HomeMy WebLinkAboutBUSINESS PLAN 7/9/1987
- -- --- -- ------ ------ ,
, --~- ~ -- . ---~_.-.- - - -
.." " ...
Per
it to·· Operftte
_ J.
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
, "'tI@~rdous Materials Plan _~
."" round Storage of Hazardous Materials
gemEmt Program
Waste
4701
WIBLE
..~,~;;:
PERMIT ID# 015-021.000540
CALCRETE COMPANY
LOCATION
Issued by:
.'
~,~ /~~~:'..
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
:1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
*~
ph Huey,
ffice of ental Servi es
June 30, 2000
Approved by:
Expiration Date:
Per
I ,
_:~~}<',~'."¥.~~~,l',£f{,~"'.',,:',",'"~,'/:;-<~'.",\:,> .....", . .'. ..···<··'t" '. ' '
.. ·."a~y^"..pe..iI., ~.
.., "', ' , " .
Hazardous Materials/Hazardous' Waste Unified' Permit· ,/'
··1
, .
CONDITIONS',OF,PERMIT ON REVERSE SIDE,
" .
Issued by:
. Bakersfield Fire Department
! OFFICE ,OF ENVIRONMENTAL SERVICES'
1715 Chester Ave., 3rd Floor AppI'ovedby:
; Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
'"',' .. '"
'-. "", ~
, ,
.'. . this peonlt Is Issued for the following: .
, iii Hazardous Materlals,Plan
,0 Underground Storage of Hazardous Materials'
" 0 Risk Management Program
o Hazardous WasteOn-Slte TreabneÌ1t
o ~, ~
"
Permit ID #:: 015-000-000540
CALCRETE COMPANY
LOCATION: 4701 WIBLE RD
, -~.
. -.'
, ,
, ,
.,.
"
Issue Date
June 30, 2003
.
.
'.
SITE/FACILITY DIAGRAM
FORM 5
..
NORTH SCALE: BUSINESS NA~E:~ FLOOR: OF
~ L Ct 'C V'~ 'P C -C) 1M PC{ }1 j
DATE:? !'Í18~FACILITY NAME: UNIT ~: OF
(CHECK ONE) SITE DIAGRA.'f K FACILITY DIAGRA:'f
R~
P~RK1NG,1- () I
ß v.. rIJ:¡ VIr 5
I. Ml?'50hfY 'I. FmHle
1.- M.e{ ~C>~ 't S. MQ~r¡
3. M.~~I ~/^'1R~~Jy
y- fJ. ùr::t ~ ry
.µ-, r f9"'A
[J
~AA
(\0(.1\
R~~1Y
y...Aîx,
P~~t
Co, TTI.-Þ:- ÂJ r.
0- F'fY'~ f)ycR..
.5-5"~) Or~'t0'
IL\otoV' oí I
}\-ê.'r"6 ~-e. V¡ e..
< ~<\ Yl~'A~ 6c)tv'~~f
HYc.. otl 1.~
. ~ot
4 f&'t\k
~t~ ~ ~~~
c.'fUt~ U ~cil~
(fro(!F fkà J1qÎ~
VP\ c.J\1J T
loT
..:r RR~.
VF\ct\~T' \-oT
(Inspector's Comments):
-OFFICIAL USE O~LY-
- 5A -
· e
SITE/FACILITY DIAGRAM
FORM 5
NORTH
SCALE:
DATE:
(CHECK ONE) SITE DIAGR~~
..~
t-}-
r
I
I
.+
t - - - -- --..,..
~ f\ìt\ Q...üO,\\
FLOOR:
UNIT ~: / OF ?
FACILITY DrAGRk~
x
-
1\): Ç\
_ _ + t.D\J~
\ tlo... t l \)J,-\ Y
'{tl- -- r ~ -1
! L [
I
I
I
I
I
I
l
r
A~R
CoN~ ~
[
I
I'
'!
.!..
(
I
I
I
I
I
(Inspector's Comments):
-OFFICIAL USE ONLY-
- 5A -
e
.
.~ .'
SITE/FACILITY DIAGRAM
FORM 5
(j
BUSINESS N~~E: ~
CGlcY'~ fJ
DATE:I) ,I 'î / &~ FACIL ITY ~Al'iE b
CoM.
NORTH
SCALE:
(CHECK ONE) SITE DIAGRA~
FACILITY DIAGRA'f
~X:
C!
Ad-,^" 1>x ~ !\lò'to... H ct 1-. () V- F I~ MA..~"b)12...
r~~ k~
o ",",C'M..t't
e.-
M \ X ~'r
5 CLc. k fJ J L- 5 Ie> },,61~
~ ð-O 16' SQCk..s
NolA., H q 2...
,
Q1 . .
I J
t R 4. "l \.tdh I- L.. 1>00 Ii.
(Inspector's Comments): -OFFICIAL USE ONLY-
- 5A -
_-
SITE/FACILITY DIAGRAM
FORM 5
, I
\
NORTH SCALE: CO FLOOR: J' OF I
r- UNIT :::¿.¡ OF I}
(CHECK ONE) SITE DIAGRA.'f FACILITY DIAGR~'f X
\
() Oå R
OooŸ-
Jet::>)""
Ac.. t ~ 0 ¡( '/ Bo1fl'L.-
r---1 ~ -Io~ ~
'1' t- ~- -11
f
ß~+\'t'()()W\ I
I
I
_-.:.. ~ - - ~
o Ibå v-
rI AL+. ÆOl..y ßo+HL
l~ N\o~ile.. ~-iv1EL
~
~O
~
~O
o
"'í
""'"
~
.J
('b
~
~
è;.\
-- -
(Inspector's Comments):
-OFFICIAL USE O~LY-
- 5A -
I' .
I
_ e
SITE/FACILITY DIAGRAM
FORM 5
FLOOR: I OF !
.' UNIT ~:SOF ?
FACILITY DIAGR~~ ><
, '
Co
NORTH
SCALE:
L
DATE: ! /
(CHECK ONE) SITE DIAGR~~
O. \'\"Y\ð.Q..\" r "f'ø IA \-\ ~
, ~~r ~I/
-,
DOOR
o
LlI'\Se-~
Wc:!\.1-e. V'
. '\J€. Ll
Vv ~\~R l2t'v\ k.
. ,
s:.s <Õ~ I
f~h-tA. ~ S
~
t- Q
:S',;::,.
i~
-.J¥'
Qi
~~,
!~t~
i5 12::t '5
.9C«;'_
g).(jtl1-
~~\)
<) ~ .
-~~=
3-~~1
o
o
M71~J
Or/. .
UJl1 S k.s
(Inspector's Comments):
-OFFICIAL USE O~LY-
- 5A -
"I
I
I /
/'
NORTH
/.A t. '
~ CiS
$ ~I:.\T.d+ç:-
V4.1 \It
~R
.,
SCALE:
if'
e
e
SITE/FACILITY DIAGRAM
FORM 5
FLOOR: l OF /
UNIT ~:~ OF ?
DATE: /1/8?FACILITY. AI·tE; c:-
Cu..
(CHECK ONE)
ECi..L~
R..OO'WI.
t1-6.5
q
ßIA'Y"'f\tr
'^- \\~ t-
SITE DIAGRA~ FACILITY DIAGR~~ />( I
0Cb1t
/,' "'r"
~CbR
DCùR
f\)ooR
1) 00 R.
5 te....Q. Wt ß JDcJc Cú 11' ~f- /(.C)(}YJ1. s
(Inspector's Comments):
-OFFICIAL USE O~LY-
- 5A -
e e
SITE/FACILITY DIAGRAM
FORM 5
NORTH
SCALE:
FLOOR:
DATE: If /~FACILITY ;.JAME:
Ce
UNIT ~: ?-.-OF ')
(CHECK ONE) SITE DIAGRA~
FACILITY DIAGRA~
x
.
5 4.c K c~ ~& VI} €t Hyc.f. t-.~\.tt ~
5 to yq¡t:-
(Inspector's Comments):
-OFFICIAL USE ONLY-
- 5A -
;
/í
/'
/' ~
NORTH
-e
. e
SITE/FACILITY DIAGRAM
FORM 5
"..I
FLOOR: l or /
UNIT ~: I) OF ?
~.
,
(Inspector's Comments):
SCALE: BUSINESS N~:
DATE: '! /e¡ /8? FACILITY ~A.\{E:
(CHECK ONE) SITE DIAGRA~
FACILITY DIAGR~~
VoC)~
,
~~
~f3un~r
W U\1T'~
(jcvR
. '
-OFFICIAL USE ONLY-
- SA -
'f
e
, ' 4It
SITE/FACILITY DIAGRAM
FORM 5
NORTH SCALE: FLOOR: or
l' DATE: I /'1/ UNIT ':: OF
. .
(CHECK ONE), SITE DIAGRA.'f 'f... FACILÌTY DIAGRA.'f
~~l'\~{Yl¡S . p , .
!! , M.~ ~OVL r-,/ 1/. p.,o. W\~ ~ C\. " K \ 1"\ Cj.,., L 01- .,1
i '';), f\A,06o\lÿ' 5'. f"\~5Df\~1 $. AetM-í'A. 'tõ;}.u\ .
, -?\t\ ~14 { b I MA 56 n. t}'.
.:) . q I '~s.()YI. r y
",.
K~v \t\
,::' R.~ tk
,h_~å& ý
{
IMJK
r la~ T'
-e.., ... ~ -.:
CAkCR£'!Þ Co MPAAJj
5 1- ~ tL \4A.. C. u:v- i VI;- fi CJC)I11-5
, p..oo yY\ ~
Lu-'f~ '^; r."{h
'I ? 11 CJY.f~iLe.-
<?ve.~~e~d"o5 1ðI.JY1Ier [JJ 3019G:J E.JJ'
v.Jcdt,r-TQ)Jç~? ~ L . ov~r-\Qct~ Q¡e.- ~keJ
l '5 ~ (\I\o..-t'€.Y'/(¡ lib I »!.
AI) A-ölXlll~7ii)k Oft Fp10íTl
Ioovt.--~ 1M C:,q{ f)Î ~s~l ~tJ f'.~p
tmli~ p c=J Q.o~ Gq I
t:::\ eG> ~ þ - ~ß.
G A- 'j f'I', -
r~ ~q ( (Jru.Ð\ S
Mo\oY' 0 i l
¡(' e.m ~ ·'H\.L
bf.¡cf.. 0 ¡ ! .
Krc.,
W11Un.
c>- r=î.,.t.-!
, 11'1 &..tt uti
{ ß /V\W ~
-
'I]
- ,
..
.. ...
v Úv L. ú- "'-1 LoT
C\f~st
)Jì\Vt
~N
(Inspector's Comments):
-OFFICIAL USE OXLY-
- 5A -
_ 'dlo-"'"- '
e" C\" ¿.
,"",-_. ..-.' ~-"--""-"--...-'''--~- ........ ..- .
'" . -.-------- -
e
SITE/FACILITY DIAGRAM
FORM 5
NORTH SCALE: CoM
C
IJ DATE:I) ! fj / FACILITY SA.'IEb
(CHECK ONE) SITE DIAGRA.'f FACILITY DIAGR.~'f X
~~)(
~~ k.s
I
I LO'r\.C. ~t't
, c-.J
M \ ^ -e..r
5Qc.K fJjL- 5 Þr~
50 Jb' S«k.s
L- tJoo I(
(Inspector's Comments):
-OFFICIAL USE O~LY-
- SA -
. '. : :,~r ~.I.:'
. '.. y
..,.~'"
~
Ooor
Lu.. \\C~
f(öów
NORTH
SCALE:
e
e
: SITE/FACILITY DIAGRAM
FORM 5
/. or I
UNIT :::t¡ OF I}
-OFFICIAL ~SE OXLY-
- SA -
X
\
':Þ-
~O
~
~O
()
"1
~
~
o
~
fb
:ë;'i
-=-
~
--
~
(CHECK ONE)
Oør-
~ t- - -,
I
ß~-t\~Ú()W\ (
I
!
(!nspector's Comments):
. . .
SITE DIAGRA.'f
. I
. FACILITY DIAGRA.'f
() 00 R
..
I
(bor r (1<+ d ~~ ~t\ ~~ S-¡""'''P-l'.. _ r _
-t--Ft O~d y-
rJ Ptc....+. ŒOl..y ßo+Ht.
I---J M.o ÞÎ 1 e. S -Io1e-
; y~
e
SITE/FACILI'Y DIAGRAM
FORM 5
'.
NORTH SCALE: BUSINESS NA.\{E t.. ~ Of I
~
DATE: / / FACILITY :-JA...'Œ: Of ~
S-
(CHECK ONE). SITE D I AGRA.'I FACILITY DrAGR~~ )( ,
() ~~'1~'íí"WU.hd
\JJ ~ -\-"\. y- \)J e.-l ,
,-
. ...,. :_-:. ... .. '! .
- '.
...
. .
lJJøo r
- -
(!)
U ~l>...5~'
W ~ 1-~.y \'0.V\. K W~-\t.v--
W"t l}
. £)~-t-
PtL)¡~ ,
" ' r
, !
~\o ð\\VTt1r\ Kt. yt)- ct~a.)\í~~
1fOo AW"3~ ~ ~ V>.f.- ~cl v~~ft
lV\.c)-\-<;r H1d
0& l O(l
o 0"
f\J\."d. ~ J 0 \ l
\}J (), S1 ~ ~
(Inspector's Comments):
-OFFICIAL USE OXLY-
, - 5A -
-,
.
. ." -~ . .
SITE/FACILI'Y DIAGRAM
FORM 5
,
NORTH SCALE: FLOOR: OF
1 DATE:! / 1 / UNIT ~: OF
. .
(CRECK ONE), SITE DIAGRA.'I ~ FACILtTY DIAG~~
~~llcQ,\"¡5 .,
,. f\A.,~~o"-rý 4. Frã~~V ~<\ î b~( LoT,f
'J . N\ct()o\tý 5". f'^..ftSO 8Q JtJW\Îx.
3 M.~-\4 ( b. MA5ðlH)/.
. I) , '!vþ.S.OI1 r Y
'.- .
.,
K~y~
f\o t~
R~å&ý
MíX
flail T
t:J ß~~\F~'"lFft,
CAl-..LR~T¡;-, C-o MPAJJY
s + l!. ~ \M.. C. u.:.V" ¡ VII- f( ocJ/n .$
, f{ooYt'\ ~
[Yo. y- i '^- 1. ...:' ~ \
. r ð.1 J
'r ? 11 (;JfJ\F-~í Le.-
<.?v~'-~e~d"o.s r¡aúT1'er o=rr ..., ~ c ..J-J'
vJ<ri~"'T<bt~ ~ L . ove:\Q~ Oý~ 5k«J
l <5 ~ MC4."ter-,ll/!l)/ þ~
AU ~~~7 7¡1Ik o~~,Fp1(jíTl
~ve.... ¡, ()i 1.5e.l n., P.'tL-1J
tmL\ P c::J 0.000 Gq I .
5~ ~cd Oru/)\ S
~Y' oil
¡('em G ·CH\.~
Mid oj l.
J;('Tc ,
~
,\) ~(,NJ1 ~
1-0\ r
. . Trr
-
f]
:c.~R~. CA^JG'J-
~LO ROAü
VÚvLÚ-,^-~ LoT
. -~-
Cf~st
)Jì\Ve.-
TN
(Inspector's Comments):
-OFFICIAL USE O~LY-
.
- SA -
~
C>-- /=Îrt
H't &-tt ",1
(ß /t\~)
i
~
--'
--'
. 'SITE/FACrL'r" DIAGRAM
FORM 5
" :a-
NORTH SCALE: BUSINESS NA.'IE: OF /
DATE: / I FACILITY ~A!I{E:
(CHECK ONE), SITE DIAGRA.'I FACILITY DIAGRA."f X 1
\)60r-
5e.rvk~ ..
. ".J'. . .. '!
NC\.+~tú '.
")((00»\ . \.J ÖO '"'
5~~"'~
VC\~V~ .
~' ~
~ VJ
~ f ~ () CO "r
(Þ()6 r \-i.( ci Ü
-.J 0
l ci a OC>)-
£Joe r
\I)
,F1~cj-
P~ytÜ1 r ,-- - ... ' C) 00 r
_ Va tve.- I
t
R ( ~
" L f9¥ 1 to V {) 06'-
ðV~R» ~A1J ' . -erOCJ~ /(, ~ ~
Si~ö. W\ ~lO R 5 J 0
~u.ï~tr
(Inspector's Comments):
-OFFICIAL USE OXLY-
- SA -
0,
,~ "~ij
/
,r
/
/
/
/
,~
NORTH
l'
.'
SCALE:
, . . 4IÞ
SITE/FACILITY DIAGRAM
FORM 5
BUS I NESS NA.'E:
DATE: / / FACILITY NA.."IE:
FLOOR:
UNIT ~:
x
...-<\
...._ \"JOo r
.'
,
(CHECK ONE) SITE DIAGRA'I
~C)Dl
FACILITY DIAGR~'
(Inspector's Comments):
-OFFICIAL ~SE O~LY-
- SA -
:r~
\ /7 ,""
-: CALCRETE COMPANY ===-========================-===
5""~1'" Crt-~~(( BusPhone:
4701 WIBLE RD 'ta '\,\~ Map : 123
BAKERSFIELD ~~~'ta Grid: 13C
CommCode: BAKERSFIELD STATION 07
EPA Numb:
/
SiteID: 015-021-000540 +
~,
Manager :
Location:
City
(661) 831-0831
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:3241
DunnBrad:00-849-5863
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
SHAWN CAMPBELL / /
Business Phone: ~~85-l953x Business Phone: ~I) ;13>/ -o'isl x
24-Hour Phone : ~jðß46-0703x 24-Hour Phone : () x
Pager Phone (~f671-3400x Pager Phone : () X
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact: Phone:--(661) 831-0831x
MailAddr: 4701 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93309
+-:-----------------------------------------------------------------------------+
Owner CALCRETE COMPANY Phone: (66l) 831-0831x
Address: 470l WIBLE RD State: CA
Çity : BAKERSFIELD Zip : 93313
+------------------------------------------------------------------------------+
Period 'I - O? to 8' - 0) TotalASTs: = Gal
P, repare~~I. ~ TotalUSTs: = Gal
Certif'~ RSs: No
ParcelNo: ~ __
+-------------------------------------------------------------~----------------+
Emergency Directives:
PER STATION 7B J. WEBER PLANT NO LONGER IN SERVICE ONLY PRODUCTS ON GROUNDS
ARE DIESEL, MOTOR OIL, OXYGEN AND WASTE OIL
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== Alphabetical Order ================================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
1_ .~ Hazmat Common Name. . . I SpecHaz I EPA Hazards I Frm I DailyMax I Unit I MCP I
+-~------------------------------+-------+-----------+-----+----------+----+---+
JPC #2 DIESEL F IH DH L 2000.00 GAL Low
MOTOR OIL F DH L 100.00 GAL Min
OXYGEN F P IH G 350.00 FT3 Low
WASTE OIL F DH L 200.00 GAL Low
+=~============================================================================+
-1-
07/28/2003
,/
,~
p~ CALCRETE COMPANY ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SiteID, 015-021-000540 +
+================================================================= Fast Format +
+= Training ===================================================== Overall Site +
+== Employee Training ============================================= 12/01/1999 +
5 (D
WE HAVE ~TO ~ EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: INFORM EMPLOYEES OF LOCATIONS OF HAZARDOUS
MATERIAL, AND SAFETY MEASURES TO BE TAKEN WHEN USING OR NEAR SAID MATERIALS.
REPORT ANY PROBLEMS WITH HAZARDOUS MATERIALS TO A SUPERVISOR.
+==============================================================================+
+=== Page 2 ===================================================================+
I I
+~=============================================================================+
+==== Held for Future Use
I
=====================================================+
I
+==============================================================================+
+===== Held for Future Use ====================================================+
I I
+==============================================================================+
----,'
-9-
07/28/2003
\. ~i:
i' ...,....
