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Home My WebLink AboutBUSINESS PLAN 11/13/2003 Per it to Operftte Hazardous MaterialslHazardous Waste ,Unified Permit ! . ~ ',~" " .' . " ,CONDITIONS,-O,F,;:PEBM,IJ":,,ON REVERSE SIDE - ': -.", .' . '.",;.;", ';;:. ":,0~i;~~'¡:4j . ,,' '.', "',.! This pennft. ...:m~_folloMng: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program a Hazardous Waste On-Site Treathlent Permit ID #:: 015-000-000676 WELENCO INC .: ~ : \. - '-. '. LOCATION: 5201,WOODMERE DR , ; :",:.';;' 4. -"~. ~ : r~ Issued by: '" . ~. '",. ,. , , ~ '"'.. . ,: , ; ./ . ,'. .- "'".J'._ .' .... , . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-p576 "z, .~ '':'. "j" Approved by: ~/.·. ~~~ ~Huey,~ , .OfficeofEv~jc~ ,.ExpirationDate:' .. 'June 30, 2003 \ .' >~:~¡:;~:~: :,;~~~:~ ~~';~,;·;'~~f;:>~(:.~· ::: : ;:/ ~~~ :ú¥~~~~~~~~~~, .~~:' ¡: .. . Issue Date ~TE/FACILITY D~GRAM FORM 5 NORTH SCALE: BUS !NESS NA.\{E: '0J e It? H"¿O }fI¿... FLOOR: OF t DATE=ø 1/ ?B FACILITY NA.\{E:S20 1 . UNIT ~: I ' OF I ~WDMI5R.LZ" ~' -. (CHECK ONE) SIrE D IAGRA-'t FACILITY DIAGR~~ Wa:::JDfv\ t=er=. D1<lV ~ _, ___'__.c-1 I t 6WRM D1<AllJ I~ì 0 L:J Flø:' _ ~lIAC, A-eeA ~'jO, ; ,-: \ DE\v'S"'j f'~ÁJC"t t,6í~-ãï?Ä~~--'---- \ À-eE'A-~ ' ., , 5201 t~í\1 52D9 ~ I\) ( :::. ç: ~ ~ I" ~~p- ~ .c M~¡t. L. lù co,u.!.í ~ ~ ~ 4 2- ~ J( ~ ~ - -<1 ~ ':I d:: -I,,) -< ~ -, ! -j I " , '¡ _. - - . . i . - -I . , ,OJ - -; ,,- ¡ ','-§- -=' --~t~--- -:~ -" ..J ~ .... ....___j- ,___,~_.._u ~ ' ~ -.- .......--.------ . '(. . '( , --- 1 HAZ¡LV~S.~~h-·~- E<PlCS\ 1)15 ';, ~Å ~~GI1 5íCR~(-= " ~ ~ I .. m.p~~· - .c-....~I/-DI / J '-'L I~::..c......;.= ,-,,' ;"'~(-C. U7 CO/.X-. "BL~, WALL,.. --- -g, D-::.. .. - ;, (Inspecto~ls Comments): -OFFICIAL aSE ONtY- - 5A - I' - NORTH 11!! 4tTE/FACILITY DIIbRAM FORM 5 SCALE: BUSINESS NA~E:, NO~ DATEB /~ '9aFACILITY NA..'1E: (CHECK ONE) o Flœ" ~'1~A.HT @) " -~""-'--""-_._"---. .. -. .-. -- ._. ~ "~?:~'''1~~;' ð b1 ~ <: c ~ ...---.- è) N "J SITE DIAGRA.~ ~'i \ r ~ ~ .' . ~~ -.. ... n II,! ) ,. FLOOR: I OF,,? Ii ~J p, e· JI1 C It::.-, ¿..- \ ,I 1 .' UN "I' VVOO'D M~g- 62ð\ V' ,OF \ T.' t WA ~./P . ~L..::>tAJIo . - ..--." - - . -,. .. ----- ..--- -- --"""AZ.;i}.;i~~L -,----,- '. . : ÞF't=I<::£'; 0 to ,^01"Ò~OIï:::~ " 6~IU,"ê I .. 0, _ -' -OFFICIAL USE ONLY- FACILITY DIAGR.~'1 " . 't (, C~I" L.IUI!. "O'HAZ'.!o<n.- 1.;;; .. ..·'-A¡uo.Q...I~ ..-..------.----.. ... -. ...----..-.- --. ..- J ..I ~ ?i co (01',",) ',( ~,'':;U'''IJ ~u1( -: '< \) ::z ~ ~T"R"'" e,;; 13LJu.OI¡...)'" c~~v/f 'i. \, (Inspecto~rs Comments): - 5A - \ ) ..,.... .. laTE/FACILITY DIIbRAM FORM 5 NORTH SCALE: BUSINESS NA.'£E: tV e le v1CCJ l~¿ FLOOR: OF Z. f 1 DATES / 1 ~5 FACILITY NAo'£E: 520 \ ~\bD/\.\ ~ ~ ðIT ~: OF 't21 (CHECK ONE) SITE o IAGRA)r FACILITY OrAGR~~ ~ I I "1 o F'FI ~=- L016ßY - . D FFl c:::. .: j . I. ,I: . ! i I, D'F'f="1 C= Ot="F=" \ c:::. r: o F-t=- \ <:..E ~e6-r ~"" -g~t!a T ~M I. i I I I I I I . ~S~,A.G.~ ~ (" (Inspector's Comments): -OFFICIAL USE ONLY- - SA - i - ! ' ATE/FACILITY DI'GRAM FORM 5 NORTH , SCALE: BUSINESS NA.'fE: tt... FLOOR: :2- OF "2- tJNIT #:: OF DATE~!l ~~FACILrTY NA.'fE: (CHECK ONE) SITE DIAGR.~'f FACILITY DIAGRA'f ~ . ... ~ . . OFF=IC~ pl.£' ~ ro'RÄ~£" PRAt=:';ï/" l., .! . o F'I='\<::'= ~ E:.¿;ï\ IJ l.. ~ï,' 'RQ:}-\ (Inspecto~ls Comments): -OFFICIAL USE ONLY- - 5A - ~, UNIFIED PROGRAM INIECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. \ Enironmental Services 1715 Chester Ave - Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE 'T W -.e., \ :£.1l.C'..fl......_=i1 c...... '___________________________________ ADDRESS ?;¡ 0 WOOdL£0_~~-QC-~,------- C ,.... o~ ^ 15-021- Section 1 : Business Plan and Inventory Program ", ".' .' . . . LJ Joint Agency c:t Multi-Agency c:t Complaint c:t Re-inspection ~ ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND '--r---'------'-----:----..-----------'--- ------------,---..-,----------------..--,----,-,--,--------------,---,..-..-,------ ~ ,c:t BUSINESS PLAN CONTACT INFORMATION ACCURATE -----....--.--.------------- --- ----------.-- ---------_._._,------------_._--------,--~_._-_._.._..------...-... --------- c:t VISIBLE ADDRESS ~~~>, -------,---------,-",-. -'-----'--~~~"'l.;~--~----'--------------'- ..---.---.----.......--...-----..--..- c:t CORRECT OCCUPANCY ---_._----_._---_._~,-,-----_._._..-.---_.._------------.------------.--.. -----...------. o VERIFICATION OF INVENTORY MATERIALS_ ",,__ ___ ___ ,Hj.a i",~--~~<:{1-¡:i '1--- ~_ ~::::::::::: ::::S _____ __m ~___________~8~n~ ~- PROPE~ SEGREGATIO~~~MATERI:~-~------- ¿J/ ,£:_~-~ ~~ --------~------ ;I c:t VERIFICATION OF MSDS AVAILABIL-I-~;-------------- ---,--~=.t:t--L.1!..Lì2_t:J.L-:¡:.-----..-------- -+---~-------------------_.._---- ,,----,-- -------,,-,--,--,,-----,,--_.._----,-,-----,-,------,.,-,---,-,----- l!1 c:t VERIFICATION OF HAT MAT TRAINING --------------.------..---- --------_.._--~---~-------------~-_.__._--------_.._--,-----.----..---.------ c:t c:t VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ----.-..-- ---------------.--...------.--.-------...-----.---.--"-.-----------.--- c:t EMERGENCY PROCEDURES ADEQUATE =-I- ___,____..'__m___.J_.._________,_,____________,..__,~_____-----..-----....---..,-,---....,..---- crt c:t CONTAINERS PROPERLY LABELED I ----f---------'---'---..-----~"---,..--- ",--,---+---,--------,------,---,-----,--,---,------,--,..,..----,-----.---,--- rtr - c:t HOUSEKEEPING t -f ,--,-----,--..'. ---,-----..,-,-----------,-----------,-,-,-,..,--, ~ c:t FIRE PROTECTION ,V""" -;r-----~---'--------'----..------ ---------,---,-..----,----------,-,---..----,-,..-,---,--,--,-, ø c:t SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ¿ c:t No EXPLAIN: lJ..-'Ct.~+"'~ Ð\) QU:STIOdDING THIS INSPECTION: PLEASE CAlL US AT (661) 326-3979 >1'_~~~~ - ~-: 6'1Q'- )(J, / -, Inspector ~,1 / ¥- ~ -------- ite Responsible Party )ß 0 White - Environmental Services Yellow - Slation Copy Pink - Business Copy , ,- --'..... -- -a ~ + ~~ - ,/ - WELENCO INC Manager Location: 5201 WOODMERE DR City BAKERSFIELD BusPhone: Map : 123 Grid: 22B SiteID: 015-021-00Q676 bb\ (-&85-) 834-8100 CommHaz : Moderate FacUnits: 1 AOV: / CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code:1781 DunnBrad:03-085-5027 Emergency Contact / Title þu GARY CORBELL bb ( OWNER Business Phone: (S-G-S-) 834-8100x 24-Hour Phone: (Qb\) ~"t-~\Dû.x Pager Phone () x Emergency Contact / Title p~, -DIR.K CRAro~AA.'{ bJu~v.¡. GEUBRJ'.L PWJ.AGE!~ Business Phone'V(~ 834-8100x 24-Hour Phone ~f~ GG 1 7817x834./..ß1 Pager Phone : () X Hazmat Hazards: RSs Period Preparer: Certif'd: to Fire Press React ImmHlth DelHlth Phone: (~) 834-8100x State: CA Zip 93313 Phone: 834-8100x State: CA Zip 93313 TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Contact: A-fl-I( ð:>u tit.. MailAddr: 5201 WOðDMERE DR City BAKERSFIELD Owner Address City GARY CORBELL 5201 WOODMERE DR BAKERSFIELD Emergency Directives: p= Hazmat Inventory p== As Designated Order One Unified List ì All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP MOTOR OIL MINERAL SPIRITS OXYGEN ACETYLENE GASEOUS AMMONIA ARGON WASTE OIL ITROGEN F DH L F DH L F P IH G F P IH G F P R IH S F P IH G Do herê~ pertíf~WálIt ha~ 100.00 GAL Min 165.00 GAL Mod 500.00 FT3 Low 600.00 FT3 Hi 150.00 LBS UnR 330.00 FT3 Min 150.00 GAL Low 50.00 FT3 Min 8.00 CUR UnR 0.50 CUR UnR 241 137 r: e e a BE R/A SOURCE ~ R/A SOUR~em plan for ~~ ( ame of Business) any corrections constitute a complete and com~ct man- agement plan for my facility. ~Ÿf II-i~ 11/06/2000 " í ; T - - F WELENCO INC p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 015-021-000676 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit OUTSIDE S END OF BLDG Map: Grid: CAS # 64742-54-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 50.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MINERAL SPIRITS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit OUTSIDE W END OF BLDG Map: Grid: CAS # 64742-88-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 25.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Mineral Spirits No 8030306 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS -2- 11/06/2000 '~ t J.. ~ e e F WELENCO INC p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-000676 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE S SHOP DOOR Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 250.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 500.00 FT3 Daily Average 125.00 FT3 HAZARDOU MP NENTS %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 S CO 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low p= Inventory Item 0004 Facility Unit: Fixed Containers on Site ì = COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit INSIDE S SHOP DOOR Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 300.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 600.00 FT3 Daily Average 150.00 FT3 ~Wt I 100.åo Acetylene HAZARDOUS COMPONENTS [J;] CAS # 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS -3- 11/06/2000 c, :¡ , ; e e SiteID: 015-021-000676 ì Facility Unit: Fixed Containers on Site ì F WELENCO INC p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME GASEOUS AMMONIA Days On Site 365 Location within this Facility Unit OUTSIDE EAST WALL Map: Grid: CAS # 7664-41-7 STATE - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 150.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 150.00 LBS Daily Average 75.00 LBS %Wt. RS CAS # 100.00 Ammonia (EPA) Yes 7664417 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P R IH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0007 F== COMMON NAME / CHEMICAL NAME ARGON Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit INSIDE S END OF BLDG Map: Grid: CAS # 7440-37-1 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 330.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 330.00 FT3 Daily Average 165.00 FT3 HAZARDOUS COMPONENTS ~ No CAS#7440371I I l~~~öoIArgon TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -4- 11/06/2000 .-, e e F WELENCO INC p= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-000676 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit OUTSIDE S END OF BLDG Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 110.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS HAZARD MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ASSESS TS p= Inventory Item 0009 = COMMON NAME / CHEMICAL NAME NITROGEN Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit INSIDE S END OF BLDG Map: Grid: CAS # 7727-37-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 250.