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HomeMy WebLinkAboutBUSINESS PLAN FIRE CHIEF ;;m: FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 ~ PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONMENTAl SERVICES 1715 Che~r Av~, Bakersfield,'{;A 93301 VOICE (66'),326-3979 FAX (661)'f326-0576 " PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - ..; WII:' September 8, 2003 CERTIFIED MAIL Harris Market 1701 Union Avenue Bakersfield, CA 93305 REMINDER NOTICE Re: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner/Oper~tor: A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January of this year you have been receiving monthly reminders. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install under dispenser containment pans prior to December 31, 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit your facility as soon as possible. Should you have any questions, please feel free to contact me at 661-326-3190. Si~cerel:,,; ours,{££/ ", ' ' o' t' ' ~. " . , , , , Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/db ~~..%~ de Ý5£vn//Uuu{? ~/e .~ope .o/Æu/l- ,-Æ W~y"" -- - SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY · Complete items 1, 2, and 3. Also complete item 4 if Restricted ,Delivery is desired. · Print your na{l1e and address on the reverse..". so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the fr;,ont if space permits, 1. Article Addressed to: o Agent o Addressee C. Date of Delivery q- I 0" 6~ D. Is d Ivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No " "' HARRIS MARKET 1701 UNION A VB BAKERSFIELD CA 93305 3.\. Service Type M.certified Mail o Registered o Insured Mail ~ ~--"~--~~ ~-~--'--~..~~ .,---.J 4, Restricted Delivery? (Extra Fee) 2, Article Number (Transfer from service label) : PS Form 3811, August 2001 o Express Mail o Return Receipt for Merchandise DC,O.D. DYes Domestic Return Receipt 7002 3150 0004 9985 4353 102595-02·M·1540 -- ._--- USE ¡ '. Postage $ ',3" ~ 0 Certided Fee 10 ' : 0 Return Reciept Fee , '(E!!ct0rsement Required) ¡ 0 Restricted Delivery Fee ,LIl (Endorsement Required) '.-=I j rn Totaf Posta¡ Postmark Here ,ru o nt 0 '0 : I"- ~6r.4P£N¡ or PO Box No ëñÿ,-Siãië;Z¡] HARRIS MARKET 1701 UNION AVE BAKERSFIELD CA 93305 " -- PS Form 3800, June 2002 See Reverse for Instructions ----A " .~ " .f '« FiRE CHIEF ~ON FR,è.ZC: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661P26-3941 FAX (661) 395-1349 ~ PREVENTION SERVICES 1715 Ctister Ave. Bakersfield. CA 93301 VOICE (66,1) 326-3951 FAX (661) 326-0576 , ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 '- - July 8, 2003 CERTIFIED MAIL Hams Market 1701 Union A venue Bakersfield, CA 93305 REMINDER NOTICE Re: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner/Operator: A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January of this year you have been receiving monthly reminders. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install under dispenser containment pans prior to December 31. 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit your facility as soon as possible. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, Ralph Huey Director of prãtio~ s~rvices ~d1uv By: Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SU:db --.?~ de W~ ~ vØ60Pß .7kz, .A W~" - -- '..:"" SENDER: COMPLETE THIS SECTION r · Complete items 1, 2, and 3, Also complete item 4 if Restricted Delivery is desired, · Print your name and address on the reverse so that we can return the card to you. · Attach this card. to the back of the mailpiece, or on the front if'space permits; 1, Article Addressed to: ,I , '\ D, I delivery address different from item 1? If YES, enter delivery address below: HARRIS ,MARKET 1711 UNION AVENUE BAKERSFIELD CA 93305 3. Service Type J8. Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C,Q,O, , ,'---~ -~-~~~~~~~,~~~~./ 4. Restricted Delivery? (Extra Fee) DYes 2, Article Number (Transfer from service label PS Form 3811, August 2001 7002 3150 0004 9985 3424 , . Domestic Return Receipt 102595·02·M-1540 USE ~ ::r- 10 o ,0 P~ $ Certlr.