-
-
,
:CALCRETE COMPANY
SiteID: 015-021-000540
Manager :
Location: 4701 WIBLE RD
tity BAKERSFIELD
CommCode: BAKERSFIELD STATION 07
EPA Numb:
BusPhone:
Map : 123
Grid: 13C
(661) 831-0831
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:3241
DunnBrad:00-849-5863
i
Emergency Contact / Title Emergency Contact / Title
SHAWN CAMPBELL / /
I Business Phone: (661) 985-1953x Business Phone: ( ) - x
. 24 -Hour Phone : (661) 646-0703x 24-Hour Phone : ( ) - x
Pager Phone : (661) 671-3400x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
I
Contact : Phone: (661) 831-0831x
MailAddr: 4701 WIBLE RD State: CA
City : BAKERSFIELD Zip : 93309
I
<Dwner CALCRETE COMPANY Phone: (661) 831-0831x
Address : 4701 WIBLE RD State: CA
Çity : BAKERSFIELD Zip : 93313
Period : to TotalASTs: . = Gal
Preparer: TotalUSTs: = Gal
CCertif I d:_ --. ... -- -, - -- < '- RSs: No -
~
~mergency Directives:
I
J?ER STATION 7B J. WEBER PLANT NO LONGER IN SERVICE ONLY PRODUCTS ON GROUNDS
ARE DIESEL, MOTOR OIL, OXYGEN AND WASTE OIL
I
I
p=!Hazmat Inventory
~ Alphabetical Order
One Unified List ì
All Materials at Site ì
Hazmat Common Name. . .
SpecHaz EPA Hazards
[
JPC #2 DIESEL
MOTOR OIL
I
qXYGEN
WASTE OIL
I, S~æc.v", ~ Ì"'\Þbe.c\
(Type 01' print name)
reviewed the attached hazardous materials manage-
ment plan for C1\\cv-t-f<. ¡~ìod< tú. and that it along with
(Nne of BUline8l)
any corrections constitute a complete and correct man-
F IH DH L
F DH L
F P IH G
F DH L
Do hereby certify that I have
DailyMax MCP
2000.00 GAL Low
100.00 GAL Min
350.00 FT3 Low
200.00 GAL Low
agement plan for my facility.
~1-
._ I ~~
- ,
, ,
01/31/2003
d -b "03
...
..
-
e
F ~ALCRETE COMPANY
f=ilnventory Item 0007
== COMMON NAME / CHEMICAL NAME
JPC #2 DIESEL
SiteID: 015-021-000540 l
Facility Unit: Fixed Containers on Site ì
Days On Site
365
! Location within this Facility Unit
~IDDLE S PROPERTY LINE
Map:
Grid:
CAS#
68476-34-6
¡STATE - TYPE
~iquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE, GROUND TANK
Largest Container
2:000.00 GAL
ÄMOUNTS AT THIS LOCATION
, Daily Maximum
2000.00 GAL
Daily Average
1000.00 GAL
,
:%Wt. RS CAS#
toO.OO Diesel Fuel No. 2 No 68476302
HAZARDOUS COMPONENTS
I Radioactive/Amount USDOT#
TSecret RS BioHaz EPA Hazards NFPA MCP
No No No No/ Curies F IH DH / / / Low
HAZARD ASSESSMENTS
f= Inventory Item 0002
~ COMMON NAME / CHEMICAL NAME
MOTOR OIL
'I
Facility Unit: Fixed Containers on Site ì
Days On Site
365
, Location within this Facility Unit
S WALL WATER TANK
Map:
Grid:
CAS#
¡STATE - TYPE
n.iquid Pure
I
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
65.00 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
-2-
01/31/2003
e
e
SiteID: 015-021-000540 9
Facility Unit: Fixed Containers on Site 9
F CALCRETE COMPANY
f=Inventory Item 0012
F===';' COMMON NAME / CHEMICAL NAME
OXYGEN
Days On Site
365
Location within this Facility Unit
MID S WALL
Map:
Grid:
CAS#
7782-44-7
I STATE - TYPE
Gas Pure
I
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
350.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
350.00 FT3
Daily Average
200.00 FT3
:%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
I
HAZARDOUS COMPONENTS
i T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
I
!No No No No/ Curies F P IH / / / Low
I
HAZARD ASSESSMEN S
f=IInventory Item 0006
=7 COMMON NAME / CHEMICAL NAME
~ASTE OIL
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
S WALL WATER TANK
Map:
Grid:
CAS#
221
I
¡STATE - TYPE
tiquid Waste
I
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
30.00 GAL
I HAZARDOUS COMP NENTS
:%Wt. RS CAS#
ÌOO.OO Waste Oil, Petroleum Based No 0
¡
o
HAZARD ASSE MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
I
SS
-3-
01/31/2003
e
e
SiteID: 015-021-000540 9
Fast Format 9
Overall Site 9
12/01/1999 ]
03/23/1990
F OALCRETE COMPANY
I
I '
F :Notif./Evacuation/Medical
¡=;..Agency Notification
qALL 911.
,
Employee Notif./Evacuation
I
GENERALLY ONLY ONE OR TWO PEOPLE IN SHOP AND SHOP IS SO SMALL EVERYBODY
WOULD KNOW OF A PROBLEM.
!
Public Notif./Evacuation
12/01/l999
]NFORM OFFICE PERSONNEL, WHO WILL IN TURN INFORM OTHER EMPLOYEES AND CALL
!fIRE DEPT.
Emergency Medical Plan
ßOCAL HOSPITALS.
03/23/1990 1
-4-
Ol/31/2003
e
e
SiteID: 015-021-000540 9
Fast Format ì
Overall Site ì
03/23/1990
F CALCRETE COMPANY
I '
f= IMitigation/Prevent/Abatemt
Release Prevention
KEEP SPARE ACETYLENE AND OXYGEN BOTTLES CHAINED AND CAPPED.
r
I
I
Release Containment
Clean Up
Other Resource Activation
-5-
01/31/2003
e
e
SiteID: 015-021-000540 l
Fast Format ì
Overall Site ì
I
F CALCRETE COMPANY
I
f= :Site Emergency Factors
~ Special Hazards
Utility Shut-Offs
A) GAS - NE EDGE OF PROPERTY
B) ELECTRICAL - MIDDLE OF S PROPERTY LINE
cr) WATER - BOTTOM OF TANK IN PUMP HOUSE
D) SPECIAL - NONE
É) LOCK BOX - NO
I
12/0l/1999
Fire Protec./Avail. Water
12/01/1999
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN REQUIRED LOCATIONS.
¡
FIRE HYDRANT - CORNER WIBLE RD AND CATTLE DR.
I
Building Occupancy Level
-6-
01/31/2003
,I .'
1
e
e
SiteID: 015-021-000540 9
Fast Format ì
Overall Site ì
12/0l/1999
F CALCRETE COMPANY
I,
F . Training
. Employee Training
WE HAVE 15 TO 20 EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: INFORM EMPLOYEES OF LOCATIONS OF HAZARDOUS
~TERIAL, AND SAFETY MEASURES TO BE TAKEN WHEN USING OR NEAR SAID MATERIALS.
~EPORT ANY PROBLEMS WITH HAZARDOUS MATERIALS TO A SUPERVISOR.
r=
I
I
Page 2
Held for Future Use
Held for Future Use
-7-
01/31/2003
If ¡r7 ótJ -Z - ~/'b, /'
#fr/{) 'r - s"":s, -
H/YIUJ1 -5"'3.-
S.~(; () I -/7. =-
:~
rNSPECTION DATE \0 I a./C7;;J t "
PHONE NO. hI" 4 ~ 3> I - 0 ~:::. , >-
BUSINESS ID NO. 15-2 t 0- DD 52-t l; ,
NUMBER OF EMPLOYEES , D
IFS;L9rV '__,.
Ïn0f¡¡¿d. &J If 8'7'''"
CITY OF BAKERSFIELD FIRE OEP ARTMENT
O~FICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTiON CHECKLIST
1715 Chester Ave., 3rd (-Ioor, Bakersfield, CA 9330J
FACILITY NAME
ADDRESS L.\ 0 I
. F ACILITY CONTACT S IiIJ n Útrv-.
rNSPECTION TIME I ~ ¡Yl1 Vt. ·
(9
Se16n 1:
d Routine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
, '
Appropriate permit on hand V
Business plan contact information accurate 1/
¡ Visible address 1/
,
¡ ...¡
. Correct occupancy
Verification of inventory materials -- - " .
Verification of quantities .J r\ o.\'\-\- \Ot\aP~V I ~_ (
\"\0 Î" YV'IC~
-../ ,
Verification of location J 111'
.
I on\y Vf....., vn (t"~'" --
, Proper segregation of material J "., .AI . - Ì"\uo '-.1 .
Verification of MSDS availability / .... M D~ V' I'tc' I
¡ Verification of Haz Mat training vi - fC) 'L .J. 1'1.0A'"\ /
i I. I] I r
, Verification of abatement supplies and procedures 1/
- tJJlhk ð'
Emergency procedures adequate 1-1
Containers properly labeled -vl/ /
I
I
i Housekeeping ../
I
I Fire Protection 1../
j Site Diagram Adequate & On Hand ./
:C=Compl iance
;;..
ONo
V=Violation
Any hazardous waste.on Sit~i:
!Explain: W~·.k- ot
Questions regarding this inspection? Please call us at (661) 326-3979
While· Em' Svcs,
Yellow· Station Copy
Inspector:
Pink· Business Copy
l<J .Lb~,.,--
-
-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd I·'loor, Bakersfield, CA 93301
FACILITY NAME (] a I C/ e-..t e.- eo.
ADDRESS £170 ( ÍA)b~ ~
FACILITY CONTACT 5ht:í-IJ n Út"" p
INSPECTION TIME I ~ ¡YI/~'
INSPECTION DATE lO I G{ 1(7 ;)
PHONE NO, h" ~ fJ ~ , - ()í'~ f
BUSINESS ID NO. 5-2 0- DD 5'2..\ ()
NUMBER OF EMPLOYEES \ D
Se~n 1:
ð Routine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate pennit on hand V
Business plan contact infonnation accurate ~
Visible address ,/
Correct occupancy ...¡
Verification of inventory materials ..¡
Verification of quantities .../ r\ Ó.h1--- \Ot\(ép...-V i ~, (
hO ì r\. VII'I C ~
oJ /I
Verification of location J j¡ L
. ~,
J l:]7\ l r -Yf"'O£>"V'C,IJ '"",r" (1"-'" -
Proper segregation of material ,.. .-.1 . - 'l'\..... J,., , /
J --
Verification of MSDS availability - Mo4..... rr' ,
Verification of Haz Mat training t/ - (C) ~ d 0..0 A'1 j
Verification of abatement supplies and procedures ./ 111 'I
- LúJhk (5,
Emergency procedures adequate -/
Containers properly labeled V~
Housekeeping J
Fire Protection J
Site Diagram Adequate & On Hand ./
C=Compliance
V=Violation
L
ONo
While· Env, Svcs.
Yellow - Station Copy
Pink· Business Copy
Inspector:
. Any ~azardous waste~ Si!~l
. Explam: W~· Ol
Questions regarding this inspection? Please call us at (661) 326-3979
w~
· -----r-
e
e,
ø
CITY OF BAKERSFIEI"D FIRE DEPARTMENT
OFFICE OF ENVIRONMENT AI.. SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301
~
Se¡tion 1:
o Routine
Business Plan and Inventory Program
INSPECTION DATE ) \ /1 10 ,
PHONE NO. ~~'-~2>':3 \
BUSINESS ID NO. 15-210- ð 00 ~ 4 D
NUMBER OF EMPLOYEES \ C
/.).313 ~ 7
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C IV COMMENTS
Appropriate permit on hand J~
Business plan contact information accurate ./
,,-
Visible address ./
Correct occupancy oJ /
Verification of inventory materials J
.I
Verification of quantities .../
.I
Verification of location J J
Proper segregation of material ~
Verification of MSDS availability ~ J ca YV\ ",-.' t'\ o.q,'c.<-
Verification of Haz Mat training ~ /
Verification of abatement supplies and procedures ./ /
Emergency procedures adequate vi /
Containers properly labeled ~ /
Housekeeping ~
Fire Protection ../
Site Diagram Adequate & On Hand ./
13''-''> " ~ J ¡ S k-I' so)ð ~
= =
C Compliance
V VIOlatIOn
~ON.
~s .þ\R
Any hazardous waste on site?:
Explain: 1,J(ßk.......
Ie Party
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs,
Yellow - Station Copy
Pink· Business Copy
Inspector:
.-- - :-¡......'
r··
e
CALCRETE COMPANY
Manager :
~ocation: 4701 WIBLE RD
City BAKERSFIELD
CommCode: BAKERSFIELD
EPA Numb:
OCT 2 6 1999
1
BY:
STATION 05
-;...
Emergency Contact
$HAWN CAMPBELL
Business Phone:
24-Hour Phone
Pager Phone
/
/
(805)
(805)
(805)
64.15 0793xqP~-I'1Ç
399 2S01x<.,c{6 -OrO
671-~x -g'lð 0
Title
Hazmat Hazards:
Contac't :
MailAddr: 4701 WIBLE RD
City BAKERSFIELD
Owner
Address
City
CALCRETE COMPANY
4701 WIBLE RD
BAKERSFIELD
Period
I?reparer:
Certif'd:
to
Emergency Directives:
-
SiteID: 215-000-000540
BusPhone:
Map : 123
Grid: 13C
(805) 831-0831
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:3241
DunnBrad:00-849-5863
Emergency Contact
/
/
(805)
(805)
(805)
831-0831x
587-0517x
671-1734x
Title
Business Phone:
24-Hour Phone
Pager Phone
Fire Press
ImmHlth DelHlth
Phone: ( x
State: CA
Zip 93309
Phone: (805) 831-0831x
State: CA
Zip 93313
TotalASTs: = Gal
TotalUSTs: Gal
RSs: No
1,~'AW'¡0 ~\')W I Do hereby certify that I have
(Type or print name) ,
reviewed the att~hed hazardous materials manage-
ment plan for~ (J¥ dL- and that ~ along with
lime of Suslness)
any corrections constitute a complete and correct man-
,
<,
~ '\~, .
~'"
"
'\,
'-,
'~"', .
.,,'~
, ,
',,-
"'-'
'",
({, "
f" ''-..
.
",
s
-,
','
'--.
.~"
..,,~
'\,.,
'~¡
-I ,": ~i
'-
",r·~!t .
, i- '
"'1\::
".', ,; ~, I
\ ~;~t, ':"~ ". /
',-
"'-
'-
-1-
I ,.~..!
. ~:~ ;~~,~ .
'-
"'\/ .
AIt"'J.:.;· '~';\ )-~:,
, ..
1£1 /:;d 11
10/11/1999
- . e
e
F CALCRETE COMPANY SiteID: 215-000-000540 'ì
f= Hazmat Inventory By Facility Unit 'ì
f==. As Designated Order Fixed Containers on Site 'ì
Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP
ACETYLENE F P IH G 160 FT3 Hi
MOTOR OIL F DH L 100 GAL Min
HiYDRAULIC OIL F DH L 55 GAL Low
WASTE OIL F DH L 200 GAL Low
jpc #2 DIESEL F IH DH L 2000 GAL Low
PROPANE GAS F P IH G 1150 GAL Hi
CEMENT IH S 50000 LBS Min
HYDRATED LIME IH S 50000 LBS Min
DYE IH DH S 25000 LBS Min
OXYGEN F P IH G 350 FT3 Low
-2-
10/11/1999
·'I.~
e
e
SiteID: 215-000-000540 1
Facility Unit: Fixed Containers on Site ì
F CALCRETE COMPANY
p= :Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
ACETYLENE
Days On Site
365
Location within this Facility Unit
MID SOUTH WALL
Map:
Grid:
CAS #
74-86-2
,
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
160.00 FT3
Daily Average
90.00 FT3
HAZARDOU COMPONENTS
,%Wt. RS CAS #
100.00 Acetylene No 74862
S
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
p= Inventory Item 0002
F== COMMON NAME / CHEMICAL NAME
MOTOR OIL
Facility Unit: Fixed Containers on Site 1
Days On Site
365
Location within this Facility Unit
SOUTH WALL WATER TANK
Map:
Grid:
CAS #
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00,GAL
Daily Average
65.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
r
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DR / / / Min
HAZARD ASSESSMENTS
-3-
10/11/1999
'1"
.'
e
e
SiteID: 215-000-000540 ì
Facility Unit: Fixed Containers on Site ì
F CALCRETE COMPANY
p= Inventory Item 0003
F=' COMMON NAME / CHEMICAL NAME
HYDRAULIC OIL
Days On Site
365
Location within this Facility Unit
90UTH WALL WATER TANK
Map:
Grid:
CAS #
STATE - TYPE
L.,iquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
25.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
+00.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob. . . No 0
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
p= Inventory Item 0006
~ COMMON NAME / CHEMICAL NAME
WASTE OIL
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
SOUTH WALL WATER TANK
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
30.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
[1.00.00 Waste Oil, Petroleum Based No 0
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4-
10/11/1999
e
e
SiteID: 215-000-000540 ì
Facility Unit: Fixed Containers on Site ì
F CALCRETE COMPANY
p= Inventory Item 0007
F==;= COMMON NAME / CHEMI CAL NAME
JPC #2 DIESEL
Days On Site
365
Location within this Facility Unit
MIDDLE SOUTH PROPERTY LINE
Map:
Grid:
CAS #
68476-34-6
STATE - TYPE
Liquid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
2000.00 GAL
Daily Average
1000.00 GAL
PONENTS
%Wt. RS CAS #
100.00 Diesel Fuel No. 2 No 68476302
HAZARDOUS COM
HA D ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
ZAR
p= Inventory Item 0008
~ COMMON NAME / CHEMICAL NAME
PROPANE GAS
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
MIDDLE OF SOUTH PROPERTY LINE
Map:
Grid:
CAS #
74-98-6
I STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Cryogenic
CONTAINER TYPE
FIXED PRESS. CYLINDER
Largest Container
GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1150.00 GAL
Daily Average
15000.00 GAL
HAZARDOUS COMPONENTS
~
CAS #
749861
1 t~~~åolpropane
HA D ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
ZAR
-5-
10/11/1999
"
e
e
SiteID: 215-000-000540 ì
Facility Unit: Fixed Containers on Site ì
F CALCRETE COMPANY
p=Inventory Item 0009
¡::::=: COMMON NAME / CHEMICAL NAME
CEMENT
Days On Site
365
Location within this Facility Unit
WEST SIDE OF BLDG
Map:
Grid:
CAS #
65977-15-1
STATE - TYPE
Solid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
BAG
Largest Container
LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
50000.00 LBS
Daily Average
30000.00 LBS
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Cement No 65997151
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
:No No No No/ Curies IH / / / Min
p=Inventory Item 0010
¡:= COMMON NAME / CHEMI CAL NAME
HYDRATED LIME
Facility Unit: Fixed Containers on Site ì
Days On Site
365
Location within this Facility Unit
CENTER OF BLDG
Map:
Grid:
CAS #
1305-62-0
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
BAG
Largest Container
LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
50000.00 LBS
Daily Average
25000.00 LBS
HAZARDOUS COMPONENTS
%Wt. RS CAS #
50.00 Calcium Hydroxide No 1305620
35.00 Magnesium Hydroxide No 1309428
15.00 Calcium Carbonate No 471341
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
. No No No No/ Curies IH / / / Min
-6-
10/11/1999
e
e
SiteID: 215-000-000540 1
Facility Unit: Fixed Containers on Site 1
F CALCRETE COMPANY
p=Inventory Item 0011
==== COMMON NAME / CHEMICAL NAME
DYE
Days On Site
365
Location within this Facility Unit
EAST SIDE OF BLDG IN SHED
Map:
Grid:
CAS #
1309-37-1
STATE - TYPE
Solid Pure
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
BAG
Largest Container
LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
25000.00 LBS
Daily Average
13000.00 LBS
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Iron Oxide, Magnetic No 1309371
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Min
p= Inventory Item 0012
F== COMMON NAME / CHEMICAL NAME
OXYGEN
Facility Unit: Fixed Containers on Site 1
Days On Site
365
Location within this Facility Unit
MID SOUTH WALL
Map:
Grid:
CAS #
7782-44-7
- TYPE
Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest container
FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
350.00 FT3
Daily Average
200.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS #
'100.00 Oxygen, Compressed No 7782447
AR A SSM TS
T,Secret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZ D SSE EN
-7-
10/11/1999
e
e
í CALCRETE COMPANY ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000540
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 i
o 0
o CALL 911
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 i
o 0
o GENERALLY ONLY ONE OR TWO PEOPLE IN SHOP AND SHOP IS SO SMALL EVERYBODY 0
o WOULD KNOW OF A PROBLEM. 0
o 0
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 i
o 0
o INFORM OFFICE PERSONNEL, WHO WILL IN TURN INFORM OTHER EMPLOYEES AND CALL
o FIRE DEPARTMENT
o
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 i
o 0
o LOCAL HOSPITALS.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
"
e
e
-8-
10/11/1999
J
~."
e
e
í CALCRETE COMPANY ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000540
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íëMitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 ¡
o 0
o KEEP SPARE ACETYLENE AND OXYGEN BOTTLES CHAINED AND CAPPED.
o
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
-9-
10/11/1999
,;¡
.,
.
e
,"
í CALCRETE COMPANY ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000540 ¡
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡
íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡
íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 j
o 0
o
0
LINE 0
0
0
0
0
o A) GAS - NORTHEAST EDGE OF PROPERTY
o B) ELECTRICAL - MIDDLE OF SOUTH PROPERTY
o ~) WATER - BOTTOM OF TANK IN PUMP HOUSE
o ID) SPECIAL - NONE
o E) LOCK BOX - NO
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/23/1990 ¡
o 0
o PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN REQUIRED LOCATIONS
o
o
o
o
o
o
o
o
o
o FIRE HYDRANT - CORNER WIBLE RD AND CATTLE DR.
o
o
o
åë~ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
o 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj
-10-
10/11/1999
,
~
e
.
