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Home My WebLink AboutBUSINESS PLAN 9/30/2002 ?' f¡ . Per it to p;.fi'Ii'F'fI"Y'r;~",p"I":f"~~ . 1'}1''I!'.'1:¡¡''~ '~~. l~ " F l:l ,./ ¡ ¡I" )/ ..¡.~ .f.' '\ ' /f:'ff:rí l'" . ,," ,.., '.",' // l\f:,,\)i' PERMIT ID # 015-021-002204 fA ..... ; ;/4,;; FALCON CREST TIRE &1\'á~~~YèE " ,. ..h,. '; , ";:'\ ttfit/i " \~\ i+:wtIr~E U i ; ; ';"B~ERSFIEDJ)~~~,,;~ \. ,</ )\" v' '~;~'~!..' ß. '; \ '\" ,>,,it,,/,,.1¡,,..,,,¡"" "'~':.:.". ~, , Itc'..' .':<> , '. ;'}'I.' ¡ , _"";_>~. ~ ¡,. N "~ÿ 1; ;! "-1 'f LOCATION : Issued by: Oper.-te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIQE This oermit is issued for the following: ø Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment 4800 93309 ,-- 1,,1_ , \:;\ Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: MAY 3 200'1 Issue Date Expiration Date: June 30" 2003 ø~~ ~1f'· -- . . SrTE 10 :# 2L.Ö 4 - F SITE DIAGRAM [ J Business Name: .. ~ c..... ..j Business Address: . y¿¡O () C-rrc...s+ t.rJ h .-£ ~ FACILITY DIAGRAM [_J ~....CL.. "l ~e,... V \(...e- . 0{ ~ _ L. .Q"....~~&.- A- ß.. )(c-rS.\\e...\ C~ or ~ 3 II; V Qj'( ?~7.11 'd'i' '1 M · V" fit'" it' ').; /r-' -""v ,/"7 cÞ"" .::> ~ to ..,.) (2. co- ~o~ {3.. c- ¡L IJ ~r-~C- ¡oJ ~ ~ r1 \ \ n;....s. ..c ¿- ~ . o «J {~ , ~ J :1 u v ¡- ~I \ ~qJ 0)i ~ ... .; V) "" v¡-+ J ~ 0 ~ t/-I J¡t" ~ ,¡- ...... '-.. (9-') C;-"O ~ o ~:t- t:7r./ x-\ ," "- ... '" ~ .. e\..eY /\ ç;<'" , t.-- (y" I .... ,..v e,t'\'t'V f\\\~i «~':) "'- k v-'::J- "':> ..-<~ ( v ~ t. T~ t N S:IPROCEDURE MANUAL'diagraminst. wpd ..:r.( ~ U <J ( , k If) J J ~! J "-"1' , J --,- G53t;,oV? - J .. FALCON CREST TIRE & SERVICE SiteID: 015-021-002204 Manager : STEVE FROLIO Location: 4800 WHITE LN City BAKERSFIELD BusPhone: Map : 123 Grid: 14C (661) 397-0589 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: Emergency Contact STEVE FROLIO Business Phone: 24-Hour Phone Pager Phone / Title Emergency Contact / Title / MANAGER NATE HUDSON / ASSIST MANAGER (661) 397-0589x Business Phone: (661) 397-0589x (661) 588-5212x 24-H r Phone (661) 836-6602x ( ) Pager '~ ( ) x ne x Aol ßJ'J Contact : MailAddr: 4929 LAS VIRGENE City CALABASAS 5>? DelHI th' Hazmat Hazards: I' (661) 397-0589x CA 91302-1913 Owner Address City SAMER MUSHARBAS 274 E MlRAMAR CLAREMONT (909) 624 - 6625x CA 91711 Period Preparer: Certif'd: to Tot ASTs: = aIUSTs: = RSs: No Gal Gal Emergency Directives: One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax MCP L 55.00 GAL Low F DH L 55.00 GAL Min F DH L 55.00 Low S 10.00 UnR F DH L 55.00 GAL Low f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name. . . ANTIFREEZE MOTOR OIL WASTE ANTIFREEZE WASTE FILTERS WASTE OIL e:~ 3 (... 0 '-( 7 /_ I ~- 0 1- }If .f+¡Y1 ð () r- , 55;00 I 1/(, /7 "I /33, ø() -I"'" 09/30/2002 e e 'F FALCON CREST TIRE & SERVICE f= Inventory Item 0001 F= COMMON NAME / CHEMI CAL NAME ANTIFREEZE ' SiteID: 015-021-002204 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit TANK INSIDE BLDG Map:· Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA' USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS f= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers at Site 9 Location within this Facility Unit TANK INSIDE BLDG Map: Grid: Days On Site 365 CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPBRATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 15.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Pet,roleum Based No 8020835 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ . Curies F DH / / / Min -2- 09/30/2002 e e F FALCON CREST TIRE & SERVICE, f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE SiteID: 015-021-002204 9 Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit TANK INSIDE BLDG Map: Grid: CAS # 107-21-1 STATE - TYPE Liquid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 200.00 AMOUNTS AT THIS LOCATION Daily Maximum 55.00 Daily Average 55.00 %Wt. RS CAS# 30.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME WASTE FILTERS Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE - TYPE PRESSURE ---- TEMPERATURE CONTAINER TYPE Solid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 10.00 10.00 %Wt. I HAZARDOUS COMPONENTS G CAS# TSecret RS BioHaz Radioactivé/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS -3- 09/30/2002 e e F FALCON CREST TIRE & SERVICE f= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-002204 9 Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit TANK INSIDE BLDG Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 200.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 15.00 GAL %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS -4- 09/30/2002 e e Employee Notif./Evacuation SiteID: 015-021-002204 ì Fast Format ì Overall Site ì 04/27/2001 1 04/27/2001 1 04/27/2001 F FALCON CREST TIRE & SERVICE I f= Notif./Evacuation/Medical ~ Agency Notification SPECIAL TANKS. ~ SYSTEM. Public Notif./Evacuation ASBURY ENVIRONMENTAL SERVICES 1-800-727-2869. Emergency Medical Plan 04/27/2001 1 MERCY HEALTH CARE 632-5050. -5- 09/30/2002 e e F FALCON CREST TIRE & SERVICE I f= Mitigation/Prevent/Abatemt ~ Re1ea..se. Prevention EQUIPMENT. SiteID: 015-021-002204 9 Fast Format ì Overall Site 9 04/27/2001 1 ] ] I 04/27/2001 ~. .Release L:T LITER. I Clean : . SWEEP AND I Containment Up 04/27/2001 CALL COMPANY TO PICK UP. Other Resource Activation -6- 09/30/2002 e e F FALCON CREST TIRE & SERVICE I ~Site Emergency Factors r== Special Hazards Utility Shut-Offs SiteID: 015-021-002204 ì Fast Format ì Overall Site ì I 04/27/2001 A) GAS - REAR OF BLDG NW CORNER B) ELECTRICAL - STORAGE AREA C) WATER - REAR OF BLDG NW CORNER D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec. /Avail. Water 04/27/2001 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS, SPRINKLER & ALARM SYSTEM. NEAREST FIRE HYDRANT - NW OF BLDG ON ST. Building Occupancy Level -7- , 09/30/2002 -, e e F FALCON CREST TIRE & SERVICE I F Training Employee Training SiteID: 015-021-002204 ì Fast Format ì Overall Site ì 04/27/2001 WE HAVE 5 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS AT THE FRONT COUNTER. BRIEF SUMMARY OF TRAINING PROGRAM: QUARTERLY MEETINGS TO DISCUSS CLEAN UP AND PREVENTION PLANS. Page 2 ~ I I Held for Future Use Held for Future Use , -8- 09/30/2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H· Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ·H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - " ~ May 3, 2001 Falcon Crest Tire & Service 4800 White Lane Bakersfield, CA 93309 Dear Business Owner: Enclosed, please find your "Permit to Operate," which is a consolidated permit authorizing as many as four separate hazardous materials or hazardous waste programs. Thee programs have now been consolidated as part of the State's efforts to coordinate the regulated activities into one Unified Program at the local level. You mayor may not participate in all of these programs and your permit will indicate . which programs or activities are authorized at your facility. These activities include: ~ Hazardous Materials Business Plan and Inventory (which also includes hazardous waste generation and management requirements) ~ Underground Storage of Hazardous Materials ~ Risk Management Progr~ ~ Hazardous Waste On-Site Treatment We value your feedback, If you have any questions or. comments regarding either your permit or your responsibilities as a regulated facility, please call us at rental Services wèb site at Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES fed Esther Duran, Accounting Clerk II Office of Environmental Services RH\ED\db 1010 .7b.