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HomeMy WebLinkAboutBUSINESS PLAN 11/14/2003 "Per <d!1'~t1" ,//1,1,'::), tf.1:~·"\,.·";:, »/ PERMIT ID # 015-021-002198 l\-"o~~'~_ KNIGHTS PUMPING &iPÓ~1:~BLE; tA:¡¡:o~ª~ ::;-. þ';- t:·-· ~:., :~- \ -ì LOCATION Issued by: it Operftte to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ,I This permit is issued for the following: ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment 5555 i~CES INE:;\" \\ - - -AKERSFIEÛID'~%tk.:-~ '; i! ;:"'~~'J"'" ~ i~~'$"fF' r-2t ¡:'..,'-<j .iJ /,' -', ,lt , ',.,;!, /, ,(:',:-"¡,::,;t jo, ¡1 r>/-"'~' ,¡Iii' ' , ! 93307 '-"1 \\\ "\:--,", ,,'\ 't:-- -,,- "Ii" . ~,< ~L,>",\- ,It '",-",,,,, ::;ç.~~~~~ ,.~~ " ~y;' ~"~-,. ; <,,', ...', - ',.¡,.."""" ~""'''>..:i.6.,i~ Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date Expiration Date: June 30, 2003 ,I ... ;-.~:: r:: > -: . ~7 _i;1 ,- ~ / // (' /. / /' . f N SITEDIAGRAM~ . -SITE ID 2¡<¡<¡ç Bu'!'- Name: ~\f>~ ~ FACILITY DIAGRAM r K I . Busmess Address: ~c;;¡:) ~ ~\~ ç.~~$~) :t~ . . \~"-' -A.~f:::-. ," 4s w 0·, ~LUÞrTll)fJ . 'P0lÑT y\l\f\(~ o FflLE- . 01e.0;9 ~n~bt ~IT'\ ~. ~~"!f E-leclctLtc.\ eJë '5 "'-\À1-. ~05J' , 6f\'S~~ ~ ~f :¡:~ ~zR ~ 'SuLfuf.l L- ál'\<-l~ O\L...- 'ìJ D ~&w/\bE- þ UNIFIED.PROGR.I\M INJECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Depil Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 INSPECTION DATE INSPECTION TIME l-C--J--lT.f fJlJb#lJ.M---i--f!a~¡.4ßL.L--_.r~----'¡-~~~fi- /nIJ!?~ 1// :!1L___ ADDRESS' H ~- No of Employees r S- S- S- ßÚ11-i LL~}/)~____ ___ !l~1Ll 2:~~~~ FACILlTYCONTACT Business ID Number V? 15-021-0ða./9'~ FACILITY NAME S~ction1: Business PlanélndlnveritòryPr~rëmï LI Joint Agency LI Multi-Agency LI Complaint LI Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS LI ApPROPRIATE PERMIT ON HAND .~---_._-----_._-_.--~._-- ._._--------,--------~---_.+- ---+--. --_._---_._------~--_._------_._--~-- -.--..- ---- LI BUSINESS PLAN CONTACT INFORMATIO~_~~~~~~:_=_____________ ___ _______--H.O~_~_~____'l.\)~~__ ______________ _________________________ _________ VISIBLE ADDRESS --.--------.----------.---------.....--. - -..----.---------..-+---------.-----.--.-.---.--.--+-+ _.--.._-_._------~.,..._---_., ---- CORRECT OCCUPANCY '-I--~~-~~{---1iL1}-ð.11------- LI VERIFICATION OF INVENTORY MATERIALS --------.---------....--.---- -.._----" .-.-----.-.---------.---...------------------.-----..-- _..--._-~._._,_._.- LI VERIFICATION OF QUANTITIES ---.----------------..-.-+--.------.-........-- ----------..------..-------.---------.-..-.-.----..-.------.+..---...--..--....-.---.