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BUSINESS PLAN 4/13/1999
~. ,- ---- -. - ,--..- - - -. . . , ~ ~....... ..... .;.::..'.......-. -.-..,~~~~._,--- ---_.;.. . ' ,-~~--. -.~._--~""- .. - -~.- .~.~.. . '. .-- _......-"~_..._---.,. .~~-~~-_.~_. -. .,--.--- - -'. ~~ - --- .-.-. -~. <~-.- ~ >~~ -- - ~- -...;;-~ - -~. .':'_:" - -, ~.~~ _.- -----.--.. '-'-,"-- ...--- -- . . . .::-~~~;~- .- ''';-11- . i~ ~ -; ..... ,_..:,.r-" . . - .:'; r'- ..: " '. ¡-' . i !, I I . . I I , Cr' " 1- . oj , . ~. '.. ~~. !J I ' ~'I . I Z~.' !. .5= . I ,\ ~ ~ ~ , 'e'" ", ç.~. 'e:C '.. ~-~ I, ' , , ... , 601-9- '(. l ,. ) ')'~ ..; . .,...,- . .. (.,6 -~.5" õ'afNt1 Gtlv¡;) Ît?':Jð?Jfþ1ì 10 . \nA '.l- I C1CJ V .. í)S"1 VI 0>[ '''I r " .... '* \ ¡Vðø-9 ":0' I I' . >W.,~ :L~'''' J j(X;(Jwl/ '~~.'w ... '" '8 I ~~~,. 'B :0 I~ J ~ . "'~ ;1 ~l ~ ~ -< Q ~ '~ I ! o Ell~ " .' ~1 'L_I - '-41Þ ",. '-. ,.. 0" I ~,~,l"',~ L~1_J - ~.. . .. Dd I- o Z ~ :-:~ o ( ,', I '--'--'. "~ ' ; ~ .~.. ~ . .{d~ n - . ·1" . 'L~F-=Et--,u ~,@Jj~" '. '.' ' .. \~.. '_ ' ~"f1 u!£(~~ ' . ,,··.·.-~·R~'-ð..'~~ ·..~~l~. . ,.... oð~ÎJ ; .. ï , 2i II " ¡: ~! ~¡ i I 1 ELÉc..Tt1-a.c..A;L. P-M . fþùJe~ of- IlMI"I)<<<!.€S . ~/2. -¡t.16 H".I( ñ1í,¡W CeI ..J t t :;: J1 PI '2-rt Æ do IJ..5. IYIM"e./ÛA I ::::. J¡,;oSf' 'if) Je-r yov Guy.s !<l1PW wÁ.eRe- .sDh(~ -sr().ff 1'".6 Ù, (l.A.se ð>-f"¡q- pÆ!t1,ß/~A1 f'ltc./ r(íî/ FLOOR AND FIXTURE PLAN , ~e.. LANe. ~ ~TI.Je., ~~Je.L-1? STORE #1 10IJ.· 'J,1(of,(ø : APPROVAL' '_ CJU(eÇ Aé2fíO fljR:ß' 5/1.0- In~ .1 ' 4: 70-1 It W J. "re-- LA h 8--- Nf)A:r~ ' - ;~ -~.;."!<~i. _ '( .... , . ~ ,.' , " . . SITE/FACILITY D~AGRAM FORM 5 NORTH . SCALE: BUSINESS NAi\fE C-A/ ~ DATE: '7.1 IO/~7 FACILITY NAi\fE: lJSJ -""", (CHECK ONE) SITE DIAGRAM ~ UNIT #: OF FACILITY DIAGR.~\[ Re~í !tc,,I,(!./tn ~ ~ ~ ~- :t)~ . ~ ~~ ~ { ~~ ~' ~ ~~ V) ~ --.-- ~ -. ~ -'--.-. t§ )-' V) ----~..- 4; "-'. ~ '---, \fJ ..~ --...~.. r (Inspector's Comments): ¿t31 Ver ~ ~ .~ ----------....... '. ._-~~- If & ~~~\ ,'0 ~} ~ .---_._-~ _.,--~ ROlid -OFFICIAL USE ONLY- ~~ !~ y ~ ~ '0:. - 5A - b. Masonry construction e 9, Lock (key) Box 10. MSDS Storaie Box II. Ral1rond Tracks 12. Fence or Barrier a. Wire b. Masonry c. Wood d. Gates 13. Powerl1nes 14. Guard Station 15. Storaee Tanks: Identify the capacity in ¡a I. a. Above ¡round b. Underiround 16. Dikine or Bera 17. Evacuation Route '¡. .,~:~~.~ -Î: SITE DIAGRAM (ReQUieite8S) 1. Address: Identity the principle buildings by the Street nuabers. " 2, Street(s). Alleys. Driveways, and Parking Areas adjacent to the property. Include the street nallles. 3, Stora Drains, Culverts. Yard Drains 4. Drainage Canals. Ditches, Creeks, 5. Buildings a, Fraae construction c. Metal construction d. Access Door 6. Utility Controls a. G88 b. Electricity c. Water 18. Evacuation Area: Identity the location where e.ployees w11l ..et. 7. Fire Suppression Syste.s: a. Fire Hydrants b. Fire SprInkler Connections 19. Outside Hazardous Waste Storage c. Pire StandpIpe Connections 20. Outside Hazardous Material Storage d. Water Control Valves tor protectIon syste.. 21. OutsIde Hazardous "'aterIal Use/Handline e. Fire PUllP 22. Type ot Hazardous Material/Waste Stored or Used (5ee Below) 8. Fire Depart.ent Access TYPE OP HAZARDOUS MATERIAL F · Flsul1ble B · bplosIve L . LIquid C · Corrosive 0 · Oxidizer G . Gas W · Water Reactive T · Toxic S SaUd R . Radioloeical P . POllon H . Cryogenic o . Waste B . Et1olo¡Ical Exa.plo: Fla..able Liquid· PL FACILITY DIAGRAM (RequIred Ite.. In addItion to the above) 1. Rhers tor SprInkleu 8. PIre Escllpes 2. Partition. 9. Air Conditionin, Unit. 3. StaIrways: Indicate the 10. WIndow. levels served tro. hIghe.t to loweat. U. In.Ide Hazardous Waste Storaie ... Escalator: Indicate the level, ierved tro. la. Inside Hazardous highest to lowe.t. Materials Storage 5. Elevator 13. In.ide Hazardous Mater!als Use/HandlIng 8. Attic Access 14. Sewer Drain Inlets 7. Skyl1¡rht. ,\. F ï 231 ~~--- ~ ...- D , E "'ZI[ ~ T~US"" z ~\111§4e, ': ~ U)u.::Þ . c '" ;.....,_. "._'¡!'""~! .~. ¡j ""1\1':: B ~-TtJ';\..~!3~~,:~....;t~ II: \--fl~~-!iÖåÃDO I~ ¡¡ ,L~rAV --1m _ _ IMINTS~ 231 r A ".\~'NO" AU 1¡¡'''R'OTS:i''' ~ "g fi I '-=: ;AV MINGii _ LN'" TGO"'RYAU :1ò=f4 ~d> K ""'~~.,. ~ WE<C '"'" "\ 1 PARK . ~ J è~!'¡ u !.J.~ . ^"r ~ \z ~r;;OoG'S AU :d~ 1 I ~ L~":~Y~~N~ ~ KfM\" ""IS ';i·.' ~ I ,."."'~" ~ ,.~' ¡'/flY. 'T" VAW~~ ~ \ ~Æ '~~PM&~>~;;; ü! ~ AO ,:;;1 AU :;;:;;:;;~ I'"~ '''' f;"fi,,"¡'¡. ,.::;; 'I, . ~.;o I,," , ^ ,~I~· -" , ''-;', \ , ""*>'"' ." . ,"~I.. I., '" "L,"o -'-c -ri< ...Eme - ,.¡ < ~ ,~~,Q . . ~ _ :~ Rn..'i1., iIB' I~\S,,, ~ m '-__," W't mv \ ~ 1 ~ ~~~R~ ,¡;;~ ~, COURS,~ ~ ~ ..'~.. ."S~"", ,." .....' ,.~ ~."., ,'."". ;;O'''='''1''"'''''~ j. " . "\ '1 . ,. " "". I, 0 "; . . " - ¡<. '::1 ",~,_ ,,~ . . ", 1 ,r'~-::;:' j[.o:: ~ A =-")0 ~i~~ 6 I I~õ!õ I~~", ~... "<fJ""" '{"'<' ê cFci~~~I."...AJL ~~'S...J lit~.J.J:;; LU ~ z I" ~~ I I 1 'ii, :;;CO~~MBIA IN '- ~w I~ .ì'í%, ,~O., ",'I í!.", <' :, ;, ~~" ~ ":~TARlING ~ ~~.tV <{ a~:" ~:CJ~~~ 'CHQ~ ~ g I ~_~ AV 18 ___.-... K:'~ "'~R£XFO~O W't :O'V0'A 0 ~,~,,' rJ1 '<~, i: ,-¡¡r;,,, "'C'" 0 r ~ ~ -~"._ w :J ~.. ~ ;; UALORIE :L 13-.P+ -tClAR.V . ~. · ""'~. , . .'~. ,,, ""'" 0 . > .... ~ O.H .,_ ._,. 0' , _ '" #~ ~ '. o~ y: ."' <"~ 0 ~ ,.u .,51 '" (~' ,. " '" "". 'eo" .. ,", ,'. . ...,,"~ - ;' 1I1/fIlG----'" - ,,«,: 9~<'< 1h. '" <: I" TO~YC~.$ I~:Õ ~~ - - WILSON ~''l~r~~yj:(~~-....v ð_ ~:¡;(ÖoRI"NDR <Or¡. ", ~::: ,,'" ,,, '!; A K "'..t::.J'" ...,~ 0 c ~;':::tï It : Of olu I 'I ~~rVl "'" ..~:;; .... ~"". "'"', ", 'e, =.¡.- - " ..," ." , r,_." , I'" >. .,,....,. , , I"'" _. !1\;. ",AV t':''v_, ?ii"'_ " , ,,"~ þ o;.,,~, ~ ~~r... ~ "¡,,ps N CT I __" Öó 0 ~ I~!. OR &! ~INDSAV ~ 0. 2 """~,: -'$ t¡'o;~HDIIIHGHA. 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P:Lq" '1' _ MAE 'l..7b~ SITE DIAGRAM I I FACILITY DIAGRAM )( \ Business Name: ~ ~4-0 9CÅ.(""+~ Business Address: ~?O\ L"jh,+~CVN) 'ß&..kers~\~\á C(ß. <13.3Cî For Office Use Only Area Mop II Z. of 2- NORTH .0 First In S tetion: InspectIon Stetlon: 5wIE I": IO,qo' [j0) <.nr>n->fTIJ:n ~ I I" > - . z ~ , ( ~ o 't. -\ I D ( EJ (j)'TX>C:: +- .- +- +- +- .~ !D > -4 -4 fT'I :0 fT'I (J) EJ Ð / -Þ-Þ-+-'-+ " EJ I ® N -'J m \+ (j) CS) CD I (J) 0 ~ 0 0 - r r r m (S» . ,j. ~ --3 '-- I. \~ i ª :-: < ~ .... .":J = "j ¡..... ~:::> ., :) ...:. :"1 .. :..: ~~ .~ -;- :; - '" 1:.7; --;'./'J 1V"\!:"d ~~ ....;:: :-....... ~. 1 ~ ,- ¡-~ .., .... :; ,jJ ~ ~ ~ :J ~ . . -...:. . ;"_ l.n .. ........ .~ :.- "/", '-. :", :-: =-_ ;.; C =- u ......; "-:::1 -:J ~ r.J -:; :...- \..0 :-: :,¡J w =..: :;::¡ ~ ¿ 3 ~ '.-: 3 .. ~~§. :"";-0 ~ ~j ~ :--'::10 --:::....Gu HMM"P} p~ MAP z'7h~ FACILITY DIAGRAM ~~ í~\.~+S tAl h.-hL.L~ íSc..Ker-s.C\~ \c\ CA- SITE DIAGRAM I X I Business Name: c..\\1<2..4 <133Cl Business Address: l.\ 7 0 \ For Office Use Only First In Station: Inspection Station: \" : \ '2. 0 ' 2- Area Map # of NORTH 0 ,= ~ L::J r. \j\ -i , I li\ , , 'L___ . '; ~.._' -¡¡ , Ii J _, 1\ :.': .; --': >, ' ,. n !, ,',. ,¡ f'~· ; '"- 1 ,I ---l , ':'0 'Lo;.¿¡ ';>0:1-- -- l::J:1 ." 0" Q~"; i ~ ~;~""'d . J 't, ",-,,0., ~ I 1 'Y"f7 ï '-JI'\"Ø~~~J i, , ,=,(J"'t';! ,'J-"tr. (,' 't;Ti =NYi I --,¡\ . -'--!.c------. \\ ..'" '-. -"- - . ,~-'--_., 1 _I :, i \. rC+U~f\ÇðtJ I .1 ! 1''Ð+;7J ~' A ,\ \ I.. ' ..1 I~ ·3,oa3tf.:7S 33~ \ _--,---1: ---- . _ n \" , L- -.. -- ...~' ~. " ... ' -'-- . ., '" . f;( :3?J.y Y)fV,.;;riJ 1Id . ___.__~~3') V ~1 d J a'\.f <; , , , ---" \ -- =-=-- , -:-,.;, '.'-':" ---.----- - ,.r'- ~, \ , I . , , I , , 'I·· ì '~'~:~:]l~ ~or+:~ \. ·l-;J'71zJvl.-J l~'3H:;/\c.rdd 1.,.<1 "3l-Ja~ "3..,:H'1.L n: .--..:... \ , \., \\'\ ..---, g: '')Z v' <::J¡'-'~ \ \ ¡'c"l~7Z:1\ \ I i i /' " , ¡ !l ,&~ '¡"-M3 ::.Lq"1 ¡.::;¡" ,;;\ ~ :~C:;". I I;. 1~ t> 'I' ~ '..... . - ....: , ~ ..... ' '-~7' '. ~_.~"'..""'-~_;--__.. w~~· ~ - '.'AvroZone"" . ~ '..' . "," i . ( . > ~ 123 So, Front St. 38103-3607, p,O, Box 2198, Memphis, TN 38101-2198, (901) 495-6500 April 13, 1999 RE: DBA Change / ')4 v1 t ~ p¡V 1lvl ~~i ~ t) \IV v iY ~/A ;- ir 'Mffl rf ()v City of Bakersfield 1715 Chester Ave Bakersfield, CA 93301 Dear Sir or Madam, As instructed, I am writing this letter to request our business name to be changed from Chief to AutoZone. The legal owner of this store remains Chief Auto Parts, Inc. I have listed the changes below. Please let me know if you need anything further. The new mailing address is: Chief Auto Parts, Inc. POBox 2198 Dept. 8088 Memphis, TN 38101-9842 / Old Name J2CfW Chief #27686 P' \,pO Chief #23530 New Name AutoZone #5334 4701 White Lane 93309 ./ AutoZone #5337 3408 Union 93305 J Thank you for your help. I can be reached at (901 )495-7059. Sincerely, 3' yç';>.. (' /1 1& f- ~)1JACi. lJ)al.1lrqv ./ : ¡qJ~'i Cheryls.,;tnngs it 1'1 S 7 Tax Clerk Chief Auto Parts, Inc. ? (..::;,oy'" __.0 _ ;; ¡J ,,.('Z. (1.1 l: -/;;1 .5 1 ~'L J I Ú 1.[;. 6,¿ /.I ^J ~i.ft.::(: o. 'Ii .1 P ../ e '11 l' )A';.) ~o 'i) ¡;/ i (; ¡It, '1 ('L. {, "-It: -.J 0 .¡ (, £ OJ ': I 1-' ~ .j .' I \ ,µ , T t I· o , ~/ "":J ,') -- () (' - ¡Iq 7 U 2 L' ~J (- ,..) ¡¡ .).J THE BEST PARTS IN AUTO PARTS _..~..- ---. Per it t· ' o Operftte Hazardous Materials/Hazardous W aste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ardous Materials Plan round Storage of Hazardous Materials Q,~gement Program m'.. . Waste 4701 WHITE PERMIT ID# 015-021.000516 CHIEF AUTO PARTS LOCATION Issued by: Bakersfield Fire Department omCE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: " a-I'V AUTO PARTS -.- /~.~ [; C{J ~J;- ~ T :·~·i F~/\'l/\ Ð L E 98 tt~R 30 PH 2: 53 March 25,1998 CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA Re: Address Change Dear CITY OF BAKERSFIELD: Effective immediately, all billing correspondence should now be sent to the following address: Chief Auto Parts Attn. Accounts Payable 1515 Wade Drive .' Seagoville, TX 75159 We appreciate your patience during this time of transition. If you have any questions, please do not hesitate to call. Sincerely, Kathy Martin Accounts. Payable· KM/ng 1515 Wade Drive Seagoville, TX 75159 972-287-7474 ¡ e 1- Clip "'- .. '. CHIEF AUTO PARTS SiteID: 215-000-000516 Manager : Location: 4701 WHITE LN A City BAKERSFIELD BusPhone: Map : 123 Grid: 14C (805) 397-0967 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code:5531 DunnBrad:18-717-8090 Emergency Contact / Title Emergency Contact / Title MAGGIE FETTE / STORE MANAGER ROBERT JAAMILLO / ASSISTANT MANAG Business Phone: (805) 397-0967x Business Phone: (805) 397-0967x 24-Hour Phone : (805) 325-1354x 24-Hour Phone : (805) 327-2766x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Emergency Directives: F Hazmat Inventory One Unified List ì p== MCP+DailyMax Order All Materials at Site ì Hazmat Common Name.. . .. SpecHaz EPA Hazards DailyMax MCP ELECTROLYTE STORAGE BATTERY R IH DH L 100 GAL Hi ANTIFREEZE F DH L 250 GAL Low WASTE OIL F DH L 185 GAL Low FREON 12 F P DH G 19000 FT3 Min NEW MOTOR OIL F DH L 2000 GAL Min !, S\6(\~ S' Ç~D@ I1slrŒÞ1oy ~~rît¡~ ~hæ ~ ha'\J~ (Typ:21 0 pMt OOI'MI) reviewsd ~heì ~~achsd ha&ard~u.~ ~ai®úita~~ m8JnagSJo ment pian for C~t",tf ~V~ ~ha~ i~ ~Iong wi1h (NM'G of BUIIÌI\G&\\) any corrections cons~i~u~® a c{ìJmpis~e ~lf'bd ICcm's©î Mano \Q\d-î\CiI Uot¡;¡ -1- 09/23/1997 ,~ , ~ . e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 i íë Inventory Item 0005 ëëëëëëëëëëëëëëëëëëëëëëëëëëë Facility Unit: Overall Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o ELECTROLYTE STORAGE BATTERY 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o 0 CAS # 0 o 0 7664-93-9 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 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 75.