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HomeMy WebLinkAboutBUSINESS PLAN j .' ...~ " :;. -,.~.. ; I:H ,p- ":") ',,- ~. ~E'2>TI'<OO (EXIGTINc:3) C.e.1LINGo I-! UN Q UNI, S\"'ACCõ. I4EA,e", SEE sow O.G. SIIóC., "'-1 -&, I - o šl ~I t ! 'I I i d= I 44 - ð" '22.t..o· 'L'L'- e:: -i-~' t1')'-, I &'.&" ð )C 10 0\Ie.~- I-II!!AD DOO,",' N/FOLDIN~ eo!!: CU Q.IT'( G,...-ra' CONC;.I..ÄNOlt-olG . (exISTI G) ~AU.' "'AN~ / =0 of .0 ,,-^NOL.CSA:O ':Tt:I ~- CUT OI"1!!NINe. AND , IN ST .....1..1- Nt': v..¡ e}, IC.IC:' ~OI..I.-U" 000'"'- x ~! I \ :;;; ;J ; j \ \ 'I Ii-o'l ~~ I I ~ ·0 ~, -9 L.5.~ ...* ,~ FL 10'-0" I4EAD~. M"^.F.ICj¿-' ~, )I. 04' )( V""" d.!!A1Q. /ØLA'ð<;' 1=1)( I!:O IN B~c)N%E ,-.LUM, t=Þ.,A..HE.. a¿,' ¡.",,..~. 'l..ð" ~. I " 4-0 !..r¡."t ~I; "1:. , '" * ~. .::,(J' 6C.c::n..UMN - -1< . .-fr D~YW AL L v.~ 'TI-i FUþq,RIN<3 AN'=' .J'H;¡U~AÏI OW ; ~ ~E~UI~ÈD'" , , , , L, ,~ *6ALE.!SA~~ ~ '2..<:..?O S·F NE.T -¥:: .:.t. .);:' E.><I&TING o;,TO~e.-, F1Q.ONT . PoOl"!.. -------.---, I , , . 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LANOI~G , (e.x16ïl ,G) ~AU.T "'AN ~ , / 6'. a II ---- -., ~ -........ ~ ~ ,~ 7 , - N t\AJ I * .sPR\NKL£~~S -ç:L ~Lt\t-.\t\ßl[ \, \ - k- . ;"I"¡, =0 -. .0 ,-^t·.u~ \..c:SJ(o "'1"t') ~ - ~ \/ CUT OYØ!!NINC3 ANO ~ IN ST ALL. Nt!: v..¡ el )(.10 I ~O~L-UP 000'"' . ....,..... " /. ~MAKe.- Ur- A'~ i . ~'~' i' I :;i >.Ji ~A.... D I c: ~ ØfID~D' - CG"5~1 at.e. ti.... , SIN"- ~E$T~OO (EXI6TtN<3) fti ~O" ,>I( , STAGING 1 'H~. F'1"'t:: tc<A-reO~L- : ;l æ.'2.. H~. 19= ~1iic:'i?UIp.,ED t ", ey C,..,..y COOe. .(SI-4AD!!O) :- , ' I 't, CO~~, 0 R I, "0 : , I -~¡ I -. , C.E."LINQ HUN Q UNIT S~ACs;.. t\ EAïE: '" 5 e. e. s-w D. G. S..c., M-I I I ~ L.S." , .--*, ~i ; ~ ~AO~ Ç'p...N F~ ~..o . "Ô - ~NEW C~ç. '\ L,At-J OIN c:- BY ïEN~T . . If ~EADJi"- 64 ^.F.P:~, .4' '¡( -4' )( '1411 CL!!.AfI<. cøLA~c;. fel)( \!!:O IN ß~c)N %E ~U....., I FÞ.AME. ~ 8 tþl A.,... F'=. 'l.ð· ~. ~' ::or ~ I o I II '0-0 41 II ·0 L.~"t L,.C; If 1:. It - W DOo" ~w- - c.J.A¡~ INTO E>c:.19T. ,WALL 18'< ïEt-J.ANí ' " I ,¡III . ~-- , &CO\.UM N *~. ~. D~YWALL \'..~ ~ Fu)q,RIN<3 ANb ~ aULA""~ ;, ^ D)f- ~ ~ê ~u I.~§.D_ . _~ ~ ~tl TlIC.t'~t::~ _-I'~OC . ,'__ - "".' '~/-' : -~~ ACL.ES5 -NA\lf\[)¡\ '¿N:o-'S - ~'ê;)l1" boa r;~_ - _ _~~L- . .-Yr ~...=~- II IL- -4< ~;.;:=- 'Á· _ .~~~~~ -""' .....~ -.~ ~ " " /H C) ¡.::.. ì'''\ . if ,> i I- ~ .~ *SALE!S A~ ~ '2.."'?O S·F NE.T , -I I i r··' -.. . ~~: t \ j , , ,., " , -. . ' )r " ~ ~ .:K , , . ";.', . , ....... .,..--- -~--,---_. E.><Î STIN G STOtr:te.-" 1 ~O"'T" PoO.... -..-----.;.-..:~7-';f ; , ; , -*' ~' " I' ':, ~' J= ~.e)(t &!»ï'N ê SIDEWAL¥-'-': .~.r'''''~ . ·..... . . \- -- .. CUST.~ & NO. E5'-~ - MISCELLANEOUS RECEIVABLES ADJUSTMENT DATE--=! - / ~ -P( NEW ACCOUNT ! ADDRESS CHANGS CLose ACCT I : FINANCE CHARGE , OTHER ADJ I CUSTOMER NAME ~e.rw\ n .V\J~ l\~CVMS MAILING ADDRESS ~ 3DO W~ b \ ~ f2cÅ , CITY W-ec"S~ dd STATE ~ A ~ SITE ADDRESS .:2 ( :;;:f) w~. Q 0 . -- -~ Cé) ZIP CODE <133D4- I PARCEL NUMBER (IF APPUCABlE) ADJUSTMENT I / R~~;S:b~; ~Ó ~ùc~~~ ~oJ\J-'v~ APPROVED BY -dtð-'t#<J /: PerDl.it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 01S-02HJ01324 SHERWIN WilliAMS CO lOCATION Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor' Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805)326-0576 2180 WIBLE This permit is issued for the fOllowing: " ':jti.~~ardous Materials Plan " round Storage of Hazardous Materials ..,;;;..agement Program ... Waste Approved by: *~- ph Huey. ffice of ental Servi es June 30, 2000 Expiration Date: ... .-...--_.~ e lí·~. ! r§-0~ ~~ rr \\ fl ¡c; I. 1 ..~ ~ ll-;." W l.£ , ~.J 1I~1;// N9V 051997 ~ / " By/ SHERWIN WILLIAMS CO - Manager Location: 2180 WIBLE RD City BAKERSFIELD . SiteID: 215-000-001324 ~~lsPhone: (805) 837 -121 7 Mip : 123 CommHaz: Moderate ~rid: lIB FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / .Title SCOTT ORB IN / MIKE DoroQE ~\r\Yì \J\c.r=-,Þ-M I f)/¡J¡Ol~er Business Phone: (805) 837-1217x Business Phone: (805) 837-1217x 24-Hour Phone : (805) 325-8791x 24-Hour Phone : (805) J.2~ ~~ Pager Phone : ( ) - x Pager Phone . ( ) 6ic3 -:. x . i~n.....' <&(O~- ;.;O~ ~ Hazmat Hazards: . Fire ImmHlth DelHlth Emergency Directives: F Hazmat Inventory One Unified List 9 p== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP SOLVENT BASED PAINT F DH L 5150 GAL Mod MINERAL SPIRITS F DH L 100 GAL Mod XYLENE F L 30 GAL Mod VM&P NAPTHA F DH L 30 GAL Mod CHEMICAL LEAD COATING IH L 5 GAL Mod t. :£h~ ~b. ~ç F~;V) @© &'o®û'®~~ <oorûü~ ~lf'n@! ij ~®V@ VP'3 Gr nt nama) i'~vi(Swe©1 ~i't~ attalch~o1 ~~®f1©1oo~ m~~~&i~~~ lM~n~~®- mSD1t pi~ft roij'~he('t.ùìn-W;'lìd~oo ft~t&~ Õa ~~Iru@ ~&ï¡ (NamGof ~) talilV OOWi'OO\ð()I1ìJS OO((i)S~i~Y~® 1m ©©M~~ft® ~OO roW®@( ffltal((i)- ~gem~rð~ ~i<alü'1J ~©J¡r ffll? ¥®©Õ~Ww· ~ 0'--. \ rq-' \Qao ~\ \ f\') 'if'..... -1- 10/23/1997 .. e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 ¡ íë Inventory Item 0004 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o SOLVENT BASED PAINT 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o FRONT ROOM OF STORE BACK ROOM OF STORE 0 CAS # 0 o 0 64742-88-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 5150.00 GAL 0 4625.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONE~TS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %'Wt. 0 0EHSO CAS # 0 o 50.000Mineral Spirits 0No 0 80303060 o 20.000Titanium Dioxide 0No 0 134636770 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ °TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies ° F DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj e e íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o MINERAL SPIRITS 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o FRONT ROOM OF STORE BACK ROOM OF STORE 0 CAS # 0 o 0 64742-47-8 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Pure 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT_THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 100.00 GAL 0 60.