í a~CRETE COMPANY ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000540
íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format
íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site
íë~ Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1997 ¡
o 0
° WE HAVE 15 TO 20 EMPLOYEES AT THIS FACILITY
o
o
o
° WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
o
o
o
° BRIEF SUMMARY OF TRAINING: INFORM EMPLOYEES OF LOCATIONS OF HAZARDOUS °
° MATERIAL, AND SAFETY MEASURES TO BE TAKEN WHEN USING OR NEAR SAID MATERIALS. °
° REPORT ANY PROBLEMS WITH HAZARDOUS MATERIALS TO A SUPERVISOR. °
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
° 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
° 0
o
o
åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡
° 0
o
o
åëêëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf
-11-
10/11/1999
.,..
/
I
I
I
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.. 3rd Floor, Bakersfield. CA 93301
FACILITY NAME CALC-R..GTC'
INSPECTION DATE I ~ 19 /9$
Section 2:
Underground Storage Tanks Program
o Routine 0 Combined
Type of Tank
Type of Monitoring
.. Joint Agency 0 Multi-Agency
Number of Tanks
Type of Piping
tJO U Sl ':)
o Complaint
o Re-~nspection
OPERA TION
C
COMMENTS .
Proper tank data on tile
Proper owner/operator data on file
Pemit fees current
Has there been an unauthorized release?
Yes
No
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S) I 0 0 ð ' ¿¿At.-
Type of Tank ~)t''>Tf'I& {IIO^,-(.o,J~I...x,..
AGGREGATE CAPACITY
Number of Tanks l
(ðcx) ~
(, ( 0 "''í or; $Gft.r, C.é J
OPERA TION Y N COMMENTS
SPCC available V jJ /(..(.. SbJD rrJFð ON sPa..
SPCC on file with OES V
I Adequate secondary protection V
! Proper tank placarding/labeling V
I
. Is tank used to dispense MVF? V ~LtPí V\JtZ' <- WI-V
If yes, Does tank have overfill/overspill protection? IV If A
C=Compliance
V=Violation
Y=Yes
N=NO
Pink - Business Copy
Inspector:
Office of Environmental Services (805) 326-3979
White - Env, Sves,
vJ {rJGS
I" ¡
-'
.
CITY OF BAKERSFIELD
FIRE DEPARTMENT
.
70685
FD 1916 (Revised 8-15-86)
BLOCK NO,
HOME PHONE
FIRE ORDINANCE VIOLATION
DATE
\rJ--~CVl
TO,
47 t
CORRECT ALL
VIOLATIONS
CHECKED BELOW
Violation No, REQUIREMENTS
Combustible waste / Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U, F. C,)
dr ve etation
2 Provide noncombustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U, F. C,)
Combustible Storage
3 Relocate combustible. storage to provide at least 3 feet clearance around motor fuse box/fire door
(N,E.C,) (U,F.C,)
Extinguishers
4 Relocate fire extinguishe~ s} so that they will be in a conspicious location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor, (N, F, p, A, # 10)
5 Provide and install
to be immediatel accessible for use in
6 Recharge all fire extinguishers, Fire extinguishers shall be serviced at lease once each year, and/or after each 'use, by a person having a valid license or certificate, (U, F, C,)
approved
r"
',_ Signs
r
7 Provide and maintain "EXIf' sign(s} with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U,F,C,)
8 Provide and maintain appropriate numbers on a contrasting background and ,visible from the street to indicate the correct address of the building, (B, M. C,) (U, F, C,)
Firedoo~fireSeparations 9 Repair all (cracks/holes/openings) in plaster'in
(location), ,Plastering shall return the surface to its original fire resistive cond~ioll (u. B, C.)
1 0 (Remove- Repair)
merchanical ,device or b an a roved smoke and heat sens~ive device,
Exits
11 Remove all obstruction from hallways, Maintain all means of egress free of any storage. (U.F,C.}
1 2 Provide a contrasting colored, and permanently installed electric light over or near required ex~ (location)
to clea indicate it as an exit U, F. C,
Storage 1 3 Remove all storage and/ or other obstructions from (fire escape landings and stairways stair shafts)..,,( Fire escapes/stair shafts are In be maintained free from obstructions at all times,) (U,F. C,)
Fire protection appliance 4 E nsion cords shatl not be used in' lieu of permanent approved wiring, Install additional approved electrical outlets where needed (N, E. C,) (U.F, c.)'
1 5 Remove mulitiple attachment cords from specified electrical convenience outlet (one plug per outlet), (N, E. C.) (U, F. C,)
Other
REQUIREMENT
ON /"1 1"11') /19C¡ ÃN INSPECTION WILL BE MADE. IF NO COMPLIANCE.
Irfr ~ rèOURT ACTION MAY BE INITIATED.
t_L :e:ïeceiV¡otice ~i~:
Signature
AFTER VIOLATIONS ARE CORRECTED, RETURN
THIS NOTICE BY MAIL. OR IN PERSON, TO:
By
Date Completed:
INSPECTOR
Fire Station # 7
4030 Soranno Drive
Bakersfield, CA 93309
Phone: 326-3967
LEGEND:
U.F,C,
U.B,C.
B,M,C.
N, F. PA
N.E.C,
Uniform Fire Code
Uniform Building Code
Bakersfield Municipal Code
National Fire Protection Association
National Electric Code
/
JI,IU ,
--1ÍÀZARDOUS MATERIALS INSP
a.aersfield Fire Dept.
O.'P"OF ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
,~
f'
,
Date Completed }{)-:J- 97
~J
Location: 47ù I
LJLb I ~,
I
éDI11jJCdlt¡
~ot
Business Name: CQ / ú~--Æ-
Business Identification No. 215-000 (JOG ,çLt 0 (Top of Business Plan)
Station No. -.:¡. Shift B Inspector J T ~(").,. 1(") Y'.
:Arrival Time: jsj 0 Departure Time: / (, 30 Inspection Time:
/ l-\..I:) W CL wt
,
t..uIÞ\C)
JAr'
,
Adequate Inadequate Adequate Inadequate
Address Visable e::r LJ Emergency Procedures Posted LJ a--'
Correct Occupancy .a LJ Containers Properly Labled LJ g
Verification of Inventory Materials LJ a' Comments:
Verification of Quantities LJ H
Verification of Location LJ g- Verification of Facility Diagram LJ .r(
Proper Segregation of Material er- LJ Housekeeping LJ ,er
Fire Protection f::J e'"
Comments: Electrical LJ ~
Comments:
Verification of MSDS Availablity LJ .f!Í
Number of Employees: tAIIL \< "'-U\M ~ UST Monitoring Program LJ B"'
Comments:
Verification of Haz Mat Training LJ er
Pennits LJ ,off
Comments: Spill Control LJ ~
Hold Open Device LJ LJ
Verification of Hazardous Waste EPA No.
Abbatement Supplies and Procedures 9'" LJ
Proper Waste Disposal LJ £:Ý
Comments: Secondary Containment LJ ~
Security LJ LJ
Special Hazards Associated with this Facility: J th6d +o.Vl.k~ +hCL+ d lÍ>p~>-tj G \:,,oJ. T.w-fl(¡)~V
( c) Vl~IAM1"¡> ; \.LA1 \ 'o-L h, IIC'C"Io'-c:.,...) v..¥> ", l-k'7- ~ (.)I:¡S~O&-"
ViOlations(Þ~ 'C. \A}c<sh dùA /6'-'" ~ r'\oh DrCY~TLrA"c'- (J) ~eed.
l
@êVV1,ffj(t1c.1 Pnxt'Jv~S' /AlA- (Jn5 ~J) l1~cl
Re£rc 4J (~¿,
Bus¡;ess Owner/Manager PRIN NAME
ð'(D-~ val;V\ I'\~ kl ("l-..r
<1>--
'~rdDt,VI.,J' \ ftl If\ "''I~ f({' r1('c.Å
All Items O.K 0
Correction Needed Er
~~
~
~
~
SIGNATURE
[;
e:-
N
IJ')
CD
~
White-Haz Mat Div.
Yellow-Station Copy
Pink-Business Copy
CJ
u..
· 0 ~f~t\¥~~1 .
+ CALCRETE COMPANY =========== ~=============[);F======= SiteID: 215-000-000540 +
Manager : , ' ~AR 28 1997 10~¡ usPhone: (805) 831-0831
Location: 4701 WIBLE RD /,By/ ap : 123 CommHaz : Moderate
City BAKERSFIELD - :-, --~--- ---Grid: 13C FacUnits: 1 AOV:
'.,
"i'. :i
.~
,r CommCode: BAKERSFIELD STATION 05 SIC Code: 3241
EPA Numb: DunnBrad:00-849-5863
+==============================================================================+
+=======================================+======================================+
E~ergency Contact / Title Emergency Contact / . Title t
ROÞJALD H08B~ .shAW.v (t\-f'~L(,,--o703 .¡ERRV QTTJ:~T T;'V ~~~ht/~I4-V'Lt-ùA.>
Business Phone: (805) &31 è8311~ Business Phone: (805) 831-0831x
~, 4-Hour Phone : (805) 399-2504x 24-Hour Phone : (805) 366 706SxS~)- '7
Pager Phone : CrOS") (0 ì l -(þ)eq x Pager Phone : (fos-) (:;')1 -113</ x
+--~------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+--~---------------------------------------------------------------------------+
I
Agency-Defined Topic Title
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== MCP+DailyMax Order ================================= All Materials at Site +
+--~-----------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... ISpecHazlEPA Hazards I Frm I DailyMax UnitIMCP
+--~-----------------------------+-------+-----------+-----+----------+----+---+
PROPANE GAS F P IH G 11fiû 9hL Hi
ACETYLENE F P IH G 160 FT3 Hi
CLEANING SOLVENT F IH L 56 a~L Mod
JPC #2 DIESEL F IH DH L 2000 GAL Low
OXYGEN F P IH G 350 FT3 Low
WASTE OIL F DH L 200 GAL Low
I
HYDRAULIC OIL F DH L 55 GAL Low
KEROSENE F IH L [[ g]~ Low
CEMENT IH S 50000 LBS Min
HYDRATED LIME I ~ (IH S 50000 LBS Min
DYE \ . j1 / ~/ IH DH S 25000 LBS Min
MOTOR OIL (' 'fHNrJ UtM¡2ßl¡ F DH L 100 GAL Min
Ù Do herebv eeríify that I have
(Typ or prim nams)
revie'\,'~'efJ ~¡~8 2tt8Chcd hßze.;'d:J~:?, IT:r::":eriais manage-
ment plan ior_0wt CAl4~ and ~hat iì along with
(Narn,¡ of 8!.minass)
any corrections consmute a complete and correct man-
I
+==================================
3--~/-17
Date
======================================+
-1-
¡ ,~
e
.
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0008 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
PROPANE GAS I Days On Site I
365
+----------------+
I CAS# I
74-98-6
+=============================================================+================+
+= SæATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Cryogenic I FIXED PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==='======================= AMOUNTS STORED AND IN USE =========================+
I Lrrgst Cont.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
1150.00 15000.00
+--------------------------+-------------------------+-------------------------+
I iDailyMax Stored GAL \ DailyMax Open Use GAL I DailyMax Closed Use GAL \
+==~=======================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# I
100.00 Propane No 74986
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS===+=========+========+=====+
TsecretEHSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# \. M~P I
No No No No/ Curies F P IH / / / H1
+-------+---+------+--------------------+-------------+---------+--------+-----+
UEC Article 80 Control Zone: USDOT Hazards
Location within this Facility Unit
MIDDLE OF SOUTH PROPERTY LINE
In Cabinet? Sprinklered Area?
+==~====================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined8:
Ag.Defined6:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
Ag.Defined5:
+- Ag.Define11 ----------------------------------------------------------------+
+==============================================================================+
-2-
~
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0001 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
ACETYLENE I Days On Site I
365
~ocation within this Facility Unit +----------------+
MID SOUTH WALL I CAS# I
74-86-2
! +=============================================================+================+
+= SæATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Ga,s I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
¡ I L~gst Cont.this Loc FT3 I Dai1yMax this Loc FT3 I DailyAvg this Loc FT3 I
. 160.00 90.00
+--------------------------+-------------------------+-------------------------+
I iDailyMax Stored FT3 I DailyMax Open Use FT3 I DailyMax Closed Use FT3 I
+==========================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# I
100.00 Acetylene No 74862
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecretlEHSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F P IH / / / Hi
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UEC Article 80 Control Zone: USDOT Hazards
. In Cabinet? Sprinklered Area?
! +=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6:
Ag.Defined9:
Ag.Defined7:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
I +==============================================================================+
-3-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0005 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
CLEANING SOLVENT I Days On Site I
365
+----------------+
I CAS# I
+=============================================================+================+
+= S~ATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I
+========= -=========+===============+===============+=========================+
+==='======= ============== AMOUNTS STORED AND IN USE =========================+
I L~gst Cont. his Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
55.00 30.00
+-------------- ----------+-------------------------+-------------------------+
I IDailyMax Stor d GAL I DailyMaxOpen Use GAL I DailyMax Closed Use GAL I
+==================- ======+=========================+=========================+
+=======+============ = HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I EHS CAS# I
1QO.00 Cleaning Solve No 8030306
+=======+================ =================================+===+===============+
+==~====+===+======+====== -=== HAZARD ASSESSMENTS ===+=========+========+=====+
Tse,cretEHSIBioHaz Radioa ive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH / / / Mod
+--~----+---+------+---------- ---------+-------------+---------+--------+-----+
UFC Article 80 Control USDOT Hazards
Location within this Facility Unit
SOUTH WALL WATER TANK
+=================== ==== ISC. AL A NCY DATA ===========================+
Ag.Defined1: N~ fin: A efined3: Ag.Defined4:
Ag.Defined5: \~ Ag.Defined6: Ag.Defined7:
Ag.Defined8: \ Ag.Defined9: Ag.Define10:
,
+- Ag.Define11 ------------------------------------ ---------------------------+
+==============================================================================+
-4-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0007 =============== Facility Unit: Fixed Containers on Site +
+== ÇOMMON NAME / CHEMICAL NAME ==============================+================+
JPC #2 DIESEL I Days On Site I
365
+----------------+
I CAS# I
68476-34-6
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Li'quid I Pure I Ambient I Ambient I ABOVE GROUND TANK I
+=========+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
I L~gst Cont.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
2000.00 1000.00
+--------------------------+-------------------------+-------------------------+
I !DailyMax Stored GAL I DailyMax Open Use GAL I DailyMax Closed Use GAL I
+==~=======================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I IWt. I IEHS CAS# I
100.00 Diesel Fuel No.2 No 68476302
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITse,cretlEHSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F IH DH / / / Low
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UFC Article 80 Control Zone: USDOT Hazards
Location within this Facility Unit
MIDDLE SOUTH PROPERTY LINE
IR Cabinet? Sprinklered Area?
+=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
~g.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined8:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
Ag.Defined5:
Ag.Defined6:
+- Ag.Define11 ----------------------------------------------------------------+
+==============================================================================+
-5-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0012 =============== Facility Unit: Fixed Containers on Site +
+== 'COMMON NAME / CHEMICAL NAME ==============================+================+
OXYGEN I Days On Site I
365
Location within this Facility Unit +----------------+
M~D SOUTH WALL I CAS# I
7782-44-7
+==~==========================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
I I L~gst Cont.this Loc FT3 I DailyMax this Loc FT3 I DailyAvg this Loc FT3
. 350.00 200.00
+--~-----------------------+-------------------------+-------------------------+
I ,DailyMåx Stored FT3 I DailyMax Open Use FT3 I DailyMax Closed Use FT3 I
+==~=======================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# I
100.00 Oxygen, Compressed No 7782447
+==~====+==================================================+===+===============+
I +==~====+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecretIEHSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F P IH / / / Low
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UFC Article 80 Control Zone: USDOT Hazards
In Cabinet? Sprinklered Area?
+=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6:
+- Ag.Define11 ----------------------------------------------------------------+
+==============================================================================+
-6-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Iinventory Item 0006 =============== Facility Unit: Fixed Containers on Site +
+== 'COMMON NAME / CHEMICAL NAME ==============================+================+
W~STE OIL I Days On Site I
365
+----------------+
I CAS# I
221
+==~==========================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Waste I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=========+==========+===============+===============+=========================+
+==~======================= AMOUNTS STORED AND IN USE =========================+
I L~gst Cont.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
200.00 30.00
+--~-----------------------+-------------------------+-------------------------+
I DailyMax Stored GAL I DailyMax Open Use GAL I DailyMax Closed Use GAL I
+==========================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# I
100.00 Waste Oil, Petroleum Based No 0
+==~====+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITS~,cretIEHSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Low
+--~----+---+------+--------------------+-------------+---------+--------+-----+
I
UFC Article 80 Control Zone: USDOT Hazards
:Location within this Facility Unit
SOUTH WALL WATER TANK
In Cabinet? Sprinklered Area?
I ,
+==~====================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
Ag.Defined5:
I
Ag.D~fined8:
. I
Ag.Define11
: I
I
Ag.Defined6:
+-
----------------------------------------------------------------+
+==b===~=======================================================================+
-7-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0006 =============== Facility Unit: Fixed Containers on Site +
+==================+=========+====== WASTE DATA ===========+===================+
I Treated On Site I CA Code I US Code I GAL Generated/Mo. I GAL Generated/Yr. I
No 200.00
+------------------+---------+---------+-------------------+-------------------+
Agency-Defined Text Label
+==============================================================================+
-8-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
I += Inventory Item 0003 =============== Facility Unit: Fixed Containers on Site +
+== 'COMMON NAME / CHEMICAL NAME ==============================+================+
HYDRAULIC OIL I Days On Site I
365
+----------------+
I CAS# I
+==~==========================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=========+==========+===============+===============+=========================+
+==~======================= AMOUNTS STORED AND IN USE =========================+
I Lrgst Cont.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
55.00 25.00
+--~-----------------------+-------------------------+-------------------------+
I ,DailyMax Stored GAL I DailyMax Open Use GAL I DailyMax Closed Use GAL I
+==========================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# I
100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... No 0
+==±====+==================================================+===+===============+
, +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecretlEHSIBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Low
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UFC Article 80 Control Zone: USDOT Hazards
Location within this Facility Unit
SOUTH WALL WATER TANK
IR Cabinet? Sprinklered Area?