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0EHSo CAS # 0 o 34.000Lead 0No 0 74399210 o 11.000Sulfuric Acid (EPA) °Yeso 76649390 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 R IH DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj ~ C' e e íë Inventory Item íëë COMMON NAME / o ANTIFREEZE o o Location within this Facility Unit o SW CORNER OF BUILDING 0002 ëëëëëëëëëëëëëëëëëëëëëëëëëëë Facility Unit: Overall Site ¡ CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o Days On Site 0 o 365 0 ûááááááááááááááááÇ o CAS # 0 Map: Grid: o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 250.00 GAL 0 125.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. 0 0EHSo CAS # 0 ° 100.000Ethylene Glycol °No 0 1072110 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretOEHSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 ° No °No ° No 0 No/ Curies 0 F DH 0 / / / 0 0 Low 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -2- 09/23/1997 '. ~ e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 ¡ íë Inventory Item 0004 ëëëëëëëëëëëëëëëëëëëëëëëëëëë Facility Unit: Overall Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o WASTE OIL 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o 0 CAS # 0 o 0 221 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Waste 0 Ambient 0 Ambient 0 ABOVE GROUND TANK 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 185.00 GAL 0 185.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0EHSo CAS # 0 o 100.000Waste Oil, Petroleum Based 0No 0 00 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 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0003 ëëëëëëëëëëëëëëëëëëëëëëëëëëë Facility Unit: Overall Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o FREON 12 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o 10 FT FROM FRONT DOOR 0 CAS# 0 o 0 75718 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 19000.00 FT3 0 9500.00 FT3 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0EHSo CAS # 0 o 100. OOoDichlorodifluoromethane 0No 0 757180 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 P DH 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -3- 09/23/1997 ,< e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 ¡ íë Inventory Item 0001 ëëëëëëëëëëëëëëëëëëëëëëëëëëë Facility Unit: Overall Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o NEW MOTOR OIL 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o ALONG EAST BACK WALL 0 CAS # 0 o 0 8020835 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 2000.00 GAL 0 100.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0EHSo CAS # 0 o 100. OOOMotor Oil, Petroleum Based °No 0 80208350 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 Min 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -4- 09/23/1997 ~ e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 i o 0 o VERBALLY INFORM EMPLOYEES AND CALL 911 AND HEAD TO THE EXIT o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o NEAREST HOSPITAL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -5- 09/23/1997 · , ~ e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o STORE MATERIALS IN PROPER CONTAINERS. A MAJOR RELEASE OR SPILL WOULD o INVOLVE SPILLING LESS THAT A QUART OF MOTOR OIL OR A PINT OF GAS TREATMENT o (STP FOR EXAMPLE) WHICH COULD EASILY BE CLEANED UP. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o ALL AREAS WHERE SPILL HAPPENS SHALL BE MARKED OFF AND ONLY THOSE PEOPLE 0 o CLEANING UP THE SPILL SHALL BE ALLOWED IN THE SPILL AREA. 0 o 0 o 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o CLEAN UP SPILL WITH ABSORBENT AND DISPOSE OF ALL CLEAN UP MATERIALS IN o ACCORDANCE WITH FEDERAL, STATE AND LOCAL LAWS. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 09/23/1997 ~ ~ , ~ e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o A) GAS - OUTSIDE NORTH EAST CORNER OF BUILDING o B) ELECTRICAL - INSIDE NORTH EAST CORNER FUSE BOX o C) WATER - ? o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS FRONT AND REAR OF BUILDING 0 o 0 o 0 o 0 o FIRE HYDRANT - WHITE LANE 100 FT FROM NORTH EAST CORNER OF BUILDING 0 o DRIVEWAY ON WHITE LANE AT POPEYES CHICKEN ACROSS THE STREET ON WHITE LANE 0 o FROM OUR BUILDING (NORTH SIDE) . 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 09/23/1997 ',~ .,~ ~<. J! ~ " e e í CHIEF AUTO PARTS ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000516 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/18/1994 ¡ o 0 o WE HAVE 5 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE AT TH CORPORATE OFFICE. o o o o BRIEF SUMMARY OF TRAINING: ALL NEW EMPLOYEES RECEIVE TRAINING ON SAFETY, o EVACUATION, MEETING PLACE IN THE EVENT OF AN EVACUATION SPLL CLEAN UP, FIRE o ALARMS, FIRE EXTINGUISHERS, FIRST AID KIT AND SPILL RESPONSE EQUIPMENT. o SPECIFIC TRAINING IN HOW TO READ MSDS SHEETS, "RIGHT TO KNOW" LAWS WARNING o LABELS, CONSUMER PRODUCTS, EARTHQUAKE PREPAREDNESS, AND OIL COLLECTION IS o ALSO PROVIDED TO ALL NEW EMPLOYEES. o o o o o o o o o o o o o o o o o o o o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 09/23/1997 ...__ ~-!; r '.' - . j/ Page 1 ~ 08/21/96 CHIEF AUTO PARTS 215-000-000516 Overall Site with 1 Fac. Unit General Information Location: 4701 WHITE LN A Map: 123 Haz:2 Type: 3 City . BAKERSFIELD Grid: 14C FlU: 1 AOV: 0.0 . / - Contact Name ~ Title ...-- Contact Name 'Title -JOANN GROVEMaj5ìe..fëffe. STORE MANAGER ~ ~Rd:e~~\lc/ ASSISTANT MANAG Business Phone: (805) 397-0967x 1// Business Phone: (805) 397-0967x 7bf; I 24-Hour Phone : (805) ~8~~35+ 24-Hour Phone · (805) ~::x..7-Zà v · Pager Phone . ( ) - x Pager Phone · ( ) - x . · Administrative Data Mail Addrs: 15303 DALLAS PA5JC'iliAY AO(þ -th + It¡ / D&B Number: 18-717-8090 City: DALLAS Sc,c(,(\IY\t<n-\-c tf(,;,()o tJcr t" ~ /0 State: JI!XCA Zip: 75248 '19 'ð'~ v Comm Code: 215-013 BAKERS~'l~L1J STATION 13 SIC Code: 5531 Owner: CHIEF AUTO PARTS INC LB~ 1-<'.e.ewa.~ / Phone: (214) 404-1114 Address: -1-5303 DALLAS rARIŒA~ì 8005.!.jOO State: TX ~'5d..4° / City: DALLAS Su.ìt-e ace Zip: 75248 Summary (.~\ e.ç t\\A. -k ?ar +s ~ .;tt-¡ 10 86 RECEWED SfP 2 4 \9% . .A~ c.n.ô.T DiV. I, â-id J.ef'd~r Do hêreb', Cftnlfy that I have ~"or pnm r.Di1YI) , reviewed the attached hazardous materia's mr-, ';~{J4). mentplan for Ch·\~f~~~J:rJJ'.and t!;::~ .t f;I~!..", ',::~h any corrections constitute a co.mptete and corr&~ ~it~U- agement plan for my facility, 40 , Qlr'Gîtl!;. \ \j ì ce i?~i)de(1t '. ...-:- e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-005 ELECTROLYTE STORAGE BATTERY Liquid 100 High Þ> Reactive, Immed Hlth, Delay Hlth GAL 02-002 ANTIFREEZE Liquid 250 Low Þ> Fire, Delay Hlth GAL 02-004 WASTE OIL Liquid 185 Low Þ> Fire, Delay Hlth GAL 02-003 FREON 12 Gas 19000 Minimal Þ> Fire, Pressure, Delay Hlth FT3 02-001 NEW MOTOR OIL Liquid 2000 Minimal Þ> Fire, Delay Hlth GAL i -.,. e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-005 ELECTROLYTE STORAGE BATTERY ~ Reactive, Immed Hlth, Delay Hlth Liquid 100 High GAL CAS =It: 7664-93-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: BATTERY/ELECTROLYTE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 100 I 75.00 I 600.00 Storage PLASTIC CONTAINER r Press T Temp ~I Ambient Ambient Location - Cone _I 34.0% Lead 11.0% Sulfuric Acid (EPA) Components I~ MCP ¡Uide Low 53 High 39 02-002 ANTIFREEZE ~ Fire, Delay Hlth Liquid 250 Low GAL CAS =It: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 250 1 125.00 I 2,190.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient AmbientlSW CORNER OF BUILDING - Cone l Components ~ MCP iUide 100.0% Ethylene Glycol Low 27 02-004 WASTE OIL Liquid 185 Low ~ Fire, Delay Hlth GAL CAS =It: 221 Trade Secret: No Form: Liquid Type: Waste Days: 365 Use: WASTE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 185 1 185.00 I 4,800.00 Storage ABOVE GROUND TANK r Press T Temp ~ Ambient Ambient Location - Cone l Components 100.0% Waste Oil, Petroleum Based G: MCP --rGuide Low I 27 ,; .. e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-003 FREON 12 ~ Fire, Pressure, Delay Hlth Gas 19000 Minimal FT3 CAS #: 75718 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLING Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 19,000 I 9,500.00 I 130,000.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Ambient Ambient10 FT FROM FRONT DOOR - Cone ~ Components 100.0% Dichlorodifluoromethane r; MCP ---¡Guide Minimal I 12 02-001 NEW MOTOR OIL ~ Fire, Delay Hlth Liquid 2000 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 2,000 1 100.00 I 7,000.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientlALONG EAST BACK WALL - Cone -, Components 100.0% Motor Oil, Petroleum Based r; MCP ---¡Guide Minimal I 27 .... . # .- e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 5 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBALLY INFORM EMPLOYEES AND CALL 911 AND HEAD TO THE EXIT <3> Public Notif./Evacuation <4> Emergency Medical Plan NEAREST HOSPITAL ..; ~ e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 6 <E> Mitigation/Prevent/Abatemt <1> Release Prevention STORE MATERIALS IN PROPER CONTAINERS. A MAJOR RELEASE OR SPILL WOULD INVOLVE SPILLING LESS THAT A QUART OF MOTOR OIL OR A PINT OF GAS TREATMENT (STP FOR EXAMPLE) WHICH COULD EASILY BE CLEANED UP. <2> Release Containment ALL AREAS WHERE SPILL HAPPENS SHALL BE MARKED OFF AND ONLY THOSE PEOPLE CLEANING UP THE SPILL SHALL BE ALLOWED IN THE SPILL AREA. <3> Clean Up CLEAN UP SPILL WITH ABSORBENT AND DISPOSE OF ALL CLEAN UP MATERIALS IN ACCORDANCE WITH FEDERAL, STATE AND LOCAL LAWS. <4> Other Resource Activation ....... ¡., ~ .' "'" e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 7 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTH EAST CORNER OF BUILDING B) ELECTRICAL - INSIDE NORTH EAST CORNER FUSE BOX C) WATER - ? D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - TWO FIRE EXTINGUISHERS FRONT AND REAR OF BUILDING FIRE HYDRANT - WHITE LANE 100 FT FROM NORTH EAST CORNER OF BUILDING DRIVEWAY ON WHITE LANE AT POPEYES CHICKEN ACROSS THE STREET ON WHITE LANE FROM OUR BUILDING (NORTH SIDE). <4> Building Occupancy Level ~ <; _, i,:?- ,~ "í e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 8 <G> Training <1> Employee Training WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE AT TH CORPORATE OFFICE. BRIEF SUMMARY OF TRAINING: ALL NEW EMPLOYEES RECEIVE TRAINING ON SAFETY, EVACUATION, MEETING PLACE IN THE EVENT OF AN EVACUATION SPLL CLEAN UP, FIRE ALARMS, FIRE EXTINGUISHERS, FIRST AID KIT AND SPILL RESPONSE EQUIPMENT. SPECIFIC TRAINING IN HOW TO READ MSDS SHEETS, "RIGHT TO KNOW" LAWS WARNING LABELS, CONSUMER PRODUCTS, EARTHQUAKE PREPAREDNESS, AND OIL COLLECTION IS ALSO PROVIDED TO ALL NEW EMPLOYEES. <2> Page 2 <3> Held for Future Use <4> Held for Future Use ».w ~~ ')'. ~~ '!Í ~ c, e e 08/21/96 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 9 <G> Training <4> Held for Future Use (Continued) · i'- -ii- e Property No. 27686 BUSINESS EMERGENCY PLAN RELEASE OR SPILL OF HAZARDOUS MATERIAL: EMERGENCY PROCEDURES If you see a chemical spill quickly tell the EMERGENCY SUPERVISOR. 1. EMERGENCY SUPERVISOR (MANAGER OR PERSON IN CHARGE ON DUTY) WILL NOTIFY ALL PERSONS IN THE STORE IN THE EVENT OF AN EMERGENCY, AND WILL TELL THEM TO EVACUATE THE STORE, IF NECESSARY, AND REMIND THEM OF WHERE TO MEET IF EVACUATION IS REQUIRED. 2. EMERGENCY SUPERVISOR WILL: 1) CONTACT THE FIRE DEPARTMENT AND OTHER AGENCIES AS REQUIRED; 2) GIVE INFORMATION REQUESTED BY SUCH AGENCIES; 3) TELL EMPLOYEES WHAT TO DO (CLEAN UP PROCEDURES OR EVACUATE); 4) NOTIFY MANAGER IF NOT ON DUTY. 3. IF NO EVACUATION IS NEEDED, EMERGENCY SUPERVISOR SHALL SEE THAT AREA OF SPILL IS CONTAINED AND THAT IT IS BLOCKED OFF SO THAT NOONE MAY WALK IN THE AREA EXCEPT PERSONS CLEANING UP SPILL. 