-oú~ d;;. Y;;wl/;l///l4~ ._%p L/t~ope .!Ÿ7~ .A g~/l.h~~r"" ( ( f( , / / ! ,4 ,e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUSMATEIDALSMANA MENTPLAN C\ ' r I 2'3 ..- \ L\ ~. INSTRUCTIONS: ')I.}J-s... ( ;:2ZÖì I ß Fr¡<j 1. To avoid further action, return this fo?nrwi In 0 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~CÄ. \ (.0 Ñ ~ ~-e.r \J ( c....<- (l re S~ - \..r<-. LOCATION: L\-~cr() W,,~<- \.c..^-L.. MAILING ADDRESS: CITY: 5 c... '1\-e r s,ç \ <. \ J PRIMARY ACTIVITY: ~r STATE: c.- ZIP: q~o'PHONE: '" / ~q ì os-¥'1 (ltt-f'-:r ~. OWNER: ~C\. ~~r W\ Ll <; ~r~S ~ PHONE: ,?OC (." Z-.ý'_Lb~- MAILING ADDRESS: 2.1 ~ .£ V'v\.\ r c.....-..-,.- () l-re.~.:I ^"* I c..- q t -, { I EMERGENCY NOTIFICATION CONTACT 1. ~e.. V'e.... R r b \ : ~ 2. N4..\ <. \:tG.cl ~()Ñ TITLE BUS. PHONE 24 HR. PHONE ~'" I'\. a.. ") ~. b b J .3 'ì 1 0 Ç"8 '1 1,(" I ~s-g 52./ 't A-~5..\.. M..Q.I\.",,~e-r """\ 3.t:tlo~1 '~I &.3'- c."ø~ . I c ), ( ( 7 ¡~ ,e - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.I: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: ~_,.¡VL:5 6 f 2 c..-' \ '" \ B. EMPLOYEE AND AGENCY NOTIFICATION: p t\ 5 '/ 5\'c.-~ C. ENVIRONMENTAL RESPONSE MANAGEMENT: \11'''' -- '- c,.tÞ ,- p -'1 ~ S ~v.. r 'f t: N \f' a. 0 N W\.e. I"'\.\:-.... \ 5 e--f " l c..e.. ~ 41 /¿¡aD 7.Z7 --'21l7e¡ D. EMERGENCY MEDICAL PLAN: r" c,,~ '{'... e--r c... '( t+e.A.. \ -\- 0.-- r-<.... ß - (e- r $ f.. L , .t 1=- ,~I _ '- '3 2. - 50 S- D 2· .:~?<: ( ( ( ~ !~ e e HAZARDOUSMATEIDALSMANAGEMENTPLAN SECTION 11.2: RELEASE RESPONSE PLAN q A. HAZARD ASSESSMENT AND PREVENTION MEASURES: -e q £A..~ of rt.~'-+ B. RELEASE CONTAINMENT AND/OR MITIGATION: (l.e>- -\- \ , -\"G .r C. CLEAN-UP AND RECOVERY PROCEDURES: . _1'\ ..,.. S~c...p f;- t!--\\ ~e . -t'b f~l.~ UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) ß~I. \~ ..~~ ¡J /¡J NATURAL GAS/PROP ANE: ~ e.c:.. ~ ø ~ ELECTRICAL: S~O r~~ <-- Pr-Q...e...~ WATER:' ~c..c. ~ o.e-· t> \A I. \ c:l w -":) SPECIAL: LOCK BOX: YES@) IF YES, LOCATION: e-.. r ,......r N /~ c...-c-I"'-...r- . PRIVATE FIRE PROTECTIONIWATER AVAILABILITY A. PRIVATE FIRE PROTECTION: c- ,IÎL ~.,.. -( 5 f íl.- í'e-r 'i.'t*- 4 A--\Iw<- 5"1S.~ WATER A V AILABILITY (FIRE HYDRANT): N 0 C"+""- \)oJ to ~*' o~ \ S \ C"""4.-e.. \=- ß"', \0\. ~ .- ~ · c-I' 3 B. ~ ~" e" e rf7 HAZARDOUS MATEIDALS MANAGEMENT PLAN / ( SECTION III: TRAINING NUMBER OF EMPLOYEES: ' 5 MATERIAL SAFETY DATA SHEETS ON FILE: ~o-^ k' CLo- "" ~ .c..r- BRIEF SUMMARY OF TRAINING PROGRAM: Q.~~ \~y . ~ ~\ e..c--t"\- -4 Þ ... ~ <:.- "'" ~ ¿ f r.e. -i---fc-- .,...J ~ Go c:..A- \. .-:> .pl'-N .5- ( CERTIFICATION I, S c.o.....""'-e.._ ~~ ~ 'be..&. h.. CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDÈRSTAND THAT THIS INFORMATION WILL BE USED TO ( FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIY. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. "- ¿~ SIGNATURE - ~,~(d.....A T LE 3....~-- Q DATE , ( HAZ MAT MNGMNT PLAN & INSTRUC 4 .. CITY OF BAKERSFIELD- OFPI{:E OF ENVIRONlVIENT AL S.VICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page Of ______..____...._._.___.._, ....h..._._____ ....a__.,__... .. -- .-."- -._- .." '-".- ~-. -.. __..__._._... on . .--.----------- I. FACILITY IDENTIFICATION FACILITY 10 # , I _n .:. ~___,__ :___:. :;.::, _ __ ,___,_____h 1. __.. BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) -F-,,\ _Co" _~._ _. er:~ __ ~,~ c.- 1 Year Beginning 100 Year Ending 101 n. ,. _ __. .. 3' BUSINESS PHONE - . ¡,., I _ ~"\ 1 0 :::,-1 1 1Ö2 SITE ADDRESS "'- _ ,'1 i'º\)"~__h_~~~__ \h~~_~_h___' ß-. \t .t...r ~ ~, ¿J. 103 "._..u..______.____..."._ ___ .____.._.___.__._.__.. _..n__ . . - - ..----.-- - ,-- -, . .. _nn_ ___ _______._ .. ..____ ___0 .... ._ m__ _ ._~____ .._ _4. _. ____._..._..., ___ +______...._.,. ...__._. ______,__~~__!_ _~~_" _ZI~___~~_~,L~J_ _______ _________ __,____~ CITY DUN & 106 SIC CODE 107 BRADSTREET , (4 Digit #) ._. ..._________.__________.__________ ____ u_____... ._._> '__'_"" .__. .____._._...~_.____.._~____.__h_._____._______m____ ._________ ___ __. COUNTY ~r N '108 '_~~;~;~~"~~ME --~-.::--~~~\;~~-----------'~~-;;~~~~-;;-;-~~~ ¿-Z\~~~~ II. OWNER INFORMATION ---_._~----_.~------~-------_. - -- .?~~E~_~_A~E_____~~~~_ __~~?_~~.-:.'o' ~__~ _n_______~~_9~~E~~H.?_~~ _ jQ_î____f '2:_'+ =!-LZ-SJ12 ~~i;;~,~_~~~~~_~ ì Y é M.~ r ~ ~-r 113 --------¡-----..-------------.-------- _____~R.V'A-,,""'.-!.c. _____~ STATE~_~~5_~__ , IÎ II 116 III. ENVIRONMENTAL CONTACT .- .------- .~-_..__._-------_._--------~----~.__._-------- .-.---------..----.---------. CONTACT NAME 117 . CONTACT PHONE 118 _ u.___. ...__ ._..... _ .u_____.__.___~ .____..____._.__.______.__ . ._______________..____________u.______..~__.__ ...___.__..___.....____ _.. .._.__..._... _._._._____ ____.__...___.____._... CONTACT MAILING ' 119 ADDRESS ,-- --------------------------------------------------------------.----¡-------------------. ...-------------.---.----------- CITY 120 , STATE 121 ZIP 122 ..__.___._._ ____....n___________.___.____.__________._.~_____..----·L____.___._.l..___._____.....__._ .-__ '_'___ _______~___..__._.___._.._...__ -PRIMARY· IV. EMERGENCY CONTACTS -SECONDARY. , ~~~~-----~~ ~-~-----ç-~ tJ \ ::~ --------1;;¡-~~;;;_-'----'- ~ ~-'-~'-----~ ~T~:-~---------~- :··~~i~~:=:..:~~~-=~_~ ~ _~~ _~_~~ ..==-==__~~~C;~~:~_=_:=_h~~~__~=_~;;~_;_;--~_~~:~-~,~~:~-=~~_=~~30 : BUSIN~_~~,_~~9~~___J._~JH_____. :?_~J___~?_~_!~__.... 12~.., _~~~I~E~~PHO~~.._,__.._~~{ Hm 39 ë_(;)_~~!, .. .. ..__,..__~_~_ : 24-HOUR PHO~~__ ___"_~J.____ª-?_~__ ___~.?_..l~__..~~~ --i--z.~~~~~~- ~~?~~________k_§:>._..f ~ ~~___~ _~_ ~ _ L ___ __hH ~_~~_ PAGER # 128 : PAGER # 133 V. CERTIFICATION .._. . .-.- .--.-.....----.. -_._.._-_._--_.-.---._----~-_._--_._-------_. : Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined : and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. ! SIGNATURE-bF ~~rïQ -..;;;'. .~ ,- .......'--m_~-T -ÕAT{-'---~:=-~i34-!NÃMEÕFDOCUMËNTPRËPARER-n------"-~35- : N~MES OF OWNERïòPEAATÒif(prinÙ ---- m - -,-j6--ITi~E:(iWNERjOPÈAAT~~ Y'V\.e..~ '.._~~5\.t~rk~~ ~"-'~e--. .__ y\_,~~~b~~l,,-. 1__ f(~?"' cÆ~~k- ..-.-. ...... UPCF (7/99) S:\CUPAFORMS\OES273Q, TV4, wpd , ainess Owner/Operator Jdentifice,n r~,. '\ Please submit the Business Activities page, the Business Owner/Operator Identification page (OES Form 2730), and Hazardous Materials· Chemical . Description pages (OES Form 2731) for all hazardous materials inventory submissions, For the inventory to be considered complete this page must be signed by the appropriate individual, \lote: the numbering of the instructions follows the data element numbers that are on the UPCF pages, These data element numbers are used Jr electronic submission and are the same as the numbering used in 27 CCR, Appendix C. /he Business Section of the Unitied Program Data Dictionary,) Please number all pages of your submillal. This helps your CUPA or AAidentify whe/her /he submittal is complete and if any pages are separated, " FACILITY 10 NUMBER· This number is assigned by the CUPA or AA. This is the unique number which identities your facility, . 