------ LI VERIFICATION OF LOCATION -~-------_._- ---~--+-----_._.._------------_..__._--_._--------------.- LI PROPER SEGREGATION OF MATERIAL .--~+---_._--,------_._-_._---- -------------+.----------.--..-.-----------------..-----.---.---.-..-......----- LI VERIFICATION OF MSDS AVAILABILlTYE --~--------------_._--_.._---_..._----_._--- ~--_._--_._-----_._---_._--_._-----_.._-----------------.---.---- ;;r" LI VERIFICATION OF HAT MAT TRAINING --.-----.-----.....---- -------------..--------*.-----------.-------.-.---.----_.._----------*----~-_. LI LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .---------..-.---- --------_._-_."_.--_._-_.__._-----------._--'-~---~_._~"------- }if LI EMERGENCY PROCEDURES ADEQUATE --~----~-~_._------_._-------_. ------------------------------------------------------------------~ LI CONTAINERS PROPERLY LABELED --~--~--------------------_._---_._._. --------------.-------.-------------.---...------....------------.----- .E:'~~~~_SEKEEPING____________~--------_---------------_________________________ ;;r' LI FIRE PROTECTION ~ ~------_._--_._._----_._--_.__._---- -._---------_._-~_._.._-_._-----------~-----_._-_.__.-----.--..-.-------. LI SITE DIAGRAM ADEQUATE & ON HAND " , ANY HAZARDOUS WASTE ON SITE?: LI YES LI No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 . ' /7 I! /! 11/ .J"!L X. Ltw'1 'V n ~~t/ ~ vfqPec~--------------------Bãdge Nô~-----------Business -Site Responsible Party ~hite - Environmental Services Yellow - Station Copy Pink - Business Copy 6þ _/ ~ ~;.r" ~IGHTS PUMPING & POtllBLE SV INC .v . ~--,-,.- - ..... /' c,/'- SiteID: 015-021-002198 Manager : Location: 5555 S UNION AVE City BAKERSFIELD ~~ ~~~ <t,1) BusPhone: Map : 124 Grid: 02A (661) 397-4116 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:1623 DunnBrad: Emergency Contact MAUREEN NAPIER Business Phone: 24-Hour Phone : Pager Phone : / Title / PRESIDENT (661) 397-4116x (661) - x ( ) - x Emergency Contact / Title MARK NAPIER- / VICE PRES Business Phone: (661) 397-4116x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 397-4116x State: CA Zip : 93384 Phone: (661) 665-8877x State: CA Zip : 93311 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: PO BOX 41657 City : BAKERSFIELD Owner Address City MAUREEN NAPIER : 1802 WEDGEMONT PL : BAKERSFIELD Emergency Directives: - .- '.- I, lLvL{O KALfz..0 Do hereby certify that I have (Ty~ or print lIÐITIe) rs~iswed the a~ac~d hazardOfl~ mat~f'ials manag&- . K~Iht"""? f"1MflMb r f~~t..e ~M(æ? t uu6 ment plan for - and that it aJong with (Name of Bu&inÐ8ß) oo)f corrections constitute a complete and oorred man- agement plan ~or my facility. Ji2~~ q {?