4. EMERGENCY SUPERVISOR SHALL OVERSEE 1) SPILL CLEANUP; 2) PROPER DISPOSAL OF WASTE PER FEDERAL, STATE AND LOCAL LAWS. A spill or possible spill of hazardous materials that could cause serious present or future harm to people or the environment must be reported immediately to the agencies below. FINES AND JAIL TIME may result if not reported. (Health and Safety Code Section 25507a) The EMERGENCY SUPERVISOR shall report the spill as soon as he/she knows of the spill; unless 1) callin~ the a~encies would slow down the immediate control of the spill or 2) callin~ the a~encies would slow down ~ettin~ medical help. You do not need to report a spill !f you reasonably think that the spill causes no serious present or future hazard unless the spill goes outside of the store. A. Items to consider in deciding if there is a serious present or future hazard: 1. How much was or may be spilled? 2. Are employees and customers safe? 3. What spilled and where is spill going? (example: chemicals go into storm drains) B. IF THERE IS A SPIll. OUfSIDE OF TIiE SfORE IT MUST BE REPORTED. The EMERGENCY SUPERVISOR shall immediately call: 1. Fire. Police. paramedics 911 2. Office of Emergency Services (800) 852-7550 3. Local Aåninistering Agency 4. National Response Center (800) 424-8802 Other numbers that ~ need to be called: 5. Infotrac-Emergency Response Info (800) 535-5053 6. County Public Health Services (805) 861-3636 7. Regional Water Quality Control Board (209) 445-5116 8. Poison Control Center (209) 445-1222 9. Toxic Control Center (310) 590-4968 10. Medical facility on health plan (805) 328-9831 11. Medical facility on health plan () 12. Any other medical facility () Information to be provided when reporting a release/spill: 1. your name and title 2. store address: 4701 White Lane. Bakersfield. CA 93309 3. where was the spill (inside or outside of store; in air, soil, water. parking lot) 4. Type of spill (liquid, gas, solid) 5. How much was spilled. 6. What hazardous material was spilled. 6. extent of injuries. 7. possible hazards to human health and/or the environment. 8. EPA ID #CAL921364716 9. Is the chemical extremely hazardous? (If known) Used oil is not extremely hazardous. 10. hõW long did spill occur. (minutes, hours) 11. methods taken to cleanup/recover hazardous materials(s) 12. What will be done with the spilled materials after they are cleaned up? (1) put in hazmat bag for waste oil tank line if waste oil or (2) hazardous materials will be picked up by hazardous materials handler that removes such waste in accordance with federal, state and local laws). It -Î e Property No. 27686 1. NOTIFICATION AND EVACUATION PROCEDURES: Persons in store shall be notified verbally, by public address system or audible alarm. If the store needs to be evacuated, persons in store shall be instructed by EMERGENCY SUPERVISOR to leave the store through a specified door or doors and meet at location outside of store, as shown on the site plan. At meeting place outside of the store, make sure all employees and other persons in the store at the time of the evacuation are safe and uninjured. If no evacuation is required the area of the spill shall be blocked off until the spill is cleaned up. Only those persons cleaning up the spill shall be allowed in the spill area. At the same time as the EMERGENCY SUPERVISOR is reporting the spill, other employees will immediately cleanup and contain the spill and carry out all necessary action to keep spill from getting worse, as employees have been trained to do. The EMERGENCY SUPERVISOR shall direct and supervise the clean up. 2. MITIGATION/PREVENTION Procedures for preventing a hazardous material release or spill. A. Periodically, the store shall be inspected for leaking product as well as the condition of the waste oil container. When product is delivered, the employee accepting such slùpment shall visually inspect the merchandise for leaking containers. B. Waste oil tanks/drums shall be 1) an 85 gallon steel drum with a 55 gallon liner drum inside to provide a double wall contained system; or 2) a double walled above ground storage tank wlùch holds 185 gallons of waste oil. It is pressure tested steel and is made to above ground storage tank UL lab specs 142. C. All new employees receive training on: safety, evacuation, meeting place in the event of an evacuation, spill clean up, fire alarms, fire extinguishers, first aid kit and spill response equipment. Specific training in how to read MSDS sheets, "Right to Know" laws, warning labels, consumer products, earthquake preparedness, and oil collection is also provided to all new employees. (See Clùef employee manual). See also Facility Training Plan below. D. All employees are required to read and understand this Emergency Business Plan and shall be required to read this plan semi annually, such reading of the plan to be documented by the store manager. E. All employees are trained regarding elements of oil collection (a brief summary is attached). Oil levels must be regularly checked so that the drum or tank is not filled beyond its capacity. Call for oil pickup when needed if more often than as regularly scheduled. Waste oil containers shall be labeled as "waste oiL" Waste oil manifest receipts shall be kept for three years. Clean up from waste oil spill shall be properly disposed of by the waste oil hauler. F. The store will be kept in a neat and orderly condition so as to prevent general safety and environmental hazards. G. WITIUN 30 DAYS AFTER A SPILL OCCURS, ALL STORE EMPLOYEES SHALL RECEIVE REFRESHER TRAINING (WHICH SHALL BE DOCUMENTED IN WRITING) ON TIlE PROCEDURES TO BE FOLLOWED IN TIlE EVENT OF A SPILL OR RELEASE OF HAZARDOUS MATERIALS. 3. ABATEMENT A. All areas where spill happens shall be marked off and only those people cleaning up the spill shall be allowed in the spill area. Clean up spill with absorbent and dispose of all clean up materials in accordance with federal, state and local laws. C. Hazardous materials response kits shall be replenished as needed by Emergency Supervisor. D. How to clean up a chemical spill: 1. notify EMERGENCY SUPERVISOR. 2. use absorbent to soak up spill: 3. sweep into storage bags for pickup by tank line driver if oil or waste oil is spilled; 4. Clean up remainder with cleaning agents (ie Simple Green) and rags. 5. If spill is too big for employees to clean up, call the tank line that picks up your oil (for oil spills) or 911 for assistance from the fire department. 6. If spill flows outside of the store call: a. fire department 911 * e e Property No. 27686 b. office of Emergency Services (800) 852-7550* c. Local Administering Agency * ( ) (City or County if different from fire dept) d. National Response Center (800) 424-8802* e. Chemtrec-emergency response Information service (800) 424-9300 THEY WIti. TEti. YOU HOW TO CLEAN UP SPECIFIC CHEMICALS. THE CHIEF WAREHOUSE NEAR YOU OR TIlE LEGAL DEPARTMENT OR CHEMICAL PRODUCT MANAGER CAN ALSO PROVIDE MSDS INFORMATION ON CLEAN UP OF A SPIti.. f. K' e.m County Public Health services g. Regional Water Quality Control Board h. Poison Control Center i. Toxic Control Center (~os) ~~I- 310310 ~) 445 - s/lb (;:1nq) L.fL/S'-t~~ (310) 590· 'fIb8 *Must call--other calls will be made depending on the actual spill, or emergency. 4. FACILl1Y TRAINING PLAN: All new Chief employees receive video based training, written materials and worksheets. Training includes among other things: safe work practices; employee and customer injuries; Right to Know laws; hazardous materials information; responding to emergencies (including equipment required, chemical exposure, and spill training); disposal and storage of hazardous waste; emergency response and evacuation procedures, emergency contacts; and earthquake preparedness. A practice test and final exam are also included in the training materials. Store Managers document that new employees have received training and that employees as necessazy have received refresher training. 5. FACILl1Y EMERGENCY EQUIPMENT a. 6 gallon Waste Can (AIL PRODUcrs PlACED IN CAN SHAIJ. FIRST BE PUT IN AN INDMDUAL HAZMAT BAG. CHEMICALS SHOULD NOT BE MIXED DUE TO TIlE UNKNOWN AND DANGEROUS REAcnONS OF MIXING CHEMICALS. b. Haz mat disposal bags c. ziplock bags (large) d. power sorb pads/paper towels e. rubber gloves and splash goggles f. hazrnat labels g. Large yellow hazmat bags for return to warehouse of defective materials h. fire extinguishers i. first aid kit. j. Posted list of emergency procedures and phone numbers. 6. ARRANGEMENTS/ AGREEMEMTS. Chief Auto Parts has contracted with Valvoline Inc. to pick up all of Chiefs collected oil. Valvoline Inc. has contracted with Asbury, to be our oil hauler in California. Asbury is owned by Demenno-Kerdoon which will recycle/re-refine the used oil. (310) 886-3400 7. REVISIONS TO BUSINESS PLAN AND HAZARDOUS WASTE INVENTORY. This Business Plan must be revised if store moves, new owner, new business name; amount of waste oil increases by lOO%; emersz-encv contact chansz-es, use or handling of previously undisclosed reportable hazardous material; cha~e of storasz-e location of used oil drums/tank; or notify within 30 days of closing the business; and must be recertified to by Januæy 1 of every even numbered year. The hazardous material inventozy must be updated by Januæy 1 of each year. Chief Auto Parts Inc. Store address: 4701 White Lane. Bakersfield. CA 93309 This Business Plan was prepared by Loss Prevention Department, Loss Prevention Manager Pete Brennan. Regional address and phone number 1887 Business Center. Suite 5. San Bernardino. CA 92408 I DECLARE UNDER PENAL1Y OF lAW 1HAT I HAVE REVIEWED TIllS BUSINESS EMERGENCY/CONTINGENCY PLAN AND UNDERSTAND MY RESPONSIBIIJTIES; AND 1HAT TIlE INFORMATION PROVIDED IN TIllS AND AU. ATIACHED DOCUMENTS IS 1RIÆ AND CORRECT TO 1HE ~F.. Regional Manager:~ (]. '. Date: .~ J... ~ / t[; Name: James ~backi ~ i.._ _I T'J.'· '"to' ".'. . j - '2 7 br¿~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G'I STREET BAKERSFIELD, CA. 93301 HAZARDOUS MATERIALS INVENTORY 5/G FACILITY DESCRIPTION / CP1 f-?;-- ./ /'f~ CHECK IF BUSINESS IS A FARM [] BUSINESS NAME Ch~e.Ç R u-k C?(À.r-+~ T nc.. FACILITY NAME C _ ~,e.. ~ Ç) 0~ PG..'+ s SITE ADDRESS ~l 0 \ ~) k,1-e..ln. ßO-¥\.e.rs-Ce. \d C}} 9~~~~ CITY -Bú... ¥\~\5Ç\ ~\ð STATE C~ \I..ÇÖ\ n',CL NATURE OF BUSINESS R9.+~·\\ 'Sú..\~ () -Ç úV+O ~G\.r1s SIC CODE ~ 5~ß-'c ~. DUN & BRADSTREET NUMBER \ 8 - ill - 96 I 0 ZIP q 33a~ OWNER/OPERATOR c..~\e + ~Jo 8v~ -=r11 ( MAl LING ADDRESS J 5 ?i;¿3 \)& U ocõ> G..- Kw ð'Î CITY ùa.. \ I~ So STATE T~^C\.s PHON ~\J ,k <&xJ FHrN: Lec¡J ~-t 21 P J 5) L} g; EMERGENCY CONTACTS NAME .J;.H#d) SUßol"\ :, TITLE M QI\Q1 eC BUSINESS PHONE (005) 391- 0L8-24-HOUR PHONE (80S) 72S.. ~o NAME Coa.e.¡ £S1ES BUSINESS PHONE (~05) 3\l - oj 0 ï TITLE Ac;.~. fv\1W1¥ìE:(L 24-HOUR PHONE œo~) ~qB...()'I~ J..... 23. 1_ REGIONV lEPC STANDAI'ID FOAM BAKERSiii:LD CITY FI~E I?EP*MENT HAZARDOUS MATERIALS INVENTORY ~ Address 410 \ A. W h. \ k L 0..."'- ~ 1" j ""'1 Pa~e~ofl Business Name CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ J Addition [)CJ Revision [ J Deletion [ J 2) Common Name: !-tou,y'-"()\¿ dC) - å· Se...\.Ç. \ I IT <::...-T-e 6\ , Chemical Name: 1\)(") r\ Q. c.. R.A LJ...,) Q <::..