@Fee -- Return Recie¡Ít Fee (Endorsement Requlred)- _ " Restricted Delivei!y Fee (Endorsement Required) Postmark Here :0 ~Ll1 ,.-'I ,IT) ru '0 '0 :1"'- Total Postage & Fees $ ú ...... L . !'iR2 CHIEF "'O~¡ rRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAl SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-<J576 PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-<J576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-<J576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e -- June 5, 2003 Harris Market 1701 Union A venue Bakersfield CA 93305 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner: A review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31,2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sin) Steve Underwood Fire InspectorÆnvironmental Services Office of Environmental Services SBUlrs ~~y~ &, ~/n.nu~ ~ '~OPe .9T~ t./-.Ø; W~?" ~'- .i '\. - '\ " e . HARRIS MARKET SiteID: 015-021-000701 Manager : Location: 1701 UNION AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 29C (661) 636-0271 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:5541 DunnBrad: Emergency Contact / Title Emergency Contact / Title HYON & SOON KIM / OWNER JOHN KIRLEY / JACO OIL Business Phone: (661) 636-0271x Business Phone: (661) 633-7544x 24-Hour Phone : ( 661) 665-2809x 24-Hour Phone . (661) 393-7000x . Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : JOHN KERLEY Phone: (661) 393-7000x MailAddr: PO BOX 82515 State: CA City : BAKERSFIELD Zip : 93380 Owner JACO HILL Phone: (661) 393-7000x Address : PO BOX 82515 State: CA City : BAKERSFIELD Zip : 93380 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ r u¥ Do hereby certify that I have I ().\\\. t, IN- \ r (Type or print name) , . ed t'he attached hazardous materials manage- review ~ t\ ~ ~ and that it along with ment plan for, ~Name of uSlness) any corrections constitute a complete and correct man- agement plan for n;¡y facility. C\4¿~ /"...., \ 0 - \q-;-ol.. Date -1- 07/25/2002 . , e . F HARRI S MARKET SiteID: 015-021-000701 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: HARRIS MARKET Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : JOHN KIRLEY Phone: (661) 633-7544x Address: City : State: Zip: Type : PARTNERSHIP TANK OWNER INFORMATION Name : JOHN KIRLEY Phone: (661) 633-7544x Address: City : State: Zip: Type : PARTNERSHIP BOE UST Fee# : 019753 Financ'l Resp: SELF INSURED Legal Notif : Tank Owner Mailing Address Date:06/07/2000 Phone: (661) 393-7000x Name:ROBERT HALL Ttl:GAS OPERATIONS MGR. State UST # : 1998 Upg Cert#: 00773 f= Hazmat Inventory One Unified List 9 f== Alphabetical Order All Materials at Site 9 Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP CARBON DIOXIDE F P IH G 600.00 FT3 Min REGULAR UNLEADED F IH DH L 12000.00 GAL Mod SUPER UNLEADED F IH DH L 12000.00 GAL Mod UNLEADED PLUS F IH DH L 12000.00 GAL Mod -2- 07/25/2002 . . SiteID: 015-021-000701 9 Facility Unit: Fixed Containers on Site 9 F HARRI S MARKET f= Inventory Item 0004 F== COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit SODA FOUNTAIN Map: Grid: CAS# 128-38-9 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 600.00 FT3 Daily Average 600.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0003 == COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UST Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container ,12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 7000.00 GAL %Wt. I 100.00 Gasollne HAZARDOUS COMPONENTS ~. CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -3- 07/25/2002 . . SiteID: 015-021-000701 9 Facility Unit: Fixed Containers on Site 9 F HARRI S MARKET f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME SUPER UNLEADED Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK Map: Grid: CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 7000.00 GAL HAZARDOUS COMPONENTS l;rl CAS # I 8006619 %wt. I 100.00 Gasoline TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0002 === COMMON NAME / CHEMICAL NAME UNLEADED PLUS Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 