-Io~ ~ -1- 08/22/2003 II ~\ ,',\ '( I \ ::.r-~ :'- h, . - - /, // !" CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 , .- INSTRUCTIONS: ( ;2A''t 1. To avoid further action, return this 'tor!])..Witlíiñ3Õ"'dåysbf receipt. 2. TYPE/PRINT ANSWERS IN Ewe;LíSH. - 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. \ ':).,q-, ::::ìO ~ cs- SECTION I: BUSINESS IDENTIFICATION DATA A "'- BUSINESS NAME: ~\0M'TS \>\J.~~i (Ç) 4. \>b~LF ~~ \L\z?'S, --::t:tY ___, , LOCATION: SS-S-S: ~ÐLtt1-\ U.~\D~ -A~C::-,. MAILING ADDRESS: \JD ~Di- L...' \ LD67 CITY: ~~~SR~~ STATE: LA.... ZIP:~PHONE: ßq}-4/1 h PRIMARY ACTIVITY: çPr~"ft:.Tíf)i::J "f:)t:?-\J\ L-E5 OWNER: -M.~~ ~~\~. PHONE: lol£-eJbl7 MAILING ADDRESS: 'Ißö'Zr WG])&;"t\O).Jf fLAce;~r.,(ŒSFIEt]~) cA·C;ÆII EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE ( -e~ . - '617-'-11 Lip - ' ~"I7-LfII tp ~t~. 317-Lflll.o 317-41!þ - 1.W\fuJ...~~ ~\~ 2. \M~ ~~\.~ '. " . - 1 - - ,,I. 'h ......-,~ . ~ ~~ . HAZARDOUS MATERIALS MANAGEMENT PLA~ ~~).~ . ~ ~\, '\,~ SECTION 11.1: DISCOVERY AND NOTIFICATIONS .-- '\ " ! " I ',: A. LEAK DETECTION AND MONITORING PROCEDURES: N/A '. -, ~..,. /. B. EMPLOYEE AND AGENCY NOTIFICATION: ~~t 0--\\ e~\~\ a:<;. oœ~;L \Á)tLtj" çolìo O\~.V\ j",- \ I!{a, L4-t\ q,U ~V\tl LaU (alì4-0((I¡Ct&HlL~ ~UJ' e-(I1A~~ef\.LLf ~~f\}\L6. ~ ~-7§D C. ENVIRONMENTAL RESPONSE MANAGEMENT:' \Ml\~ ú"'Wttf- u.)9().L~ bE- ~es.Çt;~\ßLE- D~L()t\õBO~ \.tÛø-S \e-8- ~ LMe6E \0 ~Oll FY AûfttDfJTl ES) ~~ L.LEf\:t0 ll\> LDM~\t:.S - . . " ~ ~ ~ ¡ "' I i D. EMERGENCY MEDICAL PLAN: "TttE, S~Ef..ó\;.~L>1" l,(JÜllkD Ç-t~S\ ßE '1f;-SfiSS~ ,0 t\OlAJ SÞ€-lDLlS. \ \J~~~, VÙO~ WDt.LL-~ t()~ 10 ~L flLL-E.-~ D Lr I r TIME-" ffL.Ll)I..{)~, " .J W\ bMÐ F-l frL- ~C6R rr~'L"" l<---~ 'W\.~tLItL Lf;N~) o{L, <6 \is I ~ ~sSH-TÞA-uTt Ñ E;Tvll>R-L.. LV ft/)/'~ ': (}.j E- Ll ~E, ffJ(L v00~ ~&LffI~' ~~lÅ~ltt:-S ~ 2 i t:' I j, "- I ,~ ., ! /' , , / / I I ' e e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: (tll þ\JV\Ç)LD'1 eG--S ~ ~D l~O~ Itv -Y'\\-E:-- '{tî.£-~ Df?: F(~ ~E. l ~t~D $.~Ff~;r-Y E&(,l[ P(\1 ~ (/ ~., \LI\)Du) W ttt=-~~ \ö F-~ ~ I ~'. T\-\~Y ft~E:.~FD~ßß Df-- TttE:- \ Mfl>~LE- DF' I VJ~l).j6. Ttt~ ~r-¡i~r-¡ bEA€-- J:N ~Bf6~-A;Tf5.ð M-~. I B. RELEASE CONTAINMENT AND/OR MITIGATION: ~~~L ~D~ ~~lbl\)f't'1~ Prræ~ ~Il~ R-i\J ~\Ã)N:-t::J. SLùÆ- D~ A.- G~~ ~L~~ ItS (Á)E-~As. Æ ~)pV-'1 '"S tT~\- o¡;::-ç:. AN~ PN'CL-<.1Stt RB~ . Oll-'fo~ , ~ t.\tl~ ~ D\1 Ei:-Pl.Aû ~ l Ñ TD Lf¥rL\:t-' $ ?lLlS , C. ~\ CLEAN-UP AND RECOVERY PROCEDURES: -SlJL~~.\L ~: ~~W::\¿ V0\~ uJ~\-e.