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 ~ 0EHSo CAS # 0 o 100.000Mineral Spirits 0No 0 80303060 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -2- 10/23/1997 e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 ¡ íë Inventory Item 0001 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o XYLENE 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o BACKROOM OF STORE 0 CAS # 0 o 0 1330-20-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT_THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 30.00 GAL 0 30.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 - 0EHSo CAS # 0 o 95.000Xylene, Mixed 0No 0 13302070 o 5. 00 o Ethylbenzene 0No 0 1004140 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ °TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies P F 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0002 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o VM&P NAPTHA 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o BACK ROOM OF STORE 0 CAS # 0 o 0 64742-48-9 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Pure 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 30.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0EHSo CAS # 0 o 100.000Naphtha 0No 0 80303060 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ °TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -3- 10/23/1997 e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 ¡ íë Inventory Item 0005 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o CHEMICAL LEAD COATING 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o BACK ROOM· OF STORE 0 CAS # 0 o 0 1344-37-2 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT YHIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 5.00 GAL 0 60.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 - 0EHSo CAS # 0 o 30.000Lead Chromate 0No 0 77589760 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 IH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -4- 10/23/1997 e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 i o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 i o 0 o VERBAL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 i o 0 o PLAN FOR EVACUATION - ALL EMPLOYEES HAVE PLACE TO MEET OUTSIDE OF STORE IN o CASE OF FIRE. NOTIFY OTHER BUSINESSES GO TELL OTHER PEOPLE IN STORES o ADJACENT TO US. VERBAL. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 i o 0 o MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -5- 10/23/1997 ". e e í SHERWIN WiLLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/12/1996 j o 0 o STORE HAS A LIQUID STORAGE ROOM WHERE FLAMMABLES ARE KEPT. o SOLD IN PACKAGED CONTAINERS TO PAINTERS AND INDUSTRIAL ACCOUNTS o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o .0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/12/1996 ¡ o 0 o SPILL KIT o o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëeeëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -6- 10/23/1997 ;. ,\ .~ e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o " åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêèëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 ¡ o 0 o A) o B) o C) o D) o E) GAS - FRONT UNDER ELECTRICAL - NEXT WATER - CORNER OF SPECIAL - NONE LOCK BOX - YES - BACK ALLEY BEHIND BEREAN GRAND AUTO SIGN TO STOCK DOOR IN BACK BEREAN o o o o _v o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëë 05/07/1990 ¡ o 0 o PRIVATE FIRE PROTECTION - SPRINKLERS, SMOKE ALARM IN LIQUID STORAGE ROOM, o EXHAUST VENTS/FANS IN STOCKROOM o o o o o o o o o o o o o FIRE HYDRANT - SOUTHEAST CORNER OF OUR BUILDING o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj - ~ ~ . .. ~ .. -7- 10/23/1997 .:::!~ (\ . '''::. e e í SHERWIN WILLIAMS CO ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001324 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/12/1996 ¡ o 0 o WE HAVE 5 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES READ "RIGHT TO KNOW, BOOKLET ON o HAZARDOUS MATERIALS AND SIGN OFF THAT IT IS READ AND UNDERSTOOD. SAFETY o TRAINING IS DONE ONCE PER QUARTER. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj , ... -- . ~ - ... -8- 10/23/1997 ~:. .' .i,.¡:t ~ 12/11/95 - e SHERWIN WILLIAMS CO 215-000~001324 Overall Site with 1 Fac. Únit Page 1 General . Information - Location: 2180 WIBLE RD Map:123 Haz:3 Type: 3 City . BAKERSFIELD Grid: lIB FlU: 1 AOV: 0.0 . ~:.;. - Contact Name Title - Contact Name Title SCOTT ORBIN I -HIKE HEAD I ¡u¡þ. f)o /W't/ Business Phone: (805) 837~79/ Business Phone: (805) 837-1217x 24-Hour Phone · (805) 325- . 24-Hour Phone · (805) 8J7 2J7Sx jJ.ý & · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 2180 WIBLE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93307- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: . OWner: SHERWIN WILLIAMS CO Phone: (805) 837-1217 Address: 101 PROSPECT AV State: OH City: CLEVELAND . Zip: 44101- .. Summary /it /..5 fÁ J;. eo 4_41 -h~ :¡: A~,,-<.- a..fI'...c.- ·7'£í C)/l/C£ ,¿.£. s. þt, ~/J é'A~ ß..-v--h Ib Sh~ t::l.,,- ¿ ~ ..µ".~c (?h,;µ:J ft /-£r. r , ._- .....~r :1- I" ¡"..V 9/ JAM' 2. \996 HAZ. MAT. ON. I. M,'f¿... VnA.A-V . Do hereby certify that I havl (type or print name) reviewed the. attached hazardous materials mai :age.. ment plan forS'¡¿r~ _N,I¡':~M( and that it along witb ( of Bualnass) any corrections constitute a.complete and correct mal- cility .1 /2-11-7 j"c- ÐaQ ~ 'i' e e ! 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-005 CHEMICAL LEAD COATING Liquid lee -Moderate ~ Immed Hlth GALÇ'" 02-003 MINERAL SPIRITS Liquid 100 Moderate ~ Fire, Delay Hlth GAL 02-004 SOLVENT BASED PAINT Liquid 5150 Moderate ~ Fire, Delay Hlth GAL 02-002 VM&P NAPTHA Liquid 30 Moderate ~ Fire, Delay Hlth GAL 02-001 XYLENE Liquid ~Moderate ~ Fire GAL 10 .