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HomeMy WebLinkAboutBUSINESS PLAN 6/200 , . Per' ~ - .~,. ~<:}"I-'-.-"-:8~<~:~,~" rl'~:;:(:U~:~~::"-" ',.\.:' ':'<.':'<'"~'~._''''' _: .""" ~, ,.: .,'::. .:,7' -f~~ ,¡~I ;11< to'" 'Uperil.tê'c" ' Hazardous Materi~ls/Hazardous Wa:ste ' Unified Permit CONDITIONS OF.·PERMIT ON REVERSE SIDE Issued by: , ' This permit Is Issu8d for the following: It! Hazardous Materials Plan a Underground Storage of Hazardous Materials a Risk Management P~ram a Hazardous Waste On-Site Treatment -;1 'j , . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfi.eld, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 . Expiration Date: Issue Date 'June 30, 2003 1- --- ------.---------- < .. I"· . PerDl.it to· Operftte Haz8lrdous Materials/Hazardous Waste Unified Permit C()NDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the fOllowing: ardous Materials Plan round Storage of Hazardous Materials agement Program , Waste 101 PERMIT ID# 015-021-00004jr BRAND DRY ICE INC DBA BRA LOCATION Issued by: TRUXTUN Bakersfield Fire Department OFFICE OFENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey. ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: /' . . of- ",,,,~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I<'loor, Bakersfield, CA 93301 FACILITY NAME ~Ñ'~ '1xJ...i- 'L2r.c-- ADDRESS-Ið ( Tº v~TUN A'\IG-- FACILITY CONTACT m ÌC-H A 8 L Bf2..Af\J\) INSPECTION TIME I ~ M I'N INSPECTION DATE I 0 ) 15""103> PHONE NO. :3.2.;1. - (¡, (1 0 I BUSINESS ID NO. 15-210- 000 ð t-f 7 NUMBER OF EMPLOYEES k( Sectiolll I: ~utine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate peonit on hand v Business plan contact infoonation accurate V Visible address ;/ Correct occupancy V Veri fication of inventory materials v , Verification of quantities V Verification of location II" Proper segregation of material V Verification of MSDS availability V Verification of Haz Mat training V'" Yerificaltion of abatement supplies and procedures V Emergency procedures adequate V Containers properly labeled v ~~ Housek ~eping v ~Þ'A' ---d ~ """" Fire Protection v ~ c...-. ~ Site Diagram Adequate & On Hand v C=Compll iance V=Violation Any ha.r:ardous waste on site?: Explain: DYes ~ White - Env. Svcs. Yellow - Station Copy Pink· Business Copy Business Site Res nsible Party Inspector) ~ ;2..J G Questions regarding this inspection? Please call us at (661) 326-3979 -; Manager : Location: 101 TRUXTUN AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 02 ' EPA Numb: 1..\)~ \~...~~ ý / /, £ /, . ,) ," /' 1. Site I: 015-021fOOß047 -:¡,v/ / '/ ,/ " T BRAND DRY ICE INC DBA JllkDCO BusPhone: Map : 103 Grid: 30D (661) 322-6001 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: -0 / Title / PRESIDENT (661) 322 - 6 0 0 Ix (661) 322-6001x (661) 81j'" . ^,!)Ox c£./ Contact / Title , / FOREMAN J (661) 322-6001X/' (661) 322-6001x ( 61) ~ Emergency Contact MICHAEL W BRAND Business Phone: 24-Hour Phone Ia8.!cr.Phone , . - ImmHlth Hazmat Hazards: Press Owner Address, City MICHAEL W BRAND 1601 SPRUCEHAVEN BAKERSFIELD Phone: (661) 322-6001x v State: CA Zip 93302 -1(;31 Phone: (661) 322-6001x j/ State: CA Zip 93312 Contact: MailAddr: PO BOX 1631 City BAKERSFIELD Period Preparer: Certif'd: ParcelNo: to TotalASTs: == TotalUSTs: == RSs: No Gal Gal Emergency Directives: I, "'~ &1iNl! [)o '"''-''' ,_ "",." , , . /.(/¡t::. (Ty~o r:r þr'¡;¡ ,qrr,:::r---' ''''-'' \::Jth8m :' !;IË;r ; lavo revi81Þ1ed U~e 2.t1.a(,;J~'~C o1a;:2,"cbu:.-: rr.a(€"i;:¡I'" ;-n;A}''->ge é)3Ol ¡C!5:/ ,." "ß\ ,j!;ii, ~- m&rot plan for 10/ ~'1"tI¡J "111"4 ~¡',:,+ it ,_t. _,' 'Ah ("" . -''''J"~-- - 0::.".\...1 '.' .t;"l .....,dnf..l '<¡Vh,: ..,.n,e m our, nes~) ~. ' any correçtic\\s cons'.:itute a completH and corr(.':!,.:~ mfll'1- agement plan for my facility" ~4+- "1.-'~J-l!7 ----·h-;·~,·· -1- 07/15/2003 /' \ ~ "-- I .,., .- tI' ./1.' ~í e e CITY OF BAKERSFIEIJD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME B~N~ "Of?.y 'Ie. E.. ADDRESS--1.C2J l<e.V)('lu rJ , A v'i- F ACILITY CONTACT (V) , (~ 1--/ r1 ~ L 8 R A "'Þ INSPECTION TIME J S- ,.....,{ ~ INSPECTION DATE I t'J 1/.8 lo;?- PHONE NO. f.e 4? I '3 2-;a.' - <0 O'Ø I BUSINESS ¡DNO. 15-210- OOðOc...¡ 7 NUMBER OF EMPLOYEES S Sectiol1i 1: Business Plan and Inventory Program ÚRoutine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand V Business plan contact information accurate V Visible address \I Correct occupancy L.- Verification of inventory materials V Verification of quantities V Verification of location V Proper segregation of material V Verification of MSDS availability V Verification of Haz Mat training \I Verification of abatement supplies and procedures v Emergency procedures adequate '" Containers properly labeled V' Housekl~eping V Fire Protection V Site Diagram Adequate & On Hand ./ C=Comphance V=Violation Any ha:lsrdous waste on site?: Explain: DYes Ø'No White - Env. Svcs. Yellow - Station Copy Pink· Business Copy ~~a;i/~ usiness Sue Responsible Party Inspector: ~ "JìJíJJ,~ ttcllé'4e J c:. Question:s regarding this inspection? Please can us at (661) 326-3979 ~~ ~"-< ,~, ~ '. ;-. e e + BRAND DRY ICE INC DBA BRANDCO ======================= SiteID: 015-021-000047 + Manager : Location: 101 TRUXTUN AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 30D (661) 322 - 6001 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code: EPA Nunili: DunnBrad: +========:======================================================================+ +========:===============================+======================================+ Emergency Contact / Title Emergency Contact / Title MICHAEIJ W BRAND / PRESIDENT C A WOOD / FOREMAN Business Phone: (661) 322-6001x Business Phone: (661) 322-6001x 24 - Hour Phone : ( 661 ) 322 - 600 1x 24 - Hour Phone : ( 661) 322 - 600 1x Pager Phone : (661) 863-4090x Pager Phone : (661) 863..:3-977x +----------------------------------------+----------------------------~---------+ I Hazmat Hazards: Fire Press ImmHlth I +-------------------------------------------------------------------------------+ Contact: Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City : BAKERSFIELD Zip : 93302 +-----------------------------------------------~-------------------------------+ Owner MICHAEL W BRAND Phone: (661) 322-6001x Address: 1601 SPRUCEHAVEN State: CA City : BAKERSFIELD Zip : 93312 +--------.----------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certifud: RSs: No +--------.