\, ð\J\& v'Sf.. ~l~ S~ -fa fÎb.ltr-{J.L~ t/J-{{jI, . UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ~~,~D ~~:\~L-E;L ()j:) ~ìt.m1S1f'fZ..t>f pØ»? ELECTRICAL: AT ~U\l_ ~O'f.. l)~ \Ðuìf.::.-X:\1:>LE ~. DF b'tA-/A\ p~~ WATER: l~~~ 'òF- g,~ ,eAatE? D~\ ~1)J..'11-P\~E-DF-'~P . SPECIAL: LOCK BOX: YE@ IF YES, LOCATION: PRIVATE FIRE PROTECTION/W A TER 'AVAILABILITY A. B. PRIVATEFIREP~OTECTION: r:\.e-t:..- Þ'i--TI~61.1'~\-\-&~~ Ll)L~T{;.b :1;0 ~ D'PPll..-t::- \e.A\.~~ ~ M~ \tŒ-6 tTD~ ~ f\S WE-LL WATER A V AILABILITY (FIRE HYDRANT): to..... bkJE- t\(J5~ ~\b ßj ~~ DFFiLE- Tf:A--L~, fcN~ O~é- ttb~\Z.- ß\ß. l-otA~ ~ .sttop ft:reA-. 3 - - .: ,1" _ "t .; ~ ..'" HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: t3 MATERIAL SAFETY DATA SHEETS ON fILE: 'I ev~ BRIEF SUMMARY OF TRAINING PROGRAM: Ef"cp\Oi~e... i:t~~DDI¿) u)"';~ LCAt-~I"'-S, tL~ ì~)&J.-(Y tlV\J ìlll\t <;. <;. pŒ\\ev'\.-D OK) ~l.'<f\ ~ ~CL~ elM,~Dyee... IS, ìÇ.SLl~J V,^-e \ tL"lJ D~€- '\S tt\SO "-~ l f\ DlJ-' V'A~l n DfR ~ + (Ct\\e-r:- ':\ I, , L> CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. l}NDERSTAND 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 INACC TE INFORMATION CONSTITUTES PERJURY. ~ ~ (¿S {&td: TITLE 4 . CITY OF BAKERSFIELQa OFF1r:E OF ENVIRONMENTAL SI!IfVICES 1715 Chester Ave., CÀ 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION 200 (one (orm per male riel per building or areaj . Page .-z- oi L f:},:'.}~~ ": ;,~' ~~: :,~~ :~) :t;;;¡\:'i~i~'~;U'Ç-tj\?b/j'\:.i:'~ ,r:~hJ.~U. ::~j\i' ¡..".~ nf;~ACIL'T'(' l~fºRMAJ",ON ( ame as \.. ~\~~ Ç(~Q\~(? á.-~~lE- ~\. B ~L CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 GRID # (oplional) OYes~o 202 204 - ',' ~\- ..;</r~~~·~i.\:· _' :-:'::_~:; :'(tFh:';·:'/.,,'- >:,.-. -':':<'-~/':;:':"'!,,~?/ ìì. CHEMiCÀLINi:ÖRMÀ tléi ~";~"';" ',~:',": 0;;' ~";'::;:'~'<""~/':1'.,;:_.,> ;-,,\"', " ,. ~Y.'L:¡;"~ ~ CHEMICAL NAME vvtL V-o-r W\ G '60 COMMON NAME CAS # FIRE CODE HAZARD CLASS TYPE 210 MIXTURE o w WASTE 211 RADIOACTIVE o Yes ~o CURIES 213 -- OgGAS 214 LARGEST CONTAINER 65 215 o P PURE PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) o 2 REACTIVE 0 3 PRESSURE RELEASE )(LACUTE HEALTH MAXIMUM '1 c- 218 AVERAGE ., DAILY AMOUNT 01-. - ~ DAILY AMOUNT - L-.- ~ CHRONIC HEALTH 219 STATE WASTE C DE 2..2- 221 DAYS ON SITE 3lP~ 01 FIRE ANNUAL WASTE AMOUNT 217 ~ UNITS· ~GAL OdCUFT . II EHS. amount must be In Ibs, o Ib LBS 0 in TONS STORAGE CONTAINER (Check alllhal apply) o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o a ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING ~ STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Or CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX ~YlINDER STORAGE PRESSURE )CÍa AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE 216 220 222 o q RAIL CAR o r OTHER 223 224 225 ~~~~~~., ~\.