-' -'. -'~ e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-005 CHEMICAL LEAD COATING ~ Immed Hlth Liquid 100 Moderate GAL CAS #: 1344-37-2 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING ---- Daily Max GAL ~ Daily Average GAL --r-- Annual ~ I 60.00 I Storage r Press T Temp -:-1 Location METAL CONTAINR-NONDRUM Ambient Ambient BACK ROOM OF STORE Amount GAL - ~{)Ð. 60 > - Conc l 30.0% Lead Chromate Components r; MCP ---¡e;uide Moderate 53 02-003 MINERAL SPIRITS ~ Fire, Delay Hlth Liquid 100 Moderate GAL CAS #: 64742-47-8 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: PAINTING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL - 100 I 60.00 I 350.00 Storage :::r Press ì Temp Location PLASTIC CONTAINER Ambient Ambient FRONT ROOM OF STORE METAL CONTAINR-NONDRUM Ambient Ambient BACK ROOM OF STORE - Conc _I 100.0% Mineral Spirits Components 1-; MCP ---¡e;uide Moderate 27 - Notes - .~ e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-004 SOLVENT BASED PAINT ~ Fire, Delay Hlth Liquid 5150 Moderate GAL CAS #: 64742-88-7 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 5,150 . I 4,625.00 I 20,250.00 Storage Press 1 Temp Location METAL CONTAINR-N.ONDRUM Ambient Ambient FRONT ROOM OF STORE METAL CONTAINR-NONDRUM Ambient Ambient BACK ROOM OF STORE Conc 50.0% Mineral Spirits 20.0% Titanium Dioxide Components I: MCP nUide Moderate 27 Minimal 7 - Notes 02-002 VM&P NAPTHA ~ Fire, Delay Hlth Liquid 30 Moderate GAL CAS #: 64742-48-9 Trade Secret: No Form: Liquid Type: Pure , Days: 365 Use: PAINTING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 30 I, 20.00 I 60.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient AmbientlBACK ROOM OF STORE - Conc -, 100.0% Naphtha Components r; MCP --,-Guide Moderate 27 - Notes -- '. e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-001 XYLENE Liquid 55 Moderate ~ Fire GAL CAS #: 1330-20-7 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING ---- Daily Max G~~. .. Daily Average GAL --r-- Annual Amount GAL -- ~~. ... I 30.00 I 150.00 3D . ... ; Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient BACKROOM OF STORE Conc 95.0% 5.0% Components /: MCP ~uide Moderate 27 Moderate 26 Xylene, Mixed Ethylbenzene .":.~ ~ . - ~ e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 00 - Overall Site Page 6 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBAL <3> Public Notif./Evacuation PLAN FOR EVACUATION - ALL EMPLOYEES HAVE PLACE TO MEET OUTSIDE OF STORE IN CASE OF FIRE. NOTIFY OTHER BUSINESSES GO TELL OTHER PEOPLE IN STORES ADJACENT TO US. VERBAL. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 ... - .-. e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 00 - Overall Site Page 7 <E> Mitigation/Prevent/Abatemt <1> Release Prevention STORE HAS A LIQUID STORAGE ROOM WHERE FLAMMABLES ARE KEPT. SOLD IN PACKAGED CONTAINERS TO PAINTERS AND INDUSTRIAL ACCOUNTS <2> Release Containment <3> Clean Up '5 P ; L L 1< ( '. - <4> Other Resource Activation ¢ " -." e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 00 - Overall Site Page 8 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - FRONT UNDER GRAND AUTO SIGN B) ELECTRICAL - NEXT TO STOCK DOOR IN BACK C) WATER - CORNER OF BEREAN D) SPECIAL - NONE E) LOCK BOX - YES - BACK ALLEY BEHIND BEREAN ,~~ <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS, SMOKE ALARM IN LIQUID STORAGE ROOM, EXHAUST VENTS/FANS IN STOCKROOM FIRE HYDRANT - SOUTHEAST CORNER OF OUR BUILDING <4> Building Occupancy Level .::... ~ -,' -_1«1 e e 12/11/95 SHERWIN WILLIAMS CO 215-000-001324 00 - Overall Site Page 9 <G> Training <1> Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES READ "RIGHT TO KNOW BOOKLET ON HAZARDOUS MATERIALS AND SIGN OFF THAT IT IS READ AND UNDERSTOOD. Stl.Ç4.'1 \Q,o;¡,N;I1',j , c J D~~ e~íi. pz..< G..~~. .::.- <2> Page 2 <3> Held for Future Use <4> Held for Future Use Ô',<d~ / ..~ ~;"\i(2)?~~~ i.~ot_~,".. -s'~~\ ,.". ==j,..A~ ::J' \ ¡ ~ 27', -"L.,._', " :\.~ --,~1 .·..;,iJ : '. ~- -'\' : , , "::~~/ - CITY of B.4KER'SFJELD " IV E CA R E " SCo~'oRß;,j CtYDe or print. name) . ~ )~~ ® "n~ ~\\il¡'I¡ ¡I, . ...'.\\ ,"~':"-'-.. ,,::;:-";,1,.:.',...1.,) '-'-;---"~ -:if,/{ '~ )," -.:~ - ~',,\ " "'-"- -I" '" j "- .- - . . ,- -- ~ --.. ::~; ~-' ~j~ _... I I$' ~... -... , "",'" . _____ I ;:..-- :'.0 ",,'. i..J ' ¿~~'¡íííú~ RECEIVED FEB 2 81989 HAl. MAT. DIV. Do :n.ere b')·- certify that I have r e '\- i e h- e d the attached Hazardous Materials business plan for JJ..t~ ~H~uJì,.j úHu..A.IM1J Gb. (name of business) and that it along with the attached additions or corrections constitute a complete and correct my fa c i 1 i t :V-, . Business 2--:2-~f7 date· ~ BUSINESS NAME SHERWI~LLIAMS CO LqCATION 2180 WIBL~ RD 10 NUr~ 215-000-001324 HIGH HAZARD RATING 0 1. OVERVIEW . i LAST CHANGE IZl09/88 8Y VAL ,rURI S CODE Z 15--007 JURI S BAI<ERSF I ELD STAn ON flJ7 MAP PAGE 123 GRID 118 FACIllTY UNITS 1 HAZARD RATING ø RESPONSE SUMMARY ZA SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS ZA SEC 2) R6f: CTr¿:ntlO fJ3'? 1 Z 17 OR on OIft'4: S(4;)"iT oRß,¡,..J HOÐ[RTf'\ NEUI-T8tJITl ßs7-1 Z 17 on Ð3C t 93~ (Y J (Ç HbY'rO UTILITY ~HUTOFFS ZA SEC 3) A) GAS -- FRONT UNDER GRANO AUTO SIGN ß) ELECTRICAL - NEXT TO 5TOCI< DOOR IN BACK C) WATER - CORNER OF BEf~EAN D> SPECIAL ..- NONE E> LOC ( BOX -. YES '" BACK ALLEY BEHIND BEREAN S-roU V37-/2.17 r37-/217 ko/YlÇ' ?f¡..~- q 3 fo ~3'1- 237Ç 2. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY e~ ~Il. ~&\Lv~' .1tLL em.Pt...o'lt&? ~ pl)rCÇ 1'2> !kÐ!í O\)rEJocÇ .::r'S1lI'(1(;' N"45lF or- h (1£. ,.v6f11'tH O'j~l.01--l1..ð(r'~> '0 n:u..... e:"íl-tØ- f'ß(Þu:' 1...J ~~ ArX]~'"þ ~ < NO INFORMATION RECORDED FOR THIS SECTION> PAGE I 1 ZI 23/ 88 1 1 : 46 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME SHERWIN WILLIAMS CO ~OCATION 2180 WIBLE RD 3. HAZ MAT TRAINING tUMMARY 10 NUMBER Z15-ØØ0-0013Z4 H~6H HAZARD RATING 0 ~'~ jþ.òr ca'Y}PÒt{'*3 - 6' V~ /ÛOSJ tfu.- ('fI S D.s: \.s. AIt.€- ¡,J DfPt-c..€ vJ'~ ~'1 t -U... c¿:m(h~-i,~ ~. ('fltt;/..l~ 7Z> ~ 6ðð¡L.L.ë7 Cf,J ~ ,. ~-y¿,/kf--S ~ S4Af a-fP ~Vr Þ1.......-e;J fb ¡J..1f' I tS !2A::-~ I ~ < NO INFORMATION RECORDED F~R THIS S~~N ,~¿(1.S~. LAST CHANGE I I BY t'l-f\.þvJ of 7fJ.4',,,.Qtr-l( 4. LOCAL EMERGENCY MEDICAL ASSISTANCE l.AST CHA,NGE 1 Z/09/88 BY VAI._ .