----------------------------------------------------------------------+ Emergency Directives: +===============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +------_._------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... ISpecHazlEPA Hazards Frm I DailyMax IUnitlMCpl +---------------------------------+-------+-----------+-----+----------+----+---+ ABC FIRE FIGHTING DRY CHEMICAL F G 6000.00 LBS Low ACETYLENE E F P IH G 250.00 FT3 Hi AFFF/F FIRE L 6000.00 GAL UnR BC FIRE FIGHTING DRY CHEMICAL S 6000.00 LBS Min CARBON DIOXIDE F P IH G 70500.00 FT3 Min HALON 1211 F P IH G 635.00 FT3 Min HELIUM F P IH G 3500.00 FT3 Min NITROGEN F P IH G 2500.00 FT3 Min OXYGEN F P IH G 440.00 FT3 Low PURPLE FIRE FIGHTING DRY CHEMIC S 6000.00 LBS Min +===============================================================================+ -1- 03/27/2002 'i .0 SlteID: 015-021-000047 BRAND DRY ICE INC DBA BIDCO Manager : Location: 101 TRUXTUN AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 02 EPA Numb: BusPhone: Map : 103 Grid: 30D (661) 322-6001 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MICHAEL W BRAND / PRESIDENT C A WOOD / FOREMAN Business Phone: (661) 322-6001x Business Phone: (661) 322-6001x 24-Hour Phone : (661) 322":'6001x 24-Hour Phone : (661) 322-6001x Pager Phone : (661) 428-0900x Pager Phone : (661) 428-0907x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City : BAKERSFIELD Zip : 93302 Owner MICHAEL W BRAND Phone: (661) 322-6001x Address : 1601 SPRUCEHAVEN State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 9 All Materials at Site 9 p= Hazmat Inventory f== Alpha.betical Order DailyMax Hazmat Common Name... SpecHaz EPA Hazards ABC FIRE FIGHTING DRY CHEMICAL ACETYLENE "AFFF/F FIRE BC FIRE FIGHTING DRY CHEMICAL CARBON DIOXIDE HALON 1211 HELIUM NITROGEN OXYGEN PURPLE FIRE FIGHTING G 6000.00 G 250.00 L 6000.00 S 6000.00 F P IH G 70500.00 F P IH G 635.00 ~ FDg herèf:b, certify~at I ha\ièSOO. 00 I líI'l/b>(T or print name) F 1;1 I H G 2 5 0 0 . 0 0 ypa F P I H . ~ 44 0 0 0 DR'fe~~ Œhe attached nazardous matenaš manag~-o 0 0 : 00 and that it along with LBS FT3 GAL LBS FT3 FT3 FT3 FT3 FT3 LBS F F P IH E ment plan for ßp.A.v!JÔi) (Name of Business) any corrections constitute a complete and correct man- agement plan for my facility. ~-'.../.". . ",' OJ.. o>-()~- I alU e Da! MCP Low Hi UnR Min Min Min Min Min Low Min 11/07/2001 F BRAND DRY ICE INC DBA BI.DCO f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME ABC FIRE FIGHTING DRY CHEMICAL SiteID: 015-021-000047 9 Facility Unit: Fixed Containers on Site 9 . Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS# 7631-86-9 [STATE --- ~YPE =Gas Mlxture ~est Container ~ 55.00 LBS PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS Daily Average 3000.00 LBS %Wt. RS CAS# Silica, Crystalline No 7631869 Monoammonium Phosphate No 7722761 Ammonium Sulfate No 7783202 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low HAZARD ASSESSMENTS f= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME ACETYLENE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit W SIDE OF BLDG #1 Map: Grid: CAS# 74-86-2 [STATE --- TYPE = Gas Pure ~'est Container ~ 250.00 FT3 PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 250.00 FT3 Daily Average 250.00 FT3 HAZARDOUS COMPONENTS ~ Yes CAS# 748621 %Wt. 100.00 Acetylene TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -2- 11/07/2001 F BRAND DRY ICE INC DBA B.DCO F Inventory Item 0008 = COMMON NAME / CHEMICAL NAME AFFF/F FIRE 4IÞ SiteID: 015-021-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 S SIDE OF YARD Map: Grid: CAS# 107-41-5 r= ~TA~E --- TYPE LlqUld Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL ~rest Container ~ 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 250.00 GAL %Wt. [ HAZARDOUS COMPONENTS ~I CAS# TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS F Inventory Item 0009 = COMMON NAME / CHEMICAL NAME BC FIRE FIGHTING DRY CHEMICAL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS# 1337-76-4 [ STATE --- TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL ~rest Container ~ LBS LJ HAZARDOUS COMPONENTS %Wt. Magnesium Aluminum Silicate Sodium Bicarbonate AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS Daily Average 1000.00 LBS RS CAS# No No o 144558 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS -3- 11/07/2001 F BRAND DRY ICE INC DBA Blmco F Inventory Item 0003 r== COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 015-021-000047 9 Facility Unit: Fixed Containers on Site 9 . Days On Site 365 Location within this Facility Unit S SIDE OF BLDG #1 INSIDE OF BLDG #1 Map: Grid: CAS# 128-38-9 r= STATE --- TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Below Ambient CONTAINER TYPE PORT. PRESS. CYLINDER ~fest Container ~ FT3 AMOUNTS AT THIS LOCATION Daily Maximum 70500.00 FT3 Daily Average 60500.00 FT3 HAZARDOUS COMPONENTS ~ CAS# I 124389 %Wt. 100.00 Carbon Dioxide HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min F Inventory Item 0006 = COMMON NAME / CHEMICAL NAME HALON 1211 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 SEND Map: Grid: CAS# 353-59-3 r= STATE --- TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER ~:fest Container ~ 635.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 635.00 FT3 Daily Average 635.00 FT3 U ENT %Wt. RS CAS# 100.00 Bromochlorodifluoromethane No 353593 HAZARDO S COMPON S HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 11/07/2001 F BRAND DRY ICE INC DBA BaDCO f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME HELIUM tIÞ SiteID: 015-021-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit W SIDE OF BLDG #1 Map: Grid: CAS# 7440-59-7 [STATE - TYPE = Gas Pure ~est Container ~ 3500.00 FT3 PRESSURE ---- TEMPERATURE Above Ambient Below Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 3500.00 FT3 Daily Average 3500.00 FT3 HAZARDOUS COMPONENTS ~ CAS# I 7440597 %Wt. 100.00 Helium TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME NITROGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit W SIDE OF BLDG #1 Map: Grid: CAS# 7727-37-9 r= STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Below Ambient CONTAINER TYPE PORT. PRESS. CYLINDER ~rest Container ~ 2500.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2500.00 FT3 Daily Average 2500.00 FT3 HAZARDOUS COMPONENTS ~ CAS # I 7727379 %Wt. 100.00 Nitrogen TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -5- 11/07/2001 F BRAND DRY ICE INC DBA B~DCO f= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME OXYGEN . SiteID: 015-021-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit W SIDE OF BLDG #1 Map: Grid: CAS# 7782-44-7 [STATE --- TYPE = Gas Pure ~est Container ~ 440.00 FT3 PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 440.00 FT3 Daily Average 440.00 FT3 HAZARDOUS COMPONENTS ~ No CAS# I 7782447 %Wt. 100.00 Oxygen, Compressed TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0010 F== COMMON NAME / CHEMICAL NAME PURPLE FIRE FIGHTING DRY CHEMICAL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS# 1337-76-4 [STATE --- TYPE PRESSURE TEMPERATURE Solid Mixture Ambient Ambient c: AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 1000.00 LBS 6000.00 LBS LJ HAZARDOUS COMPONENTS %Wt. Magnesium Aluminum Silicate Potassium Bicarbonate CONTAINER TYPE DRUM/BARREL-NONMETAL Daily Average 1000.00 LBS RS CAS# No 0 No 298146 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min HAZARD ASSESSMENTS -6- 11/07/2001 F BRAND DRY ICE INC DBA BtltDCO I f= Notif./Evacuation/Medical I Agency Notification CALL 911. Employee Notif./Evacuation 4IÞ SiteID: 015-021-000047 9 Fast Format 9 Overall Site 9 01/31/2000 1 01/31/2000 CALL 911. EVACUATE FACILITY TO AREAS NOTED ON MAP. PROVIDE VENTILATION. CLEANUP PERSONNEL NEED PROTECTION AGAINST CONTACT WITH VERY COLD MATERIALS OR EXCESSIVE INHALATION OF GASES. ~liC Notif./Evacuation C ::lergency Medical Plan L::l. 01/31/2000 1 -7- 11/07/2001 F BRAND DRY ICE INC DBA Bt.DCO I F Mitigation/Prevent/Abatemt Release Prevention . SiteID: 015-021-000047 ì Fast Format ì Overall Site ì 01/31/2000 ALL CONTAINERS ARE SET TO VENT AT SAFETY TO AIR CYLINDERS ARE CHAINED AND CAPPED WHILE ON OUR DOCK. Release Containment 06/26/1992 ALL GASES AT SIGHT ARE INERT AND ARE RELEASED TO ATMOSPHERE. ALL FOSSIL FUELS AND OILS ARE CONTAINED IN AUTOMOTIVE EQUIPMENT. IF A SPILL SHOULD OCCUR THE SPILL WILL BE COVERED BY CLAY ABSORBENT. THIS CONTAMINATED ABSORBENT WILL BE CONTAINED IN HAZARD DRUMS AND DISPOSED OF IN ACCORDANCE WITH S1~TE AND FEDERAL CODES. Clean Up 06/26/1992 SPILLS WILL BE COVERED WITH CLAY ABSORBENT AND DISPOSED OF IN ACCORDANCE WITH STATE AND FEDERAL CODES. Cher Resource Activation -8- 11/07/2001 .