~~ ----J ~l-u IDO . {I UPCF (7/99) S:\CUPAFORMS\OES2731.TV4,wpd CHEMICAL NAME b~'\6~ COMMON NAME CAS # ,l~2:--Y4--~ .. CITY OF BAìŒRSFÌELQa OFF!f:E OF ENVIRONMENTAL SIftVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALs INVENTORY CHEMICÀL DESCRIPTiON 200 >"m~~~~¡l¡~:'N~~~MÄtiõ~";}1:;',:;,',\{%:'W';;î " ;::¡'.' E~~irMtÁL(Ñi=6kMÄf¡ö~',1~,t},',;".,",;;,'~,',;¡,l;,'.,:;,,',"; ;.'__""-.' c, '_>' ., ': :;.,: ,,_',;.).' '~"C,;_ - t '. '_', ',"., - ",_ ~ t..;:, '_~'_ ,';._ 0" _, ~ .... " o 207 EHS' 209 TYPE ,)L> PURE FIRE CODE HAZARD CLASSES (Complete if requested by local nre chief) ( o Yes ~o PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE UNITS· STORAGE CONTAINER (Check all that apply) ~ ABOVEGROUND TANK Db UNDERGROUND TANK ~ TANK INSIDE BUIL[)ING o d STEEL DRUM STORAGE PRESSURE o a AMBIENT STORAGE TEMPERATURE o m MIXTURE o w WASTE 211 RADIOACTIVE (one ;orm p¡'r "J.iIjeriel per building or area) Page ..2 of 3 o Yes ~o 202 204 it:1B1:i,i¡,,;P':';:}:( ",,;;; ,¡ , :,< I OYes~ 206 If Subject to EPCRÁ, refer 10 instructions o Yes ~o 208 210 212 I CURIES ), 213 ' o I LIQUID ~g GAS 214 215 216 219 STATE, WASTE CODE 220 LARGEST CONTAINER ~ 221 DAYS ON SITE wS- 222 o 2 REACTIVE ~ PRESSURE RELEÁSE o 5 CHRONIC HEALTH o q RAIL CAR o r OTHER 223 o 4 ACUTE HEALTH 217 MAXIMUM DAILY AMOUNT -" 218 AVERAGE DAILY AMOUNT ---- 0 2 230 231 DYes 0 No 232 233 3 234 235 OYesONo 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 o Yes 0 No 244 245 o ga GAL œ- cf CU FT . If EHS, amount mu~ Ibs, o Ib LBS o In TONS VV\fteL- ~\>\Ee- UPCF (7/99) De PLASTIc/NONMETALLIC DRUM Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX ~CYLlNDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN Op TANK WAGON jiILaa ABOVE AMBIENT o ba BELOW AMBIENT {t-I"2-1 lco I ( S:\CUPAFORMS\OES2731,TV4,wpd CHEMICÀL NAME .. CITY OF BAKERSFÌELDa öli'~E OF ENVtRöNMENtAt SIMVìCES 1115 Chester A \reo; CA ~j301 (661) 326-j97~ HAzA~DoUs MAtERIAls INVeNtORY CHEMICÄL DESCRIÞTloN 200 ';:'rt ~A'ðlt1W'Îij~~~MÃfíÕÑE{ ::~;:):~.~:',-;: ;,:':.'; \'·7 {~~ :~:.- ~:< : '-C "-, '.-"";'- ::<.~~:~~~/j~{~/~....: .- ". .;. ~··,,·'~':-l~f.¡.>fdt~~·;::<; '.i': :,:'. ::'; .;',' .,.',.:: >:-.' ·,··);'">'\\~'V:i.;.'-:-:.i·; 1J~: ',;':, ~i {~,:~-,:¡, \;:~':>/ ;\,Ii¡:¡ff¡f,\lt;'\,;, II. cJ:iËMlc¡)L INFORMATION l;' 5~', Ji :f~ , "tt,v.·;> 't~!,;l ~:},':: .-", ;a::'n~·.r< ':;, .~";!, ,; 'J::. "tf··,. <'","4""'- :. :,.