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09/11/95
.-
-
SUNNYSIDE POOL SERVICE 215-000-001413
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 6261 WHITE LN 110
City : Bakersfield
Contact Name
KEITH KELLEY
Business Phone:
24-Hour Phone
Pager Phone
Mail Addrs:
City:
Comm Code:
Map:123 Haz:2 Type: 3
Grid: 15C F/U: 1 AOV: 0.0
Title
/ PRESIDENT
(805) 397-4492x
(805) 831-4605x
() x
Contact Name
ROSEMARY KELLEY
Business Phone:
24-Hour Phone
Pager Phone
Title
/ SECRETARY
(805) 397-4492x
(805) 831-4605x
() x
Administrative Data
6261-110 WHITE LN
BAKERSFIELD
215-009 BAKERSFIELD STATION 09
D&B Number:
State: CA Zip: 93309-
SIC Code:
Owner: KEITH KELLEY
Address: 2305 COLBY ST
City: BAKERSFIELD
,/
Phone: ( )
State: CA
Zip: 93304-
Summary
I;:
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9,3ß/:S
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I 09/11/95 SUNNYSIDE POOL SERVICE 215-000-001413 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form Max Qty MCP
02-003 LIQUID SODIUM HYPOCHLORITE Liquid 175 High
~ Reactive, Immed Hlth GAL
02-005 LITHIUM HYPOCHLORITE Solid 1000 High
~ Reactive, Immed Hlth LBS
02-002 MURIATIC ACID Liquid 100 High
~ Immed Hlth GAL
02-006 CALCIUM HYPOCHLORITE Solid 500 Moderate
~ Reactive, Immed Hlth LBS
02-001 CYANURIC ACID Solid 100 Moderate
~ Reactive, Immed Hlth LBS
02-008 SODIUM DICHZOR-S-TRIAZINETRIONE Solid 1000 Moderate
~ Reactive, Immed Hlth LBS
--'
02-007 TRICHLORO-S-TRIAZINETRIONE Solid 2000 Moderate
~ Reactive, Immed Hlth LBS
02-004 SODIUM BICARBONATE Solid 200 Minimal
~ Reactive, Immed Hlth LBS
..
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-003 LIQUID SODIUM HYPOCHLORITE
~ Reactive, Immed Hlth
Liquid
175 High
GAL
CAS #: 7681-52-9
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
175 . 100.00 I 900.00
Storage
PLASTIC CONTAINER
r Press T Temp ~I
Ambient AmbientSHOW ROOM
Location
- Conc -I
12.5% Sodium Hypochlorite
Components
r= MCP ----,-Guide
High I 45
02-005 LITHIUM HYPOCHLORITE
~ Reactive, Immed Hlth
Solid
1000 High
LBS
CAS #: 87-90-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
1,000 1 500.00 I 5,000.00
Storage
PLASTIC CONTAINER
r Press T Temp -:ì
Ambient AmbientSHOW ROOM
Location
- Conc l
29.0% Lithium Hypochlorite
Components
c: MCP ----,-Guide
IHigh I 45
02-002 MURIATIC ACID
~ Immed Hlth
Liquid
100 High
GAL
CAS #: 7647-01-0
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
100 I 75.00 I 400.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient AmbientSHOW ROOM
Location
- Conc l
31.5% Muriatic Acid
Components
r= MCP ----,-Guide
¡High I 15
·
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02-006 CALCIUM HYPOCHLORITE
~ Reactive, Immed H1th
Solid
500 Moderate
LBS
CAS :It: 7778-54-3
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- D~~ly Average LBS --r-- Annual Amount LBS --
500 1 .. 100.00 1 1,000.00
Storage
r Press T Temp ~
Ambient AmbientSHOW ROOM
Location
BAG
- Cone l
65.0% Calcium Hypochlorite
Components
r; MCP ~uide
Moderate 45
02-001 CYANURIC ACID
~ Reactive, Immed Hlth
Solid
100 Moderate
LBS
CAS :It: 108-80-5
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
100 I 50.00 1 200.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient AmbientSHOW ROOM
Location
- Cone _I
100.0% Cyanuric Chloride
Components
r; MCP ~uide
Moderate 60
02-008 SODIUM DICHZOR-S-TRIAZINETRIONE
~ Reactive, Immed Hlth
Solid
1000 Moderate
LBS
CAS :It: 51580-86-0
Trade S~cret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
1,000 I 400.00 I 4,000.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient Ambient I SHOW ROOM
Location
- Cone ~ . Components
100.0% Sodium Dichloro-s-triazinetrione
r; MCP ~uide
Moderate \ 45
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
5
Hazmat Inventory Detail in MCP Order
02-007 TRICHLORO-S-TRIAZINETRIONE
~ Reactive, Immed Hlth
Solid
2000 Moderate
LBS
CAS #: 87-90-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
2,000 I . 1,000.00 I 10,000.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient Ambient I SHOW ROOM
Location
- Conc ~ Components
100.0% Trichloro-s-triazinetrione
r; MCP --rGuide
Moderate I 45
02-004 SODIUM BICARBONATE
~ Reactive, Immed Hlth
Solid
200 Minimal
LBS
CAS #:
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
200 I 100.00 I 500.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient AmbientSHOW ROOM
Location
- Conc -I
100.0% Sodium Bicarbonate
Components
1-; MCP --rGuide
Minimal I 60
."