12000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 12000.00 GAL Daily Average 7000.00 GAL %Wt. I Gasoline HAZARDOUS COMPONENTS ~ CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -4- 07/25/2002 . . Employee Notif./Evacuation SiteID: 015-021-000701 ì Fast Format ì Overall Site ì 12/18/1998 1 01/30/1991 F HARRIS MARKET I f= Notif./Evacuation/Medical ~, Agency Notification CALL 911. EMPLOYEES, ONLY 1 OR 2 IN STORE, COULD BE CALLED BY VOICE AS STORE IS SMALL. Public Notif./Evacuation 12/18/19981 03/10/1998 VERBAL. Emergency Medical Plan MEMORIAL HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -5- 07/25/2002 . . SiteID: 015-021-000701 9 Fast Format 1 Overall Site 9 01/30/1991 F HARRIS MARKET I f= Mitigation/Prevent/Abatemt Release Prevention SIGNS ON GAS PUMPS. AUTOMATIC SHUT-OFF FOR GAS PUMPS. Release Containment 01/30/1991 CONTACT JACO OIL TO GET SHUT OFF PROCEDURES OR REPAIR. Clean Up 01/30/1991 PUT KITTY LITTER OVER SPILL AND CLEAN UP IN APPROVED CONTAINER. Other Resource Activation -6- 07/25/2002 0- . . . SiteID: 015-021-000701 9 Fast Format 9 Overall Site 9 I F HARRIS MARKET I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs 03/10/1998 A) GAS - NONE B) ELECTRICAL - NE CORNER OF STORE C) WATER - NW CORNER IN ALLEY WAY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/18/1998 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. FIRE HYDRANT - CORNER OF 17TH AND UNION 50FT FROM GAS PUMPS. Building Occupancy Level -7- 07/25/2002 . ;¡.. .'. .' . . SiteID: 015-021-000701 ì Fast Format ì Overall Site ì 03/10/1998 F HARRI S MARKET I F Training Employee Training WE HAVE 4 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TOLD WHAT TO DO IN CASE OF POSSIBLE HAZARD AND INSTRUCTIONS ARE ON HAND. Page 2 r I I Held for Future Use Held for Future Use -8- 07/25/2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 MH" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 SUPPRESSION SERVICES 2101 MH" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Viclor Ave, Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- - July 1,2002 Harris Market 1701 Union Avenue Bakersfield, CA, 93305 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 1701 Union Ave., Bakersfield. REMINDER NOTICE Dear Underground Storage Tank Owner, You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Pennit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Si2rJ1,mo Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services "Y~ ûfe W~ .¥CP vØ60Pe .r~ .Æ W~" '- CITY OF BAKERSFIEI£, OthCE OF ENVIRONMENTAL.RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION ;:r-/r't~;.\':' ¡'>', ';:~~;'~~':f~~ :.*,/~; ~':,~;: ti;t~"f\<¡~'·~~!i.~¡:," ':'~";':.~,,,,;; ,~. ..;,¡-) i;:\¡..\~ '. .; ,:;',:. ;;"": ::~~t:FACILITY;lDENTlFICA TlON\:;:'t;;::, ,;, ." ;..m.\=n"';""~-:.¡:..t~.tJ'':;'t'''.'':''''.};J:'''( '~"" "{;..,:, ~f....':t\-.."~;·'..,~~.;",\·-"~··..·,.',,,,'¡;,,, ,,:,:,.~ "".. ,:, ,.';:-:-. 1 Year Beginning 100 Year Ending Page _ Of " 101 3 102 ¡ SITEADDRESSð, Uµ/~ ME:..... -CITY '/~Pf£Uþ 103 104 I CA ZIP 105 ! ~ DUN & i BRADSTREET 106 SIC CODE (4 Digit #) 107 I I COUNTY ! OPERATOR NAME 106 I 24-HOUR PHONE 1-, J PAGER # 127 24-HOUR PHONE 132 128 PAGER # 133 Certification: on my Inquiry of those Indlvfduals responsible for obtaining the Information, I certify under penalty of law that I have personally examined and am fam a with Information subm tted In thl Inventory and believe the Information Is true, accurate. and complete. ERlO RAt DAT ¡; 134 NA OF DOCUMENT P~e¡~~E~ / 9/:JflëJ 'w-~. 138 T'Tþo;r/~77frL ¿ ¡J~ð7Js )(~7 135 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd - CITY OF BAKERSFIE. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADO 200 D DELETE , ' ,,"'" (one form oe, male"'" "", building 0' /lfN) Page at .. CHEMICAL LOCATION 3 1 MAP /I (oplionBl) 2011 CHEMICAL LOCATION ¡ CONFIDENTIAl (EPCRA) 203 i GRID /I (optional) o Yes 0 No 202 204 FACILITY ID /I , ! i ·~~,~~~¥~'~~~~~,:1;~~~i~.Ç~~~~Iif9~rf~."~1¡F~"0Ú~:: ~";!