~-- -- - -,- 2A SEe 5) MERCY HOS'.PI "f''''L _ n ZZ 15 TRUXTtJN AVf:. - ~- -327- 3371 - PAGE Z MATERIAL SAFETY DATA SYS'rEMS, INC. IZ/Z3/BB 11:46 (805) 648-6800 e e 8USINESS NAME SHERWlaLLIAMS CO LOCATION 2180 WIBLE HD FACILITY UNIT 01 10 NU~ 215-000-001324 HIGH HAZARD RAnN(~ ø A. OVERALL HA,U1RDOUS MATERIALS INVENTORY UîSr CHANGE 12109/88 BY VAL 10 TYPE NAME LOCATION CONTfHNMFNT MAX AMT UNIT HAZARD USE PURE XYLENE 55 GAL HIGH LIQUIfJ STORAGE ROOM DRUMS OR BARRELS MET.. PAINTING 10 PERCENT COMPONENTS HAZARD LIST 1118.00 10Ø.0 XYLENE, MIXED HIGH 7.. PURE TOLUENE LIQUID STORAGE ROOM 10 PERCENT COMPONENTS 1 D0.0Ø IØ0.Ø TOLUENE 55 GAL DRUt1S OR BARREL.S MET.. PAINTING HIGH HAZARD LIST HIGH 3 PURE METHYL ETHYL KETONE 55 GAL HIGH lIQUID STORAGE ROOM DRUMS OR BARRELS MET.. CLEANING ID PERCENT COMPONENTS HAZARD LIST 1140.00 100.0 METHYL. ETHYL KETONE HIGH 4 PURE Ü1CQUER THINNER 100 GAL EXTREME LIQUID SrOHAGE ROOM DRUMS OR BARRELS MET... PAINTING 10 PERCENT COMPONENTS HAZARD LIST 1203.06 10Ø"Ø THINNER EXTREME 5 PURE VM&P NAPTHA LI(~UID STORHGE ROOM. 10 PERCENT COMPONENTS Z03. øø I øø. ø NAPHTHA IØØ GAL EXTREME DRUMS OR BARREL5MET.. PAINTING HAZARD LIST EXTREME 6 PURE MINERAL SPIRITS LH~UID STORAGE ROOM . ORlIt15 OR BARRELS ~1ËL. 10 PERCENT COMPONENTS 1703.07 10Ø.Ø MINERAL SPIRITS 55 GAL EXTREME PAINTING HAZARD LIST EXTREME PAGE :3 t1ATERIAL SAFETY DATA SYSTEMS, INC. (805) 848-6800 lZ123/8811:46 BlISINESS NAME SHERWIN WILLIAMS CO LOCATION 2180 WIBLE RD IO NUMBER 215·,000-·001324 HIGH HAZARD RATING ø B. FIRE PROTECTION / WATER SUpr':¡UES LAST ÇHANßE 12/09/88 BY VAL 3A SEC 4) SPRINKLERS, SMOK¡:: ALARt'l IN LIQUID STORAGE ROOM, EXHAUST VENTS/ FANS IN STOCKROOM 3A SEC 5) FIRE HYDRANT - ? (;J4L-¥ù£ tJ {Tì . "5ö~(?A:;$r-'~fl-NbrL-of- 6u<L- enJ'tL-i:>/~ I? D. EMPLOYEE .NOTIFICATION / EVACUATION LAST CHANGE IZ/09/88 BY VAL 3A SEC Z} F.WBEoT t:I P.:TF!DJB 872 e 184 ~(. SCo-rr 0 RB,.......) ~.(;).I;IERH\ f1CCIILOtJIT:z 8JG 1Q~HJ 1'(YI1't-{Ç HtE)IIrp 3~S- -Cj340 'i'37- 237~ PAGE 4 1 lIB/S8 t 1:46 MATERIAl.,. SAFETY DATA SYSTEMS, INC. (80S) H4B-6800 - . BUSINESS NAME SHERWlaLLIAMS CO LOCAT! ON .z ¡ 80 WI8LE RD 10 NU~ 215-ØØØ-Ø01~24 HIGH HAZARD RATING ø E. MITIGATION I PREVENTION / A~ATEMENT LAST CHANGE 12/09/88 BY VAL 3A SEC t) STORE HAS A LIQUID ßTORRGE ROOM WHERE FLAMMflBLES ARE KEPT. SOLD IN PAc;KAGED CONTAINERS TO PAINTERS AND INDUS'fRIAI~ ACÇOUNTS PAGE 5 12/Z3/88 11:46 MATERIAL SAFETY DATA SYSTEMS, INC. (805)648-6800 " .r CITY of BAKERSFIELD , :" Far. and Aqrieultur, X' HAZARDOUS MÄTERXALS XNVENTORY NON-TRADE SECRETS :i' l..JK.W IN~ --- V474 - - '2.0 L í. Æ-t..-íPUin(.. t-<'1(Jæ¿t.AIZ&w ~¿¡ _____ {[ _ V jII11-~~~__~ 1..?:tf-~t.t::2 ______ J; rvw~ /oJ-rý-] -- 12¡:_!!U¿~~_____________ ~fr..-~~-- ''Z13;f-"~ /--!-- L-J Standard Busin,ss , BUSINESS NAME :S;(..(E?IlwI~ WJLLI~.s Cë:::> LOCATION: ~~/~ ' C r TY. ZIP: S, ú,.. PHONE II: 'Sh.s--- ñ"7-'')J,? . OWNER NAME: Sl-tl.?P.-:i!:' WILL/J!rwt's Cù. ADDRESS: ,~D ~ )( {pð2.7 CITY. ZIP: GLE?VR.Av P . 0 U 4+/ól PHONE ,,: "21 ~ - ..íG. " . 2.oeo IUlrD ro, I1IS:rRUcrIOItS roB nOPD CODD f 2 Irant Ty" (od, Cod, 12 loc:et 1an ....... Stored In Fie! 1fty 3 .... AIIt & ....IU... Un1ts 7 IOys an Sit. II Un Code . , A_.", Aat 5 Annue I Est" PhysiC' I and Hea Ith Haz.rd Ir.heck ,11 that .pply) C,A.S. ...._______ ta.panent 11 .... C.A.S. ...... ,....~. ~-, ~~/ ,.-., ,.-, L/'3 Fir. H'%lrd L_.I RHCtiYity L~.i Del,yH L_.I SucIIMn "1_ L_.I I__li.t. , Ilea It h of P....su... 11M I th eo..nnt 12 .... C.A.S. ...... to.IMNnt 113 .... C...S~ ...... Physie,1 and ....lth H".rd C.A.S, .... _____ ta.panent 11 .... C.A.S. ...... IthKk .11 that '1I\IIy) r'V' ,.-., ,.\....($ ,.-., ,.-., ta.panent 12 .... C.'.S, ...... LA FI... Hal.rd L_.I RNctlyity L-Ã,,j Del.yed L_.J Sudden "1_ L_.J I.....i.t. ....Ith of P...._ IIMlth eo.an.nt 13 .... U.S. ...... p,," le.l and IIH I th Har.rd (thick .11 that '11\1 Iy) rV' ,.-., Lt) Fire HII.rd L _.J RHCtiv1ty .... U.S. ...... r~ r-" ,.-., L (-'It Del.yM L _.I Sudden Rll.... L _.J l-.dl.t. , HH Ith of P....IU... Mea Ith eo.an.nt 12 1_' C.A.S. ...... to.poMnt 13 .... C.A.S. ...... dl /~_L_liL___L___íí_______L__3.~___.J~lMLL3_L.Ll.L-ll--l-Li1à,..Æ'~ oP 5.ns ~ P,,"ic.1 and Health Hallrd C.A,S, ..... eo.øanent 11 .... C. ~...... (theck ell that ..,Iy) / --------------------- A-/ ,.-., r~/ ,r-., ,.-., L".I ':ir, Hllard L_.J RNctivity LI',j OII.yM L_.J Sudden RIIIISI L_.J l-.dlat. HHlth of Prlllur. H..lth , Ii!£RGENCY C()IUCTS 11 Ai. ~~1L.-Q@.!!:..~:::!.---------- ~~~------ 13 .... C.A,S, ....r : (artt/ieation (Røad and si/rn lifter co.pleting IIll sections) , I eeJ\tHy und,r "",It law that I hav, "rsMally ,.a.inl!d and .. f"ilier with the infor..tian su"itt , for ~btðinlnv tha in tian. I I' ,that the lubllittl!d-inforutian is true: ,ccurate. ,nd Co.Plttl, : ~. ' <""'r._ 1" O~;,J : 1i4"-;¡ña-öW-,a nmnn;¡;irToõë;:m;:-D -¡¡;¡¿;:~ãtõh-iütr,¡¡;:¡iiG;:ijj;:išiñtãmi S¡--atü;: ------------------- .' PaVI __l. of _r NAME OF Trtts ~J~JLl.TY: t.é12:fP,~"\Ø STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - - -- 13 'by Nt I. .... of liatUl'l/ColllaMntl See IlIItl'UCt i_ ---- - o-{ N"~~ .sPl!_I'T') ---- ----- --- ---- .ttached doc_n, and that based an ., inquiry of those individuals rn lOl'llib1t Diti-~ñ~~~----------------- ... -------------------------- .,...~~ ClFr OJ ~Al\LTIJrlLLL/ ?(' HAZ-ARDOUS 'MATERX ALS X NVENTORY NON-TRADE SECRETS " .... IIId iqr ;t1,,1 ~vr, '--' Stend.rd Bus ,nf5S P'9' _~Of' t (NESS NAME: 51-4~(N Wl~Ç' (V,. OWNER NAME:' Sf.4~~.;JN' úJl~ NAME OF TinS ~_C .1 L1. T.:[ : ~,t7LP ~ \TION: ADDRESS: ' 'p,f.}., ~-'/. '~c)27 STANDARD IND. CLASS CODE (, ZIP: ~~~O CA ~33¿4- CITY, ZIP: ~ ..);;-( L1""ói DUN AND BRADSTREET, NUMBER IE ,: PHONE II: '2.¡<:ø..-_n..(þ~~ ' IUlnDl 1'0 IIISr1fUcrIOIIS rolt PltOPIllt CODIlS 1 J t 5 , 7 , " II It U It T,," III. a"",... ...,.,.1 ....",.. 10,. Cant Cant \In Locat tan .... ,by .... of .t~UN¡C-tI c* - - Est Un;n an Sit. Prtn T.. CadI StOl'ld In FlCiltty lit 511 IMtruct;CIIII :.1 lflii ....Ith llerll'll :~ .11 tlllt 'IIP Iy) u.s. ..._ ~t" .... C.A.S. ..... -----.-- -- ,.-., ,..-, ,.-., r-' fil'l HII.rd L._.I hletiyity L._.I OIl.yIII L._.I SudIItII "1_ L._.I '....i.t. ....,t" of ,...._ ....'th c..r-t 12 .... U.S. ..... ~tn :.1 lflii ....lth K.r.rd :k .11 tlllt ."ly) U.S.