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
6
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ALL EMPLOYEES WILL LEAVE BY THE FRONT DOORS.
<3> Public Notif./Evacuation
ALL PERSONS WILL LEAVE BY THE FRONT DOORS
I <4> Emergency Medical Plan
CALL 911
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
7
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL MATERIALS ARE CHECKED WHEN RECEIVED AT THE STORE
ALL MATERIALS ARE STORED ON STRONG SHELVING
<2> Release Containment
KEEP SPILLED MATERIAL DRY
<3> Clean Up
SWEEP, SCOOP OR VACUUM UP ALL SPILLED MATERIAL AND PLACE IN CLEN, DRY
CONTAINERS FOR DISPOSAL. FLOOR SWEEPING COMPOUNDS SHOULD NOT BE USED IN THE
REMOVAL OF ALL FUMING, FIRE OR EXPLOSION MAY RESULT.
<4> Other Resource Activation
e e
09/11/95 SUNNYSIDE POOL SERVICE 215-000-001413 Page 8
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - BEHIND THE STORE
B) ELECTRICAL - EAST END OF THE BUILDING
C) WATER - EAST END OF THE BUILDING
D) SPECIAL - NONE
E) LOCK BOX - YES - THE STORE HOUSE
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 DRY CHEMICAL FIRE EXTINGUISHERS
FIRE HYDRANT - 100' TO 125' STRAIGHT IN FRONT OF THE STORE AT THE STREET
<4> Building Occupancy Level
~ -
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09/11/95
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
9
<G> Training
<1> Employee Training
WE HAVE 4 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE TRAINED ON HOW TO HANDLE CHEMICALS
AND HOW TO CLEAN UP SPILLS. THEY ARE ALSO TOLD TO READ THE MATERIAL SAFETY
DATA SHEETS.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
~ ,. 'J ..
09/11/95
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SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page 10
<M> Inspections
G ANSON
G ANSON
G ANSON
S TINGLEY
11/27/90 OK
/ /
12/03/91 OK
/ /
11/18/92 OK
/ /
11/24/93 OK
/ /
~
-------- --
-, .~ . tI!o
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09/11/95 SUNNYSIDE POOL SERVICE 215-000-001413 Page 11
00 - Overall Site
<M> Inspection Surnmary
G ANSON 11/27/90 OK
/ /
G ANSON 12/03/91 OK
/ /
G ANSON 11/18/92 OK
/ /
S TINGLEY 11/24/93 OK
/ /
"
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Mge
I
By !
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-0014
Overall Site 'with 1 Fac. Unit
Gen~ral Information
Location: 6261 WHITE LN 110
Community: BAKERSFIELD STATION 09
, I
Contact Name
KEITH KELLEY
ROSEMARY KELLEY
Title
PRESIDENT
SECRETARY
Business Phone
(805) 397-4492 x
(805) 397-4492 x
0.0
'24 - Hour Phone
(805) 831-4605
(805) 831-4605
Mail Addrs:
City:
Comm Code:
Administrative Data
6261-110 WHITE LN
BAKERSFIELD
215-009 BAKERSFIELD STATION 09
D&B Number:
State: CA Zip: 93309-
SIC Code:
Owner: KEITH KELLEY
Address: 2305 COLBY ST
City: BAKERSFIELD
Phone: (ca-05):H7 -J/lt<î2....
State: CA
Zip: 93304-
Summary
o~
I, Kf.'(/~ ¡{~v!:;;f' Do hereby c~rtify that I have
YP3 Of print
reviewed ~he aUachsd hazardous materials manage-
m~nt plan f~rrÇUN~((j~Ad ( and that ~Ùfdong with
( é of BuBlMIJ!!)
any oorredion~ ooiî$titute /§l oomplet~ ~nd corred man-
agement.n mr my feem\)!.
tl.
~#,H.,¿~
~~~Ø1
% - J" q ;)...
DaIB
..