-\-e- 4) PHYSICAL & HEALTH HAZARD CATEGORIES Check if chemical is a NON TRADE SECRET þ(¡J TRADE SECRET [ J 3) DOT # (oplionaJ) AHM [ ] CAS# ' PHYSICAL Fire [)4 Reactive [) Sudden Release of Pressure [ HEALTH Immediate Health (Acute) ;"~ Delayed Health (Chronic) 5) WASTE CLASSIFICATION 2.2\ 6) PHYSICAL STATE (3-digit code from DHS Form 8022) 40 USE CODE Solid [) Uquid ~J Gas [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACIl;!TY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container. # Days On Site 9) MIXTURE: Ust the three most hazardous chemical components or at'Iy AHM components 1 0) Location Pure [] Mixture ý(J Waste ~ OI(CX.,.IU. ruAr APPlY \85 \- \~~ 1I9-.00 l ~ 5 3,=>5 UNITS OF MEASURE Ibs[]galb<] 1't3[ curiel [ ] 8) STOAAGE CODES a) Container. M? b) Pressure: \ c) Temperature: I Circle Which Months: M, A. M. J, J. A. S. O. N, D 1 ) \) sed D~ \ \ l \CL1Þr COMPONENT AHM [ ] [ ] [ ) CAS # %wr 2) 3) CHEMICAL DESCRIPTION 2) Common Name: 1) INVENTORY STATUS: New [ ) Addition ~ Revision [ ) Deletion [ ) (NJu.J 1\.1<:' etA) Check if chemical is a NON TRADE SECRET TRADE SECRET [ ) E. \c.c:\--ro '1-\t S-tc..~ Bel. ~u . \ ' \ €...o._ C) 3) DOT # (optionaJ) \JtJ L ì c¡ I.J 2. 7~ L- CAS;I1 7 t.' cj - '} '3 - 9 Chemical Name: AHM [ ] 4) PHYSICAL&. HEALTH HAZARD CATEGORIES PHYSICAL Fire [) Reactive [ Sudden Release of Pressure [ ! \ l \ USE CODE 41 5) WASTE CLASSIFICATION 6) PHYSICAL STATE HEALTH Immediate Health (Acute) ~ Delayed Health (Chronic) (3-digit code from DHS Form 8022) Solid [I Uquid 9<1 Gas [ I Radioactive [ I 7) AMOUNT AND TIME AT FACIUTY Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: It Days On Site 9) MIXTURE: Ust the three most hazardous 1 ) chemical components or at'Iy AHM components 2) 10) Location Pure [I Mixture lX Waste [I CHEOOu. THAr APPt.'f 10-0 ìS 'Go 3<'=$ UNITS OF MEASURE 8) STORAGE CODES Ibs [ ) gal ()<J 1't3 [ ) a) Container: curies [ ) b) Pressure: U~~~ .\ \ .¡... \-e.o..s-t~~ ~cdo.'1.s c) Temperature: ß<>i+-e.r \-eS (.0 \\c¡.c.1'CÞ 0. , Circle'M\ich Months: e . J. F, M. A. M, J. J, A. S. 0: N, D \0 , \ 3) COMPONENT CAS # %'N'r AHM 74· 3>9 ~2. -I 27~3t.} [ ) 'I S o~-'o- 0 5q~tJ~ [ J 7 &."4 -'11-; lI-ê5. -Q.rooo-3Q 11ii11ii1:1 ...£CKÞI"I I.D'C3TNIIQoIrIAO~'" ¡ i':' ;:<4 BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA.' 93301 -. HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action. return this form within 30 days or receipt. ,2. TYpE/PRINT ANSWERS IN ENGLISH. ' 3. Answer the questions below for the business as 0 whole. 4. Be brief and concise os possible. SECTION 1: BUSINESS IDENTIFICATION DATA , . BUSINESS NAME: Ch'~ f}-.;t-o (fo.r-ts L. LOCATION: ~lo I l)hJ·~ l V\ ßa..~~r-s~e.\d CA (r~~O~ MAILING ADDRESS: J530~ Þo.\\lü ~o.rllJ.Jl J S\,A~: ~OO ) L~9a.\ ~-t-. CITY: ba.\\~~ STATE:Tx ZIP: 75;;)'-18 ~HON~':~)404-\l\4 DUN & BRADSTREET NUMBER: I ß - I J l - 3090 SIC CODE: 59 9 5 PRIMARY ACTIVITY: _R~.'+ð..·\ \ ~ C\ \~ ~ ~1D Po.r+S OWNER: c~\~~Av+-o \?6.r+~ IJ\G. MAILING ADDRESS: J5~03 . t:>ô..\\G.~ f>r.LrK.Wo.¡1 \UI~ ~C(). ~,\o..l Dept. 'Do..\\as. \~ 75:24f{ SECTION 2: EMERGENCY NOTIFICATION: CONTACT s;.~ Su~ TITLE BUS. PHONE 24 HR. PHONE ~fÆ. \'tÞtJi\b~ ~ 05) '397- 0167 ('ÔOs-) 12.5-43'40 C)S~. MAMYid--( ~ () s) 3/7- o~ 6 7 (50~) 3tt6-o9/2.. 1. 2. .. Ce~ . t:'s-æ;s ,1. , Hakersfield Fire Dept. _azardous Materia~s Diy\sion e HAZARDOUS M~TERIALS MANAGEMENT PLAN !~~ ...:, , , SECTION 3: TRAINING: NUMBER OF EMPLOYEES: MATERIAL SAFETY DATA S'HEETS ON FtLE: 0 \ \ A-n+\..çr~ev:~_ *,~() _, A}} CJ'tkr..s G.~I\o...'o\.Q..... -Þo,...,.... c.ðA.l"I~rc¡.k ~<i.Va.........I ~ 1.\ \ \ , - T 0 't-tA""S C r \1o-I~~~.s~ BRIEf SUMMARY OF TRAINING PROGRAM: . 5 e Q. 0. 1+ 0.. c..N.ó 1) \} 5 lOr-- e s.s ~ ¥'I'Q. ~ em.,<-~ f \0 "'Y\ SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THA r MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER ó,95 OF THE "CALlFORNIA 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 QUANTITŒS. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, .j C\..ffie.S A. 'h v \~ Þa..ck ~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY F!RM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODEII ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THÂT INACCURATE INFORMATlON.CONSTlTUTES PERJURY. ' e.~ ~GNATURE \2-, ~Oìî'a.,\ M().(\(\1 e,r TITLE <6('&1 {q?1 DATE 2. ~c 1 $Qr, ...;. .. > . - . "- ~ '..---. .. - ,- ~ .. . - ... " .... . ":e Bakersfi~ld Fire Dept. e Hazardous'Materials Division 27fo?!{; , I ',' _J. . .-. ..... . ~-.:' HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: C ~\Q..~ Av-to (?o.rl-s' SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: ~ 0. t\-<>-'-""-.J. ìL S\~s. £ ~ '\ '<.-1"'<-,\ \P 1 at'!\. B. EMPLOYEE NOTIFICATION AND EVACUATION: S~e. 0. +l-o..c.kd\b \J S \ f'<.. S s fmtr' ~ I ~ \ "-'"\ .. C, PUBLIC EV ACUAT¡ON: .s ~ ~ ú. ~ <..d ß \) S ; I'e s.s ¡: ""'<Act" <.. '1 A "" D. ,EMERGENCY MEDICAL PLAN: . 5-e -e. ú.4f>.Ckd ÛV SIN s.s E dh e 'J€ nc.y P)..'1 . - .- ..~ ..--.. 3. R:)¡S " e Bakersfield F~e D:~t: e - Hazardous Matenals DIVlslon ~>- -. , .......~... .. HAZAROO'US MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: S~ c.ft-úc..kc!- ,~ ßùs.; I'.£sS £ röI-Qr7:fenc1 A.RELEASE PREVENTION STEPS: f\~Y"' ~ '\ h. 8. RELEASE-CONTAINMENT AND/OR MINIMIZATION: C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: .<\~~ ~1~ P \(À.(\ ELECTRICAL: 5€.~ ,\\ ~ (p \CLtj WATER: See ~ L ~\U\ SPECIAL: LOCK BOX: YES/NO . IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. PRIVATE FIRE PROTEcnON: No¡ýr£: B. WATER A V AILABILlTY (FIRE HYDRANT): NONE 4. ~. 06/29/93__ . , . .. e e CHIEF AUTO PARTS 215-000-000516 Overall Site with 1 Fac. Unit Page 1 General Information Location: 4701 WHITE LN A Map: 123 Hazard: Low Community: BAKERSFIELD STATION 13 Grid: 14C FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone X~'¡~7·_~Úß,~-Þl ~Pe. t'\MlI\áEt.. ( lòo~) 397-0967 x ( ~) ,~s-'4 ;_~ro_' . 'ú>i€y : èŠfi5~: ':~, AssT. M MJ A t::Je:t- ( gaS" ) ~Ó/5-òqb1 x ( 90.s-) ?1Gß--oQI2- Administrative Data Mail Addrs: 1887 BUSINESS CENTER 5 D&B Number: City: SAN BERNARDINO State: CA Zip: 92408- Comm Code: 215-013 BAKERSFIELD STATION 13 SIC Code: Owner: SOUTHLAND CORPORATION Phone: (714) 889-3669 Address: 1887 BUSINESS CENTER 5 State: CA City: SAN BERNARDINO Zip: 92408- Summary , ~ k.a.s-l-, .f. 1"-1 ~~~J£ J , / +- \ v-o-+-OT' n--' -{.... (I'r-- ~ó e, ~ I:T G.Mo.... <;, IL ~v tJJtJ,cK, 01)) her~by e~riify ~haft ~ have (Type or print name) reviewed the attached hazardous materials manageD ment plan b'~Qf~~ndtha¡ i~ a!ong 'W¡~h any ,Q)i1'eåfions oon~titUJtf9 & complete andOOi"U'ed man-- agemeni p/M for iiII' fadllty. s.-. "'~ ~ ~AN'Mti kd2wL ~tjz)~:1 ~ - gnatUlS Date .40 06/29/93 ~ . PIn-Ref Name/Hazards 02-002 ANTIFREEZE ~ 02-003 FREON 12 ~ 02-001 NEW MOTOR OIL ~ e e Page 2 CHIEF AUTO PARTS 215-000-000516 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty MCP 250 Low GAL 19000 Minimal FT3 2000 Minimal GAL ? ? ? It e 06/29/93 . . CHIEF AUTO PARTS 215-000-000516 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 ANTIFREEZE ~ ? 250 Low GAL CAS =It: Trade Secret: No Form: Unknown Type: Mixture Days: Use: COOLANT/ANTIFREEZE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount<GAL -- 250 I 0.00 I . 2,190.00 Storage PLASTIC CONTAINER r Press T Temp l Location SW CORNER OF BUILDING - Conc -I Components ~ MCP iUide 100.0%. Ethylene Glycol Low 27 02-003 FREON 12 ? 19000 Minimal ~ FT3 CAS =It: Trade Secret: No Form: Unknown Type: Pure Days: Use: COOLING ---- Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 ~ 19,000 I 0.00 I 130,000.00 Storage r Press T Temp l Location PORT. PRESS. CYLINDER 10 FT FROM FRONT DOOR \ - Conc ~ Components 100.0% Dichlorodifluoromethane . r; MCP ~uide Minimal I 12 02-001 NEW MOTOR OIL ~ ? 2000 Minimal GAL CAS =It: Trade Secret: No Form: Unknown Type: Pure Days: Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 2,000 I 0.00 I 7,000.00 Storage PLASTIC CONTAINER r. Press T Temp l Location ALONG EAST BACK WALL - Conc l Components 100.0% Motor Oil, Petroleum Based ~ MCP -=--rGuide Minimal I 27 e e 06/29/93 CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation VERBALLY INFORM EMPLOYEES AND CALL 911 AND HEAD AN THE EXIT <3> Public Notif./Evacuation <4> Emergency Medical Plan NEAREST HOSPITAL e e 06/29/93 ¡ ~ CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 5 <E> Mitigation/prevent/Abatemt <1> Release Prevention STORE MATERIALS IN PROPER CONTAINERS. A MAJOR RELEASE OR SPILL WOULD INVOLVE SPILLING LESS THAN A QUART OF MOTOR OIL OR A PINT OF GAS TREATMENT (STP FOR EXAMPLE), WHICH COULD EASILY BE CLEANED UP <2> Release Containment <3> Clean Up <4> Other Resource Activation e e 06/29/93 ~ CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 6 ~ ~. ; <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTH EAST CORNER OF BUILDING B) ELECTRICAL - INSIDE NORTH EAST CORNER FUSE BOX C) WATER - ? D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION -.TWO FIRE EXTINGUISHERS FRONT AND REAR OF BUILDING FIRE HYDRANT - WHITE LANE 100 FT FROM NORTH EAST CORNER OF BUILDING DRIVEWAY ON WHITE LANE AT POPEYES CHICKEN ACROSS THE STREET ON WHITE LANE FROM OUR BUILDING (NORTH SIDE) <4> Building Occupancy Level e e <)'.j ";', CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 7 06/29/93 o¿ C <G> Training <1> Page 1 WE HAVE jÎEMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use -- e 06/29/93 . i:\, Sci,_~; t';o ~ CHIEF AUTO PARTS 215-000-000516 00 - Overall Site Page 8 <H> RMPP DATA <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction t: r¡ e , e MATERIAL SAFETY DATA SHEET APPROVED BY U. S. LABOR DEPARTMENT ESSENTIALLY SIMILAR TO FORM OSHA 174 PRODUCT IDENTITY: PEAK4i) ANTIFREEZE & COOLANT I. SUPPLIER OLD WORLD AUTOMOTIVE PRODUCTS, INC. 4065 COMMERCIAL A VENUE NORTHBROOK, ILLINOIS 60062 PHONE: 708/559-2000 CHEMTREX PHONE: 1-800/424-9300 ll. HAZARDOUS INGREDIENTS MATERIAL CASH % BY WT PEL (OSHA) TLV (ACGllI) Ethylene Glycol 107-21-1 90 - 95 None Known 50 ppm Diethylene Glycol 11146-6 0- 5 None Known 50 ppm LOWEST KNOWN LD50 (ORAL) 107-21-1 5840 mg/kg (Rats) LOWEST KNOWN LD50 (SKIN) 107-21-1 9530 mg/kg (Rabbits) HAZARD RATING HEALTH (NFPA): 1 HEALTH (HMIS): 1 FLAMMABILITY: 1 THIS PRODUCT IS LISTED IN THE TSCA INVENTORY. None (UNOOO) None REACTIVITY: 0 DOT SHIPPING NAME: DOT LABEL: ID. PHYSICAL DATA BOILING RANGE: API GRAVITY: SPECIFIC GRAVITY (Water = 1): POUNDS/GALLONS: VAPOR PRESSURE (nun OF Hg) @ 20C: VAPOR DENSITY (air = 1): WATER ABSORPTION: ACID ABSORPTION (85 % H2SO4): DRY TIME (Ether = 1): % VOLATILE BY VOLUME: APPEARANCE: ODOR: REFRACTIVE INDEX: - 171 - 175°C (339 - 348 OF) Not Applicable 1.12 9.3 0.1 2.1 Appreciable Appreciable Long 97.0 Green Mild 1.431 PRODUCT IDENTITY: ANTIFREEZE & COOLANT Page -1- 1':--¿" .... e - IV. FIRE & EXPLOSION HAZARDS AUTO IGNITION TEMPERATURE: 750° F FLASH POINT (TEST METHOD): 118° C/245°F (TCC) (Lowest Component) LOWER FLAMMABLE LIMIT IN AIR (% by volume): 1.5 (Lowest Component) FLAMMABILITY CLASSIFICATION: Class UIB FIRE EXTINGUISHING MEDIA: NFPA Class B extinguishers. For class III B liquid fire (dry chemical, foam or carbon dioxide (co2» SPECIAL FIRE FIGHTING PROCEDURES: Water spray may be ineffective on fire but can protect fire fighters & cool closed containers. Use fog nozzles if water is used. Do not enter confined fire-space without full bunker gear. (Helmet with face shield, bunker coats, gloves & rubber boots.) Use a NIOSH-approved, positive-pressure, self-contained breathing apparatus. Keep container tightly closed. Isolate from oxidizers, heat & open flame. UNUSUAL EXPLOSION & FIRE PROCEDURES: Closed containers may explode if exposed to extreme heat. Applying to hot surface requires special precautions. Empty container very hazardous! Follow all label precautions! v. REACTIVITY DATA STABILITY : Stable CONDITIONS TO AVOID: Isolate from oxidizers, heat & open flame. MATERIALS TO AVOID: Isolate from strong oxidizers such as permanganates, chromates & peroxides. HAZARDOUS DECOMPOSITION PRODUcrS: Carbon monoxide, carbon dioxide from burning. CONDITIONS