~ CcIIIpantftt " ,.-,: ,..-., "-,' ,.-., fl,.. Hlln L._.I -..cUytty L._.I 0.1.,. L._.I SudIItII..l.... L._.I I....tlt. ....Ith of p,..__ .... hh c-t 12 r--, r-, ,.-., "'" llellrd L. _.I hlet;yity L. _.I 0I1ev-d L. -.. SuIItMft hI..,. tIN It" of 'I'IIIVI'I ... . c.a.s,..... I ' ' ,'tv .~_L~____L___~____uL_L~___1~'-1~) l2_1 I e.1 lflii lIMit" "lieN :11 .11 tlllt ...1,) C.a,s, IIueIIIf' ___________ ,.-, r-., r-" fl,.. Hu.rd L. - .lhletiyity L. _.I OtI.yIII L. _.I SuddtJn hI.." .... 't" of Pr"surt . C......t 12 .... C.A.S, IhÎIIIIII' c.øanent 13 .... c.a,s, ..... IIC~ COITACTS " R...SÏçQ-"ZC..d~ f:Ç'fJ.uA ~L . e ----- '20 Lt{ ~ £ :) At:e?>mr ~7-f;/I-=../.___ ÿV1 ~JI r'L. "'-~1L I (k,~ II ISðßJ ~"ï{,- ~~ ito- '2--;1'1 '~rh 'tL. '- / - PI4'I>..('nYL 7 g ------ ---- 1U/J-P,;N'774 95 p/J.tt11 c... f'~~ " _t~L_______ ~~ - -- -------- '1~ii_f~ª:1:9.. 12.w.~!c:c&~---------~-- I; ;c.t;on (R~ad and 's;", aft~r co.pJ"Ung all s~ctions) this 1fIII.1 .UIC'*' __tl. lflii tlllt ba,ed on ., ;lIC Ulry of tholt tnlli';t..11 I'II ICIIII;blt 2~~:J..F> Diti"Si¡¡ñW--------------------------- ilV und..- "",lty of 1.. tlllt I he.., ø.r,on.lly ,...intc! end .. f..;!i.r with tlw infor..tian ,vbllit ,t.in,"9 tlw~tlan, I litH..., t~;ð~,ubll;Ued .info....tion is tMlt!. accvr.tt.MId cc.ølttt - ,¡;a-õmë ¡¡r, nl~ ~¡:¡t~~~7(~õ¡:.Š-ãii£Iiõ¡:¡iiniõ¡:išiñ' m~i s-- ¡tü¡:,------·---------------------------------------------- i I I I; , _. ... " ~j CIT}T of BAKERSFIELD '... end "'ricu'tvr, Stend4ird 8U51n"5 ~HAZÅRDOUS MATERXALS X NVENTORY' ¡ ~' NON-TRADE SECRETS , PI'" 3_ of .. _ Õ' OWNER NAME: ADDRESS: CITY. ZIP ,: PHON! .: RUIlR ro. IIfS%7IUct'IOIfS roll PlfOPIlIf CODa 12 lClClt1an ...,.. Stored· In FK 111 ty ~Qrs~___ CcIIpanInt 11 .... U.S. ...... '--' [HESS NAME: \TION: t. ZIP: IE ,,: :11 Iftd ....1th lI.,ord :k .11 thet o lly) C,'.S, IIuIIIIr ______ fi... lleurd ~~R..cti¥it, ~:j Deloyed ~:j SudcMn hl_ ~:j l"lot. . ...., th of P....... .... 'th :.1 Iftd ....lth lI.,eI'd :k III thet o ll,) U. 5, IIuIIIIr r-, r-~ r-, ,.-, FI... Ne," L_.I IIMctivity L_.I Del..,. L_.I SudcMn ..1_ L_.I 1..let. IIMlth of Prw_ ....Jth ,..-.., r-, r-'" FIre Nerord L _.I hoct;vity L _.I Delov" L _.J Suddtn ..1.... 11M J t h of . P....su... I ! --_l__________L_______~____i_---------J------l--l~.....J_ tll Iftd ....1th NoII"I :k III tllet ...1,) C,',S, ........ _________ r-.., r-... r-., Fire Muord L _.I hoct;vity L _.J DeIIv" L _.J Sudden ..I.... MH Ith of Pr"lure lIty CIJlTACTS " lliii-~---- --------- ----------- ----------- T1tli eo.c..-t 12 .... C.'.S. ...... CcIIpanIntlJ CcIIpanInt 11 ... . C.'.S. ...... ... . C_'.S, ...... eo.øanont.3 .... C _'.5. ...... 1___-1__ eo.øanont 11 .... C.'.S. ...... c......t 12 ..... C... 5, IMber eo.øanont.3 ..... C.., s. ...... NAM'E OF Tft1:s ~,ÇIL!.T..x: STANDARD IND. CLASS CODE DUN AND BRADSTR!ETNUMBER --- 13 /,. , by __ of"It1rturo/eo.øanontl· lit /SM IlIItruchlllll -~,~~~~'-' ___"f.I.::._~/--<.óL. (;4-/7---[__ _ e ...:..._~iL.. ~~ -111-7tf-, /íYJ fPTJ-¡ "If-; ~ W Þu ~ ~ ~ j /J11c-7-!1L1 IJéJYJcJrtL J~ --- e' . IJ414..lf7/lr,- L.Lð-:L G,?~ _____ ~~----~ 7 :.~1.J..________ ______ 12 n-R;:-pliiiiii-------- q¡¡--------------------""----- nt1l----------------- 21"""'-l'iliiii1------ iClt,CIn (Rf18d end 'sil!ll efter coap.,lpUnglJlJ Sf'CtJOÐSJ , , . 1fy IIIIdtr OlIO Ity of 1.. thet J he", IIfrsan.l1y ,...;ntd end .. f..;1 i.. with the Infor..t ian su.Hted "'.n,,,,! the ,nt_tlan. I lit 1 "". thlt tilt IU.Uttd Info....tlon, is tl'Vt, Iccurete: ond cc.ølete, . . .sCórr ~4/,.J . - ' , ,;;a-õmëi;"ntli"õT-õ-.;¡;:7õiii;::i[õ;:-!m-õ-.;.;:7õ~;:¡tõ;:·š-¡¡¡H,¡¡;:niar:.Õ;:¡¡iñtmy. Siijñ¡ -, ---- Khod doc_u. ind th.tblStdon .., ;nqÙiry of thol.lndlvlduo1s ....øon.ibl. 2..- .2-;>-cr> Dãt.:Siijñiã'----------.,---------------- ------------ ---- --- ------ ...--... 'z . CITY of BAKERSFIELD '- .--. St","rd Bus inns '--' HAZARDOUS MATERIALS :I:NVENTORY NON - T H ^ DES E eRE T S PIV' -1:: of .e i' ,.., end Aqr iev hur, '--' ,NESS NAME: \TION: t. ZIP: IE ,: OWNER NAME: ADDRESS: CITY, ZIP: PHONE II: IfUIlR ro IlISnrucrIolIS "'" PlfOPIlIl CODØ (QL~~__ __ . U.S. ..... S r-, r--, Fire Hlllrd L _.I hect;,ity dr~~ ___ r-, ,.-, ,.-, Fire Hllen! L_.I IIMctivlty L_.I OIl..,.! L_.I SuINIn "1_ ....'th of "'-_ ... . U.S, ..... ... . C.A.S. ..... r-" r-., ,.-., Fire H"lrd L _.I hect;vity L _.I o.llyed L _.I Suddtn "1..., ....hh of Pl'tllure ec.øan.nt n .... c.a.5, ..... ec.øan.nt IJ .... C. A. 5. ..... ___.l________L~_._____i__________J_____J__l_ 1.__-1__ :11 end IINlth IIIlwd .:k III thet '.,.1,) C,A,S, ........_ _._______________. to.øaMnt"'" . C.A.S. ..... ,.-., r-., r-" , Fir, Hlllrd L _.I IIHct;vi(y L _.I o.llyed L _.I Sudden ."1... L _.I l.edlltl HtNIlth Hellth C.....t 12 .... C. A. S, IMber ec.cø-t 13 .... C,A,S. ...... NAME OF Tft1S ~~JL~T~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER ~ 13 ,by 1ft II "- of _lIIt_fe-ta SIt IMtruct;IN _'iD&'L~L_ /fc.<þ 7!f1:7-ò/::. -. I -- sr/4 fI/1..:t!. L 3 . '{VI ~11J. c¡ LÞJç 4.Jw(lA ()Ç L '30 /111:?, :AYvð "" ,-1" ¿, cJlJ £.. ----- LJo ~~ L2. fA{< ~-I';'n~ lA.M..¥.. e ------------------------- ------ NCY COIUCTS 11 17 11.- ~--- -- ------ -- -----------------.-.- nn¡-------··---- ---.---- 71-A;:-Prø;¡-------- q¡¡-.-------.--------.-----.. T1t1l--·----------- '11"111'-lil\iiii,------ ie.non (Rf!lJd .nd silm .fter co.p}pting all Sf!ctJons) 1fv undtr "'" 1ty of 1.. that 1 hey, ..r.onllly ,."'ntd end .. f..; Hlr with the Infor..tion .ubll1tted I 'tl1n,"9 the ,nt_tlon. I bel1ev, thet tM .ubll1tttd 'nfo....tlon IS trvt, Iccurlte, IIId co.ølete, - a- - ".-.-,- .5i.,~9::>,- -rz-7ii ---dMoll-----f7-:L...···---- ..~..-~~-.----.--. -.... S'--- - In 0 IC Ii I l '0 OIIII,r ocwrator OIIIIpr OOPralor S 'lll""r 1 fro r,or"""'l'V' Iqn r,· his end 111 .ttec:hId doc_fl. endtlllt ba.ed on rt ;nqulry of tho.. Individuals 1'tI IIIIII;bl. 2--).