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
2
Hazmat Inventory Detail in Reference Number Order
02-001 CYANURIC ACID
~ Reactive, Immed Hlth
Solid
100 Moderate
LBS
CAS #: 108-80-5
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS -----y.-- Daily Average LBS -r- Annual Amount LBS --
100 50.00 I 200.00
Storage r Press T Temp ~ Location
PLASTIC CONTAINER Ambient Ambient SHOW ROOM
- Conc -I Components 1-; MCP ~List
100.0% Cyanuric Chloride Moderate
02-002 MURIATIC ACID Liquid 100 High
~ Immed Hlth GAL
CAS #: 7647-01-0 Trade Secret: No
Form: Liquid
Type: Pure
(
Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL -r- Annual Amount GAL --
100 I 75.00 I 400.00
Storage
PLASTIC CONTAINER
r Press T Temp -:ì
Ambient AmbientïSHOW ROOM
Location
- 'Conc l
31.5% Muriatic Acid
Components
r; MCP --rList
High I
02-003 LIQUID SODIUM HYPOCHLORITE
~ Reactive, Immed Hlth
Liquid
175 High
GAL
CAS #:'7681-52-9
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL -r-. Annual Amount GAL --
175 I 100.00 900.00
Storage
PLASTIC CONTAINER
r Press T Temp -:ì
Ambient AmbientSHOW ROOM
Location
- Conc l
12.5% Sodium Hypochlorite
Components
~ MCP --rList
High I
c.
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in Reference Number Order
02-004 SODIUM BICARBONATE
~ Reactive, Immed Hlth
Solid
200 Minimal
LBS
CAS =It:
Trade Secret: No
Form:, Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
200 100.00 I 500.00
, Storage
PLASTIC CONTAINER
r Press T Temp -:I
Ambient AmbientSHOW ROOM
Location
- Conc l
. 100.0% Sodium Bicarbonate
Components
r; MCP :-TList
Minimal I
02-005 . LITHIUM HYPOCHLORITE
~ Reactive, Immed Hlth
Solid
1000 Jligh
LBS
CAS =It: 87-90-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
1,000 I 500.00 I 5,000.00
Storage
PLASTIC CONTAINER
r Press T Temp -:I
Ambient AmbientSHOW ROOM
Location
'- Conc l
29.0% Lithium Hypochlorite
Components
r= MCP ---rList
High I
02-006 CALCIUM HYPOCHLORITE
~ Reactive, Immed Hlth
Solid
500 Moderate
LBS
CAS =It: 7778-54-3
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
500 100.00 I 1,000.00
Storage
r Press T Temp -:I
Ambient AmbientSHOW ROOM
Location
BAG
Conc l
65.0% Calcium Hypochlorite
Components
MCP ~List
I-;oderate \
.'
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08/05/92
, SUNNYSIDE POOL SERVICE 215-000-001413
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in Reference Number Order
02-007 TRICHLORO-S-TRIAZINETRIONE
. Reactivè, Immed Hlth
Solid
2000 Moderate
LBS
CAS #: 87-90-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Ma~,~~~ ~ Daily Ave~~Õ~o~~~ ~ Annual Am~~~ðo~~~o--
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient Ambient I SHOW ROOM
Location
- Cone ~ Components
100.0% Trichloro-s-triazinetrione \
1-; MCP -:-rList
Moderate
02-008 SODIUM DICHZOR-S-TRIAZINETRIONE
. Reactive, Immed Hlth
Solid
1000 Moderate
LBS
CAS #: 51580-86-0
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS --
1,000 I 400.00 I 4,000.00
Storage
PLASTIC CONTAINER
r Press T Temp ~
Ambient Ambient I SHOW ROOM
Location
- Cone ~ Components
100.0% ¡Sodium Dichloro-s-triazinetrione
r; MCP -:-rList
Moderate
~
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
5
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> Employee Notif./Evacuation
ALL EMPLOYEES WILL LEAVE BY THE FRONT DOORS.
<3> Public Notif./Evacuation
ALL PERSONS WILL LEAVE BY THE FRONT DOORS
<4> Emergency Medical Plan
CALL 911
~
e
e
~ '~
~
08/05/92
SUNNYSIpE POOL SERVICE 215-000-001413
00 - Overall Site
Page
6
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
ALL MATERIALS ARE CHECKED WHEN RECEIVED AT THE STORE
ALL MATERIALS ARE STORED ON STRONG SHELVING
<2> Release Containment
KEEP SPILLED MATERIAL DRY
<3> Clean Up
SWEEP, SCOOP OR VACUUM UP ALL SPILLED MATERIAL AND PLACE IN CLEN, DRY
CONTAINERS FOR DISPOSAL.- FLOOR SWEEPING COMPOUNDS SHOULD NOT BE USED IN THE
REMOVAL OF ALL FUMING, FIRE OR EXPLOSION MAY RESULT.
