 - ~.¡: Toõirãi ø;:. 01/- ~;¡: ]õö;¡: ¡ (ø;:'¡-¡¡¡( r.ørmn.ø;:¡;;ñ( ¡m¡ Slq¡¡¡(ü¡:.---------------------------------------------- on i -S1¡ñ~------- -----------------.---- . .. - CITY of BAKERSFIELD fer. .nd Aqricultur. '--' ,-, St.nd.rd Bu, .nt''' '-- HAZARDOUS MATERIALS INVENTORY NON .- T H ^ DES E C R [".: T S PI", .1LJ 01 _16 8U51NE5S NAHE: LOCATION: CITY. ZIP: PHONE .: OWNER NAHE: ADDRESS: CITY. ZIP: PHONE .: ItU'D ro XlrSrlfUcrXOItS Nit PlfOPIl1t CODe NAHE OF Tft1s ~ÇILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUHBER I I Ir.n, 'ype (011. Coð. J "'II Mt c aver.,. "t s ....... I bt , "'..vre Unln t 10,. m Site " Ut. Code n loeat1m 1Ihtr. Stcnd In fKtllt, 1) 'by lit u "- of ."t"""ec..on.nt. Set In.trvcltCJIII __Q)c.Y~JL_________ --------------- ,!'"iuI ""' ....lth Mall'. Irhtc. .11 thlt .ppl,) ~ r-, r-, r-, r-' "'Ir. M...rd 1.-.1 IlICt'"tty 1.-.1 Del.yft 1.-.1 SvcIden ..I.... 1.-.1 IMId,.te He.lth ., ,,.,_. ....lth CaltpaMnt" ..... ç. a. S. IIuIber t.Qønent IZ .... ¡ u.s. .......,. -....- tc.ponent n ..... C.A.S. IIuIber _u- p",", ie.' and !lei Itt! H".r4 ,CIIte. .11 thlt .""1,, ___~ygen -_&..- ---- ------ r -, r-, r-' ,.-, ,.-, L -.I FIre l1li11,' 1.-.1 IIHcth,lty 1.-.1 DlI.,.. 1.-.1 Suðc*I hl_ 1.-.1 1-.eII.t. ....,th of Pra__ ....lth CcIiIeonInt 12 .... ¡ C. a.s. ....,. ---- I~~ Oxygen ------.--- ----- ---- ---- r-, r-" r-, r-' r-' L - J FIr. "...rd 1.-.1 løcth1t, 1.-.1 Dellyftl "-.I Suddtn ..1.... 1.-.1 1-.d1.u H"lth of ,.....ure H..ltll CcIiIeonInt II ..... C. a.s. .......,. ----------- ---- tc.ponent IJ ...., C. A. 5. IIuIber _E_L__~.§____L___~§_____.L_12.º___J_fL_.l65 l~l~lsL--1- Patients Units ! ',,"leal,,", "..Ith "'..... C.A.S......... -'779" Z - ÜL/ - 7 C~t" II.... C.A.5. ....... ICIIte.. ,n thlt .",,) _~_./l_'-__Z2____. (}() gen ---- .------. --..-.. ,.-, ~-, r-., r-' r-., L - J , It·. H..ard I. _.I IINcUvh, L _.I 0.1.," I. _.I Suddrn ..1.." I. _.I 1-.d1.t. ""lth of ',",ur, ""lth CoepantIIt Il ..... C.A.5. IIIÌIIIIII' ---------------------.-----..-- .----- tc.ponent IJ ...., C.A.S. lUbe,. !If RGfllty tQtI At IS II IJ ! I;¡¡·~----------------------------------- "(1¡----------------------- 7I-R¡:-P/iõñ¡------ .I¡¡------------------------ ",t,------------------- 7t'"",.PIIII/I,------ IR~.d and .i~n .ft~r co.plp-ting all .~ctlon.J , ~ '\ c.rtflv und... """It, 0' I.. thet I he". ",r,ona"y ....1"'" and .. ,..'l1er with thl 1nforMUon ,v.Utlll 'n tM. and .11 .ttechtll doc_t.. end thlt ba.1II on .., inquiry of thot, Indl"Ictv"a ,"pona'"" f _ pblll'l~'" the 1nforMUm, 1 HIi.". thlt thl' 'v.tnn tnl_tlun it 'MIl, .tcur.tI, anti tllll,I.tI. -~ . ',.. iñ¡- õhic i.1"f tf1.-ö"õWõir Toõiri{õr-oa-¡¡;¡;irlõõ;r¡{¡jr"¡-¡¡;tr.öriiiniòriiëñt¡mi 5i9ñ¡tú¡:ï------------------------------------~-------------- Difniqñia----------------------------· "'" CITY of BAKERSFIELD 8\JSIHESS NAME: LOCATION: ç ITY. ZIP: rHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: ørø ro IlfSfflUCTIOlfS TOIt PItOPIl1l CODØ MATERIALS INVENTORY T H ^ DES E C R [;: T S PI" }5. 01 _..~6 NAME OF Tft1S ~fJL!~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER J .,. end a'l' ;clIltun '--' St endl,d eu, .n,u '-'- HAZARDOUS NON I 1 I,,,,,, I," (oft (od' J Ilu a.t . Aver.q, a.t s , , I , " 11 11 1) ,. Annut I ....."'" IOys CØlt Cont CGnt Ut, loeettØl 1liier, ,~ __ of IIhlt""'¡c-..U £It Untu on SIn 'YII' PreI, '...' toft St"'" In Feet lIt, lit Set 'n,tructfona 'J f.tJ c:- o ~-------- U.S. .;.,. __Z2fz..:.~¿¡-=L CoIIpcnnt II ...... C.U. .... ,..-, r--, r-, r-, "_.I Ructt.,tty ,,-.. OII.yed "_.I SuMen ..,.... ,,-.. ...cII.t. ....'th .1 .....-. ....,tll ~tl2 ..... . C.A.S. .... CoIIpcnntll ... . U.S. IIueIIw ~~ ec.,on.nt I I ..... . C.&.S. ...... ec.,on.nt 12 ..... . C.I.5. ...... ec.,on.ntl] ..... . C.I.5. ...... ---------.----- ---- -- ---- JL ....., ie.I end ....lth H".rd ,(lite. .11 thet 'II" ---~ ---- ,.-, ,..-., ,..-, ,..-., ,..-, .. - .I Fir. Meur4 ,,-.. IIwcU.,lty "_.I OII.yeII .. _.I Sudden "1_ .. _.I '..cI,.tt ....Ith of Pre_ ....Ith ---.. ..1ilil Di P~P 1 Pt lP 1 -------- ----- ---- ---- ,..-., r-' r-, ,.-, ,.-." ....x,. FI", H'I.,,4 "s... Rnettyh, "-.I OII.yed "-.I Su4dtn ..INt, ..X.I 1-.eI'1" ",11th 0' 'r,""r. HNlt" ec.oon.nt 12 ... I C.A.S. ...... ----------- ---- c:o..-t IJ ..... I C.A.S. ...... '''''Iul IftII HNhll ",1tr4 f(htc:. ." thlt .,,1,) _P-l___35.QiLL__3.S.QQ___L_9.QP..Q.___1GAlt.3.fiLl..ill-_L_..LLL.ll.9..l__ U.S. ........ ___~t7.6:-.llj=6...___ eo.o-nt 11 II.., U.S. ...... Di p.fle 1 F'1Jf~ 1 ---- ------- r-, r-, r-, r-., ,.-., ..x. J Fir. M".r4 ..s.. J IlNet'.,lt, .. _.I DtI.VfII .. _.I Sud4t!n ..INtI ..x..I 1-.4,.t. ""hIt of '''",vre H..lth CCIIIICIIIII'It 12 .... C.A.5. "'*"" -------.-------------------- .-.-... ec.oon.nt II .... U.S. ....... IIfIlGENt' CDlnAC'S II 12 lIi¡¡·~----·--·--·-- ---------.----------,,.- "tU----------------------- 71-R¡:·'Foõñi----~ ..¡¡-------------------------- "t1l·------------------ l1ï1r-""""------- ;"1" lutlOfl IRf!lJd .nd II jgn "ftrr co.pl,.Une IJ II !lPCtJOÐ!I l!n'llfy""""'r IIInI1t, of law thet I he.. """OfI.l1y ....in" end .e Intli.r _Ith thl infor..tion ,vlllllttM 'n tilt, IftII .n .UK"'" __t.. IftII thet ",," ØI., t\1qUlry of rhol, 'ncfl.,'.... r"IOft.III" I. :>bl.i.¡,tl1f rhl In'orNelØI. 1 Mil,.. ther tilt Ivllllln'" In'_UØI II tMII. .ccurec., If1d eOllIl,.tf. ' ~ " " iN' ¡ña- õf"ìëìir' nln'-ö;ñ.r7õØir¡iõ;:-onWñ;r7õ~r¡t¡¡¡:~i·iú'r.¡;;:mn;¡¡;:ñ;;¡t¡m. Sìqñ¡tür'--------------------------------·----------------.-- Dit,S1iñ¡a----------------------------- , ~- CITY of BAKERSFIELD hr. .nd AQr h:u hurt '-' .--. St.nd.rd Bus .ntn L- HAZARDOUS MATERIALS INVENTORY NON-THADE ~ECRE'rS Pa!t 16. of _16 8\151 NESS NAME: LOCATION: C 1 TV. ZIP: PHONE II: OWNER NAME: ADDRESS: CITY. ZIP: PHONE II: RUlUl 10 IlfSrRUcrIOlfS, Nit PItOPIl1l CODØ NAME OF Tft1S ~~~Ll1!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , IrAn' {lIdt 1 , yilt tlldt ) ileA AIIt . Aver.,. Mt 5 Annva I £It , """'''' \/nIts } lOp III SI.. , tonl Prft. I' " tonl lit. ''''' CocIt 11 lout till hr. SIored In Fecllll, 1) ,by lit ,. __ of .IJlIurt/C-tt Set In.tl"\lCt 1_ Boiler room 100 Trichlorofluoromethane ----------. -- ---------- '''y,ic.1 ""' 1I"lth lIu.r" f(twck .11 thet '11\11,) ta.pantnl" ..., C.A.S. ....,. ----------------. ---- -- ., ,.-., ,.-., ,.-., "1T''' fir. IIII.r41 LS...I RIlCIh.lt, L _.I o.l.yed L _.I Suddtn ..I.... L~'" l-.dllt. ....lth of ,""_. ....lth eo.ønnt 12 ..., U.S. ...... --- -- .il_ PI,,,, ie. I end lilt It" II.,,", ICtt.ck .11 thet .",,1,) ta.pantnt II ..., C.U. ........ Boner Room ____ 1O~ _.QhlorCldi;fluoromethane ~t" ..., u.s. ...... Pure Freon 22 --~ ---- ----..-- r- -, ~-, r-., r-, r-' ~Jf.l FI... "".r4 LS'" RHctt"It, L_'" o.Ieyed L_'" SuddtII..,_ LX... l-.dtlt. .... I I" of ''''"''''' ....1 I" ~I 12 ..., C.U. ..... c-I J) ..., u.s. ..... _JJ_ '"",tetl ""' ....It" 1II..rd IC"-clt .11 Ihet .",,1,) -------- ----. C.A.S. ......_ Room c.c.,on.nt" ...... u.s. ........ 75-71-CS ec.o-nt 12 ...., C.A.S. ........ 75-37-6 c.c.,on.nt " ..., u.s. ....,. 74 26 Dichlorodifluoromethane Difluoroethane , I , ---.... ---- r - , ra - ., ,. - , r - , fü- , ~ * .J , tr. "11'1'4 L oS.I lleecU"tty .. _.I 0. I.yH .. -... Sudftn It. I.... 111-.. l-.dt.t. 11..1 th of '"".u... "..I tll ----------- ---- JL______l____________JL.____________JL_____________J______t________L_______J_~Jl____..JL______ --- ----- 'hrt lcel end ".. It" III."'" Wteck .11 tlltt ."1,, C. A. S. IhIIIIItr __________________________ eo.o-nt".... , C. A. S. ........ ...------- --.-. r-, r-, r-., r-., r-., ~ _.J fir. M.ur4 L_.I hKtf"lt, L_.I o.l.yH L_.I Sudltfft ..1.." L_.I l-.dt.t. 1I,,'t" of 'r"lIIrl M"lth CCIIICIOMnt It ...., C.A.S. "'**' ------------------------------ ------ tc.ponent II ..., C.A.S. IluMler II(RG(IIU COII'.CtS " It ai¡¡- ~--- -. ----- .-- .---------- ----------- T1 (1¡------·---------------- 7I-R¡:-Pr.õ/ii-------- I¡¡¡---------------------------- T1t 1.-------·-------------- n-.t'-""""------· t...'"lution /Rttad and liRn after co.pl,.tJnl! all IftctJons 1 t.ru+; und.r "",It, of ,... thet I he... "r,on.l1, ....1"" end .. f..Ui.r _Ith thl infer..tllll ,v"itled f~ tM, ... .n 'UlChed __tl. end thet ",,,4 on ., illqlllry of thon fndIY'du.1t f"poII.flll. tor pbt~inl", the Infor..tlon. 1 br1\..." tlltt tilt ,vblaln" InforMtllll it trw. 'CCUrltt. ""' COII,I.t.. I ~ ~ 1._ . iñafõ' m ii 1- t n 1i - Õ' - ö;.;: 7õõi;:¡¡ Õ;: -OR- Ö;.;: 7õõPrïlór'¡ -¡vt r,ö;:iiirm¡:¡¡iñt itiŸi Siijñitür.-------------------------------------------- ---------. Oit ¡ -S '9ñH------- -------. --------------- ~. -~.~ i . ',< ¡ ::e e ~ CITY~Fl~~D (p)ß ,;¡.~~\~!;\'Jf',ìA 'j \ ~¡j,\ j v,\.~ "WE C.-iRE" ~34 =~; 's ;j~ ~1/ "%\ ,~--'::'", /j' '3 cI- --¿)i;¡iíj~ @ . "~~ ,,/'''', ~, A~-t,'~' ~O!· :-. -S-""", ".... -.' ~,\ '"" ......' 'r:' ., C; :? _!>. "" "'- :1, ., -- '-"/ --......, \ -,..~..:I..~,;. , J .-.- \" " . ('4 ,:," ~'O,- "c, \ '?-/ / , ·-<'!L'..Jt,~, './ "~ - J.L.RESENDEZ (tYDe or prin~ name) REceiVED FEB 7 1989 the HAZ. MAT. DIV. Do hereby c e ::- t i f y t hat I h a \- ere \- i e h- e d attached Hazardous Materials business plan for 1vfb'Pr.V ~()~PT'T'AT (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business my facility. FEBRUAP.Y 3,1939 date u O~ 0"""' - ßY ~~ ~ CIT}T of BAKERSFIELD f". ,nd 'lI'ieultu'f '--' S t .nd.'d Bu' in,,, 2; HAZARDOUS MATERXALS XNVENTORY NON - T H. ^ DES E eRE ~J,' s P.", .L of 10_ ~~~~~~~:,~~~~ CITY, ZIP: ~ 9~O/ PHONE ,,: (!l~5) d~- ~~ 7/ OWNER ADDRESS: CITY, ZIP: PHONE f1: ~ NAM"f: OF Tin 5 [.A,ÇI L.!. 'IT : STANDARD IND. CLASS COPE PUN AND BRADSTREET NUMBER v~ CODU , "...., (od. l ',De Cod. J ..." Mt . AY9I'eq. Mt S Annuli £It , ....."... linin 1 IOys CII Sit. , Cal\t '"" ,. 11 Cal\t Un I..." CoN 12 loeattCII ...... StCll'td In hc"It, 1) 'by lit u ..... of I".t,,",eo.an.nt. Sft 'n.trvet 1(111 u 04 4 u.s. ...... _...11E.:.'ll:..L__ M R I ___________ 19..Q.. eo.,an.nt II .... C.I.S. .... t-litLg,gen___ Phy,iul tIItI "Nlth 1Ia,.rd mlfC~ ,II that .ppl,) .- r t"'., r -., r "0" r..,-" '-flr. "".rd L.,:)..I ANCtl.tt, L_-' OII.yØ LA-' SudÑn hiNt. ~..I I-.cII.t. IIH It" 0' ,...._. fIN I th --------------- ---- - ~t IZ .... U.S. .... --- -- - ----- ~t n .... C.I.S. ..... JL '''vt le.1 tIItI IIN It" "".1'4 ItMek .11 that 'IlI,) Boiler Room _____ lQ.O __~itrog,en eo.,an.nt II ..., u.s. ...... --~ ---- , I I -------- r-, ,.-, ,.-., r-., ,.-:t .. -... fir. llarard L $..1 hact I.tt, L - -' OII.yØ L X-, s.-w.n hl_ L -Xi I...tlt. IINlth of "..""" IIMlth CaIIIonInt IZ .... C.A.S. ...... ea.oan.nt IJ .... C.I.S. ...... u.s. ......_ Cylinder Room eo...-nt II .... C.U. ...... 100 Helium u --------- ----- ---- -.-. r-.., ,.-, ,.-, ,.-., r-, .. X.. fir, ".,.rel L~" ItNCtl.lt, L,X" OII.yØ LÄ:.. Suddtn ".INt. ~..I l"'I.t. "Hlth of ......_ 1IN1t" c.oon.nt IZ 1_' C.A.S. ..... ----------- ---- eo.,an.nt 13 .... C.'.S. ..... J__L.f.!.f.ç____LQ~Q________Ll~~_O 09.__L1-__1 3 G 5 lM_LLJ.JLl?.I..-1-M.~I '''''iul tIItI "Nit" 1111.1'4 C.A.S. ....... 7440-59-7 eo.oan.nt 11 ... I C.A.S. ..... (tI'ltk ,It that .,,1,) ------.---.-----. 100 Helium ----. ------- r - ., ,.. - ., r - ., ,.. - ., ra'\T , .. -X.. fIr. "".rd L s.... IlNetl"'t, L.xi Ot1.ytcI \oX.. Sudcl~ ..1.... L4... I...I.t. "Nlth of Prø,"r. Mt,lth c.....,.,t 12 1_' C. A. S. I\ÌII\IIt' ------------------------------ ---....- CœIIonInt'3 ..., C.A.S. .....,. "fIIGEIIC' C'-"CIS I 1I¡~h~Æ41-6:z.--.a-~~.5~~~~F~~t::-- .,; 12 I.. ~~--:-~!~~~2~_iZt_:-~-q]' C."tfiutlon {Rfllld and sign ,,(tf.'r co.pJ~tJnl! IIJJ sflctlons} . I e.'tHv und.r IeIII1t, of ,.. that I have Ptrlon.l1y ....inlll ""' .. f..IH.r .lth the infor..tion I Itt for 1Ibllinin., the Int_tion. I .Ii.v. that the IlIbIoUtlll infOMlltlCII il tMlt. .c:c:"r.t., ""' COllII t.; 14;';' iña- õmi i¡rfifln'-ö;ñi¡:7õDi¡:¡iõ¡:-0R-õóiñ.¡:7õDi¡:itõ¡:~nií(F.örii.a-;:w¡¡¡¡¡(¡mi '~ . tIItI .11 .UlChed cIøc_u, and that ",,111 CII ., IACIII'rr of tholl. Indlvldv.1I rltpon.lbJ. ~~-~~--------------------- \ CITY of BAKERSFIELD J er. end Acdcu hurt .--, St.ndlrd 8U~1n.n ~ HAZARDOUS MATERZALS XNVENTORY NON-THADE SECRETS "9' 2.__ 01 .1.6 <--J BUSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: R.D'D ro IIfSf'RUct"IOIfS "'It PltOPD CODa I Irent (odf 1 1 Yilt tod. " " Cclnt Un I.." Code Il locaUøn Iht-. Stored In hci Itty J ...~ "t , IDyt øn Sit. , Cant PreI. . ·"""9' "t 5 Annue I Est . ....."'" linin "AME OF Tft1S ~~IL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER IJ ,'" lit " "- of I".t"",fto.anlnt. SH Instruct 10M 07 1 U.S. ......__..67 -G2:Q__ aœho.u.s.e-.._______ _illl to.pønent II ..., C.I.S. ....... ClpJ:.o.paJJ.Ol________ 'h."iUI ""' "Nlth ,,-,.M! 1(1K~ .11 thlt .""Iv) ~ ..-, r-, r-, r-' ::'!!!IIIIF'Flr' H.IIM! L - .I RHCtl.Uy L - .I hI.," .. - .I Sudden ..IHI. .. -.I .....I.t. ....'tll .f Pi'll""" ....'tll c.aøn.nt 12 ..... U.S. ....... ~t IJ ..., C.I.S. ....... JL ---------------- ---- - --- S-___ -.a _ If:¡0pJ:npann] ~t" ..., C.I.S. ...... ___a.-- ____ ,. X' r' -s; .. - ., r-v- ., rv- ., ... -.. Fire "-,,n! L - (,I IIHc:UYlty I. - .I hl.ytd v. .I Sudden ..,.... L'J>. .I '....I.t. ....Ith of Presllll't ....lth eo..on.nt It ..., C.U. ...... ec.on.nt IJ ..., C.I.S. ...... u '"",,Ic.' ""' .... 'th "-11M! ,theck .11 thlt ''''''y) C.I.S. ......