-5-· r? Dit¡-Si9~iG'··--------·-------·-----··- -... - ---- --- -----.. ---- '.. CITY of ßAK~Ki)rJr.LV .,.. IftCI AcI' ;cu hurt c.,-: HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS Þ'9' ~f _r: '--' Stenderd Bus,ntn [NESS NAME: \TIDN: r. ZIP: fE .: OWNER NAME: ADDRESS: CITY, ZIP: PHONE .: IrUIfIl ro IIIS'l7fUC%'IOIIS rolf PlfOP1lIl CODD NAME OF Tft1s ~fJL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER " 12 1.ocat1C111 ...... Stored In Fecillty 13 ,by lit Ie __ of .tllt."./eo.an.ntl See Instructi_ ........t IJ .... C.I.S~ .... :.1 IIId ....lth Mlllrd di .\1 thet IlIIIly) J!A:;I"J .:Jr S1p_ttE-:..___ __ C.I.S. ......_____ ........t II.... C.I.S........ ~-., ,..-, ,..-., ,.-, firelllurd L_.I IIMcth.lty L_.I Del,," L_.I SUdÑn ..1_ L_.I 1__llt. lilt I th of P....IUI'I "'" tll :11 IIId lilt I th "1I1rd :k .11 thet 1""ly) c.a. S. ...... ,..-.., r-., ,.-., ,.-, fire Hlln L_.I IIINc:tlvlty L_.I DeIIV1d L_.I SUdÑn ..1_ L_.I 1__llt. ....Ith of P....sure ....lth e.ll11d....ltll Hlln :k ,II thlt I1IIIly) C.I.S. ..... ,..-, ,.-, r-' ,..-, fl,.. lIIurd L _.I RNct;yHy L _.I 1It1.,.c L _.I Sudck!n "-1..,, L -... 1__let.' ""It II of '....'ure ....Itll .~_l____________1-.____________JL___~_________J_____J_~L_____J_~_JL--- e.1 IIId ....ltll 11111"4 :k .11 tlllt .,.1,) . C. A,S, ........ ___________.,--______ _ ,..-, r-" ,.-, f I,.. M.urd L _.I hect IYHy L -... lit Ilytd L -... Sudd", 11,1.." ""Ith of "",ure ~t It .... C.I.S. .... - ta.paneilt 11 .... C. I. S. ....... pf Ro -').-7 (pO-: , c.oa.-t It .... c.a.S, .... CoIIIontnt IJ .... c: I. S, .... CoIIIontnt 11 (Jf STlJ{l.E .... C7---' L ... c.a.s........ 15 1:-ru'1l 131t.~ ~~€_/(j~ Yik~ Cl...1.<!-2o---.7 E1J..lAtvö L 6 f-i? - . ta.ooMnt It IJ .... C,A.S. ....... ... . C.A,S. ....... /11fc""-µ'-I~ ¡So ey"11.,.. I4;οj~ C~t 12 .... . C.A,S, ....... -------------------------- ------ ~t 13 ..... C,A,S. ....... !ICy CIJIUCTS 11 12 lliii-~--- -------------------------------- TIHi----------------------- 2t-A¡:-PIíiiñi-------· q¡¡----------------------------- T1t,.---~----------------- n"'-PftMt---.--- k.t;on (Reed and sign IIft£'r co.plf'ting all sections) !Iv und,' tIll Ity of 1.. thet I hey, ,,',on.l1y ,...;ned end Ie flei H.. .ith tlw infllf'..tlon ,ubltitted I, IIId III Itteched __ts. end thet bI,ed on -V Inquiry of those IndiYldull,· .... IOII';bl. >1.'n;1\9 tlw inf. _tICIII. I be1i...~ thet thf ,ubltitttd ;nfo....t;on ;, true, lecuret., end c~øl.t., ¿___.....¿;;;/ ... <'"J. 1ì3 ..-cr- . . <~~ .,> J) I~;,.j ~~. ¿:-~ (f:>. í"a-ömëi¡'-tm>¡!õ1Ïl,.;.rTo¡¡¡r¡<iõf-~õWñ¡r7õõ¡¡:itõr·š-¡¡¡(r.õriita-r¡õ¡:¡¡iñmi;i' Si-- ü.. ---- ------------------------------------------------. Diti-Siqñ¡a--------------------------- . , CITY of BAKERSFIELD ,.. ~ &qricultur, StMtd.rd, Øu~ ,n"~ ..--: HAZARDOUS MATERXALS XNVENTO~Y ,N 0 N - T R ^ DES EC R E T S / r/ Peqt~_ qf 1'-- ' . '--' [NESS NAME: \TIOM: t, ZIP: fE II: OWNER NAME: ADDRESS: CITY, ZIP: PHONE tI: JUØI'D ro IIISf7fucrrollS rolf I'ffOPIlR CODa l T"" Codf 1 .... "t , 1 1 Oyt Cant an Sit. TYIIt , " Cant Cant Prtn T.. . .-. "t 5 Annu81 Est , IINturI Units :.1 IIId ....lth lII,.rd ek .11 U\lt 'l1li Iy) C,'.S. .....,.___--'-____ ,..-., ,..-., r"-~ ...-., Fire HIl'1"d L. _.J IINc:th,fty ,L. _.J o.l.yetI L. _.J SucIcNrI "1_ L. _.J ...ti.t. ....1 th of p,...-. ....1 th II Un Codt IZ lOClt1an IIhtrt StCll'lcl In feelllty " NAME OF Tft1S ~A~JL~~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER u ,by lit Ie ..... of .illturetco.anlntl SIt I lilt I'UCt iaM ~ <Jf-J..~___ __ .Y!t..'::fE¡Jc.._~2- tt....4 eo..-nt II ..., c.a,S. ........ GJ11:i.f-.Jl.f!:' ?-t--~ I ac-1I..- 9-~_ _ c.aø-t It ..., c.a.S. ........ "'--(~ 1'330- '2.0 ~-7 eo..-nt 11 ..., c.,.s. ........ :.1 IIId ....lth Her II'd :k .11 thlt 1l1li1,), C.',S, .....,._ ,..-, ,.-., ,..-, ,..-., FII'I lil,II'd '-_.J IIMctiyity '--" 0. I eyed '--" SuckItn ..T.... L._" l..ti.t. ....Ith of Pl'Ø1Vrt ....lth .;;,;;.rf~ ---- eo..-nt II .... C.. .5. ........ eo..-nt It ..., C.A.S, ....... eo..-nt 11 ..., C.A.S, ...... I:IT II1II MMTth 1111" ~k .11 thlt "" Iy) C.A,S. ...... ,..-., ,..-., ,..-., ,.-., Fire H".1"d L. _.J AHCti.,tty L. _.J hI.," L. _.J Suddtn hI.." L. -;, l..tl.t. !IN Ith of '.....ure ....Ith I ,(Ir(V1 _L~____L_~~_______L.:~~___J~'--lø ~Lll.Jj or'~ eo..-nt 11 .... C.A.S. ........ eo..-nt It ..., C.'.S. ........ eo..-nt 11 .... C... $. ........ e.1 11M! .....t" lillII'd :k' .11 thlt ..,Ty) I 4 _L2!ì-L~QrS~ C,A,$, ....______________________ ec.oanent II ..., C.A.S. ........ ,..-, ,..-., ,.-., ,..-, Fir, H.1I1"d '- _.J IINcti.,lty L. _.J DtI.yetI L. _.J Sudden .,1.." L. _.J ...tl.te HNlth of Pr".ure HNlth COII CIIIIIIt 12 ..., C.'.$, IIIÌIIIIII' eo..-nt 11 ..., c.a, $. ........ e _Cl1.,,,..¡~/ù'fS 100 /It I~L fl'l/l-t rs ---- o'Zi VAt _Ê. IL3 ____ ____ VI/h-?{! ~~ ~ f?~-fI?;7 ___ e Nty CIJIT ACTS II 12 II_-~---------~------------------------- Tini----------------------- 7.-R;:-P'¡õñ¡------- u¡¡-------------------------- T1t1l------------------ 7t'1l1'-I'IIIIfII------ ic.t,on (lff!8d and sil!fl a(tcor co.pJ~tinl! all spctionsJ . IIId .\1 .uee.... .doc.-n. 11M! thlt lII.ed on WIt inquiry of thole IndivlclutT. 1'It Ol1.;bT. 2:-2f'-?:> 1IiIfSiijñiã-------------------------- HV unci... _Ity of 1.. tNt I NV' ..r.on.lly ,...,ntI! end .. f..ili.r .ith the Infor..Hon .ubllitted In 't.inil19 the i.nf_tlon. I be', liev, ~~ ~. t thl!.,ubllittld info,..,t;on i. tl'Uf, .ccur.te. IIId c~plet., S dfU.:f0 ;;;a-õ"~ëi.'-' H'W~õi;:¡tõ;:-OIl-~;: 7õ~;:i'õ;:·š-¡¡¡(r,¡;;:mn.¡¡;:¡¡iñ' it1Ÿ. Siqñi - r.----------"------------------------------------------- I, II '. CITY of BAKERSFIELD '. ~ !rII ...d Aqr;cv 1 tur, ~ HAZARDOUS MATERXALS XNVE~TORY NON-TH,ADE SECRETS P~9' _1 of J:: ,~ L..-I StMld.rcl 9us'""s [HESS NAME: \TION: (, ZIP: {£ 11: OWNER HAME: ADDRESS: CITY, ZIP: PHONE .: RDlfR !'O IIIS'l'RUC'f'IOIIS "'If PltOl'D CODD NAME OFTn1S ~~JL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 2 J . 5 , , . , 11 " U -I) TYIIt ..., -".,.... . AnnulI !IN_ 10,. Clllt Cant Cant Un leat 1111 ..... /' ,by CoM "t let £St Un;u III SIte Type PreI. T .... . Code St~ In Fectltty /' lit- "),-<] ~~ a.~rJ¡;~ __ ___ :,1 _ ....lth 1I1l.1'd ~k.\1 thlt 'lIPly) C,A.S, IIuIIIIr ________ ta.panent II ; \ 4 lI.urd ~:~ ";tiv1ty ~~I'yecI ~:~ SuddIn ..1_ ~:~ l"'late X··.. 