CONTRIBUTING TO HAZARDOUS POLYMERIZATION: Material is not known to polymerize. PRODUCT IDENTITY: ANTIFREEZE & COOLANT Page -2- ~ ~. e e VI. HEALTH HAZARD DATA THRESHOLD LIMIT VALUE: 50 ppm (ceiling value) PREVENTION OF OVEREXPOSURE: Avoid prolonged or repeated breathing of vapor or spray mist. Do not get in eyes, on skin or clothing. Do not take internally. ORGANIC EFFECTS: EYE & SKIN. CONTACT - OF ACUTE OVER-EXPOSURE: Primary irritation to skin, deffating, dermatitis. Primary irritation to eyes, redness, tearing, blurred vision. Absorption through skin increases exposure. SWALLOWING: Harmful or fatal if swallowed; swallowing may cause abdominal irritation, nausea, vomiting and diarrhea. ORGANIC EFFECTS: EYE & SKIN CONTACT - OF CHRONIC OVER-EXPOSURE: Liquid causes eye irritation. Wash thoroughly after handling. CANCER HAZARD: This product has no carcinogens listed by IARC, NTP, NIOSH, OSHA or ACGlH, as of this date, GREATER OR EQUAL TO 0.1 %. EMERGENCY & FIRST AID PROCEDURES: In case of contact with skin, flush with plenty of water. For eyes, flush with plenty of water for 15 minutes and get medical attention. After high vapor exposure, remove to fresh air. If breathing is difficult, give oxygen. If breathing has stopped, give artificial respiration. If swallowed, CALL A PHYSICIAN IMMEDIATELY! Induce vomiting promptly following physician's instructions or by having patient stick finger down throat. Never give anything by mouth to an unconscious person. PRODUCT IDENTITY: ANTIFREEZE & COOLANT Page -3- ;;~....... ~ - e VII. SAFE HANDLING & USE PRECAUTIONS SPILL OR LEAK PROCEDURES: Small: Mop up with absorbent material and transfer to hood. Large: Isolate from oxidizers, heat and open flame. Persons without proper protection should be kept from an area until cleaned up. WASTE DISPOSAL METHOD: Small: Evaporate until all vapors are gone. Dispose of remainder by legally applicable methods. Large: Recycle or incinerate, observing local, state and federal health, safety and pollution. OTHER PRECAUTIONS: Store large amounts in structures made for OSHA Class ·OTHER liquids.· Avoid free fall of liquid ground containers when transferring. Do not flame cut, braze or weld. Empty container very hazardous! Follow all label precautions! Vill. CONTROL MEASURES RESPIRATORY PROTECTIONS: Ventilate to keep air below SO ppm. If over TLV, in accordance with 29 CFR 1910.134, (SPECIFIC TYPE), USE a NIOSH-approved, positive-pressure, self-contained breathing apparatus. VENTILATION: LOCAL EXHAUST: Necessary SPECIAL: None MECHANICAL (GENERAL): Acceptable OTHER: None PROTECTIVE CLOTHING: Wear OSHA standard goggles or face shield. Consult safety equipment supplier. Wear gloves, apron and footwear impervious to this material. Wash clothing before reuse. IX. DOT TRANSPORTATION SHIPPING NAME: Not applicable HAZARD CLASS: Not applicable I.D. NUMBER: ','- '< ,. Not applicable MARKING: Not applicable LABEL: Not applicable PLACARD: Not applicable HAZARDOUS SUBSTANCE/RQ: Not applicable SHIPPING DESCRIPTION: Not applicable PRODUCT IDENTITY: ANTIFREEZE & COOLANT Page -4- . -~.\ -.~._=~ e e X. HAZARD CLASSIFICATION This product meets the following hazard definition as defined by the Occupational Safety and Health Hazard Communication Standard (29 CFR Section 1910.12(0): Health Hazard (Section VI) XI. ADDmONAL COMMENTS THIS PRODUCT MEETS REQUIREMENTS OF LA RULE 66 & SIMILAR REGULATIONS. THIS PRODUCT DOES NOT APPEAR IN THE CALIFORNIA HEALTH & SAFETY CODE, SECTION 25249.5 ("PROPOSITION 65" LISTING OF CHEMICALS UNDER THE ACT.) THIS PRODUCT CONTAINS THE FOLLOWING CHEMICAL OR CHEMICALS SUBJECT TO THE REPORTING REQUIREMENTS OF SECTION 313 OF TITLE m OF THE SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT OF 1986 AND 40 CFR PART 372. ETHYLENE GLYCOL Old World Automotive Products, Inc. makes no warranty, representation or guarantee as to the accuracy, sufficiency or completeness of the material set forth herein. It is the user's responsibility to determine the safety, toxicity and suitability of his own use, handling and disposal of this product. Since actual use by others is beyond our control, no warranty expressed or implied, is made by Old World Automotive Products, Inc. as to the effects of such use, the results to be obtained or the safety and toxicity of this product, nor does Old World assume any liability arising out of the use by others of this product referred to herein. The data in this MSDS relates only to the specific material designated herein and does not relate to use in combination with any other material or in any process. Old World does not recommend blending this product with any other chemicals. DATED: 1/2/92 . PRODUCT IDENTITY: ANTIFREEZE & COOLANT Page -5- 72-62-7925-11 e~Å~ Ya/YOÚÍJe. V AL V ULII" t:, 1I"l,;. Subsid;a'Y of Ashland Oil, Inc, P.O. BOXa>O lEXINGTON, KEN_KY 40512 (606) 264-7000 ''''-IIUUI Emer!;t!ncy Telephone 1 (8001274-5263 or 1-800-ASHLAND ~,-- (!; MATERIAL SAFETY DATA SHEET 000399 FREON 12 THIS HSDS COMPLIES HITH 29 CFR 1910.1200 (THE HAZARD COMMUNICATION STANDARD) Page: 1 ,XXXXXXXXXXXXXX*KXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Product Name: FREON 12 CAS NUMBER: 75-71-B 08 91 061 1154108-651 Data Sheet No: 0016534-005 Prepared: 08/21/89 Supersedes: 08/14/89 RON CHARLES IG-LO SALES 1500 PRESTON RD.. #2201 PLANa. TX 75093 PRODUCT: INVOICE: REQST INVOICE DATE: 06/11/91 TO: ~~~~:'1~rJ~I~:¡IJIII;~Ê!i!t')t.1I1ãmEiõt1~~~\ln~IG:~~~~~~ General or Generic ID: HALOGENATED HYDROCARBON DOT Hazard Classification: NON-FLAMMABLE COMPRESSED GAS (173.300) ~~'fIJ~~~~;tCî1~~'m~nt:;i~à~~~~~~~~~~l IF PRESENT. IARC. NTP AND OSHA CARCINOGENS AND CHEMICALS SUBJECT TO THE REPORT- ING REQUIREMENTS OF SARA TITLE III SECTION 313 ARE IDENTIFIED IN THIS SECTION. . SEE DEFINITION PAGE FOR CLARIFICATION % (bv off) PEL >95 1000 PPM INGREDIENT DICHLORODIFLUORO METHANE CAS #: 75-71-8 TlV 1000 PPM Note ( 1) Vapor Pressure Notes: ( 1) THIS CHEMICAL IS SUBJECT TO THE REPORTING REQUIREMENTS OF SECTION 313 OF SARA TITlE III. ~~~~=JÞh~(fIIDt't1(1~;J:~~1t1c:'!~'~"}~'1t!~~~~;:~~~ Boiling Point for PRODUCT -21.60 Deg F ( -29.77 Deg C) ~ 760.00 mm Hg 4700.00 mm Hg êi) 77.00 Deg F ( 25.00 Deg C) 4.3 for PRODUCT eci fic Vapor Density ~ecific Gravity AIR = 1 1.310 êi) 77.00 Deg F ( 25.00 Deg C) Percent Volatiles 100.00% Evaporation Rate FASTER THAN ETHER Appearance CLEAR & COLORLESS State GAS Form HOMOG SOLN ~~~~~1::'!c;1rJ~'~i!J~~,:t.:':.':~~~£:J'J:t~.;~~~.?'~ FLASH POINT NOT APPLICABLE EXPLOSIVE LIMIT NOT APPLICABLE EXTINGUISHING MEDIA: HAZARDOUS DECOMPOSITION PRODUCTS: HAY FORM TOXIC HATERIALS:. HYDROGEN CHLORIDE. PHOSGENE. HYDROGEN FLUORIDE. ETC FIRE FIGHTING PROCEDURES: HEAR SELF-CONTAINED BREATHING APPARATUS HITH A FULL FACEPIECE OPERATED IN THE POSITIVE PRESSURE DEMAND HODE WHEN FIGHTING FIRES. SPECIAL FIRE & EXPLOSION HAZARDS: NOT APPLICABLE NFPA CODES: HEALTH- 1 FlAHHABILITY- 0 REACTIVITY- 1 ~~_'-~:!Ì~;f~'_~'Y~t1r!~l=~~~ PERMISSIBLE EXPOSURE LEVEL 1000 PPM THRESHOLD LIMIT VALUE 1000 PPM EFFECTS OF ACUTE OVEREXPOSURE: EYES - CAN CAUSE SEVERE IRRITATION. REDNESS. TEARING. BLURRED VISION. SKIN - CONTACT HITH LIQUID CAN RESULT IN FREEZING OF TISSUE. BREATHING - EXCESSIVE INHALATION OF VAPORS CAN CAUSE NASAL AND RESPIRATORY IRRITATION. CENTRAL NERVOUS SYSTEM EFFECTS INCLUDING DIZZINESS. WEAKNESS. FATIGUE. NAUSEA. HEADACHE AND POSSIBLE UNCONSCIOUSNESS. AND EVEN DEATH. SHALLOHING - CAN CAUSE GASTROINTESTINAL IRRITATION. NAUSEA. VOMITING. AND DIARRHEA. COPYRIGHT 1989 CONTINUED ON PAGE: 2 MATERIAL SAFETY DATA SHEET -vALVO LI NE,INC~---- Subsidiary of Ashland O~. Inc. P.O. BOX. LEXINGTON, KEN Y 40512 (606) 264-7000 - --¿i:f'-no-u,---- Emer!jcmcy Telephone 1 (800) 274-5263 or 1-800-ASHLAND -..---~--------- ------ :>"'~/'>o, ~ 7Z-6Z-79Z5-11 e.'Å~ YaIYOÜn~( 000399 FREON 12 Page: 2 ~~::¡~FJ~'~:Yé':1I~;111~\1r1:~(Ì~~_~~: FIRST AID: IF ON SKIN: SLOHLY HARM THE AFFECTED AREA HITH TEPID HATER. GET MEDICAL ATTENTION. IF IN EYES: FLUSH HITH LARGE AMOUNTS OF HATER, LIFTING UP~ER AND LOHER LIDS OCCASIONALLY, GET MEDICAL ATTENTION. IF SHALLOHED: DO NOT INDUCE VOMITING, KEEP PERSON HARM AND QUIET, AND GET MEDICAL ATTENTION. IF BREATHED: IF AFFECTED. REMOVE INDIVIDUAL TO FRESH AIR. IF BREATHING IS DIFFICULT, ADMINISTER OXYGEN. IF BREATHING HAS STOPPED GIVE ARTIFICIAL RESPIRATION. KEEP PERSON HARM, QUIET AND GET MEDICAL ATTENTION. DO NOT GIVE STIMULANTS. EPINEPHRINE OR EPHEDRINE HAY ADVERSELY AFFECT THE HEART HITH FATAL RESULTS. PRIMARY ROUTE(S) OF ENTRY: INHALATION, SKIN CONTACT _~~~:!I~rJti·ø~'þÇ;J~€!a:C!:lFttA'JI(Jr\·h.:~JI':\'!rJ:~~~~~~ HAZARDOUS POLYMERIZATION: CANNOT OCCUR STABILITY: STABLE INCOMPATIBILITY: AVOID CONTACT HITH:, 4LKALI METALS, POWDERED METALS, ALKALINE METALS _=!~'il{f~í~'/1t'~"1;,.1~ØL1Si;i:l')~~1&:::r~:œ~~ð.)q~I~_1 STEPS TO BE TAKEN IN CASE MATERIAL IS RF.LEASED OR SPILLED: SMALL SPILL: VENTILATE AREA. ALLOH TO EVAPORATE. LARGE SPILL: ALLOH TO EVAPORATE. PERsor~ NOT HEARING PROTECTIVE EQUIPMENT SHOULD BE EXCLUDED FROM AREA UNTIL LEAK HAS BEEN REPAIRED. HASTE DISPOSAL METHOD: SMALL SPILL: ALLOH MATERIAL TO EVAPORATE. LARGE SPILL: RETURN TO SUPPLIER FOR RECLAMATION. ~',~=~rì(i'~C;;~:{'},FI::(~1rj(\'A_~~:·t .SPlRATORY PROTECTION: IF HORKPLACE EXPOSURE LIMIT(S) OF PRODUCT OR ANY COMPONENT IS EXCEEDED (SEE SECTION II), A NIOSH/MSHA APPROVED AIR SUPPLIED RESPIRATOR IS ADVISED IN ABSENCE OF PROPER ENVIRONMENTAL CONTROL. OSHA REGULATIONS ALSO PERMIT OTHER NIOSH/HSHA RESPIRATORS (NEGATIVE PRESSURE TYPE) UNDER SPECIFIED CONDITIONS (SEE YOUR SAFETY EQUIPMENT SUPPLIER). .ENGINEERING OR ADMINISTRATIVE CONTROLS SHOULD BE IMPLEMENTED TO REDUCE EXPOSURE. VENTILATION: PROVIDE SUFFICIENT MECHANI':AL (GENERAL AND/OR LOCAL EXHAUST) VENTILATION TO MAINTAIN EXPOSURE BELOH nv( S). PROTECTIVE GLOVES: HEAR RESISTANT GLOVES SUCH AS:, POLYVINYL ALCOHOL EYE PROTECTION: CHEMICAL SPLASH GOGGLE~ IN COMPLIANCE HITH OSHA REGULATIONS ARE ADVISED; HOHEVER, OSHA REGULATIONS ALSO PERMIT OTHER TYPE SAFETY GLASSES. (CONSULT YOUR SAFETY EQUIPMENT SUPPLIER) OTHER PROTECTIVE EQUIPMENT: NORMAL HORK CLOTHING COVERING ARMS AND LEGS. ~~::ïe.;,rlt!IØ;"'b:~JH:ó1~~'~I_~~~~~ CONTAINERS OF THIS MATERIAL MAY BE HAZARDOUS HHEN EMPTIED.SINCE EMPTIED CONTAINERS RETAIN PRODUCT RESIDUES (VAPOR, LIQUID, AND/OR SOLID), ALL HAZARD PRECAUTIONS GIVEN IN THE DATA SHEET MUST BE OBSERVED. THE INFORMATION ACCUMULATED HEREIN IS BELIEVED TO BE ACCURATE BUT IS NOT HARRANTED TO BE HHETHER ORIGINATING HITH THE COMPANY OR NOT. RECIPIENTS ARE ADVISED TO CONFIRM IN ADVANCE OF NEED THAT THE INFORMATION IS CURRENT, APPLICABLE, AND SUITABLE TO THEIR CIRCUMSTANCES. COPYRIGHT 1989 LAST PAGE--SEE ATTACHMENT PAGE ENCLOSED--LAST PAGE 7Z-6Z-79ZS-11 e~~~ Yalyoúne ::-- ~ MATERIAL SAFETY DATA SHEET VJ.