- - F BRAND DRY ICE INC DBA BtltDCO I f= Site Emergency Factors ~al Hazards Utility Shut-Offs 4IÞ SiteID: 015-021-000047 ì Fast Format ì Overall Site ì I 01/31/2000 A) GAS - S REAR OF BLDG B) ELECTRICAL - W INSIDE WALL OF BLDG C) WATER - S REAR OF BLDG (IN ALLEY PAVEMENT) D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/31/2000 PRIVATE FIRE PROTECTION - HAND PORTABLE FIRE EXTINGUISHERS IN BLDG/OFFICE. FIRE HYDRANT - UNION AV N OF BLDG AND SHADY LN & V STS W OF BLDG AT CORNER. Cilding Occupancy Level -9- 11/07/2001 .'.. . ." . . F BRAND DRY ICE INC DBA BRANDCO I F Training Employee Training SiteID: 015-021-000047 9 Fast Format 9 Overall Site 9 06/26/1992 WE HAVE: 13 EMPLOYEES AT THIS FACILITY WE HAVE: MATERIAL SAFETY DATA SHEETS ON FILE AT 101 & 107 TRUXTUN AVE. BRIEF SUMMARY OF TRAINING: SAFETY TRAINING IS CONDUCTED ON A MONTHLY BASIS IN ACCORDANCE WITH BRANDCO SAFETY MANUAL. CLASSES ARE BASED ON WRITTEN AND VIDEO PUBLICATIONS PROVIDED BY DIFFERENT SOURCES. C2 Cd for Future Use CId for Future Use -10- 11/07/2001 ~- J . . - @ BRAND DRY \ Manager : Location: City ICE INC DBA BRANDCO SiteID: 015-021-000047 101 TRUXTUN AVE BAKERSFIELD BusPhone: Map : 103 Grid: 30D (661) 322-6001 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MICHAEI. W BRAND / PRESIDENT C A WOOD / FOREMAN BusinE=ss Phone: (661) 322-6001x Business Phone: (661) 322-6001x 24-Hour Phone : (661) 322-6001x 24-Hour Phone : (661) 322-6001x Pager Phone : (661) .h~b-J HJ~lr.J:: Pager Phone : (661) ~r;: J~, ,x '. ~ ". - ~ . -.., -.- , ....- ,- - . , Hazmat Hazards: Fire Press ImmHlth Contact: : Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City : BAKERSFIELD Zip : 93302 Owner MI CHAEL W BRAND Phone: (661) 322-6001x Address : 1601 SPRUCEHAVEN State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: F Hazmat Inventory One Unified List 9 . p= Alphabetical Order All Materials at Site 9 Ha2:mat Common Name.. . SpecHaz EPA Hazards DailyMax ABC FIRE FIGHTING DRY CHEMICAL F G 6000.00 LBS Low ACETYLE:NE E F P IH G 250.00 FT3 Hi AFFF/F FIRE L 6000.00 GAL UnR BC FIRE: FIGHTING DRY CHEMICAL S 6000.00 LBS Min CARBON DIOXIDE F P IH G 70500.00 FT3 Min HALON 1211 F P IH G 635.00 FT3 Min HELIUM F P IH G 3500.00 FT3 Min NITROGEN F P IH G 2500.00 FT3 Min OXYGEN F P IH G 440.00 FT3 Low PURPLE FIRE FIGHTING DRY CHEMIC S 6000.00 LBS Min -1- 07/06/2001 ---- .;7 - -- ~. Manager : Location: 101 TRUXTUN AVE City BAKERSFIELD usPhone: ap : 103 rid: 30D SiteID: 215-000-000047 fofÞ , Ui:aS) 322-6001 CommHaz : Moderate FacUnits: 1 AOV: BRAND DRY ICE INC DBA BRANDCO I RT, " '.,'.:.. /::!../Li , v.-\i~ 2 8 2000 J·BY: -\ CommCode: BAKERSFIELD STATIO 02 EPA Numb: IC Code: ~;c9'/(,o DunnBrad: Emergency Contact / Title MICHAEL W BRAND flfpl/ PRESIDENT Business Phone: ~) 322-6001x 24-Hour Phone CI(,' (~) 322-6001x Pa er Phone (~\) ~-~oqox ~ \f Hazmat Hazards: Emergency Contact / Title C A WOOD c,. t/ FOREMAN Business Phone: ~) 322-6001x 24-Hour Phone ~(~) 122-6001x ~ er Phone : ("",) f'~. r'77 x Fire Press ImmHlth to Phone: ( State: CA Zip 93302 Phone: (6èi) State: CA Zip gJJ'iJP TotalASTs: = TotalUSTs: = RSs: No x Contact : MailAddr: PO BOX 1631 City BAKERSFIELD Owner Address: City MICHAEL W. BRAND : ~ "J I) GT .r-"I!!W '~l S""'U\o\fWEÑ BAKERSFIELD 322-6001x ~¡3''- Period PreparE~r : Certif'd: Gal Gal Emergency Directives: I, H,blIIlGlUltJItIlNÞ Do hereby cSiii1y ~ha~ ~ have (Type or print name) reviewed the attached hazardous m~~si1als manage- IAAN".,,/~~ ment plan 10r &utMf)~# ~OO ~ha~ it alc)i1fi wi~h (Ñame 01 BuDlnfl86) ~ any corrections ccmsmuts a comple~G and ciDrrsd man- agement plan f©r my mcility. ~- '1./.. %.1( Date -1- 01/19/2000 ~ - e F BRAND DRY ICE INC DBA BRANDCO SiteID: 215-000-000047 ì F Hazma1: Inventory By Facility Unit ì f= Alphabetical Order Fixed Containers on Site ì Hazmat Common Name.. . specHaz EPA Hazards Frm I DailyMax Unit MCP ABC FIRE FIGHTING DRY CHEMICAL F G 6000.00 LBS Low ACETYLENE F P IH G 250.00 FT3 Hi AFFF/F FIRE L 6000.00 GAL UnR BC FIRE FIGHTING DRY CHEMICAL S 6000.00 LBS Min CARBON DIOXIDE F P IH G 70500.00 FT3 Min HALON 1211 F P IH G 635.00 FT3 Min HELIUM F P IH G 3500.00 FT3 Min NITROGEN F P IH G 2500.00 FT3 Min OXYGEN F P IH G 440.00 FT3 Low PURPLE FIRE FIGHTING DRY CHEMIC S 6000.00 LBS Min -2- 01/19/2000 .- :; e e F BRAND DRY ICE INC DBA BRANDCO F Inven1:ory Item 0007 F= COMMON NAME / CHEMI CAL NAME ABC FIRE FIGHTING DRY CHEMICAL SiteID: 215-000-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS # 7631-86-9 r STATE - ~YPE Gas Mlxture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS ~~ Largest Daily Average 3000.00 LBS %Wt. RS CAS # Silica, Crystalline No 7631869 Monoammonium Phosphate No 7722761 Ammonium Sulfate No 7783202 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low HAZARD ASSESSMENTS F Inventory Item 0005 = COMMON NAME / CHEMI CAL NAME ACETYLBNE Facility Unit: Fixed Containers on Site ì Days On Site 365 Locat:ion within this Facility Unit WEST SIDE OF BLDG #1 Map: Grid: CAS # 74-86-2 r STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 250.00 FT3 I~ Largest Daily Average 250.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 748621 %Wt. 100.00 Acetylene TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -3- 01/19/2000 " e e F BRAND DRY ICE INC DBA BRANDCO F Invent:ory Item 0008 F= COMMON NAME / CHEMI CAL NAME AFFF/F FIRE SiteID: 215-000-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Locat:ion within this Facility Unit INSIDE BLDG #1 SOUTH SIDE OF YARD Map: Grid: CAS # 107-41-5 [ ~TA~E I TYPE ~ P~ESSURE ---r TEM~ERATURE I =LlqUld _pure ~mblent ---1 Amblent ~ ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum GAL 6000.00 GAL CONTAINER TYPE DRUM/BARREL-NONMETAL Daily Average 250.