1\- ... IIMlth' of P,...__ ....Ith c:a.aør-tlt ,. __ of .1rt.".¡C-U SIt Inttructi_ ak..<d.g~__/o¡-~1-.____ e ---- df- J~ __ _ /!l.. 8L rib (J?i::-"T"J.4..'tl.- /!?Tillt..- ~i:7.f.~ I tv_iV1_ ------ 1 ' 1 C, 1 _ ...., tll Her,", :k ." thlt '011 Iy) _ X;::, 1I1I.1'd ~~t;Vity ,.'~ ,.-., '-A 0.1..,. '- _.J SudtIøI b I..,. , "" It h of p,.e..u... ta.panent 12 .... C.A.S, ..... ta.panent IJ .... C, A,S, ..... " : I':l_L_______L______~-----L-~-~---.l{~ 3løJ L I _1~1'~5_L_~ ..<2f:£7J'd.E eel _ .... It II Her,", :k 1\1 thlt ..,Iy) L ,.S:: /'If'''' lI.ure! ~ IlMet;vity to.oonent 11 ~X' o.l.yecI ~ = ~ Sutlcl... 11,1 . ~ = ~ l-.dl.t. ""Ith of PI' ur. 1I"lth Cœoanent 12 .... C. A. 5, IIùIIbtr ec.øo.-t I) .... C, _ , 5, ......,. I MCV COIUCTS It . .iii------------------------------------- TI 12 7r-R¡:-pr,¡¡;¡¡------- Uii-----~------------------ nt1l---------------- 71,.I'-I'ftIIII'------ ;c.nOll (Rt,;.d and sign aft~r 'co.plp.ting all s~ctions' ~ .tteched __fl. _ thet based 011 "t ;nqul", of thale Ind1vldull' "" ICII.lbi. 'Z-2J~E? llit,Siijñia-------------- ------------- lIy unci,;' .....It, IIf 1 hit I hlv. IIIrsOll.lly ....;ned end .. f..ill.. with the irifor..hOll subllitted I ,t.ininq the Inf_ . I beH.v, thlt tllp subllitted inlo....tilll is tMII. .ccur.t.. end Coaol.tl, ,-õn;,,;ir7õõi~'W_~r7õ~~~~~iõ¡:iiiñ(mÿi Siqñã - f --------------------"------..,-------------------------- I, IL f~ Pö~;;- ~<J<:.t:Yl:___ ___._ ro¿Ul:-~ ioJ--Y?-] e r.- _ €r~..¡ ~:~__l.~ ·-.:J:1:::£ ______ øo 'PtC-G'~ - - 'Zr /'1'1(# 't1..f.Z-Sò/J"J'T?-JÞL. 1tA:~ 10 IV- CITY of BAKERSFIELD ~ " '""-^ '--' HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS ~" ~ " ~-, .... ""' Aqdcv Itur. '--' Standard 8us inns, ÞI9'\ __4r:f _ff ~', [HESS NAME: \TION: (. ZIP: IE ,,: OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: IfUIlR ro XIISr7fUcrXOIlS "'If PlfOPIDf CO~IIS NAME OF Tft1S ~~J'L1~: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER 2 , VOl Code ] .... . . .".,...,. lilt 5 Annue I Est , "'"- Units 7 IOys CII SIt. 11 Un CocIt 12 loett 1C11 .... StOl'ld In Facllfty u ,by lit II __ of iii IItUl'l/CallDonlnt. SIt lnetructillll :al end .... 1tll "'1.1'11 c~ ." thet 'l1li Iy) C,..S, ....... ______ tGapantnt II .... C.',S. ...... --- e ,.-, ,.-, ,.--. r-' fil'l "'1.1'11 L_.I IlelCtf"tty L_.I 0I11Y1d L_.I Sudden hI.... L_.I I.-t,t. "" Ith of P,..__ ....'th ......t 12 .... C... S. ...... :II end ....It'' H.I.I'II :k 111 thet 'l1li Iy) tGapantnt n .... U.S. ...... ar-~~______ ____ ~t 11 .... C.'.S. ...... c-t I] .... C...S, ........ ~L"t'§í. 12..3-ðG:,~ ,..-, ,..-, ,..-, ,.-, FII'I HIlII'd L_.I INett"tty L_.I 0I11Y1d L_.I Sudden ..1.... L_.I I'-I,t. ....1 th 0''''-_ ....lth c-t 12 .... U.S. ...... AMt:"TJ.I'1~· b¡ i ':>O¿'1~M --- ---- ea \ ... 1M \t" 1\11.... :~ 111 thet I1111ly) t.&.S. ..... ec.eor.t 11 .... U.S. ...... ,..-, ,.-., ',..-., ,.-., Ftl't "'I11'II L_.I IIHcti"fty L_.I 0I11Y1d L_.I SucIdIn "11ft, L_.I I'-lit' IIN Ith of PI'IIIUI'I IIN Ith tGapantnt 12 .... C.'.5. ...... --------- --- tGapantnt 13 .... C...5. ...... e ___l__________1-.____________JL___~_______J______l________L_____J_~JL____---L ell end ....lth IItIIl'd :~ al1 ttwt ...Iy) C..,5. 1IutIItr____________________ tGapantnt 11 .... C.'.S, ...... --- ----- ,..-, ,..-., ,..-., ,..-, fl,.. "11.rd L _.I IIMcttvfty .. - .I DtI.ytd L,_.I Suddtft "11ft, L _.I I.-f.t, IINlth 0' P""lur. IINlth C....t 12 .... C... 5, ...... -------------------------- ------ tGapantnt 13 .... C... 5. IIuØIr lleY CØlfACT5 II ,12 .¡¡¡-~------------- ---------------------- nn¡----------------------- 7.-AF-Pflãñi------ u¡¡------------------------- TU1I--------------------' 71,.,-1'I11III'------ icatlon (R~.d and sjlrfl IIft~r coapJ,.ting all spctJons} lwei doc_tl. IIICI thtt blncl on wy ;nqufry of theil, fndfv,iclut II. 1'II IOIIlibl. 2.-c-2'3-ff Deti-Si9ñiã'---------;.---~----------- Hy ....... "",It, of 1. thet I Ii.". Ølrsont T1y ....;nte! end .. f..; H.r .ith tlw in'or..t fCII su.itted ,1I;n;"9 the inf~ion.1 wH.... that tilt su.intd info....tion ;s tMM. .c:c:urlt', end cœol'te, e-JGvV c.J(2gf"/ . ,iia-õmëii'-' ifl¡-õ'-¡;w;¡;:Top¡mõ;:-D.-~p;:7õõP;:¡fõ;:·š-¡¡¡fflÕ;:iipa·;:põr¡;iñ' ¡mi . Sir- u;:¡----- ---------------------------------------------- '-. e e CITY of BAKERSFIELD ARE DEPARTMEKT D.S.NEEDHAM ARE CHIEF 2101 H 5mEET BAKERSAB.D. 93301 32&-3911 ð -r;~ -~S // / Dear Business Owner: . :.. /: Enclosed please find a copy of your r~sponsa~o the Hazardous Material Business Plan request. We have founå it necessar~{o reject your pian for the following reason( s) as checked be low. , ',' ::~-'·.h.:' - .' ,.: " 'H'b' ...,:' ".' ... . ,'.. . "" -.::- '-"~-;.,.~~ .,' . . . .' .. .." .. , / . D Illegible Business Plan (pleas~print or type information in English). .,' '\, . ....~. . ;--, . -.t"'f"'~'·':··-!··"/(·:¡¡··-';··'--'__ .;.~"- .J'" .,'.. '~.:\.~ ""0" :..._ -' ,":i;: ; :-.-··,·:Form iA D "Mi-S~ing'ôrCJ/"Incompl~té' "'<;~_,:'~-', ~' '.., ..-,..',}:.>.':,'. ...~¡ - ~ .'.~ ......_...,. '-:1-.:. wt. :..-.:.'....,' 'l.,~"~ ," ~ ."~'_' _., .,~ \....:.:,\. :/ -. ,:' ;', Form 3A _ D Missing' or 0 Incómplete . . ,.'. i>" , ; , , ~, .:.: ¿ '~"_ .. '. "'""".<t _. ':,¿;'f' .:'" .'.;', .' . ~~",::: -:,,', '<,.';r:."()"'-" ),¡i,/ , '", Form 4A D M1ssin'9 or ~ncomPlete {!)¿/1)£(J)t.'2--~, ",~..~~_:',-,-U.,,~;::;i:û 'r',;' 11:1\. ..' " ~ S"¡'9L~, ~ "'\. ' /'ì' 7 ~2:..:·; f1 ,.,;'" < " r- '. - ,! , . Form ~~ Qtl Ii- ~ ~~c;f I { ? . .' x:;J(f, ~t.fßU1/- oJ2Jø J>Jtpctte 't.l!~/ ~ð,"~Y' ~'/ é~~<",-.~_:! ._ ,,~ÿ.:.--. ., ,-.",' U' :r, ,:,;,PctiiL4J ·7~ltl.eit¡ ". ~ Site Diagram P Missing or' ~comPlete--<:-;.g;,~tij lÞz0()L~yVr.p-:'.¡"..'j¿Jl1J$ \ ' i' I fl' tf:Y..Q/¡f5ÌI~/ () . " . " (j Faci lfties Djf&gram D Missing or D Incomplete. --TJ.. ' :,~.... . This is to b corp(cted and resubmitted within 30 days to:'~- fà.. ~% . ;:;" ¡ Bakersfie ¡ICity Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 " i ;/ ". ;:- ~. .....:. . . "': . : . If additional copies of any forms are needed they can be picked up from the Hazardous Materials Division at 2130 "G" Street in person. Sincerely Yours, ¡; REH/eg . ~ > J,' I. ,- - / . , -h ry:' '/ _ 111, .