+=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6:
Ag.Defined7:
Ag.Defined9:
Ag.DefinelO:
+- Ag.Definell ----------------------------------------------------------------+
+==============================================================================+
-9-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0004 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
KEROSENE I Days On Site I
365
+----------------+
I CAS# I
68476-30-2
+==~==========================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I L~quid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=====-===+==========+===============+===============+=========================+
+==~=== =================== AMOUNTS STORED AND IN USE =========================+
I Lrigst nt.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
. 55.00 30.00
+--~-------- -------------+-------------------------+-------------------------+
I :DailyMax S red GAL I DailyMax Open Use GAL I DailyMax Closed Use GAL I
+==~=============- ========+=========================+=========================+
+==d====+========== == HAZARDOUS COMPONENTS ==============+===+===============+
I_:~~:~~I~::~~:~:_______ __________________________________I~~:I____~::!~~:::~:I
+-------+--------------- ---------------------------------+---+---------------+
+=======+===+======+====== ==== HAZARD ASSESSMENTS ===+=========+========+=====+
ITs~cretlEHSIBioHazl Radioa ive/Amo~nt I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curles F IH / / / Low
+-------+---+------+---------- --------+-------------+---------+--------+-----+
U~C Article 80 Control USDOT Hazards
!Location within this Facility Unit
SOUTH WALL WATER TANK
In Cabinet? Sprinklered Area?
:~~;~~~:;~~:~~7~~:::~~~~~~~~~~~~~~:;=~~~~:7~~~~:~~~~~~:;~~:~~7~~~~~:::
~g.Defined \) .Defined6: Ag.Defined7:
Ag.Defined9: Ag.Define10:
--------------------------------- ------------------------+
I +- ~g.Define11
+===~==========================================================================+
-10-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0009 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
CEMENT I Days On Site I
365
+----------------+
I CAS# I
65977-15-1
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Solid I Pure I Ambient I Ambient I BAG I
+=========+==========+===============+===============+=========================+
+==~======================= AMOUNTS STORED AND IN USE =========================+
I Lrgst Cont.this Loc LBS I DailyMax this Loc LBS I DailyAvg this Loc LBS I
50000.00 30000.00
+--~-----------------------+-------------------------+-------------------------+
I DailyMax Stored LBS I DailyMax Open Use LBS I DailyMax Closed Use LBS I
+--------------------------+-------------------------+-------------------------+
I +=======+-==============-H-A-Z-AR-D-O-U-S--C-O-M-P-O-N-E-N-T--S-========-=====+-===+-===============+
------- -------------- -------------- --- ---------------
: I %Wt. I IEHS CAS# I
100.00 Cement No 65997151
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITsecretlEHSIBioHazl Radioactive/Amount EPA Hazards I NFPA I USDOT# I MCP
No No No No/ Curies IH / / / Min
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UEC Article 80 Control Zone: USDOT Hazards
.Location within this Facility Unit
WEST SIDE OF BLDG
In Cabinet? Sprinklered Area?
+=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
~g.Defined5:
~g.Defined8:
Ag.Defined6:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
+- Ag.Define11 ----------------------------------------------------------------+
+==============================================================================+
-11-
I
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
, += Ìnventory Item 0010 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
HYDRATED LIME I Days On Site I
365
+----------------+
I CAS# I
1305-62-0
+==~==========================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Sølid I Mixture I Ambient I Ambient I BAG I
+==~======+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
i I Lrgst Cont.this Loc LBS I DailyMax this Loc LBS I DailyAvg this Loc LBS I
50000.00 25000.00
+--~-----------------------+-------------------------+-------------------------+
i I DailyMax Stored LBS I DailyMax Open Use LBS I DailyMax Closed Use LBS I
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
~Wt. EHS CAS#
50.00 Calcium Hydroxide No 1305620
35.00 Magnesium Hydroxide No 1309428
15.00 Calcium Carbonate No 471341
+=======+==================================================+===+===============+
: +==~====+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITs~cretlEHSIBiOHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies IH / / / Min
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UEC Article 80 Control Zone: USDOT Hazards
,Location within this Facility Unit
CENTER OF BLDG
I~ Cabinet? Sprinklered Area?
+==~====================================+======================================+
-12-
e
e
+========================== MISC. LOCAL AGENCY DATA ===========================+
~g.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined8:
Ag.Defined6:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
+- ~g.Define1l ----------------------------------------------------------------+
+==~===========================================================================+
-13-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item OOll =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
DYIE I Days On Site I
365
+----------------+
CAS# I
1309-37-1
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I S~lid I Pure I Ambient I Ambient I BAG I
+=========+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
L~gst Cont.this Loc LBS I DailyMax this Loc LBS I DailyAvg this Loc LBS I
. 25000.00 13000.00
+--~-----------------------+-------------------------+-------------------------+
:DailyMax Stored LBS DailyMax Open Use LBS I DailyMax Closed Use LBS I
+==========================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. IEHS CAS# I
i 100.00 Iron Oxide, Magnetic No 1309371
+==~====+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITs~cretlEHSIBioHazl Radioactive/Amount I EPA Hazards I NFPA USDOT# M~P I
No No No No/ Curies IH DH / / / M1n
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UPC Article 80 Control Zone: USDOT Hazards
Location within this Facility Unit
E~ST SIDE OF BLDG IN SHED
In Cabinet? Sprinklered Area?
+=======================================+======================================+
+==~======================= MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6:
Ag.Defined7: .
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell ----------------------------------------------------------------+
I +==============================================================================+
-14-
e
e
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+= Inventory Item 0002 =============== Facility Unit: Fixed Containers on Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
MOTOR OIL I Days On Site I
365
Location within this Facility Unit +----------------+
SOUTH WALL WATER TANK I CAS# I
+=============================================================+================+
+= S:TATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Li'quid I Pure I Ambient I Ambient I DRUM/BARREL-METALLIC I
+=========+==========+===============+===============+=========================+
+========================== AMOUNTS STORED AND IN USE =========================+
I L~gst Cont.this Loc GAL I DailyMax this Loc GAL I DailyAvg this Loc GAL I
. 100.00 65.00
+--~-----------------------+-------------------------+-------------------------+
I ¡DailyMax Stored GAL I DailyMax Open Use GAL I DailyMax Closed Use GAL I
¡ +==~=======================+=========================+=========================+
+==~====+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I IEHS CAS# 'I
100.00 Motor Oil, Petroleum Based No 8020835
+==~====+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
ITS~,cretlEHSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F DH / / / Min
+--~----+---+------+--------------------+-------------+---------+--------+-----+
UFC Article 80 Control Zone: USDOT Hazards
-~~_:~~~~=~~------~~:~~~:=:=~-~:=~~---- --------------------------------------
+--T------------------------------------+--------------------------------------+
+========================== MISC. LOCAL AGENCY DATA ===========================+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined8:
Ag.Defined9:
Ag.Defined7:
Ag.Define10:
Ag.Defined5:
Ag.Defined6:
+- Ag.Define11 ----------------------------------------------------------------+
+==============================================================================+
-15-
e
e
+_~~~~~~~~_~~~~~~:_:::::::============================= SiteID: 215-000-000540 +
+-------------------- ---------------------------------------- Fast Format +
+= Notif /Evacuation/M~~i~~ï-====================================-overall Site +
+== ~gen~y Notificationl =====::::::::::::::::::::::::::::::::::::== 03/23/1990 +
CA!LL 911
+::==============~=====I=====~===:::::::::::::::::::::::::::::::::::============+
+--- Employee Notlf./Evacuatlon ----------------------------------- 03/23/1990 +
GENERALLY ONLY ONE ORI TWO PEOPLE IN SHOP AND SHOP IS SO SMALL EVERYBODY
I I
WOULD KNOW OF A PROBLEM.
+======================1========================================================+
+---- Publl'C Notl'f /Evalcuatl'on ------------------------------------ 03/23/1990 +
---- . I ------------------------------------
INFORM OFFICE PERSONNEL, WHO WILL IN TURN INFORM OTHER EMPLOYEES AND CALL
FIIRE DEPARTMENT I
+==============================================================================+
+===== Emergency Medical Plan ===================================== 03/23/1990 +
LQCAL HOSPITALS.
+==~===========================================================================+
-16-
~
e
e
+ CALCRETE COMPANY ====1=============================== S1teID: 215-000-000540 +
+======================F========================================== Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+-- Release Prevention L___________________________________________ 03/23/1990 +
-:ÐEP SPARE ACETYLENE ~::-::~:::-:::::::-:::::::-:::-::::::~------
. I
+::===============~====r=::::::::::::::::::::::::::::::::::::::::::::::::::::::+
+--- Release Conta1nment ------------------------------------------------------+
l~~:~~~~::~~~;~~~~~~~~~~~~~~~~~~~~~:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~l
I I
+::~::================I==~===~===::::::::::::::::::::::::::::::::::::::::::::::+
+--,-- Other Resource Act1vat10n ----------------------------------------------+
l~=~=============~====J=~=======================~=~=~======~=~===~===~=~======~l
-17-
~
e
e
"
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+===~============================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
I I
+===~==========================================================================+
+===, Utility Shut-Offs ============================================ 03/23/1990 +
I
A) GAS - NORTHEAST EDGE OF PROPERTY
B) ELECTRICAL - MIDDLE OF SOUTH PROPERTY LINE
C) WATER - BOTTOM OF TANK IN PUMP HOUSE
D) SPECIAL - NONE
E) LOCK BOX - NO
+==============================================================================+
+ F· P t /A ·1 W t 03/23/1990 +
==== lre ro ec. val. a er ===================================
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN REQUIRED LOCATIONS
FIiRE HYDRANT - CORNER WIBLE RD AND CATTLE DR.
+==~===========================================================================+
+===== Building Occupancy Level ===============================================+
I I
+==============================================================================+
-18-
I
,. -
-~
e
e
<
':r
+ CALCRETE COMPANY ==================================== SiteID: 215-000-000540 +
+================================================================= Fast Format +
+= ~raining ===================================================== Overall Site +
i +== Employee Training ============================================= 03/23/1990 +
WE HAVE 15 TO 20 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: INFORM EMPLOYEES OF LOCATIONS OF HAZARDOUS
MATERIAL LOCATIONS, AND SAFETY MEASURES TO BE TAKEN WHEN USING OR NEAR SAID
MATERIALS. REPORT ANY PROBLEMS WITH HAZARDOUS MATERIALS TO A SUPERVISOR.
, +===============~==============================================================+
+=== Page 2 ===================================================================+
I I
+==~===========================================================================+
+==== Held for Future Use =====================================================+
I I
+==~===========================================================================+
+==~== Held for Future Use ====================================================+
I I
+==============================================================================+
-19-
-". .r:! m -_ " ''!-
-
--
v'/
.~
07/01/93
CALCRETE COMPANY 215-000-000540
Overall Site with 1 Fac. Unit
Page 1
General Information
Location: 4701 WIBLE RD Map: 123 Hazard: Moderate
Cømmunity: BAKERSFIELD STATION 05 Grid: 13C FlU: 1 AOV: O.Q
~~ÆðlJ~ ' "~JJs' V ' '1. Title [[; Business Phone --^-AI '1''1'-.-- 'I""\:'L.." ____
J 89'1- ~4ð 'I .. /
~err't t2 (,II {;.'.'( / (805) 831-0831 x .3,,,... 'fJ'.r --
(805) 831-0831 x
-
-'--' Administrative Data
Mail Addrs: 4701 WIBLE RD D&B Number: 00-849-5863 /
City: BAKERSFIELD State: CA Zip: iiUn 'f,38/3 \ /
Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 3241
Owner: CALCRETE COMPANY Phone: (805) 831-0831
Address: 4701 WIBLE RD State: CA 9&5'~ /
City: BAKERSFIELD Zip: ~A..!I~
Summary
RECEIVED
JUl 2 1 ,1993.
U^7 I'.A^T nl\/
.
" .
I, WfJ...+t'fl..I,.,.BJ9Il~Do hereby certify that 1 have
(Type or print name)
reviewed the attached hazardous materials manage-
ment plan for '''/~t!-k e: and that it along with
( ame 01 Bus ne$8)
any corrections constitute a complete and correct man-
agement plan for my facility.
¿¡)À/-d.~ ~æ/~
. ~M~' I
I e
.1 -
07/01/93 CALCRETE COMPANY 215-000-000540 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln:-Ref Name/Hazards Form Max Qty MCP
02:-001 ACETYLENE Gas 160 High
~ Fire, Pressure, Immed Hlth FT3
02-008 ' PROPANE GAS Gas RJJft High
~ Fire, Pressure, Immed Hlth 1 1St) $tAL
02-005 CLEANING SOLVENT Liquid 55 Moderate
~ Fire, Immed Hlth GAL
02""003 HYDRAULIC PIL Liquid 55 Low
~ Fire, Delay Hlth GAL
02-007 JPC #2 DIESEL " Liquid 2000 Low
~ Fire, Immed Hlth, Delay Hlth GAL
02.,.004 KEROSENE Liquid 55 Low
~ Fire, Immed Hlth GAL
02-012 OXYGEN Gas 350 Low
~ Fire, Pressure, Immed Hlth FT3
02-006 WASTE OIL Liquid 200 Low
~ Fire, Delay Hlth GAL
02+009 CEMENT Solid 50000 Minimal
~ Immed Hlth LBS
02...i..Ol1 DYE Solid 25000 Minimal
~ Immed Hlth, Delay Hlth LBS
02-010 HYDRATED LIME Solid 50000 Minimal
~ Immed Hlth LBS
.~t.' .
02.,.002 MOTOR OIL Liquid 100 Minimal
~ Fire, Delay Hlth GAL
I' ì
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02~001 ACETYLENE
~ Fire, Pressure, Immed Hlth
Gas
160 High
FT3
CAS #: 74-86-2
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ~ Daily Average FT3 ----r- Annual Amount FT3 --
160 I 90.00 I 1,890.00
Storage r Press T Temp -:ì Location
PORT. PRESS. CYLINDER Above AmbientlMID SOUTH WALL
- Conc l
100.0% Acetylene
Components
~ MCP --rGuide
High I 17
02~008 PROPANE GAS
~ Fire, Pressure, Immed Hlth
Gas
//
urØ 36336 High
GAL
CAS :It: 74-98-6
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: FUEL
---- Daily M9x GAL ~ Daily Av7rage GAL ----r- Annual Amount GAL --
t\SD /J6 ,-age, I 1.5 Ita. ^^û DC" I :H~~~
,Storage r Press T Temp ~ Location
FIXED PRESS. CYLINDER Above CryogenlMIDDLE OF SOUTH PROPERTY LINE
- Conc l
100.0% Propane
Components
~ MCP --rGu1de
Extreme I 22
02~005 CLEANING SOLVENT
~ Fire, Immed Hlth
Liquid
55 Moderate
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: CLEANING
Daily Max GAL ~ Daily Average GAL ----r- Annual Amount GAL --
55 I 30.00 I 150.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~I Location
Ambient Ambient I SOUTH WALL WATER TANK
- Conc l
100.0% Cleaning Solvent
Components
r; MCP --rGuide
Moderate 27
T i'
" .
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02~003 HYDRAULIC OIL
~ Fire, Delay Hlth
Liquid
55 Low
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
55 25.00 I 600.00
,Storage r Press T Temp ~ . Location
DRUM/BARREL-METALLIC Ambient Ambient I SOUTH WALL WATER TANK
- Conc l
100.0% Brake Fluid, Hydraulic
Components
r=- MCP ---p;uide
I Low 'I 27
02~007 JPC #2 DIESEL
~ Fire, Immed Hlth, Delay Hlth
.Liquid
2000 Low
GAL
CAS #: 68476-34-6
Trade Secret: No
Form: Liquid 'Type: Pure
Days: 365 Use: FUEL
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
2,000 I 1,000.00 I 48,000.00
Storage
ABOVE GROUND TANK
r Press T Temp -:-1 Location
Ambient AmbientMIDDLE SOUTH PROPERTY LINE
- Conc l
100.0% Diesel Fuel No.2
Components
r; MCP ---p;uide
Moderate 27
02-:004 KEROSENE
~ Fire, Immed Hlth
Liquid
55 Low
GAL
CAS #: 68476-30-2
Trade Secret: No
Form,: Liquid
Type: Pure
Days: 365 Use: FUEL
Daily Max GAL ----r-- Daily Average GAL --r--, Annual Amount GAL --
55 I 30.001 100.00
Storage r Press T Temp ~ Location
DRUM/BARREL-METALLIC Ambient AmbientSOUTH WALL WATER TANK
- Conc -,
100.0% Kerosene
Components
r; MCP ---p;uide
Moderate 27
"~ '.
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
02 - Fixed Containers on Site
Page
5
Haz~at Inventory Detail in MCP Order
02,..012 OXYGEN
~ Fire, Pressure, Immed Hlth
Gas
350 Low
FT3
CAS #: 7782-44-7
Trade Secret: No
Form: Gas
Type: Pure
Days: 365 Use: WELDING SOLDERING
Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 --
350 I 200.00 I 4,215.00
Storage r Press T Temp -:I Location
PORT. PRESS. CYLINDER Above AmbientlMID SOUTH WALL
- Conc l
100.0% ' Oxygen, Compressed
Components
~ MCP ---p;uide
Low I 14
02+006 WASTE OIL
~ Fire, Delay H1th
Liquid
200 Low
GAL
CAS #: 221
Trade Secret: NO
Form: Liquid
Type: Waste,
Days: 365 Use: WASTE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
200.1 30.00 1 200.00
Storage r Press T Temp -:I Location
DRUM/BARREL-METALLIC Ambient Ambient 1 SOUTH WALL WATER TANK
- Conc l Components
100.0% Waste Oil, Petroleum Based
~ MCP ---p;uide
I Low I 27
02---009 CEMENT
~ Immed Hlth
Solid
50000 Minimal
LBS
CAS #: 65977-15-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: OTHER
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
50,000 1 30,000.00 1 1,200,000.00
Storage
r Press T Temp ~I Location
Ambient AmbientlWEST SIDE OF BLDG
BAG
- Conc l
100.0% Cement
Components
ri:o:CP IUi~e
,
..' .: .
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
02 - Fixed Containers on Site
Page
6
Hazmat Inventory Detail in MCP Order
02""'011 DYE
~ ImmedHlth, Delay Hlth
Solid
25000 Minimal
LBS
CAS #: 1309-37-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
25,000 I 13,000.00 I 156,000.00
Storage I Press 1 Temp Location
BAG Ambient' Ambient EAST SIDE OF BLDG
BAG Ambient Ambient IN SHED
- Conc _I
100.0% Iron Oxide, Magnetic
Components
r; MCP --rGuide
Minimal I, 7
02~010 HYDRATED LIME
~ Immed Hlth
Solid
50000 Minimal
LBS
CAS #: 1305-62-0
Trade Secret: No
Form: Solid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
50,000 . I 25,000.00 I 200,000.00
Storage
r Press T Temp ~ Location
Ambient AmbientCENTER OF BLDG
BAG
Components
~ MCP ;TUide
, Low 7
Minimal 7
Minimal 7
Conc
50.0%
35.0%
15.0%
Calcium Hydroxide
Magnesium Hydroxide
Calcium Carbonate·
02~002 MOTOR OIL
~ Fire, Delay Hlth
Liquid
100 Minimal
GAL
'CAS,#:
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: LUBRICANT
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
100 I 65.00 I 660.00
Storage
DRUM/BARREL-METALLIC
r Press T Temp ~ Location
Ambient AmbientSOUTH WALL WATER TANK
- Conc ~ Components
100.0% Motor Oil, Petroleum Based
r; MCP --rGuide
Minimal I 27
.' d
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
00 - Overall Site
Page
7
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911
<2> 'Employee Notif./Evacuation
G~NERALLY ONLY ONE OR TWO PEOPLE IN SHOP AND SHOP IS SO SMALL EVERYBODY
WOULD KNOW OF A PROBLEM.
<3> Public Notif./Evacuation
INFORM OFFICE PERSONNEL, WHO WILL IN TURN INFORM OTHER EMPLOYEES AND CALL
FIRE DEPARTMENT
<4> Emergency Medical Plan
LOCAL HOSPITALS.