<4> Other Resource Activation
.~ ":~ ~
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
7
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - BEHIND THE STORE
B) ELECTRICAL - EAST END OF THE BUILDING
C) WATER - EAST END OF THE BUILDING
D) SPECIAL - NONE
E) LOCK BOX - YES - THE STORE HOUSE
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - 2 DRY CHEMICAL FIRE EXTINGUISHERS
FIRE HYDRANT - 100' TO 125' STRAIGHT IN FRONT OF THE STORE AT THE STREET
<4> Building Occupancy Level
.oi' .' ~ r~
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08/05/92
SUNNYSIDE POOL SERVICE 215-000-001413
00 - Overall Site
Page
8
<G> Training
<1> Page 1
WE HAVE 4 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BRIEF SUMMARY OF TRAINING:
ÜC;Zµ)¿~ CJ~~fL1)I¿~ ~
vJLe--Y }}Vte-- a 0þ q-¡ t¿} 71b
<Z..M¡O iÀ1ö'ØJ c¡ tté-- U-fLcì/Ae-d e>A-t #Þ w h
¡fóú/ vO úleø~. 4}D S)?/)/¿j...
)Ae.á;;' ~ Me.ve r.7 «,(.. ..s- ct i-'~y KJ a~ ...r ~e.5ì '-
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
e e
CITY of BAKERSFIELD
RRE DEPARTMEHT
o. S. NEEDHAM
FIRE CHief
2101 H mEET
BAJŒRSRElD.93301
325-3911
July 24, 1989
ló-L{- ~ 'uvu J J) Jù.f~~
~ ~ ~/.1:..; uJ-l-I-fL
J;.e.. ~ ~ JJ/VlcL cø- ~
Dear Business Owner:
Enc10sed please find a copy of your r~sponse to the Hazardous Material Business
Plan request. We have fauna it necessary to reject your pian for the foìlowing
reason(s) as checked below.
D Illegible Business Plan (please print or type information in Engli~h). ·-rhß
Form ZA D Missing or ~ncomPlete) pleo..~ e R..e't"I.l~~p,es ~C)5f8 r,01-tk
=/ oNaL S ~P- dt 1.13 CI :-ru R. € ,
Form 3A D Missing or I2f Incomplete O~I'!'fòØ-c.1<s~ð~,e.,,!. s,~^,Q. ... ..
Form 4A D Missing or ~omPlete -'PL~ase <!ÞH/J !Q-!; Ne.&.V INveNt:.olt.\
F-ce.M.s.. Q.A..Ic/øs,Qð-,
F arm SA
Site Diagram D Missing or 0 Incomplete
Facilities Diagram D Missing or D Incomplete
This is to be corrected and resubmitted within 30 days to: August 24, 1989
ôakersfieìd City Fire Department
Hazardous Materiaìs Division
2130 "G" Street
Bakersfield, CA 93301
If additional copies of any forms are needed they can be picked up from the
Hazardous Materials Division at 2130 "G" Street in person.
Coordinator
REH/eg
e
Bakersfield Fire Dept._
Hazardous Materials Divisi~
'/~,-'
;;
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
A. RELEASE PREVENTION STEPS:
If LL M~ í£Je/I{.{.,J /f¡:¿Ç. c;¡¡.t.c; 11t£/j WHCþ ~fiä P<£IJ 4r¡-H!-€JrrbfGS
IfU M*í~IIH·d 11(R..£ ~r¡õAf.1J ON ~rll.P/J6 JItf/VUJ~b<
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
J<.ee.1 !; fJ lL(õiO M,lt-r£,¡I¿¡!1-G"()ßvr
C. CLEAN-UP PROCEDURES:
~Wee¡9.J 'i¿'()(J1' 01- V/f-CUU,M f."t,¡4 ttU '¡-1'i"¿'~/3 ¡Y/..QJre-lvlac... q;U J. ¡'1i-a~
1 AI c::..¿'e-q N.) J,...y C()h'-;-q 11Ve,.f1 5 ¡f!b i'- tll J fJ tÞSqC-·
p'-¿.IJr- !W~//N1 4~fJo u~.;l JhOáJei NOrr de u.s~ 1# ~,~.V"Ø'(.
ó-l' A-c¿" as fu/i'tIN f / rf-ÎIt'i t) Í"- £.}<J¡<7~5to N ~r ,-!í:SÙ( 7""..
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE: B £. fllAI D T'i# £
cr(Í.I)A €
.
ELECTRICAL: ..11-r vi(- z..