~. . I' - -': lj~. / i-- ~ /~~:,-'- (9- :ö ,. ,."" e . BAKERSFIELD CITY FIRE DEPAR~NT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 l~3-ll ß RECEIVED JUt 6 1988 Ans'd. ........... OFFICIAL CSE ONLY ~y ¡)J/A 91- o~ g6:Ç- J-kftj - all4 1324 HAZARDOUS MATERIALS ~ BUSINESS PLAN AS A WHOLE11_ .1 (l"./ FORM 2A ~~ ;( (fø- if?' ;'tJ úJ.'/I/ s ID# INSTRUCTIONS: 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 IDE~:FICATION D~TA.. '-. ( ~ A. BUSINESS NAME: ,~ h ø7( W I~ -u////;/þvI~ )- 1 ({ D 0/-_,'1Þ4 k ~iJ ZIP: 9 ?3/J 7 B. LOCATION / STREET ADDRESS: CITY:4*<~s r;~jrj) BUS. PHONE: (,$b.f) ~ J7~ / ~ / /' 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 tlúd the State Office of Emergency Services as required by law. E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NAME AfID TITLE A. _ tf-1J t2 IE ~/l/'O B. /fo4ext/1 ~e-¿~.4J4-'/rz- Ph# DURING BUS. HRS. gs7--- /],-/7 ~g7" /;,.. /7 Ph# A. B. C. D. E. YES ,1:;:0 IF YES, LOCATION: IF YES, DOES IT CONTAI:;: SITE PLANS? YES / ~O FLOOR PLANS? YES / NO - 2A - Ph# AFTER 8t;S. HRS. g 71- - Fir£( 8'36 - /19S"' Ph#: :.1:SDSS? YES / NO KEYS? YES,I NO c# .' ~/ . e \ . ~~ .~. --..._..~ -a;'~r~1':,;- t~ ,,*. -t tr j- ..~ .. ¡ ~--..' -, . .' ';' .......' SECTION 4: PRIVATE RESPONSE TEfu~ FOR BUSINESS AS A WHOLE ¡01J -¡t/ .¿ ;, ~:, f <;,~ 11 u SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE 'FOR YOÙ~ BUSINESS AS A WHOLE M~'C Y /.þ3/'I'-T4L. ¡-í4Þ1X-H/l/ -,/¿Y-el SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PtOYEES WITH INITIAL A~D REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL REFRESHER I r A. METHODS FOR SAFE HANDLING OF HAZARDOUS Y1ATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. @ XO YES ~ ~B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:...................... .... ~O YES ~ C. PROPER USE OF SAFETY EQUIPMENT:.................. ". E NO . YES $]3, D. EMERGENCY EVACUATION PROCEDURES:.. ......... . . . ... . NO YES N E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:, .., ... YES NO YES NO SECTION 7: HÀZARDOUS MATERIAL Cr Llfí1Ÿl'1o'P1 /9 ßL-e ¿, ~~-o7J/2,Y ) CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL IN QUANTITIES LESS THAN' 300 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:...,.. ~ NO I, ~O~e¡f¡L- ~,~~ ,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. . SIGNATURE &¿j-. ¡J. -.:;1 -~ .. ., - -~TITtE .~ DATE bÞnl [7 - 2B - Î . e ~ -;.. ~..:: .~~ " .. .." SECTIO~ 3: HAZARDOUS YfATERIALS FOR THIS r~IT OXI.Y ¡Ø~IrbL(¿/~ A. Does ~his Facility Unit contain Hfl~~rdo~s ~aterials?"". . .~~ ~(2Y If YES, see 3. If ~O, continue with SEC7IOX ~. B. Are any of the hazardous materials a bona fide Trade Secret YES XO If No, complete a separate hazardous materials inventory form marked: ~O~-TRADE SECRETS OXLY (white form =4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS OXLY (yellow form =4.-\-2) in addition to the non-:rade secret form. List only the trade secrets on form 4.-\-2. ~~C~TC7~ 4' PRTV~T'!=' -.:'TRE PROT~"'!'TOX ' 9f:"^tL~SJ ;";~~At.M?r-t /¡J Lìy(.dd, S~ V ~~ J ~1tfk¿ß+-UertIs7~ I^ ~fø:~\ SECTIO~ 5: LOCATIO~ OF WATER S~PPLY FOR USE BY ~RGENCY RESPONDERS ðÆCr:- /+i1~ SECTION 6: lOCATTOX OF UTILITY Shül-OFFS AT THIS L~IT OXlY. A, X.,è, T. G,j,S, P?O?\':·:C:·: B. ::LECTRICAL: C. í'ÌATER: I, D. SPECIAL: -- _, LOCK BO~: YE:S '\'O ~ YES, LOCATIO~:: It ¥ES, SI7E ?LAXS~ FLOOR ?T.AXS~ '[ .::.:J / , \:0 YES :':0 ~·!SOSs? :-:r:':'S ~ ~ .-. ~ '..'ì ..'.J "'._f" '~ t...) \:0 - 33 - ) ;'1' -... /4'. . ,á,,; _ I .;~ /..- 1// / ~ I, I ".; ~ . e ~. !" BAKERSFIELD CITY FIRE DEPARTI!EXT 2130 "G" STREET BAKERSFIELD, CA 93301 .... OF?TCTAL [SE O~LY \ \,.. BUSIXESS ~..\~Œ: t~l?fw;;r/rH1/~~.£ 4 ID# !;¿ 1)Þ_15i-tll/ð )-. cf tj" ó /14 BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned hy: 2. TYPE/PRIXT YOTJR AXS~~ERS I~ ENGLISH. 3. Am:wer the quest ions bp.low fer THE FACILITY I;X1T LISTED i3ET.m.¡ 4. Be as BRIEf aüd C8NCrS£ as possible.·, - , FACILITY UNIT~ ?/Ol FACILITY UNIT NA.'Œ: 5 ¿ ~ w/,z/ -W///;~~ ~ . f&<I2-. 5< 3 Z J ;:)../7 SECTION 1: ~ITIGATTO~, PREVE~iIO~, ABATE~E~iCþROC~Du~ES 57tJl(.e 1,/1~.q ,J:./'rd' ~d]4µ ~ ~--L- fI'-'_#'./h /t1¿ ~, J';..tW ~ /~A,j-L--f ¿ðÞ7~\ ¢?A 4( ~~ ~ ~ 4~~ ft%¿n-¡~.. SECTION 2: NOTTFTCATTû~ A~~ EVAC0ATIC~ PROCEDl~ES AT THIS l~IT OXLY f-vh¿ð (1-, Lm¡1o f1; b Uf--f/' (fl ec If Î-il-tJ;' fz- g?:L ~?f/~rf ~3' -/119 C -- - 3A - ~ I 1 ,I 1. D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l I Page Qf". - i- I ; NON-TRADE SECRETS ! HAZARDOUS MATERIALS INVENTORY : !¡ .. <', < ~ '~~., BUSINERS NAME: S:r,rh(wt'l/ -w,/II~ Co, OWNER NAME: ';¿~~:i;;t-_~;;¡¿~';;40-/í /~J FACILITY UN..)T #:<tllJ/ ADDRESS: .~J r;lì "'!JÆ,L,J¿ ~.)) ADDRESS: /01 ·~~.~<'ÞL.?.,r /Jy'¿,_FJ\CILITY UNIT NAME: ~L.- ¡- CITY. ZIP: &¡/-.M { f';..I. t .þ I' ~ q ~ :J " 7 C I T Y , ZIP :,e;7f;è:-prd~-.(), aN, - ¿¡ ¥ / p / PHONE #: <3DS" ~3"7;nl' PHONE #: .2- It.,. ~"'6..¿;r-.... -= 10FFICIAL USE CFIRS CODE ONLY 1 2 TYPE MAX CODE AMOUNT F~L'D ~. Fß-"\ 4& F¿ 3} 66 ~L- ~)IJ~ F¿ c:;" ..tIP F '- l>"~( 3 4 5 6 7 ANNUAL CONT USE LOCATION IN THIS AMOUNT UNIT CODE CODE FACILITY UNIT /110 r.~£1) h ¡j q LtCVUll:> 5:-Jt.- . t: /21..{ ~~. ~c.. {)Çt7 :< 9 L1 &¿O ( Dsf'ì'O,-A ~ - t'!M. g-¿~g- l~,..." ~ () (/J 0 rg ,LtlJutD~' hG .ðt.t ,j/ (o.i. l ,.g . ....,/ ~ (/., ~ f}~ "1'1'1/1(W f &u(o <.),l.blG£ ~ I:¥'ºi /)/ /'of: ,...., .It ./' iA ¡ý(,C?..L-~ \. ~ \JlO ~mA..(')I'¡ Ø«- /ð6--r $~ t?~ ).~;~~l/lfT)UlDð~é"'RM. I I I II !i I NAME: Pti::1..1:J.... ^- I7'rI"oA- EMERGENCY CONTACT: i TITLE: N.~~kIP TITLE: EMERGENCY CONTACT:' PRINCIPAL BUSINESS ACTIVITY: TITLE: 1.,. 1 CHEMICAL OR COMMON NAME J~X~yt~;?1/-e- \ \ \' ß -+ " I. ~ ;",:;'yþ?-'o- t l 3 0 I tJ v- ~ ~'I/ ~,'- .. MET/' yt.. g~y/ 11Ø1ð)-!:") J-~c~Á!4< 74"n-~~ 19-03 Q~ Y ~)£~ "/14Ø?Z,q. I~O~I> /Z1/~.lM4'I,('ß/;I;~ 1~b,~/o7 8 % BY WT. 9 /J /J 11--H --P/Í_ --- SIGNATURE: ,;J/(',.v~~-.Æ LK -/ u~_> '''' PHONE # BUS HOURS: AFTER BUS HRS: PHONE # BUS HOURS: AFTER BUS HRS: 1\'. 10 HAZARD D.O.T CODE GUIDE . ..- .- / J DATE: ¿;/J7RY r'(