\ ~ ''\--.;, ,', .:>;:,¡~:','.':¡ ~ .,. ':"\~'. (onii ;0,," per m~17'¡ÌJI pe~ buifd'ng,orprea) Pågò -=1 rn ~ " '... ---J .-.- ~ "'-----t- !,." o Yes ~o 202 204 ,1tj(f\~é'~J"F'J' "f' , TRAOË SECRET ' 0 Yes ~o 206 If Sub ed 10 EPCRÁ, relèr 10 Ingtrud;on. EHS· COMMoN NÂME CASØ 1 FIRE CODE HAZARD TYPE PHYSICAL STATE o 9 SOLID FED HAzARD CATEGORIES (Check all 'hat apply) ANNUAL WASTE AMOUNT ~FIRE -' UNITS· STORAGE CONTAINER (Check all thaI apply) ~ ABOVEGROUND TANK Db UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM STORAGE PRESSURE o á AMBIENT STORAGE TEMPERATURE 2 07 o Yès ~o 208 209,.'~,í~r~.li¡;:~J~~.~~~~,~~pr~,~,·,~,',' , o m MIXTURE )r; o w WASTE 211 RADIOACTIVE 0 Yes o I LIQUID J(.g GAS LARGEST CONTAINER F 214 o 2 REACTIVE ~ PRESSURE RELEASE )i!itLACUTE HEALTH 218 AVERAGE DAILY AMOUNT o 5 CHRONIC HEALTH 217 MAXIMUM DAILY AMOUNT ...----. --. o ga GAL ~ cun . If EHS. amount musÚe'j;; Ibg, o Ib LBS o 'n TONS De PLASTIC/NONMETALLIC DRUM Or CAN o g CARBOY o h SILO 0; FIBER DRUM OJ BAG o k BOX ~CYLlNDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN Op TANK WAGON ~a ABOVE AMBIENT o ba BELOW AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 230 231 o Yeg 0 No 232 234 235 OYesONo 236 238 239 DYes 0 No 240 242 243 o Yes 0 No 244 4 "'"',v"q:';'" "lJ'" ,~~~':j:-'i¡~tJ..¡r.¡;.:: ""1" ")I~' ;!t;:':;~:ij:'::~~)k';?:;14¡~' -~-Þ4ti) .':...... :-~tr.'i"·:, .:" ." ;', . ':'.., ~ t..JAV\Et:- \)\{~ ~~S ) , UPCF (7/99) 210 212 ~S 2¡r ~------- 215 216 219 STATI;.WASTE CODE -, 220 221 DAYS ON SITE ~ la..~' 222 o q RÁIL CAR o r OTHER 223 224 229 233 237 241 245 S:\CUPAFORMS\OES2731 ,TV4 ,wpd .. CITY OF BAKERSFIEL" OF~E OF ENVIRONMEN1'AL S!ftVICES i 715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o NEW ,,:~,~:' ,,":,'~;, :,_:,~~}:i~·_·~·,'<:;·~ ;,:}.:;;~:;};{ '>.).": ;;';;¡;;~ -",¡.\;:;~;:, ~:,:,~,:,,:.:V>;>'~ ::--;""" , . X)jjï:cijÈMiëÀE;ìNFÖRMÀ tlöN~?f': . ·~S-1,,':' V:r:;. ¡'.' "'''·'"V..'·,''-:~+'·,~·;V,' ",:-;". ',"''''-<:~;<\:~ -;.:,', ;:"'/-'__k,,~',; ~>;<.';\;':;.,':;;.¡;: CHEMICAL NAME ~lt.LÆ1.-L~L ~C-{ 207 COMMON NAME oS ~~ L- CAS # -¡ lo~tf- q 3 -- EHS' ~ Ñ 214 209 FIRE CODE HAZARD CLASSES (Complete if requested by local nre chief) TYPE 211 RADIOACTIVE o Yes jZú¡0 o w WASTE LARGEST CONTAINER PHYSICAL STATE o 9 GAS IDro~ LIQUID (one ;0,," per m,,?' per building 0'j!!P") Page ~ 01 ~ DYes ~ 202 204 o 206 If Subject to EPCRÀ, refer to instrudions 210 212 213 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 3 PRESSURE RELEASE ~4 ACUTE HEALTH 218 AVERAGE d DAILY AMOUNT ìD "fcl-< . ~ CHRONIC HEALTH 219 STATE WASTE CODE 220 01 FIRE o 2 REACTIVE 217 MAXIMUM 0....... DAILY