" ,'] 1,'" 'I\.
e
e
07/01/93
, CALCRETE COMPANY 215-000-000540
00 - Overall Site
Page
8
<E> Mitigation/prevent/Abatemt
<1> Release Prevention
KEEP SPARE ACETYLENE AND OXYGEN BOTTLES CHAINED AND CAPPED.
<2> Release Containment
<3>·Clean Up
<4> Other Resource Activation
·1' ...-:! ~ ~
e
e
07/01/93
CALCRETE COMPANY 215-000-000540
00 - Overall Site
Page
9
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHEAST EDGE OF PROPERTY
B) ELECTRICAL - MIDDLE OF SOUTH PROPERTY LINE
C) WATER - BOTTOM OF TANK IN PUMP HOUSE
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN REQUIRED LOCATIONS
FIRE HYDRANT - CORNER WIBLE RD AND CATTLE DR.
<4> Building Occupancy Level
·, .1....,..,:... i.., k
e
.
-
07/01/93
CALCRETE COMPANY 215-000-000540
00 - Overall Site
Page 10
<G>,Training
<1> Page 1
WE HAVE 15 TO 20 EMPLOYEES AT THIS FACILITY
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING: INFORM EMPLOYEES OF LOCATIONS OF HAZARDOUS
MATERIAL LOCATIONS, AND SAFETY MEASURES TO BE TAKEN WHEN USING OR NEAR SAID
MATERIALS. REPORT ANY PROBLEMS WITH HAZARDOUS MATERIALS TO A SUPERVISOR.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use
'" ,. - ,I
'~'("1-l~'
~ ,... ;
. ......
~
.
/,-"-'-'"
,,< /ßAKE:Ìi>"',
,/O~ ""', '-5'..<),
.:'~ '.', <!''.\
.: {...", ('"
. ,i] ",,l Þ-... d' )
¡. =----:.~¿.,.~.'
'::".. .....",.~}·""I
.. \ ,41Þ.:. ~" ,
<\,C',~,,- _...., /
',1(,/~' ,,---..."''/' /
, ""!.t..OB-~,'/
..~
. 5 '-to .",~~~.!~~
CITY Of,~:~~:.SFIELD <z;3t -OZ3~1-\f~
~... ,,; '::::.7
"Ä........-::·::7\,;.·· ."I~
';~JhííÍ~
)
(
''1~J L- \ ~À VV\~ tp, 6 S
ItYDe or print name)
~,~
~
Do hereby certify that I have
revieh'ed the ReCeIVED
JAN 1
, .'1 1989
bus iness plan Ans'd..
........
'.
attached Hazardous Materials
for
( ~J.LJ' ~--\ t
(name of business)
Ú>~~\')\J
I
and that it along with the attached additions
or corrections constitute a complete and correct
Business Plan for my facility.
~,\~\~~
slgnat.ure
I :_j~ 0~
date
17°
02"",
" '~t ,""v 'IJ ~
i"'r
"~
",:,,(
~ p':\.. v;.. .
('\ ,: ffJ¡;;)' :/
'I. ,j
·.~),7 '--
~ /;"1'"
'" ~I/)'"
~?A-
.. f'!" ~!1
(~,"t'1,'_ ~;!r J """'.
:" ',1,;;-,,"
IJ..-..)V
"\0.;;:.7
~,,""~'>.
; :>/
\)
( ~~
~
J
/
~
1
,/
(\/"
,){I,f!i',
~':};)/.Þ
8fYFŸ'
o )~/~1
~I
6 .
¡
I,::
..... BUSINESS NAME CALCR' COMPANY
LOCATION 4701 WIBLE RO
10 NjlpER 215-ØØØ-ØØØS40
HIGH HAZARD RATING 3
1. OVERVIEW
LAST CHANGE 10/10/88 BY ESTER
JURIS CODE 215-005 JURIS BAKERSFIEl.D STATION 05
MAP PAGE 123 GRID 13C FACIl.ITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY
ZA SEC 4) NO PRIVATE RESPONSE TEAM.
EMERGENCY CONTACTS ZA SEC Z)
NOEL CHAMBl.ESS - 831-0831 OR 832-3508
GARY CHAMBLESS - 831-0831 OR 397-6462
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - NE EDGE OF PROPERTY B) ELECTRI CAL -, MI DOLE OF S PROPERTY LI NE
C) WATER - BOTTOM OF TANK IN PUMP HOUSE 0) SPECIAL - NONE E) LOCK BOX - NO
Z. NOTIFICATION / PUBLIC EVACUATION
,
t 'V\.rO~W\..
LAST CHANGE / / BY
ô4;LL f-tr--50)\,~", W~O \.u; p í' '" iu.Y'1L
O+Ì\~r ~""p¡Oy~~IS "-l1c~ c~11 r:r~ ,()Y;~~iÎ
< NO INFORMATION RECORDED FOR THIS SECTION > i
;r \1\ ~--r-Vv-...
PAGE 1
0Z/ 01 /89 1 6: 4 '3
MATERIAL SAFETY DATA 5YSTHI5. INC. (805) 648-,6800
íi....., .
.., ~USINE'SS NAME CALCRI COMPANY
LOCATION 4701 WIBLE RO
I D N.ER Z 15'-000-000540
HIGH HAZARD RATING 3
3. HAZ MAT TRAINING SUMMARY
LAST CHANGE / / BY
::r<\.+bY',,^ ~"AApky~€S /)f ~O(ð..1'-o"$ 0 f=- ~~:L~Y'cPOUS tM.c(~-rI~t
lo L ....-\í 0'1\. s I ~ "'~ ~"'~ìt1 w. &A.Sl.l.n 5 it> 6 L.f(t~iIL tAl h Q ~ G\ sÎ1
ð"r' t\~et.y-- -/0 -só..i& w\(t~Y'j<t) s.
< NO INFORMATION RECORDED FOR THIS SECTION>
R~ro1'"t- ð..Y\ypV'ohl~ W\ s W;7~ k~;zqrcÞ04 S M<t~r¡(¡)5io
ð. ~ ~Y~YV í~Oï,
4. l.OCAL EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 10/10/88 BY ESTER
ZA SEC 5) LOCAL HOSPITALS.
PAGE Z
0Z/01/89 16: 43
MATERIAL SAFETY DATA SYSTEMS, INC. (80S> 648-6800
.'.
~USINE~S NAME CALCR~ COMPANY
LOCATION 4701 WIBLE RD
FACILITY UNIT 01
10 NjltER Z15-000-000540
HIGH HAZARD RATING 3
A. OVERALL HAZARDOUS MATERIALS INVENTORY
LAST CHANGE 10/10/88 BY ESTER
10
TYPE NAME
LOCATION
CONTAINMENT
MAX AMT UNIT HAZARD
USE
PURE O)(YGEN
STORAGE MID 5 WfiLL PORTABL.E PRESS. CYL.
ID PERCENT COMPONENTS
2359.00 100.0 OXYGEN, COMPRESSED
780 FT3 HIGH
WELDING/SOLDERING
HAZARD LI ST
HIGH
2
PURE ACETYLENE
BaTRAGE MID B WALL PORTABLE PRESS. CYL.
10 PERCENT COMPONENTS
1241.00 100.Ø ACETYLENE
420 FT3 EXTREME
WELDI NGt SOl.OERI NG
HAZARD LIST
EXTREME
3 PURE MOTOR OIL 120 GAL UNKNOWN
W WALL OF WATER TANK DRUMS OR BARRELS MET.. LUBRICANT
10 PERCENT COMPONENTS HAZARD LIST
2808.00 100.0 MOTOR OIL UNKNOWN
4 PURE HYDRAULIC OIL 55 GAL UNKNOWN
W WALL OF WATER TANK DRUMS OR BARRELS MET.. LUBRICANT
ID PERCENT COMPONENTS HAZARD LIST
1224.00 100.0 BRAKE FLUID, HYDRAULIC UNKNOWN
l"'
.::1
PURE KEROSENE 55 GAL MODERATE
W WALL OF WATER TANK DRUMS OR BARRELS MET.. FUEL
10 PERCENT COMPONENTS HAZARD LIST
1178.01 100.0 KEROSENE MODERATE
6 PURE CLEANING SOLVENT 55 GAL EXTREME
W WALL OF WATER TANK DRUMS OR BARRELS MET.. CLEANING
10 PERCENT COMPONENTS HAZARD LIST
IZ03.03 100.0 CLEANING SOLVENT EXTREME
7 WASTE WASTE OIL 165 GAL UNKNOWN
W WALL OF WATER TANK DRUMS OR BARRELS MET.. LUBRICANT
10 PERCENT COMPONENTS HAZARD LIST
1598.00 100.0 WASTE OIL UNKNOWN
8 PURE .IPC #2 DIESEL 1000 GAL MODERATE
MID OS 5 PROPERTY LINE ABOVE GROUND TANKS FUEL
10 PERCENT COMPONENTS HAZARD LI ST
1179.01 100.0 DIESEL FUEL NO.2 MODERATE
9 PURE PROPANE GAS 1000 GAL EXTREME
N OF DIESEL TRNI< ABOVE GROUND TANKS FUEL
10 PERCENT COMPONENTS HAZtiRD LIST
PAGE 3
02101/89 16: 43
MfHERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
t'-;
a¡, BUSINESS NAME CAl.CRI COMPANY
LOCATION 4701 WIBLE RD
FACILITY UNIT 01
IO NI'ER Z 15--000-000540
HIGH HAZARD RATING 3
A. OVERALL HAZARDOUS MATERIAl.S INVENTORY
( . CONTINUED.) LAST CHANGE 10/10/88 BY ESTER
10
TYPE NAME
LOCATION
CONTAINMENT
MAX AMT UNIT HAZARD
USE
9
PURE PROPANE GAS
( * CONTI NUED~
1000 GAL E){TREME
10 PERCENT COMPONENTS
1155.0Z 100.0 PROPANE
HAZARD LI ST
E)<TREME
B. FIRE PROTECTION / WATER SUPPLIES
l.AST CHANGE 10/10/88 BY ESTER
3A SEC 4) NO PRIVATE FIRE PROTECTION.
FírL ~¡(.-t~I'\. ;" ~ff'í""êJkÞfÎ&n5
3A SEC 5) FIRE HYDRANT CORNER WIBLE RD AND CATTLE DR.
PAGE 4
0Z/01/89 16: 43
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648--6800
~..
.
e
BUSINESS NAME CALCRETE COMPANY
LOCATION 4701 WIBLE RD
10 N~ER ZI5-000-000540
HIGH HAZARD RATING 3
D. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 10/10/88 BY ESTER
3A SEe Z) GENERALLY ONLY ONE OR TWO PEOPLE IN SHOP AND SHOP IS SO SMALL
EVERYBODY WOULD KNOW OF A PROBLEM.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 10/10/88 BY ESTER
3A SEC 1) KEEP SPARE ACETYLENE AND OXYGEN BOTTLES CHAINED AND CAPPED.
PAGE 5
0Z101 /8916: 43
r-1ATERIAL SAFETY DATA SYSTEMS. INe. (805) 648--6800
CITY of BAKERSFIELD
St.nd.rd But'""' ~ HAZARDOUS MATER-:X ALS :x NVENTORY
NON-TRADE SECRETS
HUSltfESS N~AME:~',~--t- L~. OWNER NAHE:_fb rl-1"¡~r5h j IJ ' NAHE OF T.rb ~ç,~L.!.T..I:
I.OCATION: _~ ~_ ~e.. ~ ADDRESS: , STANDARD IND, CLASS CODE
~;~~~É ;~P:_ ',~ ..!f=;;-r; ,~TI'3;~~:É ~~P: DUN AND BRA~S¿R:E8iuia:R.£8 62
. IUll'Ø J'O ZIISr7fUcrZOIlS roll PIIOPIDf CODIØ
,.... tnd iqrlcuhvr'
'--'
Paq. I of l S 7õfl(i;P
...- ....
~
I
Ir_
,(~
I I
teIIt taftt
II
.... of Rhtlll'l/Wlean;fttl
* I"'truct I GIll
~ -, ,.-, ,.-, r-, r~~
- .. rt,.. KlI..-d ~ - J htct '"tty ~ - J o.l.yed I. - J Sudden ..,_ I.,J!.. l...st.tt
11M It II of '....IVN ....Itlt
\.L
" :::: ; JI,.. KlJII'd ~:; RNctlv'ty ~)é o.l..-d :: ~ Sudden II. I.... ~ l...st.t.
"" I th of ,.....,,1'1 ....It"
~t" .... t.U.......
l3ð1 - '3 ~ - /
eo.an.nt It .... t.U. ......
.'
Cc.IIanInt n .... U.S. ......
1
ol~_o__oo1.o_L-L-J--L-l--'
-
;'''''I~I Iftd ....ltlt llar~
! (heck .11 tlllt ..,1,)
c...s. ~o_______
Cc.IIanInt II .... U.S. .....
-, ,.-, r-, "-1. ,..-...
, -.~ fl,.. M.,.rd ~_J INettvt" ~_... o.lt.-d ~--' SUdd.... 11.1.... 1.--' l...s,.t.
"Hlth 01 PI'".ur. ""lth
c.....t 12 .... C...S. ....,.
----------------------------------- -----.
eo.an.nt II .... C...S. .....,.
'I "GJIICT CalUCTS
:~.~..'c-.--lÞJ;;~-:ø.(.
.'I.hunon (R"ad and s;Knaftcr co.plp.fJng all sf!ctlonsJ
'.rt\l~ und.r l*II\ty of ,.. that I hall" Dfl'son.\ly ....lntd .nd .. f..iH.,. .HII tN 'nfor..tlon ,ub8lteed In thl.
ob~..",,,, tilt Int_t~ilVe tI'tt t~ subooiHed into~ion~" tMlt. .eeurae.. and e~)I.~---- ~ - ,
"·a--J,}.Jr'>.fI t,..·----r.:-~,~~O~\QR- \'P .s-~-.--·-t - ~o - 11.'0.' Si---'.=:~~
... ... 0 It.. t"'\ trt. 0 OIIIIer,ooer,(or O""':~O:K'rðror s au r ICII r,o 1I.,h. IV' 9n. ur.
.. and that ba,td on ., inquiry of thos. 'ncllvlclu.1s ....pon.lb\.
O¡(¡·si9ñ¡al-:::~--~~--o.o---.-...
ô-
"
CIT}' of BAKERSFIELD
f... end ~r;CII1tur,
'-'
St.nd.rd Bu~ inn~
~
HAZARDOUS MATERXALS XNVENTORY
NON-TRADE SECRETS
OWNER NAME:-ÍlJ ~ð V~~/~ ¡}) NAME OF TII'tS f!of,~L1.TY:
ADDRESS: I STANDARD IND. CLASS COD
CITY, ZIP: ' DUN AND 8RADSTR~EJ'.. 'Vt:tP~~ t:) 6 3
PHONE .: ~ t2. t!:J ':t r _ {2 - -
RØ7lIl ro XlIS'Z'IfucrIOIIS "'It PltOPD CODIlS
Pall, l of L
·Y --- --~ sJ~J
B,.USI"ESS ~, _0,
LOCATIO", ~
CITY, ZIP: f.'J?-.13
PHONE .: _
r
1 1
1.- Tvoe
(00, Cod,
]
....
Alat
12
I.ocIt1an .....
Stored In fie II tty
1]
,by
lit
"
__ of .'I1tUNlc-t.
SIt lnet rvcti 11M
..~ ..-, ..~
",,'::I DeI.yH L. _.J SuddIn ..1.... L.~ I...tltt
11M It II of PralU/'t ....Itlt
~t 11 ..., c.a.S. ......
!'3'ð9 - )1)- /
c:c.aø-t If ..., c.a .5. ......
ðx;J~
,
c.a..anent IJ ..., u.s. ......
e.r: _
· ðP1.C 'Y'~
1Vq* Î
"J"., ,.-., ,.~
v:-....J Del.yed L. _.J SuddIn ..1.... L."".J I...tltt
~ It II of Prall/l't ....Ith
c.a..anent n ..., C.A.S. .......
ec..anent IJ ..., C... S. .......
i r -.,
: L - J Ftrt HUII'd
!
,..-, r-' ,.-,
L. _.J DeI.yH L. _.J Sudden .,IItS, L. _..I l"'llt'
H..lth of PrtSlUI't IIMlth
c.a..anent 12 ..., U.S. ......
c...s. ....._
c.øanent It .... c.a.S. .......
~t I] .... U.S. .......
~-e--L-_____-L_____.L___..____L. I. L_-1-----1-1_.:...1
! Phytic.1 IIIcI IIMlth ",urel C...S. ...... to.pantnt It .... C.'.S. .......
I ((heck. 11 that ...1y) .-------.----
I
¡ ,.. - .. ,.. -, r - ., r - , ,.. -, Coaøanent 12 _. C.A.S. .....
¡ L, -:- J Fir, Hu.1'd L._.I IIHctlyjty L._.I DeI.yH L._.I Sudden .,IItS, L._..I 1-.lI.t'
! HHlth of Prnlurl H..ltll
;
I
r·f~GfNCY COIUCTS 1I..JJ.otI----L.
I
---
--- ---.
------------------- -----
:1l@.:L_..!J2> -;;:tÎ~o/.6.-~.
C.ntficatlOll (Read and sip' after co.pJp.Cing all sf!ctonsJ
; c.nHv und,r l/t1111ty of 1.. that. 1 have Dtr~OII.l1y I,"..ined and ., ,..flilr .lth t" 1nfor..t·1011 su.ttttd In m" 111 'ttlClttd doc_u. and that INtsed OIl ., inquiry of thosl Indtvldut1s rtSICII'IIIb1t
ío' rab\lininq t" inf_tIOll. I belilve that the luboo;tted ;nforeet;OII il tl'Ul. .ccur.t', and C~". _~ ~ ~\:)I\. .
_.. ^'l\\~ L.' \"'-!.'U' L \..a122----0R---~· tru=.._=~-...----.r.I... Si===r.)~,-- .. --.. - ~---..------------ """St.' ~<}. --=.95------.---......
".J~'om,CI~,...n'l, õ~;!foøe.ator own~¡:£õY\s au,""rlllOU r'øres",.."y, qn. urt ' , IN" qita·t
~
CIT}' of BAKERSFIELD
Standard 811"""' ~ HAZARDOUS MATER-X ALS X NVENTORY
NON-TRADE SECRETS
::~~~;~~:: NAME :~~~ CijL- ~. ~::::.;~M" -ft rTl\ !r~ h í f' :~=:D~:D T~:. ~fI;;T~~D'
c' TY. ZIP' --.If, __ .....JF. 3.4- ~. t;;3 CITY. ZIP' DUN AND .NAD~~.'£T I!U".....- '" 3
PHONE .: :::::!t.- .. " - ð ~ PHONE ,: ~ -,:. - 8 ~ z - ..¡, 8 t:? _
IIØ'D ro IIlS'nlacrlollS Nit nOPD CODa
f ,.. and t.qricvlturt
'--'
1
\ r ant tYllt
, (oðf (od'
J
....
"t
.;
Aver.
Mt
5
Annua I
hI
i
"'nil'"
UnIts
,
IOyt
an Site
I 11 "
Cortt Cortt "'e
PrII. '" Code
II
locat1an ......
St..... In Fee: tilt,
13
''''
lit
u
.... of la.tllAlc-u
SIt ¡nttNet 0ftI
--
I
"''(1It1 I _ "H Ith Hallrd
l(heCa .11 tlltt .PIII,)
,:.11'1 HlUrd ~:: RHè~I.lt'
C.a.S. .....
Cø.panent 1\ ..... c.A. 5. .......
(2~¥tf- -e..~
.
--
r-, r~ r-,
1.-..1 Delayed I.~SudcIen ..I.... 1.-" 1..llte
lletlth 01 PI'ItIUI'I ....Ith
eo.r-t 12 .... U.S. .....
~t I' ..., O.S. .....