\LVULII"t:, II"\"'. Subsidiary of Ashland Oil, Inc, P.O. BOX "0 LEXINGTON. KEN.KY 40512 (606) 264-7000 '''-'IUU' Emer!i~ncy Telephone 1 (800) 274-5263 or 1-800-ASHLAND DEFINITIONS This definition page is intended for use with Material Safety Data Sheets supplied by the Valvoline Oil Company. Recipients of these data sheets should consult the OSHA Safety and Health Standards (29 CFR 1910), particularly subpart G - Occupational Health and Environmental Control. and subpart I - Personal Protective Equipment, for general guidance on control of potential Occupational Health and Safety Hazards. SECTION I PRODUCT IDENTIFICATION GENERAL OR GENERIC ID: Chemical family or product description. DOT HAZARD CLASSIFICATION: Product meets DOT criteria for hazards listed. SECTION II COMPONENTS Components are listed in this section if they present a physical or health hazard and are present at or above 1 % in the mixture. If a component is identified as a CARCINOGEN by NTP, IARC or OSHA as of the date on the MSDS, it will be listed and footnoted in this section when present at or above 0.1 % in the product. Nega- tive conclusions concerning carcinogenicity are not re- ported. Additional health information may be found in Section V. Components subject to the reportinQ re- quirements of Section 313 of SARA Title III are Identi- fied in the footnotes in this section, along with ty'pical percentages. Other components may be listed If deemed appropriate. Exposure recommendations are for components. OSHA Permissible Exposure Umits (PELs\ and American Con- ference of Governmental Industrial Hygienists (ACGIH) Threshold Umit Values (TLVs) appear on the line with the component identification. Other recommendations appear as footnotes. SECTION III PHYSICAL DATA BOILING POINT: Of product if known. The lowest value of the components is listed for mixtures. VAPOR PRESSURE: Of product if known. The highest value of the components is listed for mixtures. SPECIFIC VAPOR DENSliY: Compared to AIR ... 1. If Specific Vapor Density of product is not known, the value is expressed as lighter or heavier than air. SPECIFIC GRAVliY: Compared to WATER - 1. If Specific Gravity of product is not known, the value is expressed as less than or greater than water. pH: If applicable. PERCENT VOLATILES: Percentage of material with ini- tial boiling point below 425 degrees Fahrenheit and vapor pressure above 0.1 mm Hg at 68 F. EVAPORATION RATE: Indicated as faster or slower than ETHYL ETHER, unless otherwise stated. SECTION IV ~. FIRE AND EXPLOSION DATA FLASH POINT: Method identified. EXPLOSION LIMITS: For product if known. The lowest value of the components is listed for mixtures. HAZARDOUS DECOMPOSITION PRODUCTS: Known or expected hazardous products resulting from heat- ing, burning or other reactions. EXTINGUISHING MEDIA: Following National Fire Protection Association criteria. SECTION IV (cont.) FIREFIGHTING PROCEDURES: Minimum equipment to protect firefighters from toxic products of vaporiza- tion, combustion or decomposition in fire situations. Other firefighting hazards may also be indicated. SPECIAL FIRE AND EXPLOSION HAZARDS: States hazards not covered by other sections. NFPA CODES: Hazard ratings assigned by the National Fire Protection Association. SECTION V HEALTH HAZARD DATA PERMISSIBLE EXPOSURE LIMIT: For product. THRESHOLD LIMIT VALUE: For product. EFFECTS OF ACUTE OVEREXPOSURE: Potential local and systemic effects due to single or short term overexposure to the eyes and sKin or through in- halation or ingestion. EFFECTS OF CHRONIC OVEREXPOSURE: Potential local and systemic effects due to repeated or long term overexposure to the eyes and skin or through inhalation or ingestion. FIRST AID: Procedures to be followed when dealing with accidental overexposure. PRIMARY ROUTE OF ENTRY: Based on properties and expected use. SECTION VI REACTIVliY DATA HAZARDOUS POLYMERIZATION: Conditions to avoid to prevent hazardous polymerization resulting in a large release of energy. STAB I LliY: Conditions to avoid to prevent hazardous or violent decomposition. INCOMPATIBILliY: Materials and conditions to avoid to prevent hazardous reactions. SECTION VII SPILL OR LEAK PROCEDURES Reasonable precautions to be taken and methods of containment, clean-up and disposal. Consult federal, state and local regulations for accepted procedures and any reporting or notification requirements. SECTION VIII PROTECTIVE EQUIPMENT TO BE USED Protective equipment which may be needed when han- dling the product. SECTION IX SPECIAL PRECAUTIONS OR OTHER COMMENTS Covers any relevant points not previously mentioned. SECTION X LABEL INFORMATION Contains label information including physical and health hazard warnings, handling and first aid instructions appropriate for the product. ADDITIONAL COMMENTS Containers should be either reconditioned by CERTIFIED firms or properly disposed of by APPROVED firms. Disposal of containers should be in accordance with applicable laws and regulations. -EMPTY- drums should not be SJiven to indi- viduals, Serious accidents have resulted from the misuse of -EMPTIED" containers (drums, pails, etc.). Refer to Sect- ions IV and IX, ~ç. ~ e e SUPERFlO 10W-30 E)$(ON COMPANY USA A DIVISION OF EXXON CORPORATION DATE ISSUEO; 12/02/91 SUPERSEDES DATE: 08/01/91 MATERIAL SAFETY DATA SHEET EXXON COMPANY, U,S,A. P.O, BOX 2180 HOUSTON, TX 77252-2180 A, IDENTIFICATION AND EMERGENCY INFORMATION PRODUCT NAME SUPERFLO 10W-30 PRODUCT CODE 211618 - 01618 PRODUCT CATEGORY Petroleum lubricating Oil PRODUCT APPEARANCE AND ODOR Clear, dark amber 1 iquid Mild, bland petroleum odor ¡ MEDICAL EMERGENCY TELEPHONE NUMBER I (713) 656-3424 B. COMPONENTS AND HAZARD INFORMATION ¡ COMPONENTS Distillates (petroleum), hydrotreated heavy paraffinic or Distillates (petroleum), sclvent-dewaxed heavy paraffinic CAS NO. OF COMPONENTS APPROXIMATE CONCENTRATION 64742-54-7 Greater than 85% or 64742-65-0 Proprietary additives Mixture Less than 15% All components 01' this product are listed on the U.S. TSCA inventory. See Section E for Health and Hazard Information, ì , I ¡ ! HAZARDOUS MATERIALS IDENTIFICATION SYSTEM (HMIS) ¡ Health Flammability Reactivity BASIS ; 1 1 . 0 Recommended by Exxon ¡ EXPOSURE LIMIT FOR TOTAL PRODUCT BASIS II 5 mg/m3 for oil mist (aerosol) for OSHA Regulation 29 CFR 1910.1000 and recommended by the an 8-hour workday American Conference 01' Governmental Industrial Hygienists ! (ACGIH), ACGIH states that the air is to be sampled by a ! method that does not collect vapor; in addition, it lists a 10 mg/m3 STEL. See Section H for additional Environmental Information. C. PRIMARY ROUTES OF ENTRY AND EMERGENCY AND FIRST AID PROCEDURES EYE CONTACT If splashed into the eyes, flush with clear water for 15 minutes or until irritation subsides, If irritation persists, call a physician, SKIN In case of skin contact, remove any contaminated clothing and wash skin with soap and water. Launder or dry-clean clothing before reuse, If product is injected into or under the skin, or into any part of the body, regardless of the appearance 01' the wound or its size, the individual should be evaluated immediately by a physician as a surgical emergency. Even though initial symptoms from high pressure injection may be minimal or absent, early surgical treatment within 945- 02 77(MWHOO 1) e e i'-- ...... SUPERFLO 10W-30 tne first few nours may significantly reduce tne ultimate extent of injury, INHALATION vapor pressure is very low, vapor inna1ation under ambient conditions is normally not a problem, If overcome by vapor from hot product, immediately remove from exposure and call a physician, If breathing is irregular or has stopped, start resuscitation; administer oxygen, if available, If overexposed to oil mist, remove from further exposure until excessive oil mist condition subsides, INGESTION If ingested, DO NOT induce vomiting; call a physician immediately. D, FIRE AND EXPLOSION HAZARD INFORMATION FLASH POINT (MINIMUM) 200'C (392.'F) ASTM 0 92. Cleveland Open Cup AUTOIGNITION TEMPERATURE Greater than 260'C (500'F) NATIONAL FIRE PROTECTION ASSOCIATION (NFPA) - HAZARD IDENTIFICATION Health Flammability Reactivity BASIS 1 1 0 Recommended by Exxon HANDLING PRECAUTIONS Use product with caution around heat. sparks. pilot lights, static electricity. and open flame, FLAMMABLE OR EXPLOSIVE LIMITS (APPROXIMATE PERCENT BY VOLUME IN AIR) Estimated values: Lower Flammable Limit 0.9% Upper Flammable Limit 7% EXTINGUISHING MEDIA AND FIRE FIGHTING PROCEDURES- Foam, water spray (fog). dry chemical. carbon dioxide and vaporizing liquid type extinguishing agents may all be suitable for extingutshing fires involving this type of product, depending on size or potential size of fire and circumstances related to the situation. Plan fire protection and response strategy through consultation with local fire protection authorities or appropriate specialtists. The following procedures for this type of product are based on the recommendations in the National Fire Protection Association's "Fire Protection Guide on Hazardous Materials", Eighth Edition (1984): Use water ~pray, dry chemical, foam, or carbon dioxide to extinguish the fire. Water or-foam may cause frothing. Use water to keep fire-exposed containers cool. Water spray may be used to flush spills away from exposures. Minimize breathing of gases, vapor, fumes or decomposition products, Use supp1 ied-air breathing equipment for enclosed or confined spaces or as otherwise needed, DECOMPOSITION PRODUCTS UNDER FIRE CONDITIONS Fumes, smoke, carbon monoxide, sulfur oxides, aldehydes and other decomposition products, in the case of incomplete combustion. "EMPTY" CONTAINER WARNING "Empty" containers retain residue (liquid and/or vapor) and can be dangerous, DO NOT PRESSURIZE, CUT, WELD, BRAZE, SOLDER, DRILL, GRIND DR EXPOSE SUCH CONTAINERS TO HEAT, FLAME, SPARKS, STATIC ELECTRICITY, OR OTHER SOURCES OF IGNITION; THEY MAY EXPLODE AND CAUSE INJURY OR DEATH, Do not attempt to clean since residue is difficult to remove. "Empty" drums should be completely drained, properly bunged and promptly returned to a drum reconditioner. All other containers should be disposed of in an environmentally safe manner and in accordance with governmental regulations. For work on tanks refer to Occupational Safety and Health Administration regulations, ANSI Z49.1, ~nd other governmental and i industrial references pertaining to cleaning, repairing, welding, or other contemplated ¡ operations, : PAGE: 2 DATE ISSUED: 12/02/91 SUPERSEDES DATE: 08/01/91 945-0277IMWHQC2: ~ ....... e e SUPERFLO 10W-30 E. HEAL TH AND HAZARD INFORMATION VARIABILITY AMONG INDIVIDUALS Health studies have shown that many petroleum hydrocarbons and synthetic lubricants pose potential human health risks which may vary from person to person, As a precaution, exposure to liquids, vapors, mists or fumes should be minimized. EFFECTS OF OVEREXPOSURE (Signs and symptoms of exposure) Prolonged or repeated skin contact may cause skin irritation, NATURE OF HAZARD AND TOXICITY INFORMATION In accordance with the current OSHA Hazard Communication Standard criteria, this product does not require a cancer hazard warning, This is because the product is formulated from base stocks which are severely hydrotreated, severely solvent extracted, and/or processed by mild hydrotreatment and extraction. Alternatively, it may consist of components not otherwise affected by IARC criteria, such as atmospheric distillates or synthetically derived materials, and as such is not characterized by current IARC classification criteria, Prolonged or repeated skin contact with this product tends to remove skin oils, possibly leading to irritation and dermatitis. However, based on human experience and available toxicological data, this product is judged to be neither a ·corrosive" nor an "irritant" by OSHA criteria. Continuous contact with used motor oil has caused skin cancer in animal tests, Product contacting the eyes may cause eye irritation, Product has a low order of acute oral and dermal toxicity, but minute amounts aspirated into the lungs during ingestion or vomiting may cause mild to severe pulmonary injury and possibly death. This product is judged to have an acute oral LDSO (rat) greater than 5 g/kg of body weight, and an acute dermal LDSO (rabbit) greater than 3,16 g/kg of bOdy weight. I I , I PRE-EXISTING MEDICAL CONDITIONS WHICH MAY BE AGGRAVATED BY EXPOSURE None Recognized, F. PHYSICAL DATA The following data are approximate or typical values and shòuld not be used for precise des; gn purposes. BOILING RANGE IBP Approximately 291·C (5SS·F) VAPOR PRESSURE Less than 0.01 mm Hg ~ 20·C SPECIFIC GRAVITY (15.6 C/15,6 C) 0.812 VAPOR DENSITY (AIR = 1) Greater than S MOLECULAR WEIGHT Not determined PERCENT VOLATILE BY VOLUME Negl igible from open container in 4 hours ~ 38·C (100·F) pH Essentially neutral EVAPORATION RATE @ 1 ATM, AND 25 C (77 F) (n-BUTYL ACETATE = 1) Less than 0.01 POUR, CONGEALING OR MELTING POINT -30·C (-22'F) Pour Point by ASTM D 97 : VISCOSITY i 10,0 cSt (i 100' C SOLUBILITY IN WATER @ 1 ATM. AND 25 C (77 F) Negligible; less than 0.1% PAGE: 3 DATE ISSUED: 12/02/91 SUPERSEDES DATE: 08/01/91 945 -0277(MWH0021 e e, .