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 50.00 FT3 Daily Average 10.00 FT3 %WL I 100.00 Nitrogen HAZARDOUS COMPONENTS ~ CAS # I 7727379 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -5- 11/06/2000 , , e -- í WELENCO INC ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 j íë Inventory Item 0010 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîë~"ë"ëëëëëëëëëëëëj , 0 ELECTRIC DETONATORS 11 DdY1; On Site ~ o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o INSIDE STORAGE CONT SW CORNER 0 CASH o o 0 78-11-50 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Mixture 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.05 LBS 0 2.00 LBS 0 0.25 LBS 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CASH 0 o 0Pentaerythritoltetranitrate 0No 0 781150 o o Lead 0No 0 74399210 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëëj °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 IH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj ,:, e e íë Inventory Item 0011 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj ~'f6NA TING FUSE COW 0 Days OR Site 0 "' o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o INSIDE STORAGE CO NT SW CORNER 0 CAS# ~ o o 0 78-11-50 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 20.00 LBS 0 70.00 LBS 0 10.00 LBS 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 100.000Pentaerythritoltetranitrate 0No 0 781150 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F P R IH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -6- 11/06/2000 " e e í WELEN CO IN C ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 j íë Inventory Item 0012 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o AM 241 BE R/A SOURCE 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o INSIDE STORAGE CO NT SW CORNER 0 CASH o o 0 00 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 âëëëëëëëëëuëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT TillS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 8.00 CUR 0 8.00 CUR 0 8.00 CUR 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CASH 0 âëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëëj °TSecretO RsoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 DH 0 / / / 0 0 UnR 0 âëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0013 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o CE 137 R/ A SOURCE 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o INSIDE STORAGE CONT SW CORNER 0 CASH o o 0 00 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Solid 0 Pure 0 Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 âëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.50 CUR 0 0.50 CUR 0 0.50 CUR 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CASH 0 âëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 DH 0 / / / 0 0 UnR 0 âëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -7- 11/06/2000 e e í WELENCO INC ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Notif.lEvacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 i o 0 o DIAL 911 FOR FIRE DEPT, HAZ MAT SPILLS, AMBULANCE AND SECURITY. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee N otif. /Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o VERBAL _ OFFICE PERSONNEL, SHOP AREA, YARD AREA. 0 o HEAD COUNT AT STREET ENTRANCE TO PROPERTY PER EMERGENCY SEVERITY. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public N otif. /Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o UTILIZE 911 EMERGENCY NUMBER TO REPORT FIRE AND/OR MEDICAL EMERGENCY. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o NOTIFY RESCUE/PARAMEDICS OR REMOVE TO SAN JOAQUIN HOSPITAL EMERGENCY, NOTIFY 0 o DR. CHRISTIANSEN 327-9617 OR TREAT/OBSERVE/DOCUMENT EXPOSURE SEQUENCE AND 0 o PERSONNEL AFFECTED. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 11/06/2000 · . e e í WELENCO INC ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFast Format j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 i o 0 o MAINTAIN DAY-TO-DAY SECURITY/STORAGE/OBSERVATION AND GOOD PRACTICES OF 0 o MATERIALS STORAGE AND HOUSEKEEPING. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Contairunent ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o STOP LEAK/SPILLAGE AT SOURCE. PROVIDE MECHANICAL STOPS OF MATERIAL SPREAD. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o USING APPROPRIATE PERSONAL PROTECTION EQUIPMENT, DEPOSIT CONTAMINATED o MATERIALS IN APPROPRIATE CONTAINERS(S) FOR APPROVED FINAL DISPOSAL. 0 o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 11/0612000 " .- - e í WELEN CO IN C ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornnat j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/30/1995 j o 0 o RADIOISOTOPES ON HAND RADIATION HAZARD. 0 .\' cLASS C EXPLOSIVeS (D~TONAl1NG CU1{V, CAPS & ELECTRIC BLASTING CAPS. o 0 o~ åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o A) GAS - W SIDE OF FRAME STRUCTURE o B) ELECTRICAL - W SIDE OF FRAME STRUCTURE o C) WATER - NE CORNER OF BUILDING o D) SPECIAL - NONE o E) LOCK BOX - NO o 0 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec'!Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/10/1998 j o 0 o PRIVATE FIRE PROTECTION - PORTABLE, HAND CARRIED 5 AND 10 LB, DRY CHEMICAL 0 o FIRE EXTINGUISHERS LOCATED AT STRATEGIC POINTS THROUGHOUT THE MAIN BLDG, o VANS & TRUCKS ALSO CONTAIN APPROVED PORTABLE FIRE EXTINGUISHERS. 0 o o o o o o o o NEAREST FIRE HYDRANT - NE CORNER OF WOODMERE DR. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/30/1995 i o 0 o MAIN BLDG - 6 o TRAILER OFFICE ANNEX - 4 o SHOP AREAS - 1 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -10- 11/06/2000 oj-,," " ......... ~ e e í WELEN CO IN C ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000676 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëë 08/10/1998 j o J~ 0 o WE HAVE ji'ÉMPLOYEES AT THIS FACILITY. o p o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN THE SHOP AREA. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: OSHA'S 40 HOUR HAZARDOUS WASTE SITE o TRAINING. OSHA'S 8 HOUR ANNUAL REFRESHER. RIA TRAINING CONSULTING 0 o FACILITATOR 2 YEARS. BLASTERS' LICENSE TRAINING & CERTIFICATION. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -11- 11/06/2000 7 ( " _;~ t~~~, ~<J ' ,'-..J J'" - ~ INSTRUCTIONS: e - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. ,) 4. Be as brief and concise as possible. , . /J ' . l ~(VI~ri-e.. ,,~ 50:2. " < \ J..-'5 -~~\~ O~~·, '" ' ,ï4"Vi SECTION 1: BUSINESS IDENTIFICATION DATA . '- '.;"- BUSINESS NAME: lJe..-/e."lC-& , ..z;.e-. - LOCATION: .r ê./) / tJ Mcll¥é'.rl!.- ;;a,.,' ~ MAll..ING ADDRESS: CITY: ¿aKerr"¡;e.-lt:I' S- ê.LJ / tJ éJéJcI ~ e.re.... .2 r )"€-. STATE: Ú ZIP: fŠ£/$ PHONE: BIÝ-B/6JO DUN & BRADSTREET NUMBER: t):!-¿)Sç~ ,.ÇtJz.:¡- SIC CODE: 8 '7-:!t/ PRIMARY ACTIVITY: JJe.1/ ...fe.rv,'c.~ dy~/ OWNER: Ca;y Cer£e// .;' MAll..ING ADDRESS: Sê-O / ¡Jt)t)cI/Ue.NL. ;4,..../~ SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. ¿;df)i {;,.£e.ð ðW'1er- ß:rt/ -B/élO :.C~ '" ;LJ¡,,,,/.( ¿~q ¿{tV¿. ~r. , 2. B.?t/- (¿(éJO, ' ..{'~€- -'" ~ 1 e e '\ ~ .~r-.>"'· .t"\. - . ~~ ~ ~. ~ HAZARDOUS MATERMLS MANAGEMENT PLAN SECTION 3: TRAINING NUMBER OF El\IIPLOYEES: /-7 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: 6 ~~ ..f41ef ð,.;~4D",- "",,... ~l4J ~~#U(d . A-kf "'tee.r~ e~ /-e. ~ h~;/'~J.'.f .!eJ(vo¿ .r4~7 A"¿ ~4L&'Y (/1/ ,fa..z.4."~~.r Acah.Þ-,'a4. YeAJ"7 n...,it.y ~~.I' ,(,... ~;,,~.I "~Þ;t ~ ,.44I,·(UU,'¿'~ .! ðKrCe.Á . ~4#'_~ eHry ..r /~"".r ..,(,... ¿fPU'HNtJ ~r.uU'~þ-,J;;ø ~ ~4¿'D ~'''' ~-i!;,fJ..J c:2 ðr ~~/.Ge~~ ,I SECTION 4: EXEl\IIPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION I, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TInS INFORMATIONWllL 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. ~-d ~~ SIGNATURE ~~ &a.p~ TITLE J-¿z:-¡1 DATE 2 --.. " ~ ....~-~~>oI '.": ~ -I·... .. i - - HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: /'·rc... ;7J~rll(e4" AltZ4¥'¿u.r ~fë,.,~.{ .þ~·I/ " /k.6,J""ee- 9 / / ~/"c.e.. . . ~ - . '. B. EMPLOYEE NOTIFICATION AND EVACUATION: '"..' \".. ~ ,'--, ¡;;"jJ ~¡;.;¡~,'t- ~ ~d'~ ~;~. ;/t4LGÞ~.I- ~ ¡IP'~7 e~e. C. PUBLIC EVACUATION: C~/ ¡II¡f-vuold ~l/t'cJ.,·tlÞ<- ~I- ~'ace,,/-/~$"~~k£ ilUtL -:h-~'b ~A.."'/¿ ¡~ he/¿., I I I D. EMERGENCY MEDICAL PLAN: J1e¡lere...' 9 II ¿-~..eK-7 .-d.c_/ð- tJ'¡¿" ." JA.#t- f~.u'Þ(.. £"~<.H7 Að~ ;7J1". CAr;.rI;:~ .J'z.-:¡: -!t:./~ 3 - e .z~4... ---- ..: - ,...~ .. .. HAZARDOUS MATERIALS MANAGEMENT PLAN , SECTION 7: MITIGATION. PREVENTION AND ABATEl\.fENT PLAN A. RELEASE PREVENTION STEPS: ;2y -:1t -.Jy .('eé:.IU;1' - þ¿~ Ihr.:!/tÞH- - ;I;.~. ~,.':? ~fþti ß..¿¡.,~.f - ,d1<.{'-e~~..'Y CJ, ¡J1V'.e~~,~ B. RELEASE CONTAINMENT AND/OR MINIMIZATION: ~~ ,.e.I~,$Jt ÛK.rC.e.. <:f- .f,-o:~e. .~ , .... C. CLEAN-UP PROCEDURES: ,_ ,/J.r ~/,r~I"~ aCt.M'¿7 1 ~_.#u~ ~.i A/.r~f /"e-û~I(~d'øl(t ~r .rtt~ ~/~ eI,~.faL. SECTION 8: UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ~r.Ji¡.)~.! I .c,1tk. {rl ¿e--)¿{/nq oJ EL~ÇTRICAL:, ,,/fJÞr,'¡¡ IJe.r7f r/~. D.f '~'J!.Þt..J '. ,,;.. -; \. \ I '.. WATER: ,¡t}"J-Æe 4.r~ C-<f> r It.LI"" ¿;> f ~r~./U.r'l-y r " / , . SPECIAL: LOCK BOX: YE@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION: 1:';:~ ~/'.,~~:,.t,.~, ...~ ,t'~€-~ l~,~jJ , - ~ - '4 .... " ", .. B. WATER AVAILABILITY (FIRE HYDRANT): N'.,r-de«.t r c.orMr (r.j1- ppr~f 4 f"\ :\,:0. 7:· "- e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME FACILITY NAME SITE ADDRESS CITY ¡Jder'r./ek,( NATURE OF BUSINESS SIC CODE B73t/ OWNER/OPERATOR MAILING ADDRESS CITY .tJt1-A{",.1' J,'e/L tJe.k.~UJ ~ ~L. ( .! tUOC <2..) szo I W()f)¿,..e. ere..... ~r/1A<e... STATE é!rJ ZIP f33/:? tJ e.// .ßr 1/ k e.. 6o/clVLV / DUN & BRADSTREET NUMBER tJl-: 08,Ç- S"C1Z -:r ¿; <It.r"y ~r'.6e.// " PHONE {~j B.zf/-8/~ô S:-ZO/ Vtlð£~er-e.. ;2)r~·/e..... STATEL:4 ZIP fl.s~/..! EMERGENCY CONTACTS NAME 4~1'Y ~r¿ef ./ BUSINESS PHONE {t,t,¡..> BJ7' - BlOb NAME ;21'''''¿ (/'-9 ---- BUSINESS PHONE I',,/J g;Ztj-" B/()o TITLE OWH€.r 24HOURPHONE (t,¿,/) 8$,/- 8/&6 TITLE c:i€.ICe.rd H~qer- ..... 24HOURPHONE ("I.¡)&Y-810c; 1 Business Name ~OUS MATERIALS INVENTeV . tJek( 'c..ð .I Ix <' . Address ~2éJ / ¡JðO~ef'e- CHE~CALDESC~ON .".,/ ,;. ~'\ Page.L of S ~r;~ I) INVENTORY ST A 111S: New ( ] Addition ( ] Revision (X'] Deletion ( Check if chemical is a NON Trade Secret [ ] Trade Secret ( ] 2) Common Name: 4ptfU';clt£JK~ 2 ý/ ¿fer v/hu.*L--- 3) DOT # (optional) "" Chemical Name: Alke",'c..l"<..M<- a- ky/i~"",-- AHM [ ] CAS # '" , 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [x] 5) WAS1E ClASSIFICATION (3-digit cede ftom DHS Fonn 8022) USE CODE 99 ldt!.// 1!1 ,.~ 6) PHYSICAL STA1E Solid [><] Liquid [ Gas [ ] Pure [ Mixture [....<J Waste [ ] Radioactive [x] 7) AMOUNT AND TIME AT FACILITY Maximum Daily AmO\Dlt /.r Average Daily AmO\Dlt 8 Annual Amount B Largest Size Container # Days on Site :$¿'S- UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ ] Curies [x:J 8) STORAGE CODES a) Container: b) Pressure: c) Temperature /š ~ Circle Which Months: ~ J, F, M, A, M, J, J, A, S, 0, N, D CAS# % wr 9)~: Li~ the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT AHM [ ] ( ] [ ] lO)LOCA TION f..s,~ J'~rY"~ C4dA-ÌoUY') J.E G¿),..~ 01 /~"" I) INVENfOR Y STA 111S: New [ ] Addition [ ] Revision [>4 Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ 2) Common Name: L?e..r/~ /..!' -7- 3) DOT # (optional) Chemical Name: (!es/~ AHM [ ] CAS # 4) Physical & Health PHYSICAL 'HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic) þc:j 5} WAS1E CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 99 J.)e// ~ß l~ 6} PHYSICAL STA1E Solid [x] Liquid [ Gas [ ] Pure [ Mixture [ ] Waste [ ] Radioactive [>G] 7} AMOUNT AND TIME AT FACILITY Maximum Daily Amount OM z.ro Average Daily AmO\Dlt e. zro Annual ArnO\Dlt (). 2..r~ Largest Size Container # Days on Site $ fø ~ UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies r.x-] 8} STORAGE CODES a) Container: /.5 b} Pressure: / c} Temperature .y ~ J, F, M, A, M, J, J, A, S, 0, N, D Circle Which Months: 9}~: Li~ thethreemosthazardous I} chemical components or 2} any AHM components 3} COMPONENT CAS# %wr AHM [ ] [ ] ( ] IO}LOCATION þt.!,~ .r~y. ~nzr-!.é ~ ~ I certifÿ under penalty of law, that I ve personally examined and am familiar with the in1òrmation n this and all attached docwnents. I believe the submitted infonnation is true, accurate and complete. .-2J/Æ'K. ,¡. ~/¿; , ~£A.I£,6zj,t,. /It;rPH&..G<. PRINT Name & Title of Authorized Company Representative A¿'~ Si ture :r -/2- J1 Date , - "\, V¿' ~ ';¡" . Business Name HAZARDOUS MATERIALS INVENT0..i..Y /. . Page .Æ:-. of 5' tJ e../.v( co ..' ~ Address.s: 2-ð / tJ"l7-'¿ ~ ~ 2J r /~ ',; CHEMICAL DESCRIPTION I) INVENTOR Y STATUS: New [ ] Addition [ J Revision LX1 Deletion [ Check if chemical is a NON Trade Secn:t [ ] Trade Secret [ ] 2) Common Name: .4ce.~v/e.Jte- &4.,$ 3) DOT II (optional) Chemical Name: ,4 C ~ Ty Æn e...- AHM [ ] CAS II ~¥ - 8~ - Z. '" 4) Physical &: Health PHYSICAL HEAL TII Hazard Categories Fire [,.>4] Reactive [ J Sudden Release of Pressure [)CJ Immediate Health (Acute) ( ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftcm DHS Form 8022) USE CODE tl/Z- 6) PHYSICAL STATE' Solid [ Liquid [ Gas [)(J Pure )(:J Mixture [ J Waste [ Radioactive [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 300 Average Daily Amount / S-tJ Annual Amount ¿'O 0 Largest Size Container .J 00 II Days on Site :J k,Ç UNITS OF MEASURE Lbs [ ] Gal ( J ft3 [xJ Curies [ J 8) STORAGE CODES a) Container. ~ b) Pressure:- / c) T cmpez:atùre ¥ ~ J. F, M. A. M. J. J. A. s. O. N. D Circle Which Months: 9)~: Li~ the three mo~ hazardous 1) chemical components or 2) any ARM components 3) COMPONENT CASII %WT ARM ( J [ ] [ J lO)LOCATION . /J J:,.,,~ ,6t<,;/d','nt!/ j u~ ~ ,/ I) INVENTORY STATIlS: New [ ] Addition [ ] Revision [X] Deletion [ Check if chemical is a NON Trade Secret [ ] Trade Secret ( ] 2) Common Name: 4rq b"'- &a...r 3) DOT II (opti<?na1) - Chemical Name: 4r91)~ AHM [ J CAS II :¡'1~1/-:1 :;-1 </ 4) Physical &: Health PHYSICAL HEAL TII Hazard Categories Fire [ J Reactive [ J Sudden Release of Pressure [.>oj Immediate Health (Acute) ( ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code ftcm DHS Form 8022) USE CODE ¥z. 6) PHYSICAL STATE Solid [ Liquid [ Gas [X] Pure [)<] Mixture [ ] Waste [ Radioactive [ 7) AMOUNT AND TIME A T FACIlITY Maximum Daily Amount .3 !-D A verage Daily Amount / (¿,> Annual Amount :J.'J 0 Largest Size Container 33 /) II Days on Site 5b> UNITS OF MEASURE Lbs [ J Gal [ J ft3 [;C] Curies [ J 8) STORAGE CODES a) Container. t) Y b) Pressure: , .I c) Temperature ' ~ e J, F. M. A. ~ J: J, A. S. O. N. D CASII % WT AHM ( J [ ] [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT IO)LOCA TION ~ h.!';¿ £",'¿¿"l.9, ~WI£ ' " ' I certitÿ under penalty of law, that I have pérsonally examined and am tàmiliar with the intòrmation on this and åll attached doc:umcnts. I believe the subnùtted infonnation is true, accurate and complete. '/~ J. ~A ¿;éN~ ~AI;of. 'éAL. RlNT Name & Title of Authorized Company Representative I c4·/~S" . 1 ture :t -/2 -It .' Daté· Business Name ¡JehtCð'. :z:;U. , ~OUS MATERIALS INVENT.V ;,-:)-.'. .~:~ .' Page ..:L of > s: ~/ tJ"ð£~Ø'L ;2),..,'/A.L. ' Address CHEMICAL DESCRIPTION I) INVENTORY STATUS: New ( ] Addition ( ] Rcvision (X] Delction ( Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 2) Common Name: ,A/.·'¡r~?fV'f-- &4. (' 3) DOT II (optional) Chemical Name: Al,. IN? U'C.- ,;' ARM ( ] CAS II :¡:¡Z :¡. - .! :¡- - 9 4) Physical & Health PHYSICAL REALm Hazard Categories Fire ( J Reactive ( J Sudden Release ofPressurc (A Immediate Health (Acute) ( J Delayed Health (Chronic) ( J 5) WASTE CLASSIFICÀTION (3~git çodc&om DHS Form 8022) USE CODE 97 .:Ir"Ì«# o¡/-.IÌr,t/dl:>~ . , 6) PHYSICAL STATE Solid ( Liquid ( Gas P<:J Pure (C] Mixture ( ] Waste ( J Radioactive ( 7) AMOUNT AND TIME AT FACILITY Maximwn Daily Amount z.~l> Average Daily Amount / z.r- Annual Amount' :¡. S'p Largest SizeContaincr zro II Days on Site 3/¿,.r' UNITS OF MEASURE Lbs ( ] Gal ( ] ft3 (X] Curies ( ] 8) STORAGE CODES a) Container: éJý b)~: / c) Temperature ~ ~J, F, M. ~ M. J, J, ~ S, 0, N. D Circlc Which Months: 9) MIXTIJRE: List the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT CASII %wr AHM [ J [ ] [ ] 10)LOCATION ,/ /, / ð, f.lt.r" t?UL- ,t7Jú /¿:t:.., ~q J ..,,- I) INVENTORY STATUS: New [ ] Addition [ 2) Common Name: ¿}~,>PeÞL 64-$ Chemical Name: l)",~~€.Þt.- ~~~ J Revision [,x] Deletion ( J Check if chemical is a NON Trade Secret ( ] Trade Secret ( J 3) DOT II (optional) ARM ( ] CAS II -77 B 2. - ,/y - ~ 4) Physical & Health PHYSICAL REALm Hazard Categories Fire (-rReactive [ ..-rSudden Release ofPressurc [vf Immediate Health (Acute) ( J Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3~git çodc &om DHS Form 8022) USE CODE Yz. 6) PHYSICAL STA1E Solid [ Liquid [ Gas [x] Pure [x] Mixture [ J Waste [ J Radioactive [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Z ~f) Average Daily Amount /Z.r Annual Amount S'.oo Largcst Size Container ¿S-o II Days on Site .16:» UNITS OF MEASURE Lbs ( ] Gal [ ] ft3 [X] Curies ( ] 8) STORAGE CODES a) Container:' 6> $I b) Pressure: / c) Temperature 9' <@ Y~J, F, M. ~ M. J, J: A., S. 01 N, D Circlc Which Months: 9) MIXTIJRE: List the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT CASII %wr ARM [ ] [ ] [ 1 lO)LOCATION ;L~.