AMOUNT ULJ 6f\k ~ GAL 0 cf CUFT . If EHS, amount must be In Ibs, o Ib LBS o tn TONS UNITS' STORAGE CONTAINER ~ (Check all lhat apply) ABOVEGROUND TANK b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM -tJ e PLASTIC/NONMETALLIC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG o k BOX ~ CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE ~AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 216 -.:- 221 DAYS ON SITE 3lPtj 222 o q RAIL CAR o r OTHER 223 224 o c CRYOGENIC 225 2 230 231 DYes 0 No 232 233 3 234 235 o Yes 0 No 236 237 4 238 239 o Yes 0 No 240 241 5 242 243 DYes 0 No 244 245 JY1 co~.____~¡ I Dc) UPCF (7199) S:\CUPAFORMS\OES2731,TV4.wpd . cttv OF BAkERSFÌÉt OFtl:t OF ENVtttöNMENt At ~vtCÈŠ 1115 Chêster A h~.; CA 93301 (66t) 326-j91~ HAZARDOUS MAtERIAls INVENtORY CHEMiCAL DESCRIPTION VISE 200 (omi ;0,," per malerial per bundlng r¡r area) Page J¿, or Y2 ,,'{j; ~Â8i[¡fŸ':íNfð~MXt'ið~X\:i ·~;:)f~,')}~::~:!f~4'·.·.:._~·,· ,.~ '.: .~{: " .:(.- ',;~ .,-:,:,¡",,r , '"":';"¡',:'.f:;;",." " J 3 203 o Yes ~o 202 204 "'(:.;~1(."}..>.'.1.·'\;". ii}i.'.':I·I' C,; n.· ·¡'.·U.'·I'C<··".'L>;'I'¡i¡'F:.:O":... "MdA;; T'. ¡O;:'N':'.':i!.'.;.·.~.':.ii.·:.", . ~.,.;,_~,I~~;'h~~:lj~ k;,,_\t,.-',_. . HeM -", - N n. I ,,-Ç ,\ ;:.:.:.. '''~:: ,;5: _ '~':.,:,~. ;<.1;".1,:. (;,-}," .;" . ¡,,';',.\', ~>I'> ,,,: ~_.:::, ; '¿ .,. Y:,~' -;. -:4;' " ,",.. ~;.~..;.. ,- '.';"~~~: .,..-'; :' ;.....~. ;¡W~!VÒEí,i, " ., ·~1 Þ;"~~'6~:~~¿~;d ~.~~.~ II Subject 10 ÈpcRÁ, rer.... 10 ¡nslructions CHEMIcAL NAME ft~\)~ Co . L 207 ÈHS' d Yes ;ðlNo 208 COMMON NAME CAS # 209 .,i,r~rl}¡,¡::;~~:M¥~~~~~;~r~r~,.~..~,.., 'M,l)(..,Lte.E FIRE CODE HAZARD CLASSES (Complete ir requesled by local lire c/1le/) N0l\.\ f~nAô;,~ o p PURE X m MIXTURE 210 PHYSICAL STATE o s SOLID o I LIQUID ~.GAS 214 LARGEST CONTAINER 3LD ._P 212 ~Š-------::213 L~_____, 215 TYPE o w WASTE 211 RADIOACTIVE o Yes ~o FED HAzARD CATEGORIES (Check all that apply) ANNUÁL WASTE ÁMOUNT )5ti. FIRE 217 o 2 REACTIVE MAxiMuM DAILY AMOUNT o ga GAL ~CUFT . II EHS, amount must be In Ibs, ~PRESSURE RELEÁSE 04 ACUTE HEALTH o 5 CHRONIC HEALTH 216 -' 218 AVERAGE DAILY AMOUNT 219 STATE,WASTE CODE --- 220 UNITS' o Ib LBS o In TONS 221 222 STORAGE CONTAINER (Check a/l rhal apply) ~ ÀBOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM o e PLASTIC/NONMETALLIC DRUM Dr CAN o g CARBOY o h SILO o I FIBER DRUM OJ BAG o k BOX ~YlINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o q /'tAIL CAR o r OTHER 223 STORAGE PRESSURE o a AMBIENT ~a ABOVE AMBIENT o ba BELOW AMBIENT ~ STORAGE TEMPERATURE )§..s AMBIENT o aa ABOVE AMBIENT . .;~'¡~~~~M~'M' ~r'::;'¡''' ;i"!):·i-)~~._ .