-- SUPERFLO 10W-30 G. REACTIVITY ., This product is stable and will not react violently with water, Hazardous polymerization will not occur. Avoid contact with strong oxidants such as liquid chlorine, concentrated oxygen, sodium hYPochlorite. calcium hYPochlorite, etc, H. ENVIRONMENT AL INFORMATION STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Recover free product. Add sand, earth, or other suitable absorbent to spill area. Minimize skin contact. Keep product out of sewers and watercourses by diking or impounding. Advise authorities if product has entered or may enter sewers, watercourses, or extensive land areas. Assure conformity with applicable governmental regulations. THE FOLLOWING INFORMATION MAY BE USEFUL IN COMPLYING WITH VARIOUS STATE AND FEDERAL LAWS AND REGULATIONS UNDER VARIOUS ENVIRONMENTAL STATUTES: REPORTABLE QUANTITY (RQ). EPA REGULATION 40 CFR 302 (CERCLA Section 102) No RQ for product or any constituent greater than 1% or 0.1% (carcinogen). THRESHOLD PLANNING QUANTITY (TPQ), EPA REGULATION 40 CFR 355 (SARA Sections 301-304) No TPQ for product or any constituent greater than 1% or 0,1% (carcinogen). TOXIC CHEMICAL RELEASE REPORTING, EPA REGULATION 40 CFR 372 (SARA Section 313) No toxic chemical is present greater than 1% or 0.1% (carcinogen), HAZARDOUS CHEMICAL REPORTING, EPA REGULATION 40 CFR 370 (SARA Sections 311-312) Acute Chronic Fire Pressure Reactive EPA HAZARD CLASSIFICATION CODE: Hazard Hazard Hazard Hazard Hazard Not Applicable XXX I, PROTECTION AND PRECAUTIONS VENTILATION Use local exhaust to capture vapor, mists or fumes, if necessary, Provide ventilation sufficient to prevent exceeding recommended exposure limit or buildup of explosive concentrations of vapor in air, No smoking, flame or other ignition sources. - RESPIRATORY PROTECTION Use supplied~air respiratory protection in confined or enclosed spaces, if needed. PROTECTIVE GLOVES Use chemical-resistant gloves, if needed, to avoid prolonged or repeated skin contact. EYE PROTECTION Use splash goggles or face shield when eye contact may occur. OTHER PROTECTIVE EQUIPMENT Use chemical-resistant apron or other impervious clothing, if needed, to avoid contaminating regular clothing, which could result in prolonged or repeated skin contact. WORK PRACTICES / ENGINEERING CONTROLS Keep containers closed when not in use. Do not store near heat, sparks, flame or strong oxidants. In order to prevent fire or explosion hazards. use appropriate equipment. Information on electrical equipment appropriate for use with this product may be found in the latest edition of the National Electrical Code (NFPA-70), This document is available from the National Fire Protection Association, Batterymarch Park, Quincy, Massachusetts 02269, PERSONAL HYGIENE Minimize breathing vapor. mist or fumes. Avoid prolonged or repeated contact with skin, Remove contaminated clothing; launder or dry-clean before re-use, Remove contaminated shoes and thoroughly clean before re-use; discard if oil-soaked, Cleanse skin thoroughly after contact, before breaks and meals, and at end of work period, Product is readily removed from skin by waterless hand cleaners followed by washing thoroughly with soap and water, PAGE: 4 DATE ISSUED: 12/02/91 SUPERSEDES DATE: OS/01/91 945-0277IMWH0021 ¡-...> ---4 e e SUPERFlO 10W-30 J. TRANSPORT A TION AND OSHA RELATED LABEL INFORMATION TRANSPORTATION INCIDENT INFORMATION For further information relative to spills resulting from transportation incidents, refer to latest Department of Transportation Emergency Response Guidebook for Hazardous Materials Incidents, DOT P 5800,3, DOT IDENTIFICATION NUMBER Not applicable OSHA REQUIRED LABEL INFORMATION In compliance with hazard and right-to-know requirements. the following OSHA Hazard Warnings should be found on a label, bill of lading or invoice accompanying this shipment. (OSHA Hazard Warnings not applicable for this product: therefore, no OSHA warnings would appear on the label.) Note: Product label will contain additional non-OSHA related information, . The Information and recommendations contained herein are, to the best of Exxon's knowledge and belief, accurate and reliable as of the date Issued. Exxon does not warrant or guarantee their accuracy or reliability, and Exxon shall not be liable for any loss or damage arising out of the use thereof. The Information and recommendations are offered for the user's consideration and examination, and it is the user's responsibility to satisfy itself that they are suitable and complete for its particular use. If buyer repackages this product, legal counsel should be consulted to insure proper health', safety and other necessary information is included on the container. The Environmental Information included under Section H hereof as well as the Hazardous Materials Identification System (HMIS) and National Fire Protection Association (NFPA) ratings have been included by Exxon company, U.S.A. in order to provide additional health and hazard classification information. The ratings recommended are based upon the criteria supplied by the developers of these rating systems, together with Exxon's interpretation of the available data. FOR ADDITIONAL INFORMATION ON HEALTH EFFECTS CONTACT: DIRECTOR OF INDUSTRIAL HYGIENE EXXON COMPANY, U.S.A. KEllOGG TOWER, ROOM 550 P. O. BOX 2180 HOUSTON, TX 77252-2180 (713) 656-2443 FOR OTHER PRODUCT INFORMATION CONTACT: MANAGER, MARKETING TECHNICAL SERVICES EXXON COMPANY, U,S.A. ROOM 2355 P. O. BOX 2180 HOUSTON, TX 77252-2180 (713) 656-5949 PAGE: 5 DATE ISSUED: 12/02/91 SUPERSEDES DATE: 08/01/91 945-0277(MWH0021 ~ , . . '.. , j 09:34 FROM GNB INCORFORATED e GNB JRr'!-10-1994 ~ o PRODUCT IDENTIFICATION , - Chemicalrrraåe nama (Identity used on late!} Chemical family/Classification Company name Address Division or department Telephone number CONTACT Questions Transportation eme!1Jencies TO 92149919259 P.02 e- Material Safety Data Sheet . - Lead Ac:<: Battery E!~.rtc Storage Battery GN8 Bartery Technologies í í 1 0 H¡g~way 11 O,Mendota Heights, MN 55118 Atrtoii:otr.~ Battery Division 612-681·5000 Richard S, Crowell CC~ ::"',;rcnmerrtal As~t\r8nce Department, 61V681-5000 or 681·5281 CHEMTF.EC, 24 hours 800-424-9300 G) HAZARDOUS INGREDIENTS Material ,. trr m. Expœurel.imits at'VIII. CAS lumber OSHA ACGIH 27-34 7439-92-1 .05mg/m3 ,15mg/m3 39-43 - , 309-60-0 :05mg/m3 .15mg/m3 1 Î -23 7664-93-9 1.0mg/mJ 1.0mgímJ , ~.~ ('! 9003-07-0 N/A N/A ¥ -."" ß.:O 9003·55-8 N/A N/A '-2 9002-86-2 N/A N/A Lead Lea.d oxides. . Electrolyte (sUlfurit acid and water) Case materiai: PQ!ypropylène Hard rubber Plate separater ma't:ria!: Polyethylene G:Þ PHYSICAL-DATA Materials (at norm;!1 temperatures) BOiling pOint (at 760 MM Hg) Meltina point' Specific gravity (HP., 1) Vapor density (AIR = 1) . 9/~ Volatiles by w,eight' Appearanca and odor Vapor pressure (mm Hg at20C) Solubility in water Evaporation rate (Butyl acetate = 1) Eiecuofytg (sulfuric acid and water) 229-248° F Nctapplicable 1.230 to 1,350 Gre...~r than 1 Not aoolicable_ Electrolyte (sulfuric acid and water) is a cleat liquid with a sharp, penetrating, pu:;gent odor, 10 100% Les.s than i September 22. 1993 ~ . . ... - _ JAN-10-1994 09: 34 FROM e G'ì -HEALTH HAZARD INFORMATION ROUTES AND METHODS OF ENTRY GI'ß I NCORPORATEJ TO 92149919259 P.03 e , Inhalation f-'ïgn ie'le!s of s:¡ifuric acid vapors or mist may cause severe respiratory ;r~r:a~ic~. Skin contact Skin absorption· Eye contact Ingestiol1 - S:J:fun: aç:d ¡:-:ay cause severe irritation. burns and ulceration. SJrîuri: ac:d is :-:ot readily absorbed through the skirt Lead compounds are :"C! atsc~ed ti~ough the skin. S:Jifuri~ a::d '-{gars or mist can cause severe irritation. burns, cornea ca:ïìags and ;cssible blindness. Lead compounds may cause eýe irritation. S¡,,:!func ac¡~ ¡¡;ay cause severe irritation of mouth. throat. esophagus and s~ar.ach, L.sad compounds may cause abdominal pain. nausea. headaches, '/cmitir.g. drar:"t1ea. severe cramping. Acute ing~stjon should be treated by ~;¡ys:c:an. SIGNS AND SYMPTOMS OF OVEREXPOSURE Acute effects S",¡;¿U¡;C a.:;j ¡¡;êf cause severe skin ¡ííi~éit¡Gn: büms. damage to comea a;¡d :cssibl~ bif:;C;iìess and upper respirato!)' irritation. Lead compounds may ;a:,lse ~~Gmi:':a pain, nausea, headaches, vomí'ting, diarrhea, severe . :~mJ¡nç and jr.f1cu!ty in sleeping, Sl!f~uric aci:: :r.::y lead to scarring of the cornea, inflammation of nose, throat a:-;e' brQ;'1':l':ial tì;ces and possible erosion of tooth enamel. Lead compounds may cause aneü.ia, damage to the kidneys and nervous system. May cause ~;Pí;¡C:';Ç¡:;'i; ç,~~nges in both males and females. ChrDnic effects POTENTIAL TO CAUSE CANCER \.eao has o.e¡;n tested foe abitity to cause cancer. The results snowed tha.t ~heí:: is insl.Thc:eITt evidence to show that lead can or cannot cause cancer. t:MERGENCY AND FIRST AID PROCEDURES Inhalation - Skin . Eyes . . Ingestion Sulfuric acid: Remove to fresh air immediately. It breathing is difficult give oxygen. lead comcounds: Removetrom exposure,gargle..wash -nose and eyes and consult physician. 5uifuric acid: ñush with large amounts of water for at least 15 minutes, remove any cOi1taminateo clothing- and do not wear again until cleaned. If açic is S~!2..Sh~ on shoes, remove and clean. Lead compounds are not ,absorced :thro'.!gh the skin. Sulfuric acid: Fiu$h immediately with coot water far at leàst 1S minutes, the~ consu~ þhys¡ç:2n. . Lead compour.dS: Rush immediately with cool water for at least 15 minutes, then consutt physician, SiJ!fiJnc acid: Giva large quantitjes of water - DO NOT induce vomiting ~ then ccnsutt physician. Lead ccmpoui";c!s: Consult a physician, , - ~ . ! . . . J~N-10-1994 09:35 FROM . GNB I~¡CORFORAï:::D e ø FIRE AND EXPLOSION DATA ... ,r- Flash point· Flammable limits Extinguishing media SpecialfiraJighting procadures Unusual fire and explosion hazard TO 92149919259 P.04 e Ncrt apclicable l.:-wc:r. ~55% (Hydrogen gas) Upper: 93.9% C8'2: fo2.ii1: dry chemical if jatter.;s 'In ch?rge. turn off power. Use positive pressure. self-contained b~..E.t:-:inç apparatus. Water åpplied to e!ectrolyte generates heat and causes it to S:ì~~r ~'¡ear acid resistant clothing. .~:::jr~e,,;:nd oxygen gases are produced in the cens during normal battery ·::e;atJcÎ; ~r when on charge (hydrogen is highly fJammable and oxygen S:..!CCOíL.S :ombustion). These gases enter the air through the ventcaps. To z'{Cid ris~ of fire or expiOSion, keep sparks and other sources of ignition away fícm :t18 cattery. 00 not allow metallic material to·simultaneously contact :C:~ tJ"¡e::~jtive and negative terminal of batteries. Follow manufacturers inSiï:Jctc~s ter installation. œ REACTIVITY DATA Stability Conditions to avoid Inctlmpatibility (material to avoid) Hazardous decompasition produc1s Hazardous lolymeriz3tioi1 - r Unsta:l~ ~ Stable S~r'.