ûL ¿14'd,'Þ19 J ~J- ~ [ certify under penalty of law, that I havc.....pcrsonally examined and am tàmiliar with thc ÏIùòrmation on this and all attached documents. I believe the submitted information is true, accurate and complete. ;ð/,¿,< ¿. ~/& . ¿;511JEÞ1J.- #&AJÂ4~ ' . ' PRlNT Name & Title of Authorized Company Representative ;2./ çb¿ Signa e :5 -/2- jj Date '"\ r .\t~;. 1)....-, 0 ~ ." -Business Name ~OUS MATERIALS INVENTW' ¡Je/eI1c.ð ¡ ~~. Address S:-ZP / ¡J(70¿ ~e.~ 2r....I-'€.....Page ..:L of S- CHEMICAL DESCRIPTION ... .... '- ¡ ) INVENTORY STA 111S: New ( 1 Addition ( 1 Revision M Deletion ( 1 Check if chemical is a NON Trade Secret ( ] Trade Secret ( 1 2) Common Name: ...4A11.~n.,~ GfIt..1 3) OOT # (optional) Chenùcal Name: 4~()Þl"''a.-.; Cù1.-1y¿~v..1'-, /i~ ¡;d AHM (K] CAS # ~~¿,Ij- ¥/ - 7 4) Physical &: Health PHYSICAL HEAL rn Hazard Categories Fire (x] Reactive ()<'] Sudden Release of Pressure (x] Immediate Health (Acute) (.><:] Delayed Health (Chronic) ( 5) WASTE CLASSIFICATION (3~git code fÌom DHS Form 8022) USE CODE ¿) 7- 6) PHYSICAL STATE Solid ( Liquid ( ] Gas Þ<J Pure [x] Mixture ( ] Waste ( Radioactive ( 7) AMOUNT AND TIME AT F ACn.ITY Maximmn Daily Amount Average Daily Amount Annual Amount Largest SizeContaincr # Days on Site IS'O 7~ ..sOD / $'0 $¿'S" UNITS OF MEASURE Lbs (X] Gal ( ] ft3 ( ] Curies ( ] 8) STORAGE CODES a) Container. D¿ b) Pressure: / c) Temperature ¥ ~ J. F, M. A. M. I. I. A. s. O. N. D Circle Which Months: 9) MIX11JRE: List the three most hazardous 1) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr AHM ( ] ( J ( J 10)LOCATION ..z:r.1'...'k .t~'u'7" ~¿ ~ 1911-- ea..t ~ .(../'e- 1) INVENTORY STATUS: New (><] Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 2) Common Name: /ero.J'Ute- 3) OOT # (optional) Chemical Name: AHM ( J CAS # 4) Physical &: Health PHYSICAL HEALTII Hazard Categories Fire (7"1 Reactive ( ] Sudden Release of Pressure ( ] Immediate Health (Acute) ( ] Delayed Health (Chronic) ( 5) WASTE CLASSIFICATION (3~git code fÌom DHS Form 8022) USE CODE /9 6) PHYSICAL STATE Solid ( Liquid (;<1 Gas ( ] Pure (.>C] Mixture ( ] Waste ( ] Radioactive ( 7) AMOUNT ANDTIMEATFACn.ITY Maximmn Daily Amount //0" Average Daily Amount .s-r ArulUal Amount Z ~r Largest Size Container .>S:- # Days on Site 3ft:>$' UNITS OF MEASURE LOO ( ] Gal [.K] ft3 ( Curies ( ] 8) STORAGE CODES a) Container. ~~ b) Pressure: / c) Temperature 4/ ~ I, F, M. A. M. I, I, A. s. O. N. D Circle Which Months: 9) MIXTURE: List the three most hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr AHM ( ] ( J ( ] lO)LOCATION ( ~/.¡- .,c / L- ..J()~t!!4.t ~ () r.eCLJ- /(77. I certify under penalty of law, that I have personally examined and am låmiliar with the in1òrmation on this and all attached doc:umenrs. I believe the subnúned infonnation is true, aa:urate and complete. ;2),« ).' ~/&J 6.£NEM~ MN';&£~ PRINT Name & Title of Authorized Company Representative ;2) ¿{4p Signature :5...,/2.. -f1 Date Busìness Name tJ eJ~,,- ~ HAZARDOUS MATERIALS INVENTORY jt. Address S-ZP/ V~Þt:~ Page ,Ç'~:-: ~~\"I /2),. ,/Þ€- I) INVENTORY STATUS: New ( ] Addition ( J Revision (><1 Deletion ( ] Check if chemical is a NON Trade Secret ( J Trade Secret ( J 2) Common Name: ~ ~ r . t9:/ 3) OOT # (optional) CHEMŒCALDESC~ON Chemical Name: H,')C f"lU'€...- AHM ( ] CAS # 4) Physical &: Health PHYSICAL HEAL TII Hazard Categories Fire ( ] Reactive ( ] Sudden Release of Pressure ( ] Immediate Health (Acute) [ J Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code tromDHS Form 8022) USE CODE ZIP 6) PHYSICAL STATE Solid [ Liquid ()< ] Gas [ ] Pure (.1 Mixture (X] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount //0 Average Daily Amount SJ:" Annual Amount ~~ 0 Largest Size Coåtainer >"S' # Days on Site :J~~ UNITS OF MEASURE Lbs [ ] Gal [X] ft3 [ ] Curies [ ] Circle Which Months: 9)~: Li~ the~mo~~w I) chemical components or 2) any AHM components 3) COMPONENT I O)LOCA TION .!'~~~f-'~ ~I' .ûd-L hI- 8) STORAGE CODES a) Container: é>{:. b)~: / c ) Temperature '7' ~1, F, M, A. M, 1, 1, A, S, 0, N, D CAS# %Wf ARM [ ] [ ] [ ] 1) LNVENTOR Y STATUS: New ( ] Addition ( ] Revision [ ] Deletion [ ] Check if chemical is a NON trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) OOT # (optional) Chemical Name: ARM [ ] CAS # 4) Physical & Health PHYSICAL HEAL TII Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ J Delayed Health (Chronic) [ 5) WASTE CLASSIFICATIO~ (3-digit code trom DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNT AND TIME A T FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Large~ Size ContaiÌ1er # Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[] Curies [ ] Circle Which Months: 9)~: Li~ the three mo~ ~w I) chemical components or 2) any ARM components 3) COMPONENT I O)LOCA TION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a)Contain~ b) Pressure:, c) Temperature All Year, I, F, M, A. M. I, I, A. S, 0, N, D CAS# %Wf ARM [ ] [ J [ J I certify under penalty of law, that I have personally examined and am tàmiliar with the in1òrmation on this and a11 attacl1eddôcuments. I believe the submitted infonnation is true, accurate and complete. ~# /. ,~/&. 4.ðAJE~ IIMI'I&££. RlNT Name & Title of Authorized Company Representative ;7J.L ~ - Signa e x- /2,,'~ Date ~¿o/ SZðJ j~J~'{~ ~! S-J/~ dec.ft',',- ~ c.kb#~ X r \0 1 x. . ~ I ::::0 I ~ ¡ """",,pr.; ø... ~ I .J....; 1 r IJ ~ ~ , ~ "\~ ~ ....."" ~Q <>, x~ ~,R. 1 I ..t ~ ~ I~ ~ ~ ~ ~~ 0 i ~ X \I~ x.. .~ ( I ~ ~ '{ I~ ~ 1'~~ ~ ~.. >t:-Io.~ r \J 'x. I ~ ~ 1 -000· x I I )( i"£,'èJ4di'><e.. ì I . .! -hr"ß c.. 1 .K-'''''_g[J , If~f.,. e;1 - 0 U'/A....,.,..b!t<..¡,f""~ \ ., ± N ~ .,. , .. ;.':'~~:;~~ .. . -:Jf j' . .,,' e SITE DIAGRAM r ~ 1 Business Name: IJ ~~IF é:..8 I.:z;, ~ . "Business Address: ,ÇU/ tJtPð¿:{I'&<1b"~ e FACILITY DIAGRAM r 1 ::lJ ,. /w- {J~~J..~ ere.. ;2JY"/1-<£. .'- o L::. .¡ ./ ' ./!r<..- "J. ,.J. wuu ltyd"6.J4 Dlfrif- 6:20/ ItICl7[;:JNe=ee DT?lI/e- _7 Distriet Blvd~", Bakersfield, California 93313 (805) 834-8100 (800) 445-9914 Fax (805) 834-2550 E·mail: welenco@welenco.com http://www.welenco.com ~--~------ ----- ,// ,,------------, \ ,I fe-'ll l ~ (--'C:.) I , ' ",' ~ \ !\~ f""- August 6, 1998 'd3-d~,~ \36 Bakersfield Fire Department Station 13 6915 Stine Bakersfield, Ca 93313 Attention: Ted Bonner Welenco, Inc. has vacated the fonner office and shop located on District Boulevard. All materials, equipment and personnel have been relocated to 5201 Woodmere Driver where we continue unchanged, in the business of providing services to the water well industry. Enclosed, are completed forms, maps and sketches of the Woodmere property, showing infonnation which the fire department and hazardous materials people have requested in the past, concerning the fonner location. Hopefully this new infonnation is complete to the departments' satisfaction, in providing Welenco with fire protection and hazardous materials safety. If necessary, forward forms or requests, which we will complete and return. sm~ vtcqf cc: Joe McDuff Ralph Huey .,// Hazardous Materials Coordinator, City of Bakersfield 1715 Chester Avenue Bakersfield, Ca 93301 South Bay Office 6080 Sherry Lee Lane Salinas, CA. 93907 Los Angeles Office 265 Blaisdell Ave. Claremont, CA. 91711 Arizona Office 162 W. Boxelder PI. #3 Chandler, AZ. 85224 .. ----- .~.....'-"~~ ... e_ Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: \Aj ~ I c- VI co 1 J1L-. ¡ LOCATION: S:¿ð l \AI eðV M. e:1::?e:. ~ LV e MAILING ADDRESS: (~ML: ') ',' ' CITY:~¡:£SF1~LD STATE:~ ZIP:,~3 PHONE: ~ DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: ~('lPfÃ _I~ OWNER: b (}. o e'ß 8'hL- MAILING ADDRESS: ~1D I \M ClJ'DJ1A/ce-e;- . SIC CODE: ðl=- WAT~ lAJeu- ::;~\lIG~S f:)g.'I1t!£ SECTION 2: EMERGENCY NOTIFICATION: 1. CONTACT TITLE ~M2'1 ('JJ{2R&l,L {)U)veP O. Ce~L{~ GrM, BUS, PHONE 24 HR, PHONE 2. 8~:BJDO 834-Rru 83AÆctJ fß4-~lOO 1. FD1590 e Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ,--,'-- -- "- ", - , , SECTION 3: TRAINING: NUMBER OF EMPLOYEES: l B MATERIAL SAFETY DATA SHEETS ON FILE: ~p A~A. - s2ð/ lJ../a::DMeR1=:.LJi? ß ~¡:= L.. D BRIEF SUMMARY OF TRAINING PROGRAM: l?SJ-J-A'S AD Wf'- µ4ZLl~~[S WA~Tè ~7ë ---r-ëAJh D6LJL\I~ rs we- ÎJ~ÅJUA.L RF-"E'E6HE1C ;eM TeA/h. - COAJ.5l/I-TI'uh fic/L/TA7œ- 2 v.es 1?LA~TEe6 \ L,e.. - TR2lM'J.t¿h :t- ßRT/FILA T/¿:;A..J SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) TION: I, CERTIFY THAT THE ABOVE INFOR- . MATlON IS ACCURA . I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM1S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET Al.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~ -M,-,-j SIGNATUR~ ~ t--J /;-K TITLE P3/ b/q 8 DATE 2. FDt590 e Bakersfield Fire Dept.e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN FaCilifyunitName:-YVeleVtco -. VU()ODM~ ~ll/E SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: \-\1?e. D~IJ t-L~. 2 MLL~ ::; R I L. L , À M'ßU LÀ.kJ c.EE 6~UfZlrl..{ gll B. EMPLOYEE NOTIFICATION AND EVACUATION: Ve'eßl\.L ~ W.~l AJT AT ~t9PbeT'-l ¡;- Dt:-15: C. PUBLIC EVACUATION: Cf I \ EHE"e~EAJL y tuð. ,D. EMERGENCY MEDICAL PLAN: o evE:ee- : co l ~ M. ee {... '=="" ~ C. '7 f\)o. Ô-n,¡.d: ~6.tJ jðAC02L1 t~ [Mt!!!7Zb-Gl.JÚI ~A-1 De C.ueL&/LA. AJ£6'1ù 327 - 9~/7 3. FOleoo e Bakersfield Fire Dept. e Hazardous Materials Division -~--_-....- - ~ , ~ .,.,~ .. ';.. HAZARPOUS MATERIALS MANAGEMENT PLAN SECTION 7: MitiGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: DA1- -r0- OA'i 6Ec.LLRLT'-1 ~ bESE:ev4T/OAJ- TE71/1J/A/6 ~/,:)DO ~&-r IC e ~ - i-Joú.S.tS KEEP/I.) b ð J(J¡Je¡ç-¡../tJtJ.5I AJ h B. RELEASE CONTAINMENT AND/OR MINIMIZATION: 6 eL.LL rz e- 2eLJ=A..~e- .6DU 12Z: t:F -f ~ C>ILul (;,/E C. CLEAN-UP PROCEDURES: As J1 PPEž:), Pf2I.Â TG Fðe SLl FE7Y ;¡;¡f kJ J-reNt,. Ra:o/l1IH£/VDA T/ðA.JS , pJa::JPr= Je DI$. Fl:Js. LtL.. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/P-QOPAr~E: W. ~IO~ . ðf= ~M.E bTi?IlCTU.,,'e'€:'¡ ELECTRICAL: \J\J, cb l'D2: (4)F FeAME S TE''UCTLl et::. I ~,E, CDt?~Eæ 5'ZD1 WCODM~ ~, \ WATER: SPECIAL: LOCK BOX: YES/@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: A. PRIVATE FIRE PROTECTION: ~µt:) C-Aerell::'Ù ~TI UbU.I.r..I~~s. B. WATER AVAilABILITY (FIRE HYDRANT): tv, t:. COi2".uÐE: S201 vUœöM~e ~tlJ€ 4. FO 1590 CITY of BAKERSFIELD 2 Irae Code 3 Max Ant ~AZARDOUS MATERIALS INVENTORY . NON-TRADE SECRETS Page .-L_ of ~ ~WN~~ NAME: ~ L7ð~¿r~L NAM~ ~F THIS FACIlITYÓ ~N~ [À?¡v¿: ~~îy S~¡p~ ßM 2N~DB~BšT~kêfsN8Hg[¡\-.::-~~---- R~~M~ to-ftlSf ~t1DNS f-vH PRDPER CODES - - - - 8 9 II ,12 . 13 11 Cont Cont USQ loc~tlon Where 'by Na~es of ~i.ture{çc~conents Type Press Code Stored In Fac1 Illy vt See Instrut Ions ' "365 O+.z 4 :2 h)~ IV~ So, S I-bto J:à;R to .s 74-~- '2 COllponent 1\ HBlle I C.A.S. HUllber .. '*1 'Farl and Agticulture [] Standard Business , ~~~¡¥îSJ~~~~ mve Wire Hazard o Reactivity o De Jared ff'Sudden Release o "Collponent.2 NalB I C.A.S. HUllber IlImedlate Hea lh of PressurB Hea I th Component.3 HallB I C.A.S. HUllber COllponent .\ ITFire Hazard [] Reactivity ßie Jared [] Suddf" Release [] ,CollponBPt .2 Nalle I C.A.S. NUlber hlllled 18 te Hea th o Pressure Health Component f3 Nalle I C.A.S. NUllber ~æc~c.. DemA14 7D1?S 'Pe-ArrA ~r2 111+ ¡;;'I it/I- [(Fire Hazard ~SUdd,n Release ~ ' Component.2 Nalle I C.A.S. NUllber T~-reAu I~ATe 7ð' -II-S o Reactivity o De Jared IlImedlate Hea th o Pressure Health Component f3 U P 20 De '-0,", A. IlJl., ¡::q,SE" W Z C> Ph~~ic~1 ,~d ~ealth Haiard ( ec, a tat app I y r1'Fire Hazard o Reactivity o De Jared EJ'Šuddrn Release [J'ÍI d' Component f2 NalB I C.A.S. NUlber IlIme late Hea th o Pressure Health COllponent .3 Halle I C.A.S. HUllber EMERGENCY CONTACTS If 1 . tJUJJJER 6'34-8100 112 'Q M /..~ nile fftU Zf1IrMiõñe-- RU Tlttê Íertifjç3tio~ (Reed and $ign 8f1ßr cÇJmp7~ting, tt", sections) , . . certIfy under penaltx 0 la~ th~t I have persona Iy exanlnäo Oijd Oft famIliae Vlth the In{ormatlon $Ubllltte~ In this ond all attaçhed dQC~lIentsl anQ t at based on 111 Inquiry Q those In IVlduals responsible for obtaining the Inforllatlon. I believe that the 4. 5,UbJ;1 ted In orllStlon IS true, accurate~nd cohpletB. , ,~'AA- . ð' t;1<- DUFF' - E ù¿.~. ¡VI... R11/e!~ ollcl title ot ovner/opérator UK owner/operator's authorized represent1tlve ' S1gña ur ð'J4 -J> 100 2JlIfl'1iõ; ~tt~-fa I I ..,/ - CITY of BAKERSFIELD " ,J4AZARDOUS MATERIALS INVENTORY 'Farn and Agtlculture [] Standard BusIness .~. - ' ~ ~ . . NON-TRADE SECRETS Page '¿'" or I I rus I ~ 18~ . NAME :ICJ~~ c" ~~~"- ~ ()!2 . 2W~~~sN~HE: b. c" l?ße u.. ~~H~ 2F D 1Hh8, F êflL P~¿DII{O>V!!l ~e: CR-;;;;'- ~&~Ä~ W: --.-';'1: _m3 ß~),Y~ i!p~~t="W DUn 2NC B^^DSTR~â NUHBf(¡-,----- - R~IMR to-¡N'?t~iÆ ÖNst=UTrPROPER CODES - - - - - - - - - ~ 8 9 1011 ,12 13 II 'YS Cant Cant Cant USQ location Where 'by Na~es of ~i~lure{CO~Donents on Ile type Press temp Code Stored In FacI I Ity vt See Instruc Ions 3~5 D4- -:2.. 4- 42. 1J~Iœ-S'.. HOP OXY&EV- -- s 77 BZ - 44 - 1 COllponent II Nane 1 C.A.S. NUllber I lrans Code (!'fire Hazard r1Reactivitr [] De tared ~Sudden Release [] Conponent '2 Nane I C.A.S. Nunber hllned i ð te e Hea th of Pressure Hea I th Component.3 Nane 1 C.A.S. Nunber M Phl~ic~1 fid ~e8lth H8fard COllponent 'I r ec 8 t at apply o SUddfn Re I ease o COllponeot '2 Nane I C.A.S. Nunber o Fire Hazard o Reactivity o De Jared Immediate Hea th o Pressure Health Component 13 Nane I C.A.S. Nunber 0 Phtsical ,nd ~ellth Hliard l ~eck a t t at appty [('Fire Hazard ffDe Jared rJ ,Component .2 Nane I C.A.S. Nunber o Reactivity [] suddf" Release . Inmedlate Hea th o Pressure Health Component '3 Nane I C.A.S. Nunber 13L.. Dt. o Reactivity [] De Jared ~ddfn Release [] ,Component 12 Nane I C.A.S. Number [] F ire Hazard Inmedlate Hea th o Pressure Health Component 13 Nane I C.A.S. Nunber 1Vf<' 01 L- owrë O/l_ - eJU Q£,T/uA -rE" 104742 -t",S -0 .. ~4 7¿-2 - ¿,i-1 e~ID. 01l- ~74-2- 57-cJ EMERGENCY CONTACTS 111 - oeß~L I?WNe:.K. ~4-ß\DO 112 , eA"~ R lie - -- tftfe- . 1tîtnfiõñ¡- Wi Certifjç3tioq fReed and !;ign afjßr C9mp7eting t171.sec~ions) . . . I certIfy under penallI 0 la~ th4t I have persona Iy exanlnQU ,"d 'n familIae Ylth the In(ormatlpn $Ubnltte~ In thIs ond all altaçhed dQcy~ents, InQ t at based on ny Inquiry Q those Indlvldua s responsIble for obtaIning the Infornatlon. I belIeve that the s.ubI\Itt~d ~nf rnatlon IS true~urate, and co~plet8. . ~ '-v. J ~ . ~ €' ~c.. U~A== - E:AJt..I? IVle, mrëi'õõ c I title ovner¡Op rator UH ollner/operator's authorued representátlve ñãture M1~R. /934-8/Oð HlIf1'Mi 8-& - q6 Onnrqf.ëo CITY of BAKERSFIELD OHAZARDOUS MATERIALS INVENTORY , , NON-TRADE SECRETS Page ~_ or_5 OWNER NAME: r:.17oe8€'L-L. NAME OS THIS FACIlITYó' ~weee DR. 10RES~' STANOA 0 IND. CLASS C D :- ~ TY ÍI!P~ L- DUN AN BRAOSTR~ET NUMB _ R--·-----·---- R ~M~ to-rN~tf,j;.¡s_roR-pROPER CODES - - - - - - - - - . ~ 8 9 10 II 12 ' 13 It . YS Cont Cont Cont Use loc~tion Where 'by Na~es or ~ixture{CO~Donents on Ite type Press temp Code Stored In FacIlity vt See Instruc Ions 3h5 C)4- "2 4- :3 to· USIDe"" 6 E1JD 1SL ct", ,{ t Tee> c- e- rJ 7727- 37-..9 COl1ponent" Nue I C.A.S. Nunber 'Farn and Agticulture [] Standard Business ~~î~~i~'þ~AME:f~~Di~ DK. o Fire Hazard o Reactivity [] De Jared ~en Release [] COllponent.2 Naill & C.A.S. NUllber Immed is te e Hea th of Pressure Health Component.3 Nane & C.A.S. NUl1ber A/VI'24/ Component .1 o Fire Hazard [] Reactivity [JÕj,aled o SUddf" Release [] ,Conponept .2 Nalle I C.A.S. NUllber Inmedlate, Hea th o Pressure Health Component 13 Nalle I C.A.S. Nunber 137 , C/8::C Component .1 Nalle & C.A.S. Number o Fire Hazard [] Reactivity ~ared [] Sudd;n Re I ease [] ,Component .2 Nane I C.A.S. NUllber Il1medlate Hea th o Pressure Health Component 13 Nalle I C.A.S. NUllber W bAs~s /I( MOAlIA C.A.S. NUl1ber COllponent .1 £if i re Hazard crReactivjty [] De tared Er'Suddfn Release Ef' ' Component.2 Nal1e I C.A.S. NUl1ber lImed 18 te Hea th o Pressure Health Component 13 Nal1e I e.A.S. NUl1ber EMERGENCY CONTACTS tit -t. ff! Certifjcatioq (Reed and $ign af1f3r c9mp7eting, ç¡7 7 sections) , , . I cer Ify un~er enall 0 la th t I have persona Iv exanln Q ,d n famllla( It the In(ornatl n U I1ltte~ In hIs end all ' attaç~ed dQcynenfs\ ,"i t It ~",! " 'f "quiry q {h,se "!,,,¡u.'s r,sP"slble I,r 'bl."j,! I!. 1.I,r..I"', I bel"" Ih.1 Ih' ~ s,ubllltt~d Inlorllatlon IS true, accurate, anO cOllp~ete. , "~ \A J . Jð~ c- DUFF - E Nl-K. ¡VI,- ffinïïõõflcUltltlél'J owner/operator UK owner/operator's authorUed representative ' S1gñã ure ~f{ AJeR ~MJ?2- 1t2Ra r...1è. Ire "q~4 ,81aJ 1rlfftMi ~-1..-.9é3 Mtf"Sf4r.ëO