-~
CoIpaMftt II .... (.1.5. .....
fJ() he '9--f;1! !." 11 ~
<L______
: ~I'I Haurd ~:: hecttvlt, ~:J Del.yed ~~Suddtn ..,.... ~:J '..I,tl
"..Ith 01 PI'ISIVt'I ....Ith
eo.oan.nt n ...., C.A.S. .....
eo.an.nt II ...., C.I.5. .......
..--- ----
''''fIICII _ ....It" III",..,
\(ttec:1I ,II tlllt 'PIlI,)
C.A.$. ....
CcIIIoantnt II ..... C. A. 5. .......
· -, ,.-, r-, r-' ,.-~
· - ~ '11'I1I&1.rd "_01 RHCUvtly 1._01 l\el,y9d "-01 Sucld", 11.1.." 1.-..1 1-..II,te
",.Ith of PI'III"I'I ....Itlt
eo.øaMnt 12 ...., C. a.5. .......
toIponent II .... U. S. .......
*_l__-L-+-__L________L__1. L_~_____L_l__..J
..''"1' .1'" lIMit" "'"rd C.A.S. ....... eo.øaMnt II ...., C.a.5. .......
,(¡-.ell all tlltt ,..,,) --------
- -.--
· -, ,.-, ,.-., ,.-, ,.-,
-- ~ FI,.. ",urd 10_..1 htcth,lty ..-.. Otl.vtd 1.-..1 ~dd", R.I.." 10_" l.edl.te
Hulth of Pr"l"r. H..ltlt
COIIIOIIII/t 12 .... t.A. 5. ....
.--...--------------------..------- ------
ea.oan.nt II ..., C. A. S. .....
· f ¡¡G£IICY comeTS lI.ijD-tL-k ~~.bJe..2_i__. T£~y:;:1:!\f..x:---.-ßð2t_:~Wla..-MoB 12 q¡¡<é5â.qL é
_L___~~~
.' I If iutlOll {Riled end .il!n eftC'r c08plrUng all .øctJons
'.rÎtly urtd,r ~lty of ,.. tlltt ¡ IItv. Dtrlllll.\1v ....;nlll end Ie ,..ili,,. with t" infOl'lllt\'an IU.,mad In thl. _ ~~... _to. ... I'"~ ....... Of ....t.. of .... .",...... .....;..",.
,r obl..nl", tht\lnt_~ I blHev. tlltf the IUb8tt~OI'Ntil ¡I t/'\lt, Kcur,t., ... C_I.t.~ C\ ~_
. ...;·~Nf(t~' mÇJ-ooñ~~~$~i;¡Õ~mõr·¡-.J;;j;~¡"¡;iñtin;¡ S~9ñãtii;:¡ ~. -- ___m__, Oãtn'9ñ~-'::-~1::-e~-----
:
'.
CITY of BAKERS1-=1ELD
~ HAZARDOUS MATERXALS XNVENTORY
Stllld.rd 8u' '""' '-À
NON-TRADE SECRETS
f\IJSINESS NAME: ~~~,Lfli-f- L~ ~ OWNER NAME:-Vb r-t-I"I!r$h; D
LOCATION: 3~-- ' ~e... ~-- - ADDRESS: .,
ç ITV. ZIP: I / ¡ç . '3313 CITY, ZIP:
PHONE': ___... ~-3 -ðB-_ PHONI.:
ItDIfJf ro IllSrRUcrlOItS rDlt nOPD CODIlS
J... and Acricv Iturf
'--'
"9' . L of _p.-::
NAME or Tn1s ~AgJL~t!:
STANDARD IND. CLASS CODE
DUN AND BRA~~R:Eà U2B:R..f8 6 ¿
~
(iJ. et:>U,1
,I I
: Ir_ J""
I ("" Cod.
J
...
AIIt
.
aver.
Mt
n
. lOClth," ......
Stored In Ftc lit t,
JJ
'bot
lit
II
.... of ."t..../c-t.
Set Iftltl'\lCt IIrII
.-
-2
r~.tlI IIId IIMlth lIturel
I Check .11 thlt .pp I"
CoIpanIftt" .... c.a. S. ........
..r___
;;Z~ r-., r-., r-., r'/;.'"
:'f-<. fl,.. lIt"reI ~_J IIMcttvtt, ~_J o.I.ywd ~_J Suddan ..1...... oJ I~t.tt
'1IMlth of Pra..... ....It"
c..c..t 12 .... t.U. ......
c:o.an.t II .... t.U. .....
¡ ........ 1 eel IIId ....It" lIturel
¡(heck .11 tlllt .ppl,)
.,£, ,.-, r-, ,.-., r-v',
: F- F I,.. lIIurel ~ - J RNet I"h, ~ - J o.l.¥9d ~ - J Suddfft II. I.." ~.l\l, l-.dtlt.
1t..1 th of P,...IU,.. ....ltll
Cœoontnt 12 ..., U.S. .....
.'
CoIpanIftt IJ .... c.a. S. ........
,"'I'1.ul IIId IIMItIl IItrlrel
(r..ck .1 I tlllt .,,1,)
l~Q._L_t._£C2__J2ðt.t~Lk.J_--L1-JfL/j
c.a.s. ....... __~~ e.-----
--
CœItontnt" ..., c.a.S. .......
-- ----
J, ,.-, r-, ,.-., ,.-{...
f"<.!1,.. Mu.rd ~_J IIHCtlvit, ~_J o.I.~ ~_J Sudden 11.1..,. ~"-;)-.I-.dt.t.
Hea Ith of Prnlur. lilt It II
C......t 12 ..., c.a.S. .....
--------.-------- ----
Cœoontnt IJ ..., c'.a.S. .....r
-i't1(NcY COIUCJS II
Ii 0
Ti :t~r---$)S;~~J¡:35Q8 .2~-tu:y-L~~kl~2-
~L.__..8*~l{:Bf
"!Lliutllrl (Ilflad and .il(nattcr co.pJ~ting all sf!'ctionsJ
-.rt~!v und.r "",lty of 1.. thlt I ha". trson.l1y e".IIIad ,"d .. f..tlt,r .ttll thl tnfor..tllrl lu.tttld In tilt.
01>1..11."9 thl inf_tilrl. I ÞlH.Vt! tlltt U'If subeitttd ¡IIto,..,tllrl il true. accur.t.. and coa.~It..
... _a 1\1, C2~'\(1-1' ~C!7ii )AAbo' .e..~ c,,"'_Ot--.--__ ~[ - d)/\ ~ "-fl-- 5t---'-- - ---
- '; ~,' Ie I;t'¡ì '~ø-I.r oot;:¡i'6r )~ ownrrìo~ra or 5 aU[~I" rfD'rišiñti .. 9n. ur.
11 tuecllld doc_t., IIICf that btlld IrI ., inquiry of thot. tndhtdue11 ""IQR.tblt
.-------.-.
Ðiti~~~-~-~~----·-----·----
CITY oj-jjAKERSF~ELD:,j~',
t,
It,. end &qricuhur'
--
"--'
MATZRXALS XNVENTORY'
SECRETS ,~~~~
Y'
Stll'd.trd BUI'''''' ~ HAZARDOUS
NON-TRADE
BUSINESS N~AME: Ct:~-t- ~~ ~ OWNER HAHE:-tffl r-f-1"¡~rSh; lJ
LOCATION: _ ~ J? ~_ __ ADDRESS: ,
C (TV. ZIP. --- _' _ llC., . TI/3 CITY. ZIP,
PHONE ø: '... :~ -ð~_ PHON! .:
RUIfR ro IlISTRUcr:rOIlS ro. nOPD CODa
J
...
Mt
f:
A""1ge
Me
11
locettGII ......
StClf'td In ftClllty
u
'by
lit
,.
__ of IIlKture/'--"u
Set 'MtNCt iO/ll
I Z
I ¡r-'ll 'YIlt
. (ode Cod,
;
I
, ;'hyliClI tnd IIMlth 1II..1'd
,rtwck .U thet '/Ily)
"i r-" r~ r-" r~
' " fire HUII'd ~ - ~ hattlytty ~.r~ Dellyed ~ - ~ Sud6In 111_ ~ I...tlt.
....Itlt of Pl'tllUre ....Itll
--
¡'''yIiCI' IIId ....ltll Hu.1'd
¡Check .11 thet '/ I,)
U.S. bber
eo.aøn.nt 12 .... U.S. ....
~tlJ ... . U.S. .....
--
~tll ... . C.U. .....
c..-t12 ... . C.&.S. .....
eo.ontnt IJ ... . C.U. .......
to.ponent . ... , C .U. .......
to.oantnt 12 ... . C.U. .....
_tr
r -" ,.-, ,.-, r-, r-,
· - J fire ",,,I'd ~-~ htc:tivtty ~-~ Del.yed I..-~ Suddan hI... ~-.I I...t.t.
IiMltll of PI'tlIIII'e ....ltll
_..--...- --..
, "yI lell IIId ....ltlt lIIul'd
I Check III tlllt lPOI,)
u.s. ......
· -, r-' r-, ,..-., ,.-,
· - J fI... ",urd I.._~ RHCtlvtty ~-~ Del.yed I.._~ Sudd... 1I,11ft. ~-~ l-.dl.t.
11,.1 ch of P....lure ....Itll
~t IJ ..., C.&.S. .......
,e-_L-_L ..
, >,y11C1' IIId 11M It II Ilar.1'd
ì (heck .11 clllt .,.1,)
-1________1___-'-_l---1-----1-1_--I
U,S. ....._________. ec.-nt 1\ ..., C.&.S. ......
-----
-., ,.-., r-, ,.--, ,.-.,
_,J fl... HUlrd ~_.I hec:tlvtcy I..-~ Dt1t~ ~-~ Sudd... 1I,11ft. ~-~ ,...I,t.
He. I tit of Prnlur. HII It II
CCIIIIOI/tIIt'2 .... c.a.S. ....
------------------ ---..
c..-t II .... C.&.S. IMber
.¡ II(jEII(Y COIUCIS IIli..f:.{..Q-e..t-
",'hutton (Read and sign after cOllpJp-tJng aU s~ctJons
·.;tlly urtd.r !*\lit, of 1.. thet ,I he... perlOll.lly ....1ned and .. f..nilr with chi infor-.tt1G11lubaitttd in thi. tnd~ttlClwd doc_c.. tnd chat IIIled on ., inquiry of those tndtvidut1s rttOQll,tbl.
. obt!""~thl I~ONItlon. I wll...e chet t~ luboolUed inlorwtion is true. lecur.t.. and co.OI't."'-"". C'\
.Ñl'\.~ I .(" '( i\l'\'" \,,\ ~ -2f~-DR------7-~~" iY:'2---·----·t-(1-- S1---(----~~-- -- --- ------------ '''t-·St--L=-9 =_~a______.m_
,- ~"õòm I~ liõt~~. or ownpr o~~~·š1i~~r'r.... r'pI'n", I v, 9n. ur, IN, 9n .-\;
.:.'
CITY of BAKERS1':'JELD
Stand.rd BUlln"s:SC HAZARDOUS MATERX ALS X NVENTORY
NON - T HAD ESE eRE T S hq' .L of .1
::~~~~~~:: "3AME: L~~~: _', t L~~ Ç.o. . ~::::.;~O' - ~ rl-I\ ~rS h, ; f :~::D~:D T~~. ~{i~;T~~D£ ~
'" TV. ZIP, . -- -. _, --=- T k~ ~:rnI3 CITY. ZIP, DU. A.D 8.ADST.00T !!U!!P0. r ¿ 3
PHONE': _ _- 3 - C>...ß--_ PHONE ,: ~ ~ - a~ z - ../- a t:' _
IUlI'Il1l 2'0 znrRucrzollS ro" nOPD CODa
F... tAd Aqr lev \tVI"
'--'
! I J .: 5 , 1 I I II \I 13
Ilr_ 'YIlt .... b.... Annua , "'asvl"t IDyt CelIe Caftt Un I.cICIttan ..... '"
1(" Cod. AIIt AIIt he Uniu an SIt. CocII Stared III fKlltt, lit
... . C.I.S. .......
... . U.S. .......
I.
..... of .fKt""'~t.
See 1M t ructlft
.Q.
'\:7~ r--, r--' r-O"\ ~
, ~,FI,.. ",,,nt "-,, htctlvfty "-,, IIII.ywd "~Sud6111 ..,.... "A-oJ I...f.t.
, ....It h of PI'llIUf't 11M I th
c-t 12 .... C.U. ......
c....t II .... C.U. ......
; "'Yt I tt 1 IN 11M \t h "'lint
((hecl< .11 tlltt '111/1,)
u.s. ...
eo.sø..nt 11 .... U.S. ......
,-, ,..-, ,.-, ,.-., r-,
, -.. 'Ire ",,,nt "-,, .HCtlwt~y "-,, Del.yed "-,, Suddfft R.I.... "-,, I__f.t.
"..Ith of P"."vre IIMlth
CaIoortInt n .... t.A.S. ...,
.'
~t II .... U.S. ......
L
... _1________.J.__
.~ 1.-L-1__-1
-
; "Y11 eel eM ....1 th "'lint
I01lC1< .11 tlltt ...Iy)
u.s. ........___________. eo.sø..nt 1\ .... C.U. ...,.
~ -., ,.-... r-., ,.-., ,.-,
'-." Fire Mar.nt "-,, IINc:tlvh,Y 1.-" DeI.yt'd ..-... Svddtlfl R.IHI. ..-" I__f.t.
He.1 th of p,,"SV'" ""lth
CGIIOØIIIIt 12 .... C. a. S. ....,
.-.--...---------------- ----
to.oonent II .... C.'.S. ......
r 'GJII<:' tOmt1S It .iÞ-eLf:-, o..~~tt.s.>-_.___
~1LV:___.____
.
I-O~jib~ I2Q~_Q!:¥--C
Le..zs- n!~~L-----~iJ,21.i2~
.nt:,utIOfl (Rttad and .i(n lifter co.pJp-ting all st!ctJonsJ
-"III., \IIId.~ "",\ty of ,.. t....t" he", wr,on."V ,...,nll! and .. fe.ili." with thl 1nfor..t\an Iv!.-tttlll ill
, Ob\¡'I"'~IIt Infr:~.\~1 beli.." thaI tilt ,vboo1t11<l 'ilIOf1 " trw. .ccv".e., IIId cOlløl
.. --a--" o. ·f~ .-,\:"";. ~ ,,,- \ \~~~--£--.-.- (et ~~ ':"fof'-- S'---f---
·_,n 0 'CI' £'tt 0 (IoIntr OØfrð~ owntrÎo:>tr. or s. ~ Un r'ø",;~h .w, 19n. vr.
tttlClwd doc_no IIIcI t....t b,,1II an lit il\C\liry of \l1li, fncllvicNI\' '''IOI\lfb\.
.- O¡fnt9ñïaj-=~-:::.eß-.--.-.
~,
e
e
BAKERSFIELD CITY FIRE DEPART)ŒXT
2130 "G" STREET
BAKERSFIELD. CA 93301
OFFICIAL [SE OXLY
ID#
- - -" - - -
BUSINESS r\AME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIO~S
1. To avoid further action, this form must be returned by:
2. TYPElpRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT#
3
Dye 5hd~
PREVENTION, ABATEME~"T PROCEDURES tj7õM (Ò): ,
SQ~k S' Clt~ lI\l.,~
\ '^-. \Aß.... 1A& l ; L}~ ..
~f
FACILITY UNIT NAME:
SECTION 1: MITIGATION,
K€-~p ßrol\~1I.
<ß €-" c-a.. r~ t u l(
SECTION 2: NOTIFICATION .~\~ EVACUATION PROCEDL~ES AT THIS L~IT O~LY
~.
!J ð 1/\ fi----
¡,£r }- é
n~.
- 3A -
o
e.
e
SECTIO~ 3: HAZARDOUS ~fATERIALS FOR THIS L:lIT OXt Y
A. Does this Facility Unit contain Hazardous Ma-terials?. . .. .é§J1<0
If YES, see B.
If ~O, continue with SECTIO~ 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES~
If No, complete a separate hazardous materials inventory
form marked: ~O~-TRADE SECRETS ONLY (white form #4A-l)
If Yes, complete a hazardous materials inventory form mRrk~d:
TRADE SECRETS OXLY (yellow form *4A-2) in addition to the non-trade
s~cret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIO~
Ålt~
t
,.
H r--~
R-f,
SECTIO~ 5: LOCATIO~ OF WATER SL~PLYFOR USE BY EMERGE~CY RESPO~~ERS
LO",,^,lV éA-t/lt/D'í 1$ VJ;bl~ RJ
SECTI0~ 6: LOCATIO~ OF L~ILITY SHUT-OFFS AT THIS UXIT O~LY.
A. x;r. GAS!PROPAX~~
NûV\~
B. ELECTRICAL:
N b'v[ 'L
C. \\ATER:
fl}oV\ ~.,
0, SP;::CiA:':
E. lOCK BOX, ~ES ,8 IF YES, !OCATlOX,
IF YES, SITE PLAXS?
FLOOR PLAXS?
YES / YO
YES / XO
~~SOS$?
~r:YS?
,:o::S i XC
YES XO
- 3B <1'-
~
-
e
BAKERSFIELD CITY FIRE DEPART)ŒXT
2130 UGH STREET
BAKERSFIELD, CA 93301
OFFICIAL CSE ONLY
ID#
- - -' - - -
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT#~ FACILITY UNIT NAME: Ce.,W1&vrt-' 5~~1
, !rToRfi-Gft
SECTION 1: MITIGATION. PREVENTION, ABATEME~-r PROCEDL~ES
N-tf
ß Jòkt, Y1
~~clrs
¿/~A Þ\ &fJ lit
SECTION 2: NOTIFICATION A~~ EVACUATIO~ PROCEDL~ES AT THIS L~IT O~LY
Nð~,t-.
- 3A -
·
e
SECTIO~ 3: HAZARDOUS ~rATERIALS FOR THIS L~IT Oxt Y
A. Does this Facility Unit contain Hazardous ~a1:er;a!s?.. .' L9 1<0
If YES. see B.
If NO. continue with SECTIO~ 4.
B. Are any of the hazardous måterials' a bona fide Trade Secret YES~
If No. complete a separate hazardous materials inventory
form marked: XO~-TRADE SECRETS ONLY (white form -4A-l)
If Yes, complete a hazardous materials inventory form m~rk~d:
TRADE SECRETS OXLY (yellow form #4.G-2) in addition to the non-trade
s~cret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
/J. ()'Y/ e.-- / !JD -rla. \\A.~ b I L M. ct. t't r í l'j!5
SECTIO~ 5: LOCATIOX OF WATER St~PLY FOR USE BY E~ERGE~CY RESPO~~ERS
C-ðV'\r\~'r Útfl/L fJ rJ Vt.
~ LV ;~/L ¡¿c!
SECT10~ 6: LOCATIOX OF t~ILITY SHUT-OFFS AT THIS UXIT O~LY,
A, X;¡. GAS'PROPAX~~
NoV\t2-
B. ELECTRICAL:
N()1A~
C. I\ATER:
N61A~
0, SP?r:-IA>
E lOCK BOX, YES G IE YES. LOCATIO',
IF ~ES, SITE PLAXS? YES / XC
FLOOR PLAXS? \~S I XO
~!sOSs? ':'::5
:zr:VS? YES
xo
XO
- 3B -
;.
e..
e
BAKERSFIELD CITY FIRE DEPART~ŒXT
2130 "G" STREET
BAKERSFIELD. CA 93301
OFFICIAL rSE OXLY
.'
ID#
.
------
BUSINESS i'\AME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSiŒRS IN ENGLISH.
3. Answer the questions below for THE FACILITY UXIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT NAME: C ~ J11 & vrt- 5 Æ ~ cfJ
~
FACILITY UNIT~
SECTION 1: MITIGATION. PREVENTION, ABATEME~ PROCEDURES
M~f
ß cJÁt Y1
t5a.c/rs
¿/~J'J,)I¡ êcP lit
SECTION 2: NOTIFICATIO~ ~\~ EVACUATIOX PROCEDL~ES AT THIS t~IT O~LY
Nð"'-L
- 3A -
.