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS # HA T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ZARD ASSESSMEN S F Inven1:ory Item 0009 = COMMON NAME / CHEMICAL NAME BC FIRE FIGHTING DRY CHEMICAL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS # 1337-76-4 [ STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS I ~Largest Daily Average 1000.00 LBS L HAZARDOUS COMPONENTS RS CAS # Magnesium Aluminum Silicate No 0 Sodium Bicarbonate No 144558 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -4- 01/19/2000 e e F BRAND DRY ICE INC DBA BRANDCO F Inven1:ory Item 0003 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 215-000-000047 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Loca1:ion within this Facility Unit SOUTHS IDE OF BLDG #1 INSIDE OF BLDG #1 Map: Grid: CAS # 128-38-9 r STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Below Ambient CONTAINER TYPE PORT. PRESS. CYLINDER le~ Largest ContainerpT3 AMOUNTS AT THIS LOCATION Daily Maximum 70500.00 FT3 Daily Average 60500.00 FT3 HAZARDOUS COMPONENTS ~ CAS # I 124389 %Wt. 100.00 Carbon Dioxide TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS F Inventory Item 0006 F= COMMON NAME / CHEMI CAL NAME HALON 1211 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit INSIDE BLDG #1 SOUTH END Map: Grid: CAS # 353-59-3 r STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 635.00 FT3 I ~ Largest Daily Average 635.00 FT3 %Wt. RS CAS # 100.00 Bromochlorodifluoromethane No 353593 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -5- 01/19/2000 e e F BRAND DRY ICE INC DBA BRANDCO F Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME HELIUM SiteID: 215-000-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit WESTS IDE OF BLDG #1 Map: Grid: CAS # 7440-59-7 r STATE - TYPE Gas Pure ~3'est Container ~ FT3 I HAZARDOUS . l~~~åoIHelium PRESSURE ---- TEMPERATURE Above Ambient Below Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 3500.00 FT3 Daily Average 3500.00 FT3 COMPONENTS I~ CAS # I 7440597· TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS F Invent:ory Item 0001 = COMMON NAME / CHEMI CAL NAME NITROGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Locat:ion within this Facility Unit WEST SIDE OF BLDG #1 Map: Grid: CAS # 7727-37-9 r STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Below'Ambient CONTAINER TYPE PORT. PRESS. CYLINDER I ,," Largest Container 11'- FT3 AMOUNTS AT THIS LOCATION Daily Maximum 2500.00 FT3 Daily Average 2500.00 FT3 HAZARDOUS COMPONENTS ~ CAS # I 7727379 %Wt. 100.00 Nitrogen TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -6- 01/19/2000 e e F BRAND DRY ICE INC DBA BRANDCO F Invent:ory Item 0004 = COMMON NAME / CHEMI CAL NAME OXYGEN SiteID: 215-000-000047 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Locat:ion within this Facility Unit WEST SIDE OF BLDG #1 Map: Grid: CAS # 7782-44-7 r STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER I J, _ Largest Container or- FT3 AMOUNTS AT THIS LOCATION Daily Maximum 440.00 FT3 Daily Average 440.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low F Inventory Item 0010 F= COMMON NAME / CHEMICAL NAME PURPLE FIRE FIGHTING DRY CHEMICAL Facility Unit: Fixed Containers on Site ì Days On Site 365 Loca1:ion within this Facility Unit INSIDE BLDG #1 Map: Grid: CAS # 1337-76-4 [STATE - TYPE Solid Mixture I ~Largest ContainerLBS PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 LBS Daily Average 1000.00 LBS L HAZARDOUS COMPONENTS RS CAS # Magnesium Aluminum Silicate No 0 Potassium Bicarbonate No 298146 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -7- 01/19/2000 e e F BRAND DRY ICE INC DBA BRANDCO I p= Notif./Evacuation/Medical I Agency Notification CALL 9-,1-1. Employee Notif./Evacuation SiteID: 215-000-000047 l Fast Format ì Overall Site ì 06/26/1992 ] 06/26/1992 CALL 911. EVACUATE FACILITY TO AREAS NOTED ON MAP. PROVIDE VENTILATION. CLEAN-IfP PERSONNEL NEED PROTECTION AGAINST CONTACT WITH VERY COLD MATERIALS OR EXCESSIVE INHALATION OF GASES CEc Not if . /Evacuation C ::lergency Medical Plan L:::01 I 06/26/19921 -8- 01/19/2000 e e F BRAND DRY ICE INC DBA BRANDCO I F Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-000047 ì Fast Format l Overall Site ì 06/26/1992 ALL CO~JTAINERS ARE SET TO VENT AT SAFETY TO AIR CYLINDERS ARE CHAINED AND CAPPED WHILE ON OUR DOCK Release Containment 06/26/1992 ALL GASES AT SIGHT ARE INERT AND ARE RELEASED TO ATMOSPHERE. ALL FOSSIL FUELS ~illD OILS ARE CONTAINED IN AUTOMOTIVE EQUIPMENT. IF A SPILL SHOULD OCCUR THE SPILL WILL BE COVERED BY CLAY ABSORBENT. THIS CONTAMINATED ABSORBENT WILL BE CONTAINED IN HAZARD DRUMS AND DISPOSED OF IN ACCORDANCE WITH S1~TE AND FEDERAL CODES. Clean Up 06/26/1992 SPILLS WILL BE COVERED WITH CLAY ABSORBENT AND DISPOSED OF IN ACCORDANCE WITH S1~TE AND FEPERAL CODES. Cher Resource Activation -9- 01/19/2000 .' '. e e F BRAND DRY ICE INC DBA BRANDCO I F Site Emergency Factors Ca1 Hazards Utility Shut-Offs SiteID: 215-000-000047 ì Fast Format ì Overall Site ì I 12/19/1991 A) GAS - SOUTH REAR OF BUILDING B) ELECTRICAL - WEST INSIDE WALL OF BUILDING C) WATER - SOUTH REAR OF BUILDING (IN ALLEY PAVEMENT) D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/19/1991 PRIVATE FIRE PROTECTION - HAND PORTABLE FIRE EXTINGUISHERS IN BLDG/OFFICE. FIRE HYDRANT - UNION AV NORTH OF BUILDING SHADY LN & V STS WEST OF BUILDING AT CORNER Clilding Occupancy Level -10- 01/19/2000 <, _, ''I e e F BRAND DRY ICE INC DBA BRANDCO I F Training Employee Training "2. WE HAVE yJ EMPLOYEES AT THIS FACILITY SiteID: 215-000-000047 l Fast Format l Overall Site l 06/26/1992 .2301 - Þ So"- . WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE AT -i.Q~ E.. un 'I'mJ-X'I'illl ~E. BRIEF SUMMARY OF TRAINING: SAFETY TRAINING IS CONDUCTED ON A MONTHLY BASIS IN ACCORDANCE WITH BRANDCO SAFETY MANUAL. CLASSES ARE BASED ON WRITTEN AND VIDEO PUBLICATIONS PROVIDED BY DIFFERENT SOURCES. C2 ~d for Future Use C1d for Future Use -11- 01/19/2000 . . HM382801 Account Number HTE ACCOUNTS RECENABLE ADJUSTMENT - October 17. 1995 Date Fin. Department - Hazardous Materlala Division Department/Dlvlslon BRAND DRY ICE CORP DBA BRANDCO BIlling Name x Esther Duran From 1011 TRUXTUN AVE Billing Addreaa Sib. Addreaa Parcel # (If Applicable) Landlord Name" Addreaa (If Applicable) ADJUSTMENT Laat Billed Correct Billing Adjustment to Effective Date of Billing Change <42.73> 10-17-95 ~~ Remarks: PAYMENT ON THIS ACCOUNT WAS MADE ON 03-G3-95. PENALTY AND FINANCE CHARGES ACCRUED ON 03-01·95. WE WILL ADJUST OFF THE $42.73. ~ un \__ _.i;. ~tl .. ~'- It e t 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 Overall Site with 1 Fac. Unit Page 1. General Information Location: 101 TRUXTUN AV Map: 103 Hazard: Moderate Communi t.y: BAKERSFIELD STATION 01 Grid: 30D FlU: 1 AOV: O. O· r--- Cont.act Name Title Business Phone - 24-Hour Phone · MICHAEL W BRAND PRESIDENT (805) 322-6001 x (805 ) 322-6001 C A WOOD FORMAN (805) 322-6001 x (80 5 ) 322 -b 0 0 1 Administrative Data Mail Addrs: D.DltJ D:'1IUIISnJRI fAn P.O. BOX 1631 D&B Number: City:. BAKERSFIELD State: CA Zip: 1!I&:BmIIDI- 93302 Comm Code: 215-001 BAKERSFIELD STATION 01 SIC Code: O~mer : MICHAEL W. BRAND Phone: (805) 322-6001 Address: 7712 OLCOTT State: CA City: BAKERSFIELD Zip: 93309- Summary RECEIVED MAR 2 S 19921 HA7 MAT. O'V. I,MICHAEL W. BRAND ID© hsr~by esri¡~ that I have (Typo or print nemG) V'eviøwsd the attached hazardous materials m~nage" n~ plan fo~""~ ~ A !'!~. __D.~X~_!l.