_ ec.,an.t 11 ..... C.A.S. ...... r-., rc::-., r-., rx., ~' ... -X-' Fir. HII.rd L~oJ RHCtt.lty I._oJ h"'" I._oJ Suddtn ..'1tS1 ,,-.. '....I.t. H..lth of ',..Iure HN Ith ec.on.nt 12 ..... C.I.S. ....... ~t IJ .... C.I.S. ...... .E__LJ_Q_____L___ICL____L_.._!2Q..__JQ_éJlJ.---.3iiliL..QL1-LLLlz.z...l..s..urger:y DepaftI)1 Qn t 'hysic.1 end HNlth ",11M! C...S......... .G.7-r. 'LO C..,....t" ..... C.I.S. ...... (theck .11 thlt ."Ir) -- -~~---------- r:-., r-' r-, r-., ,.-, -X- -' Fir. Hllerd ..~ .I IIHc:ti.lty I. -.. Ot,.yIIt I. XoJ Sudden ."NSf ~ .I IMldI.t. H..lth of 'r"IUre HNlth C.......t 12 II... C...S. ....,. ~t IJ .... C.I.S. .......r -------- --- 99 Iso fO anol ---------- ----- ---- ------- ---- ...ill! I s()prop~nn I ----- ------...- --.-- -------------------------------- ----.... "fAGENCY CDlrAC1S .1 '2 lIi¡¡-~----------------------------------- nfU----------------------- 7.-RF-PMñï----- Q¡¡-------------------------- T1!1'------------------ 21-..'-l'iliiii'------- t,nlHutlon fRead and sign lifter co.plf'ring all sections} , n~t1fy ""d.r """,lty of 1.. thlt I hi., frsøn.11y '''.1ntd emf .. f..fli.r with the Infor..fiøn S\I_ltted In tMI end .11 aUlChed __U. end thlt bestd øn ., inqutry of thot. Indt.ldu"1 r"ponsl"\. 'or IIblllnln9 the In'or..tløn. , 1It1l.", thlt tilt ,\I_lntd In'_tlCln II t/'UII. .ccuret.. end clJIl.t.. I..' iñ¡¡; õJJfëiil-f ìfl¡-õJ-òQ¡:Toõi¡:¡¡ö;:-0J-õiiñ¡¡:7õ*¡:¡¡Ö;:'š-¡¡;tfiõ¡:mn¡ö;:¡¡iñf¡tiVi Siqñifû¡:¡---------------------------------------- --.-----.---- Difi-sliñ;a--------------------------- CITY of BAKERSFIELD lera end Aqr;cuhur, '--' .--. Stenderd RU5,n,ss '---' HAZARDOUS MATERIALS INVENTORY NON-TH^DE SECRETS hq' .3__ 01 Hi. II I 8USINESS NAME: LOCATION: CITY, ZIP: PHONE ,: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: RUD ro I1IS%7lUCJ"IOItS "'If PlfOPIDI CODIlS NAME OF Tn1Š ~A~~L~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1 Ir~n. (od. , Type Cod. 1 ...~ "t . aver.q. "t 5 Annue I Est , .....- Units , IOyt CII Sltt , Cont Pres, 11 11 Cont Un I..." Code n lDCllt1C11 ....... Stored In feclllt, Warehouse 11 'by lit 70 " .... of ''''It_lec..ar-t, s.. Intt ructiCIII l~pr?pa.!l2.!.._ Jl ---- -- PI'y,;t.1 end "..1t" Ilerer4 C....S. ..... _-iiI -f>(i- 1 f r.1IK. .11 tllet 'lIP I,) .. r-~., r--., r-~., r-v-., "Fir. H".r4 L.o;¡... hectl.lt, L_'" DeI.yetI LA... SucWen hI.... Ll~... I-.eII.t. ....,tll 0' 'rei" ....Ith to.poMnt" ..., C....S. ..... --------------- ---- - CoIIpIent 12 ..., C.U. ..... --..-- --- --.-. ___ IsoI?ropanol -------- .... . U.S. .... ---- P""Icel end ....hh Iler.r4 Ithec~ .1\ tllet .",1,) Endosco Unit CcIIIponent" ...., c.A .5. ...... 70 Isopropanol --------- ----- ---- ---- "x' r--=:, r--, r-X" !X"' L .. ftr, M.rer4 L.w... ...tH.ity L -... Del.," L -... SuIIdtn .,1.." \: -... I-.eII.tt ""Ith 0' ,......1'1 "..Ith ~t 12 ...., C....s. ...... ~t IJ .... I C....S. ...... ---------- ---- / .M..._L_ri5_____L___Q.R._____L____~oQ.._j_º_ª1_~L_O 7 LLL±...l..9.ê..l---Ë_ast wing ',,"ic.1 ""' "Nlth llerer4 C....S. ..... __________________ c.øan.nt 11 11-., C.A.S. ...... ((heck .11 tlllt ."I,t Sodium tripolyphosphate ¡. - trichlorethane -------- ----- ..-.. r-"$" ,.-.. r-., r-""V' L - J FI,., "nerd L -... hectlvlty L -... DlI.ytd L -... !MId", ..I..Sf L -'" I-.eII.t. H..lth 0' 'rn,ur. "..lth CWlClMllt 12 11_' C....s. IIùIIber ----------------------- ------ CoIiIIonent IJ ..., C.... S. NuMIer I IIfllGEIICY COITACIS II Il lI¡iii-~--·-----·-----·------·-·----------- nn¡----------------------- ~.-A¡:-Pfiõñi------ g¡¡------------------------- t1tu·------------------ n"1l'-P1\IIfI'------ 'Ct,,fiufon (Read and sign aft£Or co.pJr.tlne 'all sti!ctlonsl ilttrtHv Jnd.r len8hy of 1.. thlt I hlvt lII<5on.11, ,...Inlll end .. ...IHer with thl 'nfor..tICII ,u..lttecl In this end .11 .ueehed doc_tl. end tllet b,,1II on IIY ;nqu'ry of tho.. tnd,.;IIII.I, r"pOn,'bl. lor ;¡bulnln, till infor..tlon. I "'Ii,yt tlllt tilt ,u"ittld Inl_tion il tl'Ut. .ccur.tt. end COIIIII.t.. ' i I"" - ¡ña- õJJ1t ¡i 1- f if 1 i"õl - õWi¡;: 7õõp;:¡¡õ¡:-on..¡p;: 7õõm tõPŠ-iiit Iiõrmn¡Dï=iiiñt itiŸ; Siqñitü;:¡----------.-----------------------·----------·-----·.- Ilit¡·Sl¡ñH----------------------------- '. CITY of BAKERSFIELD r .ra .nd ICricv hvrt '-' .--. St.nd.rd Bvs,npss '-- HAZARDOUS MATERIALS INVENTORY NON - T H ^ DES E eRE T S 1"9' _~__ 01 }_~ I, 'I BUSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: IUCI"D ro nfSnruCTZOlfS I'OIt Pltopa CODa tJ II LOCIt1an !hr, St0rt6 In helllt, , Ir.n. (od. 2 1yoe todp I .....- Units J .... Mt , 'Op III Sit, , Cant Pres. " " Cant III' 1.." toft . 1""'9' "t S ........1 Est C.I.S. IIuIIbIr ______ East Wing.J~fl£2!___ _!-º- CoIIpantnt 1\ ...., C .1.5. ...... PhysiC.1 ""' "Hlth "'"ref '., .11 thet .",,1,) ~irl "."rel rs: ~ RNCtf.,ft, c:o.aønent 12 ...., U.5. ...... ,.-, ,.-, ,.-, L _ .I o.l.ytd L - J $uddin "IH" L,xJ I.eelf.t, IIH It It of p,..._. ....ltlt CoIIpantnt II ...., C.I.S. ...... East Win NAME OF Tft1S ~Ç~L~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1) 'by lit It "- of "fllt"",leo.oantnt. SIt Inttrvct 1_ 1:iY..<rr!1~rboll_ Solv~IJl..____ ¡Y' -¿;;J.--¡:;; . -------..:-r~--.-::: ---- -- --~ --- .... . C.I.S. ...... ---- -- ----- ------- ...., C.1.5. ..... P"nfe.1 end ""It" .....ref It_It .11 thet .",,1,) 27 Laborator c..-nM'-~ct C.I.5....... C.I.S. ......_ ,.x., "S" rx-' ,.x' ")C"' L-_ .J '1" "lE.rel L - J RHett.,fty L - .I o.leytd L _ J Suddtft ..1.." I. _ J I..i.t. "Hltlt of '1'11II1I"I ....It" c..-nt 12 ...., C.I.S. ...... G7-5G-1 CoIIpantnt IJ ...., C.I.5. ...... i - -__l___________L____________l__________L___l_l__l---L-l__--L-_ P"nic.1 ""' "Hltll ",,,ref ,c.." .11 tlllt .,,1,) C.A.S. ....... ____________________ eo.øon.nt 11 ...., C.I.$. ...... 127-09-03 C..-nt IZ ...., C.I.S. ..... r-, r-, ".-, ,.-, r-' L _.J 'Irp "".rel L_..I 1IHctlvlt, L_" IItl.ytd '"-..I Suddpn ..1.... 1._.1 I.eelI.t. HHlth of 'rn,url "tilth c:c.on.nt II ...., C.I.S. "-be.. 7 5 4 .L 1 Potassium Hydroxide Mono Ethanolamine ---- 2 Glycol Ether EB ~-!-_----- ----- Formaldehyde ---- ~4etl:J.¡¡¡¡;¡oJ --------- ---- Sodium Phos hate Diabasic cetate Odor Mask -------- ----- ---------------------------------- ------ IIUG£NCY COIIUC1S 11 IZ .¡¡¡-~--- -----------------'-------------,-- T1n¡----------------------- '.-R¡:-Prø;¡------ q¡¡-------------------------- T1t1.------·------------ tt"1lP-PI\II,------- .rtlfiution (R~.d and silfn lifter co.pletJng IIll spctlons ct~t1fy uncl.r 1IIßI1t, of 1.. tlltt I IItv. ~rlon.l1y ....intd 1m! '1 f..f1i.r .lth thl Infor..tion ,v_ftttel in tilt. ""' .11 Itteehtd doc_u. ""' thet ""td an ., inquIry of thos. i,","·iclu.l. rnpØ..i"l. I or ,bu,n,,,, tt. Inlar..tlan. I ...1i.vP tlltt the .ubllitttd infOrNtion il trve. .ecurlt'. ""' COIIol'tl. I ...... ¡ña-õnìèi¡rf nlnr-ö;ñ.¡:7õõi¡:¡tõ¡:-OIl-õM1.¡:7õ~m(õ¡:Tiú(liõrìiiniør¡¡iñ(ifìÿi -. Siijñi(ü¡:,-------------------------------------------------.--- Oili -S1iñ¡a----------------------------- I I _I CITY of BAKERSFIELD \ I r ar. and IqdcU hur, .--.. Stand.rd Bus In,,, L.-; HAZARDOUS MATERIALS INVENTORY NON-TH^DE SECRETS hg' .5__ of HL <-J BUSINESS NAME: LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: IUaØ ro INSrRUcrI01fS rolt PROPIl1l CODa , I un. (od' l TvOt Cod, 1 IIIyI CII Sit, J II... AIIt , Cant Pres. 11 loeat tCII h-e StOl"tCl In hcl lit, 4 A_,g, AIIt S hue I Eft , .....ure Units " 11 Cant Un I.." Code NAME OF Tft1Š ~A~ILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1] 'by lit II "- of IItJlture/ec.oan.nu See In.truct 10lIl Physiul ""' HNlth IIII.rd C.A.S. 1Mberu~, 'nwd .11 that .",,1,) ,.A r-, r-, r-, ,.-, L'Wrir' Her...d L_.I Røctl"lty L_.I hl,yed L_.I Sudden ..I.... L_J '....Iat. ""It" of P....... ....,t" H~alysis_______ ___ to.paMnt" ..., C.A.S. ....... 50-00-0 tallAøMnt 12 ..., C.A.S. ....... 67-56-1 to.paMnt IJ .... .c.u. ....... --------- __do . armalde.b..)lde...-- ---- - _..L_ : Methanol 1 Sodium Phos hate Dibasic --t-- ---- Phys ic.1 and 11M Ith II.urd ICtlfCk .11 that .",,1,) C.A.S. 1Mber___ ----- -- ----- ------ ,.. -., ,.-, ,.-.., ,.-, r-' L _.I rl... Narard '" - J IIHcttvlty L -.. hI..,. '" -.. Sudden ..,_ L -.. '....I.t. ....,th of PrtIIUrI ....Ith to.paMnc II ..., U.S. ....... 127-09-03 to.paMnt 12 ..., C.A.S. ...... CoIiDonInt IJ ..., C.'.S. ...... Phys Ic.1 11M! ....It" Na..rd CCheck III thet IlI\Ily) 7 4-Rf)-~ ~t" ..., 1:.1.5....... C.'.S. ...... J{' "C'"" ,.-, ,.X' ~., L J r ,.., IIlul'd L -.¿ J ANCti"tt, '" _.I hl.red '" _.I SudcItn II, I.... I: _.I '....I.t. .... Ith of ,.....u... IIH It" ta.Danlnt 12 ...., C.A.5. ...... eo.ø-nt IJ ..., C .A.S. ...... _~_L_~~_q___L__?_~Q____L_!Q9.2.___1!!___L~~L..2!~1~_1_~!.l-_Aux Supply Room u.s. IMber ______7MQ..:li~.t:L__ to.øCIIInt II ....., u.s. ...... 'hysiC.I and II..lth liar.'" CCllfCk .11 that .,,1,) ,.-., r-' r-, r-, ,.-., LX J fir. ""...41 L ~.I hactivlty LX.I o.1.yed L~.I Suddton ..IIIS. L.xi 'MIII'.t. MN Ith of ,.....u... H..lth t___t 12 ....., C.A.S. IIùIIbIr to.tIonInt IJ ..., C. A. S. IIuIIIIer 2-- SodiJuu_Acetiiltc Odor Mask ---- lilll ---------- --.-- ---- ---------- ---- ----- --- ---.. ---------------------------- ------ "f RGfNCT CIMUCTS 1\ .2 R¡¡¡-~--- -------------------------------- nfli----------------------- 7.-RF-Plíõñï---- q¡¡-----------------.------- 11t1l------------------- n"1l'-P1IIIIII------- ;trttlic.tiCII (Read and sign after co.plt>ting all sectlonsJ , c.rtffy uñd... fllll8lty of ,.. thet I he". Dtrson.n, ._..inlll tncI .. f..tll... .lth tilt Infor..tlCII ,u.ltttcl In thl. and .n .Ute"" __t.. and that baslll CII ., inquiry of tho.. Indl"ldu." rnpon.lbl, ,or ~!lini"9 the InIOt'..ttCII. I bill,,,. that thl! 'u.lttad info....t ICII i. trvt!. .ccur.t., and CDlPI.t.. I ,". - ¡,;a' õH;¿ ,¡ 1- (it 1i -õl -ö;ñ¡¡: r oiiräiõnIR-ö;ñ,¡: 7õõm tõPš-iüt rlàrma-¡:¡p¡:¡¡iñf ¡(\Vi Siijñãt¡¡¡:¡-------------------------------------------- -------- -- Oitniijñ¡a----------------------------- i CITY oj BAKERSFIELD r.r. end Iql"icuhul"' '--' .--. Standard BU5 "',u '--' HAZARDOUS MATERIALS INVENTORY NON - T H ^ D ß SEe R E T S P.q' ~___ 01 ~_º_ BUSINESS NAME: LOCATION: CITY, ZIP: PHONE ,: OHNER NAME: APDRESS: CITY, ZIP: PHONE ,: tur.rØ ro nrsmucrIOtrS reJlf nOPIlIl CODa , 1 'rim, 1 yøe (odf Cod, s . 1 I , ,. 11 n Annva 1 .....u... IOys Cant tont tont Un LlIQt tan --. £It Units an Sit. T,.. Pm, T_ ' CocIt Stend In feel I It, U.S. .... _.l.5.-.2l.=2-____ CoIIpanent II ... , C.I.S. ....... ) "e_ Mt , Avtr.". "t u 'hy,itll In\! "..It" 118..1'4 If.tlfCk .11 tlllt 'IIPI,) .a r:s' r~' r-';/1 r~' :W Fir. "...rd" oJ hlcti"it, ..~... 0."'" .....IV Sudden ..1H1. ...¿:u 1..I.t. ....Ith 0' ,",sur. ....lth ~t 12 ..., C.a.s. ....... CoIIpanent II ..., C. 1.5. ....... J1- ~s.t_.El ~t 11 ..., C.I.5. ....... G~909-17-1 CailllaMnt 12 ..., C.U. ....... 497-19-8 ec..on.nt IJ ..., u.s. ....... "X" rS' r-, r-, !:>C"' .. - oJ ft... 118..1'4 '- - oJ IIHc:ti"lt, '- - oJ o.'eyed '- - oJ Sudd.n ..,_ "-, oJ I..,.te ....It" of P...."'" ....It" u First Floor RT area ~t 11 ..., c.a.s. ....... u.s. ....._ "x' r'S, rx, r-' rx, L - .J 'Ir, "...rd ..-.. RlICti"U, .. -.. o.I.v" '- -.. SuIIdtn R"HI' '- - oJ 1-.elI.t. H.. Ith 0' ,.......... "..lttl ~t 12 ...., C.I.S. ....... CailllaMnt IJ ..., C. 1.5. ....... _ML__QI9___L__!il5_____L_1.5PO __Jjt~l~l.JLLLz_J.±_l..Q.iLl__Boiler Room Phytlc.1 end H..It" ",..1'4 C.I.S. .... to.øanent 1\ ..., C.I.S. ....... (Chtck .11 tlllt .,,1,) ------------------- r-, n;::-, "-V" r-" r~' L _.J FI.., ""ard U-L...ltectl"tt, ..~.. o.I.v" "-..I SudcI.n "IHI. '-A.. 1..I.te ....lth of 'r"IUre HI.lth C....t 12 ..., C.I.S. IhÌIIIIII' t.pønent IJ ..., C.a.S. ...... \ IIfAGENU CØnACTS 11 I\;¡¡- ~- -- - - ------ -- ----------- ----------- 1111¡----------------------- n-R;:- Prø;i------ 13 'br 1ft --- -- - --- -L 55... :JJL 30 --- NAME OF Tft1S ~~~L~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET HUMBER II ...... of .1.tUl't/~t. SIt 'nit MlCt 1II1II ßhylenc..Qxidc....-- ---------------- ------ - --- ----- Soi1U1(1S~f'r ------ ---- Enz}!w~ (prote;:¡~:;(~) ---- ---------- ----- I$QDr9Dyl Alcohol Water ---- ---- ---------- ---- '~ane Halocarbon - 12 -------- ----- ---------------------------- ------ n 11.------------------------- nt11------------------- n,.r-I'NIfI'------- 't.rll'iution (Read and sign aftC'r co.pl~tJng all !If!ctJonsl il c.rtlly \lnd,.. III'IIh, of 1... tlllt , III", Dtl"san.l1y ....intd end .. ,..I1I.r ..lth t" Infor_tlan su"ltttd In tht. end .n .ttee'*' doc_tl. end that blltd an ., InQU'I'J 0' tho.. Indh"...1. rnlØl1.lb1. lor 'lIbuinin" the inlor..tlan. I ",II.", tlllt the su"'HId inl_tlan il true. .ccur.t., and cø.øl.t.. ! 114_' ¡ña- õJJ'iè i; l-ri(1.-ÕJ-ö;ñ.¡:ToØi¡:¡¡õ;:-OIn;;;ñ.¡:7õõmrõpš¡¡¡f/iõ¡¡;.n.p;;iiiiififm . Siqñ;tü;:,----------------------------·---------------·--- DittS1ijñ¡¡--------------------·-------- CITY of BAKERSFIELD r .r. .nd lor ;CU hurt L-J ~ HAZARDOUS MATERIALS INVENTORY S t .nd.rd Bus 1 n.ss L-..; NON - T H ^ DES E eRE T S P'9' 7___ 0' AQ BUSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OHNER NAME: ADDRESS: CITY, ZIP: PHONE .: RDIDl 10 ZIfSJ7fUCf'IOIfS raN PROPIlIt CODIlS , Irøn. (od. 1 1YIII Cod. . CØlt J"" J 11111 "t 4 a_.", AIIt , COIIt PreI, It II COIIt Un J....' Code U locat tØl ........ Stored In fact lit, 5 Annua I ht I .....vre Unit. J IOys ØI Sit. NAME OF Tft1Š ~A~JL~tI: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1] '''' 1ft It "- of IItxtvrt/c-..t' Set IMtructt_ Lab ratorL-_______ 190 _ijyQfogen____ CGIIIonInt" ...... C. A .5. ....... Phy1iU I ""' M.. hh Hararel ,(fwd .11 thet 'l1li1,) . ,.-., ,.-., ,.-., ,.-., "Fir. HII.rd ..$." Reacti"it, ..-.. De1ayed ..x... SuddIn ..1.... ..X.. 1__1at. ....Ith of PreI...,. ....Ith t.QanInt 12 ...... C.A.S. ....... ~t I. ..... U.S. ....... Warehouse ~t 11 ..... C.U. ....... 1310-73-2 ~t It ..... C.u. .... 7758-19-2 c-t I. ...... C.A.S. ....., I I , I u Phys ic.1 ""' .... hh Har.reI Itlltek .n that .",,1,) ~ ]'}'Ir. Har.rd :;:[J RHett.lt, a:J Delayed [1J SuddIn ..1.... Dr] I__t.t. ...., th of PNlII/rt .... I th C.A.S. ...._ Phys le.1 ""' Ilea hh Hararel Itheck .11 tMt '\III1y) Cylinder Room 1st c.øo-t 11 ...... C.A.S. ....... 1()()?4 97 / r-, rc-'" r-, r~., rv-~ L -XJ 'Ire Harard ....... Reacti"ity .. -.. Del.yed ..~.. Svddtn .,1.." .."..." I__tlt. H..lth of 'relsvrt ....Itll ec.oan.nt 11 ...... C.&.S. ....... eo.øonent I. ..... C.A.S. ....... _~_LJ~t____Lj?-L______L2Q9___JQ~U 365 L2-.2..L-1._.l~l~~-L_,ýJarehouse Phys;c.1 and H..lth "'"reI Itlltek .11 thet .,,1,) C .A.S. ........ __________________ to.øoMnt" ..... C.A.S. ...... 111-30-8 ec.oan.nt 12 ...... C.A.S. IhÌIIIIIf' r-.. "CO-" ,.-.. ,.-., ,.X'., LX. J Hr. HUlrd I.>.J.. J IIHctiYtty .. -.. Of1.yed .. -.. SutId", ..1..1. .. -.. 1__1It. ....It" of 'rfl.vr. "'alth to.øoMnt I. ..... C.A.S. JIuMIeto --------------- ---- - -- -- --- ___e. Solid Power Det -- ~ Snrli1Jrn H;yrl'rnYirlp ...L ------ --- Nitrous Oxide ----- ---- ---- ---- --------- ---- ---. 97 Inert ----------------------------- ------ "fRGEIICY COIIfAC1S II 12 II¡_-~------------- .--------------------- TtfTi----------------------- '.-R¡:-Pliõñi------- Uli-------------------------- T1!U------·----------- n,.~-Pf\IIII'------- ,C.nlliutlon IRt!lId IInd !Jign IIrt~r co.pJp.tJng IIJJ lIt!ctJonsl , . 1'\ c.rtHy und.r JIIII\ITty of 11. thet I hev. Nrlonll1y ....In..! and '1 ...IHlr .Hh tilt tnfor..tlØl lu.lttld tn thl. and .n .ttached doc_u. ""' tMt belld ØI .., i"",,1ry of tho.. 1nd..idu.1I r"~.ibl. ,III" ',btlint"9 tilt tntar..t1on. I "'lev. that tilt Iv.itttd In'_tIØl is true. .ccur.t., end c_I.tl. ~._. ¡ñ~' õJJîë i¡ J-fifl¡·ÕJ-öW;.;:Toõi;:ãtõ;:-Dllïj;;ñ.;:7õõi;:¡£õr~¡-¡¡;£/iõrmn.öriiiñUmi Siijiii(¡¡;:¡---------------------------------------- ------.------ Oil ¡-Slijñ¡a------- -------- -------------- CITY of BAKERSFIELD fir_ and Aqrlculturt '--' .---. Standard RIJ"ntn L- HAZARDOUS MATERIALS INVENTORY N 0 N- T H ^ DES E eRE T S 'a'lt .~L of 16_ BUSINESS NAME: LOCATION: CITY, ZIP: rHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE If: ønm ro IlfSrRUCf"IOKS I"Off nOPD CODa NAME OF Tft1S ~A~JLÅTY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1 1 Ir"n, '"lit (odt (odt , .... Mt . '""lei' Mt S Annua I ,Est . "'..- Units , lOp III Sit' t CIIIt Pres. " " CIIIt Un '''' CocIt 11 locettlll 1Iher, Stcncl 'n hel lit, n 'by lit u __ of _'It_Ie-t. See InttMICti_ PhY'lcel ""' "Hltll Kllard C.A.S. .....______ 1!:lIKk .11 thet all,) - rr;-., r"r" r~., fir' ~flre "au,d L ~ J RHCttwlty t.h.. J \lelayell LA. J s...w. ..,_ tA-J I..t.tt ....lth of ,....1UI't ....Itll ~ USoe-.._______ ___ ___________ CøIpontnt" .... C.~5. ..... 1310-73- _5..0 SOOi1J!!l..B..Ym:Qxiçle eo..ntnt 12 .... C.A.S. ....... 7758-19-2 _-1_:_rhln~inp ~t II .... c.u. ..... ----- -- ----- -- ------ --- Physiul tnd ...."" ".terd IChKk all that all\ll,) C.A.S. .....___ CoIponent It ..., C.U. ....... -------- r-., r-, r--. r-., ,.-., L _ J fIre "..a,d L - J htcttwtty L _ J \Ie'''''' L _ J SuddaII ..1.... L - J I"',tt ....Itll of ""'1VI't ....ltll ea..o.-t n .... C.A.S. ...... -- --- CaaiDonent n ..., t.A.!. ...... u ..----------------- ----- Phys Ie.' tnd .... It II Klterd WItCh .11 that '1I\IIy) C.A.S. ..... , Cylinder Room ea..o.-t It ..., u.s. ....... Compressed Air ---- ---- ,.. - , r - .., ,. - , ,. - , e;;- , L NA fir. H"a1"4 L.gJ RtlCtlylt, L - J OII.yeII L - J SudcItn ..IHI. '-"- J I..tat. H,.ltll of 'reslU,.. "H It II ea..o.-t 12 ...., C.A.S. ...,. --..------- ---- ~t I) ..., t.A.S. ...,. _.l11____?º2__L_..?_º2___L__~~00 __J~~_J_3.65-L.....Qi..L2.J.-E....l_ill__ Laborat0:r.L. '''''ie,1 and "Hltll ",.ard C.A.S. ,...,. eo.øonant" ...., C.A.S. IIuIIbtr , IChKh.1I that .,,1,) ----------------- Blood Gas Mixture ----- to.tIonInt II .... C.A.5. IÞbt, e -------- ..---- rx-' :s:' r-, rx, ""'X" L ... flrt H""d J lltac:tiylt, L - J IItla,," L - J Suddtn ..I..u L -;, l"lat. "..Itll of p'"'UrI "..1111 CotICIIIIIt 12 ..., C.A.S. IIùIIbtr O~gen ______________________________ ______ "fIlGENt" COIIIACIS " 12 .i_-~·------------ ---------------------- nn¡----------------------- 7.-RF-PIiõñi------ I.¡¡----------------------·-- nt1l------·------------ lI"lIP-I'IIðft'------- '.nlfiution fRead and sign after co.plp(Jng all sectlons} " u~tHy lJIIder llMlty of 1.. that ~ ha... \Itr,on,I1, ....,ntd and .. f..ilier "Hh the 1nfor..tion II,.itttl! in thl, and .11 .ttKhed doc_tl. and that bas'" III ., 1II4IUl'1 of those tndlwldual. '"POII,ibl, ,lor :\bt"n,"9 the intor""III. I ~h.... that the svbaltt'" ini_tllll it true. fCcurat', and eoaol.t'. I .... - ¡ña- òf' 1c ~ ¡," f i ('n' - ö;ñ¡¡: ToõP¡: if õ¡: -011- õWñi;: 7õ~;: i( õPš -iii( r¡¡:mnwiiiñt ¡tm S;ijñitü;:¡--------------------------------------------------- -- llitts'¡ñ¡a----------------------------· CITY of BAKERSFIELD 'er. ,nd .qricuhur, '--' .--, St,nd,.d Bus ,n,n <.-..: HAZARDOUS MATER~ALS ~NVENTORY NON-THADE SECRETS PIQ' -9-- 01 16_ BUSINESS NAME: LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: RUIlR TO IlISrRUcrIOIIS "'It PItOP1lIt CODD NAME OF Tn1S ~f~L~l!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , I,"n, (od. 1 lfOe tod. ) 11111 Mt . A_11I1 Mt 5 Annua I Est , 1Ib1_ Unit, T IOys ell SItl t tant Pm. " " tant Un 1.." to6t 11 locat1e11 1Ihtr, Stored In het lit, t) ,'" lit Ie __ of "'lIt_/tc.oaNntt SIt IMt 1'Iiet1C111 u ;bt.rog€H~ ---- PhysittllllCl KNhlt lllre..d t...S. ""'__7.1.Z1.::31-=Sì.._ tc.oaNnt·I1...... t.a.s. ..... lr.hK~ .11 thet 1""ly) .& .. "', .. - .. e;.;- , "v" ~t 12 ....., C.a.s. ..... L_ Fir. Harl..d L~" RtlCtivlty L -.. OIllyed ........1 Suddtn hlNII L....I l-.dil" flNlth 0' P....... ....lth ---------------.. ----- - ---- ---- ----- c:c.,on.nt II ..., t.a.s. ..... J:L PIty, ie.1 and fIN hh H.II'" Ithfck .11 thet lply) Phý,lell and IINlth Huard IthKk III thlt 1""ly) 2 4 C.u. ....-124-'18-9 _ ---- ~tll ... , u.s. ..... 80 c.oøn.nt '2 ... , C.A.S. ...... 10 c.oøn.ntl! ..... . c.a.S. ...... 5 .100 c.oøn.nt II ..... , C .&.S. ..... CoIIooMnt 12 ..., t.U. ...... c:c.,on.nt II ... , t.a.s. ...... ---~PObic ;J.tffiOophcrc ffiix~-- ---- Hydrogen ----.-- ,. -, r-c::-.. ..-,. ..~.. ..-(1'" .. _.I FIre HIlI..d '-"'-.I haet1vlty L_.I OIllyed L..A... Sudden h1.... LA..I IMId"t. ....Ith of P....1IIf'I IIMlth Nitro en u Carbon dioxide --------- -.--- ---- __e. r-, n:-., r-, rv, f"I.\r' · - -' FI... HII,rd LQ.... .tlCH"'ty .. _.I 0I1,v" "~.I SuII1Itn 11,1..,. L4..... l-.di,tl Hn Ith of ,....su... HN Ith --------- ---- ',,"ic,I and H..lth ""'1'4 ({htck III thlt I"Ir' _l'i._l___?_~2___L__?Q2._____1_?Q.~___J£L.t.J65 L2i.J..L.l.Ll_?.LL1ªÞ groundfloor N/A C.A.S. ..... ____________________ C...,.t".... , c.a.s. ...... - ~- Nitrogen -------. ----- r-, !S""" ,.-, ..X' ~.. · - .J F I.., MIlI..d \: -.. haetlvlt, L -.. 0.11v" L .. Sudct~ 11,1_, \A..J 1-.d'lt. Hnhh of '..",vre H.llth c.....t 12 ...., C...S. IIûIIbw Carbon Dioxide ----------------------------- ------ eo.n.nt IJ .... c.a. S. IMber liE RGENCY COlI fAC IS 11 12 Ri_-~----------------------------------- "'1¡----------------------- 71-R¡;-PFiiiii------ II¡¡------------------------ 11"'------------------- n..,.'-Pl\Mf------- Ita"" lut Ion ("tled end S il!n eff~r coapJ,.Unl! ell Sf!ct Jons} ,I c..tff~ Únc!.,. IIII"Ihy of II. thet I he", ",,.,onlny ,.,.,"" II1II ,. ,..iH,.. with the i"for..tlon ,ubaittø I" tMI and ,n ,Uached doc_tl. and thet balad ell ., illQVlry of thott Indlvidu,1, rnpÒn.ib11 'or <IIbtl'''i", the InfOMMtlon. I ballav, thet tilt I"balueIS ¡"'_Hell il true. ICcuratl. and c.ol.... \ ... ¡ña-õmëii1-' n 1n'-ö;ñ.¡;To¡miõ¡:-OIl-õWñp¡:7õ~;:i'¡¡:T¡iíUiõrii"-¡:p¡riiiñ'it¡;; Siqñi'ü;:¡---------------------------------------...--------- Oit¡-Siijñïa----------------------------- CITY of BAKERSFIELD f,r. end .Odcu hurt '--' ~ HAZARDOUS MATERIALS INVENTORY St,nd.rd Bus 'n"S! '-- NON - T H ^ DES E eRE T S PI" _~º 0' }_~ BUSINESS NAME: LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHON! .: 1l8l'1fR ro :l1rsmucrIoIIS rDlt nOPIlR CODIlS 1 1 I rIIn' 'Yilt (041. toð" J .... Mt . tUllt lype t tant PreI. " 11 tant Un 1.." toðe If lOClt iUII ......... Stored In f.etltt, . Avereq. Mt S Annul , Est , ...,,- Units , IDrt UII SIt. u _____ ..1 Calltlanlnt 1\ ... II t... S. IIuIIIw Phys;c,1 end "..lth "'r.r' tIS ...... ,(IlK. ,II thet .",,1,) . . . .-----.- .A r"'t:" r-, r~., r,r" ~_Flr. IIII.r' '-~... "tt.,tt, '--'" o.l.ytd '-~... SudHn ..1.... ~... ....I.t. ...., tll 0' P,.._. .... I eh c:o.aøn.nt 12 ..... C.I.S. ..... ~t II ..... C.U. ..... u HAME OF Tft1Š ~A~JL~1X: STANDARD IHD. CLASS CODE DUN AND BRADSTREET NUMBER u '''' lit u __ 0' ..f.t_/CoIIooMnt. Set Iftltrvet iaM ...car1JDn d i mri r1 P --- -------.------ ---- - ---- ----- ¡'I.n.rlpT'Q1:d C mj vt' we --~ .--- "hysic,1 end ""hh HII'1'd I CIIKk ,,, thet 'IIP 1,) Calltlanlnt II ..... C. A. S. IIuIIIw ------ - r;-, r'j-' ,.-, ,.-., r.-' \X-.. fIre 1I",r' \S..... IINctt.,tt, '--'" 0.1.'" '"~... SudHn ..1.... I.~.I ....,.t. ""Ith 0' ,",111ft ....Ith c.an.nt 12 .... u.s. ....... c-.t IJ .... C.I.S. ....... u ".....Ie:.1 end ""Itll Hellrd (thee" all that 'IIPI,) C.A.S. 1IuMr_ Cylinder room CoIIIcIMnt" ..... C.U. ....... r-, "'.-, ~-, ,..-, r-, ~ - .. f I,., Hal.rd .. -... RlICt tYit, '- -... 0. I.," .. -... Suddtn 11,1"'1 .. -... I__tat. "0 Ith of 'r.nure H..lth c-.t 12 1_" C.A.S. ...... \:oIIponInt IJ .... C... S. ....... J:tL--_~Q9.__L.~Q9._____L15_QQ.__JfL.l_J.Q5l.Qß_L2_1JL1~I_1Jyl j nder room C...S. .....____._.______.___. CaIpontnt II .... u.s. ..... , Physiul IfId H..ltll "It" : Ithtc. all thet ,,,Ir) , r-.., r-' r-., r-, r-., ~ - .. f ,,.,, Her.r' .. -.. IlNet I.,tt, '- -.. Otl.ytd .. -.. Sudftn ..If1t, I. -... I__t.t, "..Itll of PrISSUI" Ht.lth C...,anent 12 ..... C.A.S. IIIÍIIIIII' Calltlanlnt ,IJ ..... C.A.S. ......" 85 10 Nj-trogen Carbon Dioxide ~...§....-_._---- -.--. HyrlT'ogp.n ---- ---- Nitrogen __________ .--. Carbon Dioxide An;:JpT'nhi r mi Xt.11T'P. _. ----...--- ----- 5 HyrlT'.cge.n.______._.___.________.___ ____ Carbon dioxide "(AGENCY C,*'ACIS 11 If lIi¡¡¡-:-------------------------------·--- "11;--·--·-·----------·---- 7I-ø¡:-pr.¡;¡------ g¡¡--.-----------.--.----.-. "'11------------·------ n'1lI'·PIIðI\'------- ',Irttlicttlon IRf!lJd IJnd sign IIftt"r co.plp.tlne all sf!ctJons , , ClrtHy ;"'dt,. llll)8lty of 1.. that I ...", ",rsonan, ....inll! and .. ,..ilt.r with t.... 1nfor..tiUII sullaittll! in tM. end an .Ueehed doc_t., end thet basil! UII ., illC\liry of thol. fnll,.,tdua). "lSpon.ib), or ~bulni"9 t.... Infor..tIUII. I bllIl'" thet tilt .ullaltttcl in'OI'NtiUII i. trut. .ccur,tl, end CQQI,t.. . ~-' iña' õmëii1-litl.-õ'- õ;ñ.r 7õõmiõ;:-OIl-õ;ñ.r7õ~mõr·n¡¡(liõrmn.ør¡¡iñ(i(jÿ; " Si¡ñit¡¡¡:¡-·-.--------·----·----------·-------------- --.--.--- llit;- SI¡ñ;a----··------------------·-·- CITY of BAKERSFIELD r e'. end AC' icu /turf l-.-J ~ HAZARDOUS MATER~ALS INVENTORY 5t.nlle'ef Bus.n.n ~ NON - T H ^ DES E eRE T S Peg. 11 of lQ_ BUSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE It: R.Ø'D ro IIISrRUcrZOIfS roll nOPD CODa , 1 1'8n, 1y,", (od. Cod. J .... "t . AYfI'.qe "t 5 Annue I Est , .....- Units I CaIIt Pret. " H CaIIt Un I.." Codt n locet 'on 1fhIr. 5tOl"td In Feelllty , IDyt on Sit. 'hysicel ""' IINlth "'"I'd C,A.5. IIuIbtr ________ f.1fC~ .11 thlt 'pØ I,) a rt"'"' ..-, ..~, ~, ~FI". II.",.d w..... INcth,lty ..-.. Del.,.. ..~.. Suddtn ..INII 41.:0.... ,,,,I.t. ....'th of Pre..,.. ....Ith -~t..__ CoIIpønent" .... C.A.5. ..... 75092 c:c.aør-t 12 .... C.A.5. ..... 75285/74986 CoIIIonInt II .... C.u. ..... JL First Floor ..ê.ê-EiL._ _ _~Darauat2!)6 CoIIpønent" .... C.u. ....,. Isopr_opanol 'hysleel ""' llethh II.,,1'd ICheck .11 thlt 'Ily) r:-, r-, ..-, r-, r-, ..x.... FI,.. ...",.. i.S.... hectt\'lty ..-.. Del.,.. ...x:.. Sud6en ..1.... ..~.. ....IIt. IIet Ith of PreIVl't ....Ith CoIIpønent'2 .... C.A.S. ...... CciIIDønInt IJ .... C.A. 5. ...... Physlc.1 11M! ....lth .....I'd ItI*h .11 thlt 'Ily) First Floor eas ta.\lantnt" .... C.A.5. ..... U.5. ....._ r-, ,.-, ,.X' ,.-, r-, ..x. .J FI", HII.r' .. £ lIøcU\'lty" .. Del.,.. .. J(.. Sudftn 11.1..,. ..x...I .....,.t. "" Ith of 'resl"'" ....Itll to.oontnt'2 ..... C.A.5. ..... CoIIIonInt IJ .... C. A. 5. IIUIIIItr -li-l___:l5_____L_55_______1_J.QQ___J_Gf!lL_.322-L.J3J_J-.....LL1_J!±.l-first Floor east C.A.5. ..... _________________. ta.\lantnt".... . C.A.5. ....... '''nic.1 ""' HNlth MllmI (Ch.d .11 thlt .,,1,) r-., r-' r-, r,-., ,.-, "X.J FIr. II.rerd ..s... IINc:tl\'ity .. -.. 0.1.,.. '-X.... Suddtn ..INIf .. X.. I....'.t. IINlth of 'rtlSllt'. Htllth C....-nt 12 ..... C.A.5. IMbtr ta.