£AIT £No /)~ ~e Jal¿iJl¿1IC
t;/f{v ~ Or:- r#( t3UIiIJ IN b
WATER:
;4r VIf~
SPECIAL:
LOCK BOX:@§)NO
IF YES, LOCATION: ''TH £ SrTíJÆE II ¡JUS €-
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A.
PRIVATE FIRE PROTECTION:
"J..- D~V L \-\f.M\¿"~ L F 11<.£ z'¿()'ì(/VGtAi > JfE:J~f..)
WATER AVAILABILITY (FIRE HYDRANT):
1/)0 I 70 t~~ I .f'ÍAI GH-r IN ¡C/<'ð Iv 0 IF' ¡-}¡ £
Iff rift Sí/te:tr
f trbl\/i.
B.
4.
FDI ê
;J ~__-~~ J-_ _:!::;. I
-~~ ----------------
"":
e Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
c¡ II
B. EMPLOYEE NOTIFiCATION AND EVACUATION:
A:UL fiMf'UJye-eA Ju /v(, L~I/e
~ yrÆ0 (tte Ñ-r' ð t)ð ÍL ( ,
C. PUBLIC EVACUATION:
It. /..l... ¡'J(;!.AJOIJ.J w; u lea I.J e
bv 'tIt~ Fro/V;( lJ/Jo~l
D, EMERGENCY MEDICAL PLAN:
C:¡I¡
/
3.
1'O1;¡;(;
~ '/--
e
e
~ .
:ø~
OCT 0 6 1989
HAZ. MAT. DIV.·
~ &£b 2-
~Ø2 Úv' F
HAZARDOUS MATERIALS MANAGEMENT PLAN
Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
RECEIVED
INSTRUCTIONS:
1. To avoid further action. return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: ,Y:t-A/,!;lìl{¡\'r ¡J{)O¿'~<¡::'''H/' bl1Á- JilÞAlJ/S//Jç A()(
/
LOCATION: Ió~¡'/ kJJ!/r& J-,AJ¿ ff lit)
MAILING ADDRESS: Ó AM. £
CITY: Jd.4k'Y¿ r ~ UtJ
STATE: ~ ZIP:~'30~ PHONE: TtJ:f - ,~q7'-t( f19)'"
DUN & BRADSTREET NUMBER: <f-Ç--J"J.7 -61~'é)
PRIMARY ACTIVITY: !2£y/tf/¿. ,f/f¿£ (
SIC CODE:
OWNER: Kt£.irll ~. I<~Y'
"
MAILING ADDRESS: ;;'30'> ÚlfLbj' 8Þ. Al1l<eAr~/~~.lCA-· r33ð V
ðrf- .rt<J/~/h? /'œ'- qj-01/t!-/KJ
€JlM \
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1 . Kf>--' .;-Á j4>~ [pJc' /lML> Yð;~ -;1q 7 - t.f'l'? J-. yó) -f'3I-f/6éJ r
2, fp JetI1tfl'f I4dter Je¿ - YØJ-397- 4'fl"J.- roS-fJ¡- '-160 5
1 .
FD15':·
e
Bakersfield Fire Dept.
Hazardous Materials Division
e
-:-~, ,
~
.
.:- ~.·t,.s'¡~~M '¡:"~i'1
HAZARDOUS MATERIALS MANAGEMENT PLAN
~.- 7.. r .) ~!1 ~
~ I 1 " ~
., SECTION: 3: TRAINING:
. ',". ,I '''.
NUMBER OF EMPLOYESS:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
. ~ A--L:. £r:r-() //11 A:;:¡;/Id/lj/1i?7 /114rreV\/~(.J
£V4;!e.e! &1~, 'TÐ'1-) t1 f).o¿.lf- "I> . 1 T
4'U)' ~ c:::: ¿eqAJ 'U' O~ S¡OIL¿41'ê Or Mæ't72J"t ~1..,,1 ~
SECTION 4: EXEMPTION REQUEST:
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6,95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TIMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
1{,~#4
SIGNA TURE
~\
TITLE
/0 -'f'-f~
DATE
2.