~a;¡¡t-J <that i~ along wi~h DBA; 'S'R'Á Ñ'D'(-oì. ~fi'ly' cOü"rectic:ls cmlstitute a comp¡lete and corred mafic ag¡sm$n~ plan 101" my 1aciiiW. \'ò; 3/15/92 Date ~\~~QJ ~ ~ c ,,\~~1k t ~ ~\\~~ cCJ ~~~~Q . l' .,,~ .. .', . e 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 NITROGEN ~ Fire, Pressure, Immed Hlth Gas 2500 Minimal FT3 CAS #: 7727-37-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 2,500 I 2,500.00 I 35,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER Above Below WEST SIDE OF BLDG #1 -, Conc l 100.0% Nitrogen Components r; MCP -=-rList Minimal I 02-002 HELIUM ~, Fire, Pressure, Immed Hlth Gas 3500 Minimal FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure bays: 365 Use: STORAGE/IN STORAGE Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 3,500 I 3,500.00 I 45,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER Above Below WESTS IDE OF BLDG #1 -. Conc -, 100.0% Helium Components r; MCP -=-rList Minimal I 02-003 CARBON DIOXIDE þ. Fire, Pressure, Immed Hlth Gas 70500 Minimal FT3 CAS #: 128-38-9 Trade Secret: No F'orm: Gas Type: Pure Days,: 365 Use: STORAGE/IN STORAGE Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 70,500 I 60,500.00 I 1,990,000.00 Location SOUTHSIDE OF BLDG #1 INSIDE OF BLDG #1 Storage ~ Press ì Temp PORT. PRESS. CYLINDER Above Below BIN Ambient Below -- Conc l 100.0% Carbon Dioxide Components r; MCP -=-rList Minimal I '. - e 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-004 OXYGEN þ. Fire, Pressure, Immed HI th Gas 440 Low FT3 CAS #: 7782-44-7 Trade Secret: No F'orm: Gas Type: Pure Days: 365 Use: FABRICATION Daily Max FT3 ~ Daily AverageFT3 ~, Annual Amount FT3 -- 440 I 440.00 I 880.00 Storage r Press T Temp -:-1 Location PORT. PRESS. CYLINDER Above Ambient WEST SIDE OF BLDG #1 -. Conc l 100.0% Oxygen, Compressed Components ~ MCP ~List Low I 02 - 0 0 5 l!,CETYLENE þ. Fire, Pressure, Immed H1th Gas 250 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Da'i1y Max FT3 --r- Daily Average FT3 ~ Annual Amount FT3 -- 250 250.00 ' I 1,250.00 Storage r Press T Temp -:ï Location PORT. PRESS. CYLINDER Above Ambient WEST SIDE OF BLDG #1 -. Conc l 100.0% Acetylene Components r;;- MCP ~List High 02-006 HALON 1211 . Fire, Pressure, Immed H1th Gas 635 Minimal FT3 CAS #: 353-59-3 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 --r- Daily Average FT3 ~ Annual Amount FT3 -- 635 635.00 6,350.00 Storage r Press T Temp -:-1 Location PORT. PRESS. CYLINDER Above Ambient INSIDE BLDG #1 SOUTH END -, Conc -/ Components 100.0% Bromochlorodifluoromethane r; MCP :-rList Minimal I . ,,- ~ . e 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in Reference Number Order 02-007 ABC FIRE FIGHTING DRY CHEMICAL þ. Fire Gas 6000 Low LBS CAS #: 7631-86-9 Trade Secret: No Form: Gas Type: Mixture Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 6,000 I 3,000.00 35,000.00 Storage DRUM/BARREL-NONMETAL r Press T Temp ~ Location Ambient Ambient INSIDE BLDG #1 Components ~ MCP ~List Minimal Low Minimal Conc 0.0% 0.0% 0.0% Silica, Crystalline Monoammonium Phosphate Ammonium Sulfate 02-008 AFFF/F FIRE þ. Liquid 6000 Unrated GAL CAS #: 107-41-5 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL ~ 6,000 I 250.00 I 7,000.00 Storage DRUM/BARREL-NONMETAL r Press T Temp ~I Location Ambient Ambient INSIDE BLDG #1 SOUTH SIDE OF YAR' -- Conc Components MCP --,-List 02-009 BC FIRE FIGHTING DRY CHEMICAL þ. Solid 6000 Minimal LBS CAS #: 1337-76-4 Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER ---- Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 6,000 I 1,000.00 I 25,000.00 Storage r Press T Temp ~I ' Location DRUM/BARREL-NONMETAL Ambient Ambient INSIDE BLDG #1 Components Magnesium Aluminum Silicate Sodium Bicarbonate ~ MCP DList Minimal , Minimal Conc 0.0% 0.0% · . o ,,--..., e e o 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 02 - Fix~d Containers on Site Page 5 Hazmat Inventory Detail in Reference Number Order 02-010 PURPLE FIRE FIGHTING DRY CHEMICAL þ.' Solid 6000 Minimal LBS CAS #: 1337-76-4 Trade Secret: No F'orm: Solid Type: Mixture Days: 365 Use: OTHER ---- Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 6,000 I ' 1,000.00 I 25,000.00 Storage DRUM/BARREL-NONMETAL r Press T Temp ~ Location Ambient Ambient I INSIDE BLDG #1 Components Magnesium Aluminum Silicate Potassium Bicarbonpte ~ MCP IlList Minimal . Minimal Cone 0.0% 0.0% " - e ~ ~"'I' 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 6 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 ,<2> Employee Notif./Evacuation CALL 911. EVACUATE FACILITY TO AREAS NOTED ON MAP. PROVID~ VENTILATION. CLEAN-UP PERSONNEL NEED PROTECTION AGAINST ,CONTACT WITH VERY COLD MATERIALS OR EXCESSIVE INHALATION OF GASES <4> Emergency Medical Plan CALL 911 ., e e o , ~~' " 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL CON'I'AINERS ARE SET TO VENT ,AT SAFETY TO AIR CYLINDERS ARE CHAINED AND CAPPED WHILE ON OUR DOCK <2> Release Containment ALL GASES AT SIGHT ARE INERT AND ARE RELEASED TO ATMOSPHERE. ALL FOSSIL FUELS AND OILS ARE CONTIANED ,IN AU[OMOTIVE EQUIPMENT. IF A SPILL SHOULD OCCUR THE SPILL WILL BE COVERED BY CLAY ABSORBENT. THIS CONTAMATED ASORBENTWILL BE CONTIANED IN HAZARD DRUMS AND DISPOSED OF IN ACCORRDANCE WITH STATE AND FEDERAL CODES. <3> Clean Up SPILLS WILL BE COVERED WITH CLAY ABSORBANT AND DESPOSED OF IN ACCORDANCE WITH STATE AND FEDERAL CODES. <4> Other Resource Activation ,) ,1' ~ ¡~ .... e· e 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTH REAR OF BUILDING B) ELEC'I'RICAL - WEST INSIDE WALL OF BUILDING C) WATER - SOUTH REAR OF BUILDING (IN ALLEY PAVEMENT) D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND PORTABLE FIRE EXTINGUISHERS IN BLDG/OFFICE. FIRE HYDRANT ~ UNION AV NORTH OF BUILDING SHADY LN & V STS WEST OF BUILDING AT CORNER , <4> Building Occupancy Level / ~ .r ¡ .~ 1: ,,';" a-'.. e - 02/24/92 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 9 <G> Training <1> Page 1 WE HAVE 13 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? YES AT 101 TRUXTUN AND 107 TRUXTUN AVE. BAKERSFIELD CA. BRIEF SurMMARY OF TRAINING: SAFTEY TRAINING IS CONDUCTED ON A MONTHLY BASIS IN ACCORDANCE WITH BRANDCO SAFTEY MANUAL. CLASSES ARE BASED ON WRITTEN AND\VTD[:::Ø PUBtICATIONS PROVIDED BY DIFFERENT SOURCES. <2> Page 2 as needed <3> Held for Future Use ~4> Held for Future Use It e RECEIVED 09/06/90 BRAND DRY ICE INC DBA BRANDCO 215-000-00004S£P 2 7 1990 Page Overall Site with 1 Fac. Unit 1 General Information HAl. MAT. DIV. Location: 101 TRUXTUN AV Ident Number: 215-000-000047 Map: 103 Hazard: Minimal Grid: 30D Area of Vul: 0.0 ~ Contact Name ~ Title IMICHAEL W BRAND II IC A WOOD r:: BusiY",ess PhO:IY",e - 24 Ho:,ur PhO:lrle] 1(805) 322-6001 x (805) 322 -6001 1(805) 322-6001 x (805) 322 -6001 Administrative Data Mail Addrs: 101 TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Numbet~: State: CA Zip: 93301- SIC CO:ld e : Owner: MICHAEL W. BRAND Address: 7712 OLCOTT City: BAKERSFIELD Phone: (805) 322-6001 State: CA Zip: 93309- I Summary ¿ ~:~ ~~f? \0 ,I () <~~ ~, , Do hereby eSfiiiy tha~ ~ have (Typa or print nMl\9) f®vlewed ~he ~tlached hazardous matsfial$ manag<1- mlSn~ ~Ian ~©r BInd tha~ i~ along with (Nem8 of Business) ~~1f oofr®di©n$ ©©fi"is~itutt9 a comíJ!s~~ ~nd (Correct m~i"i° tã!