\lantnt IJ .... C.A.5. "'-IItr NAME OF Tft1S ~fJL~~: STANDARD IND. CLASS CODE DUH AND BRADSTREET HUMBER I] ,by lit I. "- of '''.t_/eo.ontnu SIt In.truet I DIll ----- t.b..'tle.o.e. Gh 1 nri riP ____:_Isobutane/PrODane ---- - -....--- ...l. ------ ~aler ---------- ___e. 40 Mineral spirits ---- ---- 1 Methyl.Ethyl Ketoxime ----------- ---- and ~ale£ ---' 50 As ihal t -------- ----- 30 M.i.nera¡ spirits ------------------------------ ------ "(AGfNCY COIIACIS II 12 lliii·~---·---------·--------------------- nn¡----------------------- n-R¡:-prãii------ I'¡¡------------------------ 71t1l------------------- ,.,.p-'NI/I,------. 20 Pro ane C,,,!liUfion (Rf!ed end .¡,m eftf."r co.pl'-tlne ell .pct/on.} . I certHv und.r "",It, of 1.. thet I he". Dfrson.l1, ....intel end .. f..tli.r .Ith the Infor..Uon .vbllift" In thll ""' .11 .ueehed doc_tl. ""' thlt be.teI on ., inquiry of tholt ,ncll.,idu.l1 rtsponlib1. '01' '1'11111"1"9 \M In'_\\on. I bill,,,. thlt thl lubllilttel In'_\ion il tMII. .ccu,..t.. .... 1:00,I't'. '~-' ¡ña·õmë;¡1-f;fln'·ö;ñ.¡:Toõi¡:¡iõ¡:·0R-ö;ñ.¡:7õ5i¡:¡tõf~š·¡¡¡tfiõriiiniõfiiiñt i(iŸi ~ Siqñitü¡:i------------------------------------------------------ OUi ·Siijñ¡a---------------------------- CITY of BAKERSFIELD r er. end Aqricu Itur. ...--.. Standard Bus ,n.ss '-- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS Pe"'l¿. 01 _16 '--' BUSINESS NAME: LOCATION: CITY, ZIP: PHONE II: OHNER NAME: ADDRESS: CITY, ZIP: PHONE ,: RD1Dl ro IIISJ7fUcrIOIIS rDlt PltOPlt1l CODa 11 location hr. Stored tn hciUt, 13 'by lit '1 'rf\l1S TYII' (ad. tad, 3 III" Mt 5 111,,"" Units f IOys on Site , Cant Pret, " " Cant Un 1.." toft . AvtI'l!' Aat 5 Mnuel bt '''~iClI tnII ....1th .....rd C.A.S. ....____ Ir.hfc~ .11 that .",,1,) a "eo-' r-, r-" r~' ~flr. Hlltrd L.:J.... IIHctivtt, LX.. hI,," L..x.; SudNn ..,.... LA.. l-.dt.t. ....lth ., "..__ ....Ith ~aeeP--ea,s.;b--- -- Catipontnt" ..., C.U. ..... ~.2 CœQønent,'Z ..., C.A.S. ..... -15.._ :_ 5 _____-1.._ Catipontnt 13 ..., C.A.S. ..... 'hy, ie.I IIICI ""hh M,nrd IChlck .11 that 'II,) ~t 11 .... C.&.S. ...... C.A.S. ......__ r-' r-, r-' r-, r-, \. _..f fire Hn.rd L_" IINc:tlvlt, L_" hleyed L_" SuddIn ..I.... L_" l-.dllt. ....1 th of 'ralUl'l ....1 th c.on.nt ,12 ..., C.A.S. ...... c:a..on.nt 13 .... C.U. ...... NAME OF Tft1S ~fILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER u "- of III"turt/e-t. , Set IMU'lICt 1_ Oil Base Enamel ----------- __~~~:ç:?:L_~þits ------ -- Naptha Methyl Ethyl Ketone ___~hylcne Glycol ------ ---------- -.--- rx: ., rc:--" ,. - ., ,. -.,., rv-" ~ ... fir, "ererd IÑ.... A"ctivhy L_" 1It1,v" L_.fò Suddl'ft 11,1..., I!...... I..tet. He,lth of ',...au... IIH Ith to.DGnent IZ ..... C .A.S. ...... 80 Metapara/Ortho Xylenes ___ ____ 20E hylbenzene -------------- ---- tGtIponent 13 ..... t.A. S. ...... -ßLl___J.!L__L__1CL____L_2.0_Q..__J_GalL3.65-LrrJ_..LJ..JL..121..l__Path lab u.s. ........__lJ30_-::.2Cl:::.7______ c.ø-nt 11 ...., u.s. ...... 'hy, icel end ",,1th MIl" IU..ck ,11 that ,,,1,) ~x~ FIr. H"'I'd [~::: INctlvlt, ~:::: 1It1,v" ~K::: Suddl'ft _.1,", rz::: l-.dl,t. ""Ith of 'r"sur, ""Ith c.....t IZ "_, C.A.S. IhÌIIIIII' c:a..on.nt I. ..., C.A.S. .... Xylene ----- ----- ----- Ethy,lbenzene ---.------------------------- ------ IIUGEIICT COIITACIS 11 12 lIiii·~-·-----------·--------------------- T1t1i----------------------- 7I-A;:-PTlåñ¡------ q¡¡-------------------------- 11tl1------·------------ 71"11'-PIIe/It------- ltrtlfiUtion IRøad and sil!n after co.pl~tinl! all s~ctons} I . ,I c.rtlfy unll.,. IeIIIIt, of I,. thet 1 hav, IIfrsonll1y ....iRld tnd .. f..iltl" .tth t" tnfor..tton SII_ttttd tn thts end .11 ,tttc:1wd __tl. end that billed on .., tnoutry of thos. tncltvidll.1s ,,"ponsl"l. 10' ~""U.nin9 the intor..tton. I litH,,,, that tht ,u_lttld inl_tian i, true. ,cc:uret., end c.pl.t.. ... ëña- õ"";ë ,i1" f nlnn;;;.;:7õDi;:iiõ;:-On.¡;.;:7õ~;:¡(ör·š·¡¡¡fliörmn.ör¡;iñf ¡n;. ~ S,qñifü¡:.-------------------------------------------------- llit ¡·S19ñia----------------------------- CITY of BAKERSFIELD fer. .nd 'qdcuhurt '--' ..--. St,nd.rd Bus ,npss '-- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS P'9'l3-- of --16 BUSINESS NAME: LOCATION: CITY. ZIP: PHONE .: OWNER NAME: ADPRESS: CITY, ZIP: PHONE ,: RUlUl ro IIISf7fUcrSOIlS rolf nOrD CODD NAME OF Tft1S ~ÇJL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , Irøns (odp 1 lyøe todp ) .... "t . Avwr.q. Mt S AnrNa I Est , .....u... Units 1 IOrt an Sit. 1 tont 1", I Cant PrII. l' 11 Cant Un 1.." Code Il leut Ian 1Ihtr. Stored In Ftcl lit, Warehouse 1) '''' lit u __ of .Ixture/c:o.an.nu Set In.trvct lant u ------- - _~SL____ Metapara/Ortho-Xylene 'hysteel ""' HNhh Hlr.", Ir.h.d .\1 thet .""1,, a ,._, r-, r-, r-, ::W'II" H'''l'd L -.. RHCtl.ft, L -.. Del,,.., L -.. Suddtn hlN" L -.. 1....ltt. IIH Ith 0' ,""__ ....'th ta.,anlnt" .... u.s. ...... 80 -------------- ---- - CcIIaøntnt 12 .... u.s. ...... 20 Ethylbenzene ---- --- ta.,anlnt'3 .... C.I.S. ...... u X-ra ______1..Q0 ___ Xenon ~t 11 ..... C.A.S. .....,. __a...- ____ "hys le.1 IIIð IIH hh M,unl Itt..ck .11 thet 'IIPI,) -------- ~x:] FIre HIrer' [S; hectlYlt, [f:; Del.,.. Cx: Sudden hi.... [1:; 1....let. IIHlth of ''''1IIf'I IIMhh ~t 12 ..... C.u. ....... to.oanent IJ .... U.S. ....... ..l..OO ----------- ----. "hysical end IIHhh ",,,", I(hecll all tlllt ,,,,,I,, ---- ---- ,..-~ r-' ,.-.... r-" r-, t. _.J FIr. lIa"I" L -.. IIHCtl"it, .. - oJ Del.," .. -.. Suddtn ,.1_. .. _ oJ I...,.t. ""Ith of '''''1IIf'I ....hh ec.o-nt 12 ..... C.A.S. ...,.. ----------- ---- ec.o-nt I' .... C.A.S. IIUIIIIIr -1!-l-__5..5_____L_53_______1__~29____1Ç_ªltJ§3_LQ1_1~1_ºlLl_Yirst floor east - Rest rit Sodium tri "hysical end IIHlth "It IN I(t..cll all tlllt ",I,) ')[ .. rc:-- ., r - .. rv- ., I''fr ., t. .J, I,.. Ma"l'd \.>oJ.... IlNet hit, L -.. lit I,," '^-.. SuddPn ..1.... ..4. oJ 1....I.t. MNhh of 'I'"sv", M"It" C.A.S. "'**' ____________________ ta.Danlftt 11 .... C.A.S. ...... c......t 12 .... C. A. S. IhÍIIIIII' l}os~~____ _. .. Triçhlor.Q~t.Þ.__@~_________________ _~____ ta.ponent'3 .... C.A.S. IIuMIer ! III(AG(NCY COIItaC1S 11 12 lIi¡¡-~----------------------------------- nn¡----------------------- 21-Af-Pr.¡¡¡;¡------ g¡¡-------------------------- "t1l------------------- n.,.p-'NIft'------- t.n\lieetion (Rttad and .j~n aft,.r co.pJ~tJnl1 all spctJons) . I eerl \lV.vnftr lIMit, of ,.. thet I he... frSOI'I.11, ....;!IId an' a. ,..IIi.1' with the Infor_tlan sv"-itt" In this 1nd,11 'Utehed *-t., end thet bas.. an .., Inquiry of thol. Indl"I...', 1'"OII.lb', ¡'OO"'bU,n¡nv the Inf_tIOl'l. I bill.... tlllt the ,u"-Uttcl ¡nl_tllII> I. tMII, .ceu,.att, ""' cu.øl.t.. i 114..· iña- õ' ';t ;il-' n1;-ò1-~¡: 7õõifiiör-On;ñ;¡:7òo;;:¡(ör'š-¡;itflörma-;;¡¡:¡;iñt¡m¡ S;9ñitü;:,--------------------------------------------------·-- DU,Slqñ¡a--------------------------- , Ii CITY oj BAKERSFIELD ',r. .nd AOricu hurl ,--, St.ndard Bus .n.ss L-.: HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS Þ'9' .1!i at _16 '--' BUSINESS NAME: LOCATION: CITY. ZIP: PHONE II: OWNER NAME: ADDRESS: CITY. ZIP: PHON! .: RUDf ro nrsnr(1cr~olrS "'If nOrD CODa 11 lacet1111\ Ihfo, $tcncl In flCfltt, I 1 rAnS (od. l t y,", Cod. , tOys 111\ Sit' J 11111 "t , ....,- Untts , CaIIt Pres, " " CaIIt Us, t.., Code e Ave.-Iq, "t S Innva I Est NAME OF TltŠ ~AfJLl~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER IJ ,by 1ft Ie "- af .llItUf'e/eo..an.ntl Set 'Mtl'UCt t_ Physiul end "Nlth llerard Ir.Iwck .11 thet 'IIPI,) -X00ll________ ..1Q... CoIIpcNnt II ..., C.A.S. ...,.,. __Q.~lL___ ., ,..-, r-, r-, r-., .J fire "IraI'd L - -' Reactlyft, L - -' OItlred I. - -' SudcIen ..INn I. --' l-.dlltl ""'th 0' Pra-. ....'tll CcIIIpont 12 ..., C.A.S. ...,.,. ~t II ..., C.I.S. ...,.,. --------------... --- -- ,"'" ic.' IIICI ....lth Hu.rd IClwek .11 thet 'III,) :Dœ___ \.QQ_ ___-SÆ.yg;en ... . U.S. ..... --~ --- r--, ,.-., ,..-, ,.-, r-' .. --' fIr. llerard 1.--' RNctivtt, 1.--' 01'''''' L_-' SudIIon ..,.... 1.-.1 l-.di.tl ....Ith of ''''1Vf't ....Ith c.ean.nt It .... C.I.S. ....... c-t IJ ..., C.I.S. ....... __D_ ,"'" fcel IIICI ....It h lie. '" (thot'" 11\ thlt 'II',) U.S. ...... .ec...-nt 11 .... C.U. ...... r-, ,.-, ,.-, r-" ,..-., .. - .J fIr. Hu.,.d I. - J lleacltytt, L _.I OII.red .. _.I Suddrn II, I"" I. _.I ,__1.11 He.lth 0' ,1'11._ IIHlt" CœoonInt 12 ..... C.A.S. ..... -----.. . CœoonInt IJ .... C. A. 5. ....... ,-1_E_l____~.§____L___~£______1__15_º____J.[t__~Lº_~LL.LLl~_ I u.s. .....,._22L..2_=-1(£..~.7 Cœpantnt" II... U.S. .... Patients Units ,"'" ic.1 IIICI HN It" Nt..r4 I (lweI. .11 thet .,,1,) \ r-, r-, r-, r-" r-., .. - .J fl,.. H"lI'd I. _.I IINc:tiYhy .. - -' o.,.yM I. - -' $udd", ..,"', I. -"' I__fete "Hltll 0' 'rn,ure HNlth CœlCMnt 12 .... C.A.5. IMber c:o.o-nt.J .... C.A.S. IIuØIr ------- --- Iflt> Oxygen -----..--- ..--- ---- ---- ---------- ---- -------- ----- ---------------------------- ------ IIfAGflltT COIIlAC15 II n .i¡¡-~----------------------------------- "11¡-----·----------------- 71-RF-'fiåñi------- .¡¡¡-------------------------- 11t1.------------------ n,.p-PNIi\I------- Cerflfication IRf1l1d .nd sil!n lifter co.pJ~(Jnl! IJ/J sf!ctJonsJ i I 'c.rt'~ und.r lIMit, of '.W thlt I hi". ,",rson.ll, ....in'" end .. 'ntH.r wUh the tnfor..tton ,ubetttM In thl. IIICI .11 IttlChed doc_tl. IIICI thet bot,,,, on -r l!lCUtry 0' those tnclt"ldu.1t rnpon.lb1. I lo! :¡bt,',n,"9 the tntor..ttlll\. I brll."" thet thfO lubelntd Int_tlon I. tl'Ul. 'CCUrlt'. end co.ølete. 'i. Stijñitü;:¡---------------------------------------..-------·--.--- Dit¡-Stijñ¡¡¡----------------------------- I..' ¡ña- ~n¡; ¡¡,-' tfln'-ö;ñ¡;: ToDi;:¡fõ;:-On¡¡ñ¡;:7õ~;:iför·i-iüfliõi1iia_;:iöriiiñfmÿ¡ CITY of BAKERSFIELD rar. and Acricuhure '--' .--. Stlndlrd BUSIness L- HAZARDOUS MATERIALS INVENTORY NON - T H ^ D E SECRETS. PI"e .~2 01 __.1:6 BUSINESS NAME: LOCATION: CITY. ZIP: PHONE II: OWNER NAME: ADDRESS: CITY. ZIP: PHONE II: RÆnDl TO IÐrRUCf"IOIfS "'It n~pa CODa NAME OF Tft1S ~AgJL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , Irftn. (ode 1 11" Code ] !!all "t . Aver.,. "t S "'"vI I Est . "',,"" UnIts , IOyt on SIte , tont PreI, II 11 tont Un ''''' Code II lacet1Ø1 hre StCII"Ø In flClllt, u '''' 1ft It ..... of "'1ItvrefColleontnu Set 'MtructlClllf ') t:t.J U.S. .... __22fZ:-~¿¡..=L " . ;!¿f--------- ta.paMnt" ...., C.A.S. ...... ~----- --------....----- ---- -- , r-, r-., r-., ,..-, .J flrellarlrd L_.I Røctl.,U, L_J 1It1.~ L_J Sudden ..I.... L_.I '-.dlat. ....lth 0' ,,... ....'th to.øJntnt 12 ...., C.'.S. ...... ---- ta.paMnt I] ...., C.A.S. ...... u ~...1hfæ CcIIIpoMftt" ..., C.U. ...... _-DXY.gf:il 'Ioys ie.1 ""' 11M Ith IIlIard IChtck .11 tlllt 'I'" ,. -, ,..-, r-, r-, r-' .. - J fIre H.,,1"4 L _.I RHct 1.,1 ty L _.I lit le~ . _.I !iuddtn .. ,.... L -.. '-.d,.te ....'th 0' ,,...... ....lth c..on.nt 12 ..., C.A.S. ....... ---- ea.an.nt IJ ..... U.S. ....., . R('l PtlPl ---------- .---- ---- r-~ r-' r-, r-, r-'" .. ~ F I" H.,erd L S. J AHet I.,ity L _.I lit leytd L -.. Suddtn III",. LX J '-.dl.te Htllth 0' P....su... lite I th c..on.nt 12 ..., C.A.S. ..... ---------- ---- CcIIIpoMftt I) ..., c.'.S. ..... I . ! '''''iul end H..lth IIItard IChtck .11 tlllt ."Ir' 1_e...l___35_Q!LL__35.Q£L_l__Y.QQ-º-__J_GAllJQLLJl.Ll-LLLll;Ll_J6th St BQjJ. U.S. .... ___!i8i\_Th::.l~:;6.___ tc.\IØItnt II II.., U.S. IIuIIbtto -------. ---...- r-.., rs..-' ,..-, ~-, ,.-, ..x. .J Fire ".urd L .J IINc:tlylt, L _.I OtI.yH L _.I Sutldfll ..1..11 de.l l-.dlat' H..'th 1" Prlllvre H..It" C....t 12 ..., C.A.S. ItùIIbtr ------------------------------ ------ eø.ø-nt IJ ..., C.A.S. IluØeI' IIfRGfNCY tONUtTS ., 12 I;_-~---------------------------------"'· nn¡---------------------- '¡-n;:-pfiiiñï-----" q¡¡-------------------- nn.----·-------- n-w"-""""------- Can" intion (R~lId IInd sign IIrtf."r coapJ,.tJng .J J s~ct Jonsl I cert1f"v,uncI,,. I*\I1t, 0' 1.. tlllt I he". DlrSØI.l1y '1I..;ntd and .. f..lllar with t" 1nfor..tlØI svba1tt'" In thll end .n IUtchtd doc_no ""' tlllt besed ØI .., 111QU1ry of thol. InII1Ylclu.11 rll~II"1. 'Of ,bt."tnin9 t" tnfor..t1Ø1. I bill,,,, tlllt tilt lubattted inf_ttØl il true. ICtVrlt., lAd tu.ølet.. 14.: ¡ña- ~fìë i;1-( i(1f"õr-ö;ñirToÕ¡;:¡iÕ;:-OJl-ö;ñ.r7õõmtõ;:"iûtr.örm¡rm;:¡¡iñUnYi '( Si ijñitÜi:¡----------------------------------- --------------.-- Dit¡- Si¡ñ¡a---------------------------·- CITY of BAKERSFIELD r.r. .nd Aqricuhur. <--J .--, St.nd.rd Øu~ In.n <.-.: HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS ÞaC' 16. of _16 BUSINESS NAME: LOCATION: CITY, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: It8TD ro IlfSrRUcrIOlIS, roll PlfOPIIR CODIlS HAME OF Tft1S ~fILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1 'roM (ad. 1 TV" Cod. ] "'" "t . ''''''19' ut 5 -..-1 Est I ...,,"" Units } IOyt an SIt. , Cant Pres. 11 Cant T_ ' 11 VI. toft Boiler 11 lIuttan ......... 5tOl"ld In facility room 1] '''' lit 100 u __ of "btV"l,\:oIIoonInt. s.. Inttrvet IIN Trichlorofluoromethane ---------- -- ------------ Phy~ Ie. I ""' ".. tth Klr."" Ir.Nc~ .11 tMt .""Iy) tGIIpantnt 11 ..... C. A .5. ....... ----------------- ---- - ., r-, r--, r--, "11"' .I Fire Her.rd LS...I RNett,lt, \. _.I Del.~ \. _.I Sudden ..1.... \....1 1..I.t. ....lth o' ""'turI ....ltll ta.aønlnt 12 .... u.s. ..... ---- --- ,"" ie.1 ""' ....hh Her."" IChtck .11 that .""I,} c:c.,an.nt I] .... C. I. S. ....... BoUer Room ______ 100 _.QþlorQ.Q.ifluo¡,omethane ~t 11 .... u.s. ...... Pure Freon 22 --'"'-- --- ------- r-., r-, r--, r-., r-' ..