FD1590
CIT}T of BAKERSFIELD
.~ ~ HAZAR.DOC'S MATERIALS I NVENT·ORY
F,,.. ,nd Aqricu Itur! L-J St,ndlrd Bus 111!SS '---'
NON-TRADE SECRETS , Peq! .L of ~_
BUSINESS NAME: . U:L i Ò ç ,1 Of) L..- - OWNER NAME: k.~ I"""t, kf> (,i,e :/ NAME OF Tft1š F~ÇJLlTY:
LOCATION: (c'2 ¡., .JJ.;.J. L/v :þ- liD - ADDRESS: ;).'-~D( L-CL~', /'/' STANDARD IND. CLASS CODE
CITY, ZIP:-A1U; ~ cln~ - CITY, ZIP: ~:t'(">~l,c(~·.,J c:r-;r~,,r,v DUN AND BRADSTREET NUMBER
PHONE #: $( ,~, 5" .:;::¡ ( "7;)' - -
- PHONE ,,: Fir 1- 4~ ~. ç - - - -- - - --
RJInDl TO INS'rRUC1"IOIfS rOR PROPIfR COD1lS
-
I 1 2 3 . 5 6 7 I 9 10 11 12 13 u
, Ir,ns T VII! lie. Awraql Annua 1 lleasul'l IOvs Cent Cent Cent Us, Location wn..-e \by IiUIS of lIixtut'tlto.ooNftts
Cod! COÒ! Aat Nt ~st Units on Sit' T VIII Pt'tS. T ..., Coò, 5tOl"ld In Flci 11tv lit See Instruction.
B:l~_L~£_D _1~~___15. 0 ~ _JJ.6 -s;( I I() I 'i <'I ~How ROD IO!!... S()P/~~~,qBI)Ndr~
Physical and H"lth Halard C.A.5, Nu.Der N-1-4 CoIIoonent II 11-., C.".5, ~
þ¡CI1KI< ,1\ tlllt aoplV) --- --- --- --------------------
...-, ~ ,.-, ,.-, ~ Coactonent 12 I&-. 10 C.". 5. IiuMII'
L_-' Firl Hazard Reactiyity '---' Oela~ L_.J Suddln R,lea.. L ¡-.diatl -
Hea Ith of Pres.ur. '*1 th
ta.øonInt 13 I&-. 10 U.S. ....,.
A je70 ~1{J.Jf.(,,(l(c ' /1 C.¡ ()
.----
P~iCIl ."d H..lth Her.rd u.s. IIuar eo.øan.nt I! __ r. C.I. .s. IiuMII'
( heck III tn.t looly) . --
...-, ~ ,.-, ,.-, ~ tc.øon.It 12 !II. 10 C.I..5. ....
L --' Fire H.tllrd - IIHctiyHy L_.J Delayed L_.J SuchIen ReI.... _::I l-.diltt
"" Ith of Pressure 11M Ith
c-t 13 I&-. 10 C.A.5. IMbIr
31.5 Mt./A//jí/6 /JCIl) --
P~iCfI and IIHlth H.tlard to.IJanInt 11 !II. 10 C.A.5. .....,.
( heck III thlt alp Iy) ---
...-, r-" r-.., r-' ...-.., c-t 12 ~_, C.A.S, h~
l -~ Fir! Haurd L_~ ""cnvity '-_.J [)fi,VI<' L_.J Sudd~ RflNSf '---' i..øi,t, - ------
Health of Pressur, Hea I th
C~t 13 ..., C,A,5, bber
t:!..1~_LL'?_~____lJ2~______L_~JUd.._._~ß~_'_~_Ll.L'LJ_ I 14 19-L-1 S liow /J...()ð~ r5~u/~ If"
S'ODJ..!J!Yl~.l:iJy:JOGH t..()'(I./lj
Pmical and IIlIlth lIu.rd C. A. 5, Ii"-r _7-'.K-.l.5..~_______ C_IIIt 11 N_' C.A.S, N.o..-
( ntck ,1 J thlt 'lply)
r-, $ ,..--, ~-~ Z~ C~t 12 N_' C.A.5, NUablr
L_-' Fir' HIl.rd _OJ RHctivity I._.J Dtl,yed L_-' Sudd~ R,¡"s!-' iMedi,t, -
Hea Ith of Pres SUr! Ilea Ith ----------...-----------------------------
to.oonent IJ ... 10 C. A,S, Ii\llllllr
~fRGENCY CONTACTS I1R¡~~lJ:"~---~-~-~~~~~~----- ~~~-----------------~1íf;~~~~~ 12.jS~If~ K£C¿ÇV:_______ ~-__------tffl~~~.
-
C,rt;fic.tion (Read and sifrß after co.pJp.ting all sections)
I "rtHy uno!r øenaltv of la. that I hay, ~rsonal1y ,.a.intd end I. h.ilier with the ;nfol'lllltion suba;tted in this and ,n Ineehld docuIIInts. 1110 that blsed on flY illQu;ry of thosl individuals l"ISIOIIsible
tor obta ;nln9 the in fOl'llll t ion, I bl1iey! thlt the sUOIIitted inforut ion is true, ICcur,tl, Ind COllP I'te.
¡¡-.!,!~--a--ir-·-l-- ---T---------------D~------T--·----~----tñõ---ëO-·------t-t--- s~--~- Ç~s:-~~L-------------.
