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HomeMy WebLinkAboutBUSINESS PLAN 8/22/2000 Per it Operate to Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This permit Is Issued for the following: [t Hazardous Materials Plan a Underground Storage of Hazardous Materials a Risk Management Program o Hazardous Waste On-Site Treatment . ~i.."""'/ Issued by: . -,.",~: . . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Appmved by: Issue Date ¡ , : Expkation,D~Je: 'June 30, 2003 '- ---~ ....... --- _-.--- ¡--'-' -"..-~--" -- iì'i-\ ;'7sfTE O(AGRAM 'r Business Name: ~~\8-D FACILrr~(AGRAM ø C£'-LÙL~\ <Ç tjÇ ¡ i.J 3usiness ACdress: For Office Use Only :::fST In Stcrion: Area MC:J it at \nscec~:on Stc~ion: NORTH 0 ...' " µtt.opl)* TJON l<.... ...' ....d( s -7 ~-((t'/ (\ofJ ~p (,¡PQJ'~ V5P (y\ ~~D¡Ù . ~\rw,J <-0 , Cf'" c.. 6Gøa/"Jíò'(~ 9'~ -...... ..L...L ..1..'..J.. ~'...L ...L .. ....... .- ------ - ~,;~~_:!'( e :.~ ....." .7_ c.."'~ ,.. _,..è)' / :~*-,." SITE DIAGRAM I Business Name: ~~tUFLELO e FACILITY DI~GRAM --r¢:J c..£Lk(j lPl'\....- ${ 1't { I...c 3usiness Address: For Ottice Use Only \ \ ;;CST In Stotion: I \ Area MC:J # at Inspection StCTion: NORTH ^ lS 5c....U-l~(L~ 0í ,,"' :SIT€: ,~ ~ 3 ~ J 5íO (L.At,~ IJ.) r ~ ~ $í(/ (fA ~ \t ~ s :>-. ~ (t\1 --... {)lA.J UNIFIED PROGRA.SPECTION CHECKLIST. SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 ADDRESS FACILITY NAME ~ ,~c:.~~~~9-1·z:.-tf __ 'tb___~,_,________,___ '-t L{~ ) 'i-~--~,-, FACILlTYCONTACT ..=--=---t INSPECTION TIME JD______ No, of Employees ------- --- --_._.~_._-----~_.._- Business ID Number 15-021- 0öl 'i?7ó ''¡ 5ection1: Business Plan and Înventory Program ~Routine CJ Combined CJ Joint Agency CJ Multi-Agency CJ Complaint D Re-inspection v ( C=Compliance ) V=Violation OPERATION COMMENTS CJ ApPROPRIATE PERMIT ON HAND' '-----:---_.._-----------'~- ,,,-----,-----, -,,-----~,-----------,------,--,---..,-------_..,,--""-,--,--,..--- CJ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ ,---~---------,--,-------,----- ,-,,-------"'--- ..,,--;;~'---..,..----------'-----'-"'_.._-_.."-----'-'" ,,-------- CJ VISIBLE ADDRESS ~ ~ CJ CORRECT OCCUPANCY------------------------- n, ,--,----- - ------- \} ---------------,-----------------,---,-- ---------------------- -----_..,~,---_..------"-----,---~"-,-------,-,--,--,--,-----,-----_..,- -,----,_.._-" CJ VERIFICATION OF INVENTORY MATERIALS "- ---------,--------,-- .._----~ - -------) -- - --- ---- ~------------------- CJ VERIFICATION OF QUANTITIES " "\ ____________,_______m_'______,______..~ ------3i.------~- __ ____ __,___ __ ________ ___ '" _ " ___,,, _..__ CJ VERIFICATION OF LOCATION ~ ' , ,,--~-------------,------ ---- --,--~-,_.._-----,-------------------,--,_.._-, CJ PROPER SEGREGATION OF MATERIAL ~ , -,-----------_.._-----~ --------~--'--'-~ ---------------------- --,,--,--,..,,--,,---- ~ ~:::::::::: ::D:A:V::~~E _______ ___~----~------------ ..... .. CJ VERIFICATION OF ABATEMENT SUPPL;~~"~~; P~C~~~~~~~_ __=~_~~~-==' --~:~=~~==-~_~~_~:=_=~=~~~~=_~_~~ ~ :::::::: ::::~E:::~:UAT"-____ .. .... L-i------------- .. ------,---~-,------------------- ,,-,-- ----,-~-----,--,-~-_....._--.._-,---,---~----,.._"-~------------,-- CJ HOUSEKEEPING :--... \r3 ..--,--....--------,-- ---~----,-----~--_.._---,-----_.._------..,----,--...... CJ FIRE PROTECTION ~_ - -~---~_._--_._--------,._--_._--_.- ----------.-----..-----.-------.-----.-------- ._-.-.._~------_. CJ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: CJ YES ~O HfVì~\=f 'ª ~ÔO \ 6(, l-lteJ <: \,\aV'c¡ eS V ~ J..t 'J _ '5 i.'1;1 ~ 1') V- ,,-é~O V" EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ....__-5..CD1,7 Inspector o "..{l,__ Badge No, ------'-------'-c tl Business Site Responsible Party ~ lJ Pink - Business Copy \ White - Environmental Services Yellow - Station Copy ~,-'\ e - CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I<'loor, Bakersfield, CA 93301 FACILITY NAMEl)t:.st:U) ætL S 17£ 1 ~ ADDRESS t.t40 ~ '-(e:Af:>e e.. ~y FACILITY CONTACT - INSPECTION TIME to V"\'\. ~ . INSPECTION DATE '7 - 3(-0 ~ PHONE NO. 32.7-87ðO BUSINESS ID NO. 15-210- ð I B 70 NUMBER OF EMPLOYEES ~ /" Section 1: Business Plan and Inventory Program ß"Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand <4/ Business plan contact information accurate I""""'¡"- /' ,") '-' ¡\...\.AAJN~ ~ Visible address ./ ("1iSl'L.,.. ~t 7fG J Dl<- Ò~\ . Correct occupancy ./ \. vt,sUÆL t t\.J ~f . - ../ Verification of inventory materials ./ Verification of quantities ./ Veri fication of location / Proper segregation of material / Verification of MSDS availability ./ Verification of Haz Mat training V Verification of abatement supplies and procedures V Emergency procedures adequate 1/ Containers properly labeled 1/ Housekeeping V Fire Protection V " Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes riNo Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env, Svcs. Yellow - Station Copy Pink - Business Copy Inspector: SC~(1 ~c4- í 6 Î - ~'i' - //') ,/ 5r/J6Y - BAKERSFIELD CELLULAR SITE 16 SiteID: 015-021-001870 .Manager : Location: 4408 YEAGER WY City BAKERSFIELD BusPhone: Map : 123 Grid: 16D (661) 327-8700 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:4813 DunnBrad:00-698-0080 Emergency Contact / Title Emergency Contact / Title JOE SANDOVAL / FIELD ENGINEER LARRY GONZALES / FIELD OP MGR Business Phone: (661) 332-0127x Business Phone: (559) 285-2403x 24-Hour Phone : (661) 332-0127x 24-Hour Phone : (559) 285-2403x Pager Phone : ( ) - x Pager Phone : ( ) - x , Hazmat Hazards: RSs Fire Press React ImmHlth ^ Contact :~N LYIÎ1'¡ KQ:Jd.CL/L Phone: (661) 327-8700x Mai1Addr: 4180 TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93309 Owner AT&T WIRELESS SERVICE f\ÀJ . L Phone: (925) 224-1488x Address : 44.:10 RDSEWOOD DR 3188 ~g<õ Qí ( e... a...'1Q.. State:,..CA- c'A City : PLEASANTON LGÝÌ ~ e...í"j Zip : 94588 ;.3bo<1 + .- Period to ". TotalASTs: Gal : = Preparer: AUG '2 4 2000 TotalUSTs: = Gal Certif'd: RSs: Yes - Emergency Directives: ENVtRO~!, ~".... f= Hazmat Inventory f== As Designated Order One Unified List ì All Materials at Site ì Common Name. . . SpecHaz EPA Hazards DailyMax MCP E F P F IH IH IH G G L 90.00 LBS -z $ tJ 2-Ð-G-. 00 GAL 3-J..-9-. 00 LBS ~(, 3 t '7t¡ tJnR Hi Hi STORAGE BATTERY I, \ P - -~ ^ Il 00 hereby certify that I have ~, reviewed the attached hazardous materials manage- ment plan for tÇ\W S and ~hat i~ along with (NÐrMI of BusineSll) any correc~ions constitute a complete and correct man- agement plan for my facility. rXf~i!~ ó-z¿ -c!() Date 08/15/2000 e e F BAKERSFIELD CELLULAR SITE 16 F Inventory Item 0001 = COMMON NAME / CHEMICAL NAME HEPTAFLUOROPROPANE FM200 Location within this Facility Unit SiteID: 015-021-001870 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 434-89-0 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 90.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 90.00 LBS Daily Average 90.00 LBS ~Wt I ~9.ÖO , HAZARDOUS COMPONENTS ~ CAS:34-89-0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / UnR HAZARD ASSESSMENTS F Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME PROPANE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 150.00 GAL %WL I 100.00 Propane HAZARDOUS COMPONENTS ~ Yes CAS # 749861 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -2- 08/15/2000 e e F BAKERSFIELD CELLULAR SITE 16 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY BATTERY ELECTROLYTE/SULFURIC ACID Location within this Facility Unit INSIDE OF SHELTER SiteID: 015-021-001870 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 7664-93-9 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container J C) ,~C\-l3. z.o LBS AMOUNTS AT THIS LOCATION Daily Maximum d 4> "3 ' 1 ~ 319 . 0 {} LBS Daily Average ;)0.3 .74 319.00 LBS %Wt. RS CAS # 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 HAZARDOUS COMPONENTS Z MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards , NFPA USDOT# MCP No Yes No No/ Curies F IH / / / Hi HA ARD ASSESS TS -3- 08/15/2000 e e F BAKERSFIELD CELLULAR SITE 16 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001870 ì Fast Format ì Overall Site ì 03/31/1998 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERIAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. Employee Notif./Evacuation 03/31/1998 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM, AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. Public Notif./Evacuation 03/31/1998 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan OS/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT CLOSEST EMERGENCY/URGENT CARE MEDICAL FACILITY. -4- 08/15/2000 e e F BAKERSFIELD CELLULAR SITE 16 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID~ 015-021-001870 9 Fast Format 9 Overall Site 9 03/31/1998 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment [ I I Clean Up Other Resource Activation -5- 08/15/2000 i>"í '. e e F BAKERSFIELD CELLULAR SITE 16 I p= Site Emergency Factors ~ Special Hazard~ SiteID: 015-021-001870 ì Fast Format '1 Overall Site ì I 1 03/24/2000 Utility Shut-Offs [: UTILITY SHUTOFFS. Fire Protec./Avail. Water 03/24/2000 PRIVATE FIRE PROTECTION - HALON SYSTEM. NEAREST FIRE HYDRANT - NONE. Building Occupancy Level -6- 08/15/2000 ii .¡ _ .. e e í BAKERSFIELD CELLULAR SITE 16 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001870 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/24/2000 ¡ o 0 o THIS IS AN UNMANNED CELL SITE THAT IS FULLY AUTOMATED AND ALARMED. o o o o WE DO HAVE MSDS SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO 0 o BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MSDS 0 o SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE 0 o DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS, AND 0 o TO CONTACT JOE SANDOVAL OR LARRY GONZALES FOR ANY CONCERNS THAT MIGHT ARISE. 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf .~ \ ""j It ""\ e ~J:)AKEROFIBLD CElrT.TTù.ð;R SITE 16 , - SiteID: 215-000-001870 ~ Manager : AT~ Lù\K \6S ~eflJ¡c.~.s e.,/ù ~h:1(a... Location: 4408 YEAGER WY W I Ct Cf en City" BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 16D (661) 327-8700 CommHaz : Moderate FacUnits: 1 AOV: SIC Code :-4812 y'S 13 DunnBrad: 00 fßfìg DD8 D Emergency Contact / Title JOE SANDOVAL / FIELD ENGINEER Business Phone: (661) 332-0127x 24-Hour Phone : (661) 332-0127x Pager Phone : ( ) - x Emergency Contact / Title LARRY GONZALES / FIELD OP MGR Business Phone: (559) 285-2403x 24-Hour Phone : (559) 285-2403x Pager Phone : ( ) - x Hazmat Hazards.:_R.C-", r- '\ Fire Press React ImmHlth Contact MailAddl City AT&T Barbara Walden . Rm 3188 4430 Rosewood Drive, Pleasanton. CA 94588 AT&T WIRELESS SERVICE : 4430 ROSEWOOD DR 3188 : PLEASANTON 'ANT Phone: (-&6-1) 327 8700x State: CA Qa,5 c9-d.-LI-1L-/88 Zip : 93303 Phone: (925) 224-148~ State: CA Zip : 94588 Owner Address City TotalASTs: TotalUSTs: RSs: 3öl) Gal Gal Period : Preparer: Certif'd: 1-1- 4'1 to I 1. ~ 3 1-'19' (6~w~ I = ~s= Emergency Directives: RECEIVED MAR , 3 2000 ENV'RON. SERV'CES I, ~r611C\ I&h)~ Do hereby ce¡¡1i~ ~hai ~ have (Typs or print namo) reviewed the attached hazardoo~ maiøi'Îals manage- ment pian ior.f\íií ~}\ te Ir.s.; SVlS~nd ~ha~ i~ along with (~ame ofëüslneas) any corrections consmuts a complete and corrsct man- agement pian ior my facility. 0o~~ 3-2:;00 -1- 02/28/2000 e F BAKERSFIELD CELLULAR SITE 16 p= Hazmat Inventory p== Alphabetical Order e SiteID: 215-000-001870 ì By Facility Unit ì Fixed Containers at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards ELECTRIC STORAGE BATTERY 5u1-Ç,sf~c.. Mçi HEPTAFLUOROPROPANE PROPANE F IH P R IH F P IH -2- MCP Hi UnR Hi 02/28/2000 e e F BAXERSFIELD CELLULAR SITE 16 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ELECTRIC STORAGE BATTERY ^ _' ¡ ~~~'\ L lee -tro \':J~ I Svl k IC.. 11C.-IC' Location within this Facility Unit INSIDE OF SHELTER SiteID: 215-000-001870 1 Facility Unit: Fixed Containers at Site 1 Days On Site 365 Map: Grid: CAS # 7664-93-9 PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container '2-? 2400.00 LBS L..J,l- AMOUNTS AT THIS LOCATION Daily Maximum ~ (f 2-4-&0 . 00 LBS Daily Average 3 (j z-.t'ð'o. 00 LBS %Wt. RS CAS # 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) No 7664939 2.00 Polypropylene No 9003070 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0001 F== COMMON NAME /' CHEMI CAL NAME HEPTAFLUOROPROPANE FM200 Location within this Facility Unit Facility Unit: Fixed Containers at Site 1 Days On Site 365 Map: Grid: CAS# 434-89-0 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 90.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 90.00 LBS Daily Average 90.00 LBS HAZARDOUS COMPONENTS ~1 CAS # I 434-89-0 ~Wt I ~9.ÖO TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / UnR HAZARD ASSESSMENTS -3- 02/28/2000 - - F BAXERSFIELD CELLULAR SITE 16 p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 215-000-001870 1 Facility Unit: Fixed Containers at Site 1 Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 74-98-6 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 150.00 GAL ~Wt I l~O.ÖO Propane HAZARDOUS COMPONENTS ~ CAS # 749861 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 02/28/2000 e e F B~ERSFIELD CELLULAR SITE 16 ~ p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001870 ì Fast Format ì Overall Site ì 03/31/1998 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERIAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. Employee Notif./Evacuation 03/31/1998 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM, AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. Public Notif./Evacuation 03/31/1998 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan OS/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT CLOSEST EMERGENCY/URGENT CARE MEDICAL FACILITY. -5- 02/28/2000 -- e F BAKERSFIELD CELLULAR SITE 16 I- p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001870 ì Fast Format ì Overall Site ì 03/31/1998 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment I I, [ I I Clean Up Other Resource Activation -6- 02/28/2000 " - e F B~ERSFIELD CELLULAR SITE 16 I' p= Site Emergency Factors ~ Special Hazards SiteID: 215-000-001870 ì Fast Format ì Overall Site ì I ] 03/31/1998 r: Utility I NO UTILITY Fire Protec./Avail. Water Shut-Offs SHUT-OFFS. 03/31/1998 PRIVATE FIRE PROTECTION - HALON SYSTEM. NEAREST FIRE HYDRANT - Building Occupancy Level -7- 02/28/2000 ~ e e F B~ERSFIELD CELLULAR SITE 16 ~ f= Training Employee Training SiteID: 215-000-001870 ì Fast Format ì Overall Site ì 09/07/1999 THIS IS AN UNMANNED CELL SITE THAT IS FULLY AUTOMATED AND ALARMED. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR THESE MATERIALS, AND TO CONTACT JOE SANDOVAL OR LARRY GONZALES FOR ANY Page 2 I I I Held for Future Use Held for Future Use -8- 02/28/2000 ~. '. e e BAKERSFIELD CELLULAR SITE 16 215-000-001870 Manager : Location: 4408 YEAGER WY City BAKERSFIELD Moderate 1 AOV: CommCode: BAKERSFIELD STATION EPA Numb: Emergency Contact / Title Emergency Contact / Title ~ ce. -SQr\d O'J c:J / F1 e:\cL E~~ì neev- Lax~ a;orn-,,--I~ /Hd& ~RJ-"O)t.s tJt~1' Business Phone: ( Cow \ ) 33:). -ê:> \ '-= x: BUSl ess Phone: (55q~) ~85 V()3;c 24-Hour'Phone : (~l,) æ2-0\ -2.. 1 x: 24-Hour Phone : (~nOlfõ ¿;IclC,5 A Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth Contact : td-ffi ~~ I "Pð m\ t\. f\:s-l Phone: (\t<ol) 327-8700x MailAddr: 4180 TR TUN AVE State: CA City : BAKERSFIELD Zip : 93309 Owner A T ~T LD i re.. \ e~.s.. ..Ç e..{ v \c._€- oS Phone: (9;;5) Gld.q - / L/ t'f A-+-\-(\ . '"Baxbarrc.... woJ. d e f'\ Address ~ L{cj ~O 'Koseu:x:::o& '12V"~ v~ t KVI1. d \ 8'"g State: (!A City . '"P \ e..a. sex ~ ~" Zip :q<lS88' Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: F Hazmat Inventory One Unified List ì f== Alphabetical Order All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP ELECTRIC STORAGE BATTERY E F IH S 2400 LBS Hi HE PTAFLUORO PRO PANE P R IH G 90 LBS UnR PROPANE F P IH G 200 GAL Hi -1- 08/17/1999 " e e F BAKERSFIELD CELLULAR SITE 16 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ELECTRIC STORAGE BATTERY SiteID: 215-000-001870 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 7664-93-9 STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 2400.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 2400.00 LBS Daily Average 2400.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) Yes 7664939 2.00 Polypropylene No 9003070 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F IH / / / Hi p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME HEPTAFLUOROPROPANE FM200 Location within this Facility Unit Facility Unit: Fixed Containers at Site ì Days On Site 365 Map: Grid: CAS # 434-89-0 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 90.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 90.00 LBS Daily Average 90.00 LBS %Wt. I 99.00 HAZARDOUS COMPONENTS ~ CAS # I 434c89-Q HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / UnR -2- 08/17/1999 i' e e F BAKERSFIELD CELLULAR SITE 16 p= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME PROPANE SiteID: 215-000-001870 ì Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 150.00 GAL %WL I 100.00 Propane HAZARDOUS COMPONENTS ~ CAS # 749861 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -3- 08/17/1999 ~ e e F BAKERSFIELD CELLULAR SITE 16 I p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001870 ì Fast Format ì Overall Site ì 03/31/1998 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERIAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. Employee Notif./Evacuation 03/31/1998 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM, AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. Public Notif./Evacuation 03/31/1998 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan OS/27/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT CLOSEST EMERGENCY/URGENT CARE MEDICAL FACILITY. -4- 08/17/1999 e e F BAKERSFIELD CELLULAR SITE 16 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001870 9 Fast Format 9 Overall Site 9 03/31/1998 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment r I I Clean Up Other Resource Activation -5- 08/17/1999 '" e e F BAKERSFIELD CELLULAR SITE 16 I p= Site Emergency Factors r== Special Hazards r=:: Utility Shut-Offs ~ UTILITY SHUT-OFFS. SiteID: 215-000-001870 ì Fast Format ì Overall Site ì I 1 03/31/1998 Fire Protec./Avail. Water 03/31/1998 PRIVATE FIRE PROTECTION - HALON SYSTEM. NEAREST FIRE HYDRANT - Building Occupancy Level -6- 08/17/1999 ..... . '!'- ., .! ~', ¡; \ e e í BAKERSFIELD CELLULAR SITE 16 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001870 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë OS/27/1998 ¡ o \ 0 o THIS IS AN UNMANNED CELL SITE THAT IS FULLY AUTOMATED AND ALARMED. o o o o WE DO HAVE MSDS SHEETS ON FILE. \, o o o o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO 0 o BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE \ 0 o MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES ~ o ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOCATION OF THE MSDS FOR 0\ ;.. ~~~~~.. ~~~~~~~:,~.. ~~.. ~~~~~ ~~4~-l;~!.. ~~ ~ ~~~,~~ ~~~!~.. ~~~~~~...... ,j: \1 aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeêêeeeeeeeeeeeeeeeeeeeeeeee íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj ~~+e \Ip_ ~ "- ~ - ECEIVED MAY 2 7 1998 Bus Ma - BAKERSFIELD CELLULAR TELEPHONE SiteID: 215-000-001870 Manager : TOM POOR Location: ¥El\-CgR TATV !t40 ~ '\J City BAKERSFIELD 1 ./ ~. hone: 123 : 16D (805) 327-8700 CommHaz : FacUnits: 1 AOV: ~ -'>7"- CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:4812 DunnBrad: Emerg~n~r Contact / N . Title ~ Emergency Contact / n Title _ ~ lcl~ Cra ýS / ttw~ ~q 1 Y\LÙ' TOM POOR \2)1fU.c..-þ,r Of ~IYVUrIY¡(1 Business Phone: (805) 327-8700x Business Phone: (805) 327-8700x ' 24-Hour Phone : (805) 332- 002:3- 24-Hour Phone : (805) 332-0123x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth Emergency Directives: F Hazmat Inventory One Unified List 1 p== MCP+DailyMax Order All Materials at Site 1 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP ELECTRIC STORAGE BATTERY E F IH S 2400 LBS Hi PROPANE F P IH G 200 GAL Hi HEPTAFLUOROPROPANE P R IH G 90 LBS UnR ~p ~ld.L€. G17SS ©© lhìsrsby œüin~ i~®Q ~ ~~~@ (1íw;J€1~~ fi'~ß®~®©1 ~~® ®llit®©lh1oo ~~ú\Q1ºus mlID~@~S1J$ m~M\9J®o m®ffi (Q)ij®rù ~@~-ær(~a ¡1ß I J .JAAIDOO ~Ih®\\ ~Q ®&ø~ ~¡~Ih (~) mli'iJV OOfi'!i'®©l(n©lñJ® OOIñJ~ßß~IVJß® ® rom¡ô)le~~ ant01 008'!i'®©Î! m&1lfðo ~®@m~Ifðß lQ)~rð ~©r ffiV ~©ü~åíìy. ~r~ ~ro 5~/t¡2 -1- 04/02/1998 .' ~ e e F BAKERSFIELD CELLULAR TELEPHONE p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ELECTRIC STORAGE BATTERY SiteID: 215-000-001870 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 7664-93-9 STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 2400.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 2400.00 LBS Daily Average 2400.00 LBS D %Wt. RS CAS # 67.00 Lead No 7439921 18.00 Sulfuric Acid (EPA) Yes 7664939 2.00 Polypropylene No 9003070 HAZAR OUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0002 F== COMMON NAME / CHEMICAL NAME PROPANE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit INSIDE OF SHELTER Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 150.00 GAL ~Wt I l;o.åo Propane HAZARDOUS COMPONENTS ~ CAS # 749861 A ESSMENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD SS S -2- 04/02/1998 ",. e e F BAKERSFIELD CELLULAR TELEPHONE p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME HEPTAFLUOROPROPANE FM200 Location within this Facility Unit SiteID: 215-000-001870 l Facility Unit: Fixed Containers at Site l Days On Site 365 Map: Grid: CAS # 434-89-0 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 90.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 90.00 LBS Daily Average 90.00 LBS HAZARDOU MP NENTS %Wt. RS CAS # 99.00 HEPTAFLUOROPROPANE No 434-89-0 S CO 0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P R IH / / / UnR HAZARD ASSESSMENTS -3- 04/02/1998 .' ." e e F BAKERSFIELD CELLULAR TELEPHONE I p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001870 1 Fast Format 1 Overall Site 1 03/31/1998 IN CASE OF A HAZARDOUS SPILL ALWAYS CALL 911 FOR THE LOCAL RESPONSE AGENCY. THEN CALL GOVERNORS OFFICE OF EMERGENCY SERVICES. THEN CONSULT THE CALIFORNIA HAZARDOUS MATERIAL NOTIFICATION GUIDE TO SEE IF ADDITIONAL AGENCIES ARE TO BE NOTIFIED. Employee Notif./Evacuation 03/31/1998 IN CASE OF FIRE EMPLOYEES ARE NOTIFIED TO EVACUATE THE SWITCHING OFFICE AND CLOSE ALL DOORS TO ENSURE PROPER OPERATION OF HALON SYSTEM, AND TO ENSURE NO ONE ENTERS THE OFFICE UNTIL FIRE DEPT AND HAZARDOUS RESPONSE TEAM HAS CLEARED EMPLOYEES TO DO SO. Public Notif./Evacuation 03/31/1998 HAZARDOUS MATERIALS USED AT OUR FACILITY DO NOT POSE A THREAT TO THE PUBLIC. Emergency Medical Plan 03/31/1998 MEDICAL TREATMENT FOR EXPOSURE TO MATERIALS USED AT OUR FACILITY CAN BE HANDLED AT MERC:r: .tiUt).I:'l'~·AL LO~'FED .?\..T 2215 TRUY~l\.VE. 6LO~£~T 9Jl:e:RGWCY LtR.G-£N í CftR£' tv\ £1) leaL -4- 04/02/1998 " " e e F BAKERSFIELD CELLULAR TELEPHONE I f= Mitigation/Prevent/Abatemt Release Prevention SiteID: 215-000-001870 l Fast Format l Overall Site l 03/31/1998 ALL REMOTE LOCATIONS ARE VISITED BY QUALIFIED PERSONNEL TO CHECK FOR LEAKS IN PROPANE SYSTEM, BATTERY SYSTEM, AND HALON SYSTEM ON A WEEKLY BASIS. Release Containment [ I I Clean Up Other Resource Activation -5- 04/02/1998 ,,,. '-. ""' e e F BAKERSFIELD CELLULAR TELEPHONE I p= Site Emergency Factors [:: Special Hazards ~ Utility Shut-Offs I NO UTILITY SHUT-OFFS. Fire Protec./Avail. Water SiteID: 215-000-001870 ì Fast Format ì Overall Site ì I 03/31/19981 03/31/1998 PRIVATE FIRE PROTECTION - HALON SYSTEM. NEAREST FIRE HYDRANT - Building Occupancy Level -6- 04/02/1998 ';'" "'..:., e e í BAKERSFIELD CELLULAR TELEPHONE ëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001870 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/31/1998 j : 'WE m\YR 6 RMI'LO"':EE8 Nf ':FIllS Fl\CILITY. -¡t¡S t6 tln IM\tV\Ann-eJ ~Ik 4-lLu+ ,~S : o ~ttA (}.M..,to M.W~d. Ctn d cd aX'M..e-d~ 0 o WE DO HAVE MSDS SHEETS ON FILE. \ 0 o o o BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES THAT HAVE ACCESS TO 0 o BATTERY ROOMS AND/OR HALON PROTECTED FACILITIES ARE FAMILIAR WITH THE 0 o MATERIAL SAFETY DATA SHEETS FOR THESE HAZARDOUS MATERIALS AND NEW EMPLOYEES 0 o ARE MADE AWARE OF THE DANGERS OF THE MATERIALS, THE LOÇATION OF THE MSDS FOR 0 o THESE MATERIALS, AND TO CONTAC~ BLACK OR TOM POOR FOR ANY CONCERNS THAT 0 ;~~Jë~1ë~ë~êëëëëëëëëëëëëëëëëëëëë~~~~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë; 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 · -- --- - - - I . I ._,"!!"~J"" 8AKERS~ELD·CITY FIRE DEP!RTMENT HAZARDOUS MATERIALS DIVISION' 1715 CHESTER AVE~ 8AKE:=1SFiELD, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN r INmucrrONS: fire 1773?- L \ '?:TO. /~'(f( ·0 ,....'IOI'C' ., "-ner ""'''u;en ':::.. "n ·...I·S ,-......, ·r"nl·n '0 d t .' r, I, i '- 1,-,,,. ""'..... . '_1,-, III ,,-,,,.. WI, _ cys 0 lece!or. 2. 7YP~!PRINT ANSWEitS IN :NG~¡Sr:. { / 0 -.:"'nswer me cuesiiens celow fer ;:ie c~s¡ness CS c wnOle. (?- 3- 0 -, 3e cnet c:;c c~nc:se cs :::C~I:::!e. qc SEC:-ICN 1: 3USINESS rDENT¡F¡C~TrCN DATA 3US:i\~~~3 NAME: ðAI(£flS t='tEl.O C!.EL.WJLßfL 16...EPr\ot-J,g ~plhJ.V\ . LC·::.':".~¡C¡\J: 'S \lE:: ,~ t lD MA;t..:NG AOCRES::: ~I <6ó -rìL\J~-..J~ ~h.Æ= C:T'(: í3AtÐt~~t£l(J SiAT::: CG- ZIP: cr350~ PHONE. 3~l-gì ðC :u.'; & ::~A2S:~==: :',JlJMS::~: SIC c::::O=: ::R:;'','Î~,R'( AC7:VIì'(: ~Eu....uuQlL ~"'"'tLU\.~ CAUl..L~ C IN:\J ~:~: ßELL 'S 0 ~ ~~lfll\..... Ca-t...p :¡'vI;',:~:~JG ":'.CJR::S3: ( too Þ~U+---r7LB-""" 'S"-r ~"TLA"-I.Th- 6~~ ~ -;> o3~ SEC:-ICN 2: ~ME~GENC,( NCTI¡:¡C~TrCN: CCNïAC7 Tiïl= BUS. ,::J~CNE 24 HR. PHONE 1. -Et:::. ì31-AeA:.. 'KßS 'í~ "-t (CO I...J 3:J..ì -'3 ') ()O '3 3..)....-() 1d.-8 2. TO(Yì t>ocn- () Pt3l.~¡ ð1.J.s, mßI\J~~ 3.)-1-8lö<J 33d-.-6 I d.-3 - --------- ~_... ......w.... ~ - HAZARDiS MATERIALS MANAGEMEI í'lAN \ ~ ~~~.., / SECTION 3: TRAINING: NUMBE~ CF =MPLOYE=3: to' MATc:RiAL SArc::Y DATA SHE=-:S ON FiL::: Y£S ôRiE:: 3UMMARY OF TRAINING PROGRAM: ¡<deL Ernpwy~ WfV=r HA€ Ac..c.t~S íò t3,4)~ ~1Y1.s ~D ( ðL H RrLótJ P(ù)T~ F'Æ1-UL T!t.~ rJ~ ¡:5fV1/L./ftfL f.N £Tl4- í/-J-E mR-TÐt../1tL $¡(jFT'1 DIJf1!r- ~fTS ~"- TKE"st" HIJ2..AM<A-Ç, tnr'QTÐU/ð"L-5 A-A..JO !...¡lêU e,-YY¡P0J4 tð ,o<U?' -' ml)ø£, ,.$w¡(J~ ðF' --¡u,¿ ÒÆf\1 t,t::.fl.5;. ðF fH:G m~rrtE.fL/~s I . ~ ~T:~ ðt= ~ m'SoS P'óC Tk£ç£," 1Y11ðn:.1U~S J f!JNO 70 Û56\AT ~ ~o <;:( .tt^ 1/ "'-'A 7'\ N'-\. L..- f:J Lr<T\..I\'- .......~ Ië) IY) ,-00 tL. Po ~ ~ CðI\J.C£rl..N .s -n=J ~L m l t; wr It fL,L<;é , SEC7TCN 4: :XEMPTICN REQUESï: ! C=~TiF'{ UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE ~=?ORT¡NG R='~U!REMENTS CF CHAFER 6.95 CF THE "CALlFORNIA HE.<l.LTH & SAF::Y C::OE" FaR TH: ;:CLLCWING K:.';SCNS: WE CJO ¡\JCT :-:ANCL: ~.';L.~RCCUS MA TER!ALS. WE DO :-:ANCL= ~AZ.;l,RCCUS MATERIALS. 3UT THE QUANTiTiES AT NO -'\,\c:-./,..---..... -,.- . \INliv1Uìvl ~--r-R-'NG ;...", "Trr¡r-- lllv ~=.'\,-.::=:...' ¡¡:=:V I :C:::-...... 111 >::.t\.Jf-..I'j 1 c:;;. C-;":C:J (~::=r·=·./ rc,\ C:--Nì 111~'\ ,""'" __u , ."'~......."""\..-:, , SE(:-:-ICN 5: CERTIFtc~TtcN: I. ED w/JILO L W ~ C=RTIFY THAT THE ASOVE INFOR- MAìlCN IS ACCURATE. I UNDE~SiANO THAT THIS INFORMATION WILL BE US~D TO ~ULF¡lL MY FiRM'S CBllGAnONS UNDER ïH= "C.;UFORNIA HEALTH AND SAF2( CeDE" CN ""-"RoCUS M'A-r--rAL~ (DIV ,..,0 C""~--- . ~c; ~-- ')c:=·~o,-- 'L' "NO THAT t ¡-¡.~L.i-' 1 1 c:~~..... . ~ ,~,,,,,,\r' t :::{ C.':t....- ~::',-. _"-"""""~ =~ A _/ r'\ INACC:.JRATE INFORMAnCN,CONSiiTUTES PERJURY. R~ ;/ - ~ SiGNATURE í<..etš ~.lC..IIßtJ TITLE i¡. ¡il! q) DATE 2~ --.... '!'......-:::"_... .. .":: .. ~: '~vr- - n , Hazar¿ous Materials Division - - ,- HAZARDQUS. MATERiALS MANAGEMENT PLAN / Fccmty Unit Name: 8~-PLf-LD Û-:L\.-U L~-./ <:=·-~'CN Ó' NOTTFìC~TION AND =VAC~AïtCN PROC~DURES: __"",,.1 . . ,....... -'~'C' -'ON ....,r.:C,....~....f 'l-""~' .~G=:'JC,( NO ¡In 1"\11 I r',"; "-=:....'.... 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HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION -, CHECK IF BUSINESS IS A FARM [] BUSINESS NAME í3 A K8L$"FI EUJ ŒI-L\JLAtL -re:Ü~'¡:>\+o~E E:.o fYì p> i) t-.JLf FAC¡UTf NAME '5' rr6 # f~' S¡TE ADDRESS 5 6E" A=fT'~tM€{) mA-p CiTY t3A~"Fta..o STATE C.~rf C.EW-ú~fL. ïtu=:P\f~ ZIP q~:30<1 NATURE OF BUSINESS c..i:J fY\ P ~ t-..J. Y \ . ',.- .,. "'. , -.". ,. ... . '.- ~ ". - - - . SIC CODE I i 'I DUN & BRADSTRES NUMBER ; j'NNE::1/0P:=RATOR t3tw- ~OYT"1t- 'c.e...LuU)1\.- we..p MAIUNG ADDRESS \ \-.)0 ¡>E~c.M-ï?'r...t::1::S s-r PHONE \4<J<{) 'z.c{q - oiJo <3 CiTY .4-~ STATE 66JU-"l/RJ ,... ZIP 30 '3~8 I EMERGENCY CONTACTS ! NAME IOrr\ -Poa~ TITLE O-PaLl~:t\~::; ('(\A/\.l~e""'£tL I i BUSiNESS PHONE 3~/- 81 DO 24-HOUR PHONE 33~-O I~:' I I NAME ffi OL~CJc.. TITLE 'K.AO\6 ß~~ Sl~IÎðN \~ I \ BUSINESS PHONE 3~ì-al è5D 2.4-HOUR PHONE 3"5d--C)1~ I I .. - I Sea.........::a. , ggz ¡;a¡¡QH" I.D'C STNlCA BAKERSFiELD CITY 'FIRE DEPARTMENT HAZA~US MATERIALS INVENT~Y ~t:£(lS;p~j) CEl..L..uL¡ÖIL Address y leaD T~-rUr.J tJut I :"1ess Name ~r Page.:lofh .' §; CHEMICAL DESCRIPTION ...... , .. - Check if chemical is a NON TRACE SECRET' ßÍI TRACE SECRET [ J '~VENTORY STATUS: New X Addition [ ] Revision ( 1 Deletion! ] Common Name: -, rM -"2..00 3) DOT 1# (optional) - , - - ~ ~(-~ 8'~'-0 ChemIca! Name: ]"('ft:>TA FJ::.'~.t 0 .£ 04>([Ò P AIûE AHM [ 1 CAS 1# HEALTH .1 J I Immediate Health (Acute) ~ Delayed Health (Chronrc) 1}11 , :>HYSICAL &. HEALïH ~AZARD CATEGORIES PHYSICAL Fire [] ReactIve IX! Sudden Release ot Pressure M 51 ) INVENTORY STATUS: New\<..J Addition ( ] Revision ( ] Deletion ( ] :) Common Name:_C.O/'l',IYlt=LC.-l A L. '.pl2..o pl:lll...lJt: Chemical Name: P A ('.....A- FFt "-l. l c... \-\ '-1 ~/I~6 Lf\ ~ ð \...J I I 'NASTE CLASSIF1CATION , I· PHYSICAL STATE Solid [ J . "MOUNT AND TIME AT FACIU1Y Maximum Daily Amount: Average Daily Amount: Annual Amount: Largest Size Container: # Days On Site ) MIXl1JRE: us: I ::-:e tnree most hazaroous 1 ':;'1emlca! comoonentS or any AHM componentS J\ Locallon INS\O€, :) ?HYS¡CAL ö. HEALTI-! "'iAZARD CATEGORIES 5) WASTE C:..ASSiFIC..TION , l,3-digit code from DHS Form 6022) USE COCE uquid [J Gas M Pure r)( Mixture [ ] OíEOC.AU. TUAr.u::ct., Waste [J RadioactIVe [ ] 0.0 =*- '-3('6 UNITS OF MEASURE Ibs p(1 gal [J 1t3 [ J cunes [ ] 8) STORAGE CODeS a) Container: b) Pressure: c) Temperature: ()3 0.;2.. 0'-1 . Circle Which Months: (All Yeai:)J. F. M. A. M. J, J, A. S, 0, N. 0 1) COMPONENT H EPTA FI..., l.\.O (L.ó {¿(LOP {:3~ ' CAS # 1.,f3 ,~ß~":' 0 ~ AHM [ } [ J \ [ 1 ! ^ 2) :J) ùÇ" 5"ijt1..:re."- ( '£ 0=: tfY1 ¡¿r P ) A-rrkú:+ëD CHEMICAL DESCRIPTION Check if chemica! is a NON TRADE SECRET [J TRADE SECRET [ ] 3) DOT # (optlonaJ) AHM [ J CAS # II I' I PHYSICAL ~ire (,\:J Reactivelj;1 Sudden Release of Pressure ( ] HEAL1'H Immediate HeaJth (Acute) U1' Delayed Health (Chronic) [ ) (:>-digit code from DHS Form 8022) USE CODe /G) Pure ~ Mixture [ ] ~ Wa5te [J ~ECX.AU. i'.JH.APCIt" Radioactive [ ] 5) PHYSICAL STATE Solid [] UQuid j(r Gas [ J ;er.;ry unaer Den81ey or Jaw, tT1Bt I nave person81lY exammee ana am Familiar WIt1'1 t1'1e JnFomBDon sUDmrccec on e/1/S ana 81/ amlcnec aaclJmenr:s. I oel/eve ¡:;e :~m~z:n ;¡:;;ccurat;:d ~p~t~ rß- ~ ~ I ~1,( ~l ""¡NT" ]it1 'A'~" C ' š%S' ,all ¿c-' v .., /Yame & F e or "'" ,onzeo omoany neoresenrat1Ve Ignarure ì) AMOUNT AND TIME AT FACiU1Y MaxImum Daily Amount: Average Daiìy Amount: Annual Amount: Largest Size Contamer. # Days On Site 3) MIXl1JRE: ust :he three most hazarcous 1) cnemlca! comoonents or ar.y AHM comoonents 2) 10) Lo=on .-g£.µ I tU 'ì I ......x¡ '.. "Z.OC I 'S 6 ~QÖ S,.-00 ,(oS UNITS OF MEASURE Ibs [ ] gal.~' 1t3 ( 1 cunes ! J 8) SiORAGe CODeS a) Container: b) Pressure: c) Temperature: Q.J.. I "f J. F. M. A. M. J. J. A. S. O. N', 0 Circle Which Months: All Year. , I I 3) 1> Rù p~ COMPONENT e:..-rn tC I\J.ê. V~ P~L-EI\..lF____ "SÞk:.'L-n:."'- (:) t::..c CAS # i ~ - 9 8 -(p _ { '-f.;. ~<{-D I rS-óì- I (Y)ßP) B1W:S . 5 ~ AHM [ } ( J [ J R. TT,a c..:eo \1 Dare ~.. \.ØICST~IIØ'''' tjAK.t:.H~ru:.L.U \..III· T r-1t1t: ur:.r--'~n IIVIt:I't I HAZAR~US MATERIALS . I NVENTtfy ''B~~A~ t~ Ga-1-0L-JAiL., Address 4 ('16 TtWx:llirV. ~ Page~ of ~ , --=.:... iness Name CHEMICAL DESCRIPTION "INVENTORY STATUS: New ~ Addition ( J Revision ( ) Deletion ( 1 1 IJ Common Name: Check if chemical is a NON TRADE SECREi ¡À TRACE SECRET r 1 ELl::.'"'t:IT'u G- "5Tó"~~~ ð ~îT¿1\.-L{ , 3) COT # (optional) I I.chemlcal Name: E:LEí.:tt'.l.t...' Srð/l,¡()c-,-€, ~ ~ )1 PHYSICAL Zr. HEALTIi PHYSICAL i HAZARD C:..ïEGORIES Fire)<f Reactive (] Sudden Release of Pressure [ ] AHM ( J CAS # S¿c BtJ-oW HEALTIi ImmediB1e Heelth (Acute) ¡Xi Delayed Health (Chronic) ( I )WASïE CLASSIFICAT10N (3-c1iglt code from DHS Form 8022) USE CODE L{7 ,j PHYSIC:"L STATE Solid Xf UQuid (1 Gas ¡ ) Pure [1 Mixture)<¿' Waste [) OfECX ALL TNA' 1Pf/IIl" Radioacùye [ 1 ~ 1 ,I z..'-t ù ó 1...,!.to)o 1.-,4 ~ -z..:,c..¡ ~ 30'S UNITS OF MEASURE Ibs 9><3' gal () 113 ( ) curies [ ) B) STORAGE CODES a) Container: b) Pressure: c) Temperature: 'I ')ìAMOUNT AND T1ME AT FACIUTY Mexlmum Daily Amount: Average CaJiy Amount: Annuai Amount: Largest Size 'Contalner: # Days On Site 13 I l.../ Circle lNhich Months: All Year. J. F, M. A. M. J. J. A. S. O. N. D 0) LOca1lon I f'.l S d~E o~ S~~e.....\6L ( SEE. ~\"t"~æ CO CAS # %WT AHM 1 cf'3'7 -'ì :z..- (.,7-,7 [ 1 7G (...~ -~3 ..q 18- 2-~ [ 1 9oo~-oì-O 2..-5 [ ) mAP) I, ì) MIXTURE: Ust I :he three most hazardous cnemIC2J components or any AHM components COMPONENT I) u:.A-Q 5 u t...F" v (Ll<:- AU 0 1=b L'-1 :p ......0 P '-I t,EX, !fÇ 2) 31 CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( 1 Addition ( 1 Revision ( ) Deletion ( ] Check if chemicai is a NON TRADE SECRET [ ] TRACE SECRET ¡ ] 2) Common Name: 3) DOT # (optìonaJ) ChemIcal Name: AHM ( ] CAS # 4) PHYSIC;"L Z. HEALT1-\ PHYSIC:"L HEALïH HAZARD C:..TEGORIES Fire ( ) ReactIVe ( ] Sudden Release of Pressure ( 1 Immeoime Health (Acutet [ J Delayed Health (Chromc) ( 1 5) WASTE CLASSIFICAT10N (3-<:Iiglt code trom DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ) Ucuid ( ] Gas ( ) Pure ( ] Mixture [ } Waste [ ] RadioactIVe [ ) 04E'CX AU. J"I.IA r APA." 7} AMOUNT AND T1ME AT FACIUTY UNITS OF MEASURE B) STORAGE COOES Mexlmum Daiiy Amount: Ibs ( ) gal [ ] ft3 [ ) a) Container: Average Dally Amount: cunes ( ) b) Pressure: AnnuaJ Amount: c) Temperllture: Largest Size Container: - ;; Days On Site Circle lNhich Months: All Year, J. F, M. A. M. J. J. A. S. O. N. D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazarcous I) [ ] cnemlcal comoonents or any AHM components '2) [ ] 3) [ 1 '0) location carory unaer penalry ar law. mar J nave ,aersanallY examrnao ana am ramlllar WIUT UTe mromaDon suammea on UT/S ana all arracnea aacumanr:;. I Oel/eve c-: ;;èmltted inform8.DOn is true, aCCUT8re. and complete. ~A (JJ)U-1.J E:DÍN~ flQ !.- '&~ £- 4/~¿/ql fL Date ,RINT Name & Title of AuThonzea Comoany Aeoresenrative , !~.XI.'!i11113 Signature ~. I.DCS"fØ11G/fl#lO" ~I""\.I'''',¡ 'wi u_....~ "'.... I In~ L.I~rl"'\n IIVI~I"'t I - - ." .- ,~ -/. ':" , , -~ " ness Name Address 01 C: ¡EMICAL DESCRIFTION !I :1 il INVENTORY STATUS: New [ J Ada::¡::.:: I j RevislCn ( ] Deletion [ ] ChecK if chemical IS a NON TRADE SECRET r ] TRACE SECRET r ] !j l Common Name: 3) DOT # (optionaI) ;; :j Chemical Name: AHM r ] CAS # PHYSICAL [. HEALTIi PHYSICAL HEALTIi :¡ HAZARD CATEGORIES Fire { ] ReactlVe[ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] II ; .. WASTE CLASSIF1CATlON (3-digrt coae from DHS Fonn 8022) uo;;e CODE :¡ ~_._..- .-" .. " --. PHYSICAL STATE Solid [ ] U~uìd [ ] ·Gas [ ] Mixture [ ] Waste [ ] .M-;::::=.e í .. ¡I..- I J ¡j Offt2 AU. ÐlAr APIDl" ,I AMOUNT AND TlME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES II Maxsmum Daily Amount: Ibs [ ] gill [ ] tt3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: " Annual Amount: c) Temperæure: ,/ Largest Size Container: ; :! # Days On Site Cin:le Which Months: All Yeer. J, F. M. A, M. J. J. A, S. O. N, D MIXTURE: Ust COMPONENT CAS # "'WT AHM :1 ,¡ the Inree most hazaraous 1) [ ] !ì :¡ chemIcal ccmoonents or d any AHM components 2) [ ] II 3) [ ] 0) LOClUlon II I CHEMICAL DESCRIFTION \ i ;INVENTORY STATUS: New ( ] Addition í J ReVIsion ( ¡ Deletion [ J ChecK if chemical is a NON TRADE SECRET [ ] TRACE SECRET t ] ! , HAZa.R~US MA7ERIALS INVENTirY Page}' 'of- ~: Common Name: 3) DOT # (optionllJ) Chemical Name: AHM ( ] CAS # PHYSICAL STATE Solid [ ] Uould [] Gas [ ] Pure [J Mixture (] Waste [] RadioactIVe [ ] il II II t PHYSICAL & HEALTIi HAZARD CATEGORIES Fire [ ] PHYSICAL Reactive I ] Sudden Release of Pressure [ ] HEALTIi Immediate Heel!h (Acute) [] Delaved Health (Chronic) [ ] WASTE CLASSIFICATlON (3-digrt coae from DHS Fonn 8022) use CODE 04fOC ALL ruA T A.PPt,. 'AMOUNT AND TlME AT FACIUTY MaxImum Daily Amount: Average Daily Amount: Annual Amount: Uirgest Size Container: ;1 Days On Site UNITS OF MEASURE Ibs [ ] gal [] tt3 [ ] curies [ ] 8) STORAGE CODES a) ContaJner: b) Pressure: c) Temoerll1ure: Cin:le Which Months: All Year. J. F. M, A. M. J, J, A. S. 0, N. D , f MIXTURE: Ust the three most hazaraous cnemlcal components or any AHM components COMPONENT CAS # %WT AHM [ ] [ J 1 ) 2) 3) [ ] 0) Loca1Jon \\ '1T1ry unaer .oenlJJty or law. mar I nave personlJJiy exammee ana am familiar wlm me mfOmSrlOn slJomrrt80 on mfS ana lJJl saacnee aoclJmenr:>. I Del/eve me mirted in;prmBrlpn is tnJe. accurare. and cpmpiere, riT Name & Titie .of Aurhprized Company Aeoresenrarrve SignsnJre Date -.- IIIfICIIOIY ..øc~/II11Q1IIIIO(IIICIW