*.1 ftre llllIrd \.£..1 hlcth"t, \.-.1 Del.yed \.-.1 Sudden "1_ \.X.I 1..let. ...., th o' ".....".. ...., th c:.onent 12 .... 1:.&.5. ....,. c-t IJ .... C.I.S. ..... __lJ_ ',,"tcel 11M! ....hll KI...... (Check .11 that .",1,) ---------- ----- C.I.S. ..... Room ~t 11 "'j, C.U. ...... 75-71-è) eo.øon.nt 12 .... C.I.S. ....... 75-37-6 tGIIpantnt II .... u.s. ...... 74 26 Dichlorodifluoromethane Difluoroethane --- ---- ~ - , r -., r - , ,. - , 'tr-' L * .J Ft,., H"... \. g.l RNCti,ft, ... _.I hI.," \. - ..I 5udtItn It",", ""-.I I"t". "..Ith of ,........ IIIIltll ----------- ---- JL______l____________JL.____________JL_____________J______l________l_______J_~Jl____---L______ ----- I '''''le.1 tnd ....It/l IInerd (Chtck .11 thlt .,,1,) C.I.5. .... _____________________ eo.øon.nt II .... C.I.S. ...... -------- ___e. r-., r-' r-,. r-~ r-., L - .I FI,.. "."rd \. _.I hec:tt"fty .. _.I hI.," \. _.I Su1Idtn .tl.... \. __.I ,Mldt.C. H..lt/l of 'rn.u.. H.. It II C-.ment'2 .... t.A.5. IIùIIbw --------------------------------------------------------- ------ eo.øon.nt II .... C.I.S. "'*"1' "f IIGEllty COlmCTS " 12 IIi. - ~--- - ------ --- ----------- ----------- T1t1i------------- ---------- 7.-R;:-Pl\õiiï------ .,¡¡-----~----------------------- T1ftl--------------------- n,.f-""""-------- C.rtlficatlon (Read .nd sign lifter co_pIp-tint! all sf!ctlonsl I c.rtH.y und.. ItI1Ilty of 1.. that I ha". ø.rson.ny ....intel end .. f..lIler with thl In'or..tlon su"lttecl In tM. tnd .11 .Uee.... __n. end thlt ba,ed on "" inquiry o' tholt tndt"lcIu." r"pOn.i"'. I~r I1btll'inl"9 thl IntClr'..tton. I \wll.". that tilt sublolned ínt_tlon I. true. .ccu,..t., end COIIO..t.. R'''; ¡ñër iHië ii ,- f if 1 i"õ'- ö;ñ.¡: ToPi¡: m¡: -OA-ö;ñ.¡: 7õD;¡:¡f õ¡:'š -¡ii( liõmirriøriiiñ( imi Siijñi(¡;¡:.--------------------------------------------------- Oif.- Siqñ;a----------------------------- ..·,·;;Äk~ ~'-'. ot... - ;?~"",.. \ '~-.-,., ~\ ,C ~ _J......}..... '-::¡', " , -- ·*'1........\ I ¡ ~~;,-j '('4 ~"- . ,..,.,/ ,..~-O!t> e e ,'~ \\\\¡¡IIIII/I~, ~\." ~'~"-.~' "I ':::,' , ,"- -'-.'~ .:§(+ .~ 'JS~ :::..c ".": ~ --:.~ =: :.~; '. ~ =/.:: ~\ :..::. /~ ;:,,:-._:': ' \.,'"J ~ "'i~lliíÍ~ CITY of B.-iKERSFIELD "WE C.-1.RE·· - J.L.RESEHDEZ It~De or prin~ name) RECE\VED fEB ' 6 '9&9 HAZ. MAT. OW. Do herebT certify that I ha·,·e revie¡;eà the attached Hazardous Materials business plan for 't-.fÇ;'1H~V ~()~1'T'T'AT. (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. /~~/ oV: -Ü;i1" ~e . / FEBRUARY 3,1939 date CITY of BAKERSFIELD J era end .Qr ;cu !turf L-J SUndartl BUJ1n.n ~ HAZARDOUS MATERIALS INVENTORY NON--TH^DE SECRETS "9' .J. of J.Ÿ. .USI"ESS ~~p,'/ LOCATION: /. (./. ~ C lTY. ZIP: 9~O/ PHONE ": (!f?ø5) .1.2,7- ~~ 71' OWNER ADDRESS: CITY. ZIP: PHONE ,,: ¿') RUlUl IlISrRUcrIOIIS "'If nOPD CODa NAME OF TinS ~S;IL!TI: STANDARD IND. CLASS COPE DUN AND BRADSTREET NUMBER '/~ I , r "", (od. I Iyoe Cod. J .... Mt . AYff'''' Mt s annu, , Est , ".."," Untn , IDyl an Sit, . Cant I"" t Cant Pret. " II Cant Ut, I.., Code II locettan """', Stored In fKt lit, IJ ,by lit II "- of _ht"",'CoIIoonent. Set '"'tl'llCt t_ u MR..L-___________ 19..Q. JitLQgQ!1______ to.paMnt" ..... C.A.5. ....... '''''';(11 end ""hll 1Ie..~ ,n..d .11 thlt ,,,,,I,) .. "'r"' ,.-, ""t7, r-.;r, "flr.II...r4 \.';:¡.. I_tl.lt, \. -.. 0.1.,... \.~.. Sudðtn "'HII ~.. l...tl... ....Itll .f ,,..._. ....Ith --------------- ----- - c:o.ø.-t 12 ..... U.S. ....... --- -- ---- c:c...-t IJ ..... C.A.S. IhMer JL Boiler Room ____l.Q'O __~itro&.en c.,anent" ..... C.U. ...... ---~ ---- r-, r-., r-., r-., r--:t L -.. fir, Ha..r' \. ~.. ltøctl.lty \. -.. hi,," \. X.. SuiNtII 111_ \. -Xi '...tl.t' ....Ie" of '"'...... ....lth to.paMnt 12 ..... C.A.S. ...... to.oanIne IJ .... C.A.S. ...... u --------- --.-. '""Ie.1 ""' ....lth Ha..~ I('*:II ,II thlt '''''y) C.U. ......._ Cylinder Room CoItttanIttt" lIMe.. C.U. IhMer 100 Helium ---- ---- r-, r-, r-, r-" r-' L -X.I Fir. "...1'4 LSo.. Imtl.tt, \.J(.. 0.1.," L)(... 5uIhIfn 1t.'HI. iX... 1....1... ""Ith of ,......,.. ....,tlt ec.oan.nt 12 ..... C.A.5. ........ ----------- ---- ec.oan.nt IJ ..... U.S. IhMer -E.._L_Q~{L__LQ~{>________LH~~90Q.__L~___'_ .3G5 lJl4._1L.J..L.l?.L--L....MB I 'hrJtcel end "Nit" II...,., C.A.S. IhIIIIIIr 7440-59-7 C-..anent II It.... C.A.S. ........ $!'4CII ell tlllt .",1" ------------------ 100 Helium ----- -------- ----- r- - , ,.. - , ~ - , ,. - ., rv' L -X.I 'Ire N,r.r" \.~J hlett"It, \.-Xi 0.1.," \.x.. Sudd~ ..1.." LA.. 1....I.t. H"lth of 'r"'ur. "..ltlt C~t 12 .... C.A.5. ~ ------------------------------... ------ ec.oan.nt IJ ..... C.I.S. ItuØIfo \ IIfIlG(IJCY COIII'CIS I .¡~_Kf¿~Æ¿1 ~~--b~~.5~~~~~;:."tIOn.-;--. "1,; ~~_:=_~.!.t!~~~2~~~t_:~.t?7 i.C'rllllclttan (R~tJd .nd sign "ffrr coapl"tlnl! all sf!'cHonsl ',I certlly und.r ,",",It, of 1.. thlt , he". .,.rlanelt, ....in... en" .. f..tlf.r .nh thl tnforMUon I fn IIor P$tlint", the tnfor..ttan. 1 "".... thlt tilt lu_lttllt ¡nl_Uan II tMII, teeur.", MId eOllIl t.. ... . ¡ña- õf fìë 1 ¡ 1- f 11 liõl- ö;ñ.¡: Toii¡:¡tòr-DlI- õMõ.¡: 7óø;;:¡( òrTiiif flörli¡n.ø;:¡iiñf in;¡ ? I end ell ,UK"'" doc_tl. end thlt ""lit an ., fnQUfry of tho.. Incll"ldu,l. r"pon.fbl, -----~-~-- ~~~~--------------------- CITY oj BAKERSFIELD I.r_ .nd .qrieu hur, '-' .--. St.nd.rd Bu"n", '-- HAZARDOUS MATERIALS INVENTORY NON-TH^DE SECRE'rS p..,. 2.__ 01 _lfi BUSINESS NAHE: LOCATION: CITY, ZIP: PHONE .: OWNER NAHE: ADDRESS: CITY, ZIP: PHONE .: R.U'8R ro IIISI7lUCTIOIfS TOIf PIfOPIlR CODa NAHE OF Tft1Š ~f~Ll1X: STANDARP IND. CLASS CODE DUN AND BRADSTREET NUMBER , , ,,1ft' ( od, 1 ¡Yilt Cod, ] .... "t . A..,.etJ. "t S Annu.1 Est , "'.."'" UnIts t .'" an SIt. . Cant Typt , Cant Pml " " Cant Un I..", Code 12 loeat 1an 1Ihtr. Stored In feci Itt, " 'by lit .. __ of .hltvre~U See Inlt/'VCt 1_ '"",, ie.1 ""' It.. hh "'",., If.hKlt .11 that .",,1,) ..A r-., r-., r-., r-., L~lr. 1I."rd L_" leectl"lt, L_" Del.," L_..I ~ ..I.... L_..I IMldllt. "" Itll 0' ,,..._. ....Itll 07 t.A.S. .....,. ___G1.:!El:1!___ us.~_______ _illl J.<io.p.r.opau.o.L_________ tc.paMnt 11 ..... t.a.s. ..,. ----------- ----- -- c.aøn.nt It ...., C.a.s. .... --- -- eo.,on.nt IJ ..... t.U. .... JL s-_ -1l . {soprnp::mnl ~t II ...., t.a.S. .... ---~ ---- ~ lC fIr. "',.r. [])J IINctl"tt, r:J Del.," DrJ SuMon ..1.... Dr] 1...,ln. ',,"It II ot 'NIIIVrI IIMltll ~t It ...., t.a.S. ....,. ~t IJ ...., C.a.s. ....,. u 99 Iso\?ropanol -----..--- ...--. ,"" Ie.' end 11M Ith .....,., ((hick .11 tlllt .",,1,) t.a.S. ....._ CcIIItIoMnt II ...., u.s. .... ---- ---- .. - ., r S"" r - ., rx ., ~., L.x.. Ft" "".rel L_J INCtt"lt, L_" Del.," L_..I Sudftn 1.1.... &.j-.I '....I.t. 1I..lth ot ',....url IIoIlth CcIIItIoMnt 12 .... I C.A.S. ..... --------- ---- eo.,on.nt I' ...., U.S. ...... ~--1__J_Q_____L___lfL____L____!j!!.__.J0iJJ.l_3illiL..QzJ_....l....L.L12.z._L..s.wgeI:Y Depawnen t , I. '''rIlcll tneI "..It" "'an t.a.s....... r.7_{:3J1 C.....t 11 ...., t.A.S. .... : ((hock.1I tlllt .,,1,) __w._~ ~--------- ..Jill Isnprnp~nol ---- -------- --.-. r:-., ,.-, r-, r-, ,..-, LX-" FI". Muerd L~" a..ctl"h, '--" Dr1.," ,-X..I SucIcItn ..1.... i..X." '....I.t. "..Itll ot '''".ur. 1I"lth c.....t 12 II.... C.A.S. ........ ------------------------------ --.-...- ~t I' ... I C.A.S. ......1' , fRG£IICY COIIrACTS It 12 ¡..-~---.--------..--------------------- T1('¡----------------------- n-R¡:-'Mñ¡------ la¡¡------------------------- ttttt------------------- 71,.'-Pl\Mt------- hr, If Ie.t Ion (Reed and silrn ,,('(!Or co.pJ,.Unlr all sections} I c.rt lIy unel" "",It, 0' 1... that I hay, ",son. n, ....;ned one! .. ,..tiler .ltll tho 1ntor..tlan subllltt" In thl. tncI In .tttclllcl __U. '"" that ",.ed an ., llIQUlry 0' those Indl"lcIu.l. ""IOII.I"I. 'or IIbtlini", the Intor..tlan. I bill.", tlllt tilt .vbllltted In'."...tlon is trut, .ccurett, tnd c_ol.tl. ... - ¡;;a' óJfìë ì¡ 1- f If 1 nr - ö;ñ.¡: ToPi;: m;: -011- iiMi.¡: 7óiim (õr~i - ¡;;( r.õï=iiin.¡¡:¡¡¡;¡( imi Sìq¡;¡(ü;:,---------:---------------------------------- ---------- Dit ¡ -Sl¡ñ¡¡------- ---------------------- i'" ~ i I CITY of BAKERSFIELD , .r. .nd IQricu hurf '--' ,.--, St.nd..d Bu,'nfSJ L_ HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS P.'!f .3__ of Hi. BUSINESS NAME: LOCATION: I CITY. ZIP: PHONE II: OWNER NAME: ADDRESS: CITY. ZIP: PHONE II: JmrÐl TO IlfSrRUCTIOIfS rolf PIfOPIlR CODe NAME OF Tft1S LAfJL!1!: STANDARD IND. CLASS CODE PUN ANP BRADSTREET NUMBER , 1 'rI"" I," (odf todf ) lie" "t . a.,.,.. "t 5 ....... , £It . .....- Untts } lOp an SIt' , CcInt ,..... " n tant Ut. 1.., , ' CoM Il loe.t1an !hr. Stored In F«lIlty Warehouse 1) 'by 111 70 u "- of "ht_'eo.eon.nU SM InttrvctfOM !soE~~P~l..__ ------- --- Phy,lul IfId H..lth ",,,1'4 11:1...:. .11 thlt .""Iy) u.s. ......__£7 -: fj fi - 1. Co.panenc" ...., C.A.5. ..... ---------------- ---- -- ..~ "l'" ,.-, "v, ,.V" LWlr. H"...4 L~.I leect'''U, L_" hl.yØ LA.. Sudden ..1.... L".Jo..I I...,.t. lie. It" ., ,...._. .... hh ec.aør-t 12 ...., U.s. ..... --- -- ~t.J ...., C.U. \IuIIW ___~ropanol --"'-- ---- -------- "V' ,.~, ,.-, "X' ")é' L ö" fin ",,,r4 L.:J.I heetl"U, L_" 0.1..,.. L._.I ~ "1_ L._.I ,,,,I.te ....1 th of h'ftnrt .... 'tit c..-nt 12 ..., C.A.S. IIIMr c:o.oan.nt IJ ...., C.U. ___ Endosco Unit 2Q.. -1sopropanol ---------- --.-. 'hywlct' end ....lth ",1'1'4 Ithlell .11 thet '0111,) ~t" ..., C.U. .....,. ----- .. ~., ,. ~., r - ., rx ., r.x:- ., L A.. FIr. H.,,1'4 L..t.>.. leecU"ft, L _.I hl.yH L -.. !Iud"," 1.ltn. L. _.I 1...I.t. H..I th 0' ,.....u... H..lth ~t, 12 ...., t.U. .... -------- ---- c..-nt IJ ...., C.A.5. "-IIIr -L-5.{j_____L___J2li_____L____foQ.__1Q_ª1~L_qzL_LL1_1.9_?_L_Ë_ast wing ""'le.1 end H..It" ",..1'4 C.A.S. ........ to.tIoMnt" ...., C.A.S. .....,. (thee" .11 thet .,,1,) ------------------- - Sodium tripolyphosphate ----- trichlorethane -------- ----- ..-., "''5'' ,.-., ,.-., r-vo L - .. r Ir. HIl.rd L -.. IlNet f.,hy L -.. De l.yH L -.. Sucldtn ..1.." L...J\a l-.dl.t. Hulth .f 'r",ure H"lth C~t IZ II... C.A.5. IMber -- -..... ----------------------------- ------ ~t IJ ...., C.A.S. ..... , :lIflfGfllC' COII'.C'S " \ li¡¡f~----------------------------------- T1fU------------------- 7.-RF-PIiõñi----- IZ RI¡¡--------------------------- 11t1.--------------------------- l1-W'-Pfteft'------- ."Ulcttlon (Rf!lJd .nd sign lJ,tcor co.p/~tJnl! .11 sf!ctlons , nrtlf~ und... NInth, .f 1.. thet I he". ~rlon.l1y ....In~ eM .. ,..IIf.r .lth t" fnfor..tfon sUMfteed In thll tn4 .11 ,ueehed doc_no tn4 thet ""'" an ., I""'Iry ., thol. Incll"ldu.b r"pon.III" , r :t1""nl"9 t" fntor..tlan. I MIi..,. thet t_ ,,,.Ittl4l Infor-.ttan I, trve. ICCur.tI. end clJltOl.te. I 4_ . iña- õJJìC ii)- f if lnJ-õ;ñ.;: TaPi;: ¡ ¡Ö;:- DI-õ;ñ.;: 7õ~;:¡f òr' i-¡VI F.öriiiniòriiiñl itiŸi 5iijñitii;:¡---------.------------------------------------------ llit¡- Sl¡ñïa----------------------------- ?> CITY of BAKERSFIELD , .r. Md .qr Icu Itur. '--' .-. Stendard 8u, ,n.1S L- HAZARDOUS MATERIALS INVENTORY N 0 N - T H ^ DES E eRE T S 4 IG hq. ____ 01 ____ 8U51NE55 NAME: LOCATION: CITY, lIP: ""ONE .: OWNER NAHE: ADDRESS: CITY. lIP: PHONE ,: IUU"JUl :ro nrSrRucrroKS roll PIIOPD CODa n loeat tan !hr. Stortd In hctllt, ,,,,,iul " "..It" Hare1"4 C.A.5. ..... _______ lOW'(. ,II tlllt ,pI,) I Moa r~' r-, r-, r-' <I'f,. ""I'd L'>L.I Ilneth'U, L_.I Del,,.., L_.I SudHn 11.1.... '-~.I l-.cIt.t. lie, Ith 0' ,,..._. ....Ith , (" i u I', '''rs Ic,l end "" It II "".1"4 Celled .11 tlllt ,,,,I,) c.a .5. ..... r -., r$"' r-' r-, r~' .. -.I '1,. ",'I'd L_.I IInctl,,'t, L_.I De"" '-_.I Sudden "'1_ L~.I ......t.t. ....1 th 0' ,",1Vf'I ..... ell ',,"fcel .... ,,"lth ",..1"4 , IU.II.11 thlt .",1,) C.A.S. ...... ~x:: rt... "...,d [~] Rneti..ity Dr] hI,," [~~ 5ultdtn 11,1.." pr~ .Mldi." "..Ieh .f ,......... 11M Itll East. YVingJ~fl29!___ _!"Q.. to.ponene ,II ..... C.A.S. .... CoIIQøMnt 12 ...., C.A.S. .... ~e IJ ..... C.U. .... East Win ---- NAME OF Tft1s ~f~L!~: STANDARP IND. CLASS CODE DUN AND BRADSTREET NUMBER 1] 'by 1ft It __ of .f.evre/c-tt Sft InttructtGnl tl'y'dr0.£2,rb0..!l Solv_~JJL____ -----------..----- ---- -- ---- ---~ ---- ----- -- ----- ------ c:.,an.nt II ..., C.U. .... c.eon.nt It ..., C.&.S. ...... c-t IJ ..., C.A.S. ....... 27 Laborator ~hð'-~cf C.U. ....... ~t 12 ..., C.A.S. ....... G7-5G-l CoiImtnt I) ..., c.a. S. IIUIIIItr C .A.S. ....... _________________ ______l_______..____JL.____..___..__.JL_____________J______l________l_______J_~Jl_..JL______ r-, r-' r-, ,.-., ,.-., ~ - J '1" """d L_.I IIftctt..h, L_.I Otl,ytd L_.I Suddtn 1I,I,tI, L_.I '-.cIllt. "tilth of ""lUre "..ltll eo.øonent I. "_, C.A.S. .... 127-09-03 COIIICInIIIt It ..., C. A.S. IIIiebtr ~t II ..., C.U. ...... 7 5 .... ¿. -- Potassium Hydroxide Mono Ethanolamine Glycol Ether EB ---------- ----- 4 Formaldehyde ---- ---- ...L 1 ::\4ethatlo) ---------- ---- Sodium Phos hate Diabasic _____T c t te Odor Mask --------. --..- -------------------------..-------- ------ I IlfAG(IICY cønAC'S II n ! lIi¡¡-~--..-------------------------------.. Tun----..-..--------..----..-- 71-R¡:-Pr.¡¡¡¡¡------ 11.11---------------..---------- "".-..----.----.-----..- l1'11P-PI\I/\,------- Irtlllcatlon 11l.u.d .nd sign IIftc-r co_p/p-Ung .11 sf!ctJonsl II nrtlfy unit., ",",lty of 1,. tlllt . he.. "'san.nt-....ined end 'I f..tli.r .Ith thl fnforllttan sublttted In thl. and .11 .uee'" doc_tl. and tlllt based an ., fnQUfry of thol. tndl..tclu.l. r"OI1.t"l. jl.. ~ .~:: ::rl,~. :~,- ,Int " l~:rt ~:~. ~ Ta~~ ~:~:_ :0111.: _:: _7s:.. ~: (t =~~::~I r~:~:~~: _::~_ 1(:C,Ut¡_:t,. ""'5:::,1:::~----..--..---....-------..----..---..-..-------______________ 'Oil. -st--~~-----..-----------------------. ,... ...u 0 IC It . 0 -,.r Olllr,tor _., ODf'r, or , IV no.- "'"" '.ortS"'. '"~ '9"' u,. . 9"'"" I . \., ~ I . I CITY oj BAKEI~SFIELD hr. and AcriclI hllr, .---. Sund.rd 8us In,ss '-- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS h", .5__ 0' Hi.. '--' 8\JSINESS NAME: LOCATION: CITY. ZIP: "HONE II: OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: IUtrD :ro IlrSrRl1crIOItS rolf rRor"" CODIt!J HAME OF Tn1S ~~~L!~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER I 1 I un, 'ylIe (od, Cod, J ..'" AIIt . tant T", , tGnt Pm. . b.n". ... 5 ........ I ht I .....- Unitt , lOp an 5'" Phy';ta I end H..lth ",..1'4 If.hK'' .11 thlt .",,1,) t.A.S. ...... _____ . ~..Ir. Hmrd [:~ liNe""" [::; o.I.y" [:] $uddin ..I.... [:J ...,..t. ... ....Ith of ,,......... ....Ith Hem9dialysis_______ -- ~t 1\ ..., U.S. IMbr 50-00-0 toIIaDnInt n ...., t.~s. IMbr 67-5u-1 ... '.C.I.5. ..... " It tunt Un T... todt U lotlt 1an 1Ihet-. Stcncl In he' lit, .""Ict' end ""hh "...1'4 IthKk .11 thl. .",,1,) C.A.S. "'-""___ ,.-, ,.-, ,.-, ,.-, ,.-, .. - ~ FIr. "'..r. 10 -.. IlNett,lt, 10 -.. 0.,.,... Ie -.. SuiIIhn ..I.... Ie -.. ......,.t. ....Ith of ,,...tvr9 11M Ith 1''''' le.1 end ....lth ",..1'11 Ithee¡ .11 thl' .,,1,) 74-R(ì-~ J{' "C'"' r-, "x" !X'"" .. .. IIr, "11.1'4 L'ol... .Net!"" Ie_" 0.1.,... 10_" WtItn 1t,1"" \:-.. I....'." ".. hh of ,,....urt ....1 tll I , I , I --, ,"" Ie. I .... "..I," III,.,.. ,thee. ,II thl' .,,1,) IJ 'by lit II __ of "bturt/Colloontntl Set Inatrvct I ant --------------- __1 ~œ:m.alrle.b..)lrle...-- ---- -- _.L_ : Methanol ---- 1 Sodium Phos hate Dibasic --t-- ---- ------ -- ----- ~t 1\ ..... c....s. ...... 127-09-03 c-o-nt It ...., C.U. ........ eo.an.nt II ..., C.A.S. ........ ~t" ..., C.u. ...... ea.øonent It ...., C....S. ...... CcIIIpontn, II ..., C. A. S. ........ '-~_L_~~_~___L__?_~Q_____L_!Q90 __J.!!___L~_~I~~L_U.~___l_~ 1 I u.s. ...... _____lMD..:liV_-:l___ tcIIIIontnt 1\ ..., u.s. ...... Aux Supply Room - - ,.-., r-, r-, r-" r-., "X ~ FI". M,,'r. L:¡;J hectlvlty LX.. 0.,.,... LX... Suddtn tI,I..u lej(,j I....'.'. Htllth of 'r".ur. "..lth Co.panent It ..... C.A.S. IhiMtr ea.øonent II ...., C. A. S. "'-bI1o 2- SodilllTl_ i\c"ta.t~ Odor Mask ------ --- J.llil ..-L\.cet y len e -----...---- .---- ---- ---- -------- ---- lOP 1It=;?///»I- --------- ---.- ----------..--------------.....-.. ------ "(RGENU COIIfACfS " n II¡..-~----------------------------------- "(1¡----------------------- 7I-A¡:-PIiõñi------ I'¡¡----------------------·-- 11("·------------------ n",.-""""------- \f,rlllteIfIOll (R"ad ."d sign aftrr co.pJ~tJnl! aU spctlonsJ II crrt Ify und." """ It, of I,. thl. I hlv. "".an,II, ....iRed ""' " f..llt.r with thl 'nfor..t'on ,v.'tt'" In thlt II1II .11 .UIe"'" __tl. .... 'hI' bI.1d an ., 'lICV'ry of thot. 'ncll,lcIu.l. r"IOII"" I. '~or :>lIlIlnl"9 ,he Infor..ttan. I bllI.y. 'hlt tilt .".Inld in'_t Ian i. true. .eeur.t.. II1II e.-ol.t.. I .. - ¡ña' õ' T ië ii ,- (if lnT - öW;.¡: Toõf¡: it õr -DR· öW;;¡: ]õö;¡: i tõrT ¡¡¡t Wma-;:;øriiiñt ¡n;; Siqñitü¡:¡--------------------------------------------------- \lit i -S lqñ¡a----------------------------- I i·· ~ CITY of BAKERSFIELD JI'. Ind .Q.icuhu.. '--' ,-, Stlndl.d Bu,.n.n '-- HAZARDOUS MATERIALS INVENTORY NON ,- T H ^ DES E eRE T S P'9' qm 01 !_~_ 8IJSIHESS NAME: LOCATION: CITY. ZIP: PHONE ,: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: RDD ro IIfSTRUCTIOIfS TOil PIIOPIDI CODa , ....'u,.. Unin , IIIyI an Site I Cant Pm. 11 11 Cant u.. t..". Code n loceUan """'. Stored In Fac:1 lit, , I...... (od. l 1," Cod. J ...~ "t S Annu. I Est . Inrlq' "t u w:...cænt.raL__ -l 'h"iClI end "..lth Mare'" C.I.5. ..... _..:z.5,;2J.;~___ to.panent II ..., C.I.5. .... 'Owe. .11 thet .",,1,) . "70' ,.~, "-,:/1 ,.~, to.aønentl2 ...'C.I.5..... t: I,.. H,,.,., L.i:)J RNCtl..llr L ÀJ hl,yed L.Ju SudcIen ..I.... L.J!u l-.dl." IINlth of ,...._. ....Ith to.panent I. ..., C.I.S. ........ NAME OF Tft1S ~~JL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 11 ,by lit It __ of IIlxture/eo.oonent. See IMtruct 1_ _IlihyJ.CDc-Qxide... ---------------- ---- - --- -- --- _ .lJ. 'hrtic.1 end ....lth Her.... ICheck .11 thet .""Id --~ ..--- C.I.S. ....._ ~~~ Flr.Mam' [~] hlcUyttr [:] OII.yed [:] SudØI..I_ Dr~ '...Iltl .....th of ,....""" ....lth to.panent 12 ..., C.I.S. .... 497-19-8 eo.oan.nt II ..., C.I.S. .....,. u First Floor RT area to.panent II ..., C.I.S. .....,. 'hrt Ic. I IIId ....lth Ma..... ,theck .11 thet .",,1,) C.I.S. ...... "'C' "'S' ,.x' ,.-., ,.x., · _.J FI... H...rd "_J RNCtlYlt, "_J 011."" "_J Sulflftn R.I_, "-.I .....I.t' H..lth of '''''.UI"I H..ltll to.panent 12 ...., C.I.S. ........ to.panent II ..., 0.5. ........ _ML_JJ~Q___L__!i3)L___LJ):1.90 __JJ.t_.L_3.illLLJllj_l~LQ.Q.J. Boiler Room 0.5. ...... _________________ eo.o-nt II ...., 0.5. ..... ,.-, n::-' "v' ,.-., ,.u' · - .J '11" HIl.rd u.~ J IlMetlYlt, .. ~J DlI."" .. _.I Sulfdl!l'l .,I.ts, ..A.I .....I.t. H..lth of 'r",ur, H,.lth C....t 12 ...., C.I.5. IIüeber t;o.ponent II ...., C .1. 5. ........ Soilm~~tpr -L Enzyme (prot f'~~e) 5.5- ------ ----- .1JL. 30 Isopropyl Alcohol Wat~r ---- ---- -------- ---... Dkhlorodtf~ane Halocarbon - 12 -------- ...-...-- ...-...--...-...-------------------- ------ IIf RG(IIC' COIIIICt5 II 12 II¡¡¡-~----------------------------------- "(li----------------------- ,.-RF-Pfiõñi------ ..11------------------------ "".------------------- tt,.r-PIIII/II------ CenlfiCltion (lifted end sil!n lifter co.plr.tlnl! ell sf!ctlons I cert lIy und.r """ It, of 11. thet I hev, ,",l'Ionl II, ....in'" end .. f..1 Ii.r .lth tilt Infor..t Ian su..ltt'" In thlt .... ,11 IUac:htcI __tl. IIICI thet bls'" on ., inQUiry of thol. InIfII' IcIu. 11 r"pon.lbl, fo. :Jbllini", tilt Inf",..ttan. I blliIY. thet thl 'u"in'" Inf_tlan is trut. .ccur.tt. Ind cOlDI'tt. I.. - ¡ñ¡r õffìë i¡'-, t(1Põ'-~;: roP;;:¡¡õ;:-DR-¡jM;p;:7õõmtõp¡-¡¡;(fiõriiia-;:pj;:iiiñ(i(i¥i :- Siijñ¡(ü;:¡-------------------------------------- ------------- Ðifi-S19ñ¡a----------------------------- CITY oj BAKERSFIELD II r... end .o~icuhurt '--' .--. Stende~d Bu,.n,,, L- HAZARDOUS MATERIALS INVENTORY N 0 N- T H ^ DES E eRE 'I,' S PI." ?___ of A~ BUSINESS NAHE: I.OCATION: CITY, ZIP: rHONE .: OWNER NAHE: ADDRESS: CITY, ZIP: PHONE .: If.UD ro ntSt'RucrIolfS rolf rlforD CODa U loeattCIII 1Iher, Stored In fecit Ity , 1 Irftn. ',l1li (ode tode , Cont ...... II 11 Cont Un t..", Code J .... "t S Annue I Est I .....v... linIn , lOre CIII SIt' . Aver.." "t NAHE OF Tft1S ~~ILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUHBER IJ Uy lit It "- of .t.turt/eo.on.ntt See IMt~t 1_ Qrato~________ 190 CoIIponent 1\ ..... C.A.S. .... P"y,icel end ....It" ....," I Ir.hK. .11 thet .",,1,) I I . ~-, ~-, ~-, ~-, I _ Ir. H...~d LS... lIuc:th·tty L_" hIe,.., L~" SudHn hI.... LX.. l-.cIlet. ....It" 0' ....._. ....It" ........t 12 ..... C.A.S. .... __l1.Ygrogen___ --------------- ----- --- u eo.,on.r.t IJ ...., t.A.!. ....... Warehouse Solid Power Det ._-~ ---- C.A.S. ......__ ------ -- ----- ------ Phvt ieel ""' .... hh M...rd ICt.ck .11 thet e""I,) ~ .ÑA'lr, .....rd ~1 ""ctlvlt, [Zl hI"'" [Xl WdtII hI.... or] 1-.cIlet. ....Ith 0' ,......... ....lth ec.øonent II ..... C.A.S. .... 1310-73-2 tc.IIoMnt 12 ...., t. A.S. ....... 7758-19-2 to.Dantnt IJ .... t. A. S. ........ '""le.1 ""' ....lth "'.Ird IChlck .11 thet .",1,) Cylinder Room 1st t.poneftt II ...., t.A .5. ....... 100?4 97-'? r-., rc-' r-, rv, rr' L -X.. FIr. "I.erd ~.. ...cttvtty L -.. hltyH L~" Suddtft 11.1.." L~" 1-.cIlete M" Ith 0' ......"... "..lth c.oanent 12 1_' C.A.S. ..... CoIcIontnt II .... t.U. ..... .J'1._LJ~L___LJ?.1_______L.5.Q9___J9~H 365 L2--º-L-l.J.~l£~__1_!larehouse _ ',,"Icel ""' M"lth ",..rd C.A.S. ........ (Chtt¡ ell thet .".,) ------------------ to.øCIIItnt II 1_' C.I.S. ..... 111-30-8 Ca.IOMIIt 12 1_' C.A.S. IMber "x.-' ~C'""' ..-, ~-, ~."..., L .. Fir. H..erd ~.. hec:ttvlty L -.. IItle,.., L -.. Suddtn 11.1.." L~" 1-.cII.t. H"lth of 'r"svr. M"hh ec.,on.nt IJ .... C.A.S. ......r ~ ~()rH 11m Hyrlrmd riP -L Nitrous Oxide ---------- -.--- --- ---------- ---- - ----- 3- 97 Inert -------- ___e. ------------------------------ ------ "fIlGfNt' COIIIACIS " II lIi¡¡-~------------- ---------------------- T1tl¡----------------------- n-Af-pr.õñ¡------- 1l1i-----------------------·-- 1'(11------------------- l.,.~-""""------- hrrtlicetlOft (Rt!.d end sign .ftrr co.plr.tJne .11 st!ctJons' 1 ctrt"y und.r """lty of 1.. thet I hev, DtrSClllel1y ....in" end e. f..tller with the tnlor..tiCIII svblattted In this end .11 Ittec:htcI __ts, end thet IItS" CIII ., IlICIUtry of 'thos. Incllvh'vel. r"JCIII.lbl. 'or :JbUinl"9 tilt In'or..tlCIII, I "'Ii,v, thet tt. sublaUted Inf_tlon it tl'Ut, "eur'!I. ""' cu.lllet'. 14-. . ¡ña- õ' I ië ii r f t f liõ' - õW'i'¡: 7õõmi õ¡: -OR- õW'i'¡: ]õ¡¡;¡: i f ör~i ïü( fiõriiin.öriiiñ( niŸi ~ 5iijñi -tü¡:¡------------------------------------------------·-- Oit ¡ -Slijñ¡a------- ---------------------- CITY of BAKERSFIELD '.r. .nd Acrieuhurr '--' ..-. St.nd.rd 8u,.n.n L- HAZARDOUS MATERIALS INVENTORY N () N ,- T H ^ DES E eRE '1' s "9. .8.._ 01 16_ BUSINESS NAME: LOCATION: C ITV, ZIP: PHONE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,: UrD ro IlISrRUcrl01lS "'It PItOPD CODD NAME OF Tft1S ~AfJLX~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , 1 Ir,,", 'YII' (od. Cod. J .... "t . Aver'9' "t s __I ,Est I .....- Units 1 10,. an Site . Cant I," I Cant "'... " If Cant v., I_ " Code '. U locat tan 1Ihtr, Stored In fact lit, It 'by lit It __ of IIbture/eo..or-u Set In.truet 10lIl "'y'iU' end "Nhll He"N! C...S. 1IuIIIer.___ If.lw<ck .11 thlt .""I,f ~~ ,. s:' ,...y-, "'(1'" 1\1'"""' L""'Ir, "."rel I. .. RHCtt"tt, I.h.... hl.yed I.A... SucIcIIn hlN" It\-.. 1-.cII.t. ....Itll 0' ,...... ....ltll us.e.....__._._ _._ ta.pGnent II ...., C.~S. ...... 1310-73-~ .~ eo.aør-t 12 ...., C.A.S. ...... 7758-19-2 ~t IJ ...., C.u. ..... ---------------- Sr.,4 . U",4'Y>, . d ~J..1JllL.1U~O)5:J. e ----- - ._.1. ~_CIJJ nri Of> ---- -..-- ----- - __a...- ..___ 'hyJic,1 ""' IINIUt Her.N! 1(1w<c. .11 thlt 'ØlI,f C.A.S. ... ~c" ..... c...s. ....... -------- ..-, ,.-, ,.-, ,.-, ,.-, L -.. fl,.. He,.rel 1._01 haecl"lt, 1.-" Del."" 1.-" SuH4III hI.... 1.-" 1-.cIlet. ....ltll 0' ""'..,.. ....'tll ~t 12 ...., C.U. ...... to.oanent IJ .... C.U. ....... '''''tc.1 tneI ....lth Mer.NI I(hec:k .If thlt ."1,) C.U. ...... , Cylinder Room CoIIpanent" .... C.U. ....... Compressed Air ------- ___a. ---- ---- r-, ,--, ,.-, ,.-., r;;-"t '- NA'lr, H...,eI L,g.. RlICtt"lt, 1.-" "'I.yed 1.-" Suddfn .,INt. ....... '-.cIt." H"lth 0' ,.....u... ....It" CoIIpanent 12 ..... C.A.S. ....... ----------- ---- CoIIponent IJ ...., C...S. ..... _!!l_._.?..92__L._.?.92___.1...!200 _..J~__.l3.65......L.Q~....L.LLlLl_ill_. Laborato:r.L. '''''Ic.1 end HNltlt MeflNl C.A.S. ..... CoIIpanent" lIMe. C.A.S. ~ IUlltk .11 thlt ."1,, .--.-...--....--. - Blood Gas Mj~ture ----- -5... -------- ----- "]:' ~, r-, rx, "'X' '- J fir. Huarel ..,- ~ RHc:ttvh, L - J "'I.yed I. - ~ Sucld... ..1"" I. -" 1-.cII.t. ""It It of ""lure ""It" C."anent 12 ...., C...S. IIùIIIIer 1S! . px.y,gen_...___.__.___._________....._ _._... CoIIpanent IJ ..... C...S. ......, '" RGENt' CØIlACTS II 12 lIi"- :---------------.--.-----------..--- "Il,-··..·····-··········-- 71-RF-Prw¡¡¡,···-- 11';;·------··-·-··-····-·-··· nt1l·--·---·-····-····· n-..r-PIIðII'-·--·-- .cart"lut'on (Rf!lJd IJnd sign Ifft~r co.plr.fJng .11 sf!cfJons ;' eartlfy undtr """It, of ,.. thet I hi.., """".l1y ....ined end .. ,..lIlar .Ith the tn'or..tlan Ivbattted In thi. en4 .11 .UlChed __til. end thlt bI,ed "" ., tlltUlry of thot. Incll..tclu... '"poII.lbl, jlor ßbllinl"9 the I"'or..tlan. I billa... thlt tlw 'vbaltled InlortNtlon Is true, .ccurete, end cu.øl.ta. I IR... - ¡ña- õTnëii1- f n n-õT- õWñ.;:7õøP;:¡(õ;:-OR-~.;:7õpm(ör·ï¡¡¡Ifiõriiin.ör;¡iñlifm SiqñiIü;:,·····-·······--··---··-····-····---------·-·----..-- DiltSlijñ¡a----·----··----------·-..·--- '" .... , - I . CITY of BAKERSFIELLJ , or. and _cr. Icu hurt ,..-, Standa.d Bu~.nfn L- HAZARDOUS NON MATERIALS INVENTORY THADE SECRETS PICf .9-- 01 16. l--' BUSINESS NAME: LOCATION: CITY. ZIP: rHONE II: OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: IUU1lR ro IllSrRUCTIOIlS TOil nOPD CODa , '..n, (od. 1 I," Cod. " 11 Cant Un 1..", todt U loe.tton !hr. StClll"" In helllt, J ...~ "t J I"" on Sit. I Cant Pm. . I¥tI'.". "t S Annu.1 tit I ....."'" Units : I 'hy~;ClI eo1d "H Ith ...",. InW'Ck all that .""1,, ..a_ r-r." r-., ~;-, r-., , '~I,. ".",ef L"':>J Rnc:thrtt, L_J De1."" 'h-J SucNtn h1H" L~J I...t.t. I I ....lth 0' ,,...-. IINlt/l ! W3oom------- Lº() CoIIpontnt '" ..... C .U. ...... c:a...n.nt 12 ..... C. A. S. ...... ..