~~m®n~ plan ~öE' my ~Bl©iIi~lf. Þtt'.. - ,"'\ ,'.' ;':~.." t"'" . . , ' . .'1.,' , ' ~i ;, Slgf1mwre DEltS 09/06/90 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 Hazmat Inventory List in Reference Number Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Fc.rm QlIaY',t it Y MCP 02-001 NITROGEN ? 2,000 Compressed Gas FT3 Mi Y'lÌmal 02-002 HELIUM ? 2,000 Compressed Gas FT3 M i r"li ma I 02-003 CARBON DIOXIDE ? 24,000 Camp d G L· . f· rl FT3 , resse as 19L1J.:l~;:.~,. ~ :' .~-. -. :~ ~&.~~ \~. . ~~, :2 M i r"li ma I '- ... - . 02-004 Unknown Material #471 ? 257 High FT3 02-005 OXYGEN ? 244 LClw Compressed Gas FT3 -- e e e 09/05/90 BRAND DRY ICE INC DBA BRANDCD 215-000-000047 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification 911 And Chemtrec <2> Employee Notif./Evacuation CALL 911. EVACUATE FACILITY TO AREAS NOTED ON MAP. PROVIDE VENTILATION. CLEAN-UP PERSONNEL NEED PROTECTION AGAINST CONTACT WITH VERY COLD MATERIALS OR EXCESSIVE INHALATION OF GASES <3> Public Notif./Evacuation 911 Ane1 as necessary to local Haømt team. <4> Emergency Medical Plan CALL 911 0'3/06/'30 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ALL CONTAINERS ARE SET TO VENT AT SAFETY TO AIR CYLINDERS ARE CHAINED AND CAPPED WHILE ON OUR DOCK. <2> Release Containment ~aZI±lé!r: 1 rcms:::ol( ,~j; te'~, tllat enViro!¡' erJt~::'~" >..,."... '", '," , .. __ ...... ,.I _ . . . . I . . I . I . . . I P R.es.u.têlx.-eJ C!.j /llI,/ðtQ~.s. C!.o Ai 6c<-, N J;( e Ai& . J~e'~1of g~3IfiorFIt'orc' found nûtural:h';,'io!1the_> . , ::-'- , 'G CA. s..s e R.. C( R,; e (1..0 N7;a¿ I Ned I Ai a<ffJ R..o v o-ð- 1..1 ß to r:)¡ oS I AI t!/o.s e r:f k e 7;4,. L .' , ! <3> Clean Up Items of gas form,NA. - VR.y' ahso/è ¡, elV-& HC!i;eltlC'e.L fO R poss rb/'@ fft:tß'o h.ve. ð>f¡/Js , en,¡ he¿ AId- <4> Other Resource Activation e e e e 09/06/90 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site Page 5 <F} Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTH REAR OF BUILDING B) ELECTRICAL - WEST INSIDE WALL OF BUILDING C) WATER - SOUTH REAR OF BUILDING (IN ALLEY PAVEMENT) D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND PORTABLE FIRE EXTINGUISHERS IN BUILDING AND OFFICE FIRE HYDRANT - UNION AV NORTH OF BUILDING SHADY LN & V STS WEST OF BUILDING AT CORNER <4} Held for Future use 09/06/90 BRAND DRY ICE INC DBA BRANDCO 215-000-000047 00 - Overall Site <G> Tt~a ÌY"IÌ \'"Ig Page 6 <1> Page 1 WE HAVE 1? EMPLOYEES AT THIS FACILITY 12 DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: MonthlY saftey meetings. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use e YE S . . . . . . I . . . . . . . e t:'......."--"~:...-'- rq , :' .-- ---=-----......-.- .;;¡::;:---~_.__._-------'--:.::._---- ------~---....-.~--...,.~""~-...,...-----~--- ." CITY of BAKEHSrlELLJ , ' I OHAZARDOUS MATERIALS INVENTORY Farll and ~gticullure 0 StandSI'd Business Ll NON':-TRADE SECRETS Page 1-____ of -L.. BUSINESS NAME~. ~æ: C~· OWNER NAME: ,1c.E. " NAME OF THIS FACILITY: BRAI'\I)Co LOCATION' ADDRESS'IOC STANDARD IND. CLASS CODt:=-"-·---------· CITY ZIþõ!t=!!,fl5.. 1 CITY zip: DUN AND BRADSTREET ~UMBER"-' ------.------. PHOtH~ II: ~~ - --~~- - PHON~ It: tros-- 0 J. - 1 ~ - AO' '" -- - REFER raiNS FDFrPROPER CODES - - ~ Jot' .. ~ 1 2 3 . 5 6 1 8 10 II 12 ' 13 Ii Tr~ns Jy~e /lax Average Annual Mea$ure JOys 'Cont Cant Use loc~tion Vhere 'by !lms of IIixture{ç::rconents CoØe eMe AIIt AIIl Est UnIts on SIte type temp Code Stored In Facility Ijt See Instru: Ions ~booo 12~O "000 6N... 3G,S"1 '+ !'" to ~UÞI :II Physical 'nd Health Ha~ard C.A.S. NUlllber ID-r ~lfl"':S NaIIIe & C.A.S. HUllber ICheck a I that applyl o F ire Hazard o Reactivity o De tared o Suddf" Re I ease o . COMponent 12 Hame & C.~.S. Humber huned 18 te Hea th o Pressure Health Component 13 Hame I C.A.S. Humber Nalle & C.~.S. NUllber 1~"3r-'~ OF ire Hazard o Reactivity o De Jared o Suddf" Re' ease o COllponent 12 Hue & C.A.S. HUlllber (q4"S'S-~ IlImediate Hea th o Pressure Health Hame & C.A.S. HUllberb~(Clt-S7-2- Component 13 Î1J$IDG. Stl1&PI"G-B - Component 11 Hame & C.A.S. Humber l'Z,oo/-¿b-1.. J~~7-)'-'I [] Component 12 Nalle & C.A.S. NUllber.2."tV-I«I-b o Fire Hazard o Reactivity o De Jared [] SUddf" Re I ease Imlllediate' €??,.I "l8-S7-2- Hea th o Pressure Health (,~ ? /-11'-'1 COllponent 13 Nalle & C.A.S. Humber~.~~~::'~ . AlS/1JS 4tt,I.lIN¿ ;j Component 11 Name & C.A.S. HUllber o Fire Hazard o Reactivity o De Jared [J Suddfn Release [] . COlllponent 12 Nalle & C.A.S. Humber IlImedlate Hea th o Pressure Health COllponent 13 Nalle & C.A.S. Humber -' EMERGENCY CONTACTS tt1Ry»\.tl~~)b KlìfS'~~, i4~~n'ôn~-" 1t2J;-ß~RLéS rJJ-OOJ> íertirit5tioq fRet:d and sign afjer cpmp7eting /)77 se.ct;ions) certIfy under penaltï 0 ra~ th~t ) have persona "l exalllnâO aqd Oil fallilla( vith the Inforllatlon $ublitted in this and all attaçhed docUllents, ano t at based on .Y Inquiry 0 hose In IVIØuals responsIble for obtaIning the Inforllatlon. ) belIeve th Subllltted In/orllatlon IS true, accurtte, anØ co~plete. rlM.1 )..,,!: f)~~-,..>z) .p~1 f!IF~ - ~~~ICI81 title Of Own. oper -(Or- u~operator's authorlzea representatl~e , ft1+r·vvn~1L- ~'k'¡Jo~l ' r¡ lIr Tliõn I ~lif,~¡~ 0 ~......~,..:.....~. --- .._~--~-.. ..::;-------------~------------_._-'-------...:.......__._~-,,;;;.;;;..----:~~_-::.:..-.:..- - .........:...--. .- .¡, CITY of HAKEKS~lELU OHAZARDOUS.MATERIALS INVENTORY , .1\ farm and Agticulture 0 Standard Business ~ '~I NON-TRADE SECRETS Page ___. or : BUSINESS NAHE.e~. OWNER NAME: dc:.e:. " NAME OF THIS FACILITY: ~nÞCo LOCATION' ADDRESS'lOt STANDARD IND. CLASS COOr:~'-" - -----. ~f~ò~~ ¡~P~ -- 1 ~rtM~ ¡~~oS"~ DUN AND BRA8S1R~E'1T lI~MB~R~-O' ~-;.'---' --...--. -- - - -- REFER TO-rNS FDFrPROPER CODES - - 8. L k'" to.. 1 2 3 5 1 8 10 11 12 . 13 It fr~ns fYQe ~ax Average Annual Hea$ure 'Dys 'Cant Cant Use loc~tion Where 'by !lms of lIixture{C::lI'ponents Code Code Allt Allt Est Units on Site Type Temp Code Stored In FaCility lit See Instru: Ions ÐÐ t0500 Il0500 ~S'SO OtJt1 L8~ 3bS 1.5' Co qq Physical end Health Halard C.A.S. Humber J2l{-~B~ (Check all that apply! o Fire Hazard o Reactivity o De hred 0 SUddfn Re I ease Hea th 0 Pressure ~ Component.2 Hame I C.A.S. Humber tl Il1mediate Health Component.3 Name I C.A.S. Number n(SIII! ØF 8uu.o,,aG,. II( I Component II Hame I C.A,S. NUllber o Fire Hazard o Reactivity o Delayed u,v(Uddfn Release Health 0 Pressure ~~ Component.2 Halle I C.A.S. Number IB' Immediate Health Component .3 ~Suddfn Release ~ Component .2 Name I C.A.S. Number o Fire Hazard o Reactivity o Delared huned ia te Hea th o Pressure Health Component t3 Name I C.A.S. Number 'Z.. ()o7 12.' 3ì~ o Fire Hazard o Reactivity o De hied ~uddfn Release ~ ' Component.2 Name I C.A.S. Number ImmedIate Hea th o Pressure Health Component .3 Nale I C.A.S. Number EMERGENCY CONTACTS 1t1 fir /Z)' t(f'ES/.PGI\lr-- ~~¡Pñ~ô/ 1t2R,fif~~ ðlA~C?t:J Certifiç3tio~ fReed and .