<s and other sources of ignition. Prolonged overcharge. CCfiibin20n of sulfuric acid with combustibles. and organic materials may ~u~ ;¡í? ;:;:d explosion. Also avoid strong reducing agents. most metals. ~~¡d;s. :h!orates. nitrates, picrate. Lead compound: potassium, carbides, Si.iì7ic~s, ~r~x¡des, phosphorus and sulfur, . Suih!r.c acid: hydrogen sûlfur trioxide and sulfuric acid mist. r: M~y cccur ~ Will not occur $ CONTROL MEASURES Engineering conttof:s WorK prGctiç!S Sta;~ ~n~ 'ïandfe lead acid batteries in wen ventilated areas. Ma.<e ce:'taii1 vent caps are on tightly. Please a minimum of two layers of c:aíoocaro between layers of batteries. Do flat stack more than three layers í';¡ç!'i. Jo ;'~Oi aíIow metaUic materials to simultaneously contact both the posrtive and negative terminajs of the batteries. Use a battery carrier to lift a b~~J ~r 'jtace hands on opposite corn~rs to avoid spiHing acid through the· vents. Avoid contact with internal components of the batteries. PERSONAL PROTECTIVE EQUIPMENT .. . Respiratölj' protection Eyes and facs Hands, arms, body Other special clothing and equipment NOlie a¡s r;quirèd under norma/conditions. If concentrations of suifuric 'acid mist are K,-:o..wn to exceed PEL, u'se NIOSH o·r OSHA approved respiratory pratectior.. Chemical splash goggles or fàce shie!d. - Rub~r or plastic acid resistant gloves with elbow length gauntlet. ÄC;è ~i~1t apron. Under severe exposure or emergency conditions, wear ac;r: resistant clothing and boots. '. ~ ~... J HN- W-l ':;':i4 \,::J':i; ..5::- r- ¡"¿UM G~j31 NCOR:=ORREJ P:05 e . G SAFE HANDLING PHECAUTIONS . Hygiene practices rd 92149919259 õ, .. Wash:a¡¡:;s :;-~crough¡y before eating. drinking or smoking after handling b2t~rie$, Protective measu~s to be taken during non routine tasks including equipment maintenance ~J:J~ apoi¡cat;:. SPILL OR I-EAK PROCEDURES Protective measures to be taken if material is released Or spilled Waste dispOS3! methods . ,Remcv~ c;:¡¡:;:ustible materials and all sources of ignition. Stop flow of !iiaœ:'ialanc ::)ntain spill bý diking with soda ash (sodium carbonate) or QuiCk ¡¡me (~!cium oxide). Carefully neutralize spill with soåa ash, etc. Make certai¡: m¡xn.:~; is neutral then collect residue and place in a drum or other süita;:;;; :c~::ei with a label specifying "contains hazardous waste" or if uncert3ii! :::al! distributor regarding proper labeling procedures. Dispose of as ;-Iazarao\.:$ ,,.,..,~""te. If battery is leaking, place battery in a heavy duty plastic bac, Weai aç:é resistant boots, face shield. chemical splash goggles and acid r=s¡s:2..-;~ ;¡C',=S, 00 NOT RELEASE UNNEUTRALIZED ACID, Sü!7U7:C a:;c: 'JeL'tralize as described above for a spiH, collect residue and place In a cOliiQiner labeled as containing hazardous waste. Dispose of as a ~aza~~:"~$ \~~st~, If uncertain about labeling procedures call your loeaf batte;-:' disin~:,¡tor or contact listed on page 1 of this MSDS. 00 NOT FLUSH L,D C;CNï.:.MINATED ACID TO SEWER. 3att:ries: S~~d to lead recycling facility following applicable federal, state and iccai reg ¡,;Iatons, Contact GNB Environmental Development for further informatjon C:ì proper routine disposition of spent batteries. CD OTHER· REGULATORY INFORMATION NFPA hazard rating for sulfuric acitl F1arnliiabilfty (Red) = 0 Hea!t: (81\.:;' .. g Rea~,~:'j (Y:!iow) = 2 US DOT identification and description for ~e"-;es, '0·;';" filled with acid ....:.... UN 2794 batteries and acid is as follows: Battery iiuic. acid ..._........................ UN 2ï96 . Leaä acid batteries do not contain any ozone depieting ïrJ'~rials. . . Sulfuric acid is wate¡ rEa:tiv: if cOíìc;n~~d, ~tt;;;;$ a!: "egulated underappficåble US DOT. RCRA, CERCLA and EPCRA. If you have any Questions p¡êase contact tÌ1e Environmental Development Departnient of GNB Battery Technologies . at 6121681 65000 o~ Richard B. Crowell at 6121681·5281. , ' , The International Agency for Research on Canœr(tARC) haS classified -sfron.9 inorganic acid mist containing sulfuric acid- aSa Catem·1 carcinogen, a substance that is cartinogenic to humans: This classification ~oes not apply to fiquiå forms of sulfuric acid Of sulfuric acid sotutiOnscontafned wfthin a battery. Inorganic actd",mist (sulfuric acid mist) is not generated under normal use of this product Misuse of the product, such as overcharging, may however result in the generation of sulfuric acid mist . A battery is manufactured using lead, CAS No. 7439-92-1 and sulfuric acid, CAS No. 7664-93-9 which are subject to thè reporting requirements of EPCRA Section 313 (40 CFR 372). - - , Page t::wo For the following stores, the billing address will be: .5' J"/t) rw ~t.f 1 J 0 0 ( / ç'» 0' / So v 13¡-1J Ilct""~( ,,~GO 22619 ~ .s- II ' 22785 ¿ .ÇC I . J ( t'\!'Á L(?~gol 22975 ] U¡V t/1/C'/\ ;JJC 23038 , (& v ,lk~ 4:?'>(0\ 23530 -'7 () J 7 /1~ /c J 23536 ! ,) ,/ ?á453 tj7rJ! ú.//¡r7L L/II'I<-- 25300 t=:¡ /.p _ \-tfv\ 4-ðlooðl Sc.... Q~og-O{ 26362 j 26392 26903 27686 29804 29806 29853 19196 21994 2255~ 22603 22737 22869 22983 23039 23208 23264 23301 23531 23540 24459 24601 26661 27663 27767 29015 29270- 29821 . 29855 .... Chief Auto Parts 1887 Business Center #5 San Bernardino, California 92408 (714) 889-3669 Contact Person: Diana Dafesh ¿;YO . G.!601Z ð Regional Controller GV/jr '" . c9-A-C,1 } -,,' e ::;1 '.~. MEMORANDUM . "WE CARE" " CJ\fM^~rL~~~.....O;~ ~ (ìAitÞ f>ado ..~,"JjD50 ~~') i~I$6~·~~'hß (à. ...,R.~løl() ";i¿?,;!'~:,;l·i~~~ê~~~er~\¡f~L;",. . ~:; , 1,; :'~'~".:/!:f ,¡~¡'A ~ÎJ 0 ~',',:,:;~t;{;'\:t;;¡~'::~:;i~: =+ ~':;;. . ¡, 'o~ ':" ->:~:~~iC -6 ,. :~i:{~' '~'Y~~'~ ~:~~~~\/~~ .pLD iW ';"~,'QAqL,"t~¡~,:; r.ff ~ I ~ ..... ·1ìJt:.MJ. &Wt~ ~ð'" ';'..' ",,~ T ;~:;¡'¡;~~,:;,{,:~·~;~~\B;~(i~/~.~~:;¥j¿;,::" .' -' , . ../ ~ ~ :. ð71 aßfL .. . ,_ n ,", ,"" ~ '~'-'~- .~.._..__ __,__ h ~ ._._ .--~;-~"""'~--~'-"'_._~- ':.-:'---'--.-- , ' ..' \.. ·c .. " ',-;" "",',' " ~:~, . . ... , , 1f 40&00 J - , l.f~;} ~D I ~13 '4, ?31DI _i.~'~ I - ....... '......'. .;'.; U 1~(P 0 I :... 14}(,:, . ., . . '" 'I Õ<' -- -- ------0---__ <. " '"'- .,~,_. ~" ~-' - ~ Bakersfield Fire DtPt. ~ / Hazardous Materials Inspection '3 Cf ì o~ fa ( ß1'-\- \òlo{ 0_ - - <3 <PI. o-c,-- () \ Business Name: Date Completed C ~ __ Q s:: ~-J '''ù ~ Þ-.i~'\ '" Location: 4. ( (J \ - ~ ~"^ \ \~ L~ plan ID # 215-000 ~ \ 1.0 (Top right comer Business Plan) Station No. l Shift ~ Inspector a, ~ Adequate Inadequate _f ì ~ Verification of Inventory Materials RECEIVED lkT ~ [fJ/ Verification of Quantities Verification of Location AUG 2 4 1989 HAZ. MAT. DIV. Proper Segregation of Material Comments: o o o o Verification ofMSDS Availability 3 o w Number of Employees Verification of Haz Mat Training [Ø" Comments: D Verification of Abatement Supplies & Procedures ff D Comments: Emergency Procedures Posted D ff Containers Properly Labeled Comments: [W"" o Verification of Facility Diagram o Special Hazards Associated with this Facility: [B- Violations: ~....-~--.:: -. White-Haz Mat Div. Yellow-Station Copy Pink-Business Office --- FD 1652 (Rev. 3-89) , /' r~~ ... .~ þ ~' 1'>-0;:' .' / " '., 'i2~ / 4I!J e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 /23 - ¡¿..( L s r/l(JJ 21JSf/ 7 OFFICIAL USE ONLY ID# IBUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A 000516 INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH, 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Lj,¡~-p /JOlt) ffJI¿1:<; B. LOCATION / STREET ADDRESS: 47t:J/ f1 fA)/¡ /r~ L-rlne.... CITY: &J<e~~~id ZIP: q.330C¡ BUS.PHONE: (~) ~t}7·-ðq.tS '7 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 ~~D TITLE DURING BUS. HRS. A. }<£)"-I _nl'ljlJ'C~ IY7fJ1J1t6t:Æ- Ph# -3c;7-t97~ 7 B. Pr¿fJl1Ji.. ß)ßt,'¡¿ A~.s7:/J16Æ Ph# :3CJ 7-d?¿;. 7 AFTER BUS. HRS. Ph# q.,J q-- /~ ~ 7 Ph# fšì I - ;;1-13 ;l. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: OU"(Bld¿ JJo£íÁ-EFfS7C-tJ/ú1eR- nÇ ßu/Id.J¡"~ B. ELECTRICAL: ~.:Sí'cJe.. #0/1.:11, ~ t:J't5:r CfNlJ1e£. ~{/~e. ßo¥ C. WATER: ? D. SPECIAL: ,AJf)I"~ E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - · e - -~\-- i/ \ II' . .,,'\; ¿ ," '.Ç'. .\J"..... .~ v'; , SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE IWtJ h/æ- Fxí: (")-It; jf) -ß9 ~ /3(/1' Jd/n@ SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE , 'N'¡¿Þr~"'- He.6f/'f'r1 SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . .'. . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.......................... C. PROPER USE OF SAFETY EQUIPMENT:.................. D. EMERGENCV EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:..., .,. INITIAL @ NO ;E NO ES NO VE NO YES @ REFRESHER @ NO Is NO NO VE. NO YES@ SECTION 7: HAZARDOUS MATERIAL CIRCLE VES OR@ DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~ I, )<I,)~~ ~,/J~~ , 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. SIGNATU~· TITLE ¡r}ffr1lt&el2 DATE & --It) -fS'7 - 2B - · ~ .~~. ".·t' 'i - e '. ., ~ r BAKERSFIELD CITY FIRE DEPARTXE~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NA~IE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2, TYPE/PRINT YOUR A~SWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# I FACILITY UNIT NAME: cAte+, fh.J1V fJlf/2-7:S SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES S'1ór¿C' /f)ft1é¡¿/¡r/.s ,." fMfe/2- Co/r1Í7'l'rLeÆ.s ' , 11 ¡Y),qjo'€ ReleASe.. oæ -Sf/II 1AJ0u..kJ ;¡:!1.vt//¡/e .~f /1,'11& USS lÀf+n f+ QvPr¡¿~ t),~ /Y)fJ'Ø/è- ()J I lP¡¿ It f1. ìf'1-r ~-f 6¡>r.$ '1¡2e¡:rr/Yle;(/ (ðÎf ..fOR ~KA-mfie) v.)A~('_i\ C6>t./ tel efiYiy .ße, e-Jeltl1ed Of· SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT O~LY V~¡¿J9tr. ::HI..Çð.,e¡n ~rnf Joy¿¿..:5 . ..¡- . c;..frJ / c¡ II .¡- fbrJ .Q¡¡e Af\ éx,--r: , ,- 3.40 - . e . . ~..: ¥'<' !- . ~ ~" "":t SECTION 3: HAZARDOUS MATERIALS FOR THIS ú~IT ONLY A. Does this Facili ty Unit contain Hazardous Materials?,. . . . . @ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~ If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION 'TwO ÇiM £x'1; (:'J-ìî :iOße-) mnl or Re.h¡¿ e-Ç' 60/ 1c1;~Cb SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS HycÜ?,jIf/l"'- t)r\. uJÁ/re... kÆi'\e 160.f'í. Æ~ð1 A./,- c- ~ne.Æ é)Ç' IJv//d;;'I(EJ rr I~o A'~ .o¡;JiltZLðA-Y &1\ wA¡:¡e, LrJI\e· 1/"- .POfJ eyes C.h¡'c.~~i'L If/SO, 1J't2.ecíty ¡tcrÆt)5S íJ¡e- 5Wee--r Sf1 kJÆ~ Lftne Æ'/ltJ1J1 ov~ ßtJ/Jd,~tP (U".e~S¡de) SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY, A. NAT. ð~;;¡d~È': oY\ ..t:btLÍÀ. E,q<E"Í c.t>al1eR- or 130/ I d/n c;, B. ELECTRICAL: ;:çn.Si CJe, Cif¿C(fJ ß!<e¡Cf- µe~ Ai-£' CÐæne/d. of Æu,'/d//7G C,. WATER: ? , D. SPECIAL: .N &l'l. e. E. LOCK BOX: YES /~ IF YES, LOCATION: IF YES, SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSs? YES / NO KEYS? YES! XO - 3B - BAKERSFIELD CITY FIRE DEPARTMENT _\ ~ -..t ,'" . _9'L )' FORM 4A-l Page I of ~..;~' NON-TRAD'E -,,'- SECRETS . " HAZARDOUS MATERIALS INVENTORY OWNER NAME ¡ft, ~kkfÞífACILITY ADDRESS: FACILITY UNIT NAME: I.D # BUSINESS ADDRESS: P: Bftjl.eÆ6çI'e.r J¿' -- _._--_.~._-- CITY, ZIP: C,·ral/..ili J/-r:< 'f33Be¡ C.a :3,t:J7-&7fR ì PHONE #: cUb - 7;1;2..- ~/P50 IOFFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAJ~ CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE P 01'\ .:s Ao .v Iù1 {)I'h. ¡:: 1"0 ¡(L Alew /né)~Æ t') J · I i 1.2,000 1, tJoO GA} to ')....(p 4- fH~A(k ¿ASr ß~ WHIt 100 6)?{)rg CI'1LC? Y) ')... ~o ;)..J 1Cj 0 GAt 10 01 S/w co/U'\e./l.. c.ç ßv/JI/. firt-r/ ~~ ~ z.e ate. ce>d Ar1..,ð,.~ Z V~ i' P 1'1 O()" ì'3.~ coo r"í3 O~ LD i 0 f"'e,¡¡.."T ..f'¡Q.g1I'\ ÝæOi1:f ~~¿ leD ç~(!)/) I:J- (;¡vfb,ji!A~ ~ItJ €x J" I .:s'f'Rtt'.:C.J¡.,- í^- 02- ~ " - i , "I /7 NAME: 1-<' OAr J Jrtt/{<~~ TITLE: /YJAI?A-tP eÆ- SIGNATURE: ...--./L DATE: .., Ie !r/ II . ____________ __a.._a_ )¿ JL) . n)~I/I'L~ TITLE: A1.An ðéd e..1!-- PHONE # BUS HOURS: -377- Ð76 '7 -- p. ~ l- AFTER BUS HRS: PHONE # BUS HOURS AFTER BUS HRS: ¡e f.r S.5-r: 4A-l EMERGENCY CONTACT: PRINCIPAL BUSINESS