---- ~t II ..... C.I.S. ___ JL ,"'" Ical tncf "" hll H.,,", ,(htck .11 that 'II" Call1aMnt II ...., U.S. ___ 80 r -., rc:-., r-" r"\:>, r~., '" - J '1,. ...,,,.., \."'" J RHett"lt, \. - J Del"'" .. A-J SucfcftII hI.... L...C...I I...t.t. "" It II 0' ,,...""" IIN It II c..onent It .... 1 C.I.S. ....... 10 CaIIDoMnt IJ ..... U. S. ....... 5 lOO. u 2 4 C.I.S. ....... --124-'18-g Ph." h:., end Met 1t1l KI..,.. I(heck .11 that ."I,t c..onent" ... IC.I.S. ....... í ,..-.., rc::-' r-, ,..X" ~, , l - J fI" H...,. \.':¡'.I .ncthlt, \. -.. De'eytd" .. SuMIft II",", IA... I....t". "H I tll 0' ',...ure "" I tll Call1aMnt 12 ...., C .1. S. ....... CoIponent IJ ...., C .I.S. ...... _l\J.._l___?_q2___L_.?Q2._____1_?-9_~___J£L.LJ22.L..Qi.l.LLL1_?.1l_1Æb groundfloor U.S. ....... __~i~____________ C..,.,...t".... . U.S. ...,. - ''''''lc.1 trMI "H'tll ",.wI \(heck .11 that ."1,, ..-., $'"" r-, rx., ~., '" - J '1" "".,. &.! _.I htctt"lt, \. -.. IItla,"" .I Suddlft 11,1.." IA..I 1....I.t. "Hltll 0' ""IU'. "..Ith C...,anInt 12 II.... C.A.S. IMber tc.ponent II ..... C.I.S. "'-be.. NAME OF Tft1S ~f~L~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1J 'by lit u __ of IIbturf/c-u Sø Inttrvc:U_ ;i,t.rogen --------- ----------------- ----- -- ---~PObic atmoophcrc mix-fttre--- ---- Hydrogen -------- Nitro en Carbon dioxide Carhnn rlinxjrlp --------- .---- ---- ---------- ---- Blood ~aR mixt~s __ Nitrogen -------- ---.- Carbon Dioxide ------------------------------- ------ I!fIlGfIlCY COIIJACTS " 12 I lIi¡¡-~------------- ---------------------- nn¡---------------------- '.-RF-Pf1ëñ¡------ .11;------------------------- t1t1l------------------- tt"'flP-PtlM,------- I ..'''Icatlon (Rt.d ."d !liK" .fter co-plt"tJ"K .11 !If!ctlon!l c..tHy IIIId" !*IIlty of 1.. that I ha", ""'III1.11y ....,"'" l1l1I .e f.etli., .Uh the Infor..tlon 'Qbel"" In thll tncf .11 ."te,*, __n, end thet ...," on ., IlIQUlry of tho.. Inclt"ldu.l. ,øponlf"l. 0' IIbuinl- the Inlllll"1lltlon. , ...11.", that tilt Iubelntel in'lIII"1IItlon II trill .ccu,.t.. Iftd cOllllI.t.. I ..., . ¡'" . ¡,;a' õl në 1.1- f n 1.- õ'- öW;,;: 7õõii'itõ;: -On.ñ';: 7óo;¡: i(õ;:~i -¡¡;t~ii¡a,:i¡;:iiiñt ¡(iv; S1qiiiti'¡¡:¡----------------------------------------------------- Oit i -S1iñ¡a--------------- ----------...- ~ jot I CITY of BAKERSFIELD 'ar. and Aqr I cv It Vrl! '--' .---. Standarð Bv"npu '-- HAZARDOUS MATERIALS INVENTORY N 0 N - .J' J~ ^ DES E eRE 'r s " 'aqp .~Q 01 }_~ 8USINESS NAME: LOCATION: C ITY, ZIP: rHONE ': ONNER HAME: ADDRESS: CITY, ZIP: PHONE .: RDD ro IlfSrRUCTIOIfS "'If PROPIØl CODa , 1 Inn' ',lit { oðp (adP J .... a.t " Ut. Code 11 locattllll 1Iher. Stored In Ftcl lit, . b",.q. a.t S Innue I £It I "'"vre Units J 10rI l1li SIt. HAME OF Tft1S ~ApILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET HUMBER IJ ,.., lit 11 "- of IIbture/tolloanentl See Inttrvctf_ ,,,,'leal tfId HHI,II litreI'd ,n..d all thet ,,,,,I,, BQ,QIIL______.l __-C~ r1imdr1p t.A.S. ... _______ ta.poneftt II ..... t.A.5. ..... ..,a r~' r-, ,.~, ,....,.., '-"fr. H'lIl'd L~" RHCtlwfty L -.. De I ,yeti L..oII.... SuMen ..I.... 104... I-.elf," ....ltll .f ,...._. ....Itll t.aønent 12 ..... 0.5. ..... ta.poneft,'1 ...., C.U. ........ .t)__ ---- -- c.,an..t il ...., C.A.S. ........ ------ - taeDonent 12 ..... 0.5. ....... C linder room ... . C.U. ..... r-, r-.-, r-, ,.-, r-, , - .. FI,.. Her,,.d L -.. RHCUwh, L -.. Del,yetI L -.. SudIIt<n ..1.... L -.. IMldt". H.,lth of '.....ure "..Ith taeDonent If ...., C.A.S. .... taeDonent II .... c.a.S. ....... _l'1.._1___~.9..9___L__~Q9_____1_15_Q.Q..___JfL_'_ '''''Iul tfId HHlth Iter"" Ithee" ,II thet .,,1,) )65l.Q.l1_L_L1JLla..l~Ylinder rQQW t.A.S. .....__________________ taløantnt 11 .... t.A.S. IIuMIer ,.-.... ,..-, r-, ,.-, ,.-, · - J f ,,.. Her,,.. L -.. IlNet Iwh, .. -.. lit I.," L -.. Sudd... I. 'N" L -.. IMldI.,. HH Ith of 'r.llur. H"lth CœllNllt 12 ..... C.A.5. ......,. toIponInt ,II ...., t.A.S. ......1' 85 10 5 ----------------.---- ----- - --- An;:wf10Qj c mj yþ we --~ .-.- NJ..trogen Carbon Dioxide ------- mixtur-L_________ _____ f-{ydroge-n ---- --... ~i t:r.oge¡:¡..____________ ---- Carbon Dioxide An;:¡p:r'phi C Tni ~tJ rf1P __ -------- ---.- Hyr1T'~--------------------------- ______ Carbon dioxide ì \ if IIG(1I(1 CØlIACTS II 1I;¡¡·~----__------u--------------------- nm---·------------------- wRnrø;¡------ I Ir,IIlutlllll (Rftlld IInd lJi!n Ifftf."r coøplr.tJne 1111 lIf!ctJonllJ Ii nrtHy ....01... ,"",It, of ,.. thlt I .....e "r'IIII.I1, ,...,"" end .. f..tli.r ..tth ,e. tnfor..tton "battted tn tM, ... .n 'Utehed __t.. end ,hit blI" l1li .., 1....lry 01 thot. tll4llwlclu.1I r"pon.lbl. ,] r rob",nl... thl InfOl'..'IIIII. I blIIIY. 'her ,hi! ,ubaln" Inl_tllIII i. trw. .ccur.t.. end c.ol.t.. . I I: ... iña- õmm,-, mnn;,;¡;. 7õØi;.åiõ;:-On;,;¡¡:7õ~mörT¡¡¡'Iiõi'¡¡iC1-;¡¡rmñtitm 12 1.11-------------------------- nt1l------------------- 71,.'-""""------- ~. Sl9ñ¡tü¡:¡------------------------------------------ ------ eo__ Diti" 51iñiC1-------------------- --------- CITY of BAKERSFIELD , ,r. Mil aCr icu !tur. '--' ~ HAZARDOUS MATERIALS INVENTORY Srlnd,rd Bus '...n '-- NON - T H ^ DES E eRg T S "9. J1 oIl§.. BUSINESS NAME: LOCATION: , C r TV, ZIP: PHONE .: OWNER N"ME: ADDRESS: CITY, ZIP: PHONE ,: IUlTØl ro ZlfSrRUcrZOlf$ rolf PIfOPIllt CODIlS I 1 Irant 1,,", (od. Cod. 11 locat 'on ....... Stlll'ed III FKlllt, ] "'" "t , Cont PreI, It 11 Cont .... 1.." toM . '.,.,.Iqe .., s ....... , tit , ....,"" linin 1 ,Oyt on 5H. , tont 1", Phy,ielll11d HNhtl 1Ia,.r4 c.a.S. ......_______ If.I..d In tlllt 1",,1,) . ~., ..-., ,.~, 'r'f1"" Ir. ".lIrd u..].... INCth.ft, \. -.. 1It1."" \.~.. SudHn It'N" 4Q.... .....,.t. ",.ltll I' ,,.....,,.. 11M It II -.e.asL__ ___ toIIpaItnt II ...., c.a.s. .... 75092 CœlPMnt 12 ..... u.s. .... 75285/74986 ~t'] ..... c.a.s. ....... II JL I P"rf iell IIId !IN hll H.../'II Ithtcla .11 ,lilt .",,1,) NAME OF TitS ~f~L!~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 1] 'by 11\ ,. "- of IIhtvrt/eo..or-u Set In"rvet 1- ----- th;~I~_...Gbl()rj riP ___ :_Isobutane/ProDane -....--- ------ -- First Fl r e.2§L__ _ _9DaI'QUat2S6 ~t II ..... c.a.s. ....... _...l. Isopr_opanol ~-., r-, r-, ,.-, r-' ,-x.... fl" HI,.. '-$.... lINeth'lty \.-.. lit""" ",.x.. 5uIhIIII ..,.... \.:x.... l""'l.tl !IN It II 0' ,,.....,. IIMhll ~t.'2 ..... C.u. ...... C-t'] ..... c.a.s. ...... ''''''Ie.' II1II !lNItll Klrm! Ithlclt .11 thlt .",,1,) c.a.s. ..... r-., ,.-, ,.X' r-, r-' 'X-. Fir. H.,.rd \.£ INCIh'ltr'" .. 1It1.," \.-X.. Wftn ..I.es. ...x... I-.ltlu H..lth If 'ra.ure ...., tll c.o-nt n .... C.a.s. ...... CoIcIonInt II .... c.a.s. ...... UYL_l.__5.5_____L_55______.1_JQ9___J_GªlL..3ø...LJJ..J..L.LL1_3iL2irst Floor east ,"" le.1 Iftd HN It,. "tlm! ethic. .11 'hit .,,1,) c.a.S. ....... ___________________ ec.ø-nt II II.., c.a.s. IIuIIW r-, r-, r-, r-' r~' ·X. FIr. ""..., ...~.. IINctfvhr \. -.. OfI..,.., ~.. Suddtn 1t.1.". ... Ã.. I....C.t. ""lth 0' 'r...vr. H"'th CRCllllllt II II... C.a.s. IIUeIItr c:o.ø-n, II ..... c.a .5. ....r _ ~aler 40 1 ---~ --...- -------- ----- Mineral spirits Methyl.Ethyl Ketoxime ----------- ---- ----- ---- - Undercoater 3£1.Si.gale£ salt 50 30 Minera::}. spirits --------.. ---.- ---------------------..-----... ------ 20 Pro ane III AGIlity e\JIllAe IS II 12 .¡iii-~--··---------·----------·---·------ ntTi--------------------- 7I-nrpfiõñiU--- q¡¡--------------------- nt1l------------------- n"1l,.-I'IIIIo'I'----_· ¡ hrl" Ielf Ion (Rftad and .iRn lifter co.pl~tlnR all .~ctlons I e.rfH, vnll.r I*IIh, of 1... thll , III... "'<!lon.11y ,...intl! 11111 I. f..CH.. ..Ith IhI 'nforNIlon !lubetl,ed 'n thl, "'" .11 .UK'" __tl. "'" ,hit b,,1II on ., iNlUiry of ,tIot. InII"""".\, rnpons'''\. for IIbllinl"9 thl Inl_tlon. , btll.... tlllf tlw .vbelnlll Inl_Ilon i!l Irut. .eevrttl. end COII,I"I. II..' iña' õJfiC t¡rtttli,õf-Ö;;,¡:7õDi¡:¡¡ör-OJl-Ö;;,;:7õõt;:m;:-;,ütliõ;:mn,¡;:iiiñtitm ...' ~, Si9ñït¡¡r'------------------------------------------------- Oi(ïST¡ñið-------------------· -------- CITY of BAKERSFIELD hr. end ."dcultur, '--' .-.. St.nd.rd 8USln,u L- HAZARDOUS MATERIALS INVENTORY NON-TH^Dr:: SECR[·:·rs Þ''I'l2.- of _16 OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: RUD ro INSTRUCTIONS roll PIIOPlDr CODD U lcattllll !hr, Stored In het lit, I I IØUSINESS NAME: ¡LOCATION: ¡ I C I TV. ZIP: I'HONE ,: Þhysiul ""' "..ltll .....,,, C...S. ......_______ If.ltte. .\1 that .""Iy) r.,A "C:;-' "'V' ""'ü" ,.~, ~Ire If.rerd L.:.l..I !leactl"'t, L -A.I 0.1.,.., L -A-I SudcIIn ..,.... LA.I l-.dlet, ....'tll of "'1Vr1 ....'tll Þhytic.1 ""' ....1t1l M...'" fChtck .11 that ."Iy) C...S. ...... ___ r -, ,..-, ,.-, r-, r-' .. - J fI,. ifJI,.,,, L _.I IINcU..lt, L _.I 0.1"'" L _.I SudcIIn ..1.... L _.I l-.dl.t. ....Itll of "...,. ....Itll 1J 'by lit AeeP--eas;I;--- --- CoIponent II ..., C.U. .... ~2 c:a.aøn.nt,12 ..., U.S. .... _1.2_ :_ 5 ____..1.._ eo..-nt IJ .... C.I.S. .... c.,onent II .... C.A.S. .... c.oøn.nt ,II .... C.I.!. ...... t.DøMnt IJ ..., C.A.S. ...... NAME OF Tft1S ~fJL~1!: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER Ie "- 0' IIbt"",/eo.on.ntl See Instruct 1_ __Q.il.»as~_§nêl!lel_____ __~~~r.:~~__~þits Naptha ]\1ethyl Ethyl Ketone ___~hylcne Glvcol --~ -- ----.-.- rl[ .. rc-" ,. -., ,."'"V' rv-" .. .I FIr. Mil'"'' &M...I !llKtI..lt, L_.I 0.1.," L.J}I Suddtn ..1.... 1£'-..1 l-.dfat. 1Ie.ltll 0' ',..,.ure ""hh ---------- ----- ~t 12 ..... C.I.S. .... 80 Metapara/Ortho XylenElli.____ ____ 20E hylbenzene ------------ ---- toIIponInt II ..., C. a. S. ....... '''nic.1 II\d 1f..1t" III'''''' flhtck .11 that .,,1,) -M..l___J.D____L__1CL____l__2.0JL__J_Galt365-l.llJ_..LL!Ll.?Ll u.s. ...... __l.330:.:.20=..7_______ ~t" RMI' u.s. .....,. - "X" "1::!' r-.. "X" "'X" ~ .I FI,., M'II'" t..::.!.IllHettvhy L_.I 1It1,," L_.I Sudð... ..1.... L_.I l-.dl.t. M..lth of ""Iure ""lth Path lab C........t U .... t.A.S. ..... ..80.. 20 Xylene ~----- ----- Ethy:lbenzene ---------------..---.-------- -.---- llfAG(IICY CIIIAC1S " .2 I¡¡¡-~----------------------------------- nf1¡----------------------- 7C-R¡:-Pfiõñi------ q¡¡------------------------ "111------------------- 7t,.,-"""',------ ~t II ..., c.a.s. IMber ! tertlllcttlun (Rf!IId ."d !liltn IIft~r co.pJ,.tJ,,1t III/ !If!ctJonll , certify unII,,. !*lilt, 0' 1.. that 1 ha". .,.r'OOI.11y ._..i"" ""' .. 'HiH,,. with tN tnfor..tllIII .u_lttttl In thb anti .11 .UIC"" __u. IIICI that "',ed un., 'nQU'ry of thu" 'nd',,'du.,. rnllOll"\I'. for .fIbUi"I", tt. Infor..t'IIII, 1 "'I Ie", that t~ .u_Itted 'nl_t 1l1li I. tMlt, .ccuratl. and cOllDI.t.. .,' ~.. Siijñitür¡----------------------------------------- --- -------- Diti-S1¡ñ¡a-------------------------- .,... iña' õ"ië i¡1-f tfWõf-~ir7õØi;:¡iör-OR-~ir7õDi;:¡(õr'T¡¡¡tooriiiö;:iø;:¡iiñtm;¡ CITY of BAKERSFIELD , , I I I ',r. end Atricultur, '--' .--. St.ncf.rd 8U~,"fSS L- HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS p.q' 13-- of --16 ¡8\JSINESS NAME: LOCATION: CITY. ZIP: "HONE .: OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: IUlT1lR ro IKSrIfUcrIOIIS I'OIf PlfOPIDI CODIl!l NAME OF Tft1S LA~JL~~: STANDARD IND. CLASS COPE DUN AHD.BRAPSTREET NUMBER , 1 'rllll~ Iy" {od, (041, J II", Aat . A.,.,.",. Mt S Innua I Est , ....,ure Unitt , '0,. CI! SIte . CCI!t lype , Cont Pm, II " Cant Ut. 1..". Code II locat 'CI! ........ Stor'" In fectllt, IJ 'by lit It "- of IIIhtureltc.oonentt See In'truct 1_ u W<Æeho\lliL_______ ___ __-X.YleD$L_________ to.panent" ..., C.U. ..... 80 Metapara/Ortho-Xylene 'hytiC.1 tnd "..ltll ",,,", '(fwd .11 thlt ."1,) r--A r-, r-, r-., r-' "~I', Hlllrd '--.I ItlCtf.U, '--.I Oel.ytd '-_.I SudHn ..I.... '-_.I 1....I.t. 1It.lth 0' 'røevrt ....'tll --------------- ---- - eo.aønent 12 ..., C.A.S. ..... 20 Ethylbenzene --- -- --- ~I IJ .... C.A.S. ..... ______ ..lJJ0 __ Xen..on ec.,on.nt" .... c. a. S. ......,. --~ ---- I ',"""ic.' ""' ""hll M.,,", c.a.s. .......__ I '(htc:k.n thlt ."",,) I' ~x:~ fir. "",r4 [S] htct'.U.. Dr] Dtl.yecI [Ja ~ ",_ rX] 1...I.t. ....Itll .f 'rø..... .... hh c-t 12 .... C.A.S. ....... CaIIIontnt IJ .... C.U. ... .II. Physlc.1 ""' ""hh "'I''''' I('*=k .11 thlt .",,1..) r eo.,on.nl" ..... C.A.S. ... .lllil . Oxygen ----------- ----. ----- __e. r-,. r-, ,..-, ,..-, r-' '_.J FIr. M..", '--.I "Uhit, '--.I Oel.ytd '--.I Sudftn 11.1..., '--.I ,....,.tt ""lth .f Pr...ur. H..lth to.panenr'2 1_ I c.a.s. ...... ------------ ---- eo..-t IJ ...., C.A.S. .... : 'hys lcel end 11M Ith ",ltr4 l(tllek ." thlt .""," -~_L_5..5_____L_.55_______L_?Q9____1Çª1l.3§LLQ7_LL..J.~._1 08..l__First flam:.. east c.a.S. 1IuIIIItr_______ eo.,on.nt 11 ..... C.a.S. IMber - Restorit ----- rx: ' r~ , r - , :x: ' r~' , .J Fir, "II'" '->.J...I htetlvh, '--.I o.1.ytd .I SuM", 11.1.... ,-4..1 1....1". ""lth of P'.lIvrl "" hh C~t n .... c.a.s. I/ùIIIJr q~~----- --o. 1JrjLÇl1~£2~t_~~~_____________________ ______ CoIIponer\t II 11-.' c.a.s. ",-"" IIfRG(IICY COlI lAC 'S .. II .i¡¡-~----------------------------------- 1111¡----------------------- 'I-A¡:-Pfiõñ¡----- 1111------------------------ T1t1l------------------- ,.,.,-PftðII,------- hrf"lutlon (Read and sign IIftf!r co_p/p-Un#! 