. '.
e
SECTIO~ 3: HA7.ARDOUS ~fATERIALS FOR THIS t,~I1' OXLY
A. Does this Facility Cnit contain Hazardous )a"ter1nJs?.. .. -8 1<0
If YES. see B.
If XO. continue with SECTIO~ 4.
B. Are any of the hazard'óus màter1als' a bona fide Trade Secret YES~
If No. complete a sepa~ate hazardous materials inventory
form marked: ~O~-TRADE SECRETS OXT.Y (h'hite form :-lA-l)
If Yes. complete a hazardous materials inventory form m~r~~d:
TRADE SECRETS O~LY (yellow form *JA-2) in addition to the non-trade
secret f0rm. List oDly the trade secrets on form 4A-2.
SECTIO~ 4: PRIVATE FIRE PROTECTIOX
IV. 0 Y¡ e..--
SECTro~ 5: LOCATIOX OF WATER Sl~PLV FOR USE BY EMERGE~CY RESPO~~ERS
CoY'V\.~r-
L.4+! /t- fJ r) V~
~ LV j~!L Rc!
SECTIO~ 6: LOCATIOX OF ~-r!LITY SHUT-OFFS AT THIS UXIT O~LY.
A. X~ ì. G~,S .rPROPAXE":
/ý()V\~,
B. ELECTRICAL:
NóVtf~/
C. \\ATER:
N6V\~
0, SP?OA:":
E. Lec¡: BOX, \·E5 G ;: YES, LOCATlOX,
IF YES, SITE ?LAXS?
FLOOR PL~XS?
YES I XC
YES I :\0
~SDSs? YES; ~o
~EYS? }~S ~o
- 3B -
.. ....
'.
...
e
BAKERSFIELD CITY FIRE DEPART)ŒXT
2130 "G" STREET
BAKERSFIELD. CA 93301
OFFICIAL lSE OXLY
. .
ID#
.
- - -" - - -
BUSINESS r\MŒ:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIO~S
1. To avoid further action, this form must be returned by:
2. TYPE/PRIXT YOUR ANSWERS IN ENGLISH.
3. Answer the Questions below for THE ,FACILITY UXIT LISTED BEI:OW
4. Be as BRIEF and CONCISE as possible.
FACILITY UN!T~
3
FACILITY UNIT N~~:
D)/t>
5 À~cJ
SECTION 1: MITIGATION, PREVENTION, ABATEME~! PROCEDù~ES
Ke. €- P
ßrol\~h
SQc.!\S C¡~I\V\HJ ~f
SECTION 2: ~OTIFICATIO~ .~\~ EVAC~ATIO~ PROCEDL~ES AT THIS t~IT O~LY
¡VêJt1~
- 3A -
;" .""
'.
...
e
SECTIO~ 3: HAZARDOUS ~'ATERIALS FOR THIS L~Ii OXLY
A. Does this Facili ty Unit contain Hazardous ~¡rteri.1 s? . . . . .@ 1'0
If YES. see B.
If XO. continue with SECTIO~ 4.
B. Are any of the hazardous moterials a bona fide Trade Secret YES~
If No. complete a separate hazardous materials inventory
form marked: XO~-TRADE SECRETS OXLY (white form =JA-l)
If Yes. complete a hazardous materials inv~ntory form mRrked:
TRADE SECRETS OXLY (yellow form =4~-2) in addition to the non-trade
secret form. List o~ly the trade sp.crets on form 4A-2.
SECTIO~ 4: PRIVATE FIRE PROTECTIOX
No1/\¿. ffy-&.- Fx+e.y¡1.
SECTIO~ 5: LOCATIOX OF WATER St~PLY FOR USE BY EMERGE~CY RESPO~~ERS
CD"", w Co..-t/ ItAJ r- ¢ VJ; b 1 ~ RJ
SECTIO~ 6: LOCATIO~ OF t;'"TILITY SHUT-OFFS AT THIS ù"XYT OXLY.
.~. X.~ ì. G.J.5 -'PROP..\XÈ:
Nû1l\(L
B. ,ELECTRICAL:
N blt[ ~
C. h'ATER:
,VOV\ ~-
D, SP;:(iA:":
E. LOCY. BO" YES .~ i: Y£S. LOCATIO"
If rES. S!TE ?LAXS?
FLOOR PT.AXS?
YES I XC
YES I ~O
XSDSs? ~ES ¡ ~O
~£~S? YES ~o
- 3B ~
" ·1
"'.'. ~ -
-
..- .
.¡
cfÎv--?
J/v»Þw .
.'
.'
---~
'--'~"",----:?""--
. ~ éP~
HAZARDOUS ~1A TERIALS INSPECTION
GY\) RECE I VED
1b DEC 1 2 1988
Ans'd.
....
.......
BUSINESS lIME: C/lL cRCTE
LOCA'nON: '-/70 / uJ / Ii L£
Co,
~Of
INSPECTION DATE: rz- /2- - 88
INSPEC'l'OR: ¡v1, COliC-IV
o NO
IK]
~
I2J
CONcR£'/C '¡4NOIf)Y¿[S'
þ"þ)
II/) r/£ I'YSPS
VERIFICATION OP INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
,,------. ....,
,"
CDØIEHTS: II t2 /'11 JC LI /'?.Ii.
180ft /1Æ£ Nt>
VERIFICATION OF BAZ MAT 'l'RADfIHG
D lVö
ø
VERIPICA'nON OF MSDS AVAILABLE
CDØIEHTS :
VERIFICATION OF ABATEMEN"l' SUPPLIES a PROCEDURES [Cj..
CDØIEHTS :
EMERGENCY PROCEDURES POSTED
o /\le
D /'(Ó
ND'r G/f~G' L-£tJ
COIft'ADŒRS PROPERLY ~ ..aR1:T.Rn
CDØIEHTS ;
f)p /11)(
rJ 19/Y1c-
VERIPICM'Iœ OF FAC:ILZTY DIAGRAM
~
SPECIAL Ila9.QDS ASSOCIATED WITH TRIS FACILITY:
VIOLATIONS:
·
e
BAKERSFIELD CITY FIRE DEPAR~~ï
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
.,;¡;¡'
RECE\\JEO
J U L 1 3 1987
Ans·d...........·
...v~
I ~ )...\J
:J:SP5
OFFICIAL CSE ONLY
BCSINESS NAME
ID# 04J d-:L.
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
-
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IX ENGLISH,
3. Answer the questions below for the business as a whole,
4. Be as brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME:
Let I ~'r~-~
'f ? 0 / lA ) ? b )/SL
Ú1_
B. LOCATION I STREET ADDRESS:
COW'LpGlY)V
/
R<:J.
CITy:-13c¡ ke 'î5f:fe-lcþ
000540
ZIP:
BüS,PHONE: (&:>5) 83/- Q83/
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or threatened release of a
hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your local fire department and the State Office of Emergency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITL~ DURING BUS. HRS.
A. N('),o I (' _ k..-ú vvdeJp 5 -S oWYJ e r Ph# e 3/-- OfJ3/
B. ~4 ~y ~h Q W\b le. $5 OlVl1PYPh# 83/- 083/
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
AFTER B1:S. HRS.
Ph# 83~- 3 S-oR
Ph# 3't I)- ~ 7" b ^'-
.,
~: m~~~~~~~~:A~~~i~~f ~r;;1¡~:;-t;::gfll£' ~~~~~
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS? YES I ~o
FLOOR PLANS? YES I XO
- 2A -
MSDSS? YES I NO
KEYS? YES I ~O
I. D .~#
..., r
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
Page
of _I
BUSINE~S NAME:
ADDRESS:
CITY, ZIP:
PHONE #:
~r~ ~ ø~ Ý OWNER NAME:
\r'5 ~t . J3/3~~~~~~~~:
A~ \- O~~ I PHONE #:
.5a ,^^p
FACILITY UNIT #: I
FA C I LIT Y UNIT N A ME: C) 7fT ~ c£
10FFICIAL USE CFIRS CODE
ONLY
1
TYPE
CODE
2
MAX
AMOUNT
3
ANNUAL
AMOUNT
456
CO NT USE
UNIT CODE CODE
7
,LOCATION' IN THIS
FACILITY UNIT
8
% BY
WT.
9
10
HAZARD D.O.T
CODE GUIDE
'CHEMICAL OR COMMON NAME
"
"
e
.'
.'
, ¡
, ,
/
. Ì\ \ r:-
\ "..{\
~\ \ U \.
v
\1
-
--
'-<
NAM(: N.I',)~/\ \~ /""~~f\ \(')\~~S TITLE: (?\, ) \1\ {;).\î "
EM t RG ENe Y CON T Act : ~J''' ~ \ ~ ..À,I\./') -w.. \ ()\ ~ £; S TIT r. E :
'; , \
EMF:RG'ENCY CONTACT: . ~G..:'\,\
PRINCIPAL BUSINESS ACTIVITY1
( ~~~~1~~,~~
SIGNATURE:
O'd,')'\J\..~Y-
Ri!i~~~
~ ~ \.... ~ t\ (\
~ ~}Ç> ~ '\.) f\"- ð..\\.\.i.)l \\'" R\..-- DATE: 'r\ -(, - h;fl
-- PHON"E"--'# BUS HOURS: -'8'~ I _OP,')
AFT E R BUS H R S : P: ~ ~ - 2.sC ~
fHONE t BUS HOURS :¢~ ~ l~ ~ 7
\b\O( K AFTER BUS HRS: fl')..qh_ {e>U ~ Á.
- 4A-l -
1. D. #
.- ~
. -
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
Page
of
ADDRESS;
CITY, ZIP:
PHONE'#;
~¡~~ ~~I ~~~ OWNER NAME:
L c...- 1 ADDRESS:
S r?.._O J CITY,ZIP,
- 0 ] PHONE #:
S' Ct 1.1A L-
FACILITY UNIT # 7-' !
FACILITY UNIT NAME:ét9k.1~"'.f- <jJt'c/
IOFFICIAL USE CFIRS CODE
ONLY
BUSINERS NAME:
1 2 ~ 4 5 6 7 8 9 10
TYPE MAX ANNUAJ~ CONT USE LOCATION IN THIS % BY HAZARD D.O.T
I CODE 'AMOUNT AMÐUNT UNIT CODE CODE FACILITY UNIT WT. ·CHEMICAL OR COMMON NAME CODE GUIDE
,
,
, J I /~
- , /\ ()/yv
~ '--'"
II
-,
-
'.
.
"
EMERG~NCY CONTACT:
PRINCIPAL RUSINESS ACTIVITY:
TITLE:
SIGNATURE:
D \)J")~~,
Vw ~ ~ \è
'\\ ~ ~ \' (ì()
'\ '\. Þ 1"\.\J \ v l'~ ~~ ~~l 'L ~l) ~\r....
PHONE~ BUS HOURS:
AFTER BUS HRS:
PHONE # BUS HOURS:
AFTER BUS HRS:
,
OAT E : I -- 9 -I- ('/
tr'; ~ - h~ 1/
~:>3 --< z ~
;f¥""': / --("-š/
~ ¡<p''- /ð b~ ~
-. '\ \
NAME: ~,~ \ C >.r...C\. ~ \o\~~S
- ;
EMERGENCY CONTAC~:
TITLE:
(C) \J.. 1'\'- ~-'~
TITLE:
"
- 41\-t -
BUSINERS NAME:
ADDRESS:
CITY, ZIP:
PHONE #:
~ ~Y:t ~1:~~~~:s:~~E'
r. ~ ~ CITY,ZIP,
- é PHONE #:
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
'54 141 e
Page
of
-
1. D. '#
-
-
,',
~
FACILITY UNIT #: :5
FACILITY UNIT NAME: ()y~ 5'J(Jq/
, I
IOFFICIAL USE CFIRS CODE
ONLY
I
1 2 3 4 5 6 7 8 9 10
'f,YPE MAX ANNUAl. CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. 'CHEMICAL OR COMMON NAME CODE GUIDE
,/
e ' , ~ /'1 \ /f
J \/ V I ¡... /I
, I
I ,
.
.
I " _. '" , ,,~ r ~ \J " ^
NAME:: r-,L~~ \ \. \.k .\_\.rJJ TITLE: (?\ I )\1\11\1 SIGNATURE: '\.~r.~}... \ ^\lk.k\~\W~\( DATE: h .-H~ I
EM£RlìENCY CONTACT: N,I'~"'':'\' ~ \"I'I\M \·;S-oc..c.. TITLE: CJ\ÁJV\ ~ \,-- PHONE Y Bð'S HOù'RS: -\ P,~T_?>Æ ~/
.. ¡:. -,¡:; T - · AFT E R BUS H R S : '~ '3 J...- ,.:;;u;".J!i?
EMERGENCY CONTACT: LJ>Q ~ ~'\N\. \ ()\,,0~ T µLE: (;7 ~..)~ -Q, \(' . P~ONE t BUS HOURS: e.'3)'- C2!!f};1/
PRINCIPAL BUSINESS ACTfvity: ~'b.,^\\,~(',..t..-\uV~ Ln'kL'\j'{\~- 'Q)\Dc..-K,AFTER BUS HRS: '3?'l- roLl~d-..
- 41\-1 -
I , D, #
ßAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
Page
Of~1
'. ...' h NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY I
BUSINESS NAME: S ~\ ~~(" vJ;;Z ~~~~~S:~ME: 50 [M(0 FACILITY UNI~~~"
ADDRESS: FACILITY UNIT NAME: -..5; .
CITY, ZIP: )"
PHONE #. ~~~-7~ J "~~~~EZ~~: IOFFICIAL USE CFIRS CODE \
ONLY
1 2 3 4 5 6 7 8 9 10
TYPE MAX ANNUAT, CONT USE LOCA T IO'N IN THIS % BY HAZARD D.O.T
C(}OE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. 'CHEMICAL OR COMMON NAME CODE GUIDE
~ _ 114.1 iJJ./ [; cif 5~~e.... O~ M~~'5'OU+\~/)
7'l~f-< FT3 ~l /00 n"¡vq fJlA c93S9 ¡::-/r; 5
Mob} Iv¿ ~]. +- -;h RlJl'r ~
~)P ~/"""'r~ n4 L¡ ,';l 1.1. I;)Y I
/f-l:iV ¡Rtf) ÇT3 5<:. 'M ~ ¡1,..:: 11/ ~ .." / /)/) A- r tv I Y /--{J 11 f) F ICD 5
- .
-
!
,
.
I '" \\ " "-
---='\
NAME;i: N(',~I r-"f\6!\M\O\'P'S~ TITLE: ~~",.py SIGNATURE: '\.~ 'J.-. ~ 'x\ ~~ '{.v(\~\. DATE: 1-/ -~ij
S~ '\Mo. ~ (?\ IJ'I\~ v PHONE # BUS HOURS: e 11 ~ O~ "3 I
EM1':R'GENCY CONTAC~: b~ ;..\ ~ ~r')'\)\ ~k~ TITLE: ¡R~t~~
, AFTER BUS HRS:
EMJ:RG£NCY CONTACT: G;Q"'~ ~~1'\~)9\~0? TITLE: D \ l) "",~ y-- PHONE # BUS HOURS:
PRINCIPAL BUSINESS ACTIVI Y: AFTER BUS HRS:
- 41\-1 -
1. Ð. t
BAKERSFIELD CITY FIRE PEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
Page _of _
. ~'
~~
BUSINERS NAME:
ADDRESS:
CITY. ZIP:
PHONE #:
~ V'~~ CCl1Aci OWNER NAME:
~7¿ :-~þ-~n- ~~Q '- ~3 ~m:~! ~,
5q V\I\ lJ _ ' I
FACILITY UNIT #:
F AC I L I TY UN I T NAME: /1/0 fer- /0" K
10FFICIAL USE CFIRS CODE [
ONLY
9 10
HAZARD D.O.T
'CHEMICAL OR COMMON NAME CODE GUIDE
1 2 3 4 5 6 7 8
TYPE MAX ANNUAJ. CO NT USE LOCATION IN THIS % BY
CODE AMOUNT AMOUNT UNIT CODE CODE FA C I L IT V UNIT WT.
I _"'^ lIO~ o (;,0 ~I (p ~¿, U)(J5TlÁÁJI òfUh-/,JvÆn
}/ Ñ\ I/Io~ ~ 60 ;;;q 1 en J-c, :) c, 1M e.-
4'). ðS 330/"nGtl (n 'J-{C' ,<) Ct \I1A ~
5M s:.- Jct:; 0C{ ¿ Ict 5 û.. \M (J
~~ ~~ I to 5 G~ l' (/7 ðB t:; (À \M (J
J1L:\') I J6~ ,i; Ó 0 G'\.I è 'Jfo SQ Wt zO
Q.LH J~'" DfO/f:) /ðt)- Lt / ""'J I~Jh iQ
<YOU 0
1('1 ~ \ .ÎV'-OIA Q)¡:¡Jn /./017 IIA -",..L,r- Oi J I Ctt.1l Q
I'CÌ1 ~ 'hem A },(}j Í-'*Y~/cI 07/ I/' Ml/Þ
,
~ YO ,é)-fJ}I¡ ¡O / 17~.·û I CI/At-.6
C/(:JúJ/J~1A '1' /d.~?ÖnfJ.M -I-- r/)fL/V
Lut:t<;tro M()~:~c¡h C MLr.a
-
, .
NAME1: Nr')-{J r- _,^CJ,^JlI()\~s <; TITLE: 0 u)N¡;¡;-n
EMÈ R!. ENC Y CONTACT: N b ~ I (\ \\(,t.:\Þ,^-\'~~s..5 T I TL E :
EMER~ENCY CONTACT: G\o..Y~ (__\..?-\J-..f...\o\~0S TITLE:
PRINCIPAL BUSINESS ACTIVITÝ: ,-\\t'ò_~ ~_/l~I"J'~
SIGNATURE:
(') \ À ) ~)~~,
_" ,.., ~ C\ "
'\.\. I'Æ> 'i.. '\\ "Á.\. ~ I kh\l ~~u-
PHONE # BUS HOURS:
AFTER BUS HRS:
, PHONE' BUS HOURS:
~ \or ß AFTER BUS HRS:
DATE: f" ~9-~1Y
~,:(I- 663 I
\\~3w¿,
~J~~~
- 41\-1 -
T . D. #
BAKERSFIELD CITY FIRE PEPARTMENT
FORM 4A-l
Page
of
.0
-.
NON-TRADE SECRETS I
HAZARDOUS MATERIALS INVENTORY
:~~~:~~~ NAME'. \ :0\5 ,~~~(J ~~~~~:~S~~ME' 59 #f -e FACILITY U~~~I~¡:~, ~¿~:.~ '7~5
CITY, ZIP: 1)~2~_ Ca. 9~CITy,ZIP: f'
PHONE #: . 8')/- (")A3/ PHONE #: 10FFICIAL USE CFIRS CODE \
ONLY
.
1 2 ~3 4 5 6 7 8
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY
CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT.
I
I
9
10
HAZARD D.O.T
CODE GUIDE
'CHEMICAL OR COMMON NAME
j/ / /l ,) ¥' II __
IV V I Ill::-
,
r
-~'~ l ..... '-1:\ \\ ~ ~ " (\
NM{!3: Nr"~' t"...Adi'\M\.(.)\1~~~" TIT4&:_ (')\1 il/lfJ....r SIGNATURE: ~\.,.~" \'\'1 l\~H"hX~~k.t\-
EME~:GENCY CONTÄCt:W('0~ f" ",,^"""~\;l?S TITLE: ("')\J.J'vIe-V- P~HÙNE # BUS dOURS:
, , '-' \ '-'"' ~ ~ AFTER BUS HRS:
EM ERG" EN C Y CON T A C 'F : G (} "'\~ ~: ~ \() Î.f&.s TIT L E . ~ 'v) ~ ' PH 0 N E , BUS H 0 U R S :
PRINCIPAL BUSINESS ACTIVITY: \'JÇ. 1J~t..,\-\ty~ t' (')\J\~~ 'Th\ðCK:5: AFTER BUS HRS:
I
DATE: I) -Cf-E:}~"S',
>=;::¡ --:). I. rrÞ )/
1:i ::3 'J...- -,~ ' (, ..-1~
~ ~ ~ / ___ ¡(y. ..... 'f
/.: ~ '-I' /r-- /'" iL-.