~ p,·:·,:·,t,~)'.,!·)<:¡,~:~~¡'1 7 () -37 - 230 231 o Yes ~o 232 f;)Lj-öß--9 233 3 234 235 o Yes 0 No 236 237 4 238 239 DYes 0 No 240 241 242 243 o Yes 0 No 244 245 M~ ~M\~ ~ \ l.E-f't~S \ ·"'"1····"'···,..,:'"..,·'" .:i' '..". . , ì' ';1'''' .,. "I ŠìG.:NÄfÜR'Ê '~.";' ;·1'.'." 0'.".(,:, r: :'7' '0 '. ", ~"';-' ¥Jv",,;, i¿, 'I" ;t;iè':;iJii;it¡tt>:<EY'J? "J::~,. ~\\;¡:' ::, ':1" , . ,,'Ie;;, k::ff~f.j: '~~f:',~' SIGNATURE [U DATE 246 A 'I ~ J?j/{)<ñ ~ ~----~~r-1ðlL-- UPCF (7199) S:\CUPAFORMS\OES2731,TV-i,wpd ... CITY OF BAKERSFIELIa OFF'lt:È OF ENViRONMENTAL Sim.VICES 1715 Chester Ave., CÀ 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o NEW . 0 ADD 0 DELETE ~VISE k~'~:~~::' N~~E;~~:~'~(l;~ltrt~'~~~~'i;~{~;~'í!ti~~~~Jl~:!:~~:lr:' ·~..i.· fACiGfflNFORMÂTlclN .:;'; 1_ ~~\G:>\t\S. \>~~'.J'~,~b 8./ ~()H,A:ß~ S~ I CHEMICAL LOCATION : ~ oS C\E._, 200 ". ... '",", 203 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) GRID # (optional) FACILITY ID # (ona (onn per material per building or area) Page ..L ot L ! j o Yes ~o 202 204 ~ ,'-::' ,:,'<"; ,.,.:',:':; ';',:¡ ::<1:;::'..··"..<.¡ ~_>.::': < :.::">;,-:?/ :(!"),....;.';~-: ,'- CHEMicAL INFORMATioN :¡~\t;·.;/ "/,f,~^"" ,"; ,- - 'd_'i.,:;~..,;.,'-:<>X "... .""'(.;"'-'';-:',);-'' ..~.>.-.-,...", y" COMMON NAME ~ Þ-wP<5~ ~~\,~~" '~~é- EHS· '.-£_:.:- , " ~ . - - 207 206 1/ Subject 10 EPCRA, refer 10 instrudions ., DYes ~ 208 CAS # 209 .:ll;¡~~~!¡::F:;.·~·~:fr~;'~~fr~' ~'lli.:;;;. W\ ~ ~lÂ-~_ FIRE CODE HAZARD CLASSES (Complele if requested by local fire chief) TYPE ,,:;- o w WASTE 211 RADIOACTIVE DYes ONo MIXTURE PHYSICAL STATE 214 LARGEST CONTAINER 09GAS FED HAZARD CATEGORIES (Check alllhat apply) ANNUAL WASTE AMOUNT o 4 ACUTE HEALTH > '¢ ~ CHRONIC HEALTH o 3 PRESSURE RELEASE o 2 REACTIVE 01 FIRE ISèga GAL 0 cf CU FT / """1 EHS, amount must be in Ibs, AVERAGE DAILY AMOUNT :2t/.:::C) 6 o Ib LBS 0 In TONS MAXtMUM ? r---._ DAILY AMOUNT ~ L STORAGE CONTAINER (Check all thaf apply) ~BOVEGROUNDTANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM Áe PLASTIClNONMETALLlC DRUM Of CAN o g CARBOY o h SILO o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o i FIBER DRUM OJ BAG o k BOX o I CYLINDER STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT STORAGE TEMPERATURE 210 212 CURIES 213 " 215 216 219 STATE WASTE ¡DE '3.2- DAYS ON SITE 222 220 221 o q RAIL CAR o r OTHER 223 226 227 o Yes 0 No 228 229 -- 2 230 231 o Yes 0 No 232 233 3 234 235 OYesO No 236 237 4 238 239 DYes 0 No 240 241 5 242 243 DYes 0 No 244 245 -.----~/œ UPCF (7/99) S:\CUPAFORMS\OES2731,TV4,wpd