$ign Bfjf3r C9m'f7eting Çl77 rc8ctionS) I certIfy under penaltl 0 la~ th~t I have pe~sona I~l examine O~d O. familla( .,it the inœfO matlon $U attaçhed d%C ments, anQ t at based on IY InQulrYtO hose IndiViduals responsible or ob al ng e 1 SUb~ In ormation IS true, a~te and co~~Jete. 'I ,¿;: rÓtI?/IIØ1l rrÆ'5/,t'?CNr .: ~~e ~r~rICIII title Of own~r/operator UK owner/operator's authorized represen v STgñãture ;:::-CJæ~ nne- 3"2 2- -~ooJ-- 2¡ 'RfTlið~ ~~'rv r' -- ~ '- ~ . . - . .,-. ---~"'"'--~~--:~"'-----,; ..- - " . -- _....._--.._----~ .........._-#~~'::~-=--------_. . .- CITY of BAKEHS~lELU I: OHAZARDOUS MATERIALS INVENTORY ,\ faf"and~gl\cullufe 0 SlandardBusiness NON~TRADE SECRETS page~_.u , BUSINESS NAHE&~~.ß~ 'rnL. OWNER NAME: .k£ NAME OF THIS FACILITY: BQQf\1)Co LOCATION' ~I ~ ADDRESS'IO( STANDARD IND. CLASS coof:=-:'-"'- CITY ZIP:' 1 CITY zip: DUN AND BRADSTREET 'UMBER·'·' .__u._'_ _n -..--- PHON~ II: -~ - --. ~--- PHON~ 11:.0 . 0.1. - 1 L - 00' "" -- REFER TOl~S FDFrPROPER CODES - - tEl Þ" 1 2 3 . 5 6 7 8 10 II 12 " trans tyoe ~ax Average Annual Measure 1 Dys 'Cont Cont uSå loc~tion Where Code Code Allt Allt Est UnIts on SIte type Temp Co e Stored In Facility JCITI4l{O I <+t.{O I BSo l{ q't, S Physic~1 ond Health Haflrd Hallie I C.A.S. NUllber (Check aI' that apply Of~, 13 , by wt It N!~es of ~i~ture{çc'oonents See Instru: Ions o Fire Hazard 0 Reactivity 0 Delayed Health ÂÓ-O :<..5"(..) J Ml) .LIE~ ~Zc:r Phïþic~ fPd Hellth Hlflrd ICheck I I that apply ¿re Hazard 0 Reactiv\ty 0 Delayed £(Sudden Release Health of Pressure O . Component 12 Nalle' C.A.S. NUlllber IlImedlate ' Health Component'3 Hame' C.A.S. Number C.A.S. Number m....1. COllponent.2 Nllle' C.A.S. NUllber ~ IlImediate Health Component 13 Halle' C.A.S. NUllber o Fire Hazard o Reactivity o Delayed ~dden Release Health of Pressure __~ , Component 12 Name' C.A.S. Number (9' IlImedlate ' Health COllponent 13 Nalle I C.A.S. NUllber EMERGENCY CaNT ACTS II f~/£ ifÞA~b Tlfffs/Þ~r- ~';M~t?/ 112RiifIM':L.6S" ¡jVI/PLJ n~H1.;1A1 Certifjç3tioq (Re~d and $ign afjf3r C()m'f7eting, a77 sections) I certIfy unðer penaltr 0 la~ th.t J have persona Iy exallne ,qd '" famIlIar with the inforllatlon $ubllitted in this end all attaçhed documents, anQ t at based on IIY Inquiry 0 those Individuals responsible for obtaIning the Inforll8tlon. I belIeve that t ,,4 subllltted Inforllatlon IS true, accurate, and co~plete. ¿'£ ~/þþ ~¡e5S/þ¿"/j// ~J;,p ~~~rICIII tit own~r,operator UK wnëf7õperator's authorized represen v STgñãture .52;z. hPP/ . 2t -RfTfi6ñf- u~J{J . - - ...-L--,.¡",......._~_______.....______ ~~~_.__~_______...._ ------"------"--:-----... ..~--...::.:------.~--.~_....._-----_-.----~---:--'-~-_..._~---_.__.__... -,_.._--.~~-,-:--_,..--....-:"- -- OHAZARDOUS. MATERIALS INVENTORY l} 'I Far~ and ~gticulture [] Standard Business '- NON-TRADE SECRETS Page ___un of __.' BUSINESS NAHE.~"l::nL. OWNER NA.ME: ,Ie.£. " NAME OF THIS FACILITY: ~nÞCo l"CATIQN' - ADDRESS' O( ,STANDARD IND. CLASS COOr:~---' --------- CITY lIP~: ~I -~-- CITY zIp: DUN AND BRADSTREET lIUMBER--- - ____.___n___.___ .- PHOU~ II: ~ - __nO ~-- PHON~ It: "0 - 02.- ., '1"'1.. - 00' ~ -- REFER To-rñs FDFrPROPER CODES - - ~ WI ~ . 1 2 3 4 5 6 7 8 10 11 13 It Trans Type Max Average Annual Measure I Dys 'Cont Cont Use 'by Ilam of lIixture/C::,conents Code Code Allt Allt Est UnIts on SIte type temp Code vt See Instru:tlons I[]M]hotJO 13ðð1Ò [;J9't90d US ~ qtJ rJS" & lJJI1J6' Physical ond Health Ha~ard C.A.S. HUMber Halle & C.A.S. HUllber lU1OI~~ (Check all that app I y I ,,~t -PD- " ì7~'Z.-7b- Halle I C. A. S. Humber (,'1_'/-$ ;.-1.- ¡, 3Ilfs-->l-2- Halle & C.A.S. Number S1í'~sr-7~-i7 EMERGENCY CONTACTS It 1 'rÇ rff;/L?~ ð?-2-bClClJ 112 Cf/.lJÆ¿¿5 Np~ I T tie . ff1fnfiõñ~ Rne íertifjC3tio" fReed and $ign afrf3r cçmpleting all se.c~iol7s) . certIfy un~er penaltI 0 la~ th~t I have persona I~l exallneO e"d Oil falilll( with the Inforllatlon ,ublitted In this end all attached documents, ano t at ÞIsed on IY Inquiry 0 hose IndIvIduals responsIble for obtaIning the InformatIon. 1 belIeve th submItted ,Inlormatlon 15 true, accurate, and co~~~e. ~}¿- 1fR/9fi'J!? rX$/Þ5/Vr ~f;,~ ~r~rlclal tItle or ovnerrupera~or UN ovner/operator's authorizeD represen a v STgna ur Ii é' o Fire Hazard o -Reactivity o Oelared 0 Suddfn Release Hea th 0 Pressure ~ '0 110 Physical ood Health Ha~ard (Check alt that apply, ~ Hazard -[] Reactivity 100 C.A.S. HUllber [] oehred [] Sudd~" Release Hea th of Pressure L) II) Physical ond Health Ha~ard IChe:k all that applYI ~re Hazard [] Reactivity [] Delared [] SUddfn Release Hea th 0 Pressure L1 rg..1¡ re Hazard [] React ivity [] De Jared 0 Suddf" Re lease Hea th 0 Pressure CITY of HAKEKSrlELU [] Component 12 !lulled ia te Health Component 13 e rJloïD~ ð(L [] Component 12 Hame I C.A.S. Humber hmediate Health COMponent 13 Name I C.A.S. HUllber N.r [] COllponent 12 Nale I C.A.S. NUllber !lIMed ia te Health COllponent 13 [] . Component 12 NIlle I C.A.S. NUllber 9012.·9f-/ IlImedl8te Hea I th COllponent 13 Halle I C.A.S. HUllber 3:2.2 -6tlC/ ) n-RfTliõñf::L ~~¿1 / e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 I /0 3 -3DD I IIJS P d- OFFICIAL USE ONLY ID# OL{h5.Y-- 00004'1 BUSINESS NAME 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 A. BUSINESS NAME:_Bf'ð"f\d lì.cg í~ TV\c... ])BA i:),ð.M(!O B. LOCATION / STREET ADDRESS:~~~~Ý) ~t)E: CITy~k~<'Stl~Ld\ ZIP: q3~~ BUS.PHONE: (Bù5) 322-00C7~ 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 A;'1D TITLE _A DURING BUS. HRS. AFTER BeS. HRS. A·m.lŒ~EL \IV. ßR'Al U' Ph# 32"2..-fo~' Ph# 3 ¿'2....-l.ooo1 B .~ ~.:D Ph# ~ '2 2. -000 ( PhI -=s 2. '2....- tooe> , SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. B. C. D. E. YES. LOCATION: IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - 0: e ~......... e SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE N/R SECTION 5..:..~~LOCAL EMERGENCY MEDICAL ASSISTANCE FOR VOUR BUSINESS AS A WHOLE @:) SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARX9US e MATERIALS: . .1/.$:7"(>. .ðt/./.f!.. ~4JÇI117P. . . , . . . . . . . . . . . . NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . , . . . . . . . . . I NO YES NO C. PROPER USE OF SAFETY EQUIPMENT:. . . . . . . , . . . . . . . . . . NO YES NO D. EMERGENCY EVACUATION PROCED~RES:........:........ NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. .. . .. . NO YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES ~THAN 500 POUNDS OF~ SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: . .. ... YES.~ I ,...lJ/;¿III'1£ L w· ¿¡(II ,,;..0 , certify that the above information is acc~rate. 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 See, 25500 Et AI.) and that inaccurate information constitutes perjury. . . SIGNATURE '- TITLE f~ DATE 5 '15-'67 - 28 - I,,, /" . . ~. ! e e BAKERSFIELD CITY FIRE DEPART~E~T 2130 "G" STREET BAKERSFIELD. CA 93301 OFFICIAL ~SE O~LY ID# ------ BUSINESS ?\A!Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, thi!; form must be returned by: 2. TYPE/PRI~T YOrR ANSWERS IN ENGLISH. 3, Answer the questions b~1nw for THE FACII.ITY U~IT LISTED BEtOW 4. B~ as BRrf::f and CONCISE ûs possible. ..