3, BUSINESS NAME - Enter the full legal name of the business, 100, BEGINNING DATE - Enter the beginning year and date of the report. (YYYYMMDD) 101, ENDING DATE - Enter the ending year and date of the report. (YYYYMMDD) 102, BUSINESS PHONE - Enter the phone number, area code firs!, and any extension. 103, BUSINESS SITE ADDRESS· Enter the street address where the facility is located. No post office box numbers are allowed, This information must provide a means to geographically locate /he facility, 104, CITY ~ Enter /he çity oFunincorpo~at~ ar~a in which business site is located. 105, ZIP CODE - Enter the zip code of busineSs site, The extra 4 digit zip may also be added, ' . 106, DUN & BRADSTREET - Enter /he Dun & Bradstreet number for /he facility, The Dun & Bradstreet number may be obtained by calling (610) 882-7748 or by Intemel. 107, SIC CODE - Enter the primary Stand?rd Industrial Classification Code number for primary business 'aètivity. NOTE: If code is more than 4 digits, report only~the first four" 108, COUNTY - Enter the county in which the business site is located. 109. BUSINESS OPERATOR NAME - Enter /he name of the business operator. 110. BUSINESS OPERATOR PHONE - Enter businëss operator phone number, if different from business phone, area code first, and any extension. 111. OWNER NAME - Enter name of business owner, if different from business operator. 112. OWNER PHONE· Enter the business owner's phone number if different from business phone, area code first, and any extension. . 113, OWNER' MAl ~ING ADDRESS - Enter the owner's mailing address if differen! from businesS,site addresS. 114. OWNER CITY - Enter the name of the city for the owner's mailing address. 115, OWNER STATE - Enter /he 2 character state abbreviation for the owner's mailing address. 1'6. OWNER ZIP CODE - Enter /he zip code for the owner=s address. The extra 4 digit zip may also be added" 1 Ú, ENVIRONMENTAL CO~T ACT NAME - Enter /he name of the person, if different from the Business 'Owner or Operator" who receives all environmental correspondence and will respond to enforCement activity. 118. CONTACT PHONE - Enter the phone number, if different from Owner or Operator, at which the environmental cortact can be contacted, area code first, and any extension. ' 119. CONTACT MAILING ADDRESS - Enter the mailing address where all environmental contact correspondence should besen!, if different. from the site address: 120. CITY· Enter the name of the city for the environmental contact=s mailing address. 121, STATE - Enter the 2 character state abbreviation for the environmental contact=s mailing address. 122, ZIP CODE - Enter the zip code for the environmental contact=s mailing address. The extra 4 digit zip may also be added. 123. PRIMARY EMERGENCY CONTACT NAME - Enter the name of a representative that can be contacted in case of an emergency invoMng hazardous materials at the business site. The contact shall have FULL facility access, site familiarity, and authority to make decisions for the business regarding incident mitigation. 124, TITLE - Enter the title of the primary emergency Contact. 125, BUSINESS PHONE - Enter the business number for the primary emergency contact, area code first, and any extensions, 126. 24-HOUR PHONE - Enter a 24-hour phone number for the primary emergency contact The 24-hour phone number must be one which is answered 24 hours a day. If it is not the contacfs home phone number, then the service answering the phone must be able to immediately contact It]e individual stated above. , 127. PAGER NUMBER -' Eríte(thé~¡:ìager number for the primary emergency contact, if available. , 128. SECONDARY EMERGENCY CONTACT NAME - Enter the name of a secondary representative that can be contacted in the event that the primary emergency 'contact 'is not aváÚable. The contact snail have FULL facility access, site familiarity, and authority 'to make decisions for the business regarding incident mitigation: ' " ' 129. TITLE· Enter ~~ title of the secondary emergency contact. . . 130, BUSINESS PHONE· Enter the busine~ telephone number for the secondary emergency contact. area code first, 'ànd any extension: 131, 24-HOUR PHONE· Enter a 24-hour phone number for the secondary emergency contact. The 24 hour phone number must be one which is answered 24· hours a day. If it is not the contacfs home phone number, then the service answering the phone must be able to immediately contact the individual stated above. 132. PAGER NUMBER - Enter the pager number for the secondary emergency contact, if available. 133, ADDITIONAL LOCALL Y COLLECTED INFORMATION - This space may be used for CUPAs or AAs to collect any additional information necessary to meet /he requirements of /heir individual programs. Contact your local agency for guidance. 134, DATE - Enter the date /hat /he document was signed. (YYYYMMDD) 135. NAME OF DOCUMFNT PREPARER - Enter the full name of the person who prepared the inventory submittal in(ormation. 13~, NAME OF SIGNER - En~r /he full printed name of /he person signing the page, The signer certifies to a familiarity with the information , submitted and thátbased on the signer=s inquiry of those individuals responsible for obtaining the information. all the information submitted is true, accurate and complete. SIGNATURE OF OWNERI OPERATOR OR DESIGNATED REPRE?ENTATIVE - The Business Owner/Operator, or officially designated representative of the Owner/Operator, shall sign in the space provided. This signature certifies that /he signer is familiar with /he information submitted and that based on the signer::S inquiry of those individuals responsible for obtaining the information it'is the signer=s belief that the submitted information is true, accurate and complete. 137, TITLE OF SIGNER - Enter the tJti.e of the person signing the page. ~~' e CITY OF BAKERSFIELD e OFFICE OF ENVIRONlVlENT AL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILITY INFORMATION Business Activities Page oi I. FACILITY IDENTIFICATION - - --- - -.- .-.-. 1 r EPA 10 # 2 FACILITY 10 # (For office use only, please leave blank) DBA/FACILITY NAME n_.____.____.__. 3 .. ... ..- ... .-.... -.·..._··__u_.. .__.__ .. .._ _ . ,,_.-.._ ..___..__..___...__...__ _. ___·_·_·___·__·__·..__·______·_·___~·_·___·"·h~_._. .- ----.. _ ----.-..-.- -- -----.----.-.----------------- II. ACTIVITIES DECLARATION . .-- --- -- .... ,.-----------..-- Doês yöur-FãcilitŸ~·.-·--·m------ -----··--------r-·--·--·-·---'f y~s:-pï~;~~·C~mpl;t~·~~--- . Ä~·HÃZAR[)ÖUS·MAT-ËRIÄLS·-------·--· --.--. - --------;--ø'ŸË-S·OÑO - ---4- ~··;ï----..-OE-S- FÖRM'2731(Ch~rni~~ID~;;:;~i;o-';F;;rrn)----· 1, Have on site (for any purpose) hazardous materials at or i v CONSOLIDATED COMPLIANCE PLAN above 55 gallons for liquids, 500 pounds for solids, or 200 Minimum required planninQ elements: cu ft for compressed gases (include liquids in ASTs and . Emergency Response Plan USTs)? I. Maps 2, Have any amount of an explosive material (other than aYES ðNO 5 . Training ammunition) on site? . Prevention . Certifications ~B~'-RE~GuLÄTÊD-ŠÜBSTÄNëES(RS)'---'-----:-----;OVES-ØÑÜ'---'6~'----OES F6Rr:,"'i73T(Ch~i~IÕ~;criPI;o~F;;';;)- ----,-, ----- Have onsite RS at greater than the threshold planning ! v RISK MANAGEMENT PLAN (RMP Submillo USEPA) quantities established by the California Accidental, : V CONSOLIDATED COMPLIANCE PLAN -C,-UNc6~~~~~~-~e..~~~:~~~~~~~~:~~~'-----·---'ðYES··~ -·--7T.;------:ST-FAëï~~;~r~~~:~.~~I~~:-~!~~~-~~lemen~ 1 Own or operate Underground Storage Tanks? i ' v UST TANK FORM (one per tank) Intend to upgrade existing o~ install new USTs? i aYES ~ 8 v UST FACILITY FORM ! v UST TANK FORM I v UST INSTALLATION FORM (one per tank) D, T ANK-Ó.OSURËIREM-OVAl. n-----··---------r-aYEs-ØNO----9'V---us-TTÄNKFÖR-M·(d~S~~_;;·~ect~~.::;;;;_;p;r~;~k~--c- 1, Need to report closing a UST that held hazardous· . materials orwaste? 2, Need to report the closure/ removal of a tank that was : aYES øNO 10 v TANK CLOSURE FORM classified as hazardous waste and cleaned onsite?! /: '-Ë-:-ABOVE-GRouNõ-pËTROLËUM-STORAGETANKS¡ASTS)-'·T5YES~---;1r-·~--'''--COi\iSOLlÓÄTEDC6MPLiÄNCE PLAÑ------ Own or operate ASTs above these thresholds: any tank i . Incorporating Federal Spill Prevention capacity is greater than 660 gallons or the total capacity ! Control and Countermeasure (SPCC) . for the facility is greater than 1,320 gallons. l Elements pursuant to 40 CFR Part 112 '-~-HÄzÄ~~~~~~~~~~s wa:te;- ------·-------!~--ON~· 12 v~:~~~i·~ü~~~;~.r~7l~f~~~~~eP(~;~) 32:~17~;- 2, Recycle more than 100 kg/mo of recyclable materials at aYES Gt<t6 13 v RECYCLING FORM the same location it was generated? Recycle more than 100 kg/mo of recyclable materials at an offsite location different from the point of generation? Treat Hazardous Waste on site? 3, aYES (ðNO ~ES~ 14 v 15 v v 16 V 17 v --.., 18 V RECYCLING FORM 4, TP FACILITY FORM (DTSC Form 1772) TP UNIT FORM (one per unit) CERTIFICATION OF FINANCIAL ASSURANCE 5, Subject to Financial Assurance requirements? aYES ~O 6. Consolidate Hazardous Waste generated at a remote aYES ~O <3:- pÈR~i~e~ÓNŠÖÜÖAfIÓN'i6NË': --.--....,...,----- .-----.---- -+ÖYËS .-.(¡.. Intend to consolidate other Cal/EPA agency permits?· i (If yes, please complete Section III and attach) ! REMOTE WASTE I CONSOLIDATION SITE NOTIFICATION FORM _~ ..__ .. ._. ~..__n'.~·'__ _._.. CONSOLIDATED COMPLIANCE PLAN . Incorporating all other environmental permit requirements per 27 CCR 10410 . .-_._-...--._-~...--_.__.__._-----_. JTE: ./ If you checked YES to any part of Sections IIA-IIG above. then in addition to the forms requested above, please Submit OES Form 2730, i UPCF (7/99) S:ICUPAFORMSIACTlVITY,wPd ;..-~~ "~lt~!~~" . - . ','-- e CITY OF BAKERSFIEL" OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 FACILITY INFORMATION Business Activities Addendum Page of _ _ __._ .u,__'. ..'.._._.._ ...._. ..._..._.~___ . ..... ...-.. -----~------- I. FACILITY IDENTIFICATION ¡FACILITY 10 # (For office use only - pleaseïëã~e"bïã~k) . ___._ _ __~ _. _.__ n_ _, ._____._ _. _________ ..._.._____~._.__..__....__._n______ 1 fEPÃÎÖ#H-.. ...---.--.------- 2 ..- ,., - -+ . - -. DBNFACILITY NAME ...--".-------- --, -".- - ..- .-.. 3 -----.---.----------.--------------------.------------_._._-------~------ ---------------..----.-.-...---.-.-------.--.------- III. CONSOLIDATED PERMIT ACTIVITIES ---------ïs your Facility Compliance Plan subject to review by,-::---- ¡ fòr satisfying the condiiiòns of thesepermits? ¡-H-:--DËPARTMEÑT6FTöxicsCiBSTANèESCoÑTRoi------...-~ë5yEsøNo-- ~v---- --STANOAROizEDF'ERMIT'- -- ------.-------- . , ' !. All Modifications' QYES ~O QYES 60 .,t Non-RCRA HAZARDOUS WASTE FACILITY 1.,t RCRA HAZARDOUS WASTE FACILITY .. -I~ SAN JoÄÓuï'NVÄLLEvCiNiFlEo-AIR-poLLuTïÖi\J-------- QYES 0Nõ--¡'¡-- CONTROL DISTRICT .../ QVES ONO .,t ;'J~-STATEWATER-RE-ŠOURŒS-èONTROL!30A-R6---·----ÖVEŠ-øNO- :NTRAL VALLEY REGIONAL WATER QUALITY CONTROL QVES 0NO !:SOARD ----_._~---- -~-_._-_._---------------- AUTHORITY TO CONSTRUCT PERMIT TO OPERATE ~-----_._.._-_.__... .,t .,t WASTE DISCHARGE REQUIREMENT (WDR) GENERAL PERMITS QVES ØNO .,t SPECIFIC PERMITS : '.' .. . QY~S dNO ' .,t NATIONAL POLLUTION DISCHARGE , ,¡ ELIMINATION SYSTEM (NPDES) ·K~CAÜFORÑ-IÄTNiÊGRATËDWÄSTEMANAGEMENfBÖARD- ÖVES ot:io--i--~-- REGISTRATION PE-RMIT---- . I ¡--L-:KER¡;TcOUNT'¡-R·ESOURCE MÃÑ'AGEMEN:fÄ--GEN6-----; Q-·-Y·-;~S--7NP-·---':.¡ .,,-- ENVIRONMENTAL HEALTH SERVICES PERMITS E ØN,C ... Domestic Water Well Permit QVES ~O ' .,t Haz Mat Monitoring Well Permit QYES ¿o .,t Septic System Permit QVES ~~. .,t Public Swimming Pool Permit QVES ~O .,t Food Facility Construction Permit GYES ciNO I .,t Solid Waste Local Enforcement Agency ,I (LEA) Related Permits , QYE;S ~O l.,t Medical Waste Related Permits .CÙriÒF BAKERSFIELD·WASTEWA;-"-" DivisION -- _m_~-OYÉS- ø,(¡, -- -- - t;;;_·~-- ~f.~~RIA¡ WÁSTÉWATË,ïìiisöHÄRGE-- NOTE: ~ .,t If you ch~cked YES to any part of Sections I/I-H to II/-M above. then please address all applicable permit requirements in the Facility Compliance Plan, S:\CUPAFORMSlActivrtyodeooum.wpd July 1, 1998 I~" CITY OF BAKERSFIEL OF CE OF ENVIRONlVlENTAL ~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W o REVISE 200 DADO o DELETE _. '._.__." ". .. u _u__ ._.__... I. FACILITY INFORMATION .. BÚSiNEàifNA'MÊnsãmè-as-FÃèíLiT'i'NÃiiE'or--ÖBA-~ oOi-ñ"g-öusiñess· ÃS)----..-.·-------------------··---- ..--.--.----.-....-.---. -, "--- --.-.----.--.. -' .. _-r~_\ ~~ r-J Q.~_ Co. ~ ~,_ ---c-_~ t" _~: ___ _ ~ __ __~ _-: r- \J \ c:..--c..... \...A.-" -L CHEMICAL LOCATION L.\ ~ Co w "" , .\¡-. <- 201; CHEMICAL LOCATION : CONFIDENTIAL (EPCRA) .. iö3 -; GRiö'iï (öpìiönaï)---- ~ 204 ~~~~IC~TYiÖ# ih-I__J=,L~¡ ~=r~=~~I~_~:- ----=__:1)·TiÁP#(opïhnah- (one form per material per but/dIng or area) Page or .---- .--'. .---....., ------.,.- .-. '_______1' - ... _._ d.__. --..----------. o Yes O'NO 202 ......_.__.__u___._ ----.---...-------------.-- II. CHEMICAL INFORMATION ;~----~ -.. h .=____~-~~-\¡~=~~-=----.------------,....h-,.. ---------2Ö5-f~~:~:~::p~~,-:e~ :~~~t~:~~ 206- .---- ,----------------. -..m-----Ñ----------------------,---,------------..--- ,--,---- -2~~---..----..···- '-"---'-" --..._~--- COMMON NAME EHS' --.------.-------.---- CAS # o Yes 0 No 208 ------------ n 'ARE CODE HAZAROCLASSESfCompiete if requested by lotal fire-ëhief) 209 ·If EHS is' Yes, . all amounts below must be in Ibs. ...-.-.--...------ ----- ~~~~~~~=.~,~=~=~~~=,-,-~,~-!.~~;__=~-~ M~~~~_ ~-:-;~S~~~~DIOACT~VE 210 --[J~~--O No -----;;;-- CURIES 215 PHYSICAL STATE 214 LARGEST CONTAINER o s SOLID ~I LIQUID OgGAS -..' --.-- --------- 213 .-----.----.-.......------ .--...-.---- FED HAZARD CATEGORIES (f" '>Ck all that apply) o 5 CHRONIC HEALTH -~---------------------_._- ..-------- -.--.------ 216 ,--...---.----.--- ---_...._--------------------- 01 FIRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH .---- --.---.-----.--------------- ------------------.---.---------- AL WASTE A...vUNT 217 ¡MAXIMUM i DAILY AMOUNT ___1 218 i AVERAGE ! DAILY AMOUNT -- 219 , STATE WASTE CODE 220 UNITS' DgaGAL DdCUFT . If EHS, amount musl be in Ibs, o tn TONS -------------- 221 DAYS ON SITE 222 o Ib LBS ----------------------.----------._--------- -----.---.----- ------------- .-.------------- STORAGE CONTAINER (Check alt that apply) Ds:e PLASTIC/NONMETALLIC DRUM Or CAN o 9 CARBOY o h SILO o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o a ABOVEGROUND TANK Db UNDERGROUND TANK Ji5.<; TANK INSIDE BUILDING o d STEEL DRUM o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o q RAIL CAR o r OTHER 223 STORAGE PRESSURE o aa ABOVE AMBIENT o ba BELOW AMBIENT -..--.------. ---------------------.--..-----------------.-------------------------_._-_..-._-------_.._._------~------ 224 o a AMBIENT ......-----.--..-----------------..------.- STORAGE TEMPERATURE o aa ABOVE AMBIENT o ba BELOW AMBIENT ---.---------.-------------- 225 ¡_____,~ ___% VV"!',__,_--,---:-_, ____________~~~~~~~_~?M~O'~~~~____ ___ -----,----l- ____~~~_____1___.__________ CAS # ; . I I I 1 226 i 227 1 0 Yes 0 No 228 ¡ 229 n..______.._____ I ~ l' A~~~~CSC-------------..---------~----_---,..+.._------------------ 2 230 ¡ 231 i 0 Yes 0 No 232 i 233 ......- ______L___ _ _ .. -..-.... -----..--- "'-------.. ,- .. -.. -----.--....--... --- ......---------.... .....- --------1..-..-..- ..n--..-....-----l -.. ..----.. ... ---------- m___ ......----- 234 ! 235 I 0 Yes 0 No 23~ I 237 ___..... ._.l.n_.....____,____....__..___...___.._....______.. "_"_ '_______n__"___.. n.. n __,_.__. ....---.---n---f----....-....-,.---..---~ . _,___..____, m __m___.._____·.. 4 ¡ 238 I 239 I 0 Yes 0 No 240 i 241 ---¡-~,-.. ______..__..1___.___________'_...________'_______..___________...__-----..--.-------..-..... .____~--h-..___----.. m...'. --:--.. nn________, --,---..---..---.. _' ~~_ "'-=-~H~__ _~~~ __~II:-~~;.,;:;:;;_-n- _.1 D~~ 0_ '" PP'IÌjï'ÑAME & ~ A"fÖ~M~¡.¡t~SENfÃÏ'iVË- -------------- -'ŠIGÑATU E o a AMBIENT o c CRYOGENIC 3 -. .-- --... -.-.. __ H'··__'_·__ ,... -..... --...., ,.. "5-s-e/ ....- --------OÄTE--246-- . ._. _.____.. _. .. ..u____···_ ,~t:: S:\CUPAFORMS\OES2731,TV4,wpd UPCF (7/99) 'e. . '~ ", ~~, Hazardous Materials Inventory - Chemical Description " ., î You must complete J ~eparate HaLardous Matenals Inventory· Chemical Descnption page for each hazardous material (hazardous substances and hazardous waste) that you handle .Jt your faCility ,n .Jggregate, Quantlhes equal to or "reater than 500 pounds, 55 gallons, 200 cubic feet of gas (calculated at standard temperature and pressure) or lhe reder,11lhreShold plannong quanhty for Extremely HaLardous Substances, whichever is less, Also complete a page for each radioactive material handled over Quantities ror which .In emer"ency plan 's required to be adopted pursuant to 10 CFR Parts 30, 40, or 70, The completed Inventory should rellect all reportable Quanlllies of hazardous matenals at your facility, reported separately for "Iach building or outside adjacent area, with separate pages for unique occurrences of physical state, storage lemperature .Jnd storage pressure. (Note: the numbenng of the instructions follows the dala element numbers that are'on Ihe UPCF pages, These data elemen! numbers are used for "Ilectronic submiSSion and are the same as Ihe numbering used in 27 CCR, Appendix C, the Business Section of the Unified Program Data Dictionary.) Please number all pages of your submittal. This helps your CUPA or AA identify whelher the submittal is complete and if any pages are separated, 1. FACILITY 10 NUMBER· This number is assigned by the CUPA or AA, This is the unique number which identifies your facility. 3, BUSINESS NAME· Enter the full legal name of the business, 200. ADD/DELETE/ REVISE· Indicate if the material is being added to the inventory, deleted from the inventory, or if the information previously submitted is being revised, NOTE: You may choose to leave this blank if you resubmit your entire inventory annually, : 201. CHEMICAL LOCATION - Enter the building or outside/ adjacent area where the hazardous material ,is handled, A chemical that is stored at the same pressure and temperature, in multiple locations within a building, can be reported on a single page, NOTE: This information is not subject to public disclosure pursuant to HSC §25506, '" , 202, CHEMICAL LOCATION CONFIDENTIAL - EPCRA - All businesses which are subject to the Emergency Planning and Community Right to Know Act (EPCRA) must check "Yes· to keep chemical location information confidential. If the business does not wish to keep chemical location information confidential check ·No·, 203. MAP NUMBER - If a map is included, enler the number of the map on which the location of the hazardous material is shown, 204, GRID NUMBER' - If grid coordinates are used, enter the grid coordinates of the map that correspond to the location of the hazardous material. If applicable, multiple grid coordinates can be listed, ' 205. CHEMICAL NAME - Enter the proper chemical name associated with the Chemical Abstract Service (CAS) number of the hazardous material. This should be the Intemational Union of Pure and Applied Chemistry (IUPAC) name found on the Material Safety Data Sheet (MSDS), NOTE: If the. chemical is a mixture, do not complete this field; complete the "COMMON NAME· field instead. ,.. , 206, TRADE SECRET. Check "Yes' if the information in this section is declared a trade secret, or 'No~ ifìt is,n'ot:- " ,', ..¿~,..,' ~~',~~,¡~~~,'(, ,:~. State requirement: If yes, and business is not subject to EPCRA. disclosure of the designated trade secret information is bound by HSC §25511. ~"""4W"'.~'~:~ -. Federal requirement: If yes, and business is ~ubject to EPCRA. disclosure of the designated Trade Secret information is bound by 40 CFR and the business must submit a 'Substantiation to Accompany Claims of Trade Secrecy' form (40 CFR 350,27) to USEPA. 207, COMMON NAME· Enter the common name or trade name of the hazardous material or mixture containing a hazardous material, 208, EHS - Check "Yes· if the hazardous malerial is an Extremely Hazardous Substance (EHS), as defined in 40 CFR, Part 355, Appendix A. If the material is a mixture 'containing an EHS, leave this section blank and complete the section on hazardous components below, .. ," 209, CAS # - Enter the Chemical Abstract Service (CAS) number for the hazardous material. For mixtures, enter the CAS number of the mixtúre if it has been assigned a number distinct from its components, If the mixture has no CAS number, leave this column blank and report the CAS numbers of the individual hazardous components in the appropriate section below, 210, FIRE CODE HAZARD CLASSES;,Fìre Code Hazard Clásses describe to first respOnders the type and level of hazardous materials which a business handles, This information shall only be provided if the local fire chief deems it necessary and requests the CUPA or M to collect iì., A list of the hazard classes and instructions on how to' determine which class a material falls under are included in the appendices of Article 80 of the Uniform Fire Code, If a material has more than one .' applicable hazard class, include all, Contact CUPA or M for guidance, , 211, HAZARDOUS MATERIAL TYPE - Check the one box that best describes the type of hazardous material: pure, mixture or. waste, If waste material, check only that box. .. If mixture or waste, complete hazardous components section. . 212, RADIOACTIVE - Check ·Yes· if the hazardous material is radioactive or 'No' if it is not. 213, CURIES· If the hazardo,us material is radioactive, use this area to report the activity in curies, You may use up to nine digits with a floating decimal point to report " .' activity in curies. 214, PHYSICAL STATE - Check the one box that best describes the state in which the hazardous material is handled: solid, liquid or gas, 215,'lARGEST CONTAINER· Enter the total capacity of the largest container in which the material is stored, 216, FEDERAL HAZARD CATEGORIES· Check all cateqories that describe the physical and health hazards associated with the hazaidous material. PHYSICAL HAZARDS HEALTH HAZARDS Fire: Flammable liquids and Solids, Combustible liquids, PvroPhorics, Oxidizers Acute Health (Immediate): Highly Toxic, Toxic, Irritants. Sensitizers, Corrosives, Reactive: Unstable Reactive, Oroanic Peroxides, Water Reactive, Radioactive other hazardous chemicals with an adverse effect with short term exposure Pressure Release: Explosives, Compressed ,~ases, Blasting Agen.ts Chronic Health (Delayed): Carcinogens, other hazardous chemicals with an adverse effect with lono term exoosure' .. , , 217, AVERAGE DAIL Y,AMOUNT - Calculate the average dally amount of the hazardous matenal or mIXture containing a hazardous matenal, In each building or adacenU outside area, Calculations shall be based on ,the previous year's inventory of material reported on this page, Total all daily amounts and divide by the number of days the chemical will be on site, If this is a material that has not previously been present at this location, the amount shall be the average daily amount you project to be on hand during the course of the year, This amount should be consistent with the units reported in box 221 and should not exceed that of maximum daily amount. , ' 218, MAXIMUM DAILY AMOUNT - Enter the maximum amount of each hazardous material or mixture containing a hazardous material, which is handled in a building or adjacenUoutside area at anyone time over the course of the year, This amount must contain at a minimum last year's inventoiy of the material reported on this page, with the rellection of additions, deletions, or revisions projected for the current year, This amount should be consistent with the units reported in box 221. 219. ANNUAL WASTE AMOUNT - If the hazardous material being inventoried is a waste. provide an estimate of the annual amount handled, . 220, STATE WASTE CODE - If the hazardous material is a waste, enter the appropriate Califomia 3-digit hazardous waste code as listed on the back of the Uniform Hazardous Waste Manifest. 221, UNITS - Check the unit of measure that is most appropriate for the material being reported on this page: gallons, pounds, cubic feet or tons, NOTE: If the material is a federally defined Extremely Hazardous Substance (EHS), all amounts must be reported in pounds, If material is a mixture containing an EHS, report the units that the material is stored in (gallons, pounds, cubic feet, or tons), , 222, DAÝS ON SITE - List the, total number of days during the year that the material is on site,:' , 223, STORAGE CONTAINER· Check all boxes that describe the type of storage containers in which the hazardous material is stored, NOTE: If appropriate, you may choose more than one, 224, STORAGE PRESSURE- Check the one box that best describes the pressure at which the hazardous material is stored, 225, STORAGE TEMPERATURE· Check the one box that best describes the temperature at which the hazardous material is stored, 226, HAZARDOUS COMPONENTS 1-5 (% BY WEIGHT) - Enter the percentage weight of the hazardous component in a mixture, If a range of percentages is available, report the highest percentage in that range, (Report for components 2 through 5 in 230, 234, 238, and 242,) 227, HAZARDOUS COMPONENTS 1-5 NAME· When reporting a hazardous material that is a mixture, list up to five chemical names of hazardous components in that mixture by percent weight (refer to MSDS or, in the case of trade secrets, refer to manufacturer), All hazardous components in the mixture present at greater than 1 % by weight if non-carcinogenic, or 0,1% by weight if carcinogenic, should be reported, If more than five hazardous components are present above these percentages, you may auàch 'an additional shein,of paper to capture the required information, When reporting waste mixtures, mineral and chemical composition. should be listed, (Report fo¡"components 2 through 5 in 231, 235, 239, and 243,) 228, HAZARDOUS COMPONENTS 1 :5'EHS - Check ·Yes· if the component of the mixture is considered an Extremely Hazardous Substance as defined in 40 CFR, " ~" .. Part 355, or "No· i~ it is nO"\, '(Repòrt fôrcomponents·'2.throùgh 5 in 232, 236, 240, and 244,) '. '\. " . " .,., 229, HAZARDOUS COMPONENTS 1-5 CAS . Lis~ the Chemical Abstract Servi~ (CAS) numbers as related to the hazardous eomponents in the mixture, '(Repeat for 2-5,) , 246, LOCALLY COLLECTED INFORMATION - This space may bè used by the CUPA or AA to collect any additional information necessary to meet the reQuirements.of their individual programs, Contact the CÙPA or AA for guidance, ..... UPCF (1/99) 7 OES Form 2731 . .. CITY OF BAKERSFIELD . OF~E OF ENVIRON~IENTAL SeVICES t 715 Chester Ave., CA 93301 (661) 326·3979 HAZARDOUS MATERIALS JNVENTORY CHEMICAL oeSCRIPTION ~W o REVISE 200 DADO o DELETE I. FACILITY INFORMATION euslNEsS NAMëi söim.á'FÄcIUTŸNiJAëõiÓilA. DÖi¡,g-äüs1iMiü ÂSj_···, ---'-------...' -._- .. -- -- ,,-. _-r-.~.\~c:» N . Q..~ c.. =r\ _._ -C-,," "'~u__,_" , CHEMICAL LOCATION '-l tC 00 W" \ ~<.. \.-,ø...."-L __F~~IL:~ IÒ_.~~~~J=.·~.__~l~_.~~'._.·-=~,.....~~· 'MA~-~:OPUÖM~ .. ..... .--'-- ---_... ,:::>.. r- \J \ t.. '"'C.... 201, CHEMICA~ ~OÇAT!ON CONFIDENTIAL (EPCRA) 203 . GRiO j (ôpi;ö;¡"ìj " . (one forll1 iJer matenal "er b~"dmg or ..,,"') Page 0/ . . ··--·-"3' ·+__"·_·_'n o Yes 0 No 202 .n2ò4- -------,._--~,., - -'-'-~-'-~--'-_._--. --- ---- II. CHEMICAL INFORMATION CH:~~._.~.. .~~~.~ _ ~~. \..~~.~~~:~:=.~._. _ _-:--f":;;::,,",~:~~. COMMON NAMe EHS' 0 Yes 0 No 20e __.___.__ ._·...,.._.-0_·----"- ___ . FïRHoDEHAZAAÓCLASSESj'i:omj¡í¡¡¡¡riëiiiêiiied by lõCiiñr. ~----------_..__._- "'--- .--.....-- --------_._---~----~_.~_._._-- -_..__.'----~ 209 -If EH5 is-Yes.' AI' amoomts below IIIIIM be ill Ills. CAS II 210 -_.__._,.-.~- ...-.~-.---,,--,.. ... .'__ __9___~'_~~_______~__'__ TYPÉ'U" .- - .---.'.'-- --"-Õ;'p¡,~e--' [r~~~~e- ß1:-;~S;'Ë-~;-RAOIOACTIVE ----ö~~--o-~~ _._._~;;._. tÜRies 215 PHYSICA~ STATE LARGEST CONTAINER 'ill I UQUID o s SOUD o 9 GAS 21. --"-213- ..~.- -..-.-. .-.., . ...-._-- FEO HAZARD CATêGOAIES I"~ '"Ck aU Il'Ial .pply) o S CHRONIC HEALTH "~'-~'----'- - -------~-----~----------_._-----,,-- - .-----..- -----. --¥.-- ~. -..' 216 ___·__W_.___.__~_. ,_.._. __ .~___.__~________ .....,,'~_·___..__·_.______w ____._. 0, FIRE 02, REACTIVE 0.. ACUTE HEA~ TH o 3 PRESSURE RELEASE "--"---'- --- -...------..---.--- ...----.------.. .. "'~'''''' ---" ---~--_.. ---_. 2111 i AVEAAGe _ /' 2111 STATE WASTE CODE 220 ! DAilY AMOUNT /..!::. ","'C."Dv;s' o Ib'L8S 0 In TONS --·--------·-2;-DAŸŠÔNSITE ----m- AL WASTE A..,.,,¡UNT 217 , MAXIMUM i DAILY AMOUNT _____ ~~_____...__..l UNITS' 0 III GAL 0 d CU FT . 1/ EHS, l/llounl,!,usl lie in 1bS. . -'~'--~'--~-'----"-'-'--""-'" '.'---'--'.'~----"'-'------ '--"'-'-- - -----.. -----. --.~---_._. .. .-- - -,- ---. ...-----.. 223 STORAGE CONTAINER (C1I8Ck all tn"t ."pIY) Bi. ABOVEGROUND TANK Db UNDERGROUND TANK .g¡ c TANK INSIDE 8UI~OING o C STEEL PRUM o í FIBER DRUM O¡eAG o k BOX o I CVLlNDER o m GLASS BOTTLE o n PlASTIC 8OTT~E o 0 TOTE BIN o p TANK WAGON o. PlASTICINONMETAL~IC DRUM 01 CAN o II CARBOY 0" SILO o q RAil CAR Or OTHER ..........._.__ ._w_· ._..__ ___.._____~._____'..___.___.~._____ ...__.___~____.. _w~_..__..______ _ ..________~___. .~_.__.__.._ __.w._..__.'_ ._____ ____.. _____ ,_._,_._____ ..~.. _____~.._, ------------- STORAGE TEMPERATURE 0 . AMBIENT 0 II ABOVE AMBIENT 0 ba BELOW AMBIENT 0 ç CRYOGENIC : .~._ _"~~__'_-r-_'___"'__'__'.~~~~~'?~~~O~~~~.__... ___._.__,_,___l____,~!:I~_.__L_"...._.___"_.~S # I ! .. I.__.__,_..._~~ ~l.~_____, ____'___'HH__'__,~~~.9_~~C?_~~8H';' .__.._. ._._______...~. 2 230 I 231 I 0 Yes 0 No 232 ~3 I . ...,. ._ __.. .. . _. ._._ ._.__ ._. _. ,_. ___. "' ..______ _.. . . .. .. ~ ...~._~.~..~ '.w ...._ .. "_'. _....~ __L __.. . ._..w .. ..._ _._... '"'. 234 : 235 i 0 Yes 0 No 236 ¡ . . , ..·1 '-'" 'H, -.... ,.,. ___ .'·'u._..·_,.. ,--_. ".-.' --__... _.. --.---.1.-...., "..._."'''' " 4 23. I j __L..., l 239 : 0 Yes 0 No 240 : "- -·.."····1··--··-'·--..···..··--·-....·-·---·'--·'··--·-..-··"._,.. 'H'.'.",_,_,,, - ,. ...., .,---+-..-...... ,. .._-,.,,, .... --....-..,......._ _ H...._ '7~~~_ C~';-~~~-.ð---~;.;~TU .-- .. · 0,.0.. Põ~ti~AuaTö~OMPAN~~ÑTÄrlœ~· _.. -., ŠIGNÃT -- .~._._--_._- '-- STOAAGE PRESSURE o I AMBIENT o .. ABOVE AMBIENT o ba øe~OW AMBIENT ..-----------.-. 3 UPCF (1/99) -.. ~-------~ 224 225 237 . n. _,_..._~.___..__... 2.1 2.5 - ---."_.~~. ." --. "-".--.-...-.-. ---. s-s-or '. '.. n'-OATe;--246 S:ICUPAFORMSIOES2731, TV4,Wp I. FACILITY INFORMATION BUSINESS' NAMifiSame-á.'FÃC1LIT't NNJiE'ö;dOBÄ'-. Döing-äûS1ñ.. AS"j- ..h'..,. ---·-·-.--------···'·-·-:I··~'--- ,__·_'v._·..._~___ .. ... __h'·,____.~ ,". ,-f" C\._.\Ccø N ,Q..-(" ~ ~ _. -ç.\, t"~q._..q "l ~ ~ r- \oJ , t.. "<- CHEMICAL LOCATION Ll ~ ,...0 W ,- \ L ø \ _ -. D 201 CHEMICAL LOCATION '""\ 0 "'"' ~ 'T' _ ~r... - CONFIOENT/AL(EPCRA) ._:~~'l:~ ID ~~J=~_~~~~_==-'.'~-~.._~~~~~(~~~="- ._.~~_~:~~_.~::n6Î)'" __.___-' _____ _ CITY OF BAKERSFIELD. ' OF~E OF ENVIRONl\tIENTAL SeVICES , 1715 Chester Ave., CA 93301 (661) 326·3979 HAZARDOUS MA TERIA:LS INVENTORY CHEMICAL DESC~IPTION ~W D REVISE 200 DADC D OELETe (orre lor," per ,"alenal per ouddlng or are..) Page at' . -----3· .'--...-.-... Dyes 0 No 202 , ,.,. .-..- "'-}ò.¡-'" , II, CHEMICAL INFORMA TIOH .. .Uq""_'" "".--.. .., .. ,-_._..q- ..... . --.,. .... ---,----.,.--.1..--.-.,...,... - ,'. - .........20s·--fRÁöeseêRfd .... .-.-- -.-- ,:~____._._ N~-...) __t?_ ~\________________L__"__"_____'__2õ1._c-lf.~bj~IO~pc_~:~e~~7n~~~:s_: COMI\IION NAhæ EHS' ~-------~_.---~------'.~~:"~--~ o Yes 0 No 208 -~.__...._-~ -.-...-...--...--- 209 'If EHS ¡s-Y...· III amounts below. mull "" ib ,", 2'0 .--.-. '-~."'''''---''-----~-----_._----- CAS' . FIRE cOoe HAZAAéicLÄšSËs (CompÍ<tle 1/ ~4Id by local lire chiëi)-' I I I, r . _ _ _', . ~~~:~~~. -.~~=~-=~~~·~~~·~~~E'-=~~~- M~~~=--~;-;¡S~~11 ~IOACT~VE ---=?~~~--~-;;--·~_!~,2_... ~ÜRíÉS' PHYSICAL STATE ØJ. liQUID ~flGfST CON'l'A/NER OgGAS o s SOLID 214 - ....,... ---.---,----_. ----.. .....-..--- ..- _·_-----_·_----·--I-..---·~--'-- -..----,. -..--. .--- .. , FED HAZARD CATEGORIES 0, FIRE 0 2 REACTIVE 0 3 PRESSURE REL.EASE i ' 0.. ACUTE HEAL. TH 0 5 CHRONIC HEAL TM r-h-ck 811111alapplyl ~-----_._------_. --- .-- ..._----~_.-- -~. -.._, ~ ..~_._._- --------- ,. -2;3' ...~---- 21S ..---.----.. 216 2'8 iAveRAGE,-- 219 STATE WASTE COOE ! O"µ'Y"MOUNT I~._~S___,__.. o Ib LaS: 0 In TONS 221 DAYS ON SITE ! 222 AL WASTE A..,.JUNT 217 , WAXIMUM í CAlLY AMOUNT __._ .____.___., l UNITS' 0 ga GAL 0 d CU FT . If EMS. ,,"cunt mini tie in l)s. '-"'--'-- - ,.~---- ------ --.---"..'-. ...----.- ..----.---- 223 .' _...__.___w__._··__.____.·._ ...__._.'_.___.'_. 220 STORAGE CONTAINER (Check .11 /"./ apply) 2L ABOvEGROUND TANK o b UNDERGROUND TANI< Œtc TANk INSIDE 8t)'LOING o ð STEEL DRUM 08 PLASTICINOHMETAlLC DRUM 01 CAN o 9 CARBOY o h SILO o m GlASS BOTTLE o II PlASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON OJ FleeR DRUM dJ:¡ BAG Œhøox Q I CYLINOER I - ',-_.--"~"'-- . "'" ,.--.--- --~-- - -.--."- ...---.---- ..----------- "--._- ---.,-..--..- _.,-. ~---- ----- ~.. -~.- .'-_._--,--- ..-... ...- --.-.,- STORAGE PRESSURE 0 . AM8IE:/IlT 0 811 ABOVE AM81ENT 0 ba BELOW AM8IENT ,..'~"'-'-'.- .-.-. ._-------,,-----_._------~.._._- ...-.------------.---.---------------- 224 STOAAGeTEr.APERATURE 0 _AMBIENT 0.. AØOVEAMBIEHT ! 0 ba BELOWAM81ENT 0 c CRYOGENC 225 ;,-.-_:~~~~~T-4~=~~~""'E= --~- i~.~.~~~-h~-~~->4J--~-_-:s~____~ 2 230 ! ! 231 I 0 Yes 0 No 232 233 ¡ ...._,. '-.__... -.-. '--'-'-""."-" -. ...._-~-~-<..~ ...~-~..---¡.._....".~...._.. _-. .~.. L _. ...___~ ._ _.__._... .... 3 234 i 235 ! 0 Yes 0 NO 236 i . ~~"Ii--""-- ,... ...--._---'-"---,.-'----¡ --';3~-',r~~es-~~o~~"" - .-, _'_!"4'~" , '·--....····T·-..--'·---......····-....·-----·'--...'·----·-'···-U.,. ". '_"_~_U' í . .,---+---,-......... -~7.-..-._:1 ~ : 243 Yes 0 No 244 ~~ -?Ç~~~ Ø~~-~I~;;;~~--- pØ'o,¡T NAME" TITLe OF~~~ CO~ REPRI:SENTATlviC .-... -.-- -.. ..,. SIGÑATliFr- , . I UPCF (7/99) o q RAil CAR o r OTHER -'-.. .---,--~~- 237 . -....-,-... -~.- - --_. 24\ "_""9""_ ~ ..._-- 24S 3-S-0{ '--- "··OÃft:--246 S:\CUPAFORMSIOES2731, TV4,wp ,~'~ ~E;';; _...Þ .A.T.~r ...~.,"_. . .. CITY OF BAKERSFIELD . OF~E OF ENVIRON~''ENTAL S_VICES t 715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W o REVISE 200 DADO o DELETE .. FACILITY INFORMATION BUSINESS' NAMEisáme.u'FÁCIi.,TV NÄMËò(08Ä; òO;n9-ìMTn" ASj---- ..... .---'.--------..'----' - ... -------.. .. . .-F ~n\ ~c::> ,..J . Q...c: ~ ~. _.. -ç_\. ,.~._. ,.. ~ ... ~ _- r-, \oJ \ CHEMICAL LOCATION ~" 00 w "" \ ~<.. \-.c:aw.",.c.... __~~~il~~ IÕ .~~~J=~...~~=r~_=~-~__=-~,. ....~~·~~~:oø~~-·,· . -. --.."..----.- c.. "'C..... 201, CHEMICAL lOCATION CONFIDENTIAL (EPCRA) 203'· GRiD ¡¡ (öpiiÖÌliií ' .. - (one form per matenal øer tJ(Jlldtng Or areA; Page 01 ···-----3 ._....~._,... o Yes 0 No 202 -'. '---.-'---2Õ4- --- ._--~.,.--.-.---._.~---...---. --- II. CHEMICAL INFORMATION .- -.......-.. ....... ..' .. , ..... - ..-......... ,.....-,-----..- --..---...-----.-,-....--- "'·-20Ç--fRADEseêRËT-O.,.. i5~- 20&- CHEMICAL NAME ~ M 0 ~ ~ ~S~ A-f'\ L, ~ r_e 't- C- . If Subject to EÞCRA. refer 10 instructions '''_~.~.___._"..,....__,__..... ______'t:.._,_,,__.~_.___..______.._._..._____.._._"_n..__._.___________........, __... ...-......_..._..__.__." 201 COMMON NAMe EHS' ~_._-_._.- -,_._~---_.- -'-"- ---------..--.---------.-.------ o Yes 0 No 20e CASf¡I 209 ·If EHS ¡s-Ye.,· In 1rIl0\lD!