~~' o Yes No 206 If Subject to EPCRA. rtlf!If 10 inšll\ldions CHEMICAL NAME 6-A-sð L ( Ale!: COM~NNAt.E U 1\J L~b ~ ~ ¿G-úL14-!2-. CASII ss-'-f I 207 EHS· oVes oNo 208 209 FIRE CODE HAZARD ClASSES (Ccmplele if reques1ed by lOCal fire cheI) TYPE '720 67fU> 219 opPURE o w WASTE 211 RADIOACTIVE PHYSiCAl STATE 214 lARGEST CONTAJNER ogGAS FED HAZARD CATEGORIES (Ched< ~ !hat apply) ANNUAl WASTE A~UNT o 4 ACUTE HEAlTH o 3 PRESSURE RELEASE 05 CHRONIC HEAlTH 218 AVERAGE DAilY AM)UNT UNITS" II GAl 0 d CUFT 0 Ib L8S 0 In TONS If EHS. amount must be In Ibs. 223 STORAGE CONTAINER (Check all t/Jat apply) o a ABOVEGROUND TANK .l)i& UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM De PlASTICINONMETALlIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GlASS BOTTLE o n PlASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON 210 212 ¡ CURIES 213 ~L 215 216 221 222 220 o q RAIL CAR o r OTHER STORAGE PRESSURE i1 a AMBIENT o aa ABOVE AMBIENT o ba BelOW AMBIENT 224 STORAGE TEMPERATURE o . AMBIENT o .. ABOVE AMBIENT fiiS Þa BElOW AMBIENT 225 5 231 o Yes 0 No 232 235 o Yes 0 No 238 239 DYes 0 No 240 243 UPCF (7/99) o c CRYOGEN,IC 233 237 241 245 :~ \:<1: ~'~~~~ ~~~~. ~-1~ ~~!t:'1.}I~~y j . J'í'" .Io~\. S:\CUPAFORMS\OES2731.TV4.wpd e CITY OF BAKERS FlEa OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADO 200 o DELETE ,', :~.~. " (one form ;Je' matensl ~r bulding or area) Page 01 .' '.. 3 ~ , 2011 CHEMICAL LOCATION I CONFIDENTIAL (EPCRA) 203 GRID' (opâonal) DYes 0 No 202 204 .... : CHEMICAL NAME 6> fI 5ð Lj ¡V ~ COMMJNNA~ WL~j) PLUS CAS' ss-c.¡ / 205 TRADE SECRET 0 Yes No 206 If Subject to EPCRA, refer to instllJdions ,.:, , -;.,.--. : 207 EHS· DYes 0 No 20B 209 FIRE CODE HAZARD CLASSES (Complete if requested by local tire c:nieI) TYPE 00 GA--t-S oøPURE o w WASTE 211 RADIOACTIVE PHYSICAL STATE 214 lARGEST CONTAINER ogGAS FED HAZARD CATEGORIES (Check ~ that apply) ANNUAl WASTE AMJUNT o 3 PRESSURE RELEASE o 4 ACUTE HEAlTH o 5 CHRONIC HEAL lli UNITS- geGAL OdCUFT If EHS. amount must be In Ibs. 218 AVERAGE CAlLY AMOUNT o Ib L8S 0 In TONS 210 212 213 ~L 215 216 219 222 220 221 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK J)ì'& UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM o e PlAST1C1NONMETAlLIC DRUM O/CAN o 9 CARBOY o h SILO o i FIBER DRUM DjBAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLAST1C BOTTLE o 0 TOTE BIN o ø TANK WAGON o q RAIL CAR o r OlliER 223 STORAGE PRESSURE ill AAeIEHT o sa ABOVE AMBIENT o be BELOW AMBIENT 224 STORAGE TEMPERATURE D .. ABOVE AAeIEHT W be BELOW AMf IEHT 225 o e AMf IEHT o C CRYOGENIC 4 238 231 Dyes oNo 232 235 DYesDNo 238 239 o Yea 0 No 240 243 DYes 0 No 244 242 UPCF (7/99) /, 3f-()t.f-ý (of-fr.. 3 /33()-M-7 237 233 241 245 ~,:'\~t1W?~~~~ i f19~ S:\CUPAFORMS\OES2731.TV4.wpd o as ABOVE AMBIENT o be BelOW AMBIENT 224 o as ABOVE AMBIENT W ba BELOW AMBIENT o ç CRYOGENIC 225 Þ 3 c¡ -CN'¡-Ý 231 DYes 0 No 232 (Ò f' -ff-3 233 235 OYesONo 238 330-~-7 237 239 DYes 0 No 240 241 243 245 . CITY OF BAKERS FIE. OJ'hCE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 200 L. I CHEMICAL LOCATION ()L/NL COMMON NAME Û ¡J LZA-V ~ $V f¡2.<é.hL ~ ðLI tV ~ CAS' ss-'-f ( FIRE CODe HAZARD CLASSES (Comp/ele if requested by local fire d1ieI) TYPE o Ib LBS o In TONS OpPURE o w WASTE 211 RADIOACTIVE PHYSICAL STATE 214 LARGEST CONTAINER DgGAS ¡ FED HAZARD CATEGORIES ¡(Check aJ1lhat apply) I ANNUAL WASTE ^ \ A-. I ~ I AMOUNT I V CT7\.) c::"-- UNITS· o 3 PRESSURE RELEASE o 4 ACUTE HEALTH 05 CHRONIC HEALTH 218 AVERAGE DAILY AMOUNT 98 GAL 0 d CUFT If EHS. amount must be In Ibs. STORAGE CONTAINER (Check all that apply) I I I STORAGE PRESSURE 08 ABOVEGROUND TANK ~ UNDERGROUND TANK o ç TANK INSIDE BUILDING D d STEEL DRUM ,De PlAST1C1NONMETALLIC DRUM Of CAN 09 CARBOY o h SILO o I FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PlASTIC BOTTLE 00 TOTE BIN o P TANK WAGON ~ a AMBIENT STORAGE TEMPERATURE o a AMBIENT 238 242 (one form per material per bulding or area) Page of DYes 0 No 202 204 210 CURIES 213 215 216 219 STATE ~ 220 221 DAYS ON SITE 222 o q RAIL CAR Dr OTl-iER 223 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd