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I CORRECTION NOTICE;2c:2-93 'I
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BAKERSFIELD FIRE DEPARTMENT N~ 990
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Date
ç¡ 14/ð/
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326·3979
KBF· 7171
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Date
Ç-/14/ðl
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Inspector
326·3979
· CITY OF BAKERSF.D
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
/.2 ~ Ó 3/3 t( / FACILITY INFORMATION
Page Of
FACILITY ID #
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',~'\~i:"';' ':;: ,';i;~~,',\ ",;:.~,::';',:, S'" ",',1. fACILlTYlDENTIFICA TION > ,,>:'; .,'.,:,',,',..:,:,~,;.,;¡~,:,~"¡:,;,::,~,:;,,.:,,',:,:,~,,~,',':.,'<~,,;:,~,'~,:~:,~,:f,;~;',~:~,.,%,.,:».,',:.:,:,:~,.,',,:.:+;',:,',,:,',',',...,"~,','~~..~",:;:,.:,':,','
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1 Year Beginning 100 Year Ending
101
3 BUSINESS PHONE
:5 2-l ~C) þCf g
102
SITE ADDRESS
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103
CITY
DUN&
BRADSTREET
COUNTY
OPERATOR NAME
104 CA ZIP
106 SIC CODE
(4 Digit #)
9s3D7
105
107
106
110
OWNER NAME
OWNER MAILING
ADDRESS
112 '
3~
113
CITY
CONTACT MAILING
ADDRESS
119 '
3")0 - l 7 '36
t Nt) CL-rJC-, ()
125 TITLE '1Sf2e.)'{1.f0'L-.
128 BUSINESS PHONE '2 4 ~ - f>l b ~
127 24-HOUR PHONE
130
NAME M Af)-r::::¿A.
TITLE ~'/VC../L
BUSINESS PHONE
131
24-HOUR PHONE -
I
132 '
, ,
128
PAGER #
Certification: Based on my Inquiry of those Individuals responsible for obtaining the Infonnatlon. I certify under penalty of law that I have personally examined
and am familiar with the Information submitted In this Inventory and believe the Infonnatlon Is true, accurate, and complete.
SIGNATURE OF OWNERIOPERATOR DATE 134 NAME OF DOCUMENT PREPAAER
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138 TITLE OF OWNERIOPERATOR
137
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CITY OF BAKERSFJi.LD J¿¡fyO
eFFICE OF ENVIRONMEN'" SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
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(on'e rom! per material per building or area)
Page of
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
o REVISE
200
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BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As)
f\A. ß t?~ùlS
CHEMICAL LOCATION
FACILITY ID # I
INS ~E:
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1 MAP # (opoonaf)
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2011 CHEMICAL LOCATION
I CONFIDENTIAL (EPCRA)
203 GRID # (opoonaf)
o Yes 0 No 202
204
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CHEMICAL NAME
~6-TQ\/E
If Subject to EPCRA. refer to instructions
205
TRADE SECRET
Dyes 0 No 206
COMMON NAME
CAS #
207
EHS·
o Yes 0 No 208
FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief)
209 i;:~:lf~%~~!~~H~~'
210
PURE o m MIXTURE o w WASTE 211 RADIOACTIVE DYes ONo 212 CURIES 213
o s SOLID ~LlQUID o g GAS 214 LARGEST CONTAINER S-S- 215
TYPE
PHYSICAL STATE
I ¡
. i FED HAZARD CATEGORIES
i (Check all that apply)
ANNUAL WASTE
AMOUNT
'6J::1 FIRE
216
o 2 REACTIVE
o 4 ACUTE HEALTH
o 5 CHRONIC HEALTH
o 3 PRESSURE RELEASE
217 MAXIMUM
DAILY AMOUNT
218 AVERAGE
DAILY AMOUNT
219 STATE WASTE CODE 220
lID
UNITS·
098 GAL 0 cf CUFT
. If EHS, amount must be in Ibs,
DAYS ON SITE
222
o Ib LBS
o In TONS
221
STORAGE CONTAINER o a ABOVEGROUND TANK De PLASTIC'NONMETALLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR 223
(Check a/l that apply) Db UNDERGROUND TANK Of CAN OJ BAG o n PLASTIC BOTTLE o r OTHER
DC TANK INSIDE BUILDING o g CARBOY Ok BOX o 0 TOTE BIN
~TEEL DRUM o h SILO o I CYLINDER Op TANK WAGON
STORAGE PRESSURE R:a AMBIENT o sa ABOVE AMBIENT o ba BELOW AMBIENT 224
STORAGE TEMPERATURE 6e AMBIENT o sa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225
2 230 231 o Yes 0 No 232 233
I 3 234 235 DYes DNa 236 237
!
4 238 239 DYes DNa 240 241
5 242 243 Dyes ONo 244 245
UPCF (7/99)
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