4-@'" 0 ICU tiHf 0 OWtfr/ODt'rðtor ownfr ODt'rator s,u rll r~Dr~sen a IV' ',n, r ,! Iqn
of BAKERSFIELD
== HAZARDOUS MATERZALS :I:NVENT·ORY
NON-TRADE SECRETS
CIT}T
Stlndlrd BusIness
,~
'--'
ture
FarlO Ind Aqricu
íL
of
~
p8ge
NAME OF Tft1S F~Ç~LlTY:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
- -
""IV
BUSINESS
LOCATION:
CITY, ZIP:
PHONE .:
U
N_ of IIixtul'e
Sft Instruc
~LL l..ll:JiJ fA,l'l"!-1li.fl ð
CODa
5
MnUI
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Code
,
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Stor.c in hci !tty
SHotV..
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II
lis.
Codt
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7
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Units
_~ () ~.E.._Jí.ðS
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Phy1ical II1d HN Ith HiliI'd
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_~f!JL__~ ¡,.ß ~
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C.A.S
r-.,
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Itèllth
r-,
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H..lth HUlrd
thet IPply)
ty
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Phys ical and
(thec:k .11
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. C.A.S
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ta.IIoMnt 11 ..... Ir C. A.S. IIuMtr
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eo.øor-t 13 ..... C,A.S, bÞII'
~___1 ~_L~E.e_~__L!i_~_~_____L~)-Q.ð..º--L~L~llQ-1- I I L( 1º-1-1 5JiD()..J kJð~_
p"",ical and H..lth HaZlrd C.A,S, NuØel' .5.1.5..1l.f)-=íiJ.-O t_t 11 N_ Ir C,A.S, N~
((heck 11) thlt IPply) - - ------
"..-, '"'5<' ,..-., ~ Cœoontntl2 N_IrC.A.S,IIùllbtr
L--'FireHIZlrdY-> I.._-'~-'
CœDontnt 13 ..... Ir C.A.S, IIUlliJer
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13 ..... C.A.S
$flOCV 1ì..0ð.
f,BS3~ ç IJ£ ~
U.S, IIu.oII" _:/.:2.:-:- Cf 0 --
De \..,.d
¡¡..Ith
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!L£.~__
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-~~_Lg~_p'
physic.1 and "" Ith Haz.rd
(theck 111 tlllt IpP ly)
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8'
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vity
React
.1
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L
sections)
i.r with the infol'lMt ion subllitt.c
true, Iccurlte, .nd co.øiete,
(Read and sign after co_piP-ting all
that I heve personllly eXI.ined and .. flai
I be Heve tlllt the sUllllitted inforut ion is
Certification
certify under \11111lty of II.
or obtaining the inforaation,
responsible
n¡t¡-Si9ñ~---------------------------
individu.ls
of those
thet based on wry inQuiry
Ittlchld cIocuwnts. and
Siijñãtür¡----------------------
.1
and
this
in
.'
~:;~-ã;;a-õmëiãnmëõrõWñ¡¡:Ïoõ¡rmr-On;;;¡r7õõ¡¡:ãtõ¡:·ŠðÜH¡õmiOm¡:¡šiñtãnÿ¡
cl\"~.r I;~~O VI ~G. 'sTREET1 ¡ I IVI'-n I
BAKERSFIELD, CA. 93301
(805) 326-3979 1:2-3-15 c..-
~
'.
OFFICIAL USE ONLY
I D #
BUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS;
UOul'13
U/ .,.. ..p ,
6t
RECEIVED
.iV. 2 5 1969
HAZ. MAT. ON.
1. To avoid further action, return this from within 30 days of receipt.
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: SÚA¡'~/f/(/~Z-~- /I)O()~- 5£~<&'(¿~
(
B. LOCATION / STREET ADDRESS: t:-?.bl IA.J/1lrf ¿If¡ .# liD
CITY: ß/i/(z f( ('f-( tÇ L{J ZIP: 9' :s'~~ (I ':1 BU S. PHON E : O,¿;.S) ~ y ) - '/ LI'j'').
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of
a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This
will notify your local fire department and the State Office of Emergency
Services as required by law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
A. kf¡7ir
B. R/(Hf/I< ^
/£
^ ,CC£Y
.
PHI tf"o 5' 3cr 7--t.¡t{9J-
PHI ['0 S'JÝ7-t.14'?J..
(;' R. 1 M M
AFTER BUS. HRS.