1111 sectlons¡ I t.rtlly qnd,r IIIINIh, of 11. thlt I hi.., "1'!lln.11, ....;ntI! tn' .. ".lIi" .ith IhI infor_tlCl! su_ittld In thl, ..11 'ttIChed __no ""' thlt "'s'" CI! ., Inquiry 0' thon ,"""',..." '"IOf\""" 'or pbUinln9 the Infor_tICl!. I "'Ii,v, thlt tM ,u_In... In'_tlllll i' t...... .eeu,It., tnd COltøl.tl. 14-.' i;;o õ"lë i¡'-I 1f1n'-õWii;:Toõi;:¡¡ör-Oø-óii,;p;:7õØ;;:¡fòr"¡-ãiifflõrmnpøriiiñfitiŸi Si¡;iil¡;;:.----------------------------------------------o.-.o.- llil i ·Sl¡ñia------- ------ --------------.. ,,- -:- I ! CITY of BAKERSFIELD hr. end Aqr ieu hu.. '--' ,--, Stenderd Bu. Inn. '-- HAZARDOUS M~TERIALS INVENTORY N (_J N - T H ^ 1_> ESE eRE T S 14 16 h9' _ _ 01 __ BUSINESS NAME: LOCATION: CITY, ZIP: (,HONE ,: OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: 1ID1I1l TO SJrSTlIUcrIOIIS TOIf PlfOPIIR CODO NAME OF Tft1S ~f~LL~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER I 1 Irln, lyøe (od. Cod. J ...~ a.t . a"""9' a.t S Annu, I Est , "'..~ UnlU , IOyt an Sit. , Cant Prell " 11 Cant u.. 1_, Code n loctt tan 1Ihtr. StCll"ld In flCtltty 1] 'by lit 11 "- of ."t~/eo.oan.ntl SIt Ihltruct 1_ Ph,. iul ""' H..It" lfallref lr.hK~ ,II thet ,ply) ~A ,.-, ,.-, ,.-., ,.-, '-"Ir. Hlllref L - J .IICU"Hy L -.. hI,,... L - J SuIWtn ..1.... L _J I....t.t. "'lit" 0' 'rei...,.. lIMIt" ...room._______ _~Q.. ta.panent" ... & C.A.S. ...... __Q.:D'~lL_________ ----------------- ~t I' ... & C.U. ...... c.,an.nt ,II ... & C.A.S. ...... .D. Phys lul ""' fill Ith H".ref It~1& .11 t"'t ...Iy) _ ___-SJxx~en ___a...- ____ -----..- r -, ,..-, r-, r-.., ,.-, '- _J FI,.. Ha'lref L_J "'ct,,,'ty L_J hI.,.. L_J SuddIII..I.... L_.I I....t.t. IIMlth of 'rei"," IIMlth c.,an.nt II ... & C.A.S. IIuMtr eo..an.nt IJ .... C.A.S. IIuMtr Phy1olc.1 end fIIIlt" KII..... It,*1& .11 thet 1""1,, C.A.S. ..... Surgery Sup ly c.,on.t" ... & C.A.S. .... I()~ Oxygen --------- ----- __u_ ---- ---- r-, ,..-, r-, r-' r-, '- - J FIr. "...ref L -.. ...cU"tty L - J h I.yH L _.I Sucf1Itn ..IIIS. L _ J ,....t.t. H.. Ith of 'reI.u", IfH It" eo.oanent II .... & C.A.S. .... ---------- ---- ~t II ... & C.I.S. ...... I Physic.I end "..hh KII..... It'-ck .11 tlllt '''''' _E_L__~_~____L___~.§______L__~2º____1!t__ 365 Lº-~_J_~lsL__L__ Patients Units u.s. ....... _:z.2L£=-~!L_-:.._7 to.øantnt" .... & u.S. .... (}() gen -------- ___e. ,..-., r-, r-, r-, ~-, '- - J FIr. H.,.r" L_J hact',,'ty L_J DtleyH L_J SudIIfft ..1.... L_~ I....,.t. Htllth of '1'"'UI" H..h" C.....t II ._ & C.I.S. IhÏIIIIIr --------------------..--------- -----... ~t II ... & C.I.S. IUber !If RGEI!CT COIII.C1S .. II II¡_-~---------------------------------- T1f1i-------------------- 7.-RF-'fiõiíi---- lllii-------------------- nt1l----------------- 7t-,¡I'-PI\ðII,------- (e..lljutian (Rf!8d and sigh "ftC'r co.plp-tJng all sf!ctJons I c.rttfy und.1' !*'Ilty of 1.. tlllt I hi". tr,on.l1y ,..'ined IIItI .. ,...Ii.r _Ith the Infor..t'an ,ubllttted In thl, ""' .11 IUlChed __t,. end thet be,ed on., ,,,,,,,1"1 of those Indl".du." I'"pantllll. '0' flbtainl"9 the In'or..tlan. I 1It1i... thet tilt 'uMoHttd In'_tlan " tl'llt. .ccur.t.. and c.ol.t.. 1._ - ¡ñ¡r õ111ë lil-' n li-õ'-~i¡: 7õõ¡¡:¡iör-O.-~i¡:lõ~¡:¡{ör~¡·iü(r,öriiiaï:iöriiiñt¡tm .~- ~ S1ijiiitü¡:,------------------------------------..---- -----.---- Dit¡- St¡ñia-------------- - -----------.-- CITY of BAKERSFIELD hr. ...d Aodcu hurt '--' ,--, Stenderd Ðu, Inn' L- HAZARDOUS NON MATERIALS INVENTORY .J' H ^ DES E C H E T S Pe", }5. 01 16 IHlS I NESS NAHE: LOCATION: CITY. ZIP: PHONE .: OWNER NAHE: ADDRESS: CITY, ZIP: PHONE .: RUD ro IlISrRUCTIOIrS ro/f r/fOrD CODIl!I NAHE OF Tn1S ~fJL!~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUHBER , 'rfl' (oð' 1 Iype toð, J III. Mt . .""'''1 Mt 5 Annu,1 £It I 1Ie,,_ \In ttl , IIIyI on SItl , Cant Pretl 11 J1 Cant V.I 1_" CoM Il locetton """'I Stored In hc" It, 11 'br lit 14 "- of Iht_,c-..ntl See Inltrvet 1_ Phy. in I end "..lth Ha..rtl 'f.htc~ ell thet .",,1,) u.s. ...... __2.2!lZ:-1{'I-=L to.ponInt 1\ --------------- ---- -- ..~ r-, r-, r-, r-, ."'n Here", L_" 'NCtt~ft, L_" hl.ywd ..-.. SutIcIen ..I.... ..-.. .-.elI.t. III.lth 0' ,'"_. ....lth ¡.TL Phys ic.1 ""' IIN It h Mer.n! eChlck .11 thet 'PIII,) t.Qønent IZ ... , C.A.S. ..... to.ponInt II ... , U.S. IIuMIr ~..'Ihcr. to.ponInt .. ... , C.U. ..... to.ponIntlZ ... , C.A.S. ....... c:o.oan.ntlJ ... , C.A.S. ....... ---~ ---- ------- ,. -., r-, r-' r-, r-, .. _J flrl Ha..rtl ..-.. IINc:tlylty "_J o.I'r" ..-.. SucItIen ..I.... ..-.. ......IIt. ....Ith 0' ,'"""" ....lth --- ..1Q.Q Dief::pl Ti'11pl ------ ----- Physlc.I ""' IINlth HaI.rtI ¡ ICheck ,II thet .",,1,) 1,.-, "c' r-, r-' r-, ! · ~ fIr. Mer.rtl ...... 'Nettytt, "_J hl.ywd ..-.. SutItItn '.1,", "XJ l-.cIt.tl M..lth of ''"1U1'I M..lt" ---- c-..nt IZ ...., C.A.5. .... ------------- ---- to.ponInt II ..., C. A.S. .... 'hysinl end "..It" "'lertI eCheck .11 thet .,,1,) _E...L_35_QQ._L__3SmL_L_YQo.Q___1GAlt3..65-lJ2J._L_LLJLll~Ll__ U.S. ..... __.Jill!.tw:.:.l~=L__ tc.oonent".- , U.S. ..... Di p.Rp.l Fì Jp.l --------- ----- r-, r-s.-' ,.-, ,..-, r-, , .x... fir. M,..r." J IINc:tlylt, .. -.. o.I.ywd .. -.. $utltl", ..1.... ..)[.. ..edl.tl "..lth of 'r"lurl M..lth C~t Il .... ¡ C.A.5. JfI;.w ------------------------------ ------ to.ponInt IJ ..., C.A.S. IluØer IIUGINCY CØlIACIS II lIi"- ~--- ---------- --------------------,,.- "n.----------------------- '.-Af-Pr,¡¡,;¡-----'" 12 g¡¡------------------------- T1(11------------------- 71"11'-P1IðIIf------- I ì 'ten II ielt Ion (R~ad and sll!n IIftf:r co.pl~tJnl! all s~crJonsl I !I c.rtll" untl.r ",",It, 0' 1... thlt I "'~. "trlllll.H, ....1"" ""' .. ,..ilt.r ..Hh the tn'or..tton ,v.Hted In thl, " .n .UlChed __n, encI thlt b"ed on ., tnoulry 0' thol. Incllyldu.h ""IOIIltbl. lor pbt.inln, the Inlor..tlon. I "'".~. thee tilt Ivbalnlcl inloreetlon II t",.. .ccur.t.. ""' cOllI.t.. I I I."'" iñ¡r ålfië 'Ii1"I i(1i-å'-ö;ñi¡:7õõi¡:iiör-O.-õWñi¡:7õg;mör~;-¡¡¡(liöriiiniöri;iñ( i(m i~' ~ i S'lqiii(ü¡:¡----------------------------------------------------- Di(¡-St¡ñH------- ---------------------- CITY of BAKERSFIE'LU I : I I '''. lAd ACricv hvrt '--' .---. Stand.rd Bu, .n.u L- HAZARDOUS MATERIALS INVENTORY N 0 N- T H ^ D E ~ E C R [;: ..' S P.". 16. 01 _16 8USIHESS NAHE: LOCATION: CITY, ZIP: rHOHE II: OWNER NAHE: ADDRESS: CITY, ZIP: PHONE II: RUD ro IlrSrRUCTIOlrS, rolf PROPIllf CODD NAHE OF Tft1S ~~JL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER , 1 J . S , J I , II 11 U 1) It Irant 'y" Ma, .veraq. "-'I IIe.II'... IOyt tont talt talt ".. l0C8tton !hr. ,by __ of "bt.....tc-u (od. Cod. "t Aat Est Units on Site J"" ,...., I.., , tode Stored In facility lit' See IMtMlCt lont Boiler room 100 Trichlorofluoromethane -------.---- --- ----------- Phy.icel ""' HHhh 1le1l1"4 r./woe~ all that .",,1,) to.poMnt II .... t. A. 5. ........ ----------..----- ---- -- ..-, ..-, ..-, ..".., . Fir. H.I..d LS...I .nc:tIY't, 1._.1 Del.," 1._.1 SudHn ..IHI. LA.I 1-.lI.te ....hh 0' ,...._. ....Ith c:o.n.nt 12 .... t.A.5. ........ --- .li. to.poMnt II .... t.A.!. ........ Boiler Room ._._ ~ .-ºhlorrillifluoromethane to.poMnt II .... t.A.!. ........ Pure Freon 22 ------ --- PIoyt ic.1 ""' .... hh M,"1"4 IC/woe. .11 that .",,1,) r -, ,--, ,.-., r-, ,.-, ..*.1 fir. ",I.r. '-£..1 hec:tfY't, '-_.I Del..,.. 1.-.1 SudHn ..,.... I.X.I I-.I'eta ....Ith 0' ,......... ....Ith to.poMnt 12 .... t.A.5. ...... to.poMnt II .... t.A.!. ....,. . .U_ '""Ic.' end IIHhh ",1.1"4 ICheck ,II that ,,,,,I,) Room 74 26 Dichlorodifluoromethane ------------------- ---.- t.A.5. ........_ eo.,on.nt 11 ...~ t.A.!. ........ 75-71-è\ eo.,on.nt 12 ..... t. A. 5. ....... '75-37-6 to.poMnt II .... t. A. 5. ........ Difluoroethane ---- ---- r - , r -., r - , r - , f\r-' .. * J II., M..,.. '- g.l .HettY't, I. -... Del.," I. _.I SuIIdtn II",", ""-.I I-.I'at. M..lth of ,....."... ....Itll ----------- ---- ------l---....---__JL.._.__._.____JL_.__._______.J__.___l________l____---1_~Jl____...L_____. - ---.- 'Ioytlcel end MHhh IIIln (C/woek ,II that .,,1,) t.A.5. ......____.___._____.____ tc.oonent 11 ..... t.A.5. ....... -------- ----- ,.-, r-, r-, r-, r-, · - J II.. M...r" '--.I hacttYh, 1._.1 Otl'r" L_.I!iuchI", ""NtI 1._.1 1-.lI.t. "Hltll of 'r".ur. H"lth c......t 12 ..... t.A.5. IMber --------------------------------- ------ CoIrIonent II .... t. A. 5. IIuMIIr "fRGEIICY C,*fACJS " 12 . II¡..- ~--- - ------- -- --------------- ------- "(1¡-----.-.--------------- '.-RF-Pr,¡¡¡¡¡------- g¡¡-------..----.------------.---- J't1.-------------------- 71"11'-""""-·----- t.n IHutton IRr.ad and II il!n Itftt'r co.plr.tlnl! .11 lIr.ctlonll I certify undtr """It, 0' 1.. thet I he... ",,,on. 11 , ,...ined end .. f..tlt", _Ith the infor..tton ,v..ttted 'n thll .... ,n aUee,," doc_tl. ""' that be,ed on ., inquiry of tho.. 'nclly"I\I'" r"POIII'"1. lor ,11111"1"9 the Inlor..tton. I blli.... that thl! ,\I"lned I"'_tlon II t/'Vl!, "C\lret'. ""' c_IIt.. .4_' ¡;;a' õ'Jlè ¡¡1· f lfWõJ-ö;ñ¡;: 7õõi;:¡iõ;:-OR-¡¡;¡¡;¡;:7õD¡;:¡för~niitfiõriiin¡¡¡r¡iiñtitm Sl¡ñitii;:.···--------·-·--------------·---------------------- Oiti -StqñH--------------- -----------.--- ----.:- ~ · e ¡;;t! , ..~ SECTION 3: HAZARDOUS MATERIALS FOR THIS UXIT ONLY A. Does this Facility Unit contain Hazardous Materials?.. . .. YES Ð If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form ma~ked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION . Fire extinguishers Exterior Dry standpipe Fire alarm system/smoke detectors Emergency response team. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS C.ity fire hydrant comer Truxtun and B STreet City fire hydrant 16th street at C SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS u~IT O~LY. A. XAT. GAS/PROPANÈ: South wall, exterior, adjacent to boiler room on 16th Street B. ELECTRICAL: South wall, interior, in boiler roam C. tiATER: South of south exterior wall adjacent to boiler room on 16th STreet D. SPEC'lAL: E. LOCK BOX, YES ,~ IF YES, LOCATION, IF YES, SITE PLANS? FLOOR PLANS'? YES / NO YES / XO ~SDSs? KEYS? YeS XO YES i XO - 38 - ,~ e e ~r;.. /' BAKERSFIELD CITY FIRE DEPART~E~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NA~IE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned hy: 2. TYPE/PRIXT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT NA.'Œ :nSecond Floor (2nd) FACILITY 'UNIT# 02 SECTION 1: MITIGATION, PREVENTION, ABATEME~~ PROCEDL~ES Small am:mnt of office supplies, such as liquid paper and toner for copy machines. -, SECTION 2: NOTIFICATION ~\~ EVACUATION PROCEDURES AT THIS UNIT O~LY Notification and evacuation procedures initiate<J. by activating fire alarm system and utilizing over head paging system. - 3;\ - ßAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY 93301 OWNER NAME: Catholic Healthcare West ADDRESS: 2300 Ade Drive FACILITY , CITY, ZIP: Burlinqame, CA 94010 PHONE I: (415) 340-:-7410 Page 1 . of): - If, 07 ' FACILITY UNIT I' 1. D. # BUSINESS NAME: Mercy Hospital ADDRESS: 2215 Truxtun Ave CITY, ZIP:Bakersfield, CA PHONE #: (805) 327-3371 UN I T N AM E: 2nd floor 4 7 LOCATION, IN THIS FACILITY UNIT Nothing on this floor 8 % BY WT. 9 10FFICIAL USE CFIRS ONLY 10 HAZARD CODE I I 1 D. O. T : GUIDE I CODE 1 TYPF. CODE 2 MAX AMOUNT 3 ANNUAl. AMOUNT 5 6 CONT USE UNIT CODE CODE CHEMICAL OR COMMON NAME .- el NAME: .EMERGENCY /) - (--/// ~ Jack Resendez , 'i'ITLE:Dir.Sp.cnrit¥/S;¡fPSIGNATU)fß: '- \./~./"';À¿P _.-~- " DATE: i' CONTACT: Jack Resendez TITLE ir.SecuritvVSafetY ~E ~ ;or. , "RS:327-3371 7:30-4:00 , " ~ AFTER BUS HRS: 327-3371 /323-9751 I CONTACT: Administrator or Enginee~ItLE: On Duty PHONE I BUS HOURS:327-3371 7:30-4:0q BUSINESS ACTIVITY: Healthcare AFTER BUS HRS: 3L7-3371 I EMERGENCY , PR I NC I,PAL - 4A-1 - \'- . -'." .....- ,": .~.' ........__._~_-....... h' i" - ..., .' SITE/FACILITY DIAGR~~ FORM 5 NORTH SCALE: BUS INESS NA\IE: FLOOR: 2 OF5 Mercv HosDital DATE: ! / FACILITY ~A.'.{E: UNIT ::: 2 OF 1$' East winq second floor , (CHECK ONE) SITE D IAGRA..\[ FACILITY DIAGR.~'.{ attached '0 :f // (Inspec~or's Comments): -OFFICIAL CSE ONLY- - SA - I. D > # I', RAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page <11" _, " ,I 'I , I BUSINESS NAME. Mercy Hospital ADDRESS: 2215 Truxtun Ave CITY, ZIP: Bakersfield, CA 93301 PHONE I: (805) 327-3371 1 TYPE CODE p Q {)) 2 MAX AMOUNT 900 3,500 w 1,000 w 35 '?J) 1, 500 NAME: !EMERGENCY OWNER NAME: Cathollc Healthcare West ADDRESS: 2300 Adeline Drive FACILITY CITY,ZIP: Burlinqame. CA 94010 PHONE': (415) 340~7410 3 4 ANNUAl, AMOUNT UNIT 150,000 gal FACILITY UNIT #: UNIT NAME:£~~~J .£ / . .....-J IOFFICIAL USE CFIRS CODE I ONLY 10 HAZARD D.O.T CODE GUIDE 5 CONT CODE 02 6 USE CODE 27 7 LOCATION,IN THIS FACILITY UNIT 8 % BY liT. 100 9 CHEMICAL OR COMMON NAME Oxygen tank ;¿ ~çcl Diesel tanks ¿ l1~ . 0 3 - "A" Street Q1LQ F'LIJJ 4,500 gal 01 19 South of roiler room 25,000 lbs 10/12 40 South of main building 100 Infectious waste ORME 250 gal 06 40 South of main biulding 100 19 Sidewalk on 16th Street FLID FLIO Hazardous Waste Diesel Tank 1 n <b. O? 2,000 gal 01 08/ ~ _ ~ Jack Resendez TITLE: Dir.sp-cnritÏ;/s¡:¡rpSIONA-T1JRE' Xd j~"" ---" DATE: /-/~--ð / CONTACT: Jack Resendez TITI.E ir.Securißv/SðÍe1J;t - P)lONE t< Buþ HOURS:327-3371 7:30-4:00 I I :EMERGENCY CONTACT: Administrator or EngineerrITLE: On Duty 'PRINCIPAL BUSINESS ACTIVITY: Healthcare , ' , - AFTER BUS HRS: 327-337;¡'-~:n-q7S1' PHONE t BUS HOURS:327-3371 7:30-4:00 AFTER BUS HRS: 3¿7-3371 j - 4A-l -