ßIfI"JJJLJð/llfIN!::j;.!L IJÆIJ FACILITY UNIT# / FACILITY UNIT NAME: ~~~tL/ SECTION 1: MITIGATION, PREVENTION, ABATEME~T PROCEDURES (C02/,¿}¡e1/C'~/.Aß/rp:J'£,v / /lE/tµM) /J ~ .7¿vel2J'- 91'9S - /1// eCh?7'-all1EQ.Ja,Æ?/E s£l- Ið 1/6/7T &'T J>,.,¡;rn;y (ÎJO/ f' #NS) fv 14/J¿. I {!t¡/JnLJéð /JI<E' 6¡'¡/9/AJ~ ar;¿;/ DJ//€/J øh,LÊ (5) IV ð t( 12- ,()¿;c-I¿ SECTION 2: NOTIFICATION AND EVA~UATION PROCED~RES AT THIS UNIT O~¡LY 9//- £//AC Fl9cIL/ry ß It/lél9J A/'07E.b ðJJ /1'11'/- fJroY/t:l5 VE¡t)7ï!.C¡/-;P~C/é~A.J - L-ljJ (J£r.sO/7/J£L _~O /Jr¿J/êc//O.À/ Cl9élll1..f!: (!()nfat!!- w/¡-~ UE£'-j t?oLct ff/!Î7&/å/.s OIZ exct2K;S;'i/£ /YJhalqhoTJ é!J)·f tJCt~~êSv - 3.<\ - '. e e ""~ SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does thi s Faci Ii ty Unit con tai n Hazardous Ma teri al s? . . . .. @ 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 O~LY (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 .- H/lNb fJPll/obLE h;Q£ 5I11J9HIJhßR5 /)J AtI/Ld//}7 ¿;¡A.JO ð ~F/t.6... SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS -11=1 JPLü '1 ¿p~Ar£o o¡V Ú/J/ e1V A I/Æ #b/<r-# ¿J.,ø- ßUILd//J?·.jI / #1- f~~ At?é/11"Ê1J ðW SIJAJJ'l fi~A/e.. ¢' ¿J.sl; tvé51 ð/-l8h/LA'II1< ~t h a-l- ~/:rEn. . / SECTION 6: LOCATION OF UTILITY SHUT-On'S AT THIS UNIT ONLY. A. i\~ðlEPROPi\NÈ: lJ~#N4 B~.# I (Gôarh 6;V0 "I!I£¡ /JPWL'/2..- 8£/1/AJð ð'Lt)j2 PA/.s~I-/j w,A1I )0/ A'€I9,r¿ ðo~,e B. ELECTRICAL: /A./S/O£ ~Ld'/7J / &N U/£~I- ¿tlll// /.AJS/¿;£ /;Ú/UÁ7 IN -rrPlUl ¿/Jrl ,e~ ¿)A)ð //1/ rnt?/Vr- tA/£Sr C-/6>.S~. C. WATER: /N Sr/'EE7 (s1l/J()t1 A,lQN'~OL.lIA ~f ..<5L1)12 S-w d~ ¡.guIld#-/ D. SPECIAL: S'£ð' /7~c,t/Æ..b ;Ii 7' E. LOCK BOX: YES /@ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES ,I ~O KEYS? YES ¡ XO - 38 - e e September 5, 1990 Mr. Michael W. Brand Brand Dry Ice Inc., DBA Brandco 101 Truxtun Ave. Bakersfield, Ca. 93301 Dear Mr. Brand: Enclosed you will find a computer printout of the Hazardous Materials Management Plan that is currently in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that went into effect January, 1989, we need to ha',e a new inventory form (enclosed) filled out. These forms must be filled out and returned to our office by September 28, 1990. If you have any questions please don't hesitate to contact us at (805) 326-3979. Sincerely Vours, Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures ':-, . I :0. # ~ - --- . .. - B:~ERSF:~I.:~ ~~~.~. :~~~~::PA~T:::~~ Pt~ ~ of L NON-TRADE 'SECRETS HAZARDOUS MATERIALS INVENTORY BUSINESS NAME:~~ I;; Ioe.. ADDRESS: 101- ~ íJf.. CITY, ZIP:'b~kEÞöF[ a L..1Ç"O~\l'J. PHONE #: So ç - 5.:t'2-G:,0o1 ~ "t ,",RS - OWNER NAME: y\f\\~HA~L w. ß~AN.l::> FACILITY UNIT #: I ADDRESS :7; 12 OL.C-ðTl FAC I LITY UNIT NAME: SlIðP CITY, ZIP:'B~K1=r9S~lPI 1\ q~3oq PH 0 N E #: 322 - C90 0 1 -z. '4 H It.~ 10 F F I C I A L USE C FIR S COD E I ONLY 2 3 45 6 7 8 MAX ANNUAL CONT USE LOCATION IN-THIS % BY AMOUN A I~T _UNI~ CODE CODE FACILITY UNIT WT. , '7 ~~~ 1>6 ~ ~ ~ ~",~9trõ ~ L-.L- , DC _ _ lpJSlnl c.~r Fa.. OF Ntln ~ -~. .- I ~ L~ -z;rï Ø~IU)I ~ a..oo~¡:' 1;1.(;'00 FT.3 o~ 37 I~~ ~OJt:., ~~ ~~~ 100 :;'ÐOcg~ 3. 000 ~FT3 0«1 3? ~ £~~~.,~~~~;) 100 ":".v -;:õ'.a=J°2P.I.~ 0,,- ~,n o~ooc,k'.W~'JStÐ8;, )"0 l.a~ ..,. l1" (')F BU"- .fIYSbllrIlJ v ,/~.., rr' ~ / I' ¡Vt£ RÆ7'l4.. 4'Þ¡'IV!E1'2. ~ I l" ~ OT 0 t'/r ßt/ILD/Al61 / ~ (;11£ /D J I «V'c moA/¡-_OF"¡:/~ ¿..O(} C~J4.L (7\t) 'C~r ð"'¡: ß~~/t.O ~ I 48'~ Fíl o¥ lip ~Vß&{j~~tðj~JL '10'"'1 I'/J JtI,J e>A.I c~"CHET£ ()'o. v '(;JA L /3 7 SÚ4& ð¡& ~L 'TANh. ..... 3 a w..~S7 ú/AJ-i- Q' / SO (,:j/4!- J ~ I ~~.# 141/ 5i:Q .obIP~ 10 HAZARD D.O.T CODE GUIDE . ·...·Þ 1\ 'f ~ LT &1'1 :. -" /8 . ~)~ '" ... . ~, Ire. n,,~nJ.?ry ~ 1- ) cc¡kffU N FLG J{)blc I~Ei llJ vy);)()d,1 (~º \" (q~f4-I}J Fl G- 10£/(" /" r 1) 'À/ ') (t.\ l~1;e:(Jr-$úrf ÚJ l ç) I JJ FL6- In J 3 '-¡Jc£rvI.ENE 1;),1/ FLL;S /tJoj é,i¡6/AJ ~~ê ¿:;/L #.A A> FLLP j).Jf) Joe> CJXYé-6-)./ Æ~~21sr JlFL6 I07L /00 G-IJ$CJ//A/E ~ RL.~ 12!3. /co PFuNf- FLL.I;) /~ , ''0. '"",, , NAME :)HJ¡Jil~~ L.V, R:-'_"~ TITLE: EM&RGENè~ CONTACT:~(~~~~/ bV.i?/f~ð EM~~GENCY~~TACT :~~Ls WCJa/) , P R i N C I PAL BUS I-N E S SAC T I V I T Y : =:::ï:L î Î'fJ411 I it$lFLS '·=~WJð»);zÎJ~Jsii£iif.:~~ðLU} 1 TYPE CODE - ,~ po ,1'P IVÞ I~) p Ui0P ,.}Þ Jj.p ---.') fJ jlJ , '..... '\~" 2~7 5DG14L z ~I ':i Ir- S ',- 9 CHEMIC AL OR COMMON NAME ,-.;;;;.- " '^ r- ... -- ~ I r^~~ "Rðr" , x I .I'?o., -- _ \ - lOt) I/Jt; "llJ£nr TITLE: L. ~ . .J DATE: ..5-J! -K'7 PHONE # ß.Ús HOURS: 322 -ho6/ . ,I SIGNATURE: ' Pré.$/¡;)S~ r- ' AFTER BUS HRS: J~~~ TITLE: ro~mRA.J PHONE # BUS HOURS: 322 'I eO:2//)rY/I'S/FIÆE&9t1~ SH~ AFTER BUS. 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BAKERSFIELD CITY FIRE DEPARTMENT - LV~¿:;7 - ?/,';¡Vr/ FORM 4A-l /..û~h~ :lh.k Page L of L NON-TRADE SECRETS --~~ 77~Y HAZARDOUS MATERIALS INVENTORY BUSINESS NAME'~ D~ (~ Inc.. ADDRESS: lOr ~ CITY" ZIP:'f:>~ke~F[~l ~ L..,ç:ORV\\l'..t PHONE ,: 5D <:: - ~.:z.'2-<øool ~ ~ ~RS FACILITV UNIT #: / UNIT NAME: $IIOP OFFICIAL USE CFIRS CODE ONLY 3 4 ANNUAL AMOUNT UNIT 8 % BY WT. 9 D.O.T GUIDE - "/𣡠TITLE: SIGNATURE: ,PrE.$/ .os/? r NAME: IV TITLE: I E!1E:RGENCY CONTACT: --Ll:fI~#A.-c/ bV ßA¡(J,vl) I;MERGENCY CONTACT :f!¿¡~/?{s lÆ/OC2/) PRINCIPAL BUSINESS ACTIVITY:~ í~~ 1__~Nf~_::_~)/FZAtnin¡;ßl£;-~~ DATE: PHONE' B S HOURS: ~ AFTER BUS HRS: - - ;~- ' " TITLE: roÆ',1"YJ,¡I1~ PHONE' BUS HOURS: 3.2. C0:21//);Y//S/ FI/UEEfJPt,Pf- 511æs/ AFTER BUS, HRS: .397-¥333 - 4A-l - ".r~RV~~ BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page L of t- I .0. # BUSINE~S NAME:~~ I~ In"" ADDRESS: lor -r~ ilf. CITY, ZIP: 'b~kE~ F[¡ CI L..I~OR¥\ \l'..c PHONE #: So ç - s::z..'2-<'øoo1 ~ "1 t-\RS OWNER NAME: rV'\\~HA~L W. f$RAMb FACILITY UNIT #: /. ADDRESS :77/2 OLeðTT FACILITY UNIT NAME: SIIOP CITY, Z IP :"'B~KF~SFlPI h q~3oq PHONE #: 32.2.-C9001 ~'-I MR.So. 10FFICIAL USE CFIRS CODE I ONLV 1 TYPE CODE tJp 'p I )p ;;..ooc;¡; I ;J,f/OO FT3 0 ~ 3? t2. "P ~ oo~~ .1. ()Oo fT3 at! 3 r¡ P ðooo (4ç b(), p~tJ' 1:£t5 04- l3 '7 ~ 1;)0 :T'ð~ I/Òò IT 3 2 3 456 MAX ANNUAL CONT USE t nUN'!: AMOUNT UNIT CODE CODE ,i ~~11&b~' [~ ()5 57 I ~r'JnrI)L6S tf~D()O LBS [5 3YJ . 7 8 LOCATION IN THIS % BY FACILITY UNIT WT. Socrr~ ~E.I\~ of L-ð-r ~'Y ~116V IN Ç11)R~~ ¡Of) lpJSI~E. C-Et'\TE.1'2.. of NoQ) 8CAI(.I)I~ ,tJ Bo)Ce.s 100 g~ ~~*S w~ ~~~Y4 100 oN DDt:...k WJxs''''f S"1C_~ \ oç BU'J_t);n~œNf£Rj 100 O~ oot ( .Wé.S1' S l¡f)~, JnO (")F BUlL" 5P4r1lJ v ~ 9 10 HAZARD D.O.T CHEM I CAL OR COMMON NAMEA'-' CODE GU I DE t.-DLAJ Pr-~ '-'.~ Sj'OfUi\LJCõó :..L '"'1" Ir:1=\R~\)~lö'XI1'\f= CW2) NFLG-~, DRY lcø~ (9dJ 0 (b-D 1N·R:& I~ 'N II r ñ~F'r\1~itN 2) C~k:fU NFLG- JOblt; l-' ELI U VY-Q,? ,.11 (fi º \" (tf~1Jt¡¿ JJ FL G- 10 if b /" C1J"W)(g tW ?rË$ÇrJr1f tulç) JJFLG- 10 J3 '- / - NAME:~/Alj~~ ~,B~~NÐ TITLE: EMERGENCY CONTACT:~'~~~~/ bV.~/f~ð EMERGENCY CONTACT:~¡ÇLS ~¿?Qð ~RINC1PAL BUSINESS ACTIVITY:~~~_J_I~~ ___11 FLS - NðJ! FZ/I /Yd)1IÏjJlE. ,JOL,/L) ¿ lð£nr SIGNATURE: ,Hh./._ - j DATE:S-/C-k7 T 1T1.E: Prés/L/$I?r' PHONE # nús HOURS: 322 -foo.b/ AFTER BUS HRS: .5"JIII'J1~ TITLE: roA',Y?'7/f1() PHONE # BUS HOURS: 32.2 >J C0:2I//)rt//~1 F/nEEÇJtI~ S/J(..ÇS/ AFTER BUS. HRS: .397-¥333 - 4A-l - ./.5ERl!tt£