- 4A-l -
._~ '. '"
- NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY I
BUSINESS NAME: ~~~;~:~&;Y~!m~!t' 7Q Ul ~ FACILITY UNIT #: ý'qnJ '
- FACILITY UNIT NAME: ßl~5PJ'YQH~~1
ADDRESS:
CITY, ZIP: m~ ~ù,o 7ë;!-;;.t-
PHONE #: 10FFICIAL USE CF~RS CODE \
ONLY
I
1 2 13 4 5 6 7 8 9 10
TYPE MAX ANiNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T
CODE AMOUNT AM'OUNT UNIT CODE CODE FACILITY UNIT WT. 'CHEMICAL OR COMMON NAME CODE GUIDE ,
3)N\ /ODO fJ :J. ex; 0 &-tf ~ 19 o-F50l< -fJ. .<1 -¡-Pc. #~ @ tlli.ðJ CMJ..~ ,
A?cPd I p , ) -e.. se..-
[ - I f
1-. -; v.. 'f
~JV\ ~ 'J-- /15~. ÓëT
/600 ~~}r XA :0:,/ ¡q J'US1- Ne>-rl-l-t ú-F Q toviJ Pro (l) Q V1 fJ ~'â 5 FL05
/ , f oì€..se.{ T4 k. k. f
!
,
,
-
Þ
I
I
,
!
'-. ~ " \. \ì (\ 1\
NAM.E~, N,....1\\ ç:> /~~~\n\-flc,'1 TITL~\ (:)\I)\J\~\[' SIGNATURE: \.~ t~ \J. \~ A\ Þ} Uo.t.\l ~ ~I\ v-- DATE: n ___ 't r- Ç() ')
EMERGENC\r CÓNTACT,: t-.. '("')1'"_\ C'f\l\l\ '11\1\ P t:., ~ TITLE: C'>\1 ) V' ~ y- .. PffuNE # BUS HOURS: :-f¿~~õtJÄ
.' AFTER BUS HRS:
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4A-l
Page
of
i
-,
,
r. D, #
EMERGENCY CONTACT: (]x:~"'\¥.,
PRTNCIPAL BUSINESS ACTIVITY:
C-\~~\~~:~:~~ f;;~~~~~
- 41\-1 -
PHONE # BUS HOURS:
ß lœ-k AFTER BUS HRS:
Æ '3/- ðP3 3 /
?f5{r;- 0éf~?--
-
..
'"
',\
".
.~ . .,
¡ .
BAKERSFIELD CITY FIRE DEPARDIEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL ~SE ONLY
BUSINESS NAME:
r ct b~~ CdlM pl1j
ID#
- - -' - - -
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YO~R ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY ~~IT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT# I FACILITY UNIT NAME: Q+-F'fc (J
SECTION 1: MITIGATION, PREVENTION, ABATEME~l PROCEDURES
No
¿fq 7-C{ Y'd CJ C{.5
frl C( 'k VÎc¡ / ~
SECTION 2: NOTIFICATION fu~~ EVACUATION PROCED~~ES AT THIS ù~IT ONLY
Nó,^€-
- 3A -
-~
.
J ,!--.
SECTIO~ 3: HAZARDOUS ~fATERIALS FOR THIS UNIT OXT.. Y
;"'..:
'.
A. Does this Facility Unit contain Hazardous !l-late!'j<11s?."., YES @
If YES. see B.
If NO, continue with SECTIOK 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES KO
If No, complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS ONLY (white form #4A-1)
If Yes, complete a hazardous materials inv~ntory form marked:
TRADE SECRETS OXLY (yellow form #4A-2) in addition to the non-trade
secret form. List only the trade secrets on "form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
'. NOVt e.-
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
cÞV'1A-~ V- Wr01~ Rd 4 Cq)j-)'e.- 1JY'I"V~
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UXIT OXLY,
A. X.~,.T. G.j.$ ¡PROPANE':
ß y [JLtú..1
Pa.. L
~ôLd,~ Wetll f3&~~lAvl ß~fll-I'Y-
B. ELECTRICAL:
C l' V- c. ~ It- f3 y ~C( k-e. V--
pC!. 11~ I
5" Dú fA
[Vl:{ / /
C, \'iATER:
A-+
UJ~t~v to. 11\ K'
D. SPSOAL:
E LOCK BOX @~ ~~ ~~ ;ES f-~OCA~~~ k -F' Y'c;>1T c:rf"-F/c ~
IF YES, SrTE PLAXS?
FLOOR PLAXS?
YES /d§:)
YES /®
~fSDSs?
:-: EYS ')
-,'::5 /~)
~i "0
~. .,
- 3B -
-,
r
-
.
.,
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
Nò V\e.-
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
hOLQ..1 H 05 P rfa. ¿ ~
.~.. .~.
SECTION 6: EMPLOYEE TRAINING
EMPLOYERS ARE REQUIRED TO HAVE A PROGR~~ WHICH PROVIDES EMPLOYEES WITH I~ITIAL A~D
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO IXITIAL
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
MATERIALS:.......................................@ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES:.. ......... ............... Is ~O
C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . E NO
D. EMERGENCY EVACUATION PROCEDURES:........... . . .... .. YES XO
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... YESc:E9?
REFRESHER
@XO
IXO
NO
YE NO
YES NO
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: '" . " YES~
I, ¡JC1 -e) ~ /~Q 1M b }f¡ s.5 ,certify that the above information is accurate.
I understand that this information will be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et AI.) and that inaccur~te information constitutes perjury.
'SIGNATù-'E~~~~TITLE
o --~ »-t1\
DATE~-9 -£1
- 28 -
-
'.
è· _~.~_~~
BAKERSFIELD CITY FIRE DEPART~EXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL ~SE OXLY
ID#
- - -" - - -
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY ~~IT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT#
~
FACILITY UNIT NAME: C (2 W1 fJ u t
)l~d
SECTION 1: MITIGATION. PREVENTION. ABATEME~l PROCEDú~ES
No /I co_ (Ü,c/ {)lI 5 !W de r ;'ct! !J
SECTION 2: NOTIFICATION .~\~ EVACUATION PROCEDL~ES AT THIS L~IT ONLY
No '^-L
- 3A -
.....
.
;¡: .... ;~-- ~
SECTIO~ 3: HAZARDOUS ~fATERIALS FOR THIS U~IT Oi\tY
A. Does this Facility Unit contain Hazardous Mated,lIs?."., YES ¿f£)
If YES. see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No. complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS ONLY (white form ~JA-l)
If Yes, complete a hazardous materials inventory form ~arkRd:
TRADE SECRETS OXLY (yellow f6rm #4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
No"te....-
SECTION 5: LOCATIOi\ OF WATER SUPPLY FOR USE BY E~ERGE~CY RESPONDERS
CG>'r\\~Y' wrhl~ Rct rf Cql//'{} fJr;,ve
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UXIT OXLY,
A, XAT. GAS!PROPAN~~
1\/ 0 k ~
B. ELECTRICAL:
N()~(L
C. ~'¡ATER:
N 0 VI e..-
D. SP::';CIAL:
E, LOCK BOX: \'ES ,'~F YES, LOCATIO~:
IF YES, SJTE PLAXS?
FLOOR PLAXS?
YES / \'0
YES / XO
~fSDSs?
:-:;:Y5"
YES
YES
~O
, XO
- 38 -
""
-, -i;:1
~ ~ if ~~/,\.
.
e
BAKERSFIELD CITY FIRE DEPARDIEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
O?FICIAL ~SE ONLY
ID# _ _ _ _ _ _
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY U~IT LISTED
4. Be as BRIEF and CONCISE as Fossible.
BELOW
FACILITY UNIT#
.3
FACILITY UNIT NA~:
Dy-e
5 L é2d
SECTION 1: MITIGATION, PREVENTION, ABATEME~ì PROCEDú~ES
¡Vo ¡/-tJ Z C{ Vc/CJ(j 5
t1 q It rJt¡ J-s
SECTION 2: NOTIFICATION k\~ EVACUATION PROCEDL~ES AT THIS L~IT ONLY
!\Jo ~ t-
- 3A -
~
-;.t ~ ;~r\
.
e
SECTIO~ 3: HAZARDOUS ~fATERIALS FOR THIS U~IT OXtY
A, Does this Facility Unit contain Hazi1rdous Mater'Ínls"..,.., YES é£J
If YES. see B.
If NO. continue with SECTIOK 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No. complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS OXLY (white form -4A-l)
If Yes, complete a hazardous materials inv~ntory form marked:
TRADE SECRETS OXLY (yellow form *4A-2) in addition to the non-trade
secret form. List only the trade s~crets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIO~
f'*~ ÞX--t-
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDERS
Cß'r'v\ e- Y' CR 'tt-l~ fJvtv ~ 'Ì Uh-b ) ~ f( d.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS U~IT ONLY,
A. NfT. GAS!PROPAN~~
/'lo 11 ~
B. ELECTRICAL:
M.ø... TV\. p",- '^ -e- \
sbp'
C. \'ATER:
tJ. 0 ~L
0, SP;::CIAL:
E, LOCK BOX: \.'ES .:é!) IF YES, LOCATIO~:
IF YES, SITE PLANS?
FLOOR PLAYS?
YES / XO
YES ! YO
~ISDSs?
:·:21'S"
YES
YES
xo
XO
- 3B -
I ..,.,
t 1<=--' ..
e
e
",
BAKERSFIELD CITY FIRE DEPARDIEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE ONLY
ID# _ _ _' _ _ _
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT# L¡ FACILITY UNiT NAME: ~5 A 0 D.
/
SECTION 1: MITIGATION. PREVENTION, ABATEME~~ PROCEDu~ES
K~~p 6pa Y'L A L ~+; IQ '" '-L $: <3)< /filY1 ßC)#/'t-5
C- 1{ct YVl Qd.e Cq ftcf.
SECTION 2: NOTIFICATION Æ\D EVACUATION PROCEDL~ES AT THIS ù~IT ONLY
&-e-,^~~ U>, 0 \AL;; 0 1A..~ OV' ~
c.- ~ It I (;JJO t~O?/~
I ~ ~ or '<--lAd :) of ts 5"0 'S lM.o..!/ ,Él/e'ryb~
\)Jou-.t& l<V\OLU ð+ ú. f V'obl~Ù/(,
- 3A -
1^~-'"
e
e
SECTION 3: HAZARDOUS MATERIALS FOR THIS C~IT ONLY
A. Does this Facility Unit ,contain Haz::trdolls Mate!'Íi11s?,.". ~ 1\0
If YES, see B.
If NO. continue with SECTIOK 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES~
If No, complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS ONLY (white form #4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
fr'V t F Y.- 'T11At-u.-f'5 ~ t y- 5
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~ERGENCY RESPONDERS
CorY\ 'Q y- 0 f \.JJYb1~ f<J f Cq#-Ie !Jr.
SECTION 6: LOCATION OF UTILITY SHL~-OFFS AT THIS UXIT OXLY,
A. XAT. GAS!PROPA~~~
ßÜT~ iF &, cu..á1 f.¡ uC¡-ldtllj-
B, ELECTRICAL:
,Eãs+ lV~//
C, \'iATER:
UJCAMr--
Tëi 11 k
O. SP;::CIAI.:
E, LOCK BOX: ÝES:é§) IF YES, LOCATIO~:
IF YES, SITE PLAXS? YES / YO
FLOOR PLAXS? YES' XO
~ISOSs?
:-:EYS?
~'ES
YES
:\0
XO
- 38 -
f
e
e
~
1
BAKERSFIELD CITY FIRE DEPARDIEXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL CSE ONLY
ID#
- - -' - - -
BUSINESS KAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY U~IT LISTED
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT: .5- FACILITY UNIT NA'Œ:.--l1/afca y-
SECTION 1: MITIGATION. PREVENTION, ABATEME~! PROCEDu~ES
BELOW
Ìã}? k f3(/ìlJ
.
IU tJ If Cl ~ q 'rei 0 U S
flit q j~ Y M /-S
SECTION 2: NOTIFICATION ~\~ EVACUATION PROCEDL~ES AT THIS u~IT ONLY
!flo ~ L
- 3A -
e
e
'f
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT OKtY
A. Does thi s Fac il ity Unit. contai n Haz<trdolls Ma tcr ir:tl s?, . . , ., YES (fi)
If YES. see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No, complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS ONLY (white form #4A-l) ,
[f Yes, complete a hazardous materials inv~ntory form ~arked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form. List o~ly the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
¡lJ ö lit ~
SECTIO~ 5: LOCATIOX OF WATER SUPPLY FOR USE BY E~ERGENCY RESPO~~ERS
CðV"V\ ~ Y' tÁ.)Yb t ~ RJ f Cq /I/-e [)Y.
SECTION 6: LOCATION OF UTILITY SHL7-0FFS AT THIS UNIT OXLY,
A, ::\l,.T. G.j.$ /PROPANÈ:
ALc; ~ íL
B. ELECTRICAL:
5öqfh (}Jq!)
C, \~ATER:
I+-t, Th ~ ~
D, Sp;:,:C r.4.~ :
E, LOCK BO::\: YES :(!!i;)I'F Y:::S, LOCATION:
IF YES, SITE PLAXS?
FLOOR PLAXS?
YES / XO
YES / XO
:-tSDSs?
:-:EYS"
YES
YES
\'0
XO
- 3B -
·.~; ',;::
',ò
e
e
.
;
BAKERSFIELD CITY FIRE DEPARnIE~T
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE OXLY
ID# _ _ _ _ _ _
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action. this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY U~IT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT# G " i? FACILITY UNIT NAME: { U Y I y- P 0tY JfJ .5
SECTION 1: MITIGATION. PREVENTION, ABATEME~! PROCEDú~ES
';Yo
jjq;¿.C/r-doú 5 1I1tÍ'~y/bð
SECTION 2: NOTIFICATION .~\~ EVACUATION PROCEDL~ES AT THIS L~IT O~LY
11 CJ 1A L-
- 3A -
'-'-1/
~ .,ï
.. :J>;:.ç.~
~
e
e
i.
SECTION 3: HAZARDOUS ~~TERIALS FOR THIS UNIT ONtY
A. Does th i s Facility Uni t contai n Haz;:¡rdous Ma terii11s? . . , ., YES 62)
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous mater.ials a bona fide Trade Secret YES NO
If No. complete a separate hazardous materials inventory
form marked: ~ON-TRADE SECRETS ONLY (white form ~4A-l)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4:\-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
jI/ OIA L
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
CD"''^- tQ. V útf-J~ f)'r 4 Ú/ftl(¿, ¡!¿c).
SECTION 6: LOCATION OF
A, NAT. GAS/PROPAN~~
ß ~ "l-'&Ac.1
UTILITY SHUT-OFFS AT THIS UNIT ONLY,
W~5t- Oúf-~it/'Q
LLqJ)
B. ELECTRICAL:
50u 1- 4 .Ed s-I- 1J.A / / c.rF 13 {¡;-}tJ (J V /{ OOH/?
C, ì\.L\ TER :
A+ lJJqt ~ V ¡-¿ 'vi {-
D, SPECIAL:
E, LOCK BOX: YES ,-éJ1f YES, LOCATION:
IF YES. SITE PLANS? YES; ~o
FLOOR PLAXS? YES I XO
Y.SDSs?
~:EYS'"
YES
YES
XO
XO
- 3B -
·
e
t
\'
BAKERSFIELD CITY FIRE DEPART~EXT
2130 "G" STREET
BAKERSFIELD, CA 93301
OFFICIAL CSE ONLY
ID#
- - -' - - -
BUSINESS NAME:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY U~IT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.
FACILITY UNIT#
FACILITY UNIT NAME: L-ú.. V r}l c¡
'(/
MITIGATION. PREVENTION, ABATEME~l PROCEDú~ES
;1/ () 114?- q Vc!O(J 5 Jt1q * YJ4)-.5
?
kooJv¡
- SECTION 1:
SECTION 2: NOTIFICATION A~~ EVACUATION PROCEDL~ES AT THIS L~IT ONLY
1\/ 0 Ý1 t-
- 31\ -
~.
e
e
j'
\.
'~
SECTIO:\' 3: HAZARDOUS ~fATERIALS FOR THIS U~IT ONLY
A. Does this Facility Unit contain Hazardous Matedr:¡ls?.,.., YES@
If YES, seè B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES NO
If No. complete a separate hazardous materials inventory
form marked: ~OX-TRADE SECRETS OXLY (white form ~4A-l)
If Yes. complete a hazardous materials inv~ntory form mark~d:
TRADE SECRETS OXLY (yellow form #4A-2) in addition to the non-trade
se6ret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTIOX
NQVL fL
SECTION 5: LOCATIOX OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Cc.>Vïl\&V- Cq//-/{? /Jrrve f W7f;/fl-f(c/.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A, XAT. GAS!PROPAN~~
ß~~IV\J
Ð5'f- £U¡ / / ß It Tlell,? 7fL¿
B. ELECTRICAL:
Mù.'1\A.. PCJ.vt~1
RooVv\
qf- 5~or
o r- Soc.d-h LuA.I) ß(JYl1Er
C, I'iATER:
It +- 1JJ;¡ i-tJ V 74- 'vi Ie
0, SPECIAL:
E, LOCK BOX: '-'EsÐ;: YES, LOCATIO~:
IF YES. SITE PLANS?
FLOOR PLAXS?
YES / XO
YES I "\()
~SOSs? YES "\0
~ëYS~ YES i XO
- 38 -
e
~4?J FHðLÉStš
L
, r-- ~
e
-,.
MA TERIAL
SAFETY
DATA
SHEET
**************************************************************************************
PRODUCT /MA TERIAL: JPC DIESEL 112
MANUF ACTURER: WHOLESALE FUELS
2200 E. Brundage Lane
ADDRESS: Bakersfield, California 93307-2806
EMERGENCY PHONE NOS.
MEDICAL: 213/664-2121
(L.A. POISON CENTER 24 HR NO.)
CHEMTREC: 800/424-9300
BUSINESS: 805/327-4900
--------------------------------------------------------------------.---------------------------------------
SECTION I - MATERIAL IDENTIFICATION
TRADE NAME: JPC DIESEL 112
------------------------------------------------------------------------------------------------------------
PRODUCT CODE NO.:
GENERIC NAME: Fuel oil
CHEMICAL NAME: Petroleum hydrocarbons
SYNONYMS: Mid-distillate mixture
CHEMICAL F AMIL Y: Hydrocarbon
MSDS CODE NO.: MMD0002029AC
CAS REGISTRY NO.:
Not registered.
NIOSH REGISTRY NO.:
Not registered.
CHEMICAL FORMULA: Mixture of
petroleum hydrocarbons.
------------------------------------------------------------------------------------------------------------
HEAL TH HAZARDS
SECTION II - HAZARD IDENTIFICATION
------------------------------------------------------------------------------------------------------------
ASP IRA TION HAZARD
SKIN IRRIT ANT
CHRONIC I SKIN CANCER I LABORATORY ANIMALS
PHYSICAL HAZARDS
COMBUSTIBLE LIQUID
MISUSE OF EMPTY CONTAINERS
CAN BE HAZARDOUS AND LEAD
TO SERIOUS INJUR Y. READ
SECTIONS V, VIll, X, & XI.
------------------------------------------------------------------------------------------------------------
D.O. T. HAZARD CLASS: Combustible Liquid UN HAZARD CLASS NO: None.
NFPA RA TlNG: HEALTH 2 FLAMMABILITY 2 REACTIVITY 0
OTHER: The Consumer Product Safety Commission requires a label warning for "Petroleum
distilla tes."
------------------------------------------------------------------------------------------------------------
SECTION III - HAZARDOUS INGREDIENTS AND RECOMMENDED EXPOSURE LIMITS
HAZARDOUS INGREDIENTS
------------------------------------------------------------------------------------------------------------
1) Middle distillate (petroleum)
RECOMMENDED EXPOSURE LIMITS
LIMIT TYPE AMOUNT AGENCY
None established.
------------------------------------------------------------.-----------------------------------------------