> below muse be ill Q)s. 210 "--". .~-_._.~--"-- --~---------~.,_._-- FÎRHooe HAZARÖ-ël:ÃšŠÈs iéomøíe"lf requelted by lõëii1I(. ê:iiii1j . _______,_.~.. ...._._..____..._._. ".~ _..__ ._....._________.___ _~____,_____,__._~_._,______ w.~·__··_,_ ___..." TYPe....-· "--'--- -'- -Õ~..~~~' O~~~~;-- ø..-:-;~~,:e- ---;;--RAOIOACTIVE '''-'Öy~''-O';----'-2;~ CÜRiES 2,S PHYSICAL STATE 0 . SOLID ~ LIQUID 0 g GAS 214 LARGEST COl''AIIER _ ......___ __.~,.__.....__~_. _~__~_.. ··._._r._.·_~___·__,______._______________~_·______.__ _.,_____,._______ _____ __ FeD HAZARD CATEGORIES ¡r-k-a.aü tha.apply) 0, FIRE o 2 REACTIVE o 4 ACU~ HEALTH o 3 PRESSURE RELEASE o S CHRONIC HEALTH _._~--------------~----_. ~~-. --- ~"~-_._-~_. --- 216 --~,.-._-,---~-_._--..... H----m- ._. _·____4_ .-.- -~--~-.. At WASTE 211 . MAXIMUM ".......um i DAILY AMOUNT " ___._._____,______.._,...l UNITS' 0 931 GAL 0 d CU FT . If EI1S. amounl must be in Ibs. 218 , AVERAGe 2111 STATEWASTECOoe 220 ! OAIL Y AMOUNT j ----~-~..----- ----.-------...----- o IÞ L8S 0 In TONS 221 DAYS ON SITE 222 _ _.~.__.___~,_.'_r__..._. ,_ _~.__._~._.___.__ ~--~"--'--" .----- -.---- -_._--~-_.- .'..-~" ~,-._---~ -.------. STORAGE CONTAiNeR (CMÇ~ ,11 t~,t 'pply) ß!. PL.~ICINONMETALlIC DRUM Of CAN o II CARBOY o h SILO O. ASOvEGROUNO TANK Db UNDERGROUND TANK Jii! c TANK INSIDE BUILOING o 0 STEEL ORUM 01 R8ER DRUM OJ BAG Ok sox o I CYlINOER o m GLASS SOTTlE On PlASTIC somE o 0 TOTE SIN o ø TANK WAGON o q RAIL CAR o r OTHER 223 ...._,.._._~~ -~.~. ..-....._----,._------_.-._._--~-,#_.~---~-_._-_...._--------~-~-~- "'__.__~____. _..__..__ ._____. ~~________.__ _._~__ ~____.~._ .__.._ _~__.._ _____.~ ~_____ ._._.._._.______... ..~"._ 4'.___..,~".._.. ________ ..._~---~-------- - .,--,--.....-..... .-. STORAGE PRESSURE o a M48IENT o a8 ABOVE AM8leNT o b8 BELOW AMBIENT 224 STOAAGE TEMPERATURE 0 a AMBIENT 0 .. ABOve AM8I£NT 0 ba BELOW AMBIENT 0 ç CRYOGENIC 22S ._._ ...~~ __, _-r-_,_.._~..__...__~~~~~.?~~~O~~~!_.. ,,_____. _~. ."--...,.-__l.. ___.~~~.__J..__..._...._.____~S # I ,___.__,_..._~2t ·á/d-5d_t£._.A;1/:Ll.agt:;;~t£__,..~_,._____,:=_l-:?~~~-No 228...,;. __,_.._.._,_________:. 2 230 , '.., 23' 1 0 Yes 0 No 232 ....__._...___1. _... _... ___.. _... ._ ..~. . .._-... ----.... _, _, .___._,~ ··.·w.._ __ .. ..______ .... . 3 234 , . -- I,.. 23. r _._!..~....... I ,- ·-·..··..t..-.....··--··..··---- .---.---,,--.........---,-,..-......., -..----,.. - ,. ..-. ~k~;7~~~¡=~~_:.:TU·--- ... '.. .-, .~. -".. ....W._...._··...._....._._.., .....- .. -,~~_..... 4 UPCF (7/99) 233 .._-.-... .... 237 . -,. - ---. ...--.-.,--.-----... 241 '... __..._.~ ,,_h.._____ _. 24$ _._-,.---- _..~_. ".-...-..--.-.-.-..----. 3-S--Dr ..... ""OÃfg:--Z46 S:\CUPAFORMS\OES2731, TV4.wp I, FACILITY INFORMATION BUSINESS' NAM't{sãm.ïl'·FÃCti..rrV··NÄhE·or·^oèA·~ OOi·ngWBUSTn.. Äïj- .-.. 'F. ---.----,---~...----..-----." -~_..." -...-. ~ -..,,----... ". -r=- ~_\C~,..j . Q..~.~~. __ -ç" I"~B__.__ , ~... r. u \ t..--<-.. CHEM!CAL LOCATION L1 ~ 0- t . ~ '- , L ... \ _ .-. D 201- CHEMICAL. LOCATION '"" I).... ..- ~ T _ ~ r ... - CONFIDENTIAL (EPCRA) __~A~IL::~~'-=~_J=~__~~~_~~~'_~-~:,__~~ 'M4~~~ -_~~_~_~~_.(:~ '.., - _.__.__.______~'=2ò4-_ , CITY OF BAKERSFIELD OFt4t:E OF ENVIRON~IENTAL SeVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL oeSCRIPTION ~W o REVIse :roo DADO o DELETE II, CHEMICAL INFORMA nON (one 10rm øor "'.tonal &lor b~¡/dmg or ..111..) P"90 ot '---') ...._..n_...... o Vt1$ 0 No 202 ....~- -....". '_'~_"'.-..'_.'" .._.._~ -~ .. ~. .--.-'..-,- -"- .....--.- .,~- ....-..,,------..'---..----...--..~~.... -, ~ ..·-·~2ïj5·--fAACE·sè-ëRET ~ -------- CHEMICAL NAME ~ 0 Yes 0 No 206 ~ ~ ~ ~::>-\- <- (J \ ~ Q \ \ W.!. / ~c=.1 ') , ~ Subject to EPCRA, refer 10 in$lructions .._-=-.~,---_..., '"n'''___''' -.-------..-.--.--------------~.--.----.-..-.--.-,.--..--·-.-207-----·""''' .. "..... .......,--..-.--... COMMON />lAME : EHS' ~~-_.......- -- --------. ---'.-- --- ---.---.------.--- ------..-....-..- -~_.__.~._-- -.---.-.---.- -'--- DYes DNa 208 ~----_._~..- .---.,.-----.- 209 'If ElliS is'Yos,' III....ountt !Ierow mult be in þS, 210 CAS! FÎRE C9DE HA.ZARtfèv.sSES [Com¡iie(e it rec¡ueeted by lõãi11rë~- ---- ~ç_t?:r...t..-__...6 'L::-~~_____ -----.----------------..-...--------,-.--, CORieS" E 0 ø PURE 0 m MIXTURE 0 w WASTE 211 RADIOACTIVE 0 Yes 0 No . 212 -_._~-_._-,,- .._-._-_._--~_... "-' ---- _._-------._-~-------------_._-. .~~S'CA~~~~_~~____ ___~_~, SOLI~__~~~QUI)...____.~..!_~S ____~~~~~~AINE~_._ _______ __n_' ____ _ FEO HAZARD CATEGORIES I"~ -cIc aU rnallJlllly) o 4 ACUTE HEALTH o 5 CHRONIC HEALTH ..~_.~-_._-~--_._-_." .~------._-~--- 01 FIRE o 2 REACTIVE o 3 PR£SSURE RElEASE -.-.---.-..----- ---'..-.__._~----_._~---. - "213- ~._.- _.._.~ .-. .- .-. -. -.......-...--- 215 ._ u._....___.___.. 216 .-......-...--. 217 , MAXIMUM . (I II 218 ¡ AVERAGE 219 STATE WASTE CODe 220 _________.._____.1. DAILYANr:>uwr-LD -r\ r----r- ; DAILY AMOUNT -'!_'?_____________...____ UNITS' 0 ¡. GAL 0 á co FT 0 IÞ L8S 0 tn TONS 221 DAYS ON SITe 222 . _,_..._.___,..,_..______. .. ...__.__._.._ ·1!e~s,!",ou~u.~.!.~ ,__,,_,__, _..____ .._____. __,_____,_ ,,__ _ ____.____.___. Al WASTE A",,JUNT STORAGE CONTAINER (CIJ.clr all /fa/lPply) o II ABOVEGROUND TANK , a b UNDeRGROU1'lD TANK DC TANK INSIDE BUILDING ø~ STEEL DRUM o . P\.ASTIC/NONMETALI.IC DRUM a/CAN a ; CARBOY Oh 511.0 a í FIBeR DRUM OJ BAG Ok BOX o I CVllNOER o m GLASS BOTilE o n PLASTIC BOTiLE o 0 TOTE BIN o ø TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PReSSVftE o .a ABOVE AMBIeNT o be BELOW AMBIENT ..._-------------....~-.--...- .,,----_._- ..----------- .-.__.__.__._-_.-.....-._~ ,---- ----.. -~-- .-._._._._~_.._~.. -"-~.'-'., '-'. ~---.---"~ 224 - .__.---~~..~. ~- a.AM8IENT ..,........-.-- ._~....- ._..._-----------_._._...~---~-_._--,----.-------------_._._-~---_.------- STORAoe TEMPERATURE 0 a AMBIeNT 0 18 ABOVE AMBIENT 0 be 8ElOW AMBIENT 0 c CRYOGENIC 225 .___ _...~v:r: --'--r--' ____,_._,__,_~~~_~~_??M~O~~~~._____. __, __,__, .....____L___.~!:I~___..l_....._____.. .._.?,S # 1 ~26 ¡ c:....S\...e...:.. \. \ ~ \. \ \----r~ 227! Oy..DNo 228: 229 . p'-- ..-.-..--....--, : W -.____.__---º-._,l. --.-----.... ----..----- .....,-- .--'---r-.-----------,--,,,. .._.____.. .__________..__ 234 235 ! a Vt1$ 0 No 236 ! --.1 '-- .... - -,-- ....... -- "". -, ,.., -'. f' I . _....-,....- --,-.... ----.... __.___u ;.-...-... "...-....-.... ,.,.. .,.. . ~_L..._, 238 I 239 ) 0 Yes 0 No 240 ¡ W ,! .-- '~~~--'r'~- ..--..-~-..,...-~ -"-'-.---..-- .-.,.~---_.-~......--... . __.,.____.'c... ... ---..---------¡..-.-.......-- .... .---. .:.... ..-- _.-_.._-~~ ..-...----.--:- -.-'-. A_____ --~.._,,-..--_l_ . 243 i OVesONo 2441 245 -. - .- -'-- .-----...-----~---. --_.~_.- ....- .-----...'- ---.---..-__..__-L____.________.________ ___.....__......__.,__. ..--._._ ~ó~~~~eõ!;~~þ\.ÔMf~e';:,;-.~ÑTATìVÈ- -~,,-,,~~I~:i:~;ze~~ ~ ... ~~s= -;:;-- r 1/ ~~ OL n-r. ·..··..-õÄfë;--246 2 230 231 ' 0 Yes 0 No 232 . . ....... -- ..-.. . ,._~._..~-.~..~_.... ..... -..,_. .~'". .'~ .._~. _.0 _.__'.A --. -. .~----- .----. ,_.. -- - ..,-..------ ... . J UPCF (7/99) 233 --....---.-..- -... 237 -....- .-... - ~-- - ----. S :ICUPAFORMSIOES2731. TV4. wp