PHIlO> Fit .-, 'f6ð <;'
PH' Fi' ç J' j ( - ~ i..{ 0 (I
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NATURAL GAS/PROPANE: tJotJ6
B. ELECTRICAL: EI+~í Wþ.-t..J- Uv~1 1)6 ïf)uJ~£.DS ?--ALtL-
C. WA TER: ~A-r1-Q- Room ~ (!.J: 86da-.Ur
D. SPECIAL: "-.)0 N G
E. LOCK BOX: YES /lß0 IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO
FLOOR PLANS? YES / NO KEYS? YES / NO
f'l
03V43~)3R
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.----
--- - -----------
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< ,
FREE ESTIMATES
RESIDENTIAL & COMMERCIAL
. EQUIPMENT .
. SUPPLIES .
. SERVICE .
. REPAIRS .
- KEITH KELLEY -
805/397 -4492
6261 WHITE LANE, SUITE 110
BAKERSFIELD, CA 93309
LICENSE # 543113
e
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Page
IELD CITY FIRE
FORM 4A-1
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
DEPARTMENT
BAKER SF
#
D
I
...r....-........ -VV\oI~I" V oJ I fJ r ITVV,-" _.,.6W_., ",,,.--...-a_, (''\.<-'11 lJ I....."--~L..V . ..-... -....& .. -.. - ... « .
G-:1GI I ADDRESS: ~'305 GDt.bv s-r FACILITY UNIT NAME:
WH-r£ LN -#- liO ..
P: BA K£Ar~(.c{ 1\ <=13-;°7 CITY,ZIP: I1,4KÇ¿,)Ç·~¡ç:-¿tJ LA. Cl"2.2.()if
f() Ç" 1,'[> ~ 4 t.¡<fì PHONE #: lo<; ~~( - 4 t.ÍJ S' rOFFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUATJ CONT USE LOCATION IN THIS % BY HAZARD 0.0.1
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
jfJC' ~ 50t) ~ tD -L.~) 4l A J.~ 1-1 THii.A/IIt Hy¡JccHLCAií?-
1oo~ 1000 ~ /'J.. '-l6~ lit A (Ó5 C:A (..<.:.. 'u.jV/~ ifY/,c¿¡fu ~((C¿
20 Þ C iJ&..1 10¡6QO~ 10-40 ~ t..4( AEtß c:¡ C; ï^lê.I-\L:J Ac - s' -TKA'Z.iN(. í"'A.1 CNË
' (
500.Qt-4 ' 5¡()oO 1!L\1 1045 L-/\ A 17 5'00 iiJ M ÎJ i¿ í-i1-c,;.. -;- íl<í¡l7-IN fi.T",~ iCN~
1 ð .Qb..d ]..D () - f!h..o $-lb5 4l A /00 SO D,UM R j cAß. lkJ.i ¡;¡·r.;,'
IOf) ~ ÙO¡;-i/o > S-l..bJ /;({ A ~ B (Dé S-OòiUM CAR I~ C/II..¡.-n:
i"
14 0 .Qb..4 ~//) 00 LIt, ~ 5-L/)j ti( A ~ B / {; D cyf1 ¡'(.¡!ZI'- f{c/j)
100 'Æ I... I tJ'O (;A-£... LlI £3 '~\. S ,')
t.;-6/fL Mu.;¡.1'/f.- ¡),.í i/) 'tHfl)~CNGSN Gttt.CA¡)~'
( " ~I 1, , l -I I
J1()O "41. S; 000 GJt£..., JfGf't (.. 4( B ! ,'1 ç !- i Qi; I t:\ U,·. . 'ý . _r"
1,;0.,' - J Q Ù IV. /,/t :'1, PC''-H WP.I,' ':..
e
NAME: Jl.[¡..,...1I KfÙ_£v TITLE: {)tl/A/C,;e SIGNATURE: ?(~¿';-z' ç: ~~ DATE: 5-11'-f7
____u ___0_._- IXfJTJt kt;'¿¿ '7V TITLE: !:JWÑf?"..,... PHONE BUS HOURS: f>() ç ~97-'-I~
AFTER BUS HRS:
PHONE , BUS HOURS
AFTER BUS HRS:
4A-l
TITLE
ACTIVITY
EM
EMERGENCY CONTACT:
PRINCIPAL BUSINESS
· ';. I..
e e
BAKERSFIELD CITY FIRE DEPARTMENT
2130 wG- STREET
BAKERSFIELD. CA. 93301
(805) 326-3979
]
c._,
BUSIN:SS NAME
, D #
II
~
II
Ii
~
!i
II
OFFICIAL use ONLY
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible
FACILITY UNIT. liD
FACILITY UNIT NAME: )LOÎ.JNU,\ I DE- /Oð L
(
SECTION 1: MITIGATION. PREVENTION. ABATEMENT PROCEDURES
Au fJ 1(0 D u. c- r r £ fa Cf<..47ed ;111. J Md L-l- ¿oÑ ø-ô(JJe""' j
to r-- t-e..-SaL~
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THE UNIT ONLY
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